Healthy Living News May 2015 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News May 2015 • FREE

Also available at hlntoledo.com

Pedal your way to adventure!

Also in this issue: • Skin spruce-up for spring • Free app for seasonal allergy sufferers • 8 Choices that promote mental health • Heart Walk returns to Huntington Center • Treatment foster parents needed!

• Academy Corner • Eating Well • A Walk in the Park • Health Crossword • Food Shark

Heal expertly. Treat personally. mercy.com

Skin spruce-up for spring

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler. The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging areas of the neck, jowls, upper arms, and abdomen. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected. This heating of the dermis causes immediate collagen contraction and tightening followed by new collagen production over a period of time. This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only ONE treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain. The NEW Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients.

Is your dermatologist a dermatologist and is he/she board certified? Individuals seeking diagnosis and treatment of skin cancer and other skin conditions should determine if their dermatologists are indeed dermatologists and board certified by the American Board of Dermatology. Not surprisingly, individuals seeking care for their skin conditions may receive care by general physicians, nurse practitioners, and physician assistants who may call themselves “skin specialists” and dermatologists. These physicians and others may do so without completing a formal dermatology residency. Many physicians who are board certified in fields unrelated to dermatology may be practicing dermatology. Now there are training programs being developed to permit nurse practitioners to receive a doctorate of nursing and call themselves “Doctor” as would a PhD in a specialized field. These nurse practioners (NPs) are NOT doctors of medicine as is a board-certified dermatologist. Certification by the American Board of Dermatology is the consummate title addressed to a dermatologist based on their education and experience. If you see a “skin specialist,” it is your responsibility to ask of their credentials. Remember; a board-certified dermatologist is a medical doctor who has completed a minimum of twelve (12) years of training (four years of college, four years of medical school, and four more years in an internship and a formal dermatology residency program) to even become eligible to take the testing for board certification by the American Board of Dermatology. Individuals seeking diagnosis and proper treatment of their skin disease can depend on board-certified dermatologists for their care.

For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas. The results are diminished lines and a more “wide awake” and less tired appearance. These products are also fantastic to reduce anxiety-induced underarm sweating for months after injections. This is also performed entirely by Dr. Handler with minimal pain with results lasting 5-7 months and longer. The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette lines (the sad look) from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad! Since these products are combined with a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the injection of a new filler called “Restylane Silk.” This product markedly improves upper and lower lip lines (lipstick “runs uphill”). Restylane Silk also volumizes your lips and restores their natural curve while looking attractive and natural. Restylane Silk also can be utilized to minimize the “worry lines” between your eyes. Also, there is no downtime with these non-invasive procedures. For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio. Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler. To view before-and-after photographs of patients who have

had these procedures performed by Dr. Handler, visit Dr. Handler ’s website at drharveyhandler. com. For more detailed information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. Be sure to ask about specials available on many cosmetic procedures and products to diminish the signs of aging and obtain a more vibrant and youthful appearance of your skin. Also, please remember to have a yearly Full Body Exam for evaluation of moles and other growths we all develop as we age. Be certain you have no lesions that are pre-cancerous or cancer. Full body exams are best performed and evaluated by a board-certified dermatologist.

Hair loss in men and women

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

www.drharveyhandler.com

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

clear + brilliant

ADULT, PEDIATRIC, & COSMETIC DERMATOLOGY HAIR & NAILS

No surgery. No injections. No downtime.

Harvey L. Handler, m.d.

Fellow American Academy of Dermatology • Board Certified in Dermatology

5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital)

419.885.3400

May 2015 • Vol. 20, Issue 5

Your Monthly Guide to Healthy Living

TAKING CARE OF YOUR LIFE

HEALTH & BEAUTY

4 Maumee Valley Adventurers: Meet your new group of old friends! 10 Do you need to continue strength training in the summer? 14 We need to create change, by Mark S. Faber, USPTA Elite Professional 26 Four simple rules of bicycle safety 36 A Walk in the Park The angels don’t sing all the time by LeMoyne Mercer 40 Health Crossword, by Myles Mellor 48 Tips for race recovery, by Amanda Manthey

2 Skin spruce-up for spring. 5 How hearing aids give you a great return on your investment, by Randa Mansour-Shousher, AuD, CCC-A 9 Melanoma: No tan is worth the risk 11 Enjoy summer without the sunburn, by Fatemeh Karbaschi, BSPS, and Michelle Schroeder, PharmD, BCACP, CDE 13 Looking for local pollen and mold counts? There’s an app for that! 16 Academy Corner Backyard trampolines can be dangerous! by Richard L. Munk, MD 20 Harbor and ProMedica affiliation helps integrate primary and mental health care, by Jean Drees 20 Eight choices that promote better mental health 30 Too much of a good thing! by Douglas A. Schwan, DC, Dipl ac 34 Sound Advice from Northwest Ohio Hearing Clinic, by Randa Mansour-Shousher, AuD, CCC-A 35 St. Clare Commons takes unique approach to memory care 42 Spiritually Speaking Get into the Act by Sister Mary Thill 43 Five ways to practice “active aging” 44 Nobody’s Perfect Sink your teeth into preventive dentistry, by Sister Karen J. Zielinski, OSF

FOOD & NUTRITION 24 Eating Well Pre- and probiotics—do we really need them? by Laurie Syring, RD/LD 46 Food Shark Bite 2: Pisanello’s Pizza Waterville— Vegetarian Pesto Pizza

OUR COMMUNITY 7 ProMedica makes state-of-the-art stroke care accessible to entire region 12 In Another Garden tour to benefit Toledo Day Nursery 18 Genesis Village partners with The Laurels to enhance residents’ continuum of care 19 Hope greets Unison clients at the door 25 Senior Living Guide 28 Former underground boxer now fighting for his cognitive future 29 Heart Walk returns to Huntington Center May 30 with Mercy as official Torch Sponsor 33 Black Swamp perennial plant sale May 16 47 Stroke Life Center offers support to stroke survivors, by Chris Holliday 49 Enjoy An Evening with Swingsters at Genesis Village Dear Readers, Thank you for picking up the May issue of Healthy Living News. In the pages of this publication, we often recommend finding a form of exercise that you truly enjoy and can stick with for the long term. Perhaps cycling, featured on our cover in recognition of Bike Month, could be that activity for you! Cycling provides not only a wonderful, low-impact cardiovascular workout, but also, as you’ll discover in the story about the Maumee Valley Adventurers on page 4, plenty of opportunities for exploration and socialization. For a different idea on how to get some good exercise while supporting a terrific cause, check out page 29 for details on the Heart Walk & 5K, returning to the Huntington Center

CHILDREN & PARENTING 32 Anxiety in children and adolescents: How can I help my child? by Michele Knox, PhD 40 Parenthood is the focus at New Beginnings during the month of May 45 LCCS seeks treatment foster parents for kids with intensive needs

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on Saturday, May 30. Mercy is the proud Torch Sponsor for this vital community event, and they encourage everyone to participate, either directly or by sponsoring a participating individual or team. This month we’re also bringing you several articles focused on mental health, including a piece titled “Eight Choices that Promote Better Mental Health” (p. 20), insights from Unison on the role of hope in mental health (p. 19), and the announcement of an exciting collaboration between Harbor Behavioral Health and ProMedica that’s helping to integrate the fields of primary and mental health care in our area (p. 20). Allergy sufferers won’t want to miss the story on page 13 about a free new app developed by Dr. Ghassan Safadi that provides

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e lthy l ng ews

He’s always been your rock. He’s always Your dad isn’t happy that he’s been your rock. not as independent as he used to be, but ProMedica Your dad isn’t happy that he’s Home Health Care will not as independent as he help him stay at home, and used to be, but ProMedica stay healthy. We will take Home Health Care will care of speech therapy, help him stay at home, and home medical equipment, stay healthy. We will take and a personal emergency care of speech therapy, response system for you and home medical equipment, for your dad. ProMedica is and a personal emergency the local health care system response system for you and that can care for him at for your dad. ProMedica is every stage from getting the local health care system him dressed for the day that can care for him at to helping him regain his every stage from getting speech. It’s all about being him dressed for the day well connected. to helping him regain his speech. It’s with all about being To connect ProMedica well connected. Home Health Care, call 800-234-9355. To connect with ProMedica Home Health Care, call 800-234-9355.

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accurate and certified measurements of pollen and mold spores. And if you or someone you love is a stroke survivor, be sure to read the article about ProMedica Stroke Network on page 7 and Chris Holliday’s piece on the Stroke Life Center (p. 47). Last but not least, we’re extremely grateful for all the positive feedback we’ve received on last month’s debut of The Food Shark, which introduced us to the gastronomical delights of Grumpy’s Garbage Salad. For this month’s tantalizing Food Shark topic—or should I say “toppings”?—see the second installment of this ongoing column on page 46. Until next month, stay safe, active, and healthy!

800-234-9355 promedica.org/homehealthcare

800-234-9355

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

Contacts Business office:

To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615. Phone: (419) 841-8202 or email Kevin O’Connell at sfstennis76@bex.net. Ad reservation deadline is the 15th of the month preceding publication. HLN reserves the right to refuse advertising for any reason and does not accept advertising promoting the use of tobacco.

Maumee Valley Adventurers

Meet your new group of old friends!

he word “adventure” evokes thoughts of costly travel to farflung locales to experience exotic cultures and perhaps even an element of danger and intrigue. But as the members of the Maumee Valley Adventurers (MVA) can attest, there are plenty of adventures to be had at little expense right here in Northwest Ohio—and they sometimes involve ice cream. Best known for their local bicycling activities and events, MVA’s mission is “to educate and empower people

of all ages, cultures, and economic backgrounds by providing and advocating for affordable recreational and travel opportunities.” For over 40 years, MVA was actually known as Hostelling International-Toledo Area Council and was deeply involved in supporting HI’s efforts. When the Toledo Area Council was dissolved in a national reorganization of Hostelling International USA, the remaining members launched MVA so they could continue promoting and enjoying activities together.

Editorial office: Deadline for editorial submissions is the 10th of the month preceding publication. Send submissions to: Editor, Healthy Living News, 1619 Circular Dr., Toledo, OH 43614. Phone: 419-754-1339, fax 888-506-5790; email: editorhln@bex.net. Publisher: Kevin O’Connell

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Robin Buckey Print Designer: Jan Sharkey Web Designer: Strategically Digital LLC Social Media: Miranda Hassen Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech–Toledo Copyright © 2014 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe. Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

4 May 2015 | Healthy Living News

When You Ride A Bike

Getting There is the Fun Part

May is Bike Month Wednesday, May 6 | Bike to School Day Saturday, May 9 | Building a Community Tough as Steel A charitable bike, walk, run event in Delta, Ohio. deltasteel.org Monday – Sunday, May 11-17 | Bike and Bus Bicyclists using a TARTA bus pay only 25 cents this week. tarta.com Monday, May 11 | Biggest Week in Birding – Bike and Bird 6:30 p.m., Oak Openings Preserve-Buehner Center. Reservations required. metroparkstoledo.com Friday, May 15 | Bike to Work Day Saturday, May 16 | Bike Day at the Farmer’s Market 9 a.m. – noon at the Farmer’s Market in downtown Toledo. Wednesday, May 20 | Ride of Silence Meet at 6:45 p.m. at the Bancroft St. entrance of the University of Toledo. www.WeAreTraffic.org/Ride-of-Silence Go to www.tmacog.org/bikemonth and Get an ABC Quick Check at area bike shops Learn about area paths and trails

Join a ride!

Maumee Valley Adventurers | Metroparks of the Toledo Area TARTA | TMACOG | WeAreTraffic.org

As MVA Secretary Scott Carpenter explains, “Maumee Valley Adventurers is about healthy living and a healthy community—and enjoying each other’s company. I’ve been involved with the organization for 10 years, and some members go back more than 40 years. Everyone who joins is an instant friend. I like to refer to us as ‘a new group of old friends.’” Carpenter points out that bicycling is a healthy activity both for the individual and the larger community. From the standpoint of the individual, biking provides a wonderful, low-impact cardiovascular workout. But it’s also non-polluting and brings people together to socialize and develop a better understanding of each other’s backgrounds and viewpoints, which is a boon for the community. One could say that Carpenter simply likes the way the world looks from the seat of a bicycle. He states, “Being at that height and traveling at that speed, you notice more things and just get a view that you can’t get while walking, running, or driving.” He and his fellow adventurers want more people to join them in seeing the world through that prism. To help make that experience possible for more adventurers, MVA offers a wide range of cycling activities. From April through November, members are invited to participate in morning bike rides every Thursday. In summertime, they add evening bike rides every Tuesday, which, Carpenter notes, often involve a stop for ice cream. Plus, the club sponsors four different fundraising bike tours each year, with distances ranging from 10-15 miles up to 100 miles and involving anywhere from 150 to 200 people on each tour. Of course, it’s also helpful that our community offers a variety of exceptional biking trails, including the Wabash Cannonball Trail, University Parks Trail, a brand-new trail extending from Pearson Metropark to Maumee Bay State Park, and others on the way. Furthermore, MVA is exploring the possibility of developing a six- to eight-week training program designed to help new cyclists learn the rules of the road, get their bicycle properly fitted, and gradually build their stamina to take on longer rides. In keeping with their hostelling roots, MVA continues to promote world travel through various initiatives. Among them is a 13-week winter series offered in partnership with Toledo Area Metroparks called Travel

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Circle. In this program, people who have had exceptional world-travel experiences are invited to share their adventures with other travel enthusiasts. Approximately 1,300 people participate in the series each winter. The club also gives some of the funds raised through membership fees and bike tours in the form of grants to other community organizations that promote travel and healthy lifestyles. Carpenter emphasizes that people don’t have to be ultra-athletic to take part in MVA’s biking adventures.

“There are other great bike clubs in town that go a lot faster, and we like to cross-promote with them, but we’re not the go-fast club. We like to bike at a more moderate pace. All you need is a bike and helmet and you’re good to go! You could say we’re equal parts fitness and socializing…and we really like ice cream.” ❦

In your home or ours.

For more information on the Maumee Valley Adventurers, visit their website at mvadventurers.org.

How hearing aids give you a great return on your investment by Randa Mansour-Shousher, AuD, CCC-A Unleash your earning potential Using hearing aids reduced the risk of income loss by 90-100 percent for those with milder hearing loss, and from 65-77 percent for those with severe to moderate hearing loss, according to a Better Hearing Institute (BHI) study. People with untreated hearing loss lost as much as $30,000 in income annually, the study showed.

Compassion. Courage. Comfort.

Maintain your cognitive function Research shows a link between hearing loss and dementia, leading experts to believe that interventions, like hearing aids, could potentially delay or prevent dementia. Research is ongoing.

When you hear a loved one needs hospice care, it can be overwhelming. What matters most is maintaining a life of quality and dignity with comfort. At ProMedica Hospice, we can help you and your loved one on this journey by providing expert support and guidance.

Keep you on your feet A Johns Hopkins study showed that people in middle age (40-69) with even just mild hearing loss were nearly three times more likely to have a history of falling. The intensive listening effort demanded by unaddressed hearing loss may take cognitive resources away from what is needed for balance and gait, experts have suggested.

Relieve stress and lift your mood When people with hearing loss use hearing aids, many feel more in control of their lives and less self-critical, BHI

IN YOUR HOME

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f you’re one of the nearly 40 million Americans who suffer with hearing loss, maybe it’s time to consider investing in your hearing health. Research shows that the rewards can be substantial. In fact, identifying and addressing hearing loss has been shown to positively influence virtually every aspect of an individual’s life, helping people personally, professionally, and even financially. New technological advances have revolutionized hearing aids in recent years. Today’s hearing aids can automatically adjust to all kinds of sound environments and filter out noise. Many are virtually invisible, sitting discreetly and comfortably inside the ear canal. Some are even waterproof, and others are rechargeable. Best of all, many are wireless, so you can stream sound from smartphones, home entertainment systems, and other electronics directly into your hearing aid(s) at volumes just right for you. When it comes to the purchase of personal items that enhance your life, there’s more than one way to measure value. Here are six ways that investing in professionally fitted hearing aids—if recommended by an audiologist following a comprehensive hearing evaluation—could bring you a greater return on your investment than you ever imagined:

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The look you always wanted is closer than you think. How we look affects how we feel. Feeling comfortable and confident with our appearance can have a positive impact on our lives. Located in Northwest Ohio, Bluffton Hospital offers a welcoming, private environment to make cosmetic changes that help you look and feel your best. With a broad range of cosmetic services, you can feel comfortable knowing you’ll be taken care of by an experienced medical team interested in your unique needs: • • • • • • •

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Services described here are provided on a fee-for-service basis. In most cases, these services are not provided or covered by most insurances and you are financially responsible to pay for them. Medically necessary treatment is provided. For additional information regarding benefit coverage, contact your health plan evidence of coverage (EOC). Clinical services are provided by providers or contractors of Bluffton Hospital. Results of services vary among patients and cannot be guaranteed. Bluffton Hospital may receive compensation for providing facilities and/or other support in connection with these services. Multiple procedure discount provided.

6 May 2015 | Healthy Living News

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research shows. One study found that the majority of people with mild or severe hearing loss felt better about themselves and life overall as a result of using hearing aids.

Tame that ringing in your ears Hearing aids can help reduce the prominence of tinnitus by amplifying background sound. Just taking the focus off the tinnitus can provide relief for many people. Hearing aids also reduce the stress associated with intensive listening, which alone can help relieve tinnitus symptoms.

Strengthen your relationships Research shows that using hearing aids can help improve interpersonal relationships. In one BHI study of people with hearing loss, more than half of the respondents said using hearing aids improved their rela-

tionships at home, their social lives, and their ability to join in groups. Many even saw improvements in their romantic lives. Addressing hearing loss really is a smart buying decision, but keep in mind the initial step to your new life. I cannot stress enough the value of a complete hearing test and the ability to assist in ruling out any medical conditions that may be causing the hearing loss versus one that is totally nerve damage warranting the use of hearing aids. If you have any questions as you take your steps to better hearing, we are only a phone call away 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 (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

TOP REASONS YOU SHOULD TRUST

YOUR HEARING

HEALTH TO US. 1. We are experienced audiologists and tinnitus relief professionals dedicated to your hearing healthcare.

