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hat will your face say works especially well for the tops about you during the apof hands covered with those “age proaching spring and summer? spots.” Finally, Dr. Handler also When you are enjoying yourself performs laser removal of unwantwith friends and family, will the ed blood vessels that grow on your fine lines, brown spots (age face and enlarge with heat, stress, spots), and sagging jowls and and the intake of alcohol. Again, Smoother, tighter, younger-looking skin on face, arms, and chest neck not portray your true age pain and downtime are minimal and make you appear tired and with this laser. withered? Why not consider a Anti-aging and cosmetic enNo surgery. painless and no-downtime coshancements are not for any specific No injections. metic procedure to reduce your gender. Male cosmetic enhanceNo downtime. aging, sun-damaged, and sagment and anti-aging procedures ging facial skin and eliminate have increased almost 300% in ADULT, arvey andLer, m.d., f.a.a.d. brown spots? Look as young the past 5 years for sagging skin, PEDIATRIC, dipLomate and feLLow of tHe american Board of dermatoLogy as you feel when gathering with darkening under the eyes with the friends and family. “hollow” look, and brown spots. The & COSMETIC 5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital) Whenever aged and utilization of fillers, such as RestylDERMATOLOGY spotted sun-damaged skin is ane and its family of fillers, JuveHAIR & NAILS discussed, the term used is derm, Radiesse, etc., is excellent rejuvenation. Wait! What about for deep smile lines and the “sad “pre-juvenation”? Prevent and and tired look” as evidenced with anxiety-induced underarm sweating for 5-7 months after only one sagging at the corners of the mouth, hollow cheeks, and aging of reduce the signs of future aging and sun damage with a skin-care treatment. program designed for the Millennial and prior-tanning-booth generathe hands. And, of course, the use of Dysport/Botox to reduce The use of fillers, such as Restylane, Restylane Lyft, Jution. Be proactive before the lines and age spots appear. Speak with forehead “worry lines” is superb. vederm, Radiesse, and others, to “fill” deep smile lines and the the staff at Dr. Handler’s office to inquire about specials for cosmetic All of these cosmetic enhancements are performed entirely marionette lines (the sad look) from the corners of the mouth procedures and topical products to reduce the signs of aging and by Dr. Handler. To view before-and-after photographs of patients produces immediate results lasting 12-15 months! Don’t look tired fade and eliminate “age spots.” who have had these procedures performed by Dr. Handler, visit or sad when you are not! Since these products are combined with Dr. Handler personally performs many anti-aging procedures that www.drharveyhandler.com. For more detailed information about a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the are “non-invasive” with minimal discomfort or downtime. You can minthe above-mentioned procedures or products, please call Dr. injection of new fillers called “Restylane Silk” and “Restylane imize under-eye darkening and wrinkling, raise those droopy eyelids, Handler’s office at 419-885-3400. Also, remember to inquire Refyne and Defyne.” These products markedly improve upper and shrink pores, lift sagging jowl areas, and appear as youthful as you about special pricing available on many cosmetic procedures and lower lip lines (lipstick lines). Restylane Silk also volumizes your lips feel. Call Dr. Handler’s office for a personal evaluation with treatment products to diminish the signs of aging and obtain a more vibrant and restores their natural curve while looking attractive and natural. recommendations designed specifically for your aging skin. and youthful appearance of your skin. Look as young as you feel. There is no downtime with these non-invasive procedures. These Remember, 80% of the signs of aging are due to prior sun expoHair loss in men and women products also improve the “tear trough” depression and hollowness sure and subsequent skin damage. All the brown spots (“age spots”), Are you losing hair from surgery, anesthesia, illnesses, pregunder your eyes and cause darkening to be much less obvious. broken blood vessels on the face, fine lines, and sagging skin are nancy, medications, stress, genetics, or “normal” hair loss secondDo you want to reduce fine lines, acne scars, and age spots caused almost entirely by sun! This is something young people ary to aging or low blood levels of nutrients? There are many caus(brown spots from sun exposure) and shrink pores? Then the should be aware of since we get 80% of our lifetime sun exposure by es of hair loss in men and women. Most are not simply due to age non-invasive Clear and Brilliant laser is for you. When the Clear or family history, and most are treatable. Now these problems of the time we are 18-20 years of age. and Brilliant laser is combined with Thermage CPT Deep Tip, What about the “worry lines” between your eyes, deep smile hair loss can be evaluated and there is hope for reducing your hair the results are ideal for patients who desire no downtime or pain lines, upper lip lines (lipstick runs uphill), and your sagging jowls and loss and stimulating new growth. Dr. Harvey Handler, board-certiand predictable results of lifting sagging skin and smoothing fine neck? These unfortunate changes caused by prior sun exposure and fied dermatologist of Sylvania, Ohio, has a medical treatment for lines. Dr. Handler is the only dermatologist in northwest Ohio per- decreasing your hair loss and increasing growth in many patients! aging can be improved dramatically with pain-free, non-invasive cosforming this procedure. metic procedures performed entirely by Dr. Handler. Pediatric skin disease diagnosis and treatment is one of Dr. Are you aware that Dr. Handler personally performs laser The NEW Thermage CPT Deep Tip procedure painlessly heats Handler’s special fields in general Dermatology. From birth onprocedures for removal of body hair anywhere hair grows? Yes, damaged collagen under your skin to tighten and lift sagging areas ward, Dr. Handler diagnoses and treats eczema, hemangiomas, this minimally painful laser destroys hairs around the chin, jawof the neck, jowls, upper arms, and wrinkling of the skin on the contact and allergic dermatitis, and general “lumps and bumps” line, upper lip, underarms, ears, nose, bikini line, etc. And this abdomen. The NEW Thermage CPT Deep Tip procedure utilizes that children and infants develop. What about “birth marks,” scalp laser is not just for women. Many men have this laser performed radiofrequency energy (not laser). This procedure also encourages and body “ringworm,” body and head lice, scabies, psoriasis? to permanently remove chest and back hair as well as beard hair a natural repair process that results in further tightening, lifting, and If there is a lesion or spot on the skin, Dr. Handler is trained to that grows down onto the neck. younger-looking skin. With only ONE treatment, results are seen properly examine, diagnose, and treat appropriately. Dr. Handler also utilizes the latest in lasers for removal of before leaving the office. Continued tightening and lifting of sagging This time of year we prepare our home and property for the “age spots” (sun spots really) anywhere on the body. This laser skin occurs over a 6-month time coming inclement weather known period with results lasting 3-4 as winter. What about preparing t is appropriate for patients to understand why it is in their best 5. Has passed exams for board certification in dermatology. years! There is NO downtime and the largest organ of your body for medical interest to always seek the advice of a board-certified Be aware and cautious of medi-spas and cosmetic centers NO pain. The NEW Thermage winter—your skin! Dry, itchy skin, dermatologist for skin care. Why is seeking a board-certified organized and maintained by individuals other than a board-certified CPT Deep Tip system has been dermatologist the most beneficial route for solving skin disease dermatologist or even any medical doctors (not MD’s). Many of these eczema, psoriasis, and many other utilized by Dr. Handler for many issues versus a general practitioner, nurse practitioner, physician’s individuals have no formal education or training in skin disease diag- skin abnormalities are caused or years with excellent results and aggravated by dry, cold weather assistant, or any other medical individual? I am providing the nosis, treatment, or cosmetic enhancement of skin defects. very satisfied patients. and the dry heat in your home and following information for patients to understand the necessity How do you know whether he/she is a board-certified dermaFor lines between the eyes automobiles. Dr. Handler can imof seeing a board-certified dermatologist for the diagnosis and tologist? Look for F.A.A.D. (Fellow of the American Academy of (worry lines), crow’s feet, and prove and eliminate these seasonal treatment of skin disease. Dermatology), which is a formal designation from the American Please be aware that a board-certified dermatologist has the the “sleepy and tired look with Academy of Dermatology, following the dermatologist’s name. afflictions. following minimum education versus the above-mentioned quasi To confirm this information, check the American Academy of droopy eyelids,” the use of Also, everyone should have a “skin doctors”: Dermatology website at aad.org/findaderm. None of the above Botox or Dysport works well yearly full body exam to check for 1. Four years of college to earn a bachelor’s degree requirements are met by a nurse practitioner, certified nurse practo improve these areas. The skin cancer, changing moles, and 2. Four years of medical school to become a medical doctor titioner, physician assistant, or any other medical doctor licensed results are diminished lines and new growths that develop on our (MD) or doctor of osteopathic medicine (DO) to practice medicine. Do your homework before trusting your skin a more “wide awake” and less bodies. This comprehensive exam 3. One year of an internship disease diagnosis and treatment to anyone but a board-certified tired appearance. These prodshould be conducted solely by a 4. 3-4 years in a dermatology residency program dermatologist. ucts are also fantastic to reduce board-certified dermatologist. ❦
www.drharveyhandler.com
Reduce lines, fade sun spots clear + brilliant laser H
L. H
419.885.3400
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MISSION STATEMENT Healthy Living News offers the residents of northwest Ohio and southeast Michigan a monthly guide to news and information about healthy life styles, health care, sports and fitness, and other issues related to physical, mental and emotional quality of life. The publication promises to be an attractive, interesting and entertaining source of valuable information for all ages, especially those 35 to 50. Healthy Living News is locally owned, committed to quality, and dedicated to serving our great community. Healthy Living News is published the first of each month. The opinions expressed by contributing writers do not necessarily reflect the opinions of the publisher. Distribution of this publication does not constitute an endorsement of any kind. While HLN makes every attempt to present accurate, timely information, the publication and its publisher and/ or advertisers will not be held responsible for misinformation, typographical errors, omissions, etc.
February 2020 • Vol. 25, Issue 2
Your Monthly Guide to Healthy Living
ENRICHING YOUR LIFE 6 Discover the Catholic school difference 10 How to help your senior loved one elude loneliness 16 A Walk in the Park – You just wear me out by LeMoyne Mercer 20 Health Crossword Puzzle 22 Make the most of that Valentine’s Day flower bouquet 24 Running tips for beginners and Dave’s Races by Amanda Manthey 29 Systemic advocacy and community action through COPE by Megan Benner Senecal 33 Spiritually Speaking – Words have power by Sister Mary Thill 38 Parents: make your home a burn-free zone 40 Five tips for toilet-training success
CONTACTS Business office:
To advertise: Healthy Living News, 130 Louisiana Avenue, Perrysburg, OH 43552. Phone: 419-874-4491 or email Chet Welch at chetw@ perrysburg.com. Ad reservation deadline is the 15th of the month preceding publication. HLN reserves the right to refuse advertising for any reason and does not accept advertising promoting the use of tobacco. Editorial office:
Deadline for editorial submissions is the 10th of the month preceding publication. To contact the editor or send submissions, please email jeffreykurtz68@gmail.com. Co-Publishers:
Adam Welch Chet Welch
OUR COMMUNITY 5 ProMedica spine clinics enhance access to care for patients with back or neck problems 9 AlterG broadens therapeutic horizons for Laurels rehab team 13 Super Fitness celebrates 48 years of promoting healthy living 15 Papilio Spa and Wellness Center donates proceeds to help victims of sex trafficking and domestic violence 18 Great Lakes Vascular Institute offers open house and free vascular screenings February 29 19 Lutheran Services in America and Genacross Lutheran Services Join Forces with Aetna
OUR COMMUNITY (continued) 20 Mercy Health cardiologist encourages a proactive approach to heart health 25 UTMC heart team offers advanced hybrid treatment for coronary artery disease 37 Glass City Federal Credit Union offers free home-buying seminar 39 Senior Living Guide 40 Dinner and silent auction to benefit SewHope programs in Guatemala
HEALTH & BEAUTY 2 Look your best for the season 7 The role of nutrition in cancer prevention 26 Let’s reframe our thoughts about food and our bodies by Chantal Crane, MSW, LSW 27 Being healthy in retirement could help reduce potential health costs 30 Nobody’s Perfect – Driving with my hands—take two by Sister Karen Zielinski, OSF 31 Eating Well – Healthy eating hints for Heart Month by Laurie Syring, RD/LD 32 You’re never too old for Super Slow Training 34 Musicians and hearing loss by Dianna Randolph, AuD, CCC-A 35 Heart attack symptoms may differ for women 36 How to maximize your benefits from acupuncture and chiropractic treatments by Douglas A. Schwan, DC, Dip ac 37 Expert answers to cosmetic procedure FAQs 42 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A
Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Brad Beebe,
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Jim Welsh • Charlie Nolan Dominion Distribution Distributech–Toledo Copyright © 2020 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.
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Dear Readers, since its doors first opened in 1972. Thank you for picking up the FebParents who are contemplating where ruary issue of Healthy Living News. to send their child for school next year are Last month, healthy resolutions were the encouraged to read the article on page 6 primary focus of our editorial content. about the benefits of Catholic education. If that article piques your Now that we’re a month interest, keep in mind that into 2020, how are those resolutions holding up? If several local Catholic schools you’re already starting to will be hosting open houses falter, don’t lose hope. It’s this month so families have never too late to rededicate an opportunity to experience yourself to your health and firsthand what they have Adam and Chet Welch fitness goals. Remember, to offer. Be sure to check a lasting lifestyle change them out! takes a lifelong commitment. If you need Also in this issue, you’ll find expert a little motivation, be sure to read this advice on maintaining a healthy heart month’s cover story about Super Fitness from Dr. Steven Bruhl, Chief Medical (p. 13). Now celebrating 48 years in busi- Officer for Mercy Health – Tiffin Hospital ness, Super Fitness has been promoting (p. 20); an introduction to the advanced community health across all demographics Hybrid Coronary Revascularization
procedure performed at the University of Toledo Medical Center Heart and Vascular Center (p. 25); a profile of Papilio Spa and Wellness Center, which donates 100 percent of its proceeds to help victims of human trafficking and domestic violence (p. 15); suggestions for helping seniors avoid wintertime isolation and loneliness from Gayle Young of Sunset Retirement Communities (p. 10); insights on body image and eating disorders from Chantal Crane of The Willow Center (p. 26); and much more. So enjoy this jam-packed issue in good health, and, as always, if you choose any of our advertisers’ products or services, let them know you “saw it in Healthy Living News.” Adam and Chet Welch
4 February 2020 | Healthy Living News
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ProMedica spine clinics enhance access to care for patients with back or neck problems
HLN 1/4 pg. General Services February2020
Adult, Youth and Family Services
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ain in the back or neck can ad- from simple lumbar strains to more versely impact virtually all aspects significant issues such as chronic of a person’s life, especially if the pain back pain related to degenerative is chronic and severe. Furthermore, arthritis, degenerative disc disease, when a back or neck injury occurs, it spinal stenosis, and compression can be extremely challenging for people fractures. Trained in family practice, to determine where to turn for relief. McKarns can also see and provide Recognizing a significant need treatment to adolescent patients in our community for better access requiring conservative treatment for to spine-related care and resources, minor back or neck issues. Treatment ProMedica Spine Care has launched plans are individualized to the patient spine clinics in two convenient loca- and might include options such as tions, one in Toledo at the ProMedica medications, aquatic/physical therapy, Neuroscience Center and the other in pain management and physical medicine, and lastly a referral Perrysburg at Levis Comfor surgical evaluation. mons. McKarns also hopes Staffed by specialthat getting the word out ly-trained nurse practiabout the new spine clinics tioners Emily McKarns, will help discourage people FNP-C, and Melissa from seeking treatment for Vaughan, CNP, the spine back/neck pain or other clinics provide prompt, spine issues in emergencomprehensive evaluacy rooms or urgent care tions and expert diagnocenters. “We want to serve ses for patients’ back or as an additional resource neck problems, as well Emily McKarns, FNP-C these providers can utilize as referrals to specialists for their patients to help for treatment as needed. eliminate the use of emer“Through a thorough asgency services for chronic sessment, lengthy intake conditions like back pain,” process, and comprehenshe adds. sive physical exam, we can Spine Care opened in develop an appropriate September of 2018 and treatment plan and deterwas piloted with several mine whether the patient family practices for one needs additional diagnostic year before opening sysstudies, aquatic or physical tem-wide to the commutherapy, or other services,” McKarns says. “We’re also Melissa Vaughan, CNP nity in October of 2019. Building on the success of connected with a group of four neurosurgeons and an or- the Toledo and Perrysburg clinics, thopedic spine surgeon who can ProMedica Spine Care will soon see our patients if necessary, and be hiring a third nurse practitioner there’s a behavioral component to and is working on opening a spine our program that addresses factors clinic in Monroe, Michigan—another such as anxiety, depression, difficulty location where a significant need for sleeping, memory problems, and services has been identified. McKarns emphasizes that back or other behavioral issues that often neck pain is not something people accompany chronic pain.” Mckarns explains that no provid- just have to live with. “A lot of people er referral is needed and no prior think there’s nothing else that can workup or testing is necessary in be done for their pain, but the priorder to attend the clinics. Patients mary goal of our program is to offer are accepted even if they have had easy access to comprehensive care. prior surgery or are currently being If a patient isn’t a good candidate treated elsewhere and would like for surgery, there are still plenty of another opinion. “Our goal is to alternatives at our disposal. No one provide convenient, timely access to should be left to suffer with chronic, care, and we strive to see each patient debilitating pain,” she states. For more information or to schedwithin one to three days of calling ule an appointment at one of the for an appointment,” she states. The spine clinic team sees the full ProMedica Spine Care spine clinics, gamut of back and neck problems, please call 419-578-7141. ❦
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• Individual, Family & Group Counseling – Anxiety & Depression – Grief & Bereavement – Stress Management – Anger Management – Relationship Issues – Family Dynamics – Abuse & Neglect Treatment • Crisis Intervention • Wellness Education • Employee Assistance Programs (EAP) • Vocational Rehabilitation Services & Training • Diagnostic Assessments • Community-Based Therapy
• Case Management • Developmental & Behavioral Pediatrics – ADHD – Autism Spectrum Disorder – Learning and Language Disabilities • Primary Care • Psychiatric Evaluation/ Medication Management • Psychological Testing • Telehealth Services • Substance Use Disorder Treatment – Ambulatory Detoxification – Medication-Assisted Treatment – Intensive Outpatient Treatment – Residential
Everyone needs help sometimes!
