HLN February 2021

February 2021 • FREE

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GO RED FOR WOMEN UTMC joins COVID drug study | Look as young as you feel Diabetes and hearing loss | Cancer screening and early detection Leading-edge thoracic surgery | Rating your financial wellness

Personalizing the right care for you.

PRIMARY CARE FOR FO R THE UNIVERSE OF YOU

Time to look as young as you feel!

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Are you aware that Dr. Handler hat will the skin on your face, personally performs laser proceDR. HANDLER OFFERS TELEDERMATOLOGY neck, chest, and hands reveal about you this spring? When you Dr. Handler has been providing virtual dermatology for patients over several years. Due to the viral pandemic, this may be dures for removal of body hair are enjoying yourself with friends of interest to his present and prospective patients. Go to Dr. Handler’s website at drharveyhandler.com and scroll to the anywhere hair grows? Yes, this minimally painful laser destroys hairs and family, will the fine lines, brown bottom. On the right you’ll find a link to your care. You will receive a diagnosis and treatment program within 24 hours. around the chin, jawline, upper lip, spots (age spots), and sagging jowls underarms, ears, nose, bikini line, and neck not portray your true age Continued tightening and lifting of sagging skin occurs over a etc. Many women are having laser hair removal at a younger age but make you appear tired and withered? Why not consider a 6-month time period with results lasting up to 3-4 years! There and eliminating the need for shaving, cuts, and irritation. And this painless and no-downtime cosmetic procedure to reduce your is NO downtime and NO pain. The NEW Thermage CPT Deep laser is not just for women. Many men have this laser performed aging, sun-damaged, and sagging facial skin and eliminate brown Tip system has been utilized by Dr. Handler for many years with to permanently remove chest and back hair as well as beard hair spots? Allow Dr. Handler to evaluate and personally recommend excellent results and very satisfied patients. that grows down onto the neck. a skin-rejuvenation program for you to reduce the signs of aging.

For lines between the eyes (worry lines, 11’s, ski slopes), Dr. Handler also utilizes the latest in lasers for removal of Look as young as you feel when gathering with friends and family. crow’s feet, and the “sleepy and tired look with droopy eyelids,” “age spots” (sun spots really) anywhere on the body. This laser Whenever aged and spotted sun-damaged skin is discussed, the use of Botox or Dysport works well to improve these areas. works especially well for the tops of hands covered with those the term used is rejuvenation. Wait! What about “pre-juvenation”?

The results are diminished lines and a more “wide-awake” and “age spots.” Finally, Dr. Handler also performs laser removal of Prevent and reduce the signs of future aging and sun damage less tired appearance. One treatment can last 7-12 months! unwanted blood vessels that grow on your face and enlarge with with a skin-care program designed for the Millennial and prior-tanEXCESSIVE UNDERARM SWEATING? heat, stress, and the intake of alcohol. Again, pain and downtime ning-booth generation. Be proactive before the lines and age Most cosmetically-oriented patients know that Botox and are minimal with this laser. spots appear. Speak with the staff at Dr. Handler’s office to inquire Dysport are used to reduce the signs of aging. However, Dr. HanAnti-aging and cosmetic enhancements are not for any specifabout specials for cosmetic procedures and topical products to dler has utilized these products over many years for excessive ic gender. Male cosmetic enhancement and anti-aging procedures reduce the signs of aging and fade and eliminate “age spots.” sweating of the underarms. This excess sweating is known as have increased almost 300% in the past 5 years for sagging Dr. Handler personally performs many anti-aging procedures hyperhidrosis and is associated with embarrassment and anxiety. skin, darkening under the eyes with the “hollow” look, and brown that are “non-invasive” with minimal discomfort or downtime. You Most patients require injections twice a year to reduce sweating spots. The utilization of fillers, such as Restylane and its family can minimize under-eye darkening, puffiness, and wrinkling, and 80% or more! The procedure is associated with minimal pain and of fillers, Juvederm, Radiesse, etc., is excellent for deep smile raise those droopy eyelids, shrink pores, lift sagging jowl areas, no downtime. lines and the “sad and tired look” as evidenced with sagging at and appear as youthful as you feel. Call Dr. Handler’s office for a The use of fillers, such as Restylane, Restylane Lyft, Juthe corners of the mouth, hollow cheeks, and aging of the hands. personal evaluation with treatment recommendations designed vederm, Radiesse, and others, to “fill” deep smile lines and the And, of course, the use of Dysport/Botox to reduce forehead specifically for your aging skin. marionette lines (the sad look) from the corners of the mouth pro“worry lines” is superb.

Remember, 80% of the signs of aging are due to prior sun duces immediate results lasting 12-15 months! Don’t look tired or All of these cosmetic enhancements are performed entirely exposure and subsequent skin damage. All the brown spots (“age sad when you are not! Since these products are combined with a

by Dr. Handler. To view before-and-after photographs of patients spots”), broken blood vessels on the face, fine lines, and sagging numbing agent, the pain is minimal. Now, Dr. Handler utilizes the who have had these procedures performed by Dr. Handler, visit skin are caused almost entirely by sun! This is something young injection of new fillers called “Restylane Silk” and “Restylane www.drharveyhandler.com. For more detailed information about people should be aware of since we get 80% of our lifetime sun Refyne and Defyne.” These products markedly improve upper the above-mentioned procedures or products, please call Dr. exposure by the time we are 18-20 years of age. and lower lip lines (lipstick lines). Restylane Silk and Kysse also Handler’s office at 419-885-3400. Also, remember to inquire about What about the “worry lines” between your eyes, deep smile volumize your lips and restore their natural curve while looking special pricing available on many cosmetic procedures and prodlines, upper lip lines (lipstick “runs uphill”), and your sagging attractive and natural. There is no downtime with these noninvaucts to diminish the signs of aging and obtain a more vibrant and jowls and neck? These unfortunate changes caused by prior sun sive procedures. These products also improve the depression and youthful appearance of your skin. Look as young as you feel. exposure and aging can be improved dramatically with pain-free, hollowness under your eyes that causes darkening to be much HAIR LOSS IN MEN AND WOMEN non-invasive cosmetic procedures performed entirely by Dr. Handler. less obvious.

Are you losing hair from surgery, anesthesia, illnesses, pregDo you want to reduce fine lines, acne scars, and age spots The NEW Thermage CPT Deep Tip procedure painlessly nancy, medications, stress, genetics, or “normal” hair loss sec(brown spots from sun exposure) and shrink pores? Then the heats damaged collagen under your skin to tighten and lift sagondary to aging or low blood levels of nutrients? There are many non-invasive Clear and Brilliant laser is for you. When the Clear ging areas of the neck, jowls, and upper arms, as well as wrinkling causes of hair loss in men and women. Most are not simply due and Brilliant laser is combined with Thermage CPT Deep Tip, of the skin on the abdomen and thighs. The NEW Thermage CPT to age or family history, and most are treatable. Now these probthe results are ideal for patients who desire no downtime or pain Deep Tip procedure utilizes radiofrequency energy (not laser). lems of hair loss can be evaluated and there is hope for reducing and predictable results of lifting sagging skin and smoothing fine This procedure also encourages a natural repair process that your hair loss and stimulating new growth. Dr. Harvey Handler, lines. Dr. Handler is the only dermatologist in northwest Ohio perresults in further tightening, lifting, and younger-looking skin. With board-certified dermatologist in Sylvania, Ohio, utilizes proven forming this procedure. only ONE treatment, results are seen before leaving the office. medical treatments for decreasing your hair loss and increasing growth in many patients!

Pediatric skin disease diagnosis and treatment is one of Dr. Handler’s special fields in general Dermatology. Age of the child is not relevant since Dr. Handler diagnoses and treats eczema, hemangiomas, contact Smoother, tighter, younger-looking skin on face, arms, and chest and allergic dermatitis, and general “lumps and bumps” that children and infants develop.

No surgery.

What about “birth marks,” scalp No injections. and body “ringworm,” body and No downtime. head lice, scabies, psoriasis?

If there is a lesion or spot on ADULT, the skin, Dr. Handler is trained to arvey andLer, m.d., f.a.a.d.

PEDIATRIC, dipLomate and feLLow of tHe american Board of dermatoLogy examine, diagnose, and treat appropriately.

Also, everyone should have a yearly full body exam to check & COSMETIC 5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital) for skin cancer, changing moles, and new growths that develop on DERMATOLOGY our bodies. This comprehensive exam should be conducted solely HAIR & NAILS by a board-certified dermatologist. ❦

www.drharveyhandler.com

Reduce lines, fade sun spots clear + brilliant laser H

L. H

419.885.3400

2 February 2021 | Healthy Living News

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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.

HEALTH & BEAUTY

ENRICHING YOUR LIFE (continued)

2 Time to look as young as you feel!

15 Financial wellness—how do you score?

16 The correlation between diabetes and hearing loss by Dianna Randolph, AuD, CCC-A

4 Heart health at core of Go Red for Women by Dennis Bova 7 Early detection is key to better cancer outcomes 11 No greater gift: organ and tissue donation 19 How to eat healthier when dining out 21 SMART changes for the new year and beyond by Tom Duvall, LISW-S 22 Don’t let sneaky calories sabotage your weightloss effort 23 Delirium in senior loved ones 25 A glimpse at age-related macular degeneration 26 You’re never too old for Super Slow Training 29 Eating well – Immunity-boosting nutrients by Laurie Syring, RD/LD

ENRICHING YOUR LIFE 6 Running tips for beginners by Amanda Manthey plus Dave’s Races

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.

9 Seven steps to maximize your creativity 10 The Devil and Mrs. Jones, part 10 – I need an ombudsman by Megan Benner Senecal 11 On the road, your best offense is a good defense 12 A Walk in the Park – Where should we camp?

by LeMoyne Mercer

Editorial office:

Adam Welch Chet Welch

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Brad Beebe,

419-874-4491, ext. 1026

Graphic Designer: Mary Ann Stearns Web Designer: Strategically Digital LLC Social Media Specialist: Kate Oatis Distribution:

Welch Publishing Co. Copyright © 2021 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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24 Spiritually Speaking – Hope vs. despair by Sister Mary Thill 25 Health Crossword 27 Nobody’s Perfect – What do I say? by Sister Karen Zielinski, OSF 28 Make the most of that Valentine’s Day flower bouquet

OUR COMMUNITY 8 Mercy Health offers leading-edge alternatives to traditional thoracic surgery 10 UTMC among first hospitals participating in national COVID-19 study 15 How to apply for your newborn’s social security number 18 The village movement, part 2 of 2 by Daniel J. Jachimiak, BA 21 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 29 Cancer Connection in Our Community – Commemorating World Cancer Day by Jean Schoen 31 Senior Living Guide

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Deadline for editorial submissions is the 10th of the month preceding publication. To contact the editor or send submissions, please email jeffreykurtz68@gmail.com.

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February 2021 Vol. 26, Issue 2

Dear Readers, Our cover story this month, written Thank you for picking up the by regular HLN contributor Dennis February issue of Healthy Living News. Bova, is about the American Heart As of this writing, we’re cautiously Association’s Go Red for Women camoptimistic that headway paign, which is held each is finally being made in year in February. This the COVID-19 crisis, year’s campaign reminds with older members of us that heart disease isn’t our community currentjust a “men’s disease.” In ly receiving vaccinations fact, it’s the number one against the virus and killer of women in the US other groups slated to today, outpacing both Adam and Chet Welch start getting the shot in cancer and COVID-19. the very near future. We still have a See page 4 for the full story.

Also in this issue, you’ll find mustlong way to go before we can safely say this pandemic is behind us, but read articles on the cutting-edge we’re hopeful that better days are alternatives to traditional thoracic on the horizon. In the meantime, surgery practiced by surgeons of we urge all our readers to contin- Mercy Health (p. 8); UTMC’s particue the recommended practices of ipation in a vital National Institutes masking, handwashing, and social of Health study aimed at identifying distancing—and to get vaccinated promising COVID-19 treatments as soon as they’re eligible. (p. 10); the importance of cancer

Connect with our advertisers via our online issue at hlntoledo.com

screening and early detection from the perspective of Dr. Charu Trivedi of The Toledo Clinic Cancer Centers (p. 7); the correlation between diabetes and hearing loss, with expert insights from Dr. Dianna Randolph of Northwest Ohio Hearing Clinic (p. 16), and much, much more.

