Your Monthly Guide to Healthy Lifestyles
June 2019 • FREE
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Look as young as you feel | Cancer clinical trials are critical Making memories at Sauder Village | Healthy foods for fathers Advanced prostate procedures | Area's 1st Trauma Recovery Center
It takes two to tango. M E R C Y. C O M /O R T H O
SPRING IS HERE! Look as young as you feel S
Dr. Handler also utilizes the unshine, flowers, allergies, latest in lasers for removal of “age wrinkles, and skin cancer all www.drharveyhandler.com spots” (sun spots really) anywhere accompany the pleasant spring on the body. This laser works espeweather we enjoy. Dr. Harvey cially well for the tops of hands covHandler sees more sunburn ered with those “age spots.” Finally, in spring than all throughout Dr. Handler also performs laser the summer months. Don’t let Smoother, tighter, younger-looking skin on face, arms, and chest removal of unwanted blood vessels spring’s mild temperatures fool that grow on your face and enlarge you into forgetting sunscreen. No surgery. with heat, stress, and the intake of Use a sunscreen of 30 to 40 No injections. alcohol. Again, pain and downtime SPF, and apply it generously No downtime. are minimal with this laser. 30 minutes before sun expoAnti-aging and cosmetic ensure. Reduce and prevent “age ADULT, arvey andLer, m.d., f.a.a.d. hancements are not for the female spots,” wrinkles, and skin canPEDIATRIC, dipLomate and feLLow of tHe american Board of dermatoLogy gender alone. Male cosmetic cer. Dr. Handler is a board-cer& COSMETIC enhancement and anti-aging procetified dermatologist and expert 5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital) DERMATOLOGY dures have increased almost 300% in the diagnosis and treatment HAIR & NAILS in the past 5 years for sagging skin, of sun-damaged skin and skin darkening under the eyes with the cancer. He will personally rec“hollow” look, and brown spots. The ommend and explain a skin-reutilization of fillers, such as Restylane and its family of fillers, juvenation program for you to reduce the visible signs of aging. The use of fillers, such as Restylane, Restylane Lyft, JuJuvederm, Radiesse, etc., is excellent for deep smile lines and Dr. Handler personally performs many anti-aging procedures that vederm, Radiesse, and others, to “fill” deep smile lines and the are “non-invasive” with minimal discomfort or downtime. You can minmarionette lines (the sad look) from the corners of the mouth pro- the “sad and tired look” as evidenced with sagging at the corners of the mouth, hollow cheeks, and aging of the hands. And, of imize under-eye darkening and wrinkling, raise those droopy eyelids, duces immediate results lasting 12-15 months! Don’t look tired or course, the use of Dysport/Botox to reduce forehead “worry shrink pores, lift sagging jowl areas, and appear as youthful as you sad when you are not! Since these products are combined with a lines” is superb. feel. Call Dr. Handler’s office for a personal evaluation with treatment numbing agent, the pain is minimal. Now, Dr. Handler utilizes the All of these cosmetic enhancements are performed entirely recommendations designed specifically for your aging skin. injection of new fillers called “Restylane Silk” and “Restylane by Dr. Handler. To view before-and-after photographs of patients Remember, 80% of the signs of aging are due to prior sun expoRefyne and Defyne.” These products markedly improve upper who have had these procedures performed by Dr. Handler, visit sure and subsequent skin damage. All the brown spots (“age spots”), and lower lip lines (lipstick lines). Restylane Silk also volumizes www.drharveyhandler.com. For more detailed information about broken blood vessels on the face, fine lines, and sagging skin are your lips and restores their natural curve while looking attractive the above-mentioned procedures or products, please call Dr. caused almost entirely by sun! This is something young people and natural. Restylane Silk also can be utilized to minimize the Handler’s office at 419-885-3400. Also, remember to inquire should be aware of since we get 80% of our lifetime sun exposure by “worry lines” between your eyes. There is no downtime with these about specials available on many cosmetic procedures and prodthe time we are 18-20 years of age. non-invasive procedures. ucts to diminish the signs of aging and obtain a more vibrant and Do you want to reduce fine lines, acne scars, and age spots What about the “worry lines” between your eyes, deep smile youthful appearance of your skin. Look as young as you feel. (brown spots from sun exposure) and shrink pores? Then the lines, upper lip lines (lipstick runs uphill), and your sagging jowls and Also, everyone should have a yearly full body exam to Clear and Brilliant laser is for you. When the Clear and Brilliant neck? These unfortunate changes caused by prior sun exposure and check for skin cancer conducted only by a board-certified dermalaser is combined with Thermage CPT Deep Tip, the results are aging can be improved dramatically with pain-free, non-invasive cosideal for patients who desire no downtime or pain and predictable tologist. metic procedures performed entirely by Dr. Handler. Hair loss in men and women results of lifting sagging skin and smoothing fine lines. Dr. HanThe NEW Thermage CPT Deep Tip procedure painlessly heats Are you losing hair from surgery, anesthesia, illnesses, pregdler is the only dermatologist in northwest Ohio performing this damaged collagen under your skin to tighten and lift sagging areas nancy, medications, stress, genetics, or “normal” hair loss secprocedure. of the neck, jowls, upper arms, and abdomen. The NEW Thermage ondary to aging or low blood levels of nutrients? There are many Are you aware that Dr. Handler personally performs laser CPT Deep Tip procedure utilizes radiofrequency energy (not laser). causes of hair loss in men and women. Most are not simply due procedures for removal of body hair anywhere hair grows? Yes, This procedure also encourages a natural repair process that results to age or family history, and most are treatable. Now these probthis minimally painful laser destroys hairs around the chin, jawin further tightening, lifting, and younger-looking skin. With only ONE lems of hair loss can be evaluated and there is hope for reducing line, upper lip, underarms, ears, nose, bikini line, etc. And this treatment, results are seen before leaving the office. Continued tightyour hair loss and stimulating new growth. Dr. Harvey Handler, laser is not just for women. Many men have this laser performed ening and lifting of sagging skin occurs over a 6-month time period board-certified dermatologist of Sylvania, Ohio, has a medical to permanently remove chest and back hair as well as beard hair with results lasting 3-4 years! There is NO downtime and NO pain. treatment for decreasing your hair loss and increasing growth in that grows down onto the neck. The NEW Thermage CPT Deep Tip system has been utilized by Dr. many patients! Handler for many years with exPediatric skin disease diagnosis t is appropriate for patients to understand why it is in their best Be aware and cautious of medi-spas and cosmetic centers cellent results and very satisfied and treatment is one of Dr. Handler’s medical interest to always seek the advice of a board-certified organized and maintained by individuals other than a board-certipatients. dermatologist for skin care. Why is seeking a board-certified fied dermatologist or even any medical doctors (not MD’s). Many special fields in general DermatoloFor lines between the eyes dermatologist the most beneficial route for solving skin disease of these individuals have no formal education or training in skin gy. From birth onward, Dr. Handler (worry lines), crow’s feet, and issues versus a general practitioner, nurse practitioner, physician’s disease diagnosis, treatment, or cosmetic enhancement of skin diagnoses and treats eczema, assistant, or any other medical individual? I am providing the defects. the “sleepy and tired look with hemangiomas, contact and allergic How do you know whether he/she is a board-certified dermadroopy eyelids,” the use of Botox following information for patients to understand the necessity of dermatitis, and general “lumps and seeing a board-certified dermatologist. tologist? Look for F.A.A.D. (Fellow of the American Academy of or Dysport works well to improve bumps” that children and infants Please be aware that a board-certified dermatologist has the Dermatology, which is a designation from the American Academy these areas. The results are difollowing minimum education versus the above-mentioned quasi of Dermatology) following their name. To confirm this information, develop. What about “birth marks,” minished lines and a more “wide “skin doctors”: check the website at aad.org/findaderm. None of the above rescalp and body “ringworm,” body 1. Four years of college to earn a bachelor’s degree quirements are met by a nurse practitioner, certified nurse pracawake” and less tired appearand head lice, scabies, psoriasis? If 2. Four years of medical school to become a medical doctor titioner, physician assistant, or any other medical doctor licensed ance. These products are also there is a lesion or spot on the skin, (MD) or doctor of osteopathic medicine (DO) to practice medicine. Do your homework before trusting your skin fantastic to reduce anxiety-inDr. Handler is trained to properly 3. One year of an internship disease diagnosis and treatment to anyone but a board-certified duced underarm sweating for 5-7 4. 3-4 years in a dermatology residency program dermatologist. examine, diagnose, and treat appromonths after treatment. 5. Has passed exams for board certification in dermatology. priately. ❦
Reduce lines, fade sun spots clear + brilliant laser H
L. H
419.885.3400
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Mission Statement Healthy Living News offers the residents of northwest Ohio and southeast Michigan a monthly guide to news and information about healthy life styles, health care, sports and fitness, and other issues related to physical, mental and emotional quality of life. The publication promises to be an attractive, interesting and entertaining source of valuable information for all ages, especially those 35 to 50. Healthy Living News is locally owned, committed to quality, and dedicated to serving our great community. Healthy Living News is published the first of each month. The opinions expressed by contributing writers do not necessarily reflect the opinions of the publisher. Distribution of this publication does not constitute an endorsement of any kind. While HLN makes every attempt to present accurate, timely information, the publication and its publisher and/or advertisers will not be held responsible for misinformation, typographical errors, omissions, etc.
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June 2019 • Vol. 24, Issue 6
Your Monthly Guide to Healthy Living
ENRICHING YOUR LIFE
HEALTH & BEAUTY (continued)
11 Make happy memories at Sauder Village
28 Eating Well – Healthy tips for healthy dads by Laurie Syring, RD/LD
18 A Walk in the Park by LeMoyne Mercer 22 Black Swamp Conservancy introduces Ohio Wildlife Guide 24 Staying “cool” this summer and Dave's Races by Amanda Manthey 28 Health Crossword Puzzle 35 Spiritually Speaking – Are you homesick for God? by Sister Mary Thill 36 What is a life coach? by Dan Jachimiak 37 Nobody’s Perfect – Taking care of business by Sister Karen Zielinski, OSF 40 You’re never too old for Super Slow Training
Editorial office:
Deadline for editorial submissions is the 10th of the month preceding publication. To contact the editor or send submissions, please email editorhln@bex.net.
Publisher: Kevin O’Connell Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Robin Buckey Graphic Designer: Mary Ann Stearns Web Designer: Strategically Digital LLC Social Media Specialist: Lauren Hite Distribution: Jim Welsh • Charlie Nolan Dominion Distribution Distributech–Toledo Copyright © 2019 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.
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30 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 32 Flotation devices do NOT promote safe swimming! by Kym Cragel 34 Get your skin ready for summer fun by Dr. Erin Hennessey 42 Acupuncture and chiropractic replacing opioids for pain control by Douglas A. Schwan, DC, Dip ac 43 Summer is the perfect time for many cosmetic procedures
41 Gardening for the space-impaired 45 All the right moves: involuntary discharge notices by Chris Stieben and Megan Benner Senecal 46 Paddling a canoe is good for you! by Mary Pat McCarthy
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.
29 Grilling safety: Don’t let your summer fun go up in smoke
HEALTH & BEAUTY 2 Spring is here! Look as young as you feel 5 Early detection is best defense against pancreatic cancer 7 Today’s cancer clinical trials bring tomorrow’s treatment advances
OUR COMMUNITY 6 Laurels helps army vet prepare for back surgery and future with less pain 9 Specialized expertise and services set NOMS CPW Healthcare apart 14 Sunset House: a hidden gem with historic charm 15 Mercy Health opens region’s first Trauma Recovery Center for crime victims of all ages 23 UTMC offers advanced prostate biopsy that fuses MRI and ultrasound imaging 26 Local internist opens new office
12 Ask the Expert: Think you have an enlarged prostate?
27 Alzheimer’s fundraising will be all the fashion at The Manor at Perrysburg June 13
16 Cataract surgery: what you need to know
38 Local functional medicine practitioner gets to the root of disease
22 Understanding autoimmune inner ear disease by Randa Mansour-Shousher, AuD, CCC-A
44 Senior Living Guide
Dear Readers, enlarged prostate, performed by RoMIUS Thank you for picking up the June Urology (p. 12); an advanced approach issue of Healthy Living News. This to prostate biopsy that fuses MRI and month’s cover photo spotlights one of ultrasound imaging offered at UTMC’s the many young swimmers Eleanor N. Dana Cancer Center who have been trained by In(p. 23); the new community-based fant Swimming Resource (ISR) Mercy Health – Toledo Trauma Certified Instructor Kym Cragel Recovery Center, which provides to be Aquatic Problem Solvers. a wide range of services for adult In the article on page 32—a and child victims of crime (p. must-read for every parent now 15); and local internist Dr. Adel that swimming season is in full Gad who recently opened a new Kevin O'Connell swing—Cragel explains how the office location on W. Central use of flotation devices runs counter to Ave. (p. 26). swimming safety and can actually put Plus, ProMedica hematologist and kids’ lives in danger. medical oncologist Dr. Abhijit Saste Also featured this month are articles shares his expert insights on pancreatic on the specialized expertise and therapy cancer (p. 5), Dr. Rex Mowat of The services available at NOMS CPW Health- Toledo Clinic Cancer Centers discusses care (p. 9); the state-of-the-art, minimally the importance of cancer clinical trials (p. invasive UroLift procedure for treating 7), Dr. Wade Banker of Luxe Laser Vein
& Body Center explains why summer is the ideal time to have cosmetic procedures performed (p. 43), and TMACOG’s Mary Pat McCarthy expounds on why paddling a canoe is so good for you (p. 46). As we approach mid-year, I always like to take the opportunity to thank our advertisers whose ongoing support makes it possible for us to continue bringing you the very best, locally written content on healthy lifestyles free of charge each month. We’re also extremely grateful to our loyal readers for their continued confidence in HLN and are humbled by all the positive feedback we receive from community residents who share that this publication has had a positive impact on their lives.
Parkinson Foundation of Northwest Ohio
SUPPORT GROUPS
Dedicated to Educate, Comfort and Raise Awareness
Ashland County - 2nd Tuesday 2:00 pm Belmont Tower - 2140 Center Street, Ashland, OH John Rowsey 419-289-1585 Auglaize County - 3rd Monday 2:00-3:00 pm March October and 3rd Monday in November at 1:00 pm Joint Township District Memorial Hospital 200 St. Clair Street, St. Mary’s, OH 45885 Linda Dicke 419-394-3335 Group in Fulton County First Tuesday of the Month, 1:00 pm St. Martins Lutheran Church 203 S. Defiance St., Archbold, OH 43502 Bonnie Lauber 419-445-9516 Hancock County - 3rd Monday 1:15 pm 50 North - 339 E. Melrose Ave., Findlay, OH 45840 Mark and Deb Fisher 419-423-4524 Lima Area - 1st Thursday of the month - March through November, 11:00 am - Noon Grace Community Church 4359 Allentown Lima, OH 45807 Heather Harvey 419-226-9632 Parkinson Project of NW OH Young On-Set Group 2nd Wednesday 7:00 pm *Meets every Month EXCEPT July Hilton Garden Inn Levis Commons Perrysburg, OH Toni & Bob Lesinski 419-385-4330
ProMedica Memorial Hospital/Seneca County PD Support Group 2nd Tuesday 2:00 pm - Meets every other month: Jan, Mar, May, July, Sept, Nov First United Church, 1500 Tiffin Ave., Fremont, OH 43420 Lesley King 419-334-6630 Putnam County - 4th Wednesday of the Month March through November, 11:15 am to 12:45 pm Henry’s Restaurant 810 N. Locust St., Ottawa OH 45875 Beth Hartoon, PT, DPT 419-523-3590 Sandusky - 1st Thursday of the month, 2:00 pm (Resumes March 2019) Firelands Hospital, South Campus Community Resource Room 1912 Hayes Ave., Sandusky, OH 44870 Angela Myers 419-625-3005 Shakin’ Not Stirred’s Monroe County and Contiguous Area Parkinson’s Support Group Held 3rd Wednesday of Month, 6:30 pm except July and August Nature Center - 4925 E. Dunbar Rd., Monroe, MI 48161 Jennifer Traver 734-497-5683 Western OH - 3rd Thursday 2:00 pm New location: Briarwood Village 100 Don Desch Dr., Coldwater OH 45828 Alicia Koester 419-678-2851 Williams County - 3rd Monday 12:30 pm *Months with County holidays – the 4th Monday
Bryan Senior Center, 1201 South Portland, Bryan, OH 43506 Senior Center number 419-636-4047 Laura Rohlf 419-924-2927 The Waterford at Levis Commons Perrysburg 3rd Tuesday of the Month 6:00 pm to 7:00 pm 7100 S. Wilkinson Way, Perrysburg, OH 43551 Michael Zickar CAREGIVER SUPPORT GROUP: Caregiver Support Group of Fulton County Meet 3rd Wednesday of the Month 10:00 am St Martins Lutheran Church 203 S. Defiance St., Archbold, OH 43502 Bonnie Lauber 419-445-6516 Toledo Caregivers (C.A.R.E.S.) Support Group 1st Monday 6:30 pm (except Holidays) Genacross Lutheran Services -Assisted Living 3rd Floor 2001 Perrysburg-Holland, Holland, OH 43528 Kristen Schuchmann 419-383-6737 Sign up for our quarterly newsletter! We have new patient packets available! Visit our website pfnwo.org Parkinson Foundation of Northwest Ohio - pfnwo 150 W.S. Boundary, PMB #202, Perrysburg, OH 43551 800-438-5584
Click on our EVENTS tab at PFNWO.ORG, for more information and how to register for these events: BGSU Speech and Hearing Clinic Speech Motor Lab Summer 2019 Parkinson’s Speech Clinic The University of Toledo Speech-Language-Hearing Clinic Summer 2019 Speech Therapy The University of Toledo Medical Center Parkinson Disease Research and Clinical Trials Pacing For Parkinson’s – Saturday, September 14, 2019 New Location: Crosby Conference Center in Toledo Botanical Gardens Shaken Not Stirred – Friday October 4, 2019 New Location: The Hilton Garden Inn at Levis Commons
Parkinson’s CarePartner Seminar SAVE THE DATE
Tuesday, October 22, 2019 LOCATION Grace Community Church, 4359 Allentown Road, Lima, Ohio 45807 TIME 11:30 am to 2:30 pm SPONSORS Parkinson Foundation of Northwest Ohio and Mercy Health-St. Rita’s FOR MORE INFORMATION OR TO REGISTER Call Beth Hartoon at 419-523-3590 or Heather Harvey at 419-226-9632
4 June 2019 | Healthy Living News
OhioHealth Delay the Disease™, introduces a seminar designed specifically for carepartners of people living with Parkinson’s disease. In this seminar, the carepartner will learn the importance of caring for themselves, and understand Parkinson’s-specific fitness routines to help the individual with Parkinson’s incorporate daily exercise into their lives at home. We will talk about managing stress, fatigue, and balancing being a spouse and a carepartner. Presented by Co-Founders – OhioHealth Delay the Disease™: JACKIE RUSSELL RN, BSN, CNOR
DAVID ZID BA ACE APG
Delay the Disease™ is an evidenced-based fitness program for people living with Parkinson’s disease. The program is designed to empower participants by optimizing their physical function and helping to delay the progressive of symptoms.
