HLN May 2016 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News May 2016 • FREE

Also available at hlntoledo.com

It's outdoor-living season!

Also in this issue: • Spring skin spruce-up • Simple downsizing for seniors • Cross country by bicycle • A balloon to battle obesity • Thanks a lot, El Niño!

Part of something bigger

• Walt’s Corner • Sound Advice • Health Crossword • Dave’s Races • Eating Well

is now

Spring skin spruce-up

ery few individuals realize that 80% of their facial appearance with aging is due to prior sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! 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. 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

Rejuvenation of aging hands

Photodamage plays a major role in the appearance of the hands and can give away one’s true age. The most common reason for treatment is brown (age) spots on the top of the hands and a “skeleton-like” appearance of the skin. This unfortunate result of sun damage can be greatly improved by utilizing a laser to destroy the brown spots. Further, Dr. Handler can reduce the signs of aging of the hands (veins and tendons showing through) with products that are used for facial sagging and wrinkling. Many patients have been treated for this form of “hand aging” with excellent results.

sweating for months after injections. This is also performed entirely by Dr. Handler with minimal pain with results of decreased sweating lasting 5-7 months and longer. The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette lines (the sad look) from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad! Since these products are combined with a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the injection of a new filler called “Restylane Silk.” This product markedly improves upper and lower lip lines (lipstick lines). Restylane Silk also volumizes your lips and restores their natural curve while looking attractive and natural. Restylane Silk also can be utilized to minimize the “worry lines” between your eyes. There is no downtime with these non-invasive procedures. For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio. Prospective clients who decide to have non-ablative cosmetic procedures performed by Dr. Handler are not gender specific. Men are now utilizing skin products for reducing the appearance of aging and having procedures to maintain their younger and vibrant look just as are women. Males seeking cosmetic procedures have tripled over the past 10 years in their desire to recapture their more youthful appearance. Age is not a factor in deciding to improve your self-image. Whether you seek to improve the appearance of your aging face, neck, or other “sagging” areas due to competition in the workforce or simply for your own self-esteem, these procedures and anti-aging products are for you!

Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler. To view before-and-after photographs of patients who have had these procedures performed by Dr. Handler, visit www.drharveyhandler.com. For more detailed information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. 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 conducted by a board-certified dermatologist to check for skin cancer.

Hair loss in men and women

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

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

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

419.885.3400

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

Contacts Business office:

To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615. Phone: (419) 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.

Editorial office: Deadline for editorial submissions is the 10th of the month preceding publication. Send submissions to: Editor, Healthy Living News, 1619 Circular Dr., Toledo, OH 43614. Phone: 419-382-5751, fax 888-506-5790; email: editorhln@bex.net. Publisher: Kevin O’Connell

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Robin Buckey Molly O'Connell Print Designer: Jan Sharkey Web Designer: Strategically Digital LLC Social Media Specialist: Kelly Rickey Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech–Toledo Copyright © 2016 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe. Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

e lthy l ng ews

May 2016 • Vol. 21, Issue 5

Your Monthly Guide to Healthy Living

HEALTH & BEAUTY

TAKING CARE OF YOUR LIFE

2 Spring skin spruce-up 5 ProMedica Stroke Network strengthens stroke care throughout region 6 Oral head and neck cancer: a complex disease demanding multidisciplinary care 16 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 17 Tip for reducing your skin cancer risk by Kathryn Michel and Lorie Gottwald, MD 18 UT Health pediatrician: Family lifestyle change necessary to support children with diabetes 21 Mercy physicians now offer reversible, non-surgical intragastric balloon procedure 29 Knee pain from running or cycling? Heartland can help! by Jim Berger 30 The synergy of acupuncture and nutrition by Douglas A. Schwan, DC, Dip ac 33 Under the influence of technology by Shelly Horvat, AuD, CCC-A 43 Nobody’s Perfect Discrimination at your doctor’s office, by Sister Karen Zielinski, OSF

8 Enjoy spring and summer leisure in your own outdoor living space 9 Your home is not an airport runway (and other common landscape lighting mistakes) 10 Enhance your home’s security and nighttime appeal with outdoor lighting, by Christine A. Holliday 11 Spiritually Speaking A rich age, by Sister Mary Thill 12 Downsizing for seniors is a difficult task by Robin Small 14 From California to Maine by bicycle: two Toledoans’ journey, by Mary Pat McCarthy 22 Health Crossword, by Myles Mellor 24 Tips for race recovery, by Amanda Manthey 40 A Walk in the Park Thanks a lot, El Niño by LeMoyne Mercer

CHILDREN & PARENTING 23 Turn off the screens and turn family life back on! 39 In pursuit of “The Moment” by Mark S. Faber, USPTA Elite Professional

FOOD & NUTRITION 13 Walt's Corner Black and Blue Burger 38 Eating Well GERD be gone! by Laurie Syring, RD/LD

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Dear Readers, Thank you for picking up the May issue of Healthy Living News! With May’s mild days heralding the approach of another summer, many of us are contemplating ways to make the most of the warmer weather. But that doesn’t necessarily have to involve travel to some far-flung vacation destination or, for that matter, even leaving the comfort of your own home. In fact, some of the best—and most affordable—summer leisure-time activities can be enjoyed right in your own back yard. Check out our cover story on page 8 to find out how. Of course, some folks favor warmweather activities that are a bit more, shall we say, ambitious. For instance, take Sarah and Howard Abts, who, beginning last May, journeyed by bicycle from California

OUR COMMUNITY 7 United Way of Greater Toledo invests in Harbor Early Childhood SEED Program 19 St. Clare Commons taps into the greatest stories never told 20 Retiring Unison COO looks back on a fulfilling career in mental health 26 Non-Profit of the Month: Knock Out Parkinson’s by Beth Ann Hatkevich, PhD, OTR/L, FAOTA 28 Senior Living Guide 32 Sunset’s Fieldstone Villas redefine concept of independent living 35 NAMIWalks 2016: Step up for mental health 36 Center for Health and Successful Living offers support to cancer survivors, by Jessie Myler 37 Elizabeth Scott resident assistant named Personal Care Assistant of the Year 45 Local body shop owner seeks post-stroke “tune-up” at The Laurels

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to Maine. Read the full account of their adventures, written by TMACOG’s Mary Pat McCarthy, on page 14. Also in this issue, Dr. Rex Mowat of The Toledo Clinic Cancer Centers (p. 6) shares his perspective on oral head and neck cancer; Dr. Matthew Fourman of the Mercy Weight Management Center discusses the intragastric balloon system, a non-surgical, temporary technique for combating obesity (p. 21); Toni Bratt, manager of ProMedica Stroke Network, describes how ProMedica is working to strengthen stroke care throughout our region using cutting-edge technology (p. 5); and Jim Berger, area manager for Heartland Rehabilitation Services, offers insights on how to prevent Iliotibial Band Syndrome (p. 29). Plus, we’re pleased to bring you a profile

of the non-profit therapeutic boxing program Knock Out Parkinson’s by UTMC’s Dr. Beth Ann Hatkevich (p. 26) as well as a retrospective on the distinguished career of Unison COO Courtney Weiss (p. 20). Last but not least, special thanks to all the HLN readers who gave us positive feedback on the breadth and quality of topics in last month’s issue. In case you didn’t have a chance to pick up your copy, you’ll find it, along with other archived issues and current posts and blogs, at hlntoledo.com. We encourage you to visit the site often as we continue to improve our digital platform. Until next month, stay safe, active, and healthy!

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ProMedica Stroke Network strengthens stroke care throughout region

needs to come to ProMedica Toledo Hospital for neurointerventional care or can be treated at their local hospital. Our team of Telestroke nurses can also utilize the system in providing care, for example to monitor stroke patients receiving the clot-dissolving drug tPA or to walk the nurses at the remote hospital through the steps of administering it.” But the Telestroke system is just one element that is enabling ProMedica Stroke Network to enhance the level of stroke care delivered throughout the region. Bratt emphasizes that the expertise of neurointerventionalists Mouhammad Jumaa, MD, medical director of ProMedica Stroke Network, and Syed Zaidi, MD, the network’s director for Neurointerventional Service, is a tremendous asset to our community. Drs. Jumaa and Zaidi are highly skilled and experienced in performing the most advanced minimally invasive techniques for treating stroke, such as mechanical embolectomy. This procedure involves threading a device through the patient’s groin and up to the brain to capture and remove the blood clot (in the case of an ischemic stroke) from the targeted vessel, restoring normal blood flow to the brain. Bratt notes that embolectomy has been performed on a wide variety of patients—from young children, to post-partum women, to the elderly—with many successful outcomes. “We’ve seen patients with all kinds of deficits, such as the inability to speak or move one whole side of the body, return to normal before they’re even off the table,” she adds. “Of course other considerations, such as the size of the clot, how long the clot was present, the general health of the patient, and other risk factors, also influence the outcome.” Whereas clot-busting tPA must

In your home or ours. Your husband’s doctor just told you it’s time for hospice care. You’re overwhelmed and aren’t sure where to start. At ProMedica Hospice we provide our compassionate, patient-centered care anywhere you call home – whether it’s in your home, an assisted living or nursing facility or at Ebeid Hospice Residence. ProMedica is the local health care system that can help you and your husband on this journey by providing expert guidance, care and support. It’s all about being well connected. To connect with ProMedica Hospice, call 419-824-7400.

ccording to the Centers for Disease Control and Prevention, stroke afflicts nearly 800,000 people and causes approximately 130,000 deaths in the US each year. Stroke is also the leading cause of longterm disability and costs our nation billions in treatment dollars on an annual basis. When stroke occurs, time is of the essence. The sooner the diagnosis is made and advanced care is initiated, the better the outcome for the patient, not just in terms of survival, but also with respect to the degree and type of functional deficits that could result from the event. However, for those living in remote communities distant from a major hospital with expert stroke neurologists on staff, it can be a challenge to access the highest quality stroke care in a timely fashion. Recognizing an opportunity to provide more effective diagnosis, treatment, and monitoring of stroke patients throughout Northwest Ohio and Southeast Michigan—including those in outlying communities served by smaller hospitals—ProMedica has established a regional stroke network with ProMedica Toledo Hospital as its center. “ProMedica Stroke Network began in July of 2012 with ProMedica Toledo Hospital as a hub that serves 12 remote spoke sites throughout our region,” says Toni Bratt, RN, BSN, RTR-VI, manager of ProMedica Stroke Network. “Some of these hospitals are in the ProMedica system and some aren’t, but all are provided the same state-of-the-art stroke care offered here at ProMedica Toledo Hospital.” Bratt states that all the centers within ProMedica Stroke Network are equipped with special Telestroke monitors that allow ProMedica neurointerventionalists to assess patients, review imaging, conduct consultations, and make clinical decisions from any remote location—even the doctor’s home—using a special app on a smart phone or tablet computer. “With this technology, the physician can determine whether the patient

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be administered within 4½ hours of the patient’s “last known well” (the last time the patient was known to be symptom free), embolectomy can be performed within 12 hours of symptom onset, extending that critical treatment window. It’s also a good option when tPA alone is not successful, for example in the case of a larger clot that is softened but not dissolved after the drug is administered. In addition to offering state-of-theart neurointerventional techniques, ProMedica Stroke Network provides 24/7 coverage, with an expert call team poised to return to the hospital and administer stroke care within 30 minutes during evening and nighttime hours. What’s more, the network’s $2 million angiography suite boasts the most advanced diagnostic and imaging equipment, including a biplane fluoroscopy unit, which allows the team to get simultaneous anterior-posterior and lateral views of the patient’s anatomy. Bratt stresses that when it comes to stroke, “time is brain,” and she urges everyone to remember the acronym B.E. F.A.S.T., which stands for: • Balance—loss of balance or coordination or difficulty

we’re seeing it in cervical cancer in women.” Stroke symptoms typically develThe symptoms of oral head and neck op suddenly and often affect only cancer differ according to the site of one side of the body. If you notice the disease and may include—among any of these symptoms in yourself a variety of other possible signs—a or someone else, seek medical help sore that won’t heal, discoloration, immediately. numbness, or other changes in the For more information about Promouth; hoarseness or changes in the Medica Stroke Network, call 419-291voice; difficulty or pain in swallowing 7575. ❦ or chewing; unexplained ear pain; or a lump in the neck. As the disease progresses, all of these symptoms become magnified. For example, pain gets worse, swallowing difficulty increases, A complex disease demanding multidisciplinary care and lumps may now appear on both sides of the neck instead of just one, ral head and neck cancer is a with human papillomaindicating greater lymph complex disease that can develop virus, or HPV, is gaining node involvement. Perhaps in any of the moist mucosal tissues considerable momentum as not surprisingly, it’s often of the mouth, nose, or throat, such a risk factor. “We’re seeing dentists who first identify as the oral cavity, base of the tongue, an epidemic of HPV-relatcertain symptoms of oral tonsils, larynx, pharynx, or salivary ed oral cancers, primarily cancer in patients, such glands. And because this cancer has affecting the base of the as lesions of the tongue the potential to impact so many dif- tongue and tonsils, among or mouth. ferent anatomical structures, effective younger men and women Once oral head and treatment requires a multidisciplinary who are nonsmokers and neck cancer has been diapproach. otherwise healthy,” he exagnosed through biopsy, What triggers oral head and neck plains. “We don’t know at treatment can be initiatDr. Rex Mowat cancer? According to Dr. Rex Mowat exactly what time of life ed. “Here at Toledo Clinic of The Toledo Clinic Cancer Centers, infection is significant, but Cancer Centers, before smoking and heavy alcohol consump- we’re finding HPV incorporated into anything is done in these cases, a tion are leading causes, but infection the cancer cells in these cases, just as multidisciplinary conference is held

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.

ORAL HEAD AND NECK CANCER

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to develop a treatment plan for the patient. This team typically includes an oncologist, radiologist, pathologist, surgeon, and any other specialist who would be appropriate based on the location of the cancer,” says Dr. Mowat. Treatment options may include surgery, radiation and surgery, or upfront radiation and chemotherapy, and the best choice will vary based on the where the cancer is located, how advanced it is, and other factors. “For example, early-stage oral head and neck cancer is often treated surgically while later-stage can involve surgery followed by radiation or radiation and chemo. HPV-related oral cancers, which are almost like a completely different disease, are often treated using upfront radiation and chemo, or sometimes radiation alone, with a cure rate of up to 80 percent. Surgery may follow if the cancer doesn’t respond or if it recurs. In any case, multiple modalities are often necessary, which is another reason we stress the importance of developing the treatment plan in a multidisciplinary conference,” Dr. Mowat explains. With respect to the prevention of oral head and neck cancer, avoiding smoking and heavy alcohol use continues to be the best advice. But with the fastest-growing segment of the population diagnosed with this cancer being young, otherwise healthy men

and women who don’t smoke but have been exposed to HPV, Dr. Mowat also urges getting teens—both boys and girls—vaccinated with Gardasil to protect them from this virus. ❦ 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. For more information, please call the Toledo Clinic Cancer Centers at 419-479-5605. Answers to crossword from page 22 1

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arbor Behavioral Health, affiliate of ProMedica, is pleased to announce an investment of $105,000 from United Way of Greater Toledo for an Early Childhood SEED Program. This program aligns with United Way ’s Live United 2020 goals, centered on advancing education, income, and health in Lucas, Wood, and Ottawa counties. “United Way of Greater Toledo is proud to make an investment in Harbor Behavioral Health because they deliver results that create lasting

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

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United Way of Greater Toledo invests in Harbor Early Childhood SEED Program

D D

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Toledo Clinic Cancer Centers 4126 N. Holland Sylvania Road, Suite 105 Toledo, OH 43623

change in the areas of education, income, and health in our community,” said Karen Mathison, president and CEO of United Way of Greater Toledo. “It’s a pleasure and privilege to partner with Harbor and deliver results that change lives of people in our community.” The Supporting Early Emotional Development (SEED) program will help youth at risk for expulsion from child care centers. Professionals at Harbor will work with the teachers and have social skills groups with the youth.

