NOVEMBER/DECEMBER 2013
YOUR LIFE UP NORTH
GOOD life All about choices Tips for a healthier holiday
When silence isn’t golden New treatment gives the gift of hearing
Your Quality of Life, Our Passion Professional Hearing Healthcare Services • Physicians on-site • Licensed highly-trained audiologists • Hearing evaluation and consultation • Hearing Aid dispensing • Custom hearing protection and ear molds • Hearing aid accessories and batteries • Cleans and checks all hearing aid models; Repairs on all models we sell
Our PREMIUM CARE advantage:
PREMIUM CARE is a “while you wait” service - No appointment required during PREMIUM CARE hours, and covers free batteries, clean & checks for the life of your hearing aid. This service is included with most hearing aid purchases from us! Premium Care Hours:* Monday 8:30–9:30am · Tuesday 10–11am Wednesday Noon–1pm · Thursday 1:30–2:30pm · Friday 3–4pm PREMIUM CARE standard hours available only at the Petoskey location. Gaylord location PREMIUM CARE subject to availability - please call our Gaylord offce at (989)731-6603
*
Petoskey Ear, Nose and Throat Specialists 560 W. Mitchell Street, Suite 250 • Petoskey, MI 49770 Main • 231-487-3277 | Audiology Dept. • 231-487-3050
With the leg bone connected to the knee bone. And the knee bone connected to the...
Ensure Your Bones are Well Connected Osteoporosis and related bone diseases affect 44 million Americans. With state-of-the-art technology for assessing bone mineral content and density, Internal Medicine of Northern Michigan is one of only two Michigan facilities accredited by the International Society for Clinical Densitometry. Ask you physician for a referral, or call us for details.
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2 YOUR LIFE UP NORTH
most major insurance
& simplecare accepted
CONTENTS
18
17
10 On the cover: Amanda Evans, registered dietitian with Charlevoix Area Hospital. Photo by G. Randall Goss/GoodLife
fe atur
6 Good Stuff Good to Go: Tension headache treatment Good Humor: Katie MacInnis Good for Kids: Interactive activities 8 Good Advice Making the gym work for you
9 Good Word Rick Fowler
17 Good Thoughts Changing negative behavior
10 Good to Know Walking it off
18 Cover Story Healthy holidays
15 Good Health Implant makes an impact for the deaf & hard of hearing
20 Good Sport Gifts for the athlete in your life
16 Good Taste Smokey pot roast
21 Good Buys Emergency kit GOODlife 3
GOODlife NOVEMBER/DECEMBER 2013 - Volume 5, Issue 2 PUBLISHER DOUG CALDWELL EDITOR DEBBIE MCGUINESS PHOTOGRAPHY G. RANDALL GOSS LAYOUT AND DESIGN WENDY WOLFSEN FOR ADVERTISING INFORMATION CONTACT ADVERTISING DIRECTOR CHRISTY LYONS (231) 439-9329 clyons@petoskeynews.com ADVERTISING SALES ERICA NIESEN JEFF GENSCHAW MATT HAUSLER JOY HOLMES
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Š GoodLife, all rights reserved, 2013. Reproduction in any form, in whole or in part, without express written permission, is prohibited. The views expressed herein, whether expressed as fact, fiction, opinion, advice or otherwise, are those of the authors and do not necessarily reflect those of the ownership or management of this magazine. The publication of any advertisement does not reflect any endorsement for any products or services by the ownership or management of this magazine unless it is specifically stated in such advertisement that there is approval for such endorsement.
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4 YOUR LIFE UP NORTH
Every Auto-owners policy comes with a local agent! As a local independent agency, proudly representing AutoOwners Insurance, we live in your community and are here for you 24/7. Offering you more insurance choices, why would you go anywhere else?
Call or visit us today for all your insurance needs. AGENCY NAME Town Name 321 Spring Street, Harbor Springs 555-555-5555 (231) 526-2123 .............................................. website PN-00366038
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Wellness Wednesday Quick and Convenient Health Screenings
November 6, 2013 & January 8, 2014 Screenings include full cholesterol panel, BMI score, blood pressure, glucose levels, body muscle and fat percentages, and a FREE pedometer.
Health Screening for $12 For more information about Wellness Wednesdays, visit: www.cah.org > Community Health > Wellness Wednesday. PN-00367028
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Wha Whatt do yo you u wan wantt to do toda today? y? Start cr creating eating your own moments to cherish for a lifetime. Call one of our communities today to make reservations for a delicious lunch on us. Charlevoix (231) 237-5552 615 Petoskey Ave Charlevoix, MI 49720
Petoskey (231) 577-3555 2000 East Mitchell Rd Petoskey MI 48770
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GOODlife 5
GOOD STUFF GOOD TO GO
Tension headache? Story by Morgan Sherburne Photo by G. Randall Goss
T
ake two tennis balls and stuff them into a tube sock — these instructions aren’t necessarily the first thing you’d expect to hear from a physical therapist. But Dean Tahtinen, physical therapist at First Choice Physical Therapy in Petoskey, says to do just that. He advises using the tennis balls and tube sock to relieve tension headaches. In fact, an acquaintance said he recently ran across a similar device in a truck stop states away. They were selling for $12.95. The tennis balls work by relieving pressure on two, triangular stretches of muscles at the base of your skull, said Tahtinen. “Tension headaches are headaches that start in the back of your neck and creep up over your head like a skull cap,” said Tahtinen. “What causes that is muscles at the back of the head, spasming.” To balance your head, sections of muscle at the base of your skull “constantly fight.” When they become too tense, they can spasm, interrupting the blood supply to the top of your head. The muscles can also pinch two nerve lines that run up the back of your skull, causing pain. To get rid of the headaches, you get rid of the spasm, said Tahtinen. To do that, you use two tennis balls and a tube sock.
