HLN March 2013

Your Monthly Guide to Healthy Lifestyles

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e lthy l March 2013 • FREE

Also available at hlntoledo.com

Biggest Loser shares his inspirational story Also in this issue: • • • • •

Surprising things dermatologists do Eat right, your way, every day Asset allocation: protect your portfolio Simple steps to a healthier lifestyle Tinnitus takes a toll on our troops

• • • • •

Patient Advocacy Walk in the Park Sound Advice Milestones And much more!

What’s your weight loss wish?

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What does a dermatologist diagnose and treat?

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f you ask most people what a dermatologist diagnoses and treats, you would hear answers like psoriasis, warts, eczema, acne, skin cancer, and sun-related diseases. Probably no one would include sexually transmitted diseases (STDs) or pediatric and gynecological diseases.

Many years ago, Dermatology was called Dermatology and Syphilology in our training programs. Residencytrained and board-certified dermatologists are also well trained in the diagnosis and treatment of diseases of the skin of infants as well as diseases of the male and female genitalia.

Don’t let wrinkles and During my military service age spots make you appear in the United States Air Force, older than your years.

I treated hundreds of cases of sexually transmitted diseases. Now the role of STDs has largely been relegated to public health departments. However, syphilis has always been, and continues to be, known as the “great masquerader.” There are many other forms of STDs seen in a dermatology practice.

They include genital herpes, syphilis, gonorrhea, genital warts, trichomoniasis, candidiasis (yeast), pediculosis pubis (aka crabs), scabies (the new masquerader), and molluscum contagiosum.

Many of these “adult” diseases are frequently seen in the pediatric population due to contact from their caregivers.

Human papilloma virus (HPV) has been making headlines for its connection to cervical cancer and the newly developed vaccines. However, the incidence of cervical cancer related to HPV is more uncommon than one would realize. There are more than 120 types of HPV transmitted via sexual contact. While some types of HPV are The best prevention for associated with genital early aging and skin warts, most infections cancer is to protect your come and go with no skin from the sun. symptoms. Only a few

2 March 2013 / Healthy Living News

“high-risk” types of HPV have been linked to cervical cancer.

Proper treatment of any skin disease first depends on establishing the correct diagnosis. Our medical knowledge has grown exponentially, and the specialization of medicine now has specialties within a speciality. I frequently see “jock itch” that is really a superficial skin cancer, fungus, yeast, irritant and contact dermatitis, and even zinc deficiency due to poor dietary habits. I also see pediatric and genital skin diseases that have been incorrectly diagnosed and, subsequently, incorrectly treated for months. Even the “simple” diagnosis of acne can be treated totally inappropriately for months by non-dermatologists.

Acne is a disease that makes no patient happy. These patients want proper treatment and outcomes as soon as possible.

Who better to treat these patients than a boardcertified dermatologist? The same is true of eczema

Before

After

seen in infants, children, and even adults. This disease is not simply treated with bath avoidance and creams. There is much more to the barrier interruption of their skin than simply applying a cream to cover the symptoms of itching.

Finally, remember that the best physician to accurately diagnosis and treat a disease of the skin is a dermatologist who has been formally trained in a formal residency program and board certified by the American Board of Dermatology.❦ If more information is required relating to what a dermatologist treats, please visit the website of Dr. Handler at www.drharveyhandler.com or call his medical office at 419-885-3400.

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

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

Contacts Business office:

To advertise: Healthy Living News, 375 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.

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

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

H OWK\ O QJ HZV

March 2013 • Vol. 18, Issue 3

Your Monthly Guide to Healthy Living

Your Monthly Guide to Healthy Living

Health & Beauty

Children & Parenting

2 What does a dermatologist diagnose and treat?

8 Understanding kidney cancer 15 March health tip from Heartland Rehab: Get moving! Your heart depends on it!

19 The aging eye, part 2, by Bennett Romanoff, MD 22 Spiritually Speaking Something to ponder

by Sister Mary Thill 23 Solutions for foot problems, by Christine A. Holliday 30 Nobody’s Perfect Healthy feedback!

by Sister Karen Zielinski, OSF 32 Sound Advice from Northwest Ohio Hearing Clinic, by Randa Mansour-Shousher, AuD, CCC-A 32 Dr. Doug answers your questions!

by Douglas Schwan, DC, Dipl Ac 34 Simple steps to a healthier lifestyle

by Gail Doxsie, CNP 45 Dr. Namay offers a forgettable dental experience— and patients love it!

47 Tinnitus is taking a toll on our troops, by Randa Mansour-Shousher, AuD, CCC-A

38 Milestones: birth to age one 40 We can free our kids from the grip of obesity 46 Let’s save the world—starting in the kitchen

by Jeff Kurtz

Taking Care of Your Life 9 A conversation on final wishes, by Niki Fox 10 Training for a 5K run, by Amanda Manthey 12 Waterproof now for your family’s health and the integrity of your home 14 Start planning now for the salad days ahead 18 Asset allocation can help protect your portfolio 26 A Walk in the Park Much worse places for a man to live, by LeMoyne Mercer 29 Crossword, by Myles Mellor 31 Making the cut: It’s time for dormant-season pruning 36 From couch to 5K 48 How well do you know your home fire extinguisher?

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

It’s always an inspiration to meet someone who has fought back against obesity and won. HLN editor Jeff Kurtz and I recently had the opportunity to do just that when we sat down to interview Patrick House, winner of NBC’s “Biggest Loser 2010,”for this month’s cover story. Super Fitness owner Ron Hemelgarn brought Patrick to town to help celebrate Super Fitness’ 41st year of serving the Toledo community. Starting at 425 pounds, Patrick shed 181 pounds and 45 percent of his body weight over the course of the competition. See page 5 for the full motivational story.

On a related note, we’d like to extend our sincere thanks to Ron Hemelgarn, not only for his commitment to providing exceptional fitness services to our

Food & Nutrition 7 Eating Well “Eat Right, Your Way, Every Day”

by Laurie Syring, RD/LD 13 Taste the tropics, by Kelly Hanner

Our Community 5 Biggest Loser helps Super Fitness celebrate 41st anniversary 6 ProMedica Hospice: providing comfort, compassion, and dignity in life’s last stage 16 Women’s Wellness Weekend or Spa Day: Pamper yourself without the big price tag!

21 St. Clare Commons searches for the best 24 LIVV Interior Designs concludes successful year with new studio concept 35 Play it Forward provides sparkling-clean toys to underprivileged children 37 University of Toledo offers Graduate Certificate in Elder Law, by Assoc. Prof. Michael J. Spiros, JD 42 Two healthcare pros experience The Laurels as patients 44 How to be one of those “lively nonagenarians”

by Lynda Hoffman 45 Providence Care Center earns perfect survey

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community at an affordable price, but also for his ongoing support of this publication. I’m proud to say my working relationship with Ron extends back over 20 years.

As most of us are aware, more and more young people today are struggling with obesity and its significant long-term health consequences. In the article on page 40, Nancy Surella, a Community Health Educator with Mercy Children’s Hospital Kohl’s Kids in Action program, shares her thoughts on the childhood-obesity epidemic and gives parents some valuable tips for promoting healthy eating habits and physical activity in their kids.

This issue also features an article on the compassionate end-of-life care services provided by ProMedica Hospice (p. 6), insights on the impact of tinnitus on our troops courtesy of Dr. Randa Mansour-

/HLNToledo

@HLNToledo

Shousher of Northwest Ohio Hearing Clinic (p. 47), “Simple Steps to a Healthier Lifestyle” by nurse practitioner Gail Doxsie of the Oregon Clinic (p. 34), and much more.

We’re also thrilled by all the positive comments we’ve received from readers and advertisers on our recently redesigned website, www.hlntoledo.com. Each issue is available as an e-publication that readers can search either by news content or advertiser. We’re also seeing exciting growth in the number of our followers on Facebook and Twitter. People from all over the region—and around the world—are discovering HLN, and we’re proud to offer this expanded footprint to our readers and advertisers free of charge.

Until next month, stay safe, active, and healthy!

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Biggest Loser helps Super Fitness celebrate 41st anniversary

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on Hemelgarn, owner of Super Fitness, has always been proud of the fact that his fitness centers attract people of all ages, backgrounds, and body types. So he was especially enthusiastic when Patrick House, winner of NBC’s “The Biggest Loser 2010,” came to Super Fitness recently to share his remarkable story with members as part of the Center’s 41st anniversary celebration.

“Patrick is a real person, an ordinary person who has accomplished something extraordinary,” Hemelgarn says. “His journey is very inspiring and motivating and one many of our members can really identify with. Some of our members started as kids and have been coming here for 41 years.

Now as seniors, they see how their efforts have paid off by adding years to their lives—and life to their years.

What they all have in common with Patrick is a high level of commitment.”

When House, now age 30, auditioned for “The Biggest Loser,” he weighed in at a staggering 425 pounds.

The Vicksburg, Mississippi resident’s blood pressure and cholesterol were elevated, he was borderline diabetic, and his doctor described him as “a walking dead man.” Of course, all those extra pounds took a heavy toll on his quality of life.

“Everything people take for granted, I struggled with,” House recalls. “It was difficult to get in and out of the car, get on the rides at Disney World, or even play with my kids. But the aspect that disturbed me most was the fact that through my poor food selections and unhealthy eating habits, I was leading my boys, who were age four and two at the time of the show, right down that same path to obesity and poor health.”

House’s participation in “The Biggest Loser,” began with a total dietary change and a rigorous exercise program. Fast food was replaced with much healthier choices, and the program’s trainers had him working out for three to four hours at a time.

When the contestants weren’t on camera for interviews, challenges, weigh-ins, or eliminations, what they did with the rest of their time

was up to them. Some chose to lie around and nap. House took those opportunities to exercise more. By the show’s end on December 14, 2010, he was declared the winner, having lost 181 pounds and 45 percent of his body weight.

Two years later, in defiance of many who doubted he could successfully maintain his dramatic weight loss, House weighs in

dents to make better food choices that last year’s contest winner lost and avoid bullying.

141 pounds.

House’s advice to others with And that’s just one way Super Fita significant amount of weight to ness is empowering area residents to lose is to not allow the big picture to win the “battle of the bulge.” In addition to fun weight-loss programs and overwhelm them. He explains, “It’s a one-day-at-a-time process. Make competitions, Hemelgarn identifies small changes, and you’ll find they numerous amenities Super Fitness lead to bigger ones. Set attainable offers that help people of all ages, goals and take a step toward them backgrounds, and body types reach every day, keeping your focus on their fitness goals. lifestyle modifications, not on the Swimming pool fitness programs, diet. Most importantly, don’t think for example, are a tremendous benefit in terms of an end date to your comfor members who may have difficulty mitment. Otherwise, with weight-bearing exercises, such Patrick House is a real person, you’ll revert back to as those with arthritis. They can also an ordinary person who has your old ways and de-stress and soothe sore muscles feel even more disand joints in the facility’s whirlpools accomplished something couraged, down, and and saunas. extraordinary. depressed. December Hemelgarn notes that seniors have 14, 2010 wasn’t the found a home at Super Fitness, as at 210 pounds and finish line for me; it was the day my well. “Baby Boomers want to be accontinues to finetive. They want to work hard and journey began.” tune his body and To help motivate people in our at their own pace so they can stay diet. He has been incorporating more local community to achieve their healthy and avoid chronic ailments strength training into his workouts, and weight-loss goals, Super Fitness, like heart disease and diabetes. But he seems to have identified his ideal in partnership with 13ABC, offers there’s a social component to it, as nutritional formula. “I’ve found that a contest similar to “The Biggest well. Working out and socializing a higher-protein, low-carbohydrate Loser” called “The Extreme Weight here has replaced the pinochle game Loss Challenge.” Hemelgarn notes for many area seniors,” he says. ➛ diet works best for me. Getting over 150 grams of protein and under 100 grams of carbohydrate each day seems to work out best for my body type,” he notes.

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Attention Super Fitness members!

Don’t miss the 41st Anniversary Party for all Super Fitness members to be held on Sunday, March 17 from 11:00 a.m. to 3:00 p.m. at the Northtowne location (343 NewTowne Dr.) This fun-filled day will feature thousands of dollars in giveaways, and 32 different vendors will be on hand, displaying and discounting products for members. It’s our way of saying thank you for 41 great years!

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At Super Fitness, considerable emphasis is placed on keeping the whole family fit. Coed family facilities are available so moms, dads, and their children can work out alongside one another. Women who prefer a little more privacy while they work out can take advantage of the Ladies Only Club designed just for their unique fitness needs. To give kids a healthy break from TV viewing and videogames, there’s a secure Super Fit Kids Club, offering special fitness equipment designed to fit kids’ smaller torsos. There’s even equipment designed specifically to accommodate members who use a wheelchair or are extremely overweight.

Hemelgarn points out that access to equipment is never a problem at Super Fitness. The club features hundreds of pieces of cardio equipment, so there’s no waiting and members can sustain a good exercising heart rate for an appropriate length of time on a machine without interfering with someone else’s workout.

Plus, the club boasts ten different lines of circuit-training equipment, each with a slight variation in feel, so they can regularly change up their routine and prevent their bodies from becoming “immune” to a particular exercise. What’s more,

personal training and aerobic fitness classes are offered to members at no additional cost.

With literally tons of free weights available, there’s no waiting in line for strength-training equipment at Super Fitness, either. Hemelgarn explains that strength training is about much more than building muscles.

Other benefits include increasing bone density and reducing the risk of osteoporosis; increasing the amount of calories burned when you’re at rest; improving balance, flexibility, and mobility; reducing arthritis pain; reducing the risk of injury; enhancing sports performance; improving the ability to manage everyday chores and activities; bolstering self-esteem; and much more.

“Super Fitness was made in Toledo. We’re locally owned, locally operated, and we’ve been part of the community for 41 years, while hundreds of other clubs have come and gone. We’ve been around for so long because we accommodate everyone, we provide a welcoming environment, and we keep our focus on real people. We also strive to remain affordable. In fact, all of our services, amenities, and facilities are available for less than five dollars a week,” Hemelgarn states. ❦

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ProMedica Hospice Providing comfort, compassion, and dignity in life’s last stage

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hen you are told a loved one needs hospice care, it can be overwhelming. What matters most is maintaining quality of life. It is about you and your family—not the illness. When that end-of-life stage is reached, ProMedica Hospice can help patients and their loved ones navigate through the process and provide compassionate care that promotes comfort and dignity.

“Hospice is more than a place—it’s a philosophy of care. We can provide the same compassionate, patientcentered care anywhere a patient calls home, whether it’s a private residence, assisted living, or nursing facility,” explains Jenell Mahoney, RN, Clinical Director for ProMedica Hospice. “We help and support the patient, their family, and their friends so they can live their life as fully and comfortably as possible.”

ProMedica Hospice’s interdisciplinary team of doctors, nurses, social workers, chaplains, home health aides, massage therapists, and volunteers work together to provide quality end-of-life care. Pain and symptom management are among the team’s primary goals, but they also provide counseling for patients and family members, assistance with personal care, spiritual guidance, educational support, and a variety of holistic therapies.

Individuals often assume hospice is for those facing terminal cancer.

However, hospice is for anyone whose illness has caused a diagnosis of six months or less to live. This means it may be appropriate for people dealing with AIDS, Alzheimer’s, cardiovascular disease, liver or renal disease, or diseases that lead to multiple system failure. Hospice is also an option when a patient and their family have chosen comfort care measures rather than aggressive, curative treatment for an illness.

In addition to caring for the patient, the ProMedica Hospice team will also support families by training and empowering them to care for a loved one to the extent that they are able. Staff are available for regularly scheduled visits as well as immediate response 24 hours a day, seven days a week.

Alli McMaster, Community Outreach Coordinator for ProMedica Hospice, notes that hospice care is one of the only medical benefits

for patients and their families. “For example, caregiver burnout is a very common problem that family members face. ProMedica offers a fiveday respite-service benefit so family members can take a much-needed break from 24/7 caregiving to attend to other responsibilities or simply rest and recharge their batteries,” she says. ProMedica Hospice also offers a bereavement program to support family members and caregivers after their loved one has passed.

Whenever a patient enters the ProMedica Hospice program, the team inquires what goals they and their family hope to achieve. Those goals are then incorporated into the plan of care. Very often, patients simply want to be kept as comfortable and pain-free as possible. Many are also anxious about what to expect at the end, so ongoing emotional support and reassurance is critical. Sometimes patients simply need help with activities of daily living or someone to sit with them and visit.

Contrary to common belief, Hospice is fully covered by insurance. Patients and family members are not giving up hope by choosing hospice; they are merely acknowledging that the disease may have advanced beyond a cure. Hospice is additional care that patients may not normally have the means or access to, and it serves to enable the individual to have the best quality of life possible, live comfortably, and experience peace of mind. In fact, the sooner patients elect hospice care and take advantage of the available services, the sooner they can gain control of their symptoms and the greater their quality of life during this profound period of transition.

Mahoney points out that hospice work takes a special type of person— and a special type of team. “We have a highly dedicated, compassionate team, and our response time is excellent, usually within the hour. Family members can rest assured their loved one is going to be comforted and

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taken care of very soon. It’s extremely rewarding to care for people on the next journey, especially when we hear from families that we provided comfort and relief for them at a very difficult time,” she says.

“Hospice is not about dying. It’s

about living life’s final stage fully in comfort and dignity,” says McMaster.❦ For more information on ProMedica Hospice, serving Ohio and Michigan, please call 419-824-7400 or 1-800-2148112.

Eating Well

by Laurie Syring, RD/LD

"Eat Right, Your Way, Every Day"

M

arch is National Nutrition Month, and this year’s theme is “Eat Right, Your Way, Every Day.” At the risk of dating myself, that reminds me of the Burger King “Have it your way” jingle from the 70s. However, notwithstanding the catchiness of the tune it evokes, all I ask is that you don’t let this theme inspire you to seek out more fast food! It’s supposed to motivate you to find a healthy balance with your food choices.

We all have our favorite foods, lifestyle, and traditions. So when we hear the word “diet,” images of deprivation are usually conjured up.

A diet just isn’t a diet unless it requires you to give up your favorite foods or entire food groups, right?

On the contrary, it’s a misperception that eating right means giving up your favorite foods. In fact, completely altering one’s diet plan is usually a setup for disaster. “Eat Right, Your Way, Every Day” encourages consumers to include the foods they love as part of a healthful eating plan.