Last but not least, we’re extremely gratified whenever we hear that our advertisers are getting a good response from HLN readers. Without advertising support, we could not continue bringing you the very best and latest in locally written health and wellness articles. So, whenever you’re in need of a product or service, we urge you to contact our advertisers first. And when you do, be sure to tell them you “saw it in Healthy Living News”!

Adam and Chet Welch Healthy Living News | February 2021 3

Heart health at core of Go Red for Women stroke among women,” says Elizabeth Lewis, director of social events for the American Heart Association of Northwest Ohio. “More women than men are affected by heart disease,” Lewis continues. “People think heart disease is a man’s disease. It’s not.”

by Dennis Bova FOR WOMEN, the threat from various forms of cancer—and in the past year, COVID-19—has been real and deadly. But the top killer of women in the United States is heart disease.

That makes those of the American Heart Association see red—figuratively and literally.

American Heart Month takes place every February, creating a call to action to address heart disease, the number-one killer of Americans in general and women in particular. The first Friday in February is also dedicated to Wear Red Day, in which women—men are encouraged to do so, too—wear red to facilitate conversations about heart health. Here in Toledo, women’s health is celebrated through AHA’s Go Red for Women Campaign.

“Go Red for Women is an annual campaign that we host in Toledo and throughout the country in an effort to raise awareness of heart disease and

A Perfect Place to Recover

The goal of Go Red for Women, now in its 18th year, is to empower women to take charge of their health.

“As women, we often are caregivers,” Lewis says. “We take care of our children and sometimes our parents and husbands. Many work full time. Sometimes women forget to take care of themselves. Women can take better care of themselves by putting themselves first.”

She lists heart-healthy tips each woman can do:

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1. Get at least 150 minutes per week (30 minutes a day, five days a week) of moderately intense aerobic activity.

2. Incorporate colorful fruits and vegetables into their diet and avoid foods and beverages with added sugar and products high in sodium.

3. Keep a food journal, even if for one or two days, to become aware of what the journal-taker is eating.

4. Reduce stress by practicing mindful meditation and going on a walk to clear the mind.

Break down big problems into smaller parts to take things one step at a time. Take a break to listen to music or an inspirational podcast.

Another aspect that Go Red for Women calls attention to is that women are under-represented when it comes to cardiovascular research, Lewis says.

Fewer than 40 percent of those who are part of such research are women, and fewer of that percentage are women of color.

Each year there’s a celebratory luncheon at chapters throughout the country to mark the campaign’s successes. This year will be different. “Being a health organization, it wouldn’t be responsible for us to gather in large groups,” Lewis says. On Thursday, February 18, the Northwest Ohio group will have a digital luncheon experience over Zoom. (To register for this event, please contact Lewis at Elizabeth.

Lewis@Heart.org or 419-740-9666.)

Attendees will hear from the local 2021 Go Red for Women chair, Lori Johnston, president of Paramount Insurance. “It is my privilege to serve as this year ’s chair,” she says. “In my role as a female executive in the healthcare field and as an individual with heart disease in my family, I know firsthand just how important this work is.”

The keynote speaker will be Diana Patton, a local social justice advocate and inspirational speaker.

Lewis says Patton will emphasize that women should take care of themselves, more so this year be-

cause of the stress brought on by the pandemic.

Prior to the speakers, there will be an interactive virtual expo hall, where attendees can hear from survivors, talk to sponsors, and get heart-healthy recipes from vendors—just as they would have at in-person luncheons.

“Hopefully, people will feel a little more like they’re there in person,” Lewis says.

Lewis says women are encouraged to wear any manner of red clothing on the day of the virtual luncheon.

Men are encouraged to wear red in support of their mother, spouse, sister, or any other woman important in their lives.

The period covered by this month’s celebration coincides with the pandemic, which made for a trying time for the Heart Association. “During the pandemic, we relied heavily on our volunteers to speak on our behalf,” Lewis says. “The biggest impact was that we couldn’t meet in person and have information sessions, but we managed to meet virtually and have our community conversations with medical experts.”

Going forward in 2021, the Heart Association will continue its virtual, digital efforts through the continued rounds of vaccinations until eventually restrictions on public gatherings are lifted.

As for this month’s Go Red for Women event, Lewis says, “Women tend to put themselves last. This will be a wakeup call for them.”

She adds, “We have seen an increase in research and awareness of heart disease among women, but there’s still a long way to go.”

Dennis Bova is a freelance writer and editor. ❦

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Healthy Living News | February 2021 5

Running tips for beginners

by Amanda Manthey ARE 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 Running Shop, 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

8

help prevent hyperventilation.

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

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

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

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

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

against traffic, preferably on sidewalks or running paths.

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

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

Happy running! ❦

Don’t miss Dave’s races!

Runners, get ready to “take your mark” in this exciting community event sponsored by Dave’s Running Shop. For more information, including any applicable fees, please visit davesrunning.com.

Snowball Dine-n-Dash Saturday, February 6, 2021, 9:00 a.m. at 5939 St. Rt. 109 in Delta, Ohio. Join the local running community for a non-scored training run with multiple distances for the upcoming spring marathons and half marathons. Dave’s MIT coaches will be on hand to lead multiple long run paces, so you can choose which pace you want to run for the event.

What is different about this run? The Mason family of Dave’s Running Shops will be providing a breakfast to rival that of any king’s feast!

If breakfast isn’t your style after a run, you can still show up and run with others at no charge. Come on out and get your long run in with company as runners prepare for the Glass City Marathon. Just register for the free event, and you will be set to go.

There will be a 5-mile marked course that has a one-mile inner loop, so mileage can be negotiable for you to decide when you want to call it quits.

Hot Cocoa 10K/5K Run, 1-Mile Run or Walk Saturday, February 20-Sunday, February 28, 2021 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 10K/5K/1Mile Race is being held in partnership with Olander Park. The race starts at 9:00 a.m. and there will be multiple corrals for a safe start. We are adding a10K for this year.

The 1 Mile Race will be around Olander Park. The 10K and 5K Race will start at the Nederhouser Community Building, run north on the trail, exit out north to the neighborhood, and then circle back and finish in Olander Park. (Course direction is subject to change.)

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 will be provided in your race packet so that we can promote social distancing and avoid congregating at the finish line. Grab-and-go snacks will be available at the race finish.

In accordance with the Lucas County Health Department, we will not be giving awards at the conclusion of the race this year to accommodate social distancing. We will, however, be giving out those prizes as door prizes, which will be listed at packet pickup (Thursday, February 18 from 4:00-6:30 p.m., and Friday from 4:00-6:30 pm at Dave’s Running Shop, 5700 Monroe St., Sylvania, Ohio. There will be no race day packet pickup). Everyone is eligible to win one of the prizes. ❦ We love feedback. Like us on Facebook. Follow us on Twitter.

Early detection is key to better cancer outcomes WITH ANY FORM OF CANCER, the and 29, colon cancer can be seen in earlier the disease is detected and men, and breast, cervical, and colon treated, the better the outcome is cancers can be seen in women who likely to be for the patient. Survival are at higher than average risk due rate, quality of life, and the com- to factors such as family history.”

To help people determine which plexity and cost of treatment are all dramatically improved when cancer cancer screenings are appropriate, the is caught early and treated appropri- ACS has established a set of cancer ately. In fact, with more aggressive screening guidelines based on age, cancers, it’s often the case that cure gender, and level of risk, which can be is possible only when the disease is viewed on the organization’s website, cancer.org. The age groups covered caught in the earliest stage.

Charu Trivedi, MD, of The Toledo in the guidelines include 21-29, 30-39, 40-49, 50-64, and 65 or older.

Clinic Cancer Centers exDr. Trivedi recommends plains that there are two that people discuss the components to early cancer applicable guidelines with detection—early diagnosis their healthcare provider and screening. “With early to establish an individudiagnosis, the cancer is alized cancer screening present but not far adschedule. vanced and the patient Whichever cancer is already experiencing screening test an individual some symptoms, whereas undergoes, it’s essential for screening involves testing him or her to discuss the healthy, asymptomatic Charu Trivedi, MD results with their healthcare people in order to detect cancer before symptoms arise,” she provider. This applies especially to more controversial tests, such as prossays.

Considering the correlation be- tate-specific antigen (PSA) testing for tween early detection and cancer prostate cancer. “As oncologists, we survivorship, the importance of com- still believe PSA testing is a valuable pliance with cancer screening tests, tool, but patients who have the test such as mammogram, colonoscopy, must talk with their doctor about Pap testing, and HPV testing, can’t what the results mean and their imbe overstated. Unfortunately, as Dr. plications with respect to treatment,” Trivedi observes, too many people who Dr. Trivedi says.

Dr. Trivedi also emphasizes the would benefit from these screening tests are failing to take advantage importance of getting screened for of them—especially among those human papillomavirus, or HPV, which of lower educational attainment or is associated with several forms of cancer in women and men, most socioeconomic status.

So which cancer screenings should notably cervical cancer in women, people get and when should they get for which screening should start at them? Younger people tend to think of age 25. However, she cautions that cancer screenings as something only HPV-vaccinated people should still middle-age people need to worry have screening for cervical cancer about—likely because any screening according to the guidelines.

Looking to the future, Dr. Trivedi recommendations they hear usually is hopeful that new technologies will apply to that age group. For instance, the American Cancer Society (ACS) expand our screening capabilities recommends that men and women to include many other cancers for get their first colonoscopy at age 45, which there are no reliable screening and that women should start getting tests at the present time. In fact, a yearly mammograms at that same age. company called GRAIL is currentHowever, it’s important to understand ly in the development phase of a that these specific recommendations DNA-sequencing test that can detect apply to individuals at average risk of more than 50 different cancer types, developing colon and breast cancer which, if effective, could prove to be respectively. “People at higher risk a game changer when it comes to may need to start getting screened early detection and treatment with earlier,” Dr. Trivedi notes. “For exam- one blood test per year. n Toledo Clinic - continued on p30 ple, starting between the ages of 21 Connect with our advertisers via our online issue at hlntoledo.com

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Healthy Living News | February 2021 7

Mercy Health offers leading-edge alternatives to traditional thoracic surgery THE TRADITIONAL APPROACH that thoracic surgery applies to any to thoracic surgery, which involves surgical problem related to the chest, making a large incision in the chest including the lungs, esophagus, chest and cutting through bone and muscle wall, and heart. “Everyone thinks our tissue, has long been used to treat or job is about heart surgery, but about repair a wide range of conditions. half of what we do involves the lungs Though effective and still widely or other organs of the chest,” he states. practiced today, this “open” surgical In fact, the most common reason patients end up under Dr. approach presents severBorsody’s surgical care is al drawbacks to patients, cancer or infection of the including significant pain lungs. at the incision site and a A native Ohioan, Dr. relatively long healing and Borsody attended medical recovery period. school at the Medical ColThe good news for inlege of Ohio (now UTMC), dividuals in our commucompleted his residency at nity who require thoracic Loyola University Medical surgery is that the expert Center, and practiced for and highly experienced Karl Borsody, MD over 12 years in Dayton at thoracic surgeons at Mercy Kettering Cardiothoracic Health offer cutting-edge alternatives to traditional surgery that & Vascular. He joined the Mercy address these problems, including Health – St. Vincent Hospital cardioboth minimally invasive and robotic thoracic surgery program six months ago and is thrilled to be back in the procedures.

For those unfamiliar with the Toledo area.

Among the minimally invasive term, Mercy Health cardiothoracic surgeon Karl Borsody, MD, explains thoracic surgical procedures the

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Mercy Heath team performs, often in patients with lung or esophageal cancers, is video-assisted thoracoscopy, or VAT. According to Dr. Borsody, “This procedure involves making several small incisions between the ribs and inserting long, thin instruments into the chest to biopsy or remove pathologies. Compared to traditional open surgery, VAT causes a lot less pain because there’s no spreading of bony structures or splitting of muscle, hospitalization is significantly shorter, there’s less blood loss, and it’s generally less taxing on patients both inter-operatively and post-operatively. In addition, the outcome is much more aesthetically pleasing compared to open surgery, which is a very important consideration for many patients today.”

