September 2018

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Race for the Cure turns 25!

He lthy Li ing News Your Monthly Guide to Healthy Lifestyles

September 2018 • FREE

Also available at hlntoledo.com

As well as: • Special Recovery Month feature • Shape up and wake up your skin • Battling aneurysms with BrightMatter • Senior nutrition tips • Insights on ovarian cancer • Taking women's health to heart

HEALTH CARE FOR THE UNIVERSE OF YOU M E R C Y. C O M / M Y U N I V E R S E


Shape up and wake up your skin H

ello, “Millennials”! Are the skin changes related to stress, pollution, smoking, and prior sun damage and tanning starting to show on your facial, neck, and chest skin? Are your jowls and neck starting to sag, and are you noticing that darkening is developing around and under your eyes, your pores are enlarging, or “age spots” are appearing? Do your friends question why you look tired all the time when you are not? While these changes are mild and just beginning, now is the time to start engaging in a skin-care program that will be designed specifically for you to improve and reduce your signs of aging. Dr. Handler will personally recommend and explain a skin-rejuvenation program for you to reduce the visible signs of aging. The anti-aging treatments performed by Dr. Handler are “non-invasive,” with minimal discomfort or downtime. Minimize under-eye darkening, raise those droopy eyelids, shrink pores, lift sagging jowl areas, and appear as youthful as you feel. Call Dr. Handler’s office for a personal evaluation with treatment recommendations for your aging skin. Remember, 80% of the signs of aging are due to prior sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! This is something young people should be aware of since we get 80% of our lifetime sun exposure by the time we are 18-20 years of age. What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure and aging can be improved dramatically with pain-free, non-invasive cosmetic procedures performed entirely by Dr. Handler. The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift sagging areas of the neck, jowls, upper arms, and abdomen. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser). This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only ONE treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain. The NEW Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients. For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas. The results are diminished lines and a more “wide awake” and less tired appearance. These products are also fantastic to reduce anxiety-induced underarm sweating for 5-7 months after treatment. The use of fillers, such as Restylane, Restylane Lyft, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette lines (the sad look) from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad when you are not! Since these products are combined with a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the injection of new fillers called “Restylane Silk” and “Restylane Refyne.” These products markedly improve upper and lower lip lines (lipstick lines). Restylane Silk also volumizes your lips and restores their natural curve while looking attractive and natural. Restylane Silk also can be utilized to minimize the “worry lines” between your eyes. There is no downtime with these non-invasive procedures. For fine lines, large pores, brown (age) spots, and diminishing acne scars, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby a laser is used to produce softer, smoother, diminished facial lines, smaller pores, lightening of brown spots, and improvement of acne scars. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the

results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist in northwest Ohio performing this procedure. Are you aware that Dr. Handler personally performs laser procedures for removal of body hair anywhere hair grows? Yes, this minimally painful laser destroys hairs around the chin, jawline, upper lip, underarms, ears, nose, bikini line, etc. And this laser is not just for women. Many men have this laser performed to permanently remove chest and back hair as well as beard hair that grows down onto the neck. Dr. Handler also utilizes the latest in lasers for removal of “age spots” (sun spots really) anywhere on the body. This laser works especially well for the tops of hands covered with those “age spots.” Finally, Dr. Handler also performs laser removal of unwanted blood vessels that grow on your face and enlarge with heat, stress, and the intake of alcohol. Again, pain and downtime are minimal with this laser. All of these lasers are non-invasive with minimal downtime. Anti-aging and cosmetic enhancements are not for the female gender alone. Male cosmetic enhancement and anti-aging procedures have increased over 213% in the past 5 years for sagging skin, darkening under the eyes with the “hollow” look, and brown spots. The utilization of fillers (Perlane, Restylane, Juvederm, Radiesse, etc.) is excellent for deep smile lines and the “sad and tired look” as evidenced with sagging at the corners of the mouth. And, of course, the use of Dysport/Botox to reduce forehead “worry lines” is superb.

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t is appropriate for patients to understand why it is in their best medical interest to always seek the advice of a board-certified dermatologist for skin care. Why is seeking a board-certified dermatologist the most beneficial route for solving skin disease issues versus a general practitioner, nurse practitioner, physician’s assistant, or any other medically-oriented individual? Please be aware that a board-certified dermatologist has the following minimum education versus the above-mentioned quasi “skin doctors”: 1. Four years of college to earn a bachelor’s degree 2. Four years of medical school to become a medical doctor (MD) or doctor of osteopathic medicine (DO) 3. One year of an internship 4. 3-4 years in a dermatology residency program 5. Has passed exams for board certification in dermatology.

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

Be aware and cautious of medi-spas and cosmetic centers organized and maintained by individuals other than a board-certified dermatologist or even any medical doctors (not MD’s). Many of these individuals have no formal education or training in skin disease diagnosis, treatment, or cosmetic enhancement of skin defects. How do you know whether he/she is a board-certified dermatologist? Look for F.A.A.D. (Fellow of the American Academy of Dermatology, which is a designation from the American Academy of Dermatology) following their name. To confirm this information, check the website at aad.org/findaderm. None of the above requirements are met by a nurse practitioner, certified nurse practitioner, physician assistant, or any other medical doctor licensed to practice medicine. Do your homework before trusting your skin disease diagnosis and treatment to anyone but a board-certified dermatologist.

www.drharveyhandler.com

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

clear + brilliant laser H

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

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

CONTACTS Business office: To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615. Phone: 419-367-0966 or email Kevin O’Connell at sfstennis76@bex.net. Ad reservation deadline is the 15th of the month preceding publication. HLN reserves the right to refuse advertising for any reason and does not accept advertising promoting the use of tobacco. Editorial office: Deadline for editorial submissions is the 10th of the month preceding publication. To contact the editor or send submissions, please email editorhln@bex.net. Publisher: Kevin O’Connell

e lthy l ng ews ADDICTION & MENTAL HEALTH 40 Grappling with an addiction or mental health disorder? Help and hope are closer than you think! 40 UTMC Recovery Services fights addiction with compassion and strong care continuum 41 Racing for Recovery 42 Harbor opens ambulatory detox program to aid in drug and alcohol recovery 42 Thomas M. Wernert Center undergoing expansion and recovery campus project 43 NAMI knows how to help because they’ve been there!

HEALTH & BEAUTY

September 2018 • Vol. 23, Issue 9

Your Monthly Guide to Healthy Living

26 Ovarian cancer: Optimum outcomes stem from early detection and treatment 32 It’s time for fall skin refreshment! by Dr. Erin Hennessey 33 Toledo Clinic Cardiology takes women’s health to heart 36 Nobody’s Perfect When your suffering can’t be seen by Sister Karen Zielinski, OSF 38 Spiritually Speaking It’s the people by Sister Mary Thill 44 Summer hearing safety in noiset by Randa Mansour-Shousher, AuD, CCC-A 46 How not to get cancer by Douglas Schwan, DC, Dipl ac 51 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 52 Simple missteps that sabotage weight loss

2 Shape up and wake up your skin 7 Know the facts about chemotherapy side effects 9 Encouragement is key to therapy 10 ProMedica neurosurgeons battle brain aneurysms with leading-edge BrightMatter technology 12 Eating Well Do this to get rid of belly fat! by Laurie Syring, RD/LD 13 Popular end-of-summer cosmetic procedures 18 How to know if your senior loved one is eating right 20 Whole Health takes innovative, integrative approach to patient care 23 Timely tips on backpack safety, concussions, and fall prevention by Jim Berger

8 Health Crossword by Myles Mellor 14 Don’t get stuck in your comfort zone, by Amanda Manthey 16 Wise Words From Otterbein It's autumn; don't make it fall season 22 Super Slow Training: An efficient exercise solution for a fast-paced world 30 Mum’s the word! 34 How to safely manage that garden chemical stockpile 48 A Walk in the Park Velvety smooth noses, by LeMoyne Mercer

Dear Readers, Thank you for picking up the September issue of Healthy Living News. This jampacked, 56-page issue leads off with the upcoming 25th annual Susan G. Komen Northwest Ohio Race for the Cure, to be held Sunday, September 30 in downtown Toledo. In fact, this issue marks our 22nd consecutive year as a proud sponsor of Race for the Cure, a vital event that brings hope to so many area residents whose lives have been touched by breast cancer. For more details, see the article on page 5. In recognition of National Recovery Month, this issue also shines a spotlight on the challenges of substance abuse and mental illness that continue to confront our community as well as the numerous local organizations that are helping put people on the road to recovery (starts on p. 40).

Also in this issue, ProMedica neurosurgeon Dr. Kevin Reinard discusses brain aneurysms and the breakthrough BrightMatter technology he and his colleagues use to treat them (p. 10), Mercy Health gynecological oncologist Dr. Eric Jenison explains the importance of early detection and treatment when it comes to ovarian cancer (p. 26), Dr. Wade Banker of Luxe Laser Vein & Body Center describes the most popular end-ofsummer cosmetic procedures (p. 13), and Amy Randall of The Toledo Clinic Cancer Centers shares her insights on the side effects of chemotherapy (p. 7). Other highlights this month include a glimpse at the newly expanded Thomas M. Wernert Center (p. 42) as well as profiles of Toledo Clinic Cardiology, Vision Associates (part of The Toledo Clinic), and Whole Health at Falcon Center in Bowling Green, which was

ENRICHING YOUR LIFE

CHILDREN & PARENTING 28 The “Mom Effect,” by Mark S. Faber, USPTA Elite Professional 51 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A

OUR COMMUNITY 5 Komen NWO Race for the Cure celebrates silver anniversary 6 Vision Associates’ new location enhances care and patient experience 24 Celebrate Healthy Aging Day with Senior Star at West Park Place 31 StoryPoint Waterville presents senior nutrition: how to make it fun and engaging, by Erin Kessler 37 Laurels prehab program raises the bar on post-surgical recovery 39 Senior Living Guide 44 Dr. Vincent de Paul Schmidt named Head of School at Cardinal Stritch 45 Sunset presents two events essential to seniors 47 What is an Ombudsman? by Christopher Stieben

Connect with Friends Who Like Healthy Living News!

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

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established by family physician Dr. Jeffery Swartz and chiropractic physician Dr. Mickey Frame (pgs. 33, 6, and 20 respectively). Lastly, as we transition from summer to fall, keep in mind that there’s no time like the present to take advantage of all the outdoor activities Northwest Ohio has to offer. From bike paths and hiking trails to tennis courts and golf courses, there’s something here for everyone. So what are you waiting for? Get up and get moving while the mild temperatures allow. Before you know it, they’ll be forecasting snow again! Until next month, stay safe, active, and healthy!


REVALUATION 2018

ON ALL PROPERTIES IN LUCAS COUNTY IT’S AS SIMPLE AS 1, 2, OR 3 This year, we made it easier for you to give us feedback on your 2018 property values. 1.

PHONE — (419) 213-4406 NO NEED TO LEAVE YOUR HOME—JUST DIAL—AND GIVE US YOUR FEEDBACK.

2. ONLINE — www.co.lucas.oh.us/reval18 If you do not have time to call during the day, and prefer not to talk to or see anyone, please submit feedback online at www.co.lucas.oh.us/reval18 3. Finally, if you want to meet with a representative from the Auditor’s office and speak face-to-face, please schedule an appointment by calling (419) 213-4406.

If you are not 100% satisfied after working with our office, ask for Anita! ANITA LOPEZ, ESQ., LUCAS COUNTY AUDITOR Real Estate Division One Government Center, Suite 670, Toledo, OH 43604 Call: (419) 213-4406 * E-mail: outreach@co.lucas.oh.us www.co.lucas.oh.us/reval18


Komen Northwest Ohio Race for the Cure celebrates silver anniversary

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his year’s Susan G. Komen Northwest Ohio Race for the Cure, to be held on Sunday, September 30 in downtown Toledo (and Saturday, September 29 in Findlay on the campus of Blanchard Valley Hospital), marks a major milestone in the organization’s history—25 years of serving women and raising vital funds to fight breast cancer. In that time, Komen Northwest Ohio has invested over $13 million in local programming as well as $4 million in national breast cancer research. “The first local Race for the Cure was held at Franklin Park Mall back in 1994, and it has since become a

major event that draws thousands of people downtown each year. It’s amazing how long the community has been behind us,” says Desmond Strooh, Marketing and Communications Manager for Susan G. Komen Northwest Ohio. In celebration of the Toledo Race for the Cure’s silver anniversary, the registration price for breast cancer survivors will be discounted to just $25.00. Also, Komen Northwest Ohio is rolling out new t-shirts for this year’s event. Survivors will still be decked out in pink as usual, but other participants will be sporting soft heather-gray shirts instead of the traditional white. “Plus we’re going to reflect back on the impact Race for the Cure has had over the past 25 years, with information about how many women have been served and how many dollars the community has invested in this cause. We really just want to thank Northwest Ohio for standing behind our mission, believing in it, and helping so many women,” Strooh adds. Back by popular demand for this year’s Race for the Cure are the Kids Zone, featuring plenty of fun activities for young participants, as well as the Kids Dash—an opportunity for kids to run the bases at Fifth Third Field. What’s more, everyone age 18 and under who is registered to

participate will receive a free gift item at 7:45 a.m. Of course, breast cancer survivors are always the primary focus of Race for the Cure, so the Survivors Tent will be back, bigger and better than ever, with music, food, snacks, giveaways, and various pampering services. “The Survivor Tent is always the ‘crown jewel’ of the event. It really demonstrates that we’re here to celebrate survivors and raise funds to find a cure. We’re also bringing back the Survivor Trolley, which gives survivors with limited mobility the opportunity to participate even if they’re unable to run or walk the route. The trolley holds about 30 survivors, and there’s no cost to ride. All you have to do is call us ahead of time and register,” says Strooh. Though Race for the Cure is always a fun and exciting event, Strooh emphasizes that its impact extends far beyond race day. “Race for the Cure is our signature fundraising event and the primary way we raise the money necessary to fund breast cancer research and provide life-saving services for the community. Supporting this cause by registering and raising funds—for example by linking your Facebook profile to a fundraising page—is really ‘where the rubber meets the road.’ Race participants are not only helping to bring breast health and breast cancer services, education, and outreach to women throughout our 24-county service area, but they’re also helping us diagnose those who otherwise wouldn’t be diagnosed and supporting the many behind-the-scenes services we provide, such as childcare and transportation,” he states. To register in advance for the Susan G. Komen Northwest Ohio Race for the Cure, visit komennwohio. org or call 419-724-CURE (2873). A list of in-person registration sites is also available at komennwohio.org. Race-day registration will be from 7:30 to 9:00 a.m. at Fifth Third Field, and the race will kick off at 9:30 a.m. at the corner of Monroe and Summit in downtown Toledo. For more information on Race for the Cure and ways to get involved, visit komennwohio.org, email info@ komennwohio.org, or call 419-724CURE (2873). ❦

Worry.

[ Comfort. ]

Overcome by worry? ProMedica’s connected care can give your family peace of mind. Whether your loved one needs home care assistance, palliative or hospice care, ProMedica offers high quality, well-connected care that’s close to home. We’re here to help you navigate the journey and offer support when you need it. ProMedica. The team you know. The system you count on. The care you expect.

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Vision Associates’ new location enhances care and patient experience

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ision Associates, part of The To- houses three operating rooms, which ledo Clinic, has been serving will soon be put to use not only for the eye-care needs of the Toledo routine surgeries, but also more adcommunity for 21 years. vanced procedures, such This team of specialized as specialized glaucoma ophthalmologists and opsurgery, corneal transplant, tometrists provides comand retinal surgery. Other prehensive vision services features include an optical ranging from routine eye shop, additional examinaexams to complex medical tion and work-up rooms, and highly sophisticated and surgical treatments to diagnostic testing. “The patients of all ages. Now, having outgrown new office is pretty hightheir original office space, and recognizing an opportu- “When you take care of families, you see them nity to provide even better repeatedly throughout their lives and really get to service and convenience to know everyone. That’s one of the things I like most patients, Vision Associates about being an ophthalmologist.” ­—Dr. Gerald Striph has moved to a brand-new facility tech, with computerized refraction at 3330 Meijer Drive (off Central Av- equipment and a lot of other speenue) in Toledo. “When we formed cialized equipment for treating the back in 1997, we had just five or six retina, glaucoma, and neurologic doctors. Since then we’ve grown to 11 problems,” Dr. Striph says. Parking doctors representing a wide variety at the new facility is much closer and of subspecialties, so we need more the floor plan of the office is more room than our original Wildwood efficiently designed for the comfort location could provide,” explains and convenience of patients, which Vision Associates neuro-ophthal- is especially helpful for those with mologist Gerald Striph, MD. limited mobility. The new facility is larger and However, it’s not just the new

location and latest technology that sets Vision Associates apart. Dr. Striph emphasizes that the group’s greatest strength is having so many specialty trained practitioners on staff, including (in addition to Dr. Striph) Michael Abowd, MD; Jenna Bailey, OD; John Burchfield, MD; Matthew Currie, MD; Hooman Harooni, MD; Rodney McCarthy, MD, FACS; Scott Sadowski, OD; Michele Schlagheck, OD; Niraj Shah, MD; and Jeffery Stephens, MD. With their combined subspecialties—cornea, cataracts, glaucoma, neuro-ophthamology, oculoplastic and reconstructive surgery, and retinal diseases—the team is poised to treat virtually any eye-health problem that comes through the door. “We also do a lot of consulting for other practitioners in the community who refer patients to us for specialty services,” states Dr. Striph. Furthermore, Vision Associates is a family-friendly practice that treats patients of every age, from infant to senior. In fact, that’s one of the more gratifying aspects of Dr. Striph’s job. He notes, “When you take care of families, you see them repeatedly

throughout their lives and really get to know everyone. That’s one of the things I like most about being an ophthalmologist.” With school back in session, Dr. Striph reminds parents of the vital role good vision and eye health play in a child’s academic performance. He urges everyone, children and adults alike, to have a comprehensive eye exam each year in order to catch and correct any developing problems. “It’s amazing how many people have vision problems without even realizing it. This is especially true for younger kids because they have no reference for how well they’re supposed to be seeing. Ideally kids should have their eyes checked before school starts, but any time a vision or eye-health problem develops, we can fix it before it gets out of control,” he says. Dr. Striph invites anyone interested in learning more about Vision Associates to stop by and see the new facility at 3330 Meijer Drive. More information is also available on the group’s website at visionassociates. net. To schedule an appointment, please call 419-578-2020. ❦

Drs. M. Abowd, J. Bailey, J. Burchfield, M. Currie, H. Harooni, R. McCarthy, S. Sadowski, M. Schlagheck, N. Shah, J. Stephens, G. Striph

NEW LOCATION

3330 Meijer Drive Suite 1

Toledo, Ohio 43617

419-578-2020

(Additional Locations in Bowling Green & Defiance)

Welcoming New Patients 6  September 2018  |  Healthy Living News

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Know the facts about chemotherapy side effects

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ancer patients scheduled to undergo chemotherapy very commonly worry about how this stage of treatment and its side effects will impact their health and day-to-day functioning. While there’s no question that the effects of chemotherapy can be significant, it is usually possible to manage them and they often prove to be less severe than anticipated. The key is for chemotherapy patients to take a proactive approach and arm themselves with knowledge.

motherapy agents is helping to reduce the likelihood of side effects in more and more cases.