ProMedica makes state-of-the-art stroke care accessible to entire region

2. We will guide you through the maze of information and technology regarding hearing aids and will help you separate the facts from fiction.

3. Hearing healthcare is a delicate process—not just a product. Our commitment is to you and your hearing healthcare.

4. We will listen to you, we will talk with you, and we will work with you until your hearing ability is the best it can be.

5. We can choose the best hearing aids for you from hundreds of products, from any manufacturer, and within your budget.

6. Your future hearing should not depend on the advice of a sales clerk at a big box store or retail chain.

troke is the leading cause of adult based on a hub-and-spoke model. disability in our community and ProMedica Toledo Hospital functions the fifth leading cause of death in as the network’s tertiary center, which the United States. Because it so often connects to several smaller outlyrobs its surviving victims of ing centers,” explains stroke their independence, stroke is neurologist and neurointeralso among the most feared ventionalist Syed Zaidi, MD, afflictions among the senior the network’s Director for population. What’s more, Neurointerventional Service. stroke costs our nation billions “What this means is that we of dollars for treatment each can provide state-of-theyear and places a tremendous art stroke care much more burden on loved ones who efficiently throughout our serve as long-term caregivers. entire region.” To more effectively diEnhancing communicaagnose, treat, and monitor tion within the network—and Dr. Syed Zaidi stroke patients in Northwest thereby minimizing the time Ohio and Southeast Michigan, Pro- lost between the onset of stroke and Medica, through collaborative effort the initiation of treatment—is Prowith the University of Toledo Medical Medica’s Telestroke system, which Center, has established a regional connects all the centers in the network stroke network with ProMedica To- via special two-way monitors. This system allows the vascular neuledo Hospital at its center. “ProMedica Stroke Network is rologists to assess patients, review a centralized system of stroke care imaging, conduct consultations, and

SPECIAL HEARING LOSS & TINNITUS RELIEF EVENT May 13th & 14th • 8:30am – 4:30pm Receive a complimentary personal demonstration with Laurie Bennett, Au.D., of Widex, USA. Up to $600 off a pair of Widex DREAM440 hearing aids.

RSVP today, space is limited! (419) 383-4012

TOLEDO OFFICE

PERRYSBURG OFFICE

1125 Hospital Drive, Suite 50 Toledo, OH 43614

1601 Brigham Drive, Suite 160 Perrysburg, OH 43551

(419) 383-4012

www.nwchc.com

(419) 873-4327

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | May 2015

make clinical decisions remotely. Even if the doctors are at home or elsewhere, they can still access the system using a smart phone or other mobile device. In addition to the revolutionary Telestroke system, ProMedica Stroke Network offers a wide range of best-practice therapies and techniques for treating stroke. Among these is mechanical thrombectomy for removing blood clots in the brain, which gives doctors a more effective alternative to the clot-busting drug tPA, or tissue plasminogen activator. Thrombectomy involves inserting a thin catheter tube through the groin and threading it through the arteries to the site of the blood clot in the

brain. When the catheter nears the blockage, a stent retriever or other device is deployed to capture and remove the clot, restoring blood flow. “The recent advent of thrombectomy is the best news we’ve had in stroke treatment in 20 years. When given early enough, tPA does improve outcomes, but there are only so many candidates for this drug. It must be administered within three hours of stroke onset, and there are certain contraindications to its use, such as taking the blood thinner Coumadin, having had recent surgery, or having a bleeding issue. Plus, tPA is only 25 to 30 percent effective in treating blockages of the main artery in the brain. So, only a fraction of stroke

patients were receiving tPA, and only a fraction of that fraction showed improvement, which was very frustrating for providers,” says Dr. Zaidi. Several recent studies performed in medical centers throughout Europe, North America, and Australia and published in the New England Journal of Medicine this February concluded that the thrombectomy procedure Learning how to recognize a possible stroke is as easy significantly improves patient as learning the acronym BE FAST—Balance, Eyes, outcomes compared to intra- Face, Arm (or leg), Speech, Time. venous tPA or routine care. thrombectomy for up to 12 hours Specifically, thrombectomy was noted from stroke onset time. There are also to have a lifesaving effect and result- factors unique to each individual that ed in fewer incidents must be considered. For example, of patient disability as we age, our blood vessels tend following a stroke. to develop more twists and turns, sal’s pals and our generous “This represents a which can present technical chalsupporters have found seismic shift in how lenges to the surgeon. Following the a million reasons to give! we treat patients who procedure, patients must be closely help us find a million more as we continue our fight to present with stroke monitored and cared for in an intenfind a cure for cystic fibrosis. late or who aren’t sive care unit. “Here at ProMedica please join us for dinner, drinks, and music as well as silent and live auctions—all to help add tomorrows to responding to tPA,” Toledo Hospital, we have all the the lives of those living with cystic fibrosis. says Dr. Zaidi. necessary systems in place to ensure Successful throm- stroke patients get the most effective bectomy outcomes treatment and best care possible. We depend on several also have an exceptional rehab team key factors. One is so patients can get back to their lives 13th annual that the stroke pa- as soon as possible after treatment,” saturday tient must come in Dr. Zaidi says. for treatment before When a stroke occurs, it’s import6:00 – 11:00 pm permanent injury has ant to remember that “time is brain.” st. francis de sales occurred (though the The longer a stroke victim waits to high school time window is lon- seek medical care, the more brain Benefiting the cystic TICKETS © Contact Sal’s Pals: ger than for tPA). In tissue will be permanently damfiBrosis foundation salspals2004@yahoo.com or 419-360-7732 fact, one recent case aged, resulting in greater long-term www.salspals.com showed benefit with deficits, and the fewer treatment options doctors will be able to utilize. ProMedica urges people to B.E. F.A.S.T. in assessing whether physical symptoms could indicate a stroke. Swan Creek Retirement Village This acronym stands for: Swan Creek Retirement Village a continuing care retirement community

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PROOF

Balance—loss of balance or coordination or difficulty walking Eyes—vision problems Face—numbness, tingling, weakness, or drooping Arm or Leg—numbness, tingling, or weakness Speech—slurred or garbled speech Time—note exactly when the symptom started and when you last felt normal. Stroke symptoms typically develop suddenly and often affect only one side of the body. If you notice any of these symptoms in yourself or someone else, call 911 immediately.❦

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MELANOMA

No tan is worth the risk

ith spring here and bathing suit season right around the corner, many people are thinking that it’s time to start working on that nice, healthy suntan so they can look their best and enjoy outdoor summer fun without getting a painful sunburn. Trouble is, there’s no such thing as a “healthy” suntan and unprotected exposure to the sun’s ultraviolet rays is a known risk factor for skin cancer—the most common of all cancers. Of the three major types of skin cancer—basal cell carcinoma, squamous cell carcinoma, and melanoma—the least common, but also the most worrisome, is melanoma. “We don’t see a lot of melanoma cases,” says Amy Randall, CNP, of The Toledo Clinic Cancer Centers, “but because it tends to be more invasive and is more likely to spread to other parts of the body, melanoma presents a much greater risk of death than the other forms do, especially if it’s detected at a more advanced stage.” While it’s known that the sun’s UV rays can damage the DNA of skin cells, potentially leading to skin cancer, Randall emphasizes that natural sunlight isn’t the only source of harmful UV rays. Tanning beds, which may appear to be more safe, produce these same damaging rays. What’s worse, people who use tanning beds tend to expose more areas of their bodies to the light than they do while tanning outdoors. It’s also important to note that UV exposure is not the only risk factor for developing melanoma. In fact, in addition to occurring on sun-exposed parts of the body, melanomas can develop in areas that usually aren’t reached by the sun, such as the soles of the feet or even inside the mouth. “Family history plays a role as well, with one in ten cases of melanoma having a genetic link,” Randall adds. In addition to family history, other non-modifiable risk factors for melanoma include having fair skin, freckled skin, light hair and eye color, and advancing age. Interestingly, in people under age 45, melanoma is more common among women; over age 45 it’s more common in men. Some tell-tale signs of melanoma include a growth on the skin that is

irregular in shape rather than round, variation in color or shade within the same growth, a growth that is greater than 6 mm in diameter (larger than a pencil eraser), or changes in a mole that has looked the same for a long time. “Other signs to watch for include a skin lesion that’s itchy or that bleeds and seems reluctant to heal. Plus, you should be aware of any new moles or other growths, not just changes to existing ones,” says Randall. The appropriate course of treatment for melanoma depends on the size, depth, and extensiveness of the lesion. Surgery to remove the lesion may be sufficient if the cancer is caught early on. In more advanced stages, surgery followed by chemotherapy may be the appropriate course of action. Melanoma can grow rapidly, so the earlier it’s caught and treated, the better the outcome is likely to be. Of course, prevention is always the best medicine when it comes to skin cancer. Randall recommends using a sunscreen with an SPF (Sun Protection Factor) of at least 15 whenever you’re going to be spending time in the sun. As far as tanning beds are concerned, she urges people to avoid them altogether. “Plus, you should see a dermatologist yearly for a headto-toe skin exam, regardless of your family history. And don’t forget to examine your own skin. You’re more familiar with your own body than anyone else, so keep an eye out for any unusual changes to your skin,” Randall advises. ❦ Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, has eight board-certified hematologists/oncologists and eight nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TCCC also has satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe for the convenience of the patient, and many TCCC patients are enrolled in the latest cancer research and studies in our region through the Toledo Community Oncology Program (TCOP). For more information, please call the Toledo Clinic Cancer Centers at 419-479-5605.

CANCER CENTER

Toledo Clinic Cancer Centers 4126 N. Holland Sylvania Road, Suite 105 Toledo, OH 43623 GET DIRECTIONS TO HERE Scan the QR code and use Google Maps to get directions to this location.

or call 419-479-5605 Toledo Clinic Cancer Centers has moved to better serve our patients and families. Be sure to join us for our open house on March 5th, 2014 from 4pm - 7pm! Located on N. Holland Sylvania Road, we have laboratory, MRI and other specialty services conveniently located on the premises.

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

Dr. Tim Kasunic Dr. Rex Mowat Dr. Richard Phinney

Dr. Howard Ritter Dr. Bradley Sachs Dr. Charu Trivedi

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Do you need to continue strength training in the summer?

s spring moves into summer, many people head outdoors where they spend time swimming, riding bikes, and going for longer walks. Whether it’s on vacation or on weekend getaways with the kids, people are generally much more active during the summer months, which is good for both the heart and spirit. While all of this cardio has its health benefits, it doesn’t replace the many benefits of strength training. If you have a gym membership, you may or may not know that fewer people use the gym during the summer months and head outdoors for exercise, but it’s just as important to lift and tone during the warm months as it is during the cold. Here are five reasons you should make the gym a part of your daily routine even through the warm months:

1. Muscle burns fat, even while resting While cardio burns calories, a body’s metabolism has a large role in how food is converted to energy. Those

who are larger or have a higher degree of muscle mass burn calories even w h e n they’re at rest.1 As a person ages, metabolism naturally slows down, leading to gradual weight gain. Muscle is a great way to counterbalance the body’s natural slowdown, and the earlier a person starts, the easier it will be to maintain that muscle over time.

loss and reducing the risk of injury.3 When a person lifts weights, it also builds strength and balance, which can help prevent falls.

3. Muscle toning improves balance Balance has benefits beyond preventing injury. It comes into play no matter what you’re doing, whether it’s carrying groceries or climbing a set of stairs. Through strength training, 3 “Build Up Your Bones! NIH MedlinePlus the Magazine.” U.S National Library of Medicine, Winter 2012. Web. 09 May 2014.

you can more easily accomplish these tasks even as you get older.

4. Strength training prevents diseases Strength training has been shown to provide a number of health benefits, including a reduced risk of cardiovascular disease and diabetes.4 By continuing your strength training year round, you’ll continue to reap the rewards of the hard work you put in during the cold winter months.

5. You’ll look great As important as all the other benefits are, one of the biggest benefits to continuing strength training in the summer is also the most superficial. You work hard all winter and spring to look great, so why slack off during the summer months? As the weather heats up, you’ll likely be wearing shorts, short-sleeved and sleeveless tops, and bathing suits. Continued time at the gym means your muscles will stay toned so that you can look great. Finally, don’t let your healthier eating plan drop off during these

2. Building muscle staves off bone loss As a person grows older, bone loss is inevitable, especially for women after menopause.2 This can cause bones to break more easily, feelings of fatigue and weakness, and reduced tolerance to physical activity. Weight-bearing exercises strengthen bones, helping minimize natural bone 1 “Weight Loss.” Metabolism and Weight Loss: How You Burn Calories. N.p., 6 Oct. 2011. Web. 06 May 2014. 2 “Aging Changes in the Bones - Muscles Joints: MedlinePlus Medical Encyclopedia.” U.S National Library of Medicine, 3 Sept. 2012. Web. 09 May 2014.

4 “Why Strength Training?” Centers for Disease Control and Prevention, 24 Feb. 2011. Web. 09 May 2014.

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months. It is easy to do with barbeques, snacking, and sugary drinks. Remember to put down that sugary soda and instead enjoy water or carbonated water with a twist of lemon/ lime or a splash of cranberry juice. Iced green tea with a little honey is a great alternative to soda as well. With being on the go and outside don’t forget about your snack options. Healthier snack choices have exploded over the past few years, but the best are still the ones that have been around for ages: fresh fruits and vegetables. ❦

exposure to too much ultraviolet (UV) radiation, either from natural sunlight or from artificial sources like tanning beds. UV radiation is a wavelength of sunlight that is too short for the human eye to see. UVA and UVB rays are the two types of radiation most responsible for sunburn. Five percent of UVB rays reach the Earth and are most intense in the summer, making them the main cause of sunburn. UVA rays, which comprise the other 95 percent of the sun’s radiation, are present all year round and penetrate the skin more deeply. UVA rays are responsible for “photoaging,” or aging in response to light, and can exacerbate the cancer-causing effects of UVB rays.

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Enjoy summer without the sunburn by Fatemeh Karbaschi, BSPS, and Michelle Schroeder, PharmD, BCACP, CDE

t’s almost summer! We’re all ready for hot afternoons outside and for seasonal ice cream shops to reopen, but are you ready for those nasty encounters with sunburn? We’ve all experienced it, and we usually don’t know it’s there until it’s too late. More than just a temporary irritation, sunburns can cause long-lasting damage to the skin. One blistering sunburn in childhood or adolescence more than doubles a person’s chances of developing skin cancer later in life. According to the Skin Cancer Foundation, 42% of people get a sunburn at least once a year and over 3 million cases of sunburn are reported in the US yearly. Sunburn is more common in people with light skin, blue eyes, and red or blonde hair, but everyone should be familiar with the causes of sunburn and what you can do to prevent it.

What is sunburn and how is it caused? Sunburn is the protective response of skin to sunlight. It is caused by

Melanin is one of the ways our skin has developed to protect us from this sun exposure. Melanin is a black-brown pigment that gives skin its color. Exposure to UV radiation increases melanin production for protection, creating a suntan. These tiny pigments absorb UV radiation, increasing the tolerance to additional sunlight and WE reducing the likelihood of sunburn. can take The UV blocking protection of a sunOne YOU of tan only goes so far, and eventually sunburn becomes apparent three to six hours after exposure. The pain from sunburn peaks at 12 to 24 hours and often lasts up to 72 hours. Sunburn signs and symptoms can include redness; skin from this  that feels warm or hot to the touch; pain and swelling; small blisters; and to this!  headache, fever, chills, or fatigue if the sunburn is severe.

Sunburn prevention There are different steps you can take to avoid sunburns, such as avoiding direct sunlight, particularly in the summer between 11:00 a.m. and 3:00 p.m.; wearing appropriate clothing, especially synthetic fabrics and widebrimmed hats and sunglasses; and, of course, wearing sunscreen. Sunscreen uses a Sun Protection Factor (SPF) to measure the level of protection it offers against UVB rays. Most sunscreens with an SPF of 15 or higher do well in filtering out 93 percent of UVB rays. An SPF of 30 will keep out 97 percent while SPF 50 keeps out 98 percent but no sunscreen, regardless of SPF, blocks all UV rays. Sunscreens la-

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beled “broad-spectrum” also protect the skin from UVA rays. The Skin Cancer Foundation recommends using a broad-spectrum sunscreen with an SPF of 15 or higher every day. For extended outdoor activity, a water-resistant, broad-spectrum sunscreen with an SPF of 30 or higher is recommended.

Sunscreen application Sunscreen can help in the prevention of sunburn as long as enough is applied and it is reapplied frequently enough. Adults need about an ounce to cover their bodies, which is the amount you can hold in your palm. The proper time to apply the sunscreen is 15 minutes before sun exposure. Non-water-resistant products should be reapplied every two hours, and water-resistant products must be reapplied after 40 or 80 minutes of activity. Extra caution should be exercised near water, snow, and sand because these elements reflect and intensify UV rays.

Treatment of sunburn

Spring Meadows Senior Community is honored to be named one of the Top 10 facilities in the Ohio Health Care Association. The ranking is based on results of the Ohio Department of Aging bi-annual Family Satisfaction Survey. Spring Meadows received a 93.1% satisfaction score from residents’ family members. Astor House, our assisted living facility, received a 95% score. At Spring Meadows, we are all family! Knowing family members feel their loved ones receive outstanding, loving care means we are providing the service we strive for every day. There is nothing that is more important to us.

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Minor sunburn can usually be self-managed and takes up to three to six days to heal. Here are some helpful tips to assist in managing pain and promoting healing of sunburn: • Take frequent cool baths (not ice water). Pat yourself dry, leaving some water on the skin. Apply aloe vera gel or soy moisturizers to help soothe and trap the water on the skin. • Small amounts of hydrocortisone cream can be used if the sunburn feels very uncomfortable. • Aspirin or ibuprofen can be taken to reduce swelling and redness. • Drink plenty of water to avoid dehydration. Sunburn is a common and avoidable affliction. By following these simple tips, you can avoid photoaging, melanoma, sunburn, and the other harmful effects of UVA and UVB radiation so you and your skin can enjoy the summer sun safely. ❦ Fatemeh Karbaschi is a sixth-year doctor of pharmacy student at the University of Toledo College of Pharmacy and Pharmaceutical Sciences. Dr. Michelle Schroeder is a clinical assistant professor of pharmacy practice at UT and is currently the program director of the outpatient diabetes education program.

