HLN June 2013

Your Monthly Guide to Healthy Lifestyles

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e lthy l June 2013 • FREE

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Extreme Results, extraordinary workout Also in this issue: • • • • •

Look your best this summer Hearing loss and multiple sclerosis Take a bite out of peanut allergy Serenity Farm therapy horses bring healing Mimi and Papa's Excellent Adventure

The sound of

pain relief

What’s your weight loss wish?

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Look your best for summer!

V

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

These unfortunate processes caused from prior sun exposure can be improved dramatically with innovated and virtually pain-free cosmetic procedures performed by Dr. Handler.

The Thermage CPT procedure painlessly heats damaged collagen under your skin to tighten and lift sagging skin on the neck and jowls. The Thermage CPT procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis while the epidermis Don’t let wrinkles and is cooled and protected. This age spots make you appear older than your years. heating of the dermis causes immediate collagen contraction followed by new collagen production over a period of time. The procedure also encourages a natural repair process that results in further tightening and youngerlooking skin. It is also an excellent non-invasive and pain-free procedure for tightening “crepe” skin on the abdomen of men or women and sagging skin on the upper arms. With only one treatment, results work over a 6-month time period to slowly lift and tighten the involved areas with results lasting 3-4 years. There is NO downtime and NO pain! The Thermage CPT system has been utilized by physicians for over ten years with excellent results.

For lines between the eyes (worry lines), crow's feet, and the “sleepy look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas with resultant diminished lines and a more “wide awake” look. This is also performed with minimal pain with results lasting 5-7 months and longer.

The use of fillers, such as Restylane, The best prevention for Perlane, Juveder m, early aging and skin Radiesse, and others, cancer is to protect your to “fill” deep smile lines skin from the sun.

2 June 2013 / Healthy Living News

and the marionette (sad) lines from the corners of the mouth produces immediate results lasting 12-15 months! These products are also very useful for producing a more full appearance to lips that thin as we age. Since these products are combined with a numbing agent, the pain is minimal.

For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome results after 3-5 treatments. This is a painless procedure where a laser produces thousands of small columns in the dermis. Your body then produces collagen to fill these areas, resulting in softer and diminished facial lines.

There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT, the results are ideal for patients who desire no downtime and predictable results of improved sagging skin and fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio.

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

Before

After

office now has available a new camouflage makeup that is excellent to cover red or blue veins on the face or anywhere else on the body; blue, red, or yellow bruises from prior cosmetic procedures; and especially facial, neck, and chest redness secondary to the diagnosis of rosacea.

For more information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. His staff will be able to address your questions or concerns about these procedures. Also, please visit Dr. Handler’s website at drharveyhandler.com to view many before-and-after photographs of patients who have had these procedures performed. And speak with his office staff to inquire about specials on many cosmetic procedures and products to diminish the signs of aging.

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

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

Contacts Business office:

To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615. Phone: (419) 841-8202 or email Kevin O’Connell sfstennis76@bex.net.

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

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Editorial office:

To submit an article or announce an event: Editor, Healthy Living News, 1619 Circular Dr., Toledo, OH 43614.

Phone: 419-754-1339, fax 888-506-5790; email: editorhln@bex.net. Deadline for editorial submissions is the 10th of the month preceding publication.

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Distribution Jim Welsh • Alison Foster Dominion Distribution Distributech - Toledo Copyright © 2013 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe.

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

Your Monthly Guide to Healthy Living

Health & Beauty

Food & Nutrition

2 Look your best for summer 6 Oncology practitioners prepare for challenges ahead as cancer survivorship rises 8 Hearing loss and multiple sclerosis

by Shelly Horvat, AuD, CCC-A 10 Spiritually Speaking Hunger—a cause of violence

by Sister Mary Thill 19 ACT Wellness at Rapid Relief Chiropractic Center takes aim at pain with sound waves 20 Desensitization treatment takes bite out of peanut allergy 29 Sound Advice from Northwest Ohio Hearing Clinic

by Randa Mansour-Shousher, AuD, CCC-A 31 Come for the knee, stay for the body

by Douglas Schwan, DC, Dipl Ac 33 Mercy STAR Program® offers cancer survivors the best possible “new normal” 37 Alzheimer's advances, by Jessica Derkis 41 Have a pain-free summer with help from Heartland Rehab 42 The Academy Corner When you think there’s no hope, surprise! There is! by Krista McCarthy-Noviski, MS 47 Eye-related misconceptions and truths by bennett Romanoff, MD

14 Local cookbook author plans diabetic-friendly meals,

by Christine A. Holliday 15 Healthy snack saves Stanley Cup playoff party

by Kelly Hanner 26 Eating Well Eat more to weigh less

by Laurie Syring, RD/LD 27 Extreme Results by Vince endorses “Liquid Vemma” 36 Nobody's Perfect Read those labels!

by Sister Karen Zielinski, OSF 39 “Let food be thy medicine,” by Carol Klotz

Taking Care of Your Life 5 Extreme Results by Vince—It’s no ordinary workout 11 A Walk in the Park Sunrise, sunset

by LeMoyne Mercer 19 Health crossword, by Myles Mellor 24 10 personal-safety tips for outdoor runners 28 Sluggin’ it out with slugs 34 Staying “cool” this summer, by Amanda Manthey 45 Mimi and Papa’s Excellent Adventure

by LeMoyne Mercer 46 The dos and don’ts of lawn mowing

Travel Editor LeMoyne Mercer

Layout and Design Jan Sharkey

June 2013 • Vol. 18, Issue 6

Your Monthly Guide to Healthy Living

Editor Jeff Kurtz

Sales Robin Buckey

Dear Readers, Thank you for picking up the June issue of Healthy Living News.

One of the many advantages of living in the Toledo area is the access our community has to numerous high-quality facilities dedicated to improving residents’ fitness and health.

As regular HLN readers know, Super Fitness and Wildwood Athletic Club have often been featured in the pages of this publication. For this month’s cover story, we’re shining the spotlight on another first-rate fitness facility, Extreme Results by Vince. Over the last few years, Extreme Results owner Vince Ceniceros has been building quite a large customer base with his fast-paced, high-energy, onehour workout program, which is helping participants tap into an inner motivation they never knew they had. See page 5 for

Children & Parenting 43 Parents: It’s time to park the helicopter, by Jeff Kurtz

Our Community 12 The Laurels’ innovative occupational therapy program puts independence in reach 16 ProMedica Home Care enhances services with Telehealth system 19 Summer brings Australia-themed fun to the Toledo Zoo 21 Summer camp relived—Hold the bugs!

22 Naturalist Scouts—The secret is out!

25 Lutheran Homes Society partners with UTMC for wound Care 30 The Patient Centered Medical Home Team

by Robin Rummel, LPN 38 Serenity Farm Equestrian Center, Luckey, Ohio— therapy and learning programs harness the unique qualities of horses 42 Lutheran Village at Wolf Creek receives double awards 48 St. Ursula students win Jefferson Award

by Christine A. Holliday

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the full story.

This issue also features an important article about ProMedica Home Care’s Telehealth system (p. 16), a powerful, state-of-the-art prevention tool that helps patients learn to manage chronic health conditions in the comfort of home while reducing the risk of medical crises, emergency room visits, and hospitalizations. In addition, with National Cancer Survivors Day falling in June, be sure to read about Mercy’s new Survivorship Training and Rehabilitation (STAR®) Program which is helping the growing population of cancer survivors achieve the best possible “new normal” and quality of life (p. 33).

Other must-read items in this month’s issue include an article on oral peanut desensitization, offered locally by Dr. Winder & Associates (p. 20); insights on

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@HLNToledo

Wayne Goodwin’s new diabetic-friendly cookbook from long-time HLN contributor Chris Holliday (p. 14), who had the pleasure of sampling some of Wayne’s todie-for recipes firsthand; and a profile of the cutting-edge equine-assisted-therapy programs offered by our friends at Serenity Farm (p. 38).

As I write this letter in mid-May, we’re putting the finishing touches on a totally redesigned hlntoledo.com, scheduled to launch in June. The new site represents a significant commitment by our staff to supplement the print version of HLN, provide even greater value to our advertisers, and increase readers’ opportunity to interact with us. Be sure to check back next month for more details.

Until then, stay safe, active, and healthy!

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Extreme Results by Vince—It’s no ordinary workout M

any gyms operate under the assumption that if you can just get yourself to their facility and spend time utilizing their machines and free weights, fitness will eventually follow. Vince Ceniceros, the charismatic owner of Extreme Results by Vince, turns that concept on its head. As Vince sees it, fitness, good health, and greater longevity cannot result from the directionless, halfhearted use of exercise equipment. Rather, they’re achieved when we continually strive to push ourselves beyond our perceived limits. He sees his job as helping clients tap into the inner motivation they never knew they had and providing a unique program to help them reach their goals.

But then, Vince is not exactly what you’d call your average fitness trainer—and not just from the standpoint of his extensive, intricate body art.

Prior to launching Extreme Results, his professional journey took some rather interesting twists and turns.

Raised on Toledo’s East Side, Vince’s path actually began with a career in rap music. From there, his passion shifted to a traditional form of combat martial arts called Muay Thai, which he pursued from 1998 to 2001. When he became a father, he chose to leave his fighting career behind and, as so many parents do, started putting on weight. After packing on 45 extra pounds, he realized it was time to get back into fitness. So, he began teaching at Lifestyles while developing an intensive, innovative workout program based on his Muay Thai training.

“At first, I had only one or two people in a class, but then the numbers started to grow and kept on growing,” Vince recalls. “I just started bonding with the people I was training, and I realized they really believed in what I was doing.” Vince’s program integrated many of the same moves he used as a fighter, but anything he taught to his students he first tested using his own body to ensure the movements were safe.

In December of 2010, in response to the burgeoning interest in his unique vision and high-intensity approach to fitness, Vince opened Extreme Results at 5201 Monroe Street in Toledo.

What started as a 1,700-square-foot store-front facility soon expanded into a 4,000-square-foot center where clients experience rigorous hour-long, non-stop workouts that incorporate elements of explosive cardio, core conditioning, strength and muscle building, boxing, isometrics, and, of

course, Muay Thai. The center also includes Toledo’s only independent cycling studio, Extreme Cycling by Vince.

With its martial arts influence and no-holds-barred approach, one might be inclined to think Extreme Results is geared primarily toward men. On the contrary, the women working out there vastly outnumber the guys. “I’d say 97 to 98 percent of my clients are women. When they

first come here, they have a hard time believing they can be as strong as men are, but I have the strongest women in the city here. It’s the men who have a hard time keeping up with them,” Vince says.

Workouts can include a wide range of exercises, such as running, push-ups, squats, punching or kicking a bag, rope climbing, bear crawls, jumping rope, and much more. Vince believes in pushing people through their limits with an emphasis on time and reps. The idea is to do whatever you can as fast as you can to build stamina and endurance.

However, anyone, regardless of gender, age, or fitness level, can take part in the Extreme Results program.

The workout is intensive, but participants are encouraged to do it at their own pace and to do only what they’re able. Every element of the program can be modified to accom-

modate physical limitations, injuries, etc. It’s all about pushing yourself a little bit further every time. Those who are overweight and feel they’re not ready for the regular class can get started in the XXL edition of the class, which is offered Saturday and Sunday at noon and Monday and Wednesday at 8:00 p.m.

Vince is especially proud of a client named Josh who proved that excess weight is no limitation. Josh, who weighed approximately 400 pounds, began the class with Vince watching him very closely to ensure he didn’t injure himself. “Everybody was cheering him on, and it was a beautiful thing. I was so impressed with his courage and confidence that at one point, I stopped the music and told Josh in front of the whole class, ‘If you keep coming here for 30 days straight, I’ll give you a year’s worth of classes for free.’ So he kept at it.

At one point during this period, Josh got sick and had to be hospitalized, but as soon as he was discharged, he came right back here, and he’s been coming every day since. He may not have come for 30 days in a row, but

I’m going to give him that free year anyway,” Vince says.

Age is no impediment to participating at Extreme Results, either. At age 66, a client named Gary came in and bought a week’s worth of classes and discovered he really loves the challenge. He continually strives to work out harder and faster, and his co-workers were so impressed with his commitment and results that they bought him three months of classes.

“That just goes to show that anyone can do this,” adds Vince.

Lindsay Bowman, an Extreme Results trainer who has worked with Vince since he was at Lifestyles, is especially proud of the impact their company has in the local community.

“We’re about building a healthy community,” she explains. “We’re a local business that supports other local businesses and charities. There’s also a ripple effect to what we do here.

For example, if a mother comes here to work out, Dad and the kids see what she’s doing and want to get involved too. Then perhaps Mom’s coworkers follow suit, and so on. One person can affect so many lives just by making the commitment to come here and get healthy.”

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One important factor that makes Vince and Lindsay authentic to their clients is the fact that they don’t just talk the talk of weight loss. They’ve both walked the walk as well. Vince’s body weight was once up to 205 pounds but now hovers between 155 and 160 pounds. Lindsay’s success was remarkable too. Once weighing in at 230 pounds, she’s now 70 pounds lighter at 160. And both achieved their weight-loss success using the very methods they now teach to others.

Vince emphasizes, however, that a rigorous exercise regimen is just half of the health-and-fitness equation.

The other half is proper nutrition.

Once an admitted “average American carnivore,” Vince has now adopted a vegan diet and urges his clients to do the same. “You can lose weight and look good on the outside but still be an unhealthy wreck on the inside if you’re eating the wrong types of food,” he explains. “Remember, it’s not just fat people who have heart

attacks or strokes or who get diabetes or cancer. If you want the weight to fall off and stay off and to be healthier inside and out, start eating fruits and vegetables. It’s the best thing you can do for your body.”

Also available at Extreme Results are healthy supplements, shakes, and energy drinks, all of which contain no gluten, soy, dairy (with the exception of the shakes), artificial colors, or preservatives. Vince is not a big proponent of replacing meals

with shakes, but he offers them for people who may need a little help jumpstarting their diet while they develop healthier eating habits.

To both Vince and Lindsay, working at Extreme Results and helping people reach their fitness goals is a true labor of love. “We literally work seven days a week, and we’re extremely thankful and beyond blessed to come in here every day and make a difference in people’s lives,” says Lindsay. ❦

Oncology practitioners prepare for challenges ahead as cancer survivorship rises

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hough the medical community the cancer diagnosis is given and is still a long way from declaring continues until the end of the patient’s victory over cancer, the surlife. Throughout that time, nuvivorship trend is certainly merous physical, emotional, moving in the right direcand psychosocial issues can tion. In fact, data shows that arise as a result of either the there are currently 13.7 milcancer or its treatment. lion cancer survivors in the Examples include perUnited States and 525,000 in sistent pain, excessive faOhio alone. That national tigue, osteoporosis, heart number is projected to reach damage resulting from approximately 10 million certain medications or raby the year 2020. While this diation, compromised heSue Mahoneytrend is cause for celebration, matology (problems with Stombaugh especially in June, which has the blood), neuropathy in been designated Cancer Surthe extremities, fear of revivorship Month, it’s also creating a currence, employment issues, and new set of challenges that must be met body-image issues. The high cost of both today and well into the future. cancer treatment coupled with time “The most important question we lost at work can also lead to serious have to ask ourselves is, who’s going financial difficulties. Of course, just to be monitoring all these patients?” as with the larger population, living notes Sue Mahoney-Stombaugh, longer means cancer survivors are at MSN, CNP, of The Toledo Clinic Canincreased risk of developing chronic cer Centers. “There currently aren’t health problems not necessarily conenough oncologists nected to their cancer or its treatment. to meet the rising These challenges aside, Mahoneydemand, and famStombaugh is encouraged by the Experience the power of laser therapy with the ily practitioners may positive survivorship trends she has most advanced therapeutic option available, Deep Tissue Laser Therapy™ from LiteCure® Medical. not feel comfortable observed. In the 1970s, the five-year monitoring this pasurvival rate for all cancers combined This drug-free, surgery-free, pain-free modality tient population. was around 50%. From the mid-1990s quickly relieves pain associated with: There’s definitely to 2002, the rate increased to 66%. → TMJ → Neck Pain a growing need “We’re also seeing improvement in → Migraines → Back Pain for more oncologysurvivorship for some cancers that → Plantar Fasciitis → Sciatica trained physicians, once had a relatively bleak prognosis. → Carpal Tunnel → Arthritis physician assistants, Colon cancer, for example, now has a → Sports Injuries → Bursitis → Soft Tissue Damage → Disc Injuries nurse practitioners, five-year survival rate of around 60%, → More... → Shoulder Pain RNs, and other cliniand colon cancer deaths dropped by cians.” about 9% in the last decade. When There are difit’s diagnosed in the early stage, the now offering deep tissue laser therapy fering perspectives relative five-year survival rate is 90%. on the definition of We’ve seen a big improvement in Mark S. Neumann, D.O. cancer survivorship, the survival rate for breast cancer Specializing in Anti-Aging & Functional Medicine but according to Masurvival, as well—from 63% in the 1715 W. Dean Rd. Suite B •Temperance MI honey-Stombaugh, early 1960s to 90% today. Similarly, 734.847.4700 • 419.474.4700 there seems to be a the rate for childhood cancers, all drmarkneumann.com growing consensus combined, went from under 50% that it begins when before 1970 to 80% today,” she says.

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A few noteworthy “holdouts” include lung cancer and melanoma.

There has been only a modest improvement in the survival rate for lung cancer, which continues to be the leading cause of cancer-related death, and the incidence of melanoma has increased in recent years despite increased awareness of sunprotection measure, possibly because more people are learning to recognize the cancer and getting it diagnosed. The advent of tanning booths may play a role, as well.

What’s behind the trend of increasing cancer survivorship?

Mahoney-Stombaugh points to the advent of breakthrough therapies as one of the major contributing factors. More and more state-of-the-art therapies are targeted to specific cancer types, and advanced genetic testing is helping to determine not only whether someone is at increased risk for developing certain forms of cancer, but also whether a patient’s cancer type is likely to respond to specific drugs. In breast cancer alone, better treatments, such as hormone therapy, and genetic testing are making a tremendous difference in survival rates. “Also, women are becoming more conscientious about getting mammograms, and family practice doctors are doing an excellent job of encouraging their patients to get routine cancer screenings, such as mammogram, Pap smear, colonoscopy, and PSA testing,” she adds.

Improved supportive care is having an impact, as well. For example, to counteract the effects of certain chemotherapy drugs that lower white blood cell counts, there are now medications that stimulate the body to boost production of white blood cells. So, while oncology practitioners still see infections in patients, fewer deaths are resulting from them.

There are also better medications for treating the nausea that commonly results from chemotherapy and radiation. That means fewer issues with weight loss and dehydration, which can be very serious, sometimes even leading to death, in compromised patients. Furthermore, various alternative therapies used as adjuncts to medical treatment, such as exercise programs (for example, NIA classes), art therapy, aromatherapy, and massage therapy, are all very helpful in supporting patients.

To ensure that the needs of the growing cancer-survivor population are met, multidisciplinary survivor-

ship programs are starting all over the US and at all major institutions.

The Toledo Clinic Cancer Centers is looking to develop a program for its patient population, as well.

In addition, they have reimbursement specialists on staff who help patients overcome financial stresses during treatment, and they work with various organizations, such as the Lymphoma Society and Cancer Connection of Northwest Ohio to help patients tap into various financial and socialservices resources.

Cancer Connection of Northwest Ohio also controls and disburses to patients funds that the Toledo Clinic Cancer Centers staff generates through fundraising activities.

Asked what advice she would give Healthy Living News readers during Cancer Survivorship Month, Mahoney-Stombaugh recommends that they make certain to get all appropriate cancerscreening exams as recommended by their doctor and that they try to live a healthy lifestyle that includes getting good nutrition and regular exercise, avoiding smoking, and using sunprotection measures. “I’d also urge them to communicate with their public policy makers and insurance provider about ensuring that cancer patients can get the help they need.

A lot of those decisions are made in the legislature and by insurance companies, so don’t be afraid to write that letter or make that phone call,” she says.

When facing a diagnosis of cancer, more and more patients are choosing The Toledo Clinic Cancer Centers.

With eight board-certified hematologists/oncologists and eight nurse practitioners on staff, The Toledo Clinic Cancer Centers can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. Also, there are several offices (including the main location at 4235 Secor Road and satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe) for the convenience of the patient. Many Toledo Clinic Cancer Centers patients are enrolled in the latest cancer research and studies in our region through the Toledo Community Oncology Program (TCOP). ❦ For more information, please call the Toledo Clinic Cancer Centers at 419479-5605.