Why does chemo cause side effects? Because cancer cells grow and reproduce quickly, chemotherapy drugs are usually formulated to attack fast-growing cells. However, many of these drugs tend to kill fast-growing healthy cells along with the cancerous ones, which is why side effects occur. According to the American Cancer Society (ACS) website (www.cancer. org), the healthy cells most likely to be damaged by chemotherapy agents include “blood-forming cells in the bone marrow; hair follicles; and cells in the mouth, digestive tract, and reproductive system.” The site also points out that, “Some chemo drugs can damage cells in the heart, kidneys, bladder, lungs, and nervous system.”

Are older patients at greater risk? Similarly, a patient’s age has less of an influence on the likelihood or severity of chemotherapy side effects than his or her overall health does. “You can have a generally healthy older patient come through treatment with few or no side effects while a younger patient with underlying health issues might experience problems. However, as we age, there are certain processes, such as kidney function, that don’t work quite as well as they once did, so we do have to monitor them closely in older patients,” Randall comments.

What are the most common chemo side effects? Amy Randall, CNP, of The Toledo Clinic Cancer Centers notes that some of the more common physical symptoms chemotherapy patients experience include fatigue; nausea and vomiting; diarrhea; hair loss; and bone-marrow suppression, which increases the risk of infection, bleeding, and anemia. “The severity of these symptoms depends on the patient’s performance status, or overall health, as well as the actual drug that’s used. Some chemotherapy agents are worse than others in this regard,” she adds. Are side effects predictable or unique to the patient? Certain chemotherapy side effects are somewhat predictable. For example, there are several drugs that almost always cause hair loss or nausea and vomiting. But again, the severity of these symptoms will vary based on the overall health status of the individual being treated. Also, the advent of targeted che-

Can side effects be prevented? Oncology practitioners like Randall do everything in their power to educate patients on the side effects they are likely to experience as well as any preventive measures they can take to minimize their impact. “We can also pre-medicate patients to prevent allergic reactions or certain common side effects, such as nausea and vomiting. Of course, the more compliant and proactive patients are with preventive measures, the more control they’ll ultimately have over their symptoms,” says Randall. If side effects do arise after chemo, medications, both prescription and over-the-counter, can often be very effective in treating them. Randall remarks that in addition to medications, massage and other complementary therapies can be very helpful in reducing symptoms such as pain, stress, anxiety, and fatigue. Are the side effects temporary? Randall explains, “Many of the common side effects of chemotherapy— such as nausea, vomiting, constipation, and hair loss—are temporary and will gradually resolve as healthy cells recover. Other symptoms, such

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as neuropathy, hearing changes, and skin changes, may persist. In fact, neuropathy can be lifelong. However, despite the preconceived notions many patients have going into chemotherapy, most discover that it’s not as bad as they thought it was going to be, often as a result of the premedication and education they’re given beforehand.” If you experience lingering side effects from chemotherapy treatments, don’t assume you just have to live with them. Discuss them with your doctor. He or she may be able to recommend alternative medications or additional therapies that could

bring your symptoms under control. The Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, has 12 physicians, 4 Research Nurses, and 6 nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TTCCC also has satellite centers in Maumee, Adrian, and Monroe, as well as a partnership with the Mercy Health – Perrysburg Cancer Center for the convenience of the patient. For more information, please call The Toledo Clinic Cancer Centers at 419-479-5605. ❦

HEALTH CROSSWORD by Myles Mellor • ilovecrosswords.com • Answers on page 53

25 Diagnosis aid Across 27 Media handler 1 Soul related 28 Call for 6 No longer OK to eat 29 Helps the environment, 8 Between the thorax in a way and pelvis 9 Tropical fruit Down 10 Kind of closet 1 Long-necked onion 11 Helps 2 Antiseptic ointment 13 Happening! 3 It protects the body, 2 14 Green vegetable words 19 Fruit and cereal mix 4 Beverage server 20 Breathing organs 5 Lemon-shaped citrus 23 Consume Crossword by Myles Mellor fruits 24 Wrinkled fruits 1

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6 Calcium is an important mineral for them 7 Eye washes 11 Like grapefruit juice 12 Co. name ender 15 Sneezing cause 16 Natural sweetener 17 They are said to be aphrodisiacs 18 Put in stitches 21 Peach state, abbr. 22 Remove the lid 26 Exist 27 Exercise, for short

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Encouragement is key to therapy

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n experienced certified nursing assistant with over 40 years of experience, Diane Hellerich knows the Nebraska healthcare market extremely well. However, when she moved to Toledo two years ago to care for her son after he sustained an injury, she didn’t know where to go for her own surgery recovery. It wasn’t until after her fourth surgery that she found the perfect place to recover—CHI Living Communities Franciscan Care Center. According to Diane, the staff is good, therapy is great, people laugh, and the accommodations are nice. “I’ve been to three other centers, and Franciscan Care is the best place.” Therapy plays a key part in anyone’s recovery after a hospital visit along with the right attitude. The therapy team at Franciscan Care Center inspires residents with their individualized clinical approach. “We are always positive and encouraging. We get to know each resident’s story and stay very positive and encouraging with them,” said Betty Luntsford, Therapy Program Manager. Ms. Luntsford has over 25 years as a physical therapist assistant with ten years at Franciscan Care Center. While at Franciscan Care Center, Diane received therapy twice a day. Therapy was hard work and often exhausting for her. Gradually, with the help of the therapy team and their continual encouragement, Diane moved forward while maintaining her own positive attitude. Ms. Luntsford oversees a team of 11 therapists that can start their day as early as 6:00 a.m. and staffs the therapy department seven days a week. Franciscan Care Center partners with Concept Rehab, a privately owned therapy company that is headquartered in Toledo, Ohio and

is celebrating 40 years this year. Concept Rehab provides interdisciplinary rehabilitation services to older adults in skilled nursing centers, long-term care, assisted living, and outpatient-based services throughout the Midwest. The therapy department performs three types of therapy—physical, occupational, and speech. Physical therapy primarily involves lower-body strengthening, mobility, walking, and balance. Occupational therapy focuses on addressing self-care needs, home-management-related activities, energy conservation, adaptive equipment training, upper-body strengthening and the skills people need at home and at work. Speech therapy concentrates on swallowing, communication, voice resonance, articulation, and cognitive disorders. The depth of the therapy team ensures medical orders for therapy services are provided multiple times a week, including weekends, to meet residents’ clinical needs to help them return home. When discharged, residents receive written exercise care plans and other educational pieces from the therapy department. If someone hits a standstill while at home, he or she can return to Franciscan Care Center to get assistance to continue to move forward. Franciscan Care Center offers an Enhanced Inpatient Cardiac Rehab program, and the therapy team plays an important role in helping cardiac residents get back to their normal lifestyle as they transition from hospital to home. The therapy team helps cardiac residents recover using a disease-management approach that includes exercise programs, safety training, diet management, mobility training, and self-care management. Home assessments are a common

Meet the Franciscan Care Center Concept Rehab therapy team.

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Meet the Rehab Team that got Diane back on her feet.

here, at Franciscan Care Center.

As a certified nursing assistant for many years, Diane knows the importance of caring for others. But it wasn’t until after her fourth surgery that she found the perfect place to recover. “The staff is good, therapy is great, people laugh, and the accommodations are nice. I’ve been to three other centers and Franciscan Care Center is the best.”

Franciscan Care Center Rehabilitation Skilled Nursing Long-term Care 4111 N. Holland Sylvania Road | Toledo, Ohio | 419.882.6582

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9


service offering and are recommended to make sure residents have the proper equipment and environmental setup before they return home. Recommendations may be made environmentally or additional clinical needs identified to best prepare that resident for a safe transition to their prior or new living environment. Extra nurturing touches make Franciscan Care Center’s quality of care special. Whether it is encouraging words from the therapy team; Sr. Jordan Schaefer, OSF, Chaplain, stopping by with a kind word and a prayer; or a friendly chat with staff,

keeping everyone positive about their recovery progress is job one at Franciscan Care Center. Franciscan Care Center nurtures the healing ministry of the Church and is committed to creating an environment where home is truly here for all who enter their skilled nursing campus and their families. Conveniently located in the Sylvania area at 4111 N. Holland Sylvania Road, Franciscan Care Center is the perfect steppingstone from hospital to home. For more information or to tour, call 419-882-6582 or go to homeishere.org. â?Ś

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eptember has been designated the space around the brain (a soBrain Aneurysm called subarachnoid Awareness Month to hemorrhage), which heighten awareness can result in severe and understanding neurological deficits or even death. of this very serious Dr. Reinard notes condition that, according to the Brain that aneurysms can be Aneurysm Foundation, either asymptomatic or affects an estimated 6 symptomatic. He exmillion people—or one plains, “Asymptomatic in every 50—in the aneurysms are usually United States. Each found incidentally, for year, around 30,000 example when a paof these individuals tient with a traumatic experience a rupture, head injury goes to approximately 40 perthe emergency center cent of which are fatal. and undergoes a brain Dr. Kevin Reinard What exactly is a imaging study. Sympbrain aneurysm? Actomatic aneurysms, cording to ProMedica neurosurgeon on the other hand, are usually those Kevin Reinard, MD, an aneurysm is that have ruptured. However, not all a weak spot in the wall of a blood symptomatic aneurysms rupture. It vessel located in the brain that leads is possible for a symptomatic aneuto an outpouching in the wall that rysm, in particular one that is large, to could potentially rupture. When a cause compression of a nearby nerve rupture does occur, blood leaks into and lead to symptoms. For example, a large aneurysm can put pressure on a nerve that is responsible for eye movement and present with double vision in a symptomatic patient. In rupture cases, patients typically experience severe headache, but they can also present with nausea and vomiting; visual symptoms such as blurred or double vision; seizure; or other stroke-like symptoms such as weakness, lack of coordination, paralysis, or loss of consciousness. Some patients are actually comatose EXPERIENCE THE when they come to us.â€? DIFFERENCE AT FAIRVIEW Because some aneurysms are at We bridge the gap between the hospital greater risk of rupturing than others and home when short-term physical and because not all aneurysms are therapy, occupational therapy or speech treated with the same technique, Dr. therapy rehabilitation is needed. Reinard and his colleagues follow • quality measures rating a “treatment treeâ€? when assessing • Skilled nursing facility offering both patients with an aneurysm. First private and semi-private suites they establish the location of the • Long-term care, hospice services, aneurysm in the brain because some respite care, Alzheimer’s care and outpatient therapy areas are more prone to rupturing. • Home management and care giver They’ll also get a good history from training the patient to determine whether he • Wound management or she has high blood pressure or a connective-tissue disorder, a family Call today for more information history of subarachnoid hemorrhage, or to schedule your personalized tour. or a history of smoking, all of which could increase the risk of rupture. “After that, we look at the architecture 4420 South Avenue, Toledo, OH 43615 of the aneurysm. In addition to its www.covenantcare.com

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room and allows the neurosurgeon to perform minimally invasive surgery on patients with aneurysms without the use of a traditional microscope. “There are two major advantages to using BrightMatter versus a microscope,” he says. “One is that BrightMatter is a hands-free visualization system. You control it with foot pedals, so you don’t have to move your hands and interrupt what you’re doing in surgery to reposition a microscope. The other advantage is that the magnification, resolution, and depth of field of BrightMatter are far and away

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superior to what you can get with a microscope.” BrightMatter uses an advanced form of MRI called diffusion tensor imaging, or DTI, that allows the computer to create a highly detailed, three-dimensional map of the brain’s white matter tracts—the critical information “highways” of the brain. Dr. Reinard remarks, “With BrightMatter, the surgeon can visualize in the operating room how the surgery is affecting these pathways and avoid them much more efficiently. As a result, there’s a significantly lower risk that the patient will wake up with deficits.” Dr. Reinard also points out that being the first to offer BrightMatter in the state of Ohio is a reflection of ProMedica’s commitment to ensuring area residents have access to the best care right in their own neighborhood. “With this advanced technology and the combined expertise of our neurosurgeons and neuroendovascular neurologists, we have the ability to treat the entire spectrum of cerebral vascular abnormalities including aneurysms without having to send patients to other facilities far from home,” he says. ❦

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location, we look for certain vascular characteristics, for example whether it has a dome that isn’t smooth or whether it has daughter sacs or multiple lobes. Lastly we look at the size of the aneurysm. Larger ones tend to rupture more frequently, but that’s not to say that smaller ones never do,” he states. Dr. Reinard emphasizes that ruptured aneurysms must be treated promptly—within 24 to 48 hours—to minimize the neurological impact on the patient. Furthermore, the risk of re-rupture is significant and these events are often fatal. Treatment options fall under one of two general categories: traditional open surgery, which has been around since the 1930s, and minimally invasive endovascular obliteration, which is performed through a small puncture in the artery and has been around since the 1990s. ProMedica Toledo Hospital offers both options and has established a vascular board consisting of Dr. Reinard, neurosurgeon, and neuroendovascular stroke specialists Drs. Mouhammad Jumaa and Syed Zaidi. The board members discuss each patient’s history, his or her clinical exam results, and the architecture of the aneurysm to determine the best treatment option. Dr. Reinard points out that no treatment modality fits all types of aneurysms. Some are best treated using a minimally invasive technique called coiling, or coil embolization. This technique involves inserting a catheter in a blood vessel in the groin, advancing it up to the site of the aneurysm, and then inserting tiny coils into the aneurysm to close off blood flow to the aneurysm, thereby eliminating the risk of rupture. Other types need to be surgically clipped, and still others require something in between these two techniques. Also available to the ProMedica neurosurgery team is a breakthrough technology called BrightMatter, which combines advanced imaging, planning, navigation, and robotics for complex brain and spine surgeries. ProMedica Toledo Hospital is the first hospital in Ohio to offer this technology. Dr. Reinard explains that this innovative visualization tool can be positioned at any angle in the operating

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11


EATING WELL by Laurie Syring, RD/LD

Do this to get rid of belly fat!

“B

urn belly fat!” This message seems to be popping up everywhere nowadays—social media, online ads, TV infomercials, you name it. It’s also hard to ignore all the supplements, foods, workouts, and treatments on the market that claim to help people get rid of belly fat. Shedding belly fat is a sensible goal. According to MayoClinic.org, regardless of your overall weight, carrying excess belly fat increases your risk of a wide variety of health issues, including high blood pressure, cardiovascular disease, insulin resistance and type 2 diabetes, colorectal cancer, sleep apnea, and premature death from any cause. It’s worth noting that some people are predisposed to carry fat around the abdomen. In these individuals the accumulation of belly fat is driven by genetics and a natural part of the aging process. But the good news is, being predisposed to storing up belly fat doesn’t mean one is destined to do so. It is possible to keep belly fat at bay—or lose it if it has already begun to accumulate—through proper diet and exercise. Here are seven simple steps that will help you fight that belly fat: 1) Increase fiber: Studies show that women who eat a high-fiber diet have a reduced likelihood of accumulating fat around the waistline. 2) Control calories: To figure out how many calories your body actually needs, use MyPlate (www. choosemyplate.gov). This site offers all kinds of practical information and tools to help you lose weight and get proper nutrition. 3) Limit alcohol: The “beer belly” is no myth. Consuming calories from beer, wine, and liquor is associated with belly fat, so moderating alcohol consumption is just as important as eating the right foods in proper proportions.

12  September 2018  |  Healthy Living News

4) Follow a low-fat diet: Choose low-fat dairy, banish fried foods, and limit those fat grams! 5) Exercise: Aim to get at least 150 minutes of moderate-intensity exercise each week. Cardio exercises such as walking, biking, running, or swimming are all good options. 6) Sleep well and lower your stress level. These two factors play a big part in the weight you carry around. Studies show a connection between inadequate sleep and belly fat, and excess stress has been linked to a higher waist circumference. 7) Try the Mediterranean Diet: Choose fish more often while reducing meat, and get plenty of fruits, vegetables, whole grains, and olive oil. Studies show that people who follow this eating plan tend to have less belly fat. A few important points I need to make: The first is that there is no one way to target certain areas of fat, meaning you can’t choose where you want your body to lose weight. The second is a reiteration of the fact that body fat distribution is actually genetic and predetermined. Thus, if you’re looking to reduce belly fat, you have to look at your lifestyle and eating pattern. The only way to lose belly fat is to keep losing weight until you eventually burn off enough that you get to the belly. What about drinking apple cider vinegar to burn belly fat? The truth is, there’s no real science behind it. While it won’t hurt you, apple cider vinegar is very acidic, so if you choose to drink it, be sure to dilute it with water. My advice is to focus less on finding a quick-fix solution to belly fat and instead concentrate on making better choices when it comes to nutrition and exercise. There’s certainly no harm in that, either! ❦ Laurie Syring, RD/LD, is Clinical Nutrition Manager at ProMedica Flower Hospital.

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E

Popular end-of-summer cosmetic procedures

very year as summer winds down and kids head back to school, the popularity of many cosmetic procedures begins to rise. This endof-summer uptick in interest can be attributed to several factors. One is that with kids out of the house and autumn schedules typically being somewhat more relaxed, parents have more free time to focus on themselves. Another is that vacation season is winding down for most families, so travel won’t overlap with any recovery time that might be associated with a procedure. Last but not least, there’s plenty of time to recover from a procedure before the next major holiday. Which procedures tend to gain popularity as summer wanes? “As summer draws to a close, we see an increased demand for cosmetic procedures across the board, but especially for those with recovery time associated, such as Smart Lipo, tummy tucks, and breast augmentation,” explains Dr. Wade Banker of Luxe Laser Vein & Body Center. “In contrast, during the summer months, we tend to see more de-

mand for non-invasive procedures with little or no downtime, such as CoolSculpting.”

Fall is the perfect time for tummy tucks and Smart Lipo. There is plenty of time for recovery before the holidays.

Smart Lipo is a minimally-invasive fat-removal procedure that requires some modest recovery and certain restrictions afterward, such as avoiding heavy lifting and strenuous activities for a time. The procedure is performed by inserting a small laser fiber under the skin, melting the fat, and then physically removing it from the body at the time of the procedure. “Patients typically don’t mind the recovery and restrictions

associated with Smart Lipo because the procedure yields a more dramatic final result compared to non-invasive fat-removal techniques,” says Dr. Banker. Tummy tucks are ideal for those who are interested in achieving both fat removal and significant skin tightening in the abdominal area. Mini tucks can also be performed to tighten smaller areas of loose skin around the abdomen or anywhere else on the body. These procedures are performed under local anesthesia and produce dramatic results with minimal scarring, minimal downtime, and very little pain. Summer ’s end is also the ideal time for breast augmentation because as the weather starts to cool down, long sleeves and jackets become the

norm, giving women who undergo this procedure ample time to recovery discreetly. And, of course, they don’t have to worry about appearing in public in a bathing suit for many months. What’s more, women who have a breast augmentation performed no longer have to be placed under general anesthesia. “Here at Luxe Laser, we offer an advanced procedure called Awake Breast Augmentation, which is performed under local anesthesia with the patient fully conscious yet completely free of pain and discomfort,” Dr. Banker states. In addition to Smart Lipo, tummy tucks, and breast augmentation, tattoo removal, laser hair removal, and other laser procedures are also highly popular as summer draws to a close. As Dr. Banker explains, “It’s easier to fit these types of procedures into your schedule at this time of year because you don’t have to worry as much about sun exposure to the area being treated.” To learn more about any of the procedures or services offered at Luxe VEIN & BODY CENTER Laser Vein & Body Center, please visit luxe-laser.com or call 419-893-2775.❦

OUR SERVICES, YOUR RESULTS.

