HLN June 2017 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News June 2017 • FREE

Summer fun here at home

Also available at hlntoledo.com

As well as: • Shake up and wake up your skin • Discover Sauder Village • Plan your summer weight loss • Mini horses with big hearts • Rescue supports mental health

Eliminate joint pain from your life. Visit mercy.com/ortho to learn how we can help.

Shape up and wake up your skin H

ello, “Millennials”! Are the skin changes related to stress, pollution, smoking, and prior sun damage and tanning booth visits starting to show on your facial, neck, and chest skin? Are your jowls and neck starting to sag, and are you noticing that darkening is developing around and under your eyes, your pores are enlarging, or “age spots” are appearing? Do your friends question why you look tired all the time when you are not? While these changes are mild and just starting, now is the time to start engaging in a skin-care program tailored specifically for you to improve and reduce these signs of aging. Dr. Handler will personally recommend and explain a skinrejuvenation program designed specifically for you to reduce the visible signs of aging. The anti-aging treatments performed by Dr. Handler are “non-invasive,” with minimal discomfort or downtime. Minimize under-eye darkening, raise those droopy eyelids, shrink pores, lift sagging jowl areas, and appear as youthful as you feel. Call Dr. Handler’s office for a personal evaluation with treatment recommendations for your aging skin. Remember, 80% of the signs of aging are due to prior sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! This is something young people should be aware of since we get 80% of our lifetime sun exposure by the time we are 18-20 years of age. What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler. The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift sagging areas of the neck, jowls, upper arms, and abdomen. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected. This heating of the dermis causes immediate collagen contraction and tightening followed by new collagen production over a period of time. This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only ONE treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain. The NEW Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients. For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas. The results are diminished lines and a more “wide awake” and less tired appearance. These products are also fantastic to reduce anxiety-induced underarm sweating for months after injections. This is performed entirely by Dr. Handler with minimal pain with results of decreased sweating 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 lines (the sad look) from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad! Since these products are combined with a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the injection of a new filler called “Restylane Silk.” This product markedly improves upper and lower lip lines (lipstick lines). Restylane Silk also volumizes your lips and restores their natural curve while looking attractive and natural. Restylane Silk also can be utilized to minimize the “worry lines” between your eyes. There is no downtime with these non-invasive procedures.

For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio. Are you aware that Dr. Handler personally performs laser procedures for removal of body hair anywhere hair grows? Yes, this minimally painful laser destroys hairs around the chin, jawline, upper lip, underarms, ears, nose, bikini line, etc. And this laser is not just for women. Many men have this laser performed to permanently remove chest and back hair as well as beard hair that grows down onto the neck. Dr. Handler also utilizes the latest in lasers for removal of “age spots” (sun spots really) anywhere on the body. This laser works especially well for the tops of hands covered with those “age spots.” Finally, Dr. Handler also performs laser removal of unwanted blood vessels that grow on your face and enlarge with heat, stress, and the intake of alcohol. Again, pain and downtime are minimal with this laser. All of these lasers are non-invasive with minimal downtime. Call Dr. Handler’s office to find out when these procedures are being performed. These specific procedures are only done from September through May since a tan interferes with the process. Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of

these cosmetic enhancements are performed entirely by Dr. Handler. To view before-and-after photographs of patients who have had these procedures performed by Dr. Handler, visit www.drharveyhandler.com. For more detailed information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. Also, remember to inquire about specials available on many cosmetic procedures and products to diminish the signs of aging and obtain a more vibrant and youthful appearance of your skin. Also, everyone should have a yearly full body exam to check for skin cancer conducted only by a board-certified dermatologist.

Hair loss in men and women

Are you losing hair from surgery, anesthesia, illnesses, pregnancy, medications, stress, genetics, or “normal” hair loss secondary to aging or low blood levels of nutrients? There are many causes of hair loss in men and women. Most are not simply due to age or family history, and most are treatable. Now these problems of hair loss can be evaluated and there is hope for reducing your hair loss and stimulating new growth. Dr. Harvey Handler, board-certified dermatologist of Sylvania, Ohio, has a medical treatment for decreasing your hair loss and increasing growth in many patients! After appropriate examination of your scalp hair and blood testing is performed by Dr. Handler to rule out treatable medical causes, Dr. Handler will discuss a program to decrease your hair loss, increase growth, and cause the hair you have be fuller and thicker. This is not a product that is forever. This new treatment works with or without Rogaine (minoxidil, which is forever) for reducing loss and promoting growth. Call Dr. Handler’s office to set up an appointment for a thorough evaluation and discussion of your particular hair loss and the therapy that will be individualized for you. Don’t assume because it “runs in the family” that you can do nothing to minimize your hair loss. Most patients notice a decrease of loss in 30-60 days! ❦

www.drharveyhandler.com

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

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L. H

No surgery. No injections. No downtime.

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ADULT, arvey andLer m d dipLomate and FeLLow oF PEDIATRIC, tHe american Board oF dermatoLogy aduLt, pediatric & cosmetic dermatoLogy & COSMETIC 5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital) DERMATOLOGY HAIR & NAILS

419.885.3400

Mission Statement Healthy Living News offers the residents of northwest Ohio and southeast Michigan a monthly guide to news and information about healthy life styles, health care, sports and fitness, and other issues related to physical, mental and emotional quality of life. The publication promises to be an attractive, interesting and entertaining source of valuable information for all ages, especially those 35 to 50. Healthy Living News is locally owned, committed to quality, and dedicated to serving our great community. Healthy Living News is published the first of each month. The opinions expressed by contributing writers do not necessarily reflect the opinions of the publisher. Distribution of this publication does not constitute an endorsement of any kind. While HLN makes every attempt to present accurate, timely information, the publication and its publisher and/or advertisers will not be held responsible for misinformation, typographical errors, omissions, etc.

CONTACTS Business office: To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615. Phone: 419-367-0966 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: 419-382-5751, fax 888-506-5790; email: editorhln@bex.net. Publisher: Kevin O’Connell

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Robin Buckey Molly O'Connell Print Designer: Jan Sharkey Web Designer: Strategically Digital LLC Social Media Specialist: Kelly Rickey Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech–Toledo Copyright © 2017 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.

e lthy l ng ews

June 2017 • Vol. 22, Issue 6

Your Monthly Guide to Healthy Living

TAKING CARE OF YOUR LIFE

HEALTH, BEAUTY & FOOD

5 Make happy memories this summer at Sauder Village 6 Plan a summer “staycation” the whole family will remember 12 Super Slow Training: Never stop improving! 16 More ways to get up, get out, and get moving by Jim Berger 26 Wise Words from Otterbein Dear senior living industry, are you ready for us? by Kathleen Geers 30 Staying “cool” this summer, by Amanda Manthey 34 Health Crossword by Myles Mellor 37 Spiritually Speaking BeDADitudes by Sister Mary Thill 40 A Walk in the Park Nobody goes there anymore by LeMoyne Mercer

2 Shape up and wake up your skin 8 Lung cancer: potentially deadly but often preventable 10 UTMC urologist takes the fight to male fertility and prostate issues 13 Nobody’s Perfect How do you find a new doctor? by Sister Karen Zielinski, OSF 14 “My hearing is normal, but I can’t always hear.” by Shelly Horvat, AuD, CCC-A 18 Luxe Laser offers wide range of advanced cosmetic injectables 20 Plan your weight loss for summer by Douglas A. Schwan, DC, Dip ac 28 Rescue Mental Health & Addiction Services: the right care right now 32 Eating Well Healthy tips for healthy dads by Laurie A. Syring, RD/LD 33 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 36 Mercy Health sports medicine physician offers current insights on concussion 45 Mona Lisa Touch resolves intimate postmenopausal issues

OUR COMMUNITY 19 New pulmonary program helps patients breathe easier at The Manor at Perrysburg 24 Certified Chiropractic Sports Physician joins Frame Chiropractic and Acupuncture 27 Red Cross needs Blood Service Transportation volunteers 29 Sunset’s new rehab center now in full swing 35 UT running coach is back on track with help from Laurels AlterG 39 ProMedica adopts NICHE program to address complex needs of older adults 42 Senior Living Guide 44 Cancer Connection of Northwest Ohio to host Celebration of Life Event

CHILDREN & PARENTING 22 Team Thunder: hope and healing on tiny hooves 38 The greatest challenge, by Mark S. Faber, USPTA Elite Professional

Connect with Friends who Like Healthy Living News! Dear Readers, Thank you for picking up the June issue of Healthy Living News. In the process of planning your family vacation? Perhaps you might consider staying a little closer to home—or, more accurately, at home—this summer. The endearing image on our cover this month, captured at the Sauder Village campground, is just one example of all the family fun that’s available right here in Northwest Ohio for those who choose to “staycation” rather than travel to some far-flung destination. Check out the articles on pages 5 and 6 for a host of hints on close-to-home daytrips and activities in our region. Of course, summer is also a time when warm-weather sports and other physical activities start to heat up, putting people at increased risk of concussion. For the

latest insights on this form of injury from Dr. Jason Smith of Mercy Health, be sure to read the article on page 36. This jam-packed, 48-page issue also spotlights the vital work Rescue Mental Health & Addiction Services performs in our community (p. 28); the expansion of Frame Chiropractic & Acupuncture to include a Certified Chiropractic Sports Physician (p. 24); ProMedica Toledo Hospital’s new NICHE program, which is designed specifically to meet the unique care needs of older adult patients (p. 39); the innovative techniques for treating male fertility and prostate issues used by UTMC urologist Dr. Puneet Sindhwani (p. 10); a new pulmonary program that’s helping patients breathe better at The Manor at Perrysburg (p. 19); the wide

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range of cosmetic injectables offered at Luxe Laser Vein & Body Center (p. 18); and the mini therapy horses and human handlers that comprise Serenity Farm’s Team Thunder (p. 22). Looking forward to next month, the buzz is already starting to build around the 32nd Annual Marathon Classic LPGA Tournament, which returns to Highland Meadows Golf Club from Monday, July 17 through Sunday, July 23. Here at HLN, we’re celebrating our 21st year of promoting this exciting event, which has raised millions of dollars for local children’s charities since its founding. Kudos to tournament Director Judd Silverman and his staff for making this one of our region’s premier events! Until next month, stay safe, active, and healthy!

I Choose The Toledo Clinic

I want a doctor who treats me like a person, not a number. That’s why I choose The Toledo Clinic. The Toledo Clinic is the only physician-owned, physician-led healthcare organization in the region, which gives my doctor a greater say in my care. Plus, with 185 physicians practicing in over 40 different specialties in more than 60 locations, my whole family has access to expert care when and where they need it. The Toledo Clinic. When you choose well, you just feel better.

ToledoClinic.com | 419.473.3561

4 June 2017 | Healthy Living News

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Make happy memories this summer at Sauder Village

tep into a bark-covered wigwam, visit a jail, meet farm animals, or sing a hymn in the village church. Watch spinning, broom making, and pottery demonstrations and help make butter in the historic homes. Swim in the pool, relax around a campfire, enjoy delicious homestyle food, and so much more! There are so many ways to make happy memories while having fun in the past this summer at Sauder Village. “A time-honored, getaway in the Midwest, Sauder Village is an excellent place for guests of all ages to spend time together—whether it’s a couple looking for a relaxing day away, a fun day with grandchildren, or a special outing with family and friends,” shared Kim Krieger, Media Relations. “As Ohio’s largest living-history destination, we look forward to having families stay at the Inn or Campground, play in the pool, visit unique shops, and enjoy great food at Sauder Village.” Throughout the Historic Village, guests can experience Ohio’s historic past through activities and stories shared in the community shops, Native American area, Pioneer Settlement, historic homes, farm, and gardens. Guests enjoy visiting places like the 1928 Grime Homestead, Grist Mill, Church, Doctor’s Office, and the many exhibits in the Museum Building. While watching cooking demonstrations in the homes, sitting

Activities and stories shared in the community shops make learning history fun.

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. And since it’s not a guided tour, guests can take their time while experiencing life in the past at their own pace! Depending on the day and season, guests also have the opportunity to try a variety of hands-on activities like making noodles, rolling out a pie crust, playing old-fashioned games, helping to milk a goat, and more! Guests can also marvel at craftsmen blending skill and creativity in glass, metals, fabric, wood, and clay. These talented traditional and contemporary craftsmen not only demonstrate their trade, but also offer hand-crafted items available

The chance to be a daughter, again. ProMedica Home Health Care provides all the services your mom needs to keep her at home, and healthy. We will take care of monitoring her after her surgery, providing wound care, physical therapy, and home medical equipment for you and for your mom. ProMedica is the local health care system that can care for her at every stage from getting her to the doctor to making sure that her medications are working for her. It’s all about being well connected. To connect with ProMedica Home Health Care, call 800-234-9355.

Whether roughing it in the campground or enjoying the amenities at the Heritage Inn, guests feel right at home. promedica.org/homehealthcare

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | June 2017

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. 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 Stella Leona Chocolates and Coffees Shop. There are many unique shopping opportunities at Sauder Village including the Village Gift Shop, Quilt 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. Built in about 1861 on a farm just a few miles from Sauder Village, guests enjoy dining under the hand-hewn timbers of this historic barn. Guests also enjoy finding delicious treats to take home from the Doughbox Bakery. For those looking to extend their stay, overnight accommodations are available at the Sauder

6 June 2017 | Healthy Living News

Heritage Inn or the Sauder Village Campground. Guests feel right at home in the 98-room Heritage Inn complete with indoor pool and hot tub and game and exercise room—all adjacent to the “Great Oak Tree.” The 87-site Campground is a great place to relax and enjoy time together while fishing, sharing stories around the campfire, riding bikes, playing at the Splash Pad, walking around “Little Lake Erie,” or enjoying the amenities at the Heritage Inn. Visit www.saudervillage.org to make reservations or learn more about the many packages available at the Inn and Campground this season. 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. The Village is closed on Mondays, except holidays. Admission is $17.00 for adults, $11.00 for students (6-16), and free for members and children 5 and under. Again this year, children 16 and under are free every Sunday this season! For more details about planning a memorable Sauder Village get-away, call 800-590-9755, visit www.sauder village.org, like us on Facebook, or follow us on Twitter and Instagram.❦

Plan a summer “staycation” the whole family will remember

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. That is, they’re 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 for-

gotten 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

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Services, one thing will not change – our deep commitment to faithfully serving people of many different generations.

