HLN September 2013 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

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September 2013 • FREE

Also available at hlntoledo.com

Proudly pink!

Komen Race for the Cure Also in this issue: • Look your best this autumn • Ashley Group clarifies Medicare confusion • Local doctor battles breast cancer • A case of carpal tunnel syndrome • On the job with hearing loss I had a heart attack, the people at Mercy “ When knew time wasn’t on my side. ” Learn more at mercygetsme.com

Find a physician at 1.888.987.6372

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Mercy gets 8/20/13 12:14 PM

Look your best! V

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between the eyes, deep smile lines, upper lip lines (lipstick runs uphill), and the sagging jowls and neck? These unfortunate processes caused from prior sun exposure can be improved dramatically with innovated and virtually pain-free cosmetic procedures performed by Dr. Handler. The Thermage CPT procedure painlessly heats damaged collagen under your skin to tighten and lift sagging skin on the neck and jowls. The Thermage CPT procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis while the epidermis is cooled and protected. This heating of the dermis causes immediate collagen contraction followed by new collagen production over a period of time. The procedure also encourages a natural repair Don’t let wrinkles and process that results in further age spots make you appear tightening and younger-lookolder than your years. ing skin. It is also an excellent non-invasive and pain-free procedure for tightening “crepe” skin on the abdomen of men or women and sagging skin on the upper arms. With only one treatment, results work over a 6-month time period to slowly lift and tighten the involved areas Is your dermatologist a dermatologist and is he/she board certified? Individuals seeking diagnosis and treatment of skin cancer and other skin conditions should determine if their dermatologists are indeed dermatologists and board certified by the American Board of Dermatology. Not surprisingly, individuals seeking care of their skin conditions may receive care by physicians, nurse practioners, and physician assistants who may call themselves “skin specialists” and dermatologists. These physicians and others may do so without completing a formal dermatology residency. Many physicians who are board certified in fields unrelated to dermatology may be practicing dermatology. Now there are training programs being developed to permit nurse practioners to receive a doctorate of nursing and call themselves “Doctor” as would a PhD in a specialized field. These nurse practioners (NPs) are NOT doctors of medicine as is a board-certified dermatologist. Certification by the American Board of Dermatology is the consummate title addressed to a dermatologist based on their education and experience. If you see a “skin specialist,” it is your responsibility to ask of their credentials. Remember; a board-certified dermatologist is a medical doctor who has completed a minimum of twelve (12) years of training (four years of college, four years of medical school, and four more years in an internship and a formal dermatology residency program) to even become eligible to take the testing for board certification by the American Board of Dermatology. Individuals seeking diagnosis and proper treatment of their skin disease can depend on board-certified dermatologists for their care.

2 September 2013 / Healthy Living News

with results lasting 3-4 years. There is NO downtime and NO pain! The Thermage CPT system has been utilized by physicians for over 10 years with excellent results. For lines between the eyes (worry lines), crow's feet, and the “sleepy look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas with resultant diminished lines and a more “wide awake” look. This is also performed with minimal pain with results lasting 5-7 months and longer. The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette (sad) lines from the corners of the mouth produces immediate results lasting 12-15 months! These products are also very useful for producing a more full appearance to lips that thin as we age. Since these products are combined with a numbing agent, the pain is minimal. For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome results after 3-5 treatments. This is a painless procedure where a laser produces thousands of small columns in the dermis. Your body then produces collagen to fill these areas, resulting in softer and diminished facial lines. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT, the results are ideal for patients who desire no downtime and predictable results of improved sagging skin and fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio.

Before

After

Dr. Handler has performed these procedures for years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler. Dr. Handler’s office now has available a new camouflage makeup that is excellent to cover red or blue veins on the face or anywhere else on the body; blue, red, or yellow bruises from prior cosmetic procedures; and especially facial, neck, and chest redness secondary to the diagnosis of rosacea. ❦ For more information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. His staff will be able to address your questions or concerns about these procedures. Also, please visit Dr. Handler’s website at drharveyhandler.com to view many before-and-after photographs of patients who have had these procedures performed. And speak with his office staff to inquire about specials on many cosmetic procedures and products to diminish the signs of aging.

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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, 375 Rose Glenn Drive, Toledo, OH 43615. Phone: (419) 841-8202 or email Kevin O’Connell 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.

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To submit an article or announce an event: Editor, Healthy Living News, 1619 Circular Dr., Toledo, OH 43614. Phone: 419-754-1339, fax 888-506-5790; email: editorhln@bex.net. Deadline for editorial submissions is the 10th of the month preceding publication.

Publisher Kevin O’Connell Editor Jeff Kurtz

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Layout and Design Jan Sharkey Distribution Jim Welsh • Alison Foster Dominion Distribution Distributech - Toledo Copyright © 2013 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.

September 2013 • Vol. 18, Issue 9

Your Monthly Guide to Healthy Living

HEALTH & BEAUTY

CHILDREN & PARENTING

2 Look your best! 7 Genetic testing for breast cancer promotes informed treatment choices, by Helen Mabry, MD 9 A closer look at lymphoma 10 Sound Advice from Northwest Ohio Hearing Clinic, by Randa Mansour-Shousher, AuD, CCC-A 12 Nobody’s Perfect Some time away is good for our health, by Sister Karen Zielinski 15 Spiritually Speaking Understanding differences by Sister Mary Thill 22 Ask Dr. Doug: Questions on Alternative therapies by Douglas Schwan, DC, Dipl Ac 35 News from Otterbein Healthy and active lifestyle choices result in fewer memory complaints, by Robin Small 39 The Academy Corner A case of carpal tunnel syndrome by Joel Castellanos 44 Untreated hearing loss in the workplace by Shelly Horvat, AuD, CCC-A 47 What can we do about the obesity dilemma? by Kewal K. Mahajan, MD

24 LCCS promotes safe sleeping practices for babies

TAKING CARE OF YOUR LIFE 11 Ashley Group helps seniors overcome Medicare information overload 16 Things are still hot in the garden by Sandy Loehm 20 Investment strategies for those with money to invest 28 Don’t get stuck in your comfort zone by Amanda Manthey 30 A Walk in the Park Why do you come to Mammoth, anyway? by LeMoyne Mercer 36 Health Crossword, by Myles Mellor 38 Mercy St. Vincent unveils new Home Away From Home for families of out-of-town patients

Travel Editor LeMoyne Mercer Sales Robin Buckey

Dear Readers, Thank you for picking up the September issue of Healthy Living News. This month marks our 17 th year as a proud sponsor of the Susan G. Komen Race for the Cure, to be held on Sunday, September 29 in downtown Toledo. As a cancer survivor, I can personally attest to the vital importance of the research Komen supports and how uplifting this event is for those whose lives have been touched by breast cancer. Komen Northwest Ohio is the only breast health organization that raises money locally and returns dollars by funding local programs that deliver direct medical treatment for breast cancer patients. The group’s goal is to raise $1 million and exceed last year’s turnout of 16,500 runners. We urge you to come out and join them. For

FOOD & NUTRITION 26 Could your senior loved one be malnourished? 42 Eating Well An apple a day, by Laurie Syring, RD/LD 48 Shrimp: a wonderfully oxymoronic meal!

OUR COMMUNITY 5 Race for the Cure fights breast cancer by Christine A. Holliday 13 The Laurels of Toledo skilled nursing center deploys Daylight IQ™ 18 Heartland Rehab supports Balance Awareness Week, September 16-22 18 Waterville Presbyterian Church to host free retirement workshops 25 Spina Bifida Association of Northwest Ohio to hold Walk & Roll-a-Thon 27 Cleveland Clinic and ProMedica develop health system affiliation 31 Mobile Care Group welcomes new Medical Director 32 Don’t miss Elizabeth Scott’s 5th Annual September Fest! 34 Local physician takes the fight to breast cancer— and this time it’s personal 37 Assisted living defined, by Jessica Derkis 40 ProMedica Wildwood Athletic Club invests in all new equipment and program offerings 43 UTMC and St. Francis de Sales High School alumni form consistent relationship, by Chris Dyer 48 Tai Chi at your local library

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more details, please see our cover story on page 5. Among this year’s Race for the Cure participants will be Dr. Marilyn Agee of The Toledo Clinic and Sylvania Family Physicians. Dr. Agee has been running in the race for over 15 years in honor or in memory of her patients with breast cancer. But this year, her participation is very personal. In January of this year, she was diagnosed with a rare form of breast cancer called triple negative metaplastic invasive ductal carcinoma. Read her whole inspirational story on page 34. Also in this issue, Dr. Helen Mabry of UTMC discusses the role genetic testing plays in preventing and treating breast cancer (p. 7), our friends at The Ashley Group offer area seniors help in sorting through the avalanche of Medicare information they can expect when

/HLNToledo @HLNToledo

they turn 65 (p. 11), ProMedica Wildwood Athletic Club announces a complete equipment overhaul and other exciting facility upgrades (p. 40), and Mercy unveils a new freestanding Home Away From Home on the campus of Mercy St. Vincent Medical Center for families of seriously ill or injured out-of-town patients (p. 38). As you read this, another NFL season is firing up. While it’s great to watch professional athletes go head to head, don’t forget that our local high school athletes are out there competing for all they’re worth in football, soccer, golf, water polo, tennis, crew, and cross country—purely for the love of the game. We hope you’ll take every opportunity to cheer them on. Until next month, stay safe, active, and healthy!

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Race for the Cure fights breast cancer by Christine A. Holliday

ou can’t run away from breast cancer. But you can run for the end of the disease that strikes 1.3 million people every year. That is the idea for the Susan G. Komen Race for the Cure, a 5K run and 1-mile Family Walk scheduled for downtown Toledo on Sunday, September 29. (A second race is also planned for Findlay on Saturday, September 28. Details are available at the Northwest Ohio Komen website, www. komennwohio.org, or by calling 419 724-CURE.) The Toledo Race is the group’s 20th, with a goal of $1 million and more than last year’s 16,500 runners. In the past 12 years, the group has returned over $8 million to fund breast health programs and services in the 24 counties they serve, including all of Northwest Ohio. Komen hopes to raise money to continue the commu-

nity grants that fund clinical breast exams, mammograms, support for survivors, and education programs for uninsured and underinsured men and women. The need for education is pressing. Aubrey W h e w e l l , Ko men’s Community Relations Coordinator, notes that the most current data show that there were nearly 4,000 new cases of breast cancer in Ohio, adding to the state’s dubious identification as the 34th state for new breast cancer cases and the 9th in mortality. The group is proud to note that 75% of the funds raised stay in this area to help with screenings, outreach, treatment sup-

port, and education, with the other 25% sent to the national group to aid in global breast cancer research. Race organizers have scheduled on-site registration at Monroe and Summit streets at 7:00 a.m. the day of the race. Online registration is also available at the group’s website. Other activities will include a Survivor Ribbon Photo (8:00 a.m.) and the Survivor Parade (8:45 a.m.). The Race will begin at 9:30, with Race results being posted at 10:30 and an Awards Ceremony at 11:00 a.m. Runners can participate in one of several ways. Adults (18+ years) who want to run pay a $30.00 registration fee. Runners 17 and under

who want to be timed pay $20; those who don’t want to be timed pay $15.00. And, for those with willing spirits but weak flesh, there is a “Sleep In” option. Adults who aren’t running but want to support the Race can pay $30; younger runners can pay $20.00. There is also a special deal for runners who want to run in both the Findlay and the Toledo Races. The group is inviting sponsors— to support an individual runner, a team, or the entire effort—and encourages participants to see if their companies provide matching funds for their donations. Sponsor funds help to underwrite the costs of the Race and come with benefits, such as T-shirts, hats, etc. Installment payments are welcome, but all money must be submitted by October 31 if the donor wants the money to count toward a goal. Anyone wearing a Race t-shirt can help the cause even after the Race is over. Many local restaurants will donate a portion of sales to persons wearing the pink T-shirt from Race Day to Northwest Ohio Komen. The list is available at the group’s website. Those who don’t run will be able to cheer on the runners and learn about the work of Komen. Volunteers in a group called I AM THE CURE will be on hand to motivate

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Back To Back...To Back. Recognized By US News & World Report For Three Years Running. For the third consecutive year, U.S. News & World Report has ranked The University of Toledo Medical Center among the best hospitals in the Toledo metro area. Recognized as a high performer in six clinical specialties, the ONLY academic medical center in the area is once again setting the standard of care for the region.

Like other top tier academic health centers across the nation, UTMC offers a unique blend of education, innovative research and patient-centered clinical care, as evidenced in its top rankings in:

• Geriatrics • Kidney disorders • Orthopedics • Pulmonology • Urology A Higher Degree of Healing

6 September 2013 / Healthy Living News

To learn more about advanced, nationally recognized care for the most complex cases, visit utmc.utoledo.edu.

• Neurology and neurosurgery

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participants and to educate observers about breast cancer. With games and prizes, they will be delivering four key messages: • See your doctor and learn your risk. • Get mammograms and breast exams. • Notice changes to your breast. • Start the fight by living right. Downtown Toledo will be a crowded place on Race Day, and street closures will begin at 6:00 a.m. The basic parameters of the Race are Water/Summit Street, Huron/Erie Street and Newton Street, and organizers would prefer that drivers not cross the Race course when leaving. The University of Toledo will provide shuttles from the

Scott Park campus to downtown Toledo from 7:00 a.m. to 11:30 a.m. Parking at Scott Park will be available in lot 22 located off Parkside Avenue; the drop-off site downtown will be at Erie and Monroe Streets. ❦ Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

Genetic testing for breast cancer promotes informed treatment choices by Helen Mabry, MD

Therapy

Recover with Us.

Breast Surgeon and Assistant Professor of Surgery

Sometimes life throws you a curve and

n May 14, 2013, Angelina Jolie and 2 gene mutations in 1994 and wrote in the New York Times about 1995. Until recently, they have held a her medical condition including bearmonopoly on access to tests for these ing a BRCA1 mutation and deciding mutations in the United States. In upon bilateral skin- and nipple-sparing June of 2013, the US Supreme Court mastectomies with immediate reconruled, “A naturally occurring DNA struction. Ms. Jolie’s family has been segment is a product of nature and profoundly affected by the cancers not patent eligible merely because it associated with this genetic mutation. has been isolated.” The cost of these Her mother, Marcheline Bertrand, genetic tests has been around $4,000. was diagnosed with cancer at age Dr. David Agus, a medical oncologist 46 and succumbed to the disease at at the University of Southern Califorage 56. Her aunt, Debbie Martin, also nia, told the New York Times in May died of breast cancer on May 26, 2013. of 2013 that all 20,000 genes of the Debbie Martin was 61 years old, and human genome can be sequenced she battled the disease for nine years. for $1,000. (continued next page) Her experience and decision have Since the Supreme Court anmet with a mostly positive response. nounced its decision, DNATraits, Since Ms. Jolie was never diagnosed a division of genetics testing comwith breast cancer, she is not conpany Gene By Gene, Ltd, reported sidered a survivor, but for that it would be offering women opting for preventatesting for the BRCA1 tive surgery, the term “preand BRCA2 genes for vivor” is used. This kind of $995. Another company, genetic testing and prevenAmbry Genetics, also antative surgery based on the nounced that it will be ofresults is relatively new in fering BRCA1 and BRCA2 human history. analysis for approximateBRCA1 was discovered in ly $2,200. In the future, 1991, and in that year, Myrthe price of these tests iad Genetics was formed. will likely decrease furMyriad applied for patent ther as more companies protection for the BRCA1 enter the market. Lower Dr. Helen Mabry

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prices will likely increase accessibility. With lower cost and increasing access, who should get genetic testing? Current recommendations include anyone with more than one first-degree relative with breast or ovarian cancer. A first-degree relative is a mother, sister, or daughter. The younger a family member is at the time of diagnosis, the more concern there is for a genetic mutation. Ovarian cancer is much less common than breast cancer. In 2010, in the United States, it is estimated that 21,880 new cases were diagnosed and 13,850 women died of ovarian cancer. Lifetime risk for an average

woman in the United States is about 1.6%. Women with a mutated BRCA1 or BRCA2 gene carry a risk between 25% and 60% of ovarian cancer. In 2013, there are estimated to be 232,000 new cases of breast cancer in women in the United States. The number of deaths from breast cancer is expected to be 39,600. Only about 5-10% of breast cancer cases are associated with a genetic mutation. One study from the Journal of the American Medical Association published in 2007 estimated the prevalence of BRCA1 mutation in breast cancer patients from different ethnic groups in the United States. They

found 3.5% in Hispanic patients, 1.3% in African-American patients, and 0.5% in Asian-American patients, compared with 8.3% in Ashkenazi Jewish patients and 2.2% in other non-Hispanic white patients1. Genetic mutations can be passed on to children through either the mother or the father’s side. There is a 50% chance of passing on a mutation with each child. Once a genetic mutation is discovered, there are several approaches to management. First it is important to inform oneself 1 (http://www.ncbi.nlm.nih.gov/pubmed/18159056#)JAMA.

