November 2018

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News November 2018 • FREE

Also available at hlntoledo.com

RE 12 CA S p NT GE GE TA UR VAN AD

CHASE THE TURKEY!

Holiday skin spruce-up | Breast cancer early detection Quality care from ankle to toe | Expert help for heart failure Defeat diabetic wounds

It takes two to tango.

M E R C Y. C O M /O R T H O

SPRUCE UP YOUR SKIN for the holidays H

ello, “Millennials”! Are the skin changes related to stress, pollution, smoking, and prior sun damage and tanning 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 beginning, now is the time to start engaging in a skin-care program that will be designed specifically for you to improve and reduce your signs of aging.

Dr. Harvey Handler will personally recommend and explain a skin-rejuvenation program for you to reduce the visible signs of aging.

The anti-aging treatments performed by Dr. Harvey Handler are “non-invasive,” with minimal discomfort or downtime. Minimize under-eye darkening, raise those droopy eyelids, shrink pores, lift sagging jowl areas, and appear as youthful as you feel. Call Dr. Harvey 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 and aging can be improved dramatically with pain-free, non-invasive cosmetic procedures performed entirely by Dr. Harvey 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). 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. Harvey 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 5-7 months after treatment.

The use of fillers, such as Restylane, Restylane Lyft, 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. Harvey 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, brown (age) spots, and diminishing acne scars, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby a laser is used to produce softer, smoother, diminished facial lines, smaller pores, lightening of brown spots, and improvement of acne

scars. 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. Harvey Handler is the only dermatologist in northwest Ohio performing this procedure.

Are you aware that Dr. Harvey 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. Harvey 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. Harvey Handler also performs laser removal of unwanted blood vessels that grow on your face and enlarge with heat, stress, and the intake of alcohol. Again, pain and downtime are minimal with this laser. All of these lasers are non-invasive with minimal downtime.

Anti-aging and cosmetic enhancements are not for the female gender alone. Male cosmetic enhancement and anti-aging procedures have increased over 213% in the past 5 years for sagging skin, darkening under the eyes with the “hollow” look, and brown spots. The utilization of fillers (Perlane, Restylane, Juvederm, Radiesse, etc.) is excellent for deep smile lines and the “sad and tired look” as evidenced with sagging at the corners of the mouth. And, of course, the use of Dysport/Botox to reduce forehead “worry lines” is superb.

I

t is appropriate for patients to understand why it is in their best medical interest to always seek the advice of a board-certified dermatologist for skin care. Why is seeking a board-certified dermatologist the most beneficial route for solving skin disease issues versus a general practitioner, nurse practitioner, physician’s assistant, or any other medically-oriented individual?

Please be aware that a board-certified dermatologist has the following minimum education versus the above-mentioned 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. Harvey Handler. To view before-and-after photographs of patients who have had these procedures performed by Dr. Harvey Handler, please visit his website at www.drharveyhandler. com. For more detailed information about the above-mentioned procedures or products, please call Dr. Harvey Handler’s office at 419885-3400. Also, remember to inquire about holiday 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!

Pediatric skin disease diagnosis and treatment is one of Dr. Harvey Handler’s special fields in general Dermatology. From birth and older, Dr. Harvey Handler diagnoses and treats eczema, hemangiomas, contact and allergic dermatitis, and general “lumps and bumps” that children and infants develop. What about “birth marks,” scalp and body “ringworm,” body and head lice, scabies, psoriasis? If there is a lesion or spot on the skin, Dr. Harvey Handler is trained to properly examine, diagnose, and treat appropriately. ❦ Be aware and cautious of medi-spas and cosmetic centers organized and maintained by individuals other than a board-certified dermatologist or even any medical doctors (not MD’s). Many of these individuals have 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 F.A.A.D. (Fellow of the American Academy of Dermatology, which is a designation from the American Academy of Dermatology) following their name. To confirm this information, check the website at aad.org/findaderm. None of the above requirements are met by a nurse practitioner, certified 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

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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:

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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

November 2018 • Vol. 23, Issue 11

Your Monthly Guide to Healthy Living

CHILDREN & PARENTING

HEALTH & BEAUTY

OUR COMMUNITY

38 Time to end the trend!

by Mark S. Faber, USPTA Elite Professional

7 Breast cancer—early detection makes all the difference

10 UTMC Heart Failure Program yields better patient outcomes, reduces hospital readmits

ENRICHING YOUR LIFE 5 A late-autumn gardening to-do list 8 A Walk in the Park

by LeMoyne Mercer 14 Tips for avoiding long waits, high bills for medical treatment 20 Spiritually Speaking – Thank God

by Sister Mary Thill 24 Health Crossword Puzzle 26 Running with the dogs – How Fido is revolutionizing the health movement

by Bethany D. Merillat, MS, MEd 30 Are you ready for the holidays?

by Jim Berger 35 Winter running tips

by Amanda Manthey 36 Let’s make long-term-care staffing sustainable

by Chris Stieben and Megan Benner Senecal 41 Super Slow Training – An efficient exercise solution for a fastpaced world 43 Productivity tips for at-home workers

9 Mercy Health foot-and-ankle surgeon keeps patients out of pain and on the go 11 ProMedica vascular surgeon encourages aggressive self-care to prevent diabetic wounds 16 Nobody's Perfect – Asking for help

by Sister Karen Zielinski, OSF 18 Wise words from Otterbein – Seniors, it’s your move—make it with confidence!

21 How to be a successful hearing aid wearer

by Dianna Randolph, AuD, CCC-A

12 Your friendly neighborhood urgent care: Why go there?

19 Ashanti Hospice and Palliative Care: It’s about living 22 Read for Literacy to benefit from the November 24 Shop Small Toledo 27 Manor at Perrysburg offers expert, individualized, multidisciplinary pulmonary rehab 31 Don’t miss Dave’s Turkey Chase this Thanksgiving!

23 Eat, drink, and be merry … in moderation

33 The Laurels of Toledo – Honoring those that served

by Ruth Franzen, LPCC, MRC, LSW

28 Fall Urogynecology News – Part 2

42 Senior Living Guide

32 Eating Well – Healthy eating with diabetes

by Laurie A. Syring, RD/LD 34 Sound Advice from Northwest Ohio Hearing Clinic

by Randa Mansour-Schousher, AuD, CCC-A 37 How to have picture-perfect skin in time for the holidays 39 Better skin at the speed of light

by Dr. Erin Hennessey 40 Issues with vitamins

by Douglas A. Schwan, DC, Dip ac

Connect with Friends Who Like Healthy Living News! /HLNToledo

@HLNToledo

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Robin Buckey Graphic Designer: Mary Ann Stearns Graphic Artist Intern: Teagan Polizzi Web Designer: Strategically Digital LLC Social Media Specialist: Kelly Rickey 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.

Dear Readers, of choosing an urgent care facility for Thank you for picking up the treatment of non-emergent illnesses or November issue of Healthy Living injuries (p. 12); management of diabetic News. As the end of another calendar wounds from the perspective of Dr. Jihad year approaches, we’re finding that more Abbas of ProMedica Physicians Jobst and more of our readers are focused on Vascular Institute (p. 11); UTMC’s their health. Whether they’re developing cutting-edge Heart Failure Program, a strategy to shed pounds and which recently earned advanced improve their fitness for the certification from The Joint holidays and beyond, seeking Commission (p. 10); the stateways to avoid chronic illness or of-the-art ankle-replacement debilitating injuries, choosing technique performed by Dr. an assisted-living or long-termClayton Carmody of Mercy care facility for a loved one, or Health – Orthopaedics and simply striving to look and feel Sports Medicine (p. 9); the Kevin O'Connell their best, consumers today are impact of early detection and making health and wellness a treatment on breast cancer major priority. And we’re proud that after outcomes, with expert insights from Dr. 23 years, HLN has become the go-to local Mersiha Hadziahmetovic of The Toledo source for expert advice on all these topics Clinic Cancer Centers (p. 7); and several and much more. simple cosmetic procedures performed at In this month’s issue alone, you’ll Luxe Laser Vein & Body Center that can find articles on the many advantages give you picture-perfect skin just in time

for the holidays (p. 37).

This month’s cover features participants in last year’s Dave’s Turkey Chase, which will be held once again this coming Thanksgiving Day, Thursday, November 22 (see page 31 for details).

This fun-for-everyone run/walk 5K, sponsored by Dave’s Performance Footgear and benefitting Cherry Street Mission Ministries, Hospice of Northwest Ohio, and Hannah’s Socks, has become a new Thanksgiving tradition for thousands of area residents. Over the past two years alone, this event has donated over $37,000 to local charities. We’re extremely proud of our 23-year partnership with the folks at Dave’s and grateful for the opportunity to help them promote this fun, familyfriendly event.

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

2018 Cost Comparisons Laboratory* Toledo Clinic*

ProMedica Flower Hospital

ProMedica Toledo Hospital

ProMedica Bay Park Hospital

Mercy St. Vincent Hospital

Mercy St. Anne’s Hospital

Mercy St. Charles Hospital

Prices

Hospital

Outpatient

Hospital

Outpatient

Hospital

Outpatient

Hospital

Outpatient

Hospital

Outpatient

Hospital

Outpatient

CBC w/Diff

$20.06

$150

$21

$150

$21

$150

$21

$196

$33

$256

$33

$243

$33

Urine Culture

$22.00

$193

$22

$193

$22

$193

$22

$143

$56

$160

$56

$218

$67

Hemoglobin A1C

$23.52

$202

$24

$202

$24

$202

$24

$108

$57

$141

$57

$124

$57

$401

$44

$401

$44

$262

$78

$342

$78

$334

$78

Lipid Panel

$42.83

$401

$44

TSH

$39.14

$353

$41

$353

$41

$353

$41

$292

$85

$377

$85

$167

$85

Venipuncture (Blood Draw)

$6.00

$26

$15

$26

$15

$26

$15

$30

$30

$37

$20

$37

$20

The Toledo Clinic does not charge facility fees. Prices are as listed, but subject to change.

Imaging Center** Toledo Clinic**

Mercy St. Anne’s

Mercy St. Charles

Mercy St. Vincent

ProMedica Baypark

ProMedica Flower

ProMedica Toledo

St. Luke’s

UTMC

Prices

Prices

Prices

Prices

Prices

Prices

Prices

Prices

Prices

$585 - $1,023

$1,150 $2,475

$1,100 $2,400

$525 - $895

$1,100 $2,400

$1,100 $2,400

$1,200 $2,550 $1,050 $2,250

$1,250 $2,700 $1,100 $2,400

$1,200 $2,550 $1,050 $2,325

$1,150 $2,475 $1,050 $2,250

$1,650 $3,600

MRI Cervical Spine

$1,100 $2,400 $1,100 $2,400

CT Brain

$140 - $506

MRI Brain

$625 - $1,350 $700 - $1,550

$625 - $1,350 $480 - $1,050 $460 - $1,000 $450 - $1,000

$875 - $1,900

$410 - $900

$430 - $925

$871 - $2,991

$2,000 $4,300

$2,000 $4,300

$2,000 $4,300

–

$2,250 $5,000

$2,325 $5,000

$2,000 $4,300

$1,900 $4,100

Mammogram (Both breasts)

$156 - $263

$120 - $260

$160 - $350

$120 - $260

$190 - $410

$180 - $400

$170 - $370

$180 - $390

$210 - $450

Abdominal Ultrasound

$113 - $208

$310 - $675

$310 - $675

$310 - $675

$320 - $700

$360 - $775

$360 - $800

$370 - $800

$270 - $575

PET Scan (Skull to mid-thigh)

For a list of our imaging centers and laboratories, visit www.ToledoClinic.com and click Healthcare Services. *The Toledo Clinic lab charge also includes pathologist professional fees, which is typically an additional and separate charge for hospital billed services. Most, but not all insurance plans, are accepted and patient pricing may vary based on the individual’s insurance plan. The Toledo Clinic has the option to send to a reference lab if insurance isn’t accepted (cost not guaranteed). https://www.promedica.org/Public%20Documents/patient-resources/hospital-price-sheets/BPH_Pricing_Sheet.pdf https://www.promedica.org/Public%20Documents/patient-resources/hospital-price-sheets/FH_Pricing_Sheet.pdf https://www.promedica.org/Public%20Documents/patient-resources/hospital-price-sheets/TH_TCH_Pricing_Sheet.pdf https://www.mercy.com/-/media/patient-resources/hospital-pricing/hospital-pricing/st-vincent-medical-center-pricing.ashx?la=en https://www.mercy.com/-/media/patient-resources/hospital-pricing/hospital-pricing/st-anne-hospital-pricing.ashx?la=en https://www.mercy.com/-/media/patient-resources/hospital-pricing/hospital-pricing/st-charles-hospital-pricing.ashx?la=en **The Toledo Clinic charge also includes contrast & the radiologist’s interpretation fee, which is typically an additional and separate charge for hospital billed services. Not all insurance plans are accepted and patient’s price may vary based on their individual insurance plan. Prices pulled from newchoicehealth.com on 01/31/18. Prices are subject to change.

419.473.3561 | ToledoClinic.com 4 November 2018 | Healthy Living News

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A late-autumn gardening to-do list

I

t’s time once again to bid a fond farewell to the growing season and put our gardens and landscapes to bed until spring. Late fall brings its own set of gardening chores to be tackled before winter’s snow begins to fly. Among them: Prep your perennials—Once the first hard frost hits and the foliage on your herbaceous perennials has completely withered, it’s time to cut them back to the ground. However, hold off cutting back any plants that still have green leaves, since they are still performing photosynthesis and transporting energy to their roots to be stored until spring.

If you’d like your garden or landscape to provide a little winter interest, you might choose to avoid cutting back any plants that have attractive seed heads or stems or fruits or seeds that will attract foraging, winter-weary birds.

Make the most of markdowns— This is also a great time to take advantage of marked-down nursery stock to fill in those empty spaces in your garden or landscape. In late fall, garden centers commonly offer good, viable plant material at a considerable discount.

If you’re not too particular about the variety or color of spring-flowering bulbs, you can often get terrific deals on large quantities of “mystery bulbs”—those that fall out of the bulk bins as customers rummage through them or bagged bulbs that have lost their labels. You can still distinguish a tulip from a hyacinth or a crocus from a narcissus, but the colors and blooming periods will be anyone’s guess. If you’re looking to naturalize a remote corner of your garden on a budget, mystery bulbs may be a good solution.

Put winter protection in place— Mulch will be your biggest ally in preventing winter casualties. Apply it liberally around the base of each plant. With grafted roses, be sure to mulch over the bud union (the point where the plant has been grafted to the rootstock), which is very sensitive to freezing. If the bud union is left exposed, the rose could die back past the graft, and you may end up with a rose of an entirely different color

Uncertainty.

[ Trust. ] growing up from the roots in spring.

If you choose to protect your roses with Styrofoam rose cones, keep in mind that they allow no air circulation, so mold can quickly result if the air temperature climbs too high.

Be prepared to remove them during unexpected warm spells.

Burlap is also very useful for winter protection. Use it with stakes to build a wind block around tender plants in exposed areas. A burlap frame combined with the use of an anti-desiccant spray will give broadleaf evergreens a good level of protection against winter damage.

Treat your tools right—Last but certainly not least, it’s time to clean up and prepare your gardening tools for a long winter’s nap. Fill a large bucket with sand, and mix in some light motor oil. After removing as much dirt and debris as you can from your tools, dip the business end of each repeatedly into this mixture. The sand will scour off any remaining dirt, and the oil will provide a rust-protective coating. If some tools are already rusted, sand off the rust before dipping.

Prepare your gas-powered tools for winter storage by either running them dry or adding a fuel stabilizer to the fuel tank. This will make starting a snap next season. ❦

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Healthy Living News | November 2018 5

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Breast cancer—early detection makes all the difference

T

here is no question that breast encourages women to be familiar cancer is a major public health with what their breasts feel like norissue. Diagnosed in one out of every mally. Be on the lookout for “red eight women, breast cancer is the flags” such as a lump or knot in the most common cancer among women breast or under the arm; swelling, and the second most common cancer warmth, or patchy redness in the overall (not including non-melano- breast, especially around the nipma skin cancers). While significant ple; dimpling or tethering of breast advances have been made in breast tissue; abnormal discharge from the cancer treatments and survivorship, nipple, especially if one-sided; itching relaxed vigilance is never an option or soreness around the nipple; or with this disease. The best possible pain in the breast. “Women should outcomes are achieved when the be familiar with what their breasts cancer is detected and effective treat- normally feel like and monitoring ment is begun early in the disease for any of these changes,” she says.

If any of these occur, women should process.

In terms of early detection, one promptly notify their physician.

