HLN May 2013 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

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e lthy l May 2013 • FREE Connect with Friends who Like Healthy Living News!

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Welcome Home Celebration to honor Vietnam veterans Also in this issue: • • • • •

Look your best for spring and summer Healthy eating and diabetes Suspect stroke? BE FAST! Foster families urgently needed Du it or Tri it: multi-sport racing

• • • • •

Sound Advice Personal Finance Walk in the Park Bike Month Academy Corner

What’s your weight loss wish?

www.MercyWeightManagement.com MERCY-10813-3_HealthyLivingNews_FrontCoverBanner_FA.indd 1

12/20/12 9:47 AM

Look your best for spring and summer! V

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between the eyes, deep smile lines, upper lip lines (lipstick runs uphill), and the sagging jowls and neck? These unfortunate processes caused from prior sun exposure can be improved dramatically with innovated and virtually pain-free cosmetic procedures performed by Dr. Don’t let wrinkles and Handler. age spots make you appear The Thermage NXT older than your years. procedure painlessly heats damaged collagen under your skin to lift sagging skin on the neck and jowls. The Thermage NXT procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis while the epidermis is cooled and protected. This heating of the dermis causes immediate collagen contraction followed by new collagen production over a period of time. The procedure also encourages a natural repair process that results in further tightening and younger-looking skin. It is also an excellent non-invasive and pain-free procedure for tightening “crepe” skin on the abdomen of men or women and sagging skin on the upper arms. With only one treatment, results work over a six-month time period to slowly lift and tighten the involved areas with results lasting 3-4 years. There is NO downtime and NO pain! For lines between the eyes, crows’ feet, and the “sleepy look with droopy eyelids," the use of Botox or Dysport works well to improve these areas with resultant diminished lines and a The best prevention for early aging and skin more “wide awake” look. cancer is to protect your This is also performed with minimal pain, and skin from the sun.

2 May 2013 / Healthy Living News

results last 5-7 months or longer. The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette (sad) lines from the corners of the mouth produces immediate results lasting 12-15 months! Since these products are combined with a numbing agent, the pain is minimal. For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome results after 3-5 treatments. This is a painless procedure where a laser produces thousands of small columns in the dermis. Your body then produces collagen to fill these areas, resulting in softer and diminished facial lines. There is NO downtime with this procedure. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio. Dr. Handler has performed these procedures for years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler. Dr. Handler’s

Before

After

office now has available a new camouflage make-up that is excellent to cover red or blue veins on the face or anywhere else on the body; blue, red, or yellow bruises from prior cosmetic procedures; and especially facial, neck, and chest redness secondary to the diagnosis of rosacea. For more information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. His staff will be able to address your questions or concerns regarding these procedures. Also, please visit Dr. Handler’s website at drharvey handler. com to view many before-and-after photographs of patients who have had these procedures performed. Also, check with his office staff to inquire about specials on many cosmetic procedures and products to diminish the signs of aging.

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

clear + brilliant Adult, Pediatric, & Cosmetic Dermatology Hair & Nails

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Fellow American Academy of Dermatology Board Certified in Dermatology 5300 Harroun Rd., Suite 126

in the Medical Office Building on the campus of Flower Hospital

419.885.3400

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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

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Your Monthly Guide to Healthy Living

May 2013 • Vol. 18, Issue 5

Your Monthly Guide to Healthy Living

Taking Care of Your Life

Health & Beauty

10 Crossword, by Myles Mellor 14 Maintain your fitness after the race is over! 15 Personal Finance Gaining financial confidence in an uncertain world 18 Spiritually Speaking Taking another step by Sister Mary Thill 21 Heartland Rehab health tip: May is National Arthritis Month! 35 A Walk in the Park See you Tuesday by LeMoyne Mercer 38 Nobody’s Perfect The history of the little blue sign by Sister Karen Zielinski, OSF 40 The University of Toledo offers advocacy programs for patients and children 41 Elite Endeavors: Whether you Du it or Tri it, you won’t regret it! 46 The importance of stretching, by Amanda Manthey

2 Look your best for spring and summer! 6 Clinic Pharmacy provides friendly, convenient, personalized service 8 Understanding brain cancer 12 Sound Advice from Northwest Ohio Hearing Clinic, by Randa Mansour-Shousher, AuD, CCC-A 13 Beware these spring and summer spoilers! by Suzanne Luebke, PA-C 19 ProMedica urges community to BE FAST if stroke is suspected 23 Mercy podiatrists advise: Take care of your feet, and they’ll take you far 24 Star Wars light saber heals… by Douglas Schwan, DC, Dipl ac 30 Kick Ash: Saying goodbye to the perfect companion, by Patte O’Connor 31 Medical pros like mangosteen fruit for better health 33 Hearing aids have evolved with the high-tech times, by Randa Mansour-Shousher, AuD, CCC-A 42 The Academy Corner Acupuncture: the miracle cure, by Farzana Tausif, MD 49 Dry eye syndrome, by Bennett Romanoff, MD

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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.

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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.

15 Stealing peanut butter’s thunder, by Kelly Hanner 16 What you should know about healthy eating and diabetes by Michelle Mangan, PharmD, and Kate Ormiston, RD 45 Eating Well Let's drink to good health! by Laurie Syring, RD/LD

5 Vietnam veterans to be honored with five-day Welcome Home Celebration 11 Where to begin? by Jessica Derkis 26 Lakes of Monclova brings exceptional service and unique programs to community 28 Senior independent living community Genesis Village to open this summer, by Chris Holliday 39 Enjoy healthy, free-wheeling fun during National Bike Month 44 Navy man gets red-carpet treatment at The Laurels Dear Readers, Thank you for picking up the May issue of Healthy Living News. The moving image on our cover was taken in front of the Traveling Vietnam Wall, which will be on display here in Toledo from June 5 to 9 in International Park. The Traveling Wall, which displays all of the names of those military members who died in Vietnam/Southeast Asia and those who were missing in action during the war, is just one component of a long-overdue Welcome Home Celebration for VietnamEra Veterans. See the news release on page 5 for full details. Many of us have heard the saying “Time is brain” when it comes to seeking medical attention during a stroke. But surprisingly few of us know how to recognize when a stroke is actually in progress. In the article

Children & Parenting 34 LCCS has profound need for loving foster parents

Around Town Local financial professional

recognized for top performance, 22; Audrey Chisholm is State Finalist for Power of the Pen, 27; Summertime at Maumee Valley Country Day School, 36; Maumee Valley Tri-Adventure Race, 51; Celebrate National Senior Health & Fitness Day with SummaCare; 51.

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on page 19, ProMedica Regional Stroke Coordinator Kelley Joseph tells HLN readers how to B.E. F.A.S.T. when assessing whether physical symptoms could indicate a stroke and shares her insights on ProMedica Toledo Hospital’s cutting-edge stroke unit. Don’t miss this vital information! This issue, also features timely advice on how to take good care of our feet in spring and summer from the podiatry team at Oregon Family Foot & Ankle (p. 23); a view of the friendly, convenient, personalized services offered by The Clinic Pharmacy at The Toledo Clinic (p. 6); tips on healthy eating and diabetes courtesy of Michelle Mangan and Kate Ormiston of the University of Toledo Diabetes SelfManagement, Education, and Training Program (p. 16); a profile of the Lakes

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of Monclova, a premier senior-living health campus that recently opened in our community (p. 26); and much more. In addition, our friends at TMACOG remind us that May is National Bike Month and urge us to find ways to incorporate this fun, healthy form of exercise into our lives all month and beyond. The news release on page 39 presents a wide range of wonderful biking opportunities for those who would like to experience some free-wheeling fun. We can’t think of a better way to enjoy the mild weather and see our community from a different perspective—all while working in some healthy exercise. Until next month, stay safe, active, and healthy!

FACT: Every 34 seconds, someone has a heart attack.* Which means every 34 seconds, someone has a choice to make.

Learn the warning signs of a heart attack and complete our heart assessment survey at promedica.org/hearthealth. *In the U.S., according to the American Heart Association website.

800-PPG-DOCS

Choose the region’s only hospital with a cardiologist here 24/7.

If you are experiencing a medical emergency, please call 911.

4 May 2013 / Healthy Living News

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Vietnam veterans to be honored with five-day Welcome Home Celebration

oledo will be the proud host of a longoverdue Welcome Home Celebration for Vietnam-Era Veterans, which will be held June 5-9, 2013. The Traveling Vietnam Wall, which is a component of the event, is scheduled to arrive in Toledo on Wednesday, June 5 and will be on display through June 9 in International Park, located in East Toledo. This event is to honor Vietnam-Era veterans, including those service members who deployed to Vietnam as well as those who did not deploy but served during the war. “We need to reach as many VietnamEra veterans as possible—those that served in Vietnam as well as those who served in other capacities,” said Haraz Ghanbari, co-chair of the event. “We want to recognize and honor the service of the men and women who answered their nation’s call.” The Traveling Wall is an 80% replica of the Vietnam War Memorial located in Washington DC on the National Mall. It displays 100% of the names of those military members who died in service in Vietnam/ Southeast Asia and those who were missing in action during the war. Fo r m o r e information regarding the Vietnam-Era Veterans Welcome Home Celebration, please visit our website at www.toledoveterans event.com, friend us on Facebook at “Toledo Ohio Vietnam Veterans Appreciation Event,” or contact Haraz Ghan-

bari at 202-288-2102. Below is a schedule of events for the June 5-9 Welcome Home Celebration for Vietnam-Era Veterans. Agencies will be available at various times throughout the event to provide assistance and services to veterans in need.

Wednesday, June 5th 3:00 p.m.: Motorcycle Escort begins at Toledo Express Airport and escorts Traveling Vietnam Wall to International Park 7:00 pm: University of Toledo Savage Hall, Welcome Home Celebration & Reception for Vietnam Era Veterans

Thursday, June 6th Traveling Vietnam Wall is set up and viewing begins. Open 24 hours a day through Sunday, June 9th. 7:00 p.m.: Mud Hens Game Tribute

Friday, June 7th Viewing of Wall 7:00 p.m.: Concert—“Thunder Road”—in International Park

Saturday, June 8th Viewing of Wall 9:00 a.m.: Rolling Thunder Tribute Noon: USO Show/Picnic in International Park

Sunday, June 9th Sunrise Remembrance Service followed by pancake breakfast Viewing of Wall until noon Noon: Wall taken down, USO Show/Picnic in International Park ❦

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Clinic Pharmacy provides friendly, convenient, personalized service

Do You Have Narcolepsy? Have you been diagnosed with narcolepsy and are between the ages of 18 and 70? A new research study is enrolling to test an

edical appointments and procedures very often culminate in a trip to a local pharmacy to pick up medications, assistive devices, or other prescribed items. How patients evaluate their interaction with the pharmacy and its staff can significantly influence how they perceive their overall healthcare experience. Recognizing the important role they play in the continuum of patient care, the Clinic Pharmacy at the Toledo Clinic continually strives to provide friendly, convenient, and personalized patient service.

investigational medicine for excessive daytime sleepiness associated with narcolepsy. Qualified participants will receive study-related care at no cost and will be compensated for time and travel. For more information please contact: Mercy St. Anne Sleep Disorders Center

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6000 Renaissance Place, Suite B | Toledo, Ohio 43623

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Now open and accepting new patients.

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

BEFORE

6 May 2013 / Healthy Living News

AFTER

Located on the first floor of Building #3 on the Toledo Clinic Main Campus, the Clinic Pharmacy is ideally situated for Clinic patients. “Our location is very convenient for patients who see physicians in our building,” states Eric Thompson, PharmD, RPh, Director of the Clinic Pharmacy. “The doctor’s office can simply call in the prescription or send it to us electronically, and all the patient has to do is stop by and pick it up before going home. They can get everything done in the same visit and in the same building. Many of our patients don’t drive and have to take a taxi to get here, so they really appreciate that they don’t have to pay that extra fare to drive to a separate pharmacy.” The on-campus pharmacy is a major benefit to patients who undergo procedures at the Clinic’s Outpatient Surgery Center, as well. Their prescriptions can be sent down and filled while patients are still in recovery so they’re ready for pickup by the time they go home. Thompson also notes that the Clinic Pharmacy’s services aren’t limited to Clinic patients. Anyone in the community can go there, whether or not they are seeing a Toledo Clinic physician. In addition to highly experienced, licensed pharmacists and technicians, the Clinic Pharmacy has a certified orthopedic fitter with over 20 years of experience on staff, who can properly fit or supply patients with braces (e.g., arm, knee, or elbow), compression

stockings to prevent swelling of the feet, assistive devices such as crutches and canes, and other doctor-prescribed orthopedic appliances. Because patient safety is of the highest priority, the Clinic Pharmacy has numerous safeguards in place to minimize the risk of medication errors. “When it comes to patient safety, we made a huge stride forward by updating to the very latest computer software, which checks for potential drug interactions based on the medications on file for the patient. The software also helps us prevent early or late refills as well as duplication with similar drugs that could lead to overdosing,” Thompson says. Furthermore, each filled prescription is scanned to verify that the right medication is going to the right person, and, whenever possible, at least two pharmacists visually check every prescription. “While mistakes are very rare, if you’re in a hurry and you enter and double check a prescription yourself, there’s a greater risk that something will be overlooked. Having at least two sets of eyes on each prescription is just another layer of protection for our patients,” remarks Thompson. Patient education is another high priority for the Clinic Pharmacy staff. Along with the drug monograph that accompanies every prescription (the statement specifying how a drug should be taken and stored, potential side effects, contraindications, etc.), patient-education sheets that are writ-

ten in layman’s terms and very easy to understand are offered. The staff even has the ability to print out drug monographs and patient-education forms in any language. Also, educational counseling on every prescription is offered to patients of the Clinic’s Outpatient Surgery Center. In many instances, these patients need to take several medications following surgery, such as antibiotics, steroids, non-steroidal anti-inflammatory drugs (NSAIDs),

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and pain medications, so it’s critical to advise them how to take each of them properly and of any potential side effects or adverse interactions. “For example, if a patient is prescribed the pain medication Vicodin, which contains acetaminophen, you don’t want them going home and taking Tylenol, which is brand-name acetaminophen. Otherwise, they could be doubling up and risking a very serious overdose,” Thompson explains. All the staff members at the Clinic Pharmacy, several of whom have been working there for over two decades, take pride in delivering prompt, friendly, personalized service. In fact, they enjoy getting to know customers on a first-name basis. Thompson states, “As an independent, good-neighbor pharmacy that is unaffiliated with any national chain, we feel it’s important to develop this level of familiarity and trust with our customers.” ❦

Pre-Plan

Life is Full of Choices. As you enter your golden years, you have more choices than ever. If you would like to lighten the load of responsibilities or need extra care, we have several options to consider from Assisted Living to around-the-clock skilled nursing care. Consider us your best choice.

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You’re invited to visit us at 1125 Clarion Ave. Holland or call 419-866-6124 • www.springmeadowsecf.com 8 May 2013 / Healthy Living News

common form of primary brain cancer is glioma. “This form develops in the support cells of the brain, called glial cells. Their job is to ‘hold the wires in place,’ so to speak. As the cells become malignant and multiply, they begin to take up space and interfere with brain function,” explains Dr. Ritter. There are also several different categories of glioma, depending on which glial tissue is affected. The most common in adults is astrocytoma, which develops in brain cells called astrocytes. Astrocytomas are also categorized by grade, with grade 4, or glioblastoma multiforme, being the most aggressive and deadly. Patients with glioblastoma typically come to their doctor complaining of one or more of the symptoms listed above. If MRI and CT imaging reveal a tumor, a biopsy is then performed by a neurosurgeon using a special frame that holds the patient’s head in an exact position, allowing the biopsy needle to be inserted very precisely The Clinic Pharmacy at the Toledo Clinic with respect to location, angle, and is open Monday through Friday from 9:00 depth. If glioblastoma is diagnosed, the a.m. to 5:30 p.m. For more information, doctor must evaluate whether surgery please call 419-479-5800. is practical or not. “Unfortunately, the tumor is often large by that time and located deep in the white tissue of the brain, making surgical removal difficult—though sometimes if the tumor is small enough, the majority can be removed surgically. In any case, whether surgery is performed or not, radiation and chemotherapy follow,” says Dr. Ritter. Each year in the U.S., approxirain tumors come in many types, mately 25,000 primary brain canincluding both benign (non-cancers are diagnosed. Of those cases, cerous) and malignant (cancerous) approximately half prove fatal. Dr. forms. Those that develop in the Ritter notes that all glioblastomas are brain itself are known as primary ultimately fatal because they tend cancers, while those that to infiltrate surrounddevelop elsewhere in the ing brain tissue and it’s body and then spread to the difficult to see how far brain are called metastatic they’ve spread using or secondary cancers. The MRI or CT. “Even in patient’s symptoms, treatsurgery, it’s hard to see ment options, and prognosis where the tumor ends will depend on several facand brain tissue begins. tors, such as the type, size, The goal of surgery is and location of the tumor. to remove as much of According to Howard Ritthe tumor as you can ter, MD, of The Toledo Clinic without impairing funcCancer Centers, potential Dr. Howard Ritter tion,” he says. brain cancer symptoms are Radiation treatments quite diverse. Among them involving the brain are are headache, dizziness, drowsiness, very brief in duration and usually early morning nausea (not associated administered daily, five days a week, with pregnancy), stroke-like symptoms for about six weeks. Also, for apsuch as weakness affecting one side proximately a decade now, it has been or one area of the body (e.g., face, standard practice to give the oralarm, or leg), loss of equilibrium or chemotherapy drug Temodar prior to coordination, difficulty with undereach radiation treatment. Temodar is standing or formulating speech, and one of the few chemotherapy drugs changes in personality. that can cross the blood-brain barrier Excluding benign tumors, the most and enter brain tissue. The drug kills

