HLN March 2018 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News March 2018 • FREE

Also available at hlntoledo.com

with Lyric

Parkinson's Symposium April 28 • Shape up and wake up your skin • Super Fitness turns 46 • The truth about ECT • Kidney stones clarified • Timely colonoscopy is key • Health Crossword • Spiritually Speaking • Nobody's Perfect • A Walk in the Park, and more!

You can’t plan for an emergency, but you can have an emergency plan.

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Shape up and wake up your skin Shape up up and and wake wake up up your your skin skin Shape

ello, “Millennials”! Are the skin changes related to stress, pollution, smoking, and priorAre sun and tanning to pollution, show on ello, “Millennials”! thedamage skin changes relatedstarting to stress, “Millennials”! Are the skin changes related to stress, pollution, yourello, facial, neck, and chest skin? Are your jowls and neck starting smoking, and prior sun tanning starting to show on ello, “Millennials”! Aredamage the skinand changes related to stress, polsmoking, and prior sun damage and tanning starting to show on to sag, and are you noticing that darkening is developing around your facial, and and chestprior skin? your jowls and neck starting lution,neck, smoking, sunAre damage and tanning starting to your facial, neck, andfacial, chest skin? Are yourskin? jowls neck starting and under eyes, yourneck, pores are enlarging, orand “age spots” are to sag, andyour areyour you noticing that darkening is developing around show on and chest Are your jowls and to andyour are youand noticing that darkening islook developing around appearing? Do your friends question why youdarkening the time andsag, under eyes, your are enlarging, or tired “age spots” are neck starting to sag, are pores you noticing that isall developing and under yournot? eyes, yourthese poreschanges are enlarging, orand “agejust spots” are when you are While are mild starting, appearing? Do your friends why look tired thespots” time around and under your eyes,question your pores areyou enlarging, or all “age appearing? Do your friends questionin why you look program tired all the time now isyou theare time start engaging awhy skin-care that will when not? While thesequestion changes areyou mild just are appearing? Dotoyour friends lookand tired all starting, the time when you arespecifically not? Whileforthese changes areand mildreduce and just starting, be designed you to improve these signs now isyou thearetime startthese engaging in aare skin-care thatnow will when not?toWhile changes mild andprogram just starting, now is the time to start engaging inrecommend a skin-careand program that will of aging. Handler will for personally explain a signs skinbethe designed specifically to improve and that reduce these is timeDr. to start engaging inyou a skin-care program will be designed be designed program specifically for youthe to improvesigns and reduce these signs rejuvenation to reduce aging. of aging. Dr.for Handler will personally recommend and explain a skinspecifically you towill improve and visible reduce theseof signs of aging. Dr. of aging. Dr. Handler personally recommend and explain skinThe will anti-aging treatments performed by Dr.ofaHandler area “nonrejuvenation program to reduce the visible signs aging. Handler personally recommend and explain skin-rejuvenation rejuvenation program todiscomfort reduce theorvisible signs of aging. invasive,” minimal The anti-aging anti-aging treatments performed by Dr. Dr.Minimize Handler under-eye are “non“nonprogram towith reduce the visible signs ofdowntime. aging. The treatments performed by Handler are darkening, raiseminimal those droopy eyelids, shrink pores, lift“non-invasive,” sagging jowl invasive,” with discomfort or downtime. Minimize under-eye The anti-aging treatments performed by Dr. Handler are invasive,” with minimal discomfort or downtime. Minimize under-eye areas, and appear as youthful as you feel. Call Dr. Handler’s office darkening, raise those droopy droopy eyelids,Minimize shrink pores, pores, lift sagging sagging jowl with minimalraise discomfort or downtime. under-eye darkening, darkening, those eyelids, shrink lift jowl for a those personal evaluation with treatment recommendations foroffice your areas, and appear as youthful as you feel. Call Dr. Handler’s raise droopy eyelids, shrink pores, lift sagging jowl areas, and areas, and appear as youthful as you feel. Call Dr. Handler’s office aging skin. for a personal evaluation with treatment recommendations for your appear as youthful as you feel. Call Dr. Handler’s office for a personal for a personal evaluation with treatment recommendations for your Remember, 80% of recommendations the signs of agingforare to skin. prior sun aging skin.with treatment evaluation yourdue aging aging skin. exposure and subsequent skin damage. All the brown spots (“age 80%ofof ofthe thesigns signs of aging aging are due dueprior to sun priorexposun Remember, of aging are are due to Remember, 80% 80% the signs of to prior sun spots”), broken blood vessels on the face, fine lines, and sagging skin exposure and subsequent subsequent skin damage. damage. All the spots brown(“age spotsspots”), (“age sure and subsequent skin damage. All the All brown exposure and skin the brown spots (“age are caused almost byon sun! isfine something people andyoung sagging skin broken blood vessels on the face, fine and sagging skin are spots”), broken bloodentirely vessels the This face,lines, lines, and sagging skin should be aware of since we get 80% of our lifetime sun exposure by young people people caused almost entirely by sun! something young young people should are caused almost entirely by This sun!isThis is something the time we are 18-20 years of age. sun exposure exposure by be aware sinceofwesince get 80% of our exposure by the time should beofaware we get 80%lifetime of our sun lifetime sun by What theof“worry lines” we 18-20 years age. of the are time weabout are 18-20 years age.between your eyes, deep smile lines,What upper lip lines (lipstick runs uphill), and your sagging jowlssmile and about the“worry “worrylines” lines” between eyes, deep smile about the between youryour eyes,eyes, deepdeep smile lines, neck? These unfortunate changes caused by prior sun exposure lines, upper lip(lipstick lines (lipstick runs uphill), andsagging your sagging jowls and sagging jowls and upper lip lines runs uphill), and your jowls and neck? can beunfortunate improved dramatically with pain-free, cosmetic neck? These unfortunate caused bynon-invasive prior sun exposure suncan exposure These changeschanges caused by prior sun exposure be improcedures performed by Dr. Handler. non-invasive can be dramatically improved dramatically with pain-free, cosmetic non-invasive cosmetic proved withentirely pain-free, non-invasive cosmetic procedures The NEW Thermage CPT Deep Tip procedure painlessly heats proceduresentirely performed entirely by Dr. Handler. performed by Dr. Handler. damaged collagen under CPT your Deep skin toTip tighten and liftpainlessly sagging heats areas The NEW Thermage procedure Tip procedure painlessly heats The NEW Thermage CPT Deep of the neck, jowls, upper arms, and abdomen. The NEW Thermage damaged collagen under your skin to tighten and lift sagging areas damaged collagen under your skin to tighten and lift sagging areas CPT procedure utilizes radiofrequency (not laser). of the theDeep neck, jowls, upper and abdomen. NEW arms, and abdomen. The Theenergy NEW Thermage Thermage of neck,Tip jowls, upper arms, CPT Deep Tip procedure utilizes radiofrequency energy (not laser). This procedure also encourages a natural repair process that results CPT Deep Tip procedure utilizes radiofrequency energy (not laser). This procedure also aa natural process in further tightening, lifting, and younger-looking Withthat onlyresults ONE natural repair repair skin. process that results This procedure also encourages encourages in further tightening, lifting, and younger-looking skin. With only ONE treatment, results are seen before leaving the office. Continued in further tightening, lifting, and younger-looking skin. With only ONE treatment, results results are before leaving the Continued tightening and lifting ofseen sagging skin occurs overoffice. aContinued 6-month time results areseen seen before leaving the office. Continued treatment, are before leaving the office. tighttightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO tightening and lifting of sagging skin occurs a 6-month time ening and lifting of sagging skin occurs over aover 6-month time period periodThe withNEW results lasting 3-4 years! There is NO downtime and NO pain. Thermage CPT Deep Tip system has been utilized period with results 3-4 years! NO downtime andpain. NO with results lasting lasting 3-4 years! There There is NO isdowntime and NO pain. The NEWforThermage CPT Tip system has beensatisfied utilized by Dr.NEW Handler many years withDeep excellent results and very pain. The NEW Thermage CPT Deep Tip system has utilized been utilized The Thermage CPT Deep Tip system has been by Dr. by Dr. Handler for many years with excellent results and very satisfied patients. by Dr. Handler foryears manywith years with excellent results very satisfied Handler for many excellent results and veryand satisfied patients. patients. For lines linesbetween betweenthethe eyes (worry lines), feet,theand the patients. For eyes (worry lines), crow’scrow’s feet, and “sleepy For and linestired between thedroopy eyes eyelids,” (worry lines), crow’s feet, and the “sleepy look with the use of Botox or Dysport between theeyelids,” eyes (worry crow’s feet, and the and For tiredlines look with droopy the uselines), of Botox or Dysport works “sleepywell andto tired look with droopy eyelids,” the use are of Botox or Dysport works improve these areas. The results diminished linesa “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport well to improve these areas. The results are diminished lines and works well to“wide improve these areas. The appearance. results are diminished lines and a“wide more awake” and less tired These products works well awake” to“wide improve areas. Theappearance. results are products diminished more and these lessand tired appearance. These arelines also and a more awake” less tired These products are also fantastic to reduce anxiety-induced underarm sweating for and a more “wide awake” and less tired appearance. These products fantastic to reduce anxiety-induced underarm sweating for 5-7 months are also fantastic to reduce anxiety-induced underarm sweating for 5-7 months after injection treatment. are months also fantastic to reduce anxiety-induced underarm sweating for after injection treatment. 5-7 after injection treatment. The use useof of fillers, such as Restylane, Perlane, Juvederm, 5-7 months after injection treatment. The fillers, such as Restylane, Perlane,Perlane, Juvederm,Juvederm, Radiesse, The use of fillers, such as Restylane, Radiesse, and others, to “fill” deep smile lines and the marionette The use of fillers, such as Restylane, Perlane, Juvederm, and others, to “fill” deep smile lines and the marionette lines (the sad Radiesse, and others, to “fill” deep smile lines and the marionette lines (the sad look) from the corners ofsmile the mouth produces immediate Radiesse, and others, to “fill” deep lines and the marionette look) from the corners of the mouth produces immediate results lasting lines (the sad look) from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired orproduces sadnot! when youthese are lines (the sad look) from the corners of the mouth immediate 12-15 months! Don’t look tired or sad when you are Since results lasting 12-15 months! Don’t look tired or sad when you are not! Since these products are combined with a numbing agent, the results lasting 12-15 months! Don’t look tired sadiswhen youNow, are products arethese combined with are a numbing agent, theaorpain minimal. not! Since products combined with numbing agent, the pain is minimal. Now, Dr. Handler utilizes the injection of new fillers not!Handler Since these products are combined with a numbing agent, the Dr. utilizes theDr. injection of new fillers “Restylane Silk” pain is minimal. Now, Handler utilizes thecalled injection of new fillers called Silk” and “Restylane Refyne.” These products pain“Restylane is“Restylane minimal. Refyne.” Now, Dr.and Handler utilizesmarkedly the injection of new fillers and These products improve upper and called “Restylane Silk” “Restylane Refyne.” These products markedly improve upper and lower lip lines lines (lipstick lines). Restylane calledlip “Restylane Silk” andRestylane “Restylane These products lower lines (lipstick lines). SilkRefyne.” also volumizes your lips markedly improve upper and lower lip (lipstick lines). Restylane Silk also volumizes your lips and restores their natural curve while markedly lower lip lines (lipstick lines).and Restylane and restores their upper natural curve looking attractive natural. Silk also improve volumizes yourand lips andwhile restores their natural curve while looking attractive and natural. Restylane Silk also can be utilized to looking and natural. Restylane Silk also canlines” becurve utilized to Silk alsoattractive volumizes your andtorestores their natural while Restylane Silk also can belips utilized minimize the “worry between minimize the “worry lines” between your eyes. There is no downtime minimize the “worry lines” between eyes. There is no downtime looking attractive natural. Restylane Silk also can be utilized to your eyes. There isand no downtime withyour these non-invasive procedures. with these non-invasive procedures. with these non-invasive procedures. minimize the “worry lines” between your eyes. noClear downtime For fine lines, large pores, and brown (age)There spots,isthe and fine lines, large pores, pores, and visual brownresults (age) spots, spots, thetreatments. Clear and and For fine lines, large and brown (age) the Clear withFor these non-invasive procedures. Brilliant laser produces awesome after 3-5 Brilliant laser produces awesome after 3-5 treatments. For lines, large pores, and visual brown (age) spots, thetreatments. Clear and This is afine painless procedure whereby Dr.results Handler utilizes a laser to This is a painless procedure whereby Dr. Handler utilizes a laser to to Brilliant thousands laser produces awesome visual resultsspace after 3-5 treatments. produce of small columns of empty in your dermis, produce dermis, of small columns ofDr. empty space in youraindermis, This is your athousands painless procedure whereby Handler utilizes laser to which body fills with its own collagen. This results softer, which your softer, body fills with its own collagen. This results in softer, produce thousands of small columns of empty your dermis, smoother, and diminished facial lines and smallerspace poresinand lightening smoother, lightening and diminished facial lines and smaller pores and lightening which your body fills iswith its own collagen. results in softer, of brown spots. There NO downtime with thisThis procedure. When the spots. There is NO downtime with this procedure. When the of brown the smoother, diminished lines and poresCPT and Deep lightening Clear and and Brilliant laser isfacial combined withsmaller Thermage Tip, of brown spots. There is NO downtime with this procedure. When the

Clear and Brilliant laser is combined with Thermage CPT Deep results areisideal for patients who desireCPT no Clear Tip, and the Brilliant laser combined with Thermage Clear and Brilliant laser is combined with Thermage CPT downtime or pain and predictable results of lifting sagging skin Deep Tip,are theideal results are ideal patients who desire no the results for patients whofor desire no downtime or pain Deep Tip, orthe results are for patients who desirefine no and smoothing fine lines. Dr.ideal Handler isskin the only dermatologist downtime pain and predictable results ofand lifting sagging skin and predictable results of lifting sagging smoothing downtime or pain and predictable of lifting saggingOhio skin in northwest Ohio thisresults procedure. and smoothing fine lines. Dr. dermatologist Handler is the only dermatologist lines. Dr. Handler isperforming the only in northwest and smoothing fine lines. Dr. Handler is the only dermatologist Are you aware that Dr. Handler personally performs laser in northwest performing this procedure. performing thisOhio procedure. in northwest for Ohio performing this procedure. procedures removal ofHandler body hair anywhere hair grows? Areyou youaware aware thatDr. Dr. Handler personally performs laser Are that personally performs laser Are you aware that Dr. Handler personally performs laser Yes, this minimally painful laser destroys hairs around the proceduresforforremoval removalof of body anywhere hair grows? procedures body hairhair anywhere hair grows? Yes, procedures forupper removal of body hair anywhere hair line, grows? chin, jawline, lip, underarms, ears, nose, bikini etc. Yes,minimally this minimally painful laserhairs destroys around the this painful laser destroys aroundhairs the chin, jawline, Yes, this laser minimally painful laser destroys hairs around the And is not lip, just fornose, women. Many men this laser chin,this jawline, upper underarms, ears, nose, bikinithis line,laser etc. upper lip, underarms, ears, bikini line, etc.have And chin, jawline, upper lip, underarms, ears, nose, bikini line, etc. permanently remove chest and back And is not just for men women. Many men have this laser isperformed notthis justlaser fortowomen. Many have this laser And this laser is not just for women. Many men have hair as wellto aspermanently beard hair that growschest downand ontoback the this laser performed to remove performed remove chest and performed to permanently remove chest and back neck. Dr.well Handler utilizes the indown lasers for hair as as as beard hair that grows down onto the the back hair as wellbeard asalso beard hairgrows thatlatest grows hair well as hair that down onto removal of “age spots” (sun spots really) anywhere neck.the Dr.neck. Handler also utilizes utilizes the latestthe lasersfor for onto Dr. Handler alsothe utilizes latest neck. Handler also latest inin lasers on theDr.body. Thisspots” laser works especially well for the removal of “age (sun spots really) anywhere inremoval lasers for removal of “age spots” (sun spots of “age spots” (sun spots really) anywhere tops ofanywhere handsThis covered those “age spots.” Finally, on the the body. laser works especially well for the the really) thewith body. This laser works on body. This on laser works especially well for Dr. Handler also performs laser removal of unwanted tops of hands covered with those “age spots.” Finally, especially well for the tops of hands covered with tops of hands covered with those “age spots.” Finally, blood vessels growDr.on your face and enlarge Dr. Handler Handler alsothat performs laser removal ofunwanted unwanted those “age spots.” Finally, Handler also performs Dr. also performs laser removal of with heat, stress, and the intake of alcohol. Again, bloodremoval vesselsofthat that grow blood on your your facethat andgrow enlarge laser unwanted vessels blood vessels grow on face and enlarge pain and downtime are minimal with this laser. All of with heat, stress, and the thewith intake of stress, alcohol.and Again, on your face and enlarge heat, with heat, stress, and intake of alcohol. Again, these lasers are non-invasive with minimal down-time. painintake and downtime downtime are minimal with this laser.All All ofof the of alcohol.are Again, painwith andthis downtime pain and minimal laser. Anti-aging cosmetic enhancements arenon-invasive not for the these laserswith areand non-invasive with minimal down-time. are minimal this laser. All with of these lasers are these lasers are non-invasive minimal down-time. female gender alone. Male cosmetic enhancement Anti-aging and cosmetic cosmetic enhancements enhancements are are not notand forantithe with Anti-aging minimal down-time. and for the aging procedures have increased over 213% in the past female genderand alone. Male cosmetic cosmetic enhancement and antiAnti-aging cosmetic enhancements are not for theantifefemale gender alone. Male enhancement and 5aging years foralone. sagging skin, darkening under the eyes with aging procedures have increased over 213% ininanti-aging the procedures have increased over 213% the past past male gender Male cosmetic enhancement and “hollow” look, andskin, brown spots. utilization of fillers 5the for sagging darkening the with 5 years years forhave sagging skin, darkening under the 5eyes eyes with procedures increased over 213%The inunder the past years for (Perlane, Restylane, Juvederm, Radiesse, etc.) is excellent the and spots. The ofof fillers the “hollow” “hollow” look, and brown brown the spots. The utilization fillers sagging skin, look, darkening under eyes withutilization the “hollow” look, for deep Restylane, smile and the “sad look” asetc.) evidenced with (Perlane, Juvederm, isisexcellent (Perlane, Restylane, Juvederm, Radiesse, etc.) excellent and brown spots.lines The utilization of Radiesse, fillers (Perlane, Restylane, for lines evidenced with for deep deep smile smile lines and and the “sad look” look”foras asdeep evidenced with Juvederm, Radiesse, etc.)the is “sad excellent smile lines

t is appropriate for patients to understand why it is in their medical interest to always seek the advice boardtbest for to why their t isis appropriate appropriate for patients patients to understand understand why ititofisisainin their best medical interest to always seek the advice of a boardcertified dermatologist for skin care. Why is seeking a boardbest medical interest to always seek the advice of a boardcertified dermatologist for skin Why isisseeking aaboardcertified beneficial for solving skin certified dermatologist dermatologistthe formost skincare. care. Whyroute seeking boardcertified dermatologist the most beneficial route for solving skin disease issues versus a general practitioner, nurse practitioner, certified dermatologist the most beneficial route for solving skin disease versus general nurse physician’s assistant, otherpractitioner, medically-oriented individual? diseaseissues issues versusoraaany general practitioner, nursepractitioner, practitioner, physician’s assistant, or any other medically-oriented individual? Please be aware that a board-certified dermatologist has physician’s assistant, or any other medically-oriented individual? Please beminimum aware that a board-certified dermatologist has the following education versus the above-mentioned Please be aware that a board-certified dermatologist has the following minimum education versus the above-mentioned quasi “skin doctors”: the following minimum education versus the above-mentioned quasi “skin doctors”: 1. Four years of college to earn a bachelor’s degree quasi “skin doctors”: 1. Four years of college toschool earn a bachelor’s 2. Four years of become adegree medical 1. Four years of medical college to earn atobachelor’s degree 2. Four years oformedical school to become a medical doctor (MD) doctor of osteopathic medicine (DO) 2. Four years of medical school to become a medical (MD) or doctor of osteopathic medicine (DO) 3. doctor One year of an internship doctor (MD) or internship doctor of osteopathic medicine (DO) 3. One year of 4. 3-4 years in an aandermatology residency program 3. One year of internship residency 4. 3-4 years in aexams dermatology program 5. Has passed for board 4. Has 3-4 years in exams a dermatology 5. passed for boardresidency program certification dermatology. 5. certification Has passedininexams for board dermatology. certification in dermatology.