2007

Dec

26;298(24):2869-76.Prevalence of pathogenic BRCA1 mutation carriers in 5 US racial/ethnic groups. John EM, Miron A, Gong G, Phipps AI, Felberg A, Li FP, West DW, Whittemore AS.Source..

about how likely each type of cancer is and what can be done to prevent it. Breast cancer is a much more common cancer than ovarian and is much easier to cure. Removal of the ovaries and fallopian tubes can often be done laparoscopically. Once childbearing is completed, this operation can be life-saving. Also, having the ovaries removed earlier in life can reduce the risk of breast cancer by 50%. The risk of breast cancer is higher, but breast cancer is often more curable. Some people chose to take medication that blocks circulating estrogen and can reduce the risk of breast cancer. Some people choose close surveillance with imaging. Some choose to remove the breast tissue with immediate reconstruction as Angelina Jolie did. Some choose removal of the breast tissue without reconstruction. Nipple-sparing mastectomy is a good operation for women with BRCA1, BRCA2, or other mutations that increase the risk of breast cancer. This operation allows for less deformity and psychological distress associated with the loss of breast tissue. Although the nipple and areolar skin are preserved, most patients have numbness of the central portion of the breast skin. The removal of the breast tissue is usually performed by a breast surgeon, and the reconstruction, which can be done at the same operation, is usually performed by a plastic surgeon. No one can predict the future with 100% certainty, but we should know what information is available to us so that we can make the best possible decisions. UTMC offers these and other genetic tests as well as information about the significance of the results. ❦ Dr. Mabry is a breast fellowship trained, board certified breast surgeon who specializes in oncoplastic techniques for breast-conservation, sentinel node biopsy, skin and nipple sparing mastectomies with immediate reconstruction for the treatment of DCIS and invasive breast cancer. Dr. Mabry has been with UTMC’s Center for Breast Care since 2012. Previously, she worked at the Breast Care and Imaging Center in Orange, CA and the John Wayne Cancer Institute at St. John’s Hospital. She completed her breast fellowship at USC in 2005. Her general surgery residency was completed at the University of South Florida, and she attended medical school at Ohio State University. Dr. Mabry obtained a Master’s degree in chemistry from Bowling Green State University and attended Smith College for her undergraduate degree in Mathematics.

8 September 2013 / Healthy Living News

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A closer look at

LYMPHOMA

Cancer Center

ymphoma, or cancer of the lym“Up to 40 percent of patients with phatic system, is an example of lymphoma can have fever, weight the human body’s immune system loss, and excessive sweating, and gone awry. When this system is funcmore than 66 percent of patients have tioning normally, it stands guard painless enlarged lymph nodes. This against invading foreign microbes last symptom occurs in approximateand responds to their presence by ly 70 percent of Hodgkin’s cases.” triggering the production of special Because many lymphoma sympwhite blood cells called lymphotoms can be associated with other cytes. These lymphocytes multiply health problems and there’s no efin overwhelming numbers and go fective screening tool for the disease, on the offensive against the foreign early-stage diagnosis is difficult and invader. After they do their job and people with this type of cancer selthe invader has been eliminated, they dom seek medical attention until they should begin to die off to a level that notice a lump in the neck, armpit, or the body can support. groin, all of which contain lymph In people with lymphoma, hownodes, where lymphoma commonly ever, this process doesn’t quite go originates. This is significant because, as planned. In their case, the lymas Dr. Brown points out, the earlier phocytes either fail to die off after the disease is diagnosed and treatthe perceived threat has passed or ment is begun, the more potentially they begin to multiply spontaneously positive the outcome. when no foreign invader is present. Lymphoma treatment varies Eventually, these abnormally growbased on the type and staging of the ing lymphocytes form a tumor. cancer. Systemic chemotherapy is the There are many types typical course of treatment for and subtypes of lymphonon-Hodgkin’s lymphoma. ma, with the two major However, recent advances classifications being nonhave given oncologists more Hodgkin’s lymphoma, and more tools to fight this which is diagnosed in form of cancer. “Immunotherapproximately 66,000 apy, chemo immunotherapy, people in the US each bone marrow transplant with year, and Hodgkin’s high-dose chemotherapy, and lymphoma, which is diradio immunotherapy, which agnosed in about 8,500 utilizes monoclonal antibodDr. David Brown people annually. ies linked to radioisotopes, are These two forms are all among the exciting new not only derived from different types treatment advances available,” states of lymphocytes (abnormal B lymDr. Brown. phocytes in the case of Hodgkin’s Considering the fact that lymphoand both B and T lymphocytes for ma results from an immune response non-Hodgkin’s), but they’re also gone wrong, it’s ironic that some of morphologically different under the latest therapies for treating it the microscope. According to David actually work in coordination with Brown, MD, of The Toledo Clinic the immune system—sort of turning Cancer Centers, “Hodgkin’s lymphothe tables on the disease. ma, which accounts for 10 percent For example, the monoclonal anof all lymphomas, is characterized tibody drug Rituximab is now availby a typical pathologic appearance able to fight lymphoma. This drug due to the presence of certain abnormal cells, called Reed-Sternberg cells, which are not present in nonHodgkin’s lymphoma.” As is the case with many cancers, lymphoma often causes no discernible warning signs in the earliest stages. When symptoms do arise, they can be quite variable and nonspecific. “There can be myriad signs Early-stage diagnosis of lymphoma is difand symptoms of lymphoma deficult, and people with this type of cancer pending upon the type and the area seldom seek medical attention until they of involvement,” Dr. Brown explains. notice a lump in the neck, armpit, or groin. Have questions about an advertiser? Click their email or web address in our online issue at www.hlntoledo.com.

Health Care is complicated But that’s where you come in. Patient advocates, or professionals who act as liaisons between patients and the health-care provider, are needed now more than ever. You can supplement your undergraduate degree with training in this field through The University of Toledo’s Graduate Certificate in Patient Advocacy Program. This is a 100 percent online graduate certificate that can be completed in just two semesters.

contains laboratory-produced molecules that attach to certain unique antigens on the surface of cancer cells, tagging them as foreign invaders to the immune system. In response, the immune system produces antibodies that attack the tumor cells while leaving healthy tissue unharmed. Dr. Brown notes that in the year 2000, 65,000 people in the US died of non-Hodgkin’s lymphoma and that the incidence has doubled since the 1970s with a confirmed one- to two-percent increase per year. “The good news is, 50 to 70 percent of patients with diffuse large B cell nonHodgkin’s lymphoma are curable,” he adds. The cure rate is even more favorable for patients with Hodgkin’s lymphoma. ❦

When facing a diagnosis of cancer, more and more patients are choosing The Toledo Clinic Cancer Centers. With nine board-certified hematologists/oncologists and ten nurse practitioners on staff, The Toledo Clinic Cancer Centers can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. Also, there are several offices (including the main location at 4235 Secor Road and satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe) for the convenience of the patient. Many Toledo Clinic Cancer Centers patients are enrolled in the latest cancer research and studies in our region through the Toledo Community Oncology Program (TCOP). For more information, please call the Toledo Clinic Cancer Centers at 419-479-5605.

you can feel comfortable in knowing your employees are working in a safe and healthy hearing environment. I want to make sure we realize that hearing loss can affect others even when they don’t work around excessive noise. Having a hearing loss on the job can affect an employee’s income as well. Surveys have shown that while employees with a mild hearing loss might not be affected, those with a severe or increasing hearing loss have been shown to have lower salaries. Moreover, research has shown that employees with hearing loss who wear their hearing aids at work tend to enjoy a higher salary than those with a hearing loss who do not wear their hearing aids to work. Therefore, it’s advantageous to employees to not only monitor their hearing health annually, but also to wear their hearing aids at work. I hope this information has helped you understand all aspects of hearing loss on the job. ❦

JHHS 32 0113

For more information call or e-mail Debra O’Connell – 419.530.5421 or Debra.Oconnell@utoledo.edu.

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10 September 2013 / Healthy Living News

: This is a great question, and we commend you on placing safety first. Not only is this important to your employees, but it will also allow your company to maintain a good reputation in the community. Besides requiring hard hats and eye protection, there are certain measures that can be put in place to protect employees from excessive noise. The level of the noise and length of exposure to the noise both help in determining whether the environment has reached an excessive and dangerous level. Of course, the louder the sound, the quicker hearing loss can occur. For example, noises over 85 decibels (dB) can cause hearing loss in just eight hours. On the other hand, noises over 110dB can cause hearing loss in only 15 minutes. To ensure hearing safety for your employees, two things must be done. First, you should try to reduce and control the noise in the working environment. Then, equip your employees with personal protection. Once you’ve performed both of these steps,

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 (419383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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Ashley Group helps seniors overcome Medicare information overload

n avalanche of Medicare information. That’s what seniors today can expect to face when they turn 65 and are inundated with direct mail and TV ads attempting to clarify the various plans and benefits available to them through the Medicare system. Sifting through all these materials and the virtual “alphabet soup” of terminology (Medicare parts A, B, C, and D, etc.) usually raises more questions than answers and can make the prospect of choosing the right Medicare plan—one of life’s most important healthcare decisions—seem like an insurmountable challenge. It’s this confusion and frustration that The Ashley Group’s dedicated team of health-insurance experts strives to alleviate for local seniors. “We’ve found that very few people really understand the ins and outs of Medicare unless they’ve had some prior experience with the system with one of their parents,” explains David Sickles, an Authorized Agent with The Ashley Group. “What people are really looking for is someone to simplify this very complicated subject so they understand how it works and what options are best for them. We’re prepared to do just that for area seniors—and at no direct cost to them.” Reinforcing this point, The Ashley Group Licensed Agent David Holman recalls a married couple he assisted recently: “The husband had been enrolled in Medicare for six months and was bringing in his wife for her initial Medicare consultation. He made it clear right at the outset that, despite the fact that he was already enrolled, he needed a review just as much as his wife did. That just goes to show how confusing Medicare options and terminology can be and why we start from scratch every time we discuss this topic with clients.” Holman also notes that, owing to factors such as the struggling economy and increased longevity, more and more people are working well beyond the traditional retirement age of 65. In fact, many seniors now expect to continue working until at

least age 70—a trend that can have a significant impact on which Medicare options are appropriate. For example, when consulting with healthy working seniors who have access to employer-sponsored medical coverage, Sickles and Holman might advise that they enroll in Medicare Part A, which covers hospital care, but defer enrollment in Medicare Part B, which covers doctor care. This step will save them the cost of the monthly premium associated with Part B coverage (Part A has no premium). And that’s just o n e ex a m p l e o f how working with a knowledgeable local expert can help seniors choose the best Medicare options for their needs and avoid unnecessary expenditures. Sickles and Holman can also help clients choose a Medicare plan that covers not only their preferred hospitals and physicians, but also any medications they’re currently taking. In addition, they can recommend an appropriate Medicare Supplement Plan to fill any gaps in coverage. During open enrollment, they can help clients re-examine their plan to determine whether it would be more advantageous to switch to a different option or stick with the one they currently have. Holman remarks that The Ashley Group will be introducing even more services during open enrollment (October 15 to December 7) in 2013. “This year, in addition to the one-on-one consultations we always offer to help clients choose the best Medicare plan for their needs, we’ll be offering a no-cost group presentation every Wednesday during open enrollment. These seminars, which are open to anyone, are a great option for people who might feel more comfortable getting the information as part of an audience rather than one-on-one,” Holman says. Seniors have the alternative of researching the various Medicare options and enrolling online. They can also work directly with an insurance provider when choosing Medicare coverage. But what’s missing from both of these scenarios is the person-

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alized assistance and support they’ll get by working with local experts at The Ashley Group. “We do all the analysis for you, and if you have any questions or concerns, we’re right here in the community, just a phone call away. Plus, there’s no cost for our Medicare consultations,

and if you do choose to work with us, you won’t pay any more than you would if you were to enroll by yourself. We’re ready to sit down with you to discuss what’s available and how you can get the greatest benefit from your Medicare plan,” Sickles states. ❦

nobody’s perfect Sister Karen Zielinski, OSF

Some time away is good for our health

spent a week on vacation with my sister Judy and friend Jo in Michigan’s pristine Keweenaw Upper Peninsula. We visited state parks, toured copper mine centers and lighthouses, drank coffee on the breathtaking shores of Lake Superior. We collected agates from Agate Beech. We drove into the Porcupine Mountains, Copper Harbor, and Houghton. We tasted (do not tell the park ranger!) wild blueberries, raspberries, thimble berries. We enjoyed a pasty dinner—a pasty is a hearty, folded, savory pastry filled with meat, carrots, onions, turnips or rutabagas, and potatoes. Wives of the copper miners wrapped them up for the

miners’ lunches. Before heading back, we took a sunset boat trip on Lake Superior. It was breathtaking, and as I sat in peace, my “stuff ” at work on my return didn’t bother me so much. It was still there, awaiting my return, but I knew I could meet my deadlines, talks, budgets when I returned because this time away gave me new energy. I rested my head, heart, and body while I was away. When I was in graduate school at Bowling Green State University (BGSU, Ohio), my Psychology of Music course professor, Dr. John Kratus, introduced our class to an interesting study. It was called

The Hawthorne Effect (http:// en.wikipedia.org/wiki/Hawthorne_ effect). Basically, it found that when factory workers in Chicago had their overhead lighting secretly made brighter, they were more productive. Dr. Kratus asked our class what we thought happened to the workers’ productivity when the lighting was restored (again, secretly) to its original brightness. We thought that production would decrease, but the opposite happened. They became even more productive! What we took from this little social experiment is that people respond positively, more efficiently and productively, to change. I often think of that study when I reflect on the gift of vacation, retreat, or some time away from our routine jobs and lives. I enjoyed—but did not buy— the T-shirts in the touristy gift shops. Some of my favorites included: “Lake Superior: Unsalted and Shark Free”; “Ohio is Erie, Michigan is Superior ”; and the classic, “Up North in da UP.” By this time, late summer, many of us will have had the chance to feed our hearts and souls with some time away, some change. It is good for the spirit. We all know that after someone returns to work after a vacation or

MY MOM IS BATTLING CANCER. I NEED TO WORK FULL TI

Christmas break, they seem more rested, at peace, and ready to start again with a new spirit. We sometimes bristle at going on vacation because it might take lots of planning, preparation, and cost. Maybe we think that we alone have to be around at work to do the job. No one is indispensable; we need some away time to put things in perspective. Perhaps the following quote from Maya Angelou’s Wouldn’t Take Nothing for My Journey Now says it best: “Every person needs to take one day away. A day in which one consciously separates the past from the future. J o b s , f a m i l y, employers, and friends can exist one day without any one of us, and if our egos permit us to confess, they could exist eternally in our absence. Each person deserves a day away in which no problems are confronted, no solutions searched for. Each of us needs to withdraw from the cares which will not withdraw from us.” Vacations do not have to be expensive, or long, but the human person needs some “away time,” and it does much spiritual good to our bodies and souls to have some. I like to call time away “Sacred Change.” ❦ 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 of St. Francis. She can be reached at kzielins@sistersosf.org or 419-824-3543.

y mom is battling cancer. “I could never have done it on my own need toIS BATTLING workCANCER. fullI NEED time. MY MOM TO WORK FULL TIME. without Hospice of Northwest Ohio.” want to be there every day. How can I do it all? “I wasn’t familiar with watching somebody you love pass MOM ISEVERY BATTLING cancer. y mom isBE battling cancer. I WANTMY TO THERE DAY. HOW CAN I DO IT ALL? MY away. I felt a weight had been lifted off my shoulders when need to work full time. want to be there every Hospice of Northwest Ohio got involved because I had no IS BATTLING CANCER. I NEED TO WORK FULL TIME. I day. MOM How can I do it all? idea what I was doing, and they explained everything to me.” I need FULL TIME. to work y mom is battling cancer. WANTto TO BEwork THERE EVERYfull DAY. HOW CAN I DO IT ALL? MY – April, daughter of a Hospice of Northwest Ohio patient need time. want to be there every Answers to crossword from page 36 We are the area’s largest and most experienced provider of day. MOM How canCANCER. I do it TOall? IS BATTLING I NEED WORK FULL TIME. I I WANT EVERY DAY. hospice care, a nonprofit organization solely dedicated to y mom is TO battling cancer. be full there need to work time. providing the best possible end-of-life experience for our WANT TO THERE there EVERY DAY. HOW CAN I DO IT ALL? MY want toBE be every patients and their families. day. How can I do it all? HOW CAN I do y mom battling cancer. MOM IS is BATTLING CANCER. I NEED WORK FULL TIME. I Ask for us by name. The sooner you do, the more we can help. itTOall? need to work full time. want to be there every Answers for Living the Last Months of Life WANT TO BE THERE EVERY DAY. HOW CAN I DO IT ALL? MY day. How can I do it all? y mom is battling cancer. MOMto IS BATTLING CANCER. I NEED TO WORK FULL TIME. I need work full time. want to be there every y. How doDAY. it HOW all? WANT TOcan BE THEREIEVERY CANMy mom is battling cancer. I IDO IT ALL? MY eed 12to work full time. I September 2013 / Healthy Living News We love comments and feedback. Like us on Facebook. Follow us on Twitter. ME. I WANT TO BE THERE EVERY DAY. HOW CAN I DO IT ALL?

