HLN November 2016 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News November 2016 • FREE

Also available at hlntoledo.com

Also in this issue: • Shape up and wake up your skin • Say goodbye to unsightly veins • Help for hormone imbalance • Sleep better, stay thinner • Turkey: the ultimate comfort food

Your newest weapon in fighting cancer. PERRYSBURG CANCER CENTER

Photo courtesy of UT photographer Dan Miller

Hand surgery without the hassle

Shape up and wake up your skin

chools and colleges are in full swing, and so are skin diseases. Close proximity to others can lead to spread of “ringworm”(not really a worm), herpes virus, impetigo, lice (now very resistant to previous simple measures to treat), scabies, athlete’s foot, and many other skin diseases. These breakouts can appear similar to the untrained eye, which is why you should have those skin eruptions (rashes) seen and treated by a board-certified dermatologist. I’m sure there are many in the college towns. Also, just because summer is over does not mean you should forget sunscreens. If you have acne, your acne will worsen for 6 weeks following a sunburn and the dark spots (scars) where the acne was will get darker than the surrounding skin. If you are an outdoors person who enjoys sledding, skiing, or just going for a walk, do not let the outside cooler temperatures fool you into thinking you don’t require sunscreen. Don’t walk barefoot in showers or locker rooms. Wear flip-flops as much as possible to prevent athlete’s foot (fungus). This simple, annoying breakout on your feet frequently leads to involvement of toe and fingernails, which can be very difficult to eliminate. Very few individuals realize that 80% of their facial appearance with aging is due to prior sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! This is something young people should be aware of since we get 80% of our lifetime sun exposure by the time we are 18-20 years of age. What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler. The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift sagging areas of the neck, jowls, upper arms, and abdomen. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected. This heating of the dermis causes immediate collagen contraction and tightening followed by new collagen production over a period of time. This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only ONE treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain. The NEW Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients. For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas. The results are diminished lines and a more “wide awake” and less tired appearance. These products are also fantastic to reduce anxiety-induced underarm sweating for months after injections. This is performed entirely by Dr. Handler with minimal pain with results of decreased sweating

lasting 5-7 months and longer. The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette lines (the sad look) from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad! Since these products are combined with a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the injection of a new filler called “Restylane Silk.” This product markedly improves upper and lower lip lines (lipstick lines). Restylane Silk also volumizes your lips and restores their natural curve while looking attractive and natural. Restylane Silk also can be utilized to minimize the “worry lines” between your eyes. There is no downtime with these non-invasive procedures. For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio. Are you aware that Dr. Handler personally performs laser procedures for removal of body hair anywhere hair grows? Yes, this minimally painful laser destroys hairs around the chin, jawline, upper lip, underarms, ears, nose, bikini line, etc. And this laser is not just for women. Many men have this laser performed to permanently remove chest and back hair as well as beard hair that grows down onto the neck. Dr. Handler also utilizes the latest in lasers for removal of “age spots” (sun spots really) anywhere on the body. This laser works especially well for the tops of hands covered with those “age spots.” Finally, Dr. Handler also performs laser removal of unwanted blood vessels that grow on your face and enlarge with heat, stress, and the intake of alcohol. Again, pain and downtime are minimal with this laser. All of these lasers are non-invasive and require no real down-time. Call Dr. Handler’s office to find out when these procedures are being performed. They are only done from September

through May since a tan interferes with the process. Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler. To view before-and-after photographs of patients who have had these procedures performed by Dr. Handler, visit www.drharveyhandler.com. For more detailed information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. 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. Please call Dr. Handler’s office and ask about the many discounts and specials on topical anti-aging products, Botox, fillers, and laser treatments provided by Dr. Handler. Also, please remember to have a yearly full body exam conducted by a board-certified dermatologist to check for skin cancer

Hair loss in men and women

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

www.drharveyhandler.com

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

clear + brilliant L. H

No surgery. No injections. No downtime.

, . .

ADULT, arvey andler m d Diplomate and Fellow of PEDIATRIC, The American Board of Dermatology Adult, Pediatric & Cosmetic Dermatology & COSMETIC 5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital) DERMATOLOGY HAIR & NAILS

419.885.3400

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

Contacts Business office: To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615. Phone: (419) 841-8202 or email Kevin O’Connell at sfstennis76@bex.net. Ad reservation deadline is the 15th of the month preceding publication. HLN reserves the right to refuse advertising for any reason and does not accept advertising promoting the use of tobacco. Editorial office: Deadline for editorial submissions is the 10th of the month preceding publication. Send submissions to: Editor, Healthy Living News, 1619 Circular Dr., Toledo, OH 43614. Phone: 419-382-5751, fax 888-506-5790; email: editorhln@bex.net. Publisher: Kevin O’Connell

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

e lthy l ng ews

November 2016 • Vol. 21, Issue 11

Your Monthly Guide to Healthy Living

HEALTH & BEAUTY

FOOD & NUTRITION

2 Shape up and wake up your skin 5 UT Health physician offers latest in orthopedic hand surgery 10 How do I pick an acupuncturist? by Douglas A. Schwan, DC, Dip ac 12 November health and wellness tips from Heartland Rehab, by Jim Berger 16 A team approach to tinnitus treatment by Shelly Horvat, AuD, CCC-A 22 Luxe Laser offers state-of-the-art solutions to spider and varicose veins 24 Hormone imbalance can be treated safely by Christine A. Holliday 32 Nobody’s Perfect Do you lie to your doctor? by Sister Karen Zielinski, OSF 33 Local doctor’s “no drug” approach helps patients lose weight and heals painful neuropathy— all under one roof 35 The power of connecting 40 Sleep better, stay thinner, by Barbara Okuley 41 New diabetes-management methods help take stress out of holiday eating, by Rebecca Schwan 46 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A

13 Walt's Corner EVOO Mashed Redskins 30 Eating Well Could you have type 2 diabetes and not even know it? by Laurie Syring, RD/LD 42 Turkey: the ultimate comfort food

TAKING CARE OF YOUR LIFE 8 Seniors, it’s your move—make it with confidence! 9 Spiritually Speaking Keeping the Golden Rule by Sister Mary Thill 14 How to compare assisted-living and skilled-nursing facilities 18 Health Crossword, by Myles Mellor 36 Winter running tips, by Amanda Manthey 37 A Walk in the Park When Hell freezes over by LeMoyne Mercer 48 Healthy ways to cope with bereavement during the holidays

Dear Readers, Thank you for picking up the November issue of Healthy Living News. We’re often asked how we’re able to present so many articles and viewpoints from local healthcare professionals each and every month. Our answer is that it’s a simple matter of mutual benefit between our contributors and readership. The Toledo area boasts a tremendous number of skilled, compassionate healthcare providers, many of whom have come to recognize that HLN is a powerful conduit through which they can share their insights with the general public. In turn, our readers come to develop a bond of trust with these area professionals and, thus, know right where to turn when they’re in need of care or services. Speaking of expert insights, our cover story this month spotlights UTMC orthopedic

CHILDREN & PARENTING 15 It’s never too early for good dental hygiene 26 We need to find a balance, by Mark S. Faber 45 Senior Living Guide

OUR COMMUNITY 6 Four new physicians expand expertise and enhance patient care at Toledo Clinic Cancer Centers 20 Laurels of Toledo reaches new heights in rehab 21 Mercy Health opens comprehensive, integrated cancer center in Perrysburg 23 Marine receives urgent care at UTMC following training injury 25 Paramount Advantage and Cleveland Browns team up to promote annual wellness visits 26 Non-Profit of the Month Team Recovery Update 28 November events at West Park Place 31 Lutheran Homes Society changes name to Genacross Lutheran Services 39 Ashanti Hospice provides compassionate end-of-life care wherever patients call home 43 The Manor at Perrysburg: Care promotes quality of life, by Christine A. Holliday 49 Number of Ohio pharmacies dispensing naloxone continues to increase

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hand surgeon Dr. Margaret Jain, who offers alternatives to traditional surgery for carpal tunnel syndrome and other common hand conditions (p. 5). Also in this issue, UTMC’s Dr. Juan Jaume discusses diabetes management during the sugarladen holidays (p. 41); Dale Ocheske of Paramount Advantage introduces Dawg Pound Healthy Rewards, a program developed by Paramount in partnership with the Cleveland Browns to encourage people to seek annual wellness visits (p. 25); Michelle Rowe of Mercy Health announces the grand opening of the new, state-of-the-art Mercy Health – Perrysburg Cancer Center (p. 21); Dr. Wade Banker of Luxe Laser Vein & Body Center describes advanced solutions to spider and varicose veins (p. 22); and Dr. Jason Peisley

/HLNToledo

@HLNToledo

of Fairwood Health & Body Transition explains how his no-drug approach can be used to help patients lose weight as well as to treat painful neuropathy (p. 33). On a personal note, this issue also features an inspirational story about my nephew, US Marine Cpl. Sam Teifke, who was injured in a freefall parachuting accident during a military training exercise in Arizona. While in town this summer for a family reunion, Sam saw UTMC orthopedic surgeon Dr. Ryan Hart, who diagnosed his cruciate ligament tear and provided therapy instructions. I’m thrilled to report that Sam is now back in Okinawa and doing great! See page 23 for the full story. Until next month, stay safe, active, and healthy!

healthcare providers offering world class, affordable, comprehensive care in more than 60 locations throughout the region. The Toledo Clinic, over 220 independent Toledo CliniCClinic, is proudover To CelebraTe 90 years serving Toledo, Thehealthcare Toledo 220 independent providers offering world class, Northwest Ohio and Southeast Michigan. As an independent physician healthcare providers offering world affordable, comprehensive carepractice, in more than 60to be your owned and operated multispecialty group we class, continue best choice for comprehensive services and medical treatments keep exact affordable, comprehensive care in more than 60 tothe Why pay more for locations throughout the region. you healthy and well. Toledo Clinic consists of more than 235 high quality locations thecomprehensive region. and affordable primary and healthcarethroughout providers offering

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Radiology Cost Comparisons

Why pay more for thePromedica exact same procedure? WHY PAY MORE FOR THE EXACT SAME Promedica Promedica Mercy Mercy MercyPROCEDURE? Procedure The Toledo Clinic

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$208 Radiology Cost Comparisons Mammogram, Screening $385 $262PromedicaCostPromedica Promedica $385 Mercy Procedure The ToledoRadiology Clinic Comparisons CT Head/Brain w/o Dye $443 Ultrasound, single organ $800 $800 $443 $1,092 $208 $347 $800 Promedica Promedica Promedica Mercy Procedure The Toledo Clinic Mammogram, Screening $385 $396 $385 $385 $262 CT Abdomen w/Dye $872 $872 $595 Ultrasound, single organ $800 $800 $1,092 $800 $208$347 CT Head/Brain w/o Dye $443 $794 $443 $443 Mammogram, Screening $385 $396 $385 $872 $385 CT Pelvis w/Dye $872 $262 $521 CT Abdomen w/Dye $872 $794 $872 $872 $595 CT Head/Brain w/o Dye $443 $794 $443 $443 $347$521 CT Pelvis w/Dye $872 $872 $872 $872 $794 CT Chest w/Dye $872 $551 CT Abdomen w/Dye $872 $872 $794$794 $872 $872 $872 $872 $595$551 CT Chest w/Dye X-ray Exam of Knee, 1 or 2 $416 $416 CT Pelvis w/Dye $872 $416 $794$625 $872 $416 $872 $416 $521$61 $61 X-ray Exam of Knee, 1 or 2 BayPark*

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$416

$794

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Blood Amylase

$20.06 The Toledo Clinic

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$848

$706

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$794

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$794

$625

$488

$469

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$794$488

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$14.48 $26.29 $192$410 $192$410 $14.48 Culture-Urine ColonyCBC Count with Auto Diff $189 $189 $20.06 $22.00 CBC with Auto Diff $148 $148 $20.06 Hemoglobin (A1C) $196 $196 $23.52 Panel $410 Comprehensive Metabolic Panel $410 Comprehensive Metabolic $26.29 $26.29 Lipase $189 $189 $15.13 Culture-Urine Colony Count $189 $189 Culture-Urine$22.00 Colony Count Protime (Prothrombin) $22.00 $92 $92 $8.67 Hemoglobin (A1C) $196 $196 $23.52 PSA Total ScreeningHemoglobin (A1C) $249 $249 $45.76 $23.52 Lipase $189 $189 $15.13 PTT Activated $111 $111 $14.94 Protime (Prothrombin) $92 $92 Lipase $8.67 $15.13 Sedimentation Rate $95 $95 $9.88 PSA Total Screening $249 $249 $45.76 $328 $328 TSH (Ultrasensitive) Protime (Prothrombin) $39.14 $8.67 PTT Activated $111 $111 $14.94 Rates from www.mercyweb.org/ & www.promedica.org/ as of 06/16/2016 PSA Total Screening Sedimentation Rate $95 $95 $45.76 $9.88 PROMEDICA https://www.promedica.org/Public%20Documents/TH-TCH_Pricing_Sheet.pdf $328 $328 TSH (Ultrasensitive) $39.14 PTT Activated https://www.promedica.org/Public%20Documents/FH_Pricing_Sheet.pdf Rates from www.mercyweb.org/ & www.promedica.org/ as of 06/16/2016 $14.94 Blood Amylase

BayPark*

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$588

Mercy$396

$625 $488 $469 Laboratory Cost Comparisons Laboratory

The Toledo Clinic

St. Vincent*

Cost Comparisons

Promedica

Mercy

$192

$164

Promedica $148

Mercy $43

Laboratory Cost Comparisons Promedica

Procedure

CBCProcedure with Auto Diff

$385 Mercy

St. Anne*

Toledo*

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Toledo*

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$192 $148 $410 $189 $196 $189 $92

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Mercy

St. Charles*

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St. Charles* $192 $65

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$249 $249 $52 $52 $52 $249 Main Location: $95 $328 Campus$95 $137 $111 $111 $111 4235 Secor Road https://www.promedica.org/Public%20Documents/BPH_Pricing_Sheet.pdf PROMEDICA MERCY Sedimentation Rate $95 $95 $9543623 $9.88 Toledo, OH https://www.promedica.org/Public%20Documents/TH-TCH_Pricing_Sheet.pdf http://www.ehealthconnection.com/regions/mercy_toledo/pdfs/2016%20Hospital%20Pricing/Copy%20of%20HB%20197%20Price%20Upload%20St%20Anne%202016.pdf Main Campus Location: https://www.promedica.org/Public%20Documents/FH_Pricing_Sheet.pdf http://www.ehealthconnection.com/regions/mercy_toledo/pdfs/2016%20Hospital%20Pricing/Copy%20of%20HB%20197%20Price%20Upload%20St%20Charles%202016.pdf Rates from www.mercyweb.org/ & www.promedica.org/ as of 06/16/2016 $328 $328 TSH (Ultrasensitive) $39.14 4235 Secor$328 http://www.ehealthconnection.com/regions/mercy_toledo/pdfs/2016%20Hospital%20Pricing/Copy%20of%20HB%20197%20Price%20Upload%20St%20Vincent%202016.pdf https://www.promedica.org/Public%20Documents/BPH_Pricing_Sheet.pdf Road GET DIRECTIONS TO HERE PROMEDICA MERCY Toledo, OH 43623 https://www.promedica.org/Public%20Documents/TH-TCH_Pricing_Sheet.pdf $95

http://www.ehealthconnection.com/regions/mercy_toledo/pdfs/2016%20Hospital%20Pricing/Copy%20of%20HB%20197%20Price%20Upload%20St%20Anne%202016.pdf TOlEDO CliniC lAbORATORY TOlEDO CliniC RADiOlOgY https://www.promedica.org/Public%20Documents/FH_Pricing_Sheet.pdf http://www.ehealthconnection.com/regions/mercy_toledo/pdfs/2016%20Hospital%20Pricing/Copy%20of%20HB%20197%20Price%20Upload%20St%20Charles%202016.pdf https://www.promedica.org/Public%20Documents/BPH_Pricing_Sheet.pdf 4235 secor rd, bldgs. 1 & 3, Toledo, oH 43623 • 419-479-5445 4235 secor rd, bldgs. 1 & 3 Toledo, http://www.ehealthconnection.com/regions/mercy_toledo/pdfs/2016%20Hospital%20Pricing/Copy%20of%20HB%20197%20Price%20Upload%20St%20Vincent%202016.pdf

Scan the QR code and use Google Maps

to GET get directions to this location. oH 43623 •DIRECTIONS 419-479-5935 TO HERECampus Main 4126 n. Holland sylavnia rd, suite 150 Toledo, oH 436 23 • 419-517-7081

MERCY 4126from n. Holland sylvania &rd, suite 110, Toledo, 43623 • 419-474-2622 Rates www.mercyweb.org/ www.promedica.org/ as of oH 06/16/2016 http://www.ehealthconnection.com/regions/mercy_toledo/pdfs/2016%20Hospital%20Pricing/Copy%20of%20HB%20197%20Price%20Upload%20St%20Anne%202016.pdf 7640 W. sylvania ave, suite a2, sylvania, oH 43560 • 419-517-4775 http://www.ehealthconnection.com/regions/mercy_toledo/pdfs/2016%20Hospital%20Pricing/Copy%20of%20HB%20197%20Price%20Upload%20St%20Charles%202016.pdf PROMEDICA http://www.ehealthconnection.com/regions/mercy_toledo/pdfs/2016%20Hospital%20Pricing/Copy%20of%20HB%20197%20Price%20Upload%20St%20Vincent%202016.pdf

https://www.promedica.org/Public%20Documents/TH-TCH_Pricing_Sheet.pdf

4 https://www.promedica.org/Public%20Documents/FH_Pricing_Sheet.pdf November 2016 | Healthy Living News

https://www.promedica.org/Public%20Documents/BPH_Pricing_Sheet.pdf

4235 Secor Roa Toledo, OH 4362

Scan the QR code and use Google Maps to get directions to this location.