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Healthy Living News | February 2020 5
ST. URSULA ACADEMY C AT HOL I C • A L L GI R L S • CO L L E GE P R E P • G RADE S 6 - 1 2
Experience what makes us Undeniably Ursula.
NOW ENROLLING GRADES 6- 12
Schedule your Arrow for a Day visit and private tour of our newly renovated campus.
Call (419) 329-2209 or visit toledosua.org.
Anne Grady Services receives grant from Greater Toledo Community Foundation Anne Grady Services received a grant for $2,500 from the Mr. and Mrs. Darrell H. Fox Fund II of the Greater Toledo Community Foundation. Anne Grady provides residential, affordable housing, transportation, Day Program, and a full array of therapy services for children and adults with intellectual disabilities. Through our services and programs, we touch the lives of many people in Lucas County and the surrounding area. Last year, grants and special charitable donations from private donors aided in the expansion of our services for children. This year, we will expand our Day Program to serve Wood County residents. Please contact Candace Bishop, Manager of Community Affairs, at 419-866-6500 ext. 274, for additional information on how you can become involved. Or visit www.annegrady.org. ❦
6 February 2020 | Healthy Living News
Discover the Catholic school difference I
n today’s popular culture, concepts like faith, self-discipline, and respect for others are becoming antiquated notions, which presents a challenge to parents who hope to raise their children into conscientious, ethical, and responsible adults. However, parents who send their kids to Catholic schools soon find they have an ally who not only shares these same values, but also upholds and reinforces them in a supportive, caring environment. As a result, kids who graduate from Catholic schools tend to emerge better educated 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.
Christ-centered learning Christ’s example is the foundation upon which Catholic education is based. Children are encouraged and nurtured to be Christ-like people and to recognize the presence of Christ in others. Parents appreciate the fact that Catholic schools uphold and
strengthen the religious formation they’ve begun in the home.
Emphasis on self-discipline Personal responsibility is a hallmark of Catholic education. Students are given the decision-making skills they need to make sound judgments throughout their lives and to extend the respect and dignity deserved by others. Self-discipline leads to academic success, which leads to a more significant contribution to society.
Parents who care Just like you, other parents of Catholic school students want to play an active role in their children’s educational experience. In fact, many parents volunteer in a variety of capacities, such as playground or lunchroom supervision, classroom assistance, fieldtrip support, fundraising assistance, and many other areas. And the support works both ways. The schools are also happy to work together with parents as a team to help solve any problems or challenges that might arise.
Part of a community When your child becomes a part of a Catholic school, your family also becomes a member of this supportive, enriching community, which will allow your entire family to continue growing in their Catholic faith.
College in the future A college degree is critical to career success, and Catholic schools are focused on preparing students for entry into college. A very large majority of elementary and secondary Catholic school students attend college. In fact, according to the National Catholic Educational Association, 99% of Catholic secondary school students graduate, and of those, 86% go on to attend a four-year college. Parents, if you are interested in experiencing the Catholic school difference firsthand, be sure to attend the various Catholic school open houses offered this month in our community. ❦
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The role of nutrition in cancer prevention
he standard American diet rates white rice, and sugar are on her list very poorly in promoting good of items to limit, as is salt, being both health. We see this quite plainly in harmful to cardiovascular health the skyrocketing incidence of obe- and cancer-causing when consumed sity and related ailments, such as in excess. Meat should be kept to a high blood pressure, diabetes, and minimum as well, with about three cardiovascular disease. Furthermore, ounces being an appropriate serving there is growing awareness in the size. scientific community that the highAlcohol consumption is another fat, high-salt, sugar-sweetened, and major dietary risk factor for develophighly-processed foods that comprise ing cancer. Dr. Trivedi states, “Alcohol the average American’s diet actually is linked to many different cancer increase the risk of developing several types, including cancers of the oral forms of cancer. cavity, pharynx, larynx, esophagus, Colorectal and other gastrointesti- breast, bladder, colon, and liver. Not nal cancers, cancer of the oral cavity, only are there carcinogens in the head and neck cancer, uterine cancer, alcoholic products themselves, but kidney cancer, and stomach cancer once alcohol is consumed, it’s broken are just some of the cancers that can down by the body to form acetaldebe associated with poor diet. Looking hyde, which is a carcinogen. Alcohol at the numbers for colorectal cancer contributes to breast cancer risk by alone, approximately 52,000 cases increasing the level of estrogen in diagnosed each year are diet-related. the body. It also impairs absorption Charu Trivedi, MD, of of nutrients.” The Toledo Clinic Cancer The current recommenCenters, explains, “On a dation is to limit alcohol scale of one to 10, the stanconsumption to no more dard American diet gets than one drink per day for a rating of one, meaning women and two drinks per day for men. For the it’s very unhealthy. Thirty-two percent of the diet purpose of these guidecomes from animal fat, lines, one drink equals 12 and 57 percent consists ounces of beer, five ounces of processed plant foods. of wine, or 1.5 ounces of Charu Trivedi, MD Only 11 percent comes 40-proof liquor. from whole grains, beans On the flip side of the and lentils, and fresh fruits and veg- coin are foods that should be consumed etables, which are foods known to for their cancer-protective properties and other health benefits. Perhaps help prevent cancer.” Being overweight or obese, in not surprising, this list contains a and of itself, puts people at much wide variety of fruits, vegetables, and greater risk of developing cancer, other plant-based foods. Examples and the higher the body mass index include cruciferous vegetables such (BMI), the higher the risk. In fact, 13 as cabbage, cauliflower, broccoli, and different cancers have been linked Brussels sprouts; carotenoid-rich to being overweight/obese, and each vegetables such as carrots, sweet year approximately 600,000 people potatoes, and squash; lycopene-rich in the United States are diagnosed foods such as tomatoes and watermelwith an overweight- or obesity-re- on; allium vegetables such as garlic, onions, leeks, chives, and shallots; lated cancer. Among the foods Dr. Trivedi advises citrus fruits such as oranges, lemons, against are processed and packaged limes, and grapefruit; berries; bell foods, noting that the ingredients peppers; almonds and walnuts; and manufacturers add to increase the leafy greens (the darker the green, shelf life of these products contain the better). carcinogens. She also cautions against Dr. Trivedi recommends choosing heating oils when cooking, which organic foods whenever possible, produces carcinogens, and emphasizes since they should contain no canthat not all oils are equally healthy. cer-causing additives, pesticides, or Olive oil and sunflower oil are pref- herbicides. Cancer-protective benefits erable to other choices. White flour, n Cancer - continued on p36
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Located on N. Holland Sylvania Road, we have Located on N. Holland Sylvania Road, we have laboratory, MRI and other specialty services Located onMRI N. Holland Sylvania Road, we have laboratory, and other specialty services conveniently located on the premises. laboratory, MRI and other specialty services conveniently located on the premises. conveniently located on the premises.
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For the convenience of our patients, we also have satellite offices in Bowling Green, Maumee and Monroe.
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Healthy Living News | February 2020 7
8 February 2020 | Healthy Living News
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AlterG broadens therapeutic horizons for Laurels rehab team
hysical therapists continually seek novel ways to help clients regain strength, endurance, flexibility, and function following injury, surgery, or illness. It was this commitment to innovation that inspired The Laurels of Toledo rehab team to add the state-of-the-art AlterG® Anti-Gravity Treadmill® to their repertoire of therapeutic modalities. This paradigm-shifting technology has truly redefined what is possible in physical rehab and training. According to Laurels physical therapist Julie Seymour, the AlterG is NASA-driven technology that utilizes differential air pressure, or DAP, to unload patients’ body weight as they walk, stand, or perform various exercises on the treadmill. Originally designed to help counteract the loss of strength and bone density in astronauts while in space, the AlterG is proving to have a surprisingly wide range of applications right here on Earth. “Initially, we saw this technology transfer into the realm of high-per-
formance athletics to treat lower-extremity issues such as ankle sprains and for post-surgical rehab. We do work with athletes here at The Laurels to help them progress their workouts or build their endurance if they’re injured and not weight-bearing, but we’re also seeing that the AlterG has applications in a whole new wave of diagnoses and conditions,” Seymour states. Among the many potential applications of the AlterG are helping stroke victims recover and relearn how to ambulate in a safe environment; helping clients who are fearful of falling regain confidence on their feet; rehabbing orthopedic clients after surgery; improving function, mobility, and endurance in clients with neurological conditions such as Parkinson’s disease, multiple sclerosis,
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or cerebral palsy; safely progressing cardiac clients through recovery while closely monitoring their vital signs; and promoting weight loss in significantly overweight patients so they can qualify for joint replacement or other procedures. Seymour explains that much of the work done on the AlterG is focused on improving the client’s muscle memory and motor planning. Assisting in this regard are cameras situated at different angles, which provide a visual feedback system so clients can see exactly what they're doing and the therapist can closely monitor their gait mechanics and help them make corrections as needed. “The cameras allow us to look at how they’re walking and see which muscles are weak and which muscles are compensating—for example if
they’re offloading one leg quicker than the other. The AlterG is a great tool for identifying and correcting these sorts of problems,” she says. In addition to promoting better gait mechanics, the AlterG prevents clients from looking down at their feet while walking, which is important from the standpoint of posture. Seymour states, “When you’re looking down at your feet, your head comes forward, throwing off your anatomical alignment, so you have to bend at the knees to compensate. With the AlterG, it’s necessary to look up and straight ahead at the monitor to see what you’re doing. This allows clients to learn what it feels like to walk with proper mechanics so they can continue to do so when they don’t have a visual cue. For example, when they get up to go to the bathroom in the middle of the night and there are no lights on, they have to feel what’s underneath their feet to make corrections.” n
Laurels - continued on p38
Healthy Living News | February 2020 9
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How to help your senior loved one elude loneliness
F
ebruary can be a lonely month. All the holiday parties and get-togethers are behind us, and there are still plenty of cold, dark winter days ahead to keep us cooped up indoors. Valentine’s Day can be a bright spot in this otherwise gloomy period for some, but for those who don’t have a loved one to share it with, Cupid’s favorite holiday can actually reinforce feelings of loneliness and isolation. For older adults who face obstacles related to health, mobility, or transportation, this time of year can be especially isolating, putting them at even greater risk of a wide range of physical, emotional, and mental-health issues. In fact, according to the National Institute on Aging, research has shown that social isolation and loneliness are linked to higher risks of high blood, pressure, heart disease, obesity, a weakened immune system, anxiety, depression, cognitive decline, Alzheimer’s disease, and even death among older adults. “That’s why it’s so important at this time of year for families to be closely attuned to their senior loved ones’ emotional well-being and to take steps to keep them engaged,” states Gayle Young, Director of Marketing, Communications and Public Relations for Sunset Retirement Communities. To help your senior loved one avoid loneliness—not just in mid-winter, but all year round—Young offers the following suggestions:
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Make time for meaningful visits Time spent with senior loved ones is all too often limited to quick in-and-out visits to ensure their basic
medical and housekeeping needs are met—stopping by to set up their medications for the week, making sure the garbage cans get to the street on time, scooping the kitty litter, etc. In addition to assisting in this fashion, it’s important to make time on a regular basis to sit down with your senior loved one for meaningful conversation and interaction. “It can be a tremendous comfort and benefit to seniors knowing they have someone with whom they can spend quality time and share thoughts, hopes, and concerns, rather than someone who just dashes in to attend to chores,” says Young. Promote peer connections Just as important for seniors is interacting with their age-group peers who likely share similar interests and cultural/historical reference points. Area senior centers, senior communities, and church groups offer ample opportunities for seniors to connect with their peers while participating in a wide range of social activities. Take advantage of them! Facilitate transportation Many seniors either have functional limitations that prevent them from driving or are simply uncomfortable with the idea of driving in wintry conditions. As a result, their freedom to leave home and socialize or join in activities is significantly limited. Keeping seniors connected can be a simple matter of offering the occasional ride in your vehicle or, if you can’t be there, helping them arrange public transportation or shuttle services to social activities. Address health barriers to socialization Among the biggest obstacles to socialization for seniors are health issues that either limit their enjoyment of social activities, such as hearing or vision impairment, or cause them to feel anxious or embarrassed about leaving home and spending time in the company of others, such as incontinence issues. “Ensuring seniors get the proper health care and support they need to address these issues can go a long way toward keeping them engaged n
Sunset - continued on p42
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Welcoming New Patients
Effective January 1, 2020, the following Toledo Clinic Cancer Center providers will no longer be seeing patients in Perrysburg.
419-479-5605 OPTION 2 David Brown, M.D.
Shaili Desai, M.D.
Timothy Kasunic, M.D.
Toledo: 4126 N. Holland-Sylvania Road, Suite 105 Maumee: 625 Gibbs Street
David Brown, M.D.
R.C. Phinney, M.D.
Rex Mowat, M.D.
Please refer to the back of this card for several of our additional Timothy Kasunic, M.D. Rex Mowat, M.D. locations available to conveniently serve you and your patients.
Shaili Desai, M.D.
M. Hammad Rashid, M.D.
Bradley Sachs, D.O.
Charu Trivedi, M.D.
Bowling Green: 960 West Wooster, Suite 111
Laboratory and Infusion 419-479-5605 OPTION 2 Services Available
Monroe: 800 Stewart Road, Suite B
Toledo: 4126 N. Holland-Sylvania Road, Suite 105 Maumee: 625 Gibbs Street
R.C. Phinney, M.D.
Bowling Green: 960 West Wooster, Suite 111
M. Hammad Rashid, M.D.
Bradley Sachs, D.O.
Monroe: 800 Stewart Road, Suite B
Charu Trivedi, M.D.
