October 2018 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News October 2018 • FREE

Empowered by Catholic Education

As well as: • Shape up and wake up your skin • Pickleball: a sport for all ages • Women's preventive health care • Elizabeth Scott preps for flu season • Planning a healthy vegan diet • How to recognize Alzheimer's

Also available at hlntoledo.com

Shape up and wake up your skin H

ello, “Millennials”! Are the skin changes related to stress, pollution, smoking, and prior sun damage and tanning 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. 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. Handler are “non-invasive,” with minimal discomfort or downtime. Minimize under-eye darkening, raise those droopy eyelids, shrink pores, lift sagging jowl areas, and appear as youthful as you feel. Call Dr. Handler’s office for a personal evaluation with treatment recommendations for your aging skin. Remember, 80% of the signs of aging are due to prior sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! This is something young people should be aware of since we get 80% of our lifetime sun exposure by the time we are 18-20 years of age. What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure and aging can be improved dramatically with pain-free, non-invasive cosmetic procedures performed entirely by Dr. Handler. The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift sagging areas of the neck, jowls, upper arms, and abdomen. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser). This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only ONE treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain. The NEW Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients. For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas. The results are diminished lines and a more “wide awake” and less tired appearance. These products are also fantastic to reduce anxiety-induced underarm sweating for 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. 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. Handler is the only dermatologist in northwest Ohio performing this procedure. Are you aware that Dr. Handler personally performs laser procedures for removal of body hair anywhere hair grows? Yes, this minimally painful laser destroys hairs around the chin, jawline, upper lip, underarms, ears, nose, bikini line, etc. And this laser is not just for women. Many men have this laser performed to permanently remove chest and back hair as well as beard hair that grows down onto the neck. Dr. Handler also utilizes the latest in lasers for removal of “age spots” (sun spots really) anywhere on the body. This laser works especially well for the tops of hands covered with those “age spots.” Finally, Dr. Handler also performs laser removal of unwanted blood vessels that grow on your face and enlarge with heat, stress, and the intake of alcohol. Again, pain and downtime are minimal with this laser. All of these lasers are non-invasive with minimal 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.

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. Handler. To view before-and-after photographs of patients who have had these procedures performed by Dr. Handler, visit www.drharveyhandler.com. For more detailed information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. Also, remember to inquire about specials available on many cosmetic procedures and products to diminish the signs of aging and obtain a more vibrant and youthful appearance of your skin. Also, everyone should have a yearly full body exam to check for skin cancer conducted only by a board-certified dermatologist. Hair loss in men and women Are you losing hair from surgery, anesthesia, illnesses, pregnancy, medications, stress, genetics, or “normal” hair loss secondary to aging or low blood levels of nutrients? There are many causes of hair loss in men and women. Most are not simply due to age or family history, and most are treatable. Now these problems of hair loss can be evaluated and there is hope for reducing your hair loss and stimulating new growth. Dr. Harvey Handler, board-certified dermatologist of Sylvania, Ohio, has a medical treatment for decreasing your hair loss and increasing growth in many patients! Pediatric skin disease diagnosis and treatment is one of Dr. Handler’s special fields in general Dermatology. From birth and older, Dr. 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. 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.

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

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

e lthy l ng ews

October 2018 • Vol. 23, Issue 10

Your Monthly Guide to Healthy Living

CHILDREN & PARENTING

HEALTH & BEAUTY

OUR COMMUNITY

12 Catholic education—Values received, excellence achieved 13 Cardinal Stritch adds corporate internship as graduation requirement 15 Sports and the young athlete, by Mark S. Faber, USPTA Elite Professional

2 Shape up and wake up your skin 7 Understanding metastatic breast cancer 16 What you need to know before choosing lipo 18 Nobody’s Perfect What should I serve? by Karen Zielinski, OSF 20 Want to lead a healthier life? Take a look at your Medicare insurance plan, by Tom Breckenridge 24 Super Slow Training: An efficient exercise solution for a fast-paced world 27 Wise Words From Otterbein Doctor-patient communication… Can we talk? 28 Fall Urogynecology News, Part 1 34 Mercy Health physician encourages women’s preventive health care 38 Eating Well Plan a healthy vegan diet, by Laurie A. Syring, RD/LD 40 Smoking? Alcohol? Drugs? Need help to quit? by Douglas A. Schwan, DC, dip ac 42 ProMedica harnesses healing power of stem cells to ease osteoarthritis pain 43 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 45 Can you recognize the signs of Alzheimer’s? by Erin Kessler

5 Cancer patients find hope, comfort, and support at Renee’s Survivor Shop 6 New Executive Director to lead Genacross Lutheran ServicesWolf Creek 11 Energize your body, mind and spirit 22 Heartland Rehab can help with cancer treatment side effects and fall prevention, by Jim Berger 17 Sunset announces next phase of Fieldstone Villas and pending clubhouse opening 30 Super Fitness Weight Loss Challenge: changing lives one pound at a time 36 Silent Witness Project to feature domestic violence survivor and victim advocate 37 The Elizabeth Scott Community prepares residents for winter 37 Shop Small Toledo looking for vendors for November 24 shopping event 41 Stroke patient fights to regain active lifestyle with help from Laurels therapy team 44 Senior Living Guide

ENRICHING YOUR LIFE 8 Long-term-care planning: Where do we go from here? by Christopher Stieben 9 The benefits of having a financial advisor on your side by Scott D. Brown 10 Health Crossword by Myles Mellor 23 Spiritually Speaking It’s all about LIFE, by Sister Mary Thill 26 Pickleball serves up healthy fun for players of all ages 32 A Walk in the Park A rose by any other name, by LeMoyne Mercer 35 Running tips for beginners by Amanda Manthey

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

Connect with Friends Who Like Healthy Living News!

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Robin Buckey Molly O'Connell Print Designer: Jan Sharkey Graphic Artist Intern: Teagan Polizzi Web Designer: Strategically Digital LLC Social Media Specialist: Kelly Rickey Social Media Intern: Marla Gootee Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech–Toledo Copyright © 2018 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe. Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

Dear Readers, Thank you for picking up the October issue of Healthy Living News. As I write this letter, it feels more like midsummer than early autumn, but no doubt more seasonable weather will soon return, encouraging participation in all kinds of outdoor activities. And our area certainly offers its share of outdoor activities at this time of year—including various walks, 5Ks, and fun runs presented by local non-profits (see p. 35 for a listing of events sponsored by Dave’s Performance Footgear). It’s difficult to fathom, but this issue also marks the beginning of our 23rd year of publication, an exciting milestone we proudly attribute to our advertisers, our dedicated team of contributing writers, and, above all, our loyal readers. We’re humbled by the continued support we enjoy!

This month’s issue is chock full of locally produced content, beginning with our cover stories on the many benefits of Catholic education (p. 12) and the Super Fitness Weight Loss Challenge, which kicks off this month (p. 30). Also in this issue, Dr. Hammad Rashid of The Toledo Clinic Cancer Centers shares insights on metastatic breast cancer (p. 7); Dr. Roger Kruse of ProMedica Regenerative Medicine discusses the use of groundbreaking stem cell therapy to treat osteoarthritis (p. 42); Dr. John Roost of Mercy Health – Perrysburg OB/GYN explains the importance of preventive health care for women (p. 34); and Scott D. brown of Morgan Stanley describes the advantages of having a financial advisor in your corner (p. 9). In addition, you’ll find a profile of Renee’s Survivor Shop, located in UTMC’s Eleanor N. Dana Cancer Center

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(p. 5), hints on how to choose the right liposuction procedure from Dr. Wade Banker of Luxe Laser Vein & Body Center (p. 16), advice on making the most of your Medicare insurance plan from Medical Mutual (p. 20), and part one of a two-part article on the urogynecological services available to area women (p. 28). We’re also pleased to bring you an article on the fast-growing sport of pickleball (p. 26), which is exploding in popularity across the nation. Multiple facilities in our area offer opportunities to experience this fun, easy-to-learn game while making new friends and getting a little healthy exercise. Until next month, stay safe, active, and healthy!

NEW FAMILY DOCTORS NEW PATIENTS WELCOME Zachary Dooley, MD ST. LUKE’S FAMILY MEDICINE CENTER

ST. LUKE’S BRAND NEW FAMILY MEDICINE CENTER NOW OPEN Nothing matches the personal care you receive from your own family doctor. Now, thanks to the new St. Luke’s Family Medicine Residency program, our team of medical residents will care for you while working hand-in-hand with experienced physicians and while benefitting from all the high-tech resources of St. Luke’s Hospital. You’ll have advanced care, plus advanced expertise. The center is accepting new patients including pediatrics, sports medicine, geriatrics, complete obstetrics, and more. Don’t wait until you’re sick. Get a doctor now, so even when you don’t feel good, you’ll feel better in the hands of your own personal expert. NEED A DOCTOR? CALL: 419.873.6836 OR SIGN UP @ StLukesHospital.com/FamilyMedicine.

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4:13 PM We love feedback. Like us on Facebook. Follow us9/12/18 on Twitter.

Cancer patients find hope, comfort, and support at Renee’s Survivor Shop

ancer patients and survivors Celebration,” Schick says. “At the commonly experience unpleasant event, we put up a poster board with symptoms or changes in appearance a ribbon on it and asked everyone stemming from either the disease who attended to write one word that itself or the treatments used to fight conveys what survivorship means to it. In some cases, the physical or them. Then we used that poster to emotional toll of these side effects design a shirt that’s now available can be significant, potentially even for purchase.” Schick and her team of caring interfering with patients’ recovery. The good news is, patients grappling with cancer-related side effects can find hope, comfort, and support at Renee’s Survivor Shop, conveniently located in The Eleanor N. Dana Cancer Center at The University of Toledo Medical Center. Established in 2003 by Renee Schick, Renee’s Survivor Shop has been serving the local community for 15 years. The shop became affiliated with The University of Toledo Medical Center in 2014 and continues to offer a wide range of products and services for cancer patients and survivors. Among these are numerous products for easing the side effects of radiation, chemotherapy, and surgery. Examples inprofessionals clude all-natuoften see cancer ral, drug-free patients right Queasy Drops after they ’ve for controlling been caught off Renee Schick of Renee's Survivor Shop. nausea; Lindi guard by a cancer Skin products, which are helpful for diagnosis and are still reeling from both radiation and chemotherapy the news. “I can empathize with what patients; SalivaSure lozenges for they’re going through because I’ve eliminating the metallic taste some- been there myself,” she says. “I was times associated with chemotherapy; caught off guard by a breast cancer a special shampoo containing oil of diagnosis back in 2001 when I was rosemary and aloe vera for patients just 36 with two young daughters. At with hair loss; and a serum that that time, getting diagnosed at such promotes eyelash regrowth. a young age was almost unheard of. And that’s just scratching the It was through my diagnosis and surface. Renee’s also offers, among personal experience dealing with the many other items, a wide variety of side effects of surgery, chemo, and wigs and head coverings; mastectomy/ radiation that I discovered the need lumpectomy products; lymphede- for the products we sell as well as for ma-related products, such as support a place that offers hope and support hose, compression bras and sleeves, to cancer patients and survivors.” and lymphedema bracelets (which Schick also notes that there is a alert medical professionals to avoid tremendous need in our community performing blood pressure testing or for education on lymphedema—a IV procedures on the affected arm); condition that develops when the as well as various cancer-awareness lymphatic system becomes damaged items, such as pins, rubber wristbands, or blocked, causing swelling of the jewelry, and other gift items. extremities. Lymphedema is a common “One really neat cancer-awareness side effect among cancer patients product we’re offering came about who have undergone surgical lymph during a recent Cancer Survivor node removal or radiation therapy.

Isolation.

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Feeling alone? Your family can get the help you need from ProMedica. Whether your loved one needs home care assistance, palliative or hospice care, ProMedica offers high quality, well-connected care that’s close to home. We’re here to help you navigate the journey and offer assistance when you need it. ProMedica. The team you know. The system you count on. The care you expect.

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Again, Schick speaks from personal experience when discussing lymphedema. Back around the year 2007, she started to notice a swelling in her arm and knew exactly what it was, having had 17 lymph nodes removed along with radiation treatments. However, not all cancer patients make the connection. “Pretty much on a daily basis someone comes in with a prescription for a compression sleeve, but they often don’t really understand why they need it,” she says. “So it became obvious to me that we need a community program to educate people on lymphedema and how to manage it.” Schick’s concept of a lymphedema-education program has now come to fruition. The Eleanor N. Dana Cancer Center at The University of Toledo Medical Center is offering Understanding Lymphedema, a series

of classes for anyone who is at risk for or diagnosed with lymphedema. The class will be held quarterly, with the first class on Wednesday, October 3 at the cancer center on the Health Science Campus. Additional classes will be held in 2019 on Wednesday, January 2; Thursday, April 4; Wednesday, July 3; and Thursday, October 3. Experienced lymphedema therapists from throughout the community will teach the classes. Topics will include an overview of the lymphatic system; reducing your risk for lymphedema; how to treat the effects of lymphedema with exercise, compression and massage; and coping strategies. Registration and refreshments begin at 5:30 p.m. followed by the class at 6:00 p.m. There is no charge to attend, but reservations are required by calling 419-383-5243. ❦

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enacross Lutheran Services has 30 years and is licensed in both Ohio announced the appointment of and Michigan. He was a Regional Martin Jan as Executive Director for Director of Operations for seven the Genacross Lutheran Services-Wolf years in those states, and, most Creek Campus, a continuing-care recently, he was Executive Director retirement community located at with a hospital system in Monroe, 2001 Perrysburg Holland Road in Michigan. He has managed home Holland, Ohio. health, hospice, and other acute-serMr. Jan will be responsible for vice teams. His skilled-nursing-care the day-to-day operations, com- experience includes vent/dialysis, munity outreach, and vent unit, memory business development care, long-term care, of the campus, which and assisted living. includes independent “The wide range of living, assisted living, health care experience short-term and longthat Marty brings with term skilled nursing him will help elevate care, and rehabilitation the customer service services. and care at the Wolf Creek Campus,” stated As the campus administrator, Mr. Jan said Tina Gendics, Senior he “focuses on three Director of Post-Acute areas: quality care, regServices. ulatory compliance, Mr. Jan earned and fiscal integrity. a Master of Science When those are ad- Martin Jan, Executive Director and Education degree dressed, and we remain for the Genacross Lutheran Ser- from The University vices-Wolf Creek Campus. person-centered, we of Toledo, specializing will provide a great in gerontology and quality living environment for indi- health care management. He resides viduals seeking short- and long-term outside of Waterville, Ohio, with his care services.” wife, Leslie, a retired schoolteacher. Mr. Jan has been a Licensed They have three grown children and Nursing Home Administrator for four grandchildren. ❦ We love feedback. Like us on Facebook. Follow us on Twitter.

