HLN August 2014 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News August 2014 • FREE

Also available at hlntoledo.com

Ignite their interest in exercise! Also in this issue: • Look your best for summer • Taoist Tai Chi is "moving meditation" • New approach to spinal stenosis • UT doc adopts MDVIP model • Choosing after-school childcare

It’s time for a Mercy Physician 888-204-8775 mercyweb.org

• Dave's Races • Nobody's Perfect • Spiritually Speaking • Eating Well • And much more...

Look your best this summer!

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler. The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging areas of the neck, upper arms, abdomen, and jowls. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected. This heating of the dermis causes immediate collagen contraction and tightening followed by new collagen production over a period of time. This procedure also encourages a natural

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

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

columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio. Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler. To view before-and-after photographs of patients who have had these procedures performed by Dr. Handler, visit Dr. Handler’s website at drharveyhandler. com. For more information about the abovementioned procedures or products, please call Dr. Handler’s office at 419-885-3400. Be sure to ask about specials available on many cosmetic procedures and products to diminish the signs of aging. Also, please remember to have a yearly Full Body Exam for evaluation of moles and other growths we all develop as we age. Be certain you have no lesions that are precancerous or cancer. Full Body Exams are best performed and evaluated by a board-certified dermatologist. ❦

www.drharveyhandler.com

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

clear + brilliant ADULT, PEDIATRIC, & COSMETIC DERMATOLOGY HAIR & NAILS

No surgery. No injections. No downtime.

Harvey L. Handler,

m.d.

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

in the Medical Office Building on the campus of Flower Hospital

419.885.3400

e lthy l ng ews

August 2014 • Vol. 19, Issue 8

Your Monthly Guide to Healthy Living

HEALTH & BEAUTY

CHILDREN & PARENTING

2 Look your best for summer! 5 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 7 Understanding ovarian cancer 14 Full-service cardiac catheterization lab to open at Mercy St. Anne Hospital 18 Spinal stenosis: a new treatment approach by Tim Taylor, PT 21 Tinnitus, go away! by Randa Mansour-Shousher, AuD, CCC-A 26 UT physician adopts groundbreaking MDVIP primary care model 28 Heart attack symptoms may differ for women 29 Questions every patient can ask their pharmacist by Michelle Mangan, PharmD, BCACP, CDE 38 Spiritually Speaking Becoming who you really are by Sister Mary Thill 41 Heredity can play a major role in personality and mental health, by Linda L. Smith, MA, LPC 42 St. Clare Commons takes unique approach to memory care 47 Pain and arthritis treatment with acupuncture by Douglas Schwan, DC, Dipl ac

4 How to ignite your child’s interest in exercise 6 Teen safety in crisis situations by Laurence “Mitch” Mitchell 35 Have you scheduled your child’s sports physical? by Dr. Rosemary D’Agostino, pediatrician 36 Choosing the best before- and after-school childcare environment 44 ProMedica Home Health Care Maternal and Child Program: a better start for mom and baby

TAKING CARE OF YOUR LIFE 8 Taoist Tai Chi® provides benefits through “Moving Meditation” by Christine A. Holliday 15 Health Crossword, by Myles Mellor 16 Tips for race recovery, by Amanda Manthey 24 Time for a summer health reality check 30 Nobody’s Perfect An alternative use for canes by Sister Karen Zielinski, OSF 32 A Walk in the Park Driving distracted by LeMoyne Mercer 43 Tennis: the sport that teaches character by Mark S. Faber, USPTA Elite Professional Dear Readers, Thank you for picking up the August issue of Healthy Living News. With summer winding down and another school year to prepare for, this month can be pretty hectic for parents. Still, we hope you’ll find some time in your busy back-to-school schedule to check out this month’s diverse lineup of locally written articles. You won’t regret the time investment! Speaking of heading back to school, one of the challenges many working parents of school-age kids face is finding a safe, enriching place for them to go before and after school when Mom and Dad can’t be there. If you find yourself in this situation, the article on page 36 offers some helpful insights on the attributes to look for in a before- and after-school

FOOD & NUTRITION 10 A few words from the Diabetic Meal Planners’ kitchen, by Wayne Goodwin, AAC, and John Pantel, MS, RDN 48 Eating Well Good food, bad food by Laurie Syring, RD/LD

OUR COMMUNITY 22 Laurels Cardiac Recovery Program puts focus on endurance and education 38 Toledo Clinic ENT among first in US to offer innovative implant for chronic sinusitis patients

AROUND TOWN Sylvania Franciscans receive grant for

nursing center equipment, 12; Heartland of Waterville Lunch and Learn, 19; Veggie Trails 5K to help feed low-income families, 25; Miles for Missions 5K and 10K trail races to be held at Side Cut Park, 31; Metamora State Bank celebrates 70th anniversary, 40; Art in the Barn at Serenity Farm, 40; Elizabeth Scott Community breaks ground for new Skilled Rehab Center, 46; Zoo seeks volunteers, 49.

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childcare setting. Also in this issue, you can read about ProMedica Home Health Care’s Maternal and Child Program, which provides care, education and other services to local moms and their babies before, during, and well after delivery (p. 44); the new full-service cardiac catheterization lab opening this August at Mercy St. Anne Hospital (p. 14); local UT physician Dr. Allen Markowicz, whose practice is adopting the groundbreaking MDVIP care model (p. 26); the many benefits to mind and body of participating in a Taoist Tai Chi program (p. 8); and the signs, symptoms, and risk factors of ovarian cancer, courtesy

NOW

WHEREVER YOU ARE, WE ARE.

/HLNToledo

@HLNToledo

of Christine Valentine, MSN, CNP, of The Toledo Clinic Cancer Centers (p. 7). One of the many benefits of providing this great platform is having the ability to give a voice to the various local non-profit organizations that do so much to improve the lives of area residents battling different diseases and disorders. For example, this month I had the pleasure of working with volunteers from the Parkinson’s Foundation of Northwest Ohio on an ad (p. 4) promoting their 5K Run, Team Fox Walk, and Annual Gala—all of which are coming up this fall. Look for a feature story in next month’s issue spotlighting these exciting events and all the vital services the Foundation provides. Until next month, stay safe, active, and healthy!

Download our free app on your mobile device in the iTunes or Android store and always be well connected.

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Mission Statement Healthy Living News offers the residents of northwest Ohio and southeast Michigan a monthly guide to news and information about healthy life styles, health care, sports and fitness, and other issues related to physical, mental and emotional quality of life. The publication promises to be an attractive, interesting and entertaining source of valuable information for all ages, especially those 35 to 50. Healthy Living News is locally owned, committed to quality, and dedicated to serving our great community. Healthy Living News is published the first of each month. The opinions expressed by contributing writers do not necessarily reflect the opinions of the publisher. Distribution of this publication does not constitute an endorsement of any kind. While HLN makes every attempt to present accurate, timely information, the publication and its publisher and/or advertisers will not be held responsible for misinformation, typographical errors, omissions, etc.

Contacts Business office:

To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615. Phone: (419) 841-8202 or email Kevin O’Connell at sfstennis76@bex.net. Ad reservation deadline is the 15th of the month preceding publication. HLN reserves the right to refuse advertising for any reason and does not accept advertising promoting the use of tobacco.

Editorial office:

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

Publisher: Kevin O’Connell Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Robin Buckey Print Designer: Jan Sharkey

How to ignite your child’s interest in exercise W

ith sedentary pastimes becoming more and more popular these days, many parents are eager to get their kids off their backsides and doing something active outdoors. Kids, on the other hand, may not share their parents’ enthusiasm for physical exertion—or the outdoors. In fact, some parents may need to explain exactly what “outdoors” is. (It’s that extra space they walk through between buildings and motor vehicles.) The bottom line is, kids rendered soft and listless by long periods of inactivity—and lured by the ever-present siren song of technology—are going to need a little inducement if parents want them to exercise. Here

are some tips that just might help:

Start early The earlier kids learn to enjoy physical activity, the more likely they are to stick with exercise for a lifetime. It’s also a lot easier to encourage kids through example while they’re young and impressionable and still want to emulate Mom and Dad. That’s not to say it’s too late to motivate teenagers to get moving, but by that stage of the game, you’ll definitely need to call on all your powers of persuasion.

Provide the right tools Finding outdoor activities to partake in isn’t as intuitive to kids today

Parkinson Foundation of Northwest Ohio

Dedicated to Educate, Comfort and Raise Awareness

5th Annual Romp, Stomp and Run

Centennial Terrace, 5773 Centennial Road, Sylvania, OH 10 a.m. - 2 p.m. / 5K, 1 Mile Romp, Kids Fun Run, Kids Carnival, Health Fair, Silent Auction and LIVE Music! For more information or to register, visit the events page at PFNWO.org or call 1-800-438-5584

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

4 August 2014 | Healthy Living News

as it once was. (Remember when your parents sent you outside in the morning and said, “I don’t want to see you until lunchtime”?) So, in order to facilitate healthy physical activity, you’ll need to make sure the right tools are on hand—balls, bats, bikes, skates, scooters, jump ropes, hula hoops, hockey sticks, nets, mitts, sidewalk chalk for hopscotch, or whatever else your kids might enjoy using with their friends or siblings or even by themselves. Remember, active play is the best form of exercise for young kids. Teaching them to equate exercise with fun is more than half the battle.

Find a sport that fits If your child is ready and willing to participate in organized sports, explore all the options until you find one that fits his or her interests and personality. Don’t assume that just because you excelled at football or basketball, your child will want to do the same. Keep in mind that some kids may gravitate naturally to team sports while others may be drawn to more individual activities, such as hiking, archery, rock climbing, swimming, or even fishing. Remember, it doesn’t have to be about competition!

Go by pedal or bipedal Whenever possible, bike or walk to destinations in reasonable proximity, and encourage your kids to do the same. For example, if they’re clamoring for a cone or milkshake from the local ice cream shop on a summer’s evening, don’t offer to drive them there; prompt them to ride their bikes instead. Then, at least, they’ll burn a few calories and build some muscle before and after enjoying their frozen treats.

Lead by example “Do as I say, not as I do” is not a good mantra for parents who want

9th Team Fox Walk to benefit the Michael J Fox Foundation

Bay Park Hospital, Oregon Kids Activities start at 9:30 a.m. / Walk steps off at 11:00 a.m. Prizes, Refreshments, Raffle & More! For more information or to make a donation visit www.teamfox.org search for fundraiser Janet Clough, visit the events page at PFNWO.org or call 1-800-438-5584

Shaken, Not Stirred 5th Annual Gala

6-10 p.m. / The Pinnacle, Maumee, OH Dinner, Dancing, Silent Auction and Live music by Dan and Don For more information or to register, visit the events page at PFNWO.org or call 1-800-438-5584

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

to encourage their kids to exercise more. Just as with other healthy habits—such as eating more fruits and vegetables and limiting screen time—the best way to elicit the desired behavior from kids is to lead by example. That means you’ll also need to shut off the TV and other devices, get off the couch, and get active. Otherwise, your kids won’t take your suggestions to heart.

Get in the game yourself Perhaps the best way to encourage kids to be more active is to play or compete right alongside them. For example, preparing for and running in a family 5k or fun run together

: I woke up this morning and my ears were ringing, and my friend told me it’s because I listen to loud music. Is that true?

: Your friend might be correct in your particular situation, but there are many reasons why you may be suffering from tinnitus, and the ongoing research still hasn’t revealed the exact physiological cause. The list of triggers that may bring tinnitus on or make it worse includes: • An occurrence of a head trauma, so be careful when playing sports such as soccer, basketball, and football to name a few. • Temporomandibular joint disorder, also known as TMJ, which is a misalignment of the jaw that dentists treat daily. • Noise exposure. Whether it’s

Northwest Ohio Hearing Clinic invites you to... Tinnitus and Options to Bring You Relief, to be presented at 11:30 a.m. on Tuesday, August 19, 2014, at Way Public Library, 101 E. Indiana Ave, Perrysburg, Ohio 43551, Room A. Space is limited, so please RSVP by calling 419-383-4012.

can be a powerful motivator. Dave’s Running Shop sponsors many such events for the entire family (see page 16 for a listing). If you have older kids, you might even consider training as a family to participate in something a bit more challenging, such as one of the family-friendly multisport events offered locally by Elite Endeavors (eliteendeavors.com). But whatever you choose certainly doesn’t have to be an organized or expensive activity. Simply walking the dog, hiking, biking, or playing catch together can be more than adequate—not to mention a great opportunity for family togetherness and conversation. ❦

recreational or job related, the excessive noise causes damage to the inner ear hair cells, which cannot be repaired or replaced. • Simple issues such as impacted ear wax, also known as cerumen. • There are medications that become ototoxic and may damage the ear. An early sign of damage leading to hearing loss might be tinnitus. It’s a good idea to discuss the side effects of any medication. • Illnesses such as cardiovascular disease and even rare forms of tumors may be included on this list. So, as you can see, tinnitus is a sign that shouldn’t be taken lightly. Thank your friend for making you aware that tinnitus can be caused by an event such as loud noise exposure. The sooner you investigate the possible cause, the sooner it can be treated. ❦ Randa Mansour-Shousher, AutD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

Because hearts don’t politely suggest. They attack. Your heart is your body’s most vital and trusted friend … right up until the moment it turns on you. But with ProMedica you have the means to attack back. Your ER physician can discuss your case with a certified cardiologist on duty 24/7 at ProMedica Toledo Hospital. If needed, you can be transported to Toledo Hospital for more specialized care. During recovery you’ll have access to dietitians and lifestyle coaches. And we haven’t even touched on ProMedica’s array of prevention services. Prevention, diagnosis, treatment, rehabilitation – it’s all connected at ProMedica. Begin your connection today at promedica.org/wellconnected.

PROM1073_5x12.625_134A.indd 1 6/20/14 3:28 PM5 Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | August 2014

Toledo Family Pharmacy

Your neighborhood family pharmacy and more.

A Personal Healthcare Resource You Can Trust. Toledo Family Pharmacy is an INDEPENDENT FAMILY OWNED pharmacy that is dedicated to serve the community and offer the BEST FRIENDLY SERVICE we can to guarantee our patients customer satisfaction. • SENIORS GET UP TO A 30% DISCOUNT • GUARANTEED LOWEST PRICES IN TOWN • FAST, FRIENDLY SERVICE • Transferring your scripts is easy. We’ll do all the work with 1 phone call. • FREE local delivery • Free medication setups • Incontinence supplies • Free glucose meters for our diabetic patients • We accept ALL INSURANCE PLANS

I am a true health resource that you and your family can trust.

Toledo Family Pharmacy

TOLEDO FAMILY PHARMACY 1601 W. Sylvania Toledo OH 43612 Toledo Family Pharmacy 419-470-0700 Fax 419-470-0702 Located in the Five Points Neighborhood

HOURS: Monday-Friday 9:30-7:00 Saturday 10:00-3:00 Toledo Family Pharmacy Closed Sunday

Recovery to Home...

One patient at a time

Lutheran Homes Society’s rehabilitation services focus on the needs of the patient. Do you want a private room for your recovery? We have that. Looking for individualized care? We have that, too. Our care plans are designed to restore function, reduce pain, prevent further injury, and, most importantly, get you back home.

Lutheran Homes Society has four therapy centers to serve you.

Lutheran Village at Wolf Creek (West Toledo/Holland) 419-861-5634 Lutheran Home at Toledo (East Toledo/Oregon) 419-724-1841 Lutheran Home at Napoleon (Napoleon) 419-592-1688 Lutheran Memorial Home (Sandusky) 419-502-5706 Lutheran Homes Society 2021 N. McCord Road Toledo, OH 43615 www.LHSOH.org

6 August 2014 | Healthy Living News

Our rehab services include: y Inpatient and outpatient therapy

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

TSCS Teen safety in crisis situations by Laurence “Mitch” Mitchell

hat are the possible consequences a ride. Seventy-seven percent of the for a teen who in a crisis situa- parents said, “Yes, my kid would tion has no one watching their back? call me.” Less than 10 percent of Statistics have clearly indicated not the teens of those same parents said only the occurrence but an increase they would call mom and/or dad for in accidents, date rapes, and death a ride. Almost every one of those for teens and young adults due to same teens said they would not use drug and alcohol mishandling. I’ve any type of a physical method to been working to encourage parents prevent a friend from driving drunk and educators to address “Teen Safety or prevent a friend from entering a in Crisis Situations (TSCS)” as an car with an intoxicated driver. additional effort to keep teens safe. TSCS isn’t about disregarding laws Over the years, it’s been my ab- or an acceptance of improper, injurious solute pleasure presenting to and behavior. TSCS is an additional profacilitating for groups and organi- gram for saving lives and protecting zations of well-meaning our teens from harm people who volunteer when their judgment their time to benefit and decision-making others. Unfortunately, skills are severely imtoo often, those same paired. TSCS is about an well-meaning people absolute “compromise” like the status quo to a by parents, educators, fault and take offense to and law enforcement in new people in the group, an effort to have coopnew thoughts, and new eration and a trusting philosophies. Because relationship our young some people have been people can rely on in so unwavering to change a crisis situation. TSCS Stepping up and taking their strategies on safety, requires cooperative I’ve been asked to leave action in crisis situations “compromising” with has to be instilled and meetings and even disregards to behavior and infused in our children. missed from a couple punishment, and that non-profits because of can be prickly, tricky, my steadfast belief that conversations and worrisome. Each family and group about unpleasant and challenging will require their own “compromises” topics are required in order to mature in their efforts to protect their child and develop as needed. and the innocent bystander. At issue for parents and educators More important is the required is the struggle with having a new link between our children and their definition of protecting our children peers. Stopping a friend who is imwhen they behave as teens do—care- paired from driving is an obligation less and unconcerned. The teens and without excuses. Preventing a friend young adults of yesterday, today, from getting into a car with an imand absolutely tomorrow will place paired driver is an obligation without themselves in crisis situations because excuses. Preventing your intoxicated they believe they are supreme and female friend from leaving a party invincible. Customary, established with a male companion is an obligaeducational brochures and lectures about the numerous downsides of alcohol and drug misuse are needed, and they are important tools for our society to benefit from, but that conversation absolutely falls critically short when addressing “TSCS.” In a loose survey of parents from different schools in and around Toledo, parents were asked if their teen(s) would call them if they, the Teens need a nonjudgmental person to turn teen, had been drinking and needed to in a crisis. We love feedback. Like us on Facebook. Follow us on Twitter.

tion without excuses. Excuses from teens for snubbing their responsibility to each other can no longer be customary or accepted. Stepping up and taking action in crisis situations has to be instilled and infused in our children, and that comes from you! Who can your child call in a crisis situation without “having their head torn off?” Can friends of your child

count on him or her to take needed action in a crisis situation? Can your child count on his friends in a crisis situation? Please talk to your student (no matter their age) about TSCS! ❦ Laurence “Mitch” Mitchell, professional mediator, conflict resolution, facilitator, Coach@anathlete.com, www.mediationpeacemaking.com.