R E

or call 419-479-5605

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

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udget-conscious families are always looking for innovative ways to make the very most of their leisure and entertainment dollar. For many, that includes planning spring and summer activities that keep them a bit closer to home. Here are several suggestions for warm-weather leisure-time activities that you and your family can enjoy right in the comfort of your own backyard:

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In winter, “family game night” usually consists of sitting around a table and rolling dice or spinning a spinner while scarfing down snacks. But at this time of year, more active backyard games beckon! If you have sufficient space, set up a badminton or volleyball net in the yard and hold a tournament with family and friends. Horseshoes, bocce ball, croquet, cornhole, and lawn darts are other perennial family favorites. Or how about a treasure hunt for the little ones? Hide a fun prize somewhere in the yard or garden, and leave a trail of tantalizing clues for the kids to solve.

Camp out

Dine al fresco

Perfecting the art of lawn care:

endless, so there’s no excuse for getting bored with grilled fare. Burgers, brats, steaks, chicken, chops, kabobs, ribs, seafood, pizzas, and even fruits and vegetables are just a sampling of the foods you can prepare on your gas or charcoal grill. Spice up meats with your favorite marinade or dry rub or slather them in your signature barbecue sauce. If you’re new to grilling, a little online research will yield a plethora of delicious recipes and grilling suggestions.

Whether you’re enjoying a fun, festive dinner with family and friends or a romantic meal for two, food just tastes better when it’s enjoyed in the great outdoors and enhanced by warm breezes. (A nice accompanying bottle of wine doesn’t hurt, either!) If you’re in the mood for a touch of elegance, you can convert your deck or patio to a formal feasting area or delineate a temporary dining space in the yard or garden with a portable canopy, gazebo, or party tent. With today’s incredible variety of affordable furnishings, outdoor lighting, dinnerware, glassware, and accessories designed specifically for dining al fresco, you can make your outdoor repast as chic, laid back, whimsical, or downright unusual as your heart desires.

Get grilling Meals enjoyed al fresco can be prepared in the kitchen and carried outdoors, but let’s face it, the barbecue grill is where most of the outdoor cooking action goes on in spring and summer. And the options for your outdoor barbecue menu are virtually

The backyard in late spring and summer is the perfect place and time to introduce kids to the camping experience or to do a “dry run” for the whole family in anticipation of a pending camping trip. This is a great opportunity to get a feel for setting up the tent (involving everyone in the project), test all your camping gear (camp stove, lantern, etc.), try out those air mattresses to make sure they don’t leak, and simply experience “roughing it” in a controlled environment (i.e., with all the comforts of home right nearby in case things don’t turn out as planned). Don’t forget to try out the fun stuff, too, such as telling ghost stories, roasting marshmallows, and making s’mores around the campfire. A fire pit or chiminea can be the perfect stand-in for a traditional campfire within city limits.

Bring on the birds Few things liven up the backyard environment like the color, songs, activity, and antics of our fine feathered friends. If you have a screen room or three-season room overlooking the

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backyard, that’s the perfect vantage point for observing a bird-feeding station. Keep a pair of binoculars handy so you can get close-up views and better identify your winged visitors. To attract a diverse variety of songbirds and woodpeckers, be sure to provide both seed and suet feeders. Hummingbirds will hone in on special nectar feeders provided just for them. Also, a nearby birdbath in which the birds can both cool off and quench their thirst will be appreciated and keep them coming back for more.

Lighten up and decorate In addition to landscaping with trees, shrubs, annuals, and perennials, you can spruce up your property in other

ways for greater sensory impact. For instance, landscape lighting will add a delightful aesthetic touch to your grounds that you can appreciate long after sundown. In addition to shedding a little light on the subject, you can delight your ears with the delicate sound of wind chimes or the soothing trickle of a water feature, such as a fountain or small pond. Or, indulge your inner artist by strategically placing sculptures, wall plaques, glass ornaments, and other tasteful ornamentation around your garden and landscape. It’s all about creating an attractive, welcoming outdoor living space that gives you the sense of getting away from it all without having to go away. ❦

Your home is not an airport runway (and other common landscape lighting mistakes)

e’ve all seen it . . . homes that have a straight line of evenly spaced landscape lighting fixtures placed along the walkway to the front porch. Unless you’re planning to land a 747 in your front yard, this is not the best way to illuminate your property. Here are six tips for creating the perfect landscape lighting to add character, safety, and curb appeal to your home: 1) Don’t light everything the same. Choose what you want to highlight in your yard—a specific tree, a stone wall, a unique architectural feature— and focus on those features. The goal is to make the special features look special. 2) Don’t overdo it! A common mistake people make is using flood lights to illuminate the whole house, which ends up washing everything out. It’s better to create layers of light by using path lights, uplighting, and downlighting. 3) Choose the right lighting fixture for the application. Some fixtures illuminate all around, and some point light in a specific direction. Know what you are trying to light, so that

you can choose the right landscape lighting fixtures. Also, make sure the fixtures are not too small or too large for your application. 4) Use LED as much as possible. With regular fixtures, you can lose voltage by running too long of a wire. Another issue is overloading your transformer with too many fixtures

or fixtures with wattage that is too high. Using LED fixtures will help you avoid both of these problems and reduce your energy costs. 5) Make sure all the lighting that Plan space for your you’re using outlandscaping to grow. doors is wet-rated. Even if the lighting is on a covered porch or under an awning, it needs to be approved for outdoor use. Because these fixtures are going to be exposed to the elements, they need to have a very good weather-resistant finish, like cast aluminum. 6) Plan space for your landscaping to grow! Your landscaping won’t remain the same size as when it is planted. Make sure your landscape lighting is spaced properly to allow for that growth. Of course, our best tip is to work with a landscape lighting expert at Gross Electric to lay out your design and ensure that you get the right products to make your house and landscaping look beautiful! ❦

Welcome the Night LED Outdoor & Landscape Lighting

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | May 2016

Enhance your home’s security and nighttime appeal with outdoor lighting

YOU CAN CHOOSE! You have the right to decide where to go for rehabilitation. Let your doctor know that you choose a Lutheran Homes Society ministry for your recovery. We have four locations to serve you: Lutheran Village at Wolf Creek (Holland) 419-861-2233 Lutheran Home at Toledo 419-724-1414 Lutheran Home at Napoleon 419-592-1688 Lutheran Memorial Home (Sandusky) 419-502-5700

by Christine A. Holliday

Call today about our wide range of post-acute services.

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Summer is right around the corner. Call (419) 345-0616 to schedule your pool opening. Plus, $50 off closings for first-time customers. • • • •

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J ardin P C ool

e can be outside again, staying up later to enjoy our back yards, patios, and swimming pools. We want to feel safe, too, as we enjoy the trees, shrubs, and beautiful architecture of our homes. That’s where Total Lighting, Incorporated comes in. Dave Helminiak of TL has a variety of ways to add security and to enhance your home’s nighttime beauty with LED low-voltage lighting. These lights, which save 75% over the halogen low-voltage fixtures of the past, are safer and more efficient than the older 110-volt systems. Their wiring is buried only four to six inches underground, instead of the 18 to 24 inches required by the older systems. That shallower depth makes for less intrusive installations to mar the other features of the lawn. Helminiak explains, “Total Lighting has been extending the day for homeowners for over 22 years. Creating ambience around back yards and patios by focusing on specific landscape features, such as trees, water gardens, or boulders, or lining sidewalks, will give a resort feeling to outdoor living spaces that can be enjoyed every evening.” He notes that more and more homeowners are using colored lights

to make pine trees greener or to make waterfalls and ponds look like tropical lagoons. And, in the winter, light penetrates through the trees, focusing on the glistening bark coated with ice or snow. “That creates a unique winter wonderland,” he says. Safety is a top priority at Total Lighting. A customer can order timers and photo cells that allow the low-voltage system to turn on and off according to darkness and personal preference. “Lighting can create a consistent lived-in look for your home,” Helminiak explains, “and lighting your home’s unique architectural features as well as some of the trees around your home creates a perfectly framed picture that will send would-be intruders on to a dark easier-target home.” This might be the summer for you to consider a lighting package for your home. New systems are made of near-indestructible materials and come with high-energy-efficiency parts. Consider calling Total Lighting at 419-866-0307, emailing at totallight ing.inc, or checking their Facebook page at Totallightinginc.com. ❦ Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

Ground level ozone is a health hazard especially for children and people with asthma.

Drive less

Wait to mow the lawn

Use less energy at home Fuel up or use a grill after 6 pm

Let’s Clear the air!

omPany

Clean and Professional Pool Maintenance

419-345-0616 10 May 2016 | Healthy Living News

www.ozoneaction.org We love feedback. Like us on Facebook. Follow us on Twitter.

BySister Mary Thill

Spiritually Speaking A rich age Retirement is a rich age, when one begins to be valued more for who one has become and less for what one has done.

—Brother Stephen Glodek, SM

Retirement has nothing to do with whether we work or whether we don’t. It has something to do only with the kind of work we do and the reason we do it.

—Sister Joan Chittister, OSB

ay is Older Americans Month and has been ever since it was established in 1963 by President John F. Kennedy. It was originally known as Senior Citizens Month, but the seniors objected to the title and renamed it Older Americans Month. I personally prefer to use the term “elder” when referring to folks who have reached a certain age, and I don’t just mean chronological age. I think AARP’s 55 is too young to be considered an elder, and I think 90+ deserves a special term, maybe “wisdom sharer.” But let’s talk about

“retirement” and just what that’s supposed to mean. There are many ways to look at retirement in our culture. I designed and taught a course on retirement in the Gerontology Department at Lourdes College in the 80s and 90s. My students were required to write their retirement plan and had to include their spouse in the plan as well as having Plan A, Plan B, and Plan C. One student told me that when she showed her plan to her husband, he had a totally different idea of what he thought it should be. I think they worked it out—at least I hope they did! Because life is full of changes and challenges, I insisted that the students have at least three choices within their plans because one never knew when a financial, health, social, or other challenge would arise and the one way of retiring wouldn’t work for them. I knew too many retirees

who hoped to travel when they first Brother Glodek’s take on retirement, retired and ended with a stroke, a but I think they are really saying the heart attack, or some other traumatic same thing, just coming at the topic event in the early weeks or months of from different perspectives. Sister their retirement. In 2008, many of my sees us continuing to do something retired friends lost quite a bit, if not in retirement that is meaningful and all, of their retirement savings and not just doing for the sake of doing. Exactly what that job had to make significant changes in their would be would hopeinitial plans. fully get its meaning Brother Glodek, from who we have in the quote above, become. encourages us to think I hope we can take about the richness that time from our busy could come with relives this month and tirement and aging. do something direct One would hope Do something direct and personal and personal with the that as we are able elders we know and with an elder to celebrate to do less and less, we care about and perOlder Americans Month. are valued for who haps even do something with a stranger we are and not just for what we have done. We have who is an elder. Older Americans to believe this ourselves and then Month is nice, but let’s see if we encourage others to see the value can extend our interactions with the of life in the later years. One of my elders on a more regular basis. We favorite quotes from Abraham Joshua will certainly be the richer for it now Heschel is, “Just to be is a blessing, and when we reach that rich age. ❦ just to live is holy.” This thought takes on even more meaning as a Sister Mary Thill is a Sylvania loved one or I become more frail due Franciscan Sister. She is Patient Liaison to mental and/or physical changes. for Mature Health Connections at Mercy Sister Chittister, in the quote above, St. Vincent Medical Center. She can be may seem to be disagreeing with reached at 419-251-3600.

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Wise words from

OTTERBEIN Downsizing for seniors is a difficult task by Robin Small

t’s complicated. Many seniors have lived in their homes for many, many years. In most cases, it is the house where they raised their family. With years comes “stuff.” When it’s time to downsize, the “stuff ” can be paralyzing and will actually prevent some seniors from shedding unneeded and unwanted items, causing them to stay in their homes. And while living independently is the goal for most people, that well-loved home might not be the safest place to be. Stairs, stuff, and tripping hazards can be deadly. Simplifying and downsizing are excellent goals for older persons, but what are some tips for success? • Don’t bite off more than you can chew. Tackle one room at a time. Don’t expect to downsize in a matter of days. Try to set a goal to be done in a number of months. Work a couple of hours each day and finish a room at a time. • Frame the “keep” or “get rid of ”

12 May 2016 | Healthy Living News

questions with seniors as yes-or-no questions. Open-ended questions cause confusion and will slow you down. Here’s an example: “We will keep your everyday dishes and get rid of the fancy china that you never use. Is that ok?” • Use the new residence as the goal and the space reference. Work toward what will fit into the new space. This creates a finite amount of items that can go. • Have two piles: the Keep and the Discard pile. Do not have a Maybe pile. The items in the maybe pile will end up getting boxed and will never be looked at again. • Digitize photos, videos, and movies. But don’t throw the old photos away, especially if there are points of interest, old vehicles, or other items in the photo that could have historical value. Your local historical

society or college may want them. A family member or friend may want the others. • Items that have value should be gifted or handled by a selling professional. Take the time to do some research so that these items are not lost or discarded. Check the references of selling professionals. • Learn about charity organizations that take donations, online garage sales, Craigslist, and liquidators/ estate sale organizers as possible methods to deal with the items that will not be kept. Check references of professionals that you bring in to help sell your items. • Important papers can be downsized. You must keep originals for the life of the following items: birth and death certificates, social security card, pension plan documents, ID cards and passports, marriage license, business license, any insurance policy (good to keep even if they have a digital copy in case problems come up), wills, living wills, powers of attorney, vehicle titles and loan documents, house deeds, and mortgage documents.

There are some papers that you keep for a little while: tax records and receipts (keep for 7 years); pay stubs and bank statements (keep for one year); home purchase, sale, or improvement documents (keep for 6 years after you sell); medical records and bills (keep at least a year after payment in case of disputes); and warranty documents and receipts (keep as long as you own them). Finally, keep the most current social security statement, annual insurance policy statements, and retirement plan statement. Get a shredder or take old documents somewhere that will shred them for you. Staples and Office Max have this service. Would you like to hear more about downsizing? Join us at Otterbein North Shore in Marblehead on Tuesday, May 24 at noon and Otterbein Portage Valley in Pemberville on Thursday, May 24 also at noon. You’ll enjoy a complimentary lunch and program by Dove Liquidators of Toledo, Ohio. Bring your questions for the experts! Call 419-833-8917 to RSVP. ❦ Robin Small is Regional Director of Marketing for Otterbein Senior Lifestyle Choices.

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Walt’s Corner Turn to this tantalizing column each month for a healthy, flavorful recipe from Walt Churchill’s Market—like this one for Black and Blue Burgers:

It’s 4 o’clock, what’s for dinner?

Black and Blue Burger Ingredients: 1 lb ground chuck 1 lb ground sirloin Blue cheese crumbled Frank’s Red Hot Sauce Pinch or 2 of pepper

Directions: Mix all ingredients together to taste. Portion out, patty, and grill to an internal temperature of at least 160 degrees F. Don’t stop there! Add bacon, mushrooms and more blue cheese on top plus all your other favorite toppings.

No time to prepare a meal? Black and Blue Burgers—and other dinner favorites—are available ready-made at Walt Churchill’s Market!

Not a problem at Walt Churchill’s Market. www.waltchurchillsmarket.com Maumee 419.794.4000 | Perrysburg 419.872.6900 MAY IS MENTAL HEALTH MONTH!

Stephen Gonce MSW, LISW-S Medicaid Health Home Team Leader Harbor Behavioral Health

The Importance of Linking Primary Care & Mental Health Services Historically, physical health and mental health treatment have been separate services with little or no coordination. A variety of factors have contributed to their independent evolution; and while both services have made considerable improvements in treatment outcomes, their separation has left considerable room for continued progress in what matters most: the well-being of the patient. Very often, individuals who have concerns about their own or a family member’s mental health will seek guidance from a physician they know and trust rather than initiating treatment with an independent mental health provider. Additionally, primary and specialty care physicians are often the first point of contact for mental health screening and the first to indicate concern to their patients. These are likely the two best reasons why it is paramount for relationships and practice improvements between physical and mental health providers. This collaboration is commonly referred to as integrated care; a deliberate and coordinated model whereby physical and mental health practitioners treat the whole person. Integrated care provides patients and health care providers with many advantages. Most notable is the fact that physical health is enmeshed with mood and behavior, and treatments have the potential to be more effective when compared to physical health treatment alone. For example, diabetes is a common physical health diagnosis where individuals are more likely to experience depression. It is a disease that requires individuals to manage and maintain specific self-care behavior on a daily basis. It is also a disease directly impacted by stress which can trigger high blood sugars. Using an integrated care approach, in addition to being prescribed needed medication, a patient may also be referred to a behavioral health consultant who can assist with addressing improved self-care routines, stress management and emotional coping. Coordinated effort to improve physical health care is not the only benefit to the integration of physical and mental health care services. Often, patients will present at their doctor’s appointment specifically to address their mental health. While primary care doctors and other specialists have provided excellent support to patients for mental health needs, integration of care can build a team of providers around the patient and offer additional services beyond what physicians are capable of providing. These additional services often include counseling, addiction treatment, case management, psychological testing, and psychiatric assessment/treatment.