Step No.1. After assembling your two tennis balls in a sock, lie on your back on a firm surface. Step No. 2.
Place the tennis ball-filled sock at the base of your skull, just below the bump at the back of your head, and let your head sink into the tennis balls. You may feel discomfort, said Tahtinen, but it should be a good pain.
Step No. 3.
Relax into the tennis balls for 5-15 minutes.
If this does not relieve your headache, you can ice the area at the base of the skull. Use either a small ice pack or a paper cup of water that has been frozen. Peel the sides of the cup back and rub the tight muscles with the ice until the muscles are numb. If the headaches persist, consult your physician. GL
GOOD HUMOR
Childhood 2 (as squared)
I
seem to be going backwards. Violent shows on TV or reading exciting mystery plots too close to bedtime will keep me awake. My favorite book of late was COURTESY PHOTO suggested for Katie MacInnis, columnist from Harbor Springs 8- to 12-yearolds. The older I get, the more child-like I have become. I collect rocks and bird feathers and pine cones when I walk my dog. My clothes are often dirty at day’s end, with real dirt. When we order pizza I save the little white support from the center to make lawn furniture for the fairies we have living in our front yard. I make chairs from empty coffee creamers. I signed up for the dog-people look-alike contest in Harbor Springs as part of the 4th of July festivities. To participate, I needed to fill out the application that asked for parental permission. It was only then I realized the contest was meant for kids. My dog Amelia, our Welsh Corgi, still seemed committed so she and I went as the Queen of England: beige gown, small purse, gloves and sensible shoes accessorized with lots of costume jewelry. I sat next to a very elegant, rich looking woman who was there with her granddaughter. She had a beautiful, large diamond Continued on page 7
6 YOUR LIFE UP NORTH
GOOD HUMOR
GOOD STUFF GOOD FOR KIDS
Interactive activities Story by Debbie McGuiness
A
ctivities for children don’t always have to include computers or video games with their flashing lights and synthetic noises. Here is a list of fun things to share with your child during the holidays. No batteries required. 1. Take a walk together. Hold hands 2. Read your favorite holiday story. 3. Bake cookies and share them with a neighbor. 4. Build a snowman. 5. Go carolling. 6. Visit a library. 7. Cuts simple shapes like stars and hearts from cardboard, paint with glue, sprinkled with glitter. 8. Look for animal tracks in the snow. 9. Thread old buttons on a shoe lace for a necklace or bracelet. 10. Bundle up and look up at the stars at night. GL
Continued from page 6
on her left hand. I asked if she too had gotten hers at Walmart? At least she laughed good-naturedly. (I think her family makes cars.) I think farting is funny. I bought a child’s book on that very subject: “Farts In The Wild.” I would recommend this to anyone who wants a clear idea of what a goldfish sounds like (there is a battery operated panel with thrilling audio samples) or the style used by most elephants: farts escape with each step as they walk through the jungle. Boy, can I relate! I’ve always been a little off. I had kids so I wouldn’t look so silly in in the blow-up swimming pool in our backyard. That was 30 years ago. I go to toy stores with the cover story I am looking for my grandson, but I still want a Madame Alexander Doll. It’s always a relief to be around small children so I can say goofy things and seem appropriate. Being a child in a grown-up body is like riding a merry-go-round. If I look only at the children next to me I don’t get dizzy. But when I look outward and see the adults waiting, I lose my balance. GL — Katie MacInnis ˜ ere is a mental health phenomenon called: Word Salad. I don’t think it’s considered an illness and probably no one has been hospitalized or medicated solely for this reason. But sometimes, the differences that make us seem weird comes in handy when asked to write for Good Life by the News-Review. Katie MacInnis is a retired nurse and English major living with her husband, Charlie, in Harbor Springs. ˜ ough she does not suffer from Word Salad, that doesn’t mean she doesn’t make others suffer.
GOODlife 7
GOOD ADVICE
Make the gym work for you from the get-go By Metro Creative Service
M
any people aspire to adopt • Accept the gym’s offer of a free training session. Many fitness a healthy lifestyle that inclubs offer a free consultation cludes regular exercise, with a personal trainer to new which medical professionals have members. Accept this offer relong advised is an essential elegardless of your fitness level or ment of a healthy life. In fact, the familiarity with the facility. The Centers for Disease Control and trainer can help you find your Prevention recommend adults get way around and tailor your at least two hours and 30 minutes workout to meet your goals. of moderate-intensity aerobic activity, such as brisk walking, every • Don’t worry about what your week and some muscle-strengthfellow members are doing and ening activities that focus on all thinking. One of the biggest misthe major muscle groups on two takes you can make at the onset or more days per week. of a new fitness regimen is payWhile adhering to such an exing too much attention to what ercise regimen might not appear your fellow members are doing. that difficult on the surface, many Just because someone working men and women know just how out next to you can bench press difficult it can be to make the a few hundred pounds does not transition from a relatively inacmean you should attempt to foltive lifestyle to one in which exlow suit. ercise is a significant part of the daily routine. Much of that diffi- • Find a time that works for you. culty stems from the intimidation When beginning a new workmany people feel when visiting a out routine, it helps to visit the gym. Walking into a gym for the gym at different times to find the first time can be similar to the time that best fits your schedule first day of school, when a lack of and makes you feel most comfamiliarity with one’s surroundfortable. Beginners often prefer ings inspired fear and anxiety. But to avoid peak hours when fitness there are ways individuals can clubs tend to be most crowded. make their first forays into the fitMany clubs are most busy durness club a success right from the ing the post-work hours of 5 p.m. start. to 8 p.m. Establishing a routine is essential to making your exer• Familiarize yourself with the laycise regimen a success. out prior to your first workout. It’s easy to feel like an outsider • Go with a friend. Enlisting a when visiting a gym for the first friend to workout with you on time. the buddy system is a great way 8 YOUR LIFE UP NORTH
Metro Creative Services Enlisting a friend as a workout partner is one way to increase the chances your workout routine will be a success from the get-go.
to stay committed to a workout routine. A friend who works out with you can motivate you to go on those days when you really don’t want to, which is a significant hurdle to clear for beginners and veterans alike. Beginning a new workout regimen can be exciting and intimidating. But beginners can employ several strategies to ensure their new lifestyle is a hit right off the bat.