Wauseon: 725Toledo S. Shoop Effective February 1, 2020, these ClinicAvenue Cancer Center providers Napoleon: 1600 E.seeing Riverview Avenue, Suite 102 will no longer be patients in Perrysburg. Please visit us at one of our convenient locations.
Wauseon: 725 S. Shoop Avenue
Napoleon: 419-479-5605 1600 E. Riverview Avenue, Suite 102 Toledo: 4126 N. Holland-Sylvania Road, Suite 105 Maumee: 625 Gibbs Street Bowling Green: 960 West Wooster, Suite 111 Monroe: 800 Stewart Road, Suite B Wauseon: 725 S. Shoop Avenue Napoleon: 1600 E. Riverview Avenue, Suite 102
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Super Fitness celebrates 48 years of promoting healthy living
romoting better health among people of every age, gender, ethnicity, and body type has been a priority for Super Fitness owner Ron Hemelgarn since the club first opened its doors 48 years ago. Certain worrisome trends today—such as the obesity epidemic and the aging of our population—are making it more challenging than ever to achieve this goal. In fact, despite our nation boasting an unprecedented number of health clubs, a recent study led by scientists at Harvard and George Washington universities and published in the New England Journal of Medicine estimates that 50 percent of US adults will be obese by the year 2030. Nonetheless, Super Fitness is continuing to make a difference in our community’s health across all demographics and encouraging members and non-members alike to get active, take control of the foods they eat, and make other healthy lifestyle changes so they can not only get in shape, but stay in shape for a lifetime. The 48-year success story of Super Fitness can be attributed to Hemelgarn’s long-held philosophy that “You must commit to be fit” as well as his continuing pledge to:
Make age a non-issue Many area seniors have discovered that Super Fitness is not only a great place to go for exercise or to continue a rehab program, but also for mental stimulation and healthy socialization with their peers. In fact, many seniors have been “adding years to their life and life to their years” at Super Fitness since the club first opened. Hemelgarn observes that coming to Super Fitness has replaced the pinochle game for many area seniors. “We’ve got some senior members who spend upwards of four
hours a day here, working out; walking; enjoying the pool, sauna, and whirlpool; and just socializing with one another. It’s wonderful to see all the positive changes in their lives. After they’ve been coming here for a while, many senior members find that they’re feeling better, stronger, and more flexible, and even taking fewer medications,” he says. In addition to creating a welcoming environment for seniors, Hemelgarn strives to make Super Fitness a kid-friendly destination. “We’re at risk of losing the younger population,” he says. “Cell phones and videogames are completely consuming their focus and attention, and as a result they’re getting out of shape and developing health problems once seen only in adults. We’re working on ways to reach kids and build better fitness programs in schools. Also, to ensure kids are able to accompany their parents when they come to work out at Super Fitness, we offer a dedicated Super Fit Kids Club with equipment customized for kids’ smaller frames.”
Innovate to meet special needs Super Fitness even offers customized equipment so that clients with certain physical limitations can still enjoy a healthy workout. For example, recognizing that standard exercise equipment is inaccessible to people who are morbidly obese, use a wheelchair, or have flexibility issues, Hemelgarn had special machines designed that these individuals can readily access while standing or seated in a wheelchair. Women who may feel uncomfortable or even intimidated working out alongside men
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appreciate the fact that Super Fitness offers a separate Ladies Only area, featuring equipment customized to their needs. Each year, Super Fitness spends $150,000 or more to upgrade their facilities with the latest and greatest cardio and strength-training equipment.
Make fitness affordable Hemelgarn notes that after paying all their monthly expenses, the average local family has very few dollars left over for discretionary spending. To ensure that people of virtually every income level can afford to exercise in his facilities, he is committed to keeping the price of membership extraordinarily low—just $19.95 per month. In fact, that membership cost has not changed appreciably since 1972, when it was only slightly lower at $16.50 per month. What’s more, unlike at other fitness centers, group training classes and personal training services are included in the cost of the membership.
Respect members’ time Also, adamant that members should never have to wait in line to use equipment or have their workouts limited by arbitrary time constraints, Hemelgarn provides a vast selection of cardio and strength-training equipment, all of which is meticulously maintained and continuously updated.
See a problem, solve a problem When Hemelgarn identifies a health challenge in the community, he makes innovative changes at Super Fitness to help address it—for example by working with community partners to ensure people who need physical rehab
after surgery, injury, or illness get all the sessions they need. “What we’re seeing is that patients who have undergone a joint replacement, heart surgery, or other procedure are stopping their rehab once their insurance runs out. Then, a year or so later, they’re right back where they started. We want to help these individuals continue their rehab at an affordable price so they can build on the gains they achieved in formal rehab instead of backsliding. Here at Super Fitness, we have all the expertise and equipment they need to continue in their program, including NuStep® recumbent cross trainers, which are considered state-of-the-art in the rehab community, as well as water exercise classes, swimming pools, and relaxing whirlpools,” he says. For Margaret and Bill Pedee, convenient access to the NuStep and other rehab equipment is among the membership benefits they appreciate most. In the past two years alone, Margaret was diagnosed with Parkinson’s disease, had both knees replaced, had one of her hips replaced twice, and underwent quadruple bypass surgery—so she’s had ample opportunity to put this equipment to use. She explains, “When I started rehab, the NuStep was the first machine they put me on, so we were pleased to discover that they have the same unit here at Super Fitness. Also, the stationary bikes here are just awesome and very smooth compared to others I’ve tried.” Bill adds, “Super Fitness has a whole line of equipment specially designed for rehab purposes, and it’s so much more affordable for us to work out here than in a rehab facility.” Both Margaret and Bill appreciate the safe and secure environment at Super Fitness, as well as the connecn Super Fitness continued on p19
Healthy Living News | February 2020 13
Make 2020 the year you see
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Papilio Spa and Wellness Center donates proceeds to help victims of sex trafficking and domestic violence
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isiting a premier medical spa for aesthetic services can be an act of altruism. Clients of Papilio Spa and Wellness Center in Wauseon can rest assured they are making a major difference in the lives of others every time they invest in a service or treatment. Papilio Spa and Wellness Center is unique in that it not only provides innovative, state-of-the-art aesthetic treatments in a tranquil environment, but also commits 100 percent of its profits to local non-profit agencies that serve women and children who are victims of domestic violence, sexual assault, or human trafficking. These include House of Ruth, which provides shelter and other services to victims of domestic violence, as well as the Sexual Assault Response Team (SART), which provides medical examinations (performed by specially trained Sexual Assault Nurse Examiners) to sexual assault victims. The Papilio team consists of dermatologist and Mohs surgeon David Kouba, MD, PhD, FAACS, of Toledo Clinic Facial Plastics & Dermatology; family nurse practitioner Jennifer Rittenhouse, APRN-CNP; licensed medical aesthetician Michelle McDonald; licensed massage therapist Karan Gottwald; and receptionists Jillene Mayer-McMichael and Tatum Smith. The team is dedicated to helping women achieve safer, sounder, better lives, and their mission is guided by four words: Endurance, Hope, Change, and Life. “People can receive aesthetic services at other spas, but our mission is to give back to the community. Our hope is that area residents use our services to enrich their lives while also enriching the lives of others. We direct our support to women’s charities since women constitute approximately 95 percent of our clientele,” Dr. Kouba explains. The name “Papilio,” which is Latin for “butterfly,” was chosen because it symbolizes metamorphosis. Clients experience a positive external and internal transformation that allows them to put forward the best possible versions of themselves, which in turn allows women who have been victimized to begin reclaiming their own sense of value and beauty. Various laser treatments, facials, injectables such as Botox and Juve-
derm, TruSculpt fat reduction, radiofrequency microneedling, sclerotherapy for leg veins, and massage therapy are just a few examples of the many services available to Papilio clients. Papilio also has one of Northwest Ohio’s only non-surgical vaginal rejuvenation technologies. In addition to providing financial donations to agencies that support defenseless women, Papilio directly assists victims of human trafficking to
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help them improve their confidence and self-esteem as they strive to regain a sense of normalcy. For example, traffickers commonly mark their victims with certain tattoos—such as the trafficker’s name or initials or a symbol such as a dollar sign—to indicate ownership of the individual. Dr. Kouba is happy to remove these tattoos from victims at no cost. “Few people are aware of this degrading practice, which essentially brands
women as property,” he says. “It’s extremely gratifying to remove these markings from women who have managed to escape that environment, and they can start to heal and feel better about themselves.” Papilio also holds frequent drives to collect used clothing, kids’ items, hygiene and grooming products, kitchen items, and additional items n
Papilio Spa - continued on p19
Healthy Living News | February 2020 15
A WALK IN THE PARK
Alberta Falls is one of our favorite hiking destinations in the Rockies.
You just wear me out by LeMoyne Mercer Last summer our travels took us to the Garden of the Gods at Colorado Springs, through the mountains of northern New Mexico to Santa Fe and Bandelier National Monument, north again and across southern Colorado to Mesa Verde at the Four Corners, along the Colorado-Utah state line to Hovenweep National Monument for still more ancient Indian pueblos, on north to Telluride, Montrose, and Black Canyon of the Gunnison National Park, via Steamboat Springs up
16 February 2020 | Healthy Living News
We took a walking tour of the Santa Fe Historic District before heading out to ancient Indian pueblos.
to Rocky Mountain National Park for a week camping with our daughter Sarah and her kids, Nick and Lizzy. (You keeping up with this? Good.)
At Hovenweep, we took the trail to the head of the canyon and along the opposite rim, descended through the canyon and climbed back the near side. From the Rockies we continued into Wyoming and Grand Teton National Park with expectations that we might give Yellowstone another shot.
Wild turkeys were daily visitors to our campsite in the Rockies.
Didn’t make it to Yellowstone. A walk in the park is an accurate description not only of what Shirley and I do but how we feel about doing it. That is, it is easy and pleasant. Until it isn’t. At Bandelier, we had walked out to the ancient cliff-side dwellings and climbed 140 feet of ladders to Alcove House. At Mesa Verde, our tours took us to Cliff Palace, Balcony House, Long House, and Spruce House. These activities involved quite a bit
Introduced ourselves to some bighorn rams at Black Canyon. of hiking and climbing including up and down more ladders and crawling on our hands and knees through a low, narrow tunnel. At Black Canyon, we enjoyed the Rim Rock Trail and the Warner Point Trail. In the Rockies, we took the trail around Bear Lake and then out to Alberta Falls as well as other, shorter strolls. When we reached the Tetons, we were looking forward to our favorite hike out to Taggart Lake where the spectacular mountains are reflected in the water. Typically, we take a light snack to eat on our lunch rocks and then climb the glacial moraine that forms the
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pelled to list all 17 reasons why her strategy (no matter how ludicrous it may sound to an ill-informed person) is not only rational but mandatory.
you try?” But a cooler (i.e., lazier) head prevailed and we settled for driving through Antelope Flats and then taking the loop road through the park. In recompense, as we neared Moran Junction, there was a herd of bison with the mountains in the background. OK. We could live with that. Stopped at Oxbow Bend, deservedly one of the most photographed sites in the world. Joined other tourists
A husband more in tune with his wife might have suspected something was not right when she didn’t insist on completing the Rim Rock Trail. bowl on the side of the mountain that holds the lake. Over this ridge, the winding path loops back to the trailhead. We didn’t do it. Now, Shirley’s Teutonic heritage has instilled in her an impressive work ethic. (Well, it’s either that or OCD, but “heritage” seems like a more affirmative description.) I, on the other hand, tend to favor Occam’s razor—the simplest solution is best.
There is an easy, level trail around Bear Lake in Rocky Mountain National Park. If there are two ways of dealing with an issue, one that is easy-peasy and one that is close to impossible, I go with easy. Shirley prefers impossible. The easy way is just for lazy people. Once Shirley sets out on a mission, she just ain’t never gonna let up until she succeeds. Quite often I volunteer or get drafted into the effort. (These are the only real options.) When she proposes what I see as an improbable course of action, she says “How do you know it won’t work unless you try?” To which I reply, “Nothing is impossible for the person who doesn’t have to do it.” Then she feels com-
We took the trail out to Warner Point, but the view of the Black Canyon is just as good, and easier, from any of the pullouts on the park road. Eventually, I throw up my hands and declare, “You just wear me out!” (We can recite this dramatic dialogue by rote after a half century of practice.) Another of our numerous little mottos is “Use it or lose it.” That is, the way to stay fit is to stay active. Last summer, though, we found that sometimes when you use it, you just wear it out. Muscles grow stronger by being used, but bones and joints may not. Osteoarthritis sets in and protective cartilage wears out. Painfully. In one of the great paradoxes of life, the prescription for dealing with worn away cartilage is to stay active. (Yep. Go figure.) The theory is that the flexing of muscles during exercise increases blood flow and oxygen to cartilage. Unless, of course, there is virtually no cartilage left so it is just bone rubbing against bone. Now, confronted with cartilage loss, you might say, “Doctor, doctor, it hurts when I do this.” To which a doctor who properly understands his role in the mini-drama should reply, “Then don’t do that!” We didn’t take the trail to Taggart Lake in the Tetons because one of us was experiencing a little discomfort. Shirley consulted her most trusted healthcare professional (herself) and diagnosed a touch of sciatica. She was tempted to give it a go anyway because “How do you know unless
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Oxbow Bend, the most-photographed place in the Tetons, is right along the park road.
in several of the pullouts along the road to admire the mountains rising abruptly from the valley floor. No foothills at the base of the Tetons, just whango! Up they go with snow fields all sparkly in the sun. Though the scenery is certainly a major attraction in itself, our preferred way to enjoy a park is from the trails. But that just wasn’t in the cards. After only two days, our shortest stay ever, we decided to pack up and head for home. Back home, there was physical therapy, a corticosteroid injection, and an orthopedic surgeon who pulled and twisted Shirley’s leg. “Doctor, doctor,” she said, “it hurts when you do that!” “Then I won’t do that,” he said. X-rays showed a significant deterioration of the cartilage of her left hip. (“Significant deterioration” means there wasn’t any left.) Doctor said there was a hip replacement in her future. “You’ll know when it is time to wave the white flag,” he said. I handed Shirley my handkerchief. Good news: though it is classified as major surgery, hip replacement can be done via anterior access in just a couple hours. Instead of cutting n
A Walk in the Park - continued on p18
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A Walk in the Park - continued from p17 through muscles to reach the hip and thigh bone and then reattaching those muscles afterward, the surgeon makes much smaller incisions and gets to the joint between two muscles. Most patients are back on their feet almost immediately, though some may need a night in the hospital. Shirley was really encouraged when she talked with a woman who said she returned to work in only three days. n
Theoretically we hike together. In actual practice, I send her ahead to kick the rattlesnakes off the trail. Bad news: what the woman forgot 10.25x5_ES_70th_Ad_HL_COL_319_HI.pdf to mention was that there might be1
a scheduling issue. First there would be pre-op testing, and a couple weeks after that would come the surgery and then the post-op and physical therapy. Then stick around town for a couple more weeks just in case there is some unanticipated complication. So, you might be up and moving in just a few hours, but you won’t be going more than a few miles from home. As I explained last month, our plans were to leave town right after the last of the children and grandchildren went home after Christmas. New Year’s in Florida. Woohoo! Then, a couple weeks later, around the Gulf to Padre Island, on to Big Bend National Park in Texas, Cave Creek Canyon on the New Mexico-Arizona line, a few days in Tucson, and then a month at Organ Pipe Cactus National Monument right on the Mexican border. Gradually make our way home by Palm Sunday. Want to hear God laugh? Tell Him your plans. Shirley hit what she calls “a little bump in the road.” Actual bumps in actual roads we can handle. Metaphorical bumps are harder on the suspension system. So, instead of getting home just before Easter, we finally would be free to leave just before Easter. Which we won’t do. Bummer. Now, wePMhaven’t spent a winter 3/21/19 12:39 in Toledo since 2004. That’s a pretty
good run, so we really don’t expect much sympathy from readers. Shirley was filled with excessive concern for the impact her surgery would have on me. Never mind that she was the one hobbling around like Walter Brennan. For the first time since…well, since forever, her Teutonic heritage did not insist on persisting. Instead, we worked our way through the five stages of grief. Denial: maybe the steroid injection just needs a little more time to work. Anger: reservations at Organ Pipe were hard to get and now we have to cancel. Bargaining: we might still squeeze in a quick trip to Florida before pre-op testing. Depression: Toledo winters are just so gray. Acceptance: it is what it is. Though we may not be going on any actual walks in actual parks this winter, a positive attitude can smooth out some of the bumps in the road so that even something as horrendous as a winter in Toledo is still a metaphorical walk in the park. Wait. Wait. Is that God I hear giggling? 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. Please leave comments on the site. ❦
Great Lakes Vascular Institute offers open house and free vascular screenings February 29 On Saturday, February 29, Great Lakes Vascular Institute will host an open house from 9:00 to 11:00 a.m., featuring refreshments, door prizes, and an opportunity to meet the facility’s doctors and clinicians, including vascular surgeons Drs. Munier Nazzal, Mohamed Osman, and Ayman Ahmed. In addition to the open house, free aortic, carotid, and leg screening ultrasounds will be offered throughout the day by the area’s best clinicians. To schedule a time for your screening, please RSVP to 419-517-1000. Great Lakes Vascular Institute is located at 3439 Granite Circle in Toledo. For more information, please visit their new website at greatlakesvascular.com.
