HLN June 2014

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News June 2014 • FREE

Also available at hlntoledo.com

Ohio/Michigan Run

The Border Battle returns!

Also in this issue: • Look your best for summer • A "staycation" to remember • Elizabeth Scott to build Rehab Center • When certain sounds are insufferable • Summer safety tips for kids

The brightest minds in medicine. Right Here.

For more information, visit mercyweb.org

• Spiritually Speaking • Patient Advocacy • Dave's Races • Nobody's Perfect • And much more...

Look your best for summer!

V

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent 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 painfree, non-invasive cosmetic procedures performed

by Dr. Handler.

The Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging skin on the neck, upper arms, abdomen, and jowls. The Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis while the epidermis is cooled and protected. This heating of the dermis causes immediate collagen contraction followed by new collagen production over a period of time. This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only one treatment, results are seen

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.

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 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 with resultant diminished lines and a more “wide awake” and less tired appearance. 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 the 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.

Spring is the perfect time for eliminating unwanted hair of men or women on the face, chest, underarms, back, bikini, and leg areas with a special laser for hair removal. This is done exclusively by Dr. Handler with little pain and NO downtime or restrictions following the procedures. Dr. Handler also utilizes a special laser to reduce and eliminate “age spots” (from sun) on the face, chest, and top of the hands. And, for individuals with prominent blood vessels on their nose or anywhere on the face secondary to sun damage or the diagnosis of rosacea, the Vascular Laser is perfect for their removal.

To view before-and-after photographs of patients who have had these procedures, visit Dr. Handler’s website at drharveyhandler.com. For more information about the above-mentioned 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.

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 pre-cancerous or cancer. Full Body Exams are best performed and evaluated by a board-certified dermatologist. ❦

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e lthy l ng ews

June 2014 • Vol. 19, Issue 6

Your Monthly Guide to Healthy Living

HEALTH & BEAUTY

CHILDREN & PARENTING

2 Look your best for summer!

6 Spiritually Speaking Joyful commitments

by Sister Mary Thill 7 Life beyond diagnosis: understanding cancer survivorship 12 Finding your way through grief and loss

by Linda L. Smith, MA, LPC 21 Misophonia: when certain sounds are insufferable

by Dianna Randolph, AuD, CCC-A 29 Cardiac rehab restores confidence, function, and fitness in patients with cardiovascular disease 30 Sound Advice from Northwest Ohio Hearing Clinic

by Randa Mansour-Shousher, AuD, CCC-A 38 Half a gallon a day keeps the stones away, by Khaled Shahrour, MD 40 Nobody’s Perfect Choosing a treatment option that’s right for you, by Sr. Karen Zielinski, OSF 42 The Academy Corner “ARMD” with knowledge: understanding macular degeneration, by Nickie Dumas 45 Help! My feet hurt! by Douglas Schwan, DC, Dipl ac

32 Summertime safety tips for kids from Mercy Emergency Services 44 Students serve on day of caring, by Christine A. Holliday

TAKING CARE OF YOUR LIFE 4 This summer, plan a “staycation” to remember 10 Father’s Day formula for fitness success 16 Health Crossword, by Myles Mellor 23 A Walk in the Park What do you do all day?

by LeMoyne Mercer 35 Everdry Waterproofing: your prescription for a healthier home—and family 37 Have fun in the past this summer at Sauder Village 38 Staying “cool” this summer, by Amanda Manthey 43 Disconnect to reconnect with physical activity— like tennis, by Mark Faber, USPTA Elite Professional

Dear Readers, Thank you for picking up the June issue of Healthy Living News. This month’s cover features the annual Ohio/Michigan 8K/5K, one of our area’s most popular races, to be held Thursday, July 17 at Centennial Quarry. We’re extremely proud that we’ve been able to use this publication to promote healthy, family-friendly community events like this since our first issue hit the stands 18 years ago.

In fact, at virtually any time of year, you can find a local or regional run (or run/walk) that primes your competitive spirit, is professionally managed, and leads you through beautiful scenery—all while contributing to a variety of very important causes. See page 5 for full details on the Ohio/Michigan 8K/5K and page 39 for a listing and descriptions of other events sponsored by Dave’s

FOOD & NUTRITION 19 Eating Well Water, water everywhere—but how much should I drink? By Laurie Syring, RD/LD

OUR COMMUNITY 5 Ohio/Michigan 8K/5K promises family fun and competition for every activity level 8 A love story: Larry and Donna Stevens celebrate 62nd anniversary 10 Lucas County Children Services offers one-week foster/adopt training 14 Alzheimer’s Association, NWO Chapter opens new Adult Day Center in Oregon 15 Elizabeth Scott to build new Skilled Rehab Center 18 UT Patient Advocacy Program: building a passion for advocacy, by Michelle N. Mangan, PharmD, BCACP, CDE 27 Not ready yet? by Jessica Derkis 28 RESTORE, Inc. to host Fatherhood Walk 31 With help of Laurels rehab team, amputation patient is back in stride 34 Walker Funeral Homes celebrates 80 years in Northwest Ohio 41 Franciscan HomeCare Services of Northwest Ohio receives accreditation

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Performance Footgear.

Also in this issue, Dr. Jay Taylor of Mercy Emergency Services– Perrysburg shares some important and timely tips on keeping kids safe while they enjoy summer play and activities (p. 32); cardiologist Dr. James Bingle of ProMedica Heart and Vascular Institutes discusses the benefits of cardiac rehab for patients with heart disease (p. 29); audiologist Dianna Randolph of Northwest Ohio Hearing Clinic explains misophonia—a condition characterized by extreme sensitivity to certain sounds (p. 21); and Dr. Khaled Shahrour, Assistant Professor of Urology at the University of Toledo, explains why “a half gallon a day keeps the kidney stones away” (p. 38). Last but certainly not least, anyone who is struggling to

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WHEREVER /HLNToledo

@HLNToledo

lose weight and keep it off is urged to read about Dr. Jason Peisley’s Healthy Weight Loss for Life program, available at Fairwood Health & Body Transition (p.

47).

This month also marks the one-year anniversary of the totally redesigned hlntoledo.com. The reach of this digital platform continues to expand, providing great additional content for readers as well as enhanced exposure for advertisers.

While we take great pride in the distribution of our print publication, we continue to be amazed at the growth and popularity of our website. We encourage you to visit often—and we welcome your feedback.

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

YOU ARE, WE ARE.

Download our free app on your mobile device in the iTunes or Android store and always be well connected.

© 2014 ProMedica

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

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

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.

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 June 2014 | Healthy Living News

This summer, plan a “staycation” to remember

W

ith another school year in the rearview mirror and summer fast approaching, families all across the country are eagerly anticipating a well-earned vacation. While many of them will soon embark on flights or road trips to far-flung destinations to experience entirely different cultures, activities, and scenery, others are opting to enjoy a decidedly more local experience. Due to a variety of factors—with the high cost of gasoline and limited vacation time being high on the list—more and more families are substituting a “staycation” for the traditional family getaway.

Why choose a staycation?

A staycation is just what it sounds like—a vacation in the comfort of your own home. While that might seem like a contradiction in terms on the surface, vacationing at home offers a myriad of benefits that you simply can’t enjoy when traveling. Families who staycation don’t have to pack a thing (or backtrack when they’ve forgotten something); worry about lost luggage; wait in interminably long traffic jams or airport security lines; fret about the cleanliness of their bed linens, bedbugs, or other people’s germs in the bathroom; endure the stress of driving in unfamiliar territory; or lose any of their precious vacation time traveling to and from their destination. What’s more, staycationers have the option of inviting friends and extended family to participate in all of the fun activities they have planned.

Try doing that when you’re vacationing in Aruba!

You still have to plan Though staycationing requires minimal preparation, you don’t want to leave things completely to chance, either. You need to make a solid plan.

Start by actually scheduling your staycation on the calendar just as you would a traditional vacation— and stick to your schedule. Research the different attractions and destinations that are in your immediate area or close enough for a reasonable day trip, and create an itinerary for each day. Let co-workers and clients know that you’ll be on vacation and unavailable during that time. Make sure any unavoidable chores—such as mowing the lawn and paying the monthly bills—are finished ahead of

your “departure” date so you can start relaxing and enjoying family time as soon as the alarm clock sounds that first morning. Of course, if any of the activities you’d like to enjoy on your staycation require reservations or tickets purchased in advance, be sure to take care of that ahead of time, as well

Don’t sabotage your staycation One potential drawback to vacationing at home is that it’s very easy to get pulled off course by the “siren song” of any career or household projects that might await you. The home office phone rings, your emails start to pile up, you notice that cabinet door that needs fixing, and suddenly your relaxing staycation is just another work week. But remember, this is supposed to be a time for recreation and recharging your batteries with family—not an excuse to tackle additional chores.

To avoid this pitfall, turn off your computer and shut down your home office. Make sure your outgoing voice and email messages indicate that you’re on vacation. Hang a “closed” or “gone fishing” sign on your office door to help you resist the temptation to check on that “one little thing.”

If you absolute-

ly must check emails (or you just can’t bear the thought of coming back to a thousand messages), schedule a specific time, perhaps midway through your staycation, to do so.

As far as chores around the house are concerned, unless there’s an emergency, ignore them until your staycation is over.

Staycation activities What can Toledo-area residents do to keep a family occupied and entertained

for an entire staycation? Actually, our region presents a surprising diversity of recreational options when you give it a little thought. Of course, there are the major must-see Toledo attractions, including the worldclass Toledo Zoo, Toledo Museum of Art, Toledo Mud Hens baseball, and Imagination Station. But that’s just scratching the surface.

If your staycation won’t be complete without sun and surf, there are several state parks with beautiful beaches that might just fit the bill, such as Maumee Bay State Park in Oregon, East Harbor State Park in Marblehead, and Sterling State Park in Monroe. Several great water parks are located within close driving distance, as well. Of course, Put-in-Bay is just a short ferry ride away for the feel of Key West much closer to home.

Families with an educational bent will want to incorporate visits to nearby historical attractions such as Sauder Village in Archbold and Greenfield Village and the Henry Ford Museum in Dearborn. Or how about spending a summer morning delving into the much more distant past at the Fossil Park in Sylvania?

For a more calming, contemplative experience, visit Toledo Botanical Garden, immerse yourself in nature at one of our local Metroparks, or go cycling on our many area bike paths. On the other hand, if you prefer to take a walk—or, more accurately, a drive—on the wild side, you’ll want to add to your itinerary a visit to the African Safari Wildlife Park in Port Clinton.

For thrill-seeking families, a day at Cedar Point Amusement Park in Sandusky is a must. If you’re really feeling adventurous, schedule the whole family for scuba lessons and hit the local quarries, such as Portage Quarry in Bowling Green, White Star Quarry in Gibsonburg, and Gilboa Quarry in Ottawa, for a little underwater exploration.

And, don’t forget to treat yourself and your family to a few indulgences. By staycationing, you’re saving significantly on the cost of gas and lodging, so it’s okay to pamper yourself a bit in other ways. Enjoy some of the fine dining our area has to offer, schedule a soothing spa day, get a makeover, or shop for a luxury or two.

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Kick back in your own back yard Then again, you can do a lot of relaxing right in your own home or yard.

Plan a backyard barbecue, complete with a badminton, croquet, or lawn darts tournament. Gather around a blazing fire pit to share conversation, roast marshmallows, and make s’mores. Schedule family pizza and movie nights. Do a little stargazing and see who can identify the most constellations. Or, just take some

time to lounge around the garden that you’ve worked so hard to create but seldom have time to enjoy.

The list of possibilities goes on and on. Remember, your family staycation can be whatever you want to make of it. Just because you aren’t leaving the local area doesn’t mean you can’t enjoy the same benefits that you would on a conventional vacation. With a little prior planning and creativity, you can still go back to work rejuvenated and re-energized.❦

EAT LIKE THIS AND YOU MAY JUST

BYPASS

THAT BYPASS ALTOGETHER.

Ohio/Michigan 8K/5K promises family fun and competition for every activity level

A

rea residents looking for a family event that combines summertime fun and a little friendly competition need look no further than the Ohio/ Michigan 8K/5K, to be held Thursday, July 17 at Centennial Quarry, 5773 Centennial Road, in Sylvania, Ohio.

Whether you bleed scarlet and gray or maize and blue—or have no preference between the two—you and your family will have a blast at “The Original Border Battle Run and Race in Two States.” This evening event, sponsored by Dave’s Performance Footgear, is less about a long-running rivalry than location—it’s the only 8K that crosses the Ohio-Michigan border.

Of course, it’s not unusual for diehard OSU and UM fans to show up in their respective colors.

“This race offers something for everyone,” says Alan Morrison, brand manager for Dave’s Performance Footgear. “The entrance fee gets you access to Centennial Quarry for beach activities and swimming in the daytime; your choice of the 8K run, 5K walk, or kids 1-mile fun run in the evening; a T-shirt; beverage tickets; a post-race barbecue dinner; and even live music by the Boo Yeahs.”

Participants of all activity levels are welcome and encouraged to join in the Ohio/Michigan 8K/5K. Those who are looking for a more competitive challenge will enjoy the 8K run, which begins at 7:30 p.m., while others might prefer the scenic 5K walk, which starts at 7:15 p.m. and can be as relaxed or as vigorous as participants like. Kids love to come for an afternoon of swimming fol-

lowed by the fun run at 7:00 p.m.

Or, you can just come for the party and entertainment, which also kicks off at 7:00.

“Racers will appreciate the fact that the 8K and 5K are on separate courses so the runners and people who are just out for a walk don’t interfere with one another, as often happens in similar runs. The 8K starts outside the quarry, heads north, and forms a rectangle, while the 5K passes through Sylvania’s Fossil Park. Also, this event is held in the evening on a weeknight, so families with already jam-packed weekend schedules will be less likely to miss it because of a schedule conflict,” Morrison says.

Perhaps most importantly, a portion of the event’s proceeds will go to benefit the American Heart Association, a vital organization of which Dave’s Performance Footgear is a proud major sponsor. In fact, representatives of the Heart Association will lead the 5K walk.

“Heart disease is the number-one killer in this country, surpassing all of the next five causes combined,” explains Morrison. “The Heart Association does fantastic work in educating people and raising awareness about heart disease, providing health screenings, as well as research and development.

They’ve achieved some incredible breakthroughs in the last decade.

Their efforts fit in perfectly with our mission, and we’re extremely proud of our partnership.”

For further details on the Ohio/ Michigan 8K/5K, please visit daves running.com and click on “Sponsored Events.” ❦

VISIT PROMEDICAHEALTHCONNECT.ORG AND LEARN ALL ABOUT UNDERSTANDING HEART DISEASE AND HEART HEALTH GUIDELINES. Looking for answers? Look to ProMedica HealthConnect under “Your Body & Conditions” where you’ll find this article on heart health, along with helpful advice from local ProMedica experts.

Join the discussion at ProMedicaHealthConnect.org.

© 2014 ProMedica

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BySister Mary Thill

Spiritually Speaking Joyful commitments Married couples are a living sacrament of …spousal love: a walking, talking, mortgage-paying, diaper-changing, carting-thekids-to-soccer-practice-and-then-to-piano, daily (sometimes hourly) dying-to-self sign and vehicle of grace for one another and for those whose lives they touch.

—Monsignor Michael Heintz

T

here still seem to be a lot of weddings in June in spite of the comment of a pastor in Minnesota who told me that November was the big wedding month in his church. My parents were married in June, and I have always associated this month with weddings. I’ve struggled for several years now with an unwillingness to go to weddings, and an article in AMERICA magazine (April 28-May 5, 2014) has made me reflect on why this is so. Monsignor Heintz’s article, titled “A Shared Sacrifice, the Witness of Marriage and Celibacy,” gave me

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several things to ponder as I compared my life of celibacy (50+ years) and the high incidence of divorce, not to mention “bad” marriages in our culture and in our world.

I could have titled this article “Say Yes to the Dress” and been correct about what seems to be the major concern for so many brides today if you watch and listen to the brides on that TV program. I don’t recall ever seeing a program on TV suggesting that the relationship between the couple is very important and that their life together will entail lots of walking, talking, mortgage-paying, etc., just like Monsignor Heintz says in the quote above.

Dr. Phil and Dr. Drew deal with what happens when the important aspects of a marriage are not considered or are totally neglected. No one on TV seems to be addressing the fact that marriage requires a lot of sacrifice,

renunciation, giving of self at many levels, as well as enjoying the fruit of your labors, the birth of children, their successes, your joy in being a parent, and later on the special joy of grandparenthood. All this is also accompanied by pain, sorrow, trauma, and loss, but it all needs to be considered in light of the bigger picture and God’s grace accompanying us on this journey called life.

Religious life, with its vow of celibacy, also requires of those who feel called to this way of life a similar sense of the importance of relationships with God and others as well as a keen appreciation for the sacrifice, renunciation, and giving of self demanded daily in whatever way one serves God’s people. Hopefully, this is also done in a spirit of joy as witnessed by others who see the Sister relating to them as someone who shows them God’s presence in this world. In the biographies of many Sisters in my religious community,

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the Sylvania Franciscans, you can read that the number-one reason many of us came to the Community was because of the joyful spirit we saw among the Sisters who taught us or took care of us when we were sick. One would hope that being joyful witnesses in marriage and religious life would inspire today’s youth to want to share in that joy, especially in a world that is so fast-paced that we hardly have time to even notice those who are joyfully committed to each other and to God. Let us pray for married couples and celibate religious that they will have the grace to continue to build strong relationships between themselves, their God, and those with whom they live and serve.