Understanding brain cancer

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some cancer cells by itself, but it also makes cancer cells more sensitive to radiation, thereby improving its efficacy. After the course of radiation is complete, Temodar is given every month until the cancer begins to grow again. The average life expectancy for patients with glioblastoma is 12 to 18 months, assuming the patient is able to undergo surgery along with radiation and chemotherapy. Without surgery, the time is usually much shorter, under a year. “However,” notes Dr. Ritter, “other types of primary brain tumor, such as those that typically occur in children, are much more curable.” Metastatic brain tumors—those that originate in another part of the body and spread to the brain—are much more common than primary brain cancers. In fact, in a typical year, Dr. Ritter sees approximately a half dozen patients with metastatic brain cancer for every patient with primary cancer. Also, some cancers are more likely to metastasize to the brain than others. Those with the greatest tendency to spread to the brain include small-cell lung cancer (the most likely), other lung cancers, breast cancer, kidney cancer, and melanoma. Other more common cancers, such as cancers of the colon, prostate, pancreas, and gastrointestinal tract, have a much lower tendency to spread to the brain. With respect to prevention, there’s really not much one can do because there are very few known risk factors for brain cancer. One known factor is prior radiation exposure to the head. For example, it was once common practice to give x-ray treatments to the scalps of children with lice and to the faces of people with severe acne. Though neither practice persists today, those who were exposed to these treatments are at increased risk of developing brain cancer. Because prior radiation to the brain increases the risk of cancer later in life, doctors try to avoid treating kids who have brain tumors with radiation. Dr. Ritter points out that patients with certain primary cancers of other parts of the body, such as small-cell lung cancer, are commonly given preventive low-dose radiation treatments to the brain in case some cancerous cells have spread there. With such low doses, the risk of damage to the brain is low, so the odds are weighted

in favor of treatment. Other exposure to ionizing radiation, such as that released in Japan during the 2011 nuclear accident, increases brain cancer risk as well. Apart from that, the only know risk factors include being Caucasian, having certain rare and obscure congenital conditions, and exposure to certain industrial chemicals (for which precautions should now be in place). Smoking, ironically, does not increase the risk of primary brain cancer, though it is a major risk factor for metastatic lung cancer, which can spread to the brain. What about the link between cell-phone use and brain cancer? “There’s no perceptible link,” comments Dr. Ritter. “A number of large studies suggest an increase in the incidence of malignant tumor among participants who spent the most total time talking on cell phones, but an equal number of studies or more question this result. One problem with the studies that show a correlation is that the amount of cell phone use was self-reported and highly questionable. Tens of millions of people have been using cell phones for a decade or more with no significant increase in the incidence of brain cancer, and tumors show no tendency to occur on the side of the head that the cell phone is used versus the opposite side. We also know that it’s ionizing radiation—the form that can break up molecules and lead to DNA damage—that increases brain-cancer risk. However, cell-phone radiation is not ionizing, so there’s no plausible mechanism for how that low-level of non-ionizing radiation can lead to cancer.” Though glioblastoma remains a tough diagnosis with a poor prognosis, Dr. Ritter is encouraged by exciting treatment advances that might be looming on the horizon. Several approaches are being pursued that take advantage of well-defined genetic abnormalities observed in the cancerous cells. For example, researchers are exploring the use of non-chemotherapy drugs that silence the mutated genes that promote the growth of tumors. Other possible approaches include introducing modified viruses that can carry some kind of payload to alter the cancer cells in the brain, as well as stimulating the immune system to recognize and attack malignant cells. “This is all very experimental at

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this point, but projects are proceeding along all three of these lines. If a treatment isn’t available in the next few years, we’ll probably see better results ten years or so down the line,” Dr. Ritter says. When facing a diagnosis of cancer, more and more patients are choosing The Toledo Clinic Cancer Centers. With eight board-certified hematologists/oncologists and eight nurse practitioners on staff, The Toledo Clinic Cancer Centers can provide imaging and laboratory diagnostic services, chemotherapy services, and

IV services. Also, there are several offices (including the main location at 4235 Secor Road and satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe) for the convenience of the patient. Many Toledo Clinic Cancer Centers patients are enrolled in the latest cancer research and studies in our region through the Toledo Community Oncology Program (TCOP). ❦ For more information, please call the Toledo Clinic Cancer Centers at 419479-5605.

by Myles Mellor NO CONTRACTS! ONLY $10 A CLASS!

Across 1 _____ pea soup 5 Caviar source 8 Apple or blueberry? 9 Summer drink (2 words) 11 Rainbow, for one 13 Life energy in Chinese philosophy 14 Blood group 15 Ragout and shepherd’s pie 21 Food selection 22 Continent where sushi, korma and bok choy come from 23 Digs up the vegetable garden, for example 28 Healthy leaves

Crossword by Myles Mellor

ONE Across

1 _____ pea soup 5 Caviar source

AT A TIME.

Summer drink (2 Kind in the Region! The Only9Cancer Center of its words) 11 Rainbow, for one There’s good news in the war on cancer.

• All physicians, testing and treatment under one roof. • Bench-to-bedside collaboration for newest treatments. Blood group • Part of area’s only university-owned medical center.

15 Ragout Visit utmc.utoledo.edu. and shepherd's pie

10 12 16 17 18 19 20 21

Down 1 Healthy green vegetable 2 PC Photo 3 Vichyssoise ingredient 4 Small drink 5 Green or black ___ 6 Liquid amounts 7 Earth, prefix

25 26 27 28

30 33

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23 24

29 30 32

21 Food selection One Team. One Place. One Patient at a Time. 1

29 Tomatoes improve the absorption of this mineral 31 Meal many Americans skip 32 Word with cube or cream 34 Brazil, for one 35 “The Biggest ____ “ 36 Goes with turf

New science, research, treatment and a new

13 Lifekind energy in center for our region. of cancer Chinese philosophy

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8 Apple or

22 Continent where sushi, korma and May 2013 / Healthy Living News bok choy come

Answers on page 20

Jennifer Hodgson Breast Cancer Survivor

DANA CANCER blueberry? CENTER at UTMC

ilovecrosswords.com

2/4/13 11:43 AM

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Where to begin? by Jessica Derkis

And let us not grow weary in well-doing, for in due season we shall reap, if we do not lose heart. —Galatians 6:9

ometimes just beginning a task is the hardest part. Though it may be kind of scary, even a well-researched decision, can be a step of faith. Similarly, finding care for a senior loved one begins with researching the many options available. Learning the vocabulary, industry jargon, and questions to ask can make research a little easier. Whenever I consult with a family, I start by asking about their loved one: who is she and what has her life been like up until this point? What is Mom’s age, what are her diagnoses, and what are the family’s concerns? Is she eating well? Is she making her own meals? Does she need a little help with housekeeping and laundry? Is she still sharp but physically flagging or vice versa? Has her physician suggested restrictions, such as help with driving, cooking, bathing, or lifting? If you have determined that there is need for care. The basics include

considering when and where care works best for your family: at home or in a residential care community. What’s most important, a familiar environment or round-the-clock professional staff? The various care levels and services might be called Assisted Living, Dementia Care, Memory Care, Alzheimer’s Care, Long-Term Care (LTC), Skilled-Nursing Facility (SNF), Rehabilitation, Independent Living, or Enhanced Independent Living. Some of these terms have official definitions, and some are marketing terms to try to help shoppers understand the myriad offerings. Outside of family caregivers, those who might provide direct care for seniors include Companion Aides, Certified Nurse’s Aides, State Tested Nurse’s Aides (STNA), Licensed Practical Nurses (LPN), Registered Nurses (RN), Medical Assistants (MA), Nurse Practitioners (NP), and others. Each of these offers an expertise and expense level depending on care needs and locale. Just as there are many people who

provide care, there are many ways to deliver care. Traditional nursing care, which many think of as shared rooms and long hallways with flashing call lights and chiming alarms, still exists, though it is not as scary as it was 10, 20, or 30 years ago. Since then, though, healthcare providers have created niche options like the small house, GREENHOUSE®, or non-traditional nursing care that often encompasses advances in technology and understanding of aging. There are lots of dining options depending on the type of care chosen, including cooked-in-home, catered, delivery services such as Meals-onWheels, and cook- and chef-prepared cuisine with dietitian oversight in a community. Are special diets, if necessary, easily accommodated? Are salts, sugars, fats, and the like monitored if needed? How does one afford care? There are a few sources to cover care costs, but they vary widely in availability, qualifications, coverage, and options. And some of the differences can be difficult to comprehend. For instance, private-pay is a term used by many communities to mean that the senior or their family has agreed to pay for the whole sum for a specified term. There are also funds

available through the Veterans Aid & Attendance benefit for those who qualify. Some have had the foresight to purchase Long-Term Care Insurance to help make assisted living or nursing care more affordable. Sometimes, the difference between Medicare and Medicaid gets muddy in people’s minds. In a nutshell, if a senior has Medicare coverage, it will often cover short-term inpatient or outpatient rehabilitation care after a hospital stay among other care needs. Medicaid is meant to be a “last resort” for those who need long-term care but cannot afford the whole cost on their own or those who need a little extra help at home. Senior advocates and most communities will help you understand availability and qualifications and complete the lengthy paperwork required to qualify for these benefits. Another important factor when shopping for senior care may be company priorities. For instance, a non-profit community might offer charity care options beyond Medicaid for those who qualify versus a for-profit community or service that is revenue centric. As with any business, the structure (corporation, ministry or mission driven, or family owned) and

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faith background may help you understand the motivation of your potential care partner for your loved one. It is truly a partnership. It is important to have family input. What is and isn’t working? What information might the family offer in caring for their loved one that may help the service or community take better care of Mom or Dad? Preferences? Hot buttons? Concerns? Things that bring a smile? There are many factors to consider when you shop for senior health care. It is important to understand as much as possible before the need arises. Making decisions when a crisis forces the issue is no fun. As with anything, you don’t know what you don’t know until you start researching. Feel free to ask Jessica or Rachel at St. Clare Commons where to begin. Call 419-931-0050, email info@stclarecommons.org, or join them at one of these events: St. Rose Parish, the Fab50+ Club,

and St. Clare Commons host a monthly luncheon together at St. Rose, 215 E. Front Street, Perrysburg. All are welcome on the first Thursday of each month for a free meal and program. On Thursday, June 6, get ready for summer’s tunes with local musicians. Lunch is at 11:30 a.m. Information about St. Clare Commons will be available. Call St. Rose Parish at 419874-4559 to RSVP. St. Clare Commons will host a free Lunch & Learn on June 9 after the noon Mass at St. Aloysius, 150 S. Enterprise, Bowling Green. Come to find out more about St. Clare Commons and to get your complimentary “Assisted Living Shoppers Guide.” Call 419-931-0050 to RSVP. Hope to see you there!

results. External hearing aids are included in this bucket of electronics, so unfortunately, you will have to remove your hearing aids. More specifically, no hearing aid, whether worn by the patient or examiner, is allowed in the room. It’s important to educate a family member or friend accompanying you on this as well. Before the MRI is performed, make sure to inform the radiologist that you having a hearing loss and wear hearing aids. Have him or her give you full instructions before entering the exam room so that you will have full clarity on how the MRI process works. You might even consider wearing a label or tag that says “I wear hearing aids.” You can never be too cautious! Of course you’re free to put in your hearing aids when you leave the exam room.

Jessica Derkis is the Community Information Director for St. Clare Commons. For more information, contact Jessica or Rachel at 419-931-0050 or email info@stclarecommons.org.

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: I have an MRI coming up. I rarely remove my hearing aids unless absolutely necessary. Is it okay to leave them in during the MRI examination?

: First of all, we commend you for your commitment to wearing your hearing aids. There are some patients who literally wear their hearing aids only when they go to the doctor ’s office, which we know is not the right thing to do. Taking care of our hearing health daily is just as important as wearing shoes with support to aid our feet. “Feeding” our ears stimulates our brain, which helps us process and discriminate conversational speech in our daily life. It’s an important habit to maintain so that you can fully enjoy what life has to offer! This is also a great question as we’re sure a lot of patients have been faced with this same dilemma. In regards to Magnetic Resonance Imaging (MRI), electronically activated devices can be damaged during the examination process. Moreover, these devices may actually interfere with the testing, giving inaccurate

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

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Beware these spring and summer spoilers!

fter a long Ohio winter, the sight of crocuses and tulips draws many of us to the outdoors to plan a garden, work on the deck, or simply enjoy the warm sun on our skin. Unfortunately, there are substances in our backyard that can put a damper on the spring and summer enjoyment. A common problem is rhinitis, a term we use to describe any inflammation of the nose. Symptoms of allergic rhinitis include watery eyes, itchy nose, and sneezing. Normally, the nose produces mucus that drains down the back of our throat. Its function is to keep dust, debris, and allergens from entering the lungs. Because this mucus is normally thin and scant, we don’t realize it is even there. The problem of increased mucus production, or post nasal drip, occurs when the nose is exposed to an irritant, thus producing a thick, pale-yellow mucus. There are different types of rhinitis: allergic rhinitis, non-allergic rhinitis, and infectious rhinitis. • Allergic rhinitis, often referred to as “hay fever,” is differentiated into seasonal (only certain times of the year) and perennial (year round).

Triggers vary by individual, but seasonal suffers usually have a reaction to pollens and grasses, particularly in the spring and fall. Perennial sufferers react to substances present during all seasons. Common triggers include mold, animal dander, dust mites, and cockroach debris. • Non-allergic rhinitis is not caused by allergic triggers. Though symptoms are similar, the causes can be hormonal, over-use of topical nose sprays such as Afrin, having a deviated septum, or even medications. • Infectious rhinitis, best known as the common cold, can be caused by over 100 viruses. The virus makes itself at home in the mucous membranes of the nose and sinus cavities, making it difficult at times to differentiate between the common cold and allergic rhinitis. Treatment of rhinitis depends

on the type and cause. Usually, avoiding the source of irritation will make the symptoms disappear. Sometimes that is easier said than done. Living in a bubble is not an option for the majority of those with allergies. Overthe-counter remedies (Claritin, Zyrtec, Allegra, and Benadryl) help break the histamine cycle that causes the increase in mucus production. Some of these medications claim sleepiness as a side effect, so care must be taken when using these medications. Other treatments include nasal sprays that contain a corticosteroid that reduces the inflammation within the nose. Sleepiness is not a side effect of this

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by Suzanne Luebke, PA-C type of treatment. Keeping your environment clean is the best approach to minimizing symptoms. Frequent vacuuming, dusting, keeping the windows closed during high pollen times, using air purifiers, removing carpets, and frequently washing window curtains are steps one can take to reduce allergens in the home. Another summer spoiler is poison ivy. The old saying goes, “Leaves of three, leave it be.” Poison ivy comes in both a climbing and non-climbing variety. Because they interbreed and look alike, I will refer to both varieties as just poison ivy. The leaves, roots, and vines all contain the oil urushiol, which is what causes the itchy rash. Most people come in contact with the plants as they are mixed in with usual backyard plants. Common spots are in ditches, under low-lying trees such as evergreens, under bushes, and in flowerbeds. Poison ivy is everywhere in the United States, except in the far west, in deserts, and at high altitudes. Animals, such as your pet dog or cat, can also pass the oil to you, so keep Fido and Fluffy out of the weeds. Here are a few other facts and tips about poison ivy:

Getting rid of poison ivy

What does the rash look like?

Do not run the weedeater or mower through it! The offending oil will splatter everywhere! Do not pull it out of the ground either. Oil is on every part of the plant, and waiting until winter when the leaves die does not make it any safer. Consult your local extension service for details, but local hardware stores sell poison-ivyspecific herbicides.

The rash starts as a small area of redness that itches and spreads. Sometimes the rash can evolve into red sores.

Yikes! I think I touched it! Once you think you may have come in contact with it, rinse the skin area in cold water. Hot water opens the pores, enabling the oil to seep in. The oil from poison ivy is very stable, and handling tools or clothes from the previous summer may still contain the oil. Washing with Zanafel (an OTC treatment) will remove the oil from skin. Many people swear by using Fels-Naptha laundry bar soap to remove the oil. Admittedly, I have a bar under the kitchen sink, and family members have also showered with it after exposure and didn’t end up with a rash. I did phone the Fels-Naptha company, however, and they didn’t confirm or deny its effectiveness in removing poison ivy oil.

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Simple cases can be treated with some over-the-counter steroid creams (Cort-aid, Hydrocortisone), but more severe cases should be seen by your medical provider. An injection of a steroid or prescribed oral steroids can provide relief. The rash may last from a week to three weeks depending on the severity. Before starting any medications for allergies or otherwise, check for interactions between current and new medications. When in doubt, call your healthcare provider or check with your pharmacist. ❦

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ore than 6,000 competitors will have participated April 28 in one of the Medical Mutual Glass City Marathon events. Many of the competitors achieved a lifetime goal to finish a 5K, half-marathon, or full-marathon event. Several weeks or months of disciplined training helped them achieve new levels of fitness and perhaps the realization that they could accomplish a goal that they previously felt was unattainable. So, for those who just completed a race, congratulations! Now you may wonder, “What do I have to look forward to next?” After giving yourself a mini break, it’s important to start thinking about new goals. “A post-race slump is okay for a few weeks, but you don’t want to be stuck there forever,” says Jen Jeffery, program manager for Medical Mutual’s Toledo Wellness Center. “If you want running to be a continued part of your lifestyle, consider setting new goals soon to help you continue.” Jeffery notes that your upcoming goal doesn’t have to be another marathon or half-marathon. Mix it up. Focus on some cross-training activities to prevent overuse injuries or burn-out. Consider longer walks through the neighborhood or riding your bike at one of the many Toledo Metroparks. “Staying fit can be as simple as walking or running with some friends a couple of times a week,” Jeffery says, “or participating in a shorter race a few weeks after the Medical Mutual Glass City Marathon.” Jeffery says it’s easy to start sleeping in on the weekends when you don’t have scheduled training sessions in preparation for another run. However, it’s essential to stay active somehow. Consider registering for the Medical Mutual Dart Frog Dash on Saturday, May 18 at the Toledo Zoo. This is a 5K run/walk through the beautiful zoo grounds and outlying neighborhoods, along with a 1K Kid’s Run. Visit www.toledozoo.org/dartfrog or call 419385-5721, ext. 2091 to register online or obtain more information. Proceeds benefit the Toledo Zoo.