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Permanent Fat Removal · Smart Lipo · PrecisionTx Chin Lipo · Coolsculpting · Tummy Tuck/Mini Tuck Breast Augmentation Rejuvenation and Skin Perfecting · CO2 Fractional Laser Resurfacing · Madonna Eye Lift · Micro-Needling · Laser Lift · Chemical Peels · IPL · Laser Facial · Dermaplaning · Microdermabrasion Laser Pigmentation Correction · Rosacea · Spider Veins · Birthmarks · Any Discoloration Laser Hair Removal Tattoo Removal

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Connect with our advertisers via our online issue at www.hlntoledo.com   |  Healthy Living News  |  September 2018

13


Don't get stuck in your comfort zone by Amanda Manthey

W

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. 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.

Is your loved one transitioning from hospital to home? Discover Rosary Care Center – on the peaceful Motherhouse grounds of the Sisters of St. Francis of Sylvania. • We offer skilled nursing services, therapy and rehabilitation for recovery following surgery, an injury or illness. • Our team can help you evaluate your care needs. • We are Medicare and Medicaid certified and accept most other commercial insurances. • Long-term care and respite care are also available.

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14  September 2018  |  Healthy Living News

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 concern 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 Performance Footgear.

Don’t miss Dave’s races! Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear. For more information, including any applicable fees, please visit davesraces.com. Boy Scout Half Marathon and Tenderfoot 5K—Saturday, September 1, 2018, 7:30 a.m. at the Wood County Fairgrounds, 13800 W Poe Rd., Bowling Green, Ohio. Olander Ultra: Dave’s 24-Hour Endurance Challenge & Team Relay—Sunday, September 2 to Monday, September 3, 2018, 10:00 a.m. at Olander Park, 6930 W Sylvania Ave., Sylvania, Ohio. Monroeville 150th Anniversary 5K— Saturday, September 8, 2018, 8:30 a.m. at the Huron River Joint Fire District HQ, 155 Monroe St., Monroeville, Ohio.

Tails on the Trails Walk and 5K—Sunday, September 9, 2018 at Ottawa Park, Liz Pearson Shelter, Toledo, Ohio. 5K run at 9:00 a.m. Walk at 9:15 a.m. Leipsic Main Street USA 5K—Saturday, September 15, 2018, 9:00 a.m. at 135 E. Main St., Leipsic, Ohio. Redhead Run 5K—Saturday, September 15, 2018, 9:00 a.m., at St. Peter Lutheran Church, K980 Co. Rd. 17D, Napoleon, Ohio. Grasshopper 5K Run/Walk—Saturday, September 15, 2018, 8:30 a.m. at Lakota High School, 5200 Co. Rd. 13, Kansas, Ohio. 2018 Donahue Memorial Run—Sunday, September 16, 2018, 9:00 a.m. (1-mile walk at 9:05 a.m.) at Lyons Community Park, Lyons, Ohio. Judgment Free 5K and 1-Mile Walk/ Roll/Shuffle—Saturday, September 22, 2018, 10:00 a.m. at Riverbend Recreation Area, Findlay, Ohio. Crazy Cow 5K and 10K Run—Saturday, September 22, 2018, 9:00 a.m. at the Napoleon Civic Center, 303 W. Main St., Napoleon, Ohio. St. Jude Walk/Run to End Childhood Cancer—Saturday, September 22, 2018, 8:30 a.m. at The Shops at Fallen Timbers, 3100 Main St., Maumee, Ohio. Alexa Brown 5K—Saturday, September 22, 2018, 8:45 a.m. (Kids 1K at 8:15 a.m.), Main St., downtown Clyde, Ohio. 2018 PentaK “Color the Trail” & Community Wellness Day—Saturday, September 22, 2018, 10:00 a.m. at Penta Career Center, 9301 Buck Rd., Perrysburg, Ohio. Catching Up With Jack Run/Walk— Sunday, September 23, 2018, 3:30 p.m. at Monclova Elementary School, 8035 Monclova Rd., Monclova, Ohio. One Step at a Time—Saturday, September 29, 2018, 9:00 a.m. at 950 Webster St., Defiance, Ohio.

Tribute to Towers Defiance 5K Run/ Walk—Saturday, September 8, 2018, 8:46 a.m. at 702 West Third Street, Defiance, Ohio.

Amigos Club Supporting Children with Juvenile Diabetes 5K Run/Walk Saturday, September 29, 2018, 9:00 a.m. at Biddle Park, Glenwood Ave., Wauseon, Ohio.

Pacing for Parkinson’s—Saturday, September 8, 2018, 11:00 a.m. at Oak Openings Metropark Buehner Center, 5402 Wilkins Rd., Whitehouse, Ohio.

Superheroes Kickin’ Cancer 5K Run/ Walk—Saturday, September 29, 2018, 9:00 a.m. at Maumee Bay State Park, 1400 State Park Road, Oregon, Ohio.❦

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A D V E R T O R I A L

Emergency Services, Like Bandages, Aren’t One Size Fits All

Have you ever noticed how many kinds of bandages there are? Some are little and some are big. Some are circular and some are rectangles. Some are even shaped like a butterfly. But they’re all called bandages and they’re all different. The same is true in healthcare. You might have two emergency rooms — one is attached to a full-service hospital where life-saving care is right down the hall . . . but the other is attached to a limited-service hospital where, if you’re faced with a life-threatening illness, will need to spend vital minutes transporting you to a larger hospital farther away from home. It’s important to know the difference. You wouldn’t put that little bandage on a big cut, and you shouldn’t pick the wrong emergency room when you need advanced care fast. St. Luke’s Emergency Services Offer Critical Advantages in Life-Threatening Situations St. Luke’s Emergency Services is the only option in the Maumee/Perrysburg area attached to a full-service hospital n

n

n

n

The only option located literally down the hall from a nationally Certified Primary Stroke Center which provides rapid response to stroke patients The only option for the rapid determination of neurological conditions with the availability of immediate state-of-the-art treatment The only option with a 24-hour chest pain center accredited to treat and diagnose heart attack patients faster than the national average The only option with an on-site surgical suite for life-threatening conditions, such as open heart surgery

When minutes count, remember that one hospital stands apart: St. Luke’s Hospital. Where emergency services are backed by a rapid-response, critical care team, where the specialties of a full-service hospital are on-site, and where all major insurance plans are accepted. If you are experiencing a medical emergency, call 911 right away and let them know you want to come to St. Luke’s Hospital.

©2018 St. Luke’s Hospital

5901 Monclova Rd. Maumee, OH 43537 | 419.893.5911

Visit StLukesHospital.com

Connect with our advertisers via our online issue at www.hlntoledo.com   |  Healthy Living News  |  September 2018

15


Wise words from

OTTERBEIN It's autumn; don't make it fall season Risk increases with age Many people have a friend or relative who has fallen. The person may have slipped while walking or felt dizzy when standing up from a chair and fallen. Maybe you’ve fallen yourself. If you or an older person you know has fallen, you’re not alone. More than one in three people age 65 years or older falls each year. The risk of falling—and fall-related problems—rises with age.

Falls lead to fractures, trauma Each year, more than 1.6 million older US adults go to emergency departments for fall-related injuries. Among older adults, falls are the number-one cause of fractures, hospital admissions for trauma, loss of independence, and injury deaths.

Fractures caused by falls can lead to hospital stays and disability. Most often, fall-related fractures are in the person’s hip, pelvis, spine, arm, hand, or ankle. Hip fractures are among the most serious types of fall injury. They are a leading cause of injury and loss of independence among older adults. Most healthy, independent older adults who are hospitalized for a broken hip are able to return home or live on their own after treatment and rehabilitation. Most of those who cannot return to independent living after such injuries had physical or mental disabilities before the fracture. Many of them will need long-term care.

Fear of falling Many older adults are afraid of falling. This fear becomes more common

16  September 2018  |  Healthy Living News

as people age, even among those who haven’t fallen. It may lead older people to avoid activities such as walking, shopping, or taking part in social activities. If you’re worried about falling, talk with your doctor or another healthcare provider. Your doctor may refer you to a physical therapist. Physical therapy can help you improve your balance and walking and help build your walking confidence. Getting rid of your fear of falling can help you to stay active, maintain your physical health, and prevent future falls.

Tell your doctor if you fall If you fall, be sure to discuss the fall with your doctor, even if you aren’t hurt. Many underlying causes of falls can be treated or corrected. For example, falls can be a sign of a new medical problem that needs attention, such as diabetes or changes in blood pressure, particularly drops in blood pressure on standing up. They can also be a sign of problems with your medications or eyesight that can be corrected. After a fall, your doctor may suggest changes in your medication or your eyewear prescription. He or she may also

suggest physical therapy, use of a walking aid, or other steps to help prevent future falls. These steps can also make you more confident in your abilities.

Ways to prevent falls Exercise to improve your balance and strengthen your muscles helps to prevent falls. Not wearing bifocal or multifocal glasses when you walk, especially on stairs, will make you less likely to fall. You can also make your home safer by removing loose rugs, adding handrails to stairs and hallways, and making sure you have adequate lighting in dark areas.

Many possible causes Falls don’t “just happen,” and people don’t fall because they get older. Often, more than one underlying cause or risk factor is involved in a fall. A risk factor is something that increases a person’s risk or susceptibility to a medical problem or disease. As the number of risk factors rises, so does the risk of falling. Many falls are linked to a person’s physical condition or a medical problem, such as a chronic disease. Other causes could be safety hazards in the person’s

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home or community environment.

falls. One reason is that it may take a while for your eyes to adjust to see Risk factors clearly when you move between Scientists have linked a number of darkness and light. •Other vision problems contributpersonal risk factors to falling: ing to falls include poor depth percep•Muscle weakness, especially in tion, cataracts, and glaucoma. Wearing the legs, is one of the most importmulti-focal glasses while walking ant risk factors. Older people with or having poor weak muscles are lighting around more likely to fall your home can than are those who also lead to falls. maintain their muscle •Confusion, strength as well as even for a short their flexibility and while, can someendurance. times lead to •Your balance falls. For example, and your gait—how if you wake up you walk—are other in an unfamiliar key factors. Older environment, you adults who have poor might feel unsure balance or difficulty of where you are. walking are more If you feel conlikely than others to fused, wait for fall. These problems your mind to clear may be linked to a or until someone lack of exercise or to comes to help you a neurological cause, before trying to arthritis, or other get up and walk medical conditions around. and their treatments. •Some med•Blood pressure Exercise to improve your balance and ications can inthat drops too much strengthen your muscles helps to prevent crease a person’s falls. when you get up risk of falling befrom lying down cause they cause or sitting can increase your chance side effects like dizziness or confuof falling. This condition—called sion. The health problems for which postural hypotension—might result the person takes the medications may from dehydration or certain medialso contribute to the risk of falls. cations. It might also be linked to •The more medications you take, diabetes, neurological conditions the more likely you are to fall. People such as Parkinson’s disease, or an who take four or more prescription infection. drugs have a greater risk of falling than •Some people with postural hypodo people who take fewer drugs. You tension feel dizzy when their blood should check with your doctor if you pressure drops. Other people don’t think your medications are causing feel dizzy, even if their blood pressure dizziness or unsteadiness. Your doctor drops a lot when they get up. can tell you which drugs, including •Your reflexes may also be slower over-the-counter medicines, might than when you were younger. The cause problems. Do not change your increased amount of time it takes medications on your own. you to react may make it harder to catch your balance if you start to fall. What a fall might mean •Foot problems that cause painful Be sure to talk with your doctor if you feet and wearing unsafe footwear can fall, as well. A fall could be a sign of increase your chance of falling. Backa new medical problem that needs less shoes and slippers, high-heeled attention, such as an infection or a shoes, and shoes with smooth leather cardiovascular disorder. It could also soles are examples of unsafe footwear suggest that a treatment for a chronic that could cause a fall. ailment, such as Parkinson’s disease •Sensory problems can cause or dementia, needs to be changed. falls, too. If your senses don’t work well, you might be less aware of your Most falls happen at home environment. For instance, having Although falls can happen anywhere, numbness in your feet may mean you well over half of all falls happen at don’t sense where you are stepping. home. Falls at home often happen •Not seeing well can also result in

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while a person is doing normal daily activities. Some of these falls are caused by factors in the person’s living environment. For instance, a slick floor or a poorly lit stairway may lead to a fall. Other factors that can lead to falls at home include:

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• Loose rugs • Clutter on the floor or stairs • Carrying heavy or bulky things up or down stairs • Not having stair railings • Not having grab bars in the bathroom. Simple changes can help make

your home safer. Have someone do a walk-through with you. Make the changes needed to keep you safe. This article and additional information about falls are available from the National Institute of Health. Read more at www.nihseniorhealth. gov/falls/. If you are thinking of making a move to a home on one level with fewer fall risks, consider a move to Otterbein in Pemberville or Otterbein in Lakeside-Marblehead. The campus is designed for safety and peace of mind. Call 419-833-8917 for a tour, or visit www.otterbein.org. ❦

How to know if your senior loved one is eating right

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roper nutrition is every senior’s first line of defense against disease, infection, and a host of age-related maladies. Unfortunately, owing to a variety of influences, many seniors are at risk of malnutrition—and, all too often, this problem goes undetected until serious complications arise and their health has already begun to deteriorate.

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Why are seniors at risk? As people age, they are more likely to experience physical, social, economic, and psychological issues that increase their risk of malnutrition. From a physical standpoint, mobility limitations can make it very difficult for seniors to shop for themselves and prepare meals. Chronic health

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18  September 2018  |  Healthy Living News

due to mobility or health issues that make it difficult for them to visit family and friends or host them in their home. That can mean eating most meals alone, which can, in turn, cause them to lose interest in cooking and eating because mealtimes no longer have the social component that they once did. From the standpoint of economics, seniors on a fixed income may be unable to afford food or may try to save their food for the future instead of eating it now to meet their current nutritional needs. Factors such as impaired mobility, failing health, feelings of loneliness, or grief over the death of a loved one can also lead to depression, which often causes loss of appetite. Of course, various forms of dementia and other cognitive problems significantly increase the risk of malnutrition among seniors, as well.

issues, certain medical treatments, and certain medications (or combinations of medications) can lead to decreased appetite or difficulty chewing, swallowing, or properly absorbing nutrients. In some cases, dietary restrictions, such as limiting salt or sugar, or impairment of the sense of taste or smell can simply make seniors lose interest in eating. Socially, many seniors find that their contact with others decreases

Preventing complications of malnutrition in seniors depends upon catching the problem early—which isn’t always easy with this stealthy condition. Family and friends of atrisk seniors should keep an eye on their loved one’s eating habits and watch for potential “red flags,” such as: • A once hearty eater losing his or her appetite or losing interest in dining out at a favorite restaurant • Sudden reduction in body weight or clothes fitting more loosely than normal • Taking three or more

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medications • A normally active senior becoming lethargic • Symptoms or complaints of feeling depressed • Finding expired or spoiled food in the senior’s refrigerator • Unhealthy skin tone • Poor wound healing • Bruising easily • Dental problems • Recovering from a recent illness or hospital stay • Dementia or other cognitive problems. Many malnutrition warning signs can be very subtle and difficult to detect, especially during a brief visit. It’s important for family and friends to observe their loved one during meals on a frequent basis to make sure their appetite is healthy, they’re getting the nutritional foods they need, and they aren’t having difficulty eating what’s available.

What if malnutrition is suspected? If a senior loved one exhibits warning signs of malnutrition, the first step is to discuss your concerns promptly with his or her healthcare pro-

vider (or providers). Resolving the is receiving necessary support with problem might be a simple matter respect to food shopping and prepaof changing medications, altering ration. Depending on family circumdietary restrictions, or addressing stances, this might involve seeking dental problems that cause pain when outside assistance, such as arranging Ministry support 2021 N. McCord | Toledo, OH aide 43615to | P: 419.861.4990 chewing. Furthermore, a physician for Road a home health buy grocercan order screenings for nutritional ies and/or cook meals, or utilizing a deficiencies as well as provide referrals community senior nutrition service, to dietitians, psychologists, or other such as Meals on Wheels. specialists as needed. To the extent possible, try to spend It’s also vital for family and friends mealtimes with your senior loved to make sure their senior loved one one. Make sure his or her meals and snacks include nutrient-dense foods. If part of the problem is bland food owing to dietary restrictions, enliven the meal with herbs and seasonings instead of salt. It’s also helpful to put the social component back in mealtimes. Take advantage of communal meals at senior centers if offered. Visit your loved one at mealtimes or invite him or her to your home for meals. The key is to identify the underlying problem that’s preventing your senior loved one from getting adequate nutrition and to take immediate steps to rectify it. It may require some careful observation to identify a developing problem, but any measure that promotes healthy eating will go a long way toward keeping your senior healthy and independent. ❦

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YOUR HEALTH STARTS WITH A HEALTHY PARTNERSHIP Whole Health at Falcon Health Center 838 E. Wooster St., Bowling Green

START YOUR JOURNEY TODAY... Our Physicians, Jeffery D. Swartz, MD and Mickey E. Frame, DC, along with a comprehensive healthcare team, provide multiapproach treatment plans focusing on integrative medicine, nutrition, medication reviews, and complimentary therapies focusing on mind, body and spirit. Call 419-728-0601 for an appointment or visit https://falconhealth.org/whole-health/ to learn more.

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20  September 2018  |  Healthy Living News

Whole Health takes innovative, integrative approach to patient care

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wo physicians at the newly es- massage, have been proven effective tablished Whole Health at Falcon in reducing and sometimes eliminatHealth Center in Bowling Green are ing—like chronic pain, migraines, defining “integrative medicine” as and arthritis,” said Dr. Frame. “Comthey work with a host of support bining the best of physical medicine services to make health management with therapies, personalized care truly about their patients. management, and dietary Family Physician Jeffery reviews has an enormous D. Swartz, MD, and Chiropotential for overall good practic Physician Mickey health.” E. Frame, DC, are taking For example, the doctors a partnership approach to utilize a pharmacist to conhow patients are managed, duct medication reviews to which is meant to translate help patients take medications more effectively, as into less medication, a better understanding of key Jeffery D. Swartz, MD well as wean off meds or factors affecting conditions, reduce costs. and a more comprehensive “As physicians, we also treatment plan for health have to embrace the fact that conditions. there are evidence-based “Medicine has gotten health supplements that so protocol, so much about a lot of people are taking,” pharmaceutical recipes and said Dr. Swartz. “We also everyone being treated the need to eliminate narcotics same,” said Dr. Swartz. “At whenever possible and come Whole Health, our brand up with ways to decrease Mickey E. Frame, DC of medicine is really about unnecessary prescriptions.” “There are so many options to sitting down and talking to our patients about their goals, identifying reduce the amount of medications their risks, and figuring out what’s a patient takes, and Whole Health works to develop pathways for each modifiable.” “We recognize that the current individual,” said Dr. Frame. “For inpatient care system is not optimal,” stance, relaxation technique training said Dr. Frame. “We have growing may help lower blood pressure, and numbers of patients addicted to anti-inflammatory foods can help painkillers, and our mortality and with joint pain. There’s no way a obesity rates are skyrocketing. The ‘one-size-fits-all’ approach is going Whole Health concept combines com- to effectively solve any single health plimentary and proven treatments problem.” to address underlying issues and set Another important component of up patients for success.” Whole-Health's services is the use of Dr. Frame and Dr. Swartz agree that a health coach for weight loss. “We one method is usually not enough, have a medically supervised weightso they utilize a host of proven ther- management program that is not a apies to treat mind, body, and spirit, diet,” Dr. Frame said. “It is a collabincluding acupuncture, massage, orative approach using a variety of psychological support, meditation, services as needed to help patients essential oils, nutrition management, meet their goals, whether it’s to lose yoga, tai chi, and more. weight for an upcoming wedding or “It really is about spending some to shed pounds to combat diabetes.” time with the patient and asking them The weight-management program what their goals are and laying out includes physician oversight, a care a plan to achieve those goals,” said coach, acupuncture to help curb Dr. Swartz. “Not everyone requires cravings, dietary management, and the algorithm-style medicine we a 60-day membership at the BGSU have become so used to. We need Student Recreation Center, which to treat the patient as an individual includes six sessions with a personal and help people make better choices trainer. about their health care.” According to Dr. Swartz, all the “There are plenty of conditions professionals in the world won’t that chiropractic and supporting solve an issue if the patient also modalities, such as acupuncture and doesn’t want to participate. “The We love feedback. Like us on Facebook. Follow us on Twitter.