Say “yes” to joyful commitments! ❦ 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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Life beyond diagnosis Understanding cancer survivorship

W

ith June being designated Cancer Survivorship Month, now is the perfect time to not only celebrate the positive trend in cancer survivorship, but also to heighten our awareness of what survivorship actually means—including the impact that living longer after a cancer diagnosis has on patients, their families, and the practitioners who care for them.

According to Sue Mahoney-Stombaugh, MSN, CNP, of The Toledo Clinic Cancer Centers, the general public tends to think of cancer survivorship as being cured of the disease, but oncology practitioners take a somewhat different view. “What people may not recognize is that cancer survivors may still need chemotherapy or other maintenance treatments and often require surveillance long after their active treatment ends to monitor for potential side effects and recurrence. Also, the medical community incorporates family members in the survivorship definition as well because they’re usually dealing with the ramifications of the disease as much as the patients are,” she says.

There are differing perspectives on precisely how survivorship should be defined, but according to Mahoney-Stombaugh, there seems to be a growing consensus that it begins when the cancer diagnosis is given and continues until the end of the patient’s life. Throughout that time, numerous physical, emotional, and psychosocial issues can arise as a result of either the cancer or its treatment.

Examples include persistent pain, excessive fatigue, osteoporosis, heart damage resulting from certain medications or radiation, compromised hematology (problems with the blood), neuropathy in the extremities, fear of recurrence, employment issues, and body-image issues. The high cost of cancer treatment coupled with time lost at work can also lead to serious financial difficulties—for both patients and their families. Of course, just as with the broader population, living longer means cancer survivors are at increased risk of developing

chronic health problems not necessarily connected to their cancer or its treatment.

Mahoney-Stombaugh has observed an increased awareness in the medical community of the concept of cancer survivorship and the issues surrounding it. She notes that it’s becoming a more prevalent topic in nursing and medical literature and that more research is being done on the best ways to monitor cancer patients, for example determining whether an

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or call 419-479-5605 annual CAT scan would be beneficial for certain cancer patients. “The result has been the development of more research/evidence-based surveillance plans, especially for some of the major cancers,” she adds.

The ongoing improvement in the rate of cancer survivorship can be attributed in large part to earlier detection. A growing recognition of the importance of screening tests, such as mammogram and colonoscopy, as well as an increasing general awareness of the symptoms associated with certain cancers is translating into more cancer patients seeking medical care in earlier stages of their disease.

Also, the treatment options for certain forms of cancer are improving as well. “More and more state-of-theart therapies are targeted to specific cancer types, and advanced genetic testing is helping to determine not only whether someone is at increased risk for developing certain forms of cancer, but also whether a patient’s cancer type is likely to respond to specific drugs. In breast cancer alone, better treatments, such as hormone therapy and genetic testing, are making

Toledo Clinic Cancer Centers have moved to better serve our patients and families.

Located on N. Holland Sylvania Road, we have laboratory, MRI and other specialty services conveniently located on the premises.

Why area doctors trust us the most…

• Area’s most experienced cancer care team • Enrolling more patients in clinical trials than any other cancer care provider in the region • Largest number of referred patients • NW Ohio’s first QOPI Certified Cancer Center Dr. David Brown Dr. Mark Burton Dr. Shaili Desai

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

7

Study finds renal artery stent procedure leads to similar outcome when compared to medication-only therapy NIH-funded research finds patients with high blood pressure and narrowed renal artery do not benefit from stenting procedure A commonly used stenting procedure to treat plaque build-up in the renal artery appears to offer no significant improvement when added to medication-based therapy, according to results from a new National Institutes of Health-funded study. The narrowing and hardening of one or both renal arteries, known as renal artery stenosis, occurs in 1 to 5 percent of people who have hypertension, or high blood pressure.

The findings were presented at the American Heart Association (AHA) 2013 Scientific Sessions in Dallas, Texas on November 18, 2013 and appeared concurrently in the New England Journal of Medicine. Renal artery stenosis can lead to conditions including chronic kidney disease, coronary artery disease, and stroke.

Effective treatment of this condition can improve blood pressure control, stabilize kidney function, and reduce incidence of serious cardiovascular events.

“Demonstrating the ineffectiveness of certain medical procedures can be as valuable as proving the effectiveness of treatment techniques,” said Dr. Michael Lauer, director of the Division of Cardiovascular Sciences in the National Heart, Lung, and Blood Institute, which supported the study.

“The findings from this study could help change clinical practice by encouraging health care providers to avoid unnecessary stenting procedures when treating renal artery stenosis.”

According to the study’s researchers, between 1996 and 2000 there was a 364 percent jump in renal artery stenting procedures for Medicare beneficiaries. The procedure involves inserting a metal mesh tube into an artery to open the clogged passageway. An estimated 78 million Americans have hypertension, according to the AHA, and as many as 3.9 million people in the United States may have renal artery stenosis.

“Renal artery stenting for this condition

remains a common practice because while several, smaller studies showed negative results, other research has suggested the procedure may help lower blood pressure and stabilize kidney function,” said Dr. Christopher Cooper, lead author of the study and Chairman of the Department of Medicine at the University of Toledo Medical Center.

“Our larger study demonstrates that this procedure offers no incremental benefit when added to treatment with medication.”

The Cardiovascular Outcomes in Renal Atherosclerotic Lesions study, known as CORAL, studied 947 patients whose plaque build-up in the renal artery narrowed the blood vessel by 60 percent or more. Participants, whose average age was 69, also had either systolic blood pressure of 150 mmHg or higher while taking two or more drugs or Stage 3 chronic kidney disease. Researchers from more than 100 institutions randomly split participants into one group that received medical therapy and another group that received a stent plus medical therapy.

The research team examined the effect of the two treatment options on a combination of cardiovascular and renal outcomes that included death from renal or cardiovascular causes; heart attack; hospitalization for congestive heart failure; progressive renal insufficiency; or renal replacement therapy.

During an average follow-up period of 43 months, researchers found that 35.1 percent of patients who received medical therapy and stents experienced one of the negative endpoints versus 35.8 percent of patients who received medication alone.

Related Resources: - Clinical Trials.gov CORAL page http://www.clinicaltrials.gov/ct/show/ NCT00081731 - CORAL Home Page http://www.coralclinicaltrial.org/ - What is atherosclerosis? http://www.nhlbi.nih.gov/health/ health-topics/topics/atherosclerosis/ - What is high blood pressure? http://www.nhlbi.nih.gov/health/ health-topics/topics/hbp/

a tremendous difference in survival rates,” Mahoney-Stombaugh states.

Changing attitudes toward lifestyle choices may be having a positive effect on cancer survivorship as well. For example, heightened awareness of the benefits of exercise and proper nutrition and the dangers of tobacco use and excessive alcohol consumption is leading some people to adopt healthier habits. Also, more research is being done on the effects of physical activity with respect to cancer prevention and survivorship. Yet the influence of lifestyle on survivorship remains a “mixed bag,” with some populations making healthier strides than others and plenty of room left for improvement.

With more and more cancer patients leading longer lives after their diagnosis and active treatment, the demand for oncology-trained physicians, physician assistants, nurse practitioners, RNs, and other practitioners who can monitor them is definitely growing.

Mahoney-Stombaugh is gratified that more and more training and educational opportunities are available to oncology practitioners looking to expand their knowledge and skills related to cancer survivorship.

In fact, she and fellow Toledo Clinic Cancer Centers nurse practitioner Brenda Brien recently completed a program, developed by Memorial Sloan Kettering and City of Hope and funded by a grant from the National Institutes of Health, with the goal of educating 200 nurses in survivorship care. “This is a three-day program followed by a monitored 18-month period in which the nurses

clinical research study?

The Jacobson Center for Clinical & Translational Research at the University of Toledo Medical Center is participating in over 65 enrolling clinical research studies.

HealtH Science campuS - center for creative education Bldg.

2920 transverse Drive, Floor 3, toledo, OH 43614

8 June 2014 | Healthy Living News

For more information, please call the Toledo Clinic Cancer Centers at 419479-5605.

A love story

Have you ever considered volunteering for a

To find out if one is right for you visit http://utmc.utoledo.edu/research/ patients/currentstudies.html or call 1-419-383-6919

implement goals they’ve set at their home facilities. It’s a lot of work, but it has been worthwhile. What we learned has helped keep us focused and given us the tools for developing a cancer survivorship program and specific care plans here at The Toledo Clinic Cancer Centers,” says Mahoney-Stombaugh.

Asked what advice she would give Healthy Living News readers during Cancer Survivorship Month, Mahoney-Stombaugh replies, “If you’ve been diagnosed with cancer, it’s important to be diligent about follow-up care and adhere to recommendations for cancer screenings—and not just for the type of cancer you have. Also, I encourage everyone to develop or continue healthy lifestyle habits, such as eating right, staying active, avoiding tobacco use, and limiting alcohol consumption.”

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). ❦

Larry and Donna Stevens celebrate 62nd anniversary

I

t was true love from day one. That love is as strong as ever for Larry and Donna Stevens of Toledo who celebrated 62 years of marriage on May 16th. Their love has faced some challenges—as all marriages do—but it perseveres as Larry now visits Donna twice daily at Spring Meadows Senior Community, where she is a resident living with the effects of Alzheimer’s disease. The staff at Spring Meadows held a special anniversary lunch for the couple on May 16.

The couple first met at the age of 16 in Ashland, Ohio. Donna first

caught Larry’s eye when she would walk by his home on her way to work.

One day, Larry and his sister went to the skating rink and Donna was also there. Larry rode the bus home from the skating rink with Donna, instead of riding home with his sister.

The rest is history.

It wasn’t uncommon for Larry to walk 13 miles to visit Donna during their courtship. They married on May 16, 1952, when Larry was 17 and Donna, five months older, was 18. The couple lived in Ashland until 1967, then moved to Anaheim, California

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until 1972, and then moved to Toledo, where they have been ever since.

Along the way, they raised three children: Sherie, who lives in Holland, Ohio; Diane, living in California; and Michael, in Ashland. They have six grandchildren and three greatgrandchildren.

Larry worked as a crane operator when the couple moved back to Ohio.

Donna waitressed at White Tower Restaurant and ran the employee cafeteria at Jacobson’s before her retirement. Larry will happily say Donna was “the boss,” who worked her job and then came home and worked another as a mother and wife.

Larry says the secret to the longevity of their marriage is easy.

“We love each other. We have always gotten along good,” he said. “We had a few times where we would argue, just like any other couple, but not that many. We liked to do things together, like bowl and play cards.

We always have a lot of fun just being together.”

The couple has enjoyed traveling together to various spots across the country. On their 50th wedding anniversary, they made a trip to Las Vegas. Donna, a huge Wayne Newton fan, got a big treat as the performer found out about their anniversary and sang to the couple and kissed Donna’s hand.

In 2003, Donna was diagnosed with Alzheimer’s. In December 2013, the family made the tough decision to move her to a nursing home facility.

Prior to that, Larry had managed her care with the help of family and home health care.

“He said he was going to take care of her as long as he possibly could, and that is exactly what he did,” Sherie said.

Larry drives to Spring Meadows Senior Community twice a day to spend time and eat meals with Donna.

He has only missed a couple of days— when winter weather prohibited him from making the drive and a few days when he was ill.

“Some days are good, and some days are not so good,” Larry said of his wife’s condition. “Sometimes we have some real good moments.

There are times she still knows me.

I just tell her I love her and give her a kiss and hug.”

Having been afflicted with the disease for 11 years and suffering several strokes, Sherie said it became time for Donna to have round-theclock professional care.

“They say this disease is the longest goodbye, and that is so true. It’s just nice to hold on to her as long as we can. Having her here (at Spring Meadows) is really comforting to us.

This is a good, good place. They truly care—from the aides to the nurses to the people in the financial office to the activity people. It is very, very stressful to have to find a new home for your loved one,” she said.

“The minute I walked into Spring Meadows, I knew this was

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the place for mom. Everyone was smiling, and I could tell everyone cared. Even though I didn’t have an appointment, people made time to see me and answer my questions,” Sherie continued. “Is it great that this is close for us? Yes, but we would have driven miles and miles every day to know that mom was in a place where she was receiving the best care. It just so happened for us that Spring Meadows was that place and it is close to home.”

For the special anniversary celebration luncheon, the couple’s favorite meals from a local restaurant were brought on site and enjoyed in a special setting. The staff wishes Donna and Larry many more “good days” ahead on the path to their next wedding anniversary.

Spring Meadows Senior Community is a family-owned and operated facility, located in Holland since 1975. The facility offers longterm and short-term rehabilitation, palliative and hospice care, as well as assisted-living options. ❦

With so many choices, it’s hard to know what is the right solution for your loved one who perhaps needs rehabilitation after a fall, or long-term skilled nursing care. As a family-owned, family-operated facility, we understand the importance of finding just the right place for that special loved one to call home. We can also help you sort through questions about skilled care,long-term care, assisted living services, insurance coverage, Medicare and more.

Consider us your best choice.

Spring Meadows for Extended Care • Astor House for Assisted Living

You’re invited to visit us at 1125 Clarion Ave. Holland or call 419-866-6124 • www.springmeadowsecf.com

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CONFIDENCE AT CONTACT. Father’s Day formula for fitness success

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ather’s Day is a time to recognize and thank dads for all they do.

But, dads, I have some bad news; we can’t do it all!

The to-do list or honey-do list is long. We try working harder and longer to get the list down, but the list always appears to keep growing.

We have more work responsibilities, more activities that keep pulling us away from getting it done. We become more frustrated, as do those who helped identify the projects on the list.

The plain truth is, there isn’t enough time to get everything done that there is to do. But yet most of us keep trying. When we shift that list around, something is moved down on that list. If you are like most men, one of the first things to be lowered on the list is your own health and fitness. Who has time to work out if you are buried under that long to-do list?

So let’s take this negative and turn it into a positive!

You need to look at the list, identify the importance of each item, determine which items will move you

toward your goals and not farther away from them, look at the time you have, and then begin on the most important tasks that will allow you to keep moving forward.

The only way to sort through the to-do list and decide what is important is to know where you are headed.

What are your goals? What things do you want to change? Where do you want to be in a month, 6 months, a year? What is your goal in relation to your family, your job? What about your health? How healthy do you want to be? The key is to look at your top goals, the big ones. These are the goals that get priority no matter what else is going on.

Once you know these goals, you can look at how you spend your day.

Where are you focusing most of your energy and concentration? We need to look at those tasks that move us in the right direction, which are more of a high value. Those that are low value don’t move us in the direction of our goals.

To reach the goals that you set, you need to open up the time, focus on the high-value tasks, and stop

doing some of the low-value tasks.

This is easier said than done. Some of the low-value tasks are important, just less important. Three questions you need to ask yourself during this stage are: Can you eliminate it? If so toss it out. (Do you really need to spend hours on the computer after work?) Can you do it more efficiently (e.g., only checking email at certain times)? Finally, can you pass it along, delegate it to someone else?

You now have a plan with goals that move you forward, and one of those goals is to get and stay fit. Key point: if you aren’t healthy and fit, you will not be able to achieve the other goals successfully. Making the effort to stay fit and healthy will expand to all your other goals.

With fitness and health being one of the priorities, here are a few simple suggestions with exercise and nutrition to get you started. If life gets in the way of your time for exercise, you do not have to forgo your workout. If you have time to burn off 100 calories, get your heart pumping faster; it is better than not doing anything. Remember, you either need to burn off more calories or take in fewer calories to lose weight.

Here are a few ways to burn off 100 calories or so: • Take the stairs. Stair climbing for 15 minutes burns off about 130 calories. So on that 15-minute break or on your lunch, spend some of the time walking stairs if you can.

• Ride a bike. Riding a stationary bike at 20 mph for about 5 minutes will do the trick. If you are able to ride outside, you’ll enjoy it even more.

• Do calisthenics. Fifteen minutes of body weight squats, lunges, and jumping jacks will burn about 130 calories.

• Go for a walk. Walking about 4 mph for 20 minutes will potentially burn about 110 calories. Can’t get out? Walk in place while watching your favorite TV show.

• Do house/yard work.

Vacuuming and cutting the grass will burn those calories as well (about 30 minutes of vacuuming and 15 minutes of grass cutting with a push mower).

• • • • • •

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No endowment, entrance or up-front community fees!

For more information, please call (419) 878-4055.

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10 June 2014 | Healthy Living News

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Having Pain in your shoulder/arm; back, knee?

Weekend Warrior Activities got the best of you?

Heartland Rehab can HELP!

• Must be at least 18 years of age to adopt; 21 to become a foster parent.

• Can be married, single, or in a relationship.

• Can own or rent a home with at least two bedrooms.

• Can work outside the home.

• Must have a source of income.

• Need a safety inspection for your home • Must agree to a background check • Receive free training • Receive financial support based on your child(ren)’s needs.

LCCS currently needs foster parents for children of all ages but has particular need for families able to care for groups of three or more siblings, and teens.

To register for the classes, call 419-213-3336 or visit www.lucaskids. net.

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problem. Another benefit of juicing is the ability to detox your body. The enzymes contained in green juice help release built-up toxins, leaving your body healthier.

Just can’t get into juicing? What about smoothies? Juicing extracts the juice and leaves behind the pulp; smoothies use a high-powered blender to blend the juice and the pulp into a thicker fruit drink. In addition to the vitamins, minerals, and enzymes that come from juicing, you also get fiber with a smoothie. Fiber in smoothies will cause you to feel full longer, which may decrease cravings. Note that with juice and smoothies, you can potentially increase you calorie and sugar intake when you use a lot of fruit. ❦ 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.

