HLN March 2014

Your Monthly Guide to Healthy Lifestyles

Also in this issue:

March 2015 • FREE Also available at hlntoledo.com

• Skin spruce-up for spring

• Get your colon cancer screening!

• The snoring and sleep apnea connection

• Answers to your diabetes questions

• Help fight opiate addiction

• Spiritually Speaking• Eating Well• Nobody's Perfect• Health crossword

Hee lthy Li ing N wseeMeet the

UTMC Parkinson's

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See how he looked before

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Skin spruce-up for spring

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Is your dermatologist a dermatologist and is he/she board certified?

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

Individuals seeking diagnosis and proper treatment of their skin disease can depend on board-certified dermatologists for their care.

Very few individuals realize that 80% of their facial appearance with aging is due to sun exposure and

subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler.

The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging areas of the neck, upper arms, abdomen, and jowls. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected. This heating of the dermis causes immediate collagen contraction and tightening followed by new collagen production over a period of time. This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only one treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain!

The NEW Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients.

For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas. The results are diminished lines and a more “wide awake” and less tired appearance. These products are also fantastic to reduce anxiety-induced underarm sweating for months after injections. This is also performed entirely by Dr. Handler with minimal pain with results lasting 5-7 months and longer.

The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette (sad) lines from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad! These products are also very useful for producing a more full but normal appearance to lips that thin as

we age. Since these products are combined with a numbing agent, the pain is minimal.

For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio.

Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler.

To view before-and-after photographs of patients who have had these procedures performed

by Dr. Handler, visit Dr. Handler ’s website at drharveyhandler.com. For more information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. Be sure to ask about specials available on many cosmetic procedures and products to diminish the signs of aging.

Also, please remember to have a yearly Full Body Exam for evaluation of moles and other growths we all develop as we age. Be certain you have no lesions that are pre-cancerous or cancer. Full Body Exams are best performed and evaluated by a board-certified dermatologist.

Hair loss in men and women

Are you losing hair from surgery, anaesthesia, illnesses, pregnancy and delivery, medications,

genetics, or “normal” hair loss secondary to aging or low blood levels of nutrients?

There are many causes of hair loss in men and women. Most are not simply due to age, and many are frequently treatable. Now these problems of hair loss can be evaluated and there is hope for reducing your hair loss and stimulating new growth.

Dr. Harvey Handler, board-certified dermatologist of Sylvania, Ohio, has a medical treatment for increasing blood flow to the hair follicle, thereby decreasing hair loss and increasing growth in many patients!

After appropriate examination of your scalp hair and blood testing is performed by Dr. Handler to rule out treatable medical causes, Dr. Handler will discuss a product to

decrease hair loss, increase growth, and cause the hair you have be fuller and thicker. This is not a product that is forever, but for months only. This new treatment works with or without Rogaine (minoxidil, which is forever) for reducing loss and promoting growth.

Call Dr. Handler’s office to set up an appoint-ment for a thorough evaluation and discussion of your particular hair loss and the therapy that may be individualized for you. Don’t assume because it “runs in the family” that you can do nothing to slow your hair loss. Most patients notice a decrease in loss in 30-60 days! ❦

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Dear Readers,Thank you for picking up the March issue of Healthy Living News. Pictured on this month’s cover is UTMC’s Parkinson’s Disease Interdisciplinary Clinic (PDIC) team, a diverse group of healthcare practitioners and volunteers who provide comprehensive care to Parkinson’s patients in one convenient location at the UTMC Gardner-McMaster Parkinson Center. See the story on page 4 for more information on this dedicated team as well as details on the upcoming 18th Annual Parkinson’s Symposium to be held April 18 from 9:00 a.m. to 2:00 p.m. at Parkway Place in Maumee. Themed “The Parkinson’s Show Starring Dr. Larry Elmer,” this year’s symposium promises to entertain and enlighten those whose lives have been touched by this progressive neurological disease.

Also in this issue, Toledo Clinic sleep medicine and pulmonary specialist Dr. Naeem Lughmani shares expert insights on the relationship between snoring and obstructive sleep apnea (p. 12); Joy Riedl of Otterbein Senior Lifestyle Choices discusses the

innovative “small house” concept of skilled nursing care (p. 40); Mary Cheney of ProMedica Wound Care talks about the various treatment options for tough-to-heal chronic wounds (p. 22); Deb Ross of Mercy Cancer Center emphasizes the vital importance of colorectal cancer screening (p. 10); and Super Fitness owner Ron Hemelgarn explains the remarkable longevity of his club, which celebrates its 43rd anniversary this month (p. 8).

On a more somber note, last month we mourned the loss of Toledo Mayor D.

Michael Collins. His love, vision, and pride in our hometown will long be remembered. Whether he was a direct descendent of Irish patriot Michael Collins or not, we always greatly admired his devotion and interest in his Irish heritage. Our thoughts and prayers are with his family. In fact, this month’s Spiritually Speaking by Sister Mary Thill (p. 6) is dedicated to Mayor Collins’ memory.

Hopefully, as you read this letter, we’ve had a break in the winter weather so area residents can get back to enjoying outdoor activities. If you need a little inspiration in this regard, next month’s issue will be jam-packed with information on upcoming triathlons, duathlons, and run/walks events plus our 19th annual Summer Camp Guide.

Until then, stay safe, active, and healthy!

March 2015 • Vol. 20, Issue 3

Your Monthly Guide to Healthy Living

@HLNToledo

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FOOD & NUTRITION26 Eating WEll Bite into a healthy lifestyle

by Laurie Syring, RD/LD

HEALTH & BEAUTY2 Skin spruce-up for spring.4 Effective Parkinson’s treatment takes an

interdisciplinary team 5 Sound advicE from northWESt ohio hEaring clinic

by Randa Mansour-Shousher, AuD, CCC-A7 Multiple myeloma: no known cure but

highly treatable10 Screening is key to conquering colorectal cancer12 Could your snoring be a sign of obstructive

sleep apnea?13 Heartland Rehab can help keep your heart healthy

and put the spring back in your step16 Weight loss with NutriMost transforms the body

inside and out22 ProMedica takes on tough-to-heal chronic wounds23 Seniors can take action to impact heart health

by Joanna Hunter24 Acupuncture for colds and flu?

by Douglas Schwan, DC, Dipl ac32 Family faces dad’s trauma-related memory loss

head on36 Advanced technology reduces colon cancer risk with-

out surgery, by Thomas Sodeman, MD, FACP37 Answers to your diabetes questions, by Angelo Iachini,

BSPS, and Michelle Schroeder, PharmD, BCACP, CDE41 Allergies and the ear, by Shelly Horvat, AuD, CCC-A42 How you can help fight opiate addiction

by Matthew D. Rizzo, MSW, MPA, LISW-S

TAKING CARE OF YOUR LIFE19 Everdry Waterproofing: your prescription for

a healthier home—and family28 Training for a 5K run, by Amanda Manthey29 nobody’S PErfEct Helping others can be healing

by Sister Karen J. Zielinski, OSF34 Let’s change the trend, by Mark S. Faber, USPTA Elite

Professional39 Health crossword, by Myles Mellor40 “Small houses” have big impact

by Christine A. Holliday43 a Walk in thE Park Duck and cover

by LeMoyne Mercer

OUR COMMUNITY6 SPiritually SPEaking Where do we go from here?

by Sister Mary Thill8 43 years of Super Fitness: a proven program for

success15 Lutheran Homes Society announces next

President/CEO18 Laurels is on leading edge of patient care with

telemedicine technology27 St. Clare Commons broadens care continuum

with new Rehab Consultant30 OHCA recognizes Spring Meadows as one of

top 10 facilities in state31 Fight winter at Miracle Salon and MediSpa

by Christine A. Holliday35 Women’s Wellness Weekend or Spa Day:

Pamper yourself without the big price tag!38 Senior Living Guide45 Free melanoma/skin cancer screening

CHILDREN & PARENTING34 Five steps parents can take to prevent childhood

obesity, by Nancy M. Surella, BS Ed44 Don’t miss the Greater Toledo Train & Toy Show

He’s always been your rock.Your dad isn’t happy that he’s not as independent as he used to be, but ProMedica Home Health Care will help him stay at home, and stay healthy. We will take care of speech therapy, home medical equipment, and a personal emergency response system for you and for your dad. ProMedica is the local health care system that can care for him at every stage from getting him dressed for the day to helping him regain his speech. It’s all about being well connected.

To connect with ProMedica Home Health Care, call 800-234-9355.

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4 March 2015 | Healthy Living News We love feedback. Like us on Facebook. Follow us on Twitter.

Mission StatementHealthy Living News offers the resi-dents of northwest Ohio and southeast Michigan a monthly guide to news and information about healthy life styles, health care, sports and fitness, and oth-er issues related to physical, mental and emotional quality of life. The pub-lication promises to be an attractive, interesting and entertaining source of valuable information for all ages, especially those 35 to 50. Healthy Living News is locally owned, committed to quality, and dedicated to serving our great community.

Healthy Living News is published the first of each month. The opinions expressed by contributing writers do not necessarily reflect the opinions of the publisher. Distribution of this publication does not constitute an endorsement of any kind. While HLN makes every attempt to present accurate, timely information, the publication and its publisher and/or advertisers will not be held responsible for misinformation, typographical errors, omissions, etc.

Contacts

Business office:To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615. Phone: (419) 841-8202 or email Kevin O’Connell at [email protected]. Ad reservation deadline is the 15th of the month preceding publication.HLN reserves the right to refuse adver-tising for any reason and does not accept advertising promoting the use of tobac-co.

Editorial office:Deadline for editorial submissions is the 10th of the month preceding publication. Send submissions to: Editor, Healthy Living News, 1619 Circular Dr., Toledo, OH 43614. Phone: 419-754-1339, fax 888-506-5790; email: [email protected]: Kevin O’Connell

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Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe. Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

Some people with Parkinson’s disease (PD) find that this pro-

gressive neurological disorder im-pacts virtually every aspect of their lives—from their mobility to their speech, sleep, thoughts and feelings, social lives, activities of daily living, and so much more.

Because PD may affect the whole person, effective treatment and symp-tom management is optimized through an interdisciplinary approach provided by a variety of different specialists. However, if these various practitioners are widely dispersed throughout a city or region, PD patients may find that keeping all their appointments and getting the comprehensive care they need is no small challenge.

The good news for local PD pa-tients and their families is that the UTMC Gardner-McMaster Parkinson Center offers a Parkinson’s Disease Interdisciplinary Clinic (PDIC) that combines all the specialists integral to their care in one convenient lo-cation—eliminating a major barrier to effective PD treatment.

The PDIC team provides a com-prehensive evaluation of patients’ PD and its effect on their medical, physical, mental, and social health. They then develop a coordinated management and treatment plan to maximize each patient’s independence and functional abilities.

“I call the PDIC a one-stop shop for multiple consults in one day,” explains nurse practitioner and PDIC director Mary (Molly) Scott, MSN, APRN/BC. “PD patients often have motor, nonmotor, and sometimes cognitive issues to contend with, so providing a physical therapist, occupational therapist, neuropsychol-ogist, speech pathologist, audiologist, social worker, nurse practitioner, and pharmacist all under one roof is our solution to provide the best and most comprehensive care for

them and their families.” The PDIC team currently con-

sists of audiologists Randa Man-sour-Shousher, AuD, CCC-A, and Dianna Randolph, AuD, CCC-A; nurse practitioner Mary (Molly) Scott, MSN, APRN/BC; pharmacist Gayle Kamm, PharmD; neuropsychologists Mary Haines, PhD, ABPP, and A. John McSweeney, PhD, JD, ABPP; occupational therapists Kelly Farley, OTR/L, and Darlene Vicari, OTR/L; physical therapists Eman Jarouche, PT, and Alison Pollacek, PT; social workers Lisa Keaton, MSW, LSW, and Kristen Schuchman, MRC, PCC, LSW; as well as speech pathologist Laurie Sheehy, MED, CCC-SLP. The medical assistants at the Gardner-McMaster Parkinson Center include Beth Weller, MA, Roseann Shepard, MA, and Nikki Rippke, RMA. Although not involved in the weekly clinic activi-ties, Lawrence Elmer, MD, PhD, and Michelle Masterson, PhD, remain involved as original developers of the clinic.

Scott notes that a vital aspect of the PDIC team is the integration of volunteers from the Parkinson Foundation of Northwest Ohio Vol-unteer Service Team. “Volunteers are essential to the work we do here. Not only do they provide peer sup-port for the patients, but they also assist with paperwork and help all the providers stay on task, which is critical since our patients need to meet with practitioners from many different disciplines during their clinic visit,” she says. PFNWO/UT volunteers include Director Bob Dubois, Dennis Ploszaj, and retired nurses Carolyn Schell, Carolyn Stone, Marylou Bolbach, and Mary Fran Liebherr.

Many PD centers of excellence are adopting an interdisciplinary ap-proach to care, and research indicates it yields better patient outcomes. In fact, based on patient data collected by the Gardner-McMaster Parkinson Center PDIC team, many showed a slower rate of symptom progres-sion—for example, their balance scores remained more constant—due to the interdisciplinary care they received. This helps prove the point that sometimes more is better!

18th Annual Parkinson’s SymposiumArea residents whose lives are touched

Effective Parkinson’s treatment takes an interdisciplinary team

For more information, contact:

Clinical Research Source, Inc. 419-873-1532 VERSION 1 - 27/APR/2012

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | March 2015 5

Q: Allergy season is just around the corner, and the last few years hit

me hard. I started to notice a difference with my ears, too. Could my allergies be affecting my hearing health as well?

A: You’re not alone! Nearly 50 million Americans suffer from

some type of allergy. Warmer winter temperatures, heavy snowfalls, and persistent spring rainfalls mean there is excessive moisture in the air. It also means plants produce more pollen that’s eventually released into the air. This pollen triggers your seasonal symptoms, like itchy eyes, a runny nose, or congestion.