419.475.4449 | www.harbor.org We offer convenient hours, flexible payment methods and strict confidentiality. Most insurances, Medicaid, and private pay accepted.

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | May 2016

Active. Social. Fun. From California to Maine by bicycle Two Toledoans’ journey by Mary Pat McCarthy

S An active mind and social life are an important part of memory care. At Swan Creek, learning, fun and healthy relationships take center stage. The challenges of dementia and memory loss can be overwhelming. That’s why our campus is designed for comfort and fun in a secure environment. Residents can relax in the shade on our patio, visit with friends in our social areas or enjoy restaurant-style dining. We also offer a variety of activities and services to keep our residents inspired and motivated.

Call us to schedule a time to visit our community and let us show you how each of our residents are living life to the fullest!

419.865.4445

Respite Care • Memory Loss • Alzheimer’s • Dementia 5916 Cresthaven Lane Toledo, OH 43614 • www.swancreekohio.org

arah Abts is a small woman with a gentle voice who looks like the semi-retired English Composition instructor that she is and not, at first glance, like an endurance athlete. But in the summer of 2015, she and her husband, Howard, traveled by bicycle from San Francisco to Maine, with some side trips thrown in. It seems such a journey would take a lot of strength and endurance, but according to the Abtses, “Taking one day at a time, the trip did not seem like a huge achievement. It was just a long string of good days in places all across the country.” The pair have been using bicycles as their primary mode of transportation for more than a decade. While they sometimes rent or borrow a car, or take trains or buses for long trips, and Sarah uses TARTA, they manage mostly on two wheels. Howard, 65, is an interim pastor who is currently working in Luckey, Ohio. He is a member of the TMACOG Pedestrian &

In Nevada, they rode on highways that were also marked as emergency landing strips for airplanes. “Not something you see in Ohio,” said Sarah. She is riding a folding bike.

Bikeways committee, which advocates for better infrastructure for people on foot and cyclists. Sarah teaches at the University of Toledo. They live near Highland Park in south Toledo, and appreciate the neighborhood’s central location. After several years of biking around town, getting experience in all types of weather, an opportunity arose for both of them to have time off for a long bike trip. Sarah had inherited

14 May 2016 | Healthy Living News

a car that her brother in California was willing to buy. They made plans to drive to San Francisco and take four months to ride across the U.S. and part of Canada. On their bicycles, they carried a tent, sleeping bags, food, clothing, repair tools, and Sarah’s Frio cooling case that kept her insulin and other medication at a constant cool temperature. Howard rode an 8-speed sport-touring bike and carried most of the supplies—about 70 pounds. Sarah rode a 7-speed Dahon folding bike. She carried about 20 pounds in her bike’s panniers and in a pack that attached to the handlebars, as well as her sleeping bag and Frio. Sarah was concerned about how continued strenuous exercise would affect her blood sugar levels. She learned that climbing mountains didn’t affect it as much as riding quickly on more level ground. Testing several times a day, she was able to manage her blood sugar levels and had no perilous lows. Such a long journey required significant preparation to cross mountains and sparsely populated areas. Sarah searched the Internet for accounts of cross-country cyclists, specifically for any easy way over the Rockies, but while there are guides to specific locations or for specific tours, she did not find much to help with their unique cross-country trip. “I was surprised,” she said, “that there wasn’t more on getting across the mountains.” Dept. of Transportation Bicycle Coordinators in western states gave some good advice on routes and places to stay, buy food, and get water. The Abtses also joined warmshowers. org, a hospitality network for cyclists. Hosts offered wisdom and stories, in addition to shelter and meals. Their trip began in May. The first major leg of the trip was about 250 miles from San Francisco to Lake Tahoe, on the eastern side of the Sierra Nevada Mountains. Told not to consider taking Rt. 50 east of Placerville, Sarah and Howard opted to

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cross the Sierra Nevada using the Mormon Emigrant Trail. This had a change in elevation from 4,750 feet to about 8,500 feet. (Toledo’s elevation is 614 feet. Denver’s is 5,130 feet.) This proved to be the biggest physical challenge of their trip. Without time to become acclimated to the oxygen levels at the higher elevations, they were short of breath, Sarah especially. Even using low gears couldn’t get them up the steep grades. While they normally averaged 70 miles per day, they only made nine miles in one afternoon. The day after that short-mileage day, as they walked their bikes up an incline, a motorist stopped to see if they needed help. Howard wisely asked whether they could get a ride over two summits and into the city of South Lake Tahoe.

“It was fortunate that we chose that weekend,” said Sarah, “because the next weekend there was snow and the route was impassable.” As challenging as the ride was at times, Sarah insists that the long trip wasn’t a heroic effort. “I feel strongly that it’s something that ordinary people can do,” she said. “It was really fun. I was always happy to wake up and get on the bike.” They stopped frequently to snack, change layers, or apply sunscreen. They enjoyed meeting people, often when they asked for directions when paper maps or Google directions were not helpful. Sarah carried a cell phone and a Mini iPad, which provided email communication and some maps—when they were within range of a tower. Some nights they camped out, and some nights they stayed in motels or with hospitable cyclists. They had normal bike repairs: fixing tires and adjusting cables. There was one more serious mechanical problem when Howard’s back wheel began breaking spokes. They got a replacement On the coast of New Hampshire, fully loaded. wheel in South Dakota

set up as a single speed. Howard rode with one gear from Rapid City to Minneapolis, where he was able to get a new wheel built around his 8-speed hub. After six weeks with only one day off as they crossed the wide-open and unfamiliar spaces of the West, Minneapolis was a resting spot where they stopped for a week with family. Then it was north to Michigan’s Upper Peninsula, down to Port Huron, across to Ontario on the Blue Water Bridge, through upstate New York, and after 4,500 miles, they arrived in Corea, Maine, a fishing village

where friends had a cottage. After three days’ rest, they headed south, pausing with relatives for Labor Day weekend, enjoying rocky and sandy beaches along Maine and New Hampshire’s coasts, visiting family sites in Gloucester, Massachusetts, and finally arriving in Boston. From Boston they took a train back home to Toledo. Their final riding mileage was 4,875 miles. They had no serious injuries and little illness during their trip. They got a few scrapes and bruises from falls (Sarah became very wary of gravel), but no sprains and no collisions with

May is Bike Month

When You Ride A Bike Getting There is Part of the Fun Wed. May 4 Fri. May 6 Sun. May 8 Wed. May 18 Fri. May 20 Sat. May 21 Sat. May 21 Sun. May 22

Bike to School Day Family Bike Night - Side Cut Metropark, 6 p.m.* Bike & Bird Adventure – Pearson Metropark, 7 a.m.* Ride of Silence - University of Toledo, Bancroft St. entrance, 6:30 p.m. Slow ride to remember cyclists who have been hurt on public roads. Police escort. Bike to Work Day Bike Day at the Farmer’s Market, Erie St., downtown Toledo, 9 a.m. – noon. Bike repair, t-shirts for cyclists while they last, coffee for bikers. Metroparks Outdoor Adventure Expo - Side Cut Metropark, 10 a.m. – 4 p.m. Sylvania Slowryders Ride – Sylvania Public Library, 4 p.m.**

*MetroparksToledo.com. Registration required. ** Sponsored by Sylvania Area Joint Recreation District, City of Sylvania, and We Are Traffic. Special bonus: TARTA Reduced fare – 25 cents for cyclists, Mon.–Sun., May 16-22.

See all the activities at tmacog.org/bikemonth

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | May 2016

choose

KINGSTON

FOR ALL THE RIGHT REASONS TIME IS A GIFT – DAD LOVES LIVING AT KINGSTON.

“We were delighted when we first saw your beautiful facility. But it was nothing compared to the genuine caring and compassion we felt from the day Dad arrived at Kingston. In no time at all, everyone knew him by name – the dining room staff, nurses, aides, housekeeping staff, barber – ‘Hi, Wilbur.’ You really made the effort to get to know him. Dad loves living at Kingston. Thanks for taking the time to make sure he feels right at home.

”

Every day is a gift.

- Son of a Kingston Resident

SKILLED NURSING | ASSISTED LIVING | MEMORY CARE

COME SEE FOR YOURSELF!

Call Melissa today at 419.247.2880 to schedule your personalized visit. Choose Kingston – for all the right reasons.

16 May 2016 | Healthy Living News

motorized vehicles. Sarah said that based on conversations with friends at home, a four-month bike ride seemed the healthier place to be. Now back home, Sarah is organizing her journal notes and photos to publish an account of the trip. Howard and

Sarah continue to ride most everywhere they go. ❦

Common sense, though, says that whether you’re driving or bike riding on a street, you need to be aware of your surroundings. There may be cars racing up from behind or turning in front of you. Bike riders actually need all the cues they can get since bikes have no air bags or side- and rearview mirrors like automobiles do. And don’t forget about walkers who themselves may not see motorists to the right or left of them before stepping out in the street. How about trying to go on a bike ride with headphones at a medium volume to see if it doesn’t dampen the traffic noise around you? The trouble is, doing so can disconnect you from the rest of the world. I agree listening to music can make the ride more enjoyable and seem quicker, but it also causes the mind to wander, making you inattentive to your surroundings and putting yourself and others at risk. The best way to mitigate danger is to limit the distractions you can control and keep your eyes and ears on the road. One might ask, “What if I wear the earphone on one ear and leave the other ear wide open?” My response is, yes, that would be better than covering both ears with earphones, but I’m still going to discourage you. There has been research on overall earphone use. Melanie Colavito in 2014 cited a recent study addressing whether or not it’s safe to ride a bike and listen to music with headphones. She explained that it’s possible for people to listen to music and be aware of their surroundings and that it is

: I was driving to work early this morning and almost hit a biker because he said he didn’t hear or see me coming as he was changing lanes. I am concerned because he had a pair of earbuds in his ears and wondering if the music was affecting his ability to hear traffic noise. Do you have any information to educate me on the use of earphones on the road?

: Wow, I’m happy both of you were not hurt! We all know it is always better to keep two hands on the wheel (or handlebars), eyes facing forward, to be aware of our environment and listening to the traffic noise. As we know texting is illegal and some use of earbuds/earphones is also illegal. The Ohio Revised Code 4511.84 states that no person shall operate a motor vehicle while wearing earphones over, or earplugs in, both ears. Earphones means any headset, radio, tape player, or other similar device that provides the listener with radio programs, music, or other recorded information through a device attached to the head and that covers all or a portion of both ears. They do not include hearing aids, law enforcement or fire department personnel, operators of equipment on highways, or refuse collection equipment. Many states, including Florida and Rhode Island, prohibit wearing any types of headphones. Now that we know the law, let’s start having a discussion about what is smart and what isn’t. We all know wearing earphones, whether in one ear or two, should not be encouraged.

Mary Pat McCarthy is a writer and does media relations for Toledo Metropolitan Area Council of Gover nments (TMACOG).

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HE A

HE HEEA A A

E AR C CAREARE

ITY

AL UR I UR A S ST Y A S S

kin cancer is the most common type of cancer in the United States. The American Cancer Society estimates that one in five Americans will get skin cancer in their lifetime. If you could do just one thing to decrease your chance of developing skin cancer, would you do it? Risk factors for skin cancer include skin that tends to burn easily, blonde or red hair, a history of sunburns, use of tanning beds, diseases or drugs that suppress the immune system, and a personal or family history of skin cancer. Decades of research have shown an indisputable link between tanning and all three major types of skin cancer: basal cell carcinoma, squamous cell carcinoma, and melanoma. Basal cell and squamous cell carcinomas (nonmelanoma skin cancers) are the most common types of skin cancer and tend to be highly curable if detected early and treated appropriately. Basal cell carcinoma rarely metastasizes, but can enlarge and become locally destructive and is frequently located on the face. Squamous cell carcinoma often has raised borders and usually starts out as a red, rough, and scaly lesion that later becomes ulcerated and may bleed easily. The treatment for both types is surgical excision. Melanoma is the most deadly form of skin cancer, responsible for 75 percent of skin cancer deaths. Melanoma is also the most common form of skin cancer in young adults aged 25-29. Ultraviolet (UV) light from the sun

by Kathryn Michel and Lorie Gottwald, MD

N RI

Tip for reducing your skin cancer risk

HE NG R ALTH RI HEAL

ED D

UU A L I T Y A S S U R AAL RR LIIT UU T Y AASSSS

TRUST TRUST TRUST TRUST A HEARING E

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).

HEALT NG RIING HEAILNTGH HEALTHH

seem preferable since you aren’t occluding the ear canal. But I would ask, wouldn’t you rather enjoy the fresh air, hear the wind noise, and ride freely? Please think about the options and take the high road to freedom—ride naturally. Enjoy the bike paths and leave your earphones at home. ❦

also possible for people to not wear headphones and be just as aware of their surroundings. The summary was, whether or not someone wears earphones isn’t, in and of itself, indicative of whether or not they are safer and more aware than someone who is not wearing headphones. But I still advocate erring on the side of caution. Bone conduction headphones seem to be an alternative to some. With these headphones, the sound is sent through the bones of the skull to the inner ear instead of directly into the ear canal, which would

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PROFESSIONAL CHOOSE YOUR HEARING AIDS TOTO CHOOSE YOUR HEARING AIDS TO CHOOSE YOUR HEARING AIDS

or from tanning beds has been associated with an increased risk of developing melanoma, and the World Health Organization has recently classified UV light in the highest category of carcinogens, or cancer-causing substances. Research has shown that if an individual experiences five or more blistering sunburns between ages 15 and 20, their melanoma risk is increased by 80 percent. Furthermore, daily sunscreen application decreased the incidence of melanoma by half. The American Academy of Dermatology recommends that everyone perform skin self-exams to check for new or changing lesions. Skin cancer warning signs include a new growth on the skin, a lesion that is increasing in size, a mole that has different colors or an abnormal shape, or a sore that doesn’t heal. A common mnemonic used when assessing whether a lesion is melanoma is “ABCDE”: A-asymmetry, B-border irregularity, C-color variegation, D-diameter greater than 6 mm (about the size of a pencil eraser), and E-evolving/ changing over time. If you notice any of these criteria, you should see a dermatologist, a doctor who specializes in diseases of the skin. The best prevention for skin cancer is to protect your skin from the sun’s

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UV rays. Avoid direct sun exposure or seek shade between the hours of 10:00 a.m. and 4:00 p.m. when the sun’s rays are most intense, wear sun-protective clothing, and apply sunscreen with a sun protective factor (SPF) of at least 30 on a daily basis. Sunscreens are now available in many forms, including creams, gels, and spray-on solutions. Some are labeled “water-resistant,” meaning they last between 40 and 80 minutes. You should reapply sunscreen after swimming and sweating. Additionally, if you are involved in outdoor activities, such as golf or tennis, you

should consider wearing a hat and sunglasses. Even if you are unaware of any suspicious spots on your skin, you may wish to have a skin cancer examination performed by a dermatologist. The successful treatment of skin cancer is primarily dependent on early diagnosis, so don’t delay your appointment. ❦ Kathryn Michel is a third-year medical student at The University of Toledo, and Lorie Gottwald, MD, is Dermatology Chief and Professor of Medicine at UTMC.