CANCER CENTERS

WE HAVE MOVED!

Understanding ovarian cancer

ccording to the National Cancer Institute, ovarian cancer accounts for approximately 3 percent of all cancers in women and is the fifth leading cause of cancer-related death among women in the United States. It’s estimated that in 2014, there will be 21,980 new cases of ovarian cancer and 14,270 deaths from the disease in the US. Though both the incidence and mortality rate of this disease have been declining, ovarian cancer continues to have the highest mortality of all cancers of the female reproductive system. Like so many cancers, ovarian cancer is a silent disease, typically causing no obvious symptoms in the earliest, most treatable stage. When symptoms do arise, they tend to be subtle or easily misidentified as stemming from more commonplace maladies or conditions. Thus, ovarian cancer commonly goes undiagnosed until an advanced stage. Christine Valentine, MSN, CNP, of The Toledo Clinic Cancer Centers, notes that the more common symptoms of ovarian cancer include pelvic or abdominal pain, back pain, increased abdominal size, feeling full quickly when eating, unexplained weight loss, urinary incontinence or frequent urination, difficulty with bowel movements (constipation or diarrhea), upset stomach, heartburn, gastric disturbance, bloating, abnormal vaginal discharge, and fatigue. “Unfortunately, women will oftentimes dismiss these symptoms as ‘just part of getting older’ or attribute them to the onset of menopause,” she observes. Though the cause of ovarian cancer is not known, certain groups have been identified as being at higher risk. They include women who have never had children or who had their first pregnancy after age 30; women who have not taken birth control pills; women with a family history of ovarian, breast, endometrial, or colorectal cancer; women with the

BRCA1 or BRCA2 gene mutation; women who have early menstruation or late menopause; and women of Ashkenazi Jewish ancestry. “Ovarian cancer typically occurs in women between the ages of 50 and 75, but I personally know of women who developed t h e disease as early as ages 8 and 15, as well as women in their 20s, 30s, and 40s,” Valentine adds. Screening for ovarian cancer is not recommended for asymptomatic women due to the high rate of false positives these tests yield, which can lead to unnecessary procedures. In women with known risk factors or symptoms, doctors will perform diagnostic tests such as the CA-125 blood level test, which checks for a particular tumor marker, and transvaginal ultrasound. When ovarian cancer is diagnosed in later stages, the cure rate is lower and recurrence is more likely. However, it’s important to note that receiving a later diagnosis is by no means a death sentence. “I know of women diagnosed at stage 4 who are now 10 to 15 years out from that diagnosis with no recurrence. And if there is a recurrence, we can often use chemotherapy as a maintenance plan,” says Valentine. Treatment for ovarian cancer typically involves total hysterectomy, including removal of the uterus, fallopian tubes, and ovaries. Lymph nodes may also be removed if the cancer is determined to have spread. Following surgery, chemotherapy is administered. Valentine points out that there are ongoing studies to investigate drugs that target certain genetic abnormalities in ovarian cancer cells, but these therapies aren’t yet available to oncologists. While there are no lifestyle changes

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

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

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

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

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

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

women can make to prevent ovarian cancer, some with known risk factors may be started on oral contraceptives as a preventive measure. These women would also typically be referred to a gynecologist-oncologist to follow up with CA-125 testing and transvaginal ultrasound, looking for signs of the Kensington Garden Villas disease. Valentine is proud to be part of Now Leasing Senior Villas In Waterville Ovarian Cancer Connection, a 501(c) (3) nonprofit organization that helps raise awareness of the symptoms of Kensington Garden Villas ovarian cancer and provides financial assistance to women undergoing treatment for the disease. On Saturday, September 20th from 8:30 a.m. to 1:00 p.m., the organization will be holding the Ellen Jackson Ovarian Cancer Walk on the campus of the University of Toledo Medical Center. For more information, visit ovarian connection.org or call 419-866-6622. a month Features: ❦

Now Leasing Senior Villas in Waterville

in Maumee, Bowling Green, Oregon, Adrian, and Monroe remain open for the convenience of the patient, and many TCCC 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 419-479-5605.

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Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, has nine board-certified hematologists/oncologists and ten nurse practitioners on staff and can provide Please callPlease for more 419-885-8211 • www.rentwaterville.com imaging and laboratory diagnostic callinformation: for more information: 419-885-8211 services, chemotherapy services, and www.rentwaterville.com IV services. TCCC’s satellite centers

CONFIDENCE AT CONTACT.

Increased abdominal size and feeling full quickly when eating are common symptoms of ovarian cancer that are often dismissed as “just part of getting older.”

By Christine A. Holliday

Taoist Tai Chi provides benefits through ®

“Moving Meditation”

THE 860v4 THIS IS #RUNNOVATION.

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mericans live lives that are fast and exciting and stress-producing. Even our exercise classes are marked by noise and strong movement and increased heart rates. We hope to find relaxation and stress relief in those classes with lots of jumping and marching and stretching. We seem to believe that the more we sweat, the more likely we are doing our bodies and our minds some good. Members of the local Taoist Tai Chi Society® have a different way of handling stress and for calming their bodies and minds. Their program, open to people of all ages and all ability levels, aims to provide the same benefits promised by other exercise classes, but at a much slower and, they believe, more effective pace. The Taoist Tai Chi® set is a series of 108 moves that involves gentle stretching through turning the spine and improving range of motion. Un-

like more aggressive forms of Tai Chi, which are related to competition and self-defense, Taoist Tai Chi® stresses movements that are designed to improve health, balance, and coordination. The movements are slow and focused, and are marked by deep breathing and concentration. Each movement flows into the next, so there is no stopping and starting. There is no need to stretch as a warmup, because the movements include stretching, and the relaxation we find when fast-paced classes are over is also part of the program. One might say that Taoist Tai Chi® is a complete form of exercise. Susan Matz, Secretary of the local 200-member Society, explains, “Taoist Tai Chi® is often called ‘moving meditation.’ As such, it works for the body and for calming the mind and lifting the spirit by stressing slow, deliberate movements.” The national

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Taoist Tai Chi® website notes that the set of exercises is Eastern in origin and operates with the view that the opposite forces of the body (yin and yang) need to be in balance, so that the body’s vital energy or life force (qi) can flow throughout the body

unimpeded. It is believed the exercises work on areas where the flow of the qi might be blocked. Participants in Taoist Tai Chi® classes need no special training and no special clothing. Rubber-soled shoes and loose clothing are perfect, and once the student learns the moves, he is able to do them anywhere with no equipment. Those who come with chronic medical conditions are encouraged to check with their doctors before starting the program, but even those in wheelchairs can reap benefits from the moves. Westerners might wonder how

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such “relaxed,” slow-moving exercise can have any long-lasting health benefits. Studies done by the National Center for Complementary and Alternative Medicine have shown that Tai Chi has potential for preventing falls and improving cardiovascular fitness and overall well-being in the elderly, a group unlikely to enroll in fast-paced, high-impact exercise routines. There is research to show that Tai Chi has possible benefits for those with cardiovascular disease, hypertension, and osteoarthritis. It also impacts quality of life for people with HIV and improves functional capacity in breast cancer patients. Ms. Matz adds, “There is a body of medical evidence emerging that regular practice of Tai Chi reduces the symptoms of chronic illnesses and conditions such as multiple sclerosis, Parkinson’s, fibromyalgia, and even post traumatic stress disorder.” The local Society offers four-monthlong beginner sessions every two months at six locations in the Toledo/ Bowling Green area, so new students have plenty of time and opportunity to learn the moves from trained volunteer instructors. Some students choose to attend classes more than once each week, and, once they’ve

learned the basic set, they might want to attend continuing classes to learn the nuances and enhancements to each move that make doing the set even more beneficial. The main practice center at 406 Illinois Avenue in Maumee offers a mix of daytime and evening classes five days a week, and other locations, including the Eleanor Kahle Senior Center and the Toledo Elks #53 Lodge, have flexible schedules, as well. Retired high school guidance counselor Dick Schroeder started Tai Chi at his sister’s suggestion. He has participated in classes for three years and finds that he feels better after each class. “I always feel energized after I do it. I feel more agile, too, and I enjoy the social activities, such as the Chinese New Year celebration and the picnic the Society offers.” He notes that his classmates include retirees, men and women, as well as younger students. The Society is inviting would-be participants to an open house at their main practice center at 406 Illinois Ave. in Maumee on August 23rd from 11:00-12:00. Guests can see classes in action and

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interview class members to get more information about the classes. The Toledo Society is part of a national and international organization. The USA headquarters is in Florida, and the international headquarters is in Orangeville, Canada. Worldwide, there are more than 40,000 members in 500 locations and 27 countries. The international website (www. taoist.org) includes a video of the founder doing the 108 moves, and the local website (www.toledo.ohio. usa.taoist.org) includes information about classes and locations and the social activities. More information is also available at 419-537-0131. ❦ Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

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A few words from the Diabetic Meal Planners’ kitchen

food value retained after cooking.

by Wayne Goodwin, AAC, and John Pantel, MS, RDN

Greek-Style Lamb Kebabs

any times diabetics have the opinion that they cannot have— or cannot figure out how to have— international foods in their meal plans. This month, we have a great Greek Kebab Dinner that will dispel any thoughts that it can’t be done. Lots of recipes and somewhat time consuming but well worth the work and wait, especially on a warm summer evening with friends and family. They will never know it meets all of the diabetic meal plan guidelines if you don’t tell them. Marinate the meat from 2 hours to 6 hours ahead. Then pour the marinade into a bowl and toss all of the vegetables in the marinade before skewering. Also make the vinaigrette ahead. Toss the orange and strawberries with the syrup before dinner so it can macerate while you eat.

Greek Tomato Salad Difficulty: easy • Prep time: 10 min Cook time: none • Yield: 4 cups

2 cups chopped fresh tomatoes

1 cup diced cucumbers ½ cup diced onion ½ cup diced green bell peppers 1 T dry oregano 2 oz crumbled feta cheese Toss all of the ingredients in a large bowl and serve as directed in your meal plan. The amount of the dressing will be listed as a separate item in the chart. Nutritional data for 1 cup: 75 calories, 0 gm available carbs, 9 gm total carbs, 3 gm protein, 3 gm fat, 2 gm saturated fat, low glycemic index, 2 gm fiber, 166 mg sodium, 13 gm cholesterol.

Greek Vinaigrette Difficulty: easy • Prep time: 5 min Cook time: none • Yield: 1 cup

¼ cup red wine vinegar 1/3 cup olive oil 1/3 cup low-sodium chicken broth A dash each of salt and pepper 1 t dry oregano Put all of the ingredients in a small glass jar with a tight-fitting cover. Shake vigorously

to combine. This will keep for a week in the fridge. Nutritional data for 1 T: 41 calories, 0 gm available carbs, 0 gm total carbs, 0 gm protein, 5 gm fat, 1 gm saturated fat, low glycemic index, 0 gm fiber, 18 mg sodium, 0 gm cholesterol.

Marinade for Greek-Style Kebabs Difficulty: easy • Prep time: 5 min Cook time: none • Yield: 1 cup

¼ cup red wine vinegar ¼ cup low-sodium chicken broth 2 T olive oil ½ t dried oregano 1 dry bay leaf, crushed finely 2 cloves garlic, minced ¼ cup diced onion A dash of salt ¼ t pepper Put all of the ingredients into a large plastic bag with a zip top. Add the bite-sized meat chunks, close the top, and refrigerate for at least 2 hours. Save the marinade after skewering the meat to be used on the vegetables. Nutritional data: There is essentially no

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Difficulty: easy • Prep time: 30 min Cook time: 12 min • Yield: 1 lb

1 lb of lamb cut into 1-inch cubes and marinated ¼ cup of 1-inch onion pieces Soak the wooden skewers in water for 30 minutes before using or use metal skewers. Thread the meat on alternately with the onion pieces. The other vegetables will cook on separate skewers. Preheat the grill or grill pan to medium high. Just before putting the kebabs on the grill, brush the grate with a little oil. Cook 3 minutes each on all four sides, a total of 12 minutes for medium lamb. When done, remove from the skewers and weigh your portion. Add the onion pieces to the veggie kebabs after cooking. Nutritional data for 3 oz cooked lamb: 157 calories, 0 gm available carbs, 1 gm total carbs, 24 gm protein, 6 gm fat, 3 gm saturated fat, low glycemic index, 0 gm fiber, 38 mg sodium, 85 gm cholesterol.

Greek-Style Vegetable Kebabs Difficulty: easy • Prep time: 10 min Cook time: 20 min • Yield: 1 pound

4 oz onion wedges 4 oz red bell pepper squares 4 oz button mushroom caps 4 oz zucchini rounds Marinade used with the lamb Soak the wooden skewers in water for 30 minutes before using or use metal skewers. Preheat the grill or grill pan to medium high and brush with a little oil. Put the vegetable pieces into a bowl, pour over the marinade, and toss to coat. Thread alternately onto the skewers. Grill for 20 minutes, turning every 5 minutes. If done before the lamb, keep in a warm oven until time to serve. Remove from the skewers and weigh out your portion. Nutritional data for 4 oz mixed vegetables: 35 calories, 0 gm available carbs, 7 gm total carbs, 2 gm protein, 0 gm fat, 0 gm saturated fat, low glycemic index, 2 gm fiber, 6 mg sodium, 0 gm cholesterol.

Mary’s Rice Pilaf Difficulty: easy • Prep time: 5 min Cook time: 30 min • Yield: 3 cups

the rice. Add the broth, bring to a boil, cover, reduce the heat to a simmer, and cook for 30 minutes. When the rice is done, remove from the heat and fluff with a fork before serving. Nutritional data for ½ cup: 114 calories,19 gm available carbs, 21 gm total carbs, 4 gm protein, 2 gm fat, 1 gm saturated fat, low glycemic index, 2 gm fiber, 28 mg sodium, 2 gm cholesterol.

Basil syrup Difficulty: easy • Prep time: 5 min Cook time: 30 min • Yield: ¾ cup

2 T finely chopped fresh basil ¾ cup water ¼ cup Domino Light sugar blend (½sugar, ½ Stevia) In a small sauce pan over medium heat dissolve the sugar into the water. Add the basil, mix well, and simmer for 30 minutes. Use immediately or store in a glass container for a week in the fridge.

Nutritional data for 1 T: 10 calories, 2 gm available carbs, 2 gm total carbs, 0 gm protein, 0 gm fat, 0 gm saturated fat, low glycemic index, 0 gm fiber, 0 mg sodium, 0 gm cholesterol. Enjoy this Greek cookout dinner with family and/or friends. And join us next quarter when we will be featuring fresh fall vegetables. ❦ Wayne’s and John’s books, including Everyday Meal Plans for Diabetes, and Everyday Meal Plans for Healthy Weight Loss, can be ordered through their new website, www. mealplansbygandp.com. Wayne and John also present complimentary workshops on Meal Planning for Diabetes or Healthy Weight Loss for groups of 20 or more. For more information, contact Wayne at wayne@mealplansbygandp. com.

Greek Lamb Kebab Dinner Meal Item Greek Tomato Salad with Feta Basic Greek Vinaigrette Lamb from Kebabs Vegetables from Kebabs Mary’s Rice Pilaf Orange Pieces Strawberry Slices Basil Syrup Total Meal Calories AVAILABLE CARBS Glycemic Index Total Carbs PRO FAT Sat FAT Fiber Sodium (mg) Cholesterol (mg)

1400 cal/day

1800 cal/day

2200 cal/day

¾ cup 1 cup 1¼ cups 3 t 4 t 5t 2½ oz 3 oz 3½ oz 6 oz 7½ oz 9 oz ½ cup 2/3 cup ¾ cup 4 oz 5 oz 6 oz 4 oz 5 oz 6 oz 3 t 4 t 5t 487 622 744 44 56 70 Low Low Low 64 80 100 31 39 45 15 19 23 5 7 8 12 15 19 207 272 319 82 105 117

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

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

Have you ever considered volunteering for a

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

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

1 t unsalted butter ½ cup finely diced onion ¾ cup raw Basmati rice 1½ cups low-sodium chicken broth 2 T Orzo pasta Saute the Orzo in the butter in a large sauce pan over medium heat until browned. Add the onion and sauté until softened but not browned. Add the rice and stir to coat all of We love feedback. Like us on Facebook. Follow us on Twitter.