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UT Health physician offers latest in orthopedic hand surgery e use our hands every day and for nearly every task we complete. When medical conditions develop that make those tasks difficult or painful, our quality of life suffers. A University of Toledo Health orthopedic surgeon now offers alternatives to traditional surgery for carpal tunnel syndrome and Dupuytren’s contractures, two common hand conditions. “We all have things to do,” said Dr. Margaret Jain, orthopedic hand surgeon and assistant professor of orthopedics. “Active people are often inconvenienced by traditional hand surgery and recovery. The good news is there are new surgical procedures, or variations on traditional procedures, that can be completed in the office or operating room with minimal anesthesia and can be a great option for some patients.”

Dr. Jain believes patients shouldn’t have to their lives to get the medical care they need.

Carpal tunnel syndrome causes numbness, tingling of the fingers, and discomfort in the hand and wrist. Patients most often notice symptoms immediately upon waking or when holding their phone or a steering wheel. It can interfere with sleep and cause problems with gripping items. Traditional open surgery for carpal tunnel was often performed in an operating room, but new treatment advances allow Dr. Jain to correct it under local anesthesia, often without sedation. “If a patient chooses this option, we play music and make sure he or

she is comfortable and we just have a conversation while I complete the procedure,” Dr. Jain said. “What is most exciting is that patients can drive themselves home when we are done and, in many cases, return to work the same day. We try to make it as easy as possible for patients to get back to their normal lifestyle quickly.” Dupuytren’s contracture is most commonly found in men over the age of 60. The disease causes an abnormal thickening of the tissue just beneath the skin in the palm of the hand. Cords of this tissue can develop and cause the pinky or ring finger to bend toward the palm. “It can be impossible for the patient to fully extend his finger, which affects his grip and makes it difficult for him to shake hands, reach into his pockets, or wear gloves,” Dr. Jain said. Traditional surgery to treat Dupuytren’s contracture involves a large zigzag incision on the palm of the hand to remove the cord. The surgery is completed under anesthesia, and most patients need rather extensive therapy and up to three months to recover. “The patient is left with a large incision site, which lengthens recovery time and increases the risk of infection. We can also see new contractures develop due to post-operative scarring,” said Dr. Jain. “A relatively new procedure called needle aponeurotomy can be completed in the office and without anesthesia.” During disrupt the procedure, local anesthetic is injected in the palm of the hand and Dr. Jain uses a very thin needle to penetrate the cord at various intervals, breaking it and releasing the finger. “Needle aponeurotomy can be performed in the office and most patients are back to their regular activities immediately, without requiring pain medications,” she said. “The procedure is easy to tolerate, and recovery is very quick. I’ve been impressed by how many patients’ friends will come in hoping to achieve similar results.” Not only do these outpatient procedures help a patient recover faster, but they provide a significant cost saving as well. “We take healthcare

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

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expenses very seriously,” Dr. Jain said. “There are no anesthesia services or operating room costs, and we are using fewer tools and materials, which further reduces costs while significantly reducing the amount of medical waste we produce.” Avoiding major surgery also means

shorter recovery times and better pain management. “Patients aren’t in as much pain, so we often do not need to prescribe narcotic pain medication,” she said. “This is especially important as physicians work to limit the risk of addiction to these types of medications.”

Dr. Jain believes patients shouldn’t have to disrupt their lives to get the medical care they need. “I don’t want patients to live with an uncomfortable condition. Hand surgery doesn’t always have to be a big deal and these minimally invasive treatments are a perfect fit for many

patients,” she said. “I feel lucky to work with a team of orthopedists who are working hard to find new ways provide patient-centered care.”❦ To make an appointment with Dr. Margaret Jain at the UTMC Orthopedic Center, call 419-383-3761.

Four new physicians expand expertise and enhance patient care at Toledo Clinic Cancer Centers

n a joint venture with include Adnan Alkhalili, Mercy Health, The ToleMD; Mohammad Al-Nsour, do Clinic Cancer Centers, MD; Abhay Shelke, MD; our area’s largest as well and Nauman Shahid, MD. as independent private “The addition of these four oncology practice, has excellent medical oncoloadded four new hematolgists—which increases our ogy/oncology physicians, practice from eight physifurther expanding the cians to 12—significantly group’s already extensive expands our expertise and expertise and enhancing subspecialization, allowing their ability to offer the us to further integrate our most advanced care to services with partnering Dr. Rex Mowat cancer patients throughhospitals, develop better out our community. protocols, provide the latest therapies, The new Toledo Clinic doctors, all and offer even more clinical trials to coming from the Mercy Health system, help improve the overall quality of

our patient care,” states Rex Mowat, MD, of The Toledo Clinic Cancer Centers. Dr. Mowat further explains that welcoming Drs. Alkhalili, Al-Nsour, Shelke, and Shahid to The Toledo Clinic Cancer Centers means the group will be poised to expand to different sites of service, including Tiffin and Defiance, as well as streamline their services to offer improved and more efficient care at all sites. Among the nationwide trends in healthcare is one of physicians moving out of private practice to affiliate with larger hospitals, health systems, and even insurance companies. So,

moving from a hospital-owned practice to a private practice is somewhat unusual. As Dr. Mowat emphasizes, “This joint venture with Mercy Health goes against the prevailing trend, but both organizations will benefit from it and we believe it’s best for our patients.” Among the many advantages of The Toledo Clinic Cancer Centers remaining our community’s largest independent oncology practice is having the ability to provide coverage to all area hospitals, regardless of the system they belong to. “Some of our patients prefer ProMedica, others prefer Mercy, and still others prefer

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St. Lukes, and our physicians have cology at the Providence Hospital and the ability to treat them wherever Medical Center. He is board certified they go,” Dr. Mowat states. in Medical Oncology, HeIn addition to being matology, Palliative Care, the largest independent and Internal Medicine. He oncology practice, Toleis a member of the Amerido Clinic Cancer Centers can Society of Hematology and the American Society offers the largest number of research studies to area of Clinical Oncology. cancer patients—and that number will only increase Dr. Shelke graduated with the arrival of the new from the Shri Vasant rao physicians. As Dr. Mowat Naik Government Medical explains, with the field of College, in Maharashtra, oncology becoming more India. He completed his Dr. Alkhalili and more specialized, conresidency in the specialty ferences in which the latest of Internal Medicine at therapies and clinical trials Unity Health System and are discussed are also becompleted a fellowship in coming more independent Hematology and Oncology and specialized by cancer at the University of Rochestype. “With these meetter. Dr. Shelke is board cerings becoming so highly tified in Medical Oncology subspecialized and being and Hematology as well as held in different places at Internal Medicine. He is a different times, there’s no member of the American way private practitioners Medical Association and can get to them all. But the American Society of Dr. Al-Nsour adding more doctors means Clinical Oncology. we can get to more meetings and then bring back Dr. Shahid graduated from the King Edward the expertise and clinical trials discussed in those Medical College, in Lahore, meetings to the rest of the Pakistan and completed his group. That’s a tremendous residency and internship benefit to our patients,” in the specialty of Internal he says. Medicine at the University of Toledo Medical Center (UTMC). He also completed Dr. Alkhalili graduata fellowship in Oncology ed from the University of Jordan, Faculty of Mediat UTMC. Dr. Shahid is cine, in Amman, Jordan. He board certified in Internal Dr. Shelke completed two residencies Medicine. He is a member in the specialty of Internal of the American Society Medicine at Almakassed of Hematology and the Hospital and Seton Hall American Society of Clinical University. Dr. Alkhalili Oncology. also completed a fellowAll four physicians are ship in Oncology at the currently welcoming new William Beaumont Hospatients. ❦ pital. He is board certified in Medical Oncology and Toledo Clinic Cancer Internal Medicine and is a Centers, located at 4126 member of the American N. Holland Sylvania Road, Medical Association and Suite 105, has 12 boardDr. Shahid the American Society of certified hematologists/ Clinical Oncology. oncologists and six nurse practitioners on staff and can provide Dr. Al-Nsour also graduated from imaging and laboratory diagnostic the University of Jordan, Faculty services, chemotherapy services, and IV of Medicine, in Amman, Jordan. services. TCCC also has satellite centers He completed his residency in the in Maumee, Bowling Green, Adrian, specialty of Internal Medicine at the and Monroe for the convenience of the Providence Hospital and Medical patient. For more information, please Center. Dr. Al-Nsour also completed call the Toledo Clinic Cancer Centers at a fellowship in Hematology and On- 419-479-5605.

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Wise words from

5. Get your house in order

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

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. • 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.

8 November 2016 | Healthy Living News

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!

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 will the timing of the move be?

8. Get touring! Take tours of homes, condos, senior living communities, and other options for retirees. Ask about finances, activities, healthcare, and security. 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 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 for more information or to book a tour at 419-833-8917, or check us out on the web at www. otterbein.org. ❦

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BySister Mary Thill

Spiritually Speaking

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Keeping the Golden Rule This Rule points us in a clear direction. Let us treat others with the same passion and compassion with which we want to be treated. Let us seek for others the same possibilities, which we seek for ourselves. Let us help others grow, as we would like to be helped ourselves. In a word, if we want security, let us give security; if we want life, let us give life; if we want opportunities, let us provide opportunities. —Pope Francis, address to Congress September 2015

ope Francis’s words to the US Congress last year remind me of something our Novice Director told us when we were young novices in her care and she was impressing upon us the need to “keep the Rule and the Rule will keep you.” She was speaking of our Franciscan Rule, but I think the same concept applies to the Golden Rule. Basically, we need to treat others, including all of creation, as we would like to be treated. I think our politicians need to heed these words and act upon them. In spite of the rhetoric of the past several months on the political front, I was delighted to hear passion in the remarks, though some of them did seem to go overboard and border on anger and contempt. I also heard compassion expressed in some remarks, and I look forward to those who are elected to act with this compassion of which they spoke so eloquently. I look forward to watching the newly elected leadership in the White House and in the Congress actually do things that need to be done so we can all grow, feel secure, have a life that is livable, and have opportunities to be all we can be in a country like ours, where people expect to be able to become anything they can with the gifts given them by the Creator. This does not let state and local elected officials off the hook. They too must work together for the common good and be guided by the Golden Rule. This year has been a real eye-opener for me, as I’ve been frustrated by a lot of what is going on in the political arena at various levels. I’m delighted that so many folks are paying attention to the

political rhetoric and show up in droves when the politicians come to town (with almost no prior notice). I hope that folks vote when they can and get to know the candidates at all levels of government as well as they seem to know the top contenders. It bothers me that every year when we have the opportunity to elect people to do the work of government on all levels, the turnout is appallingly low. Don’t we care? Even some of our local officials and issues and levies, about which we should know the most, do not bring out the voters. Why then do we wonder why our cities are losing opportunities to have better parks, schools, senior centers, etc.? Do we really realize the impact our vote has on us and those who live and work where we are? Do we realize the impact that the people who get elected to our national, regional, and local governments have on our lives and the lives of others? My hope and prayer for the future is that the younger generation will learn from this election that we need passionate and compassionate leaders at all levels of government. That we need women and men who really care about this country, care about our relationships with other countries, have concern for what is happening to our planet, and be people of hope for the future living in a world that is getting smaller and more complex as we strive to live in peace. I also hope and pray that we do so by keeping the Golden Rule.❦

419.475.4101

1920 Indian Wood Circle, Maumee • email dirk.broersma@awitp.net

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

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How do I pick an acupuncturist? by Douglas A. Schwan, DC, Dip ac

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cupuncture has exploded in popularity in America since the 1960’s. Back then, doctors working in Vietnam hospitals saw acupuncture being practiced by local physicians and were amazed at some of the patients’ responses. These American doctors then returned after the war and wrote about their experiences. As awareness of what Oriental Medicine could do expanded, the demand for acupuncture services grew exponentially. Many people made the decision to try acupuncture only to be stymied by how to find a “good” one. In America, acupuncture is part of the overall profession of Oriental Medicine. It is considered a medical treatment and must be rendered by a licensed medical professional. The days of back-alley acupuncture are long since over, and you can be assured that anyone legally practicing today has passed a vigorous examination to ensure their competence. At this point, I would like to point out the difference between a new fad treatment termed “dry needling” and the practice of acupuncture. Dry needling uses acupuncture-type needles to needle muscle trigger points to reduce local muscle pain. Acupuncture is a full art and treatment that requires extensive training and knowledge in the Meridians circulating qi (pronounced “chi”) energy around the body. Dry needling-techniques can be learned by any healthcare provider in a weekend seminar, but Oriental-style acupuncture requires hundreds of hours of additional training and the passing of a state licensure examination.

Ask friends, family, and your doctor Now that one has decided to select an acupuncturist, the first step is to get recommendations from friends, family, or a primary healthcare provider. While many doctors train as a generalist, more and more are specializing in such areas as pain management,

fertility, smoking cessation, weight loss, etc. When you call the doctor’s office for the first time, feel free to mention what it is you are interested in having treated. If the doctor does not handle those types of cases, he or she is likely to know of another who does.

Online searches With the expansion of social networks and the internet, a simple search may reveal several doctors close to you. Their websites may contain information in the form of articles discussing various conditions they treat as well as their location and office hours. Many sites have physician reviews that may prove helpful in your selection process. While online reviews may be taken with a grain of salt, they are just one more bit of information for you to consider.

Competence While every doctor practicing acupuncture should have passed a licensure board and be broadly competent, some practitioners have a great deal more experience treating specific types of cases. For example, most doctors see depression, anxiety issues, smoking or addiction problems, and pain syndromes regularly. But conditions such as infertility, cancer, infectious diseases, and long-term weight loss require additional expertise that can be gained only through experience and additional training. Another consideration is the doctor’s approach to treatment. Some doctors use a “cookie-cutter” approach and give the same exact treatment to patients with the same complaint. This is okay when you are treating a knee or other localized condition; however, for complex conditions, a specific diagnostic workup needs to be performed as patients can vary widely in their specific treatment needs. Ask your doctor during your consult how he or she plans to determine your specific treatment program.

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Cost

Comfort

While some insurance plans are beginning to cover acupuncture treatments, many times the patient is saddled with the cost. The cost for an average 20-minute acupuncture session can vary wildly. A typical office visit can cost anywhere from $45 to $150. Typically, Veterans can receive acupuncture treatment fully paid by the Veterans Administration if they get a direct referral for care. Many Workers Compensation programs cover 100% of the cost, as well. Flex-spending accounts (bene-cards) can be applied against acupuncture treatments. Personal-injury-related treatments are also eligible for reimbursement. When you contact an office, be sure to inquire about coverage and if the office is willing to perform insurance billing for their patients. Many acupuncturists run a “cash-only” practice. Do they accept credit and debit cards? Are package discounts offered for multiple visits?

Ideally, you want to find an acupuncture office close to you that exudes a warm, welcoming feeling. Most acupuncture offices will offer a free consultation so you can come in and meet the doctor and staff prior to committing to treatment. This is the time to get to know the office and doctor to see if everybody is a good fit. You should ask the doctor about his experience treating people with conditions like yours and the expected outcome. While there, look around the office. Is it clean and welcoming? Is the staff happy and smiling and quick to greet you? It is important that you feel the office gives off a positive vibe. And, finally, does the office seem to be a busy and happy place? You should avoid any place that does not provide a free initial consultation and allow for a meet-andgreet with the staff and doctor prior to you committing to treatment. Good providers will understand that acupuncture is a new and different

experience for most patients and will strive to be good educators. their goal should be to alleviate concerns and answer questions about the suggested course of treatment. While acupuncture treatments are becoming more standardized and the practitioners much more educated and competent, there still exists a wide variation in practice styles, pricing, and expertise. Selecting an acupuncturist is a very personal thing and will likely lead to a relationship that can last for a long time. So, it is important to do your homework up front and select a practitioner that best fits your needs. ❦ Dr. Schwan is available to speak to your group on a wide variety of alternative medicine topics, including chiropractic, acupuncture, herbal medicine, nutrition, vitamins, etc. He is a graduate of the International Academy of Medical Acupuncture & Palmer College of Chiropractic and president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time standup comedian. For more information on alternative medicine, please visit his website at www. acupuncturetoledo.com.