Your immune system reacts to these allergens by releasing hista-mine, which can cause an elevated amount of mucus to be produced. High pollen levels cause swelling in the ear as well as an accumulation of wax and fluid. Your Eustachian tubes may become clogged and give you a pressured feeling. The fluid in the ear can cause discomfort and impact your ability to hear consistently well. In addition, your allergies may increase your risk of ear infections. The excess moisture in your ear means bacteria becomes more prevalent and middle ear infections are more common. Regular middle ear infections could lead to tinnitus or hearing loss in the future. Other ear-related symptoms related to allergies include dizziness and itching of the outer ear canal. If you experience any of these symptoms, they may subside once the season is

over, but this also depends on the Eustachian tube anatomy.

Many times the allergy season brings on hearing issues as well. The hearing loss most commonly connect-ed with allergies is called conductive hearing loss, which is associated with the inability of sound waves to trans-mit through the external canal to the bones of the ear, called the ossicular chain. There usually is a blockage or dysfunction of the middle ear that affects the conduction of sounds and causes the loss of hearing.

Hearing loss can be reversible if it lasts for a short period of time, such as during the allergy season. It’s trickier if you have sensorineural hearing loss and use hearing aids and then have the added complication of conductive hearing loss. This is called a mixed hearing loss, which is defined as a combination of a nerve loss, which affects the inner ear, and a temporary loss affecting the middle ear structure.

Be sure to wear the hearing aids and take note if you experience a change in your hearing. And as al-ways, it’s best to see an audiologist to receive a full diagnosis and de-termine whether or not you need a longer-term treatment. ❦

Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

by Parkinson’s disease are invited to attend the 18th Annual Parkinson’s Symposium, to be held Saturday, April 18 from 9:00 a.m. to 2:00 p.m. at Parkway Place (2592 Parkway Plaza) in Maumee, Ohio.

Themed “The Parkinson’s Show Starring Dr. Larry Elmer,” this year’s symposium will be presented in the style of The Tonight Show, with Dr. Elmer in the role of Johnny Carson. Members of PDIC team will be introduced to the attendees, but not through dry presentations given

at the podium. Instead, they’ll be interviewed as special guests on the Parkinson’s Show couch.

Upwards of 500 people are expected to attend the 18th Annual Parkinson’s Symposium, and registration is required by Friday, April 3. For more information or to register for The Parkinson’s Show, please call the Symposium Hotline at 419-383-4341 or visit The Gardner-McMaster Parkinson Center on Facebook at https://www.facebook.com/GardnerMcMasterParkinsonCenter.❦

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Cynthia Edwards-Tuttle FNP-BC, FAANP

“ If great care were an amusement park ride, you’d be cutting to the front of the line.”

There are a lot of awesome things about ProMedica certified nurse practitioners. One, you can usually get in to see one right away. Two, they’ll spend as much time with you as you need. And three, you’ll get top-level care since they are connected to a ProMedica Physician. All without the embarrassing photo at the end.

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Spiritually SpeakingBySister Mary Thill

Where do we go from here? Mayor D. Michael Collins

1944–2015

It may be that when we no longer know what to do, we have come to our real work, and that when we no longer know which way to go, we have come to our real journey. —Wendell Berry

We said goodbye to our still new mayor last month, and I’m

wondering where do we go from here? I was duly impressed with the loving, kind, humorous and honest remarks made by those who knew him well at the memorial service held at Savage Hall at the University of Toledo. So many people showed up on a very cold evening to pay their respects to a man we have come to love as our mayor.

He only had the job for about 13 months, and what a 13 months it was! His door-to-door campaign and his one-on-one conversations with his

constituents earned him the votes he needed to become mayor of Toledo. His role in this community as police officer, detective, council member, and finally mayor showed him to be a man well-prepared for leadership in this very special city.

The many challenges he and we faced while he was mayor certainly caused much stress, and he seemed to rise to the occasion as tragedy, un-usual weather and water conditions, possible loss of employment, and a chance to bring jobs and new life to the downtown area filled up his days and nights and weekends with meeting after meeting, establishing relationships that would bring good outcomes for Toledo and all those involved.

We have lost our leader; where do we go from here? A dear friend of mine, Sister June Ketterer, a Grey Nun who hired me to work here at St. V’s almost 10 years ago, told us

when she was leaving to go back East that if St. V’s disappears because the nuns aren’t here anymore, then the nuns didn’t do their job. They didn’t pass on the mission and values of the Gospel and the strength and vision of their charism as a community of religious women if the medical center failed. That was nine years ago, and I must say that St. V’s is alive and well and working very hard to con-tinue the mission and live out the values established by the Grey Nuns.

In some ways we are called to do even more dif-ficult things today than the nuns could have ever imagined in 1855. We now must design, develop, and do health care in totally new and different ways, and what is even more challenging, as soon as we do get a handle on what is happening in health care, something or some-one comes along and shows a better way to do it.

D. Michael Collins and his staff and advisors have been working very hard to meet the challenges and plan for the future of the city they love. He knew and they knew that

everyone would not agree with the way things would be done or what could be done, but there seemed to be a willingness to stay with the challenge, the issue, the problem and

talk things out and listen to as many sides as were willing to come to the table. He wanted Toledo to be a Community of Compassion, and he showed that “Collins Cares” in his words and more importantly in his deeds. I think if we can stay the course, continue to work together as a loving community where respect and dignity are given to all, then D. Michael Collins’s legacy will be evident in Toledo for

many years to come.Thanks to Mayor Collins, we do

know what to do, we know what our real work is, we know which way to go. Let us continue our real journey together in making Toledo a place that shows that “Collins cares” and so do we! ❦

Sister Mary Thill is a Sylvania Franciscan Sister. She is Patient Liaison for Mature Health Connections at Mercy St. Vincent Medical Center. She can be reached at 419-251-3600.

D. Michael Collins

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MULTIPLE MYELOMANo known cure but highly treatable

Though not among the more com-mon cancers, multiple myeloma

is a potentially lethal form of malig-nancy that, according to the American Cancer Society, will be diagnosed in an estimated 26,850 Americans and cause approximately 11,240 deaths in 2015. While there is no known cure for the disease, multiple myeloma has proven to be highly treatable and the options for fighting it are evolving rapidly.

Multiple myeloma is a cancer of the plasma cells that develops in the bone marrow—the soft, spongy tissue inside the bones that produces blood and all the cells that circu-late in it. In rare cases, the malignancy is confined to one particular site, but in most instances, it becomes a systemic disease.

As Rex Mowat, MD, of The Toledo Clinic Can-cer Centers explains, “In people with multiple myeloma, the plasma cells—which are responsible for making the antibodies that help fight infection—become malignant and keep dividing. Plus, they don’t die when they should, so they keep piling up and begin to crowd out the normal immune system, causing anemia and low blood counts. Also, the plasma cells often begin to secrete abnormal proteins instead of helpful antibodies, which can lead to kidney failure, elevated calcium levels in the blood, and increased risk of infection. Bone pain is another hallmark of the disease because multiple myeloma commonly causes holes to develop in the bones.”

Multiple myeloma is relatively easy to diagnose through bone marrow biopsy, blood work, and x-ray of the entire skeleton. In fact, doctors can usually determine within a day whether a patient has the disease or not. However, why the disease develops is not known and little is understood about risk factors with the exception of the knowledge that people are more likely to develop the disease as they get older.

The good news is, despite having no known cure, multiple myeloma is very treatable. “People with the disease used to live an average of only two and a half years, but now

the average life expectancy is eight years and getting longer. While it’s never a great diagnosis to get, espe-cially when you’re young, I’ve had some patients with multiple myelo-ma who’ve lived for two decades or more, and they’re often in remission during that time,” says Dr. Mowat.

Treatment typically involves some combination of IV or oral chemother-apy (three new effective agents are now available), steroids, and the drug Thalidomide. Also, bisphosphonates are commonly prescribed to help

build up damaged bones. Dr. Mowat notes that the chemo agents used to treat multiple myeloma today are generally well tolerated, causing mini-mal nausea and fatigue, so patients commonly work full time and feel relatively well throughout the course of treatment. Other approaches to symptom management might include radiation to

treat localized bone pain and kyph-oplasty surgery to repair collapsed vertebrae in the spine.

Depending on the patient’s age and physical status, stem cell transplant, using the patient’s own stem cells, may also be considered. “Autologous stem cell transplant, which we tend to do for younger patients, doesn’t cure multiple myeloma, but it does appear to put patients into remission longer and can prolong their life. The procedure usually requires a two- to three-week stay in the hospital and is typically very well tolerated with low mortality,” Dr. Mowat states.

While recent advances in the treat-ment of multiple myeloma are very encouraging, they’re also raising a lot of questions that doctors have yet to answer. For example, which drug or combination of drugs works best? Or, should stem cell transplants be used for multiple myeloma patients who are in their 70s? “These are just some of the things we’re trying to define—and that’s why it’s so import-ant to get more people into clinical trials. All these breakthroughs have been exciting; now we need to better identify how to use them,” says Dr. Mowat. ❦

Toledo Clinic Cancer Centers, located

Dr. Rex Mowat

Toledo Clinic Cancer Centers 4126 N. Holland Sylvania Road, Suite 105

Toledo, OH 43623

Toledo Clinic Cancer Centers has moved to better serve our patients and families.

Be sure to join us for our open house onMarch 5th, 2014 from 4pm - 7pm!

Located on N. Holland Sylvania Road, we have laboratory, MRI and other specialty services conveniently located on the premises.

GET DIRECTIONS TO HERE

Scan the QR code and use Google Maps to get directions to this location.

• Area’s most experienced cancer care team• Enrolling more patients in clinical trials than any other cancer care provider in the region• Largest number of referred patients• NW Ohio’s first QOPI Certified Cancer Center

Why area doctors trust us the most…

or call 419-479-5605

Dr. David BrownDr. Mark BurtonDr. Shaili Desai

Dr. Tim KasunicDr. Rex MowatDr. Richard Phinney

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CANCER CENTER


at 4126 N. Holland Sylvania Road, Suite 105, has eight board-certified hematologists/oncologists and eight nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TCCC also has satellite centers in Maumee, Bowling

Green, Oregon, Adrian, and Monroe for the convenience of the patient, and many TCCC patients are enrolled in the latest cancer research and studies in our region through the Toledo Community Oncology Program (TCOP). For more information, please call the Toledo Clinic Cancer Centers at 419-479-5605.

In the extremely competitive fit-

ness industry, clubs that stand the test of time

are few and far between. For a locally owned and operated fitness club to stay in business for over four decades, all the while expanding and improving

their offerings and facilities, is virtually unheard of. But that’s precisely what Super Fitness has achieved. What’s more, many of the original members of Super Fitness—now celebrating its 43rd anniversary—continue to utilize

and support the club.Asked how he accounts for the

remarkable longevity of the club and the loyalty of its patrons, Super Fitness owner Ron Hemelgarn points to several key elements, chief among them the fact that the club offers a program that helps keep members on the path to fitness. Included in the modest cost of membership is the guidance of expert personal trainers who assess members’ progress and modify their exercise regimen every month so they continue to challenge their bodies and achieve continuous results.

“We strongly urge our members to commit to our program because we know it works,” Hemelgarn states. “A lot of people talk about losing weight and getting in better shape for years but never follow through or stick with what they’ve started. If you don’t set out with a solid, proven program and support from expert trainers, you’ll never get the results you’re looking for. It’s like going to the dentist without a routine of brushing and flossing and expecting to have no cavities.”

Recognizing that all people—re-gardless of their age, gender, or phys-ical condition—need to get regular exercise for health and well-being,

Hemelgarn has tailored the fa-cilities and equipment at Super Fitness to accommodate everyone. In addition to providing a vast selection of the very latest cardio and strength-training equipment, which ensures that members never have to wait in line or have their workouts constrained by time limits on equipment, the club of-fers spacious aerobics areas; a pool, sauna, and whirlpool; group exercise classes; programs for seniors; a private Super Fit Kids Club and Ladies Only section (both featuring customized equipment); wheelchair-accessible exercise equipment; equipment de-signed especially for obese members; and much more. “Plus, throughout the year, we continually bring in the latest, safest, most precisely engi-neered equipment for the benefit of our members. When you look at all that we offer for just five dollars per week, it’s not surprising that people keep coming back and that many of our members have been with us for all 43 years,” Hemelgarn says.

More and more members are also discovering that Super Fitness is a great place to go to maintain or build upon physical rehabilitation gains after completing a formal rehab program or after their insurance has run out. In fact, Super Fitness trainers routinely work hand in hand

with members’ physicians, and the same equipment commonly used in rehabilitation programs is available there—including state-of-the-art NuStep® recumbent cross trainers.

However, one current trend that Hemelgarn does not embrace or ad-vocate for Super Fitness members is that of “extreme” fitness. “‘No pain, no gain’ may be a good saying, but it’s really bad fitness advice. Some people get seriously injured, in some cases permanently, while participating in these programs. We don’t want that for our members. Fitness is not about going to extremes; it’s about making a regular effort and building up your endurance gradually. If you get hurt, you’ll only get discouraged and drop out. Remember, pain is your body’s way of telling you to stop or slow down,” he emphasizes.

Anyone who is uncertain whether Super Fitness will be a good fit for them is encouraged to visit the club’s website at superfitnesstoledo.com, click on “Free Trial Membership,” and then

come and try out the facilities. “Once you join, get with the program, and start to see results, we’re confident you’ll keep coming back. You’ll find that no matter what your fitness goal may be, you can achieve it here at Super Fitness,” states Hemelgarn. ❦

43 years of Super FitnessA proven program for success

ATTENTION SUPERFITNESS MEMBERS

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biopsied immediately using instru-ments inserted through a port in the colonoscope. “All colon cancers start as polyps, with some forms being at greater risk of becoming cancerous. You can’t tell which ones are likely to become cancer until you remove them and do the pathology,” Ross explains.

Despite the fact that colorectal cancer is one of the most prevent-able cancers and that colonoscopy is highly effective as a screening

tool, many barriers to colonoscopy persist. For example, patients may fear that they’ll feel pain or discomfort during the procedure, or they may have heard that the prep phase is even more unpleasant than the colonoscopy itself. However, as Ross

attests from personal experience, colonoscopy is nothing to get worked up about. “When I went through it, I didn’t remember a thing until I woke up. The procedure itself is very quick, usually taking only about 20 to 30 minutes. And with the sedation medication used today, you wake right up afterward instead of feeling groggy for the rest of the day as was the norm in the past,” she says.