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The Laurels of Toledo skilled nursing center deploys Daylight IQ™

he Laurels of Toledo (The Laurels), a leading local post-acute facility, has implemented COMS Interactive Daylight IQ™ as a key component of its transitional care program. The Laurels of Toledo is one of 36 facilities operated by Laurel Health Care Company that are implementing Daylight IQ™. Daylight IQ™ features integrated, disease-based clinical protocols that significantly empower The Laurel’s clinical team by identifying changes in condition at the point of care. Daylight IQ™ highlights abnormal findings and alerts The Laurels’ nursing staff with the suggested interventions and/or physician communication. “The Laurels is focused on providing our guests with the best quality of care available,” noted Edward Beatrice, Administrator. “Daylight IQ has enhanced communication among our clinical team, which has led to even better outcomes and guest

satisfaction.” The Daylight IQ™ product suite focuses upon improving quality of care by closely tracking changes in condition and initiating appropriate clinical interventions. Some key components of the product suite include an Automated Disease Care Guide Library, a Dynamic Nursing Assessment, and a Compare Module, all of which work in conjunction with each resident’s disease profile. It’s important to note that utilizing Daylight IQ™ reduces 30-day hospital readmissions and premature mortality by more than 50%. “Given the current state of the healthcare industry, hospitals are partnering with progressive facilities to extend superior care for their patients,” noted Edward J. Tromczynski, Chief Executive Officer, COMS Interactive, LLC. “Recognized as a thought leader, Laurel Health Care continues to improve the overall

quality of life of their residents, and COMS is pleased to partner with them on this initiative.” Industry data shows that the average nursing home resident has a complicated health profile, including one primary disease and up to eight secondary diseases. Over 70% of rehospitalizations from a skillednursing facility are due to a secondary or new disease progression. By providing early detection of an individual’s change in condition, Daylight IQ™ highlights potential problems and offers caregivers the opportunity to respond, preventing further progression of the illness or affliction.

About The Laurels of Toledo The Laurels of Toledo serves residents of greater Toledo. They provide skilled-nursing care, orthopedic and neuro rehabilitation, wound care, infection resolution, cardiac, respiratory, and digestive diseases programs. The Laurels is dedicated to achieving the highest standards of care and caring. They provide both short-term and long-term residents

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with comprehensive health services in a comfortable, home-like environment. For additional information please visit www.laurelsoftoledo. com.

About COMS Interactive, LLC COMS Interactive, LLC partners with 12 state healthcare associations in deploying processes and systems that stabilize and improve patient health while improving financial outcomes for skilled-nursing facilities. The Daylight IQ™ Software as a Service (SaaS) product combines business administration, disease management, and long-term healthcare knowledge to empower the nursing team, reduce medical errors, more efficiently address patient healthcare needs, and increase facility revenues. This combination of clinical and technical processes can save millions of dollars a year in preventable hospital readmissions. Additional information regarding COMS Interactive and Daylight IQ™ is available at www. comsllc.com or by contacting COMS at 330-650-9900. ❦

All the care you need When life’s emergencies happen, get all the care you need from the hospital you trust – ProMedica St. Luke’s Hospital. Offering advanced emergency services and a full spectrum of hospital care, ProMedica St. Luke’s Hospital has the expertise to treat all injuries and emergencies right here – close to home.

419-893-5911

14 September 2013 / Healthy Living News

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Healthy Living News, 10.25" x 12.625", full color

BySister Mary Thill

Spiritually Speaking Understanding differences Differences are not intended to separate, to alienate. We are different precisely in order to realize our need for one another. —Archbishop Desmond Tutu

ave you ever wondered why your sister or brother is so different from you when you came from the same womb, the same home, the same upbringing? I remember standing at my mother’s coffin telling a story about her from my childhood and one of my sisters disagreeing with the whole story. She then told it from her perspective, and I wondered if we had really been at the same event. How could two people interpret the same event so differently? Who was right? Who was wrong? Neither one of us, I guess. I must admit, it has taken me awhile to appreciate the differences in my siblings, my co-workers, my housemates, and the Sisters in my religious community. There was a time in my life when I wanted, expected everyone to be like me. I remember having students in my gerontology courses in college disagreeing with me on my perception of aging. One student in particular often challenged or questioned my thinking about the topic of the day. I began to dislike her and wasn’t happy when she regularly showed up for class and challenged me almost every step of the way. I realized that I needed to step back and see what it was about her behavior that disturbed me so. I began to see that, indeed, there were other ways to look at an issue. One time we were talking about some elders needing dialysis for kidney failure in later life, and I said that I thought it was such a primitive treatment for such a horrible disease. I think I even said that I would never have it

done to me when she said she knew of several elder patients who have it done regularly and live life with zest and enthusiasm after the treatments. I began to see other ways to interpret what I originally thought were cut-and-dried facts that often really became my educated opinions. As I move briskly along into my later years, I have discovered that there are many ways to look at an issue, be it which toilet paper to buy or whether Catholic priests should get married. I find myself reading more articles and books and talking with a variety of people with a variety of opinions about topics that sometimes affect my daily life and sometimes seem to have nothing to do with me directly. My elder friends have often

shown me this resilience, this flexibility, this lack of dualism, and they tell me it comes from rubbing shoulders with real people in real situations where things are not black or white or even gray. They have shown me that interacting with life in all its glory and all its painfulness helps me to let go of my narrow opinions and

also helps me to understand how the differences actually give depth and meaning and dignity to life. When I think that someone who is facing amputation of both hands and both feet due to an illness should just give up and die, others help me to see the beauty and redemption and mystery in such an act. The person herself has shown tremendous courage and resilience in making the decision and continues to give witness to the grace of God and miracles in her life. Would that I would be so open to God’s will in such a circumstance, in such a life-altering decision. I conclude my thoughts here with yet another way that understanding differences helps us to deal better with one another. A big clue here is to do all this in relation to others. I need to get to know the other who is so different from me as well as how our differences could actually become our strengths if we but take the time to share our thoughts, opinions, ideas, and lifestyles. Getting the support of others who can help me to realize that there are many ways to deal with what life throws at us also becomes a way to make things even more bearable and possible if we do it together in a supportive community.

It really comes down to what Archbishop Tutu says. We are different precisely in order to realize our need for one another. Celebrate the differences! ❦ Sister Mary Thill is a Sylvania Franciscan Sister. She is Patient Liaison for Mature Health Connections at Mercy St. Vincent Medical Center. She can be reached at 419-251-3600.

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Things are still hot in the garden by Sandy Loehm

s my vegetable garden starts to wind down for the season, I’m noticing how much my selection of plants has changed over the years. For example, there is not a single zucchini in my garden this year. This solved the ancient problem of what to do with all that squash. I like summer squash as much as the next person, but I no longer see the point in growing it myself. “Summer” squash is now available year round at the supermarket, and during the season, it costs very little—or nothing. My neighbor has zucchini up the wazoo—so to speak. Not only does she offer squash by the peck, but she brings me so much zucchini bread that I will have to remove last year’s from the freezer to make room for this year’s. But, as I started to say, things have changed in my garden. Because Nature abhors a vacuum, the space once occupied by squash is not sitting fallow. Over the last several years, I have increased the numbers and variety of peppers I grow. Once there were only big, blocky green bell peppers. Then I discovered the joys of red, yellow, purple, and even chocolate-colored bell peppers. Colorful bell peppers not only make a great presentation on your antipasto tray, but they’re rich in vitamins as well. It’s a little-known fact that a red bell pepper can have up to six times as much vitamin C as an orange, not to mention, it contains lots of vitamins A and E plus thiamin and niacin. They tend to cost more in the supermarket, even during the season, so I figured there was economic justification for planting them. I remember reading somewhere that the chief flavor component in bell peppers is the same thing that gives Cabernet Sauvignon wine its bouquet. Frankly, despite enjoying copious quantities of the libation, I have never noticed that.

Chili today, hot tamale What I have noticed, however, is the component that gives chili peppers their zest—capsaicin. This chemical can be measured to determine

just how hot a pepper really is on the Scoville Heat Unit Scale. Bell peppers have a Scoville rating of nothing. Jalapenos come in at about 2,500 to 5,000 Scoville units. If your palate is accustomed to bell peppers, the heat in a jalapeno could start to make you sweat. But that is nothing compared to serranos at 5,000 to 15,000, Thai dragons at 50,000 to 100,000, or habaneras and Scotch bonnets at 100,000 to 350,000. The “Red Savina,” a variety of habanera, is one of the hottest peppers in the world at 577,000 Scoville units. The heat of chili peppers is stated in a range because the amount of capsaicin varies from plant to plant.

A poke in the ribs I have heard people say that the heat in peppers is found in the seeds and that you can make a hot chili mild just by removing the seeds. I suspect that the people who make this claim have never actually tried it themselves. Capsaicin is found predominately in the ribs or veins located along the inside surface of the pepper. Seeds pick up some of the capsaicin because of their contact with the ribs, so removing the seeds will, indeed, remove some of the heat. But the way to get more—not all—of it out is to carefully remove the ribs with a sharp knife. I guess you could make an argument for removing the heat from a pepper, but you may be tempted to ask, why am I eating a chili pepper in the first place if I don’t like heat? The short answer is that some people are just perverse. A better answer is that some of us find the taste pleasant and intriguing. It’s not just a macho thing to see how much heat you can handle before you head to the emergency room. How do you cope with the heat other than removing the ribs? Some people keep a pitcher of ice water handy when they sit down to a spicy meal. This gives some relief, but only for as long as you can hold the water in your mouth. In my experience, this makes eating a little cumbersome. Besides, it doesn’t work. Capsaicin is an oil and, therefore, does not mix with or become diluted by water. You are likely to have more suc-

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cess with tomato juice or fresh lemon or lime. The theory is that acid counteracts the alkalinity of capsaicin. I have also had pretty good luck with milk, though I don’t understand the chemistry involved.

Use your elbows I do understand physiology, however. The moist membranes of the body are particularly susceptible to the influence of capsaicin. You notice it first on your lips and tongue and the inside surface of your mouth. With the really pungent chili varieties, you may notice that some of that sensation comes back 24 hours

later when you respond to the call of nature. Capsaicin is the gift that keeps on giving. Consuming peppers can also make your eyes water, which will motivate you to reach up to wipe away the tears. Don’t be tempted to do it with your hand! Carefully wipe your eyes with a clean napkin (i.e., one that hasn’t already been used to wipe capsaicin off your hands). During a seminar in San Diego, I made a little side trip to Tijuana. A friendly old Mexican waiter there gave me some tongue-in-cheek advice that I’ve never forgotten—“Only rub your eyes with your elbow.”

Grinding away This year, I have green, red, and yellow bell peppers. There are also jalapenos, poblanos, Thai dragons, and cayenne. I am especially fond of roasted bell peppers with balsamic vinegar. The chili peppers are grown not just for heat, but also for flavor. I could even make a case for their ornamental value. The little Thai dragons are quite attractive when there are about a hundred tiny peppers in colors that vary with their level of maturity. What can you do with all those peppers? The jalapenos I use in salsa, gazpacho, and corn muffins.

The poblanos are great stuffed for chili rellenos. Thai dragons get used fresh in Oriental dishes and, like the cayenne, are also dried and ground up for use straight and in spice mixes. One year, I forgot the advice of that old Mexican waiter when grinding dried peppers. Whoa! Was that a big mistake! It is not being overly cautious to provide protection for your eyes and lungs when grinding peppers. Even tiny particles of pepper floating in the air can induce a bout of crying and severe coughing. The good news is, you’ll never make this same mistake twice! ❦

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Heartland Rehab supports Balance Awareness Week, September 16-22

he goal of Balance Awareness Week, September 16-22, is to help people recognize the symptoms of a vestibular disorder so they can seek help to receive an accurate diagnosis and get effective treatment. Heartland Rehabilitation Services supports this week and is offering complimentary balance screenings at all of its locations during this time. Vestibular disorders can affect anyone, but with the proper intervention and treatment (usually one to three physical therapy treatments) provided by a therapist trained in addressing vestibular disorders, individuals improve and dizziness and vertigo symptoms are resolved. The most common vestibular disorder is BPPV: Benign Paroxysmal Positional Vertigo. BPPV produces a sensation of spinning, called vertigo, that is both paroxysmal and positional, meaning it occurs suddenly and with a change in head position. In addition to vertigo, symptoms of BPPV include dizziness (lightheadedness), imbalance, difficulty concentrating, and nausea. Activities

that bring on symptoms can vary in each person, but symptoms are precipitated by changing the head’s position with respect to gravity. With the involvement of the posterior semicircular canal in classic BPPV, common problematic head movements include looking up or rolling over and getting out of bed. It can be tremendously disruptive to a person’s work and social life as well as pose a health hazard due to an increased risk of falls associated with dizziness and imbalance. BPPV is the most common vestibular disorder; 2.4% of all people will experience it at some point in their lifetimes.1 BPPV accounts for at least 20% of diagnoses made by physicians who specialize in dizziness and vestibular disorders and is the cause of approximately 50% of dizziness in older people.2 Vestibular tests include the Dix1 . Fife TD, Iverson DJ, Lempert T, Furman JM, Baloh RW, Tusa RJ, Hain TC, Herdman S, Morrow MJ, Gronseth GS. Practice parameter: therapies for benign paroxysmal positional vertigo (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurol. 2008;70:2067–2074.. 2 . Froehling DA, Silverstein MD, Mohr DN, Beatty CW, Offord KP, Ballard DJ. Benign positional vertigo: incidence and prognosis in a population-based study in Olmsted County, Minnesota. Mayo Clin Proc. 1991;66(6):596–601.

Waterville Presbyterian Church to host free retirement workshops

he Waterville Presbyterian Church will be hosting a series of free events this fall designed to provide the information needed by anyone in the community approaching or in retirement and/or their families. Experts will present information and answer questions people may have. The schedule for these is: • September 10, 7:00 p.m.—Dick Eppstein, President of the Better Business Bureau, will talk about scams and how to stay clear of them. • September 17, 3:00 p.m.—Erin Thompson, Public Affairs Officer from the Lucas County Social Security Office, will speak about navigating the ins and outs of the Social Security system. • September 24, 7:00 p.m.— Brenda Mossing, Manager of the F&M Bank in Waterville, will talk about how you can partner with

18 September 2013 / Healthy Living News

your bank to better understand your finances and how you want them to be managed. • October 1, 7:00 p.m.—Ron Myers from Citizen Advisory Group will talk about Medicare, including the options, decision making, misunderstandings, and other topics that can make this benefit clearer. • October 8, 7:00 p.m.—Rae-lynn Abreu, a Medicaid Strategist from AINS, will discuss the strategy for effectively using Medicaid. These events will be held in the Church sanctuary located at 611 Farnsworth Road in Waterville. There is no charge for these important sessions, but you are asked to bring appropriate food goods to donate to the new Waterville Food Pantry. If you have questions, please call The Waterville Presbyterian Church at 419-878-2806.

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Hallpike maneuver and the Supine Roll test. These tests allow a therapist or physician to observe the nystagmus (eye movement) elicited in response to a change in head position. The problematic semicircular canal can be identified based on the characteristics of the observed nystagmus. Recommended treatment for most forms of BPPV employs particle repositioning head maneuvers that move displaced otoconia (small crystals of calcium carbonate) out of the affected semicircular canal. These maneuvers involve a specific series of patterned head and trunk movements that can be performed in the therapy clinic or a healthcare provider’s office. Besides dizziness, Heartland Rehabilitation Services also addresses fall concerns, especially among older adults. Falls are a major health con-

cern among this group with more than one-third of older adults experiencing a fall each year. Falls are the leading cause of injury deaths, the most common cause of non-fatal injuries, and the most common reason for hospital admission due to trauma in older adults.

The cumulative effect Research shows that a cumulative effect of multiple interacting factors increases fall risk in any one individual. The factors may include: • • • • • • • •

Muscle weakness Balance deficits Gait deficits Visual deficits Neurologic deficits Cardiovascular deficits Age Medications

• History of falls • Other medical issues

What to do Physical Therapists use a number of tests and measures to determine an individual’s risk of falling. Within the initial examination, the clinician will focus on range of motion, muscle strength, and sensory integrity. The clinician will look at foot and ankle flexibility and strength as well as weakness around the knee and hip. Additionally, the clinician will get a strong understanding of the individuals recent fall history as well as environmental hazards, especially within the home. The therapist, along with the individual being treated, will devise a multifactorial approach based on the exam and the risk factors identified. The plan will include

balance retraining, gait training, exercises, education, and environmental assessment. Heartland Rehabilitation Services, besides providing physical, occupational, and hand therapy, is a health and wellness advocate throughout the community. In addition to therapy services, Heartland offers gym memberships, personal training, pilates, and fitness bootcamps. Heartland is excited to announce it has also partnered with SilverSneakers® at three locations: Arrowhead in Maumee, Oregon, and Westgate in Toledo. SilverSneakers is a fun, energizing program that helps older adults take greater control of their health by encouraging physical activity. Unlock the door to greater independence and a healthier life with SilverSneakers. Health plans around the country offer this award-winning program to people who are eligible for Medicare or to group retirees. Contact Heartland to find out if your health insurance plan is participating. ❦

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Personal Investment strategies for those with money to invest

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Foster Jones Hollinger Langham Investment Group of Wells Fargo Advisors Michael R. Foster First Vice President – Investments Quantitative Choice Portfolio Manager michael.r.foster@wfadvisors.com

Marcus W. Jones First Vice President – Investments Quantitative Choice Portfolio Manager marcus.w.jones@wfadvisors.com

David R. Hollinger Vice President – Investments david.r.hollinger@wfadvisors.com

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20 September 2013 / Healthy Living News

hile there are many individuals who have plenty of money to invest, more than a few hesitate to do so because they are unsure of exactly how or where to invest their money. And while it may seem a logical conclusion that the more money you have, the more complicated your investment picture becomes, that is not necessarily the case. Financial investment strategies can still be broken down into simple, easy-to-understand terms.

Asset allocation One of the most important elements of a successful financial strategy is proper asset allocation. This refers to the mix of investments you have in your portfolio, and it’s important to keep a good balance of different types of investments— like stocks, bonds, and cash, for example—diversified across a range of industry groups or sectors. Your ultimate financial objectives, the amount of time you have to invest, and your own risk tolerance should all be taken into consideration as you decide exactly how to divide up your funds and where to invest them. Although asset allocation will diversify your portfolio, it will not protect against fluctuating prices or uncertain returns.