While we’re on the subject of themes, regular readers of this column know my motto has always been, “Make healthy food choices on most days.” Now, I could have

said, “Make healthy food choices every day or else!” but that would be counterproductive. A happy life demands a little wiggle room! Look at it like this: If you are going out to a local fish fry tonight, you should plan for a healthy, lower-fat breakfast and lunch tomorrow to balance it out.

Learning to plan and budget your calories is tricky, but with common sense and a little will power, it can be easy. And if you’re managing a chronic condition like hypertension or diabetes, a carefully planned diet can make a huge impact on your symptoms.

What do I mean when I say “planning and budgeting your calories”? Choose foods that are lower in sugar and sodium—again, at most meals and incorporating your favorites in reasonable portions.

Increase variety and physical activity while managing calories by eating at routine mealtimes, choosing healthfully, and controlling portions.

Also, we all have those “danger foods” that tempt us to overindulge.

Like the Lay’s potato chips slogan

says, “You can’t eat just one” of these items. Think twice about bringing these foods into your house, or buy them only in small portions. Otherwise, they’ll beckon day and night until you finally succumb.

Remember, planning and portion control are the key issues to keep in mind as you “Eat Right, Your Way, Every Day.” A healthy eating plan that keeps health concerns in mind will also factor in individual needs and personal nutrition requirements, food preferences, lifestyle, and physical activity level. The Academy of Nutrition and Dietetics envisions the improvement of the nation’s health through food and nutrition that considers food preferences, lifestyles, cultures, and ethnic traditions. This acknowledgement of the diversity in this nation makes the message appeal to all.

Remember, there is no one-size-fits-all approach to healthy eating. The more your eating plan fits your lifestyle, the more likely you are to follow it. ❦ Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

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7

Understanding kidney cancer

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arch has been designated Kidney avoiding smoking, that people can Cancer Awareness Month to take to prevent the disease. focus public awareness on the disease The preferred treatment for kidand emphasize the need for a cure. ney cancer is surgical removal, or While kidney cancer is not among the nephrectomy. Whether or not surgery most common forms of cancer, nor is possible depends on the size of the tumor and the degree to which it has one that garners many headlines, it still claims many lives. The National spread. “If the tumor is recognized as Cancer Institute estimates that there an incidental finding when it’s small, will be 65,150 new cases of the disit can often be cured surgically. In the ease resulting in 13,680 deaths in the past, surgery meant the removal of United States in 2013. the entire kidney. More recently, we’re finding that, depending Mark Burton, MD, of The Toledo Clinic Cancer on the location and size Centers, remarks, “Kidof the tumor, only partial ney cancer doesn’t get nephrectomy may be necmuch press because it’s essary, and oftentimes that not particularly common can be done robotically. compared to some forms Also, some research sugand there are no good gests that for smaller spots, early warning signs for it. cryo or radiofrequency Also, while you can use ablation—which means mammogram, colonosdestroying the cancercopy, and PSA testing to ous tissue with cold or screen for cancers of the heat energy—does just as Dr. Mark Burton breast, colon, and prostate, well, though no controlled no such tests are available for cancer studies have verified this yet,” Dr. of the kidney.”

Burton explains.

Targeted therapies for kidney canThe most common forms of kidney cancer in adults include renal cer have been developed but are still cell carcinoma, which forms in the in their infancy. Most of these drugs, lining of the small tubes (tubules) in some of which are taken orally and the kidney that filter the blood, and some by intravenous infusion, prerenal pelvis carcinoma, which forms vent the growth of blood vessels that in the center of the kidney where nourish the tumor. There are also urine collects. Children are more medications that target other cell prone to develop a form of kidney growth factors. However, the use of these drugs is currently limited cancer called Wilms tumor.

The main warning signs of kidney to cancers that have metastasized cancer include blood in the urine and (spread beyond the kidney) and they persistent pain in the lower back. aren’t as effective as the targeted Other symptoms might include untherapies developed for some other tumor types. Still, research and cliniexplained weight loss, fatigue, and intermittent fever. However, noticeable cal trials in this area are ongoing, and symptoms usually arise later in the it’s hoped that significant advances disease process after the tumor has loom on the horizon.

When facing a diagnosis of cancer, grown larger. In the earliest stages, there are typically no warning signs. more and more patients are choosing “Most often, kidney cancer is diagnosed The Toledo Clinic Cancer Centers. With incidentally when an abdominal CT eight board-certified hematologists/ scan is performed for another reason oncologists and eight nurse practiand a spot is observed on the kidney,” tioners on staff, The Toledo Clinic says Dr. Burton.

Cancer Centers can provide imaging While many other forms of cancer and laboratory diagnostic services, have known modifiable and/or nonchemotherapy services, and IV sermodifiable risk factors, doctors are not vices. Also, there are several offices aware of any risk factors for kidney (including the main location at 4235 cancer. Dr. Burton notes that there Secor Road and satellite centers in may be a weak association between Maumee, Bowling Green, Oregon, Adrian, and Monroe) for the convesmoking and kidney disease, which is one more good reason to avoid nience of the patient. Many Toledo tobacco use or to quit if you already Clinic Cancer Centers patients are enrolled in the latest cancer research smoke, but no other lifestyle factors have been identified. Thus, there and studies in our region through are no known measures, apart from the Toledo Community Oncology

8 March 2013 / Healthy Living News

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Program (TCOP).

❦

For more information, please call the Toledo Clinic Cancer Centers at 419479-5605.

A conversation on final wishes

by Niki Fox

F

or 1,243 days, I was my mother’s self-appointed patient advocate as she battled stage IV ovarian cancer.

In all those days, I did not once think to ask my mom explicitly if she had a living will or advance directive in place. I assumed my stepfather had this information. I made sure that my mom answered “yes” when the hospital social worker inquired about a living will at each of her dozens of hospitalizations.

I knew this was important to my mother because she told me she never wanted her children to endure the anguish she and her sisters experienced during their mother’s final illness. My grandmother did not have a living will or advance directive in place when she had a stroke. The family knew her wishes for no extraordinary measures, but even as she tried to speak the words, “No tube,” her doctor ordered the feeding tube anyway based on his determination of what was best for his patient.

Having experienced this firsthand, my mom felt it crucial to have a living will to ensure her medical wishes were upheld and to protect her family from having to make any decisions in her stead if she was unable to do so.

Fortunately for all of us, my mother was quite lucid when end-of-life issues were being managed. She was part of many conversations when, with the doctors’ and family’s support, she decided to start hospice care and terminated the TPN (Total Parenteral Nutrition, or IV nutrition) that nourished her body for 18 months, but ultimately fed the cancer as well. I will never forget my mom’s face as she weakly asked me what I thought. I gave her my honest opinion and told her it was

ultimately her decision.

As I think back, I believed my mom had a living will, though I never read it. Nor did we have the important conversation that goes along with making that end-of-life decision. Believing is not enough. I was fortunate my mom was able to make her own medical decisions up to the end. It was only after her death that I was able to confirm the existence of her living will. We knew how important it is to have these documents in place.

We did not, however, realize how essential it is to have an open dialogue with family about one’s end-of-life wishes.

For many, this is not easy. Death and the process of dying can be a taboo subject in American culture. Many of us do not want to—or cannot—have conversations about our wishes at the end of life. Advance care medical planning is not complex or expensive, but it does involve legal documents and the time to plan how you want to live during your last days.

Advance care planning is a twofold process. The first step is to assign a healthcare power of attorney and draft and sign a living will. Sometimes

Like Family Because We Are.

As a family owned and operated senior community, our mission is to provide there is a disconnect between filling out the paperwork for advanced care planning and having the conversation with your doctors, family, and friends because you simply do not understand what a living will or advance directive is. An advance directive comes in two key forms: • A “healthcare power of attorney” (also called a “proxy” or “agent”) documents the person you choose to be your voice for your healthcare decisions if you are unable to speak for yourself.

• A “living will” documents what kinds of medical treatments you would or would not want during the end of your life.

These documents vary by state and should be researched accordingly.

holistic care in a home like atmosphere ensuring dignity and respect to all. If your family is looking for Long-Term Care, Short-Term Rehabilitation, Hospice services or Assisted Living, consider us as your best choice.

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(Source: http://www.nhdd.org/public-resources).

The second step to advance care planning is just as important as the components of the advance directive: having a candid conversation

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9

about how you wish to be treated medically as you die. This conversation with your loved ones, closest companions, and physicians is vital to effective advance care planning.

These conversations are not being had, and they need to be. Postponing them may cause much pain later, to others as well as yourself. You can never predict what life will throw at you—or when—making it even more imperative to complete a living will or advance directive when you are of sound mind and decent health.

Then share your wishes with your family and doctor.

To assure your wishes will be up-

held and to relieve some pressure, stress, and anxiety for your loved ones, please consider having the conversation now—no matter how old you are—to start your advance care planning.

National Healthcare Decisions Day, April 16, 2013, is the perfect reminder to do just that. Complete these documents and have the conversations with your family about your end-of-life care wishes (http:// www.nhdd.org). They will be grateful, as I was, to know a loved one’s final wishes will be respected. ❦ Niki Fox is a student in the Patient

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Training for a 5K run

by Amanda Manthey

A

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.

• Give yourself time to prepare.

You may need more time than the 12 weeks outlined below.

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Advocacy Graduate Certificate Program at the University of Toledo, pursuing a career in Patient Advocacy. For more information on The University of Toledo Patient Advocacy Program, contact

Listen to your body. If your leg 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. Amanda Manthey is a former collegiate runner at Eastern Michigan University.

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

Mon

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Don’t miss Dave’s races!

Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear.

St. Patty’s Rotary Run/Walk—Saturday, March 16, 2013, 9:00 a.m. at 907 Oakwood Ave, Napoleon, Ohio. 5k Run/Walk and Kid’s Fun Run. This race around downtown Napoleon and Oakwood Park is being put on by the Napoleon Rotary Club as a fundraiser for programs that help kids in our area both physically and developmentally.

ESG Rocket Dash—Saturday, March 16, 2013, 9:00 a.m. at 4659 Airport Hwy. Rocket Dash is a 5K run designed like a Warrior Dash.

If you are not familiar with a Warrior Dash, it’s a 3.1-mile run with various obstacles to get through, such as running through tires, crawling through mud under a wire, and climbing over a wall.

Presented by Eta Sigma Gamma Health Education Honorary at The University of Toledo.

Part of the proceeds will be donated to help the homeless in the greater Toledo area.

For more details and event updates, visit davesraces.com.

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11

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Waterproof now for your family’s health and the integrity of your home

W

hen winter’s snowfall is below average, as it was this past season, it’s easy to forget about an important issue like basement waterproofing.

After all, “out of sight, out of mind,” right? But don’t let the lower-thannormal precipitation lull you into a false sense of security. There’s no time like the present to address the issue of basement water infiltration—for the sake of your family’s comfort and health as well as maintaining the value of your property. Besides, who knows what sort of weather spring has in store?

Gil Ramirez, general manager of Everdry Waterproofing, frequently meets customers and their families who, owing to a damp, musty basement, are unable to take full advantage of what could otherwise be usable living space or are watching in frustration as the value of their home is degraded by infiltrating moisture.

Worse yet, many of them are being unwittingly exposed to hazardous molds that could be taking a serious toll on their health.

“The presence of mold is not an issue homeowners should take lightly,” Ramirez cautions. “Studies have shown that mold is an underlying cause of many serious health problems, including chronic sinus infections and asthma. In fact, research has linked mold to a 300-percent increase in the rate of asthma.”

Oftentimes, homeowners see a few spots of mold here and there and figure it’s no major issue. But what they don’t realize is that obvious mold spots are like the above-water portion of an iceberg. Just as the bulk of an iceberg lies unseen below the surface, approximately 90 percent of the mold present in a home is in the form of invisible airborne spores, which can make you ill if you inhale them or even get them on your skin.

“If you see mold in your home, please don’t hesitate to take action. Call us immediately for a free inspection,” Ramirez says.

What’s more, with the real estate market still struggling to reach positive territory and many homeowners

being figuratively “under water” on their mortgages, having a basement that is literally taking on water makes selling a home all the more challenging in this tough climate. The modest investment in basement waterproofing will not only allow you to reclaim that damp, musty-smelling basement as usable living space while you remain in your home, but it will also give you a significant advantage when it’s time to sell. According to the Columbus Board of Realtors, basement waterproofing is the number-one home-improvement project based on return on investment. On average, this project yields a return of 100.28 percent.

“But that’s not all. In addition to recouping the money you’ve spent on fixing the basement, you will avoid the inevitable ‘low-ball’ offers that so often accompany a house sale, especially when large defects like bad basements are common. So, in a financial sense, you are actually making money by maintaining your foundation,” explains Ken Rusk, president of Everdry Waterproofing.

“Also, whoever buys your home in the future can be assured that their new basement will remain dry, comfortable, and functional for as long as they’re in the home because the Everdry system comes with a lifetime, transferable warranty,” Ramirez adds.

Water infiltration can manifest itself through obvious seepage or pooling of water, but oftentimes the signs are much more subtle and may be dismissed by the homeowner as being “normal” for a basement. For example, the aforementioned growth of musty-smelling, hazardous mold and mildew should not be written off as “typical for a basement in our area.”

Similarly, don’t ignore symptoms such as discolored or darkening paint on the walls, peeling paint, dark gray coloration on unpainted block, cracks in the foundation, white chalking on concrete, rust on metal fixtures and appliances, or the presence of pests and insects. All are indicators of water infiltration or excessive humidity.

“If you aren’t certain whether you

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have a water-infiltration problem, I would urge you to give Everdry a call.

One of our waterproofing experts will come out to perform a free, no-hassle, no-obligation 20-point inspection of both the inside and outside of your home,” says Ramirez.

It’s important for homeowners to understand that creating a healthy basement is about much more than just fixing leaks. As a member in good standing of the Basement Health Association since 1988, Everdry is poised to address all of the environmental and atmospheric factors that impact the health of a basement—even if it’s just that subtle damp feeling or musty odor that makes the space seem unlivable rain or shine. “You can stop leaks and brace walls all you want—and these can be very important steps—but if you don’t address atmospheric moisture, you’re always going to be battling that same problem of dampness and mustiness.

Homeowners usually take steps to address atmospheric moisture in other parts of the home, such as the bathroom, kitchen, and laundry room, but they don’t tend to think about it for the basement. That can be a costly mistake, both in terms of your home’s value and your family’s health,” Ramirez says.

The Basement Health Association

was originally known as the National Association of Waterproofing Contractors (NAWC) and later as the National Association of Waterproofing & Structural Repair Contractors (NAWSRC).

The name’s evolution reflects the organization’s continually expanding focus that now encompasses all aspects of basement health.

Everdry offers a complete waterproofing solution that includes both indoor and outdoor systems.

Depending on the customer’s needs, the waterproofing team may install the Pressure Relief System® inside the basement to alleviate the hydrostatic pressure that causes water to seep through walls and up through the floor, the Modern Drainage System® outside the home to take care of surface water and moisture that enters from foundation walls, and the EZ Breathe® system inside the basement to address ventilation and humidity issues. Also, Everdry can install the SmartPower™ emergency pumping system to prevent drainage problems in the event of a power outage or pump failure. ❦ If you have any questions or concerns about basement waterproofing or to arrange your free 20-point inspection, please call Everdry Waterproofing at 419-841-6055.

Taste the tropics

by Kelly Hanner

W

i th the crazy mix of cold and lukewarm weather we’ve had, I figured it would be nice to infuse this random winter season with a little taste of the tropics. With these Coconut Lime Cookies, you’ll want to bust out your flip flops and Jimmy Buffett CDs in the dead of winter. Coconut is fantastic for you, especially coconut oil.

Coconut oil used to have a bad rap, but lately there have been several reports claiming coconut oil is actually very good for your body and may even help reverse the signs of Alzheimer’s. So try out the cookies, but please be aware you’ll probably want to have more than one!

Coconut Lime Cookies Makes roughly 26 cookies

1 1/2 cups almond flour 4 Tbs. fresh lime juice 1 ½ cups shredded, 6 Tbs. maple syrup or agave unsweetened coconut 2 tsp. vanilla 1/3 cup coconut flour 1/4 cup and 1 Tbs. melted unrefined 2 big pinches of Himalayan sea salt virgin coconut oil 1 Tbs. lime zest Set oven to the lowest temperature. Line a cookie sheet with parchment paper. Combine the almond flour, shredded coconut, coconut flour, and salt. Set aside. In a small mixing bowl, mix together the lime juice and zest with the maple syrup and vanilla. Incorporate the wet ingredients into the dry ingredients (can be done with an electric mixer or by hand). After thoroughly mixed, add the melted coconut oil. Mold the dough into cookies using a tablespoon measure. Place on the parchment paper and stick in the oven for about one hour. The finished cookie will be dry on the outside and will have a melt-in-your-mouth texture on the inside. Place cookies in the fridge after they have cooled. ❦ Kelly Hanner has a degree in Dietetic Technology and is a full-time health, fitness, wellness, and financial mentor at www.tubbytotoned.com.

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13

Start planning now for the salad days ahead

F

or many Americans, mealtime isn’t complete without salad— and a salad isn’t complete without at least one variety of lettuce. It’s the “canvas” upon which the rest of the salad ingredients—the chopped tomatoes, walnuts, fresh mushrooms, grated cheese, dressing, and other items that tickle your taste buds—are presented.

Since it’s such an integral ingredient in salads, it’s not surprising that lettuce is one of the most popular cool-weather crops among gardeners.

That’s right; like Brussels sprouts, spinach, and peas, lettuce germinates and thrives under cooler conditions than most warm-season veggies can tolerate. In our area, the perfect conditions for starting lettuce typically arrive in April. If you’ve never grown lettuce before but would

like to give it a try, you’ll be able to get started in just a few short weeks.

Sowing the seeds Lettuce seeds should be sown ¼ inch deep in well-drained, moderately organic soil. Head and semi-heading varieties (also called crisphead and butterhead respectively) should be started indoors four to six weeks prior to the last anticipated frost.

Once two or three true leaves appear on the seedlings, they can be transplanted into shallow containers or small peat pots. Just be sure to harden the plants off (gradually expose them to outdoor conditions) prior to setting them out in the garden.

Leaf lettuce varieties can be sown

directly into the garden as soon as the soil can be worked in April. Keep in mind that the soil in raised planting beds will usually be workable earlier than the soil in level beds. Space the seeds approximately ½ inch apart in rows or wide bands. Once the seedlings have emerged and developed two or three leaves, the weaker specimens should be thinned out. Don’t discard the thinned-out seedlings, however.

