Macomb Health & Life: Summer 2016

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spring/Summer 2016 | $3.95 mclaren.org/macombhealthandlife

fix that golf swing! meals kids will crave head for the (texas) hills Things to do all summer

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Experience Matters.

Get the cardiac care you need at McLaren Macomb. > Diagnostic imaging, electrocardiology and stress testing > Updated cardiac catheterization lab > Heart rhythm center and cardio electrophysiology lab > Heart failure management clinic > Cardiac rehabilitation program > Cardiac specialty care inpatient unit

Accredited by the Intersocietal Commission of Accreditation of Echocardiography Laboratories Certified by the American Association of Cardiovascular and Pulmonary Rehabilitation Earned Accreditation in Heart Failure by the Society of Cardiovascular Patient Care Granted Heart Failure Accreditation by the Society of Cardiovascular Patient Care Certified by the American Association of Cardiovascular and Pulmonary Rehabilitation Recognized as an Accredited Chest Pain Center by the Society of Cardiovascular Patient Care

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Heart disease is the leading killer in Macomb County.

McLaren Macomb is the best place to fight it.

When someone you love is diagnosed with a cardiac condition, you want the very best care and you want it close to home.

At McLaren Macomb’s Mat Gaberty Heart Center, we provide excellent cardiovascular care for our neighbors in Macomb County and throughout the region.

Led by board-certified cardiologists and cardiovascular surgeons, McLaren’s Cardiovascular Institute program has earned clinical recognitions from national accrediting organizations. We work to earn these accreditations as we continually advance our capabilities, technology and cardiac care services.

Because heart disease is serious, and so are we.

Learn more at www.mclarenheart.org

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Contents

Spring/Summer 2016

26

FEATURES 14

Amazing advances in cancer care

From new types of medications to advances in radiation therapy, McLaren Macomb is providing the latest treatments to area residents.

17

Bobette’s battle

A routine colonoscopy changed the life of this McLaren Macomb employee.

18

student athletes: summer checklist The upcoming vacation is the perfect time for players to test their strength, balance and hand-eye coordination.

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back in the swing

Attention golfers! Spend some time getting into proper condition before heading to the course.

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22

A heart condition debilitated a local woman for years—until an innovative procedure gave her renewed life.

A Macomb County-wide initiative seeks to celebrate, promote and develop freshwater resources while expanding the local economy.

healthy outcome

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Sleep myths: busted

A lack of quality sleep can lead to depression, high blood pressure, heart disease and other health conditions.

Our Blue economy

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Something old

The unexpected touch that gives a room true distinction?

It could be a well-placed item with an intriguing history.

i n e v ery i s s ue

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W e lc o m e l e tt e r E d ito r’s N ot e W h e r e to E at be there

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In Good Health makes its TV debut The show will also take you out of the studio and into the community— either dropping in on some of the interesting goings-on in Macomb County or offering viewers how-to segments that will leave them with knowledge and new skills they can use right in their homes, such as step-by-step yoga poses and healthy recipes.

Produced with Clinton Township Television and airing on local cable channels throughout Macomb County.

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Contents

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DEPARTMENTS 12

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Our guide to new ideas, tips, trends and things we love in Macomb County.

Its spicy cousins may win more fame, but the sweettasting red pepper is packed with disease-fighting nutrients.

Local Buzz

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Power food

Gatherings

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Want to be strong physically and financially? Heed these eight tips.

Photos from recent McLaren Macomb events.

Escapes

A secret no more, Fredericksburg, Texas, is the per fect place for a long weekend getaway.

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Tastes

Financial Balance

48

Health News

Learn about the benefits of drinking your veggies, taking an aspirin, snacking on avocado and more.

Try these five delicious meals guaranteed to delight even the fussiest eaters in your family.

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Launched by County Executive Mark A. Hackel in 2011, the Make Macomb YOUR Home campaign is designed to promote all that our community has to offer for residents and visitors.

An award-winning website is regularly updated with lots of information about where to be and be seen in Macomb County.

Looking for something to do? Check out the “Play” tab where you will find information about golfing, restaurants, breweries, farmers markets and much more.

Want to “Shop Local?” Check out the searchable database of Macomb County's independently owned and operated retailers.

No excuse for boredom! The “events” tab offers a robust calendar of local activities.

Seasonal updates provide information about winter fun, summer day camp, “upick” farms and more.

Ready to make a move? Find your next home under the “Live” tab.

And, the MMYH Blog features interesting stories about Macomb County people, places and things as written by staff and guests bloggers.

Visit MakeMacombYOURHome.com today!

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WELCOME LETTER

HERE’S TO SUMMER! Make appointments online, anytime.

Appointments are available from a range of primary care providers, including family medicine, internal medicine, and pediatric care physicians.

Visit our website to learn about our team, access new patient forms and make your next appointment. The process is quick and easy, and you’ll receive a confirmation email from our team.

A S WE RE TURN TO WAR ME R WE ATHER, M A NY Macomb County residents begin to think of outdoor activities. With more than 30 miles of Lake St. Clair coastline and a host of parks, walking trails and golf courses, Macomb County offers something for everyone. From events in downtown Mount Clemens to concerts at Freedom Hill, there are lots of opportunities for fun throughout our region.

In this issue of Macomb Health & Life, we share information to help make your summer a good one. In addition to the event calendar and local restaurant listing, you’ll find great recipes and travel ideas. If you’re a parent like me, you’ll want to be sure to prepare your children for a healthy summer. Take a moment to read “100 Dangerous Days for Teens” on page 23, which offers insight regarding teens and safe driving. We also feature an article on Macomb County’s Blue Economy, which provides details of several initiatives that will enhance our growing community.

Undoubtedly, it’s a great time to live in Macomb County. We hope the content in this issue of Macomb Health & Life highlights some of the reasons for that. On behalf of the team at McLaren Macomb, we hope summer 2016 is your best one yet.

Wishing you the best of health,

Thomas Brisse President & CEO McLaren Macomb

Visit our website to make an appointment or learn more at mclaren.org/macombappointments

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FOR ADDITIONAL INFORMATION ABOUT MCLAREN MACOMB, VISIT OUR WEBSITE AT MCLAREN.ORG/MACOMB.

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Schedule physician appointments online Anytime.

Don’t wait for office hours to schedule your next physician appointment. Schedule your appointment online with a McLaren Medical Group primary care or OB-GYN physician at mclaren.org/macombappointments and get your care in your community.

McLaren Macomb Internal Medicine & Health 37399 Garfield, Suite 106 Clinton Township, MI 48036 (586) 226-3500 www.mclaren.org/macombIM McLaren Macomb Family Medicine 16700 21 Mile Road, Suite 101 Macomb, MI 48044 (586) 263-0320 www.mclaren.org/macombFM McLaren Macomb-Shelby Creek Family Medicine 8180 26 Mile Road, Suite 101 Shelby Township, MI 48316 (586) 465-2000 www.mclaren.org/shelbycreekFM McLaren Macomb-Lakeshore Medical Center 33720 Harper Avenue Clinton Township, MI 48035 (586) 294-5210 www.mclaren.org/lakeshoremc McLaren Macomb Warren Family & Internal Medicine 19041 12 Mile Road Roseville, MI 48066 (586) 758-6263 www.mclaren.org/warren McLaren Macomb-Clinton Township Family Medicine 37399 Garfield, Suite 203 Clinton Township, MI 48036 (586) 228-2911 www.mclaren.org/clintontownshipFM

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McLaren Macomb Primary Care 13425 19 Mile Road, Suite 100 Sterling Heights, MI 48313 (586) 843-3935 www.mclaren.org/macombprimarycare

McLaren Macomb Pediatrics 16700 21 Mile Road, Suite 104 Macomb, MI 48044 (586) 226-2032 www.mclaren.org/macombpediatrics

McLaren Macomb Clinton Township Internal Medicine 36539 Harper Avenue Clinton Township, MI 48035 (586) 792-8877 www.mclaren.org/clintontownshipIM

McLaren Macomb Clinton Township Pediatrics 22500 Metropolitan Parkway, Suite 200 Clinton Township, MI 48035 (586) 493-3732 www.mclaren.org/clintontownshippediatrics

McLaren Macomb Family Medicine 46401 Romeo Plank, Suite 4 Macomb, MI 48044 (586) 226-8600 www.mclaren.org/macombfamilymedicine McLaren Macomb Family Medicine 35103 Silvano Drive Clinton Township, MI 48035 (586) 791-5250 www.mclaren.org/macombfamily McLaren Macomb Hampton Medical Center 30550 Utica Road Roseville, MI 48066 (586) 771-0290 www.mclaren.org/hamptonmedical McLaren Macomb-Sterling Heights Pediatrics & Family Medicine 35111 Dodge Park Sterling Heights, MI 48312 (586) 978-8010 www.mclaren.org/sterlingheights

McLaren Macomb New Baltimore Women’s Health 32901 23 Mile Road, Suite 120 New Baltimore, MI 48047 (586) 725-4604 www.mclaren.org/NBwomenshealth McLaren Macomb Clinton Township Women’s Health 37400 Garfield, Suite 200 Clinton Township, MI 48038 (586) 286-4880 www.mclaren.org/CTwomenshealth McLaren Macomb North Grove Women’s Health 44200 Garfield, Suite 164 Clinton Township, MI 48038 (586) 412-5117 www.mclaren.org/NGwomenshealth

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Missed the last issue?

Read articles and see great bonus content at mclaren.org/macombhealthandlife View videos, download recipes and more...

EDITOR’S NOTE

GOOD CHOICES DO YOU LIVE A HEALTHY life? Most of us try, but we’re not perfect. We exercise, but maybe not enough.

We eat sensibly when we can, but we do have lapses.

That’s why Macomb Health & LIfe emphasizes not some unattainable ideal, but the smart, realistic choices you can make every day to help you and your family feel your best and get the most out of life.

On page 46, for example, we offer pointers for achieving a fit physique without straining the wallet.

We highlight red pepper on page 42—it’s both a treasure trove of vitamin C and a secret weapon for your eyes, helping to stave off macular degeneration. Read on page 13 about Mount Clemens City Sneakers, a club for people who like to get together for a healthy jog or walk before settling down to dinner. And speaking of dinner, kids tend to be sticks-in-the-mud when it comes to trying new foods. But we defy your youngsters to resist the five colorful meals we present in “Kid-Friendly Fare” on page 36.

There’s more in this issue. On page 26, learn how the smart placement of a single antique item can brighten a room’s design and give it distinction. Find out about the benefits of drinking your vegetables—and other health tips—on page 48. Read up on a tempting Mexican dessert in New Haven on page 13. And on page 32, take an armchair journey with us to the rugged hill country of Texas.

Why such variety? We think of health not just as the absence of illness, but in the broadest sense—as the basis for good times. It’s our mission—and our pleasure—to work closely with the people at McLaren Macomb to help you make smart choices in every area that will enrich your life. And now that warm, sunny weather has returned to Macomb County, life is rich indeed.

We hope you enjoy this issue and everything in it. Here’s to your continuing good health!