As far as the test preparation is concerned, patients are often worried about having to drink a large volume of an unpleasant-tasting liquid before spending the rest of the day on the toilet. While proper purging of the colon is essential to ensure good test results, this stage doesn’t have to be intolerable. Ross points out that there are different preparation methods and not all are equally distasteful or difficult. Pill-form laxatives and

Miralax combined with Gatorade are just a few examples of more palatable preparations. Be sure to discuss the various alternatives with your doctor.

Perhaps not surprising, fear of embarrassment is another significant barrier to colonoscopy. Though the procedure causes minimal discom-fort, there’s no getting around the fact that it involves examination of a very private part of the anatomy. Ross fully appreciates this concern and believes the best way to overcome it is to demystify colonoscopy and promote more social support and conversation related to the procedure.

The Lucas County Colorectal Cancer Coalition, of which Ross is a member, supports and advances many such initiatives and provides a wide range of educational resources to promote colorectal cancer awareness and screening in the community. For example, the organization, in part-nership with the American Cancer Society, is currently collaborating with Midas to raise colorectal cancer awareness among their customers by offering a coupon for a $9.99 oil change that features the message “Colon cancer doesn’t come with a warning light.”

And this messaging couldn’t come at a more critical time. Lucas County has been designated a “Priority County for Colorectal Cancer Awareness” due to the high number of late-stage colon cancer diagnoses in the county. According to Ross, approximately 50% of all people diagnosed with colorectal cancer in Lucas County are already at stage 3 or 4—when treatment options are much more limited. “This is a direct reflection of the lack of proper screening in our community,” she adds.

Ross emphasizes that getting proper exercise; eating a healthy, balanced diet; avoiding tobacco use; and knowing your family history are all essential elements of colorectal cancer prevention. However, the biggest challenge she sees is getting primary care physicians to start the conversation about colorectal cancer with their patients earlier and stressing the importance of screening. Unless that conversation begins to take place in more and more physicians’ offices, this highly preventable disease that causes no symptoms early on will continue to take a heavy toll on our community. ❦

Colorectal cancer is the second leading cause of cancer-related

death for men and women combined, claiming even more lives than breast cancer and affecting the lives of one in every 20 Americans. Yet, according to Deb Ross, BSN, RN, OCN, Educa-tion Coordinator for Mercy Cancer Center, one in three people between the ages of 50 and 75 are not getting screened for this silent killer.

Like so many forms of cancer,

Screening is key to conquering colorectal cancercolorectal cancer is considered “si-lent” in that it causes no discernible symptoms in the early stages. “By the time symptoms actually arise, a polyp has usually grown large enough to bleed or has already turned into a tumor. Prior to that, patients often have no idea there’s a problem, giving them a false sense of security, which is precisely why colon cancer screening is so critical,” Ross says.

The current recommendation is to begin colorectal cancer screening at age 50, but the appropriate age for any individual patient is dependent on fam-ily history and other risk factors. Anyone with a family history of colorectal cancer is advised to begin screening 10 years ear-lier than the youngest case diagnosed. For example, if your mother, father, or older sibling was diagnosed with colorectal cancer at age 50, you should begin screenings at age 40.

Though different tests are used to screen for colorectal cancer, the procedure known as colonoscopy is considered the “gold standard.” During colonoscopy, the patient is sedated and a colonoscope—a long, thin, flexible tube equipped with a light and a tiny fiber-optic videocam-era—is inserted in the rectum and advanced along the entire length of the colon. As the colonoscope is maneuvered, it transmits a detailed view of the lining of the colon and rectum, which is displayed on a monitor. If any polyps or other ab-normalities are discovered during the procedure, they can be removed or

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Lutheran Village at Wolf Creek, a ministry of Lutheran Homes Society in partnership with St. Luke’s Hospital.

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Independent Living Condos available NOW. Call 419-861-5616.

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Caring for Newborns to Seniors

Welcoming New Patients

THE TOLEDO CLINIC

James D. Diethelm MDRyan Szenderski PA-CSame day appointments available with our physician assistant

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18th Annual Symposium

The Parkinson’s ShowStarring…Dr. Larry Elmer

With Special Guests:

The Parkinson’s Disease Interdisciplinary Clinic Michele Masterson, PhD Molly Scott, RN, MSN, FNP-BC Gayle Kamm, Pharm. D, BCPS

Kelly Farley, BS, OTR/L, MLDT/C Laurie Sheehy, M.Ed, CCC-SLP Mary Haines, PhD, ABPP-CN

April 18, 20159:00 a.m. to 2:00 p.m.

Doors open at 8:30 a.m.Parkway Place ~ 2592 Parkway Plaza ~ Maumee, OH 43551

Produced by:

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Could your snoring be a sign of obstructive sleep apnea?

Could your snoring be a sign of obstructive sleep apnea?

There’s no question that loud, ha-bitual snoring can be a nuisance,

not just for the person who snores, but also for the snorer’s spouse or bed partner and anyone else within earshot who’s trying to get a good night’s rest. But if you or someone you love is a habitual snorer, it’s im-portant to understand that it could be a sign of something more seri-ous—obstructive sleep apnea.

Obstructive sleep apnea (OSA) is a com-mon sleep disorder in which the tissues at the back of the throat collapse and block the individual’s airway, caus-ing intermittent pauses in breathing during sleep. The pauses can last anywhere from a few seconds to minutes, and breathing is typically resumed with a loud snorting or choking sound. In some people with OSA, these episodes can occur hundreds of times throughout the night.

As Toledo Clinic Sleep Medicine and Pulmonary specialist Naeem Lughmani, MD, explains,

“Not all people who snore have apnea, but everyone diagnosed with obstructive sleep apnea has snoring as a main factor. To put the numbers in perspective, more than 24 percent of men and 10 percent of women have snoring with some sleep disturbance, and about 4 percent of men and 2 percent of women turn out to have obstructive sleep apnea.”

Repeated pauses in breathing prevent OSA sufferers from achieving deep sleep, or they may frequently become fully awake throughout the night without knowing why. But oftentimes, people with OSA are unaware that they even have a prob-lem and learn about it only because a spouse or bed partner (kept awake by their loud snoring) observes their disrupted breathing pattern.

Dr. Lughmani notes that another symptom of OSA is the frequent need to urinate during the night. One reason for this is simply that when a person is awakened by apnea, his or her bladder then “wakes up” and signals the need to urinate. But there’s also an interesting cascade of

physiological events that leads to this symptom in people with OSA. “When the throat tissues block the airway and the person struggles to take a breath, negative pressure is created in the chest. That negative pressure creates a vacuum that draws blood from the rest of the body into the heart, causing it to swell. In re-sponse to the increased blood flow, the heart sends a hormonal signal to the kidneys that there’s too much water in the body, so they in turn

begin to produce excess urine,” he says.

Daytime fatigue and sleepiness due to lack of

restful, recuperative sleep at night is a

very common sign of OSA.

But the potential complications of OSA left untreated go far beyond fatigue to include an increased risk of high blood pressure, heart disease, cardiac arrhythmias, mood and emotional problems, and many other issues.

“Also, not everyone with OSA no-tices daytime fatigue. Many sufferers are so accustomed to that decreased level of alertness that they think it’s normal, and they tend to compensate for it by drinking coffee and other caffeinated beverages or by staying active and avoiding sitting down. It’s not until they get treatment for their apnea that they discover what actual alertness feels like,” says Dr. Lughmani.

Anyone who snores and experi-ences some type of sleep disturbance is urged to see their primary care physician for a referral to a sleep disorder center, where they’ll have a consultation with a sleep specialist to determine whether the problem is likely OSA or possibly another disorder. An overnight sleep study is typically recommended for patients suspected of having apnea, while those unlikely to have apnea may need to add a daytime nap study to rule out other diagnoses, such as narcolepsy.

For patients diagnosed with OSA, the “gold standard” treatment is continuous positive airway pressure, or CPAP—a machine connected to a mask that increases air pressure in the throat, thus preventing the

4428 Secor Road, Suite AToledo, OH 43623Phone: 419-479-5392Fax: 419-479-5394

725 South Shoop AvenueWauseon, OH 43567Phone: 419-479-5392Fax: 419-479-5394

11-600 State Route 424Napoleon, OH 43545Phone: 888-917-5337Fax: 419-479-5394

Naeem Lughmani, MD, FAASM, FCCPPulmonary & Sleep Medicine Specialist

Toledo Clinic Sleep Medicine

Dr. Lughmani is welcoming new patients.

Sleep is a normal and vital part of our body’s daily cycle. Sleep impacts our health, mental wellbeing, memory, behavior, mood, and productivity. Most people, at some time in their lives will experience mild sleep problems. Significant or continual trouble falling asleep, staying asleep or staying awake, however, may be linked to serious health issues including high blood pressure, heart disease and stroke.

If sleep problems are adversely affecting your quality of life, a sleep study will help your Doctor diagnose your specific issues. Once diagnosed, most sleep disorders can be successfully treated.

Office Locations

Dena R. Crosser, NP-C

http://www.toledoclinic.com


airway from collapsing. “It can take a little while to get used to CPAP, but it’s over 99 percent effective for those who do. CPAP not only takes away all the symptoms of apnea, but it also eliminates all the associated health complications,” Dr. Lughmani states.

Patients who can’t tolerate CPAP have the option of using a mandib-ular advancing device or surgery. The mandibular advancing device

is a mouthpiece that holds the jaw forward to prevent airway blockage and facilitate better breathing while sleeping. It may be effective in mild to moderate cases of apnea.

Surgery to remove the uvula and soft palate, known as uvulopalato-pharyngoplasty, or UPPP, is another alternative, but it has a relatively low success rate—only about 41 percent. Dr. Lughmani remarks that the only surgical method that really works reliably for OSA is tracheostomy. However, this technique is seldom used today because CPAP is equally effective and completely non-invasive.

The effectiveness of OSA treat-ment has long been recognized. In fact, research conducted in the 1980s, which compared the outcomes for apnea patients who chose treatment versus those who didn’t, revealed that patients who are treated have the same mortality rate 10 years later as those without apnea.

“The most important thing to remember is that if you snore and have any other symptoms, you should absolutely get to a doctor and find out whether you have apnea. Don’t take snoring as just a nuisance. It can affect your health as well as your longevity,” says Dr. Lughmani. ❦

Though last month was Heart Health Month, the recent passing

of Mayor Collins following a cardiac arrest should remind us all why it’s important year-round to be aware of the risk factors of heart disease and how to prevent it. When it comes to beating heart disease and stroke, change can be the cure. To save lives and continue to raise awareness, Heartland joins the American Heart Association to bring further awareness to the risk factors that contribute to heart disease. Know your numbers to see how you can prevent heart disease from happening to you!

Know your numbers!Body Mass Index: BMI is a good

indicator of whether you’re at a healthy or unhealthy weight.

Cholesterol: Cholesterol is a soft, waxy

substance found in the blood and the body’s cells. High cholesterol may lead to atherosclerosis, or fatty deposits in the inner lining of arteries, which can cause a heart attack or stroke. Eating healthier foods and being physically active can help keep your cholesterol numbers in a healthy range.

Blood pressure: High blood pressure (hypertension) makes the heart work harder than normal. If you are 20 pounds or more overweight, you may be at risk.

Diabetes: Diabetes can increase your risk of heart disease and stroke by two to four times. If you have diabetes, you need to see your doctor regularly and reduce or eliminate any other risk factors. Maintain a healthy weight by balancing a healthy diet with

Heartland Rehab can help keep your heart healthy and

put the spring back in your step

Taking care of your ob-structive sleep apnea can result in waking up ready to face the day.

Did you know about Toledo’s Best Kept Secret?

Swan Creek Retirement Village a continuing care retirement community located on 34 acres offering spacious villa homes and apartments.Swan Creek promotes an active, upbeat lifestyle, allowing residents to do the things they enjoy. Call or visit us today.

5916 Cresthaven LaneToledo, OH 43614

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VILLA HOMES | INDEPENDENT APARTMENTS | ASSISTED LIVINGDEMENTIA CARE | SKILLED NURSING | REHABILITATION | HOSPICE

Main Name: Swan Creek Retirement VillageMain Number: 419-865-4445Fax Number: File Name: 419-865-4445.HP-C.TLT(BK1) 13.jbiPublication: Theater Leagur ToledoYear: 2013-14Sales Rep: Lynn DixDesigner/Date: MS / 7-24-13

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5916 Cresthaven LaneToledo, OH 43614

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Did you know about Toledo's Best Kept Secret?Swan Creek Retirement Villagea continuing care retirement community located on 34 acres offering spacious villa homes and apartments.Swan Creek promotes an active, upbeat lifestyle, allowing residents to do the things they enjoy.Call or visit us today.

V I L L A H O M E S | I N D E P E N D E N T A P A R T M E N T S | A S S I S T E D L I V I N GD E M E N T I A C A R E | S K I L L E D N U R S I N G | R E H A B I L I T A T I O N | H O S P I C E

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regular physical activity.

Goal numbersGoal numbers for each risk factor are listed below. The closer you are to these numbers, the lower your risk of developing heart disease. Know your risk factors to help prevent heart disease and improve your health!

The four ideal numbers for the general adult population are:

• BMI less than or equal to 25• Total cholesterol less than 180

mg/dl• Blood pressure less than 120/80

mm/hg• Fasting blood

sugar of 100 mg/dl.

Have a (healthy) heart!They say “you are what you eat,” but how often do you think about the foods that you are eating and their effect on your heart? While new research is leaning towards the fact that what you eat may not have as large an impact as first thought, it is always safe to select a well-bal-anced, colorful diet. Here are a few

healthier substitutions you can make to your diet that will make it more heart-friendly:

• Limit intake of hydrogenated oils that can be found in fast food, margarine, or fried foods.

• Use extra-virgin olive oil and garlic when cooking.

