HLN July 2014

Your Monthly Guide to Healthy Lifestyles

July 2014 • FREE

Also available at hlntoledo.com

LPGA stars shine at 2014 Marathon Classic

Also in this issue: • Look your best for summer • Bone-anchored hearing aids • Sample a slice at Pizza Palooza • De-stress your diet • Timely fireworks safety tips

• Health crossword • Dave's Races • Sound Advice • A Walk in the Park • And much more...

Look your best this summer!

V

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler.

The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging areas of the neck, upper arms, abdomen, and jowls. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected. This heating of the dermis causes immediate collagen contraction and tightening followed by new collagen production over a period of time. This procedure also encourages a natural

Is your dermatologist a dermatologist and is he/she board certified?

Individuals seeking diagnosis and treatment of skin cancer and other skin conditions should determine if their dermatologists are indeed dermatologists and board certified by the American Board of Dermatology. Not surprisingly, individuals seeking care of their skin conditions may receive care by physicians, nurse practioners, and physician assistants who may call themselves “skin specialists” and dermatologists. These physicians and others may do so without completing a formal dermatology residency. Many physicians who are board certified in fields unrelated to dermatology may be practicing dermatology. Now there are training programs being developed to permit nurse practioners to receive a doctorate of nursing and call themselves “Doctor” as would a PhD in a specialized field.

These nurse practioners (NPs) are NOT doctors of medicine as is a board-certified dermatologist. Certification by the American Board of Dermatology is the consummate title addressed to a dermatologist based on their education and experience. If you see a “skin specialist,” it is your responsibility to ask of their credentials.

Remember; a board-certified dermatologist is a medical doctor who has completed a minimum of twelve (12) years of training (four years of college, four years of medical school, and four more years in an internship and a formal dermatology residency program) to even become eligible to take the testing for board certification by the American Board of Dermatology.

Individuals seeking diagnosis and proper treatment of their skin disease can depend on board-certified dermatologists for their care.

repair process that results in further tightening, lifting, and younger-looking skin. With only one treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain! The NEW Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients.

For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas. The results are diminished lines and a more “wide awake” and less tired appearance. These products are also fantastic to reduce anxietyinduced underarm sweating for months after injections.

This is also performed entirely

by Dr. Handler with minimal pain with results lasting 5-7 months and longer.

The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette (sad) lines from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad! These products are also very useful for producing a more full but normal 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 visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small

columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio.

Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely

by Dr. Handler.

To view before-and-after photographs of patients who have had these procedures performed by Dr. Handler, visit Dr. Handler’s website at drharveyhandler. com. For more information about the abovementioned procedures or products, please call Dr. Handler’s office at 419-885-3400. Be sure to ask about specials available on many cosmetic procedures and products to diminish the signs of aging.

Also, please remember to have a yearly Full Body Exam for evaluation of moles and other growths we all develop as we age. Be certain you have no lesions that are precancerous or cancer. Full Body Exams are best performed and evaluated by a board-certified dermatologist. ❦

www.drharveyhandler.com

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

clear + brilliant ADULT, PEDIATRIC, & COSMETIC DERMATOLOGY HAIR & NAILS

No surgery.

No injections.

No downtime.

Harvey L. Handler,

m.d.

Fellow American Academy of Dermatology Board Certified in Dermatology 5300 Harroun Rd., Suite 126

in the Medical Office Building on the campus of Flower Hospital

419.885.3400

July 2014 • Vol. 19, Issue 7

Your Monthly Guide to Healthy Living

TAKING CARE OF YOUR LIFE

HEALTH & BEAUTY

4 Four essential golf fitness training tips 7 The pros know chiropractic gives athletes the winning edge 10 Spiritually Speaking What’s your legacy?

by Sister Mary Thill 12 Healing Arts Institute continues to broaden career horizons 24 Health Crossword, by Myles Mellor 32 Choosing the right healthcare plan, by Scott D. Brown 33 Top 10 reasons to play tennis

by Mark S. Faber, USPTA Elite Professional 34 Athletes: are you drinking the right fluids?

by Amanda Manthey 38 Is your family prepped for tornado season?

44 Summer travel with allergies and asthma 46 A Walk in the Park Getting to Zero, by LeMoyne Mercer 51 Timely fireworks safety tips from Mercy Emergency Services 52 Have you made your family vacation health plan?

2 Look your best for summer!

11 Understanding melanoma: a potentially deadly skin cancer on the rise 13 Health literacy and new roles for pharmacists

by Avani Shukla, BSPS, and Michelle Mangan, PharmD, BCACP, CDE 16 Could you be a candidate for bone-anchored hearing aids? by Shelly Horvat, AuD, CCC-A 22 Ask your body how to burn fat with NutriMost Resonant Frequency technology 24 Get the lowdown on high blood pressure July 22 26 How to break free from a healthy lifestyle slump 27 No one knows you like your family physician 30 From development to your doctor’s office: how healthcare technology reaches the medical market 36 Lung cancer screening now standard of care at UTMC, by Samantha Watson 36 Sound Advice from Northwest Ohio Hearing Clinic

by Randa Mansour-Shousher, AuD, CCC-A 39 ProMedica STAR Program® provides multidisciplinary rehabilitation services to cancer survivors 40 Patient, heal thyself! The importance of patient compliance 41 Nobody’s Perfect You must be better—you’re going home! by Sister Karen Zielinski, OSF 44 Inflammation and acupuncture

by Douglas Schwan, DC, Dipl ac 53 Physical medicine and rehabilitation: a conservative treatment approach, by Christian Wuescher, MD

OUR COMMUNITY 5 LPGA’s brightest stars return to Highland Meadows for 2014 Marathon Classic 15 UT students serve others at Cherry Street Mission health fair, by Christine A. Holliday 18 Pizza Palooza celebrates five years 20 HCF communities honor and empower residents 20 Special gardens at Hospice of Northwest Ohio’s inpatient centers pay tribute to veterans 28 Two St. Francis de Sales High School seniors awarded Evans Scholarships 37 Feisty longtime friends bring unique competitive spirit to rehab at The Laurels 42 Pet Reflections Garden now open at Toledo Memorial Park 43 Unison Behavioral Health Group earns Behavioral Health Home Certification from Joint Commission

Dear Readers, Thank you for picking up the July issue of Healthy Living News. From Thursday, July 17 to Sunday, July 20, Sylvania’s historic Highland Meadows Golf Club will host the 29th annual Marathon Classic LPGA tournament, and here at HLN, we’re proud to celebrate our 18th year of helping to support this exciting event, which has contributed more than $8 million to over 100 children’s charities in Northwest Ohio and Southeast Michigan since 1984. Tournament Director Judd Silverman and his staff continue to make this one of our region’s premier events year after year, and we encourage you to bring the whole family for a wonderful time. For full details, see page 5.

Keeping with the Sylvania theme, get your taste buds warmed up for Pizza Palooza 2014

FOOD & NUTRITION 50 Eating Well Stress eating, by Laurie Syring, RD/LD

Connect with Friends who Like Healthy Living News!

(p. 18), to be held July 25 and 26 at Centennial Terrace.

Sample a slice or two, vote for your favorite local pizza purveyor, and give a good listen to my nephews, The Wheeler Brothers, national recording artists from Austin, Texas. They’ll be putting on a fantastic show beginning at 9:00 p.m. on Saturday, the 26th.

This jam-packed, 56-page issue also features a profile of the STAR Program® rehabilitation services for cancer survivors offered by ProMedica Cancer Institute and ProMedica Total Rehab (p. 38); timely tips on fireworks safety from Dr. Jay Taylor of Mercy Emergency Services–Perrysburg (p.

51); insights on physical medicine and rehab from Dr. Christian Wuescher, Assistant Professor of Physical Medicine and Rehab at

/HLNToledo

@HLNToledo

The University of Toledo Medical Center (p.

53); a glimpse at the pathway groundbreaking healthcare technology follows from development to your doctor’s office (p. 30); and options for pursuing an exciting new career path through Healing Arts Institute (p. 12).

Also, every month we like to include a story (sometimes several) on local individuals or groups who are doing something to make a difference for the less-fortunate in our community. This month, we’re shining the spotlight on four University of Toledo students who recently collaborated with the Cherry Street Mission and other area businesses and organizations to offer a health fair to the underserved. Please find their inspirational story on page 15.

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

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

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

Contacts Business office:

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

Phone: (419) 841-8202 or email Kevin O’Connell at 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.

Four essential golf fitness training tips

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itness training for golf has become more popular over the past several years.

Tiger Woods is credited with moving the new generation of golfers toward fitness through his cardio and strength training. No longer are professional golfers viewed as overweight and out-ofshape non-athletes.

Recreational golfers can take a cue from the pros by integrating fitness into their golf regimen. Medical Mutual’s Health Promotion and Wellness experts recommend that you decide at what level you want to participate and then map out a plan to reach your goal.

“A well-designed fitness program that incorporates a variety of training components can help golfers be more successful on the course,” says Jen Jeffery, program manager for Medical Mutual’s Toledo wellness center.

Jeffery says golfers should consider a balanced training program as recommended by Fitday, an online provider of valuable fitness and

health information:

Functional training

Functional training involves building the muscles of the body that are used during golfing. Just like most sports, golfing uses almost all the muscles of the body. A golfer needs to establish stability before hitting the ball, and this requires the use of the leg muscles. When it comes to hitting the ball, the muscles in the upper body, especially the arms, are used.

During functional training, a medicine ball that weighs three to six pounds is used.

You have to make rotational lunges with the medicine ball while moving your shoulders in rotation.

Cardio training

Since a game of golf may last for hours, golfers have to be able to withstand long periods of physical activity.

Cardio training is effective in helping them increase their endurance level by improving their heart rates and controlling breathing mechanisms.

Some golfing events are so physically demanding that competitors need to have excellent endurance to perform well. Poor endurance will impact your swing, accuracy, and general competitiveness. Examples of cardio training exercises that are beneficial to golfers include jogging, swimming, and cycling. For optimum results, these exercises should be done three times a week.

Weight training

Golfers also need to undergo some form of weight training to improve strength, power, and overall fitness levels. Strength and power enable golfers to hit balls over long distances. Golf courses have different terrains and obstacles, such as small water bodies. If you want to clear every hole with a good score, you need to have enough power and strength to hit the ball.

This is where weight training plays a part. Weight-training

Flexibility training

This type of golf fitness training tends to concentrate on improving the golfer’s swing and increasing muscle flexibility. It is similar to stretching, but its main objective is to help the muscles gain permanent flexibility.

A good golfer should not be rigid or stiff, as a rigid body tends to make the swings erratic. Flexibility training involves swinging the golf club repeatedly, as if the golfer is actually hitting a golf ball. By doing so, the muscles tend to stretch better. This contributes to a smoother swing,

and it greatly reduces the chances of pulling a muscle as well.

Founded in 1934, Medical Mutual of Ohio is the oldest and largest health insurance company based in Ohio. For 80 years, the company has served customers with high-quality, affordable group and personal health insurance plans, and third-party administrative services to self-insured group customers. As a mutual health insurance company, Medical Mutual is unique in that it operates for the benefit of its members. Unlike publicly-traded insurance companies that must maximize their financial return, Medical Mutual does not answer to stockholders or Wall Street analysts.

For more information, visit the company’s award-winning website at www.MedMutual.com. ❦

LPGA’s brightest stars return to Highland Meadows for 2014 Marathon Classic

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rom Thursday, July 17 through Sunday, July 20, Sylvania’s historic Highland Meadows Golf Club will once again host the LPGA Tour ’s brightest stars for the 29th annual Marathon Classic—our region’s largest single sporting event, which has contributed over $8 million to over 100 children’s charities in Northwest Ohio and Southeast Michigan since the tournament began in 1984.

Nabisco Championship. Lewis, born in Toledo, already has won twice this year and is the leading money winner and ranked #1 in the world rankings.

Creamer, last year’s Marathon Classic runner-up, has one win in 2014. Ko won the 2014 Swinging Skirts LPGA Classic near San Francisco when she birdied the 18th hole to beat Stacy Lewis by one stroke. Also, on her 17th birthday, Ko was named to Time Magazine’s 100 Most Influential Star-studded field People, an honor only four members The LPGA stars who have committed to of the LPGA have ever received. Ko was the only golfer, male play in this year’s Marathon Classic, which will be on or female, named to the The Golf Channel all four magazine’s list this year. days from 3:00 to 5:00 p.m., “We couldn’t be happier include Michelle Wie, Lexi with the quality of the field Thompson, Stacy Lewis, for this year’s tournament,” Paula Creamer, Lydia Ko, states tournament director and Natalie Gulbis. Beatriz Judd Silverman. “All of Recari will return to defend the LPGA’s top stars will her 2013 championship. be here and will put on Wie won the 2014 another great show for the community. This year ’s LOTTE Championship Marathon Classic will carry in Hawaii. Thompson, a purse of $1.4 million, 19, became the second youngest winner of a major NASCAR Hall of Famer which is a $100,000 increase championship when she Richard Petty will sign auto- over last year’s purse, and graphs on July 17th. captured this year’s Kraft thanks to Marathon, all

Editorial office:

Deadline for editorial submissions is the 10th of the month preceding publication. Send submissions to: Editor, Healthy Living News, 1619 Circular Dr., Toledo, OH 43614. Phone: 419-754-1339, fax 888-506-5790; email: editorhln@bex.net.

Publisher: Kevin O’Connell Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Robin Buckey Print Designer: Jan Sharkey Web Designer: Strategically Digital LLC Social Media: Samantha Watson Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech - Toledo Copyright © 2014 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.

4 July 2014 | Healthy Living News

exercises for golfers do not need to be intense—they should be varied enough to help you achieve better strength control. Ideal exercises include bench press, bicep curls, and tricep pushdowns.

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

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | July 2014

5

four rounds of the tournament will once again be globally televised by The Golf Channel, generating eight hours of international exposure for Northwest Ohio.”

New this year In addition to this year’s star-studded field, the tournament announced some exciting new features for this summer’s tournament. On Thursday, July 17th, NASCAR Hall of Famer Richard Petty will be in attendance, signing autographs and rooting on his favorite LPGA players. The tournament also announced that all active area police officers, firefighters, and military personnel will be admitted free into the tournament along with one guest!

“The Marathon Classic is a great family event,” Silverman says. “We’ve always allowed kids 17 and under in free with a paid adult. Our board just thought it was the right thing to do to honor the men and women who put their lives on the line for our country every day by offering them free admittance as well!”

Just for kids Another10x5.9_ES_NurseStaceyAd_HL_414.pdf new feature at the 2014 1 Marathon Classic is the Kids Zone,

offering all kinds of fun activities throughout the tournament. Kids can stop by a tent located in the display village near the front gate for more information.

The schedule of Kids Zone events is as follows: Thursday, July 17 • Scavenger Hunt Kick-Off Friday, July 18 • Riddle Me-Scavenger Hunt • Come visit the mascots Saturday, July 19 • Find Me-Scavenger Hunt • Junior Clinic–learn the FUNdamentals of golf with the pros Sunday, July 20 • It’s a Game-Scavenger Hunt • Face painting at the public pavilion The scavenger hunts will take place throughout the golf course.

Club 14 returns Club 14, the unique Marathon Classic attraction held at the Par-3 14th hole, is back and growing in 2014! The “Friday at Club 14” business-networking 5/22/14 9:29 AM event will once again offer

a one-of-a-kind opportunity to network with other Northwest Ohio and Southeast Michigan business professionals while enjoying the tournament. A new addition to the Club 14 festivities will be the LaBatt Blue Royale Party Deck, which will offer a great view of the 14th hole, Labatt Beer products, Pepsi products, and snacks included in the price of each Party Deck ticket.

2014 charities This year’s Marathon Classic will benefit 22 Northwest Ohio and Southeast Michigan children’s charities, including Ronald McDonald House Charities, Jamie Farr Scholarship Fund, Anne Grady Services, The Arts Partnership of Hancock County, CASA Volunteer Association (Monroe), CASA Volunteer Association (Toledo), Camp Fire Northwest Ohio, Children’s Hunger Alliance, Christian Clearing House, Down Syndrome Association of Greater Toledo, Findlay Family YMCA, First Tee of Lake Erie, Friends of the Findlay-Hancock Co. Library, Gliding Stars of Findlay, Junior Achievement, Mobile Meals of Toledo, Putnam County

Educational Service Center, Putnam County YMCA, Ryan’s Place, Specialized Alternatives for Family and Youth, Special Kids Therapy, Inc., and United Way of Hancock County.

Tournament schedule of events Monday, July 14 • 13abc/PNC Pro-Am—7:30 a.m. shotgun start • ProMedica/Hylant/Heidtman Steel Pro-Am—1:30 p.m. shotgun start Tuesday, July 15 • Pro Practice Round • KeyBank Putting Pro-Am —11:00 am • The Hollywood Casino Gala Dinner & Show at SeaGate Centre—6:00 p.m.

Wednesday, July 16 • Fathead Celebrity Pro-Am—all day Thursday, July 17 • First Round • NASCAR Hall of Famer Richard Petty—autograph signing • Kroger Senior Day Friday, July 18 • Second Round • “Friday at Club 14” Business Networking Party

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©2014 Elizabeth Scott Community

“ Nursing is what

Stacey was only 19-years-old and unsure of what she wanted to do with her life, when she drove past the Elizabeth Scott Community and stopped to get an application. Nineteen years later, she’s found her purpose in life.

“I love the elderly residents. They have such great life stories, and they’re so knowledgeable!”

Our founder, Elizabeth Scott, was also a nurse and believed in caring for residents like they were family. Sixty-five years later, nursing is still at the heart of our resident-centered care.

6 July 2014 | Healthy Living News

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 Tickets for this year’s Marathon Classic can be purchased at area Kroger stores (2 for 1 on weekly grounds tickets) and online at www.marathonclassic.