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he best way to prevent type 2 diabetes in children is to get the whole family committed to living a healthy lifestyle that includes eating healthily and exercising. “You can’t make just your type 2 diabetic child adopt a healthy lifestyle; it has to be everyone in the household,” said Dr. Berrin Ergun-Longmire, Chief of the Pediatric Endocrinology Division at the University of Toledo. One-third of the children in the United States are overweight or obese, which is linked to Type 2 diabetes. Dr. Ergun-Longmire said it is especially “scary” that today’s children are even getting type 2 diabetes—a disease historically found in the elderly that can cause kidney damage, blindness, and nerve damage. Type 2 diabetes differs from type 1 diabetes in two significant respects: First, if you have Type 1 diabetes, then your body simply cannot produce any insulin at all. Second, type 1 diabetes can be managed with insulin therapy, but it cannot be cured. According to Dr. Ergun-Longmire, “The trick to understanding type 2 diabetes is to pretend that your body is a power plant that burns sugar as fuel. For your body to remain alive, it initially converts the food that you eat into an energy-source in the form of sugar. Then, with the help of insulin, your body taps into this sugar and carries it inside the body’s cells where it is essentially burned as fuel. For people with type 2 diabetes,

however, their insulin cannot transport the sugar from the bloodstream and into their cells where it is needed. Why not? At the cellular level, these people have an excessive amount of body fat that keeps the insulin from doing its job, which means that the sugar remains in the bloodstream where, over time and without medical treatment, it will accumulate and cause damage in the body.” The key to preventing and defeating type 2 diabetes, then, is to make sure that your child’s body fat is not excessive. And this is where having a healthy lifestyle comes into play. “Because children learn from and are motivated by others, and type 2 diabetes is completely avoidable—and curable if you catch it soon enough—my team and I at UT are trying to convince each and every family member to adopt a healthy lifestyle,” Dr. Ergun-Longmire said. Dr. Ergun-Longmire wants families to understand that a healthier lifestyle can include occasional splurges on “junk food” and being active is part of a “normal” childhood experience.❦ Dr. Ergun-Longmire and her team, Dr. James Horner; nurse practitioner Janet Moore; the staff dietitian, Michelle Cleland; and the staff nurse, Cereda Blanchard (both certified diabetes educators), can be reached at 567-9522100. They see patients at UT Rocket Pediatrics, 1089 Pray Blvd., Waterville, and at the Ruppert Health Center, Toledo.

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St. Clare Commons taps into the greatest stories never told

veryone loves a good story. But the greatest tales out there have never actually been shared in books, newspapers, magazines, movies, or other media. Instead, they reside in the minds and memories of our community’s seniors, who have experienced tremendous changes and challenges throughout their many years of life. As part of their ongoing effort to make meaningful connections with the larger community, St. Clare Commons, in coordination with senior centers all over Wood County, has launched a fun, enriching program to help seniors tap into and share their unique life stories. “This exciting element of our community outreach, called the Legacy Binder Program, is currently offered once a month at all the senior centers in Rossford, Bowling Green, Perrysburg, and Pemberville,” explains Lindsay Duke, Director of Admissions/Marketing for St. Clare Commons. “We provide the binder, insert sheets, and everything else they need at no cost, and at each monthly meeting

we give them a topic to think and write about before the next meeting. Then, the following month, the group gathers together with their binders to discuss what they’ve written. It’s all about having fun, making friends, and telling one’s story.” And what stories they’ve already told! Duke notes that one woman reminisced about running away at age 16 to Hollywood, where she worked as a nanny to the stars, creating quite a scandal and stir in her hometown. Another recalled that during World War II, when nylon was available only to the military and leggings were unattainable, she and her friends used to paint their legs. The writing topics, which are the same at each senior center (so participants are free to attend meetings at whichever location they choose), are quite varied and intended to promote healthy reminiscing. The first month’s writing topic is a general “get to know you,” encouraging participants to share information such as when they were born, where they were raised, where they went

to school, how they ended up in this area, whether they have any kids, etc. Examples of other topics include how they spent summer vacations as kids, how their families celebrated holidays, and their favorite family recipes. “The program is ongoing—just like the participants’ life stories—and the binders become beautiful ancestry books that are theirs to either keep or pass along to loved ones. However, there’s no obligation to continue in the program or to speak in front of the group if you’re not comfortable doing so. The whole point of the

program is to give participants an opportunity to reconnect with their past and share their story with friends and future generations,” says Duke. So far, the response from the Wood County senior centers has been resoundingly positive, so Duke hopes to eventually expand the Legacy Binder Program as well as introduce it at St. Clare Commons. Of course, the new Legacy Binder Program is just one example of how St. Clare Commons is working to connect with the broader community. The popular Tuesday Talks are another exciting element of the facility’s outreach that promotes learning and discussion. This series of informative and enlightening presentations, hosted by St. Clare Commons and held on the second Tuesday of every month from 6:00 to 7:00 p.m., is free and open to anyone in the community who would like to attend. “We also have a presence in the Farmers Market along with All Good Things every other Thursday from May to October. Plus, we’ll be doing an Antiques Roadshow on June 23 from 1:00 to 4:00 p.m. here at St. Clare Commons with auctioneer Beth Rose doing appraisals. These

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Leave your worries behind this spring and discover St. Clare Commons. We offer exceptional amenities in a beautifully designed setting including a Starbucks Coffee Shop, executive chef prepared meals, weekly happy hour, piano lounge and more! For a limited time, we’re extending an exclusive offer for new assisted living and memory care residents. Sign a resident agreement by May 31, 2016 and receive your 3rd month free.

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are just a few examples of how we continuously strive to connect with the community and provide enriching, enjoyable experiences for our residents and their families,” Duke says. ❦

For more information on the Legacy Binder Program, Tuesday Talks, Antiques Roadshow, or any other programs hosted or coordinated by St. Clare Commons, please call Lindsay Duke at 419-7044403.

Retiring Unison COO looks back on a fulfilling career in mental health

fter 36 years with Unison Behavioral Health Group, Courtney

Congratulations Courtney Weiss, LISW-S Chief Operating Officer, on 35 years of service to our community!

CREATING HOPE.

20 May 2016 | Healthy Living News

Weiss remains passionate about mental health. With her retirement looming close on the horizon, Weiss, Unison’s chief operating officer, looks back with considerable fondness over a career that brought both challenges and rewards along with the gratification of knowing she has made a significant difference in many people’s lives. But, as so often happens, Weiss landed on her mental-health career path quite by accident. “I was a history major as an undergrad, but I took a lot of psychology and sociology courses and really enjoyed them,” she recalls. “So right out of college, I took the civil service exam and was hired by Lucas County Children Services (LCCS) as a school social worker. I found I loved working with people, particularly helping kids and families.” As fortune would have it, LCCS also had access to federal grant dollars to send staff members to graduate school. With this opportunity came the stipulation that participants would have to return to LCCS and work there for two years. Weiss took advantage of the program, choosing to attend the University of Michigan, where she majored in interpersonal practice with an emphasis on working

with families. Her graduate school experience also included two years of internship, which she completed at the East Center (now Unison), focusing on family therapy. After completing grad school and fulfilling her obligation to LCCS, she got a call from the East Center with a job offer. With the birth of her first son in 1980, Weiss was briefly a stay-at-home mom, but she soon found she needed work to provide balance in her life. “It was a challenge to juggle family and career, but I’ve always thought that working made me a better mom and vice versa,” she says. “Striking that balance has also shaped the way I supervise people. I believe my staff would say I’m very family-friendly, and that’s because I know exactly what working moms have to deal with on a day-to-day basis. We’re like family here, and many of us have gotten older together. It has been interesting to see our worries and concerns shift from babies and children to caring for elderly parents.” In addition to her work with Unison, Weiss spent quite a while in private practice, specializing in issues facing women, ranging from career to marital challenges and everything in between. “I did a lot of group work with professional women, creating an environment in which they could ‘let their hair down’ and really be themselves,” she says. This experience also reinforced her commitment to treating and promoting employees equally based solely on qualifications, not gender. When Weiss began working at the East Center as a student, there were only about 20 employees and the organization was housed at the Commodore Perry Hotel. Since that time, Unison has quadrupled in size, having upwards of 300 employees and treating approximately 8,000 clients per year. Weiss has also observed a dramatic shift in the way society views mental illness between her early days in the field and today. “It was once widely believed that mental illness stemmed

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from bad parenting—especially on the part of moms for some reason—and depressed patients were often told things like, ‘Put a smile on your face’ or ‘Pull yourself up by your bootstraps.’ Now there’s much greater awareness that these are brain-based disorders. You can’t wish them away any more than you can wish away diabetes or heart disease. There’s also been a huge increase in the medications available to treat mental illness. When I first started, medications were very limited and had terrible side effects. Now, thanks largely to the advent of better medications, people with severe, persistent mental illness can hold down a job, own a home, and generally function productively in the community.” As she looks forward to retiring on June 30—and moving with her husband to Colorado to be close to their two sons and three granddaughters— Weiss is both optimistic and anxious about the future of mental health care. She notes that the integration of behavioral and physical health is an exciting current trend, stating, “This is so important because the severely and persistently mentally ill tend to die 25 years earlier than the general population. The explanation for this may be that they don’t seek medical care or they’re taking medications that cause serious side effects such as weight gain, which in turn can lead to chronic illnesses such as diabetes or heart disease.” At the same time, she worries that funding for mental health care will dry up. While Lucas County voters consistently vote to fund mental health initiatives, psychotropic drugs and

mental health services are expensive, so they often tend to be first on the list when budget cuts are made. This concern aside, Weiss is extremely proud of what she and her team at Unison have been able to achieve together, remarking, “It’s

been a great career, and we’ve been able to help a lot of people. The work has been challenging—in some ways fun—and no two days have been the same. After 36 years, I can honestly say I still love what I do and the people I work with!” ❦

Mercy physicians now offer reversible, non-surgical intragastric balloon procedure

ith the Food and Drug Administration (FDA) having recently approved the intragastric balloon system for weight loss in the US, weight-management physicians now have an innovative new tool at their disposal to help obese patients shed excess pounds without undergoing invasive, permanent bariatric surgery. Offered locally by Dr. Matthew Fourman and Dr. Gregory Johnston of the Mercy Weight Management Center, the intragastric balloon is a soft, silicone sphere that is inserted through the mouth and into the stomach. Once in place, the balloon is filled with a saline solution, effectively reducing the amount of space available in the stomach. “The intragastric balloon has been used in other countries for over 20 years, with more than 200,000 implanted around the world,” says Dr. Fourman. “Now that the FDA has approved this technique here in the US, we can help a lot more people who are struggling to lose weight through diet and exercise alone but are reluctant to undergo invasive surgery.”

Dr. Fourman further explains that bariatric surgery is approved for patients with a body mass index (BMI) of 35 or above, while the intragastric balloon procedure is approved for patients with a BMI of 30 to 40. “Obesity begins at a BMI of 30, so using the intragastric balloon, we can eliminate that gap between BMI 30 and 35, which represents a very large portion of the obese population, and begin treating folks who struggle with obesity at a much earlier stage.

That’s extremely important because, just as with diabetes or any other disease process, the sooner you begin to treat obesity, the better the longterm outcome,” he says. The intragastric balloon assists in weight loss not just by reducing

the size of the stomach, but also by altering the body’s physiology and the way the stomach communicates to the brain. That is, the pressure exerted by the saline-filled balloon impacts the types and amount of food that the stomach can take in while creating a feeling of fullness in the gut that signals the brain to alter hunger cues. The balloon is implanted in a hospital setting under sedation or, in some cases, general anesthesia. The entire procedure takes only 20 to 30 minutes, and most patients are able to go home immediately afterward. However, the balloon implantation is not permanent. This technique is FDA approved for only six months, so the balloon must be removed from the patient’s stomach within that time frame. “Though the balloon is left in place for a limited time, we can use that period to help steer obese patients down the right road. We think of it as an extra tool to help our patients lose weight while they learn the nutrition and exercise habits essential to long-term weight-loss success,” says Dr. Fourman. The intragastric balloon is not currently covered by insurance, but Mercy Weight Management Center has put together a package that makes the procedure as affordable as possible for patients. The price covers implantation of the balloon; six months of behavioral coaching, which includes monthly visits with the surgeon as well as the nutrition and exercise counseling necessary for adopting healthier habits; and removal of the

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balloon after six months. “The big differentiator for patients is that the intragastric balloon is non-permanent and minimally invasive. Dr. Johnston and I are particularly proud that we’re the only ones in our region to offer this procedure. It’s one more tool we’re able to offer to help patients battle

the disease of obesity,” Dr. Fourman states. ❦ The Mercy Weight Management Center is located at 3930 Sunforest Ct., Ste 100, in Toledo. For more information on the intragastric balloon or any other services available at the center, please call 419-251-8760.

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caring for your family makes senior living best. For care, you have a choice. Our homelike environment and attentive staff help you feel right at home when you stay with us. And together, we’ll do everything we can to make sure every day is the best it can be.

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Turn off the screens and turn family life back on!

n May 2-8, children, families, and communities around the world will rediscover the joys of life beyond the screen. Mercy Children’s Hospital and the Kohl’s Kids in Action Program are encouraging families to unplug from digital entertainment and spend free time playing, reading,

daydreaming, creating, exploring, and connecting with family and friends. Screen-Free Week is about turning off the screens and turning family life back on! Kids today spend hours in front of tablets, iPhones, computers, and television. As a matter of fact, children as young as preschool age spend an average of 32 hours a week in front of screens. Excessive screen time is linked to poor school performance, lower reading scores, violent behavior, disruptive sleep patterns, attention problems, and childhood obesity. The American Academy of Pediat-

rics recommends no screen time for children under two and fewer than two hours per day for older children. You’ll be surprised at all the fun you can have by forgoing screen time during Screen-Free Week. Try riding bikes, going for a walk, reading a book, playing board games, cooking dinner together, or learning a new craft. Visit a nearby metropark or go to the library. For more ideas on how to have fun as a family without screens and for activities that are available at the Toledo Lucas County Public Library and Toledo Area Metroparks during

Screen-free Week, visit the Kohl’s Kids in Action website at www. kohlskidsinaction.org. Kohl’s commitment to Mercy Children’s Hospital is made possible through the Kohl’s Cares cause merchandise program. Through this initiative, Kohl’s sells $5 books and plush toys, where 100 percent of net profit benefits children’s health and education programs nationwide, including hospital partnerships like this one. Kohl’s has raised nearly $300 million through this merchandise program. For more information, visit www.Kohls.com/Cares. ❦

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.

Take a walk! It’s healthy and relaxing! It’s good for the whole family! And … it’s FREE! Taking a family walk is a great way to spend quality time with your kids. Preschoolers can ride along on their bike or tricycle. Benefits of regular walking: • Improves cholesterol levels • Lowers blood pressure • Lowers blood sugar • Reduces diabetes risk • Improves mood • Keeps you strong and fit You can walk anywhere; at the park, the mall or the art museum. Kohl’s Kids in Action offers free obesity prevention education to area 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.

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | May 2016

Simplify Your Medication Regimen

Tips for race recovery by Amanda Manthey

Your medications come organized by date and time, securely sealed in individual, easy-open packages. So when it’s time to take your next dose, you just tear the package off the pack and your pills are there. That’s all there is to it: no boxes, no bottles, no bother. Call us to transfer your prescriptions today! Our Services Include: • FREE Specialized blister packaging for your prescriptions • FREE local prescription delivery • Guaranteed lowest cash prices including $4 Generic prescriptions • Medical supplies and home medical equipment • We accept all insurance plans!

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

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Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear. For further details on events (including information on registration and any applicable fees), please visit davesrunning.com. BrianMatters Challenge Run: A Race for Change—Saturday, May 7, 2016, 9:00 a.m., Ottawa Hills High School, 2532 Evergreen Road, Ottawa Hills, Ohio. Elmhurst Run Like It’s Recess 5K— Saturday, May 7, 2016, 9:00 a.m., Elmhurst Elementary, 4530 Elmhurst Rd., Toledo, Ohio. Band on the Run—Saturday, May 7, 2016, 9:00 a.m. (Kids Fun Run 8:00 a.m.), Perrysburg Junior High School, 550 East South Boundary, Perrysburg, Ohio. DC Duathlon Series - #1—Thursday, May 12, 2016, 7:00 p.m., Cycle Werks, 6760 Providence St., Whitehouse, Ohio. S.T.R.I.V.E. Toledo, Inc. 5K WalkRun—Saturday, May 14, 2016, 9:30 a.m., Ottawa Park Shelter House, 2200 Kenwood Blvd., Toledo, Ohio. Tomahawk Turtle Trail Run—Saturday, May 14, 2016, 1:00 p.m., Tomahawk Archery complex, 2085 West Erie Rd., Temperance, Michigan. Please turn page.

