HLN July 2013 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

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2013 Marathon Classic

The girls are back in town! Also in this issue:

• • • • •

Look your best for summer Honoring a proud patriot When migraine and dizziness meet Poking around Williamsburg Food poisoning is no picnic!

“

St. Clare Commons welcomes Medical Director Dr. Anu Garg

“ Mercy’s 3D technology detected my cancer, which was so small a regular mammogram would’ve missed it.

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Look your best for summer! V

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between the eyes, deep smile lines, upper lip lines (lipstick runs uphill), and the sagging jowls and neck? These unfortunate processes caused from prior sun exposure can be improved dramatically with innovated and virtually pain-free cosmetic procedures performed by Dr. Handler. The Thermage CPT procedure painlessly heats damaged collagen under your skin to tighten and lift sagging skin on the neck and jowls. The Thermage CPT procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis while the epidermis Don’t let wrinkles and is cooled and protected. This age spots make you appear older than your years. heating of the dermis causes immediate collagen contraction followed by new collagen production over a period of time. The procedure also encourages a natural repair process that results in further tightening and youngerlooking skin. It is also an excellent non-invasive and pain-free procedure for tightening “crepe” skin on the abdomen of men or women and sagging skin on the upper arms. With only one treatment, results work over a 6-month time period to slowly lift and tighten the involved areas with results lasting 3-4 years. There is NO downtime and NO pain! The Thermage CPT system has been utilized by physicians for over ten years with excellent results. For lines between the eyes (worry lines), crow's feet, and the “sleepy look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas with resultant diminished lines and a more “wide awake” look. This is also performed with minimal pain with results lasting 5-7 months and longer. The use of fillers, such as Restylane, The best prevention for Perlane, Juveder m, early aging and skin Radiesse, and others, cancer is to protect your to “fill” deep smile lines skin from the sun.

2 July 2013 / Healthy Living News

Mission Statement

and the marionette (sad) lines from the corners of the mouth produces immediate results lasting 12-15 months! These products are also very useful for producing a more full appearance to lips that thin as we age. Since these products are combined with a numbing agent, the pain is minimal. For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome results after 3-5 treatments. This is a painless procedure where a laser produces thousands of small columns in the dermis. Your body then produces collagen to fill these areas, resulting in softer and diminished facial lines. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT, the results are ideal for patients who desire no downtime and predictable results of improved sagging skin and fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio. Dr. Handler has performed these procedures for years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler. Dr. Handler’s

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.

Before

After

office now has available a new camouflage makeup that is excellent to cover red or blue veins on the face or anywhere else on the body; blue, red, or yellow bruises from prior cosmetic procedures; and especially facial, neck, and chest redness secondary to the diagnosis of rosacea. ❦ For more information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. His staff will be able to address your questions or concerns about these procedures. Also, please visit Dr. Handler’s website at drharveyhandler.com to view many before-and-after photographs of patients who have had these procedures performed. And speak with his office staff to inquire about specials on many cosmetic procedures and products to diminish the signs of aging.

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Contacts Business office:

To advertise: Healthy Living News, 375 Rose Glenn Drive, Toledo, OH 43615. Phone: (419) 841-8202 or email Kevin O’Connell sfstennis76@bex.net. Ad reservation deadline is the 15th of the month preceding publication. HLN reserves the right to refuse advertising for any reason and does not accept advertising promoting the use of tobacco.

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Reduce lines, fade sun spots

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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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Layout and Design Jan Sharkey Distribution Jim Welsh • Alison Foster Dominion Distribution Distributech - Toledo Copyright © 2013 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe. Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

July 2013 • Vol. 18, Issue 7

Your Monthly Guide to Healthy Living

Health & Beauty

Children & Parenting

6 Sarcoma: a rare cancer that can arise anywhere 8 Genetic testing and counseling empower those at risk for hereditary cancers 19 July fitness tip from Heartland Rehab: Preventing CrossFit injuries 25 Migraine and dizziness by Dianna Randolph, AuD, CCC-A 28 Spiritually Speaking Healing the Sacred Wound by Sister Mary Thill 42 Elephants, tigers, and P.T. Barnum by Douglas Schwan, DC, Dipl ac 43 Sound Advice from Northwest Ohio Hearing Clinic, by Randa Mansour-Shousher, AuD, CCC-A

12 Mercy Children’s Hospital offers day of family fun and fitness

Food & Nutrition 22 Indian deli pleases palates while changing perceptions, by Chris Longo 37 Eating Well Summer food safety by Laurie Syring, RD/LD 45 Energy, energy, energy, by Carol Klotz 49 Crunch all the kale you want! by Kelly Hanner 49 Better, healthier burgers for your July 4th feast

Our Community Taking Care of Your Life 2 Look your best for summer! 5 2013 Marathon Classic: The girls are back in town! 14 The housing recovery: will it last? by Scott D. Brown 16 Nobody’s Perfect (Almost) All are welcome by Sister Karen J. Zielinski, OSF 21 Health Crossword, by Myles Mellor 26 Patient Advocacy Mom still knows best by Claudia Yvonne Vercellotti 30 Top 10 things to look for when choosing inpatient rehab 31 Changing interest rates may affect your investments 32 Athletes: Are you drinking the right fluids? by Amanda Manthey 34 A Walk in the Park Poking around near Williamsburg by LeMoyne Mercer 40 Gardening success stems from proper watering 44 At Temple of the Dragon, “quieting the self ” is key to self-defense, better health, and serenity

Travel Editor LeMoyne Mercer Sales Robin Buckey

Dear Readers, Thank you for picking up the July issue of Healthy Living News. In keeping with what has become a long-standing HLN tradition, this month’s cover (p. 5) is dedicated to the Marathon Classic, which returns to Sylvania’s Highland Meadows Golf Club the week of July 15 through 21. It’s hard to believe, but we’ve been helping to promote this extremely popular tournament, which is among the oldest on the LPGA Tour and the largest single sporting event in our region, for 17 years now. Our congratulations go out to Judd Silverman and his wonderful staff and volunteers, who work tirelessly behind the scenes to make this event possible. We’re also excited about the pending grand opening of St. Clare Commons, a Franciscan Living Community offering assisted

23 AAA Northwest Ohio Names Edgar V. Avila new President and Chief Executive Officer 24 Laurels Pathway to Home program puts rehab goals and progress in focus 28 American Heart Association teaches Hands-Only™ CPR to beat of “Stayin’ Alive” 39 St. Clare Commons announces medical director by Jessica Derkis 41 Toledo Orthopaedic Surgeons welcomes new hand specialist 47 Proud to do her patriotic duty by Christine A. Holliday

Around Town Extended Thursday evening hours at TMA

offer early start to weekend, 7; Cinereous vulture chick hatches at Toledo Zoo, 10; Help for adults who have lost a parent, 16; Medical Mutual earns top award for employee communications, 48.

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living, specialized dementia care, rehabilitation, and skilled nursing, which is slated for September. Don’t miss the article on page 39 about Dr. Anu Garg, who recently joined the facility’s growing team of caregivers as medical director. Also in this issue, certified genetic counselor Kelly Morse of ProMedica’s Hickman Cancer Center shares her insights on the importance of cancer genetic testing (p. 8); Mercy Children’s Hospital Administrator Barb Martin extends an invitation to area families to attend this year’s Mercy Go! Camp (p. 12), a fun-filled, family-friendly day organized to promote better nutrition and exercise habits among kids; AAA Northwest Ohio announces the appointment of their new president and chief executive officer, Edgar V. Avila (p. 23); and Toledo Orthopaedic Surgeons welcomes

/HLNToledo @HLNToledo

hand specialist Dr. John Houghtaling to their team of physicians (p. 41). If you haven’t had the opportunity yet, we strongly encourage you to check out the all-new www.hlntoledo.com, which launched last month. The new website provides readers a greatly enhanced experience and offers our advertisers an even greater value for their investment with us. We’re thrilled with the interest the website has already generated, which includes visitors from over 15 states and even the UK and Ireland. Visitors are spending an average of two hours and 45 minutes on the site, which is a wonderful testament to the quality of HLN news content. Until next month, stay safe, active, and healthy!

2013 Marathon Classic

The girls are back in town!

he week of July 15 through 21, the Marathon Classic presented by Owens Corning and O-I returns to Sylvania’s historic Highland Meadows Golf Club. Now in its 28th year, the tournament is among the oldest on the LPGA Tour and is the largest single sporting event in our region, drawing an average of 70,000 spectators from Northwest Ohio and Southeast Michigan. This year’s Marathon Classic will be played for a purse of $1.3 million. With Marathon as the title sponsor, the tournament will return to television in 2013 with all four rounds to be televised live on The Golf Channel. Each day’s telecast will be shown in the US and 160 countries around the world. “We are elated to have Marathon Petroleum as the title sponsor, which will keep the tournament going strong for years to come,” states Toledo Classic, Inc. Board Chairman Richard Hylant. “Marathon’s long-term commitment to the tournament, along with the support of our loyal presenting sponsors Owens Corning and Owens-Illinois, provides the solid financial foundation to potentially increase the money raised for area children’s charities. We are 10.25x4_ES_USNewsAd_HL_513.pdf 5/30/13 incredibly proud of the his-

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Tournament schedule of events Monday, July 15 7:30 am: 13abc Pro-Am 1:30 pm: ProMedica/Hylant/ Heidtman Steel Pro-Am Tuesday, July 16 8:00 am: Brooks Insurance/Health

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Friday, July 19 Second Round—AT&T Yellow Page Day Huntington After Play Par-Tee, featuring the Aaron Stark Band Saturday, July 20 Third Round—The Blade Day 3:00 pm: LPGA Junior Clinic Sunday, July 21 Final Round 18th Green Closing Ceremony

Volunteer opportunities Each year, over 1,200 volunteers are needed to make the Marathon Classic a success. They have the opportunity to choose from over 25 committees, and volunteer opportunities range from being on course, in the clubhouse, or off-site during the tournament or volunteering prior to tournament week. No experience is necessary, though some committees may require a training session prior to the tournament to familiarize volunteers with their duties.

Tickets and parking Marathon Classic fans are encouraged to purchase their tickets through

The Elizabeth Scott Community’s Nursing Home has received a 5-Star Rating for overall performance from the Centers for Medicare & Medicaid Services (CMS). The CMS 2013 ratings were reported by U.S. News & World Report in its 2013 Best Nursing Homes report. Only 14% of all nursing homes in Ohio earned an overall 5-Star rating. So if you are comparing nursing homes, look at their performance record. Contact us for a tour! Independent & Assisted Living, Skilled Rehab. Family owned and operated since 1949.

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The Marathon Classic will once again donate net proceeds to several Northwest Ohio children’s charities, including Bittersweet Farms, Diabetes Youth Services, Imagination Station, Serenity Farm Equestrian Center, Special Olympics Ohio, Sylvania Area Family Services, To-

Eight out of the top 10 players on the current LPGA money list have committed to compete in this year’s tournament, including (in order of their ranking from #1 to #9) Inbee Park, Toledo native and 2012 LPGA Player of the Year Stacy Lewis, Beatrice Recari, Suzann Pettersen, I.K. Kim, Jiyai Shin, defending champion So Yeon Ryu, and Na Yeon Choi. Other notable players who have committed to participate in the tournament include Paula Creamer, Juli Inkster, Morgan Pressel, Karrie Webb, Angela Stanford, Cristie Kerr, Azahara Munoz, Michelle Wie, Brittany Lincicome, and Sandra Gal. This year’s sponsor exemptions include top-ranked woman amateur Lydia Ko and Bowling Green, Ohio native Caroline Powers.

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HEADACHES

tory of the tournament. Now with the live broadcast on The Golf Channel for all four days of the tournament and larger purses in the future, we are in a position to elevate the tournament to a new level.” Marathon Petroleum Corporation President and CEO Gary R. Heminger states, “We’re proud to be supporting children’s charities through this premier LPGA event. We see a bright future for the tournament. Mr. Farr has left us a great legacy, and we are looking forward to partnering with Toledo Classic, Owens Corning, and Owens-Illinois to continue the tournament’s success. We are committed to keeping it a favorite among LPGA players and fans.”

gether We Can Make A Difference, Toledo Hearing & Speech Center, Toledo Seagate Foodbank, Ronald McDonald House Charities, and the Jamie Farr Scholarship Fund of the Toledo Community Foundation. Since 1984, the tournament has raised $7.75 million for over 100 Northwest Ohio children’s charities.

Cancer Center

the Marathon Classic Charity Ticket Program online at marathonclassic. com (click on Ticket Information). Choose “Buy One Weekly Grounds Ticket, Get Second One Free” for $50 or “Weekly Clubhouse Ticket” for $100, and 100% of your ticket purchase will be donated to the participating charity of your choice. From the online ticket page, simply choose a charity from the drop-down menu, and your charity will receive the total amount of your ticket purchase. Ticket and parking prices are as follows: • Weekly Grounds Ticket—$50 Monday through Sunday Grounds Admission • Daily Grounds Ticket (available at gate only) —$15 Monday

• • •

•

through Friday Grounds Admission, $20 Saturday through Sunday Grounds Admission Kids 17 and under admitted FREE Active military receive FREE grounds admission with valid ID. Weekly Parking Pass—$10 Monday through Sunday, Parking Lot B, Centennial and Brint Daily Parking Pass (available at Lot B)—$5, Parking Lot B, Centennial and Brint

For more information about the 2013 Marathon Classic, please visit marathonclassic.com or call 419-5313277. Follow the tournament on Facebook at facebook.com/MarathonClassic.

Sarcoma

A rare cancer that can arise anywhere

specialists who make the diagnosis and initiate treatment. In fact, sarcoma patients are commonly referred to large tertiary centers that have an orthopedic oncologic surgeon—a bone doctor trained in oncology—on staff.” What causes most cases of sarcoma is largely unknown. One of the few known triggers is prior radiation exposure. Also, Acquired Immunodeficiency Syndrome (AIDS) is known to cause a very specific kind of sarcoma, called Kaposi’s sarcoma, which is characterized by purplish nodules on the skin. Certain chemical exposures and hereditary syndromes may play a role in triggering sarcoma, as well. The encouraging news is that the five-year survival rates for sarcoma are relatively good. According to Dr. Mowat, the rate is approximately 50 percent for soft-tissue sarcomas and 70 percent for bone sarcomas. GIST, the most common soft-tissue form, has a survival rate of about 80 percent because it is usually discovered at an early stage. Dr. Mowat also points out that younger sarcoma patients typically have even better outcomes

than adults do. “Children tend to be in better overall health than their adult counterparts, and for some reason their tumors just seem to respond better to treatment,” he explains. When facing a diagnosis of cancer, more and more patients are choosing The Toledo Clinic Cancer Centers. With nine board-certified hematologists/oncologists and ten nurse practitioners on staff, The Toledo Clinic Cancer Centers can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. Also, there are several offices (including the main location at 4235 Secor Road and satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe) for the convenience of the patient. Many Toledo Clinic Cancer Centers patients are enrolled in the latest cancer research and studies in our region through the Toledo Community Oncology Program (TCOP). ❦ For more information, please call the Toledo Clinic Cancer Centers at 419479-5605.

ost cancers are identified by GIST, which can arise anywhere in the specific organ or body part the gastrointestinal tract but occurs in which they originate—lung canpredominately in the stomach. Because sarcomas are so rare and cer, breast cancer, prostate cancer, can arise anywhere in the body, there’s head and neck cancer, etc.—even no effective way to screen for them. if they have the propensity to meHow they present in terms of symptastasize to other parts of the body. toms depends on where But the family of canin the body (or in what cers known as sarcomas type of tissue) they occur. can arise from virtually For instance, GIST might any of the body’s concause bowel obstruction, nective or supportive bleeding, and abdominal tissues, such as skin, pain, while a sarcoma in bone, the lining of the bone tissue might cause blood vessels, cartilage, pain and swelling at the ligaments, tendons, or site of the tumor. Howmuscles. As Rex Mowat, MD, of ever, the most common The Toledo Clinic Cancer presenting symptom is a Centers explains, “Sarcolump, with or without acmas are very rare cancers companying pain, which that occur in many differmust then be imaged and ent types and subtypes. biopsied. Dr. Mowat notes, Dr. Rex Mowat A few examples of the numerous “Many sarcomas are sent out for forms include chondrosarcoma, which specialized cytogenetics testing to develops in cartilage; osteosarcoma, identify specific genetic abnormaliwhich occurs in bone; angiosarcoma, ties of the tumor, which can be very which develops in blood vessels; and helpful in achieving diagnosis.” Ewing’s sarcoma, a bone cancer that Treatment usually involves suroccurs primarily in children.” gery, sometimes with radiation and/ Dr. Mowat goes on to explain or chemotherapy. Some patients can that the various sarcoma types and even be treated with a pill. The drug subtypes fall under two major categoGleevec®, for example, can be used to ries: soft-tissue sarcomas and bone treat GIST (it’s also effective against sarcomas. Each year in the United myeloid leukemia). “The best way States, there are approximately 6,000 to treat sarcoma is a team approach, to 7,000 cases of the former and about involving medical, surgical, and ra2,000 cases of the latter. The most diation oncologists along with other common of the soft-tissue sarcomas specialists,” says Dr. Mowat. “With is Gastrointestinal Stromal Tumor, or sarcoma, it’s often orthopedic tumor

6 July 2013 / Healthy Living News

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SWAN POINTE

Extended Thursday evening hours at TMA offer early start to weekend

eginning July 11, the Toledo Museum of Art (TMA) will offer extended Thursday evening hours, experimental programs, and Museum Café selections as part of a realignment of its hours to better serve working adults. All main Museum and Glass Pavilion galleries will be open Thursdays from 10:00 a.m. to 9:00 p.m., an additional five hours. The new hours are designed to increase accessibility for visitors with different schedules and to enable the Museum to experiment with diverse programming options for those looking to start the weekend a bit earlier. The change was inspired both by the popularity of the weekly program It’s Friday!, which offers late hours and festive programs, and by conversations with members of TMA’s Circle 2445, which aims to attract visitors ages 24 to 45 to the Museum. “Extending evening hours on Thursday makes a lot of sense,” said Circle 2445 chair Dustin Hostetler. “Many working adults already have a busy social calendar, and offering extra hours makes the Museum and its programming more accessible to

that demographic.” Proposed events include eclectic café menus, including a sushi bar, music and drinks; as well as programs such as art films and poetry slams. Descriptions of events planned can be found at www.toledomuseum. org/calendar. Now in its 10th year, with the support of Fifth Third Bank, It’s Friday! will continue its popular programming of live music, wine tastings, extended Family Center hours, special lectures, public tours, and glassblowing demonstrations. Friday hours will also be 10:00 a.m. to 9:00 p.m. beginning in July. Starting July 1, TMA hours are Tuesdays and Wednesdays 10:00 a.m. to 4:00 p.m., Thursdays and Fridays 10:00 a.m. to 9:00 p.m., Saturdays 10:00 a.m. to 5:00 p.m., and Sundays noon to 5:00 p.m. While the Museum will close one hour earlier on Fridays, Saturdays, and Sundays, the new hours represent an overall increase of two hours per week. The Museum is closed on Mondays and major holidays, including July 4. Hours are also listed on the TMA home page, calendar and mobile app.