The information presented in this column is intended for your general knowledge only and does not aim to replace medical advice or treatment for specific medical conditions. If you have any specific questions about any medical matter, you should consult your doctor or other professional healthcare provider. References: 1. Skin Cancer Foundation. www.skincancer. org. Accessed 8 April 2015. 2. American Academy of Dermatology. https:// www.aad.org/dermatology-a-to-z/health-andbeauty/general-skin-care/sun-protection/howto-apply-sunscreen. Accessed 5 April 2015. 3. UpToDate [internett database]. Sunburn. Available from: http://www.uptodate.com. Accessed 6 April 2015.

In Another Garden tour to benefit Toledo Day Nursery

n Another Garden, a tour of eight spectacular home gardens, will be held on Saturday, June 20, 2015 from 8:00 a.m. to 4:00 p.m. The event will be held in the Historic Old West End and will include gardens of some of Lucas County’s most architecturally dynamic homes. Tickets are $15 in advance or $20 the day of the tour. All proceeds will benefit the Toledo Day Nursery. Advance tickets will be available starting May 12 at The Andersons, Black Diamond Garden Centers, Creque’s Greenhouse, Hoen’s Greenhouse, Ken’s Flowers, Lily’s at Levis, Pam’s Corner, Rhodes’ Garden Fresh, and Schramm’s Flowers. Shuttle vans will be provided the day of the tour, leaving from the Glenwood Lutheran Church at 2545 Monroe St. Tickets can be purchased at that location the day of the tour. Local musicians and vendors can be enjoyed in different gardens throughout the day. A preview party that provides dinner and first view of the gardens will be held on June 18, 2015 at Georgio’s Café International. Tickets are $75/person and available by calling 419-243-2627. Underwriters of the event include the The Andersons, Hylant Group, Schmitz Family Foundation, Paramount Advantage, Health Care REIT, and JL Mechanical. The tour will benefit the Toledo Day Nursery, which provides children of working and student parents with quality, affordable child care programs. For more information, visit www.toledodaynursery.org or call 419-243-2627.

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Looking for local pollen and mold counts?

There’s an app for that! F

rom early spring through the first hard frost in autumn, seasonal allergy sufferers are subjected to a progression of various airborne pollen types that, depending on their sensitivity, can make their lives truly miserable. While everyone else is gearing up to enjoy all the fun warm-weather activities, they’re bracing themselves for the usual onslaught of sniffling, sneezing, watery eyes, wheezing, and other unpleasant symptoms. However, area allergy sufferers have a powerful new ally in the form of a free app developed and supported by Board-Certified Allergist/ Immunologist Ghassan Safadi, MD, of Dr. Safadi & Associates (ToledoAllergy.com), which provides accurate and certified daily measurements of pollen and mold spores. The app, called Allergy Pollen Count Ohio, doesn’t merely provide a best guess of the pollens that might be in the air based on historical data and

weather predictions. Rather, it gives accurate counts of what’s actually in the air on any given day. Dr. Safadi can make this claim with confidence since the roof of his office building in Sylvania is an actual pollen counting station—one of only 80 such stations worldwide—and, as a certified pollen counter of the National Allergy Bureau™, of the American Academy of Allergy, Asthma & Immunology, he actually counts the pollen and mold himself. “We’re the first and only certified pollen counting station in Northwest Ohio and one of only two in the state of Ohio,” Dr. Safadi says. “There’s a machine on our roof that captures the pollen, and every day throughout allergy season, we count the pollen and molds on a slide under a microscope. It’s the most reliable way to determine what’s in the air at the time so seasonal allergy sufferers can better plan their activities and time their treatments more effectively.”

According to Dr. Safadi, seasonal allergy season begins in the spring with a succession of different tree pollens— for example, elm, maple, and juniper pollens make their appearance early on; oak comes next; and then mulberry arrives in late spring. Tree pollens give way to grass pollens, usually beginning in late April and continuing through June. Finally, ragweed and other weeds make their presence known from around mid-August through fall. People with pollen allergies may be allergic to some types but not others, so knowing exactly what’s in the air can help them relate their symptoms to particular pollens as well as help them determine the need for medication at particular times. Also, for people

who haven’t been diagnosed with allergies, correlating the onset or worsening of allergy-like symptoms to days with higher pollen counts can be a good indicator that it’s time to see an allergist for an evaluation. It’s noteworthy, however, that pollen is no respecter of calendars. “Every year can be different based on winter severity and other factors. For example, last year, the mulberry pollen count was very high in our area but significantly lower in stations further north in Canada. The unusually harsh winter we had here could have stressed those trees to produce more pollen the following spring; the trees further north may not have been able to survive, which might explain the lower counts

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reported by the Canadian station,” notes Dr. Safadi. His role as a certified pollen counter has also given Dr. Safadi some surprising insights. For example, prior reports indicated mulberry pollen was one of the earliest of the tree pollens in our area, but now he knows it actually appears in May and June. He hopes that with each passing allergy season, he’ll have more local data for comparison and can better predict what to expect in the future based on local conditions. In addition to providing accurate, real-time pollen counts, Allergy Pollen Count Ohio is unique in that it gives subscribers the option of receiving daily notifications as soon as the pollen counts are available. The app also offers analysis and a graphic breakdown of the different pollen levels as well as a brief synopsis of what’s in the air. The App, developed by Dr. Safadi, is totally free and has over 1,000 active subscribers. It is available for download for iOS and Android through the iTunes store and Google Play, respectively. Just search for “Allergy Pollen Count Ohio” in the App Store. ❦

Recovery to Home...

We need to create change by Mark S. Faber, USPTA Elite Professional

wo weeks ago, I was fortunate enough to have been selected to attend the USTA Junior Competition Summit in Orlando, Florida. Don’t be fooled by the name of the conference; it really had little to do with the “competition” word, but more with the overall state of “play” in America. As I departed this conference, I realized one very important thing: We need to get kids more active, period. The statement shared with our group by Dr. Brian Hainline, Chief Medical Official of the NCAA, was, “This generation could potentially be the first generation that lives five years less than their parents due to nutrition and inactivity.” There is an outstanding video at www. designedtomove.org that I would

One patient at a time

Lutheran Homes Society’s rehabilitation services focus on the needs of the patient. Do you want a private room for your recovery? We have that. Looking for individualized care? We have that, too. Our care plans are designed to restore function, reduce pain, prevent further injury, and, most importantly, get you back home.

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suggest readers check out. The fact is, kids are designed to move. They want to have fun. And guess what! They want to play! Another speaker we heard was Tom Farrey, the Executive Director of The Aspen Institute. During his presentation, he shared great information on their Project Play (reimagining youth sports in America) and discussed a book they have produced called Sport for All…Play for Life. Here are a few powerful facts he shared with us, with the focus on children ages 12 and under: • Basketball, soccer, track/field, baseball, football, and softball had 2.6 million fewer kids playing between the years 2008 and 2013. • In 2008, there were 9 million active kids, but there were only 8.2 million in 2013 (a drop of 8.8%). • Many factors are coming into play with respect to when youth today are being exposed to sport because the free and unstructured play era has all but vanished. Some of the factors are race, marital status, and household income. • Fewer than half the children between ages 6 and 11 meet the US Surgeon General’s recommendation of engaging in at least 60 minutes of moderate physical activity most days of the week. Another interesting fact to me was based on a George Washington University study in 2014 that asked kids why they participate in sports. According to the results he shared with us, 9 out of 10 said they participate to have fun. When asked what fun was to them, the first on the list of

81 reasons was trying their best and winning was 48. Now, don’t get me wrong, there are some outliers who have the internal wiring for competing and winning (especially those from families of the same makeup). The point here is, that viewpoint does not represent the masses. There is so much more information I could share that would open your eyes. This worries me on two levels: as a coach but more importantly as a parent. As coaches, we need to encourage our kids to participate in more structured and, most importantly, unstructured play. We need to encourage kids to try other sports. Everyone is in the specialization mode, but as a tennis coach, this is not correct for the majority of kids. Tennis is an early introduction, late specialization sport. The more athletic the child is, the better they will perform as they get older. As a parent, I don’t want it on my shoulders that I didn’t do enough to encourage my children to become more active and live a long life. This can be done by getting our children away from the iPads and videogames and into the backyards and athletic fields. Let us get our kids playing and having fun. If they are having fun, then they will want to play more and become more active. Find sports that are designed for kids and their age. Remember, kids are not little adults; they are kids. As we heard from various sports, USA Volleyball, USA Hockey, USA Lacrosse, not to mention various countries on tennis, the design for youth play is changing and being made more available. We all want to get the youth active and are making changes. It is now up to all of us to make the change and get the kids of today more active and having fun and living long and healthier lives.❦

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Backyard trampolines can be dangerous! by Richard L. Munk, MD

pring has sprung! After a long, cold, snowy winter, cabin fever is rampant, and our children are champing at the bit to get outside and release some of their pent-up energy. One of the more popular ways of doing this is on the backyard trampoline, but caretakers must be aware of the very real dangers associated with this sophisticated piece of gymnastic equipment. Annually in the US, almost 100,000 people are injured on trampolines

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and more than 4,000 youngsters are hospitalized—some with life-altering injuries, including permanent paralysis, and some with fatal injuries. Nevertheless, trampolines can be used with a controlled level of risk provided certain precautions and protocols are followed. To begin with, after a long winter, equipment left outside needs to be carefully inspected. Worn or torn protective pads must be replaced and properly secured to the trampoline bed so that the surrounding springs and elastic straps are completely covered. This necessity, of course, applies to newly purchased equipment, which should be carefully assembled according to the manufacturer’s instructions. In addition, throughout the season, all pads must be inspected to ensure that they are still appropriately secured—not only to protect children from the springs and straps, but also to prevent children from falling between them. Ideally, the trampoline bed should be level with the ground as it is in many of the commercial trampoline facilities. But this is not always

practical in the typical backyard, so the trampoline must be set up on flat ground free of nearby overhead or surrounding obstructions. The area around the trampoline must be kept free of sharp and solid objects, such as branches, rocks, bikes, scooters, and other toys. Ideally, the area surrounding the trampoline should be softer than just dirt or grass. A thick surrounding layer of woodchip mulch is helpful; a thick layer of foam blocks is even better. However, foam blocks are lightweight and tend to blow away, and, if not covered, they become soaked with water when it rains. About 25% of injuries occurring with the use of trampolines result from a fall off the trampoline. A tall net surrounding the trampoline is a relatively new addition to the backyard trampoline equipment available today, but the most recent statistics indicate that this has not significantly decreased the frequency of trampoline injuries. And the addition of a “protective” net cannot foster complacency. It must never be a substitute for active and constant adult supervision when the trampoline is being used. In addition, just like the protective padding covering the springs, the surrounding netting must be properly assembled and routinely inspected for safe and proper functioning. Finally, to maximize safety in the use of this potentially dangerous backyard equipment, certain rules must be established before the equipment is to be used. In addition, supervisors must make it clear that if any of these rules are broken, then the equipment will be taken down. It takes only an instant for a life-changing injury to occur, but the victim and other people will have to live with that mishap for a lifetime.

Rules for the safe use of backyard trampolines 1. Only one person is allowed on the trampoline. That means not just

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one person jumping, but only one person on the trampoline bed at any time; 75% of injuries on trampolines occur when there is more than one person on the mat. Even having another person just sitting on the trampoline bed can unpredictably change the way the trampoline bed responds to jumping. In addition, the jumper may land on other people on the trampoline bed, possibly injuring himself and/or the people he lands on. Of course, a person sitting on the trampoline may also get bounced off the trampoline or into the surrounding netting. When multiple jumpers are on the mat, the smallest jumper is 14 times more likely to be injured than the bigger jumper. Almost 50% of all injuries to kids under the age of 5 are fractures. 2. No one should do any flips or summersaults on a backyard trampoline. This is a skill that should be restricted to an organized gymnastics program with proper instruction and spotting—even after the skill has been mastered. Too many fractures— including broken necks resulting in total and permanent paralysis—have occurred when kids try to do a flip on a trampoline. 3. An adult should be present

at the side of the trampoline. This precaution makes it more likely that the rules of safe trampoline use will not be abused and that injuries will be minimized. 4. Everyone using a trampoline should step down from the trampoline (or step off an in-ground trampoline) and must not jump off the trampoline. The ground may be deceivingly firm! 5. Children under the age of 6 should not be allowed on a trampoline. Ladders or steps used to safely mount and dismount from a trampoline should be removed when the trampoline is not being used and/ or there is no adult supervision to prevent youngsters from using the trampoline. Regardless, a trampoline is a relatively high-risk piece of equipment, and even with close supervision, injuries may still happen. It is for this reason that many homeowners’ insurance policies do not cover injuries from using a backyard trampoline. Therefore, check your homeowners’ policy so that, if necessary, a rider may

Kenneth E. Endicott, Prosthodontics, Inc.

be added to cover injuries occurring on your backyard trampoline. Otherwise, this fun piece of backyard equipment might prove to be prohibitively expensive—personally and financially. If you do choose to have a backyard trampoline, please follow the abovenoted guidelines, which have been formulated by the American Academy of Pediatrics, the Committee on Trauma of the Pediatric Orthopaedic Society of North America, and the American Academy of Orthopaedic Surgeons—three very prestigious organizations dedicated to the safety of children. Should the rules that you have established for the use of your backyard trampoline be violated, be prepared to promptly take it down so there will be no doubt in the minds of all involved that you are genuinely committed to their safety and well-being. ❦ Richard L. Munk, MD, is a pediatric orthopaedist and a member of The Academy of Medicine of Toledo and Lucas County.

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Genesis Village partners with The Laurels to enhance residents’ continuum of care

hen exploring their options for retirement living, today’s seniors are looking for much more than just a pleasant, restful atmosphere. They want a vibrant community with ample support services that allows them to continue leading the lifestyle of their choosing. For many, this includes convenient access to a wide range of professional healthcare services. Recognizing this expectation among their current and prospective residents, Genesis Village recently partnered with The Laurels of Toledo, expanding their onsite healthcare continuum to include physical, occupational, and speech therapy. “It just made a lot of sense to bring in The Laurels as a local partner,” explains Jessica Blattner, Marketing Manager for Genesis Village. “Their physical and occupational therapy teams were already collaborating with Interim Healthcare, the company that provides onsite nursing and personal care services here on campus, and having all three organizations working together can only

18 May 2015 | Healthy Living News

strengthen all of our missions.” Julie Leidel, Rehab Services Director for The Laurels, adds, “The Laurels and Genesis Village teams complement one another very nicely. There are many different resources at Genesis Village, including a pool and fitness center, and we offer free transportation services to and from The Laurels to residents who would benefit from utilizing the state-ofthe-art rehab gym there.” Both Blattner and Leidel agree that the various partners are already working closely together and becoming like family. In fact, every Tuesday morning, the whole care team sits down together to discuss residents’ needs as well as ways the partners can better collaborate and support one another. Resident Ray Grabel, 74, says that Genesis Village offers a continuation of one’s lifestyle, which for him means having the ability to work out and walk five to six days per week. “When you’re in your 70s and active like I am, it can be challenging to find an independent- or

assisted-living facility that makes it possible to continue that lifestyle, but Genesis Village offers a wide variety of facilities and activities for people who like to stay active.” Grabel acknowledges that he currently doesn’t work out with the same intensity he once did, but that’s because he’s still re-

habilitating from a medical crisis with the help of Laurels physical therapy assistant Brad Weaver. While undergoing minor back surgery, Grabel experienced a hemorrhagic stroke, which landed him in intensive care for five weeks. After that, he went back for additional back surgery and then into an acute-care facility. From there, he moved to Genesis Village. His goal now is to reclaim the quality of life he had before the stroke and to get back on the golf course. His biggest obstacle to achieving that goal is persistent dizziness, and he continues to use a walker to prevent falls. “He was nervous about his balance and a little tentative when we started working together,” Weaver recalls, “but now he’s going much further and his confidence and independence are night and day from where they were initially.” In addition to providing physical and occupational therapy services at Genesis Village, the Laurels team has also implemented Wii Sports and Brain Games programs to help residents like Grabel maintain or

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regain physical function and dexterity as well as memory. “Plus, we’re planning to start a walking club for residents and their visitors that will offer both indoor and outdoor walking courses with distances all mapped out,” Weaver says. Blattner observes that Genesis Village, with its indoor pool and whirlpool, fitness center, and wideopen spaces for walking, is ideally suited to active residents and their visiting loved ones. “We encourage our residents to embrace their family and friends and strive to make our whole space accessible to visitors to promote a culture of inclusion,” she says. There’s even a fully organic garden on campus that offers residents yet another opportunity to stay active and provides a bounty of healthy vegetables that are harvested for use in the kitchen. In addition, Genesis Village is a

proud host site for SilverSneakers®, an innovative exercise program for active older adults offered through participating health plans. Residents and non-residents who are part of the program are welcome to take part. “This program is great from our perspective because once patients are finished rehabbing with us and are discharged, they can transfer into SilverSneakers and maintain all the progress they’ve achieved,” Weaver says. ❦ The Laurels of Toledo, located at 1011 Byrne Road, 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. Genesis Village is located at 2429 S. Reynolds Rd. in Toledo. Visit genesisvillage.org or call 419-720-1286 for more information.