An even more advanced iteration of minimally invasive thoracic surgery practiced at Mercy Health is a robotic approach using the state-of-the-art da Vinci® system.

“This system was originated for addressing abdominal problems but has now been adopted for the chest to not only biopsy but also remove questionable nodules and cancer, lymph nodes, and mediastinal masses,” Dr. Borsody says.

The robotic approach is similar to VAT in that the instrumentation is inserted into the chest cavity through very small incisions, thus minimizing pain, bleeding, and healing time. But in addition to these benefits, using the da Vinci system provides vastly improved optics with 3D camera visualization and a high degree of magnification that allows the surgeon to see very tiny structures clearly. The robotic system also improves the surgeon’s fine motor control and reduces natural hand tremor for greatly enhanced precision of movement. Another benefit of the da Vinci system is that it allows for the use of many different instrument types, all of which are articulated at the tip, providing full range of motion in a very tiny space.

“Think of it as having a tiny hand at the end of each instrument,” states Dr. Borsody.

Most patients are considered candidates for these minimally invasive procedures, with just a

few exceptions, including those who are having repeat surgeries, those who have had prior cardiac or lung surgeries, and those who have a mass that can’t be accessed using minimally invasive techniques.

Dr. Borsody notes that the outcomes for these procedures are equivalent to those of traditional open thoracic surgery—because regardless of the approach used, the Mercy Health surgeons strive to achieve the same high-quality results for every patient.

With lung cancer patients figuring so prominently in his patient caseload, Dr. Borsody urges people to avoid or give up smoking—the cause of the vast majority of lung cancer cases—and live a healthy lifestyle.

Those who do smoke may be candidates for low-dose CT screening, which can detect lesions in the lungs very early on before they spread and when they’re easy to treat and potentially cure. The Mercy Health – Lung Nodule Screening Program, headed by Mercy Health critical care pulmonologist James Tita, DO, offers low-dose CT scanning in eight locations throughout our community and screens hundreds of individuals for lung cancer each month.

Low-dose CT screening is recommended for individuals between the ages of 50 and 80 who have at least a 30-pack-year history of smoking (the equivalent of smoking one pack of cigarettes per day for 30 years or two packs a day for 15 years) or who quit smoking less than 15 years ago. This service is now covered by Medicare, Medicaid, and commercial insurances.

“If you smoke and you’re concerned about your lung cancer risk, you have a family history of lung cancer, or a spot was seen on a chest x-ray, it’s important to be screened. Also, watch for signs such as shortness of breath, coughing up blood, fatigue, and unexplained weight loss, which are common symptoms of lung cancer,” says Dr. Borsody.

For more information about Mercy Health cardiovascular services, visit mercy.com. ❦

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Seven steps to maximize your creativity WE TEND TO THINK of creativity as the “muse” that inspires painters, sculptors, musicians, and writers to achieve their best work. In actuality, creativity is a vital factor in virtually every walk of life. Think of creativity as the force that shapes and directs raw talent. Whether your calling is business, medicine, law, teaching, ministry, politics, athletics, parenting, or any other pursuit, success depends, at least in some part, on your ability to think creatively and find innovative solutions.

But let’s face it, creativity can be a fickle thing. Sometimes that spark of inspiration just won’t ignite or suddenly flickers out right when we need it most (e.g., when an important deadline is looming at work). The good news is, waning creativity can be rekindled. If you

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feel your creative juices are starting to dry up, try these seven steps to help get them flowing again: 1) Learn your natural rhythms We all have a time (or times) during the day when we are at our most creative—those hours when ideas just seem to flow and thoughts seem to connect more naturally.

Whether that time for you is early morning just after the alarm goes off, mid-morning after the coffee kicks in, or at night after the kids have gone to sleep, try to take advantage of this productive period to the extent possible.

Taking advantage of natural rhythms may be easier for people who work at home and have more control over their schedule, but even within the framework of a conventional 9-to-

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5 job, there will be some hours when you’re more creative and productive than others. Strike while the iron is hot at these times, and use less productive times for work that demands less inspiration, such as catching up on emails, organizing your desk, or planning the next day’s duties.

2) Journal your creativity You never know when a creative idea is going to strike. A possible solution to a problem you’ve been mulling over for weeks might suddenly occur to you at the breakfast table or on the expressway. Don’t assume that idea will still be in your head later—or when tomorrow’s Zoom meeting rolls around. Keep a notebook handy so you can record, and later recall, any creative thoughts or solutions that strike you at odd hours.

3) Sleep well Nothing sabotages creativity quicker than a tired mind. What’s more, research has shown that a good night’s sleep—particularly REM sleep—actually enhances our ability to make abstract connections and find creative solutions to problems. Make a habit of getting eight hours of restful sleep per night—at the same time every night (including weekends and holidays)—and you’ll find that your mind is much quicker on the trigger when it comes to creative problem solving in all areas of your life.

4) Exercise Exercise is known as “mental floss” n

Creativity - continued on p10

Healthy Living News | February 2021 9 1/22/2021 9:52:32 AM

The Devil and Mrs. Jones

UTMC among first hospitals participating in national COVID-19 drug study

Part 10 I need an ombudsman

by Megan Benner Senecal

THE UNIVERSITY OF TOLEDO clinical trial with either risankizumab MEDICAL CENTER is one of the first or lenzilumab, which are monoclonal sites in the country to enroll patients antibodies directed at different parts in a National Institutes of Health of the inflammatory response that study aimed at identifying promis- are being investigated as potential ing COVID-19 treatments worthy of treatments for COVID-19.

Both experimental drugs in the larger, more in-depth clinical trials.

The proof-of-concept study is study will be paired with remdesivir, intended to quickly screen out in- which has shown benefit to patients effective experimental treatments with severe COVID-19 infections.

Monoclonal antibodies are labwhile rapidly advancing deployment of therapeutics that show significant made proteins based on the natural benefit to hospitalized COVID-19 antibodies our immune system produces to fight off disease. Risankipatients. zumab was approved in “This is a very import2019 for the treatment of ant project,” said Dr. Misevere plaque psoriasis. chael Ellis, an infectious Lenzilumab is in late-stage disease specialist and chief development as a treatment medical officer at UTMC. for leukemia.

“Right now, we have two “As we treat COVID, our primary treatments for objectives are to stay safe, COVID-19, the antiviral provide state-of-the-art drug remdesivir and the care, and participate in the steroid dexamethasone, public health response,” but we critically need adMichael Ellis, MD Ellis said. “In this study, ditional therapeutics. The we’re participating in a way purpose of this study is to quickly identify agents that could beyond just Toledo.”

The Phase 2, adaptive, randomized, have a big impact in keeping patients double-blind, placebo-controlled off a ventilator, getting them out of trial will examine both the safety the hospital sooner, and reducing and efficacy of the monoclonal fatal infections.”

The trial will enroll patients hospi- antibodies compared to remdesivir talized with COVID-19 who require alone.

Up to 40 U.S. sites will be involved oxygen or mechanical ventilation and consent to participate. In the in the study. Currently, UTMC is initial portion of the trial, UTMC will one of nine facilities recruiting parbe treating patients selected for the ticipants. ❦ Creativity - continued from p9 for good reason. In addition to reducing stress and triggering the release of endorphins (neurotransmitters that help relieve pain and promote a sense of well-being), exercise really helps to free the mind of those distracting thoughts that interfere with creativity. n

5) Don’t be persuaded by past performance When tackling a project at work, it’s easy to let the outcome of your

10 February 2021 | Healthy Living News

last project—whether good or bad— affect your current performance.

Nagging doubts like, “How can I possibly top what I did for that last client?” or “What if I make another mistake?” can really slow forward momentum or bring it to a screeching halt. Treat each project like a clean slate. Trust that bringing all your skills and creativity to the table will yield good results.

6) Get a second opinion Talking over the problem or

MRS. JONES HAS LIVED IN HER ASSISTED-LIVING APARTMENT for some time now. She moved in during the pandemic, so things thus far have been an altogether atypical experience. Last month, we discussed how Mrs. Jones relies on the facility staff for care and support when her family can’t visit.

Similarly, we discussed that in many cases, staff members find the same fulfillment with the interpersonal relationships they build with facility residents. However, like any relationship, there are always a few struggles.

Recently, Mrs. Jones has been having some difficulty. Mrs. Jones is concerned that during the evenings and weekends at her facility there isn’t enough staff. The help that Mrs. Jones typically receives from the aides has been decreasing—call light wait times are longer, some care needs aren’t being met, and when her meals are delivered, they are cold. After a few weeks of this, Mrs. Jones was frustrated enough to call her daughter.

Her daughter called the Ombudsman. Our intake staff member listened to the concerns and wrote up a case.

The next step that Ombudsmen take is to reach out to the resident and gain project with others—e.g., in brainstorming sessions with coworkers—or researching how others have solved a particular problem can often jumpstart creativity. Of course, you don’t want to steal other people’s ideas, but you can certainly use them as inspiration— even if you think the idea or solution is wrong. It may seem counterintuitive, but hearing ideas you don’t necessarily agree with is a great way to get your mind working on a fresh, creative solution to a problem.

consent to advocate on the resident’s behalf. This is a very important piece of Ombudsman work. As resident advocates, it is important that we give residents the chance to discuss with us directly their concerns, their goals, and their needs. If when we speak to the resident they aren’t able to understand the role of the Ombudsman advocate, due to cognitive loss or some other issue, the next step for the Ombudsman is to seek consent from the resident’s decision maker.

In this instance, Mrs. Jones understood the Ombudsman role and gave the Ombudsman consent to assist her with her concerns.

It is important to understand this step when you seek out an Ombudsman.

While some family members may be frustrated, it is our job to make sure that the resident has a voice and choice, even if they decide they don’t want our help at this time.

Since Mrs. Jones is providing consent for the Ombudsman to work with her, the Ombudsman and Mrs. Jones develop goals and plans for next steps.

The next steps can take many forms, depending on the goals of the case.

Please continue to call our office at 419-259-2891 with your concerns or questions so that we may assist you in obtaining quality care for long-term-care residents.

Megan Benner Senecal is a member of the Ombudsman Office. ❦ 7) Know when to cut your losses Sometimes, in spite of our best efforts, creativity still proves elusive.

In these instances, it’s usually best to give your mind a break. Rather than forge ahead stubbornly with inferior results, put the project or problem aside for a short time and attend to other tasks that require less mental effort. Come back to the problem after you’ve had a chance to rest (and maybe even get a good night’s sleep), and creative solutions should come to mind more easily. ❦

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No greater gift: organ and tissue donation On the road, your best offense is a good defense SAFE DRIVING isn’t a matter of luck. The safest drivers on the road are those who adopt a defensive approach every time they get behind the wheel. Defensive drivers always expect the unexpected and know how to adjust their driving habits in order to minimize the likelihood of accidents, thereby making the road a safer place for everyone. Here is a sampling of their safe-driving secrets: Plan your escape As a defensive driver, you should be constantly thinking of ways to maneuver your vehicle in case you need to avoid a hazard or potential accident. By continuously monitoring the road and the location of other vehicles relative to yours, you can identify the safest escape route in any hazardous situation—such as the vehicle in front of you coming to a quick stop or an oncoming vehicle swerving across the median—and be poised to take action immediately. If no escape route is readily available, it’s vital to slow down and allow more space between your vehicle and others on the road.

Broaden your horizons It’s easy to get fixated on the bumper of the vehicle in front of you, especially after you’ve been driving for an extended period, but regularly scanning the road a few hundred yards ahead as well as directly in front of you will reveal many potential hazards before they develop and allow you sufficient time to react or plan a defensive maneuver. For instance, if you spot that deer standing on the shoulder of the highway ahead of time, you can anticipate that its next action might be to jump in front of your vehicle.

Back off Rear-end collisions account for a significant percentage of vehicle accidents. Avoiding this common collision is often a simple matter of maintaining a safe following distance.

Allow at least three seconds between your vehicle and the vehicle in front

of you when driving conditions are ideal. Your following interval should be increased to eight to ten seconds when roads are wet or slippery.