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Early detection is best defense against pancreatic cancer
W
hen pancreatic cancer strikes to the back; poor appetite; weight celebrities such as Apple loss; jaundice, or yellowing of the co-founder Steve Jobs or, more re- eyes or skin; and in some cases, the cently, “Jeopardy!” host Alex Trebek, onset of diabetes with no traditional public awareness of this disease in- risk factors. Some symptoms of pancreases significantly, leading many to creatic cancer are quite vague and wonder how they might think and may emulate symptoms resulting feel upon receiving the same diag- from more benign conditions, such nosis. Perhaps not surprisingly, the as acid reflux or gastritis, which is reaction to such news is oftentimes another reason patients may fail to seek a medical evaluation in time to fear and anxiety. The American Cancer Society initiate effective treatment. estimates that there will be approxiAmong the common risk factors mately 56,770 new cases of pancreatic for pancreatic cancer are smoking, cancer and about 45,750 deaths from which puts one at two to three times the disease in the United States in greater risk, as well as obesity, eating 2019. Furthermore, pancreatic cancer a high-fat diet, and advancing age. is the third-leading cause of cancer “Heredity and genetic predisposition death and has a guarded prognosis also increase risk, so if you have a when all stages of this cancer are family history of pancreatic cancer, combined. it’s very important make According to ProMedica your medical care team hematologist and medical aware of this,” says Dr. oncologist Abhijit Saste, Saste. MD, what makes pancreatThe only potentially ic cancer such a challenge curative treatment for panfrom the standpoint of creatic cancer is surgical reeffective treatment is that section early in the disease the disease is quite agprocess. Dr. Saste points gressive, often spreading out that once the cancer rapidly beyond the prispreads to surrounding Dr. Abhijit Saste mary site to surrounding tissue and/or the lymph tissues and lymph nodes; nodes, the survival rate typically causes no symptoms until it drops dramatically. “Upon spread has reached a very advanced stage; of the cancer to more distant organ and tends to be resistant to chemo- systems, the cancer becomes incurtherapy. “Even when detected and able and the goal of treatment in that surgically resected at an early stage, instance is not to cure the cancer, the five-year survival rate is only but to reduce the size of the tumor, about 30%,” he adds. alleviate symptoms, and prolong the Despite all these challenges and patient’s life,” he states. grim statistics, researchers continue to Exactly why pancreatic cancer seek new ways to target this cancer and seems to resist chemotherapy is not unmask its vulnerabilities. A gamut of fully understood. However, it has new approaches are currently being been suggested that weakening of the tested in large-scale clinical trials. For immune system and the biology of the public, it’s vital to be armed with this cancer may play a significant role. knowledge and understanding of Researchers are exploring vaccines this stubborn disease, its symptoms, and various forms of immunotherapy and its risk factors. to help harness the body’s natural The pancreas is an elongated, defenses in the fight against pancreatic tapered organ located behind the cancer. “Also, the tissue surrounding stomach and in front of the spine. pancreatic cancer tumors tends to When working properly, it performs be very dense, so certain trials are two very important jobs: aiding in looking at desiccating the tissue to digestion and producing hormones improve the delivery of chemotherapy that regulate blood sugar, including agents to the tumor site,” Dr. Saste insulin. Dr. Saste notes that when says. “In addition, we’re starting to a tumor is present in the pancreas, see new developments in the use some of the more common symptoms of various targeted approaches that that might arise include upper abn Early detection - continued on p23 dominal pain, potentially radiating
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Healthy Living News | June 2019 5
Laurels helps army vet prepare for back surgery and future with less pain
M
ilt Nash, 66, never shied away from hard work. When a job needed to be done—and however difficult the labor—he threw himself into the task with no complaints. Today, with a little help from the dedicated team of rehab professionals at The Laurels of Toledo, he is harnessing that same tenacity to overcome debilitating lower-back pain and neuropathy in his legs caused by spinal stenosis. Nash, who served in the US Army in the 1970s (in heavy artillery and drug and alcohol counseling, among other roles), came to The Laurels of Toledo for rehab on April 18 at the recommendation of the Veterans Association as a requisite next step before back surgery. “I’ve been doing everything I can to get stronger and better, but I still have lower back pain and tingling and numbness in my legs,” he explains. “Part of the reason I came to The Laurels is that I could only get two to three days of therapy per week through the VA. Here I get it seven days a week and it’s more intense.” To help strengthen Nash’s weak leg muscles and improve his function and
6 June 2019 | Healthy Living News
mobility, the Laurels team has employed a variety of different therapeutic modalities and techniques, including the state-of-theart AlterG® Anti-Gravity Treadmill ®. Nash states that he wasn’t sure what to make of the AlterG initially—especially when he put on the special pants and was zipped into the inflatable chamber for the first time. “I felt like I was in a Eureka vacuum!” he recalls with amusement. “But that machine has really helped strengthen my muscles and improve my agility,” he says. Also, due to his spinal stenosis, Nash tends to walk with a shuffle
and lean forward over his walker when attempting to ambulate without a wheelchair. H o w e v e r, while working in the reduced-gravity environment of the AlterG, he’s able to stand with an upright posture and achieve a more normal gait pattern. Laurels physical therapy assistant Matt Snyder notes, “With the AlterG, we started Mr. Nash at only 44 percent of his body weight, but he’s now up to 56 percent. We achieved that very gradually over the course of a few weeks with slowly increasing speed. We also have him walking a short distance using a cane as well as
climbing stairs, which is something he’ll need to do when he gets back home.” Furthermore, Snyder has scheduled a home-safety visit to ensure that, once discharged, Nash can safely function in, and navigate around, his home. Throughout Nash’s rehab journey, what struck Snyder most was his indomitable spirit. “It’s really a testament to Mr. Nash’s character how much he throws himself into his program. I don’t recall that he even mentioned the word ‘pain’ until relatively recently when he commented how good it felt when we applied a hot pack to his back. He just attacks whatever task we present to him with no complaints,” he says. Despite significant improvements, Nash still experiences back pain and symptoms of neuropathy that will likely improve only with surgery. “On the one hand, Mr. Nash is continually able to walk 250 feet using a walker with no hands-on assistance. But at the same time, he’s still bending over and putting too much weight n
Army vet - continued on p43
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T
Today’s cancer clinical trials bring tomorrow’s treatment advances
hanks to dramatic advances in tigative treatment with the standard cancer diagnosis and the advent treatment plus placebo. At the very of cutting-edge treatments such as least, the patient receives the current immunotherapy, targeted chemother- “gold standard” treatment. apies, tissue-sparing techniques, and Another potential obstacle to particmany others, cancer survivorship is ipation is concern over being treated on the rise and patients have more as a “guinea pig.” This fear is often reason than ever to be optimistic allayed during the informed-consent about their future. However, none process and with the knowledge that of these advances would have been every clinical study has an important possible without clinical trials and safeguard in the form of an instituthe patients who were willing to tional review board, or IRB. An IRB participate in them. consists of both scientific According to Rex and non-scientific memMowat, MD, of The Toledo bers, whose responsibility Clinic Cancer Centers, canis to review and approve— cer clinical trials not only or disapprove—a clinical unveil better therapies and trial before it’s used in a diagnostic techniques, but particular clinical setting they also help oncologists as well as to ensure that establish best practices and the trial follows approved standards of care, minimize ethical guidelines to protect or eliminate unpleasant patients and the integrity side effects of treatment, of the science. Dr. Rex Mowat Travel can also be a hinand improve many other aspects of patients’ quality of life. “To drance if the patient has to drive a put it simply, clinical trials are how long distance to reach the facility that’s we achieve better care and increase performing the clinical trial. However, the number of treatment options Toledo-area residents can often take available to patients,” he states. part in major trials without leaving To determine whether it’s appro- the comfort of the community they priate for a patient to participate in a call home. “One of the advantages clinical trial, the patient and oncologist for local cancer patients is that they must carefully consider all eligibility don’t necessarily have to go to a large and ineligibility criteria. “There’s tertiary center, such as the University also a very involved informed-con- of Michigan or the Cleveland Clinic, sent process that explains to the to participate in a clinical study. Here patient the nature of the trial, why at The Toledo Clinic Cancer Centers, the study is being done, who will be we have over 70 active clinical trials, performing it, potential benefits and and we enroll patients in phase 1 risks associated with participation, clinical trials offered at The Univerwhat side effects there could be and sity of Toledo. Oftentimes, these are how we will respond to them, any the same leading-edge trials offered additional testing or procedures that elsewhere, but they don’t have to will be required, and much more. Of travel to reach them and they can course, patients are also advised that sleep in their own bed at night,” they are always free to withdraw states Dr. Mowat. from the study at any time if they The Toledo Clinic Cancer Centers, so choose,” says Dr. Mowat. located at 4126 N. Holland Sylvania Some patients think twice about Road, Suite 105, has 15 physicians, 4 exploring the option of participating Research Nurses, and 6 nurse pracin a clinical trial because they’re con- titioners on staff and can provide cerned they might end up getting a imaging and laboratory diagnostic placebo instead of an active treatment. services, chemotherapy services, and However, this fear is unfounded. IV services. TTCCC also has satellite Placebos are seldom used in cancer centers in Maumee, Napoleon, Bowlclinical trials, and when they are, ing Green, Adrian, and Monroe, as the trial is usually comparing the well as a partnership with the Mercy standard treatment plus the invesn Clinical trials - continued on p23
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4126 N. Holland Sylvania Rd., Suite 105 4126 N. Holland Sylvania Rd., Suite 105 Toledo, OH 43623 Toledo, OH 43623
Call 419.479.5605 Call 419.479.5605
Located on N. Holland Sylvania Road, we have Located onMRI N. Holland Sylvania Road, we have laboratory, and other specialty services laboratory, MRI and other specialty services conveniently located on the premises. conveniently located on the premises.
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Dr. David Brown Dr. Shaili Desai
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Dr. Rex Mowat Dr. Richard Phinney Dr. Mowat Richard Phinney Dr. Rex
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Dr. Hammad Rashid
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Dr. Abhay Shelke
Abhay Trivedi Shelke § Dr.Dr.Charu Charu Trivedi § Dr. Charu Trivedi n
For the convenience of our patients, we also have satellite offices in Adrian, Bowling Green, Maumee and Monroe.
ToledoClinicCancerCenters.com ToledoClinicCancerCenters.com
Healthy Living News | June 2019 7
8 June 2019 | Healthy Living News
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Specialized expertise and services set NOMS CPW Healthcare apart
N
OMS CPW Healthcare, formerly CPW Health Center, has been serving the Toledo community since 1987. Originally owned independently by Leonard Greninger, PhD, a professor in the department of Kinesiology at The University of Toledo, this unique facility is now proudly affiliated with NOMS Healthcare (Northern Ohio Medical Specialists) and continues to provide comprehensive physical-, occupational-, and aquatic-therapy services in a warm, welcoming, family-oriented environment. Though NOMS CPW Healthcare offers a full range of traditional therapy services, what really sets the facility apart is the specialized expertise of its providers. NOMS CPW Healthcare administrator Cindy Binkley explains, “From the standpoint of physical therapy, we’re best known for our special expertise in spine rehab and our extensive experience working with older adults who have conditions such as arthritis, chronic pain, or dizziness, or are at risk of falling. We also specialize in treating pelvic health issues, such as incontinence.” Furthermore, NOMS CPW Healthcare recently welcomed James Vitale, PT, to its physical therapy team, which also includes Paul Barnes, PT, and Karla Gleason, PT. Vitale, who has over 30 years of clinical experience, can provide any type of physical therapy but specializes in treating conditions of the spine.
Among the hallmark services available at NOMS CPW Healthcare is aquatic therapy. In fact, CPW was the first rehab facility in our community to offer aquatic therapy on site and boasts the warmest therapy pool in Northwest Ohio, with the
water temperature always hovering between 92 and 95 degrees. “We’ve used aquatic therapy to treat people with a wide variety of problems, including spine issues, fibromyalgia, total joint replacements, stroke, Parkinson’s disease, cerebral palsy, paraplegia, and many other conditions that affect function and mobility,” Binkley says. The warm water of the therapy pool “unloads” patients, relieving them from the effects of gravity, which often makes it possible for people with muscle weakness, joint problems, or neurological conditions to stand, walk, or exercise in a manner that would be impossible for them on land. In addition, the hydrostatic pressure that the water applies to the body functions much like a compression stocking, helping to increase blood flow back to the heart, which can be highly beneficial for people with vascular problems. “We’ve also found that with the warmth of the pool, patients are less tense and guarded, which helps build their spirit and confidence,” adds Binkley. Another service NOMS CPW Healthcare is well known for is medical fitness—a supervised fitness program, involving both land-based and aquatic exercise, that is overseen by either a kinesiotherapist or an exercise specialist. This program, which started in 1990, was inspired by two patients, one who had cerebral palsy and another who was paraplegic. Binkley recalls, “These patients were here for aquatic therapy, but when it was time for them to be discharged, they had nowhere to go to continue building on what they’d already achieved. So they asked me and the other therapists if we would be willing to stay and supervise them over lunchtime. We all agreed, and the rest is history.” Binkley further explains that the medical fitness program makes it possible for patients to continue working
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out in an environment where they’re already comfortable and with staff members they already know. With a fitness expert close at hand, they also have the ability to ask any questions they might have, such as how to avoid injury while doing certain daily activities or how to make their exercise program more challenging yet still safe. Various group classes, such as Arthritis Aquatics, Tai Chi, and Zumba, are also offered at NOMS CPW Healthcare, and the facility accepts Medicare Advantage plans, which often cover the cost of SilverSneakers and other fitness programs specifically structured for seniors. Of course, many of the most vocal advocates of NOMS CPW Healthcare are the facility’s current or former patients. Deborah R., for example, emphatically states, “The entire staff was exceptional at all times! I was very impressed by their professionalism, but I was most overwhelmed by their genuine care and friendly nature. I always left feeling better and with a smile on my face!” Referring physicians have high praise for NOMS CPW Healthcare as well. “For over 20 years, the consistency of high-quality care provided to my patients has made CPW my first choice in referral for physical therapy. The number of patients that return for their future therapy needs testifies to the excellent care provided,” comments Darlene Fairchild, MD. Binkley emphasizes that she and the rest of the CPW team are honored to now be part of NOMS Healthcare, a multi-specialty medical group of over 250 physicians headquartered in Sandusky, Ohio. “Joining the NOMS family affords CPW a robust administrative, financial, and human resource team, and we are now able to focus entirely on providing topnotch therapy and medical fitness services—which is what we do best!” she says. NOMS CPW Healthcare is located at 3130 Central Park West Drive, Suite A, in Toledo. For more information, please call 419-8419622 or visit NomsHealthcare.com. ❦
A FULL WELLNESS CLINIC with Acupuncture, Chinese Herbal Medicine, and Massage Therapy.
Top-Rated Natural Healthcare “I have seen a significant improvement in my chronic problems with sinusitis and bronchitis, as well as my overall health, since I have been seeing Tamara for acupuncture, Chinese herbs, and a procedure known as cupping. Tamara is compassionate, caring and very knowledgeable about her profession. I would highly recommend her to anyone who is serious about regaining their health.” - Danielle V. This story is just one of the many successes at Tamara TCM Wellness Clinic. Many conditions are effectively treated with Traditional Chinese Medicine.
Call to book with one of our highly trained Licensed Acupuncturists.