Many significant treatment adof women’s greatest allies is routine breast cancer screening with mammo- vances have been made thanks to gram. “Early detection makes all the robust research. We now know that difference. I usually tell my patients breast cancer has several different to schedule their annual mammo- subtypes. Determining a cancer ’s subtype makes it possible gram during the week of to hone in on treatments their birthday, to think of that exploit its unique vulit as a gift to themselves,” nerabilities, thus resulting says radiation oncologist in more effective, better Mersiha Hadziahmetovic, targeted therapies.

MD, of The Toledo Clinic Being a radiation oncolCancer Centers. She furogist, Dr. Hadziahmetovic ther notes that there are is especially excited about different guidelines as to recent technological adwhen to start getting mamvances in radiation therapy. mograms, so it is important Dr. Mersiha “For example, we can now for women to discuss with Hadziahmetovic offer heart-sparing radiatheir doctor the timing and frequency that is appropriate based tion treatments, including radiation on their individual history and risk during breath-hold or radiation in factors (e.g., average versus increased the prone position. In addition, we now offer shorter, but just as effecrisk for developing breast cancer).

Dr. Hadziahmetovic points out tive, courses of radiation, as these that 3D digital mammograms with have been proven non-inferior to tomosynthesis, available at The To- the longer course. In other words, ledo Clinic Cancer Centers, is the patients receive a slightly higher dose most advanced form of the screening of radiation per day, but over fewer technology, offering a high degree of days. Also, with modern technology sensitivity, or ability to detect disease. and advanced radiation treatment It is also critical for women to planning software, we’re better able be aware of their risk factors for to optimize radiation beam shaping, developing breast cancer. “The two achieve a more uniform dose in the biggest factors are being born female breast, and minimize stray radiation and getting older, but there are sev- dose to the underlying heart and eral others as well. Among them are lung,” she says.

The rate of high-quality research having a family history of breast, ovarian, or prostate cancer; having data pouring in often leads to some a personal history of breast cancer or changes in how breast cancer is other breast diseases; having dense treated. For example, women with breast tissue; having children after HER2/neu-amplified breast cancer age 30; getting your first period before can now get chemotherapy before age 12 or starting menopause after or after surgery, whereas in the past age 55; and having certain heredi- it was always administered after. tary genetic mutations such as the This is just one of many examples in BRCA1 or BRCA2 gene,” explains which differentiating breast cancer Dr. Hadziahmetovic. n Breast Cancer - continued on p15 In addition, Dr. Hadziahmetovic

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ToledoClinicCancerCenters.com Healthy Living News | November 2018 7

A WALK IN THE PARK

The Grand Canyon deserves to be on every bucket list—but more than just once.

O, beauty ever ancient

by LeMoyne Mercer O, beauty ever new You the mirror of my life renewed Let me find my life in you

S

hirley and I were on the deck of the North Rim Lodge at the Grand

8 November 2018 | Healthy Living News

Canyon, entranced by the view. A woman pushed an elderly man in a wheelchair up beside me.

“My daughter brought me,” he said. “This was on my bucket list.”

I congratulated him on making it there at last and on having a daughter willing to help him.

Still, I thought it was a shame that

he waited until he was in a wheelchair before getting to the Grand Canyon.

Besides, a bucket list implies things that you do just once before you die.

Check that off and it’s on to the next thing. And that, too, just once.

I often say there are a thousand places we want to go to and another thousand places we want to go back to. Forty years ago, we could only dream about seeing so much of the beauty and natural wonders in this country. We never thought of it as a bucket list, just a wish list with so many places that it would take an entire lifetime to get through them just once. But, now here we are, having been to the Grand Canyon several times and learned enough to prefer the North Rim because it is relatively quieter and less congested.

Relatively.

The Grand Canyon possesses beauty ever ancient. Forty layers of sedimentary rock with those at the bottom dating from about 2 billion years ago, give or take. At the same time, from the canyon rim there is beauty ever new. The scenery constantly evolves as the sun climbs or descends and passing clouds cast shadows or drop rain that creates rainbows over parts of the Canyon

miles away.

Heraclitus tells us we cannot step in the same river twice because flowing water is, by definition, ever changing.

And so are we. Thus Shirley and I are never bored going back to the same place. In the Everglades, for

Anhinga chicks grow so fast because they don't even wait for supper to be put on the table.

example, we walk the Anhinga Trail virtually every day because the same old thing is always different. Watch the nests where anhinga chicks go from little fuzz balls to the size of their parents faster than you would believe. Watch water vibrating and dancing on the backs of bellowing gators. Watch a wood stork stealing a walking catfish from a cormorant.

And, on February 14, watch the great n In the Park - continued on p44

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Mercy Health foot-and-ankle surgeon keeps patients out of pain and on the go

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he feet and ankles are highly The appropriate choice depends on complex anatomical structures the patient’s unique circumstances consisting of 26 bones, 33 joints, 107 and desires, so Dr. Carmody thorligaments, and 19 muscles and ten- oughly explains the pros and cons dons. When healthy and functioning of each and then allows the patient normally, the feet and ankles help to make the final decision. “There’s keep us comfortably on the move no right or wrong, but each option and engaged in our daily activities. can result in different limitations However, if any component of these that the patient should consider. structures gets damaged or weakened, For example, after fusion, it can be we can suddenly find ourselves sitting more difficult for the patient to walk on the sidelines of life. downhill or downstairs, while with If you or someone you love is total ankle replacement, walking experiencing a painful or debilitating on uneven ground can be more condition of the feet or difficult,� he says. ankles—whether due to With respect to total ankle replacement, the injury, overuse, disease, good news is that today’s or deformity—foot-andankle orthopedic surgeon advanced implants and Clayton Carmody, MD, of surgical implements tend Mercy Health – Orthopaeto yield better patient outdics and Sports Medicine comes and longer-lastcan help. Specializing in ing results than could be achieved in the past. total foot and ankle care using both surgical and Orthopaedic surgeons Dr. Clay Carmody nonsurgical techniques, performing the proceDr. Carmody can treat any dure are optimistic that the condition affecting these sophisti- newer implants will have a longevity cated structures, including those upwards of 15 years. stemming from injury as well as According to Dr. Carmody, the various atraumatic conditions, such latest technique involves opening as high arches, flat feet, foot and the ankle, typically from the front, ankle arthritis, bunions, hammer- removing minimal portions of bone toes, and more. at the ends of the tibia and the tip Dr. Carmody notes that not all of the talus, then placing metal caps problems of the foot and ankle require on the ends of the tibia and talus surgery to correct. “In fact, the vast with a high-density polyethylene majority of my patients don’t actually piece in between to allow the new need surgery at all. There are a lot of joint to glide smoothly. The ends of non-operative things I can do to get the metal pieces also have a special patients back to their lives with as porous surface that allows the bone little pain and as much mobility as to grow directly onto the implant possible. Orthotic inserts, physical for superior stability. therapy, and different stretching “With a total ankle replacement, exercises are just a few examples of patients usually have a one-night the nonsurgical options,� he says. stay in the hospital and start to feel In patients with severe ankle much better about two weeks after arthritis that has become intolerable, surgery,� Dr. Carmody states. “To surgery is often the best option and assist with mobility, they initially use can take one of two forms—ankle a rolling scooter and then transition fusion, which involves fusing to- to a walker, so there’s usually no need gether two or more bones in the for a wheelchair. Within about six ankle, or total ankle replacement. weeks, they can put weight on the

ankle, and then after about three months, they are able to fully walk without limitations.�

Dr. Carmody explains that severe ankle arthritis tends to develop in people who either are simply prone to it or had a bad injury in the past that has now caught up to them.

Whatever the underlying cause of the arthritis or other foot-and-ankle problem, it’s advised to see a specialist for treatment sooner rather than later. “Waiting will only make matters worse when it comes to your pain, strength, and range of motion,� he says. “The sooner you come to see

me, the sooner we can discuss all your options and the greater the likelihood that we’ll be able to avoid surgery and manage the problem using a more conservative approach. I have a lot of different treatment options at my disposal to help patients get out of pain and back to doing the things they love,� he says.

Mercy Health – Orthopaedics and Sports Medicine offers a variety of specialties, including foot and ankle surgical solutions. For more information on Dr. Carmody or the services offered, visit mercy.com or call 419-442-0222. �

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UTMC Heart Failure Program yields better patient outcomes, reduces hospital readmits Joint Commission awards UTMC advanced certification

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ongestive heart failure is an acute or chronic, progressive disease in which the heart muscle becomes weakened and is unable to pump enough oxygen-rich blood to meet the body’s demands. As a result, people with this condition commonly experience fluid retention, shortness of breath, and fatigue, especially on exertion. Depending on the nature and stage of the disease, these symptoms can range from mild to severe.

In the earlier stages, heart failure may cause few if any noticeable symptoms. But as the disease progresses, everyday activities that were once easy, such as carrying groceries or climbing stairs, may become difficult.

People in late-stage heart failure often have severely debilitating symptoms, even while at rest, and require extensive medical intervention. Signs and symptoms may include tiredness, shortness of breath when walking,

shortness of breath at rest, dizziness, fainting, swollen feet or ankles, and weight gain of two to three pounds in 24 hours.

Though heart failure is not curable, it can be managed effectively so that patients can have the best possible quality of life despite the disease. In fact, that’s the goal for every patient who comes through the Heart Failure Program at the University of Toledo Medical Center.

The UTMC Heart Failure Program provides expert treatment for heart failure patients, ranging from inpatient care for those in acute circumstances to the outpatient ambulatory Heart Failure Clinic for ongoing treatment of patients once they are stabilized and discharged from the hospital setting. The interdisciplinary team at UTMC includes physicians who are advanced heart failure specialists, a heart failure nurse practitioner, dietitians, pharmacists,

A stronger, healthier heart

is possible with our cardiovascular rehabilitation program

If you are living with a heart condition, our cardiovascular rehabilitation program can improve your health and quality of life.

This individualized program includes: • Nutrition counseling for low sodium diet and weight monitoring • Exercise program with cardiac monitoring • Education to develop therapeutic lifestyle changes and improve risk factors for heart disease • Dedicated behavioral health support to manage stress, anxiety and depression associated with cardiac events

For information or to schedule an appointment, call 419.383.5378.

10 November 2018 | Healthy Living News

Cardiovascular Rehabilitation 1125 Hospital Drive Toledo, OH 43614

Advanced Heart Failure Certification

social workers, nurses, cardiovascular keeping with recent guidelines, we rehabilitation, palliative care, and use two new medications to treat other services, all of whom collab- patients with heart failure. One is orate to ensure the best possible Entresto, a new category of drug outcomes for patients. that has been shown to reduce Theresa Garris, NP-C, coordinator hospital readmissions and improve of the UTMC Heart Failure Program, outcomes. The other is a drug called remarks that, “Congestive heart Ivabradine, which is used to treat failure is a very other conditions but common chronhas been found to help ic disease state, control heart rate in and there are people with heart faildifferent types ure,” says Garris. as well as difIn addition to the ferent causes, so latest medications, the we manage the Heart Failure Clinic at disease based on UTMC can utilize difnational guideferent pacemakers and lines and standefibrillators as well as dards of practice a cutting-edge device established for called CardioMEMS. each population Garris explains that this by the Ameridevice, which is implantcan Heart As- The UTMC Heart Failure ed in the pulmonary sociation and Program provides expert artery and routinely transmits information the American treatment for heart failure College of Carto a computer via Wi-Fi, patients. diology.” She measures flow in the continues, “One artery so the medical of the biggest worries of patients team can detect any increase in fluid with heart failure is that they won’t volume and immediately intervene be able to do the things that are to prevent a volume overload—a important to them, such as playing classic problem in patients with heart with their grandchildren, so a big failure. part of our mission is helping them The successes of UTMC’s Heart maintain the best possible quality of Failure Program have not gone unlife and limiting hospital readmis- noticed. In fact, the program has sions through medical management, earned recognition from multiple cardiac rehab, and the many other independent organizations. Garris notes that between 2014 and 2017, resources available to us.”

Garris notes that heart failure UTMC earned several awards for can occur in patients across the age care and management of heart failspectrum, though the risk increases ure patients through the American with age. As people get older, they’re Heart Association’s Get With The more likely to develop other dis- Guidelines program. orders that can contribute to heart Just recently, the program atfailure, such as high blood pressure tained advanced certification by or coronary heart disease. Various The Joint Commission, signifying congenital problems can contribute that UTMC provides the next gento the development of heart failure eration of heart failure care and has met and seeks to maintain The as well.

Appropriate treatments vary Joint Commission’s high standards depending on the type and stage in providing heart failure care. This of the heart failure, and the Heart certification recognizes hospitals that Failure Clinic at UTMC has a wide help heart patients recover quicker range of research-proven medica- and reduce the likelihood of hospital tions and devices to draw from in readmission. UTMC earned this cercaring for patients. “For example, in tification by meeting specific quality We love feedback. Like us on Facebook. Follow us on Twitter.

UTMC logo

achievement measures that include Celebrating excellence. evaluation of the patient, proper The Heart Failure Program use of medications, and aggressive at UTMC has earned national recognition for risk-reduction therapies. quality care and patient outcomes.

Furthermore, U.S. News & World Report has ranked UTMC as a high-performing hospital for its Heart Failure program. Though not nationally ranked, “high-performing” hospitals are those that scored high enough in a specialty to put them in the top 10 percent of

the analyzed centers.

Dr. George Moukarbel, director of the Heart Failure Program at UTMC, comments, “This reaffirms our commitment to our patients who are experiencing one of the worst health scares of their lives. We are proud of our efforts to provide the best possible outcome for our patients who are in the throes of heart failure. This is a direct result of the hard work of all the members of the heart failure team and everyone working towards excellence in the care of our patients.” ❦

ProMedica vascular surgeon encourages aggressive self-care to prevent diabetic wounds

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ne of the more worrisome com- infection without being aware of it. plications of diabetes—a chronic In some cases, they don’t realize they disease that affects over 30 million have an infected wound until they Americans, including over 7 million notice a bad smell. At that point, it’s people who are undiagnosed—is often impossible to avoid amputasignificantly increased susceptibility tion because bone and muscle are to developing wounds that are either already involved and the damage is slow to heal or never heal at all. If not too extensive.” treated promptly and properly, these Motor neuropathy causes the nerves wounds can become severely infected, in certain muscles to get weak, so oppotentially leading to amputation. posing muscles take over and the assoWhy is the risk of developing slow- ciated joints can become deformed. An to-heal wounds so high among people example of this phenomenon is Charcot with diabetes? According to Jihad joint, which deforms the structure of Abbas, MD, board-certified vascular the foot, causing uneven weight dissurgeon and wound care specialist tribution and creating pressure points of ProMedica Physicians that predispose the person Jobst Vascular Institute, to foot ulcers. several factors come into The third factor is that diabetes has an adverse implay. One is that diabetes affects the blood vessels and pact on the immune system. often goes hand in hand A healthy immune system with peripheral vascular is usually very effective disease, a condition that at fighting infection, but impairs circulation and, in people with diabetes, thus, slows healing. infection is more likely to Another factor is the get the upper hand and nerve damage commonly tends to be more aggressive.

Dr. Jihad Abbas associated with diabetes, Dr. Abbas emphasizes which can take the form of that people with diabetes sensory neuropathy, motor neurop- need to be very aggressive in taking athy, or both. “Sensory neuropathy care of themselves from the moment affects the nerves that allow us to feel they’re diagnosed in order to control sensations such as heat and pain,” their blood sugar levels and prevent explains Dr. Abbas. “For example, if wounds from developing. “That inI put my hand on a hot surface or cludes eating a proper diet, weight step on a sharp object, I feel heat or control to maintain an ideal body pain and immediately pull away to weight, being compliant with any prevent injury. However, people with medications you’ve been prescribed, sensory neuropathy either don’t feel following your doctor’s instructions anything or have limited sensation, carefully, and examining your feet so if they step on something damag- every day to make sure there are no ing, they can end up with a wound, ulcers or injuries,” he says. n Vascular - continued on p46 continue walking, and develop an

Repair services by highly trained technicians

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Healthy Living News | November 2018 11

Your friendly neighborhood urgent care: Why go there?

I

t’s 5:30 on a Friday evening and your child is complaining of an earache.

Your pediatrician’s office has already closed for the weekend, so getting him or her seen there won’t be an option until the following Monday at the earliest. You consider a visit to the emergency room, but that seems rather excessive for an earache—not to mention costly. What option do you have other than waiting out the weekend with your child in pain?

The answer to that question might just be your local urgent care center.

Urgent care centers were created specifically for the purpose of treating patients with injuries or illnesses that require immediate medical attention but are not life-threatening, such as cold and flu, earache, sore throat, sinus infection, urinary tract infection, vomiting and/or diarrhea, minor lacerations or burns, sprains and strains, skin rashes, animal bites, insect stings, etc. Some of these centers are independently owned while others are affiliated with an area hospital and/or health system.

