HLN January 2015

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News January 2015 • FREE

Also available at hlntoledo.com

Tie One On

for a great cause!

Also in this issue: • Health Crossword • Look your best this winter • Senior Living Guide • Post-holiday pain relief • Eating Well • A holistic approach to memory care • Mercy sports event features Dr. Tom House • A Walk in the Park • And much more...

• Seven myths about infidelity Smaller incisions. Quicker recovery. Easier decisions.

MERCY ROBOTIC SURGERY CENTER 419-251-ROBO | SmallerIncisions.com

A Catholic healthcare ministry serving Ohio and Kentucky

Look your best this winter!

V

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck?

These unfortunate changes caused by prior sun exposure can be improved dramatically with painfree, non-invasive cosmetic procedures performed by Dr. Handler.

The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging areas of the neck, upper arms, abdomen, and jowls. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected.

This heating of the dermis causes immediate collagen contraction and tightening followed by new collagen production over a period of time. This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin.

With only one treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain!

Is your dermatologist a dermatologist and is he/she board certified?

Individuals seeking diagnosis and treatment of skin cancer and other skin conditions should determine if their dermatologists are indeed dermatologists and board certified by the American Board of Dermatology. Not surprisingly, individuals seeking care of their skin conditions may receive care by physicians, nurse practioners, and physician assistants who may call themselves “skin specialists” and dermatologists. These physicians and others may do so without completing a formal dermatology residency. Many physicians who are board certified in fields unrelated to dermatology may be practicing dermatology. Now there are training programs being developed to permit nurse practioners to receive a doctorate of nursing and call themselves “Doctor” as would a PhD in a specialized field. These nurse practioners (NPs) are NOT doctors of medicine as is a board-certified dermatologist. Certification by the American Board of Dermatology is the consummate title addressed to a dermatologist based on their education and experience. If you see a “skin specialist,” it is your responsibility to ask of their credentials. Remember; a board-certified dermatologist is a medical doctor who has completed a minimum of twelve (12) years of training (four years of college, four years of medical school, and four more years in an internship and a formal dermatology residency program) to even become eligible to take the testing for board certification by the American Board of Dermatology.

Individuals seeking diagnosis and proper treatment of their skin disease can depend on board-certified dermatologists for their care.

The NEW Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients.

For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas.

The results are diminished lines and a more “wide awake” and less tired appearance.

These products are also fantastic to reduce anxiety-induced underarm sweating for months after injections. This is also performed entirely by Dr. Handler with minimal pain with results lasting 5-7 months and longer.

The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette (sad) lines from the corners of the mouth produces immediate results lasting 12-15 months!

Don’t look tired or sad! These products are also very useful for producing a more full but normal appearance to lips that thin as we age. Since these products are combined with a numbing agent, the pain is minimal.

For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen.

This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio.

Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler.

To view before-and-after photographs of patients who have had these procedures performed

by Dr. Handler, visit Dr. Handler ’s website at drharveyhandler.com. For more information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400.

Be sure to ask about specials available on many cosmetic procedures and products to diminish the signs of aging.

Also, please remember to have a yearly Full Body Exam for evaluation of moles and other growths we all develop as we age. Be certain you have no lesions that are pre-cancerous or cancer.

Full Body Exams are best performed and evaluated by a board-certified dermatologist.

Hair loss in men and women

A

re you losing hair from surgery, anaesthesia, illnesses, pregnancy and delivery, medications, genetics, or “normal” hair loss secondary to aging or low blood levels of nutrients?

There are many causes of hair loss in men and women. Most are not simply due to age, and many are frequently treatable. Now these problems of hair loss can be evaluated and there is hope for reducing your hair loss and stimulating new growth.

Dr. Harvey Handler, board-certified dermatologist of Sylvania, Ohio, has a medical treatment for increasing blood flow to the hair follicle, thereby decreasing hair loss and increasing growth in many patients!

After appropriate examination of your scalp hair and blood testing is performed by Dr. Handler to rule out treatable medical causes, Dr. Handler will discuss a product to decrease hair loss, increase growth, and cause the hair you have be fuller and thicker. This is not a product that is forever, but for months only. This new treatment works with or without Rogaine (minoxidil, which is forever) for reducing loss and promoting growth.

Call Dr. Handler’s office to set up an appointment for a thorough evaluation and discussion of your particular hair loss and the therapy that may be individualized for you. Don’t assume because it “runs in the family” that you can do nothing to slow your hair loss. Most patients notice a decrease in loss in 30-60 days! ❦

www.drharveyhandler.com

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

clear + brilliant

ADULT, PEDIATRIC, & COSMETIC DERMATOLOGY HAIR & NAILS

No surgery.

No injections.

No downtime.

Harvey L. Handler, m.d.

Fellow American Academy of Dermatology • Board Certified in Dermatology

5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital)

419.885.3400

January 2015 • Vol. 20, Issue 1

Your Monthly Guide to Healthy Living

HEALTH & BEAUTY

CHILDREN & PARENTING

2 Look your best this winter!

7 Resolve to lower your cancer risk this New Year 12 Spiritually Speaking Integrating differences

by Sister Mary Thill 13 Post-holiday pain relief 20 Sound Advice from Northwest Ohio Hearing Clinic

by Randa Mansour-Shousher, AuD, CCC-A 31 Seven myths about infidelity every partner should know, by Linda L. Smith, MA, LPC 35 Patient, heal thyself: regenerative medicine is wave of future 36 Acupuncture can help with those pesky resolutions, by Douglas Schwan, DC, Dipl ac 38 Pain relievers and hearing loss

by Dianna Randolph, AuD, CCC-A

42 Dispelling myths about childhood obesity

by Nancy M. Surella, BS Ed

TAKING CARE OF YOUR LIFE 5 It’s 2015: Do you know where all your retirement savings are? Part 1, by Scott D. Brown 10 New Year’s resolution: keeping personal medication records, by Niyati Kadia, PharmD, and Michelle Schroeder, PharmD, BCACP, CDE 15 Health Crossword, by Myles Mellor 22 Maintaining those New Year’s resolutions

by Amanda Manthey 26 A Walk in the Park How Alaskans cope

by LeMoyne Mercer 34 A New Year’s resolution with impact, by Mark S. Faber, USPTA Elite Professional 43 Nobody’s Perfect Flying in a wheelchair

by Sister Karen Zielinski, OSF 45 News from Otterbein Four small types of exercise that can make a big difference

Dear Readers, Thank you for picking up the January issue of Healthy Living News. Our cover this month features University of Toledo students participating in the annual Tie One On event to help raise prostate cancer awareness. Since its inception, Tie One On, founded by Larry Burns, Vice President of UT’s Office of External Affairs, and now in its fifth year, has grown from a one-night event into a regional and national phenomenon that this year will even involve LeBron James and the Cleveland Cavaliers.

As a four-year prostate cancer survivor myself, I strongly urge you to read the article on page 4 for more information, support the event in any way you can (tie on that bowtie!), and help spread the word about how early detection dramatically

© 2015 ProMedica

e lthy l ng ews

FOOD & NUTRITION 41 Eating Well Ring in the New Year with a diet?

by Laurie Syring, RD/LD

OUR COMMUNITY 4 Bowties are the new black—Tie One On for a great cause!

17 Toledo Clinic Cognitive Center takes holistic approach to memory loss treatment 18 Heartland of Waterville presents Lunch and Learn on traumatic brain injury 19 Senior Living Guide 23 Mercy hosts special two-day sports event for area athletes, coaches, and partners 24 Gateway to Wellness and Recovery...A Place For Families 29 The annual women’s health exam: a changing dynamic, by Lance Talmage, MD 30 Kingston helps people combat Parkinson’s 32 Sylvania Franciscans celebrate 98 years 33 At St. Clare Commons, food quality is no trifling matter 40 Laurels of Toledo thanks first responders at Station 4 41 Mercy palliative care clinic helps chronically ill patients maintain high quality of life at home

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improves the survival rate for prostate cancer.

Other noteworthy events include Heartland of Waterville’s Lunch and Learn on traumatic brain injury, to be held January 13 (p. 18), as well as an exciting two-day sports event (January 30 and 31) presented by Mercy College and Mercy Sports Medicine, which will feature Dr. Tom House, sports psychologist, former major league baseball player, and founder of the National Pitching Association (p. 23).

This month’s HLN also features must-read articles on the groundbreaking regenerative medicine techniques practiced

by ProMedica physician Roger Kruse, MD (p. 35); the new palliative care clinic offered each month at Mercy St. Anne Hospital (p. 41); the changing

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dynamics of women’s health exams by Lance Talmage, MD (p. 29); and the new Toledo Clinic Cognitive Center, which, under the direction of Sherry-Ann Jenkins, PhD, treats all forms of memory loss with a completely natural, holistic, nonpharmaceutical approach (p. 17).

Of course, January is traditionally the month in which we resolve to adopt healthier habits, such as eating better and exercising more, or abandon unhealthy ones, such as cigarette smoking or excessive alcohol consumption. We think this jam-packed, 48-page issue contains all the information and inspiration you’ll need to not only help you reach your New Year’s goals, but also stick with your healthier choices for the long term.

Happy New Year, and until next month, stay safe, active, and healthy!

He’s always been your rock.

Your dad isn’t happy that he’s not as independent as he used to be, but ProMedica Home Health Care will help him stay at home, and stay healthy. We will take care of speech therapy, home medical equipment, and a personal emergency response system for you and for your dad. ProMedica is the local health care system that can care for him at every stage from getting him dressed for the day to helping him regain his speech. It’s all about being well connected.

To connect with ProMedica Home Health Care, call 800-234-9355.

800-234-9355 promedica.org/homehealthcare

Bowties are the new black— Tie One On for a great cause!

Mission Statement Healthy Living News offers the residents of northwest Ohio and southeast Michigan a monthly guide to news and information about healthy life styles, health care, sports and fitness, and other issues related to physical, mental and emotional quality of life. The publication promises to be an attractive, interesting and entertaining source of valuable information for all ages, especially those 35 to 50. Healthy Living News is locally owned, committed to quality, and dedicated to serving our great community.

Healthy Living News is published the first of each month. The opinions expressed by contributing writers do not necessarily reflect the opinions of the publisher. Distribution of this publication does not constitute an endorsement of any kind. While HLN makes every attempt to present accurate, timely information, the publication and its publisher and/or advertisers will not be held responsible for misinformation, typographical errors, omissions, etc.

Contacts Business office:

To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615.

Phone: (419) 841-8202 or email Kevin O’Connell at sfstennis76@bex.net.

Ad reservation deadline is the 15th of the month preceding publication.

HLN reserves the right to refuse advertising for any reason and does not accept advertising promoting the use of tobacco.

O

n Saturday, January 24, all the best-dressed people in the Toledo area will be sporting one particular fashion accessory—a blue and pink bowtie—as they take part in the University of Toledo’s 5th annual Tie One On event to raise prostate cancer awareness.

Tie One On 2015, presented by Morgan Stanley, will kick off at 5:30 p.m. with Chief of the a Bowtie Reception at the Fetterman Division of Urologic OnAthletic Training Facility, followed by cology at UTMC, spoke about the Westgate Family Pharmacy the Toledo Rockets vs. Bowling Green Cricket West Shopping Center disease.”

3147 W. Central Avenue State University Men’s Basketball Toledo OH 43606 Burns, a longtime bowtie wearer, 419.531.0000 FAX: 419.535.0007 Game at 7:00 p.m. in UT’s Savage established Tie One On as an opporOpen: Arena.

WE Funds raised will support Mon.- Fri. 9:30 am to 7:00 pm tunity to have fun while supporting 10:00 am to 3:00 pm outreach can take efforts to educate bothSat.men the fight against prostate cancer—a

YOU

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Now you can be confident in taking your daily medications.

Editorial office: Deadline for editorial submissions is the 10th of the month preceding publication. Send submissions to: Editor, Healthy Living News, 1619 Circular Dr., Toledo, OH 43614. Phone: 419-754-1339, fax 888-506-5790; email: editorhln@bex.net.

Publisher: Kevin O’Connell

and women about the importance of prostate cancer screening.

“Our purpose is to inform people about prostate cancer, their options if they’re diagnosed, and testing they need to undergo,” says Tie One On founder Larry Burns, Vice President of UT’s Office of External Affairs.

“We’ve also held four symposiums on prostate cancer, at which Dr. Samay Jain,

from this  to this! 

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer

Your prescribed medications are organized in an easy-to-open individual blister pack and labeled with your name, date, day, time of day, the medication names and dosages.

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Sales: Robin Buckey Print Designer: Jan Sharkey Web Designer: Strategically Digital LLC Social Media: Miranda Hassen Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech–Toledo Copyright © 2015 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.

4 January 2015 | Healthy Living News

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disease that, according to the American Cancer Society, affects one out of every seven men in the US. However, that fight took a very personal turn last summer when Burns himself was diagnosed with the disease.

Now, he wants to spread the word to other men—and women—that prostate cancer, while very treatable if caught early, is not something to be ignored. “Men need to understand that what they don’t know about prostate cancer can hurt them,” he states. “It’s also important for women to understand the disease because it’s often they who influence the men in their lives to get screenings or seek medical treatment.”

Since its inception five years ago, Tie One On has generated more and more interest each year. In its first year, the event drew 70 participants. By Tie One On 2014, that number had burgeoned to 652 participants, including 450 students, which actually broke a Guinness World Record. This year, the goal is to attract 700 students and 1,000 bowtie-wearing participants overall.

“We’re very excited to see that Tie One On has become a major student initiative in addition to being a fun event for the entire community. It sets a positive example for students and provides an opportunity for them to become philanthropic while enjoying the camaraderie of coming together for a good cause and game.

Of course, Tod Kowalczyk, our Head Men’s Basketball Coach, is also very involved, and Brian Jones, our Assistant Athletic Director for Sports Medicine, now wears a bowtie at every game,” Burns says.

All University of Toledo student organizations are also encouraged to take part in a friendly student competition to determine which organization has the highest percentage of participants in the Tie One On event. The winning organization will receive a trophy at halftime of the Tie One On Game, recognition at a home football game during fall of 2015, a banner recognizing the group placed in the Student Union, and a suite for one home UT basketball game for up to eight members (food and drink included). Last year’s big winner was the Sigma Phi

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Epsilon fraternity.

Support for Tie One On from the local business community is burgeoning as well. For example, up until game day, Treu House of Munch will exhibit Tie One On stickers on all their delivery trucks; Kroger will be selling paper bowties and bowtie-shaped cookies; all the service techs from a local heating and cooling company will sport Tie One On bowties; and Yark Automotive will display life-size cutouts of Rocky, the UT Rocket’s mascot, at all their stores and will be selling Tie One On vehicle stickers.

“Also, our presenting sponsor, Morgan Stanley, will be making a generous financial contribution to the Tie One On cause,” burns adds.

Furthermore, the University of Toledo has partnered with the Cleveland Cavaliers to advance prostate cancer awareness. In addition to playing a Tie One On game on March 3, the Cavaliers will sponsor a four-week bowtie challenge, in which fans can vote online for their favorite Cavaliers celebrity wearing a bowtie. The winner will be announced at the game.

There will also be a 50/50 raffle on game night, with the proceeds from the drawing to benefit the Tie One On initiative.

Each year, Tie One On features a celebrity guest speaker who addresses the team prior to the game and the fans at half time. Previous guests have included Ken Rosenthal of Fox

Sports and Mike DeCourcy of Sporting News and the Big Ten Network. This year’s honorary guest will be Ernie Johnson Jr., the top sportscaster for Turner Sports and host of “Inside the NBA” with Charles Barkley, Shaquille O’Neal, and Kenny Smith. Johnson also serves as the lead play-by-play announcer for Turner Sports’ coverage of Major League Baseball, an announcer during March Madness, and anchor of the network’s golf coverage.