sagging at the corners of the mouth. And of course the use of Dysport/Botox to reduce is superb. sagging at the corners of theforehead mouth. “worry And oflines” course the use sagging at the corners of the mouth. And of course the useof All of these cosmetic enhancements are performed of Dysport/Botox to evidenced reduce forehead “worry at lines” superb. and the “sad look” as with sagging the is corners of Dysport/Botox to reduce forehead “worry lines” is superb. entirely by Dr. Handler. To view before-and-after photographs All of And these cosmetic enhancements are performed the mouth. of course the use of Dysport/Botox to reduce All ofby“worry these cosmetic enhancements are photographs performed of patients whoHandler. have had these procedures performed by Dr. entirely Dr. view before-and-after forehead lines” isTo superb. entirely by Dr. Handler. To view before-and-after photographs Handler, visit www.drharveyhandler.com. For more detailed of patients whocosmetic have hadenhancements these procedures performedentirely by Dr. All of these are performed ofinformation patients who have had these procedures performed by Dr.or above-mentioned Handler, visitabout www.drharveyhandler.com. Forprocedures moreof detailed by Dr. Handler. To viewthe before-and-after photographs patients Handler, visit www.drharveyhandler.com. more detailed products, please Dr. above-mentioned Handler’s officeFor 419-885-3400. information about the procedures or who have had thesecall procedures performed byatDr. Handler, visit information about the above-mentioned procedures or Also, remember to inquire about specials available on many products, please call Dr. Handler’s office atinformation 419-885-3400. www.drharveyhandler.com. For more detailed about products, please call Dr. office at 419-885-3400. cosmetic procedures andHandler’s products diminish the on signs of Also,above-mentioned remember to inquire about specials available many the procedures or to products, please call Dr. Also, remember toand inquire about specials available onyouthful many aging obtain a more vibrant and cosmetic procedures products toAlso, diminish the tosigns of Handler’s office atand 419-885-3400. remember inquire cosmetic procedures and products to diminish the signs of appearance of your skin. aging and obtain a more vibrant and youthful about specials available on many cosmetic procedures agingAlso, andeveryone obtain ashould more have vibrant and full youthful yearly body appearance ofyour yourskin. skin. andappearance products to diminish the signs ofaaging and obtain of exam to check for skin cancer conducted only by a Also,everyone everyone should haveaayearly yearly fullskin. body a more Also, vibrant and youthful appearance of your should have full body board-certified dermatologist. exameveryone checkshould forskin skin cancer conducted only byatoa Also, have a yearly full body exam exam totocheck for cancer conducted only by board-certified dermatologist. check for skin cancer conducted only by a board-certified board-certified dermatologist. Hair loss in men and women dermatologist. Are losing hair from surgery, Hairyou loss inmen men andwomen womenanesthesia, Hair loss in and illnesses, pregnancy, medications, stress, Hair in men and women Areloss you losing losing hair from from surgery, anesthesia, Are you hair surgery, anesthesia, genetics, or “normal” hair loss secondary to Are illnesses, you losing hair from surgery, anesthesia, illnesses, illnesses, pregnancy, medications, stress, pregnancy, medications, stress, aging or low blood levels of nutrients? There are pregnancy, medications, stress, or “normal” genetics, “normal” hair genetics, loss secondary secondary genetics, oror “normal” hair loss toto manyloss causes of hair loss in or men areare not hair secondary aging lowand blood levels Most ofThere nutrients? aging low blood levels nutrients? There are aging ororto low blood levels ofofwomen. nutrients? simply due toofof age orloss family history, and most are There are many causes of hair loss men and women. Most are many causes causes hair loss menin and women. Mosttreatable. arenot not many hair inin men and women. Most are Now these problems of hair loss can be evaluated and there not simply to family history,and andmost mostare aretreatable. simply duedue ageage family history, and most are treatable. simply due toto age ororor family history, is hope for reducing hairloss losscan andbe stimulating new growth. Now these problemsyour hair loss can be evaluated Now these problems ofof hair evaluated and there Now and there Dr. Harvey Handler, board-certified dermatologist of Sylvania, hope for forreducing reducingyour yourhair hairloss lossand andstimulating stimulatingnew newgrowth. isisishope growth. Ohio, has Handler, aHandler, medicalboard-certified treatment fordermatologist decreasing your hair loss Dr. Harvey board-certified dermatologist Dr. ofofSylvania, Dr.Harvey Sylvania, and increasing growth in many patients! ❦ Ohio, medical treatment decreasing your Ohio, forfor decreasing your hairhair lossloss and Ohio, has hasaaamedical medicaltreatment treatment for decreasing your hair loss and growth ininmany patients! ❦❦ increasing growth in many patients! andincreasing increasing growth many patients! Be aware and cautious of medi-spas and cosmetic centers organized and maintained bymedi-spas individuals other than acenters boardBe and cautious and cosmetic Beaware aware and cautiousofof medi-spas and cosmetic centers organized and maintained by individuals other than a boardcertified dermatologist or even any medical doctors (not MD’s). organized and maintained by individuals other than a boardcertified dermatologist or even any medical doctors (not MD’s). Many of these individuals have no formal education or training certified dermatologist or even any medical doctors (not MD’s). Many these education orortraining in skinofofdisease diagnosis,have treatment, or cosmetic enhancement Many theseindividuals individuals haveno noformal formal education training inof skin disease diagnosis, treatment, or cosmetic enhancement skin defects. in skin disease diagnosis, treatment, or cosmetic enhancement ofofskin defects. How do you know whether he/she is a board-certified skin defects. How do you Look whether he/she is aofboard-certified dermatologist? F.A.A.D. (Fellow the American How do youknow knowfor whether he/she is a board-certified dermatologist? Look for F.A.A.D. (Fellow of the American Academy of Dermatology, which is a designation from the dermatologist? Look for F.A.A.D. (Fellow of the American Academy ofAcademy Dermatology, which is a designation from the American of Dermatology) following their name. Academy of Dermatology, which is a designation from the American Academy of Dermatology) following their name. To confirmAcademy this information, check thefollowing website at aad. American of Dermatology) their name. To confirm this information, the website at aad. org/findaderm. of the check above To confirm this None information, check requirements the website atare aad.met org/findaderm. None of the above requirements areother met by a nurse practitioner, physician assistant, or any org/findaderm. None ofphysician the aboveassistant, requirements are met by a nurse practitioner, or any other medical doctor licensedphysician to practiceassistant, medicine.orDo your by a nurse practitioner, any other medical doctor licensed to practice Do your and homework before trusting your skinmedicine. disease diagnosis medical doctor licensed toyour practice medicine. Do your and homework before trusting skin disease diagnosis treatment tobefore anyone but a your board-certified dermatologist. homework trusting skin disease diagnosis treatment to anyone but a board-certified dermatologist.and treatment to anyone but a board-certified dermatologist.

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Reduce lines, fade sun spots spots Reduce fade sun spots Smoother, tighter, tighter,lines, younger-looking skin on on face, face, arms, arms, and chest chest Smoother, younger-looking skin and Smoother, tighter, younger-looking skin on face, arms, and chest No surgery. surgery. No clear + No injections. surgery. No injections. clear + No downtime. downtime. injections. No brilliant No downtime. brilliant arvey L. HandLer andLer,, m m..d d.. dd Harvey

ADULT, ADULT, ipLomate and and FFeLLow eLLow oF oF ipLomate PEDIATRIC, PEDIATRIC, ADULT, ttHe Hearvey merican B Board oard oF oF dermatoLogy ermatoLogym duLt ediatric &c cosmetic osmetic ermatoLogy aamerican d aaduLt & ddermatoLogy andLer d,, ppediatric d ipLomate and FeLLow oF & COSMETIC COSMETIC & PEDIATRIC, tHe american Board oF dermatoLogy aduLt, pediatric & cosmetic dermatoLogy 5300 5300 Harroun Harroun Rd., Rd., Suite Suite 126 126 (in (inthe theMedical MedicalOffice OfficeBuilding Buildingon onthe thecampus campusofofFlower FlowerHospital) Hospital) DERMATOLOGY DERMATOLOGY & COSMETIC 5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital) HAIR HAIR & & NAILS NAILS DERMATOLOGY

HAIR & NAILS

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419.885.3400 419.885.3400 419.885.3400

, . .

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

CONTACTS Business office: To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615. Phone: 419-367-0966 or email Kevin O’Connell at sfstennis76@bex.net. Ad reservation deadline is the 15th of the month preceding publication. HLN reserves the right to refuse advertising for any reason and does not accept advertising promoting the use of tobacco. Editorial office: Deadline for editorial submissions is the 10th of the month preceding publication. To contact the editor or send submissions, please email editorhln@bex.net. Publisher: Kevin O’Connell

e lthy l ng ews HEALTH & BEAUTY 2 Shape up and wake up your skin 5 April symposium will help complete the Parkinson’s disease puzzle 7 PFNWO: your gateway to Parkinson’s information and resources 17 24/7 hearing with Lyric, by Dianna Randolph, AuD, CCC-A 18 Blush sheds light on rosacea and adult acne, by Dr. Erin Hennessey 21 Physical therapy: a safe pain-management alternative, by Jim Berger 22 Eating Well Go Further with Food, by Laurie A. Syring, RD/LD 25 You can still remove that stubborn fat in time for bathing suit season 26 You’re not immune from needing vaccinations, by Dr. Deborah Friedman 28 Electroconvulsive therapy is safe, fast, and highly effective 30 Manor at Perrysburg offers expert, individualized, multidisciplinary pulmonary rehab 33 Laurels inpatient and outpatient rehab clients “lighten up” with anti-gravity treadmill 34 Spiritually Speaking You never know . . . by Sister Mary Thill 35 Stroke-prevention tips from StoryPoint Senior Living

Editor: Jeff Kurtz

March 2018 • Vol. 23, Issue 3

Your Monthly Guide to Healthy Living

36 Kidney stones clarified—from cause to prevention 37 Nobody’s Perfect The cure is worse than the disease! by Sister Karen Zielinski, OSF 39 Wise Words from Otterbein A little good news about vascular dementia 40 Mercy Health gastroenterologist urges timely colorectal cancer screening 42 Alternative medicine and diabetes, by Douglas A. Schwan, DC, Dip ac 44 Sound Advice from Northwest Ohio Hearing Clinic, by Randa Mansour-Shousher, AuD, CCC-A

ENRICHING YOUR LIFE 12 Health Crossword by Myles Mellor 20 Super Slow Training— Never stop improving! 24 Net Generation—shaping the future of tennis, by Mark Faber, USPTA Elite Professional 41 Training for a 5K run by Amanda Manthey 44 A Walk in the Park More places like this, by LeMoyne Mercer 47 What I learned about the desert from Western movies by LeMoyne Mercer 48 Does your garden still inspire in winter?

Travel Editor: LeMoyne Mercer Sales: Robin Buckey Molly O'Connell Print Designer: Jan Sharkey Graphic Artist Intern: Teagan Polizzi Web Designer: Strategically Digital LLC Social Media Specialist: Kelly Rickey Social Media Intern: Marla Gootee Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech–Toledo Copyright © 2018 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.

OUR COMMUNITY 9 Toledo Clinic Foundation seeks funds to ease cancer patients’ financial burden 10 Fieldstone Villas at Sunset Village is soon to grow again! 14 Super Fitness promotes community health across demographics 16 Meet Wendy HartmanHasselbach, new Executive Director of St. Clare Commons 22 Bittersweet and Toledo Public Library offer book club to teens with autism 29 Our superheroes wear many capes! NWO Apraxia Support awareness campaigns for 2018 31 Unison Health ensures continued care for FSNO clients in Wood County 32 Senior Living Guide 38 Entities work together to preserve a Toledo gem 49 Elizabeth Scott resident celebrates 100th birthday

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Dear Readers, Thank you for picking up the March issue of Healthy Living News. As I write this letter in late February, Toledo-area residents are enjoying some unseasonably warm temperatures, and hopefully that’s a sign that the frigid, snowy winter weather is almost behind us. Of course, the warmer weather also offers the perfect excuse to get off the couch and ease back into outdoor activities. Fortunately, we’re blessed to live in an area that offers almost unlimited opportunities to get active outdoors, such as our many fine metroparks and network of bike paths to name but a few. Readers living with hearing loss won’t want to miss this month’s cover story (p. 17) about Lyric hearing aids, available locally at Northwest Ohio Hearing Clinic. These discreet, state-of-the-art devices

offer 24/7 hearing as well as complete invisibility. Also featured on this month’s cover is a reminder about the upcoming Parkinson’s Symposium (p. 5), to be held on Saturday, April 28, 2018, from 9:00 a.m. to 2:00 p.m. at Parkway Place in Maumee, Ohio. Presented by the GardnerMcMaster Parkinson’s Center and the Parkinson Foundation of Northwest Ohio, this year’s symposium will help complete the Parkinson’s puzzle for those touched by this neurodegenerative disease. Also in this month’s issue, you’ll find a discussion of the vital work performed by the Parkinson Foundation of Northwest Ohio (p. 7), a reminder of the importance of timely colonoscopy screening from Mercy Health gastroenterologist Dr. Wissam Bleibel (p. 40), insights on the causes and prevention of kidney stones from Dr. Timothy Suttle of ProMedica

@HLNToledo

Genito-Urinary Surgeons (p. 36), a profile of the new Toledo Clinic Foundation and its efforts to ease the financial burden of cancer patients (p. 9), an expert perspective on electroconvulsive therapy from UTMC psychiatrist Dr. Brian Maloney (p. 28), and a glimpse at the multidisciplinary pulmonary rehab program offered at The Manor at Perrysburg (p. 30). Last but not least, we’d like to commend Super Fitness owner Ron Hemelgarn for reaching his 46th year in business here in the Toledo area. His simple-yet-effective business model has kept Super Fitness going strong while many competitors have come and gone. See page 14 for the full story. Until next month, stay safe, active, and healthy!

PARKINSON’S PARKINSON’S DISEASE DISEASE

N A H T N A E H R MO ORE T

M PROGRAM O O V VpARkinSon’S DiSeASe: E Directions E to the MoReDisease THAn MoVeMenT M Parkinson’s Symposium M E E Parkway Place N 2592 Parkway Plaza N Maumee, OH 43537 T 419-794-2121 T www.parkwayplace.biz 8:30 a.m.

21st Annual Symposium

8:30-9:00 a.m.

Coffee & Pastries; Vendor Displays, 50/50 Raffle Ticket Sales

9:00-9:15 a.m.

Welcome Jeremy Hartle, Vice-President PFNWO

9:15-9:30 a.m.

GMPC Current Events Lawrence Elmer MD, PhD, Director - GMPC

Doors Open

9:30-9:45 a.m.

Guest Q&A

9:45-10:15 a.m.

The BORDER before the diagnosis Lawrence Elmer MD, PhD

10:15-10:45 a.m.

Break 50/50 and Raffle Ticket Sales

10:45-11:45 a.m.

Connecting the PIECES Early and Middle PD Lawrence Elmer MD, PhD

21st Annual Symposium 1 1:45 a.m.-12:15 p.m. The bigger PICTURE 21st Annual Symposium From the South Advanced PD Saturday, April 28, 2018 Lawrence Elmer MD, PhD I-75N via the ramp to Toledo Saturday, April 28, 2018

9:00 a.m. to 2:00 p.m. 12:15 p.m.-1:15 p.m. Lunch: 50/50, Baskets, and Take exit 192 on the left to merge9:00 onto a.m. to 2:00 p.m. Grand Prize Raffle Drawing 1-475 N. US-23 N towards Maumee, Ann 1:15-1:30 Arbor p.m. Clinical Research Update Parkway Place Take Exit 4 to merge onto US-24 E towards Maumee Wilson, Parkway Place OH Stephanie MSN, APRN, CCRC 2592 Parkway Plaza, Maumee 43537 Turn right on S. Detroit 2592 Ave. Parkway Plaza, Maumee OH 43537 1:30-1:45 p.m. Parkinson’s Foundation of Take theParkway 1st right into parking lot for Parkway Place Maumee, Place, 2592 Parkway Plaza, NW Ohio Ohio 43537

SATURDAY, ApRil 28, 2018 9:00 a.m. to 2:00 p.m.

From the North

Presented by:bY pReSenTeD Presented by:

Space is Limite

To register by m SYMPOSIUM RE The University o Gardner-McMas 3000 Arlington Toledo, OH 43 or online: www. or by phone: 80

Please leave a messa or two.

Name: __________

# of Guests:_______

Street Address: ____

City State Zip: _____

Phone: ___________

Email: ___________

Meal Selection (

#________ S

#________ B

I would like to m Toledo, Departm

Gardner-McMaster Take the ramp onto US-23 S towards Toledo1:45-2:00 p.m. Outside the Box Gardner-McMaster Support for Every Stage In the Name of ___ Merge onto I-475 South Parkinson Center Regional Support Center Group Leaders Take Exit 4 to merge onto US-24 EParkinson towards Maumee Checks can be ma Turn right on S. Detroit Ave. Department of Ne AnD Parkinson’s Sympo Registration Deadline Friday, April 16, 2018 Take the 1st right into parking lot for Parkway Place Parkinson Foundation Parkinson Foundation oF northwest ohio From the East oF northwest ohio Take the Ohio Turn Pike West towards Toledo Thefor Symposium free to those who are affected with Parkinson’s or care for someone with PD. Take exit 59 US-20 istoward US-23/I-475 However, a Free Will Gift of $10/person would be appreciated. Keep right at the fork and merge onto US-20 E/S Space is limited. Pre-registration required: online at www.pfnwo.org or phone 800.438.5584 Reynolds Rd. Turn left at OH-25 N/US-24 E March 2018 | Healthy News We love feedback. Like us on Facebook. Follow us on Twitter. Turn right atLiving S. Detroit Ave. Take the 1st right into parking lot for Parkway Place,

& &

Holding the Pieces Together Jeremy Hartle, Vice-President, PFNWO

The program is Parkinson’s or a Free Will Gif be appreciated

Amount $_____

April symposium will help complete the Parkinson’s disease puzzle

ost people who are familiar with Parkinson’s disease know that this neurodegenerative disorder is associated with motor problems, such as tremor, slowness of movement, rigidity, and postural instability among others. However, as ongoing research continues to unlock the secrets of this disease, we’re learning that Parkinson’s is about much more than movement. Among the more recent findings is that Parkinson’s in its early stages actually causes a set of relatively subtle pre-motor symptoms. Lawrence Elmer, MD, PhD, Director of the University of Toledo Gardner-McMaster Parkinson's Center, states, “Much of what we understood about Parkinson’s has been turned on its head. Research has identified a core set of early pre-motor symptoms that may be an indicator of impending Parkinson’s. These include loss of the sense of smell, acting out dreams, and changes in cardiac rhythm—each of which is associated with a different part of the nervous system. Changes in bowel habits, specifically new-onset constipation, can also be a pre-motor sign of Parkinson’s.” Dr. Elmer further explains that, as the disease progresses, later non-motor symptoms may arise, for example changes in blood pressure (which could possibly result in passing out when standing up), certain changes in the digestive process, and, in some patients, even hallucinations. Other patients might experience increasing difficulty with motor control, such as freezing of gait with the potential of falling. Interestingly, as Dr. Elmer points out, both Parkinson’s and Alzheimer’s disease can cause loss of the sense of smell, though they seem to affect different types of scents. For instance, people with Parkinson’s may lose the ability to detect the scent of roses, certain types of mint, and cooking

food, while people with Alzheimer’s may be unable to detect the smell of grease and certain disinfectant sprays. Beyond merely identifying previously unrecognized symptoms, these findings could pave the way for much earlier diagnosis and treatment of Parkinson’s. Although no treatment to date has definitively slowed the rate of Parkinson’s progression, much research is underway in this area. “If recognizing these pre-motor symptoms can help us begin disease-slowing treatment early enough, these patients may never actually go on to develop Parkinson’s, which is about as close to a cure as we can get right now. Eventually, we may even be able to use a simple scratchand-sniff test to screen people for Parkinson’s at a certain age,” Dr. Elmer says. To ensure that area residents whose lives have been touched by Parkinson’s have all the latest information on the disease and its diagnosis and treatment, the Gardner-McMaster Parkinson’s Center and the Parkinson Foundation of Northwest Ohio are partnering to present the 21st Annual Parkinson’s Symposium on Saturday, April 28, 2018, from 9:00 a.m. to 2:00 p.m. at Parkway Place (2592 Parkway Plaza) in Maumee, Ohio. “The symposium, themed ‘More than Movement,’ is going to pull everything together and help complete the Parkinson’s puzzle,” notes Dr. Elmer. Parkinson’s patients and their loved ones who attend the symposium can also learn more about the specialized therapies available at the Gardner-McMaster Parkinson’s Center’s Interdisciplinary Clinic. Led by Molly Scott, RN, MSN, FNP-BC, the Interdisciplinary Clinic offers nursing; physical, occupational, and speech therapy; neuropsychology; audiology; pharmacy; social work; and a variety of other services and

Lost.

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Parkinson Foundation of Northwest Ohio

Dedicated to Educate, Comfort and Raise Awareness

WE HAVE SUPPORT AND EXERCISE GROUPS

SUPPORT GROUPS

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 each month, 1:00-2:00 pm - NO meetings in December, January and February Grace Community Church 4359 Allentown Lima, OH 45807 Beth Hartoon 419-226-9019 Parkinson Project of NW OH Young On-Set Group 2nd Wednesday 7:00 pm *Meets every Month EXCEPT July Kingston Perrysburg Rehabilitation Center 345 E. Boundary St Perrysburg, OH 43551 Toni & Bob Lesinksi 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 11:15 am-12:45 pm NO meetings in December, January and February Henry’s Restaurant 810 N. Locust St., Ottawa OH 45875 Beth Hartoon 419-226-9019 Sandusky - 1st Thursday Each month, 3:00-4:30 pm Firelands Hospital, South Campus Community Resource Room 1912 Hayes Ave., Sandusky, OH 44870 Angela Myers 419-625-3005 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

Heartland Rehabilitation Services at Arrowhead Park 518 The Boulevard, Maumee, OH Chair Yoga at 2:30 pm every Tuesday 419-897-9822 Kingston Care Center – Perrysburg 345 E. Boundary St., Perrysburg, OH Tuesdays and Thursdays at 11:00 am to 12:00 pm 419-873-6100 Kingston Care Center – Sylvania 4121 King Rd., Sylvania, OH 43560 Mondays and Fridays 10:00 – 10:45 am CAREGIVER SUPPORT GROUP: $50/8 week sessions Toledo Caregivers (C.A.R.E.S.) Support Group Rose atW 419-517-8200 M OAnn R EPiffer PFN O SPONSORED PARKINSON’ 1st Monday 6:30 pm (except Holidays) Knock Out Parkinson’s COMING YOUR WAY !!! Genacross Lutheran Services International Boxing Club 2001 Perrysburg-Holland, Holland, OH 43528 5965 Telegraph Rd., Toledo, OH Kristen Schuchmann 419-383-6737 Mondays, Wednesdays, Fridays at 9:00 – 10:00 am OUT SOON INFORMATION WILL BE SENT Lisa Keaton 419-383-6770 Contact Coach Harry Cummins at 419-214-0614 Caregiver Support Group of Fulton County Marion YMCA Meet 3rd Wednesday of the Month 10:00 am 3 levels of exercise – Delay the Disease St Martins Lutheran Church Beginner on Tues, Thurs. at 10:00-10:45 am 203 S. Defiance St., Archbold, OH 43502 Intermediate on Mon, Wed, Sat. at 9:40 – 10:40 am Bonnie Lauber 419-445-6516 Advanced on Tues. Thurs. Sat. at 11:30-12:15 pm 740-725-9622 Peak Fitness EXERCISE GROUPS 1880 N. Perry St., Suite 250, Ottawa, OH Delay the Disease - Allen Eiry Senior Center 419-523-7325 28 Hopewell Ave., Tiffin, OH 44883 The Beat Dance Company Monday and Wednesday 11:45 am to 12:45 pm 1330 Brim Rd., Bowling Green, OH Gina Menke, PT, DPT 419-455-8600 Sundays, 1:30 pm to 2:30 pm Delay the Disease - PT Services, Inc. $15.00 for 6 week sessions Tuesday and Wednesday 1:00 pm to 2:00 pm University of Toledo Main Campus 1500 Tiffin Road, Fremont, OH 43420 Parkinson’s Day at the Toledo Mud Hens Health Education Building - Basketball Lesley King 419-334-6630 Court #1, across the street from the Football Ft. Meigs YMCA - Tuesday and Thursdays from Stadium at the bottom of the hill 3:00-4:00 pm - Free to YMCA members, Sessions Ongoing. $40 for nonmembers for 8 week sessions Sign up by calling Michelle Masterson 13415 Eckel Junction Rd. Perrysburg, OH 419-530-6671 Matt Fleig at 419-251-9622 UT Health and Science Wellness Center Fulton County Health Center Rehab Tuesdays and Thursdays 5:15 pm to 6:15 pm 138 E. Elm St., Wauseon, OH. Michelle.Peterson@utoledo.edu Tuesday and Thursday, 10:30 am to 11:30 a.m Wood County Committee on Aging Becky at 419-335-1919 305 N. Main St, Bowling Green, OH Hancock County 50 North Thursday, 1:30 pm to 2:30 pm 339 E. Melrose Ave., Findlay, OH 45840 $30.00 for 12 week sessions Fitzgerald Room Daniella Brogley 419-353-5661 Monday and Wednesday, 11:30 am to 12:15 pm Romp S Free to members of 50 North 5K Run $20 for non members for 8 week - First week is FREE! fkasmarek@hancockseniors.org 419-423-8496 ext. 2004 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 The Waterford at Levis Commons Perrysburg 3rd Monday of the Month 6:00 pm to 7:00 pm 7100 S. Wilkinson Way, Perrysburg, OH 43551 Michael Zickar

SAVE THE DATE !!!