• Weekly Grounds Ticket—$50 • Weekly Clubhouse Ticket (access to grounds and clubhouse)—$100 • Daily Grounds Ticket (available at gate only)—$15 Monday through Friday, $20 Saturday through Sunday • LaBatt Blue Royale Party Deck—$50 per day (Thursday through Sunday) • Kids 17 and under (with paid adult)—free • Active military, police officers, and firefighters (plus one guest)—free with valid ID Parking, available in Lot B at Centennial and Brint, is $10 for a weekly pass (Monday through Sunday) and $5 for a daily pass. ❦ For more information about the 2014 Marathon Classic, please visit marathonclassic.com or call 419-5313277. Follow the tournament on Facebook at facebook.com/MarathonClassic.

A

Stacey P., RN, BSN, 19-year employee

2720 Albon Road Maumee, OH 43537 (419) 865-3002 www.elizabethscott.org

Volunteer opportunities

com. Purchase your tickets through the Marathon Classic Charity Ticket Program, and 100% of your sales price will go to the eligible charity of your choice.

Ticket prices are as follows:

The pros know chiropractic gives athletes the winning edge

I want to do.

Elizabeth Scott is where I want to be.”

Independent & Assisted Living, Skilled Rehab.

Family owned and operated since 1949.

• YP Day Saturday, July 19 • Third Round • LPGA Junior Golf Clinic —4:00 pm • The Blade Day Sunday, July 20 • Final Round • The Toledo Clinic’s Championship Sunday • 18th Green Closing Ceremony —5:00 pm

To learn more about Stacey’s story, visit www.elizabethscott.org

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

s the official chiropractor for the all ages and experience levels,” says Marathon Classic LPGA golf Dr. Frame. tournament and one of the two ofHe goes on to explain that ficial chiropractors for the Toledo chiropractic has made significant Walleye, Dr. Mickey Frame of Frame inroads in virtually every area of Chiropractic and Acuprofessional sports puncture knows that in the US, including chiropractic care can the National Football help athletes achieve League, National peak performance Hockey League, Major while remaining pain League Baseball, and the National Basketball and injury free.

“We’re finding that Association. In fact, a more and more pro chiropractor—Dr. Bill athletes are turning Moreau—oversees to chiropractic for treatment and directs the care for all the preventive care as Dr. Mickey Frame. well as for treatment athletes on the US in the event that they Olympic Team in do become injured because they want Colorado Springs, Colorado. to start with a more conservative While medications play an approach that doesn’t involve drugs important role in sports medicine, or surgery. Of course, what works too often they’re used to mask pain for the pros can benefit athletes of without actually addressing the

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | July 2014

7

underlying cause of the pain, which can lead to even greater problems for athletes down the road. Factor in the risk of opioid addiction and headlines about people dying from prescription medications, and it’s no wonder more and more athletes are seeking a more natural, drug-free treatment alternative.

With the exception of a hiatus following a motorcycle accident in 1999, Dr. Frame has served as the official chiropractor for the Marathon Classic since 1989. In that time, he has observed considerable change in the level of interest the LPGA players show toward chiropractic treatment. That first year, he treated only one golfer. But by 1999, just before his hiatus, he treated upwards of 80 players. In more recent years, the number of golfers he treats during tournament week has been closer to 30 or 40. “The number has stabilized at that level most likely because the golfers’ overall fitness level has improved. They have a fitness van that travels with them, and they’re concentrating more and more on developing their core strength," he says.

Neck pain, low back pain, and shoulder pain are just some of the conditions Dr. Frame treats during the Marathon Classic. He also works closely with Dr. Molly Judge, the tournament’s official foot and ankle physician, to help keep the golfers comfortably on their feet throughout tournament week. Dr. Judge does the taping and fits the golfers for orthotics, while Dr. Frame does manipulation of the foot and ankle joint if needed.

And that’s just one example of how collaboration between chiropractors and other practitioners makes sports medicine all the more effective. Another is seen in the complimentary services of chiropractic and massage offered to the Toledo Walleye hockey team. Dr. Frame and Dr. Michael Bentley provide the chiropractic care, but there’s also a team massage therapist who offers the players regular massage services. “In addition, I routinely work with physical therapists and refer patients out to other specialists. We know that chiropractic can’t be the be all and end all; it really takes a team approach, and we believe medicine would benefit from looking at chiropractic as another tool in its kit as well,” Dr. Frame observes.

Among the modalities Dr. Frame can use to help athletes and other patients enhance their performance/ function or recover from injury is Wave® whole-body vibration technology.

Developed for treating low back pain, knee or ankle issues, neurological disorders, limited range of motion, osteoporosis, and other conditions, vibration therapy involves performing exercises on a vibrating platform, which works nearly 100 percent of the muscle fibers in the body and stimulates proprioception (the sense of the body’s position in space) of the joints. Fifteen minutes of vibration exercise produces similar results to one hour of conventional exercise training.

Dr. Frame is also certified to perform Manipulation Under Anesthesia (MUA). This non-invasive technique is performed in collaboration with a pain medicine physician and involves manipulation of ligaments,

8 July 2014 | Healthy Living News

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muscles, or joints while the patient is under mild sedation, also known as “twilight sleep/ sedation.” The manipulation releases adhesive scar tissue that presses on surrounding nerves and causes recurring pain. MUA often brings pain relief—along with improved flexibility, range of motion, and function— when conventional treatments fail.

Yet another non-invasive modality at Dr. Frame’s disposal is Instrument Assisted Soft Tissue Mobilization, which involves the use of a handheld device to break down scar tissue and relieve fascia restrictions.

Dr. Frame is also licensed to perform

acupuncture, which is helpful not only for managing pain, but also for treating headaches, sciatica, knee pain, shoulder pain, and a host of other problems and complaints. It’s also good for smoking cessation.

“Whether you’re looking to perform at your athletic best, alleviate chronic pain, recover from injury, prevent illness, or simply achieve the highest possible degree of wellness, we’ll do everything we can to help you reach your goals naturally,” Dr. Frame says. ❦ For more information, please call Frame Chiropractic and Acupuncture at 419-475-9355.

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BySister Mary Thill

Spiritually Speaking What’s your legacy?

She was a warrior for peace, equality, and tolerance…She leaves us with a rich legacy of wisdom.

—From an editorial on Maya Angelou published in The Blade, May 29, 2014

H

ow does one write about the legacy of someone like Maya Angelou, who died on May 28, 2014, after a long life fully lived and shared with so many people? I could also throw two new saints into the mix, St. John the XXIII and St. John Paul II and ask myself the same question.

One’s legacy is usually a mix of the good and the bad, the dark and the light, the joys and the sorrows of a life lived in a world touched and sometimes overwhelmed by enormous generosity and incomprehensible cruelty. In a nation such as ours, where we are guaranteed so many rights and freedoms, we need to

10 July 2014 | Healthy Living News

reflect on the right use of these rights and freedoms. Such is the purpose of celebrating Memorial Day and the Fourth of July—at least as I see it.

From what I’ve read and seen of Maya Angelou, hers was not an easy or pleasant life. She could have been terribly damaged from the experiences of her youth and those of her young adulthood, but she seemed to have learned and risen above all that to become “a warrior for peace, equality, and tolerance,” at least during her later years. I don’t think I heard of her until she was chosen

by President Clinton to write and read a poem at his inauguration. I can still see and hear her share her beautiful poem, “On the Pulse of Morning,” that day in January, 1993.

I’ve watched her being interviewed

by Oprah on her Sunday morning program and thoroughly enjoyed the very obvious love and devotion shared between them. The people who mourned her at her memorial service recently were profoundly touched by her words and actions and even more so by who she was in her later years. Such a model and mentor full of wisdom for all of us.

The recently sainted popes also had their critics as well as their admirers. When people asked me how they could be canonized knowing that they too had their faults and failings, I commented that if St. Augustine and St. Francis of Assisi could be canonized, certainly these lessthan-perfect men could be so honored. And when you think of it, “Who of us can cast the first stone,” the question Jesus asked those who found a woman caught in adultery?

It’s all part of our legacy, our life story, our gift to those who know us for who we really are.

Just what is our legacy? What is your legacy? What do we, what do

you want to be remembered for as a member of the human family, your family, earth’s family?

I would hope that each of us would spend some time this 4th of July reflecting on these last lines of Maya Angelou’s inaugural poem: Here on the pulse of this new day You may have the grace to look up and out And into your sister’s eyes, And into your brother’s face, Your country, And say simply Very simply With hope— Good morning.

What a legacy, what a blessing, what a grace it would be if we could all come together and celebrate our rights and freedoms as a people full of gratitude for each “Good morning” of our lives. God bless America and all who live within its gracious shores! ❦ 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.

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Understanding melanoma: a potentially deadly skin cancer on the rise

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here’s both bad news and good news when it comes to melanoma. The bad news is, the incidence of melanoma is increasing and, of the major forms of skin cancer, it’s the type most likely to prove fatal if it metastasizes. The good news is, melanoma is very treatable and curable if caught early on.

“We’re absolutely seeing more cases of melanoma,” says Cindy Sutton, CNP, of The Toledo Clinic Cancer Centers. “In fact, the incidence has been rising for at least 30 years and melanoma is 20 times more common now than it was several years ago. That may be partly due to increased surveillance—more people getting spots and moles on their skin checked out by their doctor—but it is a clear trend. If we catch melanoma early, in stage zero to two, surgery usually cures it. Past stage two, when the cancer is deeper in the skin, melanoma is more likely to spread.”

One of the difficulties in catching melanoma at an early stage is the fact that recognizing it can be challenging even for experienced healthcare practitioners. Some telltale signs include a growth on the skin that is irregular in shape rather than round, variation in color or shade within the same growth, a growth that is greater than 6 mm in diameter (larger than a pencil eraser), or changes in a mole that has looked the same for a long time.

“If you see any of these symptoms or have any suspicions about a mole or other growth on your skin, you need to see your family physician or a dermatologist right away to have it checked,” says Sutton.

Sun exposure is a known risk factor for melanoma—and that includes tanning beds, which produce the same UVA and UVB rays that damage the skin and lead to skin cancer. Remember, there’s no such thing as a “healthy” suntan. If you want that bronzed look, Sutton suggests using spray-on tans or tanning lotions instead.

People are also at increased risk if they have a strong family history of

melanoma. “If you have a first-degree relation, meaning a parent or sibling, who has been diagnosed with melanoma, you need to see a dermatologist for a specialized skin exam yearly or every six months.

Also, if you have had a previous melanoma diagnosis, you need to be evaluated by a dermatologist twice yearly,” Sutton advises. Other melanoma risk factors include having numerous moles, fair skin, a history of one or more blistering sunburns in childhood, and a job or avocation that involves excessive sun exposure.

The appropriate course of treatment for melanoma depends on the size, depth, and extensiveness of the lesion, and there’s no one-size-fits-all approach. Surgical excision of the tumor is usually the first step, and if the disease is caught early enough, that may be all that’s necessary. But if it’s not caught early, oncologists still have a wide range of treatment tools at their disposal, including radiation, chemotherapy, and immunotherapy.

“Some of the new immuno- and

Part of the ABCDs for detection of melanoma.

On the left side from top to bottom: melanomas showing (A) asymmetry, (B) a border that is uneven, ragged, or notched, (C) coloring of different shades of brown, black, or tan and (D) diameter that had changed in size. The normal moles on the right side do not have abnormal characteristics (no asymmetry, even border, even color, no change in diametry).

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11

targeted-therapy options are getting very impressive results, so the treatment field is definitely expanding,” Sutton adds.

She also encourages patients to take a very active role in their treatment, noting that asking questions, seeking other opinions, and being an informed part of the treatment team not only empowers and encourages the patient, but also helps the oncologist and medical team make the best possible treatment decisions.

Of course, as with any potentially deadly disease, an ounce of prevention is worth much more than a pound of cure when it comes to melanoma. In addition to regular dermatological screenings for those with a personal or family history of melanoma, sun protection is the best form of prevention. Sutton recommends using a sunscreen with an SPF (Sun Protection Factor) of at least 15 as well as wearing a wide-brimmed hat, long-sleeve shirt, and sunglasses whenever you’re going to be spending time in the sun. People who are routinely exposed to sun, whether on the job or during other activities,

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are well advised to incorporate the application of sunscreen or a skin lotion containing sun protection into their morning regimen. “We also strongly advocate for parents to protect their children’s sensitive skin from the sun’s harmful rays so they can avoid the burns and other damage that can lead to skin cancer later in life,” Sutton says.

Toledo Clinic Cancer Centers, now located at 4126 N. Holland Sylvania Road, Suite 105, has nine board-certified hematologists/oncologists and ten nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TCCC’s satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe remain open for the convenience of the patient, and many TCCC 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.

Healing Arts Institute continues to broaden career horizons

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hether you’re a young student seeking a challenging-yet-fulfilling career path or an established healthcare professional looking to expand your skill set, Healing Arts Institute (HAI) has an academic or continuing-education program that will help you reach your goal—and put a future in your hands.

Established in 1997 for the purpose of training highly skilled, knowledgeable, and dedicated licensed massage therapists, HAI continues to expand its offerings to include other programs in allied health, all of which nourish students’ professional, academic, and personal growth, integrating the concept of balance between mind, body, and soul.

“Since we opened our doors, we’ve offered massage therapy and continuing-education programs, as well as a retail store, student massages at a discounted rate, and massages by licensed professionals,” explains Jodi Romaker, president and founder of HAI. “But we wanted to expand our programs beyond massage, so we’ve added an online spa-management

certification course and specialized fitness training courses, one in group exercise and another in older adult fitness. We’re also seeking approval for a medical-assisting program and looking into adding a medical billing and coding certification course.”

In addition, HAI may be offering studies overseas, which will enhance the students’ learning experience. Taking classes in another country allows students to broaden their worldviews and perspectives.

HAI is even exploring the possibility of expanding beyond the massage therapy and allied health professions into the technical and skilled trades, such as welding and HVAC (heating, ventilation, and air conditioning). These programs, if developed, would be offered in a dedicated facility on a separate, smaller campus.

Of course, massage therapy remains HAI’s signature program— and this growing career field offers employment opportunities in an ever-widening variety of settings, including private practice, medical and chiropractic offices, corporate

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wellness programs, hospice, hospitals, resorts, cruise ships, day spas, fitness centers, hotels, dance companies, athletic teams, and many others. In fact, according to the U.S. Department of Labor, employment of massage therapists is projected to grow by 23 percent from 2012 to 2022, much faster than the average for all occupations.

HAI has expanded their offerings to include spa management and fitness training courses.

The benefits of massage go well beyond mere relaxation. In fact, studies conducted by the Touch Research Institute in Miami, Florida have shown that massage facilitates weight gain in preterm infants, alleviates depressive symptoms, reduces pain, reduces stress hormones, and improves immune function.

Romaker says that students can complete the massage therapy course in as little as 10 months. Upon graduating from the program, students receive a diploma in massage therapy, qualifying them to take the Massage and Bodywork Licensing Examination (MBLEx) to become licensed massage therapists. “We’re extremely proud of our graduates’ state board pass rate, which we attribute not only to their hard work and dedication, but also to our comprehensive training program and the skill and expertise of our instructors, most of whom have been with us for many years,” she adds.

In addition to academic and continuing-education courses in massage therapy and other allied health professions, HAI offers massage therapy services to the general public, including in-home massages and on-site chair massages for businesses, provided by professionals licensed by the Medical Board of Ohio. Plus, HAI students with at least six months of training

offer massages at a reduced rate.

The general public can also take advantage of HAI’s product center, featuring a wide variety of health and wellness products, as well as HAI memberships, which entitle members to a free one-hour student massage each month; discounts on professional massages, product cen-

ter merchandise, gift certificates, continuing education seminars, and yoga classes; priority scheduling for student clinic massages; and more.

Romaker points out that opportunities to embark on an exciting new career path are offered regularly at HAI. A new massage therapy course begins approximately every six weeks,

the Older Adult Fitness Specialist Class begins on July 12, and the online spa-management course is scheduled to begin on August 24.❦ For more information on the courses, programs, and services provided by Healing Arts Institute, please visit hai. edu or call 419-874-4496.

Health literacy and new roles for pharmacists

by Avani Shukla, BSPS, and Michelle Mangan, PharmD, BCACP, CDE

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ore than one in two adults can’t use a body mass index (BMI) graph to find their healthy weight, understand a vaccination chart, or read a prescription drug label.1 Can you? A growing public health issue is sweeping the nation, and it’s called inadequate health literacy.

So what is health literacy? It is not something that can be diagnosed by looking at someone, but it is a stronger predictor of a person’s health than age, race, income, employment status, and education level.2 Health literacy is defined as an individual’s ability to read, understand, and act on health information. Examples of health information include prescription labels, appointment slips, and pamphlets.

Only 12% of US adults have

adequate health literacy.

Over one-third of US adults, approximately 77 million, have basic or below basic literacy skills. These adults would have trouble reading a prescription bottle, determining what time to take a medication, or reading a table.3 Also, more than 90 million people in the US have difficulty reading. It is reported that one out of five adults reads at the fifth-grade level or below 3 http://www.health.gov/communication/ literacy/issuebrief/

and the average adult reads at the eighth- to ninth-grade level. However, most healthcare materials are written above the tenth-grade level.4 In one study, patients were give five prescription bottles, and it was found that 50% did not understand at least one of the labels.5 Moreover, low literacy adversely impacts many disease states, affects prevention/ treatments, and leads to worse outcomes and more complications.

4 Doak CC, Doak LG, Root JH. The literacy problem. In: Teaching Patients with Low Literacy Skills. 2nd ed. Philadelphia: J.B. Lippincott Co. 1996: 1-9 5 http://nnlm.gov/outreach/consumer/hlthlit. html

1 http://hackathon.communicatehealth.com 2 Weiss, BD, ed. 20 Common Problems in Primary Care. New York: McGraw Hill. 1999: 468-481../../../ashukla/Downloads/Health Literacy_ A Prescription to End Confusion_IOM.pdf

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13

Some specific diseases that can be affected include cancer, diabetes, asthma, and high blood pressure.5 Why does all that matter? Choosing a healthy lifestyle, knowing when and how to seek medical care, correctly taking medications, staying on medications, and managing disease appropriately all require people to understand and use health information accurately. Therefore, having adequate health literacy can improve outcomes and lead to a better quality of life, fewer complications, and decreased healthcare costs.