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November health and wellness tips from Heartland Rehab, by Jim Berger

ach month, this column is dedicated to providing Health Living News readers with timely, commonsense health, wellness, and fitness tips. Thank you for this opportunity. We are entering the time of year that for many of us is full, hectic and stressful. Autumn is one of color changes, cooler weather, and the start of the busy holiday season. In this article let’s talk about preparation. The colors of fall are beautiful, but at some point in time, the leaves will drop from the trees and the work begins. Before you grab the rake and get started cleaning up your yard, here are some tips to keep you safe and injury-free while raking leaves: First, even though it is tempting to start raking as soon as the first few leaves fall, plan ahead and set aside time for this project. Also, choose the correct tools. There are a number of different rakes on the market now as well as the ability to use blowers and tools that suck up the leaves and grind them into mulch. So what is your tool of choice? The next part of the plan that you control has to deal with cloth-

ing. Depending on the weather, the clothing you wear should be lightweight and keep you warm without trapping sweat. Don’t forget about proper footwear. You are going to be walking and moving on an uneven surface that may be a little soft and squishy. Having a good pair of shoes can help with support and comfort in keeping you safe. Raking potentially can burn up to almost 300 calories per hour. That means your muscles are working. Just like working out at the gym or training for a particular sport, if we are going to challenge our muscles, we should always make sure we warm up before starting any physical activity or chore. Warm the muscles first by doing a little walk or some

“THERAPY FOR TODAY...

squats/lunges. Loosen the arms and shoulders by doing some arm circles and shoulder rolls, then do some simple stretches. This is all before even picking up the rake, blower, or mulcher. As you rake, blow, or mulch, don’t forget about your posture, your movement, and the necessity to take frequent breaks. This gives your muscles a break. Just as important, make sure you give your body some fuel by eating and drink plenty of water to maintain hydration. The arrival of fall tells us the holiday season is almost here. We all have good intentions to start planning early to avoid reaching the level of stress that we faced last year. What is stress? We know what triggers it, but what is it? Stress is a mix of emotional, physical, and behavioral responses that occur in situations. Stress is viewed as negative, but we can have positive responses to it. Stress can be motivating and can enhance performance. Excessive or chronic stress can have a negative impact on our health, potentially impacting blood pressure, memory,

Physical Therapy • • • • • • • •

and concentration, and leading to depression and anxiety. What can you do to deal with stress? For your body, progressive muscle relaxation can be an effective stress-reliever. Try sitting or lying down in a relaxed position and tensing your muscles. Start with your feet, then release, paying attention to the sensation of relaxation. Then proceed by working your way up to your legs, stomach, back, arms, neck, face, and head. Once you have finished this, allow yourself to remain in this state of relaxation for a few more minutes. Massages are another intervention to assist in relaxing. For your mind, talk to someone and express your feelings. Being able to share how you are feeling helps

Occpaal Therapy

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ease some of the tension and burden that is leading to the stress you are feeling. Self talk offers an opportunity to internally walk through a situation. How does laughing make you feel? Laughing helps release chemicals in the brain that help decrease stress. Here are some additional wellness tips to help make it through the holiday season that will be here before we know it: Don’t skip meals. With parties and gatherings, food is usually in the center of it all. If you attend and are hungry, you usually don’t make good choices. Eating something small throughout the day will keep you from overeating at the event. Don’t skip sleep. During the holidays, most people change their normal sleep patterns. Getting enough sleep helps decrease fatigue and stress. When we are over fatigued, we make poor choices and grab foods that may give us a quick burst of energy but have a very negative impact overall. Don’t forget to exercise. Exercise is an excellent way to help handle stress and avoid weight gain. It can be difficult to find that 30 to 45 minutes for exercise, so try to get 10 minutes in a couple of times during

the day. Also, take stairs instead of the elevator or escalator when you can. Park the car a little further and walk to your destination. Don’t forget to breathe. Take time throughout the day to breathe. Stop and take a deep breath; take a moment to give yourself a different perspective. Don’t fret the small stuff. It is holiday time, and we are going to be faced with opportunities for indulging in food and drink. Take steps to minimize the overindulgence. Make better choices while enjoying the time with family and friends. Moderation is and has always been the key.

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Enjoy the season that is here, be safe, and be thankful for all the blessing that you have!

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

Dr. Glenn E. Whitted

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

Walt’s Corner Turn to this tantalizing column each month for a healthy, flavorful recipe from Walt Churchill’s Market—like this one for EVOO Mashed Redskins.

EVOO Mashed Redskins Ingredients:

1 lb redskin potatoes, quartered 4 oz extra virgin olive oil 4-5 garlic cloves, chopped 1 Tbs. cracked black pepper Pinch of salt (or to taste) Directions:

Boil and drain redskin potatoes. Put all ingredients in a bowl and smash together. For smoother texture, add more EVOO. For creamier texture, reserve some of the water the potatoes were cooked in and add small amounts until it reaches desired texture. Courtesy of Chef Bill, Walt Churchill’s Market

Walt talks turkey:

Here are Walt’s answers to some turkey FAQs: Q. What size turkey should I buy? Walt says: Allow one pound of turkey for each adult person. Q. What is the best way to thaw a turkey? Walt says: Fresh is best, but if the turkey is frozen, never thaw it at room temperature. The safest method is to thaw the turkey in the refrigerator, allowing approximately 24 hours for every 5 pounds of whole turkey. Or, thaw the bird in cold water for approximately 30 minutes per pound of whole turkey, changing the water every ½ hour.

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any people who are faced with having to research assisted-living and skilled-nursing facilities for a loved one sometimes don’t know where to begin. It is difficult enough to understand the various services a single facility offers. But how do you compare several facilities? Matt Bucher, Director of Marketing for the Elizabeth Scott Community in Maumee, has developed a list of criteria to help those families who visit him. The list, titled “Dare to Compare,” is part of the company’s website, www.elizabethscott.org. “The first question I think a family member should ask is if the facility in question is family owned or corporate owned,” says Bucher. “That makes a big difference in how employees and residents are treated. You should be able to meet and talk to the owners.” Bucher says Elizabeth Scott has been family owned and operated since 1949, and that family atmosphere is pervasive throughout the facility. “People here like that we treat them as family members,” he says. “Who wouldn’t like that?” Next, Bucher says families should consider the reputation of the facility in the medical community. “Ask your family doctor or people you know in health care about the facility in question. Most healthcare professionals will have had some experience with or knowledge of the facility in question.” Costs are always a key consideration, says Bucher. He advises families to find out in advance if there is an application fee and if there are any non-refundable community fees. If there are non-refundable fees, he suggests getting an explanation for them. Also, does the facility accept Veterans Administration (VA) benefits? Is there a cost for additional services such as medication assistance, dressing, and/or bathing? “Some facilities offer a menu of items from which to choose, and these all come at a price,” says Bucher. “Our prices at Elizabeth Scott are comprehensive, for the most part.” Another consideration is the number of levels of care a facility offers. For example, Elizabeth Scott offers independent living, two levels of assisted living, skilled nursing, as well as a new skilled rehabilitation facility.

“This is important, since the health and well-being of elderly residents will change over time and they will require more care,” says Bucher. “Families shouldn’t have to move their loved one because the facility can’t accommodate their needs.”

Staff members at the Elizabeth Scott Community treat each resident as if they were a family member.

He also says Elizabeth Scott offers a guarantee to current residents for skilled nursing placement even when private pay funds are depleted. “The long-term financial piece is often overlooked, and if it isn’t in writing, I would proceed with caution,” says Bucher. Other questions a family should ask include: • If your loved one begins to wander, does the facility have a secure environment? • Is there a nurse available 24 hours a day, 7 days a week? • Do residents appear happy and content? • Did you receive a warm greeting from all staff welcoming you to the facility? • Is the staff available to meet unscheduled needs 24 hours a day, 7 days a week? • Is there evidence of organized activity programs? • Do residents participate in activities outside the facility? • Does the facility provide services of a registered dietician if needed? • Does the residence provide transportation to doctor appointments? “These are all important questions a family should ask each facility they visit,” says Bucher. “And they should keep notes on the various sites they compare so they can eventually sit down and make an educated decision.”

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The Elizabeth Scott Community, located at 2720 Albon Road in Maumee, was established in 1949. It is a family owned and operated facility offering independent living, two levels of assisted living, skilled nursing, and skilled rehabilitation.

All services are located on a single campus with all facilities connected. For more information, visit www. elizabethscott.org or contact Matt Bucher, Director of Marketing, at 419724-5021 or mbucher@elizabethscott. org. ❦

It’s never too early for good dental hygiene

ood dental hygiene habits should of having his or her teeth brushed. be established before an infant In addition, gum cleaning is soothhas teeth. Though this may seem ing for baby and offers a wonderful premature, implementing proper bonding opportunity for both baby dental care before a baby’s and parent. In fact, most babies reteeth begin to erupt will set the spond very positively to the gentle stage for a lifetime of healthy massage-like sensation—especially smiles. babies who have itchy, irritated gums as a result of teething. But how can parents start caring for their baby’s teeth Once your baby’s first tooth before they ’ve actually appears, usually between the ages of six months and one emerged? All you need to do is gently wipe your year, you can begin to use baby’s gums with a clean, an infant toothbrush after wet washcloth or gauze every feeding and at after each feeding. This bedtime. An infant will help eliminate the toothbrush has very bacteria that cause tooth soft, rounded bristles, decay as well as help your baby so1 it 9/22/15 won’t scratch 10.25x5_ES_SkilledRehFac_Ad_HL_915_HI.pdf 10:22 AM your baby’s sengrow accustomed to the sensation sitive gums.

Your dentist may recommend that you brush your infant’s teeth with water only or with just a pea-sized amount of toothpaste. If you do choose to use toothpaste, be sure to purchase a product designed specifically for infants—one containing no fluoride. Getting the earliest possible start on a child’s dental hygiene is more important than many parents realize. Baby teeth have a thinner enamel layer and are more vulnerable to bacteria than adult teeth are. Hence, any decay that gets a foothold can penetrate to the nerve much more rapidly than it typically will in adult teeth. But aren’t baby teeth just destined to fall out anyway? What difference does it make whether they decay or fall out early? That argument would seem to make sense, but it overlooks the fact that baby teeth serve as a placeholder for adult teeth. When baby teeth are lost prematurely, the adult teeth are much more likely to come in crooked. One of the biggest dental-health problems facing young children is a condition called “baby-bottle tooth decay” (BBTD). This condition can

Of course, along with initiating good dental-hygiene practices at home, you’ll want to be sure to schedule your child’s first visit to the dentist

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• Avoid putting your child to bed with a bottle. • Avoid using a bottle as a pacifier. Limit bottles to feeding times only. • Regularly clean your baby’s gums and teeth. • Teach your child to drink from a cup as soon as possible.

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develop when a young child’s teeth are continually bathed with sugars present in milk, formula, fruit juice, or other sugary beverages—usually because the child takes a bottle filled with one of these liquids to bed or has them frequently throughout the day. The sugars present in the liquid are converted to acid by bacteria in the baby’s mouth, and this acid begins to dissolve the teeth, usually beginning with the upper front teeth. Not only can BBTD cause severe damage to your child’s baby teeth, but it can also lead to problems that affect the permanent teeth. To prevent BBTD:

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by the age of one year or within six months after his or her first tooth comes in. The first dental visit doesn’t usually involve much in the way of treatment, but it’s an opportunity for your child to get acquainted and comfortable with the dentist, staff, and office surroundings. It’s also a

chance for the dentist and parents to discuss issues such as the child’s developmental milestones, such as teething; fluoride needs; oral habits, such as thumb sucking or tongue thrusting; good oral hygiene practices and cavity prevention; and proper nutrition for good oral health. ❦

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innitus (TIN-ih-tus or tin-IH-tus) is the perception of noise or ringing in the ears. It’s commonly described as ringing, buzzing, hissing, roaring, clicking, chirping or even music heard in one or both ears when no external sound is present. The pitch of the tinnitus may vary, and people even report that they can hear multiple tones at one time. It may be constant or intermittent and may come on gradually or suddenly. For some people, it’s only noticeable in a very quiet room, and for others it is so loud that it interferes with the ability to concentrate, relax, or sleep. Tinnitus affects about 1 in 5 people and is an extremely common medical complaint. Regardless of how it’s pronounced or what it sounds like, tinnitus is a bothersome complaint that prompts many people to seek help to make it go away. Although bothersome, tinnitus usually isn’t a sign of something serious. Tinnitus isn’t a condition itself—it’s a symptom of an underlying condition, such as age-related hearing loss, loud noise exposure, ear injury or disease, or even a circulatory system disorder. Since tinnitus can be a symptom of underlying medical conditions, the audiologists at Northwest Ohio Hearing clinic take a team approach when treating patients with this complaint. The audiologists at Northwest Ohio Hearing Clinic are qualified to evaluate, diagnose, and provide treatment for patients with tinnitus. Because tinnitus has a wide range of underlying causes and affects each person differently and to varying degrees, the audiologists use a team

approach when seeing patients with tinnitus. The team members will vary based on the patient and his or her symptoms and needs. Along with the patient, the team may include the audiologist; an ear, nose and throat physician; the family physician or other medical specialties; and even the patient’s family or possibly the patient’s employer. The audiologist will complete the first step in a tinnitus evaluation, which consists of a thorough case history, a comprehensive hearing evaluation, additional testing when necessary to assess the inner ear and hearing nerve separately, and a questionnaire about tinnitus. The questionnaire was designed to measure the psychological distress associated with tinnitus and the range and degree of effects on the person’s life, for instance whether it’s causing mild concern, stress, anxiety, or avoidance of activities; interfering with sleep; or even provoking thoughts of suicide. The next step for most patients is medical clearance from an otolaryngologist, or ear, nose and throat (ENT) physician. Because tinnitus is often associated with various ear

diseases and is often present with other conditions such as dizziness, it’s imperative that the ENT physician

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or be associated with stress, irritability, depression, and concentration problems and can cause emotional upset. Referral to a psychologist and counseling may be made for short- or long-term care. Counseling is recommended because the emotional response to tinnitus and its perceived severity varies considerably among people. All of this may seem like a lot of work for a patient to go through to find the cause of tinnitus and alleviate the symptom. Oftentimes people come in asking for medication or a magic pill to stop the tinnitus. Unfortunately, there is no medication or herbal vitamin/ mineral supplement that has been proved to stop or reduce tinnitus, but it’s not true that nothing can be done about tinnitus. Once medical causes for tinnitus are treated and ruled out, treatment of the tinnitus itself can begin. Fortunately, reducing the severity of the tinnitus and the level of disturbance it causes is possible and the audiologists at Northwest Ohio Hearing Clinic have the training, experience, patience, and caring attitude to work with patients in multiple ways to reduce their tinnitus. Even if there is no medical cause or treatment found for the tinnitus, the presence of tinnitus can affect quality of life as well as social interactions at home and work, so it is well worth treating the tinnitus. Some patients come in seeking to rule out any medical causes of tinnitus but either aren’t bothered enough by the tinnitus or don’t hear it loudly enough to want treatment. Other patients who have louder, more bothersome tinnitus

rule out and/or treat any ear, hearing, or health-related conditions that may be causing or affecting the tinnitus. If the ENT determines there are no ear-related, medically treatable causes of the tinnitus, referral to other specialties is considered. Often this may be to a family physician, neurologist, or dentist. The neurologist may be called on to screen for potential neck, cervical, or brain disorders that may affect the tinnitus. Often these conditions cause stress and chronic pain, both of which are linked to the exacerbation of tinnitus. Dentists are also part of the tinnitus treatment equation because dental problems, such as temporomandibular joint disorder, bruxism (teeth grinding), or other dental problems, are strongly associated with the presence of tinnitus. Chronic pain from problems related to the neck/spine, shoulders, or migraine headaches can also make the effects of tinnitus worse; therefore, some patients are referred for physical therapy or chiropractic care to alleviate chronic pain. Noise exposure is a very common cause of tinnitus. If noise exposure at a current job setting is found to be the cause of the tinnitus or is worsening it, the employer may need to be involved so that proper ear protection and re-structuring of the job site can be performed to decrease noise levels of the work area and subsequently improve the tinnitus. Noisy recreational activities can also be the cause of tinnitus so those activities must be reviewed also. Lastly, the mind-body connection cannot be forgotten. Tinnitus can cause

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want to rule out medical causes and want treatment to reduce the level of the tinnitus. For all patients, the combined efforts of the audiologists and the other members of the team provide effective medical care and treatment of tinnitus. The type of treatment and length of time needed for treatment vary for each individual. Tinnitus treatment may involve hearing aids; hearing aids with builtin masking noise; home masking devices; stress, diet, and exercise management; and counseling. Last on the list of tinnitus treatment methods are preventive measures to keep the tinnitus from worsening (or to keep it from occurring in the first place). Getting prompt testing and treatment for any medical conditions that may be causing tinnitus is one way to prevent the tinnitus from worsening. Since the number-one cause of tinnitus is damage to the ears from excessive noise exposure, ear protection in noise is critical for tinnitus prevention. Noise from loud equipment and machinery at work or home, lawn mowers, power tools, firearms, and loud music in any form can cause permanent damage to the ears, which is often not noticed until many years later when the ears start aging. It’s very common for people in their late 40s or early 50s to come into our office complaining of tinnitus and hearing loss from a short or long period of noise exposure that happened in their teen years or early 20s. The only way to prevent tinnitus and hearing loss from noise exposure is to wear ear protection in noise or turn down the volume

of loud music. If you are experiencing tinnitus, call Northwest Ohio Hearing Clinic at 419-873-4327 or 419-383-4012 to schedule a tinnitus evaluation today.❦

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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Laurels of Toledo reaches new heights in rehab

he physicians and staff of Mercy Health – St. Vincent Medical Center recently had the opportunity to experience weightlessness in the AlterG® Anti-Gravity Treadmill®—a state-of-the-art therapeutic modality available locally only at The Laurels of Toledo. On Monday, October 17, from 10:00 a.m. to 2:00 p.m., Mercy Health partnered with The Laurels to host a mobile showroom featuring this advanced technology just outside the MOB 1 parking garage on the hospital campus. The AlterG Anti-Gravity Treadmill utilizes patented NASA technology to reduce body weight by up to 80%, which is a tremendous advantage for rehab patients who are unable to support their full weight or are limited by pain due to injury, surgery, or degenerative conditions such as arthritis. Using the AlterG under the supervision of The Laurels’ expert therapy team, these patients can walk or run without painful impact on the lower extremities, using a proper gait and with no risk of falling. In fact, many AlterG users report that they feel as though they’re “walking on

air.” As a result, they often recover and get back to their normal lives faster “Our objective is always to stay on the forefront of advanced therapeutic technology, and as the home of the one-and-only AlterG, we’re definitely on that leading edge here in Toledo,” says Laurels Administrator Edward Beatrice. “We’ve been offering the AlterG at The Laurels on both an inpatient and outpatient basis for a year now, and it’s added a completely new dynamic to our rehab programs.