To determine the safe-following interval, wait for the car ahead of you to pass a fixed object on the road, such as a sign or overpass, and begin counting. If the front of your vehicle reaches the fixed object before you count “one thousand and three” (or “one thousand and eight” in poor weather), you’ll need to increase your following distance.

Keep right, pass left Frequent and/or abrupt lane changing significantly increases your odds of a collision. When driving on expressways, stay in the right lane and reserve the left lane for passing only. When changing lanes, always use your turn signal and check for vehicles in your blind spot by quickly glancing over your shoulder before beginning your lane shift. Many newer vehicles are equipped with a blind spot monitoring system, which helps to reduce the risk when changing lanes in traffic.

Lose the distractions You lower your defenses any time you decide to text or chat on your cell phone, take a bite of that fast-food hamburger, sip coffee, fiddle with the car stereo, or succumb to any other distraction while driving. Keep your full attention on the task of driving at all times, and reserve these and any other distracting activities for a rest stop, parking lot, or your driveway.

Don’t take bad driving personally Getting tailgated or cut off in traffic can certainly be aggravating, and you may want to give that selfish driver a piece of your mind.

But losing your cool will just put you and others at risk. Treat rude or aggressive driving just as you would any other unexpected hazard encountered on the road: Stay in defensive mode and take the first opportunity to maneuver safely away from the situation. ❦

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WITH THE COVID-19 PANDEMIC continuing to dominate the headlines, it’s easy to forget that other serious healthcare challenges continue unabated. Among these is the profound disparity between supply and demand when it comes to organ and tissue donation.

According to the US Health Resources & Services Administration (HRSA), there are currently 109,000 people on the national transplant waiting list, including individuals of every age, ethnicity, and gender, with another name being added to the list every nine minutes. Tragically, the

organ donation may also play a role in impeding people’s willingness to register as donors. The HRSA helps dispel these misconceptions with the following facts (source: organdonor.gov):

actual number of organ transplants performed each year falls far short of the demand. In fact, in 2019, only 39,718 transplants were performed.

To put this disparity in stark perspective, consider that every day in the United States, approximately 17 people die while waiting for a lifesaving organ donation.

Several factors contribute to the shortfall in organ donations. One major factor is simply that too few individuals who support organ donation actually take the step to register themselves as donors. The 2019 National Survey of Organ Donation Attitudes and Practices revealed that 90 percent of adults in the US support the practice of organ donation, yet only 50 percent of these individuals are signed up as donors. Combine that with the reality that only about three in every thousand people die in a way that allows for organ donation, and it’s easy to understand why many people who desperately need an organ transplant languish on the waiting list.

Several persistent myths about

Fact: There’s no age limit to organ donation. To date, the oldest donor in the US was age 93. What matters is the health and condition of your organs when you die.

Myth: I have a medical condition, so I can’t be a donor.

Fact: Anyone, regardless of age or medical history, can sign up to be a donor. The transplant team will determine at an individual’s time of death whether donation is possible.

Even with an illness, you may be able to donate your organs or tissues.

Myth: I’m too old to be a donor.

Myth: I don’t think my religion supports organ donation.

Fact: Most major religions in the United States support donation and consider donation as the final act of love and generosity toward others.

Myth: If they see I’m a donor at the hospital, they won’t try to save my life.

Fact: When you are sick or injured and admitted to a hospital, the one and only priority is to save your life.

Period. Donation doesn’t become a possibility until all lifesaving methods have failed.

Myth: Rich or famous people on the waiting list get organs faster.

Fact: A national computer system matches donated organs to recipients. The factors used in matching include blood type, time spent n Greater gift - continued on p21

Healthy Living News | February 2021 11

A WALK IN THE PARK One of the many advantages of camping is that you may find a long stretch of beach to have all to yourself. cause of the water-front location, the manatees, the boat tours into the mangrove estuary, plus the ga-

Canyon Village is close to Yellowstone attractions such as the Lower Falls. If you have the time and energy, take the Red Rock Trail down into the canyon.

Where should we camp?

by LeMoyne Mercer SHIRLEY AND I HAVE BEEN campers since 1975, first in tents and then an RV. Our favorite places to visit have always been the national parks because they are such splendid repositories of magnificent scenery, wildlife, and historical and cultural significance.

Still, our camping is not limited to the national parks because there

is a wide range of other attractive options. Even in the national parks, some places are more desirable than others. Sometimes you learn where to camp by first learning where not to camp.

On our first visit to Everglades National Park, for example, we took a site at Flamingo Campground, right on Florida Bay. We chose Flamingo at the far end of the park road be-

been popular—even when only the Victorian “leisure class” had the time and resources to visit them. Now the parks are available to virtually all Americans and busloads of people from other countries. “Available” does not mean “easy to get into.” When we went to Yellowstone for the first time in 1985, there was a long line of campers at Grant Village. By getting in line early, I managed to get the very last site. In those days I was not aware that “early” means be there at 6:00 for the 8:30 opening.

The national parks now offer reservations, but this, too, is something I failed to understand. Reservable sites get booked as soon as they become available, but there are non-reservable sites whose status you have no way of checking. The reservations website or phone staff may say the campground is full, but that only means all the reservable sites are taken. They have no way of tracking the status of the non-reservable possibilities at the same campground that may be half of the total.

Seeing some manatees was nice but didn’t compensate for losing a quart of blood to the ‘skeeters. tors, roseate spoonbills, ibises both white and glossy, and huge flocks of various herons and egrets. But the population of mosquitoes drove us to Long Pine Key Campground where our experience turned out to be superior in every way. But you would not have guessed that from studying the park map. Besides, we have never read any park literature that said “Don’t come here.”

The national parks have always

There are worse things than being forced to camp at Mammoth Hot Springs because all the reservable sites are taken.

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On our way to Alaska, we paused for a week at Yellowstone. Both the website and Steve on the phone said there were no sites at Canyon Village—highly desirable because of its central location. So we headed to Mammoth Campground in the northwest corner of the park because it is first-come-first-served. Just in case someone had canceled, we pulled into Canyon Village anyway. A nice volunteer from Shaker Heights said, “Oh, we have lots of sites.” Steve wasn’t lying, he just had no way of knowing.

But at least he might have said that.

From Yellowstone we continued to Alaska with stops at the Canadian national parks in the Rockies (Kootenay, Banff, and Jasper) on our way

Lake Louise in Canada’s Banff National Park is evidence that the Rockies just get better and better the farther north you go. to Mile 0 of the Alaska Highway at Dawson Creek, British Columbia. It is only another 1,387 miles to Delta Junction, AK. Along the AK Highway in Canada, we stayed at a number of provincial parks that ranged from quite primitive to almost civilized.

None of them required reservations, and not one was full. But the most popular “campground” in all of the Yukon was undoubtedly the parking lot of the Walmart in Whitehorse.

Since then, permission to overnight at that particular Walmart has been suspended—probably because it was full of campers who left little room for regular customers.

In Alaska, we had reservations at Denali NP for a week because we had planned well in advance for the trip of a lifetime. You already know that Alaskan scenery and wildlife are simply amazing. As campers we had the luxury of waiting three days for Mt. Denali to emerge from its self-generated cloud bank. Tour groups visiting for only a day have

We had the luxury of waiting three days for a clear day to visit Mt. Denali. It is wrapped in clouds about 70% of the time. about a 30% chance of seeing one of the most awe-inspiring attractions on their entire trip.

The 92-mile ride on a big green bus to see the mountain was an adventure in itself. Bears, both black and grizzly,

Grizzly bears in Alaska were so common that Shirley started saying, “Poo! He’s just a little one.” moose, Dall sheep, foxes, marmots, eagles. So many caribou that the driver said we were not stopping for

pulled into the park just in case there was a cancellation or a non-reservable site. The park staff laughed. Even so, from the highway and the adjoining state park, we could see Denali way over there on the horizon. I’m pretty sure, anyway, that white blip was Denali.

A key thing we had learned on our first trip to Alaska is that reservations are rarely necessary. (Mt. Denali is an exception because it is so far off the highway.) In Alaska, the highways themselves can be your campgrounds.

That is, there are numerous long, wide pullouts where you are free to spend the night. (The Canadians, in contrast, highly discourage this Wild West behavior by crazy Americans.)

Some of our very best memories are of nights right at Matanuska Glacier, within feet of Horsetail Falls, and just downstream from Exit Glacier in Kenai Fjords NP. At Exit, we stopped along the river and watched a moose cross as we celebrated cocktail hour.

Later we were joined for the night by 13 other RVs. We used actual campgrounds, though, at places like the Homer Spit five miles out in Katchemak Bay, on Prince William Sound at Seward, on Turnagain Arm at Hope, and at Anchor Point notable as the farthest

west in the US you can get on a paved road. The real attraction on the Point, though, is the number of eagles that come to feast on salmon.

Several perched right over our heads at the campsite.

In the Lower 48, the closest thing to Alaska-style camping anywhere you want is called boondocking—camping without a campground. (During Covid, boondocking is the ultimate in social distancing.) If you have a self-contained RV, there are tens of thousands of potential free camping options throughout the West. A quick

In most national forests there are clearings just off the gravel road where you are free to camp—or camp for free as the case may be. n

A Walk in the Park - continued on p14

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At Anchor Point, the eagles came to perch directly over our campsite. any more pictures unless they were actually blocking the road. Which they promptly did.

When we decided to repeat that “once-in-a-lifetime” experience, it was already too late to get reservations at Denali. Still, as at Yellowstone, we

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Healthy Living News | February 2021 13 1/20/21 11:33 AM

hour away. In the morning, we can be at Gros Ventre Campground just as campers are vacating sites.

Another form of boondocking is to park at businesses that allow RVers to spend the night. Our favorites are Cracker Barrels and Walmarts.

Staying right off the interstate is really convenient. Feel like stopping early? There’s a Walmart or Cracker Barrel at the next exit. Feel like continuing for another hour or two? Same rule applies. Cabela’s, Bass Pro, and Camping World will sometimes allow overnight stays in their huge lots. In some states, you can overnight in rest areas.

But how do you know where it is both permitted and safe? Not all Walmarts are created equal. Some are in questionable areas; others have small, busy parking lots that slope steeply. Shirley and I use the phone apps Campendium (free) and All Stays ($10 but good forever). They list all the federal lands, state parks, city/county parks, military parks, and independent campgrounds as well as RV-friendly businesses. Both apps have candid user reviews with prices and descriptions of amenities.

We find the apps especially helpful when the weather suggests that we might want to pay for electric hookups

A Walk in the Park - continued from p13 glance at your atlas will reveal that almost all the western national parks are ringed by national forests and Bureau of Land Management property where both boondocking and actual campgrounds are available. This is especially handy when the nearby national park is full because you arrived too late in the day as happened at Zion. The ranger at the gate said, if we didn’t mind camping for free, we could just park along the Virgin River.

Our standard practice when visiting the Tetons is to spend the night before at Warren Bridge, a BLM site about an n

The campgrounds at Zion were full, but the ranger said we could just go back a couple miles and park along the Virgin River.

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Meriwether Lewis Campground on the Natchez Trace is operated by the National Park Service. There are also COE, national forest, and state park campgrounds.

Forrest Gump gave up his cross-country run at Monument Valley. He may have been daunted by the thought of climbing that hill in 104-degree heat.

Organ Pipe Cactus National Monument, right on the Mexican border, was recommended by fellow RVers in 2012. We were a little skeptical at first, but it has become our primary winter destination ever since.

EXPERIENCE.

2001 Perrysburg Holland Road Holland, Ohio 43528

in order to run the RV air conditioner.

At Monument Valley, for example, it was 104. One of us tends to get grouchy when it is over 90. Or even 70. Power for the AC may not have saved our lives, but it probably saved our marriage. Temporarily anyway.

Our first choice when we need hookups is a Corps of Engineers campground. They are universally

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well designed and have features we appreciate: pull-through and back-in sites that are level and easy to get into; well-maintained rest rooms and showers; coin laundries. Because the COE builds and operates flood-control dams, their campgrounds are usually at attractive lake-front locations.

At COE and more than 2,000 other federal recreation areas, we are glad to have the Senior Pass, formerly called America the Beautiful Pass.

Our beloved geezer pass provides free access plus 50% off camping fees if you are 62 or older for the rest of your life for only $80. After the entrance fee at just one park and a couple nights camping, the pass has paid for itself.