According to findings, people with inadequate health literacy are more likely to skip important preventive measures (Pap smears, flu shots), get admitted when they are sicker, have chronic conditions and manage them less effectively, and have an increase in preventable hospital visits. 6 Individuals with inadequate health literacy have an average annual cost of $13,000 compared to only $3,000 for those with adequate literacy levels.7 Even more concerning is the fact that up to 80% of patients forget what their doctor tells them as soon as they leave the office and almost 50% of what they do remember is remembered incorrectly. And adding to all of this, most patients hide their confusion from their doctors because they are too ashamed and intimidated to ask for help.8 So how can you become more health literate? The answer is around the corner at your local pharmacy.

Pharmacists are among the most accessible healthcare providers. They can be seen without an appointment and without any triaging. They are conveniently located, most likely within 15 minutes, and many are open 24 hours a day, seven days a week.

We all know pharmacists fill prescriptions, but they can do so much more than that. They offer a variety of clinical services that are free or covered by many insurance 6 Scott TL, Gazmararian JA, Williams MV, Baker DW. 2002. Health literacy and preventive health care use among Medicare enrollees in a managed care organization. Medical Care.

40(5): 395-404 7 http://www.health.gov/communication/ literacy/quickguide/factsliteracy.htm 8 Health Literacy & The Prescription Drug Experience: The Front Line Perspective From Patients, Physicians and Pharmacists, Roper ASW, May 2002

14 July 2014 | Healthy Living News

plans. Some of these clinical services include general health screenings (blood pressure, cholesterol, blood sugar, BMI), vaccinations, and personal medication reviews or medication therapy management (MTM).9 They can also advise on using over-thecounter treatment versus seeing a doctor and can counsel on ways to remember to take medications.

Furthermore, they can help individuals without insurance get cost-effective medications and are knowledgeable about prescription assistance programs.

It is known that pharmacists are medication experts; most went to school for five years or more and have doctoral degrees in their field. All of the aforementioned services are in addition to the pharmacist’s main service of dispensing medications. They can give education about a medication’s purpose, potential drug interactions, side effects, directions for use, and certain food requirements. Finally, pharmacists can offer education and coaching on health-maintenance topics, such as smoking cessation, diabetes education, weight loss, nutrition management, and exercise tips.

So the next time you are at your pharmacy, do not be ashamed or embarrassed to ask questions, inquire about the services the pharmacy offers, and clarify anything you forgot to ask your doctor or still do not understand. Take control of your health by improving your health literacy. Your healthcare team is there to help. ❦

UT students serve others at Cherry Street Mission health fair

by Christine A. Holliday

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hose seeking assistance at the Cherry Street Mission were the beneficiaries of an outreach project orchestrated by four University of Toledo students in the College of Pharmacy and Pharmaceutical Sciences.

Elias Bassil, Amer Chourman, Hanin Chouman, and Christian Jeric received a $2,500 grant from Walmart, which was sponsoring a competition through the Student National Pharmaceutical Association.

The students won a regional bid from

the national organization’s office to present a community-outreach event.

They decided to collaborate with the Cherry Street Mission to put on a health fair. They asked for help from several local agencies, starting with College of Pharmacy professors Dr. Monica Holiday-Goodman, Dr. Megan Kaun, and Dr. Michelle Serres. The students worked with Hussein El-Khatib, owner and pharmacist at the Toledo Family Pharmacy,

Avani Shukla is a sixth-year doctor of pharmacy student at the University of Toledo College of Pharmacy and Pharmaceutical Sciences. Dr. Michelle Mangan is a clinical assistant professor of pharmacy practice at UT and is currently the program director of the outpatient diabetes education program.

The information presented in this column is intended for your general knowledge only and does not aim to replace medical advice or treatment for specific medical conditions. If you have any specific questions about any medical matter, you should consult your doctor or other professional healthcare provider.

9 http://www.pharmacist.com/october-american-pharmacists-month-%E2%80%93-know-yo ur-pharmacist-know-your-medicine

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who donated multivitamins, firstaid kits, glucose meters, lancets, and toothpaste, among other things. The Lucas County Health Department, along with Mercy St. Charles and Nuestra Gente, provided free HIV and Hepatitis C testing to more than 30 patients, and Americare was also involved.

Bassil reported that the fair was a great success. “We saw more than 80 patients and offered blood sugar, blood pressure, and cholesterol tests as well as medication therapy management and free ‘care packages’ that included toothpaste and toothbrushes, hand sanitizers, first-aid kits, and other toiletries.”

The generosity of the event partners meant that the grant money stretched a long way. The students used a small part of the grant to provide a complete meal for people at the Mission. Volunteers served a chicken, broccoli, and potato salad and dessert dinner to 159 people and put $2,000 of the funds into an account available to the Mission. Through a relationship with the Toledo Family Pharmacy, patients at the Mission who aren’t able to afford their medicines or supplies will be able to use the funds to obtain them.

“The local SNPhA chapter hopes to replenish the account constantly through fundraisers during the academic year,” Bassil said. “We are hoping this project helps bridge the gap and provides the underserved with access to more health care.”

He added, “The fair was a very rewarding experience and positively affected the volunteers more than it impacted the people at the Mission.”❦

Could you be a candidate for bone-anchored hearing aids?

by Shelly Horvat, AuD, CCC-A

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or humans to hear sound, the sound typically travels through the air, to the ear canal, to the eardrum and the middle ear bones, to the inner ear, and then to the brain.

We also hear sound via the bones of our skull and our teeth. In fact, the main way that we hear our own voice is through vibrations in the skull. If you plug your ears and talk, you’re mainly hearing your own voice through bone conduction.

In contrast, traditional hearing aids send sound through the air starting at the ear canal. Certain ear malformations, skin conditions, and types of hearing loss prevent people from wearing traditional hearing aids.

For those who can’t wear traditional hearing aids, there are two main types of surgical implants available. Most people are aware of the cochlear implant. It is appropriate for people with severe to profound hearing loss in both ears. A lesser-known type of hearing implant is the bone-anchored hearing aid system. This article will cover basic information about bone-anchored hearing systems.

The body’s natural ability to transfer sound through the skull bone is the main principle of the bone-anchored hearing aid system. The hearing aid sound processor picks up sound, converts it to vibration, and sends the sound vibration directly to the inner ear via the skull bone. This method of delivering sound bypasses the ear canal, eardrum, and middle ear bones,

since, in most cases, an “abutment” sits on the the sound processor is screw on the outside of the placed behind the ear skin. The abutment resembles a snap from a piece on the mastoid bone.

Moreover, since the of clothing. The hearing sound is delivered via aid, or sound processor, the skull bone, it travis then snapped on to the abutment each day and els to both inner ears The small titanium implant rather than just one. removed for sleeping, This last phenomenon showering, etc. just like makes the bone-ana traditional hearing aid. chored hearing aid a Candidates for the great option for people bone-anchored hearing with deafness in one ear aid system are adults and and normal hearing in children with hearing loss the other ear. caused by malformation The implant surgery of the outer or middle sounds like a scary proear, along with people The abutment without cedure but fortunatewho cannot wear tradisound processor ly it’s not. During a tional hearing aids due to 15-minute surgery, the draining ears from midear, nose and throat dle ear tumors or chronic (ENT) physician inmiddle ear infections, or serts a small titanium skin conditions such as screw into the skull severe eczema in the ear bone behind the ear. canals. As stated earlier, The titanium screw is another candidate for the used because of a prinbone anchored hearing ciple called “osseointesystem is a person who The sound processor on gration,” whereby the has normal hearing in the abutment body basically forms one ear and deafness in bone around the titanium piece and the other ear (single-sided deafness). fuses it in place. Titanium is a safe The bone-anchored hearing aid is metal commonly used in dental im- worn on the deaf ear, and it transfers plants; pacemakers; shoulder, knee, sound from that side to the normal and hip replacements; and spinal inner ear on the other side. fusions since the 1950’s.

A nice feature about the bone-anIt takes approximately nine weeks chored hearing aid is that, unlike most for bone to form around the titanium surgical implants, people can easily screw. A small circular piece called “test drive” it, or hear a simulation

Let our experts help with what’s weighing on your mind.

Shelly Horvat, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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people can now sit on her “bad side” and she can still hold a conversation with them.

Overall, bone-anchored hearing aids are excellent solutions for adults and children with outer- or middle-ear-related hearing loss as well as people with single-sided deafness. The relatively simple surgical procedure is well tolerated, and the sound processor delivers great sound quality to the wearer.

Two companies, Oticon Medical and Cochlear Corporation, manufacture bone-anchored hearing aids. Both companies have excellent websites providing information about their product and the surgery.

The initial step to better hearing is to have your hearing tested. Call the audiologists at Northwest Ohio Hearing Clinic to schedule your hearing evaluation and to find out what options are available to improve your hearing. ❦

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of what bone-conducted amplification will sound like, right in the audiologist’s office. At Northwest Ohio Hearing Clinic, the audiologists work with local otolaryngologists (ear, nose, and throat physicians) and the patients to establish candidacy for the bone-anchored hearing aids.

The otolaryngologist performs the surgery, and the audiologist performs the hearing instrument programming, fitting, and orientation to the instrument for the patient.

Although the percentage of people needing bone-anchored hearing aids is small compared to traditional hearing aids, we feel it is important to offer the bone-anchored hearing aid solution to our patients because of the great satisfaction they report. Comments such as, “I’m able to participate in conversations at noisy restaurants” and “I can finally register where sound is coming from!” are what we hear from our patients after they receive their bone-anchored hearing aids. Another patient stated, “Going through the minor surgery seemed like a big deal at the time, but it was nothing compared to the benefits I get out of wearing my bone-anchored aid.” Yet another patient stated that

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Pizza Palooza

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ho has the best pizza in Northwest Ohio? Pizza Palooza has weathered rain and hailstorms, but there is always a clear winner in the end. This year’s pizza contest will be held on July 25 and 26. Times are 5:00–11:30 p.m. on July 25, and 4:00–11:30 p.m. on July 26.

The last four years have found almost 12,000 guests annually tasting thousands of slices of pizza just to vote for that favorite pizza restaurant. Runners bring in hundreds of boxed pizzas over the two days, and visitors can expect to see crowd favorites as well as new pizza varieties. Gluten-free, Mediterranean, and dessert pizzas are often featured. Newcomer Fat Tony’s Pizza will be hoping to top the other nine pizza vendors who will be vying for the best pizza restaurant in Northwest Ohio and taking home the winner ’s trophies sponsored

by Sofo’s: Amie’s–Mancino’s Pizza, Charlie’s Pizza, J-Cups Pizza, Jet’s Pizza, Jo-Jo’s Pizzeria, Mama Mary’s, Pizza Papalis of Toledo, PizzAroma, and Vito’s Pizza. The contest will be professionally judged on Friday, July 25 with winners announced at 8:00 p.m. People’s choice winners will be announced on July 26 at 9:00 p.m.

Pizza Palooza is a family-friendly event with several children’s activities highlighted. Palooza enthusiasts will enjoy fabulous musical entertainment.

Mt. Fuji and the Eruptions, Distant Cousins, and Last Born Sons will perform on Friday evening. Saturday features Boffo and Barile and May, with headliners The Wheeler Brothers taking the stage at 9:00 p.m.

The Wheeler Brothers are no strangers to Northwest Ohio as they continue their US tour. Previously headliners at “Almost Oktoberfest” in 2013, their reception in Sylvania was so overwhelming that they are coming back. “It’s a family reunion every time we go,” says lead singer Nolan Wheeler. “Growing up,

we’d make the trip once a year to visit family and luckily we’re able to continue the tradition! So far, we’ve played Toledo, Cleveland, Columbus, Marietta, Chillicothe, and Akron, and we always look forward to coming back.”

The Wheeler Brothers include Nolan Wheeler (vocals, guitar), Patrick Wheeler (drums), Tyler Wheeler (bass), and Nathan Rigney (guitar, backup vocals).

Their accolades keep mounting. They were winners of the Austin Music Awards this spring for “Best Roots Rock Band” and runner-up for “Album of the Year.”

The Wheeler Brothers have spent their fair share of time on the road, along the way performing with The Avett Brothers, Gary Clark Jr., The Lumineers, Drive-By Truckers, Houndmouth, and more. The band made their national television debut on Last Call with Carson Daily and received widespread acclaim from Rolling Stone, Paste Magazine, AOL Spinner, The Washington Post, Elmore Magazine, and The Austin Chronicle.

They also performed searing live acoustic sessions with Daytrotter and American Songwriter, among others.

Admission tickets for Pizza Palooza are $6.00 for adults, $4.00 for children 5-12, and free for children 4 and under. Vendors will be selling pizza for $1.50–$2.00 a slice. Advance tickets are available at Metamora State Bank and the Sylvania Area Chamber Office.

Presenting Sponsor for Pizza Palooza is Kistler Ford. Sponsors are Metamora State Bank, Paramount Health Care, Edward Jones, Flower Hospital, Jennite, The Butterfly House, City of Sylvania, Over the Rainbow Early Learning Center, Kingston-Sylvania, Sylvania Vet, The VZN Group, Walker Funeral Home, and Sofo’s Foods. Media Sponsors are The Toledo Blade, 92.5 KISS FM, 13 ABC, Lamar Outdoor Advertising, Toledo City Paper, and Sylvania Advantage Newspaper. ❦

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19

HCF communities honor and empower residents with Person Centered Care model

T

he transition into a skilled-nursingcare facility, whether for a shortor long-term stay, can be an anxious time for people who are medically unable to remain at home. Often at the heart of their apprehension is the simple fear of losing autonomy—the ability to make fundamental day-today decisions, such as when to wake and go to sleep, what and when to eat, and when and how often to shower or bathe.

Recognizing that residents’ preferences and routines are an important part of what makes them unique, Bowling Green Care Center, Bowling Green Manor, and The Manor at Perrysburg (all area HCF Management facilities) have implemented and embraced the Person Centered Care model in their communities.

Person Centered Care differs markedly from the traditional medical model, which tends to focus more on efficiency—regimented medication times, en masse meals, scheduled showers, inflexible wake/sleep times, etc.—than resident autonomy. Instead of dictating uniform, fixed schedules, Person Centered Care encourages residents’ individuality and empowers them to make choices and establish their own routines.

Special gardens at Hospice of Northwest Ohio’s inpatient centers pay tribute to veterans

H

ospice of Northwest Ohio recently completed planting special gardens at both its Perrysburg and Toledo Hospice Centers that pay tribute to veterans. In addition to plants and flowers, each red-white-and-blue-themed garden is marked with an engraved river rock and stone bench.

Known locally for its beautiful gardens and landscaping, Hospice of Northwest Ohio is proud to be able to honor veterans in this way.

The gardens offer an additional space where families and visitors alike can reflect on the life of their loved one and, at the same time, honor their military service.

The veterans’ gardens are just the latest addition to the list of recognition events Hospice of Northwest Ohio offers for veterans. As part of the National Hospice and Palliative Care Organization’s We Honor Vets initiative, patients are asked about their military service upon admission and a special notation is made in their record.

“We have educated our staff about the importance

20 July 2014 | Healthy Living News

“I define Person Centered Care as putting residents first and putting passion and feeling into their care,” explains Jessica Miller-Blakely, MSIG, LNHA, Nursing Home Administrator for Bowling Green Care Center. “It’s about looking beyond the resident’s condition or diagnosis and really treating the whole person. In other words, we’re going to care for ‘Thelma Smith,’ not just Thelma Smith’s diabetes. As part of honoring residents’ choices, we want to know how they like to structure their day—when they prefer to get up, eat their meals, take their medications, and so on.

Why should those routines be any different just because they’re coming into a skilled-nursing facility?”

Blakely notes that one of the biggest advantages of providing Person Centered Care is easing the transition when residents first enter the facility. Communication is better, the comfort level is much higher, and new residents are encouraged to freely express their preferences.

She has also observed that, owing to the more home-like atmosphere that Person Centered Care creates, families seem to be more enthusiastic about socializing with their loved ones within the care communities

and sharing in the many fun activities that the facilities offer rather than always taking them off grounds. “We can never completely replace home, but we can provide an environment that is as close to home as possible and offer residents the same choices, opportunities, and autonomy that they enjoyed at home,” Blakely says.

Of course, allowing residents to choose what they want and don’t want does require a delicate balance. For example, the staff can’t compromise when it comes to upholding safety and security standards. However, choices such as what to eat will be respected, even if the resident’s food preferences aren’t necessarily as healthy as they could be. “We have to consider why we might put restrictions on certain things in light of residents’ quality of life and ask ourselves what choices they would make if they were at home. If they choose to make unhealthy decisions, we do our best to educate them on better options,” says Blakely.

Person Centered Care is also practiced in Bowling Green Care Center’s secure dementia unit. While routines and patterns are very important to people with dementia, they also tend to be unpredictable. As a result, the

unit’s specially trained staff absolutely must be person centered and learn to “go with the flow” of the patients.

They still do everything possible to accommodate individual preferences, but they have to be very creative in how they achieve that.

Blakely explains, “Patients with dementia may have a very difficult time processing choices presented as a question, such as ‘Would you like to wear the red sweater or the blue

sweater?’ In this instance, they may not be able to recall what a sweater is or even connect any meaning to different colors. So instead of presenting choices in the form of ‘either/or,’ we explain what we’re doing very carefully and try to take cues from their nonverbal communication. We also work very closely with residents’ families to help determine what their preferences were in the past.”

For the staff members of a facility that practices Person Centered Care, time management can be a bit more complicated than it is with the traditional medical model. However, Blakely has observed that Bowling Green Care Center’s staffers seem to enjoy the challenge of finding innovative ways to accommodate residents’ choices and preferences.