The Tie One On bowties themselves, which are blue (the color of prostate cancer awareness) accented with UT logos in complementary pink, were produced by BowTie Cause, an organization founded by former NFL linebacker Dhani Jones. Jones began wearing bowties in support of a friend who was fighting cancer and launched the organization as a means to help promote other philanthropic endeavors.

For more information or to purchase your bowtie (or bowtie scarf) and game ticket for Tie One On 2015, visit http://www.utoledo.edu/tieone on/. The cost is $100 for the general public and just $20 for students with a valid ID. “Tie One On has turned into quite an event, and we’re hoping to see it expand beyond a single game on a single night to a year-round cause promoting prostate cancer awareness,” Burns says. ❦

In your home or ours.

Compassion.

Courage. Comfort.

by Scott D. Brown

It's 2015: Do you know where all your retirement savings are?

Part 1 any of us find ourselves with a traditional IRA here, a rollover IRA there, four job changes (so far!), and three retirement plan account balances left in the plans of former employers.

Over the years, people may accumulate a significant sum in retirement savings, often spread across various accounts. As accounts multiply and companies change ownership, it can become difficult to keep track of exactly how much you have saved toward retirement and how those funds are invested. You may also find it challenging to determine your distribution requirements on various accounts once you turn 70½.

Consolidating accounts can help

you make sure your savings are invested appropriately for your overall goals, track the performance of your holdings, and, in some cases, discover more investment choices and incur lower fees.

With retirement savings in just a few accounts, it becomes far simpler to execute your strategy and to measure your progress.

At ProMedica Hospice, we can help you and your loved one on this journey by providing expert support and guidance.

IN YOUR HOME

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734-568-6917(Michigan) 419-824-7400 (Ohio) 419-824-8840

What are your options?

Typically, if you are a plan participant leaving an employer, you will have the following choices. You may engage in a combination of these, depending on your employment status, age, and the availability of the particular option.

© 2014 ProMedica

M

When you hear a loved one needs hospice care, it can be overwhelming. What matters most is maintaining a life of quality and dignity with comfort.

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | January 2015 FL1-255-12 PRO-Hospice_Ad_resize.indd 1

5

9/18/12 9:52 AM

1. Cash out the account value and take a lump sum distribution from the current plan subject to mandatory 20% withholding, as well as potential taxes and a 10% penalty tax, or continue tax deferred growth potential by doing one of the following: 2. Leave the assets in the former employer’s plan (if permitted).

3. Rollover the retirement savings into the new employer’s qualified plan, if one is available and rollovers are permitted.

4. Rollover the retirement savings into an IRA. A plan participant receiving an eligible rollover distribution from a qualified retirement plan also has the option of rolling his or her retirement savings over to a Roth IRA. However, the taxable portion of such rollover is includable in the participant’s income for the year of the qualified plan distribution. The tax rules that apply to a Roth IRA (e.g., required minimum distribution rules, taxation of distributions, etc.) differ from the rules that apply to a traditional IRA and are beyond the scope of this article.

Why consolidate?

Streamlining the account structure of your retirement savings has many potential benefits.

Comprehensive investment strategy: Over time, your investment objectives and risk tolerance may have changed. Thus, it may be difficult to maintain an effective retirement investment strategy—one that accurately reflects your current goals, timing, and risk tolerance— when your savings are spread over multiple accounts. Once you begin the consolidation process, you can strategize investments to match your current goals and objectives.

Potentially greater investment flexibility: Often, 401(k) plans, other employer-sponsored retirement programs, and even some IRAs have limited investment menus. Some IRAs may offer greater control, more options, or expanded diversification when compared to employer plans and other IRAs, but on the other hand, they might not offer the same options. Whether a particular IRA’s options are attractive will depend, in part, on how satisfied you are with

the options offered by your former or new employer’s plan.

A Morgan Stanley self-directed IRA can offer you the ability to choose from a wide range of investments, including stocks, bonds, mutual funds, and more.

Simplified tracking: It is easier to monitor your progress and investment results when all your retirement savings are in one place. By consolidating your accounts, you will receive one statement instead of several. That simplifies your life while protecting the environment.

Customized service levels: Some employer plans also provide access to investment advice, planning tools, telephone help lines, educational materials, and workshops. Similarly, IRA providers including Morgan Stanley offer different levels of service, which may include full brokerage service, investment advice, and distribution planning.

Monitoring costs: Reducing the number of accounts may impact account fees and other investment charges. Generally speaking, both employer-sponsored qualified plans

and IRAs have plan or account fees and investment-related expenses. However, in some cases, employer-sponsored qualified plans may offer lower-cost institutional funds, and in some cases may pay for some or all of a plan’s administrative expenses. Generally, fees associated with an IRA may be higher than those associated with a plan, but consolidating multiple IRAs may reduce your overall expenses.

Penalty tax-free withdrawals: Generally IRA owners can take distributions penalty tax-free once they attain age 59½. Qualified plan participants between the ages of 55 and 59½, once separated from service, may be able to take penalty tax-free withdrawals from the qualified plan.

Clear required minimum distributions (RMDs): Once you reach age 70½, having fewer retirement accounts to manage can mean having fewer RMD requirements to follow.

Comprehensive knowledge of your assets: If your employer-sponsored retirement plan is terminated or abandoned (an “orphan plan”) or is merged with or transferred to a retirement plan of another corporation after you leave, it may be difficult to locate the plan administrator to request a distribution of your ben-

Your Financial Future: Will You Be Ready?

Getting your financial and investment act together takes time and close attention to detail. With more responsibilities, the process becomes even more complex.

As a Morgan Stanley Financial Advisor, I have access to a range of resources, advice and services to help you meet your needs.

Please call me to arrange a meeting about your wealth management needs.

Scott D. Brown First Vice President Financial Advisor 7124 W. Central Ave Toledo, OH 43617 419-842-5312 scott.d.brown@morganstanley.com http://www.morganstanleyfa.com/thefadelbrowngroup/

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

The appropriateness of a particular investment or strategy will depend on an investor’s individual circumstances and objectives.

Morgan Stanley Smith Barney LLC, its affiliates and Morgan Stanley Financial Advisors do not provide tax or legal advice. This material was not intended or written to be used for the purpose of avoiding tax penalties that may be imposed on the taxpayer. Clients should consult their tax advisor for matters involving taxation and tax planning and their attorney for matters involving trust and estate planning and other legal matters.

Morgan Stanley Smith Barney LLC is a registered Broker/Dealer, not a bank. Where appropriate, Morgan Stanley has entered into arrangements with banks and other third parties to assist in offering certain banking related products and services. Banking and credit products and services are provided by Morgan Stanley Private Bank, National Association, Morgan Stanley Bank, N.A. or other affiliates. Investment services are offered through Morgan Stanley Smith Barney LLC, member SIPC. Unless specifically disclosed in writing, investments and services offered through Morgan Stanley are not insured by the FDIC, are not deposits or other obligations of, or guaranteed by, the Bank and involve investment risks, including possible loss of principal amount invested. © 2012 Morgan Stanley Smith Barney LLC. Member SIPC.

6 January 2015 | Healthy Living News

NY CS 7181350 BC004 09/12 CRC394531

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efits or to change investments. By contrast, assets in an IRA are always accessible if you want to change your investment strategy or need to take a distribution.

Next month, be sure to read part two to find out what can be consolidated, how it works, when you might not want to consolidate, and what to do next. ❦ If you’d like to learn more, please contact Scott Brown, First Vice President, Financial Advisor, Morgan Stanley Toledo, OH, at 419-842-5312.

Article by Morgan Stanley Smith Barney LLC. Courtesy of Morgan Stanley Financial Advisor.

Articles are published for general information purposes and are not an offer or solicitation to sell or buy any securities or commodities. This material does not provide individually tailored investment advice. Any particular investment should be analyzed based on its terms and risks as they relate to your specific circumstances and objectives.

Morgan Stanley Financial Advisor(s) engaged Healthy Living News to feature this article.

Scott D. Brown may only transact business in states where he is registered or excluded or exempted from registration http://www.morganstanleyfa.com/theauroragroup/. Transacting business, follow-up and individualized responses involving either effecting or attempting to effect transactions in securities, or the rendering of personalized investment advice for compensation, will not be made to persons in states where Scott D. Brown is not registered or excluded or exempt from registration. © 2014 Morgan Stanley Smith Barney LLC. Member SIPC. CRC 1034889 [12/14]

Lower your cancer risk this New Year N

ew Year’s resolutions often revolve around making healthier lifestyle choices that help us look and feel better, such as shedding extra pounds and exercising more. But adopting healthy habits, or abandoning unhealthy ones, can also have an impact on our risk of developing cancer. While there isn’t always a simple cause-and-effect relationship between lifestyle and cancer, factors that are within our control, such as tobacco use, obesity, alcohol consumption, sun exposure, and others, are known to influence the risk of certain forms of cancer—in some cases significantly.

According to Dr. Mark Burton of The Toledo Clinic Cancer Centers, the best example of a lifestyle choice that is clearly associated with cancer risk is cigarette smoking, which is linked to approximately 90% of lung cancer cases. “In addition, smoking is associated with numerous other cancers, including head and neck, esophageal, kidney, and several other forms,” he explains.

Quitting smoking at any point will lower lung cancer risk, though those who have smoked and quit remain at higher risk than those

who have never smoked. “Furthermore, smokers who develop lung cancer and continue to smoke have a higher chance of developing a new smoking-related cancer than those who stop smoking,” Dr. Burton adds.

Studies have also revealed a significant link between alcohol consumption and the risk of several forms of cancer, including head and neck, esophageal, breast, liver, and colon cancers. What’s more, people who use both alcohol and tobacco are at even greater risk of developing certain cancers than those who use either one or the other alone. To minimize alcohol-related cancer risk, it’s currently advised that men consume no more than two alcoholic drinks per day, and women no more than one drink per day.

Though the relationship is not completely understood, evidence suggests that being obese causes an uptick in the risk of developing certain types of cancer, specifically breast cancer, colon cancer, and endometrial cancer. So, resolving to lose excess weight will not only improve your cardiovascular health, reduce stress on your joints, and make you

CANCER CENTER

Toledo Clinic Cancer Centers 4126 N. Holland Sylvania Road, Suite 105 Toledo, OH 43623 GET DIRECTIONS TO HERE Scan the QR code and use Google Maps to get directions to this location.

or call 419-479-5605 Toledo Clinic Cancer Centers has moved to better serve our patients and families.

Be sure to join us for our open house on March 5th, 2014 from 4pm - 7pm!

Located on N. Holland Sylvania Road, we have laboratory, MRI and other specialty services conveniently located on the premises.

Why area doctors trust us the most…

• Area’s most experienced cancer care team • Enrolling more patients in clinical trials than any other cancer care provider in the region • Largest number of referred patients • NW Ohio’s first QOPI Certified Cancer Center Dr. David Brown Dr. Mark Burton Dr. Shaili Desai

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look and feel better, but it may the long term. Nonetheless, people lower your overall cancer risk who eat right, exercise regularly, as well. avoid smoking, and limit their Dr. Burton also reminds alcohol consumption have a better HLN readers that tanning chance of remaining cancer-free and sun exposure are than those who don’t adopt directly associated with healthy habits. And if they do an increased risk of deend up developing cancer, veloping various forms they may be better poised of skin cancer, the most than their less-healthy peers common being basal to tolerate the treatment cell carcinoma. The regimen. ❦ good news is, there are simple precautions you Toledo Clinic Cancer can take to protect your Centers, located at 4126 N. skin from harmful UV rays Holland Sylvania Road, Suite and minimize your skin 105, has eight board-certified cancer risk. They include The benefits of positive hematologists/oncologists and applying sunscreen with lifestyle changes tend to eight nurse practitioners on an SPF (sun protection accrue over the long term, staff and can provide imaging ATTORNEYS AT LAW so don't give up. factor) of at least 30 before and laboratory diagnostic spending time in the sun ser vices, chemotherapy and reapplying it often; donning a services, and IV services. TCCC also We can assist with: wide-brimmed hat, a long-sleeved has satellite centers in Maumee, Bowling • Injury shirt, and sunglasses that protect Green, Oregon, Adrian, and Monroe • Insurance denials against UVA and UVB rays before for the convenience of the patient, and • Insurance rejections heading out into the sun; shunning many TCCC patients are enrolled in the • Billing disputes tanning booths; and staying indoors latest cancer research and studies in our A full-service law firm or in the shade between 10:00 a.m. region through the Toledo Community 419-843-2424 and 2:00 p.m., when the sun’s rays Oncology Program (TCOP). For more fax: 419-843-2533 are most intense. information, please call the Toledo Clinic Request a consultation at: Lee@LeeJohnsonLegal.com Worldwide, one of the more com- Cancer Centers at 419-479-5605.

3335 Meijer Drive • Suite 200 • Toledo, Oh 43617-3105 mon health concerns is liver cancer associated with the hepatitis C or hepatitis B virus. Both are spread through exposure to the blood or blood products of an infected individual. Lifestyle choices that decrease the risk of developing either form of hepatitis include avoiding unprotected We are a place to get a place for sex and avoiding sharing needles.

It’s also noteworthy that avoiding unprotected sexual contact is the best way to avoid exposure to human When people reach points in their lives when they depend on papilloma virus, or HPV, which is others, our compassionate caregivers create a place to live, associated with an increased risk of providing care for our patients like family, not because it’s their cervical cancer, mouth and throat job, but because it’s their calling. cancer, and various other cancer types. “There are also vaccines for both hepatitis B and HPV that provide We are committed to our mission of long-term protection against these Providing Service With Our viruses, thereby reducing the risk of developing associated cancers,” Dr. and we can answer any questions you may have and about our services for you or your loved one.

Burton adds. and as such, our employees take the Though adopting healthier habextra measures to create the comforts its—eating better, exercising more, of home during a critical time. quitting smoking, etc.—can help protect against certain forms of cancer, it’s important to keep in mind that the benefits of a healthier lifestyle SWAN POINTE aren’t necessarily going to be evident immediately. Just as lifestyle-related CARE CENTER cancers, such as lung cancer associated a Consulate Health Care Center with smoking, often take many years to develop, the benefits of positive 3600 Butz Road, Maumee, OH 43537 | www.consulatehealthcare.com lifestyle changes tend to accrue over

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NEW YEAR’S RESOLUTION Keeping personal medication records

Constipation Frustration?

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If your child is: •

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Your child may be eligible to participate in a research study.

anuary marks the beginning of a new year, and it feels refreshing to have the chance to start everything over and work on things we may not have achieved in the past year.

It’s the time of year when people create hopes, promise to make the New Year more memorable in their life, and strive to be more alive to fulfill their goals and plans.

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The investigational drug is already approved for use in adults.

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y Inpatient and outpatient therapy

y Physical, occupational and speech therapy y Skilled nursing care y IV therapy y Complex wound care y Tracheostomy care y Home assessments y And much more

Your pharmacy can print a list of the medications they have filled for you.

Many of you may have already decided to kick-start the year with a New Year’s resolution. Some of you might plan to pay credit card bills, quit smoking, get a new job, go on a vacation, or shed some extra weight.

Making realistic and achievable goals for yourself this year can help you sustain your efforts year round and not just limit the process to the beginning of the year. One easy way to resolve to start taking better care of your health in 2015 is to create and carry with you your own Personal Medication Record.

What is a Personal Medication Record?

A Personal Medication Record (PMR) combines all the medication information (prescriptions, over-the-counter drugs, vitamins, and herbals that you currently take) collected from all the healthcare professionals involved in your care into a single easily accessible sheet of paper that you can carry with you everywhere.

Why it is important to have it with you all the time?

• Each doctor or facility involved in your care has a separate medication record for you at their site. A PMR combines all these separate files and comes in very handy when you visit a new doctor or your medication records are lost or destroyed in error.

• A complete and accurate medication record provides new doctors with all the details they need before prescribing any medications to you. It also helps them decide the best regimens, provide counseling services, and follow-up with you on any new medications.