RITA GUARNA EDITOR IN CHIEF EDITOR@WAINSCOTMEDIA.COM

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Join us for the 36th annual

Mat Gaberty Golf Classic

Tee off for a healthy heart

June 7, 2016

Wyndgate Golf Country Club Registration — 8:30 a.m.

Shotgun start promptly — 10:30 a.m.

Join us for the 36th annual Mat Gaberty Golf Classic at the spectacular Wyndgate Country Club in Rochester Hills. This award-winning private club features 18 challenging holes, stately clubhouse and other well-honed amenities designed specifically for avid golfers.

Your ticket includes golf with cart, continental breakfast, snacks/beverages on the course, lunch and dinner.

For further information on tickets or sponsorship opportunities, please call the foundation office at (586) 741-4330 or email kimberly.jarvis@mclaren.org

Proceeds benefit the Mat Gaberty Heart Center and McLaren Macomb

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mclaren.org/macomb 5/20/16 4/29/16 12:46 PM 2:29 PM

rita Guarna

ed itor in c h i ef

carl olsen pub li s her

president and chief executive officer tom bris se, FaChe

art director

Stephen M. Vitarbo ed i t o r i a l

Managing editor

Carol Bialkowski

senior editor

timothy kelle y

associate editor darius amos

contributing editors

Michael Ardi z zone Li z Donovan

m a r k e t i n g , D i g i ta l & o p e r at i o n s

DIrector of marketing & Digital Media

vice president, marketing, planning & public relations

nigel edelshain

sharyl d. smith, apr

marketing associate

media relations representative

richard iurilli

advertising services manager jacquelynn fischer

senior art director, agency services kijoo kim

Controller

david jones

content contributorS

bobet te dodge kim fuhrmann lisa jaeger kelle y lovati k aren tucker

agnes alves

staff accountant megan frank

Client services

director of content strategy & Customer Care

Manager, Office Services and Information Technology catherine ROSARIO

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1000 harrington blvd. mount clemens, Mi 48043 586.493.8000

Darren Res s ler Art

design contributor Y vonne Marki production

director of production and circulation

published by wainscot media chairman carroll v. dowden

chri stine hamel

p r e s i d e n t & CEO

production/art assistant

mark dowden

al anna giannantonio

s en i o r v ice presidents shae marcus Carl olsen vice presidents rita guarna CHRISTINE HAMEL

We want to hear from you!

Send your feedback and ideas to: Editor, Macomb Health & Life, 1000 Harrington Blvd., Mount Clemens, MI 48043; fax 586.493.8775; email healthandlife@mclaren.org. Macomb Health & Life assumes no responsibility for the return of unsolicited manuscripts or art materials. macomb Health & Life is published twice a year by Wainscot Media, 110 Summit Ave., Montvale, NJ 07645. This is Volume 2, Issue 1. © 2016 by Wainscot Media LLC. All rights reserved. Material contained herein is intended for informational purposes only. If you have medical concerns, seek the guidance of a healthcare professional. advertising inquiries Please email healthandlife@mclaren.org, attention “Magazine Advertising.” subscription services To inquire about a subscription, to change an address or to purchase a back issue or a reprint of an article, please write to Macomb Health & Life, Circulation Department, 110 Summit Ave., Montvale, NJ 07645; telephone 201.573.5541; email christine.hamel@wainscotmedia.com.

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There’s no place like home

McLaren Homecare delivers clinically excellent, compassionate care to patients where they are most comfortable—at home. Individuals of all ages who have health problems and prefer to stay home, but whose care cannot be effectively provided solely by friends or family members can choose home care. And, more and more, they turn to a name they can trust—McLaren Homecare.

Whether you or a loved one is in need of a wheelchair, physical rehabilitation or expert medical care in the comfort of home, we can help. McLaren Homecare Group serves more than 25 counties throughout Michigan, including Macomb, St. Clair and Oakland.

Our services include: > Home Health Care

> Hospice Services

> Pharmacy & Infusion Services

> Palliative Care

> Medical Supplies & Equipment

> Lifeline Emergency Services

For a Referral A physician referral is required to schedule an appointment. For more information on McLaren Homecare Group programs and services, call (866) 323-5974.

1515 Cal Drive, Davison, MI 48423

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LOCALBUZZ MACOMB COUNTY NEWS

REVIEWS

TIPS

TRENDS

Luck, be a lady Sure, summer means the kids get a break, but after a few weeks with the little ones at home, the moms can benefit from a vacation of their own—if only for a few hours. Designate Dad as babysitter and head out for a night (or day) out with the ladies at one of these local hot spots: Raise a Glass: Take a day trip to explore some of the 12 locations along the Thumbs Up Wine Trail. The route includes vineyards, wineries, a meadery and a cider house, beginning at Superior Lakes Hand-Crafted Mead & Wine in Harrison Township and winding around the “thumb” of Southeast Michigan, ending at the Washington Street Wine House in New Baltimore.

Since you’re not likely to do the 275-mile round trip in one day, consider picking up a “passport” at one of the locations. It costs $15, is valid for a year and offers discounts across the trail. Visit thumbsupmi.com for details.

Uncork Your Inner Artist: Brush up on your painting skills while enjoying a glass of vino during a group session at Painting with a Twist. While enjoying an instructor-led painting class, participants can purchase wine, beer and other alcoholic and non-

alcoholic selections or bring their own wine (must be an unopened corked bottle). Intimidated by art? You’re in good hands. Susan Gentry, who owns the popular Shelby Township franchise, is so successful at making the experience fun for guests that she was able to open a second Macomb County location in Chesterfield Township last March. View upcoming events for both locations at paintingwithatwist.com.

Rock and Roll: Explore downtown Detroit as you never have before on the new Detroit Cycle Pub. This pedal-powered trolley car can accommodate six to 15 people, who roll through a two-hour tour of the city while enjoying drinks (not provided) and DJed music. Each group meets at Punch Bowl Social on Broadway before departing for your choice of one of the pre-designated routes, ranging from a historic tour to a wine or beer tour. See booking options at detroitcyclepub.com.

Did you know?

Michigan grows 70 percent of the country’s tart cherries. They’re ripe in July (as are the sweet variety) and available for picking at several local farms, including Westview Orchards and Verellen Orchards, both in Washington.

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Hot summer nights For three weeks in July, the Grosse Pointe War Memorial in Grosse Pointe Farms will present Summerfest, a series of free events that includes concerts, theater productions and outdoor movie screenings. The performances range from Shakespeare to opera and from classical music to a Jimmy Buffett cover band, and the movies have been selected by popular vote. All events are held on the memorial’s back lawn on Mondays through Wednesdays (July 11–27). The lawn opens at 6 p.m., and entertainment begins at 7:45. See a listing of events at warmemorial.org/summerfest.

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Penguin Great suite

The weather may be getting warmer, but Metro Detroit is feeling a cool breeze thanks to its new tuxedoed residents. The Polk Penguin Conservation Center (penguins.detroitzoo.org) opened this spring at the Detroit Zoo in Royal Oak. This is the largest facility of its kind in the world, and more than 80 penguins from four species are calling it home. Previously, three of the species (gentoos, macaronis and rockhoppers) resided in a smaller penguin exhibit at the zoo. The new space is at least 10 times the size and now includes king penguins too.

The 33,000-square-foot, state-of-the-art facility recreates an Antarctic climate and natural habitats to encourage the penguins to engage in natural behaviors like diving, porpoising and reproducing.

Visitors entering the iceberg-shaped building are immersed in a realistic 360-degree 4-D polar experience modeled after an Antarctic exhibition ship. They can go downstairs to view penguins swimming as deep as 25 feet in a 325,000-gallon pool through the underwater gallery, or stay at the surface level to see the birds waddling, diving and mingling.

The zoo also allows supervised up-close-andpersonal two-hour sessions, during which a small group can hand feed and interact with the penguins.

The visits—which cost $1,000—will only be offered between June and August 15 (after breeding season and before molting season).

strides

in Mount Clemens

It’s a struggle we’re all too familiar with: We love to eat out but hate to take in the extra calories. Now even the most health-conscious can indulge in the vibrant local restaurant scene thanks to Mount Clemens City Sneakers, a new food-oriented running/ walking club.

Each Tuesday night, participants meet at a pre-designated restaurant at 5:45 p.m. and join fellow foodies for a casual four-mile jog or two-mile walk around the city. The runners and walkers end up back at the restaurant, where they can enjoy a well-earned meal.

“Our mission is to offer a noncompetitive atmosphere for runners and walkers in downtown Mount Clemens by creating a healthier community,” says Michelle Weiss, marketing and event coordinator with the Mount Clemens Downtown Development Authority, one of the organizations that have developed the group. “The only requirement is to have fun and a good workout.”

Restaurants participating in the runs will likely offer specials, says Weiss, who adds that the weekly events will also benefit those businesses. “The club will have an economic impact by helping restaurants on a typically slow night,” she says.

The first run was scheduled for May 24 at Three Blind Mice on N. Main Street. Upcoming runs are listed at citysneakersclub.com.

Oh, sweet heaven

If you need a sweet escape this summer, head over to Carter’s Cantina in New Haven for the dessert that’s got the whole town talking. The Mexican restaurant, which opened last February, has been earning buzz on social media for its sinfully indulgent “cheesecake nacho” dish (think sweet and salty homemade chips, topped with a dollop of cheesecake and freshly prepared strawberry coulis).

The culinary creation is the brainchild of owner Dan Carter’s wife, Leah, a mom of four and former nurse who previously enjoyed baking as a hobby. While she and Dan were putting together the recipes for their new restaurant, they wanted to find a way to include their friend’s grandmother’s famous, secret cheesecake recipe. The trick was maintaining the restaurant’s Mexican theme. After a little brainstorming and a few failed experiments, the cheesecake nacho dish was born. Since it debuted, it’s become a major local hit, with guests coming in just to try it or take an order home.

Warning: Be prepared to lose all inhibitions and abandon rules of etiquette— according to Leah, customers have literally licked their plates clean.

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Amazing advances

in cancer care When Jimmy Carter’s skin cancer spread to his brain in 2015, the medication he took eradicated the new disease so that it was undetectable. The drug used a novel approach, putting the former president’s immune system to work.

Carter’s drug—which he recently revealed he no longer needs—was an immune checkpoint inhibitor, a new type of medication that’s among the latest advances in cancer treatment. Different drugs that also recruit the body’s immune system are now in use for skin, head and neck, kidney and non-small cell lung cancers.

“There are dozens more under development,” says Justin Klamerus, M.D., executive vice president and chief quality officer at Karmanos Cancer Institute. “They’re the largest focus of medical oncology and chemotherapy today.”

Through its affiliation with the institute and driven by a commitment to a healthier community, McLaren Macomb will continue to bring the latest advancements in cancer care to Macomb County.

Doctors like Dr. Klamerus are also scrutinizing different tumors’ DNA to find mutations that make them susceptible to specific chemotherapy drugs that don’t affect other healthy, rapidly dividing

cells, like hair follicles. As a result, treatments should be easier on the patient even as they transform cancers such as chronic myelogenous leukemia into treatable, although chronic, diseases.