They make a tasty addition to tossed salad!

Succession planting To ensure a steady crop of lettuce, it’s a good idea to plant a new crop every few weeks in succession until around the first of June. After that, the weather tends to get hot, which encourages lettuce to bolt (produce seed heads), which makes the leaves bitter and tough. Succession planting also prevents your entire crop from coming into maturity simultaneously and yielding more lettuce than your family (and neighbors) can possibly consume.

Lettuce culture and care Lettuce can thrive in a wide range of soil types, but it does best in soil with abundant organic matter (i.e., compost) blended in. The soil pH should fall somewhere between 6.0 and 6.5. Also, lettuce is fairly shallowrooting, so you don’t need to cultivate the soil too deeply.

Lettuce is a relatively heavy feeder and will grow rapidly when fertilized properly. Prior to sowing the seeds

MY MOM IS BATTLING CANCER. I NEED TO WORK FULL TI

or setting out transplants, the first application of fertilizer should be blended directly into the composted soil. After the plants reach a height of two to three inches, they should be side-dressed with compost or a high-nitrogen fertilizer. This second application should be cultivated gently into the soil and watered in thoroughly.

To promote the desired rapid growth rate, thereby ensuring the very best flavor, lettuce must be well watered. One inch of water per week is the minimum. Lack of moisture is seldom an issue in our area in spring, but be prepared to water your lettuce during dry spells just in case.

Lettuce varieties Horticulturalists categorize lettuce into four main groups—head, semiheading, looseleaf, and cos or Romaine—based on growth habit. Head lettuce, a.k.a. “iceberg” or crisphead lettuce, is extremely popular among American consumers for its delightfully crunchy texture. Regrettably, it grows rather poorly under our local climate conditions and, thus, makes a generally poor choice for Northwest Ohio gardeners.

Semi-heading lettuce, also called butterhead, Boston, or bib, has a fairly loose head with broad, buttery, oval-shaped leaves. Many consider semi-heading varieties much more flavorful than crisphead, and they are fairly easy to cultivate.

Looseleaf varieties, also called leaf lettuce or curled lettuce, are the easiest to grow and come in a wide range of colors, textures, and leaf shapes. Red leaf lettuce is particularly popular these days. Try the varieties Red Sails, Freckles, and Ruby Ruffles.

All are delicious and beautiful mixed into a salad.

The leaves of most looseleaf varieties grow upward, forming a very loose rosette and will usually grow back after harvest. Cos, or Romaine, lettuce has an upright, cylindrical head, which clearly distinguishes it from the more rounded crisphead varieties. The inner leaves of cos blanch naturally as the head develops. These crispy leaves are valued for their piquant flavor and are the predominant ingredient in Caesar salads.

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I eed 14to work full time. I March 2013 / Healthy Living News We love comments and feedback. Like us on Facebook. Follow us on Twitter.

Visit hospicenwo.org

419-661-4001 (Ohio) • 734-568-6801 (Michigan)

© 2013 Hospice of Northwest Ohio

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

It pays!

March health tip from Heartland Rehab

Get moving! Your heart depends on it!

H

eart Health Month may have come and gone, but we need to stay focused on heart health every month of the year. When it comes to heart disease in America, the odds are frightening. According to the Centers for Disease Control and Prevention, approximately 600,000 people die of heart disease in the United States each year. That’s one out of every four deaths!

What can we do to avoid becoming another heart-disease statistic? Simple: It’s time for all of us to get moving!

Exercising as little as 30 minutes per day can reduce the risk of heart disease. Start by setting a small goal and commit to it regularly. It won’t be long before you see the benefits!

It works!

Studies show that for every hour of walking, life expectancy may increase by two hours. That’s a pretty remarkable return on a very modest investment! As already mentioned, walking for as few as 30 minutes a day provides heart-health benefits.

In fact, walking is the single most effective form of exercise for achieving heart health.

Regular exercise pays off not just in terms of heart health, but also in dollars and cents: • Physically active people save $500 a year in healthcare costs.

• Employers can save $16 for every $1 they spend on health and wellness.

• Fitness programs have reduced employer healthcare costs by 20 to 55%.

• Reducing just one health risk in the workplace increases productivity by 9%.

Learn “Your Heart's Lucky 7 Numbers” Don’t leave your heart health up to chance. Learn the indicators of heart disease and what you can do to keep your heart healthy and strong. To get you started, Dr. Oz has compiled 7 lucky numbers to help you win the jackpot of heart health!

It’s easy!

Contrary to popular belief, exercise doesn’t have to be particularly strenuous to get results. Simply walking is the easiest and safest way to start and continue a fitness journey. It also costs nothing to get started (assuming you already have a decent pair of walking shoes) and has the lowest dropout rate of any type of exercise.

Lucky Number #5: 1 alcoholic drink per day Lucky Number #6: 0 trans fats each day Lucky Number #7: The maximum number you should have on a Hemoglobin A1C test is 6 Dr. Mehmet Oz is a cardiothoracic surgeon, a teaching professor at Columbia University, and host of “The Dr. Oz Show.” You can get more information on Your Heart’s lucky 7 Numbers and what they mean either on Dr. Oz’s website or at one of Heartland Rehabilitation Services’ outpatient therapy clinics.

❦ Heartland Rehabilitation Services has five locations in the Toledo, Ohio and Bedford, Michigan areas with knowledgeable staff to assist with your physical and occupational therapy needs. Each location also offers a monthly membership for a small fee, with no contract, and the expertise of licensed clinicians to help you with your exercise routine. If you have any questions about Heartland Rehabilitation Services or how physical and occupational therapy can benefit you, please feel free to contact Jim Berger at 419-787-6741 or visit us at www. heartlandrehab.com.

 Lucky Number #1: A resting heart rate below 90 Lucky Number #2: 1.5 grams of sodium allowed daily Lucky Number #3: A maximum of 100 calories of added sugar each day Lucky Number #4: 25 grams of fiber each day



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ARE YOU on track with your 2013 GOALS:  TO LOSE WEIGHT?

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15

Women’s Wellness Weekend or Spa Day:

Pamper yourself

D

without the big price tag!

id you ever want to just take some time for yourself, to take a weekend, or even just a day, and spoil yourself?

Wouldn’t it be wonderful to just let time stand still for a while? 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, April 20 and 21 at the Commodore Perry Resort Inn, Port Clinton. Our hope is that you take something from this weekend home with you and incorporate it into your own life to create a healthier lifestyle.

You will be able to try something that maybe you have been thinking about, like Tai Chi or Yoga, Water Exercise, or a new class called Urban Funk and Pump, and see if you want to make it part of your own schedule at home. You can get a massage, try a cranial sacral treatment, try reflexology, get a manicure or pedicure, or even try something more daring,

like Thai Massage, seeing a psychic, or belly dancing. That is what this weekend is all about—trying something different!

This will be the 15th year that these weekends are offered by Jane Mathias. It all comes down to “pampering,” but the pampering is offered for a fraction of the cost of other spa weekends.

For the last few years, the weekend has been held at the Commodore Perry Resort, located in Port Clinton only 40 minutes from Toledo. Our ladies enjoy the spectacular view of Lake Erie. They will have a lovely room and an indoor heated pool to add to their pampering experience. 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 also have Ginny Ulch, who will do sessions on weight loss and stress reduction. There will be shopping for unique boutique items from all over the world from

6000 Renaissance Place, Suite B | Toledo, Ohio 43623

Nancy Linker of “Purse Love.com” and Mindi from Stella and Dot. We will also have Beyond Basics, a personalized holistic nutrition program that helps heal the body with whole foods, at our event to talk to our ladies.

You can enjoy the weekend just for the relaxation and beautiful location and do absolutely nothing else.

Or you can go wild and take part in every activity and get as many pampering services as you can fit into your

schedule. Most women spend too much time responding to everyone else. So what you do at Wellness Weekend is up to you. Especially popular is the Yoga at Sunset and the Tai Chi because of the complete calmness they bring.

The meals are great also. After dinner on Saturday night, there is an optional pajama party with prizes for the craziest P.J.s, belly dancing, and wine.

We are taking reservations now for this weekend. The cost for the weekend, which will begin on Saturday Answers to crossword from page 29.

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at 10:00 a.m. and end whenever on Sunday, is $165 per person. Where else could you go for this price and get three meals and activities and an overnight stay? Yes, the activities and meals are also included in the price. If you can come only for the “Spa Day,” the cost is only $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 hand picked to be the best at what they do. They offer their services to our ladies for considerably less than they charge in their businesses so our ladies can try out a lot of services during the weekend.

These weekends have been filled with mothers and daughters, aunts, cousins, grandmas, and girlfriends.

So you can come by yourself, come with a friend, or bring a group. There is something for everyone. It is up to you how much or little you do at this weekend. It is all about recharging your batteries.

The last five years these weekends were full, so call to make your reservation now. A May event is being planned (call for details). We have a limited amount of rooms available for this weekend. We offer special discounts for three or more to a room and a special big discount if you want to add Friday to your weekend. We can also arrange private weekends for groups of 15 or more. Contact Jane Mathias at 419-381-1956 or jmathias@ bex.net for more information. ❦

Northwest Ohio Chapter

Now open and accepting new patients.

See for yourself how our small office can give you huge results!

BEFORE

16 March 2013 / Healthy Living News

AFTER

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17

Personal Asset allocation can help protect your portfolio

O

ver time, the value of stocks can go up and down. Bond prices fluctuate with interest rates, as do other types of fixed-income securities such as certificates of deposit and investments in money-market accounts. Predicting which investment vehicles are likely to perform better than others at any given point in time is next to impossible. So how do you choose investments for your portfolio?

The answer may be to follow a risk-reduction strategy called asset allocation. By dividing your dollars among a variety of investments, you can decrease the likelihood that all the investments in your portfolio decline at the same time. Of course, by the same token, it’s also unlikely that every investment in your port-

folio would go up at the same time.

Essentially, asset allocation diversifies your portfolio among several distinct asset classes. These may include stocks, bonds, real estate, money markets, cash, and more. Within these general categories, these asset classes may also be divided into several more subcategories.

Stocks, for example, may be broken down into domestic stocks of small companies (small-cap), medium-sized companies (mid-cap), large companies (large-cap), and real estate. International stocks may also be part of the mix, including stocks in developed non-U.S. countries and less-developed (emerging market) countries outside the United States.

Classes of bonds may include conservative, moderate, and aggressive (high-yield) bonds. Conservative bonds generally include federal and state government bonds. Moderaterisk bonds include bonds issued by high-credit-quality corporations.

High-yield bonds typically are issued by corporations with lower credit ratings, offering higher interest rates to investors in exchange for a commensurate level of risk.

Stocks are securities that represent ownership in a company. You might want to invest in stocks if you believe

the price of the stock will increase and thereby the value of your investment will increase. Another reason to invest in stocks would be to collect dividends. Companies pay dividends as a way to compensate shareholders for their investments. Dividends can also be a way to generate income.

However, dividends are not guaranteed, so a company may eliminate their dividends at any time.

Bonds represent a loan to a company or other entity. Bonds have

fixed terms and fixed interest rates.

They typically generate a higher income stream and are historically less volatile than stocks.

Cash and cash alternatives are considered the third basic asset class.

This class includes investments such as short-term certificates of deposit and money-market instruments. Holding cash as part of your allocation can

be a way to park your money while waiting for an appropriate investment opportunity. It can also be used to hold funds for emergency use.

So how do you decide which combination of investments is right for you? Start by asking yourself the following questions: Objectives—What are your financial goals? Do you want to retire early or build your dream house? How much money will you need to save to accomplish your goals?

Risk Tolerance—Can you stomach fluctuations in the market? Do you want a steady return with little risk?

Time Horizon—Will you retire in five years? Fifteen? Are you ready to send your child to college next year or in 10 years?

Cash Flow—Do you need a steady flow of income now from your investments, or can you continue to put your money away for a few more years?

Answering these questions will help both you and your financial advisor decide what kind of asset allocation will help you meet your goals and then choose specific investments that match your appropriate allocations. Bear in

Don’t abandon your investment plan. Rethink it.

If market fluctuations and economic uncertainty have you second-guessing your investment plan, it’s time to take a closer look. With an Envision® plan, we can help ensure your goals are measurable, reprioritize them if necessary, and adjust your strategy to reflect realistic expectations and your own comfort level for risk. Call today to get started.

Michael Foster First Vice President - Investments Quantitative Choice Portfolio Manager 419-872-3859 • 1-800-245-5782 Fax: 419-874-6315 michael.r.foster@wfadvisors.com

Marcus Jones First Vice President - Investments Quantitative Choice Portfolio Manager 419-872-3858 • 1-800-245-5782 Fax: 419-874-6315 marcus.w.jones@wfadvisors.com

Investment and Insurance Products: u NOT FDIC Insured

u NO Bank Guarantee

David Hollinger Vice President - Investments 419-872-3875 • 1-800-245-5782 Fax: 419-874-6315 david.r.hollinger@wfadvisors.com

Matthew Langham Financial Advisor 419-872-3857 • 1-800-245-5782 Fax: 419-874-6315 matt.langham@wfadvisors.com

28300 Kensington Lane Perrysburg, OH 43551 http://www.fosterjonesinvestmentgroup.wfadv.com

u MAY Lose Value

Envision® is a registered service mark of Wells Fargo & Company and used under license. Wells Fargo Advisors, LLC, Member SIPC, is a registered broker-dealer and a separate non-bank affiliate of Wells Fargo & Company. ©2012 Wells Fargo Advisors, LLC. All rights reserved. 0212-2138 [74938-v3] A1440

18 March 2013 / Healthy Living News

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

mind that although asset allocation can help diversify your portfolio, it does not protect against fluctuating prices or uncertain returns. ❦ The investments and investment strategies mentioned in this article are provided for informational purposes only. We would need to review your individual situation before recommending appropriate strategies to you.

This article was written by Wells Fargo Advi-

sors and provided courtesy of Michael R. Foster, First Vice President – Investments, Quantitative Choice Portfolio Manager, Marcus W. Jones, First Vice President – Investments, Quantitative Choice Portfolio Manager, David R. Hollinger, Vice President – Investments, and Matthew Langham, Financial Advisor, in Perrysburg at 419-872-3840.

Investments in securities and insurance products are: NOT FDIC-INSURED/NOT BANKGUARANTEED/MAY LOSE VALUE Wells Fargo Advisors, LLC, Member SIPC, is a registered broker-dealer and a separate non-bank affiliate of Wells Fargo & Company.

Life

Looks Good From Here

The aging eye, part 2

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

by Bennett Romanoff, MD

L

ast month’s issue of Healthy Living News featured the first part of this article, which covered presbyopia, flashes and floaters, and glaucoma.

You can read that article online at hlntoledo.com. In this conclusion of “The Aging Eye,” I will discuss cataracts, dry eye syndrome, diabetic eye problems, and macular degeneration.

Common symptoms of cataracts may include: • Painless blurring of vision • Decrease in night vision • Halos and glare, especially at night • Frequent changes in eye glasses • Colors look faded or dulled.

Cataract surgery is indicated when one cannot see well enough to do Cataracts are a normal aging condition things one wants or needs to do. that will affect everyone if they live to Cataracts no longer have to be “ripe” be old enough. I have never seen to remove them. The earlier they a patient 70 or older who did are removed, the easier and not have cataracts. Ultraviolet safer the surgery is for the light exposure is the main cause patient. of cataracts. By the age of 18, Surgery is the only way to remove a cataract. It is a one has already received 80% common misconception that of the UV that one is exposed to lasers remove cataracts. in a lifetime!

A cataract is a clouding of Cataract surgery is the eye’s lens. Light must almost always painpass through the human less, and it is done in lens. When the lens bea quick outpatient comes clouded, it makes procedure. When it difficult for the light the clouded cataracto reach the retina and It is never too early tous lens is removed, therefore makes it difficult to start wearing a plastic intraocular to see clearly.

(IOL) is used to UV sun protection. lens It is absolutely imperarestore good vision. tive to always wear glasses IOL’s give excellent that afford 100% sunblock outdoors. vision post operatively. Many patients I usually recommend Transitions do not need distance glasses after the lenses and polarized sunglasses. Both surgery. Over 90 to 95% of patients offer close to 100% UV protection. see much better after surgery.

It is never too early to start wearing Dry eye syndrome UV sun protection. I professionally recommend that one should wear As one ages, one tends to produce this type of glasses in early childhood less tears. This is especially true in and to never stop doing so. Once post-menopausal women. When the cataracts form, there are no medicaenvironment is very dry, as in the tions or therapies that can reverse the wintertime or when heaters are turned cataract. It has been my experience on, the eyes tend to dry out faster. that patients who wear 100% UV Also, the condition can be made worse protection experience a slower rate when the eyes are exposed to wind in the progression of their cataracts. or have fans blowing toward them.

Cataracts

To find out more about life at the Swan Creek Apartments, call 419.865.4445

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

419.865.4445

www.swancreekohio.oprs.org

EQUAL HOUSING OPPORTUNITY

19

The symptoms of dry eye syndrome (DES) are:

• Contact lens discomfort • Light sensitivity.

• • • • •

It is now understood that DES is usually associated with inflammation, and the longer it goes untreated, the worse the condition gets. There are many levels of treatment, starting with artificial tears. There are many

Dry feeling Watery/teary eyes Sandy/gritty feeling Mild irritation and burning Intermittent irritation and burning

different grades of artificial tears that treat different stages of this condition.

In addition to artificial tears, fish oils or other nutritional supplements can be very helpful. For more advanced stages of DES, anti-inflammatory medications can be very effective in reducing the symptoms.

If artificial tears, fish oils, and antiinflammatory medications do not provide symptom relief, it is possible to plug the natural tear ducts that normally drain excess tears down to the nose, often giving excellent results.

Diabetic eye problems Diabetes is a very common disease that is much more common in older adults.

Diabetics cannot metabolize sugar normally. This disease can cause damage to blood vessels, arteries, and veins anywhere in Cheaper isn’t always better, the body. especially when it comes to eye wear.

In the eye, diabetes can cause There is a better way...Romanoff Optical. cataracts, glaucoma, and, most comLet our skilled professionals put you in monly, damage to the blood vessels in glasses that fit your life and style. the retina, the nerve membrane that gives us vision. When blood vessels in the retina are damaged, they may leak fluid or blood, which in turn can damage one’s vision. This condition is called diabetic retinopathy.

