HLN March 2014 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News March 2014 • FREE

Also available at hlntoledo.com

Change and continuity at The Toledo Clinic

Also in this issue: • Look your best for summer • Binge eating can be beaten • What you should know about shingles • Seeking a good night’s sleep • It’s time for “the talk”

• Spiritually Speaking • Sound Advice • Patient Advocacy • Nobody’s Perfect • And much more...

Healthcare that keeps up with your health. Tackling a health issue. Improving wellness. Being your healthy best. For all the moments in your life, we’re always right here. Go to mercyweb.org

Spring is near.

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

in further tightening, lifting, and younger-looking skin. With only one treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain! The Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients. For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas with resultant diminished lines and a more “wide awake” and less tired appearance. This is also performed entirely by Dr. Handler with minimal pain with results lasting 5-7 months and longer. The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette (sad) lines from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad! These products are also very useful for producing a more full but normal appearance to lips that thin as we age. Since these products are combined with a numbing agent, the pain is minimal. For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results

of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio. Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler. Winter and spring are the perfect times for eliminating unwanted hair of men or women on the face, chest, underarms, back, bikini, and leg areas with a special laser for hair removal. This is done exclusively by Dr. Handler with little pain and NO downtime or restrictions following the procedures. Dr. Handler also utilizes a special laser to reduce and eliminate “age spots” (from sun) on the face, chest, and top of the hands. And, for individuals with prominent blood vessels on their nose or anywhere on the face secondary to sun damage or the diagnosis of rosacea, the Vascular Laser is perfect for their removal. For more information about the above-mentioned procedures or products that Dr. Handler has available to reduce the signs of aging, please call Dr. Handler’s office at 419-885-3400. His staff will be able to address your questions or concerns regarding 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. Also, please remember to have a yearly Full Body Exam for evaluation of moles and other growths we all develop as we age. Be certain you have no lesions that are pre-cancerous or cancer. Full Body Exams are best performed and evaluated by a board-certified dermatologist.

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e lthy l ng ews

March 2014 • Vol. 19, Issue 3

Your Monthly Guide to Healthy Living

HEALTH & BEAUTY

FOOD & NUTRITION

2 Spring is near. Look your best for summer! 5 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 14 What you don’t know about shingles can hurt you 21 Depression takes a huge toll on individuals and families, by Linda L. Smith, MA, LPC 23 Looking for a good night’s sleep by Christine A. Holliday 27 The Art and Science of Beauty You are what you eat! 28 Noise exposure and sports by Dianna Randolph, AuD, CCC-A 44 Nobody’s Perfect Taking care of business by Sister Karen Zielinski 45 Headaches and their relationship to the eye by Bennett Romanoff, MD 48 Alternative care: first visit by Douglas Schwan, DC, Dipl ac, and Megan Hawk 49 Cellulite issues? Wrap it up, by Christine Kantner 51 The best is yet to come! by Carol Klotz

13 Binge eating can be beaten 16 Sometimes it’s best to eat the whole thing! 35 Eating Well “Enjoy the Taste of Eating Right” by Laurie Syring, RD/LD

TAKING CARE OF YOUR LIFE 4 Spiritually Speaking Oh, spring! Where art thou? by Sister Mary Thill 10 Patient Advocacy Opening doors, one at a time by Hollie Miller 10 Making tennis easier, by Mark S. Faber, USPTA Elite Professional 11 The many faces of Facebook, by Jeff Kurtz 20 Spring-cleaning wellness tips from Heartland Rehab 22 Health Crossword, by Myles Mellor 24 Take the worry out of dormant pruning 26 Training for a 5K run, by Amanda Manthey 30 It’s time to have that talk with your kids by LeMoyne Mercer 40 A Walk in the Park The economics of how we travel by LeMoyne Mercer Dear Readers, Thank you for picking up the March issue of Healthy Living News. This month’s cover story highlights The Toledo Clinic, our region’s largest group of independent physicians, representing over 30 specialties in more than 17 locations in Northwest Ohio and Southeast Michigan. In this must-read article (p. 6), Dr. Ian Elliot, President of The Toledo Clinic, shares his insights on the remarkable growth currently underway at the Clinic as well as the healthcare challenges facing our community now and in the future. We’re extremely grateful to Dr. Elliot and Toledo Clinic Administrator Scott Porterfield for taking the time to sit down with us for an interview. Among the many exciting changes taking place at The Toledo Clinic is the opening of the new Toledo Clinic Cancer Centers location on Holland Sylvania Road.

OUR COMMUNITY 5 17th Annual Parkinson’s Disease Symposium to be held April 5 6 Dynamic growth continues at Toledo Clinic through 2014 and beyond 8 Save the date for “Sweet Endings,” March 13 9 New Toledo Clinic Cancer Centers facility enhances access, efficiency, and patient experience 18 Medical Mutual sponsors Glass City Marathon for third consecutive year 29 Bethany House marks 30 years serving victims of domestic violence 32 Elizabeth Scott Community hires executive chef 33 Elizabeth Scott Community resident celebrates 105 years of life 34 ProMedica Toledo Hospital merits awards for clinical excellence and patient safety 36 New Executive Director named for Lutheran Village at Wolf Creek 37 Women’s Wellness Weekend or Spa Day: Pamper yourself without the big price tag! 38 Area couple takes team approach to rehab at The Laurels 43 Senior Health & Safety Fair to be held April 3 by Jessica Derkis

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This brand-new facility was designed to enhance patient access, privacy, comfort, and convenience so they can focus their energy on healing. Read the full story on page 9. We’re also pleased to report that ProMedica Toledo Hospital has earned Healthgrades’ Distinguished Hospital Award for Clinical Excellence™ for the third year in a row and the Patient Safety Excellence Award for the fifth consecutive year. In the article on page 34, Toledo Hospital President Kevin Webb explains how Toledo Hospital consistently remains in the top five percent of more than 4,500 hospitals nationwide for clinical performance and safety. Also in this issue, longtime HLN contributor Chris Holliday shares her personal experience at the Mercy Sleep Disorders Center at St. Anne (p. 23),

/HLNToledo

@HLNToledo

Bethany House marks 30 years of serving victims of domestic violence in the greater Toledo area (p. 29), and our friends at Heartland Rehab offer several helpful “spring-cleaning wellness tips” (p. 20). Finally, we’d like to extend our thanks to all the readers who called or emailed to comment on last month’s cover story about the inspiring work Lourdes University students are doing in Connemara, Ireland. We were pleased to help tell their story. It’s a testament not only to the selflessness of the students, but also to Lourdes’ mission of providing “a values-centered education that enriches lives and advances academic excellence through the integration of the liberal arts and professional studies.” Until next month, stay safe, active, and healthy!

NOW

WHEREVER YOU ARE, WE ARE.

Visit us at promedica.org/ connectwithus and always be well connected.

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

BySister Mary Thill

Spiritually Speaking Oh, spring! Where art thou?

ave you had enough of winter? Do you want any more snow days or Level 3 Emergencies? Can you handle shoveling one more snowstorm’s remains? Is there any more room to put the snow? Have you white-knuckled enough trips to work or to the store? Do you still want to live in this part of the country? Do still want to live in this country when almost all of the states had very cold, icy, and snowy days? There are those who would say that it could be worse, and I would like to point out some of the good aspects of such a record-breaking winter. Have you ever witnessed such dazzling beauty as sunshine on diamond-encrusted snow banks? Did you even notice the evergreens and fir trees, not to mention all the other trees and shrubs, until they were draped or laced with snow and ice? We certainly had an abundance of Winter Wonderlands these last few months. I loved to hear the kids screaming

as they flew down the hills on sleds and snowboards. How neat it was to have so much ice and snow in our own back yards when watching the Winter Olympics. We could just boot

up and go outside and have our own Olympic contests and trials. Perhaps this winter has inspired some future Olympians in our midst. As with all things on this planet, too much of a good thing is just that— too much. Almost everyone I speak

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.

Publisher Kevin O’Connell Editor Jeff Kurtz Travel Editor LeMoyne Mercer Sales Robin Buckey

TOGETHER. AUTISM LIMITLESS.

Layout and Design Jan Sharkey Distribution Jim Welsh • Alison Foster Dominion Distribution Distributech - Toledo Copyright © 2014 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe. Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

4 March 2014 | Healthy Living News

Working together to change the future.

with these days is looking forward to spring. I can’t help but wonder if we will appreciate the warmth and beauty of spring even more than usual because of the harsh and long winter season. Like many things in our lives, we seem to appreciate them more when we haven’t had them for a while or when we are finally relieved from something preventing us from enjoying them. I think of patients who cannot enjoy a meal because they are in pain or unable to eat for some medical reason. A piece of buttered toast and a glass of milk tastes especially good when one hasn’t eaten for several hours. Sometimes it’s the little things that can bring the most pleasure and satisfaction into our lives. This winter has also been difficult for those of us living in the Toledo area because of the tragic deaths of two firemen who died in the line of duty. We spent time in front of our TVs watching the tributes to these brave men and sending our thoughts and prayers to their families, friends, and co-workers. This was yet another reminder of how our lives can change in a moment, and hopefully the families and friends will be able to see the light of day and enjoy life again after such pain and sorrow in their lives. May the winter of grief be replaced by the spring of acceptance. On a personal note, a dear friend of mine died in the midst of this winter, and I look forward to spring to visit her now-snow-covered grave to pray there and bring her some flowers. My friend, Annabelle, was 101 years of age. She is the mother of my co-worker and friend, Sister Marcia Wiley, a Grey Nun whose community founded St. V’s over 155 year ago. Annabelle was a delightful, feisty, honest woman who, though small in stature, could get you to do things you didn’t want to do just by her gracious invitation. I am not a card player, but when Annabelle said, “Get the cards!” I obediently did so and we sometimes played three hands of Spite and Malice before I could go home. It was always a joy for me to visit with Annabelle and Marcia, and I would often come with some silly toy or headpiece just to make them laugh. I am grateful for Annabelle’s friendship and know that her journey through all the seasons of her life was a preparation for the life she lives now. Soon winter will be over and gone,

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spring will come, summer won’t be far behind, and autumn will lead us into yet another winter. So the cycle goes. Let’s be grateful for all the seasons of our lives and reflect on what we can learn from each of them. ❦

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.

WALKING IN A WINTER WONDERLAND? YEAH, RIGHT.

: What is the best technique for keeping my ears healthy and clean? I hear conflicting opinions on cotton swabs. I would love your recommendation.

If you’re having any trouble with your ears or hearing, call us sooner rather than later. Delaying help may make your condition worse. ❦

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

: Thanks for this question, as I’m sure a lot of people are also left wondering how to keep their ears clean. Ears not only allow us to hear, but they play a vital role in our balance. Maintaining clean and healthy ears is beneficial to ensuring you’re getting the most out of your life. Our biggest piece of advice is never put (or poke!) anything, especially cotton swabs, inside your ear. This can actually make it more difficult to remove wax (also known as cerumen) because you’re essentially pushing the wax deeper inside the ear canal. Because you’re not able to see the shape and structure of the ear, you can risk damaging the lining of the inner ear. Instead, one option might be to opt for an earwax removal kit, which can be purchased at any pharmacy or drug store. Follow the directions on the package, and if the wax still won’t budge, don’t hesitate to give us a call and we can take care of it for you. A physician or audiologist will generally be more than willing to irrigate the ear to eliminate wax. This is a safer method, since the professional is able to perform this with the correct tools and lighting. Also, protect your ears from outside elements. Wear earplugs to shield your ears from water, dust, and loud noise. If you’re a swimmer or scuba diver, be sure to completely dry your ears and shake out any excess water after being submerged in water. When water gets stuck in the ear canal, it can cause an infection and lead to swimmer’s ear.

"No!"

17th Annual Parkinson’s Disease Symposium to be held April 5 There is no medicine like hope, no incentive so great, and no tonic so powerful as expectations of something better than tomorrow.

–Orison Swett Marden

Mark your calendar for the 17th Annual Parkinson’s Disease Symposium, to be held Saturday, April 5, 2014, 9:00 a.m. to 2:00 p.m. (doors open at 8:30 a.m.) at Parkway Brian Fiske Place, 2592 Parkway Plaza, in Maumee, Ohio. The keynote speaker for the Symposium, themed Today’s Research—Tomorrow’s Hope, will be Brian Fiske, PhD, Vice-President of Research for the Michael J. Fox Foundation. The 17th Annual Parkinson’s Disease Symposium is presented by the University of Toledo Department of Neurology Gardner-McMaster Parkinson Center and the Parkinson Foundation of Northwest Ohio. The Platinum Sponsor for the event is Teva Pharmaceuticals.

VISIT PROMEDICAHEALTHCONNECT.ORG AND LEARN ALL ABOUT WINTER RUNNING BASICS. Running into questions about your winter workout routine? ProMedica HealthConnect has the latest health and wellness advice from local ProMedica experts. Join the discussion at ProMedicaHealthConnect.org.

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | March 2014 5 PROM1081_5x12.625_117A.indd 1 2/20/14 4:26 PM

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Our pulmonary care services are designed to meet the needs of patients with pulmonary conditions post-hospitalization and patients with chronic pulmonary conditions.

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Dr. Hesham El Gamal Dr. Hesham El Gamal is the Physician Advisor for the Ridgewood Manor Pulmonary Recovery Program.* Dr. El Gamal specializes in pulmonary and critical care medicine. He coordinates a highly trained team of health care providers to lead the pulmonary program. Dr. El Gamal is Board Certified in Internal Medicine, Internal Critical Care, Sleep Disorders and Pulmonary Medicine. Dr. El Gamal has privileges at several northwest Ohio Hospitals. He is licensed to practice medicine in multiple states including Ohio, Michigan, and Indiana. *as of October 1, 2013

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6 March 2014 | Healthy Living News

Dynamic growth continues at Toledo Clinic through 2014 and beyond

urrently representing over 30 specialties in more than 17 locations in Northwest Ohio and Southeast Michigan, the Toledo Clinic continues to expand and adapt its services, technology, communication capabilities, and reach in order to better serve the people of Toledo and neighboring communities. As the largest group of independent physicians in our region, the Toledo Clinic also continues to attract highly skilled, innovative practitioners, who are poised to provide the most advanced care and treatments available. In fact, the Clinic now boasts 162 physicians, 32 nurse practitioners and physician assistants, and close to 1,000 support staff members.

office. Continuing down that path of better integration and communication, the Clinic will soon be rolling out an advanced, updated version of the portal developed by the software company Intuit.

Diagnostic and ancillary services In addition to boasting 62 satellite clinics in two states, the Toledo Clinic offers a wide variety of diagnostic and ancillary services at its Secor Road campus, including an outpatient surgery center, which performs nearly 10,000 procedures annually; a state-of-the-art radiology department, offering PET scan, MRI, digital mammography, ultrasound, general x-ray, and other imaging/diagnostic services; a CLIA-accredited laboratory; and a full-service retail pharmacy.

Enhanced integration and communication As the Clinic’s reach and services expand, so, too, does its level of technological integration. Ian Elliot, MD, President of the Toledo Clinic, is quite proud of the fact that the Clinic was one of the first organizations in town to implement a single electronic records platform. “This system, which we started back in 2004, significantly improved communication among our physicians. It allows them to access data such as lab and x-ray reports, communicate and share information with other doctors, as well as communicate that information quickly and accurately with patients,” he explains. Dr. Elliot is also proud of the Toledo Clinic’s secure, confidential, web-based patient portal, My ToledoClinicHealthRecord, which provides patients online access to their healthcare information so they can view scheduled appointments or request future appointments with their physician, request test results and medication refills, and communicate directly with their physician’s

Dr. Ian Elliot

Facing the challenge of access and affordability Looking at the current healthcare landscape, Dr. Elliot identifies access to care and the affordability of care as the two biggest challenges facing patients and practitioners. In many cases, patients aren’t getting or seeking the care they need in a timely fashion because they have either poor insurance or no insurance at all. “Many of us were hopeful that the Affordable Care Act would start to address some of the access issues, but we’ve been a little frustrated by the rocky start and we’re apprehensive about how it’s going to work out,” he says. If Ohio expands Medicaid eligibility under the Affordable Care Act, many of those who lack insurance now will be added to the rolls of the insured, which could benefit doctors and underserved patients alike. However, it’s important to understand that being insured on paper doesn’t necessarily translate into real access to care—or access to the doctors or facilities of the patient’s choice. How physicians’ offices are reimbursed for care and services determines whether or not they’re able to stay in business. For example, many Medicaid services are paid at a rate of just 30 to 35% of the Medicare rate, which can make it prohibitive for some physicians to accept Medicaid patients. So, as Dr. Elliot explains, whether or not the expanding Medicaid rolls actually

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Top Physicians & Affordable Healthcare Services: A Trusted Northwestern Ohio Resource For Over 85 Years Radiology Services:

Among the lowest regional prices for services from routine x-rays to state-of-the art imaging services. • No appointments are necessary for X-rays. • Results are faxed to referring physicians within 24 hours. • Precertification of insurance performed by our staff. Service

MRI: Spine

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Mammogram

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$1,327.00

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The Toledo Hospital

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Flower Hospital

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University of Toledo Medical Center

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St. Anne Mercy Hospital

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St Vincent Mercy Hospital

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*SOURCE: Prices derived from newchoicehealth.com as of 06/20/2013

Call today! Local: 419.479.5935 Toll Free: 800.444.3561 Or visit us online at www.toledoclinic.com/radiology

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For more information on our service visit www.toledoclinic.com/healthcare-services Main Campus: 4235 Secor Road, Toledo, Ohio 43623 • 419.473.3561 • 800.444.3561 Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | March 2014

Special Events Brought to You By:

BRUNCH BUNCH • TUESDAY, MARCH 18 Breakfast served at 9:30 am • Presentation at 10 am

The Toledo Zoo – Past, Present and Future Presented by Casey Cook. Cost: $5 at the door.

