HLN September 2019

Your Monthly Guide to Healthy Lifestyles

September 2019 • FREE

Also available at hlntoledo.com

RACE FOR THE CURE RETURNS

Celebrate National Recovery Month | Local ER earns patient praise Preventing elder abuse | Cut through the Medicare confusion Look as young as you feel | The importance of primary care

It takes two to tango.

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

Look as young as you feel S

Dr. Handler also utilizes the unshine, flowers, allergies, latest in lasers for removal of “age wrinkles, and skin cancer all www.drharveyhandler.com spots” (sun spots really) anywhere accompany the pleasant weathon the body. This laser works espeer we enjoy. Use a sunscreen cially well for the tops of hands covof 30 to 40 SPF, and apply it ered with those “age spots.” Finally, generously 30 minutes before Smoother, tighter, younger-looking skin on face, arms, and chest Dr. Handler also performs laser sun exposure. Reduce and removal of unwanted blood vessels prevent “age spots,” wrinkles, that grow on your face and enlarge and skin cancer. Dr. Handler is No surgery. with heat, stress, and the intake of a board-certified dermatologist No injections. alcohol. Again, pain and downtime and expert in the diagnosis and No downtime. are minimal with this laser. treatment of sun-damaged skin ADULT, Anti-aging and cosmetic enand skin cancer. He will personarvey andLer, m.d., f.a.a.d. hancements are not for any specific ally recommend and explain a PEDIATRIC, dipLomate and feLLow of tHe american Board of dermatoLogy gender. Male cosmetic enhanceskin-rejuvenation program for & COSMETIC 5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital) ment and anti-aging procedures you to reduce the visible signs DERMATOLOGY have increased almost 300% in of aging.

HAIR & NAILS the past 5 years for sagging skin, Wait! What about “pre-juvedarkening under the eyes with the nation”? Prevent and reduce the “hollow” look, and brown spots. The signs of future aging and sun fantastic to reduce anxiety-induced underarm sweating for 5-7 utilization of fillers, such as Restylane and its family of fillers, damage with a skin-care program designed for the Millennial generamonths after treatment.

Juvederm, Radiesse, etc., is excellent for deep smile lines and tion. Be proactive before the lines and age spots appear.

The use of fillers, such as Restylane, Restylane Lyft, Juthe “sad and tired look” as evidenced with sagging at the corners Dr. Handler personally performs many anti-aging procedures that vederm, Radiesse, and others, to “fill” deep smile lines and the of the mouth, hollow cheeks, and aging of the hands. And, of are “non-invasive” with minimal discomfort or downtime. You can minmarionette lines (the sad look) from the corners of the mouth course, the use of Dysport/Botox to reduce forehead “worry imize under-eye darkening and wrinkling, raise those droopy eyelids, produces immediate results lasting 12-15 months! Don’t look tired lines” is superb. shrink pores, lift sagging jowl areas, and appear as youthful as you or sad when you are not! Since these products are combined with All of these cosmetic enhancements are performed entirely feel. Call Dr. Handler’s office for a personal evaluation with treatment a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the

by Dr. Handler. To view before-and-after photographs of patients recommendations designed specifically for your aging skin. injection of new fillers called “Restylane Silk” and “Restylane who have had these procedures performed by Dr. Handler, visit Remember, 80% of the signs of aging are due to prior sun expoRefyne and Define.” These products markedly improve upper and www.drharveyhandler.com. For more detailed information about sure and subsequent skin damage. All the brown spots (“age spots”), lower lip lines (lipstick lines). Restylane Silk also volumizes your the above-mentioned procedures or products, please call Dr. broken blood vessels on the face, fine lines, and sagging skin are lips and restores their natural curve while looking attractive and Handler’s office at 419-885-3400. Also, remember to inquire caused almost entirely by sun! This is something young people natural. There is no downtime with these non-invasive procedures. about specials available on many cosmetic procedures and prodshould be aware of since we get 80% of our lifetime sun exposure by Do you want to reduce fine lines, acne scars, and age spots ucts to diminish the signs of aging and obtain a more vibrant and the time we are 18-20 years of age. (brown spots from sun exposure) and shrink pores? Then the youthful appearance of your skin. Look as young as you feel.

What about the “worry lines” between your eyes, deep smile non-invasive Clear and Brilliant laser is for you. When the Clear Also, everyone should have a yearly full body exam to check lines, upper lip lines (lipstick runs uphill), and your sagging jowls and and Brilliant laser is combined with Thermage CPT Deep Tip, for skin cancer conducted only by a board-certified dermatologist. neck? These unfortunate changes caused by prior sun exposure and the results are ideal for patients who desire no downtime or pain Hair loss in men and women aging can be improved dramatically with pain-free, non-invasive cosand predictable results of lifting sagging skin and smoothing fine Are you losing hair from surgery, anesthesia, illnesses, pregmetic procedures performed entirely by Dr. Handler. lines. Dr. Handler is the only dermatologist in northwest Ohio pernancy, medications, stress, genetics, or “normal” hair loss secThe NEW Thermage CPT Deep Tip procedure painlessly heats forming this procedure. ondary to aging or low blood levels of nutrients? There are many damaged collagen under your skin to tighten and lift sagging areas Are you aware that Dr. Handler personally performs laser causes of hair loss in men and women. Most are not simply due of the neck, jowls, upper arms, and abdomen. The NEW Thermage procedures for removal of body hair anywhere hair grows? Yes, to age or family history, and most are treatable. Now these probCPT Deep Tip procedure utilizes radiofrequency energy (not laser). this minimally painful laser destroys hairs around the chin, jawlems of hair loss can be evaluated and there is hope for reducing This procedure also encourages a natural repair process that results line, upper lip, underarms, ears, nose, bikini line, etc. And this your hair loss and stimulating new growth. Dr. Harvey Handler, in further tightening, lifting, and younger-looking skin. With only ONE laser is not just for women. Many men have this laser performed board-certified dermatologist of Sylvania, Ohio, has a medical treatment, results are seen before leaving the office. Continued to permanently remove chest and back hair as well as beard hair treatment for decreasing your hair loss and increasing growth in tightening and lifting of sagging skin occurs over a 6-month time that grows down onto the neck. many patients! period with results lasting 3-4 Pediatric skin disease diagnosis years! There is NO downtime and t is appropriate for patients to understand why it is in their best Be aware and cautious of medi-spas and cosmetic centers and treatment is one of Dr. Handler’s NO pain. The NEW Thermage medical interest to always seek the advice of a board-certified organized and maintained by individuals other than a board-certispecial fields in general DermatoloCPT Deep Tip system has been dermatologist for skin care. Why is seeking a board-certified fied dermatologist or even any medical doctors (not MD’s). Many dermatologist the most beneficial route for solving skin disease gy. From birth onward, Dr. Handler utilized by Dr. Handler for many of these individuals have no formal education or training in skin issues versus a general practitioner, nurse practitioner, physician’s disease diagnosis, treatment, or cosmetic enhancement of skin diagnoses and treats eczema, years with excellent results and assistant, or any other medical individual? I am providing the defects. hemangiomas, contact and allergic very satisfied patients. following information for patients to understand the necessity of How do you know whether he/she is a board-certified dermadermatitis, and general “lumps and For lines between the eyes seeing a board-certified dermatologist. tologist? Look for F.A.A.D. (Fellow of the American Academy of bumps” that children and infants (worry lines), crow’s feet, and Please be aware that a board-certified dermatologist has the Dermatology, which is a designation from the American Academy following minimum education versus the above-mentioned quasi develop. What about “birth marks,” the “sleepy and tired look with of Dermatology) following their name. To confirm this information, scalp and body “ringworm,” body droopy eyelids,” the use of Botox “skin doctors”: check the website at aad.org/findaderm. None of the above re1. Four years of college to earn a bachelor’s degree and head lice, scabies, psoriasis? If or Dysport works well to improve quirements are met by a nurse practitioner, certified nurse prac2. Four years of medical school to become a medical doctor there is a lesion or spot on the skin, these areas. The results are dititioner, physician assistant, or any other medical doctor licensed (MD) or doctor of osteopathic medicine (DO) to practice medicine.

Do your homework before trusting your skin Dr. Handler is trained to properly minished lines and a more “wide 3. One year of an internship disease diagnosis and treatment to anyone but a board-certified 4.

3-4 years in a dermatology residency program examine, diagnose, and treat approawake” and less tired appeardermatologist.

5. Has passed exams for board certification in dermatology. priately. ❦ ance. These products are also

Reduce lines, fade sun spots clear + brilliant laser H

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419.885.3400

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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, 130 Louisiana Avenue, Perrysburg, OH 43552. Phone: 419-874-4491 or email Chet Welch at chetw@ perrysburg.com. 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 jeffreykurtz68@gmail.com.

September 2019 Vol. 24, Issue 9

HEALTH & BEAUTY

ENRICHING YOUR LIFE

2 Look as young as you feel

7 Advance care planning empowers patients

5 Cutting through the Medicare confusion

17 A Walk in the Park – Déjà vu all over again

by LeMoyne Mercer

20 Patient, heal thyself! The importance of patient compliance

19 Get more mileage from your mums

21 The vital importance of having a primary care provider

24 Don’t get stuck in your comfort zone by Amanda Manthey and Dave's Races

22 Concussion: myth vs fact by Jim Berger

30 Health Crossword

26 You’re never too old for Super Slow Training

35 Seven suggestions for safe raking

27 Thread-Lift promises smoother, more youthful look with no downtime

36 The importance of eye exams for children by Carol Kollarits, MD, Cataract and Laser Institute of Maumee

29 Eating Well – Seniors and malnutrition risk by Laurie Syring, RD/LD

39 Spiritually Speaking – Evil is its own punishment

by Sister Mary Thill

30 Preventing elder abuse by Chris Stieben and Megan Benner Senecal

40 Nobody’s Perfect – Fighting crime against persons with disabilities by Sister Karen Zielinski, OSF

32 Sound Advice by Randa Mansour-Shousher, AuD, CCC-A

41 Moms: It’s YOU time!

38 5 common fitness mistakes that undermine motivation

OUR COMMUNITY

42 Holistic treatment of migraines by Douglas A. Schwan, DC, Dip ac

4 Sunset to host Fall Symposium September 25 8 Race for the Cure returns to downtown Toledo

46 Time to tone down the racket in restaurants!

by Randa Mansour-Shousher , AuD, CCC-A

10 Mercy Health – Perrysburg Emergency Department awarded for high patient satisfaction

NATIONAL RECOVERY MONTH 2019

33 Toledo Family Pharmacy earns national award for innovation

13 Addiction and mental illness: Find help and hope for recovery 14 The Access Center provides vital opioid-addiction services in heart of East Toledo 15 Begin your recovery journey with A Renewed Mind 16 Dispelling the myths about mental illness

34 Laurels team helps client communicate despite speech-limiting aphasia 44 Senior Living Guide

/HLNToledo

@HLNToledo

Co-Publishers:

Adam Welch Chet Welch

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Brad Beebe,

419-874-4491, ext. 1026

Graphic Designer: Mary Ann Stearns Web Designer: Strategically Digital LLC Social Media Specialist: Lauren Hite Distribution:

Jim Welsh • Charlie Nolan Dominion Distribution Distributech–Toledo Copyright © 2019 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe.

Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

Dear Readers, of our advertisers, and most importantly Thank you for picking up the September our loyal readers. I hope that, going forissue of Healthy Living News! When ward, you will continue to turn to HLN I founded HLN 24 years ago, I had no as a trusted source for the very latest in idea what a rewarding journey local health and wellness news. it would be, or how and when Our cover this month feathe journey would end for me tures the upcoming 26th annual personally. After considerable Susan G. Komen Northwest thought and prayers, I have Ohio Race for the Cure, to be decided the time is right to retire held Sunday, September 29 in and this will be my last issue downtown Toledo. See the article as publisher of HLN. The new on page 8 for full details. Also Kevin O'Connell in this issue, you’ll find timely owner is Welch Publishing of Perrysburg. Chet and Adam Welch are advice on choosing the right Medicare both wonderful people and plan to carry coverage from Dan Trombley of Paraon with the same team members and mount (p. 5), expert insights on advance business strategy that we have used to care planning from Dr. Rex Mowat of build this successful publication.

The Toledo Clinic Cancer Centers (p.

As you can imagine, owning a grow- 7), a special section dedicated to local ing, profitable print publication during organizations that help people grappling these times is unique and a tribute to the with mental-health issues or substance quality of the news content, the support abuse (p. 13), and much more.

As I say goodbye, I’d like to express my heartfelt gratitude to all the current and former staff members and long-time contributors who have made this publication possible, including Jeff Kurtz, Mary Ann Stearns, Robin Buckey, Jan Sharkey, LeMoyne Mercer, Sister Karen Zielinski, Sister Mary Thill, Laurie Syring, and delivery guys Jim Welsh and Charlie Nolan. All these fine people have been with HLN for decades, and the relationships I’ve built with them are my proudest accomplishments.

Lastly, I'd like to thank my children, my parents, Bob and Jean O'Connell, and, most of all, my wife, Deb, who gave me the courage to start HLN and have provided loving support for all these years. It’s been a great ride!

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SunSet RetiRement CommunitieS w w w. s u n s e t - C o m m u n i t i e s . o r g 4 September 2019 | Healthy Living News

Sunset to host Fall Symposium September 25

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ccording 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 every four Americans age 65 and older experiences a fall each year. Furthermore, the National Council on Aging reports that falling can take a heavy toll on older adults’ quality of life whether injury occurs or not. Even the fear of falling can cause older adults to limit their activities and social interactions, which can contribute to physical decline and feelings of depression, isolation, and helplessness. (Source: ncoa.org.)

The good news is, falling is not an inevitable byproduct of the aging process. With proper screening, education, and physical conditioning, older adults can stay fall-free and live their lives to the fullest while maintaining the highest possible degree of independence.

On Wednesday, September 25, Sunset Retirement Communities will do its part to reduce fall risk among seniors by hosting a Fall Symposium. This vital event, to coincide with Falls Prevention Week, will consist of two parts—a continuing education program for healthcare professionals in the morning, followed by free mobility assessments for older adults in the afternoon.

“Sunset has always had a strong focus on promoting mobility and independence for our older population, and our Fall Symposium is a reflection of that commitment,” says Gayle Young, Director of Marketing, Communications and Public Relations for Sunset Retirement Communities.

The morning CE component, themed “Falling Through the Cracks,” will be held from 8:00 to 11:45 a.m. at Sunset Village and will feature three knowledgeable speakers who will discuss How to Identify Older Adults at Risk for Falls through the Implementation of a Fall Risk Screening and Conditioning Program. The presenters will include David Wilcox, OTR/L, Clinical Educator for Biodex; Elizabeth Fries, Deputy Director of Health Promotion and Planning for the Union County Health Department and current Chair of the Ohio

Older Adult Falls Prevention Coalition; and Dr. Kristen Finley Sobota, Professor of Pharmacy Practice at Ohio Northern University’s Raabe College of Pharmacy. The cost to attend the CE component is $25, which includes breakfast.