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ctress Angelina Jolie’s recent New York Times op-ed, in which she revealed she had undergone a preventive double mastectomy after learning she carries a hereditary gene mutation that significantly increases breast-cancer risk, has thrust cancer genetic testing into the spotlight and headlines all over the world. Genetic testing revealed that Jolie carries a faulty BRCA gene, which, according to Kelly Morse, MS, CGC (Certified Genetic Counselor), of the Hickman Cancer Center, located at ProMedica Flower Hospital, raises a woman’s chances of getting breast cancer to anywhere from 50 to 86%. In fact, Jolie’s mother and aunt, who also carried this hereditary mutation, both lost their lives to breast cancer. Jolie’s proactive decision was, no

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Kelly Morse, MS, CGC

doubt, an extremely difficult one, but it was hers to make because she chose to inform and empower herself through genetic testing and counseling. Though most cancers are not inherited, heredity can play an important role when it comes to cancer risk. “About 5 to 10 percent of all breast cancers are thought to have a hereditary cause. It’s about the same for colon cancer and a bit higher, about 10 to 12 percent, for ovarian cancer,” explains Morse, who is the only board-certified genetic counselor dedicated only to cancer genetics in Northwest Ohio. “The goal of genetic testing and counseling is to target those families with a hereditary cancer link, inform them of the risks, and educate them on what screenings or lifestyle changes would be appropriate for them,” she adds. When patients and their families come to see Morse for genetic counseling, they discuss the patient’s personal history as well as their family history going back three or four generations to determine who had cancer, what type

Read more about ProMedica Cancer Institute’s genetics program on page 8.

of cancer they had, and at what ages the cancer developed. If a hereditary link is suspected, Morse recommends genetic blood testing for the patient and at-risk family members. The factors Morse looks for that could indicate a hereditary cancer link within a family—and therefore might justify genetic testing—include: • Young age of diagnosis, for example breast cancer or colon cancer developing prior to age 50. • Certain subtypes of cancer, such as triple-negative breast cancer. • Multiple cases of the same or similar cancers within a family (e.g., breast and ovarian cancer are common in families with the BRCA mutation, and colon and endometrial cancer are common in families with Lynch syndrome). • Multiple generations affected by cancer. However, as Morse notes, it’s important to recognize that the vast majority of cancer cases are not hereditary; most are sporadic and randomly occurring. Also, a positive genetic test result does not mandate a treatment option as significant as double mastectomy. “Surgery is not the appropriate option for every woman with the BRCA mutation, and that decision must be made between the patient and her physician. Mastectomy and breast reconstruction may require several surgeries before the reconstruction is complete. A young woman with a known BRCA mutation might opt instead for additional screening through breast MRI and mammogram starting in her mid-20s and continuing throughout her life,” Morse says. Similarly, if a man in his mid-40s develops colon cancer and is revealed to have Lynch Syndrome, genetic testing of his children would determine whether they have the same genetic mutation as their father. In that case, they would be advised to begin coloncancer screening via colonoscopy in their 20s rather than wait until age 50—the usual recommended age for initiating colonoscopy. If patients are on the fence about getting genetic testing, Morse can discuss with them how their lives might be affected by a positive or negative result. She can also link

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Kenneth R. Krupp, MD Hematologist/Oncologist

P R OM E D I C A H E M AT O L O G Y / ON C OL O G Y A S S OC I AT E S

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In collaboration with ProMedica Cancer Institute, Dr. Krupp doesn’t just treat cancer, he treats people with cancer. ProMedica Physicians work to provide the best possible cancer diagnosis, treatment and care for every patient. To meet Dr. Krupp and the other ProMedica cancer physicians, visit promedica.org/cancerdocs.

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islation is in place—specifically the Genetic Information Nondiscrimination Act (GINA)—to protect them against any such discriminatory actions. GINA does not, however, cover long-term care, long-term disability, or life insurance. Consultations with Morse, which typically last about an hour and require a physician’s referral, are about empowering patients and their families with knowledge so they can make informed choices. “If they choose to proceed with genetic testing, my role is to make sure they’re giving informed consent and that they understand what the results can tell them and how they might affect their family,” Morse states. For more information on genetic testing and counseling, please visit www. promedica.org/cancergenetics.

Cinereous vulture chick hatches at Toledo Zoo

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them with support groups and other people who have been in the same situation to help them decide whether they should get the testing or not. “Some people just don’t want to know because they’re afraid they’ll dwell on the risk of getting cancer. For example, that 50 to 86 percent chance of developing breast cancer with the BRCA mutation might seem overwhelming to a young woman. However, because of that information, we would recommend that she proceed with screening as if there has been a positive result until actual testing confirms it or proves otherwise,” says Morse. People with a hereditary cancer risk might also be reluctant to undergo genetic testing because they fear they’ll be discriminated against by employers or insurers if the results come back positive. Morse assures patients and their families that leg-

male cinereous vulture chick, hatched on May 11, is on exhibit at the Toledo Zoo. This hatching is of particular interest because it is the first successful hatching for the chick’s parents, a bonded pair that has lived at the Zoo together since 1995. The breeding was recommended by the Association of Zoos and Aquariums’ Species Survival Plan for cinereous vultures. The parents produced a viable egg earlier this year, which keepers removed to incubate safely at the Zoo’s off-exhibit Avian Breeding Center and replaced with a wooden replica egg so the birds’ natural incubation activities were not interrupted. After the chick hatched successfully, keepers returned him to his parents’ nest—inside an empty egg that was big enough to fit him—where he “hatched” again in his parents’ care. Cinereous vultures are a near-threatened species originating in Europe and Asia, where their wild populations are decreasing. The word cinereous refers to something that is the color of ashes (cinereous vultures are a smoky-black color). This is one of the world’s biggest birds of prey, weighing up to 30 pounds with a wingspan of 8 to 10 feet. The vulture family is on exhibit near Primate Forest. This is one of several “Zoo-born newborns” that include ring-tailed lemurs, a gibbon (both near the vulture exhibit), and twin polar bear cubs, Suka and Sakari, at the Zoo’s Arctic Encounter exhibit. While you’re at the Zoo, don’t miss Wild Walkabout, presented by Mercy, which takes you to the fascinating natural world of Australia. The adventure starts with a walk-through wallaby exhibit and continues with dingoes, kookaburras, and more. In the Reptile House, check out the huge saltwater crocodile brought here by Block Communications, Inc.—at 17 feet long, the largest in North America!— along with some of Australia’s deadliest snakes. Or relax in the Museum of Science with a Great Barrier Reef exhibit that showcases the intrigue of Australia’s coastal waters. Wild Walkabout runs through Sept. 2. ❦ We love comments and feedback. Like us on Facebook. Follow us on Twitter.

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have a lot of questions that they might be afraid to ask their doctor,” Martin says. The mini sports camps, which are recommended for children ages five to 12, include basketball, volleyball, cheer and dance, and soccer. Each child will have the opportunity to participate in two. The camps will run for an hour in the morning and then for another hour after participants break for lunch. Martin notes that the camps are just long enough to keep kids engaged and give them healthy activities for the whole family, a good feel for the sport but not so including mini sports camps, bounce long that they get bored and fatigued. houses, a photo booth, Mini Life Flight “Athletes and coaches from Central rides, and health and safety exhibits Catholic High School will present for kids, as well as health-education the camps,” she adds. opportunities, exercise tips, healthy All Mercy Go! participants will recipes, and even line dancing for have the opportunity to fill out a adults. raffle ticket at the beginning of the “About two years ago, we started event, and prizes that promote fitto dialogue about how to promote ness or family togetherness, such healthy lifestyle choices in children, as bikes and scooters, bike helmets, and we decided a one-day camp that and fun activities, will be auctioned combines families and fun would be off throughout the day. a great way to achieve that,” says Mercy Go! Camp is just one example Mercy Children’s Hospital Adminisof the programs Mercy Children’s trator Barb Martin. “We were thrilled Hospital is implementing to help comwith the outcome of last year’s event, bat childhood obesity. “This summer, which attracted about 450 children we’re also launching an initiative targeting morbidly obese teenagers,” Martin says. “Twelve children will be selected to participate in the program, which will encourage them to adopt a healthier lifestyle and lose weight. At least one adult guardian must participate in the program along with • If your stay at the hospital is a minimum of 3 qualifying each teen. In addition, midnights, Traditional Medicare will pay 100% of your stay we’ll be implementing up to 20 days.* a program for third graders in the school • Today there are many private insurances that offer system that focuses on the same 100% coverage without the 3 midnight qualifying nutrition and exercise.” stay minimum. Martin is grateful Our administrative staff is experienced not only with Medicare but many to Central Catholic other private-insurances. Our professionals can assist you with this and High School for hostmuch more. ing Mercy Go! Camp and making their entire campus, including the gyms, available for the event. “That makes it possible for us to hold activities either indoors or outdoors so we can offer this fun family event rain or shine,” she remarks. For more information on Mercy Go! Camp or to register, Admissions 7 days a week please call 419-251-6372 or visit mercyweb.org/ mercygo. ❦ Our wide range of services include:

Mercy Children’s Hospital offers day of family fun and fitness

e hear it in the news almost every day: Obesity in children is reaching epidemic proportions. In fact, obesity is the number-one issue facing our kids here in Lucas County. Not content to accept this unhealthy “new normal” in our community, Mercy Children’s Hospital continually seeks innovative ways to promote better nutrition and exercise habits among kids and their families. One of the most fun-filled of these initiatives is Mercy Go! Camp, to be held on Saturday, July 27 from 9:00 a.m. to 1:30 p.m. on the Central Catholic High School Campus. Now in its second year, Mercy Go! promises a wide variety of fun, informative,

and adults—including grandparents, which was wonderful—and we hope to build on that success this year.” Martin further explains that this fun event puts the focus not just on kids but on the entire family because that’s the best way to promote lifestyle changes in children. When the whole family gets involved in a healthy activity, such as walking or biking, it’s much more likely to become an ingrained habit for the child. Mercy Go! Camp begins with a welcome and a quick, healthy breakfast followed by a one-mile walk to get everyone up and moving and into the spirit of the day. Mascots for area sports teams and organizations, such as UT’s Rocky the Rocket, the Mud Hens’ Muddy and Muddonna, and Mercy’s Hugs the Hippo, will be joining in the exercise fun and competing with one another to the delight of kids of all ages. Area organizations such as the Toledo Zoo, Imagination Station, and Kohl’s Kids in Action will have exhibits at the event, as well. “We’re especially excited this year to offer women’s health education opportunities and other health information for adults. These exhibits are a big hit with parents who often

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“We have seen increases in vocabulary. There has also been an increase in sentence length and in his willingness and ability to give details. He has gained a lot of independence, finding it easier to follow multistep directions and has better eye contact.” —Ellen, Bowling Green, OH (Note: This young man suffered from an anoxic brain injury four years ago.) “He is in our world now, not just in his. He is more aware of his surroundings and has very few meltdowns. —Kim, Whitehouse, OH

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short term rehab, outpatient therapy, skilled nursing, long term placement, memory care 12 July 2013 / Healthy Living News

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he housing market looks to be getting stronger, which could be taken as an omen of more generally good economic news to come. After all, home values are an important barometer of consumer wealth. Home construction is a significant fraction of the U.S. economy. Both of those elements had taken significant hits in recent years.

The rebound in home prices The average home value (as measured by the S&P/Case-Shiller 10City Composite Home Price Index) shrank 33% from 2006 to 2009.1 But 1 . Source: S&P Dow Jones Indices LLC. The S&P/Case

Shiller 10-City Composite Home Price Index is an unmanaged index that is calculated monthly to reflect the average prices recorded for single family home sales in 10 major U.S. cities--Boston, Chicago, Denver, Las Vegas, Los Angeles, Miami, New York, San Diego, San Francisco and Washington, D.C. Data are as of January

since those difficult days, home prices have begun to recover. As of the latest data (at the end of 2013’s first quarter), the S&P 10-City Composite had gained 5.4% from its recession low, and most of that gain took place during the past year.1 Overall, S&P/CaseShiller home price indexes cover 20 metropolitan real estate markets around the United States. All 20 of those markets showed solid gains from their yearago levels in the March 2013 report. Phoenix, which saw some of the steepest price declines of the past decade, led the way with a 23.2% recovery. Of the remaining 19, Detroit was the 2013 and reported on March 26, 2013. The S&P/Case Shiller 10-City Composite Home Price Index has been calculated monthly from then-current market reports since May 2006; index values prior to that date were calculated from historical real estate transaction records using the same methodology. You cannot invest directly in any index. Past performance does not assure future results.

With home prices rising, construction activity should recover as well. Housing starts are now up 23.6%, year over year, supporting a solid growth trajectory in 2013. More importantly, new housing permits, a leading in2 . Source: Home Prices Accelerate in January 2013 According to the S&P/ Case-Shiller Home Price Indices, S&P Dow Jones Indices press release, March 26, 2013.

dicator for future construction, have been rebounding even more strongly, to a 925,000-unit pace in January, the highest rate since June 2008.3 Builders are building because demand has picked up, as evidenced by the shrinking inventory of unsold homes. New home sales surged nearly 16% to an annual rate of 437,000 units in January—the strongest gain since July 2008. Existing home sales came in a little weaker, but in both cases, 3 . Source: Trends & Projections, Standard & Poor’s, March 2013.

Positive Appreciation >>

by Scott D. Brown

Homebuilding follows apace

Variations in Home Appreciation

Average Annual Home Price Changes Through the Years

25% 20% 15% 10%

End of recession: November 2001

5% 0%

<<Negative Appreciation

The housing recovery: Will it last?

only city whose rate of growth did not increase.2

-5% End of recession: March 1991

-10%

End of recession: June 2009

-15% -20% -25% 1988

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

2010

2012

Caption: When the economy has struggled, so have home prices. The mild downturn of 2001 slowed (but did not stop) the pace of home appreciation. The more severe contractions of 1990 to 1991 and 2007 to 2009 actually drove home prices downward for sustained periods. Moreover, after prior recessions, home prices eventually rebounded to points that were significantly above their previous plateaus. This trend can be seen in the graph of rolling average home price changes for trailing 12-month periods as recorded by the S&P/Case Shiller 10-City Composite Home Price Index. The indicated recessionary end points are the official dates determined by the Business Cycle Dating Committee of the National Bureau of Economic Research.1

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 First Vice President Financial Advisor 7124 W. Central Ave Toledo, OH 43617 419-842-5312 scott.d.brown@morganstanley.com http://www.morganstanleyfa.com/thefadelbrowngroup/

• 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.

14 July 2013 / Healthy Living News

NY CS 7181350 BC004 09/12 CRC394531

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the data have maintained an upward trend since last June, keeping the housing recovery in place.4 Other measures of market strength come from the National Association of Realtors (NAR). As of January, NAR’s measure of buyer traffic is up a whopping 40% from year-earlier levels, but the companion measure of seller traffic has held steady. That’s resulted in a near-record low of inventory for sale—it would take just 4.1 months to eliminate the supply of unsold new homes. The inventory of existing homes, at 4.2 months, is the lowest since April 2005, when the housing boom was near its peak.5 A third measure of market prospects is the monthly expectations survey by the mortgage bank Fannie Mae. They report that nearly half of the people they polled (48%) believe home prices will go up in the next 12 months. The number who fear home prices will decline was just 10%, the lowest level ever recorded in the survey. Similar numbers believe that rental prices will also go up in the year ahead.6

the information provided nor any opinion expressed constitutes a solicitation by Morgan Stanley with respect to the purchase or sale of any security, investment, strategy or product that may be mentioned. Morgan Stanley Financial Advisor(s) engaged Healthy Living News to feature this article. Scott Brown may only transact business in states where he is registered or excluded or exempted from registration http://www. morganstanleyfa.com/thefadel-browngroup/. Transacting business, follow-up and individualized responses involving either effecting or attempting to effect transactions in securities, or the rendering of personalized investment advice for compensation, will not be made to persons in states where Scott is not registered or excluded or exempt from registration. Morgan Stanley Smith Barney LLC. Member SIPC. CRC 665737 (05/13).

Capitalizing on the recovery There are significant implications in this turnaround for investors as well as homeowners. Certain industries stand to benefit from a housing recovery. Homebuilders themselves are not the only business actors who stand to gain from a turnaround. Home-furnishing and consumerelectronics retailers tend to benefit from increased real estate activity. Further down the road, so do certain manufacturers. If you’d like to learn more, please contact Scott D. Brown, First Vice President, Financial Advisor, Morgan Stanley Smith Barney, Toledo, OH, at 419-842-5312. Web address: http:// fa.morganstanleyindividual.com/thefadel browngroup/. Because of their narrow focus, sector investments tend to be more volatile than investments that diversify across many sectors and companies. The appropriateness of a particular investment or strategy will depend on an investor’s individual circumstances and objectives. Article by McGraw Hill and provided courtesy of Morgan Stanley Financial Advisor. The author(s) are not employees of Morgan Stanley Smith Barney LLC (“Morgan Stanley”). The opinions expressed by the authors are solely their own and do not necessarily reflect those of Morgan Stanley. The information and data in the article or publication has been obtained from sources outside of Morgan Stanley and Morgan Stanley makes no representations or guarantees as to the accuracy or completeness of information or data from sources outside of Morgan Stanley. Neither 4 . Source: Trends & Projections, Standard & Poor’s, March 2013. 5 . Source: Trends & Projections, Standard & Poor’s, March 2013. 6 . Source: Consumers’ Positive Housing Attitudes Withstand Fiscal Concerns, Fannie Mae press release, April 8, 2013.