GOOD WORD
Coaching is not always about the W A By Rick Fowler
few weeks ago I was finishing an article about fishing for bass and needed one more interview to complete the piece. My last question for the interviewee was, “What person were you most thankful to have been a part of your life?” After documenting his response he turned the tables and asked the same question of me. My hesitation was only momentary as I explained, “obviously my wife, children and family.” Yet this one question made me think about those many people who had impacted my course of life. Most specifically though were coaches. Indeed my career as a teacher evolved around wanting to coach which was influenced by my high school football coach Bob DePrekel (at Petoskey St. Francis). Through my three decades as a teacher and coach I have found the adage, “The best coaches are the best teachers” to be accurate. Coach was both. His was a football mind to be sure but there was more than that. Players and students knew where they stood with him on the field and in the classroom. My performance
in the classroom though not stellar (come on, it was the late 60s and 70s) was impacted one afternoon when he took me aside and told me, “Act your age, gut it up. Get mad at the world for two hours on the field, but love yourself and your family the rest of the time.” Yep, Coach was the reason for my entrance into the educational field and inevitably to the coaching ranks. As the holiday season approaches we truly need to express our gratitude for all we have. However, it is also a time to say thanks to those who have had a significant impact on our lives. For me, it was coach. I can still distinctly remember his classroom. There were two bulletin boards with various clippings of national and local news, large push out windows facing the parking lot and a rolling cart full of STUFF located by the door. Rows of desks were uniformly positioned toward the front where his desk occupied a space in front of the BLACKBOARD. After roll, the lesson began usually with a joke, which then transitioned into where we needed to go with this hour’s instruction. Laugh, listen and learn were the three L’s of
productivity in his classroom. Coach had the same expectations on the field. Though laughing was hard to do after a week of two-a-days in the late August early September heat, listening was vital in this venue since teammates depended on you to do your job. Yet, learning was an everyday experience at practice, too. One lesson I will never forget was after a particular hard and monotonous drill. I voiced my objection to a buddy with a small sampling of swearing. Unbeknownst to me, Coach had heard my muted complaint and responded, “Kind of a tough drill huh? You need to work on your word choices. Bear crawl down and back two more times. When you’re done come see me.” Oh yeah, I learned. Those involved in athletics might have a similar yarn to tell. “Show me a good coach and I will show you a good teacher!” I am thankful I have known dozens of coaches in my life. Many of them remain good friends. Yet more importantly, they influenced thousands of kids and athletes who they came in contact with. I am one. GL
Christopher Demanaeus, Life Coach 231-237-1431 demanaeus@yahoo.com www.coachkkachi.com
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GOODlife 9
GOOD TO
KNOW
Tamara Stevens
Harbor Springs woman walks away the weight\ Debbie McGuiness, GoodLife editor
T
amara Stevens has always been an active, outdoor enthusiast. An avid sailor and skier, Stevens grew up in Petoskey and said she “always loved being outdoors. Northern Michigan is beautiful and there are so many places we can recreate.” “At a certain age,” Stevens said, “when we get older, our bodies do change. It seems impossible to lose weight.” At 52, and unhappy with her weight, Stevens visited her physician and learned her cholesterol numbers were higher than recommended. “Let’s see if I can turn this around,” Stevens thought to herself. “I decided to ramp up my exercise. I bring walking shoes and a change of clothes to work every day and I go out and walk, just walk. Sometimes I listen to music or I walk along the Little Traverse Wheelway and just listen to the birds, the waves. I work at Bay View and I love walking through the Bay View Association. When the weather is bad, I walk at the college.” North Central Michigan College in Petoskey has a walking track located in its Student and Community Resource Center. The track, 1/9th of a mile, is available to all at no charge. Her exercise routine also includes walking her dog every day. “I covet the time I have walking. It is meditative. I use the time to sort out problems, rehearse an argu10 YOUR LIFE UP NORTH
smoothie. “I start with a fruit smoothie in the morning made with unsweetened almond milk, ground flax seed, raspberries, strawberries, blueberries, blackberries and half a banana. I drink it on the way to work. I am never tempted by the gooey things co-workers bring to work. No cookies, no doughnuts, none of it. A lot of veggies and fruits, and low fat meats, no cheese, and very little bread, crackers, or pasta. Half a baked potato now and then. And, here’s the killer, only one glass of wine each night. No more. Walking at lunch. Walking the dog after work. That’s it, really. I lost 8 pounds in the first three weeks.” Stevens said soy milk or skim milk can be substituted for the almond milk. Her physician told her one glass of wine is no problem. Any additional is just empty calories and the alcohol turns to sugar. “The number one way to lower cholesterol is exercise,” Steven says. With a partner who loves to cook and grill, Stevens says eating healthy is easy. Their meals include salad and vegetables, and the recommended deck-of-card-size serving of meat. A checkup resulted with lowPhoto by G. Randall Goss/Goodlife er cholesterol numbers, and a Tamara Stevens 20-pound weight loss. “I lost a whole dress size.” ment. It’s good! I do find that I have As her physician left the examimore energy and I can walk farther, nation room, Stevens heard voices and faster, without getting tired or in the hall asking, “How did she do short of breath.” it?” Along with daily walking, Ste“Diet and exercise,” the doctor vens begins each day with a fruit said, “Who knew?” GL
FOR SEVERE AORTIC STENOSIS PATIENTS AT HIGH RISK FOR SURGERY
IF YOU’VE BEEN TOLD YOU NEED A NEW HEART VALVE, YOU HAVE OPTIONS.
