HLN May 2017 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News May 2017 • FREE

Also available at hlntoledo.com

BIKE TO SCHOOL SAFELY As well as: • Shake up and wake up your skin • Bust the stigma of mental illness • It's outdoor leisure season • Summer travel with allergies and asthma • Know the symptoms of stroke

A makeover at age 90!

It’s time mental health is front and center We can help. Call 888-987-6372. mercy.com

Shape up and wake up your skin H

ello, “Millennials”! Are the skin changes related to stress, pollution, smoking, and prior sun damage and tanning booth visits starting to show on your facial, neck, and chest skin? Are your jowls and neck starting to sag, and are you noticing that darkening is developing around and under your eyes, your pores are enlarging, or “age spots” are appearing? Do your friends question why you look tired all the time when you are not? While these changes are mild and just starting, now is the time to start engaging in a skin-care program tailored specifically for you to improve and reduce these signs of aging. Dr. Handler will personally recommend and explain a skinrejuvenation program designed specifically for you to reduce the visible signs of aging. The anti-aging treatments performed by Dr. Handler are “non-invasive,” with minimal discomfort or downtime. Minimize under-eye darkening, raise those droopy eyelids, shrink pores, lift sagging jowl areas, and appear as youthful as you feel. Call Dr. Handler’s office for a personal evaluation with treatment recommendations for your aging skin. Remember, 80% of the signs of aging are 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! This is something young people should be aware of since we get 80% of our lifetime sun exposure by the time we are 18-20 years of age. 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 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 sweating for months after injections. This is 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. Are you aware that Dr. Handler personally performs laser procedures for removal of body hair anywhere hair grows? Yes, this minimally painful laser destroys hairs around the chin, jawline, upper lip, underarms, ears, nose, bikini line, etc. And this laser is not just for women. Many men have this laser performed to permanently remove chest and back hair as well as beard hair that grows down onto the neck. Dr. Handler also utilizes the latest in lasers for removal of “age spots” (sun spots really) anywhere on the body. This laser works especially well for the tops of hands covered with those “age spots.” Finally, Dr. Handler also performs laser removal of unwanted blood vessels that grow on your face and enlarge with heat, stress, and the intake of alcohol. Again, pain and downtime are minimal with this laser. All of these lasers are non-invasive with minimal downtime. Call Dr. Handler’s office to find out when these procedures are being performed. These specific procedures are only done from September through May since a tan interferes with the process. 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. Also, remember to inquire 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, everyone should have a yearly full body exam to check for skin cancer conducted only by a board-certified dermatologist.

Hair loss in men and women

Are you losing hair from surgery, anesthesia, 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, board-certified 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 blood testing is performed by Dr. Handler to rule out treatable medical causes, Dr. Handler will discuss a program 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 minimize your hair loss. Most patients notice a decrease of loss in 30-60 days! ❦

www.drharveyhandler.com

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

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L. H

No surgery. No injections. No downtime.

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ADULT, arvey andLer m d dipLomate and FeLLow oF PEDIATRIC, tHe american Board oF dermatoLogy aduLt, pediatric & cosmetic dermatoLogy & COSMETIC 5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital) DERMATOLOGY HAIR & NAILS

419.885.3400

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

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

e lthy l ng ews

May 2017 • Vol. 22, Issue 5

Your Monthly Guide to Healthy Living

HEALTH, BEAUTY & FOOD

CHILDREN AND PARENTING

OUR COMMUNITY

2 Shape up and wake up your skin 6 Spiritually Speaking Send flowers, by Sister Mary Thill 7 Palliative care and the cancer patient: managing symptoms for maximum quality of life 8 Nobody’s Perfect Medical anxiety: Not all tests are easy to take by Sister Karen Zielinski, OSF 11 It’s time to remove the stigma from mental illness 19 Sound Advice from Northwest Ohio Hearing Clinic By Randa Mansour-Shousher, AuD, CCC-A 20 Summer travel with allergies and asthma 20 Walt's Corner Mango-Black Bean Salad with Avocado 25 BE FAST to recognize the symptoms of stroke 26 Managing your allergy and asthma symptoms, by Tere Koenig, MD 28 Energy that heals, by Douglas A. Schwan, DC, Dipl ac 32 TIA: a warning sign of potential stroke ahead 34 Eating Well Weight loss myths by Laurie Syring, RD/LD 45 Noisy dental devices should concern patients, dentists, and assistants, by Randa MansourShousher, AuD, CCC-A 46 River Centre Clinic advocates for early intervention and specialized care for eating disorders

5 Bike to school safely by Jenny Hansen 24 Non-Profit of the Month: Camp Courageous & The Arc of Northwest Ohio 42 Warm weather safety tips for kids from Mercy Health – Emergency Services 43 Take the Screen-Free-Week Challenge May 1-7, by Meliss Klorer, MRC 48 Hey, you in the stands! by Mark S. Faber, USPTA Elite Professional

10 Join NamiWalks in support of mental health 12 River Centre Foundation hosts 7th annual walk for eating disorder awareness 13 St. Luke’s Hospital recognized by Ohio First Steps for Healthy Babies, OBA and OLCA 15 Two plant exchanges soon to spring up! 18 Unburdened by gravity, Laurels rehab patients make unparalleled progress with AlterG 23 St. Clare Commons earns Nursing Care Center Accreditation from The Joint Commission 35 Elizabeth Scott launches new website 36 University of Toledo SpeechLanguage-Hearing Clinic gears up for an exciting summer, by Michael Dillon, MA, CCC-SLP 37 Luxe Laser expands services with fun and informative events 38 Sunset’s Indian Road campus offers vibrant community with full care continuum 38 Vision Associates joins The Toledo Clinic 40 This 90-year-old just received a makeover 44 Senior Living Guide

TAKING CARE OF YOUR LIFE 14 Enjoy spring and summer leisure in your own outdoor living space 16 Health Crossword by Myles Mellor 22 A Walk in the Park Want better scenic photos? by LeMoyne Mercer 29 Super Slow Training: Never stop improving 30 Downsizing for seniors is a difficult task 31 Tips for race recovery, by Amanda Manthey 41 Time to get up, get out, and get moving! by Jim Berger

Connect with Friends who Like Healthy Living News! /HLNToledo

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 © 2017 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.

Dear Readers, Thank you for picking up the May issue of Healthy Living News. May’s mild weather provides the perfect opportunity for kids to get a little healthy exercise by walking or biking to school. Many parents, however, are understandably concerned about their kids’ safety while en route. In this month’s cover story on page 5, Jenny Hansen, coordinator of the Toledo Safe Routes to School (SRTS) program, discusses how Toledo SRTS is working to improve students’ ability to get to and from school safely using “active transportation,” such as a bicycle or their own two feet. May is also the perfect month to shift our focus to outdoor activities. In the article on page 14, budget-conscious families will find a myriad of suggestions for warm-weather leisure-time activities

that they can enjoy right in the comfort of their own back yard. If you’re an allergy sufferer and your outdoor activities will be taking you a bit farther from home this summer, be sure to read the article on page 20 for some helpful tips on keeping your allergy symptoms at bay while you travel. This issue also features an article on removing the stigma from mental illness (p. 11); insights on mini-stroke from Dr. Gregory Kasper, president and chief medical officer of Jobst Vascular Institute (p. 32); vital information on how to recognize the symptoms of stroke from Dr. Mouhammad Jumaa, Medical Director of the UTMC Stroke Network (p. 25); timely warm-weather safety tips for kids from Dr. Jay Taylor of Mercy Health

@HLNToledo

– Emergency Services (p. 42); important pointers on managing allergy and asthma symptoms from Dr. Tere Koenig, Chief Medical Officer for Medical Mutual of Ohio (p. 26); and an invitation to “Get up, get out, and get moving!” from Jim Berger, Area Manager for Heartland Rehabilitation Services (p. 41). On a somber note, long-time contributor Christine Holliday, whose articles have appeared in the pages of Healthy Living News since it began back in 1996, recently passed away. Chris was instrumental in the success of HLN and always a joy to work with. She was taken from us far too soon, and our thoughts and prayers are with her loving family at this tragic time. Until next month, stay safe, active, and healthy!

I Choose The Toledo Clinic

I want a doctor who treats me like a person, not a number. That’s why I choose The Toledo Clinic. The Toledo Clinic is the only physician-owned, physician-led healthcare organization in the region, which gives my doctor a greater say in my care. Plus, with 185 physicians practicing in over 40 different specialties in more than 60 locations, my whole family has access to expert care when and where they need it. The Toledo Clinic. When you choose well, you just feel better.

ToledoClinic.com | 419.473.3561

4 May 2017 | Healthy Living News

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Bike to school safely by Jenny Hansen

the daily physical activity they need to maintain strong muscles, bones, and joints as well as decrease their risk of obesity and other chronic diseases while establishing healthy habits that can last a lifetime. Some local schools are implementing a “Walk and Roll” Wednesday program or a “Walking School Bus” program to positively impact student well-being. “Walk and Roll” Wednesdays simply encourage students and families to use active transportation, such as walking or bicycling to school, on designated Wednesdays each month in an effort to create a more safe environment near the school for students that would like to walk or bicycle to school, providing opportunities for increased daily physically activity. The program uses a webbased barcode technology service to capture real-time data of student trips to and from school and how it positively impacts their health and well-being. Most importantly, parents can opt to receive an instant notification via text or email that their child

pring is here! Often the warmer temperatures have more kids wanting to walk or bike to school, and this can be a worrying matter for many parents. According to data collected in 2013, through the Toledo Safe Routes to School (SRTS) Program of Live Well Greater Toledo, families that live within walking distance of their neighborhood school typically drive their kids to and from school due to concerning barriers, such as excessive traffic and speed of traffic along routes, lack of sidewalks and safe crossings at intersections, and personal safety. Live Well Greater Toledo is a diverse collaboration of community leaders and organizations working together to promote policy, systems, and environmental change to support improved nutrition and physical activity for a healthier community. Live Well is strongly supported by the YMCA of Greater Toledo, and through partnerships with the Toledo Public School (TPS) District, City of Toledo, and Ohio Department of Transportation (ODOT), Live Well is working diligently to improve students’ ability to walk and bicycle to school safely through the Toledo SRTS program. SRTS is a national and international movement to create safe, convenient, and fun opportunities for children to engage in active transportation, such as bicycling and walking to and from school. In 1969, approximately 50% of youth walked or bicycled to school. Today, less than 15% of youth walk or bicycle to school, and as a result, our children are becoming less active, less independent, and less healthy. The Toledo SRTS program is addressing these concerning issues through infrastructure projects that address lack of sidewalks and unsafe crossings, as well as providing encouragement and educational programs that make walking and bicycling to school more fun and safe for students in our community. Walking and bicycling to school allows children to include

Free 4-day bereavement camp for kids ages 6 – 16

Kids will explore issues related to loss with therapeutic activities, arts and crafts, team building and fun in a safe and supportive environment. Camps held daily from 9 a.m. – 3 p.m. June 20 – 23 in Clyde, Ohio July 11 – 14 in Fremont, Ohio July 18 – 21 in Monroe, Michigan July 25 – 28 in Sylvania, Ohio

has arrived to school safely. A “Walking School Bus” (WSB) program works much like a regular school bus. It is a fun, safe, and creative solution that enables students to walk or bike to and from school while being led by an adult WSB “driver.” The “driver” walks a wellplanned route with meeting points and a timetable, picking up students along the route and safely walking them to school. Toledo SRTS will be celebrating Bike Month during the month of May along with many other community organizations by participating in In-

Registration is required. For more information or to register, visit promedica.org/campfearless or contact ProMedica Hospice at 419-824-7400.

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | May 2017

ternational Bike to School Day (BTSD) on Wednesday, May 10th. BTSD events create more awareness around the need for active transportation projects and programs that enhance the routes student use for walking and bicycling. Some schools will host a bicycle fix-it program sponsored by Toledo SRTS, providing free safety checks, free helmets and fittings, along with bicycle safety education. When May 10th rolls around and you’re considering whether or not to bike to school with your child, remember the excitement of walking to school or riding your bike on that very first day of school. A sense of adventure is created, bringing a feeling of joy and independence. Families are provided countless opportunities to enjoy the sounds of the neighborhood and nature as well as build connections within their neighborhood community. When families choose active transportation and lace up their shoes or strap on their bicycle helmets, they are creating a healthier and safer community for all. ❦ If you would like more information on the Toledo SRTS Program and how you can get your school involved, please feel

free to contact Jenny Hansen, Toledo SRTS Coordinator, at 419-725-7845 or jhansen@ymcatoledo.org. Jenny has 20+ years of experience working with youth and families in YMCA programs that

impact the health and well-being of Lucas County residents. She has managed the planning and implementation of the Toledo SRTS program since its inception in 2013.

BySister Mary Thill

Spiritually Speaking Send flowers Cut flowers can increase compassion and kindness and decrease anxiety and worry, a Harvard study showed. People who lived with fresh-cut flowers for a week reported feeling less worried and less depressed while at home than people who lived with a decorative candle. —AARP Magazine,

March/April 2007

hope this article doesn’t get me in trouble with the candle makers of the world, but I actually have proof that fresh-cut flowers do increase compassion and kindness and decrease anxiety and worry. I know this is true because this is what happens to me when I put flowers on the dining room table almost every Friday afternoon when I come home from grocery

shopping. The first thing I look for at the grocery store is the outdated flower display and hope to find some lovely roses or daisies or daffodils at a hugely discounted price. More often than not, I do find something looking not so fresh and the price is right so I put them in my cart and go about my shopping, enjoying the lovely bouquet even while I’m shopping. Often other shoppers will comment on the flowers or at least smile at me and the flowers as they pass us by. This talk of flowers brings me back to the

first time I received a dozen red roses from my parents for my twenty-first birthday. My very first bouquet of flowers! I even have a photo of me standing by the bouquet in the convent chapel where I was living at the time. For some reason, we had a tradition of giving any flowers we received to Jesus in the chapel. When I give our elder Sisters a bouquet of flowers, I insist that they keep the flowers in their room so they can feel less worried and less depressed and help their anxiety and worry to lessen. Jesus doesn’t have these issues, so I think it’s okay to break with the tradition. Most of the Sisters agree and enjoy the flowers all the more. In my work here at the Medical Center, I also experience how compassion and kindness increase and anxiety and worry decrease as I walk into a patient’s room where flowers and balloons are shouting get-well wishes and sometimes birthday wishes and often a thinking-of-you message. The patient seems to share in the happiness brought on by someone’s thoughtfulness, and I sense that

Celebrate Bike Month 2017

A new law – Drivers must leave 3 feet when they pass. Bike Workshops Family Events Wednesday, May 10 Bike to School Day Wednesday, May 17 Ride of Silence, 6:30 p.m., hundreds of riders on city streets with police escort. Toledo – start at the University of Toledo Bowling Green – start at City Park Friday, May 19 Bike to Work Day Saturday, May 20 Bike Day at the Toledo Farmers Market, 9 a.m. to noon. Toledo Bikes! will be on hand to help with repairs. Bike riders can collect a 2017 Bike Month t-shirt, while supplies last. Outdoor Expo, 10 a.m. to 4 p.m., Side Cut Metropark, presented by Metroparks of the Toledo Area and including area bike clubs Sunday, May 28 Sylvania Slow Ryders 4th Sunday at 4 Ride. Starts at Sylvania Branch Library at 4 p.m.

Discount for Transit: TARTA has reduced bus fare (25 cents) for anyone using the bus bike rack Monday, May 15 - Sunday, May 21.

6 May 2017 | Healthy Living News

Workshops at Toledo Bikes!, a bike co-op at 1114 Washington St., Toledo, 419.386.6090. Workshops are all 2 p.m. to 3:30 p.m. with open shop time after that. Sunday, May 7 Sunday, May 14 Sunday, May 21 Sunday, May 28

Workshop: Air & Tires Workshop: Brakes Workshop: Cables and Shifting Commute by Bike – Road Practice. Ride starts at the shop at 1114 Washington and will go to the Middlegrounds Metropark. Bring a helmet.

Bike Month is supported by:

Find many more bike opportunities on the calendar at tmacog.org/bikemonth Check tmacog.org/bikemonth to find a free ABC quick check at participating area bike shops near you.

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the staff also benefits from seeing such caring gifts left behind when the person leaves. It’s also nice to see a bouquet of flowers at the nurses’ station with a note praising and thanking the staff for their kindness and compassion. When an employer sends flowers to her/his administrative assistant, when employees send flowers to their boss, when a husband sends flowers to his wife, and when a wife sends flowers to her husband (yes, she can do so), the smiles and joy that follow are precious memories being stored for the future. So send me flowers while I’m still here and can enjoy the sight and smell. We often joke about how we want flowers while we’re living and not when we are in the coffin where we will not be able to enjoy them with our bodily senses. Maybe that’s

where the decorative candle comes into play. Our friends and family will be able to keep the candle as a longer-lasting reminder of us as the fresh-cut flowers fade and die, that is, if anyone sends them. As spring and summer bloom, enjoy the beauty of the flowers and remember to share some with others who you know are worried and depressed and need a pick-me-up. It will help you feel less worried and depressed as well as increase your compassion and kindness in unmeasurable ways. ❦ Sister Mary Thill is a Sylvania Franciscan Sister. She is Patient Liaison for Mature Health Connections at Mercy Health – St. Vincent Medical Center. She can be reached at 419-251-3600.