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nobody’s perfect Sister Karen Zielinski, OSF

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eople listen to sermons, but they remember stories.” Wow. When author and columnist Mark Pinsky said that, I knew I was going to remember the stories I heard this day. Pinsky was the guest speaker at The 2013 Accessible Communities Education Series “Creating Communities that Work for Everyone,” held on May 1 at Parkway Plaza in Maumee. Sponsored by The Ability Center, Lucas County Board of Developmental Disabilities, The Toledo/Lucas County Commission on Disabilities, and State

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Help for adults who have lost a parent Hospice of Northwest Ohio is offering evening support sessions for adults who are mourning the loss of one or both parents. This five-week group, After Your Parent Dies, will meet at Hospice of Northwest Ohio’s Perrysburg Center, 30000 E River Road, on Monday evenings, July 29 to August 26 from 6:00 to 7:30 p.m. Conducted by bereavement counselors, the sessions will help participants understand the impact of the loss of a parent on personal identity, revisit childhood losses, and explore regret vs. relief. The series is free and open to any adult in the community, whether or not they have had a prior relationship with Hospice of Northwest Ohio; however, pre-registration is required. For more information or to register, call 419661-4001. To learn more about grief and loss or Hospice of Northwest Ohio, visit our website at www.hospicenwo.org. Find us also on FaceBook.

Support Team Region I, the day was open to community faith leaders of all denominations and those interested in creating accessible and welcoming worship opportunities for followers with disabilities. Pinsky, former religion columnist for The Orlando Sentinel and author of the book Amazing Gifts: Stories of Faith, Disability and Inclusion, shared his story and stories from his book. Pinsky wrote for The Orlando Sentinel for 15 years until he was let go in 2008. Ginny Thornburgh, the Director of Interfaith Initiative, American Association of People with Disabilities, asked him to collect various stories of people with disabilities and write a book. The goal of the book would be to empower and motivate congregations and their leaders to include and fully welcome children and adults with disabilities. Pinsky wondered if he was the best choice to author the book, since he did not have a disability himself and wrote only six articles on disability in his 15 years at the Sentinel. Thornburgh told him he was the perfect author to write on disabilities and worship spaces because, “You will tell the disability stories with mastery and in a way the common members of the congregations will understand.” The stories in the book would instruct and possibly change some barriers in various congregations. So through email and phone calls and visits, he gathered 64 stories of people and various faith congregations. Some stories told of people who conquered disabilities or coped with them. Others told how many families who had a member with a disability faced poverty. Still other stories told of mental illness and how some congregations responded to persons with disability by changing small things first, and then by mov-

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ing forward to inclusion. He added that more and more people in society are becoming disabled. Three major demographic trends are converging. They include people returning from war; people in their twenties and thirties surviving neonatal surgeries; and aging Boom-

18 July 2013 / Healthy Living News

ers with knees wearing out, hearing loss, and vision problems. The day continued with a panel discussion that offered faith leaders of all faiths insights on how to include and welcome people with disabilities in their congregations. David Yonke, journalist, author, and editor of Toledo

Faith & Values (www.ToledoFAVS. on other church needs because they com), a website that provides incannot justify making changes for depth, nonsectarian news coverage “a handful of worshippers.” But all need to be welcome. People with of religion, faith, and spirituality in the Toledo area, moderated the panel. disabilities have many gifts to offer The book is not only a story book their places of worship. of persons with disabilities, but it There is hope. Ginny Thornburgh, also offers a “best practice” guide for Director of the Interfaith Initiative at the general readers. To paraphrase, most American Association of People with accommodations can be done at little Disabilities (AAPD), has resources that or no cost, adaptive techcan help. The Mission of nology is getting smaller Religious leaders need the AAPD Interfaith Iniand less expensive, and tiative is to support people probably a big trend he to respond to the spirit with disabilities and their found in places who of the law, which is to families as they seek spirireach out and welcome include all people and tual and religious access, those with disabilities: and to bring the powerful welcome all people. and prophetic voice of the the pews fill up. Millions of people in faith community to the 21st the United States have spiritual needs Century disability agenda. that are not being met because their Thornburgh has a rich array of churches, synagogues, meetinghouses, resources for those who want to get mosques, or temples aren’t accessible started or continue making their to persons with disabilities. People places of worship accessible. Three with disabilities often skip attending classic disability/faith publications, religious services because their places edited and coauthored by Thornof worship are not accessible to them. burgh, offer a thorough overview of It seems ironic that the very thing that interfaith accessibility issues: That All can help us cope with disability—our May Worship, An Interfaith Welcome to faith—can be out of our reach. People with Disabilities; From Barriers The Americans with Disabilities Act to Bridges, A Community Action Guide of 1990 offers no relief in making places for Congregations and People with Disof worship accessible. It guarantees abilities; and Loving Justice, The ADA that people with disabilities won’t be and the Religious Community. denied employment or promotion Instead of being overwhelmed because of their disabilities. It also with what our places of worship need promises accessibility for transportation to do to be more accessible for those to services and public accommodawith disabilities, we should be hopeful tions such as restaurants, museums, with the AAPD Interfaith Initiative. libraries, parks, daycare centers, docThis movement offers some realistic tors’ offices, hotels, schools, and retail ideas. According to the Initiative, stores. It does not apply to houses for many people with disabilities, of worship or facilities controlled spiritual and religious access is just by religious organizations (except as important as access to education, in matters of employment, healthcare, transportaemployment). tion, and community services. Religious Thornburgh is a trailblazer in leaders need to worship-related accessibility. As she respond to the visits various sites, she observes, “I give spirit of the law, a lot of talks. After I have described which is to inthe barriers to full participation for clude all people children and adults with disabilities in and welcome all their congregations—those are barriers people, someof architecture, communications, and thing our faiths attitude (the biggest of barriers)—I seem to embody. say, ‘There are no barriers to God’s Many places of love; there should be no barriers in worship have God’s House.’” ❦ tried to address accessibility Sister Karen Zielinski is the Director of challenges but Canticle Studio. Canticle Studio is a part sometimes are of the Sisters of St. Francis of Sylvania, slow to make OH’s overall advancement effort and changes because has a mission of being a creative center costs are prowhere artists generate works, products, hibitive. Some and services in harmony with the Mission church boards of the Sisters St. Francis. She can be make decisions reached at kzielins@sistersosf.org or to spend their 419-824-3543. limited budgets We love comments and feedback. Like us on Facebook. Follow us on Twitter.

July fitness tip from Heartland Rehab

Preventing CrossFit injuries

muscular and ligament structures. With adequate recovery, your muscles will gain strength and not break down with overuse injuries.

core and shoulder stability. Listen to your trainers and/or your physical therapist to know your limits and your basics.

When in doubt, stretch it out Don’t cherry pick rossFit training is catching on All of these challenges require your your WODs It is important to do an active warmquickly all across the nation. Not body to adapt and recover to build up that includes dynamic stretches appropriate training for beginners, strength appropriately. Gradually Selecting certain CrossFit activities to warm up your muscles and joints. CrossFit advocates a mix of aerobic work your way while skipping others can create This increase in blood flow prepares exercise, body-weight exercise, gymup to achieving havoc with your workout program you for high-intensity workouts. A nastics, and Olympic weight lifting. your goals. Work and your body. The WODs are depost-workout stretch is critical for CrossFit describes its strength and with your qualisigned to work specific body parts muscle recovery. Whether using a conditioning program as “constantfied trainers to and rest others so you will have balfoam roller, a stretching strap, or just ly varied, high-intensity, functional determine the ance and recovery. Consistency is static stretching, movement” (Glassman, Greg. “Unappropriate pace important. Work with your trainers to a flexibility proderstanding CrossFit.” The CrossFit of your progresdetermine if there are specific WODs gram can help Journal. Retrieved 2/18/2012) with sion. Everyone you should avoid due to prior injury you avoid injury. the stated goal of improving fitness. is different, so or functional limitations. CrossFit workouts are typically avoid comparing It all starts Focus on form short, 60 minutes including warm up yourself to other with a and cool down, with 30 minutes or CrossFitters and friends. Slow down a little during your workless of it being intense, demanding strong core outs and focus on your form, skill Understand your limits all-out physical exertion focusing in on level, and technique. The better you It is critical the workout of the day (WOD). They You will have an individualperform with technique and form, to maintain a combine elements such as sprinting, ized plan, and knowing your the more improvements you will strong core. Your rowing, jumping rope, climbing rope, limits needs to be part of it. It is critimake. You will have better results abdominal muscles and your lumbar flipping tires, weightlifting, carrying cal that you build recovery time into and less pain. Try to avoid focusing musculature must work together heavy objects, and many body-weight your training schedule. You need one only on time and reps. Listen to your to support your spine and extremiexercises. Equipment used includes to two days of rest per week if you body and adapt your workouts as ties during your CrossFit workouts. barbells, dumbbells, gymnastics rings, are doing intense CrossFit training. necessary. There are many CrossFit activities pull-up bars, kettlebells, medicine The rest is critical for your fatigued As a good rule of thumb, never that require a strong core. For inballs, and boxes for box jumps. muscles to recover. Fatigued muscles ignore a pain or problem for more than stance, do not perform “kipping” The aim of CrossFit is to physican result in altered exercise form, three to five days. Also, never ignore or “muscle ups” until you can do at cally prepare people for whatever life which can cause problems with other a pain or problem if you are noticing least five good pull-ups with efficient might throw at them. It is not about following a particular routine, but about constantly varying workouts. U n f o r t u n a t e l y, such intense training can lead to injuries if participants fail to use proper technique (form) or understand the risks involved and  take steps to mitigate them. The old adage is true: prevention is the best medicine. To avoid injury during CrossFit training and competi tion—or during any high-intensity workout program—keep these    tips in mind:

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Don’t do too much too quickly While the common CrossFit attitude is to push, push, and push yourself some more, doing too much too quickly can cause injury. Injuries can occur by increasing intensity too quickly, changing the type of training, and increasing load.

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compensatory movements during your training. Seek out a qualified medical professional (MD, physical therapist, or massage therapist) to help evaluate the problem and guide your treatment and rehabilitation. The sooner you treat, the quicker you’ll recover!

The four most common CrossFit Injuries As mentioned, injuries do occur with CrossFit training and competition, typically as a function of poor form, inadequate knowledge, fatigue, and overuse. Here are the four most common:

Low back pain/strain

The low back is a common area for injury and can be strained when the muscles are stressed secondary to a sudden movement, lifting something that is too heavy, or lifting something utilizing poor mechanics. As a result of the injury, the muscles in the back can become inflamed, irritable, tight, and tender to the touch or go into spasms. The image shown displays the muscles of the low back. Many times this injury can be avoided by incorporation of the abdominal muscles when lifting along with proper mechanics. Treatment options: hot packs/ice packs, strengthening/stabilization, stretching, postural training, massage/soft-tissue mobilization, bodymechanics training, ultrasound, and electrical stimulation.

below the knee cap after periods of activity (especially running, stairs, lunges, and squatting). Pain can also be felt at night and first thing in the morning as these are often times of day where inflammation is the greatest due to prolonged periods of immobility. The condition can start without a known cause but can often be traced back to a period of increased activity level, a change in training regime, a return to activity after a period of lay-off, or a change in shoes. Culprits that often lead to the development of traininginduced knee pain include weak inner quadriceps muscles, hip abductors, external rotators, and gluteal muscles. Collectively, weakness of these muscles can force the limb to internally rotate with weight bearing, which affects the tracking of the knee cap. Also, tightness in the hamstrings, calf muscles, IT band, and hips can further irritate the knee. Finally, altered gait mechanics, especially a prolonged or excessive pronated phase of the gait cycle, can contribute to overuse at the knee. Treatment options: Rest/ice in acute phase, addressing flexibility issues that are contributing factors, evaluation of foot biomechanics, strengthening of appropriate musculature, and softtissue work/ASTYM.

Shoulder impingement

The rotator cuff is comprised of a group of four muscles in the shoulder: supraspinatus, infraspinatus, subscapularis, and teres minor. These Crossword by Myles Mellor muscles help hold the head of the Achilles tendon humerus (ball) inside the shoulder injuries/calf strains Across socket by providing strength and staStrains of the Achilles tendon and bility. This muscle group also assists calf musculature are in to include in a turnip hash recipe 1 common Vegetable in moving the arm inward (internal activities requiring rotation), outward Supraspinatus muscle high-intensity and 7 It extracts muscle the Subscapularus juice from grapes (external rotation), Infraspinatus muscle plyometric activities. Teres minor muscle and to the side (abRapid acceleration, 10 It's essential for thyroid hormone production duction). sprinting, and jumpThe image shown ing place these areas 11 Sweet ____ displays the rotator at higher risk of incuff muscles. The most jury. Poor form and 12 Appetizers commonly injured inadequate muscle Posterior view Anterior View muscle in this group recovery also in13 Jewish diet related is the supraspinatus. crease the risk of Pain is usually located at the anterior this injury. 16 Its flowers aspect are used in brewing of the shoulder and can increase Treatment options: ice, rest, ultraby bringing the arm outwards or sound, deep-tissue 17massage/softLack of vitamin "C"These disease sideways. movements of the tissue mobilization, ASTYM, gentle arm are usually weaker as well. The stretching after acute symptoms, 18 _____ primrose injury oil occurs because the tendon of appropriate footwear, and evaluation the supraspinatus (a tendon conof foot biomechanics. 20 Dry, as wine nects muscle to bone) is injured and inflamed because of overuse of the Knee pain/knee 21 strain Dieting measurement shoulder, sudden movement of the The condition is often charactershoulder, improper mechanics, or a ized by a diffuse ache over or just 24 Scrumptious

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25 In that location

fall onto the shoulder. Treatment options: Hot packs/ice packs, rest and maintain ROM and strength, ROM, strengthening/stabilization, ultrasound/phonophoresis/ iontophoresis.

Don’t ignore injury or delay treatment Physical therapists are instrumental in an injured CrossFit athlete’s speedy recovery—unless the injury is such that other medical intervention, such as surgery is, needed. The key to dealing with CrossFit injuries is early detection and quick action. Listen to your body and act quickly with rest and ice or other medical interventions. Injuries that are ignored turn into bigger and more

expensive injuries. They create compensatory movements and abnormal joint mechanics and ultimately lead to multi-joint injuries and chronic conditions. ❦ Heartland Rehabilitation Services has five locations in the Toledo, Ohio and Bedford, Michigan areas with knowledgeable staff to assist with your physical and occupational therapy needs. Each location also offers a monthly membership for a small fee, with no contract, and the expertise of licensed clinicians to help you with your exercise routine. If you have any questions about Heartland Rehabilitation Services or how physical and occupational therapy can benefit you, please feel free to contact Jim Berger at 419-787-6741 or visit us at www. heartlandrehab.com.

by Myles Mellor

ilovecrosswords.com 24 Scrumptious 25 In that location 27 Good to eat 28 Cod or haddock classification 31 Frying pan 33 Healthy veggie color 34 Food container

Across 1 Vegetable to include in a turnip hash recipe 7 It extracts the juice from grapes 10 It’s essential for thyroid hormone production 11 Sweet ____ 12 Appetizers 13 Jewish diet related 16 Its flowers are used in brewing 17 Lack of vitamin “C” disease 18 _____ primrose oil 20 Dry, as wine 21 Dieting measurement 1

Down 1 Mediterranean ____ Salad 2 Pungent roots 3 Have 4 Link 5 Dark green leaf used in salads 3

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Indian deli pleases palates while changing perceptions by Chris Longo

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he plethora of salads, chicken ditives, like sugar and sodium, and full of probiotics, good bacteria essential dishes, and fruit smoothies that to digestive health. line the cases of DeepThree years ago, am India Deli and Food Chillapalli decided to Market provides a lightadd another dimension er aroma than hungry to her store by becoming passers-by might come a wholesale distributor. to expect from an auGrocery items such as thentic Indian market. curry, turmeric, ginger, To store owner Revathi garlic, and ready-to-eat Chillapalli, her decision meals have encouraged to stray away from hitmany customers to try or-miss spices that might their hand at cooking turn away picky eaters authentic Indian cuisine. has allowed her busiRevathi Chillapalli After eight years in business to attract a broader ness, she has found that customer base. “Our goal was to reintroduce Indian lending an ear to note the wishes of food to people who previously were her customers has not only improved turned off due to many restaurants her business, but also given those customers a unique opportunity ‘Americanizing’ it,” Chillapalli said. to learn the secrets behind cooking Her quest to re-imagine the perception of Indian food has made her lighter Indian cuisine. heart-healthy dishes a lunchtime staple “I offer cooking classes that were in Toledo-area hospitals. Although requested by customers wanting to not typically considered hospital fare, learn more about how to cook the Chillapalli’s chicken, rice, and salad food,” Chillapalli said. The monthly, creations sell out most days. By paying hands-on cooking workshops are careful attention to the health benefits an inviting experience. Customers of Indian-style cooking, Chillapalli eat their freshly prepared creations is serving a nourishing reminder while Chillapalli explains the health to local residents: Indian delicacies benefits of each product used. Alare more than meets though she frequently raves about the eye. the digestive benefits of Indian fare, As another Chillapalli said her customers were workday begins, initially surprised to learn Deepam India that most of the spices she uses have anti-inflamDeli and Food Market opens for matory and possibly business. Chillapalli anti-cancer properties. can be seen rotating beHer familiarity with a life tween greeting customers at the science called Ayurvedic counter and sprinkling her mixture of medicine has fueled her vision seasonings into the coconut rice or a of combining a smart diet with a customer favorite, butter chicken. In more holistic lifestyle. According to Hindi, deepam means “light,” which the Chopra Center founded by Dr. conveys the “bright, light, and clean” Deepak Chopra, Ayurvedic medicine atmosphere of her store. In addition offers a body of wisdom designed to the wide-array of salads, chicken to help people stay vital while realmeals, and rices, Chillapalli serves izing their full human potential. It healthy mango-strawberry smoothies provides the guidelines on ideal daily that are made with yogurt free of adand seasonal routines, diet, behavior, We love comments and feedback. Like us on Facebook. Follow us on Twitter.

and the proper use of one’s senses. “I was first introduced to Ayurvedic cooking on a trip to San Diego,” said Jane Anspach, a frequent shopper at Deepam India Deli and Food Market. “I’ve personally experienced the many health benefits that it offers and was thrilled to find Revathi’s market right here in Northwest Ohio. While the food contains all homemade ingredients; is free of additives, food flavorings, and sugars; and contains minimal salt, it’s also delicious!” For Chillapalli, taking the time to inform her customers of the health benefits of lighter Indian food and the intricacies of Ayurvedic medicine is all in a day’s work. Whether she is preparing a vegan or gluten-free dish for her catering services or simply adding heart-healthy spice to her tandoori chicken, Chillapalli works toward her goal of showing customers what authentic Indian food has to offer. After that, she leaves it up to the customers to make their lifestyle choice. Deepam India Deli and Food Market is located at 7406 W. Central Avenue in Toledo, and is open Monday-Saturday from 11 a.m. to 7:30 p.m. and Sunday from 12 to 6 p.m. Specials and class schedules can be found on Deepam’s Facebook page. ❦

AAA Northwest Ohio Names Edgar V. Avila new President and Chief Executive Officer

AA Northwest Ohio recently announced that Edgar V. Avila has been named President and Chief Executive Officer and is leading the 142,000-member club. Edgar replaces past President and CEO Robert (Bob) Walters, who passed away on March 29 after a long illness. The Club and their Board of Trustees would like to recognize the contributions Bob Walters made to improve the Club during his three years at the helm. AAA Northwest Ohio would not be where they are today without Bob’s great leadership, enthusiasm, and commitment to service. When Bob announced he was taking a medical leave of absence in February, the Board of Trustees of AAA Northwest Ohio appointed Edgar as Interim President to lead the organization and to begin implementing their strategic initiatives. With Bob’s passing, the Board of Trustees officially appointed him as President and Chief Executive Officer. Edgar began his involvement with AAA Northwest Ohio in April of 2012 when he accepted a position as Board Member. His background is

in finance and business, having held west Ohio, Mr. Avila would like to senior level executive management acknowledge the commitment and positions with KeyCorp, Inc., PNC perseverance that the AAA North(formerly National City Bank), and west Ohio Senior Leadership Team The Bank of New York. and employees exhibited He obtained a Bachelor during what has been a of Science Degree in difficult time. With all the Banking and Finance challenges put before them, from The University they accepted the adversity of Toledo. As Senior and kept this Club moving Vice President and forward. “When I asked them what kept them going, Managing Director with KeyCorp, Inc., he their dedication to serving oversaw the delivery of our members was at the top administrative and inof the list. The employees’ vestment management loyalty to this Club and to products and services its members is among the to institutional clients best I have seen in all my throughout the United years in the business world,” Edgar V. Avila States. He also mancommented Avila. aged the administration AAA Northwest Ohio and investments of bond financings, serves eight counties in Northwest integrating major lines of businesses Ohio through six branch offices. due to bank acquisitions or mergers. The Club provides Travel Services, Edgar also brings experience in the Emergency Road Service, Insurstaffing and recruiting industry, most ance Services, and three local Car recently as an independent Executive Care Plus Auto Maintenance and Recruiter and Consultant, and as a Repair Centers to AAA members and non-members in the communities small business owner. As the new leader of AAA Northserved. ❦

Be a better Caregiver ... Every caregiver needs respite time. It may be hard to think of yourself and your needs at this time, but if you don’t, your life will be consumed by your duties and you will burn out. Respite (a temporary break from responsibility) is not a luxury, it is a necessity.

