HLN November 2015

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News November 2015 • FREE

Also available at hlntoledo.com

Howe family cherishes every moment with

Mr. Hockey Also in this issue: • Autumn skin spruce-up • Holiday season allergy issues • Long-term-care planning • Breathe easier at Advanced Healthcare Center • Rehab like an astronaut

• Spiritually Speaking • Health Crossword • Nobody's Perfect • Food Shark • Academy Corner • And much more!

We were meant to listen, help, heal. mercy.com

Autumn skin spruce-up

V

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck?

These unfortunate changes caused by prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler.

The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging areas of the neck, jowls, upper arms, and abdomen. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected. This heating of the dermis causes immediate collagen contraction and tightening followed by new collagen production over a period of time. This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only ONE treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years!

There is NO downtime and NO pain. The NEW Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients.

For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas. The results are diminished lines and a more “wide awake” and less tired appearance. These products are also fantastic to reduce anxiety-induced underarm sweating for months after injections. This is also performed entirely by Dr. Handler with minimal pain with results lasting 5-7 months and longer.

Rejuvenation of aging hands

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

The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette lines (the sad look) from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad! Since these products are combined with a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the injection of a new filler called “Restylane Silk.” This product markedly improves upper and lower lip lines (lipstick runs uphill). Restylane Silk also volumizes your lips and restores their natural curve while looking attractive and natural. Restylane Silk also can be utilized to minimize the “worry lines” between your eyes. There is no downtime with these non-invasive procedures.

For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen.

This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio.

Prospective clients who decide to have non-ablative cosmetic procedures performed

by Dr. Handler are not gender specific. Men are now utilizing products and having procedures to maintain their younger and vibrant look just as are women. Males seeking cosmetic procedures have tripled over the past 10 years in their desire to recapture their younger appearance. Age is not a factor in deciding to improve your self-image.

Whether you seek to improve the appearance of your aging face, neck, or other “sagging” areas due to competition in the work force or simply for your own self-esteem, these procedures and anti-aging products are for you!

Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler. To view be-

fore-and-after photographs of patients who have had these procedures performed by Dr. Handler, visit www. drharveyhandler.com. For more detailed information about the above-mentioned procedures or products, please call Dr. Handler ’s office at 419-885-3400. Be sure to ask about specials available on many cosmetic procedures and products to diminish the signs of aging and obtain a more vibrant and youthful appearance of your skin.

Also, please remember to have a yearly Full Body Exam for evaluation of moles and other growths we all develop as we age. Be certain you have no lesions that are pre-cancerous or cancer. Full body exams are best performed and evaluated by a board-certified dermatologist.

Hair loss in men and women Are you losing hair from surgery, anaesthesia, illnesses, pregnancy and delivery, medications, genetics, or “normal” hair loss secondary to aging or low blood levels of nutrients?

There are many causes of hair loss in men and women. Most are not simply due to age, and many are frequently treatable. Now these problems of hair loss can be evaluated and there is hope for reducing your hair loss and stimulating new growth. Dr. Harvey Handler, board-certified dermatologist of Sylvania, Ohio, has a medical treatment for increasing blood flow to the hair follicle, thereby decreasing hair loss and increasing growth in many patients!

After appropriate examination of your scalp hair and blood testing is performed

by Dr. Handler to rule out treatable medical causes, Dr. Handler will discuss a product to decrease hair loss, increase growth, and cause the hair you have be fuller and thicker. This is not a product that is forever, but for months only.

This new treatment works with or without Rogaine (minoxidil, which is forever) for reducing loss and promoting growth.

Call Dr. Handler’s office to set up an appointment for a thorough evaluation and discussion of your particular hair loss and the therapy that may be individualized for you. Don’t assume because it “runs in the family” that you can do nothing to slow your hair loss. Most patients notice a decrease in loss in 30-60 days! ❦

www.drharveyhandler.com

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

clear + brilliant

ADULT, PEDIATRIC, & COSMETIC DERMATOLOGY HAIR & NAILS

No surgery.

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Harvey L. Handler, m.d.

Fellow American Academy of Dermatology • Board Certified in Dermatology

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

419.885.3400

November 2015 • Vol. 20, Issue 11

Your Monthly Guide to Healthy Living

HEALTH & BEAUTY

FOOD & NUTRITION

2 Autumn skin spruce-up 7 Understanding carcinoid cancer 10 Holiday season offers no reprieve for asthma and allergy sufferers 12 Nobody’s Perfect Brace yourself for carpal tunnel syndrome, by Sister Karen Zielinski, OSF 13 Sound Advice from Northwest Ohio Hearing Clinic, by Randa Mansour-Shousher, AuD, CCC-A 16 Spiritually Speaking We are family

by Sister Mary Thill 28 Acupuncture for arthritis pain

by Douglas Schwan, Dc, Dip ac 31 The Academy Corner Our obesity-hunger paradox

by Louito C. Edje, MD, FAAFP 32 Laurels rehab patients “lighten up” with AlterG Anti-Gravity Treadmill 38 UT residents offer primary care at internal medicine clinics, by Imad Hariri, MD 44 Hunting and hearing health

by Shelly Horvat, AuD, CCC-A

20 Eating Well Understanding type 2 diabetes

by Laurie Syring, RD/LD 23 Food Shark, Bite 6: Schlotzsky’s Margherita Artisan Flatbread Pizza

TAKING CARE OF YOUR LIFE 6 Health Crossword, by Myles Mellor 11 Cure when you can but care always, by Jamie Monagan 19 Seniors, it's your move—make it with confidence!

22 A lot to be thankful for! by Jim Berger 34 Need I say more? by Mark S. Faber, USPTA Elite Professional 39 Winter running tips, by Amanda Manthey 42 A Walk in the Park Fifty shades of red

by LeMoyne Mercer

Dear Readers, Thank you for picking up the November issue of Healthy Living News. We’re particularly proud to bring you this month’s cover story about hockey legend Gordie Howe, whose remarkable career, spent primarily with the Detroit Red Wings, spanned six decades and profoundly influenced countless fans and generations of players.

Today, Gordie is facing off against a very different type of opponent in the form of vascular dementia, chronic traumatic encephalopathy, and severe spinal stenosis, all stemming from his many years of highly physical competition on the ice. The inspirational story on page 8 details how Gordie’s children—Murray, Mark, Marty, and Cathy—have rallied in support of their dad and continue to cherish every moment they spend with the man known

In your home or ours.

OUR COMMUNITY 5 Mercy Research: advancing health care right here at home 8 Howe Family cherishes every moment with Mr. Hockey 15 Lives well lived by Kingston residents

by Joanna Hunter 17 ProMedica offers full spectrum of diabetes services under one roof 21 Don’t miss Dave’s Turkey Chase this Thanksgiving!

24 Addison Heights and Ridgewood Manor collaborate to offer best of both worlds 26 Toledo Clinic welcomes new urogynecologist

by Christine A. Holliday 27 Pulmonary patients can now breathe easier at Advanced Healthcare Center 29 Senior Living Guide 35 St. John’s Jesuit to hold open house November 15 36 Kids Unlimited named an Official Charity Partner of the 2015 TCS New York City Marathon 37 160 years after its founding, Mercy St. Vincent Medical Center is still mission-focused

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to the rest of the world as “Mr. Hockey.”

This jam-packed issue also features profiles of the ProMedica Mary Ellen Falzone Diabetes Center, the new state-ofthe-art pulmonary unit at Advanced Healthcare Center, and UTMC’s new primary care clinics staffed by internal medicine residents (pgs. 17, 27, and 38 respectively); a glimpse back at Mercy St. Vincent Medical Center’s founding by the Grey Nuns 160 years ago courtesy of Fr. Joseph Cardone (p. 37); options for managing long-term-care costs from our friends at Savage and Associates (p. 11); expert perspectives on holiday season asthma and allergy issues from Toledo Clinic allergist/immunologist Dr. Binod Thakur (p. 10); insights on when women might want to seek the expertise

/HLNToledo

Your husband’s doctor just told you it’s time for hospice care. You’re overwhelmed and aren’t sure where to start. At ProMedica Hospice we provide our compassionate, patient-centered care anywhere you call home – whether it’s in your home, an assisted living or nursing facility or at Ebeid Hospice Residence.

ProMedica is the local health care system that can help you and your husband on this journey by providing expert guidance, care and support.

It’s all about being well connected.

@HLNToledo

of a urogynecologist from Toledo Clinic physician Dr. Nadine Kassis (p. 26); and a look at the vital, cutting-edge research conducted by Mercy right here in Toledo (p. 5).

If your family’s Thanksgiving traditions usually include participating in the Smoke the Turkey 5K, which has been held at the St. James Club for the last several years, we want to bring to your attention that this popular event will go on as always but is now called the 2015 Dave’s Turkey Chase and will be held in downtown Toledo. Special thanks to Dave’s Performance Footgear and their sponsors for keeping this event alive for our community. For more details, see the article on page 21.

Happy Thanksgiving, and until next month, stay safe, active, and healthy!

To connect with ProMedica Hospice, call 419-824-7400.

promedica.org/hospice © 2015 ProMedica

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Protocol Number INCB-MA-PV-401 sponsored by Incyte Corporation © 2014 Incyte Corporation Protocol Number INCB-MA-PV-401 sponsored by Incyte Corporation © 2014 Incyte Corporation 4 November 2015 | Healthy Living News

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W

e may not give it much thought when we seek medical treatment, but every tool at our healthcare professionals’ disposal— every drug, therapy, and device—had its origin in a clinical trial. We may also be unaware that many of the cutting-edge research studies that bring us these tools are conducted right here in the Toledo area by local healthcare systems.

In fact, Mercy has had a robust clinical research department in place since the late 1970s and has helped bring to market a wide range of cutting-edge therapies and medical devices that improve patient outcomes and quality of life every day, including numerous drugs and cardiac stents.

“Mercy has long been committed to research to help bring state-ofthe art treatment options to our patients,” explains Darla Scott, RN, CCRC, Manager of Clinical Research for Mercy. “Critical care, infectious disease, pulmonary disorders, sleep disorders, cardiology, and oncology are just some of the areas we study. With our new cancer center slated to open next fall in Perrysburg, oncology will continue to be a big focus. We are very excited about the new opportunities we now have in neurointervention for conditions such as stroke and brain aneurysms. We’re also doing pediatric trials in various specialty areas. Essentially, we do a clinical trial whenever we see a population that we think can be helped with a new therapy or device.”

Scott notes that Mercy has done studies on therapies for chronic obstructive pulmonary disease (COPD) as well as novel research on diseases like idiopathic pulmonary fibrosis (an incurable, ultimately fatal disease characterized by thickening and scarring of the lung tissue), yielding treatments that slow the progression of these conditions while improving quality of life in patients who have them. The research team also studied a drug to treat a rare inherited disorder called adult-onset Pompe disease, which proved effective. As a result,

area patients with this disease could receive treatment at Mercy, whereas before they had to drive several hours to Pittsburg for treatment.

Of course, clinical research studies aren’t always about discovering the elusive cure to some rare disease. Oftentimes, they’re focused on finding ways to make existing therapies for commonplace, already-treatable conditions more effective—for example, developing better antibiotics for treating pneumonia or skin infections. “With antibiotic resistance, such as methicillin-resistant Staphylococcus aureus and Clostridium difficile, if we don’t get ahead of that problem through research, we won’t have anything to treat them with in the future,” Scott states.

Some patients are reluctant to participate in clinical trials because they prefer to stick with tried-andtrue therapies, believing there are fewer risks or side effects associated with established treatments. But that’s actually a misconception. As Scott explains, “Just because a drug or other therapy is already approved and available on the market doesn’t mean there are no risks or downsides to using it. Even Tylenol has potential side effects and can be very dangerous if dosed incorrectly.”

What’s more, in addition to bringing the latest therapies and devices to market, clinical trials offer numerous direct benefits to the patients who choose to participate in them. An obvious advantage is potentially having access to a state-of-the-art investigational therapy or device that’s not yet available on the market, but beyond that, study participants are very closely monitored by the research team, so they receive unsurpassed care and no side effects or other concerns go unnoticed.

“We’re extremely gratified that Mercy so strongly supports the research work we do here. We have exceptionally dedicated, nationally recognized physicians heading our research team, and our study staff consists of committed RNs who are

© 2015 ProMedica

MERCY RESEARCH Advancing health care right here at home

The chance to be a daughter, again.

ProMedica Home Health Care provides all the services your mom needs to keep her at home, and healthy.

We will take care of monitoring her after her surgery, providing wound care, physical therapy, and home medical equipment for you and for your mom.

ProMedica is the local health care system that can care for her at every stage from getting her to the doctor to making sure that her medications are working for her.

It’s all about being well connected.

To connect with ProMedica Home Health Care, call 800-234-9355.

promedica.org/homehealthcare

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

5

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.

all highly trained and certified in research. However, without patient participation, we can’t achieve these advancements in health care and continue to provide the cutting-edge

therapies that really make a difference for the people in our care,” Scott says.

For information on clinical studies offered through Mercy, call 419-251-

HEALTH CROSSWORD

Crossword by Myles Mellor

by Myles Mellor • ilovecrosswords.com • Answers on page 14 1

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Contacts Business office:

To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615.

Phone: (419) 841-8202 or email Kevin O’Connell at sfstennis76@bex.net.

Ad reservation deadline is the 15th of the month preceding publication.

HLN reserves the right to refuse advertising for any reason and does not accept advertising promoting the use of tobacco.

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

Publisher: Kevin O’Connell

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Robin Buckey Print Designer: Jan Sharkey Web Designer: Strategically Digital LLC Social Media Specialist: Kelly Rickey Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech–Toledo Copyright © 2014 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe.

Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

4919 or visit mercyweb.org and click on “Clinical Trials” under the “Our Services” tab. For a listing of other locations performing studies, visit clinicaltrials.gov. ❦

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Understanding carcinoid cancer

T

he neuroendocrine cells perform persistent diarrhea, hypertension, a very important function in the and heart problems. body. Essentially, they integrate the Cushing syndrome is caused by an nervous and endocrine systems by excess of the hormone cortisol, proreceiving neural signals and, in re- duced by certain carcinoma tumors, sponse, secreting hormones or other and is characterized by weight gain, biologically active substances, such rounding of the face, skin changes, as histamine, serotonin, insulin, and increased body hair, fatigue, and a cortisol, into the bloodstream. In some host of other signs and symptoms. individuals, something goes awry The definitive treatment for carwith the DNA of neuroendocrine cinoid cancer is surgical removal in cells, causing them early stages, and the surto become cancerous vival rate is relatively high. and begin forming As Dr. Trivedi points out, if the tumor is small and so-called carcinoid tumors that have the localized, the survival rate tendency to spread to at five years is better than other organs.

80%. If the cancer is locally According to Charu advanced (meaning it has Trivedi, MD, of The spread to nearby tissue but Toledo Clinic Cancer has not yet metastasized), Centers, carcinoid canthe rate drops to 47%. cer is a rare, slow-growOnce carcinoid cancer has ing form of cancer that metastasized—or spread is diagnosed in only from the primary site to Dr.Charu Trivedi 11,000 to 12,000 people other organs or parts of per year in the United the body—the survival rate States. “There are both malignant at five years is closer to 18%. and benign forms, and the tumors Late stages of carcinoid cancers most commonly originate in the are treated with medications to congastrointestinal tract—especially the trol the symptoms caused by excess midgut, appendix, and rectum—as hormones. Commonly used drugs well as the lungs. In rare cases, they include sandostatin, antihistamines, originate in the pancreas or other etc. Rarely, other palliative procedures organs. However, nobody knows are used to control advanced cancer, the cause, there’s no screening test including cryoablation, radiofrequency for it, and there’s no known way to ablation, hepatic artery occlusion, palliative surgery, radiation, or even prevent it,” she explains.