• An accurate medication record is especially important for patients who have life-threatening conditions that need special attention in critical circumstances. If you are away from your family or home, a PMR would act as a life saver and help the people around you understand your condition to better help you in an emergency.

• Keeping medication records with you gives you an opportunity to learn and understand about your medications at your own pace, which could help you feel more involved in your care. It also gives you an opportunity to record and track your health outcomes or lab values if you wish to add them to the PMR.

How can I get a PMR? A complete PMR can be obtained from your primary care doctor if they have information about all your diagnoses and medications. It can also be easily printed from your pharmacy if you fill all your medications at the same location. Even if you don’t fill all of your prescriptions at the same pharmacy, you can still bring your medication bottles to your pharmacist and they can help you create a PMR. There are also many websites that you can access at home that have blank PMRs for you to fill out if you feel comfortable doing so on your own.

What should I include in my PMR? If you make your own PMR at home, there are important things that you

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should include to make it complete and accurate:

Cancer?

Of course you should get a second opinion.

A cancer diagnosis is usually accompanied by a swirl of emotions, questions and anxiety. That’s why we encourage everyone to get as much information as they need. When it comes to cancer, be smart. Get second opinion sure.

Call 419.383.6644 or visit us online for more information at utmc.utoledo.edu/secondopinion.

Be second opinion sure.

1. Medication names (include prescriptions, over-the-counter drugs, vitamins and herbals), doses, and directions of use 2. Your allergies, including drug allergies 3. Your chronic health problems 4. Any complications or side effects experienced in the past 5. Your primary care physician’s name and phone number 6. Your preferred pharmacy’s name and phone number 7. Your immunization history.

Apart from these items, a PMR can also include a history of any major events or surgeries that might have taken place in the past.

Now that you have a better understanding of what a PMR is and why it’s important to have one, we encourage you to create a PMR for yourself and your family members

who take medications to help you start to improve your health in 2015.❦ Dr. Niyati Kadia is a PGY-1 Community Pharmacy Resident at the University of Toledo College of Pharmacy and Pharmaceutical Sciences. Dr. Michelle Schroeder is a clinical assistant professor of pharmacy practice at UT and is currently the program director of the outpatient diabetes education program.

The information presented in this column is intended for your general knowledge only and does not aim to replace medical advice or treatment for specific medical conditions. If you have any specific questions about any medical matter, you should consult your doctor or other professional healthcare provider.

References: 1) Mayo Clinic. http://www.mayoclinic.org/ healthy-living/consumer-health/in-depth/personalhealth-record/art-20047273?pg=1. Accessed on December 4, 2014.

2) Cancer.net. http://www.cancer.net/navigatingcancer-care/managing-your-care/keeping-personalmedical-record. Accessed on December 4, 2014.

3) Creating a Personal Medication Record: Navigating the Health Care System. December 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsroom/ audio-video/personalrecord/indivrecord.html.

Accessed on December 4, 2014.

BySister Mary Thill

©2014 UT Health

UTMC158_SecondOpinion-PrintAd_HL_5x6.25_01.indd 1

12/17/14 12:59 PM

Spiritually Speaking Integrating differences How beautiful are those cities that overcome paralyzing mistrust, integrate those who are different and make this very integration a new factor in development!

How attractive are those cities that, even in their architectural design, are full of spaces that connect, relate and favor the recognition of others.

—Pope Francis The Joy of the Gospel, 2013

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M

y wish for this New Year is that we can learn how to accept and integrate the differences we see in one another. God knows we saw plenty of demonstrations dealing with what happens when people don’t appreciate differences in our society in 2014. What I found hopeful about some of the demonstrations was that they were peaceful and integrated and they happened in so many places with such a variety of folks that it gave me hope that just maybe we are moving toward accepting and integrating differences. We’ve been

aware of police brutality and racial profiling for a long time, and it is a sign of hope to me that more and more people are finding these ways of treating people unacceptable. We have much more to do, but I think 2014 gave us a good beginning.

Pope Francis goes beyond integrating individual differences to encouraging the very act of integration into a new factor of development.

Imagine what communities would be like if everyone in the neighborhood knew their police officers who are there to help and protect them. The police would know who lives in their area of responsibility so when something good or bad happens, they would already have a sense of who they are dealing with or helping out. Did you ever live in a neighborhood where you knew your neighbors and they knew you and you actually formed a community that watched out for one another, gathered for fun times, and came

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together for the sad times?

That’s the kind of neighborhood I remember growing up in back in Minnesota. There was a lot of trust in our neighborhood. Our parents trusted that we would be safe in one another’s homes. They trusted that we could walk in the neighborhood and not be afraid that someone would hurt us. They trusted us to walk several blocks to the store and back without having to worry about our returning home. That’s not to say that awful things didn’t happen in those days, but they certainly were not as prevalent or as vicious as we seem to be experiencing today.

I find it interesting and challenging to see Pope Francis carrying this idea of integrating differences to the very way we design our cities and common spaces. He calls for cities full of spaces that connect us so we are able to relate and recognize others, not separate ourselves into ethnic, cultural, racial, or religious ghettos.

As the planners for the city of Toledo and some of our surrounding suburbs look at ways to improve the area, I hope they can build into the plans ways in which people and businesses can integrate a variety of jobs and people who will form communities

of compassion and care that will be models of peace and beauty and all the good things we should be striving for as freedom-loving and blessed people in such a great country. This is my hope for the New Year—2015!❦

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

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he holidays are over, and the decorations are coming down—as is the snow. Did you move the wrong way while carrying that box back to storage and feel a pain in your back? It is also the time of year in the Midwest when we see snow and ice. Did you twist while slipping on the ice and have a pain in your back?

Did you shovel and have a pain in your back?

Did you know the following facts about back pain? Low-back pain affects nearly 80% of all Americans with 90% of those suffering a recurrence at some time; back pain is the number-one disability for those under age 45; 31 million people in the U.S. have low-back pain at any given time; back pain is the second most common reason (after the common cold) for visiting a healthcare

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such as ankylosing spondylitis, a form of arthritis.

Age: Back pain is more common the older you get.

Weight: Being overweight can stress the back, causing pain.

Poor physical fitness: Pain is more common in people who are not fit.

Job: if your job requires lifting, pushing, pulling, or twisting your spine, you may get back pain. If your job is one that requires sitting all day and you don’t have good posture, you may get back pain.

Smoking: Your body may not get enough nutrients to the discs in your back if you smoke.

Smoker’s cough may also cause back pain.

Other diseases: Some types of arthritis and cancer can cause back pain.

Other injuries: An injury to the foot or knee may cause you to

change your gait or walking pattern resulting in back pain.

(Source: National Institute of Arthritis and Musculoskeletal and Skin Disease [NIAMS])

How can a Heartland physical therapist help in treating your pain?

A wide assortment of treatments can be used to combat low-back pain and may include: • Manual therapy, including spinal manipulation, to improve the mobility of joints and soft tissues. (The most effective approach begins with hands-on therapy techniques to get pain under control.)

• Specific strengthening and flexibility exercises.

• Education about how you can take better care of your back.

• Training for proper lifting, bending, and sitting; for doing chores both at work and in the home; and for proper sleeping positions.

• Assistance in creating a safe and effective physical activity program to improve your overall health.

• Communication on why

and how each aspect of the treatment program is going to be beneficial. We are not only trying to treat the current pain, but we are also trying to prevent further low-back difficulties.

• Stay active, and do as much of your normal routine as possible. (Bed rest for longer than a day can actually slow down your recovery.)

In addition to the above treatments, Heartland has also found that adding one or all of the enhanced interventions below is effective: Dry Needling is an effective approach to treating muscular pain, tension, and spasm. The needle itself and the effects it produces within the tissue are the treatment that supports an accelerated return to active rehabilitation.

Kinesio Taping is a rehabilitative taping technique that provides different benefits depending on the application technique used. Taping can help with reducing pain and edema. It can also help facilitate a weakened muscle and help inhibit muscle that is in spasm. It assists with

improving proper joint mechanics as well as lending support to joint structures.

Astym/Istym is a treatment that regenerates healthy soft tissues (muscles, tendons, etc.) and eliminates or reduces unwanted scar tissue that may be causing pain or movement restrictions.

It was scientifically developed to resolve the underlying cause of soft tissue problems rather than just trying to temporarily relieve symptoms.

Cold Laser with Electrical Stimulation is a low-level laser therapy and micro-current electrical stimulation that promotes the body’s natural healing processes at the cellular level. The cold laser with electrical stimulation delivers photonic (light) energy to the cells. This energy is absorbed by the cells and causes an increase in the production of

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ATP. Increased levels of this energy molecule allow for the normalization of cell function, pain relief, and healing. The cells are also now able to communicate with one another: damaged cells absorb energy from the laser and create new enzymes that allow for the healing and relief of pain; damaged adjacent cells are affected by the enzymes and then, in turn, produce more of the same bio-chemical reaction, which lets those cells begin to normalize and relieve pain as well. ❦

Heartland Rehabilitation, your local outpatient physical and occupational therapy provider, can assist you in this area. Whether it is in the development of a healthy exercise program or if you are recovering from an injury, we can help you. Heartland has five locations in the greater Toledo, Ohio and Bedford, Michigan areas with experienced and knowledgeable therapists. For more information, contact Jim Berger at 419787-6741 or jberger@hcr-manorcare. com. “Therapy for Today…Wellness for Life!”

by Myles Mellor

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Toledo Clinic Cognitive Center takes holistic approach to memory loss treatment

M

emory loss can be associated is having memory issues, and each with a variety of different health individual may observe different problems and conditions. Alzheimer’s deficits. In fact, patients often come disease and other forms of dementia, in not because they note that they repeated concussions in athletes, have memory loss, but because others and closed-head injuries from motor around them tell them something vehicle accidents are just a sampling has changed with their memory. So, of potential causes that can lead to this assessment approach gives Dr. the impairment of memory and other Jenkins a much more comprehensive cognitive function. Just as with any view of the problem. bodily injury, memory loss requires Each patient’s workup begins with prompt intervention and treatment individualized testing based on their to minimize its impact and ensure cognitive assessment and particular the best possible outcome—for pa- circumstances—for example, whether tients as well as their they’re older with Alzloved ones. heimer’s, younger with Recognizing that the a closed-head injury, or need for memory care in their 40s or 50s with a gradually faltering services is great in our community, The Toledo memory.

Clinic recently opened Patients who are anxa dedicated Cognitive ious or fearful when Center, located on their they visit the center main campus at 4235 will find a calming— Secor Road, that treats albeit furry—influence all forms of memory in Jasper, the center’s loss with an all-natural, resident working dog, holistic, non-pharmawho, depending on ceutical approach. patients’ level of nerSherry-Ann Jenkins Sherry-Ann Jenkins, vousness, will either lie PhD, Director of the Cogreassuringly at their feet nitive Center, notes that as a soci- or nestle in their lap. ety, we tend to view closed-head If the cognitive testing reveals any trauma and memory loss in a very areas of concern, Dr. Jenkins will then different light than we view other order radiologic scanning (typically forms of injury. “If you break a leg a PET scan) to hone in on the part and are in a cast, everyone can see of the brain that’s not functioning as that you’re hurt. Even after the cast it should. “During a PET scan, the comes off and you’re doing physical patient is injected with radioactive therapy, you may walk with a limp glucose, which is taken up by the for a while. Everyone can tell you brain. When an area of the brain is need certain accommodations until in use, it should light up on the scan. you’re completely healed. On the If it doesn’t, you know that part of other hand, if you experience head the brain isn’t working properly,” trauma or memory loss, there’s no she explains. cast or other outward sign of the inIf warranted based on the radiojury, so people may not understand logic scanning, patients are sent for why you’re having problems. But lab work, which helps confirm the just like the rest of the body, when cause of their memory issue. The the brain is injured, you have to let different types of memory loss are it rest and heal and then allow for a often associated with very specific metabolic changes in the body that slow recovery,” she says.

Because memory loss is a condition can be identified through blood that affects patients as well as their work. “I then write a report, which is loved ones, Dr. Jenkins asks each new shared with the referring physician patient and their family members, and arrange for the patient to come close friends, and caretakers to fill out back to the center for treatment. a cognitive assessment on the patient. That’s when the real fun begins,” Oftentimes, family and friends are Dr. Jenkins remarks. the first to recognize that the patient When the patient returns, Dr.

Cognitive Center Cognitive Center

Cognitive Center

Sherry-Ann Jenkins, PH.D. Cognitive Center

phone: 419-479-5556 GET DIRECTIONS TO HERE Scan the QR code and use Google Maps to get directions to this location.

Office Location Building 1, Upper Level 4235 Secor Road Toledo, OH 43623

Dr. Jenkins is welcoming new patients.

For more information, contact:

Clinical Research Source, Inc.

419-873-1532 VERSION 1 - 27/APR/2012

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17

Heartland of Waterville presents a

Lunch & Learn on Traumatic Brain Injury Tuesday, January 13, 2015 11:00 am – 12:00 PM*

Join Dr. Tallat Rizk as he discusses the medical management of Traumatic Brain Injury (TBI).

TBI is a complex injury with a broad spectrum of symptoms and disabilities. One moment the person is normal and the next moment life has abruptly changed.

Dr. Tallat Rizk is the Medical Director of Heartland of Waterville’s Rehabilitation Program. He is currently the Medical Director of Inpatient Rehabilitation at the Coghlin Memorial Pavilion at the University of Toledo Medical Center.

There will be a complimentary lunch served and there is no charge for this event. *Presentation time is approximate.

Please RSVP to Myndi Milliken at 419.878.8523 or myndi.milliken@hcr-manorcare.com

Heartland of Waterville 8885 Browning Drive Waterville, OH 43566

TOGETHER. AUTISM LIMITLESS. Working together to change the future.

18 January 2015 | Healthy Living News

Jenkins starts him or her on various predetermined exercises that help train other areas of the brain to compensate for the part that’s not working properly. The concept is the same as when helping the body learn to compensate for any other limitation—for example, the way someone with tennis elbow might learn to lean his or her upper body forward to pick up an object on a table rather than straighten out the painful elbow joint and reach for it.

Helping patients retrain their brain takes teamwork, however, so Dr. Jenkins’ job involves teaching not just the patient, but also family members and caregivers. “I like my patients to be very involved with the management of their care, even if they have difficulty remembering.

I also make very clear to family and friends that they must be careful to avoid talking over their loved one with memory loss or behaving as if they’re not in the room. They’re still human beings, and they know when they’re being ignored or treated like a child. That’s why I always look directly at the patient when I ask questions. I may get the answer from a spouse or child, but I still direct all my questions to the patient,” she says.

The Toledo Clinic Cognitive Center is affiliated with the Alzheimer’s Association, providing patients and

their families access to all the programs and resources the organization has to offer, such as educational material on long-distance caregiving, keeping the patient’s home safe, personal care, legal and financial matters related to memory loss, and much more. They’re also eligible to utilize the Alzheimer’s Association’s adult daycare program, which includes shuttle transportation to and from the daycare facility.

In addition, the Cognitive Center offers counseling services for patients and their children and caretakers, and refers patients for audiological testing to ensure that a case of hearing loss isn’t being misinterpreted as a cognitive problem. They also go over patients’ medications to rule out the possibility that their memory loss is related to a drug they’re taking.

Emphasizing that Alzheimer’s has a heredity factor of 30%, Dr. Jenkins advises the children of parents who have the disease to get tested for memory impairment while in their 50s. “If a memory issue is diagnosed, we can take control of it, slow it down, and potentially give the patient an extra ten years. The key is early intervention,” she says. ❦ For more information on the Toledo Clinic Cognitive Center or to schedule an appointment, please call 419-479-5556.