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Laurels Pathway to Home program puts rehab goals and progress in focus

uests in a rehab facility work with a wide variety of professionals during the course of their care—including, among others, nurses, physical therapists, occupational therapists, speech therapists, and social workers. Each of these professionals has certain objectives unique to their discipline that they need the guest to achieve before he or she can safely return home. Of course, each rehab guest has a unique set of aspirations in mind, as well. With everyone involved in the process viewing the situation through a different prism, it’s all too easy for communication to get muddled and for guests to lose sight of what they need to accomplish—or why they’re even in rehab. At The Laurels of Toledo, a skilled nursing and rehabilitation center located at 1011 Byrne Road, the staff has implemented an innovative program to ensure everyone stays on the same page—both literally and figuratively—as the guest progresses through the rehabilitation journey. The program, called Pathway to Home, is a collaborative, interdisciplinary approach that helps guests and their caregivers develop a cohesive set of goals. This information is then posted

in the guest’s room so everyone, including family members, can monitor and track the guest’s progress. “The primary goal of Pathway to Home is to improve communication from the moment our guests arrive from the hospital until they transition to their home. We’ve found that implementing the program has really helped with that communication piece. When patients can help develop and track their own goals, there are far fewer unplanned discharges because they understand what they need to accomplish before they’re ready to

go home and they know their objectives are included along with the nursing, therapy, and social-work goals,” explains Julie Leidel, Rehab Services Director for The Laurels.

One Laurels rehab guest, Ms. Melody Roberson, liked the Pathway to Home concept so much that she transferred to The Laurels late one evening from another facility due to the poor customer service and lack of communication she encountered there. She stayed with The Laurels for four weeks while recovering from surgery and was highly impressed with the care she received and the facility’s staff—especially Laurels nurse Henry Allen who helped lift her out of the car and into a wheelchair when she arrived and then took the time to greet her family and establish rapport and trust. She was so impressed with Allen that when she was getting ready to transition home, she requested that her “red carpet celebration” be held a day early so he could attend. Guests’ family members also appreciate the Pathway to Home program because many of them have jobs and busy schedules and are unable to visit when they can get face time with the therapy team. Having the printout in the guest’s room allows them to go right to the bulletin board and immediately see their loved one’s progress. The Pathway to Home begins when the guest arrives at The Laurels. The

therapy team performs an evaluation and adds their short-term, mid-term, and long-term goals to the program. The Nurse Manager, therapy team, and a social worker also go to the guest’s bedside to explain the clinical goals as well as to discuss the guest’s goals and incorporate them into the Pathway plan. The process is very collaborative, and the team continually monitors the guest’s progress and makes adjustments to the plan as needed. Once the Pathway to Home goals are 90% achieved, a pre-discharge transition-to-home meeting is scheduled with the guest and family. At this point in the guest’s rehab journey, a home assessment will already have been completed, but the meeting presents an opportunity to review the results, including any modifications or equipment that might be needed

for a safe transition home. The meeting will also cover the guest’s home-exercise program. “They will already have been doing an individualized exercise program here, but the question we need to answer is, can they do it without our help at home? So, for two or three days prior to discharge, they come to the therapy clinic for open gym time, during which they practice complet-

Migraine and dizziness by Dianna Randolph, AuD, CCC-A

ing the exercises independently but under our supervision,” says Leidel. Prior to discharge, the Nurse Manager will go over all the guest’s medications, explaining what each is for, and the occupational and speech therapists may incorporate medicinemanagement education if needed. Also, the team will review any equipment or service needs to ensure they’re met before the guest returns home.

Three to five days before discharge, the guest will be provided education on any specialized treatments or procedures, such as skin or wound care, oxygen use, ostomy care, or dialysis, if applicable. When guests actually transition home, they’re given a copy of the finished Pathway. “They’re always extremely proud to receive it. Many guests think of it as a diploma they’ve

earned for all their hard work. We also send a copy to the guest’s physician to apprise them of their current status,” Leidel states. ❦

Typically, dizziness due to migraine begins early in life, but it is not unusual for vertigo to replace the headache in women after menopause. There are many factors that can trigger a migraine. As part of management, patients are usually aware of triggers that may cause a migraine. Diet plays a large role in migraine management. Some foods that may trigger a migraine include cheese, chocolate, nuts, and certain fruits, such as bananas, figs, and avocados. Foods that contain caffeine, aspartame, or MSG and foods that are processed, such as smoked meats, are common migraine triggers. Other triggers include stress, hormonal changes, physical activity, sensory stimuli (bright lights, unusual smells), and environmental factors, such as a change in season or barometric pressure. A vestibular migraine is vertigo associated with a migraine either as a symptom of a migraine or as

a related but distinct neurological disorder (Wikipedia). It is the second most common cause of vertigo behind benign positional vertigo (http://www. ncbi.nlm.nih.gov). It is commonly misdiagnosed as Meniere’s disease, but it is 5 to 10 times more prevalent (Cherchi M, Hain TC. Migraine-associated vertigo. Otolaryngol Clin N Am. 2011;44:367-375). Vestibular migraines can present in many different ways. There may be a feeling of actual vertigo, the patient may complain of feeling lightheaded, or they may say they just don’t feel right. These symptoms can last a few minutes to hours or days. Some patients may complain of a fluctuating hearing loss or even

unilateral tinnitus (ringing in the ears). Also, the patient may have migraine symptoms without the pain associated with a migraine (ASHA). In patients with basilar migraines, vertigo, hearing loss, tinnitus (ringing in the ears), and coordination problems are often noted. Sometimes a patient with a history of migraine may not notice any vestibular problems until many years later. Dizziness due to a migraine is usually diagnosed through a thorough case history. Knowing a patient’s family history of migraines is very important since migraines are hereditary. Also, knowing specifics about the patient’s symptoms is very important; is there a history of motion sickness, visual sensitivity, sensitivity to light and

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.

ccording to the American Speech-Language Hearing Association (ASHA), dizziness is one of the most common complaints in medicine and is reported to affect MY MOM IS BATTLING CANCER. I NEED TO WORK FULL TI 20-30% of the general population. Migraine is also a very common disorder, with prevalence in the general ME. I WANT TO BE THERE EVERY DAY. HOW CAN I DO IT ALL? population ranging from 6-20% in “I could never have done it on my own men and 17-29% in women. Thus, MY MOM IS BATTLING CANCER. I NEED TO WORK FULL TIME. without Hospice of Northwest Ohio.” 3-4% of the population can be expected to experience both dizziness “I wasn’t familiar with watching somebody you love pass MY MOM IS BATTLING and migraine. In reality, however, the I WANT TO BE THERE EVERY DAY. HOW CAN I DO IT ALL? MY away. I felt a weight had been lifted off my shoulders when co-occurrence of symptoms is much Hospice of Northwest Ohio got involved because I had no higher than that. Specifically, vertigo, MOM IS BATTLING CANCER. I NEED TO WORK FULL TIME. I idea what I was doing, and they explained everything to me.” which is the sensation of perceived I FULL TIME. motion without actually moving, is – April, daughter of a Hospice of Northwest Ohio patient reported by up to one-third of people WANT TO BE THERE EVERY DAY. HOW CAN I DO IT ALL? MY who have migraine, and general dizWe are the area’s largest and most experienced provider of MOM IS BATTLING CANCER. I NEED TO WORK FULL TIME. I ziness or unsteadiness is reported by I WANT TO EVERY DAY. hospice care, a nonprofit organization solely dedicated to up to three-quarters of all patients providing the best possible end-of-life experience for our with migraine. WANT TO BE THERE EVERY DAY. HOW CAN I DO IT ALL? MY Migraine headaches are believed patients and their families. to be a neurological disorder in which HOW CAN I I NEED TO WORK FULL TIME. I Ask for us by name. The sooner you do, the more we can help. MOM IS BATTLING CANCER. certain triggers can cause an imbalance in brain chemicals, such as serotonin Answers for Living the Last Months of Life which regulates pain. It can also trig- WANT TO BE THERE EVERY DAY. HOW CAN I DO IT ALL? MY ger changes to the trigeminal nerve, which then releases chemicals that MOM IS BATTLING CANCER. I NEED TO WORK FULL TIME. I irritate and cause swelling of blood Visit hospicenwo.org vessels on the surface of the brain, 419-661-4001 (Ohio) • 734-568-6801 (Michigan) WANT TO BE THERE EVERY DAY. HOW CAN I DO IT ALL? MY sending pain signals to the brainstem.

My mom is battling cancer. I need to work full time. I want to be there every day. How can I do it all? cancer. My mom is battling cancer. I need to work full time. I want to be there every day. How can I do it all? to work My momneed is battling cancer. I need to work full time. I want to be there every day. How can I do it all? My mom is battling cancer. be there I need to work full time. I want to be there every day. How can I do it all? My mom is battling cancer. do it all? I need to work full time. I want to be there every day. How can I do it all? My mom is battling cancer. I need to work full time. I want to be there every day. How can I do it all? My mom is battling cancer. I need to work full time. I Have questions about an advertiser? Click their email or web address in our online issue at www.hlntoledo.com. © 2013 Hospice of Northwest Ohio

24 July 2013 / Healthy Living News

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patient and get them on the road to recovery. Treatment for migraine-induced dizziness/ vertigo usually is done by migraine treatment. Often, the physician will prescribe medication as a preventative or symptom reliever. Lifestyle change, such as a change in diet or activity level, is often another treatment for patients with a history of migraine. The use of biofeedback and acupuncture has been known to help alleviate the stress that may trigger the headache and vertigo. Some patients receive benefit from vestibular rehabilitation through physical therapy to improve their balance and gate.

There are many different causes of dizziness and vertigo, and migraine is just one of them. At Northwest Ohio Hearing Clinic, we will take the time to help determine the cause of your dizziness. If you or someone you know suffers from dizziness, call our office to schedule a consultation.❦ Dianna Randolph, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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Mom still knows best by Claudia Yvonne Vercellotti

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26 July 2013 / Healthy Living News

t was my mom, a retired school teacher, who first read in the newspaper about the Graduate Patient Advocacy certificate program being offered at the University of Toledo. She circled the article, highlighting the course offerings and online flexibility, and attached a post-it note scrawled with: “Can you ever learn too much? This sounds great! Love Mom.” Admittedly, I was not initially enthused. I had many rapid-fire reasons why I could not do this now. Like many, I work fulltime, and in this economy, I work part-time too. I have obligations. I scarcely see my bed before midnight. Where was I going to find the time? Professionally, what could I be taught that I wasn’t already doing? I already advocate every day for patients who are chronically and terminally ill as a Health Care Representative for a Medicaid/Disability vendor at a local hospital. Wasn’t I already an advocate? For nearly a decade, I have volunteered as an advocate, exposing child molesters and raising public awareness, including leading a state-wide legislative effort (SB17). Didn’t that make me an advocate? I help take care of an aging parent and have squared off with plenty of doctors on behalf of my loved ones over the years. Wasn’t that advocacy? I already had a Master’s degree and had not slung a book bag for school in over a decade. Do people in this age of technology even carry book bags? Like most people, I had a plethora of good reasons why I was too busy to do this now. Fast-forward two graduate certificates (Patient Advocacy and Child Advocacy) later, and suffice it to say, Mom still knows best! Going back to graduate school and earning these graduate certificates is probably one of the better decisions I have made in a long time. I had not considered all the benefits of doing

this when my Mom initially was angling me with post-it notes, newspaper clippings, and phone calls that were thinly disguised as, “How is your day going dear?” These calls increased in short order and always just “happened” to conveniently circle back to “and did you follow up about the patient advocacy program today?” as only a mom/educator could do. My original procrastination and excuse making was really rooted in fear of being a non-traditional student and was admittedly (I now know) a bit shortsighted. I had not fully considered the coursework and up-todate resources that would be used, which despite my daily work in the trenches, I did not even know existed. I had not considered all of the amazing people (professors and students alike) from corporate America, notfor-profit organizations, and private caregivers who would comprise our classes. I had not considered that I would be pushed academically to think critically and creatively when advocating for patients. It was amazing to interact, through technology and this virtual classroom, with people from all walks of life (and from across the country) who recognize the need for patient advocacy. The networking resources, contacts, and connections that are readily established in the University of Toledo’s graduate Patient Advocacy program have been outstanding. The sharing of ideas and backgrounds greatly expanded my knowledge base and helped shape and further develop the skills that I use every day in advocating for uninsured patients professionally. Equally important, the Patient Advocacy program made me a better,

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well-rounded patient advocate for those post-it-note-blazing family members I love in my own life. What is worse than being sick with a chronic illness or watching helplessly as a loved one or friend is newly diagnosed with a life-threatening illness? Few things are worse than not knowing your options or how to navigate the healthcare maze in a healthcare crisis. Where to begin? Few among us have planned for all the contingencies in a healthcare crisis. Having completed the University of Toledo’s graduate Patient Advocacy program, I am better equipped professionally and personally with skills and a mini-network of other advocates I now know and can call upon for advice or guidance personally and professionally. The notion of advocacy is contagious. Completing the Patient Advocacy program was a natural springboard to the graduate Child Advocacy certification. If we cannot protect the most vulnerable amongst us, what real good do any of us really do? The national child abuse statistics are staggering. One in three girls and one in six boys will be sexually abused before the age of 18. Who among us does not know someone personally or professionally affected by this crisis? The University of Toledo’s graduate Child Advocacy course format was the same in that there was tremendous flexibility with the courses being offered online and the access to leading, trailblazing professionals in the field has been tremendous. In the Child Advocacy program, we were taught by experts in Human Trafficking who have done groundbreaking work in the area of research, public awareness, and legislation. We were taught by forensic interviewers whose niche specialty is interviewing perpetrators and child abuse victims that aid law enforcement in high-profile childabuse cases. We were taught by child advocates within our community who are leaders in their field running successful child-abuse-prevention agencies rooted in evidence-based best practices. Our coursework was fresh and relevant. The graduate Child Advocacy program is really for anyone who wants to ensure the safety of kids within our community. As the technology boom continues, so do crimes against kids.

The Child Advocacy program really expanded my knowledge base both on the lifelong impact of child abuse as well as the need for a comprehensive community response to child abuse. It renewed my own privately held conviction that we each bear a responsibility, not as a “mandated reporter” of child abuse, but as an “unapologetic advocate for kids.” Why? Because it takes a second to abuse a child and a lifetime to overcome it. The graduate Patient and Child Advocacy programs at the University of Toledo are an excellent opportunity to expand your knowledge base, sharpen your skill set, and pick up some new tools to help you professionally or personally be a voice for those who need it the most. ❦ Claudia Yvonne Vercellotti works as a Health Care Representative for Chamberlin Edmonds & Associates at the University of Toledo Medical Center, where she secures Medicaid/ Social Security eligibility for chronically/ terminally ill patients. Vercellotti has over 20 years of professional experience conducting investigative research interviews for several distinguished sociologists at area universities, earning her research acknowledgements in numerous academic journals. Since 2002, Vercellotti has publicly advocated for the rights of child-sexualabuse victims and actively lobbied to reform state laws, which included testifying before the House and Senate in Ohio, Denver, and the District of Columbia. In 2004, her advocacy skills helped re-open a 20-year-old, unsolved homicide investigation that resulted in a murder conviction. Vercellotti’s efforts have been published in local and national print, television, and radio media, earning her acknowledgements in several nationally published books and an Oscar-nominated documentary. Currently, Vercellotti holds a Master’s degree in Criminal Justice with an emphasis in Forensic Psychology (MCJ) and a B.S. in Criminal Justice with an emphasis in Psychology. She has also completed the graduate Patient Advocacy (GPAC), Child Advocacy, and Elder Law certificate programs at the University of Toledo. In 2012, Claudia was awarded the Judith E. Starkey Advocacy Award for her outstanding contributions in patient advocacy, and she is a member of Phi Kappa Phi Honor Society.

