Your Monthly Guide to Healthy Lifestyles
January 2019 • FREE
Also available at hlntoledo.com
NEW YEAR, NEW YOU!
Wake up your skin | Weight-management solutions Get real about resolutions | Balancing credit and debt Cervical cancer prevention | Driving rehab
It takes two to tango. M E R C Y. C O M /O R T H O
WAKE UP YOUR SKIN: Look as young as you feel H
ello, “Millennials”! Are the skin changes related to stress, pollution, smoking, and prior sun damage and tanning starting to show on your facial, neck, and chest skin? Are your jowls and neck starting to sag, and are you noticing that darkening is developing around and under your eyes, your pores are enlarging, or “age spots” are appearing? Do your friends question why you look tired all the time when you are not? While these changes are mild and just beginning, now is the time to start engaging in a skin-care program that will be designed specifically for you to improve and reduce your signs of aging. Dr. Harvey Handler will personally recommend and explain a skin-rejuvenation program for you to reduce the visible signs of aging. The anti-aging treatments performed by Dr. Harvey Handler are “non-invasive,” with minimal discomfort or downtime. Minimize under-eye darkening, raise those droopy eyelids, shrink pores, lift sagging jowl areas, and appear as youthful as you feel. Call Dr. Harvey Handler’s office for a personal evaluation with treatment recommendations for your aging skin. Remember, 80% of the signs of aging are due to prior sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! This is something young people should be aware of since we get 80% of our lifetime sun exposure by the time we are 18-20 years of age. What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure and aging can be improved dramatically with pain-free, non-invasive cosmetic procedures performed entirely by Dr. Harvey Handler. The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift sagging areas of the neck, jowls, upper arms, and abdomen. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser). This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only ONE treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain. The NEW Thermage CPT Deep Tip system has been utilized by Dr. Harvey Handler for many years with excellent results and very satisfied patients. For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas. The results are diminished lines and a more “wide awake” and less tired appearance. These products are also fantastic to reduce anxiety-induced underarm sweating for 5-7 months after treatment. The use of fillers, such as Restylane, Restylane Lyft, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette lines (the sad look) from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad when you are not! Since these products are combined with a numbing agent, the pain is minimal. Now, Dr. Harvey Handler utilizes the injection of new fillers called “Restylane Silk” and “Restylane Refyne.” These products markedly improve upper and lower lip lines (lipstick lines). Restylane Silk also volumizes your lips and restores their natural curve while looking attractive and natural. Restylane Silk also can be utilized to minimize the “worry lines” between your eyes. There is no downtime with these non-invasive procedures. For fine lines, large pores, brown (age) spots, and diminishing acne scars, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby a laser is used to produce softer, smoother, diminished facial lines, smaller pores, lightening of brown spots, and improvement of acne
scars. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Harvey Handler is the only dermatologist in northwest Ohio performing this procedure. Are you aware that Dr. Harvey Handler personally performs laser procedures for removal of body hair anywhere hair grows? Yes, this minimally painful laser destroys hairs around the chin, jawline, upper lip, underarms, ears, nose, bikini line, etc. And this laser is not just for women. Many men have this laser performed to permanently remove chest and back hair as well as beard hair that grows down onto the neck. Dr. Harvey Handler also utilizes the latest in lasers for removal of “age spots” (sun spots really) anywhere on the body. This laser works especially well for the tops of hands covered with those “age spots.” Finally, Dr. Harvey Handler also performs laser removal of unwanted blood vessels that grow on your face and enlarge with heat, stress, and the intake of alcohol. Again, pain and downtime are minimal with this laser. Anti-aging and cosmetic enhancements are not for the female gender alone. Male cosmetic enhancement and anti-aging procedures have increased almost 300% in the past 5 years for sagging skin, darkening under the eyes with the “hollow” look, and brown spots. The utilization of fillers (Perlane, Restylane, Juvederm, Radiesse, etc.) is excellent for deep smile lines and the “sad and tired look” as evidenced with sagging at the corners of the mouth. And, of course, the use of Dysport/Botox to reduce forehead “worry lines” is superb. All of these cosmetic enhancements are performed entirely by Dr. Harvey Handler. To view before-and-after photographs
I
t is appropriate for patients to understand why it is in their best medical interest to always seek the advice of a board-certified dermatologist for skin care. Why is seeking a board-certified dermatologist the most beneficial route for solving skin disease issues versus a general practitioner, nurse practitioner, physician’s assistant, or any other medically-oriented individual? Please be aware that a board-certified dermatologist has the following minimum education versus the above-mentioned quasi “skin doctors”: 1. Four years of college to earn a bachelor’s degree 2. Four years of medical school to become a medical doctor (MD) or doctor of osteopathic medicine (DO) 3. One year of an internship 4. 3-4 years in a dermatology residency program 5. Has passed exams for board certification in dermatology.
of patients who have had these procedures performed by Dr. Harvey Handler, please visit his website at www.drharveyhandler. com. For more detailed information about the above-mentioned procedures or products, please call Dr. Harvey Handler’s office at 419-885-3400. Also, remember to inquire about specials available on many cosmetic procedures and products to diminish the signs of aging and obtain a more vibrant and youthful appearance of your skin. Look as young as you feel. Hair loss in men and women Are you losing hair from surgery, anesthesia, illnesses, pregnancy, medications, stress, genetics, or “normal” hair loss secondary to aging or low blood levels of nutrients? There are many causes of hair loss in men and women. Most are not simply due to age or family history, and most are treatable. Now these problems of hair loss can be evaluated and there is hope for reducing your hair loss and stimulating new growth. Dr. Harvey Handler, board-certified dermatologist of Sylvania, Ohio, has a medical treatment for decreasing your hair loss and increasing growth in many patients! Pediatric skin disease diagnosis and treatment is one of Dr. Harvey Handler’s special fields in general Dermatology. From birth and older, Dr. Harvey Handler diagnoses and treats eczema, hemangiomas, contact and allergic dermatitis, and general “lumps and bumps” that children and infants develop. What about “birth marks,” scalp and body “ringworm,” body and head lice, scabies, psoriasis? If there is a lesion or spot on the skin, Dr. Harvey Handler is trained to properly examine, diagnose, and treat appropriately. Also, everyone should have a yearly full body exam to check for skin cancer conducted only by a board-certified dermatologist. ❦ Be aware and cautious of medi-spas and cosmetic centers organized and maintained by individuals other than a board-certified dermatologist or even any medical doctors (not MD’s). Many of these individuals have no formal education or training in skin disease diagnosis, treatment, or cosmetic enhancement of skin defects. How do you know whether he/she is a board-certified dermatologist? Look for F.A.A.D. (Fellow of the American Academy of Dermatology, which is a designation from the American Academy of Dermatology) following their name. To confirm this information, check the website at aad.org/findaderm. None of the above requirements are met by a nurse practitioner, certified nurse practitioner, physician assistant, or any other medical doctor licensed to practice medicine. Do your homework before trusting your skin disease diagnosis and treatment to anyone but a board-certified dermatologist.
www.drharveyhandler.com
Reduce lines, fade sun spots Smoother, tighter, younger-looking skin on face, arms, and chest
clear + brilliant laser H
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No surgery. No injections. No downtime.
ADULT, arvey . andLer, m.d., f.a.a.d. PEDIATRIC, dipLomate and feLLow of tHe american Board of dermatoLogy & COSMETIC 5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital) DERMATOLOGY HAIR & NAILS
419.885.3400
Mission Statement Healthy Living News offers the residents of northwest Ohio and southeast Michigan a monthly guide to news and information about healthy life styles, health care, sports and fitness, and other issues related to physical, mental and emotional quality of life. The publication promises to be an attractive, interesting and entertaining source of valuable information for all ages, especially those 35 to 50. Healthy Living News is locally owned, committed to quality, and dedicated to serving our great community. Healthy Living News is published the first of each month. The opinions expressed by contributing writers do not necessarily reflect the opinions of the publisher. Distribution of this publication does not constitute an endorsement of any kind. While HLN makes every attempt to present accurate, timely information, the publication and its publisher and/or advertisers will not be held responsible for misinformation, typographical errors, omissions, etc.
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January 2019 • Vol. 24, Issue 1
Your Monthly Guide to Healthy Living
ENRICHING YOUR LIFE
HEALTH & BEAUTY
7 Resolve to lower your cancer risk this New Year
2 Wake up your skin: Look as young as you feel
39 Signs that your loved one might benefit from assisted living
12 A Walk in the Park – Things that go bump in the night by LeMoyne Mercer
8 No excuses! Commitment is key to lasting fitness success
42 You’re never too old for Super Slow Training
16 A realistic approach to resolutions 23 The role of journaling in longterm care by Chris Stieben and Megan Benner Senecal 26 Eating Well Three steps to better health in 2019 by Laurie A. Syring, RD/LD 26 Health Crossword Puzzle 27 Spiritually Speaking – A New Year’s Prayer by Sister Mary Thill 28 Finding the balance between credit and debt by Scott D. Brown 34 Nobody’s Perfect – The medical waiting game by Sister Karen Zielinski, OSF 41 Maintaining those New Year’s resolutions 46 Tips for taking control of your 2019 resolutions
14 Sunset’s tips for preventing post-holiday loneliness in seniors 19 Widespread screening and HPV vaccination could consign cervical cancer to history 21 New medical office is just what the doctor ordered 22 Toledo Clinic internist promotes greater access to comprehensive primary care 24 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Schousher, AuD, CCC-A 30 Acupuncture and chronic pain by Douglas A. Schwan, DC, dip ac 32 Three practitioners integrate care philosophies to treat patients in body, mind, and spirit 37 Leading-edge awake cosmetic procedures increase patient safety and lower costs 38 Laurels inpatient and outpatient rehab clients “lighten up” with anti-gravity treadmill
Dear Readers, to Super Fitness owner Ron Hemelgarn Thank you for picking up the January (p. 8), and a realistic approach to fitness issue of Healthy Living News! Every resolutions courtesy of Jim Berger of New Year, we resolve to make lifestyle Heartland Rehab (p. 16). changes that will improve our health, Also featured this month are articles wellness, and overall fitness. And, of on cervical cancer prevention, with course, our goal is to follow through on insights from ProMedica gynecologthose new commitments throughout the ic oncologist Dr. Adam Walter (p. year. But sometimes we need a 19); The University of Tolelittle extra help and motivation do’s Driving Rehabilitation along the way. We’re confident Program (p. 31); Dr. Thomas you’ll find plenty of ideas and Smallwood’s unique approach inspiration for making lasting to providing comprehensive positive lifestyle changes in the primary care and enhancing pages of this month’s issue. patient access to services (p. To help you achieve “a new 22); St. Luke’s state-of-the-art Kevin O'Connell you in the new year,” this issue new Hybrid Operating Room includes perspectives on long-term weight and Electrophysiology Lab (p. 5); and loss from Dr. Matthew Fourman of Mercy the groundbreaking collaboration beHealth – Weight Management Solutions (p. tween Dr. Murthy Gokula of Concierge 10), expert advice on lifestyle changes that Connected Holistic Health Care, Dr. lower cancer risk from Dr. Mark Burton Jennifer Pfleghaar of PflegMed: Center of The Toledo Clinic Cancer Centers (p. for Integrative Medicine; and nurse 7), the key to fitness success according practitioner Michelle Sandwisch of
OUR COMMUNITY 5 St. Luke’s cuts ribbon on state-ofthe-art Hybrid Operating Room 10 Mercy Health provides comprehensive treatment for complex disease of obesity 11 Wise words from Otterbein – Do you know your senior living vocabulary? 15 Unison Health receives the gift of recovery from Huntington Bank 31 UT program helps keep people with physical or cognitive challenges safe behind the wheel 43 Senior Living Guide
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MyTotalBody Functional Medicine Clinic (p. 32). Looking back on 2018, we’d like to thank all the readers who took the time to call or email and voice their appreciation for HLN articles that had an impact on their lives. This type of feedback—which assures us that we’re making a positive difference—is what motivates us to continue providing this publication to the community free of charge. We’d also like to express our gratitude to all the contributors who provide a steady flow of high-quality locally written content, as well as to the nearly 100 exceptional organizations in our area that make HLN possible with their advertising dollars. Until next month, stay safe, active, and healthy!
CHARLES GBUR, MD CDR(ret), MC, USN
WHEN YOU’RE FIGHTING A BATTLE, YOU NEED A
WARRIOR CARDIOVASCULAR SPECIALISTS AT ST. LUKE’S Strength lives in the hearts of the cardiovascular warriors fighting for your life at St. Luke’s Hospital. There’s strength in the innovative thinking, experience and tenacity of top cardiovascular specialists. Strength in our advanced technology and reputation for exceptional critical vascular and cardiac care, and the concern and compassion that defines St. Luke’s. So when you’re at your sickest, you’re also at your strongest—because you’re surrounded by warriors, and their strength. That’s what we mean by health, plus care. That’s St. Luke’s Hospital. We accept every major insurance plan, including: Paramount®, Humana®, Anthem®, BlueCross® BlueShield®, Aetna®, CIGNA®, and UnitedHealthcare®.
©2018 St. Luke’s Hospital
5901 Monclova Rd. Maumee, OH 43537 | 419.893.5911
4 January 2019 | Healthy Living News
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St. Luke’s cuts ribbon on state-of-the-art Hybrid Operating Room O
n December 2, community leadThe use of minimally invasive ers, physicians, and members of surgical procedures provides an the St. Luke’s medical team cut the important second benefit. In the past, ribbon on the new Hybrid Operating many cardiac and vascular procedures Room (OR) and Electrophysiology required cutting the breast bone to (EP) Lab at St. Luke’s. get access to the heart and vascular A hybrid OR combines a tradi- system. Procedures that can now be tional operating room with advanced performed in the hybrid OR and EP medical imaging capability, allowing lab at St. Luke’s will use much smaller for minimally invasive cardiovascular incisions, reducing complications and surgery, and an EP lab treats rhythmic improving recovery time. disorders of the heart. “The minimally invasive proThe hybrid OR and EP lab in total cedures are built on incredible adexpand services to 8,500 square feet vances in imaging technology,” said and add the capacity for numerous Dr. Charles Gbur, a cardiologist at St. Luke’s. “Surgeons can operate enhanced procedures, including: • Expanded procedures to treat atrial fibrillation (AFib), a leading indicator of stroke risk • Enhanced technology for pacemaker implantation, keeping your heart beating regularly and improving quality of life Advances in imaging allow surgeons to • High-tech imaging operate with unprecedented precision . from the most advanced radiology equipment, with minimal radiation exposure • Ability to perform minimally invasive endovascular and other specialized vascular procedures.