A local urgent care should not 10.25x5_ES_Wagner_Ad_HL_618_HI.pdf be considered a substitute for the 1

emergency room or for the all-important relationship that develops between patients and their family doctor. However, there are several benefits to choosing one of these facilities when circumstances warrant.

Among them:

Convenience and accessibility

Urgent care centers are popping up all over our community. If not located right down the street or around the corner from your home, one is likely situated a very short drive away. Also, though most aren’t open 24 hours, urgent care facilities usually see patients in the evening, over the weekend, and on most holidays. That’s reassuring when you consider that injuries and illnesses don’t always occur conveniently during business hours.

Time savings

Urgent care centers operate on a walk-in basis and thus require no appointment for patients to be seen.

Furthermore, wait times tend to be significantly shorter in urgent care facilities than they are in emergency rooms. In fact, according to the 6/28/18 12:34 PM Urgent Care Association of America

(UCAOA), more than 80 percent of patients in urgent care facilities wait to be treated for only 15 minutes or less.

Cost savings

Patients are often pleasantly surprised by the affordability of urgent care services. Urgent care co-pays are typically lower than for ER visits (often comparable to primary care visits), and most facilities accept a wide variety of insurance plans.

Nonetheless, different facilities vary in this regard. To make sure a visit to a given center will be covered under your plan, it’s recommended to check with your provider ahead of time—ideally before you require urgent care.

No compromise on care and expertise

Patients don’t have to worry that seeking treatment at an urgent care center means compromising on the quality of care they’ll receive or on the expertise of the medical professionals who treat them. According to the UCAOA, urgent care patients have access to the same high-level care, resources, and treatments found at primary care physicians’ offices and

“My biggest concern was that dad would run out of money.”

M

Additional services

Along with treating a wide variety of acute injuries and illnesses, many urgent care centers offer additional non-emergency services for the convenience of patients. Possible examples include health screenings, on-site lab and x-ray imaging services, sports physicals, chronic disease management, etc. Check with your local urgent care to find out which, if any, additional services are offered.

Easing the ER burden

Going to an urgent care facility for treatment of a non-life-threatening injury or illness also helps lighten the load on emergency departments, which are often overburdened with patients seeking non-emergency care. As a result, our local ERs can focus their expertise and resources on severely ill or injured patients who actually require emergency services. ❦

“They sat down with us and explained all the costs. That’s when I knew I could afford to live here.”

- Kathy Schwartz, Daughter

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hospitals. Furthermore, 94 percent of urgent care centers have at least one full-time employed physician on staff, and 90 percent of urgent care physicians are board certified in a primary specialty.

- Harry Wagner, Resident

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MY

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CMY

© 2018 Elizabeth Scott Community

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12 November 2018 | Healthy Living News

A 5-Star Family Facility

2720 Albon Road Maumee, OH 43537 www.elizabethscott.org 419.865.3002 We love feedback. Like us on Facebook. Follow us on Twitter.

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Tips for avoiding long waits, high bills for medical treatment I

t’s Saturday afternoon. You’ve been battling a sinus infection, and now your head feels like it’s about to explode. You can’t stand it anymore.

As luck would have it, your doctor’s office is closed and the thought of trying to make it until Monday makes you want to cry—and that’s assuming your doctor’s scheduler can get you in the same day. You want to feel better. Stat.

Or, what if your eight-year-old just fell off the neighbor’s trampoline and did something to her ankle? It’s swelling. She’s crying. It doesn’t look broken, but how can you know for sure?

Or, it’s Sunday morning and in your child’s backpack you discover the sports physical form for this season’s basketball team. Of course, it’s due tomorrow.

What do you do?

Do you go to the emergency room?

You could, but you might be there

for hours. If others come in with life-threatening emergencies, the staff will have to care for those people first. So, there goes your afternoon.

Then there’s the impending bill. And there goes your budget.

The waiting game

According to the Centers for Disease Control and Prevention (CDC), only 27% of ER patients in the U.S. are seen in 15 minutes or less. And in May 2014, the CDC reported that the average emergency department wait time was about 30 minutes, with treatment time about 90 minutes.

Why? Obviously, patients who show up with symptoms that can signal life-threatening conditions take priority. That sinus infection or swollen ankle will take a backseat to the person coming in with chest pain or drooping on one side of the face.

Another reason for waiting? Overcrowding. Especially on weekends.

According to a study by Truven Health Analytics in 2013, a whopping 71% of emergency room visits could—and should—have been addressed in a different healthcare setting. Think about everyone in town who is tired of battling that sinus infection, just like you, on a Saturday afternoon. If you’re all sitting in the ER waiting to be seen and there’s a car accident at the same time, you’ll probably be there for a while.

The cost of care

It happens to most of us: just when we seem to be getting ahead financially, something happens that sends us back to the starting line.

Maybe the car needs new tires. Or, the house needs a new roof. Or, the holidays are coming. There’s always something, right?

Who wants to add a bill from the emergency room on top of that?

Debt.org reports that treatment for sinusitis at an emergency room costs an average of $617. Yikes!

ERs are among the most expensive places to get health care. All day, every day, the ER has to be staffed and ready for anything that may come through the doors. It’s easy to see why care there is expensive.

So, what’s the answer?

A better alternative may be going to an urgent care facility. Urgent care centers accommodate walk-in patients and are open on evenings and weekends. They address illnesses like sinus infections, flu, cuts, strains, and sprains. And in the best, patients can get lab tests and X-rays without ever leaving the center.

ProMedica now offers seven convenient urgent care locations in the Toledo area, including a center across from Levis Commons in Perrysburg and on Airport Highway, across from Spring Meadows. All ProMedica

Expertise, Compassion & Quality Care.

HOLLAND URGENT CARE 6819 Springvalley Drive Holland, OH 43528

419.930.5700

OPEN: Monday – Saturday 8AM – 8PM Sunday 10AM – 6PM 14 November 2018 | Healthy Living News

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

Urgent Care locations have lab and X-ray facilities and are open from 8:00 a.m. to 8:00 p.m., seven days a week. And, if it turns out you need more care than you thought, the advantage of a ProMedica Urgent Care facility is that it’s connected to the most comprehensive healthcare system in the region.

Each ProMedica Urgent Care is staffed with nurse practitioners qualified to diagnose and treat chronic and acute illnesses, order and perform medical tests, prescribe medication, and do physical assessments independently. So, if that sinus infection really does need antibiotics—even at 4:00 p.m. on a Saturday or 7:00 p.m. on Thanksgiving Day—these professionals have you covered.

What about cost? An ER visit can cost hundreds, even thousands, of dollars. Insurance copays for the ER are more expensive than a copay at an urgent care.

And even if you’re paying out of pocket, your urgent care visit will be less than if you go to an ER. ProMedica Urgent Care prices are posted online, so there aren’t any surprises. Remember that $617 ER bill for a sinus infection?

The self-pay price at ProMedica Urgent Care is $99. What would you do with the $500 you saved?

What about getting a flu shot?

It’s just $20 at ProMedica Urgent Care. And you can get it when it’s convenient for you.

So, when is urgent care the right choice? Here are parameters and situations to help with that decision.

• Patients age 6 months and older • Minor injuries—sprains or strains • Cuts or lacerations when stitches may be needed • Bladder infections • An atypical headache • Acute pain • Fever that spikes • Abdominal pain • Asthma attack • Minor burns • Lab tests • X-rays.

For more information on ProMedica Urgent Care locations, pricing, and helpful information on when to choose urgent care, visit promedica. org/urgentcare. ❦

Breast Cancer - continued from p7 by subtype and targeting treatments accordingly is making a significant difference in outcomes. Of course, none of these advances would have been possible without clinical research.

“We owe all these advances and all our new-and-improved standards of treatment to women who chose to participate in breast cancer clinical trials,” Dr. Hadziahmetovic states.

The nature of breast cancer survivorship has also changed markedly thanks to advances in treatment and technology. “More and more women are living long-term with their breast cancer in remission and their care team doing surveillance so they can step in immediately in case of recurrence. So now we want our patients not just to be survivors, but ‘survivor-thrivers.’ To help them achieve that goal, we teach them how to improve their overall health and reduce the risk of the disease coming back. Things that patients can do to be active participants in their care and well-being include maintaining a healthy body weight, exercising regularly, restricting alcohol intake, etc. Essentially, we’re empowering women to be active participants in their own care to further reduce the risk of their breast cancer recurring

n

or having other health issues as they get older.”

The Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, has 15 physicians, 4 Research Nurses, and 6 nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TTCCC also has satellite centers in Maumee, Napoleon, Bowling Green, Adrian, and Monroe, as well as a partnership with the Mercy Health – Perrysburg Cancer Center for the convenience of the patient.

TTCCC has earned Patient-Centered Specialty Practice level 3 recognition and Oncology Medical Home recognition from the National Committee for Quality Assurance.

Oncology homes align systems and resources with coordinated care focused on cancer patients and their needs. This reduces fragmentation, supports shared decision making, and improves the patient experience. TTCCC is the first oncology practice in the state of Michigan and the second oncology practice in the state of Ohio to receive this recognition.

For more information, please call The Toledo Clinic Cancer Centers at 419-479-5605. ❦

Experience the peace of mind that comes from knowing quality care and support are available when you or your loved one need it the most. Our employees are experts in helping those with memory loss, and our specialized memory care unit features:

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5916 Cresthaven Ln | Toledo, OH 43614 419.865.4445 | ohioliving.org Healthy Living News | November 2018 15

nobody’s perfect Asking for help

by Sister Karen Zielinski, OSF

A full wellness clinic with Acupuncture, Traditional chinese Medicine, and Massage Therapy.

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RECOVERY FROM STROKE This patient had tried alternatives and hadn’t found a solution. Until she visited Tamara TCM Wellness Clinic. Hear what she had to say: “After months of occupational and physical therapy, I decided to include acupuncture and alternative medicine to help me recover from a devastating stroke in 2012. I am happy to report that Tamara TCM is the leading factor for the feeling and movement that I have regained in my arm and leg since my stroke a year a go. Tamara has been a very important part of my recovery and I recommend her to you without any reservations. I have been impressed with the wide variety of health issues she has been able to effectively treat. Whatever your symptoms; I am sure Tamara can help you to feel better. she’s the Best, Give Her a Try!” This story is just one of the many successes at Tamara TCM Wellness Clinic.

Many conditions are effectively treated with acupuncture.

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“Is it hard for you to ask people for help? I think that would be hard for me to do.”

My friend Eileen was at my home.

We were just about ready to settle down and stream a Netflix movie, when I asked her to please bring me my ice water, which I had left on the dining room table. (I was already seated in my recliner in the living room.)

“Sure thing!” she replied, “I'm so glad you are asking for help.”

I told her I was used to asking after doing it for many years due to living with my multiple sclerosis (MS). I try to be independent and do as many things as I can myself, but if someone is over, I often ask for help.

It usually is nothing big—like putting bowls or glassware in the cupboard after I empty the dishwasher. Or, it might be emptying the lint filter in my dryer. My dryer sits on top of my washing machine and does not sit on the floor. It is a bit of a reach.

I can do the things I ask people to help me with, but it usually takes me more time, since it takes me a few more maneuvers than others.

It is a matter of safety.

That little scenario of asking for help is what I do all the time. People cannot read my mind. If I need help reaching for an object, or delivering a package to my office at work, I say so. Others are more than willing to help, but they need to know what they can do.

In today’s culture, we love our independence. If we want to go out for a burger, we drive to a fast-food place and get something to eat. If we want to drop off a sample of a meal we cooked, we often deliver it to a friend by just “jumping in the car.” Well, I might make the meal, but delivering it is one more thing to do. I drive a van with hand controls, but backing my electric cart into it, transferring

16 November 2018 | Healthy Living News

to the driver’s seat, getting out, and doing the whole process again to drive home is gratefully replaced for me by someone saying, “I’ll pick it up!”

Since I started walking with a cane when I was 40, I gradually got used to asking others to help me out. If I am grocery shopping and cannot reach an item, I will ask a shopper to get the item. People are truly glad to help. I usually thank them and add, “You did your good deed for the day!”

I have always been independent. I remember years ago, in grade school, sitting with my mom doing my homework. She told me to color two samples of flowers, but no, I needed to do all six varieties. When she said she could help me finish the coloring, I told her I had to do it myself.

I believe my independence is good, since it keeps me healthy, stretching my muscles, making decisions on what needs to be done immediately or what can wait until tomorrow. I remember being at my parents’ home as my 80-year-old mom brought me a cup of tea while I sat in the living room. I told her that it humbled me.

She said, “But you can’t do it. Just enjoy the tea!”

I think we all try to be independent or prolong our independence.

We all know people who tell us they do not need hearing aids while we shout at them, or they crank up the volume on the television very high.

They do not need a cane, but are “wall walkers,” touching the walls to get by or using an umbrella to walk around. I think our personality, our American culture which values independence, youth and speed, all feed into making us keep up the appearances of perfect health. It can prevent us from asking for others’ help since that might translate into body imperfection and weakness.

I feel that others know when we are weak in the legs or body, so why mask it? People can see we are experiencing health problems. I say,

“Keep keeping on, and ask for help when you need it.” We need to be honest about our needs.

So, if you need help, ask for it.

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. ❦ Making needs known is important for everyone Asking for help or information is a part of basic communication.

It does not apply solely to those with disabilities. People need to ask questions, whether at the doctor’s office, before they go on vacation, etc. Before we attend an event, visit a movie theater, or simply go out to eat, it is a good practice to call ahead. When we talk to someone and find out where we can park, how much admission is, if their theater is open on Sundays, etc., we are prepared for an outing or activity. Knowledge makes us feel more comfortable and can lessen anxiety about new places or unfamiliar practices.

I have learned through my many years of not only living with a mobility disability (MS), but just plain daily living, that communication is a basic and fundamental part of life. Whether it’s calling the pharmacist to see if my prescription is ready or reminding a friend that there is a church activity over the weekend, talking to someone, confirming an appointment, etc., is just basic good sense and often common courtesy.

Take nothing for granted! Ask some questions!

There is a delicate balance between asking for help when we cannot do something and asking for help all the time. Even though a person might have a disability, they should not take advantage of others, especially when they could do something on their own.

We do not want to take advantage of the kindness of others or “wear out our welcome.” I sometimes do a “reality check” and ask myself if I could do the task myself, or if I am being a little lazy.

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Healthy Living News | November 2018 17

Wise words from Otterbein

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

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

1. Make up your mind

“Move” means to “go forward.”

Try to think of it this way: The reality is that the house may be too big, too much for your needs. A change to a different, simpler way of life can be exhilarating. Your attitude will help determine the success of your move!

2. See the big picture

To avoid being overwhelmed by details it helps to have 4 strategies: Do a little at a time; keep your eye on the end goal—a simpler and happier life;

enlist the help of family, friends, and professionals; and create a timeline.

3. Take a look at your “stuff ” and home

What can you do without? Is your home in good order and ready to be shown? What do you need to know before talking to a realtor.

4. Downsize and de-clutter

Be ruthless! Pass on items to family. Get some plastic bins and post-it notes. Get rid of out-of-size and out-of-date clothing! Get help from someone who will be honest and swift with the downsizing.

5. Get your house in order

Put on the glasses of a buyer. Does your house have good curb appeal?

Is it light and bright inside? Is there clutter on counters? Can you pack

18 November 2018 | Healthy Living News

away the majority of personal items?

of the move be?

Interview three real estate professionals. Ask them, what is the competition? How many homes have you sold this year? What price do you propose that will bring us a buyer in 90 days? How will you market/ advertise my home? Based on your research, pick the realtor who will be the best “business” choice and the best relational choice for you.

You need someone you can trust!

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

6. Pick the right realtor

7. Prepare for your new home

Is your next move “a plan for life”?

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

8. Get touring!

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

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Ashanti Hospice and Palliative Care:

It’s about living

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very life is unique, following a distinct path guided by the individual’s values, dreams, and aspirations. As the end of that journey draws near, hospice care can make it possible for individuals to spend their remaining days in comfort and dignity, still empowered to chart their own course.

“Hospice care, an important Medicare benefit, is a form of palliative care that is reserved specifically for clients who are terminally ill and are no longer receiving curative treatment for their underlying disease,” explains Judy Bishop-Pierce, Vice President of Operations for Sunset Retirement Communities. “To qualify, an individual must have a terminal diagnosis with a prognosis of six months or less, and the individual and his or her family must agree that they are seeking comfort measures.

Hospice services can be provided beyond six months as long as a physician recertifies that the individual is terminally ill.”

It’s important to recognize that hospice services can be beneficial long before life’s end is imminent. In fact, when hospice care is initiated, symptoms can be managed, stress and anxiety alleviated, clients can shift their focus to the loved ones in their lives, and a care partner team can be created supporting the client through their end-of-life journey. So it’s encouraged to have the hospice conversation sooner rather than later.