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Health Care is complicated But that’s where you come in. Patient advocates, or professionals who act as liaisons between patients and the health-care provider, are needed now more than ever. You can supplement your undergraduate degree with training in this field through The University of Toledo’s Graduate Certificate in Patient Advocacy Program. This is a 100 percent online graduate certificate that can be completed in just two semesters. For more information call or e-mail Debra O’Connell – 419.530.5421 or Debra.Oconnell@utoledo.edu.

JHHS 32 0113

sounds and/or nausea? All of these characteristics are important to know when trying to diagnose a patient with dizziness. At Northwest Ohio Hearing Clinic, we see many patients that complain of dizziness. After we get a thorough case history, we also will perform a complete audiological evaluation, including vestibular testing, to make sure the patient’s dizziness and/or vertigo is not caused by any other type of disorder, such as Meniere’s disease. We work closely with several otolaryngologists in the area to help diagnose a dizzy

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Spiritually Speaking Healing the Sacred Wound Human societies have known since ancient times that veterans need and deserve ministry as an essential component of their healing. This ministry is certainly ministry to the most wounded, underserved, needy and deserving among us, and it must include examining, wrestling with and providing guidance and relief for profound and complex wounds to heart and soul. —Edward Tick, PhD

isiting the replica of the Vietnam Memorial Wall at International Park last month helped me see just what price was paid for the freedom we like to celebrate during our 4th of July celebrations. My brother, Jim, flew helicopter missions in Vietnam bringing back the wounded to base camps in order to save as many lives as he could from the ravages of that

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terrible war. He believed in what he was doing, and I believe he paid a high price for his commitment to his country. Jim was not one of those named on the Wall, but he did die in 2004 at the age of 55. He wasn’t the same after he came back from Vietnam, but he was the most generous, compassionate, and loving person I have

American Heart Association teaches Hands-Only™ CPR to beat of “Stayin’ Alive”

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BySister Mary Thill

o you know the two simple you begin Hands-Only CPR to the beat of the Bee Gees’ ‘Stayin’ steps of Hands-Only™ CPR? Alive’ immediately on a teen or Then you’re ready to help save adult who collapses from sudden a life. The American Heart Assocardiac arrest, you can double or ciation is continuing the national triple their chances of awareness campaign survival.” teaching Americans In fact, Handshow to perform Only CPR has been Hands-Only CPR to Save a Life shown to be equally the beat of the Bee with effective as convenGees’ hit “Stayin’ tional mouth-to-mouth Alive.” Hands-Only Sudden cardiac arCPR, and people are CPR rest is a leading cause of more likely to feel comdeath with nearly 360,000 fortable performing it. A out-of-hospital cases occurring December 2012 study published every year in the United States. in the American Heart AssociaWhen a teen or adult has a sudden tion’s journal, Circulation, found cardiac arrest, survival depends that chest-compression-only CPR on immediately receiving CPR performed by bystanders keeps from someone nearby, especially more people alive with good brain function after having a sudden since survival rates drop as much as 10% for every minute that goes cardiac arrest. by without intervention. The Bees As part of the second year of Gees’ hit song “Stayin’ Alive” has the national Hands-Only CPR campaign, the American Heart more than 100 beats per minute, which is the rate you should push Association has debuted new TV on the chest during Hands-Only and radio public-service announcements, digital promotions, and CPR. “The iconic song’s beat is an a one-minute Hands-Only CPR easy and fun way for people to demo video to train Americans in remember the correct rhythm for the life-saving technique. CPR chest compressions, and makes To learn more about the Handsthem feel more confident doing it,” Only CPR campaign and get ready said Allyson France, senior director to save a life, visit heart.org/hand of the Northwest Division of the sonlycpr, facebook.com/AHACPR, American Heart Association. “If or youtube.com/HandsOnlyCPR. We love comments and feedback. Like us on Facebook. Follow us on Twitter.

ever known. He never talked much about his experiences in Vietnam, but I knew that he had seen things he could not forget and his life was just not the same though he tried very hard to forget the bad by doing a lot of good. He was the linchpin for our family after the deaths of our parents, and we feel the loss deeply, especially during the holidays and family celebrations. The 4th of July found most of the family gathered at the lake with him and his wife, Dianne, for days of fun and food and fireworks. He was the Fireworks King of Lake Minniwawa! At the Vietnam Memorial, I saw many veterans of the war and other wars paying their respects to those named. I heard veterans telling their stories, saying that wars exact such a heavy toll and wondering why we still fight them. I saw pictures of the fallen left at the Wall by family members along with flowers, medals, and newspaper clippings. The atmosphere was solemn until the Latino Festival across the river started up at noon. It somehow lightened up the atmosphere a bit, and I think that it was a good thing. I even saw a Huey helicopter that someone had restored and flown in to the site for all to see. That was the kind of helicopter my brother flew in Vietnam. He used to talk about flying the helicopter. He was a pilot before he joined the Army and told me he had to unlearn what he knew about flying a small plane in order to fly a helicopter. I recently had a ride in a helicopter here at the medical center, and I saw how different it is, and I was reminded of my brother as we flew from Toledo to Sylvania where I could see where I lived. It was a very peaceful experience. As I think about freedom, our veterans, and my brother, I’m reminded of an article I recently read in Health Progress (May-June, 2013) about the importance of caring for

our veterans. The article, entitled “PTSD The Sacred Wound,” was written by Edward Tick, PhD. The term “Sacred Wound” intrigued me, and I was surprised to learn that it’s a Civil-War-era term used to describe how those veterans felt after fighting that terrible war on our own soil. They would say how hard it was to do anything when they came back home and that “everything hurt.” In today’s medical terms, this same feeling is called PTSD—post-traumatic stress disorder. Dr. Tick’s use of “Sacred Wound” seems to fit the holistic wound that veterans experience when they return from war. The body, mind, heart, and spirit are all affected by the veteran’s experience in war, and all aspects of the wound need to be addressed by those entrusted with their care. Dr. Tick writes, “When we call PTSD Soldier’s Heart, it honors the weight and sorrow that permanently dwell in a veteran’s heart. It honors that they are wounded and must carry that heaviness their entire lives. It honors that life may be more difficult for them and they took these wounds for us. It calls for an empathic and generous response from our hearts.” I sensed this wound in my brother, I sensed it in the veterans at the Wall, and I see it in some of our patients and visitors here at the medical center when I engage in conversation with them or sometimes just share a look or a smile. I like to think that hospitals like St. V’s have a special ministry for people with these “sacred wounds” that is evident in the way our patients are treated by the entire team of caregivers. It does indeed take a team, a village, a community of healers to heal these sacred wounds. Sister Mary Thill is a Sylvania Franciscan Sister. She is Patient Liaison for Mature Health Connections at Mercy St. Vincent Medical Center. She can be reached at 419-251-3600.

The body, mind, heart, and spirit are all affected by the veteran’s experience in war, and all aspects of the wound need to be addressed by those entrusted with their care.

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Otterbein Top 10 things to look for when choosing inpatient rehab

hen you are looking for a shortterm rehabilitation facility for yourself or a loved one, there are many things to consider. Here are the top 10 things to look for when searching for the right place:

Provider networks: It’s important to have the best coverage possible so you can take full advantage of your rehab experience. Make sure the places you are looking at are fully covered by your insurance to maximize your benefits.

Reputation: There are many facilities with stellar reputations for providing great care and good results. Check out www.medicare. gov. Choose “Find nursing homes.” You will find ratings for health inspections, staffing, and overall quality for skilled-nursing facilities in your area.

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Physician referral: Your doctor may make recommendations to you based on their experience with facilities in the area. A good working relationship between your physician and the facility can help give you a smoother continuum of care. Your doctor may also recommend the type of facility you should look at based on your rehab needs.

Facility tour: If you are able, take an unannounced tour of the facilities you are considering. Get a feel for the physical surroundings, the staff, and the atmosphere of the rehab center. You will also want to take a scheduled tour with the healthcare admissions counselor.

life” experiences so that your transition from rehab to home is seamless.

Facility specialty: Ask if the rehab center you are choosing has a particular “specialty.”

Personal referral: A much more reliable source for referral than general reputation is a recommendation from a friend or family member. If you know someone who has spent time at a particular rehab facility, get their opinion. A positive review from someone you trust will help you make your decision.

Location, location, location: Successful rehab is much more likely if family and friends are able to visit frequently to provide support and to receive training as needed. However, if an extra 10- to 15-minute drive will ensure that you choose a rehab facility that will best serve

Equipment available: Facilities should give you information regarding the rehab equipment available. A facility should be equipped to provide top rehab services and “real

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Joanne Buck, Otterbein Resident & Rehab Success Story! 30 July 2013 / Healthy Living News

your needs, it’s best to choose good care. Friends and family will drive a little extra knowing that you are getting the best care possible.

Prior successful rehab: If youhave previous experience with a facility, your own experience is an important factor in making a decision. Familiarity with the facility will increase your level of comfort and make the transition easier for you and your family.

Staff: When touring a facility, talk to some of the staff—nurses, physicians, therapists, social workers, and so on. Ask questions, and get a feel for the people who work there. A caring, dedicated, friendly staff will work hard to make your rehab successful. You have many choices for inpatient rehab. Take the time to choose the right one for you in order to make your rehab more successful. At Otterbein Portage Valley and North Shore, excellent care in a non-institutional setting is our mission. We’re proud of our many years of helping men and women get well and get home quickly! Our dedicated, licensed therapists help restore your abilities on either

an outpatient or inpatient basis. If you’re recovering from surgery, a hospital stay, or an acute incident, Otterbein has a customized, on-site therapy program for you. Speech and language therapists help you improve your communications. Occupational therapists build up your skills with day-to-day tasks. Our physical therapists treat injury or dysfunction with movement and massage. If needed, you may practice your program in an in-patient welcoming home environment with private suites, baths, and home-cooked meals. Nurturing personal care and individual choice are available to everyone—while you stay as social and autonomous as possible! For those who need outpatient therapy, we have that, too. Our therapy team enjoys working with folks who live in the area and need physical, speech, or occupational therapy. Convenient appointment times are always available. ❦ For more information, call Lori at Otterbein Portage Valley, 20 minutes southeast of Perrysburg, at 419-833-8917 or Kirsten at Otterbein North Shore, Lakeside-Marblehead, at 419-798-8250.

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Changing interest rates may affect your investments

ven if you didn’t take Economics 101 in college, just navigating through the past several years has given you hands-on experience with one of the course’s most valuable lessons: The rise and fall of interest rates is one of the biggest factors influencing global economies, financial markets, and our daily lives. That’s why it is important to have a basic understanding of how interest rate changes could affect not only your wallet, but also your investment portfolio. Simply put, interest rates help control the flow of money in the economy. Typically the Federal Reserve lowers interest rates to jump-start the economy. Lower interest rates mean consumers may be willing to spend more money as the cost to finance a purchase is

relatively inexpensive. This stimulates the economy in a variety of ways, including increased revenues from products sold to the consumers and taxes generated from those sales. Investors, on the other hand, have a different perspective. For bond investors: As interest rates fall, the prices of previously issued bonds tend to rise. The new issues are offered at lower, less appealing rates. That makes bonds with higher interest rates much more desirable and that much more in demand. On the other hand, those who plan to hold their bonds to maturity aren’t really affected by falling rates, with the exception of reinvestment risk. One way issuers may take advantage of falling rates is by calling their outstanding bonds and issuing new bonds at lower rates. Once the higher-interest-paying bonds are called, investors looking for a fixed rate of return are faced with loweryielding fixed-income alternatives. To offset this risk, it’s important to have a diverse portfolio of fixedincome investments with a variety of maturities and call features to withstand fluctuations in rates. For stock investors: Falling interest rates tend to have a positive impact on the stock market, especially stocks of growth companies. Companies that tend to borrow money to finance expansions tend to benefit from declining rates. Paying lower rates of interest decreases the cost of the debt, which may positively affect a company’s bottom line. The stock prices of those companies may rise as a result, driving the market in such a way that prices of other stocks may follow suit. When the Federal Reserve decides to raise interest rates, its goal is usually to slow down an overheating economy. Changes in interest rates tend to affect the economy slowly—it can take as long as 12 to 18 months for the effects of the change to permeate the entire economy. Slowly, as the cost of borrowing increases, banks lend less money and businesses put growth and expansion on hold. Consumers may begin to cut back on spending as the expense of financing a purchase increases. This reverses the effects that lower interest rates had on the economy and, again, investors are affected differently. For bond investors: In a risinginterest-rate scenario, the demand for bonds with lower interest rates declines. New bond issues are offered at higher, more appealing rates, driving the price of existing bonds lower.

Seal the cracks in your portfolio Do you know which investments are draining your earnings potential? We can help you determine if your investments are working toward your goals and if they’re working well together. Call today for a complimentary portfolio review.

The Foster Jones Hollinger Langham Investment Group of Wells Fargo Advisors Michael Foster First Vice President - Investments Quantitative Choice Portfolio Manager 419-872-3859 • 1-800-245-5782 Fax: 419-874-6315 michael.r.foster@wfadvisors.com

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For stock investors: Rising interest rates can have a positive or negative impact on the stock market. In some cases, rising rates can send jitters through the market, resulting in falling stock prices. In other cases, the stock market may respond favorably. In addition, rising interest rates may affect certain industry groups more than others. For instance, growth companies often find it necessary to borrow money in order to expand.

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Rising interest rates increase the cost of their debt, which in turn decreases profit. As a result, the prices of their stocks may fall. Wells Fargo Advisors has a number of tools and resources to help you gain a better understanding of how interest rates can affect your portfolio. Talk to your financial advisor to learn more about what changing interest rates mean for you and your financial situation. ❦

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f you are a runner or other type of athlete, you have probably heard the saying “Drink up” a thousand times—and with good reason. “Drink up” is the most important instruction that athletes of all ages should remember when participating in activities that sap their bodies of important fluids and electrolytes. (Electrolytes are minerals in your blood and other body fluids that affect the amount of water in your body, blood pH, muscle action, and other important processes.) You should drink fluids before you become thirsty. If you wait until you are thirsty, then it’s too late. Here are some guidelines for choosing the “right” fluids:

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• Avoid caffeinated beverages, such as soft drinks, coffee, tea, and even energy drinks. Caffeine is a diuretic, which pulls moisture from the body instead of replenishing it. In essence, caffeine drains the body of liquids. • Next, avoid carbonated products, such as soda pop. They increase the acid reaction in the stomach, which leads to the buildup of gas, discomfort, and the potential for nausea during athletic activities. • Finally, avoid drinks with a high sugar content, such as fruit juice. Your body will pull water out of your bloodstream to help dilute the sugar, which actually dehydrates the body instead of hydrating it.

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As for the best choice of liquid, drink lots of water. You should consume water before, during, and after competition to keep your body properly hydrated. Drinking enough water before and during your run will help your endurance and give you a better workout. Water cools the body and lubricates the joints. You should drink

two cups of water two hours before your run and then nine ounces every 15 minutes during your run or race. Sports drinks, such as Gatorade or Powerade, help the body replenish sodium and potassium quicker. These drinks were designed for the endurance athlete who is working out longer than one hour. Keeping your body properly hydrated with the right fluids is essential to your safety and your fitness performance. When you hear the phrase “Drink up,” make sure you consume the right fluid on your next athletic journey.

7:15 p.m. 8K Race starts at 7:30 p.m. Live band (Boo Yeahs) from 7:00 to 10:30 p.m. Swimming in the quarry until dusk. For more information, please contact the race director at jeff.taylor@davesrunning.com. Delta Chicken Run 5K Saturday, July 13, 2013, 8:00 a.m. at Delta Municipal Park in Delta, Ohio. This will be the 40th annual Delta Chicken Run, which is the 2nd longest standing road race in Northwest Ohio. The Chicken Run is a special event for the community and its surrounding counties. The 5K partnership with the Delta Chicken Festival has been in existence for over 50 years. There is also a free onemile fun run for kids at the conclusion of the 5K around 9:00 a.m. No registration is needed for the fun run. Shirts will be available for purchase while supplies last. A free pancake breakfast for all runners in the 5K will be served from 6:00 a.m. to approximately 10:30 a.m. A ticket is included in your race packet. Pre-registration ends at midnight on Tuesday the 9th. It is $20 and includes a shirt. Day-ofrace registration is $25 with limited shirts. Race packet pickup is from 6:45 to 8:00 a.m. on Saturday, July 13th.

For more information, please contact the race director at enlutton@ hotmail.com. 5th Annual Rose Run, 5K Run/Walk & Kids 1K Fun Run Saturday, July 20, 2013 at 10 E. Center Street in Petersburg, Michigan. 5K Run/Walk starts at 8:30 a.m. Kids 1K Fun Run starts at 8:00 a.m. Rose Run Virtual Run starts at 7:30 a.m. Started by the family of Rose Marie Hunt, who lost her life to breast cancer in January 2009, The Rose Run has raised more than $50,000 for breast cancer research, ovarian cancer research, and the Volunteer Fire Department in Petersburg. Join us again this year on a beautiful, flat course through a small town. For more information, please contact the race director at jessica@theroserun.com. Tigertown 5000 Saturday, July 27, 2013, 9:00 a.m. at 103 W. Young St. in Liberty Center, Ohio. Ricky’s 1K Kids Run starts at 8:00. 3.1-mile (5K), accurately measured course through the Village of Liberty Center on smooth roadways with some gentle hills. Please note: Due to safety regulations, absolutely no dogs, rollerblades, or bicycles are permitted on the course during the race. For more information,

please contact the race director at wheels_emu@hotmail.com. PR5K Training Group Saturday, July 27, 2013, 6:30 p.m. at Wildwood Preserve Metropark, 5100 W. Central Ave. in Toledo, Ohio. An eight-week 5k training program for the absolute beginner, the veteran, and everyone in between! Meet twice a week for organized workouts with runners of your same ability, administered by our experienced coaching staff. “PR” stands for “personal record,” and that’s exactly what this program is designed to deliver. Or, for our first timers, complete that entire 3.1-mile distance without walking a step! Included in the cost of signup is a $100 store credit good towards any purchase in our stores, a PR5K training t-shirt, a coupon book filled with in-store discounts, and a discounted entry to a first-rate 5k event at the conclusion of the program. This year, there will be two separate programs for the Toledo and Findlay areas. The Toledo program will meet Monday and Thursday nights at 6:30, and the Findlay program Monday and Wednesday nights at 6:30. For more information, including the location of training facilities, please visit davesrunning.com. ❦

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Amanda Manthey is a former collegiate runner at Eastern Michigan University. She writes about running and fitness on behalf of Dave’s Running Shop.