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Pins not your thing? We offer massage too! Healthy Living News | June 2019 9
10 June 2019 | Healthy Living News
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Make happy memories at Sauder Village R
ising from the cornfields of rural Northwest Ohio is Sauder Village—a memorable destination where guests can unplug, slow down, and spend quality time with friends and family while enjoying fun with a purpose. The Sauder Village experience moves guests from the modern, fastpaced life into a world that celebrates unforgettable sights, sounds, and memories from the past. Sauder Village offers plenty for guests to see and do while visiting historic homes, farms, gardens, and community shops. Families can now take a walk into a more modern age while exploring part of the 1920s Main Street. The relocated District 16 Schoolhouse and Doctor’s Office, as well as the Barbershop, Depot, and Bandstand are now open at the 1920s Main Street. By mid-summer, plans call for the Livery, Car Dealership, and Gas Station to also be ready for guests to enjoy. Also new this season, a ride on the Erie Express Train will be included with admission to the Historic Village. The train ride is not only fun, but also offers an easy way for guests to travel through the expanding “Walk Through Time” experience at Sauder Village.
Throughout the season, guests can enjoy themed experiences with an emphasis on historic cooking, farming, and crafts. Activities will encourage guests to discover the power of water, help pack a wagon, and learn about horses, pigs, cows, and how to milk a goat. Guests will also enjoy visiting the many new baby animals and exploring the popular “Explore Our Ecosystem” handson exhibit in the Garden Shed. New this year, guests will have an opportunity to enjoy special music throughout the season as part of the “Melodies on Main Street” Concert Series at Sauder Village. Talented musicians from throughout the region will perform on select dates at the 1920s Main Street
Bandstand. The afternoon concerts are included with admission to the Historic Village and are free for Sauder Village members. A variety of other fun special events are planned throughout the season, including author days, a fiddle contest, doll show, apple week, vintage baseball, craft events, and more! Throughout the Village, guests can also marvel at craftsmen blending skill and creativity in glass, metals, fabric, wood, and clay. Every day, traditional and contemporary craftsmen not only demonstrate their trade, but also offer hand-crafted items available 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 Historic Sauder Village offers our guests an opportunity to reflect on the past,” shared Kim Krieger, Sauder Village Media Relations Specialist. “Our village is an excellent place for guests of all ages to enjoy together. Whether it’s a couple looking for a relaxing day away, a fun day with grandchildren, or a special outing with good friends, it’s like a ‘blast from the past’ for many of our guests.” Sauder Village also offers a variety of unique shopping venues for guests to enjoy, including the Village Gift Shop, Threads of Tradition Quilt Shop, and an old-time General Store. The Sauder Store and Outlet offers a wide selection of ready-to-assemble furniture made locally in Archbold. This home-town factory store has a huge selection of home accessories, boxed furniture ready to take home, as well as some great deals in the Outlet section of the store. n
Sauder Village - continued on p31
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ASK THE EXPERT: Think you have an enlarged prostate? Saleem Zafar, MD, of RoMIUS Urology, part of The Toledo Clinic, answers questions about symptoms and discusses a minimally invasive breakthrough treatment option.
Enlarged prostate can wreak havoc on a man’s quality of life, so it’s important to see a physician if these problems persist.
What treatment options do you recommend to your patients?
Treatment options for enlarged prostate range Dr. Saleem Zafar from medications to surgery, with minimally inOver 70% of men in their 60s have vasive options in between. Medications can be helpful in resymptoms of enlarged prostate1.This can cause loss of productivity and lieving symptoms for some men, but sleep and, in some cases, can cause patients must continue taking them depression.2 Common symptoms long-term to maintain the effects. include: Some patients may suffer side effects including dizziness, headaches, or • Frequent need to urinate both sexual dysfunction. And some may not day and night get adequate relief of their symptoms. • Weak or slow urinary stream Surgical options, such as transure• A sense that you cannot completely empty your bladder thral resection of the prostate (TURP) or photovaporization of the prostate • Difficulty or delay in starting (PVP), are very effective. However, urination these typically require general anes• Urgent feeling of needing to thesia, overnight hospitalization, and urinate • A urinary stream that stops and post-operative catheterization. Surgery can also increase the risk of erectile starts
What are the symptoms of enlarged prostate and when should men see a urologist?
12 June 2019 | Healthy Living News
dysfunction or loss of ejaculation.
Can you describe what minimally invasive treatments are available?
I’m very excited to offer my patients a revolutionary procedure called the UroLift® System treatment. The UroLift System treatment is a breakthrough, minimally invasive procedure to treat enlarged prostate. It does not require any cutting, heating, or removal of prostate tissue. Here’s how it works: a urologist uses the UroLift System device to lift and move the enlarged prostate tissue out of the way so it no longer blocks the urethra (the passageway that urine flows through). Tiny implants are placed to hold the tissue in place, like tiebacks on a window curtain, leaving an unobstructed pathway for urine to flow normally again.
What are the benefits of the UroLift® System?
I perform the UroLift System treatment on my patients in the office and at a Surgery Center. The procedure typically takes under an hour, preserves sexual function, and doesn’t require cutting, heating, or removal of tissue.
Compared to other BPH surgeries, the UroLift System procedure has a strong safety profile START with minimal side effects.3 Most common side effects are mild to m o d e rFINISH ate and include pain or burning with urination, blood in the urine, pelvic pain, urgent need to urinate, and/ or the inability to control the urge. Most symptoms resolved within two to four weeks after the procedure. References: 1. Berry, et al., J Urol 1984 2. Speakman et al., 2014 BJUI International 3. Roehrborn, et al., J Urology 2013 ©2017 NeoTract, Inc. All rights reserved. MAC00530-01 Rev A ❦
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Healthy Living News | June 2019 13
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SunSet RetiRement CommunitieS w w w. s u n s e t - C o m m u n i t i e s . o r g 14 June 2019 | Healthy Living News
Sunset House: a hidden gem with historic charm
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estled in a serene, wooded setting on Sunset Retirement Communities’ Indian Road campus is one of our region’s hidden gems—Sunset House. Founded in 1871 as a “Home for Friendless Women,” Sunset House has continually evolved to meet the changing needs of our community, and now provides several options for assisted living as well as on-site long-term care, respite care, and therapy services. Today’s Sunset House features many modern updates. In fact, much of the facility was renovated and refreshed in recent years to support a vibrant lifestyle for residents. Seniors who choose the Sunset House community also find themselves freed from the chores and burdens of homeownership so they can devote their time and energy to favorite pastimes and pursuits. Furthermore, the Indian Road campus is convenient to dining, shopping, cultural opportunities, medical offices and services, and much more. According to Gayle Young, Director of Marketing, Communication and Public Relations for Sunset Retirement Communities, all of the updates and enhancements made to Sunset House have in no way compromised its historic charm. “Much of what makes Sunset House unique has been maintained to reflect its storied past,” she explains. “The Victorian manor, which opened its doors in 1930, offers a certain stately elegance, and residents are surrounded by antiques and rich history complemented with modern finishes, amenities, and appliances. It blends the very best of the old with the very best of the new!” This innovative blending of modern and historic elements serves to further enhance the warm, homelike atmosphere at Sunset House. In fact, providing an environment that feels like home to residents and their loved ones is a high priority at Sunset. As Young points out, residents are encouraged to bring their own belongings and furnishings so they can create a personalized living space that’s a reflection of who they are. “Residents also have access to
ample spaces for entertaining friends and family, reading a book, playing cards or a board game, discussing current events, or even practicing piano, and there are plenty of scheduled activities to fill their day. Also, just like at home, breakfast, lunch, and dinner are served, and snacks are always available. We recently revamped our menu to include an ‘anytime menu,’ offering items such as sandwiches and burgers, so residents have the option of selecting items from the anytime menu or choosing a featured daily special,” Young says. Adding to the cheerful, life-affirming environment, Sunset
House welcomes cats and dogs and offers a connection to nature in the form of aviaries and aquariums. Of course, the appeal of Sunset House goes beyond the building itself to include the beautiful, lushly landscaped grounds. Residents can take contemplative strolls through the beautiful surroundings on dedicated walking paths, and they can even enjoy a little al-fresco dining in the outdoor courtyard if they choose. Moreover, at Sunset, everyone has opportunities for growth, regardless of their age or ability. This is a reflection of Sunset’s dedication to providing person-centered care and vibrant, life-affirming environments. The assisted-living options at Sunset House include studio and one- and two-bedroom apartments, and additional levels of care can be added if necessary. “We recognize that over time, residents’ health status and care needs can change. Our staff is poised to quickly evaluate these changes and help guide residents to an appropriate living arrangement,” Young says. To schedule a tour of Sunset House, please call 419-536-4645. Additional information on any of Sunset’s communities and services can be found on their website, www.Sunset-communities.org. ❦
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Mercy Health opens region’s first Trauma Recovery Center for crime victims of all ages
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urvivors of trauma, such as as- funding could make it possible to sault, domestic violence, sexual launch a program similar to what he violence, or child abuse, are often envisioned and make it into something left with deep emotional and psy- truly beneficial for the community. chological wounds in addition to So, the program began to take shape, physical injuries. While the physical and Mercy Health was ultimately consequences of trauma are usually awarded a $600,000 VOCA grant to temporary, the emotional and psy- bring it to fruition. According to Vanessa Fitzpatchological fallout tends to linger rick, MSW/LISW-S, Manager for on long after any cuts, scrapes, or bruises have healed. In some cases, the Health Advocacy and Social the emotional/psychological effects Work programs at Mercy Health – of trauma profoundly impact the St. Vincent Medical Center, the new survivor’s sense of well-being and TRC fills a major gap in the services available to trauma survivors. “We’ve ability to lead a normal life. To address this often-overlooked always provided medical services for aspect of trauma for both children survivors, but this program brings in and adults in our community, Mercy the mental-health component, which Health recently opened the Mercy is vital. The long-lasting effects of Health – Toledo Trauma Recovery trauma are mostly related to mental Center (TRC) on the campus of Mercy health. So, for example, if a survivor Health – St. Vincent Medical Center. is struggling with depression, PTSD, The Mercy Health – Toledo or other mental health issues, we’re TRC—the first and currently the really looking to facilitate that healing only program of its kind in Northwest process and alleviate symptoms for Ohio—offers free therapy designed the survivor and his or her entire to help survivors and their loved ones family,” she says. The TRC’s Patients are usualrecover from traumatic events and ly referred internally from Mercy help them cope and grow beyond Health’s emergency departments, their trauma. This program uses a variety of evidence-based therapies social workers, or trauma team, but and personalizes treatment according external referrals from various comto each patient’s trauma experience. munity organizations and agencies The center’s multidisciplinary staff are also welcome. “Once patients are consists of licensed social workers, enrolled, the idea is to provide them with all the resources they clinical counselors, clinical need to get back to living case managers, and a legal productive lives. And if court advocate. we don’t offer a particular Based on a model deservice or program here, veloped by the University we’ll work with our comof California, San Franmunity partners to make cisco, the Mercy Health sure it’s provided,” Dr. Le– Toledo TRC began as a skovan says. This could vision in the mind of John even include coordinating Leskovan, DO, FACOS, something as simple as Medical Director for Adult lawn work or assistance Dr. John Leskovan Trauma Services at Mercy with grocery shopping for Health – St. Vincent Meda trauma survivor who is unable to ical Center. “A few years ago, I had manage these chores due to injury. the idea of starting a youth violence The Mercy Health – Toledo TRC prevention program. I wanted to accepted its first referral on May 1 identify youth who were coming in of this year and is currently serving over and over again and connect them 27 trauma survivors. What will a with all the services they need so that successful outcome look like for at the end, they could be productive these individuals? That, explains Dr. members of society,” he says. This idea sat on the proverbial Leskovan, will vary depending on the shelf until Dr. Leskovan received specific nature of the trauma and the an email from the Ohio Attorney mental health challenges it evokes. General’s office stating that federal “To list a few examples, success might funding was available through the mean getting a victim of domestic Victims of Crime Act (VOCA) for violence out of that situation and into TRC programs. He realized that this an environment where it’s possible
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to envision a brighter future, getting the victim of a drunk driver back to work without a dependence on opioid pain medications, or getting someone who has been shot, stabbed, or assaulted back to the job or position they held before without fear.” Though the TRC is currently housed at Mercy Health – St. Vincent Medical Center, it truly is a community-based program. “We are forging strong community partnerships to ensure wrap-around services are available to trauma survivors, and it’s our goal to expand our reach, bringing more services to the community and opening satellite centers so people can access all the care they need close to home,” Fitzpatrick says. To be eligible for services at the Mercy Health – Toledo TRC, patients must be a victim of crime within the last three years, the crime must have occurred in the state of Ohio, and the patient must be a current Ohio resident. For questions or additional program information, please contact the TRC team at 419-251-0707. ❦
Announcing Continuing Healthcare of Toledo (formerly Fairview Skilled Nursing & Rehab Center)
Continuing Healthcare Solutions is excited to be in your community!
For more information or to schedule your personal tour, please call 419-531-4201
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w w w. t o l e d o p o d i a t r i s t . c o m Healthy Living News | June 2019 15
Cataract surgery: what you need to know by Carol Kollarits, MD, Cataract and Laser Institute of Maumee
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ll of us will get cataracts if we live long enough, but that doesn’t necessarily mean that everyone will need surgery. In a healthy young eye, the lens is clear. As we age, the lens continues growing, adding new layers on the outside, like an onion. If all the layers remain clear, then vision will remain sharp. In some lenses, hazy areas develop, causing light scattering that results
in glare (often noticed as “starbursts” from oncoming headlights at night) and blurred vision that can’t be corrected with glasses. The average age of cataract surgery patients is 72 years, but even babies can be born with cataracts.
This is most often seen in babies whose mothers contracted German measles (rubella) during pregnancy. These infants tend to have severe inflammation in the eye following cataract surgery. In addition, rubella babies often are deaf and
have heart defects. This is another reason every child should receive the MMR (measles, mumps, and rubella) vaccine. If the other parts of the eye are healthy, cataract surgery will usually restore clear vision. Today’s surgery is amazing compared to 40 years ago. The use of ultrasound to break up the hard part of the cataract has shortened the average surgical time from 30-45 minutes down to less than 10 minutes. An intraocular lens implant (IOL) is placed inside the eye,
The Sight Center Open
GOLF SCRAMBLE Join us for The Sight Center Open! This 18-hole scramble format fundraiser will be fun for pros and novices alike, with food, drinks, awards, raffle prizes, and The Sight Center’s trademark experiential elements.
Wednesday, June 26, 2019 1 p.m. shotgun start Whiteford Valley Golf Club Ottawa Lake, MI Lunch, dinner & prizes!
GNATURE
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REGISTER TODAY! $75/golfer or $300/team Call 419.720.3937 x105 or visit SightCenterToledo.org/Events
WEDNESDAY APRIL 25, 2018 6:00 PM
Presents 16
June 2019 | Healthy Living News
“DINING IN THE DARK, AN EVENING OF TASTE, SOUNDS AND TOUCH”
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eliminating the need for the thick “cataract glasses” required after surgery in the past. Unlike contact lenses, IOLs are permanently inside the eye and require no daily care. In today’s cataract surgery, no needles are used around the eye and no stitches are necessary, with rare exceptions. Within days, most patients recover vision better than they had before the surgery. However, it is still surgery and can have complications. The risks of this surgery include infection, swelling of the cornea or retina, retinal detachment, and dislocation of the newly implanted IOL. Droopiness of the eyelid and a dilated or abnormal-looking pupil are occasionally noted after cataract surgery. Most of these can be treated successfully. Who should do your cataract surgery? Word of mouth is the best recommendation for a cataract surgeon. While it makes sense that a very busy surgeon would have fewer complications than a less busy one, a recent study showed that vision outcomes after surgery were about the same for surgeons who performed 110 or fewer cataract surgeries compared with surgeons
who performed 450 or Foundation, Inc. in our a visit to your primary more each year. area. They will pay for eye-care physician, The Where should you have cataract surgery for one Sight Center focuses on it done? The cost (facility eye for patients who have the challenges related to fee) is usually lower in a limited income and no vision loss and not how an ambulatory surgery medical insurance. Con- to correct vision. Services center (ASC) than in a tact your local Lions Club after a low-vision evaluhospital, but your sur- for help. ation can be scheduled geon should choose the What if you have poor in a person’s own home location where he or she vision and have been told to focus on things like believes you will have the that cataract surgery will cooking, cleaning, medibest result. Surgery in a not help your vision? cation management, bill hospital may be necessary Ask your doctor to refer paying, using a computer, for a patient who requires you to the Sight Center or safely traveling with special equipment that is of Northwestern Ohio or without a white cane. only available in a hospital, for a low-vision evalua- Call The Sight Center to such as a crane for moving tion. The Sight Center ’s learn more, or stop by The a paralyzed patient onto multidisciplinary team Shop at The Sight Center the operating table. will assist a person in to see the many assistive Will lasers be used finding the right tools tools available to help during your cataract and techniques to make those with permanent surgery? Lasers can be daily tasks easier. Unlike vision loss! ❦ used to make the cuts into the eye or estimate the power of the IOL to be implanted at the time of surgery. These are newer technologies that improve the chance that you will not have to wear glasses Painkeeping keeping IsIsPain youyou fromfrom doingdoing whatwhat you you after the surgery. Using Pain keeping youkeeping from what you Is Pain from doing what you likedoing or you need to do? the laser does notIselimlike or need to do? like or need to do? inate cutting the eye or like or need to do? guarantee that glasses Is Pain keeping you from doing what you Is Pain keeping you from doing what you help! will not be needed. You like orWe need toordo? likecan need to do? We can help! will most likely be asked We can help! to pay out of pocket (over Hpk. We can help! Hpk. what Medicare or other We can help! We can help! insurance will pay) for Hpk. laser use. Hpk. Hpk. Hpk. What if you don’t have Medicare or other medical insurance? We are fortu nate to have the North west Ohio Lions Eye Care
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Healthy Living News | June 2019 17
A WALK IN THE PARK
Half Dome and Yosemite Valley as seen from Glacier Point. While we were there, this was the backdrop for a wedding.