Heartland of Waterville presents Lunch and Learn on traumatic brain injury Dr. Tallat Rizk for a Lunch Join and Learn event on Tuesday,

The Lunch and Learn will be held at Heartland of WaJanuary 13 from 11:00 a.m. terville, 8885 Browning Drive, to 12:00 p.m. as he discusses Waterville. A complimentary lunch will be served, and there the medical management of is no charge for this event. traumatic brain injury (TBI).

TBI is a complex injury Please RSVP to Myndi Millikwith a broad spectrum of en at 419-878-8523 or myndi. symptoms and disabilities. milliken@hcr-manorcare.com.

Dr. Tallat Rizk One moment the person is Dr. Tallat Rizk is the Mednormal, and the next moment ical Director of Heartland of life has abruptly changed. An example Waterville’s Rehabilitation Program. would be a football player acquiring Dr. Rizk came to Toledo to complete a concussion during a game. The a residency in Physical Medicine & impact on a person and his or her Rehabilitation at the University of Toledo. Following graduation, he family can be devastating.

No two brain injuries are alike, soon accepted a permanent full-time and the consequence of two simi- position. He is currently the Medical lar injuries may be very different. Director of Inpatient Rehabilitation Symptoms may appear right away at the Coghlin Memorial Pavilion or may not be present for days or at the University of Toledo Medical weeks after the injury. One of the Center. Dr. Rizk’s special interests are consequences of brain injury is that fibromyalgia, back pain, spinal cord the person often does not realize that injuries, traumatic brain injuries, and the injury has occurred. musculoskeletal disorders. ❦ We love feedback. Like us on Facebook. Follow us on Twitter.

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

Spring Meadows Senior Community 1125 Clarion Ave. Holland, OH 43528 419-866-6124 www.springmeadowsecf.com

Aspen Grove Assisted Living Residence 7515 Secor Rd. Lambertville, MI 48144 734-856-4400 www.aspengrovefamily.com

St. Clare Commons 12469 Five Point Road Perrysburg, OH 43551 419-931-0050 www.homeishere.org

Sunset House 4030 Indian Rd. Ottawa Hills, OH 43606 419-536-4645 www.sunset-communities.org

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

Lutheran Village at Wolf Creek 2001 Perrysburg-Holland Rd. Holland, OH 43528 419-861-2233 www.lhsoh.org

Swan Pointe Care Center

Lutheran Memorial Home

3800 Butz Road Maumee, OH 43537

795 Bardshar Rd. Sandusky, OH 44870

419-867-7926

419-502-5700

www.consulatehealthcare.com

www.lhsoh.org

Senior Living Guide Choosing a senior living community that’s right for you or a loved one is among the most important—and challenging— decisions you’ll make in your lifetime. We’re fortunate here in Northwest Ohio and Southeast Michigan to have a wide variety of high-quality senior living options, including independent living, assisted living, continuing-care, and subsidized low-income housing communities.

To make your decision a bit easier, we’ve assembled this guide to all the senior living properties that regularly support Healthy Living News through advertising. In addition to referencing this page for each organization’s contact information, we urge you to see their ads in the pages of this issue, check out their websites, and give them a call to schedule a tour if you are interested in hearing more about all the services and amenities they offer.

Senior Star at West Park Place

Kingston Care Center of Sylvania 4121 King Road Sylvania, OH 43560 419-517-8200 www.kingstonhealthcare.com

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

Heartland of Waterville

Parkcliffe Community

8885 Browning Drive Waterville, OH 43566

4226 Parkcliffe Lane Toledo, OH 43615

419-878-8523

419-381-9447

www.heartland-manorcare.com

www.parkcliffe.com

Swan Creek Retirement Village

Kingston Rehabilitation of Perrysburg

The Manor at Perrysburg

5916 Cresthaven Lane Toledo, OH 43614

345 E. Boundary Street Perrysburg, OH 43551

419-865-4445

419-873-6100

www.swancreekohio.org

www.kingstonhealthcare.com

3501 Executive Parkway Toledo, OH 43606 419-972-2280 www.seniorstar.com

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

250 Manor Drive Perrysburg, OH 43551 419-874-0306 www.ManorAtPerrysburg.com

The Laurels of Toledo

Bowling Green Manor

1011 Byrne Road Toledo, OH 43607

1021 West Poe Road Bowling Green, OH 43402

419-536-7600

419-352-4694

www.laurelsoftoledo.com

www.BowlingGreenManor.com

www.otterbein.org

Sunset Village

Otterbein Portage Valley Senior Lifestyle Community

Lutheran Home at Toledo

Bowling Green Care Center

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

20311 Pemberville Rd. Pemberville, OH 43450

131 Wheeling St. Toledo, OH 43605

850 West Poe Road Bowling Green, OH 43402

419-724-1200

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

419-724-1414

419-352-7558

www.lhsoh.org

www.BGCareCenter.com

www.sunset-communities.org

www.otterbein.org Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | January 2015

19

•

Q A

: Can you share some fun facts about hearing?

: That’s a great idea! What better way to start 2015 than to give you some little-known facts about our ears and hearing? Hearing is one of our most important senses; think about what it would be like if you didn’t have the ability to hear.

Hearing allows us to experience, learn, and enjoy the world we live in. Here are some more fun facts:

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©2014 Elizabeth Scott Community

• The ossicles are the smallest bones in the human body: the incus, the malleus, and the stapes, or as you may know them, the anvil, hammer, and 10x5.9_ES_NurseMaggieAd_HL_414.pdf stirrup.

1

• Our inner ear is so small, it is said to be no larger than a pencil eraser in circumference.

• We are able to hear by the vibrations of little hair cells lining the inner ear, or cochlea.

If these hair cells lose their ability to function, your hearing would be affected dramatically.

• Cerumen, or earwax as it’s commonly known, doesn’t need to be cleaned out unless it is totally blocking your ear canal. It will naturally cleanse itself. If you do experience ear canal blockage, call your healthcare professional.

• The majority of individuals suffering from hearing loss are 5/29/14 11:43 AM actually under the age of 65. It

•

•

•

may surprise you that hearing loss starts for many at a much younger age.

The number-one cause of hearing loss is exposure to excessive loud sounds (85 decibels or higher). Be sure to protect your ears whenever you are around loud noises.

This will help protect your ears now and prevent damage or hearing loss in the future.

You may damage your hearing permanently even after a single incident of exposure to extremely loud noise (shotgun blast, explosion, etc.). Do not forget to wear ear protection when hunting, attending a race car event, or in any other atmosphere where loud noises are prevalent.

You may be sleeping when you lay your head down on the pillow, but your ears never stop functioning. You hear even when you’re body is sleeping.

Your brain just ignores incoming sounds.

Your balance is controlled by your ears. The labyrinth in the inner ear works with the visual and skeletal systems to

maintain balance.

• Not all living creatures hear with their ears. Snakes use jawbones, fish respond to pressure changes, and male mosquitoes use antennae.

All of us at Northwest Ohio Hearing Clinic wish you a healthy and prosperous New Year! Make 2015 the year that you start taking better care of your hearing health.

If you have any questions, please don’t hesitate to call Northwest Ohio Hearing Clinic. ❦ Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

“ I love the geriatric population. They’re funny, honest… and you can learn a lot from them.”

Maggie M., RN, 2-year employee

Maggie enjoys caring for the elderly. Not just providing medical care, but getting one-on-one time with each resident. She believes the family atmosphere at the Elizabeth Scott Community provides a unique environment.

“The owners are here every day, and they’re definitely available when you need them. It’s a great place to work, and that makes for a nice living arrangement for our residents.”

Our founder, Elizabeth Scott, was also a nurse and believed in caring for residents like they were family. Sixty-five years later, nursing is still at the heart of our resident-centered care.

Independent & Assisted Living, Skilled Rehab.

Family owned and operated since 1949.

2720 Albon Road Maumee, OH 43537 (419) 865-3002 www.elizabethscott.org

20 January 2015 | Healthy Living News

To learn more about Maggie’s story, visit www.elizabethscott.org

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

FOR YOUTH DEVELOPMENT FOR HEALTHY LIVING FOR SOCIAL RESPONSIBILITY

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*Join by January 31 - Pay NO joiner fee and receive a $50 gift card to The Andersons (while supplies last). ymcatoledo.org

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | January 2015

21

Maintaining those New Year’s resolutions

by Amanda Manthey

O

ne month almost down and eleven more to go. Is keeping that New Year’s resolution harder than you thought? If your resolution entailed improving your general health by exercising and you already feel you are on the downhill stretch, follow these easy uplifting tips.

Most of us lose interest in a daily workout because it is too boring, too long, or we are short on time. We all battle the workout blues at one time or another. First, reevaluate your New Year’s resolution so it is attainable and fits your personal fitness expectation.

Develop three levels of workout routines to maximize your

goals, and create an organizational hierarchy based on your abilities. The three levels will be labeled minimal workout, moderate workout, and exceptional workout.

The key ingredient is to listen to your body and do only what you are capable of doing. On the days when your body feels energized and more time is available, your workout can be more intense and longer. On the days when your body is sore and time is limited, your workout can be less intense and shorter.

Rather than saying, “I’ll do it tomorrow,” reduce the workout and use your three-level workout routines as a quick guide. Remember, you

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do not want to start over. Reducing your workout instead of skipping a workout maintains consistency and continues to build stamina.

Here are a few ideas when time is limited and some form of exercise is better than no exercise: • Reduce your cardio minutes if time is limited, or reduce your resistance or speed if lacking motivation, whether it is on a machine at the gym or running outside.

• When strength training, choose machines or strengthening exercises that will target two or more muscle groups. This may entail combining two or more exercises into one exercise.

This can be more efficient and less time-consuming if done correctly.

Consistency is the key to a successful New Year ’s resolution. If the workout blues are approaching, reevaluate your situation and make adjustments to your workout routine.

You might need to alter your longor short-term goals so that they are attainable fitness goals. Remember, don’t give up and keep a consistent workout lifestyle even if it is minimal.

It will leave you feeling great each and every day and one step closer towards accomplishing your New Year’s resolution. ❦ Amanda Manthey is a former collegiate runner for Eastern Michigan University.

She writes about running and fitness for Dave’s Performance Footgear.

Don’t miss Dave’s races!

Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear. For more information on any event, including any applicable fees, please visit davesrunning.com.

Dave’s Running Spring Marathon Training Tuesday, January 6, 2015 to Sunday, April 26, 2015 at 5100 W. Central Avenue in Sylvania, Ohio.

Dave’s Marathon Training Group gives you the benefit of personal coaching through a training plan designed to enable you to achieve your goal. The Marathon and halfmarathon program will begin the first week of January. The Glass City Marathon will be the focus of all the programs offered. Each program will have different pace groups to meet your needs and assigned coaches for each group. Come out and join hundreds of other runners just like you.

Included in the program will be a Saucony gender-specific jacket and a training shirt for the half and full marathoners. All half and full marathoners will also receive a coupon book with incredible in-store discounts.

Prior to the start of the training programs, you will receive a welcome letter regarding the logistics of the training. Best of luck, and thanks for allowing Dave’s Running the opportunity to coach you.

For more information, please email jeff.taylor@davesrunning.com.

Dave’s 10-Miler/5K

419-843-6106.

22 January 2015 | Healthy Living News

Sunday, January 25, 2015, 2:00 p.m. at 605 Taylor Street in Delta, Ohio.

Dave’s 10 Miler was started in 1974 by Dave himself and has happened every year regardless of the unpredictable weather. At the race, we have seen highs of 65 degrees to blizzard conditions and ice on the road, so be sure to dress for the weather. The course starts at Delta High School and loops through the beautiful countryside of Delta, Ohio. After the race, stay and enjoy some hot chicken noodle soup, sandwiches, and the shower facilities. Great training run for spring marathons! For more information, please email jeff.taylor@daves running.com. ❦ We love feedback. Like us on Facebook. Follow us on Twitter.

Mercy hosts special two-day sports event for area athletes, coaches, and partners

M

ercy College and Mercy Sports Medicine are teaming up for a two-day sports event featuring Dr. Tom House, sports psychologist, former major league baseball player, and founder of the National Pitching Association. Considered by many to be the world’s leading expert in pitching, passing, and throwing, Dr. House will share his approach to coaching and mentoring. Recently, Dr. House was featured in the Disney film Million Dollar Arm due to his success with athletes such as Drew Brees, Tom Brady, and Nolan Ryan.

The first event, “Inform, Instruct and Inspire: An Evening with Dr. Tom House,” in which he will share his approach to coaching and mentoring, will take place on Friday, January 30. Then, Dr. House will host an all-day sports clinic on Saturday, January 31. Matt Rankin, Associate Athletic Trainer for

the Detroit Tigers, will also speak during the clinic on reducing injury and return to play. The clinic will include group lecture as well as smaller breakout sessions on injury prevention, performance enhancement, strategic coaching, and hands-on application.

When and where: Inform, Instruct and Inspire: An Evening with Dr. Tom House. Friday, January 30, 2015, 6:00 p.m. at the Park Inn by Radisson, 101 North Summit Street, Toledo, OH 43604.

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FRIDAY, JANUARY 30:

The Rotational Athlete—Throwers, Passers, and Pitchers with Dr. Tom House. Saturday, January 31, 2015, 8:00 a.m. (doors open at 7:45 a.m.) at SeaGate Convention Centre, 401 Jefferson Avenue, Toledo, OH 43604.

An Evening with Dr. Tom House

Spend an evening with Dr. Tom House, where he will share his Inform, Instruct, and Inspire approach to coaching and mentoring.

For more information on the program or to register for one or both programs, visit mercycollege. edu/throwing or call Karen L. Keune at 419-251-1329. ❦

SATURDAY, JANUARY 31: Mercy College and Mercy Sports Medicine are teaming up for a two-day event with Dr. Tom House, sports psychologist, former major leaguer, and

Remember these safe-sledding tips before hitting the slopes W

henever Mother Nature serves up a nice, powdery snowfall— and especially if that snowfall happens to result in the cancellation of school—area sledding hills officially “open for business.” Kids of all ages bundle up, grab their sleds or toboggans, and head for the local slopes to take part in this wintry rite.

But every year sledding accidents result in thousands of injuries nationwide, some of them severe enough to cause permanent disability or even death. Most of the injuries occur in children age 14 and under. Though

sledding may seem like child’s play, this activity involves moving quickly downhill with minimal or no directional control over potentially concealed hazards. That’s a recipe for serious accidents, and precautions must be taken to minimize the risks. Here’s what parents and kids need to do to ensure a safe sledding experience:

founder of the National Pitching Association.

Considered by many to be the world’s leading expert in pitching, passing, and throwing, Dr. House was featured in the recent Disney film Million Dollar Arm due to his success with athletes such as Drew Brees, Tom Brady, and Nolan Ryan.

The Rotational Athlete: Throwers, Passers, and Pitchers Attend an all-day sports clinic entitled The Rotational Athlete—Throwers, Passers, and Pitchers, where Dr. House will expand upon his proven technique. The clinic will include group lecture as well as smaller breakout sessions on injury prevention, performance enhancement, strategic coaching, and hands-on application.

THESE EVENTS ARE SURE TO INSPIRE ALL WHO ATTEND!

Register now at mercycollege.edu/ throwing or call 419-251-1329.

Assess the participants Sledding is not safe for children under two years of age, even if accompanied by a parent. Between the ages of two and five, children must ride with a

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | January 2015

23

parent. Regardless of age, all children should be under the supervision of an adult while sledding. Be sure to observe the manufacturer-specified age limit for the sled or toboggan you intend to use.

Also, make sure kids are properly attired for cold weather before they head for the sledding hills. Have them dress in layers with a wind-resistance outer garment. Just as when biking, skateboarding, rollerblading, or riding a scooter, a helmet must be worn when sledding. Skiing- or snowboarding-style helmets are ideal for this purpose. Scarves and loose-fitting clothing should be avoided as they can become entangled, causing serious injury. If your child has long hair, tie it up.