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Back to School Tips for Parents It’s almost that time of year again, back to school! It’s hard to believe that summer vacation is nearing the end but now is a great time to start getting yourself and your child back into school shape. A new year means many new and exciting times for your child. Here are some tips that will make the transition back to school easier for you and your child: • Re-establish bedtime routines. Your child should gradually move back to regular bed times and wake up times a couple of weeks before school starts. This structure will help your child feel well rested and ready to go that first day. • Start the day off right with a healthy breakfast. Starting the day off with a healthy meal will give your child energy and stamina to stay focused on their school day tasks. • School supplies and new school clothes. Shopping for school supplies and new clothes is a favorite back to school ritual for many kids. Most retailers have all the necessary supplies on their shelves. • Physical and mental health. Make sure your child is in good physical shape and mentally healthy. Make sure vaccinations are up to date as well as any needed physical and dental examinations that are required by your child’s school. If you have any concerns about your child’s emotional or psychological development, discuss these with your doctor. • Homework. Prepare a space in your home for your child to complete homework. Make sure this space is free from distraction and conducive to studying. It is okay to break up time between school tasks and free time. Come to an agreement with your child on what an acceptable time frame is for schoolwork to be done so that he/she may have their downtime as well. If you have any questions about Harbor or Harbor services, please call 419-475-4449

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12 August 2014 | Healthy Living News

Sylvania Franciscans receive grant for nursing center equipment

he Sisters of St. Francis of Sylvania, SOAR! has given so we can carry out Ohio recently received a grant of the mission and values of the Sisters $20,693 from SOAR! (Support Our of St. Francis.” Aging Religious) to purchase medical SOAR! is a nonprofit organizaequipment for Rosary Care Center tion headquartered in Washington, (RCC), the long-term care facility for D.C. that makes grants to religious women and men religious located on congregations to ensure the safety the motherhouse grounds in Sylvania. and comfort of their aging religious. This is the 14th grant since 1994 the It was formed in 1986 by a group Sylvania Franciscans have received of concerned lay people to help from SOAR! to support older religious ensure financial stability of Catholic living in the Congregation’s skilled religious communities in the care of nursing facility. This year’s grant will their elderly and infirm members. be used to purchase electric beds and Since its beginnings over 25 years a vital sign monitor, adjustable table, ago, SOAR! has awarded more than and oxygen concentrator. 1,000 grants, totaling $12 million, to “We are exceedingly grateful for Congregations throughout the United the work of SOAR! and all it does for States and Puerto Rico. The organithe care of our Sisters in retirement,” zation is separate from the annual said Sister Mary Jon Wagner, Con- retirement collection coordinated gregational Minister for the Sisters by the United States Conference of of St. Francis of Sylvania, Ohio. “This Catholic Bishops. grant enables us to purchase the SOAR! brings together people of all kind of equipment that will give our religious denominations across AmerSisters the level of care and quality ica whose lives have been touched of life they deserve in this stage of by the unparalleled contribution Catholic sisters, brothers, and priests their lives.” Opened in 1975, Rosary Care Cen- have made to families, communities, ter was designed as a nursing facility and America. Millions of people have for the elderly Sisters of St. Francis been educated, cared for, comforted, of Sylvania, Ohio and is managed and prayed for by women and men by Sylvania Franciscan Health, the religious. These former educators healthcare ministry sponsored by the and caregivers now need help to Sisters. The four-story, 76-bed facility ensure that they are able to live recently expanded to include women their “golden years” with the same and men religious from other vowed dignity and safety everyone wants communities in the greater Toledo for themselves and their families. area as well as family members of For more information, go to www. the religious. soar-usa.org. ❦ “O v e r t h e years, SOAR! has directly touched so many lives at Rosary Care Center by providing needed equipment to better serve the residents,” said Jason Phillips, Director of Rosary Care Center. “This year’s grant will be used to purchase new electric beds and oxygen concentrators, Jason Phillips, Director of Rosary Care Center, receiving the grant to name a few. check from Sister Mary Jon Wagner, Congregational Minister of the Myself, the staff, Sisters of St. Francis of Sylvania, Ohio. With them are Rosary Care and residents are residents Oblates of St. Francis de Sales Fr. Robert Massett, Sylvania beyond thankful Franciscan Sister Alonzo Gozdowski, and Notre Dame Sister Joetta for the assistance Sneider. We love feedback. Like us on Facebook. Follow us on Twitter.

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14 August 2014 | Healthy Living News

Full-service cardiac catheterization lab to open at Mercy St. Anne Hospital

est Toledo and Southeast Michigan residents requiring cardiac care will soon have the choice of a new full-service, state-of-the-art cardiac catheterization lab close by at Mercy St. Anne Hospital. Tentatively slated to open in mid-August, the new facility will offer the highest level of clinical expertise and cutting-edge technology in a relatively small, easily navigated hospital setting. “We looked at the demographics of this part of the community and determined that residents in the area would definitely benefit from having access to a broad range of diagnostic and interventional cardiac services,” states Dr. Ahed Nahhas, Medical Director of the catheterization lab at Mercy St. Anne Hospital. “For patients living close to St. Anne’s, the new cath lab will greatly reduce the time between symptom onset and access to expert care.” Cardiac catheterization is a minimally invasive procedure that involves inserting a long, flexible tube into a blood vessel (typically through the groin, but possibly through an arm or the neck) and threading it to the heart with the assistance of x-ray imaging. Once it reaches the heart, the doctor can perform a wide variety of diagnostic or interventional procedures, such as checking for blocked or narrowed blood vessels, biopsying the heart muscle, identifying or assessing congenital heart defects, removing blood clots, performing an angioplasty, placing a stent, evaluating and repairing heart valves, treating heart arrhythmias, and many others. For approximately the first month after opening, the new cath lab will provide diagnostic services only, for example angiography to search for coronary or vascular disease. By mid- to late September, the facility will ramp up to be a fully functioning cath lab in every aspect, offering a broad range of interventional services, such as angioplasty, stent placement, and coronary bypass surgery. Patients experiencing chest pain, heart attack, or peripheral vascular disease are

just a sampling of those who will be diagnosed and treated at the new lab. A dedicated operating room for open-heart surgery will open in October. According to Jaime Arzuaga, Clinical Manager of the Mercy St. Anne Hospital cath lab, the second floor of the facility is also being remodeled to accommodate patients before and after they receive treatment. This special unit will feature 16 beds (four critical-care beds and 12 step-down beds), monitors in every room, central monitoring for the nursing staff, and a ratio of one nurse to every one or two patients. “One of the many benefits of the unit’s design is that we’re going to incorporate a true universal bed model, which means that when patients are admitted for cardiac services, it’s our goal that they will stay in the same room throughout their recovery rather than transition from floor to floor as they get better. Remaining in one place during their stay just raises that level of comfort and continuity for patients and their families. Also, our staff gets the benefit of caring for patients as they progress through all the stages of recovery—from their very sickest point when they arrive until they’re well enough to go home,” Arzuaga states. Dr. Nahhas emphasizes that being located in a smaller hospital does not impose limitations on the quality of care and services provided. “What matters is not the size of facility but the expertise and specialties represented,” he says. “We’re lining up physicians and other staff with the highest level of competence, including a critical care anesthesiologist; a dedicated heart surgeon; a nursing staff with diverse experience in openheart recovery, ICU, step-down, and other areas; and highly competent and dedicated technicians and ancillary employees. Furthermore, the equipment we’re bringing in is the most advanced on the market and not yet available at other hospitals.” He further explains that given

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the trend toward outpatient services in our healthcare system today, the measure of the quality of care a hospital provides is becoming less and less about the number of beds offered. Patients today are simply going home much sooner than they once did. For example, whereas patients undergoing angioplasty used to spend five days in the hospital,

they now typically go home the next day—or even the same day. “The bottom line is, we’re proud to offer this new alternative to the community. One-hundred-percent effort is going into this project to ensure the highest quality of care is provided, and all the physicians and staff are very excited to be involved,” Dr. Nahhas says. ❦

by Myles Mellor Across 1 Popeye’s muscle builder 6 Blue-green ___ “superfood” 9 Lovey dovey sounds 11 Passion fruit 13 TV spot 14 Capable of being dissolved 15 Sunshine units 18 Mint and chamomile for example 19 Article checker 21 Blood type 22 Painful football injury (2 words) 25 Alternative maker 26 Removal of heavy metals from the bloodstream 1

ilovecrosswords.com Answers on page 27 29 The, in Germany 30 Brunch bill 31 “Nightmare on ___ St” 33 Swollen 34 Greeting 37 Section of the arm 38 Drug abused by some athletes Down 1 When refined it has been linked to obesity 2 Mediterranean diet country 3 Berry supplement 4 Atlantic seafood 5 Mechanically lift 7 Hawaiian feasts 8 Shrub with black fruit that has been used to alleviate flu 3

10 Plant with dark purple berries 12 Cousin of a camel 13 Light metal symbol 16 Electrical measurement 17 Chilean ___bass 20 Enlarge, as pupils 21 Lotion additive 22 Type of salmon 23 Runny-nose condition 24 Foods you can eat 27 Go brown in the sun 28 Impulse carrier in the body 29 Because of (2 words) 32 Internet laughter symbol 35 Leave 36 What every patient has, abbr.

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30 31 34 37

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Tips for race recovery by Amanda Manthey

unning gives you a great workout that challenges both your body and your mind. When you cross the finish line in a race, your body is exhausted but your work is not over. After you exercise, you need to restore your body’s balance and power. Adhering to these post-race recovery tips will give you the edge for a more rapid recovery. First, water is the most essential ingredient you put into your body. Water helps in your recovery by cleansing wastes from your system. It helps dissolve nutrients and carries them to all parts of your body. Always stay hydrated, and drink water even if you don’t feel thirsty yet. As runners, we should drink up to three quarts of water a day. After a run, you should drink about 16 ounces of fluids and more if you run longer. Staying hydrated after the event will aid in a faster recovery. When you exercise, your body burns carbohydrates for energy and breaks down your muscle tissue. Complex carbohydrates are key to any athlete’s diet because they provide a steady, nutrient-rich energy supply. Immediately after your race, your body utilizes glucose in order to rebuild and recover from your intense effort. Fruits, energy bars, and pretzels are quick, easy snacks that help initiate your replenishing process.

Runners also need to replenish their electrolytes. Electrolytes affect fluid balance in the body and are necessary for proper functioning of your nerves and muscles. When you exercise, you lose electrolytes through perspiration. One way to renew your electrolytes is by drinking a sports beverage. These drinks help restore your body by preventing dehydration. Repair and restore your body with proteins. Proteins are essential in the repair of your muscles, ligaments, and tendons. Muscle proteins power you through your race. After a strenuous race, new muscle proteins must replace damaged ones. Good sources of protein are meats, fish, eggs, and dairy products. Fruits and vegetables are filled with vitamins, minerals, and fibers essential to a runner. Bananas, a good source of potassium, are believed to decrease cramping. Recovery and regeneration are crucial training concepts that enable you to produce the results you want. Following your race, enjoy several rest days or easy training days to help accelerate the recovery process. ❦ Amanda Manthey is a former collegiate runner at Eastern Michigan University. She writes about running and fitness on behalf of Dave's Performance Footgear.

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

Don’t miss Dave’s Races Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear.

Fayette 5K 4 The Fields—Friday, August 1, 2014, 7:30 p.m. at Harrison Lake State Park in Fayette, Ohio. One-mile Fun Run (6th grade and below) begins at 7:00 p.m. This is a very scenic, paved run around Harrison Lake State Park. All proceeds benefit the Fayette Athletic Boosters. For more information, please email bryanstambaugh1135@gmail.com. Women’s Distance Festival—

Saturday, August 2, 2014 at the Shoppes at Fallen Timbers, 3100 Main St., Maumee, Ohio. 5K Run/Walk and family friendly one-mile walk at 9:00 a.m. Walk a Mile in Her Shoes at 9:00 a.m. 100-meter Heels Race at 10:30 a.m. Heels decorating contest and The Bundle at 9:00 a.m. Wondering “what the heel” this is all about? You’re in for one of the most ridiculously amazing events the Toledo area has seen in a long time! Choose one or more events—a family 1-mile walk, a ladies-only 5K with categories for individuals and mother/daughter teams, an 18-andover male/female 100-yard dash in high heels! Enter one event or choose “the Bundle”—enter two

or three events for one low price. For more information, please email racescoring@toledoroadrunners.org.

1 John 3:18 5K Run/Walk/Kids Fun Run—Saturday, August 2, 2014

at 700 S. Defiance St. in Archbold, Ohio. 5K Run/Walk begins at 9:00 a.m. Kids Fun Run begins 8:45 a.m. This family event will raise funds for the FISH Food Pantry and the Friendship House. For more information, please email kinsmanfamily4@yahoo.com.

Tomahawk Trot 5K—Friday, August 8, 2014 at 840 Parkview, Wauseon, Ohio. 5K starts at 7:30 p.m. Quarter-mile and half-mile kids races (held at high school track) start at 7:00 p.m. The 8th annual Tomahawk Trot starts in front of the Wauseon High School Track (940 E. Oak St.) and ends on the high school track. The course takes runners on a scenic run through neighborhoods near the high school and on a paved bike trail. For more information, please email Jallen@wauseonindians.org. Filling Homes 5K/10K Road Race and Kids Fun Run—Saturday August

9, 2014, 9:00 a.m. at Oberhaus Park in Napoleon, Ohio. This race benefits the men, women, and children with developmental disabilities that Filling Homes serves and has evolved over the years into the race for area high schools to exhibit their cross-country talents for the upcoming season. Come rain or shine to run, because regardless of the contest’s results, the true winners of this race are the people that Filling Homes serves. For more information, please email amandapedraza@fillinghome.org.

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

Intro to Good Form Running—

Saturday August 9, 2014, 2:30 p.m. at Dave’s Running Sylvania, 6465 W. Sylvania Ave. in Sylvania, Ohio. In this class, we will teach you the four simple but highly effective points that will help you transform into a more efficient, healthy runner. By mastering these points, you will be able to run faster, easier, and, most importantly, injury free. You will have the opportunity to have your gait analyzed on camera and have the chance to practice the Good Form technique, which will dramatically affect your running form. For more information, please email jeff.taylor@ davesrunning.com. Up, Up, and Away 5K—Saturday, August 9, 2014, 8:00 a.m. at Emory Adams Park, 1827 South Blanchard Street, Findlay, Ohio. A Northwest Ohio classic! Our 12th year strong. This event is held in conjunction with the Findlay Flag City Balloon Fest (Hot Air Balloons). Come out and support a great cause (Hancock County Special Olympics), and stick around for the Balloon Fest. For more information, please email philiprader@hotmail.com. Sylvania Triathlon—Sunday, August 10, 2014, 7:30 a.m. at TamO-Shanter Sports Complex, Olander Park, 7060 Sylvania, Ave., Sylvania, Ohio. For more information, please email jdjp@bex.net. Pemberville 5 Miler—Friday, August 15, 2014, 6:30 p.m. at 104 E. Front Street, Pemberville, Ohio. Certified five-mile course starts at the Pemberville Fire Hall, through Village streets, along River Road, with an exciting finish at the Fair grandstand. One-mile Fun Run, free to all, starts at approximately 6:10 p.m. (course is the first mile of the

5-Miler run backwards). For more information, please email kdmadaras@ gmail.com.

Swanton Corn Festival 5K—

Saturday August 16, 2014, 8:00 a.m. at 206 Cherry Street, Swanton, Ohio. The Swanton Corn Festival 5k is the start of the entire festival. This race will end right before the big parade. Come out to run your personal best on this flat course with a few inclines. Proceeds will benefit next year’s Corn Fest as well as “R Angel.” For more information, please email ashley@ swantoncoalition.org.

Run Baby Run and Walk—

Saturday, August 23, 2014, 7:00 a.m. at 10001 Central Ave. in Berkey, Ohio. Thirty years ago, a woman sat at her kitchen table and took a step of faith. That step of faith is known today as the Pregnancy Center of Greater Toledo and has resulted in hope and answers for over 38,000 women. On August 23, come take steps with us as we continue to provide real hope and genuine answers for women facing unplanned pregnancies in Toledo. For more information, please email smarten@pregnancycenter.org.

Ottawa Hills Back to School 5K—Sunday, August 24, 2014, 9:00

a.m. at 2532 Evergreen Road, Ottawa Hills, Ohio. The race starts and finishes at the high school track (behind the school) and runs through the Village of Ottawa Hills. The course has water stops and is accurately measured by the Toledo Road Runners. For more information, please email oh5krun@ buckeye-express.com.

Boy Scout Half Marathon & 5K—Saturday, August 30, 2014, 8:00

a.m. at the Wood County Fairgrounds, 13800 W. Poe Road, Bowling Green, Ohio. For more information, please email clint@runtoledo.com. ❦

Ask Us,

we’re here to help. With so many choices, it’s hard to know what is the right solution for your loved one who perhaps needs rehabilitation after a fall, or long-term skilled nursing care. As a family-owned, family-operated facility, we understand the importance of finding just the right place for that special loved one to call home. We can also help you sort through questions about skilled care,long-term care, assisted living services, insurance coverage, Medicare and more. Consider us your best choice.

Spring Meadows for Extended Care • Astor House for Assisted Living

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You’re invited to visit us at 1125 Clarion Ave. Holland or call 419-866-6124 • www.springmeadowsecf.com

5:30 PM We love feedback. Like us on Facebook. Follow us3/31/14 on Twitter.

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SPINAL STENOSIS A new treatment approach by Tim Taylor, PT

pinal stenosis is a diagnosis that has always perplexed healthcare providers and patients alike. Treatment success often depends on the severity of the condition, and no two patients present with identical symptoms. Conservative treatments, like medications, chiropractic, and physical therapy, are usually tried first. When these strategies fail, the next option is pain management, consisting of epidural or transforaminal injections, or radiofrequency ablation. The final option is surgery. As a physical therapist, I am always trying to prevent the final option. A new treatment approach is now available that is showing promise for those who are looking to manage their stenosis despite having tried all other conservative measures. Spinal stenosis by definition is narrowing of the spinal canal that compresses the spinal cord; this type of stenosis is referred to as central

stenosis. Foraminal stenosis is the narrowing of the opening where the nerve leaves the spinal cord. Both types of stenosis are a result of the degenerative process that comes with age, congenital defects of the spine, or trauma. Spinal stenosis is most commonly found in the neck and lower back. Spinal stenosis usually manifests itself with complaints of spinal pain. Patients often complain of a “dull ache” at the level of stenosis. If nerves are compressed, then the pain can amplify to a “sharp, stabbing” sensation, which can radiate into the extremities. Muscle weakness and numbness and tingling can also be present. People often accommodate to this type of pain and nerve compression by modifying their posture. In the case of lower back stenosis, individuals will maintain a forward flexed posture while walking and standing.