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 give it a little thought. Of course, work week. But remember, this is there are the major must-see Toledo supposed to be a time for recreation attractions, including the worldand recharging your batteries with class Toledo Zoo, Toledo Museum of Hens baseball, and family—not an excuse to tackle ad- Art, Toledo Mud Ministry support 2021 N. McCord Road | Toledo, OHStation. 43615 | P:But 419.861.4990 Imagination that’s ditional chores. just scratching the surface. To avoid this pitfall, turn If your staycation won’t be off your computer and shut complete without sun and surf, down your home office. Make there are several state parks with sure your outgoing voice and beautiful beaches that might just email messages indicate that fit the bill, such as Maumee Bay State you’re on vacation. Hang a “closed” Park in Oregon, East Harbor State or “gone fishing” sign on your Park in Marblehead, and Sterling office door to help you resist the State Park in Monroe. Several temptation to check on that “one great water parks are located little thing.” If you absolutely within close driving distance, must check emails (or you as well. Of course, Put-in-Bay just can’t bear the thought is just a short ferry ride away of coming back to a thousand for the feel of Key West much messages), schedule a specifcloser to home. ic time, perhaps midway Families with an educational through your staycation, to do so. As far as chores around bent will want to incorporate visits the house are concerned, unless to nearby historical attractions such there’s an emergency, ignore them as Sauder Village in Archbold and Greenfield Village and the Henry until your staycation is over. Ford Museum in Dearborn. Or how Staycation activities about spending a summer morning What can Toledo-area residents do to delving into the much more distant keep a family occupied and entertained past at the Fossil Park in Sylvania? for an entire staycation? Actually, our For a more calming, contemplative region presents a surprising diversity experience, visit Toledo Botanical of recreational options when you Garden, immerse yourself in nature

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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. ❦

Potentially deadly but often preventable

BIRTH DAY

WITH

FUN From custom cakes to special animal meet and greets, birthday parties at the Zoo are wildly fun! Our party package includes food, cake, decorations and entertainment, so you can focus on the fun! To book your party please visit toledozoo.org/birthday

8 June 2017 | Healthy Living News

Kick back in your own back yard

LUNG CANCER

Make your

©Hughstoneiamn|Dreamstime

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 Quar r y 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.

iagnosed in about 225,000 Americans each year, lung cancer is the second most common cancer in men and women (after prostate and breast cancer respectively) and the leading cause of cancer death for both. However, the vast majority of lung cancer cases could be avoided through one preventive measure— avoiding or quitting smoking. According to Abhay Shelke, MD, of The Toledo Clinic Cancer Centers, there are other risk factors for lung cancer. For example, previous radiation treatment for cancers, such as breast cancer or lymphoma, increases risk, as does exposure to certain environmental toxins or carcinogens, such as radon, asbestos, or hydrocarbons. Also, people with lung fibrosis are at elevated risk and some individuals with no environmental risk appear to have a genetic predisposition to the disease. “However,” he emphasizes, “approximately 90 percent of lung cancer cases are caused by smoking, which includes passive, or

second-hand, exposure to tobacco smoke.” Lung cancer tends to be “silent”— causing no obvious symptoms—in the earliest, most treatable stages. Dr. Shelke notes that when symptoms do arise, patients may experience chronic cough, bloody sputum, chest pain, shortness of breath, and changes in the voice, among other signs. “In rare cases, the tumor can compress the superior vena cava—the large vein located in the chest that returns blood from the upper part of the body to the heart—causing swelling of the face and arms. Also in rare instances, patients with lung cancer develop paraneoplastic syndrome, which is caused by a substance produced by the tumor. This syndrome can cause a wide range of symptoms, for example confusion and seizures. Furthermore, if the cancer has already spread to the bones, the patient may experience bone pain and fracture, or if it has spread to the brain, strokelike or seizure-like symptoms may

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occur,” he says. an immune check-point inhibitor, Dr. Shelke further explains that such as nivolumab, pembrolizumthere are two main classifications ab, or atezolizumab, is an option of lung cancer: small-cell, which ac- for patients who are progressed counts for approximately 15 percent on chemotherapy or in some cases of cases, and non-small-cell, which as first-line agents with or without accounts for about 85 percent of chemotherapy. cases. “Small-cell grows very quickly Most importantly, Toledo Clinic and demands urgent treatment with Cancer Centers offers patients imchemotherapy. It’s also more sensitive portant treatment options and access to chemotherapy than non-small-cell to the latest treatments by particiis,” he states. pation in clinical trials. They enroll Treatment for lung cancer varies many patients in TCOP clinical trials significantly depending on the stage that allow patients to gain access to and other factors. In stage 1 or 2, promising new research treatments. surgery is typically the treatment. Also, The Toledo Clinic is the first Stage 3, which means the cancer is in our region to offer prevention of locally advanced with some lymph chemotherapy-induced hair loss by node involvement but hasn’t spread using the FDA-approved DigniCap beyond the lungs, can System as the first be treated with a combiscalp-cooling system nation of chemotherapy to prevent chemotherand radiation. By stage apy-related hair loss in 4, with the cancer being cancer patients. very advanced and having Noteworthy progspread outside the lungs, ress is also being made the goal of treatment is in the area of lung canno longer curative, but cer screening. A study palliative. “In other words, published in the New we’re not looking to cure England Journal of the disease at that point, Medicine showed that but to control symptoms annual screening with and manage the cancer low-dose CT assisted in to help the patient live as diagnosis and reduced Dr. Abhay Shelke long as possible without the risk of dying from compromising quality of lung cancer by 15 to life,” says Dr. Shelke. 20 percent in high-risk individuals Unfortunately, while early stage between the ages of 55 and 74 who lung cancer is curable with surgery, had a smoking history of at least the survival rate for lung cancer 30 pack years (one pack year is the caught in later stages is not optimal. equivalent of having smoked one Dr. Shelke notes that patients in stage pack of cigarettes per day for a year) 4 typically live one to two years de- and who quit within the last 15 years. With respect to lung cancer prepending on the type. Recently, targeted therapy and vention, Dr. Shelke’s best advice is to immunotherapy have shown great avoid smoking—including passive, results and extended the survival in or secondhand, exposure—or to quit patients with advanced stage lung now if you’re currently a smoker. cancer. Moreover, these treatments “There are other risk factors for lung are better tolerated. A small number cancer, but smoking is by far the of patients with non-small-cell lung biggest, and it’s completely within cancer can have common gene mu- our power to avoid it,” he states. ❦ tations (such as EGFR, ALK, or ROS1 genes). For patients with mutation Toledo Clinic Cancer Centers, located in the EGFR gene, anti-EGFR drugs at 4126 N. Holland Sylvania Road, such as erlotinib, gefitinib, or afatinib Suite 105, has 12 board-certified may be used as the first treatment. hematologists/oncologists and 7 nurse For tumors that have the ALK gene practitioners on staff and can provide mutation, crizotinib is the first-line imaging and laboratory diagnostic treatment, whereas ceritinib, alec- services, chemotherapy services, and IV tinib, or brigatinib can be used when services. TCCC also has satellite centers crizotinib stops working or is not in Maumee, Bowling Green, Adrian, well tolerated. A small number of and Monroe for the convenience of the patients with ROS1 gene mutation patient. For more information, please can be treated with crizotinib. call The Toledo Clinic Cancer Centers Additionally, immunotherapy with at 419-479-5605.

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UTMC urologist takes the fight to male fertility and prostate issues

hen couples experience dif- one year of unprotected intercourse. ficulty conceiving a child, a Sindhwani notes that approximately common pattern emerges. More 30 percent of cases involve a problem often than not, it’s the woman who with the man and another 20 percent first seeks a fertility evaluation from of cases involve issues with both the her gynecologist or primary care man and the woman. “In other words, physician. Then, if everything turns men are a factor in approximately 50 out fine at her end, the percent of cases, making man—typically at his men and women equal partner ’s urging and ‘partners in crime’ when often with reluctance— it comes to couples inwill get evaluated. fertility,” he says. But according to Male fertility issues can stem from a UTMC urologist Dr. Puneet Sindhwani, this multitude of factors. reticence on the part of However, one particular men to seek medical problem is the most care for fertility issues is common culprit. “Apcompletely unwarrantproximately 50 percent ed. In the vast majority of men who walk into of cases, male fertility an infertility clinic have problems are highly a very treatable conditreatable. Even in the tion called a varicocele, Dr. Puneet Sindhwani rare cases that the issue which is a varicose vein is not correctable, many in the scrotum around options are still available for conceiv- the testicle that can cause problems ing nonetheless. with sperm production, affecting both Infertility is diagnosed when a the quality and quantity of sperm,” couple is unable to conceive after Sindhwani says.

He further explains that the testicles are located outside the body because to function properly, they must be one to two degrees lower in temperature than the rest of the body. Varicose veins around the testicles cause an increase in temperature, thereby affecting sperm production. Furthermore, a long-standing varicocele can cause a dull ache and shrinkage of the affected testicle and potentially lead to involvement of the other testicle. Examples of other possible causes of male fertility problems are previous vasectomy as well as certain hormonal imbalances. Sindhwani notes, “Over the past decade or so, a growing cause has been the use of hormone supplements for the purpose of increasing testosterone levels, bulking up the muscles, or ‘male enhancement.’ All of these agents are laced with a testosterone-like substance that shuts down sperm production—essentially like giving birth control pills to a woman. Men who have been on these hormones for many years may never recover

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their fertility potential.” Certain environmental agents that function as endocrine disruptors are another major focus among infertility experts. According to Sindhwani, the most common culprits are plasticizers, for example Bisphenol A, or BPA. These agents mimic hormones and attach to receptors in the body, blocking the action of natural hormones. Obesity is another major endocrine disruptor. Excess body weight adversely affects all hormone function and causes testosterone to be converted to estrogen. In men, this leads to more feminine physical traits, such as fat deposition in the chest, as well as impaired sperm production. Sindhwani says that in rare cases, the cause of male fertility issues may be genetic, for example, some men are born with an improperly functioning ductal system that sperm can’t travel through properly. This condition is related to the same gene mutation that causes cystic fibrosis and is common in Caucasians. Other rare causes are chromosomal imbalances, chemical

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or radiation exposure, and a history of an undescended testicle that was brought down at a late stage (and thus kept too warm inside the body). Sometimes the problem is idiopathic, meaning no specific cause can be identified. Treatment for male fertility problems is usually very effective. “In fact, studies show that up to 70 percent of cases have a correctable cause. With respect to varicocele, once fixed, the quality and quantity of sperm increases significantly and the pregnancy rate increases two to three fold. Even if the condition is uncorrectable, we still have many options. Oftentimes we can still retrieve sperm and achieve pregnancy in other ways, such as in vitro fertilization, artificial insemination, or surrogacy,” Sindhwani states. The usual recommendation for young, healthy couples is to seek treatment if they are unable to conceive within a year. However, Sindhwani advises that people with any of the risk factors mentioned above should see a doctor sooner. “Also, females in their late 30s who are trying to conceive but having difficulty should not wait a year. The ovarian reserve drops very quickly after age 35, so it’s important for them to get a workup sooner rather than later,” he says. For men who wish to avoid conceiving a child, Sindhwani offers an innovative approach to vasectomy called No-Needle, No-Scalpel Vasectomy. This technique, which Sindhwani has performed successfully hundreds of times, eliminates the biggest cause of apprehension for men considering vasectomy—the need for an injection in a very sensitive part of the anatomy to deliver a local anesthetic. “With No-Needle, No-Scalpel Vasectomy, the anesthetic is administered using a high-pressure spray device rather than a needle, which reduces the pain to half as much as anticipated. Then the vasectomy is performed using a no-scalpel technique through a tiny puncture. This procedure is tolerated very well with the patient back on his feet in 24 to 48 hours,” says Sindhwani. In addition to his focus on male fertility, Sindhwani specializes in minimally invasive surgical techniques for treating enlarged prostate, symp-

toms of which may include slowing of the urine stream, dribbling after urination, urinary frequency, difficulty initiating a urine stream, and incomplete emptying. All of these symptoms result from the enlarged prostate gland pressing on the urethra. Historically, the approach to treating enlarged prostate involved first trying medications and then, if that failed, moving on to surgery to excise prostate tissue. As surgical techniques evolved, laser was used to vaporize prostate tissue and make the channel for the urethra larger. As Sindhwani explains, “Traditional prostate surgery required general anesthesia, so men in their 70s with multiple health issues were not good candidates for it. As a result, many were catheter-dependent and miserable with symptoms for the rest of their lives. However, we can now treat this problem in appropriate patients with very good results using minimally invasive, office-based procedures.” Among these state-of-the-art procedures is UroLift, which can be done in approximately 10 minutes under local anesthesia and mild sedation with no need for an anesthetic afterward. It is also safe for patients taking blood thinners. “UroLift has been available in Europe for a long time but has been approved in the US for just a few years. This procedure has also gained popularity in some younger patients who can’t tolerate medications or want to come off medications due to undesirable side effects,” says Sindhwani. Other minimally invasive techniques Sindhwani can use to treat enlarged prostate include Evolve, which is an in-office procedure using a diode-based laser that is performed under local anesthesia, as well as Rezum, which involves the injection of steam to shrink the prostate. Sindhwani emphasizes that not all patients with enlarged prostate are candidates for these minimally invasive techniques. Anyone who is experiencing one or more of the symptoms described above is urged to seek a medical evaluation to determine whether treatment is warranted and which type of procedure is most appropriate. ❦

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Never stop improving!

o you think you don’t have time “I have been doing high-intensity to exercise? Or perhaps you have workout for years at regular gyms, been exercising regularly for years but it is more efficient if you have the but can’t see where you have made correct equipment,” he explained. any progress. Well, how about trying “Don’t let the fact that it is high-insomething new? tensity put you off. It is perfect for The hottest trend in exercise is everyone and all ages, including ‘Type the high-intensity, 30-minute, once- A’ personalities and even pregnant a-week (yes, we said once a week) women.” This workout is not only exercise method, often referred to efficient, but also safe because it is as Super Slow Training. Though it totally one-on-one with Wakefield goes contrary to what monitoring and adjusting most of us have heard, your every move. believed, or practiced, it While anyone can fit a is now the most-discussed 30-minute workout into form of exercise, with evtheir schedule, skeptics eryone from celebrities to will ask how it is possiCEO’s and even pregnant ble for this to actually women welcoming the work. There are two main opportunity to free up reasons for the results: their time and still, or Moving slowly keeps even finally, get results. the tension on the workWhat do you have to lose? ing muscle throughout It can be done on your the whole movement. lunch hour, and you don’t Super Slow Training is espe- There is none of that fast even have to change and cially popular among busy momentum that helps women. shower. you work while lifting weights. This is done Super Slow Training seems to be particularly very, very slowly, really popular among women of all kinds— working those muscles. The high from young students to woman in their intensity causes the body to adapt. 90’s. But according to Russ Wakefield, The exercise is a stimulus, and the an experienced personal trainer and body uses seven days to recover, owner of TriggerPoint, “The type producing the desired results. of woman we see most frequently According to Wakefield, any adis one who is very busy with her ditional exercise can prevent the career and family and helps out in body’s building of strength and the community. She does yoga and fat-burning muscle mass. He added knows she needs strength training that lower-intensity activities, such as but believes she doesn’t have the running, stair stepping, and treadmills, time—that is, until one of her friends really don’t burn that many calories tells her about TriggerPoint.” and can cause injuries to the knees A TriggerPoint client named Mary and hips. fits this description perfectly. “I do We had the opportunity to oblow-force, intense exercise at Trig- serve Eric Bueter, a client, during his gerPoint because, as a lawyer, I have workout. Arriving and remaining in limited time but know that I need to street clothes, with fans turned on strengthen my muscles and bones. to keep the room cool, Bueter slowly The workout takes about 20 minutes and efficiently went through his once or twice a week. Even I can make routine under Wakefield’s tutelage time for that. It’s demanding, but they with weights and on the Super Slow supervise you every step of the way. exercise machines before returning to Plus, the amazing technology makes work. Wakefield added that Bueter it easier to focus on the work to be has been working with him for a done. It’s all business. I zip in, they number of years, and during that take me through my paces, and I’m time the weights have been gradually out the door. I can’t recommend it increased under his supervision. ❦ enough!” she said. If there is a good advertisement for Four free trial sessions are offered. For an this workout, it is Wakefield himself, appointment, call Russ Wakefield at 419who has been an advocate of high-in- 536-0408. TriggerPoint, located at 2449 tensity workouts for over 25 years. N. Reynolds Rd., is also on Facebook. We love feedback. Like us on Facebook. Follow us on Twitter.

