HLN March 2019

Your Monthly Guide to Healthy Lifestyles

March 2019 • FREE

Also available at hlntoledo.com

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SPOTLIGHTING PARKINSON'S RESOURCES Wake up your skin | Help for pelvic floor disorders Assess your brain health | Robotic gynecological surgery Save your baby's sight | Know your colorectal cancer risk

It takes two to tango.

M E R C Y. C O M /O R T H O

WAKE UP YOUR SKIN: Look as young as you feel!

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ello, “Millennials”! Are the sagging skin, darkening under the skin changes related to eyes with the “hollow” look, and www.drharveyhandler.com stress, pollution, smoking, and brown spots. The utilization of fillers prior sun damage and tanning (Perlane, Restylane, Juvederm, starting to show on your facial, Radiesse, etc.) is excellent for neck, and chest skin? Are your deep smile lines and the “sad and jowls and neck starting to sag, tired look” as evidenced with sagSmoother, tighter, younger-looking skin on face, arms, and chest and are you noticing that darkging at the corners of the mouth, ening is developing around and hollow cheeks, and aging of the No surgery. under your eyes, your pores are hands. And, of course, the use of No injections. enlarging, or “age spots” are apDysport/Botox to reduce forehead pearing? Do your friends ques“worry lines” is superb.

No downtime. tion why you look tired all the All of these cosmetic enhanceADULT, time when you are not? While ments are performed entirely arvey andLer, m.d., f.a.a.d. these changes are mild and

by Dr. Harvey Handler. To view PEDIATRIC, dipLomate and feLLow of tHe american Board of dermatoLogy just beginning, now is the time before-and-after photographs of & COSMETIC 5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital) to start engaging in a skin-care patients who have had these proDERMATOLOGY program that will be designed cedures performed by Dr. Harvey HAIR & NAILS specifically for you to improve Handler, please visit his website and reduce your signs of aging. at www.drharveyhandler.com. For Dr. Harvey Handler will personmore detailed information about the There is no downtime with these non-invasive procedures. ally recommend and explain a skin-rejuvenation program for you to above-mentioned procedures or products, please call Dr. Harvey Do you want to reduce fine lines, acne scars, and age spots reduce the visible signs of aging.The anti-aging treatments performed Handler’s office at 419-885-3400. Also, remember to inquire (brown spots from sun exposure) and shrink pores? Then the

by Dr. Harvey Handler are “non-invasive,” with minimal discomfort or about specials available on many cosmetic procedures and prodClear and Brilliant laser is for you. When the Clear and Brilliant ucts to diminish the signs of aging and obtain a more vibrant and downtime. Minimize under-eye darkening, raise those droopy eyelids, laser is combined with Thermage CPT Deep Tip, the results are shrink pores, lift sagging jowl areas, and appear as youthful as you youthful appearance of your skin. Look as young as you feel. ideal for patients who desire no downtime or pain and predictable feel. Call Dr. Harvey Handler’s office for a personal evaluation with Hair loss in men and women results of lifting sagging skin and smoothing fine lines. Dr. Hantreatment recommendations for your aging skin.

Are you losing hair from surgery, anesthesia, illnesses, pregnandler is the only dermatologist in northwest Ohio performing this Remember, 80% of the signs of aging are due to prior sun expocy, medications, stress, genetics, or “normal” hair loss secondary procedure. sure and subsequent skin damage. All the brown spots (“age spots”), to aging or low blood levels of nutrients? There are many causes Are you aware that Dr. Harvey Handler personally performs broken blood vessels on the face, fine lines, and sagging skin are of hair loss in men and women. Most are not simply due to age or laser procedures for removal of body hair anywhere hair grows? caused almost entirely by sun! This is something young people family history, and most are treatable. Now these problems of hair Yes, this minimally painful laser destroys hairs around the chin, should be aware of since we get 80% of our lifetime sun exposure by loss can be evaluated and there is hope for reducing your hair jawline, upper lip, underarms, ears, nose, bikini line, etc. And this the time we are 18-20 years of age. loss and stimulating new growth. Dr. Harvey Handler, board-cerlaser is not just for women. Many men have this laser performed What about the “worry lines” between your eyes, deep smile tified dermatologist of Sylvania, Ohio, has a medical treatment to permanently remove chest and back lines, upper lip lines (lipstick runs uphill), and your sagging jowls and for decreasing your hair loss and increasing hair as well as beard hair that grows down neck? These unfortunate changes caused by prior sun exposure and growth in many patients! onto the neck. aging can be improved dramatically with pain-free, non-invasive cosPediatric skin disease diagnosis and Dr. Harvey Handler also utilizes the metic procedures performed entirely by Dr. Harvey Handler. treatment is one of Dr. Harvey Handler’s spelatest in lasers for removal of “age spots” The NEW Thermage CPT Deep Tip procedure painlessly heats cial fields in general Dermatology. From birth (sun spots really) anywhere on the body. damaged collagen under your skin to tighten and lift sagging areas and older, Dr. Harvey Handler diagnoses and This laser works especially well for the tops of the neck, jowls, upper arms, and abdomen. The NEW Thermage treats eczema, hemangiomas, contact and of hands covered with those “age spots.”

CPT Deep Tip procedure utilizes radiofrequency energy (not laser). allergic dermatitis, and general “lumps and Finally, Dr. Harvey Handler also performs This procedure also encourages a natural repair process that results bumps” that children and infants develop. laser removal of unwanted blood vessels in further tightening, lifting, and younger-looking skin. With only ONE What about “birth marks,” scalp and body that grow on your face and enlarge with treatment, results are seen before leaving the office. Continued tight“ringworm,” body and head lice, scabies, psoheat, stress, and the intake of alcohol. Again, pain and downtime ening and lifting of sagging skin occurs over a 6-month time period riasis? If there is a lesion or spot on the skin, Dr. Harvey Handler are minimal with this laser. with results lasting 3-4 years! There is NO downtime and NO pain. is trained to properly examine, diagnose, and treat appropriately.

Anti-aging and cosmetic enhancements are not for the feThe NEW Thermage CPT Deep Tip system has been utilized by Also, everyone should have a yearly full body exam to male gender alone. Male cosmetic enhancement and anti-aging Dr. Harvey Handler for many years with excellent results and very check for skin cancer conducted only by a board-certified dermaprocedures have increased almost 300% in the past 5 years for satisfied patients. tologist. ❦ For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or DysBe aware and cautious of medi-spas and cosmetic centers t is appropriate for patients to understand why it is in their best port works well to improve these areas. The results are diminished organized and maintained by individuals other than a board-certimedical interest to always seek the advice of a board-certified lines and a more “wide awake” and less tired appearance. These fied dermatologist or even any medical doctors (not MD’s). Many dermatologist for skin care. Why is seeking a board-certified products are also fantastic to reduce anxiety-induced underarm of these individuals have no formal education or training in skin dermatologist the most beneficial route for solving skin disease disease diagnosis, treatment, or cosmetic enhancement of skin issues versus a general practitioner, nurse practitioner, physician’s sweating for 5-7 months after treatment. defects. assistant, or any other medically-oriented individual?

The use of fillers, such as Restylane, Restylane Lyft, JuveHow do you know whether he/she is a board-certified dermaPlease be aware that a board-certified dermatologist has the derm, Radiesse, and others, to “fill” deep smile lines and the martologist? Look for F.A.A.D. (Fellow of the American Academy of following minimum education versus the above-mentioned quasi ionette lines (the sad look) from the corners of the mouth produces Dermatology, which is a designation from the American Academy “skin doctors”: immediate results lasting 12-15 months! Don’t look tired or sad when of Dermatology) following their name. To confirm this information, you are not! Since these products are combined with a numbing 1. Four years of college to earn a bachelor’s degree check the website at aad.org/findaderm. None of the above reagent, the pain is minimal. Now, Dr. Harvey Handler utilizes the injec2. Four years of medical school to become a medical doctor (MD) quirements are met by a nurse practitioner, certified nurse praction of new fillers called “Restylane Silk” and “Restylane Refyne.” or doctor of osteopathic medicine (DO) titioner, physician assistant, or any other medical doctor licensed These products markedly improve upper and lower lip lines (lipstick 3. One year of an internship to practice medicine. Do your homework before trusting your skin lines). Restylane Silk also volumizes your lips and restores their 4. 3-4 years in a dermatology residency program disease diagnosis and treatment to anyone but a board-certified natural curve while looking attractive and natural. Restylane Silk 5. Has passed exams for board certification in dermatology. dermatologist. also can be utilized to minimize the “worry lines” between your eyes.

Reduce lines, fade sun spots clear + brilliant laser H

L. H

419.885.3400

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March 2019 • Vol. 24, Issue 3

Your Monthly Guide to Healthy Living

ENRICHING YOUR LIFE

OUR COMMUNITY

14 A Walk in the Park – The anticipation is building

by LeMoyne Mercer

9 22nd Annual Parkinson’s Symposium to spotlight patient programs and resources

18 Nobody’s Perfect – Give my regards to Broadway

by Sister Karen Zielinski, OSF

22 The Manor at Perrysburg expands care continuum with counseling services

21 Goal setting—as easy as ABC

by Dan Jachimiak

29 Seniors: see what awaits you behind the gates of Sunset’s Indian Road campus

23 Training for a 5K run

by Amanda Manthey

12 Super Fitness promotes community health across demographics 16 Local geriatrics specialist seeks to reduce dementia with brain health assessments 20 Advanced robotic surgery treats all forms of pelvic organ prolapse 26 Is it normal aging or dementia?

24 Cures for Senioritis by Jim Oedy

36 Laurels rehab client keeps coming back for more!

28 Popularity of CoolSculpting heats up as winter winds down

27 Eating Well – National Nutrition Month and food insecurity

by Laurie A. Syring, RD/LD

37 Colorectal cancer: Learn how to lower your risk on March 21 42 Senior Living Guide

30 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A

27 Health Crossword Puzzle 31 Spiritually Speaking – Life’s precious treasures

by Sister Mary Thill 34 You’re never too old for Super Slow Training 35 Who cares? by Chris Stieben and Megan Benner Senecal 41 Patient, Heal Thyself! The importance of patient compliance 43 Take the worry out of dormant pruning

HEALTH & BEAUTY 2 Wake up your skin: Look as young as you feel!

5 ProMedica urogynecology team provides specialized treatment for pelvic floor disorders 7 Lymphoma: a curable cancer when detected and treated early 11 New practice offers top cosmetic, reconstructive options

38 Innovations in hearing-aid technology by Randa MansourShousher, AuD, CCC-A 40 Stay one step ahead of spring allergies 44 Foods that heal, foods that kill, part 1

by Douglas A. Schwan, DC, dip ac

CHILDREN & PARENTING 32 Save your baby’s sight!

by Carol Kollarits, MD, Cataract and Laser Institute of Maumee 39 Ignite your kids’ interest in exercise

Dear Readers, Center on Thursday, March 21 at 6:00 Thank you for picking up the March p.m. Attendees will learn about their risk issue of Healthy Living News. This factors, screening tests, and the precision month’s cover story is about the 22nd medical treatment options available to Annual Parkinson’s Disease Symposium, those diagnosed with colorectal cancer. to be held Saturday, April 27 from 9:00 See the article on page 37 for complete a.m. to 2:00 p.m. at Parkway Place in details.

Maumee. Presented by the UniAlso in this issue, you’ll find versity of Toledo Parkinson's must-read articles on lymphoma, Program and the Parkinson’s with insights from Dr. Charu Foundation of Northwest Ohio, Trivedi of The Toledo Clinic Canthis inspiring event will shine a cer Centers (p. 7); the leading-edge spotlight on the many different robotic-assisted sacrocolpopexy resources available right here procedure for correcting pelvic Kevin O'Connell in our community for those organ prolapse, performed by whose lives have been touched Dr. Amanda Whittaker of Mercy by this neurodegenerative disorder. For Health – OB/GYN Associates Sylvania more information, see the article and ads (p. 20); perspectives on treating pelvic beginning on page 8. floor disorders from Dr. Dani Zoorob Another important informational event of ProMedica Urogynecology and Retaking place this month is “Lower Your constructive Pelvic Surgery (p. 5); the Risk for Colorectal Cancer,” presented rising popularity of CoolSculpting, a

by UTMC’s Eleanor N. Dana Cancer state-of-the-art non-invasive fat-removal

procedure available at Luxe Laser Vein & Body Center (p. 28); the addition of counseling services to The Manor at Perrysburg’s care continuum (p. 22); Dr. Murthy Gokula’s effort to reduce dementia among his patients through brain health assessments (p. 16); and the importance of monitoring babies’ and young kids’ eye health, courtesy of the Sight Center of Northwest Ohio (p. 32).

Last but not least, we’d like to commend Super Fitness owner Ron Hemelgarn for marking his 47th year in business 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 12 for the full story.

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

ProMedica urogynecology team provides specialized treatment for pelvic floor disorders

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amping (AMP • ing) verb, slang: increased or “amped up” cramping due to chronic pelvic pain

Did you know that nearly one out of three women of child-bearing age may be experiencing chronic or cyclic pelvic pain? Often severe enough to cause them to miss work? Many times, the pain goes unreported and untreated. If you’re having PMS-like cramps or severe pelvic pain (even when you’re not PMS-ing) or have discomfort during sex and UTI-like symptoms, you’re not alone.

And it’s not in your head.

Talk to someone. Call 567-585-0240. Or, learn more at promedica.org/pelvichealth. © 2019 ProMedica

J. Bernie Quilter

omen who are coping with incontinence is a factor—begin to pelvic health disorders, such as avoid social situations, which can lead incontinence or pelvic organ prolapse, to isolation and depression. There often feel as though these issues are an is also a potential financial burden unavoidable byproduct of childbearing to consider if it becomes necessary and aging that they simply must toler- to purchase pads on a regular basis. ate. What’s worse, many are reluctant When it comes to choosing a practo discuss these problems with a doctor titioner to address pelvic health issues, due to an unwarranted sense of shame Dr. Zoorob reminds women, “The likeor embarrassment. As a result, their lihood that you receive adequate care quality of life is greatly diminished. is higher if the concern is addressed However, urogynecologist Dani by an appropriately trained and qualZoorob, MD, FACOG, FACS, ified physician. When you of ProMedica Urogynecolsee a urogynecologist, you ogy and Reconstructive can be confident that he Pelvic Surgery assures or she has the necessary women with pelvic health expertise to treat your pelvic problems that they have no health disorders properly reason to be embarrassed and effectively. Also, if you or to continue suffering have multiple problems in silence. Physicians in such as prolapse and inthe field of urogynecology, continence, you don’t have who are specially trained to go to several different in the care and treatment physicians for treatment.

Dr. Dani Zoorob of pelvic floor disorders, A urogynecologist can adare poised to provide the dress all at the same time. expertise and leading-edge treatments In fact, we can do all the procedures they need to correct or significantly at the same time and often through improve their condition. the same incision sites.”

Dr. Zoorob explains, “A urogyneSurgical remedies vary based on cologist is most often an OB/GYN the disorder and the individual patient physician with three years of extra and can often be performed through training specifically for addressing very small incisions. In many cases, conditions such as pelvic organ prolapse the incision can be made inside the and urinary and fecal incontinence. vagina so there is no external cutWe perform surgeries to help patients ting. Accordingly, the procedure is improve their vaginal health and can extremely cosmetic. Some surgeries reconstruct the vagina nearly to the require an overnight stay, but often state it was in before multiple births. patients can go home the same day.

We also offer non-surgical treatment The outcome of surgery depends options for women who aren’t good on the procedure being performed surgical candidates or who don’t and other factors, but the expectation desire to undergo surgery.” is usually near-complete resolution of Pelvic organ prolapse typically the problem. Some conditions do tend occurs when the pelvic floor muscles to come back despite surgery. As Dr. weaken and allow the bladder or uterus Zoorob points out, patients themselves to drop into the vagina, often as the can influence the long-term results as result of influences such as vaginal well. “The key to a good outcome is childbirth, chronic constipation, or following the instructions and restriccertain genetic conditions. Prolapse tions you’re given after surgery—for may present as pressure and pain and example, avoiding lifting heavy objects, tends to worsen as women age, po- constipation, and excessive weight tentially to the point that tissue begins gain. Adhering to these restrictions to protrude from the vagina. In some can delay recurrence of the problem cases, it may become necessary for the and potentially eliminate the need for lady to push on her vagina to assist future surgery altogether,” he says. in emptying the bladder or bowels.

Most importantly, Dr. Zoorob Difficulty with intercourse may also stresses that they need to have this occur, and prolapse often goes hand- concern addressed by someone who in-hand with incontinence and the truly respects them and their privacy, need to use pads for bladder leakage. and understands how embarrassing Unfortunately, many women with this condition can be to some ladies. n Urogynecology - continued on p28 pelvic health issues—especially when

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1/16/19 1:01 PM Healthy Living News | March 2019 5

PROM-PH-101D

Lymphoma: a curable cancer when detected and treated early

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he role of the body’s immune seen rarely in people over 50 years system is to stand guard against of age. In contrast, non-Hodgkin’s invading microbes and to go on the usually occurs in people over age offensive when they are detected by 60. There is also a significant differproducing overwhelming numbers of ence between the two forms when infection-fighting white blood cells, it comes to prognosis. “Hodgkin’s including lymphocytes. If the immune is generally considered a curable system is functioning properly, once cancer. In fact, the five-year surthe invader has been eliminated, the vival rate for Hodgkin’s is over 85 excess lymphocytes should begin percent, and if it is caught before dying off to a normal level. Howev- age 40, the rate increases to over er, in some cases, the lymphocytes 95 percent. Non-Hodgkin’s has a either fail to die off after they have pretty good five-year survival rate done their job or they begin to mul- as well—between 70 and 75 percent. tiply spontaneously when no actual However, there are at least 16 difmicrobial threat is present. This ab- ferent subtypes of non-Hodgkin’s, normal lymphocyte growth can lead and because there’s so much varito the development of tumors in the ation in how this form presents, it lymphatic system—a form of cancer is often overlooked in the earliest, known as lymphoma. most curable stage,” she says.