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21


idea of whole-body health means nothing if the patient doesn’t want the same results,” Dr. Swartz said. “That’s one reason why taking time to discuss goals and roadblocks is so important—we have to all be on the same page. As doctors, we can’t say, ‘here’s a script, get out of here,’ and expect that we can address the reasons why a patient got to where they are in the first place.” Whole Health is located on the second floor of Falcon Health Center, 838 E. Wooster Street, which serves the community and Bowling Green State University students and faculty. Currently, students make up about 20 percent of Whole Health’s patient base. Whole Health also features health-centered presentations on a variety of topics, such as maintaining an anti-inflammatory diet, using mindfulness and meditation, and the benefits of acupuncture. To schedule a consultation, or to learn more about upcoming presentations, please call Whole Health at Falcon Health Center at 419-728-0601. Information is also available at http:// www.falconhealth.org/whole-health. Dr. Jeffery D. Swartz is a Family Practice Specialist in Bowling Green,

Ohio. He graduated with honors from Medical College of Ohio in Toledo in 1980. Having more than 38 years of diverse experiences, especially in family practice and sports medicine, Dr. Swartz affiliates with Wood County Hospital in Bowling Green. Dr. Mickey E. Frame is a certified chiropractic physician with over 20 years of experience. He is one of the Toledo area’s most recognizable chiropractors, serving as official

chiropractor for the Toledo Walleye hockey team and the Toledo Villa FC men’s and women’s semi-professional hockey teams. Dr. Frame offers a variety of services, including sports medicine, acupuncture, and manipulation under anesthesia. His practice, Frame Family Chiropractic and Acupuncture, is located at 3829 Woodley Court, #1, Toledo. For more information, call 419-475-9355 or visit getwelltoledo.com. ❦

the body in shape? Why not work some other exercises into your fitness routine for good measure? Wakefield cautions that any additional exercise can actually prevent the body’s building of strength and fat-burning muscle mass. Furthermore, lower-intensity activities, such as running, stair stepping, and treadmills, really don’t burn that many calories and can cause injuries to the knees and hips. “However, if there are physical activities you enjoy doing for recreation or relaxation, such as playing tennis, golfing, bicycling, yoga, or walking, by all means you should continue doing them,” he adds. Some people might see the term “high-intensity” and assume Super to change clothes or shower after- Slow Training is not for them. But ward. What’s more, as you progress nothing could be further from the through the program and begin truth. Wakefield notes that clients of all ages, backgrounds, personalito see results you never ties, and body types—even thought possible, that pregnant women—can parweekly workout time ticipate in and benefit from may actually decrease. this time-efficient program. A fitness program that “We’ve noticed that Super gets results with such Slow Training is especially a modest time investpopular among women, rangment might seem too ing anywhere in age from good to be true, but as young students to those in Wakefield emphasizes, their 90s. The type of woman Super Slow Training is an we see most frequently is one evidence-based exercise solution that he has been Super Slow Training is espe- who is very busy with her advocating for over 25 cially popular among busy career and family and helps women. out in the community. She years. Also, these time-efdoes yoga and knows she ficient, high-intensity workouts are always performed needs strength training but believes under the tutelage and close obser- she doesn’t have the time—that is, vation of highly experienced and until one of her friends tells her about TriggerPoint,” he says. educated trainers. A TriggerPoint client named Mary Wakefield explains that Super Slow Training involves lifting and fits this description perfectly. “I do lowering weights at a very slow rate, low-force, intense exercise at Trigkeeping consistent tension on the gerPoint because, as a lawyer, I have muscle throughout its whole range limited time but know that I need to of motion. High-tech monitors on the strengthen my muscles and bones. specially designed Super Slow Training The workout takes about a half hour equipment help Wakefield’s clients once or twice a week. Even I can make maintain the proper form, technique, time for that. It’s demanding, but they and tempo during workouts. This supervise you every step of the way. method differs from conventional Plus, the amazing technology makes strength-training techniques in that it easier to focus on the work to be there is no fast momentum to help do done. It’s all business. I zip in, they the work for you. Though slow, this take me through my paces, and I’m technique is intense, really working out the door. I can’t recommend it those muscles. It’s also very safe, enough!” she remarks. Ours is a busy, fast-paced society with Wakefield working one-on-one with clients and monitoring and ad- that allows us little time to focus on justing their every move. After this health and fitness. Wakefield urges intense exercise stimulus, the body anyone who is seeking a more efficient recovers for seven days, producing strength-training and conditioning alternative—or is simply tired of the desired results. But is a half hour of strength train- getting disappointing results from ing per week really sufficient to get conventional workouts—to call Trig-

Super Slow Training

An efficient exercise solution for a fast-paced world

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ou know you should do something about getting in shape, but who has the time? Between kids, career, and all the other obligations of life, you simply don’t have an hour to spare for a fitness regimen. That’s good news according to Russ Wakefield, owner of TriggerPoint, because the exercise method he offers—known as Super Slow Training—demands no more than a half hour once a week. In fact, the program can be completed over your lunch hour with no requirement

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gerPoint and give Super Slow Training a try. “This efficient, evidence-based program might just be the exercise solution you’ve been looking for,” he states. ❦

Four free trial sessions are offered. For an appointment, call Russ Wakefield at 419536-0408. TriggerPoint, located at 2449 N. Reynolds Rd., is also on Facebook.

Timely tips on backpack safety, concussions, and fall prevention by Jim Berger

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his is the time of year when I focus my article on kids and the elderly population. School is underway, fall sports have started, and September is Balance Awareness and Fall Prevention Month. Here are three areas of special concern in the month of September:

ones that are too heavy puts children at increased risk for musculoskeletal injuries and postural changes. Here are some tips for safe backpack use: • Wear both straps. • Remove and put on backpacks carefully and avoid excessive twisting. • Wear the backpack over the strongest mid-back muscles. • Pack the heaviest items close to your back and higher up if possible. • Lighten the load. Keep the load at 10 to 15 percent or less of the student’s body weight.

Backpacks While backpacks are one of the most convenient ways to carry books and school supplies, an overloaded and/or improperly worn backpack gets a failing grade, according to the American Physical Therapy Association (APTA). Wearing backpacks improperly or

fort: a padded back; wide, padded straps; hip and chest belts; multiple compartments; and reflective material to enhance visibility of the child to drivers in the early morning and at night. Parents and children can avoid injury by recognizing the following warning signs that the backpack is too heavy: • Change in posture when wearing the backpack • Struggling when putting on or taking off the backpack • Pain when wearing the backpack • Tingling or numbness in arms and legs, mostly arms • Red marks on the shoulders.

Concussions What is a concussion? A concussion is a mild traumatic brain injury that

When selecting a new backpack, choose ergonomically designed features that enhance safety and com-

occurs when a blow or jolt to the head disrupts the functioning of the brain. Sports-related concussion is one of the main topics in the media, medicine, and sports programs today. It is an injury most commonly thought to occur primarily in football players, yet it also occurs in most other sports, such as soccer, baseball, basketball, volleyball, and hockey. Concussions, especially in the young athlete, can cause symptoms that interfere with school, social and family relationships, and participation in sports. Recognition of symptoms and education on treatment are crucial, especially to the young athlete. The incidence of concussion may decrease with having proper-fitting equipment, using proper sport techniques, and adhering to the rules of the sport. However, nothing has been shown to prevent them. This is one reason the State of Ohio has taken a proactive and progressive approach to concussions. It is required that every athlete, parent, coach, official, and athletic trainer who participates or is involved with an organized sport complete training.1 1 http://www.ohsaa.org/medicine/Concussions/ConcussionRegulations.pdf

“THERAPY FOR TODAY...WELLNESS FOR LIFE!” Pysical Terapy •

 

• •

   

Occpaonal Terapy

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• •

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23


The management of an athlete who is suspected of having a concussion is critical in reducing the long-term complications. Rest, physical and cognitive, is key to management of of a concussion. Additional testing (neuropsychological) may also be helpful with the management, especially if the symptoms appear to be progressing. X-rays, CT scans, and MRI’s will not identify a concussion but may be used to rule out cervical spine fractures or more severe brain injuries. Return to play is the goal, but how soon is that? Determining when an athlete returns to play after a concussion should follow an individualized course because each athlete will recover at a different pace. It is very clear that if a concussion is suspected, the athlete should not be allowed to return to play that same day. The phrase that is being used, and is paramount in the management of pediatric or adolescent concussion, is “When in doubt, sit them out!” Although a majority of athletes will be asymptomatic within a week, numerous studies have demonstrated a longer recovery of full cognitive function is needed in younger ath-

letes compared to college-aged or professional athletes. Heartland Rehabilitation Services can help with the return to play and return to school. Heartland Rehabilitation Services’ clinicians are all certified in Concussion Management. Heartland offers a ”Return to Play or School Program” and a “Post Concussive Rehabilitation Program” when individuals exhibit signs and symptoms lasting longer than a week. Call Heartland Rehabilitation Services if you have questions about concussions.

Fall prevention When talking about fall prevention, I discuss three different areas: dizziness, weakness/stability, and environmental factors. Dizziness and vertigo are significant factors in falls. Vertigo is feeling as though you or the world is spinning— at times out of control. True vertigo is caused by the vestibular system, which is one of the components of the sensorimotor control system. The

most common cause of vertigo is Benign Paroxysmal Positional Vertigo (BPPV). Problems with balance, dizziness, and vertigo can be treated in different ways. Physical therapy can treat all three very effectively, as BPPV responds very well to physical therapy. Muscle weakness and poor joint stability, especially in the lower leg, contribute to falls. To get from “Point A” to “Point B” requires the use of our muscles and joints. If both are weak, the risk of falls is greater. Physical therapy can assist in improving both of these areas. Environmental factors is the final area that I bring up related to falls. As a society, we rush and hurry. We miss picking up some small, subtle changes around us that can impact our safety and increase our risk for

falls. We get distracted or multitask when we shouldn’t, and then accidents happen. We also need to look at our homes and assess this environment. We need to eliminate the things that present a potential for high fall risk, like throw rugs or clutter. Finally, do you have the best footwear that provides the most stability and support needed? Heartland offers complimentary balance screenings all month. Call to arrange your complimentary screening to stay fall free! Heartland Rehabilitation has four locations in the Toledo and Bedford Michigan areas with knowledgeable staff to assist with your physical and occupational therapy needs. If you have any questions about Heartland Rehabilitation Services or how physical and occupational therapy can benefit you, please feel free to contact Jim Berger at 419-787-6741 or visit www.heartlandrehab.com.❦

Celebrate Healthy Aging Day with Senior Star at West Park Place

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here are approximately 46 million Americans over the age of 65, and this population of 65+ adults is projected to double in size by 2060! So, approaching aging in a healthy way is not just important for us as individuals, but also for our families and communities. That’s why Senior Star at West Park Place is hosting an exciting Healthy Aging Day on Wednesday, September 12th from 11:00 a.m. to 3:00 p.m. West Park Place takes a holistic approach to aging well and will be showing just how they do that during the event. Join them at 11:00 a.m. for an invigorating Morning Stretch Exercise Class, or swing by at 1:00 p.m. for an exhilarating Cardio Drumming Class. West Park’s program directors will also host some Laughter Yoga and Zumba Gold mini-sessions. Guests will also be able to take a spin on BikeAround—a new “virtual” stationary bike that allows riders to go anywhere in the world, thanks to Google Street View. They can

visit a childhood neighborhood or ride through the streets of Paris or Rome. The day will be filled with other fun activities, demonstrations, and brain- and heart-healthy refreshments. Free health screenings and information will be provided from vendors across the spectrum—from estate planning to healthcare professionals. The roster of vendors includes Senior Care Management, Unique Health Care Solutions, The Laurels of Toledo, Humana, Rehabilitation Hospital of Northwest Ohio, Genesis of Point Place, Kingston of Sylvania, Kenwood Hearing Center, Walker Funeral Home, Kroger, Beacon and Associates, Foot Solutions, and Clear Captions. There will also be door prizes, drawings, and so much more. Call 419-469-5331 to RSVP—and if you register before September 10th, you’ll be entered into a special Early Bird drawing to win a special prize. ❦

! 24  September 2018  |  Healthy Living News

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Healthy Aging Day Wednesday, September 12th 11 am - 3 pm

Healthy Aging Day Itinerary: • 11:00 am Morning Stretch Exercise Class • 11:30 am Laughter Yoga • 1:00 pm Cardio drumming • 2:00 pm Zumba Gold ShapeMaster & BikeAround demonstrations will be ongoing throughout the day.

Learn how to age well at West Park Place’s “Healthy Aging Day” event! Free health screenings and information will be provided - from estate planning to health care professionals. We will also be showing off our Signature Programs - like Laughter Yoga, Zumba Gold, Drums Alive & BikeAround. Brain healthy refreshments will be provided, along with door prizes and drawings.

Lunch available for purchase from 11:30 - 1:00

RSVP early and be entered into an Early Bird drawing!

Call 419.469.5331

3501 Executive Parkway, Toledo, OH 43606 419.469.5331 • seniorstar.com/westparkplace

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Optimum outcomes stem from early detection and treatment

OVARIAN CANCER O

varian cancer is a “silent” disease. That means it causes few if any noticeable symptoms in its earliest stages. When symptoms do arise, they tend to be vague and easily mistaken for more commonplace maladies. However, it is vital for women to be aware of the potential signs of this stealthy disease, which affects one out of every 70 to 80 American women, and to be in tune to its risk factors—because if detected and treated early enough, ovarian cancer is often curable. According to Mercy Health gynecological oncologist Eric Jenison, MD, “When we diagnose ovarian cancer early, the prognosis is very good. If we can catch and remove the cancer in stage one, two, or even early in stage three, the patient has a much better chance of long-term survival or cure. Unfortunately, most cases of ovarian cancer—approximately three-fourths—aren’t discovered until a later stage.” Dr. Jenison says women should not ignore symptoms such as lower abdominal bloating, a sensation of

pressure on the bladder or rectum, early satiety (feeling of fullness) after eating, and potentially pelvic pain. “The challenge is that these can be common symptoms, so we need to educate women that if these symptoms come on and persist more than several days, they should consult their physician,” he adds. Though few risk factors have been identified for ovarian cancer, it is known that there is a strong genetic association in women with a family history of the disease. As these women are at greater risk, it’s essential for doctors to take a good family history in order to identify first- or second-degree relatives with the disease. Certain genetic syndromes also increase risk. For example, the BRCA1 or BRCA2 mutation puts women at very high risk of developing ovarian, breast, and various other cancers. Dr. Jenison says that women with the BRCA1 defect can have as high as an 80 percent chance of developing breast cancer and upwards of a 50 percent chance of developing ovarian can-

cer. For women with BRCA2, those percentages are halved, but still are significant, he adds. Dr. Jenison further explains that women with a family history of ovarian or breast cancer can be tested for the BRCA1 or BRCA2 mutation. If they are found to have one of these gene mutations and are free of cancer, they can be placed into an intensive screening program once or twice per year depending on the level of risk. Dr. Jenison points out that the diagnosis of ovarian cancer is challenging, but it is getting easier to detect thanks to pelvic ultrasound, which allows the doctor to make a well-informed diagnosis and helps guide further treatment decisions. If an abnormal mass is noted during ultrasound, CA-125 testing is then performed. If the level is abnormal, surgery is performed to remove the cancer. Surgery will determine the type and stage of the cancer. In cases where the cancer has spread through the patient’s abdominal cavity, the surgeon attempts to remove as much of it as possible through a process called cytoreduction,

There is a strong genetic component to ovarian cancer for women with a family history of the disease, so genetic testing can be an important tool for determining risk.

or debulking, surgery, Dr. Jenison says. The more of the tumor he or she is able to remove in this process, the more effective the chemotherapy will be. He also notes that, depending on the stage of the disease and other factors, the surgeon may be able to remove the ovarian cancer using a robotic surgical system. “If the cancer is caught early enough and hopefully limited to the ovary with no evidence of spread elsewhere in the abdomen, we can remove the tumor and stage the patient using minimally invasive robotics surgery. However, while robotics is commonly used for other gynecological cancers, such as removing cervical or uterine malignancies, we’re not yet to the point where it’s used routinely for advanced ovarian cancer,” he states. Prevention of ovarian cancer generally comes down to women knowing their family history and, if determined to be at increased risk, participating in a more intensive screening program and potentially undergoing genetic testing. “We recommend that women see their gynecologist regularly—at least yearly but twice per year if they’re at very high genetic risk,” Dr. Jenison advises. ❦ Mercy Health – Gynecological Oncology specializes in treating women with gynecological cancers. From offering oncological surgeries with fewer side effects to ensuring the most minimally invasive procedures are used, Mercy Health works to get patients living the life they love as soon as possible. For more information, go to mercy.com.