As with many forms of cancer, chemotherapy. carcinoid tumors usually cause no Though the cause of carcinoid symptoms in the early stages. Most cancer is unknown, certain risk factors cases are discovered incidentally for the disease have been identified. when patients are being evaluated One is having a history of a condiand tested for other complaints or tion that causes changes in stomach incidentally during surgery. Symp- acidity, such as gastritis or pernicious toms that do arise—typically in later anemia. Also, women are at higher stages of carcinoid tumors—depend risk than men, African Americans are on the location of the tumor. Local at greater risk than Caucasians, and symptoms can include cough, chest risk increases with older age. There pain, and wheezing in the case of are also certain genetic syndromes lung carcinoid, and diarrhea, abdom- that elevate risk, such as multiple inal pain, or cramps in the digestive endocrine neoplasia type 1 and neutract. These tumors can also cause rofibromatosis type 1. a constellation of hormone-related One of the challenges doctors face symptoms in the form of carcinoid in diagnosing carcinoid cancer is that the symptoms tend to be vague and can syndrome or Cushing syndrome.

The most common symptoms often be attributed to more common associated with carcinoid syndrome, complaints. As a result, diagnosis can which affects a small percentage of be delayed for a significant period, patients with malignant carcinoid even years, while other potential cancer, include wheezing, flushing causes are being explored and ruled (redness and/or a feeling of warmth), out. Of course, the more time that

CANCER CENTER

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

or call 419-479-5605 Toledo Clinic Cancer Centers has moved to better serve our patients and families.

Be sure to join us for our open house on March 5th, 2014 from 4pm - 7pm!

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

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passes before the cancer is diagnosed and treated, the less favorable the outcome. “If you experience any of these symptoms and there seems to be no good explanation for it, or if you have risk factors for carcinoid tumors or have symptoms related to carcinoid syndrome or Cushing syndrome, it’s important to go see your doctor for an evaluation and diagnosis,” Dr. Trivedi advises. ❦ Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, has eight board-certified

hematologists/oncologists and eight nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TCCC also has satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe for the convenience of the patient, and many TCCC patients are enrolled in the latest cancer research and studies in our region through the Toledo Community Oncology Program (TCOP). For more information, please call the Toledo Clinic Cancer Centers at 419-479-5605.

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T

o the rest of the world, Gordie Howe is “Mr. Hockey” and widely recognized as one of the sport’s greatest all-around players whose remarkable professional career, spent predominantly with the Detroit Red Wings, spanned six decades and profoundly influenced countless players and fans. But to Murray Howe, MD, and his siblings, Mark, Marty, and Cathy, Gordie is much more than a living hockey legend—he’s also a beloved father.

Unfortunately, the wear and tear of a long professional hockey career—typically wearing no helmet and only minimal padding—has taken a significant toll on Gordie’s health and cognitive function and presented him with a very different type of opponent today. At age 87½, Gordie is facing off against vascular dementia, chronic traumatic encephalopathy, and severe spinal stenosis.

And his devoted family is right there beside him in the fight.

“Dad started showing symptoms of chronic traumatic encephalopathy right around the time my mom, Colleen, passed away in 2009,” Murray recalls. “We didn’t realize what was happening at first because we were so focused on Mom, but then it start-

ed to become obvious that his short-term memory was impaired.”

To ensure Gordie received all the family support he needs, the siblings decided the best option was to care for him in their homes on a rotating basis. He spent the colder months with Cathy in Lubbock, Texas; summer with Mark and Marty out East; and fall and spring with Murray and his wife, also named Colleen, in Sylvania. This arrangement worked out well until around last summer when Gordie’s general ability to function significantly declined and his back pain stemming from degenerative disc disease greatly intensified.

“I had him undergo lumbar decompression, which was helpful to a degree, but the pain really seemed to take the wind out of his sails,” says Murray, who is Division Director of Musculoskeletal Radiology & Sports Medicine Imaging for Toledo Radiological Associates. “He went from being able to walk three or four miles at a time to only about an eighth of a mile. He also began to develop symptoms of vascular dementia. While his math and problem-solving skills were—and still are—exceptional, he was having difficulty speaking and experiencing more challenges with daily tasks.”

With Gordie’s function declining and travel becoming more and more difficult for him, the siblings agreed at the end of last summer that it would

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be best for him to stay with just one to Murray and Colleen’s home in of the children on a full-time basis. Sylvania so he could be close to his Cathy was chosen because she wasn’t friends in Detroit (where he could working at the time and could give take in the occasional Red Wings him all the attention he needed. The warm Texas weather was an added inducement.

Gordie arrived in Lubbock in September, but within a month, his health took a serious turn for the worse. He experienced a severe right-sided stroke that left him unable to speak or stand, and physical therapy made little difference in his condition. Doctors said it was time to call in hospice.

As it turned out, hospice would have to wait. “We got a call from a stem cell manufacturer in San Diego, and their representatives told us they’re huge fans of Dad and really wanted to help him. They were incredibly confident that they could make a difference. So, we dragged Dad onto game). a plane and headed for San Diego.

“Colleen and I felt His response to the treatment was that between the two absolutely remarkable. Less than a of us, we could spend a day later, he was up and walking lot more time with him. and talking,” Murray says.

Plus, our kids come here Once back in Lubbock, Gordie at various times to visit, so did well for a while. But when Cathy he’s always surrounded had to return to work full time and by family. Since he came he had only nonfamily caregivers here in June, he’s responded very well to look after him during the day, he and seems to get a little better every was out of his element and didn’t day. We’re also extremely grateful to respond well to the situation. The have assistance from Right at Home siblings10.25x5_ES_SkilledRehFac_Ad_HL_915_HI.pdf decided to bring Gordie caregivers, take care of Dad 1 9/22/15 who 10:22help AM

and keep him safe as well as free up me and Colleen to do other things we need to do,” Murray says.

Gordie is at his best and happiest when he’s both physically active and socially engaged, so Murray tries to do something that meets these criteria with him every day. The Toledo Zoo, the Toledo Museum of Art, Harroun Park in Sylvania, and Cabela’s in Dundee are just a sampling of the destinations Gordie enjoys. He also loves yard work, such as raking leaves and shoveling snow, and according to Murray, the back yard, with its various garden plots, is like heaven to him. “But most of all, he enjoys lighting up other people and making

their day. He just loves goofing off with little children and receiving hugs from the ladies. Everywhere we go, people really love doting on him,” he says.

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Visiting a recent Red Wings vs.

Chicago Blackhawks preseason game at Joe Louis Arena, where he sat with Red Wings owners Mike and Marian Ilitch, really sparked Gordie’s enthusiasm. Murray notes that when the players had the opportunity to meet him for the first time, their response was amazing. “Then, that night, Dad, who is usually most active from around 3:00 to 9:00 p.m., was still up and chit-chatting at 11:00, and the next day he was ‘on fire’ talking about how much fun he had at the game,” he adds.

Asked what advice he would give other families who are facing similar circumstances, Murray explains, “You can make the situation good no matter what stage your loved one is in. It’s always tempting to say, ‘I wish Dad were more like he used to be’ or ‘It’s so sad that he can’t do this or that anymore,’ but our approach is different. We’re thankful for every day we still have him and treasure those moments when he’s cracking jokes and smiling and laughing.

He has such a tremendous sense of humor and is such a humble man that caring for him is a privilege.

Every time I say goodnight to Dad, I make sure I tell him how much I love him and thank him for being such a wonderful father. Having him here with us is a gift that we’ll nurture for as long as we can.” ❦

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Holiday season offers no reprieve for asthma and allergy sufferers

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hat pernicious ragweed pollen may finally be on the wane, giving many seasonal allergy sufferers much-needed relief from their miserable symptoms. They might even be tempted to assume they can coast through the upcoming holiday season symptom-free. Now that would, indeed, be cause for joy and good cheer! But unfortunately, having one potent allergen temporarily out of the equation doesn’t necessarily mean it’s safe for people with allergies to let down their guard.

According to Toledo Clinic allergist/immunologist Dr. Binod Thakur, despite the festive mood and celebrations, this time of year presents its own set of challenges to asthma and allergy sufferers, stemming from foods, outdoor molds, and even the influenza virus.

Food allergies and the holiday feast People with known food allergies—or their parents, in the case of food-aller-

gic children—must be especially vigilant when attending holiday parties and potlucks where the menu and food preparation are completely out of their control.

Dr. Thakur points out that in this scenario, cross-contamination can be a major concern. “For example, if the party’s host puts out a bowl of peanuts or mixed nuts and then, once it’s empty, refills it with a different snack, the peanut residue left in the bowl can be sufficient to trigger a life-threatening reaction in highly sensitive people.

The same cross-contamination risk applies to spoons, knives, spatulas, and other implements used to serve multiple dishes,” he says.

Hidden ingredients are another big issue for food allergy sufferers during the holidays. The list of the most common food allergens includes milk, eggs, soy, wheat, peanuts, tree nuts, and shellfish. Now, consider how many of our favorite holiday candies, cookies, and desserts likely

contain at least the first two items on that list, if not others (e.g., nuts).

The symptoms of food allergy can involve the skin, stomach, respiratory system, and cardiovascular system and range from mild to severe. But the greatest concern with any food allergy is the potential for life-threatening anaphylaxis, which can cause a constellation of symptoms, including itching and hives over large areas of the body; swelling of the throat, tongue, face, or other parts of the body; difficulty breathing due to the throat closing or chest tightness; dizziness; and gastrointestinal problems, such as stomach cramps, nausea, vomiting, or diarrhea. Also, having asthma places food-allergic people at higher risk of experiencing a life-threatening episode.

“If you or your child has a known food allergy and you’re planning to attend a holiday party, it’s vital to discuss it with the host ahead of time as well as to inquire about the specific ingredients in any of the

foods served.” And, of course, you must be sure to take your injectable epinephrine with you to the party in case of accidental exposure,” says Dr. Thakur.

Decaying leaves Though the annual succession of tree, grass, and weed pollens may be drawing to a close, mold continues to be a problem for people with respiratory allergies. At this time of year, all those leaves spread across yards and piled up in the streets are the biggest source of this culprit. Dr. Thakur explains that as the leaves decay, they provide the perfect growing medium for molds such as Alternaria, which is known to cause flair-ups in people with asthma.

“Of course, all the fall raking and leaf blowing we do to keep our lawns and landscapes looking their best releases mold spores into the air where sensitive people can breathe them in. For this reason, I always advise individuals with mold and grass allergies to wear a dust mask over their nose and mouth whenever they’re doing these chores. They should also keep up with their prescribed allergy medications to help them stay ahead of symptoms,” he says.

Binod K. Thakur MD, FAAAAI, FACAAI

Certified by American Board of Allergy and Immunology Fellow of American Academy of Allergy, Asthma and Immunology Dr Thakur offers a full spectrum of services for diagnosis and management of complex or recurring immunological and allergic conditions including, but not limited to: • Sinusitis, hay fever, asthma, eczema, hives and immune deficiency • Allergic reactions to foods, drugs, chemicals, latex, insect stings and others • Blood and skin allergy tests for pollens, dust, molds, animal dander, foods and drugs • Expanded patch test panel for allergies to metals, cosmetics, chemicals, orthopedic/dental implants and other contact allergens • Ingestion challenge test for foods and drugs • Spirometry end exhaled nitric oxide test for asthma • Allergy shots as well as oral immunotherapy/desensitization for pollen, dust mites, mold, animal danders, stinging insects, aspirin and other drugs For any allergy concerns consult Dr. Thakur, a Board Certified Allergist with over 20 years of experience.

Contact his office to set up an appointment.

4235 Secor Road Building 3, 2nd Floor Toledo, OH 43623 10 November 2015 | Healthy Living News

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Influenza and asthma It may seem odd to include influenza—a virus—in an article about allergies. However, Dr. Thakur emphasizes that when people with asthma get the flu, they usually experience an asthma flair-up, which often results in bronchitis and a lingering cough.

What’s more, they don’t recover from

this condition as quickly as people with healthy lungs do. His advice to prevent this problem is quite simple: All people with asthma should get the flu vaccine, which protects against the specific flu strains (typically three or four) that research determines are most likely to be circulating in that particular flu season. ❦

Cure when you can but care always

by Jamie Monagan

T

he majority of people will need some form of long-term care in their lifetime, but that same majority doesn’t know what that care event will look like. I believe everyone already has a plan to provide for this care, but unfortunately for many, that means spending down a large portion of hard-earned assets or relying on adult children to bear the burden of their care—often the oldest daughter.

Loved ones are going to be caregivers, but the question here is how best to finance the cost of care. An adult daughter may have a career of her own and may make the sacrifice, but with a little planning, the outcomes

can be much more desirable. The important things to consider are (1) if you need long-term care, how will that affect your family, and (2) how are you going to pay for it?

Most individuals think of three ways to pay for care. Most often, people assume they will just gift or hide assets and a government program will pay for their care. With the Deficit Reduction Act of 2005, however, those programs have become less and less viable an option. Today, the reality is people are living longer, maybe due to medical technology, and these programs require you to spend down your assets first in order to get to any benefits.

A second way people pay for care is with traditional long-termcare insurance. This can be a good solution; however, for the average individual, the cost of insurance can be prohibitive when you start to think, “If I never use it, I will lose it.”

A third way people pay for care is by self-funding, but this requires you to pay dollar-for-dollar for care and could involve spending down hardearned assets. These may not be the most economical ways to pay for care.

Aside from the ways above, there are better solutions today that will pay for the whole continuum of care, be it in-home, assisted-living, or nursing-home care. Additionally, if you end up not needing care at all, all of your premiums transfer to your heirs. In other words, it’s not “use it or lose it.” This better alternative is called asset-based care.

Imagine sitting at your kitchen

table writing checks for $6,000 each month to pay for the assisted-living or nursing facility and wondering, “How long are these assets going to provide for my spouse, and if we run out of money, who’s going to provide for my care?” Typically, you may have to look to your adult children to provide for you. The state of Ohio actually has filial support laws that could potentially force your adult children to provide for your care financially if your means to do so run out. A good long-term-care plan can address this risk.

The bottom line is that long-termcare costs can be very expensive. Most of my clients want to age at home because that is where they are most comfortable. These newer plans do provide at-home care. Of course, this type of asset-based-care protection should fit your unique situation and your specific goals. To take advantage of these more foolproof plans, consult with an advisor who specializes in long-term planning. ❦ Jamie Monagan is a financial advisor with Savage and Associates. For more information, please call 419-725-7377 or email Monagan@SavageAndAssociates. com.

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Recovery to Home...

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he wears it at night and it looks tunnel syndrome is a hand and arm condition that causes numbness, scary.

It’s a carpal tunnel brace, worn tingling, and other symptoms. Carby thousands who have this painful pal tunnel syndrome is caused by syndrome, like Sister Sharon Havelak, a pinched nerve in your wrist. A a Sister of St. Francis in Sylvania, number of factors can contribute to Ohio. But in occupational therapy carpal tunnel syndrome, including the jargon, the brace is actually called a anatomy of your wrist, certain underlying health probwrist splint.

“I first noticed lems, and possibly the problem when patterns of hand I went long-disuse.” tance biking and Bound by bones my hands would and ligaments, the become numb,” carpal tunnel is a Sharon says. “Gradnarrow passageually, the numbness way located on increased, and it the palm side of happened more your wrist. This Repetitive motions can cause numbness in often when I did Sr. Sharon Havelak's hands. tunnel protects a other activities, like main nerve to your driving for long hand and the nine distances. Not being able to feel the tendons that bend your fingers. Comneedle when you are cross-stitching pression of the nerve produces the can be a problem!” numbness, tingling, and, eventually, Sharon is a graphic artist, print- hand weakness that characterize maker, educator, writer, and all-around carpal tunnel syndrome. talented woman. She has been diagnosed with carpal tunnel syndrome, Causes a disorder that causes numbness in Carpal tunnel syndrome occurs as a both of her hands, with her domi- result of compression of the median nant right hand a little worse. Carpal nerve, which runs from your foretunnel syndrome may be caused by arm through a passageway in your repetitive movements over a long wrist (carpal tunnel) to your hand. It period or by fluid retention, and is provides sensation to the palm side characterized by sensations of tin- of your thumb and fingers, with the gling, numbness, or burning. exception of your little finger. It also Sharon adds that other activities provides nerve signals to move the added to her hand’s numbness: folding muscles around the base of your greeting cards, making origami cranes, thumb (motor function). or cutting fabric. She basically takes an over-the-counter pain medication Managing symptoms to reduce the inflammation and wears Sarah Gidich, OTR (Registered Ochand braces on both hands at night. cupational Therapist) with Concept She says these do help to ease the Rehab, helps people with carpal tunnel. She says, “There are tendon and condition a bit. nerve gliding exercises that can help What is carpal tunnel the nerve move freely in the wrist, syndrome? minimizing pain and numbness.” She The Mayo Clinic explains, “Carpal adds that wrist splints are generally We love feedback. Like us on Facebook. Follow us on Twitter.

worn at night for maximum effect.