According to Charu TriveWith respect to treatdi, MD, of The Toledo Clinic ment, Dr. Trivedi notes Cancer Centers, lymphoma that chemotherapy and can occur in any organ of steroids are commonly the lymphatic system but used for both Hodgkin’s most commonly develops and non-Hodgkin’s lymin the lymph nodes. She phoma, as is radiation, further explains that there depending on the stage, are two major classifications location, and symptoms. of lymphoma—Hodgkin’s Surgery is sometimes and non-Hodgkin’s—which used to treat lymphomas, Dr. Charu Trivedi differ with respect to the speespecially if they are excific types of lymphocytes involved tranodal. Targeted treatments, such as well as in their morphology when as immunotherapy and biological viewed under a microscope. Hodgkin’s therapies, are also used as a single tumors exhibit certain abnormal cells, modality and in combination with called Reed-Sternberg cells, that are chemotherapy to treat non-Hodgkin's not present in non-Hodgkin’s tumors. lymphomas. Stem cell transplant is Non-Hodgkin's lymphoma is subdi- considered in relapsed non-Hodgkin's vided as low-grade, intermediate, lymphomas. and high-grade lymphomas.

Dr. Trivedi is optimistic about the “In the earliest stage, the first drug Ibrutinib, a tyrosine kinase inwarning sign is usually a lump in the hibitor, which is showing promising neck, underarm, or groin caused by results in treating non-Hodgkin’s swelling of the lymph nodes. There lymphoma. This advanced therapy is considerable variation in symp- contains a monoclonal antibody tomology depending on where in that targets a specific protein on the body the tumor develops,” Dr. the surfaces of lymphoma cells and Trivedi says. Other potential signs then delivers the medication directly to watch for include loss of appetite, to the cancerous cells, killing them unexplained weight loss, fever, fa- without harming healthy cells. For tigue, night sweats, abdominal pain, Hodgkin's lymphoma, the antibody persistent coughing, breathlessness, drug conjugate Brentuximab is showand uncontrollable itching (especially ing promising results. with Hodgkin's), pain, leg swelling, In addition to recognizing the poand prolonged viral syndrome. tential symptoms of lymphoma, Dr. Dr. Trivedi explains that Hodgkin’s Trivedi emphasizes that it is important lymphoma—the less common of the to know the risk factors for developing two general forms—often occurs the disease. As previously mentioned, between the ages of 15 and 40, usu- age (over 60 for non-Hodgkin’s and ally in the 20s and 30s, and is also n Lymphoma - continued on p17

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Healthy Living News | March 2019 7

PARKINSON’S DISEASE

N A H T N A E H R T E MO R O

22ndMAnnual Symposium

E

22nd Annual Parkinson’s Symposium to spotlight patient programs and resources

ffective treatment of Parkinson’s such as softness of speech or difficulty Academy of Neurology now recdisease is about much more than swallowing; and our audiologist can ommends prescribing exercise for taking the latest drug and hoping test both the patient and his or her patients from the earliest point in it improves symptoms or slows the spouse for hearing issues that might their diagnosis. progression of the disease. While be interfering with communication,” One of these programs is Big medications continue to play an im- Dr. Elmer comments.

Therapy, which involves performing The program is free to those who are affected with portant role in Parkinson’s manage- The program is free to those who aretypical affected with The Clinic’s approach involves physical therapy routines but Parkinson’s or care for someone with PD. However, ment, today’s approach to treatment Parkinson’ bringingsinorthree and their a greatly exaggerated fashion—i.e., carepatients for someone withinPD. However, a Free Will Gift of $10/person would includes expert interdisciplinary care a Free family members an afternoon, Will Gift of for $10/person wouldusing “big” movements. According and a wide range of groundbreakevaluating each patient holistically by to Dr. Elmer, “Big Therapy has been be appreciated. be appreciated. ing therapies that can help patients the team members, then going into shown to not only improve gait and Space is Limited. Pre-Registration Required: is Limited.

Pre-Registration achieve far superior results than they Space conference to discuss each patient Required: balance in people with Parkinson’s, To register by mail, please send this form to: could with drugs alone. and subsequently but To individually register by mail, please sendgoing this form to:using PET scans, we’ve been able SYMPOSIUM REGISTRATION, Attn: Julia Spears According to Lawrence Elmer, SYMPOSIUM back to the patient and their family to determine that this form of therapy REGISTRATION, Attn: Julia Spears 10:15-10:45 a.m. Break The University of Toledo a comprehensive treatment plan. actually facilitates the brain’s ability 10:15-10:45 a.m. Break MD, PhD, Director of the University Thewith University of Toledo of Toledo Parkinson’s Program, this is “This concept is not unique to to make new connections, bypassing Gardner-McMaster Parkinson Center 50/50 and Raffle Ticket Sales Gardner-McMaster Parkinson Center 50/50 and Raffle Ticket Sales s Open 8:30 a.m.

Doors Open 3000 Arlington Avenue, MS 1083 the core message of the 22nd Annual Northwest Ohio, but very few clinics damaged areas and using areas of 3000 Arlington Avenue, MS 1083 Parkinson’s Disease Symposium, to be provide this service as a ‘one-stop the brain not normally involved Toledo, OH 43614-2598 10:45-11:15 a.m. PFNWO: OH 43614-2598 10:45-11:15 a.m. PFNWO:held Saturday, April 27 from 9:00 a.m. Toledo, e & Pastries; Vendor Displays, shop’ for Parkinson’s patients and in walking and balance. This is the 8:30-9:00 a.m.

Coffee & Pastries; Vendor Displays, or online: www.pfnwo.org or online: www.pfnwo.org “Mission Statement” “MissiontoStatement” 2:00 p.m. at Parkway Place (2592 their families.

Usually patients have same effect we’ve seen for a long 0 Raffle Ticket Sales orTicket by phone: 800-438-5584 50/50 Raffle Sales phone: 800-438-5584 Services & Resources, Events Plaza) Events in Maumee, Ohio. or by to schedule evaluations with differ- time in stroke patients who undergo Please leave a message, a volunteer will return your call in a dayServicesParkway & Resources, Please leave a message, a volunteer will return your call in a day or two.

ThemedVice-President “Unscramvery aggressive physical Jeremy Hartle, Vice-President or two.

Jeremy Hartle, ome & Clinic Updates 9:00-9:15 a.m.

Welcome & Clinic Updates bling the Resources,” therapy. We just didn’t PFNWO PFNWO ence Elmer MD, PhD Lawrence Elmer MD, PhD this year’s symposium, know the same thing Name: _______________________________________________ Name: _______________________________________________ presented by the UT could happen with Par11:15 a.m.-12 p.m. MEDICATIONS: 11:15 a.m.-12 p.m.

MEDICATIONS: Parkinson’s Program kinson’s.” cal Therapy 9:15-10:15 a.m.

Physical Therapy # of Guests:___________________________________________ # of Guests:___________________________________________ Deductibles/donut hole and the Parkinson’s Another innovative Deductibles/donut hole n Jarouche, PT Eman Jarouche, PT Foundation of Norththerapy program for Prior authorizations/tier or Prior authorizations/tier or n Matson, PT Street Address: _________________________________________ west Ohio, will shine a Alison Matson, PT Parkinson’s patients Street Address: _________________________________________ formulary exceptions formulary exceptions spotlight on the many is Delay the Disease.

Pre-packaged drugs Pre-packaged drugs pational Therapy City State Zip: __________________________________________ different resources This exercise program Occupational Therapy City State Zip: __________________________________________ Hospital admissions *kit* Hospital admissions *kit* available right here is designed to optimize Farley, OT Kelly Farley, OT Medicare Supplement Plans our community Plans that patients’ physical funcMedicareinSupplement Phone: ___________________________________________ nd Phone: ___________________________________________ Julie Fullerton, One Beacon are making a real diftion and, as the name Julie Fullerton, One Beacon ch Therapy Speech Therapy ference in the lives of implies, help delay the Email: ________________________________________________ Email: ________________________________________________ e Sheehy, SLP Laurie Sheehy, SLP those touched by this progression of symp12 p.m.-1 p.m.

Lunch: 50/50, Baskets, and 12 p.m.-1 p.m.

Lunch: 50/50, Baskets, and neurodegenerative toms. Whereas Big Meal Selection (# of meals): Grand Prize Raffle Drawing Meal Selection (# of meals): Grand Prize Raffle Drawing opsych disorder.

Therapy is typically Neuropsych The program is free to those who are affected with One of these vital concentrated in a 4-week #________ Oven Roasted Beef ary Haines #________ Oven Roasted Beef Dr.However, Mary Haines Parkinson’s orEXERCISE: care for someone with PD. 1-2 p.m. resources is the UTMC block of time, Delay the Dr. Lawrence Elmer is among the featured speakers at this year's 1-2 p.m.

EXERCISE: a Free Will Gift of $10/person would #________ Chicken Marsala Parkinson's Symposium.

Parkinson’s Program’s Disease is a long-term, #________ Chicken Marsala Delay the Disease, Big and Loud Delay the Disease, Big and Loud 9:00 a.m. to 2:00 p.m. be appreciated.

Interdisciplinary Clinongoing program that PRESENTED BY Knock-Out PD #________ Vegetable Lasagna Knock-Out PD by Molly Scott, RN, MSN, ent #________ ic. Led specialists Vegetable in multipleLasagna locations usually is offered year-round in 12Space is Limited.

Pre-Registration Required: Tai Chi / Yoga / Dancing Tai Chi /FNP-BC, Yoga / the Dancing clinic’s interdisciplinary and then go back to their primary week blocks, separated only by a To register by mail, please send this form to: Jeff Kramer Jeff Kramer team includes highly experienced Parkinson’s doctor to discuss the week, so that patients can participate SYMPOSIUM REGISTRATION, Attn: Julia Spears I would like to make a donation to The University Coach Cummins Coach Cummins experts in physical therapy, occu- I would recommendations of the various 48 weeks out of the year. Both are like to make a donation to The University Break The University of Toledo Toledo, Department of Neurology #204240 pational therapy, speech pathology, Toledo, specialists.

Our approach is not only offered in numerous locations in our Department of Neurology #204240 2592 Parkway Plaza, Maumee OH 43537 Gardner-McMaster Parkinson Center 50/50 and Raffle Ticket Sales pharmacy, social work, audiology, and extremely powerful, but it’s also on community and around Northwest Amount $_______________ $_______________ 3000 Arlington Avenue, MS 1083 neuropsychology. Each team member Amount the cutting edge in that we provide Ohio, including at UTMC (the first AND evaluates the patient according to access to outstanding expertise under hospital in Ohio to have Big TheraToledo, OH 43614-2598 PFNWO: In the Name of _____________________________ his or her discipline to address the In the one roofofand all in the same after- py-certified therapists on staff) and the Name _____________________________ or online: www.pfnwo.org “Mission Statement” Checks can be made payable to: The University Toledo, wide range of challenges Parkinson’sChecks noon,” says Dr. Elmer. to: The Universitynew ProMedica Neuroscience Center. or by phone: 800-438-5584 can be made payable Toledo, dline Friday, April 19, 2019 Services & Resources, Events Department Neurology Deadline Friday, Aprilof19, 2019 then please note in the memo: Please leave a message, a volunteer Registration will return your call in a day patients often experience. “For exam-Department In addition to the Interdisciplinary And of Neurology then please note in the memo:that’s just scratching the or two.

Jeremy Hartle, Vice-President Parkinson’s Symposium #204240 ple, our physical and occupationalParkinson’ Clinic,s Symposium there are numerous #204240 Parkin- surface of the innovative exercise therapists can address challenges son’s-specific therapies and exercise programs available to Parkinson’s PFNWO with balance and gait or activities programs that can greatly improve patients. Other examples of ParName: _______________________________________________ of daily living; our pharmacist can function and symptoms in Parkin- kinson’s-specific exercise include The Symposium is free to those who are affected with Parkinson’s or care for someone with PD. MEDICATIONS: evaluate the patient’s medications to son’s patients, especially after their Knock Out Parkinson’s, a no-contact #However, of Guests:___________________________________________ a Free Will Gift of $10/person would be appreciated.

Deductibles/donut hole make sure they’re working and aren’t dopamine levels have been optimized. boxing program offered at the Interarkinson oundation Space is limited. Pre-registration required: online at www.pfnwo.org or phone 800.438.5584 Prior authorizations/tier or actually worsening the Parkinson’s In fact, exercise is considered so im- national Boxing Club in Toledo that Street Address: _________________________________________ formulary exceptions or causing side effects; our speech portant in the effective management improves upper body function along oF orthwest hio pathologist can address problems of Parkinson’s that the American Pre-packaged drugs n Symposium - continued on p46

O O V V E E M M E E N N T T

21st 21st Annual Annual Symposium Symposium Saturday, Saturday, April April 28, 28, 2018 2018 9:00 a.m. to 2:00 p.m.

9:00 a.m. to 2:00 p.m.

SATURDAY, APRIL 22 Annual 27, 2019 Parkway Place Parkway Place OH 43537 2592 Parkway Plaza, Symposium Maumee Parkinson’s 2592 Parkway Plaza, Maumee OH 43537

9:00 a.m. to 2:00 p.m.

Parkway Place, Saturday, 2592 Parkway Plaza, April 27,Maumee, 2019 Ohio 43537 Presented by: Presented by:

22 Annual Parkinson’s Symposium & Presented by: & Gardner-McMaster April 27, 2019 Parkinson FSaturday, oundation 22nd Annual Parkinson Foundation Parkinson Center oF northwest ohio 9:00 a.m. to 2:00 p.m. oF northwest ohio Parkinson’s Symposium & P F Saturday, April 27, o2019 n Parkway Place nd

Gardner-McMaster Gardner-McMaster Parkinson Center Parkway Place Parkinson Center

Hospital admissions *kit* 8 March 2019 | Healthy Living News Medicare Supplement Plans Julie Fullerton, One Beacon

City State Zip: __________________________________________

9:00 a.m. to 2:00 p.m.

2592 Parkway Plaza, Maumee OH 43537 Phone: ___________________________________________

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A full wellness clinic with Acupuncture, Traditional chinese Medicine, and Massage Therapy.

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RECOVERY FROM STROKE This patient had tried alternatives and hadn’t found a solution. Until she visited Tamara TCM Wellness Clinic. Hear what she had to say: “After months of occupational and physical therapy, I decided to include acupuncture and alternative medicine to help me recover from a devastating stroke in 2012. I am happy to report that Tamara TCM is the leading factor for the feeling and movement that I have regained in my arm and leg since my stroke a year a go. Tamara has been a very important part of my recovery and I recommend her to you without any reservations. I have been impressed with the wide variety of health issues she has been able to effectively treat. Whatever your symptoms; I am sure Tamara can help you to feel better. she’s the Best, Give Her a Try!” This story is just one of the many successes at Tamara TCM Wellness Clinic.

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Healthy Living News | March 2019 9

S GO AVE Ju LF TH ne O E D 8, UT ATE 20 IN 19 G

of Northwest Ohio

d E AT rre E D ti 19 TH t S 20 VE No 4, SA en er b ak to Sh Oc

Parkinson Foundation

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 the month - March through November, 11:00 am - Noon Grace Community Church 4359 Allentown Lima, OH 45807 Heather Harvey 419-226-9632 Parkinson Project of NW OH Young On-Set Group 2nd Wednesday 7:00 pm *Meets every Month EXCEPT July Holiday Inn French Quarter Perrysburg, OH 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 of the Month March through November, 11:15 am to 12:45 pm Henry’s Restaurant 810 N. Locust St., Ottawa OH 45875 Beth Hartoon, PT, DPT 419-523-3590 Sandusky - 1st Thursday Each month, 3:00-4:30 pm (Resumes March 2019) Firelands Hospital, South Campus Community Resource Room 1912 Hayes Ave., Sandusky, OH 44870 Angela Myers 419-625-3005 Shakin’ Not Stirred’s Monroe County and Contiguous Area Parkinson’s Support Group Held 3rd Wednesday of Month, 6:30 pm except July and August Nature Center - 4925 E. Dunbar Rd., Monroe, MI 48161 Jennifer Traver 734-497-5683 Western OH - 3rd Thursday 2:00 pm New location: Briarwood Village 100 Don Desch Dr., Coldwater OH 45828 Alicia Koester 419-678-2851 Williams County - 3rd Monday 12:30 pm *Months with County holidays – the 4th Monday Bryan Senior Center, 1201 South Portland, Bryan, OH 43506 Senior Center number 419-636-4047 Laura Rohlf 419-924-2927 The Waterford at Levis Commons Perrysburg 3rd Monday of the Month 6:00 pm to 7:00 pm 7100 S. Wilkinson Way, Perrysburg, OH 43551 Michael Zickar

10 March 2019 | Healthy Living News

CAREGIVER SUPPORT GROUP: Caregiver Support Group of Fulton County Meet 3rd Wednesday of the Month 10:00 am St Martins Lutheran Church 203 S. Defiance St., Archbold, OH 43502 Bonnie Lauber 419-445-6516 Toledo Caregivers (C.A.R.E.S.) Support Group 1st Monday 6:30 pm (except Holidays) Genacross Lutheran Services -Assisted Living 3rd Floor 2001 Perrysburg-Holland, Holland, OH 43528 Kristen Schuchmann 419-383-6737