Diabetic retinopathy can be controlled and treated by laser surgery.

Lasers typically cannot return lost Flower Hospital Medical Office Building 5300 Harroun Rd. Suite 112 • Sylvania, Ohio vision, but are often helpful in preventing a worsening of the condition.

419.885.5556 The best protection against visual loss from diabetic retinopathy is very careful control of the diabetes through Not to be combined with any other offers or toward previous orders. May not be used with insurance payment. a good diet, regular medical evaluations, and annual eye examinations by an ophthalmologist.

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Age-related macular degeneration The macula is the small, central part of the retina that allows one to see the fine details and central vision. Agerelated macular degeneration (ARMD) causes damage to this part of the retina.

ARMD almost always occurs in people over the age of 60 and is often

considered an aging process. It is now known that some genetic factors are associated with this disease.

Exposure to UV radiation plays a large role too. Smoking at any age greatly increases the chance of getting macular degeneration. Once ARMD starts, it is not reversible, and there is no cure.

Some of the symptoms of ARMD are blurred vision, words on a page look blurred, straight lines become crooked or distorted, colors may look faded, and a dark empty area in one’s central field of vision is noticed.

Vision loss from this condition usually occurs very slowly, but in some cases, the loss is rapid.

There is no cure for this condition; however, there are both medical and laser treatments that can slow down or halt the loss of vision. Avoiding UV radiation with either Transitions lenses or polarized glasses is an important factor in slowing down the progression. Taking special vitamins that are designed to slow down the progression is very important too.

The vitamins should say AREDS II (Age Related Eye Disease Study) on the packaging. (For more detailed information on vitamins, please see my article “Nutrition and the Eye” online in the December issue of Healthy Living News at hlntoledo.com.)

People do not go totally blind from ARMD; however, in the more advanced stages, one can become legally blind, which is having vision of 20/200 or worse. When legal blindness occurs, there are many low-vision aides that can enable reasonable function in many cases.

Of course, a lifetime of avoidance of UV radiation, good nutrition including vitamin supplements, and not smoking as well as avoiding secondhand smoke are the best preventative measures to possibly lower the risk of getting ARMD. 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.

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

St. Clare Commons searches for the best Whatever your work is, put your heart into it as done for the Lord and not for human beings.

—Colossians 3:23

S

t. Clare Commons, the new Franciscan Living Community being built in Perrysburg, plans to hire 120 people in 10 departments over the next five months. St. Clare Commons, which will be a Continuing Care Retirement Community when complete, will open in four or five stages. Phase One will offer resident and employee amenities that are new to Northwest Ohio. This first phase offers spacious assisted-living apartments with fully equipped kitchens and walk-in closets, ergonomically designed memory-support studios, and skilled-nursing and rehabilitation suites with almost 40% more space than the national average.

And that is just the beginning. The next phases will include independent villas, apartments, and ranch homes plus a clubhouse with a second restaurant, fitness center, a pool, and more.

As its centerpiece, the 135,000-square-foot Phase One will have a beautifully appointed chapel to offer frequent opportunities for Mass, worship, and contemplation.

Five ponds with fountains, a specially designed memory garden, four patios, an outdoor dining portico,

and two rooftop terraces will offer a variety of outdoor exercise, activity, and entertaining options.

Indoor spaces, too, are pleasant for residents and care team members alike.

The expansive restaurant will offer server-friendly kiosks for on-demand ordering and intake monitoring in an artfully decorated dining room with slate fireplace.

Nursing services will notice a lot of time-saving, back-saving, and headache-saving technologies and methods too. For the first time, St. Clare Commons brings together the best of the GREEN HOUSE® model, sub-acute and post-acute traditional nursing care methods and tools to better promote senior choice and efficient caregiving.

One hundred percent electronic admissions and medical recording and in-room medicine administration cabinets mean no heavy cart to lumber behind, decreased mistakes, and less wasted time. Quiet building technology means no overhead paging, beeping, and noises to “tune out.”

Each “neighborhood” sports a

fully operable kitchen served by the main restaurant—plus a well-stocked refrigerator and pantry to serve hungry bellies 24/7—and is nestled in colorful surroundings with 30-foot vaulted ceilings, floor-to-ceiling stone fireplaces, and many more reasons to be proud of where you work.

There are numerous other improvements in technology and procedures. One such improvement is thanks to a Sylvania Franciscan Health initiative to work with the Studer Group®.

St. Clare Commons, together with Franciscan Living Communities, has partnered with Studer Group® of Gulf Breeze, Florida, to improve customer care and satisfaction.

Founder Quint Studer, formerly the senior vice president of Baptist Hospitals, has written six books and originally founded the Studer Group Institute to improve patient care in hospitals. His books, including the first, Hardwiring Excellence, build on the premise that if you know, understand, invest in,

and appreciate your staff, it translates to better patient care.

“Today, more than ever, results are what really matter.

Organizations need solution-based tools and practices that deliver specific, measurable outcomes.

And there’s another key ingredient. It’s passion . . . sparked when people know they’re doing worthwhile work and making a difference,” says Quint Studer.

Studer elaborates, “Our purpose is to ignite passion and build cultures of service, clinical and operational excellence through performance management, and leadership development.

We use hands-on coaching, resultsdriven institutes, innovative research, evidence-based tools, and software solutions. We know that success lies in realized gains and in the passion that’s ignited to sustain them.”

The Studer Group is one of many partnerships to improve senior care and help those who have chosen the vocation of ministering to seniors. According to executive director Shawn Litten, “It is vital to start with the best because we are bringing new

ngst! i r Hi Be our 3 . e th me toApril XXIII Co fair ohn job ed J ss e l B

Opening Summer 2013

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

Follow us on Facebook.

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

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

21

Reed Vision by

Senior Days Free Eye Exams THROUGHOUT

April 2013

Must be a new patient and 60 years of age or older.

Additional follow-up care not included.

Want better vision at every distance?

Ask about Crystalens® For more information and to schedule an appointment call:

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technologies and methods as well as breaking old habits. We will need a team that is adaptable, eager to learn, and has a drive to improve senior care in this community and beyond.”

Are you the best director of nursing, assistant director of nursing, registered nurse (with or without a specialty in memory or cognition), licensed practical nurse, state tested nurse’s aide, or nurse practitioner?

Have you been told your skills as a housekeeper, laundry person, or maintenance person are something to which others should aspire? Have you proven yourself as a customerservice guru or creative problemsolving receptionist? As an executive chef, kitchen manager, server, or bartender, have you been called a genius? As an activity director or assistant, does your schedule leave residents happy, tired, and eager for your next great adventure? As human resources manager or biller, do you

have a knack for finding ways to improve community productivity while helping individuals and families? Do you embrace the power of choice, innovation, and caring? Would you like to learn more?

You are invited to the St. Clare Commons Job Fair on Wednesday, April 3, at Blessed John XXIII at 24250 Dixie Hwy. from 11:00 a.m. until 4:00 p.m. Bring your resume and ideas for improving senior care in Northwest Ohio. Click Careers at www.StClareCommons.org for more information.

For seniors and family members, join St. Rose Parish’s fab50+Club and the St. Clare Commons team for the Spring Jazz Luncheon at St. Rose, 215 East Front Street, Perrysburg, on March 7 at 11:30 a.m. in the church basement.

Call 419-874-4559 for reservations. ❦ For more information, contact Jessica Derkis, director of marketing, at 419-2505227 or jderkis@stclarecommons.org.

BySister Mary Thill

Spiritually Speaking Something to ponder What if all the way to heaven is heaven?

—Wayne Muller God comes to you disguised as your life.

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22 March 2013 / Healthy Living News

—Paula D’Arcy

or some reason, winter is a good time for me to reflect on some of the deeper meanings behind this gift we have on this planet called life. One of those meanings that is occupying my mind these days is the hereafter.

We average about ten funerals a year among our dear Sisters, and we just buried our Sister Digna last month.

I’m often reminded at such a time that in my religious tradition as a Catholic, we express belief in a life after death.

As a Franciscan, I am reminded that St. Francis of Assisi addressed death as Sister Death and thus expressed his belief in death as a relationship to a sibling, as one who was that familiar with death.

But what happens to us when we die? Where do we go if we are still alive in a spiritual sense?

When I taught religion to my third graders back in the 60’s, I remember saying to them, “Heaven is where God is and God is everywhere!” I also remember learning from my own third grade teacher that when we die, we go to heaven, hell, or purgatory.

(Limbo existed at that time but has since been done away with in Catholic theology.) No one told me where heaven, hell, or purgatory were or how one lived in these places, but plenty of artists, writers, poets, and preachers have tried to describe or explain where such places are and how one exists in them. At this point in my life, I find Wayne Muller and Paula D’Arcy’s insights helpful.

“What if the way to heaven is heaven?”

Rather than thinking that I will some day get to heaven, why not think that I’m already there and just need to become aware of this as I move along in my everyday activities? You might think that’s a

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good way to think about life when good things happen and everything is okay. What about when bad things happen in my daily life? How can that be heaven? Don’t only good and happy and loving things happen in heaven? I don’t know that for sure.

Do you? Have you ever had some bad thing happen to you or your family and then realized how much good came of it later? I meet people in the hospital all the time who say that so much good has come from a trauma or tragedy in their family that they are actually grateful for the outcome. I also meet family members and patients who are devastated by a health problem and are far from being grateful or seeing anything good about it. Is this heaven? I don’t know. Do you?

“God comes to you disguised as your life.” When I think about what this means, I again look at my life and see the many times God or an “angel” comes along when I need something.

Sometimes it’s as simple as someone coming along just as I wonder how I’m going to open a door when my hands are full or how I’m going to walk on an icy street with my cane.

I look back at my sports injury from 43 years ago that had me out of commission recently, and I see where God

appeared disguised as the surgeon who did the ankle fusion, the nurses and nurse aides who took care of me, the therapists who kept me as limber as they could when I couldn’t walk for two months, the dietary staff who prepared and brought me my meals, my three housemates who did the “little things” that kept me sane and comfortable, and the many people who came to visit me.

They all represented the God in my life who indeed came disguised in the ordinary people I encountered each day.

It occurs to me that recognizing heaven here on earth and God in my daily life requires a certain level of spirituality and awareness and the ability to see things from a different perspective. I pray that as we move into a new year, we learn from our everyday experiences to see heaven in unusual events and God in the mundane parts of our daily lives. Do take time to reflect on such things, and you will see your life change in wonderful ways. Blessings! ❦

Solutions for foot problems

by Christine A. Holliday

W

ith age comes wisdom. That’s what the pundits say, and it is probably true. But age also brings aching muscles, fatigue, decreasing flexibility, changing sex drive, and vision deficiencies, just to name a few. Add to those the problems most of us have with our feet, and you’ve got reason to dread every birthday.

But wise ones (baby boomers especially) will be happy to learn they

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don’t have to live with sore feet. They can “rejuvenate their soles” and get shoes that actually help their feet at Foot Solutions, a new store recently opened at Talmadge Town Center at 4204 West Sylvania Ave, Toledo, OH 43623.

Dr. Tom Merritt retired from his career as an orthopedic surgeon in 2011, but quickly found that he needed more to do each day than just read the paper. He and his wife, Debbie, heard about Foot Solutions from friends and decided it sounded like a perfect post-retirement opportunity.

They learned it is an international company with 225 stores in the United States and made the decision to open a store in Toledo.

“A lot of Americans have problems with their feet,” Merritt explains, “and most of them are wearing the wrong shoes. At our stores, we offer attractive, well-made shoes that are good for your feet. We focus on consumers over 40, but we welcome anyone who is interested in getting good shoes.

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You don’t have to have bad feet or serious foot problems. We are just as interested in offering our customers ways to prevent foot problems.”

The staff at Foot Solutions will do more than locate a customer’s choice of shoes from the back room. They have been trained in the pathology and anatomy of the foot and know how to assess each person’s particular foot health. The in-store assessment lasts about 30 minutes, during which the staff member examines the customer’s posture, gait, and balance, then suggests the best shoe for what the customer needs, from sneakers to dress shoes to casual shoes. Merritt himself is working toward certification as a pedorthist—an expert in orthopedic devices for just the ankle and below—and sees the benefit of getting to know a person’s feet before suggesting a shoe.

“All shoes fit differently, so my job is to align people from the ground up,” Merritt notes. “We want to get a person’s weight distributed properly to minimize the pain on ankles, knees, heels, and so on. For special conditions like diabetes, we have special shoes that are high and wide in the toe area with special soles to cushion areas of the foot that feel the pain, especially the balls of the feet.”

A special offering at Foot Solutions are custom-made inserts that are made to redistribute stresses on the

feet so they feel better. The customer can use them in shoes sold in the store or transfer them to his or her own shoes and be assured of proper support as well as comfort. The store also sells diabetic socks, polish, and other shoe accessories.

“I know baby boomers think they know about ‘orthopedic shoes’ and worry that anything that is good for the feet is going to be ugly,” Merritt said. “But our shoes don’t look like ‘grandma shoes.’ They are brand-name shoes for men and women (Brooks, Finn Comfort, Orthaheel to name a few), and they are good looking. They make it possible to have a busy work and exercise life without sore feet.”

Merritt hopes to work with local physicians, podiatrists, chiropractors, and physical therapists to help their patients find shoes that solve problems from bunions to hammer toes to arthritis foot. He further hopes that the experiences of foot trouble reported by baby boomers are warnings to younger consumers, who can benefit from taking care of their feet early. “I hope they are listening. They don’t have to suffer from all these problems that cause their parents so much pain!” ❦ Foot Solutions (419-214-3668, www. footsolutions.com/toledo) is open Monday-Friday, 10:00 a.m. to 6:00 p.m., and on Saturday, 10:00 a.m. to 5:00 p.m.

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IVV Interior Designs (LIVV), According to Steve Kline, President headquartered in Toledo, Ohio, and CEO of LIVV, “Our three completed its best sales year in his- design studio openings have been tory. The impressive sales number resounding successes, beyond our was generated, to a large degree, by expectations. We currently have 12 the positive impact of the company’s design consultants who have joined new design studio concept. our design studios.” LIVV consultants LIVV’s unique studio concept are their own bosses, and their sales opened its flagship studio office and income potential are unlimited. in Toledo, followed by additional Visit www.livvinteriordesigns.com for openings in Dayton and Colum- more information on the company. bus. The studios LIVV anprovide office nounced that space for profesKari Ewersen has sionals desiring a joined the LIVV career in interior team of design design. LIVV’s consultants. In her role at LIVV, design consultants work with Kari will bring residential and her creative talbusiness clients to Steve Kline announced that Kari Ewersen ent to LIVV cuscreate beautifully has join the LIVV team of design consultants. tomers, helping decorated homes turn their visions and offices, providing furniture, of beautiful, functional spaces into accessories, window treatments, reality. Kari can be reached at www. lighting, and floor coverings that livvinteriordesigns.com/kari.html. fit clients’ tastes.

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25

LeMoyne Mercer

A Walk in the Park

Much worse places for a man to live

O

n Jan. 22, our friends Rick and Sharyn called to invite Shirley and me to join them in Hilton Head.

We told them we were in Organ Pipe Cactus National Monument, right on the Mexican border in Arizona.

They expressed concern for our safety because everyone knows the border is dominated by drug cartels and hordes of illegal immigrants.

If all you know about the border is what you see on TV news, you

would have a right sitive desert Mexican Rt. 2, a major truck route, to be concerned. I am oasis with a reminded, though, is just on the other side of the population of of an exchange stu- border fence from Quito. endangered dent from France we salt-tolerant hosted. She was afraid pupfish. The to walk in our quiet staff wanted to emphasize South Toledo neighborhood. There are their efforts Chicago-style gangto preserve sters and random the natural drive-by shootings everywhere in and historically significant aspects the U.S., you know. of the site. The reporter’s focus, howIn an effort to accentuate the posiever, was on the armed border patrol tive, the staff at Organ Pipe invited agents who escorted the tour. Pupfish, a reporter from Phoenix on a special schmupfish! Those guys got guns! tour to Quitobaquito (Kee-toe-ba-keeShirley and I were privileged to toe). Access to Quito is strictly limited be among the limited number of because it is an environmentally senvisitors to Quito. Betty Cogdill, our tour leader, explained that the park’s main concern is the possibility of a hazardous materials spill. The oasis is within a few yards of the border fence. Fifty yards on the other side of the fence is Mexican Route 2, a major trucking corridor.

To help assure the survival of the fish, the park staff relocated a number of them to a specially constructed pond Access to the environmentally sensitive area is highly behind the visitor center. If restricted. Shirley and I were fortunate to be on a guided you just want to see some tour limited to 20. pupfish, just step out back.

You don’t have to take the four-hour tour to Quitobaquito.

But you should if you get the chance.

The hour-long ride on a bumpy gravel road is itself an adventure. The van drivers evidently learned their trade as taxi drivers in Rome. Maybe Paris. They are accustomed to the route and zoom along nonchalantly at a rate ordinary sane people would avoid. Passengers started calling out, “Are we there yet?”

The road parallels the border heading west from the miniscule town of Lukeville. (“Town” is a huge exaggeration of its size.) The road dips through numerous dry washes and passes saguaro, ocotillo, cholla, and organ pipe cactus.

Salt-tolerant pupfish look like minnows, but they are on the endangered list and subject to special preservation efforts.

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Fr. Kino made four trips on the Devil’s Highway to San Diego, using the spring at Quito as a rest stop. His travels in the area established that California is not the island it was shown to be on early maps.

The area passed to American control not as a result of the Mexican War of the late 1840s but as part of the Gadsden Purchase.

James Gadsden was ambitious Organ Pipe Cactus National Monument takes its to tie together all the southern name from the impressive columnar cactus that railways into one system. They reaches its northernmost limit there. would then connect to a transcontinental railroad to the Pacific.

The Monument, by the way, was Because of the mountainous terestablished to protect the impressive rain, however, there was no suitable columnar organ pipe cacti that reach southern route. Gadsden got himself their northernmost limit there. They are very frost sensitive and thrive best on south-facing slopes even in southern Arizona.

The creosote bushes gave way to salt bushes indicating that we had entered the salt flats. This is not what you would call hospitable country.

The historic road that ran through it was aptly called El Camino del Diablo—the Devil’s Highway. The A ranger surmised that an owl had been killed park service might well consider givby a bobcat known to lurk in the area. ing that name to their bumpy road.