Ten years and still Satisfied by LeMoyne Mercer
I
n 2009, we bought our Roadtrek RV after 35 years as tent campers. I had done my research and narrowed our choices to Pleasureway and Roadtrek—both Class B motor homes, i.e., camper vans. (Ours is built on a Chevy Express 3500 chassis.) Went looking at area RV dealers, but there was a grand total of zero on any of their lots. “Oh, you don’t want one of those,” a sales rep told me. “I can put you in
something twice as big for half the price.” Which was true. (Sometimes people assume that smaller equals less expensive, but rigs like ours sell new for well over $100K.) But, apparently, he did not get the point. If we came looking for a Porsche Cayenne, would he try to sell us a Lincoln Town Car with the argument it was twice as big for half the price? We did not want big. We wanted small and maneuverable so we could go way back on steep, winding mountain roads in search of wily trout or park right on the street in Savannah.
And fuel-efficient enough to make it to Alaska and back without maxing out the Visa. Eventually, I tracked down a slightly used Roadtrek sold by retirees whose health was failing. “What are we going to call it?” asked Shirley. She knew that RVs, like boats, often have names. “We’ll call it Satis,” I said, “after Miss Faversham’s house in Great Expectations. It was small but ‘enough,’ which is what satis means in Latin.” Ultimately we decided that this sounded rather pretentious, so we just call it “the rig.” Still, after ten years, we remain Satisfied. As of this writing, it has 190,686 miles on it and has taken us to some marvelous places—including twice to Alaska. Although the mileage may seem high, the rig has been scrupulously maintained. Getting stranded way back in a national forest where there is no cell coverage would not be a good thing. Because Satis is so well traveled, friends, readers, and fellow campers ask “What are your favorite places?” To mark our 10th anniversary, I thought I might review our top-ten. Then I found it impossible to limit the selection to just ten. Yellowstone and the Tetons still hold first place, but after that it is all a scramble. In May 2009, we set out on our maiden voyage to familiarize ourselves with all the systems. There was a lot to learn. How do you fill the fresh-water tanks and empty the waste-water tanks? How do you know when to operate the refrigerator on AC, DC, or propane? Why won’t the
water heater come on? What direction should all these valves be pointed? We took I-75 to the Smoky Mountains then headed up the 469 miles of the Blue Ridge Parkway to Shenandoah National Park and completed the loop back to Toledo. We chose this route because we knew from experience that the mountains and the parkway are spectacular when the trees and spring wildflowers are in bloom. Roadtrek owners we met in campgrounds along the way gladly shared their experience and advice—even though I asked some pretty dumb questions. For example, how long will a tank of propane last? It should be obvious that it depends on how much you use it to run the stove, the refrigerator, the water heater, and the furnace. If you stay in campgrounds with hookups for electricity, you can expect to use far less propane than when you don’t. By the time we were home after 16 days and 2,169 miles, my journal says “Didn’t take us long to get the hang of RVing.”
The Great Western Tour
We were confident enough to set out that summer on our Great Western Tour. At the time, I thought it might be a once-in-a-lifetime experience. Turns out I was this close to being absolutely right but am grateful to have been quite wrong. More about that later. We took I-80 to DesMoines where we stayed the first night at the Corps of Engineers campground. (COE facilities are both excellent and inexpensive.) From there to Badlands
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The Loop Road through Badlands National Park is an easy way to enjoy both scenery and wildlife from any of the numerous pullouts.
National Park in SW South Dakota for scenery and wildlife such as prairie dogs and bighorn sheep. North through Wyoming to Sheridan and the Bighorn Mountains for some fly fishing. To Rex Hale campground in Shoshone National Forest right at the eastern edge of Yellowstone National Park. Because Yellowstone is always crowded in the summer, we planned to get as close as possible so that we could enter the park early the next morning and increase our chances of getting a campsite at Mammoth where they don’t take reservations. Stayed only a week in Yellowstone because we had been there three times before and did not feel compelled to see Old Faithful for the fourth time. Exited Yellowstone at Gardiner, MT and took I-90 up to Missoula and the Lolo Pass. This is where Lewis and Clark first recognized that their trip to the Pacific would be far more difficult than anticipated. From the Pass, instead of an easy descent to the Pacific from the Continental
Divide, they saw more mountains that seemed to stretch to infinity. We followed their route, literally hiking a short distance in their footsteps along the Lochsa River in Idaho. On to Lewiston and Clarkston on the Idaho-Washington line. Through the high, rolling countryside of eastern Washington. The prairie, called the Palouse, grows high-quality golden winter wheat that is harvested beginning in July. The COE campground in Plymouth, WA is at the head of the magnificent Columbia River Gorge. Used it as our base for touring several vineyards on the Washington side of the river and then followed Historic Rt. 30 along the cliff face on the Oregon side past impressive waterfalls. Multnomah Falls, for example, is in two stages of 452 and 69 feet. There are more than 70 falls altogether, but seven have parking and short walks to viewing areas. Mt. Hood rises just to the south. It is worth the short detour when it is not shrouded by clouds. Even on otherwise clear days, Hood can generate its own cloud cover by early afternoon. Continued around Portland, OR and north to Mt. Rainier NP in Wash-
Seven picturesque lighthouses along the Oregon coast are open for tours.
Visited Cannon Beach, Haystack Rock, and seven picturesque lighthouses that are open for tours. One of us thought two or maybe three would have been plenty. (Even so, this didn’t keep us from doing them all over again in 2016.) Between lighthouses we stopped to admire the
Seals and sea lions gather by the thousands at Simmons Reef.
great colony of seals and sea lions at Simmons Reef, peek into tidal pools to see starfish and sea urchins, and just walk along the beach smelling the sea breeze and listening to the surf. In the NW corner of California is Redwoods National Park, a sanctuary for the giants. Headed northeast from there to Crater Lake in Oregon where the intense blue of the water is attributable to its great depth and clarity. Then down I-5 past Mt. Shasta and east to Lassen Volcanic NP. Continued east to Reno, Lake Tahoe, and Carson City, NV in order to enter Yosemite NP via the amazing Tioga Pass. Enjoyed a marvelous week in Tuolumne Meadows. Had reservan A Walk in the Park - continued on p20
MENTAL HEALTH
The Right Care, RIGHT NOW 24 / 7 HELPLINE 419.255.3125 Shirley checking the trail map high above the treeline in Mt. Rainier National Park.
Multnomah Falls is rated Oregon's number-one natural attraction. That's saying a lot considering the quality of all the other attractions.
Along the 350 miles of the Oregon coast there are 57 state parks. Yes, you read that right. A state park every six miles. In summer, all 57 fill up by 10:00 a.m. Fortunately, there are also national forest campgrounds on the inland side of Rt. 101 and commercial campgrounds for people who don’t mind paying three or four times as much for a site that is less than half the size.
ington. After waiting three days for the rain and fog to disperse, finally took Shirley’s advice and drove over to the east side of the park where it was wonderful. Up to Tacoma, WA and along the Straits of Juan de Fuca to Olympic National Park. Reached the Pacific at the NW tip of Washington. Oh, my! Sea stacks and enormous driftwood logs along the Pacific coast. Down the coast road, Rt. 101, to Fort Clatsop at the mouth of the Columbia where Lewis and Clark spent the winter of 1805 making salt and preparing for their return across the mountains and the rest of the entire continent. Fort Clatsop has been reconstructed based on detailed information in their journals.
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A Walk in the Park - continued from p19 tions for another week at Crane Flats campground to be closer to Half Dome, El Capitan, and Yosemite Falls. Unfortunately, a “controlled burn” by park staff got out of control and burned down the campground. With no sites available anywhere in the park, we were forced to abridge our visit. Consoled ourselves with the observation that the stream that n
It is hard to grasp the true size of the giant sequoias until you stand among them.
creates 2,425-foot-high Yosemite Falls was all dried up by late summer anyway. Headed south through Fresno and thence to King’s Canyon-Sequoia NP to walk among the world’s most massive trees. On to Lake Meade and Hoover Dam near Las Vegas before turning north on I-15 to Utah. The interstate winds along the Virgin River through an impressive, narrow canyon with sheer rock walls close on either side. It was Sept. 16 when we arrived at Zion NP and were surprised to find that both campgrounds near the Springdale entrance were full. I had the silly notion that, with school back in session, demand for camp sites would be reduced. Had not counted on the hordes of Boomers who had retired since we had visited in 1988 and ‘94. Ranger Wayne said if we didn’t mind camping for free, we could just pull over along the banks of the Virgin River just outside the park. Great idea! Not only because it was free but because the setting was even better than a campground. Headed north to Bryce Canyon NP with plans to return to Capitol Reef, Canyonlands, and Arches as
The trail into Bryce Canyon was easy down but nearly impossible back up.
well. Took the Navaho Loop Trail down into the canyon, through the narrow squeeze at Wall Street, and the connecting trail to Queen’s Garden. Going down was easy. Climbing back out was nearly impossible. Found it difficult to climb even 100 feet without a rest. Attributed it to the 9,000 ft. elevation even though, by this point, I should have been well adjusted to the thinner air. (In geezerdom, Shirley and I blame every reduced capacity to “the altitude” even when we are at sea level.) Back in camp, I experienced severely knotted muscles in the center of my back and was not feeling all
that well. We decided to skip the remaining three national parks and head for home. A visit to my physician produced an interesting assessment. He said I had had a heart attack. If I had not been so healthy, I would be dead. Also, driving home from Utah was really not such a bright idea. Still, a simple little procedure bypassed the blocked vessels and by Christmas my cardiologist said it was OK to continue recuperating in Florida. He had probably concluded that a guy with my cerebral capacity was likely to try shoveling snow if kept in Toledo. Regarding the Great Western Tour, my journal says, “Total miles: 8,687. Other than that little unpleasantness in Bryce, it was a wonderful trip.” Which is why I insist that any day you are vertical is a great day—even if a little walk in the park almost kills you. Carpe diem, people! LeMoyne Mercer is the travel editor for Healthy Living News. There is limited space here for LeMoyne’s photos. You might want to see more at anotherwalkinthepark.blogspot.com. Please leave comments on the site. ❦
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Healthy Living News | June 2019 21
Understanding autoimmune inner ear disease by Randa Mansour-Shousher, AuD, CCC-A
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here are many commonly seen events that can cause hearing loss of one type or another. But did you know it’s possible for the immune system to cause hearing loss? We hear and read about the importance of maintaining a strong immune system to keep us healthy and protect us from invading microbes. But in
some cases, the immune system can mistakenly go on the attack against the whole body or a particular organ. Autoimmune inner ear disease, or AIED, is an example of this phenomenon. AIED is a syndrome of progressive hearing loss and/or dizziness that occurs when antibodies, or immune cells, attack the inner ear. Oftentimes this results in rapid hearing loss accompanied by tinnitus, which is described as a ringing, hissing, or roaring sound in the ear. Some cases are complicated with episodes of dizziness and balance symptoms. The most common symptom of AIED is bilateral, asymmetric (both ears), progressive or fluctuating sensorineural (nerve) hearing loss, which occurs unpredictably and worsens over time. The hearing loss develops over several months, but has been known to worsen over a several-year
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period, and is accompanied by tinnitus. The vertigo, which was mentioned previously, varies depending on the degree of the loss and whether the damage has triggered a problem with fluctuation of the hearing loss. Early diagnosis of AIED is important because the treatment will dictate whether the damage progresses or is reversed. It’s important to diagnose this autoimmune disorder, but at times it is difficult to determine the real cause. A thorough examination and blood tests may not give a strong indication, and physicians may make the diagnosis only if they see improvement in the patient’s hearing as a result of the drug treatment. The use of immunosuppressive medications, sometimes long-term, is the standard treatment for AIED in the medical profession. These drugs, which have body-wide effects, include steroids, chemotherapy drugs, anti-transplant-rejection, and anti-tumor necrosis factor drugs. An otolaryngologist typically treats these patients, and an audiologist will monitor the hearing loss. Autoimmune disorders occur more often in women than in men and aren’t frequently seen in the elderly population or among children. Autoimmune inner ear disease is rare, which makes it challenging for scientists. Individuals who suspect or experience a sudden change in hearing should act quickly and take it seriously. Don’t wait and think you might have cerumen (wax) impaction, and don’t diagnosis yourself with an ear infection. Basically, don’t ignore the symptoms of hearing loss with tinnitus and possible vertigo. The quicker you seek medical attention, the better your chances of recovering or slowing down the progression of the hearing loss. There are many things that AIED may mimic. Put your hearing health care in the hands of a medical professional. 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). ❦
Black Swamp Conservancy introduces Ohio Wildlife Guide
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here can you learn about wildlife found in Ohio in a format that’s family-friendly? Ohio Wildlife: A Coloring Field Guide offers information about fish, amphibian, reptile, bird, and mammal species found in the state in an inviting coloring-book format with projects, activities, and species information for the whole family to enjoy. Black Swamp Conservancy, who helped create the guide, introduced it at a family event May 11, in the Rotary Pavilion at Side Cut Metropark, Maumee, Ohio. “I happened upon the Michigan version of this guide last summer and was so impressed with it that I reached out to the author, Amalia Celeste Fernand, to see if we could collaborate on an Ohio edition,” said Conservancy Executive Director Rob Krain. “She was excited to take on the project and help create this fantastic outdoor education tool for Ohio children.” The108-page guide provides a range of details about each animal: appearance, size, tracks and signs, diet, habitat, scat, and life cycle. In addition, each section features a range of activities for creating art, conducting experiments, exploring in nature, and creating games. The guide was created by Fernand, a native of Michigan with degrees in environmental studies and ecological leadership and education, who has worked with children and animals in over 20 countries on six continents. She established Nature Explorers International to inspire excitement and curiosity for the environment through art, science, and outdoor experiences. The guide was illustrated by Anna Bazyl, and designed by Toledo-based Margo Puffenberger of m.e.puff design. With funding from the Reed Fund of the Toledo Community Foundation and the Seed-to-theSower Fund of the Toledo Community Foundation, the Conservancy has 1,000 copies of Ohio Wildlife: A Coloring Field Guide to distribute for free to area families. ❦
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UTMC offers advanced prostate biopsy that fuses MRI and ultrasound imaging
he traditional biopsy to test for any suspected cancerous lesions. The prostate cancer can be best de- patient then comes in for a biopsy, scribed as hit-or-miss. During this which is performed using a machine procedure, multiple tissue samples, called the Artemis Device and special called cores, are taken from different software that fuses the marked MRI areas of the prostate gland under image with the real-time ultrasound trans-rectal ultrasound guidance. image. The result is a 3D map showing However, ultrasound is the precise location of the ineffective at differentilesion that is used to guide ating between cancerous the biopsy. and noncancerous tissue Dr. Petros notes that urolunless the cancer is conogists have been using MRI siderably advanced, so to determine specific areas the samples are taken of focus prior to prostate at random. This “blind” biopsy for some time. “But approach to biopsy has what you can see on MRI the potential to either you can’t necessarily see on overlook harmful tumors, ultrasound, so they essenwhich then go untreated, tially had to fuse the two Dr. Firas Petros or to detect inconsequenimages together cognitively, tial tumors, possibly leading to overly which still left a significant margin of aggressive treatment. error,” he says. MRI/Ultrasound Fusion Fortunately, a new, state-of-the-art Biopsy eliminates that guesswork. prostate-imaging technology called According to Dr. Petros, men are MRI/Ultrasound Fusion Biopsy, of- typically referred to a urologist for fered locally at the Eleanor N. Dana biopsy when their prostate-specific Cancer Center at The University of antigen (PSA) level is shown to be Toledo Medical Center, is now making elevated through repeated testing it possible for urologic oncologists to (indicating a trend) or an abnorprecisely identify and target suspi- mality is discovered during a digital cious areas of the prostate, leading rectal exam. “When patients with an to more accurate diagnosis and more elevated PSA come to us, the first effective treatment planning. thing we do is make sure there is Firas Petros, M.D., chief of urologic no inflammation or infection, which oncology at the Eleanor N. Dana can cause the PSA level to rise. If Cancer Center, explains that with the elevation is confirmed through this leading-edge technique, an MRI additional testing, we do an MRI. is first performed on the patient’s Then, if a targetable lesion is revealed prostate and the radiologist marks during the MRI—or if the patient n
Early detection - continued from p5
interfere with the DNA mechanism in the tumor to slow its growth and/ or exploit certain DNA mutations that have been identified as being the drivers in the growth of these cancer cells.” With respect to preventing pancreatic cancer, Dr. Saste’s advice is to make lifestyle choices or changes that are known to reduce risk, such as quitting smoking, eating a healthy diet rich in fruits and vegetables, and getting regular exercise. “Plus, if you have a family history of pancreatic cancer, I would urge you to see an oncologist and geneticist to evaluate your risk. With some genetic familial syndromes, screening tests are available that can detect pancreatic cancer at an early stage,” he says. ❦
n
has an elevated PSA but has had a negative standard biopsy—we can do an MRI/Ultrasound Fusion Biopsy.” Studies have shown that MRI/Ultrasound Fusion Biopsy is far superior to standard, or systemic, prostate biopsy. “We still take cores from the lesion itself and do a systemic biopsy, but MRI/Ultrasound Fusion has been show to detect more clinically significant prostate cancers and fewer clinically insignificant ones. This is important because patients typically aren’t going to die from a prostate cancer that has a low score on the Gleason scale—which is the grading system we use to determine the aggressiveness of prostate cancer—but if you miss a cancer with a Gleason score of 8, 9, or 10, then the patient can have real problems,” Dr. Petros comments. Patients who undergo MRI/Ultrasound Fusion Biopsy are placed under monitored “twilight” anesthesia, similar to that used for colonoscopy, so they remain still to allow for accurate imaging and mea-
surements. The procedure typically takes between 20 and 40 minutes, and most patients go home on the same day. Dr. Petros wants to make more urologists in the Toledo area aware that this service is available to their patients. “If you have a patient with a negative standard biopsy but a rising PSA, or an MRI finding with a negative biopsy, a targeted MRI/ Ultrasound Fusion Biopsy is a much better option than doing additional standard biopsies that keep turning out negative. We’re not trying to take patients away from their urologist. In fact, we’re happy to do the biopsy and then send the patient back to his primary urologist for treatment. This is an advanced diagnostic test that offers more accurate diagnosis and is more cost-effective in the long term,” he says. For more information on MRI/ Ultrasound Fusion Biopsy for prostate cancer, please call the Eleanor N. Dana Cancer Center at UTMC at 419-383-6644. ❦
PRECISION cancer therapy Targeted treatment individualized to each patient.