Understanding metastatic breast cancer

diagnosis of metastatic breast grow—female hormones. In addition cancer is a life-altering experience to hormone deprivation therapy, there that elicits a wide range of worries and are things we can do to slow down emotions. When it comes to fighting the cancer’s rate of growth. Then, if this very serious illness, it is vital for all else fails, we do chemotherapy. women to empower themselves with For the second type, there are very facts. Though incurable, metastatic effective drugs we can use to target breast cancer can be managed, and the HER2 mechanism, and we can many women with the disease are often control the cancer for many surviving longer thanks to the ad- years. However, it eventually becomes vanced medical treatments available resistant to this mode of treatment to oncologists today. and we have to do chemo. The third What exactly is metastatic breast type is typically treated with chemo cancer? According to oncologist/ or in some cases immunotherapy,” hematologist Hammad Rashid, MD, Dr. Rashid explains. who recently joined the Significant strides team of practitioners at have been made in treatThe Toledo Clinic Cancer ing the first and second Centers, metastatic breast types of breast cancer, cancer is not a particular but the third type—sotype of breast cancer. Rather, called triple-negative it is any form of the disbreast cancer—remains ease that has spread—or the biggest challenge. metastasized—outside the “Reports show that some breast to another location of these patients benefit from immunotherapy in the body. He observes, while others don’t, so “Metastatic breast cancer Dr. Hammad Rashid finding an effective way starts off in the breast and most often travels to the lymph nodes to treat triple-negative breast cancer under the arm. It can also move to is definitely the frontier of research the nodes just below the breast bone, today,” he adds. and sometimes to the nodes above Currently, the average five-year the collar bone. These are called survival rate among women with ‘regional lymph nodes.’ From the metastatic breast cancer is 25%, so lymph nodes, the cancer spreads to some impact is being made through other sites—most commonly to the advanced treatments. Also, ongobones, but it can travel to any organ ing research continues to supply in the body.” new medications that target breast Dr. Rashid further notes that certain cancer through various pathways. subtypes of breast cancer seem to Dr. Rashid is particularly optimistic spread preferentially to certain organs, about the potential for immunowith some commonly spreading to therapy in treating metastatic breast the brain, others to the liver, others cancer. “We’re just scratching the to the lungs, and so on. “We don’t surface when it comes to this type fully understand why this happens, of treatment, and we know it works but once this mechanism is discov- well in certain other cancers, such ered, we may be able to find ways as melanoma. Now we’re looking for ways to make it more effective to mitigate it,” he says. The appropriate course of treat- in breast cancer,” he says. ment for metastatic breast cancer also Dr. Rashid’s patients who are varies according to type. For purposes diagnosed with metastatic breast of this article, Dr. Rashid states that cancer very commonly ask him how there are three broad categories of much time they have left. However, breast cancer. One type has receptors he is quick to discourage this type of on its surface for female hormones thinking. “My advice is not to look at (estrogen and progesterone), the the numbers because every individual second has receptors for the HER2 is unique. I’ve seen some patients protein, and the third lacks receptors with an overwhelming burden of for female hormones as well as HER2. disease respond to treatment and do “The mainstay treatment for the very well, and I’ve seen others who first type is hormone manipulation to are expected to do well but don’t. deprive the cancer of what it needs to My philosophy is, ‘You have cancer;

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The Only Cancer Center in the Region to Offer Prevention of Chemotherapy Related Hair Loss § Dr. Adnan Alkhalili

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cancer doesn’t have you. Let’s start this journey together and take it one day at a time,’” he comments. 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

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Long-term-care planning:

October is

Breast Cancer Awareness Month. Be sure to schedule your mammogram.

services, chemotherapy services, and IV services. TTCCC also has satellite centers in Maumee, Adrian, and Monroe, as well as a partnership with the Mercy Health – Perrysburg Cancer Center for the convenience of the patient. For more information, please call The Toledo Clinic Cancer Centers at 419-479-5605. ❦

Where do we go from here? by Christopher Stieben

Q A

uestion: “When is the best time to plan for long-term care?

nswer: “Two weeks ago.” In 2017, the percentage of older adults age 85 and over needing help with personal care was 22 percent, which was more than twice the percentage for adults ages 75-84 (9%) and more than six times the percentage for adults ages 65-74 (3%). The number of people using long-termcare services is projected to increase from 15 million in 2000 to 27 million in 2050 (Administration on Aging, 2017; Centers for Disease Control and Prevention, 2013). Initiatives to address the growing 65-and-older population in the United States include an emphasis on aging in place and enabling older adults to age within their communities. Individuals are encouraged to stay in their homes and utilize home care or assisted-living communities as they age (Administration on Aging, 2017; Centers for Disease Control and Prevention, 2013; Family Caregiver Alliance, 2015). Even “aging in place,” which should be the simplest of long-term-care solutions occurring in your own home and community, still requires some preplanning. Any and all situations in which LTC services are used require a level of planning that most families and individuals rarely have time to think about. As we age, no matter what level of assistance we need, it is important to retain our basic rights to independence and self-determination. A strategic and well-laid plan to achieve and maintain our quality of life should be as important as choosing a college or career. Take the following questions back to your

families and loved ones and begin the conversation. It is important that those whom you love and may rely on have a depth of understanding of your wishes as you age. Ask yourself the following questions to determine your next steps. • What is your dream setting when you will require help? • What costs and insurance coverage can you expect? • What are your rights in all long-term-care settings? • What places and settings fit your dream? • What can you do to make long-term care part of your retirement plans and package? • How can you be part of the long-term-care community? Finding the answers to the aforementioned questions can illuminate your path towards quality of life as you age. However, if you are stumped after reading this article, or at any point in your journey through longterm care, remember that the Ombudsman Program can assist you. ❦ Christopher Stieben is Director of the ABLE LongTerm-Care Ombudsman Program, which can be reached at 419-259-2891; http:// ombudsman.ablelaw.org. Sources: Administration on Aging (AoA). A Profile of Older Americans: 2017. Administration for Community Living, U.S. Department of Health and Human Services. Centers for Disease Control and Prevention (CDC) (2013) Long- Term Care Services. Retrieved from http://www.cdc. gov/nchs/data/nsltcp/long_term_care_services_2013.pdf. Family Caregiver Alliance. (2015), Selected long-term care statistics. Retrieved from https://www.caregiver.org/selected-long-term-care-statistics.

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The benefits of having a financial advisor on your side by Scott D. Brown

n today’s complex and volatile markets, making sound investment and financial decisions is a challenge. Investing on your own can be complicated, overwhelming, and risky. In fact, studies have shown that self-directed investors can often be their own worst enemies, entering and exiting the market at inopportune times in reaction to market movements that make them uncomfortable or emotional.

Steps to successful investment Successful investing involves fortitude and a focus on the long term. The first steps you can take toward minimizing the likelihood of costly mistakes are: Understanding the emotional and behavioral factors that contribute to investor pitfalls—Psychology influences the choices investors make, such as how often they trade and how they

make buy-sell decisions. Common psychological blind spots include: • Overconfidence—assuming you know more than you do. • Mental accounting— consciously or unconsciously dividing your wealth into separate buckets. • Anchoring—fixating on past prices, such as what you paid for a particular stock. • Loss aversion—putting more emphasis on avoiding losses. Defining your goals and developing a plan—and an asset allocation—that helps you reach them—Having a plan and sticking to it can help you avoid making emotional decisions. Having the discipline to stay the course as markets fluctuate—Some investors try to time the market by moving in and out of it. Professional advice can help keep you focused by taking emotions out of the equation.

Your financial life is more than just your investments Over the past few years, the proliferation of robo-advisors that provide digital financial advice based on algorithms has received significant buzz. While robo advice offers a low-cost entry into investing, it also comes with little to no human intervention. Instead, an asset allocation is generated from an investor’s answers to an online questionnaire. But, how you

value money—and what you believe about money—cannot be captured or solved by mathematical rules or algorithms. You want advice that connects with your thinking, experiences, and beliefs around money. If you’re deciding among traditional financial advisors or robo-advisors, consider the following: • What is most important to you

at this stage of your financial life? • How confident are you in your financial knowledge? • Are you able to take emotions out of your financial decisionmaking? • What are the financial complexities that you currently face? If there are complexities in your financial life—debt, children, employee benefits, major life events, estate and tax issues—you may want to consider choosing a traditional financial advisor who can help you customize a plan that is tailored to your specific situation. And, keep in mind that reaching your goals often involves going beyond investment advice to include conversations about estate and wealth transfer planning, risk management, and even your philanthropic aspirations. By working with an experienced financial advisor, you can have the best of both worlds—the freedom to make your own investment and financial choices, but with the guidance of a professional who understands your unique needs, improving your chances of achieving your goals. ❦

Your Financial Future: Will You Be Ready? Getting your financial and investment act together takes time and close attention to detail. With more responsibilities, the process becomes even more complex. As a Morgan Stanley Financial Advisor, I have access to a range of resources, advice and services to help you meet your needs. Please call me to arrange a meeting about your wealth management needs. Scott D. Brown Senior Vice President Branch Manager 7311 Crossleigh Ct. Toledo, OH 43617 419-842-5312 scott.d.brown@morganstanley.com http://www.morganstanleyfa.com/theauroragroup/

• • • • • • • •

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

The appropriateness of a particular investment or strategy will depend on an investor’s individual circumstances and objectives. Morgan Stanley Smith Barney LLC, its affiliates and Morgan Stanley Financial Advisors do not provide tax or legal advice. This material was not intended or written to be used for the purpose of avoiding tax penalties that may be imposed on the taxpayer. Clients should consult their tax advisor for matters involving taxation and tax planning and their attorney for matters involving trust and estate planning and other legal matters. Morgan Stanley Smith Barney LLC is a registered Broker/Dealer, not a bank. Where appropriate, Morgan Stanley has entered into arrangements with banks and other third parties to assist in offering certain banking related products and services. Banking and credit products and services are provided by Morgan Stanley Private Bank, National Association, Morgan Stanley Bank, N.A. or other affiliates. Investment services are offered through Morgan Stanley Smith Barney LLC, member SIPC. Unless specifically disclosed in writing, investments and services offered through Morgan Stanley are not insured by the FDIC, are not deposits or other obligations of, or guaranteed by, the Bank and involve investment risks, including possible loss of principal amount invested. © 2012 Morgan Stanley Smith Barney LLC. Member SIPC.

NY CS 7181350 BC004 09/12 CRC394531

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If youâ&#x20AC;&#x2122;d like to learn more, please contact Scott Brown, Branch Manager, Morgan Stanley Toledo, Ohio, at 419-842-5312.

the individual financial circumstances and objectives of persons who receive it. The strategies and/or investments discussed in this article may not be suitable for all investors. Morgan Stanley recommends that investors independently evaluate particular investments and strategies, and encourages investors to seek the advice of a Financial Advisor. The appropriateness of a particular investment or strategy will depend on an investor â&#x20AC;&#x2122;s individual circumstances and objectives. Asset Allocation does not assure a profit or protect against loss in declining financial markets. Scott D. Brown may only transact business, follow-up with individualized responses, or render personalized investment advice for compensation, in states where he is registered or excluded or exempted from registration. ÂŠ 2018 Morgan Stanley Smith Barney LLC. Member SIPC. CRC 2149104 06/2018

Article by Morgan Stanley and provided courtesy of Morgan Stanley Financial Advisor. Scott D. Brown is a Financial Advisor in Toledo, OH at Morgan Stanley Smith Barney LLC (â&#x20AC;&#x153;Morgan Stanleyâ&#x20AC;?). He can be reached by email at scott.d.brown@ms.com or by telephone at 419-842-5312. His website is www.morganstanleyfa.com/theauroragroup. This article has been prepared for informational purposes only. The information and data in the article has been obtained from sources outside of Morgan Stanley. Morgan Stanley makes no representations or guarantees as to the accuracy or completeness of the information or data from sources outside of Morgan Stanley. It does not provide individually tailored investment advice and has been prepared without regard to

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Energize your body, mind and spirit

nergize your body, mind, and spirit at CHI Living Communities St. Clare Commons with a new series of programs that encourages healthy aging in place and takes a holistic approach to well-being throughout the year. St. Clare Commons' Body, Mind and Spirit Series touches on the spiritual, physical, nutritional, vocational, emotional, intellectual, and fun side of life. Programs are open to the community and focus on vital living as well as helping everyone achieve their highest level of wellness.

a journey bound for polar bears, Northern Lights, and wondrous beauty.

Get the facts on long-term care

Make your Christmas merry with crafts

Confused about long-term care? What do you need? What is best for your parents? Get the facts about paying for long-term care at a free informational program presented by Debra J. Roidl, MSW, LISWS, Professional Care Manager at Independent Care Solutions, on Wednesday, October 3 at 6:00 p.m. in the Wood Room. Roidl will discuss the myths and facts about financing senior living. Join St. Clare Commons and Ohioans Home Healthcare for this free informational session that includes light grazing and beverages.

Let’s Go Cruising! Have you ever dreamed of cruising on the open seas? Where should you go? What are the best cruise lines? Travel with St. Clare Commons and Dream Vacation Specialist Keith Keller as we ship off in Let’s Go Cruising! Whether you are a seasoned traveler or an armchair adventurer, this is a great way to explore all the exciting aspects of cruising. Enjoy hors d’oeuvres and beverages while you learn more about the art of cruising and planning your dream cruise vacation in the Wood Room. October 17 at 5:30 p.m.: Sands and Seas of the Caribbean. Grab your Bermuda shirts and sunglasses as Keller highlights amazing passages that cover tropical sands and seas. November 21 at 5:30 p.m.: Ahoy, Alaska! Cruising Alaska can be a trip of a lifetime. Keller will take you on

Free blood pressure and blood sugar screenings St. Clare Commons, in conjunction with Unique Healthcare Solutions, provides free monthly blood pressure and blood sugar screenings on October 1, November 12, and December 10 at 11:00 a.m. in the admissions office. This is the perfect opportunity to make sure you are on track each month.

Discover Christmas crafts at St. Clare Commons in December. We will be making painted wine glasses on December 4 at 6 p.m., DIY ornaments on December 11 at 6 p.m. and flowerpot snowmen on December 18 at 6 p.m. in the Wood Room. Spots are limited, so you must RSVP by calling 419-931-0050 to reserve your space and/or for more details.

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New programs for 2019 Plans are already underway to include music concerts, cooking lessons, hobby demonstrations, wine tastings, guest lecturers, health screenings, and so much more for the New Year. Watch for details or check out our website, www.homeishere.org, for the 2018 Body, Mind and Spirit brochure and for upcoming 2019 activities. RSVPs for all programs are always appreciated. Call 419-931-0050. Located at 12469 Five Point Road, just minutes from the Levis Commons Shopping area in Perrysburg, St. Clare Commons offers assisted living, memory care, skilled nursing, rehabilitation, long-term care, and short-term respite stays. St. Clare Commons is committed to creating an environment where home is truly here for all who enter. Arrange a tour of St. Clare Commons or learn more by calling 419-931-0050. Go to www. homeishere.org for more information. Follow St. Clare Commons on Facebook. ❦

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Catholic education—Values received, excellence achieved

t seems as though two distinct and divergent sets of values are emerging in our society. One set seems to promote egocentrism, entitlement, moral relativism, instant gratification, and self-aggrandizement while the other embraces concepts such as faith, compassion, self-discipline, determination, accountability, and respect and empathy for others. Parents who hope to raise their children with the latter set of values definitely have their work cut out for them these days. The media and popular culture continually undermine their efforts to instill positive values in their children by sending and reinforcing the message that individual desires and impulses always take precedence over the needs of others and by dismissing positive values as antiquated or obsolete notions. But parents who send their children to Catholic schools find that the values they hope to impart to them are upheld and reinforced in a supportive, caring environment. As a result, kids educated in Catholic schools emerge better educated,

better citizens, and better prepared to deal with the opportunities and challenges life has in store for them. Here’s what a Catholic education will mean for your child.

Safe, supportive learning environment With their emphasis on Catholic faith, individual responsibility, parental involvement, and respect for human dignity, problems such as behavioral challenges, substance abuse, and risks of violence are significantly lower in Catholic schools than in non-faithbased school systems. In addition, smaller class sizes mean that all students receive the support, personal attention, and interaction they need to excel academically.