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hen clients walk inside our doors, hope is often the last thing they are thinking about. We want it to be the first thing they see. At Unison, hope is who we are. It’s what we do. So when we discussed how to visually enhance our Cherry Street location, a Tree of Hope seemed like the perfect image. Today, our Tree of Hope greets everyone who walks in our doors. It’s filled with leaves with personal messages of hope from clients. “Clients were really excited to be a part of something, to leave something that would impact others in their situation,” says Ashley Kopaniasz, PCCS, LICDC, CS, Unison’s Director of Alcohol and Drug Treatment Services. “We know in recovery that in order to keep what we have worked so hard for, we often need to share it with others.” “A tree starts out as the smallest of seeds, and with some nurturing, it grows into a powerful figure of beauty and strength and provides for those around it with its shade, shelter, and protection,” adds Ashley. “To me this symbolizes the journey of recovery—an individual enters into treatment or recovery and finds either a therapist or a peer that aids them in their journey and then, in turn, they grow and their growth impacts countless others.” The messages on the leaves are as different as those we help. For some,

it’s a look into the future: “Hope is the limitless possibilities of what I can achieve when I put my mind to it.” For others, it’s a mantra to make it through today: “Hope is waking up without need of using.” For some, it’s a chance to be the person they want others to be proud of: “Hope is to have a better and sober life and to be the best mom and grandma.” Sometimes it’s the understanding that it’s time to let others in: “Hope is allowing yourself to become humble enough to ask for and accept the help from others.” For many, it’s the final straw before giving up: “Hope is the little voice you hear whisper 'maybe' when it seems the entire world is shouting 'No!'” Now, hope will be the message everyone sees when they walk into Unison. And when they leave, it will be that steadfast reminder that hope is always here. With nearly 40 years of experience, Unison Behavioral Health Group is the community's recognized and preferred leader in providing integrated care for adults, adolescents, and children. Unison accepts Ohio Medicaid and most private insurances. Unison is certified by the Ohio Department of Mental Health and Addiction Services. Unison is also accredited by the Joint Commission on Accreditation of Healthcare Organizations. For more information, please call 419-693-0631 or visit www.unisonbhg.org. ❦

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DO YOU HAVE A LOVED ONE LIVINg WITH MENTAL ILLNESS? The National Alliance on Mental Illness (NAMI) of Greater Toledo has a program to mentor families struggling with their loved ones mental illness. Please contact Sarah

Smitley, Family Navigator at 419.243.1119 who will work individually with you to help your family navigate the mental health system by helping you find resources and services. A place for families to find resources in the Mental Health and Alcohol and other Drugs (AOD) services community. Every 3rd Thursday of the month from 6:00-7:30 pm agencies from both communities will have information tables.

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choices that promote better mental health

ost people understand that achieving good physical health depends in large part upon leading a healthy lifestyle. For instance, we know that getting proper nutrition and exercising regularly are essential to maintaining good cardiovascular health and avoiding problems such as diabetes. But what many fail to recognize is that, just as with preventing heart disease and other chronic ailments, there are proactive steps we can take to promote our mental and emotional well-being. Here are eight of them:

life obligations, is a major source of stress that drains away joy and can all too easily spiral into feelings of resentment, anxiety or depression, job burnout, and other intensely negative emotions. It’s important to identify your own limits with respect to career, family, and social obligations and to learn ways to decline any requests that will strain those limits.

2) Eat right and exercise Though our culture tends to compartmentalize physical and mental health, there really is no disconnect between the body and mind. Like any other organ or system in the body, the brain needs proper nutrition in order to function properly,

1) Master the art of saying “no” Lack of appropriate balance, for example between our work and family lives or between other competing

—Continues on page 22.

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“There is no health without mental health.”—World Health Organization

he health system is fragmented, separating the worlds of primary and mental health care. However, recent legislation is changing that. Issues like depression and bipolar disorder are now considered equally important as heart issues or diabetes and must be covered and paid for by insurance companies. Health systems are beginning to form networks of care because payments are becoming bundled based on outcomes and better health for the patient. For consumers, this is a win; the focus is on providing a better continuum of care and helping them become healthier and more productive. Harbor is excited about our new Joint Operating Company with ProMedica Health System. Harbor’s CEO/President, John Sheehan, said, “The most exciting part of the agreement is how much it will benefit our clients and their families. Integration of healthcare services is a major theme in all of healthcare reform, as is achieving better outcomes and improving

quality of life for all of our patients. This affiliation will make us stronger by providing more resources and service opportunities for our patients than we have ever had before.” The Joint Operating Company between Harbor and ProMedica is currently operationalizing with great things to come! The goal of healthcare reform is to catch people earlier and promote wellness rather than waiting until there’s a problem. People are encouraged to embrace their own health and be accountable, which is reflected in employers and insurance companies incentivizing people to get regular well-visits and preventative screenings. Healthcare is an industry in disruption, but the reform and the idea of the continuum of care and promoting wellness will benefit all consumers! ❦ Jean Drees is Executive Director of Marketing & Community Affairs for Harbor Behavioral Health.

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ING R A C

IS OUR CALLI

Healing from traumatic experiences, by Wendy J. Shaheen, MSW, LISW-S

he month of May has been declared What is trauma? National Mental Health Awareness Trauma results from an event or Month. It is a time to reflect on the multiple events that are experienced millions of Americans who face the by an individual as emotionally harmful stigma and challenges mental health or threatening. Simply, the traumatic issues bring into their lives. It is also a event was beyond the person’s control. time to educate and promote awareness Repeated experiences can completely of important topics that contribute to overwhelm the person’s ability to cope and function in their daily lives. While a person’s overall wellness. The role many people heal from trauma with that traumatic experiences play in a time and support, sometimes extra help person’s health and wellbeing Mental Healthmental Substance Abuse Medicated Assisted Recovery is needed to work through the feelings is significant and deserves our attention and experiences. Easy Accessibility To Services Private & Confidential as a community. It is estimated that up to 80% of Common reactions to trauma ARenewedMindServices.org individuals who seek treatment for mental Although everyone has their individual Locations in:and substance abuse issues have responses to traumatic events, there are health general reactions that people may one or morePerrysburg traumatic events occur some(419)720-9427 Toledo had Findlay experience. A few examples of typical in their lives. Given these statistics, it emotional, physical, cognitive, and is important to inform the public on the behavioral reactions are: role of trauma recovery and its impact • Emotional reactions: fear, anger, on mental and emotional health. sadness, feeling out of control, Trauma is a major public health issue depression, grief, detachment from impacting individuals, families, and others. the communities we live in. Traumatic • Physical reactions: fatigue/exhaustion, events can happen to anyone, regardless nausea, sleep disturbances, of age, gender, sexual orientation, or nightmares, appetite changes, startled social-economic class. People who are responses. especially at risk for developing more • Cognitive reactions: difficulty serious mental health symptoms and concentrating, racing thoughts, addiction include victims of domestic memory problems, suicidal thoughts, violence and child abuse, persons who preoccupation with the event. witness violence, military personnel, and • Behavioral reactions: increased drug, first responders. Trauma survivors who alcohol, and tobacco use; highhave experienced repeated trauma are risk behaviors; social withdrawal; increased or decreased activity level. especially at risk.

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1. Keep in mind there is no “right way” self-esteem, which, in turn, impacts Mental Health Substance Abuse Medicated Assisted Recovery to think about, feel about, or respond their relationships with others. They Easy Accessibility & Confidential to a traumatic experience. To YouServices are mayPrivate be haunted by memories or have experiencing a normal reaction to present-day events that trigger the original ARenewedMindServices.org abnormal circumstances. trauma experience. 2. Becomein: aware of your emotional Trauma sufferers do not have to Locations “triggers” and learn new ways to respond manage their symptoms alone and Toledo Findlay Perrysburg (419)720-9427 to them. should feel comfortable seeking out 3. Allow yourself permission to talk to professional help if needed. Choose others and express your feelings about a behavioral health provider who has what happened. Talking about your training and experience in traumafeelings will allow you to heal faster. specific intervention. 4. Actively engage in relaxation A Renewed Mind provides person techniques, such as yoga, progressive centered behavioral healthcare for muscle relaxation, or meditation, to children, youth, and families who struggle decrease tension and anxiety. with mental health, addiction, and trauma. 5. Do whatever it takes to create As a faith-based, behavioral health a soothing home environment. Light organization, we understand trauma candles, listen to soft music, create and its impact on mental health. Our calm in your life. Be sure to get adequate organization provides evidence-based rest, exercise, and nutrition to restore treatment with proven results. Our trauma balance to your system. informed services are specifically tailored 6. Empower yourself by learning to each person’s needs, strengths, and more about trauma and how it impacts goals, understanding that no two people your life. Information is powerful and may experience or cope with experiences healing. in the same way. 7. Give yourself permission to seek Healing from traumatic experiences professional help if your coping strategies is possible, and many survivors emerge and social supports are not enough. from the experience(s) as a stronger Professional trauma treatment individual. Through the process of Untreated trauma can lead to a pattern understanding the role of trauma in of maladaptive coping skills, anxiety, their lives and how these experiences depression, substance abuse, and have impacted their behavior and worldaddiction. Trauma sufferers often struggle view, healing can begin. Wendy J. Shaheen, MSW, LISW-S, is Vice President of Clinical Services for A Renewed Mind.

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so what you eat is bound to have a major impact on your emotions and thought processes. As far as exercise is concerned, they don’t call it “mental floss” for nothing. Vigorous exercise not only serves as a healthy relief valve for stress, but it also releases endorphins, the body’s natural mood-boosting hormones. And you don’t need to train like an Olympian to garner the mental health benefits of exercise, either. A brisk walk for 30 minutes a day will suffice. Of course, eating right and exercising will also help stave off a host of other chronic health conditions that often lead to mental health issues, such as anxiety and depression.

3) Get a good night’s sleep Getting sufficient sleep on a regular basis offers a wide range of mental/ emotional benefits, including improving focus, memory, and creativity; reducing stress; and lowering the risk of depression. Strive for seven to eight hours of sleep per night.

4) Stay socially connected

Human beings are social creatures, and spending too much time alone runs counter to good mental health. The longer we spend in isolation, the greater the risk of developing depression, and people who are depressed 10.25x5_ES_NurseStaceyAd_HL_415_HI.pdf often avoid social interaction and activities they once enjoyed, so the

CMY

problem becomes self-perpetuating. If loneliness is becoming an issue for you, there are several ways to reconnect socially. Examples include: • Schedule more get-togethers with family and friends. You don’t have to wait for the holidays. A special homecooked meal or movie night is a good enough excuse. • Take a class at your local community college. • Join a hobby-related club (e.g., a gardening or aquarium society). • Volunteer at a local soup kitchen, food pantry, etc. Putting the focus on others’ needs is a great way to alleviate loneliness and boost your sense

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of self worth. • Adopt a dog or cat. Not only are pets wonderful companions that provide unconditional love, but they can also help their owners connect with other people. Walking a dog, for instance, takes you outside and into the company of other dog lovers while providing an opportunity for healthy exercise. • Take advantage of online forums and video chat applications to stay connected with others when you can’t leave home.

5) Challenge your mind Adult education classes, museum visits, puzzles and “brain games,” books, art projects, and any other activities that encourage novel thinking or demand creativity are great ways to wake up new areas of the brain and help protect against mental decline.

6) Avoid intoxicants There’s something of a “chickenand-egg” relationship between drug and alcohol abuse and mental health issues. On the one hand, people with mental illness often use intoxicants to self-medicate when they experience symptoms. On the other hand, certain intoxicants can actually cause serious

mental health problems or exacerbate existing ones. So, the temporary relief intoxicants might provide from stress, depression, anxiety, or other negative emotions just isn’t worth the potential long-term mental-health consequences.

7) Learn relaxation techniques When it comes to stress relief, a much better alternative to using intoxicants is learning some simple relaxation techniques that you can easily incorporate into your day, such as praying or meditating, practicing yoga, performing deep-breathing exercises, listening to soothing music, watching a funny movie, etc.

8) Get help if you need it! It’s important to understand that many complex factors influence our mental and emotional health and that some people may experience mental illness despite making positive lifestyle choices. If you’re grappling with persistent negative emotions or disruptive thoughts, particularly if you’re experiencing any self-destructive impulses, don’t hesitate to see a mental health professional. The earlier mental illness is recognized and treated, the better the outcome. ❦

“ Nursing is what I want to do. Elizabeth Scott is where I want to be.” Stacey P., RN, BSN, 20-year employee

Stacey was only 19-years-old and unsure of what she wanted to do with her life, when she drove past the Elizabeth Scott Community and stopped to get an application. Twenty years later, she’s found her purpose in life. “I love the elderly residents. They have such great life stories, and they’re so knowledgeable!” Our founder, Elizabeth Scott, was also a nurse and believed in caring for residents like they were family. Sixty-six years later, nursing is still at the heart of our resident-centered care.

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22 May 2015 | Healthy Living News

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Eating Well by Laurie Syring, RD/LD

Pre- and probiotics— do we really need them?

e don’t usually give it much thought, but our intestinal tract contains millions of healthy bacteria along with yeast and some harmful bacteria. The composition of bacteria in your gut can vary naturally (i.e., it’s just the way you were born), or it can change over time due to factors such as diet, stress, or antibiotic use. No doubt you’ve noticed a lot of references in the news to “probiotics” and “prebiotics” in recent years. What are these, and what do they have to do with your health? Probiotics are “good” bacteria, and prebiotics are non-digestible carbohydrates that act

as food for probiotics. When taken together, they form a “friendship” of sorts. Research on these products has skyrocketed over the past decade, and probiotics are being studied to help treat chronic diseases like obesity, heart disease, and osteoporosis. Other probiotics research has established the benefits of their use for gut and immune health.

What’s in that container? Probiotics are named for their genus,

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species, and strain. Within each species are thousands of different strains. All do a little something different, and many work together for good gut health. Therefore, for general wellness, it’s best to pick a product containing multiple species rather than a single strain. To determine exactly what you’re getting, check the product label. Many of these products will list which species of beneficial bacteria they contain in CFUs, or colony forming units. It is usually recommended to keep the CFUs at 10(9)—or 1 billion CFU per dose.

Cautions and considerations As with any health regimen, be sure to consult your healthcare provider before taking probiotics to ensure they’re appropriate for you. And, of course, you should follow the package prescription, keeping in mind that more is not always better. Also, be sure to separate doses by at least two hours, especially if you’re taking antibiotics. If you’re taking probiotics for ongoing health issues, such as irritable bowel, try taking them for two to three weeks, and if that doesn’t help, stop taking them for a few weeks and try a different product. While pre- and probiotics have been found to be very helpful and provide for optimum gut health, you should never stop taking medications without a physician’s approval, give these products to children unless approved by their pediatrician, or

self-treat illnesses without consulting your doctor.

Pro- and prebiotics in foods Many people regularly consume pro- and prebiotics without even realizing it. For example, fermented dairy products like yogurt and kefir contain live “good” bacteria, such as lactobacillus and bifidobacteria, as well as the fuel they need to thrive. Look for the phrase “live active bacteria cultures” on the label of your favorite yogurt. Other food sources include sauerkraut, miso soup, fermented soft cheese like gouda, and even sourdough bread. Prebiotics are found in whole grains, bananas, onions, garlic, honey, asparagus, and artichokes. Of course, in addition to foods, pre- and probiotics can be found in dietary supplements.

Final “gut check” Prebiotics help nourish your gut, and a diet rich in prebiotic foods is a great source of vitamins, minerals, and other nutrients that give you energy throughout the day. However, there is no research to support the idea that prebiotics themselves will increase your energy level. Your chances of achieving the desired results will be better if you learn which food sources contain pre- and probiotics and buy only clinically tested supplements. Remember, the primary benefit of pre- and probiotics appears to be helping you maintain a healthy digestive system and, in turn, a healthier you! ❦

Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

Serious illness raises tough questions. Let our experts help with what’s weighing on your mind.

24NWOH-096 MayLaura10.25x4_4C-U.indd 2015 | Healthy1 Living News

5:19 PM We love feedback. Like us on Facebook. Follow us 3/31/14 on Twitter.

Elizabeth Scott Community 2720 Albon Road Maumee, OH 43537 419-865-3002 www.elizabethscott.org

Spring Meadows Senior Community 1125 Clarion Ave. Holland, OH 43528 419-866-6124 www.springmeadowsecf.com

Aspen Grove Assisted Living Residence 7515 Secor Rd. Lambertville, MI 48144 734-856-4400 www.aspengrovefamily.com

St. Clare Commons 12469 Five Point Road Perrysburg, OH 43551 419-931-0050 www.homeishere.org

Sunset House 4030 Indian Rd. Ottawa Hills, OH 43606 419-536-4645 www.sunset-communities.org

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

Lutheran Village at Wolf Creek 2001 Perrysburg-Holland Rd. Holland, OH 43528 419-861-2233 www.lhsoh.org

Swan Pointe Care Center

Lutheran Memorial Home

3800 Butz Road Maumee, OH 43537

795 Bardshar Rd. Sandusky, OH 44870

419-867-7926

419-502-5700

www.consulatehealthcare.com

www.lhsoh.org

Senior Living Guide Choosing a senior living community that’s right for you or a loved one is among the most important—and challenging— decisions you’ll make in your lifetime. We’re fortunate here in Northwest Ohio and Southeast Michigan to have a wide variety of high-quality senior living options, including independent living, assisted living, continuing-care, and subsidized low-income housing communities. To make your decision a bit easier, we’ve assembled this guide to all the senior living properties that regularly support Healthy Living News through advertising. In addition to referencing this page for each organization’s contact information, we urge you to see their ads in the pages of this issue, check out their websites, and give them a call to schedule a tour if you are interested in hearing more about all the services and amenities they offer.