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Hearing loss and multiple sclerosis

by Shelly Horvat, AuD, CCC-A

M

ultiple sclerosis (MS) is a disease affecting the central nervous system (brain and spinal cord). Symptoms vary for each person affected with MS and can fluctuate in severity over time. Rare symptoms of MS are hearing loss, ringing in the ears, and sensitivity to loud sound or even certain types of sounds.

Hearing loss caused by MS can occur suddenly or gradually and typically happens in one ear rather than both. Because hearing loss is a rare symptom of MS, it’s important that other causes of hearing loss be ruled out. Some of these causes include excessive ear wax, middle ear infection, chronic sinus congestion, excessive noise exposure, and medications that are toxic to the ears.

Sudden hearing loss in a person with MS can signal a relapse in MS. Hearing evaluation by an audiologist and a consult with the managing physician, such as the neurologist and otolaryngologist, should occur immediately to rule out other causes of hearing loss and to provide treatment if available.

Temporary hearing loss may also occur for people with MS due to exposure to heat. Sensitivity to heat or a rise in body temperature can cause temporary hearing loss for people with MS. When the body cools down, hearing returns to normal.

Other hearing-related problems reported by those with MS are ringing in the ears (tinnitus), trouble hearing speech in background noise, and sensitivity to loud noise (hyperacusis). Some people with MS report extremely low tolerance for loud noise, background noise, or even sounds of certain pitches or vibrations. One MS blogger writes, “Sensitivity to noise is one of the most frustrating, invisible disabilities of MS.” Hearing difficulties caused by MS are believed to be due to inflammation or scarring around the auditory (VIIIth) cranial nerve as it leaves the inner ear and travels to the brainstem at the base of the neck. The inflammation, referred to as “plaque,” is an abnormal area that develops and destroys the fatty sheath or coating that surrounds and protects nerve fibers. Without the fatty sheath, nerve

impulses are slowed or even stopped, causing various MS symptoms.

In the majority of MS-related hearing loss cases, the hearing loss improves to normal and often does not recur. It is estimated that four to six percent of people with MS have experienced sudden hearing loss due to MS. The incidence of sound sensitivity and difficulty hearing in background noise is unknown.

Although there is no cure for MS, currently there are medications available that can modify the progression of the disease and treat the various symptoms.

When hearing symptoms do occur, referral to an audiologist for a hearing evaluation can help determine whether the hearing loss is being caused by the MS affecting the hearing nerve and brainstem or by a completely different condition affecting the outer, middle, or inner ear.

An audiologist can also perform an Auditory Brainstem Response (ABR) test. The ABR test can show abnormalities in the VIIIth nerve (auditory) pathway as it travels from the inner ear to the brainstem. Balance trouble is a more common symptom of MS, and audiologists may also perform balance testing (ENG, VNG) to provide documentation or diagnosis of balance problems caused by MS. Permanent hearing loss can be helped with hearing aids and assistive listening devices. When sound sensitivity is an issue, ear protection in the form of soft, foam earplugs or custom-made earplugs can be a very useful treatment to increase comfort and decrease stress caused by loud noises.

Lastly, for persons having trouble hearing in background noise or areas with poor acoustics, there are assistive listening devices (personal FM systems) that can pick up the voice of the speaker and send it wirelessly to an ear piece worn in the listener’s ear. These personal FM systems can increase comfort and reduce listener fatigue for persons with MS who have normal hearing in quiet but have difficulty hearing in noise or speech at a distance.

If you have questions or comments, please feel free to call the audiologists at Northwest Ohio Hearing

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9

In your home or ours.

Clinic at either office, 419-873-4327 or 419-383-4012. We look forward to hearing from you. ❦ Shelly Horvat, AuD, CCC-A, is a Doctor

of Audiology with Northwest Ohio Hearing Clinic, located at 3000 Arlington Ave. in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

BySister Mary Thill

Spiritually Speaking Hunger—a cause of violence Once people feel nourished and refreshed, they cannot help but be kind: just so, the world aches for the generosity of a well-rested people.

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have written several articles about violence in this column, and I have yet another thought I’d like to share with you about this scourge on our society. Recent events at a low-income-housing project in Toledo, where two children were grazed by bullets from local gang gun fire, and the three women who were found “living” in a home in Cleveland, held captive there for as many as ten years, brought me to reflect again about the root causes of such violent behaviors. I don’t know the people who did these acts of violence, but Wayne Muller’s words quoted above set me thinking about yet another possible cause of violence.

Think about it. When was the first or last time you felt physical hunger? Daniel Neman, food editor for The Blade, recently noted that, “I now know I have led a fortunate life: I have never awakened from hunger.” Can you say that? Neman was writing about foods that help us sleep. I’m wondering about how lack of food and sleep contribute to how we behave in our environment.

I’m not sure if I get grumpy or out of sorts when I’m hungry, but I do know that I begin to feel funny and not too interested in being with others until I have had something to eat.

Fasting during Lent was never a favorite practice of mine, and when my mother went on a diet, my siblings and I would pray that she would soon get back to eating “normally” because she was a much more pleasant person then. I’m suggesting that hungry people are unhappy people, more prone to anger and angry acts than people who have satisfied their hunger.

People who are sleep deprived also seem to have anger issues or at least are grumpy and not pleasant to be around. Just think of the lives of gang members, drug addicts, or anyone suffering from addictive behaviors; doesn’t it seem that there is also a pattern of violence in their behaviors? Not only do they commit violent acts, but they are often victims of violence themselves.

In light of these reflections, it is very disturbing to me to see that one out of four children in the United States goes to bed hungry every night. Are we raising a new generation of violent human beings who suffer from hunger and lack of sleep even in their childhood? That’s pretty scary to me. It amazes me that in this wealthy nation, we cannot afford to feed our children, our precious future, but we can afford to pay $100+ for a ticket to a sports event or purchase some electronic gadget that costs more than a week’s worth of food for a child. Recent research on our elders shows hunger to be on the rise among them. I’m sure unemployment and underemployment also contribute to this issue of hunger. There is not room in this column to even get into the issue of World Hunger.

I hope and pray that we come to our senses and realize the implications of hunger and lack of sleep on our bodies, our families, our nation, and our world. As Muller suggests, we need to feel nourished and refreshed in order to become generous people in our world. Generosity has been one of our virtues as a nation.

Will it soon become a thing of the past? ❦ 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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A Walk in the Park

Sunrise, sunset

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highlight of our trip to Acadia National Park was watching the Bar Harbor July 4 fireworks from Cadillac Mountain. We looked down at the exploding lights rather than up. As the colors dissipated, the sound finally reached us on the summit. Cruise ships and pleasure craft turned out in numbers to watch from sea level. At 1,530 feet, the bare, pink granite summit of Cadillac is not particularly noteworthy as a mountain even though it is the highest on the Atlantic coast. But it does provide an unobstructed view of the area.

The best time to go up Cadillac Mountain, however, is when there is no view whatsoever. It just happens to be the place where the first rays of sunlight touch the United States. The world emerges from the blackness a little at a time—then all at once. The first hint of light allows you to begin distinguishing shades of blackness.

Sunsets are at their most gorgeous when The matte blacks are land and the there are high, thin clouds to refract the light.

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Shirley enjoys a sunrise on the Gulf with a brilliant, flame-colored sky and sea.

visible in the distance. When Shirley and I did the sunrise pilgrimage, we found ourselves in the company of other highly motivated tourists. All of us complained, smiling all the while, that we could have stayed home if we wanted to freeze our tails off.

The sun comes up from behind the volcano’s rim several miles away.

Many of us were busy trying to capture the event with our cameras. In my case, that meant shifting back and forth between the still camera and the video camera. Listen, children, this was back in the Olden Days when my Canon still used actual 35 mm film and the video recorded on tape cassettes.

We all stood breathless and quiet, waiting for the first neon orange sliver to peek over the ridge. At last!

Then the fellow standing next to me announced sententiously in his best Ted Baxter deep baritone broadcasting voice, “Ah! The dawn of a new day!” Captured on tape and since burned to DVD, it is forever a part of our Haleakala experience.

Of course, the sun rises and sets everywhere, but it‘s not all created equal. How often do you crawl out of bed at 3:00 a.m. and drive for two hours just to watch the sun rise over Cleveland?

It is also easier to get up for the dawn if you are someplace warm and beautiful when it does. Shirley and I are partial to Florida and Arizona.

One of our favorite places is Fort Pickens at Gulf Islands National Seashore, just off the coast of Pensacola.

Santa Rosa Island runs east and west so we can walk over to the beach to watch both sunrise and sunset.

Sunrise tends to be a quiet time, and sunset is likely to attract only a few more people. We have never seen the beach actually crowded. A surf fisher or two. Kids digging in the sand being nagged by parents to bring all of their shovels and buckets and towels. Most of us just enjoying a walk, watching the pelicans dive for fish and the plovers and sandpipers dancing toward the water and then retreating from incoming

The dark ridge line is the far rim of the Haleakala crater on Maui.

waves. Other than for a few squabbling seagulls or terns, you can have a quiet, private beach experience just by walking a few yards. So, I don’t have any of that “dawn of a new day” garbage from Fort Pickens.

Just Shirley wandering up the beach silhouetted against a tangerine sky.

For the absolute best in sunrises and sets, however, I think you can’t

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blacks morph into wolf gray before there is the merest hint of red and pink. Before the sun itself is actually visible, touches of blue emerge. It is a magical time of day.

Objectively speaking, the sunrise seen from Cadillac Mountain is no more impressive than many others of the 25,000 or so I have been blessed with. What is special is knowing that we were the very first in the whole country to see the dawn of a new day.

(More about that presently.)

Another great sunrise opportunity also involves climbing from sea level to mountain top. Maui’s Mt. Haleakala, a dormant volcano, is considerably higher at 10,023 feet than Cadillac. Because clouds tend to form on the mountain, you want to know if there is going to be a view before you get up at 3:00 a.m. to make the two-hour drive up a steep and winding road. A phone call to a Haleakala weather line can help you decide if you should get dressed or just go back to sleep.

If you go, take your coat and gloves with you. Maui may be a tropical paradise, but it can also be pretty nippy above 10,000 feet. There is even skiing and snowboarding over at Mauna Kea on the Big Island,

11

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beat Arizona. There are two factors that contribute to a spectacular show: There must be a few high, thin clouds to scatter the rays and the air should be clean. I have heard it claimed that “pollution” is responsible. If this were true, Mexico City and Beijing would be famous for romantic sunsets.

This winter, Shirley and I spent about five weeks in Organ Pipe Cactus National Monument down on the Mexican border. She slept on the east side of the RV. In the deep gray of 5:00 a.m.. the curved-bill thrashers and the cactus wrens would start to sing. By 6:15, Shirley was poking her right elbow in my left ear. “Are you awake yet?”

I always groaned, “Mmm, I am now” even if I had been lying there listening to the birds.

Typically, she just wanted me to see the sunrise. Sometimes I would quickly throw on some clothes and grab my camera. Sunrise requires haste because once the sun breaks the horizon line the showiest part is already over.

In comparison, sunsets tend to linger as they build to a climax. One evening, I sent a cell-phone picture to our friend Bill. When he called to ooh and ahh, I told him that Arizona sunsets can be like the Fourth of July.

They start out good and then keep getting better and better until the Grand Finale. Pink and blue evolve

into yellow, orange, crimson, and spectacularly vibrant red on deep purple velvet.

One evening, a fellow camper saw me taking photos. “Isn’t it wonderful!” she called.

“Take me now, Lord, I’m ready!”

I replied. I pray that the eternal light of heaven is at least as good as the last light in Arizona.

Meanwhile, the winter bruises on my left ear are now pretty much healed. This summer we are headed back to Yellowstone where there is a good chance Shirley will try to turn my ear to cauliflower. Small price to pay, say I. Swiftly fly the years.

A few thousand more sunrises and sunsets with that woman would be just a walk in the park.

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

Sunset on the Gulf was just a short walk from our site in Fort Pickens Campground.

The Laurels’ innovative occupational therapy program puts independence in reach

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n the wake of an injury, surgery, or disabling illness, the road back to independent function can be long and difficult. Simple activities of daily living once taken for granted can suddenly seem like insurmountable obstacles.

Strengthening the body and improving its flexibility and range of motion through physical therapy is certainly a vital step toward reclaiming that independence, but physical therapy is only half of the rehab equation. In addition, recovering patients often need some creative, individualized occupational therapy to help them learn to compensate for physical limitations or restrictions as they meet life’s challenges head on.

To understand the role occupational therapy plays in making patients’ lives safer and easier, it’s necessary to first understand what occupational therapy actually is. In this context, the

term “occupation” is not to be confused with “vocation,” or what one does to earn a living.

Rather, it refers to any everyday activity. That could mean something one does every day on the job—but also any other activity of daily living such as cooking, cleaning, bathing, using the toilet, climbing stairs, tying shoes, walking the dog, etc.

At The Laurels of Toledo, a skilled nursing and rehabilitation center located at 1011 Byrne Road, innovative, personalized occupational therapy is woven into the fabric of the services they provide. “Our primary goal is to help our guests achieve the high-

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est possible degree of function and independence,” explains licensed certified occupational therapy assistant Cristina Nickle. “Depending on their particular impairment or deficit, we develop an individualized treatment plan and assess what adaptive equipment or compensatory techniques might help them overcome those obstacles and stay safe.”

Laurels patients’ adaptive needs are assessed not only at the Byrne Road facility, but also right in their own home. During home evaluations, occupational therapists visit the patient’s house and observe them as they go through normal daily activities to assess what steps would make the home environment safer and life easier. Simple home modifications to reduce fall risk might be recommended, such as removing throw rugs or other tripping hazards. “Also, a lot of our recommendations are focused on making the bathroom safer, such as installing grab bars in the tub and around the toilet, applying a non-skid surface to the floor of the tub, installing a raised toilet seat, and using a tub bench to make transferring in and out of the tub safer and easier,” says Nickle.

Many compensatory techniques are so simple that people might not

even think of them. For example, wrapping rubber bands around jar lids or door handles makes them easier to grip and turn. Lifting a gallon jug of milk becomes much simpler when you use one arm to lift and the other to support the lifting arm at the elbow or forearm.

Or, simply switch to buying milk by the half gallon.

For cardiac patients who are cautioned to avoid lifting their arms over their heads, storing frequently used kitchen items on the counter, table, or a bottom shelf makes meal preparation and kitchen cleaning much easier and safer.

Nickle also points out that there’s an adaptive device on the market for virtually every challenge people might encounter during recovery from injury or surgery or as a result of a disabling condition. For example, a long-handled mechanical reacher can be used in all kinds of applications—from retrieving dropped items to grabbing laundry at the bottom of the hamper to pulling on pants and undergarments. A sock aid is another wonderful tool for those who can’t safely bend over to put on socks, such as people with back pain

or who have undergone a cardiac procedure. This device consists of a cylindrical sleeve with two strings or straps attached. Essentially, you pull the sock over the sleeve, set it on the floor, slide your foot into the sleeve, and then use the strings or straps to pull the sock on.

Other examples include long-handled shoehorns, long-handled ergonomic combs for reaching the hair on the back of your head, long-handled sponges for bathing hard-to-each areas, button aids for people with fine-motor limitations, and elastic shoe laces, which never come untied and essentially convert tied shoes into slip-ons. The list goes on and on.

Speaking of occupational therapy being “woven into the fabric,” Nickle and her mother, Lucia Rooks, an avid quilter (and former member of Quilting for Compassion), have joined forces to find a safer, more user-friendly alternative to the bulky wire baskets people have traditionally used to carry items while using

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a walker. The result of their collaboration is a line of fabric Carry All Walker Bags, each unique and handcrafted, which promote safety when carrying and retrieving items.

“We present guests with five or six designs and let them choose the one that best suits their style and aesthetic sensibilities,” Rooks comments.

So far, the reaction from Laurels guests to the Carry All Walker Bags has been resoundingly positive. Deloris Hunt, who chose a pink and green bag because it matched the colors of her sorority, Alpha Kappa Alpha, loves not only the style of her bag, but the versatility that all the pockets provide. Patricia Huffer has discovered that the bag is perfect for carrying and organizing her crafting supplies. What’s more, Laurels guests who use wheelchairs instead of walkers have begun clamoring for bags of their own—and Nickle and Rooks are poised to launch a new line of wheelchair bags to meet this growing demand. ❦ The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services.

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

13

Local cookbook author plans diabetic-friendly meals, by Christine A. Holliday

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ayne Goodwin has always loved food. Except for a short period in his adolescence (more about that later), he has enjoyed all the foods the world has to offer.

He lived for a time in New York City, where he took advantage of the Italian restaurants, Japanese steak houses, and Chinese eateries. He says that his love affair with food and wine started there but adds that marriage to Mary, a French teacher who knew how to cook French foods, has also fine-tuned his taste buds.

In 1971, in his late twenties, Wayne was diagnosed with type I diabetes.

The news took him back to a 12-year period of his adolescence when he couldn’t enjoy all his favorite foods.

His one-year-old brother was diagnosed with juvenile diabetes at that time, and their mother changed the family ’s diet to respond to the youngster’s needs.

Goodwin recalls, “O u r f a m i l y ’ s new dietary regimen included toast with peanut butter for breakfast, tuna salad sandwiches for lunch, and pan sautéed proteins with no sauces for dinner. Desserts Mary Goodwin is the were only for spe- consultant, tester, and cial occasions.” critic for the cookbooks.

recipe ideas from magazines and teleAmateur Chef) in those classes and vision programs but keep the acrocontinued to enjoy planning meals. nym TRIFLE in mind as they design Retirement didn’t offer the satismeal plans. “All of our recipes have faction Wayne expected, and he was to be Tasty, use Readily available innudged to do more with his meal gredients, be planning by his Inexpensive daughter, who to prepare, is an obstetrib e Fa m i l y cian. When Friendly, have she asked her a Low glycedad to help m i c i n d ex , plan meals for “No Peek Beef” and be Easy to her expectant is part of a Basic prepare. If we patients who Meal plan. This were diabetic, portion is part of cannot find inshe reignited a 2,200-calorie/ gredients in the local supermarthe spark of day plan. ket, we don’t publishing a publish them. cookbook. With We only publish main meal the information Wayne Goodwin and sales opportunities likes to find great plans with an average glycemic index of 60 or less, and all of available through the In- wine pairings for our individual meals have the ternet, eBooks, and email, fancy meal. available carbs listed to aid in Wayne suspected the time insulin dose calculations,” she was right to plan meals on says. a big scale and offer them for sale in The basis of the cookbook is the cookbook form. abandonment of family-style meals He wrote an entirely new piece of for those who are serious about folsoftware to calculate the food values lowing a healthy food plan. The of recipes and individual meals. He meals are based on portion control, consulted with a registered dietician and each recipe lists three differand certified diabetes educator in ent diet sizes so that each eater can writing his meal plans. He has colchoose how many calories he wants lected those recipes and meal plans to consume in a day. Each meal is in several books that promise to make part of a plan for the day, so the meal planning for diabetics easy and diner knows exactly how many fun. calories he will consume that day Mary Goodwin notes that they get at each meal—breakfast through dinner and two snacks per day. The WE HELP CONTROL PAIN. WE CALM FEARS. WE BRING RELIEF AN chart connected to each food item also includes important nutritional information, including total carboCOMFORT. WE HELP CONTROL PAIN. WE CALM FEARS. WE BRING hydrates, protein, fats, saturated fat, sodium, and cholesterol. The “chef ” RELIEF AND COMFORT. WE HELP CONTROL PAIN. WE CALM FEARS. is given information about the level “You’re not in this alone.” of difficulty, prep time, and cook time with very simple directions. Scales WE BRING RELIEF AND COMFORT. WE HELP CONTROL PAIN. WE “We are experts in managing symptoms and pain as patients WE HELP and measuring cups and spoons get closer to the end of life. It’s very important to call as soon are necessary tools, but using them as possible so we can help you with the disease process you CALM FEARS. WE BRING RELIEF AND COMFORT. WE HELP CONTROL doesn’t seem burdensome. are facing. We will support you at every turn so you know At the meal I enjoyed with the WE WE BRINGFEARS. PAIN. WE CALM FEARS. RELIEF AND COMFORT. WEyou’re HELPnot alone.“ Goodwins, “No Peek Beef ” was the – Dr. Vicki Bertka, Hospice of Northwest Ohio physician main course, with carrots and potaWe are the area’s largest and most experienced provider of toes and cauliflower. A basic salad CONTROL PAIN. WE CALM FEARS. WE BRING RELIEF AND COMFORT. AND WE BRING with poppy-seed dressing came first, hospice care, a nonprofit organization solely dedicated to with a mango pudding and strawberproviding the best possible end-of-life experience for our WE HELP CONTROL PAIN. WE CALM FEARS. WE BRING RELIEF AND ries dipped in chocolate for dessert. patients and their families.