Young explains, “This presentation is optimal for physical and occupational therapists and social workers. Ohio continuing education hours are approved for these professionals, while Michigan continuing education hours are approved for physical therapists only. Nurses are also encouraged to attend, as they are able to use the CE hours for contact hours. Registration for the CE event is available online at sunset-communities.org/symposium.”

In the afternoon of September 25, from 1:00 to 4:00 p.m., the general public is invited to take part in the free mobility screening, which will include physical mobility assessments; balance, strength, and gait testing; medication reviews with Ohio Northern Pharmacy students; and health screenings conducted by a physician. “By participating in this free mobility screening, you are taking positive steps to help keep yourself safe, healthy, and independent,” Young emphasizes.

Health screenings with a physician are by appointment only. To reserve a time, visit www.sunset-communities. org/events. Medication review participants are asked to bring a current list of medications. The afternoon event will also feature light refreshments, raffle prizes, visits with vendors, and demonstrations to help older adults strengthen their balance.

Sponsored by Sunset Retirement Communities, the September 25 Fall Symposium is held in partnership with Adaptive Rehab, Biodex, Mercy Health, Ohio Northern University Pharmacy, Ohio Injury Prevention Partnership, and ProMedica.

For more information on Sunset Retirement Communities, please visit www.sunset-communities.org or call: Fieldstone Villas at Sunset Village at 419-386-2686; Sunset House at 419-536-4645; Sunset Village at 419-724-1200; The Woodlands at 419-724-1220; or Ashanti Hospice and Palliative Care at 419-724-1047. ❦

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Cutting through the Medicare confusion P eople approaching their 65th birthday have an important decision to make regarding their health care—what form of Medicare coverage to choose.

There are numerous options ranging from Original Medicare to a Medicare Advantage plan to various forms of supplemental coverage. But that’s where confusion can really set in. With so many options to choose from, it can be extremely challenging to determine which plan or combination of plans is best for one’s unique needs. To make an informed decision, it helps to understand what each Medicare choice entails and how it might affect your coverage and pocketbook.

Original Medicare According to Dan Trombley, Licensed Insurance Agent, Medicare Sales at Paramount, Original Medicare is essentially an 80/20 plan consisting of Part A and Part B. Part A covers inpatient and outpatient hospitalization, while Part B covers provider services, such as primary care visits, specialist visits, physical therapy, etc.

For people who have worked and paid into the Medicare system, there is typically no cost for Part A; however, there is a monthly premium for Part B. Also, as with any 80/20 plan, there are deductibles under Original Medicare. What’s more, people enrolled in Original Medicare are required to have Part D for prescription drug coverage, which is a product sold by private insurers.

“You can have Original Medicare and Part D and be just fine, but one drawback to this approach is that there is no out-of-pocket maximum under Original Medicare. That means there’s no limit on the 20 percent you’re responsible for. If you have a catastrophic health year or simply have to undergo multiple procedures, you could rack up major expenses,” Trombley explains.

Medicare Advantage Medicare Advantage plans have very reasonable monthly premiums

or, in some cases, no premium, and include prescription drug coverage.

Instead of 20 percent co-insurance and deductibles, Medicare Advantage plans typically have fixed copays for services. “With Medicare Advantage through Paramount Elite, you’ll have a copay of zero to 10 dollars for primary care. Copays are kept low because Medicare Advantage is rooted in wellness. They want you to see your physician, so they remove barriers to getting care, and cost is typically the biggest barrier.

You do, however, have to stay within a network of providers for routine care,” Trombley says.

We’re ready to take care of you.

Schedule your appointment today with one of our ProMedica Providers. We have providers that are near where you work and live. Call 800-PPG-DOCS today.

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Medicare Supplement, or Medigap, plans Medicare Supplement plans, also known as Medigap, partner with Original Medicare and, as the name implies, literally fill in the gaps that Medicare doesn’t cover. After Medicare pays the first 80 percent, Medigap will pick up the remaining 20 percent or some portion of it depending on the specific plan you choose. Also, each Medigap plan is labeled with a different letter that helps identify the benefits that go with it. Medicare Supplement Plan F, for example, has the highest monthly premium but is the most comprehensive and has no out-of-pocket cost provided Original Medicare covers the services.

It’s important to be aware that once you buy a Medicare Supplement plan, you also have to buy a standalone prescription drug plan, which adds to your monthly expenditure.

When can you enroll?

There is a seven-month initial enrollment period for people aging into Medicare, which includes the three months before their birthday, their birthday month, and the three months after their birthday. However, coverage will be effective no sooner than their birthday month. Eligible people can also elect or change their n

Medicare - continued on p27

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Healthy Living News | September 2019 5

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Advance care planning empowers patients

he care and treatments provided accomplishments and legacy. “Some to patients with a life-limiting even use this time to look ahead to illness should be consistent with the future, for example by making their personal goals, values, desires, a video to give to their children or and beliefs. To ensure that they are, grandchildren,” he adds.

The time to open this dialogue it’s vital for patients to discuss and establish their wishes and expecta- and get these important decisions tions of care with their families and on the table and written down is physicians as early in the disease early in the disease process (or, better process as possible. This ongoing yet, while the person is still healthy), dialogue, known as advance care not when the patient is unconscious planning, empowers patients to make or in a highly emotional state in their own decisions with respect to the emergency room, confused and end-of-life care—even in the event groggy post-surgery, or potentially that they become incapable of com- experiencing symptoms of dementia.

For patients being seen by multiple municating for themselves.

“When we know a patient is ter- healthcare providers and subspeminally ill, it’s time to sit down with cialists, it’s particularly important to them and their family to talk keep everyone on the same about the goals of therapy,” page with documentation explains Dr. Rex Mowat of of their treatment goals The Toledo Clinic Cancer and wishes.

Centers. “Our first priority is The families of terto keep the patient’s quality minally ill patients find of life as high as possible, advance care plans espeso we need to give them a cially reassuring because good sense of what to expect having that framework and learn as much as we can in place eliminates any about their circumstances guesswork—as well as any Dr. Rex Mowat and desires. We want to potential interpersonal establish what their social conflict and guilt—over network is like, where they’re living, what treatments their loved one who will be caring for them, whether would or would not want. they have advance directives in place, Still, families sometimes worry whether they want input from family that advance care planning will be and who is allowed to make decisions too awkward to discuss with their on their behalf, whether they want loved one or, worse, that it will cause religious or spiritual guidance, and them to lose all hope. But the truth is anything else that will help us provide just the opposite. “Having that concare that is consistent with their desires versation can be uncomfortable for and goals.” the family and doctor, but it’s usually How can patients make an in- not for the patient,” Dr. Mowat says. formed decision about a treatment “They’ve been thinking about all these option when they haven’t reached things already. In my experience, the that point in the disease process yet? discussion does not extinguish hope.

Though no two end-of-life journeys In fact, hope increases because the are identical, many of the broader patient has a greater sense of control.” decisions that have to be made are Families may also fear that restrictrelatively uniform, such as whether ing treatments to those outlined in an the patient wants to be hospitalized or advance care plan is tantamount to not, whether they want their doctor to care rationing. However, as Dr. Mowat make every medical effort to prolong points out, respecting a patient’s their life or to suspend treatments goals and values is actually rational and simply keep them comfortable care, not rationed care. What’s more, with palliative care, whether they patients with advance care plans in want to be resuscitated, and where place often survive longer because they want to spend their final days. their wishes, objectives, and values are Dr. Mowat observes that honored and they aren’t expending many patients also view the ad- energy on unnecessary treatments. vance-care-planning stage as an Dr. Mowat notes that advance care important opportunity to look back planning is still in its infancy and n Advance care - continued on p30 over their lives and reflect on their

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Healthy Living News | September 2019 7

Race for the Cure returns to downtown Toledo

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ace for the Cure, Susan G. Komen Northwest Ohio’s signature annual fundraising event, returns to downtown Toledo on Sunday, September 2019 at 9:30 a.m. (and to the campus of Blanchard Valley Hospital in Findlay on Saturday, September 28 at 9:00 a.m.). Each year, thousands of people take part in this exciting community event to help take the fight to breast cancer through local breast care programs and groundbreaking national research.

Much more than an opportunity for fun, camaraderie, and a little friendly competition, Race for the Cure saves lives by increasing access to breast health and breast cancer care and services for the most vulnerable women in our community.

Up to 75 percent of the net income from the race stays right here in our community to fund vital breast cancer health education and breast cancer screening and treatment programs.

The need for these programs and services in our community cannot be overstated. Each week in Komen Northwest Ohio’s 24-county service area, 22 women are diagnosed with breast cancer, eight women

are diagnosed with late-stage breast cancer, and five women die from the disease. Furthermore, the breast cancer mortality rate in the state of Ohio is six percent higher than the national average.

According to Desmond Strooh, Marketing and Communications Manager for Susan G. Komen Northwest Ohio, this year’s Race for the Cure will feature all the same elements that have made the event so popular and meaningful over the past 26 years, but participants may notice that a few changes have been made to enhance their experience and make the event even more inclusive. “One difference people will notice right away is that we’ve changed the name of the Survivor Tent to Hope Village in order to create the most welcoming and inclusive environment possible—not just for women who fought breast cancer in the past, but also for women who are currently battling the disease, including those with metastatic breast cancer,” he says.

Another change is that the Kids Zone will be moved to a different, more intuitive location. During past races, this popular element was situated in a small corner of Fifth

8 September 2019 | Healthy Living News

Third Field, but this year it will be located in the existing play area near South Sinclair and Monroe, which features a fun play set, benches, and umbrellas.

The lineup at the start of the race will be different this year as well, with the timed competitive runners out front. By leading off the race, runners won’t have to worry that their times will be affected by slower-moving kids and walkers. Strooh also reminds competitive runners that the 5K course Race for the Cure follows through downtown Toledo has been officially certified by USA Track and Field.

The schedule of events for this year’s Race for the Cure will be the same as last year, with Hope Village, the Kids Zone, and the Sponsor Expo opening at 7:00 a.m.; registration beginning at 7:30 a.m.; and the race kicking off at 9:30 a.m. Participants are encouraged to arrive early because roads along the course will begin closing at 6:00 a.m.

Strooh also urges participants not to lose sight of the profound impact this event has in our community. “Race for the Cure generates so much joy and excitement for Komen, people

whose lives have been touched by breast cancer, and the wider community, but it’s important to keep in mind that the funds raised on that single day go to provide year-round services for women who otherwise might not be able to access them. In fact, since 2009, your dollars have helped fund 13,145 mammograms, 36,553 education services, 3,230 breast exams, 3,345 diagnostic services, and 5,400 survivorship services for women fighting breast cancer. That’s why we encourage everyone to register, donate, help fundraise if possible, and take part in the race. It really can be a matter of life or death for many women in our community,” he says.

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.

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). ❦

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DOWNTOWN TOLEDO SUNDAY, SEPTEMBER 29, 2019

The time to act is now.

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We race for those who can’t. We fundraise to save lives and prevent the next generation from suffering. We come together as survivors, co-survivors and those living with breast cancer so that in the future, we never have to race again. Join us.

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Healthy Living News | September 2019 9

Mercy Health – Perrysburg Emergency Department awarded for high patient satisfaction

F

or busy emergency rooms, achieving a high level of patient satisfaction is no small challenge. Faced with a steady stream of acute injuries and ailments demanding immediate treatment, it’s not always easy for emergency department staffs to focus on patients’ perceptions of the care they receive.

However, since it first opened its doors in 2013, the Mercy Health – Perrysburg Emergency Department has placed a high priority on providing an exceptional patient experience. In fact, for several years in a row, this state-of-the-art emergency department has been awarded the Press Ganey Guardian of Excellence Award for Patient Satisfaction, consistently placing it among the best facilities in the nation in this regard.

The Guardian of Excellence Award for Patient Satisfaction is given to organizations who have achieved the 95th percentile or higher for any of a set of designated survey measures, including Likelihood to Recommend, Overall Rating, and/or Teamwork.

The most recent award was based on quarterly performance between May 2018 and April 2019.

According to Christopher Goliver, MD, medical director, Mercy Health, patient perceptions are measured via random surveys, created and distributed by the independent organization Press Ganey. Surveyed patients are asked to evaluate their experience at the facility, including what went well and what areas might need improvement. “We take the results of these surveys very seriously, and if any opportunities for improvement are identified, we act on them,” he says.

Dr. Goliver explains that the Guard-

10 September 2019 | Healthy Living News

ian of Excellence Award is a reflection of his team’s commitment to creating the ultimate patient experience based on Mercy Health’s mission of treating the whole person—body, mind, and spirit. “The staffing levels we’ve established allow us to get patients in promptly and fully answer any questions and concerns they might have about their testing and treatments. Also, we’ve created a very relaxed, calming atmosphere that is evident right when you come through the door, with beautiful artwork and murals, natural colors, plenty of windows to let in sunlight, and even a coffee shop. Going to the ER is stressful enough, and for some

patients it’s the worst day of their life, so we recognize the importance of providing a soothing, caring environment,” he adds.

In addition to a strong focus on patient satisfaction, the Mercy Health – Perrysburg Emergency Department is poised to provide the highest quality emergent care for conditions ranging from trauma to stroke or heart attack.

If higher-level specialized care and/ or surgical intervention is required, it can be provided right on the same integrated campus, which includes the new Mercy Health – Perrysburg Hospital* and Mercy Health – Perrysburg Cancer Center. “Our Perrysburg facility is now on par with other leading-edge community hospitals, with inpatient rooms, surgical suites, and physicians’ offices in the same location, so patients can get all the care and services they need without leaving the Perrysburg community,” says Dr. Goliver.

Patient convenience was also given a high priority in the planning phase of the Mercy Health – Perrysburg

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is necessary.

During one episode in 2013, Liszak and his wife went to a local emergency room but were told there was about an hour wait. “I was nearly doubled over with pain, so I said to my wife, ‘What about that new place we just saw in Perrysburg?’ She called and was told they could get me in right away. On that first visit, I saw Dr. Goliver, and it was the best treatment experience I’d ever had.”

Liszak has gotten to the point where he knows when a bout of pancreatitis pain is coming on and can tolerate it long enough to drive himself to the ER when necessary. Of course, he chooses to go to the Mercy Health – Perrysburg Emergency Department, where everyone knows him and understands his condition and medical needs. He once even drove there from Columbus after experiencing a flair-up during a board meeting.

For Liszak, the decision to go to the Mercy Health – Perrysburg Emergency Department comes down to peace of mind. “When I get there and check in, they’re already waiting in an exam room to put the IV in, so I know they’re going to take care of me quickly. Also, I know I can depend on getting compassionate care from everyone I encounter there. I have no idea how Mercy Health managed to assemble such a great team of professionals, but everyone on the staff there is just exceptional—from the nurses to the physicians and even the front desk,” he says. *Mercy Health – Perrysburg Hospital is a remote location of Mercy Health – St. Vincent Medical Center, LLC. ❦

SENIOR DISCOVERY DAYS

IN SEPTEMBER AND OCTOBER! FREE admission every Tuesday–plus FREE activities, live music and tours for our friends 60 and better.