July 11, 2015

Septe

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

October 3, 2015

TEAM FOX WALK SAVE THE DATE

SATURDAY

APR 28 Parkway Place 9 am - 2 pm

21st Annual Parkinson’s Disease: MORE THAN MOVEMENT PROGRAMfor reservations Call 800-438-5584 8:30 a.m.

6 March 2018 | Healthy Living News

Doors Open

8:30-9:00 a.m.

Coffee & Pastries; Vendor Displays, 50/50 Raffle Ticket Sales

9:00-9:15 a.m.

Welcome Jeremy Hartle, Vice-President PFNWO

9:15-9:30 a.m.

GMPC Current Events Lawrence Elmer MD, PhD, Director - GMPC

FRIDAY

OCT 12

Shaken Not Stirred Gala Dinner and Dancing The program to those who are affected with The Pinnacle 6 -is free10 pm Parkinson’s or care for someone with PD. However, a Free Will Gift of $10/person would be appreciated. Space is Limited. Pre-Registration Required: To register by mail, please send this form to:

Octob

SHAKE

REGISTRATION, Attn: Julia Spears WeSYMPOSIUM Like us on Facebook. Follow us on Twitter. Thelove Universityfeedback. of Toledo DINNE Gardner-McMaster Parkinson Center 3000 Arlington Avenue, MS 1083 Toledo, OH 43614-2598 or online: www.pfnwo.org or by phone: 800-438-5584

Please leave a message, a volunteer will return your call in a day

Gardner-McMaster Parkinson’s Center patients and their families should also be aware that the center will soon be moving to a new location—the ProMedica Neuroscience Center on Central Avenue across from ProMedica Toledo Hospital. However, Dr. Elmer reassures his patients that painstaking effort has been made to ensure that the layout and patient-focused care they’ve come to expect will not change, and that the interdisciplinary team approach will be moving to the new location as well. Updates and more information will be posted on the Gardner-McMaster Parkinson’s Center Facebook page. More information on Parkinson’s disease and on services and support groups available to people with Parkinson’s is also available on the Parkinson Foundation of Northwest Ohio Foundation website, PFNWO.org. ❦

PFNWO

Your gateway to Parkinson’s information and resources

hen Mary Jane Bolbach was diagnosed with Parkinson’s disease back in 2012, she felt like her head was spinning. Like so many people newly diagnosed with this neurodegenerative disorder, she wasn’t sure where to turn for authoritative information on Parkinson’s and how it might impact her life and family. To make matters worse, her neurologist at the time offered little in the way of comfort, encouragement, or support. That all began to change when, at the recommendation of a coworker, Mary Jane met with Dr. Lawrence Elmer, Director of the University of Toledo Gardner-McMaster Parkinson’s Center. “And I thank God I did,” she states. “You’ll never meet a more compassionate man than Dr. Elmer, and he’s tackling the problem of Parkinson’s like no one else in our community. Before the end of our appointment, he told me, ‘What I want you to go home with is hope.’” Mary Jane’s husband, Bart, adds, “Once we sat down with Dr. Elmer and found out that Parkinson’s isn’t a death sentence, we knew we had to do something to help get the word out to other people—to let them know there is help out there.” Mary Jane and Bart also discovered a valuable resource for information and

support in the Parkinson Foundation of Northwest Ohio (PFNWO). While participating in a Parkinson’s Awareness Walk put on by the PFNWO, Mary Jane approached one of the event volunteers, Nancy Temme, and said she’d like to get involved. At another event held soon thereafter in Bowling Green, she and Bart met with PFNWO officers who encouraged them to join the organization. So they ultimately joined the PFNWO board and became involved in all the organization’s activities.

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disciplines coming together to provide a holistic perspective on patient care. Dr. Elmer is also proud that the Gardner-McMaster Parkinson’s Center has received funding from the Edward J. Safra Philanthropic Foundation to help train nursing college faculty—and by extension hundreds of future nurses—on eliminating known challenges in Parkinson’s care. For example, the timeliness with which Parkinson’s medications are dispensed in hospitals and other care facilities has been identified as a universal problem. “Thanks to Molly’s initiative and networking, we’ve received grant funding that has been available to high-profile facilities all over the US. So on May 10 and 11, we’ll be hosting several nursing educators who will learn how to train students in providing proper care to patients with Parkinson’s,” Dr. Elmer states.

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Visit our website or stop by our showroom to learn more! Mary Jane describes the PFNWO as “the gateway to Parkinson’s information and resources,” and notes that the organization is poised to help patients and their families from the time of diagnosis. For example, newly diagnosed patients can contact the PFNWO to request a welcome

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KETAMINE NorthWest Ohio

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packet, which includes a copy of the region’s current newsletter, called Frankly Speaking, information on other Parkinson’s resources, and more. Basic information on Parkinson’s is especially critical for those newly diagnosed, as Mary Jane can attest from personal experience. “Because I wasn’t familiar with the signs of Parkinson’s, I ignored some symptoms I was having,” she recalls. “For example, I didn’t know that losing the sense of smell is an early warning sign. Also, around 50 percent of people with Parkinson’s have depression, and some experience hallucinations. Your emotions can also be affected. I can cry at the drop of a hat, which is very frustrating to me. If you O aren’t aware of these potential symptoms, you can feel like you’re going crazy. That’s why it’s so important to get information into patients’ hands as early as possible,” she says. The PFNWO is also focused on promoting support groups for Parkinson’s patients and their loved ones/caregivers across its 22-county service area. These groups provide a variety of important services to participants, such as creating an environment where members can share their experiences and issues; bringing in guest speakers to discuss various topics related to Parkinson’s and its treatment; and eliminating members’ sense of isolation by connecting them with others who are experiencing many of the same issues. “We’ll provide anything these groups need to help them succeed, including supplies and training for new group leaders,” Bart says. Of course, Mary Jane and Bart don’t just promote Parkinson’s support groups; they also participate actively in one—the Parkinson Project of NW Ohio Young Onset Group, which meets at Kingston of Perrysburg Rehabilitation Center on the second Wednesday of each month. Bart says that the group started out as young onset but most of the original members are older now, so Parkinson’s patients of all ages will feel welcome there. “We have a large group, who are very supportive,” he adds. “We enjoy participating, but most of all, we learn a lot about what others are going through as both patients and caregivers.” 2017

Winter

Parkinson Foundation

150 W. S. Boundary Dr.,

(419) 344-0563 NWOhioKetamineClinic.com

g Craig Adams, representin of the Parkinson Foundation out Northwest Ohio, throws the first pitch at the Mud Hen's game.

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Open House Thurs., March 15, 4-7 p.m. 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.

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the hardoff the shell, she observed and break it. After pulling Its rich aroma complained to her father asked her to sip the coffee. boiled egg. Finally, he nce upon a time, a daughter that she didn’t know face. and brought a smile to her that her life was miserable of fighting mean?” she asked. make it. She was tired “Father, what does this how she was going to was the eggs and coffee problem one potatoes, as the just that It seemed He then explained boiling and struggling all the time. the same adversity – the followed. beans had each faced solved, another one soon filled three her to the kitchen. He water. differently. The Her father, a chef, took However, each one reacted each on a high fire. Once but pots with water and placed hard, and unrelenting, potato went in strong, soft and weak. the three pots in boiling water, it became the thin began to boil, he The egg was fragile, with liquid interior until placed potatoes outer shell protecting its water. Then the in one pot, eggs it was put in the boiling in the second pot, the egg became hard. of inside in beans and ground coffee beans However, the ground coffee were exposed to the the third pot. were unique. After they boil, the water and He then let them sit and boiling water, they changed to his daughter. without saying a word created something new. and impatiently his The daughter, moaned “Which are you?” he asked he was doing. knocks on your waited, wondering what off daughter. “When adversity turned he minutes Are you a potato, After twenty door, how do you respond? potatoes out of the burners. He took the an egg, or a coffee bean?“ in a bowl. He the pot and placed them placed them in a Which one are you? pulled the eggs out and happen to us, Turning things bowl. cup. us, a in it around placed happen out and Moral: In life, things within us. He then ladled the coffee truly matters is what happens what do you see?” but the only thing that to her he asked, “Daughter, she hastily replied. “Potatoes, eggs, and coffee,” She did “and touch the potatoes.” “Look closer,” he said, to take an egg soft. He then asked her were they that noted and

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Because exercise is vital to maintaining balance, mobility, and the ability to perform activities of daily living for people with Parkinson’s, the PFNWO also provides training and equipment for several Parkinson’s-related exercise programs in our region. Examples include the Knock-Out Parkinson’s boxing program offered at International Boxing Club in Toledo; the Movers & Shakers Fitness Class held at the Fremont American Legion; and Delay the Disease, offered at different locations across the region. Fundraising to support the PFNWO’s initiatives is achieved through various special events, such as golf outings, the Pacing for Parkinson’s walk, and the annual Parkinson Foundation of Northwest Ohio Gala. Money is also donated in memory of or in honor of individuals. “However, we’re not just about raising money. We’re about getting the word out to Parkinson’s patients as well as their loved ones and area neurology practices,” says Bart. In addition, Mary Jane and Bart urge all area residents whose lives have been touched by Parkinson’s disease to attend the 21st Annual Parkinson’s Symposium, presented by the Gardner-McMaster Parkinson’s Center and the PFNWO, to be held Saturday, April 28, 2018, from 9:00 a.m. to 2:00 p.m. at Parkway Place (2592 Parkway Plaza) in Maumee, Ohio. “Over 600 people attended last year’s symposium, which featured a wonderful meal and several fantastic presentations on what’s new and on the horizon in the area of Parkinson’s care,” Mary Jane notes. “The first year I went to the symposium, I was apprehensive because I didn’t want to see what was coming down the road for me. But afterward I felt completely different. Even though some people were using wheelchairs or walkers, there were also a lot of people like myself who were newly diagnosed and doing just fine.” For more information about the Parkinson Foundation of Northwest Ohio or about living with or caring for someone with Parkinson’s disease, please visit their website at pfnwo. org. ❦

Medicare & Medicaid certified

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Toledo Clinic Foundation seeks funds to ease cancer patients’ financial burden

attling cancer can take a heavy toll to provide seed money. “We’re also on patients—not just physically very grateful to our individual donors, and emotionally, but also financially. such as Traci Shook, the wife of a Mounting medical expenses com- former patient. She and her husband bined with time lost at work can are big University of Michigan fans put cancer patients in a position and hold an annual fundraiser with where it’s very challenging to meet their friends at one of the universimonthly expenses. Of course, that ty’s football games. They’ve been problem is only compounded for very generous in helping us over those of modest means, who may the years,” Mahoney-Stombaugh find that they have to make severe remarks. “Traci said that it is a small cutbacks or skip paying certain bills way she can give back to the Toledo altogether. Clinic Cancer Centers staff for the Always sensitive to patient’s fi- wonderful care they received during nancial struggles, the staff members her husband’s illness. Although they at The Toledo Clinic Cancer Centers didn’t personally need assistance, (TTCCC) have for many years raised she certainly understands the fifunds to assist oncology patients nancial impact the disease can take informally, for example by holding and cannot imagine the stress that craft shows or bake sales and do- must impose.” nating the proceeds to those facing Asked what these donations might mean to the patients who receive them, economic hardship. Now, with assistance from The Mahoney-Stombaugh comments, “For Toledo Clinic administration, the To- one patient, this money could make ledo Clinic Foundation, a tax-exempt, it possible to afford groceries for the 501(c)(3) charitable organization, has family. For another, it could mean been established to take up this vital the difference between paying the initiative on a formal basis. “We’re just rent and getting evicted, or between in the startup phase, but we already paying the electric bill and having have a small volunteer board of direc- the lights turned off. Even a small tors that includes several prominent amount can help ease that burden so members of the community, and patients can focus on fighting their donations are starting to cancer.” flow in from individuals Looking to the future, and corporations,” says Mahoney-Stombaugh Sue Mahoney-Stombaugh, hopes the foundation NP, president of the Toledo will be able to broaden Clinic Foundation Board its financial pool so larger of Directors. sums can be administered All money raised by to patients in need. “We’d The Toledo Clinic Founalso like to expand our dation goes to help pamission to include edutients in need—not to The cational endeavors and Toledo Clinic—to defray other supportive activexpenses such as utility Sue Mahoney-Stombaugh ities, potentially even a bills, groceries, or rent. research component,” says To qualify, patients are required to Mahoney-Stombaugh. complete a formal application proCurrently, funds raised through cess. “We ask that patients submit the foundation are available only to an application with the bill, then a TTCCC patients. The Toledo Clinic committee reviews the application to Foundation is currently working on determine whether the guidelines have being able to accept credit card dobeen met. Once approved, funds are nations, but at this time, tax-exempt sent directly to the billing company or donations can be sent in the form of organization,” Mahoney-Stombaugh cash or check to: explains. The Toledo Clinic Foundation Among the corporate sponsors who 4235 Secor Rd. have already shown their support for Toledo, Ohio 43623 the Toledo Clinic Foundation are Eastman & Smith, Kingston Healthcare, For further information on the and Chic-fil-A. In addition, several Toledo Clinic Foundation, please TTCCC physicians are collaborating visit their website at www.toledo

4126 N. Holland Sylvania Rd., Suite 105 Toledo, OH 43623

Call 419.479.5605

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

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clinicfoundation.org, email info@ toledoclinicfoundation.org, or call 419-479-5998. The Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, has 12 physicians and 7 nurse practitioners on staff and can provide imaging and laboratory diagnostic

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esigned and developed with the goal of providing a unique, maintenance-free community for independent seniors, Fieldstone Villas at Sunset Village has exceeded expectations in terms of popularity. In fact, the first 12 villas completed are already occupied and their residents are currently enjoying the rich lifestyle and wide range of services and amenities available to them in this Life Plan Community (formerly called a CCRC). Located in a luxuriant, park-like setting complete with walking paths, professional landscaping, plenty of green space, and beautiful views overlooking ponds and meadows, each unit in Fieldstone Villas features two bedrooms, two baths, all appliances, granite countertops, ample storage, plus a laundry room, garage, and patio. Some villa styles include a sunroom, as well. “Our Villa residents and staff are

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services, chemotherapy services, and IV services. TTCCC also has satellite centers in Maumee, Bowling Green, Adrian, and Monroe, as well as a partnership with the Mercy Health –Perrysburg Cancer Center for the convenience of the patient. For more information, please call The Toledo Clinic Cancer Centers at 419-479-5605.

also eagerly anticipating the fall 2018 opening of a brand-new 10,000-squarefoot clubhouse, which will feature an indoor pool for swimming and water aerobics; space for exercising, tai chi, and educational classes; an area for residents to socialize with friends and family; as well as dinners served to villa residents Monday through Friday,” says Gayle Young, Director of Marketing, Communications and Public Relations for Sunset Retirement Communities. Fieldstone Villas resident Peg Anderson is especially enthusiastic about the new pool, stating, “I’m

really looking forward to the pool. I plan to go over there at least twice a week to swim because it is some of the best exercise you can get. It affects all of your muscles.” Another Fieldstone Villas resident remarks, “As very satisfied residents of Fieldstone, we are now looking forward to the completion of our brand-new clubhouse! From all reports and architectural drawings, it will provide many fine amenities and social interaction with our neighbors. It’s a promise kept and will be a great addition!” Furthermore, the campus of Sunset Village is home to a recently opened state-of-the-art rehab center that serves both inpatient and outpatient clients. The rehab center features a 6,000-square-foot gym area with all new equipment, a Swimex therapy pool with three levels of water depth, a mobility courtyard with varied surfaces to help clients practice navigating the different types of terrain they may encounter, a life skills apartment to help clients transition back home smoothly, and private treatment rooms. With the above-average snow fall our area experienced this winter, Fieldstone Villas residents are especially appreciative that the community handles all aspects of home maintenance, both inside and outside. Not only are they freed from snow shoveling in winter, but also from burdensome lawn care during the warmer months. Sunset staff also provides preventive maintenance, appliance and plumbing repairs,

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and even bimonthly housekeeping. “Once they’re relieved of all those tiresome and time-consuming household chores, Fieldstone Villas residents can focus their energy and attention on the pastimes and passions that bring joy and fulfillment to their lives,” Young states. Perhaps most significant, seniors who choose the Fieldstone Villas lifestyle never have to worry about leaving the Sunset community just because their care needs or finances change. “In keeping with the Life Plan Community concept, Fieldstone Villas residents have guaranteed priority access to higher levels of care should they need them, and

Sunset Communities will continue to be their home should someone legitimately exhaust their financial resources,” Young emphasizes. Area seniors who are interested in living independently in an upscale neighborhood setting should not hesitate to explore all that Fieldstone Villas has to offer. Though the units built in the first phase of construction have all been filled, Sunset will begin planning an additional phase of villas this coming spring in order to meet growing demand. To learn more about the lifestyle at Fieldstone Villas at Sunset Village, please call the Villa Information Center at 419-386-2686. ❦

HEALTH CROSSWORD by Myles Mellor • ilovecrosswords.com • Answers on page 24

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Across

Down

2018 Cost Comparisons Laboratory* Toledo Clinic*

ProMedica Flower Hospital

ProMedica Toledo Hospital

ProMedica Bay Park Hospital

Mercy St. Vincent Hospital

Mercy St. Anne’s Hospital

Mercy St. Charles Hospital

Prices

Hospital

Outpatient

Hospital

Outpatient

Hospital

Outpatient

Hospital

Outpatient

Hospital

Outpatient

Hospital

Outpatient

CBC w/Diff

$20.06

$150

$21

$150

$21

$150

$21

$178

$43

$239

$43

$103

$43

Urine Culture

$22.00

$193

$22

$193

$22

$193

$22

$130

$56

$149

$56

$55

$33

Hemoglobin A1C

$23.52

$202

$24

$202

$24

$202

$24

$101

$57

$131

$57

$101

$57 $45

Lipid Panel

$42.83

$401

$44

$401

$44

$401

$44

$238

$45

$319

$45

$135

TSH

$39.14

$353

$41

$353

$41

$353

$41

$151

$352

$69

$302

$69

Venipuncture (Blood Draw)

$6.00

$45

$15

$45

$15

$45

$15

$27

$20

$34

$20

$36

The Toledo Clinic does not charge facility fees. Prices are as listed.

Imaging Center** Toledo Clinic**

Mercy St. Anne’s

Mercy St. Charles

Mercy St. Vincent

ProMedica Baypark

ProMedica Flower

ProMedica Toledo

St. Luke’s

UTMC

Prices

$450 - $1,000

$1,150 $2,475

$1,100 $2,400

$310 - $675

$1,100 $2,400

$1,200 $2,550 $1,050 $2,250

$1,250 $2,700 $1,100 $2,400

$1,200 $2,550 $1,050 $2,325

$1,150 $2,475 $1,050 $2,250

$1,650 $3,600

MRI Cervical Spine

$1,100 $2,400 $1,100 $2,400

CT Brain

$140 - $290

PET Scan (Skull to mid-thigh)

$725 - $1600

$2,000 $4,300

–

$2,250 $5,000

Mammogram (Both breasts)

$70 - $150

$120 - $260

$160 - $350

$120 - $260

$190 - $410

Abdominal Ultrasound

$80 - $160

$310 - $675

$320 - $700

MRI Brain

$625 - $1,350 $700 - $1,550

$875 - $1,900

$410 - $900

$430 - $925

$2,325 $5,000

$2,000 $4,300

$1,900 $4,100

$180 - $400

$170 - $370

$180 - $390

$210 - $450

$360 - $775

$360 - $800

$370 - $800

$270 - $575

$625 - $1,350 $480 - $1,050 $460 - $1,000 $450 - $1,000

For a list of our imaging centers and laboratories, visit www.ToledoClinic.com and click Healthcare Services. *The Toledo Clinic lab charge also includes pathologist professional fees, which is typically an additional and separate charge for hospital billed services. Most, but not all insurance plans, are accepted and patient pricing may vary based on the individual’s insurance plan. Price quotes are based on self-pay. https://www.promedica.org/Public%20Documents/hospital-price-sheets/FH_Pricing_Sheet.pdf https://www.promedica.org/Public%20Documents/hospital-price-sheets/TH_TCH_Pricing_Sheet.pdf https://www.promedica.org/Public%20Documents/hospital-price-sheets/BPH_Pricing_Sheet.pdf https://www.mercy.com/toledo/-/media/global/pay-a-bill/hospital-pricing/st-vincent-medical-center-pricing.ashx?la=en https://www.mercy.com/toledo/-/media/global/pay-a-bill/hospital-pricing/st-anne-hospital-pricing.ashx?la=en https://www.mercy.com/toledo/-/media/global/pay-a-bill/hospital-pricing/st-charles-hospital-pricing.ashx?la=en **The Toledo Clinic charge also includes contrast & the radiologist’s interpretation fee, which is typically an additional and separate charge for hospital billed services. Not all insurance plans are accepted and patient’s price may vary based on their individual insurance plan. Prices pulled from newchoicehealth.com on 01/31/18. Price quotes are based on self-pay.

419.473.3561 | ToledoClinic.com Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | March 2018

See a problem, solve a problem

Super Fitness promotes community health across demographics

romoting better health among people of every age, gender, ethnicity, and body type has been a priority for Super Fitness owner Ron Hemelgarn since the club first opened its doors 46 years ago this month. Though certain worrisome trends today—such as the obesity epidemic and the aging of our population—are making it more challenging than ever to achieve this goal, Super Fitness is continuing to make a difference in our community’s health across all demographics. This is possible due to a winning formula that Hemelgarn has followed since 1972: You must commit to be fit.

Make fitness affordable Hemelgarn notes that after paying all their monthly expenses, the average family has very few dollars left over for discretionary spending. To

ensure that people of virtually every income level can afford to exercise in his facilities, he is committed to keeping the price of membership extraordinarily low—just $19.95 per month. In fact, that membership cost has not changed appreciably since 1972, when it was only slightly lower at $16.50 per month. What’s more, unlike at other fitness centers, group training classes and personal training services are included in the cost of the membership.

Respect members’ time Also, adamant that members should never have to wait in line to use equipment or have their workouts limited by arbitrary time constraints, Hemelgarn provides a vast selection of cardio and strength-training equipment, all of which is meticulously maintained and continuously updated.