(No tuna salad here.) We enjoyed a HOW CAN WE Ask for us by name. The sooner you do, the more we can help.

COMFORT. WE HELP CONTROL PAIN. WE CALM FEARS. WE BRING glass of wine before dinner (Wayne called it our “afternoon snack”), and there was no guilt about enjoying RELIEF AND COMFORT.WE HELP CONTROL PAIN. WE CALM FEARS. Answers for Living the Last Months of Life bread with dinner. Our portion sizes were different—Wayne was eating WE BRING RELIEF AND COMFORT. WE HELP CONTROL PAIN. WE as part of a 2,200-calories/day plan, while Mary and I had smaller porVisit hospicenwo.org CALM FEARS. WE BRING RELIEF AND COMFORT. WE HELP CONTROL tions as part of a 1,400-calories/day 419-661-4001 (Ohio)• 734-568-6801 (Michigan) © 2012 Hospice of Northwest Ohio plan.

PAIN. WE CALM FEARS. WE BRING RELIEF AND COMFORT. WE HELP 14NWOH-081 June7.5x5 2013 / Healthy Living News We love comments8/10/12 and 9:52 feedback.

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Dr.indd 1 AM When he received his own diagnosis, Goodwin vowed that he would not be forced to follow that stringent diet. Instead, he took on the job of planning his own good meals with the foods he had come to love. He had no formal training in dietetics or food preparation but decided he could use his training as a chemical engineer to design a food plan for himself and his family.

With the book Food Values of Portions Commonly Used, he started on his project of calculating the food values of the foods he wanted to eat and planning meals that were delicious and diverse. He shared those recipes with members of the American Diabetes Association at a meeting at his home and was encouraged to put them in a book to share with others. He and Mary tried, tested, and critiqued their own efforts and published the best recipes in newsletter format, then in a book of eclectic recipes and menus, and then in two volumes of diabetic cooking for one or two.

They worked on recipes for more than 20 years. After he retired, Wayne took cooking classes, studying with Mike Bulkowski, who was a sous chef for Emeril Lagasse and Wolfgang Puck before opening his own restaurant. He earned an AAC certificate (Accomplished

help control pain. calm fears. we bring ef and comfort. how n we help you? we p control pain. wepain. control m fears. we bring reand comfort. how n we help you? calmwe p control pain. we m fears. we bring reand comfort. how relief comfort. n we help you? we p control pain. we m fears. we bring rehelp and comfort. howyou? n we help you? we p control pain. we m fears. we bring reand comfort. how n we help you? we p control pain. we m fears. we bring reand comfort. how an we help you?

I chose from their long list of meal options, including Flat Iron Steak and Baked Potato Dinner, Sweet and Sour Pork, Rosemary Chicken & Pasta, or Paprika Chicken Thigh Dinner. If I had stayed for breakfast, I could have chosen from Spinach and Goat Cheese Burrito Breakfast, Chicken Hash Breakfast, Fruit and Nut Mini Cake Breakfast, or Granola and Yogurt Breakfast. Lunch offerings included Mediterranean Sloppy Joes, Lasagna Soup, or Bowties with Broccoli, Peas & Chicken. Each looked and sounded delicious!

“There is nothing we cannot eat,” Wayne explains. “It is simply a matter of portion control. You can eat all kinds of things, just in the correct portion sizes, which are all listed in the books. We plan meals around favorite recipes, trying not to alter them. We don’t buy things that aren’t good for us, and we pay attention to how much we eat. The meal plans are perfect for type 1 or type 2 diabetics and their families who are having problems finding complete diabetic meal plans or are tired of finding recipes but having to plan meals around them. They are for people who wish they could find complete meal plans with exciting food and simple recipes and are looking to keep blood sugars more stable. They are also wonderful for people who need to maintain or lose weight without feeling deprived. We

do all the planning for you. Exercise is important, too, of course, so that this way of cooking and eating is part of a whole way to live with diabetes.”

And living with diabetes is a concern for more and more Americans.

Diabetes causes more deaths each year than breast cancer and AIDS combined and is related to blindness, high blood pressure, kidney disease, and neuropathy. A 2011 report from the American Diabetes Association noted that 8.3% of the population has diabetes (25.8 million adults and children) and 1.9 million new cases are diagnosed each year.

Wayne’s four books (Basic Meals Volume I, Basic Meals Volume II, Low Sodium Meals Volume I, and Holiday Meals Volume I) are all available as a Kindle ebook download from Amazon ($9.95), as a PDF ($9.95), through email or PO Box as a CD ($15.95, includes tax and shipping), or as a large print copy ($18.95, includes tax and shipping). The email address is jdmp@bex.net. Just ask for the product and format requested and give credit card (MC, VISA, Discover, AMEX) information. The mailing address for orders is Box 666, Holland, OH 43528. Amazon orders can be placed at www.amazon.com/author/ waynegoodwin. ❦ Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

Healthy snack saves Stanley Cup playoff party

by Kelly Hanner I had some people over to watch the Red Wings Stanley Cup playoffs over the weekend. I didn’t want my guests to not have anything delicious in their bellies, so I set to the kitchen to use up some goodies that were lying around, dying for attention.Thus, I whipped up Peanut Butter Rice Krispie Treats. Three ingredients, easy peasy, so addicting, clean as clean can be, and family and friend approved! These treats are as healthy as goodies can get. I hope you enjoy them as much as my friends did. They were definitely making multiple trips to the kitchen to eat them.

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Peanut Butter Rice Krispie Treats 5 cups Crunchy Rice Cereal 1 cup natural peanut butter 1/3 cup maple syrup In a double broiler, set on medium heat, melt the peanut butter.

Add the maple syrup to the peanut butter. Put the rice cereal in a bowl, then incorporate the peanut butter/maple syrup mixture. Line a baking pan with parchment paper, and pour the cereal onto the pan. Use something like a cup to roll the cereal throughout the pan so it is all uniform. Place in the freezer for an hour. Cut 4 lines horizontally and vertically through it. Enjoy.

I used Enjoy Life’s Perky’s Crunchy Rice Cereal (original). Don’t have a double broiler or can’t MacGyver one? Just warm the peanut butter in the microwave for about 30 seconds and then add the maple syrup to it.

Kelly Hanner is a health-and-fitness coach with a degree in nutrition. For more recipes or to get help in reaching your health-and-fitness goals, Kelly is currently taking new clients for one-on-one fitness coaching. Find Kelly at TubbytoToned.com.

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15

ProMedica Home Care enhances services with Telehealth system

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n the traditional model of health care, the focus is on treating acute symptoms or medical emergencies after they arise. The drawback to this approach is that it tends to overlook the cascade of physiological events and the progression of more subtle symptoms that often precede a fullblown health crisis. With our nation’s population getting older, living longer, and experiencing more chronic diseases, this model has become largely obsolete. Now the key emphasis in health care is on prevention.

Recognizing that more and more patients today need professional guidance in the management of chronic disease states in order to prevent medical crises, emergency room visits, and hospitalizations, ProMedica Home Care, in partnership with Paramount Insurance, offers cutting-edge Telehealth monitoring services to eligible home-care patients.

Marty Murray, RN, MSN, Business Development and Quality, ProMedica Home Care, explains, “Telehealth is a powerful tool for helping patients learn to manage chronic diseases,

such as heart failure, chronic obstructive pulmonary disease, and diabetes. Paramount identifies patients who are eligible for the service and then refers them to us. The system consists of an easy-to-read, easy-touse in-home monitor that connects to any phone line or cable modem.

It can even be connected to a cell phone using a special adaptor. Patients check their vital signs, such as blood pressure, weight, pulse, and blood oxygen, on a daily basis and then securely transmit that information to our Home Care office where it’s reviewed by an RN.” Typically, Telehealth monitoring is completed in one session per day.

However, Murray notes that if a patient is experiencing a problem, he or she can check and transmit vital signs multiple times throughout the day. Sessions are monitored by a dedicated Telehealth RN from Monday through Friday. On weekends, monitoring duties are rotated among a team of RNs. Terese Higgins, RN, MSN, Director of Operations for ProMedica Home Care, adds that if the monitoring RN

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Our holistic approach means we take the time to learn about each person and what is important to them. And we use this understanding to create a care plan that optimizes pain relief and reduces emotional stress, letting the individual define their own end of life journey.

Ashanti Hospice is here to help you navigate through difficult times.

419.724.1047 ashantihospice.org A service of

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16 June 2013 / Healthy Living News

observes any changes or trends in vital signs that trigger concern, he or she can immediately intervene to head off an emergency. “For example, a sudden three-pound weight gain observed in a patient could indicate pending heart failure, so the RN would then act quickly in coordination with the patient’s physician to address the problem. The goal is to catch symptoms early before they become life threatening.”

Higgins recalls one of many patients who have experienced a positive outcome thanks to the Telehealth

system. This patient has heart failure and was testing his blood pressure daily and transmitting it to ProMedica Home Care. The monitoring RN noted a marked increase in his blood pressure and coordinated with his doctor to change his blood pressure medication. She then monitored him closely over the next few days to ensure that his blood pressure remained at the desired level. This was all achieved with the patient still at home and with no office or emergency room visit.

In fact, with the help of the Telehealth system, ProMedica Home Care has been very effective in keeping their patients out of the hospital.

Since implementing the program, they’ve seen an eight- to ten-percent reduction in re-hospitalizations among patients being monitored. Patients appreciate the system because it allows them to remain in the comfort of their own home (where they are likely to heal and recover more quickly), is programmed to monitor

their specific disease state, and gives them the reassurance of knowing a skilled medical professional is closely monitoring their health.

Healthcare providers like the Telehealth system because it helps them track patients’ compliance, teaches patients how to better manage their disease and recognize important symptoms, puts patients on the path to healthier habits, and helps them identify opportunities to intervene in a proactive manner.

“The trend toward a more preventive approach using tools like Telehealth is definitely growing,” Higgins says. “ProMedica is currently looking at different ways to utilize this form of technology throughout the system to better serve patients and improve the overall cost-effectiveness of care, including incorporating a video component as we already do in our state-of-the-art stroke program. It’s important to note, however, that the Telehealth system does not replace the in-person nursing or medical care we provide. Rather, it supplements these services.”

A physician’s order is required to initiate Telehealth service. Higgins

says that some eligible patients are on the program for several years, but most utilize it for about four to six months. “By that time, most patients have learned enough and are compliant enough to discontinue.

But while they’re on the program, most patients feel a great sense of reassurance knowing that monitoring is there,” she adds. ❦

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17

18   June 2013 / Healthy Living News

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ACT Wellness at Rapid Relief Chiropractic Center takes aim at pain with sound waves

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hen you experience an injury, and pain associated with neuropathy, your body responds immedisports and repetitive-stress injuries, ately to the trauma by initiating the arthritic pain, myofascial pain, and physiological processes that lead to any form of muscular pain. People healing. What if it were possible to with multiple sclerosis and muscular stimulate the body to launch that dystrophy have even found sympnatural healing sequence without tom relief through ACT treatments. having to undergo an injury and ACT, also known as Piezo Therawithout turning to drugs or invapy, involves directing acoustic pressive surgery? Thanks to the advent sure waves into the tissue at varying of Acoustic Compression Therapy depths and energy levels, depending (ACT)™, now offered on the condition being

by ACT Wellness in treated. These sound the office of Rapid waves converge at the Relief Chiropractic desired point within Center, the practice of the soft tissue and deDr. Nickalis Dumas, liver a brief but intense such innovative healpressure pulse—think ing and pain relief is of it as a very targeted not a mere possibility, deep-tissue massage. but a powerful reality.

This acoustic pulse, ACT is an advery simply put, comvanced new modality effective in presses, twists, and then releases the treating a wideCrossword range of acuteby andMyles cellsMellor in the area being treated, therechronic musculoskeletal conditions, fore triggering a cascade of cellular such as temporomandibular joint activity that promotes healing and disorder (TMJ), fibromyalgia, plantar pain relief. ACT also improves cirfasciitis, heel spur pain, the numbness culation, which brings more oxygen

Across Summer brings Australia-themed fun 1 Some studies state to the Toledo Zoo it is an alternative ummer is almost here, and no one knows how to enjoy it like your Toledo Zoo. With to statins in Wild Walkabout now open, every day at the Zoo brings you a new Australia-themed bloodlong. experience, and the fun lowering continues all summer It starts with animal pressure feeds and enrichment demonstrations (free with regular Zoo (3 words)

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admission). From cassowaries, otters, and Great Barrier Reef fish to penguins, elephants, 8 Bananas and and vultures, watch your favorite animals chow down or interact with keepers and enrichment objects. The full schedule is at toledozoo.org/feedings. avocados are In Nature’s Neighborhood, you’ll discover even more programs. The Play Stream is natural sources of open for the summer, along with animals in The Forest, an interactive green screen in this mineral Jumpin’ Junction, and kids’ programs in The Workshop. The Contact Yard lets you get up close to some groovy goats, while indoors, guinea pigs are waiting to meet you. Your 9 Brine-cured family will love the daily live animal shows where you could meet a dingo, wallaby, kookaburra, or other Aus-somesalmon animal. These activities are free with regular Zoo admission.

Additional activities, offered at a separate fee, include Behind-the-Scenes Tours that 10 Cubs/Arctic Let go Encounter, Australia: Off the Beaten Path, Africa! feature the Polar Bear (giraffe feed included), and Elephant Excellence. Continuing this year are family-favorite Delicious rides on the Safari 11 Express train and the dish African Animal and historic carousels. New ride passes make these opportunities more affordable than ever.

14 the huge it saltwater and ___!"

Also, don’t miss Baru,"Try crocodile, or the walk-through wallaby exhibit where you’ll come closer to these gentle marsupials than you’ve ever been before.

16 As you age, it's Updates about Wild Walkabout are at toledozoo.org/walkabout.

important to

and nutrients to the treatment area to speed healing.

ACT Wellness in the office of Rapid Relief Chiropractic Center, located at 4210 W. Sylvania Ave., Suite 102 (near Westfield Franklin Park Mall), is the only practice in Ohio to offer this particular form of Acoustic Compression Therapy (requiring no sedation), and they have two of only 60 such machines in the United States.

Individual treatments, which are normally given once or twice a week, typically last between 10 and 20 minutes. Approximately five treatments are needed on average. Potential side effects are limited to minor soreness and skin redness, and patients can

return to normal activities immediately after treatment.

“This modality has been used in Europe for the past 15 years, and it’s just starting to make an impact in the US as more and more patients and practitioners realize that major medical and surgical intervention should be the last route taken. This is one of the most impressive pain-relief modalities I’ve ever seen,” states Dr. Dumas.

For more information about the Acoustic Compression Therapy services offered

by ACT Wellness in the office of Rapid Relief Chiropractic Center, please call 419-474-6500.

by Myles Mellor Across 1 Some studies state it is an alternative to statins in lowering blood pressure (3 words) 8 Bananas and avocados are natural sources of this mineral 9 Brine-cured salmon 10 Let go 11 Delicious dish 14 “Try it and ___!”

16 As you age, it’s important to increase ____ mass 18 Recipe amt.

19 Measurement of distance 20 Expend 23 Grains 25 Low fat alternative to beef steak 1

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27 B vitamin derivation of energy from 28 Pieces of advice compounds and the 30 Special attention, for short release of free radicals 33 Eats 12 A gluten-free whole grain 34 Objectives 13 Common but harmless 35 ___ salt side effect of niacin 15 Gentle alien invader Down 17 Spanish for it is 1 Ready to pick 21 Diminish 2 Gets rid of poisons in the 22 Where inches are body measured 3 “No problem!”

24 Crustaceans 4 Bakes eggs in their shells 26 Fast food mega carb 5 Takes out, an ingredient sources for example 29 Symbol for sodium 6 A gluten-free diet is 31 French the excellent for those with 32 Calcium symbol this digestive disease 7 Process involved in the

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Desensitization treatment takes

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Peanut Desensitization Dr. Winder & Associates, Inc. Dr. Winder & Associates, Inc. is pleased to announce that we are now offering oral peanut desensitization in our Sylvania office. Please call us for more information or to schedule your peanut allergic patient for a consultation visit.

5860 Alexis Rd., Suite B Sylvania, Ohio 43560

|

(419) 885-5755

Begin your Lifelong Learning journey!

Lynda Hoffman Coordinator

lifelong@lourdes.edu

419-824-3707

History, art, religion, creative writing, genealogy, wine tasting, and much more! Learn for the fun of it, without grades or exams.

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Travel with us to new places!

We take care of the details so you don’t have to.

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Monthly lecture series covers a variety of interesting topics.

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Everyone can enjoy one FREE meeting!

www.lourdes.edu/lifelong 20 June 2013 / Healthy Living News

Lifelong Learning at Lourdes!

CLASSES

n the decade between 1997 and 2007, the prevalence of food allergies in US children increased by approximately 18 percent. The vast majority of food allergy cases are linked to one or more of eight “usual suspects,” including milk, eggs, soy, wheat, peanuts, tree nuts, fish, and shellfish. In severely allergic individuals, ingesting even a tiny amount of one of these foods can trigger a lifethreatening anaphylactic response.

The good news for peanut-allergic children in our community is that Dr. Winder & Associates, the practice of John Winder, MD, CPI, is now offering an oral-immunotherapy protocol that can help truly allergic kids build a tolerance to peanuts so they can ingest them without the risk of a dangerous physical reaction.

“This protocol, known as oral peanut desensitization, is based on the findings of a study conducted at Duke University by Dr. Wesley Burks and a team of researchers,” Dr. Winder explains. “Under close medical supervision, the child is given very slowly increasing doses of peanut flour mixed in grape juice, starting with a miniscule amount of the flour, and then monitored to determine the level he or she can tolerate. Once that level is established, the child goes home and takes that tolerated dose twice a day until he or she comes back to the office a week later to work on increasing the tolerated dose.”

Melanie Schell, FNP-BC, of Dr. Winder & Associates, adds that the protocol involves a total of approximately 16 doses. The peanut flour/ grape juice mixture is usually given for the first eight doses (in increasing concentrations). By around dose nine, they switch to a very tiny piece of peanut, again taken twice a day at home once the level of tolerance has been established in the office. “It’s important to understand that nothing is ‘typical’ in this protocol. It must be tailored to the individual child. The average number of doses per office visit is two to three, but that can vary from one patient to the next, and the dosing is increased only in the office under close medical scrutiny, never at home,” she says.

Oral peanut desensitization is helpful only for children who are truly

bite out of peanut allergy allergic to peanuts. To help identify peanut allergy, Dr. Winder & Associates offers a state-of-the-art blood test that looks for specific peanut allergen components on the molecular level.

However, the results of any form of allergy test aren’t sufficient to make a definitive diagnosis. The test must be correlated with a history of reaction to the suspected allergen. “Lab testing for food allergy is not an exact science,” Schell notes. “If you have a negative lab and a history of reaction, you still need to work with your allergist to figure out what’s going on.

It’s the same with peanut testing. It can give us positive predictive value, but it’s not 100 percent.

The most important aspect is a positive history.”

Dr. Winder explains that if there is still uncertainty after testing and patient history, the child can come in to the office for an ingestion challenge.

This involves giving the child peanut butter to eat and then monitoring closely for reaction.

If the child or parent is extremely nervous about the ingestion challenge, they may begin by simply rubbing some peanut butter on the child’s skin or having the child lick a spoon with peanut butter on it and then watching to see if a reaction occurs. “This test, as with any updosing during oral peanut desensitization, must be accomplished in a medical office in the presence of clinicians who know how to manage anaphylaxis,” he cautions.

Dr. Winder also emphasizes that oral peanut desensitization is a form of oral immunotherapy (OIT), not sublingual immunotherapy (SLIT), which involves administering drops containing an extract of a particular allergen under the tongue.

With respect to the safety of peanut desensitization, Schell states that she has had no patients undergoing the protocol who have had a severe reaction. The most common side effects are mild stomach complaints and itching or tingling of the tongue. But it bears repeating that this protocol is safest when done by someone who knows how to treat anaphylaxis because mild symptoms can progress to more serious ones.