EXERCISE GROUPS Central Park West 3141 Central Park West Dr., Toledo, OH 43617 Saturdays 10:00-11:00 am, 419-841-9622, info@cpwhc.com Delay the Disease - Allen Eiry Senior Center 28 Hopewell Ave., Tiffin, OH 44883 Mondays and Wednesday 11:45 am-12:45 pm Gina Menke, PT, DPT 419-455-8600 Delay the Disease - Arbors at Waterville Thursdays beginning in March for 12 weeks 11:00 am-12:00 pm, $35 for session Alyssa 419-878-3901 Delay the Disease - Grace Community Church 4359 Allentown, Lima, OH 45807 March through November 12:00-1:00 pm Beth Hartoon 419-226-9019 Delay the Disease - Kingston Care Center, Sylvania 4121 King Rd., Sylvania, OH 43560 Monday and Friday 10-10:45 am / Roseann Peiffer 419-517-8282, rpeiffer@kingstonhealthcare.com Delay the Disease - PT Services, Inc. Tuesdays and Wednesdays 1:00-2:00 pm 1500 Tiffin Road, Fremont, OH 43420 Lesley King 419-334-6630 Eastern Community YMCA, Oregon, OH Tuesdays and Thursdays 4:30-5:30 pm Susan Ruff 419-725-7844, sruff@ymcatoledo.org Fulton County Health Center Rehab - Wauseon, OH Thursdays 11:30 am Becky or Karen 419-335-1919 Genacross Lutheran Services - Toledo Campus 131 N. Wheeling St., Toledo, OH 43605 Tuesdays and Thursdays 10:00-11:00 am Classes begin January 2019 419-724-2638 Genacross Lutheran Services - Wolf Creek Campus 2001 Perrysburg Hollard Rd., Holland OH 43528 Mondays and Thursdays 11:00 am-12:00 pm 419-861-5099 Hancock County Agency on Aging Fitness Center Delay the Disease Classes 50 North, 339 E. Melrose Ave., Findlay, OH 45840 Mondays and Wednesdays, 11:30 am to 12:15 pm Free to fitness members and $20 for non members for an 8 week session 419-423-8496 ext. 2004, fkasmarek@50north.org www.50north.org International Boxing Club 5963 Telegraph Rd., Toledo, OH Knock-Out Parkinsons: Mon 9-10; Tues 4:30-5:30; Wed 9-10; Thurs 4:30-5:30, Fri 9-10; Sat 10-11 Coach Harry Cummins 419-450-8435 www.ibctoledo.org

Kingston Care Center – Perrysburg 345 E. Boundary St., Perrysburg, OH Tuesdays and Thursdays at 11:00 am to 12:00 pm Amber Haas 419-873-6100, ahaas@kingstonhealcare.com Knock-Out Parkinson’s Functional Excersise Group International Boxing Club 5965 Telegraph Rd., Toledo, OH Tues 10-11; Thurs 10-11 Coach Harry Cummins 419-450-8435 www.ibctoledo.org Lima Area Parkinsons Exercise Group Thursday 10-11 am, starting March 7 Grace Community Church 4359 Allentown Lima, OH 45807 Heather Harvey 419-226-9632 or 419-226-9019 Mennonite Memorial Home - Bluffton, OH Tuesdays and Fridays, Northwest Physcial Therapy 419-523-9003 www.northwestphysicaltherapy.com Movers & Shakers Fitness Class Fremont American Legion 200 Buckland Ave., Fremont, OH 43420 Sessions currently ongoing. For more information or to register: Lesley King 419-334-6630 Putnam County Parkinsons Exercise Group Wednesday 1-2:00 pm, starting March 6 Putnam County YMCA 101 Putnam Parkway, Ottawa, OH 45875 Beth Hartoon, PT, DPT 419-523-3590 Sandusky Firelands Hospital, South Campus, Community Room PD Exercise, Thursdays at 2:00 pm Open to anyone with PD, any symptoms/any stage FRMC Campus - Community Room Tai Chi, Mondays 2:00 pm Open to those with PD and general public $25 for 12 weeks Sandusky NOMS, 2800 Hayes Ave., Sandusky Mondays 1:00 pm Small room near gym, $60 for 12 weeks St. Rita’s Medical Center Auxiliary Conference Center 718 W Market St., Lima, OH 45801 Wednesdays 1:00-2:00 pm (May - November) Wapak Parkinsons Exercise Group Wednesday 11:45 am - 12:45 pm, starting March 6 Wapakoneta YMCA 1100 Definance St., Wapakoneta, OH 45895 Karen Lenhart, PTA 419-226-9019 Wood County Committee on Aging 305 N. Main St, Bowling Green, OH Thursdays, 2:00-3:00 pm Program Department 419-353-5661, x1013 YMCA Marion, OH Mondays and Wednesdays 9:00-10:00 am Plus Saturdays in the small pool 9:00-10:00 am 740-725-9622, www.marionymca.com YMCA Marion Advance Class - Marion OH Mondays and Wednesdays 12:00-12:45 pm Plus Saturdays in the small pool 9:00-10:00 am 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

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New practice offers top cosmetic, reconstructive options

M

ost of us have things we wish we could change about our appearance. Maybe it’s a crooked nose, old acne scars, or the inevitable wrinkles and sagging. Or, perhaps it’s a serious medical issue, such as breast reconstruction, or post-trauma surgery to restore appearance or function.

Whatever your concern, p¯ko aesthetics, the new office of award-winning plastic and reconstructive surgeon Dr. Peter Koltz, is northwest Ohio’s newest home for enhancements, rejuvenations, and restorations.

Located in the Franklin Park area, the office offers consultations, aesthetician services, and skincare products.

Surgeries, which include a comprehensive range of procedures from facelifts to groundbreaking breast reconstruction techniques, are performed at St. Luke’s Hospital in a warm and private community setting.

Specialized skills unique to the region A native son, Dr. Koltz grew up in Maumee and returned to practice in the region following specialized training in New York and Philadelphia.

He brought home over a decade of medical training, including the ability to perform leading-edge, big-city plastic and reconstructive surgical techniques that were previously not available in this area.

At the world-renowned University of Pennsylvania, Dr. Koltz trained in microvascular surgery techniques that allow lives to be restored in the most natural way possible. These advanced reconstructive procedures benefit patients with breast cancer, devastating extremity trauma or cancers, challenging head and neck problems, and a variety of pediatric conditions.

One microsurgery technique— autologous breast reconstruction— reconstructs the breast using tissue from another part of the body. When nerve endings and blood vessels are reconnected, the patient begins to regain feeling in the area, promoting a sense of wholeness and well-being.

Patients also experience less pain and shorter recovery times after surgery.

Beyond that, the technique minimizes complications at the site where the tissue originated.

“The key is to be able to offer

patients the best surgical option for them,” Dr. Koltz said. "My goal for every patient I see is to provide them a reconstruction that will allow them to return to the things that they like to do as quickly as possible with the best aesthetic result. Whether performing DIEP flap breast reconstruction, implant breast reconstruction, extremity salvage, or reconstructing the head and neck following cancer or trauma, my goal is to individualize the reconstruction to every patient.”

Dr. Koltz is able to do this by offering a full breadth of options for reconstructions, ranging from common techniques to leading-edge procedures.

“The beauty of Cosmetic and Reconstructive Plastic Surgery as a surgical subspecialty is the ability to tailor every patient's plan to their specific situation and return them to what they love to do. It is important to me to be able to offer all options safely and efficiently to accomplish this goal,” Dr. Koltz said.

Personalized options to meet your goals The philosophy of tailoring plans to meet patients’ specific goals extends to all facets of p¯ko aesthetics. There are many different kind of surgical lifts, for example, from facelifts to skin tightening after weight loss.

Beyond surgery, the options are ever-expanding. The first step to healthy, beautiful skin, for example, is proper daily maintenance with quality skin-care products, which are personally evaluated by Dr. Koltz for their effectiveness and available in the p¯ko aesthetics office. In addition, the practice offers a complete range of other nonsurgical options, from facial peels to cosmetic injectables like Botox® and Juvederm®. These solutions can dramatically freshen your appearance, generally require little downtime, and can be performed right in the office.

“The thing I love about what I do is the ability to use my two hands to change a person’s life,” Dr. Koltz said.

“They come to me with a problem, be it cosmetic or reconstructive, and with my hands, I’m able to help them. I’m able to change their lives in a relatively short period of time.”

Dr. Koltz and p¯ko aesthetics can be reached at 567-408-7356. ❦

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EXPERTISE

, FEELING LIKE NEW AGAIN

peko aesthetics: a personalized approach to the way you look Introducing peko aesthetics, northwest Ohio’s newest home for enhancements, rejuvenations and restorations. It’s headed by award-winning and board-certified plastic and reconstructive surgeon Dr. Peter Koltz, whose expertise informs treatment plans uniquely centered on your personal needs and goals. n n n n n n n n n

Peter F. Koltz, MD

Quality skincare products Rejuvenating and regenerative facials Facelifts Nose and ear procedures Cosmetic injectables, including Botox® and Juvederm® Liposuction and tummy tucks Breast augmentations, lifts, reductions and reconstructions Facial trauma reconstructions Gender-confirming procedures To schedule a consultation, call 567.408.7356

©2019 St. Luke’s Hospital

2000 Regency Court, Suite 205

I Toledo, OH 43623

StLukesHospital.com

Healthy Living News | March 2019 11

Super Fitness promotes community health across demographics P

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 47 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.

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,

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 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 customized to their needs.

Each year, Super Fitness spends

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.

See a problem, solve a problem 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

12 March 2019 | Healthy Living News

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

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

Y R A S R E V I N N A h ! t N 47 O I T A R B E L E C

Forget the fads In his 47 years at the helm of Super Fitness, Hemelgarn has seen many fitness fads come and go, including the latest trend of “extreme fitness” programs that tend to push the body beyond what it can safely endure. Hemelgarn neither offers nor endorses these types of programs, noting, “Exercise is not about going to extremes; it’s about committing to regular effort and building strength and endurance gradually. Pain is your body’s way of telling you to 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 hear it spoken here. We also believe you must change your strength and cardio workout monthly so results keep coming throughout your life,” he states.

Show an attitude of gratitude Perhaps most important, each year in March, Hemelgarn and the staff 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 10, 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 and for spreading the word about Super Fitness to their families and friends,” says Hemelgarn. ❦

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Healthy Living News | March 2019 13

A WALK IN THE PARK

This caracara, or Mexican eagle, visited the dunes just behind our RV.

The anticipation is building

by LeMoyne Mercer

I

n the December issue, I shared our plans for the winter trip to Arizona.

First stop, reservations for five days at Fort Pickens in the Gulf Islands National Seashore near Pensacola.

Then, around the Gulf to Padre Island, across Texas to Big Bend National Park, Cave Creek Canyon just west of Rodeo, NM then to Whitewater Draw to see 30,000 or so sandhill cranes that winter there. A couple of days in Tucson before going on to Organ Pipe Cactus National Monument. Add on a few days for visiting friends in Phoenix.

Grandma used to say, “If you want to hear God laugh, tell him

your plans.” This year, even more than usual, God only knows what our government is up to. Before Christmas, Shirley started receiving phone messages from recreation.gov, the website that makes reservations for all the national parks. The same message came through several times between 2:00 and 3:00 a.m. and a few more times between 5:00 and 6ish.

“We hope the anticipation is building for your visit. Be sure to bring the printout of your reservation form and all the things on your travel check list.”

When the government shut down, there was no one on duty to push the stop button, so Shirley continued to receive a half dozen messages a day

for more than a month and counting.

With Fort Pickens closed, we headed through Nashville, Baton Rouge, and Houston to Padre Island near Corpus Christi, TX. Malaquite Beach Campground, where we usually stay, was closed, but we know something important—you can camp for free right on the beach. Price was not the determining factor. With my geezer pass, we pay a whole $4 at Malaquite.

The fee gets us a picnic table, charcoal grill, restrooms, and an RV waste water dump station. These amenities are nice and certainly worth $4, but because we are self-contained, they are not necessary. Besides, there is something romantic about camping just a few feet from the roar of the surf. When the tide was in, we were 25 or 30 feet from the water. At low tide, it was 100 feet and more.

From the access road, there is about a mile of hard-packed sand to the north boundary of the park. Even the largest of RVs can safely use this stretch of beach. During the week of New Year’s, there were a couple dozen rigs lined up at the base of the

With a mile of hard-packed sand to share, two dozen RVs didn't have to worry about private space.

dunes. Two dozen rigs in a mile of beach did not seem at all crowded.

It was a great experience for beach combers, dog walkers, joggers, and cyclists.

One man's trash fish is another bird's treasure. This great blue heron gladly accepted the fish rejected by the surf caster.

Also surf casters. On the weekend, a family came to fish for whiting and pompano. They were from Kansas City, and the grandparents had a winter home in Corpus Christi. Shirley admired their accent—which did not sound at all like what we associate with Missouri. “Oh, we’re originally from South Africa,” said the daughter.

While they were fishing, a great blue heron took up residence on the crest of the dunes just a few feet from our rig. He chased off interlopers.

Evidently, the herons have learned that fishers often clean their catch right on the beach or even throw away perfectly good fish because they are not a desirable variety. While waiting, this heron occasionally stabbed at little ghost grabs that carelessly wandered between his toes. But the crabs were just hors d’oeuvres. The entrée turned out to be a whole fish

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14 March 2019 | Healthy Living News

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cast aside by the Kansas City people.

Most of the shorebirds were more independently minded and poked around in the shallows for their daily bread. We’re talking mostly godwits, curlews, and tiny short-legged plovers

Godwits were among the more common shorebirds patrolling the shallows.

This is not a one-legged curlew. He just preferred to tuck one up to keep it dry.

that scurry along behind a receding wave and then hasten back from the next incoming. Ring-billed gulls and royal terns, sociable creatures,

hawk with a dark back, white breast and throat, and vivid red patches on his cheeks. Quite a handsome fellow—except to the reptiles and rodents trying to hide in the sea oats that hold the dunes together.

Our daily routine started with admiration of the sunrise then, after breakfast, we finished the pot of coffee on our “front porch”—the beach. Fellow beach campers often stopped to chat and share information of other places to camp during the government shutdown. Some parks were open but closed their campgrounds. Some campgrounds were open but offered no facilities.

Often we had destinations in common because, in January, everyone was on a quest for sunshine and warmth. Two women from the Yukon said they had stayed at Gilbert Ray Campground near Tucson, but there is a seven-day limit. Then they tried Catalina State Park, just north of town on the lower slopes of Mt. Lemmon, where it got well below freezing at night. When women from the Yukon tell you it was cold, you know it was cold. By the way, although it is in southern Arizona, Mt. Lemmon is high enough to keep a ski resort in business.

When the coffee was finished, we strolled up the beach to see what treasures might have been tossed up by the tide. Small clumps of seaweed.

Various nautical flotsam and jetsam.

Long, yellow strands of coral that look more like tangled fly line. Dead jellyfish. Driftwood. Vast beds of clams visible when the tide was out.

One morning there were several monarch butterflies struggling on the beach, evidently exhausted by their 3,000-mile migration to Mexico for the winter. There was also a little hermit

crab that seemed to be wandering in western Texas, New Mexico, and tight little circles, unable to choose Arizona. Though the federal parks between water and land. Indecisive may or may not be open, there critters tend to end up as lunch for are excellent state parks along our intended route. Eventually, we more decisive critters.

Some of the things we saw on the would have to find an RV dump beach we might have preferred not station to empty our waste water to. I take scenic and wildlife photos tanks. Until then, hanging out on when we travel to illustrate this the beach was just a walk in the column. Shirley took the best “wild park and the anticipation was conlife” photo on this trip but most of tinuing to build. you will never see it. While I was busy making roast beef and mashed LeMoyne Mercer is the travel editor for potatoes for supper, she noticed a Healthy Living News. There is limited gentleman of mature years walk- space here for his photos. You might want ing up the beach in a tiny, bright to see more at anotherwalkinthepark. blue Speedo and a floppy canvas blogspot.com. Please leave comments on hat. When he came back down the the blog site. ❦ beach, he was carrying both.

O tempore! O mores!

In addition to the little ghost crabs mentioned earlier, there were also dozens of sand crab holes at the base of the dunes. If we were quietly sitting on the shady side of the rig, crabs would poke their heads out and duck back down.

Cell coverage was always I was sipping an adult beverage and playing spotty on the beach. When peek-aboo with Mr. Crab. SpongeBob didn't show she could, Shirley checked up for the party. the weather forecasts for

EXPERIENCE. QUALITY. CARE.

Royal terns introduced the concept of really cool DA haircuts back in the '50s.

flocked up at water’s edge, letting beach strollers get only so close before wheeling away and looping back.

Pelicans skimmed mere inches above the water in the troughs between rollers. Occasionally they would make a steep climb and then a vertical plunge to take a fish or several small ones at once. They reminded me of another lesson from Grandma: “The amazing thing about the pelican is that his beak holds more than his belly can.”

Another visitor to the dunes right behind our Roadtrek was a caracara, sometimes called a Mexican eagle, a

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131 N. Wheeling Street Toledo, Ohio 43605 A hermit crab was walking in tight circles on the beach as if unable to choose between land and sea.

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n

Local geriatrics specialist seeks to reduce dementia with brain health assessments

CONCIERGE MEDICINE BRAIN HEALTH PROGRAM BY

Dr. Gokula provides concierge primary care physician services to registered patients ... at home, via telemedicine and DO YOU HAVE MEMORY PROBLEMS remote monitoring (equipment and training included) DR.patient GOKULA (GERIATRICS SPECIALIST) or at Dr. Gokula’s connected NO care clinic with an array of YES DO complimentary services 1 in 3 seniors die ofavailable. dementia Exercise 30 minutes daily

Stay Socially Active By 2025 in Ohio 250,000 Thousand will have dementia Mediterraneanroad Diet map to your health • Evaluation and comprehensive 20 years or more before symptoms appear.

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• Membership in the PRISM Center (YURT) for body, mind and REFER TO DR.GOKULA 419-214-1213 WHO CAN GET BRAIN HEALTH ASSESSMENT? spirit enrichment classes WHO HASand MEMORY AND • DietANY and ONE nutrition advice supportPROBLEMS using nutraceuticals HAS MEDICARE/PRIVATE PAY/PRIVATE INSURANCE 1 HOUR BRAIN ASSESSMENT • Supportive therapies like essential oil therapy • Relaxation therapy and gentle movement therapy workshops INCLUDES ASSESSMENT OF MEMORY, MOOD, and talks cultivating accountability and social interaction

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W

ith the baby boomer generation entering retirement age and our nation’s population getting older, more and more people are coping with memory loss or dementia. In fact, according to the Alzheimer’s Association, one in three seniors in the US dies with Alzheimer’s or another form of dementia. In Ohio alone, it is estimated that 250,000 people will have dementia by the year 2025.

The onset of memory loss or dementia is life-altering and has a dramatic physical, emotional, psychological, and social impact—not just on diagnosed individuals, but also on their loved ones who often serve as 24/7 caregivers.

The good news is, cognitive decline is not an inevitable byproduct of aging and there are proactive steps seniors can take to not only reduce their risk of developing dementia but also to maximize their brain health. According to geriatrics specialist Murthy Gokula, MD, of Concierge Connected Holistic Health Care, one of these proactive measures is seeing him for a full brain health assessment—a benefit covered

by Medicare.