Equity investment strategies When investing in stocks, a good rule of thumb is to diversify your stock portfolio across a number of sectors; you may also want to overweight industry sectors whose stocks you believe are likely to benefit from the current outlook for the economy. Once you have identified these sectors, you can begin to select specific stocks from within them. You may want to consider stocks that pay dividends, which can give your investment an added boost. Another benefit of these stocks is that you can usually reinvest the dividends you earn directly into the purchase of more stock, and many investment firms even have programs

that allow you to do so at no cost. Another good idea is to select companies that have a solid foundation and have the potential to continue to grow over the long term. While it’s not easy to predict the future, the advice of a financial advisor and a little research of your own should enable you to identify companies that have the qualities necessary to meet your long-term objectives.

Fixed-income investment strategies When you buy a bond, you are usually promised the return of your principal as long as you keep it until maturity. In addition, you earn interest on your money before the bond matures. There are a wide variety of fixed-income products available. Some can be tax-advantaged, and many generally afford you a fixed rate of return.

Estate investment planning Regardless of your age, an estate plan is a valuable tool that can help preserve your estate in the unexpected event of your incapacitation or even death. It can also ensure your assets are properly managed, according to your wishes, for your heirs. Proper estate planning can even help reduce federal estate taxes for your heirs, so they can more fully enjoy the benefits of the money you have left to them. While this is just a simple overview of some of the many financial opportunities available to you, it’s important to begin your financial strategy right away. Talk to a financial advisor to find out more about the ways you can tailor your asset management strategies to help you enjoy your money now and in the future. ❦ This article was written by Wells Fargo Advisors and provided courtesy of Michael R. Foster, First Vice President – Investments, Quantitative Choice Portfolio Manager, Marcus W. Jones, First Vice President – Investments, Quantitative Choice Portfolio Manager, David R. Hollinger, Vice President – Investments, and Matthew Langham, Financial Advisor, in Perrysburg at 419872-3840. Investments in securities and insurance products are: NOT FDIC-INSURED/NOT BANK-GUARANTEED/MAY LOSE VALUE. Wells Fargo Advisors, LLC, Member SIPC, is a registered broker-dealer and a separate non-bank affiliate of Wells Fargo & Company.

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Ask Dr. Doug

Questions on Alternative therapies by Douglas Schwan, DC, Dipl Ac Every month, my email overflows with questions on Alternative Medicine. Occasionally I take the time to answer a few in my column. If you have a question you’d like to ask, feel free to send it to FAQ@AcupunctureToledo.com.

Q: Dr. Doug, How can I make my home more healthy for my family? A: In this day and age of technology, our homes are being made almost airtight. This makes them very energy efficient to heat and cool, but the side effect is that all the chemicals in the glues, insulation, paints, varnishes, and other solvents used to construct the home have no way to get out. Mold and mildew spores are concentrated in damp areas. Over time, these toxins build to unhealthy concentrations. What can be done? Anytime the weather permits, the AC or Heat should be shut off and all the windows flung open. The blower can be left on with newer homes, as they are required to have outside ducts for the sole purpose of pulling in fresh air. Consider using fewer harsh cleaners around the house to avoid circulating chlorine, ammonia, and

other strong chemicals. Q: Dr. Doug, I am so deluged with news on what hurts us and what is healthy that I get paralyzed and fail to do anything! Is there a single step I can take to make my kids healthier? A: I understand where you are coming from: One day coffee is healthy for you, the next day it is proclaimed a “killer.” I would say that while there are many steps you might take, the single step with the biggest life improvement would be to swear off all diet or regular pop and fast food. Studies have shown a huge, unshakeable link between obesity and pop and fast food. Even diet pop messes with the body’s carbohydrate metabolism and contributes significantly to obesity. Fastfood companies experiment with flavorings, preservatives, and other chemicals to make their food physi-

cally “addicting.” Put a fresh ground hamburger on your windowsill next to a fast-food burger. One will rot and putrefy as all the bugs love it while the other stays more or less the same and just dehydrates because bugs know better. Are we not smarter than bugs? Q: How do I find a good holistic doctor? A: Medical physicians are smart and well trained in their field of prescription drugs and surgery. However, outside their field of specialty, they would have to make an extra effort to familiarize themselves with Alternative therapies. Some are outstanding at this, such as doctor and TV personality Dr. Oz. But in mainstream medicine, how many of your friends have been told by their personal physician to take Put a fresh ground hamburger on your windowsill next to a fast-food burger. One will rot and putrefy as all the bugs love it while the other stays more or less the same and just dehydrates because bugs know better. Are we not smarter than bugs?

niacin for cholesterol control? Or to take grape seed extracts containing proanthocyanidins that have been shown to protect coronary arteries and cross the blood brain barrier to retard aging changes in the brain? More than likely, your friends are on powerful blood pressure medications or statins for their conditions. Unfortunately, there is a tendency for Big Pharma to push the one-a-day-for-the-rest-of-your-life drug, and this thinking seems to be pervasive throughout the medical community. Doctors specializing in Alternative therapies are growing in numbers daily. There seems to be a huge backlash and paradigm shift developing against the culture of drugs and “surgery first.” There will always be a place for strong drugs and invasive surgeries, but they should not be a first step. As far as finding a “good” Alternative Medicine practitioner, the first step is word of mouth. Find a practitioner willing to talk to you about your problem and possible approaches to treatment, which should include modern medical approaches if your condition doesn’t respond to Alternative therapies. Personality “fit” is important. Avoid practitioners that dismiss Alternative therapies out of

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hand as well as practitioners that fail to refer in cases where medical intervention is warranted. Chiropractors, medical doctors, and doctors of Oriental medicine all can specialize in Alternative therapies. However, few master them all, so don’t be afraid to look around for a good fit. Q: In a nutshell, can you tell me how acupuncture works? A: Probably not, but I can give a really superficial analogy: There are channels crisscrossing the body like a superhighway system. We call these channels “meridians.” The meridians carry energy. An Oriental medicine doctor calls this “qi” (pronounced “chi”) energy. Chiropractors call it “innate energy.” Other practitioners call it “vital energy ” or even “life force energy.” The point is, the meridians take this energy and distribute it around the body. The innate intelligence uses this energy to maintain homeostasis: When you cut yourself, it takes energy to clot your blood, form a scab, pull the skin together, and heal. Occasionally this qi energy flow gets disturbed. There are points along the meridians that, if stimulated, can alter the flow of the qi. In a nutshell, that is what acupuncture is all about: restoring normal qi flow. Of course, knowing how to measure, alter, and diagnosis qi levels is what takes so many years of schooling to learn. Q: How can I feel less anxious about seeing an Alternative Medicine practitioner? A: A good personality fit is the key. There are many different Alternative Medicine therapies, some of which you may not have even considered. I always say, find a practitioner who has been around awhile and who is willing to consult with you for free to determine if you are an appropriate case to accept and who will discuss which Alternative therapy approach is best suited for you. Q: With acupuncture, how do you know which points to treat? A: There are basically two approaches with acupuncture. The direct approach and the whole-body approach. For example, a patient coming in with right knee pain may get a directed treatment specifically addressing his right knee. However, someone coming in with fibromyalgia, weight loss, or fertility problems

would have a more extensive workup to balance their whole body. It just depends. Many coming in for a specific complaint end up doing so well they elect to address all their issues with a more comprehensive workup. Q: What is the difference between chiropractic, acupuncture, TM, Yoga, Karate, magnetic healing, etc.? A: Aside from all being different disciplines, my answer would be “not much.” Each discipline has a unique way of making changes in the body by coming at it in a slightly different way. We have different names for what is essentially the same thing. Major control acupuncture points along the Bladder meridian are adjacent to the spine and strongly stimulated during chiropractic adjustments. Magnets can influence qi energy flow in different parts of the body. TM and Yoga are examples of Eastern disciplines that allow one to develop conscious control of qi energy for healing. Karate is an Eastern discipline that allows one to focus qi energy for purposes of breaking boards. ❦

Stabbing, Shooting or Burning Pain? Northwest Ohio Research Center is conducting a clinical research study to evaluate the effectiveness and safety of an investigational medication for Post-Traumatic Neuropathic Pain. Neuropathic (nerve) pain is often reported as a stabbing, shooting or burning type pain. Your participation in this study may or may not help your pain. To qualify, you must meet the following as well as other study criteria: • You must be at least 18 years of age • Have had chronic neuropathic pain for at least 6 months after a physical trauma (burn, fall, motor vehicle accident, sports injury etc.) or surgery. If you do qualify to participate and choose to do so, involvement would be for about 17 weeks and would include up to 7 visits to the study center. Study medication (or inactive placebo), and study related care will be provided at no cost. Reimbursement for study-related expenses may be available to qualified participants Call to see if you qualify: Northwest Ohio Research Center, LLC (855-573-7782) Marjorie Michalak, Director of Research

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Dr. Schwan is available to entertain your group while educating on a wide variety of Alternative Medicine topics, such as chiropractic, acupuncture, herbal medicine, nutrition, vitamins etc. He is a graduate of the International Academy of Medical Acupuncture & Palmer College of Chiropractic. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time standup comedian. He has practice locations near Toledo Hospital and Perrysburg, OH. For more information on Alternative Medicine, please visit our website at www.acupuncturetoledo.com.

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here’s no image more endearing than a sleeping infant. But it’s important for parents and other caregivers to be aware that seemingly peaceful night times or naptimes can be perilous for babies if safe sleeping practices aren’t in place. According to Cary Brown, MSSA, LISW, assessment manager for Lucas County Children Services (LCCS), parents were once advised to put their babies to sleep on their stomachs out of concern that they might spit up and suffocate while sleeping on their backs. However, recent studies have shown that babies put to sleep on their stomachs are at greater risk of sudden infant death syndrome, or SIDS, than babies put to sleep on their backs. As a result, parents are now urged to think “back to sleep” when putting a baby down for a nap or at bedtime. Side sleeping is also discouraged for babies because they can very easily roll over onto their stomach. “However, small babies do need to develop their neck muscles so they have the strength to lift and hold up their head. Parents can encourage this during waking hours by playing with their babies while they’re positioned on their stomach on a play mat or baby blanket,” Brown adds. The term SIDS is used when an infant dies suddenly while sleeping and no other physical or environmental cause can be identified. SIDS victims typically show no symptoms of illness prior to the event, and SIDS deaths occur quickly with no signs of suffering. Each year, approximately 3,000 babies die of SIDS in the U.S., though that number has decreased from 5,000 per year prior to 1992. It was in that year that the American Academy of Pediatrics began recommending that babies be placed on their backs to

sleep rather than on their stomachs. Though there is no known cause of SIDS, it is known that most SIDS deaths occur between the ages of two and four months, African American babies are twice as likely to die of SIDS as white babies, the incidence of SIDS is higher among boys than girls, and the incidence of SIDS is higher during the colder months. LCCS also urges parents and caregivers to avoid co-sleeping (sleeping in the same bed) with infants. The sleeping adult, unaware of his or her movements, can unwittingly roll over the child or wedge the child in a dangerous position. For example, if the bed is located against a wall and the baby is sleeping between the adult and the wall, the baby could get trapped with his or her mouth and nose pressed against the parent or against a pile of blankets or pillows and would be unable to breathe or get free. “People understandably want to keep their baby close by, and commonsense would seem to suggest that if you keep your baby right there in bed with you, you’ll be more likely to hear crying and will be able to attend to his or her needs right away. But we’re finding out that isn’t the case. Many people sleep so soundly that crying doesn’t wake them, and it’s just too easy for the baby to get wedged up against the caregiver or entangled in blankets or sheets. It’s much safer to keep the baby within arm’s reach in a bassinet in the same room. This is also recommended for breastfeeding moms because they can easily reach over and pick up the baby when it’s time to nurse and then put him or her back to sleep afterward,” Brown says. When it’s time for baby to make the transition to sleeping in a crib, it’s critical to choose a sturdy, wellmaintained crib that presents no safety hazards. A safe crib will meet

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the following criteria: • No cutouts in the headboard or footboard and no inside corner posts • No missing slats • Gaps between the slats should be no farther apart than the diameter of a soda can to prevent the baby’s head from getting trapped • Firm mattress that fits the crib frame with no gaps • Tight-fitting sheet and mattress pad. What about bumper pads and all those cute stuffed toys, fluffy pillows, and plush quilts and blankets? Leave them out of the crib, says Brown. In fact, nothing should be placed in the crib that can end up covering the infant’s head or face. Instead of using blankets, dress your baby in appropriately warm sleeping clothes, such as a one-piece sleeper or a sleep sack. “Parents and caregivers often worry that their baby will be cold at night so they may be tempted to overdress them at bedtime. A good rule of thumb is to dress your baby in the same manner as the adults

in the house. Ask yourself, ‘At what temperature would I be comfortable while sleeping?’ and then dress your baby accordingly for bed,” Brown advises. If a crib or bassinet is unavailable or unaffordable, LCCS recommends a “pack and play” as a safe, modestly priced alternative. Even a dresser drawer lined with a lightweight sheet and placed on the floor next to the bed will work as a safe substitute in a pinch. Brown also cautions parents that they must designate a child’s sleeping area as a smoke-free zone. A recent co-sleeping child fatality occurred in a home where there were indications of heavy tobacco use, and this correlation has been noted in numerous other cases, as well. Knowing how to provide a safe sleeping environment for an infant is a critical parenting skill, and Brown recommends teaching this lesson early. “We should start having this discussion when kids are in their teens so they’re familiar with safe sleeping practices when they begin to have children of their own,” she says. ❦

Spina Bifida Association of Northwest Ohio to hold Walk & Roll-a-Thon

he Spina Bifida Association of Northwest Ohio (SBANWO) invites community members to register for its 4th Annual Walk & Roll-a-Thon on Saturday, September 21, 2013 at the Ada War Memorial Park in Ada, Ohio. Participants may register online at www.firstgiving.com/SBANWO/ walkrollathon. The Walk & Roll-a-Thon celebrates the achievements of those living with spina bifida and helps raise awareness about the importance of folic acid in preventing birth defects. Registration for the event is free. Participants who raise $50 or more are eligible for an Official Walk & Roll-a-Thon t-shirt and other awards. The event includes a booth at the Ada Harvest & Herb Festival, walking in the festival’s parade at 10:00 a.m., and Walk & Roll registration at 11:00 a.m., with the main event kicking off at 1:00 p.m. “This is our fourth year holding the Walk & Roll-a-Thon to bring families together for fun and support while getting out the

message about the importance of folic acid,” said Kathy Luersman, Board Member and Chair of the Walk & Roll-a-Thon Committee. “It’s a highlight of the organization and an opportunity for our families to gather and help others living with spina bifida.” Spina bifida, an incomplete closure of the spinal column that occurs in the first month of pregnancy, is the most frequently occurring, permanently disabling birth defect in the United States. By consuming 400 mcg (0.4 mg) of folic acid prior to pregnancy, women may reduce their chances of having a child with spina bifida by as much as 70 percent. Folic acid also plays a role in the growth of healthy cells, may contribute to a healthy heart, and may help prevent certain types of cancer. For more information about the Walk & Roll-a-Thon or about the Spina Bifida Association of Northwest Ohio, please visit www.sbanwo.org or contact Jennifer O’Brien at 419-794-0561 or sba@sbanwo.org.

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Could your senior loved one be malnourished? T

he aging process is often accompanied by a wide range of physical, psychological, emotional, economic, and social changes, some quite obvious but others much more subtle. Among the many changes seniors experience—or perhaps as a result of them—is an increased risk of malnutrition. Why are seniors at any greater risk of malnutrition than the younger population? After all, if they’ve been eating right all their lives, shouldn’t the same healthy habits continue into their senior years?

Contributing factors

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Actually, there are several significant factors that can influence the way seniors eat or absorb nutrients. Among them: Reduced mobility—Limited mobility, which can stem from a wide range of physical conditions common to aging, can make it very difficult for seniors to get to the grocery store to buy food for themselves or even get to the kitchen to prepare healthy meals for themselves. Medications—Certain medications (or combinations of medications) can cause loss of appetite, changes in the way foods taste, nausea, or other unpleasant side-effects that interfere with eating. Difficulty chewing or swallowing— Oral problems, such as missing teeth, severe decay, poor-fitting dental appliances, gum disease, mouth dryness, or sores in the oral cavity, can make chewing difficult or painful, and certain diseases and treatments can impair the muscles involved in swallowing. Dietary restrictions—Medical dietary restrictions, such as limiting salt or sugar, can cause seniors to lose interest in foods they once enjoyed. Impaired senses— As we age, the senses of taste and smell tend to diminish, which can also lead to loss of enthusiasm toward eating. Depression—Factors such as the loss

of mobility, failing health, chronic illness, grief over the loss of a loved one, and loneliness can lead to depression, which often causes appetite loss. Social isolation—For many seniors, dining is a social experience. Eating alone because of limited mobility or chronic illness may cause them to lose interest in cooking and eating. Economic hardship—Seniors on a tight, fixed income may be unable to afford food or may try to save food for the future instead of eating it now to satisfy their current nutritional needs. The onset of dementia—Various forms of dementia and other cognitive problems significantly increase the risk of malnutrition among seniors.

