2024 Health & Wellness Directory
A comprehensive guide to physicians and healthcare providers serving the Illinois Valley
VILLAS
ESTATES
HAWTHORNE INN
ASSISTANCE
General Manager/ Advertising Director Jeanette Smith jmsmith@shawmedia.com
Did you know?
No one is immune to migraine headaches, including children. According to the American Migraine Foundation, approximately 10 percent of children experience migraines. Children may be more likely to experience migraines if a parent or both parents get them. The AMF notes that children with one parent who suffers from migraines have a 50 percent chance of getting them as well, and that increases to 75 percent among children who have two parents that experience migraines. Children may even exhibit signs of migraines as early as infancy, as the AMF reports that colic in infants is a potential early indicator of migraines in youngsters. TF246013
FARRELL CHIROPRACTIC CLINIC
ASSISTED LIVING
Greenfield Retirement Home
508 Park Ave East Princeton, IL 61356 815-872-2261 greenfieldhome.org
Liberty Village of Peru 1101 31st St. Peru, IL 61354 815-224-2200 libertyvillageofperu.com
Stonecroft Village Retirement Community 1700 Burlington St. Mendota IL 61342 815-830-1855 www.stonecroftvillage.com
AUDIOLOGISTS
Theos Audiology Solutions 2200 Marquette Rd., #115 Peru, IL 61354 815-223-1100 www.theosaudiology.com
Wallace Center for Hearing 4127 Progress Boulevard Peru, IL 61354 (815) 223-3201 wallacecenterforhearing.com
CHIROPRACTORS
Farrell Chiropractic Clinic 682 E. Peru St. Princeton, IL 61356 815-875-4408
Marty Chiropractic 1310 N, IL-251 Lostant, IL 61334 (815) 368-3421
Dr. Rhonda Marty-Anderson www.martychiropractic.net
Marty Chiropractic 1310 N, IL-251 Lostant, IL 61334 (815) 368-3421
Dr. Eric W. Anderson www.martychiropractic.net
DEMENTIA CARE
EYE CARE
Blanco Kays Corgiat Eyecare, LLC
200 W. Dakota St. Spring Valley, IL 61362 (815) 663-8281
1802 N Division St., Ste. 205 Morris, IL 60450 (815) 942-3042 www.bkceyecare.com
FAMILY MEDICINE
Davis Family Health 1201 Meriden St. Mendota IL 61342 (815) 538-1800
FOOD
McDonald’s
Spring Valley, Mendota and Princeton www.mcdonalds.com
FOOT CLINIC
Leonard M. Kuzmicki, DPM 416 E. Dakota St. Spring Valley, IL 61362 (815) 663-2511 www.springvalleyfootclinic.com
FURNITURE
Meyers Furniture & Bedding 1901 N State Highway 251 Mendota, IL 61342 (815) 539-6263 meyersfurnitureandbedding.com
HEALTHY EATING
Sullivan’s Foods – Mendota 1102 Meriden St Mendota, IL 61342 (815) 539-9341
HEARING
Theos Audiology Solutions 2200 Marquette Rd., #115 Peru, IL 61354 815-223-1100 www.theosaudiology.com
Wallace Center for Hearing 4127 Progress Boulevard Peru, IL 61354 (815) 223-3201 wallacecenterforhearing.com
Liberty Village of Peru 1101 31st St. Peru, IL 61354 815-224-2200 libertyvillageofperu.com
DENTISTS
Dr. William White 225 Gooding St. LaSalle, IL 61301 815-224-1865
HOME CARE
At Home Care
2011 Rock St Suite D2 Peru, IL 61354 (815) 554-9030 www.illinoisvalleyhomecare.com
HOSPITALS
OSF Healthcare www.osfhealthcare.org
INDEPENDENT LIVING
Liberty Village of Peru
1101 31st St. Peru, IL 61354
815-224-2200
libertyvillageofperu.com
INSURANCE
Lori Janko Wilke - State Farm 2025 Rock St. Peru, IL 61354 (815) 223-2118 jankowilke.com
MENTAL HEALTH & COUNSELING SERVICES
Maitri Path to Wellness
Kelly Jones, LCSW CADC SAP
Rachel Edgcomb, LCSW CADC
Tamara Beaner, LSW
710 Peoria St. Peru, IL 61354 815-780-0690 maitripathtowellness.com
North Central Behavioral Health Systems 2960 Chartres St. LaSalle, IL 61301 815-224-1610 NCBHS.org
727 East Etna Road Ottawa, IL 61350 815-434-4727
PHYSICAL REHABILITATION
Liberty Village of Peru 1101 31st St. Peru, IL 61354 (815) 224-2200
libertyvillageofperu.com
SENIOR LIVING
Liberty Village of Peru 1101 31st St. Peru, IL 61354 (815) 224-2200
libertyvillageofperu.com
SUBSTANCE USE DISORDER COUNSELING SERVICES
Maitri Path to Wellness
Kelly Jones, LCSW CADC SAP
Rachel Edgcomb, LCSW CADC
Janet Hutchins, CADC
710 Peoria St. Peru, IL 61354 815-780-0690
maitripathtowellness.com
Tips to Take Care of Your Skin
As the body’s largest organ, skin is of the utmost importance to overall health. The skin protects against germs, regulates body temperature and enables tactile sensations, says the Cleveland Clinic. Despite those vital functions, skin is easily overlooked in health care regimens.