“This assessment looks at all aspects of the patient’s brain health, including memory, mood, function, behaviors, decision-making, depression and anxiety, medications they’re taking, caregiver burden, and advance care planning,” Dr. Gokula explains. “The process takes only about an hour and can be performed in my office, the patient’s home, or an assisted-living or nursing facility. I’m offering this service to anyone with memory problems who is covered under Medicare, private pay, or private insurance.”

Following the brain health assessment, a detailed care plan is sent to the patient’s primary care physician and specialists, as well as to the patient and his or her family and caregivers. Also, a follow-up visit

Lymphoma - continued from p7

between the ages of 15 and 40 for Hodgkin’s) is a risk factor for both forms. Other factors known to elevate risk include European ancestry; exposure to certain chemicals, such as agricultural pesticides or herbicides; nuclear radiation exposure; prior chemotherapy or radiation; being immune-deficient or having an autoimmune disease; exposure to HIV, Epstein-Barr virus, human herpes virus type 8, Chlamydia, Helicobacter pylori, or hepatitis C; having poorly controlled celiac disease; having

(covered by Medicare) is scheduled in six months with updates made to the care plan as needed. In addition, Dr. Gokula can connect the patient to any community resources that might be beneficial to his or her memory and cognitive health.

To take advantage of Dr. Gokula’s brain health assessment, it is not necessary to be a patient in his practice or to get a referral from a primary care physician. “My goal is to bring this program to as many seniors as possible so they can nip memory loss in the bud, stay on the path to good cognitive health, and hopefully continue to age in place in the comfort of their home environment where they are happiest.

I also want to spread the word that the sooner people have their brain health assessed, the better because catching problems early gives us the opportunity to implement changes that prevent further decline,” he says.

In addition to performing brain health assessments, Dr. Gokula encourages people to take several other action steps to promote cognitive health and keep dementia at bay.

These include exercising for at least 30 minutes per day, staying socially active, continually learning, enjoying hobbies, sleeping for six to eight hours per night, avoiding smoking, and eating a plant-based diet.

Dr. Gokula places special emphasis on this last point—eating a plantbased diet—and is a proponent of the MIND Diet, which combines the Mediterranean Diet and the DASH Diet and aims to improve brain function and prevent dementia. The MIND Diet spotlights ten healthy food groups to include in daily meals and snacks, including green leafy vegetables, vegetables of other kinds, nuts, berries (especially n

breast implants; being overweight or obese; and consuming too much dietary fat.

“Remember, lymphoma is most curable when it is caught and treated early—and the key to early detection is knowing the risk factors and warning signs. If you experience any of the symptoms described here, don’t hesitate to see your doctor for an evaluation,” Dr. Trivedi advises.

The Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, has 15 physicians, 4

Research Nurses, and 6 nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TTCCC also has satellite centers in Maumee, Napoleon, Bowling Green, Adrian, and Monroe, as well as a partnership with the Mercy Health – Perrysburg Cancer Center for the convenience of the patient.

TTCCC has earned Patient-Centered Specialty Practice level 3 recognition and Oncology Medical Home recognition from the National

Committee for Quality Assurance.

Oncology homes align systems and resources with coordinated care focused on cancer patients and their needs. This reduces fragmentation, supports shared decision making, and improves the patient experience.

TTCCC is the first oncology practice in the state of Michigan and the second oncology practice in the state of Ohio to receive this recognition.

For more information, please call The Toledo Clinic Cancer Centers at 419-479-5605. ❦

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Brain health - continued on p37

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Healthy Living News | March 2019 17

nobody’s perfect Give my regards to Broadway

by Sister Karen Zielinski, OSF

I

wanted to see Hamilton.

It’s the phenomenal musical that premiered on Broadway February 17, 2015.

Hamilton is an American musical that is a “sung- and rapped-through musical about the life of American Founding Father Alexander Hamilton, with music, lyrics, and book by Lin-Manuel Miranda, inspired by the 2004 biography Alexander Hamilton by author and historian Ron Chernow.”

Lin-Manuel Miranda is the star of the Broadway show.

I first became aware of the show on social media, when some of my former high school choral students from Cleveland and Toledo posted comments, reviews, and photos singing its praises!

I was interested but discouraged about seeing it since these same students said it cost hundreds of dollars for a ticket!

10.25x5_ES_70th_Ad_HL_COL_119_HI.pdf I figured I would have to wait to see1a

travelling show when it came to Toledo or Detroit in a few years when tickets would cost much less.

What added more fuel to the Wanna-see-Hamilton fire was that a few weeks ago, I saw the Mary Poppins Returns movie starring Emily Blunt as Mary Poppins and Lin-Manuel Miranda (Hamilton’s creator and star) who played Jack, a lamplighter and former apprentice to Bert, the chimney sweep played by Dick Van Dyke in the original 1964 film. What kept sticking in my head and heart was seeing Hamilton soon—especially since I saw some musical numbers from it on television.

I spoke with my sister after the movie and told her how talented I thought Miranda was and that I wanted to see Hamilton. Then I remembered something. Years ago, I went to see a Broadway show at a very reasonable price, at a disability rate. My sister, Judy, who is a video producer in South Bend, Indiana, got to work, investigating prices, locations, and if there were any tickets that offered a price reduction. Bingo!

There were.

Many of the Broadway musicals and other cities offer seats at a 1/18/19 2:07 PM “wheelchair” rate, often less expen-

sive than standard-priced seating.

I called and was told, “These seats are not available to request over our website. Please call to speak with a sales rep for further information. We can be reached at 1-800-BROADWAY or 212-541-8457.”

Because older buildings (especially theaters) were built like soda cracker boxes, straight up, they did not have accessible seats. At many theaters, one has to climb up and down carpeted stairs with no banisters. It’s a real challenge for many people with limited balance, or who are slower than others climbing steps. To make the playing field a little more even, some theaters reserve seats at a greatly reduced rate.

Another reason rates are reduced for those with disabilities is that often persons with disabilities have lost their jobs and have no income. Many theatres offer those who have another disability, an economic one caused by physical challenges, a chance to see something they normally could not afford.

My sister told the agent we wanted orchestra seats but did not want any far right or left or further back than a certain row on weekends. The agent came up with great seats for

We’ve Kept It In The Family.

us! My sister inquired if there were any disability discounts, and there were. The agent sold us these tickets at a discounted accessibility rate.

So, we will be going to see Hamilton in Chicago! Yay! We have tickets for the 2:00 pm matinee on Saturday May 11 at the CIBC Theater. They are Row M, seats 2, 4, and 6, which are almost dead center!

So, before you go anywhere, think outside the box about attending some cultural or sporting events. Do some research and see what is available.

Save your birthday and Christmas gift money, and ask about disability rates, accessible seating, how many can attend the show in your party, etc.

There are some wonderful disability rates locally and out of town. Ask some questions—and enjoy the show!

Break a leg!

© 2019 Elizabeth Scott Community

The Bucher Family

18 March 2019 | Healthy Living News

at SPRING SAFARI CAMP! Meet live animals, play cool games and activities or even shadow a keeper! Day sessions available

March 26-28, April 2-4 and April 16-18. toledozoo.org/camps

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

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Healthy Living News | March 2019 19

Advanced robotic surgery treats all forms of pelvic organ prolapse

Goal setting—as easy as ABC

A

by Dan Jachimiak

s women age, their risk of experiencing a pelvic organ prolapse tends to increase. The risk is higher among women who have had multiple vaginal births as well as those who have undergone hysterectomy, are obese, experience chronic constipation, or have a family history of prolapse. Pelvic organ prolapse develops when the muscles and tissues comprising the pelvic floor weaken and allow one or more of the pelvic organs to drop down into the vagina, potentially creating a bulge or even protruding externally.

Prolapse can have a tremendous impact on women’s quality of life, causing, among other problems, pain and discomfort, urinary or fecal incontinence, as well as feelings of awkwardness or embarrassment that can lead to social isolation.

Both surgical and nonsurgical options are available for treating pelvic organ prolapse. If surgery is deemed appropriate, the actual procedure performed can take a variety of different forms depending on the specific nature of the prolapse.

However, using a surgical technique is trained to perform the surgery called sacrocolpopexy, doctors can using a robotic-assisted laparoscopic correct all types of prolapse with a approach. With this technique, the single procedure. surgeon makes five very small (apAmanda Whittaker, proximately 8-millimeter) MD, of Mercy Health – OB/ incisions, one of which is GYN Associates Sylvania, hidden in the belly button, states, “Sacrocolpopexy is and remotely manipulates the most effective form robotic arms attached to of prolapse surgery we surgical implements. A perform because it helps tiny 3D camera placed no matter what type of inside the patient gives prolapse has occurred, the surgeon a magnified whether at the front of 360-degree view of the the vagina involving operative field. the bladder, at the apex Dr. Amanda Whittaker Patients can rest asinvolving the uterus or sured that the surgeon is cervix, or at the posterior involving in total control of the robotic arms the rectum. Sacrocolpopexy uses a throughout the entire procedure. special Y-shaped mesh that allows The robotic system simply transus to lift all areas of the vagina, not lates the surgeon’s movements on just one part, so the pelvic organs the controllers. “Think of it like a are secured in place with no shifting videogame,” says Dr. Whittaker. or sagging.”

“If my fingers aren’t moving, the Sacrocolpopexy can be performed robot isn’t moving. And when I through traditional open surgery, do move my fingers, the robotic which involves making a relative- system translates the movements ly large abdominal incision much flawlessly with no tremor or uninlike a C-section, but Dr. Whittaker tended movements. Plus, with the

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3D camera, I can see exactly what I’m doing very close up.”

Open and robotics-assisted sacrocolpopexy have the same high rate of success, but the robotic approach offers several additional benefits. Among them are shorter hospital stays, with most patients going home on the day of surgery or the following day; less bleeding; less post-operative pain and faster recuperation due to the smaller incisions; and often fewer restrictions afterwards.

Dr. Whittaker notes that sacrocolpopexy is not widely performed and that she is one of only a few surgeons in the Toledo area who have the specialized training necessary to perform the procedure using a robotic-assisted approach.

For more information on sacrocolpopexy or to schedule an appointment with Dr. Whittaker, please call Mercy Health – OB/GYN Associates Sylvania at 419-517-7600. Additional information on pelvic organ prolapse can also be found at AUGS.org, the website of the American Urogynecologic Society. ❦

Built on 34 wooded acres, Ohio Living Swan Creek offers resort-like living in the heart of the city. There are walking trails through the woods, plenty of places to exercise and ride a bicycle or simply take the opportunity to sit back and enjoy the pleasures of life.

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T

he greatest discovery related to human nature is that your life only becomes a great life when you clearly identify what it is you want, make a plan to achieve it, and then work on that plan every single day.

My first self discovery was that I was responsible for my life and for everything that happened to me. I learned that this life is not a rehearsal for something else. Like Coca-Cola, this is the real thing.

In every study of successful people, the acceptance of personal responsibility seems to be the starting point.

Before that, nothing happens. After you accept complete responsibility, your whole life begins to change.

The second turning point in my life came when I discovered that you can learn anything you need to learn to accomplish goals you set for yourself. No one is better than you; no one is smarter than you.

All business skills, sales skills, and moneymaking skills are learnable.

Create smart goals using the S.M.A.R.T. goal-setting technique.

S.M.A.R.T. is an acronym, giving criteria to guide in the setting of objectives such as personal development and project management. The first known use of the term was in the November 1981 issue of Management Review by George T. Doran. The principal advantage of S.M.A.R.T. objectives is that they are easier to understand and to know when they are done. The letters S and M generally represent Specific and Measurable. The most common version had the remaining letters representing Achievable, Realistic, and Timely.

Specific Make your goal specific and write it down. Having a vague goal like “I want to earn more money” is worthless.

Measurable 5916 Cresthaven Lane | Toledo, Ohio 43614 20 March 2019 | Healthy Living News

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Establish concrete criteria for measuring progress towards the attainment of each goal you set.

When you measure your progress, you stay on track, reach your target dates, and experience the exhilaration of achievement that spurs you on to continued effort to reach your goal. To determine if your goal is measurable, ask questions such as how many and how much.

Achievable When you identify goals that are most important to you, begin to figure out the ways you can make them come true. You develop the skills, attitudes, and financial capabilities to reach them. You can attain any goal you set when you plan your steps wisely and establish a time frame that allows you to carry out these steps.

BEHAVIORAL HEALTH Life is Waiting...

Mental Health and Substance Use Treatment

Realistic To be realistic, a goal must represent an objective toward which you are both willing and able to work. Your goal is realistic if you truly believe that it can be accomplished. An additional way to know if your goal is realistic is to determine if you have accomplished anything similar in the past, or ask yourself what conditions would have to exist to accomplish this goal.

Timely A goal should be grounded within a time frame. With no time frame tied to it, there is no sense of urgency. A goal must have a deadline providing you the necessary sense of focus and urgency to make it happen.

The S.M.A.R.T. goal-setting process is not a rigid five-step process.

Rather, it is a checklist to ensure that the sentence you have written summarizing your goal meets all of the above five criteria. You can run through the steps in any order; the best for you may be M.A.T.R.S. The most important part of the process is to define your measures. You need to know how you’ll recognize that your goal has been achieved.

Dan Jachimiak is a life coach and lifeskills trainer working with teens, young adults, and adults in the Toledo area.

He can be reached at 419-787-2036. ❦

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Inpatient, outpatient and partial hospitalization programs Inpatient: • Acute psychiatric hospitalization • Rehabilitation • Detoxification • Dual diagnosis • Chemical dependency Outpatient: • Intensive outpatient • Partial hospitalization

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Model representations of real patients are shown. Actual patients cannot be divulged due to HIPAA regulations.

Healthy Living News | March 2019 21

The Manor at Perrysburg expands care continuum with counseling services

R

ecognizing a growing demand for counseling services among people entering skilled-nursing facilities, HCF Management recently partnered with EncompassCare to fulfill this need in all the organization’s area communities, now including the Manor at Perrysburg as well as facilities in Bowling Green, Fostoria, and Findlay.

Mike Kasperczyk, MA, LPCCS,

LPSC, Director of Social Services for EncompassCare, explains, “This population is greatly underserved with respect to mental health. In fact, over 60 percent of people coming into skilled-nursing facilities have some sort of mental illness, and often the problem is undiagnosed. We were already providing physical, occupational, and speech therapy at HCF facilities, and we’re pleased

to expand our offerings to include social services and mental health counseling.”

Kasperczyk notes that in keeping with the Manor at Perrysburg’s philosophy of providing person-centered care, EncompassCare is focused on developing treatment plans tailored to each individual’s unique needs, goals, values, and capabilities. Furthermore, treatment with drugs is

COUNSELING SERVICES FOR COUNSELING SERVICES FOR OPTIMAL RECOVERY OPTIMAL RECOVERY Reaching your short-term rehab goals can be more than just Reaching short-term rehab goals canobstacles be more as than just a physicalyour challenge, it can bring mental well. a physical challenge, it can bring mental obstacles as well.

EncompassCare’s professional counselors at The Manor at EncompassCare’s professional at The Manor Perrysburg can help you reach counselors your recovery goals with at a Perrysburg can help you reach your recovery goals with a variety of counseling techniques customized for you. variety of counseling techniques customized for you.

Many patients experience anxiety when going through

Many patients experience anxiety when going through rehab, our counselors can help improve symptoms through: rehab, our counselors can help improve symptoms through:

• • • • • • • • • • • • •

Guided Imagery Imagery Guided Breathing Techniques Techniques Breathing Desensitization Desensitization Calming Techniques Techniques Calming Family Involvement Involvement for for Encouragement Encouragement Family Improve Positive Self Talk Cognitive Behavioral Therapy Social Engagement

avoided unless all non-pharmaceutical interventions have been exhausted, and patients are given the least restrictive diagnosis possible. “We never want to label patients with a diagnosis that might cause them more harm than good,” he adds.

A care referral is needed to connect patients with counseling services, and the form can be submitted by the patient or anyone on staff. Once a referral is received, Kasperczyk’s team coordinates with a social worker to get a physician’s order for treatment and then meets with the patient.

However, they avoid delving into the mental health concern during the first meeting. “Discussing the mental health issue right away can cause patients to think we’re questioning their sanity or that we’re going to put them on medication right away, so we don’t lead with that. We use that initial conversation to introduce ourselves, find out what’s important to the patient, and begin to build a relationship,” says Kasperczyk.

Treatment plans are highly individualized and, whenever possible, incorporate the patient’s interests and aptitudes. For example, if the patient has a strong background in education and enjoys knitting, treatment could involve teaching a small class of fellow residents how to knit.

Instructing others in this manner not only allows patients to work on their socialization skills while enjoying a favorite activity, but also encourages them to open up much more than they might in a more traditional counseling environment. “Mental health care today doesn’t necessarily mean what it used to mean.

It’s not about lying on a couch and interpreting dreams. Our approach draws on patients’ strengths and interests to help them achieve their goals,” Kasperczyk states.

It’s also noteworthy that the goals pursued in treatment are determined by the patient, not the counseling team. “For instance, if someone wants to work on their motivation for physical or occupational therapy, we’ll make that our focus. But if they don’t want to work on something, we’re not going to go there. Also, we think honest, open dialogue is best and offer patients full access to all n

22 March 2019 | Healthy Living News

Counseling - continued on p24

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Training for a 5K run

by Amanda Manthey

A

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

8

minute, and then alternate during your workout. Eventually, you will be able to run continuously.

• Give 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 workout as well as stretching.

• Wear a well-designed running shoe that fits properly. Stop by Dave’s Performance Footgear, which specializes in running shoes, for an assessment of your needs and a personalized fit.

• Talk with your doctor before training for your 5K. Amanda Manthey is a former collegiate runner for Eastern Michigan University.