Senior malnutrition “red flags” Malnutrition in seniors is a stealthy heath issue that often goes undetected until serious complications arise and their health has already begun to deteriorate. However, there are certain “red flags” that family and friends of at-risk seniors should be watching for. Examples include pronounced weight loss, clothes fitting more loosely than normal, a once hearty eater suddenly losing his or her appetite or losing interest in a favorite restaurant, expired or spoiled food left in the refrigerator, unhealthy skin tone, bruising easily, dental problems, poor wound healing, a normally active senior becoming lethargic, symptoms or complaints of depression, and symptoms of dementia or other cognitive problems.

How can you help? If you observe any of these warning signs or simply suspect your senior loved one is having difficulty eating or not getting adequate nutrition, there are several things you can do to make a difference: •Discuss your concerns with your loved one’s healthcare provider. Resolving the

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problem may be a simple matter of changing medications, altering dietary restrictions, addressing oral issues that interfere with chewing, or getting therapy to address swallowing difficulties. A physician can also order screenings for nutritional deficiencies as well as provide referrals to dietitians, psychologists, or other specialists if appropriate. •Assist with food shopping and preparation. Seniors with limited mobility may greatly appreciate someone stepping in to help with their grocery shopping and meal cooking. When preparing meals and snacks, try to make them nutrient-dense. If your senior loved one is on a saltrestricted diet, enliven bland foods

with herbs and seasonings instead of table salt. If circumstances make it impractical for family or friends to provide this type of support, an alternative is to arrange for a home health aide to step in and provide these services or to utilize a community senior nutrition service, such as Meals on Wheels. •Put the social component back in mealtimes. Schedule meal-time visits with your senior loved one— whether in his/her home, your home, or a senior center. Not only will this provide you an opportunity to monitor for signs of eating problems, but it will also help alleviate the sense of loneliness and isolation that can lead to depression. ❦

Cleveland Clinic and ProMedica develop health system affiliation

roMedica and Cleveland Clinic have signed a Memorandum of Understanding to develop a health system affiliation that will better position both organizations to anticipate and proactively respond to the evolving healthcare landscape. As a result of this relationship, Cleveland Clinic and ProMedica will work together to create a clinically aligned network that will provide highquality, cost-effective, and technologically advanced clinical services in a framework of comprehensive population management. “Through this affiliation, ProMedica and Cleveland Clinic will collaborate to address current and emerging national issues in healthcare while maintaining their caring missions to their local communities,” says Randy Oostra, DM, FACHE, president and CEO of ProMedica. “Who better to transform healthcare than healthcare. This alliance represents an inside-out approach to healthcare transformation.” Initial opportunities for collaboration include: the Cleveland Clinic’s Quality Alliance, shared services, clinical and operational standardization, and supply chain efficiencies, as well as patient access and information technology. As the two organizations move forward with their health system affiliation, groundwork will be laid for further integration in the future. “In this transformational time in

healthcare, a new level of collaboration is required and health systems are integrating in unique ways,” said Toby M. Cosgrove, MD, President and Chief Executive Officer, Cleveland Clinic. “This affiliation will allow Cleveland Clinic and ProMedica to work together to improve efficiency, reduce costs, and drive quality and value to patients.” The formal health system affiliation between the two organizations is a natural evolution of the Innovation Alliance ProMedica and Cleveland Clinic formed last year to help develop and commercialize medical innovation. Nationally, healthcare organizations are moving from a hospital-centric model to a more population-centric model. What that means is: Organizations are looking for new and innovative ways to collaborate to provide access to coordinated care across large populations; health systems will network to increase standardization of care and reduce care variation; and for these organizations, there will be increased focus on providing care at the right place, the right time, and at reduced cost. “Increasingly, healthcare organizations from across larger geographic regions will network to improve care in local communities as well as for broader populations,” says Stephen H. Staelin, chairman, ProMedica Board of Trustees. “What’s being expected are new, sophisticated

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Browning Masonic Community Events BRUNCH BUNCH Tuesday, September 17th Blue Creek Conservation Area! One of the newest offerings from the Toledo Metroparks is steeped in tradition dating back to the late 1700’s. It’s located on the edge of Oak Openings and has a one mile loop path leading to wetland and a quarry pond. It has glacial grooves, an Oak Savannah and a Farm House. Breakfast at 9:30 a.m. program to follow. Cost is $5 per person at the door.

For questions or to RSVP, please call Carleen at 419-878-1807. Not on the Browning Masonic Community Event Mailing List? Just call Carleen at 419-878-1807 with your name, address and phone number and we’ll be happy to give you advance notice of these and other exciting events geared toward active older adults in the Northwest Ohio area.

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capabilities to deliver value-based care. We can build these capabilities together, along with economies of scale and skill.” The first step in the health system affiliation is the establishment of an Affiliation Steering Committee to be co-chaired by representatives from Cleveland Clinic and ProMedica, with equal representation from both parties. The steering committee will be responsible for oversight, guidDELTA

ance, and development of the relationship. “This is an important step in the new healthcare realm, which will integrate Cleveland Clinic and ProMedica in deeper ways to enhance healthcare delivery and strengthen our ability to jointly explore additional clinical and functional collaborations,” said Robert E. Rich, Chairman, Cleveland Clinic Board of Directors. ❦

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hen you’ve been running the same course at the same pace for a long period, the route and scenery become boring and you might feel as though you’re on “auto pilot” during your run. Most runners experience these same feelings at one time or another during their training. Challenging yourself daily with your running program will help minimize your “comfort-zone” tendencies. Here’s how: First, runners should set personal fitness goals to improve fitness performance. Whether you are improving your time or your distance, you should be monitoring these personal goals weekly. Remember, you can’t reach goals that you never set for yourself. A daily running log is a great way to monitor time, distance, and running routes to notice patterns in your running and will enable you to achieve your goals. Some are available online for free, such as the Runner’s World Online Logbook at www. runnersworld.com. In addition, choosing different running routes to vary the scenery and terrain will allow you to challenge yourself as a runner. But, most important, remember to choose safe running routes either in a park or on streets with sidewalks. Adding sprints to your workout and varying your speed at different points during your run will provide a more effective, challenging workout, as well. Cross training is another great way to vary your workout routine. Choosing at least two cross-training sports to include in your running program will provide a well-balanced, challenging fitness program. Finally, evaluate yourself as a runner and choose one or two areas in running that you can improve upon, and focus your attention on those areas. For example, my areas of con-

cern are hills and incline workouts. I purposely choose certain routes that concentrate on hills to challenge myself as a runner. There are many ways to discover new challenges as a runner. Find out for yourself what you can do to minimize your “comfort-zone” tendencies. It will make you a better runner. ❦ Amanda Manthey is a former collegiate runner for Eastern Michigan University. She writes about running and fitness for Dave’s Running Shop.

Don’t miss Dave’s races! Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Running Shop. For more information, please visit www. davestraces.com. Sunshine Walk, 5K Run & Roll Saturday, September 7, 2013, 8:30 a.m. at 8035 Monclova Road, Monclova, Ohio. The Sunshine Walk, 5K Run & Roll is a great way to help support Sunshine’s work with individuals with developmental disabilities. The event includes exhibitor booths, a children’s area, music from our DJ, door prizes, refreshments afterwards, and cash prizes for the top runners. For more information, please contact the race director at bampthor@sunshine.org. Putnam County YMCA/Kalida Pioneer Days 5K Sunday, September 8, 2013, at 301 N. 3rd St. in Kalida, Ohio. 5K starts at 9:00 a.m. Tot Trot starts at 10:00 a.m. One-mile Fun Run starts at 9:05 a.m. For more information, please contact the race director at lisa-pcymca@woh.rr.com. Trot for a Track Sunday, September 8, 2013, 9:00 a.m. at 14544 Co. Rd. 6 in Metamora, Ohio. Fast and flat out-andback course allows you to cheer on all runners as they pass by. The proceeds from the race will go towards maintaining the track facilities at Evergreen High School. For more information, please contact the race director at Heidi_1410@yahoo.com.

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Bar 145K Break for Bourbon Thursday, September 12, 2013, 7:00 p.m. at 5305 Monroe St. in Toledo. 3.1 miles of fun followed by an after party that you will not want to miss. Race entry includes post-race snacks, dinner, drink tickets, and a t-shirt in addition to an after party including live entertainment! Prizes for top overall and top finishers for age groups. For more information, please contact the race director at jake@bar145toledo.com. TRRC Open 5K Saturday, September 14, 2013, 6:30 p.m. at 2315 Walden Pond Dr. in Toledo. The TRRC offers runners of all ages the opportunity to run the course that has hosted decades of high school league championships, a MAC collegiate championship, and the 2012 NCAA Midwest Regional championship. For more information, please contact the race director at nearyjd@yahoo.com. Fulton County Health Center Health & Wellness 5K Run/Walk and 1K Run/Walk Saturday, September 14, 2013 at 725 S. Shoop Ave. in Wauseon, Ohio. 1K starts at 8:30 a.m. 5K starts at 9:00 a.m. 5K and 1K accurately measured. Revised slightly from 2012. Starts/finishes behind the Health Center. Best parking is located on grass north of pond. Wheelchairs and strollers are welcome and encouraged for the 1K. Free health screenings for blood sugar and blood pressure available. All proceeds to support health screening and education in the community. For more information, please contact the

race director at jtorres@fulhealth.org. Grasshopper 5K Run/Walk Saturday, September 14, 2013, 8:30 a.m. at Eells Park in Tiffin, Ohio. This race is also known as the Lakota Alumni Run/Walk. We are ready and preparing for this year’s upcoming 5k Run/Walk. We are looking for your support this year so we can successfully assist several Lakota high school student athletes with their college expenses and raise money for the Lakota Cross Country Memorial Scholarship. Visit www.Grasshopper5k.com for more race information. Alexa Brown 5K Saturday, September 21, 2013 on Main St. in Clyde, Ohio. Kids 1K starts at 8:15 a.m. 5K Run/Walk starts at 8:45 a.m. 5K Run/Walk and 1K Kids Fun Run in memory of Alexa Brown. Proceeds go to CureSearch for childhood cancer research. Race Expo and packet pick up Friday, Sept. 20 at Clyde United Methodist Church from 4-7 p.m. For more information, please contact the race director at wbrown71439@woh.rr.com. YES FM 5K Run & Walk Saturday, September 21, 2013, 9:00 a.m. at 3100 Main Street in Maumee, Ohio. 1K Kids Run starts at 8:30 a.m. Family Walk starts at 9:15 a.m. This is a family-friendly event for all ages: great if you’re an experienced runner or just take a casual walk now and then. The proceeds of this event will go to benefit the ministry of YES FM. Each pre-registered participant in the 5K will receive a T-shirt.

For more information, please contact the race director at cindy@yeshome.com. One Step At A Time Saturday, September 28, 2013 9:00 a.m. at 950 Webster St. in Defiance, Ohio. This 5K Run/Walk has been planned to help raise awareness about depression and its sometimes fatal result—suicide. This run/walk is in memory of Scott Hammersmith and those who have died by suicide. Come out to walk or run in memory of someone you have lost or to help spread the word so others are not lost. If you are committed to our message but not quite ready for a 3.1-mile run or walk, we have measured an easy one-mile walk around the Defiance College campus. If you want to help but can’t participate, simply make a donation in any amount. For more information, please contact the race director at pam@ fourcountyadamhs.com. Tiffin Firefighter’s 5K & 1-Mile Fun Run Sunday, September 29, 2013, 2:00 p.m. at 491 Coe St. in Tiffin, Ohio. The 5k course is an out-and-back road course run along Coe St. and Jefferson St. The course is flat, and roadways will be closed. We will be using disposable chip timing this year for the 5k. The 1-Mile Fun Run is held entirely inside Hedges-Boyer Park and is two laps around the walking path. It is open to all ages. For more information, please contact the race director at rchappell0174@gmail.com ❦.

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Have questions about an advertiser? Click their email or web address in our online issue at www.hlntoledo.com. 9561-08 Toledo Dollars and Sense_10.25x6.25_HLN_key1.indd 1 Healthy Living News | May 2013 1/2 Page (10.25 x 6.25) | 4C

3/28/13 12:14 PM

LeMoyne Mercer

A Walk in the Park

you come to Mammoth, anyway?” Now, the Mammoth Hot Springs really are among the wonders of the world. But we have seen them more than once and have become like those New Yorkers who don’t go to the Statue of Liberty. I told Russ that we used to camp at Canyon because it is centrally located. In the last eight years, however, we have chosen the Mammoth Campground because it is closer to the streams we like to fish—the Gardener River, and Panther, Soda Butte, and Slough Creek.

Why do you come to Mammoth, anyway? On July 21, we were back in Yellowstone again—as we have been for eight years in a row. Shirley loves Yellowstone, and who am I to disagree? Let me teach you a trick for when geezers start to tell you a story you have heard eight times or more: Put your right thumb and first two fingers together and tap them over your heart. This is the universal signal for “Here you go again….” So, if you have read my accounts of Yellowstone too many times already, just look at the photos and move on. Anyway, we had looked forward to seeing Russ and Susan Farmer, campground hosts at Mammoth, even more than seeing Old Faithful again. No, really. Russ, who knows we tend to show up there every year, asked, “Why do

This is the director of the famous Coyote Boys’ Choir. He is often joined by canine guest artists who are on the road with RVers.

At Mammoth Campground, Shirley and I prefer site 45 overlooking the valley of the lower Gardner River. More often than not, the elk come up from the river and right through the campground on their way to the tender, irrigated grass up in the town of Mammoth. In the evening or early in the morning, the coyotes sound

30 September 2013 / Healthy Living News

This bull bison enjoyed his dust bath so much he chased away all intruders.

the call of the wild and the tourists’ dogs sing the obbligato. Just a short drive from Mammoth is the wonderful Lamar Valley with prodigious numbers of bison, occasional herds of pronghorns, and once in a while a bear or two. Typically, we get up early and stop at the Roosevelt Lodge for coffee. On July 26, as we entered the valley, Shirley thought she spotted smoke rising from behind a ridge. “No,” I said, “that’s probably just mist rising from the river.” It turns out that we were both wrong. The smoke or mist was actually the result of bison enjoying numerous dust baths. You would not think they could raise that much dust just by rolling on the ground. But there were more bison than we have ever seen before and they all seemed to want to participate in their equivalent of the Roman bath house. One old bull in particular jealously guarded his share of the dirt from younger intruders. You would think with all that open space, every animal could find his own place to roll around. Like people, though, bison seem to think that nothing they have is quite as good as what that other fellow is enjoying. It is always nice to see the herds prospering in the Lamar Valley as they do also over in Hayden Valley. But it is getting increasingly difficult to fish the Soda Butte when the bison may not be willing to share the space. Even so, the drive up the valley is worthwhile for its own sake with the rugged Beartooth Mountains rising to the east. And, of course, a river runs through it. After a nice camp dinner back at Mammoth, Shirley and I watch the evening shadows climb the cliff face across the way. Once the sun drops

behind the ridge, the temperature declines quickly. We adjourn to the RV to read or play cards until bed time. Don’t tell the youngsters, but sometimes that is 9:00. A recent study shows that after about a week of camping, without electric lights, your body adapts to the natural sunrisesunset rhythm of life. In the morning, we have an omelet or French toast or eggs over with bacon before heading out fly fishing. (Shirley has to be bullied into this routine, but she takes it in good spirits.) Actually, given her druthers, we would fish Panther Creek every day. That woman has taken hundreds of trout (no exaggeration) in that tiny stream. Note that I say “in” not “from.” We’re strictly catch-andrelease anglers. Still, she insists on telling people, “Oh, I’m just a beginner. And I insist that after your first thousand trout, you are no longer eligible for amateur status. Quite often she takes pity on me. “That looks like a five-fish hole,” she’ll say. Or, “Try this hole. I’m sure there is a fish or two I’ve missed.” By early afternoon, we are back in camp, usually quite worn out. Fishing the Panther Creek typically involves about 3.5 miles of walking. No big deal unless you are wearing waders and trudging through the sage brush and dwarf willows. Even so, the walk is a pleasure. The gently rolling meadows of the upper Gardner are surrounded by mountains. Growing among the sage and out in the grass there are yellow potentilla, little blue hare bells and lupines, Indian paintbrush, golden-eyed alpine asters, and creamy colored sulphur buckwheat. Shirley says it is her favorite place in the whole world. But she tends to say that about everywhere we go. Still, I pity the fools who have not yet

A simple camp dinner of shrimp and cheesy grits is not a bad way to end another day in the park.

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Can you hear me now? Distracted by her cell phone call, this woman wandered into the thermal Keep Out zone. had the chance to fall in love with Yellowstone. As I was saying, by early afternoon we are back in camp. At 3:00 it is cocktail hour. (Yellowstone is on Mountain Time, so it is 5:00 back home. Besides, it is always 5:00 somewhere.) So, we were sitting around with our red wine or bourbon with cheese and crackers and stuffed olives or whatever and I said, “Time to do the Hot Springs again?” “Whatever you say,” says she. We have driven past the springs often enough to know that the hordes of tourists don’t show up until they have finished breakfast at the hotel. Finding a parking space is easy before 9:00, and the boardwalks are not crowded. The first thing you need to know is that “mammoth” is not just a marketing claim. The thermal features really are huge, not just in area but in height. Opal Terrace, for example, grows at the rate of about a foot a year. In geologic terms, that’s approaching the speed of light. It also creates a dilemma for the Park Service which is charged with preserving both natural and historic features. The rapid growth of Opal threatens the nearby Robert Reamer House, built in 1908 in the Frank Lloyd Wright Prairie Style. Pretty soon the house will be petrified.