We’ve Kept It In The Family. Ever since Elizabeth Scott began caring for residents in her farmhouse, the Elizabeth Scott Community has remained family owned. Our 3rd and 4th generation family members now operate our facilities, with a 5th generation waiting in the wings.
© 2019 Elizabeth Scott Community
If family is important to you, consider the Elizabeth Scott family for the care of your loved one.
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18 February 2020 | Healthy Living News
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Super Fitness - continued from p13 tions they make with other members at the club. “It’s not just about the workout; it’s about the social interaction,” Margaret says. n
Take the fight to obesity To help combat the epidemic of obesity in our community, Super Fitness has teamed up with Kelly Heidbreder of WTOL 11 for the Super Fitness Weight Loss Challenge—a competition offered each year from October through May, in which contestants learn to change their lives through fitness and proper diet as well as participate in fun challenges in different locales around the community. Participants are losing up to 25 to 35 percent of their body weight during this challenge.
Forget the fads In his 48 years at the helm of Super Fitness, Hemelgarn has seen many fitness fads come and go, including the latest trend of “extreme fitness” programs that tend to push the body beyond what it can safely endure. Hemelgarn neither offers nor endorses these types of programs, noting, “Exercise is not about going to extremes; it’s about committing to regular effort and building strength and endurance gradually. Pain is your body’s way of telling you to stop what you’re doing, and getting injured is the surest route to abandoning your fitness commitment. The worst fitness advice ever dispensed is ‘No pain, no gain,’ and you’ll never hear it spoken here. We also believe you must change your strength and cardio workout monthly so results keep coming throughout your life,” he states.
Show an attitude of gratitude Perhaps most important, each year in March, Hemelgarn and the staff at Super Fitness thank members for their continued support by hosting a free Membership Party. This year’s special event will be held on Sunday, March 29 from 11:00 a.m. to 3:00 p.m. at the Telegraph/Alexis location. Thousands of dollars in cash and prizes will be given away, and numerous vendors will be on hand, offering Super Fitness members discounts on a wide variety of products. “This is our way of saying we’re proud of our members and that we’re grateful for their loyalty and for spreading the word about Super Fitness to their families and friends,” says Hemelgarn. ❦
Lutheran Services in America and Genacross Lutheran Services Join Forces with Aetna
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ecognized for their continuing focus on strengthening families, Lutheran Services in America and Genacross Lutheran Services have been awarded a grant from Aetna Better Health of Ohio to develop a framework to strengthen families, prevent unnecessary child welfare custody, and improve health equity in 10 targeted communities throughout Ohio. The framework, to be completed in Q1 2020, will be the first major step in creating what will be the new and scalable Partners in Treatment Preservation Program (PTPP). PTPP will be designed to achieve key objectives of the Ohio state Medicaid Support for Children’s Services Transformation, including implementing evidence-based practices to prevent child welfare custody, opening access to Behavioral Health Care Coordination, and improving equitable health outcomes. “PTPP will build on a successful program Genacross currently offers, the Partners in Treatment Program, which provides family preservation and reunification programming along with individual family therapy, multi-family group therapy, and Community and Psychiatric Supports and Treatment for youth and their families,” said Rick Marshall, president and CEO of Genacross Lutheran Services. The holistic approach expands family preservation and reunification to include an evidence-based, family-centered approach to develop skills to prevent crises, manage behaviors, and promote self-care. To improve equitable health outcomes, the pro-
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that families may need to start a new life. These items are then donated to House of Ruth for the clients they serve. Papilio Spa and Wellness Center is located at 1070 N. Shoop Avenue in Wauseon, Ohio. For more information or to book an appointment, please call 419-330-5388. Papilio is also online at www.papiliospa.org, on Instagram at @papiliospa, and on Facebook at www.facebook.com/ papiliospaandwellness. ❦
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gram addresses social determinants of health by connecting the family to social supports in their community to access healthy nutrition, employment, housing, financial planning, and transportation. “When you consider that nearly three million Ohioans receive healthcare coverage through the Ohio Department of Medicaid—and combine this with how over 840,000 people served by Medicaid received behavioral health services last year alone—you see the necessity of developing and expanding initiatives to help lower-income families,” said Maureen Pero, an executive with Aetna Medicaid. “Given the results we’re seeing from Genacross’s work with at-risk children, youth, and families here in Ohio, we felt they were a natural fit to team with in our efforts to strengthen more families in Ohio.” Increasingly, Lutheran Services in America is attracting notice for its groundbreaking programs and
collaborations that promote the inherent value of helping all people grow, thrive, and live independent, productive lives—regardless of where they were born or their income, gender, faith, skin color, or ZIP code. The Washington, DC-based organization works alongside trusted organizations such as Genacross Lutheran Services to improve the lives of people of all ages and backgrounds. “The PTPP initiative with Aetna is a tremendous opportunity to design a family preservation model to meet the needs of families in Ohio—one that can scale not only throughout Ohio, but elsewhere,” noted Charlotte Haberaecker, president and CEO of Lutheran Services in America. “The fact that our national network of 300 health and human services organizations is deeply embedded in the fabric of over 1,400 communities throughout the US gives us an up-close understanding of the efforts that actually work and why.” ❦
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Mercy Health cardiologist encourages a proactive approach to heart health
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teven Bruhl, MD, Chief Medical can’t control is family history, which Officer for Mercy Health – Tiffin is especially significant if your father, Hospital, observes that awareness of mother, brother, or sister had early-onheart disease among the population set heart disease, meaning before age today is substantially better 50 in men and before age than it used to be. He also 60 in women. However, notes that most people we do have the ability to nowadays recognize the lower our risk through link between high blood proactive measures such pressure and cardiovascular as eating a healthy diet, disease and are, therefore, leading an active lifestyle, becoming less reluctant to avoiding smoking, and gettake blood-pressure-lowting regular heart-health ering medications when screenings,” he explains. appropriate. Even more enWith respect to this couraging is that mortality last point, getting routine Steven Bruhl, MD from these conditions has blood-pressure screenings fallen thanks to increasing awareness is critical. High blood pressure affects and advances in treatment. the entire cardiovascular system, That’s the good news. The not- placing excessive stress on the blood so-good news is that, despite these vessels, which causes small “fractures” positive trends, heart disease remains to develop in the vessel walls. Chothe number-one killer for both men lesterol then can accumulate in these and women. fractures and cause atherosclerosis, Nonetheless, there are steps we which affects not only the heart but can all take to avoid becoming an- all the organs, including the brain other heart-disease statistic. Dr. Bruhl (stroke risk) and kidneys. “In fact, recommends the following: atherosclerosis is the second leading cause of kidney failure, the first being Know the risk factors diabetes,” Dr. Bruhl adds. “When it comes to heart-disease risk factors, age is one of the biggest, Know the symptoms and that’s something we all have to When high blood pressure is setface. Another major risk factor we ting the stage for atherosclerosis,
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unfortunately there are no obvious signs or symptoms. That’s why this condition is commonly known as a “silent killer”—and why regular blood-pressure and other heart-health screenings are so important. If the disease progresses to the point of actually causing a heart attack, recognizing the symptoms can be a matter of life and death. The challenge here lies in the fact that not all heart-attack victims have the same set of symptoms. “The ‘Hollywood’ version of a heart attack—crushing chest pain, pain radiating down the left arm, pain in the jaw, etcetera—is a common presentation of heart attack, but some patients experience different symptoms. For example, it’s shocking how often patients having a heart attack are in denial because their primary symptom is chest pressure instead of chest pain, which for some reason is not the same in their mind. I like to say that the number-one killer in the country is heartburn because people having a heart attack very commonly mistake it for heartburn,” he says. Dr. Bruhl also emphasizes that women having a heart attack are more likely than men to experience gastrointestinal symptoms, such as nausea and vomiting, rather than the “typical” 1
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chest pain or pressure. “For example, about 15 years ago, a woman came into the ER throwing up, and everyone thought she had the flu or some other stomach bug—until we did an EKG and saw that she was having a major heart attack,” he recalls. “You don’t have to go to the ER every time you have an episode of vomiting, but it’s important to be aware that GI symptoms can signal a heart attack, especially in women.”
Be proactive By the time patients wind up in a cardiologist’s office, their cardiovascular health has typically been declining for a long time and/or a heart attack or other cardiac event has already occurred. Dr. Bruhl’s best advice when it comes to maintaining a healthy heart is not to wait until a problem arises, but to take a proactive stance by eating properly, exercising, avoiding or quitting smoking, knowing your risk factors, and seeing your primary care physician for hearthealth screenings on a routine basis. And if you do experience symptoms of a heart attack, get medical help immediately. ❦ 4
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Healthy Living News | February 2020 21
Make the most of that Valentine’s Day flower bouquet V
alentine’s Day is about showing that special someone in your life how much you care, and what better way to express those heartfelt sentiments than a big bouquet of flowers? The only problem is, cut flowers always seem to fade too
quickly, and that doesn’t seem like the right message to send to the one you love. After all, true love is meant to last forever, right? Fortunately, there are some simple steps you can take to keep cut flowers fresh and fragrant longer—maybe not forever, but at least as long as it takes
to devour a box of cherry cordials.
Tips for the bouquet giver When buying a bouquet from your local flower shop, look for flowers with firm petals or buds that show a little color so you know they’ll open properly. Make sure the flowers are
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If you’re the lucky recipient of a beautiful cut flower bouquet this Valentine’s Day, there are steps you can take to prolong its beauty, as well: • Cut the stems at an angle at least one inch from the bottom with a sharp knife or scissors. Angled cuts provide more surface area to take up water. Do not smash the stems. This practice damages the vessels that conduct water, promotes bacterial growth, and stresses the flowers. • Strip off the leaves below the water level in the vase. • Always use a clean vase to discourage the growth of harmful bacteria. • Use lukewarm water in the vase. Warm water not only encourages the blossoms to open, but it also holds less dissolved oxygen. That means it’s less likely that air bubbles will form in the stem and block water uptake. • Never place cut flowers
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wrapped and the stems kept moist, either with a damp paper towel or a plastic water “pod.” Most florists will provide a free package of cut flower food when you buy, but if your florist forgets, be sure to ask for one. These little packs contain all the necessary nutrients to keep your flowers looking their best for as long as possible. Also, be sure to avoid exposing the delicate blooms to extreme temperatures when leaving the store or your home with the bouquet. If creating your own mixed bouquet, never combine daffodils (narcissi) with other cut flowers. When freshly cut, daffodils ooze a type of latex from their stems, which will cause the other flowers in the arrangement to wilt and die. In florist parlance, this substance is known as “daffodil slime.” If you’re really determined to present your sweetheart with a mixed arrangement that includes daffodils, you could try one of the cut flower foods on the market that neutralize daffodil slime.
n
Bouquet - continued on p35
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Runny nose turned into a green meanie? Call us – your. primary experts. Sniffles, common colds, sinus infections and the flu can quickly escalate to more severe respiratory infections and health complications. Your primary care provider can help you understand the differences between cold and flu and update your vaccines to stay healthy. Build a relationship and start a conversation about your health needs with your primary care provider at The University of Toledo Medical Center.
Start a conversation today, 419.383.4000. utmc.utoledo.edu/primarycare @utoledomedicalcenter @UTMedCenter
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Healthy Living News | February 2020 12/13/19 9:0223 AM
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.
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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 n
Dave’s - continued on p25
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Beginner, intermediate, or advanced — we will get you across the finish line! Let our staff of qualified coaches guide you every step of the way. Sign up at www.davesrunning.com/training Here’s what you get: • A comprehensive training plan geared towards helping you reach your goals • Cool training gear! • 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! Bring in this coupon and get • Social events to meet other runners • Weekly training emails explaining each week’s workouts as well as useful running and training tips
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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 Running Shop. For more information, including any applicable fees, please visit davesrunning.com. Snowball Dine-n-Dash Saturday, February 1, 2020, 9:00 a.m. at 9000 W. Sylvania, Ave., Sylvania, Ohio. This is an unscored training run for the upcoming spring marathons. Choose between several training run distances. This is a non-timed event, but there will be a clock at the finish line. Breakfast will be served after the race to all participants sponsored by Dave’s Running. Race Director Summit Thursday, February 6, 2020, 5:30 p.m. at 6904 Salisbury Rd., Maumee, Ohio. Being a Race Director can be complicated, but it doesn’t have to be. You could be implementing the same system of proven processes and methods as Run Toledo’s Certified Race Directors and Timers. The Team at Run Toledo is presenting the Northwest Ohio Race Director Summit, and if you’re a Race Director, this summit is for you. Learn from industry experts. We will provide you with our Race Director Manual, including sample budgets, safety plans, and more to help you produce a safe and successful, growing event. Appetizers and beverages will be served throughout the night as well. We have brought together many of our key partners to show how they help make events better. Our team of race directors has over two decades of experience managing large and small events. With certifications from the Road Runners Club of America and USA Triathlon, they practice the latest processes and safety procedures that help us grow our events. Hot Cocoa 5K Run/1-Mile Walk Saturday, February 15, 2020, 9:00 a.m. at Olander Park, 6930 W. Sylvania Ave. in Sylvania, Ohio. A great family event that will help chase away the winter blues! Our Hot Cocoa 5K Run/1-Mile walk is being held in partnership with Olander Park. The run/walk registration starts at 7:30 a.m., and the run/walk starts at 9:00 a.m. The 1-Mile Walk will be around Olander Park/Lake. The first 50 walkers will receive a finishers ribbon. The 5K Run will start at the community building/Nederhouser Building, run north on the trail, exit out north to the neighborhood, and then circle back to and finish in Olander Park. The first 275 5K Run finishers will receive a finishers medal. Proceeds will go to youth programs for promoting positive, healthy lifestyle choices and the prevention of drug and alcohol use and other at-risk behaviors in our community. SCAT provides programs that offer guidance and education and sponsors positive events that develop leadership and team-building skills. Hot Cocoa with marshmallows and whipping cream, as well as other easy-to-pick-up snacks, will be available after the race/walk in the Nederhouser Community Hall. Come in and sit near the fireplace and enjoy your hot cocoa and snacks. The first-place winners in all categories will be announced and receive an award shortly after the results are in that morning. We love feedback. Like us on Facebook. Follow us on Twitter.