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27


By Mark S. Faber, USPTA Elite Professional

The “Mom Effect,”

I

t’s hard to believe that as I write this article, area schools will soon be in full swing again. The summer certainly went fast, once again, and it would be nice if things would just slow down. Some might say this month’s article would be more fitting for the month of May. However, discussion of how much we appreciate our moms should not be limited to Mother ’s Day, for their efforts certainly are not. How many times have you been

watching a college or professional sporting event on television and seen an athlete turn to the camera, wave, and say, “Hi Mom!”? How many times have you heard these same athletes during interviews reflect back to their mom’s efforts as they were growing up? Looking back to my youth, and what I’ve experience as a coach and now a parent, it is easy to understand. The roles of moms are many and truly never stop. Let’s look at just some

of the many roles a mom plays and the impact they have on a young person’s development: Many times, moms are the ones who are driving their children to and from a practice or game. If they are not the one driving, they are the one who has arranged transportation for their child. Without this effort, the child would not be able to participate in the activity and, in turn, would be unable to begin and continue developing in the activity. Moms also play the role of schedule maker and executer. To ensure the

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child gets to and from their activities, they must know the schedule inside and out. Even though we coaches like to see young athletes develop independence when it comes to scheduling practices and competitions, this doesn’t happen overnight and most of the time it is the mom who starts this process of development. Moms truly exemplify the saying, “I love watching you play!” In a previous article, I shared the importance of this saying to a young person, as it stresses the enjoyment of watching the event and focusing on the enjoyment of participating, rather than just being critical of the good and bad things that happened. Many times it’s the mom who is first in line when a child needs a pat on the back or, more importantly, a hug and a kiss that comforts them no matter the result. This list could go on and on, and by no means am I saying that dads are not involved in these situations as well. However, I do believe it’s safe to say that this article reflects what is happening to a significant degree. A new fall sports season will be getting underway—as will a host of other extracurricular activities. That means moms will be right back at it very soon. As a former athlete, current coach, and more importantly a dad, I believe it’s important to express appreciation for the efforts of all the moms out there. I would not be the person I am today without the efforts of my mom when I was younger. Now, as a dad, I witness firsthand my wife’s efforts for our kids, and I know that all three of us are lucky. Why did I choose to write this article? The answer is simple. Part of developing a young child is teaching them to show appreciation for the efforts of others. Appreciation should be more than just talk, and it should be shown all the time, not just when the TV cameras are on you. Two words go a long way, and teaching them to our kids is very important on many levels. Those two words could be used more today, so if we all start to demonstrate the power of these words and show the positive impact they have on a person, then we are not only talking the talk—we are walking the walk. Those two words are “Thank you,” and I would like to say them to all the moms of the players I coach, my own mom, and especially my wife, Lisa! Your efforts are truly appreciated! ❦

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29


Mum’s the word!

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

TO THE POINT

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

S

ssh! Don’t tell anybody, but there is a big sale on chrysanthemums this month! As the rest of the garden begins to peter out with the shorter days and lower temperatures of autumn, the chrysanthemums come into their glory. In fact, cool fall temperatures actually hasten the blooms of chrysanthemums and prolonged heat can delay their blooms. Chrysanthemums are so widely available and inexpensive that many gardeners treat them as annuals. Buy a dozen plants in September, enjoy them until the hard frost comes in Northwest Ohio, and then forget about them until it’s time to spring clean the garden (when the dead foliage will be removed to make way for marigolds or some such). You might want to set the plant, pot and all, into some soft, loamy soil until late in the season. Then, you can move the plants into the house and have blooms for Thanksgiving. Other gardeners, though, treat chrysanthemums (well, the cold-hardy varieties anyway) as perennials and make a point of helping them get well established before winter

call to book with one of our highly trained licensed Acupuncturists.

419.345.4996 Tamara TCM Wellness Clinic 120 Dudley St Maumee, OH 43537 www.TamaraTCM.com

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

arrives. The chrysanthemums sold in local nurseries and garden centers are hardy through zone 5—that’s us. Planting chrysanthemums in midsummer is the best way to make sure they’re prepared to deal with winter, but, obviously, this is no time to be telling you that. Still, there is one definite advantage to buying chrysanthemums this month. That is, you can be absolutely sure what color the blooms are because they will be clearly visible (or near enough, anyway). So, if you waited until September to buy your mums and would like them to survive, what can you do? Start by preparing a good planting hole with rich, well-drained soil. Mums will grow in nearly every soil type, but they will thrive in soil that is rich in humus, compost, leaf mold, or peat moss. Good drainage is important. Plant no deeper than the plant was growing in the pot. Space the mums at least 15 inches apart unless your plants are purchased already fullgrown, and place them where they will get as much sun as possible—at least half a day of sun. Keep them well watered. The usual reason that

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

mums fail to make it in our area is that the roots didn’t get established before the first heavy frost. Giving mums plenty of mulch to insulate their roots against temperature extremes and hold moisture in the soil will increase their odds of survival. Assuming that your mums make it through the winter, what can you do to assure the best blooms on, by then, well-established plants? If your mums are more than 10 inches tall by next July, cut them back to about four to six inches. Just be sure to leave some good green foliage below the cut. As growth resumes on small-flowered varieties, pinch off the tips of the stems to encourage branching. This will result in more flowers and a nice, pillow-shaped plant. On the other hand, if you have a large-flowered variety, your objective is fewer, larger blooms. This means restricting the plant to fewer stems by removing the side branches. That way, more of the plant’s energy does into the remaining flowers. Furthermore, maximum size can be achieved only if the flower buds are limited to one per stem. Remove all but the largest center bud when they are still small. The very large blossoms that grow on plants several feet tall used to be called “football mums” because they were customarily worn as corsages by coeds at football games. (Now, doesn’t that sound quaint?) Fertilizer that is high in nitrogen and potassium will encourage both flower size and numbers. Start with a slow-release, balanced fertilizer with an analysis close to 14-14-14 in the spring and switch to the high-analysis liquid fertilizer from August 1 until flowers start to show. Then, cut back to 10-10-10 or no fertilizer at all. There are hundreds of varieties of chrysanthemums, and they come in just about every color. Flower shapes include single, semi-double, pompon, incurve, reflexed, spoon, quill, or spider. It’s really no secret that our local garden centers are brimming over with chrysanthemums this month—and the “sea of colors” all those mums create is really a sight to behold! So what are you waiting for? Plant some mums and enjoy one last garden hurrah! ❦

419.473.2273 7640 W. Sylvania Ave., Suite C2 Sylvania, Ohio 43560

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StoryPoint Waterville presents

Senior nutrition: How to make it fun and engaging by Erin Kessler

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oes your parent or loved one struggle to maintain a nutritious diet? Are they experiencing changes in their weight? If so, StoryPoint Waterville is here to help. After working closely with many families, we have found several strategies that will help seniors stay healthy.

3. Try new recipes Another fun way to connect with your loved one while simultaneously advocating for their healthy diet is to set up a weekly cooking night. You and your parent could recreate old family recipes or try something completely new. Your new cooking adventures could also be a time to meal prep for the week so that your loved one is all set with healthy meals.

4. Use resources

1. Drink water The rule of thumb is for everyone to drink 8 cups of water a day. For seniors, it is even more crucial to stay hydrated because many of their medications can cause dehydration. Some families find that it is best to purchase a special water bottle for their loved one that makes it easy to track how much water they have had.

exactly what they need. Sitting down with them and setting up a meal plan can really benefit their health and their routine. Also, planning a weekly grocery shopping trip can serve as a great bonding experience that will make both you and your loved one feel more at ease. Some great foods to consider include:

2. Eat balanced meals

• Lean meats (salmon, turkey, chicken, etc.) • Fruits and vegetables (bell peppers, onions, bananas, cantaloupe, etc.)

Sometimes it is difficult for seniors to get all the nutrition that they need because they don’t necessarily know

• Whole grains (oatmeal, brown rice, quinoa, etc.)

Healthy eating and nutrition are trending amongst all age groups, offering many options to consumers. Many of these might appeal to you or your loved one and are worth checking out. Here are some of our

favorites: • My Fitness Pal App—this app allows users to track their meals and workouts easily. • Blue Apron—this company delivers meal ingredients and instructions to your doorstep. • Choose MyPlate—this website provides information and tips on healthy eating. It can also help to talk to your loved one’s physician to see if they can provide any other resources that might help you outline a healthy, balanced diet. Studies have shown that seniors who eat alone on a regular basis are more likely to suffer from depression. If your loved one is considering senior living, the mealtime experiences offered at senior living communities have proven to lower feelings of isolation and depression. ❦ Erin Kessler is Brand Marketer for StoryPoint Senior Living. StoryPoint Waterville is here to help you find the support and additional resources you want. If you need assistance, please call 419-330-5085 today!

Independent Living | Enhanced Living | Memory Care

Gorgeous food. Always served alongside great friends. Call today to schedule a visit! StoryPoint Waterville 1470 Pray Blvd Waterville, OH 43566

419-330-5085 StoryPoint.com

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31


It’s time for fall skin refreshment! by Dr. Erin Hennessey

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all is around the corner. Does the end of summer have you seeing spots? On your face that is! If you have not had the benefit of lifelong sun protection and have the sun spots or age spots to prove it, we can help! With so many items in the pharmacy shelf, at the local salon, and purchased through pyramid schemes, it is difficult to separate fact from fiction. Each fall, we like to share some of our patients most frequently asked questions about skin care. Read on!

Q

: I am starting to see more and more brown sun spots or “liver” spots. I have used some creams in the past that will improve them, but when I stop, they come right back. I am good with sunscreen now, but I wasn’t in the past. Can you get rid of the spots? A: I really love using our Sciton® Broad Band Light Forever Young light treatments to help with sun spots. Patients are able to achieve even skin tone, decreased redness, and an overall glow with no downtime. The treatment feels warm but

is very comfortable. Even for really stubborn spots we have seen amazing results on the face, neck, décolleté, and hands. For those who have both sun spots and fine lines or wrinkles, Sciton® Halo treatment can provide dramatic rejuvenation results pain free! With two laser treatments in one, this treatment can lighten, tighten, and brighten with little to no downtime. Chemical peels like Skin Medica® Vitalize and Glytone Enerpeel® can help skin turn over to assist in brightening the skin in between light and laser treatments or as stand-alone treatments when performed in a package. At Blush, we work with an FDA-approved pharmaceutical company to

Before

After

Families • Caregivers • Friends • Neighbors • Children

Pathways Memory Care is here for you! We recognize the complexity of memory loss and how it can affect your family. Our enrichment-based approach focuses on specific interests and hobbies of your loved ones. Call now!

compound our own formulations of topical medication. This enables us to eliminate allergens, preservatives, and other unneeded additives for a more organic treatment. These products can be used alone or to maintain treatment results.

Q

: There are so many products that we are told are “must haves” in our skin-care routine. What do we really need daily to take care of our skin? A: An SPF is absolutely essential for both the summer and winter. Most of us get 10 to 40 minutes of sun exposure just driving to work in the morning without realizing it. I am busy trying to get everyone out the door early, so I like Alastin® Hydratint after cleansing in the morning. It is a year-round, one-step moisturizer, antioxidant, SPF, and tint. I love a product that is “one and done,” and this one does it all without feeling the least bit heavy. I can put it in my purse or pool bag and go. If it isn’t easy and accessible, most people won’t bother with reapplying and that step is so important when you will be out in the sun. At night, tretinoin or retinol can really help to rejuvenate skin. I often have individuals tell me that they have tried retinols (over-the-counter or prescription) in the past and felt their skin got red, raw, or scaly from them. There are many factors that can contribute to these issues. A proper evaluation of the type and strength of retinols can curb these unwanted side effects and help your aging skin look bright and beautiful again.

Q

: My teenage son is playing football, and it seems that the acne on his forehead is relentless. How can I help him get his acne under control? A: Teen athletes have hormones, sweat, and at times dirt working against them. Depending on the

type of acne, there are many treatments we offer, including our specially formulated Blush Acne Gel, Blush Spot treatment, ForeverClear® BBL light treatment, Legend® Radiofrequency acne treatments, and prescription-strength medications. Treatment plans are customized based on the type of acne and the patient’s reasonable level of compliance. If

Before

After

you have difficulty remembering to apply something daily, light or radiofrequency treatments might be the best option.

Q

: I am starting to see the wrinkles on my forehead stick around even at rest. Should I start getting Botox® treatments now or wait until they get worse? A: The phrase “an ounce of prevention is worth a pound of cure” is truly correct when it comes to forehead wrinkles. Once lines are deep at rest, it may be much more challenging to get smooth results. Starting treatment when these lines are making you unconfident is the best time. We can always start with very conservative doses. Consultations at Blush are always free. Give us a call at 419-873-5483 and let us help you find treatments and products that will work best for you! ❦ Dr. Erin Hennessey is a nurse practitioner at Blush Aesthetics.

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Where LIFestyle sparks neW begInnIngs 32  September 2018  |  Healthy Living News

Call Bob or Tom Wheeler for a free estimate.

419-531-1791 • www.jennite.com 4694 W. Bancroft • Toledo, Oh 43615

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Toledo Clinic Cardiology takes women’s health to heart

T

he Toledo Clinic Department of Cardiology is sharply focused on preventing and treating the number-one cause of death in our country—cardiac diseases, which despite advances in care and technology, still account for about one-quarter of all deaths in the US. Consisting of six physicians and four certified nurse practitioners, Toledo Clinic Cardiology has been a fixture in our community for nearly a half-century and covers all aspects of cardiac disease, including but not limited to coronary artery disease, cardiomyopathy, arrhythmias, and peripheral artery and venous diseases. The department also provides a wide variety of diagnostic services such as electrocardiogram (EKG), echocardiogram, different stress-testing modalities, heart monitoring, and vascular testing. Interventional cardiologist George Youssef, MD, notes that each prac-

titioner on The Toledo Clinic Cardiology team has a special area of interest. He, for example, focuses primarily on coronary artery disease, angioplasty, and stenting, but is also interested in venous diseases, pulmonary hypertension, aortic stenosis, and transcatheter aortic valve replacement (TAVR). Dr. Youssef says that the most common form of heart disease he and his colleagues encounter—and the form that claims the most lives— is coronary artery disease (CAD). CAD is defined as the narrowing of the arteries of the heart due to fat deposition in the artery walls. He also emphasizes that, contrary to popular misconception, CAD occurs in women

as well as in men. “Coronary artery disease is the most common cause of death among women. In fact, while women are understandably anxious about getting breast cancer, they’re more likely to develop and die from coronary artery disease,” he says. What can be done to prevent women from becoming another CAD statistic? According to Dr. Youssef, “The first thing we need to do is listen to and address their symptoms, which can be different than what is typically seen in men. The classical signs of angina and heart attack include pain, pressure, or discomfort in the chest; pain in the neck, arm, throat, back, or jaw; unexplained sweating; clammy skin; dizziness; and nausea and vomiting. However, women are more likely than men to have atypical symptoms such as shortness of breath, fatigue, or unusual weakness.” Dr. Youssef further explains that we also need to address the risk factors of heart disease, which can be either genetic, environmental, or medical. While some of these factors can be controlled, others can’t. Some of these risk factors are unique to women. For exam-

ple, the earlier in life the menarche (first menstrual period), the greater the risk of developing cardiovascular disease. Earlier onset of menopause is also associated with increased risk, likely due to lack of the beneficial effect of estrogen. The use of oral contraceptives increases the risk of both heart attack and stroke. Hysterectomy, however, has not been shown to increase cardiovascular risk. For both men and women, the risk of cardiac disease increases with age and family history. “Any woman age 40 or over should be screened for cardiovascular disease,” Dr. Youssef advises. “With respect to family history, the risk is higher for anyone with a first-degree relative—a parent or sibling—who had atherosclerotic cardiovascular disease or died from cardiovascular disease prior to age

George A. Youssef, M.D., FACC, FSCAI Board Certified in Cardiovascular Disease & Interventional Cardiology APCA Certified in Nuclear Cardiology

4235 Secor Road Building 3, Floor 3 Toledo, OH 43623

Special interest in:  Venous Disease  Pulmonary Hypertension

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55 in men or 65 in women.” Other risk factors for cardiovascular disease common to men and women include hypertension (high blood pressure), high total cholesterol, low HDL cholesterol, high lipoprotein(a), high triglycerides, diabetes, chronic kidney disease, metabolic syndrome (insulin resistance), cigarette smoking, poor diet, obesity, excess alcohol intake, sedentary lifestyle, psychosocial factors such as stress or depression, inflammation, coagulation abnormalities, hyperhomocysteinemia, and albuminuria. “We advise any woman at an increased risk to have a medical exam including blood testing, EKG, and a stress test or echocardiogram,” Dr. Youssef says. To prevent CAD and its complications, Dr. Youssef recommends making a variety of healthy lifestyle changes, including:

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s your garage or storage shed starting to look like a chemical warehouse loaded with outdated or poorly labeled fertilizers, herbicides, and pesticides? If so, you might want to take the opportunity this fall to do a little garden chemical housecleaning and, possibly, develop a strategy for phasing some of those toxic substances out of your gardening arsenal altogether. Many of the chemicals we routinely use to feed our lawns and plants, kill weeds, and control pests pose the risk of environmental damage and are potentially harmful to people, pets, and wildlife if handled, applied, or disposed of improperly. So what can you do to ensure that your garden chemicals don’t become a source of environmental contamination or, worse, the cause of a tragic accident? The answer has three components—proper storage and handling of the chemicals you already have, proper disposal of the chemicals you’re phasing out, and making sensible decisions when purchasing chemicals for your lawn and garden.

Safe storage If you’ve got quite a few partially empty chemical containers taking up space on your shelves, consider

34  September 2018  |  Healthy Living News

Toledo Clinic Cardiology is located at 4235 Secor Road, Building 3, on The Toledo Clinic’s main campus. For more information or to schedule an appointment, please call 419-4795690. ❦

How to safely manage that garden chemical stockpile

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• Quitting or avoiding smoking • Exercising at least 30 minutes per day, seven days a week • Losing weight, specifically if one’s BMI is over 32 • Eating ample amounts of fruits and vegetables • Consuming low-fat dairy products • Reducing sugar, meat, and fatty foods • Limiting alcohol to one drink per day • Limiting stress and getting treatment for depression or other psychosocial issues.

the following safe-storage protocol: • Always keep garden chemicals behind locked doors and out of the reach of children. • Keep all chemicals in their original containers with the product label still attached. The label should inform you how to use the product safely, how much to use for each application, and what to do in case of accidental ingestion or exposure. If a label is coming loose, tape it to the container with transparent tape. • Store chemicals out of direct sunlight. Many garden chemicals will lose their effectiveness or even become more toxic when exposed to direct sun. • Store chemicals at room temperature. Temperature extremes can cause some products to lose their effectiveness or to release harmful vapors. • Store chemicals in a wellventilated area. • Keep chemicals away from any food products (including pet food) to prevent contamination. • Never mix chemicals.

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Safe disposal Garden chemicals that are no longer being used must be disposed of properly—never by pouring them down the sink or toilet, dumping them on the ground or down a sewer, burning them, etc. These disposal methods, while expeditious, can be extremely dangerous and might contaminate lakes, rivers, streams, groundwater, and the soil. Chemicals should be disposed of only in strict accordance with the product’s label instructions. Also, keep an eye out for hazardous chemical collection days and drop-off sites that might

be offered in your community. Another safe way to dispose of your garden chemicals—provided they are clearly labeled, in good condition, and haven’t reached their expiration date—is to donate them to a local nursery, landscaping company, parks department, or garden club. Or, ask around to see if any of your neighbors could put them to proper use. After all, they might be dealing with the same insect and weed problems that you are.