At Quito, Betty gave us a history of the pond that made the place a desert appointed by President Pierce in 1852 oasis. For thousands of years, Indians to negotiate the purchase of a strip stopped at the small mountain spring of land from El Paso to California. there because it was on their trade Ultimately, the Civil War got in the route to the Sea of Cortez for salt. way and the transcontinental railway To help us understand the key was completed up at Promontory figures in Quito’s history, Betty had Point, Utah. tour members engage in some modest Back when Fr. Kino stopped at (very modest, indeed) role playing.

Quito, it was just a spring rather She passed out biographical sketches than an actual oasis. That changed on cue cards from which we read when Arnold Dorsey arrived about aloud and learned the following.

1860. He built an adobe house and During the Spanish colonization planted pomegranate and fig trees. of the area, Fr. Eusebio Kino, a Jesuit To provide irrigation water for his priest, brought the Indians a more trees, Dorsey built an earthen dam stable food supply—cattle, sheep, to hold back the spring water. The vegetables, wheat—as well as Chrisresulting pond is about hip deep and tianity. Before his death in 1711, Fr. home to those endangered pupfish Kino established 29 missions including and a few mud turtles. Migrating the magnificent San Xavier del Bac birds, like human travelers, stop there just outside Tucson. It is still an actoo. A few old coots—the ducks, not tive parish on the Indian reservation. the geezers—were there when we visited. Huge cottonwood trees grew around the pond, providing welcome shade.

Dorsey’s pomegranates looked dead, but Betty assured us that occasionally they still send out shoots.

Dorsey built a mill, opened a small store, and did a little mining with M. G. Levy. Levy operated stores as well including ones at Quito, Ajo, and at Victoria Mine. The latter was Arnold Dorsey built the earthen dam that created an named for the wife of one of oasis at Quito. his storekeepers, Jose Leon.

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This is the site of the old Victoria Mine that M. G. Levy named for the wife of his storekeeper.

“Aha!” I thought. “You old fox!” Then Betty showed us a photo of Victoria from about 1880. Never mind.

Though he may not have been lascivious, Levy did have a reputation for caring for his people. Jose Sestier, for example, was another of his storekeepers. Sestier had been on his way to the gold fields of California when Levy convinced him to stay in Quito. When Sestier died, Levy freighted in the concrete and helped fashion a Mexican-style headstone.

It reads, “Rest in Peace Jose Lorenzo Sestier, Born Brest, France, Died Quitobaquito Feb. 9, 1900, Age 74.”

Levy bought the mine he named for Victoria from Cipriano Ortega, a descendant of the first Spanish settlers in the area. Ortega eventually became a respectable citizen who owned farmland, a flour mill, and a factory that made soap from the fat of wild burros. In his youth, however, Ortega had been a bandito who held up travelers on El Camino del Diablo.

After he reformed, Ortega became the scourge of other bandits, driving them from the neighborhood. Prosperous citizens, after all, can’t have a bunch of bandits hanging around.

Jeff Milton was the first border guard in southern Arizona. He was appointed in 1904 to stop the flow of illegal aliens into the U.S. back then the “undocumented” people were Chinese and Japanese trying to reach California via Mexico. Milton spent a

lot of time at Quito because anyone passing though would need water.

Because he knew the area well, Milton agreed to help Ruben Daniels guide a Carnegie Institute expedition to the Pinacate volcanic field. Milton and Daniels were responsible for finding a route with reliable water and providing the party with meat.

Ruben Daniels was a rancher, miner, and law man. He had ridden as a deputy with Milton on some adventures he described as “hair raising.”

The leader of the Carnegie expedition asked why he had chosen to live in a place as remote and lonely as Quito. “Like everyone else, I’m looking for an opening somewhere.

But, after all, there are much worse places a man can live in than little Quito.”

Betty had a number of archival photos of Quitobaquito. There was nothing luxurious about it. Unless, of course, you had just come off the Devil’s Highway. In which case, the shade of the cottonwoods looked pretty good and the water from the spring was even better.

As we were driving back that bumpy

The grave of Jose Sestier is on the Arizona list of historic sites. M. G. Levy took good care of his employees even after they left his service.

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ing

pond at Quito is just another walk in the park. ❦

In your home or ours.

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

A man could find a worse place than little Quito to live.

by Myles Mellor

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park road, we could see billboards over on the Mexican side.

“What does that say?” asked Shirley.

“Wall Drug,” I said. “Free ice water.”

Actually, it said “Drink Coca-Cola,” but if you have ever driven I-90 through South Dakota, you have seen 187 Wall Drug signs. Shirley got the joke.

Travelers on El Camino del Diablo would have been ecstatic to get some ice water. Never mind the Coca-Cola.

For those of us who have visited Quitobaquito, carrying your own water is a small price to pay. Shirley will tell you that a stroll around the

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1

29

9/18/12 9:52 AM

nobody’s perfect Sister Karen Zielinski, OSF

Healthy feedback!

I

am a health/spiritual writer. For the last twenty-some years I have written for about six national magazines, two online blogs, and some regional newsletters. I also just had a book published. But I often wonder if anyone is helped by my words on paper or the ones swirling around in cyber blogs or online articles. Do my words help anyone? Does anyone even read my articles?

In the middle of my thoughts, I received a wonderful gift right out of the blue! A reader told me that I had been a part of her son’s journey with epilepsy.

Here is her email: Dear Sister, This is just a little note to you regarding my son John Daniel. About 13-14 years ago, you wrote an article about John titled “Nobody’s Perfect. Why Johnny Can’t Skip His Medication.” Your article was all about John and how we dealt with his epilepsy. Just a little update: He has been seizure free and off of his medication for about 10 years. He is a confident young man currently attending the University of Toledo in pre-med. I do

believe that part of his confidence was a result of your article and the publicity he received at a very young age through the Epilepsy Center. It taught him to accept and love himself. I do thank you for this.

Like I said, I thought you might enjoy a little update on one of your articles.

Whenever I get a chance to look through [Healthy Living News], I always turn to your article first. I have enclosed some pictures of the pamphlet that started it for Johnny as well as a recent picture of him.

Thank You and God Bless You! Tracey Kahle.

That was a wonderful update on the January, 2000 Healthy Living News article about then fiveyear-old Johnny Daniel and his epilepsy. For 13 years, Johnny and his family visited many doctor offices, balanced medications, and dealt with the stuff of everyday life: school work, friends, sports. His mother, Tracey, comments that, “at first, one of his neurologists warned that John might have some problems with brain development as a result of his medications. I hoped that he would outgrow the epilepsy symptoms and the need for medications, but you never know.”

John is smack in the middle of his

freshman year at the University of Toledo. He is studying exercise science and taking premed courses. He is talkative and focused. He remembers that when he was growing up, “I had to go in for a sleep-deprived EEG test. I had to stay up through the night for the test.” He also remembers attending Camp Epilepsy in Defiance, Ohio.”

The one thing I take away from their story is that if I can tell my friend, doctor, nurse, or neighbor that they helped me by doing a favor, giving me some good advice, or helping me in any way in my life, I need to tell them. How else would they know that they did someone good?

Let’s all try to thank or communicate with someone who gave some guidance, wisdom, or information that helped us in any way. Let’s tell a teacher, a nurse or doctor, or a friend that they “did good.”

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

What is epilepsy?

The Epilepsy Foundation explains that epilepsy is a medical condition that produces seizures affecting a variety of mental and physical functions. It’s also called seizure disorder. When a person has two or more unprovoked seizures, they are considered to have epilepsy. Epilepsy is among the least understood of major chronic medical conditions, even though one in three adults know someone with the disorder. Epilepsy is not a single entity, but a family of more than 40 syndromes.

Epilepsy is not contagious. Epilepsy is not a disease. Epilepsy is not a psychological disorder. There is currently no “cure” for epilepsy. However, for 10-15% of people with epilepsy, the surgical removal of the seizure focus—the part of brain where the person’s seizures start—can eliminate all seizure activity. For more than half of people with epilepsy, medication will control their seizures. Additionally, some children will outgrow their epilepsy and some adults may have a spontaneous remission.

Some epilepsy quick facts

Famous people with epilepsy

(source: http://www.purpleday.org/quickfacts.php)

Throughout history, many famous people are known or are suspected of having had epilepsy. These include:

• Approximately 1 in 26 people will develop epilepsy at some point in their lifetime.

• At least 1 in every 10 people will have one seizure in their lifetime.

• Approximately 65 million people around the world are living with epilepsy.

• Approximately 2.2 million Americans are living with epilepsy.

• Julius Caesar • Alexander the Great • Joan of Arc • Napoleon Bonaparte • Vincent Van Gogh • Charles Dickens • Alfred Nobel • Thomas Edison.

And more recently: • Actor Margaux Hemingway

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(1955-1996) • Actor Danny Glover • Singer-songwriter Neil Young • Adam Horovitz of the music group Beastie Boys • Mike Skinner from the band The Streets • American Olympian Florence

Griffith-Joyner, aka Flo Jo (19591998) • American Football guard Alan Faneca (New York Jets) • American Football cornerback Samari Rolle (Baltimore Ravens) • 2006 U.S. Olympic Women’s Hockey Team goalie Chanda Gu.

Making the cut: It’s time for dormant-season pruning

W

e’re entering the late dormant season in Northwest Ohio, 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, this task may seem a little daunting. After all, each plant species has a different growth habit, and improper pruning can permanently destroy the natural appearance of a plant. However, if you familiarize yourself with a plant’s specific needs, use the proper tools, and make cuts with discretion, you won’t go too far afield.

Many local trees can be pruned in early spring before the buds begin to swell. Exceptions are maple, birch, and black walnut, which will “bleed� sap profusely if they are cut in the spring. These trees are best pruned in early fall.

The following is a list of the tools you may want to have on hand if you have both trees and shrubs to prune: • Bypass-style hand pruners for smaller branches • Bypass-style loppers for cutting branches too large for hand pruners and too small for a saw • A pruning saw with a curved, slender blade for branches between one and five inches in diameter • A pole pruner for reaching higher branches no more than one inch in diameter. Look for a telescoping handle. Many models will include a pruning saw blade.

Before you begin, repeat this mantra: “Think twice; cut once!� Remember, you can always make additional cuts if necessary, but you can’t reattach branches after they’ve been pruned.

Once you’re ready to get started

Life at Swan Pointe...

~ Lois loves Swan Pointe

and you’re supplied with all the necessary tools, first remove any broken or dead branches. Look for closely parallel branches, and thin out the weakest ones. Branches that are growing in the wrong direction, for example those that angle sharply toward the center of a tree, should be removed. Those spindly, unnaturallooking vertical shoots that emerge from the roots (“suckers�) or main limbs (“watersprouts�) should be eliminated as well. Be sure to cut off the swollen bases of watersprouts or several more will emerge in hydralike fashion to replace them. Finally, prune out any branches that are encroaching upon nearby structures or that offset the natural balance and symmetry of the tree or shrub.

Remember that it’s much easier to prune a tree when it’s young.

Limbs that have to be removed with a chainsaw from a mature tree can be removed with hand pruners or loppers from a young one.

Also keep in mind that trees respond best to a gentle touch. Avoid severely pruning or “topping� them if it can be avoided. It’s better to extend the pruning process over several seasons, removing only a few branches at a time. Be sure to examine a pruning subject from all angles before cutting. Consider how it will look once a branch has been removed and how future growth will be affected by pruning cuts—again, think twice; cut once.

The appropriate time to prune flowering shrubs depends on when they set flower buds. Late spring or summer bloomers that set buds on the current year’s growth, such as spirea and potentilla, can be pruned in early spring before growth begins.

Those that set their buds on last

Life at Swan Pointe for Lois Leninger was quite busy for a while.

She received both physical and occupational therapy services and has now successfully completed her rehab services. Lois stated that “she loves living at Swan Pointe�. Both she and her daughter Carol are very pleased with the thoughful care Lois receives.

At Swan Pointe Care Center, we are always,

Providing Service with Our Hearts and Hands.

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31

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 sacrifice a season’s worth of blossoms.

When pruning a shrub, try to work with its natural framework and growth pattern. It will be stronger and healthier at maturity (not to mention more aesthetically pleasing to you) if you do. And unless you’re striving for a severely manicured look, set aside the hedge shears in favor of hand pruners. Shearing tends to encourage thick, bushy growth at the branch ends, thus preventing light and air from reaching the center of the shrub.

Make your pruning cuts about one-quarter inch above an outward facing lateral branch or bud. The angle of the cut should be approximately parallel to the adjacent lateral branch

Q

: Recently in Healthy Living News, I’ve noticed questions and answers associating diseases with hearing loss. I’ve really enjoyed learning more how our internal systems are related.

I suffer from sickle cell disease and have recently noticed a change in my hearing. Can you help explain this?

A

: Thanks for your question. We’re happy to answer this for you and to explain the many correlations between hearing loss and other diseases and disorders. As you know, sickle cell disease (SCD), or sickle-cell anemia, is a recessive genetic blood disorder due to abnormal, sickle-shaped red blood cells. These red blood cells become hard and aren’t able to pass through small blood vessels. As a result, they clog and/or break apart, causing pain, damage, and a low blood count. SCD is the most common genetic disease in the United States; about 70-80,000 Americans suffer from this disorder.

Individuals with SCD are at increased risk of suffering hearing loss.

More specifically, the likelihood of hearing loss increases by 41%, mostly unilateral. This is a direct result of damage to the cochlea’s receptor cells.

An additional factor that you need 32 March 2013 / Healthy Living News

or bud. Cutting in this fashion will encourage new branches to grow toward the outside of the shrub and prevent crowding in the center.

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. That will give the newer canes, which tend to flower more abundantly, more space and energy.

Never cut back or shear needled evergreens, i.e., pine, spruce, or fir. In fact, if given an appropriate amount of space at planting time, no heavy pruning should be necessary for these trees with the exception of dead, diseased, or damaged limbs.

If you do find it necessary to control growth, do so by pinching back the new shoots, or “candles,” not by cutting into the older wood below the candle. ❦

to be aware of is the relationship between SCD and the risk of developing meningitis, which is higher in this population. Meningitis is the inflammation of the protective membranes covering the brain and spinal cord. The most common symptoms of meningitis are headache and neck stiffness associated with fever, confusion or altered consciousness, vomiting, and the inability to tolerate light or loud noises. These symptoms are the same ones that patients with the diagnosis of sickle cell anemia present to the medical profession. Meningitis should be taken seriously because of the proximity to the brain and spinal cord. A complication of meningitis is hearing loss, which makes it a sensitive issue with sickle cell patients.

It’s important to recognize that our body systems are all connected.

Once one is affected, it’s vital to ensure other areas of our body are functioning at optimal levels. We encourage individuals who suffer from sickle cell anemia be informed about the risk of hearing loss. Have your hearing tested annually by an audiologist for a more accurate diagnosis and steps for prevention and/or treatment. ❦

Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 3000 Arlington Ave. in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

Dr. Doug answers your questions!

by Douglas Schwan, DC, Dipl Ac

A

fter every article I write or talk I give, I get a ton of email from patients asking questions about whether acupuncture and/or chiropractic is good for this or that condition. So this month I am going to use a frequently asked question format to cover some of the most common topics.

How does acupuncture work? There are two models relating how acupuncture can make changes in the body.

The Chinese medicine model holds that qi energy (pronounced "chi") flows through channels termed meridians that act as a highway system around the body. Theory holds that imbalances, deficiencies, excesses, etc. of this energy can inhibit the body’s ability to heal and fight off disease.

Medical theory holds that stimulating nerves with acupuncture at specific points can open and close nerve “gates" located in the brain and spinal cord. This can turn pain on and off and also accounts for “detuning” anxiety- or depression-compromised patients, shutting down the appetite control centers for weight loss, and inhibiting addiction centers to help with smoking cessation, drug addiction, or other addictive behaviors.

Does medical insurance cover acupuncture treatment? Workers compensation, veterans benefits, and automobile accident policies do cover acupuncture treatment for allowed injuries. Most major insurance policies cover chiropractic. Coverage is being expanded every day, so the best advice is to contact your insurance carrier or call the office where you want to seek treatment and have

them inquire for you.

Is acupuncture treatment safe? Do you always use needles? Needle acupuncture is safe because it is carried out with sterile and disposable needles approved by the FDA. Non-needle techniques, such as with lasers or microstim units, are also available if needling is contraindicated for medical or practical reasons (e.g., treatment of infants).

What’s this about acupuncture for face lifts? Facial rejuvenation, as it is called, is a technique whereby acupuncture is used to stimulate the flow of vital qi energy into the facial area. Wrinkles develop because collagen, which lies under the skin, begins to thin after age 30. This is because tiny capillaries under the skin that support the collagen start to die back. Depending on age and skin condition, this process can be reversed to a degree.

Can acupuncture help nerve conditions like carpal tunnel or neuropathy? Absolutely! If your doctor is acquainted with modern acupuncture techniques that include laser and microstim, these conditions readily respond to treatment. In many cases, we have taken patients scheduled for surgery and helped them avoid it completely! But, as always, make sure your practitioner is experienced in treating these cases to assure the best result.

What about weight loss?

Acupuncture is great for weight loss. In our office, we use acupuncture to suppress the appetite as well as promote an increased metabolism. We combine this with a ten-step program to modify behavior so that the weight stays lost.

My friend used acupuncture for infertility. What about with in-vitro fertilization?

A successful pregnancy takes many things coming together at exactly the right time. I like to use the analogy of a bad symphony orchestra: You can walk around and hear the sound of each instrument, but when you stand back, there is no music, only noise.

The same thing can be related to infertility: Everything may be working individually, but all the parts are not “playing together.” Acupuncture is very effective in getting the body to play together so that the natural harmony comes through and leads to the beautiful music of a successful full-term pregnancy.

Studies have also shown that utilizing acupuncture in combination with in-vitro procedures increases the successful implantation rate from 15% to 17%.

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had a huge successful weight-loss How do I know if acupuncture will practice! help my condition? The best source How do you know where to put the for information about your specific acupuncture needles? This is probably condition is a doctor trained in all the most frequently heard question aspects of Oriental medicine. Most during treatment. There are a large reputable doctors will offer a free number of channels termed “meridconsultation to talk your problem ians” that carry qi energy throughout over and suggest what approach the body. This energy is used by the is best. He may also advise you if innate healing ability of the body to Western evaluation and treatment is ward off disease and heal injuries. It more appropriate for your problem. is disruption of this energy that can Whether Western or Eastern medilead to ill health. Over the centuries, cine is utilized, an initial evaluation researchers in Traditional Chinese to obtain a history and examination Medicine have mapped out over 50,000 is necessary. Then the doctor will discrete points along these meridians discuss your diagnosis and treatment that can make changes in the energy options. flow. Some points tone-up the qi.