Nutritionally, we all need to make

Lucas County Children Services offers one-week foster/adopt training

amilies interested in becoming foster or adoptive parents have an opportunity to complete their training in six consecutive days in June. Lucas County Children Services (LCCS) is offering the 36-hour training program June 23 through 28, from 9:00 a.m. to 4:00 p.m. at LCCS’ offices, 705 Adams Street in downtown Toledo. The training is the first step in becoming licensed by the State of Ohio as a foster or adoptive caregiver.

Qualifying to be a foster or adoptive parent is easier than you think. You...

sure we are getting more fresh fruits and vegetables as a part of our daily intake. The recommended servings are 5-9 per day. If you aren’t able to do this, what can you do? Green drinks can be the solution. Green drinks contain juice from fresh green vegetables, other vegetables, and fruit.

Why drink green juice? Vegetables and fruits are full of essential vitamins, minerals, and enzymes that your body needs to thrive. When you consume them in liquid form, your body is able to digest them quickly. Drinking green juice typically allows you to take in more nutrients.

It may be difficult to eat an entire bunch of kale in a day, but drinking the juice from the same bunch is no

•

Outpatient Physical Therapy, Hand Therapy, Splinting

•

Balance and Dizziness Therapy

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Post Concussion Disorder Therapy and Return To Play Program

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Healthy Lifestyle Weight Loss Programs

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Wellness Services: Gym Memberships, Massage, Yoga, Pilates, Personal Training, Retail Care Products and more.

Not your typical Outpatient Therapy Clinics but a

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Arrowhead: 419-897-9822

Oregon: 419-697-8000

Perrysburg: 419-874-2657

Westgate: 419-536-8030

Bedford: 734-856-6737

Contact Center 800.699.9395

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11

Finding your way through grief and loss

by Linda L. Smith, MA, LPC

Upamaka Rao, MD Family Medicine

phone: 419-473-2273 fax: 419-473-0474 Dr. Rao has moved and is currently accepting new patients.

Please contact her office to set up an appointment.

7640 Sylvania Ave. Suite E, Sylvania, OH 43560

GET DIRECTIONS TO HERE Scan the QR code and use Google Maps to get directions to this location.

ashanti hospice

C

ommon advice often heard about dealing with grief is to “just keep busy.” That works for some, but not necessarily for everyone. Each person’s grief is as unique as a snowflake. We must each find what works best to help us through the dark days of loss.

The grief we feel will depend upon many things, including the nature of the loss, our relationship with the deceased, whether the loss was sudden or anticipated, our personality and values, and many other factors.

Below are some important things to consider when dealing with your own loss. Remember above all that grief is natural and normal—even though what you experience may sometimes surprise you.

Numbness and disbelief are common first feelings, especially if the loss is sudden or unexpected. Remember that grief and loss affect your body as well as your mind. It is a blow to the entire psyche. You may have physical feelings that surprise you, such as feeling like someone beat

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Our holistic approach means we take the time to learn about each person and what is important to them. And we use this understanding to create a care plan that optimizes pain relief and reduces emotional stress, letting the individual define their own end of life journey.

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

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12 June 2014 | Healthy Living News

Feelings of grief will pass, however slowly and painfully, with some days better and others worse.

you up, feeling a pain or ache in your chest, or feeling like you can’t breathe. As time passes, you may also find that you can’t sleep well, that you are exhausted and fatigued, or that you feel like eating less or more than usual. If you have medical conditions, they may be adversely affected, such as a worsening of high blood pressure or a change in blood sugar levels if you are diabetic.

Monitor such conditions and consult your primary-care physician if any

significant symptoms arise. It is well established that those in grief have reduced immune system response in the months following a loss.

Other common feelings that you may experience include: • • • •

Sadness and crying Anger and irritability Anxiety about your future Fear about your death or that of loved ones • Guilt about your actions or omissions • Confusion and difficulty concentrating • Difficulty making even simple decisions.

All the above feelings are normal and common. They will pass, however slowly and painfully, and you will heal in waves, with some days better and others worse. You may feel like you are on a roller coaster for awhile—and it may take longer to heal than you expected. Don’t ask how long it will take—you will know you’ve begun to heal when you can look back on past memories with some joy, not just sadness.

Don’t mistake the deep sorrow of grief for a mental disorder. You don’t need antidepressants or other medications to get though grief (in fact, they may delay your healing) unless you have other mental issues that may complicate and prolong the grief process. For example, if you have a major depressive disorder, the loss may cause a depressive episode that is more intense than normal grief.

You may also have a complicated grief reaction if you have had other losses or traumatic experiences that trigger additional overwhelming feelings. For example, if you witnessed the violent or catastrophic death of a loved one, you may develop post-traumatic stress disorder that will require the help of a counselor.

Grief counseling may also be helpful if you had a troubled relationship with the deceased or the loss creates exceptional stress in a marriage or

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What’s happening at Senior Star?

Food for Thought June 11 • 11:30 a.m.

Absolute Home Fitting Consultants will explain how proper support stockings can increase leg circulation. $3.00 admission. Lunch to be served.

Walgreens Wellness Series June 24 • 3:00 p.m.

A Walgreens pharmacist will be presenting an informative talk about sleep disturbance in senior citizens and how to get a better night’s sleep.

Health Fair June 28 • 1:00 p.m.

Virtual Dementia Tour June 18 • 2:00 p.m.

Join us at this free event to learn more about Alzheimer’s and dementia.

Senior care professionals and caregivers who have attended say they have a deeper understanding of the physical and mental challenges experienced by those who they are caring for.

The Virtual Dementia Tour is a program created by Second Wind Dreams and P.K. Beville

Mercy nursing students will host a free health fair in the activities room! Don’t miss this opportunity to learn more about your health and well being!

Seating is limited.Call today.

RSVP: 419.862.6046

3501 Executive Parkway Toledo, OH 43606

seniorstar.com

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13

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Accepting New Patients The University of Toledo Physicians at Regency offers not only primary care for your family, but experts in a number of specialties, including: • Pulmonary • Neurology Dr. Lawrence Monger Internal Medicine

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• Nephrology • Pain management • Physical medicine and rehab • Orthopedics • Cardiology Other services onsite include: • X-ray (Walk-ins welcome) • Dexa Scan • Lab Services 1000 Regency Ct., Suite 200 Toledo, Ohio 43623 To schedule an appointment call 419.479.2665. utphysicians.utoledo.edu utmc.utoledo.edu

A Higher Degree of Healing 14 June 2014 | Healthy Living News

• Be kind to yourself. Life won’t go on as usual for some time, and you should not expect to be your old self any time soon.

• Make sure family, friends, and co-workers know what you are going through so they can support you emotionally.

• Take care of yourself physically—get enough sleep, eat well, and exercise (it will greatly help maintain your mood).

• Engage in activities that are enjoyable and comforting, whether by yourself or with others. Spend time in nature, do something with loved ones, get a massage, go to a worship service, watch a favorite movie, pursue a favorite sport or hobby, and pray or meditate.

• Talk to others about what you

•

•

•

•

are feeling. Bottling it up will only make it worse and may result in emotional problems down the road.

Take care of yourself and do it your way—whether that means carving out quiet time or seeking the companionship of trusted friends.

Use creativity to help express your grief. For example, write a journal of memories, create a scrapbook of favorite photos, compose a poem or song, or plant a garden in your loved one’s memory.

Be open to unusual experiences. Many in grief feel the presence of their deceased loved ones, or receive dreams or other apparent communications that fill them with love and comfort.

Be patient, and remember that in your own good time, you will heal. ❦

Elizabeth Scott to build new Skilled Rehab Center

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he Elizabeth Scott Community has announced plans to construct a new 12,288-square-foot Skilled Rehabilitation Center as an addition to the Skilled Nursing facility on its Springfield Township campus. The architect is SSOE, Inc. Plans call for the construction to be completed in the first quarter of 2015 with a planned opening by late spring of 2015.

The new, state-of-the-art Skilled Rehabilitation Center will include a large rehabilitation area for physical, occupational, and speech therapy; a new dining room and lounge areas; and 14 new private rooms

Linda L. Smith, MA, LPC, is a licensed professional counselor at Central Behavioral Healthcare in Toledo, Ohio.

One of the focuses of her practice is grief and loss counseling.

10x5.9_ES_NurseStaceyAd_HL_414.pdf

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he Alzheimer ’s Association, Northwest Ohio Chapter relocated its Adult Day Center from N. Wheeling Street in East Toledo to 4955 Seaman Road in Oregon (Challenger Learning Center building).

The center offers a secure, supportive environment for individuals experiencing memory loss while providing families a break from caregiving. The Oregon site is open Monday through Friday, 8:00 a.m. to 4:00 p.m. Currently, there are openings.

Traci Holland, respite coordinator, said, “Attending the Adult Day Center often delays or prevents premature placement in a longterm care facility. Many of our caregivers are in the workforce and need a safe place to bring their parents or spouse during the day while they are at their jobs. We

provide social and cognitive stimulation as well as physical exercise that they may not get if they were home alone all day. The caregivers have peace of mind knowing their family member is in a secure environment.”

The Alzheimer’s Association, Northwest Ohio Chapter also operates an Adult Day Center at 2500 N. Reynolds Road. Transportation services are available.

To learn more about the Adult Day Centers, please call the Alzheimer’s Association, Northwest Ohio Chapter at 1-800272-3900 or e-mail alzheimersnwo@ alz.org.

For more information on Alzheimer ’s disease and available resources, visit the Alzheimer ’s Association, Northwest Ohio Chapter ’s website at www.alz. org/nwohio.

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1

with private bathrooms. The construction process will also include the remodeling of four existing rooms in the Skilled Nursing wing. The new construction and remodeling will allow Elizabeth Scott to offer a total of 18 Skilled Rehabilitation private rooms. In addition, the existing main dining room in Elizabeth Scott’s Skilled Nursing wing will be expanded and renovated during the construction process.

“We’ve offered skilled rehab for many years,” says Matt Bucher, Director of Marketing for the Elizabeth Scott Community. “This new facility will significantly improve our rehab capabilities and allow us to meet the demands of the aging baby boomer generation,” says Bucher. “Historically, the baby boomers have been an active generation. As 5/22/14 9:29 AM they grow older, more and more of

them are having joint-replacement surgeries. Or they are having strokes or other illnesses that require follow-up therapy in a facility such as ours. It’s a large segment of our population, and we want to be prepared to meet market demand.”

Bucher says the new Skilled Rehab Center will feature all new, state-of-the-art rehabilitation equipment.

Therapeutic services at the Elizabeth Scott Community will continue to be provided by Concept Rehab, Inc., a

Toledo-based provider of interdisciplinary rehabilitation services for residents in long-term care, assisted living, and home health environments.

The company focuses on providing personalized and individualized resident care with a goal of improving an individual’s quality of life. “ We ’ r e v e r y pleased to partner with the Elizabeth Scott Community, and we are quite excited about the new Skilled Rehabilitation Center they are con-

Ground level ozone is a health hazard – especially for children and people with asthma.

Let’s Clear the air!

Drive less Wait to mow the lawn Use less energy at home Fuel up or use a grill after 6 pm

www.ozoneaction.org

“ Nursing is what

Alzheimer’s Association, NWO Chapter opens new Adult Day Center in Oregon

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©2014 Elizabeth Scott Community

Toledo Family Pharmacy

family. In these or similar situations, you should quickly seek help from a therapist. And, of course, if you ever begin to have thoughts of harming yourself or others or lose the ability to function in your life, seek help immediately.

What will help you get through your loss? Here are some suggestions that are helpful in almost all cases:

I want to do.

Elizabeth Scott is where I want to be.”

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

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.

Independent & Assisted Living, Skilled Rehab.

Family owned and operated since 1949.

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

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

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15

Closer Than You Think!

We’re Closer Than You Think! an You Think!

We’re Closer Than You Think!

Garden Rd

Garden Rd

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Ohio Turnpike

Ohio Turnpi

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23

475

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475

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S Crissy Rd

Ohio Turnpike

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Strayer Rd

Maumee Western Rd

20

Ohio Turnp

475

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Butz Rd

Ohio Turnpike SWAN POINTE CARE CENTER

Garden Rd

Holloway Rd Holloway Rd

Briarfield Blvd

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Briarfield Blvd

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ry Rd SWAN POINTE Ohio Turnpi ke CARE CENTER

Butz Rd

Salisbu

ry Rd

23

Garden Rd

Strayer Rd

Salisbury Rd

Holloway Rd

S Crissy Rd

Albon Rd

Holloway Rd

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ke

Albon Rd

Holloway Rd

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6

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Ohio Turnpi

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475

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20

Bla

Maumee Western Rd

Waterville Monclova Rd

SWAN POINTE CARE CENTER

20

Rd

Albon Rd

ck

Weckerly Rd

Bla

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Moncolva Rd

Maumee Western Rd Moncolva Rd

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Moncolva Rd

SWAN POINTE CARE CENTER

Strayer Rd

Moncolva Rd

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23

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475

Moncolva Rd

Albon Rd

Albon Rd

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Weckerly Rd

Albon Rd

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Salisbu

475

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Moncolva Rd

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close and convenient and family to visitfriends and family to visit Our centerallowing is close friends and convenient allowing the area.

Wefrom are in Hospital, wing friends and family visit allclose overtoproximity the area. to WeSt. areLuke’s in close proximity to St. Luke’s Hospital, Moncolva Rd f Toledo to Medical Center, Vincent’s Medical proximity St. Luke’s Hospital, University of St. Toledo Medical Center,Center, St. Vincent’s Medical Center, tal, Anne’sToledo Hospital, and Flower Hospital.

St. St. Vincent’s Medical Center, Hospital, St. Anne’s Hospital, and Flower Hospital.

structing,” says Marianne Hassen, Concept Rehab, Vice President of Operations. “The new facility, and its related equipment, will allow us to offer top-level rehabilitation services to even more residents in the future.”

The Elizabeth Scott Community has been family owned and operated since 1949. “My great-grandmother, Elizabeth Scott, founded our facility in 1949 out of her farm house and operated it as a nursing home,” says Bucher. “That old farm house has been renovated several times, and a portion of it remains part of our overall facility.” Bucher says Eliza-

beth Scott has expanded and grown quite a bit since those early days to meet market demands. “We’ve added Independent Living units and two levels of Assisted Living to our Skilled Nursing facility. Now it’s time to expand our existing Skilled Rehab capabilities.”

The Elizabeth Scott Community is located at 2720 Albon Road in Maumee. For more information about the new Skilled Rehab Center or the Elizabeth Scott Community, contact Matt Bucher, Director of Marketing, at 419-724-5021, or visit www.eliz abethscott.org. ❦

Waterville Monclova Rd

We’re Closer Than You Think!

Our center is close and convenient allowing friends and family to visit dcall Flower Hospital. today Give ustheaarea. call today Our center is close andin convenient allowing friends and from all over We are close proximity to St. Luke’s Hospital, more! family to learn more! to visit from all over the area.

We are in close proximity University of Toledo Medical Center, St. Vincent’s Medical Center, to St. Luke’s Hospital, University of Toledo Medical Center, Toledo Hospital, St. Anne’s Hospital, and Flower Hospital.

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prehensiveOur Rehabilitation Other Services St. Vincent’sServices Medical Center, Toledo Hospital, Comprehensive Rehabilitation Services ed nursing care • Post-acute care St. Anne’s Hospital, and Flower Hospital.

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• Cardiac care • Pulmonary • Long-term care services • Pulmonary • Pain Management • Long-term care services • Alzheimer’s and dementia care • Pain management • Respite care • Alzheimer’s and dementia care • Respite care • Care for medically-complex patients 3600 Butz Road, Maumee, OH 3600 • Wound Care Butz43537 Road, Maumee, OH 43537 WAN POINTE

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1 Tear-jerker in the kitchen 4 Fish that is a good source of vitamin D 8 Breathing aid 10 High-carb snack 11 Gone past the expiry date 12 Subject for an otologist 14 Easy decision (2 words) 16 Svelte 18 Healthy way of cooking vegetables 19 Tourer 21 “Mud” 22 Ready to be born...

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Wellness Care We’re committed to teaching our patients that true health is a journey, not a destination. You’re the boss! It’s your body, your health and your future. Our job is to offer you the finest chiropractic care possible.

TeChniQues anD serViCes • ACUPUNCTURE This technique stimulates specific points along specific known pathways (called Meridians), altering the biochemical and physiological state of the patient, and promoting healing.

• MANIPULATION UNDER ANESTHESIA (MUA) Manipulation Under Anesthesia is a non-invasive manipulation of specific areas, whether ligaments, muscles or joints, that is performed while a patient is under mild sedation.

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This is where we start!

• Determine the underlying cause of the health problem • Suggest a care plan to produce fastest results • Offer ways patients can participate in their recovery • Explain the value of post-symptomatic wellness care

Treatment for work, auto accident, and sports related injuries; back and neck pain; headaches; carpal tunnel syndrome; disc conditions and more.

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• SPINAL DECOMPRESSION We use the latest technology to help relieve the effects of back and neck pain due to herniated and degenerated discs.

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3829 Woodley Road, Bldg. A, Toledo •

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Hours: Monday • Wednesday • Friday • 8am - 6pm Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | June 2014

17

UT Patient Advocacy Program

Building a passion for advocacy

Health Care is complicated

by Michelle N. Mangan, PharmD, BCACP, CDE

But that’s where you come in.

