HLN January 2018

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News January 2018 • FREE

Also available at hlntoledo.com

Ring in the new you!

• Shape up and wake up your skin • Year-round sun safety • Resolve to lower your cancer risk • Preparing for a healthy pregnancy • Winter training for a spring marathon

• Sound Advice • Senior Living Guide • Eating Well • Health Crossword • A Walk in the Park

You can’t plan for an emergency, but you can have an emergency plan.

Shape up and wake up your skin

H

ello, “Millennials”! Are the skin changes related to stress, pollution, smoking, and prior sun damage and tanning booth visits starting to show on your facial, neck, and chest skin?

Are your jowls and neck starting to sag, and are you noticing that darkening is developing around and under your eyes, your pores are enlarging, or “age spots” are appearing? Do your friends question why you look tired all the time when you are not? While these changes are mild and just starting, now is the time to start engaging in a skincare program tailored specifically for you to improve and reduce these signs of aging. Dr. Handler will personally recommend and explain a skin-rejuvenation program designed for you to reduce the visible signs of aging.

The anti-aging treatments performed by Dr. Handler are “noninvasive,” with minimal discomfort or downtime. Minimize under-eye darkening, raise those droopy eyelids, shrink pores, lift sagging jowl areas, and appear as youthful as you feel. Call Dr. Handler’s office for a personal evaluation with treatment recommendations for your aging skin.

Remember, 80% of the signs of aging are due to prior sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! This is something young people should be aware of since we get 80% of our lifetime sun exposure by the time we are 18-20 years of age.

What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler.

The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift sagging areas of the neck, jowls, upper arms, and abdomen. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected. This heating of the dermis causes immediate collagen contraction and tightening followed by your 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 when you are not! Since these products are combined with a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the injection of new fillers called “Restylane Silk” and “Restylane Refyne.” These products markedly improve 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 in northwest Ohio performing this procedure.

Are you aware that Dr. Handler personally performs laser procedures for removal of body hair anywhere hair grows?

Yes, this minimally painful laser destroys hairs around the chin, jawline, upper lip, underarms, ears, nose, bikini line, etc.

And this laser is not just for women. Many men have this laser performed to permanently remove chest and back hair as well as beard hair that grows down onto the neck.

Dr. Handler also utilizes the latest in lasers for removal of “age spots” (sun spots really) anywhere on the body. This laser works especially well for the tops of hands covered with those “age spots.” Finally, Dr. Handler also performs laser removal of unwanted blood vessels that grow on your face and enlarge with heat, stress, and the intake of alcohol. Again, pain and downtime are minimal with this laser. All of these lasers are non-invasive with minimal down-time.

S

ince November was National Healthy Skin Month, it is appropriate for patients to understand why it is in their best medical interest to always seek the advice of a boardcertified dermatologist for skin care. Why is seeking a boardcertified dermatologist the most beneficial route for solving skin disease issues versus a general practitioner, nurse practitioner, physician assistant, or any other medicallyoriented individual?

Please be aware that a board-certified dermatologist has the following minimum education versus the abovementioned quasi “skin doctors”: 1. Four years of college to earn a bachelor’s degree 2. Four years of medical school to become a medical doctor (MD) or doctor of osteopathic medicine (DO) 3. One year of an internship 4. 3-4 years in a dermatology residency program 5. Has passed exams for board certification in dermatology.

All of these cosmetic enhancements are performed entirely

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

Also, everyone should have a yearly full body exam to check for skin cancer conducted only by a board-certified dermatologist.

Hair loss in men and women

Are you losing hair from surgery, anesthesia, illnesses, pregnancy, medications, stress, genetics, or “normal” hair loss secondary to aging or low blood levels of nutrients? There are many causes of hair loss in men and women. Most are not simply due to age or family history, and most are treatable. Now these problems of hair loss can be evaluated and there is hope for reducing your hair loss and stimulating new growth. Dr. Harvey Handler, board-certified dermatologist of Sylvania, Ohio, has a medical treatment for decreasing your hair loss and increasing growth in many patients! ❦ Be aware and cautious of medispas and cosmetic centers organized and maintained by non-board-certified dermatologists. These skin centers use individuals other than a board-certified dermatologist or even non-licensed medical doctors with no formal education or training in skin disease diagnosis, treatment, or cosmetic enhancement of skin defects.

How do you know whether he/she is a board-certified dermatologist? Look for FAAD (Fellow of the American Academy of Dermatology, which is an arm of the American Academy of Dermatology) after their name. To confirm this information, check their website at aad.org/findaderm.

None of the above requirements are met by a nurse practitioner, physician assistant, or any other medical doctor licensed to practice medicine. Do your homework before trusting your skin disease diagnosis and treatment to anyone but a board-certified dermatologist.

www.drharveyhandler.com

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

clear + brilliant

H

L. H

No surgery.

No injections.

No downtime.

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

419.885.3400

Mission Statement Healthy Living News offers the residents of northwest Ohio and southeast Michigan a monthly guide to news and information about healthy life styles, health care, sports and fitness, and other issues related to physical, mental and emotional quality of life. The publication promises to be an attractive, interesting and entertaining source of valuable information for all ages, especially those 35 to 50. Healthy Living News is locally owned, committed to quality, and dedicated to serving our great community.

Healthy Living News is published the first of each month. The opinions expressed by contributing writers do not necessarily reflect the opinions of the publisher. Distribution of this publication does not constitute an endorsement of any kind. While HLN makes every attempt to present accurate, timely information, the publication and its publisher and/or advertisers will not be held responsible for misinformation, typographical errors, omissions, etc.

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

Phone: 419-367-0966 or email Kevin O’Connell at sfstennis76@bex.net.

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

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Editorial office: Deadline for editorial submissions is the 10th of the month preceding publication. To contact the editor or send submissions, please email editorhln@bex.net.

Publisher: Kevin O’Connell

e lthy l ng ews

January 2018 • Vol. 23, Issue 1

Your Monthly Guide to Healthy Living

FOOD & NUTRITION

CHILDREN & PARENTING

27 Eating Well Wake up and smell the health benefits of coffee

by Laurie Syring, RD/LD 42 Elizabeth Scott employee shares winning dessert recipe

15 Parents: make your home a burn-free zone 38 Blending: a key to youth sport development (part 2)

by Mark S. Faber

ENRICHING YOUR LIFE

HEALTH & BEAUTY

5 What could “new you” mean in 2018?

8 Planning for the rising costs of health care, by Scott D. Brown 14 Super Slow Training­—Never stop improving!

19 Wise Words from Otterbein Do you know your senior living vocabulary?

24 Stay on your feet

by Dr. Tere Koenig 26 Sunset’s timely tips for keeping seniors active and engaged in wintertime 28 Health Crossword

by Myles Mellor 32 Shadow Valley courts 50-andover clientele with special tennis program 34 Safe winter training for a successful spring marathon 36 A Walk in the Park Desert wildlife, by LeMoyne Mercer 40 Maintaining those New Year’s resolutions, by Amanda Manthey

2 Shape up and wake up your skin 5 Heartland’s hints for getting back on track to better health

by Jim Berger 7 Resolve to lower your cancer risk this New Year 10 Sound Advice from Northwest Ohio Hearing Clinic, by Randa Mansour-Shousher, AuD, CCC-A 13 Spiritually Speaking Arm yourselves…with love and mercy

by Sister Mary Thill 16 Nobody’s Perfect I can’t sleep!

by Sister Karen Zielinski, OSF 18 DiVa™—Groundbreaking technology for your most sensitive, intimate issues 20 Mercy Health dermatologist encourages year-round sun safety 30 Go M.A.D. to make a difference in your health and fitness 33 Cosmetic procedures when time is of the essence 37 Mercy Health concierge service

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Robin Buckey Molly O'Connell Print Designer: Jan Sharkey Graphic Artist Intern: Teagan Polizzi Web Designer: Strategically Digital LLC Social Media Specialist: Kelly Rickey Social Media Intern: Marla Gootee Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech–Toledo Copyright © 2018 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.

lightens the day-to-day load for cancer patients 39 How to prepare for the healthiest possible pregnancy 41 The pros and cons of rechargeable hearing aids

by Dianna Randolph, AuD, CCC-A 42 Acupuncture can help with those pesky resolutions, by Douglas Schwan, DC, Dipl ac 44 Free seminar January 18: Restoring Romance After Menopause

OUR COMMUNITY 12 Laurels recreation services promote engagement, connection, and better overall health 22 Leave your winter worries behind: special winter short-term stays at St. Clare Commons 35 Local volunteer recognized for extensive service to homebound seniors 45 Senior Living Guide

Connect with Friends who Like Healthy Living News!

/HLNToledo

Dear Readers, Thank you for picking up the January issue of Healthy Living News!

Every New Year, we resolve to make lifestyle changes that will improve our health, wellness, and overall fitness. And, of course, our goal is to follow through on those new commitments throughout the year. But sometimes we need a little extra help and motivation along the way. We’re confident you’ll find plenty of ideas and inspiration for making lasting positive lifestyle changes in the pages of this month’s issue, themed “A New Year, A New You.” Among the many different pieces supporting this theme, you’ll find a profile of Go M.A.D. Fitness, Toledo’s newest fitness club (p. 30); a timeline for cosmetic

procedures from Dr. Wade Banker of Luxe Laser Vein & Body Center (p. 33); an introduction to Shadow Valley’s 50 and Over Tennis Program (p. 32); and expert advice from UTMC physical therapist Aaron Al-Sorghali on winter training for a spring marathon (p. 34).

And that’s just a sampling of this month’s content. Also featured are insights on year-round sun safety from Mercy Health dermatologist Krishna Mutgi, MD (p. 20); hints on how to prepare for a healthy pregnancy from ProMedica obstetrician/gynecologist Brittany Denny, DO (p. 39); advice on lowering your cancer risk from Mark Burton, MD, of The Toledo Clinic Cancer Centers (p. 7); timely tips for keeping seniors active and engaged in wintertime from our friends at Sunset Retirement Communities (p.

26); and much, much more.

@HLNToledo

Looking back on 2017, we’d like to thank all the readers who took the time to call or email and voice their appreciation for HLN articles that had an impact on their lives. This type of feedback— which assures us that we’re making a positive difference—is what motivates us to continue providing this publication to the community free of charge.

We’d also like to express our gratitude to all the contributors who provide a steady flow of high-quality locally written content, as well as to the nearly 100 exceptional organizations in our area that make HLN possible with their advertising dollars.

Until next month, stay safe, active, and healthy!

I want a doctor who treats me like a person, not a number. That’s why I choose The Toledo Clinic.

The Toledo Clinic is the only physician-owned, physician-led healthcare organization in the region, which gives my doctor a greater say in my care. Plus, with 185 physicians practicing in over 40 different specialties in more than 60 locations, my whole family has access to expert care when and where they need it.

The Toledo Clinic. When you choose well, you just feel better.

ToledoClinic.com | 419.473.3561

4 January 2018 | Healthy Living News

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What could

NEW YOU mean in

T

he start of a new year inspires many of us to take a critical look at ourselves and decide which aspects of our lives we’re pleased with and which could use a little honing if not a complete overhaul. In many cases, that envisioned “new you” is someone who eats healthier foods, exercises more, weighs less, and fits better into clothing. Considering the numerous health risks associated with obesity, losing weight and getting in shape is certainly a laudable goal for those carrying some extra pounds, provided it is achieved safely and with appropriate medical oversight.

Getting fit and tipping the bathroom scale at a healthier weight is just one example of what “new you” could mean in 2018. Some might decide that 2018 is the year to seek a cosmetic enhancement, plastic surgery, or dental procedure either to correct a physical defect that impacts their self confidence or to help them put their best face forward in the workplace or social settings.

For others, the “new you” might be one who is committed to kicking an unhealthy habit such as cigarette smoking, overcoming a drug or alcohol addiction, building a stronger marriage or family dynamic, or even getting a better handle on mental health through professional counseling services.

Of course, becoming the best possible “new you” in 2018 doesn’t have to be about correcting shortcomings or abandoning bad habits. It can also involve taking steps to build upon your existing strengths—for example, enrolling in classes or seeking special training to bolster your knowledge base or skill set so you’re ready for that next big career move.

The options for creating a “new you” in 2018 are truly endless. And whatever goal you set for yourself, there are numerous organizations and experts in our community who are poised to help you reach it. Read on to find the ideas and support you need. ❦

Lost.

[ Direction. ]

Heartland’s hints for getting back on track to better health

by Jim Berger

H

appy 2018! May it be a year filled with much joy and happiness!

I have had the joy of providing health, wellness, and therapy tips for over 10 years in Healthy Living News. I have shared many insights into therapy services and treatment approaches, as well as nutrition, eating, and exercise. I am so fortunate to be able to have shared and look forward to continuing in 2018.

My article in January usually focuses on New Year’s resolutions—making them and how to be successful in accomplishing them. This year is no different. However, this time I will focus on what to do to get back on track with the healthy lifestyle program that was started last year or even the year before.

Many of us have been good at exercising and eating healthier this past year, and for that congratulations

are in order. But over the past month or so, we may have stopped our routine, exercised less, eaten a little more than we should (or more of the things we shouldn’t), and gotten less sleep than we need to get. No need to get down on yourself for this! There is nothing that you can do about the past.

The best thing you can do is get back into the healthier lifestyle routine that you were in for most of the year.

Your body has had a rest (which is good at times) and now is ready to get back into the routine that it liked doing most of the past year.

Start by simply eating healthier than you have during the past month!

It may take a little effort since your system has gotten used to that extra sugar fix and is starting to crave it.

Make simple adjustments in your

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5

eating habits until you get back to what was working a few months ago.

The same can be said for exercise.

Start back with less intensity than what you were doing when you were in a consistent routine. Try using a lighter weight or doing fewer reps until you are ready to get back to your prior exercise level.

If this is the year you have said you are going to start a healthier lifestyle program, in order to be successful you have to make a lifestyle change that becomes consistent, a new habit, routine, or norm. The key is to start simple and build on that foundation. Begin by knowing where you are—your current weight, how many calories you consume daily, how many times you eat/graze throughout the day, and how much water you drink daily.

Second, make a simple change or two. For most of us this works better than trying to make major changes, but if the only way you are going to make it work is to shake things up significantly, then that’s what you need to do!

One simple change may be drinking an additional glass or two of water each day. Another may be just having smaller portions at each meal.

It’s a starting point. However, it’s important to realize that, in making simple changes, you will not see or feel the impact immediately or in a short period of time. You will see it over the long run. You may find that you have a little more energy or that you are able to sleep a little better. These can be keys to identifying success overall. Weight loss is what we focus on, but it is not the only indicator.

Third, remember that exercise is a critical part of any healthy lifestyle program. If you have been a major “couch potato,” then start by moving around the house more than sitting. If you can walk at the mall, gym, work, or outside, then start making it a part of your daily routine, be it 5, 10, or 20 minutes.

If walking and moving is an issue, then sit or stand and move your legs in a marching motion. Movement is the key. Then add some exercise that involves resistance: pull, push, press using your body weight or light weights. Again, if you haven’t done exercise in a while, start with 5 minutes a couple times a day. The key message is don’t try

to exercise for an hour if you haven’t done any exercise or you’ve done only limited exercise. You have to build up to this to be successful. As always, make sure you consult with your primary care provider first. If you’re limited due to pain, then start with physical therapy. A physical therapist will address the reason for your pain and then help guide you on an individualized program.

It is a new year, and for many of us that means a new benefit year and changes to insurance plans. Heartland Rehabilitation urges you to look over your renewed plan carefully and answer the following questions: Have there been changes to my plan? Are there increases in out-of-pocket expenses due to higher co-pays and deductibles? Have there been changes in the amount of therapy I can receive? Is a referral or prescription required for therapy?

Is the preferred therapy provider I want to see in my plan?

Answering these questions will help you fully understand your benefits, especially as they apply to any outpatient therapy services you might

be seeking. Heartland Rehabilitation Services can assist you in getting answers to your insurance coverage questions and navigating through the confusion. We can work with you on managing your out-of-pocket expenses for outpatient therapy while maintaining the focus on getting you better and functioning at your optimal level.

Insurance issues or questions aside, we shouldn’t let that drive our decision to receive therapy. We need to address the pain issues or limited mobility issues that we are experiencing and if corrected would allow us to focus more fully on a healthier lifestyle.

Physical therapy helps in the following ways: • Increases and maintains muscle strength and endurance • Restores and increases joint range of motion • Increases coordination • Decreases pain • Decreases muscle spasm and plasticity • Decreases swelling and inflammation of joints • Promotes healing of soft tissue • Alleviates walking problems

  • • • • •

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



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

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



Arrowhead: 419-897-9822

Oregon: 419-697-8000

Bedford: 734-856-6737

Contact Center 800.699.9395

6 January 2018 | Healthy Living News

Perrysburg: 419-874-2657

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• Educates patients and families • Decreases stress.