Today, there are multiple treatment options available for aortic stenosis, including a less-invasive, catheter-based procedure that does not require open-heart surgery. This procedure, called transcatheter aortic valve replacement (TAVR), is for people who have been diagnosed with severe symptomatic native aortic valve stenosis and are at high-risk or are too sick for open-heart surgery. Potential risks include death, stroke, major vascular complications and major bleeding. Please see adjacent page for additional risk information.
Visit NewHeartValveMI.com or call 1-888-892-7920 to find a Heart Team near you who can talk with you about your options.
Edwards Lifesciences I edwards.com One Edwards Way I Irvine, California 92614 USA Switzerland I Japan I China I Brazil I Australia I India
GOODlife 11
IMPORTANT SAFETY FACTS FOR PATIENTS
•
THE EDWARDS SAPIEN TRANSCATHETER HEART VALVE – TRANSFEMORAL (IN THE LEG)
Cannot tolerate medications that thin the blood or prevent blood clots from forming.
•
Have an active infection in the heart or active infections elsewhere.
•
A previously implanted artificial aortic heart valve or a valve repair device in any position
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A severe buildup of calcium that blocks the artery;
Warnings for the Transfemoral and/or Transapical Procedure
•
A ventricle that does not pump efficiently
–
•
Thickening of the heart muscle, with or without a blockage
Abnormal artery shape or artery size less than 7 mm in diameter and;
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Aortic valve leaflets with large pieces of calcium that may block the vessels that supply blood to the heart
Who Is It For? Transcatheter Aortic Valve Replacement with the Edwards SAPIEN transcatheter heart valve in the transfemoral approach (incision through the femoral artery in the upper leg), is indicated for patients with severe symptomatic calcified native aor tic valve stenosis without severe aortic insuffi ciency and with ejection fraction >20% who have been examined by a heart team including an experienced heart surgeon and a cardiologist and found to either be: 1. Inoperable and in whom existing comorbidities would not preclude the expected benefit from correction of the aortic stenosis; or 2. B e o p e r a t i v e c a n d i d a te s f o r a o r t i c v a l v e replacement but who have a Society of Thoracic Surgeons predicted operative risk score ≥8% or are judged by the heart team to be at a ≥15% risk of mortality for surgical aortic valve replacement and with ejection fraction >20%.
•
•
The artificial valve may not last as long in patients whose bodies process calcium abnormally.
For patients who have previously had aortic valve replacement, the safety, effectiveness, and durability of putting a transcatheter valve in an already implanted tissue valve are not known at this time.
•
Patients should talk to their doctor if they are a lle rgic to c hromium, nic ke l, mol y bd e num, manganese, copper, silicon, and/or polymeric materials.
The safety and effectiveness of the transcatheter heart valve with the transfemoral and /or transapical procedures have not been established for patients who have:
•
•
THE EDWARDS SAPIEN TRANSCATHETER HEART VALVE – TRANSAPICAL (IN THE CHEST) Who Is It For? Transcatheter Aortic Valve Replacement with The Edwards SAPIEN transcatheter heart valve in the transapical approach (incision in the chest between th e r ibs), is ind i c ate d fo r pati e nts w i th s eve re symptomatic calcified native aortic valve stenosis without severe aortic insuffi ciency and with ejection fraction >20% who have been examined by a heart team including an experienced cardiac surgeon and a cardiologist and found to be surgical candidates for aortic valve replacement but who have a Society of Thoracic Surgeons operative risk score ≥ 8% or are judged by the hear t team to be at ≥15% risk of mortality for surgical aortic valve replacement. Contraindications for the Transfemoral and/or Transapical Procedure The Edwards SAPIEN transcatheter heart valve and delivery system should not be used by patients who:
12 YOUR LIFE UP NORTH
There is a higher risk of stroke in transcatheter aortic valve replacement procedures, compared to other standard treatments for aortic stenosis.
transapical procedures have not been established in patients who have:
X-ray guidance is used during the procedure and may cause radiation injur y to the sk in. These injuries may be painful, damaging, and long-lasting. Your doctor should be aware of the following preexisting conditions or other ar tificial medical devices before performing a Transcatheter Aortic Valve Replacement: 1) Signifi cant heart disease; 2) AV low flow; and 3) low gradient and mitral valve devices.
•
An aortic heart valve that is not calcified
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An aortic heart valve that only has one or two leaflets
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The safety and effectiveness of the transapical aortic valve replacement procedure has only been evaluated in patients for whom the transfemoral a o r ti c va l ve r e p l a c e m e nt p ro c e d u re i s n ot suitable.