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Assess the sled The style and condition of the sled itself must also be evaluated. Sleds should be sturdy, in good repair, and easy to control. Models with runners and a steering mechanism are the safest and less likely to be pierced than plastic sheets, toboggans, or disks. Before sledding, check to ensure there are no loose components, broken parts, or sharp edges.

Gateway to Wellness and Recovery...A Place For Families

Health Care is complicated

T

But that’s where you come in.

Patient advocates, or professionals who act as liaisons between patients and the health-care provider, are needed now more than ever.

You can supplement your undergraduate degree with training in this field through The University of Toledo’s Graduate Certificate in Patient Advocacy Program.

This is a 100 percent online graduate certificate that can be completed in just two semesters.

JHHS 32 0113

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

24 January 2015 | Healthy Living News

he Gateway to Wellness and Recovery…A Place For Families is a collaborative effort by the Mental Health and Recovery Services Board, NAMI of Greater Toledo, and TASC of Northwest Ohio where families can find resources in the Mental Health and Alcohol and Other Drugs (AOD) services community.

This free event provides a place for families impacted by mental illness or drug and alcohol addiction to find resources and information. The event will feature tables from area agencies on mental health and addiction services and a monthly speaker on issues related to mental health and addiction services.

This is an opportunity for families to gather information to help themselves or loved ones.

Gateway to Wellness and Recovery…A Place For Families will be held on the 3rd Thursday of each month from 6:00 to 7:30 p.m. at The University of Toledo Scott Park Campus Classroom Center.

For more information about this event, please contact Sarah Smitley at 419243-1119 or ssmitley@namitoledo.org.

Assess the hill Seek out a hill that has a gentle slope and is free of obstructions. Most sledding injuries result from collisions with obstacles, such as trees, rocks, signs, fences, parked vehicles, and other people. Often these obstacles are encountered at the end of the sledding run. Also, make sure the sledding run does not end near a street, parking lot, or a body of water, such as a pond, lake, river, or creek.

In addition, avoid sledding on a hill that is icy rather than snowy. On an icy hill, sleds can reach speeds that are too fast to allow safe stopping.

Teach safe-sledding techniques Before heading for the sledding hill, teach your children the following safe-sledding techniques: • Sled only during the day or on well-lit hills where visibility is good.

• Always make sure your line of travel is free of obstructions or other sledders before going downhill.

• Always keep your sled in control and maintain a safe speed that allows you to stop if necessary.

• Always go downhill in a sitting position while facing forward— never backwards, lying down, or head first.

• Avoid traveling across the pathway of other sledders.

• If you’re approaching an obstacle or other danger and cannot stop or divert, roll off the sled.

• Once you reach the bottom of the hill, move promptly out of the way of other sledders.

• Use the side of the hill to climb back up.

• Do not exceed the number of passengers recommended for your sled.

• Never ride on a sled that is being pulled by a motorized vehicle.

• If the hill appears to be beyond your ability or becomes unsafe for any reason, do not go downhill.

Remember, just because conditions are safe when you reach the hill doesn’t necessarily mean they’ll remain that way for the duration of your outing. Winter weather can change abruptly, making sledding conditions unsafe! ❦

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

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25

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | January 2015

twilight lingers. Shirley and I were in Alaska in what passes for summer.

We got up at 2:30 a.m. thinking it was dawn. And it was.

So, how do Alaskans cope?

LeMoyne Mercer

Bicycling

A Walk in the Park

Megan and Andria are 23-year-olds from Palmer. Megan asks, “Have anything planned for the weekend?”

Andria: Nah. Just thought I’d kick back.

How Alaskans cope

R

aise your hand if you have ever gotten depressed by the thought of another winter in Toledo. November to April or May with nothing but gray skies and temporarily white snow also on its way to gray.

Now, consider how you might feel in Alaska where “November” arrives in late August and there is no relief until June or thereabouts. By March you have developed a chronic case of cabin fever from enduring 20-plus

hours of darkness a day. You have to really, really love the dark and cold to love Alaska. Pretty much every Alaskan does. Which tells you something about Alaskans.

But, then, Alaska is an all-ornothing kind of place. In the three months that pass for spring, summer, and fall, Alaskans become manic instead of depressive. It never gets really dark. The sun may dip below the horizon for a couple hours, but

July 7, 2014: A cup of hot tea is a soothing beverage on what passes for a summer day in Alaska.

Fileting halibut is a popular summer recreation. Don't you just love the smell of fish entrails in the morning?

Megan: Are you up for a bike ride?

Andria: Sure. Where do you want to go?

Megan: How about we pedal down to Valdez and back?

Andria: That’s 400 miles round trip. Think we can we do it over the weekend?

Megan: You’re right. Maybe we can sneak out of work an hour early.

Andria: You want to ask the guys to go with us?

Megan: Oh, they’d just slow us down.

On Monday, someone asks Andria about her weekend. Word gets around and 1,472 of their Facebook friends want to go along on their next ride.

Canopies are set up along the route staffed by people over the age of

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race could be up Mt. Marathon and back. Do you suppose anyone could do it in less than an hour?

Louie: Nope. Physically impossible.

For one thing, there is no trail up there. And for another thing, it is almost straight up.

Lefty: We don’t need a trail. That’s the beauty of it. Everybody starts in the same place and they can run up and back any way they want to as long as they go to the top and back.

Louie: But how do we know they got to the top?

Lefty: We could put a flag up there and they have to go around the flag

pole. In fact, we could do it on the Fourth of July and make it an American flag just to emphasize the patriotic aspect of the event.

Louie: What you mean “we” white man?

Lefty: I’ll bet you two pints of Moose Slobber Ale that I can find someone to plant the flag.

Louie: You’re thinking of Ron aren’t you? Yeah, he’d go just to scout a route.

Well, Ron did take the flag to the top of Mt.

The Iditarod began in 1910 when some bored Alaskans decided that mushing 938 miles to Nome for a six pack sounded like fun.

Marathon. Lefty and Louie placed ads in the Seward Folly, the Homer Odyssey, and the Anchorage Anchor.

For the entry fee of $17.76, participants got a T-shirt and a bumper sticker declaring “I survived the Seward Marathon Run.” Ron finished second, by the way. He attempted a “short cut” that involved jumping off a 12-foot rock wall. Dislocated his left shoulder. Slowing down a little to push it back in

Alaskan parents encourage the kids to keep up by casually reminding them that there are bears in the woods.

97 and younger than three; that is, anyone too old or too young to ride a bicycle 400 miles through the forests and up steep mountain roads on a weekend. The 97s and 3s could do the ride, but it would take them more than just a weekend. Instead, they serve lemon-aid to keep the riders hydrated and brownies to keep everyone happy.

Marathon races At a craft beer house in Seward, Leftie and Louie are having another tall, cool one. New craft breweries spring up all the time in Alaska. In the time it took me to write this sentence, 2.37 new breweries opened. You could look it up with Google Chrome.

Lefty: You know, Louie, every town in the US of A holds these 5K races and marathons to raise money for charity. Could we do something like that in Seward?

Louie: Are you kidding? Unless a cruise ship is in, there are only 26 people in Seward and half of them are geezers from Ohio who ran out of money and can’t get home. Besides, how do you hold a 5K race in a town with only 1K of streets. People would die of boredom before they finished. If they even bothered to finish. And a marathon is totally out of the question.

Lefty: A marathon race doesn’t necessarily have to be one of those 26-mile runs that anyone can do. What do you see through that window?

Louie: I see “Coors” written backwards.

Lefty: No, you dolt! What’s that big thing sticking way up into the sky?

Louie: Oh! You mean Mt. Marathon.

Lefty: Of course. A “marathon”

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place just cost him the time he gained with the short cut. It is harder than you might think to run fast, even downhill, while cupping your left elbow in your right hand.

The girl who finished third had a fractured ulna. Radius, maybe. Perhaps it was a tangent. Anyway, 100% of the participants were treated at the Aid Tent for assorted abrasions and contusions. At least one concussion.

One runner never came back.

Search teams were sent out but because there was no official trail he could have gone off anywhere. “Bears got him,” said some. “Nah, have you ever met his wife?” said others.

A good time was had by all.

Historic districts

No town in Alaska is too small to support a vibrant local government. Copper Center City Council meets here.

Whenever three or four Alaskans get together, one of them is sure to ask, “How did your yard sale go?”

All of them acknowledge that they had some stuff left and at least one of them will have a creative solution.

“The old Wilkeson cabin has been deserted since ‘03 when they took the ferry to Bellingham. I don’t think they are coming back. Let’s take all

of our stuff over there and start a local history museum.”

So they do.

One with high-tech skills will offer to print out signage from his computer. This is for the edification of visitors who might not appreciate the historic significance of genuine artifacts from the 1960s and ’70s. Some is really ancient stuff from the ’50s.

Forty-seven prime examples of the taxidermist’s art. Moose antlers. The endangered fur fish, a salmon that evolved a hair coat to keep it warm. An old Jeep that was donated because it no longer runs. If it says Willys on the hood, it probably helped build the Alaska Highway back in ‘42. Lots of visitors from the Lower 48 seem impressed by anything related to WWII and/or Wherever two or three old shacks are left standing, the construction of the Highway. you have an official "Historic District."

“Yes, sir, this here Jeep was used

by General MacArthur when he went to tell Emperor Hirohito to surrender or else.”

Every town has a volunteer fire department, and every department has a retired (i.e., “historic”) fire engine that can be “lovingly restored” with a fresh coat of red Krylon spray paint and some gold-colored trim.

So, every museum has at least one fire engine. Don’t ask why. Really. Don’t ask. You don’t have nearly enough time to hear the answer.

One of the Alaskans with “artistic skills” will hand paint the sign for the cabin: Historic [insert town

name] Museum, Gift Shop, Espressoto-Go, Visitor Information. Free Wi-Fi! “We don’t have Wi-Fi here,” objects one, “free or otherwise.”

“It doesn’t matter,” says the born promoter. “We just do what they do at all of the other free Wi-Fi places.

We tell people it’s running a little slow today and it fades in an out.”

If one of them happens to be retired and collecting a pension, he gets to be Museum Host and pocket the money from the donations jar. It helps if he is garrulous.

But pretty much all Alaskans are garrulous. Nine months a year with limited social The museum in interaction seems to Valdez features have that effect. He ancient artifacts like can tell visitors how this Toledo Scale. his parents came up No springs. Honest the Chilkoot Trail as weight. Yep, 95 and prospectors in 1898.

3/4 lbs. seems about How he survived right. the great earthquake and tsunami of 1964 by running up the mountain with a tanker ship being swept up right behind him. How he built the Alaska pipeline one winter and cleaned up the Valdez oil spill one summer.

Most of us end up where we are through inertia. We had planned to move to some place slightly more A Jeep "used by MacArthur" looks even more authentic if it has a coat of genuine exotic than Toledo, but the timing was never quite right. Now the kids WWII mud.

Serious illness raises tough questions.

Let our experts help with what’s weighing on your mind.

ToughQuestionsStraightAnswers.org © 2014 Hospice of Northwest Ohio Laura10.25x4_4C-U.indd 1 28NWOH-096 January 2015 | Healthy Living News

5:19 PM We love feedback. Like us on Facebook. Follow us3/31/14 on Twitter.

and grandkids live here and, well, you know how it is. Every Alaskan, on the other hand, has deliberately chosen to live there. Those without the gumption to stick it out tend to hitchhike out when they are like four years old. Five max. But once you’ve

learned to cope, living in Alaska is just a walk in the park. ❦

The annual women’s health exam:

• Obstetric care • Menopausal counseling • Birth control counseling

Armed with the findings of the history and the physical exam, the physician can make recommendations for laboratory studies, follow-up exams, and health issues to watch for during the coming year. It is often at this point that patients are advised of prevention strategies and treatments for specific complaints or conditions. There are often changes in medications and immunizations. Preventive testing, such as mammograms, bone density scans, and blood tests, may be recommended based on age, history, and physical findings.

The annual exam is more about maintaining health and preventing disease than treatment. In addition, when a history or physical reveals something abnormal, the patient can be treated before complications occur, giving her a better chance at good health. It is also a great opportunity for physician and patient to discuss lifestyle changes for a healthier and longer life. ❦ Dr. Lance Talmage, Professor and Interim Chair, Department of Obstetrics and Gynecology, The University of Toledo College of Medicine and Life Sciences.

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are accepting new patients

• Preventive medicine exams

by Lance Talmage, MD

T

OB/GYN Physicians

Services include:

a changing dynamic he dynamic of the women’s health exam has changed. For the majority of women, an annual Pap smear is no longer necessary. Because we test for the virus known to cause cervical cancer, patients who have not contracted the virus may go several years between Pap smears.

However, an annual women’s health exam is still recommended.

There are many factors that should be checked to prevent disease as well as to discover and treat conditions before they become serious, especially as a woman ages.

Medical history is the most important part of a woman’s annual examination. Discussions should include all medications, serious illnesses, changes in family history, and adult immunizations. It is also important to convey changed social situations, such as partner status or possible abuse, changes in menstrual periods, and contraception. Even though the answers to these questions may not change a great deal from year to year, it is important to discuss any changes that have occurred.

The physical examination is very much the same, even though a Pap smear is not performed. A great deal can be learned about health status from general parts of the exam, such as the condition and color of the skin; vision, hearing and speech; mobility; and general alertness. The physical exam should include examination of the thyroid gland, lymph nodes, and abdomen. Breast and pelvic exams, which are the main focuses for a physician, vary little, despite patients’ ages. Sometimes, a physical finding will be brought to the patient’s attention that may remind her to discuss a forgotten problem.

The University of Toledo Medical Center

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

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Dr. Lance Talmage

Dr. Ronica Neuhoff

Dr. Sleiman Smaili

Teresa BettsCobau NP

Located at: The University of Toledo Medical Center Ruppert Health Center, Suite 1400 For an appointment, please call 419.383.3787

utmc.utoledo.edu Dr. Vivian Moynihan

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When a stroke

unexpectedly pauses life, we help you

press play again.

Introducing Kingston’s On-Site Stroke Recovery Physician With a specialty in physical medicine and

rehabilitation, Stacey Hoffman, M.D.

is the full-time medical director of the

Kingston care staff. She manages a

team of well-qualified licensed nurses

and certified nurse practitioners to

give you the best chance at

stroke recovery.

We understand that stroke isn’t just a neurological

Kingston helps people combat Parkinson’s

K

ingston Skilled Nursing Rehabilitation facilities can help people proactively manage their Parkinson’s disease (PD). Kingston offers specialized inpatient and outpatient therapy and wellness programs to help combat the impact that PD has on their daily function. Kingston therapists go above and beyond to provide personalized care for patients with Parkinson’s, utilizing evidence-based treatment approaches. Kingston employs staff who are passionate and experienced at helping people affected with PD regain skills and improve quality of life.

Several Kingston therapists are certified in the specialized PD treatment approaches, LSVT BIG and LOUD.

disruption; it’s a family disruption that affects both patient and loved ones. Kingston HealthCare is here to set you and your family back in motion through premier stroke care at our state-of-the art facility.

Kingston HealthCare is the region’s best choice for stroke rehabilitation offering:

• Newly constructed skilled nursing and rehabilitation center

• Team of clinical and rehabilitative experts • One-to-one specialized therapy

• Clear and candid facility-to-family communication

• Immediate, ongoing and long-term coping strategies • Private, spacious rooms

rebuild mobility renew strength resume life

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30 January 2015 | Healthy Living News

LSVT LOUD is a research-based PD-specific program designed to increase healthy vocal loudness in people with PD. LSVT LOUD focuses on the vocal loudness of speech with intensive, high-effort vocal exercises in order to facilitate vocal calibration in each patient (patients recognizing how “loud” or “soft” their voice actually is and the amount of effort required to consistently produce louder speech). The overall goal of the LSVT LOUD program is to assist in facilitating louder or “normal” speech in people with PD to improve their desired communication with others and improve their overall quality of life. LSVT LOUD is a standardized program conducted by a speech language pathologist who has completed a certification course, and is performed four consecutive days per week for four weeks. Daily homework exercises are done during the treatment duration.