In addition to this extensive list of benefits, physical therapy is cost-effective, conservative, and non-invasive; has no negative side effects, but numerous positive outcomes including improved function and a greater sense of well-being; addresses the cause of the problem instead of masking symptoms; and is administered by licensed, highly educated

professionals. Instead of wondering whether you should seek physical therapy for a condition or injury, you should ask yourself, “What am I waiting for?” ❦ For more information, please call your local Heartland Rehabilitation Services outpatient clinic, Jim Berger at 419787-6741, or Heartland’s call center at 1-800-699-9395. Start the New Year off thinking “My Health…My Choice.”

Resolve to lower your cancer risk this New Year

N

ew Year’s resolutions often re- ing certain cancers than those who volve around making healthier use either one or the other alone. lifestyle choices that help us look and To minimize alcohol-related cancer feel better, such as shedding extra risk, it’s currently advised that men pounds and exercising more. But consume no more than two alcoholic adopting healthy habits, or abandon- drinks per day, and women no more ing unhealthy ones, can also have than one drink per day. an impact on our risk of developing Though the relationship is not cancer. While there isn’t always a completely understood, evidence simple cause-and-effect relationship suggests that being obese causes between lifestyle and canan uptick in the risk of cer, factors that are within developing certain types our control, such as tobacco of cancer, specifically breast use, obesity, alcohol concancer, colon cancer, and endometrial cancer. So, sumption, sun exposure, and others, are known to resolving to lose excess influence the risk of certain weight will not only imforms of cancer—in some prove your cardiovascular cases significantly. health, reduce stress on According to Dr. Mark your joints, and make you Burton of The Toledo Clinic look and feel better, but it Cancer Centers, the best may lower your overall example of a lifestyle choice cancer risk as well.

Dr. Mark Burton that is clearly associated Dr. Burton also reminds with cancer risk is cigarette smoking, HLN readers that tanning and sun which is linked to approximately 90% exposure are directly associated with of lung cancer cases. “In addition, an increased risk of developing varsmoking is associated with numer- ious forms of skin cancer, the most ous other cancers, including head common being basal cell carcinoma. and neck, esophageal, kidney, and The good news is, there are simple several other forms,” he explains. precautions you can take to protect Quitting smoking at any point your skin from harmful UV rays and will lower lung cancer risk, though minimize your skin cancer risk. They those who have smoked and quit include applying sunscreen with an remain at higher risk than those SPF (sun protection factor) of at least who have never smoked. “Further- 30 before spending time in the sun more, smokers who develop lung and reapplying it often; donning a cancer and continue to smoke have wide-brimmed hat, a long-sleeved a higher chance of developing a new shirt, and sunglasses that protect smoking-related cancer than those against UVA and UVB rays before who stop smoking,” Dr. Burton adds. heading out into the sun; shunning Studies have also revealed a sig- tanning booths; and staying indoors nificant link between alcohol con- or in the shade between 10:00 a.m. sumption and the risk of several and 2:00 p.m., when the sun’s rays forms of cancer, including head and are most intense. neck, esophageal, breast, liver, and Worldwide, one of the more comcolon cancers. What’s more, people mon health concerns is liver cancer who use both alcohol and tobacco associated with the hepatitis C or are at even greater risk of develop- hepatitis B virus. Both are spread

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

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through exposure to the blood or blood products of an infected individual. Lifestyle choices that decrease the risk of developing either form of hepatitis include avoiding unprotected sex and avoiding sharing needles.

It’s also noteworthy that avoiding unprotected sexual contact is the best way to avoid exposure to human papilloma virus, or HPV, which is associated with an increased risk of cervical cancer, mouth and throat cancer, and various other cancer types. “There are also vaccines for both hepatitis B and HPV that provide long-term protection against these

viruses, thereby reducing the risk of developing associated cancers,� Dr. Burton adds.

Though adopting healthier habits—eating better, exercising more, quitting smoking, etc.—can help protect against certain forms of cancer, it’s important to keep in mind that the benefits of a healthier lifestyle aren’t necessarily going to be evident immediately. Just as lifestyle-related cancers, such as lung cancer associated with smoking, often take many years to develop, the benefits of positive lifestyle changes tend to accrue over the long term. Nonetheless, people

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who eat right, exercise regularly, avoid smoking, and limit their alcohol consumption have a better chance of remaining cancer-free than those who donâ&#x20AC;&#x2122;t adopt healthy habits. And if they do end up developing cancer, they may be better poised than their less-healthy peers to tolerate the treatment regimen. â?Ś The Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite

105, has 12 physicians and 7 nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TTCCC also has satellite centers in Maumee, Bowling Green, Adrian, and Monroe, as well as a partnership with the Mercy Health â&#x20AC;&#x201C;Perrysburg Cancer Center for the convenience of the patient. For more information, please call The Toledo Clinic Cancer Centers at 419-479-5605.

Planning for the rising costs of health care

by Scott D. Brown

L

onger lifespans and rising healthcare costs are driving investors to control their financial exposure to uncovered bouts of careâ&#x20AC;&#x201D;particularly in retirement.

The United States spends more than $3 trillion a year on health care, or nearly $10,000 per person. Overall spending rose 5.8% in 2015,1 faster than the pace of inflation or wage growth.

Systemic efforts to rein in costs have met with some success. Consolidated hospital networks are better positioned to deliver treatment at scale and pass savings onto patients and insurers, and an increasing focus on preventative care aims to address medical issues before they snowball into chronic and costly conditions.

Still, another trend in the changing healthcare systemâ&#x20AC;&#x201D;patients shouldering a larger share of treatment costsâ&#x20AC;&#x201D;is driving up out-of-pocket expenses. The elderly, who require the most care, often bear the brunt of the costs. It is important to take steps to minimize your financial exposure to uncovered medical costs. But whereas your incentives for saving for retirement are easy to digestâ&#x20AC;&#x201D;to be able to afford a desired lifestyle after your working yearsâ&#x20AC;&#x201D;planning for the less palatable aspects of old age can be more challenging.

Planning for the future It is estimated that 70% of people turning age 65 can expect to use some form of long-term care during their 1 Source: Centers for Medicare & Medicaid Services: https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nationalhealthaccountshistorical.html

lives.2 One year in a private room in a nursing home costs $105,645 today and is projected to reach $245,649 in 20 years.3 Even with a robust portfolio, you may have trouble handling such large costs.

Many adults nearing retirement age are concerned about healthcare costs but unsure how to budget for them. A 2016 survey by the Nationwide Retirement Institute found that four out of five people cannot estimate how much they will have to pay for health care in retirement, even though nearly three-fourths say out-of-control healthcare costs are one of their top retirement fears.4 Those fears are warranted. Kevin McGarry, director of the Nationwide Retirement Institute, says the average retired couple now spends about $15,000 a year on health care, of which more than half goes to Medicare premiums, and they will spend somewhere between $259,000 and $395,0005 over the course of their 2 Source: Who Needs Care? U.S. Department of Health & Human Services: https://longtermcare.acl.gov/the-basics/who-needs-care.html 3 2 3 Cost projection is for 2037. Source: John Hancock 2016 Cost of Care Calculator http:// jhinsurancewebsitedev.azurewebsites.net/longterm-care/cost-of-long-term-care-calculator/index.aspx. Assumed rate of inflation is hypothetical, based on a 4.1% average annual increase in the Consumer Price Index for All-Urban Consumers (CPI-U) for the 50-year period ending 12/31/15. CPI-related data obtained from the Bureau of Labor Statistics of the U.S Department of Labor at www.bls.gov, October 2016 4 Health Care Costs in Retirement Survey,â&#x20AC;?

Nationwide, October 2016. https://nationwidefinancial.com/media/pdf/NFM-16070AO. pdf?_ga=2.157578618.1514495134.1504806835264091829.1504806835 5 â&#x20AC;&#x153;Amount of Savings Needed for Health Expenses for People Eligible for Medicare: Unlike the Last Few Years, the News Is Not Good,â&#x20AC;?

by Paul Fronstin, Dallas Salisbury, and Jack VanDerhei, EBRI. January 2017.

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retirement, depending on their lifespan and health conditions.6 Should they encounter serious medical trouble, the costs will be even higher. Many Americans aren’t even aware of the uninsured costs they may face in these cases. A stroke, for example, may prevent a person from moving the right side of his or her body. That means expensive 24-hour assistance.

Medicare Part A covers skilled nursing care provided in a skilled nursing facility for a limited time, but only after a qualified hospitalization.

However, Medicare will not pay for nursing homes when custodial care is the only care needed or care for conditions such as Alzheimer’s. Patients suffering from Alzheimer’s or other cognitive ailments may live for many years, all the while requiring assistance and, as the disease worsens, expensive hands-on care.

6 6 Savings needed for Medigap premiums, Medicare Part B premiums, Medicare Part D premiums and out-of-pocket drug expenses for retirement at age 65 in 2015, assuming a 90% chance of having enough savings: “Amount of Savings Needed for Health Expenses for People Eligible for Medicare: Unlike the Last Few Years, the News Is Not Good,” by Paul Fronstin, Dallas Salisbury, and Jack VanDerhei, EBRI. October 2015.

Protection for retirement savings By the time people reach their 30s, they tend to have a pretty good idea of the lifestyle they want to pursue, including in retirement, says Nationwide’s McGarry. There are a number of ways to save for retirement with your future healthcare needs in mind.

Investors in their 30s or early 40s, he says, may weight their retirement-funding strategies toward a portfolio of mutual funds or a managed-account solution to provide upside exposure to the market.

Given lower premiums for younger policyholders, long-term-care (LTC) insurance should also be a consideration, he said.

These days, only a handful of insurers offer LTC insurance, so another option may be life insurance with an LTC rider, which allows families to tap into the benefits they would receive upon the policyholder’s death while he or she is alive and requires care.

Another option for funding long-

term-care expenses is to withdraw or borrow money from life insurance policies, or withdraw funds from or annuitize annuities. Note that either of these options would probably fall short of covering costs if someone needs care for many years.

McGarry says younger investors seeking less risk may want to couple mutual fund portfolios with some annuity exposure. Investors within 10 years of retirement may lean their portfolios toward variable annuities that offer market upside potential until retirement, and then guaranteed income.

Paying for unexpected costs A final consideration is what to do when you’re faced with a large unexpected medical bill today. One answer may be a securities-based loan, which may be available to qualified Morgan Stanley clients. When faced with a large healthcare expense, investors often liquidate financial assets to cover liabilities. However, this strategy may have unintended costs,

such as tax consequences, potential loss of future growth, or an imbalance in your portfolio’s asset allocation.

Once approved, a securities-based loan may allow you to gain quick access to funds for a variety of needs while providing the opportunity to leave your portfolio intact and the strategy unchanged. Your Morgan Stanley financial advisor can provide you with additional information about the options available to you to help optimize your balance sheet and potentially cover large unexpected healthcare expenses.

Protect your assets and your health As healthcare costs continue to rise, it’s important to understand all of the options you have to protect the assets you’ve spent a lifetime accumulating. Your Morgan Stanley financial advisor has access to multiple long-term-care products from a wide variety of respected insurers and can help you choose the one that offers the optimal combination of cost and benefits. Start the conversation today.

Borrowing against securities may not be suitable for everyone. You should be aware that there are risks associated with a securities-based

Your Financial Future: Will You Be Ready?

Getting your financial and investment act together takes time and close attention to detail. With more responsibilities, the process becomes even more complex.

As a Morgan Stanley Financial Advisor, I have access to a range of resources, advice and services to help you meet your needs.

Please call me to arrange a meeting about your wealth management needs.

Scott D. Brown Senior Vice President Branch Manager 7311 Crossleigh Ct. Toledo, OH 43617 419-842-5312 scott.d.brown@morganstanley.com http://www.morganstanleyfa.com/theauroragroup/

• • • • • • • •

Equities, fixed income and mutual funds Trust and estate planning services Alternative strategies Individual Retirement Accounts Brokerage services Business financial services Lending services Financial planning services

The appropriateness of a particular investment or strategy will depend on an investor’s individual circumstances and objectives.

Morgan Stanley Smith Barney LLC, its affiliates and Morgan Stanley Financial Advisors do not provide tax or legal advice. This material was not intended or written to be used for the purpose of avoiding tax penalties that may be imposed on the taxpayer. Clients should consult their tax advisor for matters involving taxation and tax planning and their attorney for matters involving trust and estate planning and other legal matters.

Morgan Stanley Smith Barney LLC is a registered Broker/Dealer, not a bank. Where appropriate, Morgan Stanley has entered into arrangements with banks and other third parties to assist in offering certain banking related products and services. Banking and credit products and services are provided by Morgan Stanley Private Bank, National Association, Morgan Stanley Bank, N.A. or other affiliates. Investment services are offered through Morgan Stanley Smith Barney LLC, member SIPC. Unless specifically disclosed in writing, investments and services offered through Morgan Stanley are not insured by the FDIC, are not deposits or other obligations of, or guaranteed by, the Bank and involve investment risks, including possible loss of principal amount invested. © 2012 Morgan Stanley Smith Barney LLC. Member SIPC.

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loan, including possible margin calls on short notice, and that market conditions can magnify any potential for loss. For details, please see the important disclosures below. ❦

Is your loved one transitioning from hospital to home?

If you’d like to learn more, please contact Scott Brown, Branch Manager, Morgan Stanley Toledo, Ohio, at 419-842-5312.

Discover Rosary Care Center – on the peaceful Motherhouse grounds of the Sisters of St. Francis of Sylvania.

Securities based loans are provided by Morgan Stanley Smith Barney LLC, Morgan Stanley Private Bank, National Association or Morgan Stanley Bank, N.A, as applicable.

Important Risk Information for Securities Based Lending: You need to understand that: (1) Sufficient collateral must be maintained to support your loan(s) and to take future advances; (2) You may have to deposit additional cash or eligible securities on short notice; (3) Some or all of your securities may be sold without prior notice in order to maintain account equity at required maintenance levels. You will not be entitled to choose the securities that will be sold. These actions may interrupt your long-term investment strategy and may result in adverse tax consequences or in additional fees being assessed; (4) Morgan Stanley Bank, N.A., Morgan Stanley Private Bank, National Association or Morgan Stanley Smith Barney LLC (collectively referred to as “Morgan Stanley”) reserves the right not to fund any advance request due to insufficient collateral or for any other reason except for any portion of a securities based loan that is identified as a committed facility; (5) Morgan Stanley reserves the right to increase your collateral maintenance requirements at any time without notice; and (6) Morgan Stanley reserves the right to call securities based loans at any time and for any reason.

With the exception of a margin loan, the proceeds from securities based loan products may not be used to purchase, trade or carry margin stock (or securities, with respect to Express CreditLine); repay margin debt that was used to purchase, trade or carry margin stock (or securities, with respect to Express CreditLine); and cannot be deposited into a Morgan Stanley Smith Barney LLC or other brokerage account.

To be eligible for a securities based loan, a client must have a brokerage account at Morgan Stanley Smith Barney LLC that contains eligible securities, which shall serve as collateral for the securities based loan.

Morgan Stanley Smith Barney LLC is a registered Broker/Dealer, Member SIPC, and not a bank. Where appropriate, Morgan Stanley Smith Barney LLC has entered into arrangements with banks and other third parties to assist in offering certain banking-related products and services.

Investment, insurance and annuity products offered through Morgan Stanley Smith Barney LLC are: NOT FDIC INSURED | MAY LOSE VALUE | NOT BANK

• We offer skilled nursing services, therapy and rehabilitation for recovery following surgery, an injury or illness.

• Our team can help you evaluate your care needs.

• We are Medicare and Medicaid certified and accept most other commercial insurances.

• Long-term care and respite care are also available.

GUARANTEED | NOT A BANK DEPOSIT | NOT INSURED BY ANY FEDERAL GOVERNMENT AGENCY Insurance products are offered in conjunction with Morgan Stanley Smith Barney LLC’s licensed insurance agency affiliates.

Since long-term care insurance is medically underwritten, you should not cancel your current policy until your new policy is in force. A change to your current policy may incur charges, fees and costs. A new policy may require a medical exam.

Actual premiums may vary from any initial quotation.

Variable annuities are offered in conjunction with Morgan Stanley Smith Barney LLC’s licensed insurance agency affiliates.

A variable annuity is a long-term investment designed for retirement purposes and may be subject to market fluctuations, investment risk and possible loss of principal.

All guarantees, including optional benefits, are based on the financial strength and claims-paying ability of the issuing insurance company and do not apply to the underlying investment options.

Variable annuities are sold by prospectus only. The prospectus contains the investment objectives, risks, fees, charges and expenses, and other information regarding the variable annuity contract and the underlying investments, which should be considered carefully before investing. Prospectuses for both the variable annuity contract and the underlying investments are available from your Financial Advisor.