And there’s promise for more, says Dr. Klamerus. The cancer researcher, who has a passion for population medicine, says his field of interest is also advancing, with results that help prevent cancer or detect it early, when treatment is more effective.

Population health is what led doctors decades ago to identify cigarettes as a cause of lung cancer. More recently, it prompted widespread use of low-dose CT scans as an effective screening for lung cancer for certain people. Dr. Klamerus says the medical community can use population health data to identify other causes of cancer and which screenings and early detections are most effective.

“The idea is to understand cancer before it’s a disease,” he says. “What is it in our lifestyle, what is it in our DNA that puts us at risk for cancer and how do we prevent people from getting sick?”

Major advances in radiation therapy are also Macomb HEALTH & Life

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BETTER CARE

“These treatments are amazingly effective.”

—Arthur Frazier, M.D. making a difference, particularly with new targeting techniques that safely dial up the amount of radiation in an individual dose and cut down on the number of doses.

“It’s a process known as accelerated therapy,” says Arthur Frazier, M.D., radiation oncologist and medical director of the Karmanos Cancer Institute at McLaren Macomb, Ted B. Wahby Cancer Center.

One way to give the higher dose is through brachytherapy, which places radioactive seeds at the tumor site. As more women work and juggle multiple roles, getting five doses of radiation via brachytherapy for breast cancer is more doable—and research has shown, just as effective—than up to six weeks of daily external-beam radiation therapy.

At McLaren Macomb, almost onethird of brachytherapy treatments are for women with breast cancer, Dr. Frazier says, although it’s also effective for prostate, cervical and uterine cancers.

Another way to give accelerated therapy is through stereotactic radiosurgery, or SRS, in which one to five doses of precisely targeted radiation may be all that are needed for effective cancer control.

“A big issue with radiosurgery is motion,” says Dr. Frazier, referring not only to a patient’s movements but also to the normal shifting of organs inside the body.

Motion makes SRS inappropriate for some cancers, but it is used for inoperable kidney cancer, as well as cancers of the spine, head and neck, lungs and prostate.

When SRS is used, Dr. Frazier says it’s not uncommon to get a 95 percent control rate.

“These treatments are amazingly effective,” he says.

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MEET MELISSA ZIMEL, M.D., ORTHOPEDIC ONCOLOGIST The Ted B. Wahby Cancer Center at McLaren Macomb, part of the Karmanos Cancer Institute, is home to Melissa Zimel, M.D., who is one of just five orthopedic oncologists in Southeast Michigan and the only one in the McLaren Health Care system, including Karmanos.

A unique specialty, orthopedic oncology addresses cancer that has either originated in or spread to the bone or soft tissues. But, as Dr. Zimel describes it, there is much more to it.

“It’s really a twofold specialty,” she says. “But the goal always remains to increase the quality of life of our patients during their cancer treatment.”

One aspect of the twofold approach, she says, involves treating patients who present with an unknown mass in the bone or in the soft tissue, determining what it is and if it requires surgery.

The other is treating those with metastatic cancer—patients already in treatment whose cancer has spread to the bones, weakening them.

“A weakened bone is more susceptible to fractures,” Dr. Zimel says. “In a cancer patient, fractures impede function and a lack of function interferes with the patient’s treatment.”

In a recent case, Dr. Zimel treated a middle-aged man whose cancer had spread to his femur, or thighbone—the largest bone in the body.

“One night, he was walking out to the curb taking the trash out,” she recalls.

“And in just that short walk, he slipped and broke his leg.”

Already undergoing chemotherapy and radiation treatment, the patient now suffered diminished overall function and his treatment was adversely affected. He was referred to Dr. Zimel, rather than a traditional orthopedic surgeon, for surgery.

“Traditional orthopedic surgeons are not trained to treat people with cancer,” she says. “Orthopedic oncologists are trained to perform cancer surgery and take care of people with fractures caused by cancer.”

In this case, Dr. Zimel performed surgery to restore function to the leg and patient, allowing him to quickly resume his cancer treatment, leading to a better outcome. In other cases, she might need to surgically implant a rod or replace joints, all with the goal of improving function.

“The more function a patient has,” she

Melissa Zimel, M.D.

says, “the better the cancer treatment is tolerated.”

Dr. Zimel comes to Karmanos and McLaren Macomb after extensive training, first receiving her medical degree at the Feinberg School of Medicine at Northwestern University in Chicago and then completing a fellowship program at the renowned Memorial Sloan Kettering Cancer Center in New York.

With her travel and training comes extensive experience with many cancer care programs, and she continues to be impressed with McLaren Macomb and Karmanos.

“The cancer center here in Mount Clemens does a remarkable job delivering excellent multidisciplinary care,” she said.

“It’s difficult for patients to travel and make multiple appointments for treatment. By having all cancer specialties in one place, McLaren and Karmanos are providing the best possible care to people with cancer.”

To learn more about the cancer care offered at the Karmanos Cancer Institute at McLaren Macomb, visit mclaren.org/ macombcancer.

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BETTER CARE

Bobette Dodge

Bobette’s battle

ON A SUNNY/SNOWY MORNING, BOBETTE DODGE GOT UP from her desk and announced to her co-workers that she would be leaving for her appointment. Without an ounce of anxiety in her voice, she told them she would be back in a little bit. She was going to see Andrew Knechtl, D.O., a board-certified medical oncologist with McLaren Macomb.

Just a couple of weeks prior, following her regularly scheduled colonoscopy, doctors had biopsied a growth found in her colon.

“This appointment was to get the results of that biopsy, and honestly I didn’t think too much of it,” she says. “But it ended up changing my life.”

The results were in—it was colon cancer.

“My heart sank, and my stomach dropped,” says Bobette, a mother and grandmother. “The air went out of the room. I took a deep breath and I asked Dr. Knechtl, ‘What’s next?’”

As an employee of McLaren Macomb, she was confident in the level of care she would receive from the team at McLaren Macomb’s Ted B. Wahby Cancer Center, part of the Karmanos Cancer Institute.

“I was scared, you bet,” she says. “I’d had some pretty serious surgeries before, never cancer though. But, right from the start,

from my very first consultation, they made me feel at ease.”

First, she met with Dr. Knechtl, who ordered a scan to determine if the cancer was contained to the colon or if it had spread to other parts of her body.

She didn’t have to wait in increasing suspense: The results were made available soon and came back negative—the cancer was contained.

“I’d call that a big win,” Bobette says.

Next up was Gregory Gaborek, D.O., McLaren Macomb boardcertified general and vascular surgeon.

“As soon as he walked into the office and I saw him, he walked up and gave me a big hug,” she said as she smiled and laughed.

“I see him around the hospital all the time and he’s such a joy and a very talented surgeon.”

During the exam, Dr. Gaborek drew a diagram of the surgery on the exam table paper, showing Bobette step-by-step the procedure he would soon perform. This put her at ease, she says, making her feel as though there was no mystery about what she would soon be undergoing.

“Dr. Knechtl and Dr. Gaborek, and everyone, for that matter—including the techs who performed my colonoscopy and my scan and the patient care staff—were unbelievably comforting,” Bobette said. “I was never kept in the dark about what was happening and, beyond that, they were exceptionally warm and friendly.

“There was never a time throughout this whole process that I wasn’t nervous, but without them and their kindness, I fear how much worse I could have felt.”

Just over a week after her initial diagnosis, Dr. Gaborek successfully performed Bobette’s colon resectioning. For good measure, he biopsied 17 lymph nodes during the surgery—all coming back negative.

Bobette was now 100 percent cancer-free.

She stayed a week in the hospital, followed by eight weeks of recuperation before returning to work. With plenty of time to reflect on what she had just been through—a cancer diagnosis, major surgery and back to full health in short order—one thought kept resurfacing: how lucky she had been.

The cancer had not spread because it was caught in time. It was found originally because she had gone for her regular colonoscopy, yet it had still been 10 years since her most recent.

“You can’t help but think ‘What if?’” she says. “What if the cancer had started growing earlier and been there longer? What if I skipped or delayed my colonoscopy? Those are two very possible circumstances. I feel incredibly lucky.

“So many people were pulling for me,” she continues. “Telling me they were thinking of me and sending positive thoughts and prayers. That meant so much.”

The last stop in Bobette’s emotional ordeal was a three-month check-in with Dr. Knechtl. Receiving the good news that she was still cancer-free, Bobette, always with her smile, rose to shake Dr. Knechtl’s hand before leaving.

“And he reached in for a hug!” she says, still with a smile and laugh many months later. “I didn’t take him for much of a hugger, but he was! And so nice and caring.

“He said, ‘I’m so happy.’ And I said, ‘No happier than me.’”

If your physician suggests regularly scheduled colonoscopies or other preventative screenings, be sure to make your appointment as recommended. To learn more about preventative screenings, talk to your primary care physician or visit mclaren.org/ macombhealthandlife.

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Active life

Student Athletes:

The summer checklist Summer vacation for many students means freedom and a few carefree months. For the athletically inclined, those months bring an opportunity to train and prepare themselves for the return to action in the fall.

“The summer and some time away from competition allow student-athletes to rest and maybe recuperate,” says Jeannine Hurst, MS, AT/ATC, coordinator of the Athletic Medicine Institute at McLaren Macomb. “But they also get time to evaluate and improve—to train and perhaps identify any areas of improvement and develop those areas.

“Knowing any weaknesses, their norms and strengths gives athletes the critical information they need to improve their performance and decrease risk of injury,” she continues. Hurst and her colleagues at AMI recommend a series of assessments and exercises for athletes to test themselves on their strength, balance and hand-eye coordination to determine their areas of needed improvement, leading to better performance and decreased risk of injury.

All assessments are available through McLaren Macomb and AMI and are administered by a healthcare professional. Appointments can be made through mclaren.org/ami.

ImPACT Concussion Testing Computerized testing establishes a baseline of normal cognitive thought processes. In the event of a concussion, comparing test results with this baseline can be another tool in determining the concussion’s severity and whether or not the athlete is ready to return to play.

Approximately 4 to 5 million concussions occur annually, with teenage athletes accounting for an increasing number. Developed by pioneers in the study of concussions and their effect on athletes, the ImPACT test is currently in use by athletes in all levels of competition and is considered the leader in concussion evaluation.

“Worse than getting a concussion is returning to play too soon after,” Hurst says. “By establishing a cognitive baseline with ImPACT, our physicians are given another tool to help determine when the athlete is ready to get back in the game without further harm to his or her neurological well-being.”

Tuck Jump Assessment Video analysis of a tuck jump provides vital information to help determine if you’re at greater risk for an ACL injury, pointing out weaknesses and technique failures that can be corrected, decreasing the potential for injury.

“ACL injuries continue to increase among youth athletes and come with significant recovery time and rehabilitation,” Hurst says. “Knowing this potential weakness will afford the athlete time to strengthen those areas and address any changes in technique.”

To learn more about McLaren Macomb’s Athletic Medicine Institute and additional exercises athletes of all levels and skill sets can incorporate into their training regimen, visit mclaren.org/macomb healthandlife.