Buy wisely If you find you’re accumulating more garden chemicals than you know what

to do with, the problem might be that you’re buying products indiscriminately. Before putting that insecticide or weed killer in your shopping cart, ask yourself whether you can live without it. Can you tolerate having to hoe or hand pull a few weeds or put up with a little cosmetic insect damage to your plants? Would you be better off choosing pest-resistant plants to begin with? Can you substitute less harmful products, such as insecticidal soap, for more toxic ones? Using proper cultivation techniques can go a long way toward eliminating the need for chemical pesticides and herbicides. For example, using

mulch or a groundcover around your plants will greatly reduce the need for chemical weed control. Proper pruning, fertilizing, and watering will keep your plants as healthy as possible, which means they’ll be better able to resist insects and disease. When chemical controls are the only practical alternative, try to compare labels and choose the least toxic product available. Also, buy only the amount you need. Don’t stockpile the product against future infestations or outbreaks. That way, you should have little or nothing left over to store or dispose of at the end of the season. ❦

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35


nobody’s perfect Sister Karen Zielinski, OSF

When your suffering can’t be seen

I

was at a class reThey were frustratCheyenne Indian folklore: union, and so ed when people said Do not judge your things like, “You are many of my classmates looked great! lucky that you are in neighbor until you Most were tan, wellgreat health!” walk two moons in his dressed, and happy. When we do not moccasins. As I talked to a few see someone’s sympof them one-on-one, toms, we might asI realized many were suffering from sume that they are not suffering. Just health problems. because we cannot see a symptom does not mean that one does not Invisible symptoms exist, or as online chat group parThe mobility problems were easy to ticipant Carolyn Dross says, “My spot: Some used canes, wheelchairs, family seems to assume that if they or walkers. They lived with knee re- can’t see it, there really is nothing placements or arthritis. Others who wrong with me.” looked and walked well were sufferDozens of non-obvious symptoms ing from invisible health problems. are often referred to as invisible,

hidden, or silent symptoms. There is a dichotomy between how you look and how you may feel. Some hidden health problems can include fatigue, fibromyalgia, mental illness, visual problems, confusion and forgetfulness, stiffness, bladder problems, chronic pain—the list goes on.

“But You Look So Good!” The National MS Society has a “But You Look So Good!” support group that addresses hidden symptoms. One of the greatest challenges about hidden symptoms is that unless you choose to tell people what is bothering you, they do not know that anything is wrong. That might be fine, but when you are asked to do an extra project at work, volunteer, or attend evening functions, you might decline. People can judge you and think you are not doing your part or are lazy. It is a difficult decision, but it might help to tell people, or “disclose” your illness. You are not complaining. It is human weakness to judge others, and sometimes others do judge us and think we are being lazy or not a “team player.” Only we can decide how to handle our situations. It might be good to tell a few co-workers or neighbors about our health. We could share our own bottled up emotions and frustrations about looking good but feeling less than healthy. We also need personal “health integrity” and to do what we can honestly. Using health as an excuse for not doing our part is dishonest and can bring about the habit of using our diseases dishonestly.

Judge not

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We all can talk about our diseases: fibromyalgia or high blood pressure (the silent killer). I overheard two people talking a few weeks ago. One woman said she was experiencing fatigue. Her companion responded, “I get tired, too!” There is a big difference between being tired at the end of the day and experiencing the overwhelming fatigue following chemotherapy or chronic fatigue syndrome.

Others might judge us—and we might judge others—because no one knows what is going on inside our bodies. It is a daily challenge for all with hidden symptoms to balance how we feel inside and how we look outside. Sometimes, we might wonder if we are imagining these aches and pains ourselves. When I see someone who looks perfectly healthy to me (usually a person who parks a sport utility vehicle in a handicapped space and jumps out to enter a store), I immediately judge them. It really is a matter of trust on my part. I do not know if the person has heart disease, asthma, or another problem. Jesus’ words in Matthew 7:3 usually calm me down: “Why do you notice the splinter in your brother’s eye, but do not perceive the wooden beam in your own eye?” The words put me in my judgmental place, but I challenge myself, too. I make certain that I do all I can do to help my brothers and sisters at work or as a volunteer. I vow to never judge a person…although I slip. Sometimes I go to a person who looks healthy and I tell them outright that I judge them. I tell them I think they are not doing their part and are using their disease as an excuse. And then I apologize for my lack of trust and ask them to forgive me. I pray for them and their health needs, and I ask God to forgive me and bless me. I feel at peace with a God who is so understanding and forgiving. And healing. The late Elvis Presley sang the classic song “Walk a Mile in My Shoes.” One line from it says a lot: “Before you abuse, criticize, or accuse—walk a mile in my shoes.” ❦ Sister Karen Zielinski is the Director of Canticle Studio. Canticle Studio is a part of the Sisters of St. Francis of Sylvania, OH’s overall advancement effort and has a mission of being a creative center where artists generate works, products, and services in harmony with the mission of the Sisters St. Francis. She can be reached at kzielins@sistersosf.org or 419-824-3543.

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Laurels prehab program raises the bar on post-surgical recovery

rehabilitation, or “prehab,” is a term unfamiliar to most people, but for individuals planning to undergo joint-replacement surgery, it may just be the most important concept they’ve never heard of. Prehab is a form of proactive outpatient therapy that improves strength and function prior to surgery so the patient is able to recover and return to normal activities and independence much more rapidly afterward. Sharon Baacke, who is currently doing prehab in her home community of Genesis Village, where The Laurels of Toledo has an on-site outpatient therapy office, hopes the program will help her get back on her feet faster after a total right knee replacement scheduled for this coming October. Baacke had been grappling with back and knee pain for a significant period of time and finally said enough is enough. “I decided it’s time to go through with the surgery because I wanted it done before my dad’s 100th birthday. He’s no longer with us, but we plan to get together and celebrate his memory with family,” she says.

Laurels physical therapy assistant Brad Weaver, who has worked with Baacke on previous occasions, showed her a brochure on prehab, and she agreed that it would be worthwhile to participate. Weaver explains, “Prehab is so beneficial when you have a surgery coming up. After completing prehab—which is covered by most insurers—you go into surgery with the bar already raised high in terms of your strength, range of motion, and flexibility, and you limit the loss of function resulting from the surgery itself. Plus, I think it just feels good knowing the ‘before, during, and after ’ of the whole process beforehand.” Surgeons and other physicians, who understand the toll surgery can take on a patient and how difficult it can be for them to regain strength and range of motion while in pain, are beginning to recognize that prehab improves outcomes as well. Baacke’s husband, Don, also appreciates being forearmed with knowledge regarding his wife’s surgery and what her recovery will involve. “Every time you hear

someone talk about knee surgery, it sounds so challenging, but seeing photos of what the surgery will entail and getting information about what it takes to recover is very reassuring,” he says. Patients who take part in a prehab program prior to surgery also have the advantage of knowing exactly what to expect from their post-surgical rehab program because they’ve learned

how to perform all the exercises and have already practiced them. In addition, they develop a high degree of comfort and familiarity with the rehab facility and its staff ahead of time. Baacke’s prehab is focused primarily on her walking and gait. Weaver notes that prior to knee-replacement surgery, many patients develop issues with gait mechanics because they tend to compensate for the pain by altering the way they walk. Following her surgery, Baacke will be able to continue working on her gait mechanics at The Laurels of Toledo, using the facility’s state-of-the-art AlterG Anti-Gravity Treadmill, which is equipped with video cameras that show the patient’s gait from multiple angles. Baacke is grateful not just for the opportunity to do prehab with Weaver, but also for the convenience of having The Laurels onsite at Genesis Village. “Doing this program with Brad truly is a comfort, and everyone who works with him just loves him,” she says. “Plus, having The Laurels here physically is such a

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37


EXPERIENCE. QUALITY. CARE.

tremendous relief. You don’t have to worry about going outside, getting in and out of your car, and walking across a parking lot to get to a facility—all while being in pain. It’s a great blessing having The Laurels right here at home!”

The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services. For more information, call 419-536-7600 or visit www.laurelsof toledo.com. ❦

Spiritually Speaking By Sister Mary Thill

It’s the people “…there is a shortage of values about what is right and what is wrong— what is acceptable, what is condoned and what is condemned.” Connect with us.

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shop where 1,200 kinds of guns were being sold in our area. After reading the article, I found myself agreeing —Chicago Mayor Rahm Emanuel with Matt Markey that much of the evil perpetrated on us in this world “We have a people problem.” comes from the people we share this —Matt Markey, The Blade planet with, not the guns, the drugs, “In the family we first learn how to show the computers, or some religion. Pope Francis, in his encyclical love and respect for life; we are taught the proper use of things, order and cleanliness, letter Laudato Si (On Care for Our respect for the local ecosystem and care for Common Home), gives us some hope all creatures. In the family we learn to ask in all this confusion by calling on the without demanding, to say ‘thank you’ as an family to be the first line of defense expression of genuine gratitude for what we against all this evil. Our parents have been given, to control our aggressivity teach us how to be good people and and greed, and to ask forgiveness when we citizens, respectful of others and of have caused harm. These simple gestures of all of creation. Matt Markey agrees heartfelt courtesy help to create a culture of and also sees that “In the upbringing shared life and respect for our surroundings.” of any child, there needs to be thou—Pope Francis, Laudato Si sands of lessons in respect for your he recent violence in our city, fellow man, and countless examples of what is acceptable behavior.” country, and world I agree with these has me thinking again Pope Francis gives us roles that parents and about where it all some hope in all this family have been comes from and what can be done to begin confusion by calling on given over the years to make things right the family to be the first to nourish and deagain. Mayor Rahm line of defense against all velop such respectful and compassionate Emanuel’s words after this evil. human beings, but the horrific shootings I’m also greatly conin Chicago earlier last cerned when I see the weakening month resonated with me as I found of the family structure and lack of myself thinking about the lack of values in our society these days that parenting skill evident in so many enables such acts of violence against families these days. The “people our own families and in our neigh- problem” is complex, huge, and often overwhelming, but I hope and pray borhoods. Matt Markey, outdoor editor for that we work together in solving our The Blade, wrote a thoughtful article, issues and challenges rather than published on August 12, 2018, about point fingers or blame each other for the Chicago shootings and other recent things we cannot solve alone. As Barbara Streisand used to sing: violent episodes in our country that “People, people who need people, are helped me see that the root of the the luckiest people in the world…”❦ problem is the people who commit

T

these acts. It also gave me a new insight about gun control and the selling of guns in our country. As a matter of fact, the edition of the paper that the article was published in came wrapped with a four-page ad on the grand opening of yet another sports

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

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

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

Rosary Care Center 6832 Convent Blvd. Sylvania, OH 43560 419-882-2016 www.sistersosf.org

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

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

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

Foundation Park Alzheimer's Care Center

St. Clare Commons

The Manor at Perrysburg

12469 Five Point Road Perrysburg, OH 43551

250 Manor Drive Perrysburg, OH 43551

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Sunset House

Ohio Living Swan Creek

Franciscan Care Center

4030 Indian Rd. Ottawa Hills, OH 43606

5916 Cresthaven Lane Toledo, OH 43614

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

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

419-536-4645

419-865-4445

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

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

Sunset Village

Otterbein Portage Valley Senior Lifestyle Community

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

20311 Pemberville Rd. Pemberville, OH 43450

419-724-1200

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

www.sunset-communities.org

www.otterbein.org

The Laurels of Toledo 1011 Byrne Road Toledo, OH 43607 419-536-7600 www.laurelsoftoledo.com

Genacross Lutheran Services Toledo Campus 131 Wheeling St. Toledo, OH 43605 419-724-1414 www.GenacrossLutheranServices.org

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

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

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

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

Charter Senior Living of Oak Openings 6805 Sylvania Avenue Sylvania, Ohio 43560 419-419-0408 www.charteroakopenings.com

Browning Masonic Community 8883 Browning Drive Waterville, Ohio 43566 419-878-4055 www.bmcohio.org

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

Connect with our advertisers via our online issue at www.hlntoledo.com   |  Healthy Living News  |  September 2018

39


Grappling with an addiction or mental health disorder?

Help and hope are closer than you think!

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very September, the Substance Abuse and Mental Health Services Administration (SAMHSA), an agency within the US Department of Health and Human Services, sponsors National Recovery Month to celebrate people who have achieved long-term recovery from substance use and mental health disorders and those who provide treatment and recovery services. This annual observance has never been more important. The staggering epidemic of opiate/opioid abuse continues unabated in our nation and local community, and other forms of dependency—for example to alcohol or cocaine—still present a

ADDICTION IS A THIEF. Hope is within reach. If you or a loved one is struggling with alcohol or other drugs, take the first step toward recovery at The University of Toledo Medical Center. Find freedom from addiction with treatment and support from our recovery services team. We offer personalized treatment and recovery services to help you get well and stay well – always leading with respect and compassion.

Services include: Inpatient detox treatment Partial-hospitalization treatment Intensive outpatient treatment Outpatient mental health therapy

40  September 2018  |  Healthy Living News

Take the first step and call us at 419.383.3441

challenge nationwide. What’s more, millions of Americans are affected by mental-health conditions every year—a problem that often goes hand-in-hand with substance abuse and addiction. If you or someone you love is struggling with addiction or a mental health disorder, it’s time to stop suffering in silence. Help and hope are closer than you think. Our community offers a wide range of services and resources to put people who are struggling with addiction and/or mental illness firmly on the path to recovery. Read on to find an organization and program that fits your needs.

UTMC Recovery Services fights addiction with compassion and strong care continuum

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elping people overcome substance abuse or addiction requires not only a broad range of clinical services and resources, but also a strong commitment to providing compassionate care in a safe and supportive environment. Using this comprehensive treatment approach, The University of Toledo Medical Center’s Recovery Services team is making a tremendous difference in the lives of individuals grappling with addiction who have the courage to choose recovery. UTMC Recovery Services’ expansive continuum of care begins with an inpatient program, in which patients are supported through the process of detoxification and withdrawal by an interdisciplinary team of professionals, consisting of internal medicine physicians, psychiatrists, registered nurses, licensed social workers, and chemical dependency counselors. “This program is completely voluntary and typically involves a three- to five-day admission, though stays can extend beyond that time depending on the patient’s needs.

Inpatients are medically monitored through the withdrawal process and medications are used to manage their symptoms, which might include nausea, body aches, fever, fatigue, anxiety, depression, restlessness, and irritability,” explains Todd Stec, Operations Supervisor for UTMC’s Inpatient Recovery Services. Among the various medications UTMC Recovery Services offers for helping patients overcome dependency are Suboxone, which is prescribed for opiate withdrawal and then gradually tapered off during outpatient treatment, and Vivitrol, a once-a-month injection used (typically up to a year) to treat alcohol or opiate addiction. Following their inpatient stay, patients are referred to a partial-hospitalization program, or PHP, which is held four days a week from 9:00 a.m. to 3:00 p.m. and offers intensive outpatient care to promote new behavior development through group therapy, educational workshops, spiritual care, wellness and nutrition, and other services. When appropri-

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ate, the patient is stepped down to an intensive outpatient program, or IOP, which meets four times a week from 9:00 to 11:30 a.m. and provides comprehensive support focused on developing the behaviors, skills, and healthy lifestyle practices needed for making a successful transition from clinical care to self-management. Lastly, the patient is stepped down to outpatient mental health therapy and counseling one or two times per week from 9:00 to 11:30 a.m. According to Kristen Chambers, a clinical therapist with UTMC Outpatient Recovery Services, this comprehensive care continuum is specifically structured to get patients through the first 90 days of recovery—the period during which most relapses occur. “Another important aspect is that our medical director, Dr. Tanvir Singh, follows each patient throughout this entire process, from inpatient detox all the way through outpatient treatment,” Stec says. Singh adds, “That continuity of care extends to group resources and other members of our interdisciplinary team as well, which is very important from the standpoint of retaining patients throughout their recovery. Once they work up the courage to

go to detox, it’s easier for them to follow up if they’re familiar with the people they’re dealing with. On the other hand, if they’re being assessed by people they don’t know at each stage, there’s a greater likelihood that they’ll stop coming and then relapse. As with treating a chronic disease like diabetes, the longer we can retain patients in treatment, the greater their chances of recovery.” UTMC Recovery Services’ programs are yielding encouraging results with respect to patient retention. Singh notes that multiple patients

who struggled to stay clean in the past are now several months into recovery and staying the course. However, it’s difficult for the team to measure whether their efforts are impacting the overall rate of addic-

tion to opiates and other substances, such as alcohol and cocaine. Opiates in particular have been dominating headlines because of factors such as the high rate of overdose deaths associated with fentanyl as well as the indiscriminate nature of these drugs when it comes to the demographics of those who abuse them. Given the alarming impact of opiate addiction in our community and across the country, the UTMC Recovery Services team believes the key to overcoming the problem lies not just in getting people into treatment, but also in educating our young people on the dangers of substance abuse and addiction. “Prevention is the key to reversing this epidemic, and we know we need to focus on educating youth and adolescents because so many of our patients report starting substance abuse in their teens,” says Chambers. In fact, the primary incentive of UT’s Opioid Task Force is providing youth education. The Opioid Task Force is an initiative that spans the university’s clinical, educational, and research enterprises to develop holistic education, prevention, and treatment options for the opioid epidemic.

The Lucas County Sheriff ’s Office D.A.R.T. Unit is also doing its part by going into local schools to promote addiction awareness and education

Racing for Recovery

A

t Racing for Recovery, our mission is to prevent all forms of substance abuse by promoting a lifestyle of fitness and health for all those affected by addiction. Our services include free support group meetings; educational wellness groups (IOP) from 9:00 a.m. to 12:00 p.m., 1:00 to 4:00 p.m., and 5:00 to 8:00 p.m.; individual and family counseling; interventions; substance abuse treatment; speaking engagements; a social media community; live-streaming support group meetings; SoulCore; and yoga. For more information, please call 419-824-8462 or visit racing forrecovery.org.

Our MissiOn To promote wellness for individuals and family members who are living with mental health issues and illness through dedicated support, education and advocacy in the greater Toledo area.

LOCAL SUPPORT GROUPS Help individuals in dealing with the hardships of mental illness such as depression, bipolar disorder, anxiety disorder and more. Support groups for family members and loved ones which help guide families to better care for individuals suffering from mental illness. All groups are FREE and led by trained facilitators.

EDUCATIONAL CLASSES Hosts educational classes that teaches the knowledge and skills that family members need to cope more effectively with the stresses of caring for an individual suffering from a mental illness.