Please read the prospectus carefully before investing.

Article by Morgan Stanley and provided courtesy of Morgan Stanley Financial Advisor.

By providing this third party publication, we are not implying an affiliation, sponsorship, endorsement, approval, investigation, verification or monitoring by Morgan Stanley of any information contained in the publication.

Scott D. Brown may only transact business, follow-up with individualized responses, or render personalized investment advice for compensation, in states where he is registered or excluded or exempted from registration, https://fa.morganstanley. com/theauroragroup/index.htm http://brokercheck.finra.org/Search/Search.aspx].

This material does not provide individually tailored investment advice. It has been prepared without regard to the individual financial circumstances and objectives of persons who receive it. The strategies and/or investments discussed in this material may not be suitable for all investors. Morgan Stanley Wealth Management recommends that investors independently evaluate particular investments and strategies, and encourages investors to seek the advice of a Financial Advisor. The appropriateness of a particular investment or strategy will depend on an investor’s individual circumstances and objectives.

Morgan Stanley offers a wide array of brokerage and advisory services to its clients, each of which may create a different type of relationship with different obligations to you. Please consult with your Financial Advisor to understand these differences.

Morgan Stanley Smith Barney LLC is a registered Broker/Dealer, Member SIPC, and not a bank. Where appropriate, Morgan Stanley Smith Barney LLC has entered into arrangements with banks and other third parties to assist in offering certain banking related products and services.

Morgan Stanley Smith Barney LLC (“Morgan Stanley”), its affiliates and Morgan Stanley Financial Advisors and Private Wealth Advisors do not provide tax or legal advice. Clients should consult their tax advisor for matters involving taxation and tax planning and their attorney for matters involving trust and estate planning, charitable giving, philanthropic planning and other legal matters. © 2017 Morgan Stanley Smith Barney LLC. Member SIPC. CRC 1927868 11/17

Rosary Care Center welcomes all in a warm, caring environment.

Call for a tour today. 419.824.3600 jphillips@rosarycare.org

6832 Convent Blvd. • Sylvania, Ohio

A Sylvania Franciscan ministry

Q

: Why does a unilateral hearing loss cause my child to have problems if they hear normally from the other ear?

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A

: Since infant hearing screenings have become more common, hearing loss is being identified very early on. Out of every 1,000 births, two babies are identified with a hearing loss in one ear. The child may demonstrate difficulties, and it becomes a concern for parents and teachers alike.

Hearing—and understanding what is heard—in noise is harder because the ambient noise masks the clarity of the speech sounds. As we all know, language development occurs early on and children will repeat what they hear whether they hear it clearly or not. With the presence of a hearing loss, speech is not heard clearly, which makes it harder to develop clear speech. Auditory signals are a challenge when the voice is soft or deep, making it a task for the child to hear and understand speech.

Let us not forget the importance of localizing sounds. Try plugging

one of your ears and closing your eyes. Can you identify where sound is coming from? Now think of a child in a typical classroom, which is usually not quiet, and how frustrating it is trying to identify where sound is coming from because they don’t hear the same in both ears. It’s important to make listening easier by moving away from noises, positioning the normal-hearing ear toward the sound source, and minimizing the distance for them.

It’s also a good recommendation to consult with an audiologist to determine the extent of hearing loss and possible treatment, which may include a hearing aid, surgical intervention, and/or aural rehabilitation.

Keep in mind that the early years are important for speech development, so it’s important to take unilateral hearing loss seriously. ❦ 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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Laurels recreation services promote engagement, connection,and better overall health

I

magine what your life would be like without recreation. Strip away all the hobbies, games, sports, art, music, books, movies, conversations, and other leisure-time activities, and what’s left? Answer that question, and you’ll understand why The Laurels of Toledo places so much importance on offering recreation services to their guests.

Laurels Recreation Services Director Page Rostetter, CTRS, MEd, explains, “My role is providing recreation opportunities for our rehab and long-term guests—ranging from independent leisure activities in their own room to large group activities—as well as helping them stay connected to the community.”

Rostetter emphasizes that in a setting like The Laurels, recreation is about much more than keeping guests occupied. In fact, ample research shows that people’s recreational activities are tied in many ways to their self-esteem, sense of connectedness, as well as their cognitive and physical health. “Were a kind of quiet therapy,” she says. “People

don’t realize that recreation can be used as a therapeutic tool, but it can play a critical part in helping our guests regain strength, function, and the highest possible level of independence while maximizing their quality of life.”

The activities Rostetter organizes are highly varied and touch upon a wide range of interests. For example, on the day she was interviewed for this article, she was preparing to lead a group in building gingerbread houses. “Whether this project turns out to be an epic win or an epic fail, it will provide a great opportunity to build positive self-esteem and socialization,” she says.

One of the most popular group activities is the Laurels Auction, which is held once a month. For this activity, Rostetter picks up various items from a dollar store to be auctioned off and allots each participant 20 “auction bucks.” Participating helps strengthen residents’ cognition because math and problem-solving skills must be

12 January 2018 | Healthy Living News

called upon in determining how to bid on items and how to apportion those auction bucks.

Various brain games, trivia, Wheel of Fortune, and news reviews (round-table discussions on current news topics) also help challenge guests’ cognition while encouraging healthy socialization.

Of course, bingo is always a popular draw, as are activities such as ceramics classes, exercise groups, and music of all kinds. “Music is so important as a therapeutic tool, so we

bring in a lot of musicians from around the area, such as country singer Bob Wurst and gospel and Motown performer Reverend William Collier,” says Rostetter.

However, not all activities are appropriate for every Laurels guest.

In some cases, Rostetter deliberately avoids bringing people into certain activities if she knows their limitations will prevent them from participating and they’ll only feel worse as a result.

To help promote engagement and connectedness, The Laurels brings in various volunteers from the community. Among these is a group of students from the University of Toledo Medical Center who are involved in UT’s Geriatrics Club and Newman Club. Rostetter is excited to have college-aged students interacting with residents and notes that these individuals are especially generous with their time.

“We recently hosted a holiday gift

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exchange, and the students set up a tree with our residents’ names and wishes on it. A few of these students have also ‘adopted’ several residents and visit them throughout the school year. This collaboration has been a great community connection for our residents,” she says.

Asked for her best advice on how to stay healthy physically, cognitively, and emotionally, perhaps it’s no surprise that Rostetter replies, “I just tell everybody to keep active, not just

because it’s fun—which it is!—but also because it improves every aspect of our lives. I stay active as well, so I don’t just talk the talk. I walk the walk, too!” ❦ The Laurels of Toledo, located at 1011 Byrne Road, accepts Medicare, Medicaid, and all private commercial insurances.

A physician’s order is required to obtain outpatient services. For more information, call 419-536-7600 or visit www.laurelsoftoledo.com.

BySister Mary Thill

Arm yourselves…with love and mercy No human being should suffer what we suffered.

—­Satsuko Thurlow, Hiroshima survivor

To all those who make unjust use of the weapons of this world, I make this appeal: lay down these instruments of death! Arm yourselves instead with righteousness, with love and mercy, the authentic guarantors of —Pope Francis peace.

I

hope we’ve made it to 2018 as I write this just 11 days into the month of December, 2017. You know from some of my previous articles that hope is my mantra, so I’m just building on that hope as a new year begins. I recently rejoiced when I read that ICAN (International Campaign to Abolish Nuclear Weapons) won the Nobel Peace Prize. I thought, now that’s a step in the right direction as we continue our spiritual journey and pursue healthy living in mind, body, and spirit. If we destroy the world in which we now live, we will not need to be concerned about our health because we will be living in an ice age of sorts. Let’s not go there.

Christians who have just celebrated Christmas, Jews who have recently celebrated Hanukkah, and our Muslim brother and sisters are believers in a God who created this world and everything in it. They believe in a loving God who wants us, commands us, to love God and one another as much as we love ourselves. I guess that’s the key here.

How much do I love myself? How do I show that love? It’s easy to love God I think. God is always there for me if I only look hard enough, especially in the difficult times. The challenge seems to be in the loving

of my neighbor and even in loving myself. You have heard, I’m sure, the saying that, “We are our own worst enemy.” We are very hard on ourselves sometimes, and I think that rubs off on our neighbors. How do we remedy this so it doesn’t end up in domestic violence, gang shootings, acts of war, etc.?

Satsuko Thurlow, a survivor of the bombing in Hiroshima, Japan in WW II, now works with ICAN so others will not suffer as she and her people suffered after such a horrific tragedy.

In November of 2015, Pope Francis appealed, “To all those who make unjust use of the weapons of this world, … to lay down these instruments of death and arm yourselves instead with righteousness, with love and mercy, the authentic guarantors of peace.” In his encyclical, Laudato Si, he reminded us that “We have the freedom, the intelligence and the capacity to guide technology, to limit our power, in the service of peace and true progress.”

I think Pope Francis and Satsuko Thurlow show us the way to love ourselves and one another. They bravely speak truth to power and work to bring about a better world for ourselves and our children and for future generations. There is so much that we can do if we but use our freedom and intelligence in a world in need of love and mercy and peace! Blessings for the New Year! ❦

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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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14 January 2018 | Healthy Living News

S

o you think you don’t have time “I have been doing high-intensity to exercise? Or perhaps you have workout for years at regular gyms, been exercising regularly for years but it is more efficient if you have the but can’t see where you have made correct equipment,” he explained. any progress. Well, how about trying “Don’t let the fact that it is high-insomething new? tensity put you off. It is perfect for The hottest trend in exercise is everyone and all ages, including ‘Type the high-intensity, 30-minute, once- A’ personalities and even pregnant a-week (yes, we said once-a-week) women.” This workout is not only exercise method, often referred to efficient, but also safe because it is as Super Slow Training. Though it totally one-on-one with Wakefield goes contrary to what monitoring and adjusting most of us have heard, your every move. believed, or practiced, it While anyone can fit a is now the most-discussed 30-minute workout into form of exercise, with evtheir schedule, skeptics eryone from celebrities to will ask how it is possiCEO’s and even pregnant ble for this to actually women welcoming the work. There are two main opportunity to free up reasons for the results: their time and still, or Moving slowly keeps even finally, get results. the tension on the workWhat do you have to lose? ing muscle throughout It can be done on your the whole movement. lunch hour, and you don’t Super Slow Training is espe- There is none of that fast even have to change and cially popular among busy momentum that helps women. shower. you work while lifting weights. This is done Super Slow Training seems to be particularly very, very slowly, really popular among women of all kinds— working those muscles. The high from young students to woman in their intensity causes the body to adapt.

90’s. But according to Russ Wakefield, The exercise is a stimulus, and the an experienced personal trainer and body uses seven days to recover, owner of TriggerPoint, “The type producing the desired results. of woman we see most frequently According to Wakefield, any adis one who is very busy with her ditional exercise can prevent the career and family and helps out in body’s building of strength and the community. She does yoga and fat-burning muscle mass. He added knows she needs strength training that lower-intensity activities, such as but believes she doesn’t have the running, stair stepping, and treadmills, time—that is, until one of her friends really don’t burn that many calories tells her about TriggerPoint.” and can cause injuries to the knees A TriggerPoint client named Mary and hips. fits this description perfectly. “I do We had the opportunity to oblow-force, intense exercise at Trig- serve Eric Bueter, a client, during his gerPoint because, as a lawyer, I have workout. Arriving and remaining in limited time but know that I need to street clothes, with fans turned on strengthen my muscles and bones. to keep the room cool, Bueter slowly The workout takes about 20 minutes and efficiently went through his once or twice a week. Even I can make routine under Wakefield’s tutelage time for that. It’s demanding, but they with weights and on the Super Slow supervise you every step of the way. exercise machines before returning to Plus, the amazing technology makes work. Wakefield added that Bueter it easier to focus on the work to be has been working with him for a done. It’s all business. I zip in, they number of years, and during that take me through my paces, and I’m time the weights have been gradually out the door. I can’t recommend it increased under his supervision. ❦ enough!” she said.

If there is a good advertisement for Four free trial sessions are offered. For an this workout, it is Wakefield himself, appointment, call Russ Wakefield at 419who has been an advocate of high-in- 536-0408. TriggerPoint, located at 2449 tensity workouts for over 25 years. N. Reynolds Rd., is also on Facebook.

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Parents: make your home a burn-free zone

Y

oungsters tend to explore their world through touch, which can put them in contact with dangerously hot surfaces. Many parents have learned the hard way that a young child’s impulse to explore combined with relaxed parental vigilance can lead to a painful, or even life-threatening, burn.

Here are some helpful hints that can help parents turn their home into a burn-free zone:

Most importantly, parents should never leave a young child unattended in the bathtub for any length of time.

Make sure you have all necessary bath-time supplies handy ahead of time so you don’t have to step out of the bathroom to retrieve a forgotten item. If you must respond to a ringing telephone or doorbell or any other distraction during bath time, take the child with you.

Prevent bathtub burns

Handle hot beverages with care

The otherwise pleasant, relaxing experience of bath time can take a painful—or even deadly—turn in seconds if a child is accidentally immersed in scalding water. To help prevent hot water burns, set the temperature of your water heater no higher than 120 degrees Fahrenheit.

Also, parents should always test the temperature of the water by touch before placing their child in the bath.

As an additional safeguard, parents should consider installing anti-scald devices on the bathtub faucets and showerhead.

Something as seemingly innocuous as a cup of coffee or tea or a bowl of soup can burn a child severely if hot enough. Avoid preparing, drinking, or carrying a hot beverage while holding a child. Any unexpected movement on the child’s part could cause hot liquid to spill or splash onto his or her skin. When setting down a hot beverage, place it far away from the edge of

the table or countertop. However, do not place it on a tablecloth, placemat, or any other moveable item that the child can reach and pull down.

Practice safe stove use When cooking on the stove with a young child in the home, use only the back burners and always turn the handles of pots and pans away from the front of the stove so he or she can’t reach up and touch a hot burner or pull down a cooking utensil filled with scalding liquid. Of course, cooking food should never be left unattended on the stove. It’s also a good idea to establish a “no-go” zone around the stove—an area surrounding the stove that the child is not allowed to enter. To help delineate this area, tape can be applied to the floor at the desired boundary.

Other heat-producing appliances that could cause burns, such as

space heaters, hot-steam vaporizers, registers, woodstoves, fireplaces, furnaces, and water heaters, should be cordoned/screened off so they are inaccessible, as well.

Unplug that iron!

A hot clothes iron left unattended atop a rickety, top-heavy ironing board is a disaster waiting to happen when young children are in the home.

When not in use, unplug your iron and store it safely out of reach. The same applies to other small appliances that are designed to heat up, such as curling irons and hair straighteners.

Don’t forget matches, lighters, and candles The temptation to play with matches, lighters, and other flame sources is a powerful and perennial one for kids. Keep these items locked away out of reach. If you burn candles, be sure to place them out of reach and extinguish them before leaving the room.

Store chemicals safely Remember, sources of flame and heat aren’t the only potential burn hazards in the home. Many common

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household chemicals—in addition to presenting a poisoning hazard—can cause severe burns if they come into contact with the skin. Be sure to store all chemicals in a locked cabinet out of reach of children.

Don’t think it can’t happen!

Most importantly, never assume your child isn’t curious about the burn hazards in your home. You could find out the hard way that you assumed wrong. ❦

nobody’s perfect

By Sister Karen Zielinski, OSF

“D

I can’t sleep!

ad, is there a disease called bursitis number 9?”

It was about 6:00 am, and he was in the bathroom shaving before going to work. I was five years old and woke up, disturbed about a dream that my dad had a very serious disease by that name. I was upset and wanted to know if my dad was sick with Bursitis Number 9.

“There’s 8 and 10 but no 9,” he replied. My Dad always had a great sense of humor.

I went back to bed, relieved that he did not have the disease, and fell asleep.

When I got up later and ate my breakfast, my mom and brothers stared at me as if I had two heads.

They asked me if I had bursitis. I did not know what they were talking about—I had sleepwalked and did not remember a thing!

I had one or two other sleepwalking experiences later that year and, again, did not remember anything.

Then, I slept without sleepwalking again. I think!

Sleepwalking occurs when there is a dissociation between “body sleep” and “mind sleep.” It is defined as a

parasomnia—an undesired event that occurs during sleep. Sometimes sleepwalking involves just the action of walking for a short period and it is mostly harmless. Other times, however, sleepwalking may involve doing additional actions such as eating, talking, using the bathroom, and even driving. For this reason, it can be dangerous.

These sleepwalking facts will help you better understand this fascinating phenomenon: According to FACTY Health, sleepwalking is more common in childhood than in adulthood.

Children in the age group of 3 to 12 have the highest prevalence of sleepwalking. Up to 16.7% of children in this age group sleepwalk. As people reach teenager-hood and adulthood, they are less likely to sleepwalk. A 1997 sleepwalking study published in The Journal of Neurology consisted of 11,220 subjects aged 33 to 60 years.