“End of life care can be a delicate subject, but the best time for families to discuss the option of hospice and its many benefits is as early as possible before a crisis occurs. During a health crisis, indecision or disagreements among family members about the best course of action can mean a lower quality of life for the client and the loss of valuable time with loved ones during those precious remaining days. Having a conversation about end-of-life choices also enables the family and loved ones to honor an individual’s wishes rather than guessing what that person would want for their end-of-life journey,”

Bishop-Pierce states. Sunset’s hospice service, called Ashanti Hospice and Palliative Care, focuses on treating not just the illness, but the whole person, and centers on comfort. “Ashanti is about living, not dying. It’s about making each client’s end-of-life journey their own,” Bishop-Pierce adds.

The Ashanti Hospice and Palliative Care team is comprised of several compassionate members, including doctors, nurses, STNAs, social workers, a spiritual counselor, as well as massage therapists and trained volunteers. The team partners with clients’ families to deliver the most holistic care possible wherever clients call home—whether it’s in their home, at one of Sunset’s communities, or in another assisted-living, independent-living, or skilled-nursing facility.

This multidisciplinary team works closely with the client and his or her loved ones to develop a care plan and help guide them through the end-of-life journey. This plan of care is reviewed routinely to ensure the client’s needs and wishes are being met and any treatments are in line with his or her goals.

Ashanti’s services can include providing expert medical care, coordinating any home care supplies and equipment that are needed, as well as aiding in controlling symptoms and managing pain and medication.

Emotional and spiritual support are also available to the client and family, as well as additional services to help soothe and comfort the client, such as massage and aromatherapy. “As hospice treatments begin and the Ashanti team and family members collaborate to deliver the best care possible, clients can expect their quality of life to be maintained or improve depending on their unique situation,” Bishop-Pierce says.

The Ashanti team is available to meet with potential clients and their families at any time to explain the hospice benefit. To schedule a meeting or for additional information, please call Ashanti Hospice and Palliative Care at 419-724-1047. ❦

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Healthy Living News | November 2018 19

Spiritually Speaking Thank God

by Sister Mary Thill

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ince I became increasingly aware of the connections among the three major religions in the United States— Judaism, Christianity, and Islam, I’ve tried to see the importance of special feasts and holidays through those three lenses. This month’s Thanksgiving Day holiday gives me pause to think of just how important gratitude is in my daily life and in my overall attitude about life.

I’ve tried to make an attitude of gratitude part of my life for a very long time and I’m caught off guard when someone doesn’t say “thank you” when something kind has been done for them or someone has given them something. I find myself saying “thank you” for them, and then I feel that I have embarrassed them, which was not my intention at all.

It’s just that it’s a normal response for me to say “thank you!” when something good happens to me. The

challenge is to remember to give God the credit too!

I’m pretty sure that God doesn’t feel slighted when we don’t give God the recognition for everything that we see on this earth. God continues to surprise us as we learn more and more about our body/mind/spirit connections, the planet on which we live, the solar system, all of creation, which God seems to be still creating at least as we understand the creative process.

How often do you thank God for all that scientists and theologians have shared with us as they too continue to study and learn about creation and the creative process? I know that there are folks who don’t believe that there is a God let alone a God who is responsible for all that we see around us and within us. I’m just sharing with you what I believe and what I have found that my sisters and brothers in the Judaic and Islamic faiths also believe in making the connection

between giving God the credit for work for food” sign. I’m challenged all that we have and are. every time I see him (or her) and try How do we express this attitude not to judge him and wonder if he of gratitude to God? I think we thank is indeed the reminder I need to see God immediately as we become aware in him the face of God. that a thank you is in order. I think we As we celebrate another Thankscan express this by saying thank you giving Day among family, friends, and to a person who we even strangers, let’s feel may have acted remember to thank The medieval Christian mystic in God’s name. The God for all that we Meister Eckhart suggests that if the only prayer we say in Good Samaritan who have and all that we our lifetime is “thank you,” opens a door for you are at this moment in that would suffice. when your hands are time. Lest we think that full, the friend who it’s all about us and “Praise God,” says the comes to the mortu- Hasidic teacher Rebbe Nachman how good we are and ary and embraces you of Breslove. “It puts everything can be, I’m remindwith heartfelt compased of this quote by into its proper place and sion, the cashier who Father Richard Rohr: perspective.” sincerely wishes you “God does not love Sachiko Mirata, a scholar of blessings and “have a you because you are Islam, calls gratitude the first good day.” It doesn’t good. God loves you character trait that people owe take much to show because God is good!” to Allah. the face of God in our Let’s be good and everyday actions; we (Quotes from Spiritual Literacy grateful anyway. just need to be aware Happy Thanksgiving!

by Fredric and Mary Ann Brussat.) of what others need Go Blue! when we come in contact with them. This Sister Mary Thill is a of course requires that we are able Sylvania Franciscan Sister. She is Patient to forget ourselves, our “selfies,” and Liaison for Mature Health Connections pay attention to the rest of the world. at Mercy Health – St. Vincent Medical I’m sure you have seen folks ignore Center. She can be reached at 419-251the man on the street with the “will 3600. ”❦

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20 November 2018 | Healthy Living News

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How to be a successful hearing aid wearer

by Dianna Randolph, AuD, CCC-A

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earing loss is one of the major health problems affecting seniors in this country. According the Better Hearing Institute, three out of ten seniors and one out of six baby boomers have hearing loss. Hearing loss has been known to cause depression, helplessness, and a decrease in social activities. With so many people having hearing loss, why aren’t more people wearing hearing aids?

I’m sure we all know somebody who has worn hearing aids. I hear from patients frequently that they know someone who has hearing aids but doesn’t wear them. Everybody’s hearing is different, and you should not judge how you will do with hearing aids based on another person’s experience. There are many reasons why people don’t like their hearing aids. If you or someone you know has finally decided to invest in hearing aids,

these recommendations will ensure success: Find the right audiologist—Selecting the right audiologist you are comfortable with and that you trust is the first step. At Northwest Ohio Hearing Clinic (NWOHC), we have three doctorate-level audiologists with a combined 75 years of hearing aid experience who will discuss with you your lifestyle, hearing needs, and budget and then make an appropriate recommendation.

Our patients are just like family to us. We will take a personal approach to your hearing needs and decide together what is the most appropriate hearing aid for you. We have even been known to make a house call if need be!

Get what is recommended over what is the least expensive—We all

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hearing loss in both ears, then two hearing aids will be recommended.

Your brain is programmed to hear and understand speech in stereo, through two ears. One hearing aid cannot take the place of two ears.

You will still have difficulty hearing and understanding with only one hearing aid. Would you get glasses with only one lens and expect to see clearly?

Wear the hearing aids all day— Wearing hearing aids is not a part-time option. You will be more successful if you wear the hearing aids all day so you can get acclimated to the sounds you have missed for many years. Your brain has been accustomed to hearing with the hearing loss for years, so it will take time for it to get used to hearing through hearing aids. Think of it as retraining your brain to hear again. The brain needs consistent stimulation for this to happen.

Go back for rechecks—Make sure you come to your recheck appointments. Your audiologist cannot know your concerns unless you share them.

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Remember that two hearing aids are better than one—If you have

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nG L i R C A P nD e R SA He C At W

know hearing aids are an investment in yourself and in your family. Our goal is to improve your hearing.

If you lead an active life, are very social, and have high demands on your hearing, you require a hearing aid that will be able to work in all the situations. The premium products will do a better job, especially in background noise, by adjusting to your listening needs. The entry-level products, though more affordable, may not adjust to your listening situation. At NWOHC, you will be given a 30-day trial period. If you are not happy with your purchase, you can exchange it for something else.

Have realistic expectations— Nothing can replace your natural hearing. Hearing aids won’t make you hear like you did when you were younger, but you will hear better. There will be times when you will still have difficulty hearing because someone without hearing loss does not hear 100% of the time.

A hearing aid will only work as well as the wearer’s auditory system will

allow. Remember, it is a hearing aid, not a new ear.

The wait is over. Sylvania’s newest senior living community is ready to be your next home. Call now to be one of the first to experience why Charter Senior Living of Oak Openings is the place for exceptional comfort and innovative care.

419.419.0408 www.charteroakopenings.com 6805 Sylvania Ave. | Sylvania, OH 43560 Healthy Living News | November 2018 21

We want you to be happy with your hearing aids, and you may need a slight adjustment to improve the sound quality or fit. At NWOHC, we will have you back at least twice during your trial period to make sure the hearing aids are working for you. If more appointments are needed after the trial, they will be scheduled.

Start with a baseline screening— As we get older, we all start to lose some hearing. It is a gradual process that you may not even be aware of.

It is recommended to obtain a baseline screening as part of your yearly physical around the age of 50, even if you don’t notice any hearing loss.

After the screening, the audiologist will then give you recommendations according to the results.

Get real ear measurements—

Having your audiologist use real ear measurements assures that your hearing aid is fit precisely to you.

This is part of the audiologist “best practices” approach. Today’s hearing aids are very good and can usually be programmed appropriately at first fit, but having real ear measurements shows what you should be hearing and if the hearing aid

is reaching those measurements.

Real ear measurements only take a few minutes to obtain and usually prevent multiple adjustment appointments.

Admitting you need hearing aids is the first step in better hearing.

The average person with hearing loss waits approximately seven years before he/she purchases hearing aids. Hopefully, with the above information, your hearing aids will stay in your ears and not in a drawer.

If you or someone you know is in need of hearing aids, please call one of our offices and schedule an appointment to discuss your options with one of our audiologists. We have two convenient locations— one inside the University of Toledo Medical Center and the other in the Perrysburg Medical Center at Levis Commons.

Dianna Randolph, 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 (419873-4327). ❦

Read for Literacy to benefit from the November 24 Shop Small Toledo

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hop Small Toledo, an initiative ledo Zoo. Characters from Laurel’s that brings small businesses and Princess Parties will be visiting from shoppers together under one roof, 11:00 a.m. to 1:00 p.m. will be held from 9:00 a.m. to 4:30 VIP access begins at 9:00 a.m., p.m. on Small Business Saturday, with general admission entrance November 24, 2018, at 10:00 a.m. To at the Seagate Conpurchase tickets, vention Centre, 401 go to the Shop Jefferson Ave. Part of S m a l l To l e d o the event’s proceeds website at www. will be donated to shopsmalltoledo.com Read for Literacy, and click on “Purwhich provides a chase Tickets.” Tickwide range of literets are $5 for general acy services to local admission and $10 communities. for early access VIP. Shop Small ToShop Small ToSaturday, ledo will feature ledo is hosted by November 24, more than 60 venIt’s My Mommy’s 9:00 a.m.

4:30 p.m. dors showcasing Business and spona wide variety of sored by iHeart items—many of them unique to Media, Inc., St. Luke’s Hospital, and Toledo and the surrounding area. Chick-fil-A. For more inforThis family-friendly event will feature mation on the event, call a Wi-Fi lounge, charging stations, 567-806-3872, go to the website, and children’s activities courtesy or find the event on Facebook. of Imagination Station and the To- ❦

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“Eat, drink, and Another suggestion be merry” is often is never skip a meal the rallying cry for thinking you will save the upcoming holicalories. Instead, considdays. But this holiday er a lighter meal, such as season, older adults a hearty vegetable soup should plan ahead packed with nutrients and adapt their eatand, of course, a good ing strategies to stay breakfast. healthy and vital.

“Today’s seniors are very nutrition savvy.

Doug Smith, Director of Culinary They add healthy fruit Services for CHI Livand nuts to their oating Communities, an meal, eat plenty of fruits organization with and vegetables, and two senior living practice portion control. communities in the They often ask for a area—Franciscan take-home box to help Care Center in Toledo control their portions,” and St. Clare Com- . . . in moderation Chef Doug says. mons in Perrysburg, So, if your diet aloffers some nutritionlows, enjoy a taste of al advice for holiday eating. your family favorite, but practice “As holidays and special events “mindful eating” over the upcoming come around, you need to plan ahead holiday months. For some delicious on how to deal with your famous options, see Chef Doug’s recipes for pumpkin cake roll or Thanksgiving pecan pie and minestrone soup below. dinner,” says Chef Doug.

Franciscan Care Center offers Chef Doug suggests trying “mind- rehabilitation, skilled nursing, and ful eating.” He encourages strategies long-term care. Located at 4111 N. such as eating your vegetables first so Holland Sylvania Road in Toledo, you start to fill up, taking your time Franciscan Care Center is close to all eating and enjoying every bite, and Toledo area hospitals in the Sylvania asking yourself “Am I still hungry?” area. Call 419-882-6582 for more inand then putting down the fork if formation or go to homeishere.org.

St. Clare Commons is located just you are satisfied.

“Seniors don’t have to adjust their minutes down the road from Levis eating habits in the colder months. Commons in Perrysburg and offers Many of them continue their activ- a continuum of care that includes assisted living, memory care, skilled ities and exercise classes,” he says.

There are healthy tricks for seniors nursing, and rehabilitation. For a and all of us as we approach the tour or more information, call 419holidays, according to Chef Doug. 931-0050 or go to homeishere.org. ❦ Eat more vegetables, because they are higher in fiber, and drink water before a meal to fill you up and help keep you hydrated. This time of year is perfect for such vegetable favorites as Brussels sprouts, winter squashes, beets, turnips, rutabagas, parsnips, ... from the carrots, and sweet potatoes. All are kitchen of Chef delicious cooked in your favorite way Doug Smith, Director of Culinary and filled with valuable nutrients.

Chef Doug notes that fall is the Services, CHI Living Communities: perfect time to check with your doctor or dietician during your regular visit before the holidays to make sure you are following any specific dietary guidelines that may be required if you’re taking a medication or have a medical condition such as diabetes.

This allows you to plan ahead for special gatherings and know what you may have to avoid in order to maintain your health and comply with medical advice.

Pecan Pie

Pecans are full of vitamins, minerals, and antioxidants. Heart-healthy pecans decrease LDL “bad cholesterol” and increase HDL “good cholesterol.”

This recipe uses natural sweeteners because they taste good and provide more minerals than white sugar.

They are not necessarily better for you; treat them as you would sugar and consume judiciously.

Connect with our advertisers via our online issue at www.hlntoledo.com

It’s all here for Dad at Franciscan Care Center.

With 24-hour nursing and all the comforts of home, our post-acute and long-term care balances quality care and quality of life. Franciscan Care Center is known for its variety of services along with spiritual and social activities to keep residents comfortable and active.

Ask about rooms available for respite stays.

For more information, please call Alicia at 419.304.9512 or visit us at homeishere.org.

Rehabilitation Skilled Nursing Respite Care

Franciscan Care Center 4111 N. Holland-Sylvania Road | Toledo, Ohio

Our home is here.

St. Clare Commons.

We’ve been so worried about Mom. She is Dad’s primary caregiver and it was starting to take a toll. Since the move to an Assisted Living suite at St. Clare Commons, we worry less and our parents are enjoying life.

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Maintenance-free living Social gatherings and meaningful spiritual opportunities Chef-prepared meals Transportation provided

Call Faith today at 419.931.0050 to schedule a tour and learn how you can save $1,000 per month!

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Healthy Living News | November 2018 23

Ingredients: 1 deep-dish pie shell 6 Tbs. unsalted butter, melted ½ tsp. kosher salt 1 Tbs. molasses 1 cup pure maple syrup 3 large eggs 3 Tbs. brandy (optional) 1½ cups pecan pieces Directions: Preheat oven to 375 degrees. In a large bowl, whisk together all ingredients except pecans. After all ingredients are incorporated, stir in pecans. Pour

into unbaked pie shell. Bake at 375 degrees for 45-50 minutes. The center will not be completely set. Cool completely before serving.

Minestrone Soup

Ingredients: 2 Tbs. olive oil ½ cup diced onion 4 cloves garlic, minced 1 cup diced celery 1 cup diced carrot ½ cup diced potato 1 tsp. oregano

1 Tbs. fresh chopped basil 1 Tbs. black pepper ½ pound cut green beans 1-15 oz can kidney beans 1-15 oz can navy beans 4 cups diced tomatoes (fresh or canned) 6 cups chicken stock 1 cup cooked ditalini pasta* or elbow macaroni ½ cup Parmesan cheese 3 Tbs fresh chopped basil *Ditalini is a tiny, tubular-shaped pasta perfect for soup recipes.

Directions: In a large pot heat olive oil. Add and sauté onions until translucent. Add garlic, celery, and carrots, and cook for about five minutes. Add potatoes, green beans, and spices. Sauté an additional minute or two. Add everything else except pasta, Parmesan cheese, and second amount of basil. Let simmer for about 30-45 minutes or until all the vegetables are soft. Stir in pasta, cheese, and additional basil. Serve immediately. Serves 6 to 8.