Senior Star at West Park Place

Kingston Care Center of Sylvania 4121 King Road Sylvania, OH 43560 419-517-8200 www.kingstonhealthcare.com

Pelham Manor 2700 Pelham Rd Toledo, OH 43606 419-537-1515 www.jewishtoledo.org

Heartland of Waterville

Parkcliffe Community

8885 Browning Drive Waterville, OH 43566

4226 Parkcliffe Lane Toledo, OH 43615

419-878-8523

419-381-9447

www.heartland-manorcare.com

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Swan Creek Retirement Village

Kingston Rehabilitation of Perrysburg

The Manor at Perrysburg

5916 Cresthaven Lane Toledo, OH 43614

345 E. Boundary Street Perrysburg, OH 43551

419-865-4445

419-873-6100

www.swancreekohio.org

www.kingstonhealthcare.com

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

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

250 Manor Drive Perrysburg, OH 43551 419-874-0306 www.ManorAtPerrysburg.com

The Laurels of Toledo

Bowling Green Manor

1011 Byrne Road Toledo, OH 43607

1021 West Poe Road Bowling Green, OH 43402

419-536-7600

419-352-4694

www.laurelsoftoledo.com

www.BowlingGreenManor.com

www.otterbein.org

Sunset Village

Otterbein Portage Valley Senior Lifestyle Community

Lutheran Home at Toledo

Orchard Villa

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

20311 Pemberville Rd. Pemberville, OH 43450

131 Wheeling St. Toledo, OH 43605

2841 Munding Drive Oregon, OH 43616

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Geri Ricker • 419-833-8917 gricker@otterbein.org

419-724-1414

419-697-4100

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www.otterbein.org Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | May 2015

When a stroke

unexpectedly pauses life, we help you

press play again. Introducing Kingston’s On-Site Stroke Recovery Physician With a specialty in physical medicine and

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rom a health standpoint, bicyclists get to enjoy the benefit of an aerobic workout while feeling the sun on their faces and the wind in their hair. Here are four simple rules you should always keep in mind on your two -wheeled workouts:

1) Ride predictably

e rul l es p m

BICYCLE SAFETY

Riding predictably simply means following the same rules of the road that all other drivers must follow. Obey all traffic signals and signs, yield the rightof-way when appropriate, signal your intentions before turning or proceeding from a stop, allow plenty of room between yourself and other cyclists or vehicles on the road, and always ride with traffic, not against it. When bicyclists and motorists collide, it is often the result of the cyclist’s failure to yield the right-of-way at a stop sign, red light, or driveway. Always operate your bicycle with the same care and attentiveness you use when driving a motor vehicle, and be sure traffic has cleared before entering intersections.

2) Ride visibly Of course, it’s also vital for vulnerable cyclists to be clearly visible to others on the road. Wear brightly colored clothing and a light-colored helmet so you stand out in traffic during the day. At night, make sure you have an operational white front light and red rear reflector. Equipping your bike with a red rear light is also a good idea. Your clothing for night riding should be eye-catching and reflective. Whenever possible, avoid riding in a motorist’s blind spot, and be sure to hold your place in a moving traffic lane. If you try to pass a line of stopped or slowing cars on the right to get through traffic faster, you may be invisible to a right-turning vehicle and cause a collision at the next intersection. Also, be sure to ride just to the right of the moving lane of traffic, and take care to avoid swerving suddenly into the path of an oncoming or overtaking car. Such sudden, erratic movements cannot be anticipated by motorists and often lead to accidents.

3) Ride defensively Even though you may be following

26 May 2015 | Healthy Living News

all the rules, others on the road may fail to do so, putting you at risk. If you ride defensively and try to anticipate the mistakes of other cyclists and drivers, you’ll be better poised to avoid accidents. The key to defensive riding is to stay alert and continually scan the road ahead for obstructions, hazardous conditions, or motorists/other cyclists operating in an unsafe manner. Plan ways to maneuver around or away from danger. If you see a problem developing, be prepared to act decisively to avert it. While you’re thinking defensively, keep in mind that not all bike accidents involve collisions with cars. In fact, even though car-bike collisions are more likely to result in serious injury (usually to the cyclist), the vast majority of bike accidents do not involve motor vehicles at all. Riding into obstructions like posts or potholes accounts for approximately half of cycling accidents. Mishaps also occur when cyclists using the same path or road run into each other. Other causes include riding too fast for conditions, failing to control speed downhill or on a gravel patch, and losing control due to poor maneuvering or braking skills.

4) Ride with the right safety equipment Of course, every cyclist should also wear appropriate protective gear, including a helmet, elbow pads, and knee pads. Considering that head injuries cause the majority of deaths and permanent disabilities resulting from bike accidents, the helmet should be considered the most critical element of the protective ensemble. Make sure it conforms to the standards provided by the Consumer Products Safety Commission (CPSC).

No contest! They say you never forget how to ride a bike once you learn how, but cyclists often forget that they’re subject to the same rules of the road as motorists are. Ignoring the rules may get you where you want to go faster, but it can also put your life in jeopardy. Just remember, in a contest between a speeding car and a bicycle, the car wins every time. ❦

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h alt he . od nts go me ow o r h ’s m ve ife co f l dis ll o l. to a el 0877 njoy e w 13- ou e Liv 0) 4 p y e. 80 el lif at ( n h ur us ca yo Call ind m It’s of ce ea dp an MedMutual.com/YourHealth © 2015 Medical Mutual of Ohio

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | May 2015

Former underground boxer now fighting for his cognitive future

Sherry-Ann Jenkins, PH.D. Cognitive Center phone: 419-479-5556

The Cognitive Center has a holistic approach to slowing down memory loss while assisting the patient to function at a higher cognitive level. This is accomplished through: • Customizing daily memory exercises to train other parts of the brain that is functioning properly to compensate for areas that inactive. • Recommended counseling and support for patient and family along with participation in activities that enhance brain functioning. • Adjustments to diet to support greater brain function. • Educational sessions for caretaker to assist them in providing a safe environment for their love ones and support groups for personal assistance. The Cognitive Center calls all patients every 3 weeks in order assess the effect of their therapy and allows the patient to have someone talk to about their memory issues. At the Cognitive Center, the patient and family are both actively involved and integral parts in the treatment plan.

Dr. Jenkins is welcoming new patients.

Office Location

4417 N. Holland Sylvania Toledo, OH 43623

28 May 2015 | Healthy Living News

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

hile most of us leave home for the first time as young adults, Shawn Blazsek struck out on his own at the tender age of 14. To pay the bills, the independent-minded Youngstown, Ohio resident competed in “underground” boxing matches from the time he was 15 until around age 19—all without the benefit of protective headgear. What’s more, Blazsek experienced a variety of other head traumas, including various sports-related concussions and a motor vehicle accident that caused his head to violently impact the windshield. Now, at age 33, Blazsek is fighting a very different kind of battle. Owing to the cumulative effect of his multiple head traumas, he has been diagnosed with a form of dementia known as pugilistica—the same condition that afflicts renowned boxer Muhammad Ali—and early onset Alzheimer’s disease. A husband and father of four children ranging in age from 4 to 16, Blazsek first discovered something was wrong while working as a social worker for Mercy’s Hospital Eligibility Link Program (H.E.L.P.). “I was starting to notice that my job performance was declining,” he recalls, “and then about three and a half years ago, I suddenly developed insomnia. I had to take off work for a week and didn’t sleep at all during that time.” Realizing he was unable to function on the job satisfactorily, he decided it was best to resign his position with Mercy. Blazsek’s doctor sent him for testing, which didn’t reveal anything. He was then referred to a psychiatrist who diagnosed him with bipolar disorder and prescribed medications for him. Totally unconvinced that this diagnosis was accurate, he refused to take the medications. He’s also seen doctors for pain over the years, with no satisfactory conclusions reached, and he grapples with sensory-perception issues, such as a heightened sensitivity to stimuli. After going to multiple doctors trying to figure out the cause of his various complaints, he was finally diagnosed with Alzheimer’s, which had been ongoing

for the last 8 to 10 years. With an autistic child needing his undivided attention, Blazsek stopped all doctor visits until this past January when he went to see Dr. Sherry-Ann Jenkins, PhD, of the Toledo Clinic Cognitive Center. It was a PET scan ordered by Dr. Jenkins that really opened his eyes to the scope of his problem. “The image revealed that the entire center of my brain was black, but the rest of the brain was lit up off the charts,” he says. Dr. Jenkins also administers a cognitive assessment and individualized memory testing when welcoming new patients, and Blazsek was shocked with his results. “I did horribly,” he recalls. “It blew my mind how badly I did. When I was a child, I was always very intelligent and independent, and I was even sent to Space Camp for gifted kids. Through college, I carried a 4.0 grade point average. I had no idea how bad things had gotten.” Dr. Jenkins started Blazsek on an aggressive program of dietary changes, daily memory exercises, and lifestyle changes. “Shawn is young, positive, and very compliant with treatment, so my job is to slow down the progression of his cognitive deficits and train the parts of his brain that are working really well to compensate for the parts that aren’t. That takes a holistic approach and daily activities over a long period of time. It doesn’t happen overnight. Then, every three months, I assess and compare where his cognitive function is with where it was,” Dr. Jenkins explains. Dr. Jenkins also helps patients identify and work through major life stressors and urges them to get out of the house and be as actively involved in their community as possible, both of which promote cognitive healing. Blazsek notes that during his last appointment with Dr. Jenkins a few weeks ago, he took the cognitive test again—and this time his scores were greatly improved. “Granted, I was having a pretty good day that day, but from a cognitive standpoint, I could definitely see an improvement.

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Either way, I’ll take it!” he enthuses. ❦ The Toledo Clinic Cognitive Center recently moved from the Toledo Clinic’s

Secor Rd. campus to a new location at 4417 N. Holland Sylvania Rd. For more information or to schedule an appointment, please call 419-479-5556.

Heart Walk returns to Huntington Center May 30 with Mercy as official Torch Sponsor

ccording to the American Heart Association’s 2015 Heart Disease and Stroke Statistics Update, heart disease, stroke, and other cardiovascular diseases account for approximately one in every three deaths in America and about 2,150 Americans die every day (that’s one every 40 seconds) from these diseases. In fact, cardiovascular disease claims more lives than all forms of cancer combined. Considering these alarming statistics, it’s clear that virtually everyone’s life is touched by cardiovascular disease in one way or another, whether they’re affected personally or they have a loved one with the disease. To help raise awareness of heart disease, stroke, and other cardiovascular diseases—as well as the funds to fight them—the American Heart Association will host the annual Heart Walk & 5K on Saturday, May

30 at the Huntington Center, located at 500 Jefferson Avenue in Toledo. Event registration begins at 8:00 a.m., and the 5K Run kicks off at 8:30 a.m. The Walk begins at 9:00 a.m. following a special breakfast and Celebration Ceremony for survivors of cardiovascular disease. The event will also feature a Wellness Expo and fun activities in the ever-popular Kids Zone. This year’s Heart Walk Ambassador is three-year-old Reece Bova, who was born with a congenital heart defect called Tetralogy of Fallot. Participants can also meet this little fighter at the event—he’ll be the one wearing the superhero cape. Mercy is proud to serve as the event’s official

Torch Sponsor for the second year. According to Kathy Valtin, Marketing and Communications Manager for Mercy, the torches, which are constructed of cardboard and available in red or white (red for heart disease and white for stroke), can be purchased for just $10.00 and participants are encouraged to carry them when they walk or run, either to demonstrate that they’re survivors or to commemorate a loved one. There will also be a decorating station at the event so runners/walkers can add a little “bling” or personal flair to their torches.

Further elaborating on the torch concept, Allyson France, Executive Director of the American Heart Association, Toledo, explains that, “A torch is said to represent a journey filled with bravery, enlightenment, love and hope. The torch is an integral part of who we tell the world we are as an organization, and now will become a visible part of Toledo and beyond, thanks to this amazing collaboration with Mercy. Our torches will burn bright until we have conquered the fight against heart disease and stroke! Who does your torch burn for?” “The Mercy team, which is one of

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | May 2015

READY FOR A CHANGE? Whether you’re ready for a new life and new experiences, or just need a little time to recover and go home, Sunset Village is right for you! We offer person-directed Rehabilitation Therapy, Assisted Living, Supportive Living, Memory Support and Nursing Care – all on our beautiful Sylvania Campus. Stop by! Or call Rachael to schedule your visit to Sunset Village, 419.724.1200. 9640 Sylvania-Metamora Sylvania, Ohio 43560 419.724.1200 sunset-communities.org

the biggest in town, is getting geared up to participate and doing presales of the torches. There’s no registration fee for the Heart Walk, which is unique for a fundraising event, so we’re depending on people to buy torches and sponsor individual participants or teams. All monies raised will go the American Heart Association to support research that helps fight cardiovascular disease,” Valtin says. Sarah Velliquette, Digital Marketing and Communications Specialist for Mercy, adds, “We’re really excited to become more engaged and strengthen

Too much of a good thing! by Douglas A. Schwan, DC, Dipl ac

ur generation is turning away from the idea of “a drug for every ill” and embracing a more holistic approach in the pursuit of optimum health. Unfortunately, our office is seeing more patients who overdo it in their haste to turn more “natural.” Sharing a few of the more extreme cases may serve as a cautionary tale.

Case #1

Are You Suffering? Try Acupuncture! AcupuncTure cAn help. • Migraines, Fibromyalgia & Arthritis • Infertility, Menopause & PMS • Bell’s Palsy, Carpal Tunnel & Sciatica • Pinched Nerve, Allergy & Sinusitis • Smoking, Weight & Stress Control

Better health. naturally.

“My husband and I had a two pack a day cigarette habit. We tried patches, gum and drugs but nothing worked. A friend reccomended Dr. Schwan to us for acupuncture. After our treatments my husband and I have both been smoke-free for eight months now! I tell all my friends about how Dr Schwan gave us back a healthy lifestyle!” ... Kristin & Tyler

Dr. Douglas Schwan, Licensed Chiropractor & Acupuncturist Over 32 Years experience with holistic health care Educated: Palmer College & International Academy Medical Acupuncture

Schwan Chiropractic and Acupuncture is dedicated to promoting health and wellness through the traditional Eastern techniques of acupuncture, nutrition, chiropractic and lifestyle choices.

Schwan chiropractic & Acupuncture center

Call for your FREE Consultation Today!

2828 W central Ave, Toledo • AcupunctureToledo.com

Covered by VA, BWC, PI Insurance

30 May 2015 | Healthy Living News

419-472-7055

our partnership with the American Heart Association. With Mercy being an area leader in cardiovascular care, it just seemed like a natural fit when they approached us about the Torch Sponsorship. It’ll be a wonderful event, and the Huntington Center is a terrific venue.” For more information about the 2015 Heart Walk & 5K, including information on how to sponsor a company or team, visit www.heart. org/toledowalk. Reece Bova’s touching story, as told by his mother on video, can also be viewed on the website.❦

Jim came into the office seeking a holistic and acupuncture consult for complaints of nausea, vomiting, extreme fatigue, and general muscle weakness. When we examined Jim, we found that he had swelling in both feet and in his hands and fingers. His blood pressure was fairly elevated, and he complained of sharp pain when we tapped the area above his kidneys. Jim also volunteered that he had noticed an odor to his urine lately. Based on these alarming symptoms and signs, Jim was referred to a kidney specialist who confirmed that Jim was in the early stages of kidney failure. While Jim was being worked up by the medical specialists, he elected to continue with his acupuncture treatment in our office. What was really interesting about Jim’s case is that he had no family history of kidney disease and did not present a typical case of a young man developing kidney failure for no apparent reason. As part of his holistic workup, we did a nutritional evaluation. Jim took a variety of vitamins and herbs in an effort to stay healthy, and his

wife confirmed that they only consumed whole foods at home and almost never greasy or box foods. In fact, they were upset that they had such a healthy lifestyle and, in spite of this effort, Jim still developed problems. On deeper questioning, it was revealed that Jim drank a great deal of black tea each day. Every morning, Jim’s wife would boil up a big pot of black tea and Jim would drink this throughout the day. They had heard black tea was good for the heart, and Jim’s family did have a history of heart disease. On further questioning, Jim related that he filled up his Big Gulp mug approximately eight times throughout the day, consuming it as he went through his daily activities. His belief was, “If a little is good, a lot is better.” In retrospect, Jim was drinking approximately a gallon of black tea per day. This set off alarm bells in my head because black tea contains a great deal of chemicals known as oxalates. Oxalates are known to be toxic to the kidneys and can form hard crystals and inflammation that interfere with kidney function. I told Jim to immediately cease consuming black tea. We immediately sent him out for a CT scan of his kidneys. The scans revealed extensive blockage and inflammation typically seen with long-term oxalate exposure. Jim is now managing his kidney problems medically and holistically, and, with a little luck, he will not require dialysis in the future.

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Case #2 Brenda came into our office for a holistic workup. She was young, healthy, and volunteered that she was an avid “juicer.” Now, Juicing is simply the process of putting vegetables and fruits, often with their skins intact, into a juice machine and extracting the juice. The fiber and pulp is separated and discarded. Juicing, if done properly, can be a very efficient method of adding nutrients and vitamins to your diet. Brenda complained of recently developing headaches, difficulty focusing her thoughts, and recurring dizziness. During our workup, it was revealed that Brenda was drinking about eight glasses of concentrated carrot juice per day. In addition, she was supplementing mega-vitamins and large doses of cod liver oil. During our physical examination, we noted that she had a very light, barely detectable orange hue to her eyes and around her fingernails. Carrot juice and cod liver oil are both extremely high in vitamin A content. We suspected that Brenda was overdosing on vitamin A, which is a

fat-soluble vitamin and can build up to toxic levels quickly when consumed in large doses. We immediately took Brenda off her juicing program and discontinued the cod liver oil. Brenda’s symptoms immediately improved.