Elevated expectations Catholic school teachers understand the basic principle that self-esteem results from accomplishment, not

N E P O E S U HO

vice versa. Students are expected to achieve in their academic endeavors, and they’re given the tools and support they need to do so. The bar of achievement is set high with the goal of preparing students for the rigors of secondary education and the working world.

Christ-centered learning Christ’s example is the foundation upon which Catholic education is based. Children are encouraged and nurtured to be Christ-like people and to recognize the presence of Christ in others. Parents appreciate the fact that Catholic schools uphold and strengthen the religious formation they’ve begun in the home.

Emphasis on self-discipline Personal responsibility is a hallmark of Catholic education. Students are given the decision-making skills

they need to make sound judgments throughout their lives and to extend the respect and dignity deserved by others. Self-discipline leads to academic success, which leads to a more significant contribution to society.

Parents who care Just like you, other parents of Catholic school students want to play an active role in their children’s educational experience. In fact, many parents volunteer in a variety of capacities, such as playground or lunchroom supervision, classroom assistance, fieldtrip support, fundraising assistance, and many other areas. And the support works both ways. The schools are also happy to work together with parents as a team to help solve any problems or challenges that might arise.

Part of a community When your child becomes a part of a Catholic school, your family also becomes a member of this supportive, enriching community, which will allow your entire family to continue

SUNDAY, NOVEMBER 4TH • 1 - 4 PM Meet the Brotherhood. Meet the Tradition. Meet the Knights. Experience the Mission that has transformed boys into Christian gentlemen for over 60 years. Visit St. Francis and see how you will be given every opportunity to be who you are and be that well.

HIGH SCHOOL PLACEMENT TEST Saturday, December 1st • 8:30 AM-Noon Please bring two #2 pencils. The cost is $20. For more information, call 419-214-5437 or download our mobile app.*

*Standard data rates may apply.

2323 W. Bancroft Street • Toledo, Ohio • sfsknights.org

12 October 2018 | Healthy Living News

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growing in their Catholic faith.

College in the future A college degree is critical to career success, and Catholic schools are focused on preparing students for entry into college. A very large majority

of elementary and secondary Catholic school students attend college. In fact, according to the National Catholic Educational Association, 99% of Catholic secondary school students graduate and 97% go on to college. ❦

Cardinal Stritch adds corporate internship as graduation requirement

ardinal Stritch Catholic High School and Academy is excited to announce an innovative new program that will enhance student learning, improve college and career readiness, and have a significant impact on workforce development across our region. Beginning next school year, Cardinal Stritch students will only be in the classroom four days per week, spending one full day off campus at an internship at corporations and non-profit organizations across NW Ohio and SE Michigan. “This is a tremendous opportunity for students to learn the skills necessary to be successful after high school and college, to begin to build their professional network, and to assist in identifying and getting hired into the career of their choice,” said Melissa Empie, Associate Head of School and Dean of Academics.

Next year ’s freshmen will participate in a year-long internship readiness course, called CIP 101, which will prepare them for their internship, including topics such as Microsoft Office, phone etiquette, and social skills such as eye contact and how to shake a hand. “We are hearing from employers across the region how much they enjoy hiring students from Cardinal Stritch because of their strong academic and moral foundation, and this program allows us to begin those interactions much earlier than the second semester of the student’s senior year,” said Angie Bihn, College and Career Advisor, who is assisting with the launch of a pilot program this school year.

The Corporate Internship Program will be available to sophomores, juniors, and seniors as an optional program for now. Beginning with the Class of 2023, next year’s freshman class, participation in the Corporate Internship Program will become a graduation requirement. Students will receive credit for each year completed in their internship and will work closely with their academic advisor(s) to identify their career goals and the chosen internship. The internships are being coordinated by the school. “Response from the business community has been phenomenal,” said Kevin Mullan, Associate Head of School for Advancement and Strategy. “Every day there are in-demand, high-paying jobs that go unfilled because students aren’t learning about them until it’s too late. This program introduces students to real opportunities in our region and helps them achieve their goals, while meeting the needs of our local workforce. This program is truly a win-win for all involved.” Dr. Sheri Caldwell is HR Director for the Grain Division at The Andersons, and a 1984 graduate of Cardinal Stritch. “At The Andersons, we are excited to be among the first to partner with Stritch on this innovative program because we see value in providing experiences to students while at the same time it helps us to assess their potential as future employees.” So how does the internship work? Students will attend classes four days per week, with all of the same high academic expectations they experience today, including AP courses, College Credit Plus opportunities, rigorous electives in the arts, STEMM and humanities, and continued commitment to faith formation, including attending retreats and weekly Mass. On the day of their internship, students will come to school to check in before being transported to their internship site by bus or van. For most

Proud to be Toledo’s oldest, all-girls, Catholic, college preparatory school.

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OPEN HOUSE SUNDAY, NOV. 4, 2018 12:00 p.m. – 3:00 p.m.

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FOUR DAYS

IN THE CLASSROOM

ACADEMIC EXCELLENCE Cardinal Stritch Catholic High School offers a rigorous college-prep education, including Advanced Placement courses and opportunities for on-campus and on-line college coursework.

ONE DAY

IN THE REAL WORLD

INNOVATIVE CAREER EXPLORATION Beginning in the Fall of 2019, students in grades 10-12 will spend one day per week off-campus participating in the area’s first career-based Corporate Internship Program.

EXTRA-CURRICULAR OPPORTUNITIES From athletics to the arts, robotics to campus ministry and everything in between, Cardinal Stritch offers a diverse array of opportunities for students to find their niche.

OPEN HOUSE

MENTORSHIP & NETWORKING Through the Corporate Internship Program, students are offered real-world experience in their preferred career path, and established relationships with professional mentors.

NOVEMBER 4 NOON - 3PM

JUMP START YOUR FUTURE

3225 PICKLE ROAD OREGON, OH 43616 14 October 2018 | Healthy Living News

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students, we expect sophomores to attend their internship on Tuesday, juniors on Wednesday, and seniors on Thursday. The CIP 101 course for freshman students will be offered as a regular part of their course schedule. “By having an entire class go to their internship at the same time, we are ensuring that students can put as much focus and energy into their internship as we require of them throughout the rest of the school year, without missing vital instruction time,” said Mrs. Empie. By making some minor adjustments to the academic calendar, Cardinal Stritch is able to ensure that graduates of Cardinal Stritch will still meet the required contact hours in each subject area to obtain a high school

diploma in the State of Ohio. The school is working on a pilot program with approximately 20 students that could start as early as January 2019. “We are working diligently to identify strategic partners for this program,” says Mullan. “The ideal corporate partner understands the intricacies of operating an internship program, aligns with our mission and values, and is a true partner in ensuring success for our students inside and outside of the classroom.” An open house for students and parents to learn more about Cardinal Stritch and this innovative program is scheduled for Sunday, November 4 from noon to 3:00 p.m. at their campus on Pickle Road in Oregon.❦

By Mark S. Faber, USPTA Elite Professional

Sports and the young athlete

hope this month’s article finds everyone settled in to the start of a new school year. Of course, with the start of the school year, comes the start of many new activities for children and their families. Being involved in this world now as a parent and having been involved in it as a coach for many years, I really would like to share with you some thoughts as you move forward with your child’s activities.

Avoid specialization at a young age When a child is young, the window of opportunity to develop their overall athletic skill base is prime. Having a child that is more athletically developed will help them succeed at a variety of sports as they get older. What tends to happen in the sports world today is that coaches tell parents their kids need to put all their time into a sport so they can master it a young age. These coaches are concerned with their sport, which is understandable. However, are they truly thinking about the young child and helping them develop overall? That way of thinking is truly old school. The new way of thinking is that if we can develop overall better athletes at a young age, then as they get older and decide what sport they

want to pursue, their overall skill base will be better developed and they’ll be more likely to succeed. Avoid specialization, and remember that it’s more important to develop the athlete.

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Why so much? Over the years, I’ve been amazed at how many hours young kids devote to a sport in a week’s time. I will see kids do a lesson, do some group lessons, play with parents, and then play with friends. Many times, the greatest number of hours is spent with parents. This is awesome, for it is family time; however, it is the overall number of hours invested that is concerning. A friend of mine uses a child’s age as a guide for the number of hours a child should be participating in activities each week. For example, if a child is six, then he or she should be spending no more than six hours per week in activities. Naturally, as the child gets older, the hours will increase. This approach takes into account a young person's place in the growth and development circle. After all, asking a six-year-old to do an activity for three straight hours followed by another day of the same thing is truly counterproductive. The child will most likely end

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up physically drained. And let’s be honest with ourselves; do we really believe a majority of six-year-olds can focus for three straight hours? The key here is moderation and proper progression as kids age and develop. Doing this will keep the activity fun and fresh, and you’ll have a truly healthy young child.

Who’s the decision-maker? Over the years, I have seen a change from parents being the decision-makers to kids now making all the decisions no matter what their age. In some sports, being an independent athlete is crucial, but young athletes aren’t ready for this level of independence. It is very important for parents to be involved in the decision-making with their children, especially when the kids are younger. It’s fine for a young child to provide some feedback for the decision; however, it is the adult that needs to make the final decision for there are many lessons that can and should be learned at this moment. For example, kids need to learn that if they start something, then they need to finish it. When this is learned at a young age, they will tend to follow that trend. At the end of the day, we as parents

need to set the ground rules with our kids about when they make decisions so they learn the proper lessons that come with those decisions. This article could go on for pages. Its purpose is to stimulate some thinking when it comes to how we treat young athletes and their athletic journey. I truly hope the above makes sense. This is not an easy journey, and the temptations we all face when it comes

to thinking our child is the next “big thing” do present a challenge. Enjoy the journey, and keep in mind that if things are done right when athletes are young, they will have more tools for athletic success in whatever sport they choose, their health will be outstanding, they’ll be more likely to stay injury free, and they’ll learn the valuable lesson of finishing what they start. ❦

What you need to know before choosing lipo

osmetic procedures that promise permanent fat removal are highly sought after, and understandably so. No one wants stubborn fat to stand in the way of looking and feeling their best. Among the various fat-removal options today are many that contain the word “lipo” in their name. However, it’s critical for people who are exploring permanent-fat-removal options to be aware that not all procedures marketed as “lipo” are created equal, and some of them aren’t technically liposuction at all. “People see advertisements for procedures with names like “Laser Lipo” and assume they’re all effec-

tive and legitimate, but that’s not necessarily the case. In fact, some of them are outright scams,” warns Dr. Wade Banker of Luxe Laser Vein & Body Center. “These procedures are deceptively named because they don’t actually involve liposuction.

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With true liposuction, a physician physically removes fat from the body at the time of the procedure. If that’s not taking place, you’re not getting liposuction. There are effective non-invasive fat-removal methods on the market, but none of these imposter liposuction methods achieve what they claim—especially those offered for only a few hundred dollars.” The form of liposuction Dr. Banker offers at Luxe Laser is a leading-edge minimally-invasive technique called Smart Lipo. During Smart Lipo, a laser fiber, approximately the size of the tip of a pen, is inserted through a tiny incision and used to melt fat in the targeted area. The fat cells are then immediately suctioned out of the body by the physician. This quick, painless, easy-to-perform technique yields significantly more dramatic results than both non-invasive and injectable fat-removal treatments. Dr. Banker further explains, “Smart Lipo is an advancement over traditional liposuction, having less potential for bruising, more even contour results, and less recovery time. In contrast, traditional liposuction involves cutting out fatVEINcells with no assistance from & BODY CENTER a heating device, so the treatments are more traumatic and a longer

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recovery time is necessary.” According to Dr. Banker, Smart Lipo is also superior to liposuction procedures on the market today that use ultrasound or radiofrequency (RF) energy to destroy the fat cells. “None of these can compare to Smart Lipo in terms of their efficacy rate. Smart Lipo remains the gold standard in

liposuction for achieving maximal results with minimal downtime,” he says. For more information on Smart Lipo or any other procedure or service offered at Luxe Laser Vein & Body Center, please visit luxe-laser.com or call 419-893-2775. ❦

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Sunset announces next phase of Fieldstone Villas and pending clubhouse opening

rea seniors who are seeking a community that supports an active, independent lifestyle and liberates them from the chores and burdens of homeownership will be pleased to learn that Sunset Retirement Communities is beginning construction on a second phase of villas at Fieldstone Villas at Sunset Village. During this phase, five new villas—10 units in total—will be added to this Life Plan Community (formerly called a CCRC). “When we finished construction on the first phase of villas in the fall of 2016, we knew interest would be high and that proved true beyond our expectations. Those original units filled up quickly, so we’re building additional units to ensure that more area seniors who want to experience the Fieldstone Villas community and enjoy all its amenities have the opportunity to do so. The new residents will join the already vibrant community of approximately 20 residents who call Fieldstone Villas home,” says Gayle Young, Director of Marketing, Communications and Public Relations for Sunset Retirement Communities. Several different villa styles will be represented in the new phase of construction. Ranging in size from approximately 1,300 square feet to 1,800 feet, each unit will include a full kitchen with all new appliances, two bedrooms, and two baths. All of the units will also feature a twocar garage, with the exception of the smallest floorplan, which has a

one-car garage. Young emphasizes that in addition to enjoying all the amenities the Fieldstone Villas community has to offer, residents can expect their monthly fee to cover all aspects of home maintenance, both inside and outside, including lawn care and snow removal, preventive maintenance, appliance and plumbing repairs, and even bi-monthly housekeeping. “Our residents are thrilled to leave behind all those arduous chores, such as leaf raking and snow shoveling, allowing them more free time to pursue the activities and pastimes that bring joy and fulfillment to their lives,” she adds. Fieldstone Villas residents are also eagerly anticipating the opening of the community’s brand-new clubhouse, which is projected for late November. The clubhouse will feature a swimming pool, an area for exercising, and chef-prepared dinners served to residents Monday through Friday. Fieldstone Villas resident Peg Anderson is especially enthusiastic about the new pool, stating, “I’m really looking forward to the pool. I plan to go over there at least twice a week to swim because it is some of the best exercise you can get. It

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affects all of your muscles.” Another Fieldstone Villas resident remarks, “As very satisfied residents of Fieldstone, we are now looking forward to the completion of our brand-new clubhouse! From all reports and architectural drawings, it will provide many fine amenities and social interaction with our neighbors. It’s a promise kept and will be a great

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What should I serve?

just don’t know what to serve anymore. I invited some friends over for a movie and had no menu ready. With friends who are vegetarians, colleagues who avoid gluten because they have Celiac Disease, people who are trying to eat a vegan diet, and those who believe probiotics are the way to go, I am tempted to serve tap water and grapes! What do all those nutrition-related words mean anyway? My childhood classmate Diane Bachorski, Kaszuba, RDN (Registered Dietitian Nutritionist), said, “I really stick to the old adage, ‘everything in moderation,’ unless a specific food-related condition exists.” There are so many food-related allergies and conditions that can be overwhelming to people when they try to design a diet that would keep them healthy.

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addition!” To learn more about Fieldstone Villas, call 418-386-2686. If you need more information on Sunset Retirement Communities, please visit www. sunset-communities.org or call: Sunset House at 419-536-4645; Sunset Village at 419-724-1200; The Woodlands at 419-724-1220; or Ashanti Hospice and Palliative Care at 419-724-1047❦.