Everything after that is gravy. We are still dabbing the gravy off our chins.

Do a web search for national parks senior pass while you are still young enough to enjoy being a senior. Eventually you will accept the fact that you are the same age as old people.

If you are not yet a senior, $80 will buy an annual pass with similar benefits. So, how much would you be willing to pay to get your family into Yellowstone and get half-price camping? Entry for seven days is $35 per vehicle, and nightly camping fees are $15 to $32. Do the math.

When we had a young family, our vacations included a couple dozen national parks from Acadia to Zion.

There are also ways to save on state parks where your federal pass is not accepted. Texas and New Mexico, for example, have passes that provide steep discounts on entry fees and camping. Before your next trip, a web search can tell if the states you are headed to have discount programs.

Shirley and I prefer the kinds of campgrounds mentioned above because we enjoy scenic wonders, wildlife, hiking, fly fishing, and peaceful solitude. These are not priorities for everyone. Many families look for commercial campgrounds that have swimming pools, free Wi-fi, recreation halls, and playgrounds for the kids.

Luxury RV resorts cater to people who insist on a plethora of amenities and a stimulating social life. There are RV clubs that sponsor caravan tours so members can stay at prebooked sites every night and enjoy the company of fellow RVers going to the same place. Just because we do not choose these options doesn’t mean they might not be right for you.

Bottom line: I can’t tell you where you should camp, only that there is a far wider range of options than you may be aware of. Finding out what fits your preferences can make camping just a walk in the park.

LeMoyne Mercer is the travel editor for Healthy Living News. There is limited space here for LeMoyne’s photos. You might want to see more at anotherwalkinthepark.blogspot.com.

Please leave comments on the site. ❦

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Financial wellness— how do you score?

IF YOU DO a Google search for financial wellness, you will find many definitions or explanations. Financial wellness doesn’t have just one meaning because it means something different to each person. Financial wellness is a broad term that encompasses these key areas: • Taking control of your money before it controls you • Determining how safe your money is • Planning what to do with your money.

How you interact with your money determines how financially “well” or “sick” you are. Since the start of the COVID-19 pandemic, we’ve noticed that financial wellness has moved to one of the top concerns for many people, especially those unprepared for short-term cash needs. This period has allowed us to assess what we did wrong financially and what we have done right—both of which affect our financial well-being.

Regardless of the relationship you have with your money, there are three things to remember: 1. Financial wellness allows you to live the life you’ve earned—literally. When you manage your money well, you can have shelter, food, and clothing and participate in the broader economy you have helped create.

2. Financial wellness prepares you for future short-term and long-term expenses and emergencies that may arise.

Part of being prepared is where you keep your money.

Is it accessible and safe?

3. Financial wellness requires planning how you want your money to fund your future goals. A new car, a home, and the ability to retire on your terms are all possible. Setting goals is part of acquiring money, saving it, planning what you want to use it for, and spending your money when appropriate to your plan.

The Consumer Financial Protection Bureau (CFPB) is a US government agency that makes sure banks, lenders, and other financial companies treat you fairly. The CFPB financial well-being survey is an excellent place to start to check your financial wellness and see how you compare to other Americans. The website additionally provides resources to help you improve your financial health. The well-being survey can be found at: https:// w w w. c o n s u m e rfinance. gov/consumer-tools/financial-well-being/.

Financial well-being means having financial security and financial freedom to make choices. When it comes to financial wellness, two people with the same income can have differing financial wellness depending on their preferences or lack of a plan. After completing the CFPB survey, if you have questions about improving your financial well-being or retirement goal setting, give the Citizen Advisory Group office a call at 419-872-0204 for a complimentary consultation.

Citizen Advisor y Group is a comprehensive financial services firm that helps Northwest Ohio and Southeast Michigan’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 Advisory Alpha, LLC, a Registered Investment Advisor. Insurance, Consulting, and Education services offered through Citizen Advisory Group. Citizen Advisory Group is a separate and unaffiliated entity from Advisory Alpha. ❦

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How to apply for your newborn’s social security number

by Erin Thompson GETTING YOUR NEWBORN a Social Security number is important for their future. If your child is born in a hospital, the easiest way to apply for a Social Security number is right at the hospital. When you give information for your child’s birth certificate at the hospital, you’ll be asked whether you want to apply for a Social Security number for your child. If you say “yes,” you will be asked to provide both parents’ Social Security numbers, if you can. Even if you don’t know both parents’ Social Security numbers, you can still apply for a number for your child.

There are many reasons why your child should have a Social Security number. You need a Social Security number to claim your child as a dependent on your income tax return. Your child may also need a number if you plan to do the following for your child: • Open a bank account • Buy savings bonds • Get medical coverage • Apply for government services.

You can find more information by reading Social Security Numbers for Children at www.ssa.gov/pubs/EN-05-10023.pdf. Please share this information with people who are expecting a child. Applying for a Social Security number at the hospital will save them time and let them focus on the new member of their family.

Erin Thompson is the Social Security Public Affairs Specialist in Toledo, Ohio. ❦

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Healthy Living News | February 2021 15

The correlation between diabetes and hearing loss

by Dianna Randolph, AuD, CCC-A DIABETES IS A CHRONIC DISEASE that affects about 30 million Americans. When one thinks of diabetes, the impact it has on other organs such as the kidneys, heart, eyes, and nervous system comes to mind first, and physicians tend to concentrate on these organs when treating diabetes. But recent studies have shown that people with type 1 or type 2 diabetes are twice as likely to develop hearing loss.

Recently, the correlation between diabetes and hearing loss has become so prevalent that the American Diabetes Association (ADA) has recognized hearing loss as a side effect of diabetes and added audiology/hearing testing to its list of recommended referrals for initial diabetes care management.

What is diabetes?

Diabetes affects the insulin levels in your blood. Insulin is a hormone produced in the pancreas that regulates the amount of glucose in the blood.

Diabetes inhibits the body’s ability to produce and/or manage insulin appropriately, causing glucose to build up in the bloodstream instead of feeding hungry cells.

There are two types of diabetes: type 1 and type 2. People with type I diabetes are unable to produce the insulin required to move glucose into cells due to an autoimmune response in which the body attacks the beta cells that produce the hormone. This type can develop very quickly over the course of weeks and is sometimes called juvenile diabetes.

People diagnosed with type 2 diabetes can produce their own insulin; however, the quantity may not be sufficient or effective enough to move glucose into the cells. Many people with type 2 diabetes will not have symptoms for many years, and their symptoms often develop slowly over the course of time. Some people with type 2 diabetes have no symptoms at all and do not discover they have the condition until complications arise.

Type 2 diabetes is usually diagnosed

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later in life.

Diabetes is the leading cause of blindness, kidney failure, amputations, heart failure, and stroke. Symptoms of diabetes include frequent urination, increased thirst and/or hunger, sleepiness, weight loss, blurred vision, difficulty in concentrating, and slow healing of infections (Healthy Hearing Nov 12, 2018).

How does diabetes affect hearing?

As mentioned earlier, people with diabetes are twice as likely to develop hearing loss compared to people without diabetes. In a 2008 study conducted by the National Institutes of Health (NIH), diabetic participants were found to be more than twice as likely to have mild to moderate hearing loss than those without the disease.

The occurrence of high-frequency hearing loss was more prevalent in diabetics (54%) than in non-diabetics (32%). An additional study published in the Journal of Clinical Endocrinology & Metabolism in 2012 supported NIH’s previous findings.

This study, which analyzed results from 13 studies involving more than 20,000 participants, concluded that diabetics were more likely to have hearing loss than those without the disease, regardless of their age.

(Healthy Hearing Nov 12, 2018) The question is, why? How does diabetes impact the auditory system?

Research suggests that chronic hypoglycemia can cause hearing loss.

This occurs due to auditory nerve damage. When exposed to elevated blood glucose levels over time, these nerves experience fiber loss and central auditory pathway demyelination and degeneration. Extended periods of hyperglycemia can also cause microangiopathy. This is a disease of the small blood vessels that causes the very tiny vessels in the inner ear to break and the vessels of the cochlea to thicken, making blood flow to that part of the ear difficult (AADEIn-Practice Sept 2014). This damage to the auditory system over time will cause permanent hearing loss.

How can you protect your hearing if you have diabetes?

If you have diabetes, it is especially important to protect your hearing.

Start by decreasing your exposure to excessive noise. The wearing of hearing protection is important and will decrease your exposure to noise.

Decrease the volume on your headphones, television, and car stereo.

Wear hearing protection (ear plugs to earmuffs) when you are around firearms, fireworks, power tools, motorcycles, and ATVs. Another way to protect your hearing if you have diabetes is exercise. Exercise will increase blood flow and circulation, but always discuss any type of exercise with your physician before starting.

Finally, maintain an appropriate weight. Excessive weight makes it more difficult for your heart to pump blood effectively to all parts of your body, including your ears.

As you would schedule yearly assessments for your kidneys and eyes, you should do the same for your hearing. As reported previously in this article, The American Diabetes Association has included audiology as part of the standard of care. It is important to schedule an appointment with an audiologist to establish a baseline and to treat any hearing loss that may have already occurred.

At Northwest Ohio Hearing Clinic, we will perform a diagnostic audiological evaluation, which includes a hearing assessment, middle ear function testing, speech understanding testing in quiet and noise, and, if needed, cochlear hair cell function.

With this information, we can give you recommendations to preserve the hearing you have or correct the hearing loss that has already occurred.

Waiting to treat any hearing loss that has already occurred will make it harder to treat in the future. Do not think that your hearing is “not bad enough” for amplification. Treating hearing loss sooner rather than later only improves your quality of life. If you or someone you know has diabetes, please call our office and schedule an appointment for an evaluation.

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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Healthy Living News | February 2021 17 11/16/20 4:02 PM

The village movement Part 2 of 2

by Daniel J. Jachimiak, BA FOR EVERY RETIREE that packs up and moves to FlorDaniel J. Jachimiak ida, Arizona, or some other warm-weather spot, another four or five prefer to stay right where they are. But as they grow older, many people find themselves needing more help, whether it’s a referral to someone who can fix a leaky toilet, a ride to the doctor, or simply a few friends to keep them company.

A group called the Village to Village Network is hoping to create a way for older Americans to age not just in place but in a community.

Individual villages may share ideas and experiences through the Village to Village (VtV) Network. VtV was

established in 2010 by Beacon Hill Village and Capital Impact in response to requests from a number of villages.

At the end of 2014, Capital Impact withdrew from the partnership, and in March of 2015, the organization, formally organized as a limited liability company, and was converted to a corporation named Village to Village Network, Inc. It serves as a clearinghouse for inter-village communications and provides information to help communities establish and operate their own villages. It further organizes an annual meeting, the National Village Gathering, at which local village officers and staffers may meet those from other villages to share information and experiences.

So, how do we start a village?

• Gather a core group of likeminded people who are willing to work; it’s not something one person can do. This core group is likely to end up forming the initial board of directors as well as doing all the initial marketing and organizing.

• Get information from the VtV Network. The network provides a Village 101 Toolkit, some of which is free and the rest of which requires paying to

join the network. You can also reach out to other villages near you to learn more about what has worked best for them.

• Find out what services already exist in your community. There is no point in reinventing the wheel. If your town already provides free exercise classes, for example, your village may not need to organize those. In addition to using the information on available services to find out where the holes are, create a database of existing services you can share with your members.

• Call organizational meetings to gauge the interest in your community and to find out what services and activities people would find useful, as well as to spread the word and recruit volunteers.

• Find out what talent already exists in your organizing group.

Once you know what tools are at your disposal, you’ll have a better idea of what talent you’ll need to recruit or pay for. The group will need legal expertise, as well as expertise in accounting, marketing, and

other fields.

• Decide what services will be provided and who will provide them. Most villages have members who drive other members to doctors’ offices and stores. Villages typically provide referrals to home repair people and home healthcare services, and many organize classes, lectures, and day trips.

• Create a pool of service providers and negotiate discounts. A village is unlikely to provide home healthcare aides, but sharing information on where to find a good aide or discounts on the services is likely to be valued.