In early May, elk calves are born right in Mammoth. They spend the summer with their mothers wandering through the campground as they move from the Gardner River up to the tender grass in town.

Then, of course, the park will have another attraction. Another fast mover near Opal is the Liberty Cap. Internal pressure raised it to a height of 37 feet. The earth’s crust in thermal areas is quite thin and fragile. Russ said there were two hospitalizations last year because tourists were burned after walking where they should not go (none this year as of Aug.1). When Shirley and I were at the Liberty Cap, a woman on a cell phone was so distracted that she wandered into the restricted zone. Park staff yelled, “Can you hear me now? Get out of there!” The basic color of the travertine

—Continued on page 45

Mobile Care Group welcomes new Medical Director

Give your home or office curb appeal PAVING SEALING BLACKTOP

obile Care Group (MCG) is proud to announce that Joseph S. Peyton, DO, will be joining their medical team as Medical Director. Dr. Peyton has numerous medical distinctions, certifications, and licensures, including: Member of Ohio and Michigan Medical Boards, Certificate of Added Qualifications in Geriatric Medicine, American Board of Family Medicine, American Board of Osteopathic Family Practice, Advance Cardiac Life Support, Certified Medical Director, and United States Department of Justice Drug Enforcement Administration. He is currently a volunteer faculty member at Ohio University College of Osteopathic Medicine. Dr. Peyton received the “Outstanding Family Physician Award” in 2000, 2004, and 2013. His current practices include:

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• Maumee Medical Partners, LLC, Maumee, OH • Aspen Medical Partners, LLC, Lambertville, MI • Aspen Urgent Care, LLC, Lambertville, MI • And a new company, Peyton Care Professionals, which will be an extension of his family practice, providing services to those who are home-bound. Joe Wallace, MCG President, commented, “We feel very fortunate to have Dr. Peyton’s extensive qualifications, adding to the exceptional services we are already providing in Ohio and Michigan. He is a great addition to our medical team!” For more information about Mobile Care Group, call 419-882-5000 or visit www.mobilecaregroup.com. ❦

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Don’t miss Elizabeth Scott’s 5th Annual September Fest!

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or the fifth consecutive year, the Elizabeth Scott Community in Maumee will celebrate the fall season with it’s Fifth Annual September Fest! The free, family friendly outdoor event is open to the public and will be held on Saturday, September 14 from Noon–5:00 p.m. on the Elizabeth Scott Community’s campus, 2720 Albon Road, Maumee. Elizabeth Scott, which offers independent and assisted living as well as skilled rehab, introduced its first September Fest four years ago when it commemorated its 60th anniversary. Nearly 1,500 guests turned out last year. “We try to add something new to the event each year,” says Matt Bucher, Director of Marketing for the facility. “For example, this year we’re adding a zip-line that’s 35 feet tall and 135 feet long. We are also introducing the Trinity Acres Petting Zoo for children. Plus we’ll have our antique farm tractors on display again along with giant inflatables for kids.” Bucher says the antique tractors have become a key attraction. “A lot of festivals feature classic cars,” says Bucher. “We’re just a little different with our antique farm tractors.” The tractors are part of an antique tractor club called Power of Yesteryear. Bucher says there is significance to having the antique farm tractors at September Fest, since the Elizabeth Scott Community was started in his great-grandmother’s farmhouse. Today, that farmhouse is still a part of the Elizabeth Scott

campus. “Plus, we’re located in a rural area, so we believe there is a tie-in with that.” Legend: The Band returns once again to provide live 50s, 60s, and 70s music. New this year is The Off Broadway Dance Company, featuring a tap-dancing troupe. Maddison Binkley, a local songwriter, is also new to September Fest and will perform this year. Elizabeth Scott’s September Fest will also feature giant inflatables for kids, a kids tent with face painting and balloons, an arts-and-crafts show, as well as Las-Vegas-style casino games with play money. “The casino games are a huge hit with the residents of our facility,” says Bucher. “But they are open to anyone who attends the event.” Those who attend can also purchase food and refreshments from We Are Ribs, a multiple winner of the Northwest Ohio Rib-Off, Nick’s World Famous Hot Dogs, Poppin George’s Kettle Corn, and Bialecki’s Old Fashion Ice Cream. Non-alcoholic soft drinks will also be sold. Admission and parking are free. Elizabeth Scott’s September Fest will be held on its campus, 2720 Albon Rd., in Maumee just west of I-475 between Salisbury Road and Airport Highway. The Elizabeth Scott Community has been family owned and operated through many generations since it was founded in 1949. For more information about September Fest, call The Elizabeth Scott Community at 419-865-3002 or visit www. elizabethscott.org. ❦

Activities at Elizabeth Scott’s 5th Annual September Fest New Activities This Year!

Zip-Line (35’ tall x 135’ long) Trinity Acres Petting Zoo

Other Activities

Antique Tractor Display from Power of Yesteryear Arts & Crafts Show Giant Inflatables Face Painting & Balloons Las Vegas Casino (play money, no cash winnings)

32 September 2013 / Healthy Living News

Entertainment

Legend: The Band—50s, 60s, & 70s Music The Off Broadway Dance Company— Tap-Dancing Troupe Maddison Binkley—local songwriter

Food to Purchase

We Are Ribs—Multiple Winner of NW Ohio Rib-Off Nick's World Famous Hot Dogs Poppin George's Kettle Corn Bialecki's Old Fashion Ice Cream Soft Drinks (no alcohol)

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10.25x12.625_ES_Sept#7F90CF.pdf

8/20/13

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ELIZABETH SCOTT’S 5TH ANNUAL SAT., SEPT. 14 • 12-5 pm

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A FUN, FREE FAMILY EVENT!

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Local physician takes the fight to breast cancer—and this time it’s personal

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r. Marilyn “Lindy” Agee of The spective on what patients go through Toledo Clinic—Sylvania Famduring breast cancer treatment,” she ily Physicians has diagnosed many observes. patients with breast cancer in her At the time of her diagnosis, Dr. 22 years as a family practitioner. But Agee was enrolled in a marathonbefore this past January, she never training group offered through thought she’d be on the receiving Dave’s Running Shop and was planend of that diagnosis. ning to add another marathon to An avid runner, Dr. Agee pracher running resume. Last year, she tices the healthy, active lifestyle completed three half marathons, one she preaches to her patients. She full marathon, and a 50K. She was gets regular, vigorous also planning to do physical activity; eats an Iron Man competia healthy diet; shuns tion with her son, Jack tobacco; and limits alEvans. On December cohol use—all habits 24, ten weeks into known to help keep training and one day cancer at bay. She debefore discovering the veloped breast cancer lump, she registered nonetheless. for the Iron Man and Ironically, the first sent in her payment. race Dr. Agee ever “The Iron Man was ran was the Susan G. supposed to be my Komen Race for The challenge for this year. Cure, which raises Now, breast cancer is funds to help fight my challenge, and it breast cancer, and does feel like a fight. she’s participated in Dr. Marilyn Agee and daughter You have to get yourthe event every year Molly Porterfield self pumped up for it,” since she took up runshe explains. ning over 15 years ago. “I usually run The best way Dr. Agee knows to in honor of my patients with breast fight her cancer is to keep running cancer or in memory of those who and stay active. Since her diagnosis, have passed away,” she says. “Until she has competed in the Glass City the day before I found a lump in my 5K, Beat the Wheat 5K, the Rose Run, breast, I never thought I’d be the one and the Women Only Dri-Tri. Before fighting this disease.” this issue goes to press, she will also She discovered that walnut-sized have completed the biking segment lump on Christmas morning of 2012. of the Sylvania Triathlon as part of a She woke up, stretched, and realized relay team. Of course, she plans to something felt wrong. She didn’t take part in this year’s Race for the think the lump could be breast canCure, to be held Sunday, September cer, and didn’t even tell her husband 29. She’ll be completing her radiation immediately, because she’d just had treatments right before the event a mammogram about three weeks and hopes to participate in the event earlier and the result was negative. with Team Pink Posse, a large group However, further diagnostic imaging of friends, family members, and ofrevealed the irrefutable truth. “The fice staff. tumor just lit up on MRI,” she reRunning has played an important calls. She was officially diagnosed in role in Dr. Agee’s recovery, and she early January. What’s more, she has a urges others to get moving and stay rare form of the disease called triple active. “Vigorous exercise is therapeunegative metaplastic invasive ductal tic physically, mentally, emotionally, carcinoma, which accounts for only and socially. If you’re going through about three percent of breast cancer cancer treatment like I am, you’re cases and has not been extensively probably going to struggle a bit more researched. because your body has to commit a Before sharing her story with lot of energy toward healing. But HLN, Dr. Agee had undergone a don’t give up. It’s important to mainbilateral mastectomy and completed tain some normalcy. If you act like her chemotherapy regimen. Soon you’re healthy and well, you’re going she’ll begin a series of 28 radiation to feel healthy and well,” she states. sessions, after which she’ll have a Dr. Agee advises all her patients six-month recovery period followed to be aware of their bodies and to get by more reconstructive surgery. “All a medical evaluation immediately this has given me a whole new perif they think something is wrong. We love comments and feedback. Like us on Facebook. Follow us on Twitter.

She also points out that it’s no coincidence that patients who live into their 80s and 90s almost always report having very healthy lifestyle habits, such as staying active, eating healthy foods, avoiding smoking, and moderating alcohol consumption. "My belief is, we only get one chance at this, only one life. Whether you’re dealing with a serious health issue or not, if you want to enjoy it, you have to be as healthy as possible, and that takes effort and dedication,” she says. Dr. Agee can’t express how grateful she is for all the care, support, and assistance she’s received from family (especially her husband), friends, neighbors, patients, and even strangers. “You find out who your friends really are at a time like this, and I found out I have a lot more friends than I thought. I just hope I have the opportunity to do the same for them when they need it,” she remarks. After she completes treatment,

and if everything is clear, Dr. Agee will go on surveillance, with checkups every three months for three years, then every six months for another two years. That essentially means watching and waiting for potential recurrence, which can be very emotionally trying. However, she’s ready to face the challenge, and she plans to get back to racing as quickly as possible. After the Race for the Cure, she intends to participate in the Detroit Half Marathon on October 20 and then, hopefully, in a full marathon and triathlon. She’s taking it one step at a time. In Dr. Agee’s office hangs a quilt made out of race t-shirts, which serves not only as a reminder of her past running achievements, but also as an example and inspiration to others. “I hope the quilt conveys the message to my patients and staff that if I can do it, they can do it too,” she says. ❦

News From

OTTERBEIN by Robin Small

Healthy and active lifestyle choices result in fewer memory complaints

ccording to a 2010 survey by AARP, nearly 75% of seniors want to remain in their current residence for as long as possible. Home is where most people want to be! But wait, what if living at home is not the best option for successful aging? Take a few seconds to answer these six questions: 1. Do you live alone in your home? 2. Do you eat alone at least two meals of the day? 3. Do you smoke? 4. During waking hours, do you sit more than eight hours a day? 5. Do you have any problems with your memory? 6. In the last week, on how many days did you have at least five servings of vegetables and fruits? If you answered yes to any of the first five questions and eat less than five servings of fruits and vegetables each day, you may need to make some lifestyle changes to maintain good physical and mental health. Research conducted by UCLA and the Gallup Poll organization in the

spring of 2013 revealed that healthy eating, not smoking, and exercising regularly were related to better selfperceived memory abilities for most adult groups. At any age, making changes that promote better health can make significant changes in your physical well-being and also your ability to remember. Change is difficult for most people. We start out with good intentions, but, after a short time, without proper encouragement and reinforcement, we go back to our former ways. I suppose this is why we have New Year’s resolutions—another chance to start new! As you read this article, consider what your life might be like living in a community designed to provide a healthy lifestyle. Otterbein Portage Valley is that kind of place. Our campus is located just minutes from Toledo and Bowling Green. Move in to our villa neighborhood where we provide opportunities for friendships, healthy meals in our renovated dining room, exercise classes, walking trails, and the security in knowing that a physician and a Medicare 5-Star Nursing

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Assisted living defined by Jessica Derkis

or many, including myself, it is care organizations may include three difficult to accept others’ help. We meals per day, some may offer one or are independent people; we enjoy two, and some offer none at all. Some making our own decisions and havinclude help with certain activities ing options—and that during the day or spedoesn’t change as we cific supervision while Bear one another’s get older. Many have others offer help with enjoyed their own burdens, and so fulfill an entirely different home for many years set of needs or wants. and have asked family the law of Christ. Most agree assisted —Galatians 6:2 members to promise living is a measure to to “never put them in keep seniors as indea home.” pendent as long as Unfortunately, though, according possible. Shawn Litten, Executive to a recent Genworth study, 70% of Director of St. Clare Commons, notes those who are 65 or older will need that the assisted living that will open some type of long-term care. If we are this fall will, “provide all the comforts blessed with a long life, odds are that of home, lots of social activities, with we will need some help. Thankfully, a ‘medical safety net’ to help when it there are many more options for caris needed. But the medical side will ing for a senior loved one than even be completely unobtrusive when it a decade ago. And assisted living has isn’t needed.” added all kinds of new possibilities We often recognize the need for for many families. a little help because our world gets Assisted living can mean differsmaller around us. We cannot drive. ent things to different people and We don’t see as many people as we even between organizations. This used to. We can’t get the groceries we inconsistency can make it somewhat like. We must depend on others for difficult to compare services. Some much more. Family members set up

medications, take turns checking in on us, and help with housekeeping, lawn care, and other needs. Yet we sometimes resist. Assisted living is meant to open that world up again. For instance, St. Clare Commons offers ample meal opportunities, a piano bar and lounge, a library, a fitness center, and other spaces to encourage socializing, entertainment, exercise, and engagement. Important to St. Clare

The beautifully appointed Chapel at St. Clare Commons was recently blessed and dedicated by Bishop Leonard P. Blair.

Commons’ sponsors, the Sisters of St. Francis of Sylvania, Ohio, spiritual care is well planned, from the beautifully appointed Chapel recently blessed and dedicated by Bishop Leonard P. Blair to the full-time Sisters of St. Francis who will oversee the needs of the senior flock served. Technology is also imperative in maintaining independence and communicating. St. Clare Commons will have an in-house mobile phone service for seniors to reach out to caregivers 24/7. Plus, the comingsoon telemedicine system will help physicians and nurse practitioners communicate with outside physicians and emergency-room services, and the use of Behavior Based Ergonomic Therapy will improve health and wellbeing for those served. Would you like to know what to look for when you look at assistedliving options? Do you know what questions to ask? Order your free brochure and information on choosing assisted living for yourself or a loved one. Call 419-931-0050, email info@stclarecommons.org, or visit St. Clare Commons Open House on Sunday, September 22, from 11:00 a.m. until 3:00 p.m. ❦ Jessica Derkis is the Marketing Director for St. Clare Commons.

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Mercy St. Vincent unveils new Home Away From Home for families of out-of-town patients

With our VA contract, we can accept veterans who are not well enough to go home after their hospital stay. We also have long-term beds available, should the need arise. Your benefits may cover: Room • Meals • Skilled nursing care • Physical, speech, and occupational therapy Respiratory therapy • Medical and nursing supplies • Oral medications Most items of durable medical equipment • Routine laboratory tests • Routine physician visits

eing hospitalized with a traumatic injury or critical illness is stressful under the best of circumstances. But when a seriously injured or sick patient’s family members live too far away to provide their loved one much-needed bedside support, that stress level can really skyrocket— even to the extent of interfering with healing and recovery. To ensure that emergent out-oftown patients get all the emotional support they need from family on a day-to-day basis, Mercy recently un-

We suggest contacting Veteran’s Services Commission Office in your county for assistance with veteran’s benefit questions and to verify skilled nursing benefits.