The LSVT BIG program has a singular target of increasing amplitude of movement across motor systems with intensive, high-effort exercises and activity geared toward gener-

alized sensory calibration (patients recognizing how “big” or “small” their movements actually are and the amount of effort required to consistently produce bigger movements).

The overall goal of the LSVT BIG program is to assist in facilitating bigger or “normal” movement patterns in people with PD to increase their confidence, decrease their fear of falling, and improve their quality

of life. LSVT BIG is a standardized program conducted in 16 one-hour sessions, four consecutive days per week for four weeks, with daily homework practice and carryover exercises done for 30 days, with the intention of creating a life-long habit of exercise.

The LSVT LOUD and LSVT BIG programs are available on an inpatient basis after a patient has had a hospital stay, or on an outpatient basis.

Delay the Disease (DTD) is a community-based fitness program designed for people with PD to improve their physical function, delay the progression of the symptoms of PD, and thus improve their quality of life. DTD is often performed in a group setting and can be performed on land or as an aquatic program, and is conducted by staff who have completed the two-day DTD certification course. DTD is currently offered at Kingston Care Center of Sylvania and will be offered soon in Perrysburg.

Kingston Care Center of Sylvania and Kingston Rehabilitation of Perrysburg offer a variety of wellness classes in a land or aquatic-based setting within a one-to-one or group class, with the intensity of exercise being selected primarily by the client.

Each wellness class at Kingston is directed by a member of the wellness team having a minimum of a bachelor’s degree in an exercise- or wellness-related field. The wellness

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programs at Kingston are an informal way for people with PD to exercise on a daily or weekly basis in order to assist in preventing functional decline or even improve quality of life.

For more information about these Parkinson’s-specialized programs and our other healthcare services, please feel free to contact us at 419724-CARE. ❦

by Linda L. Smith, MA, LPC

Seven myths about infidelity every partner should know

E

very new relationship begins with the fairy tale expectation of living “happily ever after.” But all the evidence shows that a happy ending is the exception rather than the rule.

Most people have some inkling that the divorce rate is high and getting higher. In fact, it’s currently 40% to 50% for first marriages, and it’s even worse for second marriages and third marriages (62% and 70%, respectively). Further, surveys suggest that as many as 25% of relationships involve an infidelity. But when we make that commitment to live together or we walk down the aisle, we tend to think that somehow for us it will be different.

The naïve belief that we will be immune to difficulties is one of the biggest dangers to a successful longterm relationship. For blind trust in ourselves and our partners deludes us into thinking that relationships can be effortless. All it takes is love, right?

Wrong! Successful relationships require continual attention and an awareness of the realities of human nature. If we are overconfident, we are likely to kick back, relax, and quit paying attention to our partner and our relationship. That attitude of nonchalance opens the door to many problems—the worst is infidelity. But even if infidelity is not the result, inattention and carelessness can lead to an empty, sad, loveless life together.

Let’s look at some of the common myths about relationships and infidelity:

Myth #1: Most infidelity is about sex.

Fact: Most infidelity is about a drive to feel connected and supported.

Sure, there are people out there who are pathological liars, sex addicts, and serial cheaters. They care only about themselves and prey upon the

innocent and the trusting. But most people—men and women alike—are only trying to get their needs met and feel loved. As a result, infidelity is most likely to result from subtle problems in the relationship that existed long before the infidelity occurred.

Myth #2: It’s not infidelity if sex is not involved.

Fact: Any serious distraction that takes important energy and focus from the relationship constitutes an infidelity. That can include apparently innocent friendships, as well as gambling, sexting, alcohol or other drug abuse, social media, shopping addictions, and overwork. All these can spell the end of a relationship.

But so-called platonic friendships can be especially dangerous because they may begin to satisfy the need for an emotional connection that should be filled by the partner. Denial about the potential danger to the primary relationship only increases the risk.

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Myth #3: Good people don’t have affairs.

Fact: Most affairs involve good partners who neglected their relationship.

Some cheaters have mental health problems that may make them unfit for a healthy relationship, especially in cases of repeated and continuing infidelities. But more often than not, an affair is the result of a serious mistake by a well-meaning person. That doesn’t mean they did not commit a terrible wrong against their partner by going outside of the relationship.

Even if their partner in some way hurt or disappointed them, they should have sought a healthier and more honest way of resolving the problem. But rarely is the unfaithful partner the uncaring monster that their partner may believe when an affair first comes to light.

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Myth #4: It is foolish to stay after an infidelity because if someone cheats once, they will cheat again.

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Fact: Another infidelity is unlikely if the relationship is properly healed. Like a broken bone that has healed properly, a relationship can be stronger after an infidelity. Working through such a life crisis can be a transformative experience for both partners. With the help of a wise and skillful psychotherapist, partners can learn much about themselves and each other, as well as why the affair occurred and how to rebuild their broken relationship. If the partners have learned the critical tools for a successful relationship, their relationship can be more fulfilling than they ever thought possible.

Myth #5: After an infidelity, trust can never be restored.

Fact: If both partners work to build a strong connection, true trust can be born. After an affair, most people think that the best way to protect against infidelity is to watch their partner like a hawk. They monitor cell phones,

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Myth #6: Feeling guilt and shame will help prevent a recurrence of infidelity.

Fact: Shame and poor self-esteem do not make infidelity less likely. After an affair, many wronged partners feel they must continually bring up the betrayal to make sure the cheater never wrongs them again. Of course, deep remorse and regret are a necessary part of the healing process, and the partner who had the affair must be willing to express openly, fully, and repeatedly their sorrow over the pain they have caused. They must

Sylvania Franciscans celebrate 98 years

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computers, and Facebook accounts and demand that their partner account for every minute spent away from home. Such a strategy will inevitably fail because it ignores the true basis of a secure relationship. The only way to prevent infidelity is to work 24/7 to stay open, loving, and connected—and insist that your partner do the same.

True trust is founded in deep emotional intimacy and connection, not a blind belief that nothing will ever go wrong.

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he Sisters of St. Francis of Sylvania, Ohio celebrated the 98th anniversary of the founding of their religious community on December 8, 2014.

Responding to a request in 1916 from the Bishop of the Toledo Diocese, the Most Reverend Joseph Schrembs, the Rochester Franciscans from Minnesota sent 23 Sisters to teach Polish immigrants in three Catholic schools in the city. In 1917, the Sisters purchased 89 acres in Sylvania, where they established their Motherhouse. Today, the Sisters of St. Francis of Sylvania serve in 11 states and the island country of Haiti, ministering in education, social work, health and human services, religious, parish, and spiritual direction.

“The official celebration of the Sisters of St. Francis began in a

thunderstorm in the Toledo railroad station on December 7, 1916, when four sisters, including Mother Adelaide, the foundress of our community, arrived from Rochester, Minnesota,” said Sister Mary Jon Wagner, Congregational Minister of the Sisters of St. Francis of Sylvania, Ohio.

“From that celebration to this one, we Sylvania Franciscans continue to minister to God’s people in response to a need and call. Sisters then and now bring their hearts and skills to their various ministries and share the love of God with all His people.”

In honor of the occasion, more than 100 Sisters from the local area attended Mass at 4:30 p.m. in Our Lady Queen of Peace Chapel to give thanks for the past and reflect on the future. The Liturgy was followed by dinner in the Rosary Care Center dining room.

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32 January 2015 | Healthy Living News

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also be willing to work hard to make amends to the wronged partner, to help build a loving connection, and to create true trust. All this requires the willingness to be painfully honest and vulnerable. But wallowing in shame and self-hatred will only interfere with building a partnership of mutual love and openness.

Myth #7: Healing after an infidelity requires knowing all the details.

Fact: Knowing some details can make healing less likely. After an infidelity, the partner who was wronged experiences painful, even traumatic, shock and disbelief. They move through a difficult process of reconstructing the history of their relationship and wondering what was really going on every time their partner was away.

To answer such questions, they often want to drill the cheater about every detail of the affair and the other person.

Some questions are fair and helpful in rebuilding the relationship. But others can make it more difficult to heal. For example, it is not helpful to have information that creates pictures in your mind of your partner with the other person. A skillful counselor

can often help guide this process so it provides information that is useful, not just hurtful.

Discussion of these myths should show that infidelity doesn’t need to mean the end of a relationship. It

can actually be just the beginning of a healthier, happier relationship. In fact, as many as half of couples stay together successfully after an affair. If the partners still love one another, if there is true remorse, and if both are willing to work kindly and patiently

to build true connection, success is possible. It is a difficult road to travel, but the rewards are great. ❦ Linda L. Smith, MA, LPC, is a licensed professional counselor at Central Behavioral Healthcare in Toledo, Ohio.

At St. Clare Commons, food quality is no trifling matter

F

ood: We sit down to enjoy it three times (or more) a day. It figures prominently in all our holidays and traditions. It’s interwoven in our memories and reminiscences. It comforts us in times of sorrow and cheers us when we celebrate. Food truly is the stuff of life, both literally and figuratively.

Given the vital role food plays, we certainly don’t want to compromise on its quality when choosing a senior living community for ourselves or a family member. In fact, at St. Clare Commons, a Franciscan Living Community located at 12469 Five Point Road in Perrysburg, you could say serving food of the highest quality to residents and their loved ones is something of an obsession.

“Consistently, one of the biggest

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complaints people have about assist- site restaurant and order whatever ed-living, skilled nursing, and rehab they like from a menu. With fine dining environments is the quality of the available on campus, residents are food they serve. Many much more inclined to facilities offer one-sizeinvite loved ones to visit fits-all meals in a cafeand enjoy meals with teria-like atmosphere, them. “They’re proud which is not conducive to be able to provide to pleasurable dining. that type of dining exWe decided at the outset perience for their family to do things very differand friends,” McGlothlin ently here,” says Carrie adds. “It also offers a McGlothlin, Regional great opportunity for Director of Marketing residents to come out for Franciscan Living of their apartments or Communities. rooms and socialize with one another.”

And that difference is profound. At St. Clare The skilled-nursing Commons, assisted-livand rehab residents have ing residents enjoy fine designated dining areas dining in their own onand are served the same Chef Brad East

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restaurant-quality meals that they select from a menu. The campus even features its own Starbucks® café, where residents can relax and socialize with family and friends over a steaming cup of coffee. Plus, the resident council meets once a month to discuss all kinds of issues, and the topic of food is often on the agenda, so residents have considerable influence over what they eat.

Of course, just because food is served in a fine-dining atmosphere doesn’t necessarily mean it’s of the

highest quality. That’s where Executive Chef Brad East comes in. East just recently brought his extensive experience and training in the culinary arts to St. Clare Commons’ kitchen, and has wasted no time in introducing innovative, flavorful meals. For example, at the resident Christmas party, he served charbroiled beef tenderloin medallions in a mushroom veal demi-glace with a rich lobster chowder.

From as early as age 15, when he began washing dishes in a local Ital-

ian restaurant’s kitchen, East knew he had a future in food. “Within six months, I moved to a prep-cook position, which started to open my eyes to that world,” he recalls. “From there I started making salads and breads and doing other pantry jobs, and I really enjoyed what I was doing. Whatever my job entailed, I was always observing and learning from what others were doing so I could make those techniques part of my own approach.”

After igniting his passion for food

preparation in a few area restaurants, East decided to nurture it further by enrolling in the Pennsylvania School of Culinary Arts. There he learned from several exceptionally talented chefs, not just how to prepare fine foods, but also about their varied experiences in different restaurant kitchens. “At that point, I knew I was making the transition from ‘mom-and-pop’ type restaurants into a more professional realm of cooking,” he says.

Upon graduation, he put his new skills to work for a local country club and then in various restaurant and hotel kitchens.

East connected with the healthcare world while working for a contract management company that sent him to kitchens in a wide variety of senior-living facilities across the region, further enhancing his breadth of experience. Deciding to stay in healthcare, he helped open the kitchen in a new local hospital as well as in a Sylvania skilled nursing and rehab facility, where he put all his skills to the test and ultimately worked for a total of 10 years.

When East found out St. Clare Commons was looking for an executive chef, he visited the facility and was truly impressed with what he saw. “The building here is amazing, and the kitchen is one of the nicest I’ve worked with in healthcare. Everything is state-of-the-art. When I walked into the kitchen and saw all the possibilities it presented, I realized that the sky is truly the limit here,” he says. ❦ For more information about St. Clare Commons, please call 419-931-0050 or email info@stclarecommons.org.

A New Year's resolution with impact

by Mark S. Faber, USPTA Elite Professional

A

s 2015 begins, people will make New Year resolutions to improve their health. This always seems to be the most common one every year when I talk with my friends. I would like to challenge Healthy Living News readers to make the resolution to encourage young people to get away

34 January 2015 | Healthy Living News

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from the computer or game consoles and out in the backyard with friends playing games.

I have been fortunate enough to attend many educational conferences over the years, and two topics always seem to come up: child obesity and the lack of athletic development in the majority of our youth today. If we look at how things are done today, kids are so scheduled that they have very little time for free play, and when they do have the free time they choose to play videogames.

I am certainly not an expert in the field of child development, but I can recall (as I am sure many of you can) what occurred during our youth.

Many times, I would come home from school and meet my friends at one of their houses and play various sports until the streetlights came on.

As I reflect back on that time, I don’t recall any significant concerns about childhood obesity or that kids were not developing athletically. Sure, there are exceptions today, but as a whole we are not anywhere near where we once were.

Research shows that early specialization is not always the best option for a young athlete, yet as coaches,

we tend to stress it for a variety of reasons. There is also research that shows that if athletic skills are developed in an individual at a young age, then they have a greater chance of succeeding in what they choose to do. See, “back in the day,” this was all taken care of during those backyard football games, driveway basketball games, and other informal games that help develop the overall athlete.

You might be asking, why this article this month? Why as a tennis professional do I take this path? The answer is simple: If we all agree to encourage our kids to play more and structure less (and maybe actually go outside and play ourselves), we can all become a small part of the solution in combating the child obesity issue and helping our youth to develop athletically. Sure, the better the athlete I see, the better the tennis player they can become, but that is not my reasoning. Let us help the youth of today, for they are the future leaders of tomorrow.

So, let us all make a New Year’s resolution that we will commit to having our kids play 30 minutes a day, five days a week. No structure, just pure fun! ❦

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Patient, heal thyself: Regenerative medicine is wave of future

M

ention the term “medical treat- patient’s arm and spun in a centriment,” and most people en- fuge to concentrate the platelets. vision the use of drugs or surgical Contained within the platelets are intervention to cure disease or repair various growth factors and bioactive injury. But a burgeoning new field hormones that promote regeneration in medical treatment, of tissue. After the area known as regenerative has been anesthetized, medicine, actually takes this platelet-rich plasadvantage of human cells ma is then re-injected to accelerate healing in at the site of the injury abnormal or diseased tisor tissue abnormality. sue—in essence, using “For example, if we’re the patient’s body to heal treating a man in his 50s itself. with Achilles tendonitis, According to ProMediwe look at the site with ca physician Roger Kruse, ultrasound to locate the MD, one of the many diseased tissue and then exciting aspects of this inject the PRP into the Dr. Roger Kruse revolutionary area of injured area,” says Dr. medicine is platelet-rich Kruse. “The PRP actually plasma therapy, or PRP, which can be causes some irritation, which re-enused to treat a wide variety of con- ergizes the healing process so the ditions, such as Achilles tendonitis, body begins to lay down new tissue.”

PRP can also be injected along rotator cuff tendonitis, patellar tendonitis (jumper’s knee), and lateral the spinal cord as an alternative to epidurals for the treatment of sciatica epicondylitis (tennis elbow).

During PRP therapy, a small (pain radiating from the lower back amount of blood is drawn from the down the leg). Dr. Kruse explains

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that epidurals temporarily deaden the pain by reducing inflammation.