Case #3 Jenny came into our office complaining of chronic muscle pain, extreme fatigue, and headaches. She was recently diagnosed with bone loss. Jenny was 65 years old and had felt that her body was “going downhill for years.” She displayed a creeping weakness and pain throughout her body that she just couldn’t pinpoint. Jenny also complained of chronic stomach flu and nausea to the point where she could only “nibble” at food. Lab work revealed that Jenny was anemic and had low vitamin B12 levels in her blood, for which she was recently prescribed monthly B12 shots. Jenny had been prescribed anti-inflammatories, painkillers, and even steroids in an attempt to reduce her pain. She had also been prescribed bone-density-enhancing drugs. She came to our office in an effort to get a holistic

opinion and maybe suggestions for acupuncture or herbal treatments. We did notice in her case history that Jenny had been prescribed the acid-reflux medication Omeprazole 20 years ago and is still taking it twice a day. Omeprazole is an acid-blocking drug used to treat chronic heartburn, indigestion, and acid reflux. While this medication can be very effective in the short term in reducing heartburn, when utilized long-term, it can lead to impaired absorption of key vitamins and minerals. Minerals such as iron, zinc, calcium, and magnesium require an acid environment in order to be optimally absorbed. Vitamins such as B12 and folic acid also require an acid environment. The acid in the stomach is our first defense against outside infection as acid destroys foreign bacteria before they can get down into the lower lining of our small intestine and colon and set up shop. Just about all of Jenny’s symptoms could be attributed to low levels of these essential minerals and vitamins. The first thing we advised Jenny was to decrease use of any aspirin-containing medication because aspirin can irritate the stomach lining and

cause bleeding and pain. We also suggested that she refrain from taking her antacid medication on a daily basis. We put her on a good probiotic in order to repopulate her colon and lower intestine with beneficial bacteria. She was supplemented with iron, magnesium, calcium, and folic acid nutrients. Within a few weeks of this new regime, her signs and symptoms markedly improved. Her blood test revealed normalized B12 levels. It is important to understand that supplements such as vitamins, minerals, and herbs can be every bit as dangerous in the wrong dosages as any prescription medication. The conventional wisdom, “A little is good, so a lot must be better” can be a dangerous mantra when it comes to supplements and herbs. We all have a cabinet at home filled with vitamins, supplements, and herbs that we saw on our favorite talk show or read about in our favorite magazine. We began taking them for awhile only to move on to the next bigger and better thing we read about. People are not all cookie-cutter copies of each other, and so we cannot all take the same vitamins and supplements. A nutritional program

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tailored by a professional, especially one trained in a holistic approach, is your best bet for obtaining a healthy future. A professional can take into account your health history or family history of diabetes, cancer, heart disease, etc. Despite their well-known safety profile, vitamins, minerals, and herbs can still lead to serious health consequences every bit as severe as prescription medicine if they’re misused. The trend is to take control of our health through diet and lifestyle changes. This is a positive and very empowering thing that impacts all of us emotionally, spiritually, and financially. And though we are much more familiar with the harmful impact of cigarettes, alcohol, and fast-food choices, the same cannot be said for getting “too much of a good thing.” Recently on media posts, there are more and more blogs about the positive and healing impact of particular spices, herbs, and exotic foods. It’s always been the best remedy to consult with a physician versed in nutrition and holistic healing before accepting anything you read at face value. ❦ Dr. Schwan is available to speak to your

group on a wide variety of alternative medicine topics. He is a 1982 graduate of Palmer College of Chiropractic and a Diplomat with the International Academy of Medical Acupuncture. He is president of Schwan Chiropractic &

Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time stand-up comedian. His office may be contacted at 419-472-7055. For more information, please visit his website at www.acupuncturetoledo.com.

Anxiety in children and adolescents: How can I help my child? by Michele Knox, PhD

aving feelings of anxiety is usually a typical, harmless, and normal part of the childhood experience. For one in eight children, however, anxiety is a serious problem and

negatively affects family and social and/or school life. Children who have anxiety disorders may frequently experience fear, nervousness, and/ or shyness, leading them to avoid

places and activities. The following are anxiety disorders that may be diagnosed in childhood: Generalized anxiety disorder (GAD): Children diagnosed with GAD experience persistent, excessive, and unrealistic worry about everyday things. Obsessive-compulsive disorder (OCD): Children diagnosed with OCD experience unwanted and intrusive thoughts (obsessions) and feel compelled to perform rituals and routines (compulsions) to alleviate anxiety that is caused by the obsessions. Panic disorder: Children diagnosed with panic disorder experience panic attacks characterized by intense, sudden fear that may be accompanied by heart palpitations, sweating, shortness of breath, nausea, dizziness, a fear of losing control, and/or a feeling of imminent danger. Post-traumatic stress disorder (PTSD): Children diagnosed with PTSD experience distressing recollections or dreams about frightening events; arousal marked by jumpiness, trouble sleeping, or concentrating; and avoidance of particular places, people, or activities after experiencing or witnessing a traumatic event.

T H E U N I V E R S I T Y O F T O L E D O H E A LT H

Child & Adolescent Psychiatry Clinic i s we lco mi ng ne w patients

Outpatient providers in multidisciplinary fields offer comprehensive evaluations & treatments for: • Autism • ADHD & OCD • Depression & anxiety • Behavioral & developmental problems • Family stressors Also available by referral, Community Psychiatric Supportive Treatment (CPST) is offered by a team of social workers, therapists, and mental health specialists to help ensure success within the community. Services are available in the home, school, or other community setting. After-school & summer Partial Hospitalization Program (PHP) is offered for children 5 to 12 years old to focus on: • • • •

Conflict resolution Positive coping & social skills Self-esteem building Anger management

32 May 2015 | Healthy Living News

Suzanne Hall, LPCC-S

Theodor B. Rais, MD

Tanvir Singh, MD

Tabinda Rehman, M.D

Michele S. Knox, PhD

Kimberly Hunter, PhD

Tausha Sharples, LPCC-S

Jill McClaughlin, MSSA, LISW-S

Pascha Jackson, MEd, PC

Katie Cotton, MSW, LSW

Heidi Olszewski, MSSA, LISW-S

Located at:

The Kobacker Center on The University of Toledo Health Science Campus For an appointment, please call: 419.383.3815 We love feedback. Like us on Facebook. Follow us on Twitter.

Separation anxiety: Children diagnosed with separation anxiety experience excessive worry when away from home or separated from parents or caregivers. This can lead to refusal to go to school or a concern that something bad will happen to parents or caregivers while they are apart. Social anxiety: Children diagnosed with social anxiety experience intense fear of social situations and activities, such as having to talk in front of the class or interact with peers. Selective mutism: Children diagnosed with selective mutism refuse to speak in situations where talking is necessary. Refusal to speak interferes with school performance and making friends. Specific phobias: Children diagnosed with a specific phobia experience intense, irrational fear of a specific object or situation. If left untreated, children with anxiety disorders are at a higher risk of poor school performance and often miss out on important social experiences. With treatment and family support, children can learn how to successfully manage the symptoms of an anxiety disorder. Cognitive

behavioral therapy (CBT) and medication are two scientifically proven and effective treatment options for children with anxiety disorders. CBT helps children learn to identify and replace negative thinking patterns and behaviors with more positive ones and to identify and cope with triggers and physiological symptoms of anxiety. To help your child manage generalized anxiety: 1. Stay calm when your child becomes anxious. Identify and avoid statements and behaviors that promote worry in your child. 2. Set a model for brave, outgoing behavior. Avoid voicing your own worries and fears when your child is present. If you do choose to vocalize your worries, also state how you plan to deal with them. Try not to avoid things due to fear. 3. Set small goals with your child for overcoming fears. Recognize your child for accomplishing these goals through praise and/or rewards. 4. Make a list of coping skills (listen to music, use slow

breathing, get help, think about something calming, use distraction, etc.) that your child may use during stressful events. 5. When your child has to do something anxiety-provoking, rehearse often and give positive feedback. 6. Read books or watch movies about people who overcome fears.

If anxiety persists, ask your child’s healthcare provider or call your insurance company to see what child/adolescent psychologists, social workers, or counselors specialize in assessing and treating childhood anxiety. ❦ Dr. Knox is a Professor of Psychiatry at the University of Toledo College of Medicine.

Black Swamp perennial plant sale May 16

he Black Swamp Hosta and Daylily Society will be holding their 20th Annual Plant Sale on Saturday, May 16th at Walt Churchill’s Supermarket parking lot on 26625 N. Dixie Highway (S. R. 25, Exit #2 at US23/I-475) in Perrysburg. The sale, which will be held rain or shine, will begin at 8:00 a.m. and run until sold out, which usually occurs about noon. Get there early for the best selection of hostas, daylilies, ferns, wildflowers, companion perennial plants, and more! All plants are from our gardens and are offered at very reasonable prices. Proceeds from the sale allow our society to continue our sponsorship of national display gardens at Toledo Botanical Garden, 577 Foundation in Perrysburg, Simpson Garden Park in Bowling Green, and the gardens at the Senior Citizens Center and the VFW Hall in Perrysburg. The funds raised will also be used to provide gardening books to 16 area libraries. Members will be on hand to answer any questions you may have. Please call Charlene at 419-874-8964 with any questions.

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: I travel internationally a lot for work, and as a result, my job can get considerably stressful. I also suffer from hearing loss, but because of my busy schedule, I haven’t been able to do anything about it. Could my hearing loss be causing me added stress?

: Your untreated hearing loss could absolutely be causing you additional (and unneeded) stress. The increased effort to hear puts added pressure, both mentally and physically, on your body and can ultimately decrease the quality of your life. Not treating your hearing loss can have other negative effects on your body, as well. Hearing loss that is not addressed can often lead to an increase in depression. You may start to exclude yourself during social interactions, which may cause you to become frustrated, anxious, isolated, and angry. In today’s world of 60-plus-hour work weeks, stress is a common occurrence. Stress not only affects your hearing health, but it can lead to high blood pressure, heart problems, headaches, and diabetes. It’s important to identify the cause and triggers of your stress with your physician so that it can also be treated. More specific to your question, untreated hearing loss in working adults results in a higher probability of being depressed and suffering from anxiety and interpersonal sensitivity.

Moreover, untreated hearing loss can impact your household income by about $12,000 per year. This can be attributed to higher healthcare costs and a loss in potential income. Thankfully, there is something that can be done to help alleviate this added stress. The first step is to schedule an appointment for a full hearing assessment. The audiologist can help determine the type and severity of your hearing loss and outline the appropriate treatment options for you. As a result, not only will your hearing improve, but you’ll notice a positive swing in your mood as well. You’ll be able to actively participate in your work environment and social situations at home. You’ll feel like you have a better grasp on your life due to the added safety and independence, essentially increasing your quality of life. Also, we recommend finding useful outlets to manage your stress. Meditating, practicing yoga, or reading a book can help relax you at the end of a long trip. Safe travels on your next journey from all of us 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 (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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St. Clare Commons takes unique approach to memory care

visit to St. Clare Commons, a Franciscan Living Community located at 12469 Five Point Road in Perrysburg, is likely to change any preconceived notions you might have about senior living. From the Starbucks® café where residents can relax and socialize with family and friends over a steaming cup of coffee, to the full library with shelf upon shelf of current literature, to the elegant dining facility and piano bar, to the beautifully manicured outdoor spaces, the living environment feels more like a resort than a retirement community. St. Clare Commons’ continuum of care includes all levels of assisted living, in- and outpatient rehabilitation, skilled nursing care, and memory care. To help give family caregivers a break, the com-

munity is also providing respite care services, for example so Mom or Dad has a safe, familiar place to go for a short stay while their son or daughter takes a much-needed vacation. It’s also an opportunity for a short-term trial stay with no long-term commitment. Of course, residents’ spiritual needs are given high priority at St. Clare Commons, with the facility featuring a serene on-site chapel and having many connections to St. John XXIII Catholic Parish. In addition, one of the facility’s two in-house TV channels is dedicated to broadcasting masses and other religious services (the other continuously streams activities and events going on in the community). One of many areas in which St. Clare Commons is

breaking new ground is their innovative approach to memory care for residents with Alzheimer ’s or other forms of memory impairment. The secure, state-of-the-art memory care program was specifically designed to provide the expert, advanced care necessary to meet the unique needs of this population. The specially trained staff provides intensive, compassionate personal care and close, 24-hour-a-day supervision while working with residents and their physicians and families to maximize quality of life. Memory care residents live in a neighborhood setting comprised of all private suites, with exclusive dining, living, and activity areas. They also have access to a secure, lushly landscaped outdoor courtyard with gazebos for relaxing and visiting with loved ones in the shade, a raised garden for those who like to get their hands in the soil, and a soothing waterfall just beyond the fence. The environment in the secure

memory care residence can, perhaps, best be described as exclusive. “One of the keys to successful memory care is creating a safe, secure environment that feels like an exclusive space just for the residents,” explains Carrie McGlothlin, Regional Director of Marketing for Franciscan Living Communities. Furthermore, the residence has a very quiet and tranquil atmosphere, which helps reduce the agitation and frustration that memory-impaired individuals often experience. “Residents are also encouraged to furnish their suites with furniture from their own homes. When they’re surrounded by the same furnishings and sleeping in the same bed they’ve used for years, they experience a sense of home and familiarity that reduces agitation and the risk of falling,” McGlothlin adds. ❦ For more information about St. Clare Commons or its services, please call 419-931-0050 or email info@ stclarecommons.org.

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A Walk in the Park by LeMoyne Mercer

The angels don't sing all the time

few days after we returned from Florida, Shirley and I went to dinner with our friends Pat and Bob. When Pat asked about our trip, I said that we have never taken a bad one. Really. We have traveled hundreds of thousands of miles together, and all of the trips have been wonderful. Not all the miles necessarily nor every

single day, but pretty close. Still, there have been what Shirley calls “little bumps in the road.” Sometimes there have been vehicular issues and weather issues or health issues. We have had tires with tread separation (twice) and a leak in the valve of our RV propane tank. Broken windshields when trucks

threw up stones or their tires blew out so it seemed like we were caught in a meteorite shower. There have been numerous opportunities for highway accidents. We were in the middle lane of I-75 in Covington, KY, for example, when a black sedan entered at warp speed from the right on-ramp. It crossed directly in front of us heading all the way to the far left lane. But another car had dibs on that lane, so he cut back sharply, fishtailing wildly, tires squealing, barely avoiding a spin out. Tried again to force its way into the left lane even though it was still occupied. When that didn’t work, the driver cut across three lanes to the right and then back left for yet another go at it, weaving through the traffic ahead on the Cincinnati bridge. It could have been one of those multi-car pileups with scores of victims littering the roadside and filling every ER within 20 miles. A little smarter than this driver,

but not by much, are mules. We took one of those mule rides down into the Grand Canyon. They use mules because they are surefooted. Uh-huh. Our wrangler gave us an orientation for the trip and concluded with one simple, easy-to remember rule: Whatever you do, don’t get off your mule—that first step down is a doozy. So, we headed into the canyon with Shirley on Dagwood right in front of me bringing up the rear. I don’t remember my mule’s name because I don’t have a reason to remember. Shirley will never forget Dagwood. We paused frequently so we could appreciate the grandeur unfolding before us. Then Dagwood stumbled. He apparently didn’t read the part in his contract that said he was surefooted. Four legs splayed. Stumbling to recover his balance. Gathering momentum as he plunged down the narrow trail. Shirley was tossed forward so that her head came to rest between

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his ears. Her arms gripped so tightly around his neck that Dagwood‘s eyes bulged out. “Help me! Help me!” she gasped, barely audible. I could almost hear Dagwood wheezing, “Me too! Me too!” So, what was I to do? Be a hero or just collect the life insurance? A little devil was giving advice on one shoulder and an angel on the other. The devil was making a pretty good case. Even so, I called out lustily for some help back here. The wrangler stopped the mule train, violated the one rule, and came running back to grab Dagwood’s bridle and get him under control just like they do in the movies. Shirley swears that next time we head down into the Grand Canyon, the only beast she is riding will be shank’s mare. Timing is another issue for travelers. Frankly, my biggest issue with winter travel is that we always come back a month too soon. Sure, it might be spring in Florida or Arizona. It definitely is not spring in Toledo even though the weather persons here are bragging that highs will be way up in the mid-40s. Woo hoo! This year, though, even the Deep South experienced cooler weather. We spent the first week of March in Savannah. The azaleas and rhododendrons should have been in bloom with temperatures in the 70s. They weren’t. One of the advantages of RVing is that if you don’t like the weather, you can go somewhere else. But we had promised friends that we would meet them in Hilton Head— where it was also cool, damp, and windy. Walks on the beach were not nearly as pleasant as they promised. Still, at least it was Hilton Head and we had friends to share the misery. Similar experience at Mt. Rainier in Washington—aptly named because it is rainier than any place you have ever been. We waited three days for it to clear. Finally, Shirley said, “Why don’t we go around to the other side

of the mountain?” Much as it pains me to admit it, she was right. Even there, the ranger claimed he hadn’t seen the mountain in weeks. We went to fly fish the blue ribbon trout streams of Colorado. Made the mistake of going during the “monsoon season.” I thought monsoons were for the Indian Subcontinent. The streams were swollen and off color. So, we went to Yellowstone, where the fishing was fantastic. At Capt. Cook State Park, about 25 miles north of Kenai, Alaska, the scenery was spectacular. We had a lovely campsite with mountains rising across Cook Inlet, named for the famous explorer who visited the area in 1778. Shirley said she would have spent a week there. Except for

concerns about wild fires, floods, mud slides, grizzly bears, alligators, rattlesnakes, Burmese pythons, and rednecks playing dueling banjos. There are wildfires in the West every summer. Typically, they are Friends are always concerned about the perils we encounter as campers—such as this cottonmouth water moccasin.

the mosquitoes. We had quality head nets but it is harder than you might think to eat your dinner through a head net. So we headed off to where the mosquito population was somewhat less dense. Which, in Alaska, is also harder than you might think. Whenever we travel, friends and family back home are sure to express

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200 miles or more from where we happen to be when our friends see it on the TV news. A notable exception was in Yosemite National Park. At the entrance gate, a ranger asked where we were going and if we had campground reservations. (Lots of vehicles were turning around and going back.) I replied that we had reservations at the Tuolumne Meadows campground for a week and then at Crane Flat so we could visit the valley. The ranger said we could continue as far as Tuolumne but the road beyond was closed by

wildfire. Well, not “wild” exactly. It had been set deliberately by the park staff as a “controlled burn” to clear out undesirable undergrowth. (It’s “undesirable” because it might contribute to wildfires, you know.) They had not planned for it to go all uncontrolled on them. Even so, they expected the road to be open in a week. Which turned out to be literally true but of no practical value to us. The road opened. The Crane Flat campground, however, was toast. Go ahead and ask about the availability

of campsites in Yosemite in August. Once the park staff stops laughing, they’ll advise you to try one of the commercial campgrounds outside the park. Not to worry, though. Your camping fee has already been cheerfully refunded to your Visa account. We did not even bother making reservations when we traveled the 362 miles of Hwy 101 on the stunning Oregon coast. As a veteran trip planner, I had looked at the map. Along the coast there are 44 state parks with 3,993 campsites. That works out to

one campground every 8.2 miles. What I had not considered is that Oregonians love their parks and there are 2.5 million campers who want to use those 3,993 sites. The good news is that there are national forest campgrounds on the east side of Hwy 101 with plenty of open sites a few miles back in the mountains. The fact that we spent some nights in the woods instead of on the sand was not a major disappointment. Driving the coast road, we still saw more lighthouses than Shirley really cared to. And

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

Screen Time What does watching TV or playing video games have to do with your child’s health? Children are spending more time in front of a screen (screen time) and less time getting the 60 minutes of daily exercise they need to stay fit and healthy. Doctors suggest limiting the time children spend watching TV, playing video games or using computers for reasons other than schoolwork to no more than 2 hours per day. • Ask a friend or relative to play with the kids while you get your work done. • Team up with family or adult neighbors to spend one day a week supervising play activities for the kids. And remember: • No snacks, sugary drinks and fast food during screen time. • Turn off the TV during meals and use that time to discuss the events of the day. • Keep TV sets, DVD players, video games and computers out of children’s bedrooms. • Channel surfing is a sure sign of boredom. • It’s time to turn off the TV and get active! Mercy Children’s Hospital and Kohl’s Kids in Action offer free obesity prevention education to your elementary school or at health fairs. For more information, call Kohl’s Kids in Action at 419-251-1246 or visit us online at kohlskidsinaction.org.