nobody’s perfect

tions, sometimes the best part of a doctor is his or her ability to listen to our concerns, problems, and symptoms, beyond what is written on our medical charts. During an office visit, do we want a doctor who shares “face time”—one who looks us in the eye—or one who just charts medical notes into an iPad? Mary found a new doctor after her research, and she and John made an appointment to see the new doctor, their first choice. They met him at their initial visit and asked questions to see whether they could work together with their health, to get a sense of whether they both shared the same health philosophy, and they shared specific medical issues and asked how he believed in treating their health issues. They asked about the process of sending their records to him, which forms they needed to fill out, etc., and all questions about transferring their years’ of health records. Their conversation continued. The doctor asked if they had their shots: pneumonia, flu, and shingles. They had, and the doctor approved. Mary asked about office visits—if she or John had a cold, could they come to the office? The doctor ap-

Sister Karen Zielinski, OSF

How do you find a new doctor? “A doctor who cannot take a good history and a patient who cannot give one are in danger of giving and receiving bad treatment.” —Author unknown

ary was on a mission: She and her husband needed a new doctor. They needed to find a new doctor since their doctor of 20 years retired. Other doctors in the office where he practiced were not taking on new patients. So Mary, pretty savvy on the computer, spent three intense eight-hour days searching for a new doctor. She read where physicians went to school, their medical specialties, and patient reviews. Besides 10.25x5_ES_SkilledRehFac_Ad_HL_417_HI.pdf intense searching, she asked friends

and spoke with her daughter, a nurse. Finding a doctor is a critical part of your life. It is not like buying a new vacuum or painting a room in your house. It is making a health choice that will affect your life for many years ahead, shaping your future quality of life and longevity. Although doctors may have many prestigious credentials and certifica-

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proved that they come to see him and mentioned that, in his practice, he intentionally schedules extra time just for that purpose. If a patient gets a cold or the flu, he wants them to be able to stop by so he can assess and keep their health history in his mind. That way, he can better track and understand their overall health. Their new doctor told them he is an internist and explained that, “An internist checks all things in your body, trying to prevent medical problems that might happen. A family doctor helps you when something happens but does not go into the extensive bloodwork an internist does.” He explained that an internist wants to focus on wellness and prevention, not just fix problems. Finding a new doctor can be a challenge. We might look for doctors by their location, specialty, our condition, and which insurance they accept. It takes a lot of preparation to find someone you might be with for decades. Sometimes, meeting a physician can tell a patient that the doctor is a “good fit” or he or she is not. All people have different personality types, doctors included, and it might just be that you and your doctor do not fit each other. You have

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the choice of looking for someone new, someone you feel comfortable with, who fits you. Mary and John like their new doctor, but finding a new doctor can have other challenges. Your insurance limits who you can see, but you want a doctor who is close enough to your place of work or your home and you want to be treated, if necessary, at a hospital that you choose. Health insurance is often the primary factor in choosing a new doctor. People not only have the stress of staying healthy when diagnosed with illness, but they might also have to go through their health challenges with a doctor with whom they do not particularly feel comfortable. Research shows that patients who take an active role in their health decisions will live healthier lives and be more satisfied with their healthcare

and results. Do your homework, if you can, and ask friends or family whom you trust about a doctor. We find dentists, piano teachers for our kids, and various services by word of mouth. Finding a doctor to take care of our health is a critical part of our life. It is more important than finding a new car. So do your homework. It can be just what the doctor would order. ❦ 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.

“My hearing is normal, but I can’t always hear.” by Shelly Horvat, AuD, CCC-A

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he term “central auditory processing” refers to the way our brains process sound that is picked up by our ears. Once sound reaches the ear, the auditory system in the brain processes the complex ongoing sound signal. The auditory system must locate which direction or where sounds are coming from; discriminate between different sounds and words; distinguish speech, music, or other pertinent sounds in the environment, and separate important sound from unimportant sound; and assign meaning to these sounds. Then the brain must decide how to react to that sound, all in a split second. The degree to which one can process sound varies from person to person and, in general, decreases due to normal aging of the auditory (hearing) system as well as from any kind of damage to the hearing system, such as loud noise exposure.

People who have central auditory processing disorders (CAPD) often complain of difficulty in some or all of the following situations: • Following multi-step directions to complete tasks on the job • Understanding speech in noisy or reverberant environments or with rapid talkers • Recalling information that was presented verbally, especially in noisy locations • Understanding speech when visual cues are not available, such as over the phone • Discriminating subtle sound differences between two words (e.g. meditation and medication) • Following spoken directions or understanding verbally presented information • “Mishearing” substitutions of similar-sounding phonemes

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(e.g., “time” for “dime”). Many of the above-mentioned symptoms also occur when hearing loss from the inner ear or middle ear is present (sensorineural or conductive hearing loss); therefore, proper diagnosis is important. Auditory difficulties that are disproportionate to the degree of hearing loss exhibited are often a symptom of an auditory processing disorder. Another disorder sharing similarities with CAPD is auditory neuropathy. Auditory neuropathy originates from different sites within the auditory or hearing system and, therefore, cannot be treated the same way and will not be covered in this article. This article will briefly describe diagnosis and treatment options for CAPD in adults (although it is also present in children).

Causes of CAPD There are multiple causes of CAPD, and often a specific cause is not found, although the symptoms are present. Head injury, neurologic disease such as stroke or rare tumors (acoustic neuroma or meningioma), attention deficit disorder (ADD), loud noise exposure, and chemical exposure to solvents or certain medications that

DAY TRIPS

are toxic to the hearing system are all potential causes of CAPD. Lastly, there is increasing evidence that some cases of CAPD are a result of the normal aging process—a condition that is sometimes called “central presbycusis” or “central effects of biological aging.”

Testing for CAPD Because CAPD may have various or multiple causes, testing and treatment of the disorder requires a team approach involving audiologists, otolarynogologists (ear, nose and throat doctors), neurologists, speech-language pathologists, and psychologists/psychiatrists. There is no one specific test to diagnose CAPD, but rather there is a series of tests designed to rule in or rule out multiple conditions or causes. The recommended as-

sessments include a case history, a complete audiological evaluation to rule out other disorders such as sensorineural or conductive hearing loss, and a variety of tests that use both verbal and nonverbal stimuli to examine different levels of auditory processing and the central auditory nervous system. Further testing may be completed or ordered by the otolarynogologists, neurologists, speech-language pathologists, and/ or psychologists/psychiatrists. A speech-language pathologist participates in the evaluation process by identifying which level(s) of auditory processing is affected and how (e.g. sound/word discrimination, number/word/sentence memory, auditory comprehension/reasoning, etc.). Otolaryngologists and neurologists diagnose any medical causes for the CAPD symptoms, such as rare tumors of the hearing nerve, multiple sclerosis, stroke, or other brain injuries. In the case of people with suspected ADD, referral to a psychologist and psychiatrist would be made so that the ADD could also be treated behaviorally and/or medically. Since the causes of CAPD are complex and there is no one treatment that

works best for each person with the condition, a team approach is crucial for proper diagnosis and treatment of the disorder. The team can determine which tests and treatment methods are best for a particular patient.

Treatment of CAPD Individualized management and treatment of CAPD has three basic components: environmental modifications, compensatory strategies, and direct remediation treatment. Environmental modifications are designed to improve access to auditory or sound input. Some adults with CAPD will benefit from the same types of modifications used for those with hearing loss, such as using assistive listening devices or hearing aids to highlight speech sounds and reduce competing background noise. However, hearing aids and assistive

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listening devices are not appropriate for everyone with CAPD, as some forms of CAPD do not affect signal clarity and thus require different environmental interventions. Other environmental modifications that may be appropriate include ensuring that seating is optimal in any conversational situation, and analysis (and modification, if necessary) of the acoustic characteristics of the listening environment when possible, such as moving away from background noise and closing doors to noisy areas. Compensatory strategies are those that help strengthen memory, attention, and language that individuals with CAPD may draw upon to assist in overcoming auditory deficits. Examples include requesting information in writing or recording it for playback at a later time, enlisting the help of a note taker for important situations, frequently checking for understanding of oral instructions, making good use of visual cues, and choosing listener-friendly places to sit in a room. Direct remediation treatment of CAPD focuses on directed, deficit-specific treatments, such as auditory training therapy provided by a speech-language pathologist designed to eliminate or reduce the impairment, and behavioral or medication therapy in the case of CAPD accompanied by ADD. The speech-language pathologist (SLP) may work with the patient to teach them strategies, such as those that improve their auditory memory (e.g. sub-vocalization, visualization, chunking, etc.). An SLP may also

work with the patient and his/her family or workplace to modify the environment in order to better support the client. Such support includes counseling everyone about auditory processing disorders, providing information in visual as well as auditory formats, and minimizing competing environmental noises, to name a few. The SLP may also prescribe and direct computer-based and other auditory training activities that can be implemented in the home setting. Likewise, if ADD with or without hyperactivity (ADD, ADHD) has been diagnosed along with the CAPD, the psychologist and psychiatrist may be involved to diagnose and behaviorally and/or medically treat the ADD or ADHD. CAPD is a complicated and often untreated disorder for adults. CAPD can interfere with success at work, satisfaction in social situations, and many other aspects of life. Proper diagnosis, treatment, and understanding of CAPD allows adults to problem-solve their particular workand social-related communication difficulties, and with the assistance of the right professionals, they can come up with reasonable solutions. Family members should be included in the process, and, in some instances, coworkers or employers may be enlisted to help with communication strategies or treatment solutions. If you feel that you or a family member has a central auditory processing disorder or any other type of hearing problem, make the first step and call Northwest Ohio Hearing Clinic to schedule a complete hearing evaluation. We have two locations,

Toledo (419-383-4012) and Perrysburg (419-873-4327), to serve you. ❦ Shelly Horvat, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio

Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

More ways to get up, get out, and get moving by Jim Berger

ast month, I wrote about get up, get out, and get moving, and I want to stay on that theme a little more this month, as the warmer weather gives us plenty of opportunity to get moving. Examples include:

Take a hike! With June being Great Outdoors Month, there’s no time like the present to take a hike—literally! Whether your hike leads you through the neighborhood, your favorite local metropark, or even a state or national park, it will help tone up your cardiovascular system, reduce your stress level, boost your mood, and simply help you reconnect with nature. Many people make the erroneous assumption that exercise won’t do any good unless they commit to several agonizing hours a day. But according to the American Heart Association (AHA), just 30 to 60 minutes of walking three to four times a week is ample. Walking is a great way to

burn those calories. In fact, the AHA also notes that a person weighing 150 pounds and walking a comfortable speed of two miles per hour will burn 240 calories in one hour! Walking also stimulates the release of endorphins, the body’s natural pain killers and mood lifters, while dissipating adrenaline, the “fightor-flight” hormone that can cause nervousness and anxiety if it is not released from the body. So take a hike and watch your sense of well-being soar and your stress level plummet. In our area, we are blessed to have wonderful metroparks that don’t charge an admission fee. We have a wonderful zoo that we can walk at. And we are very close to the lake and waterfront, which also affords us places to walk. Take advantage of what is in our Toledo back yard.

Take a breath! You might be surprised to learn that

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the simple act of taking a breath of fresh air is one of the best ways to reduce stress. But how you take that breath can make a big difference. The shallow breathing that so many of us do without even realizing it can prevent us from oxygenating our blood efficiently and causes toxins to build up in the cells, leading to that sluggish, rundown feeling we all know so well. If you’re feeling stressed-out on the job, at school, or wherever, try the following yogic breathing technique: While sitting with your back straight, exhale audibly (making a whooshing sound) and completely through your mouth. Next, close your mouth and inhale quietly through your nose while counting up to four in your head. Then, hold your breath for a count of seven and exhale audibly through your mouth to a count of eight. If you just tried it, I’ll bet you’re already feeling more relaxed. The best part is, you can practice this breathing technique virtually anywhere!

Be sun savvy! As you hike or enjoy other activities in the Great Outdoors, don’t forget

that excessive sun exposure can take its toll on your skin. UV exposure encourages the development of wrinkles and dark spots on the skin—socalled photoaging. Also, 90% of all skin cancers are linked to the sun’s harmful ultraviolet (UV) radiation—and it’s estimated that over one million Americans will get skin cancer this year alone. How can you protect yourself? Observe the following sun-safety tips: • Wear a broad-spectrum (rated to block UVA and UVB rays) sunscreen with an SPF of at least 30 whenever you spend time outdoors. Be sure to apply the sunscreen according to the manufacturer’s instructions and reapply it often. • Cover as much of your body as possible with loose-fitting, tight-woven clothes and wear a wide-brimmed hat when spending time in the sun. • Stay indoors or in the shade between 10:00 a.m. and 4:00 p.m. when the sun’s rays are the strongest. • Keep in mind that certain surfaces, such as water, snow,

and sand, reflect UV rays, increasing the exposure to your skin. • Factor in the UV index (a forecast of the amount of UV radiation that is expected to reach the earth’s surface) when planning outdoor activities. • Remember that there’s no such thing as a “healthy” tan and that tanning beds are not a safe alternative. • Protect your eyes with sunglasses that block 99 to 100% of UVA and UVB rays. Now, as an added bonus, what about a nice, simple summer meal:

Penne pasta with asparagus and cherry tomatoes Prep time: 5 minutes Cook time: 10 minutes Level: easy Makes 4 to 6 servings

Ingredients: 8 ounces penne pasta 3 Tbs. olive oil 2 garlic cloves, minced 1-1/2 pounds thin asparagus, trimmed and cut into 1-inch pieces

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Salt and freshly ground black pepper 2 cups (about 9 ounces) cherry tomatoes 1 cup shelled fresh peas 1/2 cup low-sodium chicken stock 1 cup grated Parmesan cheese 2 Tbs. chopped fresh basil leaves Bring a large pot of salted water to a boil over high heat. Add the pasta and cook until tender but still firm to the bite, stirring occasionally, about 8 to 10 minutes. Drain the pasta, reserving about 1/2 cup of the pasta water. In a large saute pan, heat the oil over medium-high heat. Add the garlic and cook until fragrant, about 1 minute. Add the asparagus, season with the salt and pepper, and cook for 3 minutes until slightly soft. Add the cherry tomatoes and peas. Cook for 2 minutes. Pour the chicken stock into the pan and bring the mixture to a simmer. Cook until the tomatoes start to burst and the stock is reduced by half, about 3 minutes. Transfer the asparagus mixture to a large serving bowl. Add the cooked pasta and 1/2 of the Parmesan. Toss well, adding reserved pasta water, if needed, to loosen the pasta. Garnish with the remaining Parmesan and chopped basil. Healthy eating! ❦ Heartland Rehabilitation, your local outpatient physical and occupational

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therapy provider, can assist you in this area. Whether it is in the development of a healthy exercise program or if you are recovering from an injury, we can help you. Heartland has five locations in the greater Toledo and Bedford,

Michigan areas with experienced and knowledgeable therapists. For more information, contact Jim Berger at 419787-6741 or jberger@hcr-manorcare. com.

Luxe Laser offers wide range of advanced cosmetic injectables

hey say first impressions are lasting impressions—and few things have a greater influence on that first impression than the face we present to the world. Of course, it’s hard to put your best face forward if lines, wrinkles, hollowness, sagging skin, excessive fullness, or other subtle defects make you appear older, more tired, more angry or sullen, or simply less attractive than you actually feel. The good news is, the team at Luxe Laser Vein & Body Center can help correct or significantly improve a wide range of these minor facial defects and asymmetries without surgery, using state-of-the-art cos-

metic injectable treatments. Dr. Wade Banker of Luxe Laser has many injectable options at his disposal, including several wellknown brand-name products made by the industry-leading company Allergan. There are also generic alternatives to these products, as well as lesser-known name brands, that Dr. Banker can discuss with clients who wish to learn more about them. Among Luxe Laser’s wide range of injectable options are:

Botox Easily the most recognizable name in cosmetic injectables, Botox works

by relaxing muscles. “So, if you have lines that are caused by muscle contracture—for example frown lines between the eyes or the so-called boater’s lines that develop at the corners of the eyes from squinting—we can inject Botox to prevent them,” says Dr. Banker. “The cost of Botox is just $10 per unit, and some issues, such as boater’s lines, can be treated successfully with only a few units.” Also, Luxe Laser is now offering Botox parties to area groups and salons. These fun, social events can be held in the facility’s new state-of-the-art gathering space or covered outdoor patio. Luxe provides everything, including setup and cleanup. The only cost to the group is for the Botox.