“I would visit the doctor, but I might have to get in my car and drive a few minutes.” Make an appointment, not an excuse. 800-PPG-DOCS
A $12.5 million investment, the hybrid OR and EP lab provide many The state-of-the-art facility provides rapid significant benefits to paaccess to life-saving vascular and cardiac care . tients. Probably the most important of these is time. For people having vascular or heart with unprecedented precision and problems, minutes matter. patients get better and back to living “With the hybrid OR and EP lab, their life faster than we ever could patients won’t have to go hospital to have imagined only a few years ago.” hospital or even room to room to reBeyond the technology and hardceive life-saving vascular and cardiac ware, the hybrid OR and EP Lab care,” said Dan Wakeman, President were planned by physicians from and CEO of St. Luke’s. “By providing throughout the region, including rapid access to treatment using the independent physicians and those latest technology, we will reduce the potential for irreversible damage.” n St. Luke's - continued on p15 Connect with our advertisers via our online issue at www.hlntoledo.com
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Resolve to lower your cancer risk this New Year
N
ew Year’s resolutions often re- certain types of cancer, specifically volve around making healthier breast cancer, colon cancer, and enlifestyle choices that help us look dometrial cancer. So, resolving to lose and feel better, such as shedding excess weight will not only improve extra pounds and exercising more. your cardiovascular health, reduce But adopting healthy habits, or stress on your joints, and make you abandoning unhealthy ones, can look and feel better, but it may lower also have an impact on our risk of your overall cancer risk as well. developing cancer. While there isn’t Dr. Burton also reminds HLN always a simple cause-and-effect readers that tanning and sun exporelationship between lifestyle and sure are directly associated with an cancer, factors that are within our increased risk of developing varicontrol, such as tobacco use, obesity, ous forms of skin cancer, the most alcohol consumption, sun exposure, common being basal cell carcinoma. and others, are known to influence The good news is, there are simple the risk of certain forms of cancer—in precautions you can take to protect some cases significantly. your skin from harmful UV rays and According to Dr. Mark Burton of minimize your skin cancer risk. They The Toledo Clinic Cancer Centers, include applying sunscreen with the best example of a lifestyle choice an SPF (sun protection factor) of at that is clearly associated least 30 before spending with cancer risk is cigatime in the sun and reaprette smoking, which is plying it often; donning linked to approximately a wide-brimmed hat, a 90% of lung cancer cases. long-sleeved shirt, and “In addition, smoking is sunglasses that protect associated with head and against UVA and UVB neck cancer, esophageal rays before heading out cancer, kidney cancer, into the sun; shunning and several other forms tanning booths; and stayof cancer,” he explains. ing indoors or in the shade Quitting smoking at between 10:00 a.m. and Dr. Mark Burton any point will lower lung 2:00 p.m. when the sun’s cancer risk, though those rays are most intense. who have smoked and quit remain at Worldwide, one of the more comhigher risk than those who have never mon health concerns is liver cancer smoked. “Furthermore, smokers who associated with the hepatitis C or develop lung cancer and continue hepatitis B virus. Both are spread to smoke have a higher chance of through exposure to the blood or developing a new smoking-related blood products of an infected indicancer than those who stop smoking,” vidual. Lifestyle choices that decrease Dr. Burton adds. the risk of developing either form of Studies have also revealed a sig- hepatitis include avoiding unprotected nificant link between alcohol con- sex and avoiding sharing needles. sumption and the risk of several It’s also noteworthy that avoiding forms of cancer, including head and unprotected sexual contact is the best neck, esophageal, breast, liver, and way to avoid exposure to human colon cancers. What’s more, people papilloma virus, or HPV, which is who use both alcohol and tobacco associated with an increased risk of are at even greater risk of develop- cervical cancer, mouth and throat ing certain cancers than those who cancer, and various other cancer use either one or the other alone. types. “There are also vaccines for To minimize alcohol-related cancer both hepatitis B and HPV that provide risk, it’s currently advised that men long-term protection against these consume no more than two alcoholic viruses, thereby reducing the risk of drinks per day, and women no more developing associated cancers,” Dr. than one drink per day. Burton adds. Though the relationship is not Though adopting healthier habcompletely understood, evidence its—eating better, exercising more, suggests that being obese causes n Cancer Risk - continued on p45 an uptick in the risk of developing
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Healthy Living News | January 2019 7
No excuses! Commitment is key to lasting fitness success
S
tate-of-the-art workout equipment, personal training, and access to cutting-edge classes and facilities are all important components of a well-rounded fitness program. But according to Super Fitness owner Ron Hemelgarn, none of these will get you any closer to reaching your long-term fitness goals if you lack one key element that comes from within: commitment. A Toledo fitness industry leader and innovator since 1972, Hemelgarn has observed a frustrating trend over the years. That is, more and more people are leading sedentary lives and doing sedentary work. As a result, people of all ages— including children—are not only getting significantly heavier, but also experiencing the various health issues that accompany obesity, such as joint pain, back pain, high blood pressure, heart disease, and diabetes. “If you look back over history, people did much more physical work
than we do now and recreational exercise was considered a luxury,” Hemelgarn explains. “But today, we live in an electronic world that demands very little physical effort, and our bodies are paying the price. If there were a pill that could fix this, everyone would be taking it, but there isn’t, so we have to get serious about exercising and eating right and promoting these same habits in our kids.” The importance of making a longterm commitment was highlighted for Hemelgarn recently when he realized that many Super Fitness members have been with the club since it first opened and that most of those individuals remain in excellent health and are full of energy despite their age. To encourage others in our community to make a similar commitment, Hemelgarn has worked very hard over the years to make Super Fitness accessible and enjoyable for everyone as well as to erase the various excuses that we so often make to justify our lack of activity. These include:
I’ve never worked out before and don’t know how to begin
We realize that you - the family member and care giver, are the most important person to an individual with Alzheimer’s Disease or a related dementia. We want you to be an integral part of the team. We will be there to guide you through those periods when you discover love is not enough to care for your loved one during the difficult times associated with dementia. Skilled Nursing n Short-Term Rehab Long-Term Care n Hospice Care Short and Extended Respite Stays Full Service Therapy Department Wound Care n Secured Center
1621 S. Byrne Road, Toledo, Ohio 43614
419.385.3958 admissions@foundationpark.com www.foundationpark.com
8 January 2019 | Healthy Living News
The cost of a Super Fitness membership includes access to expert personal trainers who are ready to show beginners the ropes and put them on an individualized road to achieving their fitness goals. “Remember, you are not alone! We have beginners starting here every day, and we tailor their programs so they make steady progress without overdoing it or feeling intimidated,” Hemelgarn says.
I’m too old to start exercising
The fact that many Super Fitness members have been coming to the facility since it first opened its doors in 1972 should tell you otherwise. In fact, Super Fitness is not only a popular destination for seniors striving to stay in shape, but it has also become a social hub for seniors who enjoy the camaraderie of their peers while they work out and enjoy all the club’s amenities.
I can’t use standard exercise equipment because I’m obese or physically disabled
Super Fitness welcomes and ca-
ters to members of all fitness levels, body types, and physical capabilities, offering cutting-edge equipment designed specifically for obese members and those who use a wheelchair. Also, every year, the club holds the Super Fitness Weight Loss Challenge to help members shed excess pounds, learn to eat better, and reclaim their health in a fun atmosphere under the guidance of expert trainers.
I don’t have anyone to watch my kids while I work out
As Hemelgarn sees it, fitness should be an activity that involves the entire extended family, including grandparents, parents, and kids. That’s why Super Fitness offers a safe, secure Super Fit Kids Club complete with exercise equipment that’s specifically designed to fit the smaller torsos of children. “Kids are like sponges. They absorb what their parents do. If they see that you value exercise, they will too. But if you keep making excuses to avoid exercise, they’ll develop the habit of making excuses as well,” he cautions.
As a woman, I’m not comfortable exercising around men
Recognizing that many women prefer to work out separately from men, for example if they’re feeling self-conscious as they work to lose excess body weight, Super Fitness provides a dedicated Ladies Only section with equipment customized to fit women’s bodies.
Exercise is too painful for me
While it’s essential to consult with your doctor before beginning any exercise regimen, getting more active, building core strength, and losing weight is often the best way to eliminate joint pain, back pain, etc. “It’s amazing how many back, hip, knee, and ankle problems we see because people are carrying excess weight and have a weakened core. We’ve seen time and time again that
once they start to lose weight and strengthen those core muscles, their aches and pains suddenly disappear. We also have a wide variety of aquatics classes that allow people with arthritis pain to get an exceptional workout with no stress on their joints. They can get in there, get moving, and eventually move on to the machines,” says Hemelgarn.
Today’s fitness programs are too rigorous for me
Hemelgarn neither offers nor endorses extreme exercise regimens. He notes that exercise is not about going to extremes, but committing to regular effort and building strength and endurance gradually. Pain is your body’s way of telling you to stop or slow down, and getting injured is the surest route to abandoning your fitness commitment.
The lines are always too long at fitness clubs
Super Fitness provides a vast selection of the very latest cardio and strength-training equipment, which ensures that members never have to wait in line or have their workouts constrained by time limits on equipment. Also, Hemelgarn continually brings in the very latest equipment designed with medical input. What’s more, all the equipment is continuously cleaned and meticulously maintained.
I get discouraged because I lose weight too slowly
If you’re significantly overweight, you likely put on those pounds slowly over the course of many years. They’re not going to drop off overnight. However, you could be at or close to your goal within the year if you make the effort. “The key message is ‘just do something.’ It’s not going to happen in a week, but if you get it in your mind that you can do it and make the commitment to fitness, you’ll lose the weight and keep it off,” Hemelgarn says. ❦
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Healthy Living News | January 2019 9
DO YOU HAVE A CHILD OR LOVED ONE LIVING WITH MENTAL ILLNESS?
The National Alliance on Mental Illness (NAMI) Greater Toledo is currently accepting registrations for 2019 Spring Classes. NAMI classes are offered at no cost and taught by trained NAMI members who have lived with similar experiences. The course teaches the knowledge and skills that family members need to cope more effectively. Education • Emotional Support Self Care • Empowerment
DAY AND EVENING CLASSES AVAILABLE To register or for more information about location and times of our classes, please call
NAMI at 419.243.1119 or visit us at
www.namitoledo.org 10 January 2019 | Healthy Living News
Mercy Health provides comprehensive treatment for complex disease of obesity
L
osing weight is among the most Anyone struggling with excess body common New Year’s resolutions. weight will find a powerful ally in This is due in no small part to the fact Mercy Health – Weight Management that so many of us fall short of our Solutions, which offers physician-suweight-loss goals—or start off strong pervised weight-loss programs that only to regain all the pounds we’ve use nutrition, fitness, and counseling lost plus interest—and then resolve to help patients reach and maintain to try again the following January. their ideal weight, as well as a variety of surgical weight-loss options for And the January after that. Why is it so difficult to lose weight those who are severely obese. and keep it off when we According to Dr. Fourfeel so strongly motivated man, to be a candidate for to succeed on January 1? weight-loss surgery, patients As Matthew Fourman, must have a BMI (body mass MD, of Mercy Health index—a measure of body – Weight Management weight based on height Solutions explains, “The and weight) of at least 35. biggest problem with Insurers will usually cover New Year’s weight-loss surgery for patients with a resolutions is that we set BMI between 35 and 40 if unrealistic expectations they also have co-morbidifor ourselves. For exam- Dr. Matthew Fourman ties. Those with a BMI above ple, we try to cut out all 40 are usually covered with carbohydrates or we think we’re no requirement for co-morbidities. going to go from being completely Patients who are candidates for sedentary to working out at the weight-loss surgery have several gym six days a week and two hours options available to them, so the a day. There’s no balance. It may surgery can be tailored to the indibe a cliché, but weight loss is not a vidual. “There’s no one-size-fits-all sprint. It’s more like a marathon. To procedure,” says Dr. Fourman. “As lose weight effectively, you need to part of each patient’s evaluation, set obtainable goals, make multiple we look at a variety of factors such small changes over time, and build as overall health, previous surgeries, medications being taken, and on each one.” the patient’s goals and desires to determine which procedure is most Dr. Fourman notes that appropriate.” the impact of obesity is Of the various options, the most frequently performed weight-loss about much more than the today is sleeve gastrectomy. number on a scale or how surgery This procedure involves removing well clothing fits. In fact, a significant portion of the stomach it is reduced to a narrow tube, obesity is the number-two so thereby reducing its capacity. “Incause of preventable death terestingly, the effectiveness of this in the United States due procedure isn’t due simply to the smaller stomach it produces. We’re to all the other health now finding that the surgery causes issues associated with it. hormonal changes that affect metabolism and the feedback that occurs Most people are familiar with between the stomach and brain,” Dr. some of these co-morbidities, such Fourman observes. Whether weight loss is achieved as diabetes, high blood pressure, and surgically or non-surgically, maincardiovascular disease. However, tenance of the results requires a many are unaware that obesity is also directly linked to fatty liver dis- comprehensive approach. “You can’t ease—the leading cause of cirrhosis address only one aspect of your life in the US—as well as 12 different and expect significant results,” states n Obesity - continued on p21 types of cancer. We love feedback. Like us on Facebook. Follow us on Twitter.
Wise words from Otterbein
Do you know your senior living vocabulary?
W
hen you or a loved one develops a need for “extra help” or a move to a senior living community, you will soon discover that there a many options, but to research and choose the best option for you is a confusing task. For those in the business of helping aging adults and their families, the vocabulary of services is part of the language of the senior living culture. For most people needing to access services, the language is foreign and needs defining. Here is a glossary of some of the services available to seniors and their families: Adult day services: Adult day services provide care and supervision to those who need supervision, social support, or assistance with daily activities and who attend the center during the day for a specified number of hours but are not residents of the facility.
Advance directive (living will): A document written when in “good” health that informs an individual’s family and healthcare providers of wishes for extended medical treatment in times of emergency. Assisted living: Assisted living is for those 55+ who want to live as independently as possible but may desire assistance with some of the activities of daily living, such as laundry, housekeeping, bathing, dressing, transferring/walking, or medication management. Home health: Home health provides therapy and skilled-nursing
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services to homebound patients during an illness or injury. Home health care is paid for by Medicare, Medicaid, and most private insurances and will usually only pay for services while the homebound patient recovers. After recovery, for most people, continued help in the home will become private pay. Hospice care: Hospice is a type of care for those with life-limiting illness. Hospice care takes place wherever an individual calls home and is provided by a team that includes physicians, nurses, chaplains, social workers, nurse assistants, and volunteers. Hospice is a Medicare benefit and is also covered by Medicaid and most private insurances. Independent living: a community designed exclusively for seniors (usually defined as persons over age 55), in which the resident does not need daily assistance with medical or personal care but enjoys
social engagement and activity with peers. Medicaid: A jointly funded medical financial federal/state health insurance assistance program, offering benefits to individuals with limited financial resources, the disabled, and the elderly. There are income eligibility criteria that must be met to qualify for Medicaid. A person must have exhausted nearly all assets and be in a skilled-nursing facility to participate in this program. Medicaid can reimburse skilled nursing facilities for the long-term care of qualifying seniors, and in some states, Medicaid pays for assisted living through Medicaid waivers. Medicare: Nationwide medical insurance program administered by the Social Security Administration for individuals 65 and over and certain disabled people, regardless of income. Provides for hospital and nursing facility care (Part A) and physician services, therapies, and home health care (Part B). Medicare Part A: Helps pay for care in a hospital or skilled-nursing facility, home healthcare, and hospice care. n
Wise Words - continued on p15
Healthy Living News | January 2019 11
A WALK IN THE PARK
A downed power line in Big Bend National Park set the creosote ablaze in a matter of seconds.
Things that go bump in the night by LeMoyne Mercer
S
hirley and I were at a ranger program one evening in Everglades National Park. During the Q&A session, an elderly gentleman asked, “What do I do if I’m walking down the trail and an alligator tries to eat me?” The ranger explained that wildlife needs to be treated with respect but, unless provoked, does not pose excessive risk. Many of us like hamburgers, he explained, but we don’t walk up to a cow and take a bite. There are about a million visitors to ENP every year, and nobody, knock
Most of the time gators are more interested in protecting their territory from other gators—unless you are the one making inappropriate advances on Mrs. Al E. Gator.
on wood, gets eaten by an alligator. known to tussle with small gators and That is, gators normally don’t see us deer. The python’s defensive strategy as food. Normally. is to lie still to avoid detection and to Then the visistrike only if threattor went on to ask ened. Pythons like about pythons, to hang out in the rattlesnakes, water mangroves where moccasins, and it is impossible for a other reptiles. All person to walk. Bethis time the rangsides, pythons are er was trying to not venomous— maintain a profeswhich does not sional demeanor mean it wouldn’t The water moccasin is one of the four with calm, polite venomous species in Florida. God blessed hurt to have an 18responses. us with the zoom lens so we don't have to foot snake latch get within striking distance. onto one of your “One last quesbody parts. Then tion. What if I am walking down the trail and a Florida apologize by giving you a nice hug. panther tries to eat me?” There are 47 species of snakes “Sir,” said the ranger, “you will in South Florida, but only four are die a lucky man. I have been here venomous: coral snake, water mocten years and have never seen a casin, pygmy rattlesnake, and diFlorida panther.” amondback rattlesnake. It is said Last October at Natchez we met that most snake bites are the result RVers from near Alpena, MI who had of mixing testosterone with alcohol. never been to the Everglades because That is, victims tend to be audacious they were concerned about a whole young men who have recently tossed host of creepy, crawly critters. Like back a few and are showing off for the old gentleman, they had images some nubile person of the feminine in their heads based on how the persuasion. Snakes don’t hide in the “swamp” is depicted on TV and in grass just waiting to ambush people movies. Most images in their heads out of malicious spite. Bites, even by were just as realistic as the things venomous snakes, are almost always they had seen Spiderman doing. in self defense. Are there snakes in the Everglades? On one of our visits to the EvWell, yes there are. Huge Burmese erglades, Shirley and I heard that pythons have gotten a lot of attention there was a large rattlesnake right in recent years because, well, first on the Gumbo Limbo Trail. “Don’t because they are huge. And then they worry, though, the rangers have it represent an invasive, non-native roped off.” species that is devouring more than This sparked our interest. How do their fair share of raccoons, ‘possums, you rope off a snake? So we went to and marsh rabbits. Have even been have a look. Sure enough, there was
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a thick-bodied rattlesnake curled up in a patch of sunlight on the trail. And the trail was indeed blocked off with some yellow plastic tape—not to keep the snake in but to warn people to keep out. Fascinating. Several of us took the opportunity to gawk. Strictly out of scientific curiosity, you understand. The snake never moved even though one fellow, probably hopped up on testosterone, approached somewhat closer than seemed wise. I tell people that I never worry about rattlesnakes when we are hiking because I have a woman who walks ahead of me to kick them off the trail. (She is quite modest about this.) Still, when we were at Montpelier, the home of President James Madison, I stepped under the branches of a majestic old oak to include it in my photo. “LeMoyne, you’re standing on a snake,” said Shirley. I stepped off it quite promptly. (Out of politeness, mind you, not because I was unduly alarmed.) The snake turned out to be just a harmless black racer, so
This black racer is not venomous, but he still gets somewhat offended if you step on him.
Shirley was under no obligation to come over and kick it out of my way. But the snake did look a little perturbed. You could see it in his eyes. Like many snakes, the racer’s normal defense is to remain motionless and undetected—which this one had done. When that fails, it slithers away at an amazing speed—which this one did. When Shirley and I are traveling, we try to keep in touch with friends and family back home to let them know where we are and how things are going. Our kids concluded years ago that we were probably up to some new and innovative form of foolishness yet again. They know because, when they were children, they had plenty of firsthand experience. So, as adults, they have been inoculated against unnecessary panic. Friends, on the other hand, are likely to fret
about lions, and tigers, and bears. Oh, my!
This grizzly was more interested in nibbling on the fireweed than on us. Even so, we kept a safe distance.