Tolerance for extended standing and walking is compromised, forcing a person to take frequent sitting rests to resolve this problem. As stenosis progresses, the person’s posture deformity worsens, weakness limits most activities, and pain forces the person to maintain a sedentary lifestyle. At Total Body Rehab Center, we approach stenosis with a multifactorial treatment protocol. We first remind patients that there is no “magic bullet”

Spinal stenosis is a narrowing of the spinal canal that compresses the spinal cord.

that is going to cure them. No conservative treatment can remove the stenosis from their spine. We explain that physical therapy can help them by resolving “muscle imbalances” (i.e weakness vs. tightness) that arise as stenosis progresses. Decompression treatments (e.g., traction) can help unload the compressed levels of the spine, especially if the patient has an acutely irritated nerve. Spinal manipulation is available if the patient’s condition warrants its use. Patients are guided through appropriate exercises under the supervision of a licensed therapist. They are also provided with home exercise programs to assure carryover from their clinical program. One of the greatest additions to our stenosis program, and the one showing the greatest promise, is the utilization of Triggerpoint Dry Needling (TDN). TDN is a treatment for muscular tightness and spasm that commonly follows injuries and accompanies the degenerative process. The muscular tightness and spasms (often referred to as “triggerpoints”) cause pain, compress the areas of stenosis even more, and limit normal range of motion. By inserting a fine needle into these triggerpoints, we

are able to relieve muscle tension, headaches, temporomandibular joint improve flexibility, and alleviate pain. (TMJ) pain, sciatica, golfer/tennis In the case of stenosis, we insert elbow, rotator cuff problems, carpal the needles into tunnel syndrome, TDN can relieve the the deep muscles Achilles tendonitis, of the neck and/or tightness and spasm that plantar fasciitis, back until the tight fibromyalgia, and areas are encoun- commonly follows injuries more! tered. The needle is We encourage and accompanies the gently manipulatpatients who are degenerative process. interested in TDN ed until the muscle is released. Other to take advantage muscles treated in our low back of our free consultations. Call us at stenosis protocol include the buttock 419-882-1841, or visit us at www. muscles, hip flexors (i.e., muscles in totalbody1.com. ❦ front of the hips), hamstrings, and the calf muscles. These needling Tim Taylor, PT, is the Owner and Clinical treatments are coupled with pain-re- Director of Total Body Rehabilitation lieving modalities, like hot/cold packs, Center in Sylvania, Ohio. ultrasound, electrical stimulation, and massage. Pain relief is possible after one to two treatments. TDN is a safe and cost-effective alternative to prolonged medication use, expensive Heartland epidural injections, and surgery. of Waterville It must be stressed that TDN is not traditional acupuncture. Patients Lunch and Learn think they are getting acupuncture because we are using a needle that Help, I’ve fallen! resembles that of an acupuncturist. TDN is a tool-assisted myofascial-release technique that is unique to the therapy profession. TDN is also different from triggerpoint “injections” offered by physicians. With TDN, no solutions or medications are introduced into the body, hence re you prone to falls, or do you the name “dry needling.” Currently, know someone who is? Falls are only a handful of providers in the a common reason people go to the Northwest Ohio area are offering emergency room. Join Heartland this unique approach to pain man- of Waterville for a free Lunch and Learn on August 21 at 12:30 p.m. to agement. Patients with severe cases of steno- learn more about why falls happen sis can be a little trickier to manage. and what to do about them. These persons are slower to respond Meet Heartland of Waterville’s to our protocol, but we found that Medical Director, Kristopher Brickhaving treatments under the direction man, MD, FACEP, as he discusses of a pain-management physician in falling injuries and what warrants conjunction with our protocol seems a trip to the ER. As the University to offer these patients the results they of Toledo Medical Center Chief of are looking for. Staff and Chairman of the UTMC The most exciting thing for our Emergency Department, Dr. Brickman clinic since introducing TDN to our is experienced in fall-related trauma stenosis program is that most of our and the underlying causes of falls. patients are able to forgo the need Heartland of Waterville’s Lunch for surgery. TDN has allowed our and Learn events are free and open to patients to recover quickly so they the public. Lunch and refreshments don’t have to spend months in ther- will be provided. RSVPs are appreciatapy. We provide them with the tools ed—please call 419-878-8523 or email needed to manage their condition myndi.milliken@hcr-manorcare.com. once we have released them from Heartland of Waterville, located our services. at 8885 Browning Drive, Waterville, TDN is not limited to patients with is a skilled nursing and medical respinal stenosis. It has also proven habilitation center that specializes effective for stubborn cases of neck in dementia care, respiratory rehab, ❦ and low back pain, herniated discs, and short-term rehab.

HIKE ON

ALLERGIES OFF When allergies strike, they can stop you in your tracks. Don’t suffer at the expense of your favorite activities: make the switch to an allergy-free life. At Toledo Clinic ENT, we specialize in allergy diagnosis and treatment. We have solutions to help get you back in action.

Call us today and get back out there. 419.324.2028 Toledo Clinic ENT

ALLERGY CENTER OF EXCELLENCE

Allergy testing and treatment with allergy shots or allergy drops.

Heartland of Waterville Presents

18 August 2014 | Healthy Living News

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“Help, I’ve Fallen!” A community educational seminar on falls and what warrants a trip to the Emergency Room.

Presented by: Kristopher Brickman, MD, FACEP Medical Director, Heartland of Waterville; Chief of Staff, UTMC; Chairman, Emergency Department, UTMC

Thursday, August 21, 2014

12:30 p.m. – 1:30 p.m.

Learn more about why falls happen and what to do about them. Complimentary lunch and refreshments will be provided. Register by calling 419.878.8523 or email: myndi.milliken@hcr-manorcare.com

MET14.6494P

Total Body Rehabilitation Center is pleased to announce the addition of Triggerpoint Dry Needling (TDN) to its practice.

5800 Park Center Ct., Suite C, Toledo, OH 43615 419.724.8368 • www.toledoclinicent.com

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Tinnitus, go away! by Randa Mansour-Shousher, AuD, CCC-A

What’s happening at Senior Star? Walgreens Wellness Series August 26 • 3:00 PM

Rick Hunsicker August 28 • 11:30 AM

A Walgreens pharmacist will be presenting an informative presentation on immunizations and the diseases they can prevent. Points will include:

Registration begins at 11:00 a.m.

• Immunization Schedules • Vaccines in the United States • Reasons to immunize • How vaccines prevent diseases • Provider Requirements • Common Myths • An overview of shingles, pneumonia, whopping cough, and measles vaccinations.

Seating is limited. Call today!

RSVP: 419.862.6046

Rick Hunsicker, senior living expert, will present facts about today’s real estate market and how to plan for a better future. The first 25 RSVP’s will receive a signed copy of Rick’s book Home Sale Guide for Seniors. Refreshments to be served.

3501 Executive Parkway Toledo, OH 43606 20 August 2014 | Healthy Living News

seniorstar.com

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ccurrences of tinnitus are a symptom we come across daily at Northwest Ohio Hearing Clinic, and our goal is to be able to provide the patient with a complete tinnitus evaluation to help them better understand what tinnitus is and what can be done to provide relief. The treatment program is personalized and may include such recommendations as diet modifications, stress-relief techniques, amplification, or sound therapy. After implementation of the recommendations, there are some who still ask us to help improve their disturbed sleep patterns and awareness of the tinnitus at night. There is no known cure for tinnitus. There are, however, talented researchers looking for it. You can learn more about the current research efforts and connect with thousands of other tinnitus suffers by visiting the American Tinnitus Association’s website at www.ATA.org. We are fortunate to now be able to expand and complete the tinnitus program by providing relief and comfort at night. Take a moment and read the firsthand experience of why the Sound Pillow® and Sound Pillow® Sleep System were developed by R. Scott Armbruster and the change it has made in providing relief for tinnitus at night.

cover-up the sounds in my head, “turn off ” my racing mind, and relax me to the point of sleep. It worked so well, the Sound Pillow Sleep System is now used by our service men and women in the Army, Air Force, Navy, and Marines. As it turns out, tinnitus is the number one injury in all of the military. As Mr. Armbruster mentioned, the sounds are the most interesting thing about the Sound Pillow Sleep System. They are in the high-frequency range, which is the most common frequency we find when completing the evaluation and, in turn, provides the patient greater relief since it is more apt to duplicate what they hear. Tinnitus is known to affect one in every five people, making it a common

y name is R. Scott Armbruster. I have a constant annoyance in my head. It never stops, day or night, and goes by the name of tinnitus. I know the exact moment the blast of sound hit me, a.k.a. the "acoustic insult." It was the fall of 1994. I worked in the concert production industry and headed stage left to reposition a laser effect when the talent (a classic rock-n-roller) screamed into his microphone and began his signature anthem. With my ear about 6 inches from 100,000 watts of sound, my knees buckled and I hit the floor. Being young and dumb...I had no ear protection. I could handle my condition during the day. However, it was the quiet of night that was challenging. Some nights, I just couldn’t sleep, which made life, in general, more difficult. So I started working with the concept of speakers in a pillow by way of a product called the Sound Pillow®. I liked its potential and overhauled the pillow, from the inside out, until I developed a Sound Pillow that was very comfortable and sounded great. The next step: finding the right sounds. I attended Tinnitus seminars and symposiums held by the industry’s leading doctors and researchers and just listened. The vast majority of the time, I didn’t have a clue what they were talking about. When they said “some patients responded well to white noise that sounds like the rain, oceans, streams, fountains...” and “stress can make the perception of tinnitus worse while relaxation and Northwest Ohio Hearing meditation can lessen the Clinic invites you to... perception of tinnitus...” I understood exactly what Tinnitus and Options to Bring You Relief, to be presented at 11:30 a.m. on Tuesday, August they were saying! Ten years later, I found 19, 2014, at Way Public Library, 101 E. Indithem...real sounds from ana Ave, Perrysburg, Ohio 43551, Room A. Space is limited, so please RSVP by calling nature and super relaxing 419-383-4012. music that helped me to

Northwest Ohio

Hearing Clinic

EXPERT CARE • SOUND RESULTS

TOLEDO 419-383-4012 | PERRYSBURG 419-873-4327 | www.nwohc.com

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

topic to discuss, and we encourage all to protect their ears from extreme noise exposure and lead a healthy lifestyle. Whether young or old, tinnitus can now be relieved by a quieter night with the Sound Pillow. Please feel free to contact us with any questions or concerns at 419-383-

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Fall is right around

the corner. Call (419) 345-0616 to schedule your fall pool closing. Plus, $50 off closings for first-time customers.

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419-345-0616 22 August 2014 | Healthy Living News

Randa Mansour-Shousher, AuD, CCC-A, is a Doctor o f Au d i o l o g y w i t h Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

Laurels Cardiac Recovery Program puts focus on endurance and education

7YLZLU[ [OPZ *V\WVU MVY

• • • •

4012 or 419-873-4327. ❦

xperiencing a cardiac event or undergoing a heart-related medical procedure can be dramatically life-altering. Afterward, patients often discover that a difficult road to recovery lies ahead, with plenty of physical and emotional obstacles to overcome along the way. At The Laurels of Toledo, a skilled nursing and rehabilitation center located at 1011 Byrne Road, the dedicated members of the therapy team and clinical staff are poised to help cardiac guests overcome these challenges and get back to their lives, stronger and safer, through the facility’s innovative Cardiac Recovery Program. “Patients typically come into our Cardiac Recovery Program after an event such as open-heart surgery, having a new pacemaker implanted, receiving a stent or valve replacement, experiencing a heart attack, or being diagnosed with congestive heart failure,” explains Laurels physical therapist Lynne Nidek. “Usually, they’re functioning at a higher level, so they’re fairly mobile, but they need a lot of focus on building their activity tolerance and endurance as well as training and education.” From a nursing standpoint, cardiac recovery patients typically need education related to diet and other lifestyle choices. For example, patients newly diagnosed with congestive heart failure, which tends to cause fluid retention resulting in swelling (edema) of areas such as the ankles, legs, and abdomen, would need guidance with respect to making proper food choices, reducing sodium intake, and drinking the right types of fluids without drinking too much. They would also benefit from training on positioning to control edema, such as elevating the legs as part of their daily routine.

Physical therapy for cardiac recovery must strike a balance between building endurance and conserving energy. Nidek points out that after a cardiac event, the heart usually isn’t working as efficiently as it once did, so activity has to be monitored closely and the patient must learn when to stop and rest. “For some patients, just getting up and going to the bathroom can be exhausting, and simply getting bathed and dressed in the morning can become a two-hour process. For patients with congestive heart failure, walking 100 or 200 feet can feel like running a mile. Because exertion is so fatiguing to them, it’s very easy for cardiac patients to become debilitated if they don’t keep working to build their endurance. As therapists, part of our job is encouraging them to get beyond that level of function while remaining mindful of their need to rest frequently,” she says. One way The Laurels’ therapy team helps cardiac patients strike that balance between exertion and rest is teaching them to monitor their heart rate and blood pressure both when at rest and during activity so they can

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begin to correlate how their body feels with the numbers they’re seeing. Then, when it’s time to exercise without monitoring their vitals, they’ll have a better sense of when it’s safe to exert and when it’s time to rest based on what their body tells them. “We also encourage them to record their vital signs and how they’re feeling in a tracking log, which they can take with them to their cardiologist to demonstrate how they’re progressing,” says Nidek. The Laurels’ occupational therapists need to provide a great deal of education to cardiac patients as well—particularly with respect to energy conservation and the use of compensatory techniques and adaptive equipment in the home. For instance, they’ll help patients learn to preplan chores around the house to minimize trips up and down stairs. When in the kitchen, patients are encouraged to keep often-used items

handy on the counter instead of in hard-toreach cabinets, and to take frequent breaks rather than toil in front of the stove for a prolonged period. If patients have lifting restrictions, the occupational therapists can teach them a few simple techniques to minimize exertion, such as buying milk in smaller volumes, carrying smaller bags of laundry rather than a full basket, and getting help with lifting from others whenever possible. Those with a restriction on raising their arms over their head can benefit from using a long-handled reacher for retrieving items stored overhead and to assist with dressing. In addition to monitoring patients’ physical activity and educating them on lifestyle and energy-conserving techniques, it’s very important for the therapy team to monitor their mood and behavior. Depression is very common among cardiac patients, especially those who are younger, because they can’t do all the things they once could. Anxiety over whether

another cardiac event will occur or whether a surgery was successful can be a huge issue as well. However, Nidek observes, “The education we provide helps to ease that distress. We can often talk them through these emotional episodes and help them understand that these feelings are a normal part of the recovery process.” Though every patient in The Laurels’ Cardiac Recover Program is unique, many follow a somewhat predictable path. As Nidek explains, “When they first get here, they’re motivated but nervous and scared about getting up and moving for the

first time. Getting through the first few days, they begin to notice that it’s not as difficult as they anticipated, so they start moving better—though we still have to focus on energy conservation by splitting up their therapy into multiple sessions. After a few weeks, they start to realize, ‘Hey, I think I can do this!’” ❦ The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services. For more information, call 419-536-7600 or visit www.laurelsoftoledo.com.

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Time for a summer health reality check Y

ou spent the winter working hard on your health/fitness resolutions. You started summer off with a healthier attitude and outlook. But as we all know, summer, with all its fun and relaxation, can be tricky when it comes to maintaining fitness. Bad habits that we stopped before can creep in slowly over the summer. You start skipping some workouts because it's either been too hot or you have too much to do. You indulge a little more in the foods and drinks that aren’t the best for keeping your weight in check. It happens, little by little, one small choice at a time. Here are a few common reasons you can gain weight during the summer and some ways to prevent it: Disrupted sleep: Summer brings more daylight. Longer days and the sunshine can impact your circadian rhythms. If you don’t get enough sleep, your body typically responds by packing on a few extra pounds, so make sure you get at least seven

hours of sleep each night. Heat: Heat and humidity drain your energy, causing you to move less. The less you move, the more your metabolism slows down and the fewer calories you burn. Find a way to move and move with a purpose. Travel time: Summer typically brings about more travel, and when traveling, healthy eating can be difficult. Before you travel, figure out the healthy snacks you are going to take along with you and plan on selecting the healthier options when you stop for a meal. Cookouts: Cookouts, family and friends getting together, it wouldn’t be summer if we didn’t do these things. They are fun, but they also present challenges. When we get together during these times, we are more apt to eat more of the unhealthy foods that are filled with sugar, calorie dense, and heavily processed. Don’t overdo it with these foods; look for fruits, vegetables, and lean meats. Also, limit the sugary drinks and/

or drinks that are higher in calories.

The insulin resistance and summer connection How can insulin resistance and summer be connected? It relates to the food choices we make. Nothing tastes better in the summer than a sweet tea, lemonade, fruity drink, or ice cream. These foods can spell danger for your blood sugar levels. The danger comes when we continue to eat too much sugar. Our body responds by producing more insulin, and too much insulin trains our cells to become resistant to it. The net effect is that it takes more and more insulin to make the cells remove the glucose from the blood. Your blood sugar levels stay elevated, your insulin levels stay elevated, and you are potentially on your way to pre-diabetes.