PALLIATIVE CARE AND THE CANCER PATIENT Managing symptoms for maximum quality of life

ention the term “palliative care,” and what comes to most people’s minds is hospice care provided at end of life. While these two concepts have much in common and share certain objectives, there is a significant distinction between the two that patients fighting a serious illness, such as cancer, need to understand. According to Heidi Nichols, CNP, of The Toledo Clinic Cancer Centers, “Palliative care is not synonymous with hospice. Its focus is on symptom management and maximizing the patient’s quality of life, but initiating palliative care doesn’t necessarily mean you’re no longer trying to cure the disease. In fact, palliative care can be utilized while patients are still on active treatment to reduce their symptoms and help them get through it.” Nichols further explains that hospice care is not indicated until treatment is no longer working (or is causing more harm than good), the disease is progressing despite the care team’s best efforts, and the patient’s life expectancy is six months or fewer. While palliative care is a vital aspect of hospice, not all patients receiving palliative care are candidates for hospice. In treating cancer patients, palli-

ative care involves much more than oncology. It’s a multidisciplinary team approach that addresses emotional, psychosocial, and spiritual issues along with physical symptoms. There are even palliative treatments that are intended to reduce symptoms rather than cure the cancer. For example, if reducing the size of a tumor will improve pain or other unpleasant symptoms, treatments such as radiation, chemotherapy, or hormone therapy can be utilized for that purpose. “However, when using these treatments with palliative rather than curative intent, we’re much less tolerant of side effects because the focus is on quality of life as well as extension of life,” says Nichols. While palliative care won’t cure cancer, patients receiving it often have greater longevity in addition to improved symptoms. In some cases, this outcome can be attributed to reducing symptoms that are directly life-threatening, such as difficulty breathing, but in other instances, it has more to do with an increased will to live. As Nichols observes, living with the symptom of constant pain can be very fatiguing and demoralizing for patients. Relieving that pain can actually make patients feel good enough to want to live longer

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

Call 419.479.5605

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

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and fight their disease. And with all the pain medications and therapies available to oncology practitioners today, it’s rare that pain cannot be effectively managed with some method or combination of methods. Family caregivers also tend to benefit when palliative care is provided. Of course, no one wants to see their loved one suffer, but there’s also a sort of “trickle-down effect” when the patient is suffering less. To illustrate this effect, Nichols uses the example of a female patient with lung cancer who was staying with her adult children and having difficulty breathing at night. She would have to wake up multiple times throughout the night to use her inhaler, so no one in the home was getting any rest. “We were able to intervene with some medications, diuretics, aerosols, and some adjustments to her oxygen that didn’t affect her cancer but greatly improved her breathing, so everyone started sleeping better,” she says. Perhaps the biggest misconception patients have about palliative care is that it signals the end and that their caregivers are no longer working to cure them. “We try to reassure our patients that starting palliative care doesn’t mean we’re giving up on

a cure. We’ll always be involved in their care, and they’ll always be our patient. Even if the focus does change from active treatment to supportive care, we’ll be no less involved in their care,” says Nichols. ❦ Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, has 12 board-certified

hematologists/oncologists and 7 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, Adrian, and Monroe for the convenience of the patient. For more information, please call the Toledo Clinic Cancer Centers at 419-479-5605.

nobody’s perfect Sister Karen Zielinski, OSF

Medical anxiety: Not all tests are easy to take

elissa Robertson, a certified RTRMR (radiologic technologist; registered magnetic resonance imaging technologist), performs X-rays and MRI scans at Mercy Health – St.

Anne Outpatient Imaging in Sylvania. She, along with her MRI tech trainee, Chrissy, got me through my dreaded, hour-long MRI. An MRI scan is a non-invasive medical test, and I hate them! My experience with the MRI started while I was living in the Cleveland area in the early 80s. I started seeing a new neurologist there, and he asked me if I had ever had an MRI. Back then, I had never even heard of the test, since the Toledo area was just beginning to use the machines. I drove to the clinic and had my first test there. I remember the technicians asking me if I was claustrophobic, and I told them I was not. (As a kid, I remember playing hide-and-go-seek with the neighborhood kids and climbing into

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8 May 2017 | Healthy Living News

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the trunk of my Dad’s car to hide. Just writing about that now creeps me out!) The test started with a technician placing a foam rubber-type helmet on me and telling me to stay still. She gave me a little push button buzzer that I could press if I needed to come out of the metal “test tube.” She warned me about the sound of the loud, vibrating magnets, and that did not bother me. What did bother me was that the MRI machine broke down twice while I was in it. I could hear the magnetic vibrations slowing down; the technician nicely told me that they had to start up the machine again. I was ready to get out but told her I would stay for the test to continue. I do not know what happened to the machine, but I was on the table for about two hours. I finally was free to go, and just remember that I did not want to have that test ever again. Ha ha—the MRI is an excellent test for those living with MS. Me. When I moved back to Toledo years later, I had another MRI and had a rough time getting through it. I did go through open MRI tests, which are much less confining, but still experienced much anxiety gearing up to take the test. When scheduled for a recent one, I went to see my neurologist and told him of my past history with it years ago. I really think I have PTSD (Post Traumatic Stress Disorder) from that test many years ago in Cleveland. He was understanding, and we compromised on an open MRI. He also prescribed a low dose of Ativan, a sedative that can treat seizure disorders, such as epilepsy. It is also used before surgery and medical procedures to relieve anxiety. It helped me to relax for the test. Before the test, I tried to keep my anxiety in check, telling myself that many people go through the test each day, that it is non-invasive, that it would give my doctor good data about my MS. I would do well. Then there was a TV sitcom in which a character had a bucket fall on his head and had to go to the emergency room and have an MRI. He was quite nervous about it but eventually got through it. That reminded me about my experience in Cleveland again. I have learned that when anyone is anxious about any medical test, I understand a little about what they are experiencing. Some people can undergo any medical test: blood work, colonoscopies, mammograms, etc. I

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try to listen to them, and I never say, “It’s routine, toughen up!” or anything along that line. My experience is that people are all unique and have different perceptions and reponses. The MRI works on magnetic and radio waves. Melissa explains that MRI basically works on the fat and water molecules in your body. As soon as the patient is placed in a magnetic field, some molecules line up with the magnetic field, the tech applies a radiofrequency post, and the resonance is measured. I think that means they measure the vibrations off the patient and, through the magic of

technology, transform it into a digital picture or 3-D pictures. These digital images might be mapped into a 3-D printer for practicing with patients. Some hearing aids are produced by data gathered by MRIs and 3-D imaging. In other words, MRI results can be extremely helpful in many areas of medicine. MRIs are used for a myriad of medical diagnostics: neurological and musculoskeletal conditions, a host of gastrointestinal and vascular problems, abdominal images—the list is endless. I had my MRI at the Mercy Health – St. Anne Outpatient Imaging Center in Sylvania. They had a newer open MRI scan. Melissa said that their scan can accommodate patients weighing up to 660 pounds. That did not apply to me, though. Generally, an MRI takes a half hour to 45 minutes, but when a contrast MRI is ordered, a dye injection precedes the last part of the scan to highlight some abnormalities in some conditions. So, for example, my MRI was to scan my brain stem with contrast dye, and my total exam was about an hour. I got through the entire MRI, thank goodness. I asked Melissa if patients have ever panicked and walked out of the test. “We have had this scanner for about two years, and only about two or three patients have said they could not continue with their open MRI. They slid off the table, walked out, and said they would take the test if

their physician prescribed a sedative. They said they would talk to their physician who ordered their test.” Melissa said she has been on the other side of the magnetic field, having gone through “lots of MRIs” while she was in training and for her own health history. When patients are being scheduled for an MRI, the person setting up the test asks whether they are claustrophobic. However, this location has an open MRI, where the sides of the scan are open, and patients can see out, as opposed to a closed MRI, where patients are inside an enclosed case. Sometimes, doctors prefer the closed MRI, saying test results are more accurate than an open one. But Melissa adds that the machine she works on is approaching the level of accuracy that closed MRIs produce. Claustrophobic patients can ask their physician about taking a sedative prior to the test to calm them, or they might ask a friend or family member to accompany them to the scan room. Melissa says they sometimes talk to people in between the sets of magnetic scanning to make a little human contact with the patient. There is also the chance to wear earphones during the test, and patients can listen to music of their choice from Pandora. Mellissa said that MRI developers are working on stronger magnets, which would result in even more detailed images, as well as working on compatibility with different imaging programs. Before she became an MRI tech, Melissa was an X-ray tech. She spoke with some hospital personnel and was excited about the MRI technology. It gave such phenomenal soft-tissue images, and she was hooked. She went through training and became certified for MRI testing. So, “Magnetic Melissa” worked out very well for me. She added the skill, knowledge, and gentle human element to a loud, metallic test. I would go to her for an MRI again—if I need one! ❦ Sister Karen Zielinski is the Director of Canticle Studio. Canticle Studio is a part of the Sisters of St. Francis of Sylvania, OH’s overall advancement effort and has a mission of being a creative center where artists generate works, products, and services in harmony with the mission of the Sisters St. Francis. She can be reached at kzielins@sistersosf.org or 419-824-3543.

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Join NamiWalks in support of mental health

n the morning of Saturday, May 13, 2017, join the National Alliance on Mental Illness (NAMI) of Greater Toledo for NAMIWalks, to be held at the University of Toledo, Health Education Center, 2801 W. Bancroft St. Registration begins at 8:30. This annual event, themed “Stigma Free and Join the Movement,” is an opportunity to help raise funds for NAMI of Greater Toledo while doing your part to bust the stigma of mental illness. Face painting, a bouncy house, a health-and-wellness tent with free screenings, giveaways, raffles, prizes, and free VITOS pizza are just part of the fun! Located in Toledo, Ohio, NAMI Greater Toledo and its dedicated volunteers work together to raise awareness and provide essential education, advocacy, and support group programs for people in our community living with mental illness and their loved ones. NAMI Greater Toledo is a nonprofit, grassroots or-

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ganization that addresses the mental health needs of our community, replaces stigma with understanding, and helps thousands of families and individuals each year. Do you have a loved one who is living with or lived with the challenges of mental illness? You may recognize your loved one by forming a team and raising funds to support NAMI in continuing to provide free support and awareness to those whose lives are affected by mental illness. Additionally, there are numerous ways corporations and organizations can partner with NAMIWalks to help build better lives for families and individuals in the Greater Toledo area who are affected by mental illness. To register a team or for more information on NAMIWalks, including sponsorship opportunities, please contact Mary Finch at 419-243-1119 or visit http://www.namitoledo.org/ namiwalks2017. ❦

ARE YOU STRUGGLING TO HELP A LOVED ONE LIVING WITH MENTAL ILLNESS? The National Alliance on Mental Illness (NAMI) of Greater Toledo has 2 FREE programs that can help! • Our Family Navigator can help you find resources and services to help your loved one. Or if you need more ongoing support • Our Mentor Program will match you with someone who understands your struggle. A Mentor will listen, offer support and help you find resources. Mentors can meet with you in person and provide support over the phone. If you are interested in either of these programs or have any questions please contact:

SARAH SMITLEY

Family Navigator and Mentor Program Coordinator ssmitley@namitoledo.org

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It’s time to remove the stigma from mental illness

hen someone love. Taken as a group, is diagnosed people with mental with a serious medillness are no more ical ailment, such violent than people as heart disease, without mental illdiabetes, or canness. In fact, according cer, the typical to NAMI, people with reaction from mental illness are family, friends, much more likely and acquaintances to be victims of viis sympathy and olence than perpesupport. However, trators of it—a rate a diagnosis of menfour times that of the tal illness oftentimes general public. This elicits a very different misconception is likely One in every 25 type of response, rangrooted less in objective adults experiences a serious mental illness that reality than in unflattering from wariness and suspicion to outright fear substantially interferes with ing or outrageous media and even discrimination. or limits one or more major portrayals of people with life activities. The perception seems to mental illness. be that mental illness is a People with mental flaw rooted in an individual’s char- illness are weak and can’t handle acter or personality rather than a the rigors of work or school. Mental neurobiological disease. As a result illness stems from a variety of bioof this stigma, people with mental logical and environmental factors, illness too often feel ashamed, suffer not individual weakness. On the in silence, and avoid seeking vital contrary, many people with mental treatment. illness are quite capable of holding Mental illness is no small chal- up under the pressures of work, lenge in our nation. According to the school, and day-to-day life because National Alliance on Mental Illness they’ve learned certain skills and (NAMI), in a given year in the US, techniques that help them cope with approximately one in five adults experiences mental illness and one in every 25 adults experiences a serious mental illness that substantially interferes with or limits one or more river centre. forward. together. major life activities. Unfortunately, less than half of the individuals who experience mental illness are actually receiving the help they need. NAMI reports that only 41 percent of US adults with a mental health condition received mental health services last year. With so many lives touched, why does our society still tend to stigmatize those who have a mental illness? The answer may lie in several persistent myths. Among them: People with mental illness just need to change the way they think. Negative thought patterns can be improved dramatically with proper treatment; however, just as a person with diabetes or heart disease can’t “think away” his or her condition, individuals with mood disorders or other forms of mental illness cannot “snap out of it,” “cheer up,” or “chill out” simply by deciding to think or feel differently. People with mental illness are violent and may hurt me or someone I

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and adapt to stress before it reaches an unmanageable level. People with mental illness are strange and unpredictable. Some forms of mental illness can manifest through odd or unpredictable behaviors, but many people with mental illness lead active, productive lives without anyone around them knowing what they’re going through. Also, those individuals who do exhibit unusual behaviors as a result of their illness can often learn to recognize and manage them effectively through proper treatment. Mental illness will never affect me. Nearly 44 million Americans experience mental illness each year, so it’s the rare individual whose life will never be touched by some form

he River Centre Foundation will hold its 7th Annual Bridge to Recovery Walk on Saturday, June 10, 2017 at the River Centre Foundation House, 5445 Main Street, Sylvania. The focus of this event is to create

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With May being designated Mental Health Month, there’s no time like the present to evaluate how we perceive mental illness and consider how our perceptions might impact others’—or even our own—willingness to discuss this problem openly and seek professional treatment when necessary. What better time to remove the stigma we’ve attached to mental illness? ❦

River Centre Foundation hosts 7th annual walk for eating disorder awareness

Nearly 30 million Americans

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of it. Those who think no one close to them has mental illness might be surprised to learn that a friend, family member, coworker, or acquaintance lives and functions with mental illness every day. Whether it is experienced firsthand or not, mental illness is an issue that affects everyone.

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awareness of eating disorders, which affect more than 30 million Americans. Included in the event is a one-mile walk that symbolizes the steps that are taken in the recovery process to move forward and inspire others, while sharing that eating disorders are dangerous illnesses and not a life choice. Participants will gather at the River Centre Foundation house then walk through the beautiful Harroun Community Park and end back at the Foundation house. The theme for this year ’s walk is “Live Life Fully” and is a celebration of recovery and honors our strength in overcoming obstacles. There will be music, speak outs, a silent auction, a raffle, a cookout, and plenty of fun! Day-of registration begins at 9:00 a.m., and the walk begins at 10:00 a.m. Online registration is available and can be found by visiting www. rivercentrefoundation.org. Included in the cost of registration is a walk t-shirt, long-sleeve shirt or sweatshirt, as well as lunch. The event is open to the public. Funds raised each year from the walk help support the work of the River Centre Foundation’s mission of providing a better understanding of the causes and treatments of eating disorders through evidence-based research, professional training, education, and advocacy. For more information on the Bridge to Recovery Walk, please contact Kiersten Basilius, event coordinator, at 419-350-5232 or at kiersten.basilius@gmail.com. ❦

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St. Luke’s Hospital recognized by Ohio First Steps for Healthy Babies, OBA and OLCA

t. Luke’s Hospital, along with other maternity centers in Ohio, is taking steps to promote its support of successful breastfeeding. The Ohio First Steps for Healthy Babies is a voluntary breastfeeding designation program through the Ohio Hospital Association and Ohio Department of Health that recognizes maternity centers in Ohio for taking steps to promote, protect, and support breastfeeding in their organization. In partnership with the Ohio Breastfeeding Alliance and the Ohio Lactation Consultants Association, the Ohio First Steps program is recognizing facilities with the “Maternity Care Best Practice Award” for 2016. This recognition indicates a facility’s commitment to best practices by choosing to not distribute infant formula or formula-company-sponsored sample packs. In addition to this commitment, St. Luke’s is providing information and hospital supportive ZEPF ADD practices 2015 Printers Marks.pdf 1

of breastfeeding and the Ohio First Steps for Healthy Babies program. These resources are available at stlukeshospital.com or www.ohio hospitals.org/ohiobagfree. “It is our hope that Ohio First Steps for Healthy Babies will prompt our leaders and employees to have thoughtful conversations in the hospitals about the benefits of breastfeeding in order to educate patients and the community,” said Sharon Bryson, BSN, RNC, manager of the Family Birthing Center. “The support a new mother receives from hospital employees and leaders can impact her decision to breastfeed. Increasing the number of breastfed newborns can lead to a decrease in the likelihood for future health conditions for the child such as asthma, diabetes, and obesity.” For more information about Ohio First Steps for Healthy Babies, please visit http://ohiohospitals. org/ohiofirststeps. 5/14/15

4:24 PM

One hospital stands apart by delivering more joy. St. Luke’s is one hospital, with a well-loved Family Birthing Center. You’ll have a beautiful suite, with plenty of room for visitors. A personalized blanket for your little one and a romantic gourmet dinner for two. Plus, we’re the only area provider that accepts every major insurance plan. We’re St. Luke’s Hospital. One hospital that stands apart. Visit StLukesHospital.com ©2016 St. Luke’s Hospital

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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 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.

Get in the game 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 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

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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 standin 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 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 the birds coming back for more.

Two plant exchanges soon to spring up!