On weekdays in September and October, you’ll also get FREE coffee and mini muffin from 10 a.m. until 2 p.m. at Timberline Bakery, plus 20% off at our gift shops.

No further discounts will be allowed — cannot be combined with any other discounts or offers.

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Fall is right around

the corner.

Emergency Department and the other facilities on the Perrysburg campus. Emergency services are provided 24/7 and 365 days a year.

The facility is convenient to both state route 25 and I-475/US-23, and offers abundant parking close to the building. The building’s small footprint and intuitive layout ensure ease of navigation for patients and their loved ones.

Dr. Goliver emphasizes that the biggest factor influencing patient satisfaction at the Mercy Health – Perrysburg Emergency Department is the facility’s dedicated staff.

“From registration to nursing to the ancillary staff, what really sets us apart is our exceptional team, all of whom work closely together to provide the best possible care. Our patients are our customers, our friends, and our neighbors, and the experience we provide for them is no different from what we would expect for ourselves,” he says.

Many of the staunchest advocates of the Mercy Health – Perrysburg Emergency Department are patients who have firsthand experience with the facility and its dedicated care team. Among them is Joe Liszak, who describes himself as an “ER frequent flyer.”

Liszak, the CEO of a community health center in Fremont, suffers from pancreatitis, which developed approximately 10 years ago following a surgery. This condition causes Liszak to experience recurrent episodes of severe pain that can require treatment with IV medications and fluids. In some instances, hospital admission

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Know the signs.

Missing School or Work Paranoia Lying and Manipulation Stealing Dilated Pupils Unexplained Illness Argumentative Lack of Interest Desperate for Money

Addiction can happen to anyone.

If you or someone you love is ready to start the journey to a better life, call Unison Health at 419.214.HOPE. To learn more about the signs of addiction and our prevention efforts, visit us at unisonhealth.org.

12 September 2019 | Healthy Living News

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

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To register: call NAMI at 419.243.1119 or visit us at www.namitoledo.org/classes Healthy Living News | September 2019 13

The Access Center provides vital opioid-addiction services in heart of East Toledo

T

he epidemic of opioid addiction and overdose continues unabated in our community. In fact, in 2018 alone, there were 132 deaths from opioid overdose in Lucas County.

What’s worse, the dangerously potent synthetic opioid fentanyl—which is roughly 50 times stronger than heroin and 100 times more powerful than morphine—is appearing with disturbing frequency in our community and claiming lives at an alarming rate.

The good news is, several organizations in Lucas County offer treatment programs to help turn the tide in the battle against opioid abuse and overdose. Among them is The Access Center (TAC), part of the Neighborhood Health Association (NHA), which is located on Toledo’s East Side at 117 Main Street.

According to Karen Tormoehlen, CNP, who provides medication-assisted treatment for opioid addiction at TAC, this location is one of the factors that really sets the facility apart.

“We’re situated right in the heart of

the East Side in the 43605 zip code, which is the area in our community with the highest rate of deaths by overdose from opioids. It really is ‘ground zero’ for the problem,” she says. “Also, for a lot of the clients we serve, transportation can be an issue, but we’re close enough that many of our clients can walk or take the bus to get here. In addition, NHA offers clients free transportation to and from any of our locations.”

The team at TAC consists of Tormoehlen, a medical assistant, a care coordinator, and a scheduler. Located in the same facility is A Renewed Mind, a partner organization that provides counseling services to complement and reinforce the MAT that TAC provides. “We couldn’t function here without A Renewed Mind,” states Tormoehlen. “They currently have two counselors and a patient engagement specialist, all of whom are truly exceptional. We all work together to deliver comprehensive, compassionate care and services.”

Tormoehlen notes that medica-

tion-assisted treatment, or MAT, can include any medication used for treating addiction. Examples include methadone, suboxone, and vivitrol.

“Methadone is very potent and does not contain an opioid blocker. It must be taken in liquid form each day in a clinical setting. Suboxone contains a partial blocker, so there is some opioid-blocking effect. It also has a ceiling effect—meaning if you take too much, the effect will stop so you can’t overdose on it.

Vivitrol is given by injection once a month and is a total opioid blocker.

In order to take it, patients need a lot of education. If, for example, a patient on this drug gets injured and needs pain medication, it won’t be effective, so a lot of patients taking vivitrol wear a bracelet identifying that they’re on the drug. Here at TAC, we use suboxone and vivitrol but not methadone,” she explains.

Whatever drug is used, the goal of MAT at TAC is to gradually wean patients off opioids, prevent them from experiencing cravings and with-

drawal symptoms (e.g., diarrhea, muscle cramps, and anxiety), as well as keep them from using illicit drugs that have the potential to cause death.

Some critics contend that MAT is simply substituting one drug for another. However, Tormoehlen disagrees with this perception. “MAT is no different from prescribing insulin for a diabetic. Addiction is a lifelong disease, and once people are addicted, if they can’t get the substance they need, they’re going to go through withdrawal—which is awful—and most likely turn to the street to find it.

With MAT, they don’t have to worry where their next dose is going to come from and they can be weaned off the drug gradually and safely,” she says.

Many of TAC’s clients express that they appreciate the facility’s relatively small size and individualized approach to treatment. They also value the fact that wait times are typically short and the providers dedicate a significant amount of time n

The Access Center - continued on p16

NEIGHBORHOOD HEALTH ASSOCIATION

14 September 2019 | Healthy Living News

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Begin your recovery journey with A Renewed Mind

S

eptember is National Recovery month, but what does that actually mean? For those individuals, families, co-workers and communities touched by addiction, you know exactly what recovery means. Recovery is the journey one takes to recover from an addiction. This journey seems to have fewer ups and more downs with no end in sight…and, yes, there will be lane closures, bridges out, construction barrels, and detours.

Not to mention, there will be miles between rest areas. Everyone the individual in recovery loves is in some way, shape, or form a part of this journey. No passes.

While this may look bleak, recovery’s journey can also offer scenic views and restoration. This will require AAA…otherwise known as treatment. There are now more recovery trip tickets and Mapquests than ever before. Treatment providers call them evidence-based practices, recovery apps, counseling, or interventions. Also, today there are more co-pilots or peer recovery coaches whose job is to support, address, and guide those affected by addiction.

Furthermore, medications, used in conjunction with counseling, are

more readily available and effective when combatting addiction. Strong evidence exists to support counseling and medications’ usefulness, such as improved sobriety outcomes and declining overdose deaths related to opiates. While stigma remains as the proverbial drag on recovery, innovative treatments have become the fuel. There remains much work to be done in fighting addiction, but recovery is much more accessible, effective, and manageable today than ever before.

You may not be part of recovery’s journey. You may actually find yourself on a different path, or you may have yet to embark on recovery’s journey.

In fact, less than 20% of people who struggle with an addiction ever get help. However, no matter where you are, or if you or somebody you know is struggling with substance abuse, get help now. Hope will follow. A Renewed Mind is here to help you on your journey.

A Renewed Mind provides excellent behavioral healthcare that renews the mind, body, and spirit for all who struggle with mental health, addiction, or fetal alcohol exposure. ❦

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Healthy Living News | September 2019 15

Dispelling the myths about mental illness

W BEHAVIORAL HEALTH Life is Waiting...

Mental Health and Substance Use Treatment

hen someone is diagnosed with a medical ailment, the typical reaction from family, friends, and acquaintances is sympathy and support. However, a diagnosis of mental illness oftentimes elicits responses ranging from wariness and suspicion to outright fear and even discrimination. As a result of this stigma, people with mental illness often feel ashamed, suffer in silence, and avoid seeking vital treatment.

Why does our society still tend to stigmatize those who have a mental illness? The answer may lie in several persistent myths:

People with mental illness need to change the way they think

Negative thought patterns can be improved dramatically with proper treatment; however, just as a person with diabetes or heart disease can’t “think away” his or her condition, individuals with mood disorders or other forms of mental illness cannot “snap out of it,” “cheer up,” or “chill out” simply by deciding to think or feel differently.

People with mental illness are violent

Inpatient, outpatient and partial hospitalization programs 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.

16 September 2019 | Healthy Living News

Taken as a group, people with mental illness are no more violent than people without mental illness.

In fact, according to the National Alliance on Mental Illness, people with mental illness are much more likely to be victims of violence than perpetrators of it—a rate four times that of the general public. n

People with mental illness are weak and can’t handle the rigors of work or school

Mental illness stems from a variety of biological and environmental factors, not individual weakness. Many people with mental illness are quite capable of holding up under the pressures of work, school, and day-to-day life because they’ve learned certain skills and techniques that help them cope with and adapt to stress before it reaches an unmanageable level.

People with mental illness are strange and unpredictable

Some forms of mental illness can manifest through odd or unpredictable behaviors, but many people with mental illness lead active, productive lives without anyone around them knowing what they’re going through. Those who do exhibit unusual behaviors as a result of their illness can often learn to recognize and manage them effectively through proper treatment.

Mental illness will never affect me

Nearly 44 million Americans experience mental illness each year, so it’s the rare individual whose life will never be touched by it. Those who think no one close to them has mental illness might be surprised to learn that a friend, family member, coworker, or acquaintance lives and functions with mental illness every day. Whether experienced firsthand or not, mental illness affects everyone. ❦

The Access Center - continued from p14

to each client. Furthermore, clients can rest assured that TAC, along with all the clinics under NHA, will never turn anyone away, regardless of their ability to pay.

Interestingly, a majority of Tormoehlen’s MAT clients also come to see her for primary care, often because they don’t have a primary care physician or they have a doctor but he or she doesn’t fully understand their addiction and how to manage it. Convenient access to primary care in addition to MAT and counseling is essential for people grappling with addiction because certain health issues are very common among addicts, especially those who take drugs intravenously. Skin abscesses, hepatitis C, and HIV are just a few examples.

Also, physical and mental health issues often go hand in hand—and

sometimes it’s difficult to tell which problem is causing the other.

Tormoehlen emphasizes that success in TAC’s program is not just about dispensing suboxone. “It’s also about taking advantage of the counseling, group support, and other services. Once you’re an addict, you’re always an addict, but you’re not alone. By getting comprehensive treatment that addresses the whole person, you can learn to live with your addiction. It really is a matter of life or death,” she states.

MAT is offered on Wednesdays, Thursdays, and Fridays at TAC. No patient is turned away from receiving services based on their ability to pay. For more information, please call TAC at 419-691-1322. To reach A Renewed Mind, please call 567-4557455 or 567-455-8515. ❦

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our trips were gradually extended.

From the Smokies, for example, we might continue up the 469 miles of the Blue Ridge Parkway to Shenandoah National Park in Virginia. This route is especially beautiful in the spring when trees and wildflowers are in bloom. From Shenandoah it is easy to head down to Colonial Williamsburg or add on stops at the homes of Washington, Jefferson, Madison, and Monroe. And visit all the major Civil War battlefields in Virginia plus Antietam in Maryland and Gettysburg in southern Pennsylvania before closing the loop back to Toledo. Not all in one year, perhaps, but you can cover a lot of ground if you allow yourself 40 years or so.

Though Smoky Mountains National Park tops the list for number of visits, our favorite park is Yellowstone and the Tetons. I lump the two together because they are virtually contiguous in northwestern Wyoming, so On the Blue Ridge Parkway, we always stop at Mabry Mill and eat in the restaurant. there is little point in going to one without including the other. Back in the Olden Days, I thought we would be really lucky to visit Yellowstone just once. Which day drive of Toledo,

by LeMoyne Mercer is true, but I way but, for us, none underestimated hirley and I have visited all 50 states, could compete with just how lucky we but there are still many places we the beauty of Cades would turn out to want to go and just as many that we Cove, the pioneer be. My journals rewant to go back to. Consulting my history at Catacord 14 visits since travel journals kept since 1975, I was loochee, and hik1985. The scenery surprised at just how often we have ing out to Abrams is spectacular and Falls or along the returned to some of them. the wildlife simply Great Smoky Mountains National Appalachian Trail phenomenal.

Park tops the list with 25 visits mainly in our backpacking On the first few because, when time was limited, we days.

As we accrued One of our favorite hikes in the Smokies is visits, we stayed could get there in one day. I know, out to Abrams Falls. at Canyon Village there are a lot of places within a one- more vacation time,

Campground because of its central location. From there we could easily get to all of the most famous places in the park: Old Faithful and the other geysers, Lower Falls of the Yellowstone, Hayden and Lamar Valleys for herds of bison, elk, and pronghorns. Because we are repeat visitors, in recent years we have not felt compelled to return to all the usual tourist attractions. We are more likely to stay at Mammoth Hot Springs up in the northwest corner of the park and spend much of our time fly fishing in the northern half of the park. Naturally, there is a lot to see just getting to and from the trout streams.

A WALK IN THE PARK

Déjà vu all over again

S

The Teton Mountains seen from Antelope Flats are impressive no matter how many times you see them.

In Grand Teton National Park, we prefer Gros Ventre Campground for easy access to Jackson and to the scenery and wildlife in Antelope Flats.

Our favorite hike is up to Taggart Lake where we sit on our “lunch rocks” and admire the mountains reflected in the lake. Roads in the park form

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Healthy Living News | September 2019 6/19/19 17 5:14 PM

a loop, so we usually set aside a day to just see the whole thing all over again. Every time you come around a bend, an even more spectacular view of the mountains is revealed.

You should see the huge grins of tour bus passengers at pullouts where they take turns photographing each other jumping up and down with the mountains in the background. There is nothing like your very first time.

Tied for second on our deja vu list was a revelation even to me because it is not a national park—Savannah, Georgia. Typically, we are not urban tourists, but Savannah is by far our favorite city. Even so, who woulda thunk we had been there 14 times?

And looking forward to going yet again in October.

What to see in Savannah? In the Historic District, preserved and restored antebellum homes surround 22 of the original 24 squares or parks. Each square has a monument or fountain in the shade of live oaks festooned with Spanish moss. Quite a few of the historic homes are operated as museums open for tours. You might consider the Davenport House where the preservation movement got its start or the Owen-Thomas House.

Our favorite, of course, is the Mercer House, the setting for Midnight in the Garden of Good and Evil. The Mercer House was built by Gen. Hugh Mercer who10.25x5_ES_70th_Ad_HL_COL_319_HI.pdf served in the Revolution and 1 became a close friend of Washington.

are there, enjoy some high-end Low Country cuisine at the River House or even plain ol’ Southern cooking at Paula Deen’s place.

Walk down the wide allee of live oaks leading to the magnificent fountain in Forsythe Park. Visit Bonaventure Cemetery. No, really. The live oaks, camellias, and monuments are so awesomely beautiful that people are just dying to get in.

Coming in at No. 3 on our most-visited list is Everglades National Park at the tip of Florida. In the winter, called the “dry season” by Floridians,

The Mercer House, setting for the Clint Eastwood film Midnight in the Garden of Good and Evil, is open for tours.

He is also great, great grandfather of songwriter Johnny Mercer, Savannah‘s favorite son honored with his own statue in Ellis Square.