Offer expires 6/15/13

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Personal Gaining financial confidence in an uncertain world

ife can be uncertain, especially in regard to managing your personal financial affairs. Some investors find themselves overwhelmed with information and conflicting advice. Others don’t have the time or interest to manage their personal assets and liabilities with discipline. Take, for example, planning for retirement, your children’s or grandchildren’s education, and other major financial goals in your life. How much is enough? As you answer this question, you generally should consider a reasonable rate of compounded growth, as well as principal erosion through taxes and inflation and the possible impact of ongoing market changes. But few people have the knowledge or the time to do this on their own. Traditional planning can create an

illusion of stability. But nothing happens every year exactly as predicted. Goals change with your station in life—and financial and market conditions are constantly changing as well. And what about drawing down your wealth once it has accumulated? How much can you safely withdraw each month in your retirement? This will depend on your investment returns, the inflation rate, changes in your health or marital status, whether you live beyond your life expectancy, and other factors. As you take inventory of your important financial goals and prioritize them, know that proper planning can help provide a picture of financial strategies. However, past performance is no guarantee of future results. Through periodic reviews of your goals and the performance of your investments, you can assess how your actual investing and spending patterns affect your chance of success. With this information, you can make changes as needed to keep your plan on track toward your unique financial objectives. There’s no substitute for common sense, a realistic and comprehensive plan that accommodates uncertainty, and sound financial advice from someone you can trust. ❦

This article was written by Wells Fargo Advisors 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 419872-3840. Investments in securities and insurance products are: NOT FDIC-INSURED/NOT BANK-GUARANTEED/ MAY LOSE VALUE Wells Fargo Advisors, LLC, Member SIPC, is a registered broker-dealer and a separate non-bank affiliate of Wells Fargo & Company.

By Kelly Hanner

Stealing peanut butter’s thunder Peanut butter gets all the glory. Not anymore. Visiting one of my favorite health-food stores, I stumbled upon coconut butter. Intrigued, I bought some and immediately fell in love. Coconut butter is creamy, sweet, and buttery. This light and fluffy stuff is my new addiction, but it’s pretty pricey. I set out to make my own, and surprisingly enough, it is really simple to do. So I must warn you, be careful because, just like peanut butter, you can easily eat the whole jar of this stuff. Don’t say I didn’t warn you!

Homemade Coconut Butter 3 cups or more of unsweetened shredded coconut. In a Vitamix or heavy-duty food processor, add the coconut. Blend on high speed for about 5 minutes if using a Vitamix or 10-15 minutes if using a food processor. Scrape down the sides when necessary. The coconut butter is done when it goes from a clumpy texture to smooth and creamy. Kelly Hanner is a health, fitness, and financial coach with a degree in dietetics. You can find more recipes or contact her for fitness and weight-loss advice at www.tubbytotoned.com.

Join us for a cup of coffee … and a second opion During volatile and confusing markets, we understand that even the most patient investors may come to question the wisdom of the investment plan they’ve been following. We’d like to help – and we can start by offering a cup of coffee and a second opinion. By appointment, you’re welcome to come in and talk with us about your investment portfolio. If we think your investments continue to be well-suited to your long-term goals — in spite of the current market turmoil — we’ll gladly tell you so, and send you on your way. If, on the other hand, we think some of your investments no longer fit with your goals, we’ll explain why, in plain English. And, if you like, we’ll recommend some alternatives. Either way, the coffee is on us. For a free consultation, please contact us and let us know if you prefer milk or cream. 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

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u MAY Lose Value

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. 0211-0338 [79507-v2] A1434

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Lower your risks

What you should know about healthy eating and diabetes

Understand your medicines

Move your body

Get a better night’s sleep

Eat the right foods

by Michelle Mangan, PharmD, and Kate Ormiston, RD

hile healthy eating is something that is important for everyone, it is even more important for someone with diabetes. You don’t need to completely cut out any foods from your meal plan, but you may need to limit the amounts or how often you eat some of them. The goals of creating a meal plan are to keep your blood sugar within your target range, manage your weight, and manage blood pressure and cholesterol levels.

If you have diabetes, you could be just weeks away from a healthier, happier life. All it takes is a phone call to sign up for a diabetes education course offered by The University of Toledo Center for Diabetes SelfManagement, Education and Training. It’s the only diabetes education program in the Toledo area with accreditation from the American Association of Diabetes Educators.

HSC 1200 0413

Diabetes doesn’t have to rule your life!

The University of Toledo Diabetes Self-Management, Education and Training program accepts Medicare and most other insurances. To register for classes starting in May or for more information, call 419.383.1908.

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The foods that contain carbs are starches (bread, cereal, crackers, grains, rice, pasta), starchy vegetables (potatoes, corn, peas, beans), fruits and fruit juices, milk and yogurt, sugary foods (candy, regular soda pop, jelly), and sweets (cakes, cookies, pie, ice cream). So, why should you eat any carbs at all if they are just going to raise your blood sugar? You should not completely cut out all carbs from your meal plan because your body and your brain need the energy that is supplied by carbs.

Carbohydrates Carbohydrates (also called “carbs”) are types of foods that will raise your blood-sugar levels because they are broken down into sugars for your body to use as energy. Simple carbs, or sugars, will raise your blood sugar shortly after you eat them. Complex carbs, or starchy foods, take longer for your body to change into sugar but will eventually have an effect on your blood-sugar levels. Proteins and fats do not contain carbs and, therefore, will not raise your blood sugar.

Reading nutrition labels How many carbs are in the foods that you are currently eating? For foods that come in packages, a good place to start looking for this information is on the Nutrition Facts label. Pay attention to the serving size and the number of carbs that are in each serving. If you are eating more than the suggested serving size, be sure to multiply the number of carbs

Nutrition Facts Check serving size. Information on the label is based on serving size.

Serving Size 1 cup (40g) Servings Per Container 2.5 Amount Per Serving

See how many grams of carb are in each serving.

Calories 150

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Total Fat 3g

Saturated Fat 0.5g

Trans Fat 0g

Cholesterol 0mg

Sodium 10mg

Total Carbohydrate 24g

Dietary Fiber 4g

15%

Sugars 1g Protein 5g

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Decide whether the food fits into your meal plan.

Vitamin A

Vitamin C

Calcium Iron

20% 4%

*Percent Daily Values are based on a 2,000 calorie diet. Your daily values may be higher or lower depending on your calorie needs

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to determine the correct amount that you are actually eating. To determine the number of carbs that you need in your meal plan, you should meet with a dietitian or diabetes educator. They can help you divide your total daily carbs among meals or snacks and can help you plan based on the medications that you are taking as well.

Making healthy food choices Healthy eating includes planning your meals, choosing healthy foods, and watching your weight. What you eat will depend on your current weight, how active you are, your blood-sugar levels, and what you like to eat. Your main goal is to control your blood sugar by eating healthy foods, watching your portions, and eating food at consistent times every day or every few hours to help minimize lows and spikes. Eating a healthy balance of carbs, proteins, and fats is an easy place to start with your meal planning. Here are some basic tips to follow: • Fill half of your plate with fruits and vegetables.

• Meat portions should be the size of a deck of cards. • Choose low-calorie or caloriefree beverages. • Do not skip meals. • Choose low-fat or fat-free dairy products. • Choose whole-grain breads, cereals, and pastas.

Exercise Another important part of your healthyeating plan is exercise. Before starting any exercise regimen, it is important to talk to your doctor to discuss what types of exercise are safe for you, whether you should exercise if your blood glucose level is high, and whether you should have a snack before you exercise. The recommended amount of exercise per week is 150 minutes (30 minutes, five days per week). Make sure your shoes fit well and your socks stay clean and dry. Carry food or glucose tablets with you to treat low blood glucose. Regular exercise improves your body’s sensitivity to insulin, which may allow you to cut back on insulin or other medication requirements with your doctor’s guidance.

Creating a plan Good diabetes care means following your meal plan, being active, and taking your medications as directed. Your plan should include a wide variety of foods so that you get all the nutrients you need, and make sure to include some of your favorite foods. Be realistic about your goals and meal plans. Find things that are easy to follow and easy to stick with. If you would like to learn more about managing your diabetes or would like assistance in creating a meal and exercise plan, The University

of Toledo Diabetes Self-Management, Education and Training program is here to help! Our team of diabetes educators, physicians, nurses, dietitians, pharmacists, exercise physiologists, psychologists, and social workers has created an environment for comprehensive education and wellness, and we are looking forward to working with you to improve your health. ❦ The University of Toledo Diabetes SelfManagement, Education and Training Program accepts Medicare and most other insurances. For more information, call 419-383-1908.

Ground level ozone is a health hazard for everyone – especially for children and people with asthma. You can reduce ozone: Wait to mow the lawn Drive less Fuel up or use a grill only after 6 pm Use less energy at home www.ozoneaction.org

Entertainment will include: • Meet Children’s Authors, Illustrators & Storytellers • Interactive activities and presentations • Claire’s Awards for Reading Excellence

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checks, and members of Congress turn a deaf ear to our cries for sanity in this insane world of gun violence. Even the families from Newtown, Connecticut, still raw with grief over the death of their little ones, seem unable to The spiritual journey is one of continuously lective face these days. Unfortunately, touch the hearts and minds falling on your face, getting up, brushing I don’t see too many folks involved of some of our legislators yourself off, looking sheepishly at God, and in politics getting up after they have who seem to favor those taking another step. fallen and brushing themselves off, who manufacture and sell —Sri Aurobindo, Indian philosopher let alone looking sheepishly at God guns over these victims of about what they have done, or not gun violence. When does f there was ever a time to follow done as the case may be. A few exa moral issue take preceSri Aurobindo’s advice about the amples come to mind. dence over business and spiritual life, it is now. Who among us What is with our Congress, whose politics? I think this is just can say that we have not fallen on our members seem unable to see the forest such an area. We have to face? I hope we have the courage to for the trees? The American people help our political leaders realize that follow his advice, and I’m especially are calling for gun control, control they have fallen on their faces and thinking about the political world, of gun violence, and background they need to get up, brush themselves which seems to be falling on its coloff, look sheepishly at God, and take the bold steps needed Experience the power of laser therapy with the to get this violence most advanced therapeutic option available, Deep ™ ® under control. If not Tissue Laser Therapy from LiteCure Medical. DEEP TISSUE us, who? If not our ™ This drug-free, surgery-free, pain-free modality members of Conquickly relieves pain associated with: gress, then who will → TMJ → Neck Pain do it? Are we just → Migraines → Back Pain going to wait for → Plantar Fasciitis → Sciatica another massacre → Carpal Tunnel → Arthritis and another mass → Sports Injuries → Bursitis shooting, another → Soft Tissue Damage → Disc Injuries → More... → Shoulder Pain domestic violence Laser therapy is event to end with clinically proven to reduce pain and ever more deaths by now offering deep tissue laser therapy restore mobility. guns in the hands of violent people? Mark S. Neumann, D.O. Cutting programs Specializing in Anti-Aging & Functional Medicine that directly affect 1715 W. Dean Rd. Suite B •Temperance MI the lives of the poor 734.847.4700 • 419.474.4700 Ask about Double-blind among us is another studies and recent endorsements drmarkneumann.com by the APTA &WHO area where I feel that our politicians have fallen on their faces.

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Day Classes Begin: July 8 18 May 2013 / Healthy Living News

Night Classes Begin: May 6

I have met people who believe that the poor should just buck up, get a job, and provide for their families just like they do. When I remind them that many, not all, people on welfare truly do need the help they call me a socialist and tell me I need to get real about this “poverty” business. I am real about this poverty business. I see people without jobs, homes, educational opportunities, not to mention food and clothing every day in the inner city of Toledo where I work. I rub shoulders with people who are barely able to keep food on the table with the wages they currently make. I’ve talked with people who work two and three jobs trying to keep a roof over their heads and enough food on the table to keep themselves and their kids reasonably healthy and able to function in school and at work. When people are asked about the greatest need in our country today, many say it is jobs. Jobs where people are paid a just wage, jobs which enable them to live at a decent standard of living and not just barely making it in our complex society. Congress, again not listening to the people they represent, squabble about the deficit and the Affordable Health Care Act not even listening to what the people want. I guess it depends on who the “people” are they feel they represent. I would like to think that we are all aware of being on a spiritual journey called life, but I see in the world around me that many folks are not aware of such a journey. Perhaps that excuses them from “doing to others what they would like to have done to them.” I’m not the judge, just an observer and believer that when one person suffers, we all suffer, when my neighbor is hurting I am also affected, and when I live in such a way that others can count on me to help them, I am being the person I am meant to be. I was recently reminded at a talk by a local theologian, it is in the mundane tasks of everyday life that we can become saints. I hope to see more saints around me as I venture out on my own spiritual journey. I need such companions on the journey. Will you take a step on the spiritual journey with me? ❦ Sister Mary Thill is a Sylvania Franciscan Sister. She is Patient Liaison for Mature Health Connections at Mercy St. Vincent Medical Center. She can be reached at 419-251-3600.

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ProMedica urges community to BE FAST if stroke is suspected

hile community awareness of the signs and symptoms of heart attack is growing, too few of us know the symptoms of stroke or recognize the urgency of seeking immediate medical attention when stroke symptoms occur. But postponing treatment in either case can have catastrophic consequences. Just as time lost in seeking treatment for a heart attack means greater damage to the heart muscle, “time is brain”

STOP

acronym stands for:

B E F A S T

alance—loss of balance or coordination or difficulty walking

yes—vision problems

ace—numbness, tingling, weakness, or drooping rm or Leg—numbness, tingling, or weakness peech—slurred or garbled speech

ime—note exactly when the symptom started and when you last felt normal

when it comes to stroke. According to ProMedica Regional Stroke Coordinator Kelley Joseph, “Many people in the community do not know how to identify stroke symptoms properly and fail to react with urgency because stroke victims don’t experience pain like heart attack victims do. If they experience a symptom such as numbness or tingling in their face, arm, or leg, they may assume it’s because they slept wrong, or they may attribute confusion or weakness to high blood pressure or low blood sugar. They may also choose to ignore a symptom because the last time it happened, the problem resolved without medical intervention.” Stroke occurs when an artery in or leading to the brain is either blocked (ischemic stroke) or ruptures and bleeds (hemorrhagic stroke), interrupting the flow of vital oxygen, glucose, and nutrients. When this occurs, the oxygen- and nutrientstarved cells in the affected region of the brain begin to die off rapidly. In years past, stroke, like heart attack, was a problem primarily associated with people age 65 and older. But unfortunately, healthcare professionals are starting to see strokes in younger and younger populations. Younger victims are more likely to survive the stroke itself but are then left disabled for the remainder of their lives, placing an immense burden on themselves, their loved ones, and the community. ProMedica, which recently opened a highly specialized, 20-bed stroke unit at ProMedica Toledo Hospital, urges people to B.E. F.A.S.T. in assessing whether physical symptoms could indicate a stroke. This

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These symptoms typically develop suddenly and often affect only one side of the body. If you notice any of these symptoms in yourself or someone else, call 911 immediately. Remember: the longer you wait to seek medical care, the more brain tissue will be permanently damaged and the fewer the treatment options available to healthcare professionals. Joseph emphasizes that the last point—knowing the time of “last known well”—is of utmost importance when treating ischemic stroke with thrombolytic (clot-busting) medications, which must be administered to the patient within 4½ hours of the onset of symptoms. She also notes that even if the patient’s symptoms completely resolve, a full workup will still be necessary to identify the underlying problem, such as carotid stenosis, and whether he or she needs to be on medical management for high cholesterol, high blood pressure, diabetes, or other comorbidities. In addition to advanced thrombolytic medications, ProMedica’s stroke unit offers a wide range of best-practice therapies and techniques for treating stroke. For example, within approximately 12 hours of symptom onset, doctors can perform an embolectomy, which involves passing a flexible catheter through the femoral artery in the groin to the point of obstruction and removing the clot to restore circulation. For hemorrhagic strokes, different techniques are needed. When a blood vessel ruptures in the brain, the leaking blood not only damages brain tissue by exerting pressure, but it also actually breaks down any brain tissue with which it comes into contact. There are various possible causes of hemorrhagic stroke, but they often

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occur when a person who has had high blood pressure for a long period develops an aneurysm (a weakened outpouching in a blood vessel) that eventually ruptures. One cutting-edge method ProMedica Toledo Hospital surgeons can use to treat aneurysms is coiling. As with embolectomy, this technique is performed using a flexible catheter,

unit includes two prominent neurointerventionalists, Dr. M. Jumaaa and Dr. S. Ziadi, both of whom are specially trained to perform minimally invasive vascular interventions in the brain, such as intra-arterial tPA (tissue plasminogen activator) injections, which involve injecting this clot-busting drug directly into the clot to dissolve it and restore blood flow; stroke embolectomies, or removing vessel-occluding blood clots from the Before After brain; aneurysm coiling and/or Pipeline Stenting. She is also proud of the new Tele-Stroke system that ProMedica Toledo Hospital is rolling out. With this system, all Surgeons can treat aneurysms with a cutting-edge method of the emergency rooms called coiling. The aneurysm is filled with very thin coils that throughout ProMedica’s cause a blood clot to form in the pouch. Health System will be which is inserted through the femoequipped with special monitors ral artery in the groin and guided that allow a vascular stroke neuto the point of the aneurysm. Then, rologist to assess patients, review the aneurysm is filled with very thin imaging, and conduct consultations coils that cause a blood clot to form from any remote location—whether in the pouch. “Using this technique, at ProMedica Toledo Hospital, at we’ve saved the lives of several pahome, or pulled over at the side of tients who would likely have died the road—via computer, laptop, or otherwise,” Joseph remarks. smart phone. “We’ve also partnered ProMedica Toledo Hospital interwith ProMedica eICU so there can be ventionalists also have the capability a nurse expert alongside that vascular to bypass aneurysms using a stateneurologist,” Joseph says. “The eICU of-the-art device called the Pipeline Stent. This flexible mesh sleeve, which actually gets stronger when stretched and is as flexible as the vessel, is placed inside the blood vessel at the site of the aneurysm, where it impedes the flow of blood from the vessel into the aneurysm but allows Kelley Joseph normal circulation through the vessel exhibits a stateof-the-art Teleitself. Over time, the aneurysm dies Stroke monitor. off. “The Pipeline Stent remains in the brain permanently and eventually meshes into the wall of the vessel,” Joseph explains. “The patient is able to go home in a day or two and is placed on anti-platelet medication, like aspirin or Plavix.” Joseph points out that the staff of ProMedica Toledo Hospital’s stroke

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Peanut Desensitization

Answers to crossword from page 10 1 8

Dr. Winder & Associates, Inc. Dr. Winder & Associates, Inc. is pleased to announce that we are now offering oral peanut desensitization in our Sylvania office. Please call us for more information or to schedule your peanut allergic patient for a consultation visit. 5860 Alexis Rd., Suite B Sylvania, Ohio 43560