Is all acupuncture the same? No. This Some points sedate the is a common misconcepqi, and others balance the tion. Acupuncture is just qi between meridians. another tool in the TradiIt takes a trained and tional Chinese Medicine experienced doctor to toolbox. How a doctor uses know which combinathese tools is a matter of tions of points would training, skill, and clinical make the best treatment experience. There is no “Big protocol for your specific Book of Acupuncture” on problem. the shelf that everybody It is interesting to uses. There are also modern note that points also laser, microstim, moxibustion exist inside the body. techniques, etc. that some In fact, in China, Korea, practitioners use while othand Japan, surgeons will ers don’t. sometimes perform acupuncture It is imperative that you find a inside the body during surgery to doctor with experience in the conpromote faster healing and ward dition you seek acupuncture for. A off infection. well-trained physician will also offer Can you treat pregnant women? Chilherbal and nutritional guidance along dren? Yes! In our office, we treat a lot of with treatment to balance the body infertility problems. Once the patient from within. I remember one docis pregnant, it is not uncommon for tor who was an absolute legend in us to see her back for treatment of treating addictions. Everything from morning sickness or other pregnancycigarettes to gambling problems were related symptoms. Small children routinely and successfully managed. and infants who may not sit still for Yet this doctor got miserable results traditional needle acupuncture can be with weight-loss patients. Across the 10.25x4_ES_moveAd_co#6693B0.pdf 10/16/12 8:58:19 AM easily treated with a hand-held laser. street was another physician who

Drugs for depression, anxiety, and stress. Can acupuncture help? Many people have successfully had their anxiety-related conditions treated with Traditional Chinese Medicine (TCM). Typically such cases are managed from the inside out using herbs, supplements, and acupuncture. Studies using PET scanners that measure brain metabolism have shown changes in brain function immediately following treatment.

Cases of depression and anxiety are thought to be related to “overworking” nerve cells in the emotion-control portions of the brain, causing it to lock into cyclic thinking. Acupuncture is excellent in turning off some of the pathway gates and breaking the persistence of these cycles.

I have TMJ problems? Any help? Many patients have found great relief utilizing acupuncture in the treatment of TMJ (jaw) pain. Most TMJ pain seems to be self-reinforcing inflammation of the joint. Sometimes night guards can help hold the jaw steady, but the pain often returns. Acupuncture can help close the nerve pain gate and produce local endorphins, which are the body’s natural pain killers. This breaks the inflammatory cycle and helps the TMJ heal.

Traditional Chinese Medicine (TCM) is the world’s oldest, continually practiced professional medicine. Its written history stretches back to the 3rd century BC, and its practice is undoubtedly much older than that.

Egyptian mummies have been found with burn marks corresponding with

back- and neck-pain-control acupuncture points! Both acupuncture and Chinese herbal medicine have helped millions and are quickly establishing themselves as some of the most natural, holistic, and effective alternative therapies in the West.

The World Health Organization has said that acupuncture is suitable for treating, among other things, toothaches, earaches, sinus inflammation, asthma, gastrointestinal disorders, headaches, frozen shoulder, tennis elbow, sciatica, low-back pain, and osteoarthritis. Acupuncture has been used in China for centuries to treat allergies, high blood pressure, morning sickness, skin diseases, addiction, sexual dysfunction, and much more.

If you have a question about acupuncture as it relates to your specific health condition, contact a TCM practitioner and talk it over. ❦ Dr. Schwan is available to speak at your group function on a wide variety of Alternative Medicine topics, including chiropractic, acupuncture, herbal medicine, nutrition, vitamins, etc.

He is a graduate of Palmer College of Chiropractic and a Diplomate of the International Academy of Medical Acupuncture. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time stand-up comedian. He has practice locations near Toledo Hospital and in Perrysburg, OH. He may be contacted at FAQ@acupuncturetoledo. com. For more information on Alternative Medicine, please visit our website at www.acupuncturetoledo.com.

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33

By Gail Doxsie, CNP

Simple steps to a healthier lifestyle

My rehab. My choices.

My results.

H

ow many of you resolved this New Year to make positive health changes only to find yourself struggling by the time Valentine’s Day arrived?

If so, you are not alone! Over half of us vow in January to take better care of ourselves, but unfortunately, 80% of the time we don’t follow through on our intentions very well or even at all. Sometimes our resolutions seem overwhelming and too time consuming to achieve.

The CDC (Centers for Disease Control) has compiled a list of practical and easy health tips that may help make the task a bit more achievable.

Remember, it’s not necessarily complicated to begin a healthier lifestyle.

A wise Irish proverb says, “A good laugh and a long sleep are the best cures in the doctor’s book.”

“Otterbein’s small house is NOT a typical rehab center! It is a welcoming home in a beautiful neighborhood.

The personalized therapy and home-cooked meals allowed me to recover in record time. My doctor was amazed!”

- Jim, Otterbein Small House

Small House.

Big Difference.

®

Call Joy Riedl today to schedule a tour or to reserve your private suite! (419) 308-0585

Monclova • Perrysburg

(Other Ohio locations include Springboro, Middletown, Maineville)

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Monday, March 25th

Items taking one minute or less: Wash your hands. Handwashing with soap and clean, warm water for at least 20 seconds is one of the most effective ways to prevent the spread of many illnesses.

If soap and water are not available, use an alcohol-based hand sanitizer that contains at least 60% alcohol.

Buckle up. Motor vehicle crashes are the leading cause of death among 5- to 34-year-olds in the United States.

Adult seat belt use is the most effective way to save lives and reduce injuries in crashes.

Protect your hearing. Roughly onethird of Americans over age 60 (and many young adults as well) have hearing loss. Wear earplugs or ear muffs in a noisy environment, for example when using a weed whacker, using a saw, operating a snowmobile, or listening to loud music.

Read food labels. These days, the package is becoming nearly as important as the food it contains. Reading the label can yield a wealth of information, including how much fat, cholesterol, sodium, sugars, and protein are in the food. Take note of the serving size and stick with it.

Items taking five minutes or less: Redeem before 3/15/13

Redeem before 3/15/13

34 March 2013 / Healthy Living News

Test your smoke alarms.

Every month, check your smoke alarms to ensure they work properly. Replace the batteries in all smoke detectors every year.

Almost two-thirds

of home fire deaths result from fires without working smoke alarms!

Make an appointment. Schedule routine exams, screenings, and immunizations with your healthcare provider.

Know your numbers. Keep track of your blood pressure, blood sugar, cholesterol, BMI, and weight. Some people take an “out-of-sight, out-ofmind” attitude, but early intervention for many of these issues is key to preventing complications.

Do a skin and body check. Regularly check your skin and body for lumps, rashes, sores, discolorations, and other changes. A good time to examine your body is during and after bathing. Pay attention to other changes in body function, such as urine or bowel habits, thirst, hunger, fatigue, vision, and weight. Report any changes right away.

Eat more healthy foods. Eat more fruits and vegetables in a meal, less saturated fat, and less processed and fast foods. It may take a few extra minutes each day to make better food choices, but the health benefits are worth it.

Take a break. Get at least seven to eight hours of sleep per night. If you are stressed or are getting sick, take extra time to relax and rejuvenate. Even a brief break from a hectic schedule can produce a world of good. Meditation, prayer, and recreation are all vital to optimal health and well being.

Take care of your teeth and gums. Brush and floss your teeth thoroughly to reduce dental plaque and help prevent gingivitis. Use fluoride toothpaste, and visit the dentist regularly. New research suggests that the health of your mouth mirrors the condition of your body as a whole.

Keep food safe. Make sure to cook all meat, poultry, and eggs thoroughly and wash all produce before using.

Refrigerate leftovers promptly; bacteria can grow quickly at room temperature. Wash hands, utensils, and cutting boards after they have been in contact with raw meat to prevent cross contamination. Salmonella, norovirus, and E. coli are common food-borne bacteria that cause illness.

Know the signs and symptoms of heart attack and stroke. Every second counts in these life-threatening emergencies. Be alert if you or someone you know has pain or discomfort in the chest, jaw, neck, back, or shoulders. Some

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people also experience shortness of breath, light-headedness, or nausea/vomiting. All of these could be symptoms of a heart attack.

Strokes may present with a sudden numbness or weakness of the face, arm, or leg; Gail Doxsie sudden confusion or trouble speaking or seeing; sudden dizziness or loss of balance or coordination; or a sudden severe headache with no known cause. Call 911 immediately if you suspect a heart attack or stroke in order to ensure the best treatment.

More than five minutes and worth it: Be active. Becoming more physically active is one of the most positive changes you can make to improve your overall health. Getting at least two and a half hours of exercise per week promotes the best health outcomes. Walking is a great way to get started, and even 10 minutes at a time is worth it.

In conclusion, there are many relatively simple ways to improve your overall health. The path towards a healthy lifestyle is not always the most popular or well traveled, but it is clearly the one with the most

long-term rewards!

❦

Gail Doxsie is an ANCC-certified Gerontological Nurse Practitioner with the Oregon Clinic. She earned her Bachelor of Science in Nursing at

Bowling Green State University, her Master of science in Nursing at the University of Toledo Medical Center, and post-Masters certification as a Geriatric Nurse Practitioner at the University of Michigan.

Play it Forward provides sparkling-clean toys to underprivileged children

E

arly in January of 2010, Levis Commons Marketing Director Casey Pogan contacted Shelly Konz about an annual charity event she was developing at the Perrysburg shopping center. Play it Forward was to be a used-toy drive to provide toys to underprivileged children like those living in LHMA housing (this year) as well as other area children. A toy drive right after Christmas might not follow common logic unless you consider that many children might be willing to part with older toys soon after acquiring shiny new ones. And indeed they did.

The shiny part is where Shelly entered the picture.

Mrs. Konz, business development for Cousino Harris Disaster Kleenup, volunteered without pause her organization’s equipment and facility to

clean and sanitize the toys. “I went to company president Michael Cousino with the request, and he had no hesitation; in fact, he was enthused with getting involved,” Shelly said.

That was four years ago. Recently, this year’s toys were finished being cleaned and sanitized by Casey Pogan, Shelly Konz, Sara Wilson and the host of volunteers they were able to gather and lead in the massive cleaning.

The toys were collected for the 4th annual Play it Forward on January 5th. Casey, Shelly, and many others volunteered to collect the toys in the cold January air.

“We collected two 40-foot box trucks completely filled,” Mrs. Konz said. A mere few weeks later and the toys are ready to delight the hearts of deserving children.

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How did the toys get cleaned so fast? Shelly was quick to praise the many volunteers including: Perrysburg High School Honor Society students; Delta Gammas sorority sisters from BGSU; Distributive Education students from Penta Career Center and their teacher Lisa Bell; specialeducation students from Penta Career Center; individuals like Beatrice Hummer, Matthew Herr, and Lydia Isaacson; many of Shelly’s friends, nieces, and nephews; and the list goes on and on.

In addition to good-old-fashion hands-on scrubbing, Cousino Harris’s state-of-the-art sanitization equipment was used to address such sanitary concerns as kids chewing on stuffed animals. For example, the “Esporta Wash System” uses 70-130 gallons of water per hour, and 160 pounds of contents can be processed in one load. There are no chemicals; it’s all green. After bringing client contents back to our warehouse to clean (after fires and floods), the items are tested for their bacterial levels before the cleaning process and after. The results?

Cleaner than “food grade sanitized,” Shelly said.

What’s next for the toys? Toys are sorted by category and given a second look. Toys that are broken, missing parts, or just did not clean

35

are rejected. On March 23, 2013, overflowing containers will be loaded and trucked to downtown Toledo where Casey, Shelly, Sara, and their

volunteers will set up and assist the children and lovingly place toys into the hands and hearts of wide-eyed children. ❦ are able to complete your 5K goal.

From couch to 5K L

ast month we offered some ideas on how to begin getting into shape to participate in an organized run or walk, such as the 5K event offered as part of the Medical Mutual Glass City Marathon on April 28. For those who participate in little or no fitness activity, the decision to begin an organized exercise program is a good first step.

Participation in a regular exercise program will get you off the couch and prepare you for the next step— a simple training plan that will give you confidence to enter a 5K run or walk. Ramping up your training can take place over several weeks. It will help you gradually increase your Medical Mutualby VPPcombining Ad (Healthy Living News_HP) endurance walking and running for longer periods of time and longer distances until you

Here are a few tips to get you on your way provided by Connie Beutel, Manager of Health Promotion and Wellness for Medical Mutual.

Shoes Make sure you have the appropriate shoes that will provide comfort and prevent injury. Beutel recommends that you look for comfort and support.

Find a shoe store with experts who can analyze your gait and foot strike.

The right professional will be able to determine if the bones of your foot rotate inward and to what degree.

They also can determine your foot type by checking your arch height 2/20/13 5:06 PM Page 1 gait as you walk. and observing your Keep these tips in mind when shoe shopping:

• Shop in the late afternoon when your feet will be at their largest since they will expand while running or walking.

• Take your old shoes with you to the store. This will aid the salesperson in determining your foot strike based on the wear of your old shoes.

• Wear the socks you plan to run in.

• If you have orthotics, take them with you. It only makes sense to see how your new shoe will fit with them inside.

• Don’t buy a running or walking shoe based on the new fad as these shoes may not be the best fit for your foot.

• Try both shoes on your feet at the same time, and take a “test drive” walk around the store.

Remember, they should be comfortable the first time that you put them on!

suggests starting out slow, using a walk/run plan. This will help you focus more on time than distance.

With this type of plan, you will begin by walking more than running. You will gradually decrease walking time and increase running time until you are running for the full duration of the workout.

“Start by having a goal of 20 minutes of activity,” Beutel says. “Alternate walking for three minutes and running for one minute until you reach 20 minutes. As you begin to feel more energized during each workout, increase the total time you walk and run by five minutes.”

Beutel suggests working your way up to at least 45 minutes of training time.

Continue decreasing the amount of walk time while increasing the amount of run time. Soon you will be running for the full duration of the workout and well on your way to your first 5K.

Training

Medical Mutual offers these tips to help you reach your running and exercise goals.

Once you have the appropriate shoes, you can safely start a walking or running training program. Beutel

Tips to reach your goal

• Train with a partner. This is a

Value means I won’t get a lot.

With our Value Plus individual health insurance plans it’s all about what you get. Access to preventive care covered at 100 percent, plus two doctor’s visits on us. Real value. Just a click or call away. For more information on Medical Mutual’s Value Plus plans, call (877) 325-6664 or visit us online at MedMutual.com/ValuePlus.

© 2012 Medical Mutual of Ohio

36 March 2013 / Healthy Living News

Health & Life Insurance We love comments and feedback. Like us on Facebook. Follow us on Twitter.

good motivator, and you will be less likely to skip a workout knowing that someone is counting on your support.

• Schedule your workout time like a business meeting. Put it on your calendar. It will be harder to make excuses for not training.

• Keep your running shoes in your car. If you train right after work, you won’t have to stop home and risk the chance of getting

sidetracked.

• Train in the morning! When you work out early, you won’t have to worry about it for the rest of the day. You may even notice an increase in your energy level.

Email Marathon@MedMutual.com for more information about starting a “couch to 5 K” training program.

Go to www.glasscitymarathon.org to register for any of the Medical Mutual Glass City Marathon events. ❦.

University of Toledo offers Graduate Certificate in Elder Law

by Assoc. Prof. Michael J. Spiros, JD hether you rely on statistics or anecdotal information; whether you blame it on us Baby Boomers who want to live well and live long; or whether you attribute it to nature, nurture, or more people paying attention to what they read in Healthy Living News, one thing is certain: our population is rapidly aging.

Some of the statistics are mind boggling. According to the U.S. Department of Health and Human Services, in 2009, the last year for which statistics are available, there were approximately 39.6 million Americans age 65 or older—roughly 13 percent of the population. Between 2010 and 2020, that number is projected to increase by about 36 percent to approximately 54.8 million, 22.5 million of whom will be 75 years old or older.

Anecdotally, the conclusion is the same. If you happen to be a Baby Boomer, chances are your grandparents passed away in their 60s or 70s and seemed quite old at the time, and not only because you were so young.

Nowadays, although we all recognize the uncertainties of life, many people that age exercise regularly, maintain a healthy diet, and are planning on a long future. In fact, if I may offer one more statistic without losing you, an average 65-year-old American today can expect to live to about 85. As a result, one would be hard pressed to find a job in the service sector that would not involve dealing at least in part with the elderly and for which one would not be better qualified with at least some level of education in elder law.

In response to this demand, the Legal Specialties Program in the College of Human Service Professions at the University of Toledo, in cooperation with UT’s Center for Successful

Aging in the College of Medicine, is proud to offer the Online Graduate Certificate in Elder Law. Recognizing that individuals are continually attempting to balance personal and professional responsibilities, the entire program, as the name indicates, is offered online and consists of five classes, all of which can be completed in just two semesters.

Courses are accessible 24/7 through distance-education methods over the Internet.

Three legal classes, Legal Issues for the Elderly, Elder Health Law and Ethical Issues, and a Guided Study in Elder Law Topics, are offered in the summer session. Legal Issues for the Elderly covers wills, trusts, estate administration, powers of attorney, guardianships, advance directives (health care powers of attorney, etc.), Social Security, Medicare, Medicaid, grandparent’s rights, and legal issues involved in late-in-life marriages.

Elder Health Care Law focuses on the ethical issues involved in legal practice with elderly clients, age discrimination in employment, health care and long term care for the elderly, income maintenance, and elder abuse.

The Guided Study in Elder Law is a vehicle for exploration of elder law topics chosen by the students, with the approval of the faculty, that may not have been covered in significant depth in the other courses. Examples have included a comparison of the laws of various states on such issues as end-of-life decision making and elder abuse. Students are given the opportunity to create a project that explores their interests and suits their particular needs and/or reasons for enrolling in the Elder Law Certificate Program.

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

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

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

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

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

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37

The other two classes, Health and Aging and Issues in Contemporary Gerontological Practice, are offered each fall semester. Health and Aging is designed to investigate health-related issues in older adults, including the psychosocial aspects of disability and disease. Practical application of the material is emphasized. Issues in

Contemporary Gerontological Practice explores introductory issues in older adults. Biological, psychological, and sociological perspectives of aging are addressed.