O

Patient advocates, or professionals who act as liaisons between patients and the health-care provider, are needed now more than ever.

You can supplement your undergraduate degree with training in this field through The University of Toledo’s Graduate Certificate in Patient Advocacy Program.

This is a 100 percent online graduate certificate that can be completed in just two semesters.

JHHS 32 0113

For more information call or e-mail Debra O’Connell – 419.530.5421 or Debra.Oconnell@utoledo.edu.

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n the surface, it may seem that the term “patient advocate” just means someone whose responsibility is to fight for the rights and proper care of a patient. While that is certainly a component of what patient advocates do, there is much more complexity to the field than meets the eye.

Patient advocacy by definition is an area of lay specialization in health care that deals with patient education about the use of health plans and how to obtain the necessary care. Patient advocates can be either individuals or organizations. They may have specific training and an educational background in patient advocacy, or they may have a passion for advocacy that stems from their own personal experiences. Patient advocates can be individual family members, persons with advocacy training, or even a non-profit group that is focused on one aspect of health care or a specific disease.

With the advent of new treatment options and the implementation of healthcare reform, the field of healthcare is becoming increasingly more complex to navigate, and patient advocates can help provide an understanding of the system.

An individual patient advocate typically acts as a liaison between a patient and their healthcare provider.

Individual advocates have often been case managers in the field of social work, former doctors, nurses, or other trained healthcare professionals who have focused on helping patients in their decision-making. More specific examples of the responsibilities of individual advocates include communicating health information to a patient or family; being aware of compliance, appropriateness, and coordination of care; or even assisting in filling out paperwork for health insurance, durable medical power of attorney, or living will documents.

As a pharmacist, I already thought of myself as a patient advocate simply because of the nature of my profession, but I gained more insight on the impact that a patient advocate can

have after completing a certificate program in patient advocacy through the University of Toledo. Although most pharmacists may not have formal education and training in the field of patient advocacy, their position in the community and their professional responsibility allows them to intercede as patient advocates more often than recognized. Pharmacists advocate for patients by communicating to their primary care providers, their insurance companies, and their family members as well. Their primary responsibility is to be looking out for the best interest of the patient, and they are passionate about making sure the patient gets the best care for the given situation.

The certificate program has provided me with many benefits that I believe make me a better pharmacist for the patients I care for. I initially signed up for the program because I wanted to learn more about how insurance companies, specifically Medicaid and Medicare, operate. I felt that becoming well-versed in this area would be helpful, as problem solving and helping patients understand their prescription insurance is a common responsibility in the field of pharmacy. I gained much more knowledge than I set out to learn and was challenged to participate in experiences that patients go through and where a patient advocate can help.

Having completed these interactive assignments, I feel much better prepared to assist a patient through the same steps because I have personal experience to draw from that I would not have gained outside of the program. My classmates and I agree that it was these assignments

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that had the greatest impact on our passion for patient advocacy. We were able to see firsthand the difficulties our patients may go through, and we were better able to identify different areas where patient advocates can help.

Because my job involves patient interaction, I was able to readily apply what we were learning and discussing within our coursework, even before completing the courses. I found myself feeling more confident in helping patients work through situations that I would not have known how to solve before taking this course.

One recent example was when I was talking to a patient who was frustrated with one of his current specialty doctors but did not feel like he could switch providers because he did not know how to go about that process. I was able to recommend that he ask his primary care physician if they were aware of any good specialty doctors who had worked with their patients and achieved good results. The patient commented that

he had not thought of that before I suggested it. This was a strategy that I had learned in the certificate program, and I was pleased to note that I was actually applying what I learned from this course with success.

Completion of this certificate program not only helped to further my professional development, but also gave me skills that will benefit the patients I work with for years to come. ❦ Dr. Mangan is a Clinical Assistant Professor at the University of Toledo College of Pharmacy and Pharmaceutical Sciences.

She graduated from Ohio Northern University in 2011 and completed a residency in Community Pharmacy at the University of Toledo/ Kroger Pharmacy in 2012. She is currently the program director of the outpatient diabetes education program at UT and is a Certified Diabetes Educator within the program as well.

Eating Well

by Laurie Syring, RD/LD

his column typically focuses on the role of proper eating in maintaining an overall healthy lifestyle, but sometimes we forget that consuming enough water is just as important for our health. And if this coming summer turns out to be anything like last summer was, getting the right fluids and staying properly hydrated will be essential—especially for our older folks and littlest ones who can get seriously dehydrated in a very short time.

The effects of dehydration on these populations can be life-threatening.

I’m often asked how much water is enough. Can you drink too much? Are all fluids equal?

These are simple questions with not-so-easy answers. But let’s try to simplify…

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Dr. Hesham El Gamal Dr. Hesham El Gamal is the Physician Advisor for the Ridgewood Manor Pulmonary Recovery Program.* Dr. El Gamal specializes in pulmonary and critical care medicine.

He coordinates a highly trained team of health care providers to lead the pulmonary program. Dr. El Gamal is Board Certified in Internal Medicine, Internal Critical Care, Sleep Disorders and Pulmonary Medicine. Dr. El Gamal has privileges at several northwest Ohio Hospitals. He is licensed to practice medicine in multiple states including Ohio, Michigan, and Indiana. *as of October 1, 2013

DIAGNOSES AND CONDITIONS

INDIVIDUALIZED CARE Our Pulmonary Services help individuals with moderate to severe breathing problems adapt to their physical limitations as a result of their disease process. Our team of nurses, therapists, physicians, social services and dietary will work with you toward meeting your individualized short-term and long-term goals.

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calling all chicks

Water, water everywhere—but how much should I drink?

T

Pulmonary Care

Water and the body Water is our body’s principal element and makes up 60% of our body weight. In fact, every bodily system depends on water. Water flushes toxins out of vital organs; carries nutrients to the cells; creates a moist environment in the nose, mouth, and ears; etc.

When dehydration sets in, your body does not have enough water to carry out all these normal functions.

Even mild dehydration can drain your energy and make you tired. Think of hydration this way: every day is a constant water in/water out, flush-and-fill process for proper functioning.

So how much do we need?

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recommendation of getting eight 8-ounce glasses of water a day, and this remains pretty good advice for most people. Men, due to their generally greater body mass, actually need a little more—about 13 cups of water.

Pregnant woman are not only eating for two, but drinking for two as well, so they also need additional fluids—about 10 cups. Breastfeeding moms should be drinking even more water—about 13 cups a day—so their babies are sure to get enough fluid.

A good rule of thumb is to drink enough fluid so that you rarely feel thirsty and produce 6 or more cups of colorless or light-yellow urine a day.

Factors that affect hydration

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Exercise and environment play a big part in your hydration status. If you engage in rigorous exercise that makes you sweat, you need to drink extra water to compensate for the fluid loss. For example, if you’re into long-distance endurance sports, such as marathon running, you should plan to drink an extra 2 to 3 cups or even more.

Sports drinks can be helpful during long bouts of exercise; they replace not only water, but also sodium lost in perspiration. Also, don’t quit drinking the minute you stop moving. You should continue to replace fluids well after exercise.

Hot and humid weather is another factor that increases your need for fluid. If you have ever visited the Southwest, you’ve probably noticed that everyone there leaves home with a water bottle and refills it constantly Answers to crossword from page 16 1

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throughout the day.

As a matter of fact, paying close attention to what the locals do when you’re away on vacation is often a good way to stave off dehydration—not to mention sunburn, heat exhaustion, and other heat-related issues.

For example, spend a little time in sunny Florida, and you’ll soon figure out that the locals tend to frequent the beaches in the morning and evening when the sun is low on the horizon.

It’s only the tourists who bake themselves to a crisp in the intense midday sun.

Illness is yet another source of dehydration. Fever, vomiting, and intestinal flu can all rob you of fluids. In these cases, you definitely need to drink more water. Physicians will sometimes recommend sports-type drinks to help the body maintain its fluid balance, especially for children.

How much is too much?

Although it’s uncommon to drink too much water, it does happen as we see in the emergency room. When your kidneys are unable to excrete the excess water, the electrolyte (mineral) content of the blood becomes diluted, resulting in low levels of sodium in the blood. This is called hyponatremia. Endurance athletes, runners, and marathoners who drink huge amounts of water are at risk of developing this condition.

“Think your drink” Although water is the ideal fluid for your body, you can also count other fluids toward your total intake.

Beverages such as milk, coffee, and lemonade all count. Some of the foods we eat—e.g., watermelon and tomatoes—contribute small amounts of fluid to our overall intake as well.

So, this summer, I want you to “think your drink.” Choose water first, then if you still feel thirsty, go ahead and drink the soda, juice, or coffee that you initially thought you wanted. Remember, the goal is to stay hydrated for good health—and that means keeping your system flushed and filled. ❦ Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

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

MISOPHONIA

Trade In. Trade Up.

When certain sounds are insufferable

Trade in your old hearing aids for new ones!

by Dianna Randolph, AuD, CCC-A

B

We will give credit towards your NeW hearing aids

eing audiologists, we see many are hair twirling, fidgeting, repetitive patients who report sensitivity to body movements, and stirring.

New technology which preserves the loud noise. These patients report that It is not clear how common this human voice. From a crowded restaurant loud environments, such as sporting disorder is, but it’s believed that up to a noisy concert, we have the right hearing limited time offer events, children yelling, or even to 60% of people with misophonia aid to help you hear anywhere. watching a movie at a movie theater, also have tinnitus (ringing in the Benefits of new hearing aids include: are uncomfortably loud. These patients ears). Also, it is believed that about » stereo hearing by binaural hearing aids suffer from what is called hyperacusis. 50% of sufferers also meet the criteria Wearing a pair of custom earplugs for obsessive-compulsive disorder. It » management of your tinnitus whenever they are in environments is thought that misophonia develops » tv, music or telephone through new bluetooth technology they deem uncomfortable is usually in the early teens and worsens over » excellent battery life recommended. But what happens time. Aage R. Moller, PhD, theorizes At Northwest ohio Hearing Clinic, we have over 60 years of combined when it’s not just sensitivity to loud that misophonia is likely due to the experience. We personalize what you need, and we treat all your sounds, but an extreme sensitivity to brain’s processing of sound, not hearing concerns. selected sounds? physically hearing it. He believes that Misophonia is defined as an ex- it is a defect in the central processing treme sensitivity to certain sounds; of sound, in other words, how the Our expert it is also called Soft Sound brain perceives the sound, not audiOlOgists Sensitivity Syndrome how the ears convert the (SSSS). The word misosound to neural impulses. provide phonia literally means (Gaines, Jordan. Psycholcomplete “the hatred of sound” ogy Today. 21 May 2013. and was developed by Web. 7 May 2014). services neuroscientists Pawel At this time, there Jastreboff and Margaret is no known cure for Jastreboff. People with misophonia, though there “thank you this condition have are a few treatment NOrthWest OhiO a hypersensitivity to options and an online heariNg CliNiC. common background support group (www. amazingly, for the noises or visual stimuli, miso phonia.com). One first time in months often called triggers, of the treatment opthat are usually ignored tions, developed by my tinnitus is by most people. The audiologist Dr. Marsha no longer controlling hypersensitivity is not the same Johnson, is Misophonia Management my life.” as with people with hyperacusis. Protocol (MMP). The primary comSteve…Lorain ,Ohio People with hyperacusis have el- ponent of this treatment is sound. evated loudness discomfort levels Filling the auditory channel with (LDLs), usually below 70 decibels, sound (such as waterfall sound) but people with misophonia have reduces the strength of the reflex COMPLIMENTARY CONSULTATION TO BETTER HEARING normal LDLs, usually around 90 to reaction to the misophonic trigger 100 decibels. The trigger sound will sound. This does not eliminate the Ask us about our personalized listening experience Lyric, the world’s first and only 100% invisible, 24/7 wearable, † RISK-FREE 30-Day Trial * *to * trigger or the reaction the trigger, elicit an extreme response of anger can. showerproof , for-months-at-a-time hearing dev ice at no obligation.

Call today to schedule your appointment Current Hearing Test Required and hatred. The person will feel but it reduces the reaction so it is so that you can begin to hear the sounds of life. rage and panic, which is induced not so upsetting. The sound can be Lyric’s unique design and placement from their “fight-or-flight” system, provided best with a behind-the-ear works with your ear’s anatomy to making them want to either attack sound generator. deliver exceptional sound Cognitive Behavior Therapy is quality the trigger or run away from it.

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Some of the more common triggers of misophonia are sound-related and some are more visual. Some sound-related triggers are associated with eating (e.g., chewing, burping, crunching, swallowing, silverware scraping on teeth, or sipping). Some other sound triggers are breathing sounds, foot shuffling, and joint cracking. Examples of visual triggers

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• 100% invisible, so you enjoy all the benefits another component of MMP. The of better six hearing without anyone knowing therapy is usually to 12 weeks you’re using a hearing device with professionals who have experanda Mansour-shousher, Au.d., CCC-A | shelly Horvat, Au.d., CCC-A Randa dianna Mansour-Shousher, Au.D., CCC-A rience with• Lyric is designed to remain in your ear OCD, anxiety, phobias, randolph, Au.d., CCC-A canal for months at a time Dianna Randolph, Au.D., CCC-A and adolescents.

• Wear exercising, showering and sleeping MENTION THIS AD FOR ADDITIONAL SAVINGS. expires 6/30/14 Another treatment option uses Certified Lyric Professional with no daily hassles Tinnitus Retraining Therapy (TRT), • Lets you easily use listening devices like a Toledo 419.383.4012 | Perrysburg 419.873.4327 developed by Drs. Pawel and Marga1601 Brigham Drive, Suite 160 telephone, stethoscope or headphones www.nwohc.com ret Jastreboff. This technique uses a Perrysburg, OH 43551 sound generator as one of the com| Hours Monday-Friday 8am - 4:30pm *

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ponents and also works to reduce the strength of the misophonic reaction through controlled exposure to the trigger stimulus. The trigger sound is mixed with a sound that is pleasing and evokes a positive reaction. Over time, the pleasing sound is decreased, leaving just the trigger sound. At this point, the trigger sound will elicit a positive reaction.

Finally, a good diet and exercise to reduce stress levels and wearing earplugs or a sound generator to block any triggers from being heard are recommended.

This condition may affect someone close to your heart. Recently, TV’s Kelly Ripa stated that she suffers from misophonia. On her television show, she described her triggers, which are

slurping and chewing. She further stated how she has taught her children to eat with their mouths closed and that she has to leave the house if her husband eats a juicy peach.

If you feel you may have misophonia, we encourage you to discuss this with a health professional, such as an audiologist. We can recommend and supply custom earplugs for anyone who suffers from sound sensitivity or noise exposure. Feel free to call us to discuss your concerns. ❦ Dianna Randolph, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

experience tend to reach their own conclusions regarding what we do all day. Some are envious, but more often they say they prefer to do all their camping at the Holiday Inn. They would love to have our experiences unless, of course, it actually requires experiencing those experiences.

I am not going to try to convince you that camping is better than hoteling it. Still, like Shirley’s father, you might be curious about just what it is we do, so I’ll describe representative days in two of our favorite national parks.

Grand Teton

Gros Ventre Campground, Site 300 It is clear and 48° at 6:30. Shirley puts

a pot of coffee on the RV stove and gathers the ingredients for breakfast while I set up the Coleman stove on the picnic table. The RV has a propane stove and a microwave oven, but we prefer to cook out as often as the weather permits.

Breakfast today is a three-egg omelet that will feed both of us. It is made with diced onion; green, yellow, and red bell peppers; and bacon bits left over from yesterday. Right at the end, I add some pepper jack cheese and garnish the finished product with salsa. Multigrain toast, made by buttering the bread and placing it face-down in a skillet, is served with Michigan cherry preserves, guava nectar, and that fresh-perked

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ack in the 1970’s and ‘80s, our family vacations were spent camping and backpacking in national parks.

Shirley’s parents had a lot of trouble understanding the concept. First, they were hard-working survivors of the Great Depression. From their point of view, “vacations” were times when you were released from your regular job so that you could catch

up on work around the house.

They never said it out loud, but they managed to convey the impression that recreation was for lazy and unproductive people. Her father summed it up in a question: “What do you do, just wander around in the woods all day?” Well, yes, I suppose you could put it that way.

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coffee, of course.

Afterwards, I wash the dishes in a plastic tub. Shirley gets to rinse and dry. We have an iron-clad contract that specifies I do breakfast dishes and she does dinner. (The iron is getting a little rusty if truth were told.)

Then we head for Taggart Lake, one of our favorite hikes in the Tetons.

Taggart is a glacial tarn on the shoulder of South Teton Mountain. It is a fairly easy walk, and the scenery is spectacular, so we try to arrive at the lake before noon to beat the rush.

Traffic on the trail picks up when visitors who stay in Jackson motels and lodges finally finish breakfast and decide to go for a walk. Fortunately for hikers, the vast majority of visitors see everything they want to see from pullouts on the highway.

I don’t know, Marty, what do you want to do? Pronghorn bucks hang out in bachelor bands in the “off season” before the rut.

You could take the trail to Taggart Lake, admire the scenery for a few minutes, and return the way you came. Shirley and I prefer to make a counter-clockwise loop, returning via a connecting trail. Most of the climbing, and there is not a great

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deal, is done near the beginning.

The trail follows a tiny stream, nearly obscured by overhanging trees and underbrush, then it passes through a meadow and the standing dead aspens and lodge pole pines left by a 1999 wildfire.

We reach the lake about 11:00.

There are already about a dozen people on the small, gravel beach.