Juvederm The world’s second most popular injectable is Juvederm, which now refers to a family of fillers. The newer members of this family all have names beginning with “V,” indicating that they’re made using advanced Vycross technology. Traditional Juvederm XC and Juvederm XC Plus are typically used to fill thicker lines or depressions in the skin that are not caused by muscle movement—in other words,

they are present with a resting face. “Traditional Juvederm is also popular for augmenting features, most commonly to plump the lips, and it lasts for nine months to a year,” says Dr. Banker.

Volbella A new member of the Juvederm family of fillers, Volbella is thinner and easier to inject than traditional Juvederm, making it a better option for treating fine lines, for example around the lips. “Plus we’ve noted that patients like using Volbella to plump their lips, the same as with Juvederm,” Dr Banker adds. Volbella also contains the numbing agent lidocaine, making the injection more comfortable for the patient. The cost starts at $400, and Volbella is indicated to last for 12 months or longer.

Vollure Vollure, which just went on sale in the US a few weeks ago, is a new Vycross version of Juvederm and the first (and only) filler approved for up to 18 months of correction for moderate to severe wrinkles and folds. As Dr. VEIN & BODY CENTER Banker explains, “Allergan expects to eventually replace traditional Ju-

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vederm with Vycross products, and Vollure is its direct and longest-lasting replacement. It also contains some lidocaine and is slightly thinner, like Volbella, making treatments more comfortable for the patient.”

Voluma On sale for more than a year in the US and the first Vycross product on the market, Voluma is used at Luxe Laser exclusively to create bone structure in the upper cheeks. Because there is minimal movement and muscle contracture in the treatment area, this product lasts up to two full years.

Kybella The first and only fat-melting injectable on the US market, Kybella is most commonly administered via a series of injections to treat double or overly full chins resulting from genetics,

the aging process, or weight gain/ loss. After this non-invasive fat-removal treatment, the body naturally cycles out the dead fat cells, and the result is a significantly improved profile.

Intrigued by injectables? HLN readers who would like more information on any Allergan injectables, or wish to discuss generic alternatives or lesser-known name brands, are encouraged to call Luxe Laser Vein & Body Center at 419-893-2775. Additional information on injectables and a wide variety of other products and services is available on their website at luxe-laser.com. “We’re also happy to host small groups who are interested in learning more about injectables. Just give us a call, and we’ll schedule a special lunch-and-learn or evening event for your group,” Dr. Banker says. ❦

New pulmonary program helps patients breathe easier at The Manor at Perrysburg

ew medical symptoms are as distressing as the inability to breathe freely and fully. Unfortunately, for people with chronic health conditions that cause respiratory problems, such as COPD, emphysema, congestive heart failure, or asthma, difficulty breathing can be an everyday reality. Recognizing the high degree to which breathing difficulties can impact patient comfort and quality of life, The Manor at Perrysburg, a member of the HCF Management family of companies, recently launched a stateof-the-art pulmonary program that will help patients with respiratory ailments breathe a lot easier. “We can treat anyone with a pulmonary issue, whether restrictive or obstructive, ranging from patients who use CPAP or BiPAP to those requiring full ventilator or tracheostomy care,” says Lori King, RT, RCP, Director of Respiratory Services for The Manor at Perrysburg. “We’re also poised to nip small respiratory problems in the bud before they become bigger problems. For example, if a bug is going around and one of our resi-

dents develops bronchitis or a bad cough, we can take steps to prevent it from advancing to something more serious, such as pneumonia.” King knows firsthand what pulmonary patients experience. Diagnosed with asthma as a child, she is well acquainted with the alarming sensation of being unable to catch one’s breath. To describe what it feels like, she suggests that people try breathing in and out through a coffee stirring stick for a few minutes. “That’s what it’s like to have an asthma attack or other form of respiratory distress. It’s a very panicky feeling,” she says. The new pulmonary program is directed by pulmonologist Dr. James Tita, who heads a multidisciplinary team of dedicated professionals consisting of a respiratory therapist; physical, occupational, and speech therapists; nurses; social services; and dietary services—all of whom are focused on getting the patient back to the highest possible level of pulmonary function. As King explains, the team can teach patients different breathing

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techniques, for example diaphragmatic breathing, as well as ways to keep the airways open and exercises that will strengthen both inspiratory and expiratory function in order to increase the volume of air moving in and out of the lungs. Of course, the most important member of this multidisciplinary team is actually the patient. “Any pulmonary problem is manageable if the individual is willing to work at it, so patient compliance with treatment is essential to a positive outcome,” King says. In addition to a multidisciplinary team of professionals, the pulmonary program boasts the most advanced respiratory equipment. For example, the ventilator used is the state-ofthe-art Trilogy unit manufactured by Phillips/Respironics, which is very small, lightweight, and quiet in operation. This last characteristic ensures patients can get restful sleep without the disruptive noise produced by traditional ventilators. The Trilogy unit is also highly versatile, transitioning from CPAP (Continuous Positive Airway Pressure) to BiPAP

(Bi-level Positive Airway Pressure) to full ventilation. The new pulmonary program at The Manor at Perrysburg couldn’t have been introduced at a better time. Many members of the baby boomer generation were smokers and now have chronic pulmonary diseases, such as COPD, emphysema, or congestive heart failure, so the demand for pulmonary services in various healthcare environments is considerable and will only increase as this population ages. Summing up the primary goal of the new pulmonary program, King states, “Here at The Manor at Perrysburg, the patients are always number one, and our objective with this new program is to make every breath they take easier. The treatment for every pulmonary patient is set up individually based on their unique needs, and we do everything we can to ensure they have the best possible quality of life.” ❦ For more information about the new pulmonary program at The Manor at Perrysburg, please call 419-874-0306.

by Douglas A. Schwan, DC, Dip ac

Plan your weight loss for summer

ith summer almost upon us, now is the time to start thinking about ways to burn off the extra pounds you put on over the winter. Weight loss, in theory, is quite simple: One must either consume fewer calories or burn more. But changing ingrained habits is not easy. That’s why those who want to lose weight must adopt some of the habits of highly successful people. It is best to start with a realistic short-term target goal of, say, losing 10 pounds. Once that goal is accomplished, additional, more ambitious goals can be set. Once you know where you’re going, you need to plan the route to get there. To flesh out the plan, write down the actions you are going to take daily, weekly, and monthly to accomplish your goal. Usually referred to as “action steps”

by life coaches, these are the things you need to start doing on a regular basis to execute your plan. For weight loss, I recommend the following action steps:

1. Forego all carbonated beverages That’s right, completely stop consuming all pop immediately. Why is this step important? Consider that one can of dark soda is almost 12% pure white sugar by volume. That’s 40.5 grams of pure poison! Switching to the diet version means you are getting a heavy dose of the artificial chemicals aspartame and neotame, which recent research has shown are potentially linked to early onset dementia. Also, when you drink a carbonated beverage, the carbonation expands in your stomach but the fluid quickly

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drains out. Impulses travel to the brain and trigger the hunger reflex. It is no coincidence that fast food joints, convenience marts, and movie theaters let you “supersize” your drink for just a few cents more. Research has shown that the more pop they can get in you, the more likely you are to buy the bigger burger, the larger popcorn, or the $10 hotdog!

Patients think they are okay just getting salads from fast-food joints. But these salads have to be chemically treated so the lettuce doesn’t wilt or go bad as it ships around the world. So even with salads, you are still getting a heavy dose of chemical additives. Another consideration is that if all your daily meals come from fast food places, you’re missing a lot of essential nutrients. As seen in the 2004 documentary Super Size Me, Morgan Spurlock ate junk food every day for a month. The results were shocking. Among his problems were weight gain, sexual dysfunction, and mood swings.

2. Avoid all fast food There is something uniquely horrific about fast food. Not only is most of it lacking in basic nutrition, but the chemicals required to keep the food fresh-looking as it ships across the world from central distribution plants reads like a chemist’s brew. Some research suggests that these preservatives, flavor enhancers, colorings, and other additives are addictive. A heart physician has a fast-food meal under glass in her waiting room, which she bought back in the seventies. The bun, burger, and fries are all recognizable 30 years later! Just try that with a fresh-ground patty from the UTMC 1247_2 COMMUNITY_HLN_HalfPg.pdf supermarket!

3. Don’t add salt

This is a difficult step. Salt makes everything taste better, and the huge amount of salt in fast food is one of the reasons it tastes so good. Many people reflexively reach for the salt shaker before even tasting their food! Salt is sodium chloride. The sodium part is a constituent of many 3/10/17 4:03 PM food additives, so it’s

easy to consume a lot without realizing it. Salt consumed in large amounts can be very unhealthy, leading to higher blood pressure and increasing the risk of heart disease over time. High sodium levels can also interfere with insulin activity, forcing the pancreas to produce more. But the biggest problem with salt is that it drives hunger. The saltier the food, the more of it you eat. To get around this problem, you can substitute other seasonings. Increasing the amount of pepper you add can offset the loss of salt. Likewise, you can consider using a salt substitute like Mrs. Dash or an equivalent.

doing it daily. Other tips include parking further out in parking lots and then walking to the building. Doing this just a few times gets your daily walk in. If you are into biking but out of shape, try one ride to see how you do. Then, after a few days, extend the ride further. The goal is to build up stamina while avoiding overexertion. You now have a basic goal and plan along with a few actions steps to get things started. It really doesn’t take all that much to become consistent with an easy program that will make you thinner, healthier, and more energetic! ❦

4. Add a simple activity

Dr. Schwan is available to speak to your group on a wide variety of alternative medicine topics, such as chiropractic, acupuncture, herbal medicine, nutrition, vitamins, etc. He is a graduate of the International Academy of Medical Acupuncture & Palmer College of Chiropractic and president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time stand-up comedian. For more information on alternative medicine, please visit his website at www. acupuncturetoledo.com. ❦

When deciding to lose weight, many people splurge on an expensive gym membership, but their enthusiasm soon wanes. A better approach is to start with an achievable action step and build from there. If you like to walk, set a goal of walking around your block once every day. Do it at the same time each day, and make it a habit. If you miss a day, make it up. If you are already walking, double your distance or just make sure you are

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Team Thunder: Hope and healing on tiny hooves

“O

h, my goodness, there’s a horse in my bedroom!” That’s a sentence no one ever expects to hear—let alone utter— but one that’s quite familiar to the volunteers of Team Thunder. This group of mini therapy horses and their human handlers from Serenity Farm Equestrian Center in Luckey, Ohio brings unique therapeutic, educational, and inspirational experiences to people in skilled-nursing homes, assisted-living facilities, rehab centers, hospices, memory-care units, special education classrooms, libraries, and various other facilities across Northwest Ohio. Team Thunder consists of three mini horses—Thunder (the oldest at age 10), Sunny (age 6), and Lightning (age 4)—as well as approximately 17 volunteers. According to Debra DeHoff, Founder/Executive Director of Serenity Farm, all three minis and their human handlers are highly trained for the vital work they do, which often involves bedside and wheelchair visits. The horses are even trained to ride in elevators, much to the amusement of other passengers.

Team Thunder coordinator and retired teacher Kathleen Warrington, who has been a Serenity Farm volunteer since 2005, says that the mini horses really seem to bring out something in older people. “The minis allow them to drift back to another, simpler time when they were on the farm and possibly had horses of their own. After meeting and interacting with the minis, a lot of them will tell us, ‘You just made my day,’” she says. Warrington notes that people with Alzheimer ’s or other forms of dementia commonly don’t

express themselves verbally but through facial expressions and other body language. “Sometimes they’ll hold up a hand at first

to signal they don’t want to interact with the horses—and we always respect that—but ten minutes later they’re wheeling up and want to touch them. I think seeing others interact with them first gives them the confidence to try it themselves,” she states. Team Thunder volunteer Laurie Foster has a very similar take, adding, “Not everyone wants to touch them at first. Some hold off and have to warm up to it, but most are very receptive. To me, it’s just uplifting to see the impact these little horses have on people, especially those who are bedbound. Interacting with the minis allows them to reminisce and takes them back to a better place and time.” Of course, it’s not just seniors who make strong connections with Thunder, Sunny, and Lightning. Just recently, Team Thunder went to Fairfield Elementary in Maumee to interact with the autistic children

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in Brooke Landis’s special education class. “One boy didn’t come out with the others right away because he gets overly excited if there’s too much stimulation, so they used a graduated process to bring him out to the pen. While he was standing there, Sunny approached him and the boy petted him once. Then the boy was taken back to the classroom so he wouldn’t get overstimulated. After the boy left, Sunny kept looking through the classroom window, and we noticed that the boy was just on the other side of the glass looking back,” Warrington recalls. Serenity Farm and Team Thunder have also made quite an impact on the children in Kami Blakeman’s autism program at Central Trail Elementary in Sylvania. She states, “Serenity Farm has truly been a blessing to my students who have autism. Visiting the farm gives our students the opportunity to learn outside of the four walls of a traditional classroom, and learning at Serenity Farm incorporates all the senses. Being at the farm gives the students an opportunity to have experiences they might not otherwise have during their childhood or lifetime. The staff at the farm goes above and beyond, by incorporating some of the aspects and classroom structure from my physical classroom and bringing that familiarity to the farm in order to help our students acclimate to the “new” classroom—that is, the farm. The staff are calm, patient, and kind and work hard to ensure that all our goals are met while at the farm—communication, gross motor, fine motor, regulation of behaviors, safety, manners, responsibility, and, of course, academics. I could not be happier with the experiences my students and I have had at Serenity Farm!” For their part, Thunder, Sunny, and Lightning are consummate pros. Like most horses, they can be playful and rambunctious when they’re off the job, but as soon as they arrive at a facility to begin work, they’re all business. “You can actually see

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their demeanor change,” says Foster. “It’s almost like they were born to do this type of work.” The minis vary in temperament and their comfort level at different types of facilities, so they’re not necessarily all a good fit for every type of facility. “For instance, Lightning loves working at hospice but at one location she tends to get uncomfortable and just can’t seem to focus. So we use the other two at that location. Plus, all of our volunteers are highly trained specifically

to the minis and safety is always the primary concern whether we’re working with seniors or in the classroom,” says Warrington. Looking to the future, DeHoff hopes to see the role of Team Thunder continue to expand. “We started Team Thunder because the staff at Toledo Children’s Hospital asked if we offered any programs involving miniature horses, so we

would love it if the area children’s hospitals and facilities like Ronald McDonald House would open their doors to us. We’d also like to expand our services to include occupational therapy. Of course, we continually strive to make the program better and even more responsive to clients’ needs,” she says. To book Team Thunder (available seasonally from approximately April to November), please call 419-833-1308. Also, to keep Team Thunder working—as

well as to support Serenity Farm’s other programs and initiatives, including therapeutic riding, physical therapy, and equine-assisted learning—be sure to get your tickets for Benefit for the Barn to be held on Saturday, July 22, at 6:00 p.m. at VFW Post #9963, 109 N. Main Street, Walbridge, Ohio. The evening’s entertainment will include dinner, dessert, and drinks; live and silent auction items; 50/50 raffle; Gift Card Jackpot; and much more. Tickets are on sale now for $25.00 and can be purchased by phone at 419-833-1308 or online at www.serenityfarm.org. ❦

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Certified Chiropractic Sports Physician joins Frame Chiropractic and Acupuncture

Lutheran Homes Society is now Genacross Lutheran Services For more than 150 years, Lutheran Homes Society has been ready to help when life presents challenges and opportunities. To better reflect the diverse populations we now serve, we’re changing our name to Genacross Lutheran Services. Through our youth services, affordable housing, home health, community services, and senior living options, we will adapt to meet the needs of people in and around northwest Ohio. Moving forward as Genacross Lutheran Services, one thing will not change – our deep commitment to faithfully serving people of many different generations.