Precautions L o n g -te r m d u r a b i l i t y of t h e Ed w a r d s S A PI E N transcatheter heart valve has not been established at this time. Regular medical follow-up is recommended to evaluate how well your heart valve is performing. Transcatheter heart valve patients should stay on bloodthinning medicine for 6 months after the procedure and aspirin for the rest of their lives, unless otherwise i n s t r u c te d b y t h e i r d o c to r. T h e s a f e t y o f t h e transcatheter heart valve with the transfemoral and/or
Precautions Specific to the Transapical Procedure •
Aortic valve leafl ets with large pieces of calcium that may block the vessels that supply blood to the heart
Potential Risks Associated With the Procedure Include: •
Death
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Stroke
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Paralysis
•
Permanent disability
•
A previously implanted ring or artificial heart valve
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Difficulty breathing
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A diseased mitral valve that is calcified or leaking, or Gorlin syndrome
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Severe bleeding
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Low white blood cell count, low red blood cell count, low platelet count, or a history of bleeding because the blood does not clot properly
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Injury to the right side of the heart
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Cardiovascular injury that may require repair
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Annular tear or rupture
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Too much fluid in the tissue sac around the heart
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Calcified valve material, clots in the blood vessels, c h a m b e r s of th e h e a r t, a n d /o r l i m b s, c l ot for mation, dislodgme nt of mate r ial /air, and blockage that may lead to heart attack, stroke, and/or death
Warnings Specific to the Transapical Procedure •
A diseased aortic valve in which the main problem is valve leakage
the safe placement of 22F or 24F introducer sheath, such as:
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Unusual ultrasound images of the heart that could represent abnormalities such as a blood clot
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Allergies to blood-thinning medications or dye injected during the procedure
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An aortic valve that is too small or too big to fit the transcatheter heart valve
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Diseased or abnormally shaped vessels leading to the heart
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Life-threatening infection
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Heart failure
Femoral vessels that are heavily diseased or too small for the delivery device
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Heart attack
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Valve leaflet tearing
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Poor kidney function or kidney failure
•
Injury or defect to the heart that may require a permanent pacemaker
•
Precautions Specific to the Transfemoral Procedure •
Been offered surgery but refused it
•
Femoral artery characteristics that would rule out
GOODlife 13S
GOODlife 13
•
Irregular heartbeat
•
Emergency heart surgery
•
Bleeding in the abdominal cavity
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Heart failure
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False aneurysm
•
•
Reoperation
Blockage or disruption of blood flow through the heart
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Restricted blood supply to the arteries, or nerve injuries to the arms or legs
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A blood clot caused by the device that requires treatment
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Stenosis returning
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A blood clot in the heart valve
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Fluid in the lungs
•
•
Buildup of fluid around the lungs
Dislodgement, movement or improper positioning of the Edwards SAPIEN valve that must be treated
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Bleeding
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Placing the valve in an unintended location
•
Catheter balloon rupture and separation
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Valve stenosis
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A decrease in red blood cells
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Damage to the Edwards SAPIEN valve including wear and breakage
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Abnormal lab values
•
•
High blood pressure or low blood pressure
Reduced effectiveness of the Edwards SAPIEN valve
•
Allergic reaction to anesthesia or dye
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Valve leakage
•
Collection of blood under the skin
•
Injury to the mitral valve
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Fainting
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Breakdown of red blood cells
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Pain or changes at the incision site
•
Removing Edwards SAPIEN valve
•
Weakness or inability to exercise
•
Nonstructural dysfunction
•
Swelling
•
Non-emergent reoperation
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Chest pain
•
Heart murmur
Additional potential risks for the transapical procedure include:
•
Fever
•
Mechanical failure of the valve delivery system and/ or accessories
•
Tearing or injury to the Edwards SAPIEN valve
Potential risks associated with the transapical procedure include: •
Suturing of peripheral coronary artery
Additional Potential Risks Specifically Associated With the Use of the Heart Valve Include, but May Not Be Limited to: •
•
Injury at the access site of the heart that may require repair
All listed risks may include symptoms associated with the medical conditions listed above. CAUTION: Federal (United States) law restricts these devices to sale by or on the order of a physician. See inst ruct ions for use for full prescribing information, including indications, contraindications, warnings, precautions, and adverse events.
The heart stops beating or there is severe damage to the heart
Edwards, Edwards Lifesciences, the stylized E logo, Ascendra, Ascendra 3, Edwards SAPIEN, RetroFlex, RetroFlex 3, and SAPIEN are trademarks of Edwards Lifesciences Corporation. All other trademarks are the property of their respective owners. © 2013 Edwards Lifesciences Corporation. All rights reserved. AR09964
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14 YOUR LIFE UP NORTH
GOOD HEALTH
I
SOUND EFFECTS Baha implants bring meaning to a silent world
magine a life without sound, without the voices of loved ones, of songbirds, of music. Imagine the safety concerns of the hearing impaired, when a siren, a horn, or an alarm can’t be heard. For the deaf or those extremely hard of hearing, such silence is the norm. But today, thanks to advances in technology such as the Baha osseointegrated auditory implant, many of these individuals are joining the world of the hearing. For Peggy Chilson of Petoskey, the first McLaren Northern Michigan recipient of the Courtesy photo Baha implant, the change is nothing Eric Snyder, MD, Peggy Chilson short of astonishing. Chilson was born deaf in her right ear; a condition that was not diagnosed until third grade. “I was not completely deaf, but it was a major inconvenience,” she says. “I missed a lot, and I struggled with it all my life.” Sound comes to us in two ways: through air conduction and bone conduction. The typical hearing aid Image courtesy of Cochlear Americas. uses air conduction to amplify sound waves and deliver them to the ear drum. patients with congenital ear malforBone conduction devices bypass mations, a prior history of extensive the outer and middle ear and send ear surgery, severe conductive hearsound vibrations directly to the in- ing loss, and single-sided deafness,” ner ear through the skull. The Baha explains Dr. Eric Snyder, otolaryn(bone-anchored hearing aid) system gologist with McLaren Northern is for patients who are not suitable Michigan. candidates for air conduction hearing Chilson’s single-sided deafness aids. Those with severe conductive made her an appropriate candidate hearing loss or single-side deafness; for the Baha implant. those who suffer soreness, irritation, “For those with hearing loss in one or drainage with conventional hear- ear, Baha takes advantage of the good ing aids; and those who have malfor- ear and restores the sense of hearing mations of the ear canals might also in both,” says Snyder. “Patients with benefit from Baha implants. “The single-sided deafness are typically Baha is an alternative to conventional very pleased with the results of the hearing aids, and is a great option for procedure.”