Walk the entire length of Jones Street, which has been described as the most beautiful in America, and peek into the back gardens of private homes. It’s only a few blocks.

You can do it. Unless you prefer a carriage ride.

Stroll along cobble-stoned River Street lined by shops and restaurants.

There12:39 is always some sort of festival 3/21/19 PM underway on the river. While you

A great egret in Everglades National Park enjoyed his lunch of walking catfish.

water tends to collect in only the deepest parts of the sloughs and ponds. Animals and birds are forced

to take up residence where there is water even if that means developing a high level of tolerance for human presence.

In recent years, billions of dollars have been spent to restore the natural flow of the “river of grass.”

The glades are actually a shallow, slow-moving river extending all across the southern end of the peninsula.

Over the last hundred years or so, highways, canals, urban expansion, and retirement communities have interrupted the natural flow. Gullible people were once sold swamp land in Florida that had to be drained before it had any personal or commercial value. Today, “value” is measured in environmental terms rather than economic terms. As the historic flow

Mrs. Al E. Gator protecting her children.

When the water is low, all wildlife has to be more tolerant of humans. But only up to a point.

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of water is restored, the birds and gators have many more wet places far from pesky tourists.

In addition to our primary destinations, there are numerous others we have visited repeatedly just because they happen to be along the way: Badlands NP, the Bighorn Mountains, Devil’s Tower, and Mt. Rushmore, for example, on Yellowstone trips. Some secondary locations we look forward to almost as much as the target destination: Padre Island, Cave Creek Canyon, Las Cienegas Conservation Area, and the Natchez Trace going to and coming from Arizona. Some destinations get all lumped together because of proximity to each other.

If we are headed to the North Rim of the Grand Canyon, it just makes sense (to me, anyway) to include Zion, Bryce, Capitol Reef, Canyonlands, Arches, and Monument Valley while we are at it.

Some places we had never heard of until fellow travelers suggested them. Chief among these relatively obscure destinations is Organ Pipe

The organ pipe cactus reaches the northern-most extent of its range in southern Arizona. It prefers south-facing slopes because even there it is often not quite warm enough.

Cactus National Monument right on the Mexican border in Arizona. In 2012, we stopped there on our way back to Tucson from Death Valley.

We spent two nights at Organ Pipe and continued to Tucson. But Shirley loved it so much she insisted we turn around and go back for another week. It has been our primary winter destination ever since.

In 2014, we went to Alaska via the Tetons and Yellowstone, up through the Canadian Rockies on the Icefields Parkway to the start of the 1,400-milelong Alaska Highway at Dawson Creek, British Columbia. Highlights for us were Denali National Park and a tour boat from Valdez to see whales, seals, sea otters, and the Columbia

Get more mileage from your mums M

There is something extra special about Arizona sunsets.

Glacier. Scenery and wildlife too marvelous for words. Still, Shirley felt that once was enough. Until we decided to do it again in 2017. Our plan for 2020 is to go via the Alaska Ferry up through the Inside Passage, make the big loop through the state, and return through Canada on the Alaska Highway.

We have friends who travel extensively in Europe, Asia, and the Caribbean but always as part of organized tour groups. Somebody else does the pre-trip research and decides what is worth seeing, the mode of transportation and what route to take, where they should eat and sleep, and what time they will get underway each morning. This works really well for them because extended travel involves considerable complex decision making. The most difficult part of developing any plan can be negotiating with your spouse or traveling companion.

What is the best way to travel? Well, that question lacks two key words: “for us.” Only you can determine what you prefer. Unless, of course, you let your tour guide decide what you prefer.

What works for Shirley and me is the flexibility to stay longer or return to a place we really like. Or, if the weather disappoints, we can use it as a travel day and head on down the road. We go where we wanna go, do what we wanna do. And when we might wanna do it all over again.

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.

Please leave comments on the site. ❦

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any people treat mums as short-season, fall-planted annuals, enjoying their glorious show of color for a few short weeks and then allowing them to freeze out with the first hard frost. But garden mums are, indeed, hardy perennials.

Their popular use as annuals likely stems from the common perception that it’s hard to keep mums alive and thriving in the home garden year after year. And there’s some justification for this belief. The experience many local gardeners have with mums is that they don’t make it through the winter, or if they do, they tend to get leggy and bloom less profusely over time. But with the right care, mums will reward you with years of beautiful fall color.

Planting location

Mums prefer well-drained, organic soil, which means if you’ve got clay or sandy soil, you’ll need to amend it heavily with compost to a depth of about eight to 12 inches.

Your planting location should also offer full sun—at least six hours of sunlight per day. Mums planted in shadier locations will tend to grow tall and leggy and produce a small number of unremarkable blossoms.

And don’t forget to account for future growth. Depending on the particular cultivar, you’ll need to space mums anywhere from 18 to 36 inches apart. Be sure to read the nursery label so you know what size the plant will reach at maturity.

Watering and feeding

Frequent, thorough watering is recommended when getting mums established after planting, to help prolong blooming, and to insulate the plant’s roots for overwintering.

Once established, one inch of water per week is sufficient. Drip water directly at the base of the plant, not over the leaves. This practice will discourage the development of fungal diseases, such as leaf spots and powdery mildew.

To promote optimum flowering, a sturdy root system, and healthy, green foliage, fertilize your mums twice a month from spring until the plants set flower buds in July.

A general-purpose water-soluble

fertilizer with an analysis in the ballpark of 15-30-15 will suit mums just fine. Mums set out in the fall to be treated as annuals do not require fertilization. However, if you plan to overwinter mums, feeding with a high-phosphorous fertilizer is recommended to promote root growth.

Pinching and dividing

Pinching back is an often overlooked step that encourages mums to bloom profusely come fall and keeps their foliage sturdy, dense, and compact. A good rule of thumb to follow is “four inches high ‘til the Fourth of July.” This simply means that, beginning with the first good flush of buds, you keep pinching back the foliage to maintain a height of approximately four inches until July 4. Be sure to pinch back shoots to just above a leaf node, which will encourage dense, compact branching.

Like many perennials, mums need to be divided every three or four growing seasons. You can tell it’s time to divide when the oldest part of the clump—the center part—starts to become bare.

Overwintering tips

When it comes to mums, most losses occur with fall-planted specimens that aren’t properly prepared for our harsh Northwest Ohio winters.

In some cases, mums planted late in the fall are actually pushed right out of the ground through the process of frost heaving.

To protect mums through the winter, continue watering right up to the point that the ground freezes.

After the first hard frost, spread a three- to four-inch layer of mulch over the roots. Hold off cutting back the foliage until spring as leaving the dead foliage in place helps to protect the roots through winter, as well. As soon as the temperature begins to rise in spring, you can pull back the mulch so it doesn’t suffocate the tender new shoots emerging from the root system.

If past experience has made you reluctant to try your hand at growing chrysanthemums, why not give them a second chance? By following the few simple steps outlined above, you’re sure to succeed with these beautiful fall bloomers. ❦

Healthy Living News | September 2019 19

Patient, heal thyself!

The importance of patient compliance

W

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henever we get sick or injured, it’s natural and appropriate to see a healthcare professional so he or she can “fix us up” or “make us feel better.” But the simple fact is, doctors, nurses, therapists, and other practitioners—no matter how great their skill and expertise—can only lead us to the proverbial water of healing. It’s up to us to drink.

If we want to feel better, get stronger, recover faster, become more mobile or flexible, experience less pain, maximize our longevity, or simply enjoy greater overall health, Homes Society nowthe weLutheran have to actively complyiswith Genacross Lutheran Services therapies, medications, exercises, or lifestyle changes ourHomes healthcare For more than 150 years,that Lutheran Society has been ready to help when life presents practitioners prescribe. challenges and opportunities. To better reflect

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Patient non-compliance (also called non-adherence) with prescribed housing, home health, community services, treatment regimens one of the and senior living options, we willis adapt to meet biggest tonorthwest successful the needsimpediments of people in and around Ohio. Moving forward well as Genacross Lutheran outcomes—as as one of the Services, one thing will not – our deep for greatest sources ofchange frustration commitment to faithfully serving people of many practitioners.

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suboptimal outcomes, but it can also lead to disease recurrence, diminished quality of life, a greater risk of adverse side effects, unnecessary surgeries, or even premature death.

Begin with an honest history Compliance begins long before any drug or other therapy is prescribed to treat your condition—when your history is being taken during the initial office visit. It’s very important at this stage to be thorough and honest in the responses you provide, as the information you share with respect to your symptoms, pre-existing health issues, current medications, family medical history, lifestyle habits, etc., may strongly influence the specific medication or course of treatment your doctor prescribes.

For example, if you have a strong family history of a certain cancer, your doctor may advise that you initiate screening for that type of cancer at a younger-than-usual age or that you undergo genetic testing to determine your risk of developing the cancer. But if you fail to disclose this key information, your doctor will have no way of knowing you’re at increased risk, and if you do develop the cancer, there’s a greater chance it won’t be detected at the earliest, most treatable stage.

Medications

20 September 2019 | Healthy Living News

EQUAL HOUSING OPPORTUNITY

EQUAL HOUSING OPPORTUNITY

Proper compliance with physical therapy following an injury, surgery, or debilitating illness is also essential if patients hope to experience optimal results with respect to mobility, range of motion, strength, and pain management. But when it comes to physical therapy, compliance means more than just dutifully attending sessions with a therapist.

After completing inpatient therapy and in between formal outpatient sessions, patients usually must also continue their prescribed exercises at home if they hope to achieve the best possible outcome. Those who have a hard time mustering the motivation needed to keep up with a home exercise program might need to turn to family members or friends for support and accountability.

Lifestyle modification

Former Surgeon General C. Everett Koop once remarked, “Drugs don’t work in patients who don’t take them.” Drugs also don’t work—or can cause serious adverse side efIndependent Living fects—when patients take them Assisted Living inconsistently; fail to take the full Nursing Care • Respite Care Short Term Rehabilitation course prescribed by their doctor (e.g., Lutheran Village is Outpatient Therapy antibiotics); or fail to heed drug- or a whole new direction A Lutheran whole new direction Village is food-interaction warnings, dosing inwhole retirement living. retirement living. ain new direction instructions, or other directions for in retirement living. proper use.

It's aa neighborhood! neighborhood!

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Independent available NOW. can add Living lifeCondos to their years. bad, or causes some unpleasant side Call 419-861-5616. effect.

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Physical therapy

Perhaps the biggest compliance challenges healthcare professionals encounter are related to patients’ lifestyle habits. In many instances, the chronic ailments people suffer, such as type 2 diabetes, hypertension, cardiovascular disease, and chronic obstructive pulmonary disease, are closely linked to the lifestyle choices they make. Medications may play an important part in treating these conditions, but they’re no substitute for healthier lifestyle choices—eating better, exercising more, quitting smoking, moderating alcohol consumption, etc.

What makes compliance with prescribed lifestyle changes so difficult is that our lifestyle habits often have a powerful emotional component, so giving them up or adopting healthier new ones is never as easy as popping a pill. In many cases, we need a little help—a support group, professional counseling, etc.—to make positive changes. ❦

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The vital importance of having a primary care provider

I

n this era of healthcare specializa- proper and precise diagnosis, the PCP tion and sub-specialization, it may determines that the patient needs to seem as though the role of the family see a specialist, physical therapist, or doctor has diminished in significance. other provider, he or she can match However, nothing could be further the patient with an appropriate infrom the truth. In fact, the benefits of dividual in that discipline based on establishing an ongoing relationship their respective personalities, belief with a trusted family doctor or other systems, and goals. primary care provider (PCP) cannot In addition to offering traditional be overstated. one-on-one visits with patients, many In addition to overseeing a patient’s PCPs collaborate with a multidisciroutine care, such as physicals and plinary team to ensure patients get well visits, prescription refills, and the comprehensive care they need. For immunizations, a PCP will example, UT’s new, statetreat minor injuries and of-the-art Comprehensive common illnesses; help Care Center (CCC) places manage chronic conditions primary and specialty care such as diabetes, asthma, clinics, along with a variety of other healthcare and high blood pressure; provide education on preservices, under one roof ventive care and wellness; at 3333 Glendale Avenue. and give referrals to special“This team-based apists as needed. Furthermore, proach allows us to bring PCPs can help patients in experts from various navigate the complexities disciplines, whether it’s Dr. Kevin Phelps of the healthcare system. pharmacy to address their Kevin Phelps, DO, medical medication needs, behavioral health director of the Family Medicine to address their psychological and department at the UT Compre- emotional needs, social work to address hensive Care Center, explains, “As social determinants of health such as a family physician, I’m trained to look at the entire person, not just an organ system. That includes the patient’s behavioral health, work life, lifestyle habits, family dynamics, personal and family medical history, and many other considerations. I’m also a firm believer in the ‘moccasin factor ’—that you can’t understand what someone is going through until you walk a mile in their moccasins.”

Dr. Phelps points out that seeing patients routinely gives primary care doctors insight into their health belief model. Essentially, an individual’s health belief model helps explain and predict his or her values and behavior related to health and the utilization of healthcare services.

“For example, some patients tend to Fri: 5pm - 11pm be very stand-offish and resistant to Sat: Noon - 11pm coming to appointments and complySun: Noon - 8pm ing with treatment. Understanding how and why they developed that Weather Permitting tendency and why they believe what (Check Facebook “Wheeler Farms”) they believe enables the doctor to Last Ticket Sold 1 Hour Before Closing guide them toward more optimal care,” he says.

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transportation or financial issues, or any other discipline. We can often connect them with these providers during the same visit, assuring them that we trust the individual to give them the best possible care,” Dr. Phelps states.

UT CCC patients also have access to RN care managers, who reach out proactively to the sickest patients to ensure they’re getting the care they need to avoid a crisis; shared medical appointments for chronic conditions such as diabetes; and even home visits for those who are homebound or have difficulty getting to appointments.

When choosing a PCP, it’s helpful for patients to be aware that several different types of practitioners provide primary care. The UT Comprehensive Care Center, for example, has both family medicine and internal medicine physicians on staff. The distinction between the two is that family medicine physicians treat acute and chronic illnesses and provide preventive health screenings and lifestyle counseling to promote general wellness for infants through

seniors, whereas internal medicine practitioners, also known as internists, treat individuals age 18 and older and have special training in the prevention and treatment of adult diseases.

Dr. Phelps also advises patients to look for certain marks of quality in a PCP. “One thing to look for is that the doctor actually prepares for your visits. Rather than, ‘What brings you here today?’, you want to hear, ‘Based on your last visit, we’re going to follow up on X, Y, or Z.’ You also want to choose someone who is patient-centered rather than doctor-centered, invites your questions, is responsive to your needs and phone calls or messages, addresses preventive health opportunities, for example through immunizations and screenings, and communicates test results whether they’re positive or negative,” he says.

Patients who are looking for a new primary care provider are encouraged to call 419-383-4000 to request an appointment with a UTMC or UT physician or visit utmc.utoledo. edu/primarycare. ❦

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Many children and teens struggle with severe emotional troubles, such as intense anger, chronic depression and thoughts of suicide. These problems can be as debilitating as physical ailments.