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Diane has an impressive background. She completed her Bachelor of Science degree in Dietetics at Mercy College of Detroit, and her internship at the VA Hospital in Allen Park, Michigan. She passed her certification as an “RD” and was hired at the VA Hospital in Allen Park, Michigan, where she was responsible for the nutritional care of the veterans in various areas. Some of the areas were General Medicine, General Surgery, Psychiatry, Dermatology, Neurology, and outpatient clinic. As time progressed, she realized her passion was Gastroenterology and Critical Care. Diane became the “Nutrition Support Dietitian,” responsible for the nutritional assessment and care of patients needing feeding tubes and IV (intravenous) nutrition and making recommendations for their care. Due to being short-staffed, her latest assignment also included surgery patients, short-stay rehab units, and hospice. All of these areas have different nutritional requirements. When formulating a person’s nutritional plan, whether they are in the hospital or an outpatient, several elements must be considered, including nutrition/diet history, labwork, diagnoses, other medical conditions, medications, physical exam (looking for evidence of nutritional deficiencies), height, weight, and weight loss/gain. She would then formulate a nutritional diagnosis and a plan. Of course,

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constant updating of this plan was necessary. I asked Diane, as a reliable medical source, to clarify some of the popular nutritional terms we hear today. Here they are along with her definitions, beginning with some of the more common terms related to plant-based diets: Vegetarian—May or may not include egg or dairy products Lacto-ovo vegetarian—Includes eggs and dairy products Lacto-vegetarian—Includes dairy but not eggs Ovo-vegetarian—Includes eggs and egg products but no dairy Vegan—Never eat meat, poultry, or fish; exclude eggs and dairy products and may exclude honey Raw vegan—Based on vegetables, fruit, nuts and seeds, legumes, and sprouted grains Note that vegans may need supplements of vitamin B12. There are several nutrients that should be evaluated by an RDN to be sure there are no deficiencies. Examples are calcium, iron, iodine, zinc, and vitamin D. It may be necessary to add fortified

foods or supplements. Gluten-free—Packaged and processed foods may contain gluten (the protein part of wheat). If a person is diagnosed with Celiac Disease, they must avoid gluten and foods that contain it. Wheat, rye, barley, modified food starch, malt, and soy sauce are only a few examples. The best advice is: Ask your primary care provider to refer you to an RDN for advice. Another reputable source for nutrition information is the website of The Academy of Nutrition and Dietetics (eatright.org). Do not rely on someone who works in a health food store! Food allergies and food intolerances are not the same. A food allergy occurs when your body’s immune system reacts to a substance in a food, usually a protein, that your body sees as harmful. The symptoms can occur within just a few minutes and can be mild or severe and life-threatening! Antioxidants—Nutrients that help protect healthy cells in our bodies from being damaged by free radicals. Free radicals are produced from normal body functions and

lifestyle habits (such as smoking). They attack our healthy cells and can cause disease. Examples include carotenoids (found in red, orange, deep-yellow, and some dark-green leafy vegetables such as tomatoes, carrots, spinach, Brussels sprouts, sweet potatoes, winter squash, and broccoli); Vitamin E (found in vegetable oils, salad dressings, margarine, wheat germ, whole grain products, seeds, nuts, and peanut butter); and Vitamin C (oranges, grapefruit, tangerines, strawberries, sweet peppers, tomatoes, broccoli, and potatoes).

Prebiotics—Non-digestible food components that promote the growth of helpful bacteria in your gut, or “good bacteria.” Include these in your diet: fruits, vegetables, and whole grains (bananas, onions, garlic, leeks, asparagus, artichokes, soybeans, and whole-wheat foods). Probiotics—“Good bacteria,” or live cultures, just like those naturally found in your gut. They help change intestinal bacteria to balance gut flora, for instance, in someone who has irritable bowel syndrome. Some food sources are: yogurt, aged

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something that my friends can eat. Most foods have nutritional information on their packaging. I will read the labels carefully. To find out more about nutrition, check out the website eatright.org. ❦

I asked Diane if she ever eats food that is not nutritionally good. She says that she does occasionally fall off the nutritional wagon and enjoys a hot dog, butter, and Polish kielbasa. She quickly adds, “but not for long.” So, I will ask my friends what they can eat on their diet. I will check the store packages and try to serve

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

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cheeses, sauerkraut, and cultured non-dairy yogurts. Prebiotics and probiotics are naturally occurring in everyday foods and do not have to be “special supplements” added to your diet.

our Medicare insurance is more than a financial safety net. It’s also a way to enhance health and fitness with programs available at a discount or no additional cost in many of the plans featured during Medicare’s annual election period, October 15 to December 7. Offerings like the SilverSneakers® fitness program and Weight Watchers®, along with help managing chronic diseases like diabetes, stave off illness and enhance quality of life for Medicare beneficiaries, health officials say. Dr. Tere Koenig, chief medical officer at Medical Mutual of Ohio, says Medicare insurers now look beyond their traditional role of providing coverage for medical costs. “We look at a variety of factors affecting a member’s wellbeing, including social and psychological aspects,” Koenig says. “Our goal is to offer options that have a beneficial impact on their health.’’ An attractive mix of health and fitness features can be a differentiator as Ohioans consider their Medicare plan options, Koenig says. SilverSneakers is a fitness benefit available at no additional cost in many Medicare Advantage, Medicare Supplement, and group retiree plans nationwide. With a SilverSneakers identification card, enrollees have free access to nearly 800 fitness locations in Ohio and more than 14,000 fitness locations, as well as group-exercise and health-education classes, across

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the country. Now in its 26th year, the SilverSneakers benefit is available to 14 million people through more than 60 health plans, according to the SilverSneakers website. Fitness isn’t the only benefit. SilverSneakers bolsters social activity, says Cindy Ballog, manager of Health Promotion, Wellness and Disease Management at Medical Mutual. “Programs like SilverSneakers help the senior population maintain high levels of physical activity and increase socialization,” Ballog says. “It keeps things like depression away and can keep chronic conditions in check.” Discounted weight-loss programs, like Weight Watchers, are among the wellness benefits featured in many Medicare plans. Such programs can help participants “get to a healthier weight and reduce risk if they are dealing with a chronic disease,” says Melissa Joiner, program manager in Population Health and

Wellness at Medical Mutual. Weight Watchers combines calorie and portion control with exercise and behavior modification. The program is known for its community meet-

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ings where members get hands-on training, advice, and group support. Online tools are also helpful and engaging, whether users are on the go or homebound, says Joiner, herself a Weight Watchers member. Medical Mutual offers a nearly 50 percent discount for a standard Weight Watchers membership under its Medicare plans and has seen membership rise, Joiner says. A number of beneficiaries joined the Weight Watchers for Diabetes program, with features that include food-planning strategies and individualized guidance from a certified diabetes educator. Chronic conditions, such as diabetes and coronary heart disease, warrant specialized disease management programs available with many Medicare health plans. Focusing on beneficiaries with chronic conditions can improve their quality of life and can be cost effective—half of Medicare beneficiaries are treated for five or more chronic conditions each year, and they account for three-fourths of Medicare spending, according to health policy experts at Emory University. Most disease-management programs pair members with care

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coordinators who help develop a personalized plan that supplements a doctor’s care. Insurance companies identify Medicare beneficiaries who would benefit from disease management programs and the array of wellness offerings available under Medicare plans, says Nathan Hunt, director of Population Health at Medical Mutual. “It’s important that our members have continuity of care across all their providers and supporting services,’’ Hunt says. “One of our primary objectives is helping them take advantage of services tailored to their individual needs.”

Tom Breckenridge is Senior Corporate Communications Specialist for Medical Mutual. ❦ MedMutual Advantage are HMO and PPO plans offered by Medical Mutual of Ohio with a Medicare contract. Enrollment in a MedMutual Advantage plan depends on contract renewal. Tivity Health and SilverSneakers are registered trademarks or trademarks of Tivity Health, Inc., and/or its subsidiaries and/or affiliates in the USA and/or other countries. Weight Watchers is a registered trademark of Weight Watchers International.

Heartland Rehab can help with cancer treatment side effects and fall prevention by Jim Berger

Fighting cancer treatment side effects

body’s natural response is for scar tissue to develop. However, if the development of scar tissue is excessive, tight, or becomes intertwined with our muscle or other soft tissues, this can cause additional pain and limitations.

Heartland Rehabilitation Services asks the question, “Have you or someone you know had cancer?” I think a very large percentage of our adult population would say yes. We have seen an increase in the number of people who can call themselves survivors, which is a wonderful thing! Through personal experience with a family member who is a survivor, I saw firsthand the side effects with her pain, scar tissue adherence, limitations in functional activity, and reduced energy level. Seeing this led me to ask the question, “What can be done to assist individuals in their return to a more normalized and active lifestyle?” Physical therapy can and should be considered as a part of the treatment recovery approach. Let me explain a little more how. In many cases, individuals with cancer will have treatment that includes chemotherapy, radiation, and/or surgery along with a mix of medications. The goal is an obvious one: to kill the cancerous cells and stop them from spreading and growing. The impact one or all of these interventions have on the body is tremendous. The fight is on inside the body to win and defeat these cancerous cells. With surgery, our bodies experience trauma, and our

Physical therapy and Heartland Rehabilitation Services, Cancer Related Fatigue Program can help! It has been found that appropriate amounts and types of exercise can assist individuals in their recovery. It can lead to increased strength, endurance, and function. Heartland’s program provides this type of guidance and assistance. It also addresses the issue of pain, especially pain associated with scarring. Our clinicians will provide interventions

eptember was Cancer Awareness Month and also included National Fall Prevention Week. It is now October, but both are still on my mind.

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and strategies that help manage and/ or reduce the pain. The program is not a cookie-cutter approach. It is designed to address each individual’s limitations and strengths.

and pay less attention to our environment—again, another possible misstep. Physical therapy at Heartland Rehabilitation Services Outpatient Therapy Clinics can help prevent a fall! We can develop a program to improve your strength, posture, and balance while teaching you compensatory strategies. We provide education on how to decrease clutter in your environment and make modifications that will improve your safety. For more information, or if you have any questions about our Cancer Related Fatigue Program, or if you would like a complimentary fall screening, please contact Jim Berger at 419-787-6741. ❦

Preventing a fall this fall It’s ironic that another name for a season as beautiful as autumn is fall! Falls become a bigger concern as we approach colder weather. During October and November, leaves are falling and cover our lawns, sidewalks, and driveways, hiding potential objects and obstacles that can catch a toe and lead to a possible fall. A fall can also occur when the leaves are wet and become slippery. The holiday season also increases the potential for falls. How, you may ask? Many of us decorate for the holidays, rearranging furniture to accommodate the festive decorating that we do. We aren’t used to where things are both inside and outside of our homes, and one missed step and… well, none of us want to celebrate the festivities from a hospital room! We also need to relearn how to walk on snow and ice, as another big factor for falls this time of year is rushing around, moving faster than we should. We move too quickly

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 419787-6741 or jberger@hcr-manorcare. com.

Spiritually Speaking By Sister Mary Thill

It’s all about LIFE If we’re walking around all day thinking, “What an idiot he (she) is,” we’re living out of death, not life. If that’s what we think and feel, that’s what we will be— death energy instead of life force. We cannot afford even inner disconnection from love. How we live in our hearts is our real truth. —Rev. Richard Rohr

don’t know about you, but I’ve been trying to get my head around the awful daily news and events that fill the social media these days. When I read the news during my breakfast each day, I feel that my mood for the day is being controlled by all the bad news I read. I don’t want to stop reading the newspaper each morning, but where will I get the news? I don’t intend to read the news online, and I don’t have a phone where I can do so. (I don’t want a phone

where I can do so!) I don’t want to miss the obituaries in case I’m in one someday (and I will be). One of my spiritual practices is reading spiritual books that help me to know and grow into a deeper appreciation and understanding of my faith and my spiritual life. Recently I’ve been reading Joelle Chase and Judy Traeger’s book Richard Rohr: Essential Teachings on Love, in which they have selected various excerpts from Rohr’s many writings accompanied by some biographical information. I found this book to be especially helpful to me since I discovered that Rohr and I were born in the same year, had similar childhoods raised in Catholic families, and entered religious life before Vatican II and saw it change before our eyes just as we were

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beginning to live it. Our lives have certainly taken different roads and roles, but our Catholic, Franciscan, spiritual experiences have brought us to where we are today, and he helps me get a handle on some of my questions as I struggle with what is happening in our Church, our government, and our world. Father Rohr, in his writings, emphasizes the need for transformation rather than reformation. He sees the great spiritual teachers insisting on transformation of consciousness and soul because without it, when a person rises to power, he or she often becomes just as controlling and dominating as the person he or she replaced. We must work for inner change if we wish to influence outer change. How does one go about this transformation? Meditation is another spiritual practice that will help us achieve this necessary inner change. Meditation helps us take an honest look at who we are, what we do, and why we do what we do. It requires reflection, silence and awareness that things aren’t as they should be, and only I can look at what part I may play in the current state of affairs. It requires soul searching, letting go of my own

prejudices, being open to new ways of thinking, and doing things that can make the world a better place, not just for me and my interests but for the common good. This is not meant to be pie-in-thesky spirituality, but a call to action that flows from a contemplative/ meditative way of being. I have believed for most of my life that if my prayer, my contemplation, my meditation, my spiritual retreat, doesn’t lead to some kind of action, I’m not doing something right, I’m not being transformed. With so many justice issues in the news these days, I see that they are where the action is— where something can and must be done. Care for the refugees, assist the immigrants, feed the hungry, teach the ignorant, visit the sick, pray for the dying, and bury the dead. Does this remind you of something you’ve heard over and over again? Rohr reminds us that, “How we live in our hearts is our real truth.” Are we living out of death or out of life?❦ Sister Mary Thill is a Sylvania Franciscan Sister. She is Patient Liaison for Mature Health Connections at Mercy Health – St. Vincent Medical Center. She can be reached at 419-251-3600.

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Super Slow Training

An efficient exercise solution for a fast-paced world

ou know you should do something some other exercises into your fitness about getting in shape, but who routine for good measure? Wakefield has the time? Between kids, career, cautions that any additional exerand all the other obligations of life, cise can actually prevent the body’s you simply don’t have an hour to building of strength and fat-burning spare for a fitness regimen. muscle mass. Furthermore, lower-inThat’s good news according to tensity activities, such as running, Russ Wakefield, owner of Trigger- stair stepping, and treadmills, really Point, because the exercise method don’t burn that many calories and he offers—known as Super Slow can cause injuries to the knees and Training—demands no more than hips. “However, if there are physical a half hour once a week. In fact, the activities you enjoy doing for recreprogram can be completed over your ation or relaxation, such as playing lunch hour with no requirement to tennis, golfing, bicycling, yoga, or change clothes or shower afterward. walking, by all means you should What’s more, as you progress through continue doing them,” he adds. the program and begin to see results Some people might see the term you never thought possible, “high-intensity” and asthat weekly workout time sume Super Slow Training may actually decrease. is not for them. But nothing could be further from the A fitness program that gets results with such a truth. Wakefield notes that modest time investment clients of all ages, backmight seem too good to be grounds, personalities, true, but as Wakefield emand body types—even phasizes, Super Slow Trainpregnant women—can ing is an evidence-based participate in and benefit exercise solution that he from this time-efficient has been advocating for program. “We’ve noticed over 25 years. Also, these Physical therapy assistant that Super Slow Training is Matthew Morrow and personal time-efficient, high-intensity especially popular among trainer Beth Dunsmoor. workouts are always perwomen, ranging anywhere formed under the tutelage and close in age from young students to those observation of highly experienced in their 90s. The type of woman we and educated trainers. see most frequently is one who is Wakefield explains that Super very busy with her career and family Slow Training involves lifting and and helps out in the community. lowering weights at a very slow rate, She does yoga and knows she needs keeping consistent tension on the strength training but believes she muscle throughout its whole range doesn’t have the time—that is, until of motion. High-tech monitors on the one of her friends tells her about specially designed Super Slow Training TriggerPoint,” he says. equipment help Wakefield’s clients A TriggerPoint client named Mary maintain the proper form, technique, fits this description perfectly. “I do and tempo during workouts. This low-force, intense exercise at Trigmethod differs from conventional gerPoint because, as a lawyer, I have strength-training techniques in that limited time but know that I need to there is no fast momentum to help do strengthen my muscles and bones. the work for you. Though slow, this The workout takes about a half hour technique is intense, really working once or twice a week. Even I can make those muscles. It’s also very safe, time for that. It’s demanding, but they with Wakefield working one-on-one supervise you every step of the way. with clients and monitoring and ad- Plus, the amazing technology makes justing their every move. After this it easier to focus on the work to be intense exercise stimulus, the body done. It’s all business. I zip in, they recovers for seven days, producing take me through my paces, and I’m the desired results. out the door. I can’t recommend it But is a half hour of strength train- enough!” she remarks. ing per week really sufficient to get Ours is a busy, fast-paced society the body in shape? Why not work that allows us little time to focus on We love feedback. Like us on Facebook. Follow us on Twitter.