OPEN HOUSE • SUNDAY, MARCH 30 Browning Masonic Community • 1-3 pm Tours Available - Call the Reservation Line

TRAVEL CLUB • THURSDAY, APRIL 10

Footloose – Ohio Northern University

When Ren McCormack moves to a small town where the local government has banned dancing and rock music, he leads his classmates around the law and Reverend Shaw Moore to have a real senior prom. Hit songs include: Holding on for a Hero, Let’s Hear it for the Boy, Mama Says, Almost Paradise, and of course, Footloose. Cost: $109/per person - dinner included. Please RSVP for all events on the reservation line 419-878-1898 8883 Browning Dr. • Waterville, OH 419-878-4055 • www.browningmasoniccommunity.org

improve access to care will depend to a significant extent on reimbursement agreements. With respect to rising healthcare costs, the problem isn’t necessarily that the price of individual procedures is rising (in some cases, just the opposite is true), but that more and more people are seeking procedures and our population is living much longer. Nonetheless, the retail price of healthcare services can still have an associated “sticker shock,” especially for the uninsured and those with a high insurance deductible to pay. “We’re proud that here at the Clinic we offer much more competitive pricing, and if the patient asks, we can offer discounts when cash is paid for services. We’re also a provider for the majority of insurance plans,” says Dr. Elliot.

An Accountable Care Organization What’s more, recognizing that doctors working together can be more efficient in delivering care to Medicare patients, the Toledo Clinic recently launched a joint venture with the University of Toledo Medical Center to become an Accountable Care Organization (ACO). An ACO is a patient-centered Answers to crossword from page 22 1

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partnership of healthcare providers who collaborate to deliver high-quality, safe, affordable, and seamless patient care for Medicare beneficiaries.

Collaborating for community health Dr. Elliot observes that some of the biggest health challenges facing our community—the high rate of obesity and its related health issues (e.g., type-2 diabetes), tobacco use, etc.—are problems that healthcare organizations like the Toledo Clinic can help alleviate but can’t necessarily solve on their own. There’s a significant societal component to many of these lifestyle-based problems, so what’s needed is a much broader community response. “We have a good wellness program here that’s ramping up, and we can help by encouraging patients and staff to make better lifestyle choices, but is the Clinic going to be able to change people’s bad habits? Probably not. Other organizations are going to have to take up the mantle of community health as well. For example, employers can do their part by providing time off for exercise and rewarding employees for eating right, exercising, and avoiding smoking,” Dr. Elliot says.

A foundational principle What definitely won’t be changing at the Toledo Clinic, either this year or in the future, is the long-standing principle of physicians working collaboratively in private practice yet making independent decisions in order to deliver the best quality primary and specialty care to patients in Toledo and the surrounding communities. “This philosophy will always be key to us and is something we believe our patients value very highly,” Dr. Elliot says. ❦

March 13

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Save the date for “Sweet Endings” “Sweet Endings,” the annual fundraiser for the Pregnancy Center of Greater Toledo, will be held at Westgate Chapel, 2500 Wilford Dr., Toledo, OH 43615 on March 13, 2014. Hors d’oeuvres and desserts begin at 5:30 pm followed by the program at 7:00 pm, featuring keynote speaker Shari Rigby. Shari is the actress who played the birth mother in the hit film “October Baby.” She will be speaking from her own experiences and heart. This year’s theme is “Loving the Two,” and the event is free and open to the public. Online registration is now available at http://www.friendsofpregnancycenter.org.

Shari Rigby

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New Toledo Clinic Cancer Centers facility enhances access, efficiency, and patient experience

acing a diagnosis of cancer and the challenges associated with treatment can be a daunting prospect that demands all of a patient’s inner strength and focus. The odds of prevailing in this battle are best when treatment is sought in an environment that is conducive to healing, convenient to access, and staffed by highly skilled, experienced, and innovative practitioners. It was with these objectives in mind that Toledo Clinic Cancer Centers (TCCC) made the decision to move operations from Toledo Clinic’s main campus at 4235 Secor Road to a brand-new, state-of-the-art facility at 4126 N. Holland Sylvania Road, Suite 105, in Toledo. “With our practice adding more and more patients and practitioners, we needed room to expand our facilities, which wasn’t feasible at the old location,” explains hematologist/ oncologist Rex Mowat, MD, of TCCC. “We’re pleased that the new facility on Holland Sylvania Road offers vastly improved convenience and access to our patients.” Among the many convenient aspects of the new location that patients and their families will appreciate are close-in parking, easy drop off and pick up, a much shorter walk with no obstacles or confusing building

The atmosphere of a cancer-treatment facility may seem like a secondary concern relative to considerations such as access to advanced medications and treatment modalities, but oncology practitioners know that environment can play a major role in reducing stress and promoting healing. TCCC patients will find the new facility’s ambiance visually pleasing, tranquil, and soothing. Patients undergoing treatment in the chemotherapy suite can look out through an expansive picture window at the lush, natural surroundings of Camp Miakonda. Patient privacy was also given high priority in designing the new facility. While the chemotherapy suite can accommodate more patients, its layout is more conducive to greater privacy, and patient’s families are welcome to stay with them during treatments. “Also, instead of having one large waiting room for all patients, the new facility’s waiting room is private and discreet, so TCCC patients can’t overhear one another checking in and out. This separation also helps to minimize patient exposure to ‘bugs’ and pathogens,” says Dr. Mowat. Perhaps most important, patients can expect to see all the same highly skilled TCCC staff members at the new location, not only ensuring good continuity of care, but also the comfortable familiarity they’ve come to expect during their visits. The new TCCC facility has nine board-certified hematologists/oncologists and ten nurse practitioners on staff and can provide imaging and laboratory Close-in parking and easy drop-off and pick-up are diagnostic services, chemotherthe first of many conveniences patients will notice about the new facility on Holland Sylvania Road. apy services, and IV services. Also, TCCC’s satellite centers in corridors to negotiate, better flow, Maumee, Bowling Green, Oregon, and easy check-in. Chemotherapy Adrian, and Monroe remain open patients can be dropped off right for the convenience of the patient, outside the chemotherapy suite at and many TCCC patients are enthe rear of the building. As Dr. Mowat rolled in the latest cancer research notes, “When you’re worried about and studies in our region through the Toledo Community Oncology cancer, the last concern that should be on your mind is getting lost on the Program (TCOP). way to treatment.” Patients will also “With the new facility’s easy, conwelcome the less-congested traffic on venient access; calm, soothing atmoHolland Sylvania. sphere; enhanced privacy; multiple Furthermore, with the new facility exam rooms; and greatly improved offering twice as many exam rooms efficiency, I’m confident our patients as the Secor location, patients will will find there’s no finer cancer center enjoy shorter wait times, doctors can in Northwest Ohio,” says Dr. Mowat.❦ spend more time with each patient For more information, please call the while staying on schedule, and the Toledo Clinic Cancer Centers at 419staff can function more comfortably 479-5605. and efficiently.

CANCER CENTERS

WE HAVE MOVED!

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

or call 419-479-5605 Toledo Clinic Cancer Centers have moved to better serve our patients and families. Located on N. Holland Sylvania Road, we have laboratory, MRI and other specialty services conveniently located on the premises.

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

Dr. Tim Kasunic Dr. Rex Mowat Dr. Richard Phinney

Dr. Howard Ritter Dr. Bradley Sachs Dr. Charu Trivedi

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Patient Advocacy Opening doors, one at a time

Health Care is complicated

by Hollie Miller

mma was celebrating her first birthday. She was a cute, innocent, sweet little girl with long, blonde, curly locks of hair and bright blue eyes. Emma’s mother loved her very much but had a pit in her stomach that something was not quite right.

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.

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You see, Emma was a happy child but did not yet crawl or attempt to walk. In fact, she didn’t even like her feet touching various surfaces. When Emma’s mother mentioned her concerns to the pediatrician, she was reassured that everything was fine. She was told that all children develop differently and there was no need to worry. Emma’s mother shared her concerns with anyone who would listen, not knowing what to do. Emma is my second daughter. My name is Hollie Miller. I am a mother of four beautiful children, three daughters and a son. I am a graduate student at the University of Toledo, graduating from the Patient and Child Advocacy Certification programs. I am pursuing a Doctorate in Occupational Therapy. I was lost on what to do for my daughter, as I had discussed my concerns with those I felt could help me with no avail. I, however, knew attention was needed before Emma was on a downward spiral in her development. While talking to the leader of a local play group and addressing my concerns, I was put in contact with the “right” person. Through the local Intermediate School District and Early On, I was able to consult with an occupational therapist. The occupational therapist came to my home and evaluated my daughter in her surroundings, where she was most comfortable. At this point, she was considered developmentally delayed. The therapist worked with us to first get Emma crawling and then walking. We met weekly, and I was always left with new techniques to try throughout the week. Within

five months, Emma had reached the developmental milestones appropriate for her age and was running circles around me! I am Emma’s advocate. You may be asking yourself, what is an advocate? An advocate is a person who publicly or personally supports or recommends a particular cause or policy. Through my studies at the University of Toledo, I have had the opportunity to gain the knowledge necessary to meet the needs and legal rights of children, patients, and their families. I am able to recognize and react to situations involving child abuse and neglect, legal issues, and various medical concerns. I am able to advocate for the best interests of our community. The University of Toledo has exceptional faculty to guide your studies. You may want to find a new program, such as Child and Patient Advocacy, or enhance an existing degree. Advocacy is needed on a regular basis for individuals who do not know where to turn. I have taken the challenge to be the “right” person. I will open the doors for my loved ones and for my community members. The certifications in Child and Patient Advocacy from the University of Toledo will allow me to better understand and meet the goals of those I will be serving today and in my future endeavors. ❦

Making tennis easier by Mark S. Faber, USPTA Elite Professional

believe everyone can agree that a child under the age of 10 is not the same physically, mentally, or emotionally as an adult. Examples of this can be seen in how our academic system’s teaching tactics adjust for kids from kindergarten through college. On the athletic side, many sports have recognized this as well. Two sports that have had nice growth over the past few years are

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soccer and baseball. Soccer uses a graduated ball system and a field size and game length based on age. Baseball starts with kids hitting the modified ball off of a tee, smaller fields, and smaller gloves and bats. Some of you might have caught one of my favorite summer classics, The Little League World Series, an international baseball competition for kids 13 and under. Tennis in the United States has joined other sports in making the game easier for our 10-and-under players. Tennis now has various sized and weighted tennis balls, smaller tennis racquets, smaller tennis courts, and a simplified scoring system. All of this has been done to make tennis easier to learn and play. Also, the United States Tennis Association has made it easier for kids to join the association by offering free memberships. With these changes, tennis has seen its greatest growth in years. Here are a couple of websites that provide even more information on

10-and-under tennis: www.10and undertennis.com and www.evolve9. com. Both of these websites offer great information on tennis for our youngest players. So, the question is, if tennis has been made easier for kids under 10 to try and play, why not have a 10-or-under child you know give it a shot? In the Toledo area, Laurel Hill Tennis Club, Perrysburg Tennis Center, and Shadow Valley Tennis Club offer programming for children under 10. You can also contact the Northwest Ohio Tennis Association for other programs offered. In closing, I would like to leave you with two thoughts. Young kids want to play and have fun, not stand around and be inactive. The second thought is, children who start tennis at a young age develop their athletic skills of agility, balance, and coordination, plus they develop social skills. So give it a try and get your 10-or-under player into the sport of a lifetime! ❦

by Jeff Kurtz

The many faces of Facebook

p until about 10 months ago, I was one of the few remaining Facebook holdouts. As a fairly private person who prefers actual one-onone communication in most circumstances, the format held no particular attraction for me and I just didn’t get what all the fuss was about. That all changed last April when a tech-savvy friend and I launched a blog about saltwater aquariums and he convinced me we needed a Facebook presence to drive visitors to the site. In order to help administer our business page, he advised, I would need to set up a personal Facebook account. So, with some reluctance, I acquiesced, set up my profile, and began to send and accept friend requests. This was kind of exciting at first. I was able to locate and reconnect with several coworkers and acquaintances I’d lost touch with over the years, including a good friend who trained with me in the Air Force back in 1989. It occurred to me, as well, that Facebook can be a great way for distant loved ones or traveling retirees to stay attuned to all the little things going on with their families back home. But I also couldn’t help noticing something else about most Facebook

communication. It tends to be rather, well, thin. Sure, plenty of information is exchanged (some would say too much), but there seems to be very little depth to any of it. It’s more a veneer of communication than the real deal. There’s none of the nuance and backand-forth you get when talking with a real, flesh-and-blood friend face to face or on the telephone (I mean the old-fashioned kind of phone—you know, the ones that actually didn’t make every caller sound like a robot in a distant galaxy). I’ve also begun to recognize that a surprising number of Facebook posts—if not the majority of them— can be placed into one of a handful of somewhat annoying but predictable categories. See if any of these sound familiar to you:

The Lifestyle Boast Post This post commonly includes a photo taken at some awesome, tropical travel destination and is accompanied by a comment like, “The view from our 4-star-hotel balcony!”, “Another day in paradise!”, or “Island living!” Near as I can tell, the only purpose of this post is to elicit envy from others—especially those who are sitting at their desk at work and have another six months

Study finds renal artery stent procedure leads to similar outcome when compared to medication-only therapy NIH-funded research finds patients with high blood pressure and narrowed renal artery do not benefit from stenting procedure A commonly used stenting procedure to treat plaque build-up in the renal artery appears to offer no significant improvement when added to medication-based therapy, according to results from a new National Institutes of Health-funded study. The narrowing and hardening of one or both renal arteries, known as renal artery stenosis, occurs in 1 to 5 percent of people who have hypertension, or high blood pressure. The findings were presented at the American Heart Association (AHA) 2013 Scientific Sessions in Dallas, Texas on November 18, 2013 and appeared concurrently in the New England Journal of Medicine. Renal artery stenosis can lead to conditions including chronic kidney disease, coronary artery disease, and stroke. Effective treatment of this condition can improve blood pressure control, stabilize kidney function, and reduce incidence of serious cardiovascular events. “Demonstrating the ineffectiveness of certain medical procedures can be as valuable as proving the effectiveness of treatment techniques,” said Dr. Michael Lauer, director of the Division of Cardiovascular Sciences in the National Heart, Lung, and Blood Institute, which supported the study. “The findings from this study could help change clinical practice by encouraging health care providers to avoid unnecessary stenting procedures when treating renal artery stenosis.” According to the study’s researchers, between 1996 and 2000 there was a 364 percent jump in renal artery stenting procedures for Medicare beneficiaries. The procedure involves inserting a metal mesh tube into an artery to open the clogged passageway. An estimated 78 million Americans have hypertension, according to the AHA, and as many as 3.9 million people in the United States may have renal artery stenosis. “Renal artery stenting for this condition

remains a common practice because while several, smaller studies showed negative results, other research has suggested the procedure may help lower blood pressure and stabilize kidney function,” said Dr. Christopher Cooper, lead author of the study and Chairman of the Department of Medicine at the University of Toledo Medical Center. “Our larger study demonstrates that this procedure offers no incremental benefit when added to treatment with medication.” The Cardiovascular Outcomes in Renal Atherosclerotic Lesions study, known as CORAL, studied 947 patients whose plaque build-up in the renal artery narrowed the blood vessel by 60 percent or more. Participants, whose average age was 69, also had either systolic blood pressure of 150 mmHg or higher while taking two or more drugs or Stage 3 chronic kidney disease. Researchers from more than 100 institutions randomly split participants into one group that received medical therapy and another group that received a stent plus medical therapy. The research team examined the effect of the two treatment options on a combination of cardiovascular and renal outcomes that included death from renal or cardiovascular causes; heart attack; hospitalization for congestive heart failure; progressive renal insufficiency; or renal replacement therapy. During an average follow-up period of 43 months, researchers found that 35.1 percent of patients who received medical therapy and stents experienced one of the negative endpoints versus 35.8 percent of patients who received medication alone. Related Resources: - Clinical Trials.gov CORAL page http://www.clinicaltrials.gov/ct/show/ NCT00081731 - CORAL Home Page http://www.coralclinicaltrial.org/ - What is atherosclerosis? http://www.nhlbi.nih.gov/health/ health-topics/topics/atherosclerosis/ - What is high blood pressure? http://www.nhlbi.nih.gov/health/ health-topics/topics/hbp/

Have you ever considered volunteering for a

clinical research study? The Jacobson Center for Clinical & Translational Research at the University of Toledo Medical Center is participating in over 65 enrolling clinical research studies.

To find out if one is right for you visit http://utmc.utoledo.edu/research/ patients/currentstudies.html or call 1-419-383-6919

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until they can even consider taking a (much less extravagant) vacation.

The Party Post

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The Party Post may dovetail with The Lifestyle Boast Post depending on where the party was actually held. Essentially, it consists of an image of your half- (or fully) inebriated friends having a rowdy time together in your absence, either because you couldn’t attend the party or you weren’t invited. In any case, the message is the same—“Wish you could have been here . . . but you weren’t!”

The Past-Tense Post The Past-Tense Post simply—and inexplicably—announces not where a particular Facebook friend currently is, but where he or she recently was. For example, it might say something to the effect of, “John Smith was at Crazy Bob’s Barbecue and Brew” or “Betty Brown landed at LaGuardia Airport.” Given the fact that the individual is no longer there, what exactly is one supposed to do with this information? Dust off the DeLorean and fire up the Flux Capacitor?

The Enigmatic One-Liner This next post is even more baffling. I can only assume it’s a very literal attempt to answer the “What’s on your mind?” prompt at the top of the individual’s Facebook home page. Examples that I’ve seen include, “Hohum,” “Yawn,” “Meh,” “Yum,” and “Yikes!” I’m pretty sure I’ve even seen one that said “Foodley doodley!” An even more bizarre variation on The Enigmatic One-Liner is the post that announces some move that a Facebook friend made in some online game you’re not familiar with and not even playing, such as “Jim Jacobs rolled ‘snake eyes’ in Mind Blower!” What’s the appropriate response? Are congratulations or condolences in order?

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This post either puts forth a controversial political viewpoint or attacks/ denigrates an opposing viewpoint. This one, above all the others, is bizarre to me because the poster must (or should) know that whatever point is being expressed is apt to anger at least some of the people reading it— who, let us not forget, are supposed to be “friends.” If you don’t happen to agree with

the viewpoint expressed, The Political Attack Post has the feeling of a “drive by”—an out-of-the-blue attack on your values and beliefs. What’s more, it puts you into something of a dilemma: Should you argue with the assertion and risk creating friction with the poster (who could be a real-life friend or family member) or let it slide at the risk of seeming to agree with the assertion?

The Sales Pitch Post Then, of course, there are those delightful Sales Pitch Posts, which come from someone who friended you not because they want to stay in touch with you as you might have thought, but because they want to subject you to incessant pitches for a particular product line they represent. (“Tired of feeling fatigued, flabby, and flatulent? Are you ready to make a positive change? Unleash the power of Product Z! Message me to find out how!”)