The Kobacker Center at The University of Toledo Medical Center has specialized in treating the emotional needs of children and teens for more than 30 years. Our team of behavioral health professionals provides comprehensive treatment and guidance for children ages six to 18 and their families.

We offer: • Outpatient treatment • Inpatient hospitalization

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For more information, call 419.383.3815 or visit uthealth.utoledo.edu/depts/kobacker.

Healthy Living News | September 2019 21

Concussion: myth vs fact

by Jim Berger

I

t’s that time of year when fall sports kick off. It’s also that time of year when we hear more about concussions. In this month’s article, I want to bring forward some facts versus myths to help HLN readers understand concussions.

We hear all about concussions at this time of year primarily because of football, but let’s get something straight: concussions happen in more circumstances than just football and other sports.

Concussions account for a significant number of injuries in high school sports. In a 2012 study, researchers found that concussions account for over 15% of all injuries in some very popular sports (Marar M, McIlvain NM, Fields SK, Comstock Rd. Epidemiology of Concussions Among United States High School Athletes in 20 Sports. The American Journal of Sports Medicine. 2012;40(4):747-55).

Here’s the breakdown by percentage: • Boys’ ice hockey: 23% • Girls’ lacrosse: 21% • Cheerleading: 20%

• Boys’ lacrosse: 17% • Football: 17% • Girls’ soccer: 15% It’s important to realize that as many as 50% of all concussions are not reported. Let’s also be aware that concussions can happen off the field: at home, work, and school.

What is a concussion? It is a sudden acceleration or deceleration causing the brain to shift inside the skull, often causing microscopic shearing of neurons that can result in varied symptoms. Concussions are often a result of a fall, motor vehicle collision, assault, or sports-related injury.

Signs and symptoms of concussion include headaches, confusion, glazed eyes, possible loss of consciousness, fatigue, drowsiness, difficulty concentrating, feeling of fogginess, dizziness and balance issues, memory and concentration issues, and more.

Sarah Hunter, DPN, APRN-SNP, part of ProMedica Neurology, shares the following: “If you have any of the above symptoms, you should seek medical care, especially with someone who has

knowledge in treating concussions.

You should seek care early and not wait. If you manage the symptoms early, your recovery will potentially be smoother and your return to activity easier.”

So, let’s look at the myths versus the facts. Dr. Michael Collins, director of the University of Pittsburg Medical Center Sports Medicine Concussion Program, breaks down the most common “neuromythology” being perpetuated today:

concussion.

4. There are many different signs/ symptoms of concussion. Any athlete who displays these concussion symptoms shouldn’t be allowed to return to the current game or practice, even if the symptoms clear quickly.

5 No two concussions are identical. Our research has identified six different clinical trajectories for concussion.

6. Evidence-based active treatments for concussion exist, including Myths vestibular therapy, vision therapy, 1. A concussion only occurs as a exertion therapy, and medications.

7. Proper clinical management is direct blow to the head. the best form of prevention; recovery 2. A concussion occurs only when from one should not put an athlete at an athlete experiences a loss of risk for another. But there are some consciousness. inherent conditions (e.g. migraines) 3. Everyone is at the same risk for SM that can put you at higher risk. concussion.

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A concussion may be caused by School Program. Let Heartland RePerrysburg 419.874.2657 Bedford 734.856.6737 Perrysburg 419.874.2657 Bedford 734.856.6737 Concussion Management Balance/Dizziness and Fall Prevention a direct blow to the head, face, neck, habilitation Services be part of your Contact Contact Center Center 800.699.9395 800.699.9395 Contact Center 800.699.9395 Contact Center 800.699.9395 or elsewhere on the body if the force concussion recovery. Heartland has of impact is transmitted to the head. four locations in the greater Toledo … YOUR SPECIALIST IN ...

2. Concussions can occur with or and Bedford, Michigan areas with cussion Management Balance/Dizziness and Fall Prevention without loss of consciousness (LOC), experienced and knowledgeable Concussion Management Balance/Dizziness and Fall Prevention Central Scheduling and about 90% of concussions do not therapists. For more information, gement ment Balance/Dizziness Balance/Dizziness and and Fall Fall Prevention Prevention result in LOC. contact Jim Berger at 419-787-6741 or t Balance/Dizziness and Fall Prevention 3. Various factors, including age, jberger@hcr-manorcare.com. TherCentral Scheduling gender, and medical history, put an apy for Today, Wellness for Life! SM individual at risk for sustaining a ❦

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ANITA ANTONIOLLI, MD, FACS

WHEN YOUR BODY’S ALWAYS CHANGING, YOU NEED A

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Healthy Living News | September 2019 8/20/19 11:5523 AM

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.

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In addition, choosing different running routes to vary the scenery and terrain will allow you to challenge yourself as a runner. But, most important, remember to choose safe running routes either in a park or on streets with sidewalks.

Adding sprints to your workout and varying your speed at different points during your run will provide a more effective, challenging workout, as well.

Cross training is another great way to vary your workout routine.

Choosing at least two cross-training

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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. ❦

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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.

Olander 24-Hour Ultra— Dave’s Endurance Run & Team Relay Sunday, September 1 to Monday, September 2, 2019, 10:00 a.m. at Olander Park, 6930 W Sylvania Ave., Sylvania, Ohio.

Oregon-Northwood Rotary Club Presents: Run for Literacy and Golf Ball Drop Saturday, September 7, 2019, 7:30 a.m. at Fasset Junior High School, 3025 Starr Ave., Oregon, Ohio.

University of Toledo’s Pulmonary Fibrosis 5K Run/Walk Saturday, September 7, 2019, 9:00 a.m. at the University of Toledo’s main campus, 2801 Bancroft St., Toledo, Ohio.

Grasshopper 5K Run/Walk Saturday, September 14, 2019, 8:30 a.m. at Lakota High School, 5200 Co. Rd. 13, Kansas, Ohio.

Run/Walk for Freedom 5K Sunday, September 15, 2019, 2:00 p.m. at 491 Coe St., 21265 SR 2, Tiffin, Ohio.

Alexa Brown 5K Saturday, September 21, 2019, 8:45 a.m. (Kids 1K at 8:15 a.m.), Main St., downtown Clyde, Ohio.

Redhead Run 5K and 1 Mile Fun Run/Walk Saturday, September 21, 2019, 9:00 a.m., at St. Peter Lutheran Church, K980 Co. Rd. 17D, Napoleon, Ohio.

Leipsic Main Street USA 5K Saturday, September 21, 2019, 9:00 a.m. at 135 E. Main St., Leipsic, Ohio.

One Step at a Time Saturday, September 28, 2019, 9:00 a.m. at 950 Webster St., Defiance, Ohio.

Pacing for Parkinson’s Saturday, September 14, 2019, 11:00 a.m. at 5403 Elmer Dr., Toledo, Ohio.

Susan G. Komen Race for the Cure - Findlay Saturday, September 28, 2019, 9:00 a.m. at the Blanchard Valley Hospital campus, 1900 S. Main St., Findlay, Ohio.

2019 Haiti Hustle Family Fun Walk Saturday, September 14, 2019, 10:00 a.m. at Start High School, 2010 Tremainsville Rd., Toledo, Ohio.

Susan G. Komen Race for the Cure – Toledo Sunday, September 29, 2019, 9:30 a.m. at 406 Washington St., Downtown Toledo, Ohio.

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Healthy Living News | September 8/12/19 2019 11:59 25 AM

You’re never too old for Super Slow Training T

hough most of the clients currently taking advantage of the Super Slow Training method offered at TriggerPoint are in their 40s, this evidence-based, time-efficient exercise solution is gaining popularity among people of all ages—including individuals well into their senior years.

One such client is Peg Anderson, age 92. Anderson learned about Super Slow Training from an ad and article in Healthy Living News and decided to explore the program further. So she came to TriggerPoint, tried it out, and was immediately impressed. “I thought, ‘This is great! I need to keep doing this!” she recalls.

At that time, Anderson was beginning to have difficulty managing the stairs outside her home and wasn’t sure whether she would be able to continue living there. She had even purchased two canes to help her navigate the stairs. However, after just a handful of Super Slow Training sessions, she began to notice a positive change. “I could tell a difference

after doing the program once a week for just three weeks. I realized I was getting stronger and could go up and down those stairs without much effort whereas I struggled before. So I said I’m never going to quit this. I’m still not using either of those canes, and I attribute that to coming to TriggerPoint and making my muscles stronger,” she says.

TriggerPoint owner Russ Wakefield explains that Super Slow Training involves lifting and lowering weights at a very slow rate, keeping consistent tension on the muscle throughout its whole range of motion. High-tech

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monitors on the specially designed Super Slow Training equipment help clients maintain the proper form, technique, and tempo during workouts.

This method differs from conventional strength-training techniques in that there is no fast momentum to help do the work for you.

Though s l o w, t h i s technique is intense, really working the muscles.

It’s also very safe, with highly experienced and educated trainers working one-on-one with clients and monitoring and adjusting their every move. After this intense exercise stimulus, the body recovers for seven

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days, producing the desired results.

Ours is a busy, fast-paced society that allows us little time to focus on health and fitness, so TriggerPoint clients appreciate the fact that Super Slow Training demands no more than a half hour of their time once a week. In fact, the program can be completed over your lunch hour with no requirement to change clothes or shower afterward. What’s more, as you progress through the program and begin to see results you never thought possible, that weekly workout time may actually decrease.

Super Slow Training is considered a high-intensity workout, but that should not discourage anyone from participating as long as they have their physician’s approval. Wakefield notes that clients of all ages, backgrounds, personalities, and body types—even pregnant women—can participate in and benefit from this time-efficient program. Anderson has certain physical challenges, including arthritis in her shoulder, but she says that her trainers at TriggerPoint are fully aware of her age and limitations and are careful to modify her program accordingly.

Asked what she would tell others in her age group about Super Slow Training, Anderson states, “You are never too old for this. If you have physical limitations, the trainers will help you work around them.

Remember, health problems are expensive and become more and more likely the older you get. You can’t just sit around reading magazines and eating bonbons and expect to stay healthy. You have to get moving and keep moving!”

Wakefield urges anyone who is seeking a more efficient strength-training and conditioning alternative—or is simply tired of getting disappointing results from conventional workouts— to follow Anderson’s example by calling TriggerPoint and giving Super Slow Training a try. “This efficient, evidence-based program might just be the exercise solution you’ve been looking for,” he states.

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

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Thread-Lift promises smoother, more youthful look with no downtime

N

owadays, more and more people seeking cosmetic enhancements are turning to non-invasive or minimally-invasive procedures that require little or no downtime to help them look their best. Luxe Laser Vein & Body Center has responded to this growing demand by offering several non-invasive fat-removal and skin-tightening options. In addition, Luxe Laser just recently introduced a leading-edge minimally-invasive option for performing minor face lifts.

This procedure, known as ThreadLift, involves the use of special threads called PDO sutures, which, when placed under the skin, create a slight tension that gently pulls the skin in the desired direction. A common use

for this procedure is to help improve jowls and loss of tightness in the skin.

Dr. Wade Banker of Luxe Laser notes that cosmetic surgeons commonly use PDO sutures in procedures because they don’t come out or unwind, even if they break. Their use in the Thread-Lift procedure, however, is a recent innovation. “These sutures are extremely simple to place, and the procedure is very quick. If you do a full-face treatment, you can be out of the office in about an hour. Plus, there’s no real downtime, just some slight swelling and very mild discomfort for one to two days,” he adds.

Thread-Lift is also modestly priced given the highly satisfying results it produces. Treating the lower- or mid-face costs only $1,000, and a full-face treatment including both areas is just $1,800.

In addition to the full threads, there are very small threads that Dr. Banker can use to fill lines, such as the nasolabial folds (the skin folds that run from each side of the nose to the corners of the mouth, also known as “smile lines” or “laugh lines”), or to add volume to the edge of the lips.

Taking only about two minutes to place, these smaller threads cost as little as $30.

Dr. Banker notes, “The full threads can also be used on the neck and chin, and the small threads can be used literally anywhere on the body.

Both serve to fill and tighten, as well as create new collagen in the treated area due to the pattern in the suture.”

Luxe Laser Vein & Body Center is excited to offer Thread-Lift for the benefit and value it provides for patients. “The results are excellent, and the procedure is highly affordable for patients given the results it delivers. And considering our clients’ busy schedules and active lives, it’s a bonus that minimally-invasive Thread-Lift requires no downtime,” Dr. Banker says.

For more information on ThreadLift or any other services or procedures offered at Luxe Laser Vein & Body Center, please call 419-893-2775.

Consultations are always free of charge. Additional information is also available online at luxe-laser.com. ❦

Medicare - continued from p5 Medicare coverage during the annual election period, which runs from October 15 to December 7 every year.

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Where can you go for more answers?

Anyone with questions about Medicare can get free, objective information and one-on-one counseling through the Ohio Senior Health Insurance Information Program (OSHIIP) by calling 800-686-1578.

However, OSHIIP does not enroll people in Medicare.

Also, Paramount holds informational meetings on Medicare at their Maumee office, located at 1901 Indian Wood Circle, on the last Wednesday of every month, as well as every Wednesday during open enrollment, October 15 through December 7. For more information, call 888-891-0707.

“There’s no one-size-fits-all Medicare plan, and it’s important to choose the option that’s best for you. That’s why talking to someone who is educated and knowledgeable on all the different Medicare products is VEIN & BODY CENTER so advantageous,” Trombley states. ❦

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Healthy Living News | September 2019 27

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EATING WELL Rekha Talla, M.D.

Seniors and malnutrition risk

by Laurie Syring, RD/LD

S

eptember is Healthy Aging Month, an annual health observance designed to focus national attention on the positive aspects of growing older as well as to provide inspiration and practical ideas for adults ages 50 and over to improve their physical, mental, social, and financial well-being. What better time to devote this column to the topic of senior malnutrition?

Why should you be concerned that you or a senior loved one might be malnourished or at risk of malnutrition? Simple: Improper nutrition or malnutrition can affect brain function and increase your risk for many debilitating conditions, poor immune function, and osteoporosis.

Why seniors are at high risk Malnutrition risk is high among seniors for a number of reasons.

One is that the loss of the senses of smell and taste is a normal part of the aging process, which can greatly affect the enjoyment seniors get from food and may contribute to loss of appetite. Aging also affects the way we absorb nutrients from food. Certain digestive enzymes and acids slow down and affect how the foods are broken down.

Various illnesses and chronic conditions, such as Alzheimer’s and

depression, can also play a role in declining sense of taste and smell as well as the motivation to make meals.

Diseases like Parkinson’s can make it more difficult to swallow food.

Arthritis and other mobility issues can limit seniors’ ability to shop and obtain healthy foods. Dental problems such as missing, loose, or rotten teeth or dentures that don’t fit properly or cause mouth sores can make it difficult for seniors to chew food.