The study found that sleepwalking had occurred in 3.9% of adult men and 3.1% of women. Also found was that those who reported sleepwalking in childhood were more likely to

16 January 2018 | Healthy Living News

sleepwalk during adulthood. Adult men sleepwalkers had an 88.9% positive history of sleepwalking in childhood, and in women, 84.5%.

Nowadays, I usually wake up once a night to take a pill or visit the bathroom. I usually can fall back to sleep, but sometimes I am up for hours. I spoke with my doctor, and it seems medications or stress keeps me awake.

I am not alone in having trouble sleeping. Millions of people do not get a good night’s sleep for a number of reasons. Just looking at the overthe-counter variety of sleep-helping pills can attest to that fact. Sometimes medications can interrupt our sleep patterns. Others might be anxious about problems or stresses in their daily lives. Sleep problems might occur for a short period of time—while we are dealing with a specific problem or adjusting to new surroundings, etc.

Sleep is a critical part of our overall health, far better than any pill we can take to cure whatever ails us. The fact is, everyone experiences occasional sleep problems, but getting a good night’s sleep is essential for feeling refreshed and alert during the day.

Lack of sleep might make you feel foggy and unable to concentrate, or just a lesser version of your normal self. Sleep problems will eventually disrupt your work, family, and personal relationships.

Sleep is not merely a “time out” from our busy routines; it is essential for good health, mental and emotional functioning, and safety. For instance, researchers have found that people with chronic insomnia are more likely than others to develop several kinds of psychiatric problems and are likely to make greater use of healthcare services.

Insomnia can mean trouble falling asleep, trouble staying asleep, or waking too early in the morning.

It’s not a matter of how long you sleep (not everyone needs the same amount) but whether you feel rested when you awake. Sometimes an underlying health problem can keep you awake, or a mental health problem. It also can be the result of loud noises, an uncomfortable mattress, or a snoring spouse.

The National Sleep Foundation, whose motto is, “Waking America to the Importance of Sleep,” reports that when we sleep well, we wake up feeling refreshed and alert for

our daily activities. Sleep affects how we look, feel, and perform on a daily basis, and can have a major impact on our overall quality of life.

To get the most out of our sleep, both quantity and quality are important. Teens need at least 8½ hours— and on average 9½ hours—a night of uninterrupted sleep to leave their bodies and minds rejuvenated for the next day. If sleep is cut short, the body does not have time to complete all of the phases needed for muscle repair, memory consolidation, and release of hormones regulating growth and appetite. Then we wake up less prepared to concentrate, make decisions, or engage fully in school and social activities.

Many organizations offer tips for getting better sleep. Having a routine like going to bed at a regular time and limiting or eliminating naps is a good start. Before going to bed, try a restful routine like taking a warm shower, praying, or getting a massage or back rub. Keep your bedroom a peaceful sanctuary. Avoid harsh lights and keep the temperature in your bedroom cool. Play a relaxing CD. Some people use “white noise” machines that can be restful. Aromatherapy works for some people, and the use of a tart burner or oil diffuser is a great way to get those calming smells into your room. (It’s also safer than burning a candle when you fall asleep.)

If you have tried improving your sleep and are not successful, ask your physician for help. There are many sleep disorders that might need the help of a physician. These can include the following:

Insomnia Insomnia is itself often a symptom of other problems. Typical patterns of insomnia include the inability to fall asleep or stay asleep at night, waking up earlier than usual, and daytime fatigue. Most people with insomnia do not fall asleep in inappropriate situations, like driving. If this does occur, it may signal that a medical disorder (such as sleep apnea) is the cause of insomnia.

Sleep apnea Excessive daytime sleepiness is the primary symptom of sleep apnea.

Some people will deny sleepiness but feel fatigued. Other symptoms

—Continued on page 44

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The stretching and pressure that occurs may damage the vaginal walls, perineum, and surrounding areas, which can lead to diminished vaginal health.

Breast-feeding—Although the “Breast is Best” when it comes to infant nutrition, breast feeding can temporarily reduce estrogen in the body leading to vaginal dryness and possibly inflammation of the tissue.

Menopause—Whether menopause was a naturally occurring event or induced by having a surgical procedure like a hysterectomy, women of all ages can experience changes in their vaginal lubrication and thinning of the tissue. This can sometimes lead to decreased libido

or painful intercourse.

Chemotherapy—For women who have undergone cancer therapies, decreased estrogen production by the ovaries and decreased estrogen overall can lead to thinning, drying, and inflammation of the vaginal walls. This can make intercourse uncomfortable, painful, or undesirable. For women who are recovering from estrogen-positive breast cancers, traditional estrogen-based therapies are not usually an option.

As women naturally age, complaints of skin quality changes are in all areas of the body, not just in faces and necks. Vaginal dryness, looseness, and laxity are among the most common complaints for women. Not only new moms, but all women want to take charge of their bodies and feel sensual, confident, and physically pleasing in all areas. DiVa™ and DiVa Tyte™ are quick, non-surgical, no-downtime solutions to these feminine intimate challenges. In under 10 minutes, you too can improve your vaginal health.

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Wise words from

OTTERBEIN Do you know your senior living vocabulary?

W

hen you or a loved one develops a need for “extra help” or a move to a senior living community, you will soon discover that there are many options, but to research and choose the best option for you is a confusing task. For those in the business of helping aging adults and their families, the vocabulary of services is part of the language of the senior living culture. For most people needing to access services, the language is foreign and needs defining. Here is a glossary of some of the services available to seniors and their families: Adult day services: Adult day services provide care and supervision to those who need supervision, social support, or assistance with daily activities and who attend the center during the day for a specified number of hours but are not residents of the facility.

Advance directive (living will): A document written when in “good” health that informs an individual’s family and healthcare providers of wishes for extended medical treatment in times of emergency.

Assisted living: Assisted living is for those 55+ who want to live as independently as possible but may desire assistance with some of the activities of daily living, such as laundry, housekeeping, bathing, dressing, transferring/walking, or medication management.

Home health: Home health provides therapy and skilled nursing services to homebound patients during an illness or injury. Home health care is paid for by Medicare, Medicaid, and most private insurances and will usually only pay for services while the homebound patient recovers.

After recovery, for most people, continued help in the home will become

private pay.

Hospice care: Hospice is a type of care for those with life-limiting illness.

Hospice care takes place wherever an individual calls home and is provided by a team that includes physicians, nurses, chaplains, social workers, nurse assistants, and volunteers.

Hospice is a Medicare benefit and is also covered by Medicaid and most private insurances.

Independent living: A community designed exclusively for seniors (usually defined as persons over age 55), in which the resident does not need daily assistance with medical or personal care but enjoys social engagement and activity with peers.

Medicaid: A jointly funded medical financial federal/state health insurance assistance program, offering benefits to individuals with limited financial resources, the disabled, and the elderly. There are income eligibility criteria that must be met to qualify for Medicaid. A person must have exhausted nearly all assets and be

in a skilled nursing facility to participate in this program. Medicaid can reimburse skilled nursing facilities for the long-term care of qualifying seniors, and in some states, Medicaid pays for assisted living through Medicaid waivers.

Medicare: Nationwide medical insurance program administered by the Social Security Administration for individuals 65 and over and certain disabled people, regardless of income.

Provides for hospital and nursing facility care (Part A) and physician services, therapies, and home health care (Part B).

Medicare Part A: Helps pay for care in a hospital or skilled nursing facility, home healthcare, and hospice care.

Medicare Part B: Helps pay for doctors, outpatient hospital care, and other medical services not requiring hospitalization.

Memory care: Memory care offers specialized care for individuals with memory impairments, such

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19

as Alzheimer’s and other forms of dementia.

Occupational therapy: Occupational therapists show individuals how to achieve their maximum level of ability to perform daily activities, such as bathing, dressing, and basic housekeeping chores, to regain their highest level of independence possible.

Physical therapy: Physical therapy focuses on exercise techniques as well as strengthening and pain relief. The goal of PT is to make activity easier, including walking, going upstairs, getting in and out of bed, etc.

Respite care: Respite care provides temporary relief for caregivers, ranging from several hours to days.

May be provided in-home or in a residential care setting such as an assisted living community or skilled

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ost people are aware of the importance of protecting their skin from the sun’s harmful rays when heading for the beach or taking part in other outdoor activities in the summer months. But Mercy Health dermatologist Krishna Mutgi, MD, reminds Healthy Living News readers that skin damage from sun exposure is not strictly a summertime phenomenon. Rather, it’s a year-round concern—even in winter and on cloudy or overcast days.

He explains, “In winter, we tend to be more bundled up, so you may not need sunscreen on as many parts of the body as you do in summer. Nonetheless, you still need to protect any exposed areas with SPF 30 or better when spending time outdoors. Also, keep in mind that it’s not sufficient to apply sunscreen once in the morning and then forget about it.

Even the best sunscreen needs to be reapplied every three hours.”

Dr. Mutgi notes that sun damage raises several concerns. The one that tends to bother people most is the appearance of dark spots or wrinkles on the skin, especially the face.

But these symptoms of chronic sun damage could foreshadow the future development of something much more concerning—skin cancer. “In SPF

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Speech therapy: Speech therapy helps individuals improve any impaired speech functions and regain their communication skills. Qualified therapists also complete an assessment and provide treatment for swallowing.

Skilled nursing: Skilled nursing provides round-the clock assistance and medical attention on either a long-term or short-term basis.

Transitional care: Transitional care is for those who need to regain strength and independence after surgery, injury, or illness and are in transition from home or hospital. May include physical therapy, speech therapy, and/or occupational therapy. ❦

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fact, the risk of all forms of skin cancer is made worse by sun exposure,” he says. “With the non-melanoma skin cancers, which include basal cell and squamous cell carcinoma, there is a 100 percent relationship with sun exposure, while melanoma risk is associated with a combination of sun exposure and genetics.”

In addition to measures such as sunscreen use and wearing sun-protective clothing, a key aspect of skin cancer prevention or early detection is getting routine medical checkups that involve examination of the skin.

According to Dr. Mutgi, individuals who have a significant amount of sun damage or a history of tanning bed use should see a dermatologist every one to two years, and anyone with a prior skin cancer should be seen every six to 12 months.

Those with no significant sun damage should have a primary care physician examine their skin on an annual basis.

Seeing a dermatologist preventatively is advantageous from more than one standpoint. “What a dermatologist can do is two-fold,” says Dr. Mutgi. “One is providing education on the proper use of sunscreen and the types of clothing that provide effective sun protection. The other is performing a baseline exam to

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determine how much sun damage patients already have, how much sun exposure they’re currently subjected to, and whether anything on their skin looks concerning.”

Dr. Mutgi also advises people to check their own skin routinely for changes or growths that might warrant closer scrutiny. “For example, squamous cell and basal cell carcinomas typically appear as a pimple- or bug-bite-like growth that doesn’t heal.

If you notice this on your skin and it persists longer than four to six weeks in the same location, it’s important to get it checked out,” he states.

With respect to melanoma, the best way to assess whether a mole or growth warrants a visit to the dermatologist is to apply the mnemonic “ABCDE.” This acronym stands for:

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Asymmetry: If you were to draw a line through the center of the growth, one side would look different from the other side.

Border: The margin of the growth is irregular, jagged, or scalloped rather than circular.

Color: The mole or growth is not uniformly colored throughout or

differs in color from the rest of the moles on your body.

Diameter: The growth is larger than the diameter of a pencil eraser.

Evolving: Any rapid change in the growth, such as crusting, bleeding, increased pain, or color change.

Perhaps most important, don’t assume skin cancer can’t happen to you. Dr. Mutgi observes that many of his clinic patients hold the mistaken belief that they can’t get skin cancer because they’ve never experienced sunburn. “It’s not just sunburn that increases skin cancer risk. Tanning to any degree is a form of sun damage that can have a cumulative effect and ultimately lead to skin cancer,” he cautions. ❦ Dr. Krishna Mutgi of Mercy Health – Dermatology is a board-certified adult and pediatric dermatologist who has expertise diagnosing and treating conditions such as genetic skin disorders, skin cancer, and autoimmune skin conditions as well as common dermatological conditions such as acne, eczema, and psoriasis. To make an appointment, call 567-225-3407.

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Leave your winter worries behind Special winter short-term stays at St. Clare Commons

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Leave your winter worries behind at

St. Clare Commons Short-term Our new short-term accommodation program is the perfect opportunity to experience senior living at St. Clare Commons.

Call Diana today at 419.367.7586 to schedule your tour and to learn more.

Space is limited!

winter stays now available!

Assisted Living Memory Care Skilled Nursing 12469 Five Point Road Perrysburg, Ohio

homeishere.org 22 January 2018 | Healthy Living News

Rehabilitation

inter is here. Snow, ice, and cold are here. Now you and/ or your loved one can leave winter worries behind with a new short-stay program at CHI Living Communities St. Clare Commons. Residents can relax by the fireplace, participate in plenty of fun activities, and dine on culinary delights from the St. Clare Commons chef.

“We are offering short-term accommodations to help seniors through the winter months and help ease both theirs and their families’ minds,” said Diana Kobylak, Marketing Director for St. Clare Commons.

“So often adult children worry when their loved one is alone or driving in winter weather. Now with our new shortterm accommodation program, it is the perfect opportunity to try senior living at St. Clare Commons and take full advantage of all the services and amenities we have to offer. You

have the additional support you may need during our cold northwest Ohio months until you are ready to return to your home in the spring,” she explained.

Adult children need to be vigilant and consider options for their beloved parent, particularly in the cold winter months when weather can be bad for driving and often keeps seniors isolated.

“Senior living is the perfect alternative for seniors who don’t want the hassles of winter weather. Senior living can offer a balance between compassionate care and the maximum freedom possible, all within the safety of our campus.

Plus, senior living with its multiple activities keeps seniors active and connected with others their age for fun and companionship during the long winter months that can be a lonely time,” explained Kobylak.

“That’s why many move into se-

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I Choose to Manage Pain at The Toledo Clinic

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nior living communities. It provides them a multitude of opportunities to be involved and stay active. Often, winter weather and its isolation can lead to loneliness and depression. At St. Clare Commons, we help people cultivate new friendships that keep them vital, connected, and creatively stimulated. Sons and daughters have told me they can’t believe the positive attitude change they have seen in an aging parent,” she added.

Chef-prepared meals, organized activities, exercise classes, a pastoral care program with spiritual enrichment, and much more can make you or your loved one feel that home is

truly here at St. Clare Commons with plenty of opportunities to connect and make new friends during the cold winter months.

St. Clare Commons has special short-term accommodations for the winter months but only a limited number of apartments are available for this promotion. Come tour our convenient location at 12469 Five Point Road, located just minutes down the road from Levis Commons in Perrysburg, and have lunch to learn more. Let us worry about the snow, ice, and cold. Call Diana Kobylak at 419-367-7586. She is there to assist you. Or go to homeishere.org. ❦

Stay on your feet

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rips, tumbles, slips, or stumbles— any kind of fall can hurt your health in many ways. While falls are more likely to occur as we get older, they don’t have to be part of the aging process. There are numerous steps you can take to prevent them.

It’s true that one out of four older people fall each year and less than half of them tell their doctor, who really needs to know!

According to the Centers for Disease Control and Prevention (CDC), over 800,000 patients a year are hospitalized due to an injury from a fall. Plus, on the list of the top three things that impact a senior’s health, barring any acute illness, falls are number one, followed by urinary incontinence and lack of physical activity.

Don’t become a statistic All of those falls are not due to aging itself, but to lack of preparation.

If you understand how to manage your risk factors, you can live a full and active life and reduce the fear of falling. For example, you need to be aware of your health issues and know the potential side effects of any medication you are taking. By knowing your limits and taking the proper precautions, you’re more likely to stay on your feet.

Fall-proof your home First, when you wake up in the morning, don’t get out of bed too quickly. Lay there for a minute and give your body time to adjust. Then sit up slowly and wait 30 seconds to a minute before standing. If you have rugs in your home, put stabi-

24 January 2018 | Healthy Living News

lizers underneath them. Loose rugs can easily trip you. Make sure you have enough lighting everywhere, especially in hallways and on staircases. Always use the hand railings on stairways and install grab bars in your bathroom.

Be careful outdoors When you go outside during the winter months, make sure your sidewalks and driveway are clear of snow and ice. Wear shoes or boots that have good traction. To minimize the risk of falling on snow and ice, take shorter strides, bend your knees a bit, and turn your feet slightly out as you step. It’s a good idea to take a flashlight with you when you’re walking or in the car since it can get dark so early. Carrying a cell phone is also a good safeguard.

Find the right balance One of the most important things you can do is actively work on improving your balance. If you want to join a group class, there are a few community-based programs that may be available in your area. One is Tai Chi, which can really help better your balance. Another is a program called “A Matter of Balance.” Both of these not only make you more aware of your balance, but they also provide help in stabilizing your stance.