OUTDOOR

Living

hat’s not to love about free? Free hostas, daylilies, forget-me-nots, coneflowers? Sometimes there are free cacti, canna tubers, ornamental grasses, seeds, and vegetable starts. Two upcoming events, April 29 and May 6, are opportunities to try new plants, mostly perennials, as well as to discuss your landscaping ideas and challenges with master gardeners. First up is the Wood County Plant Exchange, the morning of Saturday April 29 in the Wood County Fairgrounds at Haskins and Poe roads on the north side of Bowling Green. Everyone who shows up will be able to select two plants. But if you’re already a plants person, bring something to share from your garden, garden-toolbox, or houseplant collection. For every item you bring, you’ll be able to select an item. Bring 10 plants (labeled and weed-free, please), and you’ll get 10, plus the two for showing up. If you’re

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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. ❦

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bringing a lot, follow the signs to the drop-off area where volunteers will unload your vehicle and sort your donations into appropriate categories that make “shopping” easy. At 9:00 a.m. volunteers will begin accepting plants and gently-used garden items, and plant distribution will begin at 10:00, continuing until all items are gone, usually by 11:00. There will also be info tables, demos, retail booths, and experienced gardeners to quiz. If you’re new to gardening, the most important piece of information you can bring is how many hours of sunlight your garden beds receive each day. Observe the sun’s path as it rises in the east and sets in west, considering any trees or buildings that shade your beds. If the beds receive six or more hours of direct sun, plants that are labeled “full sun” will flourish. Four to six hours of direct sunlight is for plants described as suitable for “part sun/part shade,” and less than four hours is considered “full shade” or “shade-tolerant.” Organizers are the OSU Extension Wood County Master Gardener Volunteers. For more information, please call 419-354-9050.

week later, Saturday May 6, will be the 13th annual Toledo Plant Exchange, the original such event in the region. It begins with drive-up plant drop-off from 8:30 to 10:00 a.m. in the far end of the underground parking garage at the Main Library, 325 Michigan St. Enter on Adams

between 10th and Michigan streets in downtown Toledo. Parking in the garage is free. Gently-used garden-related items, alpaca poo, and outdoor art will also be accepted. While waiting for the 10:00 a.m. plant distribution (which lasts a scant 30 minutes or so), check out information booths, pick the brains of master gardeners, or visit the library. All attendees will receive five

HEALTH CROSSWORD by Myles Mellor • ilovecrosswords.com • Answers on page 8

9 11

10 12

14 15

16 18

21 22

28 33

31 34 36

Across 1 “That time of the month” 4 Makes a happy face (when teeth are in good shape) 8 Takes in 10 Chinese fruit 11 Back then 13 Chest bones 14 Tropical fruits 16 Symbol for lead 17 Situated near the kidneys 19 Freshly washed 21 Grandma’s “secret” 22 Test 23 Purgative liquid, 2 words 25 Cereal ingredient 27 Places for healthy lunches, 2 words 33 Put trust in 34 Hawaiian welcome gifts 35 Orange fruit 36 It’s essential in the BR, abbr. Down 1 Increasing vitamin D is a natural way to handle this prostate indicator, abbr. 2 Red fruit 3 Yours and mine 5 Cantaloupe or honeydew, e.g. 6 Source of some intolerance 7 Loses weight 9 Tries a bite of 12 Prattle 13 It might be allergic 15 Between meals items 18 Heavy metal stove, in the UK 19 Not clear, as liquid 20 Nothing 24 Kind of hygiene 26 Volume measurement (abbr.) 28 Rainbow shape 29 Sign in the zodiac 30 Space bar neighbor 31 No longer working, abbr. 32 Take a little drink

Down Across Our experts ease the suffering of chronic illness 1 advanced 1 "That time of the month" Increasing vitamin D isbya natural w managing disease symptoms handle this prostate indicator, abbr 4 Makes a happy face (when teeth are in good and side effects of treatments – 2 Red fruit shape) whether he expects a full 3 Yoursorand 8 Takes in mine to decline. recovery continues 5 Cantaloupe 10 Chinese fruit honeydew, e.g. We can help youor help him. Starting right 6 Source 11 Back then of now. some intolerance 7 Loses weight 13 Chest bones 9 Tries a bite of 14 Tropical fruits 12 Prattle 16 Symbol for lead 13 It might be allergic 17 Situated near the kidneys 15 Between meals items 19 Freshly washed 18A signature 21 Grandma's "secret" Heavy metal stove, in the UK service of Hospice of Northwest Ohio 19 Not clear, as liquid 22 Test We love feedback. us on Facebook. Follow us 5/14/15 on Twitter. 8:55 AM 20 Like 23 Purgative liquid, 2 words Nothing 24 Kind of hygiene 25 Cereal ingredient

things are getting worse, again.

16NWOH-103 MaySincera 2017 | xHealthy 10.25 4 4C.indd 1 Living News

free plants plus additional plants for the items they bring. As in Wood County, plants should be weed-free and labeled (portions of plastic miniblind slats and popsicle sticks make good labels). The Toledo Plant Exchange is a collaboration between community volunteers, the Toledo-Lucas County Public Library, and OSU Extension Lucas County Master Gardener Volunteers. More information is available at 419-578-6783 and on Facebook. ❦

Visit Historic Sauder Village - Ohio’s largest living history destination, with costumed interpreters in historic homes & shops, talented artisans & craftsmen and hands-on activities. Special events offered throughout the season. Open May 2 - October 29, 2017. Stay at the Sauder Village Campground or Heritage Inn with indoor pool. Dine at the Barn Restaurant featuring homestyle meals. Enjoy unique shopping at the General Store, Quilt Shop and more!

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Unburdened by gravity Laurels rehab patients make unparalleled progress with AlterG

hen rehabilitating from an injury, joint surgery, or other physical challenge that affects function and mobility, patients’ bodies—more precisely, their body weight—can actually stand in the way of their recovery. After all, getting up on your feet and motivated to move is no simple matter if doing so causes excruciating joint pain or puts you at risk of falling. Always seeking innovative ways to help their rehab patients recover and transition back to their normal lives as quickly and safely as possible, the Laurels of Toledo recently introduced the state-of-the-art AlterG® Anti-Gravity Treadmill® to their repertoire of therapeutic modalities, and this cutting-edge technology is having a dramatic impact on patients’ progress and outcomes. The AlterG, developed by NASA engineers while studying the

18 May 2017 | Healthy Living News

biomechanics of exercise in space, uses differential air pressure technology to “unweight” (or “unload”) patients as they walk, stand, or perform various exercises on the treadmill under the close supervision of a therapist. The unit can unweight patients as much as 80 percent while allowing normal gait mechanics. To use the AlterG, patients put on special pants that zip into an inflatable chamber on the treadmill. The therapist then calibrates the machine and increases the air pressure in the chamber to the desired level. Video cameras located at the front and on either side of the treadmill allow the patient and therapist to observe on a monitor exactly what’s going on with the patient’s gait

from multiple vantage points. Perhaps not surprisingly, unweighting patients with the AlterG has a wide range of uses in orthopedic and sports medicine, for example in rehabilitating patients with total knee or hip replacement, arthritis, ACL or Achilles tendon injury, or any other injury, surgery, or disability affecting the lower body. It’s also helpful for athletes who want to increase their training volume or stay in peak condition while recovering from injury or surgery. Laurels physical therapy assistant Brad Weaver explains that patients are often given specific weight-bearing limitations by their doctors. For example, an orthopedic patient may be told to limit weight bearing on a particular extremity to only 50%. “With the AlterG, we can very precisely dial in any level of weight bearing, with increments as small as 1%, so we can stay in total compliance with doctors’ orders as we work on increasing activity tolerance,” he says. As the patient’s tolerance increases,

the therapist can adjust the amount of weight borne by the body incrementally downward until the patient is able to manage the activities at normal weight and can then transition to performing them with no assistance from the machine. However, the applications for this technology go far beyond orthopedic and sports rehab. “For example, the AlterG can be tremendously advantageous in boosting activity tolerance in patients with congestive heart failure or other cardiac conditions, so we’ve incorporated the unit in our cardiac recovery program to prepare them to function independently at home as well as to get them ready to participate in a formal cardiac rehabilitation program,” says Weaver. Other applications include promoting weight loss in significantly overweight patients so they can qualify for joint replacement or other procedures, conditioning and fall prevention in the elderly, and improving gait mechanics and trunk control in patients with neurological conditions

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

: My father has been complaining

When antibiotics of are certain noises driving him up appropriate? the wall, and he’s starting to appear

So, how do doctors the depressed and scared.determine Can you please difference between a severe cold and tell me a little bit about hyperacusis and awhat bacterial can upper-respiratory be done about it? infection? Sometimes they can’t. A throat culture may help them pinpoint the problem, : I am so sorry to hear about the or thesituation presenceyour of an ear infection can dad is experiencing, be a good indicator. In some cases, and, yes, I can fill you in on hyperawheezing (assuming the patient is not cusis. First you need to understand asthmatic) can be a tip-off as well. what hyperacusis is along with signs However, many of the symptoms and what can be done. Hyperacusis that parents find especially alarmis a condition whichrunny an individual ing, such as a in “green nose” is intolerant to everyday sounds and a spiking high fever, can and, be in turn, developed anorincreased caused byhas either a bacterial viral insensitivity to the same sounds in their fection. normal who In theenvironment. past, doctorsIndividuals would often suffer from hyperacusis complain prescribe a broad-spectrum antibiof everyday being(orway too otic just to coversounds all the bases to placate the patient). this approach loud. Because of But, this sensation, their only to theinresistance dailycontributes life is affected, particular problem. Today, and more their quality ofmore life. They maydocstart tors are refusingbytousing prescribe compensating someantibitype of otics unlessor there is clearwhen evidence that earplugs earmuffs they are the problem is bacterial or the infecoutside of their environment where tion not resolve the theywill cannot controlthrough the noise tonatease ural action of the patient’s immune their pain. system.

Hyperacusis causes normal sounds that most people hardly notice to The dilemma suddenly become irritating and even Antibiotic resistance is an especially painful. Examples of these sounds troubling phenomenon, because anare alarms, clanging dishes, tibiotic treatment is stillof one of thea hair dryer, orofeven a baby crying or foundations modern medicine. children laughing. This sensitivity We rely on them to cure a vast array noise may then lead a phono oftocommon infections, andtothey also phobia, which is a fear of noises. play an integral role in surgeries, This needs toand be addressed as soon chemotherapy organ transplants. And, since nothing better has comein as possible to prevent it resulting along yet, researchers the individual avoiding must social conactivstantly struggle to stay one step ahead ities fearing they will be exposed to ofharmful the ever-changing sounds. bacteria by developing newer antibiHyperacusisand canstronger affect children

otics. Unfortunately, they are not alfor free bus transportation to and ways successful, and there have alfrom The Laurels based on distance ready been numerous cases of from the facility and accessibility to infections that no longer respond to their home. ❦ even the strongest antibiotics.

The alarming Laurels of Toledo accepts Medicare, An development

Medicaid,onand all private commercial Research antibiotic resistant strains insurances. A physician’s orderonis of bacteria has focused primarily required to obtainbacteria. outpatient services. disease-causing However, For more information, call 419-536-7600 recent studies indicate that harmor visit www.laurelsoftoledo.com. less bacteria can actually transfer resistance genes to disease-causing bacteria. Therefore, whenever antibiotics are used indiscriminately, such as with livestock, resistance can become a problem. For example, harmless bacteria that occupy the intestines of cattle may develop resistance against the antibiotics that are regularly administered to keep them in good health. These same bacteria can end up on meat in the supermarket display case and later appear in a person’s intestine. The bacteria and adults is rare. only need tobut remain inIt’s theestimated person’s intestine foraffect less than an hour to that it may one out of every transfer their individuals resistance genes to 50 thousand and may human pathogens. essence, be caused by suchInfactors as these damharmless bacteria become resistance age to the cochlea (inner ear) from “reservoirs.” overexposure to loud noises, such is not intended to be angun inas This certain work environments, dictment of antibiotic use. After all, anfire, concerts, fireworks, and even tibiotics are truly “miracle drugs” the deployment of an air bag. Head that have saved millions of lives since injuries, autoimmune disorders, and penicillin was first discovered in the chronic earwithout infections a few more 1940s. And, theare availability of factors that can lead to this condition. antibiotics, illnesses like strep infecWhat be donewould to treatcomthis tions and can pneumonia disorder? It needs to be managed as monly lead to the death of patients. soon as possible. A team approach The real problem lies with the indis-is necessary,orincluding an audiological criminate inappropriate use of anconsult and then a personalized team tibiotics. Fortunately, more and more approach to beginning include a neurologist for doctors are to hear this microbial call and atofamily premigraineswakeup or head injuries, scribe antibiotics moremedication, judiciously.a physician to monitor And, the emphasis in medicine is bepsychologist who has expertise in ginning to shift toward preventive cognitive behavioral training, and health care and immunization even occupational therapy forrather those than simply looking for the newest who have tolerance disturbances to “wonder cure.” ❦ sensory activity.

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Bacteria multiply at an alarming such as Parkinson’s disease, stroke, rate (one bacterium can generate a traumatic brain injury, cerebral palsy, population of one million in only and multiple sclerosis. six hours) and each consecutive genLaurels rehab patients appreciate eration of bacteria will exhibit the that there’s no extra cost to incorposame antibiotic resistance. This is rating the AlterG in their therapy why an antibiotic that has been efprograms—and it’s available fective for years that against a certainto both inpatient and outpatient rehab bacterial infection “suddenly” stops clients. Patients in the working. Penicillinparticipating is a good example outpatient program—which is offered of this phenomenon. It used to be seven days a week—may highly effective against a also largequalify percentage of bacterial infections. Today, only around 25 percent of bacterial infections respond to treatment with penicillin. For another example, a child may be successfully treated with amoxicillin for ear infections on three consecutive occasions, but it is no longer effective against the fourth infection. This means that the bacteria causing the infection have become resistant to amoxicillin, and the doctor will have to prescribe a stronger antibiotic.

There is help, and the quicker hyperacusis is addressed, the greater the rate of success. If you, a friend, orTo family appears to have themember editor: hyperacusis, take action. issue. Contact I enjoyed your December your or audiologist (Themedical articles doctor about heart attack (hearing healthcare professional) for and shoveling snow.) Would it be out of line to assistance, and, as always, if sugwe can gest that paper try tofeel en-free answer anyyour question, please able-bodiedOhio people to tocourage contact Northwest Hearing help their neighbors out when it ❦ Clinic. is not safe for them to shovel their public sidewalks as reRanda Mansour-Shousher, AuD, quired by law in so many comCCC-A, is a Doctor of Audiology with munities? I think it is called a Northwest Ohio Hearing Clinic, located random act of kindness. at 1125 Hospital Dr., Suite 50 in Toledo —David Axilrod

(419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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Summer travel with allergies and asthma

W John Winder MD, CPI, Director Dr. Winder is Board Certified in allergy and immunology and also a Certified Physician Investigator (CPI). Over the past 35 years he has completed over 350 clinical trials, primarily for allergic rhinitis and asthma. Other areas studied include eczema, hives, GERD, IBS, obesity and COPD. Call TOLEDO CENTER FOR CLINICAL RESEARCH (TCCR) at 419-885-5163 to obtain more information and/or to be added to our database for future studies. Dr. Winder continues his active allergy practice seeing adults and children with allergies, asthma and chronic sinus conditions. He is currently accepting new patients at 5800 Monroe Street, Sylvania, OH 43560 To schedule an appointment, call 419-885-5755.

ith another summer travel season upon us, many people across the country are getting ready to depart on long-anticipated, wellearned vacations—some to far-flung destinations, others closer to home. If you or someone in your family suffers with allergies and asthma, keep in mind that you may need to do some additional planning and preparation before departure. If you want to keep those unpleasant—or even life-threatening—allergy symptoms at bay when you travel this summer, you’ll need to:

Research the allergens at your destination The old real-estate adage that the most important issue is “location, location, location” applies just as well to people with allergies and asthma. Depending on where you live or where you’re heading, you’ll be exposed to particular allergens at different times of year. That’s why

It’s 4 o’clock, what’s for dinner?

local residents who head for sunny Florida in winter sometimes encounter allergy problems that they hadn’t anticipated. While the Ohio landscape may still be frozen and dormant at that time of year, they’re traveling to a warmer locale where the air may be loaded with pollen and molds, and their bodies may not be prepared for the sudden, overwhelming exposure. Well in advance of your vacation, it’s important to contact your allergist to find out which allergens you’re likely to encounter at your destination and what you can do to minimize their impact. He or she may recommend starting you on allergy medications prior to your departure so you can stay one step ahead of symptoms.

Know which bugs will be there, too! Just as people with pollen and/or mold allergies need to find out which allergens might be floating in the air

Walt’s Corner Turn to this tantalizing column each month for a healthy, flavorful recipe from Walt Churchill’s Market—like this one for Mango-Black Bean Salad with Avocado.

Mango-Black Bean Salad with Avocado Ingredients:

Not a problem at Walt Churchill’s Market.

1 mango, peeled and cut into 1-inch cubes 1/2 avocado, cubed 5-6 cherry tomatoes, halved 1/3 cup chopped cilantro 1/2 cup cooked black beans 2 Tbs. minced red onion 1.5 oz arugula Juice from 1 lime 1/2 tsp. salt 2 tsp. extra virgin olive oil Directions:

WaltChurchillsMarket.com Maumee 419.794.4000 | Perrysburg 419.872.6900 20 May 2017 | Healthy Living News

Gently combine all ingredients except oil. Finish with a drizzle of olive oil. Makes 1-2 servings. We love feedback. Like us on Facebook. Follow us on Twitter.

at their destination, it’s critical for people with known insect allergies to discuss with their allergist whether any stinging insects—such as bees, wasps, hornets, or fire ants—are likely to be present and active in the area and what to do in the event of being stung.

Remember that you’ll be leaving your allergy comfort zone People with allergies and asthma typically do a pretty good job of creating a home environment that minimizes their exposure to allergy triggers. For example, dust mite allergy sufferers commonly cover their mattress and pillow with hypoallergenic linens, and those with dog or cat dander allergies typically exclude those pets from their home or limit them to certain rooms in the house. However, allergy sufferers have no control over these circumstances when they travel and have to stay in a hotel or motel or in a friend’s or relative’s house. Again, discussing with your allergist where you’ll be staying and what allergy triggers you might encounter (such as Aunt Myrtle’s beloved cat)

will give him or her important insights on how to protect you from allergy symptoms on your trip.

Take precautions against food allergies If you have food allergies, the best way to ensure that what you eat is safe is to take your own foods with you on vacation. Of course, this isn’t always a practical solution—for example, if you have to reach your destination by airplane. In this circumstance, people with food allergies should: • Verify ahead of time that safe foods are available at their destination. Most familyfriendly tourist destinations are more than willing to make accommodations for guests with food allergies if given advance notification. • Be sure to wipe off the folddown tray table, armrests, and other surfaces around their seat when flying—you never know what the person who sat there on the previous flight was eating. • Seek a flight designated nut-

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free if allergic to nuts. • Be wary of food labels when traveling outside the US. Not all countries demand the same strict labeling that our FDA does. • Err on the side of caution and avoid foods if they have any doubts about their ingredients.