20 November 2016 | Healthy Living News

We’re extremely grateful to Mercy Health—one of our most important healthcare partners—for hosting this groundbreaking technology on the campus of Mercy Health – St. Vincent Medical Center.” The AlterG has an extensive range of uses in the realms of orthopedic and sports medicine, for example rehabilitating patients with total knee or hip replacement, arthritis, ACL or Achilles tendon injury, or any other injury, surgery, or disability affecting the lower body. But its benefits go far beyond these applications to include (among others) boosting activity tolerance in patients with congestive heart failure or other cardiac conditions; helping athletes increase their training volume or stay in peak condition while recovering from injury or surgery; promoting weight loss in significantly overweight patients so they can qualify for joint replacement or other procedures; conditioning and fall prevention in the elderly; and improving gait mechanics and trunk control in patients with neurological conditions such as Parkinson’s disease, stroke,

traumatic brain injury, cerebral palsy, and multiple sclerosis. AlterG account executive Brad Salisbury, who brought the mobile AlterG showroom to Mercy Health – St. Vincent Medical Center for the October 17 demonstration, gets a great deal of satisfaction from the joy he observes in patients experiencing the technology for the first time. For example, he recalls the astonished reaction of a patient in his mid-80s who usually uses a cane when walking but was able to walk at a good pace without the cane and with a normal gait in the AlterG. “His wife was amazed too,” he says. “She popped up in the viewing window on the side of the AlterG and commented that she’d never seen him walk that fast. It’s incredibly rewarding to see patients make that transition from taking slow, shuffling steps to walking with a normal gait at normal speed.” Laurels rehab patients appreciate that there’s no extra cost to incorporating the AlterG in their therapy programs—and that it’s available to both inpatient and outpatient rehab clients. Patients participating in the

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outpatient program, which is offered seven days a week, may also qualify for free bus transportation to and from The Laurels based on distance from the facility and accessibility to their home. ❦

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.

Mercy Health opens comprehensive, integrated cancer center in Perrysburg

ecognizing an opportunity to expand access to comprehensive cancer care in Northwest Ohio, Mercy Health will soon be opening a freestanding integrated cancer center in the heart of Perrysburg. The state-of-the-art Mercy Health – Perrysburg Cancer Center, located at 12623 Eckel Junction Road, adjacent to Mercy Health – Perrysburg Medical Center, will open its doors and begin delivering multidisciplinary cancer care services on Monday, November 7. “We believe in increasing access to advanced healthcare throughout our region, and this new facility will do just that for cancer patients and their loved ones in the Wood County, Maumee, and Oregon communities,” explains Michelle Rowe, Service Line Director for Oncology Services for Mercy Health. According to Rowe, Mercy Health – Perrysburg Cancer Center will offer a full range of care services that address the physical, mental, emotional, and spiritual aspects of cancer treatment, including radiation oncology, medical oncology, infusion treatments, imaging, and laboratory services, as well as dietary and social services, spiritual care, rehabilitation, and financial support. At Mercy Health – Perrysburg Cancer Center, the entire care team is focused on making the patient’s visit as seamless and comfortable as possible. Dedicated patient ambassadors welcome every patient to the center, help them and their loved ones navigate every aspect of the often confusing treatment journey, and serve as liaisons between patients/ families and the medical team. “We truly put patients at the center of everything we do, and we’ve put together a stellar team of experts who genuinely love helping patients

and continuously strive to provide a world-class experience,” Rowe says. Patients and their loved ones will also appreciate the time and effort that Mercy Health has invested in creating a relaxing, home-like atmosphere at the new cancer center. Area artists helped create a unique design vision that ties into the local community and cancer awareness, and considerable attention was paid to even the smallest details within the space—from the placement of the furnishings and the flow throughout the facility to special touches and amenities such as a baby grand piano playing in the lobby and an onsite Barry’s Bagels for patients and their loved ones to enjoy. There’s also a unique space in the center that the public can reserve for support group meetings or other purposes. Rowe notes that the chemotherapy infusion suites, which feature a TV and other activities for the patient, are all private yet spacious enough so that family members can visit and offer support without feeling as if they’re interfering with the medical team. “Or, if they prefer, patients can simply relax and take a little time for themselves during treatments,” she adds. To introduce the Mercy Health – Perrysburg Cancer Center and all its services and amenities to the general public, an open house will be held at the facility on Sunday, November 6 from 1:00 to 3:00 p.m. “We’re inviting everyone in the community to come and see what we have to offer and how we’ve brought together in one convenient location all the programs and services needed to treat cancer patients in body, mind, and spirit,” Rowe says. ❦

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Luxe Laser offers state-of-the-art solutions to spider and varicose veins

nyone with unsightly spider veins or bulging, twisting varicose veins knows these conditions can be bothersome from the standpoint of comfort and cosmetics. But what many people may not realize is that these common vein issues can also signal an underlying vascular problem with the potential to cause significant health complications down the road. According to Dr. Wade Banker of Luxe Laser Vein & Body Center, varicose veins, which most commonly develop in the legs, form when the tiny check valves in the vein stop functioning properly, allowing blood to flow backward under the influence of gravity and pool in the vein. If left untreated, this condition, known as venous insufficiency or reflux, can in some cases lead to serious health problems such

as blood clots or pulmonary emboli. Spider veins are worthy of concern, as well. Though tempting to dismiss as a strictly cosmetic issue, those tiny veins that appear in a web-like pattern at the surface of the skin can also be a symptom of venous insufficiency and often go hand-in-hand with varicose veins. The good news is, in addition to a wide variety of cosmetic and aesthetic services, Luxe Laser Vein & Body Center can treat both spider and varicose veins quickly and effectively using the most advanced technology available with minimal pain and no downtime for the patient. Dr. Banker explains, “We can treat spider veins very easily using either laser or injections. Some veins respond better to one form of treatment than the other, and both are priced the same, so we give you the

individualized care you need for optimal results.” With respect to varicose veins, Dr. Banker treats not only the ones bulging through the surface of the skin that you can see, but also those that aren’t visible yet still cause symptoms such as leg pain, heaviness in the legs, and spider veins. Patients are often unaware that they even have these hidden varicose veins, but Dr. Banker can verify their presence using painless ultrasound technology. The procedure to eliminate varicose veins involves inserting a needle into the vein and advancing a laser fiber to the problem site under ultrasound guidance. The laser then seals off the malfunctioning valves and closes the vein. The body readily compensates by using alternate return paths for blood circulation. Patients undergoing this treatment are usually in and out of the office in less than an hour, and the procedure is, for the most part, painless. Also, there is zero downtime with this treatment. The patient walks right back

out afterward and can return to most normal activities immediately. “Also, patients appreciate the fact that, because varicose veins stem from an underlying medical condition, insurance will cover the cost of the procedure. If they’ve already met their annual deductible—as is often the case by this time of year—the treatment could be completely free,” Dr. Banker adds. The laser Dr. Banker uses is the state-of-the-art Angiodynamics EVLT 1470. In fact, Luxe Laser Center has an attached laser and cosmetic training center, where physicians from around the country come to learn the proper use of the newest laser and cosmetic technology. Also, Dr. Banker utilizes only industry-standard gold-tipped laser fibers for treatments, despite the fact that he has the VEIN & BODY CENTER option of using other, cheaper

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fibers with the same equipment. “I won’t compromise on the quality of the laser fibers because I’ve observed time and again that the gold-tipped fibers produce the best results for patients and are the easiest for doctors to use,” he says. Dr. Banker emphasizes that patients who are anxious or fearful about doctor visits or undergoing medical procedures will be pleasantly surprised by their experience at Luxe Laser Vein & Body Center. Offering a comfortable, welcoming, spa-like atmosphere, the center stands in stark contrast to the conventional

hospital setting, and the friendly staff places the highest priority on customer service and patient satisfaction. “Above all, these procedures are extremely simple and cause very little pain while making a tremendous, immediate difference in the appearance of spider and varicose veins,” he says. ❦ For more information or to schedule your consultation, please call Luxe Laser Vein & Body Center at 419-893-2775. Also, a 3D video tour of the center is available on their website at luxe-laser.com.

Marine receives urgent care at UTMC following training injury

n early August, Cpl. Sam Teifke, 31st Marine Expeditionary unit, U.S. Marine Corps (Reconnaissance Marine), was injured in a freefall parachuting accident during a military training exercise in Arizona. “It was a night jump so I had a blind landing, and when I came down, I landed on my knee in a cement ditch,” he said. “I was in severe pain, but because I was in the middle of an exercise, I continued to walk on it for almost three more hours.”

Cpl. Sam Teifke

Later, Teifke realized his knee was bruised and swollen and sought treatment. “I had some X-rays and was told that it was probably just a bone bruise,” he said. “When I returned home to Ohio for family leave after my training, it wasn’t getting better.” Teifke was referred to Dr. Ryan Hart, orthopedic surgeon at The University of Toledo Medical Center. “When I saw him in my clinic, his

knee was very painful and difficult for him to walk on,” Dr. Hart said. “Due to the nature of his injury and his timeline for returning to his assignment in Japan, we scheduled an MRI that same day.” Teifke was found to have a complete posterior cruciate ligament tear and was placed in a brace and given a therapy regimen that he could complete while in Japan. “Dr. Hart did not hesitate to answer all of my questions,” Teifke said. “He was extremely professional and told me the little things I could do every day to help ease the pain until I could get back to Okinawa.” Dr. Hart Dr. Ryan Hart said treating patients like Teifke is one of the truly rewarding aspects of orthopedic surgery. “This field allows physicians to focus on individuals who have lost functional abilities due to musculoskeletal injury or disease,” he said. “With an appropriate treatment plan, we can help restore patients back to their pre-injury functional level.” Teifke has now fully recovered from his injuries. “I can’t thank Dr. Hart enough for treating me with the best care I have ever received,” he said. “I am grateful for his help in recovering from my accident.” ❦

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

Hormone imbalance can be treated safely, by Christine A. Holliday

ormones. Do you remember learning about them in science class? Perhaps you recall your teacher calling them “chemical messengers” and explaining that their function is to control most major bodily functions. You might have a far-away memory of learning that they are produced in the endocrine glands (pancreas, thyroid) and secreted directly into the blood, which delivers them to the organs that count on them to work correctly as the body grows, reproduces, metabolizes food, maintains body temperature, regulates thirst and hunger, and controls cognitive functions. All of those activities count on precise amounts of hormones for optimum performance. As a young student, you probably didn’t pay attention to the discussion about how hormone production changes (slows down) as we age. But, you’d be wise to pay attention now. Problems in the amount of hormone production (too much or too little) can cause serious and life-altering symptoms, from concerns about stress to control of sleep to maintaining the insulin that helps control blood sugar levels. Older patients who notice changes in the way their bodies work (low libido, fatigue, insomnia) are invited to make an appointment with Dr. Mark Neumann at MSN Healthcare in Temperance, MI. He works to help his patients live long, healthy, productive lives using Bioidentical Hormone Replacement Therapy to treat the symptoms of hormonal imbalance. Dr. Neumann explains that patients often don’t connect these symptoms with decreased hormone production.

natural substances like soy or yams. The chemical structures of these natural compounds are identical to the hormones produced by the human body. That similarity means that they blend with the patient’s body more easily and more quickly, minimizing side effects. It’s a therapy that has been in use for more than 60 years, with documented benefits that include its capabilities to aid in reducing the risks of certain diseases, such as osteoporosis and liver and heart disease. “We use people’s own bodies as a basis for treatment strategies,” Dr. Neumann explains. “We do a complete evaluation of blood and saliva so we have a baseline for treatment. Once we make It may take a while to see that determination, we can the connection and to ask a decide if the best treatment is healthcare provider for help, capsules or a topical cream or which may mean the taking a vaginal cream in a dosage of hormone replacements. best suited for each particSynthetic hormones are ular patient. Most patients one response to patients’ report a nice improvement requests for relief, but Dr. Dr. Mark Neumann when they return for their follow-up visit.” Neumann warns that the “cure” might be worse than The hormones most often the symptoms. Many patients ex- prescribed to women are those perience unpleasant side effects related to the onset of menopause, with synthetic hormones and dis- which presents symptoms that incontinue them. He notes that they clude irregular menstrual patterns, are associated with serious health decreased libido, endometriosis, conditions, including endometrial symptoms related to PMS (mood cancers, blood clots, heart attack, swings, acne, headaches), weight abnormal liver function, and pan- gain, loss of energy, decreased mental creatitis. That is because they are acuity, insomnia, night sweats, anxcreated in laboratories with a chem- iety, and depression. But decreased ical composition similar to, but not production of other hormones may identical to, natural hormones. present symptoms like dry skin or Dr. Neumann uses bioidentical hair loss (possible signs of thyroid hormone replacement therapy (BHRT), gland imbalance) or fatigue (imbalwhich uses hormones made from ance of adrenal glands).

Dr. Neumann reports that men experience transitional stages as they age just as women do. The decline of testosterone that begins in a man’s 30s is known as andropause and is marked by low energy levels, poor mental function, decreased sexual performance, and decreased stamina, and can manifest itself in the lack of interest in activities that used to be interesting and exciting. Men might also experience occasional bouts of impotence, mood swings, and loss in physical strength. After a thorough series of tests, including PSA, blood and thyroid tests, lipid tests, a urinalysis, and evaluation of testosterone and estradiol levels, the doctor and patient can discuss the results and the best treatment options. That might mean daily application of a testosterone cream or a once-a-week injection, and Dr. Neumann insists that the patient will “…invariably notice a vast improvement.” Of course, there is more to good health than just proper functioning of the endocrine glands. Dr. Neumann works with his male and female patients to maximize the good effects of diet, exercise, and stress reduction, in conjunction with the use of the BHRT. In his 30+ years practicing medicine, he has helped multitudes of men and women in Monroe County, Temperance, Michigan and the Toledo area live productive healthy lives, and he invites your inquiries at 734-847-4700. ❦ Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

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Dr. Mark Neumann, DO 734.847.4700 MSN Healthcare, PC 1715 West Dean Road, Suite B Temperance, MI 48182 www.drmarkneumann.com ·

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Paramount Advantage and Cleveland Browns team up to promote annual wellness visits

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n ounce of prevention is worth on the team bus a pound of cure.” Nowhere is • Home Game Suite experience this old adage more applicable than • Punt, Pass and Kick event in the realm of preventive health • Sideline experience care. Seeing a doctor once a year for • Autographed Browns jersey a routine examination and discus- • Home game tickets sion of your health status can pay • A VIP Training Camp tremendous dividends in the future experience by preventing chronic disease or “These exciting rewards are oncecatching a developing health issue in-a-lifetime opportunities, whether in its earliest, most treatable stage. you’re a Browns fan or not,” Ocheske To encourage more people in our remarks. community to get off the sidelines Dawg Pound and into the preHealthy Rewards ventive wellness will also have a Dawg Pound game, Paramount strong voice toutAdvantage and the Healthy Rewards ing the program Cleveland Browns throughout the have teamed up is a touchdown community. As to introduce an for health! part of the threeexciting program year agreement designed to reward between the Cleveparticipants who land Browns and see their doctor for Paramount Advanan annual wellness tage, Browns tight visit. end Gary Barnidge According to will serve as playDale Ocheske, Exer spokesperson ecutive Director for for the program. Medicaid OperaBarnidge is actively involved in Amertions for Paramount Advantage, the ican Football Without Barriers, an program, called Dawg Pound Healthy organization whose mission is to Rewards, is open to all eligible Par“use sport as a tool to help disadvanamount Advantage members ages taged children reach higher levels of 12 months and older. To participate, education and to live healthy and fit members simply need to schedule lifestyles.” and complete a wellness visit with Ocheske notes that 14 Ohio countheir primary care provider and then ties in “Bengals territory” are excluded register for a chance to win online at from the Dawg Pound Healthy Reparamountadvantage.org/browns or wards program due to NFL marketing by filling out and returning the prorules. However, different initiatives gram brochure mailed to all eligible will be offered in these counties to Paramount Advantage members. encourage Paramount Advantage “As a Medicaid plan that reaches members to seek wellness visits, for not just the local community, but example, a drawing to win a Samsung the entire state of Ohio, Paramount Galaxy tablet. “These initiatives are Advantage is dedicated to increasing all about encouraging our members wellness visits for both adults and chilto see their doctor every year and dren. Dawg Pound Healthy Rewards establish that critical relationship offers an opportunity to prevent and rather than wait until they’re conidentify chronic diseases before they fronted with a serious illness that cause serious illness while helping impacts their quality of life or lands to establish and nurture that vital them in the hospital or emergency doctor-patient relationship,” he adds. room,” he says. ❦ In addition to going on the offense for better health, Dawg Pound For more information on the Dawg Healthy Rewards participants will Pound Healthy Rewards program, please be entered into monthly drawings visit www.paramountadvantage.org/ to win prizes such as: browns. • A trip to a Browns away game

caring for your family makes post-op rehab best. For care, you have a choice. Our homelike environment and attentive staff help you feel right at home when you stay with us. And together, we’ll do everything we can to make sure the transition back to independent living goes smoothly. When your family is looking for long-term care or additional nursing services, we are a locally-owned facility that many in our community depend on and have made the choice to call home. Visit 1125 Clarion Ave. Holland or call 419.866.6124