• Create a nonprofit and write a business plan. Villages typically cover 50% of their costs via membership dues and do fundraising or seek grants for the rest.

• And, finally, spread the word.

Recruit members by sharing information about the services and socializing the village will offer. n

Village movement - continued on p29

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2:48 PM

How to eat healthier when dining out

Ban the buffet If you’re looking to get the most bang for your food buck, all-youcan-eat buffets are a great option.

They’re also a nutritional nightmare for that very same reason. The more food that’s put in front of you, the more you’re going to eat. It’s a natural temptation to eat your money’s worth and more when there are no limits.

Get fast food to go Taking fast food home rather than consuming it in the venue’s dining room is a better choice for several reasons. One, you can’t run back up to the counter because you have a hankering for another order of fries or a chocolate shake. Two, studies indicate that people tend to eat less when dining at their own table. Three, you have the option of forgetting about the fries and substituting healthier

Support nutrition-conscious venues Some fast-food chains are beginning to offer healthier alternatives, such as low-fat milk and apple slices in kids’ meals instead of soda and French fries. Parents should vote their approval of such measures by spending their dollars at nutrition-conscious venues.

Ask for a box at the beginning of the meal Before heading out for a sit-down meal, remind yourself that portion sizes in most restaurants contain the caloric equivalent of two to three meals. When you order, ask your server to bring a box or doggie bag

with your food. Before you begin to eat, divide the portion in half, setting aside one half for tomorrow’s lunch or dinner.

Order smaller portions Alternatively, ask your server if the restaurant offers half sizes or if they offer lunch-size portions at dinnertime. If neither option is available and it’s impractical to take a portion of your meal home (e.g., because you’re traveling), leave a portion of the meal—at least one third—on your plate.

Look to the light menu Some restaurants make it easy to find the healthiest choices they offer by listing them and their nutrition information on a light menu. Order from this menu whenever possible.

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If a light menu isn’t offered, choose foods that are baked, steamed, broiled, poached, or roasted rather than fried.

Try to steer kids away from fried chicken tenders, fingers, or nuggets and toward offerings like baked chicken with vegetables. Also, when it comes to kids’ meal options, keep in mind that spaghetti with tomato sauce is a more nutritious option than macaroni and cheese.

Be suspicious of sauces and salads Many restaurants offer what appear to be healthy vegetables and salads, but when you order them, it turns out that the veggies are drenched in a heavy sauce and the salads are swimming in high-calorie dressing and/or laden with cheese, meat, and croutons. Before ordering seemingly healthy items, be sure to ask how they are prepared, and don’t be afraid to special order items the way you want them cooked. Simply substituting low-calorie dressing for regular can make a big difference in your total caloric intake. Or, ask your server to bring sauces and salad dressings on the side so you can control how much goes on your food. ❦

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Skip the soda Regular soda pop and other sugar-sweetened beverages are just loaded with empty calories, and it’s easy to overdo it with refills while you’re waiting for your meal to arrive. For a lower-calorie alternative you might choose diet soda, but plain old water (perhaps flavored with a slice of lemon) is a much healthier—not to mention much cheaper—option.

sides from your own fridge, such as fresh fruits and vegetables.

Zep fC en

RESTAURANT DINING—both in fastfood and sit-down venues—poses seemingly insurmountable obstacles to healthy eating. Portion sizes are absurdly overlarge. “Hidden calories” make the actual caloric content of menu items difficult to gauge. Even foods that are supposed to be good for us, such as vegetables and salads, are often brought to the table drenched in high-calorie or high-fat sauces or dressings. And if you’re trying to keep kids on the nutritional straight and narrow while dining out, well, you’ve definitely got your work cut out for you!

Considering the challenges, it might seem as if the only option is to throw up your hands and accept the fact that overindulgence is an unavoidable part of the restaurant-dining experience. But, believe it or not, it is possible to enjoy restaurant food without totally compromising nutrition. Here are some practical tips that will help you and your family eat healthier when dining out:

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Healthy Living News | February 2021 19

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SMART changes for the new year and beyond destination of your journey.

Measurable allows you to track progress along the way. Seeing that HOW MANY PEOPLE out there made a New Year’s resolution? How many the plan is working helps maintain motivation. of you have so far kept it?

Achievable keeps you If you are like most people from setting yourself up who make resolutions, the for failure and disappointanswer is that you probably ment. Balance this with the have not. It is estimated challenge and risk of failure that by the beginning of that make the overall effort February, 80% of people worthwhile. who have made resolutions Realistic urges you to fail, and only 8% of people look within. Go beyond keep them all year.1 If you your limits, but know the made one and have not difference between what kept it, the good news is you are going to do and that this puts you in the what sounds nice. majority. The not so good Time-based adds presnews, of course, is that you Tom Duvall, LISW-S sure—think of the push likely made a resolution to better yourself or your life in some from a deadline in work or school. way and that positive change is not A goal goes from “someday” to “this day.” For a New Year’s resolution, this happening.

There are a multitude of reasons may be the end of the year, it may be why people fail to keep New Year’s mid-year and then maintenance for resolutions. Diving into each one is the remainder, or it may be several beyond the scope of this article. The milestones set throughout.

Having a well-defined, SMART goal reasons for failure are unique to the is not a foolproof method of ensuring individual. What I want to focus on is one particular reason that I believe success for a new year’s resolution or for can be helpful to everyone and may anything you pursue. What it does do be the exact missing piece of the is set parameters to ensure you know exactly what it is you are trying to achieve resolution puzzle for some.

The top 10 most common New and when you have achieved it.

A great paradox of people is that Year’s resolutions are as follows: 1) Exercise more, 2) Lose weight, 3) we are amazingly adaptive but also Get organized, 4) Learn a new skill creatures of habit. Change is hard. The or hobby, 5) Live life to the fullest, 6) reasons people struggle to change are Save more money/spend less money, as varied and unique as the people 7) Quit smoking, 8) Spend more time themselves. Defining your aspiration with family and friends, 9) Travel for change into a SMART goal is one way to help you make lasting, permore, and 10) Read more.2 Notice a problem with any of manent change, not just in the new them? With the exception of “Quit year but throughout it and beyond.

Take some time to reflect on what it smoking,” none of these is particuis that makes change difficult for you larly well defined. There is no way personally.

Talk with someone you trust, to determine if the resolution is actually accomplished. What does “lose or with a therapist. Once you figure it weight” mean? A pound? 10 pounds? out, make a plan for how to resolve Live life to the fullest? What even is that—be SMART about it. The beginning that? There is no real direction, just of the year may have passed, but the aimless wandering with the hope of best time to start a change is right now. achieving…something.

Instead of vague, undefinable Tom Duvall, LISW-S, is a Licensed ideas, make your resolutions SMART: Independent Social Worker with The Specific, Measurable, Achievable, Re- Willow Center and can be reached at alistic, and Time-Based. This allows 419-720-5800. ❦ you to truly work toward your ideas 1. https://www.thetimestribune.com/news/local_news/ because you know exactly what it is tips-for-making-sure-your-new-years-resolutions-stick/artiyou are striving to attain. cle_8cd14b54-17fd-51a9-ab5a-89859e6e34c4.html#:~:texSpecific takes something from being t=Studies%20show%20that%20only%208,a%20lack%20 vague and generalized to pinpointing of%20self%2Ddiscipline.

2. https://www.goskills.com/Soft-Skills/Resources/ what completion looks like. It is the Top-10-new-years-resolutions

by Tom Duvall, LISW-S

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Q:

Is it true that hearing loss is prevalent in individuals with diabetes?

A:

Today, greater emphasis is being placed on hearing health. As audiologists, we encourage our patients to have their hearing checked annually. It is also important that we review the risks of hearing loss and diseases. Yes, it’s true that hearing loss is about twice as common in adults with type 2 diabetes (which accounts for 95% of all cases in the United States) compared to those who do not have diabetes.

Physicians often ask patients whether they have had their hearing checked routinely. Beyond refern

ring patients for hearing tests and encouraging treatment of hearing loss, it is important for doctors to inform them of the risks they run if they ignore hearing loss—dangers that include certain life-threatening comorbidities.

Physicians have another reason to recommend patients report their hearing loss: Researchers have discovered a higher rate of hearing loss in people with diabetes. Tests that measure participants’ ability to hear at the low, mid, and high frequencies in both ears indicate a link between diabetes and hearing loss at all frequencies, with a somewhat stronger association in the high-fren

Sound Advice - continued on p22

Greater gift - continued from p11

waiting, other important medical information, how sick the person is, and geographic location. Race, income, and celebrity are never considered.

Myth: My family won’t be able to have an open-casket funeral if I’m a donor.

Fact: An open-casket funeral is usually possible for organ, eye, and tissue donors. Through the entire donation process, the body is treated with care, respect, and dignity.

Myth: My family will have to pay for the donation.

Fact: There is no cost to donors or their families for organ or tissue donation.

Myth: Someone could take my organs and sell them.

Fact: Federal law prohibits buying and selling organs in the US. Violators can be punished with prison sentences and fines.

Myth: If I’m in a coma, they could take my organs.

Fact: The majority of deceased organ donors are patients who have been declared brain dead.

But brain death is not the same as coma. People can recover from comas but not from brain death.

Brain death is final.

Myth: People in the LGBT community can’t donate.

Fact: There is no policy or federal regulation that excludes a member of the LGBT community from donating organs. What matters in donating organs is the health of the organs.

In addition to learning these facts and sharing them with others, the best thing you can do to ensure no one is kept waiting for a lifesaving organ transplant is to sign up as a donor on your state’s registry. This can be accomplished in person at your local Ohio BMV location or online at bmv.ohio.gov (click on “Online Services” then on “Organ Donor ”).

Remember, your selfless act of organ donation can save as many as eight lives! ❦

Healthy Living News | February 2021 21

n

Sound Advice - continued from p21 quency range. Mild or worse hearing of low- or mid-frequency sounds was about 21 percent in 399 adults with diabetes compared to about 9 percent in 4,741 adults without. Mild or greater hearing impairment at high frequencies was 54 percent in those with diabetes compared to 32 percent in those without.

A more recent study reports similar findings. A large cohort study of over

their overall health.

Patients who have already been diagnosed with diabetes should be reminded that hearing loss is a potential complication and encourage them to have their hearing tested annually. The earlier hearing loss is diagnosed, the more effective treatment options, such as hearing aids, are likely to be.

This was a great question to ask!

As always, please feel free to contact

253,301 young and middle-aged men and women showed that diabetes mellitus was associated with the development of bilateral hearing loss, and that diabetes mellitus patients have a moderately increased risk of future hearing loss. The research team’s report concluded that screening for hearing loss would allow for early medical intervention that could improve hearing for adults with diabetes.

Evidence exists that diabetes may lead to sensorineural hearing loss.

Post-mortem studies of diabetic patients have shown evidence diabetes may lead to sensorineural hearing loss by damaging the nerves and blood vessels of the inner ear due to the pathologic changes associated with the condition. These include: • Sclerosis of the internal auditory artery • Thickened capillaries of the stria vascularis • Atrophy of the spiral ganglion • Demyelination of the eighth cranial nerve.

us at Northwest Ohio Hearing Clinic with any question or concerns.

Don’t let sneaky calories sabotage your weight-loss effort YOU’VE INCREASED YOUR INTAKE of fruits and veggies, foresworn high-fat foods, said “sayonara” to sweets, and added a three-mile brisk walk to your list of daily activities.

Still, you’re seeing no results on the scale—or, worse, you’re actually gaining pounds. What gives? Are you the victim of a slow metabolism? More likely, your weight-loss efforts are being sabotaged in some sneaky ways. Keep an eye out for the following: Portion distortion Weighing and measuring foods has become passé in recent years, but it’s important to do this for at least a week when you begin a healthy eating regimen in order to get an accurate sense of portion sizes. After all, even healthy foods can lead to weight gain if you eat them in oversized portions.

Take rice, for example. Brown rice may be healthier than white rice, but whatever its color, eating two cups of rice rather than the recommended serving size of one cup (prepared) will still add around 500 calories to your daily intake.

Death by a thousand strokes Just because you aren’t filling up a plate or bowl with food doesn’t necessarily mean you aren’t taking in a lot of extra calories. A sample here and a sip there may seem harmless, but do it often enough throughout the day, and those calories can really add up. Even your coffee creamer can make a difference (each two-tablespoon serving of half & half is worth 35 calories). Watch those incidental calories that can combine to equal extra pounds!