The Cringe-Worthy Post Last but not least, there’s that particular Facebook friend who insists on posting crude, off-color, or flagrantly offensive comments or images. This type is commonly fueled by alcohol and, thus, often goes hand-in-hand with the Lifestyle Boast or Party Post. The poster, in his or her booze-addled frame of mind, may find these posts funny, witty, or edgy, but really they’re just crass and cringe-worthy.

So, what’s on my mind? In my ten months on Facebook, I’ve commented on a few friends’ posts but never actually posted anything myself. It’s not that I don’t have anything on my mind; it’s just that the random thoughts my brain usually cooks up aren’t really worth sharing with everyone on my friend list. On the other hand, on those rare occasions when something significant is brewing upstairs, Facebook still doesn’t seem like the best venue to air it. Then again, maybe I’m overthinking it. Foodley doodley! ❦ Jeff Kurtz is the editor of Healthy Living News, senior consulting editor for Tropical Fish Hobbyist magazine, and cofounder of Saltwater Smarts. 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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BINGE EATING CAN BE BEATEN

e’ve all had those days when we just can’t seem to resist eating more than we should. That fourth (or fifth or sixth) slice of pizza or that second piece of birthday cake beckons, and we willingly succumb to its allure. Or, we make a third trip to the buffet line or potluck table in spite of being uncomfortably full already. Of course, many a brimming bowl of popcorn, bag of potato chips, or plate of brownies has fallen prey to a session of mindless eating in front of the TV. But for some people, overeating

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goes far beyond the occasional episode and enters the realm of a serious health condition called binge-eating disorder or compulsive overeating. Binge eaters regularly consume excessive quantities of food and feel powerless to resist the impulse to overeat. While normal eaters may consume somewhere between 1,500 and 3,000 calories over the course of an entire day, a binge eater often takes in many thousands of calories in a single bingeing episode. As a result, most binge eaters are overweight or obese and are at elevated risk for the whole gamut of obesity-related ailments, such as high blood pressure, gastrointestinal disorders, sleep apnea, diabetes, heart disease, stroke, and certain forms of cancer. However, it’s important to note that not all binge eaters are overweight. Nor does being overweight or obese necessarily signal a problem with binge eating. From an emotional standpoint, people who binge eat often experience intense feelings of embarrassment, disgust, and depression as a result of their behavior and commonly vow to diet or eat better after a period of gorging. However, due to the com-

pulsive nature of this disorder, they invariably binge again, which only begets further emotional stress. Though behaviorally similar in some respects to people with bulimia, binge eaters differ in that they typically don’t attempt to rid themselves of excess calories and prevent weight gain through practices such as self-induced vomiting, laxative abuse, and over-exercising. Binge eating surpasses all eating disorders in its prevalence, but the root (or roots) of the behavior is not fully understood. It’s likely that various biological, psychological, and cultural influences play a part. However, most binge eaters do have certain behavioral and emotional symptoms in common. They include: • Frequently eating abnormally large amounts of food, even when already full or uncomfortably full • Eating much more rapidly than normal when gorging • Feeling unable to control how much or what types of food are eaten • Experiencing feelings of guilt, disgust, depression, or anxiety

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after bingeing • Having feelings of low selfesteem • Frequently dieting without weight loss or with weight fluctuation • Eating alone or secretly, hoarding food, or hiding empty food containers to conceal the amount of food eaten. Though the underlying causes of binge eating are not understood, doctors can often determine whether a patient fits the criteria for binge-eating disorder by conducting a series of physical, psychological, and laboratory tests to assess factors such as the patient’s body mass index, heart rate, blood pressure, cholesterol, blood sugar, thyroid function, eating habits, and thoughts and feelings toward food. Overcoming binge-eating disorder can be challenging, however, because, unlike people who are addicted to substances like drugs or alcohol, compulsive overeaters can’t give up food entirely. Nonetheless, help is available for people struggling with this behavior—usually involving a multifaceted approach that addresses

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all the emotional and physical components of the issue. For example, a psychologist who specializes in eating disorders can help binge eaters get to the emotional root of their problem and arm them with techniques they can use to fight the compulsion. A dietitian can help them develop meal plans that are not only healthy but also take personal tastes and preferences into account so they can eat better without feeling deprived. A physician who specializes in treating obesity can address the physical impact of the disorder and help patients shed

weight in a healthy manner. A support group can be a great source for advice and ongoing encouragement from others who are struggling with the same problem. The key to overcoming this complicated issue is to stop suffering in silence and trying to manage the compulsion alone. The sooner they seek professional support and treatment, the sooner binge eaters can regain control of their lives. A visit and frank discussion with a trusted doctor is a great place to start. ❦

What you don’t know about

shingles can hurt you P

eople who have had chickenpox may not be aware that the virus responsible for all those itchy blisters (the varicella-zoster virus) is still present in their body and may eventually resurface and make its presence known in a most unwelcome encore performance—not as chickenpox, but as a condition called shingles, or herpes zoster. In fact, according to the Centers for Disease Control and Prevention (CDC), approximately one in three people in the US will develop shingles and there are an estimated 1 million cases in America each year.

Who is at risk? After a person recovers from chickenpox, the varicella-zoster virus lies dormant in the nerve roots close to the spine. In some people, the virus remains forever in a dormant state and

causes no health problems, while in others, it reawakens and causes shingles. Why the virus breaks dormancy in some people is not fully understood, but those most likely to develop shingles include older adults (age 60 and over), people with a weakened immune system, and those who had chickenpox before their first birthday.

What are the symptoms? Shingles can develop in any area of skin connected to a spinal nerve and typically causes a severe burning, tingling, stabbing, throbbing, or stinging sensation in the affected area, followed by the appearance of a rash and blisters. Most commonly, the rash develops on the torso in a band that extends from the middle of the stomach to the middle of the

Common sites of shingles

back, but it can also occur on other parts of the body, such as the head around the eye or on the forehead, on the neck or chest, or on an arm or leg—again, typically on only one side of the body. The rash usually lasts for approximately 30 days. Other symptoms associated with shingles may include headache, joint pain, fever and chills, swollen lymph nodes, and upset stomach.

Is shingles contagious? If you’ve already had chickenpox or received the chickenpox vaccine, you can’t catch shingles from someone else who has it. Anyone who has not had chickenpox or been vaccinated can be infected through contact. However, they won’t develop shingles; they’ll get chickenpox (though they will be at risk of developing shingles later in life). Shingles is no longer contagious once all the blisters have crusted over and no new blisters are forming.

Are there any serious complications? Most people who have shingles recover with no lasting complications, but some sufferers will experience one or more complications beyond the typical pain, rash, and blisters. Examples include: • Secondary bacterial infection • Post-herpetic neuralgia (pain that persists for months or even

years after the rash has healed) • A rare neurological condition called Ramsay Hunt Syndrome, which can cause facial paralysis, hearing loss, and other symptoms • Peripheral motor neuropathy (nerve damage) • Permanent scarring in some severe cases. It’s also worth noting that the risk of experiencing serious complications from shingles is higher for people age 60 and older and the immune-compromised.

How is shingles treated? Antiviral medications, such as acyclovir, valacyclovir, and famciclovir, are typically used to treat shingles and reduce the duration and severity of symptoms. Pain medications may also be prescribed to reduce the often-intense pain associated with the condition. Your doctor may also recommend cool, moist compresses and topical lotions to ease the discomfort.

Can shingles be prevented? However, as anyone who has experienced the intense pain and discomfort of shingles will tell you, the best way to manage the condition is to avoid getting it in the first place. The good news is, the shingles vaccine, Zostavax®, can significantly reduce the risk of getting shingles and of developing post-herpetic neuralgia. The CDC recommends the vaccine for anyone age 60 or older, whether or not they recall having had chicken pox. The vaccine, which is effective for at least six years but potentially longer, is also FDA approved for individuals in the age range of 50 to 59. ❦

Serious illness raises tough questions. Let our experts help with what’s weighing on your mind.

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Sometimes it’s best to eat the whole thing! “I

Life feels

can’t believe I ate the whole thing!” Most people over a certain age can recall that famous line uttered in a 1972 Alka-Seltzer commercial by a man in the throes of late-night digestive upset after a bout of overindulgence. We never find out exactly what “the whole thing” is, but, no doubt, it was something along the lines of a whole pizza, whole hoagie, or whole plate of spicy chicken wings. “The whole thing” was most assuredly not a healthy whole food. We hear a lot about the importance of eating whole foods these days. But for many of us, the term “whole foods” might need a little defining—primarily because we’ve been drifting away from whole foods into the realm of refined, processed, and manufactured foods for the past several decades.

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In essence, whole foods are foods in their natural state. In other words, they haven’t been tinkered with in any way. Whereas most processed foods have been stripped of important vitamins and minerals, whole foods retain most of their nutritional value. Compare a whole fresh apple to an energy bar containing apple as an ingredient, and you’ll get the general distinction. And whole foods aren’t necessarily limited to fruits and vegetables, either. Think of a fresh tuna steak versus the breaded, deep-fried fish sandwiches served up by fastfood purveyors, and it should be fairly obvious which one is better for your body.

or maintaining a healthy weight because they are naturally high in fiber. Fiber promotes the feeling of satiety, or fullness, so by eating more high-fiber foods, such as fruits, vegetables, and grains, you’ll fill up faster while consuming fewer calories. Foods higher in fiber also take longer to eat, which gives your mind more time to receive the signal that your belly is full before you overdo it on the calories (think how long it takes you to eat a whole orange or apple compared to a single cookie).

What’s lost in processing? To get a sense of what might be missing from the processed foods that make up so much of the average American diet, consider white bread. To lengthen the shelf life and improve the “mouth feel” of products like white bread, the grains used to produce them are refined, which strips away the most nutritious parts of the grain—the bran and germ—while leaving behind only the starchy part of the grain, called the endosperm, which is essentially devoid of nutritional value. In fact, so much is stripped away

Benefits of whole foods

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Studies indicate that a diet rich in healthy whole foods, such as fruits, veggies, and whole grains, bolsters your immune system and offers protection against a host of diseases, such as various forms of cancer, cardiovascular disease, and diabetes. These protective properties can be attributed to the vitamins, minerals, fiber, and other nutrients that occur naturally in whole foods. Among these important nutrients are various phytochemicals, including antioxidants such as lycopene, flavonoids, and carotenoids, which help to protect the body’s cells from free-radical damage. Many whole foods are also the ideal foods for either losing weight

during the refining process that refined flour has to be artificially fortified with various vitamins and minerals in order to restore at least some of the nutrients that are lost. Though it may be fortified, refined flour simply can’t hold a candle to whole-grain flour nutritionally speaking. Interestingly, many researchers believe that the health benefits we derive from the foods we eat result not from the individual action of one nutrient or another but from the interaction of numerous naturally

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occurring nutrients. Therefore, taking vitamin supplements or eating foods that have been fortified with certain vitamins does not offer the same health benefits as eating foods that naturally contain a variety of nutrients working together. Besides, science is discovering more about the building blocks of good nutrition all the time. There are nutrients in whole foods that haven’t even been identified yet, and, no doubt, many of them have something to do with the foods being good for us.

What’s added in processing? Not only are processed foods less healthy because of the nutrients that have been stripped away, but they can also be bad for us because of what’s been added. Along with all those hard-to-pronounce additives and preservatives, many processed foods are worrisome because they’re loaded with salt, sugar, saturated fats, and trans fats. And don’t assume processed foods touted as “low-fat” are good for you, either. Manufacturers of these foods often load them with sugar so they taste as good as the regular product to consumers. As a result, they can be deceptively high in calories.

Where can you get whole foods? Markets specializing in whole foods are starting to pop up all over the country. However, you don’t need to go to a specialty-foods store to get healthy whole foods. Any supermarket will do, provided you know where in the store to look. As a general rule, try to focus your shopping on the perimeter of the store. That’s where you’ll usually find the majority of the fresh foods (produce, nuts, fish, dairy, etc.). Except for certain necessary staples, try to avoid shopping the aisles as that’s where you’ll encounter most of the processed, pre-packaged stuff.

Are all processed foods bad for us? Of course, not all processed foods are equally unhealthy—essentially because some are closer to whole foods than others. For example, breads, cereals, and other products made with whole grains are certainly better for you than those made with refined flour. Another example is natural peanut butter that has no added sugar, salt, or hydrogenated oils. This type of peanut butter may require stirring and have a slightly different texture than the brand you’re accustomed to, but it’s also better for you. Packaging can be deceiving, however, so be sure to read those nutrition labels carefully!❦

Medical Mutual sponsors Glass City Marathon for third consecutive year

he Toledo Roadrunners Club is excited to announce its continued relationship with Medical Mutual as the Title Sponsor of the Glass City Marathon for the third year. The 2014 Medical Mutual Glass City Marathon will take place on Sunday, April 27, 2014. A percentage of proceeds will benefit several non-profit partners, primarily the Great Lakes Collaborative for Autism and Habitat for Humanity. “Medical Mutual is sponsoring the Glass City Marathon because it supports our company’s philosophy to promote fitness and healthy lifestyles,” said Gary Thieman, Senior Vice President, Northwestern Ohio Region, for Medical Mutual. “The race is one of the community’s top events and benefits several important charitable causes. We are actively encouraging our employees, customers, and members to participate, which will help the event grow and prosper.” The 2014 Medical Mutual Glass City Marathon is a family event offering multiple races to fit every level of participant, including a Marathon, Owens Corning Half Marathon, 5-Person Marathon Relay, 5K, and the Findley Davies Kids’ Marathon. Dave’s Performance Footgear is the official training team for the Marathon and Owens Corning Half Marathon. The training runs provide heart-rate coaching and support to help you accomplish your running goal. The Medical Mutual Glass City Marathon is known for being one of the fastest courses in the nation and acts as a qualifier for the Boston Marathon. Race participants are encouraged to register early to ensure that they secure their spot in this time-honored event; the Owens Corning Half Marathon is guaranteed to sell out as in past years. The Corporate Relay division is a focus for 2014, as corporate wellness initiatives continue to grow within local companies. A team of five runners will each run a portion of the full marathon course with each running approximately five miles. Only 250 teams will be accepted. Normal and late registration is available until April 26, 2014. No registrations will be accepted on race day. For more information and to register online, visit www.glasscitymarathon.org. ❦

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Spring-cleaning wellness tips from Heartland Rehab

his month we want to think spring! For many of us, spring means a new start, a beginning. We think about spring cleanup outside and inside. Why not extend that to ourselves? One thing that may be impacting our fitness goals is clutter. Physical and mental clutter in our lives can be holding us back from achieving what we established back in January. Physical clutter is our environment. Do we have too much stuff around us that distracts us from moving forward? A clear, focused mind needs a clear, focused environment. When you live surrounded by clutter, you get pulled down. Think about the television show Hoarders. It doesn’t have to be to that extreme, but if we have to step over or move something to get to what we want, we have clutter.

Kinds of clutter Mental clutter can be a self-defeating way of thinking about yourself, patterns of behavior with certain people, habitual ways of reacting in situations, or being on auto-pilot. In these scenarios, we go blindly, missing

out on options and alternatives that may slowly drain our energy.

What can you do to clear the clutter? Physical clutter: Assess the environment where you live, and start with one small space. Touch each object, and ask what is it? Why do I have it? What is its function? Does it enrich

my life? Does it bless me? Is it trash? Try to eliminate as much as you can. Before you acquire more stuff, make the effort to eliminate something first. Mental clutter: Slow down, and ask yourself if you have options. Take note of what is going on around you. Look at your routines and ask, are they productive? Destructive? Time wasters? If you answer honestly, you will find yourself eliminating some of the mental clutter.

No exercise excuses! Exercise excuses are another of the spring-cleaning tasks we need to eliminate. We started out in January working hard on our goals, but many of us are now coming up with reasons we can’t exercise. The most common of these is something like: “I don’t have time. I have work, and then after that the kids’ activities, then I have to make dinner, then… I simply don’t have enough time.” Answer this simple question: Do you find time in your busy life to deal with medical issues? Yes, of course you do! So why not take the time to accommodate prevention of an illness through exercise. The reality is, if we don’t make the time for exercise, we will have to make the time to deal with illness. “I don’t like to exercise” is another excuse we use. Lots of people don’t like to exercise, but do you like being overweight, feeling tired, dealing with medical issues? Without exercise, you will feel tired and you will have a tendency to become overweight and experience sickness, so you need to make the choice to get moving. Along with this excuse, we often hear, “I don’t have the energy.” If you are unfit, you will likely have

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less energy. With low energy, who can imagine exercising? When you begin exercising, you will start to have an increase in energy. Decide to stop the exercise excuses. Make the clean sweep toward a healthier you. Remember, the fit and healthy person chooses to give up the excuses and just does it. Two other spring-cleaning wellness tips for this month are mindless margin and resistance training.

Mindless margin “Mindless margin” comes from Dr. Brian Wansink’s book Mindless Eating: Why We Eat More Than We Think and is that zone where we slightly overeat or slightly under eat without realizing it. Think about how many times we walk through the kitchen and grab a little snack—a cookie, handful of pretzels, a soda, etc. Or do we make sure we are a part of the clean plate club without thinking about it? In each case, we have slightly overeaten and not given it much thought, but the price we pay is high. By eating just 10 extra calories per day, we could potentially gain over one pound in a year. Eating an extra 100 calories per day can lead to almost one pound of weight gain in a month. Is this happening to you? The good news is, mindless margin works the opposite way as well. Mindless under eating should result in weight loss. If you normally take in 2,100 calories per day but instead take in 2,000, your body won’t notice or crave that 100-calorie difference. But over time, your body will notice it—and so will you with a loss of weight. So, the goal of mindless margin weight loss is to take in fewer calories at every available opportunity. Some simple steps to take in fewer calories include: • Instead of drinking a full glass or can of a calorie-laden beverage, drink just two-thirds or, even better, replace one glass with water instead. • Instead of taking a heaping spoon of sugar in your coffee, use just a level one. • Instead of eating a whole dessert, split it with someone. • Never eat directly out of a bag or box. Decide how much you want to eat, then put 20% of it back in the box or bag and do not go back into it for seconds. • Instead of some junk food, have a piece of fruit or some veggies.