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | May 2016

Generals 5K/Striving for Wellness— Saturday, May 14, 2016, 9:00 a.m., Fallen Timbers Middle School, 6119 Finzel Rd., Whitehouse, Ohio. Girls on the Run of Northwest Ohio Spring 5K—Sunday, May 15, 2016, 9:00 a.m. (Kids Fun Run 8:15 a.m.), University of Toledo, 2801 W. Bancroft St., Toledo, Ohio. Thin Mint Spring/Shortbread Shuffle—Friday, May 20, 2016, 6:30 p.m./6:40 p.m., The Shops at Fallen Timbers, 3100 Main St., Maumee, Ohio. Camp Palmer 5K—Saturday, May 21, 2016, 9:00 a.m., 26450 County Rd. MN, Fayette, Ohio. Solomon 5 “Kay” Run/Walk—Saturday, May 21, 2016, 8:30 a.m. (Kids Fun Run 8:00 a.m.), Solomon School,

MonaLisa Touch laser therapy is a procedure post-menopausal women and breast cancer survivors call “life-changing.”

Toledo Zoo Dart Frog Dash—Saturday, May 21, 2016, 8:30 a.m. (Kids Race at 9:45 a.m.), Toledo Zoo Main Plaza, 2 Hippo Way, Toledo, Ohio. Nathan B. Carse Purple Heart 5K Walk/Run—Sunday, May 29, 2016, 9:00 a.m., Faurot Park, South Cole Street and Lakewood Ave, Lima, Ohio. Kip Boulis 5K—Monday, May 30, 2016, 8:00 a.m. (Family Fun Walk 8:05 a.m.), Woodlands Park, 429 East Boundary St., Perrysburg, Ohio. ❦

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Knock Out Parkinson’s by Beth Ann Hatkevich, PhD, OTR/L, FAOTA

nock Out Parkinson’s (KOP) is a therapeutic boxing program designed for individuals of varying ages diagnosed with Parkinson’s disease. The program was the result of a Capstone project developed by 2014 University of Toledo Occupational Therapy Doctorate student Rachel Lopez (Martinez). Since then the program has grown from four to over 50 participants living with Parkinson’s disease. The dynamic growth has been a collaborative effort between Coach Harry Cummins from the International Boxing Club (IBC) and Dr. Beth Ann Hatkevich, an occupational therapist and faculty member in the Occupational Therapy Doctorate program at The University of Toledo.

The goal of the Knock Out Parkinson’s program at IBC is to help individuals with Parkinson’s disease maintain or improve function and independence and enhance quality of life. Function refers to a person’s ability to engage in selected life occupations (American Occupational Therapy Association, 1995; American Occupational Therapy Association, 2008). Independence is described as “a self-directed state of being characterized by an individual’s ability to participate in necessary and preferred occupations in a satisfying manner irrespective of the amount or kind of external assistance desired or required” (American Occupational Therapy Association, 2008, p. 671). Quality of life can be defined as “a

NWO Center for Urogynecology & Women’s Health NWO Center for Andrew J. Croak, DO Urogynecology & Women’s Health 625 Gibbs Street Andrew Croak, DO Maumee,J. OH 43537 625 Gibbs Street 419 893 7134 Maumee, OH 43537 www.nwourogyn.com 419 893 7134

26 May 2016 | Healthy Living News

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client’s dynamic appraisal of life satisfactions, self-concept, health and functioning, and socioeconomic factors” (American Occupational Therapy Association, 2008, p. 674). As confirmed by many individuals living with Parkinson’s disease, function, independence, and quality of life are all negatively affected. It is for this reason that the Knock Out Parkinson’s program aims to improve their overall quality of life. The Parkinson’s Disease Foundation (n.d.) reports that one million people in the United States are living with Parkinson’s disease. By the year 2040, it is expected that the prevalence will be twice the number reported in 2010, which was 630,000 (Park et al., 2013; Kowal, Dall, Chakrabarti, Storm, & Jain, 2013). Approximately 60,000 people are diagnosed with Parkinson’s disease each year. Parkinson’s disease is the second most common adult-onset degenerative neurologic disorder and its etiology is still uncertain. It is associated with three main symptoms of tremor (shaking), rigidity (stiffness), and bradykinesia (slowness of movement). The main structure in the brain involved in Parkinson’s disease

is the pars compacta portion of the substantia nigra. The large reduction in dopamine in this structure results in an overall decrease in spontaneous movement (McHugh-Pendleton & Schultz-Krohn, 2013). The National Parkinson Foundation (n.d.) expresses the need to delay the progression of Parkinson’s disease. Healthcare providers highly recommend exercise as a means of delaying the progression of Parkinson’s disease. The endorsement of exercise is supported by research, yet more research is needed to substantiate the positive effects of this non-traditional treatment method for Parkinson’s disease. Research has shown that exercise should no longer be considered an “add on” to pharmaceutical treatments but should be a primary method to help delay the progression of Parkinson’s disease. Furthermore, evidence supports the use of community-based programs to provide essential exercise for individuals with Parkinson’s disease. Knock Out Parkinson’s can help alleviate the shortage of community-based exercise programs and ultimately help those affected by Parkinson’s disease lead

healthier and more satisfying lives. Ray “Boom Boom” Mancini will be featured at a fundraising dinner and boxing June 2 at Stone Oak Country Club. For ticket information, contact bhowell@ssoe.com or inhouse@bex. net. ❦ Beth Ann Hatkevich, PhD, OTR/L, FAOTA, Clinical Associate Professor, Occupational Therapy Program Department of Rehabilitation Sciences, The University of Toledo. Sources: American Occupational Therapy Association. (1995). Position Paper: Occupational Performance: Occupational Therapy’s Definition of Function. American Journal of Occupational Therapy, 49, 1019-1020. American Occupational Therapy Association. (2008). Occupational therapy practice framework: Domain and process (2nd ed.). American Journal of Occupational Therapy, 62, 625-683. Kowal, S. L., Dall, T. M., Chakrabarti, R., Storm, M. V., & Jain, A. (2013). The current and projected economic burden of Parkinson’s disease in the United States. Movement Disorders, 28, 311-318. McHugh-Pendleton, H., & Schultz-Krohn, W. (2013). Pedretti’s occupational therapy: Practice skills for physical dysfunction. (7th ed.) Philadelphia: Mosby. Park, A., Zid, D., Russell, J., Malone, A., Rendon, A., Wehr, A., & Li, X. (2013). Effects of a formal exercise program on Parkinson’s disease: A pilot study using a delayed start design. Parkinsonism and Related Disorders, xxx, 1-6. Parkinson’s Disease Foundation. (n.d.). Statistics on Parkinson’s. Retrieved from http://www.pdf.org/en/parkinson_statistics.

Independent Living Assisted Living Nursing Care • Respite Care Short Term Rehabilitation Outpatient Therapy

Lutheran Village is a whole new direction in retirement living. It's a neighborhood! A community where residents can add life to their years. Independent Living Condos available NOW. Call 419-861-5616. Lutheran Village at Wolf Creek, a ministry of Lutheran Homes Society in partnership with St. Luke’s Hospital.

2001 Perrysburg-Holland Rd. Holland, OH 43528 419-861-2233 EQUAL HOUSING OPPORTUNITY

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Toledo Tennis Club Proud to have supported the sport of tennis and tennis enthusiasts since 1885.

Memberships include unlimited free court time on Toledo's finest outdoor courts. 15 Outdoor Tennis Courts 10 Har True Courts 5 Hard Courts Staff includes trained tennis professionals. Lessons for Adults, Juniors, and 10 and Under USTA Teams of all levels for Adults and Juniors Social Events and Mixers General Manager Director of Tennis Jeff Harst President Toledo Tennis Website for Information: Board of Trustees http://www.toledotennisclub.org Billy Burns

4330 Indian Road Ottawa Hills 43615 419-536-6456

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | May 2016

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

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

Senior Star at West Park Place

Lutheran Memorial Home 795 Bardshar Rd. Sandusky, OH 44870 419-502-5700 www.lhsoh.org

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

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8885 Browning Drive Waterville, OH 43566

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

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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

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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

Advanced Healthcare Center

1011 Byrne Road Toledo, OH 43607

955 Garden Lake Parkway Toledo, OH 43614

419-536-7600

419-382-2200

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www.Communicarehealth.com

Jackman Regency Apartments

www.otterbein.org

Sunset Village

Otterbein Portage Valley Senior Lifestyle Community

Lutheran Home at Toledo

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

20311 Pemberville Rd. Pemberville, OH 43450

131 Wheeling St. Toledo, OH 43605

419-724-1200

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

419-724-1414

www.sunset-communities.org

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28 May 2016 | Healthy Living News

www.lhsoh.org

3940 Jackman Road Toledo, OH 43612 419-842-8480 www.investekmanagement.com

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Knee pain from running or cycling? Heartland can help! by Jim Berger

T Band Syndrome, or Iliotibial Band Syndrome (ITBS), is one of the most common overuse injuries among runners and cyclists. ITBS occurs when the IT band becomes tight and creates excessive friction over the outside of the hip or the outside of the knee. The IT band is the ligament that runs down the outside of the thigh from the hip to the shin. It attaches to the knee and helps stabilize and move the joint. When the IT band becomes tight and you continue to run or cycle, the rubbing/friction creates irritation, inflammation, and pain. The best way to address ITBS is to prevent it from occurring.

and knees. Training errors can cause ITBS, for example running in the same direction on banked roads. The outside edge of most banked roads is usually slightly lower. If you always run on the same road and in the same direction, the same leg is always downhill, causing the pelvis to tilt to accommodate. This causes the IT band to become excessively tight, leading to increased

friction. Many cyclists complain of ITBS secondary to improper posture on the bike and a “toe in” on the pedal. This produces the bowed-leg effect and increases the angle of the IT band as it crosses the knee, increasing the risk of inflammation. Anatomy issues, such as leg-length discrepancies, bowed legs, or an abnormal tilt to the pelvis, may cause the band to become tight, leading to friction when the band crosses back and forth over the knee.

What are the symptoms of ITBS? Signs and symptoms of ITBS include inflammation of the area around the knee, pain on the outside of the knee, and an occasional snapping or popping sound at the knee. Initially, there may be muscle tightness, along with stinging or needle-like pricks along the tendon. If ignored, this will usually progress to pain with heel strikes and walking or climbing

What can cause ITBS? One cause is the repetitive aspect of running/cycling and a possible combination of issues, including poor training habits, poor flexibility of muscle, and other mechanical imbalances in the body, especially involving the low back, pelvis, hips

Lateral Knee Pain?

stairs. Occasionally the pain may run on the outside of the thigh to the hip.

What can I do if I get ITBS? Most individuals will try the self-treatment approach first, focusing on stretching the IT band and other surrounding muscles in isolation and massaging the painful area. A more effective home-treatment approach may include resting; ice to decrease the inflammation; and a comprehensive stretching program that includes the glutes, hamstrings, and hip flexors. Massage may actually increase the inflammation, especially at the site of the pain. Physical therapy is the next approach to take when home treatment hasn’t been effective. Physical therapy will focus on decreasing the inflammation, using a variety of techniques such as ultrasound, electrical stimulation, dry needling, cold laser, and kinesio taping. The next area physical therapy will assist with is identifying the underlying cause of

•

It could be IT Band Syndrome! all eartland eabilitaon Serice For Answers!    

 

  

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | May 2016

New Age OrthOpedic treAtmeNt New! Live Stem Cell Joint Injections

New science shows that amniotic stem cell injections in the joints can restore motion and relieve pain by healing aging and damaged tissues in the joints. Dr. Whitted can administer an injection to the shoulders, hips, elbows and knees – with dramatic results of healing and pain relief. Let Dr. Whitted and his staff tell you more about this fascinating new area of science in the field of orthopedics.

Non-Surgical Joint Treatments Hip, Knee and Shoulder Surgery Total Joint Replacement Dr. Glenn E. Whitted

the problem. The clinician will address muscle strength, balance, flexibility, gait analysis, and stretching. In addition, the therapist may recommend proper shoes and orthotics to help eliminate leg-length discrepancy and pelvic-tilt issues. Physical therapy is critical in looking at body mechanics from the foot to low back and can make simple corrections to take the pressure off the IT band.

How can I prevent ITBS? • If you start feeling pain on the outside of the knee or that prickly sensation, decrease your mileage or take a few days off. • Start your warm-up with a walk instead of an easy run in addition to lateral lunges and dynamic mobility exercises, and then add your stretches. • If running on a street or road,

Toledo Clinic Orthopedics 4235 Secor Road, Building #3, First Floor, Toledo 419.479.5820 • www.glennwhittedmd.com

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

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

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2828 W central Ave, Toledo • AcupunctureToledo.com

Covered by VA, BWC, PI Insurance

30 May 2016 | Healthy Living News

419-472-7055

try to run in the middle where the surface is flat. If this isn’t possible, don’t always run in the same direction or on the same side of the road. • Make sure you have proper shoes and that the sole is not worn out on the outside. ❦ Heartland Rehabilitation Services provides outpatient physical therapy services at five locations in the Toledo area. Heartland’s running specialist clinicians perform complimentary runner’s screenings during business hours. If you are interested in finding out more about this screening as well as other screenings and treatments, such as astym, dry needling, cold laser or kinesio taping, contact any of our five locations: Arrowhead 419-897-9822; Oregon 419697-8000; Perrysburg 419-874-2657; Westgate 419-536-8030; and Bedford, MI 734-856-6737.

The synergy of acupuncture and nutrition by Douglas A. Schwan, DC, Dip ac

n the era of wooden sailing ves- pop consumption, are associated sels, mariners sailed in tall ships with anxiety, depression, and muscle for months at a time. Some of these cramping. sailors suffered a strange malady That is why when patients present that led to swollen and bleeding themselves to our office for acupuncgums and the opening of previously ture, part of the holistic workup healed wounds. Although there were includes a comprehensive nutritional many treatments available during this assessment. Acupuncture is a powerful period, most were totally ineffective way to assist healing the body from and this disease, which came to the outside in, but proper nutrition be known as “scurvy,” was is a basic necessity for healing one of the limiting factors of from the inside out. marine travel, often killing A proper nutritional evallarge numbers of passengers and uation is a complicated thing. It crew on long-distance voyages. takes into account your current Eventually it was determined health history as well as your that scurvy was the result of a family history so that potential simple vitamin C deficiency and future health issues can be dealt easily prevented by drinking with before they advance. For lime or lemon juice during example, if you have a family voyages. history of heart disease, speWhy are these facts importcific supplements can reduce ant? Because it goes to show your risk of developing heart how a simple deficiency in a disease. Many prescription diet can lead to ill health and Even prescription medications have as a side medications can even death. No treatment from deplete nutrients effect the depletion of specific the outside can bring back a nutrients in the body. So it in the body. person’s health if they lack an is important to include a essential nutrient for life. Even review of medications in any today, vitamin D deficiency has been comprehensive nutritional workup. linked to multiple sclerosis. B12 deOnce the nutritional workup is ficiency, linked to excessive antacid completed, a patient will usually consumption, brings on anemia. undergo a traditional acupuncture Magnesium deficiencies, linked to evaluation. In a nutshell, Traditional We love feedback. Like us on Facebook. Follow us on Twitter.