Schell describes one patient, a

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kindergarten-aged child, who had a history of anaphylaxis and lab work consistent with peanut allergy. “We still didn’t have enough information to be 100 percent certain whether he was allergic, so we had three options—continued avoidance of peanuts, desensitization, or more testing. His mom and I opted to do more testing as an ingestion challenge. We gave him a small bite of peanut butter, and that confirmed it.

He had a mild reaction in the form of hives on his face, which we treated immediately. Within five to ten minutes of getting an epinephrine shot, his hives were gone, and we started him on desensitization the following

week,” she recalls.

Once a patient reaches a maintenance dose, which is roughly equivalent to eight peanuts twice a day, he or she is considered desensitized. Up to that point, they’re still considered allergic and must continue to take all necessary precautions, such as carrying an epinephrine pen at all times, carefully checking ingredient lists and food labels, advising school staff of the allergy, and sitting at the peanut-free lunch table. ❦ For more information on oral peanut desensitization, please call Dr. Winder & Associates at 419-885-5755.

Summer camp relived— Hold the bugs!

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hat were the best memories from summer camp? Was it the crafts, the music, the food, or just the great new friends?

Lifelong Learning at Lourdes University is offering a summer camp for adults—just hold the bugs and smelly tents.

Bonnie Kantor-Burman, director of the Ohio Department of Aging, said, “There are more than 2.3 million Ohioans age 60 or older and another two million baby boomers living in our state today and comprising more than 40 percent of our state’s total population.

Imagine the potential we will unleash when these Golden Buckeyes make healthy decisions, share their knowledge and experiences, mentor others, expand their minds, and more.” This is the purpose of Lifelong Learning at Lourdes University, the opportunity to share knowledge and expand minds!

Beginning in June, the mind-expanding summer crafts range from making things with fused glass to “Plein air” drawing! If your favorite camp activity was learning something new, then learn from professional photographer Mary Pencheff how to take award-winning photos.

If dining under the stars and great music are your fondest memories, then join our jazz discussion at the Botanical Gardens, led by Jazz Society President Ben Wolkins and followed by a concert by the Gene Parker–Ben Wolkins Quintet, or relive the ex-

citement of the early days of space exploration in “Dawn of the Space Age” in the Appold Planetarium.

We haven’t forgotten adventures on the water, which will be part of our day trip to Port Huron, Michigan in mid-July, when we sail on the Huron Lady II. We won’t have stories or marshmallows around a campfire, but Susan Shelangoskie will lead two brown-bag discussions about Shakespeare’s Twelfth Night before and after we travel to Jackson Michigan for a wine tasting and Shakespeare Festival in August.

All of this fun will culminate in the Fall Kick-off on August 16 with an Antiques Roadshow, with Ted Powers making appraisals from 10:00 a.m. to noon.

There will also be a hot dog cook-off between Harvey Steele from K100 and Steve Pollick, retired outdoors editor of the The Blade, followed by a lecture from Steve on “The Beauty and the Beasts of the Maumee River and Lake Erie.” Also joining us with a special guest will be avian behavior specialist Lora Joseph, the owner of the new Animal Behavior Center.

All of these activities can be packed into one summer. So just because you can no longer sleep on the ground or don’t want to weave boondoggle for hours doesn’t mean you aren’t young enough to have exciting summer adventures! For more information, check out our web page at www.lourdes.edu/life long or call Lynda Hoffman, Interim Coordinator of Lifelong Learning, at 419-824-3707 ❦.

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

21

Naturalist Scouts The secret is out!

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ne of our area’s best-kept secrets is a small group of teenage guys, called the Naturalist Scouts, who meet in Oak Openings Metropark. The secret should already be out since this group has been in existence for 47 years. Over the years, the group has done many amazing things, including camping in 38 states and biking in 25. In fact, the group has biked across the USA twice. They have backpacked in Colorado, Wyoming, Montana, California, and on the Appalachian Trail. They have done many canoe trips in Canada, and last summer, they spent a week canoeing in the Minnesota Boundary Waters.

You might be surprised to learn that it’s very affordable to belong to this group.

The summer trips for 2013 are a good example: • June—two days canoeing in northeast Indiana’s Pigeon River for $15.00 • July—five days of backpacking in Colorado’s Rocky Mountain National Park for $70.00 • August—Two days canoeing on northern Michigan’s Pine River for $20.00

One out of every four shoes New Balance® sells in the United States is proudly made or assembled here. Come in and get fitted with the widest selections of the footwear that keeps us running.

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New Balance calls shoes "American-made" only if the domestic content is at 70% or more. ©2012 New Balance Athletic Shoe, Inc.

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In addition to these longer camping trips, there are shorter trips near Oak Openings. The only cost for camping trips is food, which the guys purchase with their parents and bring with them. We provide lists of suggested foods, but the guys bring what they like.

The Naturalist Scouts do much more than camp. At regular meetings, in nearby state and metroparks, the group does many different projects that benefit the environment. Projects include trail work such as cutting up fallen trees, building and putting up bird boxes, printing and putting up tree-identification signs, leather work, bicycle repair, and picking up roadside litter. We are part of the Ohio Adopt-AHighway Program.

Naturalist Scouts is also an educational program. The guys learn a great deal about wildlife and wild plants.

Several times each year, study days are held, and the winning scout gets a nice prize, such as a gift certificate at his favorite camping store. Recent study day topics have included edible plants, medical plants, mammals of Ohio, birds of Lake Erie marshes, and how to make snare traps. After spending time in this program, the guys become master outdoorsmen who really have a good working knowledge of plants, animals, and wilderness camping.

The Naturalist Scout program is directed by Larry L. Lindsay, who is an Ohio and Michigan certified science instructor, an experienced naturalist, and a wilderness guide with many years of experience. He has a master ’s degree in Outdoor Education from the University of Toledo. A list of references will be provided to parents. Also, a monthly newsletter is printed to keep parents informed about upcoming events.

For more information or if you have questions, please contact Larry Lindsay at 419-826-5182 or larryl lindsay@centurylink.net. ❦

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23

10 personal-safety tips for outdoor runners

First 20 R SVP’s receive a signed c opy of Dick Edw a r d s ’ book: “Mom, D ad... Can We Talk? ”

Family Conversations

That make a difference.

Date: Monday, June 3 Time: 12:00 PM & 7:00 PM Place: Senior Star at West Park Place Mr. Edwards’ presentation will include helpful information on anticipating, communicating and navigating the challenges in relationships with aging parents. The presentation builds on themes and stories from Mr. Edwards’ book and from his 35-year career working with older adults and their families.

Join us for a presentation with lunch at noon or an evening conversation at 7:00 PM with appetizers.

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RSVP: 419.862.6046

3501 Executive Parkway | Toledo, OH 43606 seniorstar.com 24 June 2013 / Healthy Living News

W

hen beginning a healthy outdoor fitness regimen, such as running, most people take into account factors such as traffic safety and dressing appropriately for weather conditions, but what they often overlook are precautions they need to be taking to protect their personal safety.

While it’s true that running will make you healthier and is statistically very safe, it can also leave you vulnerable to crimes of opportunity. The following 10 personal-safety tips will help you minimize the risk of becoming a victim while you enjoy the many health benefits of running:

1

Share your route with loved ones Before heading out to run, be sure to tell a loved one where you’ll be going and approximately when you’ll be returning. If there’s no one on hand to tell, leave a note containing this information in a prominent location.

2

Carry communication and other essentials In this high-tech age, there’s really no reason to be without emergency communication when running. Take your cell phone with you. You should also have on hand: • Some cash or an ATM card in case of an emergency • Identification and your medical insurance card • Medical alert ID if applicable • Emergency contact numbers • A loud whistle or personal alarm you can sound in the event of a confrontation

3

Run with the herd Avoid running alone, especially at night. Just like lions on the Serengeti, human predators look for isolated victims who appear disinclined or unable to put up much resistance. Running with a partner, group, or, even better, the family dog, will very clearly convey the message that you’re not going to be easy prey.

4

Stay close to safe zones Develop your running route with an eye toward safe zones—trusted

neighbors’ homes, open businesses, etc.—you can get to quickly if you encounter or perceive danger. If there are emergency phones on your route (e.g., on a college campus), make sure you know where they’re located and how to use them. Avoid running in unlighted, overgrown, deserted, or scarcely populated areas or passing close to parked vehicles. Also, plan out potential escape routes you could take in the event of a confrontation.

5

Don’t be predictable Try to alter your running route as well as the days and times you run to avoid broadcasting a predictable pattern of behavior that someone with ill intent might exploit.

6

Keep your senses about you Listening to upbeat music through an MP3 player and earphones can certainly charge up your energy level and make your runs more enjoyable, but it will also obstruct your sense of hearing. That means you won’t be able to detect audible warning signs of potential danger, such as a car approaching, a horn or siren sounding, a cyclist passing (on your left!), or someone approaching you from behind. If you want to enjoy music while you work out, do so on a treadmill or other stationary equipment at home or the gym, but leave the earphones behind when you exercise outdoors.

7

Keep your distance It’s fine to politely acknowledge other people as you run, but use your discretion and don’t get too close. Use situational awareness. Take notice of who’s around you and their position relative to yours. If someone in a vehicle asks for directions or other information, do not approach the vehicle.

From a distance, direct them to an information source or indicate that you don’t know and keep moving.

8

Don’t ignore your instincts Humans are the only animals that will ignore the intuition that something is wrong in order to avoid

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appearing impolite. If your gut instinct tells you a person or situation is dangerous or that something isn’t quite right, trust that intuition and move away from the perceived threat toward a safe zone.

9

Know how to react if confronted If you are confronted by a threat, don’t panic. Take advantage of the fact that you’re already in motion and move as quickly as possible toward a more populated area or known safe zone—not toward an isolated area.

If someone is harassing you verbally, ignore it and keep moving toward safety. Do not escalate the situation by responding in kind. Call the police to report the incident immediately.

10

Consider self-defense training Taking a self-defense course doesn’t guarantee the upper hand in the event of an attack, but it will arm you with simple, effective techniques that will give you a survival edge. Carrying pepper spray as a deterrent is also a good idea. ❦

Lutheran Homes Society partners with UTMC for wound Care

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omplex wound care management is provided on a day-to-day basis in skilled-nursing facilities, such as in the four long-term-care campuses of Lutheran Homes Society (LHS). In order to better serve the needs of residents, LHS has partnered with the Division of Vascular/Endovascular and Wound Care Surgery at The University of Toledo (UT), UT Physicians group, and The University of Toledo Medical Center (UTMC) Wound Care & Hyperbaric Center to provide this service within the facilities.

“There is a large demand for wound-care services,” stated Dr.

Munier Nazzal, FACS, director of the UTMC Wound Care Center. “This program will enable us to provide help and support to these patients with chronic, non-healing wounds.

Our goal is to make the LHS facilities into recognized centers of excellence for wound care.”

The program has been implemented on the Lutheran Village at Wolf Creek and Lutheran Home at Toledo campuses and will expand to Lutheran Home at Napoleon and Lutheran Memorial Home in Sandusky within the next few months.

The program is designed to mini-

mize and prevent wounds and ulcers agement processes so residents and in patients and ensure that patients patients get the specialized care they are well taken care of at the facility need.” to avoid hospitalization. Nurse PracAs the wound care program detitioner Kelly Inthanamith, NP-C, velops, Dr. Nazzal hopes to obtain comes to the facilities weekly and grant funding to provide more nurse meets with patients. She communipractitioners and diagnostic services. cates in real time through a computer Lutheran Homes Society is a sowith specialists in the UTMC Wound cial ministry organization based in Care Center.

Toledo, Ohio, that has been serving “We are coming to the patients the unique needs of youth and elin the facility to provide the earderly since 1860. Today, more than liest intervention possible,” Ms. 2,500 individuals located throughInthanamith explained. “We are out Northwest Ohio and Southeast opening the direct channels of comMichigan benefit from the residenmunication for patients.” tial and community services offered “We are embracing this partnerthrough LHS ministries. ❦ ship because anyone who enters one of our facilities has medical care needs that put them at a high risk for skin breakdown,” stated Donna Konst, LHS Senior Vice President for Elder Lutheran Village at Wolf Creek Executive Director (ED) Angela Powell, Care Services. Lutheran Home at Toledo ED Robert Dennie, Dr. Munier Nazzal, Nurse “We will be very Practitioner Kelly Inthanamith, Lutheran Memorial Home ED Deanna proactive in our Dothard, and Lutheran Home at Napoleon ED Nicole Giesige will work skin care man- together to provide complex wound care for LHS residents and patients.

Toledo Orthopaedic Surgeons Specializing in Sport Medicine and Joint Replacements Stephen R. Saddemi, M.D. • Anthony D. Frogameni, M.D. Paul J. Fenton, M.D. • Thomas G. Padanilam, M.D. • Luke M. Ragan, M.D. David C. Ervin, M.D. • Ashok Biyani, M.D. We are pleased to announce and welcome to our practice August 2013

John Houghtaling, M.D. Specializing in Hand and Upper Extremity Surgery

For an appointment, please call:

419-578-7200 Physical Therapy • 419-578-4200

Wildwood Medical Center • 2865 Reynolds Rd., Building A • Toledo, Ohio 43615 Have questions about an advertiser? Click their email or web address in our online issue at www.hlntoledo.com.

25

Eating Well

by Laurie Syring, RD/LD

Eat more to weigh less

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verything you see, I owe to spaghetti.” This quote, famously uttered by the beautiful and talented Sophia Loren, makes more sense than you might imagine. Okay, scarfing down plates of pasta may not be the best way to shed that winter “insulation” and get in shape for bathing suit season—but neither is dieting.

For most people, dieting means deprivation—limiting calories and portions and cutting out favorite foods. It means feeling hungry and deprived. It’s depressing, and most of the time it doesn’t really work.

Eat more to weigh less On the other hand, you can eat more and still weigh less by filling up on low-calorie, nutrient-dense foods.

This concept, called “Volumetrics,” is not new. It was first introduced in 2000 in the best-selling book The Volu-

metrics Weight Control Plan by Barbara Rolls, PhD. Since then, Rolls has been very busy in her Eating Lab at Penn State, still focused on understanding why people eat.

There’s renewed interest in Dr. Rolls’ plan with the publishing of The Ultimate Volumetrics Diet, recent articles on Volumetrics in journals such as Obesity, and discussions on the topic on hit shows such as the Food Network’s Healthy Appetite.

Hunger games Dr. Rolls’ research has shown that people eat roughly the same weight of food each day, regardless of calories. So, if you are now choosing foods lower in calories and moderating your portions of favorite foods, you will feel more satisfied and, hopefully, lose weight. To understand the idea behind Volumetrics, ask yourself this question: Would you

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rather have a quarter cup of raisins or one and two-thirds cups of grapes for the same calories?

By filling up on lower-calorie foods, you displace the extra calories found in meats and starches. A good way to start is by filling half your plate with fruits and vegetables as recommended by MyPlate.gov.

Research has shown that foods with a high water content, such as fruits and vegetables, are more filling. Oh, and about that typical dieting hint of drinking a glass of water before your meal, studies have revealed that eating a broth-based vegetable soup—such as the one in the recipe below—or a lettuce salad 15 minutes before your meal will do a better job of filling you up.

Tips to eat more and weigh less In addition to filling half your plate with fruits and veggies, here are some other tips that will help you eat more and weigh less: • Order an extra vegetable side dish when eating out.

• Start your meal with a cup of vegetable soup or a lettuce salad (note: not a cream-based soup or a salad drenched in dressing).

• Don’t drink your calories—via sugar-sweetened beverages (see last month’s column).

• Use salsa to dress salads and vegetables.

• Use fruit purees to bulk up dishes such as casseroles, breads, and meatloaf.

• Have a low-calorie snack, such as an apple, before you eat out.

• Choose a 100- to 150-calorie snack between meals, such as popcorn, fruit, or vegetables.

• Pay attention to your body’s

fullness signs, and obey them.

• Look at different meal or snack patterns to find what is best for you. Keeping a food journal can help with this.

The concept of eating more and weighing less seems so simple because it is. But it’s important to be realistic. Choose a small, manageable goal, such as losing five to seven pounds and keeping it off, and take a healthy approach to weight loss (no fads!). If you tend to eat food “because it’s there,” it’s time to start thinking, “out of sight, out of mind!” When you food shop, make a list, stick to it, and don’t bring home the items that tempt you to overeat calories. Eat a variety of foods; practice mindful eating; eat your favorite foods (but less of them); drink 64 ounces of water per day; read Rolls’ books on Volumetrics for inspiration, menu plans, and recipes; and, most important, be optimistic. Tell yourself, “I can do this!”

I know you can! ❦ Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

✁ Vegetable soup 2 Tbs. olive oil 4 cloves garlic, minced 5 cups canned fat-free chicken broth ¼ tsp. thyme 1¾ cup spinach, fresh, diced 1 cup red pepper, sliced thin ½ cup frozen peas 1 cup cut asparagus, fresh 1 cup penne pasta, cooked Heat oil in a heavy pan, add garlic.

Sauté for 1 minute. Add broth and thyme. Bring to a boil. Cover and

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reduce heat and simmer 10 minutes.

Add spinach, bell pepper, and peas.

Cover and simmer for 5 minutes.

Add asparagus, cover, and simmer 3 minutes. Stir in pasta, cook 1 minute, and serve.

Serving: 2 cups (150 calories, 3 gm fat, 4 gm fiber, 23 gm carb)

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If you’ve taken tablet vitamins in the past and felt few results, there’s a good reason. Ingredients listed on a label mean little if your body doesn’t absorb them! With Vemma’s delicious liquid shot, you’ll enjoy instant nutrition that goes to work right away to help fight damaging free radicals.

Liquid Vemma (Vitamins, Essential Minerals, Mangosteen, and Aloe Vera) is a formula that guarantees you’ve received the clinically studied blend of 12 full-spectrum vitamins, plant-sourced minerals, mangosteen superfruit, organic tea, and green tea in each serving.

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27

Sluggin’ it out with

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our variegated hostas are filling out nicely, their luscious greenand-white foliage unfurling with dramatic effect. A couple days later, you notice a few ragged holes developing in the tender, fresh leaves. Nothing to be concerned about, you assure yourself. You’ve got plenty of hostas; a few damaged leaves won’t make much difference. Within a week’s time, however, your prized patch of hostas has been shredded to ribbons and you’re heartsick over the loss.

But what caused the damage? Disease? A little informal research into common plant diseases doesn’t turn up a match? Bugs? You’ve checked over the plants and found no suspicious insects. Aliens maybe? Perhaps the same unearthly beings who make those mysterious crop circles have been excising portions of your hostas—either for sustenance or to fuel their spacecraft.

An up-close look at the leaves reveals that the culprit is not, after all extraterrestrial. Indeed, it’s very terrestrial. The shiny slime trails leading from hole to hole provide the “smoking gun.” You’ve got slugs!

Slug modus operandi

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3PM[ *OHPY 7\YJOHZL

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28 June 2013 / Healthy Living News

What exactly is a slug? Picture a snail plucked out of its shell, and you get the general idea. It’s hard to catch these voracious vermin in the act because slugs wreak their havoc at night when gardeners are blissfully unconscious in bed. To see them feeding, you’ll need to head outdoors after sundown, flashlight in hand, and look for them on the undersides of leaves. (Pick off any that you see on your nighttime reconnaissance mission.)

Slugs thrive in shady, moist garden settings with plenty of decaying organic matter, and they’ll seek shelter under just about any available object, such as plant pots, rocks, fountains, statuary, and boards. Branches of shrubs lying close to the ground afford both protection and access to a food source.

Like so many pestilential creatures, slugs reproduce prolifically.

Worse yet, they’re hermaphrodites.

That is, each individual slug has both male and female reproductive organs and can actually mate with itself (talk about inbreeding!), producing two to three dozen eggs (which look like white, jelly-like BBs) several times throughout the growing season. The eggs hatch in approximately three weeks, and it takes only about six weeks for the young slugs to reach maturity.

Slugs definitely take a shine to hostas, but there are many other ornamental plants on their menu, as well, such as dahlias, delphiniums, lupines, marigolds, and zinnias to name a few.

Home remedies Okay, we’ve identified slugs as the hosta-crunching culprits and learned a little about how they operate. Now how do we go about bringing their numbers under control? Let’s look at a few different options, starting with some home remedies, some of which involve the use of items you might already have around the house.