What to do about it Don’t panic; be smart about the amount of sugary treats you eat and when. Eat foods that have a low

glycemic index (lower sugar), such as those that have lots of fiber and protein (beans, nuts, lean protein, whole grains). Those foods higher on the glycemic index scale include white flour, sugar, white rice, even white potatoes. Do you need some help in choosing the right exercises and or exercise program? Consider finding a personal trainer! Celebrities have success in taking the pounds off and toning up because they use coaches and trainers. More than 91% of people that start an exercise program quit early on. Sixty-one percent will give up within the first few months. Why is that? Because changing your lifestyle is hard and getting fit requires time, determination, and support. If any of these components is missing, the odds of being successful in sticking with your plan and reaching your goal drop significantly. The good news is, this support

Heartland

•

Knows Concussions! We now oﬀer two unique programs for people that have been diagnosed with a concussion. • •

Return to Play/Work Program Post Concussion Rehabilitaon Program

Concussions are complicated injuries with a wide variety of outcomes. Because every situation is different there is no simple timetable for recovery. Our concussion management program allows us to treat a variety of concussion injuries.

If you or someone you know has a concussion give Heartland a call, we can help!

Arrowhead 419.897.9822 Oregon 419.697.8000 Perrysburg 419.874.2657 Westgate 419.536.8030 Bedford 734.856.6737 Contact Center 800.699.9395 Therapy for Today, Wellness for Life!sm www.heartlandrehab.com

24 August 2014 | Healthy Living News

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piece can guarantee that the other two are not lost. A personal trainer can be very helpful in all three areas. A trainer helps with time: finding time in your schedule to work out and keeping you involved long enough to reach your goals. A personal trainer will help you keep your determination and remind you of why you are doing what you are doing. The trainer will help you move past obstacles that arise and talk you out of excuse making. The trainer will keep you moving forward. A personal trainer supports you as your source for practical, stepby-step instructions for building health. A trainer will design a fitness

program that is right for you with the right exercises to accomplish your goals. Don’t try to go it alone; we all need help. Position yourself for success. ❦ Heartland Rehabilitation Services, provider of outpatient physical therapy and occupational therapy, offers a full complement of wellness services, including gym memberships, personal training, Pilates, SilverSneakers, Post Rehab Program along with Fall Proof Program, Back in Action Program, Healthy Lifestyle Program, and a Sportmetrics™ Injury Prevention Training Program. Contact Jim Berger, Area Manager, at 419-7876741 or jberger@heartlandrehab.com.

Inaugural Veggie Trails 5K to help feed low-income families

he Community Garden team at The fresh, nutritious food. University Church is presenting The nonsectarian Veggie Trails 5K the inaugural Veggie Trails 5K run and will engage community members in walk on Saturday morning, August a healthy activity, provide an op30th at Swan Creek Metropark. The portunity to raise awareness of the event will support the church’s mission effects of poor nutrition associated to “Grow Food…Grow Awareness… with poverty, and raise funds to Grow Compassion.” support the growing and distribuThe Community Garden, located tion of fresh fruits and vegetables to at The University Church (4747 Hill low-income families. Avenue, Toledo, Ohio 43615), engages The event proceeds will be used to in environmentally sustainable ac- support a novel community-supporttivities like poly-cropping (growing ed-agriculture (CSA) model. Unlike multiple species side-by-side to dis- a typical CSA, the Community Garcourage pests, prevent disease, and den’s harvest will be shared among enrich the soil), on-site compostour community through individuals ing, bio-char proand organizations duction for soil sponsoring a share fertilization, of the garden’s b e e - ke e p harvest—not for ing, and raisthemselves, but for an economically struggling ing free-range chickens, turkeys, and ducks for family in our community. egg-laying purposes. When: Saturday, August The garden offers a 30, 2014 at 9:30 a.m. (Kid’s model of both outreach and Fun Run at 9:00 a.m.) On-site sustainable agriculture. Since registration opens at 8:00 a.m. January 2013, The University Where: Swan Creek MetProceeds help provide Church has donated over ropark (Airport Highway ennutritious food to trance). 4,136 pounds of produce and 236 dozen eggs. Fam- others in need. For more information, registration form, and course map: ilies involved in programs at Reynolds Elementary School and www.theuniversitychurchtoledo.org/ the church’s monthly collaboration veggie-trails-5k-run-walk/. with Food for Thought’s mobile Registration forms and early pantry allow low-income families to packet pickup are also available at receive the majority of the garden’s Second Sole Running Store in Levis donations, increasing their access to Commons, Perrysburg, OH. ❦

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has come to Greater Toledo!

MDVIP, a personalized healthcare program that empowers people to lead the healthiest lives possible, now has a local affiliate – Allen Markowicz, MD, MBA, FACP, a well-respected and experienced Primary Care Internist. MDVIP, a personalized healthcare program that empowers people to lead does MDVIP-affiliated the healthiestWhat lives possible, now has a local practice affiliate – mean? Allen Markowicz, MD, MDVIP, a personalized healthcare programfocused that empowers people A closer doctor-patient relationship prevention, MBA, FACP, a • well-respected and experienced Primary Careon Internist. to lead thewellness healthiest lives possible, now has a local affiliate – Allen and expert disease management What does MDVIP-affiliated practice mean? Markowicz, MD, MBA, FACP, a well-respected and experienced • MDVIP-affiliated practice is limited to a few hundred members • Primary A closer Care doctor-patient focused on prevention, and for Internist. enhancedrelationship physician availability with unhurried,wellness no waiting, expert disease management same-day or next-day appointments What does MDVIP-affiliated practice mean? • MDVIP-affiliated practice is limited to few hundred for and • Access to Dr. Markowicz viaaoffice, cell and members home phones • enhanced A closerphysician doctor-patient relationship focused on prevention, secure email availability with unhurried, no waiting, same-day or wellness andannual expert disease management next-day appointments • An health and wellness program based on advanced and in-depth health MDVIP-affiliated practice is limited tohome a assessment fewphones hundred • • Access to Dr.screenings Markowicz viaan office, cell and and members secure email for enhanced physician availability unhurried, • Personalized website with yourwith health summary no andwaiting, a gateway • An annual health and wellness program based on advanced screenings toor reliable health information same-day next-day appointments and an in-depth health assessment coordination of care byand a physician with access to a • Access • toEnhanced Dr. Markowicz via office, cell home phones and • Personalizednationwide website with your health summary a gateway to Centers reliable network of physicians andand national Medical secure email health information of Excellence An annual health and wellness programwith based on advanced • • Enhanced coordination of care by a physician access to a nationwide Experience the benefits. screenings and an and in-depth health assessment network ofCall physicians national Medical Centers of Excellence Dr. Markowicz today at 419.214.4847

• Personalized website with your health summary and a gateway to schedule a complimentary meeting. Experience the benefits. to reliable health information Call Dr. Markowicz at 419.214.4847 Allen today Markowicz, MD, MBA, FACP to schedule aMDVIP-Affiliated complimentary • Enhanced coordinationmeeting. of care by a physician with access to a Physician network of physicians and national Medical Centers Allennationwide Markowicz, MD, MBA, FACP Learn more about MDVIP MDVIP-Affiliated Physician of Excellence and view profile online at mdvip.com\AllenMarkowiczMD Learn more about MDVIP Experience the benefits. and view profile online at Call Dr. Markowicz today at 419.214.4847 mdvip.com\AllenMarkowiczMD to schedule a complimentary meeting.

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26 August 2014 | Healthy Living News

UT physician adopts groundbreaking MDVIP primary care model

nder our nation’s current health- laboratory testing; screenings related care model, physicians are being to mental health, physical activity, pushed to their limits. More and more sleep, and sexual function; and vision, demands are continually placed on hearing, and pulmonary function their time and attention, pulling them testing. The side benefits of a smaller away from direct interaction with practice are same- or next-day appointpatients, yet they’re still expected to ments that start on time; unhurried deliver the best possible care during visits; 24-hour physician availability the necessarily brief periods they via cell phone; a personal website actually spend in the exam room. that allows them to take an online It’s a formula that’s causing consid- health assessment, view their personal erable frustration for practitioners medical record, and access current and patients alike. nutrition, fitness, and Recognizing this health information; discouraging trend, and much more. Allen Markowicz, MD, “One of the bigof University of Toledo gest surprises to my Physicians chose to patients is that they take his practice in a can call me at home very different direcor on my cell at any tion. In September of time. Or, if they prethis year, he became fer, they can conaffiliated with MDVIP, tact me directly by a national network of email, text, or secure highly reputable phymessaging on their sicians who practice MDVIP website. preventive, personThey’re also suralized healthcare and prised that we have voluntarily limit the no waiting room. Dr. Allen Markowicz size of their practices They just come to to ensure that each our reception area, patient receives the individualized register, and get right in to see me. They can take all the time they need attention he or she deserves. “Medicine has become more and to ask questions without the worry of more hectic, with more to do and keeping other patients waiting, and a shorter time to do it,” explains when they call with a problem, we Dr. Markowicz. “I wanted to go can tell them to come in the same day back to a time when I could take as or the following morning. They’re long as necessary with a patient to just not accustomed to that level of communicate in depth and focus convenience and availability,” says on prevention and early detection Dr. Markowicz. while providing expert and careful Key to the success of the MDVIP healthcare management. I feel that model is limiting practice sizes up to MDVIP allows doctors and patients 600 patients—versus the 2,500 patients to have that opportunity.” typical of a traditional primary care Actually, it wasn’t so much that Dr. practice. This aspect of the model Markowicz chose MDVIP as it was allows doctors to give patients their that MDVIP chose him. MDVIP-af- undivided attention and spend as filiated physicians are a select group. much time as necessary with them Of all the physicians they evaluate, to ensure nothing is overlooked and based on specific criteria including all their questions are answered fully. credentials, only about one in ten Dr. Markowicz’s patients also enjoy are accepted. a travel benefit. If they’re out of town Patients who participate in an and get sick, they can contact him at MDVIP-affiliated practice pay an any time, day or night. Depending annual membership fee, for which on the nature of the illness, he may they receive extensive preventive and be able to simply call in a prescripwellness care and a host of benefits, tion to a local pharmacy. However, including comprehensive, in-depth depending on the urgency of the We love feedback. Like us on Facebook. Follow us on Twitter.

problem, they may need to be seen by a doctor. Dr. Markowicz can contact an MDVIP physician in their area, and he or she will see them as a courtesy. Also, because patients’ health data is posted on their personal website, that information can be shared with the treating physician. In return, Dr. Markowicz affords the same courtesy to the patients of MDVIP doctors in other areas. Another important patient benefit is access to the Medical Centers of Excellence program for expedited specialty care. This program connects MDVIP patients requiring special procedures that can’t be performed locally, or those desiring a second opinion, with 20 of the top medical centers in the nation, for example the Cleveland Clinic, Johns Hopkins, UCLA, and Sloan Kettering. If a patient needs treatment in one of these special centers, MDVIP representatives make sure all necessary information is shared with the physicians there and travel arrangements are in place. What’s more, if one of Dr. Markowicz’s MDVIP patients has a relative visiting from out of town who gets sick, he’ll treat the person as a courtesy. “Also, if my patients have children between the ages of 18 and

26, I’ll treat them as part Another published of the family plan even report, co-authored by if they’re not a member,” the medical leadership he adds. of Cleveland Heartlab and MDVIP for the Outcome data published in peer-reviewed peer-reviewed journal journals supports the Future Cardiology (July effectiveness of the 2013), demonstrates that MDVIP model. For exthe annual multimarker ample, according to a blood testing MDVIP study published in The practitioners perform American Journal of Manon their patients is much aged Care, patients under more useful in deterthe care of MDVIP-afmining cardiovascular filiated primary care risk than the basic lipid physicians experience Dr. Markowicz says that his pa- test traditionally used a dramatic decrease in tients are suprised that they can to determine risk. Achospitalizations versus call him at home or on his cell cording to the report, comparable non-MD- at any time and that they can based on a lipid-only VIP patients. This study contact him directly by email, test, approximately 30% found a 79% reduction text, or secure messaging on their of patients were identiin hospital admissions MDVIP website. fied as having some risk for Medicare patients factor for cardiovascular and a 72% decrease for disease, while based on those with commercial insurance a multimarker test, 70% were found between the ages of 35 and 64 in to be at risk, with 40% having more MDVIP-affiliated practices. than one positive marker. “One of the most important tests Dr. Markowicz notes that the rehospitalization rate—the percentage we do here is the MPO, or myeloperof patients who are discharged from oxidase, test, which is an assessment the hospital and then readmitted of the vascular inflammation that within 30 days—is dramatically lower leads to plaque formation. If your for MDVIP patients as well. MPO is elevated, there’s a high risk

that you may have a heart attack or stroke within the next several months, so we know we need to treat more aggressively,” Dr. Markowicz says. But perhaps the best advocates for the MDVIP model of primary care are the patients themselves. Surveys show that both the patient satisfaction rate and the patient yearly renewal rate are at 94%. ❦ The practice of Allen Markowicz, MD, MBA, FACP, is located at 1000 Regency Court, Suite 208 in Toledo, 419-2144847.

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Heart attack symptoms may differ for women

f you think a heart attack is always signaled by crushing chest pain and that heart disease is primarily a problem for men but not women, you need to think again. While some degree of chest pain or discomfort is the most common symptom of heart attack, it’s not unusual for very different symptoms to manifest themselves during a heart attack, particularly among women. With respect to men being more vulnerable to heart disease than women, that’s a myth, too. In fact, heart disease is the number-one killer of both men and women—and women are actually more likely to die from heart disease than men are. “Typical” symptoms of heart attack may include (but aren’t limited to) pain, discomfort, pressure, or squeezing in the chest; pain radiating down the inside of the arm (usually,

but not always, the left arm); pain in the upper body, such as above the upper back, in the jaw, or in the neck; shortness of breath; lightheadedness; nausea and vomiting; abdominal pain or heartburn; sweating; and anxiety. Both men and women can experience any of these symptoms during a heart attack, but according to the National Institutes of Health (NIH), fewer than 30 percent of women who have had a heart attack report having chest pain or discomfort prior to the attack and 43 percent report having no chest pain whatsoever at any point during the attack. Symptoms unrelated to chest pain, such as pain in the neck, jaw, shoulder, or upper back; shortness of breath; weakness; unusual fatigue; nausea or vomiting; lightheadedness or dizziness; sweating; and indiges-

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tion-like symptoms, are more likely to ahead of others—even when it comes occur in women than in men during to major health concerns. Also, since a heart attack. women’s heart attack symptoms or Because the “characteristic” chest early warning signs tend to be more pain is often absent and many of subtle, they may wait to see if they these symptoms are subtle and can be resolve on their own or try remedies attributed to other common ailments, for other ailments, such as indigestion such as the flu, gastrointestinal issues, or arthritis pain, before seeking help. or arthritis pain, women commonly A heart attack occurs when waxy delay seeking medical help for heart plaques block the flow of oxygen-rich attack until after significant damage blood to the heart muscle. If the blockhas already been done to the heart age isn’t relieved promptly, the heart muscle. What’s more, once they do muscle tissue that is supplied by the seek medical help, it’s all too easy for blocked artery will soon begin to die. doctors to misdiagnose the problem The more time that is lost in seeking because many are conditioned to view emergency medical care for a heart crushing chest pain as the hallmark attack, the more heart tissue is lost. symptom of heart attack. Hence, it’s critical for both women Interestingly, many women who and men to be aware of their heart have had a heart attack report having attack risk and educate themselves experienced warning signs as early on the wide range of symptoms that as a month or more before the actual heart attacks can cause. event—though they may not have According to the NIH, risk factors recognized them for what they were for heart attack include a family at the time. NIH research shows that history of heart disease, age (over the most common early warning signs 45 for men and over 55 for women), of heart attack among women are stress, unhealthy diet, smoking, being unusual fatigue, sleep disturbance, overweight or obese, diabetes or pre-diabetes, high blood pressure, and shortness of breath. Another factor that often con- high triglycerides, and high cholestributes to women terol. It’s important ignoring potential to discuss your risk heart attack sympfactors with your Since women’s heart toms or delaying doctor. Some can be attack symptoms tend to be more subtle, they seeking treatment controlled through may wait longer than they is the tendency of appropriate lifeshould to see a doctor. women to assume style changes—exthe role of family ercise, proper diet, caregiver. Women smoking cessation, commonly put the etc.—while others needs of children, might be managespouses, elderly able with proper parents, and other medical treatment. loved ones ahead If you think of their own and, you’re having a so, feel awkward or heart attack, call embarrassed about 911 without delay. drawing attention Don’t attempt to to themselves or drive yourself or putting their needs have a friend drive

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28 August 2014 | Healthy Living News

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you to the emergency room. Emergency medical technicians will be able to initiate medical treatment as soon as they arrive on the scene as well as en route to the ER, which can buy your heart valuable time. They’ll also get you to the hospital—and advanced care—as quickly and safely as possible. Most important, don’t let concern about a potential false alarm dissuade you from seeking prompt emergency medical care if you suspect you’re having a heart attack. When it comes to the number-one killer of both men and women, it’s better to be safe than sorry. ❦

of your medications: Who, What, When, Where, and Why. Who is the medication for and who is the prescribing doctor? You may not need to ask the pharmacist this question if the medication is for you, but you can ask them to point out on your bottle where the prescribing physician is listed. What is the name of the medication? Prescription medications are hard to pronounce, but it is important to know your medications by name and not just by what color or what shape they are. If you look at the shelves of medications in the pharmacy,

you can see that there are a lot! You might be surprised at how many “little round blue pills” there are back there on the shelves! It is also common for drug manufacturers to change the shape and color of the medications, so knowing the specific names of what you are taking helps ensure that you and the pharmacist are always on the same page. When and how do I take the medication? Factors such as the time of day that the medication is taken or whether the medicine should be taken with or without food can impact the way some medications

work. If you have a prescription for something like an inhaler, insulin, eye drops, or a nasal spray, for example, there are probably specific directions on how to take the medication that the doctor may not have had time to explain to you. Where should I store my medication, and where can I dispose of the medication if it expires? Most medications should be kept in a cool, dry place, but some need to be protected from light or stored in the refrigerator. As far as disposal, it is no longer recommended to flush expired medications down the toilet