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Active life

Getting back in the swing Winter in Michigan may have been mild this year, but it was long enough to keep the golfers off the course. And while memories of last season’s final round might be fresh, enough time has passed that the muscles and joints that make a great golf swing have built up considerable rust.

Although the itch to get back swinging again might be strong, golfers would be wise to spend time getting back into proper condition, preparing their body for the rigors of the long season.

Mike Mulcahy, MPT, director of rehabilitation services and the Athletic Medicine Institute at McLaren Macomb, recommends golfers make an appointment for a comprehensive video analysis and fitness evaluation. Administered by a McLaren Macomb physical therapist specially trained to evaluate golf biomechanics, the Computerized Video Analysis of Biomechanics of the Golf Swing costs $75.

“Many of us miss golf during the winter,” he says. “Most people don’t follow a consistent exercise program, so some of the key muscles you use while golfing become tight or weak, which can set you up for an injury when you start playing again in the spring.”

This season, injuries will send more than 55,000 golfers to the emergency room.

“Lower back injuries can stop a golfer, and those are by far the most common,” Mulcahy says. “Approximately 35 percent of all reported golf injuries are to the lower back, but there are also a significant number of shoulder, elbow and wrist injuries. All golf swings are different. Some preventative care will go a long way to help golfers survive the season with minimal wear and tear.”

A biomechanical analysis and fitness evaluation will identify issues early and provide the golfer with exercises to correct them.

“Many golfers have improper posture at address and some abnormal biomechanics throughout their golf swing,” Mulcahy

says. “The video analysis technology allows us to evaluate spine angle and other joint alignment at address, at top of back swing, impact and at follow-through.”

The analysis begins with an assessment of the golfer’s strength, flexibility, balance and coordination, and then golf-specific exercises are created to address those limitations. The golfer is then recorded utilizing video analysis software to evaluate the biomechanics of the swing. A video/mediabook is provided for the participant showing his or her swing at key positions with analysis and comments.

A link will be sent to participants to view their swing video and analysis. Golfers will also be able to watch the video in slow motion or frame-by-frame, and will be given stretches and exercises tailored to fit their needs.

“We’re not here to replace the need for a golf instructor, as he or she can help you with the technical aspect of your swing.

But what we teach here goes hand-in-hand with what the pros teach when it comes to proper posture at address and proper biomechanics,” Mulcahy says. “We will provide you with tips to achieve better posture, ways to improve biomechanics during different portions of the swing and an individualized exercise program—all to help protect your joints and decrease your risk for injury.”

Join Mulcahy and his colleagues for a free golf swing and biomechanical video analysis on June 14 from 6 to 7 p.m. at the McLaren Macomb Rehabilitation & Therapy Services—Northpointe (Gratiot and 16 Mile Road in Clinton Township). Call 586.

783.9581 for free registration.

Additionally, Mulcahy stresses stretching and strength conditioning, both further decreasing the risk of injury. Demonstrations of golf-specific exercises can be seen by visiting mclaren.org/ macombhealthandlife.

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comeback story

Linda Trongo

Healthy outcome

only after her procedure did Linda Trongo realize just how limited she had been due to her heart condition.

“I had been diagnosed and living with this for so long,” she says. “I knew it was debilitating, but the symptoms increase little by little so that you hardly notice it. It was only after the procedure that I noticed what I had been missing.”

For years, Linda had been living with chronic total occlusion (CTO), a condition of the coronary artery in which the blood flow is restricted due to the buildup and blockage of fatty deposits and plaque on the walls of the artery.

In Linda’s case, since the buildup was gradual, her heart created smaller blood vessels to deliver blood—avoiding a heart attack, but still not delivering enough.

While medication helped her manage, symptoms still persisted.

“I always felt tired,” Linda says. “I was weak and if I tried to get out somewhere, I wouldn’t last very long. It got very frustrating. This was no way to live.”

When she had energy, it was fleeting, even when performing routine tasks. While cutting her grass, for example, Linda would have to stop at least three times to rest before she ultimately finished the job.

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In the face of symptoms, Linda’s cardiologist, M. Blair DeYoung, D.O., of McLaren Macomb, had reason to hope. He had been trained to perform a new procedure that reopens those blocked arteries utilizing advanced tools and minimally invasive techniques.

“This condition, the one that afflicts Linda and so many more, has traditionally been treated with medications because heart procedures that could open the arteries were simply too invasive,” says Dr. DeYoung. “That’s the inspiration behind this procedure—reopening the arteries, restoring blood flow to the heart and increasing quality of life.”

Studies have confirmed that patients who have undergone the procedure are experiencing an increased quality of life, and Linda—to her great satisfaction—is one of them.

“This is life,” she says. “This is what life should be like. I’ve been able to go out more, experience more. Even if it’s something as simple as going shopping at the mall, I walk into that store with more confidence knowing that I won’t get tired and have to turn back and head home. It’s all fun again!”

She even enjoys cutting the grass, which she now does without having to stop once.

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healthy habits

Sleep myths: busted Many myths exist when it comes to getting a good night’s sleep. One is that we need less sleep as we grow older. Another, that anyone who has difficulty sleeping must be suffering from insomnia.

But perhaps the biggest myth is that we sleep solely to rest our bodies. In reality, a lack of quality sleep can lead to depression, high blood pressure, heart disease, type 2 diabetes, grumpy moods, lowered testosterone and weight gain.

“Yes, when we sleep we rest a tired body,” says Kurtis Kieleszewski, D.O., a family medicine physician with McLaren Macomb, who has extensively studied the benefits of sleep. “But there is so much more we get from solid sleep. For one thing, the brain locks into memory what we’ve learned during the day and rebuilds energy stores. We are really undervaluing the importance of a full night’s sleep.”

The vast majority of the population requires seven to nine hours of sleep each

Kurtis Kieleszewski, D.O.

night. Without it, our bodies do not function at full capacity. There are five stages of sleep. The first four allow the mind to consolidate memories, transitioning them from recent to long-term memories, while the fifth is the REM (rapid eye movement) cycle. This all-important stage is the one in which we dream, and a lack of REM sleep diminishes our disposition, increasing anxiety, irritability and difficulty in concentrating.

“Everybody has more than likely experienced this,” Dr. Kieleszewski says.

“We’re walking a step behind everyone and can’t quite remember an answer when called upon. Ask us what’s wrong and more often than not, our answer is we didn’t sleep too well last night.”

Depression and anxiety factor into the duration and quality of sleep we get.

Insomnia and sleep apnea, which affect millions of Americans, also play a significant role, along

with certain medications and changes in hours at work.

Also, eating late at night, eating the wrong kinds of foods (sweets and acidic items), encountering too much stimulation in the evening or not being active enough during the day can influence the quality of a night’s sleep.

“There is not just one factor, whether it be clinical or behavioral, that leads to poor sleep,” Dr. Kieleszewski says. “The one true thing, though, is that it can always be remedied. Practicing proper sleep hygiene is paramount, and is the first topic that I have to address in my patients when we discuss sleep problems or diminished overall health.”

Limiting the kinds of foods—and how much—you eat later in the day and evening, getting moderate exercise during the day, relaxing with limited stimuli before bed and setting a proper mood in the bedroom will all aid in getting betterquality, more beneficial sleep.

However, if that still doesn’t do it, making an appointment with your doctor to talk about your concerns will help medically treat any remaining issues.

To learn more about the benefits of sleep and the McLaren Macomb Sleep Center, visit mclaren.org/macombsleep.

Register to attend a free sleep seminar at mclarenmacomb.eventbrite.com.

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community view

Our blue economy

with 32 miles of coastline, macomb County enjoys freshwater resources some places can only dream of. This access benefits industry, tourism and recreation, but some experts believe Macomb could benefit even more. That’s the impetus behind a new development plan called the Blue Economy Initiative.

“Other places make their freshwater assets the focus of the community,” says Gerard Santoro, AICP, program manager of land and water for the Macomb County Department of Planning and Economic Development. “Our fresh water has always been here and, to an extent, we’ve taken it for granted. We are looking to get back into that original mindset.”

In that spirit, the department’s countywide initiative seeks to celebrate, promote and develop our water-blessed quality of life while also expanding the local economy.

Macomb County has more than 90 active marinas, world-class recreational boating and fishing and a large number of both public and private access points.

“We have an incredible infrastructure already in place, which affords us the opportunity to further develop these assets and become a leader in the freshwater experience,” Santoro says.

With more than four dozen projects currently in development, the Blue Economy Initiative is in response to three pillars of sustainability: economic development,

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environmental stewardship and quality of life, Santoro explains. When those three pillars are in place, he says, they promote an area’s viability and longevity.

This involves developing industries that are reliant on or enhanced by water assets through fostering growth and creating opportunities. It also recognizes that access to this amount of fresh water brings a great responsibility. With these developments to the natural landscape, programs are in place to ensure the continued cleanliness of the environment, promoting beautification through environmental protection and safeguarding the future enjoyment of Macomb County residents.

Many projects are currently under way, including the restoration of the Salt River Marsh in Chesterfield and the development of a waterfront park. In New Baltimore, a marina has been purchased and development plans are being made to transform it into a waterfront attraction that will complement the expanding restaurants and storefronts in the historic, walkable downtown. St. Clair Shores is taking a closer look at its famed Nautical Mile to determine ways to open up more public space and provide greater access to the lake and along the shoreline. And Harrison Township is creating a downtown urban development district.

Arguably the most visible project, though, is the construction of Utica’s

Jimmy John’s Field, the $12 million independent minor league baseball stadium along the Clinton River.

“People will be boating, paddleboarding and canoeing down to Utica around the games,” Santoro says. “Walking along the riverfront will add a great ambiance to the stadium.”

Because the initiative affects the county, the region and even the state, Santoro and the Macomb County Department of Planning and Economic Development have received support from different levels of government, especially Macomb County Executive Mark Hackel.

“Enhancing the experience of living in your community should be the goal of any government on any level,” says Hackel. “It’s exciting thinking about just how good this initiative is becoming and how it will benefit the people of Macomb.

Great progress has already been made, and it’s very encouraging.”

For more about the Blue Economy Initiative, visit makemacombyourhome.com.

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2016_

CAR CAUSEOF OFDEATH DEATHININTEENS TEENS CARCRASHES: CRASHES: LEADING LEADING CAUSE Americans Americanswill willDRIVE DRIVEMORE MORE THAN THAN 480 480BILLION BILLIONMILES MILESthis this summer! summer!