The medications seniors take to treat the aforementioned illnesses and chronic conditions can also be part of the problem because some of them can interfere with appetite. In fact, taking more than three prescription medications increases seniors’ risk for side effects such as poor appetite, change in taste, constipation, weakness, nausea, and other issues.

Then there’s the issue of social isolation. Think about it, meals are usually a social time. But as people advance in age, they tend to spend more time alone, and many won’t bother to prepare a meal if it’s just for them.

Finally, we have to factor in economic hardship. As many as 40 percent of older Americans have incomes below $12,000 per year. Earning less— or choosing to spend less than $50 to $75 per week on food—makes it very hard for seniors to eat the foods they need to stay healthy.

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How can seniors lower their malnutrition risk?

First and foremost, seniors need to be aware of signs that they may be at risk of malnutrition or already malnourished. Pay attention to your appetite in order to recognize if/when it’s starting to decline, and be aware of external factors that might affect your eating pattern. Monitor your weight as well. Involuntary weight loss (or gain) is an important warning sign that should not be ignored. Plus, simply being under- or overweight increases your chances of poor health in general. n Eating Well - continued on p45

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Healthy Living News | September 2019 29

Preventing elder abuse

by Chris Stieben and Megan Benner Senecal

W

hat is elder abuse? According to the National Center for Injury Prevention and Control, Division of Violence Prevention (2018), “Elder abuse is an intentional act, or failure to act, by a caregiver or another person in a relationship involving an expectation of trust that causes or creates a risk of harm to an older adult.” Although elder abuse is common and widespread, it often doesn’t receive the attention and focus toward prevention we see with other populations.

In our area, we have several entities working towards prevention and awareness. Agencies such as Adult Protective Services and the Senior Protection Unit under Julia Bates, County Prosecutor, investigate and prosecute abuse crimes against our elders. They utilize limited resources to protect elders in our community. The Coalition of Organizations Protecting Elders (COPE) is a multidisciplinary organization with members from many local agencies that works to brainstorm and develop novel approaches and collaborations to combat and reduce the impact of abuse on older adults. And finally, there is the Long-Term-Care-Ombudsman Office (LTCOP). Members from our office make regular visits to nursing homes,

group homes, and assisted-living facilities to educate and empower providers and residents in an effort to help prevent abuse and neglect.

That is what is being done, but what can you do? We would like to offer several simple suggestions for you to do your part. One, watch out for your elder friends and neighbors.

Reach out to make sure that they have what they need. Perpetrators of elder abuse often prey on older victims who are in need. Often, sit-

HEALTH CROSSWORD

by Myles Mellor • ilovecrosswords.com • Answers on page 33

ACROSS 1 It's a part of the knee that may be subject to a tear 5 CAT, for one 8 Steelers state 10 Citrus fruit containing a lot of vitamin C 11 Pertaining to the stomach 12 Type of spray 15 Immunization liquid 17 Bullfighter's cry 19 It has been called a superfruit, 2 words 21 Datum on a medical form 22 Consume 23 Ending of some websites

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uations arise out of an older adult’s desperation to stay in their home, and to some, any price to stay out of a nursing home seems reasonable.

Two, start a conversation. Many elders are lonely, and they need someone to talk to them, notice them, remind them that they are valued.

This reduces the need to speak to scammers on the phone and give personal information that could lead to exploitation.

Three, you can also seek more structured opportunities by becoming a volunteer through the Area Office on Aging, Senior Centers, the Ability Center, Nursing Homes, or with the Ombudsman.

In short, it is up to all of us to embrace aging and those aging ahead of us. We need to talk about elder abuse and teach our children that it is wrong. We need to improve our voluntary involvement in the community around us, and that includes the elders that have paved the way for us. Elder abuse and exploitation cannot be tolerated, and we must make prevention and awareness a priority as we move forward.

Christopher Stieben is Director of the ABLE Long-Term-Care-Ombudsman Program, which can be reached at 419259-2891 (http://ombudsman.ablelaw. org), and Megan Benner Senecal is a member of the Ombudsman office. ❦ 1

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Advance care - continued from p7

that much work needs to be done to promote it across the country.

For its part, The Toledo Clinic Cancer Centers embraces advance care planning as a more holistic approach that actually empowers patients to chart their own treatment course.

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

The Toledo Clinic Cancer Centers has earned Patient-Centered Specialty Practice level 3 recognition and Oncology Medical Home recognition from the National Committee for Quality Assurance. Oncology homes align systems and resources with coordinated care focused on cancer patients and their needs. This reduces fragmentation, supports shared decision making, and improves the patient experience. They are the first oncology practice in the state of Michigan and the second oncology practice in the state of Ohio to receive this recognition.

For more information, please call The Toledo Clinic Cancer Centers at 419-479-5605. ❦ 4 8

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

A

: Great question! There are so many individuals diagnosed with diabetes who report hearing loss. In fact, research is showing that people who have diabetes are twice as likely to develop some kind of hearing loss, as reported by the National Institute of Health. It also showed that young people with diabetes were at even higher risk for hearing loss than those 60 years of age and older. This is an interesting fact because you would think older people would be at higher risk, but that’s not the case. Another study at Henry Ford hospital in Detroit showed women between the ages of 60 and 75 with controlled diabetes had better hearing than women whose diabetes was not controlled. This sends an important message: Keep diabetes under control to maintain healthy hearing.

That is why the Better Hearing Institute (BHI) strongly encourages people with diabetes to include regular hearing tests as part of their routine diabetes care. Unrecognized and/or unaddressed hearing loss can interfere with good diabetes management by posing a barrier to good communication between people with diabetes and their doctors.

What’s more, untreated hearing loss is often associated with other significant physical, mental, and emotional health conditions. Yet hearing tests are frequently overlooked in routine diabetes care.

To help you take the first step, we are committing to providing a complimentary quick and confidential online questionnaire (www.nwohc. com) to detect any problem.

When people address hearing loss, their quality of life often improves.

Eight out of 10 hearing aid users, in fact, say they’re satisfied with the changes that have occurred in their lives due to their hearing aids—from how they feel about themselves to the positive changes they see in their relationships, social interactions, and work lives.

To help protect your hearing, be sure to follow these five healthy habits for people with Diabetes from BHI: 1. Visit an audiologist for a thorough hearing exam every year, and watch for signs of hearing loss. You do it for your eyes; now do it for your ears. If you notice a change in your ability to hear under certain conditions—like at a restaurant or on a conference call—go sooner.

And share the information with your primary care physician and endocrinologist.

2. Use hearing aids if recommended. People often compensate for hearing difficulty by turning up the volume to unhealthy levels, which in turn can cause further hearing damage. While hearing loss is not reversible, today’s hearing aids can dramatically enhance your ability to hear and engage with others—which can make a tremendous difference n

Sound Advice - continued on p40

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Toledo Family Pharmacy earns national award for innovation

T

oledo Family Pharmacy has al- be common for big chain pharmaways taken pride in providing cies to offer vaccine clinics, not all personalized service, creating a warm, independent pharmacies provide welcoming business atmosphere, this service. and treating each customer like a Toledo Family Pharmacy was also member of the family. But this inde- ahead of the curve when they began pendent, family-owned and -operated to offer free bubble- or blister-packing pharmacy is doing much more than of medications to customers through filling prescriptions and dispens- a program called Pill Box. This proing friendly advice on the proper gram helps ensure that customers use of medications. Toledo Family take their medications on the right Pharmacy is constantly day, at the right time, and finding innovative ways in the proper dose, thereto better serve clients and by eliminating confusion the wider community. As a and potentially dangerous result of their dedication to medication errors. “People providing groundbreaking may be familiar with Amprograms and services, azon’s Pill Pack program, Toledo Family Pharmacy but we began doing this recently earned the Operalong before Pill Pack even tional Innovation Award at existed. Also, before ToMcKesson ideaShare 2019. ledo Family Pharmacy, Hussein El-Khatib, Rph, very few pharmacies were Hussein El-Khatib PharmD, owner of Toledo offering this service at no Family Pharmacy, explains that McK- charge. Once we started doing it, esson—the biggest of the three major other pharmacies began to follow pharmaceutical companies in the suit,� El-Khatib says.

US—serves over 9,000 independent Another example of El-Khatib and pharmacies. Though independent, his team being on the leading edge Toledo Family Pharmacy is part of is their Narcan protocol. With Ohio McKesson’s Health MartŽ franchise having one of the highest rates of program, which helps them find opioid overdose deaths in the naways to hone their advertising as tion, Toledo Family Pharmacy chose well as improve their performance to acquire a state license to dispense and profitability. McKesson hosts Narcan (naloxone), a lifesaving medthe ideaShare conference each year ication that can reverse the effects of in a different city, with over 5,000 an opioid overdose. “You can walk pharmacists in attendance. into our pharmacy and get Narcan In the past, the only award given without any questions, whether it’s at ideaShare was Pharmacy of the for you, a friend, a family member, Year, but for the 2019 event, several or anyone else who may be at risk of additional awards were introduced, opioid overdose. No prescription is including for Clinical Innovation, necessary, and most insurances will Operational Innovation, Marketing cover this medication,� El-Khatib states.

Innovation, Independent Spirit, and In addition, Toledo Family PharCommunity Excellence. “I’ve been macy is the only local independent going to ideaShare since 2015, and pharmacy to have a diabetes self-manthe last three years we placed in the top 60. But this year we won for Answers to crossword from page 30 Operational Innovation in recogni- 1 2 3 4 5 6 7 M E N I S C U S S C A N tion of all the unique, innovative 8 9 U E P A A E programs and services we offer to 10E 11 L E M O N G A S T R I C our customers and community,�

O B T K El-Khatib says.

12 13 14 15 16 N A S A L V A C C I N E In many ways, Toledo Family 17 18 O L E R L X Pharmacy is redefining what it means 19 R 20 21 A C A I B E R R Y A G E to be an independent pharmacy. For 22 23 S I E A T O R G R example, they can provide on-site 24 25 26 27 P O R E S E G G E T C immunizations for numerous diseases, 28 29 I W B E E T I such as influenza, pneumonia, hep- 30 31 32 33 R E A D Y R E N A L S atitis A and B, meningitis, shingles, 34 35 Y E P A I D E chicken pox, measles/mumps/rubella, 36 I 37 N O S T R I L C A L M S HPV, and many others. While it may

agement education program accredited by the American Association of Diabetes Educators. El-Khatib explains, “The reason we got this accreditation is that we partnered with the University of Toledo’s Health Outcomes and Socioeconomic Sciences program to create a fellowship called TFP-HOSS. So far, this program has produced two fellows. One of them created our diabetes-education program, and the other is currently on a subcommittee of the World Health Organization.

Independent pharmacies don’t typ-

ically have fellowships. In fact, only 19 community pharmacies across the nation—not all of them independent—have fellowships, and ours is the only one of its kind.�

Of course, these examples represent only a small sampling of the innovative programs and services Toledo Family Pharmacy offers to customers. To learn more, visit toledofamilypharmacy.com or stop by one of their two Toledo locations, 1601 W. Sylvania Ave. (419-470-0700) or 324 Main St. (419-930-5830). â?Ś

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Laurels team helps client communicate despite speech-limiting aphasia

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he team of professionals at The Laurels of Toledo embraces the mission of promoting the highest level of independence and quality of life for guests by creating a comfortable living environment and providing comprehensive healthcare services.

To achieve that mission, it’s necessary to determine—and strive to fulfill— guests’ expectations throughout their stay at The Laurels, which involves ongoing, open communication between the care team and guest.

But what happens when open communication is difficult or impossible—for example when a guest has had a stroke and is unable to express his or her thoughts due to aphasia? How is it possible to mine for expectations when the guest can’t say or even write what he or she wants and needs? According to Laurels speech-language pathologist Ashley Phillips, that’s when it’s time for the care team to get creative, often combining expertise and innovative technology to meet the challenge.

Such is the situation with long-term Laurels resident Kristi Massie. A former special-ed teacher, Massie experienced a left-sided stroke in 2018 that left her with a condition called Broca’s aphasia. “That simply means that Kristi’s comprehension is intact but she has significant difficulty finding and expressing the right words,” Phillips says.

To help Massie find ways to express herself—not only so her needs are met, but also so she can participate more fully in all the fun and fulfilling activities that The Laurels provides—her care team has been working with her using an augmentative and alternative communication (AAC) device.

Phillips explains that AAC devices can range in complexity from stat-

34 September 2019 | Healthy Living News

ic picture boards with symbols representing various needs (such as a bathroom or cup) to high-tech, dynamic apps or devices that actually generate speech.

Dynamic AACs also span a wide range in terms of capability and cost—from modestly priced, commercially available apps for iPads and other devices to higher-end, and relatively high-cost, devices designed specifically for speech generation. “Because Kristi has good cognition and problem-solving ability, she can definitely benefit from a more dynamic AAC, so we’ve been trialing some high-tech devices with her and hoping insurance will cover it,” she says.

While it’s common for people with aphasia to isolate themselves and avoid activities, Massie is anything

but typical in this regard. Even though she struggles to communicate, she doesn’t let her aphasia get in the way of participating in the activities she enjoys, such as gardening, cooking, and playing bingo, as well as going on group outings, for example to the local metroparks. She also takes all her meals in the dining room where she can be among other residents and communicate to the best of her ability.

In some cases, AAC technology helps facilitate Massie’s participation in activities. “For example, we customized her high-tech device to help her play bingo, adding phrases that allow her to ask for a called number to be repeated, ask for a new card, and even yell ‘bingo.’ We’ve also found that once Kristi hears a word or phrase modeled by the device, she can often repeat it, so it’s not only helping her communicate, but also helping her practice speech. There’s a common misconception that this technology will slow a patient’s progress, but

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our experience and other research shows that it actually stimulates language,” Phillips says.

A devotee of all kinds of literature, Massie loves reading as well.

Unfortunately, her aphasia has also affected her ability to read and write.

But again, she doesn’t let that limitation slow her down. When the local library comes in with books for the residents to read, she likes to check out her favorites. She has a very supportive friend who will check out the same book and either read it to her or help her practice reading. She also enjoys listening to audio books.

“It would be so easy for Kristi to isolate herself and shut down, but she never gives up. She’s such a hard worker and always tries to maintain a positive attitude, even when she’s having a tough day. We’re all just so proud of her and thrilled to have her here as a resident!” says Phillips.

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

Seven suggestions for safe raking I

t may still be warm and summer-like as you read this issue of HLN, but before you know it, fall will arrive with cooler weather and shorter days.

After that, it won’t be long before our local deciduous trees start shedding leaves and area homeowners have to dust off their rakes and get to work.

Though raking isn’t as arduous as snow shoveling and doesn’t involve the use of equipment with razor sharp edges or whirling blades, it’s a chore that requires a lot of bending, lifting, and reaching. Thus, it can still lead to injury if it’s done incorrectly. So, before you take rake in hand this fall,

consider the following safe-raking suggestions:

#1 Choose the right tool for the job It may seem insignificant, but using a rake that is inappropriately sized or has missing, loose, or rusty parts can significantly increase your risk of muscle strain or injury because it will cause you to double your effort. Start out right by making sure your rake is the correct size for your height and strength and is completely intact and functional.