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veiled a new freestanding Home Away From Home facility on the campus of Mercy St. Vincent Medical Center. The new facility is available to any family that lives an hour or more away from Mercy St. Vincent and whose loved one is hospitalized in critical or serious condition. Patients and their families who are scheduled for an early morning procedure where travel distance is burdensome can also take advantage of the service. Actually, Home Away From Home at St. V’s has been providing a comfortable place to stay for families of out-of-town patients since 1999, formerly in the old School-of-Nursing building. But the new 9,000-squarefoot, freestanding facility takes comfort, convenience, and amenities to a whole new level. “The new Home Away From Home features 15 guest rooms with two queen beds, a computer area, a children’s play area, a clothes washer and dryer, a nearly full-service kitchen, and a patio and common areas for relaxing,”

says Michelle Isaacs, MSW, Manager of Home Away From Home. “But what I’m especially pleased about is the fact that the facility is staffed by licensed, professional social workers who can provide emotional support to patients’ families.” Two licensed massage therapists also donate their time to help patients’ family members relax and cope with the anxiety of having a loved one hospitalized with a serious injury or illness. They come to the facility at least twice a month, if not weekly, to provide complimentary massages for guests. Home Away From Home is a tremendous comfort to patients and their families alike. For outof-town trauma patients, who are

hospitalized unexpectedly in unfamiliar surroundings, this service can be particularly reassuring. Isaacs notes that the emotional support they receive can actually expedite healing. For family members, Home Away From Home not only alleviates the stress of worrying about a distant loved-one’s condition and care, but also removes the burden of travel. In fact, families from all over the country, including Alaska and Hawaii, have utilized the service. Also, because Mercy St. Vincent has sister facilities in Tiffin, Willard, and Defiance, many patients are transferred to St. V’s from those areas, and Home Away From Home offers their families a convenient, comfortable place to stay. Though guests must meet certain criteria, Isaacs observes that no Home Away From Home guest is typical. “Every situation is different, and every family dynamic is unique. That’s why it’s such a blessing to have a staff of social workers who are able to handle

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all different family dynamics and circumstances,” she says. A donation of $30 is requested for each night in the facility, but guests are not sent a statement or bill. Instead, they receive an envelope and payment form upon admission and can remit the donation at their convenience if they are able. No one is refused due to inability to pay. Some guests pay far above the requested amount, which helps to offset the cost of those who are financially unable to donate. Isaacs comments that many guests who cannot pay at the time of their stay send in a donation days, weeks, or months later when finances allow. “Also, the Mercy Foundation is very active in supporting Home Away From Home. In fact, they raised all the funds to construct the new freestanding building,” she adds. Reservations are not accepted for Home Away From Home. Families can call any time, day or night, to request a room at 419-251-6400. The St. Vincent emergency department staff is also very knowledgeable about the program and can help connect trauma patients’ families with the facility. Home Away From Home guests can stay until their loved one is discharged. In the event that there’s a waiting list to get in, guests will be selected based on how far away

they live and the condition of their loved one. “Providing a place for loved ones to stay when a patient is seriously injured or ill may not seem like a big

thing, but for families that live far away and can’t easily commute back and forth, it can be a huge relief,” Isaacs says. ❦

THE ACADEMY CORNER Presented on behalf of

The Academy of Medicine of Toledo & Lucas County

A case of carpal tunnel syndrome by Joel Castellanos

riving to her family doctor ’s office, Janice’s right hand felt like it could barely grip the steering wheel. She was worried and anxious to find out what was wrong with her hand. As a postal worker, she used her hands constantly throughout the day. Over the past several weeks, she had begun to dread going to work because of the uncomfortable weakness and tingling sensation that she knew she would experience throughout the day. When I walked into the exam room, I greeted Janice with a smile and handshake and noticed that her hand grip was weak. I had known Janice since she and her husband

moved to the area for her husband’s job 12 years ago. I inquired about her family and asked what brought her in. She stated, “Over the past couple of weeks, my right hand has had this funny feeling. Throughout the day when I’m sorting through mail, my thumb, pointer finger, and middle finger will start to tingle and go numb. I’ve also noticed that opening doors and grabbing things has become more difficult. This past Wednesday, I even woke up in my sleep and my hand was numb, which made me call you.”

Taking a closer look at her right hand, I compared hand-grip strength by having Janice squeeze my hands simultaneously. Her right hand-grip strength was markedly weaker than her left. I also compared sensation between the pointer finger and pinky finger of her right hand with a pin prick. Janice stated in amazement, “Wow, I barely felt it when you pricked my pointer finger!” A few other quick things that I looked for were the Phalen sign and the Tinel sign. The Phalen sign elicits tingling and numbness in the middle, pointer, and index finger when the patient flexes their wrists (with their fingers down) for 60 seconds. The Tinel sign demonstrates the same findings when the back of the wrist is tapped. Janice did notice numbness and tingling during both of these tests. “Well Janice, it seems that you have something called carpal tunnel syndrome,” I said. “It’s caused by compression of the median nerve in the wrist that can result in pain, numbness, and tingling in the thumb, forefinger, and middle finger. Luckily there are a number of options for treatment. First and foremost, we

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need to identify the activities in your life that are aggravating your symptoms and try to modify those.” Janice interjected with a concerned look on her face, “Will I need to have surgery?” “Possibly,” I replied, “but there are many other things that we can do to help control your symptoms before we come to that point. I am going to ask you to wear a wrist splint for two months and come back to see me. If pain continues, I will refer you to a doctor who specializes in pain to get a test called electromyography and nerve-conduction studies to confirm the diagnosis as well as talk about more invasive treatment for symptom control, such as steroid injections. If all of these efforts do not relieve your symptoms, then we may talk about surgery. Carpal tunnel release surgery can be done endoscopically

with minimal scarring and increased symptom relief.” Janice was grateful for the information and followed up a month later with some symptom relief. She said that she still woke up at night from time to time with thumb numbness. I referred her to a pain doctor, who gave her wrist corticosteroid injections that relieved her symptoms almost completely. The doctor made sure that Janice knew that the carpal tunnel release surgery still might be in her future, but that she shouldn’t worry as long as corticosteroid injections were controlling her symptoms. ❦ Submitted by Joel Castellanos on behalf of The Academy of Medicine of Toledo and Lucas County, www. toledoacademyofmedicine.org.

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ProMedica Wildwood Athletic Club invests in all new equipment and program offerings

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s a comprehensive, medically based fitness facility, ProMedica Wildwood Athletic Club continually strives to offer members the highest quality fitness experience as well as the greatest value for their membership dollar. With that objective foremost in mind, Wildwood has introduced a host of exciting new exercise programs and installed all new cardiovascular and strength-training equipment. In group exercise programs alone, Wildwood has added 20 new offerings, bringing the total to 82 classes. Cardio Fusion, Core & More, F.I.T. Bootcamp, an extended Strictly Strength, and Aqua-Dance are just a sampling of the new group classes available. The schedule has also expanded to include more noontime and after-work classes to accommodate busy working members. Suzette Valiton, General Manager

of ProMedica Wildwood Athletic Club, notes that high-intensity fitness programs are growing in popularity and popping up all around the community, and many of these facilities charge on a per-class basis. “What many area residents may not realize is that they can experience the same type of training here at Wildwood in our Athlekinetix, F.I.T. Bootcamp, and Cardio Fusion classes as part of their membership. In fact, the cost of taking just a couple classes per week elsewhere is equal to a Wildwood membership, which gives you access to all the brand-new equipment, the pool, our Kids’ Club, and all the other programs and services we offer. Of course, all of our classes are taught by degreed, certified, and licensed experts,” she says. Having a strong medical component also sets Wildwood apart. Their wide range

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of medically based programs includes And that’s just scratching the surofferings such as Gentle Aqua-Roface. The new equipment lineup also bics and Joints in Motion for cliniincludes the Cybex Bravo Functional cal clients with arthritis or chronic Training System; Cybex Total Body joint or muscle pain; Senior Sculpt, a Arc Trainers; Precor AMTs, treadfull-body workout utilizing weights, mills, ellipticals, and bikes; Technobands, and balls that focuses on balgym stretching machines; Keiser M3 ance and flexibility; Gentle Yoga, indoor cycles; Nautilus step mills; which teaches basic yoga poses and Concept 2 rowers, and much more. proper breathing techValiton is enthusiastic about the fact niques; and Chair that the new equipment is part of Yoga, which utilizes a five-year renewal lease program, a chair to assist with which means Wildwood will be ofbalance poses. fering all new equipment to members The Wildwood every five years. “This represents facility itself is also getProMedica’s investment in the presting a facelift, which will ent and future of our club and their include resurfacing of commitment to the health and wellthe pool, high-definition ness of our community,” she states. TVs, a new steam room, In addition to introducing new locker room shower fixequipment and exercise programs, ture updates, new carpetWildwood is currently in preparation ing and flooring in the to be evaluated for certification by the men’s locker room, and Medical Fitness Association (MFA). some painting. MFA certification indicates that a The new cardio and facility meets a wide strength-training equiprange of rigorous ment was sourced from standards and highly reputable, stateguidelines to of-the-art manufacbe recognized turers, such as Precor, as a medically Cybex, Technogym, based center. Power Plate, Keiser, It’s similar in Nautilus, and Concept2. many ways to the Pieces were chosen not accreditation The Power Plate Pro 7 (above) and just because they ’re healthcare orTechnogym's Kinesis® One (pictured on the new to the market, but previous page) are just two of Wildwood g a n i z a t i o n s because research has strive to earn Athletic Club's new acquisitions. proven that they get from the Joint excellent results. “If we don’t offer Commission. a piece of equipment, it’s because To offer the community an opporresearch hasn’t proven it out or it tunity to see all the exciting changes hasn’t proven out for or members,” and updates currently underway, Valiton comments. Wildwood will hold a Grand ReopenAmong the cutting-edge new ing during the week of October 21. equipment is Technogym’s Kinesis® The weeklong event will include One. Utilizing a closed-loop cable plenty of free seminars, workshops, system, rotating pulleys, and dual and demonstrations. Free memberweight stacks (which are concealed ship passes will also be available to behind a wall), this sleek, innovative those interested in trying the equipsystem allows unrestricted movement and facilities at Wildwood. ment in any direction and provides For more information on all the a natural-feeling whole-body workupgrades and the Grand Reopening, out. Essentially, your body—not the or if you just want to be kept apprised machine—defines the movements of what’s happening at Wildwood, of the workout. Kinesis One is also subscribe to their monthly eMagafully accessible to wheelchair users. zine, Living Well, at http://wildwood Another example is the Power athleticclub.olhblogspot.com. Plate Pro 7 Vibration Platform. “This “We’re very excited about the system improves your balance and value this represents for our memcore strength and can even be used bers. It’s a chance for them to try new for a whole-body workout. It’s dethings and get re-energized in their signed to vibrate at different intensiworkouts. There truly is something ties, which puts the body gently off for everyone here, regardless of their balance so it has to adapt and correct age, goals, or current fitness level. the imbalance. It’s great for people With so many options and upgrades, struggling with balance issues right it’s pretty hard to say you’re bored up through extreme athletes who with your fitness routine here at are looking for an edge,” Valiton ProMedica Wildwood Athletic Club,” explains. says Valiton. ❦

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42 September 2013 / Healthy Living News

s children, no dinner went by without being told, “Eat your vegetables” and we were routinely subjected to quaint food-related proverbs like “An apple a day keeps the doctor away.” I remember thinking, if fruits and vegetables are so good and nutritious, maybe we should send them to those starving kids in China I keep hearing about. Anyway, these sayings are still quite popular with parents today, but now we have the science to back them up. In the 1990s, numerous studies looking at diet and cancer found that fruits and vegetables have a significant protective effect against a variety of cancers. Then in the 2000s (the aughts?), studies dug even deeper and revealed that thousands of protective phytochemicals—chemical compounds that occur naturally in plants—found in fruits and vegetables help protect against a wide range of diseases, including cardiovascular disease, cancer, Alzheimer’s, cataracts, diabetes, and even asthma. Apples, in addition to being downright delicious and coming in many different kinds to suit every taste, are a widely consumed rich source of these phytochemicals, and many studies show that they contain a variety of the particularly helpful ones. So, “An apple a day keeps the doctor away” is an appropriate reference to the apple’s nutritious attributes after all. Apple consumption has long been studied for its role in preventing disease, including several cancers. In fact, eating one apple a day has been shown to reduce the risk of colorectal cancer by more than onethird. Also, several studies show that eating apples or drinking apple juice may protect against symptoms of Alzheimer’s disease and oxidative brain damage that can lead to memory loss.

Apple facts and findings Bet you didn’t know: • Apples are part of the rose family and are the most widely

cultivated fruit tree. • There are more than 7,500 varieties of this white-fleshed, green-, red-, or yellow-skinned fruit. • One medium apple is about 95 calories and packs a healthy dose of the health-protecting plant chemicals known as polyphenols, fiber, and vitamin C. • Apples contain more than 4,000 flavonoids—a category of polyphenol.

“A-peel” by the bushel Many of those beneficial phytochemicals are located in the peel, so the most nutritious way to eat apples is whole, unpeeled, and raw. That’s easy enough since, as I mentioned earlier, there are so many delicious varieties to choose from. I recommend trying several varieties until you find one that really tempts your taste buds. If the ubiquitous Red Delicious isn’t to your liking, try a crisp, sweet Gala. Or, if you really like ‘em sweet, how about Pink Lady or the aptly named Honey Crisp? Prefer a subtle spice note in your apple? Try Winesap. If your taste leans to the tart, you can’t go wrong with Sierra Beauty. Of course, the good old McIntosh offers the perfect balance of sweet and tart. The list goes on and on. If you can’t find an apple that pleases your palate, you’re just not trying hard enough. Also, try apples peeled and served with nuts and cheese or starring in a Waldorf salad. They’re delicious incorporated into cole slaw as well. Of course, baking apples into cobblers, crisps, and muffins makes a warm and comforting fall treat. Keep in mind that apples are at their best from the end of August until early November (beginning right now, coincidentally!). For best results, choose firm apples with deep coloring and store them in your refrigerator ’s crisper. If you’re con-

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cerned about pesticides and residues, choose organic apples. In any case, be sure to wash your apples thoroughly before eating raw.

Go ahead, take a bite! Now we know that apples may play a huge role in reducing the risk of a

variety of chronic diseases and maintaining a healthy lifestyle in general. Plus, we have the science to prove it. So, have you had your apple for today? ❦ Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

UTMC and St. Francis de Sales High School alumni form consistent relationship by Chris Dyer

he University of Toledo and St. Francis de Sales High School (SFS) have been associated in many ways since the Knights descended upon Bancroft Street in the late 1950s. Home football games for the Knights are held at the Glass Bowl on Friday nights, while our homecoming parades travel from one institution to the other, creating streams of fans, students, and supporters every fall. Current St. Francis students are allowed to take post-secondary classes at UT for college credit, while UT and SFS recently partnered up to create the Dual Enrollment Program, which allows students to earn college credits

in classes they take at SFS. While these relationships are very visible and important, another type of relationship exists between St. Francis de Sales High School and the University of Toledo. At the present time, 15 St. Francis de Sales High School alumni are enrolled at or committed to the University of Toledo Medical College (UTMC). They range in age, specialization, paths, and interest, yet their pride and gratitude for SFS and UTMC remain constant. I was lucky enough to talk with leaders at both schools. Dr. Jeffrey Gold became the Chancellor and

Executive Vice President for Biosciences and Health Affairs at UTMC on July 1, 2006. He also coordinates the leadership of the Colleges of Medicine, Nursing, Pharmacy, Health Science and Human Service, and Graduate Medical Study. I was thoroughly impressed when Dr. Gold received my phone call and talked about the importance of the relationship between UTMC, St. Francis de Sales High School, and the community. He said, “We are thrilled to be helping students in the community receive an education and thus change our local area for the better. By helping our students, we are helping to address the healthcare needs of our community.” Some of these students in the community are our SFS alumni who are making that difference by preparing to improve the lives of others. Dr. Gold

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Jay Kenney is entering his second year of medical school at UTMC. He graduated from SFS in 2008.

Michael McKernan is entering his first year of medical school at UTMC. He graduated from SFS in 2008.

continued, “It is our responsibility to help with the needs of our community, and it is through your alumni that we are able to do so. We are really looking forward to continuing this relationship with your fine institution.” Father Ronald Olszewski also had kind words for this relationship. As President of St. Francis de Sales High School, he has seen countless students go on to pursue medical school. He said the following: “I think the reality of 15 Knight alumni currently enrolled in the UT Medical School, to say nothing of all those already graduated, is the result of two factors. First, their St. Francis education. They received outstanding academic preparation along with a social and

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religious formation leading them to realize the personal satisfaction that comes from dedicating a life to helping others as in the medical profession. The second factor is our close relationship with the University of Toledo. There are many facets to this relationship, but the primary relationship is academic. Through our dual enrollment, introduction to engineering, and post-secondary options, our students come to realize the quality education offered by the University of Toledo and the University knows that we send them good students. All of my personal medical providers are Knight alumni; I will have every confidence in entrusting my health and care to these 15 Knight medical students when their studies are completed.” This group of 15 students symbolizes the impact that St. Francis de Sales High School and UTMC are having on young students, especially those who remain in the area. Although their pride as Knights and Rockets may endure, their actions and responsibilities as future medical doctors will speak volumes

that both programs are succeeding. Both institutions are succeeding in education. Both institutions are excelling at instilling perseverance, selflessness, and commitment, and there is every reason to believe that both schools will continue providing quality gentlemen who dedicate their lives to helping others. In closing, one of our alumni told me a story during his interview that summed up perfectly the relationship that St. Francis de Sales High School and the University of Toledo Medical College have formed. He recalled that during his first year of medical school (2012-2013), he was in the library studying by himself when a girl he recognized from his class sat down near him. Eventually they got to talking and she asked him where he was from. He told her that he was from Toledo, to which she responded, “Oh…so you must have gone to St. Francis then?” You bet he did. ❦ Chris Dyer (’08) is Alumni Relations Director for St. Francis de Sales High School.