She writes about running and fitness for Dave’s Performance Footgear. ❦

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Bring in this coupon and get • Social events to meet other runners • Weekly training emails explaining each week’s workouts as well as useful running and training tips

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Mon Tues Wed Thu Fri 15 min off 15 min off 15 min 15 min off 20 min off 15 min 20 min off 20 min off 20 min 20 min off 20 min off 20 min 25 min off 20 min off 25 min 25 min off 30 min off 25 min 30 min off 25 min off 30 min 30 min off 30 min off 30 min 3 miles off 3 miles off 3 miles 3 miles off 4 miles off 3 miles 4 miles off 4 miles off 4 miles 4 miles off 4 miles off 1 mile

Sat 20 min 25 min 30 min 30 min 35 min 40 min 45 min 45 min 4 miles 4 miles 5 miles 5K race

Sun off off off off off off off off off off off off

Don’t miss Dave’s races!

Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Running Shop. For more information, including any applicable fees, please visit davesrunning.com.

DAVE’S SPRING 5K TRAINING PROGRAM Monday, March 4–Sunday, April 28, 2019, at Dave’s Performance Footgear, 5700 Monroe St. in Sylvania, Ohio. Our popular 5K training program is back for this spring! You want results? We’ll get you results!

With over 80% of our participants getting PR’s the last few years, the results speak for themselves!

We will design a program for you to train in a group setting that motivates and inspires you, so come race day you’re ready to rock! Our 7-daya-week, 8-week training program includes group runs on Wednesday evenings at Fallen Timbers and Saturday morning training runs at a local metropark.

PACKO’S PANTHER 5K RUN/ WALK WITH FREE $5 PACKO’S GIFT CERTIFICATE Sunday, March 10, 2019, 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 15, 2019, 8:00 p.m. at the Blarney Irish Pub, 601 Monroe St., downtown Toledo.

We’re celebrating St. Paddy's Day, so come dressed in as much green as you can find. This year we're doing it at night, complete with glow sticks, green lighting, and more. 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.

MARCH MAYHEM & BG AFTERPROM 5K Saturday, March 23, 2019, 8:30 a.m. (BG AFTERPROM 5K at 8:45), at 801 N Mercer Rd., Bowling Green, Ohio. Come run Triple M with us and test your training. A fun, lowcost race as a barometer for your spring marathon. Choose from several distances, ranging from 5K to 15 miles.

X&A 5K Sunday, March 24, 2019, 2:00 p.m. (kids 1K fun run at 1:45 p.m.) at 208 N. East Ave., Deshler, Ohio.

The month of March not only represents the celebration of Xavier’s 18th birthday but also the first anniversary of Xavier and Aidan’s entering into eternal life on 3/21. The 3.21 run commemorates this date.

Please join us in this community event to run the streets of Deshler, on roads they ran repeatedly over the years, in celebration of their lives. The 3.1-mile race begins and ends at Pirate Park with all proceeds earned going towards improvement projects at Pirate Park.

OTTOVILLE BIG GREEN BOOST UP Saturday, March 30, 2019, 11:00 a.m. (Kids Fun Run at 10:30 a.m., Walk the Block at 8:30 a.m.) at 650 W. Third Street, Ottoville, Ohio.

Proceeds to help Ottoville students with individual education needs.

Healthy Living News | March 2019 23

Cures for Senioritis

by Jim Oedy

F

or the better part of the last 40 years, my wife and I have been senior-housing owners and senior advocates, and in the past two decades, we have seen a dramatic growth in senior-housing options and services. Although having more options may seem like a positive change, we have found that too many options and excessive amounts of information can be confusing and leave seniors feeling overwhelmed—a state we describe as “Senioritis.”

Several years ago, we began using our ballroom at Genesis Village for presentations and events, not only for the benefit of our residents, but also for local seniors and their families. These presentations include informational seminars from the VA on the new veterans aid and attendance benefits and the Better Business Bureau’s tips

on avoiding scams that target seniors.

We also began GriefShare sessions, which help seniors work through the grieving process from losing a loved one and avoid unhealthy behaviors such as isolating themselves and leading a sedentary lifestyle. Additionally, we have hosted senior interactive discussions such as “Inside Tips on Picking the Right Senior Living Options” to help educate seniors and their families and give them the tools to make informed decisions.

In our experience, most seniors and their family do not know what questions to ask or even understand the review process and what options are available to them when it comes to senior-housing options. As a result, we have seen many seniors postpone making these important decisions and end up with rushed, uniformed decisions that are not always in their best interest. We believe in empowering seniors and

having them play an active role in the decision-making process.

These programs are designed to be informative in nature with an opportunity for interactive follow-up so seniors can understand their options and make the big life decisions that are right for them with confidence. One of our main goals as a community is to use our knowledge and experience, along with our amenities, to add life to the years of Genesis Village residents as well as local seniors.

If you would like to know more about our partner presentations or have questions, please feel free to call Genesis Village at 419-720-1286 or stop by for a tour of our five-time 5-Star senior community at 2429 S. Reynolds Road in Toledo, Ohio. We look forward to serving you.

Jim Oedy is president and co-owner of Genesis Village. He and his wife, Cheryl, have been married since 1978 and have three married daughters and nine grandchildren. Jim is also the founder and president of YES FM Christian Hit Radio Network, as well as the Founder and music leader of the Side By Side Band, which ministers to nursing and retirement centers throughout Northwest Ohio. ❦

Counseling - continued from p22 documentation,” says Kasperczyk.

Family involvement is welcome and encouraged because patients in skilled-nursing care can experience a wide range of changes and emotions and need the support of loved ones, especially when first entering the facility or transitioning from a short-term stay to long-term care.

However, families participate in the mental-health treatment process only if the patient provides written consent, and the treatment team will not disclose to family members the reason for treatment without the patient’s permission.

Short-term residents who have been discharged from The Manor at Perrysburg or another area HCF facility have the option of continuing to receive counseling services from EncompassCare at home. “Returning to the home environment after receiving 24/7 care involves a lot of re-acclimation and adjustment, and we’re happy to help them through that challenging period,” Kasperczyk remarks.

n

CARE

that embraces all of you.

For more information about the counseling services available at The Manor at Perrysburg and other HCF facilities, please call 419-874-0306. ❦

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.

We’re strong. We’re committed.

And we’re confident in the future.

Visit utmc.utoledo.edu to learn more.

1 24ad_healthyliving_0219_half.indd March 2019 | Healthy Living News

2/18/2019 4:42:57 PM We love feedback. Like us on Facebook. Follow us on Twitter.

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Healthy Living News | March 2019 25

relationshipsandtobreak DarlaMcCartyat Is it normal t h e c y c l e o f a m i l y v i o l e n c e . aging or springhas dementia?

419-24 sprung -3053ext.2 1 Formoreinformationabout T dmc arty@fcapc.org programsandservicesplease cal theagencyat 419-24 -3053,vis tuson FamilyandChildAbusePreventionCenter F a c e b o k o r g o t o u r w e b s i t e isa501(c)3non-profitorganization atw w.fcapc.org Fol owusonTwit er

EATING WELL National Nutrition Month and food insecurity

he news surrounds us daily regarding the latest Alzheimer ’s facts and its growth as baby boomers move into their golden years:

Leave your worries behind and discover St. Clare Commons. Our memory care and assisted living suites offer exceptional amenities in a beautifully designed setting including a coffee shop, executive chef prepared meals, weekly happy hour, piano lounge and more!

For a personalized tour any time, call 419.931.0050.

Ask about our move in specials!

St. Clare Commons

Assisted Living Memory Care Rehabilitation Skilled Nursing 12469 Five Point Road | Perrysburg, Ohio | homeishere.org

• One in 10 Americans over the age of 65 has Alzheimer’s.

• One-third of Americans over age 85 are afflicted with the illness.

• In Ohio alone, over 210,000 individuals are living with Alzheimer’s, and it will grow to 250,000 by 2025.

As we age, many of us become a little more forgetful. You may worry that these things are early signs of dementia. For most people, these changes are the result of normal aging.

The following chart is not a diagnostic tool; it provides a few of the differences between normal aging and dementia. Information was gathered from the Alzheimer’s Association (www.alz.org) and Alzheimer’s Society (www.alzheimers.org.uk), both of which offer an abundance of resources.

If you have concerns for yourself or a loved one, you should always consult your family doctor or a healthcare professional.

NORMAL AGING

DEMENTIA

Making a bad decision occasionally Missing a monthly payment Sometimes forgetting which word to use Misplacing things from time to time

Poor judgement and decision-making Inability to manage a budget Difficulty having a conversation

Help Make EveryMake Home aEvery Safe Home Help Home a Safe Home by joining us atby joining us at

Help

by Laurie A. Syring, RD/LD

Forgetting the food on the stove the meal is over Help Make Every Home a Safe until Home Sometimes forgetting people’s names Family and Abuse Center’s Make Every Home aChild Safe Home Family and Child Abuse Prevention Center’s by joining usPrevention at or appointments but remembering 19th Annual Spring Luncheon 19th Annual by joining us Spring at Luncheon them later

Family and Child Abuse Prevention Center’s Friday, May 3rd, 2019 Friday, May 3rd, 2019 Family and Child Abuse Prevention Center’s 19th Annual Spring Luncheon Being a bit slower to react or think

Inverness ClubInverness Club 19th Annual Spring Luncheon things through 4601 Dorr Toledo, OH 4601 Dorr Friday, St., Toledo, OH St., May 3rd, 2019 Having a bit of trouble finding the Friday, May 3rd, 2019 Inverness Club right word sometimes 11:30 a.m. registration Inverness Club 11:30 a.m. registration 4601 Dorr St., Toledo, OH 12:00 – 1:30 p.m. luncheon, program & raffle

Misplacing things and being unable to retrace steps to find them Forgetting that the meal was prepared Forgetting the names of close friends or family, or forgetting recent events, for example visitors you had that day Getting very confused when planning or thinking things through Having frequent problems finding the right word or frequently referring to objects as “that thing” Losing track of the date, season, and the passage of time Getting unusually sad, anxious, frightened, or low in self-confidence Your relatives are worried about your memory, but you are not aware of any problems

12:00 –St., 1:30 p.m. luncheon,OH program & raffle 4601 Dorr Toledo, Ticket price $100 each Getting confused about the day or Ticket price $100 each *Advance required the week but figuring it out later a.m. purchase registration 11:30 To purchase individual *Advance purchase required To purchase individual 11:30 a.m. registration raffle 12:00 – 1:30 p.m. luncheon, program & tickets or become a Sometimes feeling a bit low or anxtickets or become a – 1:30 p.m. luncheon, program raffle 12:00 price $100 each Ticket & Corporate Sponsor ious $100 each Ticket price Corporate Sponsor *Advance required Topurchase purchase individual tickets or Event become a Corporate Sponsor, To individual We work to promote healthy sponsored in part by: purchase please contact You areand worried about your memory, purchase individual to promote healthy relationships Event sponsored inat part419-244-3053 by:required We work to break please contact please contact McCarty ext.221 tickets or become a at Darla*Advance Darla McCarty but your relatives relationships and to break come aCorporate the cycle of family violence. are not Darla McCarty atext. 221 dmccarty@fcapc.org Sponsor 419-244-3053 information about the cycle of family violence.

For more ponsorplease419-244-3053 We work to promote healthy Event sponsored in part by: ext.

221 contact dmccarty@fcapc.org For more information about programs andand services please We work to promote healthy Event sponsoredEvent in partsponsored by: ct in part by: relationships to break Darla dmccarty@fcapc.org McCarty at programs and services please call the agency at one has been diagnosed with Alzheimer’s or another relationships and to break If you or a loved the cycle of family violence. rty at 419-244-3053, visit us on call the agency at 419-244-3053 ext. 221 the cycle of family violence. form of memory impairment, St. Clare Commons Memory Care is there to For more information about 3 ext. 221Family and Child Abuse Prevention Center or services gowith to our website 419-244-3053, visit usFacebook on For more information about dmccarty@fcapc.org assist its personalized approach that focuses on who each person is and programs and please is aFamily 501 (c)3 non-profit organization and Child Abuse Prevention Center capc.org at www.fcapc.org programs and services Facebook or go to ourplease website

call the agency at the value each person holds. It is a holistic, person-centered approach to care.

Follow us on Twitter call the agency at419-244-3053, at www.fcapc.org visit us on Focus is on the advanced care necessary to meet the challenges of those us on Family and Child Abuse Prevention usviolence. onFacebook Twitter We work to promote healthyCenter relationships and to break the419-244-3053, cycle of Follow familyvisit or go to our website experiencing some form of memory loss. Each private suite is designed use Prevention Center is a 501 (c)3 non-profit organization Facebook or go to our website ofit organizationFor more information about programs and services, please call the agency at at www.fcapc.org with the philosophy that this is home. Outside each suite is a personalized at www.fcapc.org 419-244-3053, visit us on Facebook or go to our website at www.fcapc.org Follow us on Twitter memory box that offers a window into the life of the person with items that Follow us on Twitter Follow us on Twitter is a 501 (c)3 non-profit organization

Family and Child Abuse Prevention Center is a 501 (c)3 non-profit organization.

26 March 2019 | Healthy Living News

stir happy moments and remembrances of his or her life. n Normal aging - continued on p27

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

M

arch has been designated National Nutrition Month®—an annual campaign created by the Academy of Nutrition and Dietetics to promote and increase awareness of nutrition and to stress the importance of making informed food choices.

Over the years, themes for this month-long observance have included “Enjoy the Taste of Eating Right,” “All Foods Can Fit,” “Eat Right America,” “Bite into a Healthy Lifestyle,” etc. However, for 2019, instead of a catchy phrase, the Academy simply chose “March is National Nutrition Month” as the theme, honoring the campaign in its own right.

Being a dietitian by profession, I’m pleased that Registered Dietitian Day is also celebrated during National Nutrition Month. This commemoration is intended to increase awareness of registered dietitians as the indispensable providers of food and nutrition services and to recognize their commitment to helping people enjoy healthy lives—something I strive to achieve not just through my role as Clinical Nutrition Manager here

at ProMedica Flower Hospital, but also through this monthly column.

This month, let’s delve into a deep topic that affects a large number of Americans—food insecurity. People are considered food insecure when they lack consistent access to enough food for an active and healthy life.

In some cases, people who are food insecure get enough calories in their diet but the quality, variety, and desirability of their food is lacking.

We often see this latter scenario in so-called food deserts—typically urban or rural areas where the closest supermarkets are located prohibitively far away and the nearest food options tend to be highly processed, high-calorie convenience items with little nutritional value.

In any case, hunger and excessive body weight are related and affect millions of adults and children. In the US, nearly 12 percent of households are food insecure and nearly 16 percent of households with children are food insecure. That equals about 40 million Americans living in food-insecure households. Kids in these homes can be profoundly affected. Studies show that children

HEALTH CROSSWORD

by Myles Mellor • ilovecrosswords.com • Answers on page 30

ACROSS 1 Bile producing organ 4 Pathogenic bacterium 8 Yes, in French 9 Primitive style of diet 10 Caring profession 11 Source of vitamin D 12 Swollen, as veins 14 ___ cherry 15 Test facility 16 "Shucks!"

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20 Nurse, for short 21 Pig's home 22 Clenches the teeth and wears them down

26 Describing exercises which help breathing and circulation 27 Vichyssoise vegetables 28 100% 30 Backbone 31 Thumbs down vote 32 Familial address DOWN 1 Pancreatic enzyme 2 Spanish city known for its oranges 3 Potato, carrot or radish for example, 2 words 4 Some supplements

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who don’t have access to enough nutritious food are more likely to have behavior issues and develop chronic health problems.

What factors appear to underlie food insecurity in America? Poverty and unemployment are key drivers.

Households led by a single parent are also at risk. As a result of these driving forces, individuals often choose less expensive, calorie-dense foods that do not provide the nutrients they need.

This can lead to overweight, nutritionally deprived children and adults.

If you or someone you know is struggling with food insecurity, there are a number of resources that can help, including the National School Lunch Program and the School Breakfast Program, WIC (Women, Infants, and Children supplemental food and education program), the Summer Food Service Program, and SNAP (Supplemental Nutrition Assistance Program). There are also many local services, programs, and churches that offer assistance to food-insecure people in our community.

As we focus on nutrition this month, keep in mind that choosing healthy food and getting enough physical activity can make a real difference in your health. Consider National Nutrition Month an opportunity to make informed food choices and develop healthy eating habits that last a lifetime. This doesn’t have to be complicated or expensive.

Whenever you’re planning meals, just think about the different food groups and make selections accordingly.

If you need little guidance, Crossword by aMyles Mellor 1

2

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visit www.eatright.org. This website includes articles, recipes, videos, and educational resources for people of all ages, genders, and backgrounds.

Laurie Syring, RD/LD, is Clinical Nutrition Manager at ProMedica Flower Hospital. ❦ n

Normal aging - continued from p26

A beautiful, enclosed, secure outside memory garden at St. Clare Commons allows for walks in the sun. An exclusive dining room and activity center allows residents to interact with caregivers and others in a private environment. Residents enjoy the freedom to move about in their own, secured wing while remaining safe as they do so under more intensive personal care and closer supervision.

Residents enjoy chef-prepared meals and snacks, planned recreational and activity programs, access to beauty and barber services, a beautifully appointed chapel with religious services, and more.

Located in Perrysburg on 12469 Five Point Road just minutes from Levis Commons, 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 419-9310050. Go to www.homeishere.org for more information. Follow St. Clare Commons on Facebook. ❦

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Healthy Living News | March 2019 27

Connect with our advertisers via our online issue at www.hlntoledo.com

Across

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Popularity of CoolSculpting heats up as winter winds down

W

ith the first subtle hints of spring in the air—and tax returns just beginning to appear in our mailboxes—there’s no time like the present to take advantage of state-of-the-art fat-removal techniques so you can look and feel your best for the upcoming bathing-suit season, which is closer than you think.

Among the various fat-removal procedures offered, one of the most popular is CoolSculpting. This procedure involves externally treating areas of stubborn fat with low temperature to destroy the fat cells, which are then cycled out of the body naturally, and its popularity is easy to comprehend. Dr. Wade Banker of Luxe Laser Vein & Body Center explains, “CoolSculpting has a distinct advantage over other forms of fat removal in that it’s completely non-invasive, requires no recovery time or downtime, and is quick, easy, and painless. While it may not remove as much total fat as some procedures, for example liposuction, it does remove a good amount of fat,

especially given the trade-off that it’s non-invasive.”