When Hemelgarn identifies a health challenge in the community, he makes innovative changes at Super Fitness to help address it. For example, he’s currently working with community partners to ensure people who need physical rehab after surgery, injury, or illness get all the sessions they need. “What we’re seeing is that patients who have undergone a joint replacement, heart surgery, or other procedure are stopping their rehab once their insurance runs out. Then, a year or so later, they’re right back where they started. We want to help these individuals continue their rehab at an affordable price so they can build on the gains they achieved in formal rehab instead of backsliding. Here at Super Fitness, we have all the expertise and equipment they need to continue in their program, including NuStep® recumbent cross trainers, which are considered state-of-the-art in the rehab community, as well as water exercise classes, swimming pools, and relaxing whirlpools,” he says. To help combat the epidemic of obesity in our community, Super

Fitness has teamed up with Kelly Heidbreder of WTOL 11 for the Super Fitness Weight Loss Challenge—a competition offered each year from October through May, in which contestants learn to change their lives through fitness and proper diet as well as participate in fun challenges in different locales around the community. Participants are losing up to 25 to 35 percent of their body weight during this challenge.

Innovate to meet special needs Super Fitness even offers customized equipment so that clients with certain physical limitations can still enjoy a healthy workout. For example, recognizing that standard exercise equipment is inaccessible to people who are morbidly obese, use a wheelchair, or have flexibility issues, Hemelgarn had special machines designed that these individuals can readily access while standing or while seated in a wheelchair. Women who may feel uncomfortable or even intimidated working out alongside men appreciate the fact that Super Fitness offers a separate Ladies Only area, featuring equipment

HAPPY ANNIVERSARY SUPER FITNESS!

Celebrating 46 years and providing Quality and Value to the toledo area and yOuR fitness needs!

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NORTH • 343 Newtowne Dr.

419-476-6018

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www.superfitnesstoledo.com • Locally Owned and Operated 14 March 2018 | Healthy Living News

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

customized to their needs. Each year, Super Fitness spends $150,000 or more to upgrade their facilities with the latest and greatest cardio and strength-training equipment.

Make age a non-issue Many area seniors have discovered that Super Fitness is not only a great place to go for exercise or to continue a rehab program, but also for mental stimulation and healthy socialization with their peers. In fact, many of the seniors who still work out routinely at Super Fitness have been members of the club for decades—some since it first opened. In addition to creating a welcoming environment for seniors, Hemelgarn strives to make Super Fitness a kid-friendly destination. “We’re at risk of losing the younger population,” he says. “Cell phones and videogames are completely consuming their focus and attention, and as a result they’re getting out of shape and developing health problems once seen only in adults. So we’re working on ways to reach kids and build better fitness programs in schools. Also, to ensure kids are able to accompany their par-

ents when they come to work out at Super Fitness, we offer a dedicated Super Fit Kids Club with equipment customized for kids’ smaller frames.”

stop what you’re doing, and getting injured is the surest route to abandoning your fitness commitment. The worst fitness advice ever dispensed is ‘No pain, no gain,’ and you’ll never Ministry support Forget the fads hear it spoken here. We| also believe 2021 N. McCord Road | Toledo, OH 43615 P: 419.861.4990 In his 46 years at the helm of Super you must change your strength and Fitness, Hemelgarn has seen many cardio workout monthly so results fitness fads come and go, including keep coming throughout your life,” the latest trend of “extreme fitness” he states. programs that tend to push the body beyond what it can safely endure. Show an attitude Hemelgarn neither offers nor en- of gratitude dorses these types of programs, not- Perhaps most important, each year ing, “Exercise is not about going to in March, Hemelgarn and the staff extremes; it’s about committing to at Super Fitness thank members for their continued support by hosting a free Membership Party. This year’s special event will be held on Sunday, March 18, from 11:00 a.m. to 3:00 p.m. at the Newtowne Drive location. Thousands of dollars in cash and prizes will be given away, and numerous vendors will be on hand, offering Super Fitness members discounts on a wide variety of products. “This is our way of saying we’re proud of our members and that we’re grateful for their loyalty regular effort and building strength and for spreading the word about and endurance gradually. Pain is Super Fitness to their families and your body’s way of telling you to friends,” says Hemelgarn. ❦

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Holland, OH 435282001 Perrysburg-Ho 419.861.2233 Holland, OH 43 www.lhsoh.org 419-861-2233 EQUAL HOUSING OPPORTUNITY

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A special invitation just for members!

46th AnniversAry PArty sunday, March 18 • 11 am - 3 pm

Giving away thousands of dollars in gifts and prizes. Vendors offering discounts on products.

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Meet Wendy Hartman-Hasselbach, new Executive Director of St. Clare Commons

Concept Rehab Physical Therapists: Caitlin Phalen and TJ Marcotte

here, at Franciscan Care Center.

Staff first met Mr. Kaplan at the hospital and when asked where he was going for rehab, he said, “First, second, and third choice is Franciscan Care Center and I’m not going anywhere else.” “It’s quiet and I have immediate access to help. There is a willingness with the people there to work with me. I like the therapists, particularly TJ. They all work well together.”

Franciscan Care Center Rehabilitation Skilled Nursing Long-term Care 4111 N. Holland Sylvania Road | Toledo, Ohio | 419.882.6582

homeishere.org

At St. Clare Commons,

Home is here!

Just minutes from Levis Commons, and adjacent to St. John XXIII Catholic Community, St. Clare Commons offers private living spaces including assisted living and memory care suites, in a beautifully-designed, compassionate environment. Accreditation by The Joint Commission demonstrates St. Clare Commons’ commitment to the highest level of quality skilled nursing care. It’s why home is here.

For more information call 419.367.7586.

12469 Five Point Road | Perrysburg, Ohio

16 March 2018 | Healthy Living News

Assisted Living Memory Care Rehabilitation Skilled Nursing Long-term Care Respite Care

homeishere.org

endy Hartman-Hasselbach St. Clare Commons’ developed her passion for best kept secret serving seniors at a young age. Her According to Wendy, St. Clare Commother was Director of Nursing at mons’ best kept secret is the two Sisters a nursing home, and Wendy was a of St. Francis of Sylvania involved frequent volunteer. Throughout high in their ministry—Sr. Joy Barker, school and college, she participated in OSF, and Sr. Diana Lynn Eckel, OSF. the Volunteers of America program, “The Sisters’ involvement brings our which focused on sensitivity for the mission to life. What they do makes elderly and disabled. Her college a difference daily in the lives of our degree in community health and residents and in our desire to work with the staff,” she stated. seniors eventually led Sr. Joy serves as her to become a wellChaplain and is there known northwest Ohio day and night for the healthcare professional residents and their with over 20 years of families. According experience. to Wendy, she brings Through her work “diligence and commitwith seniors, she has dement.” Sr. Diana Lynn, veloped a deep respect. in her role as Director “As a generation they of Mission Integration, worked for so many administers and instills years and provided the mission in all emfor us. They deserve ployees and helps them everything we have to share it with residents give to them,” Wendy Wendy Hartman-Hasselbach and their families so they explained. experience the mission Now in her new role as Executive as well. Director of CHI Living Communities St. Clare Commons, she follows her Why home is here at passion while putting her impressive St. Clare Commons credentials to use. Wendy has held a variety of leadership roles, including Wendy knows why St. Clare Commons serving as Senior Director of Opera- says “home is here.” She witnesses tions of Prestige Healthcare, where she and experiences it every day. She oversaw numerous centers in Michi- stated, “Our residents love to sit gan, Wisconsin, Ohio, Pennsylvania, by the fire and read the paper, play and Massachusetts. Other leadership cards, or knit. It reminds you of being positions include Regional Director at home.” As a mission-based senior living of Operations, Senior Administrator, community, there is a sense of calm Executive Director, and Marketing and sereneness, something that visitors Admissions Director. She served at feel the minute they step through the Heritage Corner Assisted Living, Heritage Health Care Services, and door. “Our residents and their families Briarfield at Glanzman during her know it is an open, nurturing, and career. She was also an ombudsman loving atmosphere. There is a sense with the E.O.P.A. for several years of purpose when you enter,” she said. St. Clare Commons offers a conwhere she investigated and mediated tinuum of care. Assisted living resifor the elderly in nursing homes, dents have independence, but when group homes, and assisted living. they need that next or extra level of Now with children active in the Anthony Wayne Schools, she felt care, it is there for them. Spacious St. Clare Commons was the right fit apartments with plenty of activities for her. She has followed St. Clare for social gatherings keep residents Commons since it opened in 2013 active and vital. However, if they are and knew the President/CEO of CHI ever in need of special services, such Living Communities, Rick Ryan, as a psychologist, physical therapy, from his reputation. “Mr. Ryan has a a pulmonologist, or anything else, reputation for mission-based senior including skilled nursing and rehaministry. I knew St. Clare Commons bilitation, it is there for them. was the right place for me,” she said. We love feedback. Like us on Facebook. Follow us on Twitter.

Gold Seal of Approval for skilled nursing St. Clare Commons’ skilled nursing has earned The Joint Commission’s Gold Seal of Approval for Nursing Care Center Accreditation. The Gold Seal of Approval is a symbol of quality that reflects an organization’s commitment to providing safe and effective patient and resident care. A long-time resident of northwest Ohio, Wendy graduated from Springfield High School and the University of Toledo. She is involved professionally and in the community. She is a past officer and current member of the Northwest Ohio Gerontological Association (NOGA). She is also a member of both the Ohio Guardianship Association and the National

Guardianship Association. She is active in Anthony Wayne Schools. Although Wendy has only been at St. Clare Commons for a short time, just like it does for the residents and all who enter, it already feels like home to her. And she fits right in. ❦ Located just minutes from Levis Commons shopping area in Perrysburg at 12469 Five Point Road, St. Clare Commons offers assisted living, memory care, skilled nursing, rehabilitation, longterm care, and short-term respite stays. St. Clare Commons is committed to creating an environment where home is truly here for all who enter. Arrange a tour of St. Clare Commons or learn more by calling 419-931-0050. Go to www. homeishere.org for more information. Follow St. Clare Commons on Facebook.

24/7 hearing with Lyric

by Dianna Randolph, AuD, CCC-A

n this world of ever-changing technology, we are amazed by what hearing aids can do now that they could not do even five years ago. Hearing aids now have the ability to connect to a Bluetooth device, and some even come with rechargeable batteries. Giving patients more flexibility with their hearing devices has meant that they are wearing them more and adapting them into their busy lifestyle. But the one thing that hearing aids have not been able to give patients are complete invisibility and 24/7 hearing. For some people, wearing a hearing aid is just not an option because of the visibility of it. Some people just don’t want the hassle of having to maintain the device with cleaning and battery changes, and others want to be able to exercise with their devices without the risk of damaging them. Within the past several years, a device has been available that is completely invisible and offers 24/7 hearing. This device is called Lyric. Lyric is the first FDA-approved,

extended-wear hearing device. It can be worn in the ear canal for up to four months at a time. What makes Lyric different from traditional daily wear hearing aids? • The device is placed deep in the ear canal, close to the ear drum, which improves sound quality. With the microphone closer to your ear drum than traditional hearing aids, sound quality is more natural and your ear is picking up sound like it was made to do. • Having a hearing aid placed deep in the ear canal can reduce the occlusion effect, or what patients call the “echo sound of my own voice.” • Lyric can be worn to bed and when showering or working out. You can even use ear buds to listen to music with Lyric. You just cannot submerge your

head under water. • Lyric provides a hasslefree solution to hearing. No batteries or wax guards have to be changed, and no cleaning ever needs to be done. • With Lyric deep in the ear canal, wind noise is reduced and sound localization is improved. • Using a telephone or cell phone is easier with Lyric. If the features have you interested in trying Lyric, an appointment for a Lyric evaluation is recommended. During this appointment, your hearing and hearing health will be evaluated. We have to make sure your ear is healthy enough to keep the device in your ear for an extended period of time. Also, Lyric does have some other candidacy criteria that are not necessary with traditional hearing aids. These criteria will be discussed with you by our Lyric-certified audiologist. Your ear also has to fit the device. During your Lyric evaluation, the length and diameter of your ear canal will be measured to see if the Lyric will fit in your ear. There is a wide range of sizes, so it isn’t often that

someone’s ear is not large enough to fit the device. Your ear canal needs to be free of wax also. If a patient is then deemed to be a good Lyric candidate, the devices can be fit that day. Lyric provides a risk-free, no-obligation, 30-day trial to so you can decide if this device is right for you. Lyric is operated on a yearly subscription cost. This cost includes your initial fitting, all follow-up visits, and all devices you will need during the year. With Lyric, you will always get the most updated circuitry that is offered, so you will never have an outdated hearing device. Hamoun, a long-time Lyric patient, loves his Lyric devices. He has been wearing Lyric for almost 10 years. He stated that compared to traditional hearing aids, it is a night-and-day difference. “I wear them all the time, and I’m able to forget about them. I sleep with my Lyrics in and even shower with them. They have been the closest thing to natural hearing that I have experienced.” As for comfort, Hamoun stated that he experienced slight to moderate headaches for the first two weeks. But after that, he has had no issues with comfort. It is not uncommon for a patient to experience slight discomfort after the

100% invisible Clear, natural sound • No daily hassles • No batteries to change • •

Lyric is the world´s only 100% invisible, extended-wear hearing device you can wear 24/7 for months at a time.*

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*Individual replacement needs may vary. Duration of device battery life varies by patient and is subject to individual ear conditions. **Professional fees may apply. Annual subscription begins the first day of trial. Lyric is not appropriate for all patients. See a Lyric provider to determine if Lyric is right for you. Lyric, Distributed by Phonak, LLC ©2017. All rights reserved. 937CLNEW MS054264

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Deep Tissue Laser Therapy™ is an innovative, scientifically based process offering relief in as little as 5-15 minute sessions. This non-invasive approach, has long lasting benefits with no side effects! • Low back and neck strain • Bulging, fused or slipped discs • Carpel Tunnel Syndrome (CTS) • Temporomandibular Joint Disorder (TMJ) • Epicondylitis (Tennis Elbow) • Headaches, including migraine and sinus • Arthritic conditions (osteoarthritis and rheumatoid arthritis) • Sports injuries • Post surgical recovery OTHER SERVICES WE OFFER: • Bioidentical Hormone Replacement • Nutrition Counseling • Meridian Stress Assessments • Physician Assisted Weight Loss • Laser Hair Removal

initial fitting because the ear canal has to adapt to having something in it 24 hours a day, 7 days a week. This discomfort is usually taken care of with any over-the-counter pain reliever that a person would use for a headache. After a few days, the ear canal habituates to having the Lyric in and it becomes a non-issue. Hamoun goes on to say that he would definitely recommend Lyric to other people who are thinking about trying hearing aids. “They have provided me the ability to hear my friends better at restaurants, and they help me listen better. The sound is more natural than my other hearing aids.” If you or someone you know would benefit from Lyric, please schedule an appointment to attend

Dr. Mark S. Neumann, D.O.

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aesthetics

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18 March 2018 | Healthy Living News

Dianna Randolph, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

Blush sheds light on rosacea and adult acne

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our Lyric Open House on March 27th at our Perrysburg office. With this appointment, you will be given a complimentary hearing screening and Lyric consultation. With Lyric, you will get a 30-day, risk-free, no-obligation trial. If you have any question regarding Lyric, please call our office at 419-873-4327 and ask to speak to me, Dr. Dianna Randolph. As a Lyric Certified Audiologist, I will be happy to answer any questions you may have. ❦

by Dr. Erin Hennessey

s the seasons change and we welcome weather that is unpredictable, some of us will experience flushing of the skin or pink or red nodules of the cheeks and chin. If you are experiencing these symptoms, you may have rosacea. Rosacea is a common disorder of the skin that causes flushing and blushing but can also cause redness, swelling, visible blood vessels, and acne-like breakouts. Usually the affected areas are the cheeks, forehead, nose, and chin, but occasionally the ears, chest, and back can be red all the time. Typically, the symptoms start after the age of 30, and the redness can worsen with environmental factors like cold weather, indoor heat, and sun exposure or other triggers like spicy food and alcohol consumption. According to the National Rosacea Society, approximately 16 million Americans have rosacea but only a small number of those affected are being treated. Another cause of facial redness is acne and acne scaring. Most people assume that acne is a “teen” skin condition, and there is truth to that. However, adults struggle with acne as well, and often the same therapies that are effective in treating teen acne fail to improve adult acne. In addition, there are treatments that improve acne but not the scars that it leaves behind. Previously there

weren’t many effective treatments, but now we have the wonderful technology of ForeverClear Broad Band Light™ to help both rosacea and acne! At Blush, we focus on controlling these conditions and improving the scars or marks left behind for a glowing, beautiful appearance to the skin. The end of winter and beginning of spring are great times to think about improving the appearance of your skin before summer graduations, weddings, and festivities abound. If you want to improve your confidence this spring or give the gift of great skin, call Blush Aesthetics for a free, personalized consultation. If you have someone in your life who would love to come see us, gift cards are available. Let us come up with an effective plan for your skin improvement! ❦ Dr. Erin Hennessey is a nurse practitioner at Blush Aesthetics.

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Experience Matters. Ohio Living Swan Creek has 25 years of experience providing a truly personalized approach to retirement living. We know you have a lifetime of experience, yet you still look for something interesting and new in everything that happens. At Ohio Living Swan Creek you will find like-minded friends who support each other, while different-minded friends stimulate fresh thinking. Built on 34 wooded acres, we feature a desirable location and provide the luxuries and comfort that make you feel like you are in a five-star hotel. When you experience our conveniences, amenities and an exceptional staff at your service, you will know why experience matters.

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Connecting friendship, fun and activity Ohio Living Swan Creek know what it means to live life to its fullest everyday. We offer opportunities to socialize, gain knowledge, maintain fitness, worship, experience the arts and more! Below is a sampling of our programs and activities: Social and Cultural Opportunities Armchair Theatre Group l Art Workshop l Choir Bell Ringers l Cocktail Classes l Concert and Theater Outings l Craft Classes l Dinner Club Gardening l Group Tours l Holiday Celebrations Lunch Outings l Movie Nights l Musical Performances l Shopping and Day Trips Theme Happy Hours l Travel Club l Volunteer Opportunities l Wine & Design Class Educational Opportunities Book Club l Community Guest Speakers Language Learning Classes l Lourdes University Lifelong Learning Classes l Lucas County Library Visits l Men’s Lunch and Learn Group Technology Center and Classes Campus Centers & Services Courtyard Putting Green l Craft Room l Fitness Classes l Gift Shop l Kridler-Meloy Wellness Center Library l MyIndependence by Ohio Living Home Health & Hospice l Reed Chapel l Spiritual Life Programing l Woodshop

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o you think you don’t have time years. “I have been doing high-into exercise? Or perhaps you have tensity workout for years at regular been exercising regularly for years gyms, but it is more efficient if you but can’t see where you have made have the correct equipment,” he any progress. Well, how about trying explained. “Don’t let the fact that something new? it is high-intensity put you off. It is The hottest trend in exercise is perfect for everyone and all ages, the high-intensity, 30-minute, once- including ‘Type A’ personalities and a-week (yes, we said once-a-week) even pregnant women.” This workexercise method, often referred to as out is not only efficient, but also safe Super Slow Training. Though it goes because it is totally one-on-one with contrary to what most of us have Wakefield monitoring and adjusting heard, believed, or practiced, it is your every move. now the most-discussed While anyone can fit a form of exercise, with ev30-minute workout into eryone from celebrities to their schedule, skeptics CEO’s and even pregnant will ask how it is possiwomen welcoming the ble for this to actually opportunity to free up work. There are two main their time and still, or reasons for the results: even finally, get results. Moving slowly keeps the What do you have to lose? tension on the working It can be done on your muscle throughout the lunch hour, and you don’t whole movement. There is even have to change and none of that fast momenPhysical therapy assistant shower. tum that helps you work Matthew Morrow and personal Super Slow Training while lifting weights. This trainer Beth Dunsmoor seems to be particularly is done very, very slowly, popular among women of all kinds— really working those muscles. The from young students to woman in their high intensity causes the body to 90’s. But according to Russ Wakefield, adapt. The exercise is a stimulus, and an experienced personal trainer and the body uses seven days to recover, owner of TriggerPoint, “The type producing the desired results. of woman we see most frequently According to Wakefield, any adis one who is very busy with her ditional exercise can prevent the career and family and helps out in body’s building of strength and the community. She does yoga and fat-burning muscle mass. He added knows she needs strength training that lower-intensity activities, such as but believes she doesn’t have the running, stair stepping, and treadmills, time—that is, until one of her friends really don’t burn that many calories tells her about TriggerPoint.” and can cause injuries to the knees A TriggerPoint client named Mary and hips. fits this description perfectly. “I do We had the opportunity to oblow-force, intense exercise at Trig- serve Eric Bueter, a client, during his gerPoint because, as a lawyer, I have workout. Arriving and remaining in limited time but know that I need to street clothes, with fans turned on strengthen my muscles and bones. to keep the room cool, Bueter slowly The workout takes about 20 minutes and efficiently went through his once or twice a week. Even I can make routine under Wakefield’s tutelage time for that. It’s demanding, but they with weights and on the Super Slow supervise you every step of the way. exercise machines before returning to Plus, the amazing technology makes work. Wakefield added that Bueter it easier to focus on the work to be has been working with him for a done. It’s all business. I zip in, they number of years, and during that take me through my paces, and I’m time the weights have been gradually out the door. I can’t recommend it increased under his supervision. ❦ enough!” she said. If there is a good advertisement Four free trial sessions are offered. For an for this workout, it is Wakefield him- appointment, call Russ Wakefield at 419self, who has been an advocate of 536-0408. TriggerPoint, located at 2449 high-intensity workouts for over 25 N. Reynolds Rd., is also on Facebook. We love feedback. Like us on Facebook. Follow us on Twitter.

by Jim Berger

A safe pain-management alternative: physical therapy

ou may have heard that there has been an increased use of opioids for pain management that has resulted in a national health crisis. Opioid prescription rates have grown four-fold since 1999. This increase has also led to an increase in opioid deaths and heroin deaths. The Centers for Disease Control and Prevention (CDC) released guidelines in 2016 urging prescribers to reduce the use of opioids in favor of safer alternatives in the treatment of chronic pain. Physical therapy is one of those safer alternatives. Physical therapists treat pain through movement, with a focus on improving the individual’s strength, flexibility, and range of motion. Physical therapists also provide patients education about managing pain. This type of patient-centered approach has had a positive impact on patient outcomes. What differentiates physical therapy from the use of medication? Physical therapists treat pain through movement, whereas opioids mask the

sensation of pain. Also, physical therapy “side effects” include improved mobility, increased independence, decreased pain, and prevention of other health problems through movement and exercise, whereas opioid side effects include depression, overdose, addiction, withdrawal symptoms, and sometimes death. Let’s take a closer look at a very common type of pain—low back pain. If you have low back pain, you are not alone. Approximately 25 percent of people in the United States report having low back pain within the past three months. Also, low back pain can be classified into three categories: Acute—pain lasting less than three months R ecur rent—acute symptoms that come back Chronic—pain lasting longer than three months

If you are experiencing low back pain, there are steps (no pun intended) you can take that will alleviate it now. One is to stay active and do as much of your normal routine as possible. Continued bed rest longer than a day can slow the recovery. If your pain lasts more than a few days or gets worse, you may want to consider seeing a physical therapist. Physical therapy can also help ease the symptoms of osteoarthritis. Osteoarthritis of the hip is the inflammation and wearing away of the cartilage of the hip joint. It is more commonly diagnosed in older adults, but it can happen at any age. By age 85, about 25 percent of all people may develop hip osteoarthritis. There is no known specific cause of hip osteoarthritis, and everyone is at equal risk

Having Back, Hip, Knee or Ankle Pain?

of developing it. Research found no difference in the rate of occurrence of hip osteoarthritis based on gender, race, weight, and education level. Those impacted by hip osteoarthritis typically have difficulty with daily activities such as walking, getting up and down from a seated position, or climbing stairs. Osteoarthritis of the knee is a chronic pain condition and a progressive disease that is caused by inflammation and degeneration of the knee joint that worsens over time. Knee osteoarthritis affects the entire joint, including bone, cartilage, ligaments, and muscles. Its progression is influenced by age, body mass index, bone structure, genetics, muscular strength, and activity level. Approximately 14 million people in the Unites States have symptomatic knee osteoarthritis. Physical therapy can help with these ailments! Furthermore, physical therapy treatment plans are tailored to

•

all Hearlan eailiaon Ask How Therapy can help! op in or a nconal oveen creen          Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | March 2018

each person’s needs and goals, taking preexisting conditions into account, and physical therapists can identify additional health issues, beyond what the patient initially reports, thereby improving a person’s overall health and quality of life. Physical therapy treatment may include: • • • • •

Range-of-motion exercise Muscle strengthening Manual therapy Activity recommendations Modalities.