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NONPROFIT

OF THE MONTH Team Recovery Update

n the last year, Team Recovery has made great strides in our mission to help addicts and give back to our community. Our original mission to break the stigma of heroin addiction locally has turned into an ongoing, constantly changing nationwide project. Our hands are full, to say the least, but we wouldn’t have it any other way! We have formalized our organization through the Ohio Secretary of State with voting members and a powerful board of directors. We have also attained our 501(c)3 non-profit status through the IRS, which will help us carry out our mission at a much higher level. Currently, we work on three main areas of addiction: 1. Treatment. We’ve made contacts and found resources all over

the country. 2. Prevention. We speak at schools, block watches, community forums, youth diversion programs, etc. about the dangers of drugs and alcohol, as well as the consequences of general poor decision making. 3. Family support. Although one person uses, the entire family suffers. That is why we developed our family support group, which we call FAAD (Families After Addiction or Death). Meeting schedules can be found at our website below or by calling our hotline 24/7. Every service we provide is 100% free of charge. We do what we do as volunteers and public servants to give back to the community that we took so much from for many years. Our biggest current project is one that we are very excited and proud

to announce! Team Recovery has partnered with Recovery In The Light (based in Florida) to open Midwest Detox Center and Midwest Recovery Center right here in Lucas County in the first quarter of 2017. It will be a dual-diagnosed facility (treating substance abuse as well as mental health disorders), practicing 100% abstinence without the help of methadone, suboxone, or other commonly used and abused methods of Medication Assisted Treatment. Our ultimate goal of bringing quality care to Lucas County will be here very soon, and it will include all levels of care—detox, inpatient, PHP, IOP, OP, and a halfway house component. Team Recovery is also working on special projects to give back to society. Our special events committee is working tirelessly on a Thanksgiving Meal project for families in need, as well as a Secret Santa project to provide a great Christmas to some innocent children that have been affected by addiction. Our main goal remains the same— to get people into treatment and help them become productive members of society again. If you or a loved one is in need of treatment, detox, support, or advice, please contact us

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

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26 November 2016 | Healthy Living News

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We need to find a balance By Mark S. Faber, USPTA Elite Professional

s I have shared in previous articles, young athletes who participate in tennis tend to excel in the classroom. It is outstanding as a coach to know you are involved in a sport where you do not necessarily have to worry about your student-athlete’s eligibility during the season. However, it is also that academic success that leads me to write this month’s article. With how competitive the college selection process has become, there seems to be more emphasis on taking summer gym (to open up an extra class period during the school year), AP classes, community-service hours, as well as anything else that one feels will set them apart from others applying to the same college. At this point, I am guessing you are asking yourself, where in the world is he going with this? Here is where I am going: As a high school tennis coach, I have witnessed the evolution of what I call the “academic strain.” As a coach of a team sport, you not only want to help your players become better in the sport in which they play, but you also want to teach them the value of being a good team player and the lessons that go along with that, which will affect them throughout their lives. This means, when they are done with their matches, watching and supporting the rest of their teammates until they have also finished. Sounds simple; however, in today’s world it has become more complicated. Kids today are getting so much homework that they instantly feel the

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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, premiums 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. SilverSneakers is a registered trademark of Healthways, Inc. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-382-5729 (TTY: 711). 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-800-382-5729 (TTY: 711)。 Medical Mutual of Ohio complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Y0121_S0135_2017_Aug16 CMS ACCEPTED

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

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imagination as well as freely develop a variety of athletic skills. How many of you can recall coming home after school and instantly going outside to play the game or sport of the day with friends? I certainly can, and I also know that our generation did not have a high childhood-obesity rate, and I personally know that my friends and I maintained a solid standing in the classroom. The last point I would like to make here is that many of our youth today are good at many things. The question is, how many of them are great at anything? There are a few exceptions; however, there are not many. Being good in a lot of things does not really set you apart. Being great does, and it really does stand out. The strain the youth of today feel from being overscheduled and overworked with homework certainly does not allow many to become great. I am a big believer in academics. As a TV ad put out by the NCAA a few years ago says, 99% of college student-athletes will go pro in something other than their sport. My point here is simple: The strain that these kids face needs to be addressed. They are missing out on so many things, and we as parents, coaches, and teachers need to continue to push the lessons that are not taught in the book, but rather in the back yard or athletic field. We need to ensure that our

—Continues on page 49

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time crunch to complete all of their work so they can get a good amount of rest before starting the process all over again the next day. Many times this season, I have witnessed our student-athletes as well as school’s student-athletes, coming right off the tennis court and grabbing their book bags so they can sit and start their school work and try to watch their teammates. As a coach, you try to stand firm on this issue, for you truly want them to experience the team atmosphere, but in the end, you have to realize that academics are how 99% of these kids will be attending school. This is not only a problem, in my mind, at the high school level, but also with younger kids. The amount of homework in late elementary and junior high is increasing so much that it is taking away from these young children’s free and open play time. The only way they get to do something outside of homework seems to be when they’re participating in a scheduled activity. So, the longterm effect becomes one of fewer athletic kids and, as we have been told, an increase in childhood obesity in America. As I have written before, several professional sports are encouraging kids to get outside and play 60 minutes a day through various promotional programs, such as the NFL’s Play 60. The best type of play is open and free play where kids can use their

November events at West Park Place Don’t miss these November events at West Park Place, located at 3501 Executive Parkway: Wednesday, Nov. 9, 11:30 a.m.

Friday, Nov. 11, 1:30 p.m.

Food for Thought series—“Medicare and Four Buckets of Care.” Have you wondered about the benefits of Medicare and how to use them? Have you wondered what Medicare covers and how it helps provide additional care? Erin McGovern with Heartland Hospice will share the need-to-know facts about Medicare benefits in this insightful and educational program. Lunch is only $3; presentation will follow.

Veteran’s Day Celebration in the Activities Room at West Park Place. Patriotic presentations on the 13 folds of the American flag and a moving session on “The Behind the Scenes of the Star Spangled Banner” will honor veterans of West Park Place and the greater Toledo area. Join us for these sessions plus a patriotic sing-along led by piano player Vivienne Sommerfield.

To RSVP for either event, please call 419-531-9211. We are looking forward to seeing you! We love feedback. Like us on Facebook. Follow us on Twitter.

Senior Star is here to make good things happen for others. We wholeheartedly believe that we can assist you or your loved one. If you’re searching for a retirement community or need an ear to listen, we want to help you find answers. Whether it is with Senior Star or one of our many industry alliances, we’re here for you every step of the way.

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EATING WELL by Laurie Syring, RD/LD

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Could you have type 2 diabetes and not even know it?

tudies show that there are approximately 7 million Americans who have type 2 diabetes and are completely unaware of it. Want another staggering statistic? How about the fact that approximately 16 million Americans are currently living with diabetes? Or that another 79 million Americans have what we call “prediabetes,” meaning they have a higher-than-normal blood sugar level and, without intervention, are likely to develop full-blown type 2 diabetes? Clearly type 2 diabetes is a major issue in our nation, and the rate of the disease continues to rise. Unless this upward trend is reversed, one in three Americans will have type 2 diabetes by the year 2050. And if a diagnosis of type 2 diabetes weren’t bad enough, it also puts people at higher risk of serious complications such as heart disease, stroke, eye problems, kidney problems, and nerve damage. What exactly is type 2 diabetes? Unlike people with type 1 diabetes, whose pancreas is unable to produce insulin, people who have type 2 diabetes can usually produce

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How can people have this disease and not realize it? Well, as with so many chronic conditions, type 2 diabetes can be wreaking havoc in the body for a long time before any obvious symptoms arise. Or, if symptoms are present, they may be subtle and easily overlooked or blamed on other causes. Many factors can influence type 2 diabetes—mainly genetics. However, eating poorly, being overweight, and being inactive are all risk factors for developing type 2 diabetes that you can (and should) control for the sake of prevention. Here’s how:

Get moving Engage in activity of any kind for 30 minutes each weekday or 150 minutes per week. Do something fun that you enjoy, such as tennis, golf, walking, biking, or swimming.

Lose some weight I’m not necessarily talking about getting back to your high-school weight here. Even losing just 7 to 10 percent of your body weight can reduce the risk of developing type 2 diabetes. For example, a man weighing 220 pounds can decrease his risk by 58 percent if he loses just 15 pounds and keeps it off.

Eat whole grains

insulin in normal amounts, but their body has become insulin-resistant, meaning their liver, fat, and muscle cells are not able to use the insulin properly. This is a problem because insulin is used by the body to move glucose (fuel) from the bloodstream into the cells.

Studies show that eating healthy whole grains is associated with a reduced risk of diabetes. Try to eat 2 to 3 servings per day of whole grain foods, such as Triscuits, whole-wheat bread, brown rice, quinoa, wholegrain pasta, oatmeal, and popcorn.

Limit sugar-sweetened beverages Consuming sugary drinks has been linked to the development of type 2 diabetes. The thought is that the

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excess calories lead to excess weight gain. Choose sugar-free drinks like water, iced tea, infused waters, and sugar-free lemonade instead.

Choose healthy fats Studies also show that not all fats are created equal. Avoid saturated fat and trans fat in favor of avocados, canola oil, peanut oil, and olive oil. The unhealthy fats (bacon, red meats) seem to worsen insulin resistance. The good news is, you do not have to be a part of the grim statistics mentioned at the beginning of this column. Lifestyle choices such as eating healthy, being active, and losing weight will offer a host of health benefits, including lowering your risk of developing type 2 diabetes. Also, be sure to get your blood sugar checked yearly so this “silent disease” doesn’t sneak up on you. Remember, knowledge and good communication with your healthcare team are key to preventing chronic diseases such as type 2 diabetes and keeping you in control of your overall health. ❦ Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

Lutheran Homes Society changes name to Genacross Lutheran Services

generations,” Mr. Marshall explained. The organization’s services include youth care and treatment, family counseling, home health, inpatient and outpatient therapy, mental health counseling, community services, affordable housing, adult day services, and senior living options. Genacross Lutheran Services continues to operate under the same leadership and with the same Board of Directors. The organizational structure has not changed, and the organization maintains the support of the Evangelical Lutheran Church in America, the Lutheran Church—Missouri Synod, and nearly 170 Lutheran congregations across the region. For more information, please visit GenacrossLutheranServices.org. ❦

n a morning ceremony unveiling a new sign at its Ministry Support (corporate) office, Lutheran Homes Society, one of the area’s largest nonprofit providers of senior housing and services, officially changed its name to Genacross Lutheran Services. “Our new name reflects our expanding breadth of services,” said Rick Marshall, President/CEO of Genacross Members of the Genacross Lutheran Services leadership Lutheran Services. “It rep- team (left to right): CFO Lorinda Schalk, VP of PostAcute Services Denise Gannon, President/CEO Rick resents our promise to embrace Marshall, VP for Human Resources Jeff Schulte, and VP changes in ourselves and our for Mission Integration, the Rev. Dr. Jim Dumke, pose services whenever they en- behind the new sign unveiled during the able us to serve those in and organization’s name-change celebration. around northwest Ohio and southeast Michigan better.” The name change came about after services in order to remain months of research and planning. a viable and effective proThe name, which was approved vider in today’s changing by the board of directors late this healthcare environment. summer, acknowledges the fact that “Today, Genacross Luthe 156-year-old organization, which theran Services touchbegan serving orphans and then es the lives of people of Ministry Support staff members gather around the new Genacross Lutheran Services sign unveiled at the company’s seniors, has expanded its care and every age, across many main headquarters during its name-change celebration.

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

nobody’s perfect Sister Karen Zielinski, OSF

Do you lie to your doctor?

any of us are not completely truthful with our doctors—and I am not making this up! To check on whether my neurologist had experiences with patients withholding the truth, I called Dr. “Z,” who is board certified in a number of other specialties. He’s honest and always tells it like it is. “Basically, I ask my patients to tell the truth,” says Dr. “Z.” Being honest with your doctor is critical for your health. How can a doctor treat you when they do not have the facts of what is going on in your life? Dr. “Z” shared that sometimes during an office visit, a patient might

omit facts about how they are doing. He said they might not share how taking their prescribed medications is going. Patients can feel embarrassed to admit that they do not take their meds according to the instructions, or that they experience side effects that they do not want to talk about. He also said that a patient might make decisions about stopping treatments or therapies and not tell him about it. He said he needs them to talk to him about their therapies, especially about medications that might interact negatively with other prescriptions they are taking. “Sometimes I feel like a lawyer with patients because I have to pin

them down and ask them a question directly,” he says. “For example, I have been in depositions with lawyers where a patient tells me they are not drinking, and I tell the lawyers what my patient tells me. If they say they are not drinking but there are life events that seem to show they are, I need to order blood tests to see if their liver enzymes are elevated and show signs of alcohol consumption. With patients who have had a history of drug use, I test them before I prescribe any drugs with narcotics.” Besides using medical tests to show the true status of a patient’s health, Dr. “Z” says the truth can come out in other ways—for instance when a patient shares at an office visit that he is doing fine but his wife or family member calls to inform Dr. “Z” that the patient has health problems. The truth comes out when a loved one shares that a patient gets lost driving to the dentist a few blocks away. There might be dementia involved, but a patient does not share their history of confusion or patterns of forgetfulness in daily life activities. The patient

might not be aware of the problem or might just not admit that there is anything wrong. A 2009 national opinion telephone survey of 2,000 patients discovered that 28 percent “sometimes lie to their healthcare professional or omit facts about their health.” When patients get sick, they expect their doctor to make them well. They demand the best care, the latest drugs, and the most advanced diagnostics available—and they seek nothing less than a total recovery. Oddly, though, it’s often the patients themselves who sabotage their own medical outcomes. ZocDoc, a digital health platform, reports that patients withhold information or tell “white lies” to their doctors in the exam room. Women were slightly more likely to lie, as reported by 30 percent of women and 23 percent of men in the online survey. When confessing to poor health habits, among the roughly 3,000 survey participants, 18 percent of women and 11 percent of men preferred a casual chat with other types of professionals—hairstylists, manicurists, and even fitness pros

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at the gym. Millennials called their parents and asked Mom and Dad about what was happening to their bodies. Most people told loved ones before their medical professionals. So why do we withhold health information from our healthcare provider? There are a number of reasons. We might be embarrassed talking about constipation, bladder problems, hearing loss, or aches and pains. We might be too proud to admit we are experiencing some physical losses that show we are not perfect. It also might mean that if we have a symptom, the doctor will want to follow up with a few medical tests. We don’t want to be bothered with the inconvenience of more time at the doctor’s office or the expense of more copays and new medicines. So, we withhold some medical facts about what is happening to us, and the doctor does not give us any medical advice or medicines, since she does not know what is going on. Other times, patients tell their doctors that they have pain and exaggerate its severity. It might be back pain, shoulder pain, or anything. We have all seen stories in the media about patients who receive a doctor’s orders about a condition and are awarded disability compensation or advised that they cannot work in certain

jobs, such as those involving lifting or standing. Sometimes people apply for permanent disability. I recently saw a person on permanent disability for his back problems hauling two large bags of mulch to his yard. I used to watch the TV Show House, a medical drama starring Hugh Laurie as Dr. House. House was a cantankerous person but a brilliant diagnostician. His bedside manner was rough and often rude, but he could diagnose every obscure ailment before the hour-long show ended. Despite his brash interpersonal manners with his fellow medical staff and patients, he spoke the truth to them. One of his classic lines dealt with patient honesty with their physicians. Dr. House simply said, “Everybody lies.” But we really shouldn’t. The truth is much better for our overall health. Honestly! ❦ 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.