22 February 2021 | Healthy Living News

Falling for the fat-free fallacy Many food manufacturers responded to the low-fat craze by offering low-fat versions of their products. Trouble is, “low-fat” does not necessarily equal “low-calorie.”

Sugar is often added to low-fat foods so they still taste good to consumers.

So, if you’ve been munching on low-fat cookies and chips or dousing your salad with low-fat dressings, thinking they’re better for you than the original products, you might be unwittingly packing on the pounds.

Read those food labels carefully, or, better yet, choose snack foods that are naturally low in fat and calories, such as fruits and veggies.

Exercise and overindulge It’s a common misconception that exercising regularly makes it acceptable to eat more because any extra calories taken in will just be burned off. This notion has arisen because we tend to overestimate how many calories exercising actually burns. For instance, if you jog for 30 minutes, you might burn somewhere in the vicinity of 330 calories. While that is certainly a good thing, consider the fact that eating just one hefty handful of peanut M&Ms or a twin pack of Twinkies will completely negate that half hour of effort by replacing most or all of the calories you’ve burned.

Too few Zs We don’t tend to associate lack of sleep with weight gain, but there can be a connection between the two. When we’re hungry, we feel fatigued, and it’s easy for our brains to mistake fatigue from lack of sleep for a symptom of hunger. So, we try n Calories - continued on p30

It appears the damage is more common in patients with type 2 diabetes.

As audiologists, we inform our patients about the evident link between hearing loss and diabetes and inform patients who have not yet been diagnosed with diabetes that having their hearing tested is important beyond identifying the hearing loss itself—it could be an early indicator of the onset of diabetes or other cardiovascular conditions. We encourage them to report any suspected or known hearing loss for the sake of

Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327). ❦

Announcing Continuing Healthcare of Toledo (formerly Fairview Skilled Nursing & Rehab Center)

Continuing Healthcare Solutions is excited to be in your community!

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Delirium in senior loved ones OBSERVING THAT A SENIOR loved one is suddenly experiencing worsethan-usual mental confusion or disorientation can be alarming to family members. The most common concern when this symptom arises is that the individual must be developing dementia. However, this sudden shift in the person’s mental status more likely indicates that he or she has delirium—a very common condition among older adults.

Delirium vs. dementia Delirium and dementia can be superficially similar, but there are noteworthy differences between the two conditions—the most significant being the rate of onset. Whereas dementia typically begins with minor

symptoms and gradually worsens over months or years, delirium tends to develop suddenly, often over a matter of hours to days.

Another difference between the two states is that people with delirium typically have difficulty focusing or paying attention from the onset, while people with dementia are generally alert in the early stages of the disease. Also, the severity of delirium symptoms tends to fluctuate between mild and severe throughout the day, potentially including periods with no symptoms. People with dementia may also have better or worse times of day (e.g. “sundowning”), but they usually exhibit the same level of memory and cognitive function regardless of the time.

While these two conditions are distinct, it should be noted that, according the National Institutes of Health, delirium is a strong risk factor for dementia. In fact, research shows that delirium not only increases the risk of dementia but is also associated with worsening dementia severity.

Signs of delirium There are two general categories of delirium—hyperactive delirium, in which the individual becomes

overactive, and hypoactive delirium, in which the individual becomes underactive. Common symptoms of the former include agitation, restlessness, difficulty concentrating, anxiety, disorientation, rapidly changing emotions, and hallucinations. The latter might cause the individual to become drowsy, apathetic, withdrawn, unmotivated, and less responsive.

Hypoactive delirium is more common than the hyperactive form and, thus, more easily overlooked or mistaken for another problem such as depression.

Causes of delirium It’s important to understand that delirium is not a disease, but a symptom, and a wide variety of underlying factors can cause or contribute to this condition in older adults.

For example, as many family and professional caregivers can attest, older individuals with urinary tract infections, pneumonia, systemic infection, or other forms of infection often experience delirium.

In addition to infection, other potential causative/contributing factors include (but aren’t limited to): • Chronic or acute illness • Medication side effects • Hospitalization/ICU stays

• • • • • • • •

Long-term care residency Surgery Malnutrition Dehydration Lack of adequate sleep Vision or sight impairment Metabolic imbalances Alcohol/drug addiction or withdrawal.

Do people with delirium get better?

Episodes of delirium can resolve within a matter of hours to days, but they can also persist for weeks to months or even become a long-term issue. In any case, because the underlying cause can be a serious or even life-threatening condition, delirium requires prompt medical treatment.

Any time symptoms of delirium are observed, it’s vital to seek a doctor’s care or to alert hospital/care facility staff, who may not be as attuned to your loved one’s normal state of mind as you are. Once the underlying cause has been identified and addressed, your senior loved one can begin to heal and hopefully recover his or her prior level of cognitive function.

Furthermore, addressing known risk factors can help prevent episodes of delirium from occurring. ❦

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Healthy Living News | February 2021 23

Hope vs. despair

James D. Diethelm, MD Ryan Szenderski, PA-C

by Sister Mary Thill

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I DONâ&#x20AC;&#x2122;T KNOW ABOUT YOU, but Iâ&#x20AC;&#x2122;ve been struggling with the implications of what has been happening in our country and our world over the past four years and especially saddened about what happened to us as a nation on January 6th of this new year. The title of this article expresses where I stand on any given day of the week. As a vowed religious woman in the Catholic Church, as a Christian among other Christians, as a friend of the women and men in a Muslim/Christian dialogue group, I am very aware of the many differences we face in our country and I am overwhelmingly aware of the many ways we are the same. I can only hope and pray that all the newly elected leaders of our country will focus on our commonalities and be willing to dialogue with one another about the real significant differences.

As is my custom, I turn to leaders I respect because of their own struggles with lifeâ&#x20AC;&#x2122;s challenges and look to them for insight and wisdom as I try to be hopeful and true to who I am and what I have come to believe. I often learn that I need to change my mind about someone or something when I take the time to get to know the facts and the truth about a situation. Jumping to conclusions is an exercise Iâ&#x20AC;&#x2122;m quite good at and need to work on if I want to live peacefully interiorly and exteriorly.

As we move toward a better world and try to find different ways to deal with the pandemic and political challenges we face, I can only hope and pray that many of us will be willing to examine how and when we may need to change our attitudes toward so many of the institutions in society that donâ&#x20AC;&#x2122;t seem to reflect what it is we need now in this 21st century.

May I share with you, in light of what may yet happen this year and in the years to come, these thoughts from Leila Ahmed, quoted from A Border Passage, 1999. I think it expresses an important truth for this day and age.

Come. Hope is a state of mind, not of the world.

Hope, in this deep and powerful sense, is not the same as joy that things are going well, or willingness to invest in enter- prises that are obviously heading for success, but rather an ability to work for something because it is good, not because it stands for a chance to succeed. +Vaclav Havel The best way to dominate and gain control over people is to spread despair and discouragement, even under the guise of defending certain valuesâ&#x20AC;Ś Political life no longer has to do with healthy debates about long-term plans to improve peopleâ&#x20AC;&#x2122;s lives and to advance the common good, but only with slick marketing techniques primarily aimed at discrediting others. +Pope Francis, Brothers and Sisters All, 2020 For the truth is, I think that we are always plural.

Not either this or that.

And we always embody in our multiple shifting consciousness a convergence of traditions, cultures, histories coming together in this time and place and moving like rivers through us.

And I know now that the point is to look back with insight and without judgment, and I know now that it is of the nature of being in this placeâ&#x20AC;Ś that there will always be new ways to understand what we are living through, and that I will never come to a point of rest or of finality in my understanding.

As I continue to reflect on my dilemma between my sense of hope vs. despair, I find some peace with Leilaâ&#x20AC;&#x2122;s words. I hope you do too!

Sister Mary Thill is a Sylvania Franciscan Sister. She can be reached at mthill@sistersosf.org. â?Ś

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ACCORDING TO THE AMERICAN ACADEMY OF OPHTHALMOLOGY, age-related macular degeneration, or AMD, is the leading cause of vision loss in people age 50 and older. This common eye disorder develops when the macula—the part of the retina responsible for clear vision in your direct line of sight—gets damaged, potentially resulting in the loss of central vision in one or both eyes.

However, while AMD affects the sharp, central vision that is crucial for activities like reading, driving, and other everyday tasks, it does not typically affect peripheral vision and cause total blindness.

Dry vs. wet AMD AMD can take one of two main forms—dry or wet. The dry form, which accounts for at least 80 percent of AMD cases, occurs when the macula gets thinner with age and begins to develop protein deposits called “drusen.” Wet AMD occurs when abnormal blood vessels develop under the retina and begin to leak blood and other fluids. Though far less common, wet AMD is much more serious as it tends to cause more rapid vision loss than the dry form does. Also, dry AMD can, in some cases, progress to the wet form.

AMD symptoms and diagnosis AMD can affect one or both eyes and tends to cause no noticeable symptoms in the early stages. Progression

A glimpse at agerelated macular degeneration

(with the dry form) is typically slow and gradual. Because this disease is “silent” early on, routine eye exams to identify any changes in the retina and macula are essential.

Among the numerous tests your ophthalmologist can utilize to help identify AMD is a simple, completely non-invasive visual field test using an Amsler grid—essentially looking at a grid of straight lines with a dot in the center and identifying any sections that appear blurry, distorted, or broken. This test can also be done at home on a routine basis to help detect developing or worsening AMD. Mayoclinic.org notes that as AMD progresses, people with the condition may experience symptoms such as: • Visual distortions, such as straight lines seeming bent

HEALTH CROSSWORD

by Myles Mellor • ilovecrosswords.com • Answers on page 26

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AMD risk factors Though an exact cause of AMD is not known, several risk factors for the disease have been identified. They include advancing age, Caucasian race, obesity, smoking, the presence of cardiovascular disease, and having a family history of AMD.

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• Reduced central vision in one or both eyes • The need for brighter light when reading or doing closeup work • Increased difficulty adapting to low light levels, such as when entering a dimly lit restaurant • Increased blurriness of printed words • Decreased intensity or brightness of colors • Difficulty recognizing faces • A well-defined blurry spot or blind spot in your field of vision.

Simply stated, if you notice any changes in your central vision or your ability to see colors or fine detail, it’s important to see your ophthalmologist for an exam.

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Treatment and prevention of AMD Currently, there is no cure for AMD, but doctors do have various treatment options at their disposal to help slow the disease and potentially prevent severe vision loss. Depending on the type and stage of the disease, this might include (among other tools) vitamin supplements, injectable anti-angiogenic medications to prevent the growth of abnormal blood vessels, and/or various forms of laser therapy.

Also, as is the case with so many diseases and chronic conditions, maintaining or adopting better lifestyle habits—e.g., eating a healthy diet, exercising regularly, and avoiding smoking—will go a long way in helping to prevent AMD from worsening or developing in the first place. And, of course, it’s vital to get routine eye exams so your eye doctor can catch AMD or any other developing vision problems early on when they’re most treatable. ❦ 5

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You’re never too old for Super Slow Training THOUGH 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.

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

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26 February 2021 | Healthy Living News

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

thought possible, that weekly workout time may actually decrease.

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

Asked what she would tell others in her age group about Super Slow Training, Anderson states, “You are 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. ❦ n Answers 1

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by Sister Karen Zielinski, OSF DURING THIS PANDEMIC, my friend’s mother had a stroke. She was hospitalized for two weeks and was transferred for rehab to a nursing home.

During her over-three-month stay, other friends wanted to call her and wondered how she was doing. They hesitated, because they “just didn’t know what to say” on the phone visit, nervous that their asking how she was doing would seem like they were prying into her personal life.

Eventually, their friend returned to an assisted-living facility, but she was unable to drive and had trouble performing the activities of daily life.

When friends or family get sick, it can be an uncomfortable time of wanting to know how they are doing.

There is concern about them and a desire to know about their surgery, treatments, release date, etc., but people are hesitant to visit or even call. What is the proper “etiquette,” if there is any, for visiting or calling someone who is ill or dying? Calling a sick friend is not an everyday phone call like telling someone about our errands at the mall or that there is a new movie showing in town.