2753 West Central Avenue, Toledo, OH 43606

|

419.243.1119

RESOURCE NAvIGATION Navigating the mental health system can be challenging. Our family navigator, Crystal Sharp, can help you find answers to your questions and share all of the resources available to you and/or your family member in the community.

|

www.namitoledo.org

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41


among our youth. “Another important element is decriminalization. When possible, we need to help people get treatment rather than involve them in the legal system. D.A.R.T. is doing a good job of that as well. They’re even working on making resources available in jail so people with addiction who are incarcerated can begin recovery,” Stec states. Looking to the future, the UTMC Recovery Services team hopes to offer even more services, resources, and levels of care, potentially including offerings such as an expanded inpatient rehab center, evening hours for IOP, and a larger overall space to treat more people. Still, based on consistently positive patient feedback, the team members are confident that they’re on the right track. “Our program is only a little over a year old, but a lot of people have come through it already. We hear time and time again that our staff is compassionate and treats patients like human beings, not like addicts. That’s the highest compliment anyone can give us,” says Stec. To reach the intake line for inpatient detox, please call 419-383-3441. The PHP and IOP programs can be contacted at 419-383-3030. ❦

Harbor opens ambulatory detox program to aid in drug and alcohol recovery

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n 2016, 4,050 Ohio residents died of unintentional drug overdoses, the highest in the nation and a 32 percent increase over 2015. More than 64,000 Americans died from drug overdoses in 2016, including illicit drugs and prescription opioids. According to the National Institute on Drug Abuse, that number has nearly doubled within the last decade. To assist with the drug epidemic in Northwest Ohio, Harbor has increased its substance use disorder programs. In July of 2018, Harbor opened a walk-in ambulatory detoxification program that provides outpatient withdrawal management, comfort, support, and education for drug and alcohol recovery. The program is located at the Harbor office at 3909 Woodley Road, Toledo. Persons seeking these services need to arrive between 9:00 a.m. and noon, Monday through Friday to receive same day services. Services are provided over a four-hour-or-more period of time, and the number of treatment days varies according to individual need. Dr. Farzana Tausif is the attending

physician for the program. Services provided will include withdrawal management, linkage to community resources, and continued alcohol and other drug treatment services based on the individual. In addition to the newly offered ambulatory detoxification program, Harbor provides an array of other substance use disorder services designed to help people with substance use problems and mental illnesses reclaim their lives. Group and individual counseling, case management, comprehensive assessment, drug testing, crisis intervention, and medication-assisted treatment are just some of the services provided. Substance use disorder residential treatment services are also available for women, from all over Ohio, at two inpatient programs. The Chrysalis is a comprehensive treatment program for pregnant/postpartum women with addiction who are able to stay, with their child, up to 12 months including the pregnancy and postpartum period. The Devlac Hall Women’s Residential Treatment Program serves women (age 18+) that are in need of residential treatment for alcohol and drug addictions. The program lasts an average of 10 weeks.

About Harbor Harbor is the leading mental health provider in Northwest Ohio, treating thousands of patients each year. Harbor employs over 700 employees in 28 locations across Lucas, Wood, and Defiance counties. Services include counseling, psychiatry services, alcohol and other drug assessment, prevention and treatment, developmental and behavioral pediatrics, and partial hospitalization. The mission is to improve the health and well-being of individuals and families by providing the highest quality compassionate care possible. Harbor has been part of the Northwest Ohio community it serves for more than 105 years. For more information about Harbor and the services provided, visit www.harbor.org and connect with HarborHelps on Facebook. ❦

Thomas M. Wernert Center undergoing expansion and recovery campus project

Are you or a loved one struggling with substance use?

We Can HELP! Harbor’s Substance Use Disorder Treatment Programs are designed to help people with substance use problems and mental illnesses reclaim their lives. We help people to become resilient by developing and using abilities, supports, and knowledge, to work a recovery plan and have a life that is healthy and successful without using substances.

Harbor serves both Youth & Adults experiencing substance use problems. Services Include: • Medication-Assisted Treatment (MAT) • Residential Treatment for Women • Intensive Outpatient Treatment (IOP) • Non-Intensive Outpatient Services

• Individual Counseling • Group Counseling • Family Counseling • Case Management • Drug Testing

Treatment Does Work!

Lives changing from addiction to hope, happiness and health

419.475.4449 www.harbor.org 42  September 2018  |  Healthy Living News

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he Thomas M. Wernert Center (TMWC) is a Peer Recovery Center that offers advocacy, education, and peer support to Lucas County residents 18 years and older with a mental illness diagnosis. TMWC is certified as a Consumer Operated Service (COS) by the Ohio Department of Mental Health and Addiction Services. This means that the majority of employees are in recovery for mental illness. These employees, certified as peer supporters, offer hope and serve as role models to TMWC members and demonstrate that one can not only

survive living with mental illness, but also thrive in spite of it, and that members too could be employed and live independently. TMWC ends the isolation often experienced by persons living with mental illness by creating a safe, welcoming, home-like environment. Members can socialize; receive support from TMWC employees or their peers; attend daily support groups on recovery and wellness, such as Depressive Bipolar Support Alliance, DARC (Drug and Alcohol Recovery for Consumers), and Diabetes Support; and partake in daily exercise. Many courses are offered such as Leadership Training, Understanding Mental Health, Peer Support, and Creating a Wellness Recovery Action Plan. Members also attend outings, share a meal on Fridays, attend cooking classes, create art, participate in music and drama appreciation,

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and use the computer lab or other meaningful activities that facilitate their recovery from mental illness. There is also a free van transportation program that shuttles members from their homes to TMWC. Currently TMWC is open Monday through Friday from 9:00 a.m. until 4:00 p.m., and after the expansion hours will increase to include evening and Saturday hours. The TMWC building expansion and recovery campus project will include the addition of 8,843 square feet of main floor space to the current facility of 4,700 square feet. A basement will be added to offer safety during inclement weather, serve as a safe space away from threat in the event of a facility lockdown, and provide storage. A large covered porch and attic are also part of the project. There will be an enlarged kitchen and expanded cooking classes with healthful menus, especially for the diabetes support classes, as well as skill-building opportunities in kitchen prep and serving. One TMWC member, Tony, who is currently part of the kitchen crew, stated “I’m looking forward to the expanded kitchen with the new equipment to get hands-on experience before going to school in culinary arts.” The expansion will also include a larger computer lab for 15 stations

that will be made of concrete block and will serve as a safe space for occupants who cannot navigate the steps to the basement during inclement weather, a large multi-purpose room, restrooms, a reception area, classrooms, offices, a serenity room, a member lounge, and a rec room. The outdoor spaces will include covered picnic pavilions to hold support groups, musical events, and cookouts; a rec court for basketball and shuffleboard; elevated vegetable and flower gardens; hydroponics; and a waterfall/pond. A small greenhouse is planned for the future, as well. The entire project results in a total expansion of 11,425 square feet. The project budget is $2.7 million, with $2.2 million coming from the Mental Health and Recovery Services Board of Lucas County, $500,000 from the Department of Ohio Mental Health and Addiction Services, and an $18,000 grant from the Andersons Fund Supporting Organization. The campus expansion is expected to be completed in September 2018. A grand opening community celebration should happen sometime in October 2018. ❦

he National Alliance on Mental Illness (NAMI) Greater Toledo works to raise awareness and provide support and education to thousands of people affected by mental illness in your community. We know how to help because we’ve been there. Our program opportunities are completely free and include specialized peer support groups, mental health education courses for individuals and their families, children’s programming, art support groups, and much more. As a local affiliate of NAMI National, NAMI Greater Toledo fights to eliminate stigma and encourage understanding of men-

Mental Health and Substance Use Treatment

Inpatient, outpatient and partial hospitalization programs

NAMI knows how to help because they've been there!

T

BEHAVIORAL HEALTH Life is Waiting...

tal illnesses through awareness events like our annual NamiWalk, as well as active involvement in partnerships with other nonprofits and organizations. We are funded by the Lucas County Mental Health and Recovery Services Board and have been chosen by The National Alliance on Mental Illness as the affiliate of the year for the state of Ohio four times. NAMI is located at 2753 West Central Avenue in Toledo. We’re open Monday through Friday from 8:00 a.m. to 4:30 p.m. To reach us, please call 419-243-1119 or email nami@namitoledo.org.

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

Assessments 24 hours a day, 7 days a week. Call 800-547-5695. Arrowhead Behavioral Health 1725 Timber Line Road Maumee, OH 43537 www.arrowheadbehavioral.com With limited exceptions, physicians are not employees or agents of this hospital. Model representations of real patients are shown. Actual patients cannot be divulged due to HIPAA regulations.

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Dr. Vincent de Paul Schmidt named Head of School at Cardinal Stritch

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ardinal Stritch Catholic High School & Academy is proud to announce Dr. Vincent de Paul Schmidt as Head of School effective Monday, August 6, 2018. Dr. Schmidt becomes the first lay school leader since doors opened at Car- Dr. Vincent de Paul Schmidt dinal Stritch in 1961. A national search was conducted by an internal search committee, which was comprised of diocesan leadership, school administration, teachers, parents, and members of the board of directors. Dr. Schmidt is unanimously endorsed for his extensive career and dedication to Catholic education. With more than 20 years combined classroom and administrative experience in Catholic education, includ-

ing his most recent post as Senior Director of Catholic Education for the Diocese of Toledo, Dr. Schmidt is regularly a featured presenter or keynote speaker across the country on the topics of school finance and special education. Dr. Schmidt and his wife, Dana, have three sons and are already members of the “Cardinal Stritch Family.” August attends the University of Chicago, and Jonas and Max are Juniors at Cardinal Stritch. “Although we received extensive interest from applicants across the country, we were fortunate to have a qualified candidate who is a national expert on Catholic education within our own school community. As a Stritch parent and through his position with the Diocese, Dr. Schmidt is already familiar with the school’s strategic plan, and we are excited about the leadership, experience, and expertise he will provide,” said Lynn Luther, Chair of the Board of Directors at Cardinal Stritch Catholic High School & Academy. With the appointment of Dr. Schmidt to Head of School, Fr. Eric Schild, President of the school since 2010, will now serve in the role of Priest Leader and Director of Reli-

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gious Formation. “I am honored by the trust placed in me by Bishop Thomas, the board of directors, the search committee, and Fr. Eric to serve in this important role,” said Dr. Schmidt regarding his new appointment. “As parents, Dana and I have been so impressed

with everything Stritch does, and I’m excited to join the team and continue to build on the traditions initially established by the Sisters of St. Francis and continued through all the religious and diocesan priests who have faithfully worked in forming disciples of Jesus Christ.” ❦

Summer hearing safety in noise by Randa Mansour-Shousher, AuD, CCC-A

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he summer season is still upon vibrating hair cells. Loud noise can us, which encourages people to damage these delicate hair cells, get outside with exciting activities resulting in sensorineural hearing to look forward to. There are many loss (temporary or permanent) and noisy recreational activities that come often tinnitus (ringing in the ears). along with summer, including yardThere are several easy steps that work, sporting events, outdoor can be taken to ensure your hearing concerts, riding motorcycles, stays healthy for seasons to come. and watching fireworks, just One free and fast soluto name a few. While many tion is to simply walk of these activities are away from the source part of summer fun, it of loud sound and cover is extremely important your ears. Creating greater to ensure they do not harm distance between you and your hearing. Prolonged the sound source will exposure to loud outdoor The single bang of a reduce the intensity of firecracker at close decibels reaching your concerts, lawnmowers, range can cause power tools, motorized ears. However, if you’re recreational vehicles, target permanent hearing knowingly going to be shooting, sporting events, in the presence of loud loss in an instant. and fireworks can potensounds, ensure you are tially damage your ears. In wearing hearing profact, the single bang of a firecracker tection. Disposable ear plugs are at close range can cause permanent inexpensive and readily available at hearing loss in an instant (Better grocery stores, hardware stores, and Hearing Institute). pharmacies. They attenuate sounds According to the World Health while still allowing you to hear music Organization, 1.1 billion teenagers and carry on a conversation. Individand young adults (12 to 35 years uals who utilize personal listening old) are at risk of hearing loss due devices or spend significant time in to exposure to damaging levels of noise should consider the duration sound at noisy entertainment venues they spend in that environment. and the unsafe use of personal audio Taking breaks or decreasing time devices. Sound volume is measured in in the noise can help reduce noise decibels (dB), with the softest sound exposure. Additionally, if decreasing a normal-hearing human can hear the volume is an option, consider measuring at 0 dBA. Exposure to any reducing the sound source to a safe sounds above 85 dBA for 8 or more listening level. hours is considered unsafe. Most Repeated exposure to loud noise firecrackers produce sounds start- over an extended period presents seriing at 125 dB, presenting the risk of ous risks to hearing health. Cumulative irreversible ear damage (Boystown noise exposure over one’s lifetime can Hospital). lead to significant implications that are The auditory system is composed typically irreversible. Many individof delicate hair cells in the inner ear uals with sensorineural hearing loss, that vibrate and send nerve signals including noise-induced hearing loss, that the brain understands as sound. will report that speech is unclear. This When the hair cells are overworked, occurs due to their inability to hear mechanical stress can result in sig- high-pitch sounds. This can create nificant consequences to hearing. communication difficulties, as many Just as we can overload an electrical soft, high-pitch sounds encompass circuit, we also can overload the important consonants in the English We love feedback. Like us on Facebook. Follow us on Twitter.


language (ex: /s/, /f/, and /th/).The individual may know someone is talking but can’t understand what they are saying, as words become confused or misunderstood. They may also notice trouble listening in the presence of background noise. Additionally, it is common for individuals with noise-induced hearing loss to experience tinnitus. This summer, take action to protect your hearing. Whether it’s mowing the lawn, attending a concert, or watching fireworks, please ensure you are wearing hearing protection. Hearing is one of the most important senses and can be permanently damaged by

noise. An audiologist is a healthcare professional that specializes in hearing, tinnitus, and balance disorders. If you need a consultation or know someone who has hearing loss or tinnitus, please contact Northwest Ohio Hearing Clinic. The audiologists there have years of experience in working with patients to address your hearing healthcare concerns. ❦ Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

Sunset presents two events essential to seniors on September 25 and 26

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emonstrating a strong commitment to its mission of “Enriching Individual Life Journeys,” Sunset Retirement Communities is offering two special events this month that may be vitally important to the longterm wellbeing of seniors and their loved ones. They include: September 25: “Take Direction! Navigating the Maze of Advance Directives” The time to establish the type of care you want to receive in the event that you are too ill to make healthcare decisions or communicate them to others is not in the midst of a health crisis. Rather, these decisions should be made—and ideally documented in the form of advance directives such as a living will and durable power of attorney—while you are still healthy and fully capable of expressing your wishes. Formalizing this information will not only provide comfort and clarity to your loved ones, but it will also ensure that any care you receive is consistent with your desires, values, and beliefs. However, many seniors and their loved ones report confusion over the purpose of advance directives and how to get them prepared. To help clarify this important topic, Ashanti Hospice and Palliative Care, a service of Sunset Retirement Communities, is presenting “Take Direction! Navigating the maze of Advance Directives” on Tuesday, September 25, 11:30 a.m., at Epworth United Methodist Church, located at 4855 W. Central Ave. in Toledo. Local attorney Dean

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Horrigan will be the presenter, and lunch will be provided. To RSVP (required), please call 419-536-4645, ext. 2304. September 26: Free Fall Risk Screening According to the US Centers for Disease Control and Prevention, falls are the leading cause of fatal injury and the most common cause of nonfatal trauma-related hospital admissions among older adults. In fact, one in four Americans ages 65 and over experiences a fall each year, and an older adult is treated in the emergency room for a fall-related injury every 11 seconds. Considering these stark statistics, it’s critical to educate seniors and the people who care for them on the risks of falling and measures that can be taken to prevent it. Sunset Retirement Communities is doing its part during National Fall Prevention Week (September 22 through 28) by hosting a Free Fall Risk Screening on Wednesday, September 26, from 11:00 a.m. to 2:00 p.m. at the Rehab at Sunset Village, located at 9640 Sylvania Metamora Road in Sylvania. Individuals attending this event, which is open to the community, can have their gait, balance, and strength assessed by therapists, as well as a health and medication review by a nurse practitioner and pharmacists/ pharmacy students. The event will also feature vendors, raffle prizes, and light refreshments Also on September 26 at 4:00 p.m., the Rehab at Sunset Village

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45


will host a continuing-education event called “Falling Through the Cracks; Identifying Seniors at Risk for Falls through the Implementation of a Fall Risk Screening and Conditioning Program,” which is geared for physical and occupational therapists as well as social workers. Those interested in attending are asked to register in advance

at www.sunset-communities.org For more information on Sunset Retirement Communities, please call 419-536-4645 (Sunset House), 419724-1200 (Sunset Village), 419-7241220 (The Woodlands), 419-386-2686 (Fieldstone Villas), or 419-724-1047 (Ashanti Hospice and Palliative Care), or visit www.sunset-communities. org. ❦

by Douglas A. Schwan, DC, Dip ac

How not to get cancer by Douglas Schwan, DC, Dipl ac

T

he word “cancer” evokes fear in many people. Cancer refers to many different conditions that all involve the cells of our body going rogue on us. Each of the billions of cells that make us up contains a complete set of genetic blueprints for our body. However, as we grow from a single-cell embryo into a fully formed human, each cell uses just a tiny piece of this blueprint for its own functions. For example, a heart cell might use just the genes that code for what a heart cell does. A

stomach cell uses the code that tells what a stomach cell needs to know. The rest of the genes are still there, but they are turned off so that the cell can only express the instructions for its cell type. This turning off of certain parts of a cell’s genetic info is termed “differentiation.” For billions of our cells, this differentiation works flawlessly. Heart cells work like heart cells should, stomach cells work like stomach cells should, and on and on for all the different cell types of our body.

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“My husband and I had a two pack a day cigarette habit. We tried patches, gum and drugs but nothing worked. A friend reccomended Dr. Schwan to us for acupuncture. After our treatments my husband and I have both been smoke-free for eight months now! I tell all my friends about how Dr Schwan gave us back a healthy lifestyle!” ... Kristin & Tyler

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

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

Schwan chiropractic & Acupuncture center

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46  September 2018  |  Healthy Living News

On very rare occasions, something goes wrong with this process. Cells need to replace themselves from time to time as they wear out, so they divide as needed. They copy themselves just enough times to replace worn and dead cells. Sometimes the genes that code for replacement get garbled and those cells go right on dividing over and over again well past the point of necessary replacement. All the replacement cells also carry this genetic hiccup, so they also continue to divide endlessly. This big gob of cells is called a tumor. Sometimes parts of the tumor break off and set up house in another part of the body and keep right on dividing. Usually the cancer itself is not what causes death; the taking over of space and destruction of healthy tissue function is what kills us. For example, a tumor in the liver may shut down liver function, a cancer growing in the bone marrow may lead to anemia since that is where new blood cells are supposed to be grown, brain tumors can squeeze out healthy brain tissue, and so on. Cancer likely has a myriad of causes, but one thing we do understand is that many cancers result from some sort of irritation to the underlying normal healthy tissue. For example, smoking has a strong link to lung cancer. Tanning is linked with skin cancer. Drinking alcohol can lead to cirrhosis of the liver, which, in turn, has been linked with liver and pancreatic cancer. So what can we do to minimize our risk of getting cancer during our lifetime? It is easy to stay away

419-472-7055

from the known cancer causes, like smoking, heavy alcohol ingestion, and excessive tanning, but what else can we do? The “big three”—tobacco, alcohol, and excessive sun exposure—are the first step. Avoid these. Cancer seems to be triggered by irritants in our environment over a period of time. If you work around

solvents, especially petroleum products, make sure you take all proper precautions, such as wearing protective gear where required. Gas and solvents can enter through the lungs or skin pores very easily and cause irritation that damages cells and can lead to cancer. Don’t forget the household bug killers and disinfectants. Read the labels carefully. Do not use products indoors if they are specified for outdoor use only. Use protective gloves and respirators if the instructions call for it. Be careful on the sexual front. Hepatitis B and C as well as HPV are chronic viral infections that can irritate cells enough over time to cause cancers. Some are difficult to cure. Practice safe sex. Check the area of the country you are in. In certain parts there is naturally occurring radioactive gas like radon seeping into homes. Radioactive compounds like radon can become concentrated enough to inflict a radiation dose high enough to flip the cancer switch. Check your area and, if in doubt, have your basement vented to remove excessive concentrations of any radioactive gas. Chemicals of any sort can irritate the cells of our body. These include the preservatives and food colorings in food. Try to stick to a more natural diet by avoiding processed foods and fast foods, which are laden with these chemical irritants. Learn to read ingredient labels. The body can handle occasional insults, but throwing garbaget at it every single day is begging to break something. Remember, too, that many drugs are linked with cancers. Even over-thecounter products like acetaminophen can increase the risk of lymphoma and other blood cancers with longterm use. The idea seems to be that everything taken into the body should be done with moderation. Even things as seemingly innocuous as vitamins can become toxic in large doses. Mega-dosing with vitamins should not be attempted over long periods of time, but only for short-term use for a specific medical need. Keep in mind that mega-dosing for treatment of diagnosed cancers should only be done with specific referral from a physician trained in nutrition. Remember that cancer cells are just your normal cells doing an abnor-

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mal thing. Those cancer cells love those extra doses of vitamins even more than your regular cells! The time to take vitamin supplements, especially antioxidants, is before you get cancer—not after! Stress reduction can also lead to decreased incidence of cancer. Our immune system is our first line of defense against cancer. There are indications that cancer cells are constantly developing in our body but our immune system keeps them in check by culling them before they get out of hand. Stress lowers our immune response and can open us up to a wide range of illnesses. Meditation, acupuncture, and changing our lives can all lead to less stress and less disease. Regular exercise can help improve circulation, strengthen our immune system, and ward off a wide variety of diseases including cancer. It is as simple as adding a walk around the

block every day to our normal routine. Lastly, have you considered a nutritional consultation with a doctor trained in natural healing? Many people have a medicine cabinet crammed full of vitamins that were bought on impulse with no idea of the proper dosage or even whether they are safe to take. Consider sitting down with a holistic-oriented doctor and having a clean nutritional workup complete with dietary suggestions and dosages tailored for you specifically. ❦ Dr. Schwan is a Doctor of Chiropractic and a Diplomat of the International Academy of Medical Acupuncture. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time stand-up comedian. He has maintained an active practice in Toledo, OH for the last 36 years. He is available for lay lectures and may be contacted at Dr_Schwan@AcupunctureToledo.com.