HEALTH CROSSWORD

by Myles Mellor • ilovecrosswords.com • Answers on page 34

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Independent Living • Assisted Living • Rehabilitation • Nursing Care • Home Health

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1036 S. Perry Street Napoleon, Ohio 43545

419.861.5634

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GeNACRoss AT Home

(Lutheran Village at Wolf Creek)

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(Lutheran Home at Napoleon)

For information on our NeW in-home health services, please call:

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COMMUNITY health experts who treat you like a neighbor.

Investing in the health of our hometown.

We care about your health. And we are deeply committed to the wellness of this community. As a local center of nationally recognized care, The University of Toledo Medical Center provides both life-saving treatment for the most complex cases and compassionate care for more routine injury and illness – just minutes from home.

We’re strong. We’re committed.

And we’re confident in the future.

Visit utmc.utoledo.edu to learn more.

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Healthy Living News | November 2018 25

Running with the dogs How Fido is revolutionizing the health movement

by Bethany D. Merillat, MS, MEd

N

eed an excuse to get healthy, have fun with a furry friend, and help a good cause in the process?

Look no further than your local race and walk calendar! Once solely for humans, walks and runs across the country have become increasingly dog friendly in the last 10 years, with many events, such as Bark for Life, Paws for Pink, and Strut Your Mutt (to name a few), catering to our four-legged friends.

The rise in dog-friendly events seems to coincide with America’s push for healthier, more active lifestyles.

Research has found that dog owners have a lower risk for cardiovascular disease as well as death from any other cause as compared to those who do not own a dog1, and this trend holds true even when adjusted for other factors such as BMI, smoking, and socioeconomic status.

Other studies focusing on physical activity in post-menopausal women2, comparing dog walking and physical activity levels in the US and Australia3, and exploring people’s motivation for getting active and walking with their dog4 have all reached the same conclusion—people who participate in activities with their dogs are healthier and more fit and live longer lives.

Researchers have proposed a number of explanations for the doghealth link, such as the strength of the dog-owner relationship4 and the fulfillment of other basic needs, such as social interactions5, but at the end of the day, the important takeaway is that for many Americans, dog ownership results in positive health benefits.

Ready to lace up your running or walking shoes and get out the door with Fido? Want to find out more about the history of dog racing in the United States and which areas of the country have the most dog-friendly events? Check out my research article and database at https:// runrepeat.com/ the-dog-race-database-fido-fitnessand-fun, which details the state of dog-friendly events in the states, and features a searchable database to find an event near you.

Whether you are just looking for a stroll through the gardens or a more challenging trail run, color run, mud run, or warrior dash with your pooch (there are even nighttime dog-glow runs), there is something for every-

one! No dog? Not a problem!

Many rescue organizations let you “borrow” a four-legged pal for a run—a deal that may result in you taking home your new best friend.

Not sure how to run, or how to run with your dog? Many race sites have fun apps and training programs, like Pooch to 5k, to help you and Fido get ready for your big event. The Arthritis Foundation even has a project dedicated to promoting both human and dog walking, noted by the Waggers Welcome logo on many of their walk and run events. After all, dogs can get arthritis too, and the best prevention is to get out and moving!

With prizes and contests galore, outstanding goodie bags and swag for you and your pooch, music, food and fun, you have nothing to lose and everything to gain. So what are you waiting for? Grab a leash and a furry friend and get ready to have a fantastic time staying healthy and active.

Bethany Merillat, MS, MEd, is a health research psychologist with a passion for helping people lead happier, healthier lives. She specializes in education, online data collection, and interventions to increase health and wellness, and has published a number of journal articles in these areas. In her free time, she enjoys running with her Australian shepherds, Boston and Indy; cooking; and playing disk golf with her husband, Brett.

References: 1. Mubanga, M., Byberg, L., Nowak, C., Egenvall, A., Magnusson, P. K., Ingelsson, E., & Fall, T. (2017). Dog ownership and the risk of cardiovascular disease and death – a nationwide cohort study. Scientific Reports, 7(1). doi:10.1038/s41598-017-16118-6.

2. Garcia, D. O., Wertheim, B. C., Manson, J. E., Chlebowski, R. T., Volpe, S. L., Howard, B. V., ... & Thomson, C. A. (2015).

Relationships between dog ownership and physical activity in postmenopausal women.

Preventive medicine, 70, 33-38.

3. Christian, H., Wood, L., Nathan, A., Kawachi, I., Houghton, S., Martin, K., & McCune, S. (2016). The association between dog walking, physical activity and owner’s perceptions of safety: cross-sectional evidence from the US and Australia. BMC public health, 16(1), 1010.

4. Lim, C., & Rhodes, R. E. (2016). Sizing up physical activity: The relationships between dog characteristics, dog owners’ motivations, and dog walking. Psychology of Sport and Exercise, 24, 65-71.

5. Westgarth, C., Christley, R. M., & Christian, H. E. (2014). How might we increase physical activity through dog walking?: A comprehensive review of dog walking correlates. International Journal of Behavioral Nutrition and Physical Activity, 11(1), 83. doi:10.1186/1479-5868-11-83. ❦

©2018 Hospice of Northwest Ohio

Experience from the most experienced

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Choosing support from the region’s most experienced hospice team can provide more comfort in body, mind and spirit. More contentment in the present. More dignity in each day.

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8/15/18 10:39 AM

Manor at Perrysburg offers expert, individualized, multidisciplinary pulmonary rehab

F

or people with healthy lungs, it can be difficult to conceptualize the experience of living with a pulmonary disease that literally takes one’s breath away.

To appreciate just how alarming breathing problems can be, try to breathe in and out through a thin straw or coffee stirring stick for several seconds. People who perform this simple experiment feel the panic of being unable to inhale and exhale freely and then experience a tremendous sense of relief when they’re able to begin breathing freely again.

Now, thanks to the state-of-the-art, multidisciplinary pulmonary rehab program offered at The Manor at Perrysburg, this same sense of relief—and a greatly improved quality of life—is available to people whose breathing is compromised by conditions such as chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), emphysema, or asthma. Patients with any type of pulmonary disease, even sleep apnea, are candidates for this program, and treatments are highly individualized because every patient is unique and the appropriate care is different depending on the disease.

Former and current smokers are also encouraged to take advantage of this program.

Patients in the pulmonary rehab program receive one-on-one treatment in 60-minute sessions, five days a week. In addition to performing exercises that help keep the airways open and strengthen inspiratory and expiratory function, patients can learn specialized techniques to help them breathe better despite their disease.

For example, patients with diseases such as multiple sclerosis (MS) or amyotrophic lateral sclerosis (ALS) can learn to build strength in their diaphragm by using a diaphragmatic breathing technique instead of breathing through their nose.

Patients with COPD, who commonly experience CO2 retention, can be taught certain breathing techniques that help keep CO2 at a safe level in their body.

But the program goes far beyond breathing exercises. Patients’ respiratory medications are also assessed to

make sure they’re appropriate and being used properly so they don’t cause other problems. For instance, patients who use a bronchodilator too frequently can develop a false dry cough. Also, because people with pulmonary disorders tend to retain water very easily, which can impair breathing if it causes the lungs to fill up, the Manor at Perrysburg dietary team works closely with patients to ensure they’re eating the right foods, limiting sodium, and avoiding drinking too much water.

Relaxation and meditation techniques are taught in the program, as well. These techniques are especially important for patients with obstructive pulmonary disease, meaning they can get air in but can’t get it out.

(People with restrictive pulmonary disease, on the other hand, are able to get air out, but not in.)

Directed by pulmonologist Dr. James Tita, the pulmonary rehab team consists of a respiratory therapist; physical, occupational, and speech therapists; nurses; social services; and dietary services—all of whom are focused on getting the patient back to the highest possible level of pulmonary function. This multidisciplinary team works together to produce the best possible outcomes for patients. The team also coordinates with the patient’s physician to keep him or her apprised of the patient’s condition and progress and to ensure any recommendations the doctor may have are incorporated into the treatment program.

Effective treatment of any chronic breathing disorder requires a lifelong commitment on the patient’s part, so when patients complete rehab, they’re given a variety of educational materials so they can continue doing everything they’ve learned at home.

The pulmonary rehab team’s goal is to supply patients with all the information they need in order to understand their disease, increase or maintain their stamina and lung volume, as well as reduce the frequency of their hospital and doctor visits.

Fundraiser to Benefit the Alzheimer’s Association

Our Annual

HEALTH FAIR

Thursday, November 15th 10:00 a.m. to 2:00 p.m.

FREE EVENT – ALL ARE WELCOME Visit these vendors and many more: Waterford at Levis Commons, Northwest Ohio Hospice and Sincera Supportive Care and Symptom Relief, Oasis Senior Advisors, Ability Center, StoryPoint Senior Living, Purse Love, Bioscrip Infusion Services, St. Luke’s

For more information about the pulmonary rehab program at The Manor at Perrysburg, please call 419-874-0306. ❦

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Healthy Living News | November 2018 27

Fall Urogynecology News Part 2 Part 1 of Fall Urogynecology News introduced HLN readers to the practices of Karen Liberi, WCS, a licensed pelvic floor therapist, and Drs. Nadine Kassis and Andrew Croak, both board-certified, fellowship-trained urogynecologists.

Though independent, these three practitioners have come together under one roof to create an empowering environment where women of all ages can feel safe, calm, and confident in addressing a wide variety of women’s-health issues.

Their story continues here: The awesome news is that there are a variety of treatment options that a urogynecologist can provide to relieve or resolve symptoms of pelvic floor disorders. Conservative treatment options include referral for pelvic floor physical therapy and medications. If necessary, there are also safe and effective surgical treatment options. “Knowledge is power, and the more a woman knows, the more confident she will be in directing her treatment. I see myself as an agent for

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providing that knowledge. I take pride in my depth and breadth of options in terms of diagnostics and treatments for pelvic floor disorders. I focus on having healthy, weighted discussions with my patients in regards to their options and help them make the deDr. Nadine Kassis cision that is right for them.

I believe this is the future of medical care,” Dr. Kassis summarizes.

Dr. Andrew Croak also completed a four-year OB/GYN residency and received his FPMRS and Masters in Biomedical Science degrees from the Mayo Clinic. He was the third urogynecologist in the country, MD or DO, to be boarded under the new sub-specialty. He sits on his national board as an examiner and was the first and only gynecologic surgeon in the area to be Dr. Andrew Croak accepted into the prestigious Society of Gynecologic Surgeons. To give back, he has taught over 50 OB/GYN residents in his career, enough to be inducted into the Ohio Osteopathic Mentor Hall of Fame. He was nominated in the past as a Toledo Hometown Healthcare Hero.

Together, these three experts have some exciting things on the horizon to offer their patients. Ms. Liberi is advocating for the prenatal/postpartum community by offering “4th trimester care.” The American Congress of Obstetrics and Gynecology (ACOG) recently declared a “4th trimester care” initiative. Per the ACOG statement: “The comprehensive postpartum visit should include a full assessment of physical, social, and psychological well-being, including the following domains: mood and emotional well-being; infant care and feeding; sexuality, contraception, and birth spacing;

28 November 2018 | Healthy Living News

sleep and fatigue; physical recovery from birth; chronic disease management; and health maintenance.” Ms. Liberi’s clinic is perfectly placed to address physical recovery from birth.

Dr. Kassis continues to offer the pinnacle of minimally invasive Karen Liberi, WCS laparoscopic surgery for female pelvic reconstruction, and she has expanded her office hours so that patients have even more access to care. Dr. Kassis is also excited to talk about future collaboration with other Women’s Health providers, such as the new St. Luke’s Family Medicine Residency and the Women’s Health Integrated Network. “WHIN was created to transform healthcare for women in this region through the provision of comprehensive, coordinated care from a network of the region’s most skilled physicians and caregivers,” says Dr. Kassis. WHIN includes physicians and other healthcare professionals like general and breast surgeons, plastic and reconstructive surgeons, benign OB/GYN’s, and integrative therapists who share the goal of creating a woman’s health campus and center of excellence in the region. “Right now the WHIN is a virtual concept in its infancy and has just recently gained nonprofit status to start work in public outreach to increase awareness for those having pelvic floor problems,” she adds.

Dr. Croak is busy with his very robust robotic surgical practice that allows patients to get home from surgery faster and heal quicker than is possible with conventional abdominal approaches. “Scientific evidence shows that a high-volume surgeon has better outcomes for patients,” states Dr. Croak. His practice also provides revolutionary technologies such as the Mona Lisa Touch fractional laser for Genitourinary Syndrome of Menopause (GSM). “Peri- and post-menopausal women, especially those who cannot take estrogen, like breast cancer survivors, suffer from irritation, painful relations, urinary urgency, or repeated infections. This may affect their marriages, self-esteem, and quality of life.” He goes on to say, “This treatment is life-changing for patients. Having helped over 400

patients, it the most satisfying therapy I have been able to offer, with over a 90% long-lasting improvement rate, without risk to the patient.”

It is important to note that Dr. Croak wants patients to be educated consumers. This is not “vaginal rejuvenation,” marketed by those with no pelvic-health training whatsoever, claiming to tighten the vagina or cure urinary leakage. Mona Lisa is scientifically validated and treats real conditions that affect many women.

Specialists from major centers applaud recent FDA information warning about these other devices and how promising Mona Lisa is as a therapy for women who do not have options for their GSM symptoms. They reiterated that only pelvic health specialists, like Dr. Croak, should be providing this therapy.

All three providers are located within the St. Luke’s Medical Building at 28442 East River Road in Perrysburg.

This pastoral setting is inviting, and the office environment is safe and peaceful. Dr. Kassis reassures, “Urogynecologists are able to approach the care of women in a holistic and comprehensive manner. Simple interventions can have a significant impact on daily quality of life.”

Glowing testimonials abound: “So very pleased they gave me a sense of relief…no longer embarrassed… and the team is very thorough and handles every concern. Thank you all.”

Karen Liberi concludes, “Plenty of patients enter into evaluation day full of trepidation and fear and leave with a heavy sigh of relief and sense of hope.”

Contact information for the three practitioners is as follows: Karen Liberi, WCS Northwest Ohio Center for Pelvic Rehabilitation and Wellness 28442 East River Road, Suite #103 Perrysburg, OH 43551 419-893-7134 Nadine Kassis, MD, FACOG Toledo Clinic Urogynecology 28442 East River Road, Suite #111 Perrysburg, OH 43551 419-214-3192 Andrew Croak, DO, MS, FACOOG Northwest Ohio Center for Urogynecology and Women’s Health 28442 East River Road, Suite #111 Perrysburg, OH 43551 419-893-7134 ❦

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To us Together is more than just a word. Since 2004, our full-service urogynecology and OG/Gyn center in Perrysburg, close to St. Luke’s Hospital, has worked hand in hand to treat the needs of women throughout the region. By providing the leading standard of care for every patient who walks through our doors, you can trust that together we can provide the comprehensive care you need to live the healthiest, happiest life.

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Healthy Living News | November 2018 29

Are you ready for the holidays?

by Jim Berger

T

he holiday season is upon us, and the question that I ask this month is, are you—more specifically your feet—ready for it?

Strange question? The holiday season starts just before Thanksgiving and goes through the first of the year. During this time, most of us are on our feet more, shopping, standing in lines, standing at parties, watching events like the parade or going to the zoo, seeing the lights.

We are on our feet a lot. If we don’t make sure we are taking care of our feet during this time, it may not be a festive holiday season.

Two big injuries or flare ups that we see during this time of year are Achilles tendonitis and plantar fasciitis.

Achilles tendonitis is inflammation of the Achilles tendon, which is the largest in the body. The tendon connects the calf muscles in the back of your leg to the heel bone. Symptoms of Achilles tendonitis include aching above the heel or in the back of the leg down by the calf. You may experience more pain after climbing stairs, and the pain may also be worse in the morning.

Plantar fasciitis is inflammation of the thick, fibrous band of tissue that reaches from the heel to the toes, supporting the muscles and arch of the foot. “Plantar ” refers to the bottom of the foot; “fascia” is supportive tissue. When the plantar fascia becomes overly stretched, tiny

tears can riddle its surface. The band of fascia can become inflamed and quite painful.

The following risk factors may contribute to both injuries: • Being overweight • Taking up a new form of exercise or increasing exercise • Standing on your feet for several hours a day • Having other medical conditions, such as rheumatoid arthritis or lupus • Wearing high-heeled shoes and then switching abruptly to flat shoes • Wearing shoes that are worn out with weak arch supports and thin soles • Having flat feet or an unusually high arch • Having legs of uneven lengths or an abnormal walk or foot position • Having tight Achilles tendons or “heel cords”.

Treatment options include rest; ice; non-steroidal anti-inflammatory drugs (NSAIDs); arch supports, orthotics, and better shoes; physical therapy including Soft Tissue Mobilization Technique; and Kinesio Taping.

Don’t Let Pain stop you this

I’ve covered a therapy concern; now I’ll cover a wellness concern.