Using a model with a padded handle

will result in fewer blisters, as well.

#2 Use proper body mechanics While raking, maintain proper posture. Position your feet so they form a wide base, and place one hand near the end of the rake handle and the other approximately three-quarters of the way down the handle. Maintain an upright position, and try to keep your back naturally aligned, taking care not to twist your spine.

Instead of remaining planted in one position and extending your rake n Raking - continued on p43

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There’s also easy access to cultural, educational and sporting venues.

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5916 Cresthaven Lane | Toledo, Ohio 43614 Healthy Living News | September 2019 35

The importance of eye exams for children

by Carol Kollarits, MD, Cataract and Laser Institute of Maumee

I

f you've been tested for glasses, you've had a refraction and a vision screening, but did you have an eye exam? Refraction is the art and science of determining the lens that will allow an eye to see its sharpest image.

If you are able to read the smallest line on the eye chart with that lens, then you've had a vision

screening, but you haven't had an eye exam unless you've had eye drops to dilate your pupils so the doctor can get a good look at the inside of each eye.

All newborn babies have a vision screening by their pediatrician or family medical doctor. The doctor will check to see if the eyes are present (yes, a

baby can be born without eyes) and that they appear normal in size and color.

Babies born prematurely need a dilated eye exam by an ophthalmologist to be sure they are not developing a blinding disease called retinopathy of prematurity.

The pediatrician or family medical doctor will check all preschool children to make certain that they can follow a light with each eye separately, and that one eye does not

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turn in or out. If this vision screening is abnormal, the doctor will refer the child to an ophthalmologist or optometrist for evaluation for amblyopia (lazy eye) or strabismus (eyes not working together).

Treatment for these two conditions can usually be done before the child goes to school.

After children learn the alphabet, vision screening can be done every year or two. Children who cannot read an eye chart with one or both eyes should be referred to an optometrist or ophthalmologist.

Usually, glasses will be prescribed. Children with learning disabilities are no more likely to have eye problems than children without learning disabilities. There is no evidence that any kind of "vision therapy" will improve reading skill in children with learning disabilities.

Some children should have regular eye exams in addition to vision screening. These include those who were born prematurely or have juvenile rheumatoid arthritis or a

family history of cataracts or glaucoma occurring in childhood. Children with sickle cell disease can develop conditions that can be detected with a dilated eye exam before they have any symptoms of vision loss. Having one copy of the gene for sickle cell trait protects the individual from malaria, so the sickle trait occurs most commonly in people who come from Africa, southern Europe, the Middle East, and the Indian subcontinent of Asia. Unfortunately, people born with two copies of the sickle gene often have painful episodes requiring hospitalization. These children should have yearly dilated eye exams beginning around age nine, even if their vision screenings are normal.

Finally, all children should have limited screen time. There is abundant evidence that excessive close work increases the likelihood that a child will develop myopia (nearsightedness). Myopia increases the risk of loss of vision from retinal detachment and other prob-

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lems. You can reduce your child's risk of developing myopia by making sure your child has outdoor physical activity for at least one hour every day and by limiting screen time to two hours or less daily.

Set a good example by putting your own phone down and engaging your child in conversation at mealtimes and throughout the day.

When a child is found to have a condition resulting in permanent low vision or blindness, The Sight Center of Northwest Ohio

can help. With certified and credentialed staff, national accreditation, and nearly a century of blindness and low-vision expertise, The Sight Center is a trusted resource for parents and their children. From the low-vision clinic to high-tech assistive devices, daily living adaptations, home safety enhancements, white cane training, and caregiver support, The Sight Center changes lives every day.

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Healthy Living News | September 2019 37

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38 September 2019 | Healthy Living News

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Andrew Croak, D Andrew Croak, D Andrew Cr

Spiritually Speaking

Evil deeds do not arise out of hearts filled with joy and peace, but out of hearts suffering with inadequacy, jealousy, hatred, or other maladies.

Whatever we may suffer at the hands of an evildoer, it will be less than what the evildoer suffers.

And if we accept the evil into our own hearts enough to act in revenge or retaliation, our own suffering will increase! +Aileen O’Donoghue

The right response to this sort of pain is not pleasure.

It’s holiness. I don’t mean that in a purely religious sense.

It means seeing life as a moral drama.

It calls for placing hard experiences in a moral context and trying to redeem something bad by turning it into something sacred. +David L. Brooks

Evil is its own punishment

by Sister Mary Thill

H

ow are you doing these days?

How are you feeling after another round of mass killings last month?

Are you beginning to get used to these senseless massacres? Do you feel like our country is at war with itself, with the enemy coming from within rather than from some foreign invader? I ask these questions here because they are the questions that have been on my mind and in my heart for some time now.

On a recent visit with a friend, before the August killings, I was sharing with her my frustration with listening to the news and wanting to not listen to it anymore.

I do read the local newspaper and find it full of so many bad things that I want to stop reading it too.

Where can I find some good news, some hope in the world locally,

nationally, and globally? Prayer certainly helps a lot, as does reading authors who have a broader and spiritual perspective on life and its many complications. I also like to watch programs on TV that deal with our planet and the wonders of the yet-to-be-understood and unexplored universe.

This helps me put things in perspective. This helps me to see events and actions in a broader context so that I can at least imagine hope for the future.

I do not want to get into a bitter and hopeless frame of mind that prevents me from enjoying life, seeing the brighter side of life, and just plain being grateful for each and ever day that I do spend on this planet. I often reflect on just what it is that I can do to turn the evil in our world, my world, into something sacred as David Brooks

advises. I try to concentrate on the good people, places, and things that are all around me. I see our caregivers here at the Medical Center reaching out to others with gentle love and concern. Patients tell me all the time that our nurses are the best! The housekeeper who prays with a patient, the dietary worker who brings his meal in with a smile and a warm greeting and a blessing as she leaves lifts the spirit of those she serves as well as sets the tone for her co-workers. I often hear our

staff say how blessed they are in their lives and in their work, and “Best day ever!” can be heard in the halls.

It seems to me that there is no reason we can’t make things better for ourselves and others. I do think that if we can do things together, we can change what’s not so holy into something that is sacred. I see and hear that those areas in our country where mass killings have occurred seem to be places of renewed energy n Spiritually - continued on p41

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n

Sound Advice - continued from p32

in your overall quality of life. Hearing aid technology has advanced radically; they adjust to all kinds of noise environments and pick up sound from all directions. Best of all, many are wireless. Today’s hearing aids can stream sound directly from your smartphone, home entertainment system, and other electronics directly into the hearing aid itself—at volumes just right for you. Some are even waterproof.

3. Keep your blood sugar under control. Just as your heart, eye, and nerve health are affected by your blood sugar levels, your hearing health may be as well. Work with your doctor to monitor your blood sugar and take appropriate medicines as prescribed.

4. Maintain a healthy lifestyle.

Even for people without diabetes, a healthy lifestyle benefits hearing health. Avoiding smoking, exercising, and maintaining a healthy diet all support your ability to hear. In fact, studies show that smoking and obesity may increase the risk of hearing loss while regular physical activity seems to help protect against it.

Would your loved one prefer a private room while they rehabilitate?

At Rosary Care, all of our spacious rooms are private and include bathrooms.

5. Use ear protection. Everyone is at risk of noise-induced hearing loss. But using ear protection is one of the best—and simplest—things you can do to preserve your hearing.

Carry disposable earplugs with you, especially when you know you’ll be somewhere noisy. Use appropriate ear protection in loud work environments. Keep the volume on smartphones and other electronics low. Limit your use of headphones and ear buds. And get in the habit of quickly plugging your ears with your fingers and walking away if a loud noise takes you by surprise.

Most of all, limit your time in noisy environments.

We are available to meet your hearing healthcare needs, feel free to contact us if we can be of any assistance to you, your family, or your friends.

Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327). ❦

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Visit us online at rosarycare.org Call for a tour today. 419.824.3600 jphillips@rosarycare.org

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A Sylvania Franciscan ministry

40 September 2019 | Healthy Living News

nobody’s perfect Fighting crime against persons with disabilities

by Sister Karen Zielinski, OSF I was being followed.

S

everal years ago I was teaching choral music in a large urban high school. We had just finished our technical rehearsal for the spring musical—“Oklahoma!”—which I was producing and choral directing.

After practice ended at 10 p.m., I got into my car and headed home. As I exited the freeway, I noticed that a car seemed to be following me to my central city neighborhood. I turned sharply at a few corners just to see if the man in the car behind stayed with me. He did.

Panicked, I finally pulled into my driveway, turned on my bright high-beam headlights and honked loudly to wake the neighbors. When the neighbors turned on their porch light and came out, the car sped away.

Frazzled but relieved, I wondered aloud why they had followed me.

My neighbor mused, “Maybe they saw that handicapped parking permit hanging from your rearview mirror!”

I was stunned. It had never occurred to me that someone might follow me because of that! I have never forgotten that frightening drive home.

Hate crimes?

People with disabilities are not exempt from violent crimes such as robbery and assault. Just the opposite.

Some research finds that the rate of major crimes against people with substantial disabilities is four to ten times higher than that of the general population.

When people with disabilities are specifically targeted, they become what many would call victims of a hate crime. The International Association of Chiefs of Police (IACP) defines a hate crime as a criminal offense against a person, property, or society that is motivated, in whole or in part, by the offender ’s bias against race, religion, ethnic/ national origin, gender, age, disability, or sexual orientation. A person has committed a hate crime when, based on the above criteria, he or she commits assault or battery, theft,

criminal trespass, damage to property, mob action, disorderly conduct, or telephone harassment upon an individual or a group.

Hate crimes and the disabled

In 2017, the FBI said that its highest civil rights priority is the investigation of hate crimes. There were 7,106 single-bias incidents involving 8,493 victims. A percent distribution of victims by bias type shows that 59.6 percent of victims were targeted because of the offenders’ race/ethnicity/ancestry bias; 20.6 percent were targeted because of the offenders’ religious bias; 15.8 percent were victimized because of the offenders’ sexual orientation bias; 1.9 percent were victimized because of the offenders’ disability bias; 1.6 percent were targeted because of the offenders’ gender identity bias; and 0.6 percent were victimized because of the offenders’ gender bias. (Due to rounding, percentage breakdowns may not add to 100 percent.)

Vulnerability

Why would someone attack a person with a disability? The group All Walks of Life (www.awol-texas. org), whose mission is to empower social solutions for people with disabilities, believes the main reason is that someone with a disability is simply more vulnerable to predators. They explain, “When your ability to see or hear is reduced or eliminated, or when your mobility is reduced or eliminated, you are more at risk for violence than your non-disabled peers because your ability to know who is in your environment by sight or sound, or to escape your environment, is reduced or eliminated.”

People who use braces, canes, or other aids, give visible clues to predators that they are less likely to escape or fight back. To compound the problem, even the ability to accurately describe what occurred is in jeopardy because of the disability.

For those of us living with a disability, daily living means managing our disease. But we also need to

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manage our personal safety. Whether crime is stimulated by hate or simply because we seem to be easy prey, the statistics say we can be targeted.

Crimes against people with disabilities occur in many places: assisted-living centers, group-care homes, hospitals, public transportation systems, parking lots, nursing homes, schools, and the work place.

Commonsense crime-prevention strategies: • Be aware of your surroundings—on the street, in a shopping mall, or waiting for a bus or subway.

• Act in a manner that says you are calm, confident, and sure of your purpose and destination.

• Know the neighborhood where you live and work. Check out the locations of fire and police departments and stores that are open and accessible.

• Consider carrying a personal alarm such as the type joggers use to signal an emergency.

• If you exit a store or mall for a large parking lot, ask a security person to accompany you to your vehicle.

• Put good locks on all your doors. Police recommend double-cylinder deadbolt locks.

Make sure you can easily use the locks you install.

• Install peepholes on the front and back doors at eye level— at two eye levels if you use a wheelchair.

• Get to know your neighbors.

Watchful neighbors who look out for each other are a frontline defense against crime!

n

• Never open the door to a stranger without first verifying the stranger’s identity and the purpose of the visit.

• Never tell a stranger on the phone that you are disabled.

• Stick to well-lighted, welltraveled streets. Avoid shortcuts through vacant lots, wooded areas, parking lots, or alleys.

• Carry your purse close to your body, not dangling by the straps. Put your wallet in an inside coat or front pants pocket. If you use a wheelchair, keep your purse or wallet tucked snugly between you and the inside of the chair.

• Consider getting/using a cellular phone.

• If your state offers the option, choose a hanging handicapped parking tag instead of a license plate, so you have the option not to reveal this information.

People with disabilities are tough.

We deal with multiple challenges in daily life. Although some of us might not be able to enroll in a self-defense class, all of us can arm ourselves with one type of critical self-defense: common sense.

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. ❦

Spiritually - continued from p39

for working for the good, for helping one another because we really are all one in our humanity, and that what was once desecrated can become holy, can become a sacred place given the work people have done by reaching out to one another in love and peace and reconciliation.

I end with the Peace Prayer attributed to St. Francis of Assisi: Lord, make me an instrument of your peace, where there is hatred, let me sow love, where there is injury, pardon, where there is doubt, faith, where there is despair, hope, where there is darkness, light,

and where there is sadness, joy.

O Divine Master, grant that I may not so much seek to be consoled as to console, to be understood as to understand, to be loved as to love.

For it is in giving that we receive, it is in pardoning that we are pardoned, and it is in dying that we are born to eternal life.

Amen.

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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Moms: It’s YOU time!

W

omen today carry a heavy load, shouldering a disproportionate burden compared to men when it comes to childrearing, tackling household chores, caring for aging parents, and a host of other responsibilities and commitments. Unfortunately, while women are busy nurturing everyone else, they all too often neglect their own well-being.

However, women in this predicament can help restore balance in their lives by finding opportunities to put their own health and interests front and center. And, moms, with kids now back in school, there’s no time like the present to reclaim a little “you time.” Here’s how: Let go of the guilt First and foremost, it’s critical for women to accept that setting aside time for self-care is not a selfish act. After all, there’s a reason flight attendants emphasize that adults should put on their own oxygen mask before attempting to put on their child’s mask—they can be of no assistance to their child if they’re starved for oxygen. Similarly, women who never take an opportunity to “recharge their batteries” can’t really give their loved ones the care and attention they deserve and may end up resenting all the demands placed upon them. What’s worse, they may even push themselves to the point of exhaustion and illness.

Delegate, delegate, delegate!

Some of your best potential helpers are right there in your own household—your kids and spouse/partner.

Kids, depending on their age and level of maturity, can be assigned tasks such as picking up toys and clutter, loading and unloading the dishwasher, sweeping and vacuuming floors, dusting, doing laundry, cleaning the bathroom, etc.

If you feel your spouse or partner isn’t taking on a fair share of the household chores and/or parenting duties, a conversation to discuss a more equitable division of labor may be in order. He or she may simply be un-

aware of all that’s on your plate and, after some open, honest communication, may be more than willing to take some of the burden off your shoulders.