Ministry support 2021 N. McCord Road | Toledo, OH 43615 P: 419.861.4990 | GenacrossLutheranServices.org

24 June 2017 | Healthy Living News

pring is in full swing, and area really get in there to work the musgardeners, golfers, and fair-weather cles, starting out gently and working “warriors” of all sorts are taking ad- my way through the problem,” he vantage of the milder temperatures, says. “Sometimes instruments are pursuing their favorite outdoor activ- needed, but I’ve found that patients ities with a passion. Unfortunately, tend to be more comfortable and less after a long, sedentary winter spent intimidated when you’re working indoors, many of these individuals only with your hands.” As a Certified will overdo it and end Chiropractic Sports Phyup sidelined with serious sician, Dr. Syrek is poised pains and strains. to treat a wide range of If you find yourself issues in athletes—but he in this scenario, help is emphasizes that the same nearby at Frame Chiroprinciples are applicable practic and Acupuncto non-athletes as well. ture, the practice of Dr. Looking forward to Mickey Frame, offering a bringing a new energy wide range of advanced and his unique treatment therapies, including approach to Frame Chirochiropractic care, acupractic and Acupuncture, puncture, sports therapy, Dr. Syrek notes that with physical rehabilitation, their combined expertise, he and Dr. Frame pregnancy and pediatcan treat almost any ric chiropractic, as well Dr. Matthew Syrek as manipulation under patient—including, of anesthesia. course, those who overAnd now, Frame Chiropractic did it this spring and now have the and Acupuncture has expanded to back pain or other overuse injury include Certified Chiropractic Sports to show for it. “If you come to us, Physician Dr. Matthew Syrek, whose we’ll diagnose the problem, treat you innovative techniques and unique using the most effective techniques, treatment approach will complement and get you out of pain and on your Dr. Frame’s extensive skill set and way,” he says. services. Dr. Syrek’s move from Cincinnati For the past 13 years, Dr. Syrek to the Toledo area to join Frame practiced in Cincinnati in a multi- Chiropractic and Acupuncture is disciplinary orthopedic clinic, which actually a homecoming. He grew up allowed him to learn how other in Maumee and attended Saint John’s medical specialties treat the same Jesuit High School. After graduating injuries. This knowledge and ex- from St. John’s in 1995, he earned his perience allows him to accurately bachelor’s degree at Miami Univerdiagnose and determine the most sity and then attended chiropractic effective treatment available. school in Chicago. “Now I’m really Among the different treatment happy to be back in Toledo, and I techniques Dr. Syrek brings to Frame look forward to being part of the Chiropractic and Acupuncture is community and helping as many flexion distraction. “This technique people get out of pain as I can,” he involves the use of a specialized table states. ❦ to gently stretch, or distract, the spine. It’s very helpful in treating patients with disc problems in the lower back and those who can’t tolerate normal adjustment. For example, it’s a good alternative for patients with herniated discs in the lower back or for older patients who are osteoporotic or osteopenic,” he explains. Dr. Syrek adds that his approach Dr. Syrek explains that flexion distraction to treatment is very hands-on, relying is helpful in treating patients with disc very little on the use of instruments. problems in the lower back and those who “I do a lot of manual work where I can’t tolerate normal adjustment. We love feedback. Like us on Facebook. Follow us on Twitter.

Welcome Dr. Matt Syrek to the practice

Dr. Mickey Frame ... serving patients for over 25 years

Serving Toledo with Top Chiropractic Care Since 1988 ChiropraCtiC Care We provide skillful adjustments to the spine’s vertebrae to improve spinal health and allow you to function at your highest level and perform at your peak.

aCupunCture Stimulate specific points in the body to relieve pain, reduce stress and improve overall well being. It can be effective in treating illnesses, injuries, chronic pain, addictions, anxiety, insomnia and more.

Go where the Pros go! Official Chiropractor for the Marathon Classic LPGA, the Toledo Walleye Hockey Team, and the Toledo Villa FC Soccer Teams.

Spinal DeCompreSSion Spinal Decompression is an innovative, non-invasive therapy with proven success to help chronic and acute neck and back pain along with disc conditions.

phyiSotherapy Physical Rehabiliation therapies including electrical muscle stimulation, ultrasound therapy and custom exercise programs. It can help to alleviate pain by improving your muscle strength and flexibility. Call to schedule an appointment today.

419.475.9355 3829 Woodley Road, Bldg. A, Toledo Hours: Available Monday-Saturday

www.GetWellToledo.com Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | June 2017

Wise words from

OTTERBEIN Dear senior living industry, are you ready for us? by Kathleen Geers

he approximately 76 million Baby Boomers have collectively had a huge impact on all American industries and consumerism, and the senior living industry is no different. The Boomer class is defined as anyone born between the years of 1946 and 1964, and an estimated 10,000 boomers are turning 65 every day! The Baby Boomer generation in general has very high expectations. And so, as we and our parents look at senior living options, those high expectations come right along with us. I say “we” because I, too, am a Baby Boomer, born in mid-1964. So, to prepare those in the senior living industry for the wave of Boomer retirees headed their way, here are my thoughts, composed in letter form:

26 June 2017 | Healthy Living News

Dear Senior Living Executives, Millions of Baby Boomers are looking for assisted living or nursing care, now or in the future, and we will be looking for privacy, security, socialization, and engagement—but nothing that looks, feels, or smells like an institution. We will research your quality of care on the web, and it better be good! We are looking to continue a lifestyle of convenience and luxury in a senior community of independent living. Sure, what that means varies from person to person, but as I mentioned earlier, we expect a lot more than the generations of consumers who came before us. We use salons and spas and fitness centers with walking tracks and swimming pools. We like to

eat at restaurants and socialize with friends or go to a movie or concert. We also like delivery of meals, groceries, or anything Amazon or our favorite online retailer has on sale. We are tech-savvy and expect access to wireless connections and media centers or libraries with computer access. We have iPhones and iPads, and we use social media such as Facetime and Facebook to keep in touch with friends, kids, and grandchildren. Many of us are lifelong learners and are interested in continuing our crafts of art, music, writing, or woodworking, but we also want to learn new things through a variety of lectures or classes. We love to travel even if it’s just a day trip or a quick weekend excursion. You’d better be ready for us to have overnight guests by offering guest accommodations or homes large enough to have guest rooms. Our kids and grandkids will visit, and we have friends who live near and far with whom we want to stay

connected. We will also want features in our homes that we are accustomed to, such as stainless-steel appliances, hard-surface countertops with backsplashes in the kitchen, and tiled showers in the bathroom. A rich faith life is important to us. We expect a church, chapel, or meditation room with regular worship services. Oh, and possibly most importantly, we want to be involved in opportunities that can leverage our skill set—capabilities earned over several decades of work. We want to give back to those around us and feel like we’re contributing to society. Some call it self-actualization. Oh yeah, I’ll be bringing Brody, my dog, and Rango, my cat. What will you offer for them? This will play into my decision. They are part of the family! Many of us are also passionate about saving the earth for our grandkids. What is the plan for recycling, good insulation, water conservation, and energy-efficient appliances?

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I’m only three years away from being able to make the move to an active, fun, 55-and-over independent senior-living community. My husband could move in now (I had to rub that in!). Also, my parents are currently downsizing and de-cluttering the possessions of their four-bedroom, two-story home in preparation for a possible move to an independent-living home in such a community. Do you have an extended family plan? In closing, Senior Living Executive, are you ready for us? Sincerely, Your Baby Boomer Customer

For those of you also beginning a search for senior-living options of any kind for yourself or a loved one, feel free to contact me. I’ll share a list of questions you should be asking and amenities to look for when you begin to schedule appointments and visits or even when doing your internet research. Say it with me! “Senior Living Industry, are you ready for us Boomers? Ready or not…here we come!” ❦ Kathleen Geers (kgeers@otterbein.org) is Assistant Vice President for Marketing and Communications for Otterbein Senior Lifestyle Choices.

Red Cross needs Blood Service Transportation volunteers

New Age Orthopedic Treatment New! Live Stem Cell Joint Injections New science shows that amniotic stem cell injections in the joints can restore motion and relieve pain by healing aging and damaged tissues in the joints. Dr. Whitted can administer an injection to the shoulders, hips, elbows and knees — with dramatic results of healing and pain relief. Let Dr. Whitted and his staff tell you more about this fascinating new area of science in the field of Orthopedics.

Non-Surgical Joint Treatments Hip, Knee and Shoulder Surgery Total Joint Replacement

Dr. Glenn E. Whitted 4235 Secor Road, Building #3, First Floor, Toledo 419.479.5820 | GlennWhittedMD.com

WII, years 1941-1945. The US Military needs blood stat. War heroes are at stake. The American Red Cross starts the National Blood Donor Service and approximately 13 million units are collected during that time. In 1950, the Korean War; blood is desperately needed for our US Military once again, and the American Red Cross collects. In between these historical wars, the first blood services program was developed for civilians, and by the 1970s, the American Red Cross became an all-volunteer blood donor program. Fast forward to today: disasters and war are still happening. Each day, the American Red Cross needs approximately 15,000 blood donations in thousands of hospitals and transfusion centers across our country for our military members, veterans, and people like you and me. How does this blood reach the people? Special people like you who volunteer with the American Red Cross! People like you who want to be a part of our 136-year movement! And currently, we have a high-priority need for Blood Service Transportation volunteers. What is a Blood Service Transportation volunteer, you ask? As our Blood Services Transportation Specialist, you bring lifesaving blood products through the region to hospitals and you transport blood and blood products from blood-collection sites to the laboratory for processing.

Other duties include completing required paperwork and obtaining signatures as well as communicating and sharing feedback between Red Cross personnel and customers. Every two seconds, someone in our country needs blood. Blood cannot be manufactured—it can only come from generous, volunteer donors and from people who can get it all where it needs to go. To be qualified for the position, you must have a willingness to support the Red Cross mission. You must have a valid state driver ’s license with three years of driving experience along with the ability to verify proof of insurance and proof of a safe driving record, and you must complete the Red Cross defensive driving course (at no cost to you). Additional training includes shadowing an experienced volunteer driver through the delivery routes. Being familiar with Northwest Ohio is a plus. Last, you must have the ability to lift up to 45 pounds for hospital deliveries. The times are varied, but we do ask for one shift per month (All American Red Cross volunteers receive orientation and training after the application process). If you are interested in volunteering, please call the American Red Cross at 419-329-2900 and ask for Diane Dixon, Sr. Regional Volunteer Services Specialist. ❦

Dr. Glenn Whitted is a medical doctor and Orthopedic surgeon, Board Certified in Orthopedic Surgery since 1994. He is fellowship trained in Joint Reconstruction, an accomplishment achieved by fewer than 20% of Orthopedic physicians. His goal is to deliver personalized care, and to work with you to develop a treatment plan tailored to your special needs.

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Rescue Mental Health & Addiction Services:

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419.255.9585 www.RescueMHS.com 28 June 2017 | Healthy Living News

f someone you love were facing a emergency services, or our urgent mental health emergency or grap- care program, which is directed by pling with addiction, how would you a certified nurse practitioner with want him or her to be treated? Ac- the ability to prescribe medications,” cording to John R. DeBruyne, FACHE, he says. Urgent care and all other LISW-S, MBA, president and CEO of Rescue services can be accessed by Rescue Mental Health & Addiction appointment or going directly to Services, that’s the question he and Rescue located at 3350 Collingwood every member of his staff should be Blvd, Toledo, Ohio. asking themselves each day as they Furthermore, if hospitalization serve community members in crisis. is necessary, Rescue can transport “Mental illness and addiction the patient there to get him or her touch all our lives, if not directly then admitted to a safe, therapeutic enviindirectly,” he says. “If that person ronment. They can also access other in crisis happens to be your child, mental-health organizations online, so sibling, parent, grandappointments requested parent, friend, or other at, for example, the Zepf loved one, what sort of Center or Unison Becare would you want havioral Health can be scheduled on the spot him or her to receive? via an online computer We know you’d want scheduling system dethat person to be kept veloped by the Mental safe and treated with compassion, respect, Health and Recovery and empathy, and you’d Services Board of Lucas want that high-qualiCounty staff. ty care provided right DeBruyne emphasizes the pervasiveness now.” Rescue was estabof mental illness and lished over 50 years substance abuse, citing ago by Father Francis that published studies John DeBruyne Crawford and local rereport that about 25% ligious leaders as a suiof all US adults have a cide hotline. Today, thanks to strong mental illness and that nearly 50% support from the Mental Health and of US adults will develop at least one Recovery Services Board of Lucas mental illness during their lifetime. County, Rescue provides residential “Mental illnesses, as well as the curtreatment, emergency services, and rent epidemic of opioid abuse, are urgent care, as well as connections causing great pain and ravaging to community agencies including our community. With the opioid hospitals and a wide range of other epidemic, a lot of people who once mental-health services and resources, thought they would never need to adults, children, and adolescents. help when it comes to addiction Access to all these services begins are discovering that they too are with a call to their 24/7 recovery vulnerable. It’s hitting everybody helpline directly at 419-255-3125. indiscriminately—regardless of race, DeBruyne urges anyone who is con- gender, income, and age,” he states. cerned or has any questions about As our community becomes their own or a loved one’s behavior more aware of the pervasiveness of or substance abuse to call Rescue’s mental-health and substance abuse helpline. “Making that call can start issues, DeBruyne hopes that the a whole chain reaction. From the stigma attached to these problems helpline, a licensed professional can will begin to fade as well. He notes, talk with you to determine the nature “We as a society are and should be of the problem. We have teams in very sympathetic and supportive emergency services that can be sent when someone we know is diagnosed out to perform an on-site assessment. with something like cancer or heart If clinically appropriate and mutu- disease, but unfortunately, we may ally agreed, we can take the person tend to back away and look at them with us back to Rescue for treatment very differently if they’re diagnosed in our voluntary residential unit, with a mental illness or addiction. We love feedback. Like us on Facebook. Follow us on Twitter.

People don’t mean to be this way, but they often don’t know how to react or what to do. We’ve got to eliminate this stigma through education and understanding the facts and recognize that it can happen to anyone. It can be very terrible to cope, as the media often remind us on the deaths of so many wonderful people who commit suicide or die of an overdose.” He looks forward to the day when mental health and substance abuse can come out of the shadows, like cancer treatment, where people are supported and don’t feel the need to wear wigs, reminding everyone of our often fragile human condition. Rescue Mental Health & Addiction Services was established as a suicide helpline evolving to a crisis facility and services to meet community needs. Time is of the essence when people are grappling with mental illness or substance abuse. As DeBruyne explains, people at risk of committing suicide, harming others, or dying of an overdose can’t wait to get help. He also observes that people with depression may have cognitive distortions like tunnel vision, focusing selectively on the negative details, and may be unable see beyond it. “That’s why it’s so important to as-

sess these individuals, get them safe, and line up the treatment they need immediately,” he says. ❦ If you or someone you love is experiencing

a mental-health or substance-abuse issue, please call the Rescue Mental Health & Addiction Services helpline at 419255-3125.