Taking these precautions and working to improve your balance can help prevent you from falling and suffering a serious injury. ❦ Dr. Tere Koenig is Chief Medical Officer for Medical Mutual.

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SunSet RetiRement CommunitieS w w w. s u n s e t - C o m m u n i t i e s . o r g 26 January 2018 | Healthy Living News

Sunset’s timely tips for keeping seniors active and engaged in wintertime

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inter in Northwest Ohio can be tough on area residents of all ages. With snowy and icy conditions compromising roadways, rendering sidewalks treacherous or impassable, and forcing us to spend most of our time cooped up indoors, it’s all too common for “cabin fever” to set in as we clench our teeth and await spring’s return. However, wintertime isolation can be much more problematic for seniors than it is for people in other age groups.

According to Gayle Young, Director of Marketing, Communication, and Public Relations for Sunset Retirement Communities, “Social isolation, which tends to get worse in winter due to the often inclement weather, puts seniors at increased risk for a wide range of physical, emotional, and mental health issues, such as debilitating falls, malnutrition, anxiety and depression, cognitive decline, dementia, and even mortality.”

To ensure the senior loved ones in our lives stay active and socially engaged throughout the long winter months, Young offers the following suggestions:

Make time for meaningful visits

Time spent with senior loved ones is all too often limited to quick inand-out visits to ensure their basic medical and housekeeping needs are met—stopping by to set up their medications for the week, making sure the garbage cans get to the street on time, scooping the kitty litter, etc. In addition to assisting in this fashion, it’s important to make time on a regular basis to sit down with your senior loved one for meaningful conversation and interaction. “It can be a tremendous comfort and benefit to seniors knowing they have someone with whom they can spend quality time and share thoughts, hopes, and concerns, rather than someone who just dashes in to attend to chores,” says Young.

Promote peer connections

Just as important for seniors is interacting with their age-group peers who likely share similar interests and cultural/historical reference points.

Area senior centers, senior communities, and church groups offer ample opportunities for seniors to connect with their peers while participating

in a wide range of social activities.

Take advantage of them!

Facilitate transportation

Many seniors either have functional limitations that prevent them from driving or are simply uncomfortable with the idea of driving in wintry conditions. As a result, their freedom to leave home and socialize or join in activities is significantly limited.

Keeping seniors connected can be a simple matter of offering the occasional ride in your vehicle or, if you can’t be there, helping them arrange public transportation or shuttle services to social activities.

Address health barriers to socialization

Among the biggest obstacles to socialization for seniors are health issues that either limit their enjoyment of social activities, such as hearing or vision impairment, or cause them to feel anxious or embarrassed about leaving home and spending time in the company of others, such as incontinence issues. “Ensuring seniors get the proper health care and support they need to address these issues can go a long way toward keeping them engaged and preventing isolation,” Young states.

Encourage hobbies and pastimes

Arts and crafts, jigsaw or crossword puzzles, board games, book reading, cooking, learning to play a musical instrument, and knitting or sewing are just a sampling of healthy hobbies and pastimes that can help keep seniors engaged all winter long.

“To make these activities even more meaningful for your senior loved one, why not join in and share the experience? For example, you could read and discuss the same book, get together for a regular card game or chess match, or team up to take on a different cooking challenge each week,” Young recommends.

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Consider a senior community

Young further notes that one of the best ways for seniors to stay engaged and active—not just in winter but all year round—is to move into a community that’s dedicated to their needs and interests. “Here at Sunset, our residents never have to experience isolation because we have a built-in community and offer a wide variety of activities and amenities that nourish them in body, mind, and spirit,” she says. “In addition, our expansive care continuum includes independent

living, assisted living, memory care, health care, and hospice and palliative care, so residents are never put in the position of having to leave behind their home and supportive community just because their care needs have changed.” ❦ For more information on keeping seniors engaged or any of the services and amenities available at Sunset Retirement Communities, please call 419-536-4645 (Sunset House), 419-724-1200 (Sunset Village), 419-724-1220 (The Woodlands), or 419-386-2686 (Fieldstone Villas).

EATING WELL

by Laurie Syring, RD/LD

Wake up and smell the health benefits of coffee

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t’s no secret that coffee is brewing big sales, with the coffeehouse becoming the trendy new place for meetings, dates, working, and socializing. In the United States, this coffee-brewing boom is driven largely by one particular population: Millennials. That’s right, this oft-maligned demographic born roughly between the years of 1982 and 2004 (the generational demarcation is imprecise) consumes 44% of the coffee in our nation.

Unlike their parents and grandparents, Millennials think nothing of

spending over five dollars for a coffee drink. They also started drinking coffee at a much earlier age than their forebears, and they consume it freely. In a typical day, Millennials can frequent a coffee house upwards

of three times. College campuses are even cashing in on these frequent flyers and giving them quality coffee products.

Turns out those Millennials may be on to something. We’ve long considered coffee a “functional” beverage—it’s something we drink to wake up in the morning, stay awake in the afternoon, and get revved up for sports and other activities that demand our attention or exertion.

But the benefits of drinking coffee may go beyond that.

Harvard researchers have reported in the journal Circulation that drinking between three and five cups of coffee (400mg caffeine) per day could actually lower the risk of mortality. This association has been observed with cardiovascular disease, neurological diseases such as Parkinson’s, type 2 diabetes, and even suicide. (Note: pregnant women should limit their coffee consumption to two cups a day.)

The research was gathered from over 74,000 women in three ongoing large studies, validated over 30 years.

The protective action of coffee was more evident in those drinking up to three cups a day who had never smoked. Benefits were seen in drinkers of both caffeinated and decaffeinated coffee, with both seeming to have a lower risk of cardiovascular disease and type 2 diabetes, suggesting that there are bioactive components in coffee other than caffeine. We do know that brewing whole or ground coffee beans releases the phytochemicals shown in studies to increase antioxidant effects and reduce inflammation and insulin

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response. For neurodegenerative disease, depression, and suicide, caffeine is the most likely the source of benefit according to researchers.

However, for people who don’t drink coffee or don’t like coffee, the evidence is not strong enough to recommend starting a coffee habit.

Given its potential health benefits, coffee is a good substitute for people who drink a lot of sugary sodas or

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other sugar-laden beverages. Ah, but there is a kicker (wait for it!). A lot of those fancy coffee drinks, or “fu fu coffee” as my husband calls them, can be loaded with sugar and saturated fats. All those calories outweigh any benefits you might get from drinking black coffee alone. Using a splash of fat-free milk or artificial sweetener is fine, but that “Caramel Cinnamon Roll” coffee should be treated like a dessert and enjoyed only as an occasional indulgence.

So, can black coffee be a part of a healthy diet? Absolutely! In fact, the

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TIME FOR A CHANGE?

2015 Dietary Guidelines for Americans supports this assertion, reporting that moderate coffee consumption can be included in a healthy dietary pattern. Millennials are certainly willing to pay for the culinary enjoyment, quality, and convenience of coffee today. Perhaps the rest of us could learn a thing or two from this coffee-quaffing generation—giving a whole new meaning to “Wake up and smell the coffee.” ❦

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Go M.A.D. to make a difference in your health and fitness

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pon first seeing the name Go for every age and every fitness level.

M.A.D. Fitness, people might We also provide a Kids Club daycare mistakenly assume that this brand- for children ranging in age from new, locally owned and infant to 11 so parents operated fitness club, with young kids don’t located at 5215 Monroe have to compromise on Street in Toledo, is about fitness,” Reinhardt says. high-intensity workouts Other club amenities and over-the-top physiinclude over 24,000 square cal challenges. However, feet of fitness space; a wide if you ask Go M.A.D. variety of cardio equipFitness founder and ment, machine weights, owner Jason Reinhardt and free weights; over 50 to explain the name, he’ll group fitness classes (free tell you “M.A.D.” is not with membership), such an adjective describing as indoor cycling, yoga, a particular fitness apand Zumba; a dedicated proach or mindset. Rathturf area for functional er, it’s an acronym that and sport-specific training; challenges members to full-service locker rooms Jason Reinhardt “Make A Difference” and with private showers, improve the quality of their lives. lockers, and saunas; a full-service “Nothing makes a difference like smoothie bar with free wi-fi; 12 55health and fitness, and that’s our inch TVs; surround sound; and a daily focus here,” Reinhardt states. state-of-the-art security system.

“In fact, it’s our goal to make health What’s more, every member reand fitness one of the top three pri- ceives one free hour of customized personal training from one of the orities in everyone’s life.”

Reinhardt has been in the fitness club’s nationally certified fitness industry for 20 years and has worked trainers. “Taking advantage of this for different chains all across the free personal training session is a country. Desiring to spend more great way to jumpstart your fitness time with his wife and two sons, he program and make sure your new chose to redirect his energy and pas- workout regimen is both safe and sion into his own business venture. effective,” states Reinhardt.

The result was Go M.A.D. Fitness.

Area seniors will appreciate the “Our first facility was founded five fact that Go M.A.D. Fitness offers years ago in Monroe, Michigan,” he SilverSneakers®, a fitness program recalls. “Then we opened a second for people age 65 and over. Many location in Monroe, another in Milan, insurance providers cover the cost Michigan, and finally, last May, the of SilverSneakers memberships, so club in Toledo. Our goal is to open seniors who qualify to participate can have fun getting fit for free. a new club each year.”

Reinhardt is also strongly comThough other fitness clubs have mitted to making a difference in the occupied the same building, Reinwider community, serving as a board hardt emphasizes that Go M.A.D. member for the United Way and as Fitness is not a franchise. Everything an ambassador for the Chamber of inside this locally owned, locally opCommerce. In addition, he serves erated club—including every piece on the board of the International Health, Racquet & Sportsclub Association (IHRSA), whose primary goal is to promote healthy activity around the world.

What really sets Go M.A.D. Fitness apart are the facility’s services and amenities, all of which were developed with members’ needs foremost in mind. “We’re open 24/7 so our members can come here to work out whenever it’s convenient for their schedule, and we offer something We love feedback. Like us on Facebook. Follow us on Twitter.

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31

of equipment—is brand new and meticulously maintained. He urges Toledo-area residents to stop by and tour the facility to discover for themselves how improved health and fitness can make a difference in their lives. ❦

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Shadow Valley courts 50-and-over clientele with special tennis program

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ith 2018 now underway, it’s time to step up and “put our money where our mouth is” when it comes to all those fitness resolutions we so recently made. For area residents who are 50 years of age or older, those goals may be more attainable than they seem.

Shadow Valley Tennis & Fitness Club currently offers an ideal way for people in this age group to enjoy healthy activity in their 50 and Over Tennis Program.

Offered four days a week at Shadow Valley’s Toledo location, the 50 and Over Tennis Program is open to both men and women, with Women’s Ladder on Mondays, Men’s Ladder on Tuesdays, and Mixed Doubles on Wednesdays and Fridays.

Kari Ewersen, Shadow Valley’s Central Manager, notes that play is completely organized by Shadow Valley staff. Also, the program director does all the scheduling for each player and finds substitutes for those who are unavailable to play. “All you have to do is show up and play three rounds of tennis. We provide the balls, so participants just need to supply their own racquet and wear comfortable clothes conducive to exercise,” she says.

In addition to being a sport that’s easy to learn and fun to play, tennis Answers to crossword from page 28 1

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offers a myriad of health benefits to both body and mind. From a physical standpoint, participants can experience improvement in coordination, agility, balance, and flexibility; strengthening of bone; and reduction in blood pressure and cholesterol levels. It’s also the lowest-impact weight-bearing sport after swimming, which is good for the joints.

Mental benefits can include stress relief as well as improvement in depression, anxiety, and anger. Furthermore, tennis requires tactical thinking, problem solving, and coordination of body parts, which strengthens neural connections and promotes the development of new neurons, thereby improving brain function.

According to Ewersen, playing tennis also burns a respectable number of calories to help participants achieve their weight-management goals. In fact, someone weighing around 150 pounds can burn up to 215 calories in just 30 minutes of doubles play. “We’ve also found that seniors really appreciate the social aspect of tennis. Not only does it get them out of the house, but it also offers an opportunity to develop new friendships that carry on outside our facilities,” she adds.

Though the 50 and Over Tennis Program is oriented toward players at the intermediate level or higher, Ewersen emphasizes that beginners should not let that fact deter them from coming out to try tennis.

Through Shadow Valley’s beginner program, Tennis Made Easy, novice players can develop the skills they need in just six weeks.

A Shadow Valley membership is required to participate in the 50 and Over Tennis Program; however, the costs for membership and court usage are both discounted for program participants. The program membership also entitles participants to member

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rates for all clinics or club activities, charging to a house account, and use of court time at hourly rates.

In addition to being the only club in our area to offer an organized indoor 50 and Over Tennis Program, Shadow Valley offers a fitness center and full-service pro shop at their Maumee location. Plus, during the summer season, program play shifts to the Maumee location’s outdoor facility, which includes Har-Tru clay courts that provide a softer playing surface.

“Tennis is a life-long sport that you can learn at any age, and you only need two to four people to play.

Don’t let inexperience discourage you from participating. Whether you’re a seasoned player or total novice, we have a program for you here at Shadow Valley,” Ewersen says. ❦

Cosmetic procedures

when time is of the essence L

ife’s special events—weddings, class reunions, holiday get-togethers, anniversaries, etc.—have a funny way of sneaking up on us. When we mark an event on the calendar, it seems so far in the future, but before we know it, that red-letter day is right around the corner. If getting ready for a special event involves undergoing a cosmetic procedure so we can look and feel our best, this time crunch can make us think twice about attending.

But according to Dr. Wade Banker of Luxe Laser Vein & Body Center, there’s no need to panic just because

Shadow Valley has locations at 1661 S. Holland Sylvania Rd. in Maumee and 5400 Central Ave. in Toledo. For more information on the 50 and Over Tennis Program, please contact Josie Kimaid at 419-537-0001 or seniortennisdirector@ gmail.com. To inquire about the Tennis Made Easy beginner class, please contact Kari Ewersen at 419-537-0001 or tennischickmvp@aol.com.

time is of the essence. Even if you have a fairly limited timeframe to work with, you still have options for putting your best face forward on event day. To help HLN readers determine which cosmetic procedures can still be performed safely and effectively in the time they have available, Dr. Banker offers the following timeline:

A few weeks from event day At this stage of the game, many people would be inclined to think it’s simply too late to get any type of cosmetic treatment. But Dr. Banker says otherwise. “If you have a relatively short amount of time—say just a few weeks or so—before your special event but still want to look your best, there are still plenty of things we can do,” he remarks. “For example, all of the injectables for addressing lines, wrinkles, hollowness, sagging skin, excessive fullness, or other subtle facial defects can be done with near zero

downtime. These include products such as Botox, Juvederm, Voluma, Volbella, and Vollure.”

Other options Dr. Banker can perform in this timeframe include laser hair removal to eliminate shaving and shave lines, quick laser facials to clear up bacteria and help refresh the skin, as well as quick spider vein treatments to “zap” those problematic veins.

A few months from event day With a few months of recovery time available, all of the previously listed cosmetic options expand to include procedures such as non-invasive CoolSculpting and nearly non-invasive Kybella injections for modest fat removal. Other options two months out include tattoo removal (potentially very important for future brides or grooms), which can be nearly completed in this period, as well VEIN & BODY CENTER as more significant laser correction on the face or body. “A hormone

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replacement or supplementation program to improve mood can also be accomplished on this timeline,” adds Dr. Banker.

Six months from event day At six months out, virtually all cosmetic procedures are on the table, including breast augmentation (Luxe Laser offers state-of-the-art Awake Breast Augmentation), tummy tucks, and very strong laser resurfacing procedures. “You could probably get

by having these procedures done a few months before the event, but six months ensures you have extra time for a safe, complete recovery,” Dr. Banker notes. ❦ For more information on any of these services or procedures, please call Luxe Laser Vein & Body Center at 419-8932775. Consultations are always free.

Additional information is also available at luxe-laser.com.

Safe winter training for a successful spring marathon

T

oledo-area runners who are planning to participate in a marathon this coming spring have a lot of training ahead, much of which will overlap the cold, inclement winter months.

According to Aaron Al-Sorghali, a physical therapist/athletic trainer at UTMC’s Regency Outpatient Rehabilitation and Sports Medicine office, marathon training in winter presents runners with a unique set of challenges. However, they can be overcome with modest planning and preparation.

Al-Sorghali speaks from considerable experience. Not only is he the head cross country coach at St. Francis de Sales High School, but he has also completed the Glass City Marathon four times with finishes in eighth and fifth place. He shares the following advice for safe, effective winter training in advance of a spring marathon:

weather forecast so they know what to expect in terms of air temperature, precipitation, and conditions that affect footing. Keep in mind that wind speed influences how cold the air feels—i.e., the wind-chill factor. A tolerable air temperature can become decidedly intolerable if the wind is really whipping.