The bone conduction system has three parts: sound processor, abutment and titanium implant. The sound processor picks up sound and converts it to vibration; the abutment transfers vibrations from the sound processor to the implant; and the implant transfers sound vibrations directly to the patient’s inner ear via the skull. The road to sound begins when patients undergo a 45-minute outpatient procedure under anesthesia. Peggy Chilson’s procedure took place in March 2013, and following a threemonth healing period, her processor was attached in June 2013. “It’s a miracle to be able to hear on my right side,” she says. “The Baja implant has totally changed my life.” Chilson credits her new hearing with a fortuitous visit to Dr. Snyder’s office. “Because of him, my life is very, very happy.” And maintenance is simple: clean once a day, usually in the shower. McLaren Northern Michigan is currently one of only two locations in the state of Michigan offering the latest BAHA system, which requires less surgery than previous technology. McLaren Northern Michigan patients can have their preoperative evaluation, surgery, and processor activation all on the Petoskey campus. For more information about Baha implants and other hearing procedures available through McLaren Northern Michigan, contact Petoskey Ear, Nose & Throat Specialists at (231) 487-3277, or ask your primary care provider for a referral. Information about other healthrelated topics can be found at northernhealth.org. GL GOODlife 15
GOOD TASTE
Add some smoke to your next pot roast By Metro Creative Services
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ork roast is a favorite dish at dinner tables across the country. Just because pork roast is beloved doesn’t mean home chefs can’t experiment with different preparations. For those who want to give their pork roast a more smoky flavor, consider the following recipe for “Pork Loin Roast With Hot Pepper Jelly Glaze” from Karen Putman and Judith Fertig’s “Championship BBQ Secrets for Real Smoked Food” (Robert Rose).
PORK LOIN ROAST WITH HOT PEPPER JELLY GLAZE Serves 4 to 6
— 1 boneless pork loin roast (about 2 lbs.) — 4 cups apple juice — 1/2 cup Brown Sugar Rib Rub (see below) — 1 cup hot pepper jelly — Additional apple juice for spraying
1. Rinse pork under cold running water and pat dry. Place in a large sealable plastic bag and pour in apple juice. Seal bag and refrigerate for at least 8 hours and up to 12 hours. 2. Remove pork from marinade and pat dry. Discard marinade. Sprinkle dry rub over the surface of the meat, coating evenly. Set aside. 3. Prepare a fire in your smoker. 4. Meanwhile, in a small sauce16 YOUR LIFE UP NORTH
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pan, melt hot pepper jelly over medium-low heat. Keep warm by the smoker. 5. Place pork directly on the smoker rack, add wood to the coals and close the lid. Smoke at 225 F to 250 F, spraying with apple juice every 30 minutes, for 2 hours. Brush with hot pepper jelly, close the lid and smoke, spraying with apple juice every 30 minutes, for 1 to 11/2 hours, or until a meat thermometer inserted in the thickest part of the pork registers 160 F for medium, or until desired doneness. Let rest for 15 minutes before slicing.
BROWN SUGAR RIB RUB
Makes about 31/2 cups
— 2 cups packed dark brown sugar or granulated maple sugar — 1/2 cup fine kosher or sea salt — 1/4 cup sweet Hungarian paprika — 1/4 cup chili powder — 1/4 cup ground lemon pepper — 1/4 cup granulated garlic — 1 tablespoon freshly ground black pepper — 1 teaspoon dried basil — 1 teaspoon dried thyme
In a medium bowl, combine brown sugar, salt, paprika, chili powder, lemon pepper, garlic, black pepper, basil, and thyme.
GOOD THOUGHTS
Change negative behaviors Debbie McGuiness
GoodLife editor
A
s a behavioral health therapist, Preston Greene, program director of Hidden Brook Counseling Services in Petoskey, ends each of the M.E.N.S. group sessions he facilitates with the reminder, “Be kind to the people who love you.” M.E.N.S., Men Exploring Nonviolent Solutions, was formed to help end domestic violence. The group sessions are designed to help men understand that acts of physical and psychological violence are a means of controlling their partner (or children). This control may manifest itself as physical and psychological violence. In collaboration with the justice system, domestic offenders may be courtordered to attend counseling. Hidden Brook Counseling Services in Petoskey provides domestic abuse intervention in three counties — Emmet, Cheboygan and Otsego — and has since Feb-
ruary 1993. There are 39 group sessions to complete the program, Preston Greene and, according to Greene, some Program director, 10 percent of participants are selfHidden Brook referred. Counseling “Some 60 to 80 men come Services through per week,” says Greene, a licensed master social worker and certified advanced alcohol and drug counselor. M.E.N.S. sessions are designed way, to win, the need to be right.” to help men identify the tactics The women’s movement brought they use to control their part- equality to the forefront and now ner and build upon motivation to men must take responsibility for change negative behavior in a safe the impact their behavior is having setting. on others.” “Usually anger is not the probAdditionally, behavioral health lem, control is,” Greene asserts. services provided by Hidden Brook “Any attempt to impose your will on include mental health, marital/ another person is violence and the family therapy, child/adolescent sessions provide the tools needed services, substance abuse, alcoto help men to take responsibility hol highway safety education and for their own feelings, and to con- problem gambling. trol their own behavior. Hidden Brook has offices in We take a look at a belief system, Petoskey and Cheboygan and for male privilege, in which men have more information, or to schedule learned from childhood it is ex- an appointment call (231) 487pected that men are in control, that 1885 in Petoskey or (888) 377-2317 they always must have their own in Cheboygan. GL
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COVER STORY
Happy, healthy holidays Morgan Sherburne GoodLife
E
ach year, you see the same segments on television: how to get through the holidays without the dreaded weight gain. But what about just enjoying the holiday? Enjoying the stuffing, mashed potatoes and sweets that come with the season? Amanda Evans, registered dietitian with Charlevoix Area Hospital, said you can enjoy food at the holidays. It just takes a little choosing.