People often have ambivalent or contradictory attitudes towards bears especially. News reports about grizzly attacks always create lurid fascination. Network producers know this and eagerly present all the gory details—complete with a warning in advance not to watch if you are squeamish. Knowing, of course, that the “warning” guarantees you will not change stations. Here’s an angle you may not have considered. These days, it is more likely that a bear will be killed by a tourist than the other way around. That is, when a tourist does something stupid—such as leaving out food that might attract a bear or intentionally feeding a bear—the rangers may come and put the bear down. (That’s a euphemism for killing the bear.) Once a bear loses its natural fear of human contact, it tends to initiate more human contact in order to get another easy meal. If that meal is not immediately forthcoming, the bear may become insistent. Hence all the signs in national parks: Feed a bear, kill a bear. Still, the potential danger of bear attacks is not to be taken lightly. That’s why we carry bear spray. On the one hand, many park visitors and their Facebook friends are a just a little nervous out in the wild. Despite their nervousness, most visitors are also eager to actually see a bear. A few want to get as close as they possibly can. Even though they have cameras with digitally enhanced 60X zoom that would allow them to stay the recommended 100 yards away. On the road to Signal Mountain in the Tetons, there was a bear jam— traffic backed up so people could get out and see two young grizzlies feeding nearby. One old guy went skulking up on them, using all his finely honed Daniel n
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In the Park - continued on p44
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Healthy Living News | January 2019 13
new days begin at sunset. Sunset’s tips for preventing sUnsEt hOUsE Assisted Living, Healthcare, Ashanti Hospice Toledo, Ohio
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post-holiday loneliness in seniors
A
nother holiday season is behind us. The seemingly endless parties and get-togethers are now in the past, the lights and decorations are back in their boxes, the last of the holiday sweets have been eaten, and visiting loved ones are heading for home. After all the holiday hoopla, returning to the status quo can be a relief for some. However, for many seniors, the decline in socialization that occurs as the holidays wane can intensify feelings of loneliness. Gayle Young, Director of Marketing, Communications and Public Relations for Sunset Retirement Communities, explains, “The post-holiday period can be a bit of a letdown for all of us, but for seniors who face obstacles related to health, mobility, or transportation, this period can be especially isolating. That’s why it’s so important at this time of year for families to be closely attuned to their senior loved ones’ emotional well-being and to take steps to keep them engaged.” Young notes that the potential impact of post-holiday loneliness goes far beyond a case of the “winter blues” for seniors. In fact, isolation puts older people at increased risk for a wide range of physical, emotional, and mental health issues, such as debilitating falls, malnutrition, anxiety and depression, cognitive decline, dementia, and even mortality. To help your senior loved keep post-holiday loneliness at bay, Young suggests the following:
Make time for meaningful visits
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Time spent with senior loved ones is all too often limited to quick in-and-out visits to ensure their basic medical and housekeeping needs are met—stopping by to set up their medications for the week, making sure the garbage cans get to the street on time, scooping the kitty litter, etc. In addition to assisting in this fashion, it’s important to make time on a regular basis to sit down with your senior loved one for meaningful conversation and interaction. “It can be
a tremendous comfort and benefit to seniors knowing they have someone with whom they can spend quality time and share thoughts, hopes, and concerns, rather than someone who just dashes in to attend to chores,” says Young.
Promote peer connections
Just as important for seniors is interacting with their age-group peers who likely share similar interests and cultural/historical reference points. Area senior centers, senior communities, and church groups offer ample opportunities for seniors to connect with their peers while participating in a wide range of social activities. Take advantage of them!
Facilitate transportation
Many seniors either have functional limitations that prevent them from driving or are simply uncomfortable with the idea of driving in wintry conditions. As a result, their freedom to leave home and socialize or join in activities is significantly limited. Keeping seniors connected can be a simple matter of offering the occasional ride in your vehicle or, if you can’t be there, helping them arrange public transportation or shuttle services to social activities.
Address health barriers to socialization
Among the biggest obstacles to socialization for seniors are health issues that either limit their enjoyment of social activities, such as hearing or vision impairment, or cause them to feel anxious or embarrassed about leaving home and spending time in the company of others, such as incontinence issues. “Ensuring seniors get the proper health care and support they need to address these issues can
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go a long way toward keeping them engaged and preventing isolation,” Young states.
Encourage hobbies and pastimes
Arts and crafts, jigsaw or crossword puzzles, board games, book reading, cooking, learning to play a musical instrument, and knitting or sewing are just a sampling of healthy hobbies and pastimes that can help keep seniors engaged after the holidays. “To make these activities even more meaningful for your senior loved one, why not join in and share the experience? For example, you could read and discuss the same book, get together for a regular card game or chess match, or team up to take on a different cooking challenge each week,” Young recommends.
Consider a senior community
Young further notes that one of the best ways for seniors to stay engaged and active—not just after the holidays but all year round—is to move into a community that’s dedicated to their needs and interests. “Here at Sunset, our residents never have to experience isolation because we have a built-in community and offer a wide variety of activities and amenities that nourish them in body, mind, and spirit,” she says. “In addition, our expansive care continuum includes independent living, assisted living, memory care, and health care, so residents are never put in the position of having to leave behind their home and supportive community just because their care needs have changed.” For more information on Sunset Retirement Communities, please call 419-536-4645 (Sunset House), 419-724-1200 (Sunset Village), 419-724-1220 (The Woodlands), or 419-386-2686 (Fieldstone Villas), or visit www.sunset-communities.org. ❦ n
n
Wise Words - continued from p11
Medicare Part B: Helps pay for doctors, outpatient hospital care, and other medical services not requiring hospitalization. Memory care: Memory care offers specialized care for individuals with memory impairments, such as Alzheimer’s and other forms of dementia. Occupational therapy: Occupational therapists show individuals how to achieve their maximum level of ability to perform daily activities, such as bathing, dressing, and basic housekeeping chores, to regain their highest level of independence possible. Physical therapy: Physical therapy focuses on exercise techniques as well as strengthening and pain relief. The goal of PT is to make activity easier, including walking, going upstairs, getting in and out of bed, etc. Respite care: Respite care provides temporary relief for caregivers, ranging from several hours to days. May be provided in-home or in a residential care setting such as an assisted-living community or skillednursing facility. Speech therapy: Speech therapy helps individuals improve any impaired speech functions and regain their communication skills. Qualified therapists also complete an assessment and provide treatment for swallowing. Skilled nursing: Skilled nursing provides round-the clock assistance and medical attention on either a long-term or short-term basis. Transitional care: Transitional care is for those who need to regain strength and independence after surgery, injury, or illness and are in transition from home or hospital. May include physical therapy, speech therapy, and/or occupational therapy. ❦
Unison Health receives the gift of recovery from Huntington Bank
U
nison Health has reason to celebrate this holiday season with the news that Huntington Bank will contribute $15,000 to support Unison Health’s Recovery Housing facility. The 16-bed Recovery Housing unit, which is scheduled to open in February 2019, will provide people with long-term, drug-free housing where they are surrounded by individuals in recovery. The contribution was presented to Unison Health President and CEO Jeff De Lay, Director of Integrated AOD Services Ashley Kopaniasz, and Program Manager Subacute Detox Jacki Twining by Lee Vivod, Community President of Huntington Bank and member of Unison Health’s Board of Directors. According to Unison Health’s Jeff De Lay, “The period immediately following detox is a crucial time for people facing their addictions. Having a safe place to go, where people are equally invested in recovery, is essential. By transitioning into Recovery Housing, residents can help one another maintain their individual commitments to sober living.” Studies show Recovery Housing is highly beneficial for residents. Individuals living in Recovery Housing not only experience decreased substance use and incarceration rates, but they can also improve their family and social relationships as well as their social and emotional well-being. Unison Health seeks to provide Recovery Housing that works in conjunction with their range of substance-abuse services, which helps ensure an overall continuity of care for patients. For more information about Unison Health, please visit unisonhealth.org. ❦
St. Luke's - continued from p5
from area hospitals and health systems. “We always say we want St. Luke’s to be a good place to practice medicine,” said Wakeman. “Our approach to planning this project reflects that philosophy. These surgeons will be able to do their best work at St. Luke’s.” The hybrid OR and EP lab are the latest examples of St. Luke’s commitment to providing life-changing care to its patients. For example, the St. Luke’s Heart & Vascular Health Center has full Chest Pain Center Accreditation from the American College of Cardiology. St. Luke’s is also nationally certified as a Primary Stroke Center, among many other areas of recognized expertise. “We’re starting to change the perception of St. Luke’s,” Wakeman said. “Any patient can feel confident trusting their care to us, no matter how sick they are.” ❦ Connect with our advertisers via our online issue at www.hlntoledo.com
Healthy Living News | January 2019 15
A realistic approach to resolutions Resolution for starting a healthier lifestyle
by Jim Berger
H
appy 2019! May it be a year filled with much joy and happiness! I have had the joy of providing health, wellness, and therapy tips for over 10 years in Healthy Living News. I have shared many insights into therapy services and treatment approaches. I have shared insights into nutrition, eating, and exercise. I am so fortunate to be able to have shared and look forward to continuing in 2019. My article in January usually focuses on New Year resolutions, making them and how to be successful in accomplishing them. This year I want to make it as realistic and simple as possible for each of us to achieve success. Let’s start with the resolution. Many have already made them and are working hard to be successful. But we should rethink the resolutions especially related to health and wellness. The KIS approach (Keep It Simple) is the method that we should take. • • • • • • • • • • • • • •
• •
• • • • • •
Eating suggestions: Portion control your plate. Look at ingredients labels and limit foods with high sugar content. Have more fruits and vegetables as snacks. Drink more water. Take at least 20 minutes to eat a meal. Put away all electronic devices during meal time.
Exercise suggestions: • Cardiac exercise three times a week for at least 15 minutes each time: walking, riding a bike, jogging/running, dancing. • Strength training three times a week for at least 20 minutes: body weight/free weights/ machine, sitting or standing. • (Note: Cardio can be broken up into five-minute segments, building up to 20-30 minutes, and strength can be on the same day.)
• General and stress relief suggestions: • Establish a better sleep routine, trying to get at least seven hours a night. • Have more verbal conversations instead of text messages. • Do at least one fun activity weekly. There a many more ideas and suggestions that you can come up with if you keep it simple.
Physical therapy’s role in resolutions
If you’re limited in your exercise approach due to pain; lack of strength; or mobility, flexibility, or balance issues, then start with physical therapy. A physical therapist will address the reason for your limitations and then help guide you on an individualized program. Correcting limitations will allow you to focus more fully on a healthier lifestyle. Physical therapy helps in the following ways: • Increases and maintains muscle
Reduce your low back, hip & knee pain
• • • • • • • • •
strength and endurance Restores and increases joint range of motion Increases coordination Decreases pain Decreases muscle spasm and plasticity Decreases swelling and inflammation of joints Promotes healing of soft tissue Alleviates walking problems Educates patients and families Decreases stress.
In addition to this extensive list of benefits, physical therapy is cost-effective, conservative, and non-invasive; has no negative side effects, but numerous positive outcomes including improved function and a greater sense of well-being; addresses the cause of the problem instead of masking symptoms; and is administered by licensed, highly educated professionals. Instead of asking yourself whether you should seek physical therapy for a condition or injury, a better question might be n
Resolutions - continued on p30
Reduce your low hip &disease knee pain Decrease your riskback, for heart Decrease your heart disease Lower your riskrisk for for Type 2 Diabetes Lower your risk for Type 2 Diabetes Improve your blood pressure Reduce your low back, hip & knee pain Improve your blood pressure Reain your acve Decrease your risk lifestyle for heart disease Reain yourrisk acve Lower your forlifestyle Type 2 Diabetes Improve your blood pressure Reain your acve lifestyle
Healthy Lifestyle Healthy Lifestyle
Healthy Lifestyle
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Healthy Living News | January 2019 17
Parkinson Foundation of Northwest Ohio
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WE HAVE SUPPORT AND EXERCISE GROUPS
SUPPORT GROUPS
Ashland County - 2nd Tuesday 2:00 pm Belmont Tower - 2140 Center Street, Ashland, OH John Rowsey 419-289-1585 Auglaize County - 3rd Monday 2:00-3:00 pm March October and 3rd Monday in November at 1:00 pm Joint Township District Memorial Hospital 200 St. Clair Street, St. Mary’s, OH 45885 Linda Dicke 419-394-3335 Group in Fulton County First Tuesday of the Month, 1:00 pm St. Martins Lutheran Church 203 S. Defiance St., Archbold, OH 43502 Bonnie Lauber 419-445-9516 Hancock County - 3rd Monday 1:15 pm 50 North - 339 E. Melrose Ave., Findlay, OH 45840 Mark and Deb Fisher 419-423-4524 Lima Area - 1st Thursday of each month, 1:00-2:00 pm - NO meetings in December, January and February Grace Community Church 4359 Allentown Lima, OH 45807 Beth Hartoon 419-226-9019 Parkinson Project of NW OH Young On-Set Group 2nd Wednesday 7:00 pm *Meets every Month EXCEPT July Holiday Inn French Quarter Perrysburg, OH Toni & Bob Lesinksi 419-385-4330 ProMedica Memorial Hospital/Seneca County PD Support Group 2nd Tuesday 2:00 pm - Meets every other month: Jan, Mar, May, July, Sept, Nov First United Church, 1500 Tiffin Ave., Fremont, OH 43420 Lesley King 419-334-6630 Putnam County - 4th Wednesday 11:15 am-12:45 pm NO meetings in December, January and February Henry’s Restaurant 810 N. Locust St., Ottawa OH 45875 Beth Hartoon 419-226-9019 Sandusky - 1st Thursday Each month, 3:00-4:30 pm (Resumes March 2019) Firelands Hospital, South Campus Community Resource Room 1912 Hayes Ave., Sandusky, OH 44870 Angela Myers 419-625-3005 Shakin’ Not Stirred’s Monroe County and Contiguous Area Parkinson’s Support Group Held 3rd Wednesday of Month, 6:30 pm except July and August Nature Center - 4925 E. Dunbar Rd., Monroe, MI 48161 Jennifer Traver 734-497-5683 Western OH - 3rd Thursday 2:00 pm New location: Briarwood Village 100 Don Desch Dr., Coldwater OH 45828 Alicia Koester 419-678-2851 Williams County - 3rd Monday 12:30 pm *Months with County holidays – the 4th Monday Bryan Senior Center, 1201 South Portland, Bryan, OH 43506 Senior Center number 419-636-4047 Laura Rohlf 419-924-2927 The Waterford at Levis Commons Perrysburg 3rd Monday of the Month 6:00 pm to 7:00 pm 7100 S. Wilkinson Way, Perrysburg, OH 43551 Michael Zickar
18 January 2019 | Healthy Living News
CAREGIVER SUPPORT GROUP: Caregiver Support Group of Fulton County Meet 3rd Wednesday of the Month 10:00 am St Martins Lutheran Church 203 S. Defiance St., Archbold, OH 43502 Bonnie Lauber 419-445-6516 Toledo Caregivers (C.A.R.E.S.) Support Group 1st Monday 6:30 pm (except Holidays) Genacross Lutheran Services -Assisted Living 3rd Floor 2001 Perrysburg-Holland, Holland, OH 43528 Kristen Schuchmann 419-383-6737
EXERCISE GROUPS Central Park West 3141 Central Park West Dr., Toledo, OH 43617 Saturdays 10:00-11:00 am, 419-841-9622, info@cpwhc.com Delay the Disease - Allen Eiry Senior Center 28 Hopewell Ave., Tiffin, OH 44883 Mondays and Wednesday 11:45 am-12:45 pm Gina Menke, PT, DPT 419-455-8600 Delay the Disease: Arbors at Waterville Thursdays beginning in March for 12 weeks 11:00 am-12:00 pm, $35 for session Alyssa 419-878-3901 Delay the Disease - Grace Community Church 4359 Allentown, Lima, OH 45807 March through November 12:00-1:00 pm Beth Hartoon 419-226-9019 Delay the Disease - PT Services, Inc. Tuesdays and Wednesdays 1:00-2:00 pm 1500 Tiffin Road, Fremont, OH 43420 Lesley King 419-334-6630 Eastern Community YMCA, Oregon, OH Tuesdays and Thursdays 4:30-5:30 pm Susan Ruff 419-725-7844, sruff@ymcatoledo.org Fulton County Health Center Rehab - Wauseon, OH Thursdays 11:30 am Becky or Karen 419-335-1919 Genacross Lutheran Services - Toledo Campus 131 N. Wheeling St., Toledo, OH 43605 Tuesdays and Thursdays 10:00-11:00 am Classes begin January 2019 419-724-2638 Genacross Lutheran Services - Wolf Creek Campus 2001 Perrysburg Hollard Rd., Holland OH 43528 Mondays and Thursdays 11:00 am-12:00 pm 419-861-5099 Hancock County Agency on Aging Fitness Center Delay the Disease Classes 50 North, 339 E. Melrose Ave., Findlay, OH 45840 Mondays and Wednesdays, 11:30 am to 12:15 pm Free to fitness members and $20 for non members for an 8 week session 419-423-8496 ext. 2004, fkasmarek@50north.org www.50north.org
International Boxing Club Tuesdays and Thursdays 4:30-5:30 pm 5963 Telegraph Rd., Toledo, OH Coach Harry Cummings 419-450-8435 www.ibctoledo.org Kingston Care Center – Perrysburg 345 E. Boundary St., Perrysburg, OH Tuesdays and Thursdays at 11:00 am to 12:00 pm Amber Haas 419-873-6100, ahaas@kingstonhealcare.com Kingston Care Center – Sylvania 4121 King Rd., Sylvania, OH 43560 Thursdays 12:00-1:00 pm in therapeutic pool Ashley 419-517-8282, asautter@kingstonhealthcare.com Knock-Out Parkinson’s International Boxing Club 5965 Telegraph Rd., Toledo, OH Mondays, Wednesdays, Fridays at 9:00-10:00 am Coach Harry Cummins 419-450-8435 Mennonite Memorial Home - Bluffton, OH Tuesdays and Fridays, Northwest Physcial Therapy 419-523-9003 www.northwestphysicaltherapy.com Movers & Shakers Fitness Class Fremont American Legion 200 Buckland Ave., Fremont, OH 43420 Sessions currently ongoing. For more information or to register: Lesley King 419-334-6630 Putnam County YMCA 101 Putnam Parkway, Ottawa, OH, Thursdays 1:00-2:00 pm Sandusky Firelands Hospital, South Campus, Community Room PD Exercise, Thursdays at 2:00 pm Open to anyone with PD, any symptoms/any stage FRMC Campus - Community Room Tai Chi, Mondays 2:00 pm Open to those with PD and general public $25 for 12 weeks Sandusky NOMS, 2800 Hayes Ave., Sandusky Mondays 1:00 pm Small room near gym, $60 for 12 weeks St. Rita’s Medical Center Auxiliary Conference Center 718 W Market St., Lima, OH 45801 Wednesdays 1:00-2:00 pm (May - November) Wood County Committee on Aging 305 N. Main St, Bowling Green, OH Thursdays, 2:00-3:00 pm Program Department 419-353-5661, x1013 YMCA Marion, OH Mondays and Wednesdays 9:00-10:00 am Plus Saturdays in the small pool 9:00-10:00 am 740-725-9622, www.marionymca.com YMCA Marion Advance Class - Marion OH Mondays and Wednesdays 12:00-12:45 pm Plus Saturdays in the small pool 9:00-10:00 am 740-725-9622, www.marionymca.com
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Visit our website pfnwo.org / Parkinson Foundation of Northwest Ohio - pfnwo 150 W.S. Boundary, PMB #202, Perrysburg, OH 43551 / 800-438-5584
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Widespread screening and HPV vaccination could consign cervical cancer to history
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ith January being Cervical Two forms of the HPV vaccine Health Awareness Month, it’s have been approved by the FDA, worth noting that the rate of cervical and each is administered in a series cancer has been trending steadily of three injections. Traditionally ofdownward since the 1950s. In fact, fered between the ages of 9 and 26, whereas 70,000 to 80,000 women the vaccine was expanded in October were diagnosed each year in the of 2018 to include women up to the 1950s and ‘60s, the US currently sees age of 45. “This is exciting news. By only 10,000 to 12,000 new cases each vaccinating a much larger group of year—a significant decline. people, we can prevent a lot of new ProMedica gynecologic cases of cervical cancer oncologist Adam Walter, from developing,” states MD, explains that this Dr. Walter. steady downward trend Cervical cancer typically in the rate of cervical canis not painful, nor does it cer can be attributed to cause many obvious sympthe advent of Pap testing, toms. One sign Dr. Walter which made it possible to urges women to watch discover and treat pre-canfor is abnormal vaginal cerous lesions before they bleeding, for example in become full-blown cancer between periods or after and led to the most sucintercourse. “Whether Dr. Adam Walter cessful health screening you’re of reproductive age program in our nation’s history. or not, you should seek a medical Dr. Walter is confident that the examination promptly if you experate of cervical cancer can be re- rience abnormal bleeding. It’s also duced even more through wide- important to be in regular contact with spread screening and vaccination for your provider and to be forthcoming human papillomavirus (HPV), which, with any concerns you might have according to the National Cervical in this regard so a proper evaluation Cancer Coalition, is present in about can be done,” he says. 99 percent of cervical cancers. “We’ve Furthermore, women should be seen some exciting changes in HPV aware that there are certain lifestyle screening,” he says. “In 2009, the choices they can make to reduce their American Society for Colposcopy risk of cervical cancer. These include and Cervical Pathology, or ASCCP, condom use during sex and avoiding implemented HPV testing as part of smoking. This last point may seem the Pap smear guidelines. This test surprising, but Dr. Walter points out has a much higher predictive value that the rate of cervical pre-cancer for pre-cancerous lesions than Pap and cancer is significantly higher smear alone, reducing unnecessary among women who smoke than treatment and making it possible among those who abstain, likely due to space out screenings better for to the fact that smoking alters the women who have normal results.” way the immune system responds Effective screening for pre-cancer- to viruses. ous cervical lesions is so important Nonetheless, when it comes to because, as with any cancer, early the prevention of cervical pre-candetection leads to the best possible cer and cancer, screenings and HPV treatment outcome. Dr. Walter em- vaccinations remain women’s most phasizes that cervical cancer is highly powerful ally. “My hope is that 20 to treatable and often curable when 30 years from now, cervical cancer caught early on. However, cancers will be something we only read about that have reached an advanced stage in text books. As the age range for or have recurred are more likely to vaccination expands and we reach be incurable. In terms of treatment, more and more individuals, hopefully the appropriate option varies based the more virulent strains of HPV will on the stage of the cancer at the time be eradicated and we won’t have to of diagnosis, ranging from simple talk about this cancer much longer. surgery to daily radiation therapy, That will be an amazing day,” Dr. potentially including chemotherapy. Walter says. ❦
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Healthy Living News | January 2019 19
Beat the winter blues with a getaway to Ohio Living Swan Creek! Experience the best parts of winter with none of the headaches! You’re invited to live in one of our trial-stay apartments from January through April at 50% off the standard rate (or $1,500 per month).* Our spacious one-bedroom, one-bath apartments come with brunch and evening meals, biweekly housekeeping and maintenance included. Come enjoy the snow-covered landscapes and cups of hot cocoa by the fireplace, with none of the snow shoveling or furnace fixing. Now that’s a winter wonderland.