• Instead of shortening or butter for baking, use applesauce for half of the butter amount. You may need to decrease baking time by 25%.

• Use low-fat or fat-free versions of milk, sour cream, or cream cheese in a recipe.

• Reduce sugar by 1/4 to 1/3 in baked goods. Cinnamon, vanilla, or almond extract can be used to increase sweetness.

• Increase fiber intake; replace regular grains with whole grains or whole-wheat flour.

• Eat the darker green or leafier lettuces as opposed to iceberg lettuce for more fiber.

Another important aspect of heart health is regular exercise. At times, the thought of going to the gym and performing a long, strenuous exercise routine is overwhelming

and causes many people to not exercise at all. Here are some simple guidelines for beneficial exercise:

• Try to exercise three to four times a week for at least 30 minutes.

• Remain consistent, start out slowly, and progress exercise as tolerated.

• Remember to stretch before and after exercise.

• Keep hydrated and rest between sets.

• Consult a physician prior to beginning any exercise program.

• Consult a physical therapist for an individualized exercise program or to treat any injuries you may have.

• Add resistance exercises to your routine (body weight, free weight, bands, machines).

If it seems difficult to fit in 30 min-utes of exercise daily, try breaking it into three 10-minute segments.

One of the best ways to get start-ed with exercise is to start moving or walking. Walking is the simplest

way to start and contin-ue a fitness journey. It also costs nothing to get started and has the lowest dropout rate of any type of exercise.

Walking factsBased on the current available evidence, the following indices should

be used to classify pedometer-de-termined physical activity steps in healthy adults:

• Fewer than 5,000 steps a day may be used as a “sedentary” lifestyle index.

• 5,000 to 7,499 steps a day is typical of daily activity, excluding sports/exercise, and might be considered “low activity.”

• 7,500 to 9,999 steps a day might be considered “somewhat active.”

• 10,000 steps a day can classify an individual as “active.”

• 12,500 steps or more a day indicates “highly active” individuals.

With a combination of exercise, healthy coaching and behavior modification,

you can achieve results. Let Heartland be your resource for

Therapeuc Weight ManagementTherapeuc Weight Management Outpatient Rehabilitation ApproachOutpatient Rehabilitation Approach

Arrowhead: 419-897-9822 Oregon: 419-697-8000 Perrysburg: 419-874-2657

Westgate: 419-536-8030 Bedford: 734-856-6737 Contact Center 800.699.9395Contact Center 800.699.9395

Suffering with orthopedic problems due to weight, you have a choice! •• Reduce your low back, hip & knee painReduce your low back, hip & knee pain •• Decrease your risk for heart diseaseDecrease your risk for heart disease •• Lower your risk for Type 2 Diabetes Lower your risk for Type 2 Diabetes •• Improve your blood pressureImprove your blood pressure •• Regain your acve lifestyleRegain your acve lifestyle


Did you know?• The average person takes 2,000

steps per mile.• If you take 5,000 steps or fewer

per day, you’re considered sedentary.

• A multicenter study zeroed in on 6,000 steps as the minimum to ease and prevent knee pain in osteoarthritis sufferers.

• Women who tally at least 7,500 steps each day have a 50% lower incidence of depression.

• 10,000 steps is the daily total associated with lower blood pressure and reduced risks of diabetes and metabolic syndrome.

• 14,000 to 18,000 steps is the average number of steps Old Order Amish men and women take per day. ❦

Heartland Rehabilitation has five locations in the greater Toledo area with knowledgeable staff to assist with your physical and occupational therapy needs. Each location also offers a monthly membership for a small fee, with no contract, and the expertise of licensed clinicians to help you with your exercise routine.

The above tips are ways to have a healthier heart. It is the goal of Heartland Rehabilitation Services to assist you in focusing on your health this year! If you have any questions about Heartland Rehabilitation Services or how physical and occupational therapy can benefit you, please feel free to contact Jim Berger at 419-787-6741 or visit us at www.heartlandrehab.com.

Source: Catrine Tudor-Locke, director of the Walking Behavior Laboratory.

Lutheran Homes Society announces next President/CEO

The Lutheran Homes Society (LHS) Board of Directors has appointed W. Richard

Marshall as the next President/CEO of the social ministry organization upon the recent retirement of former President/CEO David Roberts.

Mr. Marshall comes to LHS from Christian Care Communities, Inc. in Louisville, Kentucky, the state’s largest non-profit provider of affordable housing and long-term care and home health services for older adults. He has served since 2003, most recently as their Executive Vice President & Chief Operating Officer, and previously as their Chief Financial Officer. He has over 20 years experience in healthcare finance and operations, with direct experience in operat ions, strategic planning, information systems implementation, bond debt financing, and banking relationships.

Mr. Marshall has a master’s degree in entrepreneurship from

the University of Louisville, where he graduated with distinction. His bachelor’s degree is in accounting from the University of Kentucky, in Lexington, Kentucky, where he graduated with high distinction and departmental honors.

“Lutheran Homes Society is certainly blessed to have Rick Marshall ‘take over the reins’ as the 12th CEO in the organization’s history. His extensive experience

in social ministry will serve him well, as he continues the mission of LHS in serving the young and the old in the name of Jesus,” said Mr. Roberts, who retired after serving 25 years at LHS, with the last 20 years as CEO.

Lutheran Homes Society is a social ministry organization based in Toledo, Ohio, that has been serving the unique needs of youth and elderly since 1860. Today, more

than 3,600 individuals located throughout Northwest Ohio and Southeast Michigan benefit from the housing, medical care, and community services offered through LHS ministries. ❦

Richard Marshall

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

Recovery to Home...

Lutheran Homes Society2021 N. McCord Road

Toledo, OH 43615www.LHSOH.org

Lutheran Homes Society has four therapy centers to serve you.

Lutheran Village at Wolf Creek (West Toledo/Holland) 419-861-5634 Lutheran Home at Toledo (East Toledo/Oregon) 419-724-1841 Lutheran Home at Napoleon (Napoleon) 419-592-1688 Lutheran Memorial Home (Sandusky) 419-502-5706

Our rehab services include: y Inpatient and outpatient therapy

y Physical, occupational and speech therapy

y Skilled nursing care

y IV therapy

y Complex wound care

y Tracheostomy care

y Home assessments

y And much more

One patient at a time

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can lead to serious medical problems.”Each patient’s program is

individualized based upon the outcome of biocommunication testing using resonant frequency technology. The technology sends over 2,800 messages to the body and monitors its physiochemical response to determine biological preferences, biomarkers that are out of range, and areas in which the body may be weak or imbalanced. Essentially, the radiofrequency technology takes a hormonal fingerprint to determine the exact blueprint the person needs to follow to bring their body into an optimal state of fat burning and health.

“By following your highly individualized plan under the doctor’s

supervision, you’re guaranteed to lose 20 to 45 pounds in 40 days with no hunger pains, needles, hormones, or strenuous exercise. In fact, NutriMost is the only guaranteed weight-loss program in the US. Also, patients who have health issues associated with obesity, such as type 2 diabetes, high blood pressure, or high cholesterol, will find that losing weight through the NutriMost program either completely eliminates the problem or reduces it to a much healthier level,” Peg emphasizes.

Todd Dowe, 41, who lost 43 pounds on the NutriMost program, remarks that while seeing the pounds come off is exciting, the internal changes outweigh the

results one sees on the bathroom scale. Asked to describe how he feels when he looks at his before-and-after photos, he comments, “It’s incredible to see. I can’t believe the difference, and I went through the 40-day process myself!” A registered nurse who works 24-hour shifts in critical care transport and a father of three children ages six and under, Todd is also impressed with the level of vigor he enjoys after going through the program. “When it comes to my energy level, I’m way ahead of the rest of my crew,” he says. ❦

For more information on the NutriMost program or to schedule your fat-loss consultation, please call 419-725-2345.

Never in history have there been more weight-loss programs to

choose from, more diet foods and drinks on grocery store shelves, or more gyms and fitness centers in our communities. Yet despite all these tools that purportedly help people shed excess weight, our nation’s obesity epidemic has only gotten worse over the years.

Recognizing this alarming trend in the rate of obesity and the severe impact it’s having on the health and well-being of our population, Dr. Nickalis Dumas set out to find a program that not only helps people lower that number on the scale, but also restores proper hormonal balance and resets their metabolism so they remain in fat-burning mode and achieve better overall health. He found what he was looking for in the

NutriMost program and introduced it to the Toledo and Findlay communities.

Doctor-supervised NutriMost focuses on much more than losing body weight. In fact, it’s not exclusively a weight-loss program—though the numbers on the scale will move dramatically. Over 200 health and wellness scans can be done with NutriMost.

“Unlike traditional diets, we start each patient with a body composition analysis and closely monitor several key markers, including your body fat mass, visceral fat rating, hydration level, and metabolic age,” explains Peg Dumas of NutriMost Toledo and Findlay NutriMost. “Visceral fat—known as the ‘dangerous fat’—is especially insidious because it puts pressure on your vital organs, such as the heart and lungs, which in turn

Weight loss with NutriMost transforms the body inside and out

Todd Dowe, who shed 43 pounds on the NutriMost program, can't believe the difference he sees in himself today.

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NutriMost is an amazing, revolutionary weight-loss program that is sweeping America, and it can completely change your life! With NutriMost, you’ll transform your body, inside and out. And, as you watch the pounds melt away, you’ll also be correcting hormone levels and restoring balance to your body.

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Laurels is on leading edge of patient care with telemedicine technology

Hospitals today are under mount-ing pressure from insurance

providers to treat and discharge pa-tients more rapidly. At the same time, across the healthcare spectrum, there’s growing awareness of the importance of reducing costly rehospitalizations. As a consequence, skilled-nursing facilities are receiving patients much earlier and at much higher acuity than they once did—in other words, patients are coming to them quicker and sicker—and must be poised to recognize and respond promptly to any change in condition that might result in a patient’s readmission.

The Laurels of Toledo, a skilled nursing and rehabilitation center located at 1011 Byrne Road, is meeting these new challenges head on through the use of sophisticated new telemed-icine technology. “Because patients are coming to us more acute, there’s a much greater likelihood that they’ll end up going back to the hospital or emergency room at some point,” says Laurels Administrator Edward Beatrice. “Telemedicine technology, which has traditionally been used to bring medical expertise to countries

that lack quality healthcare services, essentially makes it possible for us to provide 24-hour physician coverage to our residents, allowing us to monitor and assess patients more efficiently

and giving us a significant edge in preventing rehospitalization.”

Beatrice further explains that The Laurels is one of three facilities doing telemedicine as part of a pilot program through Northwest Ohio Accountable Care Organization, a partnership between University of Toledo Physicians and The Toledo Clinic. “UTMC geriatrician Dr. Murthy Gokula, oversees the entire program, while Dr. Ammar Kayyali, Medical Director of our Transitional Care Unit, oversees the program specifically here at The Laurels,” he adds.

The telemedicine system consists of a tablet computer that nurses can use to input patient vital signs,

such as blood pressure and oxygen saturation, as well as communicate visually with a doctor at a remote lo-cation—similar to Skype or FaceTime. The doctor can use either a tablet or a

smart phone to view the data and interact with

the nurse or patient. However, the system allows for much more than video conversations between health-care professionals. For example, the nurse can use a special stethoscope with Bluetooth technology on the patient while the doctor at the far end listens to the sounds it amplifies through a set of headphones. There’s

even an application for a 12-lead electrocardiogram (ECG), allowing the doctor to remotely evaluate a patient’s heart activity.

“The new telemedicine technology also allows the physician to perform a virtual clinic any time a patient ex-

periences an acute change of condition, which can be defined as a sudden, clinically important phys-ical, cognitive, behavioral, or functional change, or when a new patient ar-rives late in the evening when doctors aren’t typi-cally doing rounds,” says Dr. Gokula. “For instance, a rehospitalized patient was recently readmitted to The Laurels at around

8:00 p.m., and I was able to do a bed-side assessment on this individual right from my own home.”

For his part, Beatrice is very en-thusiastic about telemedicine’s po-tential for strengthening the quality of healthcare provided at The Laurels and for keeping patients out of the hospital or emergency room. “Tele-

Telemedicine technology allows the physician to perform a virtual clinic

any time a patient experiences an acute change of condition.

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medicine is a brand new frontier for us, but it’s clearly the wave of the future. It’s very exciting to embrace this innovative technology and re-freshing to be on the cutting edge of health care,” he says. ❦

The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services. For more information, call 419-536-7600 or visit www.laurelsoftoledo.com.

EVERDRY WATERPROOFING Your prescription for a

healthier home—and family

Prevention is a key component of health care. Scheduling regular

doctor visits, taking advantage of health screenings, and seeking medi-cal treatment immediately when any worrisome physical symptoms arise will help you lead a longer, healthier life. And the older you get, the more often you need to see your doctor so he or she can keep close tabs on your health status.

According to Gil Ramirez, general manager of Everdry Waterproofing, you should take the same approach when it comes to the issue of base-ment water infiltration, which can seriously affect the integrity of your home as well as the health of your family.

Mold and mildew“A damp, musty basement not only robs homeowners of usable living space, but it can also expose their loved ones to hazardous molds that could be taking a serious toll on their health. Studies have shown that mold is an underlying cause of many serious health problems, including chronic sinus infections, asthma, and a host of other issues. In fact, research has linked mold to a 300-percent increase in the asthma rate over the last 20 years,” Ramirez says.

Oftentimes, homeowners see a

few spots of mold here and there and figure it’s no major issue. But what they don’t realize is that obvious mold spots are like the above-water portion of an iceberg. Just as the bulk of an iceberg lies unseen below the surface, approximately 90 percent of the mold present in a home is in the form of invisible airborne spores, which can make you ill if you inhale them or even get them on your skin.

Get proactivePreventing basement mold and the structural damage that water infil-tration can cause requires a proactive approach—in the form of regular inspections by industry profession-als. And just as we need to see our doctor more often as we age, homes require more frequent waterproofing inspections as they get older.