Questions every patient can ask their pharmacist by Michelle Mangan, PharmD, BCACP, CDE

f you have ever been to a pharmacy to pick up a prescription medication, more than likely you were asked if you had any questions for the pharmacist. Unfortunately, it is only on a rare occasion that a patient actually takes advantage of this opportunity to talk to the pharmacist and learn more about the medication they are picking up. Whether the prescription is for yourself or a family member, there are some basic questions that you can ask your pharmacist in order to make sure you have the best understanding of the medication that was prescribed by your doctor. At the very least, you should understand the five W’s for each

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because it could enter the water system that way. Your pharmacist can give you other ideas on how to safely and properly dispose of expired medications. Why am I taking this medication? “Because the doctor wants me to” is not a good answer. If you do not

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started walking with a cane when I turned 40. At first, I was embarrassed when I walked across the dining room for lunch but knew I needed a cane for safety. My MS weakened my legs, and I needed a little more stability and security to get around. So, I bit the bullet and started walking with a cane. Today, I use an electric cart to get around. I found other creative uses for my cane as I used it more. I could straighten the quilt on my bed if I used the long part of the cane with a lateral swoop. I used the rounded part of my cane this past winter—I whacked off ice and snow that accumulated on the back of my van. Of course, the rounded top of the cane helps me retrieve newspapers I dropped on my living room floor. The bottom tip of a cane is good for turning off wall light switches or for touching the little blue person that opens an automatic door. My cane use is diverse, but when a person needs some extra help walking, standing, or transferring to a chair or car, a walking aid is a real help. When we break a leg, undergo knee surgery, or suffer any health challenge that affects our ability to walk or stand, a mobility aid might be the best thing to help us get around safely. Start by asking your doctor to

refer you to a physical therapist. The physical therapist will determine which type of aid is most beneficial for you after evaluating how much additional stability you need. A single cane adds a point of stability on one side of your body. A quad cane, which has four short legs attached to a small platform at its end, provides greater stability by giving you a broader base on which to lean. A physical therapist might recommend that you use two canes or crutches if you would benefit from a stabilizing point on each side of your body. If these do not provide adequate stability, the therapist might suggest a walker. Because a walker moves directly in front of you, it provides greater stability and reduces fatigue. But remember: your body is dynamic, and as your needs change, so does the type of mobility aid that is suitable for you. Some people might have weakness in their foot and hip muscles, stiffness in their legs, fatigue while walking, and poor balance. All these symptoms might contribute to tripping and falling, which can be a big problem. The first step in managing these problems is to have a physical therapist identify their source. Then the weakness can be addressed. For example, if your falls result from a drop foot, you might be referred to an orthotics specialist who will fashion an ankle foot orthotic

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(AFO) for you. Some people are nervous about using a foot or ankle brace. They might wonder, “If I use a leg or ankle brace, will my muscles become weak or useless?” An AFO is generally prescribed because of muscle weakness. The brace does not cause weakness; rather, it substitutes for muscles that are already weakened. Although it is true that certain muscles in the foot are not required to work as much when an AFO is used, a physical therapist usually prescribes some simple stretching and active exercise to preserve normal muscle action. If you find you cannot walk long distances, you might consider using a wheelchair or an electric cart (scooter). Depending on your physical needs, an electric cart or wheelchair can enhance your mobility. People often believe that as long as they can walk at all, they will have no use for this type of equipment. As a result, they use all their available energy just getting from Point A to Point B and have no energy left to enjoy themselves or go back again. A scooter is actually designed to be used by a person who is independent,

ambulatory, and on the go. By using a scooter to get from place to place, you conserve your energy and get more accomplished. You might be surprised by the supportive attitude of your friends and family when you decide to use a mobility aid. You will once again be able to participate with them in a variety of activities that might have been too difficult, too tiring, or too slow for you. Whatever your walking problem, consult your physician and get a referral to a physical therapist. A physical therapist can be the best friend your walking ever met! Just like getting a pair of eyeglasses, a mobility aid must be prescribed specifically to fit you. ❦

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Sixth annual Miles for Missions 5K and 10K trail races to be held at Side Cut Park

njoy a beautiful evening as you race or walk on the wooded trails along the Maumee River at Side Cut Park in the sixth annual Miles for Missions 10K race and 5K race/ walk on Wednesday evening, August 20th. The event is organized by SewHope, a Toledo-based non-profit organization that helps poor rural communities in northern Guatemala rise out of poverty. Guatemala is located just south of Mexico and is only a threehour plane flight from the United States, yet it is one of the poorest countries in Central America and the world. Rural villagers often subsist on less than $2 per day; have little opportunity for decent education, fair wages, or land ownership; and suffer from malnutrition, disease, and shortened lifespans. SewHope is working to alleviate poverty and disease in these communities through its multipronged approach that targets medical, educational,

nutritional, water/sanitation, housing, economic, and other needs. All proceeds from Miles for Missions will support these efforts. The Miles for Missions event will take place on Wednesday, August 20th at 6:30 p.m. at Side Cut Metropark in Maumee, Ohio. The course is on park trails, is flat, and offers scenic views of the Maumee River and park. Both the 5K and 10K begin and end at the Riverside Shelter, which is located next to the playground on the river side of the park. The 10K racers will do two loops of the 5K course. The mail-in registration form for the event and more information are available online at www.sewhope. org. On-site, race-day registration is available beginning at 5:00 p.m. Registration forms and early packet pickup are also available at Second Sole Running Store in Levis Commons, Perrysburg, OH. ❦

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9/18/12 9:52 AM

A Walk in the Park by LeMoyne Mercer

Driving distracted

here are three reasons to drive the Alaska Highway: the scenery, the animals, and the people.

But, let’s begin with the road itself. Dec. 7, 1941. The Japanese bomb Pearl Harbor and everyone in Wash-

ington asks, “Where the heck is Pearl Harbor?” They dig out the maps and make a startling discovery. The Japanese islands are only 700 miles from the Aleutian Islands in the US Territory of Alaska. What if the Japanese invaded Alaska and worked their way down the coast? Seattle. San Francisco. San Diego. They could all be threatened. So the boys in Washington decreed that Alaska must be reinforced and told the Army Corps of Engineers to build a road whereby to do it. The project began in March, 1942, just four months after the war began. The boys in Washington had a vague idea where Alaska was but no idea how to get there. Still, that didn’t keep them from issuing orders. Fortunately, the Canadians agreed to

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A Willys Jeep used in the construction is on display in the Alaska Highway Museum.

provide the right of way. Recruits who had no clue what a D-8 bulldozer looked like, let alone how to operate one, found themselves learning on the job. In March it is still winter in Dawson Creek, British Columbia where the railroad ended and the Alaska Highway began. In eight months, those recruits built 1,500 miles of road, give or take, despite temperatures of -70°F, weather that froze lubricants and destroyed equipment and quite a few men. Today, road construction is much more sophisticated. Precise surveying. Huge, more efficient (and freeze resistant) equipment. Better trained engineers and construction workers. Even so, they could never do it in eight months. Or eight years. Today they would still be filling out the paperwork and conducting the environmental impact studies. If you choose to drive the Alaska Highway, be grateful to those guys in ‘42 who made it all possible. We started up the Highway with several preconceived notions based on what we had read and what people had told us. It’s a rough road with lots of gravel. Watch out for the frost heaves caused by ungodly temperatures. Count on breaking a windshield. It’s slow going. Allow plenty of time. First, most of the road is better than your average highway. In Canada, it is pretty good. In Alaska, it is excellent. Until we reached Haines Junction in the Yukon, I drove at about 60 mph. Pickup trucks with BC and Yukon plates went roaring past a lot faster than that. The Highway was in far, far better shape than the Anthony Wayne Trail in April except for a four-mile stretch where they

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had scraped off the pavement for resurfacing. No, wait. Even that was better than the Trail. But, then, they don’t have to contend with Toledo winters in the Yukon. There were 17 or 18 potholes. I hit one. I defy anyone to drive 1,500 miles in Toledo and hit only one pothole. Frost heaves were another issue. First, I had it exactly backwards. I thought a heave was where frozen pavement had pushed up to create the equivalent of speed bumps. Frost heaves are more like dips in the road. They are marked with orange flags or traffic cones so that, if you watch ahead, you can slow down just a teensy bit. If you go to Alaska, you’ll break your windshield we were told. And they were right. We broke our windshield in North Platte, Nebraska. As for allowing plenty of time, that has less to do with road conditions than with the scenery, the animals, and the people. Those of you who have been to Alaska will believe me when I claim the scenery is simply unbelievable. Those of you who have not been will not believe how unbelievable it really is. It starts out magnificent and passes quickly through awesome on its way to gollliegeebobola! We think the best of the best starts at Haines Junction in the Yukon where the road turns to run parallel with the base of the Kluane (Klooahnee) Mountains rising 15,000 feet into the clouds. Along the way you might keep an eye out for Stone sheep, bison, moose, caribou, and bear. In Yellowstone, we have grown accustomed to “bear jams.” One tourist spots a brown thing that might, or might not, be a bear a half mile up the slope. He pulls over to get a better look. Eighty-seven other tourists stop to see what he is looking at. On the Alaska Highway, black bears trying to thumb a ride right at the side of the road don‘t even

But she is a people person. We “camped” at the Wal-Mart in Hinton, BC, and some people from Texas in another Roadtrek came over to say “Howdy-doo.” With so many people

Stone sheep come down to feed right along the highway.

tempt people to slow down. A grizzly bear might justify a pause of 20 or 30 seconds. I stopped for one grizz and Shirley said, “Poo! He’s just a little one.” So we drove on. She is one jaded woman.

“Poo!” she said. “He’s just a little one.” Shirley is not impressed unless a grizzly is at least as big as a Mac truck.

headed north at approximately the same rate, you tend to run into the same people every couple of days. (“Didn’t we see you down at Dawson Creek?”) At Watson Lake, we had the choice of camping at a Regional campground with no services and pit toilets for $17 or at the Tesla Lodge for $23.63. (I don’t know what that is in real money.) The lodge and campground, run by Ben and Gail Andrews, has water and electric hookups, hot showers, and the best cini buns you ever put in your mouth. (Guess where we chose to stay.) There was one little catch. The electric power is provided by an

At Haines Junction the road runs along the base of the Kluane Mts. on one side and Lake Kluane on the other. Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | August 2014

on-site generator that runs until 10 pm and starts up again, I thought Gail said, at 7 am. The next morning, our microwave went Beep! when the power came

on. Shirley and I got dressed to head over to the lodge for breakfast. “Oh,” I said (or something like that), “my watch is broken. It says 5 o’clock.” “So does mine,” says Shirley.

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Gail Andrews and her husband Ben are the third generation operators of their lodge. Children, though, have other careers that require less work for more money.

We got undressed and went back to bed. Ben and Gail are third-generation operators of the Tesla Lodge. There are only the two of them to handle everything, so they work all day, every day during the season. For Ben, the day begins at 4 am when he starts the cini buns and the fresh bread. We bought a loaf of his sourdough to take with us. His day ends at 10 pm. I couldn’t help wondering if he clears minimum wage for the hours he puts in. Gail said her daughter is a nurse and her son is a techie for an oil company. Both of them make more money for a lot less work than they could ever expect from the family business, so three generations is the end of the line. A young man who is proud to maintain his “family business” is Cole Drewhurst. We met Cole at the Tlingit Heritage Center where he explained the history of his people and the artifacts on display. The Tlingit (pronounced Klingit—no, really) were a coastal people who began trading furs with Russians and then Americans (pronounced Ah-mir-cunz) two hundred years ago. They moved farther inland in pursuit of pelts and other trade goods. Cole’s full Tlingit name is Yes’thsxi (him), Cokotaton (his

clan), Lesotho (his clan leader). Put it all together and you have a precise description of who he is. Cole said the Tlingit are a matriarchal people. At the age of four, children are assigned to a clan by their grandmothers. (Everybody has two grandmothers, so the family politics must get interesting.) We tried some Tlingit bannock (fried bread) with berry preserves. The modern version is made with lard—to which your physician might have some objections. Don’t know what your doc might say about the traditional moose or bear grease. About an hour west of Watson Lake, Yukon, we met two men from San Diego at a rest area. They were headed (or so they thought) to Anchorage to work for a fishing company. They had left Whitehorse four hours earlier that morning. Bad news. If you are headed to Anchorage from Whitehorse and find yourself near Watson Lake, you have driven four hours in the wrong direction. Good news. You get to see four hours of marvelous country from the opposite perspective. Shirley and I kept track of our progress—and our direction—by consulting The Milepost, an annual publication that lists everything along the Alaska Highway and all the roads that connect with it, mile by mile. Some observations: Although every location is identified by the relevant mile post, there are no mileposts in Canada. There are occasional, randomly scattered kilometer markers. To keep track of where you are and how far it is to where you want to be, you need a navigator who is highly adept at solving ordinary linear quadratic equations in her head. Multiply the kilometers by .6628735 and add the square root of the temperature in Celsius to get the number of gallons per liter—or hectares as we say in the US. And another thing, according to the signs, the distance to anywhere

The clan totems are on display at the Tlingit Heritage Center. You should try some of the bannock bread—with physician approval.

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in the Canadian northwest is always two kilometers. Rest area? Two clicks. B&B? Two clicks. Gasoline, campground, view point, visitor center? Two clicks. And you’d better pay attention because the Two Clicks sign is the only one you are going to see. If you don’t note your odometer reading and convert it to kilometers, you’ll zip right past whatever that place was in two clicks. Personally, it takes more than two clicks for me to make the conversion in my head. So I blame Shirley. At the beginning of the Alaska Highway there are signs warning you “Driving Distracted Laws in Effect.” That’s just more Canadian foolishness. In the US, “driving distracted” means yakking on your cell phone or texting when you should be paying attention to the road. Listen, people, there ain’t no cell coverage on the Alaska Highway! The visitor centers and Starbucks claim to have Wi-Fi and cell service. They lie. Even so, you are in serious danger of driving distracted. If the mountains

Learn to play tennis in just six weeks

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don’t distract you, the bears and moose and caribou will. Distracted or not, all 1,500 miles of the Alaska Highway is just a walk in the park.❦ LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

Anyone can learn to play tennis in just six weeks through the Tennis Made Easy Program offered by Shadow Valley. The cost is $79.00 for six lessons, and each session includes classes for adults and seniors (56 and over). Classes meet for 60 minutes once a week over a six-week period. Tennis Made Easy is taught by Toledo’s top tennis professionals. Participants will also receive a free six-week membership, free childcare services, free

Play with the Pro classes, and free fitness classes at the Maumee location. Shadow Valley@Central is located at 5400 W. Central Avenue, Toledo, Ohio, 43615. Day and weekend classes will be offered. Classes for groups of 4-7 can also be arranged. Classes begin September 15th. Call early to reserve your place in either of these six-week sessions. To register, call Kari at 419537-0001 or Carol at 419-865-1141.

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s the new school year begins in very important to establish whether a few weeks, it is important to he or she is at risk for any medical remember that the Ohio High School conditions that may be affected by Athletic Association (OHSAA) requires participation in contact sports or all young athletes to have yearly strenuous activity. sports physicals. We here The physical exam is at Rocket Pediatrics are also extensive and in comhappy to provide comprepliance with the OHSAA’s hensive sports physicals requirements. The comfor all school-age chilpleted sports physicals dren and teens. We offer are valid for one year. appointments Monday We encourage that your through Saturday, with child be connected with select evening hours for a regular medical physiyour convenience. We have cian for routine care and two locations, one on the illnesses as they arise. This campus of The University is referred to as a medical of Toledo Medical Center home; we are happy to off Arlington Avenue, and provide this, as well. Dr. Rosemary D’Agostino the other in our tempoPlease schedule your rary second location in child’s appointment early, Perrysburg, just off I-475 at Route since our schedules fill up quickly 25. This fall, we will relocate to our as the new school year approaches. We look forward to helping your permanent office in the Waterville/ child have a safe and healthy sports Whitehouse area. Sports physicals entail complete season. and comprehensive histories and To schedule your child’s appointphysical exams. This includes an ment, call the Perrysburg office at extensive family history and med- 567-952-2100 or the Ruppert Health ical history on your child. This is Center at 419-383-3771. ❦

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Our board certified pediatricians offer care for newborns through adolescents including: • Sports physicals

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Choosing the best before- and afterschool childcare environment

he start of a new school year is an exciting time, but it can also create special concerns for the working parents of young students. For a lot of moms, dads, and other adult caregivers, the workday begins prior to school hours and extends well past the end of the school day. Many also have to work irregular shifts or even multiple jobs. Finding a safe, enriching place for their kids to go when they’re not in school can be a real juggling act. The good news is, there are organizations in our community that offer before- and after-school childcare services so parents can rest assured their kids are in good hands during these periods. Here are some of the attributes to look for when choosing one for your child:

Flexibility The typical nine-to-five job is largely a thing of the past. If your job’s starting and quitting times tend to vary, a childcare facility with very rigid drop-off and pick-up times probably won’t fit the bill. Ask whether a prospective facility can accommodate your schedule, for example by offering early opening hours and evening care as well as both full-time and part-time services. And considering how severe last winter was, you might want to discuss whether they provide childcare services during those inevitable school delays and closings as well.

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Schedule a time to meet and talk with the people who will be caring for your child. Look for staff members who are highly qualified, warm and caring, and trained in first aid, CPR, etc. You should also verify

FOR YOUTH DEVELOPMENT FOR HEALTHY LIVING FOR SOCIAL RESPONSIBILITY that all staffers have undergone an appropriate background check. You want a facility that employs skilled people who know how to nurture children and have your child’s best interest at heart.

Safe and secure facilities When you go to meet with the staff, check out the facilities to make sure everything appears, clean, well-maintained, and secure, and verify that appropriate safety and emergency-preparedness protocols are in place.