Another advantage that CoolSculpting has over other forms of fat removal is its price tag, which is very affordable, even for those on a relatively modest budget. Whereas liposuction can cost upwards of $4,000, Luxe Laser normally offers CoolSculpting for just $750. Making the price even more attractive, Luxe Laser is currently discounting the price of the procedure by 30 percent—just $525 per application, or cycle. “No minimum purchase or package is required to get this sale price. The maximum discount applies to even just one cycle,” says Dr. Banker. “Also, you can get as few or as many cycles as necessary to reach your personal goals, and the procedure can be repeated on the same area to achieve the desired result. In addition, treatments can be spread out over time, so you can pay for a few cycles now and a few more a couple months later to get the results you’re seeking while maximizing cost savings.”

Dr. Banker emphasizes that, while CoolSculpting is very popular, commonly making headlines, and widely available, it’s important to have this procedure performed in a physician’s office where other forms of fat-removal are offered as well. This ensures that patients are getting an honest assessment of whether CoolSculpting is the most appropriate choice for their needs. “A physician who performs several different forms of fat removal might advise you that liposuction or another form will benefit you more or cost you less money in the long run. Here at Luxe Laser, we offer both non-invasive and minimally-invasive fat-removal procedures in addition to tummy tucks and fat transfer, and we will always point you toward a procedure that will align most closely with your goals,” he says.

Consultations for CoolSculpting and other fat-removal procedures are always free at Luxe Laser Vein & Body Center. For more information, please call 419-893-2775 or visit luxe-laser.com. ❦

Urogynecology - continued from p5 So he emphasizes that women should seek a physician who is compassionate and respectful so as to provide what they need without pushing them into surgery or another form of management that they may not be comfortable with. “At ProMedica Urogynecology and Reconstructive Pelvic Surgery, the bottom line is that we’re here to help patients and give them what they truly need. We genuinely provide personalized care to every patient we treat,” he says.

To help empower more women in our community to take control of their pelvic health, ProMedica is hosting two Girl Talk seminars. Dr. Zoorob and other experts will be on hand to discuss and answer questions on a wide range of topics, such as pelvic pain, incontinence, pelvic organ prolapse, and the role of physical therapy in promoting pelvic health.

The first Girl Talk will be held on Thursday, April 4 from 6:00 to 8:00 p.m. in Perrysburg at the Holiday Inn Express at Levis Commons, and the second will be on Thursday, April 11 from 6:00 to 8:00 p.m. in Sylvania at Flower Hospital, Conference Room VEINthe & BODYLake CENTER Park entrance). Girl E (near Talk is a free seminar for women only.

Register at promedica.org/girltalk. ❦ n

OUR SERVICES, YOUR RESULTS.

VEIN & BODY CENTER

Do you want to host a Botox party or cosmetic medicine learning event at Luxe?

We can do that! Call us for details.

Permanent Fat Removal · Smart Lipo · PrecisionTx Chin Lipo · Coolsculpting · Tummy Tuck/Mini Tuck Breast Augmentation Rejuvenation and Skin Perfecting · CO2 Fractional Laser Resurfacing · Madonna Eye Lift · Micro-Needling · Laser Lift · Chemical Peels · IPL · Laser Facial · Dermaplaning · Microdermabrasion Laser Pigmentation Correction · Rosacea · Spider Veins · Birthmarks · Any Discoloration Laser Hair Removal Tattoo Removal

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VEIN & BODY CENTER

1500 Holland Road, Maumee | 419.893.2775 luxe-laser.com 28 March 2019 | Healthy Living News

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Seniors: see what awaits you behind the gates of Sunset’s Indian Road campus

N

estled in a serene, wooded setting in the heart of Ottawa Hills is one of our region’s best-kept secrets— Sunset Retirement Communities’ Indian Road campus. Home to Sunset House and The Woodlands at Sunset House, the campus offers a full range of living options and care levels to area seniors who wish to be part of a vibrant, enriching community.

Sunset House provides several options for assisted living as well as on-site long-term care and therapy services for residents who need them.

“Also, as residents’ needs change and they require a different level of care, we can quickly evaluate their needs and provide an appropriate living arrangement,” says Gayle Young, Director of Marketing, Communication and Public Relations for Sunset Retirement Communities.

The assisted-living options at Sunset House include studio and one- and two-bedroom apartments.

Most have been updated with modern, high-quality finishes and appliances. A second phase of renovation in Sunset Hall involved refreshing the rooms by installing showers in bathrooms, removing old wooden built-in storage units to provide more flexible floor space, adding new paint and carpeting, as well as updating the common areas and hallways.

However, Young emphasizes that all these upgrades in no way impacted the historic allure of Sunset House.

“Much of what makes Sunset House unique was maintained to reflect its storied past,” she explains. “The stately Victorian manor, which opened its doors in 1930, offers a certain charm and elegance to support a vibrant lifestyle. Residents are surrounded by antiques and rich history, complemented with modern finishes and amenities, so it’s the perfect blend of old and new!”

This innovative blending of modern and historic serves to further enhance the warm, home-like atmosphere at Sunset House. In fact, providing an environment that feels like home to residents and their loved ones is a high priority at Sunset. As Young points out, residents are encouraged to bring their own belongings and furnishings so they can create a personalized living space that’s a reflection of who they are. “Residents also have access to ample spaces for

entertaining friends and family, reading a book, playing cards or a board game, discussing current events, or even practicing piano. Also, just like at home, you can grab a snack or meal when you want, and there are plenty of scheduled activities to fill your day.” Adding to the cheerful, life-affirming environment, Sunset House welcomes cats and dogs and offers a connection to nature in the form of aviaries and aquariums.

Seniors who are seeking a luxury, independent lifestyle will find all they’re looking for and more at The Woodlands at Sunset House. The Woodlands offers residents their own private living space in a one- or two-bedroom apartment, featuring a wide range of amenities and safety features. Their favorite furnishings and cherished possessions add the finishing touches to make their new living space feel even more like home.

Residents of The Woodlands leave behind housekeeping, lawn care, snow removal, home repairs, and all the other worries and costs associated with private homeownership. What they gain is a carefree lifestyle with an attentive staff that is dedicated to their happiness and well-being. “Not to mention, The Woodlands’ dinner menu rivals the best restaurants in town!” Young says.

In addition to all the comforts and amenities, Woodlands residents soon discover that the community offers ample opportunities to stay active and engaged. “The Woodlands is a place to focus on the things you love—being active, pursuing interests, and sharing companionship with friends, families, and neighbors. We pride ourselves on creating a lively and fun community for our residents to enjoy. Our residents often tell us they wish they’d made the move sooner,” states Young.

Of course, independent living at The Woodlands is just the beginning of the continuum of care offered at Sunset. As residents’ care needs change, appropriate services will be available to accommodate them, whether they require assisted living, skilled nursing, memory support, respite care, rehab, or hospice and palliative care. If seniors aren’t certain which level of care is best for their needs, the very knowledgeable staff n

Sunset - continued on p37

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The Sisters found things for me to do, and in the process, I became he older I get, the more Iâ&#x20AC;&#x2122;m fas- aware of the needs that the older cinated by the warp and woof of Sisters had for someone to be around life experiences. Good and bad, happy them who could listen to their stories and sad, beautiful and ugly, all these and share quality time with them.

I had grown up around my materparadoxes, these dualisms, become less and less clear and life becomes nal grandmother before I went to the more complexâ&#x20AC;&#x201D;and yet in some ways convent and found I really enjoyed simpler. The complexity stems from being in the presence of older folks having to work so hard at keeping seem- and sharing life and stories with them. ingly distinct differences separate from I did go back to teaching third grade when I could, but each other. Trying to within two years, defend them takes To practice patience we need the peoI was studying more and more enple we donâ&#x20AC;&#x2122;t like. We canâ&#x20AC;&#x2122;t practice gerontology at ergy. When the lines patience with our friends or with the University begin to blur, when people who are kind to us. Finding of Michigan (Go a good deed is quespeople we donâ&#x20AC;&#x2122;t like or who threaten Blue!) and became tioned, when hapus is not so easy. So, when we finally the first administrapiness is squelched, find them, they are a precious treator of what is now when beauty is dissure! They are rare to find. When we known as Rosary torted, complexity meet them we can think, â&#x20AC;&#x153;Fantastic, Care Center. steps in. When simI get to practice patience now.â&#x20AC;?

My sorrow plicity takes over, +Thubten Chodron turned to joy. things become more Your sorrow will turn to joy.

My unhappiness universal and the +Jesus the Christ with teaching third ability to let in more Take everything evenly from the hand graders turned ideas and nuances of God. into joy when becomes freeing. +Meister Eckhart I found myself That has been my working with our experience, and it seems to be happening more and elder Sisters. Itâ&#x20AC;&#x2122;s not that I donâ&#x20AC;&#x2122;t more as I move along on this journey enjoy children; I love them. I just enjoy being around adults and the called LIFE. I have actually experienced sorrow elders more.

As I move along in life, I find myturned to joy several times in my life. I self trying to â&#x20AC;&#x153;take everything evenly broke my left ankle when I was trying from the hand of Godâ&#x20AC;? as Meister to skate on a frozen lake in Michigan in 1970 when a group of Sisters and I Eckhart suggests. The key word here were enjoying a break from doing report is â&#x20AC;&#x153;evenly.â&#x20AC;? The paradoxes and the cards. I was quite miserable teaching dualism fade away when I look at third grade and wasnâ&#x20AC;&#x2122;t aware of how I whatever comes along as just another could move into another ministry when part of the journey Iâ&#x20AC;&#x2122;m on, and my I broke my ankle, which has become life experiences do become precious treasures. I must admit I donâ&#x20AC;&#x2122;t treat my famous â&#x20AC;&#x153;sports injury.â&#x20AC;?

I spent a week or so in a hospital them all evenly, but that is my goal. in Ann Arbor, Michigan, where I had It seems to make so much more sense surgery, sported a huge cast on my because, after all, Jesus didnâ&#x20AC;&#x2122;t say that whole leg, and was in a lot of pain. my sorrow would be replaced by joy; The doctor told me I could go back to he said my sorrow will turn to joy. I the classroom to teach, but the Mother must do the turning. I must find the Superior at the time told me I had to precious treasures in my life and rejoice come back to the Motherhouse in Syl- when I have the grace to do so.

Blessings to you! vania. â&#x20AC;&#x153;What would the people think if they saw me in the classroom with that big cast on?â&#x20AC;? I was relieved that Sister Mary Thill is a Sylvania I wouldnâ&#x20AC;&#x2122;t go back to the classroom, Franciscan Sister. She is Patient Liaison but I wasnâ&#x20AC;&#x2122;t too happy to be going to for Mature Health Connections at Mercy Sylvania. What would I do there? I Health â&#x20AC;&#x201C; St. Vincent Medical Center. wasnâ&#x20AC;&#x2122;t sick. I just had a broken ankle. She can be reached at 419-251-3600. â?Ś

by Sister Mary Thill

: I need some help with my momâ&#x20AC;&#x2122;s cell phone. She is having trouble hearing using the cell phone and she now wears hearing aids. She doesnâ&#x20AC;&#x2122;t have a smart phone, so we arenâ&#x20AC;&#x2122;t able to be wireless. I was told by the audiologist what we could do and, honestly, I was overwhelmed. Could you please review cell phone use with hearing aids for those who donâ&#x20AC;&#x2122;t want a smart phone?

A

: Sure, I know many people may have the same question, so Iâ&#x20AC;&#x2122;ll be happy to list the cell phone accessories for the hearing aids. First of all, the FCC now requires that cell phones be compatible for hearing aids and meet strict guidelines to make it easier for hearing aid users to have a better experience with cell phones. The accessories and devices that connect to the phones can make the phones even more compatible with the hearing aids.

Most of the hearing aids have telecoils, and a number of cell phones are compatible and are able to connect through the telecoil. The telecoil is available in over half the hearing aids, which makes it easier to connect to assistive devices such as Bluetooth accessories, which can then send a signal to the telecoil through such things as a neck loop or ear hook silhouette.

The neck loop is a wire that connects to the hearing aid and is worn around the neck to the telecoil. The neck loop generates a magnetic signal that is amplified through the hearing aid via the telecoil. The ear hook silhouette is almost like the neck loop in that it is also able to create a magnetic signal that is recognized by the telecoil of the hearing aid, except it hooks over the ear.

It is beneficial for those who donâ&#x20AC;&#x2122;t have smart phones to use hearing-aid-compatible accessories for

many reasons. One benefit is you donâ&#x20AC;&#x2122;t have to worry about the distance between the hearing aid and phone, which decreases the ability for feedback to occur. Also, you have the benefit of using the cell phone hands free just like those who use smart phones and are able to drive and speak hands free.

Having said all this, I would encourage your mom to invest in the new technology of a smart phone. The advantages outweigh the disadvantages. Not only are you able to speak hands free and hear in stereo, but you can also adjust the volume of the hearing aids, change the direction of the hearing aid microphones, or even stream books on tape or music directly into the hearing aids.

Good luck, and please feel free to contact our office with any questions or concerns.

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). â?Ś Answers to crossword from page 27 1

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Check out Franciscan Care Centerâ&#x20AC;&#x2122;s Body, Mind and Spirit events happening in March!

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Save your baby’s sight!

by Carol Kollarits, MD, Cataract and Laser Institute of Maumee

N

ational Save Your Vision Month, celebrated each March, aims to increase awareness about eye care and encourages regular eye exams. This is a good time to remind all

parents to keep an eye on their child’s eyes.

It’s not uncommon for new babies to look as if their eyes aren’t working together. Don’t worry if both your baby’s eyes occasionally turn inward up to four months of age.

Do worry if just one eye always turns in for more

than the first two months or if just one eye tends to turn out after six months.

An eye doctor (optometrist or ophthalmologist) can tell if your baby needs glasses, surgery, or patching to prevent amblyopia (lazy eye). Amblyopia is estimated to affect two to three percent of US children, and untreated amblyopia is the most common cause of poor vision in 20- to 70-yearold adults.

Vision loss from am-

blyopia can be prevented with proper glasses and patching of the good eye.

These simple treatments are most effective before the child is five years old.

After age 12, treatment usually will not improve vision, and injury to the good eye may leave the affected person unable to drive or read.

How about that red eye in photos of your child?

That’s actually a sign of a healthy eye. If your child’s pupil is white, see your

Learn How To Live With Vision Loss We don’t change vision.

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eye doctor, pediatrician, or family physician immediately! A white pupil could be a cataract, which is treatable, or retinoblastoma, a fatal cancer that is almost always curable if diagnosed prior to one year of age.

Parents should also be aware of other less common conditions that could affect their child’s vision.

Leber ’s congenital amaurosis is a rare cause of blindness in otherwise healthy babies that is now being successfully treated with gene therapy. Babies with ocular albinism usually have jerky back-andforth eye movements called nystagmus. Stargardt’s disease, Best’s disease, and retinitis pigmentosa are rare conditions in which a child may initially have normal vision but then gradually loses vision in grade school or high school.

Your eye doctor will be able to refer your child for new treatments for these conditions once they are approved by the FDA. Babies born before the full nine months of a normal pregnancy can become blind from a condition called retinopathy of prematurity. Since preterm birth can be prevented in some at-risk groups with interventions in early

pregnancy, every woman should see her obstetrician-gynecologist (OBGYN) or family medicine physician as soon as she knows she is pregnant.

Laser treatments and injections of new drugs into the baby’s eyes can prevent blindness in many preemies.

While treatment options are advancing, not every condition can be prevented or corrected.

Fortunately, parents and guardians of children who are blind or visually impaired can find guidance from The Sight Center of Northwest Ohio. This trusted nonprofit offers programs and services that can help children face the unique challenges of living and learning with impaired vision. The hands-on activities, specialized instruction, daily living experiences, and community-based mobility training provided by the Sight Center instill confidence that leads to lifelong independence. The Sight Center can provide support, resource information, and recommendations for other services, and is also available to consult and attend a student's IEP meetings. Visit www.

SightCenterToledo.org or call 419-720-3937. ❦

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Extended hours

Appointments available same week

Most insurances accepted

Insulin pump clinics weekly

Would your loved one prefer a private room while they rehabilitate?

At Rosary Care, all of our spacious rooms are private and include bathrooms.

Discover Rosary Care Center – on the peaceful Motherhouse grounds of the Sisters of St. Francis of Sylvania.

• We offer skilled nursing services, therapy and rehabilitation for recovery following surgery, an injury or illness.

• Our team can help you evaluate your care needs.

• We are Medicare and Medicaid certified and accept most other commercial insurances.

• Long-term care and respite care are also available.

Visit us online at rosarycare.org Call for a tour today. 419.824.3600 jphillips@rosarycare.org

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Healthy Living News | March 2019 33

You’re never too old for Super Slow Training T

hough most of the clients currently taking advantage of the Super Slow Training method offered at TriggerPoint are in their 40s, this evidence-based, time-efficient exercise solution is gaining popularity among people of all ages—including individuals well into their senior years.

One such client is Peg Anderson, age 92. Anderson learned about Super Slow Training from an ad and article in Healthy Living News and decided to explore the program further. So she came to TriggerPoint, tried it out, and was immediately impressed. “I thought, ‘This is great! I need to keep doing this!” she recalls.

At that time, Anderson was beginning to have difficulty managing the stairs outside her home and wasn’t sure whether she would be able to continue living there. She had even purchased two canes to help her navigate the stairs. However, after just a handful of Super Slow Training sessions, she began to notice a positive change. “I could tell a difference after doing the program once a week

for just three weeks. I realized I was getting stronger and could go up and down those stairs without much effort whereas I struggled before. So I said I’m never going to quit this. I’m still not using either of those canes, and I attribute that to coming to TriggerPoint and making my muscles stronger,” she says.

Tr i g g e rPoint owner Russ Wakefield explains that Super Slow Training involves lifting and lowering weights at a very slow rate, keeping consistent tension on the muscle throughout its whole range of motion. High-tech monitors on the

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34 March 2019 | Healthy Living News

specially designed Super Slow Training equipment help clients maintain the proper form, technique, and tempo during workouts. This method differs from conventional strength-training techniques in that there is no fast momentum to help do the work for you.

Though s l o w, t h i s technique is intense, really working Lutheran Homes Society is nowthe Genacross Lutheranmuscles.