• • MEMORIAL (Sept. 5) 5) MEMORIALDAY DAY(May (May30) 30) to to LABOR LABOR DAY DAY (Sept. marks the summer driving season marks the summer driving season

2015 2015saw sawthe theDEADLIEST DEADLIEST YEARon onthe theroad roadsince since 2008 2008 YEAR

100 100 most most

DANGEROUSDAYS DAYS DANGEROUS forTEENS TEENS for

38,300KILLED KILLED • • 38,300 4.4million millionINJURED INJURED • • 4.4 Teens33times timesmore morelikely likelyto tobe be • • Teens involved in a crash (15-19 years old) involved in a crash (15-19 years old)

KEEPYOUR YOURKIDS KIDSSAFE: SAFE: KEEP LIMIT the number of passengers in the car LIMIT the number of passengers in the car • Have SOMEONE TO CALL for a safe ride if teen has been • Have SOMEONE TO CALL for a safe ride if teen has been drinking drinking • ALWAYS wear a seatbelt • ALWAYS wear a seatbelt • AVOID all distractions, including hands-free phones • AVOID distractions, including hands-free phones (Read all more at mclaren.org/macombhealthandlife) (Read more at mclaren.org/macombhealthandlife)

•

•

HOW WE GOT HERE: HOW WE GOT HERE: Teens carry MORE PASSENGERS MORE Teens carry MORE PASSENGERS MORE FREQUENTLY (increasing risk of fatal teen crashes) risk of fatal teen crashes) • FREQUENTLY Teens stay out(increasing LATER AT NIGHT (when riskout naturally • Teens stay LATERincreases) AT NIGHT risk naturally increases) • (when WARMER WEATHER and nicer conditions lead to TEMPTATION TO SPEED • WARMER WEATHER and nicer conditions lead to TO SPEED • TEMPTATION Teen driving habits are more RECREATIONAL (leading to ahabits more are “casual” • Teen driving moreapproach) RECREATIONAL (leading to a more “casual” approach)

•

•

Source: National Safety Council Source: National

Safety Council Learn more at nsc.org

Learn more at nsc.org MACOMB HE ALTH & LIFE

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GATHERINGS

GOVERNOR’S LUNCH The Chamber Alliance of Macomb County hosted Gov. Rick Snyder at a networking luncheon, which provided an opportunity for the local business community to hear about his priorities and direction for the state of Michigan.

1 Chris Candela, COO of McLaren Macomb; Gov. Rick Snyder; Tom Brisse, president and CEO of McLaren Macomb

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WOMEN’S LUNCHEON Local ladies dressed in shades of crimson came together to raise awareness about heart disease in women at a recent “Go Red for Women” luncheon benefiting the American Heart Association.

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2 Linda Remington, executive director of marketing and communications for the Karmanos Cancer Institute; and Susan Perry-Nolte, vice president of marketing, planning and public relations for McLaren Homecare 3 Loraine Cusumano, director of cardiovascular services with the McLaren Cardiovascular Institute; and Julie Holland 4 Lauren Clayborne, manager of corporate partnerships for the Detroit Pistons, with Judith Fago, manager of ambulatory services for McLaren Macomb 5 Grace Shore, president of the Macomb County Chamber; Kelley Lovati, community relations coordinator at McLaren Macomb; Pam Lavers, deputy county executive of Macomb County; Susan Burkhardt, vice president of healthcare integration with Medstar Ambulance

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Honored at athena international 8 Loraine Cusumano, director of cardiovascular services for the McLaren Cardiovascular Institute, was honored by the organization, which recognizes, supports and develops women leaders.

Elected Official Forum 6

The Richmond Area Chamber of Commerce’s annual breakfast forum allowed local officials to provide updates on county, township and city government.

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Political Hot Topics A recent forum hosted by the Macomb Chamber of Commerce provided necessary debate on policy dialogue.

6 U.S. Rep. Sander Levin, Michigan’s 9th congressional district 7 Robert J. Cannon, Clinton Township supervisor 8

9 Albert Lorenzo, deputy Macomb County executive; Ronald Trombly, Lenox Township supervisor; Bill Gratopp, St. Clair County 7th district commissioner

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Crystal Ball 2016 The McLaren Macomb Foundation’s annual black-tie gala benefited the McLaren Macomb ER and Trauma Center.

10 Dr. James Larkin, emergency medicine physician and McLaren Macomb chief of staff; Dr. David Mandy, McLaren Macomb pediatrician; Tom Brisse, president and CEO of McLaren Macomb 11 Mark O’Halla, executive vice president and COO of McLaren Health Care, with the family of the late Ted B. Wahby: Sue Wahby, Sandy Wolny, Ted Wahby Jr. and Michelle Peck 12 Mark O’Halla with Michelle Peck, Sue Wahby, Sandy Wolny, Ted Wahby Jr. and Tom Brisse

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THE UNEXPECTED TOUCH THAT GIVES A ROOM TRUE DISTINCTION? IT COULD BE A WELL-PLACED ITEM WITH AN INTRIGUING HISTORY.

old

something

Maybe it’s an antique rug. Or a vintage sign from a French grocery. Or your greatgrandfather’s steamer trunk. A treasure from the past can add texture, detail and character to an interior—and often it has a special story to tell. See the antique African stool tucked under the side table on page 30? Designer Barbara Westbrook carried it on her lap on a flight back from Malawi!

Reprinted with permission from Gracious Rooms by Barbara Westbrook. Copyright © 2015.

Published by Rizzoli International Publications Inc.

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Repurposed objects create a oneof-a-kind look in the bedroom—an antique trestle table serves as a nightstand, an old crock becomes a lamp, a pitcher turns into a vase for blooming branches. At the foot of the bed, an antique trunk with wonderful strap hinges and folkloric painting is the ideal foil for the subdued hues of the linens.

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In the dining room, French armless walnut chairs slipcovered in monogrammed ecru linen balance the rusticity of the antique trestle table and vintage “épicerie” sign. The wrought iron chandelier is at once elegant and informal.

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This page, a restored vintage trunk serves as a visual focal point in the bedroom, while an antique area rug helps to ground the space. Opposite, from top, the living room brings together an array of textures—mohair, leather, tapestry, iron and wood.

Of special note: the vintage coffee table and lamps fashioned from iron architectural fragments. In another bedroom, a dark-stained reclaimed fir bed and antique trunk with leather detailing add to the refined, masculine look.

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escapes

Head for

the hills A Secret no more, Fredericksburg, Texas, is the perfect Place for a long weekend Getaway

PHOTO: istock.com

In the heart of picturesque Texas Hill Country lies Fredericksburg, a small city with a unique German flavor that has long been a favorite of in-the-know weekenders from Austin and San Antonio. Fortunately for the rest of the country, the secret is out. Fredericksburg has earned a well-deserved national reputation thanks to its rustic charm, vibrant arts community, eclectic dining scene, myriad shopping opportunities, and nearby award-winning wineries and state parks.

Fredericksburg was founded in 1846 as part of a string of German settlements established in Texas as it shifted from a republic to the 28th state. The immigrants modeled the town after those they’d left behind— complete with a long, wide Hauptstrasse (Main Street) and Marktplatz, a town square at its center. Today, Marktplatz serves as the site of Fredericksburg’s many concerts and festivals, including Oktoberfest. And the traditional beer gardens and German bakeries on 19th-century Main Street now sit alongside scores of trendy shops and restaurants. Shopping, in fact, has become one of the main attractions in the city, which boasts more than 150 purveyors of antiques, artwork, home decor, handmade jewelry, women’s fashion and much more.

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Enchanted Rock State Natural Area, about 20 miles north of Fredericksburg, is an ideal locale to watch the sun set and stargaze.

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escapes

This page, the Austin Street Retreat, a collection of five private suites, dates back to the mid19th century. Opposite, from left, Cabernet Grill specializes in upscale Hill Country cuisine. The barrel room at Grape Creek Vineyards serves as the setting for an intimate wine tasting experience.

In between shops and refueling stops, be sure to take a cultural break and visit the National Museum of the Pacific War, located in town because Admiral Chester W. Nimitz, leader of the Pacific Fleet in World War II, was born and raised here.The fascinating museum, located on a six-acre site, features an impressive collection of Allied and Japanese aircrafts, tanks, guns and other artifacts made famous during the Pacific War campaigns. For local history, drop by the Fredericksburg Visitor Information Center, just one block off Main Street, where you can watch a 10-minute movie about the town and pick up a free map of historic sites.

Whether or not you’re a wine lover, you’ll want to experience at least one of the 15 wineries scattered along U.S. Highway 290, dubbed Fredericksburg Wine Road, an area reminiscent of the wine-growing regions of central Italy and the Rhone Valley in France. For a taste of Tuscany in Texas, head to the family-ownedand-operated Grape Creek Vineyards, where a limestone bell tower greets you at the edge of the road, beckoning you to turn onto the gravel drive and wind your way up the hill until you reach the sun-drenched villa at the top. Sample a few of Grape Creek’s award-winning wines out on the stone patio and watch the sun set over the Montepulciano vines. Hop aboard the tram for a tour through the vineyards and the state-of-the-art production complex, where you’ll visit the crush pad and tank room to see where it all happens. The next stop is the barrel room and cellar, where you’ll have an opportunity to taste and contrast the flavors and aromas of wine aging in three different oak barrels.

If you find yourself not wanting to stray too far from this Tuscan retreat at the end of your tour, there are dozens of

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accommodations in Fredericksburg—from quaint bed-andbreakfasts to national chain properties. One of the most photographed is the Austin Street Retreat, a luxurious collection of five log-and-limestone suites nestled one block off Main Street in the National Historic District. Premium appointments here include private terraces, fine linens, custom-designed bedding and whirlpool tubs. Ask to stay in Kristin or Maria if you’d like to be in one of the original homesteads from 1867.

Those looking to really step back in time may enjoy the elegantly rustic lodging at Cotton Gin Village, where tin ceilings, wood-burning fireplaces, stone and timber walls, and sitting porches complete with rocking chairs set the mood for kicking off your boots and relaxing with a glass of Texas wine. The Village is comprised of seven individual log cabins built in the late 19th century and imported from Tennessee and Kentucky. But don’t worry; all of the accommodations offer modern conveniences including a whirpool bath, microwave, refrigerator and coffee maker. The cabins surround a stone courtyard with a lush garden and koi pond, where an evening under the stars is often accompanied by live music.

Even if you don’t stay at the Cotton Gin, you will want to reserve a table at its acclaimed Cabernet Grill restaurant, which specializes in upscale Hill Country cuisine courtesy of owner and executive chef Ross Burtwell. Signature dishes such as pecan-crusted crab cakes and oak smoked pork tenderloin share the menu with certified Angus beef, fresh seafood and wild game, ensuring there’s something to cure every craving. And there’s a wine to accompany it. Burtwell has assembled the largest “all Texas” wine list in the

nation, with more than 75 selections.

After a day or two of shopping, dining and imbibing, it’s probably time to explore a few of the popular outdoor attractions and activities in the Fredericksburg area. About 20 miles north of town lies Enchanted Rock State Natural Area, a perfect place to watch the sun set and stargaze. Legend has it that the Tonkawa Indians named this 425-foot pink granite dome, believing a Spanish conquistador cast a spell on it, making magical ghost fires glow at the top. (Indeed, it does seem to glow from within at twilight.)

Wildseed Farms, which claims to be the largest working wildseed farm in the United States, is about seven miles east of Fredericksburg. (Lady Bird Johnson was a friend of the family and frequent visitor.) Various flower fields are in bloom throughout the growing season—from March to November. You can pick your own bouquet here as well as explore the walking trails, take photographs and purchase seeds for planting at home. And if you haven’t done enough shopping or sipping, there’s a gift shop and the Brewbonnet Biergarten on site.