November and December are the months in which we typically have more events to plan or attend and we feel more stress and fatigue. What can we do to make the holiday season a little healthier and more fun with friends and family rather than a time of stress?

According to the website www. acqyr.com, here are some tips to reduce holiday stress: Do what you can—This is not the season of excess. At least it should not be. Having too much on your plate, whether literally or figuratively, can overwhelm. Be aware of the commitments you make for yourself and your schedule. Don’t overbook yourself or stretch yourself too thin.

Count your blessings—This is the season to celebrate. What do you have to celebrate? More than you think! Concentrate on what you do have, not what you wish you did.

Expect the time crunch, not perfection—This is the season of the time crunch. With so much expected of you—family, work, social events, and more—it’s just not possible

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Holiday! all Heatland ehailitaon Ask How Therapy Can Help!

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 30 November 2018 | Healthy Living News

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to meet every demand. Unreasonable expectations will lead to great disappointments. Manage what you can with the time you have. There’s no use in stressing yourself out.

Beat the procrastination bug— This is the season of much to do.

Your mind may drift onto your long to-do list, but don’t let that distract you from the task at hand.

Get everything out of your head and onto paper. Once you do, stop worrying. Trust that things will get done in time.

Beat the shopping rush—This is the season of busy malls and parking lots with long lineups and stress filling the air. Avoid the hustle and bustle by planning ahead, ordering online, or making personalized gifts.

Don’t let the stress of others rub off on you.

Let go—This is not the season of conflict. Trying to win small battles may cost you health, happiness, and peace of mind. Grudges, arguments, and fights waste energy and magnify stress. Instead, let go and seek peace in your heart.

Eat, sleep, and be merry—This is the season to be healthy. Bring

good tidings to your body, mind, and stomach by managing your diet and sleep. Good health starts with healthy food and quality rest.

Otherwise you’ll feel bloated, tired, or cranky, and that just might rub off on others.

Be jolly—This is the season to be jolly! Don’t perpetuate anxiety, or fear. Instead, spread joy and happiness. Embrace each moment— good or bad— with a smile. Live, love, and laugh! All else will fall into place!

Heartland Rehabilitation, your local outpatient physical and occupational therapy provider, can assist you in this area. Whether it is in the development of a healthy exercise program or if you are recovering from an injury, we can help you. Heartland has four locations in the greater Toledo and Bedford, Michigan areas with experienced and knowledgeable therapists.

For more information, contact Jim Berger at 419-787-6741 or jberger@ hcr-manorcare.com.

“Heartland Rehabilitation Services…Therapy for Today, Wellness for Life!” ❦

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

T

his Thanksgiving, Thursday, November 22, show your thanks by helping others—and burn off a few calories in advance of the feast—by taking part in Dave’s Turkey Chase to benefit Cherry Street Mission Ministries, Hospice of Northwest Ohio, and Hannah’s Socks. Over the past two years alone, this event has donated over $37,000 to these vital organizations.

Presented by WTOL 11 and Fox 36, this fun-for-everyone run/walk 5K—Toledo’s largest Thanksgiving race—will follow a loop course through downtown Toledo, starting on Summit Street at WTOL 11, heading south past 5/3 Field and the Huntington Center, crossing Cherry Street to Bush Street, then heading back down Summit Street to the finish on Water Street.

Start time is 9:00 a.m. (Kids Fun Run at 8:30). Participants are asked to bring canned goods, socks, and shoes to donate.

Premium race perks include: • Long-sleeve commemorative shirt (guarantee by 11/14) • Commemorative mug (first 2,700 to finish) • Chip timing • First to mile awards • Hot chocolate tent • Immediate results via text, email, and QR code • Post-race refreshments • Schmucker's pies as overall age group awards • Discounted family/group pricing.

For full event details, including registration times and fees, visit RunToledo.com or davesrunning.com.

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

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Healthy Living News | November 2018 31

EATING WELL Healthy eating with diabetes

by Laurie A. Syring, RD/LD

N

ovember has been designated Diabetes Awareness Month— and with good reason. Diabetes has reached epidemic proportions and impacts millions of lives in our nation. According to the Centers for Disease Control and Prevention, 30.3 million Americans—9.4 percent of the population—have diabetes.

Heightened awareness of diabetes is also important because there’s a lot of confusion out there about how to manage it effectively, especially when it comes to diet.

We do know that the foods we eat can make a big difference in blood sugar control, but figuring out what to eat is one of the biggest challenges when someone is diagnosed with diabetes. So let’s take a closer look at this relationship between diet and diabetes.

Simply stated, healthy eating for type 1 or type 2 diabetes doesn’t really differ from how we all should be eating anyways. And, your healthy foods and meals should be ones you enjoy so it’s easier to commit to eating them long term.

Years ago, the “diabetic diet” was very rigid and restrictive, but nowadays we know much more about carbohydrates and digestion and we recognize that all foods can fit into a healthy plan. Diabetes-friendly meals should consist of the same healthy foods recommended for everyone—whole grains, fresh fruits and vegetables, lean meats, and low-fat dairy.

What are carbohydrates and what do diabetics need to know about them?

Carbohydrate is the nutrient in food that affects your blood sugar levels the most. Carbs are broken down into simple sugar in your gut and absorbed into the blood. If you do not have enough insulin, the blood sugar has nowhere to go and it builds up in the bloodstream. This does not mean that all diabetics need to avoid carbohydrates. Carbs are our best source of fuel and the only fuel our brain likes. Diabetics do, however,

32 November 2018 | Healthy Living News

need to pay attention to the source, portions, and timing of carbs.

Choose complex carbs as opposed to simple carbs—such as candy, cakes, and pies—which have sugar in simple form and can be digested easily. Better choices are steel-cut oats, whole-grain breads, brown rice, whole-wheat pasta, fresh fruit, vegetables, and low-fat milk. If, once in a while, you’re going to work in a piece of cake, brownie, or cinnamon roll, then you’ll need to eat less carb at your meal than you usually would. So, skip the mashed potatoes if you know you’re going to have a piece of birthday cake after dinner.

When counting carbs, planning is key. Look at your normal meals, count up the carbs, and make adjustments accordingly. Good sources for this information include nutrition facts labels, recipe information, restaurant websites, smartphone apps, and online food databases. Also, keep in mind that the carb budget differs by gender. Women should not exceed four carb choices, or 45 to 60 grams of carb per meal, while men should limit themselves to five carb choices, or 60 to 75 grams of carb per meal.

Start your plate with around three ounces of lean meat, a quarter to half plate of vegetables, a quarter plate of carbohydrate, and a fruit serving on the side. Remember to count any carbs in the beverages you drink. For reference, one cup of skim milk contains 12 grams of carb. Also, the American Diabetes Association advises diabetics to avoid drinking sugar-containing beverages. Even drinking 100 percent fruit juice can be problematic—with just four ounces of juice containing 11 to 15 grams of carb.

Consistency counts, too. Keep to a mealtime routine, never skipping meals, especially if you’re on medication. It’s best to eat three meals and, perhaps, one to two snacks per day. Whether you can eat snacks or not depends on your meal spacing, the medications you’re taking, and your blood sugar control.

Your blood sugar targets should be 80 to 100 mg/dl when fasting or before meals, and less than 180 mg/dl two

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hours after a meal.

Keep in mind that blood sugar rises after a meal, so spacing out eating times gives blood sugar a chance to come back down between meals. Also, avoid eating one large meal per day as it is really hard for blood sugar to come back down afterward.

The good news is, people with diabetes—type 1 and type 2—can live long and healthy lives. It’s no longer the death sentence it was back in the 1930s and ‘40s. But whether you’re a new diabetic or have had the disease for some time, there’s always room to improve your eating habits as well as your blood sugar control. And you have a lot to gain by doing so—including avoiding long-term complications of diabetes such as blindness, kidney failure, heart disease, and peripheral vascular disease. Don’t worry if you don’t get it all right immediately and every day. It’s not something you’re going to master overnight. And if you find you need help, don’t be afraid to ask for it. There are plenty of resources out there to help people with diabetes eat right and manage their blood sugar properly.

Laurie Syring, RD/LD, is Clinical Nutrition Manager at ProMedica Flower Hospital. ❦

The Laurels of Toledo

HONORING THOSE THAT SERVED

by Ruth Franzen, LPCC, MRC, LSW

J

ack Waslar, 87, is a veteran who served in the US Army from 1948 to 1955. He served in Tokyo, Japan and in Korea, seeing active combat until a “million dollar wound” caused him to be sent back “stateside” for rehab. Jack just shook his head, remembering. “I was only in Korea for about a week,” he chuckled. Mr. Waslar is proud to have served, yet downplayed his actions on behalf of the United States and shows some reluctance to relive his experiences. “I was only doing my duty,” he shrugged, and went on to talk about his civilian life. “I came home, got a job, got married, and had a couple kids. I just got on with life,” he stated briefly.

Jack is just one of several residents of The Laurels of Toledo, a skilled nursing and rehabilitation center located at 1011 N. Byrne Road, in Toledo. Page Rostetter, CTRS, MED, Activities Coordinator at The Laurels of Toledo, observed that Mr.

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Waslar ’s reluctance to discuss the details of his military service is not unusual among veterans. In fact, she has noted that World War II veterans tend to relate more of their experiences, while Vietnam War era veterans “tend to be much more reticent when it comes to sharing their experiences,” Ms. Rostetter stated. “But whenever they served, it seems as though all military vets tend to downplay their selflessness as just ‘doing their duty.’ They’re grateful to be honored, but don’t like people to make a lot of fuss over them,” she summarized.

Kristy Wortketter, Director of Marketing for The Laurels of Toledo, stated, “There’s a special place in all our hearts for the men and women who served in our nation’s armed forces, especially those who were in active combat. I can’t even begin to imagine what they went through.

That’s why it is so important to ensure our veterans feel recognized and respected both here at The Laurels and out in the community.”

On Veteran’s Day, Sunday, November 11th, The Laurels will celebrate this important holiday in recognition of those who served in the armed forces, and in memory of those who were lost through “just doing their duty” in the service of this country.

This year, the Toledo Buffalo Soldiers Motorcycle Club has coordinated with various restaurants in the area to deliver gourmet meals to the veterans residing at The Laurels. There will be a special pinning ceremony in recognition of the veterans’ service and sacrifice. As on past Veterans Days, the local VFW post will again send representatives to deliver special snacks and thank-you cards to the resident Veterans.

The Laurels of Toledo accepts Medicare, Medicaid, and most private commercial insurances. With a physician’s order, outpatient therapy at the Laurels is available, as well as inpatient rehabilitation stays and long-term care. For more information, call 419-536-7600 or visit www. laurelsoftoledo.com. ❦

Healthy Living News | November 2018 33

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Q

: When I was younger, I had major bouts of middle ear infections, some of which were treated, and some of which didn’t cause pain and went unidentified.

I remember my ears feeling plugged and being unable to hear very well. I just went to have my ears assessed, and they are suspecting a hearing loss caused by a cholesteatoma. Would you mind explaining what that means?

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: I would be happy to explain to you everything you need to know about a cholesteatoma. This usually occurs in the middle ear cavity, behind the tympanic membrane (ear drum), causing abnormal skin to grow. Usually a cholesteatoma starts from a non-functioning Eustachian tube. The presence of repeated ear infections and even a perforation of the tympanic membrane will allow the skin into the middle ear area.

The Eustachian tube is supposed to equalize the pressure between the middle ear and the nasal cavity.

When it isn’t able to work correctly, the air in the middle ear is absorbed by the body, creating a vacuum in the ear, which then sucks in a pouch, stretching the tympanic membrane.

They usually start out as a cyst or pouch because old layers of skin stay behind and build up in the middle ear.

Cholesteatomas aren’t present right away. They usually grow slowly over time, especially if one continues to have ear infections, and may spread over the ossicular chain. This structure consists of three little bones in the middle ear called the malleus, incus, and stapes, and may require reconstructive surgery. A permanent hearing loss, vertigo, and even facial paralysis may be side effects of a cholesteatoma.

A cholesteatoma can be congenital, meaning it is present at birth.

However the cholesteatoma associated with ear infections is the most common type seen.

There are signs that may identify the presence of a cholesteatoma.

Patients usually experience fluid drainage from the ear with a foul odor. As the cholesteatoma pouch or sac enlarges, it can cause a feeling of fullness or pressure in the ear, along with hearing loss. An ache behind or in the ear, especially at night, may cause significant discomfort.

Dizziness, or muscle weakness on one side of the face (the side of the infected ear) can also occur. Any or all of these symptoms are good reasons to seek medical evaluation.

Cholesteatoma is a serious but treatable ear condition. Usually you need a medical examination along with an audiological evaluation to help identify whether there is a hearing loss associated with the cholesteatoma and the treatment regime. Here at Northwest Ohio Hearing Clinic, we and the team of physicians and other health professionals have been able to assist many patients with cholesteatoma successfully. If you need any information to better understand this subject, please feel free to call us or visit our office.

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). ❦ Answers to crossword from page 24 1

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Winter running tips

by Amanda Manthey

A

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

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

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

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

Synthetic and breathable fabrics will wick perspiration away from the body

to the outer surface of the garment where it can evaporate more easily.

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

Cold weather running can be dehydrating. Make sure you do not reduce the amount of fluids you drink just because you are not sweating as much as in the warmer weather. Cold weather can mean more urination, which, by itself, is a source of fluid loss. It is imperative that you remember to maintain adequate hydration before and after running in cold weather to ensure your muscles recover. Remember to use moisturizers and sun block to prevent blister formation and redness on your skin and face.

Running in the winter months can be enjoyable if you dress appropriately and use your best judgment on the running conditions. Remember, the winter time is perfect for maintenance runs. Be winter smart this season and, hopefully, you will stay warm and safe.

Amanda Manthey is a former collegiate runner at Eastern Michigan University.

She writes about running and fitness for Dave’s Running Shop. ❦

James D. Diethelm, MD Ryan Szenderski, PA-C Same day appointments available with our physician assistant

419.473.2273

at 12829 St. Rte. 613, Van Buren, Ohio.

Girls on the Run of Northwest Ohio Fall 5K

Don’t miss Dave’s races!

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

Saturday, November 17, 2018, 9:00 a.m. at 2025 N. Douglas Rd., Toledo, Ohio.

Dave’s Turkey Chase 5K Run/ Walk

Thursday, November 22, 2018, 9:00 a.m. (Kids Fun Run at 8:30 a.m.) at WTOL 11, 730 N. Summit St., downtown Toledo, Ohio.

21st Annual Turkey Trot

Hero Hustle 5K

Saturday, November 3, 2018, 9:00 a.m. (Kids Run at 8:30 a.m.) at The Shops at Fallen Timbers, 3100 Main St., Maumee, Ohio.

Thursday, November 22, 2018, 8:30 a.m. at Independence Dam State Park, Defiance, Ohio.

Churchill’s Half Marathon and ProMedica 5K to End Hunger

Thursday, November 22, 2018, 9:00 a.m. at St. Michael Church East, 750 Bright Rd., Findlay, Ohio.

After the PKs 5K Road and 10K Trail Run – 10th Anniversary

Black Friday Border Battle 5K Run/Walk Friday, November 23, 2018, 9:00 a.m. (1-Mile Fun Run at 8:30 a.m.) at Second Sole, 4190 Levis Commons Blvd., Perrysburg, Ohio.

Saturday, November 10, 2018, 9:00 a.m. at The Shops at Fallen Timbers, 3100 Main St., Maumee, Ohio.

Sunday, November 11, 2018, 2:00 p.m. (Kids Fun Run at 3:00 p.m.)

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Healthy Living News | November 2018 35

Let’s make long-termcare staffing sustainable

by Chris Stieben and Megan Benner Senecal

E

ach day, the number of older adults in the United States increases. While many older adults can live independently with little or no assistance in their daily tasks, there are many who aren’t as fortunate. For those who need extra help, we rely on the only two options available, paid or unpaid caregivers. Coupled with the need for caregivers is an accompanying shortage of individuals willing or able to provide care, paid or unpaid. Caregivers must possess a broad skill set that touches on a multitude of conditions, an under-

standing of intense emotions, and oftentimes an awareness of mental health issues accompanied by clinical and practical applications.

Caregivers in all settings face a unique set of barriers that can negatively impact their ability to successfully continue to provide care. Both paid and unpaid caregivers struggle with the strain of managing and balancing their own needs with the needs of their care recipient. According to a recent study conducted by the Ohio Department of Aging, Unpaid caregivers account for nearly 90% of care provided to those who need assistance and often continue to work outside the home

to support their family. Alternatively, paid caregivers such as nursing assistants have been documented to make less than $20,000 per year in some instances. Both circumstances pose unique financial and practical challenges coupled with the stress and health concerns that continue to be prevalent among all caregivers.