So much for beating the rush. It’s a popular place because South, Middle, and Grand Teton Mountains rise abruptly across the water and are reflected in it. We prefer quiet and solitude, so we continue left to where there are boulders in the lake that can be reached by some careful rock hopping. They offer a perfect place from which to view the lake and enjoy a snack. We carry trail

bars, apples, and water.

The lake spills out through a tiny stream near there. We meet a young family from Royal Oak, MI who say they enjoy coming to Toledo for Mud Hens games and the zoo. The kids have a great time, and it is much more affordable than Tigers games.

The return hike begins with a short, steep climb over a ridge before the long, slow descent along the open slopes. Near the crest, we meet an elegant woman on a beautiful palomino. (Or a beautiful woman on an elegant palomino. The syntax in my journal is a little confused.) When the trail emerges from the trees, this section of the loop offers views of the Tetons back over our right shoulders and of Blacktail Butte and Shadow Mountain ahead.

At 1:30, we are back at the trailhead just as a fast-moving thunderstorm sweeps across Jackson Hole. The rain doesn’t reach us, but the dramatic weather is interesting to watch. We pity the fools who get caught without rain gear. On this day, those fools easily could have been us. On longer hikes, we tend to go better prepared.

The storm moves through very quickly, so we decide to return to camp via Antelope Flats. A narrow paved road crosses the Flats and connects with the road to the campground.

There is also a deeply rutted dirt road that cuts through the sagebrush and lupines to Mormon Row, named for the early homesteaders. We prefer this route because bison and pronghorns sometimes hang out in the area. But Jackson Hole is a big place, and the animals have the option to stay far away from the road. We visited the

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Yellowstone National Park Mammoth Campground, Site 45 Mammoth is in the northwest corner of Yellowstone, which is in the northwest corner of Wyoming. For the past nine years, we have preferred Mammoth to the centrally located campground at Canyon because it is quieter and closer to the streams we like to fish—Soda Butte Creek, Slough Creek, and the Gardner River.

We request sites 43 or 45 on the outside of the loop overlooking the canyon of the lower Gardner with the sheer face of Mt. Everts rising directly across from us.

We are awakened by the bugling of about a dozen elk moving up from the canyon and through the campground on their way to the tender irrigated lawns up in the town of Mammoth. They are cows and calves except for two young bulls wearing

We celebrate successful fishing with a little bourbon at our campsite overlooking the canyon of the lower Gardner River.

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Tetons several times before we even saw a bison or pronghorn.

On this day, though, we pass through a herd of bison as they move back and forth across the road. We pull over to watch as bison cows nurse their calves and bison bulls snort and rumble to establish among themselves just who is in charge. Last year’s calves go on a wide, circular lope around the perimeter of the herd.

Farther down the road, pronghorn bucks seem more interested in what the bison are up to than in the does and fawns.

When the pronghorns wander off, it is time for us to head back to camp for dinner. Grilled pork chops with sautéed tomato with herbes de Provence served on toast with freshly grated Parmesan. Skillet corn.

Sauvignon Blanc.

At dusk, it’s into the RV to read before bed. Sitting outside with a lantern just attracts moths.

Once the sun goes down, it cools quickly in the mountains. Good sleeping weather.

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Shirley fishes a bend in Panther Creek. The upper Gardner Valley is worth the walk, in part, because it is not a Yellowstone “attraction” and we can count on solitude.

unimpressive racks.

This morning it is 50° and clear except for a few high cirrus clouds.

It will warm dramatically as soon as the sun comes up from behind Mt. Everts. Shirley starts coffee as usual while I get busy with the hash browns, sausage, eggs over easy, and cinnamon toast.

At 8:00, we head off to fish in the valley of the upper Gardner. It takes about half an hour to reach a gated maintenance road near Sheepeater Cliff. We park to the side of the gate so as not to block access. It takes a few minutes to don our waders and vests and rig our rods. Then we walk for another half an hour over a low ridge to the broad, nearly treeless valley beyond. We have fished there for years and have always had at least moderate success. Recently, however, fishing guides have shown more interest in taking their clients to the upper Gardner. Clients who catch trout tend to tip better than those who don’t.

We pause briefly at the pools below two small flood-control dams because they hold trout and we can count on taking two or three from each. We put them back. Shirley and I have practiced catch and release for at least 15 years. “Don’t you eat them?” people ask. No, I explain, we fish for sport not for meat. A trout is far too valuable to be caught only once.

We head directly across the meadow toward the upper reaches of Panther Creek, a tributary of the Gardner, instead of following the winding course of the stream. Our waders brush through the sage raising a cloud of perfume. It is a beautiful valley with mountains rising all around, but walking through the sage is not easy. It is worth the effort because the farther we get from the trailhead, the better the fishing.

Besides, I don’t remember the last time we met another fisher on Pan-

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than by grizzly bears.

Trout tend to hang out at sharp bends in the stream where rushing water hollows out deeper holes and undercuts the banks. The trout just wait in these sheltered areas for the current to bring their dinner. Today, the current is bringing them size 14 Madam Xs and orange Stimulators.

ther Creek. The peace is amazingly therapeutic.

A herd of elk emerges from a declivity across the valley. They stand there looking at us. Sometimes we meet bison. In which case, we are the ones who do the looking because we don’t want to approach too closely.

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stream. Some of those holes prove irresistible, so it takes longer than if we had followed the direct route through the sage.

By the time we get back to site 45, it is cocktail hour. We celebrate the day with a little bourbon while waiting for the charcoal. Tonight we’re having rib-eye and corn on the cob from our favorite little market up in Gardiner, MT. (The town has an “i” in its name. The river does not.) What Elk calves are born right in Mamdid you expect? Beans moth Campground every spring. and wienies?

Camp hosts Russ Fly fishing is not technical and Susan stop by while on Panther Creek. making final rounds for Shirley takes—and puts the evening. Abby would back—16 fish. I take 19. Nine like us to come over after of the 19 came from a single dinner, they say. Abby hole near a dead tree. is their black Lab. Dogs I call it the Laughing just love Shirley. They Hole. I sit in the grass to know she will share her keep a low profile just 10 cheese. Abby likes me yards or so downstream to scratch her ears, but from the bend. A StimuShirley affects modesty by that is not nearly as good lator cast above the pool saying, “Oh, I’m just a begin- as cheese. floats to where a pretty little ner.” I tell her that, after the It is Mother’s Day as brook trout rises to smack first thousand trout, you’re I write. The children and it. I strike. And miss. And not allowed to say that any grandchildren will be laugh at my ineptitude. more. here soon for a cookout.

It is easy to laugh when Russ and Susan (and you know that you’ll get another Abby) are already in Yellowstone chance. Cast again and hook him. where elk cows are becoming mothers I continue casting and missing and right now, right in the campground. catching and laughing until Shirley By the time you read this, Shirley comes over to suggest it is time for and I will be there to spend a week lunch. Trail bars and water. We had or so on our way to Alaska. Time a big breakfast. with family and other people we About 1:00, she has had enough love helps make our lives just a walk and we work our way back down- in the park. ❦ LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

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Not ready yet?

by Jessica Derkis My son, take care of your father when he is old; grieve him not as long as he lives. ­—Sirach 3:12

“W

e are just starting to look.

We’re not ready yet.”

Over the last few years, I’ve heard this many times in my office and from families navigating care in most of the continental United States.

Often around holidays like Christmas, Easter, Mother’s Day, and Father’s Day, families visit their parents and find home, health, and hygiene not as they’d visualized from weekly phone calls. It seems to have become a universal thought pattern.

“We’re not ready yet,” tells the story of a family recognizing something is amiss and hoping for the best.

It usually comes from families that are hesitant to make decisions for their loved ones, take away their autonomy, assault their dignity, or make them mad. Think of this scenario, though: Your Dad, once busy with car repair, mowing the lawn, going out to dinner, even keeping house

to some degree, spends much of his day in his recliner, watching classic movies and Fox News. On his side table are his trusty remote, a box of tissues to contend with a variety of concerns, and a jar of Peanut M&Ms—each offering a tenuous tether to the world outside his home, simple healthcare, and sustenance.

And suddenly, something happens.

Heating up a microwave dinner, he falls on the kitchen floor and lies there until a neighbor checks in with morning coffee. He takes his morning medication out of the bottles with his breakfast, cleans up, remembers you set up a weekly box for him, sees his morning pills are still there, and takes them.

Or he feels funny in the middle of the night and, not wanting to bother anyone, vows to check into it in the morning.

This is where your research may pay off.

Unfortunately, the conversation he hears will likely sound something like, “You messed up, Dad. Now you have to go to assisted living—or a nursing home. I knew you were going to, so I’ve checked out a few and I think you’ll like this one.”

Instead of being something he might enjoy: making new friends, new amenities, fun activities, and

someone available 24/7 if he needs help, it’s now a punishment for a mistake or even something completely out of his control.

That is why I recommend that families find out what is important to their loved one about whom they’re concerned.

For some, it’ll be social activities and outings.

For others, it might be healthy meals and church services they may have neglected because of health and mobility problems. Every person will have their own priorities. Look for a community that meets their needs and perhaps they can try out for a month or a season.

If you are able to talk about coming decisions, use “I” statements to open the discussion. As guilty as you may feel, “I would feel better knowing someone is around when you need something” or “I want you to just try this out,” will be a lot better than, “You’ve been missing medications” or “you’re not safe anymore.” There is rarely a perfect time to have this conversation, but before a crisis is better than after.

If you would like a free Guide to Shopping for Assisted Living or to learn how others have navigated these family dynamics, call Jessica at 419931-0050. A few more opportunities to learn more: June 4, 6:00 p.m. at St. Clare Commons: Meet Dr. Carlos Gomez, one of the first surgeons in the US to offer Personalized Joint Replacement, creating a copy of the patient’s knee, improving outcomes, and reducing

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The first phase of St. Clare Commons is now open! Reservations are available for in- and outpatient rehabilitation, assisted-living apartments, a secure area featuring efficiency suites specializing in dementia care, and comfortable short-term-nursingcare suites. Other amenities you

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RESTORE, Inc. to host Fatherhood Walk

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will find in the new 136,000-square-foot healthcare building include a state-ofthe-art therapy lab, fountains, a rooftop terrace, a piano lounge, community education space, a beautiful chapel, and many connections to Blessed John XXIII Parish.

St. Clare Commons is a member organization of Franciscan Living Communities (FLC). FLC is a division of Sylvania Franciscan Health, sponsored by the Sisters of St. Francis of Sylvania, Ohio. FLC is a missiondriven, industry-leading provider of senior living services throughout Ohio and Kentucky. The organization offers continuum-of-care options, including independent living, assisted living, skilled nursing, rehabilitation, memory care, senior housing, and home health services.

Remember to take care of your father this Father’s Day, June 15! ❦

ESTORE, Inc. is hosting Toledo’s 4th Annual Fatherhood Walk on Saturday, June 14, 9:00 a.m. to 2:00 p.m., at Central Catholic High School. The walk is part of the RESTORE, Inc. campaign to raise awareness of the importance of the roles fathers play in the lives of their children.

The two-mile walk through the surrounding neighborhoods will start and end at Central Catholic High School. Familyfun activities will take place immediately following the walk on the lawn of Central Catholic. The University of Toledo’s Hall of Fame quarterback and NCAA record holder, Chuck Ealy, will be the guest speaker.

The event is expected to draw hundreds of responsible fatherhood supporters.

Sponsors and supporters include the City of Toledo, McDonalds, Seaway Marketplace, Lucas

County Family and Children First Council, House of Day Funeral Home, Systems Dynamics Communications, Yell & Tell: Stop Child Abuse, Lamar advertising, and the Toledo Fire Department.

“We want to draw attention to the significant roles fathers play in the lives of their children. Research confirms that children do better in every measure of development when there is a responsibly involved father in their lives,” said Mark Robinson, founder of RESTORE, Inc. The Fatherhood Walk is free to the community to show support of fathers, father figures, and mentors. Participants can register online at www. restorefathers.org or the day of the walk. Registration starts at 9:00 a.m. For more information, please call 419-377-1488, email restorefathers@aol.com., or visit www.restorefathers.org.

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Cardiac rehab restores confidence, function, and fitness in patients with cardiovascular disease

A

ccording to the National Institutes of Health, cardiovascular disease is our nation’s leading cause of morbidity and mortality, accounting for almost 50% of all deaths. Despite this grim statistic, patients with heart disease have an opportunity to improve their day-to-day function, reduce their risk of experiencing a cardiac event, bolster their emotional and psychological outlook, and learn to maintain a heart-healthy lifestyle by participating in an individualized, multidisciplinary cardiac rehabilitation program.

“There are a number of conditions that qualify patients for cardiac rehab,” explains James Bingle, MD, FACC, a cardiologist and president of ProMedica Heart and Vascular Institutes. “It was originally recommended for post-bypass patients and was done for many years in that population. Other groups that now qualify include those who have had a heart attack as well as those who have undergone a procedure short of bypass surgery, such as stenting

for acute coronary syndrome. There’s also a major new category of people who qualify—those with congestive heart failure.”

ProMedica offers a state-of-theart cardiac rehabilitation program in five locations. The care is provided by a team of physicians, exercise physiologists, nurses, and respiratory therapists—all with specialized training in cardiac rehab. Patients in the program come to the facility three times each week for approximately an hour to an hour and 15 minutes of exercise per session.

The program emphasizes aerobic

activities, such as using the treadmill, stationary bike, and elliptical, but some light resistance training is included as well.

While they exercise, patients are continuously monitored by electrocardiogram (EKG) and their blood pressure and pulse rate are repeatedly checked. “Our goal is to build them up better and stronger than before in a safe, structured, low-risk environment. It gives our patients a lot of confidence knowing they can do these exercises safely, and they can take everything they learn here and continue it throughout their lives,” Dr. Bingle says.

Building confidence is no small matter for cardiac patients. There is a significant psychological/emotional aspect to recovering from heart surgery or a cardiac event, and patients are often worried that they won’t be able to tolerate exertion. Factors such as chest pain following bypass surgery and small, subtle symptoms following heart attack can undermine patients’ sense of confidence as well.

However, cardiac rehab quickly reassures them and puts them on the road back to improved cardiovascular health, greater strength, and normal function.

In addition to aerobic exercise and strength training, ProMedica’s cardiac rehabilitation program includes a significant educational component designed to give patients all the information they need in order to maintain a heart-healthy lifestyle.

Ongoing lectures cover a wide range of topics, such as diabetes, blood pressure, cholesterol, weight management, smoking cessation, proper use of medications, and others.

Where patients begin in the cardiac rehab program is determined during an initial assessment, which gives the rehab team a good sense of each patient’s strengths and weaknesses.

The assessment also provides a good starting point against which to measure patients’ progress, for example in their duration and speed on the treadmill, so they can see concrete evidence of their improvement.

Dr. Bingle notes that cardiac rehab actually begins while the patient is

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June 6, 11:30 a.m. at St. Rose Parish, 215 East Front Street, Perrysburg: Don’t miss the Fab50+ Lunch Bunch talk. This month, Kim Palmer of the YMCA will share how to get mind and body ready for the summer months. It’s more than just sunscreen and salad. (Plan to join the Senior Body Guard on Thursday, July 10, due to the holiday.) RSVP to 419874-4559.

June 22: Summer Open House at St. Clare Commons. Come for the strawberry shortcake; stay for a tour of assisted living, memory care, and nursing/rehabilitation. RSVP to 419-931-0050.

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MDVIP, a personalized healthcare program that empowers people to lead the healthiest lives possible, now has a local affiliate – Allen Markowicz, MD, MBA, FACP, a well-respected and experienced Primary Care Internist.

MDVIP, a personalized healthcare program that empowers people to lead does MDVIP-affiliated the healthiestWhat lives possible, now has a local practice affiliate – mean?

Allen Markowicz, MD, MDVIP, a personalized healthcare programfocused that empowers people A closer doctor-patient relationship prevention, MBA, FACP, a • well-respected and experienced Primary Careon Internist. to lead thewellness healthiest possible, now has a local affiliate – Allen andlives expert disease management What does MDVIP-affiliated practice mean?

Markowicz, MD, MBA, FACP, a well-respected experienced • MDVIP-affiliated practice is limited to aand few hundred members • Primary A closer Care doctor-patient focused on prevention, and for Internist. enhancedrelationship physician availability with unhurried,wellness no waiting, expert disease management same-day or next-day appointments What does MDVIP-affiliated practice mean?

• MDVIP-affiliated practice is limited to few hundred for and • Access to Dr. Markowicz viaaoffice, cell and members home phones • enhanced A closerphysician doctor-patient relationship focused on prevention, secure email availability with unhurried, no waiting, same-day or wellness andannual expert disease management next-day appointments • An health and wellness program based on advanced screenings and an in-depth health • MDVIP-affiliated practice is limited tohome a assessment fewphones hundred • Access to Dr. Markowicz via office, cell and and members secure email for enhanced physician availability with unhurried, • Personalized website with your health summary no andwaiting, a gateway • An annual health and wellness program based on advanced screenings toor reliable health information same-day next-day appointments and an in-depth health assessment coordination of care byand a physician with access to a • Access • toEnhanced Dr. Markowicz via office, cell home phones and • Personalizednationwide website with your health summary a gateway to Centers reliable network of physicians andand national Medical secure email health information of Excellence An annual health and wellness programwith based on advanced • • Enhanced coordination of care by a physician access to a nationwide Experience the benefits. screenings and an and in-depth health assessment network ofCall physicians national Medical Centers of Excellence Dr. Markowicz today at 419.214.4847

• Personalized website with your health summary and a gateway to schedule a complimentary meeting.