Health problems are serious stuff.

These times make people timid and tentative because this is not a pleasant situation nor one that people deal with10.25x5_ES_SkilledRehFac_Ad_HL_1120_HI.pdf too much. Friends and loved ones do not want to say or do any-

n body’s perfect

What do I say? thing “wrong” or anything that is not sensitive to the sick friend. We want to support them but might not do anything because we are afraid of saying the wrong thing.

The wise Rabbi Harold Kushner sums it up well: “At some of the darkest moments of my life, some people I thought of as friends deserted me—some because they cared about me, and it hurt them to see me in pain; others because I reminded them of their own vulnerability, and that was more than they could handle. But real friends overcame their discomfort and came to sit with 1 11/16/20 me.

If they 12:42 hadPMno words to make me feel better, they sat in silence…

and I loved them for it.”

Hospital chaplains have keen insights and wisdom of patients and family in the hospital. Chaplains and hospice staff are well trained and not only offer compassionate help to those who are ill, but can also guide family and friends on how to visit and speak and be present to a loved one.

Sister Faith Cosky, OSF, a Sylvania Franciscan who serves as a chaplain, says, “There is no pat answer on what to say to a person who is sick.

Sometimes there is little one can say to make it better, whether the person is dying or will not recover. Prior to death, people might say ‘thank you,

Note: File photos used here were taken prior to the COVID-19 pandemic.

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©2020 Elizabeth Scott Community

THEY KEEP COMING BACK.

I love you and I’m sorry.’ The bottom line is, what would you like to hear if you were the sick one? What would be comforting to you?”

It is important to ask the person how they are, to let them talk or to tell you “what hurts” and not presume you know how they feel. You don’t know.

No matter what they say, take them seriously and validate their feelings.

Let the person know you are there to support them, pray for them, and help them in any way you can.

She says, “When people say they ‘don’t know what to say,’ tell the patient that, and most of the time a conversation will flow from that admission. Do not be afraid of sitting in silence with someone. They know you care.”

One beloved quote (paraphrased) from Francis of Assisi sums up the challenge of visiting and supporting those who are sick: Preach the Gospel at all times. If necessary, use words.

The biggest thing anyone can say is to be there. Your presence says it all.

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. ❦

How can you judge the quality of care at a rehab facility? Ask the patients who’ve been there.

They’ll tell you we offer great, customized care with an emphasis on protecting their health during these trying times. They’ll tell you our response time is fast and the food is good.

How can we be so sure? Because our patients keep coming back when they need additional therapy.

If your provider prescribes skilled rehabilitation, choose the facility with repeat customers. Contact Matt Bucher, Director of Marketing, for more information.

Independent & Assisted Living, Skilled Nursing & Rehabilitation 2720 Albon Road Maumee, OH 43537 (419) 865-3002 • elizabethscott.org Healthy Living News | February 2021 27

Make the most of that Valentine’s Day flower bouquet ever, 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.

VALENTINE’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 for-

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.

arrowhead

28 February 2021 | Healthy Living News

Make sure the flowers are 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.

Tips for the bouquet recipient 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. It’s less likely that air bubbles will form in the stem and block water uptake.

• Never place cut flowers 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. ❦

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CANCER CONNECTION IN OUR COMMUNITY

EATING WELL Immunity-boosting nutrients

by Laurie Syring, RD/LD IMMUNITY IS ON A LOT OF PEOPLE’S MINDS right now as the campaign to vaccinate the public against COVID19 gets underway and another flu season kicks into high gear. We know that a healthy immune system gives the body the protection it needs to ward off illness or prevent an existing illness from becoming worse than it already is, so we want to make sure we’re giving our immune system all that it needs to put up a good fight.

Naturally, many companies looking to take advantage of this current

requirement. There’s no need to exceed 500 mg per day, as doing so may cause gastrointestinal distress and it will just be passed through your system.

• Zinc—can be found in wheat germ and beans, nuts, and tofu but tends to be absorbed better from animal sources like beef and seafood. If you’re buying zinc, choose zinc sulfate and take 220 mg once a day only for 10 days. More is not better with zinc.

focus on immunity are flooding the market with supplements or “super foods” that they claim will “boost” or “support” the immune system.

While getting proper nutrition is a key component of immunity, it’s important to understand that no single nutrient, food, supplement, or vitamin will boost your immunity in and of itself. Rather, a healthy immune system depends on several vitamins and nutrients working in concert. As part of a healthy eating plan, try to get all the following nutrients—ideally from foods that contain them—on a daily basis: • Beta carotene—found in oranges, carrots, sweet potatoes, and mango.

• Vitamin C—found in citrus fruits like oranges, grapefruits, lemons, and limes, as well as in berries, melons, and even tomatoes and bell peppers. It only takes about 6 ounces of orange juice to meet your daily

• Vitamin D—found in fatty fish, like salmon and tuna, and in eggs. Milk and some juices are fortified with it. If buying it, choose vitamin D3 and take 1000-3000 IU per day. Again, more is not better.

• Probiotics—lots of studies show that the immune system starts in the gut. The good bacteria promote gut health.

Found in cultured yogurts and fermented foods like kimchi. If buying, choose Culturelle® and take 1-2 tablets per day. More is not necessary.

• Protein—comes from both animal- and plant-based sources like milk, yogurt, eggs, beef, seafood, chicken, lentils, and beans. Aim for 50-125 gm per day, depending on your weight (1.0-1.2 gm of protein per kg of body weight). n

Eating well - continued on p30

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Commemorating World Cancer Day

by Jean Schoen CANCER HAS AN IMPACT on us all.

World Cancer Day, on February 4, is a day set aside to raise awareness about prevention, detection, and treatment of cancer. An initiative that was begun by the Union for International Cancer Control, it was made official in 2000 and is observed worldwide.

We utilize this day to remind cancer patients that they are not alone and that we all share the responsibility in helping to reduce the global impact of this disease.

Locally, our organization provides the full complement of support to ensure that no one goes through cancer alone. We improve cancer outcomes for child and adult patients, with specific attention to those patients in distress.

The goal of Cancer Connection of Northwest Ohio, Inc. is to reduce the barriers to care that affect more than 80% of our patients. Finances, food, insurance, housing, education, and support are just some of the needs of a patient and their family when diagnosed with cancer. Referrals to resources, care coordination, advocacy, and navigation are the focus of our programs. Can you imagine how it would affect your own family?

Education and awareness are an important part of World Cancer Day. As the only local organization with a specialized program for children with cancer, Childhood Cancer Awareness Month in September is a primary focus of ours. Every day, 43 children are diagnosed with cancer.

When a child has cancer, the entire family is greatly impacted. Our Kids Konnection Program is designed specifically to help alleviate the stress

of decreased finances, increased travel, and helping other children in the family understand the situation.

It takes a community working together to help ensure that no one goes through cancer alone. We could not continue to do what we do without the support of our community. Last year, due to COVID, we took a hit of more than $30,000 to our annual budget. We know that other organizations and businesses were impacted significantly as well.

On February 4th in honor of World Cancer Day, we would like to extend our sincere appreciation to a community that continues to support our mission and commitment to improving the quality of life for those diagnosed with cancer.

Jean Schoen is the founder and president of Cancer Connection of Northwest Ohio, Inc. (419-725-1100). ❦

n

Village movement - continued from p18

For your consideration, invest in a one-year Opportunity Membership with VtV Network. The small fee gives you access to the document library, discussion forum, webinars, toolkits, mentor programs, and other resources. For other tips on starting a village, contact vtvnetwork.org.

Daniel J. Jachimiak, BA, is a Feature Writer/Jour nalist and Speaker. Dan can be reached at djachimiak@bex.net or 419-787-2036. ~ You can have a better life ~ ❦

Healthy Living News | February 2021 29

n

Calories - continued from p22

to perk ourselves up by reaching for snacks. Plus, if we’re overly tired all the time, we’re more inclined to turn to convenience foods rather than plan and prepare healthy meals. Of course, being sleep deprived also means having no energy to get off the couch and exercise.

Drinking on the pounds Perhaps the sneakiest form of weight-loss sabotage can be found in the beverages we drink, and sweetened sodas are among the biggest offenders. Think drinking soda doesn’t make that much difference? Consider the fact that a 12-ounce, non-diet can of soda contains about 150 calories.

Multiply that by two or three cans a day, and you can expect to gain a pound per week. Supersize your soda at the drive through just once a day, and you’ll also pack on a pound in a week’s time.

What about beverages that are supposed to be good for you, like orange juice or grapefruit juice? Well, those can be loaded with calories, as well. An eight-ounce serving of fruit juice is worth about 100 calories.

However, if we supersize our juice like we do our sodas (which, let’s face it, we often do when pouring our own at home), that calorie count can really start to climb.

n

Undermined by loved ones In some cases, friends or family members can sabotage your weightloss efforts by cooking irresistible but fattening meals, tempting you to eat seconds, or bringing home treats that tempt you to fall off the wagon. Usually, this form of sabotage isn’t intentional. Your friend or family member may just be trying to do something nice for you. Or, watching you enjoy something they’ve cooked may make them feel appreciated. Also, it’s not uncommon for family members to bring home something for themselves not realizing that they are putting irresistible temptation in front of a weight-conscious loved one.

If you find yourself in this predicament, frank, assertive communication will be your best ally. Be sure to explain to your loved ones what you’re trying to accomplish and ask for help in reaching that goal. Identify specific temptations that usually cause you to slip up. For example, having ice cream in the house may be your undoing. If you can’t trust yourself to have ice cream around without bingeing but you don’t want to keep your spouse from enjoying it, ask him or her to bring home a pint serving rather than a quart or half gallon. ❦

Toledo Clinic - continued from p7

The Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, also provides imaging, laboratory, chemotherapy and IV services. The cancer center consists of 7 medical and 3 radiation oncologists along with 8 nurse practitioners and 4 research nurses. The cancer center also has satellite centers in Maumee, Napoleon, Bowling Green, Wauseon, 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. ❦ n

Eating well - continued from p29

However, keep in mind that proper nutrition is just one key component of healthy immunity. In addition to getting all the nutrients listed above, be sure to drink water, water, and more water! Aim for 64 ounces of good-old plain water a day. Also, be sure to maintain other healthy lifestyle habits that help promote strong immunity, such as getting adequate sleep and exercising regularly.

A few more reminders that will help you stick with a healthy eating plan: Before you head out to the grocery store, make a shopping list. To make the most of your food-buying dollar, look for specials and sales and use leftovers for soups and stews. Preplan the nights that you’re going to cook and nights to bring in carry out.

I hope all these suggestions will help keep you as healthy as you can be as well as demystify some of the things you might have heard about nutrition. When it comes to healthy eating, knowledge truly is power.

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

Community Services Do you have a Worker’s Compensation injury claim

NW OH’s Care Experts Since 1988

and can’t find a doctor to treat or help you with it?

We understand Worker’s Comp and the paperwork involved.

We also work with dozens of other health care professionals who participate in Worker’s Comp, who we refer to.

We treat you like a person, not a number.

Call us and let’s get you help. We can help.

Call Dr. Dan Lollar DC at Lollar Health Services, LLC 419-537-8624

LH S

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When memory care isn’t enough.

Toledo 419.381.9447

parkcliffe.com

Northwood 419.698.3822

Nancy Lollar, RN 419‐460‐2263

PROVIDING PRIVATE IN HOME NURSING CARE

• manages medications/doctors appointments/transportation • coordinates care • hires/res staff • trains staff • schedules staff for 24‐hour care

30 February 2021 | Healthy Living News

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

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

Rosary Care Center 6832 Convent Blvd.

Sylvania, OH 43560 419-824-3600 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

www.parkterracenursing.com

Parkcliffe Community

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.

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 2021 31

Personalizing the Right Care for You Whether safely in our clean facilities or virtually from the comfort of your own home, we’re creating the personalized solutions you need, to meet you where you need us.

Because no matter how the world around us changes, we believe your health care should always revolve around you.

Visit mercy.com/primarycare to connect with a primary care provider today.

PRIMARY CARE FOR FO R THE UNIVERSE OF YOU

32 February 2021 | Healthy Living News

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