Call 419.865.4445 to learn more! *Or other negotiated dates. Offer valid pending approved application.
5916 Cresthaven Lane | Toledo, Ohio 43614 | 419.865.4445 | ohioliving.org
20 January 2019 | Healthy Living News
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New medical office is just what the doctor ordered
hen Roger Wohlwend, DO, opened an office at Ohio Living Swan Creek, it was literally just what the doctored ordered. It was a long time coming, but he knew it was time to put down roots in a place that had already won his heart. With a background in geriatrics and a history of working with various hospice organizations throughout the Toledo area, Dr. Wohlwend had already been tapped by Ohio Living Swan Creek to be the community’s medical director. It was through that affiliation that he got to know many of the residents and staff, and he liked what he saw. So it seemed a natural fit when the medical director position opened, and he was honored to open his new office at this beautiful campus he already knew and loved. We asked Dr. Wohlwend about his life before and after joining Ohio Living Swan Creek:
Tell us about your beginnings. What started you on your path?
Well, I was the son of a farmer and the grandson of a physician. I spent enough time with a pitchfork in hand to know that wasn’t what I wanted to do with my life. I grew up in North Dakota, then served as a corpsman in the Navy during the Vietnam War where I was trained as a lab technician.
So how did you end up in Ohio?
I did undergraduate work at Case Western Reserve in Cleveland, received my medical degree at the Ohio University College of Osteopathic Medicine in Athens, and completed my rotation in Toledo Parkview Hospital.
How did you eventually end up working with seniors?
Through the years I became interested in geriatrics, became quite familiar with hospice, and started working closely with various hospice organizations throughout Ohio. One of those organizations was Ohio Living.
Fast forward to now. What do you enjoy most about working with seniors?
People have interesting lives; they have done and seen what I haven’t. I find that intriguing. As their doctor, I think of myself as their “medical detective.”
Why did you choose to make Ohio Living Swan Creek your new office? I realized that my patients needed me more outside the office than they did inside the office, if that makes sense. And I wanted to be on campus and close at hand. There is much to be done, and I want to be a present and proactive partner in my patients’ care.
What do you like best about working with the staff?
BEHAVIORAL HEALTH Life is Waiting...
Mental Health and Substance Use Treatment
The staff here is exceptionally responsive! I continue to be amazed at how caring and supportive they are—almost like a second family.
What do you see as the main benefit of moving to a life plan community like Ohio Living Swan Creek?
The sense of community. People have the opportunity to be as involved as they wish to be. If their bodies have failed them and they can’t get out, they have the peace of mind that staff is available to help them live their best life, whatever that may happen to be. ❦ n
Obesity - continued from p10
Dr. Fourman. “If you’re serious about weight loss, you have to evaluate all aspects of your lifestyle, including factors you might not realize are related, such as water intake and the amount of sleep you’re getting. You really have to attack the problem from all angles, which is why it’s so helpful to be in a structured environment like we offer here at Mercy Health – Weight Management Solutions.” Dr. Fourman also emphasizes that the more we learn about obesity, the more obvious it becomes that it isn’t just a calorie problem. “The majority of people who are severely obese and struggle with weight loss have definite genetic and physiologic components to their problem. For these individuals, diet and exercise alone won’t work. They need a program that addresses these factors, and we can provide that,” he says. For more information or to register for a free, no-obligation seminar to learn more about surgical and non-surgical weight-loss options, go online at www. mercyweightmanagement.com or call 419-324-9112.❦
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Inpatient, outpatient and partial hospitalization programs Inpatient: • Acute psychiatric hospitalization • Rehabilitation • Detoxification • Dual diagnosis • Chemical dependency Outpatient: • Intensive outpatient • Partial hospitalization
Assessments 24 hours a day, 7 days a week. Call 800-547-5695. Arrowhead Behavioral Health 1725 Timber Line Road Maumee, OH 43537 www.arrowheadbehavioral.com With limited exceptions, physicians are not employees or agents of this hospital. Model representations of real patients are shown. Actual patients cannot be divulged due to HIPAA regulations.
Healthy Living News | January 2019 21
Toledo Clinic internist promotes greater access to comprehensive primary care T
oledo Clinic Internal Medicine Physician Thomas Smallwood, MD, has been practicing in Toledo for over 20 years. In that time he has focused not only on providing expert, compassionate care, but also on improving access to medical treatment and reaching patients wherever they are. A graduate of Oberlin College, Dr. Smallwood attended medical school at Case Western Reserve University School of Medicine in Cleveland and completed his residency at the University of Colorado at Denver Health Science Center. He is board certified by the American Board of Internal Medicine (ABIM) and a member of the ABIM, the Ohio State Medical Association, and the Academy of Medicine of Toledo and Lucas County. As an internist, Dr. Smallwood specializes in providing comprehensive primary care to adults across the spectrum and has the depth and
breadth of knowledge to diagnose and manage complex medical conditions “from A to Z” as well as any related co-morbidities. When asked what he considers to be the biggest healthcare challenge facing our community, Dr. Smallwood points to lack of access for many people, especially the elderly. “For example, when it’s time to select an insurance plan, a lot of our geriatric patients have difficulty determining which plan is most affordable and will cover their doctor and health issues. Transportation is also a major problem for our elderly patients. Many of them are unable to drive due to health or mobility issues and have to depend on family members or take a bus or cab to get to appointments, so arriving at their scheduled time can be challenging and potentially expensive,” he says. Dr. Smallwood also identifies the skyrocketing rate of diabetes as a major health challenge confronting
our community. “That includes all the other health issues that go along with diabetes, such as neuropathy, the risk of amputation, impaired kidney function requiring dialysis, and a host of other problems. It’s a much more systemic disease than simply elevated blood sugar. Plus, there’s a tremendous educational component to diabetes because most people don’t understand the disease or know how to manage it,” he adds. A Toledo resident for many years, Dr. Smallwood has a long history of promoting access to healthcare in our community. Several years ago, as a way of giving back, he launched the Black Bag Program, which brought medical services to homeless people in shelters and elsewhere around Toledo. Looking forward, he is planning to begin offering home care services to ensure that his elderly patients and others who have difficulty reaching the office get the care they need. “Home visits also give me a sense
of the environments elderly patients live in so I can identify ways to help them remain in their homes for as long as possible,” he says. Dr. Smallwood notes that his office is now fully staffed with dedicated professionals who strive to make each patient’s visit a positive experience. Among them is office manager Joseph Dennis, who recently joined the practice. “Joe is a very detail-oriented and customer-driven gentleman, and we’re very pleased to have him here,” he says. The office also has two nurse practitioners on staff, ensuring that patients are seen in a timely fashion. Dr. Smallwood accepts Medicare, Medicaid, Aetna, and Caresource, along with most other major insurance plans, and is currently welcoming new patients for both home care and office visits. For more information or to schedule an appointment, please call his office, located at 1850 Eastgate, at 419-385-5751. ❦
Thomas E. Smallwood, M.D. Board Certified
1850 Eastgate Suite I Toledo, OH 43614
419-385-5709
www.toledoclinic.com
Accepting New In-Home & Office Patients
Choose well, feel better.® 22 January 2019 | Healthy Living News
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Quality Care = Quality Results We are committed to providing the best care possible in an environment that promotes quality of life.
The role of journaling in long-term care by Chris Stieben and Megan Benner Senecal
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any things occur in the longterm-care setting, and much of the activity revolves around care needs. However, the unspoken part of navigating long-term care with your loved one involves emotions and interactions that have the potential to make or break the experience. During our practice of case handling, we often are tasked with assisting in the resolution of care issues. In doing so, we often also end up doing our best to assist residents and their family members in navigating their emotional response to their long-term-care experiences. Recently, the concept of journaling has come up again as a way to improve care, communication, and the documentation of the moments that we may lose sight of in the shuffle. Providers have so many different tasks occupying their time that things can go unnoticed and or unaddressed. As such, it’s helpful to keep a journal that documents not only the interpersonal interaction with your loved one but also the events of the visit. Journaling in this manner can allow you time to self-reflect, vent frustration, and organize your thoughts. Every family member can participate by jotting anecdotal stories in the journal as they visit. Many times when things go sideways in the care setting, it is hard to recreate the events and investigate the incidents. In such cases, journals can offer providers a view of the facts of the situation
from a different perspective, which can help as they make attempts to change processes and enhance care impacting all residents. If you are lucky enough, and the entries aren’t needed from a care perspective, the journal can also serve as a record of your relationship. The psychosocial aspects of journaling can be even more rewarding. Rereading entries can provide a cathartic release and soften the effects of dealing with the impact of illness and decline your loved one is experiencing. This can be as simple as making note of a funny event that, when revisited a month or even a year later, can make the grandchildren giggle and brighten a room and a day. Oftentimes while navigating longterm care, we can lose sight of the positive moments and get bogged down in the clinical aspects and problems we encounter. However, beginning a journal as a family or just on your own can help to celebrate the life of your loved one and the relationship you share as well as to celebrate the formal and informal caregivers enhancing quality of life in long-term care. Happy journaling! If you have questions regarding anything related to long-term care please reach out so we can guide you.
The Manor at Perrysburg has proudly served the Perrysburg, Maumee, Rossford and Toledo areas since 1995.
When skilled nursing and rehabilitation is necessary, it is our goal to get you home safely – as quickly as possible. Our experienced team of professionals focuses on you as an individual and your specific needs. We develop a therapy plan and approach that is designed to help you heal faster and achieve your unique goals. In an effort to ensure a complete continuum of care, our rehabilitation team includes: physicians, nurse practitioners, nurses, social workers and therapists. Our clinical care specialties include recovery programs for complex medical conditions along with traditional therapy. Outpatient Services provide comprehensive Physical, Occupational and Speech Therapy – We offer a separate treatment center and state-of-the-art exercise equipment. Our therapy staff develops individualized plans of treatment for each patient we serve. Specialized Services – Arthritis, Fall Prevention, Prehab, Pain Management, Stroke Recovery, VitalStim® Plus and Wound Care. Long-Term Care, Hospice Care, Palliative Care – Arms of Care, Respite Care and Person Centered Care
Christopher Stieben is Director of the ABLE Long-Term-Care-Ombudsman Program, which can be reached at 419-259-2891 (http://ombudsman. ablelaw.org), and Megan Benner Senecal is a member of the Ombudsman office. ❦
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Healthy Living News | January 2019 23
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James D. Diethelm, MD Ryan Szenderski, PA-C Same day appointments available with our physician assistant
419.473.2273 7640 W. Sylvania Ave., Suite C2 Sylvania, Ohio 43560
Welcoming New Patients 24â&#x20AC;&#x192;January 2019â&#x20AC;&#x201A;|â&#x20AC;&#x201A;Healthy Living News
: I always schedule my dental visits a year in advance because Iâ&#x20AC;&#x2122;m obsessed with my teeth and want to make sure I go at least twice a year. My problem is I cannot get myself to do the same with my hearing since I have had a hard time accepting that I have hearing loss and keep trying to ignore it. Should I feel bad about this?
A
: There are many people like you who have a hard time accepting they have a hearing loss and put off doing anything about treating it consistently. There are others who have hearing aids to help with their hearing loss but have trouble advocating for the additional assistance they need to communicate their best. But simply not going for an annual hearing exam shouldnâ&#x20AC;&#x2122;t be acceptable. Literally going out of your way to avoid a hearing exam or getting treated is not the answer. You will then be dealing with other factors that I think are worse. Simply being embarrassed may lead to social isolation as well as problems at work and school and in relationships with family and friends. Donâ&#x20AC;&#x2122;t wait for a loved one to force the subject. Inspire yourself and start dealing with your hearing loss. Set a good example for others by going to your annual visit with your audiologist. Accept that you have a hearing loss and get the treatment. Also, donâ&#x20AC;&#x2122;t forget to be your own advocate. Sometimes it takes a little inspiration to move you forward on your hearing loss journey. Make 2019 a new beginning and change how you address your hearing healthcare. This year, make a new beginning when it comes to caring for your hearing needs. Here are some suggestions to help you ease into it: First get your hearing retested, and if you suspect a hearing loss, schedule your first visit and get the facts. If you know people are talking to you but have trouble understanding them,
this is your sign. A newly identified hearing loss should be confirmed so you can discuss your treatment options. If you are already wearing hearing aids, this annual visit is necessary to monitor any changes with your hearing loss and enable adjustments to the hearing aids to keep them functioning at their best. Hearing aids help but arenâ&#x20AC;&#x2122;t the only way to improve your hearing. Donâ&#x20AC;&#x2122;t hesitate to ask for further assistance to make sure you hear and understand conversational speech the best you can. For example, if you are going out to lunch with a group of friends, inform the restaurant when you make a reservation that you need to be away from the open kitchen since itâ&#x20AC;&#x2122;s so noisy. This is an example of how to advocate for yourself. Tell your family or friends to allow you to choose where you should sit so you are positioned to hear as well as possible in a group. Sitting with your back to a wall can help block out some of the background noise. The lighting is also important. You donâ&#x20AC;&#x2122;t want to sit in the dark since it affects how you lip read. Remember, you know what will help the most; you are your best advocate! Just as no shoes fit everyone the same, different hearing losses need different hearing solutions. Your hearing aids are the first priority, but itâ&#x20AC;&#x2122;s also important to use them in conjunction with other assistive listening devices to make difficult listening environments more enjoyable. There are many different devices that connect to hearing aids these days, such as FM systems (used mostly in educational institutes and theaters) and television. We can now even connect wirelessly to our smart phones. Make sure to give them a try, and keep in mind that these devices are becoming more and more available in all levels of hearing aid technology. n
Sound Advice - continued on p30
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CONFIDENT
my doctor is in tune with my needs.