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nurses observe patients remotely from a bank of monitors and look for trends that might indicate a developing problem, such as a gradually increasing blood pressure. It’s just one more layer of quality and safety we provide for our patients.” ProMedica Toledo Hospital’s Stroke Network has a goal of becoming part of a ProMedica Neuroscience Institute. “Not only will we be practicing state-of-the-art medicine, we will also be contributing to it so we can change how it’s practiced tomorrow,” Joseph states. ❦

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Heartland Rehab health tip

May is National Arthritis Month! (three times more women than men are affected by RA), heredity, and long-term smoking all increase the chances of developing rheumatoid arthritis. Fibromyalgia affects 3.7 million people in this country and is classified as a syndrome because it’s a collection of symptoms that includes pain, fatigue, sleep disturbance, and depression. The pain is concentrated in the muscles and tendons of the neck, spine, shoulders, and hips. This syndrome is often triggered by severe physical or emotional trauma, and it usually affects women between the ages of 20 and 60. The most common form of arthritis in the United States is osteoarthritis, or OA. Here are some fast facts about osteoarthritis:

ccording to the Arthritis Foundation, more than 43 million Americans—one in six people, or 15% of the population—have some kind of arthritis. Arthritis is a general term used to describe more than 100 chronic diseases of the joints, bones, and muscles such as osteoarthritis, rheumatoid arthritis, fibromyalgia, lupus, and even osteoporosis. There is no cure for most types of arthritis; however, awareness and education are keys to continuing the fight. In order to recognize the millions of families, caregivers, and individuals affected by this disease, the month of May has been designated National Arthritis Month. Due to the fact that the term “arthritis” encompasses many chronic diseases, the associated risk factors and symptoms vary greatly. Below are some common forms of arthritis and related conditions: Osteoarthritis results when the cushioning cartilage in the joints breaks down, causing pain and stiffness. It is the most common form of arthritis and generally begins after age 40. General joint deterioration is part of the normal aging process; however, factors such as being overweight or experiencing repeated sports injuries cause additional stress on your joints, which could develop into osteoarthritis. Rheumatoid arthritis (RA) is an autoimmune disease that inflames the lining of the joints and is one of the most serious and disabling types of arthritis. RA typically affects joints of the hands and feet but can also involve the hips, knees, elbows, and other joints. Researchers have identified that gender

• OA affects nearly 27 million Americans. • After the age of 50, women are more often affected by OA than men. • The average direct cost of

OA per person living with osteoarthritis is $2,600 per year. OA symptoms The symptoms of osteoarthritis include: • Pain or stiffness in joints after periods of inactivity or excessive use • Grating or “catching” sensation during joint movement • Bony growths at the margins of affected joints

Am I at risk? Risk factors for developing OA are: • • • • •

Heredity Overweight Joint injury Lack of physical activity Nerve injury

• Aging How is OA managed? Management of OA includes: • Physical therapy, joint protection, and medications • Weight management • Supplementation • Surgery as a last resort Physical and occupational therapy can assist in the management of all types of arthritis. However, since osteoarthritis is the most common form, we will focus on a few ways that therapy can help people with this form. Some of the signs of osteoporosis you may recognize in yourself or a family member include loss of height, curvature of the spine, or a history of fractures. We’ve all had an “Aunt Martha” who, by the time she was in her 80’s, underwent several compression fractures of the spine and barely came up to your waist when standing next to you. We need to think of prevention in order to keep

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ourselves from becoming “Aunt Martha.” First of all, if you suspect a problem, you can undergo a simple, painfree test called a DEXA Scan to determine your BMD, or Bone Mineral Density. This will help determine the severity of the problem and establish a baseline for comparison in the future. Performing weightbearing exercises and using your muscles is one of the easiest ways to slow down or stop the effects of osteoporosis on your bones. Bone is stimulated to grow and get stronger when it has stress applied to it—stress through weight-bearing exercises and the use of muscles that attach to the bone. So pick exercises that you enjoy and can perform on a regular basis safely. This may include walking, dancing, Pilates, biking, yoga, or tai chi. These exercises work the muscles of the spine and the hips well. To get the shoulders and the arms involved, think about

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22 May 2013 / Healthy Living News

ichael Sordyl, a financial professional with The Ashley Group, a member of John Hancock Financial Network (JHFN), has qualified for the ACE Gold Award, one of the highest honors that JHFN bestows on financial professionals within the national network. ACE stands for “Achieving Client Excellence.” JHFN has recognized Sordyl as one of the top 50 financial professionals nationally. According to Nick Valenti, Managing Partner of Michigan Financial Companies located in Southfield, MI, the ACE Award serves as a confirmation of Mike’s exceptional abilities. “It is a testament to not only sales excellence, but also the level of professionalism, respect, and real value he delivers to clients and the community every day. We are very proud of Mike’s high level of achievement,” he said.

lifting light weights or doing exercises in a warmwater pool. Modalities such as ultrasound, heat, ice, electrical stim, and infrared can help with pain control. Proper postures should be maintained at all times to help complement your exercise program and bone health. These corrective postures are important while you are performing physical activity but can be even more important while you are at rest, such as when you are sitting or sleeping. This will help maintain a healthy relationship between the muscles and the joints and bones that the muscles support. Some other preventative measures include a diet rich in calcium and/or a calcium supplement, Vitamin D to assist in the absorption of calcium into your body, the possible use of various medications, hormone therapy, reducing your alcohol intake, and not smoking. Before starting an exercise program, make sure it is approved by your physician. If you are unsure what to do, ask for a referral for physical therapy to get some professional instruction that can match an exercise program to your specific needs, or call a physical therapist to get some advice. Physical and occupational therapy can also benefit individuals with rheumatoid arthritis (RA) or fibromyalgia. RA most commonly affects the small joints of the body in a symmetrical fashion (affecting both sides of the body). Most times the hands and wrists are affected, which can be painful and make normal daily tasks such as opening doors or jars and writing difficult. Occupational therapy can provide custom splinting, education on home modification, and pain-relieving modalities. Fibromyalgia patients can benefit from aquatic therapy, gentle exercise, and stretching as well. ❦ 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.

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Mercy podiatrists advise: Take care of your feet, and they’ll take you far

pring is finally here, cabin fever is in remission, and winter-weary Northwest Ohioans are ready to make the most of the warm weather ahead. With milder temperatures putting a new spring in their step, many area residents are eager to get back to their favorite outdoor activities. Others, perhaps eyeing the fast-approaching bathing-suit season, will plunge headlong into a vigorous exercise routine with the goal of shedding a few stubborn pounds. As we shift from sedentary to active mode this spring, the boardcertified podiatrists at Oregon Family Foot & Ankle, Michael Cragel, DPM; Everett Ferradino, DPM; and Khase Wilkinson, DPM, who also provides services at Mercy Podiatry Center at St. Charles, remind us that it’s important to proceed slowly and to take good care of our body’s foundation—the feet.

excessive mechanical strain. In many cases, problems that originate with the feet actually manifest themselves elsewhere in the body. “For example, knee pain, hip pain, and back pain can all be related to issues with the feet,” Dr. Cragel says. “Because the feet are your foundation, any problem going on with them can influence your anatomy higher up.”

Fungus, wounds, and warts

Dr. Ferradino points out that warm weather also leads to more dermatologic issues affecting the feet, including an increase in athlete’s foot complaints, toe fungus, rashes of different varieties, and cuts and puncture wounds. His advice to prevent these problems? “Don’t walk barefoot, and keep your feet clean and dry. Avoiding walking barefoot is especially critical for people with diabetes. I’ve had patients with diaStrain on the foundation betic neuropathy who have literally Physical activity is vital for good burned their feet while walking on health, but doing too much too soon hot asphalt.” after a long period of inactivity can Walking barefoot in certain enreally take its toll on the feet, espevironments—e.g., around public cially if your footwear is inadequate. swimming pools, in locker rooms, Dr. Wilkinson notes that spring tends or in hotel bathrooms—also increases 419-872-0777 to bring many cases of plantar fascithe risk of coming in contact with itis. “This condition develops when the virus that causes plantar warts. the ligament on the bottom of the To help prevent exposure, wear apfoot that extends from the heel to propriate protective footwear in the ball and supports the arch bethese settings and spray potentially comes stretched and inflamed beinfected surfaces with a disinfectant cause the patient has overworked the spray, such as Lysol®. feet while not wearing adequately If the shoe fits… supportive shoes,” he explains. The Each major shoe manufacturer ’s team also sees an increase in Achilles product line includes shoes desigtendon issues, such as ruptures and nated for specific activities—walktendonitis, as people become more ing, jogging, running, cross training, active in the warmer months. etc. These designations aren’t just a Sports or exercises that involve marketing ploy; the shoes are actually repeatedly and forcefully pushing designed differently to accommodate off with the big toe, such as football, the unique demands of each activity. basketball, soccer, running, and gymChoosing the right active footwear nastics, can cause a painful sprain of will ensure your feet receive optithe big toe joint known as “turf toe” mum support and protection while (so named because it’s commonly you work out. associated with field sports played In addition to buying the right on artificial turf). Of course, the risk type of shoe for your chosen acof developing turf toe increases if tivity, it’s important to ensure the poor-fitting shoes are worn. shoes you’re going to buy are well Our nation’s epidemic of obesity constructed and offer adequate suphas contributed to an increase in foot port. Make sure the shoe upper is ailments, as well. Included among made of a material that breathes, them are pain, joint damage, and such as mesh; the heel counter (the arthritis in the feet resulting from the

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part of the shoe at the back of the heel just above the sole) is stiff and stable; and the shank (bottom of the shoe) flexes at the ball of the feet but nowhere else. Those popular lip-flops, while appropriate to wear around the house, pool, beach, locker room or shower (to help protect against fungus and warts), do not offer sufficient support or protection for everyday wear or prolonged walking. For those determined to wear them, however, Oregon Family Foot & Ankle does offer a flip-flop with arch support. Opening soon, our new 25,000 square foot addition featuring private suites and a state-of-the-art rehabilitation and therapy center. Watch for details about our grand re-opening this summer!

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24 May 2013 / Healthy Living News

The role of orthotics

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With time and use, shoes lose cushion, stability, and support, so they need to be replaced periodically. As Dr. Wilkinson explains, “Shoes can still look good even after they’ve lost function, making you more prone to heel pain, ankle sprain, and other problems. If you’re working out three to four times a week, I encourage replacing your shoes every three to four months.” Dr. Cragel thinks of the useful lifespan of shoes in terms of mileage, recommending replacement after approximately 500 miles of wear. People with subtle—or not so subtle— mal-alignments of the foot structure

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often experience foot pain or other problems as they become more active in the spring. In these instances, custom orthotics may be the solution. “As I like to explain to patients, a custom orthotic creates a customized ‘foot bed’ that restores optimal alignment,” Dr. Ferradino says. However, off-the-shelf orthotics should not be considered a viable alternative to the custom-made variety. “The orthotics sold in stores offer a quick fix and may look good in the package, but they’re not made for your foot. People often go through several pairs of store-bought orthotics before coming to us for a custom fit,” comments Dr. Cragel.

Don’t push it! When starting a new vigorous activity or exercise regimen—especially after a long period of inactivity—it’s important to take it slow and build your level of exertion gradually. Otherwise, you risk injury, soreness, and ultimately burnout. Remember: pain is the body’s way of telling you something is wrong. If you do experience a problem with your feet, see your podiatrist promptly for an examination. The earlier a problem is caught, the easier it is to treat and the fewer secondary problems you’re likely to experience. ❦

Star Wars light saber heals… by Douglas Schwan, DC, Dipl ac

e all remember the pivotal scene of the first Star Wars movie in the cantina when Obi Wan Kenobi cuts off the arm of a pirate. This was the scene that introduced the concept of the “light saber” to the world. The light saber was described as a focused laser that was strong enough to cut through just about anything, and it was the weapon of choice for any aspiring Jedi Knight. That was back in 1977. Today a light saber is being used by doctors to treat pain and injuries in patients. While Star Wars light sabers can cut arms off with ease, these new medical “light sabers” are a form of cold laser. They do not transfer appreciable heat into body tissues. Instead, they

transfer photon energy deep into inflamed tissues, which results in an increase in cellular metabolism with no tissue damage whatsoever. Cold lasers, also sometimes referred to as biostimulating lasers, can treat a wide variety of musculoskeletal and pain conditions. Studies have found them to be effective in treating rheumatoid arthritis, carpal tunnel syndrome, back and neck pain, shoulder and knee pain, and the pain associated with osteoarthritis. Many patients report relief from chronic pain and reduced reliance on heavy-duty drugs. The benefits of light in managing many conditions have been known for years. Many physical therapy and

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chiropractic offices have used infrared light (heat lamps) in the past to control pain. The problem with this approach is that the wavelength and intensity of light only penetrates a few millimeters into the skin, thus limiting usefulness. With the advent of laser technology, we can now “fine tune” the wavelength of the penetrating laser and reach tissues over two inches deep in the body! This is quite a breakthrough and allows treatment of deep-seated conditions in the spine, shoulder, wrist, hips, and knees. Energy is required by the body to maintain health. The source of this energy is in the air we breathe, the food we eat, and the sunlight we are exposed to. That last, the sunlight, is the least understood of the three. We know that eating fast food for a month will result in detectable liver enzyme problems in just 30 days. (Don’t believe me? Watch the documentary Fast Food Nation! It’ll scare you!) As far as the air we breathe is concerned, there is a long list of carcinogenic compounds floating around out there and probably an even longer list of what we just don’t know about yet. But with sunlight we are just scratching the surface. Just recently it has been noted that certain autoimmune disorders, like multiple sclerosis (MS), have been linked to lack of sunlight exposure. It is now an established fact that the farther north of the equator you live, the more likely you are to develop MS. And this is just one example. As cold-laser technology became more refined, studies began to come out regarding its effectiveness in a variety of conditions. It is now a modality widely used by the NFL as well as the USPS Tour De France Team. Cold laser therapy is providing pain relief and promoting healing for a variety of conditions. Cold laser therapy is now moving into the mainstream. Our office is involved in research programs for treating peripheral neuropathies (nerve pain) in combination with other approaches, such as chiropractic and acupuncture, to see which combination offers the best relief for specific conditions. Even Dr. Oz has featured cold laser therapy on his show, talking about its benefits with a variety of problems, such as carpal tunnel, stiff neck, herniated

discs, arthritis, and other hard-totreat pain disorders. In our office, we often use cold laser therapy in conjunction with other treatments. Patients generally do not feel anything during the treatment but often remark on changes afterward. A course of treatment generally runs three to 12 sessions depending on the problem, with acute problems requiring less treatment than long-established chronic problems. We have found that cold laser therapy will help improve range of motion and reduce a patient’s reliance on pain medication. Since cold laser therapy is non-invasive, there are very few dangers associated with the treatment. Primarily, the eyes must be shielded from inadvertent exposure to the laser light as it can damage the sensitive retina. There are a variety of applications for cold laser therapy in a clinical setting. Non-needle treatment of acupuncture points by laser is an exciting new field. We are seeing treatment for obesity with excitation of the abdominal fat cells. We are seeing treatment for smoking and other addictive behaviors once restricted to needle acupuncture. Depression, TMJ, migraines, and anxiety all are open to treatment through cold laser therapy. If you feel like nothing else is working and wish to see if your condition is ameliorable to cold laser therapy, contact a local practitioner for a consultation. Most will offer a free consultation to explain if and how this new “Star Wars technology” might benefit you. ❦ Dr. Schwan is available to speak at your group’s function on a wide variety of alternative medicine topics, chiropractic, acupuncture, herbal medicine, nutrition, vitamins etc. He is a graduate of the International Academy of Medical Acupuncture and Palmer College of Chiropractic. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time stand-up comedian. He has practice locations near Toledo Hospital and in Perrysburg, OH. For more information on alternative medicine, please visit our website at www.acupuncturetoledo.com.

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Lakes of Monclova brings

exceptional service and unique programs

eniors today are enjoying longer, more fulfilling lives and have very high expectations of their golden years. When they decide the time is right to enter a senior health community, they’re looking for a facility that not only provides a full continuum of care services, but will also help them maintain the highest possible level of comfort, convenience, and independence at every stage of the aging process. The Lakes of Monclova, operated by Trilogy Health Services, provides just such an environment on their new campus located at 6935 Monclova Rd. in Maumee. Offering short-term rehab, longterm care/skilled nursing, assisted living, and specialized memory-care services, the Lakes of Monclova follows a very different model than one might expect. Gone is the institutional, antiseptic feel one associates

with the traditional senior community. Instead, the Lakes of Monclova provides a warm, welcoming, luxurious atmosphere. “What’s unique about our campus is the updated environment that departs radically from the traditional model,” explains Doug Blakely, Executive Director of the Lakes of Monclova. “We’ve put a great deal of thought into the design of the buildings, the furnishings and amenities we provide, and how the space is utilized. Our facility feels more like an upscale resort than a typical senior community.” The comfortably appointed private suites come fully furnished, or residents can bring their own furnishings to personalize their living space. The rooms also feature individually controlled heating and air conditioning; private baths with a drop-down shower seat and hand-held shower

nozzle in a walk-in shower; and call cords near the toilet and shower stall for resident safety. Assisted-living suites include a kitchenette. Common areas are plush and inviting and include amenities such as a café, an activities room, a beauty salon, a lounge complete with a pool table, outdoor courtyards and a sun terrace, and much more. Large-screen TVs located throughout the campus broadcast an in-house channel that communicates daily schedules, mealtimes, weather, photos of residents enjoying activities and events, and other information. When it comes to activities, Jennifer Reinhart, Community Services Representative for the Lakes of Monclova, is especially enthusiastic about introducing the Live-A-Dream program to the facility. In this program, one resident is chosen each quarter

to experience an activity of their dreams. Examples of prior fulfilled dreams include taking a hot-air-balloon ride, riding a Harley Davidson, and having dinner with President George Herbert Walker Bush. The Lakes of Monclova is also poised to provide specialized memory-care services to residents with Alzheimer ’s or other forms of dementia in the Legacy Building. This home-like facility, staffed by professionals highly trained in memory care, offers assisted-living/residential care and skilled nursing services, private suites and bathrooms, familystyle dining, a secure outdoor courtyard, and regular supervised outings and special events. The building is uniquely designed with large common spaces and short corridors to encourage familiarity and minimize the likelihood of residents getting

Staying busy is no longer a sign of youth. JOIN OUR SENIOR EXECUTIVE CLUB Exercise classes. Lunch outings. Helping in the community. Learning a foreign language. Cooking seminars. Wii bowling. Friday happy hours. And if we’re not already doing your favorite activity, just ask. We’ll make it happen. We are providing Maumee with comprehensive

Wednesday, May 8th* 1:00 p.m. Lakes of Monclova Featuring Deb Arthur from Nursing Resources, who will speak on The Ins and Outs of Home Health. Free BP checks will be offered.

services including short-term rehabilitiation, skilled nursing, assisted living and adult day services. To find out how you, or someone you love, can start living life to the fullest, call us today to schedule a personal tour.