Compared to opioids, physical therapy is a safe alternative for dealing

with pain. Please note that in some situations involving chronic pain management, prescription opioids when dosed properly are an appropriate part of the medical treatment plan. It’s important to understand this as well as the risks associated with opioid use identified earlier. Heartland Rehabilitation Outpatient Physical and Occupational Therapists are available to discuss our approach to pain. Call or stop in to any one of four local Heartland Rehabilitation Services outpatient clinics. You can also contact Jim Berger at 419-787-6741 or Heartland’s call center at 1-800-699-9395.❦

EATING WELL by Laurie Syring, RD/LD

don’t think in terms of “good” foods vs. “bad” foods. Think “nutrient-rich” instead. Nutrient-rich food choices are those packed with vitamins, minerals, fiber, and other nutrients, but lower in calories. Last but not least, be sure to check those food labels (more on this topic in upcoming months). Start with serving size, and check out the total calories for that serving. Ask yourself whether that is really the portion you’re likely to eat. If you’re likely to eat more or less of that item, you’ll need to take that into account when calculating calories. Also look at total fat, saturated fat, sodium, and whatever else is important to you—protein, added sugars, carbohydrates, fiber, etc. Keep in mind that the ingredients on food labels are listed in descending order by weight, so those present in the largest amounts are listed first. All this information is helpful—and potentially critical—to individuals with food sensitivities, those who avoid pork or shellfish, vegetarians/

vegans, and people who avoid a lot of added sugars. The bottom line is that the foundation of a healthy lifestyle includes getting plenty of physical activity, adopting a balanced diet consisting of nutrient-rich foods and beverages, as well as choosing a wide variety of foods and eating them in moderation. In other words, it boils down to making the right choices. If you are having difficulty making the right choices so you can live a healthier life and go further with food, there is help out there. For example, you can check out DASH (Dietary Approaches to Stop Hypertension), which is a healthy, low-sodium eating plan. Other good resources include the My Plate Food Guidance System; Let’s Move, which aims to reduce childhood obesity; and, of course, “Eating Well,” which appears in Healthy Living News each month! ❦ Laurie Syring, RD/LD, is Clinical Nutrition Manager at ProMedica Flower Hospital.

Go Further with Food

arch has been designated National Nutrition Month—a nutrition education and information campaign started in 1973 and celebrated annually by the Academy of Nutrition and Dietetics. Its purpose: to focus attention on the importance of making informed food choices, developing a sound eating pattern, and being physically active. The theme for this year’s observance, “Go Further with Food,” pertains to starting the day off right with breakfast—i.e., fueling your body for a day of work and activity as well as getting proper nutrition before participating in sports. It’s a reminder that food choices actually make a difference, and that preparing foods to go further can have a positive impact, both at home and within your community. It’s about adopting healthy eating styles while reducing food loss and waste. But eating right and going further with food doesn’t have to be complicated. Start out with a few simple steps—for example, replacing that sugary beverage with a healthier one and making the commitment to

22 March 2018 | Healthy Living News

eat one piece of fruit each day. Once these changes become habitual, you can add more. As you strive to go further with food, you should emphasize fruits and vegetables, whole grains, and low-fat dairy/milk products. Fruits and vegetables can be fresh, frozen, or canned, and you should try to get plenty of leafy greens, broccoli, and orange fruits and veggies, such as oranges, carrots, and sweet potatoes. With respect to whole grains, you should try to get three ounces per day, choosing from wholegrain cereals, breads, crackers, rice, or pasta. You’ll also go further with your food if you make sure your eating plan includes lean meats, poultry, fish, beans, eggs, and nuts, while minimizing saturated fats, trans fat, salt, and added sugars. Lowering your intake of those saturated and trans fats will help reduce your risk of heart disease. Also, try to vary your protein. Choose fish at least two time a week, and have a meatless meal with beans as your focus once a week. In addition, try to focus on variety, eating from all the food groups. And

Bittersweet and Toledo Public Library offer book club to teens with autism

ittersweet’s Social Living Club (SLC) will be partnering with the Toledo Public Library (Maumee Branch) to offer a reading book club to teens with autism. The SLC is a recreational program that provides social and community opportunities to teens with autism. Teens in the SLC will be reading and reviewing the book Wonder, by Raquel Jaramillo. Community Outreach Specialist Taylor Barndt says, “We are so excited to partner with the Toledo Public Library to offer a book club to teens in the SLC. This is a great opportunity for the SLC teens to find a passion for reading, as well as an opportunity to discuss the various books and develop social skills. We are thrilled to be participating in this awesome opportunity!” Beginning March 13, the six-week program will be on Tuesday evenings from 6:00 to 7:00 p.m. at the Maumee Public Library, located at 501 River Road, Maumee, OH 43537. The cost for the program is $15 per

person. Scholarship opportunities are available from ProMedica and the Great Lakes Collaborative for Autism. SLC participants must be able to participate in the activity independently or with the appropriate support staff provided by the family. For more information, contact Taylor Barndt at 419-206-7803 or tbarndt@ bittersweetfarms.org. The SLC is also seeking teen mentors to volunteer and help adolescents with autism in the SLC build relationships among their peers. Teen mentors are expected to provide positive attitudes towards academics, positive emotional support, friendships, and fun community experiences to other teens with autism. Teen mentors are required to commit to an orientation prior to volunteering and will be expected to commit to one hour per week for six weeks. No experience is needed. Contact Taylor Barndt at 419-206-7803 or tbarndt@bittersweetfarms.org for more information. ❦

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PLEASE JOIN US FOR THE 15TH ANNUAL

Celebrating Mothers – Past, Present and Future

Friday, May 11, 2018 For our mothers, daughters and ourselves, it’s important that we learn about heart disease and cancer and how they affect women. Please join us for this educational and community health forum!

The Premier 4480 Heatherdowns Blvd. | Toledo, Ohio 43614 Doors open: 7:30 a.m. Program: 8:30 a.m. – 1 p.m.

Name: _____________________________________________________________________________________________________ Address: ___________________________________________________________________________________________________ City: __________________________________________________________ State: ____________ Zip: ____________________ Phone: _____________________________________________

Email address: _______________________________________

c I prefer a meatless option for lunch. Payment Tickets are $20 per person. Total amount paid: $ ________________ Guest names: _______________________________________________________________________________________________ Please make checks payable to ProMedica Physicians Cardiology and send to 2940 N. McCord Road, Toledo, Ohio 43615. You may also pay with credit/debit card: £ MasterCard

£ Visa

Card number: __________________________________________ Exp. date: ______________ Security code: ______________ Signature: __________________________________________________________________________________________________

If you prefer to complete your registration by phone, please call Dee Your at 419-842-3096 or by email at dee.your@promedica.org.

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | March 2018

Ticket price includes a delicious breakfast and a heart-healthy lunch. Local and national vendors will be present and selling their products. Also checkout our health fair with free screenings.

by Mark S. Faber, USPTA Elite Professional

Net Generation—shaping the future of tennis

ver the past few months, I have discussed various topics related to tennis. For several months, I have shared the benefits of playing tennis and why it would be great to get involved in the sport as a youth and adult. This month, I want to share information on a new tool that is being provided for you, the consumer, that makes it easier to find a place to get involved in this awesome sport. The United States Tennis Associ-

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ation (USTA) is revolutionizing how it’s promoting the sport of tennis to youth on a national and local level. Through the launch of Net Generation, the USTA’s new youth tennis brand, the goal is to embrace all aspects of youth play for kids ages 5-18. Net Generation focuses on the ideas of empowerment, unity, and play and is redefining the sport to be more inclusive, accessible, and easy to understand. The USTA realized that to grow the sport at all levels, it had to start by reaching youth and parents. In today’s crowded sports market, it’s imperative that players and parents alike can easily find tennis programs available in their local community. In addition, parents must have the assurance that tennis providers will provide the right level of instruction while providing a safe environment for their children. All Net-Generation-approved providers have passed a thorough background screening process. Once providers have passed the USTA Safe Play process, they can promote their programs and offerings on NetGeneration.com where families can easily find them. Anyone interested in finding a tennis program, whether it be a group session or private lesson, can simply visit NetGeneration.com and enter his or her city, state, and zip code to search for play or learning opportunities near them. Families have the option of find-

ing community-based programs or connecting with a certified coach or teaching professional; all certified coaches are either USPTA or PTR certified. Community-based programs may include parks, after-school programs, community tennis associations, National Junior Tennis & Learning programs (NJTL), and more. Regardless of what option you choose, Net Generation providers have access to a full library of USTA-approved coaching resources and guidelines for all ages, including detailed lesson plans, instructional videos, and even a coaching app. Providers also can utilize player incentives designed to help their students learn, grow, and advance in the sport. As spring approaches, I hope that you once again consider getting your child involved in this fun activity that will keep them active and healthy! Tennis is such a great option, for it has so many long-term benefits for those who participate. So make sure to visit NetGeneration.com to see what play opportunities are available near you, and be assured that whatever program you choose will have certified coaches and instructors that are supported and approved by the USTA, the governing body of the sport. ❦

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he recent milder temperatures we’ve experienced are a good reminder that spring is close at hand. Though welcome news to most, spring’s imminent arrival might cause some apprehension among those of us who overindulged a bit over the holidays—or perhaps sampled a few too many delectable edibles during Restaurant Week Toledo—and now have a little extra body fat to show for it. The good news is, according to Dr. Wade Banker of Luxe Laser Vein & Body Center, there are plenty of ways to eliminate those stubborn fat deposits permanently before bathing suit and boating season gets here.

CoolSculpting For those seeking a moderate fat-removal result with no downtime, CoolSculpting is an excellent option, notes Dr. Banker. Quickly becoming a household name, CoolSculpting is a non-invasive technique (meaning no incisions are made and no implements enter the patient’s body) that involves externally treating areas of stubborn

fat with low temperature to destroy the fat cells, which are then cycled out of the body naturally. CoolSculpting is also very modestly priced, and Dr. Banker guarantees that the best pricing is available at Luxe Laser.

and strenuous activities for a time. The cost of this procedure tends to be higher than for non-invasive techniques because more fat is removed and a more dramatic final result is achieved. Smart Lipo also tightens loose skin to a moderate degree.”

You can still remove that stubborn fat in time for bathing suit season

Smart Lipo

Tummy tucks

Moving into the realm of minimally-invasive fat-removal procedures, Dr. Banker offers Smart Lipo for patients who are seeking a more dramatic result compared to non-invasive methods and don’t mind some modest recovery and downtime. “Smart Lipo is performed by inserting a small laser fiber under the skin, melting the fat, and then physically removing it from the body at the time of the procedure,” he says. “Patients undergoing Smart Lipo will also need to adhere to certain restrictions afterward, such as avoiding heavy lifting

Those who need both fat removal and significant skin tightening in the abdominal area can get the results they’re seeking with a tummy tuck. Mini tucks can also be performed to tighten smaller areas of loose skin around the abdomen or anywhere else on the body. These procedures are performed under local anesthesia and produce dramatic results with minimal scarring, minimal downtime, and very little pain.

Chin treatments Excess fat buildup and/or loose skin

around the chin—which make it very difficult to put your best face forward with confidence—can be addressed through various chin treatments offered at Luxe Laser. Both CoolSculpting and Smart Lipo are among the options for treating chin defects. Another choice is Kybella. Considered a nearly non-invasive option, Kybella involves administering a series of injections that melt fat in the chin area. As with CoolSculpting, the fat is then cycled away naturally by the body. “Kybella produces a slightly better result than CoolSculpting and is a bit more accurate because the doctor can easily control where the injections are made. The result of a single Kybella treatment is relatively modest, but the procedure can be repeated until the desired result is achieved,” Dr. Banker adds. For more information on these services or procedures, please call Luxe Laser Vein & Body Center at 419-8932775. Consultations are always free. VEIN & BODY CENTER Additional information is also available at www.luxe-laser.com. ❦

OUR SERVICES, YOUR RESULTS.

VEIN & BODY CENTER

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You’re not immune from needing vaccinations by Dr. Deborah Friedman

ou may think that vaccines are only for children. Think again. The truth is, it’s just as important for adults to keep up to date with their immunizations. Preventing a disease is a lot easier than treating one, and getting recommended vaccines protects against diseases that can put your health at risk. Vaccinations are also important for the health of people around you. That’s because some people in your community may be unable to get certain vaccines due to their age, health condition, or allergies. They rely on those who can get vaccinated to help prevent the spread of disease.

tional travel, and other factors. You can talk to your doctor about which vaccinations you should get. You can also visit the US Centers for Disease Control and Prevention’s (CDC) website for an immunization chart. Go to www.cdc. gov/vaccines, print out the chart, and bring it with you to your doctor ’s appointments so you can go over it with your physician. It is also important to keep an updated record of all the vaccinations you have received. Records are important to tell which child and adult Which vaccines vaccines you have already received do you need? and when you are due for your next As an adult, the vaccines you may vaccines. If you have switched docneed, and when you need them, tors, he or she may not have all of depend on many factors such as age, your vaccination records on file. Be sure to AM take your records with you lifestyle,UTMC health conditions, interna1247 CARE_HLN_HalfPg.pdf 1 3/17/17 11:56 to appointments.

CARE

that embraces all of you.

Certain vaccinations at certain ages Generally speaking, it is a good idea for older adults to get a yearly flu shot as well as to receive the pneumonia vaccine. The flu and pneumonia are serious infections and can put many seniors at serious health risks. Another vaccine to consider if you’re 60 or older is the shingles vaccine. If you had the chicken pox when you were a child, you are at risk of developing this very painful rash. The vaccine increases your chances of avoiding it. And also be aware of the Tdap vaccine, which includes tetanus, diphtheria, and pertussis. It is recommended especially for adults caring for infants.

Well worth the cost It’s true that vaccinations cost money, but treating an illness costs much more. Plus, most health insurance plans and Medicare plans cover preventive vaccinations as long as

you receive them from a provider in your health plan’s network. You can check with your health insurance company to see which vaccines are covered in your plan and where you can get them.

Where to go Vaccines may be available at your doctor’s office, public or community health clinics, and your local pharmacies. It’s important to check your insurance coverage to see if you can go to locations other than your doctor’s office. If you are having trouble finding a location, contact your local health department or healthcare provider. Certain locations will not always have the vaccine you need, so be sure to call ahead. And make sure when you get a vaccine somewhere other than your doctor’s office that it gets recorded in your medical records and noted in your own file at home. I encourage you to take this healthy dose of advice and update your immunizations. It’s important for your wellbeing—and everyone around you. ❦ Dr. Deborah Friedman is Assistant Medical Director for Medical Mutual.

A compassionate team focused on you. We’re more than a center for advanced treatment and specialized care. We’re caregivers who specialize in you. Our medical experts take the time to listen, answer your questions and provide the comfort and attention you deserve. Whether your relationship is with one of our primary care physicians, hospital nurses or outpatient technicians, it’s a relationship built on trust. • Provided quality care for more than 300,000 people last year • Investing in a patient-centered network of primary care providers • Committed to personalized care designed around your individual health needs • Setting the standard of excellence in patient care*

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* Recognized by Consumer Reports among top academic hospitals in preventing bloodstream infections.

26 March 2018 | Healthy Living News

CONFIDENT. COMMUNITY. CARE.

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Taking care of Ohioans since 1934 For more than 80 years, Medical Mutual has provided high-quality health insurance plans with local customer service to individuals, families and businesses throughout Ohio. Visit MedMutual.com/Ohio2018 to see what we can do for you.

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | March 2018

Electroconvulsive therapy is safe, fast, and highly effective

or many people, the term “elec- and some forms of schizophrenia. troconvulsive therapy” evokes Contrary to popular misconception, disturbing images they may have ECT treatments do not put the patient seen in old films such as One Flew into violent, agonizing convulsions. Over the Cuckoo’s Nest. But the reality Rather, they are performed with the of electroconvulsive therapy, or ECT, patient under general anesthesia is a far cry from the sensationalized and a muscle-relaxant medication so Hollywood depictions. In they experience no pain and fact, according to psychitheir muscles are unable to atrist Dr. Bryan Moloney, convulse. “During the initial medical director of Senior course of treatment, ECT is Behavioral Health at The performed approximately University of Toledo Medithree times per week, and we cal Center, ECT is by far the expect to see results somemost effective treatment where in the range of six to 12 treatments,” Moloney says. in psychiatry today. Following the initial therECT involves the use of a brief, controlled elecapy, maintenance ECT is trical current to produce given at specified less freDr. Bryan Moloney a seizure within the brain, quent intervals to maintain lasting a minimum of 30 seconds. clinical improvement and prevent The resultant seizure is believed to recurrence or relapse. Maintenance bring about biochemical changes that ECT is generally discontinued when can cause remission in patients with the patient has achieved control of certain psychiatric conditions, such as target symptoms. major depression, mania, catatonia, According to Moloney, ECT is

DO YOU HAVE A CHILD OR LOVED ONE LIVING WITH MENTAL ILLNESS? The National Alliance on Mental Illness (NAMI) of Greater Toledo is currently accepting registrations for 2018 SpRING CLASSES. NAMI classes are offered at no cost and taught by trained NAMI members who have lived with similar experiences. The course teaches the knowledge and skills that family members need to cope more effectively. Education • Emotional Support Self Care • Empowerment

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28 March 2018 | Healthy Living News

usually reserved for patients who are in a state that puts their life or health at risk, for example those who are acutely suicidal or are neglecting themselves, or for those who have not responded to more conservative treatment methods, such as therapy or medication. Exactly how ECT works is not completely understood, but various mechanisms have been proposed. “One is the concept that ECT increases neuroplasticity in the brain,” Moloney explains. “For example, with depression, it’s thought that certain circuits in the brain are dormant and ECT sort of wakes up those circuits.” According to Moloney, research conducted using functional MRI shows that the three different modalities used to treat depression—therapy, medication, and ECT or other forms of neurostimulation—all induce the same changes in the brain, but over very different time periods. “The interesting thing this study found is that patients with mild depression can get by with therapy, but it takes six to eight months to get the full effect. With medications, it takes two to three months to induce those changes. ECT, on the other hand, brings about the desired changes in only about two weeks, which is why it’s so useful for patients who are very ill and in a life-threatening situation,” he says.

DOES MAKE DOES MAKE

Other research revealed that onethird of patients with depression who are treated with antidepressant medications either respond to the medication (experience a decrease in their depressive symptoms) or remit (no longer meet the criteria for depression) after their first trial; 60 percent will respond or remit after three trials. By comparison, ECT has a remission rate of approximately 80 percent in patients with severe depression and psychotic features. “As a result, some literature is beginning to raise the question of whether we’re waiting too long to offer ECT. For instance, some patients with non-life-threatening depression can still suffer for extended periods of time with symptoms that take all the enjoyment and fulfillment out of life. Perhaps using ECT as a very last resort for these individuals is too conservative," Moloney says. Describing what patients experience during an ECT treatment, Moloney explains, “They show up about an hour in advance, get changed, and have an IV put in place. We then explain that they’re going to receive a medication that puts them to sleep. Once they’re asleep, they’re given a medication to relax all the muscles in their body so they can’t have an uncontrolled seizure. After their muscles are relaxed, we deliver the stimulus to the brain, which in-

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duces a seizure. When the response terminates, the patient wakes up and returns to normal function very quickly. The whole process takes only about five minutes, and at no point is the patient strapped down or restrained.” It’s also important to note that patients are fully educated on the ECT process ahead of time. During an initial consultation with the doctor, their complete medical history is taken to ensure they’re appropriate candidates for ECT, and they’re encouraged to watch an educational video and given information sheets to read so they know exactly what to expect during the procedure. “By the time they have one session under their belt, most patients are pretty comfortable with the process,” says Moloney. In addition to being both fast and effective, ECT is a very safe treatment modality. The most common side-effects include headache, muscle soreness, nausea, and temporary confusion. Memory difficulties can also occur. In very rare cases, patients may experience the loss of certain autobiographical information, for example suddenly forgetting their wedding date. Another potential but uncommon memory issue is having difficulty recollecting events that occurred in the weeks before and after the treatment, such as having seen a movie with a friend. The most common memory issue—but also the least distressing to patients—is struggling to remember events in the minutes immediately before and after treatment. Moloney states that the risk of experiencing memory problems is higher when ECT is performed bilaterally, with electrodes placed on both sides of the head, versus unilaterally, with only one electrode placed on the right side of the head. “Bilateral ECT tends to be more effective, but it can also have a greater cognitive impact because it delivers a charge to both the right and left side of the brain. It’s on the left side of the brain that memories are made. In contrast, right-sided unilateral ECT gives you about 85 percent of the benefit with a lower risk of cognitive problems because the charge affects only the right side of the brain while the seizure generalizes to both sides. We often use right-side unilateral ECT on an outpatient basis on patients who aren’t ill enough to be hospitalized.” Moloney hopes that with greater

understanding of the safety and effectiveness of ECT, the stigma associated with the procedure will gradually fall away. One resource he recommends is the book Shock: The Healing Power of Electroconvulsive Therapy by Kitty Dukakis, wife of former Massachusetts governor and presidential candidate Michael Dukakis, who once battled depression but has lived symptom-free for many years thanks to ECT. For more information about ECT at The University of Toledo Medical Center, call 419-383-5158 or e-mail UTMCECT@utoledo.edu. ❦

NWO Apraxia Support awareness campaigns for 2018

Our superheroes wear many capes!