Advanced care and healing close to home. We’re here for you. And we are an integral part of this community. The University of Toledo Medical Center offers best in class specialties, better outcomes, and expert physicians, nurses and medical technicians in a superior continuum of care that’s close to home and dedicated to the area’s health and healing.
We’re strong. We’re committed. And we’re confident in the future. Visit utmc.utoledo.edu to learn more.
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Healthy Living News | January 2019 25
EATING WELL Three steps to better health in 2019 by Laurie A. Syring, RD/LD
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osing weight and getting into shape are at the top of many people’s priority lists as we ring in the New Year. Often these goals and objectives fall short on or about day 17—usually because we set unrealistic goals and end up getting minimal results in the short term. Looking to change fitness and eating routines can be overwhelming and confusing. Look out for quack products that promise to make you thinner faster and get you in better shape in just minutes a day. If it sounds too good to be true, it probably is. Educate yourself; remember, knowledge is power. We’re faced with over 300 food/eating decisions each day, and being empowered with the right information will allow you to make healthy choices and set you up for success. I could write about literally hundreds of food, health, or nutrition topics this month, but I want to keep things simple and sensible for readers. Let’s start with just three basic steps you can take to achieve better health in 2019. We’ve got a
whole year to drill down on these concepts, but for now let’s just focus on the following:
#1 Keep a food diary
Huh, what? Who has time for that? Well, you might want to find the time because numerous science-based studies have shown that people wanting to lose weight have much better success when they keep a food diary. It’s the number-one thing you can do for yourself—a “magic bullet,” so to speak. There are many approaches you can take to keeping your diary. For example, you could jot everything down in a plain old notebook, download a form from the web, check out choosemyplate.gov, or even download an app such as MyFitness Pal. Writing down everything that goes in your mouth—yes, I mean every bite, lick, and taste—keeps you accountable, allows you to look back on the day and see where your eating downfalls are occurring, reminds you what you already ate, and somewhat prohibits you from overeating or snacking on something when you know you have to write it down.
HEALTH CROSSWORD
#2 Lift weights Strength training is key at any age or fitness level. In the past 30 years of the “fitness craze,” have you seen Americans getting thinner by spending hours on the treadmill? No! Don’t get me wrong, cardio is an important part of health and fitness, but it must be combined with strength training for effective and long-lasting weight loss. The weights build strong muscles, and muscles are much better calorie burners than fat tissue—even when you’re at rest. It’s all about improving your metabolic rate and making you a better calorie burner. Some strength-training exercises don’t even require weights. Squats, leg lifts, and wall sits, for example, can all be performed using only your body weight. Need a little inspiration to help get you started? Two of my favorite books are The Cardio Free Workout by Jim Karas and Strong Women Stay Slim by Miriam Nelson, PhD.
#3 Snack well
I’m talking about watching all those little extras that can really pack on the pounds—a cookie here, a handful of chips or snack crackers there. Keep in mind that any extra calories are going to be stored as fat. An extra 250 calories a day—the equivalent of two peanut butter cups—can add a half pound a week. That’s 26 extra pounds a year! When snacking, choose healthy, low-calorie items. Try fresh fruits, low- or nonfat yogurt, and veggies. Avoid potato chips, sweets, and typiCrossword by Myles Mellor 1
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abbr. The ears have to be cleared of it now and then Say...what's up, ____? The "best medicine" according to many Fuzzy fruit Low-hemoglobin condition Potatoes and yams, e.g.
Sky-blue Nowadays it's GPS based Periods of happiness In the direction of Detroit's state Bicarb and others Salad staple Bright garden flower Bathroom dryer Persian religion A dangerous component of cigarettes Nine to a Roman Vegetable garden line of seedlings perhaps Chop up Copper symbol
Be the best you can be in 2019
I consider it an honor to help guide you down the road to a healthier life—and I hope these three simple steps will get you through the dreaded day 17, when most people abandon their diet efforts. Eating well truly makes you feel good, but remember, it’s not about “dieting.” My motto is “Choose the right foods on most days.” Also, it pays to be patient. It can take anywhere from three to 18 months before something becomes ingrained as a habit, and change can be slow. Start with one manageable change, such as switching from whole milk to 1% milk, so you can enjoy a small taste of success. As you gradually change out your foods for healthier ones, you’ll find your tastes change too. Something you’ve not had in a while will suddenly taste too salty, too sweet, or too rich. Every small change can yield huge benefits. I’m also looking forward to another year of writing this column. Let’s sail right past January 17 together with our healthy eating habits intact. Look for Eating Well each and every month—bringing you the knowledge to be the best you can be. Laurie Syring, RD/LD, is Clinical Nutrition Manager at ProMedica Flower Hospital. ❦ 4
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by Myles Mellor • ilovecrosswords.com • Answers on page 46
ACROSS 1 Moisturizing oil 4 Baby in the making 9 Gives a vaccination to 11 Chinese principle 12 Red wine, for short 13 Octopus and shrimp's home 14 Environmental watchdogs, abbr. 15 One who provides TLC to patients 17 Bandage of a kind 18 Dr.'s org. 21 Clean teeth 23 Source 26 It's used against bacterial infections 30 Right arm, in the navy,
cal no-nos while trying to drop extra pounds. Learn to just say no, so to speak. Your inner voice must step in to impose some discipline and restraint. And remember, if you eat it, you need to write it down in your food diary!
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Across
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Spiritually Speaking
culture, religion, or institution? I think of the refugees and immigrants who are trying to enter our country who need us to welcome them despite a government that does not seem to want to do so. Just what will you do with your “one wild and precious life” as the this new year so that you are ready to poet Mary Oliver asks in one of her enter into eternal happiness whenever lovely poems? Death is a great teacher and your number/name is called? Will will help us prepare for our own you do the best you can with what you have and with who you are? passing if we let it. Being around Will you take time to pay attention the dying and those who grieve for them certainto what is haply gives me pening right in Almighty God, by whose mercy my life reason to be your own famhas continued for another year, aware of my ily, neighborI pray that, as my years increase, own death. I hood, church, my sins may not increase. do not know and school? As age advances, let me become the day or the Will you be more open, more faithful, hour when I attentive to and more trusting in you. the needs of Continue and increase your loving kindness will die, but it is as certain as co -workers towards me so that, when you finally it can be, for and friends call me to yourself, who seem to I may enter into eternal happiness with you. that is how we leave this be facing some Amen. world for yet serious chal+Dr. Samuel Johnson another kind lenges in their of life. At least lives? Will you that is what many people I know reach out to people you don’t know believe and that is what my religion who have significant issues that may 1 6/28/18 12:34 PM require you to get involved in another teaches us. I prefer not knowing the when and the how of my death
A New Year’s Prayer
by Sister Mary Thill
H
urray! We’ve made it to 2019! Praise God! At least some of us have the privilege of living into yet another New Year. Near the end of 2018, I attended the funerals of two Sisters in my Order and the relative of one of the Sisters with whom I live. One of the Sisters, younger than I am, died after a long, painful chronic disease and several neardeath experiences. The other Sister lived a long life and was ready to go to God whenever God wanted to take her. The brother-in-law died of a massive stroke and brain bleed that sent his family into a tailspin of grief and disbelief. How differently God calls us when it’s time to “enter into eternal happiness.” We’ve been given another new year to make or break as we move along 10.25x5_ES_Wagner_Ad_HL_618_HI.pdf on our life journey. How will you live
“My biggest concern was that dad would run out of money.” M
Sister Mary Thill is a Sylvania Franciscan Sister. She is Patient Liaison for Mature Health Connections at Mercy Health – St. Vincent Medical Center. She can be reached at 419-2513600. ❦
“They sat down with us and explained all the costs. That’s when I knew I could afford to live here.”
- Kathy Schwartz, Daughter
C
because even that keeps me trying to live life without feeling that my last days are upon me. It helps me live until I die rather than dying even while I’m still living. I’ve actually met people who seem to be dying even when their lives are still quite viable. A sad situation for sure. One of my favorite spiritual teachers, Sister Joan Chittister, has this to say about death: “If death teaches us anything, it teaches us that everything will someday end. The lesson, of course, is to wear suffering well, hold beauty lightly, and fear nothing. . . . We learn that the opposite of life is not death; it is fear.” My prayer for you this New Year is that you will be able to “wear suffering well” as suffering will certainly be a part of your life on this earth. May you “hold beauty lightly” and “fear nothing.” Have a blessed New Year and a life-giving new year!
- Harry Wagner, Resident
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© 2018 Elizabeth Scott Community
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2720 Albon Road Maumee, OH 43537 www.elizabethscott.org 419.865.3002 Healthy Living News | January 2019 27
Finding the balance between credit and debt Maintaining good credit
by Scott D. Brown
A
ccording to a recent survey on financial wellness, nearly half of all employees consistently carry balances on their credit cards, and 30% of all employees use credit cards for monthly necessities they wouldn’t be able to afford otherwise.1 What this tells us is that no one is immune to debt. No matter how much you earn, it’s wise to develop a habit of maintaining good credit and proactively managing debt throughout your life. Understanding the relationship between credit and debt, and then taking ongoing action to prioritize and reduce debt, is an integral part of securing your financial future. 1 PwC. Employee Financial Wellness Survey: 2018 re-
sults, May 2018.
Your credit report and credit score can have a significant impact on your financial affairs, from your ability to obtain credit and secure competitive interest rates to your ability to get a mortgage or land a job: Your credit report. As its name implies, this report contains information
of your credit report at a particular point in time. It provides an objective measure of how likely you are to repay a loan, and is used by lenders to help them make lending decisions. If you are looking for ways to improve your score, consider paying your bills on time, getting current on missed payments, keeping low credit card balances, and paying off debt rather than moving it around. Ultimately, establishing and maintaining good credit can save you money and give you greater control over your finances.
Managing your debt
about your credit, including all past and present credit accounts, credit inquiries, and late payments. Under federal law, you are eligible for a free credit report each year from all three credit reporting agencies. Be sure to review each report for accuracy. Your credit score. A recognized standard for assessing credit risk, your credit score is based on a snapshot
Debt comes in many forms. If you’re like most people, you will accumulate some debt as you pursue your goals: buying a car, paying for school, or purchasing a home. But, remember, not all debt is created equal: Good debt, such as a mortgage or student loan, can be used to build wealth and may also provide a tax benefit.
Bad debt, such as credit card debt, is used for depreciating assets and requires non-deductible interest payments. If you are looking for ways to take control of your debt, stop borrowing, start using a debit card, pay more than the minimum payment, and repay the debt that has the highest interest rate first. You may also be wondering whether it makes more sense to decrease debt or to save and invest instead. Here are some questions to ask yourself: • Is the interest rate on the debt higher than the investment return you expect to receive? • Does your employer offer matching contributions to your retirement plan? • Do you have enough cash flow to avoid going deeper into debt if you choose to invest? Good credit and debt management is about finding the balance and staying on track to achieve your long-term goals. A financial advisor n
Credit/Debt - continued on p31
Your Financial Future: Will You Be Ready? Getting your financial and investment act together takes time and close attention to detail. With more responsibilities, the process becomes even more complex. As a Morgan Stanley Financial Advisor, I have access to a range of resources, advice and services to help you meet your needs. Please call me to arrange a meeting about your wealth management needs. Scott D. Brown Senior Vice President Branch Manager 7311 Crossleigh Ct. Toledo, OH 43617 419-842-5312 scott.d.brown@morganstanley.com http://www.morganstanleyfa.com/theauroragroup/
• • • • • • • •
Equities, fixed income and mutual funds Trust and estate planning services Alternative strategies Individual Retirement Accounts Brokerage services Business financial services Lending services Financial planning services
The appropriateness of a particular investment or strategy will depend on an investor’s individual circumstances and objectives. Morgan Stanley Smith Barney LLC, its affiliates and Morgan Stanley Financial Advisors do not provide tax or legal advice. This material was not intended or written to be used for the purpose of avoiding tax penalties that may be imposed on the taxpayer. Clients should consult their tax advisor for matters involving taxation and tax planning and their attorney for matters involving trust and estate planning and other legal matters. Morgan Stanley Smith Barney LLC is a registered Broker/Dealer, not a bank. Where appropriate, Morgan Stanley has entered into arrangements with banks and other third parties to assist in offering certain banking related products and services. Banking and credit products and services are provided by Morgan Stanley Private Bank, National Association, Morgan Stanley Bank, N.A. or other affiliates. Investment services are offered through Morgan Stanley Smith Barney LLC, member SIPC. Unless specifically disclosed in writing, investments and services offered through Morgan Stanley are not insured by the FDIC, are not deposits or other obligations of, or guaranteed by, the Bank and involve investment risks, including possible loss of principal amount invested. © 2012 Morgan Stanley Smith Barney LLC. Member SIPC.
28 January 2019 | Healthy Living News
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Healthy Living News | January 2019 29
Acupuncture and chronic pain by Douglas A. Schwan, DC, dip ac
A
cupuncture was once thought of as some exotic Eastern medicine by Western culture. Although practiced for centuries in Eastern cultures, the profession did not migrate across to Western notice until as recently as the Vietnam War. In the 1960s, American doctors practiced in Vietnamese hospitals right alongside the local physicians. The American doctors were quick to notice that patients who received acupuncture needed fewer pain medications, healed faster, and generally had fewer complications. The American doctors returned home, and several of them incorporated Eastern medicine into their private practices. The floodgates of awareness opened in 1971 when a reporter for the New York Times wrote an article about how acupuncture relieved his pain and helped him
heal after back surgery in China. Acupuncture thus emerged from its isolated existence in Western culture. Today, acupuncture is a state-licensed practice, requiring years of study and a professional license to practice. In 1996, the FDA, in recognition of acupuncture, granted treatment needles the status of medical devices. Insurance companies like Veterans Benefits, Medicaid, Workers Compensation, Aetna, and others are jumping on the bandwagon and adding acupuncture as a covered benefit under their policies! For tens of millions of pain sufferers, acupuncture is no longer some exotic spa treatment. Its popularity has grown as over 3.5 million patients underwent acupuncture treatments just last year for their pain. A variety of acupuncture techniques are available for pain sufferers. Acupuncture can be combined with microstim to direct energy into the “cold” arthritic, degenerated areas of the spine. Pa t i e n t s
Are You Suffering? Try Acupuncture! AcupuncTure cAn help. • Migraines, Fibromyalgia & Arthritis • Infertility, Menopause & PMS • Bell’s Palsy, Carpal Tunnel & Sciatica • Pinched Nerve, Allergy & Sinusitis • Smoking, Weight & Stress Control
Better health. naturally.
“My husband and I had a two pack a day cigarette habit. We tried patches, gum and drugs but nothing worked. A friend reccomended Dr. Schwan to us for acupuncture. After our treatments my husband and I have both been smoke-free for eight months now! I tell all my friends about how Dr Schwan gave us back a healthy lifestyle!” ... Kristin & Tyler
Dr. Douglas Schwan, Licensed Chiropractor & Acupuncturist
Over 32 Years experience with holistic health care
Educated: Palmer College & International Academy Medical Acupuncture
Schwan Chiropractic and Acupuncture is dedicated to promoting health and wellness through the traditional Eastern techniques of acupuncture, nutrition, chiropractic and lifestyle choices.
Schwan chiropractic & Acupuncture center
Call for your FREE Consultation Today!