Please RSVP by May 1st to 419-866-3030. * Our SEC meets on the 2nd Wednesday of each month at 1:00 p.m.

(419) 866-3030 • 6935 Monclova Rd. • Maumee, OH 43537 • lakesofmonclova.com Assisted Living Residence and Legacy memory care neighborhood NOW OPEN! Only a few accommodations left, so call today! 26 May 2013 / Healthy Living News

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other tasks rather than resorting immediately to medications, which can have adverse side effects. In fact, medications are considered an option of last resort. The continuum of care at the Lakes of Monclova also includes the Home Again program, which consists of a full range of short-term rehab services offered at the facility’s Health Center. This program is designed to get rehab patients back to their lives and previous level of activity following injury or surgery and is ideal for those who have undergone orthopedic procedures, such as a knee, hip, or shoulder replacement. “Home Again is a central part of our services. We have a large, well-equipped therapy room with an outside courtyard, so there are lots of therapy options. All the resident rooms are very nice and spacious with refrigerators and all the comforts of home. Coming here for rehab feels like checking into a hotel,” states Blakely. The state-of-the-art rehab services at the Lakes of Monclova are helping to meet a burgeoning community need. Blakely points out that more and more people are seeking intervention for joint problems preemptively and at a younger age rather than waiting until their mobility is already compromised. “Some people even come to the facility for ‘prehab,’ which involves strengthening and conditioning the body before surgery to improve outcomes and recovery rates. That’s really what we’re all about—creating positive outcomes,” Blakely says. ❦

to community disoriented in their surroundings. Blakely notes that the Legacy Building features several Life Stations, which are special areas designed to help residents engage in familiar tasks and activities that they may have performed in their younger years, including an office area, baby bassinette, and clothes closet. “Memory-care residents commonly have difficulty processing information and remembering in the short term, but they can often reconnect with things from the past that are congruent with their long-term memories,” he says. Reinhart adds that people with dementia often experience a disruption in their natural circadian rhythm—or “biological clock”—causing them to have reversed wake/sleep cycles and increased nighttime agitation. “To counteract this condition, known as ‘sundowning,’ we offer a program called Daily Rhythms, which involves activities throughout the day that help establish and maintain a healthy energy pattern. Once they get re-accustomed to a normal rhythm, we often observe changes in their behavior,” she notes. Also unique to the Trilogy approach to memory care is the goal of redirecting the energy of residents with behavioral problems to

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How do I get started? Call our office to schedule your free consultation with Dr. Attar. Call for your complimentary 3D scan and ALL-ON-4 consultation with Dr. Attar ($750.00 value). Visit our website: www.sundentalanddentures.com Sun Dental & Dentures Advanced Oral Rehabilitation Center 5801 Telegraph Road, Suite 1 Toledo, OH 43612 (419) 478-4440

Audrey Chisholm is State Finalist for Power of the Pen

ylvania resident and Christ the King 7th grader Audrey Chisholm is a State Finalist for the Power of the Pen competition. The statewide championship competition, featuring nearly 1,200 7th and 8th grade students from around the state, will take place on Friday, May 24 at the College of Wooster. Audrey won first place in her District Competition at Ottawa Hills High School and then earned the 7th grade Best of the Best Award at the Regional Competition at Lourdes University. This award is given to the writing that all of the judges have voted as the best for all 7th grad-

ers. Power of the Pen is one of the many extracurricular programs offered to students in Christ the King Middle School. Audrey is the daughter of Brian and Darlene Chisholm. The principal of Christ the King is Mr. Joseph Carroll, and the pastor is the Rev. William Rose.

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May is Bike Month! Ride with a Ranger Saturdays, May 4 & May 11, and Sunday, May 19, 1-3 p.m. A ranger from the Metroparks will lead bike trips on regional trails. Register online at MetroparksPrograms.com or call 419.407.9710. Bike to School Day Wednesday, May 8. Riding a bike to school is fun and great exercise. Ride TARTA for 25¢ Sun. - Sat., May 12-18 TARTA fare is a quarter when you use a bike rack – this week only. Ride of Silence Wednesday, May 15 at 6:45 p.m. Start at the University of Toledo (Bancroft St. entrance). This is a group ride to remember cyclists injured while riding and to remind drivers to share the road.

Bike to Work Day Friday, May 17. Your bike is a real commuting vehicle. Today is the day to try it. Bike Day at the Farmers Market Saturday, May 18, 9 a.m. - noon. Cyclists are invited to ride to the Farmers Market in downtown Toledo. See the bike info booth and get a free cup of coffee. Blue Week Bike Ride Saturday, May 18, 8 a.m. – noon. A 45-mile “Blue Week” ride through part of the Oak Openings Region. Details: www.toledoareabicyclists.org. Metropark Family Fun Ride Saturday, May 18, 10 a.m. Meet at the Wildwood visitors center for a ride with a naturalist. Ages 9 and up.

For more information on TMACOG’s Bike Month, call 419.241.9155.

www.tmacog/bikemonth.htm 28 May 2013 / Healthy Living News

Senior independent living community Genesis Village to open this summer by Chris Holliday

“genesis” is a beginning, and with the chef, and the staff will inthat is what Toledo residents will clude a therapy team to offer physical see on Reynolds Road near Heaththerapy, occupational therapy, and erdowns Boulevard this summer. massage therapy. The former Holiday Inn will start its Oedy reports, “The Center will new life as Genesis Village, a center also offer an on-site home health for independent living for seniors 55 agency and medical and pharmacy years and older. The 300 hotel rooms interns from UT, as well as our hohave been renovated and repurposed listic life-enrichment program. From into 138 apartments (studio, as well as healthy food to fitness and socializaone- and two-bedroom) with all the tion opportunities, our focus is to comforts of home and more. Active keep people independent by being adults will find plenty of amenities in proactive in their lifestyles. The abilthis new facility, from a multimedia ity to age in place gracefully at Gencenter with a theater-sized screen (no esis Village is one of our greatest extra charge for popcorn and drinks) appeals.” to a library, atrium, and chapel and Socializing will be easy in the Fireprayer room. side Café or the lounge, and clubs, Co-owner Jim Oedy has experioutings, activities, and volunteer ence developing similar centers in the opportunities will mean that adults Fremont area. He worked for several used to being on the go won’t years to secure financing for the have to slow down a bit. project and credits Divine Families used to visitassistance for help in finding Grandma and ing backers for such an Grandpa will apambitious project in preciate sharing a tough economy. movies on the big “This has been screen or visiting very challenging,” in the atrium. he explains. “If I 24/7 security and had not known a front desk staff Socializing will be easy in the Fireside Café that God had keep everyone or the lounge, and clubs, outings, activities, called me to do and volunteer opportunities will mean that safe, and free this, there would adults used to being on the go won’t have to local transportabe no Genesis slow down a bit. tion to medical Village. Reynolds appointments Road corridor was in trouble and and shopping will be available. A needed a catalyst for a turnaround, gift shop and a beauty salon are other so this was an opportunity to be a amenities. Those seniors who come double blessing—to our city as well with extra furniture will be able to as our residents. We see this work as take advantage of garages and stora calling, not just a job.” age units, and the facility will also The apartments (approx. 324 sq. have carports for its residents. ft. for a studio, 680 sq. ft. for a single Oedy expects that Genesis Vilbedroom, and 950 sq. ft. for a twolage will work with local non-profit bedroom) are moderately priced for agencies to host their events and all they include: cable TV, internet senior functions. One of their partservice, individually controlled heat nerships will be with Heroes In Acand air, and all other utilities except tion, a veterans’ outreach group who a personal phone. Oedy calls the will have their offices inside the new all-inclusive rates “moderate,” and Genesis complex. Genesis Village will says, “They (the rates) are being well also collaborate on events, seminars, received by the middle class.” etc. with groups like Area Office on Chef Kameel Ansara (of The Board Aging, University of Toledo, Cherry Room fame) will prepare three meals Street Mission, Toledo Area Miniseach day, and those who overindulge tries, and others. “With our three won’t suffer for it. They will be able large ballrooms, multimedia center, to walk it off on the 10-acre site, swim meeting rooms, 5,000-square-foot it off in the indoor pool, or work it off kitchen area, 10 acres of green space, in the state-of-the-art fitness center, and parking, we have the capacity which boasts a whirlpool, sauna, and and the leadership to be a game locker rooms. Nutritionists will work changer for our area as well as our We love comments and feedback. Like us on Facebook. Follow us on Twitter.

OPENING SUMME R 2013

What Makes Us So Unique? ALL-INCLUSIVE MONTHLY RENT INCLUDES: l Studios, one and two-bedroom apartments include: 端 All utilities except your personal home phone 端 Cable television and intenet 端 Individually controlled heat and air l Three home cooked meals daily by Chef Kameel Ansara l Health and fitness center l Indoor pool, whirlpool and sauna with locker rooms l Fireside Cafe with free coffee and juice bar l Multimedia center with theater size screen l 6 acres of beautifully landscaped grounds and courtyard l Chapel and Prayer Room l Spacious atrium and fireplace lounge with well-appointed library l 24/7 front desk staff and security l Free local transportation to medical appointments and shopping l Wide range of clubs, outings, activities & volunteer opportunities

ALSO LOCATED ON SITE FOR YOUR CONVENIENCE: l Wellness Center, Gift Shop, Beauty Salon l Carports, Garages & Storage Units

Call or email to schedule a tour and have lunch on us!

419.720.1286

info@GenesisVillage.org www.GenesisVillage.org

Locally Owned & Operated by Jim Oedy & Nathan Hill I 2429 S Reynolds Road, Toledo, Ohio Have questions about an advertiser? Click their email or web address in our online issue at www.hlntoledo.com.

senior community,” Oedy says. He adds that the Vietnam War Memorial event will be held at Genesis Village this summer. He and his partner, Dr. Nathan Hill, will open the Genesis Village with the vision of “serving the whole person’s wellness, spiritual and social needs,” as well as providing pastoral care and faith-based services and activities. The idea, according to Oedy, is that GV will attract people because of the unmatched amenities, but people will stay for the family friendly atmosphere. “The new surveys show that the emerging senior population wants more amenities and a more vibrant atmosphere,” Oedy notes. “When you read the latest data, they describe Genesis Village to a tee. When you ask seniors for their wish list, you get what we have at GV.” Those interested in more information are encouraged to call Genesis Village at 419-720-1286, email info@ GenesisVillage.org, or check their website, www.GenesisVillage.org. Ask about taking a tour and enjoying lunch on site. ❦ Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

Kick Ash

Saying goodbye to the perfect companion by Patte O’Connor

moking is the perfect companion, even better than a dog. Canines may provide you with endless unconditional love, but they always leave you with having to pick up the “doo-doo,” and who likes that? Smoking, on the other hand, is like the ultimate fantasy-football game. It’s a daily delusion that is played out where one picks when they smoke and feels as if their choice always brings victory; sadly it does the opposite. Smoking a cigarette, “team you,” is always the loser. Quitting, on the other hand, is like losing your best friend. When you give up cigarettes and your boss chews you out or when your kids are bouncing off the walls and you need five minutes on your patio alone, where is your cigarette friend during your break? The cigarette has been with you every step of the way. It

Northwest Ohio Chapter

never talks back, chews you out, or leaves any “doo-doo” for you to dispose of. Gosh, who wouldn’t be ticked off, depressed, anxious, or even hostile when a friend like that takes a hike? Smoking packs a pretty powerful emotional and physical punch. Minus a cigarette, smokers are left in a quandary over how to cope with the daily dose of life’s curveballs, like the boss chew-out or bouncing kiddos. Most smokers will tell you that a cigarette calms them down; that is the fantasy-football side of it. All smoking does is calm down the receptors in your brain that are screaming for nicotine; It has nothing to do with calming you down. The tobacco companies now squeeze over 7,000 chemicals into one cigarette. One of the chemicals is nicotine; the others are the bad boys that make nicotine as potent as a rocket fueled to reach Pluto. That is why a person who has recently quit and thinks they can have “just one” to end the mind-blowing craving will end up smoking another and another. So, what’s the million-dollar answer? How do you really win the game? Here is one step in the right direction: If you quit smoking and

you find yourself caught between telling your boss off or smoking, pause and ask yourself, what do I really need? The answer is not a cigarette. Perhaps what you really need is to grab a co-worker and have a good-old-fashioned vent session on what a dope you think your boss is. Funny, he or she will probably agree with you. The result will be getting it off your chest and probably sharing a good chuckle. Score 1 for your lungs and 0 for the ex-friend. Also, guess what, that is what you most likely really needed. You needed to rid yourself of the stress you experienced in a healthy way. Now, of course, if quitting were that simple, you wouldn’t be reading this article. It is not that easy-breezy. However, a whole bunch of great resources, products, and methods are out there just waiting for you. You can quit; you can stop playing fantasy football and get into a healthy reality. It takes motivation and help. You can quit and have the life you want. Start small, stay in the game, line up your resources, and don’t think you are a failure or weak if you need help. Help is out there. Line up your team or coach and get in the game! ❦

Crohn’s Disease, IBS Been there. Done that.

Now I have an active life! Interested? Call me Carol Klotz

419-343-9189 30 May 2013 / Healthy Living News

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Medical pros like mangosteen fruit

ehold, the mangosteen! The “Queen of Fruits!” No, that idea wasn’t conjured up by some 21st century marketing whiz. It was the nickname pinned on a mysterious, purple, native Asian fruit by those who heard that Queen Victoria demanded one over 100 years ago. Then, in this 21st century, it got its latest nickname: “Superfruit.” While a number of other fruits have vied for that identity, the mangosteen was the first in 2003. Even Dr. Oz has become a proponent. The mangosteen. You say you’ve never heard of this fruit in spite of its catchy superlatives? Few in the United States have ever heard of it simply because it couldn’t be imported into this country until just a few years ago. It seems that alien insects would sometimes accompany shipments of this tangerine-sized fruit. Until new irradiation procedures were developed recently, it was impossible to import mangosteen without a few of the buzzing and creeping freeloaders. This is not to say that the rest of the world hasn’t been aware of the mangosteen for centuries. It is a fruit grown in subtropical regions of the world. In fact, Thailand considers the mangosteen its national fruit. Other places you can find mangosteen farms are Indonesia, Colombia, the Philippines, Puerto Rico, Africa, and Sri Lanka. Wherever it is hot and humid, you are likely to find mangosteen trees. You can find them in the U.S. on Kauai Island in Hawaii. There are areas in the Philippines and other places where medical professionals are scarce, if not absent. Many people in those areas cultivate their own mangosteen tree near their home and use the fruit for well-being. They often include it in their wellness arsenal with other herbal remedies. And the mangosteen is not related to a better-known fruit, the mango. Not even the same genus! So, why is this important?

dietary supplements and skin-care and personal products that include mangosteen lists the ingredient’s wellness properties as:

for better health world. Mind you, this fruit is so unusual that hundreds of studies have been included in the national medical database on www.pubmed.gov. The fruit fascinates medical professionals around the world. Dr. James Duke, PhD, a botanical research specialist and formerly a longtime employee of the USDA, cataloged over 200 biological activities of the mangosteen fruit. He determined that many of the activities actually have more than one chemical in the fruit to support them. Some of these are antidepressant, antiulcer, antitumor, antibacterial, and antiallergenic. There are many more researchers who have tested this theory. You can find many of their results on the medical database website. But it is just a special “Superfruit,” not a drug or medicine. Given that it is food, no life-threatening side effects have been reported. Some mangosteen proponents have, therefore, quoted Hippocrates, saying, “Let food be thy medicine!” One company that sells various

• • • •

Maintains intestinal health Supports the immune system Neutralizes free radicals Supports cartilage and joint function • Promotes a healthy seasonal respiratory system The company says that these statements have not been evaluated by the Food and Drug Administration (FDA) and that their products are not intended to diagnose, treat, cure, or prevent any disease. The FDA regulates dietary supplements as a category of foods and not as drugs.

almost 2,500 studies. Use “mangosteen,” and you will find almost 200 studies. A study typically reports positive results. Of course, in vitro (“test tube”) results don’t always translate into effective human results. Preliminary research suggests that xanthones from mangosteen exhibit antibacterial, antifungal, and anti-inflammatory activity, according to Memorial Sloan-Kettering Cancer Center. According to Dr. Brent Bauer of the Mayo Clinic, several lab tests and animal studies show that mangosteen has “significant anti-inflammatory effects.” Further, Dr. Bauer states, “And a few small-scale studies in humans indicate that the juice helps reduce

Find studies in national database Researchers have found that the mangosteen is a storehouse of “phytochemicals” (naturally occurring botanical chemicals) unlike any other. Chief among them is a family of antioxidant chemicals known as “xanthones” (pronounced “zan-thones”) that are unusual in their ability to combat illnesses. Studies in the national medical database (www.pubmed.gov) have tested mangosteen xanthones in laboratory (in vitro) settings against cells from many illnesses. To perform your own search for these studies, go to the website and key “xanthones” or “mangosteen” as your search term. Use “xanthones,” and you will find

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

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blood levels of C-reactive protein (CRP). CRP is a substance associated with inflammation, which may be caused by widespread infection or disorders such as inflammatory bowel disease, lupus, and rheumatoid arthritis.” But, of course, the medical establishment often disagrees about the merits of these properties even though the registered studies are all authored by credentialed scientists and medical professionals. They say that double-blind human tests are necessary in order to prove the virtues of this fruit. Few double-blind human tests are available since the standards for nutritional supplements are different than for drugs. Nevertheless, you can find hundreds of thousands of testimonials from people who say this fruit has helped them. Some of the most riveting testimonies come from people in the Toledo area and Northwest Ohio. Many of these people have never previously provided public comments but feel empowered by the positive results they have found and want to help others. One of the outspoken medical professionals in the Midwest is Amod