Make sure your medications are handy Prior to your vacation, make sure you’ve packed all your allergy/ asthma medications—including self-injectable epinephrine and/or asthma inhalers if appropriate— and that they are conveniently accessible. If you’ll be flying to your destination, make sure all your medications are packed in your carry-on and taken on board the plane with you. Don’t put them in your checked baggage. Also, to avoid any unnecessary delays or unpleasantness in the airport security screening line, be sure to declare your medications to the TSA security officials.

Locate the nearest healthcare facility In addition to keeping medications N O R T H A M ER I CA’S

handy at all times, if you have asthma or known food allergies, it’s vital to locate the nearest urgent-care facility at their travel destination. If you’re planning a camping vacation or other form of wilderness travel, verify that there is a hospital within ten miles of your campsite/wilderness location. Also, be sure to take your allergist’s and primary care physician’s contact information with you in case you develop problems with your allergies or lose your medications. He or she may be able to phone in a prescription to a pharmacy at your destination so you can get relief. Most importantly, if you experience an allergic reaction or asthma attack that may be life-threatening, call 911 immediately.

Get well ahead of time Summer vacation is supposed to be a time to relax and get closer to your family. Why let allergies and asthma stand in the way? Discuss with your allergist ahead of time steps you can take to nip vacation allergy symptoms in the bud—such as starting medications before you travel—and, if you have severe allergies, how to In t r A d v a n o du c e d c in g A i r S M ic y s t e m r oS oot – he!

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It's better to be lucky than good. As when you are trying to guess when and where a whale might breach.

oes anyone ask to see your vacation photos? Me neither, usually. Even family suddenly find an urgent reason to leave for the mall. Other people’s pictures are boring—even when we are polite enough to pretend they are not. For that matter, some people find their own pictures boring within hours of when they were taken. But, magically, after 25 years or so, they become intriguing again. We really shouldn’t have to wait that long to honestly and sincerely enjoy our pictures. Our friends Rick and Sharyn invited us to visit them in Hilton Head on our way home from Savannah. Imagine my surprise when Sharyn asked if they could see pictures from our trip to Alaska. (Whoa, Nellie!) When someone asks to see your pictures without being coerced, you feel quite flattered. Humbled even. No. I wouldn’t go quite that far. Sharyn didn’t know that I took 1,439 pictures. Even if each were a gem of the photographer’s art, she and Rick could never sit through, well, let’s see what that would be.

Some animals, like these sea otters, are shy rather than dangerous. Zoom in so they don't flee before you can get the shot.

Five seconds to look at each times 1,439 = 7,196 seconds. Divided by 60 seconds in a minute = 119.9 minutes. What the heck, let’s just call it two hours. Zzzzz. So I used my laptop to edit my selection of the best and added some titles and even a music sound track. Now I have a 13 minute, 45 second program. Which, Shirley says, is still 13 minutes too much. But Shirley and I have diverging opinions about what constitutes an interesting photo. You should know in advance that she has not approved anything that I am about to say. So this column is essentially no different from any other I have written since 1996.

Don’t get yourself killed Ok. This is serious now. Over the years I have nominated tourists for the coveted Boobis americanis Award because they demonstrated that Darwin was right: You screw up, you die. At the top of Alberta Falls in Rocky Mountain National Park there was a fellow positioning himself to take the

—Continued on page 48

You don't have to get within 10 feet of dangerous animals if you have a 20X zoom.

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St. Clare Commons earns Nursing Care Center Accreditation from The Joint Commission

HI Living Communities St. Clare Commons announced it has earned The Joint Commission’s Gold Seal of Approval® for Nursing Care Center Accreditation by demonstrating continuous compliance with its performance standards. The Gold Seal of Approval® is a symbol of quality that reflects an organization’s commitment to providing safe and effective patient and resident care.

The Gold Seal of Approval® “The Gold Seal of Approval is not mandatory for nursing homes. Rather it shows St. Clare Commons has a commitment to quality care by going above and beyond what is mandated,” explained Michael Freeman, Executive Director of St. Clare Commons. St. Clare Commons underwent a rigorous on-site January survey. During the review, Joint Commission expert surveyors evaluated compliance with nursing care center standards ®

related to several areas, including assistance with activities of daily living, coordination of care, and staff education and training. Surveyors also conducted on-site observations and interviews with leaders and staff of the organization.

Staff works together to provide quality patient care “Joint Commission accreditation provides nursing homes with a framework for the processes needed to improve the care patients and residents receive,” said Gina Zimmerman, MS, executive director, Nursing Care Center Accreditation Program, The Joint Commission. “We commend St. Clare Commons for its efforts to become a quality improvement organization.” “St. Clare Commons is pleased and excited to receive accreditation from The Joint Commission, the premier health care quality improvement and accrediting body in the nation,”

added Freeman. “Staff across the organization continue to work together to develop and implement approaches and strategies that have the potential to improve care for our patients and residents.”

The perfect stepping stone from hospital to home This dedication to providing the best in-patient and resident care makes St. Clare Commons the perfect setting for recuperating between hospitalization and home in your own private suite. St. Clare Commons’ post-acute rehabilitation program is designed for those recovering from acute situations, such as cardiac conditions or stroke, fractures, and hip and knee replacements. The professional team monitors each resident’s medical condition through a specially-designed, individualized care plan.

With a rehabilitation center with therapists just steps from your door, you’ll improve and grow stronger as our staff adjusts care and services until you are ready to go home. The short stay at St. Clare Commons is the perfect stepping stone from hospital to home.

Located near Levis Commons St. Clare Commons is located at 12469 Five Point Road, Perrysburg, just a few miles down the road from Levis Commons, and offers a continuum of care that includes assisted living, memory care, skilled nursing, and rehabilitation services. St. Clare Commons makes every person feel that home is here. To learn more, call 419-931-0050 or go to homeishere. org. Follow us on Facebook. ❦

St. Clare Commons earns accreditation from The Joint Commission Accreditation by The Joint Commission is a voluntary process that is above and beyond what is required by federal and state mandates, and demonstrates St. Clare Commons’ commitment to the highest level of care.

The Gold Seal of Approval® is a symbol of quality that reflects commitment to providing safe and effective patient and resident care.

Offering a continuum of care that includes assisted living, memory care, skilled nursing and rehabilitation services, St. Clare Commons makes every person feel that home is here. To learn more about call 419.931.0050 or visit homeishere.org. Follow us on Facebook.

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• Scooters

• Vehicle lifts

• Power chairs

• Ramps/ramping systems

• Patient lifts • Hospital Beds

earing the words, “Your child has autism” or “…she will be born with Down syndrome” can be scary for a lot of parents. More often than not, it’s the unknown that is the scariest part. “What does this mean for my child? Will he be able to do the same things other kids do? What kind of services are available if I need them?” For parents of kids (and adults) with different developmental disabilities like autism, Down syndrome, Asperger’s, and others, navigating their way through the maze of things they need can be very confusing. Camp Courageous & The Arc of Northwest Ohio is a local non-profit that specializes in serving the developmentally disabled population and their families. We serve all ages and ability levels. Founded over 50 years ago by a group of dedicated parents advocat-

ing for their children’s rights, Camp Courageous & The Arc’s mission is to help our consumers live full lives and become productive members of their community. We offer a wide range of programs and services, from camping experiences and life skills classes to advocacy training and parent support. Let us help you navigate the maze and find the right supports for your child and your family. For information on programs, events, or volunteer opportunities, or to tour our camp, call 419-882-0941 or visit www.campcourageous.com or www.arclucas.org. We look forward to serving you! ❦ Executive office: 3450 W. Central Ave., suite 354, Toledo, Ohio 43606, 419-8820941. Camp address: 12701 Waterville Swanton Rd., Whitehouse, Ohio 43571, 419-875-6828.

We also offer: equipment • In-home assessments and demonstrations • Short-term rentals for scooters, wheelchairs and stair lifts

Repair services by highly trained technicians

Visit our website or stop by our showroom to learn more! 5702 Opportunity Dr., Toledo | 800-544-7460 promedica.org/activemobility

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BE FAST

to recognize the symptoms of stroke

troke afflicts nearly 800,000 people the emergency and take prompt each year and is a major cause of action to get help. The good news death and disability in our nation. is, there is an acronym developed While today’s advanced treatments by the American Stroke Association are significantly improving stroke that can assist people in determinpatient outcomes and mortality, time ing whether they or someone they is always of the essence when it comes know could be having a stroke so to this disease. The earlier treatment they can seek treatment in a timely is initiated after symptom onset, the manner—BE FAST. less damage to the victim’s brain and Jumaa urges everyone to become the more likely he or she will recover familiar with this acronym, which fully from the episode with few or stands for: no long-term functional deficits. Balance—Sudden loss of balance or According to Dr. Mouhammad coordination or difficulty walking. Jumaa, Medical Director of the UTMC E yes—Vision problems in one or Stroke Network, both stroke and the both eyes. medications and surgical techniques Face—Numbness, tingling, weakness, used to treat it are highly time senor drooping. (Ask the person to sitive. “With stroke, injury to the smile to see if one side of the face brain gets progressively worse with droops, causing an uneven or the passage of time,” he says. “If crooked smile.) only minutes pass before the patient A rm or leg—Numbness, tingling, reaches us for help, it’s much easier or weakness in one or more exto treat the stroke successfully than tremities. if several hours have elapsed.” Speech—Slurred or garbled speech Jumaa further explains that there or the inability to speak. (Ask the are two distinct types of stroke. Ischperson to repeat a simple phrase.) emic strokes, which are the most T ime—If you observe any of these common, are caused by a blockage symptoms, it’s time to call 911 in a blood vessel that delivers oxygen immediately. Also, if known, note to the brain. Hemorrhagic strokes, on the exact time when the sympthe other hand, occur when a blood tom(s) started. vessel bursts and causes bleeding in the brain. “These two forms of In some cases, Jumaa notes, the only stroke have the same risk factors but symptom stroke patients experience are treated very differently. They’re is dizziness, which is a very important almost opposite conditions,” he says. sign because it suggests that the part Several groundbreaking stroke of the brain that controls equilibrium treatments have been studied and has been affected—and the long-term approved over the past few loss of equilibrium can be decades, and these, too, are very disabling. highly time sensitive. For Jumaa also emphasizes example, the clot-busting that bystanders should not drug TPA must be adminattempt to transport stroke istered within four and victims to medical care. a half hours of symptom Nor should stroke victims onset, and neurointerattempt to self-transport. ventional surgical techInstead, they are urged to niques, involving the use call 911 to bring EMS diof a catheter and various rectly to the scene. “Stroke devices to retrieve clots care begins in the field,” he from small blood vessels Dr. Mouhammad Jumaa states. “EMS personnel are in the brain, have a time the first to communicate window of up to 12 hours. Surgical with the patient and family. They interventions for hemorrhagic stroke know what questions to ask and must be performed within the first the importance of establishing the few hours of symptom onset as well. patient’s ‘last known well,’ or when The signs and symptoms of stroke he or she last felt normal. In addition, are varied and oftentimes subtle, many of the EMS people we work which can make it challenging for with are trained to recognize the victims or bystanders to recognize severity of a stroke and to determine

When stroke occurs, BE FAST Trust the 24/7 stroke team at The University of Toledo Medical Center Stroke can strike suddenly, and without rapid intervention can lead to potentially profound disability. Learn to recognize the signs of stroke so you can help save a life or prevent debilitating effects of a neurological event.

Balance: Sudden loss of balance or coordination or difficulty walking. Eyes: Vision problems in one or both eyes. Face: Numbness, tingling, weakness, or drooping on one side of the face. Arms: Numbness, tingling, or weakness in one or more extremities. Speech: Slurred or garbled speech or the inability to speak. Time: If you observe any of these symptoms, it’s time to call 911 immediately. Also, if known, note the exact time when the symptom(s) started. Trust the 24/7 team at The University of Toledo Medical Center’s primary stroke center to provide rapid assessment and treatment of acute stroke. UTHEALTH.UTOLEDO.EDU

Lutheran Homes Society is now Genacross Lutheran Services For more than 150 years, Lutheran Homes Society has been ready to help when life presents challenges and opportunities. To better reflect the diverse populations we now serve, we’re changing our name to Genacross Lutheran Services. Through our youth services, affordable housing, home health, community services, and senior living options, we will adapt to meet the needs of people in and around northwest Ohio. Moving forward as Genacross Lutheran Services, one thing will not change – our deep commitment to faithfully serving people of many different generations.

Ministry support 2021 N. McCord Road | Toledo, OH 43615 P: 419.861.4990 | GenacrossLutheranServices.org

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whether it’s best to transport the patient to the nearest hospital or to a tertiary facility that is able to provide specialized treatments.” In addition to BE FAST, perhaps the most important message with respect to stroke is, “Time is brain.” The more time that elapses between

the onset of symptoms and the start of treatment, the more brain tissue is damaged and the greater the risk of permanent disability or death. So if you or someone else experiences any of the symptoms listed above—even if only temporarily—don’t hesitate to seek medical care. ❦

Managing your allergy and asthma symptoms by Tere Koenig, MD

any of us breathe a sigh of relief as the warm spring air starts to replace the arctic temperatures of an Ohio winter. But if you are one of the millions who suffer with allergies and/or asthma, you might not greet the change in the seasons with relief. Your eyes water, your nose itches, and you get a little short of breath just thinking about mowing the grass, gardening, and running around the yard with your kids. You may find yourself holding a tissue box with one hand and rubbing your eyes with the other. For people with asthma, this time of year can be challenging as your asthma attacks can be triggered by

allergies. So let’s talk about the difference between allergies and asthma and what you can do to relieve your symptoms and enjoy the beauty of Ohio while it’s not covered in a blanket of white!

Allergies Allergies happen when your immune system overreacts to things like plant pollen, grass, mold, pet dander, dust mites, or certain foods. These are often called allergy “triggers.” Allergy symptoms could include a runny nose, watery eyes, sneezing, nasal congestion, hives, an itchy throat, and possibly an asthma attack. Here are six tips to help you limit

your allergy triggers and manage your allergy symptoms: 1. Know what the pollen level is in your area. You can find it on the American Academy of Allergy, Asthma and Immunology website (aaaai.org). Just click “Pollen Counts” in the upper right corner of the homepage. Also, several news stations are now reporting the pollen index. When pollen counts are high, keep your windows closed and use air conditioning. Tip: Pollen counts are usually at their peak in midmorning, early evening, and when the wind is blowing. 2. When outside, wear sunglasses to keep pollen out of your eyes. 3. Don’t hang your clothes outside to dry. Pollen may stick to them and make your symptoms worse. 4. Use “mite-proof ” bedding and wash it frequently with hot water to reduce your exposure to dust mites. 5. Wash your hands after petting any animal, and wash your clothes after visiting people with pets.

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.

Call us today to schedule a personalized tour, and we can answer any questions you may have about our services for you or your loved one.

(419) 867-7926 ADDISON HEIGHTS Health and Rehabilitation Center

a Consulate Health Care Center 3600 Butz Road, Maumee, OH 43537 | www.consulatehealthcare.com

26 May 2017 | Healthy Living News

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6. Keep the humidity in your home low. This will limit your exposure to mold. Using a dehumidifier and cleaning damp areas, such as your bathrooms, kitchen, and basement, regularly can help. Avoiding allergy triggers is a great first step in relieving your symptoms, but it may not be enough. And you might not be able to avoid some triggers. There are many over-the-counter and prescription medications that can help give relief. Talk to your doctor or healthcare provider to figure out what works best for you.

Asthma Asthma is a lung disease that causes your airways to swell and become narrow. The most common symptoms are: • Coughing (especially at night, during exercise, or when laughing) • Shortness of breath • Chest tightness • Wheezing (a whistling or squeaky sound in your chest when you breathe) Similar to allergies, asthma symptoms are also caused by triggers and many of them are the same. Asthma triggers are different for everyone but may include pollen, mold, dust, ragweed, pet hair, tobacco smoke, chemical fumes, strong odors, or exercise. In addition to limiting your exposure to these triggers, it is very important to regularly take the medicines that help prevent your asthma symptoms from flaring. Asthma can be managed with both long-term medicines and fast-relief, or rescue, medicines. Long-term medicines are taken daily and are long-acting to help prevent symptoms from occurring. Fast-relief, or rescue, medicines are quick-acting and can open your airways quickly if your symptoms flare. Talk to your healthcare provider to identify your triggers and develop an action plan that will help keep your asthma under control. Asthma and allergies can be manageable if you’re prepared. Know your triggers and have an action plan so you can enjoy a safe and active summer! ❦ Tere Koenig, MD, is Chief Medical Officer for Medical Mutual of Ohio.

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We know health insurance. We know Ohio like no one else. Since our founding in 1934, Medical Mutual has called Ohio home. We know the state and understand the needs of Ohioans that live in so many great communities. And with our experience, we’re able to provide high-quality health insurance plans for individuals, families and businesses throughout Ohio while delivering award-winning customer service. That’s who we are and that’s what we do every day.

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Douglas A. Schwan, DC, Dipl ac

Energy that heals

esearch has revealed that the simple act of implanting an electrical stimulator near the spinal cord is enough to give paralyzed patients the ability to move. Apparently, just providing the electrical energy is enough to allow the inborn intelligence of the body to use it for healing. While this research is leadingedge, the use of energy in healing goes back thousands of years. In ancient China, Egypt, and Persia, they used needles with a flattened pan on top. This flattened area was just large enough to put a pinch of herb on top. The herb was then lit with fire and allowed to smolder for up to an hour. The burning herb created heat, which traveled down the shaft of the acupuncture needle and provided “heat energy” to the treatment point. In modern times, we use electricity as the preferred source of energy. Computer-controlled microstim can be precisely applied through select acupuncture needles in a safe and sterile manner. Microstim means that the amplitude of the electrical

stimulation is much smaller. This is much more comfortable for the patient, and it can be precisely directed and controlled. Using microstim with traditional needles, acupuncture channels can be energized and the healing accelerated. In our office, we have used this technique for years to treat long-term neck and back pain as well as cases of failed back surgery. In many cases of failed back surgery or degenerative arthritis, the problem is scar tissue forming around and near the nerves. We’ve all heard the stories of people forecasting the weather with their back or knees. That is true because these areas of scar tissue have trouble equalizing pressure with adjacent normal tissues. When a low-pressure storm system approaches, these tissues “throb” as the trapped pressures try to equalize with surrounding tissue. Conversely, in a high-pressure system, usually associated with great, sunny weather, these tissues no longer exert extra pressure and patients feel relatively good overall.