“It’s a constant evolution. Everyone is growing from this. We learn something new every time we ask ourselves, ‘How can I do this?’” she says. ❦ For more information about Bowling Green Care Center and Bowling Green Manor, please contact Jeff Miller at 419-351-6514, and for The Manor at Perrysburg, please contact Barbara Mullholand at 419-874-0306.

military culture has on the life of a veteran, whether they have served during war time or peace time. Each era leaves a mark and shapes experiences forever,” shares Executive Director Judy Seibenick.

“In addition to awareness of potential adaptations to care, we also recognize veterans for their service through a special pinning ceremony. We Honor Vets allows us to tap into our volunteers who are veterans and work together to show appreciation to the men and women who have served our country,” adds Judy.

The Perrysburg Center is located at 30000 East River Road, and the Toledo Center is located at 800 South Detroit Avenue.

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21

Ask your body how to burn fat with NutriMost Resonant Frequency technology

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f you’ve tried all the diets out there and still haven’t found the right answer to recurring fat-loss failures, you may not be asking the right question.

Using state-of-the-art biocommunication technology, Dr. Nickalis Dumas of NutriMost Toledo can help put your body into its optimal fat-burning zone by “asking” what your body needs and then developing a completely personalized supplement to replenish deficient elements and restore a healthy hormonal balance.

As a result, your body will begin to shed fat rapidly, your metabolic age will plummet, and your weight set point will be re-established at a healthier level.

“Each cell or hormone in your body has its own frequency—a unique ‘song,’” explains Dr. Dumas. “If a cell is deficient in a certain element, it will resonate at the wrong frequency. When we perform a scan using NutriMost Resonant Frequency technology, we’re sending a signal to the body and it responds with very subtle changes in your body’s resonant frequency. Based on that feedback, we can determine very precisely which supplements we need to replenish. For example, if your body says it’s deficient in vitamin A, vitamin C, or B12, I would then take that vitamin element and embed it into an all-natural mineral supplement that you would either drink in a 24-ounce glass of water or

22 July 2014 | Healthy Living News

take sublingually. Once the vitamin deficiency is corrected, the cell once again begins to resonate at the normal frequency and healthy cells can start to replicate.”

What does all this have to do with fat loss? As Dr. Dumas further elucidates, a body in optimal condition has an “internal caveman” that knows exactly how much fat you need on your heart, liver, belly, thighs, etc. When food is available in abundance— as it virtually always is in our society—this internal caveman knows there’s no reason to store fat, so it keeps humming along in fat-burning mode. However, eating foods that aren’t right for you—in other words, giving your body elements that it has no biological preference for—will shut off the caveman and put your body in fat-storage mode.

The NutriMost program involves no needles, hormones, hunger pangs, or strenuous exercise. Dr. Dumas also emphasizes that NutriMost is not strictly a weight-loss program, though the numbers on the scale will move. Participants lose only excess fat (especially around the abdomen), not muscle or water. Throughout the program, participants are scanned at regular intervals to ensure their bodies are absorbing water properly

and maintaining muscle mass while their fat content goes down. “Most patients can expect to lose at least 20 pounds in the first 40 days of the program. In fact, our first class, which consisted of eight women and two men, lost a combined 120 pounds of fat only—not muscle and water—in the first 12 days alone,” Dr. Dumas says.

NutriMost also differs significantly from other programs in that it’s doctor-supervised (participants are even given Dr. Dumas’ cell phone number so they can call him with questions or concerns at any point during the program) and every supplement formulation is specifically customized to the individual. Furthermore, the program is the least expensive in the country. For a limited time, NutriMost Toledo is offering a body composition analysis (BCA) for only $27 (normally $99). A BCA scan entails body mass index (BMI), visceral fat, body fat percentage, metabolic age, and body water percentage.

NutriMost has been brought to the Toledo area because everything our nation has done to combat obesity for the past several decades has only succeeded in making us fatter. “In the last 25 or 30 years, we’ve constantly introduced more weight-loss plans,

more diet foods and drinks, and more exercise programs. All the stuff that’s supposed to make us thinner has tripled, yet today we’re fatter and sicker than ever before,” Dr. Dumas remarks.

NutriMost Toledo has also set the goal of helping Toledo save $200 million each month. Dr. Dumas points out that chronic heart disease, stroke, and diabetes are “million-dollar diseases” from the standpoint of treatment costs.

Every person at risk of developing one of these diseases that can be helped will bring NutriMost closer to that goal.

“I’m urging anyone who is struggling with excess body fat to schedule a scan. It’s time to change your focus and start giving your body the customized plan it needs to achieve lasting, permanent fat loss.” ❦ For more information on the NutriMost fat-loss system or to schedule your scan, please call 419-725-2345.

Toledo Zoo offers garden tour series

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nimals aren’t the only thing to see at the Toledo Zoo. The Watch it Grow garden tour series takes you through the Zoo’s beautiful gardens to see how they grow, bloom, and change throughout the season.

Zoo horticulturists lead these 90-minute tours, discussing such topics as soil preparation, plant identification and selection, and cultural practices. The tours are free with regular Zoo admission, and reservations are not needed; just meet by the historic Conservatory and be sure to wear comfortable walking shoes.

Garden tours will be offered on July 16, August, 20, and September 17 from 10:30 a.m. to 12:00 p.m.

While you’re at the Zoo, don’t miss the all-new Flamingo Key, Penguin Beach, and ‘Keet Retreat.

Visitor experiences like these are just some of the reasons the Toledo Zoo is rated the #1 zoo in America and among the top ten family attractions nationwide. For more information, visit toledozoo.org.

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July 22

Get the lowdown on high blood pressure

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t’s a familiar ritual that’s been part of every medical checkup you’ve had since childhood. The doctor, nurse, or medical assistant wraps a blood-pressure cuff around your arm, pumps it up good and tight, slowly releases the pressure, then scrawls some unintelligible fraction in your chart. You never give the measurement a second thought—until the one time the numbers in that fraction are higher than they should be.

According to the Centers for Disease Control and Prevention, approximately one in three US adults have high blood pressure. That means the force of the blood flowing through their arteries (the vessels that carry blood away from the heart) is excessive, which damages the arterial walls, leading to hardening and narrowing of the arteries, and makes the heart work much harder than necessary to pump blood throughout the body.

People with high blood pressure, also known as hypertension, are at increased risk for heart disease, kidney disease, stroke, damage to

the eyes, sexual dysfunction, and other serious health issues. What’s worse, high blood pressure is a “silent killer,” typically causing no noticeable symptoms as it ravages the body.

The good news is, high blood pressure and the damage it causes can be prevented—or at least effectively managed. To learn more about this

stealthy disease, don’t miss the informative presentation on blood pressure by Diment Singh, PharmD, of Walgreens. This event, part of the Walgreens Wellness Series, will be held on July 22 at 3:00 p.m. at Senior Star at West Park Place, 3501 Executive Parkway in Toledo.

Presentation topics will include:

pressure • Causes and symptoms • Long-term effects • Non-pharmacological intervention • Pharmacological intervention • New recommendations To RSVP or for more information, please call 419-442-0791. ❦

• Definition of high blood

by Myles Mellor

Across 1 Seafood that is better fresh than farm-fed 4 Gym move (2 words) 10 Realize 11 Tart fruit often squeezed onto fish 12 Food stat.

13 Healthy wine choice 14 West Coast city 15 Ranch or Italian 19 ____ bladder 20 Paul McCartney for one 21 Trademark, abbreviation 22 Temperature controller, for short 24 Something to jump on when exercising

ilovecrosswords.com

28 Tumors 30 Loose-limbed 31 TV’s “___ Martin” 32 Tuna type 34 Orange fruit 36 Breathe hard 38 Higher than it should be, of blood pressure, for example 39 Pops Down 1 Healthy greens 2 Free in motion, like a gymnast 3 Have legal possession of 5 Canada’s neighbor 6 Florida is in the __ of the US

Answers on page 52

7 One who recommends natural remedies 8 What you do on an exercise bike 9 Healthy cereal 14 Stew bean 16 Barbecue offering 17 Exercise to extend limbs to fullest extent 18 Separation 23 Type of cabbage 25 Spa treatment 26 Put forth energy 27 Antiseptic 28 Vineyard fruit 29 Military officer, for short 33 “2001: A Space Odyssey” computer 35 Seafood selection 37 Dr. Oz’s medium

24 July 2014 | Healthy Living News

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25

How to break free from a healthy lifestyle slump

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e are now seven months into 2014, and the question for all of us is, how are we doing on our New Year’s resolutions of dieting, exercising, and losing weight?

Daily life keeps us so busy that we can lose energy and motivation to work out and eat healthier. It happens so gradually that we hardly take notice. We start off strong, then things happen. We promise to get back on track, and we may, just not as frequently. Eventually, we stop working out altogether and fall back into old habits.

If you reflect on your effort over the past few weeks, what do you see? Have you been a little more lax with what you eat? Do you feel a little discouraged? The further behind you get, the harder it is to retool and start again.

If you’re in a slump, this is a perfect time to break free. It may be like starting all over again at the first of the year, but once you get moving again and taking positive steps, you’ll soon find your forward momentum to fitness and health.

Here are two quick tips to start

the positive motion: •Schedule some exercise time into your day today. You don’t need to schedule 60 minutes or even 45 minutes; it can be 15 minutes. Just start moving. The biggest predictor of whether you work out tomorrow is whether you work out today. Getting started is always the tough part as we know. Take a walk, walk the stairs at work, and do some simple calisthenics—squats, push-ups (wall push-ups), lunges, and high knee marches.

•Decide on your eating plan. One of the best things you can do to get back on track is draw a line in the sand and don’t step over it. Make healthy choices today, tomorrow, and in the future. Eat for energy and vitality, not out of habit or senseless eating.

Taking the first step is hard, but the next one is a little easier, and the next one and the next one. Make the second half of 2014 the best half!

For those who have been sticking to their plan since January, congratulations! You have the wellness bug, and it feels good! Have you

increased your activity? In our enthusiasm and feel-good energy, we may have forgotten a few key points that need to be brought up: Burnout—If you exercise too much with no breaks, you may experience burnout. This can be an impediment to your goals. Burnout leads to loss of motivation and can increase your risk of injury. A sign that you’re heading toward burnout is beginning to have a change in attitude toward working out; instead of enjoying it you start to dread it.

Injury risk—Overtaxing your body with too much exercise and insufficient rest can lead to injuries. During exercise, your body naturally experiences

stress, strain, and micro-injuries.

When you rest, your body has the chance to heal these micro-injuries, which leads to improved strength and overall endurance. But if the micro-injuries don’t have a chance to heal, you potentially are at a higher risk for injury. Moderation is the key, and that involves rest and relaxation.

Decreased life performance—An overworked and overtaxed body and mind get tired, so productivity and life performance suffer. We do need to give our bodies and minds time off. Take time to relax each day—it is important.

If you can take a vacation or time off work to refresh you mind, body, and spirit, you won’t regret it!❦ ❦ Heartland Rehabilitation Services, outpatient physical therapy and occupational therapy provider, offers a Healthy Lifestyle Weight Loss class and wants to be on your team, supporting and guiding you to making healthier food choices and establishing an exercise program that is for you and only you.

Contact Jim Berger, area manager, at 419787-6741 or jberger@hcr-manorcare. com.

No one knows you like your family physician

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n this era of ever-increasing medical specialization, we might be tempted to think that the role of the traditional family doctor is diminishing.

But the simple truth is, with healthcare costs on the rise and the healthcare field in general becoming increasingly complex, it Dr. Rao is concerned that many has never been more important to patients who might be eager to see a develop a relationship with a primary family physician to have their health care physician (PCP). concerns addressed are reluctant to “First and foremost, family doc- do so unless they’re very sick betors address the issue of preventive cause of the high cost of copays and care,” explains Toledo Clinic family deductibles—though she’s encourphysician Upamaka Rao, MD. “As aged by the fact that more insurance healthcare costs continue to skyrock- companies are beginning to make et, there’s much more emphasis on preventive care free. prevention than treatShe also notes a growment these days. Your ing trend of patients family doctor also has using emergency departa unique perspective ments for treatment of in that he or she knows non-urgent complaints your personal and family or chronic conditions, medical history very well either because they’re and, based on that, can uninsured/underinsured determine what diseases or they simply can’t get you may be at increased a prompt appointment risk for so you can be with a family doctor. screened and counseled Not only does this overappropriately.” whelm emergency deWhat’s more, fampartments with minor Dr. Upamaka Rao ily doctors are poised complaints, but it also to make appropriate sells the patient short. “If referrals to other healthcare pro- your problem is not an emergency, fessionals and to help their patients it’s much better to see a physician navigate the often murky waters of who knows you well than to see an the healthcare system. Dr. Rao likens ER doctor who is unfamiliar with the PCP’s role to that of an orchestra your personal and family history conductor—helping to explain to and doesn’t have a sense of what’s patients what to expect from their normal for you,” Dr. Rao says. care and treatments, which consulSimilarly, many people are relytations are needed, when they need ing on walk-in clinics and urgent to be seen, etc. care facilities staffed by mid-level

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Ashanti Hospice is here to help you navigate through difficult times.

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26 July 2014 | Healthy Living News

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27

care providers for their health care.

While these facilities and providers play a very important role in treating routine complaints, they shouldn’t be considered a substitute for a primary care physician—because, as Dr. Rao explains, sometimes “routine” isn’t so routine. She recalls one patient who came in complaining of a sore throat. What seemed like a very minor, commonplace health concern turned out to be a symptom of something much more serious—acute leukemia.

Finding a family physician who is a good fit requires a little homework on the patient’s part. Dr. Rao advises researching a prospective family doctor to find out what type of medicine they practice, whether they treat all age groups, whether they specialized in one area, and whether they see patients in the hospital or just during office visits.

“Hospital visits can be very important to patients. When they’re admitted, they’re already anxious and concerned, and they don’t want an unfamiliar doctor handling their care on top of that,” she says.

Before going for your first visit with the doctor, be sure to arm yourself with as much information as possible. Bring a list of all the medications

you’re taking as well as any medical problems you’ve had or that run in your family. Also bring along a list of questions you’d like to ask the doctor so you don’t forget anything important and to help make the flow of the visit as efficient as possible.

Of course, seeing a family doctor will benefit you only if you actually follow his or her advice and recommendations with respect to your treatment and lifestyle. “We’re like coaches on the sidelines. We can tell you what you should do— such as get a pedometer and walk 10 thousand steps per day, keep a food diary, or check your blood pressure or blood sugar—but if you don’t follow your doctor ’s advice, you won’t get better or stay in good health,” Dr. Rao states.

Just as important as heeding your doctor ’s recommendations is getting educated on any health conditions you might have and being an active participant in your medical care. Patients who are proactive rather than passive tend to enjoy better outcomes. Dr. Rao advises patients to take advantage of the many channels of communication now open between doctors and patients and to avail themselves of

A personalized

online patient portals to track their lab values. If you have any questions about what those numbers mean, be sure to discuss them with your family physician. ❦

Dr. Rao is accepting new patients. Her office is located at 7640 Sylvania Avenue, Suite E in Sylvania, OH 43560. Call 419-874-3246 to set up an appointment. www.toledoclinic.com.

Two St. Francis de Sales High School seniors awarded Evans Scholarships

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or over 80 years, the Western Golf Association (WGA) has administered the Evans Scholarship Program—the nation’s largest privately funded scholarship program providing full tuition and housing.

The Chick Evans Caddie Scholarship is a full tuition and housing college scholarship for golf caddies.

Two seniors at St. Francis de Sales High School, Toledo, Daniel Cavese of Holland and Kyle Bueter of Toledo, were recognized at their Senior Award Luncheon for being awarded the Chick Evans Caddie Scholarship.

On hand to make the presentations were Mr. John Kretzschmar, WGA Director from Inverness Club, Mr. Greg Kopan, WGA Director and President of the Inverness Club, and Mr. Terry Schaefer, WGA Director from Sylvania Country Club.

Daniel Cavese will attend The Ohio State University in the fall.

Daniel is beginning his fifth summer as a caddie for the Inverness Club, his nominating club, where he has caddied over 120 rounds of golf. He played golf for St. Francis all four years and was captain of the golf team his senior year. He was named to the TRAC All-Conference team and was named TRAC All-Academic for his 3.95 GPA. Daniel received the Ar-

chie Griffin Award from the Ohio High School Athletic Association this year in recognition of his exemplary sportsmanship, ethics, and integrity. He was also recognized as a Knight of Honor of St. Francis de Sales by his faculty and peers. Among his many activities, Daniel has held several student council positions, is a member of his high school’s chapter of the Rotary Club, and volunteered on a week-long service trip with Catholic HEART Workcamp last summer.

Daniel plans to study bio-medical engineering at OSU with the goal of pursuing medical school after college.

“This Evans Scholarship means everything to me and my family who have struggled financially these past few years. I knew if I worked hard enough this was something I was capable of achieving. A huge burden has been lifted from my family. It was a great day when the letter came naming me an Evans Scholar!” He continued, “I am so grateful to be at St. Francis and for all of the opportunities I have been given.” Daniel attended Gesu grade school and is the son of Patrick and Julie Cavese.

Kyle Bueter will attend Miami University (Oxford, OH) in the fall.

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At the presentation of the Chick Evans Caddie Scholarships are: Mr. Terry Schaefer, WGA Director from Sylvania Country Club, Kyle Bueter of St. Francis de Sales, Mr. Greg Kopan, WGA Director and President of the Inverness Club, Daniel Cavese of St. Francis de Sales, and Mr. John Kretzschmar, WGA Director from Inverness Club.

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Kyle is beginning his fifth summer as a caddie for Sylvania Country Club, his nominating club, where he has caddied over 150 rounds of golf. Kyle is undecided about his major and career choice but appreciates that the Miami Evans Scholars group provides required study tables for its freshmen to help with the various demands associated with transitioning to college life.