Wrap up your trip to Texas Hill Country with a leisurely drive along the Willow City Loop, 13 miles of country road winding its way through canyons carved by picturesque Coal Creek.

The rugged terrain is awe-inspiring any time of the year, but it’s particularly gorgeous during the spring wildflower season when the hillsides and low-lying meadows are ablaze with the brilliant colors of a multitude of wildflower varieties. Just don’t walk through the privately owned fields or pick any flowers—that’s what Wildseed Farms is for!

Wine lover or not, you’ll want to visit at least one winery along the scenic Fredericksburg Wine Road.

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tastes

Kid friendly try these delicious meals guaranteed to delight even the fussiest eaters.

fare

if yo u co ok f or a family, you know the ultimate triumph —and it’s not a Michelin star. It’s getting the kids to eat something new. Whether your children belong to the vast burgers-and-fries mainstream or the tofu-andsprouts minority, chances are they seek adventure on the playing field—and shun it at the dinner table. And when you prepare a new culinary creation, it’s usually for grown-up guests who are more or less guaranteed not to express at the last minute a pining for PB&J. On the next few pages you’ll find five recipes that pass the tests of tasty, healthy, easy and interesting with flying colors. But they do one thing more: They pass the kid test too.

You’ll find ingredients your youngsters know they love combined in fresh, colorful and intriguing ways. Serve these dishes for dinner, and we defy your kids to find an out. They’ll be getting hearty nutrition, and they’ll be doomed to enjoy themselves—and find something else to fuss about.

After all, today’s picky eaters could be tomorrow’s connoisseurs of kale and oysters and artichokes and escargots—if you acquaint them now with the notion that something new on the plate can be something great. And you just may see eyebrows rise a little higher in curiosity the next time you hear the age-old question, “Mom, what’s for dinner?”

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photos: steve legato

Recipes reprinted with permission from Eat What You Love Everyday © 2014 by Marlene Koch, Running Press, a member of the Perseus Books Group.

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photos: steve legato

cheesy toasty veggie hero Serves 2x n 1 tablespoon light mayonnaise n 1 tablespoon plain nonfat yogurt n 2 teaspoons grated Parmesan cheese n ¼ teaspoon garlic powder n 2 French rolls n ½ medium eggplant, sliced into ½-inch rounds n 1 medium zucchini, sliced lengthwise n ½ small red onion, sliced

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n 1 tablespoon balsamic vinegar n 2 teaspoons Italian seasoning n 1 teaspoon garlic powder n Black pepper to taste n ½ cup quartered artichoke hearts, drained n ¼ cup roasted red peppers, drained and sliced n 2 ounces fresh mozzarella, thinly sliced

1. Preheat the broiler. In a small bowl, combine the first 4 ingredients (mayonnaise through garlic powder). Set aside. Open French rolls and carefully remove about one-half of the bread from the inside top and bottom of the rolls.

Spread the rolls open and place insides down on a baking sheet. Broil for 2 minutes to lightly toast the outsides. Set aside.

2. Spray a nonstick grill pan with cooking spray, and place over medium-high heat. Place the eggplant, zucchini and onion slices onto the pan, reduce heat slightly and grill for 3 minutes (working in batches if necessary), until the vegetables are browned and softened on the

underside. Turn with tongs; brush the tops with balsamic vinegar. Sprinkle with Italian seasoning, garlic powder, and black pepper to taste. Grill for another 2 minutes, or until vegetables are tender.

3. To assemble, spread 1 tablespoon Parmesan spread on the inside top half of each roll. Pile the grilled vegetables into the hollowed bottom halves, top with artichokes and red pepper and finish with cheese. Place sandwiches openfaced on a baking sheet (both cheese and Parmesan spread sides should be exposed), and broil for 3 minutes, or until cheese melts and Parmesan spread is warm. Remove, and press sandwiches closed. Eat while warm!

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tastes

Chicken Cheddar Bacon Ranch Mac ’n Cheese Serves 4

Spring/summer 2016 | mcl aren.org/macombhealthandlife

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1. Cook the pasta according to package directions. When the pasta has 3 minutes of cook time remaining, add the carrots to the pasta water and continue cooking.

Drain and rinse with cold water. Set aside.

2. Heat the oil in a large, nonstick skillet over medium heat. Add the onions and sauté for 8 minutes, or until they begin to caramelize and soften, stirring occasionally. Toss the chicken with dill and pepper; add to the skillet. Cook for 5 to 6 minutes,

or until the chicken is cooked, and onions are well caramelized.

3. While the chicken is cooking, in a small saucepan over medium heat, make the cheese sauce, using ¾ cup of cheese in the sauce as directed, adding the onion powder and liquid smoke. Add the pasta to the chicken, toss to combine, and the cheese sauce, and mix well. Garnish with the last ¼ cup cheese, bacon bits and green onions.

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photos: steve legato

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Cheese Sauce n ¾ cup low-fat evaporated milk n ½ cup reduced-sodium chicken broth n 1 tablespoon cornstarch n ¾ teaspoon dry mustard n ½ teaspoon garlic salt with parsley n 1 cup reduced-fat shredded sharp Cheddar cheese, divided

photos: steve legato

n 1¾ cups dry penne pasta (like Dreamfields) n 1 large carrot, peeled and cut into coins n 1 teaspoon olive oil n 1 large onion, chopped n 8 ounces boneless, skinless chicken breast, cut into 1-inch pieces n ½ teaspoon dried dill n 1/8 teaspoon black pepper n 1 Cheese Sauce recipe (at right) n ½ teaspoon onion powder n ¼ teaspoon liquid smoke n 1 tablespoon real bacon bits n ¼ cup chopped green onions

Stephen’s Pretzel Chicken with Honey Mustard Sauce Serves 4

photos: steve legato

photos: steve legato

n 4 boneless, skinless chicken breasts (about 1 pound) n 2/3 cup crushed pretzels (about 1 ounce) n ½ teaspoon mustard powder n 1 teaspoon onion powder n ½ teaspoon black pepper

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n2 tablespoons plus 4 teaspoons Dijon mustard, divided n2 tablespoons white wine vinegar n1 tablespoon light mayonnaise n 2 teaspoons honey n 2 teaspoons olive oil

1. Preheat the oven to 425°F. Spray a large baking pan with cooking spray. Wrap the chicken breasts in plastic wrap and gently pound to ¼-inch thickness. Set aside.

2. In a wide, flat bowl, place the pretzel crumbs, mustard powder, onion powder and ½ teaspoon pepper, and stir to combine.

3. Smear ½ teaspoon of Dijon on each side of breast, and roll chicken in the

crumb mixture until evenly coated (use finer crumbs to cover bare spots). Place chicken on prepared baking sheet, lightly spray with cooking spray, and bake for 15 to 18 minutes, or until cooked through.

4. While chicken is baking, in a small bowl, whisk together the remaining Dijon, vinegar, mayonnaise, honey, olive oil, a pinch of black pepper and 1 tablespoon of water. Serve each chicken breast with 1 tablespoon of the sauce.

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tastes

Chicken Alfredo Pizza Makes 8 Servings

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n½ cup shredded part-skim mozzarella cheese n2 tablespoons shredded Parmesan cheese n1 cup fresh baby spinach, thinly sliced (optional garnish) nF resh basil, chopped (optional garnish)

1. Position a rack in the middle of the oven and preheat the oven to 450º F. 2. Place the crust on a baking sheet and spread the pizza sauce over the crust. Top evenly with the baby spinach, chicken and tomato halves.

3. Sprinkle the mozzarella and Parmesan evenly on top, and bake in the middle of the oven for 15 minutes or until the cheese is melted and the crust is browned.

Scatter fresh spinach and basil over top of pizza, if desired.

light and luscious all-purpose alfredo sauce n 1 cup low-fat evaporated milk n 2 tablespoons instant flour (like Wondra) n 1 cup reducedsodium chicken broth n 3 tablespoons light cream cheese n 1 to 1½ teaspoons garlic powder

n ¼ teaspoon pepper, or more to taste n 1/8 teaspoon salt n ¼ cup grated Parmesan cheese

1. In a medium saucepan, whisk the evaporated milk and flour until smooth.

Whisk in the broth and place over low heat.

2. Add the cream cheese, garlic powder, pepper and salt. Bring to a low simmer and cook until the sauce thickens, about 4 minutes.

Whisk in the Parmesan and cook for 1 to 2 more minutes, or until sauce is smooth.

photos: steve legato

n 1 thin-crust wheat pizza crust (like Boboli) n ½ cup light Alfredo sauce (recipe at right, or jarred) n 2 cups fresh baby spinach n 2/3 cup cooked chicken breast, chopped n 3/4 cup cherry tomatoes, halved

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We can do this all day. And all night.

McLaren Macomb is Macomb County’s first verified trauma center To become a verified trauma center, hospitals must meet rigorous national standards — like having trauma surgeons evaluate patients within 15 minutes of arrival. At McLaren Macomb, that’s not good enough. We understand that minutes make a difference. That’s why our trauma surgeons are in-house 24/7 to evaluate each trauma patient immediately upon arrival.

Learn more about McLaren Macomb’s trauma expertise at mclaren.org/macombtrauma.

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5/26/16 10:28 AM

power food

the promise of

red pepper

ITs spicy cousins may win more fame, but this sweet-tasting veggie is packed with disease-fighting nutrients.

IN culinary terms, the red bell pepper is a vegetable, but botanically it’s actually a fruit—just like tomatoes. No matter. Whichever bin you drop it in, you’ve got a nutritional superfood. In fact, red peppers are some of the most nutrient-dense vegetables you can eat, boasting 30 different antioxidants, which protect the body from damage caused by free radicals.

Power up

One medium red pepper provides a hefty 253 percent of your daily value of vitamin C and 74 percent of vitamin A. It’s also a very good source of B6 (17 percent), folic acid (14 percent) and fiber (10 percent). And it’s high (second only to tomatoes) in the antioxidant lycopene, which can help prevent cardiovascular disease, lower your risk of certain types of cancer and lessen the likelihood of chronic inflammation. Red peppers are potent when it comes to eye health too: They’re rich in lutein and zeaxanthin, which combat macular degeneration. Added bonus: One medium red pepper contains just 37 calories, making it an ideal snack for waist-watchers.

Buy • store • serve

Choose red peppers with deep color, taut skin and stems that look green and fresh. They should feel heavy for their size and firm enough so that they only “give” slightly to a small amount of pressure. If you’ll be eating your peppers in a day or two, there’s no need to refrigerate them. Beyond that, unwashed peppers will keep in the fridge for 7–10 days; wrap them in a damp paper towel. Options for incorporating red peppers into your daily diet are limited only by your creativity: Add finely chopped pepper to soups, stews and tuna or chicken salad; toss sliced pepper into stir-fries and green salads; dip slices into hummus or low-fat ranch dressing for a healthful snack or appetizer.

Did You Know?