To see a short video regarding this exciting new program, go to: http://www.youtube.com/ watch?v=PWf0VX6kWe4, or for more

information, contact Assoc. Prof.

Michael J. Spiros, Esq. at mspiros@

utoledo.edu or Debra O’Connell at Debra.OConnell@utoledo.edu. ❦

Milestones Birth to age one

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he first year of a baby’s life is an anxious and often bewildering one—particularly for first-time parents. The minute that screaming little bundle of need arrives, life’s focus changes forever. There are no maps to follow, and babies don’t come equipped with a book of instructions (Dr. Spock notwithstanding). It can be hard for moms and dads to know whether their child’s development is on track or not. And just to add to the confusion, new parents are frequently barraged with conflicting advice from child-development “experts” and well intentioned loved ones.

So what can parents expect in that exhausting-yet-exhilarating first year?

While there is no rigid developmental calendar that every child adheres to, there are some general milestones to look for during baby’s first 12 months.

One month The first month is a “trial by fire” for new parents who must learn to interpret and respond to every subtle

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cue from their new family member.

The only constant in this first month seems to be the lack of any discernible routine. On the bright side, your baby will start to offer some hints of personality by month’s end. He may occasionally flash a smile, and he will begin to make eye contact, respond to faces, and follow movement with his eyes.

Feedings in the first month will consist entirely of breast milk or formula. There is no need to give your baby additional water, juice, or solid foods. As a general rule, babies need to be fed approximately every three to four hours. Be aware, however, that breast-fed babies tend to get hungry more frequently than their formula-fed counterparts and may need to nurse as often as every two hours in the first few weeks of life.

Resist the temptation to start feeding cereal. Your baby’s tummy is not ready to handle it at this early stage.

Newborns can sleep as much as 16 hours a day, which would be great for parents if those sleeping hours happened all at once or at least in two eight-hour sessions. Unfortunately, they tend to occur in increments of only three to four hours, which makes for some very sleepy parents. Over time, baby will start to develop a more normal sleep pattern, but lack of predictability is the norm.

In the second month, your baby’s routine should start to become more predictable. Nursing becomes easier, and feeding schedules are better established. He will also begin to sleep for six to eight continuous hours at night.

This month, your baby will begin to coo and vocalize. He will turn toward voices and other sounds and may begin to reach toward objects. When lying on his stomach, he should be able to lift his head, neck, and upper chest with support from his forearms.

He should also exhibit some head

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control in an upright position.

Keep in mind that your baby may begin to roll over as early as two months. Never leave him unattended on a couch, bed, changing table, or any other elevated surface, even for a brief moment.

Four months At this stage, solid foods can be introduced in addition to breast milk or formula. Start by spoon-feeding rice cereal then gradually introduce other cereals, mashed-up table foods, and commercially prepared baby foods.

A good feeding schedule for month four includes fruit and cereal in the morning, vegetables and cereal in the evening, and breast milk or formula in between.

To parents’ great delight, babies usually begin sleeping through the night and take two to three daytime naps at this stage. It’s a good idea to start putting baby to bed at the same time each day, even if he’s still awake.

Other developmental milestones to look for include babbling, laughing and squealing, rolling over from stomach to back, opening his hands and holding his hands, grasping a rattle, controlling his

head, batting objects, and recognizing mom and dad’s voice and touch.

Also, baby may drool as teething begins and salivary glands develop.

Six months By the sixth month, baby’s foods can be increased gradually to three meals per day.

Commercial baby foods are a perfectly good option, but mashed table foods work just as well and are a lot less expensive. It’s also time to introduce drinking cups with lids and to move baby into a high chair for feedings.

A six-month-old is also becoming increasingly mobile. He should be able to sit at least briefly with minimal support, grasp and mouth objects, transfer objects from hand to hand, and rake in small objects with his hands. Of course, with this increased mobility, parents must ensure the home is “baby proofed” to prevent accidents. For example, you should lower the crib mattress to its lowest point, move all chemicals out of reach, cover electrical outlets, install baby gates on all stairs, and put child-protective locks on lower cabinets and drawers.

Baby will also begin to find his voice around this time.

In addition to babbling, laughing and squeal-

ing, he should start to produce words like “dada” or “baba” and make razzing noises. He will also make the delightful discovery that producing a loud, piercing scream in a public place will get mom and dad’s immediate attention.

Baby’s first teeth may appear in the sixth month as well, and the arrival of teeth will often be accompanied by crankiness, mouth pain, fever, a clear runny nose, loose stools, and diaper rash.

Nine months The ninth month is a good time to start spicing up baby’s diet. In fact, you’ll want to try to move him toward eating all table foods along with breast milk or formula. Experiment with different spices and textures, and add finger foods such as dry cereal or macaroni and cheese to the menu.

Also, keep encouraging him to drink from a sippy cup with the goal of weaning him off bottles completely by 12 to 15 months. And never give your baby a bottle containing anything other than water at bedtime, as falling asleep while drinking milk, juice, or formula bathes the teeth in sugary liquid and promotes tooth decay.

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If your baby has more than four teeth, you can begin to clean them.

Use a soft child’s toothbrush or a washcloth with plain water or a peasized amount of toothpaste.

At nine months, baby will begin to respond to his own name and should understand a few words. He will continue to babble in nonspecific syllables and say “dada,” “baba,” and “mama.”

He will become even more mobile as he learns to crawl, creep, or scoot across the floor. He can now pick up objects with his thumb and index finger and will take delight in banging, throwing, and dropping objects and in playing games like peek-a-boo or patty cake.

Twelve months Your baby has finally reached his first birthday and is fast becoming a unique little person with an agenda all his own. He will start to wave “bye-bye” when he leaves grandma’s house, he should be able to say two to four words, and he’ll begin imitating your vocalizations. He should also be able to pull himself to a standing position and possibly take a few steps.

He will point, bang blocks together, and enjoy more and more games with mom and dad.

The twelfth month may also be a

39

good time to start your baby on Vitamin D whole milk, which contains the fats necessary for proper growth and brain development, but parents should consult with a pediatrician first to ensure this dietary change is appropriate for their child. He

should also be eating all table foods and drinking only from a cup. Try to encourage healthy eating by offering a variety of nutritious foods for three meals and two snacks each day. Don’t be frustrated if your baby seems picky and refuses certain foods.

Just keep offering a variety, and you’ll eventually figure out what he likes.

Results may vary!

It’s important to remember that every child is an individual who will develop at his or her own pace. You may notice that he reaches some milestones earlier than peers and

lags behind in others. This is normal.

If you are worried about any aspect of your child’s development, be sure to discuss your concerns with your pediatrician.

Otherwise, enjoy this wonderful new life and give yourself a pat on the back. You’ve made it through a tough first year! ❦

We can free our kids from the grip of obesity

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o Nancy Surella, a Community Health Educator with Mercy Children’s Hospital Kohl’s Kids in Action program, the growing problem of childhood obesity is a personal one. Having been obese in the fourth grade, she knows from experience what it’s like for a child to be overweight, singled out for ridicule, and chosen last for team sports. She recalls the physical limitations her excess body weight imposed—getting winded easily, suffering with joint pain, etc.

But perhaps most important, she also discovered how exhilarating it can be to break free of obesity when she shed 50 pounds through proper diet.

“That’s why the issue of childhood obesity is so important to me. I’ve struggled my whole life with obesity, and I don’t want any child to go through what I did,” she states.

But Surella and her fellow child-health advocates have their work cut out for them.

Lucas County has a higher rate of childhood obesity than the national average.

In fact, based on 2011 data, the rate of obesity in Lucas County children ages 18 and younger is an alarming 21.7%. The rate is even higher in the African

40 March 2013 / Healthy Living News

American and Hispanic communities. “That’s why Kohl’s Cares has funded our efforts to counteract childhood obesity in our community for the last seven years,” she notes.

Several factors appear to be fueling the childhood-obesity epidemic. Among them is poverty. Eating healthy isn’t cheap, and, unfortunately, the least expensive foods on the market tend to be high-calorie, low-nutrition convenience foods. Also, as Surella points out, many impoverished neighborhoods are essentially “fresh-food wastelands,” devoid of good sources for fresh fruits and vegetables. Adding insult to injury, children living in impoverished urban settings often feel unsafe going outside or to their local park to play, or they’re actually told by their parents not to leave the house, so physical activity falls by the wayside.

Surella identifies excessive “screen time” as another major factor that is preventing kids from getting active and, thus, contributing to obesity.

“Kids today are spending more and more of their free time immersed in videogames, the Internet, and television. The old-fashioned outdoor games that we all grew up with, like hide-and-seek and jump rope, just can’t compete with the powerful

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allure of this virtual world,” she says.

Of course, it’s impossible to ignore the sophisticated advertising campaigns that target kids and urge them to consume (or ask Mom and Dad to buy) the latest and greatest high-calorie food items. At the same time, families are abandoning home cooking in favor of fast and convenience foods, which come in astonishingly oversized portions.

Despite all these influences and toxic messages, Surella isn’t losing hope, and she’s taking the message of healthier eating and exercise to kids throughout our community.

Oftentimes, she finds that speaking to kids in their own language can help get her message across. “For example, if I say to kids that I can teach them some ‘tricks’ that will keep them healthy, they respond with a yawn. But if I tell them I know some ‘cheats’ that will make them healthy, they perk right up,” she comments.

For kids in kindergarten to grade three, she finds that simplified terminology makes nutrition concepts understandable. One of her favorite devices when addressing this age group is to discuss the concept of the “Colorful Plate,” which divides foods into five color categories with each color providing particular benefits for the body. Green foods accelerate healing and bolster the immune system (Surella describes the immune system as “a bunch of little ninjas” that fight off invader germs that can make you sick). Foods in the yellow/ orange group are good for the skin, bones, and eyes. The blue/purple group is rich in fiber and Vitamin C and helps the heart. White foods, such as cauliflower, are good for the lungs and heart. And foods in the red group are good for the joints and muscles.

Parents must promote proper nutrition and healthy weight in their children, as well. Here are 10 simple steps that can help them: 1. Stock the house with fresh fruits and vegetables.

2. Rid the house of cookies, cakes, and other high-carbohydrate treats.

3. Limit desserts to special occasions.

They should not be offered after every meal.

4. Discourage kids from “drinking their fruit” in the form of sugary juice. Give them fresh fruit to eat instead.

5. Provide breakfast every day. If they don’t start the day with a nutritious, filling meal, they’ll eat more junk later on.

6. Read food labels carefully so you know exactly what your kids are eating.

7. Make fast food a rare exception, not the rule.

8. Encourage physical activity. Kids should get an hour of activity, at least five days a week 9. Eat only at the table with family—not in front of the television or other distractions that lead to “mindless” eating.

10. Give only non-food rewards for achievements, good behavior, etc.

LIVE ON STAGE

How can parents encourage more physical activity in their kids? The trick is to encourage activities that are so fun that kids won’t even notice they’re exercising. Kohl’s Kids in Action has some great suggestions in their booklet titled “Let’s Go Outside and Play.” Here are just a few samples:

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Capture the Flag You need: • Two teams with four or more players per team • An open space like a yard or field • Colored bandanas or rags to use as flags How to play: Team 1 has the front yard and Team 2 has the back yard, or a field is split between the two teams. Each team is given a flag. The teams are given about five minutes to hide their flag in their part of the yard.

When the flag is hidden, call out that you are finished. Then look for the other team’s flag. If you get caught and tagged by the opponent on their territory, you must go to “jail” (an area away from the playing field). You will be freed only when a teammate rescues you by grabbing you when the opponents aren’t looking.

The first team to capture the other team’s flag wins.

Backyard Frisbee Golf You need: Two or more players and a Frisbee How to play: Pick a target; say a fence post or a small tree. Then find a place far away from the target and set a number

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Saturday, April 6, 2013 at 2 p.m.

Outspoken, precocious, lovable Junie B. Jones stars in a colorful, funny, fast-paced musical about her life in her Top-Secret Personal Beeswax Journal.”

TREASURED STORIES OF ERIC CARLE Saturday, April 27, 2013 at 2 p.m.

He’s back! The Very Hungry Caterpillar is joined by a whimsical cast of adventurous animals drawn from the pages of Brown Bear, Brown Bear, What Do You See? and Papa Please Get the Moon for Me.

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41

of throws it should take to get the Frisbee to hit the target. Remember, the lower the number, the more skill will be needed to get the Frisbee to the target. ❦

ONE

AT A TIME.

Two healthcare pros experience The Laurels as patients

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wo highly experienced healthcare professionals recently came to work with the therapy team at The Laurels of Toledo—but on this occasion, these healthcare veterans found themselves in somewhat unfamiliar territory. They came to receive care, not provide it. Both arrived at The Laurels, a skilled nursing and rehabilitation center located at 1011 Byrne Road, as rehab guests following debilitating injuries.

For Sandra Krichbaum, coming to The Laurels for outpatient rehab was like coming home—literally.

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Sandra Krichbaum

Krichbaum, a speech therapist with 48 years of experience under her belt, has worked for The Laurels since it opened its doors in 2008. She only recently entered semi-retirement and still provides her service and expertise to Laurels guests on an as-needed basis. She notes, “Most people don’t realize how important speech therapy is. I still love doing it after all these years. It’s so rewarding to see how people change over the course of their therapy, how differently they begin to see themselves, and how they start to improve in other therapies.”

Krichbaum transformed from provider to patient when she began to have serious problems with her neck.

She couldn’t swallow properly and had significantly impaired range of motion. It turned out that, owing to arthritis, two discs in her neck had actually punctured her spinal cord.

She had to undergo surgery to replace 42 March 2013 / Healthy Living News

For more information on the Mercy Children’s Hospital Kohl’s Kids in Action program, please call 419-251-1246 or visit kohlskidsinaction.org.

two vertebrae with cadaver bones and install a metal plate in her neck.

Initially, the Laurels therapy team concentrated their efforts on Krichbaum’s cervical area, but when she started experiencing recurrent shoulder pain, they soon had to make adjustments. “At first, we thought the pain was being referred from the neck,” explains Laurels physical therapist Alan Easly, “but then we discovered she had a torn rotator cuff, so we shifted gears and started treating her shoulder.” Another curve ball came her way when Krichbaum had to be hospitalized with a “bug” and high fever. After that, she came back to The Laurels to resume working on her neck.

“This is the best rehab staff I’ve ever worked with, and I wouldn’t go anywhere else. They’ve never given up on me—even when I was ready to give up on myself,” Krichbaum states.

Gentle shoulder therapy is helping to restore her range of motion, and while she still has some weakness, she observes that the rehab work on her neck has reduced the degree of neuropathy she experiences as a result of diabetes.

Julie Leidel, Rehab Services Director for The Laurels, remarks, “Sandra always has such high expectations for her therapy guests and gives them such high-quality care. We just wanted to give her the same thing in return.”

Liana Lyons, RN/BSN, who has worked as a nurse in the prison system and at Powertrain, found herself on the opposite side of the practitionerpatient relationship after a serious mishap last November on the stairway leading to her home. It was nighttime, and Lyons was carrying a load of laundry in her right hand.

She’d climbed eight stairs when she suddenly lost traction and slid down three stairs. She managed to stay on her feet but landed hard on each step.

When she caught herself, she thought the worst was over, but then she slid down the remaining five stairs and fell on her bottom with her left leg trapped underneath her.

With a background in prison nursing, Lyons is not what one would describe as easily discouraged. She

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turned around and scooted up the same day she was interviewed. “Her biggest obstacle is going to be those stairs on her backside with her left stairs again,” Easly comments, “so leg extended, using her right leg to push. She recalls, “When I got to the she’s working with a balance ball, top, I put my key in the lock and climbing stairs, and walking using tried to open the door, but then I parallel bars—which she describes collapsed when it opened. So I threw as ‘robo-walking.’” the laundry indoors, said hello “I’m dealing with just a walker and goodbye to the cat, and now, and my goal is to go home scooted my way back down with just a cane,” Lyons says. “I owe so much to the Laurels staff. the steps.”

Once she reached the botThis is the best place I’ve been tom, she called her brother for extensive therapy.” and asked him to drive Easly comments that her to the hospital, but healthcare professionit wasn’t to be. He tried als sometimes make the to help her up, but her worst patients, but that leg went right out from hasn’t been his experiunder her, so he called ence with Krichbaum an ambulance, which and Lyons. “They might took her to Mercy St. challenge us once in Vincent Hospital. Xa while to make sure rays revealed that we know what we’re Liana Lyons she’d broken her leg. doing, and they like a “I told the doctor to little more explanation bandage the leg, put me on crutches, of why we’re doing something,” he and send me home,” she recollects, says. “But they’ve made every effort “but he said, ‘I’m afraid I can’t do that; to get stronger, and we’re extremely you’ve broken it in two places!’” After proud of their progress.” ❦ undergoing surgery on her leg, Lyons came to The Laurels for short-term, The Laurels of Toledo accepts Medicare, inpatient orthopedic rehab.

Medicaid, and all private commercial Lyons just recently regained the insurances. For more information, ability to bear weight, and she displease call 419-536-7600 or visit www. continued her wheelchair use on the laurelsoftoledo.com.

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43

Begin your Lifelong Learning journey!

Lynda Hoffman Coordinator

lifelong@lourdes.edu

419-824-3707

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

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Lifelong Learning at Lourdes!

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How to be one of those “lively nonagenarians”

I

by Lynda Hoffman

n her recent book, Positively Ninety, Connie Springer shares the 20 personality traits leading to successful aging. Although these traits are probably innate, they can be emulated to break negative habits of isolation that can lead to dementia and to help one become a “lively nonagenarian.” The Toledo area offers many groups and programs that will help people develop the traits and habits demonstrated by the lively nonagenarians Springer interviewed, but the program that will encourage the majority of those traits is Lifelong Learning at Lourdes, which offers a large variety of classes and lectures to help challenge and stimulate the brain.

Among the 20 traits are continuing to learn, engaging in the world around you, and continuing to find new challenges. From the New Testament and Vatican II to classes on Russia, Vietnam, and the Civil War, Lifelong Learning students engage in lively discussions, and although some courses do require a textbook, there are no tests and no graded homework is given. To encourage interest in national and international issues, Great

Decisions and Hot Topics are offered.

The large variety of art classes, from Fused Glass to Pysanky Eggs and Silk painting, offer the opportunity to take on new challenges and engage with people of a wide range of ages, both traits of lively nonagenarians.

Members and nonmembers of Lifelong Learning are invited to attend the theater, symphonies, lectures, and road trips, all of which allow for

important connection to friends and involvement in enjoyable activities.