WO Apraxia Support is excited to raise awareness of some of the invisible disabilities that affect our superheroes. Check out the facts on nwoapraxiasupport.org/awarweness -campaigns-2018.html. Post your pictures on Facebook or Twitter @ NWOApraxia to be entered to win great prizes. Upcoming campaigns include: Wear lots of socks on March 21 (World Down Syndrome Day) in support of those impacted by Down syndrome. Post your pictures with #lotsofsocks #nwoapraxia. Wear purple on March 26 in support of those impacted by epilepsy. Post your pictures with #purpleday #nwoapraxia. Wear blue or other autism-awareness clothing on April 2 (World Autism Day) in support of those impacted by autism. Post your pictures with #AutismAwareness #nwoapraxia. Wear green on May 10 (Children’s Mental Health Awareness Day) in support of children impacted by mental illness. Post your pictures with #KidsMentalHealth #nwoapraxia. Wear blue on May 14 (Apraxia Awareness Day) in support of those impacted by childhood apraxia of speech (CAS). Post your pictures with #ApraxiaAwareness #nwoapraxia. ❦

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Manor at Perrysburg offers expert, individualized, multidisciplinary pulmonary rehab

or people with healthy lungs, it can be difficult to conceptualize the experience of living with a pulmonary disease that literally takes one’s breath away. To help convey just how alarming breathing problems can be, Lori King, RCP, RT, Director of Respiratory Services for The Manor at Perrysburg, suggests trying to breathe in and out through a thin straw or coffee stirring stick for several seconds. She notes that once people perform this simple experiment, feel the panic of being unable to inhale and exhale freely, and then begin breathing normally again, their sense of relief

30 March 2018 | Healthy Living News

is tremendous. Now, thanks to the state-of-the-art, multidisciplinary pulmonary rehab program offered at The Manor at Perrysburg, this same sense of relief—and a greatly improved quality of life—is available to people whose breathing is compromised by conditions such as chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), emphysema, or asthma. “We can treat any type of pulmonary disease, even sleep apnea, and our approach is highly individualized, not just because every patient is unique, but also because the appropriate care is different depending on the

disease,” King states. Former and current smokers are among those encouraged to take advantage of this program. As King points out, lung damage occurs the very first time someone smokes. Of course, that damage is compounded significantly over years or decades of smoking, which, according to King, is why lung-transplant candidates are required to go through pulmonary rehab both before and after surgery. Patients in the pulmonary rehab program receive one-on-one treatment in 60-minute sessions, five days a week. In addition to performing exercises that help keep the airways open and strengthen inspiratory and expiratory function, patients can learn specialized techniques to help them breathe better despite their disease. For example, patients with diseases such as multiple sclerosis (MS) or amyotrophic lateral sclerosis (ALS) can learn to build strength in their diaphragm by using a diaphragmatic breathing technique instead of breathing through their nose. Patients with COPD, who commonly experience CO2 reten-

tion, can be taught certain breathing techniques that help keep CO2 at a safe level in their body. But the program goes far beyond breathing exercises. “In addition, we look at all the patient’s respiratory medications to make sure they’re appropriate and being used properly so they don’t cause other problems. For instance, patients who use a bronchodilator too frequently can develop a false dry cough. Also, because people with pulmonary disorders tend to retain water very easily, which can impair breathing if it causes the lungs to fill up, our dietary team works closely with patients to ensure they’re eating the right foods, limiting sodium, and avoiding drinking too much water,” says King. Relaxation and meditation techniques are taught in the program, as well. These techniques are especially important for patients with obstructive pulmonary disease, meaning they can get air in but can’t get it out. (People with restrictive pulmonary disease, on the other hand, are able

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to get air out, but not in.) Directed by pulmonologist Dr. James Tita, the pulmonary rehab team consists of a respiratory therapist; physical, occupational, and speech therapists; nurses; social services; and dietary services—all of whom are focused on getting the patient back to the highest possible level of pulmonary function. “This multidisciplinary team working together produces phenomenal outcomes for patients,” King remarks. “However, she continues, “we also work closely with each patient’s doctor to keep him or her apprised of the patient’s condition and progress as well as to ensure any recommendations the doctor may have are incorporated into the treatment program.” Effective treatment of any chronic

breathing disorder requires a lifelong commitment on the patient’s part, so when patients complete rehab, they’re given a variety of educational materials so they can continue doing everything they’ve learned at home. “When patients leave here, we want them to have all the information they need to understand their disease, increase or maintain their stamina and lung volume, as well as reduce the frequency of their hospital and doctor visits. Furthermore, our philosophy is ‘Once a patient, always a patient,’ so we encourage our pulmonary patients to call us at any time with questions or concerns,” King remarks. For more information about the pulmonary rehab program at The Manor at Perrysburg, please call 419-874-0306. ❦

Unison Health ensures continued care for FSNO clients in Wood County

s the face of healthcare contin- individuals have access to the same ues to change, many providers therapists they’ve been seeing, and must closely examine their capacities. they can still call the same numbers After three decades, Family Service with questions they might have. of Northwest Ohio (FSNO) chose to Continuity of care is central to the close their office in Wood County. Unison Health mission, and we are In order to provide honored to bring that continuity of care to to the people of Wood Unison Health is a their clients, FSNO leading resource for County.” transitioned their As part of ensuring people seeking access continuity of care for staff members over to behavioral health, the community, relato Unison Health as tionships with courts, of February 1, 2018. substance abuse providers, and other Even as this trantreatment, and sition occurs, Unison agencies will also reprimary healthcare. Health is committed main intact. Stakeholdto ensuring continuity ers throughout Wood of care for clients and stakeholders County will follow the same procethroughout the community. Ser- dures, and services such as diagnostic vices will proceed uninterrupted, assessments and case management including outpatient services such as will continue without interruption. counseling for individuals and famiWith over 250 dedicated staff lies, pharmacological treatment, and members serving nearly 8,000 adults, group therapy services such as anger adolescents, and children throughout management and grief counseling. the greater Toledo area—and now According to Unison Health’s Wood County—Unison Health is a President/CEO, Jeff De Lay, “Unison leading resource for people seeking Health is committed to providing access to behavioral health, subthe people of Wood County with the stance abuse treatment, and primary same level of care they’ve come to healthcare. expect from Family Service of NorthFor more information about Uniwest Ohio. In fact, we believe with son Health, please visit www.unison our strong infrastructure, we can health.org. To speak with someone increase the types of services deliv- at Unison Health’s Bowling Green ered in Wood County. It is vital that location, please call 419-352-4624. ❦

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | March 2018

Genacross Lutheran Services Wolf Creek Campus

Elizabeth Scott Community 2720 Albon Road Maumee, OH 43537

2001 Perrysburg-Holland Rd. Holland, OH 43528

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Genacross Lutheran Services Sandusky Campus 795 Bardshar Rd. Sandusky, OH 44870 419-502-5700 www.GenacrossLutheranServices.org

Rosary Care Center 6832 Convent Blvd. Sylvania, OH 43560 419-882-2016 www.sistersosf.org

Plaza Apartments 2520 Monroe Street Toledo, Ohio 43620 419-244-1881 www.vmc.org

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.

Foundation Park Alzheimer's Care Center

Darlington Nursing & Rehabilitation Center 2735 Darlington Rd. Toledo, Ohio 43606 419-531-4465 www.darlingtonnursinghc.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

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250 Manor Drive Perrysburg, OH 43551

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Sunset House

Ohio Living Swan Creek

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Fieldstone Villas 9640 Sylvania-Metamora Rd. Sylvania, OH 43560 419-386-2686 www.sunset-communities.org

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The Laurels of Toledo

Senior Star at West Park Place

The Woodlands 4030 Indian Rd. Ottawa Hills, OH 43606 419-724-1220 www.sunset-communities.org

Otterbein Skilled Nursing and Rehab Neighborhoods Monclova/Perrysburg 3529 Rivers Edge Drive Perrysburg, OH 43551 Ryanna Redmon • 419-308-0585 Ryanna.Redmon@Otterbein.org

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32 March 2018 | Healthy Living News

1011 Byrne Road Toledo, OH 43607 419-536-7600 www.laurelsoftoledo.com

Genacross Lutheran Services Toledo Campus 131 Wheeling St. Toledo, OH 43605 419-724-1414 www.GenacrossLutheranServices.org

3501 Executive Parkway Toledo, OH 43606 419-972-2280 www.seniorstar.com

StoryPoint Senior Living 1470 Pray Boulevard Waterville, OH 43566 419-878-1000 www.storypoint.com

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Laurels inpatient and outpatient rehab clients “lighten up” with anti-gravity treadmill

hen rehabilitating from an they walk, stand, or perform various injury, joint surgery, or other exercises on the treadmill under the physical challenge that affects function close supervision of a therapist. The and mobility, patients’ bodies—more unit can unweight patients as much precisely, their body weight—can as 80% while allowing normal gait actually stand in the way of their mechanics. recovery. After all, getting up on To use the AlterG, patients put on your feet and motivated to move is special pants that zip into an inflatno simple matter if doing so causes excruciating joint pain or puts you at risk of falling. The good news is, now that The Laurels of Toledo has permanently added the state-of-the-art AlterG® Anti-Gravity Treadmill® to their repertoire of therapeutic modalities, both inpatient and outpatient clients who face this dilemma are no longer limited to plodding and painful rehab progress. The AlterG uses differential air pressure technology to The AlterG, developed unweight patients on the treadmill. by NASA engineers while studying the biomechanics of exercise able chamber on the treadmill. The in space, uses differential air pressure therapist then calibrates the machine technology to “unweight” patients as and increases the air pressure in the

chamber to the desired level. Video cameras located at the front and on either side of the treadmill allow the patient and therapist to observe on a monitor exactly what’s going on with the patient’s gait from multiple vantage points. Perhaps not surprisingly, unweighting patients with the AlterG has a wide range of uses in orthopedic and sports medicine, for example in rehabilitating patients with total knee or hip replacement, arthritis, ACL or Achilles tendon injury, or any other injury, surgery, or disability affecting the lower body. It’s also helpful for athletes who want to increase their training volume or stay in peak condition while recovering from injury or surgery. Laurels physical therapy assistant Brad Weaver explains that patients are often given specific weight-bearing limitations by their doctors. For example, an orthopedic patient may be told to limit weight bearing on a particular extremity to only 50%. “With the AlterG, we can very precisely dial

in any level of weight bearing, with increments as small as 1%, so we can stay in total compliance with doctors’ orders as we work on increasing activity tolerance,” he says. As the patient’s tolerance increases, the therapist can adjust the amount of weight borne by the AlterG incrementally downward until the patient is able to manage the activities at normal weight and can then transition to performing them with no assistance from the machine. However, the applications for this technology go far beyond orthopedic and sports rehab. “For example, the AlterG can be tremendously advantageous in boosting activity tolerance in patients with congestive heart failure or other cardiac conditions, so we’ve incorporated the unit in our cardiac recovery program to prepare them to function independently at home as well as to get them ready to participate in a formal cardiac rehabilitation program," says Weaver. Other applications include promoting weight loss in significantly overweight

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patients so they can qualify for joint replacement or other procedures, conditioning and fall prevention in the elderly, and improving gait mechanics and trunk control in patients with neurological conditions such as Parkinson’s disease, stroke, traumatic brain injury, cerebral palsy, and multiple sclerosis. Laurels rehab patients appreciate that there’s no extra cost to incorporating the AlterG in their therapy programs—and that it’s available to both inpatient and outpatient rehab

clients. Patients participating in the outpatient program—which is offered seven days a week—may also qualify for free bus transportation to and from The Laurels based on distance from the facility and accessibility to their home. The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services. For more information, call 419-536-7600 or visit www.laurelsof toledo.com. ❦

Spiritually Speaking By Sister Mary Thill

You never know . . . Be on guard! Be alert! You do not know when the time will come. —Mark 13:33

ne never knows what’s going to happen when you get up in the morning. Jesus’ quote from Mark encourages us to be on guard and be alert because we don’t know when the time will come. A few weeks ago on an ordinary Monday morning, I got up and followed my usual routine: ate breakfast, got dressed, spent some time in prayer, got in the car, and drove to work. I had a good day at work. I saw lots of people, visited patients, and spent time with staff. It turned out to be a pretty nice day. On the way home, I was thinking about the class I was going to that evening with my

Muslim/Christian Dialogue Group. I was really looking forward to it. When I arrived home, I fed the birds and then got some things out of the car. On my way into the house, as I stepped onto the one step in the garage leading into the house, one foot made it and the other one didn’t and down I went. I fell stomach and face first, and in an instant my life changed. Certainly the routine of my life changed. I had no idea when I got up that morning that all this was going to happen and that my life would be so different by 4:30 that afternoon. At first, I was stunned, but when I felt the pain, I began to holler out. I knew there were two Sisters home and hoped they were close enough to hear me. Thank God, after only a

few cries for help, one of the Sisters came out and was shocked to find me flat on the concrete floor. She went to get the other Sister, and “you know what” broke loose. Some wonderful people from the local rescue squad arrived and proceeded to help me sit up. They told me they’d have to cut off my outside jacket and my inside jacket, and I told them not to, so they just pulled them off. They told me it was going to hurt, but I don’t think I was feeling much pain at the time. My arm seemed broken, my knees were okay, my face was getting swollen, and the EMS folks sent for an ambulance. The ambulance came and took me to the Mercy Health ED near Sylvania. Again things began to happen and to change, and by this time I looked like I had won (or lost) a fight. A very efficient emergency department team checked my vital signs, took x-rays, and did a CT scan right then and there. After a relatively brief time, the ED doctor came in and said that I was going to need surgery on my right arm but everything else seemed to be okay. He told me to see my orthopedic doctor to set up surgery and sent me home. My three housemates became my caregivers around the clock for about a week until surgery. I had surgery at Mercy Health – St. Vincent Medical Center. Unfortunately, this was my fourth surgery at St V’s, and fortunately, I felt very comfortable because the people there were very kind and

gracious to me. After an overnight stay, I came home to Sylvania for rehab at Rosary Care Center. As I sat here reflecting on this experience, I kept thinking about what I would write for my March article for Healthy Living News. I kept telling people who came to see me that you never know what’s going to happen to you, and that became the theme for this article. And then the scriptural quote from Mark reminded me that Jesus said, “Be on guard! Be alert! You do not know when the time will come.” The time did come; the time to heal, to reflect, to renew ,and to be aware of how close our God is to us and how often and beautifully God uses the people around us to do this work for Him through prayer, through caregiving, and by helping us do the things for us that we can no longer do for ourselves. Since this was not my first surgery, please God let it be my last! I am very aware of the goodness of the people around me working in an ever-changing healthcare system. Surrounded by a loving community of co-workers, family, and friends, I’m certainly aware of how many people it takes to make a comeback from any kind of trauma—physical, mental, emotional, or spiritual. As I continue to reflect on my experience, I know that I will always be grateful that there was someone there to help me right away and that everyone that came to my rescue and cared for me was very kind and generous. I can only say to those who are

Be alert!

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reading this, be on guard and be alert because you do not know when the time will come. But be assured that there will always be others there to help you. Blessings. Thank you to all my caregivers. ❦

Sister Mary Thill is a Sylvania Franciscan Sister. She is a Patient Liaison for Mature Health Connections at Mercy Health – St. Vincent Medical Center. She can be reached at 419-251-3600.

1. Lower blood pressure

Stroke-prevention tips from StoryPoint Senior Living by Erin Kessler Disclaimer: This content is not a substitute for medical advice and supervision. Please consult your doctor to plan for the best stroke-prevention tactics.

s we age, our health problems age with us and become more difficult to address as time goes on. This is true for many health-related issues, but particularly relevant to strokes. Stroke is the fifth leading cause of death in the United States, and especially affects seniors that are 75 years of age and up. Prevention and recognizing the signs are equivalent in the effort to combat the impacts a stroke can have on seniors and their families. A stroke is caused by a lack of

identifying what you cannot change, you are able to begin adjusting your lifestyle to better protect yourself. Here are five tips on how to positively lessen your chance of suffering a stroke in your lifetime:

blood flow to the brain, causing the sufferer ’s brain cells to die in the surrounding area of the clot or blockage. A stroke can have a wide range of effects, from death to lasting disabilities to a full recovery. This reaffirms that prevention habits are as essential as recognizing the signs of a stroke and acting fast to contain the damage. Prevention has two parts: identifying uncontrollable risk factors and adapting lifestyle risk factors. It is best to consult your doctor when identifying the uncontrollable risk factors so that you are aware of the impact that genetic predisposition and chronic conditions can have on your prevention planning. After

Exercise is so important in reducing your chance of having a stroke. It is recommended that you get 30 minutes of exercise five days a week. You can get exercise many different ways, including taking a walk, doing yoga, or even swimming.

High blood pressure is one of the leading causes of stroke. You can lower blood pressure by reducing high-cholesterol foods from your diet and eating a more balanced diet full of fruit, vegetables, and fish.

3. Lose weight

2. Exercise consistently

4. Quit smoking cigarettes

The recommended BMI is around 25. You can work with your doctor on a diet that will not only supply you with all the necessary nutrients but also help you lose weight. Smoking can contribute to high blood pressure, which can make you more susceptible to having a stroke. Reaching out to family or friends for support during this process can help.

5. Drink only in moderation Excessive drinking has been linked to a heightened chance of suffering a stroke. It is recommended that if you are going to have one drink a day that you choose red wine because it has antioxidants. Not recognizing the signs of a stroke can not only be detrimental, but also potentially deadly. The National Stroke Association compiled

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As we age, we become more prone to different health challenges, such as stroke or heart disease. Knowing the signs and using preventative strategies can protect you or a loved

the acronym F.A.S.T. to help health providers and family members notice the signs and take action quickly. F.A.S.T. stands for: Face—Is one side of the face drooping or is it uneven when the person smiles? Arms—Is one arm numb or appearing weaker than the other arm? Speech—Is the person’s speech slurred or are you unable to understand what they’re saying? Time—If you notice any of the above symptoms, you need to call 911 immediately.

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one from the damages of a stroke. Continued education of staff, residents, and family members at senior living communities, such as StoryPoint, is the key to combating health condi-

tions that disproportionately affect seniors. ❦ Erin Kessler is Brand Marketer for StoryPoint Senior Living.

Kidney stones clarified—from cause to prevention

octors call them renal calculi. during urination, but largTo the general public, the small, er stones or stones that hard crystals that sometimes occur become lodged at some in the kidneys or other parts of the point in the urinary tract urinary tract are known as kidney require treatment. stones. Whatever you call them, Symptoms caused by they’re relatively common. In fact, kidney stones might inthe National Kidney Foundation clude severe pain in the reports that more than half a million back, side, or groin; nausea and vomAmericans are treated in emergency iting; flushing; and urinary urgency rooms for the condition each year, or frequency, among others. With and an estimated one in ten people respect to the symptom of pain, Dr. will develop kidney stones at some Suttle points out, “It’s not due to the stone having an irregular or jagged point in their lives. What exactly causes kidneys stones shape, as one might think. Rather, and what else should people un- pain occurs when the stone moves derstand about them? According to from the kidney into the ureter, forms Timothy Suttle, MD, of ProMedica an obstruction, and causes urine to Genito-Urinary Surback up into the kidney. geons – Toledo, “We Non-obstructing kidney treat multiple types of stones, on the other kidney stones, but the hand, don’t generally type most frequently cause discomfort.” seen is calcium-based, While kidney stones and the most common have the potential to cause is dehydration damage the kidneys, along with other dietary Dr. Suttle notes that the factors.” risk is not immediate. Dehydration can “As long as the patient lead to kidney stone isn’t experiencing fever, formation because it which suggests a uricauses the minerals nary tract infection, we and salts dissolved in can wait for the stone to pass on its own. But if urine to become more Dr. Timothy Suttle concentrated, potentialafter four to six weeks it ly allowing them to crystallize and still hasn’t passed and obstruction is form solids. Once formed, stones noted, treatment is recommended,” may remain in the kidneys or travel he says. to other parts of the urinary tract. If treatment is deemed necessary, Very small kidney stones can often the appropriate approach depends on be passed from the body naturally factors such as the location, size, and chemical makeup of the stone. As Dr. Suttle explains, “Small, non-obstructing stones can simply be observed to make sure they aren’t growing. In cases where the stone is on the move and pain is well controlled, we can try medical expulsive therapy, which involves the use of medications to make it easier for the patient to pass the stone. If the stone is too large to pass and can be seen on x-ray, we can focus sound waves on it to break it up into smaller fragments. In the event that the stone is too large and can’t be seen on x-ray, we can do a ureteroscopy. This procedure, performed under anesthesia, involves passing a

36 March 2018 | Healthy Living News

small lighted tube, called a ureteroscope, through the urethra and bladder and into the obstructed ureter to the location of the stone. Laser energy is then used to break up the stone into smaller fragments to relieve the obstruction. Finally, for very large stones—over two to three centimeters in diameter—the surgeon can approach the kidney directly through the patient’s back to remove the stone.” With respect to prevention, because dehydration is the number one cause of kidney stones, one of the most important things people can do to avoid developing them is drink enough water. According to Dr. Suttle, people should be drinking enough that they’re emptying between two and two-and-a-half liters of urine per day, which corresponds to voiding approximately every two-and-a-half to three hours. “But the easiest way to tell whether you’re getting enough water is to look at the color of your urine. If it’s clear, you’re generally doing well with hydration, but if it’s darker, you need to increase your water intake,” he says. Other preventive measures Dr. Suttle recommends include: • Adopt a low-sodium diet. Sodium is a known risk factor for kidney stone formation because it increases the level of calcium in the urine. • Do not, however, avoid calcium. Getting less than the recommended 1,000 to 1,200 mg per day can increase the level of oxalate—a common component of kidney stones— in your urine. • Reduce your intake of nondairy animal protein, which is known to increase the risk of uric acid stone formation. • If you drink soda, avoid dark colas or other types containing phosphoric acid, which is known to promote kidney stone formation. • Increase your consumption of vegetables and fruits, especially