UTMC heart team offers advanced hybrid treatment for coronary artery disease I n individuals with coronary artery acute heart attack, stenting will be 25 percent of patients within a six- patients have severe narrowing that disease, blockages in the coronary done first to restore blood flow to to twelve-month period, meaning can’t be fixed with stents, the only arteries reduce or impede the flow of the heart immediately and bypass it was necessary for them to keep option is full open bypass. On the oxygen- and nutrient-rich blood to will be performed later. coming back for repeat procedures. other hand, if they have relatively the heart, potentially causing sympThe type of bypass performed “But the re-narrowing rate with the minor disease with discreet blockagtoms such as chest pain, shortness during HCR involves rerouting newer technology is in the single es, I can usually tackle it with stents of breath, or even a life-threatening the left internal mammary artery digits—only six to nine percent. These alone. The ‘sweet spot’ in the middle heart attack. When these blockages (LIMA), which normally runs from stents are also better than using vein of this spectrum is where HCR works develop, doctors can help restore behind the collar bone down the grafts, which re-narrow at an even best,” says Dr. Eltahawy. blood flow to the heart by opening chest wall, so that it conBoth Dr. Eltahawy and Dr. Masroor higher rate,” he says. the affected artery with a stent or by nects to the left anterior Dr. Masroor notes that appreciate the collaborative nature performing bypass surgery using a descending (LAD) artery HCR is especially attractive of HCR. “Two sets of eyes are better to two groups of people: than one,” Dr. Masroor states. This vein or artery from another part of at a point beyond the the body to circumvent the blockage. blockage, thereby restorthose in the 55- to 60-year- heart-team approach encourages us The University of Toledo Medical ing adequate blood flow old age bracket who, for to sit down together, look at the case, Center Heart and Vascular Center is to the heart. Dr. Eltahawy example, work at Jeep discuss all the options, and decide also now poised to provide an ad- explains, “The LIMA to and want to get back to what’s in the best interest of the vanced treatment approach for certain LAD bypass is the most work as soon as possible; patient.” Dr. Eltahawy adds, “The patients with multi-vessel coronary durable revascularization as well as individuals in really nice thing about this approach artery disease that combines both modality available, lasting their 80s who may be too is that it gets the whole team on the minimally-invasive bypass surgery 20-plus years.” frail to tolerate the trauma same page and thinking along the Dr. Saqib Masroor and stenting. This treatment modality, UTMC cardiothoracic associated with standard same lines.” called Hybrid Coronary Revascu- surgeon Dr. Saqib Masroor, adds, bypass surgery. Patients and referring physicians larization (HCR), yields outcomes “Because the procedure is minimally The effectiveness and durability who would like more information on that are equal or superior to either invasive, there is less trauma to the of the approach notwithstanding, it’s Hybrid Coronary Revascularization approach performed in isolation patient, there are fewer complica- important to understand that not all are encouraged to call the University as well as impressively tions, and recovery time patients with coronary artery disease of Toledo Medical Center Heart and long-lasting. is significantly reduced. are good candidates for HCR. “If Vascular Center at 419-383-5150. ❦ According to UTMC Patients usually go home interventional cardiologist in two to three days and Dr. Ehab Eltahawy, the return to work in about a timing of the two proceweek. With the standard dures will vary depending open-heart procedure, on the patient’s needs downtime is around six to and based on collaboeight weeks and the older is possible with our cardiovascular rative decision-making the patient, the longer rehabilitation program among the “heart team.” the downtime.” Dr. Ehab Eltahawy In most cases, the bypass Today’s state-of-the-art is performed first, with the patient stent technology is another reason returning at a later date for stenting HCR is so effective and durable. Dr. to open remaining blockages. How- Eltahawy notes that with earlier ever, in some instances, for example stent technology, re-narrowing of if the patient is experiencing an the treated artery occurred in 18 to
A stronger, healthier heart
Dave’s - continued from p24 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! n
Amanda Manthey is a former collegiate runner for Eastern Michigan University. She writes about running and fitness for Dave’s Performance Footgear. ❦ Connect with our advertisers via our online issue at hlntoledo.com
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
Cardiovascular Rehabilitation 1125 Hospital Drive Toledo, OH 43614
For information or to schedule an appointment, call 419.383.5378. Healthy Living News | February 2020 25
Let’s reframe our thoughts about food and our bodies by eating this” or “I better take the stairs to work off that dessert I ate!” ith the start of a new year, many Even saying, “Have you lost weight? individuals find themselves You look great!” can backfire on the making resolutions to lose weight. recipient of this message. Though we mean well, comments But what if, instead of focusing solely on weight, we make a resolution like these tend to make people hyperaware of their bodies. to try to become at peace By telling someone how with our bodies and treat “lucky” they are for being ourselves with the love thin, we may unintentionand respect we deserve? ally be contributing to his Ironically, this approach or her developing fear of may seem even harder gaining weight, which, than dieting, as we have in turn, can result in fullbeen conditioned all our blown anorexia nervosa. lives to categorize foods When we comment on as “good/clean” versus people’s bodies, this can “bad,” and likely all of us make individuals view have heard weight-related their weight—for examcomments by our friends, ple, the self-concept of family members, and cobeing “small”—as their workers for the majority primary identity, and they of our lives. From the time we are small children, we Chantal Crane, MSW, LSW may begin to take extreme measures to either maintain are told that some food is their weight or lose weight. The “junk food,” and we may have heard our family members talking badly same can be said for weight-related about their own bodies. For exam- bullying. When children are made ple, how many times have we heard fun of for their weight, they can someone say, “I know I`m being bad develop negative self-esteem, which by Chantal Crane, MSW, LSW
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can blossom into anorexia, bulimia, binge eating, or another form of disordered eating. As a society, we need to consider changing the way we think and talk about food and our own bodies. According to the National Eating Disorders Association, eating disorders have the second highest mortality rate of any mental illness, surpassed only by opioid addiction. Furthermore, these disorders are not gender-specific. Eating disorders are indiscriminate and can affect any individual, from all walks of life. Oftentimes in boys and men, eating disorders may arise when these individuals become hyper-fixated on losing fat and gaining muscle mass. This is especially prevalent when males are involved in sports that emphasize muscle mass and dieting, such as wrestling. According to a 1999 study by Johnson, Powers, and Dick, 33% of male athletes in these sports are at risk for developing an eating disorder. If we come together as a society to the reduce the number of body-related comments we make to others;
begin to view all food as not the enemy, but a source of fuel for our bodies; and become more aware of our children’s relationship with food and their bodies, the world will likely see a decrease in disordered eating. Nevertheless, much of the reframing of our thoughts about food and weight must start from within ourselves. After all, we do not talk to anyone more than we talk to ourselves. Whether consciously or unconsciously, we are constantly giving ourselves messages about how we look and feel about ourselves, and this impacts our self-esteem far more than we realize. Let us all resolve to think back to when we were children and the world did not yet have such an influence over how we think and feel about ourselves. What would you say to that child? Would you call this child bad, ugly, wrong, or disgusting? That child-like part of ourselves still exists within us; let us not forget that. Chantal Crane, MSW, LSW, is a clinical therapist at The Willow Center and can be reached at 419-720-5800. ❦
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Being healthy in retirement could help reduce potential health costs
P
eople save for a variety of things in retirement. Some dream of vacation homes in tropical destinations; others plan to spend time with grandchildren and family. Of all the activities you are saving for in retirement, did you know that health care may have the biggest price tag? A 2019 study by the Employee Benefit Research Institute found that a man would need to save $144,000 and a woman would need to save $163,000 for health care in retirement if they want a 90% chance of being able to pay all their future medical bills. Thankfully, your retirement health costs are not set in stone. Of course, you won’t have total control over your health in retirement, but there are things you can do to manage your health risks and potential costs. Here are a few tips:
Get informed Medical expertise and advice are constantly changing. Keep yourself up to date on healthcare news, particularly with regard to issues that have affected you or those related to you. Ask your doctor to
help you identify areas of particular concern.
covers only about 64% of healthcare expenses for its beneficiaries.
Develop (or maintain) a healthy lifestyle
Learn your numbers
This boils down to simple wisdom: eat healthy, exercise regularly. Limit fats and sugars and increase your intake of whole grains, fruits, and vegetables. If you haven’t already, embark on an exercise program you can stick with long term. If it’s been a while since you last exercised, consult with your doctor before you begin. Start slowly and work up to your goals.
Relax Stress can be detrimental to your health. Maintaining friendships, focusing on hobbies, and taking time to relax may help ensure good mental health. In fact, research shows that staying socially active in retirement can alleviate stress and reduce the risk of depression. It may also aid in the prevention of Alzheimer’s disease.
Fast fact: No need to save? According to the EBRI, Medicare
Staying healthy means monitoring a few key numbers. You should know your blood pressure, cholesterol, and body mass index (BMI). Your blood sugar level indicates your risk for diabetes. Your doctor can perform simple tests to help you identify these numbers and recognize any vulnerability you may have.
Get preventative care Preventing a disease or illness can be much less expensive (and painful) than treating one. As recommended by your doctor, take advantage of free or low-cost diabetes and heart-disease screenings, mammograms, and vaccinations. And make sure to get your annual physical. There is no way to guarantee you won’t have unexpected healthcare costs in retirement. But maintaining a healthy lifestyle can help you reduce possible health-related expenses—not to mention avoid spending precious time in the recovery room.
Please call 419-872-0204 for a complimentary consultation to review your individual financial situation.
Citizen Advisor y Group is a comprehensive financial services firm that helps Northwest Ohio’s soon-to-beretired and retired residents effectively plan for and prepare for life’s greatest journey. In addition to helping clients with their finances, Citizen Advisory Group offers monthly health and wellness events. Investment advisory and financial planning services offered through Planners Alliance, LLC, an SEC Registered Investment Advisor. Subadvisory services are provided by Advisory Alpha, LLC, an SEC Registered Investment Advisor. Citizen Advisory Group is a separate and unaffiliated entity from Planners Alliance, LLC and Advisory Alpha, LLC. ❦
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Healthy Living News | February 2020 27
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Systemic advocacy and community action through COPE by Megan Benner Senecal
A
s Long-Term-Care Ombudsmen, in addition to case handling, education, and person-centered advocacy, we also make a point to join coalitions and groups in our area in service of protecting and advocating for older adults on a systemic level. One such group that we belong to is called the Coalition of Organizations Protecting Elders (COPE). The vision of COPE is to develop resources enabling “A community where older adults are safe, respected, valued, and free from abuse, neglect, and exploitation.” The value system of COPE centers around the following ideals: • We believe that all elders have dignity, value, and self-worth regardless of age. • We value collaborative efforts that focus on positive outcomes. • We recognize the valuable contributions that elders make to enhance our community. • We value the safety and well-being of elders in our
community. • We value the contributions of our elders to our community and their right to selfdetermination. • We believe in the right of elders to lead productive and purposeful lives, free of all abuse. • We are committed to providing a strong voice on behalf of elders and preserve their rights and freedom. The Ombudsmen in our program work with COPE and belong to several COPE sub-committees designed to address a variety of hot-button issues facing older adults and long-term-care consumers and providers. In addition to the systemic advocacy conducted through COPE, the organization also facilitates an interdisciplinary team to discuss difficult cases of confirmed and suspected elder abuse. We each leverage our skills, knowl-
edge, and connections to make our area safer for our elders and their caregivers. Currently, members of COPE and other older-adult advocates are working on several projects to address identified need in our area for supports, services, and education around issues of abuse and long-term-care staffing. One initiative in planning and development is the Emergency Shelter Initiative (ESI). The ESI is designed to develop a support and systematic approach to helping, housing, and advocating for older adult victims of domestic violence by using already existing infrastructure in long-term-care supports and services. Additionally, the COPE Advocacy Sub-Committee is working to develop an educational summit to address the staffing crisis in long-term care. The aforementioned projects are
only the tip of the iceberg in terms of what COPE and its members are able to work on and achieve with the support and knowledge exchanged between professionals in our area. Members of COPE include Probate Court, Senior Protection Unit from the County Prosecutors Office, Memory Lane Care Services, Area office on Aging, the Ombudsman, Adult Protective Services, Home Care Providers, Older Adult Service Agencies, and even employees of banks and members of law enforcement. If you or your agency or employer feel you would like to join us at COPE, please reach out to our office for more information. As always, if you want to speak about this article, or have a question or concern related to yourself or a loved one using long-term-care supports or services, please don’t hesitate to give us a call. We look forward to hearing from you! The Long-TermCare-Ombudsman program can be reached at 419-259-2891. Megan Benner Senecal is a member of the Ombudsman Office. ❦
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Healthy Living News | February 2020 29
nobody’s perfect
Driving with my hands—take two warm and humid weather. I would get nervous every time I drove my van. I knew that driving demanded that my legs be in control to accelerate and break. Driving had become a challenge for me. I knew I had to do something—I was too young to stop driving altogether. My sister encouraged me to learn to drive with hand controls, and a friend with MS was a great resource for me since she had just learned hand controls and was doing well. I decided to start the process, which took about a year. I did not tell many people at first. I think I was afraid others might think, “Oh my gosh! Your MS is really getting worse! You still want to drive?”
by Sister Karen Zielinski, OSF
I
have a restricted driver’s license in the state of Ohio. That means I can only drive a motor vehicle with hand controls. I have had a restricted license for ten years now. It was a new experience for me. I was 16 years old when I passed my first driver’s test in Detroit, Michigan and parallel parked to get my license. Years later, I took my restricted driver’s test in the state of Ohio. This time, I drove with my hands and had to pass a maneuverability test to get my restricted license. I am so proud of myself for learning a new way of driving, but learning the skill took almost a year from my very first interview to the lessons and, finally, to my driving test.
Planning for the van I first met with (now retired) Beverly Zach, MRC, CRC, my vocational rehabilitation counselor from the State of Ohio, Rehabilitation Services Commission (RSC), Bureau of Voca-
Facing the reality After many years driving, my multiple sclerosis (MS) weakened my legs considerably, especially in
A Perfect Place to Recover
Donna Hens, West Toledo resident chose Rosary Care Center I rehabilitated after knee surgery at Rosary Care because I don’t have anyone at home to help me. My room was private with a bathroom – and it was clean! I can’t say enough about the nurses and how responsive they were whenever I needed something. Daily activities for residents were nice and they encouraged me to get out of my room and socialize. AND, Physical Therapy came daily – even on weekends. Rosary Care Center is located on the 89 acre Sylvania Franciscan campus. We welcome everyone in a warm, caring environment.