Communities and the long-termcare industry need to think fast and create actionable solutions to sustain the care that will continue to be necessitated by older adults. The ability for caregivers of all types to experience recognition for a job well done and to be treated as care professionals are integral steps to changing the way in which the public and caregivers themselves view their work.

However, this issue is multifaceted, and it is projected that neither paid nor unpaid caregivers will be able to keep up with the current population trends. Therefore, it is time to shift the paradigm and recognize the invaluable role caregivers play in allowing older adults to maintain their dignity. Older adults who need long-term-care services have already had to compromise their dignity and modesty by allowing someone to

assist them with intimate care tasks.

We must enable and empower caregivers to be successful by building them up, recognizing their value, providing them opportunities to demonstrate and develop skills, and thanking them for doing something as delicate and selfless as caring for someone who can no longer care for themselves.

The issue of sustainable long-termcare staffing is a problem that current professionals and consumers and future generations will continue to grapple with. However, by beginning the conversation, we can take steps to make small changes in practice, application, and thought processes that will lead to breakthroughs in care quality for all consumers of long-term care.

Do you have ideas, questions, concerns? Reach out to our program to learn more about Long-Term-Care Ombudsman and what you can do to help.

Christopher Stieben is Director of the ABLE Long-Term-Care Ombudsman Program, which can be reached at 419259-2891 (http://ombudsman.ablelaw. org), and Megan Benner Senecal is a member of the Ombudsman office. ❦

Is your loved one transitioning from hospital to home?

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36 November 2018 | Healthy Living News

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

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

How to have picture-perfect skin in time for the holidays

T

he holidays will soon be upon us, and along with all the fun and festivities comes a ritual that many people dread—the holiday photo shoot. We all want to put our best face forward when that shutter snaps, but that can be difficult if we’re feeling self-conscious about lines, wrinkles, spots, spider veins, unwanted hair, or other imperfections on the face or other areas that the camera might capture.

The good news is, according to Dr. Wade Banker of Luxe Laser Vein & Body Center, there are several easy and relatively inexpensive procedures that can be performed now to eliminate those embarrassing flaws before it’s time to face the camera this holiday season. Examples include:

Laser treatments

If the sun had its way with your skin this past summer and you’ve developed spots or spider veins, Luxe Laser offers a wide variety of laser treatments that can help clear

Injectables

Luxe Laser also offers a wide variety of injectable treatments at the lowest possible price at this time of year. Using products such as Botox or the Juvederm family of fillers, Dr. Banker can help eliminate lines and wrinkles, plump thin lips, or enhance cheekbone volume. “Plus, the results of all these treatments will last all the way through the holiday season if performed now,” he adds.

Chemical peels

For people who just want a little facial brightening for the upcoming holidays, chemical peels will remove the outermost layer of skin, which was likely damaged over the summer from spending too much time outdoors on the beach or boat.

Micro needling

it up. “We can eliminate nearly all skin discolorations or pigmentation issues with our top-of-the-line laser equipment,” states Dr. Banker. “Some conditions can be resolved in only one treatment session, while others may require additional treatments to clear the skin completely. These treatments are very affordable as well, starting as low as $125.”

Now is also a great time of year for a little texture correction with micro needling. Dr. Banker explains, “Micro needling is a process that stimulates new collagen and elastin growth with little or no downtime.

The procedure creates thousands of microscopic channels in the outermost skin layer, forcing the skin to generate collagen and tighten itself. The result is tighter skin and the reduction or

elimination of inconsistencies such as acne scarring.”

Laser hair removal

Unwanted hair growing anywhere on the body can be eliminated permanently through laser hair removal, so you never have to worry about shaving or waxing away those unsightly hairs before a special holiday event. This procedure uses concentrated laser energy to heat and destroy the hair follicles below the surface of the skin and requires absolutely no downtime. And if you get started now, the process will be complete before it gets warm again.

Dr. Banker reiterates that there’s no time like the present to have these procedures performed—not only so you can look your very best for those holiday photos and events, but also because the UV level is low at this time of year so it’s much less likely that sun exposure will damage your sensitive skin post-treatment.

For more information on any of these procedures, please call Luxe Laser Vein & Body Center at 419-8932775. Additional VEIN & BODY CENTER information is also available online at luxe-laser.com. ❦

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Healthy Living News | November 2018 37

Time to end the trend!

by Mark S. Faber, USPTA Elite Professional

T

his month I decided to change the direction of my article after reading about another high school sports official quitting due to the poor treatment they received. Regrettably, this situation is occurring more frequently, and not just among officials. It’s starting to work its way down into coaching, as well.

Several months ago, I wrote about this subject superficially. This month, I really want to share some thoughts on the subject from the point of view of a parent, coach, and administrator. Wearing these different hats has allowed me to experience this phenomenon from multiple perspectives. Rather than throw out facts and statistics, I will share some stories and thoughts from the front line.

I was always told that one of the hardest things parents face is watching their children participate in sports.

Man, they were not kidding! It is

so hard to sit and watch your child struggle. By the way, struggling is okay, for that is how children learn.

What I have observed, however, is that many parents who want the best for their kids try to protect them from failure. When this is the mindset, it becomes all too easy to blame someone else for the child’s struggle or perceived failure.

Folks, it is okay for our children to lose and fail. As difficult as it is, failure is part of life, and learning how to deal with this adversity is vital for kids.

On the flip side, remember that when our children achieve success, it is their achievement, not ours.

Avoid using the word “we” when discussing your child and their activities.

As a coach, I have observed that 99 percent of parents are amazing and truly supportive. I’ve also learned it’s the remaining one percent who create most of the issues and demand most of the coach’s time. Remember, coaches are not trying to mess up your child, have them fail, or have them sit the bench. We want kids to succeed just as much as their parents do. We want all of them to accomplish their goals. We know that there will be amazing times and bumps in the road.

Sometimes “hard talk” is needed to help a player or team improve. The point here is simple: a coach is the “expert” and needs to be allowed to help children work toward their goals. The most successful dynamic is when the parent and coach are working to help the player and team become better— in other words, when

the parent parents, the coach coaches, and the players give 100%. Remember, it is okay to not only encourage children, but also to push them to become the best they can be. I think we can all agree that there really is no substitute for hard work.

Lastly, let us look at this subject from an administrator’s perspective.

Administrators deal with this situation the most, being the ones who have to deal with officials and coaches quitting due to the treatment they receive. They are also the ones who get the most complaints. I would like to say they get a ton of positive feedback as well; however, that is not the case at all.

In Northwest Ohio, the administrators for several high school sports are struggling to find officials. Many have quit because they no longer enjoy what they once loved to do.

They still love the sport, but what they deal with makes their decision to walk away easier. Every sport needs officials and, as mentioned in the first part of the article, they are usually the ones who take the brunt of it when a child fails or a parent thinks a call was missed.

As an administrator, I would simply ask that you remember that

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these folks are human beings just like anyone else. They are not out to take things away from our kids or make their life hard. They are trying to enforce the rules of the sport in the best manner they know. Please remember, they are not perfect—just as you and I are not perfect.

In the final analysis, we all must do our part to end the disturbing trend of coaches and officials walking away from sports. Youth sports teach so many lessons and provide so many opportunities, and part of the experience is allowing our

children to fail (to become better), allowing them to enjoy success when they achieve it, allowing coaches to coach, and being supportive of our officials. If we all can do this, the current generation of youth will become more resilient, coaches will be empowered to truly help our children achieve their goals, and kids will continue to have an opportunity to compete in sports because there will be officials and coaches to help guide them along.

Let us all do our part to end the trend! ❦

Better skin at the speed of light

by Dr. Erin Hennessey In this month of thanks, let Blush help you be thankful for improved skin at the speed of light!

What if there were a treatment that could make your skin behave the way that it did when you were young? Does it sound too good to be true? We are very thankful for our Broad Band Light™ treatments, and we’re confident that you will be too!

Sciton’s Broad Band Light™ treatment helps to create bright, luminous, even, and soft skin in—quite literally—a “flash.”

Oftentimes I am asked, “Is there any treatment I can have that doesn’t make my skin red or peel but can make my skin look better?” My automatic response to this question is “Broad Band Light™.” Every time.

Our Forever Young Broad Band Light™ treatment is the most sophisticated intense-pulsed-light device used with patients today. It is helping to set new standards in treating skin conditions associated with aging, active lifestyles, and sun damage.

The kicker—there is no downtime.

With a bit of sunscreen, patients can go right back to work. No one knows they had a treatment.

What people do notice is the new brightness, even texture, and skin tone improvement. I love when patients return and tell me the questions they received after a treatment. The questions range from “Do you have new makeup?” to “Did you get new highlights or a haircut?” Oftentimes they aren’t wearing makeup and didn’t change a thing about their hair! Folks recognize the improvement overall, but cannot put their finger on what is different.

BBL™ is very versatile and can treat a multitude of skin issues, including acne, brown spots, red spots, facial vessels, fine lines, wrinkles, skin laxity, and unwanted hair. I tend to be very focused on scientific evidence and efficacy when it comes to skin treatments because, unfortunately, there are quite a few products and treatments that make claims that aren’t scientifically sound. There is often no proof that some products or treatments work. Additionally, while some treatments cause improvement in the skin’s appearance, it is unclear whether an improvement in skin health is occurring. I liken it to applying concealer. The imperfection isn’t gone; it just looks better. The skin underneath remains unchanged.

With Broad Band Light™, there is sound research that deeper rejuvenation is taking place on the genetic level. This treatment works from the bottom up and causes changes to the skin cells that make them behave like younger cells! Once we achieve optimal improvement, we maintain with follow-up treatments.

These “maintenance” sessions with our Forever Young BBL™ treatment can be done every four to 12 months depending on your lifestyle and goals.

If you think BBL™ is right for your skin (spoiler alert: Everyone can benefit!) or would just like to have a consultation about your current skin-care regimen and discover what improvements can be made with treatments or products, visit www. blushnwo.com today and call 419873-5483 for your free consultation.

Dr. Erin Hennessey is a nurse practitioner at Blush Aesthetics. ❦

Connect with our advertisers via our online issue at www.hlntoledo.com

Healthy Living News | November 2018 39

Issues with vitamins

by Douglas A. Schwan, DC, Dip ac

P

eople take handfuls of vitamins every day. Are they good for you? Are they safe? Do they actually do anything?

Let us start by defining what a vitamin actually is. The word “vitamin” refers to any organic compound that is essential for normal growth and nutrition and is required in the diet because it cannot be synthesized by the body.

There are two broad categories of vitamins: the water-soluble type and the fat-soluble type. This is an important distinction because water-soluble vitamins are rapidly expunged from the body while fat-soluble vitamins can build up to toxic levels in the fatty tissues of the body if taken in large doses over a long period.

Water-soluble vitamins include vitamin C and all the vitamin Bs, which include thiamin (vitamin B1), riboflavin (vitamin B2), niacin (vitamin B3), pyridoxine (vitamin B6),

folic acid (vitamin B9), vitamin B12, biotin (vitamin B7), and pantothenic acid (vitamin B5).

The thing to remember is that water-soluble vitamins all have a short lifespan within the body. Leftover amounts of the vitamin leave the body through the urine. That means your body does not store water-soluble vitamins. You need to get a regular supply of the vitamins through the foods you eat or through supplements every single day.

The B series of vitamins is found predominately in animal tissue. Certain nuts are high in B vitamins. Unfortunately, vitamin B12 is found only in animal tissue. It also requires a special cofactor in the stomach to be properly absorbed.

Vegetarians, breast-fed babies of vegetarians, and elderly adults need to be especially attentive to B12 supplementation. Elderly adults may find themselves in a B12 deficiency despite a good diet due to lack of production

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of the necessary intrinsic cofactor in their stomachs.

The best B12 supplementation is the use of oral lozenges. Lozenges allow absorption of the B12 by the mouth mucosa and thus bypass the need for the intrinsic cofactor in the stomach. In extreme deficiencies, B12 can be supplemented by an injection of it into a large muscle.

Vitamin B1 helps us fight infection as it aids in protecting the immune system from itself. It also helps in the conversion of food into energy. Chronic B1 deficiency is thought to underlie some chronic fatigue disorders, especially if accompanied by an unexplained weight drop and loss of appetite.

Vitamin B3, also known as niacin, has gotten a lot of press lately for its ability to decrease levels of high cholesterol and its importance in healing nerve injuries. Care must be taken to avoid a niacin flush—a common side effect of taking high doses of niacin supplements. It's uncomfortable but harmless. It appears as a flush of red on the skin, which may be accompanied by an itching or burning sensation.

Vitamin B5 helps in fat breakdown and helps the body generate energy.

Deficiencies can lead to chronic fatigue and difficulty with fat metabolism.

Vitamin B6 is important in brain function. Deficiencies impact mood and sleep patterns because B6 helps the body produce serotonin, melatonin, and norepinephrine.

Vitamin B7 (aka biotin) is known as the “beauty” vitamin. It is heavily involved in supporting healthy hair, skin, and nail growth.

Vitamin B9 is more commonly referred to as folic acid. It has a strong role in any form of growth and is especially important during pregnancy to prevent birth defects. Secondary importance is production of red blood cells and nerve tissue.

A well-balanced diet tends to give us all the water-soluble vitamins we need every day. The trouble is, many Americans do not eat a “well-balanced” diet. Too much vitamin-deficient fast food over time can lead to select deficiencies. A diet with little variation can also figure in specific deficiencies. As we age, the ability to absorb nutrients decreases and patients may find their diet is no longer sufficient to supply their daily needs.

Fat-soluble vitamins include vitamins A, D, E, and K. On the fat-soluble side of the equation, things can get a little more “iffy.” Taking large doses of fat-soluble vitamins over long periods

of time will allow them to build up in fatty tissues. Extremely toxic side effects can occur.

Vitamin A is important in vision and explains why carrots, rich in vitamin A, are said to be good for improving eyesight. However, eating a diet heavy in carrots or vitamin A supplementation over a long period of time can result in the deposition of carotene under the skin, giving the person an orange skin coloring, akin to a carrot.

The role of vitamin D in the body is not fully understood. We make vitamin D when we expose our skin to sunlight. One study showed that people living in the northern climes, who didn’t get as much sun, had less vitamin D in their bodies. Vitamin D has also been linked to the development of multiple sclerosis in people with deficiencies.

Vitamin E is a strong antioxidant.

Metabolic oxidation has been linked to cell damage due to aging. Vitamins E and (to a lesser extent) D have been touted as the “anti-aging” and “anti-cancer” vitamins.

Vitamin K is actually a group of closely related molecules. The vitamin K group is intimately associated with blood clotting and gum and tooth formation. Bleeding gums and poor wound clotting/healing are signs of vitamin K deficiency.

The important takeaway about vitamins is that we need them each and every day of our life. The best source of vitamins is a healthy and balanced diet with intake from each food group. If one wishes to adopt an alternative diet, such as vegetarianism, one must be careful to supplement those vitamins primarily found in animal tissue to prevent deficiency.

Concerns about vitamins (as well as minerals and coenzymes, which are a separate category of essential nutrients) should be brought to the attention of a physician trained in nutrition. Together a proper regime of supplementation or dietary changes can be worked out to ensure optimal health.

Dr. Schwan is a Doctor of Chiropractic and a Diplomat of the International Academy of Medical Acupuncture. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio.

He is an author, lecturer, and one-time stand-up comedian, and has maintained an active practice in Toledo, OH for the last 36 years. He is available for lay lectures and may be contacted at Dr_Schwan@ AcupunctureToledo.com. ❦

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Super Slow Training

An efficient exercise solution for a fast-paced world

Y

ou know you should do something adjusting their every move. After about getting in shape, but who this intense exercise stimulus, the has the time? Between kids, career, body recovers for seven days, proand all the other obligations of life, ducing the desired results. you simply don’t have an hour to But is a half hour of strength training per week really sufficient spare for a fitness regimen.