Don’t miss Dave’s races! Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Running Shop. For more details on any event, please visit davesrunning.com. Woodville 4th of July Celebration 5K Friday, July 5, 2013, S. Cherry St., Woodville, Ohio. 5K Run/Walk starts at 6:30 p.m. Kids one-mile Fun Run starts at 6:05 p.m. A nice out and back along the Portage River on Findlay Road, starting at Trail Marker Park in Woodville Ohio. For more information, please contact the race director at janagy@hotmail.com. Ohio Michigan 8K/5K Thursday, July 11, 2013, at 5773 Centennial Rd. in Sylvania, Ohio. The original border battle run and race in two states! Join us for an evening race followed by food, drinks, and live music. Registration is from 6:00 to 7:15 p.m. Free 1-Mile Fun run starts at 7:00 p.m. 5K Walk starts at

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Poking around near Williamsburg

ast October, Shirley and I were looking forward to our annual fall pilgrimage to Savannah. That was before Hurricane Harry, the Internet weather guy, said the extended forecast was for a solid week of rain and high winds. Williamsburg, another of our favorite destinations, seemed like a reasonable alternative. In the spring, the formal gardens are lovely. In the autumn, the foliage takes over and the weather is mild. All year long, there are costumed docents and reenactors to help bring history to life. Even those for whom history was the least favorite subject in school tend to change their minds after a visit to Colonial Williamsburg. Williamsburg served as the capital of the colony of Virginia from 1699 until 1780 when it was relocated to Richmond during the Revolution. The palace of the colonial governor is there as well as the College of William and Mary, so both the political and intellectual headquarters were within easy walking distance of each other. Thomas Jefferson spent formative years at both ends of town. The Virginia House of Burgesses met there, so several of the other Founding Fathers gathered to discuss current events either formally or in the taverns.

Today, the best way to see Colonial Williamsburg is still on foot. Second best is to take a carriage ride. The advantage of the former is that you can proceed at your own pace, touring historic shops, homes, gardens, and public buildings. At the Visitor Center, you can buy passes that provide access to historic buildings and gardens. If you have not been to Williamsburg before, this is a good investment. The tour guides, in period dress, are exceptionally well informed and helpful. On return visits, you may choose to just wander the streets, peek over fences into gardens, and stop at the shops and taverns. You can see about 80% of what you want to see at no charge. And there is a lot to see. Not only is the recreated town quite picturesque, but the historic atmosphere is augmented by theatricality. You might, for example, “eavesdrop” on some women in colonial era dress who are concerned that Redcoats have been sighted in the neighborhood. They are concerned about possible depredations. Or, Patrick Henry might show up to deliver a rousing address from the porch of the court house. My favorite regularly scheduled event is the march of the fife and drum corps from the Military Encampment near the Capitol up Duke of Gloucester Street, turning down the Palace Green to the Governor’s Palace. A close second is the chance to watch craftsmen at work—the silversmith, shoemaker, harness and saddle maker, cabinetmaker, or brick maker. Behind the Peyton Randolph House, we watched carpenters using 18th century technology construct a

nial Parkway is the restored village of Jamestown, founded in 1607 as the first permanent English settlement in the New World. (The Roanoke colony mysteriously vanished in 1590.) About 500 colonists arrived on three ships: Susan Constant, Discovery, and Godspeed. Full-size replicas are tied up at Jamestown. Two questions came to mind when we toured the ships: How did they ever manage to squeeze 500 passengers into such small vessels; what made them think they could cross the Atlantic in boats that were far smaller than the ferries that now ply the James River? The local Indians welcomed the new arrivals and offered no objections to their selection of the site for Jamestown. Possible reasons for not objecting:

• What the settlers initially thought were “wild turkeys” turned out to be the local mosquitoes. (“Sure, you white guys can live down there if you want, but we Indians know the three most important things about real estate—location, location, location.”) Within a few months, 50 of the colonists had either died or been carried off in the clutches of the “wild turkeys.” By 1610, only 61 of the 500 remained alive. At the living history

You can tour full-sized replicas of the three ships that brought the original settlers to Jamestown in 1607.

• The Indians were basically just nice, hospitable people. • The land the English chose was too swampy for agriculture anyway. • The tidal water was too brackish Historic Jamestowne has been resconstructed based on the colony's for drinking. records and archeological evidence.

At Yorktown, you can tour the site of the seige that ended the American Revolution.

An Indian village is represented at Jamestown even though the Indians had more sense than to live in the swamp.

interpretive site, there is an Indian village adjacent to Historic Jamestowne (with an “e“) with its replicated buildings based on historic records and archeological evidence. Further evidence is still being uncovered because the area remains an active archeological site. We were there for the 400th anniversary in 2007 when the archeologists were as frenzied as Indiana Jones about recovering metal buttons from some long-decayed English tunic and other contents of the Jamestowne village dump. The Visitor Center explains the process and displays an impressive number of these artifacts. A few miles away is Yorktown, the third point on the Historic Triangle. Yorktown, as every school child used to know, is where the British surren-

The fife and drum corps makes a stirring presentation down Duke of Gloucester St. in Williamsburg.

post-and-beam outbuilding. Because we have visited Williamsburg numerous times, Shirley and I now are typically satisfied with a one-day walk through the Colonial District. But there is a lot more to see in the area. Just a short drive down the Colo-

Shirley Plantation is one of several on the James River between Williamsburg and Richmond. We love comments and feedback. Like us on Facebook. Follow us on Twitter.

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dered in 1781, ending the American Revolution. The combined forces of the Continental Army under George Washington and a French army under Comte de Rochambeau trapped the British under Gen. Cornwallis on the peninsula. The French fleet com-

manded by Comte de Grasse prevented the British from escaping by sea. You can tour the siege lines and visit the Moore House where the Articles of Capitulation were negotiated and signed. In 1862, the same area was part of

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the campaign of Union Gen. George McClellan to take the Confederate capital at Richmond by moving up the peninsula from Fort Monroe. The Peninsula Campaign achieved the same level of success that McClellan enjoyed in all the other Civil War campaigns he conducted. History buffs will tell you that McClellan was a magnificent planner but when it came to execution he was an unparalleled dud. If you haven’t gotten your fill of Colonial, Revolutionary, and Civil War history yet, consider visiting one or several of the plantations on the James River between Williamsburg and Richmond. Just head up scenic Rt. 5 and pull off at Sherwood Forest, home of President John Tyler, or Evelynton, or Berkley. My favorite is Shirley, the 1753 Queen Anne mansion that has been the home of the Hill and Carter families for eleven generations. All of these plantations offer tours of the homes, outbuildings, and formal gardens. Because the James River was the easiest and safest way to travel for most of the last 400 years, the great plantation

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The antebellum mansion at Chippokes was spared during the Civil War because both sides wanted access to the fruit brandy made there.

houses face the river rather than inland. Today, guests arrive via the back door—not that that’s a bad thing by any means. Another destination we can recommend is Smithfield on the south bank of the James down river from Williamsburg. Smithfield is the quaint historic town reached via a pleasant drive past fields of cotton and peanuts. It is best known, though, as the pork capital of the inhabited universe. When we visited in October, they were having a festival with music, antique cars, and walking tours of the Historic District. (If there is a town in Virginia without a Historic District, it just ain’t trying.) On the street corners, there are colorfully painted, life-size pig statues in the same mode as the cows of Chicago and the frogs of Toledo. Shops feature the two most desirable products of the community—antiques and genuine Smithfield dry-cured country hams. When Shirley and I visit the Tidewater, we camp at Chippokes State Park just across the river from Williamsburg. At that point, the James is quite broad and not spanned by a bridge. A free ferry, however, offers a half-hour ride back and forth. The state park, in addition to the campground, has a historic plantation (yes, another one!) that makes it a worthy destination in its own right. The plantation dates from 1619 and is named for Choupokes, an Algonquin Indian chief who befriended the settlers at Jamestown. It has remained a working farm ever since. One of the attractions of the park is the Farm and Forestry Museum with farm animals, exhibits, and demonstrations. The collection of tools and implements shows the evolution of farm equipment over the past 400 years. The mansion house on the plantation was built in 1854 by Albert Jones. There were predecessor mansions, of course, one of which I mistook for the house on our first visit. It is said that

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the mansion survived the Civil War because Jones sold his fruit brandy to both sides and neither wanted to jeopardize their access to it. The plantation changed hands several times after the war and, in 1967, was donated to the Commonwealth by the widow of Victor W. Stewart as his memorial. Stewart, by the way, was born in Fostoria in 1880 and was buried in the garden behind the mansion in 1965. The garden features an allee of crepe myrtle trees and roses. Nearby there are outbuildings with displays of antique furniture, kitchen and household implements, and a 1941 Packard Model 160 owned by Mr. Stewart. It is an unrestored original thought to be the only survivor of 800 that were built. One of the volunteer docents said Mr. Stewart used to give him rides around the plantation in it when he was just a wee lad. While we were in Virginia, Shirley continued to monitor the Weather Channel website. Eventually, Hurricane Harry rescinded his prediction of horrendous weather in Savannah. “My bad,” he said. “Y’all can come on down.” So we did. One of the advantages of traveling the way we do is that we can alter our plans at any time. After a stopover in Charleston, we were glad to be

back in Savannah again. The historic squares. River Street. Forsyth Park. Fresh seafood out on Skidaway Island. Bonaventure Cemetery. Done them all a couple dozen times. Doesn’t matter. Like comfort food, Savannah is always appealing. Even if we have to spend a week or so Chippoking around Williamsburg first, it’s all just a walk in the park. ❦ LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

Eating Well by Laurie Syring, RD/LD

Summer food safety

ating well isn’t just about eating right; it’s also about eating safe! With the summer picnic and barbecue season upon us, there are lots of opportunities for fun and feasting with family and friends (pardon my alliteration). But humans aren’t the only organisms that appreciate warm weather and outdoor dining. Foodborne bacteria love these circumstances, too. In fact, they love them so much that they positively multiply when presented with food and a nice, warm day! That means if you’re not careful in how you prepare, transport, and serve your picnic foods, the result of this bacterial population explosion could be a nasty foodborne illness for you and your fellow picnickers. #fN>i~]O@x6Q#fN>i~]O@x6Qf>i~]O@x

Picnic safety Clean hands and surfaces

Live demonstrations at Chippokes include turning plantation logs into boards at the historic sawmill.

Food safety starts with proper hand washing—before you even begin setting out your food. In case there’s no running water (or there is running water but no soap!) at your picnic destination, be sure to carry hand-sanitizing gel or wipes for quick cleanup. Also have on hand some sani-wipes so you can clean hard

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surfaces like picnic tables, which are a popular “target” for birds flying overhead.

Keep your cool Cold foods must be stored at a temperature of 40 degrees or below to prevent bacterial growth, so keep them in a cooler packed with ice or freezer packs. Also, keep the cooler lid on tight and try to minimize opening and reopening. Thirsty kids will be the biggest challenge in this

In your home or ours.

regard, as they will repeatedly lift the cooler lid in search of cold beverages. Consider packing drinks in one cooler and perishable items in another. Foods like chicken salad and desserts in individual serving bowls can be set directly on ice in a shallow pan. Also, be sure to drain off water as the ice melts and replace the ice frequently.

Feel the heat At the other end of the temperature spectrum, we have picnic foods that need to be kept hot. They should be held at a minimum temperature of 140 degrees. Wrap them well and place them in an insulated container until you’re ready to serve them.

Avoid the Danger Zone

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Prevent cross contamination Cross contamination—or the transfer of bacteria to a food from another food, surface, or cooking utensil—is a major cause of foodborne illness. To avoid this on your picnic, keep raw meat, poultry, and seafood wrapped and stored separately from fresh fruits and vegetables or any other food intended to be eaten without cooking. Clean your produce under cold, running water before packing it in the cooler.

Grilling and food safety

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The temperature range between 40 and140 degrees is known as the “Danger Zone” because in that range, bacteria can multiply rapidly and lead to foodborne illness. Make sure any perishable foods you serve, whether cold or hot, are not left out for any longer than two hours—or one hour if the air temperature is above 90 degrees. Foods that are left out any longer than this should be thrown away.

9/18/12 9:52 AM

Grilling presents ample opportunities for foodborne illness, as well. To help keep harmful bacteria at bay, marinate foods in the refrigerator, not on the kitchen counter or outdoors. If you plan to use the marinade on your cooked food, set aside a separate batch of it before applying it to raw meat, poultry, or seafood. Do not re-use marinade. If you plan to cook meat partially before you grill in order to reduce grilling time, do so immediately before you grill. Cook all foods thoroughly, using a meat thermometer to verify that a safe internal temperature has been reached.

To keep just-grilled foods out of the temperature Danger Zone, move them to a warming rack until you’re ready to serve them. Also, to prevent cross contamination, never handle grilled foods with utensils or dishes previously used to handle raw meat, poultry, or seafood. Otherwise, bacteria from the raw food will be transferred to the cooked meat—and then to you. While we don’t tend to give it much thought, it’s also important to check grilled foods for foreign objects. For example, if you clean your grill with a bristle brush, there’s a chance some of the bristles will detach in the process and make their way into the food.

Fruit and veggie food safety There’s no question that fresh fruits and vegetables are an important part of your healthy diet. However, some can carry harmful bacteria from the soil they were grown in or as a result of how they were handled or stored. How you shop for fruits and veggies at your local store can actually help protect you from foodborne illness. Look for produce that has not been bruised or damaged. When selecting pre-cut produce, such as watermelon or bagged beans, make sure they are refrigerated or surrounded by ice. Bag fruits and vegetables separately from raw meats, poultry, and seafood. If a store employee is bagging your groceries for you, insist that they do the same. When you get your produce home, store it in a clean refrigerator at a temperature of 40 degrees or lower.

Any questions? A lot more information on preventing foodborne illness is available at www. fda.gov/Food/FoodborneillnessContaminants. This site is well worth visiting because foodborne illness is serious business, and certain bacteria, such as Listeria, are especially dangerous to children, older adults, pregnant women, and those with a compromised immune system or a chronic medical condition, such as diabetes. Also, keep your eyes and ears open for news of food recalls, such as the warnings about cantaloupe and sprouts that made headlines in the recent past. Most importantly, remember these four steps to food safety: 1. Wash hands and surfaces. 2. Separate raw meats from other foods. 3. Cook to the right temperature. 4. Refrigerate foods promptly, and

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avoid the “Danger Zone.” Until next month, eat well, eat safe, and have fun! ❦

Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

St. Clare Commons announces medical director by Jessica Derkis The Lord hath created medicines out of the earth; and he that is wise will not abhor them. —Ecclesiasticus 38:4

t. Clare Commons welcomed Anu Garg, MD, to the growing team of caregivers that will open the new community this fall in Perrysburg. Dr. Garg is board certified in Hospice and Palliative Medicine. She has focused on and championed better senior care since 2007 and is currently

the Associate Program Director of University of Toledo Medical Center’s Internal Medicine/Geriatrics program with Dr. Murthy Gokula. Previously the Fellow of Geriatric Medicine at Cleveland Clinic and

collaborating with a neurologist and neurosurgeon in an “Aging Brain Clinic,” Dr. Garg remains fascinated with the aging body and brain and how they interact to affect dementias and ailments and dictate behavior. She has presented on end-oflife issues, senior health and family caregiving concerns, sleep apnea, and advances in geriatric medicine at conferences, on television, and in person with seniors and their families. Dr. Garg is anxious to help open the new community and oversee the soon to-be-announced Nurse Practitioner, as well as medical students, residents, and fellows

who will continue learning at St. He added, “That’s important to St. Clare Commons. Clare Commons and the Sisters of “I am familiar with the techniques St. Francis, our sponsors.” of Behavior Based Ergonomic Therapy The wait will soon be over. There that will be used at St. Clare Commons will be a couple of “Sneak Peek” opand look forward to working with its portunities to tour St. Clare Commons originator, Dr. Govind Bharwani, to in August before the grand opening improve senior care in Northwest in September. Give Rachel or Jessica Ohio,” Dr. Garg shared. a call at 419-931-0050 to According to Dr. make sure you are on Garg, treating the whole an upcoming guest list person is the proper way or to learn more. to practice medicine. St. Clare Commons is Diet, exercise, environa member of Franciscan ment, involvement in Living Communities the community, good and Sylvania Franciscommunication, and can Health and is sponmuch more are factors in sored by the Sisters of one’s wellness, not just St. Francis of Sylvania, medicines and diseases. Ohio, in partnership She also noted that with Blessed John XXIII with dementia diagCatholic Community Dr. Anu Garg noses becoming more and the Toledo Diocese. prevalent, it is important St. Clare Commons is that communities adapt and improve expected to open this September just training for professional caregivers, south of Levis Commons. It will offer assisted living, specialized dementia families, and the general public. Dr. Garg plans to foster collaboration care, rehabilitation and skilled nurswith the many resources in the area ing, and a host of never-before-seen amenities, like a piano bar, restaurant, to achieve that goal. Shawn Litten, Executive Direcand coffee shop serving Starbucks™ tor of St. Clare Commons, noted coffee. ❦ that the whole team is excited about the partnership with Dr. Anu Garg Jessica Derkis is the Community and UTMC, “Dr. Garg brings a fresh Information Director for St. Clare perspective and a passion you don’t Commons. For more information, contact see every day. A passion to do things Jessica or Rachel at 419-931-0050 or right, make things better, create betemail info@stclarecommons.org. ter outcomes, and improve lives.”

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Gardening success stems from proper watering

or gardeners, the month of July is a great time to sit back and enjoy the fruits of all their springtime labor. At this stage of the game, it’s best to retire to a shady spot and leave any heavy-duty gardening or landscaping tasks until cooler weather returns in fall. However, given the intense heat and reduced precipitation levels of July, at least one gardening chore is inescapable this month—watering. While providing moisture to plants might seem fairly intuitive, proper watering is one of the most commonly misunderstood elements of gardening. Sure, there’s the oft-heard guideline of providing one inch of water per plant per week. But this guideline is relatively meaningless when you factor in different soil consistencies (one inch of water will penetrate about 12 inches in sandy soil but only about four inches in

clay), variations in temperature and humidity, the various microclimates present in any given landscape, and the particular watering needs of each different plant species.