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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 419536-0408. TriggerPoint, located at 2449 N. Reynolds Rd., is also on Facebook.

Pickleball serves up healthy fun for players of all ages

t is one of the fastest growing sports in our nation today, with an estimated 3.13 million people in the US participating in 2017 (AARP.org). While especially popular among seniors, this easy-to-learn sport is catching on with players of all ages and skill levels—from young kids to grandparents and from novices to seasoned pros. Combining elements of tennis, badminton, and ping-pong, it can be played either recreationally or competitively and can be enjoyed as much for its social component as for its many health and fitness rewards. That sport? Pickleball. According to USA Pickleball Association ambassador Betsy Kenniston, part of pickleball’s broad appeal is

the fact that it’s not a one-size-fits-all sport. “Pickleball can be anything players want to make of it. Some get involved simply because the sport offers a fun, healthy opportunity to socialize with friends or family, while others are looking for more serious competition. The style of play can also vary considerably. Depending on your opponent, it can be a game of power, strength, or soft strategy,” she says. Kenniston describes her personal experience with pickleball as “life-changing,” noting that “It’s amazing what happens when you get off the couch and get active physically and socially.” Always an athletic person,

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she first got involved in pickleball so she would have something to do in retirement. However, it wasn’t long before she was hooked on the sport, and today she’s one of three USA Pickleball Association ambassadors in Northwest Ohio who are dedicated to promoting the game and nurturing new players. In addition to providing a good, moderate-intensity aerobic workout that, based on the findings of a recent Western State Colorado University study, improves blood pressure and cardio-respiratory fitness, pickleball has been shown to offer mental health benefits. In fact, according to AARP. org, a Japanese study focused on older adults competing in pickleball tournaments found lower levels of depression among players, likely due at least in part to the game’s strong social component. Pickleball has obvious similarities to tennis—and, indeed, attracts many current and former tennis aficionados—but there are several marked differences between the two sports. For example, instead of a tennis racquet, pickleball is played using a wood or composite paddle (resembling an oversized ping-pong paddle), which has a shorter reach. In place of a tennis ball, a perforated plastic whiffle ball is used. In addition, pickleball courts are smaller than tennis courts and have a slightly lower net. Also, pickleball courts have a no-volley-zone, or “kitchen,” that extends seven feet from the net on both sides. Players must let the ball bounce in this area before striking it, requiring more strategy. “Another major difference is that pickleball uses an underhand serve rather than overhand. Plus, there’s a two-bounce rule in pickleball, meaning the ball has to bounce once on both sides of the court before the players can begin to volley. Pickleball also has a unique scoring system that allows both partners in doubles play to serve the ball before changing sides,” Kenniston adds. As in tennis, pickleball play can be either singles or doubles, though the majority of participants play doubles. Kenniston says that singles play tends to require greater agility and good paddle skills, which is something players acquire through

experience. However, just getting started in the sport requires very little skill or finesse. “The first goal for most new players is simply hitting the ball. Then, as they get more comfortable and begin playing more regularly, their focus shifts from just the ball to the entire court. That’s when they

start finding those openings to score points,” she states. This fun, healthy, easy-to-learn sport that’s burgeoning across our nation is generating plenty of local interest as well. Kenniston notes that there are approximately 500 pickleball players in our area as well as four pickleball clubs—the Toledo Pickleball Club (located in Rossford), Holland Pickleball Club, Sylvania Pickleball Club, and Bedford Pickleball Club. There are also courts in Perrysburg, Waterville, Whitehouse, Bedford Township, Maumee Bay State Park, area YMCAs, and several private communities. Indoor play is offered in locations such as Tam-OShanter, Rossford Recreation Center, Premier Volleyball Academy, YMCA/ JCC locations, and Proclaim FM in Holland, so passionate picklers can continue to enjoy the sport in winter. For club information in Sylvania, visit the Sylvania Recreation District’s website at http://www.playsylvania. com/sylvania-pickleball-club/. Contact information and open play times for all four local pickleball clubs can be found on their respective Facebook pages as well as at USAPA.org under the Places to Play tab. ❦

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Wise words from

OTTERBEIN Doctor-patient communication… Can we talk?

ee if this sounds familiar: You have a medical appointment. You check in at the front desk on time and take a seat. You wait for quite a long time, and then finally your name is called. You go to the exam room, and the nurse comes in, asks a few questions, and takes your blood pressure. You wait some more. The doctor comes in, asks a few more questions, writes a prescription, and is gone. You leave the office with more questions than answers. You aren’t quite satisfied. Patient-physician communication is very important for successful healing. An analysis from The Joint Commission, a nonprofit that accredits US healthcare organizations, faulted “inadequate communication”—both between physicians and between patients and their doctors—in more than 70 percent of sentinel events, or adverse health outcomes not related

to the natural course of a patient’s illness. This means that if we can improve the communication and effectiveness of the visit to a physician, there is a greater chance for a positive outcome. As a patient, you are not powerless when it comes to effective communication in the exam room and after you leave. There are things you can (and should) do to ensure your voice is heard and your concerns are addressed. They include:

Come prepared—Know what you

intend to talk about before you arrive for your appointment. Write down your concerns and questions, and make them specific. The more pointed your questions are, the more direct answers you’ll get. Prioritize your concerns—Know that your doctor may not have time

to answer all 50 of your questions, so ask them in order of importance. “When a patient prioritizes their concerns, it tells me they have very specific health interests and they understand we’re both working with limited resources,” says Dr. Nirmal Joshi, chief medical officer for Pinnacle Health System. “It also tells me you respect my time and allows us to focus on what concerns you most about your medical situation.”

Don’t be afraid to ask for another appointment—Ulti-

mately, you want all of your concerns addressed with ample time and attention. So rather than trying to rush through your list of questions, if you don’t finish, ask for a follow-up appointment. Dr. Joshi says it’s not uncommon for patients to remember something they wanted to talk about as the doctor is getting ready to leave the room. In that situation, the doctor has a choice—address the concern quickly, possibly sacrificing good clinical care, or set up another op-

portunity to discuss the issue. As a patient, you can take the reins by requesting a follow-up.

Be willing to communicate outside the exam room—“Never under-

estimate the power of communication that’s not necessarily face-to-face,” says Dr. Joshi, who recommends patients ask their doctors whether they are willing to email. “Many physicians love that. I personally love that. That freedom allows me to instantaneously communicate with patients when I have the time for them.” Email or communication through an online patient portal or telephone number is particularly useful when a face-to-face appointment has already occurred and you have questions about what was discussed or your treatment instructions. Bring someone with you—“If the person getting care happens to be elderly or is otherwise incapable of asking questions in an assertive way, I strongly advise them to bring

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someone along,” Dr. Joshi says. When a caring son or daughter is present, for instance, Dr. Joshi says the expectations are very high, and he is most likely to respond in kind. In other words, the added person can serve as a medical advocate for the patient who may otherwise just accept that “doctor knows best.”

The bottom line: Your time with your doctor is limited, so making every moment count is crucial. Though it may seem like 15 minutes can’t possibly be enough, learning to use these precious moments wisely will help you get the most out of each appointment. ❦

nutritionists, fitness instructors, and counselors to assist with improving the outcomes of mutual patients.” To understand the value of these specialists in the community, one must know what they do and how they have been trained. Ms. Liberi has always been on the forefront of her profession. She was part of the first inaugural class of Women’s Health Certified Specialists in 2009. Currently, she is one of only 380 physical therapists in the US with this designation. “Not all therapists are the needs of the community, and we created equal. When seeking pelvic have invested heavily to give back therapy, make sure your therapist to people that have entrusted us has specific training in this area,” with their health.” Being indepenrecommends Ms. Liberi. She is active dent allows these providers to focus in Pelvic Health Education nationally more thoroughly on patients without as a board organizer and speaker constraints that may challenge the for the National Combined Section patient-physician relationship, such Meeting of Physical Therapists. She as time of visit. Ms. Liberi points educates locally at the University out, “The one-to-one of Michigan and Trine setting of the pelvic University, OB/GYN therapy clinic allows Residency programs, for 60- to 90-minute Psychiatry programs, evaluation times, thus and to the community contributing to good on a variety of pelvic outcomes in shorter health topics. Ms. Liberi time periods.” Having is also a Maven practia practice without the tioner, which is an online confinement of needdigital healthcare clinic ing to see two to three for women. Karen Liberi, WCS Dr. Nadine Kassis Dr. Andrew Croak patients in an hour Ms. Liberi elaborates, means that you are Ms. Liberi says, “The high level of “The neighborhood of the pelvis is going to get 100 percent attention from a skilled professional for the full care at our practices allows those fascinating.” Nuances of how the time of your treatment every time.” patients who have gone to U of M bladder works, intricacies of the Although Drs. Kassis and Croak and Cleveland Clinic for specialty bowels, and dynamic components have their own individual practices, care to complete their care close to of sexual health are all of the areas they work symbiotically within the home.” She adds, “We can orchestrate she takes into consideration with same office space to provide their meaningful collaboration between each of her patients who have such patients with 24/7 familiarity and urogynecologists, urologists, col- symptoms as bladder incontinence, continuity of care. Dr. Croak states, orectal doctors, OB-GYNs, PCPs, bowel incontinence or constipation,

Fall Urogynecology News, Part 1

etween Menopause and Ovarian Cancer Awareness in September, and Breast Cancer and Pelvic Floor Disorders Awareness in October, this is a busy time regarding Women’s Health! It is a prime opportunity for women of Northwest Ohio and those healthcare providers that serve them to achieve healthier lifestyles for the long term. One such collaborative effort amongst three unique offices is poised to achieve that goal. The individual independent practices of Karen Liberi, WCS, a licensed pelvic floor therapist, and Drs. Nadine Kassis and Andrew Croak, both board-certified, fellowship-trained urogynecologists, have come together under one roof to create such an empowering environment. Women of all ages can feel safe, calm, and confident addressing multiple women’s-health issues through the effective and compassionate care these experts and their teams deliver. Dr. Croak thoughtfully states, “I speak for all three of us when I say that we are proud to offer a level of care only independent practices loyal to the community offer. We all have long-term local ties and understand

“Dr. Kassis and I have great respect for each other’s practices. Our philosophies are similar, so this translates to consistent quality for our patients.” Rather than a storefront triage office that ships patients to a daunting urban center, all three providers run full-service offices together under one roof, and that means better convenience for patients from initial consultation and testing, to ongoing treatment. Despite being a set of specialty offices, they also offer complete gynecologic care, such as pap smear, colposcopy, breast exam, dexascan, and ultrasound screening. Patients are complimentary of the “one stop shop” for women’s health. All three providers pass on great cost savings by being part of an independent Accountable Care Organization that saved their patients $7.8 million in expenses last year.

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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!”

pain with sex, pre-natal/postpartum orthopedic symptoms, and everything in between.“I am passionate about helping women and men and children with pelvic floor and abdominal dysfunction. I especially like the 'pain puzzle.'” Dr. Kassis completed four years of medical school at the University of Toledo Medical Center, and four years of residency in OB/GYN at Brown University and Women & Infants Hospital of Rhode Island, where she was awarded the David H. Nichols, MD, Award for Excellence in Pelvic Surgery, the Excellence in Medical Student Teaching Award, and the Outstanding Laparoendoscopic Resident Surgeon Award. This was followed by a three-year fellowship in Female Pelvic Medicine and Reconstructive Surgery (FPMRS), otherwise known as Urogynecology, at Indiana University/Methodist Hospital, the first in the US to be accredited for FPMRS, and also received a certificate for scientific research. She is a member of the American Urogynecologic Society (AUGS) and gives back through teaching local OB/GYN residents. Dr Kassis discusses her care philosophy, “I find it extremely empowering to give those women a voice and an outlet for meeting their needs, which so often go ignored. Specifically in Urogynecology, pelvic floor disorders, such as pelvic organ prolapse and urinary incontinence, are typically ‘silent diseases.’ Women have a tendency to ‘hide’ what they are experiencing. They have a hard time talking to other family members and friends because of needless social stigma related to these issues. However, there is such a profound impact on quality of life, body image, sexual functioning, and mental well-being related to these disorders, all which can often be more debilitating than

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Pins not your thing? We offer massage too! 30 October 2018 | Healthy Living News

the physical symptoms.”

❦

Please look for Part 2 of this article in the November issue of Healthy Living News. Contact information for the three practitioners is as follows: Karen Liberi, MS, MPT, 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. A n d re w C r o a k , D O, M S , FACOOG; Northwest Ohio Center for Urogynecology and Women’s Health; 28442 East River Road, Suite #111; Perrysburg, OH 43551; 419-893-7134.