Energy is important to the overall function and wellness of the human body. Acupuncture is all about bringing “balance” to the energies of the body. The body is criss-crossed by pathways called meridians. Their function is to carry healing energy throughout the body. Chinese physicians call this qi (pronounced “chi”) energy while chiropractors call it “innate” energy and medical doctors call it “vital” energy. But whatever you want to call it, this energy is important in all aspects of maintaining health in the body. Adding to the qi energy of the body can greatly accelerate healing.

Dr. Schwan uses state-of-the-art computer equipment to measure selected vital qi energy levels at key acupuncture points on the body. From these readings, he can determine exactly what treatment is required.

As previously mentioned, applying computer-controlled microstim to cold post-surgical or arthritic areas can revitalize them and allow the body to convert fibrous scar tissue into a healthier sort of tissue. Many times, we will apply a current directly into the scar tissue of old failed surgical sites and the patient feels immediate relief from long-term, disabling spinal pain. Patients with foot drop or weakness due to long-term radiculopathy have also seen a halt or reversal of a percentage of their condition in some cases. In other cases, it seems to break down long-standing adhesive scar tissue from arthritis or old surgery and allow built-up, inflamed tissues to break down and clear out of the area. The end result of all this is immediate and lasting pain relief and improved neurological function. In other cases, we have used microstim acupuncture to treat cold conditions such as multiple sclerosis, fibromyalgia, or infertility. When found, cold meridians can be re-energized using microstim with frequently beneficial results to the underlying condition. Only a physician experienced in microstim and acupuncture can make

Built on 34 wooded acres, Ohio Living Swan Creek offers resort-like living in the heart of the city. There are walking trails through the woods, plenty of places to exercise and ride a bicycle or simply take the opportunity to sit back and enjoy the pleasures of life. There’s also easy access to cultural, educational and sporting venues. Our spacious apartments provide the freedom from home upkeep and maintenance so that you can live life your way. Each style of living offers a unique range of sizes, designs, features, services and amenities. There is certain to be an option that fits perfectly with your personal lifestyle.

Call 419.865.4445 or visit ohioliving.org to schedule your visit today!

Live Life Your Way 28 May 2017 | Healthy Living News

5916 Cresthaven Lane | Toledo, Ohio 43614 We love feedback. Like us on Facebook. Follow us on Twitter.

the proper determination as to the exact application of the procedure, but combining the ancient with modern techniques can give the benefits of both worlds. ❦ Dr Schwan is a Doctor of Chiropractic and a Diplomat of the International

Academy of Medical Acupuncture. He is an author, lecturer, and one-time standup comedian. He may be contacted at Dr_Schwan@acupuncturetoledo. com. For more information on alternative medicine, please visit www. acupuncturetoledo.com.

Are You Suffering? Try Acupuncture! AcupuncTure cAn help. • Migraines, Fibromyalgia & Arthritis

Super Slow Training: Never stop improving!

o you think you don’t have time to exercise? Or perhaps you have been exercising regularly for years but can’t see where you have made any progress. Well, how about trying something new? The hottest trend in exercise is the high-intensity, 30-minute, once-a-week (yes, we said once-a-week) exercise method often referred to as Super Slow Training. Though it goes contrary to what most of us have heard, believed, or practiced, it is now the most-discussed form of exercise, with everyone from celebrities to CEO’s and even pregnant women welcoming the opportunity to free up their time and still, or even finally, get results. What do you have to lose? It can be done on your lunch hour, and you don’t even have to change and shower. A visit with Russ Wakefield, an experienced personal trainer and owner of TriggerPoint, enlightened us. “I have been doing high-intensity workout for years at regular gyms, but it is more efficient if you have the correct equipment, “he explained. If there is a good advertisement for this workout, it is Wakefield himself, who has been an advocate of high-intensity workouts for over 25 years. “Don’t let the fact that it is high-intensity put you off. It is perfect for everyone and all ages, including ‘Type A’ personalities and even pregnant women,” he said. This workout is not only efficient, but also safe because it is totally one-on-one with Wakefield monitoring and adjusting your every move. While anyone can fit a 30-minute

workout into their schedule, skeptics will ask how it is possible for this to actually work. There are two main reasons for the results: Moving slowly keeps the tension on the working muscle throughout the whole movement. There is none of that fast momentum that helps you work while lifting weights. This is done very, very slowly, really working those muscles. The high intensity causes the body to adapt. The exercise is a stimulus, and the body uses seven days to recover, producing the desired results. According to Wakefield, any additional exercise can prevent the body’s building of strength and fat-burning muscle mass. He added that lower-intensity activities, such as running, stair stepping, and treadmills, really don’t burn that many calories and can cause injuries to the knees and hips. We had the opportunity to observe Eric Bueter, a client, during his workout. Arriving and remaining in street clothes, with fans turned on to keep the room cool, Bueter slowly and efficiently went through his routine under Wakefield’s tutelage with weights and on the Super Slow exercise machines before returning to work. Wakefield added that Bueter has been working with him for a number of years, and during that time the weights have been gradually increased under his supervision. ❦ Four free trial sessions are offered. For an appointment, call Russ Wakefield at 419-536-0408. TriggerPoint, located at 2449 N. Reynolds Rd. in Toledo, is also on Facebook.

• Infertility, Menopause & PMS • Bell’s Palsy, Carpal Tunnel & Sciatica • Pinched Nerve, Allergy & Sinusitis • Smoking, Weight & Stress Control

Better health. naturally.

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

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

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

Schwan chiropractic & Acupuncture center

Call for your FREE Consultation Today!

2828 W central Ave, Toledo • AcupunctureToledo.com

Covered by VA, BWC, PI Insurance

419-472-7055

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Wise words from

OTTERBEIN Downsizing for seniors is a difficult task

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? 1. Don’t bite off more than you can chew. Tackle one room at a time. Don’t expect to

30 May 2017 | Healthy Living News

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. 2. Frame the “keep” or “get rid of ” 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?” 3. 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. 4. 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. 5. 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. 6. 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. 7. 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. 8. Important papers can be downsized. You must keep originals for

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. ❦

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Tips for race recovery

Outdoor Pool Opens May 27th

by Amanda Manthey

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

her clinical history. Once it’s been established that a TIA likely occurred, potential causative factors can be explored. Treatment for patients who have had a TIA or stroke has evolved significantly in recent years with the onset of neurointerventional surgery. Neurointerventionalists are highly specialized vascular surgeons who use advanced, minimally invasive techniques and devices to reach into blood vessels in the brain and clear blockages. “I equate plaques in blood vessels with potholes in streets. What collects in the bottom of potholes? Debris. Using specialized catheters and devices, we can go in there and clean out that debris. In the past, this was impossible because the vessels in the brain are tissue-paper thin. That’s what makes these new techniques so remarkable. However, we must get to the patient within a matter of hours to be successful,” Dr. Kasper says. With respect to prevention, the same healthy lifestyle choices that help prevent stroke and heart disease can help keep TIAs at bay. Dr. Kasper advises patients—especially those with a family history of stroke—to keep their blood pressure in a healthy range, control their blood sugar level if they’re diabetic, eat healthy foods, exercise regularly, and avoid smoking. “Smoking is the biggest issue on the vascular side because it not only causes blood vessels to constrict, but also leads to hardening of the arteries,” he says. Moreover, your doctor may prescribe a daily aspirin regimen if you are at elevated risk of having a stroke. As a potential sign of something more sinister, the experience of a TIA should prompt the victim to get medical attention. If you notice any of the stroke-like symptoms described above in you or someone else, don’t hesitate to seek treatment, even if they resolve rapidly and everything appears to be “back to normal.”

troke-like symptoms that come resolution of symptoms can create a on suddenly and resolve quickly false sense of security in those who should never be ignored or dismissed experience a mini-stroke. “After a as an insignificant, passing event. This TIA, many patients think, ‘Well, I type of episode, though temporary, don’t know what that was, but I’m Girls on the Run of Northwest could actually be a mini-stroke, or back to normal now,’ and then they Ohio Spring 5K transient ischemic atforget all about it. But Sunday, May 20, 2017, 9:00 a.m. (Kids tack (TIA)—a warning if you have a TIA, it’s Fun Run 8:15 a.m.), University of sign that a potentially critical to see a doctor to Toledo, 2801 W. Bancroft St., Toledo, deadly or debilitating begin a workup because Ohio. larger stroke may be the next episode may looming on the horizon. be something major. Solomon 5 “Kay” Run/Walk According to In fact, it’s estimated Saturday, May 20, 2017, 8:30 a.m. (Kids Gregory Kasper, MD, that 30 to 50 percent Fun Run 8:00 a.m.), Solomon School, FACS, president and of patients who have 305 West Main St., Woodville, Ohio. chief medical officer TIAs and don’t seek of Jobst Vascular Intreatment will have a B.E. F.A.S.T. 5K Run Walk stitute at ProMedica stroke within a year,” Sunday, May 21, 2017, 9:00 a.m., Toledo Hospital, a TIA says Dr. Kasper. Ottawa Park Shelter House, 2200 can cause a variety of What causes miniKenwood Boulevard, Toledo, Ohio. stroke-like symptoms, strokes? As Dr. Kasper Dr. Gregory Kasper such as numbness or explains, the leading Du the Oaks weakness in the face, arm, or leg, often theory is that a clump of platelets Thursday, May 25, 2017, 7:00 p.m., Oak occurring on one side of the body; or a piece of clot travels “upstream” Openings Metropark, 5230 Wilkins trouble seeing in one or both eyes; and blocks a small vessel in the brain, Rd., Whitehouse, Ohio. trouble walking, dizziness, or loss of causing loss of function in that porbalance or coordination; confusion; tion of the brain. Then, pressure Run the 419 Grand Prix Saturday, May 27, 2017, 7:00 a.m. or difficulty with speaking. This last builds up behind the blockage and Consists of five unique runs through symptom might involve slurring of it suddenly breaks up and disperses Metro Toledo area. See davesrunning. words or expressive aphasia, meaning like a clump of sand, allowing blood the person knows what he or she flow and function to return. Enzymes com for details. wants to say but simply can’t say it. produced by the body that dissolve The symptoms persist less than 24 clots naturally may play a role in WTOL River Run 10K Saturday, May 27, 2017, 7:30 a.m., 730 hours—usually less than an hour— releasing the blockage as well. Because TIAs are temporary by and then resolve completely. N. Summit St., Toledo, Ohio. Unfortunately, this relatively rapid nature and doctors are unable to perform tests to determine whether one has happened or not, diagnosis is based on pieces of information the patient provides, primarily his or Remember, taking swift action in PAVING the event of a TIA could very SEALING well prevent a deadly or debilBLACKTOP An ischemic itating stroke in the future. ❦ stroke occurs Friday, May 19, 2017, 6:30 p.m./6:40 p.m., The Shops at Fallen Timbers, 3100 Main St., Maumee, Ohio.

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A hemorrhagic stroke (left) occurs when a blood vessel bursts within the brain.

when a blood clot blocks the blood flow in an artery within the brain.

Gregory Kasper, MD, FACS, is a board-certified vascular surgeon with ProMedica Physicians and the president and chief medical officer of Jobst Vascular Institute. To schedule an appointment, call 419-291-2003.

4694 W. Bancroft • Toledo, Oh 43615

32 May 2017 | Healthy Living News

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6394 LCBDD_16AnnRpt_HLN317.qxp_Layout 1 3/31/17 10:20 AM Page 1

50 Years

2016 Report to the

Community

The Lucas County Board of Developmental Disabilities would like to thank the residents of Lucas County for their ongoing support. The employees of the Board work very hard to serve the individuals of our community and to be mindful of the trust placed in us. There are significant changes underway in how the Board is providing its services. Never before has the Lucas County Board of Developmental Disabilities been involved in such a huge systemic change as what it is now experiencing. Because the Lucas County Board of DD is a Medicaid administrative agent and determines eligibility for service, Medicaid mandates that the Board have “conflict free case management.” This requires the Board to eliminate its direct services. Eliminating direct services has the potential to affect every person served, families, staff and the entire provider community. The first major change was ending transportation services provided by the Board. These services are now being provided by TARTA, TARPS and other providers in the community. Vocational training and employment managed by the Board through Lott Industries will end this year. Lott, a not-for-profit corporation, is being reorganized and starting to operate independently from the Board of DD. A major emphasis of the Board will continue to be in Provider Support. We want to help providers maintain regulatory compliance and build upon their strengths. We will also grow our efforts developing providers in specialty areas, such as, seniors and people with autism. In 2016 the Board was fully accredited by the Ohio Department of Developmental Disabilities… and by CARF, the international Commission on Accreditation of Rehabilitation Facilities. Accreditation means state-of-the-art programs and quality service delivery. 2016 was the first full year for our new Mission Statement: Improving LIFE so that individuals with developmental disabilities reach their full potential. A series of television announcements highlighted the new Mission… and the four Core values: • Living the Life I desire; • Being included and accepted; • Having my voice heard in decisions that affect me; and • Being able to share my talents. Highlights of our 2017 Action Plan include: • Utilizing a grant from Leadership Toledo to develop a network of volunteers to support individuals in community-based activities; • Developing programs in association with the Arc and Camp Courageous to enhance self-advocacy through People First; • Employing a state grant to help direct service providers recruit staff and increase retention; and • Recognizing the vulnerability of persons with developmental disabilities to be victimized, the Board will maintain its involvement with the Human Trafficking Coalition. The year 2017 marks that 50th anniversary of county boards of developmental disabilities. We recognize it will be a year of ongoing change and new challenges… but also a year in which we will continue to support eligible individuals and their families in developing a vision for the future based on individual strengths, interests and choices. 2016 Cash Receipts Local Taxes Federal Funds State Funds Other Funds

66% 23% 10% 1%

2016 Direct Service Expenditures Medicaid Match Direct Service

34% 66%

2016 Expenditures

Direct Service 87% Administration 10% Quality Assurance 3%

lucasdd.org Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | May 2017

EATING WELL

by Laurie Syring, RD/LD

TM TM

Weight loss myths

A “Women are Women are

s warmer weather approaches, many of us are thinking about shorts and flip flops. Many of us are also feeling more than a little anxious about fitting into those shorts because of the extra pounds we may have packed on over the winter months. So we start scrambling to find a quick and easy fix to this dilemma, which makes us vulnerable to the myriad weight-loss fads and myths circulating out there—varying from a shot of apple cider vinegar every day to the Whole30 Diet. Here are some of the most common weight-loss myths you might encounter:

calling callingthis thisare Women Women are Women are “life changing.” life changing.” calling this calling this calling this “life changing.” Have you experienced“life changes inchanging.” your vaginal “life changing.”

health? If you are experiencing vaginal dryness, itching, burning, painful urination pain during Have you experienced changes in or your vaginal Have you experienced changes in your your Have you experienced changes in vaginal Havevaginal you experienced changes in vaginal intercourse, it’s OK todue talk it. yourdryness, health toabout menopause or health? If you are experiencing vaginal health? IfIf you youcancer areexperiencing experiencing vaginal dryness, health?breast are dryness, “I just need to get treatment? Iforyou are itching, burning, painful urinationvaginal pain during to the gym” experiencing vaginal dryness, itching, burning, painful urination or pain during itching, burning, painful urination oritching, pain during intercourse, it’s OK to talk about it. While exercise is excellent and helps Ask usit’s about thetalk MonaLisa burning, painful urination or pain during intercourse, OK to about it.Touch!

intercourse, it’s OK to talk about it.

burn calories, it does not burn as

Certain foods increase metabolism Metabolism is the process of taking what we eat and drink and changing it into energy for our bodies. Many infomercials and magazine ads try to trick us into believing certain foods or products have metabolism-enhancing properties. Such claims are largely unsupported by science. In reality, many factors affect metabolism, including age, body type, gender, and genetics. Increasing muscle mass through activity and strength training may help boost metabolism slightly, and some studies show that caffeine and chili peppers may have a similar slight effect on metabolism. However, much-touted supplements and foods actually show very little difference.

intercourse, it’s OK to talkinabout it. We are the first medical practice the Northwest many calories as you might think. A calorie is a calorie That means it is easy to consume While it’s true that weight loss is alOhio area offering this advanced new nonAsk us about the MonaLisa Touch! more calories than you burn and ways a matter of calories consumed Ask us painless, about thein-office MonaLisa hormonal, laser Touch! treatment. exercise alone won’t likely get you versus calories burned, one could We are the first medical the practice in the Northwest Ask us about MonaLisa Touch! to your weight-loss goal. Exercise argue that not all calories are created We are area the first medical in the offering thispractice advanced newNorthwest nonwith the objective of getting stronger equal. When it comes to calories, WeOhio are the first medical practice in the Northwest Ohio area offeringin-office this advanced newan nonhormonal, painless, treatment. For more information, planlaser to attend fitter while making healthier quality counts too. For example, eatOhio areapainless, offeringin-office this advanced new non- and hormonal, laser treatment. food choices.

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A gluten-free diet is best for everyone A gluten-free diet is necessary for individuals who are truly gluten-sensitive and have the diagnosis of celiac disease, but there is no magic in avoiding gluten. Perhaps the real magic is when people who are avoiding gluten start making healthier choices—i.e., eating more whole foods and limiting the processed stuff. Some people swear by the gluten-free diet, but do not fall victim to the empty calories found in the many gluten-free cookies, muffins, cakes, and refined-grain products. These have the same amount of calories as the regular versions.

ing 100 calories of cookies is not the same as eating 100 calories of apples or almonds. The idea is to eat more nutrient-rich foods and avoid nutrient-poor ones, such as cookies, cakes, candy, pop, and chips. Remember, no one has ever become obese from eating apples and bananas. How many calories do you need to cut in order to shed those excess pounds? Well, weight loss varies from person to person, but in general, reducing your caloric intake by 3,500 over the course of a week will lower that number on the bathroom scale by around one pound. And keep in mind that weight-loss plateaus often happen when the body adjusts to the lower number of calories coming in. If you hit a plateau, it’s important to reduce calories again, bump up the intensity of your work-

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outs, and, of course, drink water, water, water!