Reaching the root zone While there really is no one-size-fitsall formula for watering, it’s generally better to water plants deeply on a less-frequent basis than to water them lightly but more frequently. Frequent, light watering promotes shallow-rooted plants that are more prone to heat stress, wilting, and disease. Consider that you want the moisture to penetrate all the way to the root zone of the plant—or even deeper to encourage a droughtresistant root system. Depending on the plant, this is usually somewhere between six and 18 inches deep. It takes time for the water to penetrate

to that depth, so don’t assume a quick spritz with the garden hose once a week will be adequate. Deep watering is best achieved by positioning the end of a garden hose at the base of the plant and adjusting the water flow rate to a trickle. Leave it in place until the soil all around the plant is well soaked, and then move on to the next plant.

Save time and money with a soaker hose If you have a lot of plants in need of moisture, watering them all deeply with a single hose may be impractical. In this case, a soaker hose may be the best solution. Soaker hoses have pores all along their length that weep moisture, making them ideal for watering rows of plants. You can also wind them through landscaping beds, encircling trees and shrubs at the dripline, which ensures that water will be directed to the youngest, farthest-reaching roots. These hoses can be left in place above ground (perhaps concealed by mulch) or even buried a few inches in the soil. One of the greatest advantages of watering with a soaker hose is that it cuts your water consumption considerably—by as much as 75 percent compared to a sprinkler.

Keep the foliage dry

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In addition to driving up your utility bills, overhead sprinkling with a conventional oscillating or impulse sprinkler keeps the plants’ foliage wet, which predisposes them to fungal diseases—such as black spot on roses and powdery mildew on lilacs. Droplets of water clinging to your plants’ foliage can also act like tiny magnifying glasses and actually burn unsightly holes right through

the leaves. Different gardeners may favor watering at different times of day, but watering early in the morning is usually your best bet. One reason is that the temperature is usually cooler and there is less air movement in the morning, so you tend to lose less moisture to evaporation than you would when watering in the middle of the day. Another is that if you do get any moisture on the foliage while watering, it will likely dry out quickly. In contrast, if you water in the evening and get the foliage wet, the moisture will tend to remain there all night long, providing the perfect environment for fungal diseases to flourish.

Watering container plants Plants grown in containers require a different watering approach than those planted in the ground. The soil in containers tends to drain and dry out more quickly (especially those hanging baskets), so a good daily soaking is usually necessary in July (unless Mother Nature happens to oblige with a drenching rain). Spreading a layer of mulch over the soil surface in containers will help retain moisture, but you have to keep a close eye on the moisture level of the soil nonetheless. Also, if you feed your hanging baskets and other container plants frequently, fertilizer salts may begin to encrust the soil surface. To help leach these salts out of the soil and prevent this buildup, it’s a good idea to thoroughly flush the container with (fertilizer-free) water until it runs through the drainage holes about every other week. ❦

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Toledo Orthopaedic Surgeons Specializing in Sport Medicine and Joint Replacements Stephen R. Saddemi, M.D. • Anthony D. Frogameni, M.D. Paul J. Fenton, M.D. • Thomas G. Padanilam, M.D. • Luke M. Ragan, M.D. David C. Ervin, M.D. • Ashok Biyani, M.D. We are pleased to announce and welcome to our practice August 2013

John Houghtaling, M.D. Specializing in Hand and Upper Extremity Surgery

For an appointment, please call:

4111 N. Holland-Sylvania Road • Toledo, Ohio • 419.882.6582

40 July 2013 / Healthy Living News

offers our community, which includes physical therapy, X-ray and MRI imaging, a full line of durable medical equipment, and ultrasound-guided injections—all under the same roof. Born and raised in the small farming town of Reese, Michigan, near Saginaw, Dr. Houghtaling completed his undergraduate and medical school education at Michigan State University; his internship and residency in Orthopaedic Surgery at McLaren Regional Medical Center in Flint, Michigan; and his fellowship training in Hand and Upper Extremity Surgery at the University of Alabama. It was during his residency training that Dr. Houghtaling discovered he really enjoys treating conditions affecting the hand. Among the most common conditions he sees and treats are carpal tunnel syndrome, which is a pinched nerve in the wrist that typically causes numbness and tingling in the three middle fingers and thumb; “trigger finger,” or tendonitis in the hand that causes a finger to lock or catch in a bent position; and arthritis in the hand, especially the thumb.

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roper function of the hands is something we tend to take for granted. But if that function is somehow impaired, simple activities of daily living, such as buttoning a shirt, opening a jar, eating with a fork or spoon, picking up small objects, or typing on a computer keyboard, can suddenly become almost insurmountable challenges. According to orthopaedic surgeon John Houghtaling, MD, who specializes in hand and upper extremity surgery, “The hands pack a lot of complicated anatomy into a very compact space and provide a lot of important function for people. When that function is lost or compromised, the patient’s quality of life can really suffer. It’s particularly gratifying when you can help someone get that back.” In August of 2013, Dr. Houghtaling will be joining the team of physicians at Toledo Orthopaedic Surgeons, located at Wildwood Medical Center, 2865 N. Reynolds Rd. His special expertise in hand and upper extremity surgery will further broaden the already expansive continuum of orthopaedic services that Toledo Orthopaedic Surgeons

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“If we catch carpal tunnel or trigalso a common complaint. ger finger early enough, we can often According to Dr. Houghtaling, alleviate them with splinting and treatment usually begins with splintsteroid injections. For arthritis of the ing at night to hold the wrist straight thumb, there are also good splints we and relieve pressure on the nerve. “In can use to make everyday activities some cases, this resolves the problem completely. But if we try splinting less painful, though that won’t stop for several months with the progression of the no success or numbness is disease. If all else fails, there are safe and efpresent all the time during fective surgeries for the day, we would then all three of these conlook to surgery as the next ditions. For example, option,” he says. arthritis of the thumb The surgical procedure can be treated surgically Dr. Houghtaling uses, which by removing the daminvolves cutting the ligaaged bone and reconment that’s pinching the nerve to alleviate the presstructing it with extra tendon material,” Dr. sure, is performed endoHoughtaling explains. scopically on an outpatient Carpal tunnel synbasis and takes only about Dr. John Houghtaling drome can have a 10 minutes. “The first night significant impact on the sufferer’s after the surgery, many patients report quality of life. Patients with this congetting the best sleep they’ve had in dition very often complain that they months,” he adds. awaken repeatedly throughout the Raised on a farm, Dr. Houghtaling describes himself as a down-to-earth night and have to “shake out” their hands to alleviate the numbness. person who was brought up with This can happen as often as 10 to 15 good morals and values, which he tries to bring to work every day. He times per night. Because they can’t get a good night’s sleep, they usuhas also observed strong values and ally can’t function well during the an excellent work ethic in everyone day. Numbness in the fingers when on the Toledo Orthopaedic Surgeons team, noting, “Everyone here has talking on the telephone or driving been so nice and welcoming to me. a vehicle with the wrist extended is

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Not only that, but they’re all willing to put in the extra effort and long

hours to ensure patients get the care they need.” ❦

Elephants, tigers, and P.T. Barnum by Douglas Schwan, DC, Dipl ac

uch to my editor’s chagrin, I tend to procrastinate when it comes to writing my monthly articles. July was no exception, and I started by surfing the news looking for story ideas. I was intrigued when I came across an article where a rather large Bengal tiger in an Israeli zoo was being treated with acupuncture to manage chronic ear pain. Seems all traditional medical approaches had failed. While I am not sure I want to open my practice to patients who could eat me, I do appreciate the power of alternative medicine when it comes to our furry friends. It reminded me of a decades-old story about an elephant in P.T. Barnum’s circus. Seems the big guy was walking with a nasty limp and in obvious pain. The famous showman had tried numerous traditional veterinary approaches in the cities he traveled through until he reached Davenport, Iowa, the home of my alma mater, Palmer College of Chiropractic (now Palmer University). Mr. Barnum wondered if a chiropractic approach might help and sought advice from experts at the College. After careful examination of the pachyderm, it was determined that he suffered from a pinched nerve due to a subluxated vertebra. Of course, diagnosing it was a far cry from “adjusting” it back into place. It took a couple of days, but they eventually settled on an approach involving a four-foot piece of lumber and a sledge hammer. Interestingly enough, after a couple “adjustments,” the elephant was up and around and on his way. Patients I see in the office are of the two-legged variety but, nonetheless, are interesting. I love what I do, and I find it very satisfying to take someone with years of depression and anxiety with dependence on heavy-duty drugs and see treatment lead them out of a world of despair, or fibromyalgia patients no longer struggling with pain simply to get out of a chair. Studies using MRI scanners, which can 42 July 2013 / Healthy Living News

measure brain activity, conclusively show that pre and post treatments with acupuncture can almost instantly change perceived pain levels in the brain. Chiropractic adjustments have been shown to relax and release energy to flow down through the spinal cord into the organs, prompting better function. Many chronic-pain and anxiety disorders are due to a faulty feedback loop between the body and the brain. Nerve energy cycles back in a positive feedback loop that can incapacitate patients. “Breaking” this loop is important in returning balance to a patient and allowing them to re-engage in activities of daily living. Many alternative-medicine disciplines work to restore total balance to a body and, in so doing, allow that body to restore its own health—the way replacing frayed wiring in your car ’s engine will allow it to run at optimum levels. In fact, I’ve always found it interesting how different approaches in alternative-medicine often describe the exact same thing in different terminology. For example, in chiropractic, we speak of “nerve energy” and the innate healing intelligence of the body. In Traditional Chinese Medicine we talk about qi (pronounced ‘chi’) energy and removing blockages. In fact, many Eastern disciplines, such as Tai Chi, Yoga, Transcendental Meditation, and others, are just training programs designed to gain conscious control over this healing energy of the body. Even martial arts disciplines center on focusing this energy to break boards and concentrate power in punches and kicks to devastating effect! In 30 years of practice, I have seen some amazing things. I remember starting out and a good friend of mine was starting his medical practice in

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Family Medicine. He offhandedly remarked to me that he wondered if I felt “limited” as a doctor because I chose a health profession that resists the use of drugs. Thirty years later, I recall Cindy, the young girl who pranced into my office and announced to a full waiting room, “Dr Schwan got me pregnant!” (Through fertility acupuncture!) There was Gladice calling from the mall laughing— the same Gladice whose neighbor found her with her head in her oven after suffering disabling depression for over 30 years. I think fondly of Jennifer who lost over 100 pounds utilizing weight-loss acupuncture techniques. And the list goes on and on. I think back on these cases and smile. No, my medical friend, I don’t feel limited at all. And, in fact, some of your colleagues have stopped in to learn these techniques to add to their practices. Thomas Edison once said, “The doctor of the future will give no medicine but will interest the patient

in the care of the human frame, in diet and in the cause and the prevention of disease.” That Tommy was a smart man, and his 1902 prediction is coming true as patients take ownership of their own health and begin to shy away from the billion-dollar take-a-pill-a-day-for-life Big Pharma pressure! ❦ Dr. Schwan is available to entertain your group while educating on a wide variety of alternative-medicine topics, including chiropractic, acupuncture, herbal medicine, nutrition, vitamins, etc. He is a graduate of the International Academy of Medical Acupuncture & Palmer College of Chiropractic and president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time standup comedian. He has practice locations near Toledo Hospital and Perrysburg, OH. For more information on alternative medicine, please visit our website at www.acupuncturetoledo.com.

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I’ve been noticing ads in my local newspaper from hearing aid dispensers. I’m a bit confused. What is the difference between a hearing aid dispenser and audiologist?

We’d be happy to explain the difference. You’re definitely not the only one with this confusion. There is a significant difference between a hearing aid dispenser and audiologist. All audiologists are hearing aid dispensers, but not all hearing aid dispensers are audiologists. The primary difference is education level. Audiologists possess doctorate and master ’s degrees, meaning they have two to four years of education beyond the normal undergraduate degree from a university. Hearing aid dispensers typically need only a high school diploma as a minimum. Both audiologists and hearing aid dispensers are maintained and regulated at the state level, but beyond that, audiologist are examined and certified after a one-year internship

from the national academy board. Because of audiologists’ extensive training and education, they have the knowledge to assess and assist in determining the type of hearing loss, what pathology may be leading to a certain type of hearing loss, and the treatment of choice along with physicians. In other words, hearing aid dispensers perform hearing tests to fit hearing devices. Audiologists, on the other hand, can perform hearing, balance, tinnitus, and other tests related to hearing. They can also fit hearing aids if appropriate. Only audiologists are certified and qualified to diagnose, treat, habilitate, and rehabilitate hearing loss. Audiologists are trained in anatomy and physiology, amplification devices, and cochlear implants. Essentially, audiologists are the whole package in regards to diagnosing and treating your hearing loss. The FDA advises seeking hearing care and hearing aids only from licensed practitioners. Northwest Ohio Hearing Clinic is not only a

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At Temple of the Dragon, “quieting the self” is key to self-defense, better health, and serenity

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he martial arts would appear, on their face, to be different techniques for fighting and self-defense—in other words, projecting energy outward to protect oneself from attack or to defeat an adversary through superior strength and skill. Even the word “martial”—which can be defined as “pertaining to or suggesting war ”—would seem to support this perception. But the traditional forms of the martial arts, though developed for the purpose of defending the self, are really more about directing energy inward to defeat the self. As Sifu Aaron Arden, who teaches traditional Chinese martial arts at the Temple of the Dragon, states, “The arts taught here are used for changing the self by fighting the self with the tools that are given. Even in a

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Sifu Aaron Arden

fighting situation, it is never about the opponent, and it never was.” Further elaborating on this philosophy, Arden explains that when students are in class and made to hold a position that causes the body pain, they have two choices before them: accept the pain or walk away and quit. This same choice of mind over matter comes into play when a student is sparring in class or a tournament and afraid of being hit or even when a person is confronted by an attacker in a dark alleyway. Of

course, everyday life presents a myriad of mental, emotional, and physical challenges that can be overcome by defeating the self. “It still comes down to quieting the self, quieting the mind, and remembering what you’ve been taught. It’s 95 percent mental and only five percent physical,” Arden says. The Temple of the Dragon teaches six art forms, including the “external” styles Shaolin Kung Fu, Shuai Chiao, and Chinese Kenpo and the “internal” styles Tai Chi, Pa-Kua, and Hsing-I. They also offer authentic classes in Yoga and Ch’an (Zen) Meditation. One of the more popular art forms offered at the Temple of the Dragon is Tai Chi. Arden notes that many middle-aged people are choosing to learn this art form not so much for self-defense, but to take advantage of its numerous health benefits. “Tai Chi helps them de-stress and relax while slowly and methodically opening up the joints. The movements are executed very slowly and gently so you get into great shape without hurting your body,” he says. What exactly constitutes “traditional” martial arts and how do they differ from the eclectic blend of art forms taught in many schools? The traditional arts represent a lineage of instruction that has been passed down untouched and undiluted from generation to generation. At the Temple of the Dragon, these traditional arts—which are rooted in Zen meditation, Yoga sutras, and philosophy—remain intact and are taught by traditional instructors in a traditional setting to cultivate students’ body, mind, and spirit. It’s about much more than just kicking, punching, and body exercises. Without understanding the philosophy and spiritual component underlying the art forms, these are just empty movements. One of the more intriguing aspects of traditional martial arts philosophy

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is the outward ripple effect that occurs when an individual learns to “quiet the self.” So many conflicts—from disagreements with coworkers, to squabbles with other drivers on the road, to wars between nations—arise from egocentric thinking, the notion that “my way is the right way.” Sublimating the self, on the other hand, not only calms the individual, but also tends to carry that calming effect outward to the rest of the world. That’s not to suggest that the world won’t continue to present challenges. “Just because we want good lives doesn’t mean we’re not going to have problems. Unpleasant things are going to happen regardless. But we believe everything happens for a reason and provides a vital learning experience. What we teach through the chaos of training is that life is much simpler than we make it. We make it difficult. The training pushes you to let go and lighten up,” Arden observes. A myriad of health benefits accompany the strong self-defense and combat skills that traditional martial arts training provides. The cultivation of mind, body, and spirit

promotes greater health and fitness, greater vitality and energy, stress relief, weight control, decrease of joint pain and inflammation, improved mental clarity and focus, improved balance, a more positive spirit and outlook on life, a greater sense of harmony, increased peace of mind, and much more. Anyone ages 4 to 104, with any level of experience and physical condition, can benefit from these traditional arts. “Even people who seek out Kung Fu and know the philosophy of it soon discover that it’s much more than they thought,” says Arden. “The training starts to open their eyes in so many ways. They learn to breathe correctly, stand correctly, eat correctly, and take a look at themselves in every moment of every day to see how much stress they—not the world—are putting on themselves.” ❦ Temple of the Dragon is now located at 435 W. Dussel Drive in Maumee, Ohio. For more information about traditional Chinese martial arts or to schedule a free introductory lesson, please call 419-3441559 or visit www.templeofthedragon. com.

Energy, energy, energy! by Carol Klotz

nergy drinks. The new fountain of youth? The way they are being marketed and consumed, you would certainly think so! There have been health warnings, but Business Week recently reported that US energy drink sales are up by 6.7 percent to $9.7 billion in the year ended May 19. So, maybe the health warnings are just that—warnings—since any health issues haven’t dented sales volumes. Or so you might think. There is one health warning that just won’t go away: Energy drinks aren’t for adolescents under the age of 18. For the latest information on this caution, be sure to read “Energy Drinks: What Teenagers (and their Doctors) Should Know” in the February 1, 2013 issue of Pediatrics in Review from the American Academy of Pediatrics. The definition of an energy drink these days tends to assume some level of caffeine as well as sugar. But all energy drinks are not made the same. I use three different energy drinks from the same company for

three different reasons, and only one includes caffeine and none contains sugar. This company specializes in products that include mangosteen as an ingredient. What is mangosteen? It is a fruit native to Asia (the national fruit of Thailand) that includes a host of antioxidants not found in other fruits and that are responsible for over 200 properties to improve wellness. Those antioxidants are called xanthones. See my article in the June issue of Healthy Living News, “Let Food Be Thy Medicine,” for more information about xanthones. So, the company’s energy products all contain mangosteen (for its antiaging properties) along with other ingredients that might be familiar to you if you have studied energy drinks. One of my “drinks” (actually, a powder that is mixed with water or other liquid to make a drink) can be a day-long drink for sustained energy and focus. My husband and I start each day with this drink. This

contains no sugar. The second of the drinks is used for recovery from exercise, muscle building, and anti-aging and can be used at any time of the day. This drink contains no caffeine or sugar. The third of the drinks is normally used as an immediate, short-term performance booster, in the morning or afternoon, before a workout. It facilitates your body to create nitric oxide. If you are working out, drink this about 15 minutes before the exercise, and you will most often find yourself with extra stamina to reach your performance goals. This drink also contains no caffeine or sugar.