Slug control begins with a little garden housekeeping to reduce or eliminate potential hiding places. Pull as many weeds as you can, remove any unnecessary objects from the garden, and rake up any fallen leaves or other debris from around your plants. Also, prune out any shrub branches that make contact with the ground. If the slug infestation is severe, you might want to avoid mulching the area until the population is brought under control.

Once you’ve removed any slug “outposts,” it’s time to take the battle to them, s o t o speak. To protect your prized garden specimens, you can create a barrier around each plant using one of several different substrate materials that slugs prefer not to cross. Examples include crushed eggshells, hardwood ashes, diatomaceous earth, lime (not for use around acid-loving plants), sawdust, or even sandpaper.

In addition to protective barriers,

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you can make slug traps out of various household materials and place them around the garden. One of the easiest homemade traps involves nothing more than partially burying a shallow container in the garden and filling it with beer. The yeasty smell of the beer will attract the slugs, and once they fall in, they’ll succumb to the alcohol.

For a slightly more elaborate version of the beer trap, cut a plastic soda bottle in half, bury the bottom half in the soil with the open end facing up, pour beer into the bottom half, and then place the top part of the bottle into the bottom part with the narrow, threaded end pointing down. The slugs will be able to enter the trap easily but will not be able to escape.

If you’re not a beer drinker—or you’re a beer lover who can’t bear the thought of sacrificing your favorite beverage to slugs—you can also dissolve one tablespoon each of jam, sugar, and lemon juice in a glass of water and use this concoction instead. The sweets in the mixture will attract the slugs, and the acidic lemon juice will kill them.

Commercial controls If homemade traps and protective barriers don’t get the job done or you simply don’t wish to fool around

with folk remedies, you always have the option of using one of the various commercial slug baits sold at garden centers. These products are available in pellet, powder, or liquid form and can be used in conjunction

with commercial slug traps or the aforementioned soda-bottle trap. Just keep in mind that many commercial slug baits contain poison and must not be used or stored in areas where children or pets can access them. ❦

Q

should be performed to determine if there is a hearing loss and what type it is. Along with the audiogram, a tympanogram is usually performed to determine if the middle ear cavity behind the eardrum (otherwise known as the tympanic membrane) may build up fluid.

If the hearing loss is truly due to some type of allergy, fluid could build up in the middle ear. The middle ear reacts to an allergen by developing fluid, which remains in the middle ear space for days, weeks, or even months. This disorder is knows as

: I just took my twin daughters who are 8 years old to see an ear specialist because they kept sniffing with watery eyes and are having problems hearing me. The doctor told me that allergies were causing the symptoms, could this really be true?

A

: Actually this may be quite true, and this is the time of year we see seasonal allergies causing the Eustachian tube to not drain properly along with some type of hearing loss. In order to be certain, an audiogram, which is a hearing test,

a conductive hearing loss. It is usually treated with antihistamines and occasionally steroids. Rarely, a small incision in the eardrum is made to evacuate the fluid.

If the inner ear, also known as the cochlea, is affected by allergies, it also may accumulate excessive fluid, a condition referred to as endolymphatic hydrops. This may, in turn, develop into a sensorineural hearing loss along with the associated symptoms of the sensation of fullness, pressure, and often vertigo. This needs to be taken seriously, and quick medical attention is suggested. The audiogram at this point is quite important to rule out other factors, such as a sudden hearing loss, which also could be caused by viral infection, tumor, multiple sclerosis, stroke, or chronic ear infections. We would encourage a visit to an audiologist and/or ear specialist as quickly as possible.

So, yes, it’s true that allergies can be causing your daughters’ difficulties, but a visit to the doctor may lead to better hearing health. ❦ Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 3000 Arlington Ave. in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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419-882-8388 • 4352 Sylvania Avenue • Forum Building, Suite G • Toledo, Ohio 43623 Have questions about an advertiser? Click their email or web address in our online issue at www.hlntoledo.com.

29

By Robin Rummel, LPN

The Patient Centered Medical Home Team

H

ow does a Patient Centered Medical Home (PCMH) provide better care? Here at the Oregon Clinic, our PCMH Team works hand in hand with the physicians, allied professionals, and office staff to provide our patients with the best possible care! Responsibilities of the PCMH include patient education, medication refills, lab reporting, in-office testing, and dressing changes—just to name a few.

For patients, our PCMH Team will help with medication needs. We will check to make sure all of your medications are documented in your chart and that you are current with regular appointments as determined by your provider. If over the recommended time, you will be contacted and we will schedule an appointment with you. A 30-day supply of medication may be prescribed to prevent you from being without medication until your appointment. However, this is at the doctor’s discretion; it’s not always guaranteed that medication will be called in. Your PCMH Team is available to review your medications to make sure you are taking them as

30 June 2013 / Healthy Living News

prescribed and to answer any questions you may have.

Contacting our patients in a timely manner is another responsibility of the PCHM Team. Our staff will usually contact you within 24 hours of receiving any abnormal results and then notify you of your doctor’s care plan. Any changes in medication or treatment will be explained to you.

If a referral is necessary, we will send a letter to the appropriate specialist along with treatment notes to help them better evaluate and treat you.

The Oregon Clinic PCMH Team is also available for many in-office services for our patients, including blood pressure and glucose checks.

If you feel your monitor at home is not accurate, bring it in and one of our medical assistants will test it against ours. If your doctor has determined that your ears need to be cleaned, a PCMH Team member will irrigate your ears. Our skilled nurses also provide wound care, including dressing changes, wound packing, and suture removals.

Pre-visit chart reviews are completed by the nursing staff prior to

each visit. Your PCMH Team will make sure that lab reports, diagnostic testing, consultation notes, and hospital reports are available for your physician to review during your visit.

During the visit, the nurse will record your vital signs, including weight, height, and blood pressure. They will also review your allergies and clarify the reason for your appointment. If you are in need of medication refills, please notify the nurse who will then be able to electronically transmit or print the prescriptions. It is imperative to make sure your healthcare provider is aware of all your medications.

The PCMH Team member will do a “Review of Systems,” which is a series of questions related to your current medical condition(s). Examples include: any trouble breathing, any pain, any chest pain or swelling of extremities, and is this a new or ongoing concern?

We are able to provide

educational handouts for many health concerns and are happy to provide them at each visit. Any changes in your condition will be noted in the chart for your provider to address.

Having all of this information ready for your doctor will allow for more time to discuss your treatment plan.

Our goal at the Oregon Clinic is to have safe, healthy, and happy patients. Each one of your Patient Centered Medical Home Team members can be reached by phone if you need to speak with them.

Please visit www.oregon clinic.org for a list of our physicians and staff as well as other information.

Please remember that our staff may be away from their desks assisting other patients, so feel free to leave a message or speak with another PCMH Team

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member. Your call will be returned as soon as possible. If you are experiencing a medical emergency, please do not call the office. Call 911 immediately.

Thank you for allowing the Oregon Clinic to be a part of your care. Your PCMH Team is waiting to help you in any way we can. ❦

Bringing together community partners to embrace and enhance the lives of families touched by autism

Great Lakes Collaborative for Autism

Come for the knee, stay for the body

by Douglas Schwan, DC, Dipl Ac

K

elly was sitting across from me in my office. The file of this 50-yearold, pleasant lady simply read, “consultation requested with doctor.” So I wasn’t sure if Kelly was here to seek chiropractic care, acupuncture, nutritional workup, or cold laser therapy.

As we talked, I got the feeling that Kelly wasn’t sure which therapy she thought she wanted, and together we discussed her complaints and tried to focus on the “Big Issue” she was having.

The case history revealed that Kelly had severe right knee pain.

She also was concerned about her overall health. Kelly had a strong family history of diabetes as well as heart disease. Her energy level was low, and she had been feeling more and more anxious lately.

With such a broad spectrum of concerns, and Kelly’s expressed desire to take a holistic perspective on her entire being, we discussed at length the different approaches available to utilize a holistic Alternative Medicine approach.

Our first concern was to address her knee pain. She had injured it years earlier, and it had just been getting worse to the point where it made her life miserable.

Medically, she had injections of steroids, which only helped for a few weeks and then the pain would return with a vengence. Her orthopedist was concerned about multiple injections further damaging the joint. She was told she was too young for a knee replacement but that surgery was in her future.

After talking, we decided together to tackle her knee pain and then address the rest of her health concerns once that was under control. I told her that in my opinion, cold laser therapy might be the treatment approach of choice. Cold laser therapy is relatively new. I wrote about it in last month’s article. Suffice to say that it works by reducing local inflammation, increasing local blood flow, and activating the

ATP energy molecule at the cellular level to accelerate healing.

Not every knee issue can be solved with cold laser, but our office was involved in a joint research project testing for effectiveness in chronic and acute knee pain. Over 80% of patients reported decreases in pain and increased ability to participate in activities of daily living.

Kelly received her first of a series of eight laser treatments. She reported that the day after her first treatment was the first time in over five years that she could go down the stairs without strong pain. After the second and third treatment, the pain relief lasted longer. Eventually, the pain diminished by 80% and her activity level had increased fourfold!

Kelly was happy with her response to cold laser therapy and was eager to utilize other alternative and holistic therapies in an effort to maximize her health. Her biggest concerns were her strong family history of heart disease and diabetes.

For the next phase in Kelly’s treatment, we performed an Electro Meridian Imaging (EMI) study.

Basically there are diagnostic acupuncture points spread around the body, and we use computerized equipment to measure their individual Qi (pronounced ‘chi’) levels. From this chart, we can determine where there are energy blockages, deficiencies, or excesses in the body and plan out a treatment strategy.

Kelly was also given a comprehensive nutritional workup. She was taking cholesterol, blood pressure, and anti-anxiety medications. She was cautioned not to discontinue any prescribed meds on her own. Many drugs have a “rebound” tendency when withdrawn from the body.

Blood pressure spikes, severe mood changes, and heart palpitations are possible with abrupt withdrawal of these types of meds.

Based on the results of Kelly’s EMI study, an acupuncture treatment pro-

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31

tocol was developed to address her anxiety issues as well as balance her entire system for optimum function.

Traditional Chinese Medicine (TCM) holds that you have a number of channels, or meridians, crisscrossing the body. Optimum health requires free and balanced flow of Qi energy throughout the body. The EMI study tells your doctor where blockages, deficiencies, or excesses of this energy can be found so appropriate treatment points can be selected.

With her acupuncture protocols developed, it was time for Kelly to have her nutritional workup reviewed. Based on her workup, we found she was calcium deficient.

This was determined because of long-term gastroesophageal reflux disease (GERD), for which she was taking acid-suppressing medications for a number of years. She neglected to tell us this during her initial case history, but we found it on her nutritional workup.

The problem is that calcium requires an acid environment in the stomach to be properly absorbed. By taking medications that effectively neutralize all the acid, calcium is blocked from being absorbed, and this can lead to long-term bone disorders, such as osteoporosis and osteopenia.

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COMFORT • CONFIDENCE • EXCELLENCE calling all chicks

chicks ' mix 13

Independent Living Assisted Living Nursing Care Respite Care Short Term Rehabilitation Outpatient Therapy

date: Tuesday, July 16 time: 5:30 – 9:00 pm

location: Toledo Botanical Garden tickets: $37 per ticket ($20 for Junior Chicks age 20 and under)

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proceeds benefiting:

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Independent Living Open House Sun., June 2 • 1 p.m.–3 p.m.

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Additionally, Kelly was on the low side for B12 and iron, which also require an acidic environment for adequate absorption. We addressed these nutrients in Kelly’s nutritional report.

Kelly was provided a printout of suggested nutrients, vitamins, minerals, and herbs tailored to her needs along with their dosages. A management program for her vascular health and diabetes tendency was developed before they became full-blown clinical conditions. Blood pressure and cholesterol problems were also addressed with the specific aim of raising good and lowering bad cholesterol through the use of Niacin/ D3 in combination with herbs.

Kelly was found to be in good “balance” after a series of acupuncture treatments and released to a supportive program that checks and reinforces treatment. Her blood pressure came down 30 points, and her cholesterol ratio improved dramatically. In fact, after six months, she was able to discontinue all prescription drugs, including her acid inhibitor for GERD. Her overall energy increased, and her mental attitude improved dramatically.

On her last visit, Kelly had only hip pain as a complaint. We evaluated her and suggested chiropractic adjustments to restore her lower-back alignment. The back and hip pain resolved after a couple of treatments.

There is no one “magic” alternative therapy out there. Sometimes a number of alternatives can be brought to the table to manage a patient successfully. Also, not all Alternative Medicine practitioners offer all alternative treatments. Most will offer a free consult to discuss their approach to your potential problems. A knee doesn’t walk into a doctor ’s office by itself—it is connected to the rest of the body.

Ask your holistic physician how best to address your entire health!❦ Dr. Schwan is a Doctor of Chiropractic and a Diplomate of the International Academy of Medical Acupuncture. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio.

He is an author, lecturer, and one-time stand-up comedian. He has maintained an active practice in Toledo, OH for the last 29 years. He also maintains a Perrysburg, OH office. He is available for lay lectures and may be contacted at Dr_Schwan@acupuncturetoledo.com.

For more information on Alternative Medicine, please visit our website at www.acupuncturetoledo.com.

www.lhsoh.org

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Mercy STAR Program® offers cancer survivors the best possible “new normal”

I

n recent years, remarkable advances have been made in the realm of cancer treatment. Therapies have become more targeted, improved screening techniques are catching cancer earlier, and cutting-edge genetic testing is helping to identify at-risk individuals before they develop cancer. As a result, cancer survivorship rates keep getting better and better.

Still, cancers and the therapies used to treat them can take a considerable toll on the body, potentially leaving survivors with a wide variety of residual side effects.

Recognizing that treatment is only the beginning of the journey for cancer survivors, Mercy has introduced the Survivorship Training and Rehabilitation (STAR) Program® with the goal of helping survivors manage their side effects and achieve the best possible quality of life.

“The STAR Program was devel-

oped by a physiatrist who had breast cancer,” says Becky Ford, PT, MBA, manager of Mercy Physical Medicine and Rehabilitation Services. “After completing treatment, she still had all these lingering side effects and was told, ‘This is going to be your new normal.’ Being a physician who specializes in physical medicine and rehab, she knew better, so she made it her goal to develop this program.”

According to Ford, who coordinated implementation of the program for Mercy, the STAR program has two primary purposes. The first is to train doctors, nurses, and other practitioners to recognize when therapy could be beneficial to survivors. The second is to train physical, occupational, and speech therapists how to treat problems specific to cancer—essentially helping them become specialists in cancer survivor care.

Ford notes that her clinic histori-

cally has seen very few cancer patients They aren’t ‘curable,’ but we can until they develop major problems, teach patients how to minimize the such as lymphedema (swelling of the effects. If incontinence is an issue, it extremities as a result of the impeded often can be overcome by strengthenflow of lymphatic fluid) or a frozen ing the patient’s pelvic floor. The list shoulder after mastectomy. But that’s that can be addressed to help these just scratching the surface of potential patients goes on and on.” side effects cancer patients might To understand how the STAR experience. Other common problems Program can benefit cancer survivors, from cancer treatment may include visualize a woman with breast cancer who has undergone a lumpectomy general fatigue; pain; neuropathies from chemotherapy or or mastectomy as radiation; incontinence; well as chemothermemory and concentraand radiation The STAR program apy tion issues; swallowing treatments. The and speech problems; and trains doctors, nurses, STAR team would balance, coordination, and and other practitioners be aware that she’s gait issues in patients with at risk of developto become specialists in ing lymphedema neurological cancers.

Unfortunately, too cancer survivor care. as well as chest many cancer survivors wall pain, shoulare under the mistaken der pain, and limiassumption that they just tation in motion have to learn to live with these probof the shoulder (frozen shoulder). lems. As Ford explains, “Most cancer Depending on the chemotherapy survivors are so excited to be alive used, she may also have neuropathy that they’re happy to accept their in her hands or feet. That would ‘new normal.’ But, they don’t have make it difficult for her to pick up small items, button clothing, put on to live with all these side effects. We can, for example, teach them how jewelry, or walk or stand for extended to reduce the potential of acquiring periods of time.

“Ideally, we would want to start lymphedema or manage it if it has working with that patient right already presented as a problem. We can teach patients how to manage after surgery to inform her of the peripheral neuropathies, as well. risks and teach her how to prevent

Kids & Parents

Parents and kids!

This is YOUR day! It’s time for …

Don’t miss a day of family fun at MERCY GO!

Presented by Mercy Children’s and Central Catholic

Featuring:

Mercy Children’s Hospital

Family Fun Day

• Healthy Breakfast • Mini-sports camps for kids Saturday, July 28, 2012 • Photo booth Central Catholic High School Campus • Bouncy houses 8:30 a.m. – 3:00 p.m.

• Mercy experts and information • Much more

Parents and kids!

Saturday, July 28, 2012 volunteer, Central Catholic You To won’tregister want to miss thisor special day of free activities for the whole family!

Kids will sharpen their skills with “mini camps” in basketball, High School Campus callcheer/dance MercyandHealthLink Central Catholic High School Campus volleyball, soccer. And even more fun provided with music, bouncy houses, raffle prizes and much, much more! Activities 8:30 a.m. – 3:00 p.m. at provided 419.251.6372 orImagination visit: Station.

9:00 a.m.

– 1:30 p.m. by the Toledo Zoo and Saturday, July 28, 2012 at Central Catholic High School This camp is recommended for kids ages 5-12. mercyweb.org/mercy_go Central Catholic For more information, visit High School Campus mercyweb.org/mercygo or call 419.251.6372.

YouConnect won’twith want to miss this Hospital special of–free for the whole 8:30 a.m.

3:00activities p.m.

A FREE day of fun and Mercy Children’s onday Facebook!

Saturday, July 27, 2013

Parents and kids!

with Mercy Children’s Hospital on Facebook! family! Kids will sharpen their skills with “mini camps” in basketball, Connect healthy activities for the whole family volleyball, cheer/dance and soccer. And even more fun provided with Have music, questionsbouncy about an advertiser? email and or web addressmuch in our online at www.hlntoledo.com. houses, Click raffletheir prizes much, more!issue Activities provided by the Toledo Zoo and Imagination Station.

Parents and kids!

33

Life

Looks Good From Here

“Living at Swan Creek Retirement Village is a gift I have given myself and my family – I feel secure, content and involved. I have a great apartment, wonderful neighbors, and the services provided are second to none!”

419-865-4445 www.swancreek.oprs.org

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34 June 2013 / Healthy Living News

them,” Ford says. “For instance, we would give her information on lymphedema prevention, show her how to stretch to get her shoulder moving and mobilize that scar tissue, teach her how to function with peripheral neuropathy, possibly send her home with an exercise program, and follow up with her in a few weeks to see how she’s doing and to address any concerns she might have. It’s a matter of providing education early, preventing issues from arising, and helping her work within her limitations to the best of her ability.”

Since the STAR Program’s launch, Ford has been especially impressed by the collaboration and teamwork she’s observed between the nurses

and therapists—two different disciplines that don’t typically interact to any significant extent. She’s also proud of Mercy for investing the time, energy, and funds necessary to implement the program, stating, “This is just one more example of how Mercy follows through on its mission. This program is really in the best interest of patients. It’s allowed us to become specialists in cancer survivor care, and it demonstrates a level of dedication that everyone involved in the program is very proud of.” ❦ A physician’s order is necessary for any of the STAR Program therapies, and most are covered by insurance. For more information, please call 1-888-987-6372.

Staying "cool" this summer

by Amanda Manthey

W

hat should you know before you head outdoors this summer for a three-mile run or walk?

Any aerobic exercise in hot weather can be difficult. Keeping your body properly hydrated with the right fluids is essential to your safety and your fitness performance. Drinking enough water before you exercise and during your run will help your endurance and give you a better workout.

Dehydration affects your performance and increases the risk of heat illnesses, such as heat exhaustion or potentially deadly heat stroke.

Some signs of dehydration include headache, fatigue, dizziness, nausea, muscle cramps, and abnormal chills.

Following the right fluid-replacement plan can prevent dehydration.

Here are some training tips for proper hydration during your next run or road race: • Drink to stay hydrated, but don’t over-hydrate yourself.

• Drink two cups of water two hours before exercising and then nine ounces every 15 minutes during your workout.

Excess body water will be passed as urine before you start to run. Clear urine is a sign of good hydration.