Bell peppers come in a palette of colors—green, yellow, orange, red—and the difference in their hue is a matter of maturity. Spicy-crunchy green peppers are harvested before they are fully ripe. When left on the vine, they usually turn yellow-orange and then red. Since red peppers spend more time on the vine before being picked, they’re sweeter, have a higher nutritional content and are more expensive. —michael ardizzone

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Spring/Summer 2016 | mcl mclaren.org/macombHEALTHandLIFE.com aren.org/macombHEALTHandLIFE.com may 2015 | bergenHEALTHandLIFE.com

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where toeat f i n e

AMERICAN

Bad brads bbq “The best possible BBQ every day,” along with a full bar and catering, 36845 Groesbeck Hwy., Clinton Township, 586.789.7320; 35611 Green St., New Baltimore, 586.716.9977; 6525 23 Mile Rd., Shelby Township, 586.254.7010 Dickey’s Barbecue Pit Authentic Texas-style barbecue with home-style flavor and a family-friendly atmosphere, 41700 Garfield Rd., Clinton Township, 586.286.4400; 20755 Hall Rd., Macomb Township, 586.741.5270 Filippa’s Wine Barrel Upscale traditional American cuisine with an Italian influence and impressive wine list, 45125 Mound Rd., Shelby Township, 586.254.1311 Fin’s All-American food and spirits with a racing theme, starting with breakfast, 51006 Washington St., New Baltimore, 586.725.9000 Gumbo’s Contemporary American fare with a Cajun/ Creole influence, 53 N. Walnut St., Mount Clemens, 586.307.3100 j. Baldwin’s Restaurant, lounge and caterer serving gourmet food and signature stone-fired crispy pizza, 16981 18 Mile Road, Clinton Township, 586.416.3500

c a s ua l

fa m i ly

586.532.8800; 7096 E. 14 Mile Rd., Warren, 586.268.3200 Antonio’s Italian Cuisine Authentic family-style Italian dishes made from family recipes, 2505 E. 14 Mile Rd., Sterling Heights, 586.264.5252 Da Francesco’s Quality Italian cuisine with a homemade touch, and sporting an extensive wine list, 49624 Van Dyke Ave., Shelby Township, 586.731.7544 Luciano’s Family-owned establishment serving northern and southern Italian cuisine, 39091 Garfield Rd., Clinton Township, 586.263.6540 Luigi’s Original restaurant “Small in size but big in originality,” featuring pizza, steaks, pasta and seafood, 36691 Jefferson Ave., Harrison Township, 586.468.7711

John’s Family Grill A favorite for classic comfort food, 304 Cass Ave., Mount Clemens, 586.463.0033

Motor City Meatball Kitchen Sandwiches, sliders and salads all served with homemade beef, pork and chicken meatballs, 31081 Hayes Rd., Warren, 586.872.2486

Eagles bar & grill Neighborhood sports bar and grill serving comfort food and craft beers, 50640 Waterside Dr., Chesterfield, 586.949.9600

Little Camille’s by the Bay Casual eatery serving salads, pasta, pizza and more, 51083 Washington St., New Baltimore, 586.725.4866

nonna’s italian kitchen Family-friendly food inspired by family traditions, including specialty pizzas, 50528 Schoenherr Rd., Shelby Township, 586.884.6949

Engine House Firefighter-themed sports bar and restaurant serving pizzas, sandwiches and steaks, 309 Cass Ave., Mount Clemens, 586.468.2442

Macray harbor grille bistro Fresh American cuisine served in a waterfront setting, 30675 N. River Rd., Harrison Township, 586.468.1900

penna’s Fine dining since 1968, Penna’s of Sterling, 38400 Van Dyke Ave., Sterling Heights, 586.978.3880; Villa Penna & Restaurant, 43985 Hayes Rd., Sterling Heights, 586.566.9900

STEAK/seafood

Thee office pub & Cookery Family-friendly gathering place serving burgers, sandwiches, steaks and pastas, 128 S. Main St., Romeo, 586.752.6680 The Pantry Restaurant Contemporary American restaurant serving breakfast and brunch, 44945 Morley Dr., Clinton Township, 586.565.5514; 34220 Van Dyke Ave., Sterling Heights, 586.939.1370; 58884 Van Dyke Rd., Washington Township, 586.677.4135 river rat Casual restaurant and bar, located in “Boat Town,” serving large portions in a nautical atmosphere, 29370 S. River Rd., Harrison Township, 586.465.6565 seeburger’s cheeseburgers Burgers and more, including paninis and salads, 71 N. Main St., Mount Clemens, 586.468.4200; 26756 Gratiot Ave., Roseville, 586.362.8585 Sterling’s Bistro Creative American dishes with seasonal ingredients and an international wine menu, 13905 Lakeside Circle, Sterling Heights, 586.566.0627 Strawberry fields Friendly family restaurant serving American fare, pizza and pasta with a Beatles-themed menu, 51070 S. Foster Rd., Chesterfield, 586.949.7740

MEDITERRANEAN/middle eastern

cedar kabob & cafe Classic Lebanese fare served in a cozy, comfortable setting, 34796 Van Dyke Ave., Sterling Heights, 586.795.1722

Crews Inn Lunch and dinner served in a harborside setting, with a focus on fish and beef, including prime rib specials on Friday and Saturday night, 31988 N. River Rd., Harrison Township, 586.463.8144

Ike’s Restaurant Lebanese fusion restaurant also serving burgers and other American and Italian classics, 38550 Van Dyke Ave., Sterling Heights, 586.979.4460

fishbone’s Seafood, steaks, sushi and New Orleans favorites served up in a setting reminiscent of the French Quarter, 23722 Jefferson Ave., St. Clair Shores, 586.498.3000

Maroosh Small eatery with well-rounded menu featuring a blend of Middle Eastern and Indian flavors, 44951 Schoenherr Rd., Sterling Heights, 586.799.7295

McRae’s Big river grille Dinner-only dining destination lauded for its seafood and scenic water views, 9715 St. Clair River Rd., Algonac, 810.794.3041

Sahara’s Restaurant and grill serving up award-winning contemporary Mediterranean and Middle Eastern fare, 55208 Van Dyke Ave., Shelby Township, 586.781.5900

Mr. Paul’s Chop House Family-run restaurant specializing in fresh beef and seafood and Caesar salad prepared tableside, 29850 Groesbeck Hwy., Roseville, 586.777.7770

sajo’s Quality, reasonably priced Mediterranean cuisine served in a contemporary atmosphere, 36470 Moravian Dr., Clinton Township, 586.792.7256

Waves Fun eatery and nightclub featuring “under the wave” and “over the wave” dishes, 24223 Jefferson Ave., St. Clair Shores, 586.773.3840

MEXICAN

SUSHI/JAPANESE

Twisted rooster A twist on classic American fare, featuring bold flavors and fresh local ingredients, 45225 Marketplace Blvd., Chesterfield, 586.949.1470

El Charro Family-owned, with authentic Mexican cuisine, including unique soft-shell tacos, 16720 14 Mile Rd., Fraser, 586.294.3520; 21519 21 Mile Rd., Macomb, 586.598.7556; 24401 Harper Ave., St. Clair Shores, 586.779.5060

Victory Smokehouse Upscale BBQ joint serving smoked meat by the half-pound as well as sandwiches and classic sides, 28950 Mound Rd., Warren, 248.671.6328

Juan Miguel’s Authentic Mexican dishes, including fajitas, tacos and enchiladas, plus a full bar, 21342 Hall Rd., Clinton Township, 586.783.9751

FRENCH/BELGIAN

Rojo Bistro offering the true taste of Mexico in a casual, fun and upbeat setting, Lakeside Mall, 16400 Lakeside Circle, Sterling Heights, 586.226.4110

Bath City Bistro Steaks, fish and pasta, plus Belgian trough bowling, a cross between bocce and shuffleboard, 75 Macomb Pl., Mount Clemens, 586.469.0917

irish pub

three Blind Mice Irish Pub Irish-inspired pub fare, including Guinness stew and corned beef, 101 N. Main St., Mount Clemens, 586.961.6371

ITALIAN/PIZ Z A

Andiamo Refined classic Italian menu with an international wine list, 14425 Lakeside Circle, Sterling Heights,

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the brewery Longtime family-owned restaurant known for its steak, seafood, extensive wine list and top-shelf spirits, 39950 Hayes Rd., Clinton Township, 586.286.3020

Taco Loco Authentic Mexican favorites, including their own stuffed poblano peppers, “puffy” tacos and more, 52899 Van Dyke Ave., Shelby Township, 586.323.9494

Sports bar

Art & Jakes Sports bar and grill with an international menu focusing on Macedonian and Serbian cuisine, 14741 23 Mile Rd., Shelby Township, 586.532.9600; 45537 Mound Rd., Shelby Township, 586.997.3255; 65859 Van Dyke Rd., Washington Township, 586.752.7500

Asahi Sushi Award-winning sushi bar and Korean restaurant, 41860 Garfield Rd., Clinton Township, 586.412.2700 Naruto Sushi Fresh, light Asian menu that includes sushi as well as bibimbap, udon noodles and more, 34788 Van Dyke Ave., Sterling Heights, 586.977.0123 Osaka Japanese steakhouse featuring hibachi tables and a sushi bar, 45323 Market St., Utica, 586.566.9572

THAI

Amarin Thai Cuisine Classic dishes using traditional Thai spices with meat, seafood and vegetarian options, 11528 E. 12 Mile Rd., Warren, 586.582.8787 Thai Orchid Casual, authentic Thai eatery known for its fresh, well-seasoned dishes, 60 Cherry St., Mount Clemens, 586.783.1727

vegetarian

The clean plate Fresh, casual vegetarian offering soups, salads, wraps, sandwiches and meatless burgers, 45629 Hayes Rd., Shelby Township, 586.580.3293

5/23/16 12:16 PM

FREE Seminars

Robotic Hysterectomy - Minimally Invasive Surgery June 21, 2016 at 6 p.m. • McLaren Macomb Auditorium

Considering a hysterectomy? Robotic hysterectomies with new da Vinci® technology require smaller incisions, which lead to shorter hospital stays and faster recoveries. Attend this presentation by Carol Fischer, D.O., board-certified in Obstetrics and Gynecology, to learn more about treatment options and benefits of robotic surgery.

Chronic Migraine Relief July 19, 2016 at 6 p.m. • McLaren Macomb Classroom 1

Do you struggle with chronic headaches or migraines and have tried different treatments that are not effective in relieving your pain? Learn from Alex Steinbock, D.O., McLaren Macomb board-certified neurologist, about the prevalence, symptoms, triggers and treatment of migraines, and how to best manage your migraine and achieve a better quality of life.

Inguinal Hernia: Should I Have Surgery Now or Should I Wait?

July 20, 2016 at 6 p.m. • McLaren Macomb Classroom 2

Hernias don’t go away on their own—only surgery can repair an inguinal hernia. Learn from Michael D’Almeida, D.O., McLaren Macomb board-certified general surgeon who specializes in advanced laparoscopic surgical procedures, what an inguinal hernia is, why hernias need to be repaired, surgical options and the risk of delaying.