“If only I had some willpower!” Some people think weight loss is a simple matter of choosing to stop eating so much. The truth is, many complex factors are involved with weight loss, such as genetics, metabolism, diet history, habits, and emotional issues. What’s more, if you try to eat too few calories or eliminate entire food groups, you’ll end up depriving yourself of favorite foods and start to crave them all the more, which sets you up for failure. Although some self-discipline and willpower are often needed for successful weight loss, a more important consideration is finding a support system and a program that keeps you accountable.

a food journal or food tracker and weighing in just once a week—this can be done with a friend or family member—will also help keep you accountable. The key is finding a

way that works for you and keeps you satisfied. ❦ Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

Elizabeth Scott launches new website

he Elizabeth Scott Community, a family owned and operated independent living, assisted living, and skilled nursing and rehabilitation facility, has launched a new website that is attractive, easy to navigate, and contains a great deal of information for visitors (www.elizabethscott.org). “We’ve always received compliments from people who visited our previous website saying it was easy to use and to find the information they were seeking,” says Matt Bucher, Director of Marketing. “But it was While these weight-loss myths time to update and freshen the site.” never stop circulating, I would urge Bucher says the design of the you to start ignoring them now! new website taps into Internet usage What works is following a rational research that shows web visitors eating plan. Research shows that a are now quite comfortable scrolllower-carb and lower-fat eating plan, ing down on their screens to find along with staying within your allotted the information they seek. “Mobile 1 4/14/17 1:53 PM calories 10.25x5_ES_SkilledRehFac_Ad_HL_417_HI.pdf and being more active, yields phones and tablets have changed the best weight-loss results. Using people’s viewing habits, and those

devices are designed to be scrolled. So we followed that pattern with our new website.” Research also shows people want to click to find things, so the site was designed with navigation tabs that are easy to find. Elizabeth Scott’s new website is divided into five main sections: Where to Begin, Our Services, Our Community, Careers, and Contact. The Where to Begin section is a new addition to the site and features topics such as Which Level is Right?, Financial Considerations, Talking With a Loved One, and Help With the Transition. The Our Services section covers the six main types of services that Elizabeth Scott offers: Independent Living, Assisted Living I, Assisted Living II, Skilled Nursing, Skilled Rehabilitation, and Respite Care. Our Community covers Elizabeth Scott’s

family ownership history, explains how they are different from other facilities, provides information on the benefits they offer, and includes testimonials from residents and their family members. “We made the Careers section prominent since it is a popular part of our website that job seekers focus on when looking for career opportunities,” says Bucher. The Contact page is the fifth and final navigation tab that allows visitors to contact Elizabeth Scott or to be contacted by a staff member. “We are confident people will find our new site to be even easier and more informative than the site we’ve had in the past,” says Bucher.❦ The Elizabeth Scott Community, located at 2720 Albon Road in Maumee, is a family owned and operated facility that offers independent living, two levels of assisted living, skilled nursing, and skilled rehabilitation. All services are located on a single campus with all facilities connected. For more information, visit Elizabeth Scott’s new website at www.elizabethscott. org. You can also contact Matt Bucher, Director of Marketing, at 419-724-5021 or mbucher@elizabethscott.org.

WE’VE EARNED OUR STARS. In 2015, when we opened our skilled rehabilitation center, our goal was to offer state-of-the-art care with patient-centered therapy up to seven days a week.

Today, our patients return home faster than the national average, while enjoying private suites and delicious meals in a beautiful dining room. If you need therapy, choose the neighborhood’s only five-star skilled rehabilitation center.

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5-STAR FACILITY As rated by the Centers for Medicare & Medicaid Services (CMS)

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | May 2017

Simplify Your Medication Regimen

University of Toledo

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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1920 Indian Wood Circle, Maumee • email dirk.broersma@awitp.net 36 May 2017 | Healthy Living News

SpeechLanguageHearing Clinic

gears up for an exciting summer

by Michael Dillon, MA, CCC-SLP

ummer is just around the corner, and there is a buzz in the University of Toledo Speech-Language-Hearing Clinic (UTSLHC). That buzz is coming from the faculty and students of the Speech-Language Pathology program as they get set to launch a number of exciting summer programs for individuals with communication disorders. “The summer clinical program at the University of Toledo brings together faculty expertise, student learning, and community needs to address several focused areas of speech treatment for populations of all ages. These programs are relatively cheap or free but are backed by current research that is being conducted at the University of Toledo,” says Dr. Caroline Menezes, Program Director of the UT Speech-Language Pathology Program. Located on UT’s main campus and housed in the Health and Human Services building, the clinic provides diagnostic testing and therapy services for clients with speech, language, and/ or hearing challenges. The UTSLHC has two primary purposes. First, it serves as a training facility for advanced undergraduate and graduate students preparing for careers in the field of speech-language pathology. Second, it provides high-quality, affordable speech-language and hearing services for the community. This summer, the UTSLHC will be launching three new summer camp programs in its main campus clinic, as well as participating in two already popular specialty clinics. Local speech-language pathologist Elizabeth Maher and UT faculty member Katie Nelson will offer the Unique YAACkers summer camp for children who utilize electronic devices to communicate. This camp will take place from June 19-July 26 on Mondays and Wednesdays from 12:30-3:00 p.m. It will concentrate on building core vocabulary skills as well as developing peer-to-peer interactions through exciting and

stimulating group activities. Faculty member Adrienne Lange will be directing the clinic’s first ever Kindergarten Boot Camp, a summer camp experience for children at risk for speech, language, and/or reading difficulties who will be entering kindergarten in the fall. This program will run from July 5-27 on Tuesdays, Wednesdays, and Thursdays from 9:00-11:30 a.m. According to Mrs. Lange, “Children will benefit from fun and engaging large- and smallgroup activities focusing on speech sound production skills, vocabulary, basic concepts, following directions, sentence structure, and phonological awareness skills.” Faculty members Dr. Emily Diehm and Dr. Lori Pakulski will direct the Time Travelers Summer Writing Workshop during the week of July 24-28 from 9:00 a.m.-4:00 p.m. This program is designed to foster development and refinement of executive functioning skills (planning, time awareness and management, organization, goal-setting, self-awareness, problem-solving) and literacy skills (reading, spelling, and writing) for students with hearing loss and typical hearing peers. “We will take a student-led discovery approach, in which students will learn about historical people and places that are interesting to them,” says Dr. Diehm. This camp will culminate in a final presentation by the time travellers to family and friends, which will involve a short play and readings by the authors. The clinic also has an ongoing relationship with the Northwest Ohio Stuttering Clinic (www.utoledo.edu/ hhs/clinics/speech/stuttering/), which is directed by UT faculty member Dr. Rodney Gabel. During the summer, the NWOSC offers intensive stuttering clinics, one from July 10-21 for adolescents and adults and another from July 10-14 for children and their families. The Northwest Ohio Stuttering Clinic is housed within the UTSLHC.

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Dr. Caroline Menezes directs a clinic for individuals with Parkinson’s disease in conjunction with the International Boxing Club’s Knock Out Parkinson’s program. This program draws from the Lee Silverman Voice Treatment’s LOUD Program, which is a widely used, evidence-based treatment program for individuals with Parkinson’s-related voice disorders. This specialized clinic will take place from May 22-June 23. Dr. Menezes can be contacted at caroline. menezes@utoledo.edu. With such a wide array of programs, the University of Toledo Speech-Language-Hearing Clinic has something to benefit adults and children with a variety of communication needs. For more information regarding these exciting summer camps, please call 419-530-4339. You can also visit “UT Speech Clinic" on Facebook or visit their website at: http://www.utoledo. edu/hhs/clinics/speech/. ❦ Michael Dillon, MA, CCC-SLP, is a licensed speech-language pathologist and an associate lecturer in the University of Toledo Speech-Language Pathology Program. He currently serves as the clinic coordinator of the UT SpeechLanguage-Hearing Clinic.

Luxe Laser expands services with fun and informative events

t Luxe Laser Vein & Body Center, provide everything else, including discovering new ways to put your setup and cleanup. The only cost best face forward can be a surpris- to the group is the Botox,” he says. ingly fun and social experience. With Luxe partners with area salons a lot of exciting expansion recently and stylists to offer hosted Botox completed at the facility, including parties because these treatments are brand-new surgery and aesthetic treatment rooms as well as dedicated spaces for group use, Luxe Laser is now proud to host a variety of different events and training opportunities for the general public and cosmetic industry profesLuxe Laser has a state-of-the-art gathering sionals. space and brand new treatment rooms Dr. Wade Banker of Luxe as well as a covered outdoor patio where Laser notes that Botox par- party guests can enjoy the warm weather. ties are popular among the new services being offered and invites area groups and salons a logical extension of the cosmetic to participate. “Botox parties are and beauty services the salons alespecially fun in summertime. In ready provide. In fact, to facilitate addition to the state-of-the-art gath- the demand for Botox parties, Luxe ering space and brand new treatment has removed several salon services rooms, we have a covered outdoor from their own menu of offerings patio where party guests can enjoy to ensure that there is no conflict the warm weather. All you need to of interest. “We want this to be a do is provide a guest list, and we’ll collaborative effort, with partner

salons providing the services they excel at and Luxe Laser providing the Botox and medical treatments. This is a great option for salons to take advantage of, as our environment is purpose-built for this type of social cosmetic event,” he explains. Of course, fun events at Luxe Laser aren’t limited to Botox parties. Community groups are also urged to take advantage of special cosmetic medicine education events, where they can learn about any aspect of cosmetic medicine from the Luxe Laser team. “Just give us a call, and we’ll be happy to schedule a time for your group to meet with us and learn more about any of the services we offer,” says Dr. Banker. In addition to events for the general public, Luxe Laser offers educational opportunities to physicians and staffs from offices all around our region. These professionals come to the facility to learn how to perform the latest techniques and how to use the newest laser and cosmetic technology properly. In addition, cosmetic industry professionals are also hosted for continuing education courses. “We’re here to make it easy for VEIN & BODY CENTER both the general public and industry personnel to access the services and

OUR SERVICES, YOUR RESULTS.

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information they need, and our latest group offerings and professional partnerships will only enhance that access,” Dr. Banker states. ❦

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.

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Dr. Glenn E. Whitted 4235 Secor Road, Building #3, First Floor, Toledo 419.479.5820 | 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.

For more information on Botox parties, informational meetings, or any other

services or procedures offered at Luxe Laser Vein & Body Center, please visit their website at luxe-laser.com. In addition to comprehensive written information, the site features a wide variety of educational videos, including a 3D video tour of the facility.

Sunset’s Indian Road campus offers vibrant community with full care continuum

rea seniors who are seeking a vibrant, enriching community that offers a full range of living options and care levels will find all they’re looking for and more on Sunset Retirement Communities’ Indian Road campus—home of Sunset House and the Woodlands at Sunset House. Sunset House, founded in 1871, has continually evolved to meet the growing needs of our community. What was originally established as a “Home for Friendless Women,” now provides several options for assisted living with on-site long-term care and therapy services available for those who need it. “Our assisted-living options include beautifully remodeled studio and one- and two-bedroom apartments. Additional levels of care can be added as residents’ needs change, completing the continuum of care so residents can remain in their home for as long as possible,” states

Gayle Young, Director of Marketing, Communication and Public Relations for Sunset Retirement Communities. Sunset House has a long and storied history, and it was important that this history be recognized and, as much as possible, maintained. So, while the assisted-living apartments were updated with modern quality finishes and appliances, much of what makes Sunset House unique was maintained to reflect its historic roots. “The stately Victorian Manor, which opened its doors in 1930, offers a historic charm and elegance to enhance a vibrant life,” Young says. “Residents are surrounded by antiques and rich history, embedded with current finishes and amenities. It’s the perfect blend of old and new!” A second phase of renovation in Sunset Hall, which is nearly complete, involved remodeling the rooms to add showers to all bathrooms, re-

Vision Associates joins The Toledo Clinic

ision Associates—Northwest Ohio’s largest ophthalmology practice—has announced that it has joined The Toledo Clinic. “This is an important step for Vision Associates,” said Dr. Rodney McCarthy, President of Vision Associates. “The Toledo Clinic is the region’s most respected group of independent physicians, and our affiliation will allow us to ensure that our patients receive quality and coordinated care no matter what their healthcare needs might be.” Vision Associates consists of 12 ophthalmologists and optometrists offering services from routine exams to the medical and surgical treatment of complicated eye problems. Each eye-care sub-specialty field is represented: cornea, cataracts,

38 May 2017 | Healthy Living News

glaucoma, neuro-ophthalmology, oculoplastic and reconstructive surgery, and retinal diseases. Vision Associates will continue to serve patients at its four locations in Toledo, Bowling Green, Defiance, and Fostoria. “The Toledo Clinic is thrilled to have Vision Associates on the team,” said Dr. Ian Elliot, President of The Toledo Clinic. “Their comprehensive team of fellowship-trained ophthalmologists and highly skilled optometrists will allow The Clinic to further extend its ability to provide all-inclusive care to our patients.” The Toledo Clinic is an independent partnership of over 185 physicians and 70 additional healthcare providers and has been providing expert care in the community for over 90 years.

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moving old wooden built-in storage units to provide more flexible floor space, new paint and carpeting, as well as updating the common areas and hallways. All of these updates and amenities serve to further enhance Sunset’s already warm, home-like atmosphere. In fact, providing an environment that feels like home to residents and their loved ones is a high priority at Sunset. As Young points out, “Residents are encouraged to bring their own belongings and furnishings so they can create a personalized living space that’s a reflection of who they are, and it’s not difficult to find sitting areas in which to entertain one’s friends and family, read a book, play cards or a board game, discuss current events, or even practice piano. Also, just like at home, you can grab a snack or meal when you want, and there are plenty of scheduled activities to fill your day.” Moreover, at Sunset, everyone has opportunities for growth, regardless of their age or ability. This is a reflection of the Eden philosophy that Sunset has embraced, which is focused on providing person-centered care and vibrant, life-affirming environments. “In an Eden community, the resident

is the center of every aspect of daily life. Adding to the charm of the Eden philosophy, our residents can enjoy the aviaries, aquariums, cats, and dogs throughout Sunset House,” Young says. Seniors who choose the luxury, independent lifestyle offered at The Woodlands at Sunset House gain more than they ever imagined while leaving behind all the burdens of homeownership. As Young explains, “When you move to The Woodlands, housekeeping, lawn care, snow removal, home repairs, and all the other worries and costs associated with private homeownership are in the past. What you’ll gain is a carefree lifestyle with an attentive staff that is dedicated to your happiness and well-being. Not to mention, our dining room rivals the best restaurants in town. Our residents tell us they wished they’d made the move sooner!” Nestled in the heart of Ottawa Hills, The Woodlands was established in 2001 as part of an expansion of Sunset’s Indian Road campus with the goal of adding an independent-living option to their continuum of care. Residents enjoy their own private living space in a one- or two-bedroom

apartment, featuring a wide range of amenities and safety features, and their favorite furnishings and cherished possessions add the finishing touches to make their new living space feel even more like home. The atmosphere can, perhaps, best be described as casually elegant. In addition to all the comforts and amenities, Woodlands residents find that the community allows and encourages them to maintain whatever lifestyle they choose. “Whether you wish to maintain your present daily schedule or explore something completely different, you’ll have whatever you need for the lifestyle that suits you best. Choosing The Woodlands also means that help is always nearby, as much or as little as you like, should you ever need it,” Young says. Providing ample opportunities for healthy socialization is also a priority at The Woodlands. According to Young, residents say they especially enjoy the community’s Life Enrichment programs, which offer a wide range of opportunities to engage in social, intellectual, and physical endeavors, both in the building and out in the larger community. “The Woodlands is a place to focus on the things you

love—being active, pursuing interests, and sharing companionship with friends, families, and neighbors. We pride ourselves on creating a vibrant and fun community for our residents to enjoy,” she adds. Of course, independent living at The Woodlands is just the beginning of the continuum of care offered at Sunset. As residents’ care needs change, appropriate services will be available to accommodate them, whether they require assisted living, skilled nursing, memory support, respite care, rehab, or hospice and palliative care. Most seniors find that independent living is a very good option, but if they aren’t certain which level of care is best for their needs—for example, if they require assistance with certain activities of daily living—The Woodlands’ very knowledgeable staff will be able to help them find the best fit for their personal situation. ❦ For more information on Sunset House please call 419-536-4645, or The Woodlands at 419-724-1220. Information on any Sunset Retirement Communities and services can be found on our website, www.Sunsetcommunities.org. SUNSET VILLAGE

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4990 |

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

This 90-year-old just received a makeover

hen the experience and skill that comes with age can be (Formerly Lutheran Village at Wolf Creek) Independent Living GenacrossLutheranServices.org combined with youthful agility, it’s Assisted Living Independent LivingCare a rare and priceless combination. Nursing Care • Respite Living ShortAssisted Term Rehabilitation This is exactly what the leaders of Nursing Care • Respite Outpatient TherapyCare The Toledo Clinic say the long-time Short -Term Rehabilitation Toledo healthcare pacesetter has to Outpatient Therapy offer. At 90 years of age, The Toledo Clinic has a heriIndependent Living tage to be proud Assisted Living Nursing Care • Respite Care of, but leaders say Term Rehabilitation Lutheran Village is Short they’re not restOutpatient Therapy direction ing on their laurels. Aa Lutheran whole new new direction Village is “We’re continualin retirement living. retirement living. ainwhole new direction ly taking steps to in retirement living. It's a neighborhood! build on our solid It’s a neighborhood! foundation—a 90Lutheran Village is It's a neighborhood! A community where residents year commitment a whole new direction can add life to their years. toliving. serving our local in retirement A community where residents community,” states Ian Elliot, MD, It's a neighborhood! Independent available NOW. can add Living lifeCondos to their years. President of The Toledo Clinic. Call 419-861-5616. A ofcommunity whereWith residents Lutheran Village at Wolf Creek, a ministry Lutheran Independent Living Condos available NOW. the recent introduction of Genacross Lutheran Homes Society in partnership with St. Services Luke’s Hospital. can add life to their years. Call 419-861-5616. a new color, logo, and tag line, The Wolf Campus Lutheran Village at Creek Wolf Creek, a ministry Independent of Lutheran 2001 Perrysburg-Holland Rd. Living Condos available NOW. Toledo Clinic hopes to convey its Homes Society in partnership Holland St. Luke’s Hospital.Call 419-861-5616. 2001 Perrysburg Road Holland, OHwith43528 Lutheran Village at Wolf Creek, a ministry of Lutheran ability to grow and improve while 2001 Holland, Perrysburg-Holland Ohio 43528HomesRd. Society in partnership with St. Luke’s Hospital. 419-861-2233 remaining Holland, OH 43528 2001 Perrysburg-Holland Rd. focused on its foundation. 419.861.2233 Holland, OH 43528 www.lhsoh.org 419-861-2233 Dr. Elliot says, “The Toledo Clinic For more information, visit 419-861-2233 has become one of the region’s most www.lhsoh.org www.lhsoh.org GenacrossLutheranServices.org important healthcare providers. As

WOLF CREEK CAMPUS

our mission expands in scope and the market landscape continues to change, it’s important we communicate our progress in a modern, up-to-date way.”