Even though the skin is susceptible to aging just like every other part of the body, there are steps everyone can take to maintain healthy skin throughout their lifetimes. Dermatologists, including those from the American Academy of Dermatology, share tips on how to care for and protect the skin so it looks beautiful and functions properly.
• Use sun protection. One of the key ways to care for the skin is to protect it from the sun. Over time, sun exposure can cause age spots, wrinkles and elevate the risk for skin cancer. Always use a broad-spectrum sunscreen with an SPF of 15 or higher. Apply generously and be sure to reapply every two hours or more if you will be swimming or perspiring.
• Stay away from tanning beds. People mistakenly think that using tanning beds is safer than sitting out in the sun. However, tanning beds emit harmful UV radiation that can cause skin cancer just like the sun. The AAD says one indoor tanning session can increase the risk of developing melanoma by 20 percent. Use self-tanning products instead for a golden glow.
• Quit smoking or never begin. Smoking makes the skin look older and contributes to wrinkles. Smoking narrows the tiny blood vessels in the outermost layers of the skin, decreasing blood flow to the skin and making
the skin more pale, says the Mayo Clinic. Smoking also depletes oxygen in the skin and can damage collagen and elastin, the fibers that give skin its elasticity and strength.
• Avoid an overload of products. Many dermatologists suggest their patients stick to the basics daily, which includes a mild cleanser, moisturizer and sunscreen. Drinking plenty of water also helps the skin. Exfoliating the skin once a week can help remove dead skin cells, but don’t overdo it, which can lead to excess oil production and breakouts.
• Select the right products for your skin type. Choose products that pertain to your skin type, which may be sensitive, normal, dry, oily, or a combination thereof.
• Don’t forget the lips. Many people treat their entire faces but then do not address the skin on their lips. Skin cancer can form on the lips, so use a lip balm that has an SPF of 30 or higher. Petroleum jelly can add moisture to the lips if they feel dry.
• Visit a dermatologist. A dermatologist is an expert in many conditions of the skin, hair and nails. He or she can perform an annual examination to look at the entire body and determine the health of skin, and identify any moles or spots that may be of concern.
• Check your own skin. People are advised to pay attention to their skin and look regularly for new spots; spots that are different from other spots on the body; moles that itch, bleed or change color; and any other things that seem not quite right.
Taking care of the skin throughout the years can help a person look and feel his or her best. TF249296
DID YOU KNOW?
Peaches are tasty and good for the body as well. Peaches are related to apricots, cherries, almonds, and plums. They’re known as stone fruit because their flesh surrounds a shell with an edible seed. Peaches are packed with beneficial plant compounds, minerals and vitamins. Peaches contain about two grams of fiber in one medium-sized peach. Fiber helps to move food through the digestive system and reduce the likelihood of constipation, offers Healthline. Peaches also contain Vitamin A, an antioxidant that helps the immune system fight infection. They also have vitamin C, which the body needs to fight off infection. Peaches are good sources of potassium, which the body needs to regulate heart rate and blood pressure. Foods high in potassium also can help lower blood pressure, says WebMD. Vitamin K, which helps heal wounds, also is found in peaches. Research says that peaches may help to prevent cancer as well. One study indicated that consuming peach peels offers the highest level of anticancer phytochemicals, which assist in protecting cells from free radical damage that can lead to cancer. TF248196
The following are a preview into our list
ACCELERATED RESOLUTION THERAPY (ART)
ART is a type of therapy that combines principles from several traditional forms of psychotherapy to reduce the effect of trauma and other psychological stressors by using techniques such as rapid eye movement and image rescripting. Clients see results in as little as 1 - 5 sessions. ART also works well for clients with Anxiety, Depression, Panic Attacks,Obsessive Compulsive Disorder (OCD), Post Traumatic Stress (PTS),Addictions, and more.