• Get enough salt in your diet to replace salt lost during your workout.

• If you work out longer than one hour, sports drinks will replenish your sodium quicker.

• Finally, recognize the warning signs. When in doubt, stop

exercising and seek medical attention immediately.

In addition to hydration, choosing the right type of workout clothing is essential to fitness performance in the warm climate. Shorts, T-shirts, and socks made of evaporative polyester fabric will help keep you cool this summer. ❦ Amanda Manthey is a former collegiate runner at Eastern Michigan University.

She writes about running and fitness on behalf of Dave’s Running Shop.

Don’t miss Dave’s races!

Runners, get ready to take your mark in these exciting community events sponsored by Dave’s Running Shop.

For full event details, please visit davesrunning.com.

Delta 5K Steel Run Saturday, June 1,

2013, 9:00 a.m. at 5807 Ohio in Delta, Ohio. Charity 5K run benefiting autism, the Wabash Cannonball Trail, and the American Cancer Society. Age 8 and under Half-Mile Steel Run starts at 8:15 a.m. Age 9 to 12 One-Mile Steel Run starts at 8:30 a.m. Junior (up to age 14) 5K Steel Run starts at 9:00 a.m.

Girls on the Run of Northwest Ohio Spring 5K Saturday, June 1, 2013, 9:00

a.m. at 3100 Main Street in Maumee, Ohio. Our Spring 5K, which will be held at Fallen Timbers Mall, will be the culmination of our Girls on the Run of Northwest Ohio spring season. All of our participants will be

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completing the 5K along with their family and friends. The community is encouraged to join in the fun as well!

Rotary Tropical 5K Sunday, June 2,

2013, 5:00 p.m. at 6751 Providence St. in Whitehouse, Ohio.

PR5K Training Group Monday, June

3, 2013, 6:30 p.m. at Wildwood Preserve Metropark, 5100 W. Central Ave. in Toledo, Ohio. An eight-week 5k training program for the absolute beginner, the veteran, and everyone in between!

Meet twice a week for organized workouts with runners of your same ability, administered by our experienced coaching staff. “PR” stands for “personal record,” and that’s exactly what this program is designed to deliver. Or, for our first timers, complete that entire 3.1-mile distance without walking a step!

Included in the cost of signup is a $100 store credit good towards any purchase in our stores, a PR5K training t-shirt, a coupon book filled with in-store discounts, and a discounted entry to a first-rate 5k event at the conclusion of the program.

This year, there will be two separate programs for the Toledo and Findlay areas. The Toledo program will meet Monday and Thursday nights at 6:30, and the Findlay

program Monday and Wednesday nights at 6:30. For more information, including the location of training facilities, please visit our website at www.davesrunning.com.

Toledo Area Humane Society— Humane Hustle 5K Run/Walk Satur-

day, June 8, 2013 at 4100 Airport Hwy in Toledo, Ohio. Humane Hustle 5K Run/Walk starts at 7:30 a.m. Humane Hustle 5K Run/Walk WITH DOGS starts at 9:10 a.m. Four-legged runners and walkers are welcome! (All dogs must be on a non-retractable leash please.) Presented by Dave’s Running Shop, the race will be timed by The Toledo Roadrunners, and times will be available online after the race. All proceeds benefit the animals of the Toledo Area Humane Society.

Happy Trails 5K Race/Walk Saturday,

June 15, 2013 at Wildwood Preserve Metropark, 5100 W. Central Ave. in Toledo, Ohio. 5K starts at 8:00 a.m. BCSN Fit 1-Mile Walk starts at 8:15 a.m. Run or walk through breathtaking scenery at Wildwood. Money raised from the race will help fund maintenance and improvements to the Metroparks trail system. Call 419-407-9769 for more information.

Bullfrog 5K Saturday, June 15, 2013,

7:30 a.m. at 8514 St. Rt. 108 in Wauseon, Ohio.

Go the Distance Running School Mon-

day, June 17, 2013, 8:30 a.m. at 1025 West River Road in Maumee, Ohio. Being a successful distance runner requires hard work, motivation, knowledge, and skill. We will spend an entire week developing each of these areas in every athlete. We will also stress the necessity of setting goals and the importance of self discipline, which is necessary to achieve these goals. You will be interacting and learning from experts in their fields—physicians, physical therapists, coaches, nutritionists, massage therapists, and runners.

Our running staff consists of the area’s top runners with All-American and Olympic Trials credentials. We will show you what we currently do to stay on top of our competition.

We will provide a light breakfast (snack) following the morning run each day. Fluid-replacement drinks will be available all day. A guide to each class session will also be provided. An information packet containing schedules will be sent to every registered athlete. Each athlete will also receive an official 2013 Go the Distance Running School shirt, a custom-fit pair of training shoes

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

(Adidas, Nike, New Balance, etc.), daily therapeutic sports massage, and five jam-packed days of motivation.

Race4Justice 5K Run and 1-Mile Fun Walk Saturday, June 22, 2013, 9:00 a.m. in downtown Toledo.

Docs-n-Socks 5K & Kids Fun Run Sat-

urday, June 22, 2013 at 1501 Bright Rd. in Findlay, Ohio. 5K starts at 9:00 a.m.

Kids Fun Run starts at 10:00. Proceeds from this event will benefit the Ohio Orthopaedics Medical Scholarship Fund. To make a donation, please visit the Online Giving page at www. community-foundation.com.

The Future Running Camp Monday,

June 24, 2013, 8:00 a.m. at Oak Openings Metropark, Mallard Lake in Whitehouse, Ohio. For boys and girls ages 10 to 14 years old who are beginning or intermediate-level runners. If you are an advanced runner, we recommend you check out the Go the Distance Running School.

Typical day: open with a guest speaker, warm-ups, one- or two-mile run, guest speaker, team-building exercise, lunch, movie, FCA/Goals, Survivor or Amazing Race, guest speaker, warm-up game, two- or three-mile run, daily wrap-up. ❦

35

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Read those labels!

was trying to choose a healthy bread—one with a good amount of dietary fiber and whole grains.

After about 15 minutes in the grocery store aisle, my eyes went to a bread called “Oat Nut” Health bread. This sounded promising, until I read the FDA nutritional listings on the package back. It had less than a gram of total fiber. Bummer. The name swayed me, but I would not give up my quest for at least 3-5 grams of dietary fiber per serving (slice). I looked at another bread, called “Wheat,” and it had 6 grams of dietary fiber in it. I chose that one.

12780 Roachton Road Professional Center at Levis Commons DermatologyAssociatesOhio.com

The University of Toledo Physicians welcomes: Dr. Muhammad K. Hameed,

Hematology/Oncology physician and Assistant Professor in the Department of Medicine.

Dr. Hameed completed his fellowship in medical oncology at The University of Toledo Medical Center and is board certified in internal medicine and medical oncology. He specializes in gastrointestinal malignancies and genitourinary malignancies.

Dr. Hameed is accepting new hematology/ oncology patients and sees patients at the UTMC Eleanor N. Dana Cancer Center and the Regency Medical Campus.

a higher degree of healing The Eleanor N. Dana Cancer Center 1325 Conference Drive, Toledo, OH 43614 419.383.6644

36 June 2013 / Healthy Living News

Regency Medical Campus 1000 Regency Court, Toledo, Ohio 43623 419.479.2665

UTMC 899 0413

To schedule an appointment call:

Today, marketing experts are good—very, very slick. They name food products with words that sway consumers into thinking the products are great nutritionally. By adding words like “healthy,” “fiber-packed,” “grain-enriched,” and other nutritious-sounding adjectives, they can inspire a shopper to buy their product because it seems like it is a healthy choice. But as my mother always told me, “Read the labels!”

This is very wise advice. Depending on what food we are shopping for and what specific nutritional item we want, we have to be smart consumers. If a person wants to watch their intake of sodium, they will probably check out the sodium content on the food item. The more I examine the sodium content of food, the more I realize that salt is a huge additive to many in-store items. Check out canned soups, frozen dinners, and snack foods. Whoa!

For many, salt (sodium) contributes to high blood pressure. High blood pressure makes the heart work

harder and can lead to heart disease, stroke, heart failure, and kidney disease. The United States Food and Drug Administration (FDA) says, “The amount of salt in a food is listed as ‘sodium’ on the Nutrition Facts label that appears on food packaging.

The Dietary Guidelines recommend that the general population consume no more than 2,300 milligrams of sodium a day (about a teaspoon of table salt). Most food labels shorten the word ‘milligrams’ to ‘mg.’ Dietary recommendations and food labels use sodium rather than salt since it is the sodium component of salt that is most relevant for human health.”

The FDA goes on to state that some people are more sensitive to the effects of salt than others. The guidelines also recommend that, in general, individuals with hypertension, blacks, and middle-aged and older adults should limit their intake to 1,500 mg of sodium per day.

The exceptions to this guideline are people whose doctors have put them on a diet that requires even less sodium because of a medical condition. Always follow your doctor ’s recommendation about how much sodium you can have daily.

So, read your nutrition labels on the packages of food you might purchase. Of course, fresh, frozen, or even canned fruits and vegetables are always a good choice, but watch for sodium, sugars, and fats on those labels, too.

Because reading labels in the supermarket aisles can take a long time, a good way to do it is by learning how to read the nutrition labels ahead of time. The FDA has a great picture of a food label, complete with what stuff to avoid, and what to look for. Go to http://www.fda. gov/Food/IngredientsPackaging Labeling/LabelingNutrition/ ucm274593.htm#twoparts.

Stay healthy—and read those labels before you make food choices.❦ Sister Karen Zielinski is the Director of Canticle Studio. Canticle Studio is a part of the Sisters of St. Francis of Sylvania,

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

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.

Alzheimer’s advances

by Jessica Derkis And we urge you, brethren, admonish the unruly, encourage the fainthearted, help the weak, be patient with all men.

—1 Thessalonians 5:14

H

ave you patiently—or not so patiently—waited in line behind someone you were certain had dementia? Do you answer your senior loved one’s same question for what seems like a thousand times? Have you noticed odd behaviors or the loss of some skills or rituals that were previously a given?

It is amazing how much news seems to be coming out daily on the Alzheimer’s disease front—and, yet, how little we actually know so far.

According to the recently released 2013 Alzheimer ’s Disease Facts & Figures report by the Alzheimer ’s Association, one-third of all seniors die with Alzheimer’s or another type of dementia. It is the sixth leading cause of death in America.

“Northwest Ohio is home to more than 38,000 people living with Alzheimer’s disease,” stated Salli Bollin, Executive Director of the Alzheimer’s Association, Northwest Ohio Chapter,

“and with deaths from this disease continuing to rise, it is clear that urgent, meaningful action is necessary.”

That alarming statistic is one among many reasons that St. Clare Commons has partnered with the Alzheimer’s Association and with another dementia care expert, Dr. Govind Bharwani, PhD, Director of Nursing Ergonomics & Alzheimer’s Care (Nursing Institute) and Co-Director of Ergonomics (College of Engineering) at Wright State University.

Dr. Bharwani created BehaviorBased Ergonomics Therapy (BBET) and has been instrumental in the design of St. Clare Commons. BBET originated on the campus of St. Leonard in Centerville, Ohio, a sister community to St. Clare Commons, in 2010 and has since proven overwhelmingly effective. Follow-up studies have shown 60% fewer uses of certain antipsychotic medications for behavior management in St. Leonard’s specialized dementia-care program, a 35% reduction in resident falls, and a 55% drop in use of PRN (emergency) medications. There was also a more than 50% improvement in mood. The

bonus of working within residents’ capabilities, desires, and comfort levels: caregivers are half as likely to be injured.

With a lot of preparation, ergonomically designed features, and proper training in use of space and abilities, residents feel better and even those who would normally withdraw are more engaged. Working with the many devices and systems as instructed by Dr. Bharwani, the team feels more at ease, residents feel less stressed.

Everybody wins.

Dr. Bharwani has been recognized nationally, and several Ohio communities have implemented his program to improve patient care. Long Term Living magazine recently named Dr. Bharwani a “Leader of Tomorrow.”

The team at St. Clare Commons is excited to bring his methods and tools to Northwest Ohio.

Isn’t it startling that someone develops Alzheimer’s every 68 seconds?

How do we stop the clock? Join the

Working with the many devices and systems as instructed by Dr. Bharwani, the team feels more at ease and residents feel less stressed.

Alzheimer’s Association, Northwest Ohio Chapter, on Friday June 21, for “The Longest Day,” a sunriseto-sunset team event honoring the strength, passion, and endurance of those facing Alzheimer’s disease. It is also one of many events to help raise awareness, promote early detection, and raise funds for research. Check out www.alz.org/nwohio for many other ways to get involved.

And learn how St. Clare Commons is ushering in the new era in senior living as well as helping train the next generation of physicians, nurses, and caregivers. Contact Jessica or Rachel at St. Clare Commons at 419-931-0050 or info@stclarecommons.org, or join them at one of these events: St. Rose Parish, the Fab50+ Club, and St. Clare Commons host a monthly luncheon together at St. Rose, 215 E Front Street, Perrysburg. All are welcome on the first Thursday of each month for a free meal and program.

On Thursday, June 6, learn about new plants and ways to “green” your home. Lunch is at 11:30 a.m. Information about St. Clare Commons will be available. Call St. Rose Parish at 419-874-4559 to RSVP. St. Clare Commons will host a free Lunch & Learn on June 9 after the noon Mass at St. Aloysius, 115 S. Enterprise, Bowling Green. Come to find out more about St. Clare Commons and get your complimentary “Assisted Living Shoppers Guide.”

Call 419-931-0050 to RSVP. Hope to see you there! ❦

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uJ nejob ysdi Ju t. Aslsoe BS le

Opening Summer 2013

12469 Five Point Road • Perrysburg, Ohio 419.250.5227 • StClareCommons.org ASSISTED LIVING | MEMORY CARE | REHABILITATION | SKILLED NURSING | FUTURE PLANS INCLUDE INDEPENDENT VILLAS AND APARTMENTS

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Sponsored by the Sisters of St. Francis of Sylvania, Ohio

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37

Serenity Farm Equestrian Center, Luckey, Ohio

Therapy and learning programs harness the unique qualities of horses W hen you hear the terms “EquineAssisted Therapy” and “Therapeutic Riding,” what comes to mind?

If you’re like most people, you probably think of horseback riding for the purpose of achieving physical- or occupational-therapy goals. That is one important aspect of this groundbreaking form of therapy, but it’s only one of many roles specially trained therapy horses can perform.

According to master equine specialist Debra DeHoff, executive director and founder of Serenity Farm, a facility offering Equine-Assisted Therapy (EAT), Therapeutic Riding, and other forms of animal-assisted therapy, “Our therapy horses, in coordination with our skilled, licensed, and credentialed staff members/volunteers, can help people with a broad spectrum of physical, emotional, cognitive, developmental, communication, and behavioral challenges. EAT is not recreational riding; it’s a 100-percenttherapeutic approach.”

Serenity Farm’s Lucky Riders Therapeutic-Riding program is especially beneficial in helping people with physical challenges, such as cerebral palsy. Riding improves posture, balance, flexibility, and sensory processing, and the gait of the horse moves the client’s pelvis, hips, and legs in a very natural way, which greatly assists with mobility. DeHoff notes that clients with disabilities that restrict movement have seen huge benefits from riding sessions in which the horse actually “trains” the body how to move.

However, many aspects of EAT at Serenity Farm, such as the Changing Directions program, involve no riding whatsoever. Instead, they draw upon the highly social, intuitive nature of horses to help clients unlock and confront powerful emotions, role play

challenging interpersonal scenarios, boost confidence and self-esteem, overcome behavioral problems, reduce anxiety, and much more. In the new Take A Stand program, set to launch this summer, Serenity Farm is even doing its part to address the widespread problem of bullying in our schools.

Therapy horses help each client achieve his or her unique goals in a variety of ways. One is by functioning as an “emotion detector.” Horses are extremely perceptive animals that see right through human defense mechanisms and excuses to the real emotions that lie hidden beneath the surface. Once that façade falls down and the client learns the only way to

interact with a horse is to “get real,” healing or awareness can finally begin.

Erika Zalecky, a student in Bowling Green State University’s Human Development and Family Studies program who recently completed an internship at Serenity Farm, remarks, “The horse is both the motivator and emotional mirror in the therapy session. Plus, many clients have never actually seen a horse in person before.

It’s quite an out-of-the box experience to come out here and work with such magnificent animals in this tranquil environment,” she adds.

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DeHoff points to 17-year-old Danny, a client who has autism and was mostly nonverbal when he came to Serenity Farm, as an example of the profound difference EAT can make. “Danny accomplishes his therapy work from the ground, leading his horses and building obstacle courses, completing exercises on boards, and a multitude of other activities. He has Thunder going through hula hoops and executing jumps—all while his certified riding instructor supervises for safety. His social skills are impeccable, his interaction is appropriate, and he’s much more calm and focused. His mother is amazed at what he’s accomplished, and the staff of Serenity Farm is so appreciative of this mother who treasures and respects the power of equine therapy with her son,” she says.

Schools and other

organizations are welcome and encouraged to schedule field trips to Serenity Farm, or Serenity Farm can bring their animal-assisted services to the public. For instance, DeHoff, four volunteers, Serenity Farm’s horse manager, Megan Voigt, and Thunder (a miniature therapy horse who is especially popular with children—and

is “elevator trained” to boot) recently traveled to Glenwood Elementary School, where Voigt works as an intervention teacher with kids who aren’t testing at grade level in reading.

Thunder’s visit was the culmination of a project Voigt was doing with the children. “We had been talking about Thunder, researching horses on the internet and in books, and coming up with questions the kids could ask about him,” Voigt says. “They knew what Thunder would look like, but when he actually arrived, they were so excited to see him and wanted to know everything about him. All the kids were given their own clipboard, and their job was to record their observations and any new concepts they learned.”

Voigt observed that the kids really seemed to identify with Thunder because he’s small just like they are.

They were thrilled to learn that they have some favorite foods in common with the little horse and that he likes playing with his friends just like they do. “Thunder made it very easy for the kids to concentrate. There were all kinds of distractions going on around them that day, but they were just there to see Thunder,” she adds.

The team of professionals at Serenity Farm takes pride in having the flexibility and expertise to tailor the facility’s EAT programs and services to keep pace with the ever-changing needs of our community. In recent years, there was a tremendous demand for autism services, but the current

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Interested?

Call Bob or Tom Wheeler for a free estimate.

419-531-1791

Call me Carol Klotz

419-343-9189

4694 W. Bancroft • Toledo, Oh 43615

38 June 2013 / Healthy Living News

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trend is toward more referrals for behavioral problems and learning delays. DeHoff has also observed that with our society’s changing family structures, more people are seeking help for life skills and issues with integrating families. “Abuse is over the top right now as well,” she states.

“Through Equine-Assisted Therapy, we help abuse victims unlock those painful emotions, rebuild trust and confidence, and start to repair the hurt in a safe, protective environment.” ❦ Serenity Farm, now in its 12th year, is located at 21870 Lemoyne Rd. in Luckey, Ohio. For more information on their programs and services, please call 419833-1308, email info@serenityfarm.org, or visit www.serenityfarm.org.

“Let food be thy medicine” by Carol Klotz

“L

et food be thy medicine!” Hippocrates, an ancient Greek physician, made this famous comment over 2,000 years ago. With all the millions and billions of dollars advertising drugs and their side effects, many people seem to have lost sight of this basic concept. What you eat has a direct bearing on your health and wellness. No matter what drugs you consume, your health may be doomed unless you change your diet.

I learned that changing my diet actually allowed me to replace very expensive drugs (that had severe side effects) with food. It may not be true for everyone, but it sure is true with me. As I will discuss later, you should try this only after consulting your physician.

Most people take it for granted that fruits and vegetables contain many naturally occurring, plantbased “phytochemicals” that can contribute to good health. They include vitamins, carotenoids, flavonoids, catechins (potent antioxidants), polysaccharides, and stilbenes.

Needless to say, farmers aren’t advertising their crops like drug compa-

nies advertise their pharmaceuticals.

So, these healthy properties of food tend to be forgotten.

And there’s another group of phytochemicals, discovered 150 years ago by a German, that isn’t found in any edible plant from Europe or North America. There are over 200 different members of this little known class. But there is just one, single fruit you can eat that contains even one of these. And you may not have heard of it, either, since it only grows in Southeast Asia, central Africa, and subtropical parts of the world. Until recently, it couldn’t even be imported into the USA! You still won’t find it in most grocery store produce sections.