November is National Adoption Month. Consider adopting a child—or siblings— from foster care. In Lucas County alone, more than 40 children are waiting for “forever families” to call their own. Many have been waiting two years or more for the happiness and security that only a permanent family can bring. Call Lucas County Children Services today to learn how you can change a child’s life through adoption.

Call 419-213-3336 or visit www.lucaskids.net

Local doctor’s “no drug” approach helps patients lose weight and heals painful neuropathy—all under one roof

ight here on MonAccording to Dr. Peisroe Street in Toledo, a ley, the body is experiencdifferent kind of healing ing toxic overload and is getting a lot of good is simply out of balance. buzz. Imagine being free Body functions are not of pain, reducing diabetes working properly, and medication, having tons of hormones are in fat-storenergy, sleeping soundly age mode. At Fairwood through the night, feeling Health & Body Transition, motivated, and looking 10 programs are available years younger. This isn’t that target the root of the a pipe dream—it can be problem, not symptoms. In your reality. Fairwood a 1-2-3 punch, Dr. Peisley Health & Body Transition fights the tough conditions Dr. Jason Peisley is becoming the place to go with proper diagnosis, full for people suffering from body detoxifications, and hard-to-lose weight issues or painful powerful nutrition. neuropathy in the hands, legs, or “How can people enjoy life and feet. Most of us would think that this prosper if they are suffering from is a strange combination of services pain, depression, and fatigue and under one roof, but Jason Peisley, constantly restricted from disabling DC, Clinic Director, has proven that health complications?” asks Dr. Peisthe causes of these health conditions ley. “Drugs are not the answer—they are essentially the same. just mask the underlying problem.

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Playing on a team offers something for everyone regardless of age, gender, cultural background, and physical ability or skill level. Do you want to have fun, enjoy camaraderie and participate in friendly competition? It is as easy as 1-2-3!

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Unlike conventional medical care, I poor gut health. Dr. Peisley teaches his patients treat the whole body, instead of the individual parts, to repair, balance, that this condition leads to yeast restore, and unblock essential func- growth (Candida), which causes tions. Then, the body kicks into high cravings for sugar, flour, grains, salt, gear and begins to heal itself without or alcohol—better known as junk the need for drugs or surgery. My food. Since the cravings are stronpatients experience pain relief and a ger than most people’s willpower, rejuvenation of health that the cycle continues and allows them to lose weight, most of us end up eatreduce medications, and ing all the wrong foods. feel better than they have Then, the body goes into in years. They tell me how starvation mode due to they no longer have foggy lack of nutrition. This thinking or need a cane to starvation mode makes walk, can sleep through the us constantly hungry night without waking up, and we overeat even have tons of energy, feel more junk food, which sexy again, get compliments "I lost 40 pounds and my ultimately leads to poor on how they look, and feel insulin went down to 35 health and weight gain. happy about life—like a units a day. Color returned In an attempt to lose black cloud has been lifted.” to my legs and my neuropa- the weight, we get on Many of us, for instance, thy pain is gone! I'm elated! the diet roller coaster, have an imbalance of bac- God sent Dr. Peisley to me." try every fad diet out —Roy R. there, and never solve the real problem. People just pass it off as old age, give up, and, unfortunately, get progressively worse. Sound familiar? “Toxins from our modern lifestyle combined with poor nutrition and blocked body functions are a recipe for diabetes, neuropathy, cancer, arthritis, lupus, MS, autism, hair loss, chronic fatigue, obesity, and much more,“ claims Dr. Peisley. “Finding a doctor who has developed proven "I lost 43 pounds and I'm no longer on most treatment programs to stop and reof my medications. I feel amazing!" verse this process is priceless.” —Diana A. Need help, but don’t know where to start? Meet Dr. Peisley in person during his free Healthy Weight Loss or teria in the gut from overuse of an- Neuropathy seminars at his practice tibiotics, processed food (even years at 5215 Monroe Street in Toledo. Call ago), coffee, aging and even stress. 419-517-1030 to reserve your seat or If you are experiencing allergies, schedule a 1-on-1 health evaluation. autoimmune diseases, celiac disease, Don’t forget to bring a friend. For diabetes, Hashimoto’s, fibromyalgia, more information, visit BurnFatToand fungus, you most likely have ledo.com or FootPainToledo.com. ❦

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The power of connecting

n his book Younger Next Year for Women, Dr. Henry S. Lodge, states, “Social Connections are a more powerful factor in health and mortality than smoking, alcohol, exercise, nutrition or age.” And you can see why in the many activities residents at St. Clare Commons partake in. Take, for example, the Thursday afternoon art classes by Dr. Rosalie Politsky, a retired Bowling Green State University faculty member in Art Education. Most of the participants were laughing and talking as they painted their flower designs. Each one bragging who was the better or worse painter. One resident had never painted before, but under Dr. Politsky’s guidance, she created a beautiful flower design. Residents at St. Clare Commons participate in a variety of activities, such as Name that Tune, Duets with Barb and Mary Pat, community outings, Wheel of Fortune, movies, exercise classes, and special birthday parties. The list is endless. Many of the residents enjoy doing creative activities together, such as the art classes with Dr. Politsky, jewelry

making, and even adult coloring. “We believe that activities should be reflective of each person’s lifestyle and interests; that’s why we offer such a broad range. Activities connect people, encourage conversation, make seniors feel useful, and foster a sense of belonging. This is what our residents have been doing all of their lives, and it helps them to stay active and vital that way,” explains Emily Hooven, activity director at St. Clare Commons. Dr. Lodge also stressed in his book, “People who report that faith is an important part of their lives have mortality rates a third lower than average. They have lower blood pressures and lower blood sugar levels, spend fewer days in the hospital, and report substantially higher levels of life satisfaction and emotional well-being.” Faith and spirituality are a vital component of resident life at St. Clare

Commons for people of all faiths. Residents celebrate Mass together, attend the interfaith prayer services, and receive Communion. Informal bible study and faith-sharing groups provide residents with opportunities to connect. The chapel is open 24 hours for silent mediation or group prayer. “Our activity director, Emily Hooven, centers activities around our residents’ interests and needs. They can take an exercise class or sit in on a game of trivia, mingle with friends at the Thurs-

day cocktail hour, take a leisurely walk on the path surrounding the campus with companions, make a bracelet, or share stories over cards. We encourage everyone to cultivate an environment of purpose and

meaning. It’s truly what makes St. Clare Commons different from traditional senior living,” says Michael Freeman, executive director of St. Clare Commons. “That’s why many seniors move into assisted-living communities. It provides them a multitude of opportunities to be involved and stay active. Often, after the death of a spouse, loneliness and depression can set in. Assisted-living communities help people cultivate friendships, and that keeps seniors vital, connected, and creatively stimulated. Over the years, sons and daughters have told me they can’t believe the positive attitude change they have seen in an aging parent. It’s all about connecting,” he adds. And it shows at St. Clare Commons. You only have to visit the budding artists at the Thursday afternoon art class to experience the power of connection. St. Clare Commons offers a continuum of care including assisted living, long-term care, memory care, outpatient therapy services, and skilled nursing & rehabilitation. To take a tour or to learn more about St. Clare Commons, call 419-931-0050 or go to homeishere.org. ❦

home is here. We’ve been so worried about Mom. She is Dad’s primary caregiver and it was starting to take a toll. Since the move to an assisted living suite at St. Clare Commons, we no longer worry and our parents are enjoying life.

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Winter running tips by Amanda Manthey

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 hydration 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.

mance Footgear. For more information on the following events, including any associated costs/fees, please visit davesraces.com. Hero Hustle 5K—Saturday, November 5, 2016, 9:00 a.m. (Kids Run at 8:30 a.m.) at The Shops at Fallen Timbers, 3100 Main St., Maumee, Ohio. Aruna 5K—Saturday, November 5, 2016, 10:00 a.m. at Bowen-Thompson Student Union, 806 Ridge St., Bowling Green, Ohio. Kiwanis Shuffle 5K Walk/Run & Fun Run—Saturday, November 5, 2016, 10:00 a.m. (Kids Fun Run at 11:00 a.m.) at Emory Adams Park, 1827 S. Blanchard St., Findlay, Ohio. Churchill’s Half Marathon and ProMedica 5K to End Hunger—Saturday, November 12, 2016, 9:00 a.m. at The Shops at Fallen Timbers, 3100 Main St., Maumee, Ohio. After the PKs 5K Road and 10K Trail Run—Sunday, November 13, 2016, 2:00 p.m. at 12829 St. Rte. 613, Van Buren, Ohio.

Don’t miss Dave’s races!

Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Perfor-

Girls on the Run of Northwest Ohio Fall 5K—Saturday, November 19, 2016, 9:00 a.m. at 2025 N. Douglas Rd., Toledo, Ohio.

Joint Replacement Seminar Dr. Gomez will be giving a detailed explanation of joint replacement options and surgery.

Wednesday, December 7, 2016 6:00 - 8:00 p.m.

Imagine your life without crippling joint pain

Dr. Carlos Gomez will discuss the details that pertain to joint replacement surgery, how to know if you are a candidate and the cutting edge technology offered at Wood County Hospital. In addition to standard joint replacement Dr. Gomez offers personalized knee replacement that includes precise, 3-D MRI images of your own joint. The result is a less invasive surgery, less bleeding and pain and a quicker recovery. Your new joint will fit well and last longer.

Call to Register: 419-354-8679

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36 November 2016 | Healthy Living News

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Sylvania Sprint for Schools 5K Trail Run/Walk—Sunday, November 20, 2016, 9:00 a.m. at Stranahan Elementary, 3840 Holland Sylvania Rd., Toledo, Ohio. 19th Annual Turkey Trot—Thursday, November 24, 2016, 8:30 a.m. at Independence Dam State Park, Defiance, Ohio.

WRC Turkey Trot 5K—Thursday, November 24, 2016, 9:00 a.m. at the St. Michael Church (East) auditorium, 750 Bright Rd., Findlay, Ohio. Dave’s Turkey Chase 5K Run/Walk— Thursday, November 24, 2016, 9:00 a.m. (Kids Fun Run at 8:30) at WTOL 11, 730 N. Summit St., downtown Toledo, Ohio. ❦

Medicare Plan members have from October 15th to December 7th to choose a new plan for 2017

A Walk in the Park by LeMoyne Mercer

WHY SHOULD I USE AN INDEPENDENT BROKER FOR MY INDIVIDUAL INSURANCE NEEDS? At The Ashley Group, we represent a number of companies and can analyze the various plans which are available in your area. Choosing a Medicare plan can be confusing and overwhelming. As local authorized licensed agents, our experts are here to help you through the Medicare maze. There is no fee for our service.

When Hell freezes over

ou cannot be faulted for failing to know about Lassen Volcanic National Park. When Shirley and I were there in 2009, we thought of it as a delightfully undiscovered treasure. Though it has since edged a little closer to being discovered, most Americans probably still don’t know where it is. In fact, when Shirley asked her iPhone for directions from Redwoods NP to Lassen, even Siri said, “Huh?” Lassen is in the Sierra Nevada Mountains of northeastern California close to…well, not very close to anything. About a four-hour drive

The bold Stellar's jays at Manzanita Campground are adept at making your lunch their lunch. Handsome fellows though.

from Lake Tahoe and Reno. In 2009, we felt remoteness and obscurity were desirable features. There were plenty of available sites at Manzanita Lake Campground, and the hiking trails were not made hazardous by stampeding hordes of trail runners as they are at Yosemite. Lassen Volcanic remains relatively unknown even though it was established in 1916, the same year as the National Park Service. During the centennial celebration, all of the national parks experienced a significant increase in visitors. Just to make it even more interesting, there was also the Every Kid in a Park program that offered free admission to all fourth graders and their families. Traffic to Yellowstone was up more than 60%, which is why, for the first time in ten years, we did not go there. We thought, thanks to its relative obscurity, we could repeat our outstanding Lassen experience from ‘09. Lord, what fools these mortals be! You may wonder how a place you never heard of became a national park. It is called Lassen Volcanic because every rock there has volcanic origins and all four types of volcano are represented: shield, composite, cinder cone, and plug cone. Lassen Peak is one of the largest plug cone volcanoes in the world. That is the kind with lava so thick that it solidifies relatively quickly, forming a plug.

I AM NEW TO MEDICARE. WHAT CAN I EXPECT FROM AN ASHLEY GROUP INDEPENDENT BROKER? First, we will educate you about 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, you will educate us about yourself so we can analyze the available plans in your area and help you choose the best plan for your needs and lifestyle.

WHEN IS THE ANNUAL MEDICARE OPEN ENROLLMENT? 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 2017. If you feel your current plan is not the best fit for you, the Annual Election Period is your time to make a change.

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It is timing, though, that probably made Lassen a national park. Between 1914 and 1921, there was a series of eruptions. The largest of these occurred in 1915 and just happened to get photographed. The northeast face of the mountain blew away, leaving it scarred like the Phantom of the Opera. “Wow, that’s way cool!” said the boys in Washington when they saw the pictures. “Why don’t we establish a National Park Service and include this?” So they did. The volcanoes at Lassen are not extinct. They are just dormant. Beneath their blankets of snow, they continue to toss and turn in their sleep. At some point, they are going to wake up and start to perk some

Lassen Peak at Helen Lake near Bumpass Hell. The white stuff around the lake is snow even though it was late July.

coffee. You can actually see that starting to happen at Bumpass Hell. That place is named for Kendall Bumpass, the cowboy who discovered it. Bumpass lost a leg in 1864 to scalding water in a hydrothermal pool when the crust gave way beneath him. Kendall’s response was, “What the…!” More than 150 years later, tourists are still ignoring signs that say Abandon Hope All Ye Who Enter Here. Bumpass Hell is rather like a miniature version of the more widely known thermal features at Yellowstone. Tourists in both parks routinely ignore the warning signs because they can’t read English. That would be the Americans. The Chinese, Germans, and French read English just fine. But, back to Hell. The trail is only three miles round trip and is, for the most part, fairly level as it traverses the side of a cliff. You climb over a ridge and descend about 100 feet into the First Ring of Hell where tourons (tourists who act like morons) are suspended by their heels. Every 15 seconds their heads are dipped into boiling sulfurous springs. Between dips, they are scolded by shrill park volunteers in long red underwear who

Perfecting the art of lawn care: Results measured in yards

The boardwalk through Bumpass Hell can prevent you from stepping into boiling sulfurous water. But only if you stay on it.

poke them with pitchforks. Sorry. I drifted off into a little Dante-esque fantasy for a second. It only feels like your head is dipped in boiling sulfur water because, at an elevation of 8,000 feet, your whole body begins to question the wisdom of going there. But the sulfurous fumes do serve as a warning to mend your ways before it is too late. The reward for going to Hell is the chance to take a boardwalk out among the mud pots, fumaroles, steam vents, and hot springs. No geysers, though, because the natural underground plumbing is not configured that way. One of the featured attractions is the Sulphur Works. Minerals in the water stain the surrounding rocks yellow, orange, bright blue, and green. On one side of the boardwalk is East Pyrite Pool. Turn around to see West Pyrite Pool. Big Boiler is the largest fumarole in the park and the hottest in the world. The water in the pools is getting even hotter, which may indicate that another eruption is on its way. So, you may want to hurry to Lassen before it explodes again. Our plan was to go back to Bumpass Hell, but when we arrived in late July, we found that Hell was still frozen over. That is, the trail was closed because of the snow and ice. The

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When not ice covered, the trail to Bumpass Hell is scenic and relatively easy.

trail had been temporarily open, but a woman slipped, went body-sledding down the ridge, smacked into a boulder, broke her collar bone, and embarrassed her family. Except for the kids who thought it was just awesome. Even better when she got to ride in a helicopter to the hospital. The trail stayed open, though. “That’s just the kind of risk visitors have to accept in a natural environment,” said the rangers. A few more people tumbled off the trail and banged themselves on boulders before the rangers finally decided to close it. “That’s just the kind of financial risk we can’t afford to accept in a litigious environment,” said the rangers.

The trail to Paradise Meadow climbs beside cascades on Hat Creek.