Managing Menopause and Hormone Replacement July 20, 2016 at 6 p.m. • McLaren Macomb Classroom 3

Menopause affects every woman differently. There are many options to help women cope with the symptoms of menopause. Kristopher R. Weemes, D.O., OB/GYN and menopause expert, will present on understanding the hormonal and physical changes of menopause, treatments and hormone replacement therapy.

Registration is recommended to ensure a seat.

Visit http://mclarenmacomb.eventbrite.com or call (586) 239-0402.

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mclaren.org/macomb

5/24/16 12:22 PM 5/25/16 3:33 PM

financial balance

stretch your exercise dollar so, like nearly everyone, you have a goal of dropping a few pounds and getting back in shape. But you’re watching your wallet too—and again, you’ve got lots of company. Can these two lofty ambitions actually coexist?

With some crafty maneuvering, the answer can be a resounding “yes!” As Brett Fischer, president and CEO of Gr8FITness, a website devoted to helping people achieve their fitness goals, says: “One can get in great shape without spending a lot of money.”

Here are some strategies for getting these two unruly rascals—fitness and finances—on the same page.

1. Negotiate your gym membership rate. Gyms face a lot of competition and can be persuaded to negotiate their rates. It may pay to sign up when gym sales are typically slow (summer and toward the end of the year) and they’re more eager to sign up members. A good negotiating tip: Ask the gym to write off the initial membership fee if there is one.

And find out if there’s a discount for paying up front for the year.

2. Simplify your workout gear. Do you really need to spend more money to be seen with a logo? Go with generic, lowcost workout clothing until you can afford the logo-wear…or feel you’ve trained hard enough to earn it as a reward.

3. Gather information and become your own “expert.” “The most effective way to save money on fitness is to do your own research,” says Fischer. Become knowledgeable about dieting and training, and you can reach your health and fitness goals faster and more effi-

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ciently, saving you money and time.

4. Go back to basics. There’s no reason to blame your financial situation for getting out of shape. Rent workout DVDs from the library, start a walking group or put on a pair of shorts and go jogging.

Cost: $0.

You can do a tough workout using only your bodyweight (remember push-ups and pull-ups?) and a minimum amount of equipment (jump rope, bands). Alternatives like these may not be cool, but they’re effective. Modern weight training machines are great—if you can afford them. If not, use your creativity and make use of what you have.

Does your house have stairs?

5. Join a group; there’s health in numbers. From sharing a personal trainer to joining a health food co-op, there are savings in numbers. Join up with likeminded people and pool your resources.

If no group exists, start one.

6. Get the most out of freebie apps and websites. Apps that do everything for you and websites that give you detailed, customized information are a blessing. Check out 7 Minute Workout, a high-intensity program; Simply Yoga, which provides 20-, 40- and 60-minute sessions; and YogaYak, which can guide you to free yoga classes. Count

calories, get fitness advice and receive community support from websites like sparkpeople.com and myfitnesspal.com.

You’ll also find free workout programs at thetumblrgym.com/workout.

7. See if your company will kick in something. Some employers will give you a rebate on your gym membership— it more than pays for itself with lower healthcare costs. “Employers look at workplace wellness programs as investments,” says Lacie Glover of NerdWallet, a website dedicated to helping people make smarter buying decisions. Your company may also have corporate rates from gyms. According to Glover, “Securing a group rate is one of the most affordable investments an employer can make.”

8. Consider pre-owned equipment.

There’s a huge market in used home exercise equipment because many people don’t have the drive that you do, nor are they as careful with their hard-earned money. Most fitness equipment stores— both online and brick-and-mortar—that sell new equipment also sell pre-owned.

But your preference should be to purchase from the previous owner, who’s likely anxious to get rid of it. Be sure to check out the offerings on ebay.com too.

—MICHAEL ARDIZZONE

thinkstock

want to be fit physically and financially too? heed these 8 tips.

Spring/summer 2016 | mcl aren.org/macombhealthandlife

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BE THERE J U N E

Enjoy all things lavender, July 15–17.

JUNE 16–AUGUST 30 If the kids are restless, look no further than PARK IT FAMILY FUN NIGHTS. Held on various nights throughout the summer, the event consists of outdoor concerts, kids’ activities, movies and games. For more information and a complete schedule, visit parkitforfun.com.

JUNE 22 Go back in time and learn what life was like in the mid-1800s during LIFE OF A CIVIL WAR SOLDIER at the Sterling Heights Public Library, 7 p.m. The hourlong program includes a discussion featuring replicas of uniforms and rifles. Admission: FREE. Visit sterling-heights.net for details.

JUNE 22–26 Fun for the whole family can be had at the annual UTICA RIVERWALK FESTIVAL. From a beer tent to roller derby girls, adults will have plenty of entertainment, as will the young ones, who can partake in face painting and carnival rides. Admission: FREE. Go to utica-events.com for more information, including a daily schedule.

JUNE 30–JULY 3 If your heart beats true for the red, white and blue, then you’ll likely enjoy the STARS & STRIPES FESTIVAL at Freedom Hill County Park in Sterling Heights.

The event features a carnival, a fireworks display, BMX show and more! Admission: FREE, but some events have a fee. Head to funfestevents.net/stars-stripes-festival for more details.

JULY 1

Is there anything that better says “summer” than fireworks and an outdoor

J U LY

See a concert­—or two or three—in Sterling Heights, July 28–30.

concert? Come to the beachfront of Lake St. Clair Metropark for a special performance by soul-rock band HOLY GHOST TENT REVIVAL at 6:30 p.m. Following the show, at 10 p.m., the sky will light up with a dazzling fireworks display. Admission: $15. Questions?

Visit metroparks.com/events.

JULY 14–17 A Michigan favorite, the FAMILY FUN & PERCH FESTIVAL in Ira, offers something new every day—live entertainment, a 5K, delicious perch meals, the crowning of Miss Perch and more. Admission: FREE . Visit iccatholic.org for details.

JULY 15–17 At the MICHIGAN LAVENDER FESTIVAL taking place in Armada you can enjoy the sight, smell and taste (lavender lemonade?) of this luscious herb while participating in workshops and shopping for one-of-a-kind gifts. Admission: $6 for adults, FREE for kids 12 and under. For details, go to michiganlavenderfestival.net.

JULY 28–30 Arts and crafts, music, rides and entertainment all abound at the annual STERLINGFEST in Sterling Heights, starting at 10 a.m. Families also can enjoy a carnival, 5K run/walk and a variety of snacks and desserts. For more details about the event, head to sterling-heights.net.

AUGUST 7 Classic-car enthusiasts won’t want to miss the CLINTON TOWNSHIP GRATIOT CRUISE. This all-day happening includes a car show, parade, carnival rides, live music, a kids zone and more. The event is

To see other Macomb County events, please visit mclaren.org/macombcommunityevents.

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AU G U S T

Take a ride, then enjoy a burger and beer, August 28.

FREE to attend. Registration for the car show: $15 in advance, $20 on cruise day. For more information, visit ctgratiotcruise.com.

AUGUST 11 The Grosse Pointe War Memorial is sponsoring a tour of CRANBROOK HOUSE AND GARDENS in Bloomfield Hills, beginning at 8:45 a.m. After exploring the campus, participants can visit the Art Museum or the Institute of Science Museum and enjoy lunch at a local restaurant. Tickets: $70 (includes transportation, museum admission, lunch). Visit warmemorial.org for more information.

AUGUST 27–28 Dozens of artists and craftspeople will display their handmade works at the annual CHESTERFIELD ARTS & MUSIC FESTIVAL at Brandenburg Park in Chesterfield Township, 10 a.m. Admission: FREE. Go to parks.chesterfieldtwp.org for more details.

AUGUST 28 After a successful event last year, BIKES, BURGERS & BREWS is coming back to Downtown Mount Clemens. The event includes a bike ride to Lake St. Clair Metropark and back, discounted food and drinks. For details, visit thinkmacomb.com.

SEPTEMBER 8–11 The highlight of the summer for folks in Richmond is the RICHMOND GOOD OLD DAYS. Voted Michigan’s Best Small Town Festival, the four-day event closes out the summer with a bang.

The event is FREE to attend. Learn more at richmondgoodolddaysfestival.org.

MACOMB HE ALTH & LIFE

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SPRING/SUMMER 2016

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health news

drink your veggies

Mom said to eat your broccoli, but a recent study shows drinking it can be just as good. A broccoli beverage can clear your system of benzene, a carcinogen found in cigarette smoke.

The phytochemical sulforaphane, found in the cruciferous veggie, promotes the production of detoxifying enzymes.

40 5

—Cancer Prevention Research

minutes

That’s how long it takes for an aspirin to thin your blood, if you’ve chewed it. Popping a pill at the first sign of a heart attack can dramatically increase your odds of survival. Just a reminder: Common symptoms include shortness of breath, severe chest pressure and pain in the arms, back, stomach, neck or jaw.

— American Heart Association

Cuff ’em

%

That’s the percentage by which appetite was decreased for three hours among adults who added half an avocado to their lunch, be it in a salad, a sandwich or a smoothie.

—Nutrition Journal

don’t give cancer what it craves

And that’s sugar! Turns out tumors have a sweet tooth. A recent study suggests that high blood sugar may raise your chances of developing cancer. Researchers noted that folks with prediabetes were 55 percent more likely to get stomach or colon cancer than people with normal glucose levels.

—Diabetologia

The only way to get a truly accurate blood pressure reading is to cuff both arms. When a person’s systolic pressure varies by 10 or more points between arms, the risk of heart attack or stroke increases 38 percent.

Plus a big difference between arms could be a sign of peripheral artery disease, or clogged arteries.

—American Journal of Medicine

Did you know?

The body part with the most bones is the hand!

Each hand has 27 bones.

messy desk, messy mind?

Apparently not! Actually, people with messy desks were likely to be more creative than their neatnik peers, according to a recent study. And those with clutter atop their desks were likely to produce new, fresh ideas. Of course, if you think you’d be more productive with a neater desk, then by all means plan to declutter once a week or so.

—Psychological Science

The best hue for you People who get more of their nutrients in red, orange and yellow have smaller waists.

The reason: Brightly colored fruits and veggies are chock full of vitamin C, which reduces cortisol. So top your fish with mango salsa or add red pepper to your turkey burger.

—The Journal of Nutrition

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Together we’re BETTER at FIGHTING CANCER.

Better specialists, better treatments, better outcomes—better begins at the Barbara Ann Karmanos Cancer Institute. And together with McLaren Health Care, we’re even better. We are now the largest cancer research and provider network in Michigan. And throughout our network Karmanos specialists meet the same high standards to provide

compassionate state-of-the-art cancer treatment, at McLaren Macomb’s Ted B. Wahby Cancer Center or at any of our locations throughout Michigan. If you have to fight cancer, make sure you have the best team on your side. With Karmanos and McLaren together, more patients in Michigan have access to better cancer care close to home.

1-800-KARMANOS (1-800-527-6266) • karmanos.org Better treatments. Better outcomes. More moments.

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