38 May 2015 | Healthy Living News

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and out to see Queen Victoria. These rock formations are intricately carved by the wind and what little water they get in Southern Utah. When it was time to climb back out of the canyon, I found that I was short of breath and needed to rest at every switchback in the trail. No symptoms like pain in the chest or the left arm but there was a ferocious knot right between my shoulder blades. If we had newly arrived in the

Shirley enjoyed playing with starfish and the yucky stuff in tidal pools along the Oregon coast.

there was an astonishing number of sea stacks, sea lions, harbor seals, pelicans, shorebirds, and all those yucky things that live in tidal pools. Now, I have heard that even in heaven the angels don’t sing all the time. When we were in Bryce Canyon National Park, I had an opportunity to visit them to find out if that is true. Shirley and I enjoyed a wonderful hike down into the canyon, along Wall Street, through the Fat Lady Squeeze,

It was easy to walk down into Bryce Canyon, but I almost didn't make it back up.

mountains, I would have attributed this to altitude sickness. There is less oxygen in air at higher elevations than at sea level. But we had been in the mountains for about two months and had acclimated long since. I found that having Shirley massage that lump between my shoulder blades brought dramatic relief. As editor of Healthy Living News, I learned a great deal by interviewing physicians. But most of my medical expertise is still based on “Doctor, Doctor, it hurts when I do this.” And the reply, “Then don’t do it!” As long as I didn’t do it, I felt just fine. Back in Toledo, my physician looked at the EKG and raised his eyebrows. He said that if I had not been so healthy I would be dead. Just the kind of encouraging word everyone wants from their doctor. Fortunately, I was a candidate for minimally invasive robotic surgery by R2D2. OK. That’s not his real name. He insists on anonymity because he is still embarrassed to be associated with anyone stupid enough to drive all the way from Utah after a heart attack. But the robotic surgery required only a few small incisions. It’s amazing how happy you can be when they promise to cut only a few little holes

in you. In traditional surgery, they rip your chest wide open and tinker around in there for a couple hours. After robotic surgery, recovery and rehab are relatively easy. Relatively. One reason our guardian angels don’t sing all the time is they are fully occupied taking really good care of us—even if I have behaved foolishly and don’t deserve it. They are probably attentive for Shirley’s sake. When I’m behind the wheel, she spends a lot of time saying novenas. So, even on rare occasions when our travels are not practically perfect in every way, they remain just a walk in the park. ❦ LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

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Parenthood is the focus at New Beginnings during the month of May

and your baby. Both mothers and fathers are welcome. Cost: $40.

Baby Massage Saturday, May 23rd, 1:00-3:00 p.m. Massage aids in promotion of bonding and secure attachment, verbal/non-verbal communica-

Basics of Essential Oils for Healing Tuesday, May 5th, 7:00-8:00 p.m. Natural alternatives for childhood behaviors. Learn how to use oils for various health, emotional, and physical issues for adults and children. Tools for allergies, ADHD, anger, and mood. Free.

ith the summer rapidly approaching, New Beginnings Healing Center (NBHC) is offering a series of classes and events for parents and children.

Total Transformation Program for Parents of Challenging Children Wednesdays, May 6th-June 10th, 7:00-8:30 p.m. Help with defiant, manipulative, and angry behaviors. Includes videos, workbook, resources, and support group. $10 per week. Have a stress-less summer. tion, circulatory and digestive systems, learning and concentration, muscular development and growth, gas and colic, growing pains and muscular tension, teething discomfort, improved sleep patterns, and regulation of behavioral states. Bring a blanket

Creating Intentional Relationships: A Workshop. Saturday, June 13, 1:00-5:00 p.m. Intentional relationships are spiritual relationships founded on the principles of honesty, courage, flexibility, and compassion. Dr. Anya, author of Opening Love: Intentional Relationships & The Evo-

lution of Consciousness, will teach how to use intimate relationships as a tool for spiritual growth. She will share the basic philosophy of intentional relationships as well as offer concrete strategies and techniques for how to make these kinds of relationships a living reality. This workshop is particularly

relevant if you are seeking new relationships, entering a new relationship, or facing life transitions such as divorce, retirement, or the death of a loved one. Cost: $35. Visit our website, www.nbhctoledo. com, for more information. Space is limited. 419-861-7786. ❦

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I have Parkinson’s ... Parkinson’s doesn’t have me. Living with Parkinson disease

The average age of PD diagnosis is around 62. When an individual is diagnosed with PD before the age of 50, the disorder is called Young-Onset Parkinson disease. Approximately 10% of the 1 million people with the disease are thought to be below the age of 40. Since Parkinson disease is still often overlooked as a diagnosis in younger patients, it is thought that the number of cases occurring in individuals below the age of 40 may actually be much higher than the estimated 10% of the population with the disease.

Northwest Ohio has a large and active PD community with support groups, a quarterly newsletter and an annual symposium. These resources can help you learn about and manage your Parkinson disease.

what is Parkinson disease?

Parkinson disease is a brain disorder. It occurs when certain nerve cells (neurons) in a part of the brain called the substantia nigra die or become impaired. Normally, these cells produce a vital chemical known as dopamine. Dopamine allows smooth, coordinated function of the body’s muscles and movement. When approximately 80% of the dopamine-producing cells are damaged, the symptoms of Parkinson disease appear.

how is Parkinson disease diagnosed?

The process of making a Parkinson disease diagnosis can be difficult. There is no x-ray or blood test that can confirm Parkinson disease. A physician arrives at the diagnosis only after a thorough examination. Blood tests and brain scans known as magnetic resonance imaging (MRI) may be performed to rule out other conditions that have similar symptoms. People suspected of having Parkinson disease should consider seeking the care of a neurologist who specializes in Parkinson disease.

what are the signs and symPtoms of Parkinson disease?

The loss of dopamine production in the brain causes the primary symptoms of Parkinson disease. The key signs of Parkinson disease are: tremor (shaking), slowness of movement, rigidity (stiffness), and difficulty with balance. Other signs of Parkinson disease may include: small, cramped handwriting, stiff facial expression, shuffling walk, muffled speech and depression.

what is the treatment for Parkinson disease?

you’ve been diagnosed with Parkinson’s...

As overwhelming as this news may be, there are several things you can do to take control of the situation. Know that you are not alone – over one million Americans live with Parkinson disease. Be easy with yourself and others as Parkinson’s is something you will live with but you do not have to let it control you.

Enjoy life and learn to live with Parkinson disease. • Get informed – There are many community and national resources to help you get informed. • Stay informed – There are many educational programs, websites and links. • Exercise – It is a critical aspect of treatment for Parkinson disease. Talk to your doctor about the best exercise plan SAVE THE DATE !!! for you. Walking 30 minutes a day is a good start. Check out our weekly classes open to MORE PFNWO SPONSORED PARKINSON’S the public. COMING WAYit !!! • Diet – There is no specific dietYOUR therefore is best to follow a healthy, balanced diet. INFORMATION WILL BE • Clinical Trials – New treatments andSENT OUT SOON diagnostic tests are currently being studied and are major weapons in the fight against Parkinson disease. • Local Support Groups – If you or your caregiver needs advice the Parkinson Foundation of Northwest Ohio covers 22 counties. PFNWO has support group startup kits if there is no group in your area.

There are a number of effective medicines that help to ease the symptoms of Parkinson disease. Most symptoms are caused by lack of dopamine. The medicines most commonly used will attempt to either replace or mimic SAVE THE DATE !!! dopamine, which improves the tremor, July 11, 2015 foundation of rigidity and slowness associated with Parkinson M O R Eare P F N W O northwest SPONS O R E at D Pthe AR K IToledo N S O N ’ S Mud E V E N Hens TS Parkinson disease. Several new medicines ohio Parkinson’s Day COMING YOUR WAY !!! being studied that may slow the progression. www.pfnwo.org Many promise to improve the lives of people INFORMATION message 1-800-438-5584 WILL Center BE SENT OUT SOON with Parkinson disease.

who gets Parkinson disease?

Parkinson disease affects both men and women in almost equal numbers. It shows no social, ethnic, economic or geographic boundaries. If you or someone you know has Parkinson disease, you are not alone. In the United States, 50,000-60,000 new cases of PD are diagnosed each year, adding to the one million people who currently have PD. In fact, it is estimated that four to six million people around the world suffer from the condition.

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3335 Meijer Drive • Suite 200 • Toledo, Oh 43617-3105

BySister Mary Thill

Spiritually Speaking Get into the Act by Sister Mary Thill We must reawaken our collective sense of gratitude, appreciation and hospitality, helping the elderly know they are a living part of their communities and sources of wisdom for the younger generations…. We older people, can remind ambitious young people that life without love is barren. We can tell fearful young people that worrying about the future can be overcome. We can teach young people who are in love with themselves too much that there is more joy in giving than receiving. —Pope Francis Talks on Elderhood, March, 2015

id you know that May is Older Americans Month? Did you know that the Older Americans Act (OAA) is 50 years old this year? When I went to study gerontology at the University of Michigan (Go Blue!) in 1973, there was a lot of excitement around what the OAA could and would do for the elders in our country. Things were just beginning to fall into place with senior centers popping up everywhere and Area Agencies on Aging being established to handle the funds and programming at the local level. OAA gave rise to housing for elders, nutrition programs, medical clinics, caregiver support groups, and literally hundreds of programs and services for elders and their caregivers. Lots of jobs were also created, and colleges and universities began to establish centers on aging where students could learn about the aging process as well as the many programs and services available to elders and their families. A fact that really impressed me in my studies at U of M was that we were preparing for an aging population that was already here, walking among us, and that we would someday be among those elders. I used to tell my gerontology students at Lourdes College that if you wanted something to be there when you reached elderhood, you better work to put it into place before

42 May 2015 | Healthy Living News

you got there because when you are older, you may not be able to do so. The theme of Older Americans Month for 2015 is Get into the Act. I love it! The Administration for Community Living (ACL), which sponsors the celebration, intends to focus on how older adults are taking charge of their health, getting engaged in their communities, and making a positive impact in the lives of others. In March of this year, Pope Francis chose to address the elders in his general audiences. His words echo the goals of the ACL when he tells seniors (and he counts himself among them at 78) not to be bitter or give up but to offer the world your wisdom. He reminded the elderly of the important role they play in modern society and the family. He also chided his audience to remember that, An elderly person is not an alien…The elderly person is us. Soon, or many years from now—inevitably anyway—we will be old, even if we don’t think about it…If we do not learn to treat the elderly well…we won’t be treated well either when the time comes. Let’s take some time this month to: • Visit an elder relative or friend. • Volunteer to take an elder to an appointment. • Take an elder to church and out for Sunday brunch. • Call an elder for a friendly chat. • Help an elder with his/her yard work. • Show an elder how to use her/ his computer or cell phone. Let’s help the elders “Get into the Act” and encourage elders to share their wisdom with the rest of us who will someday, if we’re lucky, be numbered among the elders ourselves.❦ Sister Mary Thill is a Sylvania Franciscan Sister. She is Patient Liaison for Mature Health Connections at Mercy St. Vincent Medical Center. She can be reached at 419-251-3600.

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News From

OTTERBEIN May is Older Americans Month

Five ways to practice “active aging”

ne-third of all Americans are dissatisfied with the future facing themselves and their families, according to a recent Gallup survey. And even among those who are satisfied, their optimism about the future is the lowest it’s been in 40 years. But the good news is that you can create your own future. Better yet, you can do it simply and systematically as part of your everyday life. Here’s how: Embrace change. In today’s world, things are always changing. Think of all the changes you’ve seen in your lifetime—from political, musical, and artistic changes to the way work is done. Though change is inevitable, you can be happier if you embrace it and strive to control the changes in your life. For example, make some minor changes in the way you do things. Switch from boiling vegetables to roasting them in the oven, change your route to the grocery store, or use

your non-dominate hand in doing a task. Making changes is good for your brain. It forces you to think about what you are doing. Look forward to the future. As you learn about events and changes that will happen in the future, develop a positive attitude toward them. Here is an example: Suppose you have just learned that your church has called a new pastor. Prepare for that future happening by reading some sermons that he or she has given in the past. Look on the pastor’s present website to see how he/she leads that church. Write a nice note to the pastor to say that you are looking forward to having him/her join your congregation. By becoming a future thinker, you will anticipate and have positive feelings about that change. Learn something. In a recent article in Psychology Today, a study of elders in Europe compared those who attended a university during retirement

with those who did not attend. The study showed that an enriched environment, whether through a formal university program or self-directed learning, has an important role in active aging and helping older adults compensate for cognitive and emotional decline. Learning also helps to prevent depression and promotes social interaction. Read a book, invest in a tablet computer, watch a “doit-yourself ” video on the computer. Challenge your mind and you will be happier! Downsize and simplify. Do you live in a house that is too big for you? Do you have lots of stuff that you have accumulated over the years? Are you ready for a change? If you answered yes to any of these questions, it is time to simplify your life. You’ll have fewer worries, and by downsizing now, you’ll have control over what happens to your things. Gift, sell, recycle, and pitch! By downsizing now, you’ll be giving your children and family one of the best gifts ever! In the Toledo area, there are senior move managers who can help you make objective and financially sound decisions about how to best deal with your belongings.

Set goals and complete them. Set a goal. Set a date to complete that goal. Tell someone about your goal, and ask them to hold you accountable. You will feel better because you will be working to accomplish tasks that you really want to tackle. For example, you might set a goal to clean out a closet that has been full for years. Set a date that you are going to clean the closet. Tell someone to hold you accountable. When the date comes, do it! After completing this goal, you will love peeking into the clean and organized closet! This May, during Older Americans Month, take control of your future. While there are some things that are out of our control, by making five easy changes, you can feel happier about the years to come. Call Geri Ricker, Independent Living Counselor at Otterbein Portage Senior Lifestyle Community, if you have questions about downsizing and simplifying your life by making a move to a retirement community. Her number is 419-833-8917. Geri has been helping seniors make changes for active aging for over 14 years, and she’s anxious to speak to you! ❦

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nobody’s perfect Sister Karen Zielinski, OSF

Sink your teeth into preventive dentistry

’m glad I listened to my mother. Decades ago, growing up in Detroit, she practiced preventive dentistry for all four of us kids. She forced us to see our neighborhood dentist. I hated going because I did not like someone poking around my mouth, scraping tartar from my teeth, or possibly getting horrible news— like I had the dreaded cavity, or even worse, I needed a tooth pulled! I remember going to my childhood dentist, Dr. Gustfa, every year. I climbed the wooden stairs up to his office. I was always nervous going. I had no dental problems, and once I sat down in the dental chair, was calmed by watching the ceramic “spit out” sink as the sink’s water swirled down the drain in a little circular motion. I hated the sound of the drill coming from the other rooms, but loved the smell of minty toothpaste and some mouthwashes. Nowadays, I visit my dentist’s office twice a year for cleaning and X rays and, as an adult, realize my mom’s wisdom in starting me off on the road to preventive dentistry. I brush my teeth, try to floss, drink water, and suck on sugar free hard candy to keep my mouth moist so bacteria, which can cause tooth decay,

keeps away from my mouth. But most importantly, I visit my dentist. Kim Langenderfer, RDH (registered dental hygienist), has a BS in dental hygiene and is my gentle dental hygienist. She is part of the dental team at Dental Group West. She keeps me on a clean path to teeth care. She is a teacher to me. Each time I visit, she might tell me how to brush an area that needs more attention or offers advice on the latest findings in teeth care. She literally explains or demonstrates new brushing techniques and tells me about candy that actually inhibits the growth of “bad” bacteria—it contains Xylitol and is called “ice chips” candy or “xyloblasts.” But some people do not go to the dentist, and there are many reasons why they don’t. Kim says, “People might not have access to dentists if they live in rural areas or are fearful of dentists because of past experiences, or they might not have the means to pay for services.” Kim sees patients who are initially fearful of dental visits become comfortable with dentistry today. They visit their dentists without fear or anxiety. My dentist, Dr. Tracy Poole, DDS, of Dental Group West, Toledo, has

practiced dentistry for 20 years. She said that sometimes people might not see a dentist if they are not having any dental pain—they feel that they do not need a dental visit because they are not experiencing any dental problems. But Dr. Poole added, “It is good to make sure the teeth are healthy and that there is nothing going on. Just because you have no symptoms does not mean everything is OK in your mouth. By the time people have pain and see a dentist, the problem may be bigger and more expensive and painful than if they kept up with a dental exam. Just like

your blood pressure can be a ‘silent killer,’ a tiny cavity ignored can develop into a major infection.” Visiting a dental office is good for our mouths but can be critical for our overall health, too. Dr. Poole believes there is a lack of education about the link between oral health and total body health: heart, diabetes, low birth rates, and premature births. If a patient has gum disease, they can be at greater risk for stroke

and heart disease, and it causes some complications for people who have diabetes. The slogan of many dentists today is quite true: Healthy mouth, healthy body. The media are just beginning to hear about the link between oral health care and general health. In dental offices today, besides the traditional dental care—caries (cavities) exam and periodontal examinations (evaluation for gum disease)—many health screenings take place during the office visit. Blood pressures are checked, hygienists and dentists evaluate the health of the gums, and screenings are done for cancer of the head and neck, oral cancer, and TMD (temporomandibular dysfunction, formerly called TMJ). Both Dr. Poole and Kim say that although the new technology in dental care is phenomenal, just as critical to good dental health is preventative care and maintenance of teeth. The education of their patients about high-sugar foods and drinks can be just as important as technological advances. Dr. Poole says, “If we educate, hopefully, we won’t need those technological advancements!” Annual dental cleanings and exams allow dentists to identify problems early and take care of them right away. Preventive dentistry prevents people from developing problems later on. Cavities, gingivitis, enamel loss, and periodontitis can all be avoided or mitigated by proper dental care. I have learned that prevention is a simple but critical way of taking

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care of my teeth, which I would like to keep for life! If you have not seen a dentist for any reason, try calling a local office and ask about options available to help you get started.