Sunset’s new rehab center now in full swing

fter many months of growing anticipation and excitement, the new cutting-edge rehab center at Sunset Village, Sunset Retirement Communities’ Sylvania campus, is now open and serving clients’ diverse rehabilitation needs, including orthopedic, neurological, cardiac, disease management of diabetes, congestive heart failure, cardiopulmonary disease, post-surgical pain management, and fall prevention. The new rehab center features a 6,000-square-foot gym area with new equipment, a Swimex therapy pool with three levels of water depth

and a paddlewheel for resistance training, a mobility courtyard with varied surfaces to help clients practice navigating the different types of terrain they may encounter, a life skills apartment to help clients transition back home smoothly, and private treatment rooms. The center—which is pet friendly to make it feel even more like home—also offers private suites with WI-FI access as well as personal-concierge-like services for clients who stay at the facility during their rehab. Of course, the greatest asset of the new rehab center isn’t its features

and amenities, but its dedicated staff. Gayle Young, Director of Marketing, Communication and Public Relations for Sunset Retirement Communities, states, “Our physical, occupational, and speech therapists are highly skilled and patient-focused, and their primary goal is ensuring every client who trusts us to help them on their rehab journey regains the highest possible degree of function, independence, and overall quality of life.” Located on the north side of the Sunset Village campus and easily accessible from Sylvania Metamora Road and Allen Road, the new rehab center offers services on both an inpatient and outpatient basis (with a separate entrance provided for outpatient clients). Therapy is available up to seven days a week, and admissions are accepted 24 hours a day. Medicare and other commercial insurance plans are accepted. The new rehab center is just one more example of Sunset’s commitment to providing a full continuum of care. In addition to rehab services, Sunset Village—which will be celebrating its 15th anniversary this July—offers assisted living, health care, memory support, and Ashanti hospice. The Sunset Village campus is also SUNSET VILLAGE

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home to Fieldstone Villas, a unique 12-unit Life Plan Community (formerly called a CCRC). Situated in a luxuriant, park-like setting complete with walking paths, lush landscaping, and beautiful views overlooking ponds and meadows. Fieldstone Villas redefines the traditional image of a retirement community while freeing residents from the burdensome chores of homeownership. All these offerings ensure that as residents’ care needs change, appropriate services will be available to accommodate them so they never have to leave behind the community they call home. They also reflect Sunset Village’s philosophy as an Eden Registered Community, which focuses on the person and his or her choices and asserts that no matter

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For more information on Sunset Village or the new rehab center, please call 419724-1200. For information on Fieldstone Villas at Sunset Village, please call 419386-2686 or visit our website, www. Sunset-communities.org.

Staying "cool" this summer

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how old we are or what challenges we live with, life is about continuing to grow. “Active seniors will feel right at home at Sunset Village. We offer several living options so you can enjoy retirement’s unlimited pleasures. Whether you reside in one of our beautifully appointed apartments or utilize the added assistance available among our expertly staffed neighborhoods, your time is yours to spend as you wish,” Young says. ❦

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hat should you know before you head outdoors this summer for a three-mile run or walk? Any aerobic exercise in hot weather 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 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 Easter Michigan University. She writes about running and fitness on behalf of Dave’s Performance Footgear.

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Dave’s PR 5K Training Program TOLEDO—Monday, June 5-Saturday, July 29, 2017 at 5700 Monroe St., Sylvania, Ohio.

Don’t miss Dave’s Races

Eagle Run 5K—Saturday, June 10, 2017, 8:00 a.m., at 100 North Elm St., Pioneer, Ohio.

Runners, get ready to “take your mark” in these exciting community events coming in June and sponsored by Dave’s Performance Footgear. For full details on events (including information on registration and any applicable fees), please visit davesrunning.com.

Julie’s Fitness Studio 5K/1K—Saturday, June 10, 2017, 9:00 a.m. (1K Kids Fun Run at 8:30 a.m.), at 6763 Providence St., Whitehouse, Ohio.

APG Sylvania Graduation Run— Saturday, June 3, 2017, 9:00 a.m. at Sylvania Southview High School, 7225 W. Sylvania Ave., Sylvania, Ohio.

Judgment-Free 5K and 1-Mile Walk/ Roll/Shuffle—Saturday, June 10, 2017, 10:00 a.m. at Riverbend Recreation Area, Findlay, Ohio.

Cooper Tire Centennial 5-Miler and 5K Race—Saturday, June 3, 2017, 7:45 a.m. at Findlay High School, 1200 Broad Ave., Findlay, Ohio.

Muddy Mini ½ Marathon & ¼ Marathon—Saturday, June 17, 2017, 7:30 a.m. at 605 Conant St., Maumee, Ohio.

Spring Duathlon Championship—Sunday, June 4, 2017, 9:00 a.m. at 6760 Providence St., Whitehouse, Ohio.

Run for the Relay 5K—Saturday, June 10, 2017, 8:00 a.m. (Kids Fun Run at 7:45 a.m.) at St Rt 108, Wauseon, Ohio.

Dave’s Kids Running Group—Monday, June 19-Friday, August 11, 2017, 10:30 a.m. (Dave’s Kids Perrysburg— Side Cut Metropark) and 6:30 p.m. (Dave’s Kids Sylvania—Wildwood Metropark). Findlay Family YMCA Glow Run, 5K Fun Run and Walk—Friday, June 23, 2017, 9:00 p.m., at 300 E. Lincoln St., Findlay, Ohio. Burger Bash & Dash—Saturday, June 24, 2017, 9:00 a.m. at 1516 Adams St., Toledo, Ohio.

Black Swamp Benefit Bullfrog 5K + Kids’ Race—Saturday, June 17, 2017, 7:30 a.m. (Kids Race at 8:30 a.m.), at 8514 St Rt 108, Wauseon, Ohio.

Falcon 5-Miler & Lil’ Falcon Half-Miler—Saturday, June 24, 2017, 8:30 a.m. (Lil’ Falcon Half-Miler at 8:00 a.m.), at Bowling Green State University, 1610 Stadium Dr., Bowling Green, Ohio. Race4Justice 5K Run and 1-Mile Fun Walk—Saturday, June 24, 2017, 9:00 a.m. (1-Mile Fun Walk at 9:05 a.m.), 525 Jefferson Ave., Toledo, Ohio. Quarry Ridge Triathlon & Duathlon—Wednesday, June 28, 2017, 6:30 p.m. at Centennial Quarry, 5773 Centennial Rd., Sylvania, Ohio. ❦

James D. Diethelm, MD Ryan Szenderski, PA-C Same day appointments available with our physician assistant

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EATING WELL by Laurie Syring, RD/LD

BEHAVIORAL HEALTH Life is Waiting...

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Assessments 24 hours a day, 7 days a week. Call 800-547-5695. Arrowhead Behavioral Health 1725 Timber Line Road Maumee, OH 43537 www.arrowheadbehavioral.com With limited exceptions, physicians are not employees or agents of this hospital. Model representations of real patients are shown. Actual patients cannot be divulged due to HIPAA regulations.

32 June 2017 | Healthy Living News

Healthy tips for healthy dads

ather’s Day is June 18, so in honor of all dads out there, I thought I’d give them a little special attention in this month’s column. We may not give it much thought, but men have special nutritional needs and, of course, males of all ages benefit from healthy eating. However, studies show that men are significantly less likely than women to consume fruits and vegetables because of their health benefits. What’s more, over two-thirds of men are overweight or obese and men are at higher risk than women of dying from cardiovascular disease, colorectal cancer, and lung cancer. In order to turn this trend around, men need:

Nine fruits and vegetables daily Studies show that, on average, men eat four and a half servings of fruits and vegetables per day—when they should actually be getting nine servings. Fruits and vegetables provide vitamins, minerals, and fiber, and they’re packed with phytochemicals that protect the body from harmful free radicals. Men, every day you should have a piece of fruit at each meal and at snack time, work in vegetables at lunch and dinner with salads, and toss in a cooked vegetable or two.

The right amount of protein When men think of nutrition, they usually think protein. That’s because men tend to be meat-eaters, likely due to their perception that meat builds more muscle mass. This is really not true unless exercise, such as strength training, is also involved. Men’s conception that “meat is masculine” means steak—a rich source of saturated fat—is often high on

their list of food choices when dining out or firing up the grill at home. If you must have steak, it’s important to choose your cuts wisely—such as flank steak, sirloin, or filet—and go easy on the portion size. Some steaks are enough protein for three days. And by the way, that “Old ‘96er ” John Candy devoured in The Great Outdoors probably has enough protein in it to last a month, so, guys, don’t even think about taking up a challenge like that! If the thought of the inevitable indigestion isn’t enough to deter you, remember that excessive red meat consumption has been linked to colorectal cancer. How much protein do men actually need? To determine what’s optimal for you, divide your weight in pounds by 2.2. That number is a good estimate of how many grams of protein you need each day.

More calories Sorry ladies! I know it’s not fair, but men just need more calories throughout the day because they are typically larger and have more muscle mass—all due to the hormone testosterone. Moderately active men need 2,000-2,800 calories a day. More precise needs depend on age, weight, and activity level. For energy, carbohydrate is the best fuel for the body. Choose wholegrain breads, pasta, cereal, brown rice, oats, barley, fruits, and vegetables.

Enough calcium We all know calcium is essential for women, but we often overlook that it’s vital to men’s health, as well. Osteoporosis is not just a women’s disease. In fact, one in four men over age 50 will experience an osteopo-

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rosis-related fracture. To ensure they’re getting enough calcium to keep osteoporosis at bay, men should choose two to three dairy products each day and eat coldwater fish (tuna, halibut, salmon) twice a week.

A healthy body weight Men typically gain weight around the middle—again this is due to the hormone testosterone—but if your waist measurement is more than 40 inches around, you may want to think about losing some weight. Weight accumulating around the middle is dispersed around the organs and can increase the risk of diabetes, heart disease, and even dementia. Also, be aware that as your weight shifts over the years and muscle turns to fat, you may not need as many calories per day as you did when you were younger. Now that you’re in your 40s, if you keep eating like you did in your 20s, you’ll most likely gain weight.

Father’s Day takeaways: Here are some key takeaways for men as they look forward to Father’s Day this month:

• Food is more than just your fuel. We’ve all heard the old saying “You are what you eat,” but did you know that your diet can also help fight disease and keep you looking and acting younger? • How a man eats throughout his life can help predict how well (or not) he ages. • With increasing age, metabolic rates, physical activity, and energy needs tend to decrease. However, a good diet of quality protein, fruits/vegetables, energy-boosting carbs, and calcium are all very important. • Exercise should be a part of the regime to maintain lean muscle mass. Exercise also helps keep the metabolism going as we age. The bottom line is that men—just like women—need to pay special attention to their own set of nutritional needs. Good luck and happy Father ’s Day! ❦ Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

: I am about ready to proceed with obtaining some kind of device to help my hearing after denying I’ve had a hearing loss for about the last three years. Everyone I speak to has different opinions and suggestions, so I want to make sure I make the right decision. What should I consider in helping me make the best choice?

: You are so right in your observation that the individuals who have an existing hearing loss are ahead of your situation. They know the challenges you are experiencing and want to be helpful by providing you with valuable information. Because hearing aids are usually an out-of-pocket expense, you have even more reason to explore all the options. Sensorineural hearing loss is the

most common type necessitating hearing aids, and it’s important to understand there is no cure for it. But if left untreated, sensorineural hearing loss can impact your health, employment, and even your cognitive processing skills both now and later. When people learn they have hearing loss, hearing aids are often recommended as the treatment of choice and are fit by the treating audiologist. Of course the goal of the hearing aid is to improve hearing and understanding of speech, but keep in mind that some are more successful than others depending on the hearing loss and the technology that was selected. As we mature, our hearing may decline, so it’s ever so important to wear the hearing aid as much as possible, and this presents some additional daily challenges.

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The most important decision, first of all, is to treat the hearing loss. Untreated hearing loss can put personal safety and job performance at risk, affect the ability to communicate effectively with family and friends, as well as leave you frustrated and anxious because you feel like you’re not part of the world, like you’ve been left behind. There is always more than one solution to consider when you have hearing loss, and you should take time to explore all the options and really understand what the best solution might be. While costs laid out in dollars and cents are important to

compare, they shouldn’t take precedence over everything. Take your time and explore the same options you would with any important and long-term investment that is vital to your day-to-day functioning. If we can help you out and answer any questions or concerns, please feel free to call and speak to any of our staff. ❦ 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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UT running coach is back on track with help from Laurels AlterG

n an average week, University of Toledo cross-country and track coach Samantha Bluske might run as far as 120 miles. For Bluske, running isn’t just a health-and-fitness endeavor, but also a spiritual experience. So when a recent injury threatened to sideline her running activity, she knew she had to do something to get back on track. “In the last week of March, I was on a run and experienced a severe shooting pain right above my ankle bone, and knew I’d really messed something up,” she recalls. “I took a few days off and saw an athletic trainer at UT. I thought it was tendonitis, but he wasn’t so sure. So I got an MRI and found out I had a pretty bad stress reaction, which is the step right before a stress fracture.” Concerned about losing ground in her conditioning and endurance, and knowing that a prolonged recovery period without running would make her “stir crazy,” she sought out a state-of-the-art therapeutic tool that helped her overcome a prior running-related injury—the AlterG® Anti-Gravity Treadmill®.

The AlterG was developed by NASA engineers while studying the biomechanics of exercise in space. This advanced therapeutic modality uses differential air pressure technology to “unweight” patients—or, as in Bluske’s case, athletes—up to 80 percent so they can exercise using normal mechanics but with significantly reduced impact on the body. As a result, they can train or rehabilitate with less pain and lower risk of injury, leading to faster healing and a shorter recovery time. Bluske’s previous injury occurred in mid-September of her senior year at Iowa State University. Scheduled to compete in the Big 12 Conference which was slated for the last Saturday in October, she had minimal time to recover. However, training on the AlterG made it possible for her to compete in the conference—after only two days of actually running on the ground.

Following her latest injury, Bluske went to the AlterG website to determine where she could find one of these units. She was pleased to discover that there’s one right here in our community at The Laurels of Toledo. “I thought if I could find an AlterG nearby, I could get better a lot quicker,” she says. “Initially I took three and a half to four weeks off running. After that, I spent a week

and a half using the AlterG and then another one and a half to two weeks alternating between running on the ground and running on the AlterG.” Currently, Bluske is very pleased with her progress in recovery. She’s not yet back to running 120 miles per week, but she is up to a very respectable 50 to 60 miles. As a coach, Bluske sees unlimited potential in the AlterG. “I could use one every day to help keep our athletes healthy, especially those who are injury-prone. Staying healthier longer means more consistent training, which leads to faster running,” she says. “I would encourage other area athletes to take advantage of the fact that we have this technology right here in our community. The AlterG allows you to train at a completely different level with less impact on the body.” ❦ 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.