The makeover of an identity First impressions are powerful, and this is one reason why much thought goes into a brand’s identity. The Toledo Clinic’s identity makeover was no exception. Given the wide range of services the Clinic provides, the goal

EQUAL HOUSING OPPORTUNITY

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40 May 2017 | Healthy Living News

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The Toledo Clinic strengthens region’s medical education The Toledo Clinic and Central Michigan University (CMU) began a new partnership in 2017 that renews the region’s connections with future physicians. CMU medical students now serve six-month rotations with established primary-care physicians in the Clinic. “We are very excited by this modern ‘apprenticeship’ in which medical students can work in a thriving practice and determine how private community medicine can fit with their plans,” states Henry Naddaf, MD, of The Toledo Clinic.

Toledo Clinic expands access to care

EQUAL HOUSING OPPORTUNITY

communicate that we are experienced with a rich history, and relevant in our community.”

was to help convey the dynamic approach of the 185-independent physician group to providing leading-edge healthcare with a personal touch. The new logo, designed by Thread Marketing Group, is built on several key foundations. The new color (red) conveys strength and determination and allows The Toledo Clinic to stand out in a local healthcare market dominated by seas of blue and green. The icon in the upper left corner of the logo, which uses squares to symbolize all components of The Toledo Clinic—physicians, specialists, and locations—unites to form one entity with a common purpose. The squares also form a “T” and a “C,” a nod of respect to the previous logo. The new tagline—“Choose Well. Feel Better.”—acknowledges that patients have choices in managing their care. Also, when they choose The Toledo Clinic, they’ll be working with medical professionals who are honored to help them achieve their personal best level of health while controlling costs. “We remain committed to our core mission of quality, access, and value, which has been constant throughout our 90 years of operations,” says Dr. Elliot. “This new logo allows us to

With access as a priority, this year The Toledo Clinic began operating two affiliated urgent care centers, offering both adult and pediatric services in Northwest Ohio. One is located at 6819 Spring Valley Drive in Holland, OH, and the other at 201 High Street in Bryan, Ohio. In addition to the two new urgent care centers in 2017, The Toledo Clinic formed a clinical collaboration with The Little Clinic locations inside five Toledo-area Kroger stores. This gives consumers improved access to healthcare services with The Toledo Clinic network of more than 180 physicians. The Toledo Clinic also offers the convenience of (satellite) offices across Northwest Ohio and Southeast Michigan, with a full complement of primary and specialty care physicians, outpatient surgery, and ancillary services. Apparently, you’re never too advanced in age to benefit from a makeover. The Toledo Clinic is one 90-year-old that is improving with age—and looking sharp in the process. ❦

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Time to get up, get out, and get moving, by Jim Berger S

pring has arrived! March Madness is over and now a memory. It’s time to get up, get out, and get moving! It’s time to shake off the winter couch-potato habits and get outdoors. To move, to engage in physical/ recreational activity, should be our resurrected New Year’s Resolution. When 2017 started, we had the best intentions to start an exercise program, to eat healthier, or to make other healthy changes. Many of us started, but after a short time, life got in the way and we lost our focus on the resolutions or just stopped altogether. We either couldn’t see how to fit more activity in or we just used better excuses to not follow through on our commitment to ourselves and a healthier year. The good news is, we have another chance to recommit to ourselves, to stop making excuses, and to focus on getting healthier by doing something very simple: getting up, getting out, and moving! This concept is not new, but it is one that I am seeing take hold in

the community around us. Many elementary schools have started programs for kids after school. One example is “Girls On The Run.” This program is for girls in grades 3-5 with a focus on the importance of positive values and the need to get up, get out, and move. This is a foundation for them for the future. Other such programs are occurring throughout the community. If kids can get this message, why can’t adults? Toledo offers so many wonderful opportunities to get up, get out, and get moving, such as all the Metroparks, paths, trails, and neighborhoods, which are all great places to start walking. That is the key—start walking: 10 minutes, 15 minutes, 30 minutes, once a week, twice a week, daily…. If you haven’t done much over the winter, start with a comfortable amount of time and pace. Remember, this is a continuous time of

walking. Activities like shopping and cutting grass are great, but set time to walk in addition to those other activities. Make the commitment to take the time this spring to start a new habit of being a healthier y o u by getting up, getting out, and getting moving.

May is National Arthritis Month! According to the Arthritis Foundation, more than 43 million Americans—one in six people, or 15% of the population—have some kind of arthritis. Arthritis is a general term used to describe more than 100 chronic diseases of the joints, bones, and muscles, such as osteoarthritis, rheumatoid arthritis, fibromyalgia, lupus, and

even osteoporosis. There is no cure for most types of arthritis; however, awareness and education are keys to continuing the fight. National Arthritis Month was established to recognize the millions of families, caregivers, and individuals affected by this disease. Physical and occupational therapy can assist in the management of all types of arthritis. However, since osteoarthritis is the most common form, we will focus on a few ways that therapy can help these individuals. Since arthritis causes loss of movement and stiffness, individuals tend not to exercise or move due to the pain, but actually moving and staying active keeps the joints lubricated. Also, strengthening the muscles surrounding the affected joint can decrease pain and improve function. Modalities such as ultrasound, heat, ice, electrical stimulation, and infrared can help with pain control. Additionally,

 

• • • • •

Reduce your low back, hip & knee pain Decrease your risk for heart disease Lower your risk for Type 2 Diabetes Improve your blood pressure Regain your acve lifestyle



Healthy Lifestyle Change 





Arrowhead: 419-897-9822

Oregon: 419-697-8000

Perrysburg: 419-874-2657

Westgate: 419-309-4648

Bedford: 734-856-6737

Contact Center 800.699.9395

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exercising in a warm-water pool or on a bike can improve motion without as much weight bearing through the joints. It is beneficial to consult your physician or a physical therapist prior to beginning an exercise program. A physical therapist can design a program specifically for you to meet your individual goals and needs while understanding any medical conditions or complications you may have. Physical and occupational therapy can also benefit individuals with rheumatoid arthritis (RA) or fibromyalgia. RA most commonly affects the small joints of the body in a symmetrical fashion (affecting both sides of the body). Most times the hands and wrists are affected, which can be painful and make normal daily tasks such as writing and opening doors or jars difficult. Occupational therapy can provide custom splinting, education on home modification, and pain-relieving modalities. Fibromyalgia patients can benefit from aquatic therapy, gentle exercise, and stretching as well. It is the goal of Heartland Rehabilitation Services to assist you in focusing on your health and wellness for life. If you have any questions about Heart-

We realize that you - the family member and care giver, are the most important person to an individual with Alzheimer’s Disease or a related dementia. We want you to be an integral part of the team. We will be there to guide you through those periods when you discover love is not enough to care for your loved one during the difficult times associated with dementia. Skilled Nursing Short-Term Rehab Long-Term Care n Hospice Care Short and Extended Respite Stays Full Service Therapy Department Wound Care n Secured Center n

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42 May 2017 | Healthy Living News

land Rehabilitation Services or how physical and occupational therapy can benefit you, please feel free to contact Jim Berger at 419-787-6741, or

visit us at www.heartlandrehab.com. Heartland Rehabilitation Services has five outpatient physical therapy clinics in the greater Toledo area. ❦

Warm weather safety tips for kids from Mercy Health – Emergency Services

nother school year is drawing to a close, and kids everywhere will soon be enjoying all those fun warm-weather activities they’ve been daydreaming about since last September. However, as kids head for the playground; dust off their bikes, scooters, and rollerblades; or prepare to plunge into pools, lakes, or ponds, the last thing likely to be on their minds is safety. It’s the job of parents or other adult guardians to properly supervise, equip, and educate their kids for safe outdoor play. The following safety tips from Dr. Jay Taylor of Mercy Health – Emergency Services will help kids make the most of their summer without winding up in the ER:

Play it safe on the playground Falls are a major cause of emergency room visits for kids. In fact, Dr. Taylor notes that about 70% of the physical injuries he sees in children stem from falls—and playgrounds are fertile territory for such injuries. “It’s very common for parents to take their kids to the local playground and turn them loose on the equipment. But even though playgrounds are designed to be kid-friendly, children still need to be supervised closely by an adult and allowed only on age-appropriate equipment. For example, there should be no two-year-olds hanging from monkey bars. Parents should also check to ensure there are appropriate surfaces underneath playground equipment to cushion landings and falls, such as mulch, rubber pellets, or rubber mats. These materials help reduce the incidence of serious injury significantly,” says Dr. Taylor. In addition to checking for a cushioned landing surface, parents are advised to inspect the playground equipment to verify that it’s in good repair with no cracks, splintering, fraying, or other potential hazards.

Touch the surfaces to make sure they’re not excessively hot. Some equipment surfaces exposed to direct sunlight can actually get hot enough to burn the skin. Also, never allow children to play on playground equipment while wearing anything around their neck that could become entangled and cause strangulation, which includes loose garments and those with hoods or drawstrings. Wearing flip-flops— which can lead to severely stubbed toes—should be discouraged as well.

Get properly equipped before free-wheeling it As far as kids are concerned, bikes, scooters, skateboards, and rollerblades are synonymous with spring and summer fun, but any time wheeled play equipment and concrete meet, there’s a potential for serious injury. Even if your child is an experienced rider/skater, it’s imperative that he or she wear all of the protective equipment appropriate to the activity—a helmet, elbow pads, and knee pads, wrist guards, sturdy shoes (again, no flip-flops), etc. “When you see professional skateboarders and cyclists competing or performing, you’ll notice they’re never without this protective equipment. We should expect no less from our kids,” Dr. Taylor remarks. He also recommends hanging a helmet right on the handlebars of each child’s bike so they’ll be less likely to pedal off without it.

Make a splash for water safety Of course, adult supervision is critical when kids—especially toddlers—are around swimming pools or other bodies of water. Even if the pool or beach has a lifeguard on duty, parents should still be watching their youngsters closely. Lifeguards typically have numerous kids to keep track of at once, and it takes a mere moment for a child to disappear under the water and drown. “I also recommend putting alarms on doors

and gates leading in and out of pool areas so adults can hear immediately if someone enters or exits,” Dr. Taylor advises.

Beware the sun’s glare Unprotected exposure to the sun’s ultraviolet rays can lead to an immediate painful sunburn that can bring summer fun to a halt quickly. What’s more, experiencing repeated sunburns increases one’s risk of developing skin cancer later in life. That’s why it’s so important to protect our kids’ skin (as well as our own) with sunscreen whenever they’re participating in outdoor activities. After applying sunscreen, make sure kids wait the recommended time period before going out in the sun, swimming, etc. Also, reapply the sunscreen frequently and generously—especially after swimming or perspiring heavily. Other recommended sun-protective measures include limiting outdoor activities between 11:00 a.m. and 4:00 p.m., when the sun is most intense, and ensuring that playgrounds, playing fields, and other recreational locations provide access to a shady spot so kids can get out of the sun. Of course, adequate hydration should be encouraged, as well, to prevent heat-related illness. “Also keep in mind that sun exposure isn’t just a concern on bright, sunny days. Even when it’s cloudy, you should have sunscreen on to protect your skin from ultraviolet rays,” Dr. Taylor adds.

Provide a safe place for independent play Learning to play independently is an important part of every child’s maturation process, so Dr. Taylor recommends that parents provide an environment where their child can play unsupervised when they’re ready. “We don’t want to put our kids under the microscope 24/7, so when it’s age-appropriate for them, they should be allowed a safe place, such as a back yard or similar location, to play without constant oversight. Nonetheless, it’s still incumbent upon the parents to make sure that location is free of hazards, just as they would when evaluating a playground,” says Dr. Taylor. ❦

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Take the Screen-Free-Week Challenge May 1-7 by Meliss Klorer, MRC

ediscover the joys of life beyond the screen during Screen-Free Week May 1-7. Plan to unplug from digital media and spend time playing, daydreaming, creating, exploring, reading, and connecting with family and friends. The American Academy of Pediatrics (AAP) defines “screen time” as time spent using digital media for entertainment purposes. Other uses of media, such as completing homework online, don’t count as screen time. Parents play an important role in helping children and teens navigate the media environment and recognize the difference between constructive media options and those that are used for recreation and entertainment. Within the last year, the AAP revised their recommendations for the amount of screen time for children. Previously, the screen time guidelines were set only for children over the age of two, but research proves babies are very vulnerable to screens. Before turning on the TV for your

fussy six month old, you may want to give him a toy instead to keep occupied. According to the AAP, infants up to 18 months should not be exposed to any digital media or screen time. Young baby brains need human interactions and live presentations rather than those available on television or tablets. The more face-to-face interaction children have with their parents and other adults, especially eye contact, the more beneficial it is for infants’ brain development. Screen time can create a disconnect between the parent and child. If parents’ attention is fixed on a TV, phone, or tablet screen, babies are deprived of that attention. If the baby is repeatedly neglected in favor of digital media, children may develop behavioral issues in the future. On average, preschoolers spend more than four

and a half hours per day of screen time. According to the most recent AAP recommendation, preschoolers should be limited to one hour of screen time daily and that hour should be engaged with high-quality educational options including television programs and applications. School-age children spend more than seven hours a day in front of a screen, and to some, this may seem harmless. However, AAP research demonstrates excessive screen time is linked to a number of problems for children, including childhood obesity, poor school performance, and problems with attention span. Unfortunately, many children would rather watch TV and play videogames than go outside and play or participate in sports. The current AAP recommendation does not set a time limit for school-age children, but rather encourages prioritizing productive time over entertainment time. For typical kids, an average day con-

sists of school, homework time, at least one hour of physical activity, social interactions, and at least 10 hours of sleep. Whatever time remains can be screen time. Kids and teens have access to thousands of apps, video-streaming sites, videogames and social media, and own multiple devices, so it’s important to keep track of their screen time. So for the week of May 1-7, take the challenge. Turn off your screens and enjoy your family time. You’ll be surprised at all the fun you can have by forgoing screen-time during Screen-Free Week. Try riding bikes, taking a walk, reading a book, playing board games, cooking dinner, eating 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 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. ❦ Meliss Klorer, MRC, is a Kohl’s Kids in Action Health Educator.

Ozone is a health hazard for anyone with asthma or other lung problems, for children, and for people who work outdoors. On hot sunny days, everyone can take steps to reduce ozone production.

Use less energy and avoid creating fumes: Drive less-take a bus or bike

Wait to fill your gas tank until evening

Adjust the thermostat to use less air conditioning

Don’t use the grill

Don’t use spray paint or other volatile organic compounds (VOCs) Hang clothes out to dry instead of turning on the clothes drier

For more tips, see ozoneaction.org. Get daily ozone updates at airnow.gov Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | May 2017

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

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Sunrise Senior Care 3710 Talmadge Rd. Toledo, OH 43606 419-704-5335 www.sunrise-senior-care.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.