Wind direction is another factor that runners should consider in planning their training routes. For instance, if the wind is out of the west, it might be best to head west first so the wind is at your back on the return leg. Or, you could choose a route that follows a weaving pattern to minimize your exposure to headwinds.

“Also, it’s important to stay flexible with your training schedule. If you’re scheduled to run on Saturday but the forecast calls for six inches of snow that day, you might want to flex your training to Friday,” Al-Sorghali says.

Tailor your expectations on that first try

Dress for wintertraining success

If you’re currently preparing for your first marathon, don’t think in terms of finishing with a certain time or in a certain place. Instead, approach it with a mindset of simply finishing the race. “My first marathon was my favorite—and the most enjoyable— because I had no particular expectations going in,” states Al-Sorghali.

When running outdoors in winter, make sure your base layer of clothing is made of a synthetic fabric that wicks moisture away from your skin, such as polyester, while your outermost layer is made of a water-resistant fabric such as Gore-Tex. If it’s necessary to train in the evening after sunset, be sure to wear reflective gear so drivers can easily spot you.

Al-Sorghali also recommends wearing a double layer of gloves—for example, those dollar gloves you can find at store checkouts—so you can remove a layer if your hands get too warm. In addition, he advises runners

Monitor the weather forecast Northwest Ohio winters can dish out a wide variety of weather conditions that impact a runner’s safety while training outdoors. Al-Sorghali urges runners to keep a close eye on the

34 January 2018 | Healthy Living News

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to keep footing in mind when choosing shoes. “You can get a lighter, more responsive shoe, but it will probably slip in snowy conditions, so look for shoes that are specifically designed for winter running,” he says.

Practice nutrition and hydration To complete a 26.2-mile run, you’ll need to replenish both your fuel and your fluids en route, and it takes some practice for every marathon runner to figure out how and when it’s best to achieve this. “The further you get into the race, the more likely you are to run out of your natural energy stores and hit that wall, so you have to determine how you’re going to intake nutrients. Gels are an option, but I tend to do better with just orange slices.

Also, I don’t do well eating on the run, so I found it best to wait until mile 20 to eat.

Every runner is different, so you have to determine what works best for you and practice that in training this winter,” notes Al-Sorghali.

The same applies to drinking water.

Aspiring marathon runners need to determine how and when they’re going to drink along the route and practice using those hydration points.

Winter can present a challenge in this regard because runners may not experience thirst to the same degree in colder weather. However, even in cold weather, once they put their gear on and run for several minutes, they’ll begin to sweat and lose fluids.

“I can almost guarantee that if you don’t practice hydration before the marathon, it will not go well for you on race day,” Al-Sorghali cautions.

Stretch properly Al-Sorghali explains that the viewpoint on proper stretching for runners has evolved in recent years. In the past, the emphasis was on static stretching, which involves isolating a particular muscle or muscle group and holding the stretch for several seconds. However, it’s now understood that static stretching—as well as cold exposure in winter—reduces tension in the muscles that is necessary for efficient running.

So today there’s a growing emphasis on dynamic stretching, which involves movement through a complete range of motion that mimics what the muscles will need to accomplish during the sport or exercise. “Ideally, you should do dynamic stretches before a run and then static stretches to close,” he says.

"Life Changing" Dr. Andrew J. Croak D.O., M.S., F.A.C.O.O.G is a specialist in the field of Urogynecology and Reconstructive Pelvic Surgery and one of Ohio's most experienced physicians in the field of vaginal atrophy and urinary incontinence. He was the first physician to bring Mona Lisa Touch to Northwest Ohio. Dr Croak will lead a free seminar on "Restoring Romance After Menopause" including treatment options such as MonaLisa Touch. Karen Liberi MS, MPT, WCS will also be presenting on demystifying pain with intercourse.

Dr Andrew Croak will be discussing

Local volunteer recognized for extensive service to homebound seniors

H

ow do you measure a year?

“In service to others” is how Freddi Roberson answers this question posed in the song “Seasons of Love” from the musical Rent.

There are 8,760 hours in a year, and Freddi Roberson has contributed more hours of service than that with an astounding 8,950 hours of giving back to homebound older adults and others. This super volunteer and other older adult volunteers were recognized at The Toledo Police Department and Area Office on Aging’s Retired Senior Volunteer Patrol Volunteer Recognition Dinner on December at the Premier Banquet Complex.

The RSVP Patrol Program, which is a joint effort between the Toledo Police Department and the Area Office on Aging of Northwestern Ohio, utilizes volunteers age 55 and better who, after being trained, go and check the well-being of homebound older adults once a

week. They also check the homes of people who are away on vacation, hospitalized, or in rehabilitation.

The RSVP Patrol Program has been operating since September of 2000 and has proven to be very successful, even receiving a national award.

January 18 at 6:00pm St Luke's Hospital Auditorium 5901 Monclova Rd, Maumee, OH 43537 Toledo Police Department officer Kathleen Mohr with Freddi Roberson in 2012 receiving a Medical Mutual Volunteer Award.

RSVP

419-893-7134

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35

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4990 |

Build endurance in a non-linear fashion Even highly experienced runners need to build endurance before attempting a marathon, and this is best achieved in a gradual manner—for example increasing your running distance by around 10 percent each week. However, Al-Sorghali points out that endurance building should not be a linear process, but more like a ladder that you can move up and down. “For example, over a fourweek period, you could increase your weekly volume by 10 percent for the first three weeks, then scale back the fourth week by about 15 to 20 percent of the previous week’s peak volume,” he suggests. “Backing off a little bit in that fourth Homes week gives your body a Lutheran Society is now chance to recover and reduces Genacross Lutheran Servicesyour risk of an overuse injury.”

For more than 150 years, Lutheran Homes Al-Sorghali also advises runners Society has been ready to help when life presents who are training to watch for certain challenges and opportunities.

To better reflect physical thatserve, could the diversesymptoms populations we now we’re signal changing our name toOne Genacross Lutheran is tenpending injury. example Services.

Through our youth services, affordable is a derness in the shin bone, which housing, home health, community services, redandflag for a stress reaction—the state senior living options, we will adapt to meet just prior a stress fracture. the needs of to people in and around northwestBacking offMoving training this circumstance Ohio. forwardin as Genacross Lutheran Services,mean one thing will not change – our deep your doesn’t you’re abandoning commitment to faithfully serving people ofRather, many goal of running a marathon.

it’s giving your body time to recover so you can come back stronger and continue to enjoy the journey. ❦ For more information about physical

A Walk in the Park

by LeMoyne Mercer

This harmless (to people) gopher snake has markings similar to a rattlesnake. This might discourage potential predators such as hawks and owls.

Desert wildlife

L

ast month, discussing the desert in bloom, I suggested that birds and wildlife were subjects for another day. Well, this is the day. It must be conceded that, if you want to see wildlife in huge numbers, you need to head to Yellowstone, not the desert.

Still, there are plenty of interesting animals worthy of your attention. different generations.

Desert wildlife today is sometimes quite similar to its cousins in other parts of the country. Desert pronghorn, mule deer, and bighorn sheep, for example, just tend to be WOLF CREEK CAMPUS smaller than those up in Colorado, (Formerly Lutheran Village at Wolf Creek) Independent Living Wyoming, or Montana where food is GenacrossLutheranServices.org Assisted Living more plentiful. This month many of Independent LivingCare Nursing Care • Respite us are quite aware of what happens Living ShortAssisted Term Rehabilitation Nursing Care • Respite Care when food is plentiful in November Outpatient Therapy Short -Term Rehabilitation and December.

Outpatient Therapy Desert animals have found several ways to adapt to their situation.

Resting during the day, hunting at Independent Living night.

Learning from parents where Assisted Living the waterholes are. Finding ways to Nursing Care • Respite Care Short Term Rehabilitation eat stuff that does not seem edible.

Lutheran Village is Outpatient Therapy Just as some animals hibernate in whole new direction Aa Lutheran whole new direction Village is winter, some desert animals aestivate, inwhole retirement living. retirement living. ain new direction or sleep during summer heat. in retirement living.

Although many animals try to It's aa neighborhood! neighborhood!

It’s avoid people, others take advantage Lutheran Village is

It's a neighborhood!

A community where residents a whole new direction can add life to their years. in retirement living.

A community where residents It's a neighborhood!

Independent available NOW. can add Living lifeCondos to their years.

Call 419-861-5616.

A ofcommunity where residents Lutheran Village at Wolf Creek, a ministry Lutheran Independent Living Condos available NOW. Homes Society in partnership with St. Luke’s Hospital. can add life to their years.

Call 419-861-5616.

Genacross Lutheran Services Wolf Campus Lutheran Village at Creek Wolf Creek, a ministry Independent of Lutheran 2001 Perrysburg-Holland Rd. Living Condos available NOW. Homes Society in partnership Holland with St. Luke’s Hospital.Call 419-861-5616.

2001 Perrysburg Holland, OH 43528Road Village at Wolf Creek, a ministry of Lutheran 2001 Holland, Perrysburg-Holland Ohio 43528Lutheran HomesRd. Society in partnership with St. Luke’s Hospital.

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Holland, OH 435282001 Perrysburg-Holland Rd. 419.861.2233 Holland, OH 43528 www.lhsoh.org 419-861-2233 Desert bighorn sheep can drink enough water For more information, visit 419-861-2233 www.lhsoh.org www.lhsoh.org to go several days without any.

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therapy and sports medicine services available at The University of Toledo Medical Center, call 419-383-2722 or visit uthealth.utoledo.edu/regency/pt.

EQUAL HOUSING OPPORTUNITY

36 January 2018 | Healthy Living News

These javelinas were roughing it, but some have taken to foraging in urban environments.

of the opportunity to freeload. Shirley and I are accustomed to campground beggars—ground squirrels and chipmunks for example—that will hop right up on the picnic table looking to share our meal. Likewise, birds will swoop in looking for crumbs or an unguarded morsel. We have had roadrunners come to beg right at our feet. Beep! Beep! What’s for dinner? The roadrunners’ desert adaptations, besides begging, include long, featherless, scaly legs to better protect them from the heat of the ground.

Even animals that don’t take food directly will take advantage of human populations to supplement their diets in other ways. Coyotes have adapted to widely differing environments all over the country.

They are now found with increasing frequency in urban locations. We talked with a fellow camper near Tucson who complained that her neighbor actually put out food for coyotes the way you might fill a bird feeder. Trouble is, coyotes might not be satisfied with just dog food or cat food and decide that the cat or dog itself would make an even better meal. Last fall, a pack of coyotes was spotted several times in our South Toledo neighborhood. Keep an eye on your small pets, people.

Another urbanized animal in the desert Southwest is the peccary, or javelina. (It looks like a wild pig but technically is not.) Javelinas have also learned to forage in town. They may

not eat dog food, but they are glad to feed in gardens or irrigated lawns the way deer feast on your hostas. We heard a tourist ask a ranger where he could see some javelinas. “Go into Ajo,” said the ranger. “They’re all over the place.”

Still, most desert animals survive by using methods and adaptations that do not involve humans.

Though most owls perch and nest in trees, the burrowing owl lives in a hole in the ground where there is shelter from the heat of the day.

Likewise, packrats have middens, or underground dens, with several chambers and entrances. The midden protects the rat not only from the heat but predators as well. Usually.

One day, Shirley called out to me, “LeMoyne, there’s a snake!”

“Well,” I thought, “of course there is. This is the desert.”

Other campers had heard her and soon a dozen of us gathered to see the gopher snake. Its survival techniques include looking a lot like a rattlesnake except that its head is tubular rather than flattish and triangular. If you get close enough, you can also see that the pupil of its eye is round rather than the oval slit that venomous snakes tend to have. We watched as the gopher snake found a packrat midden under a palo verde tree and entered it. A minute later, the rat popped out of a back door.

We cheered the underdog—or under rat. But the rat went back down the hole. How dumb is that! But, wait.

The rat emerged again a minute later with little rats hanging onto her back.

How heroic is that!

Now, the gopher snake may have been looking for a meal, but it also may have just wanted to get out of the heat. Most cold blooded animals, like snakes and lizards, look for holes and crevices where they can rest during the heat of the day.

That’s why hikers in the desert are

—Continued on page 43

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Mercy Health concierge service lightens the day-to-day load for cancer patients

C

ancer treatment can be a long and arduous journey that demands most of a patient’s physical and emotional energy. Little is left in reserve for tackling all the day-today chores, errands, and obligations that continually crop up. To help ease the daily burden for cancer patients and their families so they can focus on fighting the disease and getting better, Mercy Health has partnered with Best Upon Request to provide concierge services at the Mercy Health Cancer Center.

“Mercy Health is always looking for innovative ways to make life easier for patients, and this new partnership with Best Upon Request reflects that,” states Melissa Rinker, CTR, Manager of Ancillary Services for Mercy Health Oncology. “We’re providing this complimentary service with the goal of relieving patients and their families of all the daily worries and errands that come up while they’re here inside the walls of

Mercy Health Cancer Centers.”

Grocery shopping, filling prescriptions at the pharmacy, picking up dry cleaning, filling the car with gas, and letting the dog out during the day are just a sampling of the services a concierge can provide to ease the burden for patients and their families. However, he or she is unable to transport people or pets due to the potential liability involved.

“Being a concierge is about giving back,” says Best Upon Request concierge Natalie R. Bostelman, who serves the Mercy Health - Perrysburg Cancer Center. “I’ll do everything in my power to lighten the load for patients, families, and even the cancer center staff, and every day is different.

For example, this morning I made a quick McDonald’s run, and later I’ll be picking up some poinsettias and then running a donation to Nightingales Harvest—a local organization dedicated to pro-

viding nutritious food and hygiene products to cancer patients.”

Bostelman has also received her share of unique service requests. The most unusual of these—but also one of the most rewarding—was a request last January from a very fatigued

infusion patient to help take down her Christmas tree. Always eager to help, Bostelman scheduled a day and time to stop by the patient’s home.

On the appointed day, there was a terrible ice storm, so the patient and her husband were amazed that Bostelman actually showed up right on time. “There were a lot of fragile glass ornaments on the tree, and they all belong in certain boxes,” she recalls. “As I carefully took them off the tree, we talked about the significance of each one. I was there about

an hour and a half, and afterward, the patient’s husband wanted to give me a tip. I declined and told him, ‘I’m here at your pleasure.’” To show her gratitude, the patient wrote a beautiful note using both sides of a feedback form, which earned Bostelman a “Take the Cake” award from Best Upon Request.

Finding ways to meet the unique needs and requests of patients, families, and staff demands considerable creativity and flexibility—attributes that Bostelman has in abundance thanks to her background in acting and crafting. She also enjoys the challenge of providing concierge services in different working environments. “For instance, the service needs at the Perrysburg Cancer Center tend to be different from those in other healthcare settings because the patients are here for relatively short periods on an outpatient basis.

So a lot of the requests I get are for food or care and comfort services, such as grabbing a warm blanket or complementary sandwich for them or providing coloring books for their kids,” she says.

Among the unique concierge ser-

Check another to-do off your list It’s time for your mammogram. If you’re over 50*, this 15-minute test could save your life. Our women’s imaging centers use only the highest quality digital mammography, breast ultrasound and breast MRIs to get fast, accurate results.

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37

NEW YEAR,

NEW YOU!

Make your health a habit, not a resolution.

vices that set Mercy Health Cancer Centers apart is holding a special celebration when patients reach the end of treatment. “The end of active treatment is a landmark day for patients, and we celebrate it by giving them a gift bag and encouraging them to ring a full-sized gong, which reverberates through the entire campus. I tell them to ring it as hard as they can, and most of them are happy to comply,” says Bostelman.

Rinker observes that Mercy Health implemented concierge services for cancer patients not for the sake of bolstering the “bottom line,” but

because it’s the right thing to do.

“This program really speaks to Mercy Health’s commitment to providing care that nurtures patients in body, mind, and spirit. Natalie does an absolutely awesome job and we’re extremely grateful to have her here taking the burden off patients and their families and making them feel welcome and comfortable,” she says. ❦ Mercy Health offers comprehensive cancer care throughout the region. To learn more about our services or to schedule an appointment at any of our convenient locations, call 567-368-1500.

by Mark S. Faber, USPTA Elite Professional

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L

ast month I started a three-part series on youth sport development based on three questions that tend to pop up daily in the world of youth sports. Once again, here are the three questions that are being discussed in this series: 1. How should we decide what level of competition/practice is appropriate for a child?

2. Should a child play and focus on only one sport?

3. How much time should a child spend playing to achieve his or her goals?

Last month’s discussion was on the first question. To give a quick review, the key on the practice/competition question was blending, not eliminating. From the practice standpoint, the key point was that kids need to have situations where they battle (being one of the lower-end children) as well as situations where they’re a role model and leader (being one of the top-end children).