Clinical trials - continued from p7
Health – Perrysburg Cancer Center for the convenience of the patient. TTCCC has earned Patient-Centered Specialty Practice level 3 recognition and Oncology Medical Home recognition from the National Committee for Quality Assurance. Oncology homes align systems and resources with coordinated care focused on cancer patients and their needs. This reduces fragmentation, supports shared decision making, and improves the patient experience. TTCCC is the first oncology practice in the state of Michigan and the second oncology practice in the state of Ohio to receive this recognition. For more information, please call The Toledo Clinic Cancer Centers at 419-479-5605. ❦
To learn more, call 419.383.6644.
Healthy Living News | June 2019 23
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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
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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. TOLEDO POLICE K9 FALKO MEMORIAL 5K Saturday, June 1, 2019, 9:00 a.m. at Ottawa Park (by the Shelter house), 2145 N. Cove, Toledo, Ohio. DEXTER-ANN ARBOR RUN Saturday, June 1-Sunday, June 2, 2019, at 2615 Baker Road, Dexter, Michigan. 10K at 7:50 a.m. 5K at 8:00 a.m. Half marathon at 8:30 a.m. Kids Run at 3:00 p.m. RACE TO THE MONUMENT Sunday, June 2, 2019, 9:00 a.m. at The Shops at Fallen Timbers, 3100 Main St., Maumee, Ohio. CHERRY FEST RUN 10K/5K/1K HOSTED BY JULIE’S FITNESS STUDIO Friday, June 7, 2019 at 6763 Providence St., Whitehouse, Ohio. 10K and 5K begin at 7:00 p.m. 1K Kids Fun Run at 6:30 p.m.
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Local internist opens new office internal medicine specialist is. “We treat adult patients,” he explains. r. Adel Gad has a favorite saying “Like a pediatrician treats children, in his internal medicine practice: we treat adults. People understand slow but sure. “If you try to do too that a ‘family physician’ treats the much too fast in your life,” Dr. Gad entire family across the whole age says, “you might miss some important spectrum, from infant on up. We in internal medicine treat the adult aspect—like your health.” subset of the population.” To help his patients He says there is a trankeep tabs on their health, sition between the teens Dr. Gad has opened a and adults. “Some internew, additional office in nists—a shorthand way to Sylvania Township. He refer to internal medicine had an office associated specialists—have a cutoff with Flower Hospital in age of 18. For all intents Sylvania, but on January and purposes,” he says, 3, he moved to 7247 W. “ages 14 and up are adults Central Ave. to see the in terms of their developFlower patients. His other ment, and the approach Dr. Adel Gad office is at 2739 Navarre to those teens is similar to Ave., near Mercy Health – treating adults. By 16 they’ve had St. Charles Hospital in Oregon. He their immunizations.” says having these two offices allows The word “internal” also is a mishim to “continue seeing my regular nomer. Dr. Gad says he and other patients close to where they live.” internists treat “skin conditions, poison Dr. Gad, who has been a physi- ivy, ringworm, scabies. We see and cian since 1987 and in Northwest treat a lot of skin issues.” Ohio since 2001, finds that his field Dr. Gad says he sees the usual is a misnomer. The general public ailments that spur patients’ visits. often has a misconception of what an “They might have a cold, ear infecby Dennis Bova
D
tion, sore throat, or cough, and flu in flu season. We also see people with chronic health problems, diabetes, high cholesterol, and heart disease, and we care for all those patients.” A key facet of his practice is health screenings. In the case of older women, his office recommends mammograms to screen for breast cancer. Men and women may be referred for a colonoscopy to screen for colon cancer. “Something relatively new is to screen for lung cancer,” he says. “That’s something we didn’t have when I went to med school.” “If a patient is having chest pain and we’re concerned it might be their heart, we send them for a cardiac imaging study. Subsequently a cardiac catheterization may be the next step to confirm whether they have heart disease or need to have a stent or bypass,” he says. “Sometimes it’s a matter of us optimizing their medications.” Dr. Gad reflects: “An otherwise seemingly healthy person might ask, ‘Why do I need to see a doctor?’ Well, we might determine whether they have hypertension, for example. Or say somebody has high blood
pressure and high cholesterol. If untreated, they’ll be more prone to developing a heart attack.” Such health concerns that go undetected could eventually adversely affect the patient’s lifestyle. “It’s like having a car,” he says. “You change the oil and perform general maintenance to keep it in good shape. The body’s the same. Taking care of your health is important.” He realizes that some people are taking care of others and often ignore their own health maintenance. “One of the chief things I tell patients,” he says, “is that they can’t take care of someone else without first taking care of themselves.” To Dr. Gad, a principal part of being an internist is communication. “There is a need for communication between the patient and the doctor, and between doctors of the same patient,” he says. “An internist is the patient’s primary physician and is like a gatekeeper. We manage everything about that patient. We need to know what medications specialists have our patients on, because we need n
Dr. Gad - continued on p29
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Alzheimer’s fundraising will be all the fashion at The Manor at Perrysburg June 13
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n Thursday, June 13, The Manor at Perrysburg will once again host a variety of area celebrities and dignitaries decked out in their classiest couture at the 5th Annual Fashion Show & Garden Tea Party. All funds raised will go to benefit the Alzheimer’s Association, Northwest Ohio Chapter Walk to End Alzheimer’s, to be held Saturday, October 12 at Promenade Park in Downtown Toledo. Abbie George, LNHA, CEAL, Administrator of The Manor at Perrysburg, emphasizes that this fun, festive, and informative event has a very serious and important focus— raising funds to fight a disease that afflicts over 5 million Americans and is the sixth leading cause of death in the US. “I would also like to express my heartfelt gratitude to the event’s major sponsor, ProHealth Partners, for making this important fundraiser possible,” she adds. Among this year’s models sporting the latest in spring and summer fashion will be Dan Wakeman, president and CEO of St. Luke’s Hospital; Tony Geftos of 13abc; Dr. Deitre Hickey from Serenity Health and Wellness Center; Clint and Collin Hayslett, the father and son from Twitter; Dr. Murthy Gokula from Mercy Health; and (tentatively) Senator Theresa Gavarone. “We wanted to involve people from many different community organizations and all walks of life because everyone is touched in one way or another by Alzheimer’s,” says Ms. George. The fashions worn by this year’s models will also be a reflection of the local community. “Several area shops and boutiques are providing clothing for our models, including Ragazza, Change of Seasons, and V-Couture, all located in downtown Perrysburg, as well as J Jill and Brighton Collectables from Levis Commons.
Children in the show will be styling fashions from Bowinkles, and again this year all the models will have an opportunity to have their hair and makeup expertly done by the students at Summit Salon Academy,” Ms. George states. In addition to the fashion show, this outdoor event—held in a beautifully decorated tent so inclement weather won’t put
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a damper on the festivities—will once again feature raffle baskets and, of course, tea and delectable edibles such as finger sandwiches and scones prepared by the Manor at Perrysburg’s chef, Remonia Crawford. The event will also feature entertaining performances by local baton-twirling club Hi-Society during breaks. The cost to attend the 5th An-
nual Fashion Show & Garden Tea Party is $25 per person or $175 for a table of eight. Doors will open at noon, and the fashion show will begin at 1:00 p.m. For more information, please contact Abbie George at 419-874-0306 or Abagail. George@ManorAtPerrysburg.com. The Manor at Perrysburg is located at 250 Manor Drive in Perrysburg, Ohio. ❦
Healthy Living News | June 2019 27
EATING WELL Healthy tips for healthy dads by Laurie Syring, RD/LD
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ather’s Day is June 16, 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
HEALTH CROSSWORD 1 Treating the whole body and the Across
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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 osteoporosis-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 1
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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 n
Eating Well - continued on p29
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24 Rainbow shape
Grilling safety: Don’t let your summer fun go up in smoke
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Eating Well - continued from p28
attention to their own set of nutritional needs. Good luck and happy Father’s Day! Laurie Syring, RD/LD, is Clinical Nutrition Manager at ProMedica Flower Hospital. ❦
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ummertime and barbecuing go hand in hand. Picnics, holidays, and weekend get-togethers are perfect occasions to fire up the grill and do a little cooking in the great outdoors. Even mid-week family mealtimes offer a good excuse to do some grilling. After all, meals cooked on the grill are generally fast and easy to prepare and require a lot less kitchen cleanup afterward—not to mention, they’re delicious! However, whenever your summer fun involves the combustion of gas or charcoal, there’s an element of danger that should not be underestimated. The following steps will ensure that an accidental fire or burn injury won’t cause your summer grilling fun to go up in smoke:
Check your connections
If you use a gas grill, be sure to check your hoses and connections for leaks every time you change out the propane tank. To accomplish this, simply apply soapy water to all the hoses and connections and then turn on the gas. If there is a leak, you will see bubbles forming at the site. If a leak is noted, do not ignite the grill until the faulty hose or connection is repaired. In addition, check for insects, spiders, and spider egg sacs inside the tubes leading to your grill’s burner, and clean them out if any are noted. For some reason, creepy, crawly critters seem to be drawn to these tubes, and their presence can interfere with proper gas flow, often causing delayed ignition followed by a sudden flare-up.
Keep your distance from structures
Your grill should always be used at a safe minimum distance of 10 feet from your home, garage, other structures, or any combustible materials to prevent fire. Keep in mind that
the heat radiating from a barbecue grill can quickly warp or deform vinyl siding if the grill is placed to close to the home. Also, avoid grilling in environments where there are overhanging structures that could catch fire, such as beneath an awning or overhanging section of roof. Even a low-hanging tree branch can catch fire if conditions are sufficiently dry. Any time you’re grilling, make sure you have a water source handy in the immediate vicinity of the grill, such as a garden hose or bucket of water, so you can quickly extinguish the flame in the event of an emergency.
the grilling area. A good technique to discourage kids from coming too close is to mark off a “danger zone” around the grill with chalk and tell kids they must remain outside the lines. Also, never leave a hot grill unattended. Children—or even adults—entering the area may not realize the grill is on and could experience a severe burn if they touch it or lean against it.
Beware carbon monoxide!
On a rainy day, it may be tempting to use the grill in your garage with the door open, but this is not a safe practice. In spite of the open door it’s still possible for carbon monoxide—an invisible, tasteless, odorless, Protect yourself from burns but deadly gas—to build up inside While grilling, it’s important to the structure with potentially lethal Ministry take steps to protect yourself from consequences. Never usesupport a gas or 2021 N. McCord Road | Toledo, OHany 43615 | P: 419.861.4990 burns. Avoid wearing loose-fitting charcoal grill of kind in an enclothing that could catch fire, and be closed or partially enclosed space. sure to use long-handled spatulas, And remember, charcoal will continue tongs, forks, etc. so you can keep to produce carbon monoxide fumes your hands at a safe distance from until it is completely extinguished. the flame at all times. The use of Don’t assume it’s safe to move the flame-resistant mitts offers another coals indoors because they are no longer glowing red. layer of burn protection. Many burns occur because the Play it safe with propane person operating a charcoal grill Inspect your propane tank unwisely chooses to use a flammable frequently to make sure it is not liquid other than barbecue starter obviously damaged or corroded, fluid, such as gasoline, to get the and keep it in an upright position fire going or stoke it up. Pouring at all times. Avoid storing a spare starter fluid onto an open flame or propane tank indoors (including hot coals can result in a dangerous in a garage) or near the grill. When flare-up. Worse, the flame can foltransporting a propane tank, do not low the path of the fluid right to leave it in a hot car or car trunk the container. as the heat can increase the gas Declare the grill area a “kid-free pressure in the tank and cause zone” the relief valve to open, allowing Kids love to be in the area when propane to escape into the vehicle. the grill is fired up, but the combi- Furthermore, make sure the gas nation of excited kids and a flaming hoses are not positioned in such a or smoldering grill is a recipe for manner that they come into contact disaster. To keep little ones safe, they with a hot surface on the grill or should be excluded altogether from with hot, dripping grease. ❦
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Dr. Gad - continued from p26
to have an understanding of how these medications may interact with each other.” He adds, “We need to comfort our patients and explain things as clearly as possible to them.” If they don’t understand, they should not feel intimidated in any way and should Lutheran Homes Society is now feel free to ask questions. Genacross Lutheran Services “We have to make sure patients make an informed decision For more than 150 years, Lutheran Homes about their health,” Dr. Gad “We have Society has been ready to helpsays. when life presents opportunities. To better tochallenges listen toandour patients, andreflect we have diversethey’re populationslistening we now serve,to we’re tothe hope us.” changing our name to Genacross Lutheran The phone number for Dr. Gad’s Services. Through our youth services, affordable new office is 419-517-2084; his Oregon housing, home health, community services, office, 419-693-4400. and senior living options, we will adapt to meet the needs of people in and around northwest
Dennis Bovaforward is aasfreelance writer and Ohio. Moving Genacross Lutheran Services, one thing will not change deep editor following a career as–aournewspaper commitment to faithfully serving people of many reporter, columnist, and copy editor. ❦ different generations.
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Healthy Living News | June 2019 29
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: Ever since infant hearing screenings have become more and more common, hearing loss is being identified very early on. Out of every 1,000 births, there are two babies who are identified with a hearing loss in one ear. The child may demonstrate difficulties, and it becomes a concern for parents and teachers alike. Hearing in noise is harder because the ambient noise masks the clarity of the speech sounds. As we all know, language development occurs early on and children will repeat what they hear whether they hear it clearly or not. With the presence of hearing loss, speech is not heard clearly which makes it harder to develop clear speech. Auditory signals are a challenge when the voice is soft or with deep voices, making it a task for the child to hear and understand speech. Letâ&#x20AC;&#x2122;s not forget the importance of localizing sounds. Try plugging one of your ears and closing your
eyes. Can you identify where sound is coming from? Now think of a typical classroom, which is usually not quiet, and how frustrating it would be to identify where sound is coming from in that environment without the ability to hear the same in both ears. Itâ&#x20AC;&#x2122;s important to make listening easier by moving away from noises, positioning the normal-hearing ear toward the sound source, and minimizing the distance for them. Itâ&#x20AC;&#x2122;s also a good recommendation to consult with an audiologist to determine the extent of hearing loss and possible treatment, which may include a hearing aid, surgical intervention, and/or aural rehabilitation. Keep in mind that the early years are important for speech development, so itâ&#x20AC;&#x2122;s important to take unilateral hearing loss seriously. 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 (419383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327). â?Ś
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Sauder Village - continued from p11
Summer Summer Memberships Memberships sale now! on saleon now!