Choose your foods
“It’s all about choosing to eat those kinds of foods you don’t typically have through the rest of the year,” she said. “Chocolate chip cookies, sugar cookies, you can make those Metro Creative Services Thanksgiving meals can feature lighter fare to discourage guests from overindulging in unhealthy foods. any time. So I might choose to have fudge instead.” Evans, along with a coworker, one healthy thing there,” said Evans. little extra bite to it. used to run a program called “Fit 4 Being social during those potLife” at the hospital, which taught lucks may cut down on your con- Take a walk people to live a healthy life. During sumption, too. So don’t hide behind Walking doesn’t just burn calothe holidays, Evans said they would a plate of food in order to avoid talk- ries. It also can aid digestion after schedule a healthy potluck. ing to your coworkers during those what could be a big meal. But how do you make something holiday gatherings. Instead, have According to a study done in 2008 like mashed potatoes healthy? a conversation — less time to put at the University Hospital of Hei“We made mashed potatoes that food in your mouth. delberg in Germany, walking after were half cauliflower,” said Evans. a meal emptied the stomach faster She also makes a healthier version Watch the drinks than drinking espresso or a brandy of stuffing that includes chopped Evans doesn’t recommend that — drinks called digestifs that are vegetables instead of the total you avoid drinks during the holidays. thought to aid digestion. amount of bread crumbs called for, But she does say that alternating a Too, walking for 15 minutes after and makes her own bread crumbs drink with a glass of water is a good a meal helps regulate blood sugar, out of crumbled, whole-grain bread. idea. This limits your alcohol intake which has health benefits for adults with pre-diabetes, according to a “It’s not going to be calorie free,” and keeps you hydrated. “You could drink club soda and 2013 study published in Diabetes she said. “But you make it healthier add some fruit salad to it,” said Ev- Care. with vegetables.” “Take a walk with family — or, If you’re attending a holiday pot- ans. That way, you get the festive drink sometimes better, alone,” said Evans, luck, make a healthy dish to bring. “At least you’ll know there will be — just alternated with a drink with a smiling. GL 18 YOUR LIFE UP NORTH
Tips for avoiding holiday weight gain 1. Never arrive hungry. Have an apple or The Food Network offers this recipe for some vegetables with dip beforehand, mock garlic mashed potatoes: said Amanda Evans, registered dietitian — 1 medium head of cauliflower — 1 tablespoon of cream cheese, softened with Charlevoix Area Hospital. 2. She recommends, too, not starving yourself all day in preparation for a big meal. “You can go really overboard,” she said. 3. Count your canapés. Keep track of how many small appetizers you have eaten by keeping the toothpicks. Set a limit and stick to it.
— 1/4 cup grated Parmesan cheese — 1/2 teaspoon minced garlic — 1/8 teaspoon straight chicken base or bullion (or substitute 1/2 teaspoon of salt — 1/8 teaspoon freshly-ground black pepper — 1/2 teaspoon chopped fresh or dry chives, for garnish — 3 tablespoons unsalted butter
Boil a stockpot of water. Clean and cut cauliflower into small pieces. Cook in boiling wa5. Use a small plate, especially when there’s ter for about six minutes, or until done. Drain a buffet. Stick to fresh fruit, vegetables well, but do not let cool, and pat cooked cauliflower until very dry between several layers and shrimp. of paper towels. 6. Limit tasting while cooking. “It’s surprisPuree hot cauliflower with cream cheese, ing how fast those calories add up,” said Parmesan, garlic, chicken base and pepEvans. per until almost smooth with an immersion In order to enjoy a holiday foods with less blender or food processor. guilt, Evans suggest switching out some of Garnish with chives and serve with pats of the ingredients with vegetables. butter. Matthew Weeber of Petoskey’s Grain Train Natural Foods Market suggests this spinach artichoke dip. “This recipe features fresh spinach for added health benefits, but still delivers that dipping pleasure that we all crave,” he said.
— 2 18-ounce cans of artichokes, drained and roughchopped — 1 5-ounce clamshell of fresh spinach — 1/3 pound shredded Parmesan cheese — 3 green onions, rough-chopped — 1 fresh jalapeno pepper, diced (adjust according to your threshold for heat)
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GOOD SPORT
The gift of sport Gift ideas for the athlete in your life By Metro Creative Services
T
he quest for the perfect gift is a familiar journey for many holiday shoppers. As any veteran shopper knows, some people are easy to shop for, while others baffle even the savviest of shoppers. But recognizing loved ones’ passions and finding gifts that suit those interests can make shoppers’ quests for the perfect gifts that much easier. Every person is unique, and the things that drive one person may be foreign to another. But nearly every family or group of friends has an athlete in their midst, and gifting the family athlete can be both fun and easy. The following are a few gift ideas, broken down by sport, for shoppers looking to please their favorite athletes this holiday season.
a sleek pair of sunglasses to make watching for flyballs that much easier or batting gloves to lessen the bit of chilly air many hitters are aware of come early spring when the last of the winter weather just won’t go away.