Chinese Medicine (TCM) practitioners believe that a series of meridians, or channels, permeate throughout the body and distribute energy the body needs to maintain balance and health. Maintaining balance and health is termed homeostasis. TCM practitioners work to restore optimum energy balance by manipulating the flow of “Qi” (pronounced "chi"). This is accomplished by inserting extremely thin acupuncture needles at very specific locations termed acupuncture points. The skill of the acupuncturist is in determining just which of the 50,000 or so points need to be treated. In our office, we use a modern electronic instrument designed to measure the Qi levels of a specific set of diagnostic acupuncture points known as the “Yaun,” or source points. This testing is known as a Ryodoraku

evaluation. It is also known as an electro meridian imaging study (EMI). A Ryodoraku evaluation gives a snapshot of a patient’s Qi energy distribution throughout the body. With these results, a practitioner can tailor a specific protocol of acupuncture points with the goal to bring all the channels into balance and facilitate the body’s ability to heal itself. But that’s not the entire picture. Like a handyman forced to patch a roof without using new shingles, the body can’t patch things up inside without the proper building materials. So it is important that the patient is not nutritionally deficient in some important vitamin, mineral, or co-enzyme. Like our scurvy sailors, nothing from outside is capable of “fixing” them if they don’t get the necessary supplements. A walk down any vitamin aisle in your local store can be overwhelming. Many people have kitchen cabinets filled with half empty bottles of supplements they saw on television or read about in a magazine. Even educated physicians disagree on exactly what is best for any one patient. On the heels of that is a recent study conducted among registered dietitians that found 81% of them agree that

most people have gaps in their diets that can be filled with vitamins and other dietary supplements—from Suzy Cohen, author and pharmacist. Holistic medicine means “whole body.” And it is important when working with a holistic physician that the entire person is taken into account when he or she is being worked up as a new patient. TCM is a very powerful tool in the maintenance of optimum health. But like any set of tools, it is important to have all the necessary supplies at hand for repair and enhancement of the healing process. ❦

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 holds Diplomat status 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 standup comedian. His practice is located in Toledo, Ohio, and his office may be contacted at FAQ@acupuncturetoledo. com. For more information on alternative medicine, please visit his website at www. acupuncturetoledo.com.

Dooby Du Run for the Bulls 5k Quarry Ridge Tri/Du New Splash & Dash Youth Swim/Run Clark Lake Tri/Du women’s Only Tri / Dri-Tri Superkids Tri/Du/Fun Run Sylvania Tri/Du Boy Scout Half Marathon Race for the Cure 5k Macqueens RFYL 5k/10k/Kids Run Dave’s Turkey Chase

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Sunset’s Fieldstone Villas redefine concept of independent living

Delivering Mobility SolutionS

oday’s independent seniors are seeking a different type of retirement experience than their parents and grandparents had. They want to be freed from the chores and burdens of homeownership without compromising their active lifestyle or the sense of community they enjoyed in the neighborhood they called home for many years. In response to this growing demand for maintenance-free living combined with a vibrant lifestyle and neighborhood feel, Sunset Retirement Communities, an independent, notfor-profit organization, began construction on Fieldstone Villas at Sunset

uniquely positioned to help people succeed and enjoy a better quality of life by being mobile. We Sell AND INStAll: • Stair lifts • Vehicle lifts • Ramps/ Ramping systems • Scooters • Power Chairs • Patient Lifts

Short term reNtAlS: • Scooters • Power wheelchairs • Manual wheelchairs • Stair lifts

We rePAIr: • Hospital beds • Manual wheelchairs • Power wheelchairs • Scooters • Lift chairs • Stair lifts • Patient lifts

REcoNditioNEd MoBility EQUiPMENt

Would you like to purchase a second unit to keep in your vehicle or to use for shopping? Active Mobility has available “slightly used” equipment which have been completely reconditioned and inspected, plus, they’re surprisingly affordable! No paperwork required!

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5702 Opportunity Drive, Toledo • www.amobility.com 32 May 2016 | Healthy Living News

Village last October. This 12-unit Life Plan Community (previously called a Continuing Care Community), with entrance fees starting at $159,000, will redefine the concept of independent living for area seniors. As Senior Villa Advisor Felice Wolff explains, “After conducting several focus groups, Sunset Retirement Communities discovered there needed to be more options for seniors in our area who want to age comfortably and well. So Sunset found a way for more mature homeowners to downsize, remain active, and still have a say in their future care if the need should arise. Fieldstone Villas offers the independent senior this type of neighborhood to call home.” Active seniors seek maintenance-free living not necessarily so they can rest and relax, but so they have more time to pursue the activities and pastimes they enjoy. So, at Fieldstone Villas, the monthly fee includes all home maintenance—inside and outside (including bi-monthly

housekeeping)—in addition to most utilities, 20 meals a month, a wide range of activities, and transportation when needed. Further elaborating on the quality of independent living at Fieldstone Villas, Wolff says, “Active, independent living in a villa provides a home that is maintenance free, thus allowing you more time to pursue the activities you love. Whether it’s playing cards with neighbors, going to yoga class, or dining out with friends, life at Fieldstone Villas gives you many options.” The Fieldstone Villa lifestyle is not only rich in activities, but also long on amenities. The upscale, spacious villas include two bedrooms, two baths, all appliances, ample storage, laundry rooms, garages, patios, and some sunrooms. Residents will appreciate all the thoughtful, luxurious touches included in their living space, such as granite countertops. Future development plans include a club house that will offer chef-prepared meals in a bistro, a swimming room, exercise equipment, and classrooms. If they need a short stay (up to five days) at a higher level of care, Fieldstone Villas residents have that option available to them at Sunset Village, as well. A neighborhood feel was intentionally cultivated at Fieldstone Villas to promote a sense of comfort and community in residents. The villas are built in one area of Sunset Village’s expansive acreage, and two small streets designated for the villas surround a private pond for the residents’ viewing pleasure. With a club house, walking paths, and professionally landscaped grounds, people will feel right at home in their new neighborhood setting. Independent living at Fieldstone Villas is just one component of Sunset’s comprehensive continuum of care. If residents decide they need more help and services as their health status and functional abilities change, they can find whatever level they need within the Sunset community. “Fieldstone Villa residents have peace of mind in knowing should they ever need more care, they have priority access to the type of care Sunset is proud to provide—right in their own new neighborhood at Sunset Village. Or if

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they choose to get the care they need on Sunset’s Indian Road campus, they are welcome to live there too,” Wolff says. ❦ Fieldstone Villas, located on Sunset’s Sylvania campus on Sylvania Metamora

Road, is slated to open in mid-summer of 2016. Many of the units have already been reserved, but several are still available. For more information, please contact Felice Wolff, Senior Villa Advisor, at 419-386-2686 or fwolff@sunsethouse. org.

Under the influence of technology by Shelly Horvat, AuD, CCC-A

ou can’t go anywhere these days without seeing children and adults wearing headphones or earbuds connected to some form of electronic device. People wear them while exercising, sitting at their work or school desks, walking on the sidewalk or street, and in their homes to hear music, podcasts, audiobooks, videogames, or the telephone. Some even wear them while sleeping to block out noise. The popularity of headphones has given rise to at least 15 different types, such as earbuds, in-ear headphones, over-the-ear headphones, noise-canceling headphones, and wireless headphones. Headphones and earbuds provide good to great

sound quality to the listener while preventing those sounds from bothering other people in the area. However, if the headphones or earbuds are turned up too loudly, they can damage hearing permanently and cause annoying ringing in the ears (tinnitus). Worse yet, worn in the wrong situation, they can put you and those around you in danger. By now, we all have been informed of the dangers of texting while driving, since driving while visually distracted can and does cause car accidents and deaths. But driving while distracted by earphones is just as dangerous because it can prevent you from hearing other important sounds around you. In the state of

Ohio, wearing earphones over both ears, or earplugs in both ears, is not permitted while driving. However, using speakers built into protective headgear or hearing aids is allowed. Unfortunately, many people use headphones or earbuds connected to cell phones or music players while walking, jogging, or biking. Distracted walking and exercising may come with risks similar to those of distracted driving. Last year, for the first time in four years, pedestrian deaths rose, according to the Governors Highway Safety Association. Experts blame this increase on pedestrians being distracted by watching or listening to cell phones and music players. As a result, some state lawmakers are trying to crack down on this type of multitasking. In New York, for instance, a pending bill would make it illegal for walkers and joggers to use any kind of electronic device while crossing the street. Pending laws in Oregon and Virginia, if passed, would fine bicyclists as much as $90 for riding “under the influence of technology.” While these proposals may not become enforceable laws, they make one thing clear: Being distracted by sound from headphones or by look-

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ing at an electronic device during a walk, bike ride, or run can be very hazardous to your health. While many people use music to make a walk, run, or exercise routine less boring and more pleasant, it can be dangerous if the music volume is too loud to hear other sounds around you. Music should never be played while biking. Diana Deutsch, PhD, a psychologist at the University of California at San Diego who researches the perception of sound, states that listening to music while performing tasks such as walking, running, and biking not only hampers your ability to hear other noises like a car or even an attacker approaching, but also “ floods the brain and takes over your thought processes. You concentrate on the lyrics, or the music evokes certain memories or sends you into a daydream.” Some scientists speculate that music may even have the power to dampen your ability to see. “The tempo can interfere with the rate at which your brain perceives images that are passing by you, which could trip you up,” says Deutsch. In short, music played too loudly draws your attention away from what you’re doing and increases your risk of sUnsEt ViLLaGE Assisted Living, Healthcare, Memory Support, Ashanti Hospice Sylvania, Ohio

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dangerous accidents like stepping just like any excessively loud sound, into the pathway of an oncoming car headphones played too loudly can or bus, failing to notice a malicious permanently damage the ear and stranger, or even stepping off a curb cause annoying tinnitus (ringing) in and falling into the path of a car. the ears. Just before I began writing this Many people walk or run with article today, one of my patients asked one earphone in their ear and the me a question about her 23-year-old other tucked away, daughter who has thinking it’s safer The symptom of ringing in been complaining than playing music the ears following headphone about ringing in in both ears. But her ears after she use is a strong warning that’s not the case, works her shift at a sign that the ear piece since the brain redepartment store. I volume is too loud. lies on both ears to asked whether her determine which daughter works in direction noise is coming from. It’s any kind of noise, and she said no, better to wear two earphones that there is no loud noise at this wellsit on top of the ears (rather than known department store. However, earbuds which plug the ears) and to further questioning revealed that she keep the volume low enough so you wears a headset to communicate with can hear your surroundings. This other employees while working. The recommendation is for children and headsets are turned up loudly so adults, and adults should monitor they can hear above the noise level the volume level of their children’s of the store. The symptom of ringing in the headphones on a consistent basis. Speaking of reduced volume, it’s ears following headphone use is a also important to remember that strong warning sign that the ear

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piece volume is too loud. This is an tinnitus, and the instructors are at all-too-common scenario, and peo- an even bigger risk due to extended ple are unaware of the damage that hours in that loud environment. can be done by wearing headsets Many gyms play music that is at in seemingly quiet work and play damaging levels to members and environments. employees, as well. Another common cause of ear Lisa Packer, staff writer at Healthy damage is using a lawnmower and Hearing Magazine, wrote in March, wearing headphones with music 2015, “With the music cranked up, playing. The major problem here is typical decibel levels for fitness classthat the headphone volume is turned es can reach unsafe levels quickly. up louder than normal to overcome Researchers from George Mason the noise of the lawnmower. This loud University in Virginia found that noise can and will cause hearing loss spinning classes, though increasand tinnitus in the future for that ingly popular, are among the worst person. This practice also jeopardizes offenders with noise levels blaring the safety of the person mowing and anywhere from 100 to 110 decibels. that of other people and pets in the That is somewhere between the area because he or she cannot hear decibel level of a chain saw and a jet engine. And typical decibel levels what’s going on nearby. Standard earmuffs or earplugs in aerobics or Zumba are well over with no music should be worn 90 decibels. Even Crossfit, which is when operating noisy equipment gaining popularity across the counand power tools. This may not be try, is not without its problems. The enjoyable, but it certainly outweighs banging of weights, dropping of heavy a future of permanent hearing loss objects and flipping of tires creates and bothersome tinnitus. Planning sounds with intense shock waves for a future with good hearing and similar to explosions. And none of no tinnitus is more important than it is healthy for your hearing.” that current hour or two of listening We don’t want to scare you away to music while mowing. from using headphones or exercising. Just as headphone music can We hope to educate people so they damage the ears, music played from can turn down the volume on their speakers while exercising can cause headphones and be assertive in rethe same damage. In popular fitness questing that music be turned down classes such as Zumba, Crossfit, and in different environments when it Spinning, loud, pounding music is is set to damaging levels. There are played by instructors to motivate the multiple sound level meter apps for participants to move their bodies, both iphone and android phones that raise their heart rates, and become can be used to measure sound in your physically fit. But studies have shown environment. However, some phone 5 Star CMS that participants in these classes are apps are Rating limited to measuring only 5 Star CMS Ratingup to 80dB. These should be avoided, at a serious risk of damaging their hearing and5acquiring long-termDeficiency-Free since sound becomes damaging at Star CMSDeficiency-Free Rating Rating Rating from 85dB orfrom greater. Deficiency-Free Ohio of Department of at Northwest Ohio Department The audiologists Rating fromHealth Health 5 Star CMS Rating Ohio Hearing Clinic know that Ohio Department of 5 Star CMS Rating HealthCelebrating noise-induced hearing loss and tinDeficiency-Free Celebrating Deficiency-Free Rating from nitus are preventable. We invite you 5 Star CMS Rating 20 Year Anniversary Celebrating Rating from 20 Year Anniversary Ohio Department of to join us in becoming advocates for Deficiency-Free 20 YearDepartment Anniversaryof Ohio Health Rating from Nationally recognized Health Ohio Department ofBronze Award Winner recognized Nationally recognizedNationally Celebrating Health 20 Year Anniversary Bronze Award WinnerAHCA through Bronze Award Winner Celebrating Celebrating AHCA 20through Year Anniversary 20 Nationally Year Anniversary recognized Overall through AHCA Bronze Award Winner Nationally recognized Overall Nationally recognized Family Satisfaction Overall through AHCA Bronze Award Winner Family Satisfaction throughBronze AHCA Award Winner 92% through 92%AHCA Family Satisfaction Overall Overall Family Satisfaction Family SatisfactionOverall 92% Overall Overall 92% 92% Resident Satisfaction Family Satisfaction Resident

Overall 93% Resident Satisfaction

Overall Overall93% The Manor at Perrysburg has proudly served the Perrysburg, 92% Located in the beautiful, wooded Three Meadows Subdivision. Resident Satisfaction Located in the beautiful, woodedareas Three Meadows Subdivision. Resident Satisfaction Maumee, Rossford and Toledo since 1995. Throughout hb o ig r e h n o e hb o r ig r d e h a n o c fo e o r l Located in the beautiful, wooded Three Meadows Subdivision. d a r a c fo n s l h r a io o n s t h r io si t o t -t n r si t a e -t r n r t tra a tradition m staeyrsm stay93% etded ataenhanced s 93% Overall dicic DDeedand this time, we have maintained, nurtured tional care neighborhood for short-term stays ated transiour dicdelivering Deto that forms foundation of our approach Locatedthe in very the beautiful, wooded Three Meadows Subdivision. hb o ig r e h n o e o r d a c fo Resident Satisfaction r short-term stays d transitional ateneighbors. Dedic services to our families, friends and

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The Manor at Perrysburg hasserved proudly served the Perrysburg, Maumee, Rossford andand Toledo areas since 1995. Throughout The Manor at Perrysburg has proudly the Perrysburg, Maumee, Rossford Toledo areas since 1995.this Throughout this

Over 160 patients returned home in 2015

The Manor at Perrysburg has proudly served the Perrysburg, Maumee, Rossford and Toledo areas sinceto1995. Throughout this time, we have maintained, nurtured and enhanced a tradition that forms the very foundation of our approach delivering time, we have maintained, nurtured and enhanced antradition that forms the very foundation of our to approach delivering n ur t e e r d s our services has to ourproudly families, friends and neighbors. h t o The Manor at Perrysburg served thep Perrysburg, Maumee, Rossford and Toledo areas since 1995.of Throughout this e m i t e a i n 0 2 6 0 1 1 r 5 time, we have maintained, nurtured and enhanced a tradition that forms the very foundation our approach to delivering e vandneighbors. Oand our services to our families, nurtured friends time, we have maintained, enhanced a tradition that forms the very foundation of our approach to delivering our services to our families, friends and neighbors. our services to our families, friends and neighbors. The Manor at Perrysburg has proudly served the Perrysburg, Maumee, Rossford and Toledo areas since 1995. Throughout this

The34 Manor athave Perrysburg proudly served the Perrysburg, Maumee, Rossford and Toledo since 1995. Throughout this time, we2016 maintained, nurtured and enhanced a tradition that forms the very foundation of our approach to delivering May | Healthyhas Living News Weareas love feedback. Like us on Facebook. Follow us on Twitter. time, we have maintained, nurtured and enhanced a tradition that forms the very foundation of our approach to delivering our services to our families, friends and neighbors. our services to our families, friends and neighbors.

safe listening levels for headphones and earbuds as well as for exercise classes. Monitor your headphone volume and that of your children, and speak to fitness class instructors and gym managers when the noise levels are too loud. Download sound level apps and measure just how loud those sounds in your daily environment are so you can protect your ears from permanent hearing loss and annoying tinnitus. Lastly, get your hearing tested, especially if you’ve experienced ringing or fullness in your ears for more than 24 hours after noise exposure. If you are regularly exposed to noise, you should get your hearing checked annually. Audiologists are great resources for ear protection as well. Call Northwest Ohio Hearing Clinic at 419-873-4327 or 419-383-4012, and we’ll be happy to talk with you about noise exposure and hearing protection. ❦

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NAMIWalks 2016: Step up for mental health The National Alliance on Mental Illness (NAMI) of Greater Toledo will hold its annual NAMIWalks 1.5K walk on Saturday, May 14, 2016, 10:00 a.m. at the University of Toledo, Health Education Center, 2801 W. Bancroft St. Take this opportunity to recognize your loved one by forming a team in their honor/memory and assisting us with raising funds to support NAMI in continuing to provide support and awareness to those whose lives are affected by mental illness at no cost to participants. For more information, visit www.nami walks.org/greater toledo.