Sweet but no sugar! Energy drinks are notorious for their sugar content. Not my products. The first drink includes stevia, a natural sugar substitute, to sweeten it. The other drinks include no sweeteners whatsoever, yet they are very tasty! Red Bull, the market leader, contains 27 grams of sugar in its 8.2-ounce can. Monster contains 27 grams of sugar per serving, but each 16-ounce can contains two servings. That’s about 14 teaspoons of sugar. As mentioned, I drink the first drink every morning, even when I don’t

plan exercise. Not only does it give me seemingly limitless energy, but it also helps me to focus and makes me feel that I can accomplish anything! I call it my “invincible drink.” Sometimes, I am dragging in the morning. Then I mix this drink in six to eight ounces of water or juice, and 15 to 20 minutes later, I am literally “off and running.” This drink contains only 21 calories. It includes 150 mg of caffeine, less than many other popular drinks, including store-bought coffees. Besides mangosteen, other herbal ingredients include gaba (a neurotransmitter), panax ginseng (improves memory and focus), green tea (supports cardiovascular), taurine (provides electrolyte balance), apple polyphenols (increases energy, reduces fatigue), and gotu kola (helps mental acuity and cognitive health). It is priced at $31 for 20 servings plus shipping, handling, and tax. The second drink, which promotes recovery and reload after physical exertion, has different ingredients that provide a natural boost to repair your body quickly and safely. Glutamine and BCAAs are muscle-tissue-repair agents that help reduce muscle breakdown and increase your strength. D-ribose and a coconut water-mangosteen blend

Lead an active life, naturally! Enjoy a product that helps: • maintain intestinal health • neutralize free radicals • maintain a healthy immune system • support cartilage and joint function • maintain a healthy season respiratory system

Crohn’s Disease nearly had me beat. Now I have an active life! Interested? Call me! Carol Klotz • 419-343-9189

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hydrate and cleanse peak performance to keep your body of your muscles, feeling naturally entissues, and orergized and alert. gans. Ribose is a key en“The Miracle ergy-creating buildMolecule” ing block, according to researchers, that You may not be powers every tissue familiar with in your body. Simply nitric oxide. Go mix one packet with to www.Nitric ten to 12 ounces of Oxide.org for as water to keep yourmuch informaself running at optition as you need! mal levels. This chemical This drink is best has been found compared to sports Under the guidance of my doctors, I was able, to be critical in drinks like Gatorade, with periodic blood monitoring, to eliminate human biology. Powerade, SOBE, and all the prescription medicines I was taking Its discovery was others. What you will for Crohn’s, and I enjoy a very active life. considered so imfind is that calories portant that the are substantially fewer—only 22 caloresponsible scientists earned the ries compared to three to six times Nobel Prize for their work in 1998. that in other drinks. You will find no And yet, it is unknown by most. sugar compared to at least 30 grams. According to the website, “nitric You will find 1 carb compared to at oxide acts as a vasodilator, causing least 30. You will find 5 grams of the blood vessels to expand. This protein compared to none in many function has obvious benefits to the of the others. This drink is priced at circulatory system . . . Nitric oxide $39 for 20 servings, plus shipping, also has been shown to stimulate the handling, and tax. brain, help with erectile dysfunction The third drink, the one that proand impotence, increase energy, and vides an immediate energy boost, can even treat some forms of cancer.” ignite your cardiovascular perforIn addition to mangosteen, the mance, exercise performance, sexual ingredients of this third drink include wellness, your energy, or your mood. arginine (induces vasodilation), citrulIts formulation, which contains all line (also a vasodilator), norvaline natural ingredients with no sugar or (indirectly increases nitric oxide), and caffeine, has been found to promote beet root extract (a saturated source of nitric oxide, the “miracle molecule,” in nitrates). Mangosteen is included for your body. It helps keep your blood its anti-aging properties. This drink vessels relaxed and dilated, delivering is priced at $35 for 20 servings, plus the critical nutrients and oxygen for shipping, handling, and tax. To use

46 July 2013 / Healthy Living News

it, combine one packet with ten to 12 ounces of water—stir it rather than shaking it. I can help you get all three products for a special price of $99, plus shipping, handling, and tax. It should be obvious that the cost of my favorite products beats the ones you buy at gas stations and grocery stores, plus the ingredients are much more healthy. Be sure to consult your physician before consuming any energy drink. All drinks by all manufacturers contain ingredients that may interact with other medicines that you may be taking, especially if you are using medication for a heart condition. All drinks contain elements that could cause allergic reactions. As information about supplement products, statements in this article have not been evaluated by the Food and Drug Administration. None of the products are intended to diagnose, treat, cure, or prevent any disease.

Crohn’s Disease recap We have mentioned mangosteen in passing in this article. But since you can see my ad accompanies the article and mentions how I have much better health while living with Crohn’s Disease, I will recap my experience. You can find a complete article devoted to my commentary in the April, 2013 issue of Healthy Living News. As mentioned earlier, mangosteen is a fruit native to Southeast Asia and also grown around the world in subtropical areas such as Colombia, the Philippines, Hawaii, Sri Lanka, and some areas of Africa. Its peach-sized, dark-purple fruit includes an outer “rind” layer that is inedible but contains an amazing array of

“phytochemicals” (native chemicals) that are famed for their healthy properties. It has inner white sections that are very tasty but don’t contain the myriad of “xanthone” antioxidants. I drink mangosteen juice made by a company that processes the entire fruit and makes it good-tasting by adding other antioxidant-rich fruit juices, such as cherry and blueberry. Doctors diagnosed me with Crohn’s Disease over 40 years ago as the cause of my recurring high fevers, diarrhea, abdominal pain, and weight loss. And my eyes were very bloodshot. While I was grateful to learn a cause so prescribed drug therapy could alleviate the symptoms, I became very concerned about the side effects these drugs caused after so many years. After following doctors’ advice and taking these drugs for 30 years, I learned about mangosteen juice and decided to give it a try. And I found medical doctors more familiar with “alternative medicine” who helped me make the change. After two weeks of drinking only about an ounce of mangosteen juice each day, I experienced an increase in energy and friends thought I looked so much better. I no longer had migraine headaches and increased the amount I drank to one ounce in the morning and one ounce with dinner. After about three to four months, I realized that the side effects from recent surgery were gone. No discomfort at all. Under the guidance of these two excellent medical doctors, experienced in alternative medicine, I was able, with periodic blood monitoring, to eliminate all the prescription medicines I was taking for Crohn’s. I am still drinking mangosteen juice and probably will continue for the rest of my life. A number of people have contacted me after reading articles in the last three Healthy Living News issues. Many have started drinking mangosteen juice and enjoying other mangosteen-based products. They are all relating improved health and energy.

Free sample To get a free sample of the first “invincible” drink that I mentioned in this article, give me a call at 419-3439189. I can also give you more details about all of the drinks, mangosteen juice, and how I helped myself deal with Crohn’s with the care of my physicians. Feel free to ask for a copy

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of any of my past articles in Healthy Living News: my Crohn’s commentary (April); mangosteen juice (May); and xanthones antioxidants (June). You can also access my website

about the energy drinks at www. mmxgo.com/hff. My website about mangosteen juice is www.carol.my mangosteen.com/way. ❦

Proud to do her patriotic duty by Christine A. Holliday

t’s July, and for at least one day this month, we remember the American struggle for independence. We know we can have picnics and days away from work because plenty of our citizens have stepped up to represent us—by serving as elected officials and by defending our freedoms. The 4th of July is a great day to fly the American flag and recall those whose efforts have helped to make America the best country in the world. Ninety-two-year-old Alice Howell is one such person. While she has blanks in her memories of her childhood and early years, she does have some very strong memories of her time in the U.S. Army, where she served as an Army nurse. She was stationed with

Life

the 3rd Army’s 101st Evac. Hospital in France, in a unit of 40 nurses, and recalls her time there with great pride and satisfaction. Alice was born in Defiance, OH, and attended school there. She heard about Army life from her father, who served in World War I, and thought about a career in the service for quite a while. She attended the nursing school at Toledo Hospital and worked as a floor supervisor there for a few years, when she learned that the Army “needed some help.” At that point, she gave serious thought to joining the Army, recall-

ing the stories she had heard from her father, and decided to enlist. She recalls that her mother was worried about her daughter going overseas into a battle zone, but Alice reassured her that there would be plenty of training and that it was the patriotic thing to do. “Once I decided to go,” Alice recalls, “I felt a complete relaxation about my decision. Nursing is nursing, and I knew they needed me. I don’t think I was ever frightened; you don’t go into nursing in the first place if you can’t handle some stress!” She and her colleagues were trained in Kentucky, then did maneuver training in Louisiana and Texas. It was there she learned to live in a tent with no frills. “I wasn’t much of an outdoor person before that,” she notes, “so that took some getting used to. But by the time they sent us to New York for the boat ride overseas, we knew we could

do it. They had prepared us well for anything.” She recalls traveling to England on a cruise ship that had been drafted into use by the Armed Forces. “There was a lot of planning to get everybody to where they were needed, and they used any mode of transportation they could find, even a cruise ship!” Once in England, the nurses were billeted with local families until the unit moved to France, where the Evac. Hospital was set up behind the front lines. She smiles as she recalls the nurses’ relief that they wouldn’t have to step from the transport ships into water as they entered France. “They had put new docks in, after the ones the soldiers used had deteriorated. We were all so glad we didn’t have to wade in the water.” The main job of the nurses in the hospital was to care for the hundreds of men who were waiting for surgery at any given time. “There was a large tent with as many as 100 men waiting for surgery in one of six operating rooms. Our job was to keep track of the surgery schedule and get the

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right man to surgery at the right time. That meant keeping track of who got food, who got sedatives, who got painkillers, etc. We worked 12-hour shifts and spent a lot of our free time sleeping. We lived in tents and got used to bad Army haircuts and storing our clothes in a bedroll. We didn’t go too far from the unit. It was exciting that we were in Europe, of course, but we didn’t get to see much of it.” Howell fondly recalls visits to the hospital by General George Patton, saying, “He came to see the soldiers, but he always spoke to the nurses,

too. People called us ‘Patton’s Girls.’ You know, we had a different attitude than the soldiers did. They had been drafted, but we were volunteers. We were there because we wanted to be. We were happy to do what we were asked to do. We knew they were glad to see women, and we did wear some makeup so we looked nice in our military uniforms, but the best part was knowing that the wounded soldiers appreciated our being there to offer some comfort. They treated us well, but it was probably because we were officers, not just because we were women.

Medical Mutual earns top award for employee communications Medical Mutual’s Mutual Appreciation program won a Gold SABRE award for excellence in employee communications during ceremonies held recently in New York City. Mutual Appreciation is a loyalty program that encourages employees to buy from the company’s customers. Medical Mutual beat out high-profile corporations such as Hilton Hotels, Orkin Commercial Services, Dow Chemical Company, and Abbott Nutrition. The judges noted that Mutual Appreciation effectively involved employees in a program that builds customer loyalty and

sends a powerful message to customers that Medical Mutual is serious about earning and keeping their business. The SABRE Awards is the world’s largest honors competition for the public relations industry. The awards competition is coordinated by The Holmes Group, a New York City-based organization that provides reporting and analysis on public-relations trends and issues. The awards competition is judged by senior professionals from public-relations agencies, corporate communications, and academia.

We rode on the backs of the trucks just like the other officers. We didn’t have to do big, heavy work, but we didn’t get special treatment.” There wasn’t much celebrating in Howell’s unit when the end of the war came. She says she doesn’t recall much notice being paid because there were still wounded men to care for even after the fighting stopped. “We couldn’t go home until all of them were sent on from the hospital,” she explains, “so we had to wait to be excited about the war’s end.” After the war, Howell left the service as a 1st Lieutenant and used the GI Bill to further her nurse’s training at Case Western University. She never married but worked as a nursing supervisor at Toledo Hospital for many years. She laughs as she recalls her work at the end of her career. “I was teaching them how to deal with the elderly and the aging patient, when I realized I was talking about myself! I think I am better able to face the challenges that aging brings because I had to teach it to others. Of course, knowing what aging will bring doesn’t make getting older any easier. There is still concern about money, about health, feelings of loneliness, fears of being dependent…. ” “But,” she continues, “I am lucky. I wasn’t hurt during my time in the

service, and my health is still pretty good. My memory isn’t so good, but I am 92, after all!” Alice Howell doesn’t follow politics, but says she can understand why women in combat might be an idea whose time has come. “On the one hand, it seems foolish. Women aren’t as strong as men and I’m not sure they can fight like men can. But we are citizens of the world, and women want to defend their country just as men do. I went because I felt I was doing my duty. I was young with no dependents and knew I could help. I was happy to do it because it was the patriotic thing to do. Serving in the Army gave us respect, an education, and a pension. In a way, it gave us women freedom. We knew that we could go back home and do jobs besides clerks or teachers. We had learned to be independent. I would do it again in a minute!” ❦ Alice Howell and other female veterans of World War II were honored at a Women of Victory tea on June 7 at the Wildwood Metropark Manor House. The tea was presented by the Manor House volunteers, one of a series of teas held the first Friday of months between April and November. Funds raised are used to support the renovation and upkeep of the House.

Better, healthier burgers for your July 4th feast

Or try one of these recipes:

Eggstraordinary burger

very Independence Day, all across the Heartland, self-appointed “Family Grillmeisters” take to the back yard to work their hickorysmoked magic over glowing charcoals or flickering, propane-fueled flames. Of course, hamburgers figure prominently in any respectable Grillmeister’s repertoire, and each boasts his own “secret” method of preparing them.

done. For ½-inch-thick patties, that takes 11 to 13 minutes, turning once about halfway through cooking. • Put cooked burgers on a clean platter, not back on the plate that held raw meat. • After handling raw meat, be sure to wash your hands and any plates or utensils you used.

Healthier burgers

The long-term health issue associated with the ground beef you buy is its fat content. Eating a regular burger once in a while won’t do any serious damage the way E. coli can, but if you do a lot of summertime grilling, it can make a difference. Ground beef on the market ranges between 70 and 95 percent lean, and the leaner the beef you choose for your burgers, the better. Here’s a trick to reduce the fat content of your burgers even further: After the burger is cooked, blot it between double thicknesses of paper towel for about a minute.

However, what’s not a secret is the fact that burgers aren’t always the healthiest option at the Fourth of July picnic. In fact, there are two factors that largely determine whether burgers are going to be healthy to eat—one short-term and one long-term. The shortterm concern is how the beef is handled before, during, and after it’s grilled. If the meat is handled improperly at any of these stages, there’s a risk that someone will get seriously ill. Here’s how to avoid this very significant shortterm health risk: • Buy bright-red meat. It will turn brown naturally when exposed to air. Brown meat may still be wholesome as long as it’s consumed by the date printed on the package, but why take chances? • Store ground beef in the meat drawer—the coldest part of your refrigerator—and use it within two days. • Uncooked ground beef wrapped in freezer paper or aluminum foil will keep for up to three months in the freezer. • Defrost beef in the refrigerator—not on the countertop. A microwave oven may also be used if you follow the manufacturer’s instructions. Do not refreeze ground beef. • Cook ground beef until it is at least medium to medium-well

48 July 2013 / Healthy Living News

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Monterey Jack, and sour cream. • Say “Ooh-la-la” for a French burger served on a baguette and topped with blue cheese. • Give your burger a little Caribbean character with some spicy Jamaican jerk sauce.

Better-tasting burgers Of course, taste is in the mouth of the beholder. When it comes to burgers, there are those who swear by the classics—grilled ground beef topped with pickles, onions, tomatoes, lettuce, cheese, and mustard and ketchup or mayo. Then there are those whose imaginations have run amok. We’ll assume you have a pretty good grasp on how to make basic burgers on the grill and offer some recipes that might spark your culinary imagination.

Ethnic burgers • Go Russian with a grilled patty topped with sautéed mushrooms, sour cream, and onion on a dark rye bun. • Tip your sombrero toward Mexico with guacamole,

1 lb. ground sirloin 1 egg 1 Tbs. steak sauce ½ cup bread crumbs ½ cup minced onions 1 tsp. garlic powder Thoroughly mix all ingredients and form into four patties. Grill 5 to 6 minutes per side. Serve on lightly toasted buns with your choice of toppings.

Dijon-dill burgers

sauce. Form into 4 patties and grill. Spread reserved sauce on toasted bun, add the patties, and top with tomatoes and lettuce.

Goat cheese & basil burgers 1 lb. ground sirloin 1 Tbs. finely minced fresh basil 2 oz. goat cheese Romaine or red-leaf lettuce Beefsteak tomato Combine the ground beef and basil. Form into 4 patties with depressions in the center to hold goat cheese. Cover the cheese with more ground beef, and grill. Serve on buns or Kaiser rolls with lettuce and tomato. ❦ Answers to crossword from page 21 1

H 10

1 lb. ground chuck or sirloin 2 Tbs. chopped fresh dill 4 Tbs. Dijon mustard 4 Tbs. sour cream Tomato slices Lettuce leaves

E 20

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Mix together the dill, mustard, and sour cream. Reserve 4 Tbs. for later use. Blend the ground beef into the

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Crunch all the kale you want! by Kelly Hanner Kale is a nutritious leafy green that has been making an appearance more and more in the mainstream circuit. Kale is rich in fiber, calcium, and vitamin A and tastes amazing in a salad or mixed in soup. Whenever I get a hankering for chips, I don’t sit down with a bag of Lays. Instead I head to the kitchen and whip up this recipe for Cheesy Kale Chips. This recipe helps to satisfy my need for a salty crunch, but also packs a cheesy taste-bud punch with the nutritional yeast, which can be found in health food stores like Basset’s.

Cheesy Kale Chips 1 bunch of kale, rinsed, dried, 1/4 cup nutritional yeast deveined and torn into bite-size Dash of Himalayan sea salt pieces Dash of cayenne pepper 1 Tbs. extra virgin olive oil 1. Heat oven to 425°F. Line a cookie sheet with parchment paper. 2. Put kale and other ingredients in a large Tupperware dish, place lid on top, and shake vigorously. 3. Pour the contents on the parchment paper, in a single layer. 4. Pop into the oven for 5 minutes. 5. Remove kale chips from oven, turn them over, and pop back in the oven another 5 minutes. 6. Kale chips are done when the edges are crispy. Kelly Hanner owns her own health-and-fitness business, Tubby to Toned. She is currently accepting new clients for one-on-one lifestyle coaching. To contact her or check out more of her recipes, go to TubbytoToned.com.

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