She teaches her patients Median Nerve Glides, a series of exercises that a patient can do at home and can help minimize carpal tunnel symptoms.

The earlier one suspects something is wrong with their hands and wrist, the better it can be addressed, possibly avoiding more serious problems later on. That can include avoiding surgery. There are many nonsurgical routes to attempt, including: Wrist splinting: The splint that holds your wrist still while you sleep, which can help relieve nighttime symptoms of tingling and numbness.

Nocturnal splinting may be a good option if you’re pregnant and have carpal tunnel syndrome.

Nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs, such as ibuprofen (Advil, MotrinIB, and others), may help relieve pain from carpal tunnel syndrome in the short term.

There isn’t evidence, however, that these drugs improve carpal tunnel syndrome.

Corticosteroids: Your doctor may inject your carpal tunnel with a corticosteroid, such as cortisone, to relieve your pain. Corticosteroids decrease

inflammation and swelling, which relieves pressure on the median nerve. Oral corticosteroids aren’t considered as effective as corticosteroid injections for treating carpal tunnel syndrome.

If carpal tunnel syndrome results from an inflammatory arthritis, such as rheumatoid arthritis, then treating the arthritis may reduce symptoms, but this hasn’t been proved.

If none of the nonsurgical therapies work, and your symptoms are severe or persist, surgery may be an option. The goal of carpal tunnel surgery is to relieve pressure on your median nerve by cutting the ligament pressing on the nerve.

The surgery may be performed with two different techniques. Discuss the risks and benefits of each technique with your surgeon before surgery. Surgery risks may include incomplete release of the ligament, wound infections, scar formation, and nerve or vascular injuries. The final results of endoscopic and open surgery are similar.

Prevention Sarah also says that preventing carpal tunnel might be a simple matter of

adapting tasks to keep the wrist in a neutral position. Trying to relax your form (not using so much pressure on your computer keys or cash register keys), improving your posture, and keeping your hands warm might help lessen the pressure on the median nerve. There are also adaptive devices, such as large pens and mouse cushions, that can alleviate the repetitive pressure of daily tasks.

The saying “Artists have to suffer” has a lot of truth to it, but some of that suffering might be prevented! Examine

your work place and be aware of any carpal tunnel symptoms. ❦

Q A

keep up a youthful pace. In fact, new technologies have made it easier to manage hearing loss and stay engaged in life.

Today’s hearing aids help people with hearing loss better hear sounds

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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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and people from all directions, and they filter out noise. Many sit discreetly and comfortably inside the ear canal and out of sight, and many are wireless, so they can interface easily with other high-tech devices like smartphones, home entertainment systems, conference-room speakerphones, and hearing loops. Some are even waterproof, and others are rechargeable.

Addressing hearing loss really can help you better maintain your vitality. Here’s how: By getting out and enjoying life— People with hearing difficulty who

use hearing aids get more pleasure in doing things and are even more likely to exercise and meet up with friends to socialize, BHI research shows. In fact, most people who currently wear hearing aids say it has helped their overall quality of life.

By nurturing relationships and social connections—Most people who currently wear hearing aids say it not only helps their overall ability to communicate effectively in most situations, but it also has a positive effect on their relationships and ability to participate in group activities. And they’re more likely to have a strong social network.

By keeping a positive outlook— Research shows that people with hearing loss who use hearing aids are more likely to be optimistic and feel engaged in life. Many even say they feel more confident and better about themselves as a result of using hearing aids.

By being a go-getter—People with hearing loss who use hearing aids are more likely to tackle problems actively, research shows. And most hearing aid users in the workforce say it has helped their performance on the job. In fact, earlier BHI research found that using hearing aids reduced the risk of income loss

hear clearly anywhere, anytime.

by 90 to 100 percent for those with milder hearing loss, and from 65 to 77 percent for those with severe to moderate hearing loss. People with untreated hearing loss can lose as much as $30,000 in income annually, the study found.

By protecting your cognitive function, staying on your feet, and keeping the blues away—A study from the Bloomberg School of Public Health at Johns Hopkins University found that hearing aids may slow cognitive decline tied to hearing loss, according to Reuters. The results suggested that estimated 20-year rates of decline in memory and global function were greatest in participants who did not use a hearing aid. Earlier studies have linked hearing loss to dementia and cognitive issues. Another Johns Hopkins study showed that people in middle age (ages 40 to 69) with even just mild hearing loss were nearly three times more likely to have a history of falling. The intensive listening effort demanded by unaddressed hearing loss may take cognitive resources away from what is needed for balance and gait, researchers have suggested. And a 2014 study found that hearing loss is associated with an increased risk of depression in adults of all ages, but is most pronounced in 18- to 69-year-olds.

Northwest Oho Hearing Clinic would like to promote healthy hearing aging, so please remember to protect your hearing as much as you can and, as always, feel free to contact us to answer your hearing healthcare questions. ❦ Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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We want to help you live your life to the fullest. call today for your complimentary consultation.

Toledo 419.383.4012 Perrysburg 419.873.4327 www.nwohc.com 14 November 2015 | Healthy Living News

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Lives well lived

by Kingston residents

Written by Joanna Hunter

I

f the walls at Kingston Healthcare Assisted Living facilities could talk, they would easily recount thousands of stories from the past and fond memories from years gone by. In the common areas, hallways, and apartments, laughter, smiles, and tales of “the way things used to be” float in the air like a pleasant fall breeze.

And if those walls could indeed talk, they might retell stories like these: “In 1955, I was named president of Sheridan College, in Sheridan, Wyoming. I was young, but I worked hard at it, and I guess I was a little bit lucky too, says Dr. Richard White, retired college administrator, and Kingston of Sylvania resident. “We were teaching out of the old hospital in town, but space was limited and enrollment was growing. I was the first president at Sheridan to lobby for state aid and secure funding for a new building through private donations and municipal bonds—with a 91% approval vote!

With that money, we built the first building on campus, which was sorely needed. During my four years at Sheridan College, enrollment tripled!”

A life-long genealogy hobbyist and retired from a distinguished 45-year career in college administration, Dr. White has lived at Kingston Residences of Sylvania for more than seven years. His first experience with Kingston was before he became a resident, when his wife of more than 60 years was suffering from Parkinson’s disease and needed more extensive care than he could give her at home.

“We found the best place available for her care, and I joined her here after about a year. It was nice to be in the same place together.”

Ninety years young, Dr. White stays mentally active by gathering information via the Internet on his family tree, dating back centuries, and keeping tabs on dozens of grandchildren and great-grandchildren.

“It’s been a good life,” he says with a smile.

Follow the sound of a light-hearted, infectious laugh, and you are likely to encounter Marcie Newmark, the self-appointed social coordinator and daily mail and cookie delivery specialist at Kingston Residence of

choose

KINGSTON

FOR ALL THE RIGHT REASONS TIME IS A GIFT TO BE GIVEN TO OTHERS.

“We were delighted when we first saw your Sylvania. A retired surgical nurse, serving 39 years at Mercy Hospital, Marcie has been a resident at Kingston for 9 years. “I just love it here,” she says with a big smile.

Mother of five children and grandmother to nine grandchildren and four great grandchildren, Marcie was diagnosed with multiple sclerosis at 62 years of age. She had previously endured multiple knee replacements and subsequent injuries that now

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beautiful facility. But it was nothing compared to the genuine caring and compassion we felt from the day Dad arrived at Kingston. In no time at all, everyone knew him by name – the dining room staff, nurses, aides, housekeeping staff, barber – ‘Hi, Wilbur.’ You really made the effort to get to know him.

You took over Dad’s care and helped us all through a pretty tough time. Dad loves living at Kingston. Thanks for taking the time to make sure

”

he feels right at home. Every day is a gift.

- Son of a Kingston Resident

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15

prevented her from walking on her own. As the MS continued to weaken her legs, she knew she needed extra help around the house. “I could have stayed at home with outside help, you know, but I wanted to be social! I wanted to be with friends, stay busy, have fun, and not be a burden to my kids.”

Marcie’s self-appointed role as social coordinator suits her well. She not only thrives on her daily activity of checking in with other local residents, but she also enjoys the opportunity to continually exercise her nurturing spirit from her nursing days. “Being here, checking in on and visiting with my fellow residents on a daily basis gives me joy,” she says. “It’s like I’m still taking care of people. I always wanted to be a nurse, you know.

From the time I was old enough to have dolls, I would constantly soothe their pretend cries and mend them when they were broken. In my first nursing position, I was assigned to the obstetrics department when I could

take care of real babies. And over the years, through mutual acquaintances, I met several of those babies when they had become adults! It was very satisfying to see their lives come full circle. Here at Kingston, I still get to care for people. Even if all I’m doing is bringing a smile to someone’s day.

After all, I’m here [at Kingston] to live, not to die!”

Many different people from many walks of life. Different joys and challenges, life experiences, and ways in which they left their mark on this world. All you have to do is ask, and you’ll get a glimpse of a life well lived and the impact left behind through their deeds and talents. These are only a few of the stories recounted by the residents of Kingston Healthcare assisted living facilities. Stop in for a visit, and you are guaranteed to hear more of them floating down the hallways of memory lane. ❦ Joanna Hunter is Executive Director of Marketing at Kingston HealthCare.

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BySister Mary Thill

Spiritually Speaking We are family If you remove from your midst oppression, false accusation and malicious speech; if you bestow your bread on the hungry and satisfy the afflicted; then light shall rise for you in the darkness, and the gloom shall become for you like midday.

—Isaiah 58:10

W

hen I read this quote from Isaiah, which I have read and heard many times in my life, I couldn’t help but think of Pope Francis and the many times he has called for forgiveness, reconciliation, love, mercy, and care for the poor.

It seems to me that Pope Francis has been trying to help us all see that happiness and peace and light in our families, our neighborhoods, our cities, our countries, and our world depend on those qualities. They are not just nice words but are words that can and must be put into action, become lived realities, if we are going to have peace in our families and peace in our world.

Many people today bemoan the fact that the family, as those of us past 50 would say, no longer exists.

The nuclear family; the family-that prays-together-stays-together family; the ethnic neighborhood families; the all-went-to-the-same-schools

families, etc. just don’t exist anymore, and this loss is blamed on the many social, moral, religious, and political ills we experience these days I think there is some truth to this, but I also see that the kinds of families we see today bring something to the family that enriches, expands, and explores the kinds of relationships that are possible among people who are different in ways that weren’t experienced in the “old” family structure.

The saying, “You don’t choose your family, but you do choose your friends” seems to be changing as people do seem to be choosing their families as well as their friends.

I like to think that this huge shift in the way we relate to one another will actually help us live together more peacefully because it calls for an openness and acceptance and a non-judgmental attitude that could help us remove the oppression we see all around us, not just what’s happening in our own little world.

It could show us how harmful false accusations and malicious speech can be to those we encounter at home, at work, and at play and that we all deserve to be treated with respect and dignity because when we let

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these moral values slip, we become less than human.

When we no longer respect the dignity of each person, we will not feed them when they are hungry nor care for them when they are suffering.

As Jeanne Schuler wrote in America, For violence to occur, persons must first be seen as objects. It is difficult to kill someone whom I recognize as being like myself.

With all the shootings, suicides, gang fights, domestic violence, and wars taking place in our society today, I see people longing for a safe place in which to live, learn, work, worship, and play. I really do see all this violent behavior stemming from families and a society that don’t seem to be paying attention to the darkness and gloom being experienced by some of their members.

I recently saw a sign on the back of a car on a local street that read, “You have your family. I have mine.”

Below the words were drawings of three rifles and five handguns. If that’s family, we’re in trouble!

During this month of Thanksgiving, I will pray for all families who gather to thank God for all the blessings we have in our midst. Please join

me as I pray: Lord, we ask you to spread our tables with your mercy.

And may you bless with your gentle hands the good things you have given us.

We know that whatever we have comes from you.

Thus whatever we eat, we should give thanks to you.

And having received from your hands, let us give with equally generous hands to those who are poor, breaking bread and sharing our bread with them.

For you have told us that whatever we give to the poor we give to you.

Amen.

—Alcuin of York, 8th century❦

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

ProMedica offers full spectrum of diabetes services under one roof

T

he national trend in the incidence of diabetes is cause for major concern. Today, upwards of 9% of the US population and 13% of Lucas County have been diagnosed with the disease, and if the current trajectory remains unchanged, it’s estimated that onethird of the populace will have diabetes by the year 2050.

This skyrocketing rate is a problem not just for individuals with diabetes and their families, but also for the larger community and our healthcare system in general. Patients with diabetes are hospitalized and readmitted more often, require more services, and simply place a heavier financial burden on the system than their non-diabetic counterparts do.

To help counteract this alarming trend in our community, ProMedica

has opened the ProMedica Mary Ellen Falzone Diabetes Center, our region’s first facility dedicated to diabetes care and education (for both type 1 and type 2), on the north campus of ProMedica Toledo Hospital. The center is named after a young girl who lost her life to complications of type 1 diabetes, and generous donations from her family and other individuals and organizations helped make its construction possible.

According to Matt Wagenhauser, administrative director for the ProMedica Mary Ellen Falzone Diabetes Center, type 1 diabetes is an auto-immune disease where the body does not produce insulin, necessitating treatment with insulin injections or an insulin pump.

However, type 2 diabetes, where the body does not properly use the insulin it produces—the form that is

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17

Toledo Clinic Neurosurgery The region’s most experienced Neurosurgeon team are now offering Minimally Invasive Back Surgery at the Toledo Clinic’s Outpatient Surgery Center. Minimally Invasive Back Surgery offers relief for patients without the complications associated with traditional open back surgery.

Benefits to Minimally Invasive Back Surgery at the Toledo Clinic are: • Home the same day • Shorter recovery time • Less risk of postoperative complications • Small incisions leave less scaring • Less trauma to the patient’s body • Comprehensive Care from initial consultation through to post-op rehabilitation • Substantial cost savings associated with outpatient surgery Comprehensive Care with the Toledo Clinic’s on-site services includes: Radiology

Physical Therapy and Rehabilitation

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Minimally Invasive procedures can be used to treat a variety of conditions such as: • Spinal Stenosis • Degenerative Disc Disease • Facet Disease • Spondylolisthesis • Collapsed, Bulging and Herniated Discs Contact the Toledo Clinic Neurosurgery team to have your MRI reviewed.

Toledo Clinic Neurosurgery 4235 Secor Road, Building 1, Upper Level Toledo, OH 43623 Phone: 419.479.5590 Fax: 419.473.8893 Web: www.toledoclinicneurosurgery.com GET DIRECTIONS TO HERE Scan the QR code and use Google Maps to get directions to this location.

18 November 2015 | Healthy Living News

seeing explosive growth among our population—is largely lifestyle-related, typically stemming from improper diet and lack of exercise.

“This problem can be in our control if we figure out how to deal with the high number of diabetes patients we have today while working to reduce that 2050 estimate. So, our goal here at the center is not only to provide care and services for those currently diagnosed, but also to get out in front of the problem and address people with prediabetes and obesity so they don’t end up with diabetes ten years down the road,” says Wagenhauser.

The center serves as a “one-stop shop” for diabetes treatment, education, and resources, provided by ProMedica and various partner organizations who share the goal of reducing the impact of diabetes in our community. Through the ProMedica Outpatient Diabetes Program located at the center, patients can come in and meet with certified diabetes educators, nurses, and dietitians, either individually or in groups, to learn how to manage their disease as effectively as possible.

Also located on site are: • ProMedica Pharmacy Counter, offering a wide range of diabetes supplies, such as insulin therapy and glucose monitoring systems, woundcare products, diabetic shoes and socks, and other hard-tofind items • Pharmacists to provide expert one-on-one medication counseling • Specialist physicians from Endocrine and Diabetes Care Center • ProMedica Physicians Pediatric Endocrinology • Behavioral health services provided by Harbor to address mental and behavioral health issues that may impact a patient’s ability to manage complex self-care regimens • Diabetes Youth Services, a non-profit organization that provides support groups, community education, and other services for patients ages 16 and under • Laboratory services, including blood draws and screenings such as A1C

• ProMedica Physicians W.W. Knight Family Medicine Center, which is training tomorrow’s physicians how to contend with the diabetes epidemic.