Untreated hearing loss in the workplace by Shelly Horvat, AuD, CCC-A

common misperception is that hearing loss and hearing aids are used only by the retired or senior citizen population. In reality, hearing loss affects all age groups, not just seniors. Nearly 15% of people aged 41-59 have hearing loss, and 7% of people aged 29-40 years have hearing loss. This means that in the workplace, up to 15% of the population will be affected by hearing loss. Additionally, as retirement age increases, the workforce population with hearing loss will grow. Untreated hearing loss in the workplace is an invisible disability that can affect every aspect of the job, depending on job requirements and the degree of hearing loss. Most jobs require some degree of hearing, from communicating with coworkers or customers in person or on the telephone to being able to hear the environment or equipment noise for safety purposes. Effective communication is crucial for most jobs, and anything that hin-

44 September 2013 / Healthy Living News

ders communication can affect how well a job is performed. Of course, job performance is typically tied to job pay and even a person’s ability to keep a job. A recent study by Sergei Kochkin, PhD, of the Better Hearing Institute showed that for employees with untreated hearing loss, income level decreased as the amount of hearing loss increased for anyone with more than a mild hearing loss. Untreated hearing loss can have a profound effect on your working life. It may become harder to take part in work meetings or hear in noisy situations. Trouble hearing workplace conversations may lead to embarrassment, anger and frustration, and avoidance of those situations. Straining to hear all day can leave a person fatigued, shorttempered, anxious, and depressed. New projects, promotions, or socializing with coworkers can be even more stressful when struggling to hear effectively. A person with untreated hearing loss can be mistaken by coworkers or supervisors as being inattentive or incompetent if he or she misses or mistakes important information. In today’s competitive job market,

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it is most important for people to give their best performance at a job, whether it is to stay employed or to advance to a higher level. The good news is that there are multiple ways to successfully handle the effects of hearing loss in the workplace. Hearing aids, small assistive listening devices, and even effective hearing protection to avoid further hearing loss are all ways an employee can address hearing loss to give the best work performance possible. Here are some solutions to better hearing on the job: Hearing aids can be matched to meet specific communication needs for the workplace. Today’s technologically advanced, discreet aids offer great flexibility for personalized programming. Telephone Adaptors come in many forms listed below: • Amplified headsets turn up the volume for the telephone. • Bluetooth connectors wirelessly connect the telephone (along with computer, GPS unit, or television) to hearing aids. • Telecoil connection wirelessly connects a telephone (or television) to hearing aids with built-in telecoils. • Closed Caption telephones have built-in closed captioning on a small screen on the telephone and are used just like regular telephones. Alerting devices are used to alert a person to a broad range of sounds, such as a telephone ringing, abnormal equipment noises, timers, babies crying, emergency sounds, etc. A transmitter detects the sound and sends a signal to a receiver that can blink or vibrate to alert the person of the sound. Remote micr o phones can be used to wirelessly send that sound signal to a person’s hearing aids up to 30 feet away. A small remote mic is placed near the sound source, allowing the person with hearing aids to hear speech at a distance or in a noisy

place. Amplified stethoscopes are available for healthcare workers. Restoring hearing ability on the job can allow a person to effectively communicate and connect to others, contribute at meetings, hear a telephone conversation, hear at large

meetings or in a conference call, or hear equipment running. Restoring hearing ability in the workplace is well worth the investment and can lead to a more productive, less stressful workday. Please feel free to call the audiologists at Northwest Ohio Hearing Clinic and ask them to tackle

Shelly Horvat, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327). Susan to not miss the rainbows because right there in front of us was one of the best answers to his question. Small miracles like this are what make a trip to Mammoth just another walk in the park. ❦

A WALK IN THE PARK Continued from page 31

deposits is white. Thermophiles (heat-loving organisms) create a variety of colors depending on the temperature. Yellow varieties grow in the hottest water. Orange, brown, and green forms grow in progressively cooler water. Seasonal changes also influence the colors. At Palette Spring, water flows down the face of a steep ridge where colorful thermophiles create the impression of watercolors blending together. At this moment, I am on my laptop in the RV taking forced advantage of a break from fly fishing. A thunderstorm has moved through, bringing dime-sized hail. And Shirley says, “Oh, look. There’s a rainbow!” It is a

your workplace hearing needs. ❦

The brilliant colors of thermal features vary according to the temperature preferred by specific thermophiles.

full, semi-circular bow with the left end touching the ground directly in front of us. Then, another somewhat fainter bow forms outside of it. But wait, there’s more. For just a matter of seconds, a third bow forms on the inside. Who says that Yellowstone is not a simply magical place? Shirley ran down to tell Russ and

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

Rainbows are God’s way of making up for high winds, thunder, lightning, and hail.

Post-Hospital Care, redefined Did you know? • If your stay at the hospital is a minimum of 3 qualifying midnights, Traditional Medicare will pay 100% of your stay up to 20 days.* • Today there are many private insurances that offer the same 100% coverage without the 3 midnight qualifying stay minimum. Our administrative staff is experienced not only with Medicare but many other private-insurances. Our professionals can assist you with this and much more.

Admissions 7 days a week Our wide range of services include:

short term rehab, outpatient therapy, skilled nursing, long term placement, memory care

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Objects from the Louvre featured in spring exhibition at Toledo Museum of Art

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

Call your local USTA League Tennis Coordinator.

CAPTAIN’S MEETING Thursday, September 5th at 7:00 p.m. at Laurel Hill

Play Tennis and have fun!

ATTENTION USTA League Tennis Players: The Combo and 40 & over Mixed leagues will have their captain’s meeting on Sept. 5 at 7:00 p.m. at Laurel Hill. We would like to thank and congratulate all of our players who participated in the 18 & over, 40 & over and 55 & over leagues this year. A special congratulations to the 3.0 Men’s 18 & over team captained by Chris Cunningham that will be advancing to the National Championships - Good luck!

NWO USTA League Tennis Coordinator

Amy Beaverson 419-472-1095 nwotaleagues@att.net

Congratulations to all of our District Champions!

Save the Date Toledo 2013

Sunday, October 6, 2013 The University of Toledo Main Campus Registration 11:30 AM Walk begins 1:00 PM Children’s Activities 11:30 AM - 1:00 PM Register YOUR team to walk! Visit www.alsaohio.org or call 888-592-2572 today! For more information please contact Amy Heuer, Walk Manager, at amy@alsaohio.org.

arie Antoinette, Napoleon Bonaparte and King Louis XIV each reveled in the perfectly manicured grounds of the Tuileries Garden at different points in history. Today, more than 10 million visitors stroll through the famous Parisian park annually. And from February 13May 11, 2014, the Toledo Museum of Art will bring this remarkable urban space to life stateside with the major international exhibition The Art of the Louvre’s Tuileries Garden, organized by the High Museum of Art, Atlanta, the Portland Art Museum, Oregon, and the Toledo Museum of Art, with the special collaboration of the Musée du Louvre. The majority of the works, most never before exhibited in the United

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States, will be on loan from the vast collections of the Louvre, with some from the Musée Carnavalet, the Palace of Versailles, other museums, and private lenders. “Our collaboration with the Louvre is a splendid moment for both institutions,” said TMA Director Brian Kennedy. “It’s a wonderful opportunity to celebrate the Louvre’s history and to enable our audience to see works of art they would otherwise have to travel to Paris to view. It will bring a bit of the magic of the Tuileries to Toledo.” TMA’s Libbey Court and Canaday Gallery will dramatically showcase more than 100 works related to the garden and palace of the Tuileries, including large-scale sculptures created between the 17th and 20th centuries by such noted artists as Antoine Coysevox and Aristide Maillol. There will also be more than two dozen paintings (including six by Impressionist artists), architectural models, historic and recent photographs, a tapestry, and prints. The unique collection will offer an opportunity to see a slice of the garden that inspired everyone from Impressionist Claude Monet to photographer Henri Cartier-Bresson. The Tuileries has a long and storied history. Originally commissioned in 1564 by dowager queen Catherine de Medici, it combined a magnificent palace and an extensive formal garden. In the mid-17th century Louis XIV (the “Sun King”) ordered its expansion and extraordinary embellishment. André Le Nôtre (1613–1700), designer of the renowned gardens of Versailles and Vaux-le-Vicomte, ingeniously designed and realized the grand project. In part, the exhibition celebrates the career of Le Nôtre—generally regarded as the greatest landscape architect in European history—on the 400th anniversary of his birth. His design for the Tuileries Garden richly combined magnificent vistas, lawns, fountains, hedges, pathways, flowerbeds, terraces, and wooded areas, all embellished with sculpture. Residents of the famous Tuile-

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ries Palace included several French kings—Louis XIV, Louis XV, and Louis XVI—as well as Marie Antoinette and Napoleon Bonaparte. While the palace was internationally noted for its elegance and royal associations, it was gutted by fire in an uprising in 1871. The palace lay empty and desolate until 1883, when the government of the Third Republic ordered its demolition. Today, a lawn connecting the westernmost pavilions of the Louvre marks its original site. Prints, vintage photographs, and a scale model will trace the history, grand style, and ghostly presence of the historic structure. The Tuileries Garden—now integrated with the magnificent courtyard of the Louvre and featuring more than 100 sculptures and three art galleries—remains the largest green space in the heart of Paris. This special exhibition at TMA will provide a rare opportunity to experience a small part of this monumental French hallmark. The Toledo showing of The Art of the Louvre’s Tuileries Garden is made possible by members of the Toledo Museum of Art and with the support of the Ohio Arts Council through a sustainability grant from the National Endowment for the Arts. ❦

by Kewal K. Mahajan, MD

What can we do about the obesity dilemma?

here’s no question that obesity is a huge dilemma in our society. In fact, 31% of males and 34% of females in the US are obese with a body mass index (BMI) greater than 30, and obesity-related healthcare costs are estimated to exceed $100 billion in the US. And it’s not just Americans who are affected. The number of overweight (BMI greater than 25) and obese (BMI greater than 30) individuals is rapidly increasing worldwide. Why is this trend so concerning? There is a direct correlation between obesity and the risk of heart disease, diabetes, cancer, liver disease, stroke, and many other health problems. Simply put, obesity increases the risk of mortality. Several factors underlie this growing obesity trend. A major factor is decreased calorie utilization

stemming from advances in technology and transportation that require us to exert less in virtually all areas of life. At the same time, high-calorie foods are readily available at low cost, at any time of the day or night, and in oversized portions. As a result, many of us are simply taking in far more calories than we can burn off. So what can be done about this problem? Obviously, if one is already overweight, shedding some extra pounds is certainly a good idea, and even modest weight loss can have significant health benefits. But how should one go about it? Most dietary restrictions and other regimens result in a temporary weight loss followed by a gradual return to baseline. And so-called yo-yo dieting, which is characterized by excessive weight fluctuation, is also harmful to your health. The key to success is to have realistic expectations and set achievable goals. On the other hand, set-

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ting too high of a weight-loss goal is a trap and a step toward failure because your body resists losing more than 5 to 10 percent of its weight at one time. So, make it your objective to lose no more than 5 to 10 percent of your weight through lifestyle changes, diet, exercise, and other means. Then maintain that weight to reach a base and adjust the regimen again if you need to lose more. If you find you are unable to achieve and maintain a satisfactory weight on your own, don’t hesitate to seek medical help. Patients who have a long-term strategy and work with a healthcare team to reach their goals are usually the ones who succeed at losing pounds and maintaining a healthy weight. In morbidly obese patients (defined as those with a BMI greater than 40) who are deemed to be good surgical candidates, laparoscopic bariatric surgery, such as gastric bypass, gastric sleeve, or banding, can yield excellent results. In fact, in addition to achieving the desired weight loss, many patients who undergo bariatric surgery experience either significant

improvement in or complete resolution of obesity-related conditions such as diabetes, hypertension, and obstructive sleep apnea. In closing, despite the fact that obesity is a growing public health concern in the US and around

the world, it is possible to achieve healthy, sustainable weight loss while preventing or reversing the adverse health effects that often accompany obesity. Your healthcare providers could be your best ally in this fight. ❦

SHRIMP A wonderfully oxymoronic meal!

f “shrimp” means little, how big can a jumbo shrimp be? How about a colossal shrimp? Ultima? Mega? Maxi? Super size? How big is a micro shrimp? (Now, that sounds more redundant than oxymoronic.) The point is, seafood companies may choose to market their shrimp under a variety of size designations. Even without the marketing hype, do you really know how big a medium shrimp should be? To make a size comparison between one brand’s jumbo and another brand’s colossal, check to see how many are in a pound. If you are dealing with U-7s or U-10s (under 7 or under 10 per pound), you are dealing with some pretty hefty shrimp no matter what they’re called. The more shrimp—that is, the smaller they are—the lower the price. Those U-10s are going to cost about twice what you would pay for shrimp

that run 41 to 50 per pound. Keep in mind, though, that the market price of seafood varies significantly. Whether they are brown, white, or pink, all raw shrimp are called “green.” When they are cooked, they turn red and the flesh becomes white. And regardless of the color, the nutritional value is essentially the same. Shrimp are low in fat and calories. Though shrimp are high in cholesterol, research has shown that eating steamed shrimp can help lower triglyceride levels without increasing the level of LDL (bad) cholesterol relative to HDL (good) cholesterol. Shrimp is sold fresh or frozen, peeled or unpeeled, cooked or raw. Fresh shrimp should be cooked within one or two days of purchase.

Tai Chi at your local library

ith today’s hectic lifestyles that make it difficult to take time out for exercise, Tai Chi is finding fans in all age groups, walks of life, and levels of athletic ability. The Toledo-Lucas County Public Library is offering Tai Chi instruction at two of its neighborhood branch locations—Heatherdowns Branch Library and Reynolds Corners Branch Library. Tai Chi practitioners say that this form of Chinese martial art can help to reduce stress and keep joints working smoothly, improve flexibility, and cleanse the body of negative energy. Join area instructor Jan Gilson for a hands-on introduction. No registration is required. Par-

48 September 2013 / Healthy Living News

ticipants are asked to wear loose, comfortable clothing and supportive shoes.

Instruction schedule: Heatherdowns Branch Library, 3265 Glanzman Rd.—Thursdays from 6:30-7:30 p.m. on September 5, September 12, and September 26 R eynolds Cor ners Branch Library, 4833 Dorr St.—Mondays from 6:30-7:30 p.m. on October 21, October 28, and November 4 For additional information, visit toledolibrary.org or call 419-259-5200.

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Cooked shrimp can be refrigerated for two to three days. Raw headless shrimp holds its quality while frozen somewhat better than does cooked frozen shrimp. Raw frozen shrimp will keep for about six months at 0°F, but home-cooked shrimp that is then frozen is good for only about a month. Frozen shrimp may come in a block of ice or individually quick frozen (IQF). The advantage of IQF shrimp is that it allows you to thaw and use only the amount you need. Thaw frozen shrimp in the refrigerator, never at room temperature. It takes about 24 hours to thaw one pound. If you need to speed up the process, place the shrimp under cold running water. Don’t use hot or warm water. That could start to cook the shrimp. Also, don’t allow your shrimp to sit in water or it will begin to lose its flavor. If you purchased fresh shrimp in the shell, you may find it easier to peel and devein before cooking. To peel, hold the shrimp by the tail and slip the thumb of your other hand under the shell beneath the swimmerets and remove the shell. To remove the shell from the tail section, gently squeeze the tail between your thumb and forefinger while pulling on the body of the shrimp. Shrimp have two veins. The one that runs along the curve of the back is called the “sand vein.” It is usually removed, to get rid of the grit, by gently running a sharp knife along the curve and pushing the vein out with a finger or thumb. The vein that runs along the underside of the shrimp

is part of the circulatory system and does not have to be removed. One thing you have to do with shrimp is avoid overcooking it. Shrimp is popular because the meat is delicate and tender. Overcooking toughens the protein. Shrimp is done when the translucent, watery color becomes opaque and white. “Boiled shrimp” should not actually be boiled, but gently simmered for just a short while, depending on its size. It is done when it floats back to the surface. As we all learned from Forrest Gump’s army chum, Benjamin Buford “Bubba” Blue, there are probably thousands of ways to serve shrimp. Here are just a few we think you’ll enjoy:

Grilled Garlic Shrimp

Beer Poached Shrimp

1-1/2 lb. jumbo shrimp (about 15 or 16) 1/2 cup minced garlic 1 tsp. coarse kosher salt or sea salt 2 Tbs. fresh rosemary, minced, or other herb of your choice 3 Tbs. extra virgin olive oil Make a paste by mashing together the garlic and salt. Add the rosemary and olive oil and stir well. Marinate the shrimp in the mixture for at least 4 hours. Soak bamboo skewers in water for 30 minutes or more. Place 3 or 4 shrimp on each skewer and brush with a little extra olive oil. Grill about 3 to 4 minutes on each side or until opaque.

1 lb. fresh, raw shrimp 4 cans beer 1/2 medium onion, sliced 1 clove garlic 1 bay leaf 1 stalk celery with leaves, chopped Zest of one small lemon 1 Tbs. salt Bring the beer just to the boil and simmer the shrimp for about 5 minutes, depending on the size. Remove the shrimp and chill thoroughly. Serve in their shells or shell and devein first. Dip in shrimp sauce or Russian dressing. ❦

Shrimp and Rice 1 lb. medium shrimp (41-50) 1/2 cup rice 4 Tbs. extra virgin olive oil 2 cloves garlic, minced 1/2 tsp. lime zest 2 Tbs. lime juice 1/3 cup flat-leaf parsley, minced While the rice is cooking, heat 2 Tbs. oil in wok or heavy skillet. Stir-fry shrimp for about 1 minute or until just cooked through. With the wok/skillet off the heat, stir in the garlic and lime juice. Stir together the rice and shrimp with the remaining 2 Tbs. oil and parsley. Salt and pepper to taste. Garnish with lime zest.

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r Lung Disease

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For more information about how Senior Independence Home Health & Hospice can help someone with lung disease, contact Beverly at 419-865-1499

Have questions about an advertiser? Click their email or web address in our online issue at www.hlntoledo.com.

HOME HEALTH & HOSPICE

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50 â&#x20AC;&#x192; September 2013 / Healthy Living News

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To read this issue online, visit www.hlntoledo.com

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When I had a heart attack, the people at Mercy St. Vincent knew time wasn’t on my side. Within 25 minutes, the cardiologist started clearing the blockage and saved my life. They also knew I’d need help making some changes to my diet and lifestyle, and now the people at Mercy St. Charles are helping me live healthier. Because I’ve got lots of living left to do. I’m Durrell, and Mercy gets me.

Learn more at mercygetsme.com. Find a physician at 1.888.987.6372. MERCY-11538-4_HealthyLivingNews_BackCover_Durrell_FA.indd 1

8/20/13 12:15 PM