Experts in the building/construc-tion industry highly recommend the following guidelines for basement inspection frequency based on the age of the home:

1–10 years: Once a year10–30 years: At least twice a year

and after every significant weather event

30+ years: Two to three times a year and after every significant weather event.Ramirez notes that when it comes

to handling basement and founda-tion issues, homeowners often feel so overwhelmed by the complexity of the situation that they decide it’s just easier to ignore and live with the problem. But that can be a recipe for future disaster. “When you’re dealing with your home’s substructure—the part that’s below ground—seemingly minor problems can soon escalate into major ones if left untreated. If you ignore a small problem now, you may have standing water in the future, which can lead to dangerous mold, dry rot, and even structural

Constipation Frustration?

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | January 2015 15

ATP. Increased levels of this energy molecule allow for the normaliza-tion of cell function, pain relief, and healing. The cells are also now able to communicate with one another: damaged cells absorb energy from the laser and create new enzymes that allow for the healing and relief of pain; damaged adjacent cells are affected by the enzymes and then, in turn, produce more of the same bio-chemical reaction, which lets those cells begin to normalize and relieve pain as well. ❦

Heartland Rehabilitation, your local outpatient physical and occupational therapy provider, can assist you in this area. Whether it is in the development of a healthy exercise program or if you are recovering from an injury, we can help you. Heartland has five locations in the greater Toledo, Ohio and Bedford, Michigan areas with experienced and knowledgeable therapists. For more information, contact Jim Berger at 419-787-6741 or [email protected]. “Therapy for Today…Wellness for Life!”

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damage. So the earlier you call in our waterproofing experts to address the issue, the better,” he emphasizes.

Early warning signs of basement water infiltration to watch for include:

• Damp, musty, humid air• Condensation• Efflorescence (chalky white

residue) on masonry or concrete walls

• Cracking in walls and floors.

Also, don’t assume running a dehumidifier and caulking up cracks will remedy the problem of basement moisture infiltration. As Ramirez points out, these measures merely treat the symptom of the problem, not the cause—sort of like taking Tylenol to reduce a fever without addressing the underlying illness.

Weather and waterproofingAfter last year ’s re-cord-breaking winter, many area residents ex-perienced a lot of melting snow and ice that led to basement complications. But basement water in-filtration problems can stem from other—sometimes sur-prising—weather phenomena as well.

High winds, for example, can damage a home’s foundation. While skyscrapers and other tall buildings are designed with some “give” so they sway in the wind, homes are not. Once they’re cemented and anchored in place, they’re not designed to move, which leaves their foundations vulnerable to wind damage. “For example, a powerful wind blowing from west to east will lift the west side of your home while simultaneously putting pressure on the east side, and as the wind direction changes, the home adjusts accordingly. That can lead to cracks in the foundation. Of course, you should also be aware that extremely heavy rains and extensive freeze-thaw cycles can take their toll on your foundation,” says Ramirez.

What about climate change and your foundation? Could a few degrees variation in the average temperature make a difference? Ramirez says yes. “Climate experts contend that just a few degrees of global warming can lead to significant changes in local and regional precipitation levels as well as the frequency of certain ex-

treme weather events. All you have to do is watch the news to see the evidence of this. We don’t just get rain anymore; we get deluges and flooding. Instead of normal snowfall amounts, we get blizzards. And, as has been reported in many news sources, extreme heat is leading to more and more wildfires in many parts of the country. We recommend scheduling an inspection after any severe weather event,” he remarks.

Put on your inspector’s hatWhen Everdry’s experts come out to perform an evaluation of a home’s waterproofing needs, they complete a comprehensive, 20-point inspection covering both the interior and exterior of the home—a $295 value offered at no charge to the homeowner. Just as

you see your doctor at least once a year for a physical to assess

your health, this free inspec-tion to evalu-

ate your home’s waterproofing

should be done at least once annually, but even

more frequently as your home ages.

Ramirez also en-courages homeowners

to do a little “waterproofing sleuthing” of their own.

“Take a look around, note any items that raise concern in your mind, and then share them with your Everd-ry representative. We educate our customers about what is causing their wet basement and then try to understand their specific expec-tations. By getting an idea of the basement’s end use, Everdry can determine the best solution for the customer. We then sit down with the customer, identify options to rectify the problem, and together arrive at a solution,” Ramirez explains.

Don’t ignore the problem!Most importantly, keep in mind that small issues can turn into big ones. If you have any concerns about basement water infiltration or the integrity of your foundation, don’t ignore the problem hoping it will go away. Call to have a certified inspector from Everdry, recipient of the Franchise of the Year Award for 2014, come out and provide you with some answers and get your home back in good health. ❦

Join Us for

Family and Child Abuse Prevention Center’s

15th Annual Spring Luncheon

Friday, April 24, 2015 Inverness Club

4601 Dorr St., Toledo

11:30 a.m. Registration 12:00 p.m. Luncheon, Program

& Raffle Ticket Price $100

To purchase tickets

please contact Darla McCarty

419.244.3053 ext. 221 or [email protected]

Help Make Every Home a Safe Home

2460 Cherry St. Toledo, OH 43608

Family and Child Abuse Prevention Center is a 501 (c)3 non-profit organization

Event Sponsored in part by

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Celebrating Mothers – Past, Present and Future

Please Join Us for the 12th Annual

© 2015 ProMedica

For our mothers, our daughters and ourselves, it’s important that we learn about heart disease and how it affects women. Please join us for this educational and community forum!

Friday, May 8, 2015 Hilton Garden Inn Levis Commons Perrysburg, Ohio 43551

Keynote Speaker: Zonya Foco, RD, CHFI, CSP, America’s Nutrition Leader

Tickets are $20 per person and include breakfast and lunch. There will be a wide variety of speakers that will encompass overall women’s health. Local and national vendors will be present and selling their products.

To register or learn more, please contact Dee Your at 419-842-3002 or [email protected].

mailto:dee.your%40promedica.org?subject=I%20saw%20your%20ad%20in%20Healthy%20Living%20News


When a healthy person experiences a cut or sore, natural healing

mechanisms quickly repair the in-jury and restore the skin’s integrity. However, for people with diabetes, poor circulation, a compromised im-mune system, or certain other medical conditions, this normal process can be disrupted or stalled, resulting in a non-healing, or chronic, wound.

As Mary Cheney, CNP, CWS, of ProMedica Wound Care explains, the body’s natural healing process involves four phases that must occur in the proper sequence and time period. They include hemostasis, or clotting; inflammation; proliferation, or healing of the wound; and remod-eling, or scar tissue formation. “People with chronic wounds are stuck in the inflammation phase, so our job is to help them progress beyond that and move on to healing,” she says.

The ProMedica Wound Care team works aggressively to heal chronic wounds within a target timeframe of 12 weeks. Treatment begins with debridement to remove necrotic or infected tissue and thorough washing to eliminate foreign matter. Next, the appropriate type of wound dressing is chosen. Wounds require a moist environment—not too wet or too dry—to heal, so dry wounds must be treated with dressings that add moisture while wet wounds require dressings that absorb excess drainage.

High-tech therapies can also be brought into the treatment equa-tion to combat chronic wounds. “For example, we have the option of using hyperbaric oxygen therapy, or HBO, to treat patients with diabetic foot ulcers. HBO increases the level of oxygen circulating through the body and reaching the tissues, which accelerates wound healing,” says Cheney. Negative-pressure wound therapy (NPWT), in which a special vacuum dressing is applied to a

wound to promote healing, is an-other advanced technique that can be utilized if appropriate.

Cheney further explains that Pro-Medica Wound Care’s comprehensive approach to healing chronic wounds can be summed up with the acronym DOMINATE, which stands for the following:

• Debridement—cleaning the wound

• Offload—keeping pressure off the wound

• Moisture control • Infection control• Nutrition—ensuring the patient

is getting enough protein to promote healing, eating an overall healthy diet, and taking a daily multivitamin

• Arterial studies—ensuring adequate blood flow to promote healing

• Technical advances such as HBO, NPWT, and skin grafting

• Edema control (reducing swelling) and patient education.

“Of course, these are just the things we can do at the clinic,” notes Cheney. “We always tell patients that what we do here represents only one percent of the solution to their chronic wounds.

The other 99 percent is what they do when they leave here, which includes following the prescribed treatment, avoiding smoking, keeping their blood sugar under control, and calling us immediately with any problems or

ProMedica takes on

tough-to-heal chronic wounds

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Seniors can take action to impact heart health

by Joanna Hunter

With heart disease being the leading cause of death for men

and women in the US, it’s important to share and educate people of all ages on how to protect their heart. It’s especially important for seniors to be informed about heart disease, its risk factors, and healthy habits to avoid it because it is never too late to make an impact on heart health.

When seniors retire, they often become less active and less willing to maintain a healthy lifestyle. Perhaps many feel it doesn’t matter at this stage of life. However, exercise and new healthy habits benefit people of all ages, and those with heart condi-tions are no exception. Studies show that cardiac rehabilitation programs can make a noticeable improvement in circulation, strength and balance, blood pressure, and cholesterol and offers many other benefits to the mind and body.

Brandon Welever, is a fitness coach for Kingston Residence of Sylvania who specializes in cardiovascular exercise for the residents in their senior living community. He meets with each resident individually in the comfort of their own apartment. He establishes fitness programs that are personalized to each person’s need, meets with them weekly, and brings

the required equipment to their apart-ment. “Strength-building exercise is particularly important to seniors not only to build endurance to avoid falls but to build and maintain the heart, which is the most important muscle in the body,” states Brandon.

Brandon has seen significant changes to many of his residents after starting them on an exercise routine. “I get a lot of new residents who try to avoid the program, but once we get going, it’s surprising how quickly they can see a differ-ence. Not only are my clients feeling better and stronger, but they seem

questions they might have.” Wound care patients are seen

once a week for the first four weeks of treatment, so their healing can be closely monitored and assessed. If they’re not making progress, their treatment regimen may need to be changed or additional therapies may need to be introduced. Because edu-cation is a primary focus at ProMedica Wound Care, patients are also asked to do “teach backs,” which involve demonstrating to the staff how they clean, bandage, and protect their wound at home to ensure they’re doing everything properly.

As with any medical concern, the best way to deal with chronic wounds is to prevent them from developing in the first place. For people with diabetes, that means never going barefoot, inspecting the bottoms of their feet every day, eating a healthy

diet, and taking their medications as prescribed. People with venous insufficiency, who often struggle with edema (swelling) in the legs, need to wear support stockings, elevate their legs throughout the day, and watch their sodium intake. “In addition, all patients need to see their primary care physician annually for physi-cals and preventative screenings,” Cheney states.

ProMedica Wound Care has loca-tions throughout our region, including the ProMedica Wound Care (3110 W. Central Ave. in Toledo), ProMedica Bay Park Hospital in Oregon, ProMedica Bixby Hospital in Adrian, ProMedica St. Luke’s Hospital in Maumee, Pro-Medica Defiance Regional Hospital, and ProMedica Memorial Hospital in Fremont. Call 419-473-6633 or 800-700-5277 to be connected to the location nearest you. ❦

With a specialty in physical medicine and rehabilitation, Stacey Hoffman, M.D.

is the full-time medical director of the Kingston care staff. She manages a

team of well-qualified licensed nurses and certified nurse practitioners to

give you the best chance at stroke recovery.

Introducing Kingston’s On-SiteStroke Recovery Physician

345 E Boundary St., Perrysburg, OH 43551

(419) 873-6100 | www.kingstonhealthcare.com

When a stroke

rebuild mobility renew strengthresume life

Call today to schedule a tour and learn moreabout our unique stroke program.

We understand that stroke isn’t just a neurological disruption; it’s a family disruption that affects both patient and loved ones. Kingston HealthCare is here to set you and your family back in motion through premier stroke care at our state-of-the art facility.

Kingston HealthCare is the region’s best choice for stroke rehabilitation offering:

• Newly constructed skilled nursing and rehabilitation center• Team of clinical and rehabilitative experts• One-to-one specialized therapy• Clear and candid facility-to-family communication• Immediate, ongoing and long-term coping strategies• Private, spacious rooms

unexpectedly pauses life, we help you

press play again.

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Acupuncture for colds and flu?by Douglas Schwan, DC, Dipl ac

The cold and flu season is upon us and, as you probably know, the vaccines given last fall are not as effective as had been hoped. When developing the flu vaccine, scientists take the more common strains from the previous season's flu, deactivate the virus, and inject it in us to train our immune system. The trouble is, there are millions of strains of flu virus and immunity to one does not confer immunity to all. That’s why you need a new flu shot each season! Saying all this, I see patients every day who have symptoms of the flu yet argue that they had the flu shot. The truth is, they just have a variety of the flu virus that wasn’t in their shot.

Traditional Chinese Medicine has had cures for the common cold and flu for thousands of years. Treatments have been shown to reduce symptoms and durations of symptoms for these common conditions. Acupuncture itself has been shown time and again to boost the immune system to alleviate the symptoms of, and maybe even prevent, the common cold.

Prompt treatment at the first sign of symptoms brings the most effective resolution of cold and flu symptoms. In fact, out of all the medications one might keep in their medicine cabinet, we encourage our patients to have zinc lozenges always handy. At the first sign of a sore throat, they are instructed to suck on several lozenges and let the zinc coating wash down their throat. The zinc binds with viral particles and inactivates them. Let the infection penetrate too far into your tissues before using zinc,

and they will be shielded from the curative effects.

Cold and flu infections are caused by viruses. Antibiotics have no effect on viruses as they are solely for treatment of bacterial infections. Using antibiotics for a viral infection can weaken

the body and actually prolong the condition. Using antibiotics when you don’t need them also weakens their effectiveness down the road when you really do need them to fight a bacterial infection.

Chinese herbal medicine as well as acupuncture create a diaphoretic action in the

body that repels viruses and bacteria. It also reduces the diffuse general myalgia and inflammation from an over response of the immune system to the virus. Colloidal silver has also been shown to be extremely effective in colds and flu and should be utilized at the first signs of infection.

Many people use Traditional Chinese Medicine not only to improve health conditions, but also to maintain their energy balance and stay healthy. Mind, body, and soul must work together to heal and maintain health.