I am new to this group but have been overwhelmed by the wonderful people I have had the privilege to meet. Whether they are a retired

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executive, teacher, librarian, police officer, or scientist, all share some common traits: they enjoy life, people, and, most of all, learning new things.

With such a wide variety of ages and backgrounds, this is truly an engaging and welcoming group to take part in.

For information on joining or our classes, which include genealogy, wine tasting, writing, history, and computers, visit our website, www.lourdes.edu/lifelong. If you are interested in traveling to the

Detroit Institute, Stan Hwyet Hall, or the Hayes Presidential Center, or if you just have questions, call Lynda Hoffman at 419-824-3707 for more information. Everyone is welcome to attend our monthly lectures (the third Friday of the month at 9:15 in the Franciscan Center), and the first visit is free. ❦ Lynda Hoffman is the Interim Coordinator of Lifelong Learning and an English instructor at Lourdes University.

Dr. Namay offers a forgettable dental experience— and patients love it!

D

espite the remarkable strides the dental profession has made in recent years with respect to keeping patients comfortable and pain-free, it’s not unusual for people to experience at least mild trepidation prior to a dental visit. For some, however, fear and anxiety linked to dental care can be much more intense, prompting them to avoid routine checkups and cleanings or postpone treatments until small problems turn into big ones.

As a result, their health, smile, and self-esteem can really suffer.

Recognizing that dental anxiety leads to neglected dental health, George Namay, DDS, now offers an alternative that makes a visit to the dentist, well, utterly forgettable.

Dr. Namay has expanded his wide range of dental services—teeth replacements, porcelain veneers and crowns, invisible restorations, adult orthodontics, teeth whitening, and more—to include sedation dentistry.

“Patients who choose to have treatments performed under sedation are given oral medication prior to their appointment that puts them in a state known as conscious sedation,” Dr. Namay explains. “They’re semiawake and responsive, but they’re unaware what’s happening during the procedure. Also, the medication has an amnesic effect, so they have no memory afterward of what was accomplished.”

Sedationdentistry patients will be unable to operate a motor vehicle safely, so they need to arrange for a companion to transport them to and from their appointment. When they arrive in the office, patients are escorted to a comfortable room, covered with a warm blanket, and placed on a monitor so their vital signs can be observed. Once they are completely comfortable and sufficiently drowsy, Dr. Namay will attend to their dental needs. At no time are patients left alone and unattended.

“With sedation, we can do as much or as little as the patient wants. We have quite a few patients who request sedation just for cleanings, but we can also perform years’ worth of dental treatments in just one or two visits if necessary. I’ve found that some patients need sedation for the first few visits but then gradually overcome their fear and realize they don’t even need it anymore,” says Dr. Namay.

In most instances, dental anxiety stems from what patients heard happened to someone else or from traumatic or frightening personal experiences they had with dental care when they were young. Patients may also benefit from sedation dentistry if they have difficulty getting numb with anesthesia, a bad gag reflex, very sensitive teeth, complex dental problems, or limited time to complete dental care. Other good candidates include people who are afraid of needles; those who dislike the noises, tastes, and smells associated with dental care; and those who

are embarrassed about the condition of their teeth. “Whatever fears or concerns are interfering with a patient’s willingness to seek dental care, sedation dentistry is a great tool for getting them back on board,” Dr. Namay remarks.

Sedation-dentistry procedures are typically scheduled for early in the morning so patients can return home and sleep for several hours and still have time to call the office if they have any questions or concerns when they wake up. Dr. Namay calls to check on sedation-dentistry patients the following day, not on the same day of the procedure. Otherwise, they won’t recall the conversation or what they were told to do.

Dr. Namay’s patients who have undergone sedation dentistry are unanimous in their appreciation for this pain- and stress-free option.

“They love it!” he enthuses. “I’ve never had anyone say they don’t like it or wouldn’t do it again. Many have even told me that sedation dentistry has changed their life.” ❦ Dr. George Namay’s office is located at 6800 W. Central Ave. in Toledo. For more information about sedation dentistry or other services Dr. Namay provides, please call 419-843-7884.

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Providence Care Center earns perfect survey Providence Care Center has received a deficiency-free survey rating from the Ohio Department of Health (ODH). The ODH conducts unannounced on-site inspections annually to all long-term facilities in the state. Only a small percentage of skilled-nursing facilities in Ohio achieve this distinction.

“We are thrilled with the results,” said Providence Care Center’s Executive Director Wendy Dolyk. “A perfect rating is exceedingly difficult to attain. The best part is that our residents benefit from this commitment to quality.”

Recently, a team of surveyors spent three days at the Center to ensure the facility is in compliance with regulations, including safety, quality of care, patient rights, food service, and administration and nursing care. Additionally, the State’s team reviewed documentation; observed care and services provided; conducted interviews with residents, families, staff; and more.

“This achievement takes an entire team,“ said Staci Lehmkuhl, Administrator. “Our staff’s passion for their work is evident, and the results prove it.”

45

Let’s save the world—starting in the kitchen put them so they can acquire a full complement of spots and a nice oily sheen.

As any parent of a teenager knows, kids in this age bracket 1) eat and drink almost incessantly (they stop only while sleeping so they don’t choke) and 2) have the peculiar tendency to hoard dirty dishes. For example, our 17-year-old son, Aidan, will stockpile dozens of milk glasses, pizza- or spaghetti-sauce-encrusted plates, and ice-cream bowls in his basement lair for several weeks running. Then, those dishes will suddenly appear all at once in precarious stacks on the kitchen counter, as if conjured from thin air (that’s how we know he’s still alive). Hannah, our 13-year-old daughter, lacks Aidan’s astonishing appetite, but she, too, hoards her fair share of dishes up in her bedroom.

By the time all those dishes finally reappear, the food/milk remnants on them have hardened to such a profound degree that it takes 30 gallons of water, a putty knife, and an acetylene torch to get them clean. On the

other hand, if the kids were to make the miniscule effort to rinse those dishes right after eating or drinking, it would take no more than a trickle of water to clean them. Thirty gallons multiplied by dozens of dishes? That sounds like a pretty hefty environmental impact!

Wasteful power consumption is another issue in our home (or any home containing children).

You can always tell which rooms the kids have been in by the trail of lights they leave on. Every school day, like clockwork, I have to retrace their steps, turning off lights in the vestibule, kitchen, laundry room, bedrooms, bathroom, and hallway. Again, flicking a few light switches requires very little effort, but it can make a big difference in terms of our

household energy consumption and the size of our electric bill.

All this has me thinking how the little actions and decisions we make every day can have a major influence on the quality of our lives. Big problems t’s the job of today’s youth to resometimes have big verse global warming, to stop the root causes, but oceans from rising, to purify the air, oftentimes they to protect the coral reefs and rainforstem from a series ests. Before they can read, write, or of smaller events. even tell time, our kids are taught to Take the issue of reduce, reuse, and recycle, to internalviolence in our culize the concept that everything they ture, for example. do “upstream” affects someone living Reasonable people “downstream.” In essence, they’re trying to comprehend this getting the message that their role problem can rightly argue is to save the world. about things like the breakA lofty ideal, but frankly, I’d be down of the family, the achappy if I could just get my teencessibility of guns, violent aged kids to rinse out a bowl once films and videogames, the in a while. quality of our mental-health This occurred to me recently as I system, etc. But limiting the was pre-cleaning a sink full of dirty focus to these factors overdishes before transferring them to looks something very important—the the dishwasher—which is where I role our small, seemingly minor dayto-day interactions might play in promoting or defusing anger in others.

I think it’s important to evaluate whether, on balance, we treat others as we would have them treat us. When we’re dining out, do we treat the wait staff like equals • If your stay at the hospital is a minimum of 3 qualifying or like servants who midnights, Traditional Medicare will pay 100% of your stay should cater to our up to 20 days.* every whim? Do we • Today there are many private insurances that offer treat subordinates at the same 100% coverage without the 3 midnight qualifying work with respect stay minimum. and consideration or condescension and Our administrative staff is experienced not only with Medicare but many derision? How do we other private-insurances. Our professionals can assist you with this and behave on the road? much more.

Do we cut people off or tailgate? If someone is trying to pass on a two-lane highway, do we slow down and move right to make it easier or give the gas pedal that little extra “goose” so it’s harder for them to get by? Taking the “low road” in each of these situations may Admissions 7 days a week seem inconsequential, but how does it affect someone who’s alOur wide range of services include: ready struggling with short term rehab, outpatient therapy, skilled nursing, long term placement, memory care anger? How many

by Jeff Kurtz

I

Post-Hospital Care, redefined Did you know?

46 March 2013 / Healthy Living News

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violent acts could we avert simply by being the best versions of ourselves every day?

I’m inclined to think many of our society’s seemingly insurmountable problems—poverty, substance abuse, child abuse and neglect, bullying, teen pregnancy, etc.—could be solved or minimized in this way. We need to start tackling these issues on the micro, not macro, level. Rather than ask, “What can I do to save the world?” perhaps a better question might be, “What can I do to improve my little corner of it?”

For kids, that might mean treating their teachers and classmates with courtesy and respect, keeping their living space clean (yes, including rinsing those dirty dishes), tackling chores around the house, or helping a neighbor with yard work.

Once they get the hang of the little things, they can worry about saving the world. ❦ Jeff Kurtz is the editor of Healthy Living News and the senior consulting editor for Tropical Fish Hobbyist Magazine. He’s also the author of The Simple Guide to Marine Aquariums, The Simple Guide to Mini-Reef Aquariums, Clownfishes and Other Damselfishes, and The Saltwater Aquarium Problem Solver.

Tinnitus is taking a toll on our troops

by Randa Mansour-Shousher, AuD, CCC-A

W

e all know someone who has tinnitus, and it might even be ourselves, but did you also know tinnitus is having quite an effect on our country’s military branches?

Tinnitus, which is noise or ringing in the ears, affects about 1 in 5 people. Age-related hearing loss, exposure to loud noise, blood vessel disorders, earwax blockage, and head or neck injury are all common issues that could lead to tinnitus. There are also medications that can cause or worsen tinnitus, such as aspirin, particular cancer medications, and antibiotics. The risk of tinnitus increases for those over 65 years old who have been exposed to loud noises without protection, whether it was for short or long periods of time. It really can affect people of any age. Just recently we received a call from a parent who was concerned because her 10-year-old was complaining of hearing noise in his ears.

Believe it or not, tinnitus is the

number one service-connected disability for our veterans returning from Iraq and Afghanistan for the last three years. Our military has become very sophisticated, but that hasn’t stopped the tinnitus; it’s actually increasing.

In 2009, over 760,000 veterans suffered from tinnitus. The number of those affected by tinnitus is only likely to increase with the increase in roadside bombs and other explosives in both Iraq and Afghanistan.

By 2014, the number will increase to over 1.5 million. Moreover, according to Walter Reed Army Medical Center, of the soldiers returning from Iraq and Afghanistan, about 49% reported having tinnitus.

Often coupled with tinnitus is hearing loss. What’s

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more astounding is that the Army is the only branch in the military that actually requires earplugs.

In general, military personnel are exposed to intense and excessive noise produced by weapons, aircraft, and heavy vehicles, particularly those in combat situations. Moreover, the extreme pressure changes can also result in tinnitus and/or hearing loss.

Combat veterans also have shown a correlation between Post Traumatic Stress Disorder (PTSD) and tinnitus.

Improvised Explosive Devices, or IEDs, are often the most common cause of this service-connected disability. IEDs detonate at levels of 140+ decibels (dB). To put that into perspective, a lawnmower is about 90dB and a jet engine is about 120dB. Hearing loss can occur from any sound above 85dB. More specifically, eight hours of 90dB can cause damage, but immediate damage and pain can occur from any exposure higher than 140dB. There are definitely a few long-term effects of suffering from tinnitus, both physical and mental, that are worth noting. Examples include difficulty establishing long-term sleep patterns, stress in relationships, employment challenges, and changes in thought and memory.

An easy way to prevent tinnitus

47

is for all service members, in every branch of the military, to wear ear protection while in the field at all times. Let’s take the advice we give our military personnel and apply it to ourselves at home, as well. This will not only assist in the prevention of tinnitus, but also possible hearing loss.

If you do notice a sudden ringing in the ear or difficulty hearing, note that this as a sign of temporary damage to your hair cells in the inner ear that can return and become a permanent

problem. Be sure to contact an audiologist for the proper treatment suitable for you and your lifestyle.

We are here to help the veterans, as they are here to serve our country and protect us. God bless all of you.

Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 3000 Arlington Ave. in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

How well do you know your home fire extinguisher?

I

t’s every homeowner’s nightmare: A small fire starts in the kitchen and quickly grows out of control, or a candle’s flame ignites a lampshade, spreads to the window curtains, and consumes the home in the blink of an eye. With so many combustible materials in the average household, fire is an ever-present danger.

Fortunately, you have a portable fire extinguisher in your home, so you and your family should be safe in the event of a fire, right? Well, maybe. While a portable home fire extinguisher can be effective in quenching small fires, you can’t rely on it unless it’s fully charged and properly maintained and you and all your family members have been properly trained on when and how to use it.

It’s extremely important for homeowners to understand that portable fire extinguishers are designed for immediate use on small fires, not for large or spreading fires. In fact, even small fires can be a challenge for a homeowner to control with an extinguisher if the conditions aren’t just right. The extinguisher must be large enough to combat the fire at hand, and the operator must be completely familiar with its capabilities ahead of time. Remember, it’s too late to start reading the label directions once a fire has started.

What to look for when you buy When shopping for a fire extinguisher, choose a model that is labeled by an independent testing laboratory, such as Factory Mutual (FM) or Underwriters Laboratories (UL), and make sure the pressure gauge is on “full” and the unit was manufactured within the past year. Check the control head to make sure it’s not made of plastic.

The pressure in the cylinder can cause these heads to fracture, resulting in “rocketing” of the extinguisher’s contents. You may also have difficulty 48 March 2013 / Healthy Living News

finding a company that’s willing to service or refill extinguishers with plastic heads. Whatever style you buy, be sure to check with your dealer to determine how your unit should be serviced and inspected.

It’s also vital to ensure you can physically handle the extinguisher. Some models with additional capacity can be quite heavy, and there’s no advantage to paying for that extra flame retardant if you don’t have the physical strength to lift and operate the extinguisher.

The right extinguisher for the job Each fire extinguisher is labeled based on the type, or class, of fire it will put out. According to the U.S. Fire Administration (USFA), extinguishers are classified as Class A, B, C, D, or K. There are also multipurpose extinguishers, such as those labeled “B-C” or “A-B-C.” Here’s how the USFA defines the different extinguisher classes: • Class A extinguishers put out ordinary fires in ordinary combustible materials, such as cloth, wood, rubber, paper, and many plastics.

• Class B extinguishers are used on fires involving flammable liquids, such as grease, gasoline, oil, and oil-based paints.

• Class C extinguishers are suitable for use on fires involving appliances, tools, or other equipment that is electrically energized or plugged in.

• Class D extinguishers are designed for use on flammable metals and are often specific for

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the type of metal in question.

These are typically found only in factories working with these metals.

• Class K extinguishers are intended for use on fires that involve vegetable oils, animal oils, or fats in cooking appliances. These extinguishers are generally found in commercial kitchens, such as those found in restaurants, cafeterias, and caterers. Class K extinguishers are now finding their way into the residential market for use in kitchens.

Multipurpose extinguishers rated for type A, B, and C fires are most commonly recommended for home use.

Remember to PASS The National Fire Protection Association urges everyone to remember the word “PASS” when it comes to fire extinguisher use. This memory device stands for Pull, Aim, Squeeze, and Sweep. First, pull the pin located at the top of the cylinder and, with the nozzle pointing away from you, release the locking mechanism. Next, aim the nozzle at the base of the fire and squeeze the lever slowly and evenly, sweeping the nozzle from side to side.

When to fight the fire and when to flee According to the USFA, you should attempt to fight a fire with a portable fire extinguisher only if the following conditions exist: • You have alerted other occupants and someone has

called the fire department • The fire is small and contained to a single object, such as a wastebasket • You are safe from the toxic smoke produced by the fire • You have a means of escape identified and the fire is not between you and the escape

If all of these conditions are not present or you have any doubts about your ability to fight the fire, get everyone out of the house and call 911.❦

Zoo offers admission discounts during March

T

he days are longer, the skies are bluer, and the weather is (we hope) warmer. To celebrate the beginning of spring, your Toledo Zoo offers special discounted admission during the first three weeks of March.

Online coupons at the Zoo’s website, toledozoo.org, offer visitors a 50 percent discount from March 1 through March 10, and a 25 percent discount from March 11 through March 22. It’s the smart way to make an affordable family outing even better.

This discounted Zoo admission entitles visitors to a whole Zoo’s worth of fun, on top of some great activities. These include:

n i e e ’r e m W o C

Saturday, March 16: Teddy Bear Care Fair, 11:00 a.m. to 4:00 p.m. Get a checkup (and even a quick fix) for your little stuffed buddy as you learn about how the Zoo cares for its own thousands of animals. Plus, if your family’s ready to adopt a real, live pet, the Toledo Area Humane Society will be on hand to help you find the perfect pet.

Wednesday, March 20: Greenhouse Tour & Container Garden Talk, 10:30 a.m. to 12:00 p.m. Take a behindthe-scenes tour of the Zoo’s beautiful Greenhouse. Space is limited and registration is required. Visit

Complete listing of expanded hours

Monday and Tuesday: 9 a.m. - 8:30 p.m.

Wednesday - Friday: 9 a.m. - 5:30 p.m.

Birmingham, 203 Paine Ave. Lagrange, 3422 Lagrange St. Locke, 703 Miami St. South, 1736 Broadway St. Toledo Heights, 423 Shasta Dr.

Monday and Tuesday: 9 a.m. - 8:30 p.m.

Wednesday - Saturday: 9 a.m. - 5:30 p.m.

toledozoo.org for details.

Friday, March 29: Animal Egg Hunt, 10:15 a.m. to 3:15 p.m. The Easter Bunny makes a special stop at the Zoo on the Friday before Easter, and he’s leaving treats for some of your favorite Zoo animals to find! It’s not just fun to watch; it also provides enriching experiences for the animals.

The admission coupons are available only online at toledo zoo.org.

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Monday - Wednesday: 9 a.m. - 8:30 p.m.

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Monday - Thursday: 9 a.m. - 8:30 p.m.

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