Experience the benefits. to reliable health information Call Dr. Markowicz at 419.214.4847 Allen today Markowicz, MD, MBA, FACP to schedule aMDVIP-Affiliated complimentary • Enhanced coordinationmeeting. of care by a physician with access to a Physician ofFACP physicians and national Medical Centers Allennationwide Markowicz, MD, Learnnetwork moreMBA, about MDVIP MDVIP-Affiliated Physician of Excellence and view profile online at mdvip.com\AllenMarkowiczMD Learn more about MDVIP Experience the benefits. and view profile online at Call Dr. Markowicz today at 419.214.4847 mdvip.com\AllenMarkowiczMD to schedule a complimentary meeting.

still in the hospital. The supervised outpatient program is considered the second phase. “We also offer a third phase that is less heavily monitored, in which patients can return and utilize our services for a modest fee. Phase three has really grown in popularity, and I strongly encourage it, because it helps patients maintain the gains they’ve achieved in an environment that’s comfortable to them,” he says.

Perhaps not surprisingly, men tend to be more reluctant to take advantage of cardiac rehab than women are, but Dr. Bingle can’t count the number of times male patients have come back to say how thankful they are that he referred them to the program.

What’s more, the benefits of cardiac rehab are well supported by data.

Research shows that cardiac patients who participate in a rehab program do better functionally, report a higher quality of life, and have a lower mortality rate than those who don’t participate.

From Dr. Bingle’s standpoint, one of the most significant benefits the cardiac rehab program offers patients is the ongoing support of a multidisciplinary team. “The professionals on our team are extremely dedicated to making people’s lives better. They take a life-altering event and help turn it into something positive,” he says. ❦

Q

while swimming or in the bathtub, your son or daughter can stop this from happening. Believe it or not, shampoo and soap in the bath can make the water slippery and dirty bathwater can accidentally enter the ear tube.

Fitted earplugs can be purchased at your local audiologist’s office. By using the appropriate-sized earplugs, you can ensure your child is getting the proper protection from water and bacteria. You can opt for generic-sized earplugs or choose customized plugs. We don’t recommend allowing children with ear tubes to swim underwater in untreated water, like the ocean or lake, because of the increased risk of infection. ❦

ProMedica offers cardiac rehab at ProMedica Flower, St. Luke’s, Bixby, Defiance, and Fostoria Hospitals. For more information, please call 419824-1248 or visit promedica.org/ labsclinicsrehab.

1000 Regency Court, Suite 208 | Toledo, Ohio 43623

1000FACP Regency Court, Suite 208 | Toledo, Ohio 43623 Allen Markowicz, MD, MBA, 419.214.4VIP(4847) | 1.885.MDVIPUT (638.4788) MDVIP-Affiliated Physician 419.214.4VIP(4847) | 1.885.MDVIPUT (638.4788)

Learn more about MDVIP and view profile online at mdvip.com\AllenMarkowiczMD

DEEP TISSUE

LASERTHERAPY

With help of Laurels rehab team, amputation patient is back in stride

L

osing a limb to amputation can have a profound physical, emotional, and psychological impact on a patient. From the standpoint of rehabilitation, amputations often present a wide range of unique challenges demanding the collaboration of a highly skilled therapy team and an expert prosthetist. Eugene Holloway found both at The Laurels of Toledo, a skilled nursing and rehabilitation center located at 1011 Byrne Road.

Last August, Holloway underwent amputation of his right leg above the knee when it became gangrenous as a result of peripheral vascular disease—a complication of diabetes.

Having been a rehab guest at The Laurels several times in the past, it was only natural after the amputation to return to the facility and therapy team he’d already grown to trust.

When he arrived back at The Laurels, he was dependent on a wheelchair and had not yet been fitted for a prosthetic leg. As Laurels physical therapy assistant Matt Snyder recalls, “When Mr. Holloway’s whole ordeal started, we weren’t even sure whether he was going to get a prosthetic leg, because there was still a lot of healing of the incision that had to take place, and we were very concerned about the condition

of his left leg. But as he did physical therapy with us, the circulation in his extremities improved, which, in turn, improved his healing.”

With his incision healed, Holloway still had a lot of rehab to do before he was ready for a prosthetic. Snyder notes that much of that involved working on Holloway’s wearing tolerance. Following an amputation, patients commonly have a lot of sensitivity in the residual limb as well as “phantom pain” and other sensations where the amputated limb used to be. This sensitivity has to be reduced—for example, through massage and wearing a stocking on the residual limb—before the patient is ready to wear a prosthetic.

Skin integrity is another major issue that needs to be managed. “Patients with diabetes, like Mr. Holloway, tend to have impaired peripheral circulation, and the farther from the heart, the poorer circulation gets. So if they develop any sort of wound, which is common with amputation, it can be very slow to heal. That’s why it’s extremely important to monitor the skin integrity closely, which requires a lot of skill and attention,” Snyder says.

Once an amputation patient is

ready to begin using a prosthetic limb, close collaboration between the rehab team and a prosthetist is critical because every device is different and every patient’s musculature and movement are unique.

Plus, today’s orthotic limbs come equipped with special chips that are customized to the user. Snyder and Holloway worked with a specialist from Hanger, a leading provider of orthotic and prosthetic services, who helped teach Holloway everything he needs to know in order to function independently. Synder notes that the specialist also came to The Laurels to help troubleshoot and correct a particular problem Holloway was having with his gait while using the prosthetic, specifically the swingthrough phase of his gait cycle.

In addition to his outpatient rehab program at The Laurels, Holloway was also very compliant with his home exercise regimen, which involved strengthening, stretching to eliminate contractures, and getting up and walking. Today, he is no longer dependent on a wheelchair and is able to get around with confidence with the aid of a walker—even mastering the stairs on The Laurels’ bus, which was significant because Holloway

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: My son recently had tubes put in his ears. Now that the summer is approaching, I think it’s important that we know the rules and restrictions. Could you help outline the guidelines?

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: Ear tube placement is the most common outpatient surgery for children, so your question definitely has relevance to many parents. Ear tubes can be a possible treatment if your child gets frequent ear infections. The tubes are put in place to allow fluid to drain and to allow air into the middle ear. Sometimes the fluid goes away on its own, but oftentimes, tubes are necessary to drain the fluid. The tubes generally remain in the ear for 6-12 months It’s important to prevent potential bacteria and water from entering the ear if your child has ear tubes, especially if he or she is under water more than three feet deep.

By wearing earplugs or a swim cap

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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often relies on public transportation to get around.

He also acknowledges that there’s a major emotional component to undergoing an amputation and that it’s easy to feel depressed as a result.

While rehab has been a tough journey, he feels he really turned the corner emotionally when he was finally able to set aside his wheelchair once and for all.

Holloway attributes his progress to the support of his rehab team as well as a certain internal strength. “You really need to have that willpower inside you to keep going when it gets tough. It certainly helps to have a great teacher like Matt, too!” he says.

Snyder is gratified whenever patients like Holloway come back to The Laurels for outpatient services after they’ve completed inpatient rehab. “It’s the relationship we build when they’re here as inpatients that makes them want to come back as outpatients and put their trust in us again. It’s also better for the patients from the standpoint of continuity of care because they don’t have to start all over again with a completely different rehab team,” he says. ❦ The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services.

For more information, call 419-536-7600 or visit www.laurelsoftoledo.com.

Summertime safety tips for kids

from Mercy Emergency Services

A Working together to change the future.

32 June 2014 | Healthy Living News

nother school year has drawn to a close, and kids everywhere can finally look forward to enjoying all those fun summertime activities they’ve been daydreaming about since last September. However, as kids head for the playground; dust

off their bikes, scooters, and rollerblades; or prepare to plunge into pools, lakes, or ponds, the last thing likely to be on their minds is safety.

It’s the job of parents or other adult guardians to properly supervise, equip, and educate their kids for safe summertime play.

The following safety tips from Dr. Jay Taylor of Mercy Emergency Services–Perrysburg will help kids make the most of their summer without winding up in the ER:

Play it safe on the playground Falls are a major cause of emergency room visits for kids. In fact, Dr. Taylor notes that about 70% of the physical injuries he sees in children stem from falls—and playgrounds are fertile territory for such injuries.

“It’s very common for parents to take their kids to the local playground and turn them loose on the equipment.

But even though playgrounds are designed to be kid-friendly, children still need to be supervised closely by an adult and allowed only on age-appropriate equipment. For example, there should be no two-year-olds hanging from monkey bars. Parents should also check to ensure there are appropriate surfaces underneath playground equipment to cushion landings and falls, such as mulch, rubber pellets, or rubber mats. These materials help reduce the incidence of serious injury significantly,” says Dr. Taylor.

In addition to checking for a cushioned landing surface, parents are advised to inspect the playground equipment to verify that it’s in good repair with no cracks, splintering, fraying, or other potential hazards.

Touch the surfaces to make sure they’re not excessively hot. Some equipment surfaces exposed to direct sunlight can actually get hot enough to burn the skin. Also, never allow children to play on playground equipment while wearing anything around their neck that could become entangled and cause strangulation, which includes loose garments and those with hoods or drawstrings.

Wearing flip-flops—which can lead to severely stubbed toes—should be discouraged as well.

Get properly equipped before free-wheeling it As far as kids are concerned, bikes, scooters, skateboards, and rollerblades are synonymous with summer fun,

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but any time wheeled play equipment and concrete meet, there’s a potential for serious injury. Even if your child is an experienced rider/ skater, it’s imperative that he or she wear all of the protective equipment appropriate to the activity—a helmet, elbow pads, and knee pads, wrist guards, sturdy shoes (again, no flipflops), etc. “When you see professional skateboarders and cyclists competing or performing, you’ll notice they’re never without this protective equipment. We should expect no less from our kids,” Dr. Taylor remarks. He also recommends hanging a helmet right on the handlebars of each child’s bike

so they’ll be less likely to pedal off without it.

recommend putting alarms on doors and gates leading in and out of pool areas so adults can hear immediately if someone enters or exits,” Dr. Taylor advises.

Make a splash for water safety Of course, adult supervision is critical when kids—especially toddlers—are around swimming pools or other bodies of water. Even if the pool or beach has a lifeguard on duty, parents should still be watching their youngsters closely. Lifeguards typically have numerous kids to keep track of at once, and it takes a mere moment for a child to disappear under the water and drown. “I also

Beware the sun’s glare Unprotected exposure to the sun’s ultraviolet rays can lead to an immediate painful sunburn that can bring summer fun to a halt quickly.

What’s more, experiencing repeated sunburns increases one’s risk of developing skin cancer later in life.

That’s why it’s so important to protect our kids’ skin (as well as our own) with sunscreen whenever they’re participating in outdoor activities.

After applying sunscreen, make sure kids wait the recommended time period before going out in the sun, swimming, etc. Also, reapply the sunscreen frequently and generously—especially after swimming or perspiring heavily.

Other recommended sun-protective measures include limiting outdoor activities between 11:00 a.m. and 4:00 p.m., when the sun is most intense, and ensuring that playgrounds, playing fields, and

ProteCt YoUr CHILD’S SLeeP JUSt AS YoU Do tHeIr SAFetY Sleep problems don’t just effect a child’s nights, they disrupt their days too. Lack of sleep can cause your child to have learning delays and be:

• hyperactive

• less alert

• easily distracted

• physically impulsive

• injured from increased falls

• overweight

How much sleep time do they need?

Mercy Children’s Hospital and Kohl’s Cares believe that fostering positive behaviors in health and nutrition will help children be healthier and happier. We’ve teamed up to offer parents and other caregivers practical advice on raising healthy children. Kohl’s Kids in Action is focused on four valuable steps that are important to better health: good nutrition, increased physical activity, proper water intake and good sleep habits.

Infants

14-15 hours

Toddlers

12-14 hours

Preschoolers

11-13 hours

School-age

10-11 hours

Teenagers

9-10 hours

establish a bedtime routine • Turn the TV, cell phone and computer off an hour before bedtime, allowing for quiet play • A warm bath and comfy pajamas will help your child ease into sleep • Take care of all of the “have-to’s” like brushing teeth and going to the bathroom so your child won’t ask after they’re in bed • Read to your child or let them read to you for 10-15 minutes • Give your child a big hug, tell them that you love them, turn off the light, leaving just a night light on, say “goodnight” and leave the room • Children thrive on routine so be consistent even on the weekends

Kohl’s Kids in Action offers free obesity prevention programs to your elementary school or at health fairs.

For more information, call Kohl’s Kids in Action at 419-251-1246 or visit us online at kohlskidsinaction.org.

DRINK WATER, EAT hEAlThy, slEEp moRE AND gET movINg! Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | June 2014

33

other recreational locations provide access to a shady spot so kids can get out of the sun. Of course, adequate hydration should be encouraged, as well, to prevent heat-related illness.

“Also keep in mind that sun exposure isn’t just a concern on bright, sunny

days. Even when it’s cloudy, you should have sunscreen on to protect your skin from ultraviolet rays,” Dr. Taylor adds.

should be allowed a safe place, such as a back yard or similar location, to play without constant oversight.

Nonetheless, it’s still incumbent upon

Provide a safe place for independent play Learning to play independently is an important part of every child’s maturation process, so Dr. Taylor recommends that parents provide an environment where their child can play unsupervised when they’re ready. “We don’t want to put our kids under the microscope 24/7, so when it’s age-appropriate for them, they

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34 June 2014 | Healthy Living News

For more information on Walker Family Funeral Homes, visit www. walkerfuneralhomes.com or call Walker Funeral Home, Toledo, 419841-2422; Maison-Dardenne-Walker Funeral Home, Maumee, 419-893-

Walker Funeral Homes celebrates 80 years in Northwest Ohio

F

amily owned and operated, Walker Funeral Homes is proud to celebrate 80 years of service to Northwest Ohio. Three generations have served families with consistently outstanding facilities, exceptional and unique services, and personal funeral care at affordable prices.

Growth and commitment to customer satisfaction

Life feels

the parents to make sure that location is free of hazards, just as they would when evaluating a playground,” says Dr. Taylor. ❦

matory and provides a full range of options and services.

Walker continues to carry on the community-service legacy of its founder, Alvin W. Walker. One of the special ways it gives back is by providing free services for any member of local police and fire departments killed in the line of duty.

They also offer special discounted packages for veterans of the U.S. Armed Services.

Alvin W. Walker, a strong believer in community service, established his first mortuary on Monroe Street in The power of a funeral Toledo in 1933. The funeral home Walker strongly believes that funerals quickly became the top choice for serve an important purpose by honmany Toledo families, and it has oring the life of the deceased in a very continued to expand its facilities and special and personal way. Funerals services ever since. In 1955, the com- provide a time and place for friends pany opened the new Talmadge Park and family to support those who have Chapel across from what is now Frank- lost a loved one. Walker understands lin Park Mall. Al’s son, Gary, joined and respects all religious and cultural traditions, cost concerns, the business in 1965 and still serves as company Funerals provide a and personal preferences. Highly skilled and CEO. Gary’s son, Keith, time and place for dedicated staff members who joined the firm in 1993, currently serves friends and family help each family create its own unique celebration as company president. to support those of life. Keepsakes, speIn 1995, Walker built cial music, dove releases, who have lost its location on Sylvania video tributes, and caterAvenue, where it contina loved one. ing services provided by ues to serve Toledo-area Walker can help families residents. Three years later, Walker purchased Maison-Dardenne Funeral create the perfect tribute. Also availHome in Maumee and renamed the able are the services of Walker’s own business Maison-Dardenne-Walker. certified celebrants for an especially Then in 2004, it purchased three personalized service or for those funeral homes in Ottawa County, now without a church home. And for each renamed Robinson-Walker Funeral funeral, Walker includes a personal Home in Oak Harbor and Genoa, touch that reflects the interests of and Gerner-Wolf-Walker Funeral the deceased person.

Home in Port Clinton.

Today, Walker offers families the The Walker Promise most complete package of personal- Walker promises exceptional customer ized funeral and cremation services satisfaction. If a Walker client family in the area. It consistently maintains is not completely satisfied with any immaculate, inviting homes; explores service provided, Walker will make new service technologies; and of- it right or will not charge for that fers a friendly, caring staff to meet portion of the service. Every family the needs of bereaved families. The Walker serves receives a follow-up community-oriented staff also prides survey that is taken very seriously. itself on taking the time to learn about They are proud that the vast mathe lives of the deceased by listening jority of families surveyed respond to their families and friends. Walker that they would highly recommend ❦ also owns and operates its own cre- Walker to others.

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7686; Robinson-Walker Funeral Home, Oak Harbor, 419-898-3011, or Genoa, 419-855-4010; or Gerner-Wolf-Walker Funeral Home, Port Clinton, 419-7323121.

Everdry Waterproofing: Your prescription for a healthier home—and family

P

revention is a key component of health care. Scheduling regular doctor visits, taking advantage of health screenings, and seeking medical treatment immediately when any worrisome physical symptoms arise will help you lead a longer, healthier life. And the older you get, the more often you need to see your doctor so he or she can keep close tabs on your health status.

According to Gil Ramirez, general manager of Everdry Waterproofing, you should take the same approach when it comes to the issue of basement water infiltration, which can seriously affect the integrity of your home as well as the health of your family.

Mold and mildew “A damp, musty basement not only robs homeowners of usable living space, but it can also expose their loved ones to hazardous molds that could be taking a serious toll on their health. Studies have shown that mold is an underlying cause of many serious health problems, including chronic sinus infections, asthma, and a host of other issues. In fact, research has linked mold to a 300-percent increase in the asthma rate over the last 20 years,” Ramirez says.