Services It’s also very safe, For more than 150 years, Lutheran Homes withlifehighly Society has been ready to help when presentsexchallenges and opportunities. Toperienced better reflect and the diverse populations we now educated serve, we’re trainchanging our name to Genacross Lutheran ers working Services. Through our youth services, affordable one-on-one housing, home health, community services, clients and senior living options, we willwith adapt to meet the needs of people in and around northwest and monitorOhio. Moving forward as Genacross Lutheran ing and adjusting their every move.

Services, one thing will not change – our deep After this intense exercise stimulus, commitment to faithfully serving people of many the body recovers for seven days, different generations.

producing the desired results.

Ours is a busy, fast-paced society that allows us little time to focus on health and fitness, so TriggerPoint clients appreciate the fact that Super Slow Training demands no more than a half hour of their time once a week. In fact, the program can be completed over your lunch hour with no requirement to change clothes or shower afterward. What’s more, as you progress through the program and begin to see results you never thought possible, that weekly workout time may actually decrease.

Super Slow Training is considered a high-intensity workout, but that should not discourage anyone from participating as long as they have their physician’s approval. Wakefield notes that clients of all ages, backgrounds, personalities, and body types—even pregnant women—can participate in and benefit from this time-efficient program. Anderson has certain physical challenges, including arthritis in her shoulder, but she says that her trainers at TriggerPoint are fully aware of her age and limitations and are careful to modify her program accordingly.

Asked what she would tell others WOLF CREEK CAMPUS in her age group about Super Slow (Formerly Lutheran Village at Wolf Creek) Independent Living Training, Anderson states, “You are GenacrossLutheranServices.org Assisted Living never too old for this. If you have Independent LivingCare Nursing Care • Respite physical limitations, the trainers Living ShortAssisted Term Rehabilitation will help you work around them.

Nursing Care • Respite Outpatient TherapyCare Short -Term Rehabilitation Remember, health problems are exOutpatient Therapy pensive and become more and more likely the older you get. You can’t just sit around reading magazines Independent and Living eating bonbons and expect to Assisted Living stay healthy.

Nursing Care • Respite Care You have to get moving Term Rehabilitation and keep Lutheran Village is Short Outpatient Therapy moving!”

Wakefield urges anyone who is whole new direction Aa Lutheran whole new direction Village is seeking a more efficient strength-traininwhole retirement living. retirement living. ain new direction ing and conditioning alternative—or is in retirement living.

It's neighborhood! simply tired of getting disappointing It’s aa neighborhood! resultsisfrom conventional workouts— Lutheran Village It's a neighborhood!

A community where residents follow Anderson’s example by a whole newto direction can add life to their years. in retirement living.TriggerPoint and giving Super calling A community where residents Slow Training a try. “This efficient, It's a neighborhood!

Independent available NOW. can add Living lifeCondos to their years.

Call 419-861-5616. evidence-based program might just A ofcommunity where residents Lutheran Village at Wolf Creek, a ministry Lutheran Independent Living Condos available NOW. be the exercise solution you’ve been Genacross Lutheran Services Homes Society in partnership with St. Luke’s Hospital. can add life to their years.

Call 419-861-5616. looking for,” he states.

Wolf Creek Campus Lutheran Village at Wolf Creek, a ministry Independent of Lutheran 2001 Perrysburg-Holland Rd. Living Condos available NOW. Homes Society in partnership Holland with St. Luke’s Hospital.Call 419-861-5616.

2001 Perrysburg Road Holland, OH 43528 Lutheran Village at Wolf Creek, a ministry of Lutheran 2001 Holland, Perrysburg-Holland Ohio 43528HomesRd. ForSt. an call Russ Wakefield Society in partnership with Luke’sappointment, Hospital.

419-861-2233 Holland, OH 435282001 Perrysburg-Holland Rd. at 419-536-0408.

TriggerPoint, located 419.861.2233 Holland, OH 43528 www.lhsoh.org 419-861-2233 at 2449 N. Reynolds Rd., is also on For more information, visit 419-861-2233 Facebook. ❦ www.lhsoh.org www.lhsoh.org GenacrossLutheranServices.org EQUAL HOUSING OPPORTUNITY

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Who cares?

by Chris Stieben and Megan Benner Senecal

H

ave you ever wondered why it seems like some paid caregivers in long-term-care settings truly care about our loved ones while others appear to be apathetic and rude?

Are our expectations of care out of line with the business model in long-term care, a model that warns against “enmeshment” or being “too close”?

Person-Centered Care is the new model by which facilities and paid caregivers are encouraged to practice. Federal regulations outline Person-Centered Care or Person-Directed Care, and these requirements task the facility staff with creating a plan of care that is consistent with the residents’ past preferences, new preferences, and any intimate physical needs. Once needs and preferences are outlined, even with the best intentions, paid caregivers’ ability to honor those preferences may be inhibited by other job-related tasks and time constraints.

Some paid caregivers make a point to develop a deep and meaningful caring relationship with their care recipient. These relationships are one of the main ways paid caregivers experience joy and fulfillment in their work. Some caregivers seamlessly recognize a resident’s routines and preferences and accommodate those needs within the framework of the time allotted and do it with a smile.

However, taking the time to develop a genuine caring relationship with residents can also put caregivers in “no-man’s land.” The caregivers may end up in overtime or may be unable to complete some of their everyday job tasks. After some time, the accumulated overtime or incomplete tasks may trigger a negative

response from their superiors by way of performance reviews and remedies. So, the question remains, what is the most integral piece of the caring puzzle? Is it completing assigned tasks or getting to know residents and developing a meaningful caring relationship?

Is there a happy medium when it comes to this issue? Can we (as consumers and providers) change our view of caregivers and allow them the latitude to connect within appropriate boundaries while enabling them to accomplish daily job-related tasks?

The first step may be to offer those at the facility level tools to facilitate meaningful caring relationships and recognize the strengths inherent in these relationships to the provision of care in the facility. A second step would be assessing job-related tasks and the hierarchy of workplace priorities and combining that knowledge with teaching and training aimed at successful time management. By allowing paid caregivers the time, ability, and support to develop a meaningful relationship with residents and demonstrate competence in work tasks, it is likely that they will continue to be engaged and invested in their work.

In the meantime, we need to expect excellent care that includes caregivers who truly connect with us and our loved ones. We need to magnify the skill set that is nursing and nursing assistants, and allow them to be close to us, celebrate with us, and grieve with us. It is good to be loved.

Christopher Stieben is Director of the ABLE Long-Term-Care-Ombudsman Program, which can be reached at 419259-2891 (http://ombudsman.ablelaw. org), and Megan Benner Senecal is a member of the Ombudsman office. ❦

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Healthy Living News | March 2019 35

Laurels rehab client keeps coming back for more!

Mary “MJ” Topolewski has chosen The Laurels of Toledo for outpatient rehab on three separate occasions— twice following total knee replacements and most recently after having her left hip replaced. What’s more, she’s already making plans for a fourth visit after she has her right hip replaced on March 6.

This level of loyalty is common among Laurels rehab clients. Once they work with the facility ’s friendly, dedicated therapists and utilize the state-of-the-art equipment in the therapy gym (such as the cutting-edge AlterG Anti-Gravity Treadmill), they tend to come back again and again for all their rehab needs.

Topolewski attributes her loyalty to The Laurels in large part to the rapport she has developed with the rehab staff over the years. “Every-

one here is so nice and so sweet to me,” she remarks. The therapists challenge her to work hard on her journey to recovery, but they also make the experience fun—and a lot of laughter can be heard in the gym during her rehab sessions.

For example, recognizing Topolewski’s love of coffee, the staff makes sure she always gets a cup and even printed out a “2019 Coffee Club Member” identification badge for her to wear. “We want to keep MJ as comfortable as possible while we help her achieve her rehab goals, so we feel it’s very important to provide this level of customer service to her and all our clients,” says Laurels certified occupational therapy assistant Terry Dehan.

Another element that (quite literally) keeps Topolewski coming back

to The Laurels again and again is the free shuttle service the facility provides to outpatient clients. She lives in a group home and is dependent for transportation, so this service makes it possible for her to continue making progress. “I also like the fact that the bus driver plays country music on the radio on the way in,” she states.

Kristy Wortketter, director of marketing at The Laurels of Toledo, emphasizes that people don’t have to wait until after surgery to decide where they want to go for rehab. “You can choose The Laurels in advance for your rehab needs,” she says. “If you give us a call, I can come out for a visit to explain the program and make sure your insurance will cover it. Remember, you always have a choice where you want to go—and you don’t have to stay in a facility if you’re unhappy there. It’s not uncommon to feel overwhelmed and a little fearful right after surgery, so it’s tempting to let others make that decision for you. But that choice is so important, and it’s far better to make an educated, informed decision

ahead of time.”

Wortketter further explains that rehab clients don’t necessarily need to wait until after surgery to start their rehabilitation journey. Instead, they can get a head start on recovery by participating in The Laurels’ outpatient PREhab program. This proactive, evidence-based program, which is covered by most insurance benefits, allows clients to improve their strength, function, and mobility prior to surgery so they can recover and get back to their lives much faster afterward. “In fact, just one or two PREhab sessions can reduce your need for postoperative care by nearly 30 percent. Think of it like training for a race,” says Wortketter.

Anyone interested in the PREhab program can also call The Laurels to schedule a tour of the facility so they have an opportunity to view the therapy gym and equipment as well as meet the staff who will be guiding them to recovery.

Asked what goal she hopes to achieve prior to her next surgery, Topolewski replies, “I want to get stronger instead of feeling so weak.

I’ve gotten much better, but I still have a long way to go.” Laurels physical therapy assistant Breeann Neeley adds, “MJ is doing really well and has made a lot of progress with her left hip. Her biggest barrier right now is pain in her right hip.

We’re waiting for that hip to be replaced; then she’ll really start to get stronger.”

The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services.

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

Sunset - continued from p29

at Sunset House or The Woodlands will be able to help them find a personalized fit.

To schedule a tour of Sunset’s Indian Road campus, please call Sunset House at 419-536-4645 or The Woodlands at 419-724-1220.

Additional information on any of Sunset’s communities and services can be found on their website, www.

Sunset-communities.org. ❦ n

Brain health - continued from p16

blueberries), beans, whole grains, fish, poultry, olive oil, and a moderate amount of wine. Unhealthy foods to be avoided include red meat, butter and margarine, cheese, pastries and sweets, and fried or fast foods.

Research clearly shows that following a plant-based diet such as the MIND Diet has ample benefits. “A study done by the Alzheimer’s Association found this diet to be flexible, unrestrictive, and easy to stick with.

Also, a 2015 study published in the Journal of Alzheimer’s and Dementia showed that this type of diet reduced the risk of developing Alzheimer’s by as much as 53 percent among those who followed it strictly for four-and-ahalf years. Even those who were less rigorous in following the diet lowered their Alzheimer’s risk by 35 percent,” Dr. Gokula states.

To learn more about the steps you can take to stay cognitively healthy or to schedule your brain health assessment, please call Dr. Gokula at 419-214-1213. Dr. Gokula also collaborates with Michelle Sandwisch, APRN, FNP-C, of MyTotalBody Functional Medicine Clinic, who shares his passion for holistic care that promotes health in body, mind, and spirit. She can be reached at 419-410-2224. ❦

36 March 2019 | Healthy Living News

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Colorectal cancer: Learn how to lower your risk on March 21

C

olorectal cancer is considered US Preventive Services Task Force because it has been reduced so “silent” in its earliest stage, mean- guidelines currently recommend significantly. We’re still operating ing it typically causes no noticeable getting one’s first colonoscopy at age in each case, but shrinking the symptoms at the beginning of the 50 and then every 10 years thereafter tumor in advance really limits the disease process. This stealthy onset if the result of the initial screening amount of surgery we have to do,” is unfortunate because colorectal is normal. However, the American Dr. Pannell said. cancer, which is diagnosed in more Cancer Society recently changed Asked for her best advice on how than 140,000 Americans the recommendation to to prevent colorectal cancer, Dr. Paneach year, is often curable starting colonoscopies at nell replied, “Follow the screening when detected and treated guidelines and start getting regular age 45. early on. What’s more, With respect to treat- colonoscopies at age 45 or 50. I usucolorectal cancer is largely ment, the earlier it is ally tell my patients to start at age 45 preventable with timely initiated, the better the if their insurance will cover it. The and proper screening. outcome—and the cure important thing to remember is that To help increase awarerate for colorectal can- if you have symptoms, colonoscopy ness of colorectal cancer cer is relatively high if will be covered at any age, and if and measures that can detected early. “Another you experience any issues such as be taken to prevent it, positive thing is that the rectal bleeding or changes in your Dr. Stephanie Pannell the University of Toledo chemotherapy we use bowel habits, you need to see your Medical Center Eleanor N. Dana to treat colorectal cancer is very doctor to discuss colonoscopy or Cancer Center will present Lower targeted and doesn’t cause nausea, another screening method as soon Your Risk for Colorectal Cancer on hair loss, or the overall sickness as possible,” stated Dr. Pannell.

Thursday, March 21 at 6:00 p.m. that is often experienced with other Lower Your Risk for Colorectal (registration and refreshments at forms of chemo. Treatment has also Cancer, to be held March 21 at the 5:45 p.m.). This program will feature evolved to include neoadjuvant UTMC Eleanor N. Dana Cancer Center presentations from three UTMC therapy, which means we do chemo on the UT Health Science Campus, colorectal cancer experts, including and radiation to shrink the tumor is open to the public. There is no colorectal surgeon Stephanie Pan- prior to surgery. We’re seeing a cost to attend, but reservations are nell, MD; medical oncologist Gerald lot of success with this approach. requested. To register, please email Edelman, MD, PhD; and radiation In about 10 to 15 percent of cases, danacancercenter@utoledo.edu or oncologist Siddarth Saraiya, DO. we can’t even visualize the tumor call 419-383-5243. ❦ Attendees will learn about their risk factors, screening tests, and the precision medical treatment options available to those diagnosed with colorectal cancer. A Q&A session will follow at 7:00 p.m.

In a recent discussion with Healthy Living News about this upcoming event, Dr. Pannell emphasized that people should not wait until symptoms arise to undergo colonoscopy or another form of screening. “It’s important to be aware that early colorectal cancer is asymptomatic and that symptoms are late-stage findings. By the time More than 140,000 people are diagnosed with the cancer is large enough to affect colorectal cancer each year. But do you know your bowel habits, change the size it is preventable and curable when detected or caliber of your stools, or cause and treated early? bleeding, it’s already advanced,” Join The University of Toledo Medical Center’s colorectal cancer she explained. specialists to learn about your risk factors, screening tests and Dr. Pannell also noted that the our precision medical treatment options available to those lack of a family history of colorectal diagnosed with colorectal cancer. cancer is neither a guarantee that Thursday, March 21 at 6 p.m. someone won’t develop it nor a 5:45 p.m. registration and refreshments good justification to avoid or delay Eleanor N. Dana Cancer Center | UT Health Science Campus screening. “We’re not certain exactly what causes colorectal cancer, but we believe it’s multifactorial, and apart Call 419.383.5243 or email from advancing age, no risk factors danacancercenter@utoledo.edu have been strongly correlated. Geto register for this free program. netics can play a small part, but it’s largely sporadic,” she said.

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2/13/19 10:24 37 AM Healthy Living News | March 2019

Innovations in hearing-aid technology

by Randa Mansour-Shousher, AuD, CCC-A

C

an you believe it’s already March 2019? Even more exciting are the many ground-breaking changes taking place in the realm of hearing-aid technology. The changes I’ll be discussing in this article are expected to impact the future of hearing aids for many years to come.

Some of the technological advances you may want to watch for include: • Fuel cell technology • Hearing aids that can monitor our bodies • Custom-made rechargeable hearing aids • Artificial intelligence integration • Hearing aids that can be upgraded • Hearing aids that connect wirelessly to Android phones • Telemedicine availability to help audiology patients.

Now let’s address each technological innovation listed above: Fuel technology has been in the

works for the past few years, but hopefully this is the year it reaches fruition. This technology represents the industry’s first use of the world’s smallest commercially available fuel cell. These hearing aids are said to allow the patient to “re-energize their hearing aids with off-the-grid technology, which should take it from no power to full charge in 20 seconds.”

They further explain, “By simply placing the hearing device into the refill well and waiting the short period of time, the hearing aid will have enough power to run for 24 hours. The refill unit will extract any remaining methanol and supply the fuel cell with new methanol.” This sounds so exciting to not have to worry about changing batteries so often!

The next technology, which is being perfected, is a hearing aid that is able to track your activities and hearing health. This technology monitors your body and brain health using a smart phone connected to an app.

It will allow measurements for the ear instead of the wrist. This hearing aid combines fitness technology with hearing aid technology and “allows

people to take a proactive and personal approach to treating hearing loss, which has been linked to various health issues including dementia, cognitive decline, anxiety, stress, social isolation, and an increased risk of falling.”

Rechargeable hearing aids have been out for over a year already, but they have their share of problems.

However, in 2019, look out for lithium batteries allowing for consistency and different options. There are now those that have a fast (30-minute) charging time, and lithium batteries can last the lifetime of a hearing aid even with years of repeated charging.

With this innovation, the patient no longer has to worry about regularly changing batteries. Plus, the batteries are environmentally friendly. This product is described as the quickest-charging and longest-lasting rechargeable hearing aid, and it will be a game-changer in ease of use in the hearing aid world. And remember, custom-made hearing aids will also have the opportunity to join the rechargeable hearing aid family.

Artificial intelligence is the new

wave in hearing aid technology. It helps provide a better-quality experience for patients through the power of the user, and allows researchers to learn more about patients’ listening habits and needs, providing them choices in each environment they come across. This technology gives patients the chance to hear as they please and, in turn, learns their likes and dislikes, which can be saved in the hearing aids. Researchers are able to gather this information so the next phase of technology will provide better-quality experiences for the patient and perform functions that patients consider essential.

Next, let’s talk about upgrading hearing aids. Did you ever think you would be able to download an app on your smart phone and directly update your hearing aids? Well, you can! There are now hearing aids that allow users to update the firmware from home, providing them access to new hearing aid features, improved functionality, and performance enhancements without having to visit

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the audiologist. This is possible due to the smart computer chips in the hearing aid that allow hassle-free updates at the touch of a button. A few of the available enhancements include the ability for patients to create their own favorite listening program and optimize their sound settings, as well as GPS location service that makes it possible to find a lost hearing aid.