Talk to your Alternative health practitioner today and see what you can do to bring your life back into balance. ❦

Dr. Schwan is a graduate of the International Academy of Medical Acupuncture and president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. For more information on Alternative Medicine and acupuncture, visit his website at www.acupuncturetoledo.com.

more optimistic and happy.”Brandon works with the dietary

and activities department to incor-porate other heart-healthy habits, such as eating the right foods and planning engaging activities that keep the residents moving and involved in the community.

Not every senior has access to a personal fitness coach, but there are many resources online that can provide great direction for exercis-

ing after the age of 50. All seniors should consult their physician to review their exercise and lifestyle plans to be sure it is the best fit for their current health needs. Taking action to improve heart health can mean better overall well-being, fewer medications, and significantly lower risk of disability in the future. ❦

Joanna Hunter is Executive Director of Marketing at Kingston Healthcare.

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by Laurie Syring, RD/LD

Bite into a healthy lifestyle

March is National Nutrition Month®—an annual nutrition

education and information campaign sponsored by the Academy of Nu-trition and Dietetics. While proper nutrition is important year-round, it’s helpful to set aside a month to focus on making informed food choices for good health and quality of life. Doing so helps us establish good eating habits that we’ll (hopefully) continue and reinforce throughout the year.

The theme for this year’s National Nutrition Month is “Bite into a Healthy Lifestyle,” which I think sends a valuable message. You’ll notice it’s not “Deprive Yourself into a Healthy Lifestyle” or “Diet Your Way to a Healthy Lifestyle.” The point of this initiative is to develop a healthy, sustainable eating pattern, with a focus on meeting your nutritional needs within caloric limits, making knowledgeable food choices, and getting daily exercise to promote overall health. It’s about adopting a healthy lifestyle, not starting yet another diet that you follow for a few short weeks.

Learn your needsOne of the many problems with fad diets is they’re one-size-fits-all. They don’t take individual needs and preferences into account. But learning what you need—and how much—is so important. You need to consider your age, gender, body type, family history, and existing health conditions. You need to look at your work and home-life habits (whether you’re sedentary or active). Your food preferences and culture must also be worked into your healthy plan. You need to figure out where you can make some changes, some sacrifices, and learn some new delicious health habits as well. All these factors are key to making your lifestyle changes long-lasting.

Find your foodsIt’s essential to make informed food choices while building an eating plan that meets your tastes. You need to know which nutrients are found in which foods. For example, did you know that calcium is found in milk and broccoli too? Or that vitamin C is in oranges as well as tomatoes and potatoes? Most people are aware that fruits and vegetables provide fiber, but did you know it’s also plentiful in grains and beans?

Know the factsWhen food selections go beyond whole foods and into packaged foods,

figuring out what fits and what doesn’t can be diffi-cult. You really have to read those nutrition labels care-fully because oftentimes the front of the package makes nutrition claims that can be misleading. However, reading the back label can reveal the truth of what you’re eating. Look at the list of ingredients. What’s first on the list? Food labels list ingredients

in descending order of prominence, so you know the product contains more of that first item than any other. This is a good way to see if a particular food is made with whole grain or a lot of added corn syrup, for instance.

Go ahead, take a bite!Making the right food choices is a necessary part of biting into a healthy lifestyle. Choosing more fruits and vegetables is a good place to start. Aim for at least five servings a day. But you must also strive to become more food savvy overall. There are a variety of ways to accomplish this. A consultation with a registered di-etitian (your doctor should be able to refer you to one) is a great place to start. You can also educate your-self with websites like eatright.org, myplate.gov, diabetes.org, american-heart.org, and cancer.org. Plus, you can get nutritional guidance from

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There, he meets with the therapy and nursing teams to discuss whether any of the patients are having issues with their therapy program and can address any problems that might be holding up their progress and preventing them from returning home and getting back to their lives.

“For example, if a patient is experiencing pain and swelling that’s interfering with rehab progress, I can work in close consultation with St. Clare Commons’ Medical Director or the patient’s primary care physician to determine the best method to get the pain under control, whether it a bedside steroid injection or another option. Or, if a patient has an issue related to an incision, I can contact the ortho-paedic surgeon who performed the procedure to collaborate on the best way to handle the problem. I don’t take over for the patient’s primary care doctor or orthopaedic surgeon. Rather, I serve as a liaison between

patients and their doctors or surgeons and help complete that continuum of care from an orthopaedic stand-point,” Dr. Sokoloski explains.

McGlothlin adds that in some cases, rehab patients may have ei-ther a low threshold to pain or low exercise tolerance for one reason or another. In these cir-cumstances, Dr. Soko-loski can discuss with the rehab staff ways to circumvent these lim-itations so they can still get optimal benefit from their rehab program.

St. Clare Commons’ rehab patients and res-idents appreciate the

fact that Dr. Sokoloski visits the campus at least once a week (at most facilities, an orthopaedic doctor typically visits only once a month or every other month). His routine visits not only ensure they’ll be seen promptly, but also eliminate the need to schedule appointments or travel off campus to receive orthopaedic care. St. Clare Commons’ long-term-care and mem-ory-care residents can also benefit

St. Clare Commons broadens care continuum with new Rehab Consultant

In an effort to further expand and strengthen their continuum of care,

St. Clare Commons, a Franciscan Living Community located at 12469 Five Point Road in Perrysburg, has welcomed orthopaedic surgeon Steven Sokoloski, MD, FAAOS, of Consult-ing Orthopaedic Associates to their care team as a Rehab Consultant. Dr. Sokoloski works closely with the St. Clare Commons therapy and nursing staffs to ensure rehab patients are progressing appropriately and to help remove any barriers to their recovery.

“We identified a need for a Rehab Consultant with an orthopaedic background because so many people

come here for therapy following joint replacements, fall-related bone frac-tures, or other orthopaedic problems,” states Carrie McGlothlin, Regional Director of Marketing for Francis-can Living Communities. “Also, the nature of healthcare today is chang-ing. Everyone across the healthcare spectrum, from hospitals to rehab facilities, is under pressure to deliver care more quickly and efficiently. Dr. Sokoloski’s expertise certainly helps our therapy team achieve that while providing tremendous benefit to our residents.”

In his role as Rehab Consultant, Dr. Sokoloski visits the St. Clare Com-mons campus at least once weekly.

a variety of apps as well as books and cookbooks at area bookstores or libraries. Of course, reading this column throughout the year won’t hurt either!

To achieve nutritional excellence, you must be empowered to take control of your diet, including what you put

in your grocery cart, how you cook, and what goes into your mouth. It is easier than you think—even the smallest changes can be beneficial. So enjoy biting into a healthy lifestyle!❦

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

Dr. Steven Sokoloski

After surgery for a routine hip replacement, Mike was anxious to get back to his normal, active lifestyle. His brief three week rehab stay at St. Clare Commons helped maximize his performance, and was the perfect stepping stone from hospital to home.

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from Dr. Sokoloski’s expertise. In fact, if their mobility is limited, he can even make “house calls” right to their private room or suite.

From the perspective of the rehab and nursing staffs, having the ability to consult face to face with an orthopaedic surgeon on a routine basis significant-ly streamlines communication and allows them to treat patients much more efficiently. “Instead of having to rely on descriptions and perceptions of a problem given over the phone, Dr. Sokoloski can see what’s going on with a patient firsthand and begin

effective treatment immediately,” McGlothlin says.

Consulting Orthopaedic Associ-ates has offices in both Sylvania and Bowling Green, and Dr. Sokoloski is affiliated with multiple hospitals in the area, including Mercy St. Vin-cent Medical Center and ProMedica Flower Hospital. He received his medical degree from the Medical College of Ohio and completed his internship and residency at Loyola University Medical Center. He has been in practice for 23 years. ❦

Training for a 5K runby Amanda Manthey

At 3.1 miles, the 5K run is an at-tainable goal for even the begin-

ning runner. The races often support charities or fundraisers, which makes them rewarding, as well. Follow these tips and running program for a successful 5K.

This program is designed for first-time runners or those who have not been training at all for many months. Start slowly, and walk exclusively during the first week or two until you are ready to incorporate run-ning into your workouts. Start by running one minute, walking one minute, and then alternate during your workout. Eventually, you will be able to run continuously.

• Give yourself time to prepare. You may need more time than the 12 weeks outlined below. Listen to your body. If your leg muscles or joints are sore, try cross-training for a few days. If the soreness persists, see your doctor.

• Always warm up and cool down with five minutes of walking before and after each

workout as well as stretching. • Wear a well-designed running

shoe that fits properly. Stop by Dave’s Performance Footgear, which specializes in running shoes, for an assessment of your needs and a personalized fit.

• Talk with your doctor before training for your 5K. ❦

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

Don’t miss Dave’s races!Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear. For more information on any event, including any applicable fees, please visit davesrunning.com.

Dave’s Spring 5K TrainingWednesday, March 4, 2015–Sunday, April 26, 2015, at 26567 North Dixie Highway in Perrysburg. Join us for the second annual Dave’s Spring 5k Training Group. Train for the Glass

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City 5k, Glass City Marathon relay, or other fine spring 5k event with this eight-week program that will show you what you need to know to run at your best.

The program is for runners of all different abilities, from absolute beginners who have never run a step all the way to runners trying to break 20:00 for a 5k. Separate coaches will oversee separate pace groups of all different speeds and abilities.

The program will meet twice a week: Wednesday evenings at 6:30 p.m. and Saturday mornings at 7:30 a.m. Each participant will receive a full eight-week training program, a training tee shirt, and a coupon book full of in-store discounts.

Training venues and times: March: Wednesday evenings at 6:30 p.m. at The Shops at Fallen Timbers, 3100 Main Street, Maumee, Ohio; and Saturdays at 7:30 a.m. at Sidecut Metropark, 1025 W. River Road, Maumee, Ohio. April: Locations TBA; times will be the same.

Great Black Swamp Festival of RacesSaturday, March 21, 2015, at 6119 Finzel Rd. in Whitehouse. The Great Black Swamp Festival of Races, presented by the Toledo Roadrunners Club and hosted by the Anthony Wayne Schools campus in Whitehouse, is a true festival of running and fitness with races at distances of 25K (9:00 a.m.), 15K (9:00 a.m.), 5K (9:15 a.m.), and a 1K Kids Race (8:30 a.m.).

Soles4Souls 5KSaturday March 28, 2015, 10:00 a.m., at the Bowling Green State University Perry Field House in Bowling Green, Ohio. Fundraiser to raise awareness of the foundation Soles for Souls and also for people in need of shoes around the world. This is also a donation site following the month-long shoe drive fundraiser event. Donating a pair of shoes at the race is strongly encouraged! Any shoe of any wear and tear is accepted for donation. All funds and donations will go directly to the cause! ❦

Sister Karen Zielinski, OSF

nobody’s perfect

Helping others can be healing

For the last few years, I have been making Rice Krispies treats and

giving them to others. Although I am a pretty good cook, I have been drawn to make these easy cereal and marshmallow treats with rice cereal or corn flakes and molding them into seasonal shapes. (They are, after all, gluten free!)

For the Super Bowl, I make footballs. There will be flowers for spring, autumn pumpkins, candy corn shapes for Halloween, wreaths for Christmas, and right now, I am trying to design something that looks like a ground hog for our annual Ground Hog Day celebration. I have posted pictures of my creations on social media. My sister calls my fixation with these sweet creations an “addiction” and

is suggesting I need an intervention/treatment because I “can’t stop anytime I want to.”

But she made me think: Why am I doing this? I enjoy a treat with a cup of coffee now and then, and they are so easy to make. (I can whip out four dozen in a couple of hours with my perfected technique of Pam-sprayed,

disposable medical-examination gloves and food coloring!)

I think the reason I make them is a way to remember others. I give one or two of these fun treats

to others. Sometimes I give a couple to someone who is sick. Other times, I give them to co-workers or neighbors.

They are nothing big, but often a person’s day seems better simply because they were thought of, and

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OHCA recognizes Spring Meadows as one of top 10 facilities in state

The Ohio Health Care Associa-tion (OHCA) has recognized

Spring Meadows Senior Commu-nity one of the top 10 facilities in the association, based on results of an Ohio Department of Aging bi-annual Family Satisfaction Sur-vey just released.

OHCA represents more than 750 nursing homes throughout the state of Ohio. Spring Meadows received a 93.1% satisfaction score from residents’ family members. That 93.1% rating placed Spring Meadows Senior Community in the top 10 of Ohio OHCA facilities and in the top 25 of all nursing facilities in Ohio. Astor House, the assisted-living facility in Spring Meadows Senior Community, received a 95% satisfaction survey from families.

“We are thrilled with the Family Satisfaction Survey results and that our residents’ family members continue to be pleased with our facility and the outstanding care provided by our staff members,”

said Phil Witker, Spring Meadows

Senior Center administrator. “We consider every resident here a member of our extended family and strive daily to provide loving care and professional services in a homelike atmosphere.”

The Family Satisfaction Survey asked respondents to rate Spring Meadows Senior Community in a variety of areas, including ad-missions, social services, activities, choice, direct care, professional nurses, therapy, administration, meals and dining, laundry, en-vironment, and general. Spring Meadows scored 89.7% in 2012 and 93.1% in 2014. The state average score in 2014 was 85.8%.

Results can be viewed at http://ltc.ohio.gov/.

Spring Meadows Senior Com-munity is family-owned and -op-erated, and has been located in Holland, Ohio, since 1975. The facility offers assisted-living op-tions, full-time nursing care, long-term and short-term rehabilitation (physical, speech, and occupational therapy), and hospice services.

remembered. I focus on others in a small way by a little note along with a homemade treat. It is a simple, spiritual activity for me.

Focusing outside of ourselves can be healing. Facing an illness like cancer, heart disease, or MS brings its own challenges, such as getting to doctors’ appointments, managing our medications, and doing physical therapy. Even our simple daily tasks can overwhelm us—getting up in the morning, paying our bills, doing laundry, and cooking meals. Emotionally, we can be overwhelmed by all we need to do and our anxiety about our future.