INDIVIDUAL COUNSELING
One on one confidential therapy for your mental health and/or substance use disorder concerns. Together we assist clients in identifying and achieving their individualized goals. Together we aim to develop and improve coping skills for everyday challenges, life stressors and personal growth using evidence-based tools and individualized treatment planning.
SUBSTANCE USE DISORDER TREATMENT GROUPS
Level 1 Outpatient and Level 2 Intensive Outpatient treatment groups are designed to help clients achieve and maintain changes in alcohol and/ or drug use and addictive behaviors. Clients will learn new coping skills, recovery strategies, build interpersonal skills, and develop social support networks.
MORAL RECONATION THERAPY (MRT)
MRT is a cognitive-behavioral treatment program that leads to enhanced moral reasoning, better decision making, and fosters moral development in individuals.
CONFLICT RESOLUTION FOR RECOVERY
A research-based curriculum to help reduce relapse and sustain recovery in adults with a substance use disorder, by improving their conflict resolution knowledge, attitudes, and skills.
MY ONGOING RECOVERY EXPERIENCE (MORE) MORE is program that uses core education, guidance, and skill-building activities to help participants succeed in initiating and sustaining recovery.
MINDFULNESS-BASED SOBRIETY Integrative approach to addiction recovery. Mindfulness-based therapy with relapse prevention.
MINDFUL SELF-COMPASSION (MSC)
MSC is a treatment program that combines the skills of mindfulness and self-compassion, providing a powerful tool for emotional resilience.
SEEKING SAFETY
Seeking Safety is an evidence-based counseling model to help people attain safety from trauma and/or substance use disorders.
STRAIGHT AHEAD:
TRANSACTION SKILLS FOR RECOVERY
Emphasizes building and enhancing support networks for recovery in the community and helps clients improve social skills, problem solving, and perceptions of self-worth that foster recovery maintenance.
EXTENDED CARE
Residential drug addiction and mental illness recovery center.
What to Expect at Your Next Eye Exam
Regular eye examinations are important components of a personal health regimen. Visiting an eye doctor can alert a person to potential vision impairments, and certain symptoms that show up in the eyes could be indicative of notable health problems. The American Academy of Ophthalmology says everything from brain tumors to aneurysms to high cholesterol can be detected in the eyes.
For those who do not have any apparent vision problems, most doctors recommend following a chart based on age. The insurance experts at Aetna suggest the following age-based intervals:
• Ages 20 to 39: Every five years
• Ages 40 to 54: Every two to four years
• Ages 55 to 64: Every one to three years
• Ages 65 and up: Every one to two years
Individuals who wear glasses or contact lenses, have a family history of eye disease, or have a chronic condition that puts them at risk for eye disease, like diabetes, should get vision exams more frequently.
Despite the significance of eye exams, many people do not visit an eye doctor until something is amiss with their vision or eyes. Perhaps individuals would be inclined to visit the eye doctor more
frequently if they knew what to expect during an exam. Here’s what people can expect the next time they step into a private eye doctor’s office or a vision center, courtesy of The Cleveland Clinic and Warby Parker.
• Visual acuity: The eye doctor will ask you to read an eye chart while looking through a device called a phoropter. This device has several lenses that can be adjusted to help you see better and find the right corrective lens prescription.
• Visual field: The doctor will check peripheral vision by holding up a finger or an object and moving it gradually to the side of your face. Additional movements may include up and down. Some offices use a computer program to conduct this test.
• Automatic refraction: Visual acuity can be measured with this test, during which an autorefractor shines light into the eye and measures the eye’s response. It’s commonly used with children or adults who may struggle to communicate what they’re seeing.