That’s good news according to to get the body in shape? Why not Russ Wakefield, owner of Trigger- work some other exercises into your Point, because the exercise method fitness routine for good measure? he offers—known as Super Slow Wakefield cautions that any addiTraining—demands no more than tional exercise can actually prevent a half hour once a week. In fact, the the body’s building of strength and program can be completed over your fat-burning muscle mass. Furtherlunch hour with no requirement to more, lower-intensity activities, change clothes or shower afterward. such as running, stair stepping, and What’s more, as treadmills, really you progress don’t burn that through the promany calories gram and begin and can cause to see results you injuries to the never thought knees and hips. possible, that “However, if weekly workout there are physitime may actualcal activities you ly decrease. enjoy doing for A fitness prorecreation or regram that gets laxation, such results with as playing tensuch a modest nis, golfing, bitime investment Physical therapy assistant Matthew Morrow cycling, yoga, might seem too or walking, by and personal trainer Beth Dunsmoor. good to be true, all means you but as Wakefield should continue emphasizes, Super Slow Training is doing them,” he adds. an evidence-based exercise solution Some people might see the term that he has been advocating for over “high-intensity” and assume Super 25 years. Also, these time-efficient, Slow Training is not for them. But high-intensity workouts are always nothing could be further from the performed under the tutelage and truth. Wakefield notes that clients of close observation of highly experi- all ages, backgrounds, personalities, enced and educated trainers. and body types—even pregnant Wakefield explains that Super women—can participate in and Slow Training involves lifting and benefit from this time-efficient lowering weights at a very slow rate, program. “We’ve noticed that Super keeping consistent tension on the Slow Training is especially popular muscle throughout its whole range among women, ranging anywhere of motion. High-tech monitors on in age from young students to those the specially designed Super Slow in their 90s. The type of woman we Training equipment help Wake- see most frequently is one who is field’s clients maintain the proper very busy with her career and family form, technique, and tempo during and helps out in the community. workouts. This method differs from She does yoga and knows she needs conventional strength-training strength training but believes she techniques in that there is no fast doesn’t have the time—that is, until momentum to help do the work for one of her friends tells her about you. Though slow, this technique TriggerPoint,” he says. is intense, really working those A TriggerPoint client named muscles. It’s also very safe, with Mary fits this description perfectly.

Wakefield working one-on-one “I do low-force, intense exercise at with clients and monitoring and TriggerPoint because, as a lawyer, Connect with our advertisers via our online issue at www.hlntoledo.com

I have limited time but know that I need to strengthen my muscles and bones. The workout takes about a half hour once or twice a week.

Even I can make time for that. It’s demanding, but they supervise you every step of the way. Plus, the amazing technology makes it easier to focus on the work to be done. It’s all business. I zip in, they take me through my paces, and I’m out the door. I can’t recommend it enough!” she remarks.

Ours is a busy, fast-paced society that allows us little time to focus on health and fitness. Wakefield urges anyone who is seeking a more efficient strength-training and conditioning alternative—or is simply tired of getting disappointing results from conventional workouts—to call TriggerPoint and give Super Slow Training a try. “This efficient, evidence-based program might just be the exercise solution you’ve been looking for,” he states.

Four free trial sessions are offered. For an appointment, call Russ Wakefield at 419-536-0408. TriggerPoint, located at 2449 N. Reynolds Rd., is also on Facebook. ❦

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Healthy Living News | November 2018 41

Elizabeth Scott Community 2720 Albon Road Maumee, OH 43537

Genacross Lutheran Services Wolf Creek Campus 2001 Perrysburg-Holland Rd. Holland, OH 43528

419-865-3002 www.elizabethscott.org

419-861-2233 www.GenacrossLutheranServices.org

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

Senior Living Guide

Genacross Lutheran Services Sandusky Campus

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.

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.sistersosf.org

Foundation Park Alzheimer's Care Center

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

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

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

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

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

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

Genesis Village

1011 Byrne Road Toledo, OH 43607

2429 S. Reynolds Rd. Toledo, OH 43614

The Woodlands 4030 Indian Rd. Ottawa Hills, OH 43606 419-724-1220

Otterbein Skilled Nursing and Rehab Neighborhoods Monclova/Perrysburg 3529 Rivers Edge Drive Perrysburg, OH 43551

www.sunset-communities.org

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

42 November 2018 | Healthy Living News

419-536-7600

419-720-1286

www.laurelsoftoledo.com

www.genesisvillage.org

Genacross Lutheran Services Toledo Campus

StoryPoint Senior Living

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

1470 Pray Boulevard Waterville, OH 43566 419-878-1000 www.storypoint.com

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Productivity tips for at-home workers T

he idea of working at home has tremendous appeal for many people, but blurring the lines between work and home life also presents its share of challenges. It’s not always as easy as it might seem to get motivated and stay productive when those workplace constraints are suddenly removed from the equation and the myriad distractions of home life begin to beckon. The following tips will help you get on track, overcome the obstacles, and reap the rewards of working at home.

make sure everyone understands that even though you’re working in your home, you’re not available to socialize, run errands, do chores, babysit, etc. during business hours.

From day one, it’s important to establish and stick to a workday routine. Build your schedule around your most productive hours, and be sure to designate time for breaks and lunch. Make a habit of waking at the same time each morning, getting ready for the day just as you did as an office worker, and arriving at your desk at your designated starting time each day.

Be realistic about child care

Stay on schedule

Designate a workspace

Plopping down on the couch with your laptop in front of the television is a surefire way to sabotage your productivity. To stay focused on your work, you need a defined workspace with designated technology.

A spare bedroom, loft, or den is ideal for this purpose. Try to keep the space as organized and clutter-free as possible.

Not only will designating a workspace in your home bolster your productivity, but it will also make it easier for you to shut down and leave work behind at the end of the day.

Establish boundaries

Just as you need to establish a routine and workspace, it’s critical to set boundaries with family, friends, and neighbors. Oftentimes, home workers find that the people surrounding them assume that just because their jobs don’t involve commuting to an actual office building, they’re not really at work. To avoid any misunderstandings or hurt feelings,

Set aside media me-time

It’s all too easy to let social media and mindless internet surfing gobble up your valuable work hours—especially when there’s no one else in the office to disapprove. Designate one or two times a day for non-work-related media use, but consider these time-thieving distractions off limits otherwise.

If you’re a parent, no doubt one of the major reasons you chose to work at home is so you have the freedom to spend more time with your kids.

But trying to balance work responsibilities and deadlines with full-time child care often proves to be more challenging than parents expect—especially when the kids are younger and demand constant direct supervision.

Consider arranging for a sitter to watch your kids at least a few times a week so you can attend to duties that demand your undivided attention.

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Know when to shut down

While many at-home workers have a hard time getting motivated and staying on task, others have the exact opposite problem—they can’t seem to quit working when it’s time to stop. As a result, they end up working when they should be spending time with loved ones.

To avoid this pitfall and restore balance between your work and home life, treat your home workspace just like you would a traditional office. At the end of your scheduled workday, shut off your computer, turn off the light, and close the door. Unless you’re right up against an important deadline, chances are pretty good that the emails or voicemails that come in after business hours can be left unanswered until morning. ❦

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Healthy Living News | November 2018 43

n

In the Park - continued from p8

blue herons strutting around each other in a mating dance. On Valentine’s Day. How cool is that!

The great blue heron mating dance— on Valentine's Day.

We went to Alaska in 2014. Stopped for a while in the Tetons and Yellowstone and northern Montana before entering Canada. From Calgary, we took the spectacular Icefields Parkway and then on to Dawson Creek and

really need to do it again.”

Now, we’ve been to Yellowstone, so we don’t really need to do that again either. No need to go to Old Faithful again or the Lower Falls or out to see the bison in Hayden Valley or the pronghorns in Lamar Valley.

Strike that. We really do need to see them over and over. Have done more than a dozen times.

Lake Louise, west of Banff, is just one of In 2017, Shirley and I met our the thousands of highlights on the way to daughter Sarah and her kids in YelAlaska. lowstone. Sarah got a chance to share Mile 0 of the Alaska Highway. From with Nick and Lizzy the wonders there it is only another 1,422 miles to that she had seen as a child, and the official terminus at Delta Junction, we got to watch the wonder in their AK. Magnificent waterfalls. eyes. It is special Mountain lakes shining bright kind of thrill to in the sun. Wildlife up the see something wazoo. Had to wait three truly amazing days for the weather to clear for the very first before taking the bus tour to time. Through actually see Denali, formerly them, we got to Mt. McKinley. About 70% have that thrill of the time it is obscured by all over again clouds. Then we took a cruise for the very first out of Valdez to see whales, time. sea otters, other sea mammals, And it is not puffins, and glaciers. just about seeAlaska gets the lifetime ing. Nick pointRight out of the insurance achievement award. “Even ed out that you company commercials. so,” Shirley said, “I don’t can see all this

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stuff on YouTube and the National Geographic Channel. But seeing is not experiencing. Video cannot produce the bump in your heart rate as you anticipate the eruption of Old Faithful or watch the newborn bison calves stumbling drunkenly then

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romping in the Hayden Valley. Or the way the hair on the back of your neck rises when bull elk are bugling in September. Why do a thousand people gasp and cheer in unison at the beginning of the eruption? Why do a thousand drivers stop their cars in the middle of the road when they spot a bear or a herd of bison or elk?

Because they just can’t believe what they are seeing. For real. In person.

For the very first time.

From Yellowstone, we went to the Tetons for a couple days with Sarah and her kids before they drove back to Salt Lake City for their flight home. Then Shirley and I continued

as awe-inspiring.

After breakfast, we finish the pot of coffee on our “front porch”; that is, in camp chairs at the front of the RV, facing the sun. It’s a wonderful life if you don’t weaken. The secret to half of life is just showing up.

The other half is never growing immune to the grandeur of a sunrise or sunset. Any day you are vertical

Sunrise, sunset, swiftly flow the years.

Beauty ever ancient, beauty ever new.

How many times do you have to see the Tetons before it gets old?

north to Alaska again—even though we really didn‘t need to do that. We benefited greatly from what we had learned in 2014. And Shirley has even hinted that she might be persuaded to do it yet again. Thing is, the RV has more than 180,000 miles on it. By the time we get back from Arizona next spring, it will be bumping up against 200,000. So Shirley is lobbying to replace everything that might conceivably break. Just in case. ‘Cause you never know.

Meanwhile, we are looking forward to Arizona and more of the same old, same old. Sunrise. Sunset. Beauty as ancient as Creation. Beauty ever new.

Our favorite campsite in Organ Pipe Cactus National Monument faces southeast. Every morning, Shirley awakens to the rosy glow of the coming sunrise through the window on her side of the bed. She celebrates by putting her right elbow in my left ear and saying, “Are you awake yet?

You don’t want to miss this.” And she’s right, of course. The colors are at their absolute most glorious just before the sun emerges from behind the mountains. A minute later it is still pretty good while the round disk is still flat, but it is not nearly

is a great day. Of course, it helps if your winter days start and end in Arizona. But even in Ohio…

Now for an apparently unrelated question: What is your favorite movie? Casablanca? Citizen Kane?

Sleepless in Seattle? Blazing Saddles?

You’ve undoubtedly seen it more than once. Yet you watch it again and again even though you know how it turns out and can speak the lines along with the actors.

When Shirley and I are traveling, she reads aloud while I drive. It is 880 miles across Texas on I-10. And 17,000 miles across Nebraska on I-80.

She reads to make the long miles seem shorter. Over the years, that has included the latest novel by Jane Austen plus all the Yoknapatawpha novels of Faulkner, all of Hemingway and F. Scott Fitzgerald, a couple dozen Anthony Trollope novels. (She cried when Lady Cora died, but it was necessary to advance the plot.) Quite a bit of Dickens. None of these books was read for the very first time, but they were all new again when the words came out of her mouth.

When we are in camp there is private reading. Shirley has a couple hundred books on her Kindle. I take a canvas tote bag full of books because I like the feel and smell of the real thing. I’m partial to the Iliad and Odyssey of Homer. Have translations

by George Chapman, Alexander Pope, Richmond Lattimore, Robert n Continued on next page

Connect with our advertisers via our online issue at www.hlntoledo.com

Healthy Living News | November 2018 45

rt

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

n

WOLF CREEK CAMPUS (Formerly Lutheran Village at Wolf Creek) Independent Living

4990 | GenacrossLutheranServices.org Assisted Living

Independent LivingCare Nursing Care • Respite Living ShortAssisted Term Rehabilitation Nursing Care • Respite Outpatient TherapyCare Short -Term Rehabilitation Outpatient Therapy

Continued from p45

Fitzgerald, Robert Fagles, Stephen Mitchell, and Herbert Jordan. By the time you read this, I will be well into George Chapman’s Homer again and, like Keats, sharing his enthusiasm.

Much have I traveled in realms of gold And many states and goodly kingdoms seen.

The point is, like your favorite movie, many of our favorite places Independent Living Assisted andLiving our favorite books have been Nursing Care • Respite Care visited more than once. We keep Term Rehabilitation Lutheran Village is Short Outpatient Therapy going back to them because they are direction Aa Lutheran whole new new direction inexhaustible sources of inspiration Village is in retirement living. in retirement living. and joy. They may not have changed a whole new direction in a couple hundred or even a couple in retirement living.

It's neighborhood!

It’s aa neighborhood! thousand years, but we have. At our age, itisis a consolation to find that Lutheran Village It's a neighborhood!

A community where residents a whole newwe direction are still capable of seeing more can add life to their years. in retirement living. and more—even as we rush toward A community where residents our dotage. O, beauty ever ancient, It's a neighborhood!

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

Call 419-861-5616.

O, beauty ever new. Much have we A ofcommunity where residents Lutheran Village at Wolf Creek, a ministry Lutheran Independent Living Condos available NOW. in realms of gold, but the Genacross Lutheran Services Homes Society in partnership with St. Luke’s Hospital. can add life totraveled their years.

Call 419-861-5616.

Wolf Creek Campus journey is Lutheran Village at Wolf Creek, a ministry Independent of Lutheran 2001 Perrysburg-Holland Rd. Living Condos available NOW.still just a walk in the park.

Homes Society in partnership Holland with St. Luke’s Hospital.Call 419-861-5616.

2001 Perrysburg Road Holland, OH 43528 Village at Wolf Creek, a ministry of Lutheran 2001 Holland, Perrysburg-Holland Ohio 43528Lutheran HomesRd. Society in partnership with St. Luke’s Hospital.Mercer is the travel editor LeMoyne 419-861-2233 Holland, OH 435282001 Perrysburg-Holland Rd. 419.861.2233 for Healthy Living News. There Holland, OH 43528 www.lhsoh.org 419-861-2233 is limited space here for LeMoyne’s 419-861-2233 For more information, visit photos. You might want to see more at www.lhsoh.org www.lhsoh.org GenacrossLutheranServices.org anotherwalkinthepark.blogspot.com. ❦ EQUAL HOUSING OPPORTUNITY

EQUAL HOUSING OPPORTUNITY

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n

Vascular - continued from p11

Dr. Abbas further explains that diet, as well as weight control, are especially important and are the first areas of focus when it comes to diabetes management. With type 2 diabetes, which typically develops in adulthood, poor diet and being overweight are usually the underlying causes. “One of the most difficult things to tell patients is that they have to change the way they eat. They’ve had a poor diet all their lives, and now they’re being told they have to make healthier choices, which is easier said than done. But all these things have to be controlled from the minute you discover you have diabetes,” he adds.

The appropriate treatment for diabetic wounds varies based on a variety of factors, including the location, size, and depth of the wound, as well as the severity of the patient’s diabetes. The most common place these wounds develop is on the feet, particularly the bottoms of the feet and usually at the base of the toes.

“Most often we see these wounds at the base of the big toe because the fat pad we all have in that location is lost due to neuropathy and the skin becomes trapped between bone and the hard surface you are walking on.

With repetitive trauma to the area, an ulcer develops. Once the bone becomes infected, it is very difficult to treat and the patient may end up losing the toe,” Dr. Abbas notes.

In addition to providing state-ofthe-art treatment modalities for diabetic wounds, Jobst Vascular Institute ProMedica Wound Care in partnership with ProMedica Physicians Podiatry has also introduced a diabetes education program, in which diabetic patients meet with a clinical pharmacist to discuss their medications, appropriate diet, and other information pertinent to their diagnosis.

Furthermore, Dr. Abbas and his colleagues have developed a multi-specialty limb-salvage review board. This team, consisting of a wound care specialist, vascular surgeons, plastic surgeons, and a podiatrist, works in coordination to treat complicated cases of lower extremity wounds with the goal of saving the affected limb.

This multidisciplinary approach to diabetic wound care is already paying dividends. “A lot of our patients have been told that their only option is to have a limb amputated, but with our multi-specialty approach, we’ve been able to save the limb in many cases,” Dr. Abbas says. ❦

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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.

Please call for information or stop by Mon.–Fri., 8:30am to 4pm 2700 Pelham Road Toledo 43606 419/537-1515

We are proud to announce:

Our New Dialysis Den Is Now Open!

2735 Darlington Road Toledo 43606

Darlington NURSING & REHABILITATION

419-531-4465

Equal Employer Opportunity • Equal Housing Opportunity

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567.298.8268

362 N. Westwood Ave Toledo Ohio 43607 Commercial and Residential • Hardware • Software • Networking • Maintenance • Cabling • Security Cameras • Remote Support • Onsite Support

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Healthy Living News | November 2018 47

It Takes Two to Tango H E A LT H C A R E F O R T H E U N I V E R S E O F YO U

The way you move moves the people around you. Move pain-free with orthopedic and sports medicine care from Mercy Health, the official physicians of pro and more everyday athletes. To find a sports medicine or orthopedic doctor near you, visit mercy.com/ortho

Orthopedics and Sports Medicine