2828 W central Ave, Toledo • AcupunctureToledo.com
Covered by VA, BWC, PI Insurance
30 January 2019 | Healthy Living News
419-472-7055
with return pain years after spinal surgery no longer need be dependent on heavy pain medications as their only option. Veterans Benefits has recognized the value of acupuncture techniques as a safe alternative to opioid addiction. Studies have shown that migraines, chronic spinal pain, shoulder pain, knee pain (even after replacement), osteoarthritis, and failed back surgery syndrome are all conditions that potentially respond well to acupuncture care. Other problems acupuncture can be helpful with include fertility issues, depression and anxiety disorders, nausea and vomiting associated with cancer treatment or pregnancy, and a multitude of other conditions. So how, exactly, does acupuncture work? The long-held theory is that qi (pronounced “chi”) energy circulates along pathways of the body known as meridians. Problems with his energy flow can lead to pain, illness, and poor healing. However, this is probably not the entire picture. For example, studies document chemical changes in the brain during and after acupuncture treatments. How exactly this occurs is presently unknown, but the clinical results have been demonstrated repeatedly. We have many treatments that are poorly understood. For instance, aspirin was prescribed for decades for such things as headaches, muscle pain, and heart conditions, but it was only recently that we began to understand exactly how aspirin reacts chemically within the body to accomplish pain relief. Is acupuncture right for you? Only a physician trained in Eastern medicine techniques can determine if you are a good candidate for acupuncture treatment. Most practitioners will offer a free consultation to discuss your issues and determine whether Eastern medicine might work for you. Dr. Schwan is a Doctor of Chiropractic and a Diplomat of the International Academy of Medical Acupuncture. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one time stand-up comedian and has maintained an active practice in Toledo, Ohio for the last 29 years. He is available for lay lectures and may be contacted at Dr_Schwan@acupuncturetoledo. com. For more information on alternative medicine, please visit his website at www. acupuncturetoledo.com. ❦
n
Sound Advice - continued from p24
Make the beginning of 2019 the moment you embrace your hearing loss. Start accepting it, and let it become a part of you. Allow yourself to improve how you react to your hearing loss. If you suspect there may be an issue with your hearing, get it tested and search out the new technologies to improve your communication skills, your relationship with family and friends, and your life. I know I keep saying this, but it’s so important to be your own best advocate. No one will do a better job taking care of you than yourself. Wishing you a Happy New Year, and, as always, we at Northwest Ohio Hearing Clinic are just a call away. We listen so you can hear! Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327). ❦ n
Resolutions - continued from p16
“What am I waiting for?” It is also a new year and, for many, a new benefit year with changes to insurance plans. Heartland Rehabilitation urges you to look over your renewed plan carefully and answer the following questions: Have there been changes to my insurance health plan? Are there increases in out-ofpocket expenses due to higher co-pays and deductibles? Have there been changes in the amount of therapy I can receive? Is the preferred therapy provider I want to see in my plan? Answering these questions will help you fully understand your benefits, especially as they apply to any outpatient therapy services you might be seeking. Heartland Rehabilitation Services can assist you in getting answers to your insurance coverage questions and navigating through the confusion. We work with you on managing your out-of-pocket expenses for outpatient therapy while maintaining the focus on getting you better and functioning at your optimal level. For more information, please call your local Heartland Rehabilitation Services Outpatient Clinic, Jim Berger at 419-787-6741, or Heartland’s call center at 1-800-699-9395. Start the New Year off thinking “My Health… My Choice.” ❦
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UT program helps keep people with physical or cognitive challenges safe behind the wheel
I
n our society, the ability to drive a motor vehicle is strongly associated with personal freedom and independence. However, individuals who have a physical or cognitive impairment, whether due to aging, injury, illness, or other causes, can encounter obstacles that make it difficult to drive and navigate the roads safely, putting that independence at risk. To help drivers with physical or cognitive challenges adapt to their limitations and stay safe behind the wheel, The University of Toledo offers a Driving Rehabilitation Program at the UTMC Outpatient Rehabilitation Center, located at 3000 Arlington Avenue in Toledo. Headed by James Kesler, OTR/L, CDRS, CDI, this unique program provides comprehensive clinical assessments of individuals’ driving ability, including both simulated and on-road components, as well as driver training in a modified vehicle using adaptive devices or techniques. The program is licensed by the Ohio Department of Public Safety as a Class D Disability Driver Training School. According to Kesler, the program encompasses the entire driving lifespan—from age 15½ to 90 and beyond—and virtually every type of disability. Potential candidates for the program include: • Novice drivers (or soon-to-be drivers) with diagnoses such as spina bifida, cerebral palsy, attention deficit disorder, autism-spectrum disorders, or learning disabilities. • Drivers with acquired disabilities, including physical, cognitive, or visual impairments or the effects of stroke, brain injury, spinal cord injury, psychological impairments, or other conditions.
• Older drivers, including those with cognitive changes such as Alzheimer’s disease or other forms of dementia, or movement disorders such as Parkinson’s disease. “Older people come through our program for a variety of reasons, but stroke is probably the most common,” Kesler notes. “Following a stroke, people often experience strength limitations that impact their ability to steer or operate the gas or brake pedal. We can help them overcome these limitations with special adaptations to the steering wheel that assist with grip, or with other devices such as a left-foot accelerator or various hand controls. We can also look at these types of adaptations for people with diabetic neuropathy, which affects feeling in the feet.” Kesler explains that in addition to a review of their medical history, program participants can expect their visit to include a series of tests that assess factors such as their depth perception, visual field, and visual processing time; cognition; flexibility, strength, and coordination; reaction time; transfer skills; and driving performance in both simulated and on-road scenarios. “We look at the total picture, not just the results of a single test, taking into account causative factors and how they relate to the participant’s safety behind the wheel,” he adds. The University of Toledo Driving Rehabilitation Program can also help seniors and their loved ones determine when driving retirement may be appropriate. However, as Kesler emphasizes, the evaluating team cannot take away anyone’s license to drive. “Any recommendation we make, even if it is to retire from driving, is reported to the individual’s physician so he or she can discuss all options with the patient. We do not have the authority to revoke licenses. With older adults, our focus is more
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preventative—evaluating the individual’s skills to determine how they can be improved. We also try to prepare them for alternate transportation and driver retirement early—long before these scenarios actually come up in their lives,” he says. Kesler encourages HLN readers to be aware of certain signs that an older loved one might benefit from driving rehab or may need an evaluation to determine whether driving retirement is appropriate. Examples include appearing distracted or agitated while driving, having difficulty anticipating dangerous situations while driving, exhibiting a decrease in response time, getting lost in familiar areas, experiencing an increase in falls, and complaining of the loss of sensation in the feet. A physician’s referral for occupational therapy is required to participate in the University of Toledo Driving Rehabilitation Program. To schedule an appointment, please call the UTMC Outpatient Rehabilitation Center at 419-383-5040. ❦
n
Credit/Debt - continued from p28
can help you understand the big picture of your finances and connect you with the resources and strategies you need to maintain good credit, manage debt, and take control of your financial future. If you’d like to learn more, please contact Scott Brown, Branch Manager, Morgan Stanley Toledo, Ohio, at 419-842-5312. Article by Morgan Stanley and provided courtesy of Morgan Stanley Financial Advisor. Scott D. Brown is a Financial Advisor in Toledo, OH at Morgan Stanley Smith Barney LLC (“Morgan Stanley”). He can be reached by email at scott.d.brown@morganstanley.com or by telephone at (419) 842-5312. His website is https://fa.morganstanley.com/theauroragroup/ index.htm. This article has been prepared for informational purposes only. The information and data in the article has been obtained from sources outside of Morgan Stanley. Morgan Stanley makes no representations or guarantees as to the accuracy or completeness of the information or data from sources outside of Morgan Stanley. It does not provide individually tailored investment advice and has been prepared without regard to the individual financial circumstances and objectives of persons who receive it. The strategies and/or investments discussed in this article may not be suitable for all investors. Morgan Stanley recommends that investors independently evaluate particular investments and strategies, and encourages investors to seek the advice of a Financial Advisor. The appropriateness of a particular investment or strategy will depend on an investor’s individual circumstances and objectives. Scott Brown may only transact business, follow-up with individualized responses, or render personalized investment advice for compensation, in states where he is registered or excluded or exempted from registration. © 2018 Morgan Stanley Smith Barney LLC. Member SIPC. CRC 2298165 11/2018 ❦
Healthy Living News | January 2019 31
Three practitioners integrate care philosophies to treat patients in body, mind, and spirit
I
n this era of highly specialized and sub-specialized health services, patient care is sometimes fragmented and narrowly focused, making it difficult for doctors and other providers to see the proverbial forest for the trees when it comes to patients’ overall health and wellbeing. Recognizing a growing need for integrated, holistic care in our community, three area practitioners—a medical doctor, doctor of osteopathic medicine, and nurse practitioner—have combined their different care philosophies to help keep patients across the age spectrum healthy in body, mind, and spirit. Each of the three practitioners— Murthy Gokula, MD, of Concierge Connected Holistic Health Care; Jennifer Pfleghaar, DO, FACEP, of PflegMed: Center for Integrative Medicine; and Michelle Sandwisch, APRN, FNP-C, of MyTotalBody Functional Medicine Clinic—supplies a unique skill set and history, yielding a collaboration that is stronger than
32 January 2019 | Healthy Living News
Murthy Gokula, MD
Jennifer Pfleghaar, DO, FACEP
the sum of its parts. While these three highly educated, credentialed individuals represent different disciplines of the healthcare field and continue to maintain independent practices, they share in common a strong passion for treating the whole person. Dr. Gokula defines his role in this unique collaboration as providing primary medical care and disease management to complement the integrated care that Dr. Pfleghaar and Sandwisch offer. “You can’t get
Michelle Sandwisch, APRN, FNP-C
any better than a collaboration that brings together an MD, DO, and nurse practitioner,” he says. “Each discipline approaches healthcare from a slightly different perspective, and each of us brings special strengths to the table.” Board certified in Family Medicine and Geriatric Medicine, Dr. Gokula has a strong interest in hospice and palliative care and in limiting the use of medications in treatment. He also believes in staying well connected with patients through state-of-the-art
telemedicine technology, as well as through remote health monitoring using Bluetooth-enabled devices that patients take home, such as a blood pressure monitor, thermometer, pulse oximeter, blood glucose meter, or other equipment specific to their diagnosis. To ensure patients aren’t deprived of care due to limited mobility, transportation issues, or other barriers, Dr. Gokula can even see patients in their own home. Though Dr. Gokula practices traditional Western medicine, his approach is by no means conventional. Patients visiting his office at 2230 West Laskey Road in Toledo might notice that a traditional yurt (a circular Mongolian tent) is situated on the same property. This yurt is the site of Dr. Gokula’s Prism Center, which offers weekly classes on a wide variety of holistic topics, such as medication, acupuncture, yoga, relaxation therapy, massage therapy, and much more. Dr. Pfleghaar, whose office is located
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at 140 W. Front Street in Perrysburg, not only practices integrative medicine but also has a strong background in emergency medicine. She continues to work in emergency rooms around the community, and she studied at the Arizona Center for Integrative Medicine Fellowship program. In addition, she is passionate about kids’ health and practices what she preaches with her own family. She explains, “I went through medical school and practiced as a regular DO for 10 years, but I kept seeing people who either weren’t getting better through traditional medicine or kept coming back with different ailments,” she explains. “So now I’ve incorporated evidence-based alternative therapies into my practice. I still use lab work, patient histories, and physicals to arrive at diagnoses and treatment plans, but I don’t always turn to drugs for treatment. Whenever possible, I encourage patients to improve their health through lifestyle changes, diet and nutrition, and practices that tap into the body’s natural ability to heal itself.” Dr. Pfleghaar’s Perrysburg office also features a studio that offers classes or private lessons in yoga as well as Reiki, Reflexology, aromatherapy, cranial-sacral therapy, and other services by appointment. Like Drs. Gokula and Pfleghaar, Sandwisch is passionate about providing care that takes the whole person into account. Her clinic focuses on functional medicine, which seeks to identify the underlying causes of disease and balance all the body systems to work in harmony. “I became interested in functional medicine after I was diagnosed with Crohn’s disease and was a patient at the Cleveland Clinic Center for Functional Medicine. After that, I decided to go back to school to become a nurse practitioner. Once I finished my coursework for certification, I opened my clinic here in Toledo at 4334 West Central with the goal of getting people off medications and teaching them how to live holistic lives,” she says. To get to the root of patients’ symptoms, Sandwisch takes an extensive history, dating back to birth and taking into account a variety of factors that can impact health later in life, such as whether they were breast-fed or bottle fed, whether they were born naturally or through C-section, if they were treated with
antibiotics at some point, etc. Sandwisch is also trained in innovative techniques such as the Bredesen Protocol, which uses lifestyle and functional medicine measures to halt or reverse cognitive decline, as well as the HeartMath program, a form of biofeedback that measures heart rate with very sensitive technology and helps patients achieve a healthier mind-body connection. All three practitioners are hoping to reach a broader cross section of the community with the message that long-term health and wellness are attainable through a holistic lifestyle and an integrated approach to health care. “We’re merging our unique backgrounds and skill sets to provide evidence-based holistic care that keeps patients healthy in body, mind, and spirit,” states Dr. Gokula. Those interested in learning more about holistic health are encouraged to attend the weekly classes offered at the Prism Center. This month’s lineup of topics includes Food as Medicine, presented by Michelle Sandwisch, APRN, FNP-C (January 3 at 1:00 p.m.); What is Hypnosis, presented by Chris Holderman, CHt, PKP (January 11 at 1:00 p.m.); Beating Winter ’s Blahs and Blues, presented by Patti Leupp, RN (January 17 at 1:00 p.m.); Benefits of Hypnosis, presented by Joy Macleod (January 23 at 1:00 p.m.); and Poop Problems? What Your Gut Health Can Do for You, presented by Jennifer Pfleghaar, DO, FACEP (January 30 at 12:30 p.m.). Contact information for the three practitioners is as follows:
Russian National Ballet Wednesday, January 9, 2019 at 7:30 p.m.
Maureen McGovern In Concert
Saturday, February 16, 2019 at 8 p.m.
Saturday, February 23, 2019 at 2 & 8 p.m. Call The Valentine Box Office at 419/242-2787 or order online at valentinetheatre.com 400 N. Superior Street, Downtown Toledo
EXPERIENCE. QUALITY. CARE.
Murthy Gokula, MD Concierge Connected Holistic Health Care 2230 W. Laskey Rd., Toledo, Ohio 419-214-1213 www.stayhomeiwill.com Jennifer Pfleghaar, DO, FACEP PflegMed: Center for Integrative Medicine 140 W. Front St., Perrysburg, Ohio 567-336-6001 www.pflegmed.com Michelle Sandwisch, APRN, FNP-C MyTotalBody Functional Medicine Clinic 4334 W. Central Ave., Toledo, Ohio 419-410-2224 www.MyTotalBody.me ❦
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GenacrossLutheranServices.org Healthy Living News | January 2019 33
nobody’s perfect The medical waiting game
by Sister Karen Zielinski, OSF
I
f you want to get into the slowest checkout line at any store, follow me. For some reason, I can pick what appears to be the shortest line and end up waiting for what seems like hours! Most of us do not like to wait since we are in a hurry to get to a meeting, visit the doctor, or get home to cook for our family and “put our feet up.” Waiting is another aggravation, and it is part of the stuff of life. When I get frustrated waiting in line at the grocery store because the customer in front of me needs a price check, I say a prayer: “Oh, God, calm me down.” I say it in my head over and over. It usually works and I feel less impatient. This little prayer also allows me to think a little broader, and I remember
friends who have some very difficult waiting: waiting for a medical test result or a conference with three surgeons on how to proceed with a loved one’s life-threatening disease. These life events demand more somber and difficult waiting than the checkout at the grocery store. The challenging waiting for life-and-death medical decisions is psychologically and spiritually draining on a spouse and family. There is waiting, and then there is waiting. Waiting to board a plane at the airport might be aggravating, but we usually just deal with it as a part of life. Some waiting is positive. We wait for a nice dinner, a vacation, or the opening of a birthday present. We wait anxiously to watch our favorite TV show. This waiting is fun, and we enjoy the anticipation of the good things that will come. But sometimes waiting is challeng-
ing. Difficult waiting might include having to decide about critical life decisions: Should I accept the job? Is my husband a candidate for that medical procedure? Are my parents going to be moving to assisted living? What type of cancer treatment will the doctor recommend at my next visit? It certainly puts my little world of being annoyed waiting at the supermarket checkout into a broader perspective. I leave the store and arrive home about five minutes later than if there were no customers ahead of me. Medical waiting is spiritually and psychologically draining. When I look around a doctor ’s waiting room, I wonder how many patients are waiting for some life-changing news, or how many are there for their annual visit? Some challenging medical waiting times can include:
Waiting for test results
My friend takes care of her health. Before her annual physical, she has her blood work and mammogram so she can walk into the doctor ’s office with her tests results. This year, she did the same: scheduled her physical and took all her tests. But a few days later, she was called in for another digital mammogram since the mammogram showed an unclear picture. She knew that people could be called to retake the test; she waited for the results and was told there was calcification in one breast, but the pattern was suspicious. She needed a biopsy that day. She was not overly concerned and had the biopsy. Joan went home and waited for the call. Her doctor confirmed it was cancer, and she went in for surgery (two months later). She was told that depending on the stage of her tumor,
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she could have one of three different treatments. If the tumor were stage one, it would be radiation. If the tumor were stage three, it would be chemo and radiation. If the stage were in between those two, she had to decide which treatment option to start. That in-between option bothered her. What should she choose? Joan had some serious waiting ahead and said that it was tough waiting for the results of the Oncotype DX test, which gives a numerical score that predicts what treatment would best fit. It was a somber wait, since the results would determine her treatment plan. To complicate her wait, she found out when visiting her surgeon’s office that this critical test was never sent to the lab! Finally it was sent off, but this extended her wait for three more weeks. While she waited for the test results, she kept thinking, “What should I do?” If she were in that in-between stage, should she choose chemo and radiation? Or just radiation? She had cancer but was healthy and had other good factors, clear margins around the tumor, etc. She was told the test results would come in seven days. She did not want to undergo chemo since she felt it would produce many side effects. On the fourth day of her seven-day wait, she was at the dinner table with her husband, Joe. Joan was overwhelmed and told Joe she could not do it anymore. He told her “Yes, you can” and they prayed and prayed. The phone rang. It was the doctor, and Joe handed her the phone. The doctor said, “Hi Joan, everything is fine. Stage one—your tumor is 1.5! Radiation will be the treatment.” Joan literally fell to the floor, could not talk, and literally howled with relief. Joan knew what she feared most. She felt, “My focus was that I really want to avoid chemo. I knew chemo could have devastating results, and I feared the long treatments. For years I have thought about death. I have my faith and am not afraid of dying.” She was in her mid-60s, and otherwise healthy. What helped Joan cope was being realistic about her health. She said she does not like the approach of “fighting cancer” but rather embraces the reality of it. Reflective music was a great calming source during her diagnostic days. She kept her car radio mostly on a
station that plays devotional music. From the day she was diagnosed to the day she started radiation (when all was known and all she had to do was take the treatment), every time she got into the car, the station played two songs that spoke of having faith and confidence in the Lord through trying times. They were the perfect words for when she couldn’t even pray. She just prayed the songs. They were on every time she got into the car, and even one week at church, just by chance. That music really made a difference. Two spiritual plaques also helped her cope. Three years earlier, Joe received a diagnosis of lymphoma. She bought two plaques at a local hobby store and placed them on the sides of their bed. The plaques are still on the bed. Be still and know that I am God (Psalm 37:7) was on Joe’s side of the bed. On hers was, I can do all things in Christ who gives me strength (Philippians 4:13). Joe received good news about his diagnosis. His doctor told him, “You’ve got lymphoma and you are not going to die of your type.” Having gone through this first risk, they were better prepared, already
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having gone through something scary. During the entire scary time, Joan always prayed for peace and calmness, not that her cancer wouldn’t require chemo. Her prayer mantra was, “Be calm, be calm…” Each illness and cancer situation is different. The advice Joan would give is simply what worked for her. People must find something. However, the advice she would give her sister, who does not go to church, would be different than the advice she would give her Christian friends. She feels, “I love my sister tenderly, but I do not know what spiritual base she could rely on…My spirituality helped me.” Spirituality is often, but not always, expressed through religion. There are other ways that spirituality can be expressed: belief in the common good, nature, the arts, the importance of family and community. Joan completed all 33 of her radiation treatments with no side effects. With five years of aromatase inhibitors, her recurrence risk is less than 8%, and she calls that “pretty good odds.” The continued prayers, support, and encouragement of friends have made all the difference to her throughout the whole journey.