From the competition standpoint, the one-third rule was shared. This rule is simple: The child should be the “favorite” in one-third of the competitions, have a 50/50 chance of winning in one-third, and be the underdog in one-third. Once again, by creating these blends, a child is learning to deal with all the issues that come with their sport that could affect their overall performance.

We will now venture into the

38 January 2018 | Healthy Living News

second question—whether a child should play and focus on only one sport. At issue is the misconception that if a child specializes in a sport at a young age, then he or she has an advantage over someone that does not. I would be lying if I said that I have never seen a child at a young age specialize and succeed at a high level.

However, I would also be lying if I said I did not see a greater number of athletes achieve success by becoming better athletes first.

The first point I’d like to make is that the more athletic kids are, the better they will become in many sports as they get older. No single sport develops a child in all athletic skills. So, the greater the base of athletic skill development, the better the athlete will be able to perform. This is something that I have learned over the years, having the opportunity to see children grow and develop into great athletes in a variety of sports, and something that is very important for all parents to understand.

Coaches and clubs all seem to want kids to focus strictly on their sport and tell parents daily that their child needs to play that sport and only that sport to be the best. As someone who used to be that coach, I can assure you that is not the case.

We should encourage multiple sport participation to allow children to develop fully as athletes. Once again, the better they are athletically, the better they will become in whatever

sport they choose.

Now for the meat and potatoes of this month’s article: Although this information is based on a young child in the tennis world and the windows of growth and development, I have personally discovered that it applies to many, many sports. Below are the percentages based on age for play in a specific sport (in this case tennis), play in other sports, and other developmental work based on 100%.

• Ages 7-10: 30% tennis, 30% other sports, 25% coordination, 10% speed, and 5% flexibility.

• Ages 11-13: 50% tennis, 10% other sports, 10% in each coordination, speed, flexibility, and endurance.

• Ages 14-16: 60% tennis, 12% speed, 12% strength, 10% endurance, and 5% flexibility.

Now you can see that as a child gets older, the stronger the focus on a single sport becomes, and as I mentioned, it is based on the true windows of growth and development.

Those crucial windows of athletic development include: • Ages 7-10: excellent window for coordination, balance, agility, running, jumping, sliding, gliding, motor control, motor learning, and speed of reaction development.

• Ages 11-13: excellent window for motor control, speed of reaction, rhythm, spatial awareness, endurance, and strength development.

• Ages 14-17: excellent window for rhythm, strength, endurance, and speed development.

As you can see, it is very important to address all areas of a child’s development, not just the sport. If a child is developed athletically, he or she will be better in any sport later down the road, and all the above shows why each window is important in overall development. Many sports are early introduction and late specialization sports. Coach and or clubs that truly understand this are the ones that really want to help your child develop and become the best he or she can be in the long run.

In closing, I would like to wish all of you and your families the happiest of New Years, and I look forward to sharing the third part of this series with you in February. ❦

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A

How to prepare for the healthiest possible pregnancy

healthy pregnancy isn’t just about and alcohol or drug use. Prenatal the lifestyle decisions women vitamins, especially folic acid, are make after they see a positive result on recommended as well. However, a pregnancy test. In fact, according to as Dr. Denny points out, it’s too late ProMedica obstetrician/gynecologist for women to begin taking folic acid Brittany Denny, DO, planning and once they learn they’re pregnant preparing for a healthy pregnan- because the baby’s neural tube is cy should begin well in advance of already formed at that time. conception.

Being overweight or obese is yet Dr. Denny explains that the more another factor women should adwomen do for the sake of preventive dress prior to conception in order health and their own general wellness to promote the healthiest possible before they get pregnant, the greater pregnancy. Obesity can affect ferthe likelihood of having tility, potentially making it a healthy pregnancy and more difficult to conceive. baby—and the sooner Furthermore, it puts the they get started on that woman at greater risk of path, the better. “Idealdeveloping diabetes or high ly, women should come blood pressure during pregnancy, and increases the risk to see us a year prior to conception so we can help of neural tube defects and get them where they need cardiovascular anomalies in to be by the time they get the developing baby. pregnant,” she says.

What about rigorous Perhaps not surprising, exercise regimens? Is it safe Dr. Brittany Denny a major aspect of preparing for women to continue them the body for a healthy pregnancy is into pregnancy? “If you were doing an getting regular exercise and prop- exercise regimen before, the general er nutrition, as well as cutting out recommendation is to keep doing it UTMC habits 1247_2 CONFIDENT_HLN_HalfPg.pdf 3/17/17 pregnancy.

11:52 AM unhealthy such as smoking 1 during Obvious exceptions

CONFIDENT my doctor is in tune with my needs.

would be contact sports or taking up something like scuba diving while pregnant. If you have any questions about whether a regimen is safe or not, be sure to discuss them with your doctor,” says. Dr. Denny.

In addition to adopting healthier lifestyle habits, it’s important for women to work with their doctor to stabilize any chronic conditions they may have, such as diabetes, high blood pressure, or hyperthyroidism, all of which can make a pregnancy high-risk, and to make sure they’re caught up on any routine screenings and vaccinations, Dr. Denny advises.

She further notes that certain vaccinations are not safe during pregnancy and should, therefore, be caught up prior to conception.

Among these are human papillomavirus (HPV); measles, mumps, and rubella (MMR); and chicken pox (varicella). On the other hand, the influenza and tetanus, diphtheria, and pertussis (Tdap) vaccines are safe to get while pregnant.

An often overlooked aspect of healthy pregnancy planning is the timing of pregnancies. “Women

commonly plan how many babies they want to have but don’t give much thought to the spacing of their pregnancies. This is an important consideration because the risk of health problems increases when pregnancies are spaced closer than 18 months apart,” states Dr. Denny.

Though their role is minimal in preparing for a healthy pregnancy, men, too, have a part to play. For instance, by avoiding smoking and alcohol or drug use—lifestyle habits known to lower sperm count—men can increase the likelihood of successful conception. Of course, avoiding smoking is also essential after the baby is born. “In households where someone smokes, there is a risk of sudden infant death. Even if you smoke outside and wash your hands and change your clothes afterward, you still carry harmful chemicals and fumes on your body. So there’s no safe way to smoke around a pregnant woman or baby,” Dr. Denny says.

Also, men and women alike should be aware of any family history of genetic disorders, such as cystic fibrosis, so any risk to the developing baby

Advanced care and healing close to home.

We’re here for you. And we are an integral part of this community. The University of Toledo Medical Center offers best in class specialties, better outcomes, and expert physicians, nurses and medical technicians in a superior continuum of care that’s close to home and dedicated to the area’s health and healing.

• Served more than 300,000 people last year alone • Recognized by Consumer Reports among the top academic hospitals in preventing bloodstream infections* • Continuing to provide outstanding medical education, teaching and research • Keeping you at the center of all we do

We’re strong. We’re committed.

And we’re confident in the future.

Visit uthealth.utoledo.edu

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39

DO YOU HAVE A CHILD OR LOVED ONE LIVING WITH MENTAL ILLNESS?

can be assessed and treatment can be adjusted accordingly.

Asked to summarize her best advice to women who are currently preparing for pregnancy, Dr. Denny states, “Be the healthiest possible version of yourself. That means getting regular preventive checkups,

leading a healthy lifestyle, getting caught up with your screenings and vaccines, and maintaining a healthy body weight.” ❦ Dr. Denny is currently accepting new patients. To make an appointment, please call 419-824-5608.

Maintaining those New Year's resolutions

by Amanda Manthey

O

The National Alliance on Mental Illness (NAMI) of Greater Toledo is currently accepting registrations for 2018 Spring Classes.

NAMI classes are offered at no cost and taught by trained NAMI members who have lived with similar experiences. The course teaches the knowledge and skills that family members need to cope more effectively.

Education • Emotional Support Self Care • Empowerment

DAY AND EVENING CLASSES AVAILABLE

To register or for more information about location and times of our classes, please call NAMI at 419.243.1119 or visit us at

www.namitoledo.org

40 January 2018 | Healthy Living News

ne month almost down and eleven more to go. Is keeping that New Year’s resolution harder than you thought? If your resolution entailed improving your general health by exercising and you already feel you are on the downhill stretch, follow these easy uplifting tips.

Most of us lose interest in a daily workout because it is too boring, too long, or we are short on time. We all battle the workout blues at one time or another. First, reevaluate your New Year ’s resolution so it is attainable and fits your personal fitness expectation.

Develop three levels of workout routines to maximize your goals, and create an organizational hierarchy based on your abilities. The three levels will be labeled minimal workout, moderate workout, and exceptional workout.

The key ingredient is to listen to your body and do only what you are capable of doing. On the days when your body feels energized and more time is available, your workout can be more intense and longer. On the days when your body is sore and time is limited, your workout can be less intense and shorter.

Rather than saying, “I’ll do it tomorrow,” reduce the workout and use your three-level workout routines as a quick guide. Remember, you do not want to start over. Reducing your workout instead of skipping a workout maintains consistency and continues to build stamina.

Here are a few ideas when time is limited and some form of exercise is better than no exercise: • Reduce your cardio minutes if time is limited, or reduce your resistance or speed if lacking motivation, whether it is on a machine at the gym or running outside.

• When strength training, choose

machines or strengthening exercises that will target two or more muscle groups. This may entail combining two or more exercises into one exercise.

This can be more efficient and less time-consuming if done correctly.

Consistency is the key to a successful New Year ’s resolution. If the workout blues are approaching, re-evaluate your situation and make adjustments to your workout routine.

You might need to alter your longor short-term goals so that they are attainable fitness goals. Remember, don’t give up and keep a consistent workout lifestyle even if it is minimal.

It will leave you feeling great each and every day and one step closer towards accomplishing your New Year’s resolution. ❦ Amanda Manthey is a former collegiate runner for Eastern Michigan University.

She writes about running and fitness for Dave’s Performance Footgear.

Don’t miss Dave’s races!

Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear. For more information on any event, including any applicable fees, please visit davesrunning.com.

Dave’s Spring Marathon In-Training Tuesday, January 2, 2018 to Sunday, April 22, 2018 at 5700 Monroe St. in Sylvania, Ohio.

Dave’s Marathon Training Group gives you the benefit of personal coaching through a training plan designed

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to enable you to achieve your goal.

The Marathon and half-marathon program will begin the first week of January. The Mercy Health Glass City Marathon will be the focus of all the programs offered. Each program will have different pace groups to meet your needs and assigned coaches for each group. Come out and join hundreds of other runners just like you.

Dave’s 10-Miler & 5K Sunday, January 21, 2018, 2:00 p.m.

(10-Mile Early Start at 1:30 p.m.) at 605

Taylor Street in Delta, Ohio. Dave’s 10-Miler was started in 1974 by Dave himself and has happened every year regardless of the unpredictable weather. At the race, we have seen highs of 65 degrees to blizzard conditions and ice on the road, so be sure to dress for the weather. The course starts at Delta High School and loops through the beautiful countryside of Delta, Ohio. After the race, stay and enjoy some hot chicken noodle soup, sandwiches, and the shower facilities. Great training run for spring marathons! ❦

The pros and cons of rechargeable hearing aids

by Dianna Randolph, AuD, CCC-A

I

n the ever-changing world of technology, it is hard to keep up with the latest options. From smart phones to TVs, technology has made our lives easier. The advances in technology are also apparent in hearing aids. Not only has the technology in hearing aids improved tremendously over the past 10 years, but they can now stream wirelessly to a smart phone, turning your hearing aids into your headphones also. The newest advancement in hearing aid technology is the rechargeable battery option. This frees up the hearing aid wearer from having to purchase batteries or having to carry around spare batteries. The typical charge holds for 24 hours, so the battery will not die in the middle of the day. This article will discuss the types of rechargeable batteries that are available and the pros and cons of each type.

There are two types of rechargeable batteries available for hearing aids.

One is the silver-zinc rechargeable, and the other is the lithium-ion rechargeable. Both types of batteries need only one charge per day, but the life of both batteries degrades faster if the hearing aids are streaming audio.

Lithium-ion battery Lithium-ion batteries are used by a few different hearing aid manufacturers, but they work the same in all hearing aids. The lithium-ion battery is in a sealed integrated power pack in the hearing aid. This keeps the battery safe from damage or fire if it is mishandled. We all saw what happened to the Samsung Galaxy

Note 7 when the battery was damaged. The smart phone was recalled and is banned from all airline flights.

Having the battery in a sealed case also means the user cannot change the battery in the hearing aid. If the battery dies mid-day, the device has to be placed on the charger. The battery will last four to five years by the manufacturer. This is considered standard repair and will have the cost of a standard hearing aid repair.

If you stream a lot of audio from your smart device to your hearing aids, your lithium-ion battery will give you shorter battery life (1216 hours instead of 24 hours).

Finally, the lithium-ion batteries are bigger, making the hearing aids bigger.

Lithium-ion batteries are very easy to work with; they simply drop into their chargers. They will hold a charge typically for 24 hours.

of battery is smaller, which means smaller hearing aids. Finally, many manufacturers have made their hearing aids backwards compatible. That means, with just a change of the battery door, your current hearing aid will become rechargeable. Please ask your audiologist if your hearing aid is capable of doing this. Finally, silver-oxide batteries are non-toxic and recyclable.

If you are wondering whether rechargeable batteries are a cost savings to you, it’s a wash. The cost of the recharging unit is about the same as the cost of buying disposable batteries for the lifetime of the hearing aids.

If you do not like to be bothered by changing the batteries in a hearing aid, or you have dexterity or vision issues that make changing a hearing aid battery very difficult, then the rechargeable option could be what you are looking for. They are very easy to use and recharge in as little as a few hours. Currently, only behind-the-ear hearing aids are rechargeable. Any custom product still will use disposable batteries. But as we have seen, technology changes very quickly, so rechargeable custom products may be the next big advancement with hearing aids.

At Northwest Ohio Hearing Clinic, we have fit several rechargeable hearing aids to our patients who request them. We are currently working with manufacturers that use silver-oxide batteries. Each patient has reported long battery life with no problems.

Our patients have liked the ease of charging and the added bonus of not having to purchase or change batteries.

If you are interested in rechargeable hearing aids, we encourage you to contact our office and make an appointment. Our audiologists will discuss the types of rechargeable hearing aids that are offered and recommend a hearing aid that is right for you and your lifestyle. The main goal of hearing aids is better hearing, but if a rechargeable option will encourage you to pursue hearing aids, then it is an added bonus. We are excited to see what comes next for hearing aids as technology keeps changing! ❦ Dianna Randolph, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

Silver-oxide batteries Silver-oxide batteries are the more popular rechargeable batteries available in hearing aids today. They are manufactured with the name ZPower.

Like lithium-ion batteries, they also have a 24-hour life (5 hours of streaming). But unlike a lithium-ion battery, the user can replace the silver-oxide battery with a regular disposable zinc-air hearing aid battery if the charger is not available. Also, the silver-oxide battery is more stable than the lithium-ion type.

The silver-oxide battery will have to be replaced yearly, but this can be done by the user. Also, this type

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41

T

Elizabeth Scott employee shares winning dessert recipe

his holiday season, if you are Brigitte’s recipe with Healthy Living looking to make a different type of News readers, and we hope it brings holiday treat for family and friends, a little enjoyment to them.” why not try a lemon tart? Brigitte Radabaugh, RN, a long-time staff member Brigitte Radabaugh’s at the Elizabeth Scott Community in Lemon Tart Maumee, won the company’s annual pie-baking contest with a lemon tart 1 Tbs. all-purpose flour, plus more for surface recipe. Radabaugh is the Elizabeth 1/2 recipe basic pie dough Scott Community’s Health Services Coordinator for Independent Living 2/3 cup buttermilk 1/2 cup granulated sugar and Assisted Living Level I. “I did a little research on this rec- 2 Tbs. light brown sugar ipe online, but of course I tweaked it 2 large eggs like most bakers do to add my own 2 tsp. finely grated lemon zest personal touch,” says Radabaugh. 1/4 cup lemon juice “I wanted to stay away from doing 2 Tbs. unsalted butter, melted traditional pies for the contest, and 1/8 tsp. kosher salt apparently it paid off. I’m so glad the Confectioners’ sugar, for dusting judges and our residents enjoyed Preheat oven to 350° F. On a floured my lemon tart. It was a lot of fun surface, roll ½ dough recipe to an 11to bake.”

“Each year we hold an annual inch circle. Transfer dough to a 9-inch baking contest for staff, family mem- tart pan with a removable bottom. bers, and volunteers,” says Matt Press dough into corners; fold overBucher, Director of Marketing. “As hang into the pan and press firmly a matter of fact, even our residents get involved in a separate competition among our different levels with assistance from our Activities staff.