Fun learning opportunities A good childcare facility will also offer opportunities to learn while having fun, ideally through age-appropriate programs, activities, and games that reinforce what they’re learning in school. Some facilities are even willing to offer assistance with kids’ homework—a big plus for busy parents.

Healthy habits promoted Of course, you also want the childcare facility to reinforce the healthy habits you try to promote at home. Inquire about the activities they provide. Are they primarily sedentary or are the kids encouraged to take part in active play—running, skipping, jumping, etc.? Are nutritious snacks or meals offered?

Convenient location Last but not least, you’ll want to choose a childcare facility that’s conveniently located in the community. In many instances, the schools themselves provide before- and after-school care services or an external organization might offer services right at the school. If the childcare facility you’re considering is located off school grounds, be sure to verify whether they offer transportation service to and from the school. ❦

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Also offering Summer Tennis and Gymnastics! 36 August 2014 | Healthy Living News

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Toledo Clinic ENT among first in US to offer innovative implant for chronic sinusitis patients

rs. Oliver Jenkins and Christopher Perry are among the first in the United States to offer patients with chronic sinusitis an innovative new technology for maintaining the results of sinus surgery. Chronic sinusitis is a condition in which patients’ sinuses become swollen and inflamed, leading to difficulty breathing, facial pain or headache, and loss of smell and taste. The condition is common, affecting 31 million people in the U.S., and greatly impacts quality of life. Although sinus surgery is an effective treatment for chronic sinusitis, the majority of patients experience recurrent symptoms within the first year and as many as 25 percent then undergo revision surgery due to recurrent obstruction of the sinus cavity. The PROPEL® mometasone furoate

implant was developed to improve quality of life for patients with chronic sinusitis by maintaining the openings created during sinus surgery. Applying principles of coronary drug-eluting stents to sinusitis sufferers, the spring-like implants gradually deliver an advanced steroid with anti-inflammatory properties directly to the sinus lining, and then dissolve into the body following endoscopic sinus surgery. The result is improved surgical outcomes, reducing the need for additional surgical procedures and for systemic steroids, which can have serious side effects. Patients may breathe easier, smell things they didn’t realize they missed, and resume activities they love such as traveling and exercise. “The PROPEL® implant offers new hope for chronic sinusitis sufferers,” says Dr. Perry. “The goal of sinus surgery is to enlarge the inflamed or

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obstructed sinus passageways. Three studies have shown that PROPEL® maintains the opening created in surgery, translating into significant benefits for patients with chronic sinusitis. After PROPEL®, many of my patients have once again been able to enjoy life without the symptoms

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BySister Mary Thill

Spiritually Speaking Becoming who you really are It takes courage to grow up and become who you really are. —E. E. Cummings, poet …people who endure suffering are taken beneath the routines of life and find they are not who they believed themselves to be. —Paul Tillich, theologian

t a recent gathering of the Sylvania Franciscans and their Associates and ministry partners, the facilitator reminded us that a major accomplishment in our lives is to become the person we are meant to be. This is something I’ve been saying to elders for over 40 years in my work with them in a variety of settings. I also made it a point to emphasize its importance when I taught gerontology courses at Lourdes College back in the 70s, 80s, and 90s. How I dared to suggest to young nursing students that they already had an elder growing inside them was often a challenge, but when I meet some of them now, they remind me of that first time they began to think about who they would become if they lived into retirement and elderhood. I encouraged them to find mentors throughout life to learn just what it

was that made them into the persons they are in later life. The more I visit patients in my ministry here at St. V’s, the more I see how suffering often does just what theologian Paul Tillich suggests, “…people who endure suffering are taken beneath the routines of life and find they are not who they believed themselves to be.” Just the other day, I spoke with a patient who had been in a motorcycle accident. He said he had a helmet on yet he had several staple stitches in the back of his head from hitting the ground so hard. Even the helmet was dented out of shape. He thought he was safe and secure doing what he was doing, following the rules, wearing a helmet. A wrong turn changed his life, and he said he appreciated being alive and learned an important lesson and would just pick up the pieces and go on with life having found out just how fragile life can be. Other people help us fine tune who we are, sometimes in a gentle way, other times in a not-so-gentle way. I would say that my maternal grandmother gently helped me find out who I was as a child. I often stayed with her and she “spoiled” me by

making all my favorite foods, buying me anything I wanted at the grocery store, and just letting me “be” from the time I got up in the morning until the time I went to bed at night. I read books in my hammock, ate apples from her apple trees, fed the ducks and chickens, and sauntered down to a nearby lake to look for pollywogs in the morning. The whole day was mine to do as I wished. Needless to say, I loved being at my grandma’s. My parents had a different way of helping me find out my gifts and talents, which gave me insights into who I was. There were five of us, so discipline was needed and helped form my sisters and brothers and me in similar yet different ways. When we reminisce now as adults, our memories of how our parents treated us as kids are sometimes quite dissimilar. One of my sisters remembers my mom as a bad cook, and I remember her as a good one. As an adult, I only remember her as a great cook and everyone else said so too. It fell to my mom to get after

us when we were naughty because she was home with us all day. My dad took care of particularly difficult situations, but I don’t think of him as the disciplinarian. Some of my teachers also helped me discover who I am or at least taught me some skills and knowledge that formed my person and personality. I had a few “severe” teachers who challenged me and actually brought out the best in me when I thought I knew what was best for me. I remember one of my convent high school teachers teaching me what being a person of your word really meant. She told us in English class that our daily assignment was indeed due daily and if we didn’t bring the assignment on time, it would be as if we weren’t in the class. I did not have my assignment done one day in the first week of school. She did not speak to me or call on me that day. It was as if I wasn’t there and neither was my assignment. From English class we went on to

art class with the same teacher. When we got to the art room, I thought she would continue to ignore me, but she couldn’t have been nicer. I was puzzled for a while but finally realized that she meant what she said. My behavior in English class affected her behavior towards me, but it did not carry on into art class because I did my assignments on time there. One of my college teachers accused me of plagiarism for my first term paper when I didn’t even know what plagiarism was. I do now. As I look at the Wisdom Women

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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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(and Men) in my life, I see evidence of the many life experiences that are forming them into the persons they have become and are still becoming. They are constant reminders that we are all on a journey and that it is only at the end of the journey that we can claim to be all that we can be. What a gift it is to be with someone at that precious moment. Blessings! ❦

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Metamora State Bank celebrates 70th anniversary

etamora State Bank is proud to mark its 70th Anniversary as a true community bank this year. To thank the local community for its support through the years, the bank hosted outdoor events on July 18 at both the Sylvania and Metamora Banking Centers. MSB first opened its doors in Metamora, Ohio, on July 1, 1944. Originally owned and operated by a husband and wife team with a financial base of only $1.5 million, it now has branches in both Sylvania and Metamora, a staff of 20 employees, and assets in excess of $63 million. The bank has always remained true to its mission: to provide a safe, secure, competitive source of financial services to the residents of its market area. It is one of the few independent, locally owned community banks left in the area. Metamora State Bank is a true community bank. What does that mean for customers? “A community bank builds long-term relationships with community-based financial services,” notes President and CEO Kathleen Fischer. “When you bank with us, your money helps promote economic growth and stability in your back yard. You are now part of our team. You can see the new business opening, the family farm operating, the purchase of a new home, the finance of future college grads, and the building of financial security.” She adds, “With us, you are more than a customer; you are

THE TOLEDO CLINIC Caring for Newborns to Seniors James D. Diethelm MD Ryan Szenderski PA-C

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Welcoming New Patients 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.

by Linda L. Smith, MA, LPC

e all know that heredity determines the color of our eyes and our hair and influences other traits, such as height and susceptibility to certain diseases. But many aren’t aware that it also plays a major role in matters such as our personalities and mental health. Evidence of the role of heredity in our psychological make-up has been provided by research involving pairs of twins raised apart from birth. Researchers look to see if pairs of identical twins raised apart share a specific trait more frequently than fraternal twins. If they do, it suggests that heredity plays a role in the development of that trait. The greater the difference in the sharing between identical twins and non-identical twins, the greater the role played by heredity. Twin studies have enabled researchers to identify a surprising number of aspects of personality that are influenced by heredity. Some of these include the tendency to be shy, aggressive, fearful, or thrill-seeking. Heredity also plays a role in more complex behavior, such as an individual’s learning ability, likelihood of engaging in criminal conduct, and likely success or failure in marriage.

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40 August 2014 | Healthy Living News

a friend.” The board of directors, loan officers, and employees are people who live in the communities Metamora State Bank serves. Many have long-term service with the bank. They enjoy getting to know their customers on a first-name basis and like to hear about their families and friends. Loan officers meet directly with customers and provide win/win solutions no matter what their borrowing needs are, whether it’s a loan Kathleen Fischer for a mortgage, home construction, a business, or a new vehicle. All loan decisions are made locally. The bank is proud to support local schools as well as community organizations, events, and fundraisers. Bank representatives also serve as active members in local community organizations, such as the Sylvania Chamber of Commerce. It’s this high level of continued community support that sets Metamora State Bank apart from other area financial institutions. “If you are not a customer, we hope you will stop by soon and check out the Metamora State Bank difference,” remarks Keith (Randy) Cline, Assistant Vice President and Branch Manager at the Sylvania Banking Center. “MSB is grateful for the community support it has enjoyed through the years and remains committed to continued growth and service in the years to come,” he adds. ❦

Heredity can play a major role in personality and mental health

n Saturday, September 27, and can be purchased through 2014 from 4:00 to 7:00 p.m., PayPal at serenityfarm.org or by emailing Julie Bermudez Serenity Farm Equestrian Center will host the secat dbermude@buckeyeond annual Art in the Barn, express.com. You can also featuring Nashville singer order tickets by mail via Templeton Thompson, live the downloadable event art auctions and raffles, flyer at serenityfarm.org. and a BBQ dinner. Funds Tickets will not be sold at raised will support kids in the door. equine-assisted therapies Serenity Farm is located and learning programs. at 21870 Lemoyne Road in Tickets for Art in the Luckey, Ohio, 419-833-1308, Templeton Barn are $25 per person info@serenityfarm.org. Thompson We love feedback. Like us on Facebook. Follow us on Twitter.

In the tendency toward substance abuse, we also see a significant role played by heredity. For example, typeone alcoholism, which starts after age 25 and affects women and men equally, is only 20% inheritable. However, a more severe form of alcoholism, type-two, which starts in the teens and affects only men, is 90% inheritable. That means a son who inherits the tendency from his father has a 90% chance of developing alcoholism. Having such knowledge early on about family genetics can be critical information for everyone, but espe-

cially for parents and their children. Being aware of the likelihood of inherited tendencies toward mental health problems can allow early diagnosis and treatment that may head off serious problems later in life. But it’s important to remember that what is inherited is only a tendency. Inheriting such a tendency does not doom an individual to develop the problem. In addition to heredity, one’s environment, physical health, life experiences, and other factors always play a part as well. Researchers have also found that heredity plays a part in the development of a number of mental health disorders. The most common mental health problem among Americans, anxiety disorder, takes various forms, some of which are more inheritable than others. The evidence suggests that what is inherited is not necessarily a specific anxiety disorder but rather a personality that is predisposed to being more highly responsive to stressors. Panic disorder, including panic attacks, is five times more common in individuals who have a first-degree relative with the disorder. Generalized anxiety disorder, however, is less influenced by genetics. Agoraphobia runs in families, but social phobia does not. Specific phobias, such as fear of insects, have a significant genetic component. In fact, identical twins raised apart often share the exact same phobia, whether it be to spiders, heights, clowns, or something else. The so-called mood disorders— both unipolar and bi-polar depression—are also highly influenced by heredity. Twin studies, for example, have shown that an identical twin has a 60% chance of sharing his or her twin’s depressive or bi-polar disorder. But fraternal twins share such a disorder in only 15% of the cases. As would be expected, children in families with such disorders show an increased likelihood of the disorder. Researchers have not found a specific gene linked to depression, and the evidence suggests a number of genes may be involved in the development of mood disorders. Other mental disorders, such as schizophrenia and

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obsessive-compulsive disorder, also show evidence of being influenced by genetics. Considering the evidence for inheritance of personality traits and mental disorders, it may not be surprising that a tendency to be happier, more positive, and more optimistic may also be influenced by genetics. The evidence suggests that we may each have a “happiness set-point,” similar to our weight set-point. Our happiness set-point is a general level of contentment and happiness—or lack of it—where we tend to settle regardless of life events. This set-point is probably established early in life as a result of our genetics, life experiences, and other complex factors. But the good news is that we can raise our set-point by learning good mental health habits and strategies. This is true whether we are born with or without genetic tendencies toward mental health disorders. As a result, we would all be wise to learn and practice strategies to reduce stress and respond in more healthy ways to life’s events and experiences.❦ Linda L. Smith, MA, LPC, is a licensed professional counselor at Central Behavioral Healthcare in Toledo, Ohio.

St. Clare Commons takes unique approach to memory care

visit to St. Clare Commons, a Franciscan Living Community located at 12469 Five Point Road in Perrysburg, is likely to change any preconceived notions you might have about senior living. From the Starbucks® café where residents can relax and socialize with family and friends over a steaming cup of coffee, to the full library with shelf upon shelf of current literature, to the elegant dining facility and piano bar, to the beautifully manicured outdoor spaces, the living environment feels more like a resort than a retirement community. “All these amenities encourage visitation and make our community a destination where families can spend time and enjoy a delicious meal or cup of coffee with their loved one, and where residents feel like they’re the host,” says St. Clare Commons Executive Director Shawn Litten. “With this social model, we feel we’re truly providing healthcare services right in our residents’ home.” St. Clare Commons’ continuum

of care includes all levels of assisted living, inpatient and outpatient rehabilitation, skilled nursing care, and memory care. To help give family caregivers a break, the community is also providing respite care services, for example so Mom or Dad has a safe, familiar place to go for a short

stay while their son or daughter takes a much-needed vacation. It's also an opportunity to experience a short-term, trial stay with no longterm commitment. Of course, residents’ spiritual needs

are given high priority at St. Clare Commons, with the facility featuring a serene on-site chapel and having many connections to St. John XXIII Catholic Parish. In addition, one of the facility’s two in-house TV channels is dedicated to broadcasting masses and other religious services (the other continuously streams activities and events going on in the community). One of many areas in which St. Clare Commons is breaking new ground is their innovative approach to memory care for residents with Alzheimer’s or other forms of memory impairment. The secure, state-of-the-art memory care program was specifically designed to provide the expert, advanced care necessary to meet the unique needs of this population. The specially trained staff provides intensive, compassionate personal care and close, 24-hour-a-day supervision while working with residents and their physicians and families to maximize quality of life. Memory care residents live in a neighborhood setting comprised

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42 August 2014 | Healthy Living News

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of all private suites, with exclusive dining, living, and activity areas. They also have access to a secure, lushly landscaped outdoor courtyard with gazebos for relaxing and visiting with loved ones in the shade, a raised garden for those who like to get their hands in the soil, and a soothing waterfall (one of several water features on the grounds) just beyond the fence. The environment in the secure memory care residence can, perhaps, best be described as exclusive. “One of the keys to successful memory care is creating a safe, secure environment that feels like an exclusive space just for the residents,” explains Carrie McGlothlin, Regional Director of Marketing for Franciscan Living Communities. Furthermore, the residence has a very quiet and tranquil atmosphere, which helps reduce the agitation and frustration that memory-impaired individuals often experience. “Residents are also encouraged to furnish their suites with furniture from their own homes. When they’re surrounded by the same furnishings and sleeping in the same bed they’ve used for years, they experience a sense of normalcy that reduces agitation and the risk of falling,” Litten adds. Among the key features of St. Clare Commons’ memory care services is a revolutionary program called Behavior Based Ergonomic Therapy (BBET). This unique, personalized approach to Alzheimer ’s and dementia care, which was developed by Wright State University ergonomics professor Dr. Govind Bharwani and his daughter Meena Bharwani, is the first of its kind in the nation and works by preventing the two main causes of behavioral concerns in memory-impaired residents—boredom and disengagement. BBET helps reduce residents’ cognitive stress by using customized interventions, including music, video, and stimulating therapies. There’s also an on-site resource center for caregivers, which provides them the tools necessary to meet each resident’s needs according to his or her individual learning style, personality, behavior, and cognitive skill level. In addition to many other benefits, BBET has been shown to reduce the need for anti-psychotic and behavior-management medications, lower the risk of falls and injuries, decrease agitation, and improve residents’ overall mood and level

of engagement. Dr. Lawrence Elmer, Director of the University of Toledo Department of Neurology Gardner-McMaster Parkinson Center, adds, "Since its opening, we've had the opportunity to send several of our patients to St. Clare Commons for rehabilitation and long-term care. The staff and doctors at St. Clare Commons have been extremely helpful in communicating with our clinic, frequently giving us updates on our patients and discussing therapy options. The patients we've sent there have done extremely well. I appreciate the professional and timely communications from St. Clare Commons and expect to work with them again in the future." ❦ For more information about St. Clare Commons or its memory care program, please call 419-931-0050 or email info@ stclarecommons.org.

like in the other sports. Did I mention that if the player calls the ball out, they win the biggest tournament they have ever played? As much as I have traveled during my career, I must say that I have seen some folks make the call that sends them to the “dark side,” but many more times, I have seen the player make the proper call. The point of this article is simple. The lessons that one learns while playing tennis are so numerous. Here are a few: 1. Honesty 2. Sportsmanship 3. Self confidence

4. Discipline My question to all HLN readers is very simple: If there were a sport that not only provides exercise, but also teaches so many life lessons, would you not want your child to try it? Sure, winning a trophy is nice, but they will eventually end up in a box. The qualities that I listed above will stay with someone all through their life. So why not have your kids give tennis a try? A student that I used to coach and who is now a doctor shared with me this simple statement: “The discipline (in tennis) that I learned