So, in 2016 we didn’t go to Hell. At least not up to when this went to press. But we did go to Paradise. Paradise Meadow, that is. On the park map, it looks like an easy mile-and-ahalf walk along the West Fork of Hat Creek. If you consult a topographical map, all the close-together squiggly lines indicate steep elevation gain. Guess who did not consult a topo map. Still, it is only a mile and a half, so how tough could it be? The trail climbs to a basin moistened by snowmelt from the surrounding steep, wooded slopes. What makes it a paradise is the profusion of wildflowers that bloom in the moist soil every July and August: yellow monkey flower, crimson columbines, blue larkspur and lupines, red skyrocket. Well, maybe not every July and August. The walk started out propitiously. In patches of sunlight along the trail, there were harbingers of the wonderful things to come. Except

—Continues on page 47

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Ashanti Hospice provides compassionate end-of-life care wherever clients call home

he caregivers of Ashanti Hospice and Palliative Care, a mission-based service of Sunset Retirement Communities, are dedicated to making their clients’ end-of-life journey as comfortable and fulfilling as possible, focusing their efforts on treating not just the illness, but the whole person—body, mind, and spirit. According to Gayle Young, Director of Marketing, Communication, and Public Relations for Sunset Retirement Communities, “The Ashanti team is comprised of several compassionate members, including doctors, nurses, state-tested nursing assistants (STNA), social workers, a spiritual counselor, as well as counselors and trained volunteers. Our team partners with clients’ families to deliver the most holistic care possible wherever clients call home—whether it’s in their home, at one of Sunset’s communities, or in another assisted-living, independent-living, or skilled-nursing facility.” Ashanti’s services can include providing expert medical care, coordinating any home care supplies and equipment that are needed, as well

as aiding in controlling symptoms and managing pain and medication. Emotional and spiritual support are also available to the client and family, as well as additional services to help soothe and comfort the patient, such as massage and aromatherapy. Hospice care is highly individualized, and clients are very much the guide of the care they need. “Your plan of care is reviewed each day by the hospice care team and discussed with you to ensure your needs and wishes are being met and that your treatments are in line with your goals,” Young adds. Hospice care, an important Medicare benefit, is a form of palliative care, but it’s reserved specifically for patients who are terminally ill and are no longer receiving curative treatment for their underlying disease. Hospice services can be beneficial long before life’s end is imminent. In fact, the sooner in the end-of-life process that hospice care is initiated, the sooner symptoms can be managed and stress reduced, allowing patients and their loved ones to make the

most of their time together. “As hospice treatments begin and the Ashanti team and family members collaborate to deliver the best care possible, patients can expect their quality of life to be maintained or improve depending on their unique situation,” says Young. To qualify for Ashanti’s hospice services, an individual must have a terminal diagnosis with a prognosis of six months or less, and the individual and his or her family must agree that they are seeking comfort measures. Hospice services can be provided beyond six months as long as a physician recertifies that the individual is terminally ill. The Ashanti hospice team has a very individualized approach with each client. Amy Moore, RN, CHPN, Clinical Guide, states, “The Ashanti team works closely with each client and their family to ensure we understand their end-of-life plan. The Ashanti team then works together with the client, their family, and their entire support system to guide

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them through their end-of-life journey.” Ashanti has a very client-directed approach and honors individual clients’ “Hopes, Wishes, and Dreams.” “One of our clients enjoyed date nights with their spouse, so the Ashanti team surprised them with their favorite Italian meals from Bravo’s and set up their dining room as an Italian Bistro,” Moore states. Each client receives a warm, handmade fleece blanket depicting a favorite memory. The Ashanti team is available to meet with potential clients and their families at any time to explain the hospice benefit. Moore states, “We would rather take the time to educate individuals and their families when they are not dealing with a crisis so they better understand the hospice benefit and how our team could add value to their end-of-life journey.”❦ For additional information on Ashanti Hospice and Palliative Care, please contact us at 419-724-1047. SUNSET VILLAGE

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Sleep better, stay thinner BEHAVIORAL HEALTH Life is Waiting...

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

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40 November 2016 | Healthy Living News

by Barbara Okuley

etting enough sleep is essential to your child’s health. Sleep problems not only affect children’s ability to get a full night’s rest, but they can also disrupt their days. For most ages, 10 to 14 hours of sleep is recommended every night. Lack of sleep can cause a child to have learning delays and be hyperactive, less alert, easily distracted, physically impulsive, injured from increased falls, and overweight. In fact, sleep problems may even contribute to childhood obesity. Childhood obesity is a growing concern within our country and our community. In Lucas County, approximately 37% of children were classified as either overweight or obese in 2014 by Body Mass Index (BMI) calculations. Children who are obese are at risk for many additional health problems, including type 2 diabetes, high blood pressure, and heart disease. Research shows that poor sleep and sleep deprivation may increase appetite and calorie intake and ultimately lead to weight gain. Lack of sleep disrupts the balance of key hormones that control appetite, causing an increase in hunger. Children who do not get enough sleep may be too tired to get the proper amount of daily exercise needed to burn the calories consumed, and they may take in more calories simply because they are awake longer and have more opportunities to eat. The ability to fall asleep, stay asleep during the night, and feel fully rested in the morning is a concern for many children and adults, which is why creating a comfortable sleeping environment is important for the quality of your sleep. Sleep conditions, such as the temperature of the room; the feel of your mattress,

pillow, sheets, and pajamas; exposure to light; the cleanliness and design of your room; noise and smells; and eating before bed, can all affect the ability to get a good night’s sleep. Parents should establish a bedtime routine. Have your child go to bed at the same time every night. Turn off all electronics at least a half hour before bedtime, allowing for quiet time. Make sure your child’s bedroom is dark and cool. Using a fan is a great alternative to air conditioning. Limit any food consumed before bed to a light snack, such as fruit or crackers, or nothing at all. Children thrive on routine, so make sure you are consistent, even on weekends and school breaks. Help your children sleep better and reduce their risk of childhood obesity! For more information on sleep and childhood obesity, visit the Kohl’s Kids in Action website: www.kohlskidsinaction.org. Kohl’s commitment to Mercy Health – Children’s Hospital is made possible through the Kohl’s Cares cause merchandise program. Through this initiative, Kohl’s sells $5 books and plush toys, where 100% of net profit benefits children’s health and education programs nationwide, including hospital partnerships like this one. Kohl’s has raised nearly $300 million through this merchandise program. For more information, visit www.Kohls.com/Cares. Mercy Health – Toledo is a member of Mercy Health, the largest health system in Ohio and the fourth largest employer in the state. Locally, Mercy Health is based in Toledo, Ohio and serves 20 counties in Northwest Ohio and Southeast Michigan. Mercy Health – Toledo provides comprehensive primary and critical care services to residents as well as a robust physician group, Mercy Health Physicians – Toledo, Life Flight critical air transport services, and Mercy College of Ohio. Mercy Health – Toledo is proud to provide over $107 million in community benefit in 2015, which includes charity care and community health services. With approximately 7,500 employees, more than 230 employed physicians, and 2,200 medical staff members, Mercy Health has been a part of the Northwest Ohio community it serves for over 160 years.

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Barbara Okuley is an intern working in the Healthy Connections Department of Mercy Health - Children’s Hospital. She attends the University of Cincinnati.

New diabetes-management methods help take stress out of holiday eating

WINTER CAMPS

by Rebecca Schwan

he holiday season brings with it a host of holiday parties and family gatherings with many opportunities to indulge in heavy, rich meals and sweets. The temptation of the cookie tray is hard to resist, and it can be a challenging time, but recent changes in the way diabetes is managed mean more people can now eat, drink, and be merry while still maintaining safe blood sugar levels. “In a perfect world, everyone would always eat a balanced healthy diet,” said Dr. Juan Jaume, University of Toledo Health chief of endocrinology, diabetes, and metabolism. “But the world is not perfect, and neither are we. Even if we eat well most of the time, sometimes we give in to temptation and eat too many sugars.” The pancreas is responsible for continually producing insulin to provide a steady supply of glucose to the body’s cells. This is considered the body’s basal level of glucose. When a person eats, the pancreas releases an extra boost of insulin to keep blood glucose levels properly balanced. But the body does not calibrate insulin and glucose levels correctly for diabetics. They must monitor blood glucose levels and administer insulin themselves, which can be challenging. According to Dr. Jaume, dramatic changes in the way diabetes is treated mean patients can live a more normal life. “We now customize insulin treatments for diabetics with a twostep approach,” he said. “Patients start with a daily injectable basal, or long-acting, level of insulin. They then administer a rapid-acting insulin within 15 minutes of eating to balance blood glucose levels. Using both the long-acting and rapid-acting insulin has proven to be effective for many patients and allows for more meal flexibility.” Patients are taught how to track

carbohydrate intake and adjust rapid-acting injections accordingly. Dr. Jaume said changes in nutritional information provided on food labels and in restaurants are making this easier, adding, “In general, 15 grams of carbohydrate equals one unit of insulin, but this may be different for some patients. We now have technology that allows us to place a glucose sensor on a patient’s skin that monitors blood glucose levels. The sensor, coupled with a food diary provided by the patient, helps us to tailor individual insulin needs.” The sensors also can interact with smartphone apps via Bluetooth to track a patient’s glucose levels continually. “The sensor sends data to the app every five minutes,” said Dr. Jaume.

photo: Bill Oliver

Please visit mercy.com for additional information and connect with Mercy Health – Toledo on Facebook, Twitter @mercynwohio, and Instagram. ❦

Drop your child off at the Zoo for a winter adventure. Your child will experience non-stop fun with exciting exhibit tours, amazing animal visitors, cool crafts and goofy games. Day sessions available December 10, 17, 27-30

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Meet the UT Physicians in the Division of Endocrinology

The Division of Endocrinology specializes in the treatment of diabetes and sleep-related abnormalities in metabolism. SERVICES INCLUDE:

“It is significantly easier for patients to monitor their blood glucose levels and respond before they have dips or surges in blood sugar.” This technology is being taken one step further with a new device called the Bionic Pancreas. “Data gathered from the sensor would be sent directly to the patient’s insulin pump and automatically administer the correct dosage of insulin. This would provide patients with the most hands-off way possible to manage their diabetes,” Dr. Jaume said. The device just finished clinical trials and is being considered by the FDA. It is expected to be on the market by 2019. “We don’t have a cure for diabetes yet, and until we

•

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do, diabetes management needs to be practical to help patients stay healthy,” Dr. Jaume said. “These new diabetes-management tools help patients live a more normal life and take the stress out of holiday eating.” Dr. Jaume recommends patients talk with their endocrinologist to determine the right insulin amount and administration method that makes sense for their lifestyle. ❦ Rebecca Schwan is the Media Relations Specialist for The University of Toledo’s Health Science Campus.

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The ultimate comfort food

s every child knows, the culinary world is divided into two categories—the stuff that tastes good and the stuff that’s good for you. In the former category, you’ll find hot dogs, pizza, and potato chips; in the latter, broccoli, spinach, and cauliflower. In a category all by itself, we find a real reason to celebrate Thanksgiving. Turkey is that rara avis—something that is good for you and tastes wonderful. The kids may turn up their noses at Aunt Millie’s famous (infamous?) greenie-beanie casserole, but nobody says no to turkey. In fact, we are saying yes to turkey more often than ever. What was once the bird of Thanksgiving and, perhaps, Christmas has become the bird for all seasons. We now consume nearly twice as much turkey per person as we did just a few decades ago. For most of us, that does not mean second and third helpings on the holiday; it means buying turkey year ‘round. In addition to whole turkey for special occasions, we more frequently turn to turkey breasts and sliced turkey for everyday use—the single most popular form of consumption being turkey sandwiches. Still, Thanksgiving is turkey’s big day. The National Turkey Federation estimated that 46 million turkeys (690 million pounds worth based on an average weight of 15 pounds)

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42 November 2016 | Healthy Living News

occupied the place of honor on tables across our country on Thanksgiving of 2007 (source: History.com). The wonderful thing about turkey is that it can be prepared plain or fancy and come out smelling and tasting great any of a thousand ways. Unlike many other foods that taste good, turkey does not depend on high fat or sugar to stimulate our taste buds. Kids who won’t touch squash unless it’s baked in a crust of marshmallows will gobble up turkey just about any way you’d care to prepare it. Speaking of gobble—did you know that only tom turkeys gobble? It is a seasonal call used for mating purposes during the spring and fall. The hens make a clicking sound. Although turkeys are associated in popular lore with annual celebrations of Thanksgiving since 1621, history tells us a different story. That “First Thanksgiving” was a feast of the Pilgrims at Plymouth Colony after the harvest season, but the feast was not repeated as an annual event. Nor did the colonists call it a Thanksgiving feast. Actually, a day of thanksgiving was more likely to be set aside for fasting and prayer rather than celebration and stuffing oneself as well as the bird. Even so, that feast in 1621 serves as a model for our own celebrations. In a letter written to a friend in England, Edward Winslow, a leader of the colony, described the three-day harvest festival thusly: Our harvest being gotten in, our governor sent four men on fowling, that so we might after a special manner rejoice together after we had gathered the fruit of our labors. They four in one day killed as much fowl as, with a little help beside, served the company almost a week. At which time, amongst other recreations, we exercised our arms, many of the Indians coming amongst us, and among the rest their greatest King Massasoit, with some ninety men, whom for three days we entertained and feasted, and

they went out and killed five deer, which they brought to the plantation and bestowed on our governor, and upon the captain and others. And although it be not always so plentiful as it was this time with us, yet by the goodness of God, we are so far from want that we often wish you partakers of our plenty.

The annual celebration of Thanksgiving on the last Thursday in November began by proclamation of Abraham Lincoln in 1863. That was the year the tide of the Civil War turned in favor of the Union. It is undoubtedly coincidental, but Thanksgiving is still a day to celebrate the union—or reunion—of our families and loved ones gathered around tables throughout the country. And everyone knows what’s for dinner. The first recipe below is a simple but aromatic way to prepare your turkey. If you prefer to stuff your bird, try the second recipe.

Herbed Turkey, Italian Style 1 turkey, 10-12 lbs. 8-10 cloves garlic 2 Tbs. fresh rosemary, chopped 1Tbs. fresh sage, chopped 2 large lemons Make small slits in the skin of the turkey and gently insert the garlic cloves between the skin and the meat. Cut the lemons in half. Squeeze the juice of one lemon inside the turkey and leave the halves there. Squeeze the other lemon over the outside of the turkey. Coat the outside of the turkey lightly with cooking spray and sprinkle on the herbs. Place the turkey on a rack in a roasting pan and bake uncovered for one hour at 325°F. Cover with foil and continue baking for another three hours or until a meat thermometer reads 185°F. Four ounces of the white meat, without skin, has only 144 calories, 1 gram of fat, and 88 mg. cholesterol.

Herb-Basted Turkey with Dressing Basting sauce (for 16- to 18-lb. turkey) 2 cups chicken broth 1/2 cup margarine 1/4 cup fresh parsley, chopped 2 Tbs. dried chives 1 tsp. dried thyme 1/2 tsp. each dried rosemary, sage, and marjoram Bring the broth to a boil and stir in the margarine and herbs. Set aside.

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Dressing 1 lb. loaf of bread, sliced, toasted, and cut into ½-in. cubes 1/2 cup margarine 1 cup chicken broth 1 lb. sausage 4 eggs, beaten lightly 4 cups celery, sliced thin 3 cups carrots, sliced thin 1/2 lb. mushrooms, chopped 1/2 lb. cooked ham, cubed 2 cups green onions, sliced 2 cups pecans, chopped 1 cup dried apricots, chopped 1 large Granny Smith apple, chopped 1 Tbs. sage 2 tsp. dried marjoram 1 tsp. dried rosemary 1 tsp. salt 1/8 tsp. nutmeg

with the sausage and toasted bread. Stir in the apple, pecans, apricots, sage, marjoram, rosemary, salt, and nutmeg. Add the beaten eggs and 3/4 cup of the basting sauce. Stuff the turkey with 8 cps of the dressing, skewer the opening, and tie together the drumsticks. Place the turkey on a rack in a roasting pan and baste with part of the remaining sauce. Bake at 325°F, uncovered, for about 5 hours or until the meat thermometer reads 185°F, basting every half hour. When the turkey begins to brown, cover it lightly with foil. To bake the remainder of the dressing, stir in the chicken broth and place in a 2-1/2qt. baking dish. Chill. Cover the dish and bake for 1 hour at 325°F. Uncover and continue baking for 10 minutes.