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Resistance training Resistance training is another spring-cleaning wellness tip we shouldn’t forget. The weather is going to get nicer (believe it or not), which means it will soon be time to get outdoors for aerobic exercise. This is great, but we can’t forget that we still need to do resistance training. Resistance training is used to help build muscle, and if we aren’t building it, we are losing it. We all know someone who had broken an arm or a leg and was in a cast. When the cast was removed, the arm or leg looked smaller and felt weaker. This is a result of muscles not being used and atrophying. Can we get them back? Yes, through resistance training and use! Resistance training offers the benefit of stopping muscle loss, improving our ability to do daily activities, in-

creasing bone density, improving balance and coordination, increasing our metabolism, and improving our aerobic capacity (the stronger the muscle, the better the endurance). Remember, spring is the time to start new, especially if we have fallen away from the resolutions we established in January. It is the time to focus on yourself and start making the right choices for a healthier you. ❦

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Depression takes a huge toll on individuals and families

by Linda L. Smith, MA, LPC —Rollo May

ajor depressive disorder is the most common mental health disorder of adults ages 30 to 44. In fact, 17 percent of Americans will experience it at some point. The lifetime risk for women is nearly double that for men: 10-25% versus 5-12%. Major depression imposes devastating emotional suffering, with its greatest danger being the risk of suicide. As many as 15% of those experiencing major depression will eventually die from suicide. Unfortunately, for reasons not yet known, both depression and suicide have been increasing in the U.S. over the last half century. Anyone experiencing its symptoms should seek immediate help, not only because of the risk of suicide, but also because more frequent and more severe episodes reduce the likelihood of successful treatment. Major depression is classed with bipolar disorder as a “mood disorder.” Both involve severe disturbances in mood—extreme highs or lows, or both—but major depression lacks the manic feelings of bipolar disorder.

However, nearly 15% of those with major depression will eventually develop bipolar disorder. Major depression is associated with a higher death rate from other health problems as well as substance abuse, occupational/academic failure, and family problems. The primary symptom of major depression is depressed mood. But it can also appear more subtly as the inability to experience pleasure from usually pleasurable activities, or as irritability or apprehension. Other symptoms are biological, including lack of energy, insomnia or hypersomnia, changes in appetite, slowed movements or increased agitation, and diminished libido. Mental symptoms include negative thinking about all aspects of life, past, present, and future. These disturbances in thought lead to guilt, low self-esteem, hopelessness, and ultimately thoughts about death and suicide. Major depression also causes difficulty concentrating or making decisions and endless rumination over perceived personal failures and inadequacies. A mistaken belief about depression is that it is caused by a weakness of will or a lack of personal discipline. In reality, it is caused by many con-

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tributing factors largely beyond one’s conscious control. These include bio-medical factors caused by genetic predispositions, psychological vulnerability created by early life experiences, and extreme stressors in later life. These work together to trigger the depressive episode, resulting in a vicious cycle of helplessness and hopelessness that often prevents the individual from even seeking help. Major depression is, however, a very treatable disorder, particularly when caught early and treated effectively. Nearly half never experience another recurrence, with only 20% becoming chronically depressed. While the majority will recover within a year without treatment, the risk of suicide and other negative effects is so great that seeking treatment is usually the wiser course. To treat major depression, physicians and psychiatrists typically prescribe antidepressants because of their ability to protect against suicide. However, recent research has raised some concerns with their use. For example, in young people in their teens to mid-20s, antidepressants sometimes increase suicidal impulses.

In addition, there is evidence that their use increases the risk of relapse. As a result, some psychotherapists no longer encourage their use when the risk of suicide is low. Even without medication, several types of psychotherapy have been shown to resolve the majority of cases of mild and moderate depression. Interpersonal psychotherapy (ITP) focuses on interpersonal relationships to increase social support and reduce social alienation. Cognitive behavior theory (CBT) focuses on correcting maladaptive thinking patterns that create and maintain negative views of the individual, their environment, and the future. Sleep therapy is also showing promise to resolve depression, and aerobic exercise has long been found to be one of the most powerful strategies both to prevent and to resolve depression. Mindfulness practice, meditation, and yoga, are also proving to be helpful for many.❦ Linda L. Smith, MA, LPC, is a licensed professional counselor at Central Behavioral Healthcare in Toledo, Ohio.

by Myles Mellor

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Looking for a good night’s sleep by Christine A. Holliday

t’s an old joke. Patients go to the hospital to feel better, expecting rest and quiet along with the medical attention. But they find the quiet disturbed by hospital noises (announcements, beeps, and buzzes) and their rest interrupted by nurses waking them up to give sleeping pills. Nobody goes to the hospital to get a good night’s rest, unless he is going to have his sleep itself examined. That’s the purpose of the Mercy Sleep Disorders Center at St. Anne, a very restful and quiet place I visited last month. I haven’t been sleeping well for a long time. I couldn’t blame it on being up all night with my children; they are 26 years old and don’t live at home. I couldn’t point to job worries or health concerns or an odd schedule. Whatever the reason, I was dead tired, needing afternoon naps to navigate the day or caffeine breaks to keep me from nodding off at work. My doctor listened to my complaints

and suggested that I was probably living with (but not sleeping with) sleep apnea. She ordered a sleep test to ascertain how much “good sleep” I was getting, and my date with the Medical Sandman was arranged. Before I reported for my first night at St. Anne’s, I did some homework about apnea. I learned that there is no blood test for it, and it’s not obvious when the person is awake. It shows itself when the person is asleep. The airway of the throat collapses (Why? maybe jaw structure? genetics? weight?), and breathing becomes very shallow or stops altogether, sometimes for up to a minute. The oxygen level in the blood decreases, which triggers a response in the brain to “jumpstart” the breathing process. That nudge from the brain wakes the

person up, which means having to fall back to sleep again. The tech who treated me told me that having five episodes of apnea per hour is cause for concern. That serious condition was responsible for my buzz-saw snoring and was setting me up for increased risk of high blood pressure, heart attack, stroke, obesity, and diabetes. The fatigue was enough—I didn’t want more health problems, so I agreed to sleep at St. Anne’s, connected to monitors and appearing on camera all night. I knew the techs would be keeping track of how I slept (deep sleep? non-deep sleep? tossing and turning? snoring? periods of non-breathing?) and would help formulate a plan for helping me sleep better. Dr. Michael Neeb is the director of the Mercy Sleep Disorders Center at St. Anne. He told me how common sleep apnea is (about 5-10% of the population suffers from it, with increasing numbers of children being tested for it). “We have a tendency to laugh at loud snoring—a kind of comic relief on TV and in the movies. But loud snoring is frequently the sign of a serious sleep

problem. It’s not normal to feel tired after ‘sleeping’ all night, so awareness of the possibility of sleep apnea is half the battle,” he said. Dr. Neeb explained that the Sleep Disorders Center first opened at Mercy St. Vincent in 1984 but moved to Mercy St. Anne Hospital in 2009 and now does over 1,500 sleep studies every year. “Sleep Apnea is more common in men, but we find it in women, too, especially after menopause. And we find it often among older adults. Sleep gets fragile as we get older, and older patients are more susceptible to the medical issues connected to it,” he adds. So, I took my overnight supplies to St. Anne’s, knowing they had looked at my sleep diary for my own report of my sleeping habits. I found a very quiet section of the hospital (it was originally used as the labor and delivery unit) and a private room with a TV, snack basket, and double bed waiting for me. Before my 10:30 bedtime, I was attached to the monitoring system. Glue held electrode patches to the back of my head, as an EEG recorded my brain waves. Other electrodes were attached to my face and chin: an EOG (electrooculogram) measuring eye movements and an EMG (electromyogram) recording muscular

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activity through different stages of sleep. A belt wrapped around my chest and upper body kept track of my respiration. The tech tucked me into bed, hooking the wires up to the bedside monitor that would transmit the story of my sleep to computers at the nursing station. She checked that the ceiling camera was working and could pick up my movements, and it was lights out. I think I fell asleep quickly, and didn’t remember waking up during the night. The tech woke me up at 5:00 a.m. and delivered the early results. I had tossed and turned all night, had no periods of REM sleep, and had stopped breathing 60 times per hour. Yikes! No wonder I was so tired! A few days later, after the medical staff had reviewed the results of my test, I went back for the second part of the study. Everything was exactly as it had been the first night—quiet, same monitoring equipment, same camera. The only difference: tonight I was sleeping with a CPAP (continuous positive airway pressure) machine to resolve my sleep apnea. A mask fit over my nose, which was connected to a machine that forced air through my nose and throat, keeping my oral airway from collapsing during the night. I had to learn to sleep with

my mouth closed, but after a brief adjustment period, I was ready to sleep. I have no memory of sleeping that second night, and I don’t remember being aware of the mask. The tech who woke me in the morning called me a “poster child” for the CPAP treatment. “Wow,” she said, “You didn’t stop breathing once. You didn’t toss and turn at all, and you had three periods of REM sleep. You’re the perfect candidate for it.” The hospital sent the test results to my doctor and worked with my insurance company to enable me to have a CPAP machine at home. Within a week, I had picked it up and put it on my bedside table, ready to enjoy wonderful sleep again. I’ve used the mask a few nights, and have found an increasing feeling of well-being. I haven’t wanted to nap since I started using the machine, and I find I am dreaming again. The feeling of the mask has produced a few anxious moments when it feels as if I am suffocating, but the feeling passes and I find I am sleeping well with it. I asked Dr. Neeb about the children I saw in the Sleep Disorders Center the nights I was there. He told me that 20% of their patients are children and young adolescents, who use the

two children’s rooms in the Center. He added, “We know there are countless children being diagnosed with Attention Deficit Disorder (ADD) these days. But the key signs of ADD are also the key signs of a child not getting enough quality sleep: inattention, poor concentration, restlessness, and impulsive behaviors. This then leads to academic struggles and behavioral problems in the classroom and at home. Before confirming a diagnosis of ADD, a thorough evaluation of a child’s sleep habits, and possibly an overnight sleep study, may be a good idea for children who show these

symptoms.” Even after this test, I might not be able to commit to getting the eight hours of sleep somebody my age should get. But now that I know poor or insufficient sleep might interfere with regeneration of my tissues, building of my bones and muscles, the efficiency of my brain, and the strengthening of my immune system, I will do my best. And now, I know I’ll feel better for it. Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

Take the worry out of dormant pruning

e’re entering the late dormant season, and, with a few exceptions, this is the best time to begin the annual chore of pruning trees and shrubs. If you’re like most people, you may find this task daunting. After all, each species has a different growth habit and improper pruning can ruin the tree/shrubs natural appearance for many years, if not permanently. However, if you familiarize yourself with each plant’s specific needs, use the proper tools, and make any cuts with discretion, you won’t be disappointed with the results.

The right tools for the job The tools you’ll need in order to prune various trees and shrubs of different

sizes include the following: • Bypass-style hand pruners (which tend to make cleaner cuts than anvil-style pruners) for smaller branches. • Bypass-style loppers for branches that are too large to cut with hand pruners but too small for a pruning saw. • A pruning saw with a curved, slender blade for branches 1 to 5 inches in diameter. • A pole pruner for reaching higher branches no more than 1 inch in diameter. Look for a model with a telescoping handle for greater flexibility of function. Most come with an attachable pruning saw blade.

Tips for pruning trees Most trees can be pruned in early spring before the buds begin to swell. Exceptions include black walnut, birch, and maple, which will bleed sap profusely if cuts are made in the

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spring. These trees are best pruned in early fall. Begin pruning by removing any broken or dead branches as well as limbs that angle sharply toward the center of the tree. Look for closely parallel branches and thin out the weakest ones. Suckers and watersprouts should also be eliminated. These are thin, spindly, energy-sapping limbs that grow straight up from the tree’s roots, trunk, or main branches and give the tree an unnatural appearance. Finally, prune out any branches that are (or soon will be) coming into contact with nearby structures or that simply disrupt the balance or symmetry of the tree. Keep in mind that it’s much easier to prune a tree when it’s young. Branches that would have to be removed with a chainsaw from a mature tree can be removed with hand pruners from a young one. The pruning of mature trees is a job best left to experienced, licensed, and insured professionals. Trees respond best to a gentle touch. Never severely prune or top them if it can be avoided. It’s better to extend the process over several seasons, removing only a few branches at a time. Be sure to examine a tree from all angles and consider how it will look once a branch has been removed before making the actual cut.

If you have to remove a large, heavy limb, do so using a series of three cuts: 1. Make a partial cut through the branch from the bottom, a short distance from the trunk. 2. Cut down from the top of the branch to meet the first cut. This will leave only a short stump. 3. Remove the stump with a final cut, which should be made flush with the branch collar (the swollen area where the branch and trunk meet). Do not remove the branch collar, as it is needed to produce new growth to heal the wound. The use of pruning seal or wound-dressing products is no longer recommended. These materials actually interfere with the tree’s natural ability to seal off wounds and can encourage decay.

Tips for pruning shrubs The appropriate time to prune flowering shrubs depends on when the shrub sets its buds. Late spring or summer bloomers that set buds on the current year’s growth, such as spirea and potentilla, can be pruned either in early spring before growth

begins or just after they’ve finished blooming. Shrubs that set buds on the previous year’s growth, such as azaleas and rhododendrons, should be pruned only after their flowers have faded. Prune them at the wrong time, and you’ll sacrifice a season’s worth of blossoms. When pruning a shrub, try to work with the plant’s natural framework and growth habit. It will be stronger and healthier at maturity if you do. And, unless you want a highly formal or exaggerated look, put down the hedge shears in favor of hand pruners. Shearing shrubs tends to encourage thick, bushy growth at the branch ends that prevents light and air from reaching the center of the shrub. Using your hand pruners (or loppers for larger branches), make your cuts about a quarter inch above an outward-facing lateral branch or bud. The angle of the cut should be parallel to the lateral growth. This will encourage new branches to grow toward the outside of the shrub and prevent the center from becoming crowded.

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Shrubs that produce new growth in the form of canes from the base, such as forsythia, red- and yellow-twig dogwoods, deutzia, and kerria, should be pruned by completely removing older canes. This method will give the new growth more room and energy to develop as well as encourage more abundant flowering.

Special consideration for conifers Conifers require a more specialized pruning technique. Never cut back or shear a pine, spruce, or fir. Instead, pinch off half of each candle (the new shoots at the end of each branch) before it turns green in the spring. Do not remove the entire candle or the branch will not put out any further growth. Also, keep in mind that if conifers are spaced appropriately at planting time, heavy pruning should not be necessary.

Think twice, cut once! Remember, when it comes to pruning, a little goes a long way. A good rule to follow is, “Think twice, cut once.” You can always go back and make additional cuts later if desired, but once a branch has been removed, you can’t reattach it. If you’re ever unsure about a pruning cut, don’t make it! ❦

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419-866-3030 • lakesofmonclova.com 6935 Monclova Road • Maumee, OH 43537 Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | March 2014

Training for a 5K run by Amanda Manthey

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t 3.1 miles, the 5K run is an attainable goal for even the beginning runner. The races often support charities or fundraisers, which makes them rewarding, as well. Follow these tips and running program for a successful 5K. This program is designed for firsttime runners or those who have not been training at all for many months. Start slowly, and walk exclusively during the first week or two until you are ready to incorporate running into your workouts. Start by running one minute, walking one minute, and then alternate during your workout. Eventually, you will be able to run continuously.

muscles or joints are sore, try cross-training for a few days. If the soreness persists, see your doctor. • Always warm up and cool down with five minutes of walking before and after each workout as well as stretching. • Wear a well-designed running shoe that fits properly. Stop by Dave’s Running Shop, which specializes in running shoes, for an assessment of your needs and a personalized fit. • Talk with your doctor before training for your 5K. ❦

• Give yourself time to prepare. You may need more time than the 12 weeks outlined below. Listen to your body. If your leg

Amanda Manthey is a former collegiate runner at Eastern Michigan University. She writes about running and fitness on behalf of Dave’s Running Shop.

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Begins Tuesday, March 4, 2014 at 26567 North Dixie Highway. Dave’s Spring Marathon In Training, the official training group of the 2014 Medical Mutual Glass City Marathon, now has a separate division for the 5k! Train for the Glass City 5k, Glass City Marathon relay, or other fine spring 5k events with this eight-week program that will show you what you need to know to run at your best. The program is for runners of all different abilities, from absolute beginners who have never run a step all the way to runners trying to break 20:00 for a 5k. Separate coaches will oversee separate pace groups of all different speeds and abilities.

The program will meet twice a week, Tuesday evenings at 6:30 and Saturday mornings at 8:00. Each participant will receive a full eighttweek training program, a training tee shirt, a coupon book full of instore discounts, and a complimentary invite to our pre-trace pasta dinner the week of Glass City. Training locations are: March 4, 11, 18, and 25: Anthony Wayne High School Track (5967 Finzel Road, Whitehouse, Ohio) March 8, 15, 22, and 29: Oak Openings Metropark April 1, 8, 15, and 22: St. Francis High School Track (2323 W. Bancroft St, Toledo, Ohio) April 5, 12, and 19: Wildwood Metropark

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For more information, please email evan.gaynor@davesrunning.com.

Great Black Swamp Festival of Races Saturday, March 22, 2014 at 6119 Finzel Road in Whitehouse, Ohio. The Great Black Swamp Festival of Races, presented by the Toledo Roadrunners Club and hosted by the Anthony Wayne Schools campus in Whitehouse, is a

true festival of running and fitness. The 25K, 15K, and 5K (walkers welcome) races begin at 10:00 a.m., and the 1K Kids Race starts at 9:30. For more information, please email info@ greatblackswampruns.org.