What is an Ombudsman?

Affordable Housing for Seniors. Income limits do apply.

Stop by today and enjoy a tour of this wonderful, affordable community. These beautiful 2 bedroom, 1.5 bath villas with a single car attached garage were designed especially for you! Located on the Lakewood Senior Campus, The Lakewoods II & III are a luxury community featuring villa homes designed especially for seniors 55 or older. We are waiting for your visit and look forward to helping you find your home. Equal Housing Opportunity – certain income levels do apply.

by Christopher Stieben

T

he word is hard to say, its meaning is equally difficult to explain. The Older Americans Act of 1965 created the Ombudsman position for long-term care (LTC) consumers (nursing homes, assisted living, hospice, group homes, and home care). In Ohio there is a State Ombudsman located at the Department of Aging in Columbus. The State Ombudsman oversees 12 regional programs that provide local services with timely access to in-person advocates. Acting Ombudsmen locally serve the community following certification by the State Ombudsman with two levels of certification, including Certified Ombudsman Specialist and Certified Ombudsman Associate. The implementation of an Ombudsman program within LTC provides the pathway to ensure that all LTC consumers have an advocate to ensure access to quality care and services. Ombudsmen educate consumers on their rights, empowering individuals to advocate for themselves as

informed consumers. In addition, Ombudsmen make regular visits to homes to make observation of overall systems and meet with residents to get their input on quality of care. Further, if individual consumer advocacy breaks down, Ombudsmen work to investigate and resolve complaints on behalf of consumers. The paradigm of elder care must change if we are going to provide the quality that we say we provide to our elders. Regulations are not enough to ensure quality care. It takes consumers and families demanding excellence in order to hold providers accountable to the services they provide. It will take a community of leaders identifying poor-performing facilities and inserting themselves into the culture of a home to elevate it to a level of quality that deserves our business. Moving forward, it is necessary to promote a mindset in LTC that recognizes our elders as royalty and integral members of society—a society

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that has been created and maintained by the elders in our communities. Keep the conversation going, thank an elder in your life, and become engaged with the LTC community to demand excellence in care. For those of us lucky enough to live a full life, aging is a universal experience, and advocating for quality in care will prove beneficial to current and future generations. The Ombudsman Program in Northwest Ohio is housed at ABLE LAWO in downtown Toledo. Advocates for Basic Legal Equality, Inc. (ABLE) is a non-profit regional law firm that provides high-quality legal assistance in civil matters to help eligible low-income individuals and groups in western Ohio achieve self-reliance and equal justice and economic opportunity. This partnership broadens the advocacy that the Ombudsman program can provide to all consumers. You have access to the Ombudsman by contacting our office. We also have opportunities available to be a certified Ombudsman associate and volunteer to visit elders and advocate for them. Together we can change this paradigm. ❦

Christopher Stieben is Director of the ABLE Long-Term Care Ombudsman

Program, which can be reached at 419259-2891; http://ombudsman.ablelaw.org.

by LeMoyne Mercer

A Walk in the Park

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

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hirley’s friends know that she is a life-long equine aficionado. Loves riding, both Western style and English, and enjoys introducing others to the joys of horsemanship. Last summer we took a chuck wagon dinner ride in Yellowstone with grandchildren Nick and Lizzy. One of the highlights was the opportunity for Shirley to introduce then nine-year-old Lizzy

to the wagon horses and pet them on their velvety smooth noses. No, wait. That’s doesn’t sound right. Now that I think of it, it was exactly the other way around. It was Lizzy who introduced Shirley to the horsies. Horses are so big, you know, that a tiny person (such as Shirley, not Lizzy) might be intimidated. Especially after the nearly fatal experience with

her mule Dagwood on that descent into the Grand Canyon. But let us not dwell upon that. So, this summer Shirley agreed to visit Kentucky Horse Park in Lexington on our way home from the Smokies. Perhaps she was motivated by all the hoopla generated by Justify winning the Triple Crown. Maybe she just likes all the big hats at the Derby. Whatever the reason, she finally agreed that we should go there. And, whatever the reason, you should too. Take the kids and/or grandkids. It is a very family-friendly experience. Moreover, though it is in the heart of thoroughbred country, the KHP is not just about race horses. There is far more to it than you might think. But don’t expect to just pop in for

Secretariat is often regarded as the greatest Derby horse of all time.

It’s

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Sgt. Reckless is memorialized for her heroic performance in the Korean War.

an hour on your way down I-75 to Disney World. You’ll want to spend much longer there than you ever thought you would. Fortunately, KHP makes it easy. Because many people arrive well into the day, the admission price includes the next day as well. A twofer as it were. We entered at 2:00 p.m. and spent three hours walking around at our own pace and spending more or less time at attractions as we chose. There is a horse-drawn trolley with narration for those who prefer not to take shank’s mare. Though I suspect Shirley was still somewhat reluctant at first, by the end of that day she was actually eager to return the next morning. We spent the night at the

KHP campground, but there is no reason you could not stay in one of the 11,719 Lexington hotels spawned by the UK basketball program. The park comprises 1,200 acres in the picturesque rolling bluegrass hills of central Kentucky. Much of the acreage is pasture, but it also takes a lot of space to accommodate various venues such as the dressage rings, the covered event arena, and the polo field plus all the stable space required by the permanent horse population and hundreds of event participants. After you pass through the Visitor Center, you come to the adjacent International Museum of the Horse, a Smithsonian affiliate. World-class exhibits present a history of the horse from its evolutionary roots

Exhibits in the International Museum of the Horse chronicle the contribution of the horse to various cultures throughout the ages.

to its influence on human cultures throughout the ages. There was rain on the weather radar, so we saved the museum part of our tour to coincide with its arrival. We think you could easily spend an entire day just in the museum. No, really, you could. But don’t. At least not on your first visit. We are already looking forward to a return in order to spend more time in the rooms we just peeked into briefly the first time around. Though the Museum is outstanding, you will probably find that the most fascinating thing about Kentucky Horse Park is the chance to have direct, personal contact with all kinds of beautiful horses. At the Breeds Barn there are 24 representative horses from all over the world. Grooms and handlers are there throughout the day performing actual work in the stables and on the grounds. They are not docents per se, but they do know the horses they are responsible for and are more than willing to take an unscheduled break from mucking out stables to talk with guests. (Shush. Don’t tell Management I said that.) Breeds you have probably heard of include the Lipizzaner made famous by the Spanish Riding School

in Vienna, the Chincoteague pony featured in Marguerite Henry’s Misty of Chincoteague, and the Appaloosa bred by the Nez Perce Indians. You may not have heard of the Akhal-Teke from Central Asia, the Haflinger from the Tyrolean Mountains of Austria, the Norwegian Fjord bred by the Vikings, or the Paso Fino from Spain, Shirley’s new favorite because of its quick, fluid gait. There are plaques outside each stall describing the breed

The Parade of Breeds Show features a different six of the 24 breeds at each performance.

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and the specific animal representing that breed. Each morning and afternoon from March through October, the Parade of Breeds Show rotates through six different breeds at each session with costumed riders who put them through their paces choreographed to music. Following the show, the horses and riders stay in the ring so guests can approach and get acquainted. There is no need to be nervous around the horses even if you are a small child. Or a small adult. They are accustomed to meeting people and not at all skittish. That is true even when you After each show, guests are invited to meet the horses and riders.

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would think they have every right to be skittish. In the Big Barn, where the really big horses hang out, we were watching the grooming of the Clydesdales. As you know from the Budweiser commercials, this breed has long, flowing, white hair on its lower legs. After a day in a muddy pasture, some cleaning and curry combing may be required. We were fascinated to see a hair drier being used on Jake the Clydesdale. No ordinary hair drier. A leaf blower. Quite efficient but also quite loud. Jake never flinched. Later we went to a demonstration of how all that elaborate harness is installed on Clydesdales so they can safely pull five times their own weight. As always, the demonstration concluded with a chance to meet the horse and chat with his handler. Other draft horses in the Big Barn include Shires, originally bred in England, Percherons from France, and Belgians from Belgium, the biggest of all weighing in at 3,000+ lbs. and standing 66” or 68” tall at the withers where neck and back come together.

SENIOR DISCOVERY DAYS

By the time we reached this point, Shirley had concluded that walking right up to big old horses was no big deal. For many visitors, the main attraction is the Thoroughbred, the horse that made Kentucky famous. The Hall of Champions is the home of retired Derby winners such as Funny Cide and Go for Gin. In addition, there are Standardbred harness racing champions including the trotter Mr. Muscleman and pacers Staying Together, Western Dreamer, and Won the West. During the Parade of Champions, videos of their championship races are shown and the champions are brought out to meet the people. There are some events, however, at which this may not be appropriate. Polo matches, cross country races, and rodeos, for example. You might see the KHP website for the calendar of events. During our visit, dressage and the Carriage Classic Pleasure Driving Show competitions were taking place. Both are exceptionally elegant and demonstrate the skill and teamwork of horses and their riders or drivers. You might think of dressage as a sort of horsie version of pairs figure skating. It is a test of how well horse and rider work together in a formalized series of movements. The emphasis is on formal appearance as well. The

Retired Derby winner Go for Gin enjoys chatting with visitors at the Hall of Champions.

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horse’s tack (bridle, saddle, stirrups, etc.) are standardized so there are no unfair advantages due to equipment rather than skill. Likewise, the rider’s dress is restricted to white or light-colored breeches, a black or navy coat with metal buttons, and tall dress boots. Riders with long hair must wear it tucked neatly up into their caps or helmets. Nothing flashy that might distract from the performance itself. The dressage ring is no place for the Liberace or Elton John look. In the Covered Arena, we enjoyed the carriage pleasure driving competition. It tests the ability of horses and drivers in antique or replica carriages to negotiate the curves and loops of a course marked by cones placed just barely wide enough to allow passage. Unlike dressage, the carriage drivers and their horses are encouraged to wear showy period costumes with top hats for gentlemen and big flowery or feathery hats for ladies. The horses may choose to wear headgear as well if their fancy dictates. There were tiny ponies

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pulling tiny carts, matched pairs of horses, and four-in-hand teams pulling carriages of various kinds. The range of competitive classes is quite broad so teams with different skill levels can participate and advance as they improve. The manicured grounds, gardens, and fountains feature statues and other memorials to notable horses. The statue of Man o’ War stands over his grave. (There are a number of horse graves at the Hall of Champions as well.) Secretariat, Triple Crown winner in 1973, is shown with jockey Ron Turcotte and groom Eddie Sweat. Other statues include those of Cigar and Alysheba, and Standardbred pacer Bret Hanover. The most unusual horse statue is probably that of Staff Sergeant Reckless that shows the decorated Korean War mare carrying ammunition to marines in distress. She was also used to evacuate wounded soldiers. After

Participants in the carriage-driving competition are encouraged to wear period costumes. 10.25x5_ES_Wagner_Ad_HL_618_HI.pdf

1

Funny Cide won the Derby and Preakness, but in retirement he was putting on a few pounds. The mask slows down the rate at which he can crop grass in the pasture. (There may be a marketing opportunity here for human dieters.)

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a couple trips, Reckless learned the routes so well that she could travel without a handler. During the Battle of Outpost Vegas, she made 51 unaccompanied trips in one day to resupply frontline marines. Shirley found the museum, shows, and friendly horses way better than she had anticipated. Since our visit, she has endorsed KHP to numerous people who asked where we have been lately. She insists that the variety of interesting things to see and do is just a Tennessee Walking Horse in the park. ❦ LeMoyne Mercer is the travel editor for Healthy Living News. There is limited space here for LeMoyne’s photos. You might want to see more at anotherwalkinthepark.blogspot.com.

6/28/18

12:34 PM

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: The swimming season is coming to a close but is still upon us. While it lasts, many people will suffer from ear infections because they didn’t take any steps to protect their ears. Swimmer ’s ear is an infection that affects a large population of swimmers. Its origin is in the outer ear, more specifically in the ear canal where water is trapped after swimming. The water does not easily escape, and bacteria may cause the infection to start. It can actually be very painful and present symptoms of swelling, redness, fever, and even tinnitus, or ringing in the ear. This infection can be accompanied by a

hearing loss that is conductive in nature, meaning the nerve of hearing is unaffected so hopefully it may be resolved medically. This is a common type of hearing loss seen especially in children who have middle ear infections and require tubes to be surgically inserted. There are several things you can do to prevent an episode of swimmer ’s ear, including using swimming earplugs and ear bands. Stock doc plugs are available in many sizes. These are very flexible and comfortable in the ear. They were originally designed for divers and have been recommended by audiologists for many years. Ear bands are used in combination with doc plugs to provide increased protection for the ears. Ear bands also come in different sizes. They

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are made out of soft material with Velcro to fit over the ears and deny water from entering the ear canal by holding the plugs in place. There are also times when custom-made swim molds are necessary or wanted. An impression will be taken of the ear and ordered in any color desired. These molds will fit very tightly and surround the entire ear. For extra protection, some use the ear band along with the custom molds. Ear protection against water is important for those who are prone to ear infections, frequent swimmers such as swim team members, children who have tubes in their ears, or anyone with a perforation in the eardrum. If these steps are taken, the swimming season will be enjoyable for all. If you’d like more information on swimmer’s ear and protection for the swimming season, please feel free to call us at Northwest Ohio Hearing Clinic. ❦ Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

Simple missteps that sabotage weight loss

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ou’ve increased your intake of fruits and veggies, foresworn high-fat foods, said “sayonara” to sweets, and added a three-mile brisk walk to your list of daily activities. Still, you’re seeing no results on the scale—or, worse, you’re actually gaining pounds. What gives? Are you the victim of a slow metabolism? More likely, your weight-loss efforts are being sabotaged in some sneaky ways. Keep an eye out for the following:

Portion distortion Weighing and measuring foods has become passé in recent years, but it’s important to do this for at least a week when you begin a healthy eating regimen in order to get an accurate sense of portion sizes. After all, even healthy foods can lead to weight gain if you eat them in oversized portions. Take rice, for example. Brown rice may be healthier than white rice, but whatever its color, eating

two cups of rice rather than the recommended serving size of one cup (prepared) will still add around 500 calories to your daily intake.

Death by a thousand strokes Just because you aren’t filling up a plate or bowl with food doesn’t necessarily mean you aren’t taking in a lot of extra calories. A sample here and a sip there may seem harmless, but do it often enough throughout the day, and those calories can really add up. Even your coffee creamer can make a difference (each two-tablespoon serving of half & half is worth 35 calories). Watch those incidental calories that can combine to equal extra pounds!

Falling for the fatfree fallacy Many food manufacturers offer

low-fat versions of their products for weight-conscious consumers. Trouble is, “low-fat” does not necessarily equal “low-calorie.” Sugar is often added to low-fat foods so they still taste good. So, if you’ve been munching on low-fat cookies and chips or dousing your salad with low-fat dressings, thinking they’re better for you than the original products, you might be unwittingly packing on the pounds. Read those food labels carefully. Better yet, choose snack foods that are naturally low in fat and calories yet rich in nutrients, such as fruits and veggies. Exercising but overindulging It’s a common misconception that exercising regularly makes it acceptable to eat more because any extra calories taken in will just be burned off. This notion has arisen because we tend to overestimate how many calories exercising actually burns. For instance, if you jog for 30 minutes, you might burn somewhere in the vicinity of 330 calories. While that is certainly a good thing, consider the fact that eating just one hefty handful of peanut M&Ms will completely

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negate that half hour of effort by replacing most or all of the calories you’ve burned.

Getting too few Zs We don’t tend to associate lack of sleep with weight gain, but there can be a connection between the two. When we’re hungry, we feel fatigued, and it’s easy for our brains to mistake fatigue from lack of sleep for a symptom of hunger. So, we try to perk ourselves up by reaching for snacks. Plus, if we’re overly tired all the time, we’re more inclined to turn to convenience foods rather than plan and prepare healthy meals. Being sleep deprived also means having no energy to get off the couch and exercise.

Sabotage by sweetened drinks Perhaps the sneakiest form of weightloss sabotage can be found in the beverages we drink, and sweetened sodas are among the biggest offenders. Think drinking soda doesn’t make that much difference? Consider the fact that a 12-ounce, non-diet can of soda contains about 150 calories. Multiply that by two or three cans a day, and you can expect to gain a pound per week. What about beverages that are supposed to be good for you, like orange juice or grapefruit juice? Well, those can be loaded with calories, as well. An eight-ounce serving of fruit juice is worth about 100 calories. However, since the typical serving of fruit juice is more like 16 ounces, you can double that to 200 calories for a single beverage.

bers can sabotage your weight-loss efforts by cooking irresistible but fattening meals, tempting you to eat seconds, or bringing home treats that tempt you to fall off the wagon. Usually, this form of sabotage isn’t intentional. Your friend or family member may just be trying to do something nice for you. Or, watching you enjoy something they’ve cooked may make them feel appreciated. Also, it’s not uncommon for family members to bring home something for themselves, such as ice cream, not realizing that they are putting irresistible temptation in front of a weight-conscious loved one. If you find yourself in this predicament, frank, assertive communication will be your best ally. Explain to your loved ones what you’re trying to accomplish and ask for help in reaching that goal. Identify specific temptations that usually cause you to slip up. For example, having ice cream in the house may be your undoing. If you can’t trust yourself to have ice cream around without bingeing but you don’t want to keep your spouse from enjoying it, ask him or her to bring home an individual serving rather than a larger container. ❦

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