While at St. Francis, Kyle was involved with the Mock Trial Club and played the bass and performed with a rock band he helped organize. He was a volunteer for the Big Brothers and Big Sisters after-school program, tutoring and mentoring at-risk gradeschool kids. He also volunteered at Little Sisters of the Poor Retirement Home for the elderly, providing fellowship and companionship to the residents.

“My family would be struggling to find a way to pay for my college.

Receiving this Evans Scholarship will lessen that financial burden and allow me to have minimal debt coming out of college.” Kyle continued, “It is a high honor for me to be among this group of scholars and become a part of this nationally recognized Evans Scholars community.” Kyle attended

Elmhurst Elementary School and is the son of James and Laura Bueter.

The Evans Scholarship Program was started by Chicago golf amateur Charles “Chick” Evans Jr. Today, more than 100,000 golfers nationwide, including Evans Scholars Alumni, support the program, making it the nation’s largest privately funded scholarship program that provides full tuition and housing. Proceeds from special events, endowments, and the BMW Championship also support the Evans Scholars.

Since 1930, more than 9,800 men and women have graduated as Evans Scholars, with most recipients attending one of the 14 universities across the nation where the Evans Scholars Foundation owns and operates a Scholarship House.

Finalists for the award, who are nominated by the sponsoring golf clubs where they caddie, are evaluated and selected based on four criteria: strong caddie record, excellent academics, financial need, and outstanding character.

The WGA currently supports 840 caddies, spending $12 million annually for tuition and housing.

Visit www.wgaesf.org for more information. ❦

From development to your doctor’s office

How healthcare technology reaches the medical market

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roundbreaking advances in healthcare technology give doctors powerful new tools for diagnosing and treating disease. For patients, innovations in medical technology can be the key to improved function and mobility; greater independence; and a healthier, longer, more productive life.

But before a new medical product can be sold to doctors and used to treat patients, it must first be proven to be safe and effective for its intended use, as required by the US Food and Drug Administration (FDA). In addition to providing regulations

and oversight related to the design and manufacture of medical products, the FDA reviews and approves clinical trials for many types of new products.

A clinical trial is an important step in the process before a new product is allowed into your doctor’s office. Clinical trials are led by qualified investigators (usually medical doctors), who are supported by a multidisciplinary research team, as part of a multi-step process intended to determine whether a product has met specific goals for safety and

effectiveness.

The pathway to get new medical devices to market can be very challenging, repetitive, and expensive, but the results can be well worth the cost, time, and effort. New and exciting healthcare technology is often less invasive and has the potential to provide new treatment options, reduce the risks associated with traditional procedures, improve treatment outcomes, and promote faster recovery times.

Owing to all these potential benefits, patients and doctors understandably want to gain access to these cutting-edge healthcare technologies as soon as they’re available on the market. In some cases, communities are even stepping in to help make this happen.

For example, Oakland County, Michigan has created “Medical

Main Street” with the purpose of “maximizing the growth potential of the healthcare and life-science sectors in Southeast Michigan.” This collaborative network includes hospitals, universities, and healthcare and life-science companies and strives to foster an environment of medical innovation and research and

development in their community.

Oakland County sees the opportunity for these sectors to come together in support of medical innovation while attracting talent and industry to their community.

Additionally, Medical Main Street holds the annual INNO-VENTION conference, where folks from this sector can network, join industry break-out sessions, attend a luncheon, and visit Demonstration Alley—a popular exhibit where companies display the latest in medical technology innovations.

Also during the INNO-VENTION conference, Medical Main Street presents the “INNO-VATOR of the Year ” award, which recognizes a company that has demonstrated the most dramatic change in the medical device industry in Michigan. Last year, the award was presented to HistoSonics for their product, the Vortx Rx©, by Oakland County Executive L. Brooks Patterson.

The Vortx Rx is a non-invasive, image-guided, robotic system that utilizes high-intensity acoustic energy to perform histotripsy—essentially using sound as an acoustic scalpel—for BPH (benign prostatic hypertrophy, or enlargement of the

prostate gland).

“This incredible technology has the potential to change the way we view surgery,” Patterson said. “The notion that doctors can use high-intensity sound to perform procedures that until now could only be done using much more invasive methods is amazing. The implications for future uses are profound. I congratulate the HistoSonics team.”

According to HistoSonics president and CEO Christine Gibbons, the FDA approved the Vortx Rx for investigational use in clinical trials on people in May of 2013. The clinical-trial phase of a medical device’s development process can last several years before the device is approved for sale. The discovery and early development work on the HistoSonics technology was performed at the University of Michigan.

As this example illustrates, when communities, industry networks, health organizations, researchers, clinicians, and companies come together to enhance medical innovation, the result can be an environment of improved efficiency and success that brings valuable new healthcare technologies to doctors and patients. ❦

MEN 50 OR OLDER with urinary symptoms due to an

enlarged prostate may qualify for a clinical research study of a new investigational device.

Call 419-291-8027 Call 800-750-6002 today for study studyparticipation participationdetails! details!

30 July 2014 | Healthy Living News

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Choosing the right healthcare plan

by Scott D. Brown

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aybe you’ll be among the many whose companies are phasing out their employer-sponsored insurance plans (29 million lost employer-sponsored coverage between 2000 and 2012.1), or you may be starting a business and striking out on your own.

You could join the 5.4 million shopping for healthcare coverage on one of the new health exchanges set up under the Affordable Care Act.2 Or you could count yourself among the 7.8 million people buying new individual coverage directly from an 1 Employer-Sponsored Health Insurance Coverage Continues to Decline in a New Decade, EPI Briefing Paper 353¸ The Economic Policy Institute, Washington, D.C., retrieved 5/21/2014. http://s4.epi.org/files/2012/bp353-employer-sponsored-health-insurance-coverage. pdf 2 New Survey Results Show Significant Decline in the Uninsurance Rate, Press Release, The Robert Wood Johnson Foundation, retrieved 5/21/2014. http://www.rwjf.org/en/about-rwjf/ newsroom/newsroom-content/2014/04/new-survey-results-show-significant-decline-in-uninsurance-rate-.html

insurance company.3 Whatever path you take, being an educated consumer can make you a better customer.

Here are some considerations when shopping for coverage: Insurance premiums are only your upfront costs. They may not be the only healthcare expenses you’ll have. Deductibles, copayments, coinsurance, and out-of-pocket limits vary widely from plan to plan. Review the entire costs outlined on the plans since low individual deductibles and copayments may be aligned with high out-of-pocket limits, and vice versa.

Different treatment scenarios in the same plan can also have dramatically different costs.

From a plan’s perspective, doctors, hospitals, and clinics are not all equal. Insurance plans generally 3 Private Insurance Market Booming, Kaiser Health News, The Kaiser Family Foundation, retrieved 5/21/2014. http://www.kaiserhealthnews.org/Stories/2014/April/15/private-insurance-market-booming.aspx

have preferred providers. You’ll get the best financial cost structures only if you go to designated practitioners and institutions. If certain providers are important to you, confirm that they participate in the plans you are considering.

Review the specialist referral policies and primary care responsibilities. Some plans require referrals from your primary care physician (PCP) before you can see a specialist, and they may have financial incentives for PCPs to limit referrals.4 What’s more, each plan has its own limits for prescription medication, medical appliances, and diagnostic tests. Medication and devices that are important to you may not be covered at favorable reimbursement rates; they may even not be covered at all. Diagnostic tests may be limited to those that the plan defines as medically necessary.

If you find yourself shopping on 4 Implementation of Financial Incentive Programs under Federal Fraud and Abuse Laws, Governmental Accountability Office Report GAO-12-355, http://www.gao.gov/products/ GAO-12-355, retrieved 5/21/2014.

a state healthcare exchange, you’ll find that each plan fits one of five general categories to describe the overall division of costs between you and the plan. Bronze plans pay 60% on average, and you pay about 40%. Silver plans pay 70%, Gold 80%, and Platinum 90%. So-called Catastrophic plans pay less than 60% of the total average cost of care on average and are available only to young people and those who have a financial hardship exemption.5 As you can see, shopping for healthcare coverage has become complex. I can help you weigh your options carefully. ❦ If you’d like to learn more, please contact Scott Brown, First Vice President, Financial Advisor, Morgan Stanley Toledo, OH, at 419-842-5312.

Article by Wealth Management Systems Inc. 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 5 https://www.healthcare.gov/how-do-ichoose-marketplace-insurance/#part=2

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.

32 July 2014 | Healthy Living News

NY CS 7181350 BC004 09/12 CRC394531

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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 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 D. Brown may only transact business in states where he is registered or excluded or exempted from registration. http://www. morganstanleyfa.com/theauroragroup/.

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. © 2014 Morgan Stanley Smith Barney LLC. Member SIPC. CRC 938999 [06/14]

Top 10 reasons to play tennis

by Mark S. Faber, USPTA Elite Professional

I

have written many articles about how great a sport tennis is and various other tennis-related topics. This month, I am going to take my David Letterman approach and share the top 10 reasons to play tennis as provided by playtennis.com.

5. Tennis can be anything you 10. Tennis helps you live longer want it to be Scientists and doctors around Looking for competition, the world point to tennis as one social play, team camaraderie, of the most healthful activities a good workout, time with family or you can participate in, deliv- friends, tournaments and national ering overall physical, mental, and championships? Tennis has all of that emotional gains. It will add years and more. The sport can be anything to your life, and life to your years. you want or need it to be.

9. Tennis makes for a happier life ­ Tennis engages your mind and body at the same time, unlike a typical workout at a gym. Because tennis players are more confident, healthier, less stressed, and more socially interactive, they’re simply happier.

8. Tennis is social On court and off, you’re guaranteed to make friends through tennis. The sport encourages interaction, communication, and just plain fun. It’s great for making business connections, too.

7. Tennis is a family sport No matter the age, gender, ethnicity, ability level, or fitness level, tennis is the perfect sport for families to play together. Few sports can offer the opportunities for family togetherness that tennis can.

6. Tennis teaches life lessons Participants, particularly youngsters, develop work ethic, learn sportsmanship, accept responsibility, manage mistakes, enhance discipline, learn to compete, cope with pressure and adversity, develop healthy habits, learn teamwork, and much more.

4. Tennis is Fun! At every level of the game and at every age, from 10 and under tennis through the most super-senior leagues, players have fun while getting a great workout.

3. Tennis develops your mind Tennis requires alertness, tactical thinking, and problem solving, and evidence suggests it may generate new connections between nerves, promoting a lifetime of continued development of the brain.

2. Tennis develops your body The constant movement and action in tennis will burn calories, build muscle, increase bone strength, improve flexibility, fine-tune coordination, and enhance overall health and fitness.

TOGETHER. AUTISM LIMITLESS.

1. Tennis is a sport for a lifetime There is no other sport you can play throughout your life, from the earliest ages to your latest years, that gives you the physical, mental, emotional, and social benefits that tennis provides.

So based on this top 10 list, what are you waiting for? Get out and try this awesome sport. See you on the courts. ❦

Working together to change the future.

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33

Athletes: Are you drinking the right fluids?

by Amanda Manthey

I

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: • 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.

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. ❦ Amanda Manthey is a former collegiate runner at Eastern Michigan University.

She writes about running and fitness on behalf of Dave’s Performance Footgear.

Don’t miss Dave’s races!

Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear.

For more information on the following events, including any associated costs/fees, please visit davesrunning.com.

Intro to Good Form Running—Tuesday, July 1, 2014, 7:15 p.m. at Dave’s Running in Perrysburg, 13415 Eckel Junction Rd. In this class, we will teach you the four simple but highly effective points that will help you transform into a more efficient, healthy runner.

For more information, please email jeff.taylor@davesrunning.com.

Woodville 4th of July Celebration 5K—Thursday, July 3, 2014, 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 email janagy@hotmail.com.

Metanoia Missions 5K—Saturday, July 12, 2014, at 12829 St. Rte. 613 in Van Buren, Ohio. 5K starts at 10:00 a.m. One-mile fun run/walk begins at 10:05. For more information, please email mary@metanoiamissions.org.

Delta Chicken Run 5K—Saturday, July 12, 2014 at Delta Municipal Park in Delta, Ohio. 5K run starts at 8:00 a.m.

34 July 2014 | Healthy Living News

Free one-mile kids fun run starts at 9:00 a.m. For more information, please email jeff.taylor@davesrunning.com.

Maumee Rec 5K—Saturday, July 12, 2014, 9:00 a.m. at 1147 Saco St. in Maumee, Ohio. This race, which starts and stops at Maumee High School and uses city streets, raises funds for the Maumee Senior Center.

For more information, please email edward.oreilly2000@gmail.com.

Rose Run 5k Run/Walk & Kids’ 1k Fun Run—Saturday, July 12, 2014 at 10 E. Center St. in Petersburg, Michigan. 5K and virtual run start at 8:30 a.m. Kids fun run starts at 9:30 a.m. Started by the family of Rose Marie Hunt, who lost her life to breast cancer, the Rose Run has raised more than $50,000 for breast cancer research, ovarian cancer research, and the Volunteer Fire Department in Petersburg. For more information, please email jessica@theroserun.com.

Ohio/Michigan 8K/5K—Thursday, July 17, 2014 at Centennial Quarry, 5773 Centennial Road, 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. 8K run: 7:30 p.m. 5K walk: 7:15 p.m. Party only: 7:00 p.m. For more information, please email jeff.taylor@davesrunning.com.

Run for Safety 5K Run/1K Walk— Sunday, July 20, 2014, 9:00 a.m. at 30150 Tracy Rd. in Walbridge, Ohio. 1K walk begins before the 5K run. Start and finish at the Owens Campus Center for Emergency Preparedness. For more information, please email spcameron@bex.net.

Line Drives for Larry 5K—Saturday, July 26, 2014, 8:00 a.m. on N. Glenwood Ave. in Wauseon, Ohio. This 5K run/ walk is being held in support of Larry Johnston, who has been in a continuing battle with glioblastoma, an aggressive form of brain cancer, since November of 2013. For more information, please email heidi_1410@ yahoo.com.

Tigertown 5000—Saturday, July 26, 2014, 9:00 a.m. at 103 W. Young St. in Liberty Center, Ohio. Ricky’s 1K Kids Run starts at 8:00 a.m. A 3.1-mile course through the Village of Liberty Center on smooth roadways with some gentle hills. For more information, please email desgrunner@yahoo.com.

Cooper Tire Centennial 5-Miler— Saturday, July 26, 2014, 8:00 a.m. at Findlay High School, 1200 Broad Ave. in Findlay, Ohio. Kids’ run starts at 10:00 a.m. One-mile fun run/walk begins at 11:00 a.m. To raise funds on

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35

behalf of the Cooper Tire & Rubber Company Centennial Scholarship.

For more information, please email jfstelter@coopertire.com.

Dave’s Half Marathon Training— Monday, July 28, 2014, 6:30 p.m. at 3100 Main St. in Maumee, Ohio. Join us for a 12-week training plan geared to whip you into shape for either the

Columbus or Detroit half marathon. The program will conclude on Sunday, October 19, 2014. We will meet on Wednesday evenings at 6:30 p.m. at Fallen Timbers Mall for a tempo run and again on Saturday mornings at 7:00 a.m. at different Toledo Metroparks.

For more information, please email jeff.taylor@davesrunning.com. ❦

due to lack of symptoms, most lung cancer is found too late.

“It starts in the middle of the lung, and there are not a lot of pain fibers or anything else in the middle of the lung,” Dr. Willey said. “There is a lot of room to expand, so the tumor can just push other tissues aside and keep growing without giving a lot of symptoms.”

Patients who wish to participate in the screenings, which will be held from 4:00 to 6:00 p.m. the first Tuesday each month, will receive expert care from pulmonary specialists, radiologists, cancer specialists, surgeons, and nurses.

To learn more about the screening program or to schedule a screening appointment, call 419-383-3927. ❦

Lung cancer screening now standard of care at UTMC

by Samantha Watson

I

n 2010, 160,000 people in the Unit- packs of cigarettes a year or have quit ed States died from a cancer more within the last 15 years. Screening is common than breast, prostate, and most effective in high-risk patients, as opposed to those with low risk colon cancer combined.

“Lung cancer is the primary can- of lung cancer who may not benefit cer killer in the United States and is from the screening. especially prevalent in Ohio,” said Dr. Because lung cancer screening James Willey, the George was made standard of care Isaac Endowed Chair in this year, only a few private insurance companies reimCancer Research at The University of Toledo. burse the cost. Fortunately, “Eighty-five percent of because of the Affordable the patients I see are too Care Act, all private inadvanced for a surgical surance companies will cure and are going to die be required to cover this within a year or two.” cost starting January 2015.

That’s why the Eleanor “In the meantime, UT is N. Dana Cancer Center offering the screening at a at The University of Tocost of $99, which covers all ledo Medical Center has costs for the patient—the Dr. James Willey been working for years to CAT scan, the interpretation improve its lung cancer by the radiologist, and a screening methods. Just this year, the brief consultation with a pulmonologist U.S. Preventative Health Services to interpret the results and give them Task Force announced lung cancer some initial recommendations,” Dr. screening as standard of care, and Willey said. “Beyond the $99, there UTMC was already prepared to is no other cost to them.” begin offering lung cancer screening In 2010, 220,000 people were diagto select individuals. nosed with lung cancer in the United On Tuesday, July 8, the Dana Can- States and only 60,000 of those indicer Center will offer these screenings viduals survived. When it comes to to employees between the ages of lung cancer, early stage diagnosis is 55 and 80 who smoke more than 30 key to survival. The problem is that

36 July 2014 | Healthy Living News

Q

: I have recently been diagnosed with hearing loss. Over the last several months, however, I have also been having difficulty with my breathing throughout the night. After consulting with a physician, it’s been determined that I suffer from sleep apnea. Could my hearing loss and sleep apnea be related?

A

: That’s a very interesting question, and we’d be happy to dig into this further for you. A study presented at the 2014 American Thoracic Society International Conference illustrated this correlation. As we’re sure you are aware, sleep apnea is a sleep disorder characterized by infrequent or shallow breathing or pauses during sleep.