• Pupil function: The eye doctor will briefly shine a handheld light into each eye and then move the light away to watch how the pupils constrict and dilate.
• Slit lamp exam: This test involves a slit lamp, which is a type
of microscope that enables the eye doctor to see the eyes in close detail.
• Tonometry measurement: Glaucoma occurs when intraocular pressure is high. Some eye doctors will conduct tests to determine the pressure. One way is with a non-contact tonometry test, which is a puff of air squirted at each eye. With applanation tonometry, the doctor first administers a mild numbing agent to the eye, and then uses a pressure-sensitive instrument to gently tap on the surface of the eye to get a pressure reading. A rebound tonometry test requires a handheld device that makes brief contact to the eye and doesn’t require local anesthesia.
• Pupil dilation: The eye doctor will administer eye drops that dilate the pupils, which enables a better view of the retina, optic nerve, cornea, and surrounding blood vessels during an ophthalmoscopy.
• Special photography: The eye doctor may utilize specialized imaging equipment that will take digital images of the eyes to diagnose various retinal, optic nerve and corneal conditions.
These are some of the things people may experience during a comprehensive vision exam. TF248184
How to protect your hearing over the long haul
Hearing loss is often seen as an inevitable part of aging. However, data from the National Institutes of Health indicates one in two people over the age of 85 has hearing loss, which suggests half of all individuals in that age bracket have no such issue. That should be encouraging to individuals concerned by the prospect of losing their hearing in their golden years.
The American Academy of Audiology notes that age-related hearing loss is known as presbycusis. Presbycusis can develop due to a combination of variables, including changes to blood flow and the structures of the inner ear as the body ages and shifts in how the brain processes speech and sounds. Certain medications and medical issues, including diabetes and poor circulation, also can exacerbate age-related hearing loss. Though some hearing loss as individuals grow older may be related to age, Father Time cannot bear all the blame
when individuals begin to lose their hearing. In fact, the National Institute on Deafness and Other Communication Disorders, using data from the 2015-2020 National Health and Nutrition Examination Survey, notes that roughly 5 percent of adults between the ages of 45 and 54 have disabling hearing loss. Such losses are unlikely to be a byproduct of aging, and more likely indicative that individual behaviors can affect the degree to which a person loses or maintains his or her hearing.
Preventive health care is vital to protecting the body long-term, and such maintenance can include steps to safeguard hearing over the long haul. The Hearing Health Foundation notes the following are some simple ways individuals can protect their hearing in the years to come.
• Keep the volume down. The HHF advises individuals listen to personal audio devices at 50 to 60 percent of maximum audio level. Some smartphones are pre-programmed to alert users when they attempt to exceed these levels, and users are urged to heed these warnings when adjusting the volume on their devices.
• Lower the volume the longer you listen. Prolonged listening at high volumes can be especially harmful to hearing, even if users are listening at 50 to 60 percent of the maximum audio level. If you intend to listen for a long period of time, lower the volume even further.
• Take listening breaks. The
HHF recommends routine listening breaks from personal audio devices. Individuals who listen to personal devices throughout a workday are urged to take breaks at least once every hour.
• Wear over-the-ear headphones. The HHF recommends individuals choose over-the-ear, noise-cancelling headphones over earbuds. Over-the-ear headphones are more effective at creating a seal that blocks out ambient sounds, which means users are less likely to turn up the volume on their headphones than they might be when using earbuds.
Routine hearing examinations are an effective way to monitor hearing, and individuals are urged to make them part of their preventive health care regimen. When measures are taken to protect long-term hearing, individuals may find it easier to manage age-related hearing loss if they experience it.
TF24A348
Your Pathway to Naturally Better Hearing
· Comprehensive audiological evaluations and functional communication needs assessments
· Fitting and programming of digital hearing aids
· Unbundled, transparent hearing aid prices
· Routine hearing aid maintenance
· Hearing aid repairs, batteries and supplies
“Kendra and her staff
· Tinnitus assessments and Tinnitus Retraining Therapy (TRT)
Routine
Comprehensive audiological evaluations and functional communication needs assessments
Fitting and programming of digital hearing aids
Unbundled, transparent hearing aid prices
“Dr. Kendra and Dr. Kristin, along with office manager, Maricia, are caring, professional and very personable. They make time to be available to ensure that their patients are informed and well cared for.” – Mary Jo F.