“An ounce of prevention is worth a pound of cure.” You might be pleasantly surprised at dentistry today. And you’ll get those little toothpastes, too! ❦

LCCS seeks treatment foster parents for kids with intensive needs

resources that will help give them a fighting chance at success. She’s also their greatest advocate at school, making sure they’re receiving all the accommodations they need and that they’re staying on track academically. Among the challenges facing treatment foster parents is getting a child whose sense of safety and security has been shattered through abuse to trust that he or she will now be safe in an unfamiliar home. In some instances, this is a process measured in years, not weeks or months. Taylor notes that it took one child, who has been with her family for seven years, almost three years to accept that she and her husband would always be there to protect and take care of him. In some cases, that trust never develops. Taylor recalls, “When I met with one young man that the agency wanted me to foster, the first questions he asked me were, ‘Are there any more children in the home and is there anyone there that’s going to hurt me?’ I told him, ‘My house is a safe house’ and offered to have him meet and talk with everyone in my home. Unfortunately, he just couldn’t get comfortable with the situation, so it never happened.” Why does Taylor continue to serve as a treatment foster parent despite all the challenges? Because, as she sees it, the rewards of giving kids a chance at success far outweigh the negatives. Two of her foster kids have already graduated from high

Summer is right around the corner.

hildren who are removed from their home due to abuse or neglect often bear profound emotional and mental scars that are sometimes expressed through very challenging behaviors. To ensure these children are placed in loving homes where their intensive needs are understood and appropriately met, Lucas County Children Services (LCCS) is seeking highly dedicated, conscientious adults to serve as treatment foster care providers in our community. Bennettia Taylor, a treatment foster parent who has been fostering kids with intensive needs for 12 years, explains that many of these children have been violated in the worst ways imaginable—whether physically, mentally, or sexually—and they have a lot of pain and anger that may show through in their behaviors. “They may be violent and destructive, or they may be set off by particular triggers. As a treatment caregiver, you must be proactive. You have to learn to recognize the warning signs of an escalating problem and know when to back off and give them their space or take proactive steps to calm them down. Most importantly, you have to be very consistent in what you do and the child must know your house rules and boundaries,” she says. When Taylor agrees to take in a foster child, she works very hard to learn about their special needs and to connect them with any community

school, with one working and the awakening. You have to really want other serving in the military. For her, to help children and give them the the payoff comes when kids who resources they need to have a shot seemed indifferent to her efforts at success,” she cautions. and sacrifices suddenly voice their According to Jackie Windless-Wilappreciation. “When they call to liams, a treatment foster care supersay ‘Happy Mother ’s Day’ or just visor for LCCS, the agency’s need for to ask how your day is going, you committed individuals to provide know you’ve made a difference. treatment foster care is great. “We One recently called and told me, ‘I need parents willing to work with appreciate everything you’ve done kids who have severe behavioral, for me, and I’ll never forget you.’ mental-health, or developmental Now that’s rewarding,” she says. issues and to offer the stability and Still, Taylor services they need strongly emphasizin order to move es that treatment on and function effoster parenting fectively after they is not for everyleave foster care,” one—and certainly she says. “Currently, not something one there are 86 children should attempt needing placement just for the money. but only 54 homes “This is a serious to take them in, so commitment, and our need is dire.” it’s very challengPreferred caning. There is a stididates are those pend attached to who either held jobs that involved help support the child and your working hands-on The rewards of giving with behaviorally household, but kids a chance at challenged children if you’re doing success far outweigh it for the money, (for example, former the negatives. you’re in for a rude police officers, edu-

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cators for learning-disabled students, or coaches) or had special-needs children of their own. However, Windless-Williams notes that LCCS will provide training and support for any candidates who are willing to make a serious commitment, whether or not they have relevant past experience. Support services for treatment foster parents are extensive and include, among others, close, routine contact with the child’s caseworker; community services related to mental health and developmental disabilities; and respite care to give the treatment caregivers a break. Respite care is usually offered for one weekend per month, but more time may be approved based on the severity of the child’s behavior. “We try to support our foster parents with as many services as we can provide so they don’t get overwhelmed and can continue to give their foster kids the best possible care and opportunity to thrive,” says Windless-Williams. ❦ To learn more about becoming a treatment foster care provider for Lucas County Children Services, call 419-213-3336 or visit www.lucaskids.net.

Vegetarian Pesto Pizza at Pisanello's Pizza Waterville Grab a bite with toledoeats.com’s Food Shark, Rob, who will hunt the Toledo area for a tasty morsel worth talking about! To suggest a menu item, contact Food Shark at food@toledoeats.com.

ucked away in downtown Waterville is a jewel of a pizzeria with a surprisingly flamboyant flair for flavor for a place that’s small and low-key. I was met by Martin “Marty” Wilson, the owner of Pisanello’s Pizza Waterville, 57 S. Third St., and I could tell right away that he was a pizza maker and a gentleman. He shook my hand and welcomed me in terrific small-town style and presented me with the Vegetarian Pesto Pizza. At first glance, I can tell you that this is a beautiful pizza—Martin does not hold back on the toppings. Spinach, artichoke hearts, and tomatoes were swimming in mozzarella and parmesan cheese. This shark did not hold back in taking not one, but several bites!

Marty tells me that the secret to his tasty pizza is the fact that he has the ability to control his own menu and develop flavors the way he and his customers want. Having made his own pesto from his backyard garden, he knows how to translate a good pesto with basil, pine nuts, garlic, and olive oil for his pizza.

Outcomes Mean Everything... We are a place to get better, a place for living. When people reach points in their lives when they depend on others, our compassionate caregivers create a place to live, providing care for our patients like family, not because it’s their job, but because it’s their calling.

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46 May 2015 | Healthy Living News

“

We are committed to our mission of

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and as such, our employees take the extra measures to create the comforts of home during a critical time.

“I heard about pesto pizzas and tried one and didn’t like it very much,” Marty said. “I played around with the recipe until I had something I liked—something with a little oomph.” Marty adds the ricotta cheese to create moisture, and marinated artichoke hearts help add texture. Pizza lovers can also add chicken or other favorite items as well, but the pizza is perfectly delicious “as is.” The cost depends on the size, anywhere from seven to 16 inches, from $5.50 to $19.00. Don’t think, though, that you can run out to any Pisanello’s Pizza and have the same slice of heaven as I did—Pisanello’s is a franchise operation, and every store is owned and operated differently. They may have great pizzas, but not this pizza. If you are lucky to be in Marty’s 10mile delivery area, take advantage of his specials. If you live further away, take a trip to Waterville and enjoy Roche de Boeuf and the beautiful metroparks along the scenic (and historic) Maumee River. Just be sure to stop in and try one of Marty’s pizzas—and say “hi” because a nicer guy you will never meet. Marty’s story is just as rich as his pizzas—he bought the store 14 years ago after working for some time at the Bowling Green store. When his kids were young, Marty found the business was a great way to work yet still have flexibility to help them out. This was important because two of Marty’s three children are autistic and required special care. “My son Jeffrey had no place to go until they opened up Bittersweet Farms,” Marty said. “In fact he was one of their first students.” Having special-needs kids prevented Marty from having a lunch service, but he never let that get him down. “I needed the flexibility to be able to run to school and help out whenever needed,” he said. Now Marty’s kids are grown and he works to integrate them all into the family-owned business. Kristina helps her father with operations (he said she practically runs the place), Jeffrey helps with marketing and passing out coupons, and Megan helps with making up boxes and passing out coupons. He and his wife, Joy, live in Bowling Green. Pisanello’s Pizza Waterville 57 S. 3rd St, Waterville, OH 43566 419-878-7020 watervillepisanellos.com ❦

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Stroke Life Center offers support to stroke survivors by Chris Holliday

he human brain is a marvel. Without the owner having to give it a second thought, the brain orchestrates all bodily functions, from memory to movement to metabolism. If everything goes well, and injury or disease doesn’t interfere, the brain keeps things running smoothly for a lifetime. Sometimes the brain’s function is interrupted when a vessel bringing blood (and essential oxygen) ruptures or is blocked by a clot. This event is called a stroke. The blockage or rupture keeps the brain cells from receiving the oxygen they need and, depending on how long the cells are deprived of oxygen, they begin to die. Their death results in a variety of impairments to the working of the body—memory loss, vision problems, paralysis, loss of speech, seizures, to name just a few. The damage is essentially irreversible, and the person having the stroke will face varying degrees of physical, emotional, and communication challenge as he tries to adapt to a body that doesn’t work as it used to work. The immediate response to a person having a stroke is to get medical attention, where timely treatment may remove the clot or secure the rupture. After the initial hospital stay, a stroke survivor is sent to a rehabilitation facility where therapists (occupational, physical, and speech) will work toward the goal of having the survivor return to his home able to function at a basic level. Most insurance plans allow for some outpatient rehabilitation sessions, but when the insurance coverage stops, the survivor must find a way to get the continuing help he or she needs. In Toledo, that’s where Sue Rindskopf and Cindy Roshon come in. Sue suffered a stroke when she was 51. Cindy was 38 with three young children when she had a stroke. They did the therapy sessions but found that they were on their own when the insurance coverage ended. They met and became friends through another stroke survivor and saw that

their relationship (and the sharing of the challenges of living with the after effects of a stroke) seemed to bring improvement in their abilities. They thought there should be a way to offer continued rehabilitation for stroke survivors and decided to open the Stroke Life Center. They formed a non-profit corporation and are reaching out to stroke survivors in the area, modeling their program after ones used by the American Stroke Foundation.

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Cindy explains, “We are a grassroots organization, two people who recognized a need in a community. When we started this effort, there were only three other organizations like it in the country. We looked at the American Stroke Foundation, and we knew it was do-able here. It was exactly what we had in mind.” Currently, as the co-founders work to raise funds for their own space and programs and put together plans for a paid professional staff of therapists, they have organized a support group. Cindy notes the value of having relationships with others facing the same physical challenges, “Friendships and a support system are formed here and are vital to our well-being. Our meetings average about 12 people. We just start talking... about anything. There is usually plenty of laughter, but people give practical suggestions about any expressed concern or as a reminder of how we should take care of ourselves. Stroke is the leading cause of disability and the fifth highest cause of death in this country, so we know there are plenty of people who might benefit from our services.”

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(Author’s note: I attended one of the support group meetings and noticed that, indeed, these people are supporting each other. There was plenty of talk about the high cost of living after a stroke. One survivor’s leg piece cost $7,000, none of it covered by insurance. Another member of the group spoke of the money he spent traveling to China to get acupuncture treatment, and a third survivor spoke for everyone when she said, “My friends don’t call anymore. They don’t know what to say to me.” Group members laughed when one survivor told of people who approach him by speaking very loudly. “‘I’m not deaf,’ I tell them,” he said, and everyone agreed about feeling surprise and depression and anxiety as they learned to live poststroke lives. As one group member said, “We help each other learn to deal with the cards we’ve been dealt.”) Even as they are dealing with the after-effects of their own strokes, including paralysis and aphasia (loss of speech and difficulty writing), Cindy and Sue are planning ahead. Their goal is to provide post-rehabilitation opportunities for stroke survivors to build life skills in exercise/physical strength, mental acuity, communication, and everyday chores. They will have an Advisory Board from the

Mercy and ProMedica health systems, and are working with a UT student implementing a Capstone project with the Center. Students from UT and Owens Community College will do their clinical hours with the Center, and all will encourage family members and caregivers to participate in all the planned activities. “People don’t realize that continued rehabilitation for a stroke survivor is a life-long endeavor,” Cindy says. “Notice the people here at this meeting. We are very much alive and want to be out in the world doing things. We are still capable of living meaningful lives, and we hope the Stroke Life Center will help others to do the same.” More information about the Center is available at www.strokelifecenter. org or at Stroke Life Center, P.O. Box 8571, Toledo, OH 43623, phone 419-5313311. More information about stroke (risk factors, treatments, symptoms, etc.) is available at the American Stroke Association website (www. strokeassociation.org) and at www. stroke.org (the National Stroke Association). ❦ Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

Tips for race recovery by Amanda Manthey

unning gives you a great workout that challenges both your body and your mind. When you cross the finish line in a race, your body is exhausted but your work is not over. After you exercise, you need to restore your body’s balance and power. Adhering to these post-race recovery tips will give you the edge for a more rapid recovery. First, water is the most essential ingredient you put into your body. Water helps in your recovery by cleansing wastes from your system. It helps dissolve nutrients and carries them to all parts of your body. Always stay hydrated, and drink water even if you don’t feel thirsty yet. As runners, we should drink up to three quarts of water a day. After a run, you should drink

48 May 2015 | Healthy Living News

about 16 ounces of fluids and more if you run longer. Staying hydrated after the event will aid in a faster recovery. When you exercise, your body burns carbohydrates for energy and breaks down your muscle tissue. Complex carbohydrates are key to any athlete’s diet because they provide a steady, nutrient-rich energy supply. Immediately after your race, your body utilizes glucose in order to rebuild and recover from your intense effort. Fruits, energy bars, and pretzels are quick, easy snacks that help initiate your replenishing process. Runners also need to replenish their electrolytes. Electrolytes affect fluid balance in the body and are necessary for proper functioning of your nerves and muscles.

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When you exercise, you lose electrolytes through perspiration. One way to renew your electrolytes is by drinking a sports beverage. These drinks help restore your body by preventing dehydration. Repair and restore your body with proteins. Proteins are essential in the repair of your muscles, ligaments, and tendons. Muscle proteins power you through your race. After a strenuous race, new muscle proteins must replace damaged ones. Good sources of protein are meats, fish, eggs, and dairy products. Fruits and vegetables are filled with vitamins, minerals, and fibers essential to a runner. Bananas, a good source of potassium, are believed to decrease cramping. Recovery and regeneration are crucial training concepts that enable you to produce the results you want. Following your race, enjoy several rest days or easy training days to help accelerate the recovery process. ❦

A Race for Change—Sunday, May 3,

Amanda Manthey is a former collegiate runner at Eastern Michigan University. She writes about running and fitness on behalf of Dave’s Performance Footgear.

Tim Horton’s Run/Walk 5K for the Camps—Sunday, May 17, 2015,

2015, 9:00 a.m. at 2532 Evergreen Rd. in Ottawa Hills, Ohio.

Super Saints 5K—Sunday, May

3, 2015, 11:30 a.m. at Saint Paul’s Lutheran Church, 16976 County Rd. Q1 in Napoleon, Ohio.

Thin Mint Sprint/Shortbread Shuffle—Friday, May 8, 2015, 6:30

p.m. at The Shops at Fallen Timbers, 3100 Main Street in Maumee, Ohio.

Run for the Bulls 5K—Saturday,

May 9, 2015, 9:00 a.m. at Secor Metropark, 10000 West Central Ave. in Sylvania, Ohio.

McComb Church of Christ Second Annual Mustache Dash—Saturday, May 9, 2015, 9:00 a.m. at McComb Church of Christ, 400 Ackerly St. in McComb, Ohio.

Delta 5K Steel Walk/Run/Fun Bike—Saturday, May 9, 2015, at 7055 County Rd. EF in Delta, Ohio. Events at 8:15, 8:30, 8:45, and 9:00 a.m.

9:00 a.m. at Riverbend Park, 16618 Township Rd. 208 in Findlay, Ohio.

St. and Lakewood Ave. in Lima, Ohio.

Kip Boulis 5K Run—Monday, May 25, 8:15 a.m. at Woodland Park, SR 795/E. Boundary St. in Perrysburg, Ohio. Girls on the Run of Northwest Ohio Spring 5K—Saturday, May

30, 2015, 9:00 a.m. (Little Star Run at 8:15 a.m.) at Fallen Timbers Mall, 3100 Main St., Maumee, Ohio.

Solomon 5 “Kay” Run/Walk—

Saturday, May 30, 2015, 8:30 a.m. (Kids Fun Run at 8:00 a.m.) at Solomon School, 305 West Main St. in Woodville, Ohio. ❦

Answers to crossword from page 40 1

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SMOOTH JUST GOT FAST. LET’S MAKE EXCELLENT HAPPEN.

Falcon 5 Miler & Lil’ Falcon HalfMiler—Saturday, May 23, 2015, 8:30

and 8:00 a.m. respectively, at Bowling Green State University, 1610 Stadium Drive in Bowling Green, Ohio.

Don’t miss Dave’s races! Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear. For more information on any event, including any applicable fees, please visit davesrunning.com.

5k/1mile Race for Wags and Wheels—Saturday, May 2, 2015, 9:00

a.m. at Fossil Park, 5705 Centennial Road in Sylvania, Ohio.

American Cancer Society Relay for Life—Saturday, May 2, 2015, 9:00 a.m. at 4050 Old US 25 in Liberty Center, Ohio.

Walk MS: Defiance—Saturday, May 2, 2015, 8:00 a.m. at Independence State Park, 27722 OH-424 in Defiance, Ohio. Band on the Run—Saturday, May 2, 2015, 9:00 a.m. (Kids Fun Run at 8:00 a.m.) at Perrysburg Junior High School, 550 East South Boundary in Perrysburg, Ohio. The Brian Matters Challenge Run:

Nathan B. Carse Purple Heart 5K Walk/Run—Sunday, May 24, 2015,

9:00 a.m. at Faurot Park, South Cole

Enjoy An Evening with Swingsters at Genesis Village Come to Genesis Village on Thursday, May 7 from 7:00 to 9:00 p.m. to enjoy complimentary desserts and beverages while taking in the music of the Swingsters, a local Big Band specializing in the music of the 30s and 40s. This event is free and open to the public. Genesis Village is located at 2429 South Reynolds Road in Toledo. Please park in the Genesis Village event lot and use the event entrance. For more information or to RSVP by 5/6, please call 419-7201286 or email info@genesisvillage. org.

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | May 2015

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