Learn to say “no” Every work committee, charity event, and call for volunteers at your child’s school may be important, but remember, there’s only one of you to go around. You can’t accede to every demand on your time, energy, and talent and expect to maintain good physical and mental health. In fact, learning to prioritize commitments that are the most important to you and politely decline those that aren’t is essential if you want to carve out enough “you time.”

If telling people “no” outright makes you extremely uncomfortable, make this statement your mantra: “Thank you for considering me, but I’m afraid I don’t have the time to give your project the attention it deserves.”

Consider respite care If you’re serving as a caregiver for an aging parent, be sure to give yourself occasional breaks from this intense level of commitment. Otherwise, you may end up getting sick and needing care yourself. Many senior facilities and communities in our area offer respite-care or adult-daycare services so caregivers can have an opportunity to address their own needs. Take advantage of them!

Make the most of your “you time” Once you’ve cleared some space in your schedule for “you time,” try to make this period in your day as impactful as possible. For some women, that might mean dedicating an hour in the early morning each day to nurture their spirit with quiet prayer or meditation. Others might prefer to nurture their health by taking a fitness class such as yoga, water aerobics, Pilates, Zumba, or Jazzercise.

Still others might just want to spend the time alone with a good book and a cup of coffee. Remember, whatever you do to reinvigorate your body, mind, and spirit will be time well spent. ❦

Healthy Living News | September 2019 41

Holistic treatment of migraines

by Douglas A. Schwan, DC, Dip ac

H

eadaches come in all types and flavors. Tension headaches can arise when sore muscles squeeze the neck and the sides of the head.

Toxic headaches occur when we wake up after partying too much the night before. Sinus squeeze can put a headache squarely between the eyes. But there is perhaps one headache dreaded more than most, the headache known to sufferers as a “migraine.”

Many people complain of a migraine headache when all they have is a tension, sinus, or toxic headache.

A true migraine takes you out of the action. Your vision can tunnel down.

You imagine your head filled with acid, and even the simple act of flipping a light switch feels like someone thrust a sword into your skull.

Migraine attacks are fairly common.

In 2016, a study found that only attacks of low-back pain beat migraines as the most disabling disorder in the world. Migraine sufferers are three times more likely to be women, and clinical depression and anxiety is

found twice as often with them.

Controlling migraines with medication is extremely difficult. Once a migraine develops into full bloom, it seems like nothing but time can cure it. Many migraine sufferers find that they have “triggers” that can bring on a migraine attack. Nobody knows the exact mechanism of a migraine onslaught, but avoiding these triggers can help manage the condition.

One of the biggest triggers is stress.

In fact, stress is a trigger for almost 70% of people who suffer with migraines.

Finding ways to reduce stress in everyday life can be critical to managing migraine attacks. Exercise, meditation, developing breathing techniques, yoga, chiropractic, and acupuncture can help with stress management.

About 27% of people suffering from migraines find that certain foods can be triggers. Avoidance of these foods becomes paramount. The reasons vary and can be just about anything, but the most common are preservatives and additives to food, aspartame artificial sweetener, and nitrites found in luncheon meats, hot dogs, and pickled products. Other,

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insurance carriers offering coverage for acupuncture and chiropractic services under a migraine diagnosis.

Indeed, in Ohio the Medicaid and Workers Compensation programs now offer 100% acupuncture and chiropractic coverage. Since January 1, 2018, veterans have been offered full coverage for chiropractic and acupuncture treatment with a referral from their primary care veterans’ physician!

Many patients seeking a more holistic approach to management of their migraine symptoms are electing to combine a number of approaches.

Doctors with a holistic bent can offer nutritional counseling, acupuncture, chiropractic, massage, and a host of other non-traditional approaches all in the same clinic.

A comprehensive survey of triggers accompanied by nutritional guidance and stress/anxiety reduction through acupuncture and chiropractic may be just the thing for many people who live in dread of their next migraine attack.

If you are a migraine sufferer and wish to try a holistic approach in the management of your migraine headaches, call a practitioner who practices these disciplines and ask for a free consultation. Most doctors will happily agree to sit down and discuss their specific approach to migraine management. Together you can see what approach is best suited for you.

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 is available for lay lectures and may be contacted at Dr_Schwan@AcupunctureToledo.com. ❦

... Kristin & Tyler

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

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42 September 2019 | Healthy Living News

more natural food triggers include chocolate, wine, garlic, cheeses, and most dried fruits.

Some lesser triggers may involve sleep disturbances, such as interruption of your normal sleep pattern.

Weather, such as lightning storms and dropping barometric pressure, can play a part. Hormone swings can be significant triggers. The 3:1 preponderance of migraines seen with women is likely related to their monthly menstrual cycle.

Chronic migraine sufferers are desperate for any treatment that can ward off attacks. To be most effective, medications must be taken at the earliest sign of a pending attack, but sometimes attacks come on suddenly or resist medications.

Patients searching for a more holistic treatment for their migraine attacks have been turning more and more to chiropractic and acupuncture. Both acupuncture and chiropractic studies on migraine patients have demonstrated a decrease in the number of migraine attacks. In fact, after treatment with chiropractic and/or traditional acupuncture, patients continued to report a reduction in migraine days, frequency, and intensity.

Chiropractic has long been effective in the management of migraine attacks. There seems to be a great deal of correlation between spinal alignment and resistance to migraine onset. A 2011 study that evaluated chiropractic manipulation compared to a control group showed significant improvement in migraine frequency, intensity, and duration.

As more and more research adds weight to the effectiveness of acupuncture and chiropractic in the management of migraine attacks, we are seeing a larger number of

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Raking - continued from p35

in all directions to reach the leaves, change your position frequently and try to avoid overreaching. Also, avoid overloading your leaf bags or tarp, and when picking up leaves, bend at your knees and lift with your leg muscles.

To distribute the strain on your muscles evenly and to prevent overuse of the muscles on one side of your body, it’s important to switch sides frequently— raking right-handed for ten minutes and then left-handed for ten minutes.

#3 Rake when leaves are dry Mother Nature—or your city’s leaf-collection schedule—may not cooperate in this regard, but try to choose a dry day to rake your leaves.

Wet leaves are significantly heavier than dry leaves and also pose a greater slipping hazard.

#4 Dress for leaf-raking success You may feel cool when you start raking, but all that exertion will have you perspiring in no time. Dress in several thin layers so you can shed layers if you start to overheat and add them again if you start to chill.

Wear work gloves to protect your

hands from blisters and splinters, and make sure your footwear has a good slip-resistant tread so you don’t lose your footing on damp leaves.

Fallen leaves can quickly turn moldy, making life miserable for allergy sufferers—not to mention the fact that ragweed plants are pumping out pollen at a remarkable rate at this time of year. If you’re sensitive to fall allergens, be sure to wear a dust mask while raking.

#5 Special considerations for leaf blowers If you use a powered leaf blower instead of a rake, you’ll need to consider several additional safety issues. These devices can produce powerful air currents and move debris at considerable velocity. They also generate a great deal of noise. So, when using a leaf blower, make sure children and pets are removed from the area and that you protect yourself with goggles, hearing protection, long pants, and a long-sleeved shirt.

When using a plug-in electric blower, keep in mind that electricity and water are a dangerous combination.

Never operate a plug-in blower when it’s raining or when the ground is wet from rain or dew. Of course, as

with raking, proper body mechanics should be employed when using a leaf blower.

#6 Break it up Every athlete knows that it’s important to get back in the game slowly after a long hiatus. You should take the same approach to raking leaves. After all, it’s likely been a year since you did it last, so your body is unaccustomed to the exertion. Taking frequent rest breaks in between short work sessions will give your muscles a chance to relax and help prevent an overuse injury. Also, don’t be afraid to ask

for help. If you have to carry a heavy load of leaves, don’t approach it like a “weekend warrior.” Get someone to assist you with the burden.

#7 Rake for exercise When done right—i.e., using proper body mechanics and not pushing yourself too hard—raking can be good exercise that strengthens your upper body and core. It can also burn up to 240 calories an hour. By heeding these safe-raking tips, you can make the most out of this annual activity, and your body will thank you for it. ❦

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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.

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44 September 2019 | Healthy Living News

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Eating Well - continued from p29

Other ways to reduce your malnutrition risk include: • Focus on getting enough of the right nutrients. Protein is a big one. Try consuming a good protein source, such as peanut butter, cottage cheese, milk, yogurt, lean meats, or eggs, at each meal every day.

Also make sure you’re getting adequate B vitamins, found in fortified breads and cereals; vitamin C, found in citrus and some vegetables; vitamin D, found in oily fish and fortified milk; and vitamin E, found in nuts and seeds. (Always talk to your doctor before starting any vitamin or herbal supplement.)

• Use herbs and spices to liven up bland or flat-tasting foods.

Avoid using salt.

• See your dentist about poor dentition or poorly fitting dentures.

• Check out your local senior center or contact the Area Office on Aging for connections to resources such as meal- or grocery-delivery services.

• Contact friends or neighbors and arrange a weekly dinner

get-together, whether at a favorite local restaurant or in someone’s home.

• If you don’t always remember to eat—a common problem with Alzheimer’s and other memory issues—leave notes to remind yourself.

• Make an effort to eat even if your appetite is not so great.

Sometimes just a half sandwich, fruit, and milk can be enough.

• Along with increased protein, experts also recommend daily physical activity, such as resistance training or aerobic exercise, for older adults for as long as possible.

As we get older, eating enough of the right types of foods may become more of a challenge, but that doesn’t mean malnutrition is inevitable for seniors! It simply means we need to be aware of changes taking place in our lives and bodies that can affect how we eat and take simple steps to counteract them. Regularly checking our nutritional health just makes sense.

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

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Healthy Living News | September 2019 45

Time to tone down the racket in restaurants!

by Randa Mansour-Shousher, AuD, CCC-A

R

estaurant noise is a known concern for workers and guests.

With the prevalence of loud music, high ceilings with no tiles, and hard surfaces that aren’t able to absorb sound, this complaint is heard from patrons over and over again.

The problem of restaurant noise was noted by Zagat, which collects and correlates data and rates restaurants for the public. Some of the information available is the level of loudness in the restaurant with remarks from patrons on whether they would go back or not. The concern is that the level of the noise has the potential to cause issues for restaurant goers as well as workers who may be exposed for long hours.

The National Institute for Occupational Safety and Health recommends that if employees are exposed to noise, it should not exceed 85 dBA. Research shows that when one is exposed to long-term or repeated sounds at 85 A-weighted decibels or louder, permanent noise-induced hearing loss may occur. In the event that a place is considered to be outside the standards, OSHA requires the employer to implement a hearing-conservation program for those who are working in noisy conditions at 85 dBA or higher for an eighthour shift. A hearing-conservation program will include implementing the use of ear protection, providing educational information, as well as monitoring employees’ hearing and tracking it over the years for any change.

But what if you are a diner and are exposed to excessive noise for a shorter period? How do you know whether it’s affecting your hearing? Signs to look for include the presence of tinnitus (noise in the ear) after being exposed to the excessive noise or just being unable to hear your family or friends who are dining with you. We know that normal conversational speech is around 60 dBA and noise levels in restaurants are reaching averages of 80 dBA according to the studies.

This situation makes it quite challenging to carry on a conversation, understand friends, and have a

good experience.

An AARP article spoke of Gregory Scott, who has hearing loss. He became frustrated at being unable to follow conversations with fellow diners at restaurants, so he came up with a smartphone app to help.

Diners can use SoundPrint to take a decibel reading, and the app then averages the location’s readings so anyone can view relative noise levels before choosing a place for gathering and eating.

You also can search for quiet (or loud if you’re into that) restaurants in your area based on other users’ evaluations.

There are now more than 16,000 users and 30,000 submissions.

Most so far are clustered in big cities like New York and Chicago, but the reach is expanding. Scott says he hopes that each submission will “let venue managers know that we care about noise.”

A similar app, iHEARu, compiles decibel levels at restaurants and other public venues. Yelp, a popular app and website that offers customer ratings and reviews, lists noise level among restaurant attributes, but only in a characterization such as “average.” Also, that label is assigned by the business, not customers.

The level of noise in some restaurants is at the point of causing pain for some patrons. The cause may be that the tiled floors, plastered walls, and hard ceilings allow the sound waves to travel easily every which way. Some have said the sound pressure has reached levels equal to that of a jet engine.

Some of the restaurants have lost business because people are avoiding their noisy establishment. Those who want their business to survive have listened to their customers and are attempting to turn down the volume by using sound-dampening material to absorb the unwanted

46 September 2019 | Healthy Living News

noise. A few other ways some restaurants are addressing this dilema is by covering the walls with fabric and carpeting the floors to lower the volume and allow a more relaxing visit.

Before you go out next time, take a few moments to look and see if that establishment has a loudness rating. If you can’t find a rating, the best advice is to use your common sense: if you have to raise your voice to be heard by your table, it’s probably too loud and you won’t enjoy yourself.

Here are a few other pointers to help minimize your noise exposure during y o u r n ex t restaurant visit: • Pick a restaurant that has the right kind of flooring, walls, and lighting. Sitting in a welllit area allows you to not only use your auditory cues to hear, but also rely on visual cues that are nonverbal, such as body language and facial expressions, which help you fill in the blanks when you aren’t able to hear.

• Don’t sit next to an open kitchen atmosphere. This is probably one of the loudest places in a restaurant, making it the most challenging spot.

• Avoid sitting at a table in the middle of the restaurant. Ask to be seated on the outside perimeter instead. It will be quieter there because the sounds from all around the restaurant won’t be surrounding you. You will then be able to tune out the noise and focus in on the conversation at hand.

• If there is a choice of a booth or table, go for the booth.

Most booths have higher backs that serve as an extra damper by blocking out unwanted sound.

Now imagine having hearing loss and wanting to go out for the evening. Most people with hearing loss complain that the noise in the background makes it difficult for them to speak to the waiter or waitress. Of course, the suggestions listed above should be considered and implemented, but that’s not the only thing. Wearing hearing aids is definitely a good option, and believe me, the technology keeps improving.

The hearing aids of today are able to adapt to different listening environments, even noisy restaurants, automatically or by patient control.

This allows them to continue wearing their hearing aids and be part of the conversation.

Hearing aids with directional microphones allow background noise to be reduced and enhance speech sounds through the front microphone as it amplifies what you want to hear. The back microphone is responsible for reducing the unwanted noise behind, making it more comfortable to hear what you want to hear. Without the noise-reduction feature, you will not be happy or comfortable. Actually, some who wear hearing aids will function better in this environment versus an individual who doesn’t have hearing aids because our brain is what hears and it isn’t able to separate what is noise and what is speech.

Our goal is always to treat each patient’s hearing loss for their listening needs. In other words, not all hearing losses are alike, nor are patients and their listening requirements. Remember, whether it’s Tuesday and you’re running out to a fast-food restaurant or Saturday evening and you’re going out to celebrate a special occasion, you want to enjoy your dining experience, and so do we.

If you have any concerns, please feel free to contact us for further information.

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 (419873-4327). ❦

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Healthy Living News | September 2019 47

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

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