Brown the sausage and remove from the skillet with a slotted spoon, leaving the fat behind. Place the sausage with the toasted bread cubes in a large bowl. Add the margarine to the sausage drippings and sauté the celery, carrots, mushrooms, ham, and onions for about 15 minutes. Add this to the bowl

The Manor at Perrysburg: Care promotes quality of life by Christine A. Holliday

an you imagine planning an Alaskan cruise knowing you will need knee-replacement surgery before you go? Would you worry about healing in time or being able to navigate the challenges of a cruise vacation? Seventy-nine-year-old Patricia Herman had no doubts. She gave herself several months to rehab and heal after her second knee-replacement surgery because she knew she could count on the rehab program at The Manor at Perrysburg. She had been treated there after her first knee-replacement surgery in 2013 and had a good idea of what to expect. She explains, “My husband and I were planning the cruise for our second anniversary, and the people at The Manor knew that I was determined to be able to walk those decks. I went there after my surgery in December, 2015 and stayed for about a month, getting therapy a couple of times a day. If it hurt a bit, they reminded me of my goal. They had me use a lot of different machines, and I graduated from the walker to the cane. I was able to take the cruise in June, 2016—a honeymoon trip!” Mrs. Herman appreciated the

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Women are calling this Women arechanging.” Women are “life Women are callingcalling this this calling this Have you experienced changes in your vaginal “life changing.” “life changing.” “life changing.” health? If you are experiencing vaginal dryness,

itching, burning, painful urination or pain during Have youHave experienced changes in your vaginal you experienced changes intercourse, it’s OK to talk aboutinit.your vaginal Have experienced changes in your vaginal health? If health? you areyou vaginal dryness, Ifexperiencing you are experiencing Are you experiencing vaginal vaginal dryness,dryness, itching, health? If you are experiencing vaginal dryness, itching, burning, painful urination or pain during itching, burning, painful urination or pain during burning, painful urination or pain during Ask about the Touch! itching, burning, painful urination pain during intercourse, it’s OK tous talk about it.MonaLisa intercourse, it’s OK toyou talk about it.or intercourse? Have experienced changes intercourse, it’s medical OK to talk about it. in your vaginal health due to in breast cancer We are the first practice the Northwest treatments? it’sthis OKadvanced to talk about it. Ohio area offering new non-

amenities of the Manor, from the Ask us about theabout MonaLisa Touch! Ask us thein-office MonaLisa hormonal, painless, laserTouch! treatment. food to the lounge area. “It was good Ask us about the MonaLisa We are the firstare medical the Northwest We the firstpractice medicalinpractice in theTouch! Northwest that I could walk to the dining area and meet with other patients. I could Ohio area offering advanced new nonWe are area the this first medical in the Ohio offering thispractice advanced newNorthwest nonrelax in the lounge. And I found that For more information, plan to attend an hormonal,hormonal, painless, in-office laser treatment. Ohio areapainless, offeringin-office this advanced new nonlaser treatment. I became friends with the therapists Educational Seminar in the hormonal, painless, in-office laser treatment. during my treatment. They made me laugh during the sessions as I St. Luke’s Hospital Auditorium plan to attend learned to maintain my balance andFor more information, For more information, plan an to attend an Wednesday, September walk longer and further distances. Educational For more information, attend Seminar in plan the to23rd Educational Seminar in thean Wednesday, September 23rd It was a good thing, too. The cruise 6:30 p.m Seminar in the Luke’s Hospital Auditorium ship had 17 decks and we walkedSt. a St.Educational Luke’s Hospital 6:30 p.mAuditorium lot—so much that I lost four pounds. is limited to23rd 50, so R.S.V.P. early! St.Seating Luke’s Hospital Auditorium Wednesday, September Wednesday, September 23rd Wednesday, November 16th Nobody loses weight on a cruise!” Seating isp.m limited to 50, so R.S.V.P. early! Wednesday, September 23rd Wednesday, September 6:30 Wednesday, September 23rd She continues, “The walking and 6:30 p.m 6:00 p.m. 23rd Wednesday, September 23rd balance practice came in very handy. 6:30 p.m 6:30 6:30 p.m p.m to is50, R.S.V.P. early! To so acknowledge upcoming We walked on wooden sidewalks in Seating is limited Seating limited to 50, so R.S.V.P. 6:30 p.m Month: early! the old parts of some cities and had Seating is limited Breast Cancer Awareness to is50, so OFF R.S.V.P. Seating islimited limited 50,early! R.S.V.P. early! Seating toto 50, sosoR.S.V.P. early! 20% treatments for $100 off treatment package for attending, to walk on trails in other places. I 20%Seating OFF treatments for50, breast cancer survivors isbreast limited to so R.S.V.P. early! cancer survivors. did just fine!” additional discount if you bring your friend! To acknowledge upcoming To acknowledge upcoming Erica Heckman, Director of Rehab OfferMonth: expires 11/30/16. Breast Cancer Awareness at The Manor at Perrysburg, describes Breast Cancer Awareness Month: To acknowledge upcoming 20% OFF treatments 20% OFF for treatments for Patricia as “the ideal patient.” She Breast Cancer Awareness Month: 20% OFF treatments for breast cancer survivors 20% OFF treatments for breast cancer breast cancer survivors. 20% OFF treatments breast cancer survivors.for survivors explains, “She had one knee done 20% OFF treatments for breast cancer survivors and rehabbed here three years ago. breast cancer survivors. She knew what the second surgery would involve and how long it would take. She planned the cruise with her new husband as an incentive for herself to get healthy. She had a short in-patient stay here, and then

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returned for outpatient physical therapy two or three times each week. She told me recently that she had taken a four-wheeled rolling walker with her on the cruise, but didn’t need it very often. She says the cruise went very well. That’s the kind of outcome we like to hear!” Patricia utilized the valuable services selected by her professional care team ideal for her recovery. Additional services that may be selected as part of an individualized care plan include: •Skilled nursing care for men and

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women—includes help with post- and sensory and memory stimulation, •The Manor has a strong presence op medications, pain management, utilizing Music & Memory techniques. on social media, including Facebook, •Residents can enjoy semi-private twitter, YouTube, and Pinterest, as and testing. •Occupational therapy (bathing, or private rehab suites and cozy well as through Caring Bridge. dressing, help with managing home lounges in a home-like atmosphere. •Pre-Hab. Prehabilitation is a speactivities like cooking). •Guests are encouraged to stay cialized outpatient therapy program •Speech therapy, Synchrony—a in touch with family and friends that starts prior to an elective prorevolutionary new program for through Guest Connect, an e-mail cedure to assist you with achieving the treatment of dysphagia, a safe, messaging system. maximum post-operative results. non-invasive and medication-free With prehab, normal function is treatment. Virtual reality auggained quicker, overall recovery is mented exercise activities that are achieved faster, and post-operative therapeutic, fun, and engaging. outcomes are better. Leading-edge medical technology Mrs. Herman recommends and evidence-based protocols. the Manor because of their fine Specialized software captures care and the home-like setting. “I swallowing data for objective enjoyed the atmosphere while I measurement of therapy prostayed there. I could stop and get gression. a cup of coffee or an ice cream •Physical therapy—as leaders cone—just like at home. The people in post-hospital surgical care and are so friendly, and they helped rehabilitation, our highly trained me achieve my goal. My husband therapy team offers individualand I are planning another trip ized treatment plans utilizing the that will require lots of walking, most innovative technologies. and I am ready!” The system includes a variety Those interested in more inof “skilled” exercise programs formation about The Manor at for physical, occupational, and Perrysburg at 250 Manor Drive speech therapy applications. in Perrysburg are encouraged to •Alzheimer’s and dementia call 419-874-0306 and are invited care provided in a “memory-care to take a virtual tour at the website neighborhood,” with a focus on An upcoming anniversary cruise with her husband was http://manoratperrysburg.com. ❦ memory retention and processing a strong rehab incentive for Patricia Herman.

The Manor at Perrysburg Your Destination for a Faster Recovery

Our Therapy Team will Work with You to: • • • •

Determine your personal baseline Develop a personal recovery plan Understand your role in recovery Maximize function & safety

How to Get Started Today

Call us to make an appointment.

During your scheduled visit we will: • Help you navigate through the financial process • Tour our state-of-the art rehabilitation gym • Meet your therapy team • Answer any questions you have • Reserve a room for your short stay after surgery

250 Manor Drive Perrysburg, OH 43551 P: (419) 874-0306 ManorAtPerrysburg.com

44 November 2016 | Healthy Living News

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

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

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

Senior Star at West Park Place 3501 Executive Parkway Toledo, OH 43606 419-972-2280 www.seniorstar.com

Swan Creek Retirement Village 5916 Cresthaven Lane Toledo, OH 43614

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

Fieldstone Villas

8885 Browning Drive Waterville, OH 43566

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

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Reynolds Senior Village

The Manor at Perrysburg

961 S. Reynolds Road Toledo, Ohio 43615

250 Manor Drive Perrysburg, OH 43551

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The Laurels of Toledo

Advanced Healthcare Center

1011 Byrne Road Toledo, OH 43607

955 Garden Lake Parkway Toledo, OH 43614

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Sunset Village

Otterbein Portage Valley Senior Lifestyle Community

Lutheran Home at Toledo

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

20311 Pemberville Rd. Pemberville, OH 43450

131 Wheeling St. Toledo, OH 43605

Jackman Regency Apartments

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

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

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

: My husband was involved in a pretty serious automobile accident where the airbag deployed. He is very lucky to be alive and walked away from the accident with what we thought was little harm. I took him right away to the emergency room for an examination even though EMS evaluated him on the scene. By the time we arrived at the hospital, he started to complain he felt like he had tinnitus. My question is could the airbag have caused the tinnitus?

: First of all, I’m thankful your husband did not suffer greater injuries, but it is definitely true that airbags can cause tinnitus along with hearing loss and other complications. In September of 1998, the Intermodal Surface Transportation Efficiency

went into law requiring that all cars sold in the United States have airbags installed. Of course airbags have been successful at reducing the rate of deaths and severity of injuries over the years, but they do have effects when deployed. The most common complaints are hearing loss and tinnitus. The type of hearing loss varies—from a loss in one ear to bilateral hearing loss, conductive hearing loss (affecting the outer or middle ear), mixed hearing loss (affecting the outer, middle, and inner ear), or sensorineural hearing loss (affecting the inner ear), also known as nerve loss. The eardrum (tympanic membrane) can be physically injured, causing a perforation or hole in the eardrum.

If that happens, a hearing loss may develop, and if the perforation does not heal on its own, surgical intervention may be required to patch the tympanic membrane. A study performed by the Michigan Ear Institute found that the orientation of the ear toward the airbag was associated with the hearing loss, aural fullness, and tympanic membrane perforation. If more than one airbag is deployed, the volume of the noise increases. In fact, it may be louder than if you were standing outside an airplane without ear protection. It’s also thought that this scenario causes more pressure, increasing the risk of a perforation to the tympanic membrane. The concern I have is that people may not notice the hearing loss or tinnitus or don’t seek help for a mild hearing loss or tinnitus. If the hearing loss is in the range above the speech frequency range, it may not be apparent to the individual

right away so they don’t seek help. We always try to encourage our patients to let us know of even a slight change in their hearing or tinnitus after any kind of event. Be aware that if a hearing loss from an airbag deployment is temporary, you will probably note an improvement within a few hours according to documented studies. I hope you find this information helpful. Be cognizant of the injury your husband sustained, and seek medical attention, including a hearing test, since the tinnitus cannot be treated without determining whether a hearing loss exists. And, as always, if you have any concerns that need to be addressed, please do not hesitate to call Northwest Ohio Hearing Clinic.❦ Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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Continued from page 38

from the falls. There was a heavy, orange plastic-net barrier stretched across the trail and a sign saying the trail was closed because of “extremely hazardous hiking conditions.” Evidently the rangers had learned their lessons at Bumpass Hell. But speaking of signs, the purchasing agent for the Park Service must have gotten a special deal on trail signs. “If you buy one, it will cost you this much but, if you buy a dozen, I can give you a break.” So he bought a dozen. All of them say, “Kings Creek Falls 0.2 miles.” The park staff erected all 12 of them at random places along the way, some facing upstream, some downstream. The good news, no matter where you are or what direction you are headed, it is only 0.2 miles to the falls. Your tax dollars working hard for you. We have a faithful reader who emails every month to accuse me of numerous factual errors and just making up stuff like this. “I don’t think you have ever been to any of the places you write about,” says his most recent message. That is hurtful. But you can’t make up this stuff. If my imagination were that good, I would be rich as…well, I can’t even imagine how rich I would be. But

you know I can imagine what Did it would have been like to go to Hell again, see the wildflowers of Paradise again, and even scramble along the scenic route Did you know back from Kings Creek Falls again. Even if some experiences are difficult or impossible to repeat, our return to Lassen Volcanic was still just a walk in the park. ❦

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they never came. The meadow was lush green, but there was no yellow, blue, or red as promised. It reminded me of a ranger-led walk we took on which we heard vivid descriptions of the lovely blossoms we would have seen if there had been any. Were we discouraged? No we were not. Decided to take the hike to Kings Creek Falls. The trail starts at the headwaters of the creek and follows it down to the falls. (Which sounds better than up to the meadows.) Last time we took the horse trail that descends to the falls and scrambled up the side of a steep bluff to get back. That route back is more

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Wildflowers bloomed in patches of sunlight along the trail up to Paradise Meadow.

The cascades above Kings Creek Falls are at least as dramatic as the falls themselves. But only when the trail is open.

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demanding, but the reward is much more dramatic views of a series of cascades along the way. The trail, softened by deep layers of aromatic pine needles, passed through patchy shade where there were still knee-deep piles of snow. It is only about a two-hour walk depending upon how much time you spend at the falls and how often you stop to admire the view. And catch your breath at that altitude. But we did not take that scenic route back

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

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Healthy ways to cope with bereavement during the holidays

he holidays are hectic and stressful for everyone, but for people coping with the loss of a loved one, the strain of the holiday season—a time when family togetherness and traditions are the focus—can seem almost unbearable. Their emotional anguish can be particularly poignant if the loss actually occurred during or close to the holiday season. Some people may be grieving without even realizing it or understanding why. Certainly, the death of a family member or friend is a major source of grief, but other forms of loss, such as a divorce or separation, children growing up and moving away, the loss of a job, being diagnosed with an illness, or even losing a beloved pet, can take a heavy emotional toll as well. While there’s no right or wrong way to cope with bereavement during the holidays, the following suggestions might serve as guideposts on this challenging emotional journey—and, perhaps, help the grieving find new meaning and significance in the holidays.

Know and define your limits The grieving process is physically and emotionally draining. It’s also natural and necessary in order to achieve acceptance and eventually restore well-being. While moving through the passages of grieving, it’s normal for the bereft person’s mood

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and energy level to fluctuate. It’s important to be aware of this and to share with family and friends what you’re realistically able to manage with respect to holiday activities and obligations.

Re-evaluate holiday traditions Time-honored traditions are an important element of holiday togetherness, but they can also evoke considerable emotional pain when they’re closely linked with a lost loved one. Only you can decide whether you’re comfortable continuing established traditions or not. You might feel that it’s important to preserve them for the sake of continuity. Or, perhaps, you think this would be a good year to break with the past and create some altogether new family traditions. Of course, there’s also the middle-ground approach of making some marked changes to the way you celebrate the holidays while maintaining some of your most cherished traditions.

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Don’t be afraid to delegate If there are major responsibilities that you usually take on during the holidays—hosting family get-togethers, writing and sending Christmas cards, picking up visiting relatives from the airport, planning and preparing meals, baking cookies, etc.—but you don’t feel you have the energy for them this year, don’t be afraid to ask someone else to lend a hand. Most likely, many of the people around you would be more than happy to step in and ease your burden. Or, you may just realize that some of these self-imposed obligations aren’t really necessary and decide to skip

Keep your loved one’s memory alive One idea for a new family tradition is to commemorate your lost loved one in some meaningful way during your holiday celebration. For example, you could light a special candle and place it on the dinner table, on the mantel, or in another prominent location; hang a special ornament on the Christmas tree; hang a stocking by the fireplace and invite everyone in the family to put in a note that expresses their feelings about your loved one; or make a donation to a charitable organization in your loved one’s name each holiday season. Or, you could simply set aside a little time for the whole family to look at photographs of your loved one and share their memories.

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from family and friends. You need their support—and they very likely need yours—during this difficult time. That doesn’t mean you can’t be selective in whom you choose to visit or welcome into your home, but you don’t want to shut everyone out and suffer in silence.

Taking time to reflect and heal in solitude is perfectly acceptable. Just take care to avoid isolating yourself

them this holiday season so you can focus your energy on the things that really matter to you.

Shift your focus onto others One of the more empowering steps bereaved people can take, particularly during the holiday season, is to shift their focus from their own grief to others in need. Nursing homes, homeless shelter, soup kitchens, hospitals, and other facilities are always in need of volunteers who are willing to donate their time helping others.

Join a support group Most importantly, seek out the support of others who understand exactly what you’re going through. Local hospices and other community organizations commonly offer support groups and workshops to help people bereft of a loved one explore their grief and find hope and understanding in a comfortable, supportive environment.❦

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We Need to Find a Balance Continued from page 28

youngsters will have time to complete their work later and go outside and play. We need to emphasize to our high school student-athletes that they will have time to complete their work after the game. Students, please understand that, while it is cool to say you have done a thousand different things—from community service to student government, band, etc.—it is even better to be able to share how you were

great at one or two things. And finally, teachers I ask that you please understand that all the lessons a child needs to succeed in life are not solely learned in your classroom. All parties need to find a way to make this mesh, not just for the physical well-being of our kids, but also their mental well-being. Readers, I will close with this one simple question: Did any of our generation turn out so badly? I know how I would answer this, and I hope you would also. Let’s share that with the youth of today! ❦

Number of Ohio pharmacies dispensing naloxone continues to increase intervene in the event of an overdose is critical to reducing unintentional drug overdose deaths in Ohio.” To expand access to this life-saving drug, Governor Kasich signed House Bill 4 into law, which allows pharmacists to dispense this medication without a prescription to an at-risk opioid user or someone who can intervene in the event of an overdose. As a result, 65 percent (1,374) of all retail pharmacies in Ohio are offering naloxone without a prescription. This represents a sizable increase from the 47 percent (1,000) of retail pharmacies previously reported in August. For a complete list of all pharmacies offering naloxone without a prescription, please visit www. pharmacy.ohio.gov/stopoverdose.❦

he State of Ohio Board of Pharmacy has announced that with the recent addition of Giant Eagle and Rite Aid stores, there are now more than 1,300 pharmacies in 84 counties offering naloxone without a prescription. Naloxone (Narcan®) is a safe medication that can reverse an overdose that is caused by prescription opioids, heroin, and fentanyl. When administered during an overdose, naloxone blocks the effects of opioids on the brain and can restore breathing in a matter of minutes. “I am pleased that pharmacies throughout Ohio are recognizing the importance of offering this life-saving medication,” said State of Ohio Board of Pharmacy Executive Director Steven W. Schierholt. “Getting naloxone in the hands of individuals who can

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