However, they damage the nerves at the same time. In contrast, PRP doesn’t merely deaden the sciatic pain, but actually begins to heal the damaged nerve.

Dr. Kruse performs PRP therapy right in his office at ProMedica Wildwood Medical Center, and the procedure, which is done under local anesthetic using ultrasound or x-ray guidance, takes only about a half hour. “PRP has been used in Europe for a long time and here in the US for about five years with good results.

More and more patients are opting for this therapy because it involves no surgery, no drugs, and little to no downtime,” he says.

An even more powerful form of regenerative medicine than PRP is stem cell therapy, which can be used on patients with arthritis of the knee,

hip, ankle, or other joints to prevent or postpone the need for a total joint replacement.

With this procedure, which takes about a half day and is performed right in Dr. Kruse’s office, bone marrow is drawn from the back of the patient’s hip and is processed to yield stem cells. (Stem cells are undifferentiated cells that have the ability to develop into many different cell types.) The stem cells are then injected directly into the damaged joint to stimulate healing.

Not all patients with arthritic joints are good candidates for stem cell therapy—in some cases, total replacement is unavoidable because the damage to the joint is just too extensive.

However, it may be a good alternative for patients who simply have joint pain and are fearful of surgery, having a foreign body inside them,

or developing an infection. “With stem cell therapy, there’s very little chance of infection, no artificial joint to break down, and no downtime.

Some patients might still need a total replacement down the road, but even if you can buy them five years, you’re doing them a great service. In other cases, the patient might choose to have stem cell therapy done once and then again five years later,” Dr. Kruse explains.

An exciting new application for stem cell therapy that will be offered at ProMedica Wildwood Orthopaedic and Spine Hospital beginning this month is using it in conjunction with orthopaedic surgery to repair or heal a damaged meniscus—the cartilage that acts as a shock-absorbing “cushion” in the knee joint. After the

surgeon goes in to fix or clean up the injured meniscus, the stem cells are put in to produce better results and accelerate healing. Dr. Kruse hopes the availability of this technique will bring patients in from all over the country.

“Regenerative medicine, which uses the body to repair itself with no drugs or surgery and little to no downtime, is still in its infancy, but it’s truly the wave of the future as medicine moves forward,” Dr. Kruse states. ❦ To learn more about ProMedica Regenerative Medicine, call 419-5787515 or visit www.promedica.org/ regenerativemedicine.

Acupuncture can help with those pesky resolutions

by Douglas Schwan, DC, Dipl ac

A

cupuncture is a system of medicine that goes back over 2,500 years.

Its essence is that there are flows of energy around the body, termed Qi, which are used by the body to maintain health and homeostasis.

Disruption of these patterns can lead to health problems. Acupuncturists can diagnosis these patterns and stimulate points along their flow in order to balance the energies and restore health.

Can I stop smoking?

Schwan

36 January 2015 | Healthy Living News

With the coming New Year, many people will make resolutions to start living healthier. Smoking is one health hazard that is easy to recognize. However, kicking the habit can be devilishly hard. With the cost of cigarettes today, a monthly bill for a one-pack-a-day habit can easily equal a car payment!

Studies have shown that acupuncture stimulates the release of endorphins and other brain chemicals, canceling out cravings and easing the symptoms of nicotine withdrawal. Acupuncture in the first two weeks of quitting can get you over the “hump” and lead to long-

term cessation of a bad, dirty habit.

Can I lose weight?

Of course, smoking is only one New Year’s resolution. Another is to lose weight in the coming months. There are many reasons people become overweight—hormone imbalances, slowed metabolism, overeating, poor nutrition, and lack of exercise are some of the most common. People also have a tendency to “medicate” themselves with food in times of stress.

There is also the problem of getting the proper balance of vitamins and minerals in our diet. If some trace nutrient is in short supply, our body might compel us to eat a lot of useless calories in order to get enough of this nutrient. A well-known example of this is food cravings; the body will crave a certain food because it is rich in something the body needs. We see this in pregnancies all the time.

Whatever the cause, weight gain occurs when we take in more calories than we use up. The body’s hunger reflex is controlled by an area in the brain called the hypothalamus and by cells in the gut lining. When the gut is empty, it stimulates the release of the “hunger hormone” called ghrelin, which stimulates the brain to “be hungry.” Fat cells, in turn, fill up with fat and release another

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hormone called leptin, termed the “satiation hormone.” Leptin tells the brain you are full and to stop eating.

Research has shown that this simple feedback mechanism can be influenced by specialized acupuncture treatments that can reduce blood levels of the “hunger hormone” and raise the levels of the “satiation hormone.” It thus becomes much easier to maintain proper portion control when you are not gluttonously hungry all the time!

Acupuncture for weight loss is usually paired with commonsense steps that help avoid repeating a pattern of poor nutrition that can seriously impede your journey to a healthier you.

Can I stop hurting?

Pain comes in all shapes and sizes.

If pain is cramping your style, a consult for acupuncture may be a good idea in the New Year.

Chronic pain can, after a time, reinforce itself as a “pattern” in the brain. Studies have shown that acupuncture treatments are capable of raising the levels of endorphins and enkephalins, which are morphine-like natural painkillers made by the body.

In addition to pain relief, acupuncture treatments can stimulate healing directly in areas of damage.

Many times your doctor will accelerate the energy effect by running a micro current between two acupuncture needles, thereby “turbo boosting” the local energy levels and speeding healing. Even Western physicians are keen to this trick, as electric currents are used to speed the healing of particularly nasty bone fractures.

One recent research study on pain and acupuncture utilized a magnetic resonance imaging (MRI) of the brain. As much as a 70% decrease in activity in the pain center of the brain was recorded after an acupuncture treatment.

Strong pain killers can be both addictive as well as lose their effectiveness over time. Acupuncture might be a good adjunct to your pain management.

What about stress and anxiety?

Stress is probably the number-one cause of most illness today. It lowers your resistance to disease and can break down the body’s functions over time. Eliminating or minimizing stress should be on top of everyone’s “get healthy” list.

There are many drugs out there to treat stress and anxiety, but they come with many side effects: weight gain, suicidal thoughts, addiction, sexual dysfunction, difficulty focusing, etc. For thousands of years, practitioners have known that acupuncture can relieve or reduce stress and anxiety in patients.

The question has always been, “Just how does acupuncture do this?” A recent study in the Journal of Endocrinology may point the way. When a body is under stress, three chemical hormones are released, one each by the hypothalamus, the pituitary gland, and the adrenal gland. In a carefully controlled rat study, these stress hormones had reduced levels following acupuncture treatment vs. sham and no treatment. Reducing

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prolonged elevations of this “Terrible Triad” of stress hormones is key to managing long-term stress. In fact, many patients report a feeling of euphoria from their treatment. Many chronic illnesses can be headed off just by reducing your stress levels.

Are you considering acupuncture?

If you are interested in starting the New Year right and are firm in your resolutions, you may find that acupuncture is a good, drug-free way to achieve your goal of quitting smoking, losing weight, decreasing pain, or lowering your stress and anxiety.

Most practitioners will allow you to come in for a free consult and talk about how acupuncture might

by Dianna Randolph, AuD, CCC-A

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38 January 2015 | Healthy Living News

Dr. Schwan is available to speak to your group on a wide variety of alternative medicine topics. He is a 1982 graduate of Palmer College of Chiropractic as well as a Diplomat in 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. His practice is located in Toledo, Ohio, and he may be contacted at FAQ@acupuncturetoledo. com. For more information on alternative medicine, please visit his website at www. acupuncturetoledo.com.

Pain relievers and hearing loss in women

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be suited to your particular case.

Together you and your doctor can work out a treatment plan that is tailored to your individual needs. ❦

A

s we get older, we often notice changes to our bodies, such as vision loss, hearing loss, and increased aches and pains. With vision loss, most people will make an appointment to see an optometrist or an ophthalmologist, and with hearing loss, it is recommended to decrease your level of noise exposure and make an appointment with an audiologist. But with vision loss and hearing loss, most times there are no preventable measures that can be taken to decrease the level of loss. As for those aches and pains, most people will just take an overthe-counter pain reliever, but did you know that those pain relievers may be increasing your chances of developing hearing loss?

For many women, analgesics such as ibuprofen and acetaminophen are commonly used for pain relief, but these pain relievers have been

found to cause hearing loss. Brigham and Woman’s Hospital (BWH) conducted a baseline study of 62,261 women, 31 to 48 years of age. The women were then monitored over a 14-year period (1995 to 2009). At the end of 14 years, 10,012 reported hearing loss.

To break the study down into more specific information, when compared to women who used ibuprofen less than one time per week, those who took it two or more days per week had a 13% increased risk of hearing loss. Women who used ibuprofen four to five times a week had a 21% increased risk of hearing loss, and six to seven times a week increased their risk of hearing loss to 24%.

An interesting fact is that the link between these medications and hearing loss tends to be greater in women under 50 years of age, especially those who took ibuprofen six to seven times a week or more.

The same results were seen with acetaminophen, but there was no association with hearing loss and aspirin, though excessive aspirin has been known to cause tinnitus (ringing in the ears).

The possible cause of the hearing loss was explained by Sharon G. Curhan, MD, of BWH’s Channing Division of Network Medicine. She stated that the “possible mechanisms

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might be that NSAIDs may reduce blood flow to the cochlea and impair its function.” She goes on to say, “Acetaminophen may deplete factors that protect the cochlea from damage. If individuals find a need to take these types of medications regularly, they should consult with their healthcare professional to discuss the risks and benefits and to explore other possible alternatives.”

The study at BWH was a large part of a bigger study with support by the National Institutes of Health and Vanderbilt School of Medicine. Dr. Curhan explains, “BWH is currently leading a study funded by NIH in over 150,000 women called CHEARS: The Conservation of Hearing Study.

As part of this study, we will perform formal hearing tests in 3,300 women at 16 testing sites across the United States, now and three years from now, to identify factors that may influence early changes in hearing and to prevent further loss. Examples of specific factors that will be examined include use of analgesics, alcohol intake, hormonal factors, and dietary intake.”

It is not just women who are affected but also men. In a study from Harvard University, Brigham

and Women’s Hospital, Vanderbilt used intravenously can cause hearUniversity, and the Massachusetts ing loss.

Eye and Ear Infirmary, data was taken Topical eardrop medications confrom nearly 27,000 men between taining gentamicin or neomycin do the ages of 40 and 74 who filled out not appear to be ototoxic in humans questionnaires every two years for unless the eardrum is perforated.

18 years, starting in 1986. In men Large amounts of aspirin can cause under 50 years of age, regular use of hearing loss, but the hearing acetaminophen nearly doubled the usually returns when the likelihood of hearing loss, regular aspirin is discontinued. aspirin use increased the chances of hearing loss by 50 percent, A long-term study showed that and regular NSAID regular use of certain over-theuse made hearing counter drugs can produce a loss 61 percent more likely. The researchers significant loss of hearing. theorized that aspirin and acetaminophen reduce blood flow to a small tube Some chemotherapy medications, in the inner ear called the cochlea, like cisplatin, can cause hearing loss. which processes sound vibrations. When ototoxic chemotherapies are “Acetaminophen may deplete [a used, blood levels are monitored protein called] glutathione in the and an audiological evaluation is cochlea. Glutathione has been shown performed before therapy to estabto protect the cochlea from damage, lish a baseline. A hearing test is then such as damage that may be caused recommended before every treatment by noise,” says Dr. Curhan. and even after treatment is completed It is not only these pain relievers for the next few years. Finally, some that can cause hearing loss, but other diuretics, like Lasix, can cause hearing types of medication as well. Some of loss if given intravenously. the more popular antibiotics, such as Ototoxic medications cause a gentamicin and vancomycin, when high-frequency, or high-pitch, hear-

ing loss that is usually permanent.

This type of hearing loss will cause issues with understanding, making speech sound muffled, especially in the presence of background noise.

The muffled sound is from the lack of consonants that are located in the high-frequency area (s, sh, f). This type of hearing loss can be very frustrating but is correctable with amplification.

At Northwest Ohio Hearing Clinic, we have improved the hearing of many people with this type of hearing loss.

If you or someone you know has difficulty understanding speech or complains that people mumble, it could be a sign of hearing loss.

Many may remember about 13 years ago when radio personality Rush Limbaugh reported a sudden profound hearing loss in both ears.

It was reported that an autoimmune disorder caused this hearing loss, but many have speculated that it may have been the prescription painkillers he was abusing at the time that may have caused or contributed to the hearing loss. The true cause will never be determined unless a biopsy of the

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39

inner ear is performed, and this cannot be done without destroying the ear.

In Rush Limbaugh’s case, whether it was an autoimmune disorder or the abuse of prescription drugs, the outcome would have been the same.

Mr. Limbaugh regained his hearing through the use of bilateral cochlear implants.

This article explained how certain medication, either over-thecounter or prescription, can cause hearing loss. If you take any of the medications mentioned, please do not discontinue them without consulting your physician first. If you have noticed recent hearing loss or even gradual hearing loss, whether you take any of the mentioned medications or not, you should make an appointment for a hearing evaluation. The audiologists at Northwest Ohio Hearing Clinic can discuss your medications with you and let you know if hearing loss or tinnitus can be a side effect. ❦ Dianna Randolph, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

Laurels of Toledo thanks first responders at Station 4

W

e don’t tend to give much thought to the selfless professionals in our community who keep us safe and rush to our aid in emergencies—that is, until we need them. But at The Laurels of Toledo, a skilled nursing and rehabilitation center located at 1011 Byrne Road, the firefighters of Station 4 are always held in high esteem.

To show their gratitude to the Station 4 crew, staff members and patients from The Laurels recently visited their fire house at 3940 Hill Avenue and presented a token of their appreciation—lunch and a Kroger gift card to help defray the crew’s grocery costs.

“Station 4 is the closest fire station to The Laurels, and they’re always our first responders in the event of an emergency,” explains Laurels Administrator Edward Beatrice.

“With it being the holiday season, we just felt it was

40 January 2015 | Healthy Living News

the right time to recognize and thank our local firefighters for the vital work they do, not just for us, but for the entire community.”

Beatrice emphasizes that firefighting is one of only a few noble professions that put workers lives at risk as a routine part of the job, recalling that it was just a year ago this month that local firefighters Private Stephen A. Machcinski and Private James A. Dickman lost their lives fighting a fire in North Toledo.

“Our first responders may not be putting their lives at risk when they come here, but at any moment, on any day, they may be expected to do so in the course of trying to save others,” he says.

To help do their part to promote fire safety in the community, The Laurels conducts home safety visits/ evaluations for therapy guests prior to discharging them to home. During the visit, the therapy team member will ensure that there are functioning smoke detectors (with working batteries) in the home and that the guest is capable of making 911 calls if necessary.

Beatrice also encourages everyone in the community to connect with and support their local first responders. For information and a brief history on the station nearest to you, visit toledofirerescue.com and click on “Stations.” ❦ The Laurels of Toledo accepts

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Medicare, Medicaid, and all private commercial insurances. For more

information, please call 419-536-7600 or visit www.laurelsoftoledo.com.

Eating Well

by Laurie Syring, RD/LD

Mercy palliative care clinic helps chronically ill patients maintain high quality of life at home

E

ffective treatment of chronic illness techniques that relieve symptoms,” addresses not only the underlying Hallett says. “They can also see a disease, but also its physical symp- chaplain for their spiritual needs, toms as well as any accompanying a social worker for help accessing emotional, psychological, spiritual, or community resources, a dietitian for social issues. Recognizing the growing nutritional counseling and help with need in our community for holistic eating problems, and a pharmacist care that focuses on chronically ill for advice and guidance on their patients’ overall comfort and quality medications. But what really sets our of life, Mercy recently expanded its clinic apart is that a physician, Dr. palliative care services to include the Mohammad Al-Nsour, actually sees new Mercy Outpatient Ambulatory all clinic patients while remaining Clinic at Mercy St. Anne Hospital. in close communication with their The new clinic, which is currently primary care physician. So we serve offered on the first Wednesday of as a support system for patients and every month, serves as a bridge physicians alike.” from hospital to home Palliative care Palliative care for chronically ill pais among the most tients who have been can be initiated at important and fastdischarged but need est-growing services any point in the ongoing support and offered in healthcare disease process and symptom management systems today, yet in order to avoid unnecdoes not preclude many people remain essary rehospitalization that it’s even pursuing curative unaware or emergency room available to them. Halmeasures. visits. Anyone with a lett points out that varchronic disease or diagious agencies provide a nosis that will change their lifestyle wide range of palliative-care services in hospitals, skilled-nursing facilidrastically is eligible to attend.