Wagenhauser notes that taking advantage of the center’s comprehensive diabetes services can also help patients cut their healthcare expenditures. “Diabetes is an expensive disease, requiring treatment from primary care and specialty physicians, medications and medical supplies, education, transportation, and much more. Having all of these services in a single location helps reduce both the financial and time investments, lowering those barriers to good-quality care,” he says.

Anyone seeking information or other resources for managing or preventing diabetes is urged to contact the ProMedica Mary Ellen Falzone Diabetes Center at 419-2916767. Referral from a primary care physician is necessary to see the endocrinologists, but the center ’s staff can help patients navigate that process. “As we work with our partner organizations and various employers, we hope to become established as a trusted resource in the community for diabetes care and education. We’d also like to extend our reach beyond the limits of our campus and bring these vital resources to underserved neighborhoods. If we do this right and arm people with the information and services they need, we can start to make a real impact against this disease,” says Wagenhauser.

In recognition of American Diabetes Month, ProMedica is hosting the Diabetes Conference of Northwest Ohio, a free, half-day diabetes-education event on Saturday, November 14 from 7:30 a.m.–1:30 p.m. at the Park Inn by Radisson in downtown Toledo. All members of the community are invited to attend this patient-focused conference, covering both type 1 and type 2 diabetes. It will include motivational keynote speeches, educational classes, and a diabetes-friendly cooking demonstration by a celebrity chef who has personal experience with the disease.

The conference is free, but advance registration is required. For more information, please call 419-291-2716 or visit http://jdrf.org/events/diabe tes-conference-for-northwest-ohio/.❦

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will the timing of the move be?

News From

OTTERBEIN

8. Get touring!—Take tours of homes, condos, senior living communities, and other options for retirees. Ask about finances, activities, healthcare, and security.

Seniors, it’s your move— make it with confidence!

F

or retirees, downsizing and moving to a new home can be overwhelming. Here are eight tips to help you organize your mind and your move and better ensure a new life in a new place:

1. Make up your mind—“Move”

means to “go forward.” Try to think of it this way: The reality is that the house may be too big, too much for your needs. A change to a different, simpler way of life can be exhilarating.

Your attitude will help determine the success of your move!

2. See the big picture—To avoid

being overwhelmed by details it helps to have four strategies: Do a little at a time; keep your eye on the end goal—a simpler and happier life; enlist the help of family, friends, and professionals; and create a timeline.

3. Take a look at your “stuff ” and home—What can you do without? Is your home in good order and ready to be shown? What do you need to know before talking to a realtor.

4. Downsize and de-clutter—Be

ruthless! Pass on items to family. Get some plastic bins and post-it notes.

Get rid of out-of-size and out-of-date clothing! Get help from someone who will be honest and swift with the downsizing.

5. Get your house in order—Put on the glasses of a buyer. Does your house have good curb appeal? Is it light and bright inside? Is there clutter on counters? Can you pack away the majority of personal items?

6. Pick the right realtor—Interview three real estate professionals. Ask them, what is the competition? How

many homes have you sold this year?

What price do you propose that will bring us a buyer in 90 days? How will you market/advertise my home? Based on your research, pick the realtor who will be the best “business” choice and the best relational choice for you. You need someone you can trust!

There are many options in the market for retirees. Making a move can be a tough decision, and change can be difficult. Senior living professionals like Geri Ricker at Otterbein Portage Valley can help you with answers and resources that have been proven successful for many men, women, and couples in our area. Call Otterbein Portage Valley today to book a tour and talk with Geri at 419-833-8917, or check us out on the web at www.otterbein.org. ❦

7. Prepare for your new home—Is your next move “a

plan for life”? Will your move improve your quality of life and lessen the burden on you, family, and friends? Is it the right financial decision? Will it provide you with joy? What

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

19

EATING WELL

We Care & It Hasn’t Gone Unnoticed!

A

93.1%

by Laurie Syring, RD/LD

Understanding type 2 diabetes

G

Ohio Health Care Association Top 10 Facility 2015

B RO N Z E

etting diagnosed with type 2 diabetes at any age is life-altering, not only for you but for your whole family and anyone with whom you have close contact. Just hearing the news is hard enough, but before you even have a chance to come to terms with the diagnosis, you have to start learning how to manage the disease effectively, which involves new medications, a new way of eating, and a new focus on exercise. All the lifestyle modifications you have to make can seem overwhelming.

prevalent in Latinos and African Americans as well as those with a family history of the disease.

It’s also important to note that diabetes is a “silent” disease, meaning many people have it for some time— and exhibit no obvious symptoms— before being diagnosed. Sometimes symptoms are present but ignored or attributed to something less serious.

Signs to watch for include increased thirst and urination, a non-healing wound or infection, blurry vision, and fatigue.

What is type 2 diabetes?

It’s important to remember you have more choices than ever.

At Spring Meadow we can provide the level care needed from 24 hour nursing care or stay with us at our assisted living facility. Short and long-term rehabilitation services are available if you are recovering from joint replacement surgery or a stroke.

Spring Meadow has received the Bronze – Commitment to Quality Award for its dedication to improving the lives of residents through quality care. The quality of care provided by our professional, caring staff shows and we are honored to receive this award presented by the American Health Care Association and National Center for Assisted Living.

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Type 2 diabetes is caused by metabolic defects and the inability of the pancreas to make enough insulin—a hormone that moves glucose from the blood into the body’s cells to be used for energy. The body also can become “insulin resistant,” meaning it takes more insulin than normal to do this job. As the body makes more and more insulin, it can wear out and stop making insulin altogether.

Type 1 diabetes is a different disease process than type 2. It is an autoimmune-mediated destruction of the insulin cells that requires immediate and lifelong treatment with insulin injections. Commonly diagnosed in children, type 1 diabetes was once widely known as “juvenile diabetes.”

However, it can happen at any age.

The blame game No one asks to get diabetes. When it comes to this disease, people really like to “blame the victim”—after all, they “brought it on themselves” by eating too much sugar or being overweight. While it’s true that type 2 diabetes is often associated with lifestyle and typically develops after age 60 in those who eat unhealthy foods and are overweight and inactive, that’s not always the case. Diabetes can happen to anyone—even a fitand-trim marathon runner.

Who’s at risk?

Type 2 diabetes affects over 28 million Americans and tends to be more

A progressive disease Most people diagnosed with type 2 diabetes are prescribed oral medications initially to control their blood glucose levels. As they age, it may be necessary to increase the dosage or change the medications. When those are not sufficient, oftentimes insulin injections are needed.

In addition to medications, doctors typically recommend a carb-controlled diet and daily exercise to maintain the body’s ability to make insulin for as long as possible. Even losing just 10 percent of body weight can drastically help with blood sugars.

Keeping the load off the insulin cells in the pancreas for as long as possible is beneficial to ward off the need for insulin.

There have been decades of research on this disease in thousands of labs around the world, but it remains a mystery why some people do just fine with oral medications while others need insulin more rapidly.

Attitude and education are key People with type 2 diabetes can set

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reasonable goals for themselves of losing weight, staying active, keeping their A1C level (a measure of the average blood sugar level over the course of several months) in the proper range, and eating healthy. Having a positive mental attitude and the support of family, coworkers, and friends as they adjust to life with diabetes is also beneficial.

Of course, education is the most powerful tool in the fight against diabetes. The American Diabetes Association recommends diabetes education at the time of diagnosis, annually thereafter, and any time there is a change in health condition.

This is your key to success! ❦ Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

Don’t miss Dave’s Turkey Chase this Thanksgiving!

This Thanksgiving, Thursday, November 26, show your thanks by helping others—and burn off a few calories in advance of the feast—by taking part in Dave’s Turkey Chase to benefit Cherry Street Mission Ministries and Hannah’s Socks. Presented by WTOL 11 and Fox 36, this fun-for-everyone run/walk 5K, to be held at 730 N. Summit St., will kick off at 9:00 a.m. and travel through downtown Toledo. Turkey chasers can expect: • A flat, fast course • Chip timing • A commemorative shirt

• Family fun • Ample parking in the Vistula Parking Garage

• Professional event photography • A free kids run and more…

Registration is $30 through November 15 and $35 thereafter. Full event details can be found at www.RunToledo.com.

So bring your family and friends downtown this Thanksgiving and start a new tradition that’s healthy for you and a benefit to the community!

EAT HEALTHY, SLEEP MORE, DRINK WATER AND GET MOVING! Mercy Children’s Hospital and Kohl’s Cares believe that fostering positive behaviors in health and nutrition will help children be healthier and happier.

We’ve teamed up to offer parents and other caregivers’ practical advice on raising healthy children. Kohl’s Kids in Action is focused on four valuable steps that are important to better health: good nutrition, increased physical activity, proper water intake and good sleep habits.

Attention Elementary Educators and Administrators Are you looking for programs that meet the National Health Education Standards*? Do you lack funding for extended Health Education? Let us help.

Mercy Children’s Hospital and Kohl’s Cares believe that fostering positive behaviors in health and nutrition will help children be healthier and happier.

We’ve teamed up to offer area elementary school students practical advice on keeping themselves healthy. The Kohl’s Kids in Action community outreach program delivers four key messages: get enough sleep, drink plenty of water, eat a variety of healthy foods and get at least 60 minutes of physical activity every day. We offer these lively lessons using fun activities, discussions and role playing exercises. We can teach one classroom at a time, or larger groups, depending on the needs of your school.

We are currently taking reservations for the end of this year, summer health fairs, and for the 2012-13 school year. For more information, call Kohl’s Kids in Action at 419-251-1246 or visit kohlskidsinaction.org. *These lessons correlate with the following National Health Education Standards: 1. Students will comprehend concepts related to health promotion and disease prevention to enhance health.

2. Students will demonstrate the ability to use decision-making skills to enhance health.

3. Students will demonstrate the ability to practice healthenhancing behaviors and avoid or reduce health risks.

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

21

By Jim Berger

A lot to be thankful for!

N

ovember holds Thanksgiving and the start of the holiday season. Holiday items and decorations have been promoted in the stores since October. At this time of year, I focus on thankfulness more than any other time of the year. It is the time to take a deep breath, reflect, and appreciate all before the start of the Christmas holiday craziness and the New Year.

I want to share two stories that highlight the theme of thankfulness.

The first was shared with us by Jim P. Jim is 71 years old and was an active individual most of his life.

He enjoyed going to flea markets, walking around at the mall, and doing yard work. But time was not a friend to Jim. Like most of us, he put on a few pounds each year, and before he realized it, he was overweight and having health issues. This story may sound very familiar to many of us.

Jim was having pain in his left hip for almost two years and went to see an orthopedic physician. The physician told Jim he was a candidate for

a hip replacement but would have to lose weight before it could be done.

As I said, time was not in Jim’s favor.

His excess weight had caused health issues that impacted his activity and lifestyle. At his doctor’s orders, Jim began physical therapy at Heartland to address these problems. He was treated for hip pain and got involved with Heartland’s Healthy Lifestyle Program, which started to address his weight issues. During the six weeks of treatment, Jim lost 27 pounds and gained significant strength in both legs. Jim no longer has pain in his hip and has returned to doing things he enjoys. He is going to flea markets again, doing yard work, and walking pain free.

What a success for Jim and something to be thankful for!

The next story was shared by Michael D., who is an avid runner.

Michael wanted to run his first marathon in April and started training

for it in January. By mid February, he was injured and could barely walk.

He went to his podiatrist who diagnosed him with peroneal tendonitis.

He stopped running.

Luckily, Michael heard from a running partner about ASTYM, a soft tissue, manual therapy technique offered at Heartland that’s used to keep athletes in the game, so he decided to give it a try. Michael worked with Matt Schultz, PT, who is certified in ASTYM. Matt used this manual therapy intervention along with stretching exercises and Kinesio Tape. After six visits, Michael was out jogging, and after 10 visits he resumed full training.

Michael went back to see his podiatrist who was very pleased with his progress and wished him success on the marathon. He ran and completed his first marathon at the end of April and did it pain free.

Each and every day we see stories like the ones shared here. Heartland is so thankful for being in the community and having the opportunity to provide physical therapy, hand therapy, education, and wellness to individuals like Jim and Michael.

Therapy for today...wellness for life!

Enjoy your Thanksgiving, and if you want some healthier choices, I recommend checking out your options online. Type in “healthier Thanksgiving,” and you will find a variety of sites offering healthier options. ❦ Heartland Rehabilitation has five locations in the Toledo and Bedford Michigan areas with knowledgeable staff to assist with your physical and occupational therapy needs. If you have any questions about Heartland Rehabilitation Services or how physical and occupational therapy can benefit you, please feel free to contact Jim Berger at 419-787-6741 or visit www. heartlandrehab.com.

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Bite 6

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

I

f you are driving down Reynolds Road into Maumee, swim into Schlotzsky’s Café and Bakery (1419 Reynolds Rd.) and find yourself something to sink your teeth into. Whether you are looking for something healthy or are willing to overlook calories for a little indulgence, Schlotzsky’s has something for everyone.

That something for me was the Margherita Artisan Flatbread Pizza.

While not a small-calorie meal (730), it is a meal in itself. Sure, it looked dainty enough when it was brought to my table on a wooden pizza paddle, but I soon found out it was more than filling.

The best part was the chomping: sun-dried tomato pesto, fresh basil, roasted tomatoes, fresh mozzarella, and Parmesan cheese with a balsamic reduction all packed onto

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treasure is owned by Tony Rukieh.

Rukieh has an interesting connection to the Toledo area. As a child, he grew up in the Damascus area of Syria, where his father was a general contractor. “It was getting very tough for my family because there everything is controlled by the government,” Rukieh said.

His parents, Carl and Usaymah

the thin flatbread crust was a flavor powerhouse.

Schlotzsky’s has California Chicken and Avocado, Chipotle Chicken Pesto, and Italian Sausage and Basil artisan flatbreads as well.

One thing for sure, you won’t find another place like it in Northwest Ohio. While Schlotzsky’s franchises are dotted all over the US, this local

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Rukieh, moved their family to the US when Rukieh was 14. They settled in Sylvania and purchased The Beirut restaurant in 1981 and operated it as a family business until selling it in 1993.

As an adult, Rukieh discovered Schlotzsky’s when he was on a business trip as New Store Developer for Lone Star Steakhouse restaurants.

“I ate at a Schlotzsky’s there for 30 days and fell in love with the food,” he said. “At the time, I thought it was a local place owned by some fellow named Schlotzsky’s.”

Rukieh fell in love with Schlotzsky’s again in Las Vegas and found out the restaurant has been around since 1971. “I bought the Northwest Ohio franchise and the rest is history,” Rukieh said. ❦

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23

Addison Heights and Ridgewood Manor collaborate to offer best of both worlds

U

ntil recently, Addison Heights Health and Rehabilitation Center and Ridgewood Manor—two Consulate Health Care centers situated in picturesque Maumee, Ohio—operated independently. Both care centers embrace and reflect Consulate’s mission of “Providing Service with Our Hearts and Hands” while offering a warm, welcoming environment for residents and their families; longterm skilled-nursing care; short-term rehabilitation services; state-of-the-art dementia care; expert management of medically complex cases; shortterm respite care; 24-hour-a-day ER admissions; round-the-clock facility tours; and a host of other services and amenities.

Yet each care center lacked one thing that the other could provide.

“Ridgewood is contracted to accept patients insured through Paramount in addition to other insurances, but they aren’t set up to take VA patients,” explains Davida Tucker, Admissions Coordinator for Addison Heights (formerly known as Swan Pointe Care Center). “We, on the other hand, cater to VA patients but aren’t set up to accept Paramount.”

So, this past summer, Addison

Heights and Ridgewood Manor agreed that by operating as sister facilities and marketing the Consulate concept together, they could offer our community a product much stronger than the sum of its parts— the best of both worlds. Plus, now that VA and Paramount patients are covered between the two care centers, which are situated in very close proximity to one another, they don’t have to worry that a change in coverage will mean having to leave behind the Consulate care philosophy and the community they call home.