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he topic of concussion has garnered concussions related to sailing. ample headlines in recent years, In the NFL, the emphasis with largely due to the growing focus on respect to concussion is on the worthis type of injury in the NFL and risome long-term effects observed other professional sports leagues. How- in some retired players. But, as Dr. ever, concussion isn’t just a concern Smith notes, data from professional for professional athletes in contact sports isn’t necessarily helpful in sports like football, hockey, or boxing. establishing guidelines for everyone Exposed to the right type of impact, else. “Very few people actually play anyone can experience a concussion, at a professional level, and much has so it’s important to be aware of the changed in the way games are played potential signs and symptoms and and the protective equipment used to seek prompt medical attention if since those older players were getting injured, so we simply don’t have deconcussion is suspected. Mercy Health sports medicine finitive answers about the potential medical director Dr. Jason Smith long-term effects. What we do know defines concussion as trauma that is that if our children exhibit sympcauses damage to the toms of concussion, brain, whether caused we want to pull them by a direct blow, such from the activity so we can properly evaluate as a head-to-head collision in sports, or an their condition and give indirect blow, such as advice on the best way a whiplash-type injury. to help them recover In essence, any trauma from that injury,” he that causes the brain says. to impact the skull or Dr. Smith further shakes up the brain inexplains that, based on side the skull can cause recently released guideconcussion. lines, the approach to How can doctors treating concussion has changed. “We’ve determine whether Dr. Jason Smith a patient has experimoved away from the enced a concussion? As idea of complete mental Dr. Smith explains, they follow the and physical rest to one of relative symptoms. “We have a checklist of rest,” he says. “For the first day or 22 symptoms we look for, the most two after the concussion, the athlete common of which are headache, rests completely, but with kids, the dizziness, irritability, a sense of being most important thing is getting back ‘out of it,’ difficulty concentrating, to school, so after that we need to nausea, and vomiting,” he says. reintroduce them to cognitive and Being a sports medicine physi- physical activities in a timely mancian, Dr. Smith most frequently sees ner. This might involve modalities concussions in young athletes, but such as vestibular physical therapy, he emphasizes that non-athletes are focusing on balance. If the patient is also vulnerable—such as kids who experiencing migraines or has headfall off the jungle gym at the play- aches resulting from a neck injury, ground or the drivers or passengers we’ll treat those conditions. Plus, in a motor vehicle accident. Also, there are higher-level things we can it’s not unheard of for non-athletes do to help recover balance in cases to experience a sports-related con- of more severe injury. We may also cussion. As every volleyball parent prescribe medications under certain knows, observers in the stands are circumstances, but it’s usually better almost as vulnerable to taking a for the patient to self-heal under our fast-moving ball to the head as the guidance.” players are. Furthermore, there are As with the initial diagnosis, the some activities we don’t necessarily determination of when it’s safe for a associate with concussion that actually young athlete to return to play after put participants at considerable risk. experiencing a concussion is based For example, having lived in Virginia on symptomology. Doctors want to for five years before moving here to see a normal neurological exam as Ohio, Dr. Smith has seen quite a few well as resolution of symptoms beWe love feedback. Like us on Facebook. Follow us on Twitter.

fore approving the child to get back in the game. There’s also a five-step protocol that must be followed when returning a child to play. According to Dr. Smith, these include: 1. Symptom-limiting activity, such as walking or riding a stationary bike, with no head motion. 2. More light aerobics to increase the heart rate with no head motion. 3. More sport-specific activities, such as a hockey player getting back on skates, still with no head involvement. 4. Much harder drills to increase endurance and coordination. 5. Full-contact practice to restore confidence in both the athlete and coach that the athlete is back to normal physically and cognitively. Dr. Smith emphasizes that Ohio has a return-to-play law that parents and coaches should be aware of. This law requires that young athletes who are suspected of sustaining a concussion must be removed from practice or play and cannot be returned to practice or competition on that same day. “In addition, the child must have written permission from a physician or other authorized healthcare provider before returning

to play,” he says. To ensure area residents have access to the highest quality concussion care, Mercy Health will be introducing a clinic for treating concussions of all kinds. By calling the clinic hotline, patients exhibiting symptoms of concussion will be

connected to a provider’s office for specialized treatment. “Coming this fall, we plan to begin offering virtual visits for concussion, allowing us to provide care for patients in outlying rural areas via videoconferencing,” states Dr. Smith. ❦

BySister Mary Thill

Spiritually Speaking BeDADitudes The world is currently accepting applications for the position of father.To qualify: You must be fully ready to accept the most important job a man can ever have. There are no days off, no pay raises and very few vacations. You will be paid in kisses within months of starting. If you can accept this payment arrangement, in lieu of pension you will receive a lifetime of happiness, adoration, and unwavering, unapologetic love. —Jeremy Baumhower

here’s a new book out for parents titled BeDADitudes: 8 Ways to Be an Awesome Dad by Gregory K. Popcak. I haven’t read the book but was struck by the title, and it set me

off thinking about what such a word could mean in our day and in these confusing times. I then came across a column by Jeremy Baumhower describing fatherhood and saw a beautiful connection between the two ideas. My thinking also led me to the Scriptures where one finds The Beatitudes in Matthew 5:3-12 and in Luke 6:2026. So, as you will see, there are a lot

of thoughts roaming around in my head dealing with the role dads and fathers play in our lives. I like to think that “BeDADitudes” has several meanings, one being to be a dad with attitude, a good attitude, one that brings happiness to the family and workplace. I suspect that Gregory Popcak’s eight ways to be an awesome dad were drawn from the Beatitudes we can find in the Bible. I see them as wonderful guidelines for fathers to teach so that their children can learn to be happy as they realize that being spiritually poor, being sad, being humble, doing what God wants, being merciful, being pure of heart, working for peace, and working for the Kingdom of heaven are all precious ideals and that working towards them will bring positive rewards. There are definite Christian undertones here; Jesus the Christ did give these guidelines as quoted in the Scriptures, but I think they are good advice, good attitudes for all of us to reflect on and to act upon when

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possible. Jeremy Baumhower’s qualifications for fatherhood are also worth thinking about and putting into action. He seems to be emphasizing the rewards of being a dad. He too spells out the less measurable, the spiritual if you will, the quality-versus-quantity part of fatherhood. It seems to boil down to attitude. What attitude does one need to be a happy person, a good citizen, a productive member of the family, a good and decent dad? This doesn’t just happen overnight, and it often isn’t mentioned in school or church where I think it should be a part of the curriculum and the sermon. I also believe that even if you have a father who isn’t a shining example

s a coach today, there are many great challenges. However, one the “Greatest Challenges” is probably the evolution of technology, especially social media. At a USTA Leadership meeting I attended in January, USTA General Manager of Community and Youth Tennis Craig Morris held up an iPhone and said, “The youth of today will know nothing more than this item. It is their book, their music, their computer, their TV, and their means of communication.” Now this is both good and bad, correct? It is also what makes it the “Greatest Challenge” as a coach. Over the past month, we have all seen the videos of the doctor being dragged off the United Airlines flight and the family being kicked off the Delta Airlines flight. Those who watch ESPN and the top-10 plays of the day witness some amazing local events that were captured on the iPhone and sent in for consideration. In the end, we hope that something good comes out of both examples. However, I will tell you as a coach that it’s also worrisome. Now, some will say if you don’t do anything questionable, then you will not have to worry. Well, that is false, for how things are edited from their original form can and usually does paint a completely different picture. Or, let us say, they tend to paint the picture that folks want to be seen, and that

is one of the “Greatest Challenges.” For coaches, technology like this can be a huge tool in the development of athletes. With sports becoming so science- and detail-oriented, every little thing can make a difference in winning and losing. With all the apps out there for video analysis, it is awesome being able to do these from your iPhone or iPad. Many of these programs also allow you to make notes or record your voice on the video and e-mail it to your student and family. What an awesome tool for development. The “Greatest Challenge” here is for some of the older generation coaches to learn to use these items that they may be uncomfortable using. If your child has a coach who is not using technology, then they are falling behind. For student-athletes, technology is both a dream and a curse. The dream part is that collegiate level student-athletes can communicate very easily with potential schools via texting so phone calls are no longer missed. The curse side is that, without realizing it, what kids post or say on social media can hurt them with colleges. It could be the texts they write about others or the pictures they post. Coaches can see them, and, in some cases, texts, posts, or pictures have caused schools to stop recruiting athletes. Remember, while the school is interested in the student-athlete’s

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ability, they are also recruiting the whole person. So, if they are saying inappropriate things or posting pictures that could be deemed inappropriate, a college might back off the recruiting no matter what a personal coach or other person might say. Social media can be very dangerous if not used with good judgment. As coaches, our “Greatest Challenge” is getting our students to understand this without thinking we are old-fashioned and out of touch. This is a truly tough—but essential—part of coaching today. Technology is not going away. I always joke with my kids when they are looking for the remote, or whatever gadget they are using, that I used to be my mom and dad’s remote control for the TV (those of you my age or older will get a chuckle). My “Greatest Challenge” as a coach and parent is to make sure this technology is put to positive use, tells the true story, and is not used so much that the person behind the iPhone is lost. If used properly, technology can be positive on so many levels. However, if used improperly, many people can be adversely affected, and that is the ugly side. Parents and coaches must continue to stress the positive use of technology

and social media and be willing to step in and use the not-so-positive experiences as teachable moments. Putting this all together is truly one of the “Greatest Challenges” I have faced—and will continue to face—as

a coach. But part of the role I and my coaching friends accept is continuing to educate not only our student-athletes, but also their parents on the upside and downside of technology. ❦

ProMedica adopts NICHE program to address complex needs of older adults

ecognizing that older adult patients have a unique set of needs and that the senior population is growing exponentially throughout our nation, ProMedica Toledo Hospital has adopted an innovative program called Nurses Improving Care for Healthsystem Elders, or NICHE. NICHE, developed by the New York University College of Nursing, “works to ensure that adults age 65 and over receive care that promotes function, autonomy, and dignity.” With over 77 million baby boomers in the

United States and 10,000 of them turning 65 each day, the program’s launch in our community could not be more timely. Christine Weber, a clinical nurse specialist working with the NICHE program at ProMedica Toledo Hospital, explains, “In any given month, 45 to 60-plus percent of the patients here at ProMedica Toledo Hospital are over age 65, and we wanted to be proactive in how we approach their unique needs, so we researched NICHE and decided to join

the program.” Weber further explains that the ongoing surge in the older adult population—commonly referred to as the “Silver Tsunami”—has reinforced awareness throughout the healthcare industry that the treatment of older adults is a specialized area of care similar to any other specialty such as pediatrics, orthopedics or oncology. However, much work still needs to be done to ensure nurses are fully trained in best practices for providing care to this population. “There’s a big push to educate our nurses through special online training so they’re aware of the health problems that commonly affect older adults, such as urinary incontinence, confusion, and malnutrition, as well as how to meet their unique needs,” she says. The program was launched on the orthopaedic floor with the hope to expand to other units in the future. An important component of this innovative program is the NICHE cart, which contains a wide variety of items and activities that can be given to older adult patients for comfort or diversion. Examples include baby dolls and stuffed animals for the patient to care for; interactive books; aqua paints; music players that play Big

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Band selections; items to promote relaxation, such as Sleepytime Tea, earplugs to block ambient noise, and aromatherapy; as well as “fidget” items like squiggle wrist bands and foam stars that provide sensory stimulation and distraction so confused or agitated patients, such as those with dementia, are less likely to pull out IVs or catheters. “We’re also looking into some music therapies, and we provide books and pictures to stimulate conversation so patients stay engaged. For example, we can show an image of fireworks and encourage the patient to reminisce about what he or she used to do and see on the Fourth of July. Feeling cold is a common complaint among older adult patients, so sometimes all that’s needed to maximize their comfort is a warm blanket or wrap. “It’s up to the nurse to get to know each patient and determine what issues they’re having while they’re here as well as what might potentially work to resolve them,” she says. Most of the items in the NICHE cart are one-time use, and patients are welcome to keep them when they leave the hospital or transfer to a different unit. Not only is this

comforting to the patient, but it’s also helpful from the standpoint of infection control because the items won’t transfer germs from patient to patient. As Weber notes, caring for older adult patients—particularly those with dementia—presents special challenges because they’re removed from their normal setting and routine and are at higher risk for certain issues such as delirium. The NICHE program provides opportunities to comfort and help these patients without necessarily having to resort to additional medications and their potential side effects. So far, the response to the NICHE program among older adult patients and their families has been positive. Even in cases where patients have difficult verbalizing due to confusion or dementia, family members often provide very positive feedback, with many stating that the NICHE program really gave their loved one comfort or a sense of purpose. Weber is grateful to both the ProMedica Toledo Hospital Auxiliary and the ProMedica Toledo Hospital Foundation for providing much of the funds that keep the NICHE cart stocked with items. “They believe

in everything we’re doing here and have been a huge support for this program,” she states. ❦

A Walk in the Park by LeMoyne Mercer

Nobody goes there anymore Is this in a national park or a national forest? Would you be willing to settle for it either way?

he National Park Service celebrated its Centennial in 2016 with advertising to remind us of all the wonders available right here in the US. As part of the promotion, they waived the park entrance fees for any family with a fourth grader. Utah, in particular, piggy-backed on this opportunity to increase tourism with an ad campaign telling us that it is home to five, count them, five spectacular national parks. And the North Rim of the Grand Canyon is right on the Utah-Arizona line so you might as well do that too. The families-with-fourth-graders gambit worked so well that it is being repeated in 2017—though I am not quite clear on what is so special about fourth grade. Shirley and I took the kids to the national parks back in the 1970s and ’80s because it was a great way for them to see the country at a price we could afford. And they saw a lot of the country. When our daughter Sarah was at Miami University, she took a course called Geology of the

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National Parks. She says that classes began with the professor holding up a rock. “This is gneiss from Acadia National Park. Has anyone been to Acadia?” A few weeks later he was saying, “This is Navajo sandstone from Zion National Park. Has anyone, besides Sarah, been to Zion?” The most difficult thing about visiting the parks in those days was accumulating enough vacation time to make the drive to parks in the West. We never worried about getting in or finding a campsite. That has changed considerably in the past few years. When you are planning your family vacation to the national parks, you might want to begin by going online or calling the 800 numbers to check on the availability of campsites or rooms in the lodges. If you have never stayed at a park lodge, we highly recommend it. Not because the rooms are luxurious or even just well appointed by commercial hotel standards. Architecturally, though, many of the historic post-and-beam buildings are gems in themselves. Plus, there are the three most important things in real estate—location, location, location. That is what you are really paying for when your morning shower isn’t in your lodge room but halfway down the hall. Now, don’t be discouraged by what I am going to tell you about overcrowding in the national parks. Do be prepared to pursue alternatives to your Plan A. Shirley and I

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have seen too many park visitors arrive just at dusk, or later, and feel seriously disappointed because they had no Plan B. Someone then has to explain that they need to leave the park, which can take a while in itself, and trust to luck that they can get a campsite or motel room at one of the neighboring communities. Yellowstone, our favorite park, has been justifiably popular since 1872. Back then, only members of the

You can have this view of the Lower Falls of Yellowstone from the Red Rock Trail all to yourself if you arrive while everyone else is still at breakfast.

leisure class had the time and resources to travel to the remote corner of Wyoming. Today, ordinary American families and visitors from all over the world continue to be impressed by the magnificent scenery, the wildlife, and the geothermal features. When we took the kids to Yellowstone for the first time in 1985, we had to see what everyone has to see: Old Faithful, the geyser basins and Mammoth Hot Springs, the Canyon with the Upper and Lower Falls of the Yellowstone, and the wildlife in Hayden Valley and Lamar Valley. We still visit those places, of course, but at a more leisurely pace because, as retirees, our schedule permits it. We don’t absolutely, positively have to see Old Faithful erupt right this minute. (Some tourists complain that the rangers don’t turn it on precisely as scheduled.) We go to the popular attractions while most tourists are stilling eating breakfast and before the tour buses start clogging the roads and parking areas. Then we can avoid the crowds by spending the middle of the day on a remote trout stream with no company except a few elk and bison. Maybe an eagle or two. After that it’s time for cocktail hour back at camp while others are

On afternoons while others are fighting crowds, we prefer to be fighting trout.

lining up to get a dinner table at a restaurant. During last year ’s Centennial promotion, we chose not to go to Yellowstone at all because traffic was reportedly up more than 60%. Even before the promotion, the park was already overwhelmed and it only became more so. I am reminded of Yogi’s observation: “Nobody goes there anymore. It’s too crowded.” There are various approaches to dealing with access to crowded na-

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EAT HEALTHY, SLEEP MORE, DRINK WATER AND GET MOVING! Mercy Health – 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.