Another innovation is adding Android phones to the wireless world of technology along with iPhones.

For many years, iPhones were the only totally wireless cell phones that could be used without a connector.

Not for long! There are many people who have Android phones, and the industry listened to the need.

Some hearing aids will function like a Bluetooth wireless headset by utilizing a built-in microphone to pick up the voice for phone calls and enabling the user to hear the phone ring directly in the hearing aids. This technology will allow one to accept or decline the call with a button on the hearing aid. It even works from across the room so you don’t have to reach for the phone. Now that is truly hands-free!

The last innovation for 2019 is telemedicine in audiology. The goal in this case is to deliver health-related service via telecommunications technologies. This service could be provided via voice or video access while the patient is sitting comfortably in a La-Z-Boy chair. Jerry Northern, PhD, co-founder and president of the Colorado Hearing Foundation, defines teleaudiology as “electronic information and telecommunications technologies to support remote and distant clinical hearing healthcare, professional and public education, public health matters, and health administration.” This type of care has been provided worldwide and is becoming more and more common.

Watch for this service to come to your community in the near future.

I hope you enjoyed this article about the new innovations to watch for in 2019. As always, if you would like more information or further discussion, please don’t hesitate to give us a call at Northwest Ohio Hearing Clinic.

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

Ignite your kids’ interest in exercise W ith another Northwest Ohio winter on the wane, many parents are more than eager to get their kids off their backsides and doing something active outdoors. Kids, on the other hand, may not share their parents’ enthusiasm for physical exertion . . . or the outdoors. In fact, some parents may need to explain exactly what “outdoors” is. (It’s that extra space they walk through between buildings and vehicles.)

The bottom line is, kids rendered soft and listless by months of inactivity—and lured by the ever-present siren song of technology—are going to need a little inducement if parents want them to exercise. Here are some tips that just might help:

#1 Start early The earlier kids learn to enjoy physical activity, the more likely they are to stick with exercise for a lifetime.

It’s also a lot easier to encourage kids through example while they’re young and impressionable and still want to emulate Mom and Dad. That’s not to say it’s too late to motivate teenagers to get moving, but by that stage of the game, you’ll definitely need to call on all your powers of persuasion.

personality. Don’t assume that just because you excelled at football or basketball, your child will want to do the same. Keep in mind that some kids may gravitate naturally to team sports while others may be drawn to more individual activities, such as hiking, archery, rock climbing, swimming, or even fishing. Remember: it doesn’t have to be about competition!

#4 Go by pedal or bipedal Whenever possible, bike or walk to destinations in reasonable proximity, and encourage your kids to do the same.

For example, if they’re clamoring for a cone or milkshake from the local ice cream shop on a summer’s evening, don’t offer to drive them there; prompt them to ride their bikes instead. Then, at least, they’ll burn a few calories and build some muscle before and after enjoying their frozen treats.

#5 Lead by example “Do as I say, not as I do” is not a

good mantra for parents who want to encourage their kids to exercise more.

Just as with other healthy habits—such as eating more fruits and vegetables and limiting screen time—the best way to elicit the desired behavior from kids is to lead by example. That means you’ll also need to shut off the TV and other devices, get off the couch, and get active. Otherwise, your kids won’t take your suggestions to heart.

#6 Get in the game yourself Perhaps the best way to encourage kids to be more active is to play or compete right alongside them. For example, preparing for and running in a family 5k or fun run together can be a powerful motivator. Dave’s Performance Footgear sponsors many such events for the entire family (see page 23 for a listing).

But whatever you choose certainly doesn’t have to be an organized or expensive activity. Simply walking the dog, hiking, biking, paddling a canoe, or playing catch together can be more than adequate—not to mention a great opportunity for family togetherness and conversation. ❦

#2 Provide the right tools Finding outdoor activities to partake in isn’t as intuitive to kids today Is Pain keeping you from doing what you as it once was. (Remember when your parents sent you outside in the Is Pain keeping you from what you likedoing or need to do? morning and said, “I don’t want to see you until lunchtime”?) So, in order like or need to do? to facilitate healthy physical activity,     Is Pain you from doing what you you’ll need to make sure the right tools   keeping  are on hand—balls, bats, bikes, skates, help! like orWe needcan to do? scooters, jump ropes, hula hoops, We can help! hockey sticks, nets, mitts, sidewalk  chalk for hopscotch, or whatever else  Hpk.    your kids might enjoy using with Hpk. their friends or siblings or even by  We can help! themselves. Remember, active play  Hpk. is the best form of exercise for young  kids. Teaching them to equate exercise   Hpk. Hpk. with fun is more than half the battle.

Is Pain keeping you from doing what you Is Pain keeping you from doing what you like or need to do? like or need to do?         We can help!

We can help!

#3 Find a sport that fits

 

If your child is ready and willing to participate in organized sports, explore all the options until you find one that fits his or her interests and

Connect with our advertisers via our online issue at www.hlntoledo.com

 

 

Healthy Living News | March 2019 39

Stay one step ahead of spring allergies

E

very spring, Mother Nature plays a cruel joke on seasonal allergy sufferers. Just as the cold-andflu season is winding down, she gives them another reason to sniffle, sneeze, cough, and wheeze—the return of spring allergies.

So, while everyone else is out enjoying the warmth and beauty of the season, people with spring allergies are bracing themselves for an onslaught of unpleasant physical symptoms.

Of the various allergens that become problematic in springtime, the biggest culprit is airborne pollen—first from trees and later from grasses. Contrary to popular belief, the pollen produced by large, colorful flowers is not the cause of allergy symptoms. The pollen from these flowers is carried from plant to plant by bees, butterflies, and other pollinators, not by the wind, so the only way you’re going

to inhale it is by burying your nose in a blossom. In addition to pollen, airborne mold spores also trigger more than their fair share of allergy symptoms in springtime.

So, if you suffer with seasonal allergies, what can you do to stay one step ahead of the flying pollen and other springtime allergens? Here are some suggestions that just might minimize your misery:

See an allergist If you’ve been plagued by spring allergies in the past, and over-thecounter remedies haven’t given you much symptom relief, it might be a good idea to schedule an appointment with an allergist before the spring-allergy season is in full bloom to determine the best course of treatment. Your allergist may want to conduct a skin or blood test to n Allergies - continued on p46

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PATIENT, HEAL THYSELF! The importance of patient W

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

If we want to feel better, get stronger, recover faster, become more mobile or flexible, experience less pain, maximize our longevity, or simply enjoy greater overall health, we have to actively comply with the therapies, medications, exercises, or lifestyle changes that our healthcare practitioners prescribe.

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

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

For example, if you have a strong family history of certain cancers, your doctor may advise that you initiate screening for that type of cancer at a younger-than-usual age or that you undergo genetic testing to determine your risk of developing the cancer. But if you fail to disclose this key information, your doctor will have no way of knowing you’re at increased risk, and if you do develop

the cancer, there’s a greater chance it won’t be detected at the earliest, most treatable stage.

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

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

In many cases, patients are non-compliant with medications because the particular drug their doctor prescribed is too costly, tastes bad, or causes some unpleasant side effect. In these situations, patients should openly discuss the problem with their doctor rather than avoid taking the medication. There may be alternative drugs the doctor can prescribe that are just as effective but

cheaper, more palatable, and/or less likely to cause side effects.

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

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

Lifestyle modification

Perhaps the biggest compliance challenges healthcare professionals encounter are related to patients’ lifestyle habits. In many instances, the chronic ailments people have, such as type 2 diabetes, hypertension, cardiovascular disease, and chronic obstructive pulmonary disease, are closely linked to the lifestyle choices they make. Medications may play an important part in treating these conditions, but they’re no substitute for healthier lifestyle choices—eating better, exercising more, quitting smoking, moderating alcohol consumption, etc.

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

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Take the worry out of dormant pruning W

e’re entering the late dormant season, and, with a few exceptions, this is the best time to begin the annual chore of pruning trees and shrubs. If you’re like most people, you may find this task daunting. After all, each species has a different growth habit and improper pruning can ruin the tree’s/shrub’s natural appearance for many years, if not permanently.

However, if you familiarize yourself with each plant’s specific needs, use the proper tools, and make any cuts with discretion, you won’t be disappointed with the results.

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The tools you’ll need in order to prune various trees and shrubs of different sizes include the following: • Bypass-style hand pruners (which tend to make cleaner cuts than anvil-style pruners) for smaller branches.

• Bypass-style loppers for branches that are too large to cut with hand pruners but too small for a pruning saw.

• A pruning saw with a curved,

slender blade for branches 1 to 5 inches in diameter.

• A pole pruner for reaching higher branches no more than 1 inch in diameter. Look for a model with a telescoping handle for greater flexibility of function. Most come with an attachable pruning saw blade.

Tips for pruning trees Most trees can be pruned in early spring before the buds begin to swell.

Exceptions include black walnut, birch, and maple, which will bleed sap profusely if cuts are made in the spring.

These trees are best pruned in early fall.

Begin pruning by removing any broken or dead branches as well as limbs that angle sharply toward the center of the tree. Look for closely parallel branches and thin out the weakest ones. Suckers and water-

sprouts should also be eliminated.

These are thin, spindly, energy-sapping limbs that grow straight up from the tree’s roots, trunk, or main branches and give the tree an unnatural appearance. Finally, prune out any branches that are (or soon will be) coming into contact with nearby structures or that simply disrupt the balance or symmetry of the tree.

Keep in mind that it’s much easier to prune a tree when it’s young.

Branches that would have to be removed with a chainsaw from a mature tree can be removed with hand pruners from a young one. The pruning of mature trees requires special skill and knowledge and is a job best left to experienced, licensed, and insured arborists.

Trees respond best to a gentle touch.

Never severely prune or top them if it can be avoided. It’s better to extend the process over several seasons, removing only a few branches at a time. Examine a tree from all angles and consider how it will look once a branch has been removed before making the actual cut.

Tips for pruning shrubs The appropriate time to prune flowering shrubs depends on when the shrub sets its buds. Late spring or summer bloomers that set buds on the current year’s growth, such as spirea and potentilla, can be pruned either in early spring before growth begins or just after they’ve finished blooming. Shrubs that set buds on the previous year’s growth, such as azaleas and rhododendrons, should be pruned only after their flowers have faded. Prune them at the wrong time, and you’ll sacrifice a season’s worth of blossoms.

When pruning a shrub, try to work with the plant’s natural framework and growth habit. It will be stronger n

Pruning - continued on p45

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Healthy Living News | March 2019 43

Foods that heal, foods that kill, part 1

by Douglas A. Schwan, DC, Dip ac

W

e know that there are various healthy foods out there as well as foods that are, shall we say, not as healthy? One thing to keep in mind when considering what we eat is the word moderation. For example, consuming red meat once every couple of weeks provides a good source of protein and B vitamins, but eating a slab of beef every single day is a good way to bring on early onset heart disease.

There are also some “hidden” sources of toxins out there in foods one might consider healthy. Fruit, for example, is normally very healthy.

Fruit is low in fat, provides plentiful vitamins, and, importantly, provides a source of fiber that scours our digestive tract of impacted crud that can lead to chronic colon issues.

One little known issue is that fruits, most commonly apples, are sealed in a wax coating for aesthetics and to preserve freshness. The wax itself is not thought to be harmful, but it can lock in pesticides and environmental chemicals if the fruits

are not thoroughly washed prior to application of the wax.

It is best to wash fruits in warm water or wipe them down with vinegar to reduce this wax coating and remove any contaminants before eating.

Diabetes is a huge problem in America. Research has shown that new cases of type 2 (once called adult-onset) diabetes have increased by 90% over the last decade. This can be attributed in part to the nationwide obesity epidemic, but the foods we choose to consume are another big factor. In this age of health enlightenment, many patients ask, “What one or two things can I do to improve my health?” The answers are simple but seemingly hard to implement.

It helps to understand the underlying

mechanism for type 2 diabetes. The pancreas secretes insulin in response to sugar we consume. Insulin is toxic in high concentrations in the pancreas, and so when a high concentration of sugar needs to be dealt with, the excess insulin produced damages the pancreatic cells that produce it. Over time, enough of these cells die off that insufficient insulin is produced and clinical diabetes appears.

Foods that are very high in sugar produce insulin spikes that are deadly to the pancreas. Foods like soft drinks, fast foods, and candy are especially problematic. Just one 20-ounce bottle of cola contains the equivalent of almost 17 sugar cubes!

For weight control, pop is a diet killer. Overweight children become o b e s e adults.

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found that for each additional 12ounce soda children consume each day, the odds of becoming obese increased by 60% within 18 months. In adults, studies show that drinking just one 12-ounce serving of pop per day added an extra pound to their weight every four years: More pop equals more weight gain. That is one reason nutritionally oriented physicians suggest removing pop and other sugary drinks completely from a diet.

Other deleterious foods include the broad category of “fast foods.”

Consuming fast food every day will lead to increased incidence of stroke, heart disease, hypertension, and diabetes. Why? Because fast foods are heavily laden with calories, salt, and trans-fats.

Most fast food, including drinks and sides, are loaded with carbohydrates with little to no fiber. The food is readily converted to sugar, resulting in insulin spikes that hurt the pancreas. The heavy salt content and high carbohydrate content leads to bowels that are impacted with feces, stomach issues, headaches, and lethargy.

The combination of trans-fats, sodium, and sugar can make fast food taste pretty good. But the overall effect is to slowly corrode the body.

High blood pressure and heart disease are rampant in our country, and to a significant degree this problem can be traced back to excessive salt and trans-fat consumption. Salt has always been the “poor chef ’s friend,” as it can make mediocre food taste much better. Hence, fast food contains an abundance of salt. One fast-food meal potentially provides over half the daily suggested limit of salt.

Be sure to tune in next month for part 2 of “Foods that heal, foods that kill,” in which I’ll discuss ways to decrease your daily salt intake, foods that boost the immune system, the role of healthy gut bacteria, and more!

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 standup comedian. He has maintained an active practice in Toledo, OH for the last 29 years. He is available for lay lectures and may be contacted at Dr_Schwan@ AcupunctureToledo.com ❦

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n

Pruning - continued from p43

and healthier at maturity if you do.

And, unless you want a highly formal or exaggerated look, put down the hedge shears in favor of hand pruners. Shearing shrubs tends to encourage thick, bushy growth at the branch ends that prevents light and air from reaching the center of the shrub.

Using your hand pruners (or loppers for larger branches), make your cuts about a quarter inch above an outward-facing lateral branch or bud. The angle of the cut should be parallel to the lateral growth. This will encourage new branches to grow toward the outside of the shrub and prevent the center from becoming crowded.

Shrubs that produce new growth in the form of canes from the base, such as forsythia, red- and yellow-twig dogwoods, deutzia, and kerria, should be pruned by completely removing older canes. This method will give the new growth more room and energy to develop as well as encourage more abundant flowering.

Special consideration for conifers Conifers require a more specialized pruning technique. Never cut back or shear a pine, spruce, or fir.

Instead, pinch off half of each candle (the new shoots at the end of each branch) before it turns green in the spring. Do not remove the entire candle or the branch will not put out any further growth. Also, keep in mind that if conifers are spaced appropriately at planting time, heavy pruning should not be necessary.

Think twice, cut once!

Remember, when it comes to pruning, a little goes a long way. A good rule to follow is, “Think twice; cut once.” You can always go back and make additional cuts later if desired, but once a branch has been removed, you can’t reattach it. If you’re ever unsure about a pruning cut, don’t make it. And again, keep in mind that the pruning of mature trees presents some serious safety issues and is a chore best left to a professional arborist. ❦

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n

Allergies - continued from p40

find out exactly which allergen or allergens you’re sensitive to, and he or she can discuss with you the various treatment options, such as prescription-strength medications or allergen immunotherapy.

Monitor the pollen count Pollen counts can vary from day to day and from one time of day to the next (they’re usually highest in the morning). Monitoring this count—which will be posted on TV, in newspapers, and online—will give you a sense of when it’s safest for allergy sufferers to go outside. When a high pollen count is forecasted, be sure to take Featuring Kathy Cleveland Bull your allergy medicines ahead of time rather than wait for at St. Mark’s in Bowling Green symptoms to arise. It’s also helpful October 15,to 2016 keep your doors and windows closed 9-11:30 a.m. and run air conditioning for ventilation in both your home and Free childcare your car.

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Avoid pollen exposure when possible

Though some contact with pollen is inevitable, there are steps you can take to reduce your exposure. For example, try to stay indoors on hot, dry, or windy days, when pollen tends to be at its worst. In general, try to avoid or delegate outdoor chores, such as lawn mowing, raking, and weeding the garden. If you can’t avoid these activities, wear a dust mask while you do them. After you’ve spent time outdoors, it’s a good idea to change your clothes and take a shower to wash pollen off your skin and out of your hair. Also, avoid hanging wet laundry to dry outside where it can collect pollen. And, don’t forget the

n

pets! Furry dogs and cats quickly become walking pollen traps. Bathe them often and ban them from your bed and other furnishings.

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• Frequently damp mop floors and wipe down other hard surfaces with a damp cloth or sponge.

• Install a micron allergy-grade filter in your home’s ventilation system.

• Run a dehumidifier to keep your home’s air dry.

• Use a HEPA filter in your bedroom.

• Wash bedding in hot water (at least 130 degrees F).

• If practical, replace carpeting with hardwood or laminate flooring.

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If spring allergies have been a problem for you in the past, don’t wait to implement these steps. By acting early to minimize your exposure to pollen and working with your doctor to find the best treatment plan, you should be able to reduce your discomfort or eliminate your symptoms altogether. ❦

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Symposium - continued from p9

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The April 27 Parkinson’s Disease Symposium will kick off at 8:30 a.m. with coffee and pastries, vendor displays, and 50/50 raffle ticket sales until 9:00 a.m. In addition to Dr. Elmer, featured presenters will include Eman Jarouche, PT; Alison Matson, PT; Kelly Farley, OT; Laurie Sheehy, SLP; Dr.

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It Takes Two to Tango H E A LT H C A R E F O R T H E U N I V E R S E O F YO U

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