Each apnea, or pause, can last anywhere between several seconds and several minutes.

The number of apneas varies by patient, but on average, they happen anywhere from 5 to 30 times per hour.

When your breathing pauses during sleep, an increased amount of carbon dioxide develops in the bloodstream. This causes a signal to be sent to your brain to wake you up and breathe in air. The inhalation of new air causes oxygen levels to return to normal and you will fall asleep again. You may not be aware that all of this is occurring during the night. Your spouse may be the one that sees this happening!

It was determined that patients with sleep apnea are at an increased

risk of suffering from hearing loss as well as other medical conditions, including heart disease and diabetes.

Researchers do not know for certain why there is a connection, but there are several assumptions. For one, the lack of oxygen to the body and brain may affect the inner ear first, causing damage to the ear tissues. In addition, loud snoring, a common symptom of sleep apnea, may cause damage to the ear due to the high frequency and long-term exposure to its loud noise. In fact, snoring has been proven to be louder than the decibel level allowed in workplace environments.

There are many treatments for sleep apnea that your physician can customize for you, as every case is different.

If you think you suffer from sleep apnea or any other sleep disorder, we urge you to see your physician immediately to discuss treatments. If you think your sleep disorder has affected your hearing, it’s vital to see an audiologist. The audiologists at Northwest Ohio Hearing Clinic are equipped with the experience and technology to treat your hearing loss and help prevent it from worsening in the future. ❦

Feisty longtime friends bring unique competitive spirit to rehab at The Laurels

M

artha Frosh and Sheila Comer have been friends for 40 years.

In that time, they’ve been neighbors, fishing and bowling partners, and co-conspirators in all manner of mischief (Sheila might say, “What happens in Vegas stays in Vegas!”).

Their kids also hung out together, and Sheila even went to school with Martha’s husband. You could say their lives have been thoroughly intermingled.

What they didn’t plan to do together was share a stint in rehab at The Laurels of Toledo—but that’s exactly what happened this spring after both ladies underwent total knee replacements (the same knee, of course). Martha’s surgery had been a long time coming after a lot of wear-and-tear and a work-related injury. Sheila severely damaged her knee and wound up in surgery after slipping and falling on a patch of ice. The ladies have completed their inpatient rehab at The Laurels and are now coming to the facility for ongoing therapy as outpatients.

One could argue that both Martha and Sheila have something of a competitive streak, and knowing

one another for 40 years, they enjoy teasing, cajoling, and ribbing one another at every turn.

Laurels physical therapy assistant Brad Weaver saw the ladies’ feisty friendship as a golden opportunity.

“Both of them have competitive edges, and that’s the attitude we’re looking for. That drive actually makes our job much easier because when you’re dealing with a knee injury, you have to be very proactive and fairly aggressive about getting that bend back. Working to increase that range of motion doesn’t always feel very good. If you’re blocking or guarding because of pain, you’re not going to achieve the outcome you want. But they always motivate each other.

There’s a lot of friendly competition, with one yelling across the room to ask how the other is doing,” he says.

Brad, himself an avid fisherman, is also more than happy to trade fishing tales with Martha and Sheila—and to claim bragging rights. He recently pulled a 12.31-pound walleye out of the Maumee River, winning the Big Walleye of the Week Contest. Not to be outdone, Martha boasts, “I’ve caught bigger bass than that!”

Brad also laid a challenge before the ladies. If they progress to a certain point in their ability to navigate different types of terrain, hills, etc., he’ll share with them his secret fishing spot. “That’s right, he’s blackmailing us,” jokes Sheila.

Whether you call it blackmail or motivation, Brad’s challenge is having the desired effect. Both ladies started out using walkers, but they’re now using canes and working toward using no assistive devices while navigating different terrain. “ But the rehab journey hasn’t always been easy for either of the ladies.

“I’d never been in rehab before be-

cause I’d always been pretty steady on my feet, so when I was here as an inpatient, I found it really difficult to be unable to walk and have to rely on other people for everyday things like going to the bathroom and showering,” Sheila says. For Martha, pain was the greatest challenge.

“Otherwise, I didn’t mind being here in rehab. It was like a vacation for me not having to look at my husband or cook for anybody,” she quips.

Also, to help them monitor progress during their inpatient stay, Martha and Sheila were able to take advantage of Pathway to Home, a collaborative, innovative program that helps Laurels guests and their caregivers develop and track specific, cohesive rehab and clinical goals to accomplish before the guest transitions home.

Both ladies hold Brad and The Laurels in high regard—and brad speaks fondly of them as well. “It’s all about the trust. There’s a certain bond that’s grown between us.

Whenever Martha and Sheila come in, even if we’re having a rough day,

Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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37

we know we’re going to laugh and have a good time,” he says.

Looking ahead, both Martha and Sheila are eager to set aside their canes, walk unassisted, and pick up their fishing poles once again.

They’re getting close to turning that corner—and one step closer to that secret fishing spot. ❦ The Laurels of Toledo, a skilled nursing and rehab center located at 1011 Byrne Road, accepts Medicare, Medicaid, and all private commercial insurances.

A physician’s order is required to obtain outpatient services. For more information, call 419-536-7600 or visit www.laurelsoftoledo.com.

Is your family prepped for tornado season?

W

e’ve all seen those TV shows about “preppers” who go to elaborate lengths in anticipation of various doomsday scenarios. While sensible people could argue the merits

of over-preparing for the eruption of the Yellowstone supervolcano, a thermonuclear strike, or the planet flipping on its axis, there’s no question that anyone living in a tornado-prone region should have a solid tornado-preparedness plan in place.

In Northwest Ohio and Southeast Michigan, tornados are a very real threat and the peak tornado season is already underway (it generally spans the months of April through July, but tornados can occur at any time of year), so if you haven’t done anything to prepare yet, there’s no time like the present! Here are the steps you need to take:

Know a watch from a warning Even people who have lived in tornado-prone areas all their lives sometimes confuse the terms “tornado watch” and “tornado warning.” A tornado watch is posted when conditions are right for a tornado to develop. This is a good time to make sure all of your emergency supplies are present in the room you plan to shelter in, stay tuned to local weather broadcasts or a weather-alert radio for updates, and review with your family what to do in the event of a tornado.

A tornado warning indicates that a tornado has actually been sighted by storm spotters or detected by weather radar—and that means you and your family should seek shelter immediately.

Know the meteorological warning signs Our local meteorologists keep us pretty well informed of severe weather developments, but in the event that you’re outdoors and out of touch with local broadcasts, it’s important to be able to recognize potential tornado warning signs. If conditions are right for a tornado, be alert to the following: • Low, dark clouds with a sickly, greenish caste • Fast-moving or rotating clouds • Whirling dust or debris beneath a cloud base • Hail • A thunderstorm followed by a strange calm • A visible funnel cloud • A loud, continuous roaring sound, likened to a jet or locomotive.

Designate a safe room Don’t wait until the sirens are blasting outside to choose which room of your home to shelter in during a tornado. Know ahead of time where everyone should go if a warning is called. The best location is a basement or cellar. If that’s not an option, designate a small interior room (such as a bathroom or closet) or hallway that’s on the lowest floor of your home and as far away from windows as possible.

If you reside in a mobile home, it’s important to understand that it’s not safe to remain there during a tornado.

Instead, plan to take refuge in a community shelter or other permanent structure close by in the event of a tornado.

Pack a tornado kit The American Red Cross recommends preparing an emergency kit

38 July 2014 | Healthy Living News

that includes one gallon of water per person for at least three days, non-perishable food, first-aid supplies, three days of essential prescription medications, clothing and bedding, emergency tools, sanitation supplies, and copies of important documents.

Other items that are wise to have on hand in your shelter room include a charged cell phone, a battery- or crank-powered radio and flashlight, replacement batteries if applicable, spare keys to your vehicles, photo identification, a list of important phone numbers, and a credit card or cash.

family members or neighbors who are injured or trapped, but do not attempt to move someone who is seriously hurt unless doing so is necessary to prevent further injury.

• Use only battery-powered light sources, not matches, lighters, candles, or oil lamps, in case there is a gas leak. Do not operate light switches, which could spark and ignite leaking

ProMedica STAR Program® provides multidisciplinary rehabilitation services to cancer survivors

Don’t forget shoes and durable clothing!

When the tornado siren sounds in the middle of the night, most of us stumble down to the basement in our pajamas or bathrobe. If we have anything on our feet, it’s likely to be little more than a pair of slippers or socks. But think how hazardous such attire could prove to be in the event that your home sustains serious damage in the storm and you have to evacuate through broken glass, nails, and other sharp debris.

Make sure sturdy shoes and other durable clothes are handy in your shelter room for every member of the family—and put them on when a tornado warning is sounded.

Drill your family’s emergency procedures At least once a year, it’s a good idea to test your family’s emergency preparedness by conducting a tornado drill. Doing so will reassure you that everyone knows where to go and what to do when the siren sounds and that you have all the materials you need in your emergency kit.

Don’t wait for the real thing to make sure you’re ready!

Plan for the aftermath In addition to knowing where to go, what to do, and what to have on hand before and during a tornado, it’s also important to know what to do after a tornado strikes your home: • Designate a specific area to meet in case the family gets separated. Ideally, you should designate an alternate meeting place, as well, just in case the first location is too hazardous.

• Render first aid or assistance to

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gas. In fact, if you know or suspect your home has been damaged, it’s best to shut off the electricity and natural gas/ propane supply.

• Move around with caution, and be on the lookout for downed power lines and other hazards.

• Stay out of heavily damaged buildings, which may collapse or present other hazards. ❦

C

ancer survivorship is commonly the sooner they can get defined as the phase that begins back to their pre-cancer when active cancer treatment ends. condition and back to their However, the cessation of treatment families.” doesn’t always signal the end of Cancer rehabilitation isn’t strictly symptoms. In fact, cancer patients for survivors who are dealing with often discover that survivorship late or long-term effects of treatment. comes with its own set of physical The program is open to everyone and emotional challenges that impact regardless of their prognosis, cancer their day-to-day function, emotional stage, or phase of recovery. Newly well-being, and overall quality of diagnosed patients are encouraged life—and successfully to take advantage of overcoming these issues rehabilitation services, requires the support of which will help build a multidisciplinary team their strength and of caregivers. That’s endurance ahead why ProMedica Cancer of time so they ’re Institute and ProMedbetter able to tolerate ica Total Rehab now treatment and its offer STAR Program® potential side effects. rehabilitation services. STAR represents a collaboration Developed by “Fatigue, mild between many different disciplines.

Dr. Julie Silver, an cognitive impairment, assistant professor swallowing difficulties, at Harvard Medical lymphedema, anxiety or depression, School and a cancer survivor, the and pain are just some examples STAR model of cancer rehabilitation of the symptoms cancer survivors is being implemented by hospitals, might experience,” explains Karen cancer centers, and rehabilitation Martin, MA, CCC, SLP, coordinator practices all across the country. In for ProMedica’s cancer rehabilitation our community, ProMedica has services. “STAR, which stands embarked on training more than 100 for Survivorship Training and clinicians—nurses, physical therapists, Rehabilitation, is a collaboration occupational therapists, speechbetween many different disciplines language pathologists, dietitians, and addresses all of these issues to care navigators, and others—and help patients get back to their pre- is expanding the continuum of care for cancer patients and survivors by cancer level of function.”

Sharon Nugent, BSN, MPH, clinical implementing the STAR Program manager of the Hickman Cancer in a variety of different settings, Center at ProMedica Flower Hospital, including acute care, outpatient, and adds that many cancer patients begin home health as well as 10 ProMedica to experience symptoms within the first Total Rehab sites. three weeks of treatment, emphasizing ProMedica’s STAR-trained that, “The sooner patients get started clinicians complete approximately in the STAR rehabilitation program, 25 hours of online self-study and

must pass a certification test at the end of the study sessions. They also receive ongoing training from representatives of Oncology Rehab Partners, the organization that put the STAR Program together.

Furthermore, ProMedica oncology physicians present to STAR-trained clinicians a variety of topics related to cancer and its treatment.

In the past, cancer rehabilitation tended to focus on treating symptoms related to a few specific cancers, such as lymphedema in breast cancer patients following surgery or swallowing disorders in patients with head-and-neck cancer, but STAR can reach a much broader population of cancer survivors and patients. “A wide variety of cancers cause symptoms that can be addressed successfully through a rehabilitation program, so STAR is really helping us expand that scope,” Martin says.

However, despite the numerous benefits of participating in cancer rehabilitation, too few patients are taking advantage of such programs.

According to Martin, “Research shows that 65–90 percent of those going through cancer treatment would benefit from rehabilitation, but fewer

than 30 percent of them actually participate. We’re anxious to get the word out about the benefits so more survivors and patients will be afforded that opportunity,” she states.

Still in the early stages of implementation, ProMedica is just beginning to gather data on outcomes from STAR Program participants, but so far, the testimonials have been resoundingly positive with respect to improvements in speech, swallowing, lymphedema, and other symptoms experienced in survivorship. Also, the data being collected from participants will be compared to that of their peers so it can be used to direct and improve the STAR Program for future cancer patients and survivors.

Most health insurance providers reimburse STAR Program cancer rehabilitation services. “If patients aren’t sure whether their plan will cover cancer rehabilitation, our staff may help with insurance verification.

We can assist patients with finding potential resources to help cover the cost of rehabilitation treatment,” Nugent says. ❦ For more information on the STAR Program, please call 1-877-291-1441 or visit www.promedica.org/STAR.

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39

Patient, heal thyself!

The importance of patient compliance

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henever we get sick or injured, it’s natural and appropriate to see a healthcare professional so he or she can “fix us up” or “make us feel better.” But the simple fact is, doctors, nurses, therapists, and other practitioners—no matter how great their skill and expertise—can only lead us to the proverbial water of healing. It’s up to us to drink.

If we want to feel better, get stronger, recover faster, become more mobile or flexible, experience less pain, maximize our longevity, or simply enjoy greater overall health, we have to actively comply with the

therapies, medications, exercises, or lifestyle changes that our healthcare practitioners prescribe.

The price of non-compliance Patient non-compliance (also called non-adherence) with prescribed treatment regimens is one of the biggest impediments to successful outcomes— as well as one of the greatest sources of frustration for practitioners. Not only can non-compliance or poor compliance yield suboptimal outcomes, but it can also lead to disease recurrence, diminished quality of life, a greater risk of adverse side

effects, unnecessary surgeries, or even premature death.

Begin with an honest history Compliance begins long before any drug or other therapy is prescribed to treat your condition—when your history is being taken during the initial office visit. It’s very important at this stage to be thorough and honest in the responses you provide, as the information you share with respect to your symptoms, pre-existing health issues, current medications, family medical history, lifestyle habits, etc., may strongly influence the specific medication or course of treatment your doctor prescribes.

For example, if you have a strong family history of certain cancers, your doctor may advise that you initiate screening for that type of cancer at a younger-than-usual age or that you undergo genetic testing to determine your risk of developing the cancer. But if you fail to disclose this key information, your doctor will have no way of knowing you’re at increased risk, and if you do develop the cancer, there’s a greater chance it won’t be detected at the earliest, most treatable stage.

Medications Former Surgeon General C. Everett Koop once remarked, “Drugs don’t work in patients who don’t take them.”

Drugs also don’t work—or can cause serious adverse side effects—when patients take them inconsistently; fail to take the full course prescribed by their doctor (e.g., antibiotics); or fail to heed drug- or food-interaction warnings, dosing instructions, or other directions for proper use.

In many cases, patients are noncompliant with medications because the

40 July 2014 | Healthy Living News

particular drug their doctor prescribed is too costly, tastes bad, or causes some unpleasant side effect. In these situations, patients should openly discuss the problem with their doctor rather than avoid taking the medication. There may be alternative drugs the doctor can prescribe that are just as effective but cheaper, more palatable, and/or have fewer side effects.

an important part in treating these conditions, but they’re no substitute for healthier lifestyle choices—eating better, exercising more, quitting smoking, moderating alcohol consumption, etc.

What makes compliance with prescribed lifestyle changes so difficult

nobody’s perfect Sister Karen Zielinski, OSF

Physical therapy Proper compliance with physical therapy following an injury, surgery, or debilitating illness is also essential if patients hope to experience optimal results with respect to mobility, range of motion, strength, and pain management. But when it comes to physical therapy, compliance means more than just dutifully attending sessions with a therapist.

After completing inpatient therapy and in between formal outpatient sessions, patients usually must also continue their prescribed exercises at home if they hope to achieve the best possible outcome. Those who have a hard time mustering the motivation needed to keep up with a home exercise program might need to turn to family members or friends for support and accountability.

is that our lifestyle habits often have a powerful emotional component, so giving them up or adopting healthier new ones is never as easy as popping a pill. In many cases, we need a little help—a support group, professional counseling, etc.—to make positive changes. ❦

You must be better—you’re going home!

M

y friend Mary was in the hospital for some “minor” surgery.

I kept track of her progress—from surgery to ICU, to step-down unit, to hospital rehab, and then finally to her release. She was going home. I was so grateful she was better now.

She could be in her own bed, living room, and kitchen! Being home meant she was healed now. Right?

Not really. I have learned that just because someone is released from the hospital and goes home does not mean the healing is done. There are new health challenges to deal with,

and they take time to do safely. The person has started healing from an acute medical procedure, but the day-to-day living tasks might take a bit of a gradual adjustment.

Beth Longeway, a licensed occupational therapy assistant (OTA/L) from United Rehab, agrees that when a patient returns home, their healing is far from over. It is continuing.

Longeway explains, “When someone comes home, family and friends might assume they will be able to pick up where they left off and do activities of daily living pretty

soon after they return. But it does not happen that quickly. When people return home, they need to use energyconservation techniques to regain their stamina slowly and safely. For every day in the hospital, it might take three days to recover fully.”

Patients, family, and friends need to allow time and patience to work with a person’s solid, healthy recovery. This idea of slow healing does not seem to fit with our speed-loving American culture, but allowing a person to naturally, slowly heal well is important. We do not want a person to fall or reinjure their recovering body.