A visit to Sauder Village would under the “Great Oak Tree,” or playnot be complete without some deli- ing in the pool. The Inn has all the cious, home-style food. From chicken, amenities of a big city hotel—free roast beef, and real mashed pota- internet access, beautiful indoor pool toes to hearty soups, salads, and and hot tub, exercise and game rooms, • Heated Outdoor and homemade dinner rolls, the Barn free continental breakfast, and more! • Heated Outdoor and Restaurant offers a wide range of The 87-site Campground is a great Swimming Pools Indoor Swimming Indoor Pools menu and buffet options. Every year, place to escape the hustle and bustle • Children’s • Children’s Wading Pool Wading Pool thousands of guests enjoy dining of everyday life while fishing, sharing • FREE Unlimited Group under the hand-hewn timbers of stories around the campfire, riding • FREE Unlimited Group this historic barn, which was built in bikes around “Little Lake Erie,” or Exercise Classes Exercise Classes about 1861 on a farm just a few miles playing in the Splash Pad. Guests FREE Child Care Kid’s Center Supervised • FREE Child Care• FREE from Sauder Village. For lunch, the staying at the Campground can enjoy Village Café offers a lighter fare of use of the Inn’s pool, hot tub, and soups, salads, and sandwiches. Guests game room as well! for Kids! Fitness forFitness Kids! looking for something sweet will find Historic Sauder Village is open seamany great options including the sonally May through October, Tuesday Swim Summer SwimTeam Team Summer SwimSummer Team Ice Cream Parlor for Homestead Ice through Saturday from 10:00 a.m.-5:00 Cream, old-time candy from Lauber’s p.m. and Sunday from noon-4:00 p.m. Junior FitYouth Exercise Class Junior Fit Bootcamp General Store, or artisan chocolates The Village is closed on Mondays, Junior Fit Youth Bootcamp from Stella Leona Chocolates and except holidays. Admission is $18.00 Coffees. The Doughbox Bakery is a for adults, $12.00 for students (6-16), Group PrivateSwim Swim Group &&Private Group & Private Swim hometown favorite, offering a wide and free for members and children 5 LessonsAlso AlsoAvailable Available Lessons Lessons Also Available variety of homemade pies, cookies, and under. Again this year, children 16 and under are free every Sunday this sweet rolls, breads, and more! Complete program Complete program For those looking to extend their season and adult Sunday admission information available information available stay, the 98-room Heritage Inn has is only $11.00! on our websiteon our website a spacious country inn atmosphere For more details about planning a with many places for guests to relax memorable Sauder Village getaway, and enjoy time together, whether it’s call 800-590-9755, visit www.sauderby the fireplace in the timber-frame village.org, like us on Facebook, or www.stjamesclub.net 419.841.5597 | 7337 W Bancroft St., Toledo lobby, spending time with friends follow us on Twitter and Instagram. ❦ www.stjamesclub.net | 419.841.5597 | 7337 |W Bancroft St., Toledo
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5916 Cresthaven Lane | Toledo, Ohio 43614 Healthy Living News | June 2019 31
Flotation devices do NOT promote safe swimming! by Kym Cragel
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ummer has arrived and pools are open for families to enjoy. Here are some important tips to practice when around the water with children. As an Infant Swimming Resource (ISR) Certified Instructor and Sport Psychology Consultant, I often find that well-meaning parents aren’t aware of the hidden dangers associated with the use of arm band floaties or puddle jumpers. The following standard warnings can be found on the packaging of these items: “Caution: This is not a lifesaving device. Do not leave child unattended while in use. Use only under competent adult supervision. Not a life preserver.” “WARNING! Only to be used in water in which the child is within its depth and under adult supervision.” As an ISR instructor with over 25 years of experience working with young children in the pool,
Make your child an AQUATIC PROBLEM SOLVER “INFANT SWIMMING RESOURCE (ISR) is definitely one of the best things I have done for my children. As a parent, not only do I have peace of mind that my three kids are safer around water, but I have seen their confidence grow with their ability to swim and save their own life! As a teacher, I appreciate the ISR program structure as a whole. Instructors are trained with intention and consistency. The lesson is designed to be developmentally appropriate for the emotions and physical needs of a child. It is rigorous, but successful in ways that traditional swim classes are not. I cannot stress enough how beneficial it is to commit to the ISR program as soon as possible in your child’s life. As a family, we are so thankful that we chose Ms. Kym Cragel and ISR for our three little fish.” ~ Nicole Bryant, Parent
Kym Cragel, B.Ed., MA, SPC Certified Infant Swimming Resource Instructor
419.704.8593 www.SwimwithKym.com
32 June 2019 | Healthy Living News
I often witness vertical swimming in young children that have previously used flotation devices other than life vests. Vertical swimming postures are the same as a drowning posture in the water. Drowning is the number-one cause of accidental death in children under the age of four according to the CDC. Children’s brains become “wired” to believe that they are supposed to be vertical in the water after using puddle jumpers even once. Muscle memory is built very quickly in children through repetitive movement and sensory-motor learning. Using a puddle-jumper in the water mimics vertical positions with children bicycling their legs underneath them. ISR self-rescue lessons teach children the correct horizontal swimming posture through sensory-motor learning with the ability to roll-back into a life-saving float. Flotation devices also give a false sense of security to both parents and children. Young children do not understand that it is the flotation device that is keeping them up in the water and believe they know how to swim. Parents feel that these devices are safe and, therefore, may not always be vigilant when watching their children in the water. Constant Eyes On (CEO) is a must even when a lifeguard is present at a pool. If a
child removes their flotation device to eat or go to the bathroom and then returns to the pool without it, the results can be devastating. Children slip soundlessly beneath the water and in a crowded pool could go unnoticed for minutes. Children who have ISR self-rescue training have the skills to roll-back into their life-saving float in only two to three seconds. Another fun activity some parents like to do with their children is have them jump into the water and catch them or, if they are wearing their puddle jumper, allow the child to repeatedly jump into the water and pop back up. This seems like a fun game that helps to build a child’s confidence, but behaviorally it is reinforcing a skill that could be very dangerous. Swim activities and programs that build a child’s confidence without building competence need to be avoided. I ask parents two questions: First, “Do you want your child to be comfortable in water without having skills?” And second, “What behavior is being reinforced?” when dealing with small children’s pool behaviors. If children build muscle memory that Mom or Dad will always be there to catch them if I jump into the pool, they won’t understand the difference when no
James D. Diethelm, MD Ryan Szenderski, PA-C Same day appointments available with our physician assistant
419.473.2273 7640 W. Sylvania Ave., Suite C2 Sylvania, Ohio 43560
Welcoming New Patients
one is there to catch them. Without the proper skills, a child will not be able to resurface after jumping in. If they are jumping in using flotation, they don’t have to work or maintain the proper body position for self-rescue because they will simply pop back up to the surface in a vertical position. They cognitively cannot understand that it is the puddle jumper or floaties that are keeping them at the surface. I observe this with new students who push away from me in the pool during the first week of lessons. They believe they already know how to swim and don’t want me to hold them because they have worn puddle jumpers previously. Teaching children respect for the water begins with setting clear boundaries. They should always ask parents’ permission to enter the pool, and jumping in should be avoided until they have the proper skills to regain and hold a stable back float. Playing on the steps or in a baby pool also gives children and parents a false sense of security. Small children learn that when they need to breathe, they can simply stand up in the shallows or zero-entry pools. This develops the wrong muscle memory. Children that fall into deeper water or slip off the steps are not able to stand up to breathe. They need to know how to rollback into a life-saving float even when wearing clothes, shoes, or a regular diaper. Eighty-six percent of children that have a drowning accident are fully clothed and did not intend to swim, according to the ISR website. Teaching children to become Aquatic Problem Solvers is my ultimate goal as an ISR certified instructor. I have worked with over 350 children and their families to educate, incorporate safe-swimming practices, and continue with the mission of not one more child drowns. Kym Cragel is a Certified ISR instructor who holds a degree in Education and a master’s in Sport Psychology. Please visit her website, www.SwimwithKymISR.com, to learn more about ISR self-rescue™ lessons, or email her at k.cragel@infantswim.com. ❦
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Healthy Living News | June 2019 33
Get your skin ready for summer fun by Dr. Erin Hennessey
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s summer comes into focus, we don’t know about you, but at Blush Aesthetics, fun in the sun is on our mind! With upcoming weddings, graduations, concerts, barbecues, parties, and other events where we would like to put our “best face forward,” it is not too late to take advantage of treatments that address sunspots, wrinkles, redness, loose skin, or dullness. Most of us are well aware of our skin concerns but may not be aware of all the treatments that exist to take care of them. At Blush, we provide complimentary consultations to discuss what your skin concerns are and what solutions are available to treat them. Often our patients comment that they were unaware that “something” could be done to
improve certain skin issues. In this issue, we would like to highlight our most popular treatments and why patients are so pleased with them:
Halo®
Halo® is a state-of-the-art laser skin treatment that improves overall tone, texture, and tightness. It also significantly improves discoloration and reduces pore size to increase the skin's luminous glow. As a provider, I love that Halo® is completely customizable. No matter what is bothering you about your skin, we can set Halo® to address your unique skin concerns. Patients can choose to have one, two, or more treatments depending on their goals to make their skin radiant and healthy with minimal downtime. Halo® simply
aesthetics aesthetics
SIMPLE, EFFECTIVE SKINCARE SOLUTIONS! Dr. Erin Erin Hennessey Hennessey Dr.
7015 Lighthouse Way, Ste. 300 4105 Chappel Drive Perrysburg, Ohio 43551 43551 Perrysburg, Ohio www.blushnwo.com www.blushnwo.com info@blushnwo.com info@blushnwo.com 419-362-6090 419.520.SKIN (7546)
produces healthy, beautiful skin in any ethnicity, and some refer to the after effects as the “Halo Glow.” With mineral makeup able to be worn the next day, busy patients both male and female love the flexibility of low downtime with the results of a more aggressive laser. If you have wrinkles, acne scars, sun or age spots, or dullness, this is the treatment we recommend for the best results.
BBL® or Broad Band Light®
The closest thing we have found to the fountain of youth, BBL® offers skin improvement from the lower layers to the top with no downtime. This 20- to 30-minute treatment can be used for a multitude of purposes. We can improve reds and browns, maintain youthful tone and glow, improve acne or rosacea, and help with hair reduction. BBL® is safe for all skin colors and ethnicities, so anyone can benefit from this treatment. For folks who already have fantastic skin, we use our ForeverYoung® BBL to continue to maintain great brightness and tone by promoting the development of collagen in deep layers of skin that topical products cannot reach. For acne, our ForeverClear® BBL is an amazing tool that can improve both superficial and deep cystic acne in teens and adults. For those unwanted hairs on the chin, upper lip, neck, or underarms, ForeverBare® BBL has our patients
Wrinkle relaxers
Always a fan favorite, injectable wrinkle relaxers are fantastic for those who are starting to see lines stick around a bit after animating. In the right hands, wrinkle relaxers can help to reshape the face by addressing strong muscles in the forehead, between the eyebrows, in the jaw area, and around the eyes. By relaxing the muscles that make lines, we can smooth the skin and take years off your face. Once you see how smooth and fresh you look, you may want to make it part of your beauty routine for the year. Normally treatments are needed three to four times a year to maintain that youthful, smooth appearance.
Dermal fillers and Sculptra®
Dermal fillers can be a real game-changer for the aging face. By helping replace volume where it once was, we can help the appearance of under-eye dark circles, fine lines, wrinkles, marionette lines, and disappearing lips. The use of dermal fillers is truly an art. At Blush, our focus is natural volume replacement that takes years off your face and helps you appear well rested and always natural. Sculptra® is an injectable collagen stimulator that helps gradually restore fullness to wrinkles and folds in the face. The result is a soft, natural, more-youthful appearance to the face overall. Most patients see immediate Answers to crossword from page 28 results then continued improvement in the following months when the 1 2 3 4 5 6 7 H O L I S T I C S O Y A full results of the treatment become 8 A E U N N A V I more apparent. 9 10 11 12 R U T A B E G A P E A R If you are interested in any of the 13 14 I T P V P N W treatments we offer at Blush Aesthetics 15 16 17 18 C R U S T A C E A N P A or have questions, please visit our 19 O C O O N A Y website at www.blushnwo.com, email 20 21 22 T A E B O U L C E R S us at info@blushnow.com, or text/call 23 H T N R T P us at 419-520-SKIN. Our practice is 24 25 26 A I M H O T C E R E A L now located at 7015 Lighthouse Way, R U P A R A suite 300 in Perrysburg, Ohio 43551. 27 28 29 C A
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34 June 2019 | Healthy Living News
feeling smooth and low maintenance.
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Dr. Erin Hennessey is a nurse practitioner at Blush Aesthetics. ❦
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Spiritually Speaking Are you homesick for God?
mind as overwhelmingly complicated, so much so that one has to align oneself ho but God could fill our lone- with organizations who are working liness? Who but God could use toward a common goal. Prayer is still the creatures of the earth to heal our necessary, but so are the ideas of othloneliness? Who but God could send ers working towards a common goal. someone along to put love into our Writing your representative in Congress, wounds? God does indeed heal our signing petitions to change or pass a homesickness, our loneliness. How law, and getting to know someone who is being affected can this be so? by an injustice are The soul hardly ever realizes it, Look around this but whether one is a believer or not, just some things crazy world of ours we can do to help and you will see such one’s loneliness is really others and ourhomesickness that a homesickness for God. selves deal with it will bring you to +Dom Hubert Van Zeller some of these tears. Wars, terrorist Healing is impossible in loneliness; seemingly hopeactivities, mass shootit is the opposite of loneliness. less issues. An imings, genocide, homeConviviality is healing. portant part of our lessness, refugees, To be healed we must come with prayer needs to be natural disasters— all the other creatures to the feast of a request to persethe list could go on Creation… vere in our efforts and on. But I do not and not give up +Wendell Berry want to emphasize when things don’t the sadness in our You don’t need another human being seem to be going world; I just want to to make your life complete, in the right direcdwell on some posbut let’s be honest, tion. “Patience is sible solutions to all having your wounds kissed by somea virtue,” may these challenges. one who doesn’t see them as disasters need to become It seems to me that in your soul, our mantra. it is easy to get lost in Wendel Berry our challenges and but cracks to put their love into, is the most calming thing in this suggests that to just give up when there is a conthey pile up and get world. +Emery Allen nection between overwhelming. We loneliness and feel like we’re the only one experiencing the pain and healing. He goes so far as to say that pressure. We feel like there are so many healing is the opposite of loneliness and problems that one person, just little that conviviality is what is needed for old me, simply cannot do anything to healing. Webster defines conviviality relieve the depression, the feeling of as “friendliness, good humor, warmth, loss, the loneliness that comes when good nature.” Sounds like God to me. we try to help someone and nothing Berry suggests that to be healed, we seems to change. There is a loneliness must enter into nature and enjoy the that only God can help us with because feast of Creation. Sounds like God to me. Isn’t it lovely that God can heal us it is really homesickness for God. of our loneliness and homesickness by Guess what? God is waiting to help us overcome this loneliness and take using what has been created for us to away our homesickness. God may use, a beautiful sunset, the flowering do this in a variety of ways. Maybe I trees, the songs of migrating birds? needed some money to pay my gas Of course, one of the most important bill or to help me with the rent and creatures involved in God’s healing behold there’s the money right on process is the human being who, actime. I pray and someone comes along cording to Emery Allen, “doesn’t see who gives me exactly what I need to (your wounds) as disasters in your soul, but cracks to put their love into and is take care of my bills. Larger challenges don’t seem to be the most calming thing in this world.” solved as quickly as the smaller but no less important ones. In these instances, Sister Mary Thill is a Sylvania Franciscan one needs to pray for solutions and be Sister. She is Patient Liaison for Mature willing to work with others who are Health Connections at Mercy Health – St. also working toward solutions. Today’s Vincent Medical Center. She can be reached refugee and immigration issues come to at 419-251-3600. ❦ by Sister Mary Thill
W
Summer is right aroun Summer Summer Summer is is is right right right around around around the corner. corner. the
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What is a life coach? are confused on what to do with their lives. They support goal sethe term “coach” originated in the ting, personal growth, and behavior sports field, sometime in the late modification of their clients. A life 1880s, and has been a well-known coach will enable you to find your passion, make positive choices, and sports profession for years. The term “life coach” is a more experience real change. A life coach will deal with each recent concoction, and was initially popularized in the early 2000s in client’s issues on an individual basis and determine the proper California. Today, personal strategy for their needs. A coaching has evolved into life coach generally will a viable and recognized meet with clients to discuss industry because peoneeds and goals, and develple want to unravel the op strategies and plans for mysteries of themselves clients. Imagine working by discovering their own with someone whose sole unique core components. focus is you and the choices A life coach helps peoyou can make to improve ple tap into their full poyour life. Someone who tential and define/achieve will enable you to identify Dan Jachimiak their goals for who they possibilities that you haven’t want to be and what they want to do. Life coaches are a diverse yet thought of—someone who will group of professionals. Some have remain positive and keep you strong professional training while others and focused through the changes adopt the title because they feel you know you need to make. Life coaches work with their clients their gifts qualify them. Neither is to help them achieve goals, overcome wrong or right. What is the role of a life coach? obstacles, and make changes or shifts Life coaches help guide people that n Life coach - continued on p38 by Dan Jachimiak
T BEHAVIORAL HEALTH Life is Waiting...
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Inpatient, outpatient and partial hospitalization programs Inpatient: • Acute psychiatric hospitalization • Rehabilitation • Detoxification • Dual diagnosis • Chemical dependency Outpatient: • Intensive outpatient • Partial hospitalization
What is a life coach? Life coaches help people to move forward ... to set personal and professional goals that will give them the life they really want ... • If you knew you couldn’t fail • If procrastination wasn’t holding you back • If you could lead a different life As your life coach, I will enable you to find your passion, make positive choices, and experience real change. Introducing …
Assessments 24 hours a day, 7 days a week. Call 800-547-5695.
DAN JACHIMIAK, BA Life Coach
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.
36 June 2019 | Healthy Living News
FREE INITIAL CONSULTATION • Call today for an appointment
419.787.2036
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nobody’s perfect Taking care of business by Sister Karen Zielinski, OSF
Staying health is a full-time job!