Tootla, MD, a Detroit-area colorectal surgeon. In a pamphlet, “Mangosteen and You,” he says, “Drugs are necessary to treat some of the conditions I manage in patients, but they are never fully safe and I’d much prefer to avoid them if possible. The mangosteen provides a safe and welcome alternative which allows me to treat abdominal conditions safely and effectively.” J. Frederic Templeman, MD, medical director of Phytoceutical Research in Salt Lake City, was a proponent of mangosteen juice before its commercial introduction in the United States. In “Mangosteen, the X-Factor,” Dr. Templeman says, “Mangosteen xanthones are powerful anti-inflammatories. They have antiviral qualities that can lead to a reduction in the number of viral infections in humans. They are very potent antioxidants and help to counteract the free radical-damage of air pollution, and finally, they have been shown to have anti-allergy effects.” Dr. Templeman concludes, “My position today on the use of supplements has changed. After examining the evidence and seeing firsthand the effects of mangosteen in my patients, I

can no longer remain on the sidelines. I am now convinced that mangosteen will, without a doubt, be the most successful food supplement ever.” He also sponsors a website appropriately named, www.mangosteenmd.com. And then there is Dr. Mehmet Oz, well-known on TV as “Dr. Oz.” Citing

Get mangosteen as a supplement

So where do you buy this mangosteen fruit or juice supplement? The fruit is available occasionally at specialty produce stores around the country. Its typical in-season periods are late spring (May-July) and early fall (August-October), according to According to Dr. Brent Purdue University. Bauer of the Mayo Clinic, The beautiful white inside portion of the fruit, the delicacy that caused several lab tests and animal it to be called “The Queen of Fruits,” studies show that mangosteen is very tasty. Unfortunately, most of has “significant antithe xanthone antioxidants and other native chemicals are found in the inflammatory effects.” inedible, bitter tasting pericarp (rind) of the mature purple fruit. mangosteen among five “Superfoods,” Several companies have developed he stated, “This sweet, tropical fruit juice products from the mangosteen. originally from Indonesia has made Some are available at retail stores. Only its way onto supermarket shelves in one processes the entire fruit (includthe United States. Hidden inside a ing the pericarp) and so includes all thick purple rind that you cut open is of the beneficial phytochemicals in a white, creamy flesh full of vitamins its drink. In order for their juice to be A and C as well as cancer-fighting palatable, this company’s juice also antioxidants. If you can’t find the includes other fruit juices with the fruit, the juice of the mangosteen, mangosteen, and those who drink which is more widely available, is the it say it tastes very good. This juice next best thing. This is also available is available wholesale to consumin tea form.” ers through a Toledo distributor. Other companies do not use the pericarp in their products and, therefore, they have limited benefits. Beware of “mangosteen juice” that lists water as its main ingredient rather than mangosteen. The company that introduced mangosteen juice in 2002 sold only • If your stay at the hospital is a minimum of 3 qualifying that single product durmidnights, Traditional Medicare will pay 100% of your stay ing its first five years. up to 20 days.* Eventually, the compa • Today there are many private insurances that offer ny introduced skin-care the same 100% coverage without the 3 midnight qualifying products based on the stay minimum. mangosteen that have been very successful. Our administrative staff is experienced not only with Medicare but many The company has also other private-insurances. Our professionals can assist you with this and introduced many other much more. health-and-wellness products that include mangosteen as an ingredient, such as bar soap, hand lotion, and lip balm. Even a sleepaid product contains a mangosteen ingredient. ❦

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For more information about mangosteen and mangosteen supplement products, call Carol Klotz at 419-343-9189. Carol’s website is www.carol. mymangosteen.com/way.

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Hearing aids have evolved with the high-tech times by Randa Mansour-Shousher, AuD, CCC-A

e all love our electronics: iPhones, iPads, digital cameras, HDTVs, Kindles, iPods, and, of course, hearing aids. Hearing aids aren’t the big, clunky instruments we grew up with. Just like other electronic devices, today’s hearing aids have taken on a new life of their own. Northwest Ohio Hearing Clinic has the new, sleek, state-of-the-art, life-altering hearing aids. As contoured and futuristic as the most highly styled electronic device—or so discreet that they’re virtually invisible—today’s hearing aids are a high-tech “antiaging” tool that can help keep lifeloving Gen-Xers and baby boomers socially, cognitively and physically active. At its best, technology offers solutions, enriches life, and makes us more efficient. Today’s modern hearing aids do all three. For more than 34 million Americans, hearing loss is part of everyday life. Most frequently, it results from repeated exposure to loud noises— like at concerts, nightclubs, sporting events, crowded restaurants, loud workplaces, and so on. But we also don’t want to forget about the agerelated hearing loss the majority of us will experience over the years. Whether the hearing loss is related to trauma, noise exposure, or even a genetic factor, we all deserve to have a choice of hearing aids to select from. In many ways, hearing loss is the unintended by-product of life fully lived—that is, before we knew better about how to protect our hearing in such noisy environments. But, when ignored and left unaddressed, hearing loss robs our life. It isolates us, debilitates us, and diminishes our quality of life. It even takes a toll on fiscal well being by cutting into earnings potential. And perhaps most notable, unaddressed hearing loss creates barriers and unnecessarily strains even the best of relationships. But listen up: It In many ways, hearing loss is the unintended byproduct of life fully lived—that is, before we knew better about how to protect our hearing in such noisy environments.

doesn’t have to be that way, and it shouldn’t be. The overwhelming majority of people with hearing loss can benefit from hearing aids. And eight out of 10 hearing aid users say they are satisfied with the changes that have occurred in their lives specifically due to their hearing aids—from how they feel about themselves to the positive effects hearing aids have on their social and work lives. Patients comment on their increased productivity at work because they can hear in a more relaxing atmosphere. Some even comment how they feel relieved that the listening experience makes them feel more at ease. They can actually feel less stressed and happier. High-performance technology and style have merged with durability and ease of use when it comes to today’s hearing aids. The options are so varied, in fact, that there is an attractive solution for just about anyone. Hearing aids now can be constant-wear, 24-hours-per-day or daily-wear. Today’s high-tech hearing aids can be as discreet or as visible as you like. Designers offer styles that appeal to the fashion-conscious, the trendsetter, the party-goer, the intellectual, the active sports enthusiast, the cautious grandmother, the romantic, the weekend warrior, and even the guy just tired of arguing with his wife and kids about the volume on the TV. There’s a hearing aid that fits everyone’s lifestyle so there’s no reason to not do something about your hearing loss. Simply, today ’s hearing aids transcend old-world notions about hiding a condition as common as hearing loss. Whether they sit discreetly inside your ear canal or wrap aesthetically around the contour of your outer ear like the latest fashion accessory, today’s high-performance hearing aids amplify life.

They unabashedly send the message: “I’m too young and full of life to stop doing the things I love best.” If you think you or someone you care about is struggling with unaddressed hearing loss, ask yourself these questions: • Do you seem to have trouble hearing on the telephone? • Is it more difficult for you to follow conversations when two or more people are talking at the same time? • Do you keep turning up the TV or radio? • Do you sometimes miss a telephone ring or doorbell? • Do you seem more irritated or tired at big family or social gatherings?

If the answer to some or all of these questions is yes, it’s time to take that first step toward regaining the reins on life. Have your hearing assessed, and take charge of your hearing loss. So go ahead. Be an innovator. Disrupt your life for the better, and let us help you live to the fullest. Get that one consumer electronic that’s sure to amplify your life: a hearing aid. Then hear how dynamic technology—and the world around you—can be! ❦ Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 3000 Arlington Ave. in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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Room for One More? Do you have room in your heart and home to help a child in need? Lucas County Children Services is looking for happy, healthy and stable families to become foster parents. In exchange for providing a caring home to a child, you might find yourself with the next video football champion! We’ll provide the training and resources you need to become a foster parent, along with the ongoing financial and other supports to help your family welcome a new member. To learn more, call 419-213-3336, visit us online at www.lucaskids.net or find us on Facebook at www.facebook.com/LucasCountyChildrenServices. Sign up now for our next training classes June 17–22, 2013, 9 a.m. - 4 p.m. Call 419-213-3336! 34 May 2013 / Healthy Living News

ur community’s need for individuals willing to open their homes and hearts to children in need of a safe, loving home has never been greater. The child-welfare advocates at Lucas County Children Services (LCCS) are seeing a dramatic increase in the number of children who require foster care while the number of available foster homes has been steadily declining. LCCS strongly encourages anyone who has contemplated fostering—or perhaps has never considered it before but might be a good foster candidate—to take that next step by exploring this fulfilling, life-changing opportunity. LCCS Foster Care Supervisors Amy Galvan and Pam Gaffney point to several factors that might be contributing to the declining availability of foster homes. “One is the simple fact that many of our foster parents have adopted their foster children. In fact, last year we had a total of 108 adoptions, so many of our fosters have completed their family and aren’t necessarily planning to foster again. Of course, we’re always thrilled when our kids find their forever home.” Gaffney adds, “We’re also seeing an epidemic of heroin use in the community. This drug is very cheap and readily available. We’re even seeing a lot of suboxone and methodone abuse. These are supposed to be step-down drugs, but the people abusing them aren’t stepping down. As a result of this trend, a lot more babies are coming into our system.” What’s more, children who can’t be placed through LCCS often must be placed in private network homes, which are supervised by other agencies. While they do an excellent job of caring for kids and keeping them safe, they also cost taxpayers a lot more because the outside agencies must handle all of the administration. Therefore, making the commitment to foster a child or sibling group not only makes a positive difference in the children’s lives, but also helps ease the burden on Lucas County taxpayers. The agency’s greatest fostering needs are for young children age two and under (including infants), sibling groups, teens, and minor moms with babies. They always do their best to place sibling groups together in the same home and keep them in the same school district. However, when no one can be found to take

in a sibling group, sometimes the only option is to split the children up among different homes, which can be very emotionally difficult for children who have just been removed from their biological parents. Julie Malkin, Public Information Officer for LCCS, reassures potential fosters that they’ll receive ample support from the agency. “We do provide training to all people who are interested in fostering,” she explains. “We also offer a financial incentive to foster parents who take in two or more children. Plus, we offer the

usual stipend to help cover the costs of care, free daycare for employed parents, clothing vouchers, and medical coverage. You’ll also be assigned a caseworker who will help you through the entire process, from placement until the child leaves.” Prospective foster parents must be at least 21 years old and can be single, married, or a same-sex couple. They also need to complete mandatory training sessions, provide references, pass a home study, and undergo a background check. Some form of income is necessary, but they do not need to be wealthy. The house or apartment can be either owned or rented but must have at least two bedrooms. “We need all kinds of folks, from young parents to empty nesters,” says Galvan. “We also need parents with some training or experience in assisting kids with special needs. For example, if you’re a retired nurse or other healthcare worker or perhaps a teacher, we would definitely like to talk to you.”

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In describing the benefits of fostering, Gaffney remarks, “If you’re already a parent, look back on all those milestones your child achieved and how much joy you felt at those moments. You can experience that all over again while helping to put a child on the right path in life.” Galvan recalls one foster mother whose experience when meeting her foster child’s birth mom was quite different from what she expected. She anticipated that she would feel anger and resentment toward this woman who had failed to provide proper care for her child, but instead, she felt honored for being given the opportunity to care for her child while she worked to get her life in order. She was proud to be part of the process of helping build a safe home environment that the child could eventually return to. The next foster parent training session will be held the week of June 17-22 (Monday through Saturday) at Lucas County Children Services, located at 705 Adams Street in downtown Toledo. To learn more about fostering a child or if you have any questions, please call LCCS at 419-213-3336 or visit lucaskids.net or www.facebook.com/LucasCounty ChildrenServices. ❦

LeMoyne Mercer

A Walk in the Park

See you Tuesday

n February 28, Shirley and I were in Guadalupe Mountains National Park, about 100 miles east of El Paso. Shirley met two young women who said they were part of a group of nine bicycling from Jacksonville, FL to Seattle, WA. Somebody in the group had decided that they should split up, five going to El Paso and four to Albuquerque where they were to meet up again. It was probably this same trip planner who failed to notice that the person carrying their

camp stove was in one group and the person carrying the stove fuel was in the other. That’s why the women asked if they could cook their beans and rice at our site. The stove-fuel debacle, I later concluded, was symptomatic of their general route planning and organizational skills. Shirley was inclined to cut them some slack because they were just nice kids trying to raise funds for a school in Honduras. The Guadalupe Mountains, though in Texas, still get pretty cold at the end of February. The campground is at an elevation of more than 5,000 feet and the forecast called for 28° that night. The girls said it had been 22° the night before. They had been OK, though, because they had good sleeping bags. Well, Marty wasn’t quite OK as a result of conducting a little desert

El Capitan is the most recognizable landmark in Guadalupe Mountains National Park.

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survival experiment. He had heard that cacti contain enough water to save your life in an emergency. (He must have been watching one of those survival guys on TV who demonstrate that you can also drink your own urine in a pinch.) The result was that Marty had been up all night dealing with his body’s serious objections to being part of a junior high science project. The cyclists got their beans and rice going, and we had time to chat. Shirley announced that we were going to have a birthday party—hers. She brewed up some Earl Grey tea with honey to help sooth Marty’s tummy. Then she offered him some yogurt to replace the probiotics. There was left-over mac and cheese in our refrigerator. One of the girls eagerly claimed that. Then, out came the hors d’oeuvres—several different cheeses, summer sausage, garlic-stuffed olives, marinated mushrooms, and crackers. The kids were still stirring their beans and rice, but their eyes got bigger than their cook spoon. Under the clever and subtle guise of get-acquainted conversation, Shirley asked where they were from and how old they were. On hearing them list ages of 23 to 25, she offered some red wine. By this time the sun was

Summertime at Maumee Valley Country Day School

Kay and Darryl had been to Death Valley too. Campers tend to have a number of shared experiences as well as advice about other destinations to consider.

tad more selective. Our guests were curious about where we had been and where we were headed. Julie asked what we liked best about traveling. I could have said that we have been to 49 states and seen some of the most spectacularly beautiful places on the planet. Instead, I told her that we have met the nicest and most interesting people. They all grinned—probably because they thought I meant them. Silly children. Shirley will tell you

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that I am not a “people person.” More like Dennis’s neighbor Mr. Wilson. Even so, I got to thinking about some of the folks we have met on our travels. Some more than once. Some even an old curmudgeon might look forward to seeing again. Since 2006, we have headed to Everglades National Park right after Christmas. In addition to the staff and the campground hosts, we have become acquainted with other regular campers at Long Pine Key. Among these are Kay and Darryl and their dog Ginger from Chicago. As with many RVers, the conversation often focused on where we had been and where we were headed. We shared some common experiences—Yellowstone, the Utah national parks, Death Valley. They told us what a wonderful time they had on their trip to Alaska. Kay said she thought she had the photos on her camera. Sure enough, they were still there. A whole dozen of them. All of them showing Ginger beside their RV with some bushes in the background. As far as I could tell, the pictures might have been taken in Connecticut. But we all agreed that Ginger is one fine-looking dog. Shirley and I have grown accustomed to meeting people more than

We met Earl and Elsie at the Columbia River Gorge and two weeks later in a small town on the Oregon coast.

once but not always in the same place. Kay and Darryl have also shown up at Ocala and St. Augustine. At the head of the Columbia River gorge, we met Earl and Elsie at a Corps of Engineers campground. They are from Louisiana where Earl had sold his shrimp boat to buy an RV for retirement travel. Two weeks later, we ran into them again in the library of

Yosemite is spectacular, but Richard and Kathy discovered that it is probably better to wait until the snow melts before taking a big RV into the mountains.

a small town on the coast of Oregon. At Yellowstone, we met Eva when we checked into Mammoth Campground. The next spring when we registered at Big Meadows in Shenandoah, there was Eva. At Natchez State Park in Mississippi, we met Richard and Kathy who were totally new to camping of any sort with no clue whatsoever about what they were doing. Even so, they had sold their house, bought an RV, and set out to do it full time. (That was quite a leap of faith I thought.) A week later, Shirley and I were on the Natchez Trace having dinner outside our RV. Along came Richard who promptly invited us over to their place. We have kept up with them by

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behind the ridge and the temperature was dropping fast. If it hadn’t been for that, she probably would have brought out a bottle of bubbly. Or two. She kept going back in the RV and coming out with “Would anybody eat some…?” Nobody said no to anything. There are no finicky eaters on crosscountry bicycle trips. Marty, though, had already vowed to become just a

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following Richard’s blog. He says it was nice and warm last spring when they left Brownsville, TX. They were shocked, however, to find that it was still winter in the Sierra Nevada when they tried to go the Yosemite. Although they were from Buffalo and should know something about winter, they had never been west of the Mississippi before and knew very little about weather in the Mountain West. Within the last year, we have met several new friends we anticipate seeing again—by design rather than by coincidence. In this category are Russ and Susan, volunteer campground hosts at Yellowstone. They are simply delightful people. As are Vicki and Jeff who hold the same position at Organ Pipe Cactus National Monument. Thanks to the miracle of email, Facebook, and blogs, we can keep track of a growing number of campground friends. Many are retirees like us who travel extensively. Some are “full timers” like Jack and Jean and Ann from Charleston, SC. Jean had owned a restaurant and hired Jack, a history professor, to play saxophone. Apparently she did not hesitate to fraternize with the staff. Ann is Jean’s 92-year-old mother. You might think that traveling with your mother or

mother-in-law is likely to be stressful. That’s only because you have never met Ann. She is still physically active and brimming with Southern charm. The arrangement seems to work well for them. Before they left Organ Pipe, Jean explained that they don’t say goodbye. “We just say, ‘See you Tuesday.’ We don’t know when we’ll meet again, but we hope that Tuesday is not too far off.”

It may seem strange that some travelers think cardinals are exotic. Like them, would you grab your camera if you saw some green jays? (Look for them in southern Texas.)