Super Fitness Weight Loss Challenge Changing lives one pound at a time

rom Tuesday, October 23 through Tuesday, May 14, Super Fitness will present the 13th annual Super Fitness Weight Loss Challenge—a fun, educational competition launched to help fight the spiraling epidemic of obesity and its related health problems in our community. Once again hosted by WTOL 11 meteorologist Kelly Heidbreder, this year’s challenge will educate participants on how to cut

Neil Heiden, current champion.

their caloric intake and become more active so they can live longer, healthier lives free of chronic disease. “Our country and local community are in the midst of a major health crisis, with extreme obesity, childhood and teen obesity, and type 2 diabetes increasing at a rapid rate. The Super Fitness Weight Loss Challenge is one of many ways we’re helping to slow and hopefully reverse this alarming trend locally,” says Super Fitness owner Ron Hemelgarn. Throughout the eight-month program, competitors will participate in a variety of different healthy activities and challenges at Super Fitness as well as other locations around the community. Much of the competition is done in teams so participants help motivate one another to achieve weight-loss success. This year’s Super Fitness Weight Loss Challenge will also feature a strong educational component designed to help contestants adopt healthier habits. For example, a variety of medical experts will present

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Welcoming New Patients

Rich Graham, second-place finisher. We love feedback. Like us on Facebook. Follow us on Twitter.

seminars on topics such as nutrition, heart health, blood pressure, orthopedics, and more. In addition, Churchill’s Markets will offer healthy food demonstrations, and Moe’s Southwest Grill will teach contestants how to make their own “fast food” that’s both flavorful and lower in calories. “We want to show people that they can continue to eat the foods they enjoy yet still lose weight if they take control of their calorie count and stay active,” states Hemelgarn. Each year, hundreds of people participate in the Super Fitness Weight Loss Challenge, and over its 13-year history, thousands have used the challenge as a springboard to a healthier lifestyle. While it is an elimination program, most participants stick with it right up to the finale for the fun, camaraderie, and continued results they gain. And those results speak for themselves. According to Hemelgarn, last year’s champion, Neil Heiden, who is in his 60s, lost 125.6 pounds and 35 percent of his body weight. He also went from wearing size 50 pants to size 36. The second-place finisher, Rich Graham, also in his 60s, fared pretty well too. He lost 116.2 pounds and 34 percent of his body weight, and went from taking 16 pills a day for various health issues to taking no pills at all. However, Hemelgarn emphasizes that significant weight loss doesn’t happen overnight. “This is not an extreme fitness program. Our participants are on this journey for eight months. Every day they’re trying to make healthier choices, watching their calorie intake, and being physically active so they continue to improve their lives one pound at a time. Sometimes they plateau, but that’s normal and nothing to panic about because they know they’re in the process of losing fat and gaining

muscle, and muscle weighs more than fat,” he explains. Also, aspiring participants will appreciate the fact that the Super Fitness Weight Loss Challenge takes human nature into account. “We’d like to see our contestants cut down their calorie count to between 1,200 and 1,500 per day, but we expect them to have cheat days on occasion. We also know there are a lot of food temptations over the holidays, so we offer some leeway during the months of November and December. In fact, after the initial weigh-in on October

23, we won’t do another weigh-in until the first Tuesday in January,” Hemelgarn says. Pre-registration for the Super Fitness Weight Loss Challenge is available now at superfitnesstoledo. com and wtol.com. The fee is $30 for those who pre-register and $35 for those who register on weigh-in day. All registration proceeds will be donated to Augie’s Quest to fund ALS research. “Augie’s Quest was founded by Augie Nieto, who was the co-founder and CEO of the exercise equipment company Life Fitness.

Augie has been a friend of mine for over 40 years, and he was diagnosed with ALS 12 years ago. As of now, his organization has raised $66 million to help find treatments for this terrible disease and hopefully discover a cure one day,” says Hemelgarn. The Super Fitness Weight Loss Challenge is open to the general public, not just to Super Fitness members. Anyone interesting in joining the challenge is encouraged to see their physician ahead of time to ensure they’re healthy enough to participate. ❦

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by LeMoyne Mercer

A Walk in the Park A rose by any other name

A horse-drawn trolley with a guide is available if you choose not to walk the grounds.

n 2001, I added three roses to our garden. They were from the National Parks Rose Collection, and I was intrigued by the concept. Their tags said that for each purchase a donation would be made to the National Parks Foundation. There was a gold-bronze floribunda called Acadia, a salmon-pink bouquet rose called Grand Canyon, and a Tudor-style hot-pink rose called Cuyahoga Valley. Now, regular readers know that Shirley and I are big fans of the national parks and have visited 50 or so

from Maine to California plus Alaska and Hawaii. Naturally, we have been to all three of our rose parks. Well, now we have anyway. Guess which one had to wait until this summer. Yep. That’s right. The one that is only two hours away. Cuyahoga seems an unlikely place for a national park. In 1974, it began as a National Recreation Area, and in 2000 was promoted to National Park. It is in a heavily populated area between Akron and Cleveland that most people would not associate with

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stopped there on any of our trips east on the Ohio Turnpike. She was right. As usual. She also thought it would be just delightful to take an excursion on the Cuyahoga Valley Scenic Railroad. So she made reservations that included luncheon. Oh, and I almost forgot to mention, she made reservations for the anniversary of our first date. Despite all the evidence she has acquired during the intervening years, she still insisted on referring to it as The Love Train. The Scenic Railroad runs from Independence to Akron with boarding stops at Rockside, Peninsula, and Akron Northside with additional stops for bicyclists and hikers. The Ohio and Erie Canal Towpath Trail parallels the tracks and the river, so many cyclists choose to pedal the trail all the way or to one of the stops and return by rail. A train ticket is good all day, so you can get off to snoop around and board a later train. Just be sure to pick up a schedule so you don’t miss a critical departure time. The roundtrip takes about three hours. We didn’t plan to leave the train because there was heavy rain in

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anything approaching a wilderness experience. And most people would be mostly right. Still, a great outdoor experience does not necessarily have to be a wilderness experience. The Cuyahoga River meanders for 90 miles in a rather inefficient effort to travel 30 miles to Lake Erie. Twenty two of those miles are in the national park. The park is popular with canoeists and kayakers, cyclists and hikers, history buffs, train buffs, and lovers of quaint little towns. You probably fit in at least one of those categories. But, if you are reading this in your doctor’s office, you also may be old enough to remember when the words Cuyahoga River did not suggest any of those categories. In June of 1969, the river received national attention by managing to catch on fire. You have to admit that is a pretty clever trick for a river. Johnny Carson thought so anyway. I’m inclined to think that if the river had not caught on fire, there would be no national park today. The notoriety undoubtedly contributed to Akron and Cleveland cleaning up their act and to President Nixon signing the Clean Water Act in 1972. Nobody back then was overheard saying, “The Cuyahoga by any other name would smell as sweet.” Shirley was not influenced by any of that shameful history. She did think it was a shame we had never

Waiting for the conductor to signal that all passengers are aboard.

The Cuyahoga Valley Scenic Railroad operates several kinds of excursions within the national park.

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the forecast. From seats in the coach we could just watch the scenery roll by, wave to people gathered at all the crossings, and not worry about the weather.

Water flowing through a lock on the Ohio & Erie Canal, the "superhighway" of the 1830s.

The luncheon train on Saturdays and Sundays is just one of the excursion options. You might be interested in a dinner train on Friday or one of the other special events: a wine or beer tasting ride, a themed excursion like the murder mystery tour, or the rental of an entire car for a special corporate or private party or a wedding. In November and December, there is a Polar Express excursion based on the animated movie. Tickets go on sale this month. You might want to Google the Cuyahoga Valley Scenic Railroad or see the website at CVSR. com for more information and ticket purchases.

Our luncheon began with some pita bread triangles with dip and proceeded to a nice salad and then the entrée, chicken Milano. A key lime tart finished things off. We continued sipping our Merlot as we cruised along. The galley staff was both friendly and efficient. The star of the staff was our conductor, 93-year-old Ralph Gray who has volunteered with the CVSR for eight years. He made a special point of chatting briefly with all passengers as he came up the aisle to punch our tickets. His Polar Express ticket-punching skills could use some practice, but Ralph is a charming gentleman of the old

school. The really, really old school. Just what you want on a railroad excursion.

—Continued on page 46

The galley staff was friendly and efficient as they served meals and drinks to the entire car in a matter of minutes.

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34 October 2018 | Healthy Living News

Mercy Health physician encourages women’s preventive health care

omen today perform a complex care is taking place while minimizing juggling act. Balancing family, the likelihood of false positives that career, and a host of other respon- can lead to unnecessary biopsies.” sibilities and commitments, it can In addition to getting appropribe challenging for women to find ate screenings and medical exams, the time and energy for additional women can take better control of obligations. What’s more, women their health through adequate exhave a tendency to put the needs ercise, proper nutrition, and other of others—children, spouses, aging positive lifestyle choices. Dr. Roost parents—ahead of their own. As a recommends that his patients get 30 result, their health and wellness often minutes of aerobic activity at least five end up on the proverbial back burner. times per week. “If they have trouble With October being designated getting motivated to exercise, I suggest National Breast Cancer Awareness finding an activity they enjoy, such Month, John Roost, DO, of Mercy as taking a brisk walk, gardening or Health – Perrysburg doing yard work, or OB/GYN, urges women doing something that to put their own health their kids or grandkids and wellness higher like to do. The activity on the list of priorities doesn’t have to be monotonous or strenuous. and to make sure they follow through with Just be sure to take any preventive care and physical limitations or doctor visits. Dr. Roost medical restriction into emphasizes the imporaccount when choosing tance of annual exams an activity. For example, for breast health as well if you have joint pain or as for anything related limitations, you might to hormonal changes or consider exercising in menopausal changes. In a pool to limit the imaddition, he encourages pact on your bones and Dr. John Roost women to stay up to joints. And you don’t date on health screenings such as Pap want to begin a strenuous activity too testing, colonoscopy, mammogram, suddenly if your heart or pulmonary and bone density scans. system isn’t prepared for it,” states Dr. Roost notes that when it comes Dr. Roost. to mammograms, the normal recDr. Roost also discusses diet and ommendation is to begin at age 40 nutrition, including multivitamins/ and have one performed annually vitamin D supplementation, with each thereafter. He adds that, depending patient as well as any changes in bowel on family history and other factors, or bladder habits they may have exit may be appropriate to start mam- perienced. Furthermore, annual office mograms earlier than age 40 in some visits give Dr. Roost an opportunity cases or to space them out to every to screen patients for mental health two years between the ages of 40 issues, such as anxiety or depression, and 50. and for potentially harmful lifestyle Of course, it’s also critical for habits such as smoking and heavy women to take an active role in mon- alcohol consumption. “Smoking is itoring their breast health and see a particularly detrimental to women’s doctor promptly if they have any health and has been shown to increase concerns. “One of the most important the risk of cancer in multiple organ things I tell my patients is to watch systems, so we encourage cessation for any changes in their breast tissue, whenever possible,” he says. such as a lump, bump, skin change, The many benefits of prevendimpling, or discharge, and to let us tive health care notwithstanding, know promptly if they observe any many women continue to contend of these changes,” Dr. Roost says. with overloaded schedules and are “However, women are no longer overwhelmed with obligations, so advised to perform a monthly breast Dr. Roost and the staff at Mercy self-exam. Our goal is to find a happy Health – Perrysburg OB/GYN do medium with respect to prevention. whatever they can to help overcome We want to make sure preventive these barriers. “Between jobs, family, We love feedback. Like us on Facebook. Follow us on Twitter.

and everything else, there are always reasons for women to avoid seeking the care and screenings they need, so our job is to make the process as easy as possible, for example by facilitating appointments with specialists and breaking down care plans into small, manageable steps. With any type of preventive care the most difficult part is getting the patient into the

office. But once they’re here, we’re able to sit down, have a discussion, and make positive changes in their health,” says Dr. Roost. ❦ The team at Mercy Health – Perrysburg OB/Gyn is available to help you be well. Find out more about Dr. Roost and Mercy Health services at mercy.com or by calling 419-872-3207.

Running tips for beginners by Amanda Manthey

re you interested in running but afraid of the first steps? Here are a few tips to get you off on the right foot and on your way to enjoying the sport of running. Most important, consult your physician before starting any exercise program. As a runner, the most important piece of equipment is your pair of running shoes. Before starting your running program, visit a shop that specializes in running shoes, such as Dave’s Performance Footgear, for an assessment of your needs and a personalized fit. One of the most common complaints of a new runner is, “I can’t breathe.” Focus your energy on exhaling rather than inhaling. As your need for air increases, think about forcing the air out of your lungs rather than sucking it in. This will make you less tired than when you are huffing and puffing and will also help prevent hyperventilation. In the beginning, take frequent short runs after resting sufficiently. Your runs should last long enough for your body to get a workout but still be able to recover in time for your next run. If you over exercise and your muscles do not recover to their original condition, you will not gain any benefit. Strength is gained during rest when your muscles repair the fibers that are broken down during exercise. But remember, every runner is different when it comes to the amount and frequency of exercise that is appropriate. Listen to your body. As a novice runner, take quick steps rather than long ones. You will not tire as fast if you take short, fast steps rather than long, slow ones, especially when you are tackling hills. When running downhill, lean your body forward in order to try to keep your body perpendicular

to the hill. Novice runners need motivation and a schedule. Join a beginner running group, or seek out a running partner. Some runners find that taking music along on their workouts helps make running fun. When using headphones, though, play the music at a reasonable level so you can hear traffic noise and remain alert to potential hazards. Speaking of hazards, if you are running alone, carry identification and always run against traffic, preferably on sidewalks or running paths. One of the best ways to improve and get more enjoyment out of running is to enter road races. The experience of finishing a running race is exhilarating. Start with the goal of a 5K (3.1 miles) road race, “fun run,” or a relay race with your running friends. Races can provide the foundation for enjoying a long life of running. Happy running! ❦ Amanda Manthey is a former collegiate runner at Eastern Michigan University. She writes about running and fitness for Dave’s Performance Footgear.

Don’t miss Dave’s races!

Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear. For more information on the following events, including any associated costs/fees, please visit davesraces.com. Karen Swartz Memorial 5K—Sat-

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urday, October 6, 2018, 8:30 a.m. at Rossford Rec Center, 400 Dixie Hwy., Rossford, Ohio. Pumpkin Spice for Senior Life 5K & 1 Mile Run/Walk—Saturday, October 6, 2018, 9:00 a.m. (1Mile Run/Walk at 9:45 a.m.) at Otterbein Pemberville, 20311 Pemberville Rd., Pemberville, Ohio.

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5K & Kids Run—Sunday, October 14, 2018, 9:00 a.m. (Kids Run at 10:30 a.m.) at McQueen Orchards, 7605 Garden Rd., Holland, Ohio. Lourdes University’s Terra Cotta Trot 5K Sunday, October 14, 2018, 8:00 a.m. on Lourdes University’s mid-campus, near the Ebeid Recreation Center on the south side of Convent Boulevard.

Camp Palmer 5K Run/Walk—Sunday, October 7, 2018, 9:30 a.m. at Camp Palmer, 26450 Co. Rd. MN, Fayette, Ohio.

NWOH Spirit of Sierah Run—Saturday, October 20, 2018, 4:00 p.m. (Kids Fun Run at 3:00 p.m.) at Ice Industries, 3810 Herr Rd., Sylvania, Ohio.

Little Hero 5K Run/Walk—Sunday, October 7, 2018, 9:00 a.m. (1/4-mile Kids Run at 8:45 a.m.) at 2200 Kenwood Blvd., Toledo, Ohio.

Relay for the Kids: Zombie Run—Saturday, October 27, 2018, 10:00 a.m. at The University of Toledo, 2801 Bancroft Street, Flatlands, Toledo, Ohio.

APG Sylvania Graduation Run— Sunday, October 7, 2018, 10:00 a.m. at Sylvania Southview High School, 7225 W. Sylvania Ave., Sylvania, Ohio.

Trick or Trot 5K Run and Zombie Walk Saturday, October 27, 2018, 9:30 a.m. at 4139 Girdham Rd., Swanton, Ohio.