But we all can benefit from giving back, thinking of others, and volunteering, even if we have health challenges. According to a study by the Corporation for National and Community Service, (www.nationalservice.gov), volunteers live longer and have higher functional ability, lower rates of depression, and lower incidence of heart disease. Looking outside of our personal healthcare and health setbacks can be a tremendous way to heal ourselves.

An occupational therapist friend of mine feels that when patients volunteer, “It gives people who are

ill a reason to get up in the morning. Looking outward takes a person’s awareness away from his or her condition. Patients who see a purpose in their life usually fare better.” Caregivers often report that some of the “healthiest” patients, even those with serious conditions, are those who were able to move from self-absorption to thinking of others.

Even something small will do. Volunteering for a non-profit organization by making phone calls or stuffing envelopes can be a great way to start. It does not have to be a huge task, but something that shifts our awareness and energy to other people or other causes.

Even those who cannot get out of their homes can also do good by acknowledging their caregivers or healthcare professionals. Maybe it’s thanking a family member or friend who always calls or drops by for a cup of coffee. A simple phone call, a hug, or just saying “Thanks, I appreciate all you do for me,” goes a long way. A written note, a flower, a bag of tea, or a candy bar given to a caregiver can be a touching gift. Everyone needs to be affirmed and loved. Being healthy is a two-way street. The person receiving care

Spring Meadows Senior Community is honored to be named one of the Top 10 facilities in the Ohio Health CareAssociation. The ranking is based on results of the Ohio Department of Aging bi-annual Family Satisfaction Survey.

Spring Meadows received a 93.1% satisfaction score from residents’ family members. Astor House, our assisted living facility, received a 95% score.

At Spring Meadows, we are all family! Knowing family members feel their loved ones receive outstanding, loving care means we are providing the service we strive for every day. There is nothing that is more important to us.

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Ohio Health Care Association

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needs to be of service, too. We can forget it is healthy to look

outside of ourselves to other people, to other causes. In fact, it might improve our health! According to Mark Drummond, a psychologist who specializes in personality disorders, “being ‘self-caring’ is considered healthy, but many mistake that for being self-centered.” Many health organizations are volunteer-driven. The National Multiple Sclerosis Society raises funds for MS research and advocates for better client laws, such as accessible housing, public buildings, and parking, and speeding up Social Security benefits. Funds have been raised, government policies have become laws—all by persons with a passion for giving back, often volunteers who use wheelchairs.

The words of poet Emily Dickinson, are motivating: “If I can stop one heart from breaking, I shall not die in vain.” Good spiritual advice—for everyone. ❦

Sister Karen Zielinski is the Director of Canticle Studio. Canticle Studio is a part of the Sisters of St. Francis of Sylvania, OH’s overall advancement effort and has a mission of being a creative center where artists generate works, products, and

services in harmony with the Mission of the Sisters St. Francis. She can be

reached at [email protected] or 419-824-3543.

Dry skin, calloused feet, flat hair—all signs of winter’s attack on

us. It’s easy to feel like hibernating until spring, but the staff at Miracle Salon and MediSpa in Temperance, Michigan hope you won’t. They invite men and women to visit their full-service salon and spa to take advantage of a variety of services meant to make a client feel pretty (or handsome) and pampered.

After 18 years of offering toning and exercise machines in the Toledo area, owners Donna Wells and her parents, Jim and Sue Desmond, moved the business to Michigan and added hair services and nail services. A staff of two has grown to 30, all trained

to deliver top-notch services. Winter cannot beat these offerings:

Hair care, including cutting, styling, coloring, retexturizing, highlighting, and reparative treatments for men and women.

Pedicures, some with aromatherapy, whirlpool soaks, scrubs, and, perhaps, a foot massage.

Manicures with gentle polishing, refining, and moisturizing the skin. Extras include French polish and nail art.

Skin care: facials (Vitamin C-enriched hydrating), special vitamin-enriched gel for the eye area, and an organic balancing lip-enhancing complex for the lips. Patrons might

Fight winter at Miracle Salon and MediSpa

by Christine A. Holliday

choose an Ormedic facial, with certified organic ingredients, essential botanicals, and highly potent antioxidants. Tackle acne issues with an acne facial, or enjoy a signature face lift.

Microdermabrasion for the face, neck, chest, hands, back, legs.

Depilatory waxing for brows, lips, chin, bikini area, as well as men’s backs.

Makeup application for special occasions, such as weddings, and makeup lessons.

The MediSpa section of the salon extends the services available to clients to ones that require medical oversight. Laser hair removal is offered as well as photorejuvenation, a process that uses intense pulse light (IPL) wavelengths. Vascular and pigmented lesions in multiple skin levels are gently heated and destroyed when the broadband light is absorbed, making the skin look fresh and new.

A DermaPeel gives the skin a radiant glow and refines pores, diminishes fine lines and wrinkles, eliminates acne, and prevents acne marks.

Owner Donna Wells is proud that the business has been in the family for more than a quarter century

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and notes that clients for all the services come in all ages. “We have 18 hair stylists on the salon side,” she notes, “and we find that more men are coming in for the pedicures and laser hair removal. We also have lots of clients who used to be sun worshippers coming in for the photorejuvenation. They want to take away the damage they did when they were younger, and we are here to help.”

That help includes gift certificates and miracle memberships for those who like the idea of a monthly health and beauty regimen. The salon is located at 6634 Summerfield Road in Temperance. For more information, call 734-847-3700 or visit www.miraclesalonspa.com. ❦

Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

Family faces dad’s trauma-related memory loss head on

There’s an old saying that life can turn on a dime. On November

22, 2014, Don and Monica Tanner and their daughters, Andrea Mitchell and Melissa Razook, discovered just how profoundly life’s course can be altered in the space of a second.

Don, a meat cutter for Costco, remembers very little of that day apart from pulling into the parking lot at work. According to a coworker who saw what happened next, Don got out of his truck and started walking across the lot, which was slick from a recent ice storm. He was taking short steps on the icy pavement and had his hands in his pockets to keep them warm. Then he slipped. Unable to free his hands to break his fall, Don landed with his full weight on the back of his head. “The only thing I remember was that I couldn’t move my neck. I wanted to turn sideways because I felt like I had to throw up, but I couldn’t. All I could see was black,” he recalls.

Monica says that Don woke up in the intensive-care unit around 9:30 that night and was slipping in and out of consciousness. When he opened his eyes, he could see people but had no clear conception of what was going on around him. When the medical staff asked where he was from, Don replied “Kansas”—odd for an Ohioan and avid Buckeyes fan. Eventually, he regained consciousness, but that was just the beginning of an ongoing journey for the whole family.

Having fractured his skull at the

suture line and experienced two bleeds in his brain, Don’s memory, speech, and balance were all severely impacted by the fall. After going home, he needed constant monitoring and assistance with everyday activities. That’s when his family and friends

really stepped up. “Don has friends who would come in at 6:00 a.m. and sit with him so I could go to work. Then, Andrea and Melissa would tag in once they got their kids off to school. We just couldn’t make it without family and friends,” Monica says.

To aid in his recovery, Don and the rest of the family are working with Sherry-Ann Jenkins, PhD, Director of the new Cognitive Center at The Toledo Clinic. The center treats all forms of memory loss with an all-natural, holistic, non-pharmaceutical approach.

Patients who come to the center undergo a cognitive assessment and individualized memory testing. Depending on the results of these assessments and circumstances unique to the individual, patients may also undergo radiologic scanning (e.g., PET scan) and lab work to confirm the cause of their memory loss. Dr.

GET DIRECTIONS TO HERE

Scan the QR code and use Google Maps to get directions to this location.

Office LocationBuilding 1, Upper Level4235 Secor RoadToledo, OH 43623

Sherry-Ann Jenkins, PH.D.Cognitive Center

phone: 419-479-5556

Dr. Jenkins is welcoming new patients.

The Cognitive Center has a holistic approach to slowing down memory loss while assisting the patient to function at a higher cognitive level. This is accomplished through:

• Customizing daily memory exercises to train other parts of the brain that is functioning properly to compensate for areas that inactive.

• Recommended counseling and support for patient and family along with participation in activities that enhance brain functioning.

• Adjustments to diet to support greater brain function.

• Educational sessions for caretaker to assist them in providing a safe environment for their love ones and support groups for personal assistance.

The Cognitive Center calls all patients every 3 weeks in order assess the effect of their therapy and allows the patient to have someone talk to about their memory issues. At the Cognitive Center, the patient and family are both actively involved and integral parts in the treatment plan.


Jenkins then starts the patient on individualized exercises to help retrain their brain to compensate for the parts that aren’t working properly. The concept is the same as when helping the body learn to compensate for any other limitation—for example, learning to brush your teeth with the opposite hand when your dominant hand is injured.

Dr. Jenkins also stresses the vital importance of family members and caregivers actively participating in a loved one’s cognitive recovery. In fact, because family members are often the first to observe memory deficits in a loved one, Dr. Jenkins asks them to fill out a cognitive assessment of the patient as well so she can develop a more comprehensive view of the problem.

Monika, Andrea, and Melissa took this last point—the positive role of family in aiding a patient’s recovery—very much to heart. They’re determined in their fight to help Don not only maintain his current level of physical and cognitive function, but also to regain as many of his prior capabilities as possible. Andrea and Melissa do all kinds of cognitive exercises with their dad, such as flash cards, mathematics, crossword puzzles, and telling time. Andrea also looks for different cognitive games on the website Lumosity. Not one to take a passive approach to recovery, Don even challenges himself with smart phone trivia games that test his memory in subjects like sports, history, geography, science, art, and entertainment.

Today, Don is continuing to improve, but his progress is uneven and tends to occur in fits and starts. He’s able to do more things independently around the house but is still unable to drive. When he walks outside to get the paper or mail, he takes “baby steps” and is very anxious when he sees anything on the ground. When he and Monica go to the grocery store—something they both enjoy doing together—he feels as though he’s moving at a snail’s pace with the shopping cart while everyone else is moving at a million miles per hour. He’s also still fighting mental fogginess and often loses his train of thought or has difficulty putting his thoughts into words. What’s more, with all his concentration on overcoming his cognitive and vestibular deficits, he didn’t realize until just recently that he’s lost most of his sense of smell. The only thing his nose can detect

is a sort of burning odor when the oven, space heater, or furnace is on.

“I want to get back to 100 percent, but I know I’m not there yet. Right now, on a good day, I’m only at around 65 percent. I feel good on those days, but I worry that’s going to end up being what’s normal for me from now on. On really good days, I get my hopes up, but then I’ll have a few bad days in a row and get discouraged. As I recuperate with the help of Dr. Jenkins, I have to keep reminding myself that it’s going to take time,” he says.

As someone who has always

provided for his family and never shirked a task in his life, Don also worries that people will think he’s trying to deceive them because they can’t see how much cognitive progress he still needs to make. “When people say to me ‘You’re looking great! How soon can you get back to work?’ I worry that they might think I’m conning them. But you can’t look at a brain injury the same way as any other injury,” he explains.

Though they’re under no illusion that Don’s continuing journey to recovery will be easy, his wife and daughters are resolute and feel the

family has been brought even closer together by the experience. “We’ve always been a strong family, but we appreciate the time we spend together even more now. We don’t take anything for granted,” states Andrea.

Melissa adds, “We believe it’s not what happens to you that matters; it’s what you do with what happens to you that matters. There’s still fear, and we recognize that there’s been a loss, but we’re just grateful that when Dad fell, he wasn’t taken from us. All that we’re going through now to help him get better, we’ll take.”

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For her part, Monica does her best to remain optimistic without tiptoeing around Don’s challenges. “We’ve all made up our minds to keep moving forward, but you have to take it one day at a time. You can’t

look too far forward or too far back,” she says. ❦

For more information on the Toledo Clinic Cognitive Center or to schedule an appointment, please call 419-479-5556.

by Mark S. Faber, USPTA Elite Professional

Last month I mentioned the NFL Play 60 campaign. This is the

NFL’s challenge to get kids to play 60 minutes a day in order to reverse childhood obesity as stated on www.nflrush.com/play60. This is such an awesome campaign because it simply encourages kids to play. I asked HLN readers to encourage their kids or other’s kids to accept this challenge. I would like to continue this chal-lenge by sharing a few other facts that should help us encourage kids.

I recently attended a USTA Lead-ership workshop in which they not only shared statistics on the state of tennis, but also on what I called the state of play. These were a bit scary. Five years ago, 44% of kids played sports, while today that number has dropped to 40%. Today, there are 2.6 million fewer kids playing sports. What this has led to is 14.5% less physically active kids today. So, after hearing all of this, I decided to go to webmd.com and research some stats on child obesity. Here are two that stuck out:

• Childhood obesity has more than doubled in children and quadrupled in adolescents in the past 30 years.1, 2

• The percentage of children aged 6 to 11 years in the United States who were obese increased from 7% in 1980 to nearly 18% in 2012. Similarly,

1 Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. Journal of the American Medical Association 2014;311(8):806-814.2 National Center for Health Statistics. Health, United States, 2011: With Special Features on Socioeconomic Status and Health. Hyattsville, MD; U.S. Department of Health and Human Services; 2012.

Let's change the trend

Five steps parents can take to prevent childhood obesity

by Nancy M. Surella, BS Ed

The most recent BMI report for Ohio’s third grade students indi-

cates that about one-third of Ohio’s children are considered obese. Many parents are concerned about their child’s weight, but are unsure about how to address the problem. Here are five ideas to get you started:

1. Be a role model. You may not think your kids are watching you, but they are. Children do as they see, not as you say, so it’s important to evaluate your own healthy lifestyle before trying to instill the right habits in your child. Take a look in your refrigerator and cupboards to see what kinds of snacks you keep on hand. Both children and adults need at least five servings of fruits

and vegetables daily. As I tell my students, every color of fruit and vegetable does something special for a particular part of your body, that’s why it’s important to “eat a rainbow” every day.

2. Take time to exercise. When you exercise every day with your children, they’ll see it not as a chore, but as a part of daily life. Something as simple as taking a walk gives parents and kids time to unwind and talk about their day.

3. Cook together. Even your smallest toddler can help wash the fruits and vegetables for dinner. When children help to prepare the meal, they become invested in it and are more likely to eat it.