Part of that philosophy is defining the caregivers, therapists, and other staff members at Addison Heights and Ridgewood Manor as “Ambassadors of Care,” who share the Core Values of compassion, honesty, respect, integrity, and passion. These values are the reason Consulate employees so often go above and beyond in the care they provide and why many of them consistently receive positive feedback from residents and their

loved ones.

The Ridgewood Manor and Addison Heights staffs each offer other unique strengths and skills that benefit both care centers as well. For example, Schelly Houck, Ridgewood Manor’s Admissions Director, serves as hospital liaison for both centers. “If one of our patients is admitted to the hospital for any reason, she visits them every day to check on their care, discuss their case with the medical staff, and determine whether they’ll require any different accommodations when they come back,” Tucker says.

Addison Heights works with the VA clinics in our region to ensure veterans know what benefits are available to them and performs community outreach to senior centers, urgent care facilities, physicians’ offices, and other venues to help spread the word about Consulate’s services.

Tucker finds community marketing for Addison Heights and Ridgewood Manor particularly gratifying, noting,

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

24 November 2015 | Healthy Living News

“

We are committed to our mission of

Providing Service With Our

Hearts

and

Hands”

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

“When considering where to go or take a loved one for rehab or longterm skilled nursing, people want to know they’re going somewhere that feels like home and is guided by strong Core Values—not only a place where they can get better, but also a place for living. By getting to know us personally and learning ahead of time everything we have to offer, they already feel like part of our family when it’s time to make that critical decision.”

For more information or to schedule a care center tour at any time of day, please call Addison Heights Health and Rehabilitation Center at 419-867-7926 or Ridgewood Manor at 419-865-1248.

About Addison Heights Health and Rehabilitation Center Addison Heights Health and Rehabilitation Center is a place to get better, a place for living. As a 90bed skilled-nursing center, located at 3600 Butz Road, Maumee OH, 43537, and a proud member of the Consulate Health Care family, their culture creates a community where Consulate staff cares for patients and residents like family, not because it’s their job, but because it’s their calling. Consulate Health Care is the sixth-largest provider of post-acute healthcare services in the nation, specializing in post-acute care. From 24-hour skilled nursing and shortterm comprehensive rehabilitation services, to Alzheimer’s and dementia care, Addison Heights Health and Rehabilitation Center is committed to meeting the skilled-nursing care needs of Maumee and the surrounding communities.

Please visit consulatehealthcare. com to learn more about how we are achieving faster recoveries through better care.

About Ridgewood Manor Ridgewood Manor is a place to get better, a place for living. As a 90-bed skilled nursing center, and a proud member of the Consulate Health Care family, our culture creates a community where Consulate staff cares for patients and residents like family, not because it’s their job, but because it’s their calling. We are Ambassadors of Care. Visit us at consulatehealthcare. com to learn more about how we are achieving faster recoveries through better care. ❦

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

Medical Mutual Ad (Healthy Living News_October 2015).qxp 9/22/15 11:01 AM Page 1

New Medicare Options from Medical Mutual Introducing MedMutual Advantage Plans Our Medicare Advantage plans include medical, dental and vision coverage. Choices include $0 premium plans (in certain counties), $0 primary care provider office visit copay plans, $0 prescription drug deductible plans and $0 generic drug copay plans. We are open 8 a.m. to 8 p.m. seven days a week from October 1 to February 14 (except Thanksgiving and Christmas), and 8 a.m. to 8 p.m. Monday through Friday and 9 a.m. to 1 p.m.

Saturdays from February 15 through September 30 (except holidays). Our automated telephone system is available 24 hours a day, seven days a week for self-service options.

To speak to a licensed agent, please call (866) 406-8777 (TTY 711 for hearing impaired) or visit MedMutual.com/Medicare.

MedMutual Advantage HMO and PPO plans are offered by Medical Mutual of Ohio under a contract with Medicare. Enrollment in these plans depends on contract renewal. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year. This information is not a complete description of benefits. Contact the plan for more information.

You must continue to pay your Medicare Part B premium. Limitations, copayments and restrictions may apply.

H4497_H6723_SAT1_2016_Sep15 CMS Accepted Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | November 2015

25

Toledo Clinic welcomes new urogynecologist

by Christine A. Holliday

DR. NADINE KASSIS

A Fellowship Trained Urogynecologist

What Is a Urogynecologist?

A urogynecologist is a surgeon who has specialized in the care of women with pelvic floor disorders.

What Kind of Training Does a Urogynecologist Have?

Urogynecologists are physicians who have completed medical school and a residency in Obstetrics and Gynecology or Urology. These physicians become specialists with additional years of fellowship training and certification in Female Pelvic Medicine and Reconstructive Surgery.

Areas of Expertise: • Defecatory Dysfunction

• Overactive Bladder

• Fecal Incontinence

• Pelvic Organ Prolapse

• Genital Fistulas

• Urinary Incontinence

• Idiopathic and Neurogenic Voiding Dysfunction

• Vaginal Agenesis

Surgical Procedures: • Advanced laparoscopic and vaginal surgery for the correction of pelvic organ prolapse including mesh-augmented and native tissue repairs.

• Minimally invasive surgery for the correction of stress incontinence including mid-urethral sling surgery, laparoscopic urethropexy, and urethral bulking injections.

• Advanced therapy for refractory urge incontinence including Interstim and Botox.

• Anal sphincteroplasty and Interstim for fecal incontinence.

• Surgical management of vaginal mesh complications.

• Fistula Repair • Neovagina Creation

Office Location 3425 Executive Parkway, Suite 108 Toledo, OH 43606 Phone: 419-214-3192 Fax: 419-214-3195 GET DIRECTIONS TO HERE Scan the QR code and use Google Maps to get directions to this location.

26 November 2015 | Healthy Living News

W

atch TV long enough, and you’ll didn’t exist before the pregnancy, see commercials for solving including incontinence, issues empproblems with women’s “plumb- tying the bladder, and vaginal pain. ing.” Until we see those commercials, Dr. Kassis’ menopausal or post-menowe might not know that significant pausal patients have their own comnumbers of women need help with plaints, from prolapse (or dropping) of these problems. We wouldn’t be the uterus, bladder, vagina, or rectum aware of the statistics showing that to difficulty urinating or emptying urinary incontinence increases with bowels to overactive bladder. She age, affecting up to 57 percent of may find such patients have fistulas, women between 40 and 60 years old, or abnormal connections, between and three-quarters of women 75 and the vagina and other organs, such older, with experts suggesting that as the rectum, urethra, or bladder. many more women may have the She explains why such a patient condition but remain undiagnosed might consider seeking her medical treatment: “Although your because they haven’t reported their symptoms to primary care physician, their doctor. Viewers might OB/GYN, or urologist may find it noteworthy that have knowledge about there is a medical subspethese problems, a urogynecialty (urogynecology) to cologist can offer additional treat these problems and expertise. You should see, a host of other conditions or be referred to, a urogythat affect the muscles and necologist when you have connective tissue of the problems of prolapse and/ female pelvic organs. or bothersome urinary or fecal incontinence or Dr. Nadine Kassis is a Dr. Nadine Kassis urogynecologist and a new when your primary doctor staff member at The Toledo Clinic. recommends consultation. Other Like her colleagues in the field, she problems for which you or your has completed medical school and doctor might think about consulting a residency in Obstetrics and Gy- a urogynecologist include problems necology or Urology. She became with emptying the bladder or rectum, a specialist with additional years of pelvic or bladder pain, fistulas, and fellowship training and board certifi- the need for special expertise in cation in Female Pelvic Medicine and vaginal surgery.”

Reconstructive Surgery, and explains Dr. Kassis notes that the urogythat the training provides expertise necologist can recommend therain the evaluation, diagnosis, and pies to relieve or cure symptoms of treatment of problems with the pelvic pelvic floor disorders and recomfloor. Disorders there can happen if mends that patients pick the one the pelvic muscles are weakened or that works best with their lifestyle torn as a result of childbirth, repeated and goals. “Sometimes,” she says, strenuous activity, chronic disease, “simple changes and interventions pelvic surgery, or menopause, as well can have a significant impact on as repetitive heavy lifting, tobacco daily quality of life. Conservative use, and genetics. options include medications, pelvic The subspecialty of urogynecology exercises, dietary and/or behavioral is relatively new—it was accredit- modifications, and vaginal devices, ed in 2015 by the American Board also known as pessaries. The uroof Medical Subspecialties—but is gynecologist may also recommend helping to treat problems experi- Pelvic Floor Physical Therapy with enced by women for generations. Dr. Biofeedback and Electric Stimulation.

Kassis notes that she sees and treats And, if necessary, safe and effective women of all ages with a variety of surgical procedures can be utilized problems specific to their age. She to treat incontinence and prolapse.” notes that even young women can Dr. Kassis is accepting new pahave these problems and often sees tients at her office at 3425 Executive women who have recently delivered Parkway, Suite 108 in Toledo (phone: babies and found problems that 419-214-3192). ❦ We love feedback. Like us on Facebook. Follow us on Twitter.

Pulmonary patients can now breathe easier at Advanced Healthcare Center

E

ver striving to enhance their continuum of care, Advanced Healthcare Center, a short-term rehabilitation and long-term skilled-nursing facility located at 955 Garden Lake Parkway in Toledo, recently introduced a dedicated pulmonary unit to better serve patients with respiratory problems.

The new unit, headed by Dr. Srivinas Katragadda of Respiratory Specialists, Inc., offers specialized care and education to patients with conditions requiring ventilation, such as new tracheotomy patients and those with chronic obstructive pulmonary disease (COPD) or congestive heart failure (CHF). Advanced Healthcare Center is one of only a few skilled nursing facilities in our area that

offer this type of unit.

In fact, according to Megan Smiddy, Director of Provider Relations for CommuniCare, Advanced Healthcare Center’s parent company, all the nurses and aides at Advanced Healthcare Center have undergone specialized training in pulmonary assessment, management of respiratory conditions, tracheostomy care and suctioning, oxygen setup, ventilator troubleshooting, and many other vital skills so they can provide the best pulmonary care possible and help prevent patient rehospitalization.

Oxygen and vacu-

uming suction are delivered to each of the pulmonary unit rooms through the walls, which helps create a quiet, peaceful environment. In contrast, traditional stand-alone oxygen tanks and concentrators can generate a significant level of noise, making it difficult for patients—and their roommates—to get the recuperative rest they need. The unit’s ventilators are portable, hospital-grade Philips “Trilogy” models that can also be used in the home.

Also noteworthy is the fact that Advanced Healthcare Center partners with the adjacent Advanced Specialty Hospital of Toledo, a long-term-acute-

care hospital (LTACH) that provides treatment for medically complex patients who require an extended period of hospital-level care and aren’t quite ready to transition to rehab or long-term skilled-nursing care. Examples include patients with traumatic injuries, respiratory failure, difficult-to-heal wounds, post-surgical complications, congestive heart failure, stroke, complex orthopedic conditions, and many others.

“Once patients are ready to make that transition from LTACH to Advanced Healthcare Center, the same physicians and therapists they’ve been working with in the LTACH environment can follow them here to monitor their progress, ensuring continuity of care,” says Smiddy.

Of course, Advanced Healthcare Center’s state-of-the-art pulmonary unit and connection with Advanced Specialty Hospital are just some of the elements that set the facility apart.

For another example, the short-term rehabilitation center boasts a highly dedicated team of physicians, nurses, therapists, and

VISIT

TODAY! Located on the Campus of Advanced Specialty Hospital

New Pulmonary Rehabilitation Program Our Pulmonary Rehabilitation Program is designed to...

• • • •

Treat high acuity pulmonary patients in the subacute setting Provide wall oxygen and vacuum suction in each room Provide high quality patient care Offer therapy and nursing services focusing on pulmonary diagnosis, disease education and medication management

Why go anywhere else for pulmonary care?

We specialize in the treatment of these medical issues: • • • • •

Ventilator Dependent Pneumonia Tracheostomies Pulmonary Fibrosis Asthma

• • • •

Chronic Bronchitis Emphysema Restrictive Lung Disease COPD

communicarehealth.com

The journey home starts with a single step. Contact us today, and we will be happy to walk with you every step of the way.

Admissions

A MEMBER OF THE

24/7

955 Garden Lake Parkway Toledo, OH 43614

419.382.2200

Serving with Pride.

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27

social workers, who share the goal of providing the most soothing environment and the highest level of care so patients can heal faster and get home sooner.

Nu-Step, the Omni-VRTM Virtual Reality System, Scifit Pro2 Recumbent Bike, Diathermy, and E-Stim are just a sampling of the state-of-the-art therapy equipment and modalities available. Special rooms set up like a home kitchen and bedroom are available so patients can practice transitioning and other activities of daily living before completing their rehab journey, and the staff can

provide home evaluations prior to discharge at the patient’s request.

“Plus, we offer both short-term and outpatient rehab, so patients can get LTACH care and all the rehab services they need on one easily accessible campus,” Smiddy adds.

In terms of atmosphere, the newly refurbished Advanced Healthcare Center can best be described as a skilled-nursing center with hotel-like amenities. All the rooms feature flat-screen TVs with cable, a private phone line, and WiFi, and patients have access to salon/spa services, community outings (with the center

providing transportation), a host of on-site activities, and a variety of different religious services. Daily transportation is provided for offsite medical appointments, as well.

With respect to culinary services, patients and their loved ones are pleased to find that meals are gourmet-quality and served in well-appointed dining facilities. And variety is always the order of the day. The culinary staff ensures that patients have a good selection of foods to choose from and even meets with new patients upon admission to discuss their preferences and any

special dietary needs they might have.

“Advanced Healthcare Center was designed with the whole patient in mind—so they can heal faster and get home sooner,” explains Michelle Hoff, Executive Director of CommuniCare. “We like to describe our goal here as ‘healing mind, body, and soul by combining clinical expertise and the soothing aesthetic and amenities of a boutique hotel or spa.’ It’s that objective that continually guides and influences the care, services, and atmosphere we provide.” ❦ For more information on Advanced Healthcare Center, please call 419-3822200.

SUA is...

Acupuncture for arthritis pain

where I can be my own

HERO

by Douglas Schwan, Dc, Dip ac

A

St. Ursula Academy St. Ursula Academy is a Catholic, college preparatory school for girls, grades 6 through 12

NOW ENROLLING For more information call 419-329-2209 or rhayes@toledosua.org Open House: November 8th High School Placement Test: December 5th Become an ARROW for a Day To reserve your spot call 419-329-2209 or online at toledosua.org 28 November 2015 | Healthy Living News

rthritis literally means “joint pain.” While there are a variety of different types of arthritis, varying from infectious to autoimmune-disease-related, by far the most common type is osteoarthritis. Osteoarthritis is the good-old wear-and-tear arthritis where accumulated traumas of daily living cause joints to break down.

Did you suffer an automobile whiplash injury to your neck when you were 17? Injure your knee playing football in high school? Fall off the monkey bars and land on your back in elementary school? Those past traumas damaged the joints in your neck, back, and knees. As time went on, the cartilage that allows smooth joint movement began to break down, and now the bones are grating against each other. Scar tissue and adhesions can build up around the damage, leading to further pain.

Ever wonder how grandpa can tell a storm is coming when his knee aches? It is because scar tissue around his knees traps gasses inside the joint as a low-pressure weather system moves in. Conversely, his knees feel pretty good when a high-pressure system heralding a sunny day moves through town.

While acupuncture has been around for over 2,000 years, it is only recently that research has been

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

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

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

The Lakewoods II & III 1021 Garden Trail Toledo, OH 43614 419-382-1200 www.thelakewoodsoftoledo.com

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

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

The Woodlands

Lutheran Village at Wolf Creek

Addison Heights Health and Rehabilitation Center

2001 Perrysburg-Holland Rd. Holland, OH 43528

3800 Butz Road Maumee, OH 43537

419-861-2233

419-867-7926

www.lhsoh.org

www.consulatehealthcare.com

Senior Living Guide Choosing a senior living community that’s right for you or a loved one is among the most important—and challenging— decisions you’ll make in your lifetime. We’re fortunate here in Northwest Ohio and Southeast Michigan to have a wide variety of high-quality senior living options, including independent living, assisted living, continuing-care, and subsidized low-income housing communities.