The Martial Artist
Mixed martial arts is one of the fastest growing sports in the world. Thanks in large part to its increasingly strong presence on television, mixed martial arts has inspired athletes across the globe to embrace various forms of martial arts training, and gift options abound for such athletes. Belts, mats and strikMetro Creative Services Many athletes feel yoga is a great way to improve ing pads can help athletes hone their their flexibility and strength. Holiday shoppers lookskills both in the gym and at home, ing for the right gift for the athletes on their lists may want to consider giving a new yoga mat or a few ses- while instructional DVDs can help sions at their loved ones’ nearby yoga studio. novice martial arts enthusiasts pracThe Weightlifter Weightlifting is now embraced by potentially painful and unsightly cal- tice before finding martial arts facilipeople of all shapes and sizes. This luses that often result from weight- ties in their neighborhoods. activity is often recommended as an lifting. integral part of a successful exercise A new gym bag is another poten- The Yogi regimen, so shoppers can help their tial gift for the family weightlifter. Though its status as a sport is favorite fitness fanatics make the Such bags make it more convenient open to debate, yoga can be just as most of their weightlifting routines for athletes to carry their accessories, strenuous and physically demandwith a few gifts designed to do just such as belts, gloves, athletic shoes, ing as more traditional physical acthat. Weightlifting belts can help or even tablets to use while on the tivities. Yoga serves many purposes, prevent injury by supporting lifters’ treadmill or elliptical machines. and more and more athletes have backs as they workout. For lifters begun to embrace yoga to improve who don’t tip the scales, a dip belt The Ballplayer their flexibility, balance and strength. makes an ideal gift. Such belts alWhether shoppers’ favorite ball- While yoga does not require much low men and women to add weight players are still taking cuts at fast- in the way of supplies, yoga enthusito their body when performing ex- balls or have moved on to slow- asts do need yoga mats and clothing ercises like dips, pull-ups and chin- pitch softball, these players will that allows them to perform the varups. That extra weight helps athletes appreciate gifts they can put to good ious poses a typical yoga session dechallenge themselves and build use on the diamond. Softball bats mands. Holiday shoppers may even strength and muscle. can be quite expensive, but the right want to buy the athletes on their lists Workout gloves also make great bat can make a big difference in the a few sessions at their nearby yoga gifts for weightlifters, helping to batters’ box. Additional equipment studios in an effort to supplement protect their hands from developing shoppers can consider is a new mitt, their existing workouts. 20 YOUR LIFE UP NORTH
GOOD BUYS
Create your own winter emergency car kit Brandon Hubbard Northern Michigan Review
I
t doesn’t take long stranded on the cold Northern Michigan roadside before someone suspects they are in a sequel to that 1990s movie Alive. This isn’t the Andes, and you won’t need to eat any family or friends to make it out of a dire situation. But, a little forethought goes along way when in the winter survival game. Here are a few suggestions for building an emergency kit to get through a bad day on the highway:
Start with the basics
Most of the essential items everyone should have in their car luckily are probably already in their home. All emergency kits should for all seasons should start with a first aid kit, a cellphone with a portable charger and flashlight with plenty of batteries. When it comes to preparing specifically for winter, AAA Michigan recommends a few additions to combat cold and keep drivers on the road. “Most of it is common sense things, like the old Boy Scout motto ‘be prepared,’” says Nancy Cain, with AAA Michigan. Cain recommends having extra boots, hats and gloves, a blanket, some non-perishable food and water, a snow shovel, an ice scraper and some kitty litter (for traction when stuck) to start. One thing people often forget during the winter are car basics such as windshield wiper fluid or keeping your gas tank at least half full. “Visibility gets bad when windshields build up with salt and grime
G. Randall Goss/Good Life A good winter emergency survival kit might include items such the ones included in this photo. This kit includes jumper cables, tow rope, first aid kit, water tote bag, an emergency cone that doubles as a megaphone, a 12 volt air compressor or a can of fix a flat, a rain poncho, a flash light and fresh batteries, a snow shovel and kitty litter for traction. Warm clothing, a blanket and some energy bars are also good ideas.
“We get a lot of calls during the from the road during the winter,” Cain said. “So, you want to keep washer winter months, especially during that fluid topped off ... Another thing is first winter snow storm,” Cain said. “It to make sure the wiper blades aren’t is like people in Michigan who have lived here their entire lives forget how frayed or cracked.” Keeping the gas tank as full as pos- to drive in the snow during that first sible will keep extra weight in the vehi- storm. So, we always say pay attencle for traction, while also making sure tion to the weather reports and drive the car isn’t susceptible to cold. the conditions. If there is a major “We suggest you keep your fuel tank snow storm coming, don’t drive if it half full, because fuel lines can freeze isn’t necessary. If you do have to drive, up,” Cain said. “The moisture also gets drive the speed limit.” If you have followed the first steps in the gas tank when it is low. Plus, you want to make sure you don’t get stuck above, there should already be a cellphone in the car. Most cellphones and run out of gas during the winter.” now have applications for real-time Get a weather app weather reports with National WeathCheck the weather. Continued on page 22 GOODlife 21
GOOD BUYS Continued from page 21
er Service Doppler radar imaging. The Weather Channel makes such an app for mobile devices, which happens to be free. Download one and check the forecast before leaving the driveway.
Buy a tire gauge
Snow tires are a great way to get some extra tread for snowy conditions, but don’t forget to check the tire pressure fluctuations throughout the winter. A 10 degree drop in temperature can cause the pressure per square inch in a tire to go down slightly. While major changes in tire pressure are not usually needed, it is important to make sure the tires stay near the factory recommended pressure guidelines. Buy a tire pressure gauge. They generally cost less than $20 for a digital reader. Still not convinced this is something worth a crisp, green Jackson? Consider this: Experts at the U.S. Department of Energy cite under-inflated tires as being responsible for about a 3 percent loss in overall gas mileage for every 1-pound-per-square-inch a tire is off.
Test your battery
Nothing says winter like a dead car on a work day. “Our most common call is ‘can’t-starts’ which in the winter is usually the battery,” Cain said. “Heading into the winter you want to have a good battery.” Cain said in the winter months a battery needs to have more starting power than on a warm summer day. Automotive supplier Interstate Batteries notes a vehicle’s battery can lose up to 33 percent of its power when temperatures dip below freezing and 50 percent with conditions below zero degrees. So, even if a battery shouldn’t be near the end of its expected life, it is a good idea for a check up. Most oil change shops or local mechanics will check the battery levels for little or no cost. A half charged battery can die at about 32 degrees, while a fully-charged battery can withstand up to negative 76 degree conditions without freezing, Interstate Batteries cites. For those unexpected moments, make sure to have either a good, long set of jumper cables or a remote battery charger. GL
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