Beth adds that patients must be aware that they need to be cautious when they first try to do things like shower, walk across a room, or carry an item. There may be a difference

between what a person thinks they can do and what they can do safely because of their hospital stay, which likely led to loss of stamina, function, and mobility from being in bed for an extended period of time, and involved the use of medications that make a person sleepy or relaxed.

The person is healing and getting better at home.

It is a more welcoming, “normal,” and cozy environment in which to continue the process of healing. Blood pressure and vital signs are good or normal, and perhaps they begin eating normally and have all their body functions working.

But going home from a hospital stay or a rehab facility does not mean the person is back to normal. If anything, going home can be quite traumatic, since a person remembers what he or she could do there. After coming

Tips and warnings for home recovery

•Use a portable phone. You can carry it with you so you don’t have to rush to answer a call on a stationary phone.

Purchase a small rolling cart to move items around the kitchen without lifting or carrying them. Prepare ice bags and freeze them in advance if you will need them upon your return.

•Follow all the recommendations provided by your physician, specialist, or surgeon. There may be special equipment or arrangements that need to be made for you to get back to daily activities.

These should be planned for in advance to make your transition from the hospital to home as easy as possible.

Read more: http://www.ehow.com/how_4740446_return-home-after-surgery.html#ixzz34Amx7YO9.

Lifestyle modification Perhaps the biggest compliance challenges healthcare professionals encounter are related to patients’ lifestyle habits. In many instances, the chronic ailments people suffer, such as type 2 diabetes, hypertension, cardiovascular disease, and chronic obstructive pulmonary disease, are closely linked to the lifestyle choices they make. Medications may play

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41

home, their mind might want to do something, but their body is not quite ready to do it—like taking a shower or transferring from a chair to a bed.

Sometimes a person comes home with extreme fatigue. Having gone through surgery or medical procedures, taking strong medications, and not moving around much can all take a toll on the patient. When someone gets home after a brief or extended medical stay away from home, the reality can be overwhelming. Activities like showering, getting into bed, feeding oneself, showering, or even staying up for a few hours can be extremely challenging.

The thing to remember is that

healing continues at home. It is not done in one day, one week, or even one year, depending on the person’s health challenges. They continue in their healing process.

The operative word is continue.

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

markers, and monuments. “We’re seeing a lot of people incorporate the pet burial services as they do their own preplanning,” said Clegg.

“While the state won’t allow us to bury pets and people together—animals must have their own designated burial areas—we’re able to offer both services simultaneously, as our planners are trained to handle both types of requests. Just as a person’s life is unique, so is that of a pet, and it’s important that we memorialize and celebrate it as such.”

Pet ownership has more than tripled since the 1970s. Today, 62-percent of all homes in America have at least one pet—and those pet owners often shower their friends with the best that money can buy, spending more than $50 billion last year alone on pet-care products and maintenance.

Aftercare is no exception; according to a Bloomberg News report, less than a decade ago, only a handful of facilities offered the service. By 2012, that number had grown to more than 700 nationwide, including funeral homes, crematories, and cemeteries.

Clegg says that trend is evident here too, as the interest so far has been amazing—much of it generated through word-of-mouth. “In addi-

tion to customers talking about it on Facebook and visiting our website, at least 25 or 30 people have called asking us when we will be open. And we have five people on a waiting list.

We’re really excited to get this started, and fortunately, we have plenty of room for expansion,” he remarked.

Future plans include building a shelter in the Reflections Garden so people can hold services on-site.

Neighboring sections will be developed to include a dog park, where people can allow their dogs to run.

“We love having dogs (on leashes) in the park—and even encourage it!

The only thing we ask is that people clean up after their pets, which just about everyone does.” said Clegg.

“With almost nine miles of roads (similar in size to some of our Metroparks), we like to remind everyone that it’s a safe place to walk or run or exercise your dog and an ideal way to experience the beauty and serenity of the park.”

The Reflections Garden at Toledo Memorial Park. Especially for Pets. plans to host a larger-scale opening later in the year. More information will be posted on Facebook and on the Toledo Memorial Park website. ❦

Unison Behavioral Health Group earns Behavioral Health Home Certification from Joint Commission

U

nison Behavioral Health Group recently announced that it has earned Behavioral Health Home Certification from The Joint Commission. The agency is the first in the State of Ohio to achieve this certification.

“Unison Behavioral Health Group has demonstrated its ability to provide treatment that addresses the health needs of the whole person, potentially improving overall satisfaction with the care experience,” said Tracy Griffin Collander, LCSW, Executive Director, Behavioral Health Care Accreditation Program, The Joint Commission.

Unison Behavioral Health Group underwent a rigorous on-site survey in March of 2014. During the review, a Joint Commission expert surveyor evaluated compliance with standards related to key concepts of person-centered health care to support recovery and resilience philosophies.

Behavioral Health Home Certifi-

cation recognizes organizations that are a health home or an organization that improves access to health care and quality of care. Health home also focuses on the overall health of individuals served, particularly those who face chronic or serious physical or mental health issues.

“We are delighted to be the first organization in the State of Ohio to earn this certification from The Joint Commission,” added Courtney Weiss, LISW-S, Chief Operating Officer for Unison Behavioral Health Group. “Our staff works continuously to better meet the needs of the individuals we are privileged to care for. The goal of Unison’s Health Home is for each client—adult and child—that we care for to stay well and improve their overall health.”

For more information on the services provided by Unison Behavioral Health Group, please visit www. unisonbhg.org or call 419-693-0631.❦

The bond we share with our pets is often as strong (and in some instances stronger) than those we share with our human counterparts.

Pet Reflections Garden now open at Toledo Memorial Park

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e celebrate their birthdays.

We take them on vacations.

We include them in our wills. They laugh with us when we’re happy and lick away our tears when we’re sad.

They’re our pets—and the bond we share with them is often as strong (and in some instances stronger) than those we share with our human counterparts. And a love like that deserves a fitting farewell.

Now those pets will have a final resting place. Called “The Reflections Garden at Toledo Memorial Park.

Especially for Pets.” and located in the northern portion of the TMP grounds, this special section of the park is now open. It’s not just limited to dogs and cats. Any animal—be it as large as a horse or as small as a parakeet—is welcome.

“Pets touch our lives in many ways that others just can’t. So when they leave us, their lives are also worthy of celebrating,” said Jeff Clegg,

42 July 2014 | Healthy Living News

president/CEO of Toledo Memorial Park. “We’ve been working on this for more than a year. Interest in pet burials is growing exponentially, but in our area, that service is greatly underserved—in fact, we’ll be the first to offer it. Given that pets are part of our families too, we saw a great opportunity to parcel out some of our 200 acres to dedicate to our companions.”

The Reflections Garden, which will be set up as a separate entity due to Ohio laws, will be run in a way that mirrors TMP, with trust accounts for perpetual care (which have already been set up) and a pre-need trust. The same mapping and recording systems used at TMP will also be in place here. Clegg says a significant investment has been made in marking the land and lot locations. Many of the same services will also be offered, from cremation to traditional burials with graves,

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43

just break an out-of-control inflammatory cycle. Recently, researchers have found that acupuncture can be life-saving in some cases.

by Douglas Schwan, DC, Dipl ac Sepsis is a blood-borne infection nflammation is the body’s normal Acute inflammation is our body's that can kill a large percentage of reaction to some source of irrita- first response to a pathogen or injury. those who contract it. Interestingly, tion. Inflammation leads to swollen The involved area is flooded with it is not the infection that typically kills the patient; rather, tissues, pain, and, in severe cases, blood, creating a red, Mice treated in this sepsis triggers an ineven death. swollen appearance.

Most think that inflammation is This brings nutrients experiment produced flammation of the blood some devious device that our body and white blood cells measurable amounts of vessels that leads to a attacks us with just to make our life necessary to either re- cytokines—molecules shutdown of organs.

Researchers used an miserable. The truth is, the inflamma- pair or fight off the that help reduce acupuncture technique tory response is part of our normal infection. Even prewhereby they attached inflammation. reaction to some outside irritation, scription drugs can small electrodes to acusuch as an infectious bug or trauma, bring on a generalized or a more generalized response to inflammatory response if one is es- puncture needles inserted in areas where they would impact function our unhealthy habits. For example, a pecially sensitive to them. lousy diet can lead to inflammation of Acupuncture has been used for of the vagus nerve. The vagus nerve our blood vessels, leading to clogged years to treat areas of inflammation, is understood to exert a great deal of arteries and long-term heart disease. to accelerate the healing process, or control in inhibiting general inflammation within the body.

These experiments in electro-acupuncture were carried out in mice with sepsis. Researchers found that mice treated in this way produced measurable amounts of cytokines— molecules that help reduce inflammation. Even more significant was the fact that while all the untreated mice died, only 50% of the mice treated with electro-acupuncture died.

These findings have led to new hope for people suffering from chronic inflammatory diseases, such as fibromyalgia, rheumatoid arthritis and Crohn’s disease. Physicians practicing electro-acupuncture can now more accurately treat, and achieve better results in, patients with chronic suffering. ❦

Inflammation and acupuncture

I

Dr Schwan is a Doctor of Chiropractic and a Diplomat of the International Academy of Medical Acupuncture. He is an author, lecturer, and onetime stand-up comedian.

He has maintained an active practice in Toledo, OH for the last 32 years.

Dr. Schwan is available to speak to your group on a wide variety of alternative health topics. He may be contacted at Dr_Schwan@ acupuncturetoledo.com.

For more information on alternative medicine, please visit his website at www. acupuncturetoledo.com.

44 July 2014 | Healthy Living News

Summer travel with allergies and asthma

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ith another summer travel season upon us, many people across the country are getting ready to depart on long-anticipated, wellearned vacations—some to far-flung destinations, others closer to home.

If you or someone in your family suffers with allergies and asthma, keep in mind that you may need to do some additional planning and preparation before departure.

If you want to keep those unpleasant—or even life-threatening—allergy symptoms at bay when you travel this summer, you’ll need to:

Research the allergens at your destination The old real-estate adage that the most important issue is “location, location, location” applies just as well to people with allergies and asthma. Depending on where you live or where you’re heading, you’ll be exposed to particular allergens at different times of year. That’s why local residents who head for sunny Florida in winter sometimes encounter allergy problems that they hadn’t anticipated. While the Ohio landscape may still be frozen and dormant at that time of year, they’re traveling to a warmer locale where the air may be loaded with pollen and molds, and their bodies may not be prepared for the sudden, overwhelming exposure.

Well in advance of your vacation, it’s important to contact your allergist to find out which allergens you’re likely to encounter at your destination and what you can do to minimize their impact. He or she may recommend starting you on allergy medications prior to your departure so you can stay one step ahead of symptoms.

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Know which bugs will be there, too!

Just as people with pollen and/or mold allergies need to find out which allergens might be floating in the air at their destination, it’s critical for people with known insect allergies to discuss with their allergist whether any stinging insects—such as bees, wasps, hornets, or fire ants—are likely to be present and active in the area and what to do in the event of being stung.

Remember that you’ll be leaving your allergy comfort zone People with allergies and asthma typically do a pretty good job of creating a home environment that minimizes their exposure to allergy triggers. For example, dust mite allergy sufferers commonly cover their mattress and pillow with hypoallergenic linens, and those with dog or cat dander allergies typically exclude those pets from their home or limit them to certain rooms in the house.

However, allergy sufferers have no control over these circumstances when they travel and have to stay in a hotel or motel or in a friend’s or relative’s house.

Again, discussing with your allergist where you’ll be staying and what allergy triggers you might encounter (such as Aunt Myrtle’s beloved cat) will give him or her important insights on how to protect you from allergy symptoms on your trip.

eating.

• Seek a flight designated nutfree if allergic to nuts.

• Be wary of food labels when traveling outside the US. Not all countries demand the same strict labeling that our FDA does.

• Err on the side of caution and avoid foods if they have any doubts about their ingredients.

Make sure your medications are handy Prior to your vacation, make sure you’ve packed all your allergy/asthma medications—including self-injectable epinephrine and/or asthma

inhalers if appropriate—and that they are conveniently accessible. If you’ll be flying to your destination, make sure all your medications are packed in your carry-on and taken on board the plane with you. Don’t put them in your checked baggage.

Also, to avoid any unnecessary delays or unpleasantness in the airport security screening line, be sure to declare your medications to the TSA security officials.

Locate the nearest healthcare facility In addition to keeping medications handy at all times, if you have asthma or known food allergies, it’s vital to

locate the nearest urgent-care facility at their travel destination. If you’re planning a camping vacation or other form of wilderness travel, verify that there is a hospital within ten miles of your campsite/wilderness location.

Also, be sure to take your allergist’s and primary care physician’s contact information with you in case you develop problems with your allergies or lose your medications.

He or she may be able to phone in a prescription to a pharmacy at your destination so you can get relief.

Most importantly, if you experience an allergic reaction or asthma attack that may be life-threatening, call 911 immediately. (Cont. page 46)

Take precautions against food allergies If you have food allergies, the best way to ensure that what you eat is safe is to take your own foods with you on vacation. Of course, this isn’t always a practical solution—for example, if you have to reach your destination by airplane. In this circumstance, people with food allergies should: • Verify ahead of time that safe foods are available at their destination. Most familyfriendly tourist destinations are more than willing to make accommodations for guests with food allergies if given advance notification.

• Be sure to wipe off the folddown tray table, armrests, and other surfaces around their seat when flying—you never know what the person who sat there on the previous flight was Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | July 2014

45

Get well ahead of time Summer vacation is supposed to be a time to relax and get closer to your family. Why let allergies and asthma stand in the way? Discuss with your allergist ahead of time steps you can take to nip vacation allergy symptoms in the bud—such as starting

medications before you travel—and, if you have severe allergies, how to protect yourself from developing life-threatening symptoms. With a little preparation, common sense, and input from your allergist, you can control of your allergies on vacation instead of letting them control you. ❦

A Walk in the Park

by LeMoyne Mercer

Getting to Zero W

hen Shirley and I set out for Alaska, we knew there were places we wanted to visit again along the way. The official start, Mile Zero of the Alaska Highway, is at Dawson Creek up in northeastern British Columbia. We were already 3,368 miles from Toledo when we got to Zero. The Alaska Highway is only another 1,523 more. Easy peasy.

Our route took us along I-80 to Wyoming where we spent four nights in Grand Teton National Park.

The major attractions there are the mountains and the wildlife. From the tourists’ perspective, the great thing about this park is that you can have a marvelous experience right from the pullouts on the road. For the thousands who arrive in tour buses, this is apparently more than good enough. People pile out, grinning and taking pictures of the mountains and posing for group shots. Then the drivers herd them back aboard and they are off to the next pullout.

They see the same thing from several slightly different angles—all of which are magnificent.

The angles that Shirley and I prefer are from Taggart Lake, the Oxbow Bend of the Snake River, and Antelope Flats. Taggart Lake was formed by a receding glacier and is reached by a relatively easy five-mile walk. We prefer the counter-clockwise route that requires a short climb over a glacial moraine, through a stand of

46 July 2014 | Healthy Living News

lodgepole pines and aspens, and across an open meadow for 1.6 miles. There was still snow back in the shadows even though it was a warm spring day. We enjoyed a light snack at the lake and admired the reflections of the mountains and the cerulean sky in the lake. Then we continued the 2.4-mile descent that completes the loop back to the parking area.

Along the way, we met people who were discovering that 2.4 miles is a lot farther going uphill than down.

Like other visitors, we enjoy some of the classic scenery the easy way— right from the road. At Oxbow Bend is a view that has graced thousands of calendars and postcards. Silhouetted against the sky are snow-capped Mt. Moran, Grand Teton, and Middle Teton with the shimmering blue waters of the Snake wiggling through the foreground.

Nine coyote pups and mother occupied a den under a deserted cabin in Antelope Flats.

This year, we encountered more wildlife than ever out in Antelope Flats. In addition to the bison and pronghorns, there was a special treat at a long-deserted cabin on Mormon Row. A coyote had given birth to nine pups in a den dug under the cabin.

The Park Service posted the area to keep visitors from approaching too closely. Professional photographers with long lenses waited patiently for pups to show themselves. The trick was to get a shot through the grass that hid them most of the time. We could see them chewing on what looked like the lower leg of a deer.

From the Tetons we continued up to Yellowstone. As the road climbed into the park, there was more and more snow along the road. Lewis Lake still had patches of ice on it. I had called ahead for reservations at Canyon Campground because we had heard that they were filling up even the first week in June.

At registration, we were cautioned to observe the food storage regulations.

“We have only been open a week,“ said the host, ”and the animals are still adjusting to not having free run of the place.” We pulled into site F-128 and received immediate confirmation of that. A neighbor called out loudly, “Bear heading your way!” And a grizzly crossed right behind our campsite only 15 or 20 yards from where we stood.

He never slowed down or turned his head to look at us.

At Canyon, we took advantage of hot showers, the coin laundry, and the RV sanitary dump station before continuing on to Mammoth Campground. Climbing over Dunraven Pass, we re-entered the snow fields and descended to TowerRoosevelt and the splendid Lamar Valley. Shirley and I thought we might be able to get in a few days fishing Soda Butte or Slough Creeks, but it soon became clear that the streams were too high and off color for that.

Even so, the valley, like Antelope Flats, seemed to hold an exceptional number of bison and pronghorns.

At Mammoth Campground, we got a site overlooking the canyon of the lower Gardner with mountains seen rising though the notch. Our friends Russ and Susan came over to invite us to dinner and to catch up on our adventures since we saw each other last September. They are full-time RVers who spend their

There was still snow near the Lower Falls of the Yellowstone the first week in June. It is a matter of elevation. Much farther north, at Dawson Creek, BC, it was in the mid-50s at night.

The Tetons bison herds tend to hang out in Antelope Flats rather than along the park road. We suspect that most visitors never see them. When you visit, make a point of heading into the Flats.

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47

winters in Orlando and their summers as volunteer hosts at Yellowstone.

The pay isn’t much (zero), but the benefits are outstanding.