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Tennis The sport that teaches character by Mark S. Faber, USPTA Elite Professional

ver the past few weeks, many of us have been attracted to the 2014 World Cup. Every evening during the wrap-up show, the commentators are talking about the “dives” the players are taking and how the referees need to continue to control the game. If you go to watch a youth soccer game, you’ll see at least two officials working every game. In baseball, football, and even basketball there is always at least one official for each game. Now, if you go to a youth tennis tournament, you’ll see maybe one official for at least six matches. Now, imagine this situation: Two kids are playing tennis and it is a close match. It is match point, and a ball lands right on the line. No one is watching, and at that moment, the player has to make the split-second decision between right and wrong. No one else is there making the call

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at a young age for sure helped me through medical school and the steps it takes to become a doctor.” This player was a local top high school and USTA player (even played a bit of college tennis), and tennis was the only sport they played. Over the years, people have asked me what self confidence is. I recall hearing a college coach share that cockiness is confidence in yourself and no respect for others, while self confidence is confidence in yourself and respect for others. The line call dilemma I described earlier, which I personally believe sums it all up, was brought up at one of my coaching education programs when discussing how to tell the true character of a person when no one else is looking. So, go back and ask yourself how you would want your child to handle that line call when no one else is watching. If you answer the way I believe you will, then bring your child to a local tennis program to get started in the game that is more than a game, a game that is a life lesson teacher. ❦

ProMedica Home Health Care Maternal and Child Program

A better start for mom and baby

t’s one of northwest Ohio’s bestkept secrets. For several decades, ProMedica Home Health Care has been improving the health and well-being of mothers and children in our community through its innovative Maternal and Child Program. Implemented by a team of specially trained healthcare professionals and social workers, the program provides care, education, and other services to both moms and their babies before,

during, and long after deliver. “We’re very fortunate to have such a strong team of specially trained registered nurses, physical and occupational therapists, and pediatric social workers—the only one of its kind in our region,” states Linda Chambers, MBA, PT, administrative director for ProMedica Home Health Care. “This dedicated team not only provides skilled, individualized care and education to moms and babies, but can also connect them to a broad range of supportive resources available in the community.” Prenatal home services for moms may include treatment, education, and monitoring for a variety of health concerns, such as nausea and dehydration, preeclampsia, gestational diabetes, miscarriage risk, and many others. Post delivery, Paramount Advantage offers two free home visits from a nurse to assess how the mother and baby are doing and to provide any needed monitoring, education, and support. “For example, if a mom had problems with elevated blood pressure during delivery, a nurse can come in and monitor that as well as provide education on symptoms to watch for and how to take blood pressure medications. If she delivered by C-section and has a wound problem, a nurse

can go out to provide wound care. Or, if she needs financial help or is experiencing emotional issues, such as post-partum depression, social services can come in and refer her to appropriate community resources,” explains Michele Drouillard, BSN, RN, supervisor of the ProMedica Maternal and Child team. “Also, Paramount provides a NICU Grad Program for babies following discharge from the newborn intensive care unit. This includes two wellness visits, about a week apart, to make sure the baby is adjusting, feeding, and gaining weight. If any concerns arise during that time, we can coordinate additional visits with the physician,” adds Sheree Williamson, RN, SCC, skilled care coordinator for the ProMedica Maternal and Child team. There are numerous examples of routine post-partum assessments that result in the identification of major health issues in babies that require immediate medical attention. Maternal and Child team caregivers have a keen ability to recognize when babies are having difficulty breathing, not gaining weight appropriately, or are experiencing feeding and elimination problems. This awareness and prompt referral for follow-up care have resulted in the identification of congenital birth defects and even organ failure, helping babies receive timely treatment for life-threatening conditions. “We touch hundreds of lives and have a positive impact on the infant mortality rate here in northwest Ohio,” states Chambers. To put that rate in perspective, consider that, according to an Ohio Hospital Association (OHA) white paper from March of

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44 August 2014 | Healthy Living News

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and Child team works with have their babies sleeping in the same bed with them, which puts the babies at serious risk of injury or suffocation. The team’s pediatric social workers can help these moms acquire portable cribs at no cost so their babies will have a safe sleeping environment wherever they go. Drouillard also points out that the team works very closely with the NICU at ProMedica Toledo Children’s Hospital to address the growing problem of opiate addiction in our community. Through this initiative, babies born to opiate-addicted mothers are started on a methadone-wean program when non-pharmacological treatments aren’t effective, which includes home nursing visits in addition to physician support. Because of the in-home support provided, opiate-dependent infants who are placed in this program typically have a shorter length of stay in the hospital. Whether patients are soon-to-be moms or children anywhere between the ages of newborn and 18, ProMedica Home Health Care’s Maternal and Child team has the skill, dedication, and specialized expertise give them care, support, and 1 to6/30/14 3:23 the PM

education they need, right in their own home. That’s a good, healthy start for mom and baby alike. ❦

To learn more about ProMedica Home Health Care, call 800-234-9355 or visit www.promedica.org/HomeHealthCare.

he Elizabeth Scott Community held a groundbreaking ceremony on June 25, 2014 for the new 12,288-square-foot Skilled Rehabilitation Center to be located on its Springfield Township campus. Construction is scheduled to be completed in the first quarter of 2015 with a planned opening by late spring of 2015. The new, state-of-the-art Skilled Rehabilitation Center will include a large rehabilitation area for physical, occupational, and speech therapy; a new dining room and lounge areas; and 14 new private rooms with private bathrooms. The The Elizabeth Scott Community, which celebrates its 65th year of operation, has been family owned and construction process will also operated since its founding in 1949. Pictured here are include the remodeling of four members of the Bucher family, current owners and existing rooms in the Skilled operators (L-R): Maximillian Bucher, 5th generation Nursing wing. The new con- family member; Allyson Bucher, 4th generation; struction and remodeling will Paul Bucher, owner, 3rd generation; Deb Bucher, allow Elizabeth Scott to offer a 3rd generation; Matt Bucher, 4th generation; and total of 18 Skilled Rehabilitation Jean Bucher, 4th generation, holding 5th generation private rooms. In addition, the family member Vincent Bucher.

Jennifer G., LPN, 13-year employee

Jennifer enjoys caring for residents in the Elizabeth Scott Community’s Assisted Living Level 2. As much as she enjoys caring for their physical health, she especially enjoys the ability to get to communicate with residents on a daily basis.

“In this level of care I have more time to get to know the residents on a personal level. I hear about their children and grandchildren, and then the families come visit and I learn about their lives. We’re like one big family here!”

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

CMY

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

46 August 2014 | Healthy Living News

expanded and renovated during the construction process. ❦

Pain and arthritis treatment with acupuncture

“ The best part of my job is that I get to know the families along with the residents.” C

existing main dining room in Elizabeth Scott’s Skilled Nursing wing will be

Elizabeth Scott Community breaks ground for new Skilled Rehab Center

this year, the state of Ohio ranks 47th in the nation in infant mortality, with a rate of 7.71%. Though routine wellness care is an important part of the ProMedica Home Health Care Maternal and Child Program, the majority of the patients the team sees are high-risk and require complicated medical attention. For example, when leaving the hospital after a prolonged stay, “micro preemie” babies (generally defined as those born before 26 weeks of gestation and weighing under 1¾ pounds) might require one or more of the following: feeding tubes, a central line, oxygen, an apnea monitor, IV nutrition, and IV antibiotics. “For parents with a brand new baby, using and maintaining all this equipment at home can seem frightening and overwhelming. Our nurses do a wonderful job of educating and working with parents to make that transition home easier and to get them familiar with—and comfortable using—any necessary medical equipment,” Drouillard says. Another key point brought up in the OHA white paper is the importance of safe sleeping for babies. Some of 10x5.9_ES_NurseJenniferAd_HL_414.pdf the moms that the Maternal

Independent & Assisted Living, Skilled Rehab. Family owned and operated since 1949.

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

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by Douglas Schwan, DC, Dipl ac

cupuncture has been around for about four thousand years. It is called Traditional Chinese Medicine because the Chinese were the first to study it and systematically pass down what they learned through successive generations of physicians. However, we know it goes back much further than that. Egyptian mummies have been found with burn marks over select acupuncture points for treatment of neck and back pain. It is not hard to imagine that the pyramid builders suffered from these complaints! In addition, witchdoctors up in the Andes mountains have been found with preserved tattoos that trace the acupuncture meridian lines and points along the body’s major pathways—sort of like a “cheat sheet” for acupuncture treatment points before the written word made tattoos superfluous! But how does acupuncture help with painful conditions like osteoarthritis, rheumatoid arthritis, and fibromyalgia? The current theory holds that there are a large number of channels, termed meridians, that crisscross the body like a highway system. The purpose of these meridans is to distribute healing energy, termed “qi” (pronounced “chi”), to the areas of the body that need it. This system can be likened to your car. You have a battery charged up with energy. This energy flows from the battery through the cars wiring system and is directed to where it needs to go by a system of ignition switchs that distribute it where it needs to go. If your battery is low on energy, or you get a short in the wiring harness or even a blocked switch, then the engine starts to misfire. If the energy drops too low, or enough blockages accumulate, then the engine will die altogether. Same with the human body. You need this constant flow of adequate amounts of energy to maintain homeostasis of the body’s system. Without it, you can’t self-repair and the body dies. The body is all about energy. Most

of our qi energy comes from the food we eat, the air we breathe, and the impact of the sun’s radiation on our skin. However, physicians who utilize acupuncture can provide a more direct route to treatment in the form of microstimulation to speed up the body’s healing. An interesting research article just came out a few months ago. In it, researchers worked with a patient paralyzed in a motorcycle accident ten years earlier. Merely by inserting needles in the muscles adjacent to the spinal column and running a current through it, the patient was able to voluntarily contract some previously paralyzed muscles. They were not talking “frog leg twitches” but real, voluntary control. And, of course, physicians have used needles and stimulators to “force” broken bones to regrow together after particularly nasty fractures. The point of all this is that the body can use outside energy sources to accelerate and promote the healing process. For example, when you cut yourself, the body’s reaction is to send help to the injury site. Likewise, when an acupuncture needle is inserted into an acupuncture point, the body responds by emitting healing factors. These healing factors can be ramped up significantly by the simple expediency of running a microcurrent between specific needles. So specialized acupuncture techniques can do much more than just “turn off the pain.” In cases of degenerative osteoarthritis (wear-andtear arthritis), frequently the tissues will form fibrous connective tissue scarring. This scarring can trap inflammatory acids, which sit around and irritate the surrounding nerves and tissues. In

fact, this is how dear old Grandpa can tell a low-pressure system is coming into the area when his wrecked knees ache. Acupuncture treatments can break down these acids, dissolve local scar tissue, and allow them to be flushed out via the lymphatic drainage system. This can provide long and lasting pain relief in otherwise intractable pain cases. Recent studies have also shown that acupuncture techniques can de-couple the feedback loop responsible for chronic pain in conditions like fibromyalgia. A recent research project at the University of Michigan Medical School saw a group of fibromyalgia sufferers injected with a radioactive dye that binds preferentially with pain-inhibiting neurons in the brain. Following eight acupuncture treatments the brain scans of these patients demonstrated a marked increase in activity of the pain-inhibiting receptors. If you suffer from a chronic pain syndrome such as osteoarthritis, degenerative disease, fibromyalgia, Rheumatoid arthritis, or failed back surgery, you may be able to find some relief through modern acupuncture techniques. Most physicians specializing in these modern

twists on ancient treatments will gladly provide a consultation to discuss your specific concerns and determine which approach is most appropriate for you. The popularity of acupuncture as a treatment for chronic pain syndromes continues to expand because more and more people have found significant relief with Meridians these safe and provdistribute en techniques derived from Oriental medicine. healing Treatment comes withqi to the out the negative effects often associated with the areas of and surgery of the body drugs Western medicine. The that best results for drastic reduction in pain and need it. inflammation caused by arthritis are seen by combining Oriental medicine-acupuncture, herbal remedies, and, when appropriate, conventional medicine. ❦ Dr. Schwan is available to speak at your group’s function on a wide variety of Alternative Medicine topics, such as chiropractic, acupuncture, herbal medicine, nutrition, vitamins, etc. He is a graduate of the International Academy of Medical Acupuncture & Palmer College of Chiropractic. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. For more information on Alternative Medicine, please visit his website at www.acupuncturetoledo.com.

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

Eating Well by Laurie Syring, RD/LD

Good food, bad food

hese days, we’re on nutrition information overload. Everywhere we turn—news media, talk shows, websites, you name it—we’re subjected to some form of food and diet news. We often hear that foods are “good” or “bad” for us and that we should “eat this, not that!” The other day, I even heard a nurse say that bananas are “bad fruit”! Of course, the story on food keeps changing. This month’s “superfood” becomes next month’s nutritional dud. Wait around long enough, and some research study will come along to tell us that broccoli is poisonous and deep-fried fair foods are nutritional powerhouses. Okay, maybe I’m exaggerating this last point a bit, but you get the general idea. As dietitians, we don’t like to classify foods as bad or good— especially fruits and vegetables. As longtime HLN readers know, my message for years has been “all things in moderation.” But with two-thirds of the country being overweight or obese, heart disease being the number three cause of death, and type 2 diabetes on the rise, this message is clearly not getting across. It’s not surprising that this can be a difficult message to comprehend because eating in moderation can mean different things to different people. For one person, it might mean eating the food once a week; for another, it might mean once a year. When it comes to diet and nutrition, we all have something we need to work on—whether it’s for weight loss, sports, or even weight gain. So how can we achieve the moderation I’m referring to as we strive toward our individual dietary goals? The number one thing you can do isn’t pills, drops, or wraps. It’s to journal for one week everything you put in your mouth. And I mean everything—even if it’s five M&Ms, one Hershey’s Kiss, or that last bite of food your toddler couldn’t finish (didn’t think I knew about that, did you?). You can use a notepad,

48 August 2014 | Healthy Living News

one of the many apps out there, or even the Food Tracker at myplate. gov. A food journal is a great tool to keep you mindful of your eating. Looking back over it will help you identify problem areas and keep you accountable. Another suggestion I’d like you to keep in mind is to limit your calories from sweets and treats to no more than 150 per day. Also, steer clear of dietary misinformation, especially on the internet (.com sites), TV shows, and infomercials. A gluten-free diet is good for weight loss, organic foods are healthier, and sugar causes ADD are just a few of the common nutritional misconceptions flying around out there. More reliable websites are those ending in .gov (e.g., myplate. gov) or .edu (i.e., universities). The sites of reputable health organizations ending in .org are also usually trustworthy. The bottom line is to focus on healthier choices and well-balanced meals. Then keep a one-week food journal so you can review what you’re actually eating and acknowledge areas that you need to work on. Finally, keep yourself well informed. Do not fall prey to quick and easy fixes, silly food fads, and misinformation. ❦

is knowledgeable on topics such as generic medications, over-thecounter and herbal medications, drug interactions, and prescription insurances and copays. If you have been taking your medications for a long time and already have the answers to the five W’s, feel free to ask a question on one of these other topics the next time you have the opportunity to talk to your pharmacist. Most importantly, if something doesn’t look right or doesn’t sound right to you, make sure to ask the pharmacist or pharmacy technician who is assisting you! The patient is part of the healthcare team, and we are always grateful for the patient who is empowered to take an active role in their care. ❦ Dr. Michelle Mangan is a clinical assistant professor of pharmacy practice at the University of Toledo College of Pharmacy and Pharmaceutical Sciences and is currently the program director of the outpatient diabetes education program. The information presented in this column is intended for your general knowledge only and does not aim to replace medical advice or treatment for specific medical conditions. If you have any specific questions about any medical matter, you should consult your doctor or other professional healthcare provider. Sources: University of Pittsburgh Schools

of the Health Sciences. http://www.upmc.com/ patients-visitors/education/older-adults/pages/ questions-all-patients-should-ask-pharmacist.aspx Group Health Cooperative. https://www1. ghc.org/html/public/pharmacy/questions.html Consumer Reports. https://www. consumerreports.org/health/resources/pdf/best-

buy-drugs/6questionstoaskyourpharmacist.pdf Budnitz DS, Pollock DA, Weidenbach KN, Mendelsohn AB, Schroeder TJ, et al. National surveillance of emergency department visits for outpatient adverse drug events. JAMA 2006; 296: 1858-1866.

Toledo Zoo seeks volunteers

he Toledo Zoo is accepting applications for adults interested in volunteering at the Zoo. This is a great way for people 18 and over to get involved in the community and meet new people while learning about animals and conservation. Three primary volunteer programs are available: Exhibit Guides work on Zoo grounds to educate the public about Zoo animals and maintain visitor traffic flow through the exhibits in a timely, friendly manner. Exhibit Guides also help ensure the safety of the animals and the visitors while promoting a positive viewing experience for everyone. The primary areas needing Exhibit Guides this year are the all-new Penguin Beach and ‘Keet Retreat sponsored by BP. Zoo-Educators work on and off Zoo grounds to engage visitors, assist with educational activities and biofacts (biological artifacts), introduce visitors to live program animals, and offer scripted interpretive programs at key Zoo exhibits. The primary areas needing Zoo-Eds this year are the all-new Penguin Beach and ‘Keet Retreat sponsored by BP. Clerical volunteers help prepare mailings, stuff envelopes, collate and organize binders, and enter data. “When people consider volunteering at the Zoo, they typically think about the animal areas or our education department,” Bill Davis, the Zoo’s volunteer manager, said. “But the Zoo has several offices that also want help—clerical volunteers are wonderful people for whom we have a real need.” Interactive volunteer/visitor experiences like these are just some of the reasons the Toledo Zoo is rated the #1 zoo in the nation by USA Today Travel, and among the top ten family attractions nationwide by FamilyFun magazine. For more information about volunteer programs, visit toledozoo.org/volunteers or contact Bill Davis at 419-385-5721 or bill.davis@toledozoo.org.

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