Food is such an important part of all of our lives. Meals have always been a great gathering and meeting place for families, especially around 10.25x5_ES_GotYouCovered_FINAL_HL_1017_HI.pdf 1 10/4/17 1:23 PM the holidays. We wanted to share

into the flutes. Freeze 15 minutes.

Line tart pan with parchment paper, leaving an overhang, and fill with dried beans. Bake, on a rimmed baking sheet, until edges are golden brown, 30 to 35 minutes. Remove parchment and beans. Bake until bottom is light golden and dry, 5 to 10 minutes.

Whisk together flour, buttermilk, granulated sugar, light brown sugar, eggs, lemon zest and juice, butter, and salt. Carefully pour into warm tart crust to within 1/4 inch of the top. Bake until filling is set, 50 to 60 minutes. Cool on a rack at least 2 hours. Remove tart ring and dust

with confectioners’ sugar.

❦

The staff at The Elizabeth Scott Community wishes Healthy Living News readers a healthy, safe New Year.

Elizabeth Scott is located at 2720 Albon Road in Maumee. It has been family owned and operated since 1949 and offers independent living, two levels of assisted living, skilled nursing, and skilled rehabilitation. All services are located on a single campus with all facilities connected. For more information, visit www.elizabethscott.org or contact Matt Bucher, Director of Marketing, at 419724-5021 or mbucher@elizabethscott. org.

Acupuncture can help with those pesky resolutions

by Douglas Schwan, DC, Dipl ac

A

cupuncture is a system of medicine that goes back over 2,500 years.

Its essence is that there are flows of energy around the body, termed Qi, which are used by the body to maintain health and homeostasis.

Disruption of these patterns can lead to health problems. Acupuncturists can diagnosis these patterns and stimulate points along their flow in

order to balance the energies and restore health.

Can I stop smoking?

With the coming New Year, many people will make resolutions to start living healthier. Smoking is one health hazard that is easy to recognize.

However, kicking the habit can be devilishly hard. With the cost of

Trying to find the right facility for an aging parent? The family owned Elizabeth Scott Community offers a complete range of care, from Independent & Assisted Living to Skilled Nursing & Rehabilitation. All on a single campus.

So as a loved one’s health needs change, we can offer higher levels of care without the hassles of moving to another facility. Stop in for a tour and find out how we have you covered. Contact Matt Bucher, Director of Marketing, (419) 724-5021 or mbucher@elizabethscott.org.

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We’ve Got You Covered.

Independent & Assisted Living, Skilled Nursing & Rehabilitation.

2720 Albon Road Maumee, OH 43537 www.elizabethscott.org

42 January 2018 | Healthy Living News

©2017 Elizabeth Scott Community

CMY

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cigarettes today, a monthly bill for a one-pack-a-day habit can easily equal a car payment!

Studies have shown that acupuncture stimulates the release of endorphins and other brain chemicals, canceling out cravings and easing the symptoms of nicotine withdrawal.

Acupuncture in the first two weeks of quitting can get you over the “hump” and lead to long-term cessation of a bad, dirty habit.

Can I lose weight?

Of course, smoking is only one New Year’s resolution. Another is to lose weight in the coming months. There are many reasons people become overweight—hormone imbalances, slowed metabolism, overeating, poor nutrition, and lack of exercise are some of the most common. People also have a tendency to “medicate” themselves with food in times of stress. There is also the problem of getting the proper balance of vitamins and minerals in our diet. If some trace nutrient is in short supply, our body might compel us to eat a lot of useless calories in order to get enough of this nutrient. A well-known example of this is food cravings, the body will crave a certain food because it is rich in something the body needs. We see this in pregnancies all the time.

Whatever the cause, weight gain occurs when we take in more calories than we use up. The body’s hunger reflex is controlled by an area in the brain called the hypothalamus and by cells in the gut lining. When the gut is empty, it stimulates the release of the “hunger hormone,” called ghrelin, which stimulates the brain to be “hungry.” Fat cells, in turn, fill up with fat and release another hormone called leptin, termed the “satiation hormone.” Leptin tells the brain you are full and to stop eating.

Research has shown that this simple feedback mechanism can be influenced by specialized acupuncture treatments that can reduce blood levels of the hunger hormone and raise the levels of the satiation hormone. It thus becomes much easier to maintain proper portion control when you are not gluttonously hungry all the time!

Acupuncture for weight loss is usually paired with commonsense steps that help avoid repeating a pattern of poor nutrition that can

seriously impede your journey to a healthier you.

Can I stop hurting?

Pain comes in all shapes and sizes. If pain is cramping your style, a consult for acupuncture may be a good idea in the New Year. Chronic pain can, after a time, reinforce itself as a “pattern” in the brain. Studies have shown that acupuncture treatments are capable of raising the levels of endorphins and enkephalins, which are morphine-like natural painkillers made by the body.

In addition to pain relief, acupuncture treatments can stimulate healing directly in areas of damage.

Many times your doctor will accelerate the energy effect by running a micro current between two acupuncture needles, thereby “turbo boosting” the local energy levels and speeding healing.

E v e n We s t e r n physicians are keen to this trick, as electric currents are used to speed the healing of particularly nasty bone fractures.

One recent research study on pain and acupuncture utilized magnetic resonance imaging (MRI) of the brain. As much as a 70% decrease in activity in the pain center of the brain was recorded after an acupuncture treatment.

Strong pain killers can be addictive as well as lose their effectiveness over time. Acupuncture might be a good adjunct to your pain management.

chemical hormones are released, one each by the hypothalamus, the pituitary gland, and the adrenal gland. In a carefully controlled study of rats, these stress hormones had reduced levels following acupuncture treatment vs. sham and no treatment. Reducing prolonged elevations of this “Terrible Triad” of stress hormones is key to managing long-term stress. In fact, many patients report a feeling of euphoria from their treatment. Many chronic illnesses can be headed off just by reducing your stress levels.

Dr. Schwan is a Doctor of Chiropractic and a Diplomat of the International Academy of Medical Acupuncture. He is an author, lecturer, and one-time stand-up comedian. He has maintained an active practice in Toledo, Ohio for the last 33 years. Dr. Schwan is available to speak to your group on a wide variety of alternative medicine health topics. He may be contacted at Dr_Schwan@acupuncturetoledo.com.

For more information on alternative medicine, please visit his website at www. acupuncturetoledo.com.

Are you considering acupuncture?

If you are interested in starting the New Year right and are firm in your resolutions, you may find that acupuncture is a good, drug-free way to achieve your goal of quitting smoking, losing weight, decreasing pain, or lowering your stress and anxiety.

Most practitioners will allow you to come in for a free consult and talk about how acupuncture might be suited to your particular case.

Together you and your doctor can work out a treatment plan that is tailored to your individual needs. ❦

A Walk in the Park Continued from page 36

routinely warned to be careful about where they put their hands when climbing through rocks.

Rattlesnakes hibernate in the winter because nights can be too cool for them even in the desert. When they emerge from their dens in March, you might expect them to be pretty hungry and go on a feeding frenzy.

Can’t be done though. Consider what would happen if, say, a rattlesnake ate a packrat and then the weather turned cool again and stayed cool for several days. The snake’s metabolism

Are You Suffering?

Try Acupuncture!

AcupuncTure cAn help.

What about stress and anxiety?

• Migraines, Fibromyalgia & Arthritis

Stress is probably the number-one cause of most illness today. It lowers your resistance to disease and can break down the body’s functions over time. Eliminating or minimizing stress should be on top of everyone’s “get healthy” list.

There are many drugs out there to treat stress and anxiety, but they come with many side effects: weight gain, suicidal thoughts, addiction, sexual dysfunction, difficulty focusing, etc.

For thousands of years practitioners have known that acupuncture can relieve or reduce stress and anxiety in patients.

The question has always been, “Just how does acupuncture do this?” A recent study in the Journal of Endocrinology may point the way.

When a body is under stress, three

• Bell’s Palsy, Carpal Tunnel & Sciatica

• Infertility, Menopause & PMS • Pinched Nerve, Allergy & Sinusitis • Smoking, Weight & Stress Control

Better health. naturally.

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

We tried patches, gum and drugs but nothing worked.

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

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

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

Schwan chiropractic & Acupuncture center

Call for your FREE Consultation Today!

2828 W central Ave, Toledo • AcupunctureToledo.com

Covered by VA, BWC, PI Insurance

419-472-7055

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43

would slow way down and that meal would just sit like a lump in its belly and begin to rot like a meal you ate at a greasy spoon. Tums or Rolaids probably wouldn’t be much help even if they could get the package open.

Dinner could be deadly for the snake, so it is genetically programmed to eat only when the season is favorable.

Some desert birds build their nests in places that protect them from slithering predators. Cactus wrens and gila woodpeckers hollow out nests in saguaro cacti. They begin new nests well before eggs are laid because the moist inner trunks of saguaro need time to dry out. Some nests get used for several generations, of course.

Shirley and I kept watch over the nest of the curved-bill thrasher in a cholla cactus. The deep, conical nest was less than five feet off the ground, but it was well back among the thorns and a tangle of prickly branches. Eventually, we could just barely make out three bright blue eggs and then the chicks. Thorns may protect against predators, but there must also be some instinctive mechanism that keeps the young birds from getting stabbed by their

home-security system.

Birds also have the advantage of flight, which not only enables them to escape predators, but also to move to a more favorable location. Soaring birds like the hawks, eagles, and vultures can cool down by riding the thermals to a much higher elevation.

Some birds seek more comfortable environments by migrating. The phainopepla is a small, crested black bird. You would think its color would be a disadvantage because black absorbs heat, but the phainopepla just moves to the northern part of its range in summer. It’s a relatively short migration.

Hummingbirds, on the other hand, may migrate for thousands of miles.

They live on flower nectar, which, obviously, is not available in places like Toledo in January. Hummers associate the color red with food, so we have been buzzed numerous times by birds attracted by the rear brake lights on the RV or plastic beverage cups. When you know the hummingbird is there, it is no big deal. When it suddenly goes BZZZZ right behind your ear, it can be a tad unnerving.

Free seminar January 18: Restoring Romance After Menopause Millions of women experience changes to their vaginal health that affect their personal lives as a consequence. Come to our free seminar to learn more about all of your treatment options, including Mona Lisa Touch, a simple, safe, and clinically proven laser treatment for the painful symptoms of menopause, including dryness and painful intercourse. Dr. Andrew J. Croak, DO, MS, FACOOG, is a specialist in the field of Urogynecology and Reconstructive Pelvic Surgery and one of Ohio’s most experienced physicians in the field of vaginal atrophy and urinary incontinence. He was the first physician to bring Mona Lisa Touch to Northwest Ohio. Dr Croak will lead a free seminar on “Restoring Romance After Menopause,” including treatment options such as MonaLisa Touch. Karen Liberi, MS, MPT, WCS, will also be presenting on demystifying pain with intercourse.

This free seminar will be held on January 18, 2018 at 6:00 p.m. at St Luke’s Hospital auditorium, 5901 Monclova Rd, Maumee, OH 43537.

Couples and friends welcome. Please RSVP to 419-893-7134.

narcolepsy. Dreaming during naps and experiencing dream-like hallucinations as you fall asleep are also warning signs. Loss of muscle control (called cataplexy) that occurs with emotion, such as laughing or anger, and the inability to move as you are going to sleep or waking up (called sleep paralysis) are also symptoms.

Restless leg syndrome There are more hummingbirds in the desert than you might think. We see them virtually every day in southern Arizona.

Gambel’s quails deal with the heat by getting out ahead of it. Their body temperature is 107°. Until the ambient temperature is higher than that, they can still dissipate heat.

Another mechanism for dissipating heat is having big ears that can act as radiators. Mule deer and jackrabbits have much larger ears than the whitetail deer or cottontails that visit your garden.

Your chances of seeing desert wildlife are improved in the early and late cooler parts of the day. When on the lookout for animals, it also helps to know where they might go to find water. It need not be in some remote, backcountry location. At Organ Pipe Cactus National Monument in southern Arizona, Bob the bobcat liked to visit the dripping outside faucet at the ranger’s residence. But Bob is shy and amazingly fast. Even when you know where to find him, it can be hard to get more than a quick glimpse. He zipped through our campsite so fast we didn’t know he was there until he was gone. Still, if you don’t insist on seeing a specific animal like Bob, your odds of seeing all kinds of wildlife can be improved by just taking a little walk in the park. ❦ LeMoyne Mercer is the travel editor for Healthy Living News. There is limited space here for LeMoyne’s photos. You might want to see more at anotherwalkinthepark.blogspot.com.

Nobody's Perfect

Continued from page 16

are snoring, snorting, and gasping sounds when you sleep—often first noticed by a sleeping partner. Restless or unrefreshing sleep is also typical, as are headaches in the morning.

Narcolepsy Excessive sleepiness during the day, alleviated by naps, is a symptom of

44 January 2018 | Healthy Living News

Approximately one in ten adult Americans suffer from restless leg syndrome (RLS), also known as Willis-Ekbom disease. The primary warning sign is the irresistible urge to move your legs shortly after you get into bed, in the middle of the night after awakening, or even when wide awake during the day. It usually feels better if you get up to walk around or rub your leg. “Creepy-crawly” or twitching feelings in your calves, feet, thighs, or arms are symptoms of restless leg syndrome—The sensations of discomfort can be quite varied. Kicking or twitching leg movements during sleep, and sometimes while awake, may be warning signs.

Call your doctor if: • Your sleep does not improve with self-help techniques, such as establishing good sleep hygiene, cutting down on caffeine, exercising, and using relaxation techniques.

• You think your sleep problems may be related to an underlying condition, such as depression or heart failure.

• You snore loudly or make snorting or gasping noises while you sleep—or your partner observes these things while you’re asleep.

• You fall asleep doing normal activities, such as talking or driving. You regularly feel unrefreshed on awakening and are constantly fatigued. Sleep disorders are among the many possible causes for fatigue.

• You suspect your medication is causing your sleep problems. ❦ Sister Karen Zielinski is the Director of Canticle Studio. Canticle Studio is a part of the Sisters of St. Francis of Sylvania, OH’s overall advancement effort and has a mission of being a creative center where artists generate works, products, and services in harmony with the mission of the Sisters St. Francis. She can be reached at kzielins@sistersosf.org or 419-824-3543.

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

Genacross Lutheran Services Sandusky Campus 795 Bardshar Rd. Sandusky, OH 44870 419-502-5700 www.GenacrossLutheranServices.org

Rosary Care Center 6832 Convent Blvd.

Sylvania, OH 43560 419-882-2016 www.lourdes.edu

Genacross Lutheran Services Wolf Creek Campus 2001 Perrysburg-Holland Rd. Holland, OH 43528 419-861-2233 www.GenacrossLutheranServices.org

Plaza Apartments 2520 Monroe Street Toledo, Ohio 43620 419-244-1881 www.vmc.org

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

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

Foundation Park Alzheimer's Care Center

Darlington Nursing & Rehabilitation Center 2735 Darlington Rd. Toledo, Ohio 43606 419-531-4465 www.embassyhealthcare.net

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

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

St. Clare Commons

The Manor at Perrysburg

12469 Five Point Road Perrysburg, OH 43551

250 Manor Drive Perrysburg, OH 43551

419-931-0050

419-874-0306

www.homeishere.org

www.ManorAtPerrysburg.com

Sunset House

Ohio Living Swan Creek

Franciscan Care Center

Glendale Assisted Living

4030 Indian Rd. Ottawa Hills, OH 43606

5916 Cresthaven Lane Toledo, OH 43614

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

5020 Ryan Road Toledo, OH 43614

419-536-4645

419-865-4445

419-882-6582

419-389-0800

www.sunset-communities.org

www.ohioliving.org

www.homeishere.org

www.glendaleassistedliving.com

The Laurels of Toledo

Bowling Green Manor

1011 Byrne Road Toledo, OH 43607

1021 West Poe Road Bowling Green, OH 43402

419-536-7600

419-352-4694

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

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

Sunset Village

Otterbein Portage Valley Senior Lifestyle Community

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

20311 Pemberville Rd. Pemberville, OH 43450

419-724-1200

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

www.sunset-communities.org

www.otterbein.org

1621 S. Byrne Rd. Toledo, OH 43614 419-385-3958 www.foundationpark.com

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

www.laurelsoftoledo.com

www.BowlingGreenManor.com

Genacross Lutheran Services Toledo Campus

Orchard Villa

131 Wheeling St. Toledo, OH 43605 419-724-1414 www.GenacrossLutheranServices.org

2841 Munding Drive Oregon, OH 43402 419-697-4100 www.lhshealth.com

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45

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Pelham Manor is a tobacco-free property providing one- and two-bedroom apartments for persons aged 62 years or older, with some units available to persons under 62 who require certain accessibility features.

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www.ohioanshhc.com 46 January 2018 | Healthy Living News

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