According to Annette Hallett, RN, ties, and patients’ homes, adding Regional Manager of Mercy Pallia- that “Mercy’s new clinic will only tive Care Services, it’s important to improve access to those services for note that palliative care is not the the community.” same thing as hospice care, though Mercy currently offers palliative the two have much in common. care services, including coordinators She explains that the palliative for both adult and pediatric patients, care model is similar to hospice in in all its facilities. Hallett sees her role that it treats the patient as a whole as expanding upon these services, and the family as a whole unit with looking at each hospital individually emphasis on symptom management to see how to grow the program there and the patient’s psychosocial and and to ensure consistency in how spiritual needs. However, palliative services are delivered so patients can care differs from hospice in that it expect the same level of palliative can be initiated at any point in the care at every Mercy facility. “We disease process—from the time of want to ensure that all patients going diagnosis up until the end of life— through the life-altering changes and does not preclude pursuing brought about by chronic disease curative measures. In contrast, get the support they need and the hospice care is usually initiated comfort in knowing they’re not going after all medical options have been it alone,” she says. ❦ exhausted and curative efforts are no longer desired.

Patients can either be referred to the “At the Mercy Outpatient Am- Mercy Outpatient Ambulatory Clinic bulatory Clinic, we’ll see patients or call to see whether they are eligible. who may need to discuss their goals To schedule an appointment, call 419of care and require medications or 407-1182.

Ring in the New Year with a diet?

T

he January installment of this column would not be complete if we didn’t talk about dieting and eating right. January equals resolutions, and it should come as no surprise that the number-one resolution is losing weight.

Of course, eating right and following a diet is not easy unless you have a specific plan to follow. But just choosing a plan can be a struggle—almost enough to give up on your resolution before you’ve even begun. It would not be as challenging an undertaking if you could remove all the lists, shopping, menus, measuring, and counting. That’s the appeal of all the diet meal-delivery programs we see advertised at this time of year.

These programs are nice because they do it all for you except put the food in your mouth! The meals appear at your doorstep—often with no preparation, no shopping, no impulse buys, and no problems. Follow the plan, and the weight comes right off!!

Some of these programs are good and some not so good. What you really want is something that offers results that are sustainable and healthy—a program that offers the weight loss

and maintenance. After all, why go to all the trouble to lose weight only to regain it?

Let’s examine the pros and cons of these programs and review the more popular ones to determine which might be the best fit for you.

The pros The benefits of these programs include: Convenience: The pre-planned programs are perfect for the person who does not want to think about what they are going to eat; they don’t have to prepare it. It’s all prepared for you and ready to go.

For example, bistroMD has over 160 entrees to choose from, and they are all fully cooked and frozen.

Success: According to a study in Diabetes Care April 2014, participants with type 2 diabetes lost three times more weight in a commercial weight-loss program with prepackaged foods than in a planned menu with weekly counseling sessions. Seventy-two percent of participants were able to decrease or stop their diabetes medication by significantly reducing their blood glucose levels.

Cost: Plans can cost between $150

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and $300 a week. To some, the cost is worth it when they see the results with very little effort, as it often eliminates major shopping and cooking.

MD and dietitian developed: I’m proud to learn many of these programs are developed and created with guidance from medical doctors and registered dietitians. Some programs, such as bistroMD and Jenny Craig, even have dietitian and MD phone counseling and/or e-mail support.

The cons On the other hand, these meal-delivery programs do have their drawbacks, including: Special diet needs may not be addressed: If you need a special diet, such as vegetarian, low-sodium, allergy-friendly, or gluten-free, be aware that some programs do not accommodate these diet restrictions. Some people get swayed by the plan’s popularity and purported benefits but are discouraged when the shipment arrives and does not meet their special needs. I found that two plans, Fitzee Foods and Diet to Go, will make customized meal plans for special diets.

Less-than-tantalizing taste: Well…what did you expect? Again, many people order the program and receive the meals only to find out they really don’t like the food.

Some plans, such as Chef ’s Diet and Healthy Chef Creations, offer fresh, chef-created meals that do taste great, but they will cost you more.

Cost: This can be either a pro or con, depending on how you look at it. Some plans can be very expensive—and some people are willing to pay the price. But for most, it is a

lot of money to shell out, especially if they still have to shop and cook for other family members.

According to the USDA, the average person spends $7 a day on food, sometimes more if they eat out. So let’s say $10 a day x 7 days = $70 a week. Most plans cost double or triple that! However, they do eliminate the shopping and cooking.

For instance, Jenny Craig will cost you $15 to $23 a day plus delivery, and you add your own fruits and vegetables. Medifast may cost $90 a week for snack bars, shakes you have to make, and processed snacks.

Choose wisely Any program that reduces calories will lead to weight loss if followed.

So, when considering a diet delivery program, examine it carefully before making a decision and parting with your hard-earned money. Make sure it meets any special needs you have, offers a money-back guarantee if you’re unsatisfied, and is in line with your budget. Decide how much weight you need to lose, how long it will take, and how much that will cost.

As great as many programs are, there are a lot of programs out there that may or may not be realistic for longterm weight loss and maintenance.

The ultimate goal in my mind is to learn how to live a healthy lifestyle and not regain the weight. As regular HLN readers know, my motto is “Make healthy food choices on most days,” knowing that it’s difficult to be 100% healthy every day of the week. Moderation allows all foods to fit into a healthy diet.

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Best of luck in 2015! We’ll continue to help you to eat healthy and stay fit the whole year through! ❦

Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

Dispelling myths about childhood obesity

by Nancy M. Surella, BS Ed

M

y job as a Health Educator with Mercy Children’s Hospital and the Kohl’s Kids in Action program takes me into elementary classrooms throughout our area. I teach four key messages: get enough sleep and water, get at least one hour of physical activity, and eat a variety of colorful fruits and vegetables every day. I love my job. Over the years, I’ve found that children have a lot of misconceptions about why they may, or may not, be overweight. Unfortunately, some of this misinformation can get in the way of your child’s weight-loss success. Here are a few examples:

“I’m big-boned; everyone in my family is.”

If your child’s weight is more than the normal range for his age and height, he meets the definition of being overweight or obese. You can’t rationalize that away. While there are certain metabolic or hormonal imbalances that often get blamed for weight problems, in truth they are responsible for less than one percent of cases of childhood obesity. Speak to your child’s doctor and have a complete medical evaluation done.

You will most likely find that your child’s weight issue is due to poor eating and activity levels.

“My mom won’t let me go out to play because it’s too dangerous.”

Don’t let safety concerns keep your child inactive. There are plenty of ways to stay active without going out into your yard or to the park. Put on an exercise video, or just some upbeat tunes, and dance to the music.

You could jump rope, spin a hula hoop, or see how many times you can hop on one foot without stopping. You might also consider a program at the YMCA/ JCC, the Boys and Girls Club, or an afterschool Fit Club.

“I’m too busy to exercise.”

Can’t find an hour? Break it down.

A 15-minute walk to school, another one home, and you’re half way there.

You and your kids will benefit from a family walk together. It’s free, and it offers a great opportunity to talk about your day. Another idea is to try activity spurts during commercial breaks of your favorite TV shows.

And, since we’re on the topic of television…

Any screen time (tablets, TV, computers, phone screens) should be limited to no more than two hours per day. If your child spends an hour researching a paper on the computer, it counts. This may be an opportunity to teach your child about balancing his time.

“The only vegetable I like is French fries.”

As a parent, it’s your job to provide your child with a variety of colorful fruits and vegetables. As I teach my students, each color does something specific for your body. For example, red fruits and veggies help your joints and muscles; yellow and orange help your skin, bones, and eyes; and greens boost your immune system. That’s why it’s important to eat every color every day.

When children are invited into the kitchen to help prepare meals, they’re more likely to eat fruits and vegetables, especially when added to other foods like soups and pasta.

At kohlskidsinaction.org, you’ll find a variety of easy recipes that are fun for families to prepare.

You’ll also find activity ideas, homework tips, tricks to stay healthy, and more. ❦ Nancy Surella is a Health Educator with the Kohl’s Kids in Action program at Mercy Children’s

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

Hospital. For more information about having her come to your class or other community event, call 419-251-1246 or visit kohlskidsinaction.org. Kohl’s Kids

in Action is funded by a grant from Kohl’s Cares, through your purchase of their cause merchandise (story books and stuffed animals).

nobody’s perfect Sister Karen Zielinski, OSF

Flying in a wheelchair

“H

ow do you get onto the plane?” a friend asked me.

I told her I drive my electric cart down the jet way, walk on the plane using my cane with one hand and sometimes the arm of a flight attendant on my other side.

Other friends asked how I travel with my electric cart. I explained: Air travel by persons using wheelchairs, electric carts, or walkers happens every day. I think this is the

classic “thinking outside the box,” since conventional wisdom often limits what those who have mobility challenges can do. The attitude that it is too much trouble to travel with a mobility challenge is limiting, incorrect, and an additional misunderstanding of what a person with a wheelchair or cart can do.

Recently, I was invited to attend the National Multiple Sclerosis Society’s Conference in Dallas, Texas.

I participated in a “think tank” of neurologists, researchers, scientists from the NIH (National Institutes of Health), MS life coaches, persons with MS, and those of us who concentrate on the healing aspects of the spiritual life of each person.

I flew to Dallas alone. Some people do not realize that travel by plane while using a wheelchair, walker, or electric cart can be done. It just takes a little planning—making sure I take my photo ID (my driver’s license), packing my personal medications, and asking questions before, during, and after the flight.

First, I book my airline ticket.

I either tell the airline representative or add a note that I use an electric cart and need to check it to my destination. I ask the agent to please note on my ticket that I use an electric cart. I request a seat on the aisle in the bulkhead—the first row of seats after First Class.

On the day of my flight, I check any luggage I might have and then proceed to the gate where I will board the plane. At the

gate, I tell the agent that the cart is mine and has a dry-gel battery for power. I always carry an extra key to my cart in my purse in the remote chance it falls out. I also have my name, address, and cell number on my electric cart. The agent places a bright-pink ticket on my cart.

The gate agent and flight attendants are the best resources for a person with a disability.

Although I have called ahead and asked that the ticket reflects the fact that I use a cart, etc., I always remind the agents again. They might not have read the notes on my ticket. Also, one traveler might state they can transfer to a seat, and they really cannot, or the plane configuration might be different— smaller or larger than the person is accustomed to—and they might have trouble getting into their seats. We need to make our needs known.

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without an arm, I ask for help, “May I use your arm to get across this stretch of floor?” I do not want to fall, and I have always found the flight attendants (and many times the pilots) so gracious and helpful.

When I go through security, my carry-on bag is placed on the security/x-ray area. I proceed to the TSA security area where I have to take off my shoes, get patted down. I sometimes have to remove the cloth basket liner off my cart’s basket and go through a thorough scan/wipe of my entire cart. When finished, I proceed to my gate. The persons in the security check area are always kind and helpful. They ask questions about whether I can stand to be checked or if I need to sit. I usually stand for a short time and finish the check area.

When it is time to board the flight, the gate agent announces, “Persons needing special assistance may board now.” I drive my electric cart down the jet way and stop at the door of the plane. I ask the flight attendant to place my carry-on in my seat. The agents help me down the ramp or through the door of the plane. I usually can walk to my seat by holding on to the back of the first-class seats. No one has boarded yet, and I do not bump people at this time. I take my seat and enjoy the flight (if there is no turbulence).

When we start to make our descent, I remind the flight attendant that my own blue cart will be at the gate. When we land, I check my cell phone, and the shuttle to my hotel room (which I’ve called and ordered ahead of time) texts me its ETA—estimated time of arrival. I sometimes have to wait for the shuttle, often because the flight came in early or late.

When it is time to deplane, I simply walk to First Class, sit down, and wait for my electric cart. It has been stowed with the luggage, and after the luggage is taken out, my cart makes its way to the jetway of my gate. Depending on the ramp or floor that connects the plane to the

44 January 2015 | Healthy Living News

jet way, I walk the short distance using my cane or again ask a flight attendant for an arm. When I am on my cart, I proceed to baggage and then to ground transportation to meet my shuttle. I book a van with a ramp so I can ride my cart up the ramp to the hotel.

One easy thing to do when I travel is pack my medication. I take Rebif, an interferon shot I give myself three days a week that has been proven to slow the progression of MS. I carry it on with me, making sure I have a note from my doctor saying I use the medication. I also take the name of the medication and prescription that comes on the box.

After my meeting, I take another shuttle to the airport, and the whole process happens again.

Some have asked who travels with me. If I go on vacation, I usually travel with my sister and friends. For a meeting I am attending, I travel alone. I feel safe, because I do the right things: I have my cell phone and I ask questions or help of people who are usually kind and helpful.

When my flight landed and I was waiting for my cart in first class, the pilot sat down across the aisle from me. He told me my cart arrived, and I started to get up. He then said, “No, it’s not here. Some guy is doing wheelies on it!” I sat down. He then said, “Your cart is here, but a tugboat is pulling it up the jet way.” I didn’t even get up that time. When my cart really did show up, the pilot added, “More people with wheelchairs or carts need to get around and fly.”

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

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News From

OTTERBEIN Four small types of exercise that can make a big difference

P

eople often shy away from beginning an exercise regimen because they fear the commitment of time and effort required will be more than they can reasonably accommodate.

But exercise doesn’t have to claim that much time in your schedule. If you make that modest commitment, you might just discover that it makes a big difference in your abilities.

Endurance exercises Endurance, or aerobic, activities, like brisk walking or swimming, increase your breathing and heart rate and improve the health of your heart, lungs, and circulatory system. They can make it easier for you to: • Push your grandchildren on the swings • Vacuum • Work in the garden • Rake leaves • Play a sport.

Strength exercises Strength exercises, like lifting weights and using resistance bands, can increase muscle strength. Lower-body strength exercises also will improve your balance. Increased muscle strength can maintain your ability to: • • • •

Climb stairs Carry groceries Open jars Carry a full laundry basket from the basement to the second floor • Carry your smaller grandchildren or lift bags of mulch in the garden.

Balance exercises Balance exercises, like tai chi, can improve your ability to control and maintain your body’s position, whether you are moving or still. Good balance is important to help prevent falls and avoid the disability that may

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result from falling. Improving your balance can also help you: • Stand on tiptoe to reach something on the top shelf • Walk up and down the stairs • Walk on an uneven sidewalk without falling.

• •

Flexibility exercises Flexibility, or stretching, exercises can help your body stay flexible and limber, which gives you more freedom of movement for your regular physical activity as well as for your everyday activities. Stretching exercises can improve your flexibility but will not improve your endurance or strength.

Improving your flexibility makes it easier to: • Look over your shoulder to see

• • •

what’s behind you as you back the car out of the driveway Make the bed Bend over to tie your shoes Reach for a food item on a kitchen shelf Pull a sweater on over your head Swing a golf club.

It’s never too late to start Exercise and physical activity can have a positive effect on your everyday life. Even if you think you’re too old or too out of shape to exercise, becoming active on a regular basis will give you more energy and the ability to do things more easily, faster, and for longer than before. If you’re already active, keep up the good work. If you don’t exercise now, it’s never too late to start. ❦

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