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30 February 2020 | Healthy Living News
tional Rehabilitation (BVR). Bev interviewed me, asked about my job, and designed an IPE (Individualized Plan for Employment), which included getting me started with a vehicle-modification plan. I had personal and medical forms to complete; my doctor filled out medical forms, too. Bev quotes the mission: “RSC partners with individuals with disabilities to achieve quality employment, independence, and disability determination outcomes.” Basically, the State of Ohio helps consumers like me with vehicle modifications so they can perform the essential functions of their job. The initial process had begun. She said that the consumer (me) owns the vehicle, and the state helps make it fit my needs. Many states do this—funds and services vary from state to state. A vehicle-modification consultant came to my house and studied my electric cart as well as my old van with the lift in the back. To place my electric cart in the van, I had to manually attach a nylon cord under the cart; with the help of a lift powered by my car battery, I guided the cart into the back of the van. The consultant took photos of the lift and my cart and made a recommendation to me and the state about which vans were best suited for my needs. Learning to drive again The driving lessons were next. I have to admit I was a nervous student. For over 40 years I drove a car with my hands and feet. I was completely switching gears now. I am quite conscientious, and many times my driving instructors would tell me, “Karen, don’t think so much!” My first driving lessons began in late November of 2009. The state had contracted Northwest Ohio Driver Training School located in Stryker, Ohio for the lessons. I started with two lessons a week. A certified driver
rehab specialist was my first teacher; she came to my house and picked me up in the school’s sedan, which was fitted with hand controls. We spent Tuesday and Thursday afternoons practicing in a local park. The weather wouldn’t cooperate. It became icy, lessons were cancelled, and the holidays came. I began lessons again with a new teacher from the same school. Again, the winter weather seemed to always “ice on my parade” on class days. Weather wasn’t the only problem. The teachers were great instructors and very patient, but I was a wreck. I could not imagine driving this new way. My right hand used a “spinner knob” to make turns and drive, and the left hand controlled the break and accelerator. Week after week, my driving instructor picked me up and I drove to the Lucas County Rec Center, where the telltale red spray paint on the parking lot stands as a monument to thousands of firsttime drivers learning to maneuver between orange cones. I joined those ranks. Sometimes I drove around those orange cones flawlessly, but other times I rode over them. As a high school kid, I parallel parked. I did not have to go through the maneuverability test—or the Five Cones of Death as I came to call them. I tried to use my mirrors as my instructor said. She told me, “You can always start over, but do not hit a cone or you fail your test!” Those words kept ringing in my head. Finally, she drove me to take my test. I prayed and prayed and finally passed it. My restricted license means I can only drive a vehicle with hand controls and power steering. Others can drive my van, since I have a regular seat and can just slip off the spinner knob. They cannot drive with my n
Nobody's Perfect - continued on p33
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EATING WELL
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Healthy eating hints for Heart Month by Laurie Syring, RD/LD
F
ebruary has been designated American Heart Month to help raise awareness of heart disease and promote ways to maintain a healthy heart. One of the ways we’re all aware of is to eat a “heart-healthy diet.� However, few of us really know what that means or even pay much attention to our heart—that is, unless we have to because something, unfortunately, has gone wrong with it. Most of us do know that a diet high in fat—bacon, doughnuts, cheese, etc.—is not ideal. But since so many of these fatty foods are also delicious, it can be difficult to change our habits and make healthier choices. Still, as the saying goes, it’s never too late to try. So, whether you have years of unhealthy eating under your belt or you’ve already made some positive changes that you’d like to build upon, here are some tips for heart-healthy eating:
Avoid portion distortion You may (or may not!) already be making healthy food choices, but how much you’re eating really counts as well. Overloading your plate, going back for seconds or thirds, or eating until you’re stuffed leads to consuming more calories than you need—even when the foods themselves are relatively healthy. Use smaller plates, limit your servings, and commit to no second helpings. Also, keep in mind that a three-ounce serving of meat is about the size of a deck of cards, and a half to third cup is approximately equal to the size of a hockey puck.
Choose foods wisely If you haven’t been making healthy food choices, now is the time to start. Fill that smaller plate with extra vegetables or salad instead of more
meat and starches, and finish your meal with fruit as dessert instead of ice cream, cookies, cake, or pie. In fact, fruits and vegetables are always good choices, being low in calories, rich in fiber, and naturally low in fat and sodium. Keep vegetables cut up in your fridge for easy snacking, and keep fruit in a bowl on your counter so you remember to eat it. When planning meals, choose recipes that include lots of vegetables, such as stir fry and salads. Remember, you can choose either fresh or frozen fruits and vegetables. In addition to putting fruits and veggies front and center, choose plenty of whole grains, such as whole-grain bread, high-fiber cereal, brown rice, wholegrain pasta (I know, but it’s come along way—believe me!), oatmeal, and popcorn. I also recommend choosing fish (but not fried) at least twice a week. You might even consider implementing “meatless Mondays,â€? choosing a meatless entrĂŠe recipe such as black bean burgers. They may not be much to look at, but they really are delicious.
Be sparing with sodium This recommendation can be a bit confusing. We do need sodium in our diet—just not as much as we tend to get. A no-sodium diet, however, is neither easy to achieve nor necessary. Most Americans should limit their sodium intake to 2,000 mg per day (666 mg per meal for three meals a day), and those with heart disease should shoot for under 1,500 mg. Just one teaspoon of table salt or sea salt has around 1,900 mg of sodium, so go easy when it comes to salting foods while cooking and at the table. Again, at the risk of sounding like a broken record, fruits and vegetables are naturally low in sodium and should be chosen more often. On the other
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hand, meat naturally contains sodium, so you should limit your portions to no more than six ounces per day. Also, avoid electrolyte-replenishment drinks, such as GatoradeÂŽ, and limit canned and prepared meals, which may contain a lot of sodium. As I like to say, whatâ&#x20AC;&#x2122;s really important is eating healthy on most days, knowing that you may allow yourself a high-fat indulgence every once in a while. Enjoying the occasional serving of French fries or Krispie KremeÂŽ doughnut wonâ&#x20AC;&#x2122;t derail your healthy eating plan as long as itâ&#x20AC;&#x2122;s not
a daily, or even weekly, occurrence. The key is planning and avoiding trying to take on too much too soon. Changing habits is hard, so pick one or two things you know you can do and make sensible substitutions where you can. Once you know which foods you can eat, grocery shopping will be much easier and meal preparation will be a snap. Now youâ&#x20AC;&#x2122;re well on your way to a heart-healthy diet! Laurie Syring, RD/LD, is Clinical Nutrition Manager at ProMedica Flower Hospital. â?Ś
â&#x20AC;&#x201A;â&#x20AC;&#x201A;Healthy Living Newsâ&#x20AC;&#x201A;|â&#x20AC;&#x201A;February 2020â&#x20AC;&#x192;31
You’re never too old for Super Slow Training T
hough most of the clients currently taking advantage of the Super Slow Training method offered at TriggerPoint are in their 40s, this evidence-based, time-efficient exercise solution is gaining popularity among people of all ages—including individuals well into their senior years. One such client is Peg Anderson, age 92. Anderson learned about Super Slow Training from an ad and article in Healthy Living News and decided to explore the program further. So she came to TriggerPoint, tried it out, and was immediately impressed. “I thought, ‘This is great! I need to keep doing this!” she recalls. At that time, Anderson was beginning to have difficulty managing the stairs outside her home and wasn’t sure whether she would be able to continue living there. She had even purchased two canes to help her navigate the stairs. However, after just a handful of Super Slow Training sessions, she began to notice a positive change. “I could tell a difference after doing the program once a week for just three weeks. I realized I was getting stronger and could go up and down those stairs without much effort whereas I struggled before. So I said I’m never going to quit this. I’m still not using either of those canes, and I attribute that to coming to TriggerPoint and making my muscles stronger,” she says. TriggerPoint owner Russ Wakefield explains that Super Slow Training involves lifting and lowering weights at a very slow rate, keeping consistent tension on the muscle throughout its whole range of motion. High-tech monitors on the specially designed Super Slow Training equipment help clients maintain the proper form, technique, and tempo during workouts. This method differs from conventional strength-training techniques in that there is no fast momentum to help do the work for you. Though slow, this technique is intense, really working the muscles. It’s also very safe, with highly experienced and educated trainers working one-on-one with clients and monitoring and adjusting their every move. After this intense exercise stimulus, the body recovers for seven days, producing the desired results. Ours is a busy, fast-paced society that allows us little time to focus on
32 February 2020 | Healthy Living News
health and fitness, so TriggerPoint clients appreciate the fact that Super Slow Training demands no more than a half hour of their time once a week. In fact, the program can be completed over your lunch hour with no requirement to change clothes or shower afterward. What’s more, as you progress through the program and begin to see results you never thought possible, that weekly workout time may actually decrease. Super Slow Training is considered a high-intensity workout, but that should not discourage anyone from participating as long as they have their physician’s approval. Wakefield notes that clients of all ages, backgrounds, personalities, and body
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types—even pregnant women—can participate in and benefit from this time-efficient program. Anderson has
certain physical challenges, including arthritis in her shoulder, but she says that her trainers at TriggerPoint are fully aware of her age and limitations and are careful to modify her program accordingly.
Asked what she would tell others in her age group about Super Slow Training, Anderson states, “You are never too old for this. If you have physical limitations, the trainers will help you work around them. Remember, health problems are expensive and become more and more likely the older you get. You can’t just sit around reading magazines and eating bonbons and expect to stay healthy. You have to get moving and keep moving!” Wakefield urges anyone who is seeking a more efficient strength-training and conditioning alternative—or is simply tired of getting disappointing results from conventional workouts— to follow Anderson’s example by calling TriggerPoint and giving Super Slow Training a try. “This efficient, evidence-based program might just be the exercise solution you’ve been looking for,” he states. For an appointment, call Russ Wakefield at 419-536-0408. TriggerPoint, located at 2449 N. Reynolds Rd., is also on Facebook. ❦
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Spiritually Speaking Words have power
by Sister Mary Thill
M
y college literature professor, Sister M. Lucilla, taught me how to appreciate words and how and when to use them properly. She would be quite upset about what has recently happened to the use of words in our new media contacts, and I am upset about how a word or words can set off anger, opinion, and even war in these volatile times. Since I am a writer, words are very important to me, and I try to use them to heal our broken world rather than to cause further wounds and suffering. I remember as a kid in grade school some unkind words used by my classmates when they didn’t like what another kid looked like or wore or accomplished. Today that would be considered bullying and would not be tolerated by students or teachers or administrators. I do, however, know a 12-year-old girl who committed suicide because of how she was treated at her school. Even when she told her teacher and coach, they didn’t seem to want to do anything about the name-calling and mean treatment by her classmates. In my day, bullying was considered acceptable, just part of the culture. Today we are trying to change this harmful and sometimes deadly culture of bullying. In recent times, I have experienced the healing power of a word or words. Someone told me that I made a difference in her life because of a kind word when she was going through a very difficult time. It made my day to hear her say those words because part of my ministry here at the medical center is to be a healing presence in the midst of so much pain and suffering. I especially appreciate meeting former students and colleagues from previous jobs who tell me about something I said that influenced them in a good way as well as those who credit my sense of humor for helping them get through the day.
One kind word can warm three winter months. +Japanese proverb I know nothing in the world that has as much power as a word. +Emily Dickenson, poet Words can destroy—more readily than bricks, bombs, or poison. But words can also build up. They can soothe and heal—more readily than oil or aloe. +Sr. Melannie Svoboda, SND Something else I’ve learned about words in my seven decades plus on this planet is to take them with a “grain of salt,” as the saying goes. Just recently, someone said something to me with what I considered was a nasty tone, a put down about something I was trying to do. I know this person quite well, and she doesn’t often speak in such tones, so I’ve learned to give her the benefit of a doubt when she does this. I usually chalk it up to her not feeling well or to her being under some stress and it just comes out this way. I’ve learned that this is a good survival tool, and it helps to keep peace among my family and friends. Who of us really and always knows the reason for another’s words? It has taken some soul searching over many words and lots of praying and reflecting to get to the point where I can be at peace with what others say if I don’t let their words have power over me. I can either give them the power or take the power for myself. Let’s remember as we face the winter months ahead of us, “One kind word can warm three winter months.” Good luck and blessings! 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. ❦
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n
Nobody's Perfect - continued from p30
hand controls. Success and new challenges Once I passed my road test with my new amended Ohio license, I sent the vehicle-modification consultant my date of issue, my renewal date, and the restriction codes. He reminded me that only two minivans had compliant chassis that we could use. My congregation chose the Dodge Grand Caravan since it was the most economical. The van chassis then had to be lowered by the Braun Corporation in Indiana to facilitate the use of a side ramp. Finally, I had my van. But that is just the continuation of the hand-controls saga. I practiced on our convent grounds and read my new van manual about 300 times. My spinner knob fell off three times when I was practicing (I learned how to lock it in place). I also had button problems. There are five different buttons that can open my side ramp, which pulls out to about seven feet. I was driving home one day from the grocery store, when I noticed my back trunk was open. I could not, for the life of me, tell how I opened it. I later found that there are buttons above the driver’s seat that open some doors. I must have stood up to grab something in the passenger’s seat and hit the button with my head. I also have parked in a handicapped spot and had to get someone to move my van since it was not a van-accessible spot. For over ten years, I just parked my blue minivan in any handicapped parking space. I would drive to the store parking lot, look for the international accessible symbol, and park. I would stow and remove my electric cart from the back hatch of my van. I would not pay much attention to words like “vanaccessible” or note the larger yellow diagonal stripes on the pavement
next to the parking space. But things are different now with my new van. I stow and unload my electric cart differently. The chassis is lowered—it “kneels down”—and a ramp comes out behind the passenger seat. I back my cart up the ramp and tie down my cart. Then I transfer to the driver ’s seat and go on my way. When I look for a handicapped parking space now, I look for the “van-accessible” signs. I need more room to drive up the ramp—seven feet to be exact. After over eight years with my first van, I went through a similar, but less lengthy (11 months), program and now drive a Honda Odyssey. I am now driving my second van and am utterly grateful that I have this gift of transportation that fits my limitations. Where to park A conversion van brings with it another challenge: where to park. A handicapped parking spot was not enough. I needed enough room for my ramp to come out on the passenger side of the van, plus about three more feet, totaling about seven feet. A few times I got caught when someone parked in the aisle, the blue, diagonal-striped spot adjacent to the parking place. Many times, I had to go to the store manager and ask the person to move their car so I could get in my van using my ramp. I am grateful that I have this ramp—and when I find a parking space that is van-accessible. 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. ❦
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 Healthy Living News | February 2020 33
Musicians and hearing loss quite common together. According to the Hearing Health Foundation, musicians are 57% more likely to develop tinnitus. It’s not only the “rockers” that can get hearing loss and tinnitus due to loud music; classical musicians can also. A Finnish study among classical musicians found that 15 percent of the musicians in the study suffered from permanent tinnitus, in comparison to 2 percent among the general population. Temporary tinnitus affected another 41 percent of the musicians in group rehearsals and 18 percent of those in individual rehearsals. It is estimated that 15 percent of the general population experience tinnitus temporarily. Classical musicians are exposed to high levels of noise for five to six hours daily. The sound level from a double bass, for example, may reach 83 decibels (dB), and a flute or the percussion instruments produce as much as 95dB of noise. This is significantly above the 85dB maximum recommended noise exposure limit in a workplace,
by Dianna Randolph, AuD, CCC-A
W
hat do Pete Townshend, Eric Clapton, Phil Collins, Ozzy Osbourne, and Barbara Streisand have in common? Other than being rock stars/musicians, they all have hearing loss and/or tinnitus due to being around loud music. While noise exposure from factory work or firearm use is more common, hearing loss due to loud music is more common than you think. Noise exposure of any kind will cause hearing loss. The loss occurs when the noise (whether it’s an impulse noise like a gun blast or long-term noise exposure like factory work) damages the delicate hair cells in the inner ear. These hair cells move according to the frequency of a sound. Noise will damage these hair cells to the extent that they die. When the hair cell is dead, hearing loss and/or tinnitus can occur. Unfortunately, there is no cure for damaged or dead hair cells. Tinnitus and noise exposure are
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34 February 2020 | Healthy Living News
established by the World Health Organization, WHO (Hear-it.org). The Occupational Safety and Health Administration (OSHA) requires hearing protection to be worn in any work environment where noise is 85dB or higher for an 8-hour work shift. For the musicians who are regularly subjected to this kind of noise, the resulting problems can be devastating. Symptoms begin with losing the ability to hear high-frequency sounds and tones. In many cases, this causes problems for musicians and singers who must be able to hear and play high notes as well as low ones in order to play or sing along with other orchestra members. Often, a musician who suffers from loss of high-frequency hearing will try to compensate by playing louder at high-pitched notes, which leads to an artistically unacceptable performance. As the problem grows, the musician might react oversensitively—suffering from increased blood pressure, headaches, and fatigue or experiencing some sounds or instruments as being painfully loud, a state that often leads to tinnitus. “Noise can hurt you, even if it’s music," says Kathy Peck, executive director of HEAR (Hearing Education and Awareness for Rockers), a nonprofit she founded in 1988 with a San Francisco physician after both attended an exceptionally loud concert. "You don’t realize that the high or rush you’re getting from music can damage your hearing." Peck, a former bass player for the Bay Area all-female rock band The Contractions, experienced hearing damage while performing in 1984 and developed tinnitus. She launched HEAR with assistance from such musical luminaries as Townshend, Metallica drummer Lars Ulrich, and promoter Bill Graham, as well as MTV, medical organizations, and music trade groups. "It’s always a great idea to have hearing protection at a concert," Peck says. "Cheap earplugs are good in a pinch, but customized earplugs stop the progression of hearing loss." HEAR is particularly concerned about teens "who think they’re invincible," Peck says. But the organization also recognizes that huge numbers
of older musicians and fans have not abandoned their passion for blaring rock. "People in their 60s and 70s are still playing music and going to shows," Peck says. "And so many of them are suffering mild to moderate hearing loss. It’s a wide problem. But it’s never too late to start protecting yourself" (AARP July 2018). There is no cure for music-induced hearing loss, so prevention is the key. For many musicians, the use of ear plugs or in-ear monitors is recommended. Though most standard ear plugs reduce mostly the treble or high-frequency sounds, making music sound like it has too much bass, there are ear plugs especially designed for musicians called musician plugs. These plugs are custom made and have a filter in them to decrease sound equally over all the frequencies, so music still sounds normal, just softer. In-ear monitors can be used by musicians, and these isolate the musician from the loud volumes on stage. Also, they supply greater accuracy, having only those instruments one wishes to hear in the monitor mix without anything unwanted bleeding in from adjacent monitors or instruments. Musician plugs and in-ear monitors are custom made by an audiologist who takes an impression of the ear so the fit is just right. In-ear monitors can also be a universal-fit type. These have a foam or rubber tip, and you choose the one that fits the tightest. At Northwest Ohio Hearing Clinic, we can advise any musician on the hearing protection that is most appropriate for them and make the impression if needed. It is also recommended that all musicians—members of a band, choir singers, or even high school band directors—get their hearing tested annually. Call us to schedule an appointment with one of our audiologists. Dianna Randolph, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327). ❦
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Heart attack symptoms may differ for women I
f you think a heart attack is always signaled by crushing chest pain and that heart disease is primarily a problem for men but not women, you need to think again. While some degree of chest pain or discomfort is the most common symptom of heart attack, it’s not unusual for very different symptoms to manifest themselves during a heart attack, particularly among women. With respect to men being more vulnerable to heart disease than women, that’s a myth, too. In fact, heart disease is the number-one killer of both men and women. “Typical” symptoms of heart attack may include (but aren’t limited to) pain, discomfort, pressure, or squeezing in the chest; pain radiating down the inside of the arm (usually, but not always, the left arm); pain in the upper body, such as above the upper back, in the jaw, or in the neck; shortness of breath; lightheadedness; nausea and vomiting; abdominal pain or heartburn; sweating; and anxiety. Both men and women can experience any of these symptoms during a heart attack, but symptoms unrelated to chest pain are more likely to occur in women than in men during a heart attack. Because the “characteristic” chest pain is often absent and many of these symptoms are subtle and can be attributed to other common ailments, such as the flu, gastrointestinal issues, or arthritis pain, women commonly delay seeking medical help for heart attack until after significant damage has already been done to the heart muscle. What’s more, once they do seek medical help, it’s all too easy for doctors to misdiagnose the problem because many are conditioned to view crushing chest pain as the hallmark symptom of heart attack. Interestingly, many women who have had a heart attack report having experienced warning signs as early n
as a month or more before the actual event—though they may not have recognized them for what they were at the time. National Institutes of Health (NIH) research shows that the most common early warning signs of heart attack among women are unusual fatigue, sleep disturbance, and shortness of breath. Another factor that often contributes to women ignoring potential heart attack symptoms or delaying seeking treatment is the tendency of women to assume the role of family caregiver. Women commonly put the needs of children, spouses, elderly parents, and other loved ones ahead of their own and, so, feel awkward or embarrassed about drawing attention to themselves or putting their needs ahead of others—even when it comes to major health concerns. Also, since women’s heart attack symptoms or early warning signs tend to be more subtle, they may wait to see if they resolve on their own or try remedies for other ailments, such as indigestion or arthritis pain, before seeking help. A heart attack occurs when waxy plaques block the flow of oxygen-rich blood to the heart muscle. If the blockage isn’t relieved promptly, the heart muscle tissue that is supplied by the blocked artery will soon begin to die. The more time that is lost in seeking emergency medical care for a heart attack, the more heart tissue is lost. Hence, it’s critical for both women and men to be aware of their heart attack risk and educate themselves on the wide range of symptoms that heart attacks can cause. According to the NIH, risk factors for heart attack include a family history of heart disease, age, stress, unhealthy diet, smoking, being overweight or obese, diabetes or pre-diabetes, high blood pressure, high triglycerides, and high cholesterol.