That class of compounds is called “xanthones” (pronounced “zan-thones”), and the fruit is the mangosteen (not related to the mango!). At last count, the mangosteen contains over 60 of these xanthones. Other nonedible plants, such as St. John’s Wort, contain many fewer but in their bark and roots. The name comes from the Greek word for yellow, “xanthos,” since the compound containing xanthones in the mangosteen is yellow.

When you search “xanthones” in the national medical database, www.pubmed.gov, you will find over 2,500 studies that test various aspects of the efficacy of xanthones. Most of these studies are derived from tests of just three of these xanthones: alpha-mangostin, gamma-mangostin, and garcinone E. Most of the studies extracted xanthones from the mangosteen for their use. Almost all the studies were conducted outside of the United States, further lending mystery to these otherwise unknown plant chemicals.

Thirty years ago, one researcher said, “Xanthones show considerable biological activity, and it is surprising that none has so far had an established use in medicine.” It was true. No business created a popular wellness product from these plantbased chemicals until 20 years later, in 2002. And that product is a food supplement, like apple juice and orange juice, rather than a medicine.

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•Gamma-mangostin was found by Japanese researchers in 2004 to be anti-inflammatory. Their study says that it significantly reduces inflammation in the structural cells of the brain. This suggests that it might have therapeutic potential “for the prevention and/or treatment of inflammation and brain diseases.”

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39

ity of the inflammation-promoting enzyme COX-2. Gamma-mangostin is an important component of the mangosteen’s group of xanthones.

J. Frederic Templeman, MD, Director of Phytoceutical Research in Salt Lake City, remarks in his Insider newsletter, “It is well accepted that the mangosteen xanthones possess potent anti-inflammatory properties.

In in vivo studies, gamma-mangostin has been shown to be more effective than aspirin, dexamethazone, and ibuprofen, all very powerful anti-inflammatories used in medicine.”

• A study in 2007 concluded that alpha-mangostin has potential anti-tumor properties. It “could provide a potential anti-cancer therapy. However, considerably more development and proof for efficacy and safety in human patients are needed.” A following 2008 study said their “findings could provide a relevant basis for the development of xanthones as an agent for cancer prevention.” Various in vitro studies have found xanthones effective against cell tissues from leukemia, liver cancer, breast cancer, colon cancer, and lung cancer.

Human in vivo studies have not yet been reported, so conclusions about effectiveness cannot yet be made.

• Amod S. Tootla, MD, a Detroitarea doctor, conducted a “proof-ofconcept” study in 2010 with autistic children. He said that “the outcome of the study demonstrated that the xanthones in the whole mangosteen puree liquid had a significant positive

40 June 2013 / Healthy Living News

result.” He reported that the autistic children exhibited a 70- to 80-percent improvement in each of four behavioral groups: speech/language/ communication, sociability, sensory/ cognitive awareness, health/physical/ behavior. The control group showed no change.

• The mangosteen fruit has been used for centuries in its native lands of Southeast Asia and the Pacific islands to combat infections. So, multiple studies have focused on the possibility that xanthones exhibit antibacterial activity. Scientists in Thailand found that xanthones were more potent than the prescription antibiotic vancomyocin against the dreaded illness MRSA in their in vitro study. One patient in a publicized 2007 MRSA case in the Detroit area used mangosteen juice when doctors could not help him with drugs. He recovered and attributed his recovery to the mangosteen and its xanthones.

• Dr. David Morton, PhD, partner in the Salt Lake City firm Phytoceutical Research, reported in his book The Xanthone Effect that “xanthones as a class of chemicals demonstrate antiviral properties. Researchers in Singapore demonstrated in vitro that xanthones alpha-mangostin and gamma-mangostin showed potent inhibitory activity against HIV-1 protease.”

• A 2001 study states that xanthones appear to possess numerous potential beneficial properties, such

as “antiallergic, anti-inflammatory, antituberculotic, antitumor, antiplatelet, Betaadrenergic blocking and … anticonvulsant” properties.

You get the idea. The wellness application of this fabulous class of phytochemicals seems to be neverending.

Mangosteen juice Certainly, a discussion of xanthones inevitably leads to a discussion of the mangosteen and how you can get products that contain mangosteen fruit and its xanthones. The good news is that you don’t need a doctor’s prescription in order to obtain a product that contains a mangosteen ingredient. They are all considered dietary supplements.

Now, the problem with the mangosteen is that most of its xanthones are found not within its tasty inside sections, but in its bitter, inedible rind (pericarp). So, when you eat the inside of the mangosteen as fresh fruit, you will not be able to get the benefit of most of its xanthones.

However, one company processes the entire fruit for its juice product, including the rind and the very tasty part of the fruit itself. It adds ten good-tasting fruit juices, such as strawberry, grape, and cherry, to make the product popular even among most children. In fact, research has found that consuming the “whole fruit” is essential to gaining the mangosteen’s xanthones benefits. And the results of a study (via researchers at Ohio State and a university in Thailand) filed last year found that “xanthones in mangosteen juice are absorbed when ingested along with a high-fat meal.”

Besides xanthones, the mangosteen also contributes catechins, polysaccharides, proanthocyanidins, and sterols as natural chemicals. The combination appears to be effective for many people, especially those who drink mangosteen juice.

In the April 2013 issue of Healthy Living News, I reported on my own use of mangosteen juice and its xanthones. Doctors diagnosed me with Crohn’s Disease over 40 years ago as the cause of my recurring high fevers, diarrhea, abdominal pain, and weight loss. Also, my eyes were very bloodshot. While I was grateful that a cause had been found so drug therapy could alleviate the symptoms, I became very concerned about the side effects these drugs caused after so many years. After following doctors’ advice and taking these products for 30 years, I learned about mangosteen juice and decided to give it a try.

After two weeks of drinking only about an ounce of mangosteen juice each day, I experienced an increase in energy and friends thought I looked so much better. I also no longer had migraine headaches, which I often had a couple times a week. I then increased the amount of juice to an ounce in the morning and an ounce in the evening. After about three to four months, I realized that the side effects from recent surgery were gone. No discomfort at all. I continued drinking the mangosteen juice with its wonderful benefits of more energy, no migraines, and no pain or discomfort from Crohn’s.

Under the guidance of two excellent medical doctors, a gastroenterologist and a world-renowned colorectal surgeon, I was able, with periodic blood monitoring, to get off all my prescription medications for Crohn’s while substituting the natural alternative treatment of mangosteen juice.

Food is now my medicine for Crohn’s!

A number of people who read my April 2013 article have tried mangosteen juice. Many of them are already reporting improved health less than a month later.

For more information about xanthones and mangosteen supplement products, please feel free to call me at 419-343-9189.

I can also give you more information about how I helped myself with the care of my physicians. Feel free to ask for a copy of my April article about my experience with Crohn’s Disease in case you missed it. My website is www.carol. mymangosteen.com/way.

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Have a pain-free summer with help from Heartland Rehab to get the project done. You complete the project and are pleased with the outcome, but you are also in significant pain, and it doesn’t feel like just muscle soreness. You now have difficulty walking, bending, sitting…ouch!

What to do? First, understand what happened. Your core is composed of all the muscles that make up the area from your chest down to your butt, in front, on the sides, and in back. Many think the core is only the front of our body or the abs, the six pack area. But it is much more. You need to make sure you strengthen the front, back, and sides.

Well what next? Get a friend to help—and that friend is I-C-E. Ice your lower back to decrease any inflammation that is occurring, and rest. Continue to ice and rest for the next day or two. If the pain persists, seek an additional friend—a physical therapist.

The next reason you may be having increased back, leg, and foot pain over the summer has to do with what you’re wearing on your feet. Summer is the time for flip flops and a time for less foot support. Most flip flops

S

have little arch and/or insole support.

This creates a change in your weight distribution and potentially in your walking pattern. You may not notice this change initially, but over time, you will feel the impact on the joints and muscles that support these areas.

Besides potential back pain that can be caused from not having proper support, you can get Achilles tendonitis, which is a painful condition that involves inflammation of the Achilles tendon. This tendon connects the calf muscle to the heel. You may experience stiffness and pain, especially with the first steps in the morning, and pain with walking uphill. What to do? Wear shoes that offer support. This may not be the “in” thing to do during the summer, but it is the right thing to do for your body.

Physical therapy and seeing a podiatrist can help with addressing the issues of pain and inflammation. The physical therapist will also address the gait or walking pattern and teach proper stretching and exercises to strengthen the muscles and increase

function.

So, this June, enjoy the start of summer by making sure that you don’t overdo the yard work and that you wear the right footwear to prevent injury and unnecessary pain.

Did you know that, besides being the start of summer, June is the month for the most weddings? June is also National Accordion Month. Then there’s National Butterfly Awareness Day on June 2, National Yo-Yo day on June 10, Flag Day June 14, and Father’s Day on June 16. Enjoy them all pain free!

ummer is here! Yeah! It is the time of year when we go outside to Heartland Rehabilitation Services has five enjoy the sun, warmth, and a long locations in the Toledo, Ohio and Bedford, list of activities. It is also the time of Michigan areas with knowledgeable year when many of us will experistaff to assist with your physical and ence pain in our lower back and occupational therapy needs. Each location feet. Why? also offers a monthly membership for Let’s start with our back. During a small fee, with no contract, and the summer, we continue to do a lot expertise of licensed clinicians to help of yard work. We get our gardens you with your exercise routine. If you and flower beds in shape, we get have any questions about Heartland our lawns in shape, we even get Rehabilitation Services or how physical the outside of our home in shape. If and occupational therapy can benefit you are like most people, you don’t you, please feel free to contact Jim Berger hire someone to do this. You just go at 419-787-6741 or visit us at www. out and start the projects and tasks heartlandrehab.com. and plan to complete them on the weekend when you have the most time. You push yourself and your body to complete the task, but you haven’t taken the time over the past months to get your body in shape to handle these activities.

You haven’t strengthened the core part of  your body to handle the increased bending, kneeling, lifting and climbing. You haven’t done any warm up of your muscles or any  light stretching before starting the project.    What happens?

Well, you guessed it,      you start off strong and before you know    it, you feel a pull or twinge in your back.     Again if you are like most people, you rub     it, stretch it (now), and continue, hoping that  it works itself out. It doesn’t, and you now have aggravated the core area even more, but you keep working





Heartland



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41

Lutheran Village at Wolf Creek receives double awards

C

ongratulations to Lutheran Village at Wolf Creek and its dietary staff for recently receiving an award for being rated one of the top 50 food establishments in Lucas County. This award was given to the LVWC by the Toledo-Lucas County Health Department for compliance with food and safety regulations, first-rate kitchen cleanliness, and continued and conscientious effort to maintain a clean and safe operation.

LVWC takes pride in our kitchen and the dietary services that we provide to families and residents that we serve.

At Wolf Creek we have two beautiful dining rooms where residents can come and eat when they choose. It is our priority at LVWC to honor the preferences of those we serve. One way we do this is by having an open dining room where residents can select their meal from a multitude of choices for extended periods of time throughout the day.

We are proud of this recognition and the staff’s continuous hard work to provide quality dietary services while maintaining an environment that consistently complies with the many regulations that govern the operations of our kitchen.

Lutheran Village at Wolf Creek would like to publically recognize the team for the time and effort they put in each day to provide “care that you can trust” to all those we serve.

Lutheran Village at Wolf Creek (LVWC) has received a deficiency-free survey rating for their compliance with the Ohio Department of Health rules and regulations in April 2013 for their Assisted Living.

“We are so excited with the results,” said Associate Executive Director Anthony Jackson. “This achievement reflects an entire team working together for the care, safety, and dignity of our assisted-living residents.”

The staff went about their normal day’s responsibilities, and they “shined.” The administration would like to thank each and every employee for their outstanding job and hard work in caring for our residents. “Our staff ’s passion for the residents is evident, and the results proved it,” Jackson added.

LVWC is a retirement community, located in Holland, Ohio, that offers independent living, assisted living, short-term skilled care, long-term care, respite care, and inpatient and outpatient rehabilitation. LVWC is a ministry of Lutheran Homes Society in partnership with St. Luke’s Hospital. Lutheran Homes Society has been caring for people for 153 years, and we are proud

Health Care is complicated But that’s where you come in.

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

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

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

JHHS 32 0113

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

42 June 2013 / Healthy Living News

of our legacy. LVWC provides “care you can trust.” For information about

Lutheran Village at Wolf Creek, please call 419-861-5619.

The Academy Corner Presented on behalf of

The Academy of Medicine of Toledo & Lucas County

When you think there’s no hope, surprise! There is!

by Krista McCarthy-Noviski, MS So often, physicians are caring for patients who view their own medical issues as insurmountable. The doctor says, “If you could just follow these directions, you would…” The patient says, “I’m trying doc, but nothing seems to work.” This nicely written article by Ms. Noviski suggests that healthcare providers have another tool to help patients reach their goals.

—R. Shapiro MD, PhD, FACP

J

ane is uneasy as she sits in the waiting room, dreading her annual exam. The doctor urged her last year to lose weight, citing all the health risks associated with being overweight. He also urged her to quit smoking and find healthy strategies to better manage her stressful life. One year later, not only has she not lost the weight, but she has gained another 10 pounds, still smokes, and is overwhelmed with the demands of her life. After an exam and brief discussion with her doctor, Jane again feels the urgency to eat more healthy foods, exercise, quit smoking, and lose weight.

Although she is educated on healthy eating and behaviors and has failed at making changes in the past, she is motivated this time. A few weeks pass, and Jane engages in daily walking, better food choices, and even some weight loss—until she attends an unplanned event.

After overeating unhealthy foods and feeling guilty about it, she resorts to negative thinking and doubts whether she can ever lose weight and stick to these healthy lifestyle changes. The sabotage thinking persists for a few days, and she falls into old habits and gains back the few pounds she had lost. Soon, Jane is back to where she started, lacking the confidence that she can create lasting change, so she gives up.

This scenario occurs numerous times each day, as individuals struggle to make lifestyle changes that they know will result in better health but can’t seem to accomplish. The health-coaching process has become an increasingly useful addition to the

standard medical treatment protocol, and research is demonstrating its effectiveness in helping improve individual outcomes (NEJM, Nov 24, 2011; 365; 1959-1968).

The epidemic of obesity in the United States is a specific example of where lifestyle changes are critical and where the underlying problem must be addressed. The problem isn’t education (we are all educated on the guidelines for healthy eating and exercise), but rather the ability of the individual to make lasting change.

There is an obvious disconnect between having the knowledge of what to do and actually doing it.

One theory that helps explain this disconnect is based on research published by Kenan Distinguished Professor of Psychology Barbara Fredrickson, PhD, also the Principal Investigator at the Positive Emotions and Psychophysiology Lab (PEP) at UNC Chapel Hill. With respect to Positivity/Positive Emotions, her work has shown that 80% of us are struggling with insufficient resilience to make lifestyle changes that last. This deficit results in successful initial change but failure to maintain change without the resilience needed to persist until these changes become habit. Without the necessary resilience needed to overcome obstacles, individuals become overwhelmed, succumb to old habits, and view lasting change as impossible So, the obvious question becomes, “How do we increase resilience?”

Positive emotions, research shows, function to increase resilience. Much of the research related to the biology of emotions has shown that positive

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emotions work by activating the calming part of our nervous system, called the parasympathetic nervous system.

Activating the parasympathetic nervous system lowers heart rate and blood pressure, improves cognition, and increases resilience. Thus, positive emotions are a key mechanism of action in building resilience.

Specifically, Fredrickson’s research shows that a Positivity Ratio below 3:1 means that an individual’s resources to create change, adapt, and grow do not exist. A ratio above 3:1 results in an environment where thriving, change, and growth are possible. Based on these findings, one starting point with the coaching process may be to help increase an individual’s positivity ratio before, for example, discussing BMI. There are many tools that can be utilized to increase one’s positivity ratio, in addition to capitalizing on the individual’s strengths and building capacity and resources for lasting change.

With lifestyle factors playing a significant, causative role in the leading causes of death in the US, it is critical to address the underlying obstacles individuals experience in making changes in order to drastically reduce risk for future disease. Research has shown that positive emotions are instrumental in building resilience, and data now shows that increased positivity ratio results in improved health.

As coaches, we can help create a growth-promoting relationship, which allows individuals to engage in the developmental process that results in successful change and, finally, leads to increased resilience and improved health. ❦ Krista McCarthy-Noviski, MS (krista noviski@gmail.com), is a Certified Health Coach, Wellcoaches/ACSM. Submitted on behalf of The Academy of Medicine of Toledo and Lucas County (www.toledoacademyofmedicine.org).

Pa r e n t s Pre-Plan Life is Full of Choices.

It’s time to park the helicopter

As you enter your golden years, you

by Jeff Kurtz

“H

ey! She forgot to change the score! She never changed the score after that last point! What’s she doing? Chaaange the scooore!”

This was just one of many parental outbursts overheard from the bleachers during a recent club volleyball tournament. The competitors? Two teams of 14-year-old girls, one of which included my daughter. The errant scorekeeper? Also a 14-yearold girl. At stake? Absolutely nothing.

When the score remained the same, more frustrated parents joined in the chorus until the uproar finally penetrated the din of the tournament (four girls’ volleyball games going on simultaneously can produce quite a cacophony) and reached the poor scorekeeper’s ears. She quickly corrected her error, then averted her gaze, clearly afraid to make eye contact with the overwrought parents.

At that point, the up ref had had enough. From her perch on the ladder, she turned toward the bleachers and in a surprisingly commanding voice that would make a drill instructor proud, bellowed, “Stop yelling! We will fix it!”

I have to admit I admire that ref.

Don’t get me wrong; I was just as

frustrated as the rest of the parents with the lackadaisical scorekeeping and shared the sentiments they were verbalizing. I just kept my mouth shut about it (that is, if you don’t count the critical comments I was whispering into my wife’s ear). But it somehow seemed right that the ref had scolded us rowdy parents into silence.

Temporary silence, anyway.

A few rotations later, one of the moms in the crowd couldn’t resist loudly critiquing her daughter who had just muffed a serve. The daughter, with a stern expression on her face, turned to her mother, extended her left arm, and made a hand gesture that roughly translates into, “Mom, you might want to give your mouth a rest for a few minutes.” More precisely, she gave her (now-mortified) mom the internationally recognized signal for “shut it!”

I think that’s advice more parents should probably learn to live by, myself included. After all, are we really doing our kids any favors by behaving this way? Do they really want us interfering? Based on that young girl’s expression and hand gesture, I suspect not. My daughter more or less confirmed my suspicion

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43

when she told us on the ride home, “You know, we really don’t like it when you guys yell like that. It’s really embarrassing, and it doesn’t make us play any better. If anything, it makes us more nervous so we play worse.”

There’s a term for moms and dads who act like this: “helicopter parents.” They’re so named because they constantly hover over their kids and attempt to control or influence every situation and circumstance of their lives in order to keep them safe and encourage a positive, or at least equitable, outcome. There’s a little helicopter parent in all of us, though some take it to a much higher level than others.

Helicopter parenting doesn’t just emerge at kids’ sporting events either.

It insinuates itself into the classroom, the playground, extracurricular activities, summer camps, and virtually any other environment in which kids congregate, compete, learn, or socialize. And it doesn’t end in childhood, either. College administrators are starting to complain that helicopter parents are hovering over their kids on campus—if not in physical form, at least via their constant cell-phone or Skype presence. Even more alarming, helicopter parents are beginning to follow their kids right into the workplace to make sure they’re being

44 June 2013 / Healthy Living News

Overhearing the conversation, our son stated, “I don’t want you to do either of those things. I want to take care of it myself.”

Take care of it himself? That was an option, just crazy enough to work, that hadn’t really occurred to either of us with the distracting “chop, chop, chop” of the helicopter’s rotor blades in our ears. But that’s precisely what he did. He started taking advantage

The same applies to our daughter and her teammates. They deserve the opportunity to learn that life is not always fair and that sometimes other people’s mistakes can affect the lives of others around them. If they can’t learn to accept that reality in a simple volleyball game, where the outcome matters not one iota, how will they cope with it later in life when the stakes will be a lot higher?

Certainly there are times when parents need to intercede on their child’s behalf work. or help them solve problems, but when we constantly hover overhead, ever ready to swoop in and fix things, we’re actually steering them right off the path to independence. Let’s park the helicopter and let our kids explore, reach, strive, struggle, problem-solve, persevere, and yes, even falter and fail from time to time. That is, after all, the true path to success and self-reliance. ❦

Take care of it himself?