Walk MS—1M, 5M, and 10M Sunday, March 30, 2014, 8:00 to 10:00 a.m. at 2801 W. Bancroft in Toledo. For more information, please email ohawalkms@nmss.org. ❦

The Art and Science of Beauty You are what you eat!

e have all heard the age-old saying “You are what you eat.” Well, it is true! In this month’s column, we’ll focus on the best foods for keeping your skin healthy inside and out. So, in order for you to have healthy skin inside and out, Aesthetics Group endorses eating plenty of antioxidant-rich fruits and vegetables, omega-3 fatty acids, and non-processed foods to name a few. Antioxidants are not only good for your whole body, but more importantly your skin. Antioxidants such as beta-carotene and vitamins C, E, and A can help curb the damage caused by free radicals, also known as unstable molecules. These free radical/molecules can harm your skin cells, which causes signs of aging. One of the best ways to get more antioxidants is to eat a wide variety of fruits and vegetables. Get as much variety and color in your diet as possible, from strawberries to different kinds of pepper. Another important antioxidant is lycopene—a powerful antioxidant that helps neutralize the free radicals in your body. It also helps protect the skin from the damaging effects of UV sun exposure. In fact, lycopene is a very common ingredient found in anti-aging creams and lotions. You should also add omega-3 fatty acids to your diet, as they help keep the outer layer of the skin strong and intact, which keeps all the external toxins and pollutants out. Good sources of omega-3 fatty acids include such foods as salmon, sardines, fortified eggs, and walnuts. So now, what about nutrients? The best way to get nutrients and also have a radiant complexion is to simply eat a healthy, balanced diet. If you are not eating a healthy, balanced

diet, then take a daily multivitamin. In addition to eating a healthy diet, you should also avoid smoking, get plenty of rest, exercise, and stay hydrated. And remember, water is the best beverage! Healthy skin takes time and patience. Give it at least three months before expecting to see any improvement. If you can’t wait, then call us, Aesthetics Group, for a free consultation. Also, we hope to see you at our open house on March 13, 2014, from 3:00 to 7:00 p.m. Seats are limited, so please don’t hesitate to call 419-508-2770 or email agroup4b@gmail.com. The first 50 people at the Open House will receive a gift (goodie) bag. Drawings will be done after the open house, but the winner does not need to be present to win. We’ll also be offering 20% off Glytone, Avene, and Jane Iredale® makeup during the open house hours. Here’s a little peek at the drawing prizes: • Two Botox® treatments with consult from Dr. Baehren, each up to a $375 value! • Skin-care consult with treatment from Linda Recker, a $150 value! • Makeup consult and application and three spray tanning sessions with Brandi Marroquin, a $135 value! • Gift basket with Avene/Glytone products, a $200 value! • Free Latisse®, a $120 value! • Jane Iredale® basket, a $100 value! ❦ The Art and Science of Beauty is sponsored by Aesthetics Group, Linda Recker LLC, Aesthetics Group CEO.

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | March 2014

Noise exposure and sports by Dianna Randolph, AuD, CCC-A

ave you ever been at a sporting event and noticed how loud it is? Within the past few months, we have been hearing about the loudness of professional football games, and with March Madness right around the corner, I’m sure there will be some talk about the basketball games. The crowd noise is not only disturbing to the visiting team, but it can also be very damaging to your hearing. As we see many times, the fan noise, or the “12th man” as it is called, can be a big part of the game. In Seattle, it’s dubbed “the 12th man” because they are so loud that they have been credited with helping the Seahawks win some of their home football games. During the NFL NFC championship game between the San Francisco 49ers and the Seattle Seahawks, the 49er offence had custom-made hearing protection to help protect their ears. The crowd noise was so loud that the television crew had a difficult time communicating with each other. During a December Monday Night Football game, the visiting New Orle-

ans Saints had custom-made earplugs for each of the offensive players. The plugs were made to filter the fan noise out while allowing the players to hear the calls at the line of scrimmage. The fan noise reached 137.6 decibels (dB), breaking the record in the Guinness Book of World Records for an outdoor stadium. To compare this to other sounds, a jet taking off at 100 meters is 130dB, an aircraft carrier flight deck is 140dB, and a ruptured eardrum may have exposure at 150dB. The record for an indoor stadium occurred during a San Francisco Kings game last year when the crowd noise reached 126dB. It isn’t only football and hockey games that are loud. After seeing a patient who is an avid golfer with what looked like noise-induced hearing loss, Dr. Michael Buchanan, an ENT in Norwich Virginia, tested six titanium-faced drivers and found that all six topped the 110dB limit of safety for impulse sounds. The Ping G10 driver topped out at 130dB, which is similar to a

gunshot (LiveScience.com). NASCAR has been notoriously known for loudness, not only for the fans, but also for the drivers and pit crew. NIOSH scientists Chucri Kardous, a research engineer, and Thais Morata, a research audiologist, did multiple tests at the Brickyard at the Indianapolis Motor Speedway, Tennessee’s Bristol Motor Speedway, and the Kentucky Speedway in Sparta. They found that the OSHA eight-hour limit was exceeded in less than a minute for a driver during practice, within several minutes for his team members, and in less than one hour for spectators during the race. What this means is that a driver’s noise dose was 50 to 900 times higher than the allowable occupational daily noise dose set by the federal government, the researchers reported (Motorcross Action magazine). Keep in mind that accord-

ing to the U.S Occupational Safety and Health Administration (OSHA), the amount of time a working person can be exposed to an 85dB noise is 8 hours and for every 5dB increase, the time is cut in half. At 115dB, the time limit is 15 minutes. The average football game lasts approximately four hours. With the sound level as loud as 137.6dB, what will that do to your ears? With exposure to this level of noise for a long period of time, hearing loss could easily be a risk. This hearing loss is usually high-frequency and permanent along with actually decreasing further as you get older. A high-frequency hearing loss causes problems with understanding speech, making speech sound like people are mumbling. Hearing in background noise is especially difficult for someone with a high-frequency hearing loss, which brings them to our practice often. Tinnitus, or ringing in the ears, is known to occur from exposure to loud sounds, and at times, it may be a short time of exposure and it may cause the tinnitus to become even louder and permanent. “People think it’s cool or funny or whatever, but there is increasing evidence that if your ears are ringing, damage is happening,” said M. Charles Liberman, a professor

“Thanks to my audiologist, I can now hear my grandson’s laughter.” At Northwest ohio Hearing Clinic, we have over 60 years of combined experience. We personalize what you need, and we treat all your hearing concerns.

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of otology at Harvard Medical School and the director of a hearing research lab at the Massachusetts Eye and Ear Infirmary. “There’s something irreversible going on. It’s only going to worsen as you get older.” Liberman’s research shows that, even if the immediate effects of noise overexposure subside—the ringing, the muffling, the feeling of pressure— ears do not really recover. “There is a huge range of ear vulnerability,” Liberman said, with some people having “tough” ears and others having “tender” ears. “You don’t know till it happens to you” (New York Times). Hearing loss and tinnitus are the most common problems that occur with noise exposure, but sensitivity to loud sounds, or hyperacusis, can also occur. Hyperacusis is commonly seen in patients with constant tinnitus. These problems don’t just affect the fans; the players, coaches, and television crews are also susceptible to the effects of loud noise. The first defense against noise exposure, whether it is at a sporting event, concert, or car race, is hearing protection in the form of earplugs and/or earmuffs. The earplugs have to be placed correctly in the ear canal for them to work. Custom-made ear plugs are best because they are made to fit your ear. At Northwest Ohio Hearing Clinic, we provide many types of custom-made hearing protection for our patients, some with or without filters and some with valves for high-impact sounds. The earmuffs give added protection when paired with the earplugs for very loud events or when in noise for a long period of time. If you have been exposed to noise and notice ringing, or tinnitus, this is a sign cluing you in that damage, which may be irreversible, has occurred. It may not be enough damage to cause hearing loss at that particular time, but continuous exposure will then lead to permanent hearing loss. If you feel you have hearing loss or notice tinnitus, make sure you don’t

ignore the signs. Your hearing should be assessed to determine whether there is damage. Recommendations and preventative measures to protect your hearing health and avoid further damage are a must. Take it

seriously, if you don’t act now, the treatment options in the future will be limited. Just remember, be smart cheering at the sporting event, and you’ll be happy when you leave the stadium.❦

Bethany House marks 30 years serving victims of domestic violence

ethany House, a long-term shelter for victims of domestic violence and a sponsored ministry of the Sisters of St. Francis of Sylvania, is observing 30 years of serving the needs of women and children in the greater Toledo area. Founded in 1984 by Sylvania Franciscan Sister Rose Therese Lange, Bethany House is one of only a handful of facilities in the country that provide long-term transitional housing for victims of domestic abuse. Most shelters offer emergency housing for a month or two, while residents of Bethany House can stay for as long as two years. In addition to apartment-style transitional Two young housing, residents reresidents ceive counseling, ed- enjoying a game ucation, and support in the Bethany House play room. services. They also have access to community, legal, and social service resources. Residents learn parenting and job skills, and some get cars supplied by a local foundation so they have transportation to and from work. Children learn how to identify with their feelings and minimize any sense of shame, isolation, guilt or victimization. The staff tries to reduce stress and provide a sense of normalcy for the children through fun, recreational activities and events. “Bethany House is a very special place that offers life-saving and life-transforming services during a

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very dangerous and vulnerable time for victims of domestic violence and their children,” said Deidra Lashley, executive director of Bethany House. “I feel honored to be able to follow in the footsteps of Sister Rose Therese and continue to carry out her vision to meet the needs of survivors of abuse.” In 2013, Bethany House served 31 adults and 48 children, and the

A resident makes a meal in the kitchen of the apartment provided for her by Bethany House.

for Lung Disea

d when ase. I’ve notice se di ng lu c ni s chro rd time Q. My mother ha id she has a ha m hu d an m ar w there the weather is more easily. Is re ti to s em se also breathing. She do to help? health care can e m ho ng hi yt an heat a hard time with ve ha e as se di with lung uple of ways; A. Many people can help in a co re ca th al he e she is and humidity. Hom mom in her home to make sure and t your ally her inhalers ci a nurse can visi pe es , tly ec rr ations co help increase taking her medic th care can also al he e om H . ts tion so aerosol treatmen energy conserva r fo n io ct ru st in sily. ide mom, tire less ea stamina and prov ur yo e lik e, as lung dise that those with

Dianna Randolph, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327). average length of stay was seven and a half months. The need for safe, free, long-term transitional shelter has not diminished in the 30 years since Bethany opened its doors and has always had a waiting list for its services. “When Bethany House was founded, there were only three long-term shelters in the United States for abused women and their children,” said Sylvania Franciscan Sister Faith Cosky, who was executive director from 1990 to 1997. “While ministering there, I came to realize that the children were the “second victims.” We worked hard to make it a supportive environment. We found joy in celebrating birthdays and holidays, and trips to Chucky Cheese for good report cards.” In addition to serving their own residents, the staff provides education and training on domestic violence for community groups and homeless shelters and serves as a public advocate for the safety of women and children across Northwest Ohio. Bethany House stays in contact with former residents to ensure their continued emotional and physical well-being. It costs about $25 a day, per resident, to provide safe, long-term transitional housing for victims of domestic violence. Bethany House operates through funding from individuals, private foundations, government agencies, and organizations. To donate, volunteer, or for more information, go to www.bethanyhousetoledo.org. Bethany House is holding its 5th Annual Celebrity Wait night on April 7, 2014, 6-8 p.m., at the Real Seafood Company, The Docks in downtown Toledo, to help local victims of domestic violence. For reservations, call 419-727-4948 or 419-843-2300. ❦

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | March 2014

It’s time to have that talk with your kids by LeMoyne Mercer

o, not that talk. They know more about it than you do. It may be time, though, to talk to your adult children about your personal circumstances and your plans for when you get old. You may find this even more difficult than that other talk. For one thing, we all tend to think we won’t be “old” for at least another decade. Or maybe your plan is not to plan. That was my father ’s strategy. He

often said, “I thought you kids would take care of that.” At the same time he resented “being treated like a child.” When my mother died, he was too devastated to cope with the situation, so Shirley and I dealt with the funeral home, bought her casket, and chose the readings and music for her funeral Mass. Mom took a long time fighting her cancer. Dad might have spent some of that time getting their house in order. But that would have meant facing a great unpleasantness. The bad news is, unpleasantness tends to arrive whether you want to face it or not. They could have been better prepared “just in case” by having a more effective system for filing important documents—living wills, durable powers of attorney, last wills and testaments, insurance policies, bank accounts, keys to the safedeposit box, financial obligations. Life is complicated. Death is even more so. From our perspective, Dad made some unfortunate decisions when he was not in a stable frame of mind. He could have used some guidance, both personal and professional, but he was not inclined to seek it or accept it. Then his “frame of mind” itself became an issue. Dementia sometimes

arrives in baby steps rather than all at once, precisely on your 85th birthday. His doctor said that Dad tried to mask his confusion with humor. At appointments, the doctors asked simple questions to check his mental acuity. What year is it? Who’s the president? “1776,” Dad would say. “George Washington.” He knew it was George Somebody or Other, but rather than admit he was stumped, he would try to bluff his way through. “They ask me silly questions,” he would say, “and I give them silly answers.” Eventually he was incapable of managing his affairs and I had to apply for guardianship. The process might have been less stressful for the whole family had we agreed in advance what was to be done in case of either severe physical or mental impairment. But, again, these are prospects that many of us would rather not face until forced to. Shirley’s parents did a somewhat better job of it. They had purchased cemetery plots, caskets, and funeral services years before they needed them. All of their important papers

were filed with Teutonic precision. Even so, there was no “incapacity” understanding with the family. Older people highly value their homes and want to stay there as long as possible. Then, even longer than that. Their greatest fear is often that their children will put them in The Home. The trouble is, too many seniors have notions about The Home that are 50 or 60 years out of date. When I

was editor of this publication, I interviewed dozens of people who lived in facilities for seniors. Many such facilities provide a continuum of care from apartments for independent living, through assisted living, to full-time nursing care. Residents sometimes climb up and down that ladder. From independent living, they may need temporary assistance after a hospitalization. Depending on their level of recovery, they might move to assisted living or

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back to independent living. Without exception, the people I interviewed in assisted living confessed that they wished that had moved there sooner. In addition to relieving some of the stress of caring for themselves, they discovered enormous social benefits. Loneliness is a serious issue for many seniors. Their children’s careers may have taken them far away. Friends may have gone to Florida or Arizona. Or just gone. Winter in NW Ohio seems eternal if you can’t get out of the house. Some seniors don’t see their neighbors for months. Shirley’s parents arrived in assisted living via her mother’s broken hip. When released from the hospital, she was not strong enough to go home. In assisted living, Shirley’s father, who was quite sociable, found people of similar age and interests. Her mother came to appreciate the help provided by a truly caring staff. Their apartment had a kitchenette, but virtually all of their meals were taken in the dining room. The menu, as we know from experience, was thoughtfully selected, well prepared, and attractively presented. Meals did not taste institutional. The place felt more like a very nice hotel than The Home. Seniors who are in declining health often are helped by a spouse or other family members so that they can remain at home. There is a great deal to be said in favor of this, and many people feel morally obligated. Still, there are limits and liabilities. One of the greatest health risks experienced by seniors is caring for a spouse. We know a nice man in his 40s who visits his parents almost daily because his father is incapacitated and his mother is not strong enough to help his father with routine tasks. We also know a woman in her late 60s who moved back to Toledo from 2,000 miles away to care for her mother. She is among the growing number of older people caring for super-older people. In addition to the physical stress, people like her have to contend with the emotional stress and the interpersonal dynamics. No matter how old you are or what level of professional attainment you achieve, mother may still be inclined to think of you—and talk to you—as if you are still 12 years old. Parents expect to be in charge in their own homes even when they no longer make the best decisions. An alternative or supplement to care by the family is in-home care provided by a visiting nurse or other healthcare professional. Sometimes

the senior needs only a couple hours of assistance a day. Companionship is a bonus. Insurance companies are discovering that it is sometimes less expensive to provide in-home care than the more costly alternatives. Everyone is happier this way. And speaking of expenses, there is also the matter of your stash. Come on. Everyone over the age of 70 has one. That’s one of the reasons so many scam artists target seniors. You started saving just a few dollars in case you needed a loaf of bread on Sunday when the banks are closed. (ATM? How’s that work?) Then you put a few bucks in a coffee can at the back of the cupboard. Then between the pillow cases in the linen closet. Then behind the pictures in old photo

albums. (Thought you were really clever with that one didn’t you?) Shirley and I knew two elderly gentlemen who squirreled away large denomination bills between the pages of old newspapers and magazines they had piled up by the hundreds. When their families came to clear away the junk, they had to be really careful. Thousands of dollars might have gone in the dumpsters. Don’t do that! Perhaps you really do need cash for an unexpected expense, but let’s try to be rational about it. And trust your kids with the knowledge of where you keep it. You would not be the first person to hide money so well that you couldn’t find it yourself. A common trait of people born

during the Great Depression or into families that struggled is they see themselves as “poor.” Perhaps, like Shirley’s parents, you had modest beginnings but worked hard and prospered over the years. Even though now comfortable by most standards, you may still see yourself the way you were way back when. Sure, you can read your bank statements and know how much you have—down to the penny—but you just don’t feel well off. Feelings trump thinking, and odds are the attitudes you developed over decades aren’t going away just because you know better. (You knew better than to eat all that stuff over the holidays, but you did it anyway because it felt so good at the time.) We knew a nice widow whose

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husband left her in a position to be way more than “comfortable.” Over the years she had a number of problems familiar to every homeowner. She also had more than ample resources to deal with all of them, but she refused to spend her money. “Who will take care of me when I get old?” she asked. She hated winter. When she was younger, in her 70s and 80s, her friends went to Florida. She could have gone too but refused to spend her money because “Who will take care of me…?” As her health began to decline, she found it increasingly difficult to bathe. She could easily afford one of those walk-in bathtubs, but “Who will take care of me…?” We had that same discussion with Shirley’s mother after her father died. Mom was worried about how she would pay her bills. We went over her expenses and resources and noted that she had enough to last until she was 110. “When you reach 111,” we said, “we’ll take care of your bills.” Having money is not good enough if you are unable to write the checks because of some incapacity. You might talk to your children about

contingencies. Perhaps an additional authorized signer can be added to your checking account. Your banker or financial manager can advise you about this. Of course, thanks to technology, you may not need to write checks at all. Shirley and I are fortunate to be active young geezers. We travel far and often. All of our bills are paid automatically no matter where we are. An added benefit is outstanding credit scores because we are never, ever late with a payment. There are probably solutions for many of your concerns. This might be a good time to talk with your kids about how you want your affairs handled when push comes to shove. Scrambling around during a health emergency can be avoided with some advance planning with the important people in your life. Getting old(er) may not always be a walk in the park, but there are ways we really can make it easier for ourselves and our families. ❦ LeMoyne Mercer is the travel editor for Healthy Living News and regular contributor of A Walk in the Park.