St. Clare Commons

The Manor at Perrysburg

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250 Manor Drive Perrysburg, OH 43551

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Sunset House

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

5916 Cresthaven Lane Toledo, OH 43614 419-865-4445 www.swancreekohio.org

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

Foundation Park Alzheimer's Care Center 1621 S. Byrne Rd. Toledo, OH 43614 419-385-3958 www.foundationpark.com

961 S. Reynolds Road 419-389-1412 www.ReynoldsSeniorVillage.com

Parkcliffe Community 4226 Parkcliffe Lane Toledo, OH 43615 419-381-9447 www.parkcliffe.com

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

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

Franciscan Care Center

Glendale Assisted Living

4111 N. Holland-Sylvania Rd. Toledo, Ohio 43623

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The Laurels of Toledo

Advanced Healthcare Center

1011 Byrne Road Toledo, OH 43607

955 Garden Lake Parkway Toledo, OH 43614

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Sunset Village

Otterbein Portage Valley Senior Lifestyle Community

Lutheran Home at Toledo

Genesis Village

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

20311 Pemberville Rd. Pemberville, OH 43450

131 Wheeling St. Toledo, OH 43605

2429 S. Reynolds Rd. Toledo, OH 43614

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

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419-720-1286

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www.genesisvillage.orgv

www.sunset-communities.org

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44 May 2017 | Healthy Living News

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by Randa Mansour-Shousher, AuD, CCC-A

Noisy dental devices should concern patients, dentists, and assistants

earing loss is a common complication in work environments, affecting family, friends, and strangers alike. Work-related hearing loss caused by noise may be preventable, but many don’t take it seriously until it’s too late and the loss—known as sensorineural hearing loss—is irreversible and permanent. Work-related hearing loss continues to be a critical workplace safety

and health issue. In fact, the National Institute for Occupational Safety and Health (NIOSH) and the occupational safety and health community named hearing loss one of the 21 priority areas for research in the next century. Noise-induced hearing loss is 100 percent preventable, but once acquired, it is permanent and irreversible. Therefore, prevention measures must be taken by employers

and workers to ensure the protection of workers’ hearing. Approximately 30 million workers are exposed to hazardous noise on the job, and an additional nine million are at risk for hearing loss from other agents such as solvents and metals. We need to think beyond the factory workers, construction workers, and service-related employees who may be affected. What other professionals are commonly vulnerable to hearing loss? Among the populations at greatest risk are dental-industry professionals. Think about the drills utilized in a dentist’s office, which can produce a level of noise exceeding 100dB. (OSHA standards state that noise exposure over 80dB for an eighthour period requires the individual to wear ear protection.) What is that noise exposure doing to their ears? Dentists and their assistants, who are consistently exposing themselves to these drills and other dental instruments, put themselves at risk for developing a sensorineural hearing loss. Typically, the most damage and highest level of permanent, noise-induced hearing loss is caused by older drills and instruments. The Industrial Deafness Watch, whose

job is to educate the public about worked-related hearing loss, is very concerned. They stated that newer dental equipment made within the last five years is designed to reduce noise levels and is quieter than older products. While realizing how this equipment may affect the dental professional, there are many people for whom facing a dentist’s drill can be quite overwhelming—for example patients with hyperacusis. People with hyperacusis have an increased sensitivity to particular frequency and volume ranges of sound, making certain environmental sounds intolerable. The good news is, laser drilling can offer a very quiet option if the work required is for a tooth with no prior fillings. However there are currently no options for laser drilling on teeth with fillings. A majority of dentists still use air-powered dental drills, which have measured up to 95dB in recent noise-level tests. A better option is an electric dental drill, which typically has a much lower noise-level rating. One of the best options on the market currently is the KaVo COMFORTdrive 200 XDR, which is rated at 57dB. However, Hyperacusis Research tested

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one of these dental appliances in a dentist office with a consumer level sound decibel meter, and it peaked well above 80dB. Since the sound measurements were significantly higher than the advertised rating, it would be wise to perform your own sound test prior to being exposed to any dental drill. Our dental professionals are here to serve and take care of us. We, in turn, can let them know how much we care about their hearing health. Don’t be afraid to let them know you’re concerned about them protecting their hearing by advising them to consider these measures: • Make the office soundproof and noise-absorbent. • Research the level of the equipment that is being used. • Protect their ears with custommade ear plugs. Dentists and other dental workers might be suffering from early signs of hearing loss just like workers in other environments. Such symptoms may include:

• Muffled or muted conversations • Difficulty concentrating on a conversation in noisy surroundings • Inability to hear certain consonants, such as “s” or “t” sounds • Tinnitus, or ringing, in the ears and/or hyperacusis If your friend, dentist, or dental assistant has noticed some or all of these signs, encourage them to contact an audiologist quickly to get their hearing checked and find out what they can do to prevent against hearing loss. Their job is to make your smile pretty; your job is to help them seek advice, and you will be smiling from ear to ear knowing you made a difference in their life. ❦ 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).

River Centre Clinic advocates for early intervention and specialized care for eating disorders

hirty million Americans struggle with an eating disorder at some point in their life. Eating disorders are serious mental illnesses that can affect people of every age, gender, race, ethnicity, and socioeconomic level. Eating disorders are common, potentially chronic, and life-threatening conditions primarily affecting young women, and largely require specialized treatment by clinicians with specific training. They are not a choice nor a lifestyle but persistent patterns of unhealthy eating or dieting behavior. Anorexia nervosa, in particular, is characterized by a chronic illness course and is associated with the highest mortality rate of any mental illness. Other serious eating disorders such as bulimia nervosa and binge eating disorder also have an increased risk of death compared to the general population. Thus, the importance of early intervention and using evidence-based treatment dramatically reduces medical complications and mortality. Despite the potentially fatal consequences, full recovery at

46 May 2017 | Healthy Living News

any age is not only possible but also the most likely outcome with early detection and the right kind of care. One of the nation’s leading treatment facilities and the only one in Northwest Ohio is the River Centre Clinic. Established in 1996, River Centre Clinic has been providing specialized and cost-effective treatment for individuals suffering from eating disorders for more than 20 years. It is located in a modern, spacious, and tranquil setting in Sylvania, Ohio. The facility was designed to provide an attractive and safe alternative to hospital or hospital based-programs. As a pioneer in the development of a nationally recognized treatment model, the clinic’s innovative approach provides a high level of structure and intensity to be clinically effective for eating disorder patients at a fraction of the cost of most inpatient or residential programs. The River Centre Clinic staff members are highly trained exclusively in eating disorders. They provide each patient with an individualized treatment plan that integrates both physical

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and emotional aspects of eating disorders using individual, group, and family approaches. Programs offered include: Partial Hospitalization Program (PHP) for adults— combines 35 hours per week (5 days a week, 7 hours a day) of treatment providing structure and monitoring to meet the needs of most adults with serious eating disorders. Adolescent Residential Program—available for youth and adolescents up to 18 years old and offers 24-hour care, 7 days a week. Intensive Outpatient Program— available 4 hours a day, 3-5 days a week, specifically designed for binge-eating disorder. Outpatient Services—for adults and adolescents with eating disorder symptoms who do not require a high level of care. Outpatient services are also available for those with other primary diagnoses such as anxiety, depression, trauma, and grief/loss issues. UTMC 1247_2 CONFIDENT_HLN_HalfPg.pdf River Centre Clinic is accredited by

CARF (Commission on Accreditation of Rehabilitation Facilities) and is dedicated to educating the public, those suffering from eating disorders, and professionals aimed at improving the quality of care available. While eating disorders are very serious, potentially life-threatening illnesses, there is help available and recovery really is possible. It is important for those affected to remember that they are not alone in their struggle; others have recovered and are now living healthy, fulfilling lives. Early detection coupled with specialized treatment provides the best possible outcome. Here is an overview of major eating disorders:

Anorexia Nervosa

• Inadequate food intake leading to a weight that is clearly too low. • Intense fear of weight gain, obsession with weight, and 3/17/17 11:52 AM persistent behavior to prevent

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weight gain. • Self-esteem overly related to body image. • Inability to appreciate the severity of the situation. • Binge-Eating/Purging Type involves binge-eating and/or purging behaviors during the last three months. • Restricting Type does not involve binge eating or purging.

Bulimia Nervosa • Frequent episodes of consuming very large amounts of food followed by behaviors to prevent weight gain, such as self-induced vomiting. • A feeling of being out of control during the binge-eating episodes. • Self-esteem overly related to body image.

Binge-Eating Disorder • Frequent episodes of consuming very large amounts of food but without behaviors to prevent weight gain, such as self-induced vomiting. • A feeling of being out of control during the binge-eating

episodes. • Feelings of strong shame or guilt regarding the binge eating. • Indications that the binge eating is out of control, such as eating when not hungry, eating to the point of discomfort, or eating alone because of shame about the behavior.

Other Specified Feeding or Eating Disorder • A feeding or eating disorder that causes significant distress or impairment, but does not meet the criteria for another feeding or eating disorder. • Examples include atypical anorexia nervosa (weight is not below normal), bulimia nervosa (with less frequent behaviors), binge-eating disorder (with less frequent occurrences), purging disorder (purging without binge eating), night-eating syndrome (excessive nighttime food consumption). To seek help or for more information, please visit www.river-centre. org or call 877-212-5457. ❦

Advanced care and healing close to home. We’re here for you. And we are an integral part of this community. The University of Toledo Medical Center offers best in class specialties, better outcomes, and expert physicians, nurses and medical technicians in a superior continuum of care that’s close to home and dedicated to the area’s health and healing. • Served more than 300,000 people last year alone • Recognized by Consumer Reports among the top academic hospitals in preventing bloodstream infections* • Continuing to provide outstanding medical education, teaching and research • Keeping you at the center of all we do

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by Mark S. Faber, USPTA Elite Professional

Hey, you in the stands!

ith the spring sports seasons in full swing and the summer seasons not far behind, I’d like to revisit an issue that I believe we as parents, coaches, and fans really need to remember. The issue is the statistic found in many publications that states 70% of youth quit sports by the age of 13. To follow that up, I have read, once again in many studies and publications, that the number one reason this occurs is because the experience is not fun for them. To start this conversation off, we must define what fun is. Simply put, as adults, our definition of fun is going to be much different than that of the nine-year-old down the street. The reason people participate in sports is also different. There is a resource out their known as the Changing the Game Project. Part of the research they did was to find out why kids played sports. The number one reason nine out ten kids gave the researchers was one word: fun. Some of the other top five reasons were playing time, getting along with teammates, and trying their best. As a coach, I can tell you those answers would not seem to match up with what a parent or even some coaches would say. Winning seems to always come to the forefront of the conversation when talking with or listening to adults, and many times that is where the worlds collide and cause the 70% to drop out of sports altogether.

The next time you sit in the stands watching your children, nieces/nephews, and/or grandchildren play, I ask you to realize one thing: kids hear you and how you are acting and many times your actions speak louder than any word you would ever say. Also, I ask you to remember that the kids you are watching are just that—kids. They are not little professionals. I understand that many of you have invested time, money, and other assets in providing an opportunity for your child to participate in a sport as well as extra training to help them prepare to be the best they can be. However, that does not change the fact that they are kids and will make kid mistakes. It is crucial to remember that how one reacts to those mistakes is what makes a lasting impression on a young mind. If the impression they have is a voice yelling at them from the stands, making a variety of comments, then I am pretty sure they will not see their experience as fun. Now, I truly understand the importance of winning in sports, and I do not believe that everyone deserves a trophy. I am just reaching out to all of you to help do your part in solving the 70% dropout rate. One other thought on this subject I want to share is something that made—and continues to make—a huge impact on me when dealing with the reactions and overall development of athletes and people in general.

There are various stages of growth and development, and during those stages youth face different mental, physical, and emotional challenges. The one that has stuck with me the most involves children under the age of 12. That is, they want to please and not disappoint people (especially the special ones in their lives like Mom and Dad). Ever wonder why young athletes seem to look up at or over to their parents at an event? The reason is simple, at least to me now. It’s because they either want to see their parents’ excitement when they have done something great or they want to see how upset they are when they feel they have let them down. Remember what I wrote above—many times a person’s actions (body language) will speak louder than any word they might ever say. So you could be verbalizing all the right things,

yet your body language could still be saying all the wrong things. This month, my request to readers is simple. This spring and summer, please do not be that person in the stands or on the sidelines that everyone refers to as the loudmouth and whose son or daughter ducks away from when they hear you in the stands. Be the one that keeps things fun, yet realistic. Be the one that makes that positive impact on many youth and know that you did your part in making it a positive and fun experience, not only for your kids, but also others around them. By doing so, maybe, just maybe, you can be part of the movement that reverses the trend from 70% of kids quitting sports by age 13 to 70% or more of kids staying in sports after age 13. Let’s all get out there and make a difference in the lives of our youth.❦

A Walk in the Park • Continued from page 22 perfect picture. To get it, he decided to cross the stream on a fallen log. Do you suppose that a narrow log mere inches from a rushing torrent might have been a little damp? Do you suppose that if he got swept over the falls he might have survived? No need to worry about drowning. As Butch told Sundance, the fall would probably kill him. Driving down from the summit of Signal Mountain in Grand Teton National Park we found the road blocked by cars while people got out to take photos. Near the road, two grizzly bears were feeding. A couple of geezers were skulking up on the bears using all of their finely honed Daniel Boone skills. One decided to get even closer.

Shirley turned to the woman next to her. “What does that idiot think he is doing?” “That idiot is my husband,” she replied, “and you’re right, he is an idiot.” In Yellowstone, there was an elk jam as tourists parked right in the road to take photos. A fellow in a red ball cap, carrying a camera with a huge lens, walked towards an elk with an impressive rack. The elk walked away. Red Cap followed. Elk moved. Cap followed. Finally, the elk turned and lowered his rack in Red’s direction. What do you suppose his body language was trying to suggest? And how can a photographer with a $700 lens not know what “zoom” means?

A bull elk turned and pointed his rack toward a photographer. What do you suppose his body language was trying to tell the man?

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Finally, and I told you this was serious, a woman from Michigan wanted an even better shot of the spectacular Canyon of the Yellowstone. She stepped over a retaining wall, clearly marked with signs that say don’t do that, lost her footing, and fell 500 feet. The ceiling of the Sistine Chapel might be worth dying for. Most vacation photos are not.

Get some scenery in your scenics In the Everglades, we were talking to our friends Kay and Darryl about their trip to Alaska. Kay said we could see their photos because they were still on the camera. She had taken a whole dozen pictures on their trip. (Kay is careful to avoid boring people with too many photos.) All of the pictures featured their dog Ginger next to their RV with some bushes in the background. They could have been pictures of a trip to Connecticut as far as I could tell. In a similar vein, we know two couples who went on a cruise to Alaska. They took a few more pictures than Kay. Most of them were of each other mugging for the camera like Larry, Moe, and Curly. (Shep was

holding the iPhone.) I understand that some cruises serve spirituous libations. Hush, now. Promise not to tell Shirley I said this because she vehemently disagrees. On the trail up to Hidden Canyon in Zion National Park, a mother paused to take pictures of her kids lined up in front of a boulder. She had her back to some of the most amazing scenery in the whole world. Shirley insists that the important thing was that mom captured them having a good time. She’s undoubtedly right. Still, I think it would be nice to see why the kids were having a good time. It takes an excruciatingly small effort to turn around and face

the other direction so the picture could include Zion Canyon. For that matter, the picture would be even more interesting if the kids were doing something instead of just standing there. Get them hiking, fishing, fighting over the last s’more. Any action is inherently more fascinating than a mug shot. Unless, of course, it is an actual police mug shot. Then everyone really would want to hear about what you did, allegedly, on your vacation. And a word about selfies: Everywhere you go there are people holding their cell phones at arm’s length. Not much scenery in a selfie because the head(s) takes up all the space. Maybe you could get another tourist to take your picture from Who is that in the a little more than lower right corner? arm’s length away. Perhaps you should Then do the same get closer or zoom in for him. if you want to recAnd here’s a tip ognize the people in that overlaps with your photos. “Don’t get yourself killed”: Last February, a Phoenix Note that the center of interest is not "dead" TV newscast included the advice to center.

avoid taking selfies with rattlesnakes. Shirley and I thought the talking head was just being whimsical. Our friends Joan and Doug, who live in Phoenix, said, “Oh, no. He’s serious. People do the dumbest things.”

Get some recognizable faces Sometimes the problem is not that faces overpower the picture but they are almost totally lost. You probably have some of those pictures in which the people are so far away that you can’t tell who they are. And if you do want people to be recognizable, for Pete’s sake, have them remove the shades. Who is that behind those Foster Grants? Eyes are expressive and identifying. There is a reason that robbers at the 7 Eleven and celebrities seeking anonymity wear sunglasses. True, sun in the face makes people squint, but I don’t remember a rule that says you have to look directly into the sun. A slight change of angle can probably satisfy both photographer and photographee.

Create some depth How do you give a two-dimensional image the feeling of three dimensions? Scenic photos often benefit from the deliberate choice by the photogra-

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A common frame in scenics is a tree branch in the foreground that arches over the focal point. Shooting the point of interest through an actual arch is another literal-minded way to distinguish what is near from what is far.

The center of interest Would you rather have this background or just a bare rock?

pher to include foreground, middle ground, horizon line, and sky. The relative size of objects also provides visual clues. Including people in a scene, even people you don’t know, helps establish scale and distance. Parallel lines, such as railroad tracks or a receding highway, seem to converge as they approach the horizon. The walls and roof line of a building appear to converge at the horizon line even though we know that they are parallel. A building photographed straight on looks flat. Create depth and the appearance of three dimensions by shooting from a slight angle so that a side wall is included. Another technique is to include a “frame” inside the picture—not to be confused with the one around it.

50 May 2017 | Healthy Living News

Every photo should have a dominant focal point, but it should not be smack in the geographic center. (There is a reason it is called the “dead” center.) For a more dynamic and pleasing composition, mentally divide the viewfinder into three parts. Place the point of interest either in the left or right third of the scene. Likewise, don’t put the horizon line right in the middle. If there is a dramatic sunrise or sunset or other reason to emphasize the sky, put the horizon line in the lower third. If the sky is not the main interest, put the horizon in the upper third. If you are shooting a close-up, there may be no horizon included at all. But I didn’t really need to tell you that. Many digital cameras and some iPhones can superimpose a grid with two horizontal and two vertical lines on the viewfinder that help you com-

pose according to this Rule of Thirds. The principle was discovered by the ancient Greeks. I don’t know if they used Canons or Nikons. The grid lines also help you maintain a straight horizon line so the ocean does not run uphill in a beach scene. Unless, of course, you are still trying to compose one of those artsy photographs that can be appreciated only by the truly sophisticated. While you are composing your picture, also check the edges of the viewfinder. A photo bomb is an otherwise decent picture into which some undesired element has intruded. Perhaps you did not notice that rather flamboyant person in the background or the utility pole growing out of little Hannah’s head.

The human brain filters out most of the irrelevant sights and sounds of everyday life so that we can focus on what is important to us. A camera doesn’t do that. What it sees is what you get. Until you learn to consciously look at everything in the viewfinder, you will continue to digitize all kinds of visual garbage that you really don’t want in your pictures. Thanks to technology, though, you can now edit out the garbage. Back in the Olden Days, I bought Kodak pre-paid mailers so film could be sent off for developing while we were still in Colorado or Wyoming or wherever. (Ask your grandfather what film was.) Pictures were waiting when we returned home. Today, images can be reviewed immediately and are so remarkably inexpensive that you can delete the disappointing stuff instead of saying “Oh, crap!” when you get home. And every time you take a little walk in the park you can practice your photographic skills so you won’t have to hit that delete button quite so often. ❦

Using the grid lines on your camera helps keep the horizon lines straight so water doesn't run uphill.

LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

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