That's an option just crazy enough to

treated properly there.

As I mentioned, I’m not immune to the helicopter-parenting impulse.

Earlier this school year, my son, a high school junior, was struggling with Honors Algebra II and had failed a few tests. My wife and I feared his fairly strong GPA would take a hit, which could, in turn, affect his college options. So we fired up the helicopter.

“We need to get in there and talk to his teacher and figure out what’s going on,” I insisted. “Maybe we can still get him moved to a less challenging math class,” my wife suggested.

of the school’s tutoring service and staying after school for extra help from his teacher. Over time, his grades began to improve. He’s not acing the course by any means, but he is on a trajectory to pass it handily.

Consider how he would have been shortchanged had we followed our helicoptering instincts. He would not have internalized that success doesn’t always come easy, that sometimes you have to dig deeper to meet challenges. More importantly, he wouldn’t have discovered that he has within himself the wherewithal to overcome adversity without Mom and Dad’s intervention—something that will come in very handy when he heads off to college in another year.

Jeff Kurtz is the editor of Healthy Living News and the senior consulting editor for Tropical Fish Hobbyist Magazine. He’s also the author of The Simple Guide to Marine Aquariums, The Simple Guide to Mini-Reef Aquariums, Clownfishes and Other Damselfishes, and The Saltwater Aquarium Problem Solver. ❦

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by LeMoyne Mercer

Mimi and Papa’s Excellent Adventure W

e called Toledo from Southern Arizona to talk with our grandchildren. Aidan, who has taken five years of Spanish, said we should “Go to Mexico and talk to the people.”

His sister Hannah, with two years of Spanish, said, “Go north. Way north.

Like Canada.”

Although Hannah’s advice is typically more reliable, we decided to “go talk to the people.” Now, neither Shirley nor I ever took Spanish. I did take high school Latin and Spanish is a Romance language, so I figured I could at least talk to the people about the declension of nouns. Fifty years ago, I struggled to distinguish the Dative from the Ablative. Latin nouns in the Dative end in –o (singular) and –is (plural) whereas in the Ablative they end in –o and –is.

So, Shirley and I accepted an invitation from Vicki and Jeff to join them for dinner at a “nice restaurant” down in Sonoyta. Jeff said he would drive his Suzuki, which is a Japanese vehicle about the size of a shoe box.

“And by the way,” he said, “Rob and Craig and Evelyn want to come too.”

All of these people had been to the “nice restaurant” before though none of them could remember its name. Vicki said it was next to the Nola Hotel right on the main street.

Jeff got us there without incident. Unless you count almost being T-boned by a local driver who was probably smoking something in great demand by los Norte Americanos.

Which reminds me, we stopped at the Duty Free Store in search of bargains. Without the taxes, a carton of Marlboro cigarettes costs 29 cents.

Forty gallon drums of Jack Daniels are $1.98. Jeff said there was not enough room for a drum of Jack. For that matter, there wasn’t room for a carton of cigarettes either.

None of us smoke. Why did we stop?

At the “nice restaurant,” we were greeted with jubilation by the staff. Counting the seven of us, they had a total of seven guests.

A very attractive waitress passed out real cloth napkins.

This, I thought, was a very nice start. The napkins were nice too.

Then she passed out menus. Which were all in Mexican. Thanks to my high school Latin, however, I was able to decipher a few key words.

The Buenos Nachos con Cheetos sounded good, but on the advice of the veteran diners, Shirley and I settled on the carmeneros. So did Vicki and Jeff and Craig and Evelyn.

Did I mention that our waitress spoke not a word of good ol’ American? Ordering involved a great deal of pointing at the menu and then at ourselves. And speaking slowly. And loudly. Rob, who claimed to speak fluent Mexican, ordered the Fajitas Pollo and a Tecate Roja. Figuring that “roja” meant it was a red wine, I ordered one as well. But it isn’t.

Our waitress returned shortly and said, “Something, something, something…nada carmeneros.” So we pointed to random alternatives on the menu. Vicki and Evelyn, who are both Pisces, decided that the pisca something must be fish. They asked our waitress if they could have the pisca something with the sauce that accompanies the carmeneros.

After a few minutes of pointless pointing, Rob offered to translate “Can we have this sauce with this fish?”

After several minutes of translation, the waitress left and came back with the cook. “Oh, sure,” said the cook. “No problemo. It’ll taste kinda funny, but you can have it if you like.” (Sotto voce—which is Latin, I think, for under the breath: “Stupid gringos.”)

We engaged in casual conversation while waiting for our meals.

“So, Rob,” I said, “is it true that in Spanish a double l is pronounced like a y?”

“Yes, or si,” said Roberto. “You probably heard me order the Fajitas Poyo.”

“And how do you pronounce the cactus that is spelled c-h-o-l-l-a?”

“That would be choya,” he said.

I was leading up to something very cleverly.

“What do you call those $4,000 porcelain figurines spelled L-l-a-d-r-o?

“Those are called Yadro,” said Rob. “And what are those South American beasts of burden with the long, soft fur?”

“Those are called alpacas,” inserted Evelyn, obviously not following the

drift of the conversation.

“No, no, no!” said Shirley. “They’re called yamas!”

“Aha!” I exclaimed. “Gotcha!”

You need to understand that Shirley and I have had a running debate for 27 years about the proper pronunciation of “llama.” She has consistently maintained a preference for the single l pronunciation, “lama.”

I contend, however, that that’s the name of the mystical country music guru, the Dolly Lama. Caught off guard, she had inadvertently blurted it out the right way. That is, my way.

I think it is a testament to the strength of our marriage that the only thing we argue about is the proper pronunciation of words in a language neither of us speaks.

Shirley, however, says “It’s just more proof that you’ll argue about virtually anything.” ❦

?

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

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The dos and don’ts of lawn mowing

M

ost homeowners spend a ridiculous amount of time during spring and summer trying to create or maintain a lush, well-manicured lawn. So, over the next few months, neighborhoods will resonate from sunup to sundown with the sounds of their efforts. Even those who find yard work an insufferable bore can expect to spend at least some of their time each week tackling the never-ending chore of lawn mowing. Considering how many of us use lawnmowers, whether frequently or otherwise, it might be a good idea to review some power mowing safety tips.

tion against objects or debris that may be kicked up by the mower blades.

If you’re the type who hates to wear shoes in warm weather or if your usual footwear consists of flip-flops or sandals, you’ll need to make an exception while mowing. Kentucky bluegrass sure feels great between your toes. Wearing a good pair of heavy-duty work boots while operating a lawnmower will help guarantee that you’ll enjoy that sensation for a lifetime.

It’s also a good idea to protect your eyes, ears, and lungs by wearing safety goggles, earplugs, and a dust mask while you mow.

The right clothes for the job

Before you mow Conduct a brief survey of the area you’re about to mow to make sure it’s free of fallen tree branches, rocks, toys, or other objects that might become projectiles. Keep all children and pets clear of the area, and bev aware

Before starting your mower’s engine, make sure you have the appropriate attire. Wear closefitting pants, preferably jeans or other rugged work pants. Shorts are certainly much cooler in the summer heat, but they afford little protec-

of their exact location at all times.

Remember, your hearing is impaired while mowing, so a child or pet approaching from the rear or around a corner may not be detected until it’s too late.

While you mow Once you begin mowing, push the mower instead of pulling it whenever possible. If you slip while pulling the mower, you may instinctively try to grasp the handle for support and pull the mower over yourself.

Also, if you have to mow on an incline, cut perpendicular to the slope.

Never push the mower up or down the hill. You could lose control of the mower with potentially serious consequences for anyone downhill.

Remember, some slopes are simply too steep to cut safely.

Some other important mowersafety tips to remember: • Familiarize yourself with all the controls on your mower and know how to immediately disengage power.

• Never mow under the influence of alcohol or other intoxicants.

• Mow only with good daylight.

• Avoid mowing on wet grass where traction may be compromised.

• Never put your hands or any other body part into or near the cutting blades.

• Be aware of the direction of discharge, and be sure people, animals, and vehicles are clear.

• If you use a riding mower,

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never allow children to ride with you. There’s only one seat for a reason.

If you use an electric mower, drape the power cord over your shoulder or coil it around your elbow to avoid cutting through it.

Allow a gasoline engine to cool completely before refueling.

Never refuel a mower or store fuel where fumes can reach any open flame or electric switch.

Before servicing or cleaning your mower (such as cleaning grass buildup from the underside of the mower), be sure to disconnect the sparkplug. Rotating the blade on some models may cause the mower to start unexpectedly.

Don’t disable safety features Never disconnect or bypass any of your mower’s safety features, such as the power-shut-off bale connected to your push mower handle. Most rider mowers have a similar feature that causes the engine to cut out whenever the operator leaves the seat. Also, the cutting blades on most rider mowers will not operate when the unit is in reverse. This may seem inconvenient, but it is designed with your safety and the safety of others in mind.

If you have an older mower that is missing important safety features or if safety features have been disconnected, get the mower repaired or upgrade to a newer model with all the latest safety features.

If you mow your lawn with safety in mind and inspect and service your mower regularly, your chances of getting injured—or injuring someone else—are slim. So before you fire up that engine, familiarize yourself with the mower’s safety features and, by all means, read that owner’s manual!❦

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Eye-related misconceptions and truths

Life at Swan Pointe...

by Bennett Romanoff, MD

A

lmost every day, I am confronted with questions about the eye.

There are many misconceptions, beliefs, and opinions in regard to the field of ophthalmology, the eye, and one’s vision.

All the questions are valid and good questions, but many are based on “old wives tales” or stretches of the facts that they heard from a wellmeaning friend or relative. So, here are some of the more frequently asked questions with the appropriate answers.

Can reading in dim light hurt my eyes? Dim light does not hurt or damage one’s eyes or vision. It may cause eye fatigue or strain, but this is only while reading in dim light. Reading with good light is more comfortable and can reduce eye fatigue, especially as we get older.

Will my children’s eyes be harmed by sitting too close to the television? There is no evidence that sitting too close to the TV affects the eye. Like reading in dim light, it may cause eye fatigue and strain.

Will wearing the wrong glasses hurt my eyes? Generally speaking, wearing the wrong prescription may cause blurred vision, but in virtually all cases, it will not damage one’s vision. Children under the age of six, however, could possibly permanently damage their vision by wearing the wrong prescription. Amblyopia, or

The earlier a cataract is removed, the safer and easier it is for the ophthalmologist to remove it.

“lazy eye,” is often caused in young children when the retina is not stimulated by good, crisp vision early in life.

Do you perform “laser” cataract surgery? I am asked this almost every week. While lasers are used often by ophthalmologists for many conditions, they have never been used for cataract surgery.

Will eye exercises strengthen my eyes?

There is no evidence that “exercising” the eyes will help the eyes or the vision with very few exceptions, such as the condition known as convergence insufficiency.

Can using a computer hurt my eyes? Using a computer can cause a whole host of ocular and non-ocular symptoms. These include eye strain and fatigue, dry eye syndrome, and blurred vision as well as headaches, neck pain, and back pain. Collectively this is referred to as “computer vision syndrome.” These symptoms are generally not harmful, but they are certainly bothersome and annoying. Most of these symptoms can be reduced or eliminated by wearing computer glasses with anti-reflective coating, adjusting the height of the computer monitor, and applying artificial tears. Many patients for whom I have prescribed computer glasses have told me that the results are dramatic.

Will wearing contact lenses correct or reduce myopia (nearsightedness)? There is no medical evidence to support that wearing contact lenses permanently reduces or eliminates myopia.

Generally speaking, myopia is often genetically “pre-programmed” and typically nothing will alter its final outcome. Fortunately, myopia usually stops getting worse in most people by the end of the teenage years. It’s also fortunate that LASIK and other less common surgical procedures can effectively reduce or eliminate myopia.

Can eyes be transplanted if one goes blind? No. The eye is more or less an extension of the brain and is, in essence, part of the nervous system. Nerves cannot be transplanted. The cornea, the clear window of the eye, can often be safely

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transplanted if it gets cloudy.

Will wearing glasses cause me to become dependent on them or strengthen my eyes? No. Glasses afford one the ability to see the best one can. Glasses do not cause one’s optical error to get better or worse. Since people like to see their best, they ultimately like to wear their glasses and they may misinterpret this as becoming dependent on the glasses.

Are learning disabilities (LD) such as dyslexia and ADD caused by visual problems? While good, clear vision is important to study and to learn, poor vision is not the cause of LD. Often, I am referred children with LD as part of the LD workup since it is so important to see well in school.

Glasses will help the child to see well but do not “cure” LD. It is also a myth that eye exercises help learning disabilities. It is also very rare that children need “reading” glasses to do better in school.

Does a cataract have to be “ripe” before having cataract surgery? Actually, the earlier a cataract is removed, the safer and easier it is for the ophthalmologist to remove it. One does not have to wait until the cataract is “ripe.”

Can using my eyes too long or too much be harmful? No. Eye fatigue and strain may result from using the eyes

48 June 2013 / Healthy Living News

for extended periods of time, but this problem goes away when the eye is at rest.

There are many other misconceptions about the eye and vision.

Hopefully, the few issues discussed in this article have answered some of these commonly asked questions.❦ Dr. Bennett Romanoff is Chief of Ophthalmology at Flower Hospital, a Clinical Assistant Professor of Ophthalmology at the University of Toledo College of Medicine, and an instructor of Ophthalmology in the Family Practice residencies with Flower and Toledo Hospitals. Since setting up his practice in 1978, Dr. Romanoff has helped thousands of patients in Northwest Ohio achieve better quality of vision with upto-date treatments and solutions.

Reading in dim light may cause eye fatique or strain, but it does not damage your eyes.

St. Ursula students win Jefferson Award

by Christine A. Holliday

S

ervice. The Merriam Webster Dictionary defines “service” as, “the work performed by one that serves another ” and “contribution to the welfare of others.” At St. Ursula Academy, service is defined as a way of life, intricately woven into the lives of the 500+ students who complete thousands of hours helping others every year. Even their T-shirts announce, I Will Serve.

Those efforts to help others have earned St. Ursula Academy the Youth Jefferson Award for the Toledo area,

and the opportunity to win at the national level at Jefferson Awards ceremonies in Washington, D.C. in June. The SUA video entry, submitted to a panel of judges chosen by Leadership Toledo, which facilitates the Youth Awards program, outlined the school’s commitment to service by all students and was chosen from among six other entries by local schools whose students also do service work.

Mrs. Michelle Mello, Assistant Director of Campus Ministry, reports

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on the making of the video application: “Fifteen students were invited to participate in a Leadership Toledo Service Day in January, and five girls responded, even though they had no idea what project they were about to take on. Megan Wheeler, Connie Baumgartner, Molly Layman, and Caitlyn and Colleen Matthews helped to write and fine-tune the presentation, and they added their own flair to the video. It was submitted for consideration and was chosen to represent our Region.”

The five-minute video outlined how the school’s year-long efforts had redefined the culture of the SUA campus to one of service. The video had to verify that the school had met each of the required “Deliverables.”

Specifically, the video had to show: Engagement of the School Community—the video outlined more than 20 different opportunities available to all students looking to offer help to others and included a closing scene of all SUA students cheering “I Will Serve.”

Establishment of an Effective Leadership Team—the video discussed the Campus Ministry team and Core Service team, who provide leadership for all students doing service.

Expansion of Volunteer Capacity— the video explained how students learn about volunteer activities, including a Service Fair, PA announcements, notes on students’ lockers, memo boards with service agency fliers, and the annual Day of Caring, when all members of the student body go outside the building to do service work.

Expansion of the Financial Capacity of the Volunteers—featured explanations of how SUA students raise funds for service work, including Jeans Day and collections of toys for children at Christmas and gathering of gloves, socks, and scarves during the winter.

Telling of Stories in the Community— noted the outreach efforts of the students, including their presence on Facebook and Twitter, the inclusion of service materials in packets given to prospective students, and information offered in parent newsletters and on the school website. Also mentioned were the “I Will Serve” T-shirts available for each student and press coverage that recent service events have received.

Growth and Expansion—included photos of a number of projects involving SUA students, including the Trunk or Treat Halloween activity; the blood drive vs. Notre Dame Acad-

emy; and a volleyball game event with St. Francis, St. John’s, and Notre Dame to raise funds for Project Africa, a group working to provide wells for clean drinking water in Africa.

Innovation—provides information about the cooperation with St. John’s Jesuit High School in the Labre Project, which involves students preparing and delivering food to the homeless in Toledo.

The video notes that all St. Ursula students must complete 60 hours of service before graduation but adds that nearly 100% of the students exceed that minimum. That dedication was noted by Leadership Toledo Executive Director Dave Schlaudecker when he announced the award.

In explaining how St. Ursula was chosen, he said, “The decision was extremely difficult, but unanimous for our judges. The SUA competition video demonstrated that ‘I Will Serve’ are not mere words for the 500 students who attend St. Ursula Academy. Service to others is something they delight in every day—done not as a requirement, but as a joy!”

A bit of background explains why this award is such a special one. The Jefferson Awards were established in 1972 by former First Lady Jacqueline Kennedy, Ohio Senator Robert Taft, Jr., and Sam Beard. Their idea was to establish a “Nobel Prize for public and community service” and to encourage volunteerism and public service in communities, workplaces, and schools. The guiding principle: one person can make a difference, and lots of single people working together can make a big difference.

In its early years, the program recognized adults and organizations that exemplified a commitment to public service. Early winners include Supreme Court Justice Sandra Day O’Connor, Colin Powell, Oprah Winfrey, and Walter Cronkite. In 2004, the program was fine-tuned to include and to promote volunteers among young people at the high-school level. The establishment of service programs for youth continues to help develop student leaders in school communities with the hope that those in leadership positions will encourage their friends and classmates to volunteer with them.

Now, students in schools all over the country are eligible for Youth Jefferson Awards; in the Toledo area, students in 31 schools are working with Leadership Toledo to promote student volunteerism in their own schools and communities.

Kristina White, Director for the Youth Jefferson Awards for Leader-

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ship Toledo, explains the importance of the Awards program. “This is a way to honor students who do service, although we know they don’t do it for reward or recognition. We are delighted to find an enthusiasm for charity in all the schools who work with us. The Awards are a way to celebrate service.”

She continues, “In any school, there are only so many sports captains and only a few who can get the highest academic awards. But service levels the playing field. Every single young person who volunteers to help somebody or works to meet a need can be the best person he or she can. Every single volunteer 'wins,' and that’s an important feeling for students that age.”

She notes that the service programs are different in each school and that they reflect the unique personality of each school. “That’s the beauty of this program. With some help from moderators and adult mentors, the kids make the decisions about how they want their programs to look.

They are learning how to lead and how to help at the same time. I am humbled every day when I see what students can do and want to do!”

At St. Ursula, many girls serve because of their religious backgrounds.

Michelle Mello said, “The girls are extremely generous in giving of their time and their commitment to making a difference. They serve as an outpouring of their faith—putting their faith into action. Some of them describe their service time as ‘changing their lives forever,’ and many decide they want to do more service.”

Ms. White agrees, noting that some think it is only private schools that are involved in promoting volunteerism. “Public schools have been impressed by the service their stu-

dents do, too. Officials often don’t know what a student might be doing with his church or a social group and don’t find out until somebody tells them. We have many public high schools with very active service groups, and we find that while our public school system is often described as being in crisis, these students are working to make things better in their own buildings as well as in their communities. The student leaders from those schools learn about opportunities at our meetings and say they are ‘geeked up’ about a project. When they come to tell me about new opportunities, I always ask, ‘Who are you bringing with you?’ It is a great way for them to learn how to be leaders!”

Two St. Ursula students and one advisor will travel to Washington, D.C. in June to attend the Jefferson Award ceremonies. They will be present for the announcement of the Jefferson Awards presented to the youth winner as well as to the adult winners. Toledo is sending four adult representatives to that event: Dean Ludwig, who is the founder of the University of Toledo’s Center for Family Business; Joan Durgin, who is the founder of the Polly Fox Academy for pregnant teenagers; Laneta Goings, who helped launch Books 4 Buddies; and Tony Siebeneck, who started Feed Lucas County. The four were named Jefferson Award winners in late February.

Nationwide, more than 150 media outlets (radio, TV, newspapers) help to solicit nominations for Jefferson Awards. Students in 325 high schools in 13 communities compete for the Youth Jefferson Awards. ❦ Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

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