Oftentimes, homeowners see a few spots of mold here and there and figure it’s no major issue. But what they don't realize is that it's the

mold you don't see that is the most troublesome. For every square inch of mold, there are millions of microscopic spores that are emitted into the air. So, at any given time, you're actually seeing only 10 percent of the mold. The 90 percent you don't see is in the form of harmful spores in your home's living environment.

Get proactive Preventing basement mold and the structural damage that water infiltration can cause requires a proactive approach—in the form of regular inspections by industry professionals. And just as we need to see our doctor more often as we age, homes require more frequent waterproofing inspections as they get older.

Experts in the building/construction industry highly recommend the following guidelines for basement inspection frequency based on the age of the home: 1–10 years: Inspect once a year.

10–30 years: Inspect at least twice a year and after every significant weather event.

30+ years: Inspect two to three times a year and after every significant weather event.

Ramirez notes that when it comes to handling basement and foundation issues, homeowners often feel so overwhelmed by the complexity of the situation that they decide it’s just easier to ignore and live with the problem. But that can be a recipe for future disaster. “When you’re dealing with your home’s substructure—the part that’s below ground—seemingly minor problems can soon escalate into major ones if left untreated. If you ignore a small problem now, you may have standing water in the future, which can lead to dangerous mold, dry rot, and even structural damage. So the earlier you call in our waterproofing experts to address the issue, the better,” he emphasizes.

Early warning signs of basement water infiltration to watch for include: • Damp, musty, humid air • Condensation • Efflorescence (chalky white residue) on masonry or concrete walls • Cracking in walls and floors Also, don’t assume running a dehumidifier and caulking up cracks will remedy the problem of basement moisture infiltration. As Ramirez points out, these measures merely

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35

treat the symptom of the problem, not the cause—sort of like taking Tylenol to reduce a fever without addressing the underlying illness.

Weather and waterproofing After our recent record-breaking winter, many area residents experienced a lot of melting snow and ice that led to basement complications. But basement water infiltration problems can stem from other—sometimes surprising—weather phenomena as well.

High winds, for example, can damage a home’s foundation. While skyscrapers and other tall buildings are designed with some “give” so they sway in the wind, homes are not.

Once they’re cemented and anchored in place, they’re not designed to move, which leaves their foundations vulnerable to wind damage. “For example, a powerful wind blowing from west to east will lift the west side of your home while simultaneously putting pressure on the east side, and as the wind direction changes, the home adjusts accordingly. That can lead to cracks in the foundation. Of course, you should also be aware that extremely heavy rains and extensive freeze-thaw cycles can take their toll on your foundation,” says Ramirez.

What about climate change and your foundation? Could a few degrees variation in the average temperature make a difference? Ramirez says yes.

“Climate experts contend that just a few degrees of global warming can lead to significant changes in local and regional precipitation levels as well as the frequency of certain extreme weather events. All you have to do is watch the news to see the evidence of this. We don’t just get rain anymore; we get deluges and flooding. Instead of normal snowfall amounts, we get blizzards. And, as has been reported in many news sources, extreme heat is leading to more and more wildfires in many parts of the country. We recommend scheduling an inspection after any severe weather event,” he remarks.

Put on your inspector’s hat When Everdry’s experts come out to evaluate a home’s waterproofing needs, they perform a comprehensive, 20-point inspection covering both the interior and exterior of the home—a $295 value offered at no charge to the homeowner.

Ramirez also encourages homeowners to do a little “waterproofing sleuthing” of their own, using the inspection form below. “Take

20-POINT INSPECTION OUTSIDE ■ Gutters, Downspouts ■ Surface Drainage ■ Frost Line Cracks ■ Settling Foundation ■ Original Waterproofing ■ Storm Water Run-Off ■ Inspect Damage ■ Dry Rotted Still Plates ■ Uneven Concrete ■ Photo Documentation

INSIDE ■ Indoor Mold Test ■ Electrical Hazards ■ Rust, Corrosion ■ Structural Integrity ■ Insect Control ■ Pest Entry ■ Energy Loss ■ Floor Joist Support ■ Wall Cracks, Failure ■ Safety, Health Assessment

a look around, check off any items that raise concern in your mind, and then share the form with your Everdry representative. We educate our customers about what is causing their wet basement and then try to understand their specific expectations. By getting an idea of the basement’s end use, Everdry can determine the best solution for the customer. We then sit down with the customer, identify options to rectify the problem, and together arrive at

a solution,” Ramirez explains.

Don’t ignore the problem!

Most importantly, keep in mind that small issues can turn into big ones. If you have any concerns about basement water infiltration or the integrity of your foundation, don’t ignore the problem hoping it will go away. Call to have an Everdry certified inspector come and provide you with some answers and get your home back in good health. ❦

Have fun in the past this summer at Sauder Village

S

tep into a bark-covered wigwam, sit at a desk in the log school, or sing a hymn in the Village church.

Watch spinning, broom making, and pottery demonstrations, and help make butter in the historic homes.

Meet the horses and cows, take a ride on the train, and enjoy some ice-cream or fudge. There are so many ways to create special memories while having fun in the past this summer at Sauder Village—Ohio’s largest living-history destination!

Built in 1976 by Erie J. Sauder, Sauder Village has continued to grow and change through the years. One thing that has remained constant, however, is the welcoming hospitality.

In more than 40 historic homes and shops, costumed guides and working craftsmen welcome guests and help them experience the past in rural Northwest Ohio.

Throughout the Historic Village, guests can experience life in Ohio through activities and stories shared in the community shops, Native American area, Pioneer Settlement, historic homes, farm, and gardens.

While watching a cooking demonstration in the 1910 Homestead, sit-

ting at a desk in the District 16 School, or hearing stories in the Barbershop, guests often feel as though they are taking a trip down memory lane. Depending on the day and season, guests also have the opportunity to try a variety of hands-on activities.

Throughout the Village, guests can also marvel at craftsmen blending skill and creativity in glass, metals, fabric, wood, and clay. These talented craftsmen also offer hand-crafted items for sale in places like the Spinning Shop, Pottery Shop, Tin Shop, Glass Shop, and Tiffin River Woodworks.

Other popular craft shops include the Basket Shop, Weaving Shop, Cooper’s Shop, and Blacksmith Shop.

New this year, Sauder Village is pleased to be unveiling many projects in conjunction with the Grist Mill renovation. Guests are sure to appreciate the updates to the exterior of the building as well as the rearrangement of interior furnishings and new displays to

help share the important stories associated with the mill. Located in the lobby of the Museum Building, the “Grain: From Field to Flour ” exhibit presents an in-depth look at grains as well as hands-on learning.

An agriculture-themed lecture series has also been planned for the 2014 season. Lectures will be held on June 9 and October 6. More information about the lecture series can be found online at www.saudervillage.org.

A visit to Sauder Village would not be complete without a ride on the horse and buggy or the Erie Express Train. Other favorite stops include a visit to the Ice Cream Parlor and the Sweet Shoppe for some homemade fudge.

There are many unique shopping opportunities at Sauder Village, including Threads of Tradition Quilt Shop, the Village Gift Shop, and Lauber’s General Store.

Also on the Sauder Village Complex is the Sauder Store and Outlet—a hometown factory store offering a vast selection of ready-to-assemble

furniture made locally by the Sauder Woodworking Co. The Barn Restaurant offers a unique place to enjoy a home-style meal.

Guests enjoy dining under the handhewn timbers of this historic barn and finding delicious treats to take home from the Doughbox Bakery. Overnight accommodations are also available at the 98-room Sauder Heritage Inn, complete with an indoor pool, hot tub, and a game and exercise room, or the 48-site campground, which is a great place to relax and enjoy time together while fishing, sharing stories around the campfire, riding bikes or walking around “Little Lake Erie,” or enjoying the amenities at the Heritage Inn. Historic Sauder Village is open Tuesday through Saturday from 10:00 a.m. to 5:00 p.m. and Sunday from noon to 4:00 p.m. (closed Mondays, except holidays). Admission is $16/adults, $14/seniors, $10/students (6-16), and free for members and children five and under. Children 16 and under are free every Sunday this season. For more information on Sauder Village, call 800-590-9755, visit www.saudervillage.org, like us on Facebook, or follow us on Twitter @SauderVillage. ❦

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Half a gallon a day keeps the stones away

The University of Toledo Physicians urology practice is welcoming new patients at its

Sunforest Court Office

by Khaled Shahrour, MD

T

his is my favorite bit of advice visits) and indirect to give patients suffering from (missed work) costs.

Board certified urologists specializing in a number of urologic conditions, including: kidney stones. As simple as it may We have made • incontinence sound, following this mantra to drink incredible advances more water could be the most import- in the minimally • male health ant thing you do to prevent kidney invasive treatment • urologic cancers stones. About 10% of Americans will for kidney stones; • kidney stones suffer from at least one stone episode however, I firmly in their lives, making this diagnosis believe that an more widespread than diabetes. To ounce of prevention make matters worse, those who are is worth more than diagnosed with kidney stones, even a pound of cure. just once, will have a 50% risk of The Kidney Stone Clinic at having another stone in the following The University of Toledo Medical Dr. Steven Selman Dr. Khaled Dr. Ajay five years.

Center is the first stone-dedicated Shahrour Singla While dietary factors, such as clinic in Northwestern Ohio. Our hydration, seem important in the mission is both the treatment and prevention and formation of kidney prevention of kidney stones affecting For an appointment: stones, they tell only part of the story. our great community. Our clinic 419.473.3446 Recent medical discoveries point to offers patients the ability to have a hereditary and genetic factors, which, consultation with a board-certified utphysicians.utoledo.edu A Higher Degree of Healing combined with medical urologist, nephrologist, utmc.utoledo.edu conditions such as diabetes and dietician in one UT Physicians and obesity, can increase convenient exam room 3900 Sunforest Court, Suite 223, Toledo (off Sylvania Ave. near Monore) the likelihood of forming and visit. Together, our a kidney stone. As a result, multidisciplinary team we have witnessed an addresses each problem Did you know about Toledo’s best kept secret? increase in the number of relating to the formation people afflicted by kidney of a particular patient’s Visit our Rehab Center at stone disease nationwide. kidney stone and gives Swan Creek Retirement Village Given the rise in him or her tips on how incidence, researchers in to prevent these stones the medical community, from recurring. So, please particularly urologists, remember to start drinking have increased efforts and one half gallon of water a Dr. Khaled Shahrour funding for kidney stone day, but just in case you research and prevention. don’t, we’ll be here to help While it is true that kidney stones are you in any way that we can. ❦ Did you know about Toledo’s bestfatal, kept not typically the secret? emergency care of patients with kidney stones Khaled Shahrour, MD, Assistant costs our medical system billions of Professor in Urology, Department of Swan SwanCreek Creek Retirement Retirement Village Village Swan Creek Retirement Village Swan Creek Swan Swan Retirement Creek Creek Retirement Village Retirement Village Village dollars annually, both in direct aaacontinuing continuing care care retirement retirement community community a continuing care retirement community(ER Urology, University of Toledo. continuing a continuing care a continuing retirement care care retirement community retirement community community located on 34 acres offering spacious villa located locatedon on 34 acres acres offering offering spacious spacious villa villa located on located 3434acres located onoffering 34 onacres 34 spacious acres offering offering villa spacious spacious villa villa homes and apartments. homes homes and and apartments. apartments. homes andhomes apartments. homes and apartments. and apartments. We promote an upbeat lifestyle; our residents We Wepromote promote an upbeat upbeat lifestyle; lifestyle; our our residents residents We promote We anan promote upbeat We promote lifestyle; an upbeat an upbeat our lifestyle; residents lifestyle; our residents ourtoresidents are able do the things they enjoy. are are able able to to do do the the things things they they enjoy. enjoy. are able to do arethe able are things to able dothey to the dothings enjoy. the things they enjoy. they enjoy.

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can be difficult. Keeping your body

properly hydrated with the right fluids is essential to your safety and your fitness performance. Drinking enough water before you exercise and during your run will help your

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endurance and give you a better workout.

Dehydration affects your performance and increases the risk of heat illnesses, such as heat exhaustion or potentially deadly heat stroke.

Some signs of dehydration include headache, fatigue, dizziness, nausea, muscle cramps, and abnormal chills.

Following the right fluid-replacement plan can prevent dehydration.

Here are some training tips for proper hydration during your next run or road race: • Drink to stay hydrated, but don’t over-hydrate yourself.

• Drink two cups of water two hours before exercising and then nine ounces every 15 minutes during your workout.

Excess body water will be passed as urine before you start to run. Clear urine is a sign of good hydration.

• Get enough salt in your diet to replace salt lost during your workout.

• If you work out longer than one hour, sports drinks will replenish your sodium quicker.

• Finally, recognize the warning signs. When in doubt, stop exercising and seek medical attention immediately.

In addition to hydration, choosing the right type of workout clothing is essential to fitness performance in the warm climate. Shorts, T-shirts, and socks made of evaporative polyester fabric will help keep you cool this summer. ❦ 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 any event, please visit davesrunning. com.

Rotary Tropical 5K—Sunday, June 1, 2014, 5:30 p.m. at 6751 Providence St. in Whitehouse, Ohio. For more information, please email j3baden@yahoo.com.

Run for Relay 5K—Saturday, June 7, 2014, St. Rt. 108 in Wauseon, Ohio. 5K Run/Walk starts at 9:00 a.m. Kids Fun Run starts at 8:45 a.m. For more infor-

mation, please email kinsmanfamily4@ yahoo.com.

Toledo Area Humane Society—Humane Hustle 5K Run/Walk—Saturday, June 7, 2014 at Swan Creek Metropark, Glendale Ave. entrance. Four-legged runners and walkers are welcome! (All dogs must be on a non-retractable leash, please.) 5K Run/Walk begins at 8:30 a.m. Run/Walk with dogs begins at 8:40 a.m. Presented

by Dave’s Running Shop, the race will be timed by The Toledo Roadrunners, and times will be available online after the race. All proceeds benefit the animals of the Toledo Area Humane Society.

For more information, please email jodik83@yahoo.com.

5K/1-Mile Race for Wags and Wheels— Saturday, June 7, 2014 at 1745 Stadium Dr. in Toledo, Ohio. 5K Run starts at 9:15 a.m. 5K Walk starts at 9:25 a.m.

1-Mile Walk starts at 9:35 a.m.

The Race for Wags and Wheels will be held on a marked course on the University of Toledo campus adjacent to the football field. Parking will be located in Parking Lot D on June 7, 2014.

Race will officially start at 9:15. Stretching exercises, led by Mobile Fitness, will begin at 9:00. Funds from the race will benefit Assistance Dogs for Achieving Independence. Trail signs will be available for purchase and placement along the race trail until 9:00 a.m. on race day.

Service Dogs and ADAI-trained therapy dogs are welcome and encouraged to be a part of this special day. For more information, please email karnett@ abilitycenter.org.

DABA 5K Run/1-Mile Fun Run/Walk Saturday, June 7, 2014, 8:00 a.m. at Dundee Middle School, 420 Ypsilanti St. in Dundee, Michigan. Fundraiser for school scholarship program; sponsored

by Dundee Area Business Association.

For more information, please email daba5krun@gmail.com.

Memories for Marleah 5K—Sunday, June 8, 2014, at 22611 St. Rt. 2 in Archbold, Ohio. 5K Run and 1.25-Mile Walk start at 4:30 p.m. Kiddie Run starts at 4:15 p.m.

To raise awareness for SIDS. For more information, please email lauberk05@ hotmail.com.

10 Annual Happy Trails 5K Race/Walk— Saturday, June 14, 2014 at Wildwood Preserve Metropark, 5100 W. Central Ave. in Toledo. 5K starts at 8:00 a.m.

BCSN Fit 1-Mile Walk starts at 8:15 a.m.

Meander through breathtaking scenery at Wildwood. Money raised from the race will help fund maintenance and improvements to the Metroparks trail system. For more information, call 419407-9720 or email dawn.dickerson@ th

metroparkstoledo.com.

Race4Justice—Saturday, June 21, 2014 in downtown Toledo. The Race4Justice and 1-Mile Fun Walk start at 9:00 a.m.

For more information, please email hgeha@ralaw.com.

Docs-n-Socks 5K & Kids Fun Run— Saturday, June 21, 2014 at 1501 Bright Rd. in Findlay, Ohio. 5K starts at 9:00 a.m. Kids Fun Run starts at 10:00 a.m.

Proceeds will benefit the Ohio Orthopaedics Medical Scholarship Fund.

For more information, please email docsnsocks5k@ohioorthopaedics.com.

5K Relay to Relay—Saturday, June 21, 2014, 9:00 a.m. at the Hancock County Fairgrounds, 1017 E. Sandusky St. in Findlay, Ohio. Join us in the fight to end cancer and have fun while doing it! All proceeds will go to the American Cancer Society via Relay For Life. For more information, please email bkuhl man87@gmail.com.

Go The Distance Running School—Monday, June 23, 2014, 8:30 a.m. at 1025 W. River Rd. in Maumee, Ohio. Being a successful distance runner requires hard work, motivation, knowledge,

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39

and skill. We will spend four full days developing each of these areas in every athlete. We will also stress the necessity of setting goals and the importance of self discipline, which is necessary to achieve these goals. You will be interacting and learning from experts in their fields—physicians, physical therapists, coaches, nutritionists, massage therapists, and runners. Our running staff consists of the area’s top runners with All-American and Olympic Trials credentials. We will show you what we currently do to stay on top of our competition. For more information, please email gothedistancers@gmail.com.