To make your decision a bit easier, we’ve assembled this guide to all the senior living properties that regularly support Healthy Living News through advertising. In addition to referencing this page for each organization’s contact information, we urge you to see their ads in the pages of this issue, check out their websites, and give them a call to schedule a tour if you are interested in hearing more about all the services and amenities they offer.

Senior Star at West Park Place 3501 Executive Parkway Toledo, OH 43606

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

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

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

Heartland of Waterville

Parkcliffe Community

8885 Browning Drive Waterville, OH 43566

4226 Parkcliffe Lane Toledo, OH 43615

419-878-8523

419-381-9447

www.heartland-manorcare.com

www.parkcliffe.com

Swan Creek Retirement Village

Kingston Rehabilitation of Perrysburg

The Manor at Perrysburg

5916 Cresthaven Lane Toledo, OH 43614

345 E. Boundary Street Perrysburg, OH 43551

419-865-4445

419-873-6100

www.swancreekohio.org

www.kingstonhealthcare.com

419-972-2280 www.seniorstar.com

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

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

The Laurels of Toledo

Advanced Healthcare Center

1011 Byrne Road Toledo, OH 43607

955 Garden Lake Parkway Toledo, OH 43614

419-536-7600

419-382-2200

www.laurelsoftoledo.com

www.Communicarehealth.com

Sunset Village

Otterbein Portage Valley Senior Lifestyle Community

Lutheran Home at Toledo

Oakleaf Village

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

20311 Pemberville Rd. Pemberville, OH 43450

131 Wheeling St. Toledo, OH 43605

4220 N. Holland Sylvania Rd.

419-724-1200

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

419-724-1414

419-885-3934

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

www.otterbein.org

www.sunset-communities.org

www.otterbein.org

www.lhsoh.org

Toledo, OH 43623 www.wallickcommunities.com

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

29

Are You Suffering?

Try Acupuncture!

AcupuncTure cAn help.

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

Better health. naturally.

“My husband and I had a two pack a day cigarette habit.

We tried patches, gum and drugs but nothing worked.

A friend reccomended Dr. Schwan to us for acupuncture. After our treatments my husband and I have both been smoke-free for eight months now! I tell all my friends about how Dr Schwan gave us back a healthy lifestyle!” ... Kristin & Tyler

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

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

Schwan chiropractic & Acupuncture center

Call for your FREE Consultation Today!

2828 W central Ave, Toledo • AcupunctureToledo.com

Covered by VA, BWC, PI Insurance

419-472-7055

Rehabilitation Services designed to get patients back to living.

MedBridge at Heartland provides a comprehensive regime of specialized rehabilitation services, each one designed to move you one step closer to your recovery goals.

Recovery begins with our state-of-the-art rehab gym where our team can treat patients recovering from orthopedic injuries, stroke and neurological, cardiac, oncology and pulmonary issues.

MedBridge focuses on shortterm patients requiring a higher level of medical care and rehab.

We offer: • Complex medical care • Intensive rehabilitation • Skilled nursing For additional information or MedBridge contact: Heartland at ProMedica on the campus of Flower Hospital 5360 Harroun Road Sylvania, OH 43560 419.540.6000

©2015 HCR ManorCare

Heartland of Perrysburg 10540 Fremont Pike Perrysburg, OH 43551 419.874.3578 Heartland of Oregon 3953 Navarre Road Oregon, OH 43616 419.698.4521

medbridgerehab.com

30 November 2015 | Healthy Living News

demonstrating the pain-relieving benefits of this ancient procedure.

The current theory of acupuncture is based on the understanding that there are channels of energy flow throughout the body. These channels carry an energy known as Qi (pronounced “chee”). This energy is directed around the body to maintain homeostasis as well as heal areas of damage. By stimulating certain “acupuncture points” around the body with hair-thin needles, this energy can be directed to areas that may require attention, which, in the case of arthritis, are the inflamed joints of the knees, back, neck, etc.

New techniques combine the ancient with the modern. For example, patients with long-standing low-back pain or post-surgical pain can have the energy amplified through a medical acupuncture procedure known as microstim (MS) acupuncture. With MS acupuncture, a small pulsating current is run through acupuncture needles, energizing the area and facilitating healing by promoting the re-growth of micro-blood vessels.

This procedure is so effective it is even used in cosmetic acupuncture for the treatment of wrinkles! Promoting blood vessel growth in old adhesions and scar tissue results in improved range of motion and reduced pain and retards the ongoing degenerative process. This type of treatment has even found favor in orthopedics, where bad fractures that refuse to heal can have needles implanted and attached to a stimulator to encourage re-union of bad fractures. Sure beats surgical nuts and bolts!

Research into acupuncture for many types of arthritis and pain syndromes is demonstrating its effectiveness: • In rheumatoid arthritis, a recent study from China showed that both traditional acupuncture and microstim acupuncture reduce tenderness, pain, and swelling.

• In a German study of over 300,000 patients with knee osteoarthritis, routine care with acupuncture was compared against standard medical care. Those that received acupuncture exhibited less pain, better range of motion, and, most importantly, a better

quality of life.

• While fibromyalgia is technically not arthritis, the chronic pain can make movement painful and difficult at times. In an interesting research test, patients suffering from fibromyalgia were divided into two groups: an acupuncture group who received real acupuncture and a control group who received “fake” acupuncture treatments. They then injected the patients with a radioisotope tag that binds with pain-blocking receptors in the brain.

Those patients who received acupuncture demonstrated increased activity of these receptors on MRI scans. Even more exciting, after a month of treatment, the scans showed a progressive increase in activity throughout the treatment period.

The number of treatments necessary to get good pain relief varies with the severity and type of arthritis.

Each person is unique. Some people will respond to acupuncture more quickly than others. At the start of treatment, some relief after two or three treatments is expected. Ten to 12 treatment sessions over five to six weeks is a typical treatment regime.

If your joints are tied up or you have extensive post-surgical scar tissue, then periodic supportive treatments could be required. Treatment is typically tailored to the individual.

Numerous studies have shown that acupuncture is an effective treatment for most arthritis pain and functional loss. There are no known serious side effects from its use. With good pain relief, one can return to an active life to further strengthen their body and exercise joints that were otherwise too painful to move.

“Motion is Life” and whatever helps us achieve it increases our enjoyment of it. ❦ Need a speaker for your group? Dr. Schwan is available to speak on a wide variety of alternative health topics.

For more information about TCM, acupuncture, or Schwan Chiropractic & Acupuncture Center, please visit us at www.AcupunctureToledo.com or email faq@acupuncturetoledo.com.

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

THE ACADEMY CORNER Presented on behalf of

The Academy of Medicine of Toledo & Lucas County

Our obesity-hunger paradox

by Louito C. Edje, MD, FAAFP

“I

t is peculiar to live in a world where hunger is an endemic problem for half of the planet while diet books are best sellers in the other half.” This simple statement by Madeleine Albright suggests a geographic distance between these two halves of the planet, yet the complexities of hunger and obesity co-exist in cities, households, and even single individuals.

Toledo has the recent distinction of being seventh on the Forbes list of “Fattest Cities in America.” Yet, almost 20% of the population of Lucas County meets the definition of “food insecure.” That is, within the span of 12 months, their household “sometimes” or “often” did not have enough money to buy food to last until the end of the month. So where does one start to make us less distinguished on that list? Two suggestions: Challenge the concept of “healthy obesity” and become familiar with “food insecurity.”

“Healthy obesity,” otherwise known as obesity in the absence of metabolic risk factor clustering, has widely been used as rationale for tackling obesity with less vigor than it deserves. It was thought that obesity was a stable physiologic state rather than one that transitions to metabolic deterioration. A study—the longest of its kind—published in January, 2015, challenges the notion of the “healthy obese.”

A group of “healthy obese” individuals was assessed for metabolic deterioration as compared to healthy nonobese. “Metabolically healthy ” was defined as having less than two of the following: abnormal high-density lipoprotein cholesterol, abnormal blood pressure or use of antihypertensive medication, elevated fasting plasma glucose or use of antidiabetic medication, and high triglycerides.

It was found that the age-, gender-, and ethnicity-adjusted prevalence of unhealthy obesity after five years was 11.8 times higher in the baseline healthy obese adults compared to healthy nonobese adults. After 20 years, approximately half of healthy obese adults were unhealthy obese and only 10% were healthy obese.

Because “hunger” is subjective and difficult to measure, in 2006, the US Department of Agriculture stopped using the term hunger and started using “food insecurity.” The food insecure are not easily identified without screening. A divorced soccer mom with two scholar-athletes may be food insecure because she is trying to keep her children in a private school. A two-question screening tool with 97 percent sensitivity helps us pick up this struggling, often overlooked segment of our population, which is associated with at least six medical conditions in adults: obesity, type 2 diabetes, acute decompensated heart failure, depression, hypertension, and coronary artery disease.

In our youth, it is associated with obesity, teen suicide, and impaired cognitive development.

City-wide problems require citywide solutions. Perishable fruits and vegetables that have reached their shelf life in grocery stores can be transitioned to the empty shelves of food insecure families. Consumers who know the difference between a “sell-by date,” “use-by date,” and “best-by date” may have seven more days of food that otherwise would have been thrown out.

Tacit messaging targeting children with the toy d’ jour and supersizing the fries is a problem. Legislation to decrease direct-to-child-consumer advertising is a morsel of the solution. Offering healthier options to moviegoers is another. “Healthier” choices in four of our local theaters

ACT NOW! Medicare Plan members have until December 7th to choose a new plan for 2016.

Why should I use an ashley Group Independent broker for my IndIvIdual Insurance needs?

We represent a number of companies and we can analyze the various plans which are available in your area. We will discuss which plan or plans will suit your individual needs. We are LOCAL agents. And there is no fee to use our services.

I am neW to medIcare. What can I expect from an ashley Group Independent broker?

First, we will educate you on Original Medicare. We will answer your questions such as: How does Original Medicare work? What is Part A, Part B and Part D? Is there a cost? Are there deductibles?

Then, after talking to you a little more, we’ll analyze the available plans in your area and help you with your plan selection.

When Is the annual medIcare open enrollment? (also knoWn as aep or the annual electIon perIod)

Every year, the Annual Election Period is from October 15th through December 7th with an effective date of January 1st for any plan changes. If you’re already enrolled in a Medicare Advantage Plan or a Medicare Prescription Drug Plan, you will receive the “Annual Notice of Change” from your carrier in late September or early October. If you are happy with your plan, do nothing and your plan will roll into 2016. If you feel the plan you are enrolled in is not the best for you in 2016, the Annual Election Period is your time to make a change.

CAll 419-897-1001 TODAy Our authorized licensed agents have years of experience and represent most major plans.

Dave Holman

Dave Sickles

1645 Indian Wood Circle, Suite 203, Maumee, OH 43537 4400 Timber Commons Drive, Sandusky, OH 44870 387 Medina Road, #303, Medina, OH 44256

www.TheAshleyGroup.com

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31

TM

include a “lite bite combo” of beef jerky, butterless popcorn, and diet soda, yet some of the healthiest carrot-stick and red-grape options disappeared with cinema mergers.

Exercise is almost always part of the solution regardless of the cause of

obesity. And it goes without saying that partnering with primary care is sound judgment. ❦ Louito C. Edje, MD, FAAFP, is a member of The Academy of Medicine of Toledo & Lucas County.

Laurels rehab patients “lighten up” with AlterG Anti-Gravity Treadmill

Women are calling this “life changing.”

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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.

The good news is, now that The Laurels of Toledo has added the state-of-the-art AlterG® Anti-Grav-

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ity Treadmill® to their repertoire of therapeutic modalities, Toledo-area residents who face this dilemma are no longer limited to plodding and painful rehab progress.

The AlterG, developed by NASA engineers while studying the biomechanics of exercise in space, uses differential air pressure technology to “unweight” patients as they walk, stand, or perform various exercises on the treadmill under the close supervision of a therapist. In fact, the unit can unweight patients as much as 80% 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.

Laurels physical therapy assistant Brad Weaver explains that patients are often given specific weight-bearing limitations by their doctors. For example, an orthopedic patient may be told to limit weight bearing on a particular extremity to only 50%. “With the AlterG, we can very precisely dial in any level of weight bearing, with increments as small as 1%, so we can stay in total compliance with doctors’ orders as we work on increasing activity tolerance,” he says.

As the patient’s tolerance increases, the therapist can adjust the amount of weight borne by the AlterG incrementally downward until the patient is able to manage the activities at normal weight and can then transition to performing them with no assistance from the machine.

Weaver recalls one patient who had severe lower extremity pain that she rated as 7 out of 10. By reducing her weight bearing in the AlterG, he was able to lower the patient’s pain level to 0 out of 10 and she was able to tolerate activities that involved supporting herself on one leg.

Another patient, working with Laurels physical therapy assistant Justin Bates, reported hip pain of 8 or 9 out of 10. She could walk only about 20 feet at a time using a walker, and she could only do so with a “step-to” gait, meaning she would stride out with the painful leg and then bring the other leg up to meet it before striding out again.

“On her very first day on the AlterG, she was able to walk for 10 minutes straight, using a normal gait and without holding on to the treadmill for support,” he states.

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Patients appreciate that the AlterG ing the effects of gravity on the body provides a fall-free environment so not only relieves pressure on injuries they can feel completely safe and and painful joints, but also unweights supported as they walk or perform the heart so it doesn’t have to work static exercises on the platform. The as hard during physical exercise. For Laurels rehab staff appreciates that patients with congestive heart failsupport, as well. Activities that tradi- ure or other cardiac conditions, this tionally involved positioning patients can be tremendously advantageous between two parallel bars with ther- in boosting their activity tolerance. apists stationed on “We’re incorporating the Patients and either side to hold AlterG into our cardiac rethem up can now be therapists appreciate covery program, so we can performed with the get these patients strong the safe, fall-free AlterG supporting enough to function indeenvironment of the patient, freeing pendently at home and the anti-gravity up the therapists’ then begin a formal cardiac treadmill. hands. rehabilitation program,” Additionally, the she says. height of the chamber can be adjusted The Laurels rehab team even used up or down to increase or decrease the AlterG to help a significantly the stability of the torso, which is overweight patient with severe hip helpful for improving trunk control, pain lose weight so she could qualify for example in stroke patients. Bates as a candidate for hip-replacement notes that the visual feedback the surgery. Unaided by the AlterG, she AlterG provides is priceless from could walk only a few feet using a a neurological standpoint, as well. walker, leaning on her forearms to “Giving patients the ability to ob- bear much of the weight. But once serve their gait mechanics without unweighted in the machine, she having to look down at their feet could stand upright without holding really helps get their brain and body on for leverage and easily shift from back in sync,” he says. one leg to another. The experience Julie Leidel, Rehab Services Director left her overwhelmed with emotion. for The Laurels, points out that reducOf course, the ultimate objective is

always to get the patients weaned off the AlterG and performing activities with the lowest level of assistance possible. According to Weaver, that’s the most rewarding stage from the rehab staff ’s perspective. “It’s great seeing someone performing well in the AlterG, but the best part is the carryover—seeing someone put together all they’ve learned in the machine and do it with minimal assistance, no cane, and no walker,” he says.

Update: Regular HLN readers will be pleased to know that Laurels rehab

patient Mike Brewer, who, along with his wife, Janice, was severely injured in an auto accident in Fort Lauderdale, Florida last spring, continues to make tremendous strides in his recovery with help from the AlterG. In fact, he’s already achieved his stated goal of walking without a cane by Christmas! ❦ The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services.

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

� THE TOLEDO CLINIC Caring for Newborns to Seniors James D. Diethelm MD Ryan Szenderski PA-C Same day appointments available with our physician assistant

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33

Need I say more?

by Mark S. Faber, USPTA Elite Professional

Total Body Rehab

O

ver the past few months, I traveled to several conferences. During each of the events, a common theme became present once again: We need to get kids more active. I have written about this before, but I feel that this matter is serious enough to revisit.

During the conferences, I was reminded of several scary facts: • From 2008 to 2013, there were 2.6% fewer kids (6 to 12 years old) participating in soccer, baseball, track, basketball, football, and softball.

• Overall team participation in this same age group was down 4.5%.