B
y the time we visit our doctor for our annual checkup, we probably have done hours of medical maintenance—and going in to see the doctor is just another part of maintaining our health. Part of our responsibility as a patient is to follow our doctor's orders or suggestions for our own specific health needs. Some basic things we need to do before we see our primary-care doctor might be some basic, routine tests, blood work, mammograms, colonoscopies, bone-density scans, and others, depending on our medical history. If we have any neurological problems, we might need a CT scan or an MRI if the doctor needs to check up on anything on a regular basis. Sometimes, it takes weeks to schedule a medical test because there is not an open medical office. There is also the "work" of taking our medications. Sometimes we get them from a local grocery store that has a pharmacy or we choose 90-day supplies from mail-order pharmacies. When we need the occasional script for an infection, we call our doctor and pick up our antibiotic at a nearby store. Our doctors also might encourage us to follow a healthy diet, lose some weight, get more rest, stop smoking, start exercising, or learn more about our diseases. We might enroll in a nutrition class or attend a talk on a specific condition like diabetes, fibromyalgia, cancer, or chronic pain. These conferences can be informative, and when you learn more about managing lifestyle and symptoms, the saying "knowledge is power" rings true.
Our primary physician can ask us at our visits if and when we have seen other health professionals. Did we get our eyes checked? Have we seen the dentist? Did we see our cardiologist? Neurologist? Allergist? All of these visits and proper upkeep of our bodies are part of staying healthy, and they take time. We schedule appointments, drive out for medical tests, and spend time on the phone checking whether our health insurance covers the procedures or tests and where we can have the tests done. By the time we see the doctor, we might be exhausted from the preparation for our visit. While we are in the doctor's office, we are nervous. We hope and pray there is nothing wrong with us. But we are also nervous about another thing. We hope we don't have to get any more medical procedures. We leave our doctor's office feeling proud that we were medically responsible with our bodies. We realize that all the haste and inconvenience of medical tests and routine checkup procedures are matters of wellness. We return home, proud of ourselves and proud of our medical test stamina and perseverance. And then we start all over again for the next year since it's what we have to do! 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. ❦
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Behind-the-Scenes Tours Get up close to some of your favorite animals and see the Zoo from a keeper's perspective.
toledozoo.org/tours
BIRTHDAY PARTIES Let your birthday child run wild with us! Beginning June 2019 parties will be hosted in the new ProMedica Museum of Natural History! Contact Group Sales, 419-385-5721 ext. 3141 or visit toledozoo.org/hostanevent
Would your loved one prefer a private room while they rehabilitate? At Rosary Care, all of our spacious rooms are private and include bathrooms.
Discover Rosary Care Center – on the peaceful Motherhouse grounds of the Sisters of St. Francis of Sylvania. • We offer skilled nursing services, therapy and rehabilitation for recovery following surgery, an injury or illness. • Our team can help you evaluate your care needs. • We are Medicare and Medicaid certified and accept most other commercial insurances. • Long-term care and respite care are also available.
Visit us online at rosarycare.org Call for a tour today. 419.824.3600 jphillips@rosarycare.org
6832 Convent Blvd. • Sylvania, Ohio
A Sylvania Franciscan ministry
Healthy Living News | June 2019 37
Local functional medicine practitioner gets to the root of disease
D
CONCIERGE MEDICINE BRAIN HEALTH PROGRAM BY
Dr. Gokula provides concierge primary care physician services to registered patients ... at home, via telemedicine and DO YOU HAVE MEMORY PROBLEMS remote monitoring (equipment and training included) DR.patient GOKULA (GERIATRICS SPECIALIST) or at Dr. Gokula’s connected NO care clinic with an array of YES DO complimentary services 1 in 3 seniors die ofavailable. dementia Exercise 30 minutes daily
Stay Socially Active By 2025 in Ohio 250,000 Thousand will have dementia Mediterraneanroad Diet map to your health • Evaluation and comprehensive 20 years or more before symptoms appear. Keep Learning Have Hobbies • Direct Patient/Doctor communication by phone and email Sleep 6-8 hours daily
No Smoking • See Dr. Gokula from home or in-person at the clinic
• Membership in the PRISM Center (YURT) for body, mind and REFER TO DR.GOKULA 419-214-1213 WHO CAN GET BRAIN HEALTH ASSESSMENT? spirit enrichment classes WHO HASand MEMORY AND • DietANY and ONE nutrition advice supportPROBLEMS using nutraceuticals HAS MEDICARE/PRIVATE PAY/PRIVATE INSURANCE 1 HOUR BRAIN ASSESSMENT • Supportive therapies like essential oil therapy • Relaxation therapy and gentle movement therapy workshops INCLUDES ASSESSMENT OF MEMORY, MOOD, and talks cultivating accountability and social interaction
DEPRESSION, ANXIETY, FUNCTION, MEDICATION DO YOU TOlike CHANGE DOCTORS OR GET A SAFETY HOME, CAREGIVER BURDEN, • REVIEW, Group talksNEED onATtopics “Optimizing Your Immune System” ADVANCE CARE as PLAN, BEHAVIORS, DECISIONCARE MAKING and REFERRAL “Food Medicine” FROM PRIMARY DOCTOR?
• Pharmacy services through NO Accudose that includes delivery DETAILED CARE PLAN and compliant packaging forSENT safer administration TO PRIMARY CARE PROVIDER, SPECIALISTS, FAMILY, PATIENT AND CAREGIVERS
WHEN, WHERE AND WHO WILL PERFORM? I look forward to working with you CAN BE DONE IN OFFICE, HOME, ASSISTED LIVING as your family doctor. FOLLOW UP IN SIXAND MONTHS(MEDICARE COVERED) FACILITIES Please contactNURSING me whenever you’d like to talk
❝
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UPDATE CARE PLANtogether AND SHARE WITHyou PRIMARY CARE Let’s work to help live the satisfying PROVIDER, SPECIALISTS, PATIENT, FAMILY AND CAREGIVERS that you deserve.
isease typically manifests itself according to Sandwisch’s website, through particular signs and MyTotalBody.me, “Functional medicine symptoms, such as pain, discomfort, integrates traditional Western medical impairment of function, cognitive practices with what are sometimes changes, or abnormal growths. And considered ‘alternative’ or ‘integrawhen disease arises, conventional tive’ medicine, creating a focus on Western medicine is often well poised prevention through nutrition, diet, to treat its symptoms and alleviate and exercise; use of the latest labothe suffering they cause. ratory testing and other diagnostic However, from the techniques; and prescribed standpoint of functional combinations of drugs and/ medicine practitioner Mior botanical medicines, chelle Sandwisch, APRN, supplements, therapeutic FNP-C, of MyTotalBody diets, detoxification proFunctional Medicine Clinic, grams, or stress-manageeffective disease management techniques.” ment is about much more Sandwisch notes that than treating symptoms. she found her passion for Rather, it’s about determinfunctional medicine after Michelle Sandwisch ing how and why illness walking her own wellness APRN, FNP-C journey. “I was diagnosed occurs and digging deep with Crohn’s disease and into patients’ history, genetics, and life circumstances to get was a patient at the Cleveland Clinic to the root cause of their sickness or, Center for Functional Medicine. ideally, to prevent disease from arising After that, I decided to go back to in the first place so they can enjoy school to become a nurse practitioner. optimal wellness and greater vitality. Once I finished my coursework for “Functional medicine seeks to certification, I opened my clinic here identify the underlying causes of in Toledo at 4334 West Central with disease and balance all the body sys- the goal of getting people off medtems to work in harmony,” Sandwisch ications and teaching them how to explains. “My job as a practitioner live holistic lives,” she says. is to look ‘upstream’ to consider To help identify factors that either the complex web of interactions in underlie an existing disease state or each patient’s unique history, genetic are serving as an obstacle to achieving makeup, physiology, and lifestyle optimal health, Sandwisch asks her that can lead to illness and affect patients to complete an extensive total functioning. Armed with this questionnaire that explores their hisinformation, I can develop an indi- tory dating back to birth, asking such vidualized care plan that restores the wide-ranging questions as whether patient’s health and aligns with his they were breast-fed or bottle fed, or her personal health goals.” whether they were born naturally Though functional medicine differs or through C-section, and whether in focus from conventional Western they were treated with antibiotics medicine, it does not reject all of at some point. This powerful tool conventional medicine’s techniques, helps Sandwisch unlock clues and technology, and therapies. In fact, identify patterns, some of them
❞
~ Dr. Murthy Gokula
MURTHY GOKULA, MD, CMD TAKE ADVANTAGE OF YOUR MEDICARE BENEFIT www.stayhomeiwill.com Family Medicine & Geriatrics Specialist 419-214-1213 FOR FULL BRAIN HEALTH ASSESMENT 419-214-0783 BY BRAIN 2230 HEALTH DR. GOKULA WestEXPERT Laskey Road, Toledo, OH 43613 rrgokula@stayhomeiwill.com
TAKE ACTION BY CALLING 2230 W. Laskey Rd 419.214.1213 Toledo, Ohio 43613 419-214-1213
stayhomeiwill.com 38 June 2019 | Healthy Living News
Life coach - continued from p36 in their lives. The coach works with the client as a partner, knowing that the client has the answers to create the change they seek. Coaches do not analyze the past or counsel. What are the benefits of having a life coach? For those that need clarity in their lives, vision, and the passion for success, coaching is a great way to spark your inner spirit, which primarily holds all the answers. Benefits include finding your path or purpose, challenging you to reach new heights, pushing you to keep you motivated, and improving your focus and keeping you on track. Dan Jachimiak is a life coach and a life skills trainer, working with teens, young adults, and adults in the Toledo area. He can be reached at 419-787-2036. ❦ n
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lifelong, that might correlate with ill health either currently or in the future. “The bottom line is that by discovering the ‘why ’ behind your symptoms, it is possible to reclaim good health through this individualized approach to medicine, even if you’ve been suffering with a long-standing chronic illness,” Sandwisch states. For much more information on functional medicine and Sandwisch’s practice, including a listing of the many medical conditions she treats, visit her website, MyTotalBody.me. Sandwisch also collaborates with Dr. Murthy Gokula of Concierge Connected Holistic Health Care, who shares her passion for holistic care that promotes health in body, mind, and spirit. Contact information for the two practitioners is as follows: Michelle Sandwisch, APRN, FNP-C MyTotalBody Functional Medicine Clinic 4334 W. Central Avenue, Suite 219, Toledo, Ohio 419-410-2224 www.MyTotalBody.me
Murthy Gokula, MD, CMD Concierge Connected Holistic Health Care 2230 W. Laskey Road, Toledo, Ohio 419-214-1213 www.stayhomeiwill.com ❦
JUNE SPEAKERS AT THE PRISM CENTER
Rekha Talla, M.D.
Those interested in learning more about holist health care are encouraged to attend the weekly classes offered at the Prism Center, located at 2230 W. Laskey Rd. This month’s lineup of speakers and topics includes: June 6 Murthy Gokula, MD, CMD Topic and time to be announced June 13, 6:00 p.m. Inflammation: How to Put Out the Fire: Past and Present Solutions by Harriet "Hallie" Hancock, M.Ed, CNC June 20, 12:00 to 1:00 p.m. Mindful Living: Using Yoga to Live Your Happiest Life by Rev. Nicole Losie June 27, 5:30 p.m. Change Your Brain, Change Your Body by Joani Donovan, LMT, NKT, MMT
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Healthy Living News | June 2019 39
You’re never too old for Super Slow Training T
hough most of the clients currently taking advantage of the Super Slow Training method offered at TriggerPoint are in their 40s, this evidence-based, time-efficient exercise solution is gaining popularity among people of all ages—including individuals well into their senior years. One such client is Peg Anderson, age 92. Anderson learned about Super Slow Training from an ad and article in Healthy Living News and decided to explore the program further. So she came to TriggerPoint, tried it out, and was immediately impressed. “I thought, ‘This is great! I need to keep doing this!” she recalls. At that time, Anderson was beginning to have difficulty managing the stairs outside her home and wasn’t sure whether she would be able to continue living there. She had even purchased two canes to help her navigate the stairs. However, after just a handful of Super Slow Training sessions, she began to notice a positive change. “I could tell a difference after doing the program once a week
for just three weeks. I realized I was getting stronger and could go up and down those stairs without much effort whereas I struggled before. So I said I’m never going to quit this. I’m still not using either of those canes, and I attribute that to coming to TriggerPoint and making my muscles stronger,” she says. Tr i g g e rPoint owner Russ Wakefield explains that Super Slow Training involves lifting and lowering weights at a very slow rate, keeping consistent tension on the muscle throughout its whole range of motion. High-tech monitors on the
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specially designed Super Slow Training equipment help clients maintain the proper form, technique, and tempo during workouts. This method differs from conventional strength-training techniques in that there is no fast momentum to help do the work for you. Though s l o w, t h i s technique is intense, really working the muscles. It’s also very safe, with highly experienced and educated trainers working one-on-one with clients and monitoring and adjusting their every move. After this intense exercise stimulus, the body recovers for seven days, producing the desired results. Ours is a busy, fast-paced society that allows us little time to focus on health and fitness, so TriggerPoint clients appreciate the fact that Super Slow Training demands no more than a half hour of their time once a week. In fact, the program can be completed over your lunch hour with no requirement to change clothes or shower afterward. What’s more, as you progress through the program and begin to see results you never thought possible, that weekly workout time may actually decrease. Super Slow Training is considered
a high-intensity workout, but that should not discourage anyone from participating as long as they have their physician’s approval. Wakefield notes that clients of all ages, backgrounds, personalities, and body types—even pregnant women—can participate in and benefit from this time-efficient program. Anderson has certain physical challenges, including arthritis in her shoulder, but she says that her trainers at TriggerPoint are fully aware of her age and limitations and are careful to modify her program accordingly. Asked what she would tell others in her age group about Super Slow Training, Anderson states, “You are never too old for this. If you have physical limitations, the trainers will help you work around them. Remember, health problems are expensive and become more and more likely the older you get. You can’t just sit around reading magazines and eating bonbons and expect to stay healthy. You have to get moving and keep moving!” Wakefield urges anyone who is seeking a more efficient strength-training and conditioning alternative—or is simply tired of getting disappointing results from conventional workouts— to follow Anderson’s example by calling TriggerPoint and giving Super Slow Training a try. “This efficient, evidence-based program might just be the exercise solution you’ve been looking for,” he states. For an appointment, call Russ Wakefield at 419-536-0408. TriggerPoint, located at 2449 N. Reynolds Rd., is also on Facebook. ❦
You should go to TriggerPoint because it will save your life. After about 3 months, I was able to cut out all the blood sugar medication. That’s been amazing. I’m no longer diabetic anymore and I’ve lost 61 pounds!
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40 June 2019 | Healthy Living News
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Gardening for the space-impaired T
here are plenty of good excuses to plant a container garden. You may be an apartment dweller, or your property may be too small to accommodate in-ground plantings. Perhaps your mobility is limited or you simply don’t have the time to maintain a conventional garden. It may be that all the space in your planting beds has already been used up. Whatever the reason, planting a container garden is a great way to enhance a porch, deck, patio, balcony, poolside, wall, window, terrace, or any other part of your property that needs softening or sprucing up. To get started, you’ll need some suitable containers; a high-quality potting mix; a slow-release, general-purpose fertilizer (unless it’s already contained within the potting mix); the annuals, perennials, herbs, or vegetables of your choice; and a bag of mulch.
Which containers are best?
A suitable container can be defined as virtually anything that holds soil and allows proper drainage. For a more conventional look, you can choose from the various commercially produced terracotta, ceramic, plastic, wood, or concrete vessels available at your local garden center. Or, you can dispense with tradition altogether and use some of the objects that are currently cluttering up your garage, shed, basement, or attic as planting containers. Old galvanized washtubs, children’s beach pails, worn out tires, bushel baskets, and even old rain boots are just some of the unusual items that can be converted into whimsical planters. Whether you choose store-bought or homemade planters, make sure they have adequate drainage as this is critical to maintaining healthy plants. Drill additional drainage holes in the bottoms of your containers if necessary,
and place stones or broken pieces of terracotta over the drainage holes so they don’t become clogged with soil. Before they are filled with soil, clay pots should be immersed in water and soaked until bubbles stop rising to the surface. Otherwise, the dry clay will wick water out of the soil and away from your plants’ roots. When planting in a very large container, you might want to place a smaller clay or plastic pot inside the container with its open end facing down before adding the soil. The inverted pot will create a pocket of air that would otherwise have to be filled with soil. Remember, your plants will need only six to eight inches of soil to establish a healthy root system, so any soil deeper than that is essentially wasted and only makes the container heavier and harder to move.
Selecting the soil
The growing medium you choose for your containers must drain exceptionally well yet hold sufficient moisture to prevent your plants from drying out in between watering. Garden soil and topsoil are not recommended for this purpose because they tend to become overly compacted when used in containers. Your best bet is to buy a soilless potting mix from your local garden center. These mixtures are very lightweight and porous and contain no pathogens, insect pests, or weed seeds. Nowadays, many potting mixes have a slow-release fertilizer mixed right in. You can even create your own planting mix by combining two parts sterile potting soil with one part peat moss and one part perlite or vermiculite. Once you’ve chosen your planting mix, you can add it to your containers. The surface of the soil should be a few inches below the top edge of the container so water and soil don’t cascade out of the container every
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time you give your plants a drink. If it’s not included in your planting mix, go ahead and sprinkle slow-release fertilizer onto the soil at the manufacturer ’s recommended rate and work it gently into the top layer of soil with a trowel or hand cultivator.