Shelly Horvat, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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Center for Health and Successful Living offers support to cancer survivors by Jessie Myler

Do you know someone with these symptoms? • Aggression, behavior or learning problems • Over sensitivities to sound, textures, touch • Inability to focus • Poor balance and coordination • Speech and language delays • Self-Stimulatory behaviors Attend a • Anxiety, Depression wHEN

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ho is defined as a breast cancer survivor? A breast cancer survivor is someone who lives with, through, and beyond the diagnosis of breast cancer. Breast cancer is most times unexpected and marks the beginning of a journey filled with physical, mental, emotional, spiritual, social, and financial challenges. Cancer diagnoses do not only impact the individual, but family and friends. At the Center for Health and Successful Living, we aim to provide quality-of-life services for cancer survivors and their families. The Center for Health and Successful Living is located on the main campus of the University of Toledo in the Health and Human Services Building. The center is a hub of resources, education, and supportive services for individuals dealing with chronic illness, including breast cancer. The services and staff at the center equip and empower cancer survivors to live longer, healthier, and happier lives while reducing the risk of cancer recurrence. The center ’s ultimate goal is to return and restore all of its members to optimum health and wellness. Does the center offer services that could help you? Our center started by offering services to breast cancer survivors within the greater Toledo area. Since the center is the survivorship arm of the Dana Cancer Center, the services expanded to all cancer survivors and now to anyone living with chronic disease. As the center has developed over the last two and a half years, the staff realized the community’s need for education, support services, and navigation services for anyone living with chronic disease. Many times when someone overcomes cancer, their lives and their family’s lives change again. Living in remission with the fear of recurrence can be hard to cope with, and individuals need assistance finding their “new norm.” What are some of the activities put on by the center? There is so much to do when one becomes involved at the center. There is a book club once a month where the women gather at the center to discuss a book over

friendship and food. There are a few different counseling and support groups that the center offers, including the African American Support Group, which meets to discuss how everyone is doing along with sharing many laughs. The center is also looking to start up a Grief Support Group for cancer survivors and family members who are struggling with the loss of a friend or family member. One of the fan favorites at the center is the Pink Sneakers Walking Club. This club meets every Monday, Wednesday, and Friday at the University of Toledo Recreation Center. The walking club is a great way to get to know one another, support each other, and make new goals. The second fan favorite is cardio drumming, led by recreational therapists from UT. All the women involved in this have nothing but positive reviews! What exactly is cardio drumming? It allows members to connect with their true rhythm in life, combining drumming, music, rhythm, and movement. Buckets, fitness balls, and drumsticks are all provided to bring fun back into fitness. Cardio drumming allows the participants to express themselves, release stress and aggression, sweat, sing, and enjoy the sense of community. All the services offered at the center are free of charge for individuals, except for cardio drumming, which has a one-time free of $5 per session. The center is a non-profit organization housed at the university, and all staff, including the co-directors, are not paid by the center. Therefore, all staff members are truly dedicated to the improvement of the human condition. What are the benefits of becoming a member of the Center of Health and Successful Living? • A customized roadmap to health and wellness • Personalized help with following the oncologist’s care plan • Help with coordinating communication among healthcare providers • Social and environmental support for a healthy lifestyle

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• Reduced risk of cancer recurrence • Friendship with other breast cancer survivors • Social, emotional, and spiritual support from other survivors • Opportunities to help other cancer survivors • Credible and professional information about breast cancer and survivorship • Connections to community resources for survivors.

Elizabeth Scott resident assistant named Personal Care Assistant of the Year

ellie Varble, resident assistant at Elizabeth Scott Community’s Assisted Living Level II, has recently won the 2016 Ohio Centers for Assisted Living’s Personal Care Assistant of the Year Award. Nellie is among the Do you know any cancer survivors best and sets or someone struggling with chronic the standard disease who needs some assistance for service at or services? Send them this way! Elizabeth Scott Feel free to email one of the center’s Community. two directors, Dr. Amy Thompson Nellie has been at amy.thompson4@utoledo.edu with Elizabeth Scott for more than 21 or Dr. Timothy Jordan at timothy. years, coming back to the community jordan2@utoledo.edu. Or feel free after retiring in 2010 and missing to call the center at 419-530-5199, her calling! Monday through Friday from 9:00 Truly passionate about being a a.m.-5:00 p.m. to speak to someone resident assistant, she demonstrates directly. ❦ her abilities on every shift with the care she provides to the residents, Jessie Myler, BS, is an intern from the smile she has on her face, and the Central Michigan University working warm hello and welcoming personality with the Center for Health and Successful she shares with residents, families, 1 visitors. 9/22/15 10:22 AM shows great paLiving at10.25x5_ES_SkilledRehFac_Ad_HL_915_HI.pdf the University of Toledo. and Nellie

tience when assisting with residents’ needs, whether it is with the care she is providing, allowing them to do as much as they can for themselves, or just lending an ear for conversation. Offering person-centered care is always uppermost in her mind when caring for residents.

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Nellie is a caregiver who never gives up. She demonstrates an ability to jump in and do what needs to be done, and does not say “no” when asked to go the extra mile. In addition to her regular duties, Nellie is always willing to assist with laundry, activities, or covering rounds for the assisted living apartments when residents are having a hard time sleeping at night. Paul Bucher, Owner of Elizabeth Scott Community, says “Quite simply, if you had to look up caregiver in the dictionary, Nellie’s face would deserve to be next to the definition. She is the epitome of care at Elizabeth Scott Community!” Matt Bucher, Director of Marketing at Elizabeth Scott Community, offers, “Due to her diligence and attention to resident care, Nellie Varble is truly the Personal Care Assistant of the Year. She retired and came back to work here, and that says a lot about someone. We are so proud of Nellie on winning this prestigious award!”❦

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EATING WELL

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GERD be gone!

astroesophageal reflux disease, or GERD as we call it, affects approximately 20% of the US population. Why so many, you ask? GERD is just one of the many health ailments that go hand in hand with the obesity epidemic. GERD is a digestive disorder that affects the lower esophageal sphincter—the ring of muscle between the esophagus and the stomach. The characteristic burning sensation in the chest—better known as “heartburn”—is caused by stomach acid/contents washing back, or refluxing, into the esophagus. And this feeling can be truly agonizing. An occasional bout with this symptom is not necessarily cause for

concern, but if you experience it more than twice a week, you just may have GERD and should see your doctor. Other signs and symptoms of GERD may include: • • • •

Chronic cough Hoarseness Frequent clearing of the throat Difficulty swallowing.

The medication option Okay, so we’ve identified the condition and its symptoms. Now what are you supposed to do about it? For most GERD sufferers, medication is typically the first line of treatment, and nowadays many over-thecounter (OTC) drugs

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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38 May 2016 | Healthy Living News

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are available for treating reflux. The general rule with these medications is to take them every day for two weeks and see if that helps. If you don’t get relief from OTC drugs, then you really need to see your doctor. He or she can prescribe stronger drugs that work by blocking the production of excess stomach acid—the root of the GERD problem. However, patients taking these drugs need to be monitored by their physician as they can cause side effects.

Diet and lifestyle While medications are often the first recourse for GERD sufferers, it’s important to note that diet and lifestyle changes can actually be a major help in alleviating the problem. Let’s look at diet first. Many foods can trigger reflux, even fruits and vegetables, and the culprit can vary from person to person. But some foods are well-known offenders. These include citrus fruits, tomato products, vinegar, wine, pop, and fried fatty foods. The reason acidic foods are problematic is that the acid activates pepsin—an enzyme in the stomach—and travels up the esophagus to the throat and mouth. This interaction can also cause issues for people trying to self-treat their GERD with apple-cider vinegar or lemon juice. Such “home remedies” can actually cause more aggravation. Other foods can loosen the lower esophageal sphincter—the control valve between the stomach and the esophagus. These foods include chocolate, peppermint, caffeine, garlic, onions, fatty foods, spicy foods, and alcohol. So, a meal consisting of a cheeseburger, red wine, and a large chocolate mint patty is not the best option for GERD sufferers. Instead, choose fresh or frozen foods that are low in acid. From the standpoint of lifestyle, if you’re overweight, shedding those extra pounds through exercise (at least three to four times per week) and mindful eating can make a big difference because excess weight puts pressure on your stomach and relaxes the lower esophageal sphincter. Other lifestyle changes you can make to alleviate GERD include wearing loose-fitting clothes, avoiding smoking (even secondhand smoke), eating frequent smaller meals and avoiding lying down for three hours after a meal, and elevating the head of your bed by placing six-inch wooden blocks under the legs at the head.

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The takeaway The basic points I hope you take away from this month’s column are that anyone can get GERD, even infants and children; the severity of GERD can vary from person to person; medication usually helps, but most cases can be alleviated by diet and weight loss; and it’s important to choose foods that are lower in fat and acid. Most importantly, be sure to see your doctor if you can’t manage your GERD symptoms through overthe-counter medications or lifestyle modification. ❦ Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

In pursuit of "The Moment"

by Mark S. Faber, USPTA Elite Professional

n April, there were so many great professional and college sports stories. These stories ranged from the NCAA Men’s Basketball Championships (Villanova winning on last-second shot) to the NCAA Women’s Basketball Championships (University of Connecticut winning fourth straight), the Masters (as always, final round drama) and the Golden State Warriors’ pursuit of the most wins in NBA single season history. What an amazing sports month, and I am sure I even missed a few more. As a coach and former athlete, what I find so amazing in these stories is what happens in “The Moment.” What do I mean when I say “The Moment”? Well, it is the moment that seems to end up defining someone’s greatness. What is often lost in “The Moment” is everything that went into getting there. As a coach, I believe “The Moment” should not be the story; it should be the reward. In today’s sports environment, many kids, parents, and even some coaches believe that moment is something they are entitled to. Well, I am here to tell you that athletes are not entitled to anything but the

opportunity to work hard preparing themselves for “The Moment.” How does one prepare for “The Moment”? The preparation starts with countless hours of practice, with many of those hours invested when no one is around—in the gym before school shooting foul shots and jumpers, on a tennis court hitting serves before school starts or late at night, or even in the batting cage taking extra swings when all your friends are heading out to dinner after practice. It could even mean doing extra conditioning in the gym or running outside to ensure you are fresher and mentally tougher when others are tired and faltering. The key is going above and beyond the average. Now, many of you are probably thinking that doing all of this is no guarantee of success in ”The Moment.” You would be 100% correct. As Michel Jordan has said in the past, “I have missed more game-winning shots than I have made.” The point is, many parents, players, and coaches are in pursuit of “The Moment.” Just as in life, there are no guarantees. However, the pursuit of “The Moment” not only helps you become better in your sport, but also helps teach you valuable life skills. People in pursuit of “The Moment” might not actually experience it on the playing field as they might have always dreamed. It might happen later in life when they achieve success in their chosen career. One just never knows when “The Moment” might occur. Coaches and parents must not only encourage kids to dream and dream big, but also encourage them to pursue their dreams through hard work, commitment, dedication, and passion. We need to stress to them that nobody is entitled to anything and that, oftentimes, people with amazing talent who don’t work hard fail to achieve their “Moment” before people with average talent who work harder than the norm, especially when no one else is around. We can set that example for them by how we pursue our “Moments” and how we handle and respond when our “Moments” do not turn out as we wish. Sports are such a positive vehicle to develop life skills. In my mind, every child should be exposed to an individual sport as well as a team sport. This does not mean that we believe they will be the next Derek Jeter or Roger Federer; it means we

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believe that many life lessons can be learned through sports. In the end, it is not about the effort put forth during normal (many times paid) practice times. I challenge all the kids out there to dream big and not sell themselves short. However,

May 20th :30 PM

they should pursue those dreams and prepare for “The Moment” when no one else is looking. Parents and coaches, our challenge is to be great examples on how to handle the adversity, both good and bad, that comes in “The Moment.” ❦

A Walk in the Park

Friday, May 20th 6:30 - 11:30 PM

by LeMoyne Mercer

Join us for a casual cocktail party to kick off the summer and help us Change the Future! Hosted by GLCA Board member, Tim Valko, M.D. and Jim Moore in their historic Westmoreland home, the evening will include delicious appetizers, specialty cocktails, music, and lots of fun!

Thanks a lot, El Niño

Dress is casual and space is limited so get your tickets early! Suggested Donation: $75/person until May 1st $100/person AFTER MAY 1st (tickets available now) For more info or to purchase tickets visit www.GreatLakesAutism.org or call 419-291-7031 *All proceeds benefit Great Lakes Collaborative for Autism Community Grants and Scholarships program

For the Love of Art Inc.

4027 North Holland Sylvania Rd., Toledo ART FUN IN THE SUMMERTIME celebrates our 20th year of summer workshops for young artists, grades K-6th. These FUN weeklong workshops are led by degreed instructors and artists. Campers will explore a different theme, process or medium introducing them to different media, tools or technique.

Enroll for one week or many weeks!

Classes start Monday, July 11 through Friday, August 12 (no classes held on Wednesdays)

Grades K-3 10:00 - 11:30 am Monday, Tuesday, Thursday, Friday

Grades 4-6 11:30 am - 1:00 pm Monday, Tuesday, Thursday, Friday

Our regular schedule of drawing and painting classes for students in Grade 4 through Adult continues through the summer months.

Call 419.882.2060 to schedule classes. www.forloveart.com

40 May 2016 | Healthy Living News

Desert Gold was by far the most abundant wild flower in Death Valley.

his past winter was relatively mild. Especially compared with two years ago when USA Today pronounced Toledo’s weather the worst in the whole country. Weather people attribute this year’s niceness to El Niño, somewhat warmer water in the equatorial Pacific that occurs every five years or so. Sometimes there is a colder pattern, La Niña, that produces opposite results. Shirley and I weren’t taking chances. On Dec. 28 we left for Everglades National Park in Florida. Our experience is that the Everglades are warm and sunny in January. Except this year. Winter is called the “dry season” in Florida. In the national park, this means that the wildlife is concentrated in and around the deeper holes that contain water even in winter. This is arranged by the Chamber of Commerce for the entertainment of tourists who come from all over the world to see alligators, herons, egrets, storks, and other birds. The wildlife is patient and tolerant of humans in close proximity because they have no choice. Except this year. The only wildlife that seemed to really appreciate our presence were the mosquitoes. Thanks a lot, El Niño! After giving the Everglades a fair shot—it rained eight out of the 10 days we were there—we headed around the Gulf to Texas and then on to Arizona. If you don’t care for the cold and damp, Arizona is the place you ought to be.

In Organ Pipe Cactus National Monument, right on the Mexican border, the ocotillo wore blossoms of flaming red. The brittle bush and creosote were covered in gold. Various cacti were starting to bud. We were looking forward to the show the Sonoran Desert can put on. (Other deserts are mostly brown. The Sonoran Desert is green.) There were no storks or egrets or herons but plenty of phainopeplas, hummingbirds, cactus wrens, and Gila woodpeckers. Coveys of Gambel’s quail scurried through our camp site regularly, coo-cooing to each other as they went. The days were uniformly warm and sunny—upper 70s to mid-80s. The nights encouraged pleasant sleeping once we got bored looking at the Milky Way, moon, and constellations that are amazingly bright in the low humidity of the desert. Meanwhile, Shirley was in regular contact via social media with friends she has never met. There was this “super bloom,” they said, up in Death

At the Devil's Golf Course, the hazards were made still more daunting by the flood damage.