It’s important to discuss your risk factors with your doctor. Some can be controlled through appropriate lifestyle changes—exercise, proper diet, smoking cessation, etc.—while others might be manageable with proper medical treatment. If you think you’re having a heart attack, call 911 without delay. Don’t attempt to drive yourself or have a friend drive you to the emergency room. Emergency medical technicians will be able to initiate medical
treatment as soon as they arrive on the scene as well as en route to the ER, which can buy your heart valuable time. They’ll also get you to the hospital—and advanced care—as quickly and safely as possible. Most important, don’t let concern about a potential false alarm dissuade you from seeking prompt emergency medical care if you suspect you’re having a heart attack. When it comes to the number-one killer of both men and women, it’s better to be safe than sorry. ❦
Bouquet - continued from p22
near ripening fruit, such as bananas. Fruit releases small amounts of ethylene gas as it ripens, and the gas causes flowers to wilt prematurely. Aging flowers do the same thing and should be removed from the bouquet promptly. • Avoid putting copper coins, aspirin, or other homemade formulas in the vase water. They generally do more harm than good. • Avoid placing the vase in direct sunlight or a drafty area. Both environments will shorten the life of your bouquet. • Top off the water frequently, adding the correct proportion of cut flower food. ❦ Connect with our advertisers via our online issue at hlntoledo.com
Healthy Living News | February 2020 35
How to maximize your benefits from acupuncture and chiropractic treatments by Douglas A. Schwan, DC, Dip ac
B
ack in the ‘70s when Arnold Schwarzenegger was lifting weights and winning awards for his physique, he was in a documentary entitled Pumping Iron. The documentary showed how he utilized acupuncture and chiropractic to help him recover quickly from the pain of injuries as well as increase his overall energy level. After practicing acupuncture and chiropractic myself for almost four decades, I’ve seen some pretty amazing and powerful results. But I have also seen patients walk out feeling super terrific only to have the effect fade within a couple days. The treatments don’t seem to hold as well as they should. Of course, acupuncture and chiropractic treatments are nothing more than an assist to the body. I like to think of acupuncture needles as antennas that help direct the body’s energy to the parts that need it or, conversely, drain away excess energy
from areas too saturated. Chiropractic acts in a similar way to activate the spinal nerves of the body and to restore biomechanical function and movement. An example might be arthritis associated with wear and tear. These areas of the body might lack energy and be considered cold relative to the rest of the body. By using acupuncture points in this area, and even adding electrical micro-stim, we can raise the local energy level, allowing the breakdown of inflammatory chemicals and driving the ingrowth of new, healing micro blood vessels. The opposite might be the case in treating mental disorders like depression or anxiety. Many times, these conditions are the result of brain neurochemical imbalance—or in Eastern medicine parlance, too much energy. Utilizing certain acupuncture techniques, this excess energy can be drained off. Ultimately chiropractic and acupuncture are aids to the body but can’t be expected to do all the work. Patients must assist in their own care.
Are You Suffering? Try Acupuncture! AcupuncTure cAn help. • Migraines, Fibromyalgia & Arthritis • Infertility, Menopause & PMS • Bell’s Palsy, Carpal Tunnel & Sciatica • Pinched Nerve, Allergy & Sinusitis • Smoking, Weight & Stress Control
Better health. naturally.
“My husband and I had a two pack a day cigarette habit. We tried patches, gum and drugs but nothing worked. A friend reccomended Dr. Schwan to us for acupuncture. After our treatments my husband and I have both been smoke-free for eight months now! I tell all my friends about how Dr Schwan gave us back a healthy lifestyle!” ... Kristin & Tyler
Dr. Douglas Schwan, Licensed Chiropractor & Acupuncturist Over 32 Years experience with holistic health care Educated: Palmer College & International Academy Medical Acupuncture
Schwan Chiropractic and Acupuncture is dedicated to promoting health and wellness through the traditional Eastern techniques of acupuncture, nutrition, chiropractic and lifestyle choices.
Schwan chiropractic & Acupuncture center
Call for your FREE Consultation Today!
2828 W central Ave, Toledo • AcupunctureToledo.com
Covered by VA, BWC, PI Insurance
36 February 2020 | Healthy Living News
419-472-7055
One way to assist in your own care is to eat something healthy before your treatment. The body is ultimately one big energy battery, and it is the circulation of this energy (acupuncturists refer to it as “Qi” energy) that maintains health and provides the energy to heal injuries and pathologies. Food provides this source of energy, and the quality of the food determines the quality of the energy. Eating something healthy like fruit or a protein bar first thing in the morning before your treatment will go a long way in assisting the beneficial aspects of your treatment. The second thing you can do is maintain adequate hydration of your body by drinking a lot of pure, uncontaminated water. This might not be as simple as it sounds as the citizens of Flint Michigan found out after lead contaminated their city water supply. Southern Michigan and northern Ohio residents get their water from treatment plants drawing from Lake Erie. Although the water quality is generally pretty good, it can become suspect during periods of massive lake algae blooms or after storms where runoff can stress the treatment plants. So how does one get healthy,
n
pure water? The best way is through a reverse-osmosis system with an activated charcoal filter installed. That can be a bit pricey, so bottled water is an inexpensive option. In our home, we have a simple water dispenser that uses five-gallon jugs. We fill them for a couple dollars at the reverse-osmosis system at the local grocery stores for less than two dollars each. Faucet attachment filters also work but become pricey over time as the filters must be replaced often to remain effective. Usually, inside-fridge filters are paper-based and don’t contain the activated charcoal necessary to remove dissolved contaminants. So, remember to drink eight full glasses of pure water every day to allow the body to efficiently carry nutrients to all its cells and flush out the waste materials. Just utilize these few steps to increase the effectiveness and longevity of your acupuncture and chiropractic treatments. You’ll note faster recovery times and increased effectiveness. Acupuncture and chiropractic are reaching critical awareness across America. While chiropractic benefits have been included for a few years, n Acupuncture - continued on p42
Cancer - continued from p7
are also seen in fermented foods, such as yogurt and beans and lentils that have been soaked, as well as alkaline foods, which encompass all fruits and vegetables including citrus fruits. Summing up her best nutritional advice for anyone wanting to reduce cancer risk, Dr. Trivedi states, “Maintain a healthy weight; limit your consumption of calorie-dense foods; make fruits, vegetables, whole grains, and legumes the major portion of any meal; limit alcohol; limit salt and sugar; keep meat to a minimum; and watch your portion sizes.” The Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, has 11 physicians, 4 Research Nurses, and 7 nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. The cancer center also has satellite centers in Maumee, Napoleon, Bowling Green, and Monroe. The Toledo Clinic Cancer Centers has earned Patient-Centered Specialty Practice level 3 recognition and Oncology Medical Home recognition from the National Committee for Quality Assurance. Oncology homes align systems and resources with coordinated care focused on cancer patients and their needs. This reduces fragmentation, supports shared decision making, and improves the patient experience. They are the first oncology practice in the state of Michigan and the second oncology practice in the state of Ohio to receive this recognition. For more information, please call The Toledo Clinic Cancer Centers at 419-479-5605. ❦ We love feedback. Like us on Facebook. Follow us on Twitter.
Expert answers to cosmetic procedure FAQs
D
r. Wade Banker of Luxe Laser Vein & Body Center strives to educate clients on all aspects of cosmetic procedures so they know exactly what to expect when they decide to have one done. During consultations, clients ask him a wide variety of questions, many of which seem to come up again and again, suggesting that many people in the community may be wondering the same thing. Here are several of those FAQs along with Dr. Banker’s expert responses: Will I really be awake during my cosmetic procedure? Yes, you will be awake. Modern technology allows us to perform many surgical procedures, such as breast augmentation, Smart Lipo, tummy tucks, etc., without general anesthesia, though you won’t feel a thing. The surgery will be exactly the same as it would be with you completely unconscious, but this technology means you’ll save a lot of money while significantly reducing the risks associated with procedures done under general anesthesia. With breast augmentation, how do I know what size implants to get? We know from talking to a lot of
patients that there is ample confusion when it comes to implant sizing. Unfortunately, information people find on the internet related to this topic is often misleading if not downright bizarre—such as suggestions to fill up bags of rice or other odd techniques to determine how many CCs the implants should be. In reality, your own body is responsible for a lot of the measurements. Instead of focusing on CCs, the only thing the patient is responsible for deciding is how much projection is desired from the implants. This is measured on a scale from one to four, with one being unnoticeable and four being obvious. The other measurements come from your existing tissue and combine to be your CC size. Can you really make my spider veins go away? Absolutely! In fact, we can usually clear up spider veins with one treatment using our advanced laser technology. However, it does take some time for these veins to go
away after treatment, so be sure to get it done at least a month before you’ll be wearing clothes that reveal the treated area. Also, the consultation is free, so you’ll always know what you’ll be paying for this treatment ahead of time. Can anyone get Botox and Juvederm? Yes, any adult is a candidate for Botox and the various Juvederm fillers as long as the concern they’re trying to correct is treatable with them. Whether you’re 26 or 76, these products can help you put your best face forward. Also, due to our status with the manufacturers of these products, we’re able to offer them at extremely low prices. Botox is just $10 per unit with no additional injection fees, and Juvederm products start as low as $400. To learn more about any of the procedures or services offered at Luxe Laser Vein & Body Center, please call 419-893-2775. Consultations are always free of charge. Additional information is also available online at luxe-laser.com. ❦
Glass City Federal Credit Union offers free home-buying seminar
If you’re thinking about buying a home as a first-time or repeat homeowner, attend Glass City Federal Credit Union’s free Home-buying Seminar to make sure you are prepared. This class is being held Saturday, February 29 from 10:00 a.m. to noon in the Community Room of Glass City’s Main Office building at 1340 Arrowhead Drive in Maumee. Presented by Glass City’s mortgage professionals, the class is designed to make the home-buying process easy to understand. Topics include a review of various mortgage loan-related terms, tips for qualifying for a mortgage loan, understanding your credit score, the various steps of the home-buying process, and more. This class is free and open to the public. To register, please complete the registration link on the Mortgage Loan page at glasscityfcu.com or call Glass CENTER CityVEIN at& BODY 419-887-1000. Glass City is an Equal Housing Lender. ❦
OUR SERVICES, YOUR RESULTS.
VEIN & BODY CENTER
Do you want to host a Botox party or cosmetic medicine learning event at Luxe? We can do that! Call us for details.
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Healthy Living News | February 2020 37
Parents: make your home a burn-free zone Y
oungsters tend to explore their world through touch, which can put them in contact with dangerously hot surfaces. Many parents have learned the hard way that a young child’s impulse to explore combined with relaxed parental vigilance can lead to a painful, or even life-threatening, burn. Here are some helpful hints that can help parents turn their home into a burn-free zone:
Prevent bathtub burns The otherwise pleasant, relaxing experience of bath time can take a painful—or even deadly—turn in seconds if a child is accidentally immersed in scalding water. To help prevent hot water burns, set the temperature of your water heater no higher than 120 degrees Fahrenheit. Also, parents should always test the
temperature of the water by touch before placing their child in the bath. As an additional safeguard, parents should consider installing anti-scald devices on the bathtub faucets and showerhead. Most importantly, parents should never leave a young child unattended in the bathtub for any length of time. Make sure you have all necessary bath time supplies handy ahead of time so you don’t have to step out of the bathroom to retrieve a forgotten item. If you must respond to a ringing telephone or doorbell or any other distraction during bath time, take the child with you.
Handle hot beverages with care Something as seemingly innocuous as a cup of coffee or tea or a bowl of soup can burn a child severely if hot enough.