Planting tips
Now you’re ready to add your plants. Plant them at the same depth as they were growing in the container or flat/pack, and gently firm the soil around the roots with your hands. Don’t concern yourself too much
with the spacing suggestions listed on the plant labels. When it comes to container gardening, there’s nothing wrong with packing ‘em in tight! In each container, try to combine plants of varying height and texture. Place taller specimens in the center or at the back of the container and shorter plants toward the sides and front. Trailing plants, such as English ivy, lobelia, and vinca vine, can be used to create dramatic cascading effects or to soften the edges of the container. Of course, all of the plants in any given container should share the same light and watering requirements. Once you’re satisfied with the arrangement in each pot, spread a layer of mulch over the soil surface to aid in moisture retention and temperature regulation. Then, go ahead and water the containers thoroughly—until you see water tricking from the drainage holes. Thereafter, check the soil every day to make sure it’s moist. During the dog days of summer, twice-daily watering may be necessary. ❦
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Acupuncture and chiropractic replacing opioids for pain control by Douglas A. Schwan, DC, Dip ac
C
hronic pain is one of the most frequent complaints of patients seen in physicians’ offices today. As the average age of the baby boomer population passes 60 years old, chronic pain becomes a much more prevalent problem as years start taking their toll. Recently, awareness has surfaced of the pervasive issues with opioid dependency in America. Long-term opioid use is fraught with problems. These strong pain medications were never meant to be used for long-term pain control. Many addicts report getting hooked after first taking prescription opioids
for pain relief. When opioids are taken over time, the effective dose will rise, and people who are addicted are forced to keep taking higher and higher doses to get the same level of pain relief. Eventually, the effective dose can come close to lethal levels. Diverting of opioids into the black market and their subsequent abuse is also a huge issue. In just 2017, 47,600 people died directly from opioid overdose. Non-opioid pain relievers, such as aspirin, acetaminophen, and naproxen, which come at prescription levels and over-the-counter strengths, have their own issues. Long-term use has been linked to heart, liver, kidney,
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and gastric problems. So what alternatives are there for those suffering from chronic pain? A report by the Joint Commission on Healthcare in August of 2018 issued the recommendation that acupuncture and chiropractic care should be first-line treatments in chronic back pain, shoulder pain, and migraine-type headaches. This was seconded by the American College of Physicians. There has been an explosion of awareness and insurance coverage for these alternative treatments as the horror of the opioid crisis finally rose to the level where it absolutely had to be dealt with. Medicaid policies in many states, including Ohio, now cover chiropractic and acupuncture treatments 100%. Veterans can now seek and get referrals for 100% coverage for acupuncture and chiropractic treatments for a wide variety of chronic pain conditions. More traditional insurance carriers are looking deeply into adding alternative care options in their coverage. The list of insurance carriers offering them grows daily. The National Institute of Health has noted efficacy in the treatment of a wide variety of chronic pain disorders: fibromyalgia, post-operative pain, osteoarthritis, myofascial pain, and the facial pain of trigeminal neuralgia and of temporomandibular joint (TMJ) dysfunction. The NIH panel pointed out that acupuncture and chiropractic is associated with a lower risk of adverse events than those associated with drugs, surgery, or other medical intervention. Recently, The American College of Physicians guidelines for treatment of lower-back pain have chiropractic care and acupuncture along with several other alternative therapies as the preferred first-level treatment methods. They suggest avoiding most types of drug-based pain relievers as able to provide little or no relief.
A study by The Journal of Alternative and Complementary Medicine found that patients who received alternative chiropractic and acupuncture care for their lower-back pain were very less likely to obtain a drug prescription than those who didn’t receive such treatment. Drugs and surgery will always have a place in the modern approach to management of chronic pain lasting over three months. What we are seeing today is a societal evolution where, instead of being front-line treatments, strong drugs and surgery are being replaced increasingly by alternative treatments such as chiropractic and acupuncture for initial management of chronic pain. In order to practice chiropractic or acupuncture, one must first be a licensed professional. To practice chiropractic, one must be a Doctor of Chiropractic and be licensed in the state. Acupuncturists may be one of several different types of professionals (including medical and chiropractic physicians) who have received advanced training and are licensed to practice acupuncture after passing a state board. Most professionals will offer a free consultation to discuss your health concerns and advise you if chiropractic and/or acupuncture is a good fit for you. The best thing is that neither chiropractic nor acupuncture will cause irreversible harm, unlike the irreversible complications that can occur with opioids or surgery as a first-line treatment. Dr. Schwan is a Doctor of Chiropractic and a Diplomat of the International Academy of Medical Acupuncture. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time stand-up comedian and has maintained an active practice in Toledo, OH since 1982. He is available for lay lectures and may be contacted at Dr_Schwan@ AcupunctureToledo.com. ❦
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Summer is the perfect time for many cosmetic procedures
W
ith warmer weather finally arriving in Northwest Ohio, area residents are making the switch to their summertime wardrobe and trying on bathing suits and beachwear to ensure a proper fit. This transition can be embarrassing for some because summer attire tends to reveal unattractive physical features that had been kept hidden under layers of thick clothing in the colder months. Of course, a cosmetic procedure might easily improve or eliminate the defect, but as everybody knows, these types of procedures are best performed in winter—certainly not in late spring or summer. But is that viewpoint really true or just a long-held misconception? According to Dr. Wade Banker of Luxe Laser Vein & Body Center, for many people, and thanks to the advent of state-of-the-art technologies, summer has become just as popular as winter for having cosmetic procedures performed. This is true for a variety of reasons. One is that for certain individuals, such as teachers and parents of students, summer is—and has always been—the only
season in which they have the free time in their schedule to get things done. There are also many people who simply prefer to recover from a procedure when the weather is pleasant and comfortable. “There’s certainly something to be said for recovering when it’s not bone-chillingly cold outside and you can get around without having to scrape frost off your car windows and risk slipping and falling on icy sidewalks and driveways,” says Dr. Banker. Another major factor that has made summer a desirable season for undergoing cosmetic procedures is leading-edge technology that has reduced recovery times significantly from what they once were. “Even if you have a procedure such as breast augmentation or liposuction performed in the middle of summer, you’re only going to lose one to three weeks of summer activities such as swimming or participating in sports—and you can still go outside and enjoy the beautiful weather while you recover,” Dr. Banker points out. Some cosmetic procedures were
simply designed to be summer-friendly. Examples include CoolSculpting and radiofrequency skin tightening, both of which have zero downtime and can be performed any time of year, including summer, with no difference in results. “Laser hair removal can also be performed yearround with no special instructions other than to stay out of the sun—or wear heavy sunblock—for one to two days after treatment. Because most of our patients tend to wear sunblock anyway, sun avoidance is not usually an issue when this procedure is performed in summer,” Dr. Banker adds. If easy recovery and comfortable weather are near the top of your priority list when deciding when to undergo a cosmetic procedure, you might want to reconsider the idea that winter is the best time—and opt to have it done in summer instead. For more information on summer-friendly cosmetic procedures performed at Luxe Laser Vein & Body Center, please call 419-893-2775 or visit luxe-laser.com. Consultations are always free. ❦
n
Army vet - continued from p6
on his walker to release that back pain. Also, 250 feet is considered ‘household distance’ as opposed to ‘community distance,’ so he’ll still have to use a wheelchair when he leaves home. We’re hoping back surgery will fix that pain so he can continue to make progress in the future,” Snyder says. Though Nash won’t walk out of The Laurels pain-free and unassisted after his current therapy stint, the hard work he has done so far will not have been in vain. In fact, all the strengthening and conditioning he has accomplished thus far will not only help him better tolerate surgery, but also give him a leg up on recovery afterward. Like Snyder, he’s hopeful that, once provided documentation from The Laurels, the VA will approve his back surgery so he can get back to his life pain-free and with the highest possible degree of function and mobility. The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required outpatient services. VEIN &to BODYobtain CENTER For more information, call 419-536-7600 or visit www.laurelsoftoledo.com. ❦
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/LuxeLaserVeinAndBodyCenter Healthy Living News | June 2019 43
Elizabeth Scott Community 2720 Albon Road Maumee, OH 43537 419-865-3002 www.elizabethscott.org
Continuing Healthcare of Toledo 4420 South Ave. Toledo, Ohio 43615 419-531-4201 www.ContinuingHC.com
Rosary Care Center 6832 Convent Blvd. Sylvania, OH 43560 419-882-2016 www.sistersosf.org
Genacross Lutheran Services Wolf Creek Campus
Senior Star at West Park Place
Park Terrace Nursing and Rehabilitation
2001 Perrysburg-Holland Rd. Holland, OH 43528
3501 Executive Parkway Toledo, Ohio 43606
2735 Darlington Rd.
419-861-2233
419-442-8563
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Senior Living Guide Choosing a senior living community that’s right for you or a loved one is among the most important—and challenging— decisions you’ll make in your lifetime. We’re fortunate here in Northwest Ohio and Southeast Michigan to have a wide variety of high-quality senior living options, including independent living, assisted living, continuing-care, and subsidized low-income housing communities. To make your decision a bit easier, we’ve assembled this guide to all the senior living properties that regularly support Healthy Living News through advertising. In addition to referencing this page for each organization’s contact information, we urge you to see their ads in the pages of this issue, check out their websites, and give them a call to schedule a tour if you are interested in hearing more about all the services and amenities they offer.
Toledo, Ohio 43606 419-531-4465 www.parkterracenursing.com
Parkcliffe Community 4226 Parkcliffe Lane Toledo, OH 43615 419-381-9447 www.parkcliffe.com
Pelham Manor 2700 Pelham Rd Toledo, OH 43606 419-537-1515 www.jewishtoledo.org
St. Clare Commons
The Manor at Perrysburg
Gardens of St. Francis
Fieldstone Villas
12469 Five Point Road Perrysburg, OH 43551
250 Manor Drive Perrysburg, OH 43551
930 S. Wynn Road Oregon, Ohio 43616
9640 Sylvania-Metamora Rd. Sylvania, OH 43560
419-931-0050
419-874-0306
419-698-4331
419-386-2686
www.homeishere.org
www.ManorAtPerrysburg.com
www.homeishere.org
www.sunset-communities.org
Sunset House
Ohio Living Swan Creek
Franciscan Care Center
4030 Indian Rd. Ottawa Hills, OH 43606
5916 Cresthaven Lane Toledo, OH 43614
4111 N. Holland-Sylvania Rd. Toledo, Ohio 43623
Charter Senior Living of Oak Openings
419-536-4645
419-865-4445
419-882-6582
www.sunset-communities.org
www.ohioliving.org
www.homeishere.org
The Woodlands
Plaza Apartments
The Laurels of Toledo
4030 Indian Rd. Ottawa Hills, OH 43606
2520 Monroe Street Toledo, Ohio 43620
1011 Byrne Road Toledo, OH 43607
419-724-1220
419-244-1881
www.sunset-communities.org
419-536-7600
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Sunset Village
Genesis Village
9640 Sylvania-Metamora Rd. Sylvania, OH 43560
2429 S. Reynolds Rd. Toledo, OH 43614
Genacross Lutheran Services Toledo Campus
419-724-1200
419-720-1286
www.sunset-communities.org
www.genesisvillage.org
44 June 2019 | Healthy Living News
131 Wheeling St. Toledo, OH 43605 419-724-1414 www.GenacrossLutheranServices.org
6805 Sylvania Avenue Sylvania, Ohio 43560 419-419-0408 www.charteroakopenings.com
Browning Masonic Community 8883 Browning Drive Waterville, Ohio 43566 419-878-4055 www.bmcohio.org
The Glendale Assisted Living 5020 Ryan Road Toledo, Ohio 43614 419-340-6721 www.glendaleassistedliving.com
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All the right moves: involuntary discharge notices by Chris Stieben and Megan Benner Senecal Part two of our discussion on transfer/ discharge will focus on involuntary discharge notices. There are specifically defined reasons and procedures that a nursing home must follow if they are planning to discharge a resident involuntarily.
F
irst, the home must give written notice with a reason for transfer, date, proposed location, rights regarding a hearing, procedure to request a hearing, and the information to the Long-Term-Care Ombudsman to assist and represent the resident at a hearing. This notice is usually 30 days unless otherwise indicated for emergency. The proposed location must be safe and appropriate and should not be a homeless shelter. The following are the reasons that a nursing home must provide when they seek to involuntarily discharge a resident: 1. Medical care needed can’t be provided by the nursing home. This
refers to the complex physical needs of a resident that would require a more acute setting. This does not refer to the inability to staff for needs. 2. Resident condition has improved and no longer needs assistance from a nursing home. 3. The health and safety of other individuals in the home are endangered. 4. The resident has failed to pay or apply for benefits or insurance to pay the nursing home bill. It is also important to keep in mind, that even if it is not the resident’s fault for not paying a bill (e.g. they have a financial POA that does it for them), if the bill is unpaid, the resident is the one who incurs the consequences. As such, facilities and families should keep an eye on billing to make sure that the resident’s bills
are being paid appropriately and an unnecessary involuntary discharge is avoided. 5. The home plans to cease to operate. The facility must indicate which reason is serving as the basis for the involuntary discharge. Despite the allowable reasons for discharge, it is understood that the nursing home is considered the home of the resident once they have resided in the home for more than 30 days. That being said, the rules protect the resident in their home with additional appeal rights and protections so that a resident is not moved without being able to provide input and make appeals to remain in the home. It is important that all consumers
and their loved ones are informed that our office assists with hearings and appeals. The Long-Term-CareOmbudsman’s office is available to answer questions related to discharge and transfer as well as advocate for residents in order to avoid an improper discharge. Last year, we assisted with 65 discharge complaints, and in 93 percent of those cases, the client prevailed in the discharge planning or the hearing. It is important that all consumers know these rules and rights before entering a nursing home. The issue comes up rapidly, and decisions must often be made quickly without time to examine or research options. So, keep the ombudsman in mind and reach out to us so that we can assist in providing immediate assistance and help you avoid delays or quick, uninformed decision making. Christopher Stieben is Director of the ABLE Long-Term-Care-Ombudsman Program, which can be reached at 419259-2891 (http://ombudsman.ablelaw. org), and Megan Benner Senecal is a member of the Ombudsman office. ❦
It’s
Season
Reduce ozone pollution by using your grill less.
Ozone is bad for everyone, especially people with asthma or other lung problems.
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Healthy Living News | June 2019 45
Paddling a canoe is good for you! by Mary Pat McCarthy Paddling is a way to disconnect— from media and phones—that lets us reconnect—to the natural world.
N
orthwest Ohio is a sweet spot for water activities of all kinds. We have wide rivers and narrow creeks, the big Lake Erie and hundreds of little lakes and ponds. Getting out on the water in a canoe or kayak is a great way to explore our region. Paddling or floating quietly in the water you can watch muskrats or beavers or see deer coming to drink—all while getting excellent, low-impact exercise.
Learn about water quality and Photos for #31 TMACOG canoeing article its impacts Canoemobile will take groups
!
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Actually being on the water Caption:isCanoemobile will take groups and families and families out on the Maumee Riverout on the fun. Photos courtesy offor Wilderness also a good way to learn more about educationInquiry. and fun. water quality and its impact on pubPhotos courtesy of Wilderness Inquiry. lic health and wildlife habitat. The Toledo Metropolitan Area Council of Governments (TMACOG) has sponsored the Student Watershed Watch every year since 1989. This program gets hundreds of junior and senior high school students out to area waterways for hands-on learning. This year, TMACOG is bringing water education to the whole family with Canoemobile! The Canoemobile Watershed Festival is Saturday, June 29 from 11:00 a.m. to 3:00 p.m. Gather at the Walbridge Park Boat Launch behind the Toledo back the freedom to move around Zoo parking lot on Broadway. On as they would like. And, of course, land, there will be activity stations there are mental-health benefits to with art activities and public health being out on the water. information, educational booths There are lots of ways to explore from community partners, and food the water in Northwest Ohio. The trucks. On the water, groups will be Metroparks has access to navigable able to explore the Maumee River water at several parks: The Maumee from the big canoes of Wilderness River parks of Farnsworth, Side Cut, Inquiry. They will provide expert Providence, and the Middlegrounds paddlers and all safety gear for a all have natural access, and many fun, safe trip on the big river. have docks. The inland lakes at Wiregrass and Blue Creek also welHealth benefits of paddling Ashley Smith, Manager of Outdoor come paddlers. The new Howard Skills for the Toledo Metroparks, is Marsh Park has miles of blue trail enthusiastic about the health ben- waterways to paddle with great efits of self-propelled boating. She facilities for boaters. Add paddling sports to your sumsaid that paddling can be a good upper-body exercise. She also noted mer exercise routine for a whole new that fast paddling can be as aerobic as way of looking at and connecting to running and it is low-impact, which the world. is easier on the joints. She added that some people who have trouble walking or balancing have found that a canoe or kayak gives them
Written by Mary Pat McCarthy, Public Information, Toledo Metropolitan Area Council of Governments. ❦
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Healthy Living News | June 2019 47
It Takes Two to Tango H E A LT H C A R E F O R T H E U N I V E R S E O F YO U
The way you move moves the people around you. Move pain-free with orthopedic and sports medicine care from Mercy Health, the official physicians of pro and more everyday athletes. To find a sports medicine or orthopedic doctor near you, visit mercy.com/ortho
Orthopedics and Sports Medicine