• Fewer kids were active during this time frame. In 2008, there were 9 million kids active versus 8.2 million kids in 2013, an 8.8% decline. (Source: Project Play produced by the Aspen Institute.)

Even though the above statistics are powerful, these facts might be even more powerful:

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• With our kids less active, the obesity rate has increased.

• For the first time, kids today are going to live five fewer years than their parents. A very powerful informational piece on this can be found at designedtomove.org. I encourage all readers to spend a few minutes on the site.

Now, as a parent, the above information should have my attention. But let me turn the tables and provide some reasons your kids should be active and participate in sports if they already are not (once again these stats are from Project Play).

Kids who participate in sports: • Are 1/10 as likely to be obese (childhood) • Receive 40% higher test scores (childhood)

• Smoke less (adolescence) • Are 15% more likely to go to college (adolescence) • Earn 7 to 8% more (adulthood) • Have lower health costs (adulthood) • Are more productive at work (adulthood) • Are at lower risk of heart disease, stroke, cancer, and diabetes (adulthood).

This is an outstanding and powerful list of reasons for kids to get more active. Not to put any pressure on moms out there, but it was also shared with us that kids of active moms are two times more likely to be active than those whose moms are not active.

Now, as a long-time tennis coach, I would like to share with readers some stats on youth who play tennis (shared by the USTA).

Youth who play tennis: • Get better grades (48% have an A average) • Are likely to go to college (81% say they will attend) • Stay out of trouble (73% have never been to the principal’s office) • Give something back (82% volunteer in their communities) As parents, coaches, and just flatout people who want us to become better, we need to take a hard look at all of these stats. We need to change the negative trends and build on the positive statistics. Knowing that kids who have active moms are two times more likely to be active, we need to build on sports that the family can participate in together. Over the next few months, you will see a campaign by the USTA aimed in this direction.

This family focus will encourage not just moms and children to get active, but the whole family. If we can get the family active, we (the tennis industry) can begin to make a positive dent in the above stats.

There are many tennis clubs in the area that provide tennis opportunities. Take some time to check them out, but make sure they are the right fit not just for your kids, but for your family.

So let’s get the kids active, no matter what the sport and no matter what the location. It will make them healthier, happier, and more productive. Let’s do our part! ❦

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St. John’s Jesuit to hold open house November 15

O

ver 10,000 St. John’s Jesuit High School (SJJ) graduates have experienced opportunities that have changed their lives and defined who they are. SJJ graduates know that when you have helped someone and touched his life, it makes a world of difference within you. Although many graduates go on to successful careers because of the premier academic education, Jesuit education has always been more about internal formation based on the teachings of St. Ignatius of Loyola, about the SJJ brotherhood, and about becoming a man for others.

See for yourself the opportunities that await young men in grades 6-12

St. John’s Jesuit celebrates 50 years of teaching all boys and invites families to the Open House November 15.

at the SJJ Open House on November 15 from noon to 3:00 p.m. SJJ is conveniently located at 5901 Airport Highway, and families are invited to tour with student guides, meet the faculty and staff, experience the fine arts, connect with coaches, learn about Christian Service opportunities, and explore all the leadership opportunities and programs available for young men.

•

•

Programs such as: • The A+ Learning Center, which is modeled after college learning centers to help students with an overnight assignment or a more comprehensive support system.

The learning center is there to help young men be successful.

• College counseling starts right as a young man walks in the front door. The Class of 2015 earned over $18.2 million in college awards, and 83% of the class earned a scholarship.

• A three-year engineering program culminates with the SJJ Ohio State University (OSU) Engineering Class, which

50 Years of Proven Results • Christ-centered atmosphere

•

•

•

Christian Service Program offers opportunities in Appalachia and Central America.

• Athletics that offers nearly 50 teams in 13 different sports.

Titans have captured the TRAC All Sports Championship for three years in a row.

• Only school with the Leadership & Alumni Mentoring Program (LAMP) to provide interested sophomores, juniors, and seniors with special programs and mentors.

• An Academy for grades 6-8 helps boys get a jumpstart on a college-prep high school education.

closely follows the curriculum of the OSU Introduction to Engineering taught to college freshmen in Columbus. SJJ is one of two schools in Ohio that offer the program.

The most Advanced Placement (AP) courses in Northwest Ohio—24 in total. AP courses can lead to college credit.

The Jesuit Virtual Learning Academy (JVLA), a classroom without walls, is taught by Jesuit school faculty from around the country and offers over 25 AP and specialty courses.

A Freshman Year Life It’s been 50 years since SJJ opened Skills Building its doors to all boys in Program lays 1965 with the gym, the groundwork auditorium, and for young men’s chapel still under success. construction. Today, A Fine Arts the campus has 54 Program includes acres and continues a variety of courses its 50-year mission to in art and music educate young men with AP options. in grades 6-12. The A national and Each year, the SJJ brotherhood volun- academic facilities international teers 20,000 hours locally, nationally, feature a high school and internationally. for grades 9-12 with

OPEN HOUSE

November 15 • Noon – 3 p.m.

• $18.2 million in college awards for 2015 – more than any other school • TRAC All Sports Champs three years in a row • Over 50 clubs and activities to have fun and learn leadership • Most Advanced Placement (AP) Courses to earn college credit • A+ Learning Center for help when needed • Three-year engineering program that partners with The Ohio State University • Local, national and international Christian Service Programs

Be a Titan for a Day. Call 419-720-0766.

Jesuit Education

– An Investment in the Future

St. John’s Jesuit High School & Academy Men for Others • Grades 6-12 5901 Airport Highway • Toledo, Ohio 43615 • www.sjjtitans.org

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35

a wing for grades 6-8. The campus includes the dome gym, auxiliary gym, the Lyden Fitness Center, Lyden Field (a state-of-the-art sports stadium), soccer/lacrosse field, a baseball complex, the McQuade Theatre, Sawicki Family Music Center, the Carty Fox Commons, a food court, the technology wing, the Iott Center that houses the A+ Learning Center,

and a chapel that seats the entire student body. Families can see it all on November 15 from noon to 3:00 p.m.

For almost 475 years, Jesuit education has been producing tomorrow’s leaders in a Christ-centered atmosphere. St. John’s Jesuit is part of a network of 63 high schools and 28 colleges in the US and hundreds of institutions worldwide that all share

the same ideals and programs. Founding documents based on the Spiritual Exercises of St. Ignatius, orient and guide all Jesuit institutions and its employees to effectively carry on the educational mission and services of the Society of Jesus (Jesuit). For more information, contact Admissions at 419-720-0766 or email admissions@ sjjtitans.org. ❦

Kids Unlimited named an Official Charity Partner of the 2015 TCS New York City Marathon

K

ids Unlimited is an Official Charity Partner of the 2015 TCS New York City Marathon. The race will take place on Sunday, November 1, 2015.

“Kids Unlimited is thrilled to partner with the TCS New York City Marathon as an official charity partner,” said Maureen Kenney, Board Treasurer. “The TCS New York City Marathon provides a powerful platform for our passionate charity runners to fundraise and raise awareness for causes that are close to their hearts. We are looking forward to supporting our runners throughout their memorable journeys as they

train for, and ultimately achieve their goal of, completing this race, all while raising critical funds which benefit Toledo’s premier inner-city afterschool tutoring program.”

Nearly 300 official charity partners are expected to participate in the 2015 TCS New York City Marathon this year.

Five runners will represent Kids Unlimited on race day, including Patrick Kenney (Toledo), David Snell (Toledo), Fr. Alan Zobler (Toledo), Erin Kenney (NYC), and Maria Snell (Boulder, CO). All money raised by the runners will be given back to Kids Un-

limited. If you are interested in contributing, donations can be made at https://www. crowdrise.com/ kidsunlimitedNYC2015.

“We warmly welcome Kids Unlimited as an official charity partner for the 2015 TCS New York City Marathon,” said Michael Rodgers, Vice President of Development and Philanthropy for New York Road Runners. “All of our participants are inspired to run for reasons signifi-

cant and special to them, and we are especially appreciative of those who make a meaningful commitment to run on behalf of one of our official charity partners. We wish the best to all of these runners as they begin to plan and prepare for an experience of a lifetime at the 2015 TCS New York City Marathon.”

The 2015 TCS New York City Marathon will feature a talented American and international professional athlete field, charity runners, and thousands of runners of all ages and abilities.

More than 10,000 volunteers help to support participants across the 26.2-mile race route, which touches each of New York City’s five boroughs, and is lined with more than one million neighbors and guests. Last year, NYRR celebrated each of the 50,530 runners who crossed the finish line and made the 2014 TCS New York City Marathon the largest in the world, including the one-millionth finisher ever in the history of the event. Participants hailed from more than 130 countries and each of the 50 states. The 2015 TCS New York City Marathon will air live nationally on ESPN2. ❦

CALL TODAY OF OUR CAMPUSES’ RESIDENTS WOULD RECOMMEND US TOOUR AND ASK ABOUT FAMILY AND FRIENDS. PRE-REGISTRATION

Schedule your tour of our private suites with Chelsea at 419.931.0050.

After surgery for a routine hip replacement, Mike was anxious to get back to his normal, active lifestyle. His brief three week rehab stay at St. Clare Commons helped maximize his performance, and was the perfect stepping stone from hospital to home.

OPTION.

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36 November 2015 | Healthy Living News

REHABILITATION SKILLED NURSING

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160 years after its founding, Mercy St. Vincent Medical Center is still mission-focused

M

any people residing in Toledo and its surrounding communities are familiar with our region’s informal historical epithet: “The Great Black Swamp.” But what area residents today cannot truly appreciate are the practical implications of living in a swampland, one of which is contending with life-threatening water- and mosquito-borne illnesses.

In fact, it was against the backdrop of a deadly disease outbreak that Mercy St. Vincent Medical Center— Toledo’s first hospital and the only one remaining in the central city today—was established 160 years ago. “St. V’s was founded in 1855 by the Grey Nuns when Toledo was in the middle of a cholera and malaria epidemic,” says Fr. Joseph Cardone, Vice President of Mission and Values Integration at Mercy St. Vincent Medical Center. “The natives called it ‘Maumee Fever.’ People were literally dying on the streets, and there were no hospitals or orphanages to care for the sick or the orphaned children.”

Fr. Cardone further explains it was Father Augustine Campion, then

pastor of St. Francis de Sales Church, who contacted the Superior of the Grey Nuns (the Sisters of Charity of Montreal) to ask for their help with the unfolding humanitarian crisis. When she presented his request, every sister in the community volunteered to come—all agreeing that such work was their reason for being and what they were meant to do. Ultimately, four nuns between the ages of 18 and 29 were chosen to depart for Toledo. “When they arrived, they were horrified by the conditions they saw. It was a miracle that they stayed,” says Fr. Cardone.

The Grey Nuns first established an orphanage, followed by a hospital. Shortly after the Grey Nuns arrived, they were joined by the Sisters of Mercy and the two orders collaborated to form Mercy Health with the mission of “Extending the healing ministry of Jesus by improving the health of our communities, with an emphasis on the poor and underserved.”

“That mission is still the basis for everything we do here at St. V’s., and it comes alive every time we exhibit our core values of excellence, compassion, human dignity, service, justice, and sacredness of life,” Fr. Cardone observes.

Though these core values are perennial, they’re also ever-new, manifesting in different ways as the healthcare environment changes. For example, in 1855, excellence meant maintaining the highest level of

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The University of Toledo Health

Primary Care Resident Clinic

is welcoming new patients Our Primary Care Resident Clinic offers patients two levels of expertise in one appointment!

Patients are seen by both a resident physician and a teaching physician, who address patients’ acute and chronic medical conditions, as well as their preventive health needs.

OuR seRviCes inClude:

• Immunizations • Physical Exams • Geriatric Care • Management of chronic conditions such as hypertension, diabetes and COPD new Patient Appointments available Monday, Tuesday, Thursday, Friday in the morning and afternoon. view our list of providers and use our convenient online scheduling system at: uthealth.utoledo.edu/schedulenow For more information or to schedule an appointment via phone, please call: 419.383.3780

cleanliness and making the most of the limited medications available at the time. Today, excellence is evident in St. V’s world-class care providers, cutting-edge technology, uncompromising patient-safety measures, and many other areas.

Compassion as well as respect for human dignity and the sacredness of life are all palpably evident, for example, when caregivers help patients come to terms with a life-limiting diagnosis. “We like to think the reality of medicine is what we see on TV, but nothing could be further from the truth. We can’t cure everything, and not everyone is going to get better.

Our core values shine through when a physician presents bad news to a patient and adds, ‘I want you to know that while we may not be able to cure you, we’ll give you the best possible care, keep you out of pain, and walk with you every step of the way as you complete life’s journey,’” states Fr. Cardone.

Mercy St. Vincent Medical Center’s 160th anniversary date is November 12, and to commemorate this

major milestone, the staff will hold a community celebration on Sunday, November 15. The event will kick off with Mass in the St. V’s chapel at 11:00, followed by an afternoon of family fun and activities in the Auditorium and Conference Center from noon to 3:00 p.m., featuring face painting, caricatures, a magician, free lunch, and much more.

“We’re inviting patients, family members, visitors, and everyone else in the community to take part and meet the doctors, nurses, and other professionals who either have been or may someday be part of their care team,” says Sarah Velliquette, Digital Media and Communications Specialist for Mercy.

Fr. Cardone adds, “We want the public to know we’re here to take care of anyone who’s sick and that no one will ever be turned away.

Like those Grey Nuns, that’s just who we are and what we’re meant to do. Both today and long into the future, we’ll continue to extend the healing presence of Jesus to everyone who walks through our doors.” ❦

l OC AT e d AT: RuPPE R t HE a lt H CE n t E R, 30 0 0 a Rl InG t On av E. t Ol E D O, OH 4 3614

Rehabilitation Services designed to get patients back to living.

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38 November 2015 | Healthy Living News

UT residents offer primary care at internal medicine clinics

by Imad Hariri, MD

I

nternal medicine residents are scheduled for one-half day in the General Internal Medicine clinics at The University of Toledo Ruppert Health building throughout their three-year residency. These clinics serve the needs of the community and prepare residents to provide optimal care for their patients.

Residents will provide care for patients with a mix of acute and chronic medical conditions, such as diabetes, hypertension, coronary artery disease, COPD, asthma, GERD, osteoarthritis, hyperlipidemia, allergic rhinitis, acute musculoskeletal injuries, low back pain, knee pain, hip pain, gout, sore throat, upper respiratory infections, pneumonia, constipation, diarrhea, abnormal uterine bleeding, hepatitis C, cirrhosis, anemia, headache, seizure disorders, chronic nonmalignant pain, depression, anxiety, and dementia.

The patients come to the clinics for their primary care needs, and

residents will address their acute and chronic medical needs as well as their preventive health needs. Resident physicians see patients under the supervision of an attending physician who oversees the care through discussion of assessments and plans to improve the patients’ health status.

Resident physicians are able to deliver high-quality, evidence-based care for common chronic medical conditions; evaluate acute health concerns in the outpatient setting; deliver high-quality preventive health care; coordinate care with other health professionals; and develop long-term professional relationships with their patients.

If you are in need of a primary care provider, please consider calling our clinic to schedule your appointment at 419-383-3780. ❦ Imad Hariri, MD, is Chief Medical Resident at the University of Toledo.

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Winter running tips

by Amanda Manthey

A

s the winter months approach, running outdoors in cold conditions is not as appealing as the warmer months to many of us. Using these helpful winter running tips will make your workout safer and, hopefully, maintain your desire and commitment.

Cold and icy conditions are the ideal scenario for slipping and injuring a muscle or even breaking a bone. It’s advisable to warm up indoors before you hit the pavement and to be especially vigilant if the conditions are icy or wet. When running in cold weather, warm up slowly and gently. Your muscles are cold and need a chance to warm up to prevent injury. Most wise runners use the winter season for maintenance runs. You are increasing your risk of injury if you try to do speed work in the severe cold.

Try not to run on icy roads and opt for snow as this surface will provide you with better traction. If you must run in an icy area, think about putting spikes over your running shoes, but make sure you have proper instruction before hitting the pavement.

Choose the proper clothing to keep you warm and comfortable while still maintaining your performance.