She and Joe felt compelled to thank God for His goodness and bountiful mercy. They invited friends to join them in prayers of thanksgiving at Mass at their Catholic community. Joan added, “Truly all things work together for good for those who love the Lord.” While you are waiting, Joan suggests: • Ground yourself in the reality of the situation. Remember the facts from your doctor. Is your cancer stage one, are the nodes, clear? Try not to let your mind go to the worst-case scenario. • Stay with your routine—if you are up to it physically, work or continue volunteering. • Acknowledge the medical staff. This can place the focus outside of your needs. Be creative and humorous. Make a card or bring a little something to your nurses, doctors, and technicians. Some other types of medical waiting can include:
Waiting to start treatment
When is the right time to begin n
Nobody's Perfect - continued on p36
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Nobody's Perfect - continued from p35
a medical procedure? If your knees need replacing, you might want to wait for the best time in your life to do it. You might wait until you retire or you move to a new home or your son or daughter gets married. Sometimes we do not have the option to wait for a surgery when it is convenient in our schedule. We might have to wait for a surgeon to place us on their schedule.
Psychological or spiritual waiting
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Another type of waiting might be psychological or spiritual. There might be a past experience of physical or sexual abuse you lived through. Many times, persons have to be “ready” to deal with past hurts or post-traumatic stress disorder. A friend waited 40 years to begin to address her past of sexual abuse. People might know what they need to do but wait to start their treatment until they are less vulnerable, or the abuser has moved out of state, or their family promises support. It can be a complex period of waiting to start the challenging work of therapy.
Waiting for healing
Many times, people are released
from the hospital and become impatient if they do not see their bodies heal quickly after surgery or a medical event. Surgery is an injury to our body. It eventually makes us feel better or function well, but it can take weeks or months to get back to normal, feel less pain, etc. We truly need to wait and be gentle with our healing process. We cannot rush our healing. We must remember that nature has its own timeline. So be patient medically. Try some creative techniques that can help you wait. Your test results and body will do what is based in reality. It is what you do creatively with your impatience that can make all the difference. 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. ❦
! 36 January 2019 | Healthy Living News
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Leading-edge awake cosmetic procedures increase patient safety and lower costs M
any people who desire the enhanced appearance and self-esteem they can achieve through a breast-augmentation or fat-removal procedure avoid having it performed out of concern that undergoing general anesthesia will put their safety at risk or that the price of the procedure will break their budget. However, Dr. Wade Banker of Luxe Laser Vein & Body Center assures patients that these worries are unfounded.
At Luxe Laser, both breast augmentation and liposuction—most notably Smart Lipo—can be performed under local anesthesia, which has the benefit of not only eliminating the risks associated with general anesthesia but also lowering the price significantly compared to the traditional forms of these procedures.
“With breast augmentation especially, people commonly assume they’ll have to be placed under general anesthesia because they’re actually having something implanted in their body. However, in the last five to ten years, it’s become more and more common to perform augmentations, as well as most other cosmetic procedures, under local anesthesia to reduce both cost and risk to the consumer,” Dr. Banker says. During so-called Awake Breast Augmentation, the patient remains fully conscious throughout yet is completely free of pain and discomfort. In fact, as the implants are placed, patients can relax while watching a movie, listening to their favorite music through earphones, or simply talking with the Luxe Laser team. “This last point is an interesting added benefit,” explains Dr. Banker. “Maintaining open dialogue between the patient and medical team throughout the procedure provides another layer of safety and comfort because it ensures
everyone is on the same page and any concerns are communicated in real time. That ongoing communication greatly reduces the risk of anything going wrong, and patients never feel as though circumstances are out of their control.” With respect to liposuction, which refers to any procedure in which fat is removed from the body, the only time Dr. Banker uses the traditional form (performed under general anesthesia) is during a fat-transfer procedure, which involves removing fat from one area of the body, purifying it, and injecting it into another area. In all other circumstances, minimally-invasive Smart Lipo is performed in order to achieve better and more consistent results without the risks associated with general anesthesia.
During Smart Lipo, a small laser fiber, approximately the size of the tip of a pen, is inserted through a tiny incision and used to melt fat in the targeted area. The fat cells are then immediately suctioned out of the body by the physician. This quick, painless, easyto-perform technique yields significantly more dramatic results than both non-invasive and injectable fat-removal treatments. “We can also follow fat transfer with Smart Lipo to remove additional fat or contour the area as necessary,” Dr. Banker adds. For more information on Awake Breast Augmentation or Smart Lipo, please call Luxe Laser Vein & Body Center at 419893-2775. Consultations are always free. VEIN & BODY CENTER Additional information is also available at luxe-laser.com. ❦
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/LuxeLaserVeinAndBodyCenter Healthy Living News | January 2019 37
Laurels inpatient and outpatient rehab clients “lighten up” with anti-gravity treadmill
W
hen rehabilitating from an injury, joint surgery, or other physical challenge that affects function and mobility, patients’ bodies—more precisely, their body weight—can actually stand in the way of their recovery. After all, getting up on your feet and motivated to move is no simple matter if doing so causes excruciating joint pain or puts you at risk of falling. The good news is, now that The Laurels of Toledo has permanently added the state-of-the-art AlterG® Anti-Gravity Treadmill® to their repertoire of therapeutic modalities, both inpatient and outpatient clients who face this dilemma are no longer limited to plodding and painful rehab progress. The AlterG, developed by NASA engineers while studying the biomechanics of exercise in space, uses differential air pressure technology to “unweight” patients as they walk, stand, or perform various exercises on the treadmill under the close
38 January 2019 | Healthy Living News
supervision of a therapist. The unit can unweight patients as much as 80% while allowing normal gait mechanics. To use the AlterG, patients put on special pants that zip into an inflatable chamber on the treadmill. The therapist then calibrates the machine and increases the air pressure in the chamber to the desired level. Video cameras located at the front and on either side of the treadmill allow the patient and therapist to observe on a monitor exactly what’s going on with the patient’s gait from multiple vantage points.
Perhaps not surprisingly, unweighting patients with the AlterG has a wide range of uses in orthopedic and sports medicine, for example in rehabilitating patients with total knee or hip replacement, arthritis, ACL or Achilles tendon injury, or any other injury, surgery, or disability affecting the lower body. It’s also helpful for athletes who want to increase their training volume or stay in peak condition while recovering from injury or surgery. Laurels physical therapy assistant Brad Weaver explains that patients are often given specific weight-bearing limitations by their doctors. For
example, an orthopedic patient may be told to limit weight bearing on a particular extremity to only 50%. “With the AlterG, we can very precisely dial in any level of weight bearing, with increments as small as 1%, so we can stay in total compliance with doctors’ orders as we work on increasing activity tolerance,” he says. As the patient’s tolerance increases, the therapist can adjust the amount of weight borne by the AlterG incrementally downward until the patient is able to manage the activities at normal weight and can then transition to performing them with no assistance from the machine. However, the applications for this technology go far beyond orthopedic and sports rehab. “For example, the AlterG can be tremendously advantageous in boosting activity tolerance in patients with congestive heart failure or other cardiac conditions, so we’ve incorporated the unit in our cardiac recovery program to prepare them to function independently at
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home as well as to get them ready to participate in a formal cardiac rehabilitation program.” Other applications include promoting weight loss in significantly overweight patients so they can qualify for joint replacement or other procedures, conditioning and fall prevention in the elderly, and improving gait mechanics and trunk control in patients with neurological conditions such as Parkinson’s disease, stroke, traumatic brain injury, cerebral palsy, and multiple sclerosis. Laurels rehab patients appreciate that there’s no extra cost to incorporating the AlterG in their therapy programs—and that it’s available to both inpatient and outpatient rehab clients. Patients participating in the outpatient program—which is offered seven days a week—may also qualify for free bus transportation to and from The Laurels based on distance from the facility and accessibility to their home. The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services. For more information, call 419-536-7600 or visit www.laurelsoftoledo.com.❦
Signs that your loved one might benefit from assisted living There are so many commercials on television today talking about the best way to care for older family members. How do you know when your older loved one needs extra help or can no longer live on their own? Now that the holidays are over, it is a good time to reflect about time spent with an older parent or relative. Recall any situations that came to your attention. Did your mom look like she lost some weight she couldn’t afford to lose? Did your grandma seem to sit in the corner by herself? Did your father announce he is no longer playing cards weekly with friends? Did your favorite aunt, whose house is usually immaculate, look disheveled? There are signs you can look for according to www.eldercare.acl.gov. These include: • Changing eating habits • Neglecting personal hygiene • Neglecting the home, with a change in tidiness • Exhibiting forgetfulness
healing ministry of the Church through comprehensive and spiritually enriching services for seniors of all faiths, including Masses, sacraments, and Protestant prayer services. Also, St. Clare Commons offers a continuum of care. If seniors are ever in need of special services, such as a psychologist, physical therapy,
• Exhibiting inappropriate behavior • Changing relationship patterns • Showing physical injuries • Decreasing or stopping activities • Mishandling finances • Making unusual purchases • Missing important appointments or family gatherings • Isolating themselves from others. Maybe it is time for you to sit down with your loved one and consider their options. For some, getting additional inhouse assistance may be a viable option. Another option may be assisted living on a campus geared strictly for seniors. It’s the perfect alternative for seniors who can no longer live on their own, yet don’t require 24hour, complex medical supervision. Assisted-living services offer a balance between compassionate care and the maximum freedom possible, all within the safety of a campus. Assisted living with its multiple activities keeps seniors active and connected with others their age for fun and companionship.
Why home is here at St. Clare Commons
It’s all here for Dad at St. Clare Commons. Just minutes from shopping, dining, and entertainment options, St. Clare Commons offers a continuum of care, including assisted living, memory care, skilled nursing and rehabilitation. The quality services and abundance of spiritual and social activities keep residents Get in comfortable and active. It’s why home is here. before For more information, call Faith at 419.931.0050 or visit us at homeishere.org. the sno
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St. Clare Commons Assisted Living Memory Care Rehabilitation Skilled Nursing 12469 Five Point Road | Perrysburg, Ohio
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At St. Clare Commons, “home is here” for residents. As a mission-based senior living community, there is a sense of calm and sereneness, something that visitors feel the minute they step through the door. Assisted-living residents have independence, but when they need that next or extra level of care, it is there for them. St. Clare Commons offers spacious apartments, where seniors can surround themselves with items important to them. Chef-prepared meals encourage gathering and camaraderie. Painting classes, social hours, musical presentations, and trips around the city are just a few of the multiple activities and social gatherings that keep seniors active, involved, and vital. Another reason home is here for seniors at St. Clare Commons is the
a pulmonologist, or anything else, including skilled nursing and rehabilitation or memory care, it is there for them.
Gold Seal of Approval for Skilled Nursing
St. Clare Commons skilled nursing has earned The Joint Commission’s Gold Seal of Approval for Nursing Care Center Accreditation. The Gold Seal of Approval is a symbol of quality that reflects an organization’s commitment to providing safe and effective patient and resident care. St. Clare Commons’ admissions counselor can sit down with you and explore the options for your loved one. They can even arrange a respite stay to visit St. Clare Commons. Conveniently located just minutes from Levis Commons Shopping area in Perrysburg on 12469 Five Point Road, St. Clare Commons is close to churches, shopping, restaurants, and theaters and has 56 beautiful assisted-living apartments on its 55acre campus. Chef-prepared meals, organized activities, exercise classes, a pastoral-care program with spiritual enrichment, and much more make seniors feel that home is truly here. To arrange a tour or to learn more, call 419-931-0050 or go to homeishere. org. Follow St. Clare Commons on Facebook. ❦
Healthy Living News | January 2019 39
Perfecting the art of lawn care: Results measured in yards We are committed to quality. We use the best exclusive granular turf builders available and we stand behind their performance. If needed, additional granular fertilizer, and liquid weed control will be applied at no extra charge. Call for a Free Estimate: 419-666-5296 The Grass is always greener on the Land•Art side We'd like to thank our valued loyal customers!
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Maintaining those New Year’s resolutions by Amanda Manthey
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ne month almost down and eleven more to go! Is keeping that New Year’s resolution harder than you thought? If your resolution entailed improving your general health by exercising and you already feel you are on the downhill stretch, follow these easy uplifting tips. Most of us lose interest in a daily workout because it is too boring, too long, or we are short on time. We all battle the workout blues at one time or another. First, re-evaluate your New Year ’s resolution so it is attainable and fits your personal fitness expectation. Develop three levels of workout routines to maximize your goals, and create an organizational hierarchy based on your abilities. The three levels will be labeled minimal workout, moderate workout, and exceptional workout. The key ingredient is to listen to your body and do only what you are capable of doing. On the days when your body feels energized and more time is available, your workout can be more intense and longer. On the days when your body is sore and time is limited, your workout can be less intense and shorter. Rather than saying, “I’ll do it tomorrow,” reduce the workout and use your three-level workout routines as a quick guide. Remember, you do not want to start over. Reducing your workout instead of skipping a
Don’t miss Dave’s races! Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear. For more information on any event, including any applicable fees, please visit davesrunning.com. TOW PATH TIME TRIAL (mountain bike race) Tuesday, January 1, 2019, 1:00 p.m. at 13801 S. River Rd., Grand Rapids, Ohio. We will be starting at Providence Metropark in Grand Rapids on the
workout maintains consistency and continues to build stamina. Here are a few ideas when time is limited and some form of exercise is better than no exercise: • Reduce your cardio minutes if time is limited, or reduce your resistance or speed if lacking motivation, whether it is on a machine at the gym or running outside. • When strength training, choose machines or strengthening exercises that will target two or more muscle groups. This may entail combining two or more exercises into one exercise. This can be more efficient and less time-consuming if done correctly. Consistency is the key to a successful New Year ’s resolution. If the workout blues are approaching, re-evaluate your situation and make adjustments to your workout routine. You might need to alter your long- or short-term goals so that they are attainable fitness goals. Remember, don’t give up and keep a consistent workout lifestyle even if it is minimal. It will leave you feeling great each and every day and one step closer towards accomplishing your New Year’s resolution. Amanda Manthey is a former collegiate runner for Eastern Michigan University. She writes about running and fitness for Dave’s Performance Footgear. ❦ Towpath, with an 8.6-mile out-andback race to the turnaround near Bend View. Come early to be seeded (riders leaving every minute) and enjoy coffee and hot chocolate. We will have men's and women's divisions as well as Fat Bike/MT Bike and Cyclocross divisions. Fabulous prizes as always and lots of fun! DAVE’S SPRING MARATHON IN-TRAINING Wednesday, January 2, 2019 to Sunday, April 28, 2019 at 5700 Monroe St. in Sylvania, Ohio. Dave's Marathon Training Group
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Fulkerson Jewelers 4141 Monroe St. @ Douglas gives you the benefit of personal coaching through a training plan designed to enable you to achieve your goal. The marathon and half-marathon program will begin the first week of January. The Mercy Health Glass City Marathon will be the focus of all the programs offered. Each program will have different pace groups to meet your needs and assigned coaches for each group. Come out and join hundreds of other runners just like you. DAVE’S 10-MILER & 5K Sunday, January 20, 2019, 2:00 p.m. (10-Mile Early Start
419-472-4421 or 419-472-7647 at 1:30 p.m.) at 605 Taylor Street in Delta, Ohio. Dave's 10 Miler was started in 1974 by Dave himself and has happened every year regardless of the unpredictable weather. At the race, we have seen highs of 65 degrees to blizzard conditions and ice on the road, so be sure to dress for the weather. The course starts at Delta High School and loops through the beautiful countryside of Delta, Ohio. After the race, stay and enjoy some hot chicken noodle soup, sandwiches, and the shower facilities. Great training run for spring marathons! ❦ Healthy Living News | January 2019 41
You’re never too old for Super Slow Training T
hough most of the clients currently taking advantage of the Super Slow Training method offered at TriggerPoint are in their 40s, this evidence-based, time-efficient exercise solution is gaining popularity among people of all ages—including individuals well into their senior years. One such client is Peg Anderson, age 92. Anderson learned about Super Slow Training from an ad and article in Healthy Living News and decided to explore the program further. So she came to TriggerPoint, tried it out, and was immediately impressed. “I thought, ‘This is great! I need to keep doing this!” she recalls. At that time, Anderson was beginning to have difficulty managing the stairs outside her home and wasn’t sure whether she would be able to continue living there. She had even purchased two canes to help her navigate the stairs. However, after just a handful of Super Slow Training sessions, she began to notice a positive change. “I could tell a
difference after doing the program ly designed Super Slow Training once a week for just three weeks. equipment help clients maintain the I realized I was getting stronger proper form, technique, and tempo and could go up and down those during workouts. This method differs stairs without much effort whereas I from conventional strength-training struggled before. So I said I’m never techniques in that there is no fast going to quit this. I’m still not using momentum to help do the work either of those canes, and I attribute for you. that to coming Though slow, to TriggerPoint this technique and making is intense, really my muscles working the musstronger,” she cles. It’s also very says. safe, with highly experienced and Tr i g g e r Lutheran Homeseducated Society istrainers now Point owner Genacross Lutheran Services Russ Wakefield working one-onexplains that one with For more than 150 years, Lutheran Homes clients Super Slow monitoring Society has been ready toand help when life presents challenges and opportunities. To better reflect Training inand adjusting the diverse populations we now serve, we’re volves lifting their every move. changing our name to Genacross Lutheran and lowering Peg Anderson goes slowly through After this intense the paces Services. Through our youth services, affordable weights at exercise stimulus, at TriggerPoint. housing, home health, community services, and senior living options, we will adapt to meet a very slow the body recovers the needs of people in and around northwest rate, keeping for seven days, Ohio. Moving forward as Genacross Lutheran consistent tension on the muscle producing the desired results. Services, one thing will not change – our deep throughout its whole range of motion. Ours is toa faithfully busy, serving fast-paced commitment people of society many High-tech monitors on the special- that allows us little time to focus on different generations.