High on our Tuesday list are Mary and Dorothy. We met at Organ Pipe when they were scurrying excitedly around

the campground trying to get photos of a bird. Was it a cactus wren? A Gila woodpecker? A Gambel’s quail? Maybe a phainopepla? No. It was a cardinal. “Where are you from, anyway?” I asked. The tone of my voice undoubtedly implied, “What kind of maroon gets excited about seeing an ordinary cardinal?” Were they offended? Nah. They’re Canadians. It is impossible to offend Canadians no matter how boorish you are. (Just ask our son-in-law Chris from Toronto.) It turns out that there are no cardinals in the Northwest of either the US or Canada so, for them, a bright-red bird is a rare and wonderful thing. Dorothy and I hit it off right away, trading quips and jibes. She was a truck driver— really—and therefore may have been inoculated against boorishness. Besides, Dorothy herself was rather prone to mocking accounts of Mary’s handling of their rig. Mary was a nurse practitioner whose assignments often involved flying into remote villages above the Arctic Circle. A cardinal may seem like a Shirley is an RN, so she and rather common bird, but peo- Mary shared some war stories. By the time we went our ple from the Pacific Northwest find it rare and exotic. separate ways, they had invited

us to stop by their place in Mackenzie, BC on our Alaska trip next year. In the meantime, we’ll probably run into each other again on our next Tuesday in Arizona. It also would be nice to see Lucille, a widow traveling alone, who camped near us in 2012 and ‘13. But another Tuesday seems unlikely in her case. Lucille is a world traveler with wonderful stories to share, but she has developed serious health issues. Unlike Ann, Lucille finds that growing older is not always just a walk in the park. Tempus fugits, people. Carpe that diem. ❦ LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

Some of the travel friends Shirley has made are slightly less refined than others.

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nobody’s perfect Sister Karen Zielinski, OSF

The history of the little blue sign

guess I never paid much attention to the “little white stick figure.” I mean, that white figure sitting in a wheelchair in the blue square just told me where the handicapped parking spaces were. I wondered where it came from and how it developed.

Where did it come from? Back in 1969, the International Commission on Technology and Accessibility (ICTA) held a competition to design a symbol that would show handicapped-accessible areas. Susanne Kofoed, a graphic designer from the Copenhagen area of Denmark, won the competition. Her design was similar to what is used today, an outline of a person sitting in a wheelchair, but her design was not used right away since it was missing a head. No one knows why Kofoed

designed the symbol without one, but some say that she was trying to keep the symbol unisex—both male and female. The ICTA chose her design but modified it a bit (adding a head to the person sitting in the wheelchair) and added color. They needed a color that would stand out, so they made the stick figure white for contrast in the design and chose a blue background. The blue background color was subject to change, although the recommended color was a dark blue, or PMS 293C (Pantone Matching System). This symbol is used today and is called the International Symbol for Accessibility (ISA). The official design is copyrighted by the International Commission on Technology & Accessibility of Rehabilitation International. It is regulated by ISO 7001:1990 (public

information symbols).

Need for updating In 1990, the United States signed into law the Americans with Disabilities Act (ADA). The symbol was widely adopted at this time in the U.S. and is used universally around the world, almost instantly recognized as telling us where accessible areas are located. But many feel that the symbol is outdated and needs to be updated since the wheelchair figure does not represent other disabilities, such as people who have impaired vision, hearing loss, etc. Some feel that the wheelchair itself is outdated, that it represents a degree of inactivity and disability that does not accurately represent how many persons with a disability function at work, on sports fields, or in the community. Some believe a person statically confined to a wheelchair is insensitive. So, it seems that the task of redesigning the ISA symbol will be on the horizon in the future. It will probably be a challenge to accurately represent all those with disabilities. At any rate, if humankind can land on the moon, cure various diseases,

and develop phenomenal computer systems, a new, updated design for handicapped accessibility can certainly happen.

What does ADACompliant mean? For people with mobility, hearing, or visual limitations, there are many ADA-accessible signs that, though less popular than the mobility signs, tell a person with specific physical challenges where assistance can be found. The federal anti-discrimination statute enacted by the U.S. Congress was designed to ensure equal access to people with disabilities. ADA Accessibility Guidelines are very specific about how and where specialneeds signs must be displayed. The point is that people with special needs should not be excluded from enjoying the same experiences as other non-disabled people. Braille Signage and/or Tactile Signage are examples of signs that guide or provide assistance to those with special needs. The following are other, less common ADA signs:

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389561-08 May 2013 Healthy Living News Toledo Dollars/and Sense_10.25x6.25_HLN_key1.indd

Healthy Living News | May 2013

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Visual signs • Braille • Large Print • White Cane Area Hearing-loss signs • TTY Device • Sign Language • Closed Captions

❦

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.

Enjoy healthy, free-wheeling fun during National Bike Month

ay is National Bike Month, and TMACOG is the proud local sponsor of this fun, healthy event. Riding your bike is a great way to get healthy exercise and can be a practical way to commute to work or school. Try it all month! Here are some wonderful biking opportunities: Ride with a Ranger1 Saturday, May 4, 1:00-3:00 p.m. Meet at the visitors center at Wildwood Preserve. Ride the Wildwood Bike Trail, University/Parks Trial, and roadways to Olander Park in Sylvania. Led by a Metroparks ranger. Bike to School Day Wednesday, May 8. Riding a bike to school is fun, great exercise and gives a young person a sense of responsibility. Schools have bike racks and safety patrols. Ride with a Ranger Saturday, May 11, 1:00-3:00 p.m. Meet at the Fallen Timbers Monument to ride over the US 24 bike/pedestrian bridge, then follow the Wabash Cannonball Trail to the Springbrook area at Oak Openings Preserve. Ride TARTA for 25¢ May 12-18. Ride TARTA for a quarter when you use a bike rack—this week only. Ride of Silence Wednesday, May 15 at 6:45 p.m. Riders assemble at the University of Toledo (Bancroft St. entrance). Hundreds will ride in silence on a slow eight-mile loop around west Toledo. Police will keep riders safe. The goal of the ride is to remember cyclists killed or injured while riding and to remind drivers to share the road. Bike to Work Day Friday, May 17. Your Ride with a Ranger: Explore a different regional bike trail each week during Bike Month. A Metroparks ranger will lead each trip. Bring your helmet (required) and drinking water for a moderately paced ride. All rides start at 1:00 p.m. and return to the start point at approximately 3:00 p.m. Free. Register online at MetroparksPrograms. com or call 419-407-9710.

bike is a real commuting vehicle. If you live within 12 miles of your workplace, you can probably ride your bike to work in less than 40 minutes. Today is the day to try it. Save money on gas, stay fit, have fun. Bike Day at the Farmers Market Saturday, May 18, 9:00 a.m.-noon. Cyclists are invited to ride to the Farmers Market in downtown Toledo. Bike riders get a cup of coffee and a t-shirt (while supplies last). Also get information on safe cycling and see maps of bike routes in the region. Blue Week Bike Ride Saturday, May 18, 8:00 a.m.–noon. Celebrate Bike Month and join the Toledo Area Bicyclists for the Blue Week ride through part of the Oak Openings Region. The approximately 45-mile route will be designed to highlight some of the “blue” species of the region. More details: http://www. toledoareabicyclists.org/.

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Family Fun Ride Saturday, May 18, 10:00 a.m. Enjoy a nature tour by bike. Meet at the Wildwood visitors’ center for a ride on the University/ Parks Trail. Ages 9 and up. We’ll stop for nature lessons along the way.

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Ride with a Ranger Sunday, May 19, 1:00-3:00 p.m. Meet at Pearson, parking lot 3, to ride the park bike trail. We’ll take a side trip on the Oregon bikeway through Pearson North, the Oregon Recreation Complex, and the Clay High School campus. Ride with a Ranger Sunday, May 26, 1:00-3:00 p.m. Meet in the parking lot at the Providence Historical Area for a ride to Farnsworth and back—all on the Towpath Trail. ❦ For more information, including maps and guides to area bike-riding facilities, please visit http://tmacog.org/bikemonth. htm.

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Life at Swan Pointe... The University of Toledo offers advocacy programs for patients and children

~ Lois loves Swan Pointe

he University of Toledo has added an advocacy program to assist those who work with children in recognizing instances of abuse and neglect. The Child Advocacy Program is a four-course graduate certificate program, in which participants take sociology, criminal justice, and counseling courses that will provide them with the necessary information to be able to both recognize and react to situations involving child abuse. The new program will graduate its first class of 13 child advocates this spring. Those graduates will advocate on behalf of children and their families in the Northwest Ohio region and beyond. “The program is beneficial to all professionals who come into contact with young people who may need advocates because they have experienced child neglect or abuse,” said Debra O’Connell, a director of the Patient Advocacy Program and a program advisor for the Child Advocacy Program. The courses in the fall semester include the sociology course Perspective on Child Maltreatment and Child Advocacy and the criminal justice course Profession and System Responses for Child Advocacy. In the

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,

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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.

spring, participants take the counseling course Advocacy for the Survivor of Child Neglect and Abuse and the criminal justice course Guided Study in Child Advocacy Issues. Professionals who might find this certificate useful include social workers, lawyers, healthcare professionals, counselors, and educators. The Child Advocacy Program is in addition to the existing popular Patient Advocacy Program that trains people to better assist patients and their families with making complicated medical decisions. The Patient Advocacy Program has graduated more than 50 patient advocates and will graduate its third class of advocates this spring to serve as liaisons between patients and healthcare providers. The year-long program includes four online courses that can be com-

pleted in two semesters and continues to be popular with students from all over the country, according to O’Connell. “The American healthcare system is one of the most complex in the world, and this program gives people the tools necessary to better navigate it and successfully deal with the challenges they could encounter,” she said. The courses in the fall semester include Introduction to Patient Advocacy and Legal Issues in Patient Advocacy. In the spring, participants take Health Issues and Patient Advocacy and Guided Study in Advocacy Topics. Applicants with undergraduate degrees in any field are welcome to

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apply, including students with legal, business, pharmaceutical, nursing, or other healthcare-related backgrounds. Both programs require a bachelor ’s degree from an accredited college or university. The application

deadline is August 1 for the next set of courses that begin August 19. For more information on these programs, contact Debra O’Connell at 419-5305421 or Debra.Oconnell@utoledo. edu. ❦

Turning 65?

Elite Endeavors

Whether you Du it or Tri it, you won’t regret it!

n recent years, our society has been doing a lot of justifiable handwringing over the growing problem of obesity and the many serious health ailments that accompany it. We’ve looked on with a sense of angst and helplessness as obesity has gradually mounted to epidemic proportions—not just among adults, but also among much younger members of the population—and we’ve agonized over how to reverse this alarming trend. Husband-and-wife team Jim and Joyce Donaldson of Elite Endeavors, an event-management company located in Sylvania, Ohio, offer a powerful antidote to inactivity and obesity in their high-quality triathlon and duathlon events, which are designed to get average people of all ages—kids included—off the couch, away from the TV and computer, and into the challenging, inspiring world of multi-sport racing. “We’re finding that when kids aren’t involved in an organized sport, they’re almost always indoors doing sedentary activities such as watching TV and playing videogames,” says Joyce. “Multi-sport competition is a great opportunity to get outside and get active, not just on event day, but also while training in the days, weeks, and months ahead of the event. It’s a great way to get the whole family exercising together and a chance for kids to experience the joy of camaraderie with their peers.” Triathlon? Duathlon? Aren’t those arduous, grueling events reserved for elite athletes with titles like “Ironman”? On the contrary, with a modest level of commitment and training, athletes of all shapes, sizes, and fitness levels can manage the multi-sport events presented by Elite Endeavors. In fact, interest in triathlons and duathlons has grown significantly among average athletes in the U.S., with over 500,000 Americans attempting a multi-sport event last year alone.

To give a sense of the reasonable distances these events entail, the Ann Arbor Tri/Du & 5-Mile Trail Run, to be held May 12 in Pinckney, Michigan, consists of a 0.5-mile swim, 14-mile bike, and 5-mile trail run (triathlon) or a 2-mile trail run, 14-mile bike, and 5-mile trail run (duathlon). “Our events are not just for seasoned, elite athletes. Anyone can do them. The distances are very manageable, and you don’t have to invest in any expensive, specialized equipment. You don’t even have to be especially coordinated. It’s all about participating and just having fun,” Jim explains. A significant advantage of multisport competition for both children and adults is the cross-training aspect. Healthcare professionals today are seeing far too many sportsrelated repetitive injuries

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stemming from overuse of a particular joint or muscle group. Cross training combines several different exercises using different parts of the body, so the risk of overuse injuries is greatly reduced. Women who may feel uncomfortable competing alongside men might want to participate in the Women’s Only Tri & Dri-Tri event, slated for July 28 at Centennial Terrace and Quarry in Sylvania. The triathlon consists of a 400-yard swim, 11-mile bike, and 3.1-mile run, while the DriTri, which requires no swimming, includes a 1-mile run, 11-mile bike, and 3.1-mile run. Jim and Joyce are especially excited about the new USA Triathlon Splash and Dash Aquathlon to be held on

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June 8 at Olander Park in Sylvania. This fun-filled event combines running and swimming elements (no cycling) and is tailored specifically for kids between the ages of 7 and 15. The 7- to 10-year-old group will swim 100 meters and run 1 kilometer, while the 11- to 15-year-olds will double those distances. “This event is a great way to get kids moving and gives them a good feel for multi-sport competition,” Jim notes. Another exciting event designed specifically to get kids involved in multi-sport is the August 10 Sylvania SuperKids Tri/Du & Fun Run, also to be held at Olander Park. Kids between the ages of 7 and 14 have the option of participating in a tri (swim, bike, run) or du (run, bike, run) event, depending on their preference and comfort level in the water. The 7- to 10-year-old division will complete a 100-yard lake swim, 3.1-mile bike, and a 0.6-mile run (tri) or a 100-yard run, 3.1-mile bike, and 0.6-mile run (du). The distances are doubled for the 11to 14-year-old competitors. After the SuperKids Tri/Du is finished, there will be a 0.4-mile Fun Run for kids ages 3 to 6. All the little participants will get a finisher’s ribbon and a number 1 pinned on their shirt. “Once kids have taken on one of these events for the first time, they get a sense of achievement and sat-

isfaction that encourages them to do it again and again. Plus, the younger siblings who look up to them often decide they want to try it themselves after seeing their big brother or sister do it,” comments Joyce. Jim remarks that involvement in Elite Endeavors’ events promotes family togetherness. “It’s becoming more and more of a family activity. In multi-sport, parents are much more inclined to get involved and train alongside their kids. For example, they often join them in their bike training to ensure they’re safe and that they’re wearing the proper protective equipment.” Joyce adds, “It’s not unusual to see members of participants’ extended families—grandmas, grandpas, aunts, and uncles—cheering them on.” Jim and Joyce are also pleased to announce that the Racing for Recovery Triathlon, which was held in Michigan’s Sterling State Park for the last 6 years, will be coming home to Sylvania on June 9. This year’s event will begin at Sylvania’s Tam-O-Shanter Ice Arena and end at Sylvania Northview High School, offering a unique challenge to participants. ❦ For more information about upcoming multi-sport events offered by Elite Endeavors, please visit their website at www.eliteendeavors.com.

The Academy Corner Presented on behalf of

The Academy of Medicine of Toledo & Lucas County

Acupuncture: the miracle cure, by Farzana Tausif, MD Increasing numbers of physicians are recognizing that their patients may benefit from selected non-traditional therapies. Once a non-traditional therapy has shown efficacy, it tends to become embraced in mainstream medicine. Several examples of this include massage, yoga, hypnotherapy, biofeedback, and acupuncture, among others. This nicely written article by Dr. Tausif illustrates how the non-traditional modality of acupuncture has been integrated in her practice and has become an additional useful tool to help manage patients.

—R. Shapiro, MD, PhD, FACP

cupuncture is an important commore people. Many still do not know ponent of traditional what acupuncture is and Chinese medicine used to how it works. prevent and treat several In traditional Chinese conditions. It consists of medicine, health is a balance inserting and manipulatbetween yin and yang and ing needles into certain the free flow of energy qi points called acupuncture (chi vital energy). A loss of points. Acupuncture has balance results in different been practiced in China diseases, and acupuncture for more than 2,500 years regulates the imbalance. to restore health and healPatients experience different ing and, especially, to treat sensations after needles are pain. It is growing rapidly inserted into acupuncture as its benefits are being points, and these sensations Dr. Farzana Tausif experienced by more and are considered important

42 May 2013 / Healthy Living News

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to determine the effective location of desired points. According to traditional Chinese medicine, there are 12 different channels, or meridians, along with extra channels of energy running through the body. The blockage of any of these channels creates medical conditions. Acupuncture treats the human body as a whole by modifying activity of one or more systems by inserting needles and creating balance. I am a family physician practicing Western medicine, but I have always been interested in learning alternative medicine and cures for medical problems that come from nature. I am a firm believer in the benefits of garlic, onion, ginger, turmeric, and other natural remedies that not too many people are willing to use, as it seems easier to take multiple pills throughout the day, ignoring their risks and side effects. I decided to learn acupuncture in 2006; I had always been unhappy with prescribing addictive pain medications, realizing that at times I did not have much of a choice. After nine months of straining my brain to accept the concept of acupuncture, I got certified as an acupuncturist. While I was still new to acupuncture, I had no idea how much it would help my patients. You may find some of my

cases interesting: Patient #1 had a case of chronic back pain that was radiating to her left leg. This is a condition called sciatica. I was a little confused, even a bit frightened, wondering how the needles were going to work. I put the needles on the acupuncture points, and as I hesitatingly inserted the needles, I heard her talking to herself saying, “Wow I’m feeling my toes.” Scared, I asked, “Are you doing all right?” She said “I am excited because I am getting sensation back in my toes after nine months of numbness.” I treated her with three acupuncture sessions, and she has been completely pain and symptom free for almost one year. I was astonished at such rapid symptom resolution. Patient #2 had a history of a herniated disc with a recent re-injury to her back. She was sitting next to me at a party in extreme pain, taking anti-inflammatory pain medications. I reached out and put pressure on certain acupuncture points on her arm, and she had to hold back screaming from the pain that the pressure produced. After that, I told her of the benefit she might attain with acupuncture, and she said, “Yeah, I’ll think about it.” Her pain had been relentless, so later that night, she called and said that she was interested in acupuncture. She

got her first treatment the following day with improvement of her pain. With a few more treatment sessions she had complete resolution. Interestingly, her mother accompanied her to the second treatment, being herself rather scared of needles and curious as to how they worked. She said that she had no strength or

sensation in her little and ring finger due to a bad car accident that had injured her ulnar nerve. She had been told by both the neurologist and neurosurgeon that she would lose all strength and would not even be able to pick up a potato chip. We decided to try acupuncture. Now her sensation and strength are back and she is thrilled with the results. Patient #3 had a severe rash all over his body, which was diagnosed

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as psoriasis. I gave him medication and advised him to see a dermatologist as soon as possible. He was not able to get an appointment for the next seven months. He agreed to acupuncture, and the results have been dramatic; the rash has healed. Thus far, I have treated multiple medical conditions with acupuncture with exciting results. Acupuncture not only treats chronic painful conditions, but also helps in treating allergy, asthma, skin conditions, and urinary and bowel problems. Stroke patients have even shown improvement of weakness and paralysis after starting acupuncture in the early stages. In addition to medical conditions, we can also make the patient look younger with cosmetic acupuncture. The purpose of this article was to create awareness of the benefits of acupuncture as well as illustrate conditions that were treated with acupuncture but were otherwise not curable with traditional treatment methods and required the continuous use of medication to control the symptoms. And as they say, we only live once. Let’s do it pain and drug free. ❦ Farzana Tausif, MD, is a member of The Academy of Medicine of Toledo and Lucas County.