Kristin Williford, Au.D.; Kendra Theodosopoulos, Au.D.; Maricia Cocanour, Patient
Katie W.
Celiac-safe Food Choices
Gluten intolerance has gained greater recognition in recent years, as many people have transformed their diets to include fewer foods that contain gluten. Although many avoid gluten as a personal choice, people with Celiac disease must avoid gluten to stay healthy.
According to the Celiac Disease Foundation, gluten is a general name for the proteins found in various grains. Gluten helps various foods maintain their shape, essentially serving as a glue that holds foods together. While gluten is largely in foods that one expects, including certain pastas and bread products, it also can be hidden in less obvious types of foods.
For those with Celiac disease, eating gluten triggers an immune response to the gluten protein in the small intestine, says the Mayo Clinic. Over time, this reaction damages the lining of the small intestine and prevents it from absorbing nutrients. Gluten also may cause inflammation in other parts of the body.
The current approach to treating Celiac disease is to avoid any foods that contain gluten, and that list is long. Grains that contain gluten include wheat, barley, rye, triticale, farina, spelt, kamut, wheat berries, farro, and couscous. While oats are naturally gluten-free, they often are manufactured and packaged on equipment that also processes other grains, so they can become cross-contaminated. It’s essential to look for grains that contain a “certified gluten-free” label.
There are many things those with Celiac disease and gluten intolerances cannot eat, but the good news is there are plenty of gluten-free foods that are safe and delicious. Foods that make the most sense are those that are naturally gluten-free, including:
• fruits
• vegetables
• rice
• potatoes
• rice noodles
• meats and seafood (not battered)
• corn and corn products like corn starch and corn chips
• legumes
• nuts
• millet
• quinoa
• amaranth
• teff
• cassava
• tofu
• Non-wheat beers and other alcoholic beverages
Try to avoid pre-mixed or prepared products. Avoid any foods and beverages that you cannot confirm as gluten-free. Soy sauce and teriyaki sauce are tractionally made with fermented crushed wheat, which people who must avoid gluten may not recognize. Soups thickened with a “roux” typically have
flour in them. Salad dressings may use malt vinegar or modified food starch that is made from wheat. Some cheeses have added flavors or other ingredients that may contain gluten. Gluten may be in the products used to prevent caking in shredded cheese. Also, some imitation meat products add wheat gluten to bind the “meat” and may use yeast extract for flavor. Going gluten-free requires vigilance and constant awareness of ingredients. However, there are many foods and recipes that people who must avoid gluten can still enjoy. TF24A345
The good, the bad and the confusing about cholesterol
Cholesterol can be a complicated subject that many people might admit they do not fully understand.
Most people have been taught that cholesterol is a bad thing. And for a while it was thought that dietary cholesterol, which is the cholesterol found in food, had a big impact on raising cholesterol in the blood. However, Healthline reports that more recent science indicates this is not the case for most people. Is it any wonder that cholesterol is still a mystery to so many?
WHAT IS CHOLESTEROL?
Cholesterol is a fat-like, waxy substance that occurs naturally in the body. Although widely believed to be harmful, cholesterol is actually necessary for the body to function. Healthline says the body needs it to make hormones and vitamin D, and cholesterol contributes to the membrane structure of every cell in the body.
WHAT ARE LIPOPROTEINS?
When people talk about heart health and cholesterol, they’re really speaking about lipoproteins and not about cholesterol itself. Lipoproteins are structures that carry cholesterol through the blood. There are two main types of lipoproteins: high-density lipoprotein (HDL) and low-density lipoprotein (LDL). HDL is typically called the “good” cholesterol, because it moves extra cholesterol from the bloodstream to the liver where it is cleaned out, says the Cleveland Clinic. LDL is the “bad” cholesterol because, when amounts of it are excessive, that contributes to plaque buildup in the arteries. You need some LDL to carry cholesterol to the body’s cells, but having too much can be troublesome. HDL carries some LDL away from the arteries but other steps are needed to lower HDL. Another lipid in the blood includes triglyceride, which is a type of fat. High levels of
triglycerides also can put a person at risk for heart issues, including atherosclerosis, which is a hardening of the blood vessels.