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citrus fruits. The citric acid found in these fruits helps protect against kidney stones. • If you take Vitamin C, don’t exceed the recommended daily allowance. Excess Vitamin C is converted to stone-promoting oxalate. • Only certain subtypes of kidney stones are dissolvable, so don’t assume the home

remedy of drinking apple cider vinegar will prevent kidney stones or dissolve existing ones. Dr. Suttle adds, “It’s noteworthy that kidney stones can be hereditary. If a patient has more than one stone in his or her lifetime, a metabolic evaluation is recommended. Sometimes the risk can be reduced with dietary changes, and we can also lower the risk of recurrence with medication.”❦

nobody’s perfect Sister Karen Zielinski, OSF

The cure is worse than the disease!

had shingles. I have a very compromised immune system because of the medications I take to manage my multiple sclerosis. Because of my age, I got a rash on my right side, near my waist, and around my back, again near my waist. I caught it pretty

early, when I noticed a few red dots on my side. I called my doctor, and she confirmed the diagnosis. She prescribed some Big Blue Pills that were antiviral, since shingles is caused by a virus. I had to take three Big Blue Pills every day for seven

days. Twenty-one pills. No problem, I thought. I take antibiotics and other pills, and I could handle these blue ones. Hah! After my second Big Blue Pill, I lost my appetite. I was not nauseated, but I just could not eat anything. It was as if I had just left the Thanksgiving dinner table. I felt full. I could not eat. Of course, when a person does not eat, they have no energy for walking, cooking, cleaning, working, etc. With my legs weakened from MS, I could barely get up and do things I normally do. Of course, my friends gave me the wise advice, “You have to eat something!” Believe me, I tried. I really did. I just could not eat anything. One time it took me about 15 minutes to eat the inside of a piece of toast. Because of my bad eating record, my friends and doctor told me to start on Boost. I managed to get a few of these protein- and nutrient-packed beverages down, but it just wasn’t the same as eating a piece of chicken. I can tell you all the flavors that Boost comes in. While I was at day six of

my seven-day Big Blue Pill regime, I reveled in the fact that I had one more day of these pills that killed my appetite. The end was near. But I was mistaken. My doctor told me that we needed to treat the shingles aggressively. She prescribed another week of these Big Blue Pills! Did she want me to die? I decided right then that she was off my Christmas card list. Some of my friends helped me strategize on how to get through the second week of my appetite suppressants. They suggested that I cut the pills in half. I would now take six smaller pills each day, which I followed up with a kiddie-size cup of applesauce. Sometimes I would switch it up with a piece of string cheese, which I took prior to the little half pills. My daily routine now was something like this: Place the six half pills on my table. That was my daily goal. I had to take those things before I went to bed. I would place applesauce cups near the pills and put string cheese on a shelf in my refrigerator. The Boost was in the fridge, too, right

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next to the Gatorade, which is full of minerals. I did it, and by the end of the second week, I dreamed of sinking my teeth into a nice piece of meat, some delicious protein. I still did not have much of an appetite. So, instead of being too discouraged, I tried to logically tell myself that for two weeks, I put some strong chemicals in my body, which almost was worse than my shingles! I did not have a lot of pain, and the salve that I put on the rash dried up the skin irritations petty quickly. I had pain, of course, but the hardest part was taking the Big Blue Pills. I am grateful that my shingles left

pretty soon and I did not suffer like some people do with theirs. Some friends had to visit a pain-management center to control the pain. I am grateful that I did not. I offered up my taking of these terrible pills for all the people going through chemo, much stronger medications and drugs with harsher side effects. While I was resting at home on the last day of these pills, a song came on the TV. I think it was Kelly Clarksonâ&#x20AC;&#x2122;s hit â&#x20AC;&#x153;Stronger (What doesnâ&#x20AC;&#x2122;t Kill you).â&#x20AC;? Ainâ&#x20AC;&#x2122;t that the truth? We humans can do it. We are powerful and can get through a health crisis. I do not want to see a Gatorade,

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Boost, or piece of string cheese for a while! â?Ś Sister Karen Zielinski is the Director of Canticle Studio. Canticle Studio is a part of the Sisters of St. Francis of Sylvania, OHâ&#x20AC;&#x2122;s overall advancement effort and has

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Entities work together to preserve a Toledo gem

he City of Toledo, Metroparks Toledo, Toledo Public Schools, and the Arts Commission are working together to ensure that Toledo Botanical Garden remains one of the regionâ&#x20AC;&#x2122;s cultural gems. An ordinance introduced by the administration and approved recently by city council transfers ownership of the 60-acre garden and artist village in west Toledo to Metroparks. â&#x20AC;&#x153;Metroparks Toledo has always been an amazing agency that oversees some of the greatest assets our region has to offerâ&#x20AC;&#x201D;the Metroparks,â&#x20AC;? Toledo Mayor Wade Kapszukiewicz said. â&#x20AC;&#x153;I have the utmost confidence in the Metroparks to continue to maintain the Botanical Garden as one of Toledoâ&#x20AC;&#x2122;s great amenities and that it will continue to rival other botanical gardens across the nation.â&#x20AC;? Metroparks executive director Dave Zenk said the park district will â&#x20AC;&#x153;keep what people love about the Garden while adding additional reasons to go there. We want to build on the horticultural heritage of the site, increase educational opportunities, and raise awareness to increase visitation.â&#x20AC;? Among other improvements, Metroparks is planning to develop a garden-themed playground envisioned as part of the new Discovery Trail that opened last spring. Recently, the park district renovated a restroom building, and renovations are set to begin shortly on the Conference Center and a maintenance building.

Partnerships In addition, Metroparks and Toledo Public Schools are in discussions about a partnership to create a new trail through TPS property adjacent to the Garden. The property is between Hawkins Elementary School on Bancroft Street and the Frank Dick Natural Science Technology Center on Elmer Drive. In addition, there are opportunities to work with students at both schools to support their science and nature studies. â&#x20AC;&#x153;Toledo Public Schools strives to

build stronger relationships in our community with the goal to support our students and their education,â&#x20AC;? said Superintendent Dr. Romules Durant. â&#x20AC;&#x153;Working with the Metroparks has been very beneficial to the district, and expanding options for students at Hawkins is a great opportunity.â&#x20AC;? Talks have also begun with the Arts Commission and 15 resident arts and horticulture organizations located on the property to explore new opportunities to engage visitors to the Garden. The Commission will provide oversight of six sculptures in the Garden, which make up the communityâ&#x20AC;&#x2122;s largest public art installation. Metroparks assumed responsibility for operating the property from the city in 2006 under a 33-year cooperative agreement, then entered into an agreement with Toledo Botanical Garden Board, Inc., a non-profit organization, to manage day-to-day operations. Since then TBG has been an affiliate of the park district. Last June, Metroparks and Toledo Botanical Garden Board, Inc. agreed to shift daily operations of the Garden to Metroparks, while the non-profit organization continues to operate Toledo GROWS, its community garden outreach program. At the time, the park district announced that the popular Crosby Festival of the Arts and the Jazz in the Garden series will continue, with proceeds from both benefitting Toledo GROWS. â?Ś

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Wise words from

OTTERBEIN A little good news about vascular dementia

hy exercise? Why eat more vegetables? Why learn something new? There is one answer to each of these questions: to prevent or delay the onset of vascular dementia. According to the Framingham Heart Study, a long-term study of over 5,200 participants that began in 1948, there is promise in the idea that making heart-healthy choices may delay or decrease the chances of developing vascular dementia. Vascular dementia is the second most common form of memory loss behind Alzheimer ’s. Vascular dementia is caused by damage to the blood vessels that carry oxygen to the brain. “It’s very good news,” said Dallas Anderson, an epidemiologist with the National Institute on Aging, part of the National Institutes of Health, which funded the study. “We’re seeing one generation after another where the risk is going down.”

Interestingly, the healthy choices produced the best results among those who have at least a high school education and those who continue to participate in lifelong learning. Better educated people are more likely to position themselves in jobs that offer access to health insurance, which allows for better access to health care. Better care for stroke and heart attack patients also helps to reduce the incidence of vascular dementia. Those who choose to learn something new at all stages of their lives seem to make better choices for their overall health. There is a saying that states, when it comes to health history, you “can’t fight your family tree,” but studies are showing that there are behavioral changes that are effective in fighting the onset of dementia. What are some healthy choices that you can make? One major change is to get more social. By saying “yes” to invitations

to eat out, go to a show, play cards, or take a walk with a friend, you are also saying “no” to loneliness, eating alone, depression, and lethargy. Framingham Heart Study co-author Sudha Seshadri states, “People may say, ‘I don’t mind getting a heart attack. It’s a good way to go,' but

Say "yes" to being social!

heart disease may not just damage your heart. It could cause dementia. And I don’t know of anybody who thinks dementia is a good way to go.” Make a resolution to make some changes. It’s never too late to eat right, stop smoking, and start exercising. With spring starting this month, spring into action to stop vascular dementia. For more information on the Framingham Heart Study, visit www.framinghamheartstudy. org. If you would like to learn more about how living in a senior living community can help you get active and live a fuller life, go to www. otterbein.org and join us for an upcoming event. ❦

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Mercy Health gastroenterologist urges timely colorectal cancer screening

arch has been designated NaWhen precancerous lesions first tional Colorectal Cancer Aware- develop in the colon, the individual ness Month—and with good reason. typically experiences no symptoms, According to the American Cancer thus colon cancer is commonly referred Society, colorectal cancer is the third to as a “silent” disease. However, leading cause of cancer-related death as the polyp increases in size and in both men and women in the United becomes cancer, symptoms such as States and is expected to cause over bloody stool, abdominal pain, changes in bowel habits, and unexplained 50,000 deaths this year alone. Colorectal cancer is relatively weight loss begin to arise. At this stage, slow-growing (taking an average treatment becomes more challenging of 10 years to progress from small, and outcomes less favorable, which non-cancerous lesions to cancer), further highlights the importance of highly preventable with screening, undergoing timely screening in hope and often curable if caught early. This of preventing cancer development. slow rate of growth According to Dr. gives doctors a relaBleibel, the current tively large window of recommendation for opportunity to detect colonoscopy is that and remove precanpeople at average risk cerous lesions before should have their first they have a chance to screening at age 50. Those with a family become cancerous. When it comes to history of colorectal screening for colorectal cancer should have cancer, doctors have that initial screening many approved tools earlier, with the approat their disposal. The priate age depending gold standard is coloon the patient’s overall noscopy, a procedure health data. In addition involving the use of a to genetic predisposiDr. Wissam Bleibel thin, flexible, lighted tion, other known risk tube, called a colonofactors for colorectal scope, to examine the inner lining of cancer include eating too much red the rectum and colon for precancer- meat or fatty foods, getting insufficient ous lesions. Today’s high-definition, amounts of dietary fiber, smoking, high-resolution scopes can even detect and alcohol consumption. pin-point-sized lesions. Lesions can be Though some people balk at the easily removed during colonoscopy. idea of getting a colonoscopy, Dr. Other approved screening tests Bleibel reassures that it’s a very safe, include barium enema x-ray and simple procedure that requires very special CT scan. These tests have little downtime and recovery. “We lower detection rate and accuracy perform colonoscopies in our endosthan colonoscopy. Furthermore, the copy unit, and they take only about fecal immunochemical test, or FIT, 20 minutes. Also, patients are sedated is an easier and noninvasive test beforehand, so almost everyone is approved for screening for colon asleep during the procedure. The cancer. “This test is very sensitive sedation is so good that patients at detecting blood in the stool as an often wake up afterward without early sign of colon cancer. However, even realizing that the procedure FIT does not detect lesions before is already over. Nonetheless, colothey become cancer, thus it is not noscopy is one of the most effective good as a preventive test and should screening programs in medicine. be reserved for patients who do not People who get a colonoscopy per wish to undergo colonoscopy. On the recommendations lower their risk other hand, colonoscopy allows us of developing colorectal cancer by to detect and remove precancerous up to 90 percent,” he says. lesions long before they become The preparation required before cancerous,” explains Wissam Bleibel, undergoing colonoscopy also gives MD, of Mercy Health – Great Lakes some people pause. Though this step is vital (if the colon isn’t completely Gastroenterologists. We love feedback. Like us on Facebook. Follow us on Twitter.

clean, lesions can be overlooked during the procedure), many people are still anxious about it because they’ve heard it involves consuming a large volume of an unpleasant-tasting liquid. However, as Dr. Bleibel points out, “The colonoscopy prep products on the market have evolved significantly over the years and tend to be much more palatable than they once were. Around 95 percent of patients do just fine with the colonoscopy prep.” Well worth reiterating is the preventive nature of colonoscopy screening and its ability to detect precancerous

lesions—even at a miniscule size— many years before they progress to cancer. That’s certainly worth the minor inconvenience. Colorectal cancer is the second leading cancer killer, but it doesn't have to be. Screenings help find precancerous polyps that can be removed before they turn into cancer. Screenings can also find colorectal cancer early, when treatment can be most effective. For more information or to find a Mercy Health gastroenterology specialist, visit mercy.com.❦

Training for a 5K run

• G ive yourself time to prepare. You may need more time than the 12 weeks outlined below. Listen to your body. If your leg muscles or joints are sore, try cross-training for a few days. If the soreness persists, see your doctor. • Always warm up and cool down with five minutes of walking before and after each

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by Amanda Manthey t 3.1 miles, the 5K run is an attainable goal for even the beginning runner. The races often support charities or fundraisers, which makes them rewarding, as well. Follow these tips and running program for a successful 5K. This program is designed for firsttime runners or those who have not been training at all for many months. Start slowly, and walk exclusively during the first week or two until you are ready to incorporate running into your workouts. Start by running one minute, walking one minute, and then alternate during your workout. Eventually, you will be able to run continuously.

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fees, please visit davesrunning.com. Symphony of Trees Lucky Charms 5K and Fun Run Sunday, March 11, 2018, 10:00 a.m. (Fun Run at 9:45 a.m.) at Kids Kingdom Park, 521 Glenwood Ave., Napoleon, Ohio. A 5K run/walk through the streets of Napoleon to raise money for Symphony of Trees, a nonprofit organization that focuses on raising funds for abused and neglected children of Northwest Ohio through the agencies of Northwest Ohio CASA, Center for Child and Family Advocacy, and the Henry County Hospital. Packo’s Panther 5K Run/Walk Sunday, March 11, 2018, 9:00 a.m. at 5700 Whitmer Dr., Toledo, Ohio. The race will begin on Whitmer Drive, run throughout WLS neighborhoods, and finish on the 50-yard line of Whitmer Memorial Stadium. Blarney Shamrockin’ Shuffle Friday, March 16, 2018, 8:00 p.m. at the Blarney Irish Pub, 601 Monroe St., downtown Toledo. Come run or walk the 3-mile course through downtown Toledo, then stick around for the St. Patrick’s celebration after-party inside the Blarney’s party

tent and Irish Pub. DJ and live band play until close. Great Black Swamp Festival of Races Saturday, March 17, 2018, at 6119 Finzel Rd. in Whitehouse, Ohio. The Great Black Swamp Festival of Races, presented by the Toledo Roadrunners Club and hosted by the Anthony Wayne Schools campus

in Whitehouse, is a true festival of running and fitness with races at distances of 25K (9:00 a.m.), 15K (9:00 a.m.), and 5K (9:15 a.m.). Ottoville Big Green Boost Up Saturday, March 24, 2018, 11:00 a.m. (Kids Fun Run at 10:30 a.m., Half-Mile Walk the Block at 8:30 a.m.) at 150 Park Drive, Ottoville, Ohio. ❦

by Douglas A. Schwan, DC, Dip ac

Alternative medicine and diabetes

iabetes results from the inability of the body to manage blood sugar. The mechanism of regulation is easy enough to understand: The pancreas, a gland-like organ located near the stomach, senses the amount of blood sugar (glucose) and releases a hormone known as insulin in response. Insulin promotes the ability of glucose to pass from the bloodstream into the tissues. The tissues then metabolize the glucose molecules as a source of energy. Anything that results in lower insulin levels, or makes the body insensitive to insulin, can result in diabetes. Type 1 diabetes is usually found in children or young adults. It occurs most often when the body’s own immune system attacks the pancreas for some reason and kills off the insulin-making cells. The most common type of diabetes is type 2. Type 2 diabetes is usually found in older patients and occurs when pancreatic cells die off from age-related issues or the body stops responding to the insulin produced. In either type of diabetes, the

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medical treatment is to replace the missing or ineffective insulin with injections or to take drugs like Metforming which increase the body’s sensitivity to insulin. Alternative medicine can be very beneficial in slowing the slide into type 2 diabetes, which usually occurs over many years. The alternative approach includes supplements, herbs, diet, exercise, and acupuncture.

Supplements Diabetes is known as a “nutritional wasting disease.” As blood sugar levels go up, the extra glucose stimulates water loss, causing the body to wash out important nutrients. The main effect of this is a deficiency in the water-soluble vitamins. Certain vitamins and supplements also work with the body and are important to help activate the insulin that the body does produce. B complex vitamins—Vitamins B6 and B12 and Biotin are important in the production of proteins and fats and are especially important in preventing and repairing neuropathies that high blood sugar levels

can cause. Vitamin C—Vitamin C is known to help prevent eye, kidney, and nerve damage in diabetes. Vitamin D3—Vitamin D3 is a fat-soluble vitamin that is important in fighting infection. Diabetics are more prone to developing life-threatening infections and need the extra protection vitamin D supplements provide. Vitamin E—Vitamin E is fat-soluble and is important in mechanisms regulating blood sugar. Vitamin E also helps protect the eyes, nerves, and small arteries in diabetic patients. Magnesium—Magnesium has been shown in studies to decrease insulin resistance by the body and so is especially helpful in Type 2 diabetes. Chromium—Chromium is insulin-sparing. It tends to help maintain blood levels of insulin higher for longer. It also helps the glucose move from the bloodstream into the cells that need it. A secondary benefit is that chromium acts like an appetite suppressant, resulting in weight loss, a big goal for diabetic patients.

Diet The importance of diet in the management of diabetes can’t be overemphasized. A healthy, balanced diet is a given, but there are a few things patients can modify to help manage their diabetes. Remember that diabetes is a blood-sugar-management problem. So, it follows that the more sugar you consume in your diet, the harder it is for your body to deal with it. Over recent years, much attention has been paid to low-carbohydrate (low-sugar) diets, such as the Atkins Diet. The thinking is that if diabetics take in fewer calories as pure sugar, then their pancreas is under less stress due to decreased immediate demand for insulin. When you eat a large carbohydrate meal, you are consuming a large dose of straight sugar. This puts an immediate demand on the pancreas to dump insulin into the bloodstream. If the pancreas can’t deliver enough, high blood sugar

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(hyperglycemia) results. It should be noted that pre-diabetics can accelerate the onset of full type 2 diabetes by consistently overloading their pancreas, which is already stressed to the edge. A low-carb, high-protein diet doesn’t swamp the pancreas with a huge blood sugar spike. Proteins and fats need to be metabolized into sugars the body can use, and this occurs over time—lessening the stress on the pancreas. A secondary benefit is that carbohydrates stimulate the appetite while proteins and fats tend to inhibit it, thus forming the basis of a weight-loss diet. Many diabetics struggle to take weight off or even remain static in their weight. This type of diet may help. Keep in mind that type 1 diabetics and some type 2 may be prone to hypoglycemia on these diets and should consult their physician if unsure. The best time to get into this type of diet is before the full onset of diabetes. Taking the full load off the pancreas can push the eruption of full-blown diabetes farther down the road as well as the need for strong medicines. One of the hallmarks of diabetes is impaired circulation leading to pathology in the nerves of the hands and feet, eye disorders, and kidney problems. Just about every major organ system is impacted negatively by diabetes. Exercise has been shown in research to be one of the surefire treatments in diabetes. But as the disease progresses, the desire to get up and move about fades into the background. What should be known is that even a little movement can make a significant difference! Walk around the block once a day. Spend 20 minutes

on an exercise bike. Even grocery shopping can be part of the program if you make a determined effort to walk up and down each aisle as you shop! Park farther away from the front doors of stores so you are forced to walk a little bit. It all adds up at the end of the day.

Acupuncture Acupuncture is a traditional Chinese medicine practice that involves inserting small needles into strategic points in the skin. It’s thought to redirect energy flow and restore harmony to the body. Balancing out the body’s energy levels is key in giving you the best chance of healing. Acupuncture is particularly helpful in treating pain associated with the peripheral neuralgia caused by diabetes, and allowing increased exercise levels.

Conclusion Understanding diabetes is the first step towards planning a life to deal with it. These ideas do not aim to cure diabetes, but instead help a person’s body function better. These treatments should never be incorporated in lieu of traditional treatments. Always consult with your healthcare advisor before starting a new 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 for the last 36 years. He is available for lay lectures and may be contacted at Dr_Schwan@AcupunctureToledo.com.

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: My son is going to be eight years old, and his teacher is concerned he may have academic difficulties. She is blaming it on the possibility of Jon having auditory processing issues. Could you please tell me a little bit about what this means? What is auditory processing?

: I would be glad to help you understand it a little better. Auditory processing disorder, also known as central auditory processing disorder, is described as not being able to hear the difference between two different audible sounds, making it difficult to process what people are saying. The problem becomes of greater concern in the presence of background noise and is recognized in a classroom setting.

The first step is to rule out a hearing loss, of course. That is why audiologists see so many of these cases. The hearing test results are usually normal. They are diagnosed with auditory processing disorder (APD) only after a series of specialized tests is completed. So, you may wonder how APD could be present when the hearing is normal. Testing needs to be performed in quiet and compared to results in the presence of ambient noise. No one truly understands where the breakdown is between the ears and brain. We have to remember that the ear is the mechanism that sends the audible signal to the brain and the brain is really what hears and understands the speech. The

brain’s job is to quickly process the sound, and most can do exactly that with no hesitation or problem. Those with APD run into a “bump in the road,” and it slows the processing. For example, they may hear you say, “Please bring me the doll to dry the dishes” and give you a funny look, when what you really said was, “Please bring me the towel to dry the dishes.” Auditory processing disorder was not truly seen as a problem until the early 1980s when, after being questioned by many people, the professional community finally began to investigate this dilemma. Listed below are just a few of the problems those with APD may have: • Having difficulty following spoken instructions and doing much better if they see things written. • Asking speakers to repeat what they said and finding it difficult to follow a conversation. • Struggling to remember details of what was read.

• Being distracted by loud noises or constant background noise. Having said this, it’s not easy to diagnose APD. It requires an audiologist who is trained in this area and may include electrophysiological testing. One such test is Brainstem Auditory Evoked Potential, which looks at how the brain responds to sounds. Speech pathologists are also part of the team and may run a battery of tests. From these tests, recommendations are then formalized in a treatment plan to help them succeed. I am sure you know someone else like your son who fits this description. Even adults suffer from APD. We are here to help, so feel free to contact us at Northwest Ohio Hearing Clinic if we can answer any further questions for you. ❦ Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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n Jan. 2 we left Toledo, eager to be someplace warm and sunny. On Jan. 5 we arrived on Padre Island just off the Gulf coast from Corpus Christi, TX. In a repeat of last year’s experience, some 2,000 cold-stunned sea turtles had been rehabilitated and were to be released back into the Gulf. (As Toledoans, we could sympathize with that “cold-stunned” part. And also seeking rehabilitation.) The water temperature was 55°, just barely in the acceptable range for the turtles. Three hundred of them were paraded past visitors and out

into the surf. Additional turtles were released without fanfare father up the beach, and the Coast Guard took still more out to sea.