Elizabeth Scott hires executive chef

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onica Jazwiecki, The Elizabeth While attending Owens CommuScott Community’s new exnity College, Jazwiecki worked partecutive chef, joins the organization time at the Toledo Zoo as a supervisor in the Karamu Barbecue restaurant. with a great deal of fresh ideas and She also returned to work part-time a wealth of experience. “When I was 18 years old, my first at Elizabeth Scott. After receiving her job was at Elizabeth Scott, where I degree, she spent 2-1/2 years as a chef/ worked as a dietary assistant,” says production manager for a Waterville Jazwiecki. “Later I became a producassisted-living facility. She was then tion cook, and I spent five great years hired by Maumee Bay State Park working there.” Lodge & Conference Center, where she worked for six years prior to Back then, Jazwiecki was pursubeing hired by The ing a degree in Early Childhood Education Elizabeth Scott Comat Bowling Green State munity. University and had “I started out at dreams of becoming Maumee Bay as a line a teacher. But having cook and worked my spent five years in way up to sous chef the food service deand then to executive partment at Elizabeth chef,” says Jazwiecki. Scott, she realized she “As executive chef, wanted to focus on a my main job was to career involving food. develop all of the Jazwiecki switched food choices for the majors and colleges. lodge’s dining room She began attending menus that covered Owens Community breakfast, lunch, and College, where she redinner. My staff also ceived an Associate’s prepared food for Degree in Business, weddings, banquets, Monica Jazwiecki is the new executive specializing in Food chef at The Elizabeth Scott Community meetings, and corpoManagement. rate events.” Jazwiecin Maumee. We love feedback. Like us on Facebook. Follow us on Twitter.

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control the quality and consistency of its food offerings. The Elizabeth Scott Community, located at 2720 Albon Road in Maumee, offers Independent Living, Assisted Living, and Skilled Nursing care to

area residents. It has been family owned and operated since 1949. For more information about The Elizabeth Scott Community, contact Matt Bucher, director of marketing, at 419-724-5021. ❦

Elizabeth Scott Community resident celebrates 105 years of life

magine living long enough to witness the invention of things we take for granted today: the bicycle, radio, television, commercial airplanes, and computers. Edna Sandys did. In fact, on Saturday, January 25th, Sandys celebrated her 105th year of life with a party given by the staff at The Elizabeth Scott Community, where she has been a resident since June 2012. The birthday party featured entertainment from local DJ and singer Mitch Kahl, a homemade cake, and attendance by Sandys’ immediate family members. “Edna just may be the oldest living resident in the Toledo area,” says

Matt Bucher, Director of Marketing for The Elizabeth Scott Community. “We have certainly enjoyed having her as one of our residents, and we hope she stays with us many more years!” years ago, The Elizabeth 10:40:10Two AM

�e Hummingbird

Scott Community had five 100-yearolds as residents. “Must be in the water here,” jokes Bucher. “But we certainly can learn a thing or two from these wise folks.” Born in the town of Memorial, Tennessee, Sandys was raised on the family’s farm in nearby Hermitage Springs. Her family also spent time living in the coal area of southern Illinois. Sandys married her husband, Richard, in 1930, and they were married for 51 years until his death in 1981. Together they had four children: Dolores JoAnne Davey, Grand

Rapids, Michigan; Richard Bernard Sandys, formerly of Maumee who has passed away; Thomas Carleton Sandys, Maumee; and David Harrison Sandys, Toledo. Throughout her life, Edna Sandys worked a variety of jobs at various companies: Page Dairy, Sears and Roebuck, Bell Telephone, and Lion’s Department Store. During World War II, she worked at a factory that manufactured cable that was used by the U.S. Navy in its submarines. Sandys has enjoyed reading, working in her home’s backyard, visiting with friends, and keeping in touch with her sisters in Tennessee. In fact, every summer, she would travel to see her family in Tennessee. A favorite place to visit was the hilltop under the flowering tree at one of her sister’s homes. Sandys has also traveled internationally and has visited England, Scotland, Ireland, Egypt, Germany, Italy, Israel, and Canada. She has also traveled extensively within the United States, visiting North and South Carolina, New York, Michigan, Illinois, Tennessee, Kentucky, California, Florida, Wisconsin, and Nevada. What’s her secret to a long life? Well, Sandys says she has always enjoyed hot chocolate as well as chocolate candy. Her philosophy in life has been to “keep going on as you do regardless of life’s circumstances.” This year The Elizabeth Scott Community celebrates an anniversary of its own, as it marks 65 years of providing assisted living and skilled nursing to area residents. The Elizabeth Scott campus is located at 2720 Albon Road in Maumee. ❦

One of the smallest birds on earth is the hummingbird, long considered a symbol of timeless joy, peace, love, and happiness. Ancient civilizations considered hummingbirds to be sacred for their tireless energy, and held them up as examples of perseverance and accomplishment. The hummingbird teaches us about self-discovery and healing. When the hummingbird hovers over a ﬂower, we learn to savor each moment of life and appreciate the things we love. Since 1949 the Elizabeth Scott Community has practiced the ideals represented by the hummingbird. We encourage our residents to ﬁnd joy in life, to fondly remember the past, savor the moments of today, appreciate the things they love, and to keep moving forward. Independent & Assisted Living, Skilled Rehab. Family owned and operated since 1949.

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

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ki and her staff also prepared food for the large holiday buffets that attracted up to 1,500 people. “I loved my job, but the hours as an executive chef were long and not very family friendly,” says Jazwiecki. “When the Elizabeth Scott position opened, I jumped at the opportunity.” “Monica is a great addition to our staff,” says Paul Bucher, Elizabeth Scott owner. “We expect our staff members to be courteous, friendly, compassionate, and highly skilled. Monica not only meets those standards, she exceeds them. She also has a wealth of experience as a chef, and we want her to use that experience to bring fresh ideas to our menus and raise the quality of our food-service program.” Jazwiecki says her goal is to bring a newer way of cooking to Elizabeth Scott residents—one that emphasizes healthier cooking coupled with more seasonal and local foods. “Food in a facility such as ours shouldn’t always be the typical roast beef and mashed potatoes with everything baked,” she says. “We’ll introduce other cooking methods, such as grilling and sautéing foods.” Jazwiecki plans to use local growers and take advantage of seasonal vegetables and fruits. “Assisted-living and long-term care residents come from a generation that like their food cooked the same way each time,” says Jazwiecki. “So we’ll slowly introduce new food choices and cooking styles. In the spring, we’ll begin with a fresh set of menus, one for each of the four seasons of the year.” Elizabeth Scott has three kitchens to handle its 140 residents, but all of the food will now be prepared out of its main kitchen in order 2/18/14 to 10.25x4_ES_HummBirdA#96B805.pdf

ProMedica Toledo Hospital merits awards for clinical excellence and patient safety

  LOOK BETTER,  FEEL BETTER  …without

spending

 your life in   the gym       

                                       

                  

         

                           

34 March 2014 | Healthy Living News

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or the third year in a row, ProMedica Toledo Hospital has earned zation (HRO) and taking cues from Healthgrades’ Distinguished Hospital other industries that have learned Award for Clinical Excellence™, an to maximize safety and avoid major accidents despite operating in highhonor that places the institution in the top five percent of more than risk, complex environments, such 4,500 hospitals nationwide for clinical as the airline and nuclear energy performance. Healthgrades has also industries and the US Navy’s nuclear recognized Toledo Hospital with the submarine fleet. Patient Safety Excellence Award for Dr. Webb notes that one of the major tenets of HROs is a focus on the fifth consecutive year. “We’re really excited to be placed and preoccupation with failure. The in the top five percent for safety goal is to identify when failures occur, and quality for the third analyze each error, learn year running,” states Kevin from it, and move forward. Webb, PhD, FACHE, Toledo Creating an atmosphere of Hospital President. “This transparency in which team recognition is an objective members are comfortable affirmation of all the hard discussing mistakes is also work we’ve been putting in critical. This approach helps to ensure our patients not create a safety culture and a only achieve the best clinical passion for improvement. outcomes, but also that they Special focus on providing have the safest experience a positive patient experience Dr. Kevin Webb is another key element of Topossible.” According to Evan Marks, EVP, ledo Hospital’s success. And it begins Informatics and Strategy, Healthwith staff training. “When we bring grades, “Recipients of the Distinnew people into the organization, we guished Hospital Award for Clinical encourage them to start seeing the Excellence have demonstrated better healthcare experience through pathan expected quality care. For patients’ eyes right away. When patients tients undergoing treatment for select are admitted to the hospital, they’re common conditions and procedures understandably anxious and have at these hospitals, this translates three things foremost in mind—they to a statistically significant lower don’t want to be hurt, they want to likelihood of death or experiencing be healed, and they want to be treatcomplications when compared to the ed right. Our goal is to provide an rest of American hospitals.” atmosphere that minimizes anxiety In fact, from 2010 through 2012, and is conducive to healing. This is Healthgrades Distinguished Hospian area where there is always room tals for Clinical Excellence as a group for improvement but never room for had an overall 26.4 percent lower complacency,” says Dr. Webb. risk-adjusted mortality rate across 19 Ongoing, open communication procedures and conditions compared between patients and their caregivers to all other hospitals. During this same is also given high priority at Toledo period, if all other hospitals had perHospital. For example, hourly rounding formed at the level of Distinguished is done on all patients, so the nursing Hospitals for Clinical Excellence across staff has the frequent opportunity these 19 procedures and conditions, to ask whether patients need help 156,036 lives could potentially have with anything, have any questions, understand all their medications, and been saved. Dr. Webb explains that the Toledo understand everything their doctor Hospital’s achievements in the areas is telling them. of safety and clinical excellence stem Furthermore, at every shift change, not from a desire to earn accolades, the arriving and departing nurses conbut from the hospital’s long-standing duct a report at the patient’s bedside, tradition of process improvement. As so he or she has an opportunity to part of this ongoing commitment, participate in the conversation and Toledo Hospital is currently striving identify anything not discussed that to become a High Reliability Organithey feel might be important. We love feedback. Like us on Facebook. Follow us on Twitter.

Of course, the factor with the most significant bearing on Toledo Hospital’s exceptional clinical and safety performance is its staff. “I’ve been really inspired by how passionate our employees and physicians are about making a better, safer environment for patients. It’s a joy and honor to work alongside such highly skilled, intelligent people and to lead an organization with a 140-year legacy,” Dr. Webb says. Looking to the future, Dr. Webb envisions ProMedica Toledo Hospital making greater and greater strides in patient safety as well as finding more and better ways to leverage information technology to improve patients’ healthcare experiences and outcomes. Dr. Webb also anticipates that Toledo Hospital must ready itself to treat an increasing number of high-acuity

(very ill) patients in the future, not just because Toledo Hospital is a highly regarded referral center for high-acuity patients, but also owing to factors such as the increasing age of our population and the epidemic of obesity and obesity-related ailments, such as diabetes. “We currently have 78 ICU beds at Toledo Hospital that are at 90 percent capacity on average. That tells us that for the future, we’re going to need to increase our capabilities in this regard,” he says. Elaborating further on the Healthgrades awards, Dr. Webb remarks, “As the largest provider of hospital care in Northwest Ohio, it’s pretty exciting for us to receive this kind of accolade. But the congratulations really go to the staff. I’m just honored to support the doctors, nurses, and other team members who make this all possible.” ❦

Eating Well by Laurie Syring, RD/LD

“Enjoy the Taste of Eating Right”

arch is National Nutrition Month, and the Academy of Nutrition and Dietetics wants you to “Enjoy the Taste of Eating Right.” What does that mean exactly? We know that “eating right” essentially means eating nutrient-rich foods, but what about the “enjoy the taste” part? Taste drives most food choices, but in many people’s minds, the concepts of enjoying taste and eating right are mutually exclusive. I have to disagree! Sometimes consumers get so stuck in the rut of eating sweets and salty snacks that they forget how wonderful lower-calorie, fresh foods can actually taste. So, this month, I’d like to encourage everyone to choose the most nutrition-packed foods possible from each of the five MyPlate® food groups every day. Nutrition-rich foods (and beverages) are those that provide vitamins, minerals, protein, carbohydrates, and other essential nutrients that offer health benefits without being high in calories. That means your daily eating plan should include fresh fruits and vegetables, whole grains, lean meats, and low-fat dairy in the appropriate amounts so your body gets all the nutrients it needs. Here’s how to create and stick to that healthy, flavorful meal plan:

Shop right If you want to eat right, the first step is buying right. At the grocery store, make a point of buying fresh fruits and vegetables every week. To keep things interesting, try a new healthy food item every week—such as different fruit or vegetable variety, a new flavor of whole grain rice, or a different-colored potato. Or, find a new recipe each week and shop for the healthy ingredients. Fill your cart with lean meat; low-fat dairy products, such as fat-free milk and yogurt; and whole-grain cereal, such as oatmeal.

ethnic foods from Asia, Europe, or Africa, as these restaurants often feature menus with healthy choices that may be completely new to you. Also, some restaurants are now opting for more fresh, seasonal and local foods. If you aren’t open to compromising on a less-than-healthy food choice, at least split it with a family member or friend or take half home for the next day (ask the server to bring a box with the meal, and set aside half before you even begin to eat). Also, if you know you’ll be ordering something higher in calories and fat grams, be sure to budget for that meal by eating low-fat and healthy foods for your other meals that day as well as the day after.

Get cooking (healthy) at home Preparing your own meals at home is the best way to take control of the nutrients and calories you take in. To prevent your home-cooked meals from becoming boring and routine, add variety by changing the way you cook them (e.g., by grilling or broiling chicken that you typically bake) and get to know spices that enhance flavors without adding a lot of salt. Experiment with new foods. If it helps, buy a new cookbook or 13-21 BG Health Fall Jan's 2013_Layout 1 10/18/13 11:46 AM Page 22

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Eat out right Toledoans love to eat out (just peek inside any of the 10 zillion Toledo-area eateries on any given Friday evening if you need proof). But eating out also usually means larger portions and excessive calories. Before you head out, plan! Think about where you’re going and what you’d like to eat. Ask yourself whether your favorite choice is the healthiest or whether, perhaps, you should consider changing your usual order to something just as flavorful but more nutrient-rich. If your usual restaurant doesn’t offer much in the way of healthy options, perhaps a change in venue is in order. Consider one that features

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subscribe to Cooking Light® magazine to get new ideas. Also, keep in mind that gathering at the family dining table for meals is about much more than just the food. It’s also a great opportunity to talk, listen, and strengthen relationships. Family meals give parents a chance to be good role models by demonstrating healthy food choices and limiting unhealthy ones, as well.

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Place chicken in a medium bowl and sprinkle with garlic powder and 1 tsp. of curry powder; toss to coat. Heat oil in a large, deep skillet and stir fry about 5 minutes until the chicken is no longer pink in the center.Transfer the chicken to a plate and set aside. Add the broth, mixed vegetables, and remaining curry powder to the skillet; bring to boil over high heat. Cover the skillet with a lid and boil for 2 minutes. Stir in the couscous and top with the chicken. Cover and remove from heat. Let stand about 5 minutes or until liquid is absorbed. Makes 6 servings. Variations: Omit curry for a milder flavor. Add raisins with broth and vegetables for a sweeter dish. Nutrition Facts: 41 calories, 15g fat, 29mg cholesterol, 368mg sodium, 50g carbs, 5.6g fiber, 19g proten.

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Research has shown that we have about 10,000 taste buds. Taste is the reason we pick one food over another. So don’t be afraid to explore new flavors, keeping taste and nutrition on your

plate at all meals. Whether you’re shopping, eating out, or having a home-cooked meal, you should enjoy the nutrient-rich foods you eat. And if you do choose a food high in sugar or fat, do so in small amounts and only occasionally. Achieving better balance with a healthier diet doesn’t have to be complicated or stressful. Try the delicious recipe below, and you’ll see what I mean. Enjoying the taste of eating right reminds us to shop right, eat right, and return to the basics of healthful eating. ❦

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utheran Homes Society (LHS) offers independent living, assisted announces the appointment of living, long-term and short-term Julie McKitrick as Executive Director nursing care, rehabilitation services, of Lutheran Village at Wolf Creek, and respite care. a retirement community located at “Julie brings a great deal of experi2001 Perrysburg-Holland Road in ence in long-term care and short-term Holland, Ohio. rehab that will assist in the Mrs. McKitrick has been advancement of medical employed in the long-term services at Lutheran Vilcare industry for 16 years. lage at Wolf Creek,” stated Most recently, she was an Donna Konst, Senior Vice administrator with Trilogy President for Elder Care Health Services, where Services. “We are excited she worked for more than to have Julie as a part of five years at locations in the leadership team on Genoa, Maumee, and Wilour Wolf Creek campus.” lard, Ohio. Mrs. McKitrick is a LiJulie McKitrick As Executive Director censed Nursing Home of the Wolf Creek campus, Administrator (LNHA). Mrs. McKitrick will be responsible for She earned a bachelor ’s degree in the ongoing operations, community gerontology from Bowling Green relations, and business development State University, with a specialization of the retirement community, which in long-term care administration. She is a ministry of LHS in partnership resides in Oak Harbor, Ohio, with her with St. Luke’s Hospital. The campus husband and three children. We love feedback. Like us on Facebook. Follow us on Twitter.

“I have been a life-long member of the Lutheran Church, and I’m excited to serve as our faith instructs us to do,” Mrs. McKitrick said. “I’m very thankful for this opportunity to share my knowledge and experience with a great group of professionals, who are dedicated to providing top-notch care and services.” Lutheran Homes Society is a social

ministry organization based in Toledo, Ohio, that has been serving the unique needs of youth and elderly since 1860. The Lutheran Village at Wolf Creek campus opened in 1997. Today, more than 2,500 individuals located throughout Northwest Ohio and Southeast Michigan benefit from the housing, medical care, and services offered through LHS ministries. ❦

Women’s Wellness Weekend or Spa Day Pamper yourself without the big price tag!

adies, it’s been a long, cold, stressful winter! Why not take a weekend, or even just a day (your choice!), with the girls and spoil yourself? Why not relax, let your cares drift away, and let time stand still for a while? You can do just that at one of our Women’s Wellness Weekends or Spa Days, to be held the weekends of April 12 and 13 as well as May 17 and 18, 2014, at a brand new venue—the beautiful Victorian Inn, located in Marblehead, Ohio. This will be the 16th year that these weekends are offered by Jane Mathias, and it all comes down to “pampering”—but without the big price tag. You can spend your time getting a massage or facial, having your nails done, or getting a Reiki treatment. The more adventurous ladies can do a Jazzalaties or Zumba class, Tai Chi,

or Yoga. You can try all the exercise classes or just pick out what you might like. If you don’t want to exercise but love spa services, we have licensed massage therapists available all weekend long to pamper you. We will also have a class about nutrition, stress reduction, and a little on Feng Shui.