Rethink Addiction Heroin Awareness 5K Run/Walk—Sunday, October 7, 2018, 9:00 a.m. at Bedford Stadium, 8285 Jackman Rd., Temperance, Michigan. Evansport Nightcrawler 5K Run/Walk Saturday, October 13, 2018, 5:00 p.m. at 1258 Main St., Evansport, Ohio. McQueen’s Run for Your Life 10K,

JenAbby Memorial Run—Saturday, October 27, 2018 at 831 W. Linfoot St., Wauseon, Ohio. Half-marathon at 8:00 a.m. 10K and 5K at 9:00 a.m. Racing for Recovery Rock’tober 10K, 5K and 1 Mile Walk—Sunday, October 28, 2018, 9:00 a.m. (Kids Fun Run at 8:45 a.m.) at Lourdes University, 6832 Convent Blvd., Sylvania, Ohio. ❦

Silent Witness Project to feature domestic violence survivor and victim advocate

ethany House will present the by TIME magazine as one of the annual Unveiling Ceremony for “Top 10 Hashtags That Started the Northwest Ohio Silent Witness a Conversation.” Gooden will Project on Tuesday, October 9, draw on personal experience to from 7:00 to 9:30 p.m. at address common misthe Franciscan Center, understandings about 6832 Convent Blvd., domestic violence, with Sylvania. A national an emphasis on factors initiative, the Silent that keep victims from Witness Project honbeing able to leave. She ors and memorializes also will suggest stratgirls and women killed egies for raising public in acts of domestic viawareness about the olence perpetrated by lethal realities of domeshusbands, boyfriends, tic violence, and offer Beverly Gooden or stalkers. In the past support and compassion decade, more than 55 for the loved ones of such murders have occurred in victims who did not survive. our community. For more information on this The keynote speaker for this event, please contact Mary Krueger, year ’s ceremony will be Bever- Coordinator of the Northwest ly Gooden, survivor, advocate, Ohio Silent Witness Project at and creator of the viral hashtag silentwitnessproject@bethany #WhyIStayed, which was named housetoledo.org or 419-727-4948.

36 October 2018 | Healthy Living News

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The Elizabeth Scott Community prepares residents for winter

he cold wind and snow is around the corner, and with it comes the season of colds and flu. Residents of assisted-living and skilled-nursing facilities are particularly vulnerable to the flu given their age, compromised immune systems, and close proximity to one another. Each flu season, the Elizabeth Scott Community prepares its residents for the winter months. “Every year we take steps to prepare our residents by giving them flu shots, educating them on proper hand washing, and reporting any flu-like symptoms so we can isolate the affected resident, test them for the flu, and then treat them if necessary,” says Brigitte Radabaugh, RN, Health Services Coordinator for Independent Living/Assisted Living Level 1 at the Elizabeth Scott Community. “There is typically no charge for the flu vaccine, but we advise our residents to check with their health insurance company to ensure that it is covered.” Radabaugh say the flu vaccine is voluntary for residents, and educating them on its benefits most often ensures they will agree to receive it. “The flu vaccine is also voluntary for staff members, but we highly encourage them to get it and educate them on the benefits of getting the flu shot.”1 10.25x5_ES_Wagner_Ad_HL_618_HI.pdf There is no charge to the staff for the

is also important for family members not to visit if they are sick, to prevent the spread of the virus to residents.

Things to know about the flu What is the flu? The type of flu that is protected by the flu vaccine is an upper-respiratory virus, which causes fever, body aches, fatigue, and dry cough. It is not the same as the stomach flu virus, which causes nausea and diarrhea.

flu vaccine. Radabaugh says 95% of residents and staff members agree to receive the flu vaccine. Healthcare personnel who get vaccinated help to reduce the following: • Transmission of influenza • Staff illness and absenteeism • Influenza-related illness and death, especially among people at increased risk for severe influenza illness. “We also encourage all family members of our residents to get the flu vaccine,” says Radabaugh. “This will help protect their loved ones when they come to visit them at our facility.” The Elizabeth Scott Community also posts signs to warn visitors if a flu outbreak has occurred in the facility. Visitors are then encouraged to stay out of the facility during that time to12:34 protect themselves and their 6/28/18 PM families as well as their loved ones. It

How does the flu vaccine work? The influenza vaccine is manufactured in laboratories to match the most likely strains for this year’s flu season. The vaccine is made from killed flu viruses and is designed to help the body build immunity to those strains. Protection begins in about two weeks after getting the shot and may last up to one year. Will I get the flu from the vaccine? No. The influenza vaccine is made from a killed virus. Will the flu vaccine protect me from all strains of the flu? No. The flu vaccine is designed to fight the specific strains of flu most likely to occur this season. The Elizabeth Scott Community is located at 2720 Albon Road in Maumee. It has been family owned and operated since 1949 and offers independent living, two levels of assisted living, skilled nursing, and

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

Shop Small Toledo looking for vendors for November 24 shopping event

hop Small Toledo is an initiative that brings small businesses and shoppers together under one roof from 9:00 a.m-4:30 p.m. on Small Business Saturday, November 24, 2018, at the Seagate Convention Centre, 401 Jefferson Ave. in downtown Toledo. Organizers are looking for small business vendors for this inaugural shopping event. Vendor packages are available ranging from $150 (for one interior table) to $225 (for two-wall corner tables). Vendor packages include 10x 10-foot space with two chairs and one 8-foot table (larger corner spaces

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

- Kathy Schwartz, Daughter

skilled rehabilitation. All services are located on a single campus with all facilities connected. For more information, visit www.elizabethscott. org or contact Matt Bucher, Director of Marketing, at 419-724-5021 or mbucher@elizabethscott.org. ❦

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include two 8-foot tables); listing on website, social media, and directory at event; two wristbands; exhibitor badges; two complimentary tickets to the event; and free coffee, drinks, and snacks during setup. Vendors can set up on Friday, November 23, 2018. Shop Small Toledo is hosted by It’s My Mommy’s Business and sponsored by iHeart Media, Inc. and St. Luke’s Hospital. Part of the event’s proceeds will be donated to Read

for Literacy, which provides a wide range of literacy services to local communities. To register to become a vendor, go to the Shop Small Toledo website at www.shopsmalltoledo.com and click on the “Become a Vendor” button. For more information about the event, purchasing tickets, or being a sponsor, call 567-806-3872, go to the website, or find the event on Facebook. ❦

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38 October 2018 | Healthy Living News

Plan a healthy vegan diet

s was announced on a recent installment of Good Morning America, the vegan diet is the number-one food trend in America today. Motivations for going vegan vary, but many people are adopting the diet to help treat or prevent health issues, such as obesity, type 2 diabetes, cardiovascular disease, and digestive disorders. But what does “going vegan” really mean? The vegan diet totally eliminates meat, poultry, seafood, and any products made from these. Eggs are also eschewed along with all products made with them, including baked goods. Dairy products don’t make the vegan cut either, meaning milk, cheese, yogurt, ice cream, and any products made with them, including whey and casein, are off limits. Some adherents even eliminate honey and peanut butter. If all this seems a little extreme to you, there are different types of vegetarianism that are still good for you and have positive health benefits. For example, you may be better suited to succeed as a “Lacto-Vegetarian,” which is someone who avoids meat, poultry, seafood, eggs, and all products made from these but does not exclude dairy. Or maybe you’d prefer to keep both eggs and dairy in your diet while eliminating meats, seafood, and products made from them. That would make you a “Lacto-Ovo Vegetarian.” But remember, whether you go with the vegan diet or one of the vegetarian variants, it’s still important to make healthy choices, including eating foods that

are lower in fat and added sugar as well as eating a wide variety of fruits and vegetables.

Good reasons to go vegan Health experts are coming forward with scientific evidence that supports the benefits of plant-based diets. Results of many studies have shown that a plant-based diet reduces the risk of ischemia, hypertension, and type 2 diabetes while lowering LDL cholesterol, reducing body mass, and cutting overall cancer risk. As a result, vegan eating patterns may contribute to positive health outcomes, such as lower levels of obesity, heart disease, and mortality. The reduction in the risk of chronic disease is attributed to decreased intake of saturated fat and cholesterol and increased intake of fruits and vegetables with more fiber and phytochemicals, nuts, and soy proteins.

Empower yourself with knowledge To be honest, I tend to cringe when I hear people say they’re starting a vegan diet. I’m doubtful that they’re going to make the right choices and fearful they’ll end up with malnutrition, vitamin and mineral deficiencies, and obesity—as I witness firsthand at my job at the hospital. If you or your kids have decided to go vegan, whether for philosophical or health reasons, it’s important to put a little thought into your new strategy. The good news is, finding vegetarian and vegan products is much easier these days. Still, it’s

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

important that you plan, educate yourself, and eat appropriately to meet your nutritional needs. Start with a valid and reliable source, such as www.vegetarian nutrition.org or www.nutrition.gov. A good book resource is Becoming Vegan by Brenda Davis, RD, and Vesanto Melina, MS, RD.

Make sure your diet is complete As I mentioned above, eating vegan the wrong way can lead to deficiencies and health problems. Here’s how to avoid that: •Power up your protein. It is possible to get an adequate amount of protein on a vegan diet. To ensure you’re eating enough, get two servings a day of nuts and seeds, such as walnuts, sunflower seeds, and almonds, as well as three servings a day of legumes and soy, such as beans, lentils, peas, and tofu. Buying (or making your own) fresh-ground nut butters is easy and healthy. •Crank up the calcium. Your body needs calcium, so when you’re ex-

cluding meat and dairy, you need to it’s hard enough for most of us to get choose calcium-fortified juices, soy enough of this “sunshine vitamin,” milk, and calcium-rich foods, such let alone for those going vegan. To as dark-green veggies, almonds, stave off deficiency, consume vitamin soy or rice milk, and broccoli. Also, consider taking D-fortified foods, Ministry support cereal, even and 2021 N. McCord Road and | Toledo, OH orange 43615 | P:juice, 419.861.4990 a calcium supplement. •Think zinc. Make sure your daily take a supplement. •Remember, calories still count! I had diet includes whole grains, legumes, two friends in college who were veggreen vegetables, and nuts—all etarian, and both were considerably good sources of zinc. •Pump iron. Many plant sourc- overweight from making the wrong es contain iron, including spin- food choices—too rich in calories. Yes, ach, kidney beans, lentils, there is such thing as vegan “junk and whole wheat bread. Be food” out there, so beware! •Focus on whole foods. Choose fruits, sure to add vitamin C (like vegetables, whole grains, nuts, and juice) when eating these seeds. Change it up and add variety items, as it enhances the absorption of iron. to ensure adequate and varying •Don’t omit nutrients. omega-3! If you’re skipping the fish, Before you take the you’re missing out on heart-protec- vegan plunge… tive omega-3 fatty acids. Get yours Taking the vegan plunge can be from two servings a day of ground beneficial for your health and the flax seeds, walnuts, canola oil, or environment. But keep in mind that it can be difficult when eating out, soy products. •Rev up with vitamins B12 and D. traveling, and visiting friends and Vitamin B12 is an important vitamin family. Plus, if you don’t plan carefully, found in animal products, so you you can come up short nutritionally. need to consume vitamin B12-fortified So it’s important to educate yourself foods and probably take a vitamin and follow the steps outlined above. Choose whole grains, fruits, vegsupplement to meet your needs too. As far as vitamin D is concerned, etables, nuts, and seeds, and make a

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Smoking? Alcohol? Drugs? Need help to quit?

ddictions are expensive and time-consuming, and at their worst, they can negatively impact the lives of the addict and his or her loved ones. Nicotine, alcohol, and drugs are all physically addicting if consumed over a period of time. When the body is exposed to an addicting substance, it develops little chemical receptors for that substance. After a time, the body becomes dependent on getting its regular “dose” of the drug of choice, be it nicotine, alcohol or another drug. Withdrawal symptoms occur when the body and brain are suddenly deprived of the substance it wants. Toxic chemicals are dumped into the system by these starved receptors, and you get the typical physical symptoms of withdrawal. The severity of these withdrawal symptoms depends on the substance one is addicted to and the length of time of the addiction. In some cases, the toxins are so bad that they can jeopardize your life. That is why people with severe addictions are usually admitted to a “detox” center where they can be given substitute drugs under in-patient supervision. The idea being to replace the addicting substance with something else for a period until the body recovers. Here is the good news: If you can get away from the addicting substance for a period of two to four weeks, the body will resorb those nasty receptors and the withdrawal effects will go away. Many people attempt to quit their addiction on their own only to find that, after about ten days, the withdrawal symptoms are unbearable and they go back to their habit. They

just need a little help to get over the “hump.” It’s thus no surprise that acupuncture has become a staple at many of the nation’s top treatment centers, where it’s said to help alleviate withdrawal symptoms and physical pain, cure insomnia, and even help soothe emotional problems. But does acupuncture really help recovering alcoholics and addicts? The ancient Oriental practice of acupuncture is rapidly gaining favor with addiction treatment centers. Traditional Chinese medical practitioners such as Margot Gersh, who works at Promises Rehab in Malibu, are big believers. “Acupuncture is extremely effective in treating addiction,” she says. “It rebalances the person from day to day, which makes them feel a lot better. It also regulates their temperature so that they aren’t going through the sort of extreme temperature changes that people experience when they’re coming down.” Acupuncture also can help with the pain of withdrawal as well as decrease the anxiety and stress that drive patients to self-medicate in the first place. Acupuncture has even been used successfully to curb food addiction. Many people are stress eaters and overeat during periods of stress. Acupuncture can have a calming effect and also reduce the appetite, resulting in gradual weight loss. While ridding oneself of cigarettes, alcohol, or drugs can be challenging for patients physically and emotionally, acupuncture in combination with nutritional support can be a successful treatment therapy, either alone or in combination with a drug detox program and counseling. The use of acupuncture and nutritional

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support can work to heal both the physical and emotional symptoms as well as calm the mind and reduce stress and pain, giving patients the best chance of putting their addiction behind them. Most acupuncture practitioners offer a free consultation to discuss their care. Look for a long-standing, licensed, reputable physician with a history of successfully treating addictions. Also, find someone willing to work with other providers as well. Many detox centers offer acupuncture and nutritional support as a main part of their program or can refer you directly to someone who can provide the service. ❦ 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. He has maintained an active practice in Toledo, OH for the last 29 years. He is available for lay lectures and may be contacted at Dr_Schwan@acupuncturetoledo.com. For more information on Alternative Medicine, please visit his website at www.acupuncturetoledo.com.

Stroke patient fights to regain active lifestyle with help from Laurels therapy team

arvey Smith was an active, energetic man whom loved ones described as “always on the go.” However, that all changed recently when a stroke in the left hemisphere of his brain led to impairments in his function, speech, and cognition. Smith was at home when the stroke occurred, but he was unaware that anything unusual was going on. Interestingly, though Smith didn’t recognize the stroke, his cat seemed to sense that something odd was happening. “I was trying to go up the stairs, and the cat kept jumping up on me. I guess it was trying to tell me to sit down so I wouldn’t fall. But I kept going, and finally the cat jumped up high and knocked me down so I couldn’t get up. I still didn’t know I’d had a stroke until my wife called the EMTs,” he says. Following the stroke, Smith went to the Rehab Hospital of Northwest Ohio for inpatient rehab, and then to The Laurels of Toledo to continue therapy on an outpatient basis. He also moved in with his granddaughter, Janee Owens-Williams, and her hus-

band, who have been taking care of him ever since. Owens-Williams is a state tested nursing assistant (STNA) who works at The Laurels and is familiar with all that the facility has to offer, so the choice to bring Smith there was an easy one to make. Once at The Laurels, the therapy team quickly went to work to address Smith’s various stroke-related deficits. “They had me doing all kinds of exercises to make my legs stronger and to get me on my feet and walking

better, including walking up steps,” he recalls. Smith was also grappling with some memory issues as well as a mild form of aphasia called anomic aphasia. People with this condition are able to speak more or less fluently and correctly from a grammatical standpoint yet have difficulty finding and expressing the exact words they want to say. Laurels speech therapist Ashley Phillips notes that newspaper stories were a handy tool for encouraging Smith to remember facts, names, and faces. In terms of treating his aphasia, the major focus was improving the content and clarity of his speech. “We started primarily with language, using an evidence-based approach called Response Elaboration Training. This technique involves having the patient look at pictures and describe what’s going on in them while the therapist encourages him or her to elaborate further, using more content words to make the description more meaningful,” she says. From the standpoint of occupa-

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tional therapy, Smith needed help in several areas, such as dressing, feeding himself, toileting, as well as grip strength and fine-motor in his hands and fingers. “He’s made tremendous gains in all these areas,” says Christina Nickle, a licensed certified occupational therapy assistant at The Laurels. “What’s really awesome is the progress he’s made with grip strength. At baseline, he had only one pound of grip strength, but as of September 17, he was at 38 pounds. That’s a huge improvement! Also, to measure fine motor in the fingers, we do a nine-hole peg test, in which the patient is asked to place nine pegs into nine holes and is timed in the process. At baseline, it took him two minutes and thirty five seconds to do the assessment and he had a lot of difficulty. As of September 17, he was able to put in and take out all the pegs in just 47 seconds.” The Laurels therapy team attributes much of Smith’s rehab success to his high level of motivation and positive attitude—as well as to Owens-Williams’ dedication in helping Smith continue his therapy program at home. As far as Smith is concerned, he couldn’t have gotten where he is today without the therapy team at The Laurels of Toledo. “The people here are all topnotch. I just want to thank everyone who took the time to help me get better and get on my feet and walking without being afraid of falling. If you get sick, you need to come here. The people here will help you pull yourself together like they helped me pull myself together,” he says. For her part, Owens-Williams couldn’t be more proud of her grandfather. “He’s come such a long way. What he went through would be scary for anyone, but he never gave up. I feel he has done wonderfully,” she says.