Curlews and other shore birds made it pleasant to walk on the beach.

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Building an elaborate sand castle kept fellow campers busy for two days.

Shirley and I spent five days at Malaquite Beach Campground. Walked the beach looking at curvebilled curlews, Wilson’s plovers, the occasional brown pelican, royal terns, and some washed-up starfish and jellyfish. Little ghost crabs, the same color as the powdery sand, scurried back into their holes or tossed sand on their backs in attempts to hide as we approached. We watched a couple fellow campers spend two days building an elaborate sand castle about 20 feet across, complete with moat and bridge. Numerous shells decorated the towers. Walks on the beach were enhanced by beautiful sunrises and temperatures that rose from the 40s at dawn to the upper 60s in the afternoon. Compared to Toledo, that was magnificent, but we looked forward to even better in southern Arizona. From Corpus Christi we went up to San Antonio and then west on

I-10. Just east of Fort Stockton we ran into a fierce sand storm, so we pulled into a Walmart and parked on the sheltered side of a larger RV. Spent the night. Walmarts on the Interstates almost always welcome RVers. We repay the hospitality by buying something. At Lordsburg, NM we left I-10 and headed south on Rt. 80 towards the tiny community of Portal, AZ. Janet Arnold, a fellow Roadtrekker, had recommended the place last year. Boy, was Janet right! At the Coronado National Forest we stopped at the visitor center to ask about camping options—established sites and dispersed camping; i.e., camping outside an established campground. It is usually allowed in the national forests. Donna suggested Sunny Flat Campground back in Cave Creek Canyon because the setting is dramatically beautiful and the other campgrounds were shaded—desirable in the summer but less so in mid-January at over 5,000 feet elevation. The canyon is quite narrow with vertical rampart cliffs to either side. We took site 12 where I anticipated the benefits of the morning sun. Cave Creek Canyon is what is typically called picturesque—sculpted rock walls and stately old sycamore trees with brilliant white bark. “With the national parks getting so crowded,” said Shirley, “we have to find more places like this.”

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Shirley thinks we should find more places like Cave Creek Canyon.

At Padre Island, sea turtles were just as enthusiastic about the January cold snap as Toledoans tend to be. After rehab, about 2,000 were released back into the Gulf.

Don’t just reset your clock!

There were flocks of Mexican jays, little yellow-eyed juncos, and acorn woodpeckers. In the evening, three little, gray mule deer does came to browse within ten feet as we enjoyed pan-seared pork chops at our picnic table. In site 11 was Ray, a retired engineer who spent two days preparing to host an NFL playoff game party for about a dozen other Portal-area residents. Ray had a pickup truck full of firewood, a satellite dish, and a big screen TV on the picnic table under

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his canopy. Tiki lights all around. Shirley and I were headed to the trailhead just the other side of Ray’s campsite for another little walk in the park. There was an enormous KABOOM! (Scared the bejeebers out of one of us. Fortunately, Shirley maintained her usual composure.) A huge fireball reached twice as high as the tree tops. Ray was powering his TV with a portable generator. He had run a power cord 100 feet back

The Portal Volunteer Fire Dept. came to assist at Ray's NFL party. (They may invite themselves back every year just to be on the safe side.)

into the woods so the noise of the generator would not interfere with the TV audio. Heat from the generator had ignited dry leaves and grass that, in turn, ignited the fuel tank. Fellow campers came running and I, sprinting as fast as I could anyway, went to the camp host to suggest she drive down to the visitor center and call the Portal Volunteer Fire Dept. (No cell coverage back in the canyon.) We campers could handle the ground fire OK, but the fireball had ignited tree limbs out of our reach. Hand-held fire extinguishers just went phoo and failed to reach. Then they went dry. Soon, however, the firefighters arrived with a pumper truck to hose down the overhead branches that were still aflame. All the firefighters knew Ray. He’ll never hear the end of it as long as there are NFL playoffs to remind them of what happened back in ‘18. Was Ray discouraged? He was not. One of his friends brought a replacement generator in time for the NFL broadcast. They built a substantial bonfire with Ray’s truckload of wood and shared substantial quantities of adult beverages. A good time was had by all. Now, what is difficult to commu-

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nicate in the above narrative is that those Arizonans were really nice people. They were not really a bunch of drunken louts. Well, at any rate, they were not louts. Any resemblance to the frat boys in Animal House is definitely not intended. We spent five days in Cave Creek Canyon and view it as a secret treasure. (I can reveal the “secret” secure in the knowledge that not more than 30 or 40 of you are ever likely to crowd yourselves into the place.) The only downside to staying there in January is the sun does not clear the eastern ridge until about 8:30 and before then it can be a tad on the cool side. (At night it got down into the upper 20s, so we ran our RV furnace more than we are accustomed to.) I cooked breakfast in the RV, and we had our coffee outside as the sun finally began to warm things up. By 5:00 p.m. the sun dropped behind the opposite ridge and it cooled quickly so we scheduled “sbrunch” (supper and brunch) for about 4:00. I said we were looking for warm and sunny.

About 20,000 sandhill cranes spend the winter at Whitewater Draw in southern Arizona.

At Cave Creek Canyon we got the sunny part and temps in the low 60s—shirt sleeve comfortable—during mid-day. As I write on Jan. 20, we are looking forward to staying here again in March on our way home. Temperatures should be even better by then. Meanwhile, we continued down Rt. 80 to Douglas, AZ right on the border. Passed the Geronimo Surrender Monument. Turned north on Rt. 191 and went about 15 miles to the gravel road back into the Whitewater Draw Wildlife Management Area. Along the gravel road we pulled over because Shirley counted 19 sandhill cranes feeding in the stubble of a corn field. (Yes, there are corn fields in southern Arizona.) But wait. There’s more. Our destination was the refuge where thousands of cranes spend the winter. (Snowbirds as it were.) Now, I know that “thousands” sounds like more of my usual hyperbole and you will be inclined to dismiss it. But, in

Cranes feed in the stubble of neighboring corn fields and return to the playa in mid-afternoon.

this case, it is all true. Really, really true. Impossible to exaggerate. We arrived about 11:00 a.m., and there was a sizable flock of snow geese just hanging out and squawking with a few dozen cranes among them. Not overly impressive but quite nice for people who have only seen sandhill cranes a couple at a time with, perhaps, a chick or two. By 2:00 p.m., though, they started to arrive in wave after wave from the cornfields, flying in broad Vs rather like Canada geese. Setting up a non-stop racket rather like geese as well. The wildlife refuge people estimate their numbers at about 20,000. Can you even conceive of the racket they make? The cranes return each afternoon to a playa, or shallow lake, where they roost for the night. Out in the playa they are safe from four-footed predators, and, of course, the availability of water in Arizona attracts all kinds of other animals as well. We heard coyotes in the night, and there are supposed to be javelinas there. Lots of other bird species as well. Several kinds of ducks, of course, and little black phoebes. You probably don’t care about little black phoebes, but the “serious birders” stood around staring at them through binoculars for a couple hours at a time. All the while ignoring the 20,000 cranes 100 yards farther down the trail. RVers are allowed to spend the night at the Refuge. There were three other Class B rigs besides us. No big class A. While we were having supper, a northern harrier cruised by just

The cranes spend the night standing in water where they are safe from four-legged predators.

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barely above the top of the brush. Then he went by again. Probably hunting for one of the jackrabbits that hopped about near our rig. There were curved-bill thrashers and meadowlarks as well. Shirley and I are not “birders,” but we do enjoy watching all kinds of wildlife. As impressive as it is to watch the cranes arrive in the afternoon, it is far, far more impressive to watch them leave at dawn. They arrive at the playa over the course of a couple hours in the waves I mentioned. At dawn, it is as if the work whistle has blown and they all lift off at once, heading back to the corn fields. Better be there early or you’ll miss the whole show. From Whitewater Draw we headed over to Tombstone where the historic district was still closed before 9:00. (It looks rather like a Western movie set because, of course, that’s what it is.) Turned north to Benson up on I-10 and then west to Tucson. Saguaro National Park is at Tucson, but, unlike other national parks, there is no campground at Saguaro. We stay at Gilbert Ray Campground in Tucson Mountain Park, just over Gates Pass from the city. Because of the intervening mountain ridge, you would never know there is a major urban area nearby. We go into Tucson to replenish supplies at the original Trader Joe’s store and Total Wines. While in Tucson, we also visit Saguaro, the Desert Museum, and San Xavier del Bac Mission—all of which we highly recommend. After a couple days it is time to move on to Organ Pipe Cactus National Monument, our go-to destination in recent winters. It is about 3,000 miles to Organ Pipe depending on how many detours we take. Thanks to stops in places like Padre Island, Cave Creek Canyon, and Whitewater Draw, getting there is just a walk in the park. ❦ LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

The afternoons are spent just standing around socializing. Raises quite a racket. No one has to ask, "Where are the cranes?"

What I learned about the desert from Western movies, by LeMoyne Mercer

away the granite under o, the plot goes something like this. comfy bed among the rocks Eighteen desperados ride into with a saddle blanket to his leg. While he is busy Yuma, AZ. They are all wearing heavy, sleep on and his saddle for with that, a rattlesnake ankle-length canvas raincoats even a pillow. Coyotes serenade approaches and, out of pure unprovoked cussedthough it is 112° and has not rained him to sleep. in Yuma for more than two years. At dawn, he puts on his boots, ness, bites him on a thigh in a They rob the bank, insult the school being careful to shake out the nest place he cannot reach to suck the marm, and shoot the store keeper of scorpions that took up residence venom out. who comes out to see what all the during the night. Because he is an It is dinner time when he finally ruckus is about. In every Western expert tracker (and because 18 horses recovers from snakebite induced ever made, this is also the point at leave lots of footprints—not to men- delirium and gets his leg from under which everyone on the east side of tion other indicators), by noon, he is his horse. He makes camp and brews the street feels an irresistible urge closing in on the desperados. himself another couple gallons of to run across to the west side and But they are wicked men and set cowboy coffee and reheats some of everyone on the west side scurries an ambush for the marshal. They the musical fruit. In the morning, he continues to the east side. I have never quite wait until he gets within ten feet and understood their urgency. There is blaze away with 18 rifles and then the pursuit on foot. By the end of probably some deep, hidden movie empty their hand guns in his general the third day, the canteen is empty directors’ symbolism that I am just direction. The result of all this gunfire so he shakes it just to be sure before is that the horse is wounded and throwing it away. After all, what are not bright enough to grasp. The town marshal tries to falls, pinning the marshal’s leg to the the chances that he will ever find a organize a posse, but ground. The evildoers laugh water hole or a desert spring and get one citizen is a family derisively at his predicament. a chance to refill that thing? man, one has a dental apTheir leader decides that it As he is stumbling along, occapointment, and the rest of would be jolly fun to just leave sionally collapsing but always rising the town folk just fade him there for the vultures to again, he spots the riders as they are take care of. silhouetted against the skyline at the away while he is busy berating the first two. In disgust, After they disappear over the crest of sand dunes that stretch to he mounts his horse to pursue the horizon the marshal deals with his infinity. He picks up the pace because bandits alone. Because it is desert situation. The first task is to put his the game is afoot. country and he might be gone for horse out of its misery. It is then that By diligent effort, the marshal is several days, he takes a canteen that he discovers that trying to move a able to catch up by sunset. Around holds a whole pint of water. dead horse off your leg is more difficult their campfire, where they are brewBy this time, the bank robbers than you might think. But he is no ing 36 gallons of cowboy coffee, a have a big head start. At sundown, quitter and uses a pen knife to chip quarrel breaks out over the division the marshal has not caught up with them, so he makes camp for the night. Help Make Every Home a Safe Home In the next scene, he by joining us at has a nice campfire going (though there is not a Family and Child Abuse Prevention Center’s tree for forty miles) and 18th Annual Spring Luncheon his two-gallon coffee pot is suspended from a Friday, May 4th, 2018 tripod. Nestled in a nice Inverness Club bed of coals is a 40-pound To purchase individual 4601 Dorr St., Toledo, OH cast iron Dutch oven in tickets or become a Corporate Sponsor which he is baking some 11:30 a.m. registration please contact 12:00 – 1:30 p.m. luncheon, program & raffle biscuits. Next to that Darla McCarty at Ticket price $100 each is a huge pot of beans *Advance purchase required 419-244-3053 ext. 221 (the musical fruit) and dmccarty@fcapc.org an authentic-looking Cullen Champion for Children Award will be presented! Nominations being accepted now , jack rabbit roasting on a visit our webpage for further information spit. How he got all that gear in his saddlebags We work to promote healthy is never satisfactorily relationships and to break Event sponsored in part by: the cycle of family violence. explained. Nor, for that For more information about matter, do we ever learn programs and services please how he preserved and call the agency at 419-244-3053, visit us on transported the eggs that Family and Child Abuse Prevention Center Facebook or go to our website is a 501 (c)3 non-profit organization he fries in bacon grease at www.fcapc.org the next morning. Follow us on Twitter After dinner, the marshal makes himself a

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of the loot. The wily marshal uses this distraction to get the drop on them. Through the clever use of ventriloquism and various other ruses, he convinces the gang that a posse has them surrounded. They surrender and drop their weapons. In order to further incapacitate them, and besides it just sounds like fun, the marshal insists that they also drop their trousers. (Whenever this sort of thing happens, we invariably find that guys in the Old West wore long johns even when it is 112°. And the nastiest of villains also heed the advice of their mothers and wear clean undies just in case someday they are required to drop trou.) When they discover that they have been humiliated by a single man, the bandits make a play for their guns. In the ensuing battle, the marshal is wounded in the right shoulder but he manages to dispatch all 18 bandits with his six shooter in his left hand. Though he has lost massive quantities of blood, the marshal revives his strength by gathering some desert herbs he learned about from an ancient Native American whom he befriended at the cigar store in Yuma. The Ancient One was, of course, being taunted by bullies because of his ethnic heritage. (The only reason we don’t know about these miraculous herbs and hundreds like them is that the secrets were stolen by greedy pharmaceutical companies.) Newly invigorated, the marshal drapes the dead desperados over their horses and takes them the four days ride back to Yuma for a proper burial. (If my math is correct, two of the

bandits have to double up so the marshal can ride.) By the end of the first few hours in the desert heat, the expression “stinking bandits” is not just an expression but, given the current state of technology, this is difficult to convey on TV or the big screen. The town folk are so impressed, and grateful to have their life savings recovered, that they vote to give the marshal a raise of $12 a month and hire a part-time deputy to help him out so he can take off Saturday afternoons and all day Sundays. With the additional income, plus what she makes, he can even afford to marry the school marm. Then Tex Ritter sings the theme song. ❦

Does your garden still inspire in winter?

48 March 2018 | Healthy Living News

eing several weeks away from spring is no reason your garden and landscape can’t serve as a source of inspiration. One of the true tests

of a garden’s success is how pleasing it is to the eye after the last blossoms have faded and the last leaves have dropped. In winter, the garden’s framework comes to the fore. With the eyes no longer engaged by foliage and flower, the strength or weakness of a garden’s year-round design becomes apparent. Before spring growth kicks in, assess your garden and landscape with a critical eye. Ask yourself whether the trees and shrubs provide pleasing shapes and textures, and judge the backgrounds created by evergreens and hedges. Look for color interest in the stems and stalks of faded perennials and persistent fruits that have the added advantage of attracting wildlife. If you look around and see nothing but bare ground, consider planning some significant design changes now so you can implement them when it’s time to plant again in a matter of weeks. In the winter garden and landscape, color and structure come primarily from evergreens. A good mix of evergreen ground covers, shrubs, and trees will lend texture, volume, and visual depth to your design. Colors range from greens of virtually any shade to gold to frosty blue. Try unifying your beds and borders with plantings of English ivy, pachysandra, or vinca, and build on that foundation with small needled shrubs, such as mugho pines, birdsnest spruce, compact junipers, and spreading yews. If your landscape provides adequate protection from winter winds, you can work in some broadleaf evergreens, such as hollies, boxwood, rhododendrons, and azaleas, for contrasting leaf texture. Try to keep the scale of your garden in mind when making your selections. There are many dwarf evergreen varieties available, so you needn’t plant a full-size Colorado blue spruce to get winter interest. A popular favorite is the dwarf Alberta spruce. Growing only a few inches a year and reaching a maximum height of only 5-6 feet, the dwarf Alberta is ideal for small yards and garden spaces. It’s also hardy enough to stand up to the toughest winter our area can dish out. If you have the room for them, larger needled evergreens provide an excellent opportunity for holiday decorating. Not only do they do a good

job of supporting light strings, but they can also be lightly pruned to make garlands, wreaths, and bough bundles—a great way to bring some fragrance and holiday cheer indoors. Even without their leaves, deciduous trees and shrubs can lend winter interest to your landscape. Look for varieties with interesting bark or colorful stems. The paper bark maple and river birch are both good choices. The paper bark has rust-colored bark that peels away to reveal a cinnamon-colored underbark. The river birch’s bark is a pretty reddish-brown and also exposes a lighter layer as the outer bark exfoliates.

To make a dramatic color statement, plant a thicket of red twig dogwoods. The glossy, red canes are a great eye catcher, especially in large, isolated masses. The canes tend to lose their attractive red coloration as they age, however, so be prepared to prune the older growth back to the ground each year. For both winter and growing season interest, consider adding a contorted filbert (a.k.a. Harry Lauder’s walking stick) to your landscape. The stems of this deciduous shrub are twisted into corkscrews, giving it a wonderful gnarled appearance that really lends drama. Berries are another valued feature in the winter garden. Not only are they colorful, but they also encourage birds to make regular stops, adding life and activity to the landscape. Winterberries sport bright red fruits that will persist until the birds catch sight of them, and barberries and cotoneasters keep their fruit through Christmas. Many varieties of holly are also berry producers. Just be sure to plant both male and female together in the same area so pollination can take place. If you have room for a tree, consider adding a crabapple. Many cultivars have fruits that persist well into winter and are strikingly beautiful when laced with a light dusting of snow. Though many gardeners cut their perennials back in fall, some varieties

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should be left standing for winter interest. This is especially true for ornamental grasses, such as Japanese silver grass and other Miscanthus species, which have interesting seed aula Butz turned 100 years old on heads and foliage that turns an atFebruary 19, but to her it was no tractive red or brown during the big deal. “I’m not going to celebrate,” winter months. Blue fescue clumps said Butz. “I feel like I’m going on maintain a bright blue or dark green 18 or 19 again, so it’s not a big deal.” all winter long and should also be It’s great that the native of Rossford left unpruned. Sedum varieties, like feels like a teenager, but the staff at the showy stonecrop, also make a great Elizabeth Scott Community—where winter statement. Domes of pink she now lives—still gave her a birthblooms turn reddish in late autumn day party. The celebration included and contrast nicely against the plant’s a birthday cake with three large blue-green leaves. candles that spelled out the number When it comes right down to it, “100,” along with three large, gold winter interest is anything you decide inflatable numbers showing “100.” it should be. Some gardeners find Family members and Elizabeth Scott subtle beauty in the somber hues staff joined Butz at the celebration. of faded plants, while others like as Butz was born in Rossford but lived much color as they can get. Still others in Toledo and attended Woodward could care less about the garden in High School. She worked at Owens winter, preferring to put gardening Illinois for many years. She and her out of their minds completely until husband, Arthur, had three sons: growth begins again in spring. But Brian, Todd, and Kevin. even if you hate to be outdoors in the “I feel very fortunate to have the winter, you can still design a small opportunity to interact each day winter garden to be enjoyed from with residents like Paula,” says Matt indoors through a window. Bucher, Elizabeth Scott’s Director of If you don’t know where to start, Marketing. “We can learn so much try your local garden center. Most from them about the history of our are happy to assist customers with country and our world.” landscape design projects, sometimes Butz was born the year World free of charge (provided you choose to War I ended and Woodrow Wilson purchase your plants from them). Even was president of the United States. though it's almost spring, you may just It was the year Congress established find winder gardening captivating! ❦ time1 zones thePM US along with 10.25x5_ES_GotYouCovered_FINAL_HL_1017_HI.pdf 10/4/17 in1:23

Elizabeth Scott resident celebrates 100th birthday

Daylight Saving Time. The Spanish Flu pandemic raced across the world in 1918, while on a sports note, the Boston Red Sox defeated the Chicago Cubs in the World Series. Both teams would not win another World Series until Boston won again in 2004 and the Cubs won in 2016. It’s difficult to imagine the many

Apple® Macintosh® computer, and 2000 - mapping of human DNA. But it’s the television Butz first mentions when asked what significant technological changes she has seen in her life. So what advice does Paula Butz offer for living a long life? “Have all the fun you can, and take time to travel to see all you can while you are on this earth,” she says. The Elizabeth Scott Community, located at 2720 Albon Road in Maumee, is a family owned and operated facility that offers independent living, two levels of assisted living, skilled nursing, and skilled rehabilitation all on a single campus. The skilled rehabilitation center is only two years old and is equipped Paula Butz celebrates her 100th birthday by blowing out with a 1,400-square-foot, hightech therapy gym along with the candles on her special cake. 14 private luxury suites for everyday items we use that were short-term stays. Skilled rehabilitation invented in Butz’s lifetime includ- includes onsite physical, occupaing: 1920 - the Band-Aid®, 1921- the tional, and speech therapy offered world’s first robot, 1923 - the traffic up to seven days a week. For more signal, 1930 - Scotch® tape, 1937 - the information about the Elizabeth Scott photocopier, 1946 - the microwave Community, contact Matt Bucher, oven, 1951 - Super Glue®, 1967 - the Director of Marketing, at 419-724first hand-held calculator, 1984 - the 5021. ❦

Trying to find the right facility for an aging parent? The family owned Elizabeth Scott Community offers a complete range of care, from Independent & Assisted Living to Skilled Nursing & Rehabilitation. All on a single campus. So as a loved one’s health needs change, we can offer higher levels of care without the hassles of moving to another facility. Stop in for a tour and find out how we have you covered. Contact Matt Bucher, Director of Marketing, (419) 724-5021 or mbucher@elizabethscott.org.

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Honoring our doctors at Mercy Health National Doctors’ Day, Friday, March 30

Our doctors work hard every day to change lives and improve the health of our community. That’s why we’re proud to celebrate their selflessness in caring for others with compassion during National Doctors’ Day. Join us in recognizing your doctors for their passion and dedication to making our lives better — mind, body and spirit.

Find a Mercy Health physician at 419-SAME-DAY (419-726-3329) or mercy.com A Catholic healthcare ministry serving Ohio and Kentucky 11010MERADV (2-18)