Most women spend too much time responding to everyone else. So what you do at Wellness Weekend is up to you. Especially popular are the Yoga at Sunset and the Tai Chi because of the complete calmness they bring you. Our hostess is a great cook, and the meals are delicious. After dinner on Saturday night, there is an optional Pajama Party with prizes for the craziest PJs, belly dancing, and wine. You can enjoy the weekend just for the relaxation and the beautiful location and do absolutely nothing else if you

choose, or you can go wild and take part in every activity and get as many pampering services as you can fit in your schedule. Now is the time to do something completely different, learn something new, and have more fun than you have had since you were young and free! Enjoy a weekend or a day with the girls. Our hope is that you take something from this weekend home with you and incorporate it into your life so you can enjoy a healthier lifestyle. We are taking reservations now for this weekend. The cost for the whole weekend is $165 per person. This includes your overnight stay, three wonderful meals, all the exercise activities, the PJ party, and the health talks. The weekend will start on Saturday at 10:00 a.m. and end whenever on Sunday. Where else could you go for this price and get three meals, activities, and an overnight stay? If you can only come for the Spa Day, it is just $65 per person, which includes lunch and the activities. Massages and other pampering services are extra but at a reduced fee, paid to the therapist. The therapists are handpicked to be the best at what they do. They offer their services to our ladies for considerably less than they charge

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in their businesses so that our ladies can try out a lot of services during the weekend. (Big bonus for my ladies only: Ann, the owner of the Inn, has offered the opportunity to add Friday to your stay for only an additional $40 per person.) These weekends have been filled with mothers and daughters, aunts, cousins, grandmas, and girlfriends. So you can come by yourself, with a friend, or with a group. There is something for everyone, including the beautiful boutique at the Victorian Inn, with handpicked original items for fun shopping. Betty from Arbonne will also be there. It is up to you how much or how little you

Area couple takes team approach to rehab at The Laurels

e don’t usually think of rehabilitation following a debilitating injury as a process that involves a lot of teamwork. But when Janet Winterhalter recently broke her hip, she and her husband, Bob, were determined to meet the challenge of her rehab and recovery head on as a team—the same way they’ve overcome every other obstacle they’ve encountered along the path of their long married life together. It happened just three days after last Christmas. Bob had picked up Janet from her nursing job at Concord Care Center, and when they arrived home, Janet decided to change out of her work shoes and into slippers. En route, she tripped on a dog toy and fell headfirst into the Christmas tree. Bob, hearing a clunk and the dog barking, rushed into the room and at first saw no sign of Janet. When he spotted her in the tree, he helped her out and eased her to the floor. She tried to get back up but was unable—the pain in her broken right hip was too excruciating. Surgeons at the University of Toledo Medical Center were able to repair Janet’s hip, sparing her a full replacement, and she began preliminary rehab. Despite her doctors wishes to keep her at UTMC, Bob and Janet’s insurance refused to cover the stay. They had to find an alternative fast. Bob, a former Catholic Youth Organization (CYO) football coach for St. Patrick of Heatherdowns, and an inductee into the National Football Hall of Fame for coaching, went immediately into action, calling different rehab facilities around town to see who offered the best program

38 March 2014 | Healthy Living News

do at this weekend. It is all about recharging your batteries. The last five years, these weekends were full and we had waiting lists, so call Jane now at 419-277-1118 or e-mail to jmathias@buckeye-express. com. We are doing two weekends this spring, but we can only take 16 ladies at each retreat. We can also arrange private weekends for groups of 10 or more and tailor it to your group as far as what they would like to learn. Take this paper home with you and remember to call right away to make sure you are with us for this weekend! First come, first registered! We would love to have you at our weekend! ❦

for Janet. “Getting her the rehabilitation she needed was my primary concern, so I asked each facility how much rehab time she would get,” Bob recalls. “Most of them said she’d get an hour or less per day, which I knew was inadequate. Then, I called The Laurels, and not only were they very nice and reassuring, but their Rehab Services Director, Julie Leidel, told me she would get a minimum of two hours of rehab per day.” Bob and Janet were also very relieved that The Laurels is located close to their home. This past winter’s record-breaking severe weather was in full swing at the time, and Bob was anxious about how that would impact his ability to visit a far-away facility. What’s more, Bob and Janet simply aren’t accustomed to being separated from each other for any significant length of time. “As it turned out, we had nothing to worry about. Coming to The Laurels was the best choice we could have made—even down to the little things that you don’t really think about. For example, for the price of just a few dollars, they would bring me a tray of food so we could stay together at mealtimes. Every minute she was here, the physical therapy team was so attentive and encouraging. They really go out of their way to move the patients along toward their goals. I was so relieved because I had been scared to death. If anyone ever asks, I’ll tell them never go anyplace but here,” says Bob. Janet was equally impressed with the Laurels team and experience. Her first major challenge to overcome was the intense pain in her hip,

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which the nursing staff soon brought under control with pain medications. Leidel then started her on exercise and introduced her to her physical therapist, Lynne Nidek, the next day. “I did both physical and occupational therapy,” Janet recollects. “They even had me cook breakfast. I found it very helpful trying to stand on my own and do all the little things involved in preparing a meal. It’s amazing how quickly you lose all that when you’re incapacitated.” After two weeks of inpatient rehab at The Laurels, Janet transitioned home, where her therapy continued. In addition to evaluating rehab guests’ homes for safety and accessibility issues, The Laurels, in partnership with Interim HealthCare, now offers in-home therapy services for expanded continuity of care. During Nidek’s first home visit, she identified areas that needed railings or grab bars along with other potential obstacles. For example, she observed that the Winterhalter’s bed was too high for Janet to access safely. So, Bob got on the Internet and ordered a special stepstool with a support handle for Janet to use when getting in and out of bed. “It’s the little things that don’t sound like much but are a major concern once you’re on your

own,” he remarks. “Lynne also showed me exercises I can do at home to keep making progress in between therapy sessions, such as standing next to the kitchen counter and walking sideways or standing between the kitchen counter and island and doing leg-strengthening exercises,” Janet says. As part of The Laurels’ community re-entry program, Janet was also encouraged to go to a local mall to practice walking in a large, open space. And the effort soon paid off. The first time Janet went to the supermarket, she only made it about halfway through the store before

she had to find a place to sit down. Now, Bob really has to be on his toes if he hopes to keep up with Janet as she moves through the grocery store aisles. Nidek remarks that Janet is the perfect patient. She did everything she was asked to do on her own and never backed away from a challenge. “It was very obvious when I went for my home visits that she was working very hard on her exercises. Of course, Bob has been extremely helpful with her therapy, too. Ever the coach, he always encourages her to do her exercises and push herself in between therapy visits,” Nidek says. Having completed inpatient and at-home rehab, Janet is now back at The Laurels for outpatient therapy. She looks back over her journey thus far and has this to say about her Bob and Janet Winterhalter with Laurels physical therapist Laurels experience: “I’m Lynne Nidek. thrilled with the nursing

and rehab teams, the aides, and the housekeeping staff. The therapists have been there for me every step of the way, on both the good days and the bad. They’ve taught me how to make my pain better and how to exercise to rebuild my strength. I have nothing but praise for them and would tell anyone that this is the place to go.” Janet is also grateful for Bob’s unwavering support, which made the tough parts of rehab more tolerable. For example, to cheer her up, Bob brought in Scrabble, a game she really enjoyed, but he had no particular interest in. They played every day at The Laurels, and now, with Bob a Scrabble convert, they continue to play together at home. For his part, Bob adds, “I know it sounds kind of corny, but the staff and other patients here become like family. With Janet coming back in for outpatient rehab, it’s been great to see how everyone is coming along. But the most important thing we’ve discovered is, if you really want to get back on your feet, you have to work together as a team.” ❦

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A Walk in the Park LeMoyne Mercer

number of our friends and family have expressed envy of our ability to travel about six months each year. Since I retired at the end of 2005, that has included about three months in the winter, two months in the summer, and “short” trips of about two weeks each in the spring and fall. Because our friends’ parents taught them that it is not polite to ask about other people’s finances, they have enquired indirectly and with at least nominal attempts at subtlety. Nobody comes out with, “How in the world do you manage it?” More often they just say they wish they could afford to do it. When my sisters and their husbands came to visit at Christmas, we got to talking about travel destinations we had in common. In December, we were all thinking about Florida. Specifically, they brought up the

The economics of how we travel

relative advantages of staying in the Disney World complex or at one of the numerous hotels bordering the theme park. You can save quite a few dollars by staying outside the park said one of the brothers-in-law. The other, however, prefers to stay at the Contemporary Resort because he feels it is more convenient. He pointed out that you can board the monorail right in the hotel. He and my sister have been staying there since they began taking their children, and then grandchildren, for a week each winter. My sister defines “convenience” only slightly differently. For her it is having someone make up your bed in the morning and cook your breakfast. And lunch and dinner. When Shirley and I were first married, we didn’t have much money.

We were never “poor,” but our riches came in forms. Family vacations for us were camping trips to national parks. And we went to a lot of them, from Acadia to Zion. Entry fees at the national parks were—and still are—great bargains. So are the campground fees. We slept in tents from our first family trip until we finally bought an RV in retirement. Meal costs for us are virtually the same as at home because I do all the cooking. Restaurant meals on the road are not usual with us. Which is another incomprehensible to our friend Bill who finds restaurant hunting to be one of the primary pleasures of travel. Even so, I like to think that we eat better in camp than most people do at home. And far better than they do in fast-food establishments. Here’s the tricky part. We camp not because it is cheap but because we like it. Shirley’s father never did understand our vacations. “What do you do, just wander around in the woods all day?” he asked. Well, yes, I suppose you could put it that way. And her brother said the most interesting thing he did on a cruise to Alaska was tour the Boeing plant near Seattle. Nothing wrong with that. Everyone is entitled to choose the vacation that satisfies their preferences. Shirley and I just have different preferences. When it comes to Florida, for example, we prefer the Everglades and

Our campsite under the live oaks at Fort Pickens on the Gulf Islands National Seashore, just off Pensacola. With my geezer pass it is only $8, including water and electricity.

40 March 2014 | Healthy Living News

I do all the cooking, but, fortunately, I have a woman who comes in to do the dishes for me.

Gulf Islands National Seashore to resorts and theme parks, even though now we could afford Disney World if we really wanted to go there. But what is the cost of a stay in the Everglades compared to the Contemporary Resort? That’s probably not a fair question. If, like my sister’s family, you love Disney World, you really don’t care that camping is cheaper. If you wanted to, though, you could camp at Disney’s Fort Wilderness Resort. Sites with hookups for electricity and water are $61-$108. Premium sites with cable TV are $76-$125. For those of you who are curious but too polite to ask, here’s how Shirley and I camp. The entry fee for Everglades National Park, which is fairly typical, is $10 per vehicle for seven days. But, wait. It gets better. If you are age 62 or older, for a one-time charge of $10, you can buy a senior access pass that gets you into more than 2,000 federally operated recreational areas. For the rest of your life. For free! The fee at Long Pine Key Campground in the Everglades is $16 per night. With one of those geezer passes, it costs half that. Long Pine Key does not have RV hookups for electricity and water, but our Roadtrek

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motor home has a generator and on-board water tanks. Generator use is forbidden from 8 p.m. until 8 a.m., so if you absolutely insist on 24-hour electricity, you might prefer Flamingo Campground instead for $30 ($15 with senior pass). Two weeks at Long Pine Key costs us $112. We have been known to spend a month. Even if you don’t yet qualify for a geezer pass, it is still a huge bargain for a family vacation. We are also big fans of Gulf Islands National Seashore in the Florida panhandle. Fort Pickens Campground, at the western tip of Santa Rosa Island, is reached via long bridges across Pensacola Bay. The beach on the Gulf side of the island is a marvelous powdered sugar white. At Fort Pickens, the $10 camping fee with the senior pass includes hookups for water and

Because Santa Rosa Island runs east and west, there are both sunrises and sunsets over the Gulf waters.

but the fee for seniors is only $6. And there are nice new restrooms with hot showers included in that price. We returned to Tucson where, after a couple of days, Shirley declared that she was homesick—for Organ Pipe! So we went back for another eight days. We would have stayed even longer, but we had commitments back in Toledo. Which brings us to what we consider the ultimate advantage of camping: freedom to change the itinerary. This may not be the case if you have rented a condo on the beach or a cabin in the mountains. If it rains every day, well, you are just out of luck. When we are camping and the weather is disagreeable, we move on. One year, we were in Glacier National Park, up in the NW corner of Montana. There was cold wind and rain that turned to sleet that turned to snow. That was in August! So we headed down to Yellowstone where it was still summer. In the summer of 2010, we had planned to fly fish a number of the blue ribbon trout streams in Colorado. But the monsoons came and turned the streams all muddy. So, we headed up to Yellowstone and caught lots of trout. Yellowstone has been our go-to place for the past eight years in a row. All of this driving around, though,

We fell in love with Organ Pipe Cactus National Monument when the desert was in bloom.

electricity and a bathhouse with hot showers. But our winter travels are not limited to Florida. Two years ago, after two weeks in the Everglades and a week at Fort Pickens, we headed over to San Antonio and Big Bend National Park in Texas, then on to Tucson and the nearby Saguaro National Park. From there, it was up to Lake Mead near Las Vegas, and on to Death Valley National Park in California. On our way back to Tucson from Death Valley, we planned to stop for one night at Organ Pipe Cactus National Monument down on the Mexican border. We immediately fell in love with the place when the desert was in bloom and the weather was as close to perfect as you can get. We ended up spending eight days there. There are no hookups at Organ Pipe,

creates the single highest travel expense—gasoline. My journal entries from the late 1970s show that a tank of gas cost about $7.00. I did not even bother to list the price per gallon back then. In Death Valley, I paid $5.47. A gallon, not a tank. Our Roadtrek motor home gets 15 mpg. That is not very impressive mileage for a car, but it is exceptional mileage for a house. The Roadtrek is basically a converted 20-foot Chevrolet Express Van. It has a queen-size bed, toilet, shower, small refrigerator

The cost of fuel is the biggest expense on our camping trips. Filling up in Death Valley last February was a tad pricier than usual.

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A ranger at Zion said we could just park beside the Virgin River if we didn't mind camping for free.

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with freezer, sink, microwave oven, two-burner propane stove, a table for those very few meals that we have inside, and a flat-screen TV. There is a generator for making electricity, and there are two freshwater tanks for when we do not have hookups. It has a roof-mounted heat pump for both cooling and heating. If it gets really nippy, we can turn on the propane furnace. A supplemental deep-cycle marine battery powers the lights for reading or playing cards in the evening. In the 21st century, this is what passes for “roughing it.” The expenses for our trip to Wyoming last year included $1,142.50 for gasoline and $279.15 for camping. Is $1,400 a lot of money? What would you pay for six weeks in Wyoming? We think that less than $250 a week is a pretty good deal. Besides, what is the fair price of being awakened by a coyote serenade in the middle of the night? Or a herd of elk wandering through your campsite? The smell of a pine forest after rain? Sunset in the desert? Sunrise on the Gulf? A herd of bighorn sheep coming right toward you on a mountain trail? Standing in a mountain stream with a trout at the end of a fly line? The beauty of the Blue Ridge in the spring and the fall? The camping fees we pay are typically in the $7 or $8 range. On some nights, it is zero. There are a number of ways campers can spend a night at no cost. One is to stay in

national forests and other federal lands that allow “dispersed camping.” That is, you can park your RV anywhere off the road that you can safely get to. There are no facilities with dispersed camping, so you need to have a self-contained RV or be otherwise self sufficient. Among our most memorable experiences—not because they were free—were on the Virgin River near Zion National Park in Utah and on the headwaters of the Cache la Poudre River in Colorado. RVers also know that they are welcome to spend a night at most Wal-Mart Super Centers. There are advantages in addition to spending the night for free. Wal-Marts tend to be conveniently located near Interstate highway interchanges. No need to drive a considerable distance down a country road to reach a formal campground if you are just spending one night. If you want to stop early, you can probably find a Wal-Mart. If you want to drive a while longer, there is another Wal-Mart a little farther on. Just check the GPS for location. At sundown, RVs and trucks start gathering in virtually every Wal-Mart near an Interstate. Quite often, we go to sleep parked with a half dozen other RVs. In the morning we awaken to find ourselves in a small village of them. Wal-Mart Super Center parking lots have security cameras so we feel safe. The stores are open all night so we can restock supplies or go in for fresh pastry and coffee if we want to

Dispersed camping for free on the headwaters of the Cache la Poudre River in Colorado. A trout on the line—priceless.

Play Tennis and have fun!

ATTENTION USTA League Tennis Players: We would like to thank and congratulate all of our players who participated in the 18 & over, 40 & over and 55 & over leagues this year. A special congratulations to the 3.0 Men’s 18 & over team captained by Chris Cunningham that will be advancing to the National Championships - Good luck!

Congratulations to all of our District Champions! 42 March 2014 | Healthy Living News

NWO USTA League Tennis Coordinator

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

How do you put a price on having elk wander right through your campsite? We love feedback. Like us on Facebook. Follow us on Twitter.

hit the road at 5:30 a.m. Most RVers buy something at Wal-Mart as a way of saying thanks for the hospitality. The same free camping rule applies at Flying J, Love’s, and Pilot truck stops. They have separate parking areas for the use of RVs so you don’t have to spend the night listening to truck engines. Casinos also tend to be RV friendly. Some operate their own campgrounds with hookups. Others offer free overnight parking. We’ve heard that you also can register for free meals and even a few free chips to get you started. But you might drop more money at the tables and in the slots than you would have spent for a camp site. Our daughters think that staying at Wal-Mart is bad enough but truck

stops are simply scandalous. Shirley and I think frugal camping is just a walk in the park.

by Jessica Derkis

“Let the wise hear and increase in learning...”

—Proverbs 1:5a

ould you like to meet some of the best senior resources in the Toledo area? Join St. Clare Commons, St. Rose Parish, and Franciscan Living Communities as they present the second annual Senior Health & Safety Fair at St. Rose Parish on April 3. Speakers have already lined up to share their expertise, including:

We eat almost all of our meals outside, weather permitting. Camping can be just one long picnic.