The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient

are very happy,” Dr. Kruse remarks. However, it’s important to understand that not all patients with osteoarthritis are good candidates for stem cell therapy—joint-replacement surgery can still be the most appropriate option in many cases. “Stem cell therapy is not a cure-all. For example, if someone has really advanced osteoarthritis of the hip, you can put in all the stem cells you to those taken from fat tissue. Using want but it’s not going to work. Of autologous stem cells also enhances course, surgery doesn’t make things patient safety because people don’t 100 percent better either. You need tend to have allergic reactions to their someone with the right own cells. medical expertise to deDr. Kruse explains that termine whether stem cell stem cell therapy helps therapy is likely to work improve arthritic joints or another option would in two ways: “One is that be more appropriate,” they build a little bit of says Dr. Kruse. cartilage so you get some On the subject of excushioning back in the pertise, Dr. Kruse encourjoint and hopefully slow ages people to choose a down the progression of stem-cell-therapy providthe arthritis. The other is er judiciously. Be wary that stem cells have powof individuals or facilities Dr. Roger Kruse erful anti-inflammatory claiming the procedure properties, so even if they can successfully treat any don’t build cartilage, the patient still condition “from A to Z,” including feels much better after the injection,” very serious diseases and disorders he says. such as Alzheimer ’s, Parkinson’s, It’s noteworthy that Dr. Kruse and multiple sclerosis, and congestive heart his colleagues use ultrasound or x-ray failure. Research has not validated guidance to ensure that the stem cells the therapy’s effectiveness for these are injected precisely where they conditions. Nor should credence be want to place them, which makes a given to claims of extremely high suctremendous difference with respect cess rates without actual supportive to the effectiveness of treatment. “For data. Also, don’t be afraid to inquire example, if I want to put the cells in about a practitioner’s level of training the medial meniscus of the knee, I and experience with the procedure. know that’s exactly where they’re Furthermore, Dr. Kruse cautions that going based on ultrasound imaging,” the lack of the credentials MD or DO he says. In addition, ProMedica Re- following the practitioner ’s name generative Medicine has a private lab should be considered a red flag as on site and they do their own stem well. “Regenerative medicine such cell counting, so they know exactly as stem cell therapy is the future of how many stem cells are being placed medicine, but it has to be performed in the patient. All stem-cell-therapy in a medical, evidence-based arena. treatments are performed right in Stories of success aren’t helpful if they the office as well. aren’t supported by data,” he says. ❦ Dr. Kruse and his colleagues have been providing regenerative med- Roger Kruse, MD, is board certified in icine for approximately 12 years family medicine and sports medicine, and offering stem cell therapy for and has extensive training in this nonaround seven years. In that time, surgical procedure. Joining Dr. Kruse at the number of patients treated with ProMedica Regenerative Medicine are: these techniques has exceeded 1,000, Ryan Szepiela, MD, board certified in prompting ProMedica Regenerative physical medicine and rehabilitation, and Medicine to establish a registry to sports medicine; Kevin Dankert, DO, keep track of patient results over board certified in physical medicine and time. “Our outcomes so far have been rehabilitation, and sports medicine; and very positive. All of our patients see Matthew Rennels, DO, board certified in improvement averaging about 70% family medicine and sports medicine. All better. People love to keep their own are trained in not only stem cell therapy, body parts, and 95% of our people but also in treating musculoskeletal

ProMedica harnesses healing power of stem cells to ease osteoarthritis pain

s people age, the natural wearand-tear process tends to take its toll on the body, often leading to painful osteoarthritis as the cartilage that cushions the joints gradually breaks down. However, thanks to the emergence of advanced regenerative procedures, the story doesn’t always end with debilitating joint pain and a visit to the orthopedic surgeon. Using state-of-the-art stem cell therapy—a powerful form of regenerative medicine—physicians today can help reverse the damage and ease the pain of osteoarthritis in certain patients without invasive surgery. According to Roger Kruse, MD, of ProMedica Regenerative Medicine, who performs stem cell therapy using the breakthrough Regenexx model, “Stem cells are undifferentiated cells that can become different things depending on where you place them. Using certain protocols, they can be pushed more toward cartilage, ligaments, or other tissues. Essentially they’re the body’s natural ‘repairmen.’” ProMedica Regenerative Medicine uses autologous stem cells, meaning they’re derived from the patient’s own body, not from another donor or from an embryo or fetus. More specifically, the cells are collected from the patient’s bone marrow. Dr. Kruse says stem cells harvested from bone marrow yield better results in orthopedic applications compared

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injuries and performing imaging-guided injections. For more information, call

: I have had diabetes for several years, and over the past year, I’ve noticed that I’m starting to have difficulty hearing. Is there any connection between hearing loss and diabetes?

: Great question! There are so many individuals diagnosed with diabetes who report hearing loss, and research is showing that people who have diabetes are twice as likely to develop some kind of hearing loss as reported by the National Institute of Health. It also showed that young people with diabetes were at even higher risk for hearing loss, while people age 60 and older where 1.5

419-578-7515 or visit promedica.org/ regenerativemedicine.

times more likely to have hearing loss, which is an interesting fact. You would think older people would be at higher risk, but that’s not the case. Another study at Henry Ford hospital in Detroit showed that women between the ages of 60 and 75 with controlled diabetes had better hearing than women whose diabetes was not controlled. That sends an important message: Keep diabetes under control to maintain healthy hearing. That is why the Better Hearing Institute (BHI) strongly encourages people with diabetes to include regular hearing tests as part of their routine diabetes care. Unrecognized

and/or unaddressed hearing loss can interfere with good diabetes management by posing a barrier to good communication between people with diabetes and their doctors. What’s more, untreated hearing loss is often associated with other significant physical, mental, and emotional health conditions. Yet hearing tests are frequently overlooked in routine diabetes care. To help you take the first step, we are committed to providing a complimentary and quick confidential online questionnaire (www. nwohc.com) to detect any problem. When people address hearing loss, their quality of life often improves. Eight out of 10 hearing aid users, in fact, say they’re satisfied with the changes that have occurred in their lives due to their hearing aids—from how they feel about themselves to the positive changes they see in their relationships, social interactions, and work lives. To help protect your hearing, be sure to follow these five healthy habits for people with diabetes from BHI: 1. Visit an audiologist for a thor-

ough hearing exam every year, and watch for signs of hearing loss. You do it for your eyes; now do it for your ears. If you notice a change in your ability to hear under certain conditions—such as at a restaurant or on a conference call—go sooner. And share the information with your primary care physician and endocrinologist. 2. Use hearing aids if recommended. People often compensate for hearing difficulty by turning up the volume to unhealthy levels, which in turn can cause further hearing damage. While hearing loss is not reversible, today’s hearing aids can dramatically enhance your ability to hear and engage with others, which can make a tremendous difference in your overall quality of life. Hearing aid technology has advanced radically. They adjust to all kinds of noise environments and pick up sound from all directions. Best of all, many are wireless. Today’s hearing aids can stream sound directly from your smartphone, home entertainment system, and other electronics di-

When you live at Ohio Living Swan Creek, you can enjoy the beauty of spring as you walk the trails on our 34 wooded acres, or take in the views from your spacious villa or apartment home. We take care of your home’s maintenance and repair, giving you the time and freedom to do what you love most. Enjoy a chef-prepared meal with friends at one of our dining venues, spend time with a good book in our library, practice your short game on the putting green or explore your creativity in the woodshop. The choice is yours!

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rectly into the hearing aid itself—at volumes just right for you. Some are even waterproof. 3. Keep your blood sugar under control. Just as your heart, eye, and nerve health are affected by your blood sugar levels, your hearing health may be affected as well. Work with your doctor to monitor your blood sugar, and take appropriate medicines as prescribed. 4. Maintain a healthy lifestyle. Even for people without diabetes, a healthy lifestyle benefits hearing health. Not smoking, exercising, and maintaining a healthy diet all support your ability to hear. In fact, studies show that smoking and obesity may increase the risk of hearing loss while regular physical activity seems to help protect against it. 5. Use ear protection. Everyone is at risk of noise-induced hearing loss. But using ear protection is one of the best—and simplest—things you can do to preserve your hearing. Carry disposable earplugs with you, especially when you know you’ll be somewhere noisy. Use appropriate ear protection in loud work environments. Keep the volume on smartphones and other electronics low. Limit your use of headphones

and ear buds. And get in the habit of quickly plugging your ears with your fingers and walking away if a loud noise takes you by surprise. Most of all, limit your time in noisy environments. We are available to help your hearing healthcare needs. Feel free to contact us if we can be of any

assistance to your family, friends, or yourself. ❦ 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).

Can you recognize the signs of Alzheimer’s? by Erin Kessler

re you worried that a loved one may be developing Alzheimer’s disease? If you are, we have prepared some helpful tools for you and your family. Documenting their concerning habits is a good way of tracking your suspicions. It is important to consult your loved one’s doctor about any of your concerns, but it can be helpful to have documented examples before

the conversation begins. Here are a couple of common behaviors to be on the lookout for:

Changes in mood or interests Sometimes when someone is in the early stages of Alzheimer’s, they display new behaviors or disinterest in their common leisure activities. They might act anxious even though they’ve always been a calm individual. They may have always loved gardening but now don’t want to spend time in the yard. Pay attention to any significant shift in mood or interests,

and jot down a note about it.

Difficulty performing common tasks Seniors who have Alzheimer’s often will show early signs by struggling to complete a task that they usually perform without a hitch. This could be an inability to follow a family recipe or not remembering how to use the remote control. Again, keeping a list of specific examples and how often these incidents occur can be helpful for the doctor.

Memory loss becoming more frequent Does your loved one forget important dates or events? Sometimes, in the early stages of Alzheimer’s, seniors will forget important dates like their children’s birthdays or an upcoming appointment. Memory loss is a part of aging but shouldn’t be a part of your loved one’s every day. Make a note each time they seem to experience this, and pay attention to patterns. Keeping documentation of these behaviors and when they occur will ultimately assist the doctor in making a proper diagnosis. Some families have a journal that is specifically dedicated to tracking these actions,

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which can be a helpful resource. If you have more questions, we at StoryPoint Waterville are here for both you and your loved one. We can help you find the support and additional resources you need. If you want assistance or would like to schedule a visit to our community, please call 419-330-5085 today! ❦

new superhighway—the Ohio & Erie Canal. And “store” does not mean what you think it means. It was not a place to buy things but to store things. Today we would call it a warehouse. Upstairs are 13 rooms that were rented out to canal laborers. Later, the store served as a post office and then a

Erin Kessler is Brand Marketer for StoryPoint Senior Living.

A Walk in the Park Continued from page 33

The CVSR is not a commuter train. The crew maintains a strict schedule, but they are in no particular hurry to get anywhere. The journey is the destination. So, we would roll along at a leisurely pace for five or ten minutes and then stop to let some cyclists or hikers get on or off. Most of the time, there was river close by or we were passing through a tunnel of trees and undergrowth. Ralph pointed out a beaver pond where eagles have built a ten-foot-wide nest. By the time we returned to the station in Peninsula, the sky had cleared and it was considerably warmer.

We realize that you - the family member and care giver, are the most important person to an individual with Alzheimer’s Disease or a related dementia. We want you to be an integral part of the team. We will be there to guide you through those periods when you discover love is not enough to care for your loved one during the difficult times associated with dementia.

Ralph Gray, 93, a volunteer railroad conductor for eight years, makes a point of chatting briefly with every passenger and announces their birthdays, anniversaries, and other significant occasions.

The heavy rain in the forecast never materialized, so we headed around to visit 60-foot-high Brandywine Falls, undoubtedly the most impressive in the park. There is a wide, handicap-accessible boardwalk that descends gently to the brink. You might also choose the somewhat more strenuous descent via stairs for a view closer to the plunge pool at the base of the falls. The boardwalk hugs the side of the river gorge, passing impressive layers of sandstone and shale laid down about 320 million years ago in an ancient seabed. The boardwalk is shaded by hemlocks and red maple. A park volunteer pointed out a banded water snake sunning itself on a boulder just outside the plunge pool. Unreasonable fear of serpents should not be used as an excuse to avoid a closer look at the falls. Then we headed to the Boston Store, built by the Kelley brothers in 1836 to take advantage of the brand

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lower boats as they go over hills and around rapids, waterfalls, and other natural obstructions. Shirley told him that we were from Toledo and confessed that this was our first visit. Ryan commented that there are locks at Side Cut and Providence Parks. “Yes,” I said, “we took the grandchildren to see the locks last weekend, but we were disappointed that the boat wasn’t running. Should have checked first. They didn’t get to pet the mule and were forced to settle for ice cream in Grand Rapids instead.” You won’t have to settle for ice cream at Cuyahoga Valley National

Brandywine Falls is one of the most popular destinations in the park.

private residence. Today, the Boston Store is a park visitor center while the new facility is under construction. The store houses displays that show the structure and function of canal boats: packets that carried passengers, barges for freight, and working boats for construction, maintenance, and repair of the canal. We spoke with Ranger Ryan about how canal locks work to raise and

The Boston Store, built in 1836, serves as a visitor center while the new facility is under construction.

A boardwalk descends past 320 million years of sandstone and shale to the brink of Brandywine Falls.

Park—though you can get some if you like. In addition to the train, there are numerous other attractions to keep you occupied. The Canal Exploration Center at Lock 38 has a tavern, a boardinghouse, a blacksmith shop, and a store—the kind that actually sells stuff you might like. The Stanford House is an 1830s-era farm, and Alexander ’s Mill dates from 1855. Even if you don’t choose to bike or hike the Ohio & Erie Canal Towpath Trail, you are sure to find that Cuyahoga Valley is just a walk in the park. ❦ LeMoyne Mercer is the travel editor for Healthy Living News. There is limited space here for LeMoyne’s photos. You might want to see more at anotherwalkinthepark.blogspot.com.

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