Delta 5K Steel Run—Saturday, June 28, 2014, 5807 Ohio 109, in Delta, Ohio. 5K Steel Run begins at 9:00 a.m. ½-Mile Steel Run (ages 8 and under) starts at 8:15 a.m. 1-Mile Steel Run (ages 9 to 13) starts at 8:30 a.m. Junior 5K Steel Run (up to age 14) starts at 9:00 a.m. To benefit autism, Wabash Cannonball Trail, and Hands of Grace. For more information, please email rob@lifesizedtravel.com.

Pettisville Friendship Days 5K—Saturday, June 28, 2014, at Pettisville Community Park, 18405 County Road D-E in Pettisville, Ohio. 5K Run, 5K Walk, and Inline Skates start at 8:00 a.m. Kids 1-Mile Run starts at 7:45

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a.m. Pettisville Friendship Days is a three-day festival held in the village of Pettisville. The community comes together every other year to help support the Pettisville Community Park.

The 5K kicks off the Saturday morning activities, where runners go through the streets of Pettisville before finishing

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in front of the park pavilion. After the race, awards are handed out and a full day of kids’ events begins, concluding with a reverse raffle in the evening.

Check out www.FriendshipDays.org for a list of the weekend events. For more information, please email Run@ friendshipdays.org. ❦

F

or the last 20 years, I have been on two FDA-approved therapies that have shown to slow down the progression of my relapsing-remitting multiple sclerosis. Both of the therapies were interferons, and they modified, or weakened, my very active immune system so it would not attack the myelin (a protein insulator) surrounding my nerves One shot was an intramuscular (IM) injection. An IM is a technique used to deliver a medication deep into the muscles, which allows the medication to be absorbed into the bloodstream quickly. A flu shot is an intramuscular injection. This was a deep shot, and I did not want to do it. I did not give myself the IM shot; I had a nurse inject me at work or had someone else do it when I was away.

It was a weekly injection.

The other shot was a subcutaneous injection, which is administered into the subcutis, the layer of skin directly below the dermis and epidermis, collectively referred to as the cutis. Subcutaneous injections are highly effective in administering vaccines and medications such as insulin. These shots are referred to as SC, SQ, sub-cu, sub-Q, SubQ, or subcut. Subcut is the preferred abbreviation for patient safety. I currently give myself the subcut shot three days a week.

My doctor told me about some

pills for slowing down my MS. No more alcohol swabs, sharps containers to dispose of used syringes, etc.

Many people thought that taking a pill would be the treatment I would choose in a New York minute. But despite the fact I never liked needles—who does?—I am on the fence.

In my 38 years of living with MS, I am doing pretty well. I feel like “If it ain’t broke, don’t fix it.” Why change therapies?

The convenience of taking a pill is very attractive to me. I know some healthcare professionals with MS who take the relatively new pill. But I feel this is such a big decision and wonder whether it will work for me. Every person is different, and I wonder how well I will tolerate the side effects or whether it will slow my MS down over the long haul.

No one really knows, and I ultimately have to decide.

Although every drug company is eager to tell me about such decision-influencing things as the clinical benefits of the drug, information about controlling minimal side effects, and their support services such as call-in lines and local trainers, it is still my decision. Each drug I have been on has the same services. Deciding on a therapy is ultimately my decision, not my friends’, family’s, or even my doctor’s.

So what will I do?

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I asked around the MS community and through my doctor’s office whether there was anyone taking the pill whom I could talk with.

The drug companies also have peer mentors—people who are ready to listen and share their own experiences with the new drug. I prefer someone not associated with the actual drug company because they will naturally talk up being on the new therapy. Another thing I have done is go to a health fair or MS event (like the recent MS Walk, bike event, etc.) where there are vendors and people with MS not all working for the drug companies. In that environment, I can just informally ask about the therapy.

I, of course, will talk with and ask for help from my doctor, but I feel that I must make the decision. It feels quite scary sometimes, but it’s a part of life in the chronic disease arena.

You don’t have to be alone in your MS journey. Finding someone to talk to and knowing what questions to ask can help make things a little easier. I also talk to family and friends, and listen, but decide myself what I will do.

I am lucky this is not a survival decision. Some people have to make

therapy decisions that may lead to life or death. What are they to do?

Choosing a medicine is not always as scientific as it seems, so they must talk with their doctors and decide, sometimes choosing their therapy plans by intuition or very quickly.

When you learn that you have a specific disease or condition, it can be confusing and overwhelming.

There are many resources and sources of support to help you. After you have learned about treatment options (from your provider and your own research), you need to make a decision about what is best for you.

Knowledge is power, but we still have to take a risk and decide on a treatment plan.

It is a tough part of our health, and we can only hope and pray for the best. ❦ 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.

Franciscan HomeCare Services of Northwest Ohio receives accreditation

F

ranciscan HomeCare Services of Northwest Ohio, a ministry of Franciscan Living Communities, has received full accreditation from The Joint Commission (TJC) effective April 28, 2014.

In addition, the successful survey provides accreditation and certification with the Centers for Medicare & Medicaid. Accreditation by TJC means that Franciscan HomeCare

Services meets all of the national standards for health care quality and safety and reflects the organization’s commitment to providing exceptional care and offering enhanced value for patients.

“HomeCare Services, often referred to as home health services, are used for a variety of reasons, many times after experiencing a health set-back or for a chronic illness,” said Coleta

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41

Schmidlin, Director of Franciscan HomeCare Services. “Our team of nurses and healthcare professionals are well trained and experienced to be able to care for a variety of conditions,” added Schmidlin.

Franciscan HomeCare Services will provide physical, occupational and speech therapies, in addition to diabetic care, wound care, and IV treatments along with other services.

With the recent certification, and being a member of Franciscan Living Communities, Franciscan HomeCare Services is not only able to provide service and care to the residents involved with Rosary Care Center, Franciscan Care Center, and St. Clare Commons, but all those needing home health service in Northwest Ohio. Rick Ryan, President and CEO of Franciscan

Living Communities, stated, “We now have an opportunity to extend the care continuum for our residents and community members into the place they call home. As the medical needs of our residents change, we are able to adapt with them, providing consistent, quality care.

In addition, we have a broader reach to provide services for those who may still live in their home but have experienced a set-back.”

Based in Toledo, Ohio, Franciscan Living Communities is comprised of six member organizations throughout Ohio and Northern Kentucky that provide quality, comprehensive, and spiritually enriching senior services in beautifully designed continuumof-care environments. To learn more about Franciscan HomeCare Services, please call 567-455-0414. ❦

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“ARMD” with knowledge: Understanding macular degeneration

by Nickie Dumas

M

innie is a 57-year-old woman who loved to knit blankets and make crafts for her friends and neighbors. While working on a blanket one evening, she noticed the lines in the blanket seemed to “shift” as she moved it. She didn’t know how else to describe it and figured she was just tired, so she took her glasses off and went to bed.

Over the next few months, she noticed other little changes in her vision. One day, she complained to her daughter that when she reads the newspaper, the words become blurry. Minnie attributed the changes to “old age” and figured she would have it checked at her yearly appointment, which was six months away. However, after talking to her daughter, she decided to make an earlier appointment.

About a week later, Minnie arrived at her ophthalmologist’s office.

While waiting for her doctor in the exam room, Minnie worried about all the things that could be wrong

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with her. Her eyes were dilated and ready just as her physician came in. Her physician checked her vision and looked into her eyes to see the structures that control

vision. To finish the exam, the doctor asked Minnie to look at an Amsler grid. The grid is made of vertical and horizontal lines, and the middle is marked with a black dot. Normally, the lines should look straight and a clear dot should be seen. When Minnie looked at the lines, she said they were straight at the edge but in the middle they were wavy and blended into the center. She could not see a sharp central dot either; rather, she saw a dark-gray shadow.

After finishing the exam, Minnie’s doctor turned the lights up and took a seat across from her. He continued by saying, “Minnie, you have a disease called age-related macular degeneration. It’s a big name that means your central vision is getting fuzzy and you do not see as sharply as you once could.”

There are two types of age-related macular degeneration (ARMD).

The first is a dry form, also called a non-exudative form, and the second is a wet form, or exudative form. Dry ARMD is an early stage of the disease that may be caused by aging of the macula. The macula is the part of the retina that allows focusing on specific objects, as when reading or looking at someone’s face. Dry ARMD is diagnosed when yellow-gray pigment spots, called drusen, are found in and around the macula. Dry ARMD causes central vision loss and can make

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lines look distorted but generally is less severe than wet ARMD. Unfortunately, there is currently no FDA-approved treatment for dry ARMD. There are, however, things that can be done to help the damaged eyes. Ophthalmologists recommend always protecting one’s eyes from the sun. And, in a study by the National Eye Institute, patients who took supplements of vitamins C and E, beta-carotene, and zinc were able to reduce the progression of the disease.

Wet ARMD is actually a progression of the dry form and causes more advanced damage. The major problem is that new blood vessels form under the retina and leak blood. The retina is the part of the eye where the light is absorbed. This blood causes damage to the sensitive retinal cells, which can cause blind spots in central vision. Besides the damage to the retinal cells, scarring can occur, which also hurts vision.

Wet ARMD is treated through several different mechanisms. Lucentis is one example of a drug that is commonly used to treat ARMD. This drug works by inhibiting proteins in the eye that cause blood vessel growth. A different option is to implant into the eye a device that magnifies what a person is looking at to compensate for the vision loss caused by the eye damage. Laser treatments can also be used to help seal the leaky blood vessels.

After the doctor explained the basics of ARMD, Minnie seemed slightly more at ease, but she really wanted to make sure she did everything she could to protect her eyes.

She said, “Doc, I think I understand what you told me, but I want to know how long I have before it gets worse.

I don’t want to give up my crafts.”

Her physician replied, “Fortunately, only about 10% of those with dry ARMD progress to wet ARMD, but it is an unpredictable timeline.

However, you can help yourself by protecting your eyes from the sun; eating plenty of fruits, vegetables, and healthy fish; and by taking the vitamins I give you.”

If a patient has ARMD at any stage, it is important to visit an ophthalmologist regularly and to call if there are any changes or concerns.

Nickie Dumas, UTCOM MS4, submitted on behalf of The Academy of Medicine of Toledo and Lucas County, www.toledoacademyofmedicine.org.

Disconnect to reconnect with physical activity—like tennis

by Mark Faber, USPTA Elite Professional

T

the game of tennis as part of the administration’s focus. After viewing the video and doing my own little informal observational study and self-evaluation, it is safe to say (from my point of view) that electronics are taking away from physical activity for kids, and that takes away from their simple athletic development.

I have sat in many coaching presentations over the years, and one of the main topics I hear about over and over is that our kids are not developing athletically as they once

he other day while checking my There are way too many to name, Facebook page, one of my good but much of this has been driven coaching friends from Illinois, Chuck from the White House itself. Heck, Kuhle, shared a video with me about the first lady has even been part of the electronic age we live in and how the USTA’s campaign to get kids into it has taken away from the personal interaction of people and the outside play time that used to be a mainstay in kids’ lives. For this month’s article, I am going to take a different approach and actually put out a challenge to all the Healthy Living News readers.

Since watching this video, I have taken a keen interest in watching the young kids I teach and coach and what they tend to do right before and after their practice/ competition. I “ I have seen Garrett’s also have taken a behavior improve tremendously. hard look at myHe is calmer, more relaxed, self to see what The Sensory Learning Program more attentive, more focused, kind of example I more confident, independent and am setting on the treats individuals that have been generally just a joy to be around .” tech side of things. diagnosed with: — H.C...Toledo Well, the answer to both of these is Autism “My daughter is more pretty simple: Kids Aspergers aware of her surroundings and today are, for the sensory rich environments that most part, attached ADD/ADHD Like us! used to overwhelm her and send to their electronic Sensory Integration Disorder her into a meltdown, no longer devices, and mybother her.” —S.C...Monroe self, well, I guess I Speech and Language Delays am young at heart Follow us!

Anxiety/Depression when it comes to this stuff.

Behavior Abnormalities Many of us have seen the artifor more information and to cles or heard news schedule a FREE Sample Session reports about how child obesity is on Dr. Jeffrey G. Schmakel, O.D. the rise and that there are many 3454 Oak Alley Court • Suite 209 directives to get — Toledo — kids more active www.SensoryLearning-Toledo.com on a daily basis.

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did. From the tennis standpoint, we are starting to implement what used to be mainstay, backyard activities in our everyday program. Why? Because kids are not going out to their back yard and playing and developing like they used to, so we are trying to at least introduce these activities and build on them.

So, here is the challenge I would like to issue: Let us all put down the electronic devices for an hour a day! What can you do

for that hour? I would love to see everyone try tennis. This can be done at one of the local clubs, one of the local park programs, or just with a friend or family member. I have shared with everyone over the months all of the benefits of tennis, so this is the perfect month to try it. Now, let us all make June our “Disconnect to reconnect with physical activity” month, and this would be a great time to give tennis a try! ❦

Northwest Ohio Chapter

Students serve on day of caring

by Christine A. Holliday

T

he students at St. Ursula Academy and St. Ursula Junior Academy took a day off from their academic studies in late April, but it wasn’t due to bad weather or a teacher work day.

In fact, the teachers and staff also traded in their computers and grade books for shovels or playing cards to join the students in their 9th annual Day of Caring. Each member of the all-girls school community spent the day in one of 31 local agencies doing service work, from sorting clothes, tutoring children, and organizing storerooms to visiting the sick, as a way to put one of the school’s core values—service—into practice.

Thirteen buses took the girls and their adult mentors

to agencies including Cherry Street Mission, the Catholic Club, Ronald McDonald House, the Toledo Food Bank, and Collingwood Arts Center. At some locations, the visitors interacted with local residents or students, playing cards, working on small projects, or helping with homework assignments. In other spots, they made short work of digging, planting, and painting. They worked in groups of eight or 10, discovering the satisfaction of helping others.

Sophomore Natalie Hoffman worked at the Food Bank, organizing food donations. “I was surprised by how much food people donate,” she said, “but I was sad to see that some people have to come to a place to get something as basic as bread. I guess I don’t

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think much about how much food I have in my house, but working at the Food Bank made me think about that. I’m glad I could help them help other people.”

Freshman Sarah Mello spent her day working with third graders at Queen of Apostles School. She and her new friend worked on some classwork about John Glenn, and she spent time reading with the children.

“I liked the feeling of helping, and the kids seemed to like having us there. We had time to play on the playground with them, too, so it was a fun day.”

A school-wide assembly kicked off the Day of Caring. Christina White from Service Leadership Toledo congratulated the girls on their dedication to helping others and presented the school with a Jefferson Award Silver Banner for their service work in 2013. Individual students Mattison Gibson, Connie Baumgartner, and Sydney Czerniakowski received special recognition for their service hours.

“One of our core values is service,” explained Campus Ministry co-director Michelle Mello. “We believe that every person has something to offer the community, and we all know there is a great need for help all over the community. We organize this day to reinforce how important serving others is to a young person’s maturing process, and we are pleased they are able to help in so many different places. I’m glad to say that our girls do great work, and the number of agencies who ask to be included in our Day of Caring increases every year.”

Principal Nichole Flores states, “Day of Caring is an incredible opportunity to showcase the connection SUA has to the community. Having over 600 students and adults come together to serve in a collective capacity is truly an awesome experience that not only demonstrates our mission, but is contagious in the great feeling it provides.” ❦

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Help! My feet hurt!

by Douglas Schwan, DC, Dipl ac

I

had an interesting morning. Three very nice ladies had an appointment for the same time and were sitting out in the waiting room when they discovered they were all there to be treated for foot pain.

We have a number of treatment suites, and the ladies asked for the curtains to be open so they could “gab” during their treatments. One of the first things these ladies picked up on was that each was receiving a different treatment for what they all thought was the same problem.

Jennie was getting acupuncture with microstim for plantar fasciitis, which is an inflammation of the ligament at the base of the foot. Gloria was having Cold Laser therapy for a plantar neuroma on the bottom of her foot. A plantar neuroma (aka Morten’s neuroma) is a thickened and inflamed nerve in the webspace between two toes. Susan was receiving chiropractic adjustments and ultrasound for swelling in her ankle related to an old inversion sprain.

The interesting aspect was that they all thought they had the same “foot” pain but wondered why they were all having something different done to treat it.

Alternative Medicine is not a one-sizefits-all approach. With any health condition, treatment begins with a careful history and examination. However, oftentimes, there are several approaches to treating the same problem. In many cases, I’ll have a patient come into my office specifically for acupuncture or specifically for chiropractic because they’ve heard it is very effective for “their” condition. If, after careful history and examination, I decide the case can be managed that way, it is the way we will go. Many patients will allow “doctors choice” in their care, and we will put together a treatment protocol that

the team thinks will be most effective.

Patients with severe problems may even have overlapping care between different disciplines—especially if they present with multiple chronic disorders.

For example, with Jennie’s plantar fasciitis, her pain tended to return every six months or so. We added a few chiropractic ankle adjustments to her regime to restore normal bony alignment and then fitted her with custom-molded orthotics, which permanently alleviated her foot problem.

When thinking of Alternative Medicine, there is not a single approach to each problem. Most problems have a number of avenues that will lead to effective resolution. The best option can only be decided after a consultation with your Alternative Medicine practitioner. ❦ 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 our website at www.acupuncturetoledo.com.

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