Rekha Talla, M.D. Board Certified
Avoid preparing, drinking, or carrying a hot beverage while holding a child. Any unexpected movement on the child’s part could cause hot liquid to spill or splash onto his or her skin. When setting down a hot beverage, place it far away from the edge of the table or countertop. However, do not place it on a tablecloth, placemat, or any other moveable item that the child can reach and pull down.
atop a rickety, top-heavy ironing board is a disaster waiting to happen when young children are in the home. When not in use, unplug your iron and store it safely out of reach. The same applies to other small appliances that are designed to heat up, such as curling irons and hair straighteners.
Practice safe stove use
The temptation to play with matches, lighters, and other flame sources is a powerful and perennial one for kids. Keep these items locked away out of reach. If you burn candles, be sure to place them out of reach and extinguish them before leaving the room.
When cooking on the stove with a young child in the home, use only the back burners and always turn the handles of pots and pans away from the front of the stove so he or she can’t reach up and touch a hot burner or pull down a cooking utensil filled with scalding liquid. Of course, cooking food should never be left unattended on the stove. It’s also a good idea to establish a “no-go” zone around the stove—an area surrounding the stove that the child is not allowed to enter. To help delineate this area, tape can be applied to the floor at the desired boundary. Other heat-producing appliances that could cause burns, such as space heaters, hot-steam vaporizers, registers, woodstoves, fireplaces, furnaces, and water heaters, should be designated off limits or somehow cordoned/screened off so they are inaccessible, as well.
Unplug that iron! A hot clothes iron left unattended
n
4235 Secor Rd., Bldg. 1 Toledo, OH 43623
419-479-5679
Some same day appointments available! Welcoming New Adult & Geriatric Patients 38 February 2020 | Healthy Living News
Don’t forget matches, lighters, and candles
Store chemicals safely Remember, sources of flame and heat aren’t the only potential burn hazards in the home. Many common household chemicals—in addition to presenting a poisoning hazard—can cause severe burns if they come into contact with the skin. Be sure to store all chemicals in a locked cabinet out of reach of children.
Don’t think it can’t happen! Most importantly, never assume your child isn’t curious about the burn hazards in your home. You could find out the hard way that you assumed wrong. ❦
Laurels - continued from p9
Seymour notes that the AlterG can even be utilized in reverse so clients can develop the necessary muscle memory and motor planning to take backward steps with confidence, which is a skill people need to utilize more often than they realize—for instance when stepping back to sit on a toilet or get into a car. “On the other hand, if you’re nervous about stepping backward, you’re at much greater risk of falling,” she adds. Laurels rehab patients appreciate that there’s no extra cost to incorporating the AlterG in their therapy programs—and that it’s available to both inpatient and outpatient rehab clients. Patients participating in the outpatient program—which is offered seven days a week—may also qualify for free bus transportation to and from The Laurels based on distance from the facility and accessibility to their home. ❦ We love feedback. Like us on Facebook. Follow us on Twitter.
Elizabeth Scott Community 2720 Albon Road Maumee, OH 43537 419-865-3002 www.elizabethscott.org
Continuing Healthcare of Toledo 4420 South Ave. Toledo, Ohio 43615 419-531-4201 www.ContinuingHC.com
Rosary Care Center 6832 Convent Blvd. Sylvania, OH 43560 419-824-3600 www.sistersosf.org
Genacross Lutheran Services Wolf Creek Campus
Senior Star at West Park Place
Park Terrace Nursing and Rehabilitation
2001 Perrysburg-Holland Rd. Holland, OH 43528
3501 Executive Parkway Toledo, Ohio 43606
2735 Darlington Rd.
419-861-2233
419-442-8563
www.GenacrossLutheranServices.org
www.seniorstar.com/westparkplace
Toledo, Ohio 43606 419-531-4465
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.
www.parkterracenursing.com
Parkcliffe Community 4226 Parkcliffe Lane Toledo, OH 43615 419-381-9447 www.parkcliffe.com
Pelham Manor 2700 Pelham Rd Toledo, OH 43606 419-537-1515 www.jewishtoledo.org
St. Clare Commons
The Manor at Perrysburg
Gardens of St. Francis
Fieldstone Villas
12469 Five Point Road Perrysburg, OH 43551
250 Manor Drive Perrysburg, OH 43551
930 S. Wynn Road Oregon, Ohio 43616
9640 Sylvania-Metamora Rd. Sylvania, OH 43560
419-931-0050
419-874-0306
419-698-4331
419-386-2686
www.homeishere.org
www.ManorAtPerrysburg.com
www.homeishere.org
www.sunset-communities.org
Sunset House
Ohio Living Swan Creek
Franciscan Care Center
The Lakes of Monclova
4030 Indian Rd. Ottawa Hills, OH 43606
5916 Cresthaven Lane Toledo, OH 43614
4111 N. Holland-Sylvania Rd. Toledo, Ohio 43623
Monclova Road Maumee, Ohio 43537
419-536-4645
419-865-4445
419-882-6582
419-866-3030
www.sunset-communities.org
www.ohioliving.org
www.homeishere.org
www.lakesofmonclova.com
The Woodlands
Plaza Apartments
The Laurels of Toledo
4030 Indian Rd. Ottawa Hills, OH 43606
2520 Monroe Street Toledo, Ohio 43620
1011 Byrne Road Toledo, OH 43607
Browning Masonic Community
419-724-1220
419-244-1881
www.sunset-communities.org
8883 Browning Drive Waterville, Ohio 43566
419-536-7600
419-878-4055
www.vmc.org
www.laurelsoftoledo.com
Sunset Village
Genesis Village
9640 Sylvania-Metamora Rd. Sylvania, OH 43560
2429 S. Reynolds Rd. Toledo, OH 43614
Genacross Lutheran Services Toledo Campus
419-724-1200
419-720-1286
www.sunset-communities.org
www.genesisvillage.org
Connect with our advertisers via our online issue at hlntoledo.com
www.bmcohio.org
131 Wheeling St. Toledo, OH 43605
The Glendale Assisted Living 5020 Ryan Road Toledo, Ohio 43614 419-340-6721
419-724-1414 www.GenacrossLutheranServices.org
www.glendaleassistedliving.com
Healthy Living News | February 2020 39
Five tips for toilet-training success L
earning to use the toilet is a major milestone in every child’s life and a huge step forward in the transition from toddlerhood to childhood. For parents, the unfamiliar territory of toilet training is often a source of worry and anxiety, especially when the process doesn’t go as smoothly as expected. Much of this apprehension stems from not knowing what’s normal when it comes to toilet training or what to do when a child’s toilet-training progress doesn’t seem to match that of his or her relatives or playmates. The most important thing for parents to keep in mind as their child works on acquiring the skills necessary for independent toilet use is that it doesn’t have to (and likely will not) progress according to a predetermined schedule. Every child is unique and has to master a wide variety of developmental skills. Your child may exceed or lag behind his or her peers in one area or another. Remember, it’s not a race, and there are no awards for finishing first!
1. Know when it’s appropriate to begin The biggest question on many parents’ minds is when should toilet training begin? The simple answer is: when your child is physically and emotionally ready to toilet train. Physically, your child must have sufficient control over the bowel and bladder muscles. Look for signs such as waking from a nap with a dry diaper, making it through the night without having a bowel movement, and having bowel movements at a somewhat predictable time every day. Of course, the child must also have the motor skills to climb on and off the toilet or potty seat as well as the ability to undress. Examples of signs that your child is emotionally ready to toilet train include demonstrating a generally cooperative mindset, exhibiting the ability to follow simple directions, expressing displeasure and a desire to be changed when his or her diaper is wet or soiled, expressing an
Dinner and silent auction to benefit SewHope programs in Guatemala
interest in using the toilet, expressing an interest in others’ toilet use, and expressing a desire to wear “big boy” or “big girl” pants instead of a diaper. Emotional readiness often lags behind physical readiness, so don’t be discouraged if these two skill sets don’t match up initially. Most kids are physically and emotionally ready to toilet train somewhere between the ages of 22 and 30 months, but that’s just a general guideline.
2. Don’t rush success After the question of when to begin toilet training, the second biggest question in many parents’ minds is how long should toilet training take? A child is considered toilet trained when he or she has the ability to recognize the need to use the toilet and is able to use the toilet with no or minimal assistance. Most kids achieve this level of skill by around age three or somewhat later, but some will finish sooner or later than their peers and girls tend to finish before boys. Also, just because your child is toilet trained doesn’t mean he or she will never again need assistance when using the toilet. Many kids will need a little ongoing help or support with skills like wiping themselves or using unfamiliar restrooms.
3. Never punish failures The last thing you want is for your child to associate toilet training with negative repercussions. Never punish or scold him or her for failing to progress or backsliding in training. On the other hand, frequent praise and simple rewards, such as stickers, can be good motivators. One effective technique is to place a sheet of paper on the wall next to the toilet and affix a sticker to it (gold stars work very well for this purpose) every time your child uses the toilet. With this technique, your child will have a visible and tangible representation of his or her progress close by. n Toilet-training - continued on p42
40 February 2020 | Healthy Living News
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wo thousand miles away, in the small town of Santa Ana, Guatemala, a girl is becoming the first female in her family to learn to read, thanks to a combination of hands-on instruction and an adaptive internet learning program. A previously-malnourished boy is thriving, thanks to a regimen of nutritionally fortified meals. A woman at risk for cervical cancer is healthy and confident, thanks to proper screening and treatment. Another woman is supplementing her family income by selling chickens, thanks to an agricultural co-op in her neighborhood. Communities in northern Guatemala are benefitting from these programs and more—all thanks to you, the people of Toledo. For more than a decade, individuals from the Toledo area have contributed their time, money, and expertise to SewHope, a Toledo-based nonprofit that partners with the poor, marginalized, and exploited in Guatemala to help end the injustices of poverty and bring about sustainable communities. From doctors and medical lab specialists to pastors and teachers, supporters of SewHope come from many walks of life but share a common goal: to be part of a cause greater than themselves. You’re invited to join that cause on March 6, 2020, at SewHope’s annual L.E.A.P. Fundraiser (Love Ends All Poverty). The event includes dinner, music, a silent auction, and a raffle; proceeds from L.E.A.P. go directly to support SewHope’s programs in northern Guatemala. Past events have been a great time, and this year promises not to disap-
point. According 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.” That applies to the silent auction portion, especially: from artwork to gift baskets to golf outings, there’s a wide variety of items and experiences up for grabs. Tickets for the event are $70 per person, or $650 for a table of ten. The event will be held on March 6, 2020, from 6:30 p.m. until approximately 10:30 p.m., at Parkway Place in Maumee. Doors open at 6:00 pm, so get there early to learn more about SewHope’s work in Guatemala and to get a head start on the silent auction! Tickets and more information are available online at www.SewHope.org. Whether you’re 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 6! ❦ Answers to crossword from page 20 1
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Sunset - continued from p10 and preventing isolation. Also, since February is American Heart Month, there’s no time like the present to schedule an appointment to have your senior loved one’s heart health checked and learn ways to help keep heart disease at bay,” says Young. n
Q
: I recently attended a concert and had a great time but thought it was too loud. Considering how loud it was where I was sitting, I wondered what the musicians would be experiencing in the midst of that noise. How many musicians are damaging their hearing?
A
: The correlation between hearing difficulties and musicians is quite high. Professional musicians are almost four times as likely to develop what is called noise-induced hearing loss compared to the general population. But that’s not the only concern musicians have; tinnitus is also known to develop. Tinnitus is simply a ringing, buzzing, or clicking noise that some complain about and may occur along with hearing loss. Professional musicians are 57% more likely to develop tinnitus as a result of their job. The hearing loss is noise-induced and can be caused by sudden, very loud noise, but it can also develop gradually as a result of continual exposure to loud noise according to a study published in the British Medical Journal. Exposure to loud music over time will permanently damage the hair cells in the inner ear. These hair cells are responsible for sending the sound through the inner ear to the brain to be heard. Noise-induced hearing loss is permanent and the most common cause of hearing loss resulting from extended exposure to high levels of noise. The damage caused by noise may develop into what is known as sensorineural hearing loss, but it’s important to remember that this particular type of hearing loss is preventable—and that protecting the ears and hearing is important. The National Institutes of Health reported that about 15% of Americans
42 February 2020 | Healthy Living News
have high-frequency hearing loss complicated from occupational or leisure activities, including music. The evidence suggests that loud rock music along with increased use of listening devices with earphones may also be contributors. It’s important for musicians to consider these following pointers or suggestions when thinking about their hearing: • Obtain a baseline hearing test and a tinnitus screening to establish whether a hearing loss is present. • Use in-ear monitors when adjusting for sounds that aren’t heard because of a possible hearing loss. • And, of course, musicians should wear ear protection, which does more than protect hearing. Musician earplugs have filters that allow them to hear their own voice and instrument—a feature that helps singers hit notes without straining. So, as you can see, there truly is a concern for musicians. To enjoy playing and listening to music, please feel free to share this information and encourage all to take action today rather than tomorrow. As always, if there are any questions or concerns, please feel free to contact me at Northwest Ohio Hearing Clinic. R anda MansourShousher, 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). ❦
Encourage hobbies and pastimes Arts and crafts, jigsaw or crossword puzzles, board games, book reading, cooking, learning to play a musical instrument, and knitting or sewing are just a sampling of healthy hobbies and pastimes that can help keep seniors engaged. “To make these activities even more meaningful for your senior loved one, why not join in and share the experience? For example, you could read and discuss the same book, get together for a regular card game or chess match, or team up to take on a different cooking challenge each week,” Young recommends.
Consider a senior community Young further notes that one of the best ways for seniors to stay engaged and active is to move into a community that’s dedicated to their needs and interests. “Here at Sunset, our residents never have to experience isolation because we have a built-in community and offer a wide variety of activities and amenities that nourish them in body, mind, and spirit,” she says. “In addition, our expansive care continuum includes independent living, assisted living, memory care, and health care, so residents are never put in the position of having to leave behind their home and supportive community just because their care needs have changed.” For more information on Sunset Retirement Communities, please call 419-536-4645 (Sunset House), 419-724-1200 (Sunset Village), 419724-1220 (The Woodlands), or 419386-2686 (Fieldstone Villas), or visit www.sunset-communities.org. ❦
Acupuncture - continued from p36 acupuncture benefits have only recently been added as coverage under veterans benefits, Ohio Medicaid plans, some mainstream policies like Anthem BC/BS, Workers Compensation, and recently even some Medicare supplemental policies. Check yours today! n
Dr. Schwan is a Doctor of Chiropractic and a Diplomat of the International Academy of Medical Acupuncture. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time stand-up comedian and has maintained an active practice in Toledo, Ohio for the last 29 years. He is available for lay lectures and may be contacted at Dr_Schwan@AcupunctureToledo. com. ❦ n
Toilet-training - continued from p40
4. Don’t sweat the setbacks Sometimes there are setbacks in toilet training with the child seeming to become less cooperative with the process (e.g., expressing a desire to wear diapers again or “holding it” for long periods). This behavior may simply indicate that your child’s emotional readiness needs to catch up to his or her physical readiness. You don’t want toilet training to turn into a battle of wills, so sometimes the best step forward is a temporary step back. Also, keep in mind that stressful events, such as changing preschools, the arrival of a new sibling, or a death or conflict in the family, can cause a child who seemed to be toilet training successfully to suddenly backslide and revert to old habits. Don’t let this discourage you. However, do keep in mind that a highly stressful period is not the ideal time to initiate toilet training.
5. Accept that accidents will happen Even if your child sails through the process of toilet training without the slightest setback, he or she may still have wetting or soiling accidents from time to time until somewhere around age five. This can happen during the day when a child is too absorbed in play or too distracted by other things to recognize and respond to the impulse to use the toilet. Sporadic nighttime bedwetting can be an issue for some kids well into school age. If you have any questions or concerns about your child’s progress with toilet training, be sure to share them with your pediatrician. Otherwise, relax, take your time, and stay positive. Your child will master this skill soon enough! ❦ We love feedback. Like us on Facebook. Follow us on Twitter.
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Healthy Living News | February 2020 43
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