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

• Dr. Govind Bharwani will share tips on caring for someone with Alzheimer’s/dementia. • Sandra Clark with the

Toledo Symphony will guide participants on improving and maintaining brain health through music. • Phil Wylkan, local Elder Law Attorney, will help seniors and their families understand how to navigate Medicare and Medicaid—and the difference! • The Wood County Committee on Aging will share the many resources available to local seniors, from senior center activities and meals to trips, advocacy, and care options. Health screenings, information

for making important healthcare decisions, and the many choices of seniors will be represented. For example, the Advance Care Planning Coalition will have material on hand for easily keeping your family well-informed of your care decisions. St. Clare Commons will offer a free Assisted Living Federation of America (ALFA) Senior Living Shoppers Guide. Realtors, home health agencies, hospice organizations, bankers, care organizations, funeral planners, communities, and other organizations specializing in the distinct needs of seniors will be on hand. Whether you’re a baby boomer looking to downsize, a son or daughter looking for ways to start the safety concerns conversation, or a well-versed senior, you’ll find something new and interesting at this health fair. Join St. Clare Commons and more than 30 other local services and ministries for the Senior Health & Safety Fair at St. Rose School, 215 E. Front St, Perrysburg, on Thursday, April 3 from 9:00 a.m. until 2:00 p.m. There is no charge, and a continental breakfast and light lunch will be provided for all participants. ❦ Jessica Derkis is the Marketing Director for St. Clare Commons.

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nobody’s perfect Sister Karen Zielinski, OSF

Taking care of business

y the time we visit our doctor for our annual checkup, we probably have done hours of medical maintenance—and going in to see the doctor is just another part of maintaining our health. Part of our responsibility as a patient is to follow our doctor’s orders or suggestions for our own specific health needs. Some basic things we need to do before we see our primary care doctor might be some basic, routine tests: blood work, mammograms, colonoscopies, bone density scans, and others, depending on our medical history. If we have any neurological problems, we might need a CT scan or an MRI if the doctor needs to check up on anything on a regular basis. There is also the “work” of taking our medications. Sometimes we get them from a local grocery store that has a pharmacy or we choose 90-day supplies from mail-order pharmacies. When we need the occasional script for an infection, we call our doctor and pick up our antibiotic at a nearby store. Our doctor also might encourage us to follow a healthy diet, lose some weight, get more rest, stop smoking, start exercising, or learn more about our diseases. We might

enroll in a nutrition class or attend a talk on a specific condition, such as diabetes, fibromyalgia, cancer, or chronic pain. These conferences can be informative, and when you learn more about managing your lifestyle and symptoms, the saying “knowledge is power” rings true. Our primary physician can ask us at our visits if and when we have seen other health professionals. Did we get our eyes checked? Have we seen the dentist? Did we see our cardiologist? Neurologist? Allergist? All of these visits and proper upkeep of our bodies are part of keeping our bodies healthy, and they take time. We schedule appointments, drive out for medical tests, spend time on the phone checking whether our health insurance covers the procedures or tests and where we can have the tests taken. By the time we see the doctor, we might be exhausted from the preparation for our visit. While we are in the doctor’s office, we are nervous. We hope and pray there is nothing wrong with us. But we are also nervous about another thing. We hope we don’t have to get any more medical procedures. We leave our doctor’s office, feeling proud that we were medically

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responsible with our bodies, we realize that all the haste and inconvenience of medical tests and routine checkup procedures are matters of wellness. We return home, proud of ourselves, proud of our medical test, stamina, and perseverance. And then we start all over again for the next year since it’s what we have to do! ❦

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

Headaches and their relationship to the eye by Bennett Romanoff, MD

eadaches are among the most common conditions that everyone experiences at one time or another. I see many consults and referrals every month to workup pain in the eye area that is associated with a headache. Many patients come in convinced that they have a brain tumor or other serious conditions when the headache causes pain in or around the eye. We spend millions and millions of dollars every year on over-the-counter pain medications for headache relief. One can hardly watch TV without seeing a commercial advertising headache-relief medication. Some common causes of headaches involving the eyes include eye strain; computer vision syndrome; migraines; sinus infection; systemic disease; and eye conditions such as eye injuries, acute glaucoma, and iritis. Eye strain (asthenopia): Using the eyes for long periods of time may result in strain or pain in or around the eye. The medical term for eye strain and fatigue is asthenopia. Most people perceive this as a headache. Also having an incorrect or outdated glasses prescription may result in asthenopia. Even though this is not a true headache, it can certainly feel like a headache in many cases. Wearing the correct prescription often relieves these symptoms. Computer vision syndrome: This is certainly a growing cause of headaches and other symptoms. Computers are

a very common cause of headache, neck and backaches, fatigue, dry eyes, ocular redness, and asthenopia. Collectively, this is known as computer vision syndrome. I have been prescribing special computer glasses, recently referred to as the Office Lens, made by Shamir company, to my patients for the past decade. These lenses have had a dramatic result in reducing or eliminating computer vision syndrome. Tension headaches: The most common type of headache is the tension headache. Everyone gets tension headaches at times, some more than others. Tension headaches are often caused by everyday stress at work, at home, or from lack of sleep. They also may be caused by teeth grinding and jaw clenching or temporal mandibular diseases. The pain usually starts in the neck muscles and radiates over the head and temples and often down into the eye area. The pain can be mild to severe and is usually a dull, nagging ache. The exact cause of tension headaches is not really known. At the worst, they can affect work and one’s ability to function in social or family situations. More commonly, they are just annoying. Fortunately, over-thecounter medications are quite effective in relieving these headaches. It is not advised to take these medications more than a few days. If these do not work, it is generally best to see

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one’s doctor. Migraine headaches: Migraines are another type of headache that affects a small percentage of the population. These headaches are characterized by a throbbing or pounding ache, typically on one side of the head. External triggers like loud noises, odors, menstruation, birth-control pills, and certain foods, like red wine, chocolate, or cheese, may lead to migraines. Often migraines occur without any cause. A migraine is often preceded by an aura, which can consist of nausea and vomiting, upset stomach, visual displays of zigzag shimmering lines off to one side of the vision and even temporary decreased vision, or just an uneasy feeling. The aura usually lasts 10 to 30 minutes followed by the migraine headache. One can get the aura symptoms without getting the headache, and migraines often

occur without an aura. Migraines can last a few hours but may go on for days. The eyes may ache and become very sensitive to light during a migraine attack. Migraines can be effectively treated; however, it is best to start the treatment as soon as the aura or migraine starts. Botox has become a very effective treatment for migraines, often giving months of relief from the headaches. I have seen dramatic improvement in many migraine patients that I have treated with Botox. Anyone who has migraines should see their physician to have a complete workup for appropriate diagnosis and to discuss treatment options. If the pain in the eye is more than mild or does not resolve, one should see an ophthalmologist to rule out acute glaucoma, which can have similar symptoms. Fortunately, migraines rarely ever leave any lasting

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effects on the eyes or the body. Sinus headaches: Sinus conditions are the most common cause of pain in the eyes. I see many patients with mild to moderate dull, aching pain in the eyes when they have a sinus infection. Too often, patients come in with sinus conditions convinced that they have a brain tumor or some other terrible systemic condition. During a sinus infection, many patients relate that moving the eyes up and down or side to side causes the pain in the eye to be worse. Many patients may get a “lightning bolt” of sharp pain that lasts one second and goes away. This is often associated with a low-grade sinus infection. Fortunately, there are many effective treatments for sinus infections and they rarely cause harm to the eyes. Systemic diseases: There are many other conditions that can cause pain in the eye, including brain tumors, high blood pressure, cluster headaches, female-hormone-related headaches, pressure on the brain due to disease or injury, as well as certain eye diseases. There are many other causes that are much less common. When headaches come on suddenly, keep on getting worse, or do not respond to medication, disturb sleep, last beyond a few days, are made worse by tilting the neck forward or bending over, or are accompanied by weakness, numbness, seizures, dizziness, or vomiting, then it could be a sign of something serious. If any of these symptoms occur, it is essential to see one’s doctor as soon as possible or go to the emergency room.

Eye conditions—injury, acute glaucoma, and iritis Injury: There are only a few ocular conditions that can cause eye pain or headaches. One cause is quite obvious, and that is injury to the eye. Any eye injury needs to be seen by an ophthalmologist or an emergency room doctor as soon as possible to

determine if it is a serious injury and for appropriate treatment. Acute glaucoma: Acute, or angle closure, glaucoma is usually sudden in onset and is associated with nausea, vomiting, halos around lights, blurred vision, terrible eye pain, and severe sensitivity to light. Acute glaucoma is very rare and is a true ocular emergency. If these symptoms occur, it is imperative to see an ophthalmologist as soon as possible. Iritis: Another ocular condition called iritis, or uveitis, is associated with eye pain, redness of the eye, and sensitivity to light. This triad of symptoms can also be seen with eye injuries. Iritis needs to be treated as soon as possible and is usually easily and effectively treated.

An ounce of prevention Other than mild to moderate tension headaches, all headaches should be evaluated by a medical doctor. Most types of headaches cause pain in or around the eye; however, it is very unusual that the eye is the cause of the headache. It is always best to be cautious. If one has pain in or around the eyes, it is recommended to have an examination by an ophthalmologist. An ophthalmologist knows when to refer a patient to a primary-care provider or a neurologist for more detailed workup, diagnosis, and treatment of non-ocular causes of headaches. An ounce of prevention is worth a pound of cure. ❦ 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.v

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Alternative care: first visit, by Douglas Schwan, DC, Dipl ac, and Megan Hawk I am a second-generation chiropractic physician. My father practiced both chiropractic and acupuncture. One of my earliest memories was sitting on the couch in the sixties watching an early Star Trek episode while my father “practiced” anesthetic acupuncture on my arm. At age 8, I didn’t really pay much attention to what he was doing until he kept asking, “Did you feel that?” over and over again. I looked at my arm and saw he was striking it with a medical pinwheel—used to determine pain levels! He had been hitting my arm so hard with it that he was drawing little blood drops. It was at that time that I became fascinated with Alternative Medicine and began to look deeper in this field. At the time, my father was one of only a handful of acupuncture doctors in the entire state. Today, there seems to be a chiropractor or acupuncture practitioner on every corner. We’ve come a long way baby!

y name is Megan, and I suffered from osteoarthritis and allergies, but why I initially saw Doctor Schwan was for my struggle with fibromyalgia. Fibromyalgia originates from “central sensitization,” which is when the central nervous system becomes overly sensitive and produces a very long list of symptoms. Nerves are all over the body, so no area is safe from the chronic, body-wide pain fibromyalgia brings to someone. Symptoms, such as stiffness, inflammation, GI tract issues, “fibro fog,” fatigue, anxiety, depression, heart palpitations, balance problems, and muscle spasms, are a few of the things I was battling daily. I lived with this diagnosis for two years. During that time I was riding a roller coaster of doctors, using trial and error to figure out the best treatment options. I was initially prescribed antidepressants and the anti-convulsion medication Lyrica. Along the way, I picked up more and more prescriptions. All of these pills—muscle relaxers, sleep aids like Ambien and Lunesta, anti-inflammatory medications, aspirin, etc.—produced side effects or horrible adverse effects that left

48 March 2014 | Healthy Living News

me more miserable than I had been before. I was spending hundreds of dollars hoping one of these pills would make me feel normal again, and all I received was more terrible symptoms, confusion about which pill was causing which side effect,

But many people still have only a vague idea what chiropractic and acupuncture can do for them. Since I grew up with it, I just assumed everyone had their acupuncturist and chiropractor just like they had their family doctor and dentist. Recently, I had a young student from the University of Toledo come in as a patient. She really had no previous experience with chiropractic and acupuncture and relied almost exclusively on the medical model for care. She was helped tremendously by alternative care to the point where she is considering a career-trajectory change. She recently brought in a paper she did for one of her classes detailing her initial experience and path of care in our office. I thought sharing some of it with my readers might give a unique perspective to those considering a first visit with an alternative care provider. Here is what she wrote:

early last year. He took a detailed history and then suggested I undergo a diagnostic test called an Electro Meridian Imaging test (EMI), which he said would give a good reading on key diagnostic acupuncture points. He also gave me a questionnaire that I filled out with information regarding my nutritional habits, Pills brought only lifestyle, and health history. He nasty side effects. explained that understanding my health history could [help me avoid] easily preventable conditions down the road like diabetes and heart disease. Because I was a sports enthusiast, I also elected to receive chiropractic care for my neck and knee complaints. Dr. Schwan sat me down and reviewed the EMI results, mixed suggestions by doctors, and his orthopedic evaluation of my knee the adverse effect that finally culmiand neck, as well as the nutritional nated in an entirely new condition—a consultation results. He gave me bleeding ulcer. a list of suggested nutritional and I began doing some of my own herbal supplements along with an research. I saw that chiropractic and explanation of what each was for. acupuncture along with herbal medHe outlined a suggested course of icines can help in cases of severe fiacupuncture and chiropractic to adbromyalgia. I initially saw Dr. Schwan dress my conditions as indicated on the EMI testing. Once a week, I received ear, somatic, and electro-acupuncture in the same treatment. When I arrive at the doctor’s office, I first receive a chiropractic adjustment to my cervical spinal region. These treatments, when used with acupuncture, decrease my complaints exponentially, and acupuncture is just one piece of the health pie. I then get somatic and ear acupuncture for total wellness, and recently I have been receiving electro-acupuncture in my “bad knee,” which has been cursed with chondromalcia patella, moderate osteoarthritis, an LCL sprain, and most recently an MCL sprain! Dr. Schwan uses a tech-

nique called “Surround the Dragon,” where he surrounds the injured area (the dragon) by placing four tiny needles under my knee cap and attaching micro current clips to each needle. He then runs a small current through the needles to increase local “qi” energy and accelerate healing. Medical doctors use similar stimulators to heal bone fractures and sores that won’t heal on their own. It is truly amazing how much easier I can move after treatment, and progress is very apparent in my overall daily energy level, morale, and attitude. I will continue to see Dr. Schwan as needed for “tuneups,” and I can’t stress enough how much better I feel with treatment than without treatment. Every visit, Dr. Schwan listens to my current complaints, from fatigue to anxiety to stomach upset, and tweaks my treatment based on what I tell him. The versatility of acupuncture, along with minimal risk factors, makes it the most logical initial treatment in non-emergency situations and continuing treatment for chronic disorders. Before I saw Dr. Schwan, I would start and stop medications in an effort to control side effects and problems. Slowly, after consultation with the prescribing physician, I have been weaning off all pharmaceutical medications. I feel the best I have in years!❦ Dr. Schwan is available to speak at your group’s function on a wide variety of Alternative Medicine topics, including chiropractic, acupuncture, herbal medicine, nutrition, vitamins, etc. He is a graduate of the International Academy of Medical Acupuncture and Palmer College of Chiropractic. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. For more information on Alternative Medicine, please visit www. acupuncturetoledo.com. Megan Hawk is currently a student in the premed program at the University of Toledo.

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It's never too late to start living better

re you looking forward to getting older? What would your life be like if you could slow aging down? Inside every older person is a young person wondering . . . what happened? It is said that when most older people look into a mirror, they see themselves as 38 and want to do what they did at that age.

What’s happening to your body? The aging process starts before you’re even 30. We’re not just talking gray hair and wrinkles. Around the age of 30-31, testosterone starts dropping about 1% a year. You start losing bone mass around age 34. Your bones start weakening, your body is gaining more fat, and your cells are dying too soon. The energy and vitality you once had is slowly fizzling out. What can we do to slow down the aging process? One important thing we can do as we age is get proper nutrition. In our younger lives, we ate because it tasted good. We think we are the exception to the rules, but we are not. We are surprised when type II diabetes and other diseases occur. Food can be either the safest and most powerful form of medicine or the most powerful form of poison. Sugar is one of the most deadly dangers. It can be worse than tobacco. Dr. J. Frederick Templeman says, “French fries are the new cigarettes.” Activity, sometimes known as exercise, is very important. We need to start moving. But no athlete starts out running several miles. Make a decision to increase activity, and then build on it. Start the process of living better Aging is a choice—a choice no longer reserved for the wealthy and famous. With XALO Ageless, you can tackle aging at its source and manage aging in a healthy way. XALO Ageless is designed to make your “good days longer and your hard days better.” XALO’s allnatural formulas focus on the causes of exhaustion, aging, and daily wear and tear to let the prime of your life continue indefinitely. Based on revolutionary science, XALO Ageless revitalizes the cells that make up your body’s entire composition to give you back that zest for life. Revitalizing

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guarantee so I was like, what the heck. Got it. Tried it. Taste is a little different, but I’m getting used to it. After just a few days, I’m sleeping better, I feel more energy, I’m in a better mood, not as many aches and pains. It’s definitely doing something, and my body likes it. Can’t wait to see what a whole month on this stuff does for me! Debbie D.—I have been taking Ageless for 5 nights now. I normally have insomnia. I am now falling asleep before my husband starts his snoring (which keeps me awake) and staying asleep all night! Awesome! Lisa C.—I am sleeping like a baby… hand spots decreased…I have more focus and clarity, and I am liking lipstick as my lips are just a tad fuller. CRAZY! CRAZY! You can go to www.xaloexperiences. com for more commentaries. What you should expect: • Immediately: improved circulation

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• In four to six weeks: improved muscle tone, overall energy (less fatigue), mood/cognitive health, and immune function. • In 60 to 90 days: improved cardiovascular health and skin tone (more youthful skin), reduced belly fat, and weight loss. Getting older isn’t a choice. We can’t reverse the sands of time. But how we age—whether we choose to do it prematurely or with grace—is something we can control. You only have one body. Start now to reduce the signs of aging and live your life the way you want. If you are interested in more information on how to look and feel younger than your age, please feel free to call me at 419-343-9189. Or, visit www.forever38. net. Take advantage of the 30-Day Money-Back Guarantee.

Personally, I love what XALO Ageless has done for me. Besides great sleep, I have more energy and stamina, I’ve lost belly fat, my face has slimmed down, my lips are plumping up (yeah), and the fine lines and dark circles under my eyes are diminishing. The skin around my eyes has tightened. I have a sense of “joy.” It’s like I feel younger and more in control of my life and future. I have been taking XALO Ageless for a little over 90 days, and my doctor was so pleased with my blood work. He is taking Ageless too! Since the body heals itself during sleep, my husband and I mix or shake XALO Ageless powder in water or juice and consume before going to bed at night. Below are some results of people taking XALO Ageless for a very short period of time: Marylou S.—I have so much energy. I haven’t felt this good in decades! Chris F.—Sleeping great, sciatic nerve in my back feels tons better when I wake up, knees feel awesome too! Eric E.—So, I was a little skeptical to try this stuff, but I’m open to natural products and they have a 100% money-back

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