DIETARY CHOLESTEROL VS. BLOOD CHOLESTEROL
The amount of cholesterol in the blood and the amount in one’s diet are two different things. Typically, eating foods that contain cholesterol does not directly correspond to an elevated blood cholesterol level. Blood cholesterol is mainly determined by the amount of fats and carbohydrates in the diet, as well as genetics. Some people are simply genetically prone to high cholesterol levels. Even for people whose blood cholesterol is affected by dietary cholesterol (hyperresponders), research shows dietary cholesterol only moderately increases LDL, and in these cases it does not seem to increase their risk of heart disease, offers Healthline.
HOW TO MAINTAIN GOOD CHOLESTEROL HEALTH?
According to Piedmont Healthcare, there are ways to control cholesterol and lipoproteins so they are beneficial to the body.
• Choose foods lower in saturated fat and be mindful of foods that can impact blood sugar levels.
• Quit smoking
• Reduce stress levels, which may help you avoid eating high-fat foods as a coping mechanism.
• Exercise regularly
• Weight loss can both increase HDL and lower LDL
• Choose low-fat or nonfat dairy products and lean meats
• Incorporate more fiber into your diet, which will help remove excess LDL.
There is much confusion about cholesterol among the general public. But learning the basics of cholesterol can help individuals make more informed decisions about their diet and overall health.
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Long-term solutions to protect joints
Periodic aches and pains can affect anyone. Individuals who are physically active and even those who live largely sedentary lifestyles may experience pain from time to time. In fact, many professional and amateur athletes experience relatively minor, shortterm injuries at one point or another, and rest is often the best remedy to overcome such obstacles.
Though minor tweaks may be somewhat normal, longterm issues like persistent joint pain should not be written off as par for the course. It can be tempting to write joint pain off as a concern only serious athletes need to worry about. Terms like “tennis elbow” and “runner’s knee” can give less physically active individuals a false impression of joint pain and what causes it. But the Mayo Clinic notes that lack of exercise can contribute to pain and stiffness in the
joints. That’s because exercise strengthens the muscles and tissues that surround the joints. That added strength puts less stress on the joints.
In recognition of the threat posed by chronic joint pain, the Arthritis Foundation® recommends individuals take various steps to protect their joints over the long haul.
• Focus less on fashion in regard to footwear. High heels may be the epitome of glamorous footwear, but women who routinely wear high heels will pay a steep price. The AF notes that heels put added stress on the knees and increase risk for osteoporosis, and experts indicate that three-inch heels are seven times more stressful on feet than one-inch heels. But women aren’t the only ones whose footwear fashion sense could be hurting their joints. Men also must pay attention to what they’re putting
on their feet. For example, sandals without a back strap force toes to overgrip the edge of the sandal, putting needless strain on each foot and potentially causing issues with the toes.
• Alternate between sitting and standing throughout the day. Joint stiffness and strain can develop when individuals spend lengthy periods of time sitting or standing. The AF recommends taking a break to stand up or sit down every 30 minutes. Professionals who sit at a desk all day may want to switch to height-adjustable desks that make it easy for them to transition from sitting to standing and still get their work done.
• Maintain a healthy weight. Being overweight causes a ripple effect that impacts the entire body, including the joints. The AF notes that researchers have determined that losing 11 pounds can
reduce risk for osteoarthritis of the knee by 50 percent. On the flip side, each extra pound an individual carries puts four times the stress on his or her knees. Exercising to lose weight can provide the added benefit of preventing joint stiffness.
• Opt for low-impact activities. Low-impact activities like cycling and swimming are easier on the joints than fitness classes that involve high-intensity dancing and kickboxing. In addition, when choosing between a treadmill and elliptical machine, the Mayo Clinic notes that ellipticals are generally considered low-impact machines that are less stressful on the knees, hips and back than running on a treadmill or even outdoors.
Various strategies can help individuals maintain healthy, pain-free joints over the long haul. HM221606
JOINT PAIN SLOWING
Joint pain can keep you from doing many of the activities you enjoy most. When medication, diet and exercise no longer reduce pain and discomfort, you can trust the specialists at
We provide comprehensive care that can get you back to doing the things you love. Our services include:
• Total hip, knee and shoulder replacement
• Mako Robotic-Arm assisted surgery Sports medicine
osfhealthcare.org/joint
Powered by Ortho Illinois surgeons:
Connor Kasik, DO
Robert Mitchell, DO
Tiger Onsen, MD