Synthetic and breathable fabrics will wick perspiration away from the body to the outer surface of the garment where it can evaporate more easily.

You want to dress in layers with the layer closest to your body being a light-weight wicking fiber. Also, wear a warm hat when running in cold conditions. Approximately 40 percent of body heat is lost from the head, which affects the whole body’s circulation.

Cold weather running can be dehydrating. Make sure you do not reduce the amount of fluids you drink just because you are not sweating as much as in the warmer weather.

Cold weather can mean more urination, which, by itself, is a source of fluid loss. It is imperative that you remember to maintain adequate hy-

dration before and after running in cold weather to ensure your muscles recover. Remember to use moisturizers and sun block to prevent blister formation and redness on your skin and face.

Running in the winter months can be enjoyable if you dress appropriately and use your best judgment on the running conditions. Remember, the winter time is perfect for maintenance runs. Be winter smart this season and, hopefully, you will stay warm and safe. ❦ Amanda Manthey is a former collegiate runner at Eastern Michigan University. She writes about running and fitness for Dave’s Running Shop.

Don’t miss Dave’s races!

Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear. For more information on the following events, including any associated costs/fees, please visit davesraces.com.

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Friday, November 6, 2015, 8:00 p.m.

(Kids Run at 7:30 p.m.) at the UTMC Dana Cancer Center, 3000 Arlington, Ave., Toledo, Ohio.

Reindeer Run and 1-Mile “Dash”er Saturday, November 7, 2015, 9:00 a.m.

(1-Mile “Dash”er at 8:45 a.m.) at 521 Glenwood Ave., Napoleon, Ohio.

Hero Hustle 5K

Saturday, November 7, 2015, 9:00 a.m. (Kids Run at 8:30 a.m.) at The Shops at Fallen Timbers, 3100 Main St., Maumee, Ohio.

Monroe Half Marathon

Sunday, November 8, 2015, 9:00 a.m.

(5K at 9:30 a.m. and Fun Run at 10:00 a.m.) at 1 International Dr., Monroe, Michigan.

—cont. next page

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Churchill’s Half Marathon and The Come to the Table 5K Saturday, November 14, 2015, 9:00 a.m. at The Shops at Fallen Timbers, 3100 Main St., Maumee, Ohio.

After the PKs 5K Road and 10K Trail Run

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Thursday, November 26, 2015, 9:00 a.m. at, 730 N. Summit St., downtown Toledo, Ohio.

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Sunday, November 15, 2015, 2:00 p.m. at 12829 St. Rte. 613, Van Buren, Ohio.

Thursday, November 26, 2015, 9:00 a.m. at the St. Michael Church (East) auditorium, 750 Bright Rd., Findlay, Ohio.

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Thursday, November 26, 2015, 8:30 a.m. at Independence Dam State Park, Defiance, Ohio.

Saturday, November 28, 2015, 5:15 p.m. at the Maumee Indoor Theatre, 601 Conant St., Maumee, Ohio. ❦

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here is a good chance that Capitol Reef National Park may be the most beautiful park you have never heard of. Until this year, Shirley and I had treated it as a mere stopover point on our way between Zion and Bryce Canyon, to its southwest in Utah, and Arches and Canyonlands to the northeast. In July, on our way to the Tetons and Yellowstone from Bryce, we recognized that we have been shortchanging Capitol Reef.

Route 12 between Bryce and Capitol Reef, by the way, is simply spectacular. It is not the way to go if you are in a hurry, but, really, what’s your hurry? You’re on vacation.

Think of it as three hours well invested. There is a surprising variety of topography for “desert” country.

The road climbs to over 9,600 feet where it passes through pines and aspens. In places, it runs right along the spine of a ridge with marvelous vistas to either side. Climbing also means descending. In some places the road curves down steep grades in the 8-10% range.

And speaking of range, there are way more cattle than you might expect even in the West. “Open range” means the cattle are not fenced in, so you need to be alert for them just as you would be for deer or elk. On one trip, we encountered cowboys rounding up the herd and pushing it toward us. There isn’t much traffic on Route 12. We didn’t mind the brief delay in the slightest.

Like the other national parks in Utah, Capitol Reef ’s chief attraction is rock. But that does not mean the parks are all the same. Or even all that similar. Arches is the place of standing up rocks with holes in them or just balanced on each other looking all precarious. Canyonlands, as you would expect, is all canyons carved by the Green and Colorado Rivers.

Zion is magnificent sheer cliffs in red and white. There is no “rim,” so you see everything from the bottom up unless you choose to do some hiking and climbing. Some of those hikes are likely to trigger your vertigo. Bryce does have a rim, so you

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see everything from the top down.

Unless you choose to descend and then climb back out.

Capitol Reef is said to have been named for the white Navajo sandstone that reminded early travelers of the dome of the Capitol building in Washington. They thought the ridge of the Waterpocket Fold resembled an ocean reef because of the way it interfered with travel. Seems like quite a stretch to me, but place names in the West are sometimes that way.

Capitol Reef is a vast area of tilted sedimentary rock. Layers of sand, gravel, mud, and volcanic ash accumulated over hundreds of millions of years and were slowly compressed into rock by their own weight. About 65 million years ago, enormous pressure from deep in the

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The white "frosting" between the layers is Navajo sandstone.

earth pushed up the Colorado Plateau. A 100-mile-long stretch of rock buckled up to form the Waterpocket Fold, named for the many potholes, or “pockets,” that can hold rainwater.

Over that same period, erosion had its way with the rocks.

Much of that erosion is attributable to the Fremont River, named for explorer John C. Fremont, known as The Pathfinder for his exploits in the 1840s and for his presidential candidacy as an anti-slavery Republican. The Fremont River also made this part of desert Utah attractive to early Mormon settlers, who planted peach, cherry, apple, apricot, and pear trees. They named their community Fruita. (Now, there’s a name that is not a stretch.) Heirloom varieties still grow in the orchards along the river.

Visitors are welcome to pick and eat.

If you want to take larger quantities with you, there is a small fee.

But Shirley and I think there are even more appetizing ways to get your fruit. The small gift shop near the campground sells fruit preserves.

We bought several to go with the still-warm pioneer bread, a small strawberry-rhubarb pie, and the best cinnamon rolls we ever put in our

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are always the ones in our mouths at the time.)

Fruit orchards are not the only trees that grow along the river. As campers, we appreciated the shade the cottonwoods provided from the desert sun. Deer liked it too and casually wandered through the campground in the evening and early morning.

Other “wildlife” included robins in a nest directly over our picnic table—which we promptly moved.

There were fledglings in the nest, and the adults were busy flitting back and forth with insects. As we watched, a little ball of feathers stumbled out of the nest and tip-toed its way along the branch. Rapidly fluttering wings and rising courage soon led it to take a leap of faith. You would not call it flying exactly. More like “falling with style.” The direction was not horizontal but straight down, and the landing was only marginally softer than if it had not bothered with all that desperate flapping. One of the adults came to supervise and offer encouragement by example. Soon,

a sibling gave it a try as well. Similar results. In minutes, though, they were both making Wright Brothers kinds of flights; that is, pretty short at first but then sustained.

So, on this trip we saw deer, elk, bighorn sheep, pronghorns, and bison. Oh, and bears. Not to mention birds ranging from bald eagles and hawks to cranes, trumpeter swans, ravens, and magpies. Yet all I can come up with at Capitol Reef is a couple robins leaving the nest.

There were also some yellow-bellied marmots, but you don’t care about no stinking marmots (rhymes with varmints). They are just groundhogs that live in the rocks.

But rocks, after all, is where I intended this discussion to go in the first place. Put enough of them together in the right configuration and you end up with something rather impressive. Or not. Because I just thought of yet another digression.

There is the way that God piled up all those rocks and the way that Elijah Cutler Behunin did it when he built his one-room cabin of sandstone. He must have run short of rocks because the cabin is only 13 by 16 feet. The Behunins were a family of ten. What was he thinking? What he was thinking was that he and the missus and the two littlest kids

Realtors might describe the Behunin cabin "snug and cozy." Not so much for the six kids who had to sleep outside because the cabin was big enough for only the parents and two youngest.

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would sleep in the cabin. The older boys would sleep in a nearby cave.

The older girls? They got dibs on the bed of an old wagon parked outside.

They did not live there long because the crops got washed out by flashfloods. In the desert, you either don’t have enough water or, suddenly, way too much. Still, the Fremont River made the orchards possible and created an oasis that is still appreciated by travelers.

Travel on paved roads through and in the park is limited to the 10 miles of Route 24 passing east and west (Capitol Reef is long and narrow) and the 16-mile scenic drive. There are several places to visit along Rt. 24: that Behunin cabin, Chimney Rock, Castle Rock, Capitol Dome, and the park visitor center. But it is a state highway in an area where there

The Scenic Drive is narrow, but it offers convenient and safe places to pull over to take photos and admire the landscape.

are not many east-west routes. Not everyone is on vacation, so there can be disconcerting incidents in which someone doing 65 mph rounds a curve where he comes up behind a gawker doing 25. If you really need to take a cell-phone picture, it is probably safer to pull over to the side.

In contrast, the Scenic Drive is made for gawkers. It dead ends at Capitol Gorge, so there is no through traffic to worry about. There are numerous pullouts so you can pause for all the pictures your SD card will hold.

Now, there are some people who are not all that impressed by desert scenery. Still, if this is the kind of country you like, Capitol Reef is the kind of country you will like.

You might find it almost erotic in its appeal. OK. So that is as much a stretch as Western place names, but I had to justify the title of this piece somehow or other.

If your expectation is that desert county is mostly brown and beige, you will be disabused of that notion in Capitol Reef. The dominant colors are various shades of red. Fifty of them by my actual count. They are stacked up in slanting layers that remind me of the red velvet cake I made with the help of grandchildren. Sometimes there is a layer of white “frosting” on top or between the layers. Sometimes the frosting is

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43

Horizontal layers of rock are tilted back like a cake made with the "help" of children.

unaccountably green. (That would be Lizzy’s contribution.)

Geologists have other explanations, of course. They might try to tell you that the 50 reds are attributable to oxidized and reduced iron in the rocks in which various chemical reactions produce the different colors.

The reddish-brown, for example, is shale made when silt and clay accumulated in lagoons and mud flats.

That greenish-gray layer is volcanic ash. The hills at the base of Capitol Dome are an unusually dark Malbec

wine red. After a thunderstorm, even the Fremont River turns red with the loose debris that is washed down slope by the deluge.

But what do geologists know?

They would take all the romance out of the West and reduce everything to its boringest common denominator.

You didn’t take geology in school did you? It wasn’t required, and you were intelligent beyond your years.

Well, I was not as smart as you, and am still struggling to recover from the trauma. Learning the names of 8,000 or so different kinds of rock and the geologic periods in which they originated can be painful. And not in a pleasant way. Taking a few hours or a few days to admire the 50 shades of red in Capitol Reef, on the other hand, can be just a walk in the park. ❦ LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

Hunting and hearing health

by Shelly Horvat, AuD, CCC-A

F

all has arrived, and many hunters will be heading into the woods after deer and other small game.

Unfortunately many of those hunters will not be wearing ear protection when firing their guns. According to a study by the University of Wisconsin, a whopping 95% of hunters reported that they never wear ear protection while hunting! A more encouraging finding from the same study was that 62% of target shooters reported wearing ear protection.

Hunters and bystanders will suffer permanent hearing damage and tinnitus from the acoustic trauma of guns fired during hunting, skeet, trap, and target shooting. These symptoms can occur suddenly or, more often, gradually over time. When the ears are exposed to extremely loud noises or to less loud, prolonged noises, the structures of the inner ear become

44 November 2015 | Healthy Living News

permanently damaged. There are no current medical treatments to cure or fix the damage to the ear caused by noise exposure.

One shot from a gun can range from 140-190 decibels. Noise damage can occur with noise above 85-90 decibels. The damage is dependent on the amount of time exposed to the noise and the intensity of the noise. The louder the sound, the shorter the duration of time before hearing loss occurs.

We recognize the dangers to hearing created in noisy workplaces. In fact, it’s illegal for an employer to subject employees to noise as loud as firearms without ear protection.

And, for the most part, workers and their employers take steps to protect hearing in the work environment.

Noise exposure also causes tinnitus, which is defined as ringing, roaring,

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We know that shooting guns without ear protection causes long-term damage to the ears. So, how exactly should shooters go about keeping their ears safe? Aside from not firing guns, the only way to keep the ears safe during shooting is to use hearing protection devices like sound-muffling earplugs and earmuffs. These items will have a noise-reduction rating (NRR) on the package shown in decibels (e.g., 21dB, 30dB). The higher the number, the more noise they block. The purpose of hearing protection devices is not to eliminate sound, but to reduce the impact to a level that does not cause lasting damage.

For target shooting, most shooting ranges will have some form of hearing protection on hand for their customers. For practice shooting, it is strongly recommended that shooters wear double ear protection in the form of foam earplugs covered by over-the-ear muffs. Audiologists are able to provide varieties of foam earplugs and earmuffs along with reusable rubber-type plugs.

A very comfortable option is a set of custom earplugs, which can be ordered from your audiologist. Impressions are taken of the ear and ear canal, and durable, long-lasting earplugs are ordered from a manufacturer.

Since these plugs are form-fitting to the ears, they are more comfortable than foam earplugs or earmuffs and can be worn for long periods of time.

Finally, there are electronically-enhanced hearing protection devices, including specialized hearing aid/earplug combinations and earmuffs fitted

The bottom line is to enjoy your hobbies but protect your ears while doing so. Hearing loss from noise exposure is permanent and typically occurs gradually over time, and the damage done cannot be repaired. Protect the natural hearing you already have.

If you’ve experienced hearing loss from shooting sports, workplace noise, disease, or trauma that’s all the more reason to protect yourself.

Noise-induced hearing loss is the only type of hearing loss that is completely preventable. Understanding

the invisible hazards of noise exposure is the first step to reduce your risk of damage to your hearing. Getting your hearing tested and learning about proper ear protection is next. Call the audiologists at Northwest Ohio Hearing Clinic to set up a hearing evaluation and to talk with us about hearing protection. ❦ Shelly Horvat, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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How to protect your hearing on the hunt

with external microphones and internal speakers. The sound system in electronic muffs allows the user to hear surrounding sounds at normal levels, or even louder than normal. When a dangerously loud sound is detected by the electronics, the speakers to the ears are deactivated until the noise reaches a safe level again. Prices for these systems range from as little as $50 to thousands of dollars, depending on what you’re looking for.

In the end, the use of these devices will preserve and protect your hearing. Ear protection may be a hassle to use and may cost you some money, but protecting your ears now will prevent hearing loss, tinnitus, and the possible need of hearing aids later. Ear protection is far too easy to obtain and use for anyone to have an excuse not to use it. It’s well worth the investment.

The ability to hear is a quality-of-life issue, and for those who enjoy shooting sports, so is the ability to engage in their favorite pastime. However, each shooter must take responsibility for protecting his or her hearing, especially in cases where hearing loss is already present. If you are a shooter, the best recommendation is to have your hearing tested. Obtain a baseline hearing measurement and discuss hearing protection options with your audiologist.

Just because you don’t hunt or shoot guns doesn’t mean that you don’t need ear protection in noise.

Other recreational activities that put you at risk for noise-induced hearing loss include snowmobile riding, auto races, tractor pulls, listening to MP3 players at high volume through earbuds or headphones, playing in a band, and attending loud concerts. Harmful noises at home may come from sources such as lawnmowers, leaf blowers, chainsaws, and woodworking tools. Even some food processors operate at damaging levels! Ear protection at home is as important as ear protection on the shooting range.

©2015 New Balance Athletic Shoe, Inc.

buzzing, hissing, whistling, or chirping sounds in the ears or head. The effects of tinnitus on a person range from slight annoyance to a severe disruption of everyday life. Lastly, noise exposure can cause loudness sensitivity in the ears.

If gun noise is damaging to the ears, why aren’t people wearing ear protection when hunting? Part of the problem is that we don’t tend to think of fun, recreational activities as being dangerous to our health. A second reason is that hunters need to hear the noises in their surroundings for a successful hunt. Ironically, without ear protection, these same hunters will lose their ability to hear the noises in their environment needed for hunting.

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