From Yellowstone, we continued up through Montana to Shelby, close to the Canadian border, so that we could pass through customs at Coutts early the next morning. The idea was to get through Calgary to Banff National Park early in the day so that we would have a better chance of getting a desirable campsite. The park is close to Calgary and attracts locals as well as international visitors. Banff and adjacent Jasper National Park comprise the Canadian equivalent of the Tetons and Yellowstone—an uninterrupted corridor of natural grandeur.

Banff is the gateway town to the Canadian Rockies. When we were there in 1992, it was a quaint little community dominated by the historic and elegant Banff Springs Hotel. As at Mammoth in Yellowstone, elk were prone to wander the streets to enjoy the tender grass of lawns and an occasional hanging basket of flowers.

This year, we found Banff transformed into Gatlinburg North—wall-to-wall tourists. No elk but lots of "quaint" shops and trendy restaurants.

But we go to the Rockies for the scenery. Fortunately, all of it is as good as ever. At Chateau Lake Louise, guests and visitors ooh and aah (in numerous dialects) as they photograph the mountains reflected in the lake.

That is a recurring theme on this trip. Lots of mountains reflected in lots of lakes. Shirley’s father was prone to claim that “If you’ve seen one mountain, you’ve seen them all.”

We have seen nearly all of them, and we beg to differ.

For example, we drove from Lake Louise to Moraine Lake for more reflections and then on to Bow Lake and…well, you get the drift.

The classic reason to visit Peyto Lake is to see the stunning turquoise

A cliche from our travels is mountains reflected in lakes. In this case, it is Lake Louise in Banff National Park. Ooo! Ahh! Wow! Gollygeebobola!

48 July 2014 | Healthy Living News

through the valleys with relatively little climbing. Relatively. As with the Teton Park Road, visitors can get more than their money’s worth right from the highway.

In mid-summer, Peyto Lake is a stunning turquoise, but the ice cover in early June was an equally dramatic bright enamel blue.

water. Glacial flour, rock ground fine by ice and suspended in the water, refracts and reflects light to create the special color. This year, the lake was still frozen but the ice itself was a special treat because it was an intense enamel blue. We had anticipated hiking to the end of the lake to update our self photos from 1992. The steep trail down from the ridge overlooking the lake was still more than waist deep in snow.

I would have gone on but Shirley wimped out on me.

The road that connects Banff National Park with Jasper National Park is called the Icefields Parkway.

The road, taking its name from glaciers and snow-covered mountains, winds

Moraine Lake is a few miles off the Icefields Parkway. Later in the season, when there is a little less snow, the scene is still spectacular.

Go when you can.

The highway sign said “Mountain Sheep on the Highway.” Apparently they come down to earn tips by posing for tourist photos.

Sometimes right on the highway.

Just at the sign “Rocky Mountain Sheep on the Road” there was a small herd of bighorn sheep—right on the road.

Not quite like herds of bison hogging the roads in Yellowstone, but it was impressive enough. Several of the rams were already practicing butting heads just as you see in National Geographic specials.

The other treats along the Parkway include the waterfalls. Sunwapta Falls and Athabasca Falls could be twins. A quarter-mile-wide river is funneled by boulders into a narrow channel where it plunges into pools and roars through ten-foot-wide chasms before re-emerging and broadening out again. Shirley insisted that I pull over to get a better look at a tremendous unnamed waterfall. It deserves a name!

As we left Jasper Park headed

east to Hinton, a moose calf came plunging across the road on its huge adolescent feet. Farther on, mountain goats posed for photos high on a cliff side. From Hinton, it was on north through dense forest where the occasional logging truck struggled mightily to make 20 mph uphill then roared downhill at 80 mph. It was hard to decide whether it was worse to be behind or in front.

At Grande Prairie, we turned west and immediately were back in cattle and farm land virtually indistinguishable from the high plains of Wyoming or Montana. We arrived in Dawson Creek on Friday the 13th—surely a good omen—as we officially began the Alaska Highway at Mile Zero.

Dawson Creek was something of a surprise. I thought maybe it wasn’t the end of the world but we

Sunwapta Falls or Athabasca Falls? They could be twins.

An unnamed falls along the Icefields Parkway. We think it deserves a name.

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49

might be able to see it from there.

As it turns out, DC is a prosperous, busy community based on energy production—oil, natural gas, coal.

For the ancient world, the Pillars of Hercules (Straits of Gibraltar) represented the End of the World.

Columbus demonstrated that it was just the beginning of the New World.

As we head on up the road, we expect to encounter what is, for us, a whole new world. It took us two weeks to get to Zero, but every step of it has been 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

Stress eating

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ew research shows that elevated stress levels increase the secretion of glucocorticosteroids—potent steroid hormones that exert their effects on numerous target tissues, especially taste receptors. In plain English, that means when you experience stress in your life (e.g., a work deadline, sick kids, a fight with your spouse, business travel, a parent in the hospital, etc.), stress hormones

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are released and your cravings for sweet, salty, or high-fat comfort foods are increased.

Stress eating often comes on suddenly and usually triggers a craving for something specific, typically something sweet or salty.

Other emotions can have the same effect. For example, feeling depressed, lonely, anxious, exhausted, or bored can also stimulate emotional eating.

And we don’t just use food to quell negative emotions; we often reward ourselves and celebrate with food as well.

bored, lonely, or otherwise emotional.

Stop the insanity!

You may recall that fitness guru Susan Powter screamed this catchphrase at Emotions vs. hunger us repeatedly back in the ‘90s. While To avoid the potential pitfalls of her delivery was, shall we say, unique, emotional eating, you must learn the message made sense—don’t waste to recognize when you’re eating your time with crazy diets; just make to soothe stress and when you’re healthier food choices. We can’t always eating to satisfy true hunger. This make the stress stop or our negative can be very difficult, especially if emotions go away, but we can learn you regularly use food to deal with to deal with them better and more your feelings, but there are some healthfully. If your first impulse is signs that can help you distinguish to use food as a pick-me-up or your emotional coping mechanism for between the two forms of eating.

Physical hunger typically comes on stress, loneliness, anger, or boredom, slowly and doesn’t create a sense of you can get stuck in an unhealthy urgency—that need to eat right now. cycle where the real problem It’s also open to options—perusing and real feeling are never the menu board and having the addressed.

Keep in mind that ability to choose healthy foods.

Hunger also stops when you negative emotions are full. What’s more, eating to cannot be cured with satisfy your hunger doesn’t food. In order to stop make you feel bad about stress eating, you yourself or guilty have to find better, about your choices healthier ways to deal with your afterward.

On the other stress. Write hand, emotional Emotional or stress hunger is very powerful and often down what or stress hunger makes you want to eat something specific right away. you’re truly is very powerful feeling, and and often makes you want to eat talk it out. Before reaching for that something specific right away. When bag of chocolate chip cookies, take we are stressed, we often ignore a moment to pause and think— fullness cues and eat to the point then grab an apple and head out of discomfort, such as having a big for a walk. Afterward, if you’re still dessert (e.g., a pint of ice cream) really tempted to eat the cookies, right after a huge meal. Also, stress go ahead and have some, but try to eating often leaves you feeling guilty limit yourself to two. Remember, all because of the unnecessary calories things in moderation. you’ve just eaten. You beat yourself up and feel powerless over food and Tips for beating emotional eating feelings.

I’m not suggesting that eating Here are a few suggestions that will food to celebrate or as a reward is help you take control over the emoalways a bad thing—but there is a tional-eating impulse: problem if food becomes your “go to” for comfort when you’re stressed, • Make exercise a daily priority—

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even if the most you can muster at first is walking the dog around the block.

• Make time for relaxation.

Give yourself permission to take at least 30 minutes every day to relax, decompress, and unwind. This is a time to take a break and recharge—not find something else to stress out about. Also, adequate sleep has been found to decrease food cravings, so don’t sell your sleep schedule short.

• Connect with others. Don’t

underestimate the importance of close relationships and social activities. Spending time with positive people who enhance your life will help protect you from the negative effects of stress.

I know, this is all easier said than done, but when you’re strong, relaxed, and well-rested, you’re better able to handle the curveballs that life throws at you—without turning to food for emotional support. ❦ Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

Timely fireworks safety tips from Mercy Emergency Services

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t’s often said that fireworks around the Fourth of July are as American as apple pie. There’s just something about the thunderous roar and awesome spectacle of a fireworks display that ignites our sense of patriotism and reaffirms our shared heritage. But fireworks also have an undeniable dark side. Due to their inherently explosive and incendiary nature, fireworks pose a substantial risk of serious bodily injury and damage to property.

According to the Centers for Disease Control and Prevention, an average of 200 people are treated in emergency rooms every day around the July 4th holiday for fireworks-related injuries.

Furthermore, the risk of fire increases by about 50 percent during this same time, causing tens of millions of dollars in property damage.

Dr. Jay Taylor of Mercy Emergency Services– Perrysburg notes that most fireworks injuries—about 45 percent—occur in the 14- to 19-yearold age group. “This illustrates that the younger people are, the less respect they tend to have for the potential dangers of fireworks,” he observes. “With respect to the location of injuries, the vast majority are to the hands and fingers, followed by the head, including the eyes.”

The usual suspects While any firework can cause severe injury if used improperly, Dr. Taylor points out that two particular types are responsible for the most injuries—illegal and homemade fireworks. Illegal fireworks, such as M-80s, M-100s, “blockbusters,” “quarter-pounders,” etc., pack considerable explosive power and can cause devastating, permanent, and life-altering injuries.

Homemade fireworks are those created by taking legal fireworks and altering them to a dangerous level to get “more bang for the buck”— literally. This usually involves removing the explosive material from several smaller fireworks, combining it, and then either placing this amped-up explosive load in some type of container or rewrapping it to create a much more powerful firework. As with illegal fireworks, these makeshift explosives can cause profound injuries.

Fireworks safety tips Dr. Taylor strongly recommends leaving fireworks to the professionals.

Instead of setting them off in backyards and neighborhoods, where the risk of injury or property damage is great, he urges people to enjoy fireworks with their families at major public displays. However, he knows

many will not heed this advice, so for those intent on using fireworks despite the inherent risks, he offers the following tips:

it. Remember, there’s a reason the vast majority of fireworks injuries are to the hands and fingers. Also, never ignite more than one firework at a time.

8) Never put an ignited firework in any type of container, for example to see whether the container will

1) Make sure any firework you’re considering buying is legal in your area.

2) Never allow children to play with fireworks, not even the sparklers that are ubiquitous in big-box retail stores.

“Sparklers burn at approximately 1,800 degrees Fahrenheit. To put that temperature in perspective, consider that it takes only 900 degrees to melt gold.

Even a spent sparkler can cause a thirddegree burn very quickly if you grab it by the wrong end,” Dr. Taylor points out.

3) Never point or throw fireworks at other people, even in jest. Also, never wave or run with sparklers.

4) Avoid using fireworks around homes, dry grass or leaves, or any other flammable substance or structure.

5) Keep a water source handy. “There should be a waterfilled bucket or hose in the immediate area so if a fire does ERVICE occur, you can douse it immediately. A IS OUR bucket of water is I G N AT U R E the better option because if you have a firework that doesn’t go off, you can drop it right into the bucket,” says Dr. Taylor.

6) Never attempt to relight a “dud” firework or take it apart to salvage the 4607 W. Sylvania Ave. | Toledo, Ohio 43623 explosive material.

(419) 841-7773 It is no longer safe and should be signaturebankna.com immersed in water immediately.

7) Never hold Member FDIC a firework in your hands while igniting

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explode. This introduces yet another level of danger by adding shrapnel to the equation.

9) Never allow children to pick up seemingly spent fireworks. Some may be slower fused than others and could blow up in their hands, causing catastrophic injury.

10) Though people of any age can be injured by fireworks, close adult supervision is always critical

when they are in use to ensure that children maintain a safe distance and don’t let their natural curiosity get the better of them.

“The most important thing is to use fireworks properly and have respect for what they’re capable of.

And if you do sustain an injury, go to the emergency room immediately,” Dr. Taylor advises. ❦

Have you made your family vacation health plan?

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efore departing on that long-anticipated family vacation, it’s only natural to double check tickets and itineraries, get your vehicle serviced, make sure mail delivery is stopped, arrange a pet sitter, stock up on necessary supplies, get your travel finances in order, meticulously pack your luggage, etc. But what about planning for your family’s health while you’re away?

Nothing can sour a family vacation quicker than an illness or medical emergency, and if you’re traveling to a destination where quality healthcare is difficult to access, the

consequences of getting sick could be dire. So, whatever your travel destination this summer, developing a plan for potential health contingencies should be considered the most important aspect of your preparation.

Here are some simple steps you and your family can take to minimize the risk of a health concern turning your dream vacation into a nightmare:

Bone up on your travel destination If you’re planning to travel overseas, it’s important to find out ahead of

time whether any infectious diseases are common to the region or there are any known disease outbreaks of concern. You’ll also need to verify whether any immunizations are recommended or necessary for any member of your family and whether it’s advised to bring certain medications with you, such as anti-malarial drugs. This information is readily available on the Centers for Disease Control and Prevention website at cdc.gov/travel.

problem developing that just hasn’t manifested symptoms yet or a worsening chronic condition that could become a health crisis.

Also, don’t forget that infectious diseases cut both ways. Just as you don’t want to catch something from the local populace while you’re on vacation, they don’t want to get sick from a bug you might be carrying.

If you or a family member is feeling ill, your doctor can advise whether it might be appropriate to postpone your vacation.

Know your coverage

Pack your meds and first-aid supplies

Don’t assume you and your family will be covered in the event of a medical emergency while traveling and then find out the hard way that you were mistaken. Call your provider before you leave to verify whether you’ll be covered—and the extent of the coverage—at your travel destination(s).

Also, be sure to inquire whether medical evacuations (which can be extremely costly) will be covered if the need should arise. If there’s any doubt, consider investing in a travel insurance plan that covers this and other contingencies.

If you or anyone in your family takes prescription medications, especially for a serious chronic condition, be sure to pack enough to last for the entire trip. If you’re flying, pack them in your carry-on, not your checked luggage, and make sure they’re all in their original containers to avoid raising red flags with customs agents.

In addition to any prescription drugs, it’s a good idea to bring along a first-aid kit that contains supplies for

See your doctor Ailments that arise in travel destinations aren’t always related to drinking the local water or being exposed to some indigenous infectious microbe.

Sometimes travelers bring their own medical problems with them—whether they’re aware of it or not. In addition to updating your vaccinations and prescribing medications that you’ll want to have on hand at your destination, your doctor can give you a thorough physical exam to help determine whether you have a health Answers to crossword from page 24

treating minor injuries or infections as well as nonprescription remedies for problems such as diarrhea, upset stomach, and minor aches and pains.

Maintain healthy habits Let’s face it, getting ready for vacation and travel itself can really run you ragged. Not to mention, proper eating habits can take a major hit when you’re on vacation. As a result, travelers are often predisposed to

getting sick. To the extent possible, try to maintain your regular sleep schedule and make healthy food choices (with the exception of a few well-deserved indulgences, of course) prior to and during your vacation so your body has the energy and nutrition it needs to fight off illness. ❦

Physical medicine and rehabilitation A conservative treatment approach

by Christian Wuescher, MD

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he Physical Medicine and ReServices such as mobility device habilitation physicians and wheelchair equipment and staff at The University needs, amputation and of Toledo Medical Center prosthetic recommendations, and management of (UTMC) are specialists in evaluating and managing work-related injuries also patients with a variety of are offered. Additionally, medical conditions, includpatients suffering from spasing spinal cord injury; trauticity (a disorder that can matic brain injury; stroke cause painful and damaging and spasticity; as well as muscle tightness) can be joint, muscle, and nerve evaluated at our clinic for disorders. Our outpatient treatments such as botuliclinic utilizes state-of-the- Dr. Christian Wuescher num toxin injections, which art techniques and treatprovide localized relaxation ment options that allow of affected muscles. us to provide the best available care.

In addition to injection therapies, Physicians at our clinic offer con- the rehabilitation clinic provides servative, non-surgical treatment comprehensive medical care and options for common ailments such as therapy for virtually any condition arthritis, spinal stenosis, tendonitis, that may affect a patient’s ability to and neuropathy. Often, we are able function at his or her best. Often, to utilize electromyography, X-ray, patients receiving acute hospital care and newer technologies such as ul- decline in strength and function due trasound to make injection therapies to either a medical condition or an and diagnoses for these conditions extended hospital stay. If patients and even more accurate and effective. their families have concerns regarding We are now offering platelet-rich safety at home after discharge, they plasma injection therapy, a new and can be assessed by our physicians innovative way to utilize the healing for an aggressive, three-hour-perproperties of a patient’s own blood day inpatient therapy program at to promote healing and improved the Coghlin Rehabilitation Center function. on the UTMC campus. This facility

offers a multidisciplinary approach to the rehabilitation process and an alternative to nursing-home care by providing physician, nursing, and therapy services at a high level to restore functional independence and improve safety.

Our physicians are currently accepting new patients. Call 419-3834022 for an appointment. ❦ Christian Wuescher, MD, Assistant Professor of Physical Medicine and Rehab at The University of Toledo Medical Center.

Ashanti Hospice seeks volunteers Ashanti Hospice is currently looking for volunteers to devote one hour a week to comfort a person at the end of life. Volunteer opportunities include, but are not limited to, the following areas: companionship, special talents (art, music), pet therapy, memoir creation, and office/clerical help. A volunteer training class is now forming.

Please call Ashanti Hospice for more information at 419-724-1047.

Lutheran Village is a whole new direction in retirement living.

It's a neighborhood!

A community where residents can add life to their years.

Bring important health documents and contact information Of course, you shouldn’t leave home without your insurance ID card, and if you’re traveling overseas, your immunization record and other important health records should go along with you as well. It’s also recommended that you take your doctor’s and pharmacist’s phone numbers with you any time you travel in case you get sick, need medical advice, lose/run out of your prescription medication, etc.

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