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Valley. We decided to go there. there was no reason to return. Boy, But first some background. One of were we wrong! the results of El Niño was that Death The great flood brought the desert Valley National Park received a rain to life. We are not talking just about fall of Biblical proportions. The Valley, cacti and bushes like creosote and which averages less than an inch of jojoba that bloom even in ordinary rain a year, is the driest place in North years. The stars of the “super bloom” America. But it varies. In 1953, there were colorful annuals whose seeds was no measurable precipitation at had lain dormant waiting for the right all. The average in October is about a combination of water and warmth. tenth of an inch. On Oct. 18, it rained 1.3 inches. So, rain of “Biblical proportions” in Death Valley is basically a summer afternoon thunder shower in Toledo. But in Death Valley there is virtually no soil to absorb water, so most of it roared off in flash floods that undercut pavement and deposited rocks and debris several feet deep in low-lying areas. It is hard to believe that so little water can do so much damage. In February, Rt. 178 was still closed south of Ashford Mill. The road to Scotty’s Castle was cut rather dramatically as if maniacal 11-yearold boys with backhoes and bulldozers The lovely Golden had been turned Evening Primrose loose on it. The had a tendency to main house was get lost among the not flooded, but billions and billions several outbuildof Desert Gold. ings were knee deep in mud that Desert Sand Verbena provided quickly hardened These seeds have dramatic ribbons of color. into concrete. All a coating that preof Grapevine Canyon was closed. vents germination until conditions Thanks a lot, El Niño! are just right. They can remain dorIn the wake of all that destruction mant for years or even decades. On came the resurrection. Shirley and I Oct.18, the coating began to dissolve. last visited Death Valley in 2012. We In February, the desert exploded thought we had seen pretty much with color. everything we needed to see and “Super bloom” means not only more flowers—way, way more flowers—but taller, more luxuriant plants as well. There were thousands of acres of Desert Gold, for example. It was the most abundant flower on the desert floor and, south of Badwater, it climbed way up the mountain slopes. At Ashford Mill, site of an abandoned gold-mining facility, the new gold was the Desert Gold. There were supporting actors that deserve mention as well. Another yellow was the Golden Evening Primrose. Among the blues was the lovely little Phacelia. (We were cautioned not to touch because it causes skin rash. In contrast, the Jojoba is used in soothing skin-care products.) The balloon-shaped Desert Five Spot was common as were pink Monkeyflower Most Phacelia seemed to grow in great patches on the valley floor. There were a and Sand Verbena. few isolated plants like this one way back Still, we did not spend all our time in Golden Canyon.

The Brown-Eyed Evening Primrose was one of the stars of the super bloom.

Jojoba is commonly used in skin care products. It is not at all common is Death Valley--except sometimes in el Nino years.

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At Badwater, the salt flat is five miles wide. Northerners can be forgiven if they momentarily take it for a frozen lake.

looking at flowers. Almost, but not all. At Badwater, the lowest point in North America at 282 feet below sea level, we walked out on the “ice.” In February it is easy for Ohioans to forget, for a few seconds anyway, that the five-mile-wide expanse of white is actually a huge salt flat. Another way to look out over Badwater is from the 5,475-foot ridge top at Dante’s View. Access is restricted to vehicles of less than 25 feet. And those with good brakes. The last quarter mile of the 13-mile spur road is on a 15% grade—a challenging drive in either direction. Another challenge is the brisk, cold wind at sunrise when you are more than a mile up. It might even convince you that all

that white really is ice after all. Zabriski Point offers a view of the Valley that is almost as good with almost no effort. From the parking area just off the road, walk a couple hundred yards up the paved slope to the ridge top. Zabriski is popular at sunrise for views of Telescope Peak and the Panamint Mts. as they turn all rosy when the first light touches them. At the Point itself, colorful rocks have been eroded into dramatic shapes. And speaking of dramatic shapes, while we were there, a photographer was shooting a young woman doing yoga poses on a mat. I am sure there was some mystical Oriental significance to the poses. At least there was for me and a few other geezers who tried to look as if we were not looking. In contrast to the flat, white salt at Badwater, the salt at the Devil’s Golf Course is raised in football-sized, mean-looking, jagged clumps. One of the results of the flood was that dirt and rocky debris were deposited in the salt, turning it all brown and gray. It is easy to walk out at Badwater. At the Golf Course, it is virtually impossible. I rate it a solid par 5 even with a generous allowance

for Mulligans. But it is easy to walk back into Golden Canyon, a narrow slot between multi-colored walls. On the left is the golden wall that inspired the name. The canyon dead ends beneath a wine-colored cliff called the Red Cathedral. Numerous dry washes enter steeply from either side. Views of colorful rocks are also provided along the nine-mile Artists Drive loop road. Minerals and volcanic ash create bands and patches of yellow, green, deep purple, dark red, and orange. The colors evolve as the light changes, and the light changes every time you round one of the numerous curves. The narrow

Zabriski Point is a popular place from which to watch the rising sun turn the Panamint Mts. all rosy across Death Valley.

road climbs steeply then dips suddenly and just as steeply, rather like a coaster at Cedar Point. Often the passage seemed barely wide enough to accept vehicles, and there is always a sharp turn at the top and bottom of each rise. We camped at Furnace Creek, which is basically a gravel parking lot for RVs. But that description is a disservice considering how inexpensive it is. For only $6 a night with our senior pass, we purchased impressive views and plenty of sunshine. There was a reliable breeze on February afternoons when the temperature rose into the mid and upper 80s. Ranger Sardius told us he enjoys working there in the summer when many foreign visitors actually prefer to come so they can brag to the folks back home about experiencing temperatures in excess of 120°F. Even when it was only 87°, the intense solar radiation made us glad to have the shade of our awning and a gentle breeze. One evening, the breeze got a little carried away and kicked up a dust storm off to the north, totally obscuring the mountains to the east. On Feb. 16, a pack of coyotes provided our 6:00 a.m. wake-up call.

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Some animals exhibited in pens

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Then, while I was cooking breakfast, one of them appeared nearby at the edge of the campground. He threw back his head and began to sing like Pavarotti. The German shepherd in the site behind us let out a single, deep “woof ” in response but remained lying there. Several little dust mop dogs started to yip. You know, the kind whose valiant spirit far exceeds their size or sense. They were not exactly candidates for roles in Jack London’s Call of the Wild. “Tie up your dogs, people!” yelled

a camp host. She knew that coyotes think of small pets as hors d’oeuvres that can be snapped up in seconds. The wildlife, the scenery, and most of all the “super bloom” made our visit to Death Valley just a walk in the park. This more than compensated for the disappointments of the Everglades. Thanks a lot, El Niño! ❦ LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

nobody’s perfect Sister Karen Zielinski, OSF

Discrimination at your doctor’s office

ohn does not like going to the doctor. It’s not the shots or examination of his body he dreads. It’s getting onto the examination table. John lives with diabetes and uses a wheelchair for mobility. For him to transfer to an examination table is scary and embarrassing. As a grown man, to have nurses and therapists help him transfer without falling makes him anxious, so he prefers not going to the doctor. His family has advised him not to go to the doctor for regular medical checkups, only if something is wrong with him. Many persons with mobility challenges feel the same way. Dental chairs, examination tables, and some medical equipment, like chairs in ophthalmologists’ offices or other medical tests, can be challenging for persons who do not move well. So, people with mobility challenges are getting subpar medical care. They wait until there is a medical problem to seek help, avoiding preventive and wellness care. Medical offices need to be accessible to all. That is the law. Many doctor’s offices and dental centers are simply not accessible for persons who have mobility disabilities. Persons with chronic diseases, like diabetes, Parkinson’s disease, lupus, and others, might use a wheelchair. Their skills of standing, transferring from one seat to another, and just sitting up straight can be minimal. To ask a person who

has limited muscle strength to get up on a medical examination table is a challenge. The Americans with Disabilities Act (ADA) was signed into law on July 26, 1990, by President George H.W. Bush. The ADA is one of America’s most comprehensive pieces of civil rights legislation that prohibits discrimination and guarantees that people with disabilities have the same opportunities as everyone else to participate in the mainstream of American life—to enjoy employment opportunities, to purchase goods and services, and to participate in state and local government programs and services. Modeled after the Civil Rights Act of 1964 (which prohibits discrimination on the basis of race,

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Open Monday through Friday 8:30 a.m. – 5 p.m. and for after hours, emergencies only, you can reach one of our team members at 419.383.4000.

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color, religion, sex, or national origin) and Section 504 of the Rehabilitation Act of 1973, the ADA is an “equal opportunity” law for people with disabilities. Despite the Americans with Disabilities Act, people with disabilities are not getting good care. According to a recent study published in Annals of Internal Medicine, people with disabilities receive subpar medical care. Studies in recent years have shown

that persons with disabilities not only tend to be in poorer health, but also receive inadequate preventive care and experience worse outcomes. One study even uncovered significant disparities in the diagnosis and treatment of breast cancer in a woman with disabilities. Dr. Tara Lagu, a physician-researcher at the Center for Quality of Care Research at Baystate Medical Center in Springfield, Massachu-

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setts, wondered why some patients Some offices said the patient was with mobility challenges had subpar “too heavy,” while others brought medical care. She had no external up the potential litigation risk if the supports or research grants, but her patient or staff member was hurt co-investigator physicians created doing a transfer. a fictional patient based on some of Time and financial constraints her patients with disabilities. In the are important obstacles. Regular study, researchers called over 250 examining tables cost about $1,000. doctors’ offices in four major cities Height-adjustable tables can cost across the country that offered care $4,000 or more. The additional time in gynecology, psychiatry, endocri- of transferring a patient can take up more office time, none of which is renology, and orthopedic surgery. The researchers called the offices, imbursed. Dr. Lisa I. Lezzoni, a leading presented themselves as the doctors expert on disability who directs the they were, and tried to schedule Morgan Institute for Health Policy appointments for the fictional pa- at Massachusetts General Hospital tient who had a moving disability. in Boston, reflects, “Health care is The “patient” was partly paralyzed really one of the last bastions of because of a stroke, could not get this kind of discrimination. But it’s out of a wheelchair without signif- curious because we are talking about icant assistance, weighed roughly health care.” 200 pounds, and needed additional Federal tax credits and deductions for disability-related equipment are specialized medical evaluation. One out of five offices refused available, but the additional work to even book an of transferring a appointment. Some patient, which takes explained that their up more office time, buildings were inis not reimbursed. accessible to people The situation using wheelchairs, might improve in but most refused the next few years, because they had with the ADA tryno equipment like ing to improve acIllustration from "Access To Medical Care For Individuals With height-adjustable cessibility in health Mobility Disabilities," which can be found at www.ada.gov. examining tables care. It currently and chairs, specially lacks detailed redesigned weight scales, or trained staff quirements for medical equipment members to help move the patient and furnishings, but discussions are underway. out of the wheelchair. According to the National Network For any questions about accessiof the ADA (which offers informa- bility, such as whether a dentist may tion, guidance, and training on the legally refuse care to a person who is Americans with Disabilities Act), in a wheelchair, call the ADA National “The offices that did agree to see the Network at 1-800-949-4232 or email patient were not necessarily offering http://adata.org/content/email-us. appropriate care. When pressed, For further discussion of these some acknowledged that they had matters, call the US Department no plans or equipment for moving of Justice ADA Information Line the patient. Others said that they at 1-800-514-0301 or call the ADA would complete only the parts of the National Network at 1-800-949-4232. exam that they could—and forgo the For answers to commonly asked rest. Fewer than 10 percent of these questions, visit the Access to Medical offices had appropriate equipment Care for Individuals with Mobility or employees trained to help patients Disabilities page on the ADA website, with disabilities.” www.ada.gov. ❦ Dr. Lagu says many people presume that healthcare providers’ offices are Sister Karen Zielinski is the Director of accessible to patients, but in reality, Canticle Studio. Canticle Studio is a part the vast majority of practices are of the Sisters of St. Francis of Sylvania, doing things to patients that she OH’s overall advancement effort and has would not want to have done if she a mission of being a creative center where were disabled. artists generate works, products, and Many of the doctors’ practices services in harmony with the Mission eagerly explained why they refused of the Sisters St. Francis. She can be to see the patient, unaware of the reached at kzielins@sistersosf.org or legal implications of their refusal. 419-824-3543. We love feedback. Like us on Facebook. Follow us on Twitter.

Local body shop owner seeks post-stroke “tune-up” at The Laurels

echanic Rocky Mattoni, owner of Rocky’s Body Shop in downtown Toledo and an avid auto-racing aficionado, has made a career of rehabbing automobiles. But three years ago, it was Mattoni himself who required rehab after a stroke left him with severe functional deficits. He recalls, “I had the stroke in my sleep, and when I woke up the next morning, I wasn’t even aware anything had happened. So I went about my morning as usual and drove to work. At 1:00 that afternoon, I started losing speech and the vision in my left eye, and I couldn’t walk or pick up my hands.” Recognizing that Mattoni was in serious trouble, his coworkers called 911. While in the hospital, the rehab team helped Mattoni reach the point where he could walk with the aid of a cane. As time went on, he was able to return to his life, but he still had functional deficits and was experiencing frequent falls. Eager to get back to his body shop and his passion of auto racing, he was motivated to do whatever was necessary to regain function and mobility. Then he heard about the AlterG®

Anti-Gravity Treadmill®, offered at The Laurels of Toledo, from a fellow patient named Jan Stone. The AlterG uses differential air pressure technology to “unweight” patients by as much as 80 percent as they walk, stand, or perform various exercises on the treadmill. Video cameras allow the patient and therapist to observe on a monitor exactly what’s going on with the patient’s gait from multiple vantage points. Stone had learned about this technology from an article, and using it in her own rehab program helped her make tremendous functional gains. Mattoni believed the AlterG could take his rehab progress to the next level, but unfortunately, his insurance provider would not initially approve his going to the Laurels to utilize it. A persuasive letter from Dr. Mazin Salem, Mattoni’s physician, ultimately convinced them otherwise. When Mattoni came to The Laurels for outpatient rehab on March 8, 2016,

the therapy team started him on the AlterG at 25 to 30 percent of his body weight, focusing on improving his left foot placement and normalizing his gait pattern. They continuously increased his body weight as his gait and endurance improved, and he’s now up to 52 percent of his weight. “Last week, I was able to walk a quarter mile in 15 minutes,” he says. “That may not be a land speed record, but to me it was significant.” Laurels PTA Matt Snyder comments that working with someone like Mattoni is very rewarding because he’s highly motivated and accustomed to being independent and active. “Due to the stroke, we have so many deficits to work on, and it really helps that Rocky is so committed to the program,” he says. In fact, sometimes he pushes himself a little too hard. For example, while attending a recent car show with his wife, he walked a consider-

able distance along a stone pathway, so his stroke-side ankle had to keep adjusting to the uneven terrain. “Then he came in for the next session wondering why his ankle was sore,” Snyder says with a grin. Among the problems Snyder helped Mattoni correct was his tendency to lean to the right while walking. “It’s common for stroke victims to compensate for one-sided weakness by putting their weight on the strong side of their body, so we worked to overcome this compensation and normalize his gait while preserving his function,” says Snyder. As of this writing, Mattoni is walking without the assistance of a cane, using a much-improved gait pattern, and continuing to work on his other stroke-related deficits. Best of all, he’s back where he’s happiest—around automobiles. “I may not be 100 percent yet, but I’m well on my way!” he says. ❦ The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. For more information, call 419-536-7600 or visit www. laurelsoftoledo.com.

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Part of something bigger Mercy St. Vincent Medical Center Mercy Children’s Hospital Mercy St. Charles Hospital Mercy St. Anne Hospital Mercy Defiance Hospital Mercy Tiffin Hospital Mercy Willard Hospital Mercy Health Physicians Mercy College of Ohio

is now

The expert care you know and love is now even better. When you choose Mercy Health, you become part of our family — and part of the largest healthcare system in Ohio. This gives you access to more doctors. More services. More of the leading-edge care you deserve. And with our faith-based values, we’re proud to be part of a higher calling to help you be well in mind, body and spirit.

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