Are your kids getting enough water? Drinking the proper amount of water is critically important to the health of your child. Kids who don’t drink enough water are prone to constipation, more likely to be cranky, feel tired and tend to be less active. To stay hydrated, it’s important to keep these things in mind: • Frequent, smaller amounts of water work best • An orange, lemon or lime slice will add color and flavor • If you feel thirsty, you’re probably already dehydrated Kids need at least 8 cups of water per day. Have your kids drink water before, during and after any outdoor activity. Avoid sipping any sweetened beverage, such as fruit drinks, sodas and punches. They add extra calories and sugars that can lead to obesity and tooth decay. 100% fruit juice is OK at mealtime, but between meals, water is best! Kohl’s Kids in Action offers free obesity prevention education 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.

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42 June 2017 | Healthy Living News

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tional parks. Reservations for lodge rooms or campsites can help. If you can get them. This year, our Plan A was to meet Sarah and her kids in Yellowstone for a week to give them the kind of memorable experiences she had. Lizzy will be a fourth grader so they get in free. In early April I went online to reserve a site at Canyon Village because of its central location. Nothing available. Nor at any of the other campgrounds that take reservations. But there are some that do not accept reservations—first come, first served. Our Plan B is to arrive several days ahead of Sarah and secure a non-reservable campsite. Meanwhile, we’ll continue to check with Canyon Village for cancellations and no-shows.

Shuttle buses are beginning to relieve the congestion in some of the national parks.

Quite often we arrive at Yellowstone via Grand Tetons National Park, just a few miles to the south. Historically, we could count on easily getting a site at Gros Ventre Campground in the Tetons because they have more than 300 sites that never filled up. Then we could continue to Yellowstone after a few days or a week. No problem. Or used to be no problem. Now, even Gros Ventre fills, so we spend the night before about an hour away at Warren Bridge near Pinedale, WY. Another option is to enter the park at Jackson and then follow the Gros Ventre River through the park and out again to Bridger-Teton National Forest on the eastern boundary. There are several Forest Service campgrounds as well as places where you can legitimately boondock—camp without a campground. Visiting a national park but camping outside of it has become a more common practice for us in recent years. Our first trip to the Grand Canyon was with the kids to the South Rim, the most popular side to visit. On subsequent visits, we chose the North Rim as a much quieter experience, but we still camped inside the park.

Even national parks you have never heard of, like Lassen Volcanic, are attracting more visitors.

In 2015, however, North Rim Campground was full. Fortunately, there are two Forest Service campgrounds outside the park plus the usual Forest Service option to boondock, so we day-tripped into the park. Yellowstone and Grand Canyon are world famous so you might logically expect them to attract crowds. Being clever people, Shirley and I, who have been to all of the national parks you have heard of, also visit the parks you have never heard of, such as Theodore Roosevelt, Great Basin, Black Canyon of the Gunnison, Joshua Tree, or Lassen Volcanic. Did I say clever? Ha! Half the world already has had that idea. The first time we went to Lassen

Volcanic, for example, it was easy to find a site. In 2016, not so much. I have written about Lassen a couple times, but odds are you didn’t read those columns and still don’t know where it is. But a growing number of people now seem to know and they eagerly take advantage of what it has to offer. I was even approached in Toledo by a woman who seemed quite proud that she and her husband had been there. Sometimes even if you get a site you may have to contend with poachers. At Mt. Rainier National Park, we registered and then drove around the mountain to spend the day hiking high above the tree line. When we returned, there were two families

We spent a marvelous day hiking at Mt. Rainier. Meanwhile, poachers were moving into our campsite.

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busy pitching tents in our site because the campground was full and we were gone. Before I could even get the rig parked, Shirley had jumped out and gently persuaded one of the men to admit that he had removed our registration tag from the post. Fortunately for all involved, they had friends at a nearby campsite who offered to share with them. There is not much you can do to plan for that sort of thing, but you can be aware that there are often alternatives when you get shut out. On our last trip to those five national parks in Utah, we hoped to camp in Arches NP. Nothing doing. So, we spent the day on the auto tour visiting Balanced Rock, Double Arch,

The campground at Arches National Park was full but we still spent the day visiting features like Delicate Arch.

Turret Arch, North and South Windows, Landscape Arch, and Delicate Arch. Then we continued the very short distance to Canyonlands NP feeling secure in the knowledge that Willow Flat Campground never fills up. Except when it does. Fortunately, Canyonlands is bordered on the north by Bureau of Land Management property so we still had options. Like the National Forest Service, the BLM offers both established campgrounds and boondocking opportunities. It may have occurred to you that none of this discussion refers to commercial RV parks or RV resorts. We know RVers who cannot survive without hookups for water, electricity, sewer, and cable TV—or, at least, a place with a clear line-of-sight for their satellite dish. They also prefer places with amenities like swimming pools, shuffleboard, pickle ball, and a recreation hall where they can enjoy potluck, with 300 of their closest friends. Many RV resorts don’t even offer a fire ring or picnic table. Why would you need those things if your rig has a full-size kitchen with marble countertops and seating for 12? You can enjoy “camping” and never actually have to go outside. Advertising for one big Class A rig

Las Cienegas Wildlife Area just southeast of Tucson offered the kind of solitude we enjoy.

suggests driving it to your family reunion. “Better yet, hold your next reunion in it.” That ain’t us. On the rare occasions when we feel the need for hookups, we usually turn to Corps of Engineers sites (our first choice) or state, county, and municipal parks. There’s an app for that, so we can call ahead to see if space is available. When the temperature is over 100°, air conditioning surely does feel good. We also have a flat-screen TV, but it hasn’t been turned on in a couple years and Shirley has suggested that we just remove it to make room for other stuff. We have all the usual RV amenities including a full galley with refrigerator, stove, and microwave, so we can eat in if it’s too hot, too cold, or too wet. Most often, though, we prefer to eat out—outside, that is. For us, the priceless aspects of camping are the scenery, wildlife, and solitude. Fortunately, the first two

are still readily available. Solitude, though, is becoming increasingly difficult to find. Sometimes we have to compromise. If we want to experience Yellowstone yet again, we have to accept the fact that millions of others share the same desires. I don’t want to leave you with the impression that we are somewhat misanthropic. (Well, one of us might be.) The truth is we do enjoy meeting all sorts of people at our national parks. They come, quite literally, from all over the world and often have intriguing stories to relate and travel suggestions to share. Even so, we continue to think that the very best place for a walk in the park is where nobody goes. ❦ LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

The approach to Great Basin National Park from the west through Nevada is Rt. 50— "The Loneliest Road in America." Perfect for curmudgeons.

Cancer Connection of Northwest Ohio to host Celebration of Life Event Cancer Connection of Northwest Ohio, Inc. is hosting a communitywide Celebration of Life Event in honor of Cancer Survivor Month, which is June. On Saturday, June 17 from 5:00 to 9:00 p.m. at Pearson Metropark, we will be celebrating with local cancer survivors and their families at a BBQ potluck. There will be games, music, dancing, a balloon launch, and much more! Please join us! Cancer Connection of Northwest Ohio, Inc. provides hands-on support for cancer patients and their families in our community. We create unique programs and coordinate services that provide for the physical, emotional, and spiritual needs of patients and families fighting cancer. We serve ALL cancers and ALL ages. “It is a time to be normal,” say local

44 June 2017 | Healthy Living News

cancer survivors Colleen Kim and Nate Jones. “We want to forget about cancer—if even just for a day—and have fun like regular people,” which is why they have planned this event. As patients themselves, they identified a need to bring together the community in celebration of life. “Colleen and Nate are very dear to me,” added Jean Schoen, Founder & President. “When they brought the idea of this event to my attention, I loved it! What better gift to give those affected by cancer than a day to celebrate life?” Everyone is invited to attend this free event! RSVP required. For more information and to RSVP, please visit www. cancerconnectionofnorthwestohio. com or call us at 419-725-1100.

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Mona Lisa Touch resolves intimate postmenopausal issues

ollowing menopause, approximately 60% of women experience a condition known as genitourinary syndrome of menopause (GSM). This is made up of multiple symptoms including vaginal itching, irritation, and dryness. It includes additional symptoms of urinary urgency, dysuria, and increased nighttime voiding. The most significant symptom, however, is painful intercourse due to vaginal atrophy. As a result, intimacy is affected and interpersonal relationships can become strained. Unfortunately, many women in this population suffer in silence, believing it to be an inevitable part of the aging process. According to urogynecologist Dr. Andrew Croak, Director of the Northwest Ohio Center for Urogynecology & Women’s Health, GSM develops due to the reduction in a woman’s estrogen level following a menopausal state. “The whole pelvic floor is very estrogen dependent,” he explains. “As a woman’s estrogen level decreases and the receptors are no longer fed, the blood supply to those tissues decreases and they go from being lush, thick, and well-moistened to being thinner, dryer, more delicate, and much more sensitive. In some cases, the tissue is so thin and tender that a simple swipe from a q-tip may actually cause bleeding." Other populations that suffer exponentially with GSM are breast cancer survivors, those that cannot take hormones due to thromboembolic disease, and those with lichen sclerosis. “We have had very poignant stories of women who, in treating their breast cancers with anti-estro-

gens or oophorectomy, had their GSM symptoms become extremely severe. Mona Lisa Touch was able to ward off the effects of their breast cancer treatments on their vaginal health and restore their levels of comfort and confidence in being intimate,” Dr. Croak states. “In fact, we have had our greatest successes with lichen sclerosis patients. Not one patient with the disease has not seen improvement. Other younger patients with vulvodynia and dryness from prolonged birth control pill use or breastfeeding have also seen benefit." FDA-approved Mona Lisa Touch is a CO2 fractional laser that delivers gentle laser energy to medically treat the vaginal wall. The laser stimulates fibroblastic growth, which in turn helps generate a new blood supply and stimulates collagen production. As a consequence, the thickness, elasticity, and moistness of the vaginal tissues increase while sensitivity, pain, and irritation decrease. It is the only vaginal laser instrument with a true medical indication that has been scientifically validated with numerous trials and ongoing grants. The great news is, with the advent of this painless, in-office, non-hormonal procedure, offered first in the area by the Northwest Ohio Center for Urogynecology & Women’s Health, women can actually achieve complete resolution of these unpleasant symptoms and reclaim a higher quality of life. The therapy is administered over the course of three in-office treatments spaced six weeks apart, and each session takes

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Have you experienced changes in your vaginal health? If you are experiencing vaginal dryness, WHAT IT IS: itching, burning, painful urination or in pain during Have you experienced changes your vaginal ✓ A “life-changing” in-office treatment for women intercourse, it’s OK to talk about it. experiencing vaginal dryness, itching, burning, painful

health? If you are experiencing vaginal dryness, urination, or painful intercourse from changes related itching, burning, painful urination or pain during to menopause ✓ Scientifically validated and medically indicated with Ask usit’s about intercourse, OKthe to MonaLisa talk aboutTouch! it. over 90% long-term improvement We are the first medical practice in the Northwest ✓ Over 200 women successfully treated in our office ✓ Provided by physician experts specialized in female Ohio area offering this advanced new non pelvic health hormonal, in-office laser treatment. Ask us painless, about the MonaLisa Touch! ✓ Treatment administered by a physician; whereby additional gynecologic concerns can be addressed

We are the first medical practice in the Northwest WHAT THIS IS NOT: For more information, plan to attend an Ohio area offering this advanced new non✓ It is NOT cosmetic vaginal rejuvenation Educational Seminar in the hormonal, painless, in-office laser treatment. ✓ It is NOT a procedure appropriate for aesthetician administration St. Luke’s Hospital Auditorium September Join usWednesday, for an evening to learn23rd more about Wednesday, September 23rd For more information, plan to attend an 6:30 p.m MONALISA TOUCH and be an informed consumer! 6:30 Seminar p.m Educational in the St.St. Luke’s Hospital Auditorium Seating is limited to 50, so Auditorium R.S.V.P. early! Luke’s Hospital

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less than five minutes. Dr. Croak notes that the treatments are as easy as undergoing an annual Pap smear with a speculum but don’t take as long. Thus far, the outcomes for patients undergoing Mona Lisa Touch therapy have been remarkable. “After the first treatment, we’re seeing 85% improvement, with many women able to participate in pain-free intercourse for the first time in years. By the end of the third treatment, the improvement rate is nearly 100%. Recent one-year data shows that

92% of patients are still satisfied. Our success rates match that reported in international data,” says Dr. Croak. Testimonials speak for themselves. One patient said, “I don’t have the dryness and itchiness and burning. As far as leakage, I don’t have that anymore.” Another patient from New York City exclaimed, “This is a gift from God that I was able to get my life back. Intimacy is only one part of it. I would like other women to know that there is help out there, it is for real, and it works!”

One important point that Dr. Croak emphasizes is that women should be informed consumers. “Several inferior imitators are surfacing that claim they treat GSM under the false guise of ‘vaginal rejuvenation,’ which the American Congress of OB/GYN’s 2016 Committee Opinion clearly states as a category ‘These procedures are not medically indicated, and the safety and effectiveness of these procedures have not been documented.’ These imitators are often retrofitted cosmetic lasers being touted at medi-spas by individuals with no training in female pelvic health,” he says. Whereas CO2 fractional laser of the vulva and vagina with Mona Answers to crossword from page 34 1

James D. Diethelm, MD Ryan Szenderski, PA-C Same day appointments available with our physician assistant

419.473.2273 7640 W. Sylvania Ave., Suite C2 Sylvania, Ohio 43560

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Lisa Touch has an FDA-approved medical indication and is required to be delivered by a physician in the state of Ohio, many competitors are used for a cosmetic indication. “We recently had an unfortunate patient from Detroit consult because she underwent a ‘vaginal rejuvenative’ procedure for vaginal pain. It was found her pain was actually an underlying vaginal cancer. The directing physician, who is not a gynecologist, did not examine her but had his staff provide treatment. To add insult to injury, she also paid double what most gynecologic specialists would charge for Mona Lisa Touch,” says Dr. Croak. The bottom line is, at the Northwest Ohio Center for Urogynecology & Women’s Health, women will get a scientifically validated and FDA-approved treatment for a fair value by a physician who specializes in female pelvic health and can address additional gynecologic concerns. ❦

For more information on Mona Lisa Touch or to schedule an appointment, please call Northwest Ohio Center for Urogynecology & Women’s Health at 419-893-7134. Financial incentives and discounts are available for this therapy.

St. Clare Commons earns accreditation from The Joint Commission Accreditation by The Joint Commission is a voluntary process that is above and beyond what is required by federal and state mandates, and demonstrates St. Clare Commons’ commitment to the highest level of care.

The Gold Seal of Approval® is a symbol of quality that reflects commitment to providing safe and effective patient and resident care.

46 June 2017 | Healthy Living News

Offering a continuum of care that includes assisted living, memory care, skilled nursing and rehabilitation services, St. Clare Commons makes every person feel that home is here. To learn more about call 419.931.0050 or visit homeishere.org. Follow us on Facebook.

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | June 2017

This is my life with joint pain. Joint replacement surgery can help you hold onto what you love. Our orthopaedic surgeons specialize in less invasive knee and hip procedures. With a quicker recovery and locations across the region, we make it convenient to delete joint pain from your life.

Call 419-442-0222 to schedule an appointment with an orthopaedic specialist. To learn more or register for a free information session, visit mercy.com/ortho.

A Catholic healthcare ministry serving Ohio and Kentucky