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42 January 2019 | Healthy Living News
health and fitness, so TriggerPoint clients appreciate the fact that Super Slow Training demands no more than a half hour of their time once a week. In fact, the program can be completed over your lunch hour with no requirement to change clothes or shower afterward. What’s more, as you progress through the program and begin to see results you never thought possible, that weekly workout time may actually decrease. Super Slow Training is considered a high-intensity workout, but that should not discourage anyone from participating as long as they have their physician’s approval. Wakefield notes that clients of all ages, backgrounds, personalities, and body 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 WOLF CREEK CAMPUS never too old for this. If you have (Formerly Lutheran Village at Wolf Creek) Independent Living physical limitations, the trainers GenacrossLutheranServices.org Assisted Living will help you work around them. Independent LivingCare Nursing Care • Respite Remember, health problems are exLiving ShortAssisted Term Rehabilitation Nursing Care • Respite Care pensive and become more and more Outpatient Therapy Short -Term Rehabilitation likely the older you get. You can’t Outpatient Therapy just sit around reading magazines and eating bonbons and expect to stay healthy. You have to get moving Independent Living and keep moving!” Assisted Living Nursing Care • Respite Care Wakefield urges anyone who is Short Term Rehabilitation Lutheran Village is seeking a more efficient strength-trainOutpatient Therapy whole new direction ing and conditioning alternative—or Aa Lutheran whole new direction Village is is simply tired of getting disapin retirement living. retirement living. ainwhole new direction pointing results from conventional in retirement living. It's neighborhood! It’s aa neighborhood! workouts—to follow Anderson’s example by calling TriggerPoint Lutheran Village is It's a neighborhood! A community where residents a whole newand direction giving Super Slow Training a add life where to theirresidents years. in retirement living. try. “This efficient, evidence-based Acan community program It's a neighborhood! might just be the exercise Independent available NOW. can add Living lifeCondos to their years. Call 419-861-5616. solution you’ve been looking for,” A ofcommunity where residents Lutheran Village at Wolf Creek, a ministry Lutheran Independent Living Condos available NOW. states. Genacross Lutheran Services Homes Society in partnership with St. Luke’s Hospital. can add life tohe their years. Call 419-861-5616. Wolf Creek Campus Lutheran Village at Wolf Creek, a ministry Independent of Lutheran 2001 Perrysburg-Holland Rd. Living Condos available NOW. Homes Society in partnership Holland St. Luke’s Hospital.Call 419-861-5616. 2001 Perrysburg Road Four free trial sessions are offered. For Holland, OHwith43528 Lutheran Village at Wolf Creek, a ministry of Lutheran 2001 Holland, Perrysburg-Holland Rd. Ohio 43528 Luke’s Hospital. 419-861-2233 Homes Society in partnership with anSt.appointment, call Russ Wakefield at Holland, OH 435282001 Perrysburg-Holland Rd. 419.861.2233 419-536-0408. Holland, OH 43528 www.lhsoh.org 419-861-2233 TriggerPoint, located at 2449 N. For more information, visit 419-861-2233 www.lhsoh.org Reynolds Rd., is also on Facebook. ❦ www.lhsoh.org GenacrossLutheranServices.org EQUAL HOUSING OPPORTUNITY
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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
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Genacross Lutheran Services Wolf Creek Campus 2001 Perrysburg-Holland Rd. Holland, OH 43528 419-861-2233 www.GenacrossLutheranServices.org
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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.
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Otterbein Portage Valley Senior Lifestyle Community
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Otterbein Skilled Nursing and Rehab Neighborhoods Monclova/Perrysburg 3529 Rivers Edge Drive Perrysburg, OH 43551
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Foundation Park Alzheimer's Care Center
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www.sunset-communities.org
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Senior Living Guide
250 Manor Drive Perrysburg, OH 43551
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Charter Senior Living of Oak Openings 6805 Sylvania Avenue Sylvania, Ohio 43560 419-419-0408 www.charteroakopenings.com
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Genacross Lutheran Services Toledo Campus 131 Wheeling St. Toledo, OH 43605
Genesis Village 2429 S. Reynolds Rd. Toledo, OH 43614 419-720-1286
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Healthy Living News | January 2019 43
photographer finally moved towards hundred miles or more from where In the Park - continued from p13 his car. When the ranger was busy we happen to be. Not always. We Boone skulking skills. “What does that fool think he is elsewhere, though, he went right have been through the staging areas for firefighters, been forced to detour doing?” Shirley said to the woman back to the bison. You might want to Google some- more than 100 miles to avoid the burn next to her. thing like “Bison gores tour- area, and have often had the scenery “That fool is ist and tosses him into tree.” and the highway obscured by smoke my husband,” People are inclined to treat and haze. Far too many people are she said, “and bison like big, slow-moving, killed or had their property and you’re right—he cow-like critters. They are livestock endangered by fires. This is a fool.” not usually easy to pro- is a legitimate concern with a much I could revoke, but some people try higher probability than a grizzly count similar epreally, really hard attack. Depending isodes involving to provoke them. on where you are, elk, moose, and We watched one detouring around a bison. Which, young man lean fire zone can range by the way, reout of a white from inconvenient sult in far more pickup and to nearly impossiinjuries than ble. For almost 100 bear attacks. We We have seen docile-looking cow elk smack a bull become surprisingly aggressive in bison on the Californians back in watched a phodefense of their calves. rump as it amNovember, it was tographer, who totally impossible. bled down the had one of those And fatal. So, wild$3,000 super lenses, approach a bull road. Smacked him hard. Must have been another fires should be taken bison to poke the lens in his face. A even more seriousranger was trying to herd tourists of those testosterone and ly than bears and safely back into their vehicles. From alcohol things. Because wildfires also snakes. his body language, I concluded that make the news, friends At Chisos Basin the guy with the long lens was sayin Big Bend Naing “Ah, gee, do I really gotta?” The bring up the subject. There ranger’s body language was saying, is always a wildfire some- At Mammoth Hot Springs, a tional Park, way “Don’t make me come over there where in the West. Usually, tourist distracted by her cell out in West Texas, and deal with you!” A whole lot of when friends ask if we are phone walked right past the the wind turned Danger: Keep Out sign. ferocious one afarm waving on both their parts. The OK, the fires are a couple ternoon. I watched as a utility pole swayed back and forth then snapped about a third of the way up. Within seconds the LUXURY LIVING AT downed power lines set the creosote WATER’S EDGE VILLAS bush aflame. Rangers and firefighters came just to monitor the fire because Where LIFEstyle sparks new beginnings the boulder field made it impossible to get their equipment in there. Then they noticed that, if the wind shifted slightly, the only road into and out of the Basin could be blocked. So they decided it might be a good idea to evacuate the campground. When we were in the Tetons, 1,368-1,744 SQ FT the family across from us in Gros Ventre Campground put out their morning fire and left for the day. Two bedrooms | Two bathrooms | Open floor plan Later, when the wind kicked up, so Customizable kitchen | Sunroom | Walk-in closets | In-home laundry did their fire. We went over and put Covered porch | Two-car plus attached garage a couple gallons of water on it and AS A COMMUNITY MEMBER YOU’LL ENJOY: spread out the ashes. Most wildfires are caused by Monthly housekeeping 24-hour fitness center human carelessness. A few by deInterior and exterior Local golf membership at liberate arson. Sometimes deliberate maintenance White Pines Golf Course but not arson. We had reservaUtilities and Wi-Fi Exclusive trips and events tions at Crane Flats Campground And many more... Full-service dining in Yosemite National Park. The day before our scheduled arrival, BOOK YOUR PRIVATE TOUR NOW! Shirley received a text message: Reservations cancelled. A controlled info@ohiomasonichome.org burn had been set by park staff 419-878-4055 ohiomasonichome.org/contact-us to remove dry undergrowth and n
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Pins not your thing? We offer massage too! 44 January 2019 | Healthy Living News
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prevent wildfires. The controlled fire got a little out of control. Crane Flats Campground burned down. Sometimes I am inclined to think that the cell phone is the most dangerous thing most visitors will deal with in the national parks. Every year there is someone who steps over a retaining wall to get a slightly better selfie at the very edge of the canyon rim. Or he climbs out to the brink of a high waterfall where the rocks are obviously slippery. Or she is so distracted that she walks right into a geothermal area even though there are signs saying don’t do that. Shirley and I visited our friends Rick and Sharyn in Philadelphia. Their adult daughter, who is into outdoor fitness activities, asked if we had hiked the Appalachian Trail. I told her that we had not done the whole thing but bits and pieces over the years. She wanted to know if we were ever concerned about muggers or guys in Hannibal Lecter masks carrying chainsaws. Not much, I explained. Muggers don’t seem ambitious enough to hike and climb several miles to the AT when potential victims are far more numerous on any street in the country. Even in Philadelphia. And if you robbed a hiker, what would you get? A bag of granola? Maybe a pouch of freeze-dried beef stroganoff? What she was really concerned
n
about, though, was losing the sense of security associated with familiar locations—even if sometimes they are more dangerous than the woods. Right there in Philadelphia, for example. On the one hand, many people have this romantic notion that a night in the forest is peaceful and restores the soul—sitting around the campfire, singing Kumbaya, gazing at the glorious Milky Way in the dark, sacred night. At the same time, there are spooky, unidentifiable noises out there that are the basis for campfire stories to frighten small children and impressionable city dwellers. From ghoulies and ghosties, And long-leggedy beasties, And things that go bump in the night, Good Lord, deliver us! Like the old gentleman in the Everglades, some people are constantly on the alert for long-leggedy beasties. They may know what parts of Philadelphia to avoid after dark, but they aren’t quite sure how they would deal with a Florida panther. But most of us eventually discover that, with a little common sense, it is probably OK to go for a little walk in the park. LeMoyne Mercer is the travel editor for Healthy Living News. There is limited space here for his photos. You might want to see more at anotherwalkinthepark.blogspot.com. Please leave comments on the blog site. ❦
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Cancer Risk - continued from p7
quitting smoking, etc.—can help protect against certain forms of cancer, it's important to keep in mind that the benefits of a healthier lifestyle aren't necessarily going to be evident immediately." Just as lifestyle-related cancers, such as lung cancer associated with smoking, often take many years to develop, the benefits of positive lifestyle changes tend to accrue over the long term. Nonetheless, people who eat right, exercise regularly, avoid smoking, and limit their alcohol consumption have a better chance of remaining cancer-free than those who don’t adopt healthy habits. The Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, has 15 physicians, 4 Research Nurses, and 6 nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TTCCC also has satellite
Your Y ou o r Co C Comprehensive omprehensive Solution SSooluttiion to to Pain Pain
centers in Maumee, Napoleon, Bowling Green, Adrian, and Monroe, as well as a partnership with the Mercy Health – Perrysburg Cancer Center for the convenience of the patient. TTCCC 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. TTCCC is 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. ❦
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Tips for taking control of your 2019 resolutions R esolution season is here again, and many of us have begun evaluating our lives to decide which aspects need tweaking or overhauling. Some people may have a particular bad habit, such as smoking or overeating, they’d like to kick. Others may wish to adopt a healthy habit, such as exercising more or spending more time with family. Still others may feel they have so many issues to overcome that nothing short of a complete lifestyle makeover will get the job done. While the idea of breaking every bad habit and adopting a host of healthy ones may seem admirable, it’s not very realistic. More often than not, this mindset leads to failure. So what’s a more practical, achievable approach to New Year’s resolutions? Try the following:
Take them one at a time
As the old saying goes, “A journey of a thousand miles begins with a single step.” That’s good advice for those of us with more than one lifestyle change to implement this New Year. But how do you determine
which one to tackle first? There are a few different ways to approach this decision. One is to start with the change that has the most significant health or safety implications for you or others around you or that has the greatest impact on your relationships with family, friends, or coworkers. Make this resolution your highest priority, and don’t allow lesser concerns to distract you from it or overwhelm you so that you end up throwing in the towel altogether. Another approach is to begin with a small, manageable resolution, such as getting out of bed as soon as the alarm goes off in the morning rather than hitting the snooze button five or six times. Achieving a small goal will give you a taste of success and the confidence boost you need in order to take on the more substantial ones.
Break them up
Sometimes having only one lifestyle change to make can seem insurmountable if it’s an especially significant one. Rather than attempt to swallow the proverbial elephant whole, it helps
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to break the goal into “bite-size” pieces. For example, if your resolution is to reduce your daily calorie intake and lose weight, you might start off by simply eliminating soda and other sugary beverages or by avoiding eating between dinner and breakfast. Again, small successes breed bigger ones. Once these changes become healthy habits, you can move on to other small goals that will lead you to your larger objective.
Make a foundational change
Those who would like to make numerous lifestyle changes could benefit from starting with one foundational change that makes it easier to achieve the others. Resolving to get a better night’s sleep is a good example. Better rest at night gives you more energy for exercise; helps your body recover faster in between workout sessions; lowers stress; makes cravings more manageable so you’re less likely to reach for cigarettes, food, or alcohol; and provides a host of other physical, mental, and emotional benefits.
Get help
Unhealthy habits with an addictive component, such as smoking, excessive alcohol consumption, or compulsive overeating, can be particularly difficult to overcome—and willpower alone may not be enough to carry you through. However, your chances of beating these problems will improve dramatically if you seek help in the form of professional counseling, a support group, and/ or a formal program for smoking or alcohol cessation, weight loss, etc. Any form of assistance that provides ongoing support and accountability will stack the odds of success in your favor. Your doctor or other healthcare professional is a great place to start. He or she can evaluate your current health status as well as connect you with helpful resources in your community.
Don’t lose faith too soon!
If you’re reading this and fear your resolution is already on shaky
46 January 2019 | Healthy Living News
ground, don’t lose heart. There are bound to be stumbling blocks on the road to success, and there’s nothing stopping you from refocusing and picking up right where you left off. Here are some tips to help you on your way: • Form a cheerleading squad of family and friends to help motivate you toward your goal. • List the benefits of making a positive change on a sheet of paper and place the list where you’ll see it every day. • Be on the alert for negative thoughts like “I’ll never be able to stick with this diet,” and be prepared to counter them with positive ones like “If I forego this cookie, I’ll be one step closer to fitting into that bikini.” • Get plenty of sleep, at least eight hours a night. • Learn to substitute behaviors when temptation arises. For example, plan ahead of time to take a ten-minute walk whenever you feel tempted to smoke or reach for the bag of potato chips. • Reward your progress. Establish desired milestones and give yourself healthy rewards when you reach them. ❦ Answers to crossword from page 26 1
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c a b i n e t ry
co u n t e rto p s
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co u n t e rto p s
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t r e e t r i m m i n g & R e m ova l t r e e t r i m m i n g & R e m ova l
and more! t i l e wo r k
b at h r e m o d e l i n g
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t i l e wo r k
b at h r e m o d e l i n g
and more! t i l e wo r k
b at h r e m o d e l i n g
s n ow p low i n g s n ow p low i n g
and more! and more!
ku s to m k r a f t e r s
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Healthy Living News | January 2019 47
It Takes Two to Tango H E A LT H C A R E F O R T H E U N I V E R S E O F YO U
The way you move moves the people around you. Move pain-free with orthopedic and sports medicine care from Mercy Health, the official physicians of pro and more everyday athletes. To find a sports medicine or orthopedic doctor near you, visit mercy.com/ortho
Orthopedics and Sports Medicine