Navy man gets red-carpet treatment at The Laurels

aving retired from a long, distinguished career in the US Navy, Robert Carter, 85, has had to meet more than his share of challenges, not the least of which was achieving the rank of Master Chief Electronics Technician—as high a rank as an enlisted man can aspire to in the Navy. Recently, however, Carter has had to overcome some physical and cognitive challenges, which he has achieved with characteristic determination and a little help from the rehab team at The Laurels of Toledo. Like so many seniors who have lived long, active lives, Carter has developed joint problems due to the natural wear and thinning of cartilage. He came to The Laurels, a skilled nursing and rehabilitation center located at 1011 Byrne Road, for inpatient rehab following his second shoulder-replacement surgery, which was performed at ProMedica Flower Hospital by orthopedic surgeon Dr. Robert Kalb. He can’t say enough about his positive experience at The Laurels. “I would tell anybody—and I have— about this place. As far as I’m con-

44 May 2013 / Healthy Living News

cerned, they gave me the best care I’ve ever had,” he enthuses. Carter had a pretty good idea what to expect from his Laurels experience before his rehab stay even began. Before undergoing his shoulder replacement, he took a presurgical tour of The Laurels, which gave him the opportunity to meet the therapy team and get a feel for the facilities and the exercises he’d be doing. He found that the tour really

helped to smooth his transition from the hospital to rehab. Not one to take a passive approach to getting stronger and back to independence, Carter went to the therapy gym in both the morning and afternoon. Initially, he could barely raise his arm, so one of his goals was to be able to touch the back of his head. “When Robert first came to us, he used a sling immobilizer for comfort. Our beginning treatments consisted of pain management, working on his range of motion, and dealing with the swelling, or edema, in his hand,” recalls Laurels occupational therapist Kristin Roberts. Carter began working toward his goal by doing passive range-of-motion exercises, with the therapist actually moving his arm. From there he progressed to active range-of-motion activities, such as the pendulum exercise. With this exercise, Carter would stand in the parallel bars, widen his stance, lean forward and allow his arm to hang toward the ground, and then rotate his trunk and pelvis in a circle to move his arm in a pendulum motion.

This exercise helps to increase range of motion while maintaining the integrity of the joint. “As he progressed with these exercises, the therapist measured his arm range of motion with a goniometer each week. He eventually achieved 95 degrees of flexion,” Roberts says. In addition to the issues with his joints, Carter has significant hearing loss, and shortly after he began rehab, the team identified that he also needed speech therapy to address some memory deficits. That’s where Laurels speech therapist Sean Vornhagen came in. “We did some random exercises using names, faces, and numbers, but the main technique we used was rehearsal-based therapy. That involves looking at an object or image and then waiting for a period of time before identifying it. Gradually, the delay between seeing and identifying the item is increased more and more to strengthen memory. As he got better physically and progressed with speech therapy, his mental acuity became sharper and sharper. We also worked on the planning and problem-solving skills necessary for bill paying and medica-

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tion management so he could return to independent living at home,” he explains. To track guests’ progress through rehab, the Laurels team uses a unique communication tool called Clinical Pathways. This is a printout that lists the goals of the guest, nurses, therapists, and social services. At the top of the page is an image of runners sprinting toward a finish line. As progress is made toward the goal, the runners move closer and closer to the finish line. Once the guest is at 90% of the goal, a pre-discharge meeting is planned. As Carter closed in on his goals, the Laurels team decided to honor him for his many years of service to our nation and his rehab success with a special ceremony. According to Julie Leidel, Rehab Services

Director for The Laurels, “When he was leaving to go home, we literally rolled out a red carpet for him and we all saluted. We were all so impressed with his tremendous effort and positive attitude.” Now back at home, Carter is still working hard to maintain his independence. “It’s going to take a while,” he acknowledges. “I’m still taking medication for pain, and I’ll be the first to admit I’m not much of a housekeeper. But I’ve been independent all my life, so I’m sure not going to give up now,” he states. ❦

In your home or ours.

The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. For more information, please call 419-536-7600 or visit www. laurelsoftoledo.com.

Eating Well by Laurie Syring, RD/LD

Let's drink to good health! pring is here (though the outdoor temperature as I write this might indicate otherwise), and many of us are choosing a healthier lifestyle so we can look and feel better after five months of hibernation. Of course, as a society accustomed to instant gratification, we all want to see immediate results in the mirror and on the scale with little effort. Sorry, a healthier, better-looking body just doesn’t happen that way! However, there are some simple things you can do to start bringing about that positive change you’re after. One obvious step is taking a critical look at the way you eat and learning to live without certain foods that you really don’t need (and probably won’t miss much anyway). But there’s another, less obvious change you can make immediately that might yield surprisingly impressive results—taking a closer look at the way you drink. Where’s the best place to start? Soda and other sweet drinks! Why waste 140 calories and 37 grams of carb on a regular soda when you can drop those numbers to zero with the sugar-free version? Sure, there’s a flavor difference, but you’ll quickly become accustomed to it. In fact, many who have made the regular-to-diet switch find they no longer enjoy the excessively sweet

taste of sugary soda. My neighbor recently made the big switch from regular Coke to Diet Coke. There’s no question that she noted a taste difference at first, but after two weeks, she was okay with it—and she was okay with her sevenpound weight loss after eliminating those regular-soda calories. The same can be said for other sugary beverages, such as fruit juices, sweet tea, sports drinks, energy drinks, punch, Kool-Aid, etc. I’ll bet you weren’t aware that beverages supply nearly a quarter of our average daily calories based on analysis of data on US beverage trends. The research and studies on caloric beverages show that sugary drinks are harmful to health and are linked to obesity, heart disease, metabolic syndrome, and, of course, dental cavities. Think you usually compensate for liquid calories by eating less solid food? Think again! Studies show just the opposite to be true. We sort of “forget” the calories we consume in liquids and treat them as “free” since they don’t fill us up or satisfy hunger the way solid food does. On the other hand, if weight gain is actually your goal, “liquid therapy” with less-filling, calorie-dense beverages can help you reach it. Since it’s so easy to overlook calories

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that come in liquid form, we have to make a much better effort to be cognizant of how we quench our thirst. Here are some simple tips that will help you avoid the “empty” calories from sugary beverages: • Drink more water—whether tap, bottled, or sparkling. Strive to drink 64 ounces a day, I say! • Avoid bringing soft drinks home. Encourage more water, unsweetened tea, and fat-free milk. Not only should you switch to diet soda, but I also suggest limiting your diet-soda consumption to no more than two cans a day. • Buy only 100% fruit juice, and limit your portion size. Remember, more is not better when it comes to fruit juices! Just six ounces a day will provide your daily recommended intake of Vitamin C. • Switch to 1% or fat-free milk instead of 2% or whole milk. • Read those nutrition labels carefully. Don’t assume a beverage is diet and/or good for you just because there is some sort of dubious health claim on its label.

46 May 2013 / Healthy Living News

• Proceed with caution when it comes to frozen coffee drinks. When we think “coffee,” we tend to think “low-calorie,” but some of these products are basically glorified, high-calorie milkshakes with caffeine. • Downsize (or share) your smoothie. Smoothies can be a nutritional train wreck posing as a health drink. Request they be made with sugar-free syrups, real fruit, and no sugar added. • Drink alcohol in moderation. (Yes, guys, beer counts as alcohol!) • Count your calories when “drinking out.” Several establishments now list calorie counts next to their beverages. Take note! As you’ve probably noticed, drinks have become more than thirst quenchers. The beverage market has become (excuse the pun) saturated with products spiked with caffeine, herbs, vitamins, and/or protein—all purporting to offer some sort of health benefit. I am not a fan of these products. Many of the ingredients they contain are unnecessary, and some can be downright harmful. If you’re watching calories for

the upcoming swim-suit season, my advice is to start simple with one goal—looking at your liquid calories. I have a good feeling you can make adjustments.

Cheers!

❦

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

The importance of stretching by Amanda Manthey

ou’ve heard it a thousand times: stretch, stretch, and stretch. But do you understand why and when it’s important to stretch? Stretching is the most important part of any workout routine. Stretching will lower your risk of injury, reduce cramping, and improve your flexibility as well as your range of motion and balance. Stretching should take place as a warm-up before a workout routine as well as a cool-down phase of a workout. Pre-workout stretches, or warm-ups, help extend muscles to better handle athletic activity and increase performance overall. Post-workout stretches, or cool-downs,

help decrease fatigue and promote faster recovery time because exercise tightens muscle groups. Stretching increases blood flow to muscles by releasing lactic acid, which prevents injury and/or soreness. It’s important to stretch all major muscle groups regardless of which area your workout will focus on. However, you should concentrate mostly on the area you will primarily be using. For example, if you are running, focus on lower-body stretches but also remember to stretch your upper body and back for a complete stretching program. But most importantly, stretch safely, slowly, and gently. Move in and out of

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each stretch slowly, and hold each stretch for at least 10 seconds. Avoid bouncing or stretching injured muscles. Stretching should take about 10-15 minutes before and after your workout routine. So remember: stretch, stretch, and stretch! And now you understand why and when, right? ❦ Amanda Manthey is a former collegiate runner at Eastern Michigan University. She writes about running and fitness for Dave’s Running Shop.

Don’t miss Dave’s races! Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Running Shop. For more details on any event, please visit davesrunning.com. Couch Potato 5K Saturday, May 4, 2013, 9:00 a.m. (1K starts at 8:30 a.m.) at 13800 W. Poe Rd. in Bowling Green, Ohio. Toledo Heartwalk Saturday, May 11, 2013, 10:00 a.m. at Fifth Third Field, 406 Washington St., Toledo, Ohio. This event is free and open to the public. However, participants are encouraged to take an active role in fundraising for this event and promoting awareness

of cardiovascular disease, our nation’s #1 cause of death. Donations are also appreciated, however not required, at the main entrance of the event upon arrival. Charlie Adair/Ron Lumbrezer 5K Fun Run/Walk Saturday, May 11, 2013, 9:00 a.m. at 2649 US Highway 20 in Swanton, Ohio. Start and finish at the Holy Trinity Catholic Parish parking lot (south of the church). Post-race chicken BBQ and event. K-8th grade track meet. Global Distance Project 5K Run/ Walk Saturday, May 11, 2013, 9:00 a.m. at 29129 Lime City Rd. in Perrysburg, Ohio. Racing to Impact the Future. The Global Distance Project helps support local and international mission efforts for those in need. We will be having a 5K Walk/Run. Each pre-registered participant in the 5K will receive a Tech-shirt. Medals will be given to overall Male and Female winners, Overall Masters & Grand Master Male and Female winners, and Age group winners. Toledo Zoo Dart Frog Dash Saturday, May 18, 2013 at the Toledo Zoo. 5K Run/Walk starts at 8:30 a.m. 1K Kids Race starts at 9:45 a.m. All participants need to park in the Anthony Wayne

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Trail parking lot and enter the Zoo through the gates at the main entrance. Participants will then proceed to The Toledo Zoo’s Main Plaza prior to race time. A majority of the 5K course is plotted on residential streets surrounding the Toledo Zoo. The course for the Kids’ 1K Fun Run is set up only inside Zoo grounds. Due to construction at the Aquarium, the courses are being re-designed for 2013. Tim Horton’s Run/Walk 5K for the Camps Sunday, May 19, 2013, 9:00 a.m. at 16618 Township Rd. 208, in Findlay, Ohio. A scenic 5K route

through Riverbend Park along the reservoir and the Blanchard River. Beat The Wheat 5K Sunday, May 19, 2013, 9:00 a.m. at 6930 Sylvania, Ave., Toledo, Ohio. Northwest Ohio’s only gluten-free 5K and Family Fun Walk. Every registered runner will be entered into a raffle to win a BBQ gas grill and gift certificates from places like Andersons Market, Kroger, Amie’s Pizza, Bassett’s Health Foods, and more! City BBQ will also be on site with samples, and there will also be samples from multiple gluten-free companies, such as Udi’s, Glutino, Enjoy Life, and many more. ❦

Dry eye syndrome by Bennett Romanoff, MD

ry eye syndrome (DES) is one of the most common eye disorders in the United States. Tens of millions of people are afflicted with mild DES, while approximately 3 to 4 million women and 2 million men, 50 years and older, have moderate to severe symptoms. Moderate to severe DES can be a debilitating condition. For most people, this condition remains undiagnosed or unrecognized and thus remains untreated. Only in the past 10 to 15 years have ophthalmologists made significant advances in the understanding and treatment of this disease. In 2007, the International Dry Eye Workshop (DEWS), a consortium of internationally acclaimed experts in this field, defined DES as, “a multifactorial disease of the tears and ocular surface that results in symptoms of discomfort, visual disturbance, and tear film instability, with potential damage to the ocular surface. It is accompanied by inflammation of the ocular surface.” Common symptoms of DES are stinging and burning, watery eyes, excessive irritation when exposed to wind or smoke, scratchiness, mucus in or around the eyes, intermittent blurred vision improved by blinking, and discomfort from contact lens wear. Many of my patients are confused when I tell them that they have DES

when they come to me complaining of “watery eyes.” This certainly sounds paradoxical. The reason the eyes water too much is that when the eyes become irritated from the dryness, the irritation lets the brain know to “instruct” the crying tear gland to release tears to lubricate the eye to alleviate the irritation. Simply stated, the tear film has three layered components, consisting of mucous, water, and oil. Each layer is responsible for individual protective properties to keep the ocular surface moist and to give clear vision. The main purpose of blinking is to redistribute the tear film. When any one or more of these layers is diminished, DES will most likely result. What causes DES? As we age, tear production decreases. However, women are especially prone to DES due to menopause. Certain medications, such as diuretics, antihistamines, birth control pills, antidepressants, sleeping pills, and eye drops with the preservative BAK, can cause or exacerbate DES. Certain systemic diseases, such as Sjogren’s syndrome, diabetes, hepatitis C, acne rosacea, and vitamin A deficiency, are associated with dry eyes. Environmental factors such as low humidity, air pollution, smoking, and computer use are also causes of this problem.

DES can be diagnosed by a multitude of relatively non-invasive, simple office tests. Once diagnosed, there is an established stepwise approach to treating this condition. The most basic treatment consists of artificial tears, gels, and ointments that are sold over the counter. Avoiding environmental factors, such as drafts or smoking, or increasing the humidity in the room can be helpful too. If those measures don’t work, it is best to consult with an eye-care professional. When artificial tears alone do not provide relief, fish oil nutritional supplements with mucin complex can make a dramatic difference in lessening symptoms. In cases of moderate to severe DES, prescription medication, such as mild steroid and or cyclosporine eye drops, can often provide dramatic symptomatic relief. When conventional treatment fails to give relief, closing the tear ducts on the eyelid with silicone plugs can help to keep the tear film available on the eye instead of being blinked down to the nose. My office has participated in original research in the field of DES, and new therapies are on the horizon to offer more help for this condition. No one treatment plan is necessarily the best for a given person since each person with DES has their own

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circumstances. Each patient needs to be assessed by an eye doctor to determine what treatment plan is best. There is no substitute for routine eye care, as so many ocular problems, such as dry eye syndrome and other ocular conditions, may go undetected and untreated. ❦ 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.

Maumee Valley Tri-Adventure Race

Are you ready for a challenge?

he Maumee Valley Tri-Adventure Race will be held on Saturday, May 18, 2013, at Independence Dam State Park in Defiance, Ohio. This race is for people who really want to take on a challenge. Competitors will begin the 50-mile course by biking 36 miles on back roads near Independence Dam State Park, which is four miles east of Defiance on State Route 424. The second leg is six scenic miles of canoeing or kayaking on the Maumee River between Independence Dam and the Village of Florida. The last leg is eight miles of backpacking with a pack containing 20% of your weight. The Maumee Valley Tri-Adventure Race has grown from just a few participants in 1985 to about 350 in the last three years. We rent canoes, and kayaks can be rented from River Lures in Grand Rapids (419-832-0989). Most people need five to six hours to complete the entire race, but the all-time record is three hours and 24 minutes. Most people do the race with a partner, but you can do it solo or as part of a relay team. Age classes include 50+, 25+, 16+, and youth with an adult. Many parents and their children team up for the youthand-adult class. Award plaques are given to the two best men, the two best women, and the best man-woman team in each class. This year, a free fruit, juice, sandwich, and cookie buffet will be available compliments of Chief Supermarkets. Profits help to support the work of the Naturalist Scouts. This is a highadventure group for boys ages 11 to 15 who enjoy participating in activities such as cross-country biking, hiking, camping, wilderness canoeing,

and projects to help the environment (e.g., roadside litter pickup, building and putting up bird boxes, and tree planting). For more information, visit www.naturalistscouts.org. If you want to try the most challenging tri-adventure race this region has to offer, pick up one of our yellow 2013 brochures, available at most bicycle shops, gyms, sporting-goods shops, health clubs, and YMCAs. You can also download the brochure from the race website, www.maumeetriadventurerace.net. You may contact the race director, Larry Lindsay, at 419-826-5182 or larryllindsay@centurylink.net. ❦

Celebrate National Senior Health & Fitness Day with SummaCare SummaCare is sponsoring a free Senior Wellness Fair to celebrate the 20th anniversary of National Senior Health & Fitness Day on Wednesday, May 29, 2013 from 10:00 a.m. to 12:00 p.m. at the West Toledo YMCA, located at 2110 Tremainsville Road (419475-3496). Enjoy free refreshments, win giveaways, and experience free wellness demonstrations, health screenings, and more. Bring a friend! The first 100 guests will receive a free T-shirt. Supporting sponsors for this event are SilverSneakers®, YMCA, and Mercy. Please call 866-262-4410 by May 25 if you plan to attend. Space is limited, so call today!

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