4. Limit screen time. Our sedentary lifestyles and the amount of time we spend in front of the TV, computer, or other screens are key contributors

to our obesity epidemic. Limit screen time to two hours or less per day for school-age children.

5. Get enough sleep. Lack of sleep contributes to poor school performance,

behavior issues, and obesity.

For healthy recipes that are fun for the whole family to make, activity ideas, sleep tips, and more, visit kohlskidsinaction.org. ❦

Nancy Surella is a Health Educator with the “Kohl’s Kids in Action” program at Mercy Children’s Hospital. For more information about

having her come to your class or other community event, call 419-251-1246 or visit kohlskidsinaction.org. Kohl’s Kids in Action is funded by a grant from Kohl’s Cares, through your purchase of their cause merchandise (story books and stuffed animals).

When people reach points in their lives when they depend on others, our compassionate caregivers create a place to live, providing care for our patients like family, not because it’s their job, but because it’s their calling.

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the percentage of adolescents aged 12 to 19 years who were obese increased from 5% to nearly 21% over the same period.1, 2

This is all scary stuff and has caused me to look at things a bit differently as a parent and coach. I think it is safe to say that the world has become much more scheduled and electronic. Open and free play in the backyard has been replaced by multiple team practices and private lessons, and the time spent playing board games as a family has been replaced by Mom, Dad, and the kids on their phones, iPads, and Xboxes.

While doing research, I found an article (on nextshark.com) titled, “Why Steve Jobs Didn’t Let His Kids Use iPads and Why We Shouldn’t Either,” by Sarah Lesnar (Sept. 2014). Pretty ironic since most of the products that we are battling with today were created by his company.

So, here is this month’s challenge to do your part:

1. Have your kids turn off their

electronic devices and do some sort of physical activity for 60 minutes a day. If it is open and unstructured play, like what many of us grew up with, you actually might notice athletic skills develop at a faster rate.

2. As adults, we need to limit what we are doing on electronic devices while our kids are around, as my wife points out to me daily. We are models for our kids, and our behavior needs to reflect what we are asking.

3. Find time to play with your kids. Get out there and be active with them. It could be as simple as a walk in the park or a game of basketball or tennis. Not only is this great for their health, but it’s even better for creating a stronger family bond.

Let’s all do our part to encourage kids to play and be active. It is going to take some work, but it can be done. Let’s change the trend of today and help our kids become healthier and happier together. ❦

Women’s Wellness Weekend or Spa DayPamper yourself without

the big price tag!

Ladies, it’s been a long, cold, stressful winter! Why not take a weekend,

or even just a day (your choice!), with the girls and spoil yourself? Why not relax, let your cares drift away, and let time stand still for a while? You can do just that at one of our Women’s Wellness Weekends or Spa Days, to be held the weekends of May 2nd and 3rd, and June 13th and 14th, 2015, at the beautiful Victorian Inn, located in Marblehead, Ohio.

This will be the 16th year that these weekends are offered by Jane Mathias, and it all comes down to “pampering”—but without the big price tag.

You can spend your time getting a massage or facial, having your nails done, or get-ting a Reiki treatment. The more adventur-ous ladies, can do a Jazzalaties or Zumba class, Tai Chi, or Yoga. You can try all the ex-ercise classes or just pick out what you might like.

If you don’t want to exercise but love spa services, we have licensed massage therapists available all week-end long to pamper you. Natural Food Cooking Instructor and Life-style Coach Sandy Earl will host a fun, interactive, educational food demonstration for the May event. The June event will include a Stress Reduction/Feng Shui class.

Most women spend too much time responding to everyone else. So what you do at the Wellness Weekend is up to you. Especially popular are the Yoga at Sunset

and the Tai Chi because of the complete calmness they bring you. Our Hostess is a great cook, and the meals are delicious. After dinner on Saturday night, there is an optional Pajama Party with prizes for the crazi-

est PJs, belly dancing, and wine.

You can enjoy the weekend just for the relaxation and the beautiful location and do absolutely nothing else if you choose, or you can go wild and

take part in every activity and get as many pampering services as you can fit in your schedule.

Now is the time to do something completely different, learn something new, and have more fun than you have had since you were young and free! Enjoy a weekend or a day with the girls. Our hope is that you take something from this weekend home with you and incorporate it into your life so you can enjoy a

healthier lifestyle.We are taking reservations now

for this weekend. The cost for the whole weekend is $165 per person. This includes your overnight stay, three wonderful meals, all the ex-ercise activities, the PJ party, and the health talks. The weekend will start on Saturday at 10:00 a.m. and end around 1:00 p.m. on Sunday. Where else could you go for this price and get three meals, activities,

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and an overnight stay? If you can only come for the Spa Day (Satur-day 10:00 a.m. until 6:30 p.m.), it is just $65 per person, which includes lunch and the activities. Massages and other pampering services are extra but at a reduced fee, paid to the therapist.

The therapists are handpicked to be the best at what they do. They offer their services to our ladies for considerably less than they charge in their businesses so that our ladies can try out a lot of services during the weekend. (Big bonus for our ladies only: Ann, the owner of the Inn, has offered the opportunity to add Friday to your stay for only an additional $40 per person.)

These weekends have been filled with mothers and daughters, aunts, cousins, grandmas, and girlfriends. So you can come by yourself, with a friend, or with a group. There is

something for everyone, including the beautiful boutique at the Victorian Inn, with handpicked original items for fun shopping. It is up to you how much or how little you do at this weekend. It is all about recharging your batteries.

The last five years, these weekends were full and we had waiting lists, so call Jane now at 419-277-1118 or e-mail to [email protected]. We are doing two weekends this spring, but we can only take 18 ladies at each retreat. We can also arrange private weekends for groups of 10 or more and tailor it to your group based on what they would like to learn.

Take this paper home with you and remember to call right away to make sure you are with us for this weekend! First come, first registered! We would love to have you at our weekend! ❦

Advanced technology reduces colon cancer risk without surgery

by Thomas Sodeman, MD, FACP

In the past, colon cancer often was not discovered until it was in a

late stage of the disease and past the time it could be cured. Now colon cancer can be prevented by a simple screening colonoscopy.

During a screening colonoscopy, the physician looks for polyps, which are growths in the lining of the colon that can, over the course of time, become colon cancer. The removal of these polyps, which can be done during the pro-cedure, reduces the risk of colon cancer in later years.

Gastroenterology at University of Toledo Health not only offers screening colonoscopies, but also has the technology and ex-pertise to remove large polyps that in the past would require surgery. Most polyps are small, about the size of a pea to a grape. Occasionally, polyps are much bigger, such as golf ball size. New techniques have been developed to allow these polyps to be removed safely during a colonoscopy and without surgery.

In addition to screening colonosco-pies, gastroenterologists at UT Health

have the expertise to perform multiple advanced endoscopic procedures to diagnose and treat cancers of the pancreas and bile ducts, pancreatic cysts, and cancer of the esophagus, just to name a few. We work in an interdisciplinary team with cancer

specialists, surgeons, radiologists, and pa-thologists in an effort to rapidly diagnose problems and begin ap-propriate treatments.

At UT Health, we also have the only board-certified liver ex-pert in the Northwest Ohio region focused on treating cirrhosis and hepatitis, among

other liver diseases.The gastroenterologists at UT

Health are dedicated to your health, treating and preventing diseases with compassion using the latest in technology and treatments. ❦

Thomas Sodeman, MD, FACP, Professor of Medicine, Chief of the Division of Gastroenterology, Associate Program Director–Internal Medicine Residency, The University of Toledo College of Medicine and Life Sciences.

University of Toledo Health

Gastroenterology Physicians are welcoming new patients

Our services and procedures include:

• Colonoscopy

• Liver biopsy

• EGD

• Endoscopic ultrasound and ERCP

• Diagnostic staging of GI cancers

• Specialized care including management of:> GERD/reflux> GI bleeding disorders > Irritable bowel syndrome> Inflammatory bowel disease

Located at:Ruppert Health Center, The University of Toledo Medical Center

For an appointment, please call: 419.383.3627.

Emergency physician consultations available within 24 hours.

A Higher Degree of Healing

Dr. Thomas C. Sodeman

Dr. Ali Nawras

Dr. Osama Alaradi

Roberta Lay CNP

Dr. Shaukat Khan

http://www.alz.org/nwohio


Answers to your diabetes questions by Angelo Iachini, BSPS, and

Michelle Schroeder, PharmD, BCACP, CDE

Hopefully you have thawed out from the winter months and

are enjoying the first few days of spring! With the seasons changing, it is a great time to brush up on a topic many readers may have heard about: diabetes.

Diabetes is a disease that affects about 29.1 million Americans and is the 7th leading cause of death in the United States. Diabetes affects an organ in your body called the pancreas, which is responsible for producing the hormone insulin. Insulin is an important hormone that works with glucose (sugar) in the bloodstream to help it enter into the cells to be used for energy. When someone has diabetes, the pancreas may not be able to produce insulin or their body may not recognize the insulin that is produced.

The two types of diabetesDiabetes is classified in two forms: type 1 and type 2. Type 1 diabetes occurs when the pancreas makes

little or no insulin. People with type 1 diabetes must take insulin injections to control their blood glucose. Type 2 diabetes is more common, accounting for about 90% of all diabetes cases. In type 2 diabetes, the pancreas produces insulin but it may not be enough or the insulin may not be recognized by the body. Type 2 diabetes can be treated with oral medications that help the cells in the body recognize the insulin that is being produced. Healthy eating and keeping active are also very important compo-nents of treatment for all patients with diabetes, as these lifestyle changes help to lower blood sugar and reduce insulin resistance in the body.

Who is at risk of developing diabetes?Diabetes is not something everyone will develop in

their lifetime, but some people may be more prone to this disease. Those who have some of the following risk factors may be more likely to develop diabetes:

• Family history of diabetes• African-American, Hispanic,

Native-American, or Asian-American ethnic background

• Being overweight• Poor nutrition• Lack of physical activity• High blood pressure• Abnormal cholesterol or

triglyceride levels• Age older than 45 years.

Let’s get physical!With the weather becoming warm-er, it is a great time to start getting active! Being physically active can help reduce blood sugar and pre-vent further problems with diabetes. Physical activity helps insulin absorb the glucose in your blood into your body’s cells.

The recommended goal is 150 minutes of activity per week. If you think about it, that is only 30 min-utes a day for five days a week, but you can break it up however it may fit best into your schedule. Some ideas to try are walking in a park, swimming or water aerobics, riding a bicycle outdoors or a stationary bicycle indoors, or playing a game you really love.

Another option that you may be eligible to participate in is the SilverSneakers Fitness® program. This is a fun, energizing program that helps older adults take control of their health by encouraging physical activity and offering social events. Many insurance plans offer member-ships to SilverSneakers®, including AARP, Aetna, Paramount Elite, and more. Visit www.silversneakers.com or contact your insurance provider

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Orchard Villa2841 Munding Drive Oregon, OH 43616

419-697-4100www.lhshealth.com

Lutheran Home at Toledo131 Wheeling St. Toledo, OH 43605

419-724-1414www.lhsoh.org

Otterbein Portage Valley Senior Lifestyle Community

20311 Pemberville Rd. Pemberville, OH 43450

Geri Ricker • 419-833-8917 [email protected]

www.otterbein.org

Sunset Village9640 Sylvania-Metamora Rd.

Sylvania, OH 43560

419-724-1200www.sunset-communities.org

Bowling Green Manor1021 West Poe Road

Bowling Green, OH 43402

419-352-4694www.BowlingGreenManor.com

The Laurels of Toledo1011 Byrne Road Toledo, OH 43607

419-536-7600www.laurelsoftoledo.com

The Woodlands4030 Indian Rd.

Ottawa Hills, OH 43606


The Manor at Perrysburg250 Manor Drive

Perrysburg, OH 43551

419-874-0306www.ManorAtPerrysburg.com

Swan Creek Retirement Village

5916 Cresthaven Lane Toledo, OH 43614

419-865-4445www.swancreekohio.org

Sunset House4030 Indian Rd.

Ottawa Hills, OH 43606


Parkcliffe Community4226 Parkcliffe Lane

Toledo, OH 43615

419-381-9447www.parkcliffe.com

Heartland of Waterville8885 Browning Drive Waterville, OH 43566

419-878-8523www.heartland-manorcare.com

Senior Star at West Park Place

3501 Executive Parkway Toledo, OH 43606

419-972-2280www.seniorstar.com

Pelham Manor2700 Pelham Rd

Toledo, OH 43606

419-537-1515www.jewishtoledo.org

Franciscan Care Center4111 N. Holland Sylvania Rd.

Toledo, OH 43623

419-882-6582www.fccsylvania.org

Kingston Care Center of Sylvania

4121 King Road Sylvania, OH 43560

419-517-8200www.kingstonhealthcare.com

Spring Meadows Senior Community1125 Clarion Ave. Holland, OH 43528

419-866-6124www.springmeadowsecf.com

Lutheran Memorial Home795 Bardshar Rd.

Sandusky, OH 44870


Swan Pointe Care Center3800 Butz Road

Maumee, OH 43537

419-867-7926www.consulatehealthcare.com

Lutheran Village at Wolf Creek

2001 Perrysburg-Holland Rd. Holland, OH 43528


Elizabeth Scott Community2720 Albon Road

Maumee, OH 43537

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Senior Living GuideChoosing a senior living community that’s right for you or a loved one is among the most important—and challenging—decisions you’ll make in your lifetime. We’re fortunate here in Northwest Ohio and Southeast Michigan to have a wide variety of high-quality senior living options, including independent liv-ing, assisted living, continuing-care, and subsidized low-income housing communities.

To make your decision a bit easier, we’ve assembled this guide to all the senior living properties that regularly support Healthy Living News through advertising. In addition to referencing this page for each organization’s contact information, we urge you to see their ads in the pages of this issue, check out their websites, and give them a call to schedule a tour if you are interested in hearing more about all the services and amenities they offer.

St. Clare Commons12469 Five Point Road Perrysburg, OH 43551

419-931-0050www.homeishere.org

Kingston Rehabilitation of Perrysburg

345 E. Boundary Street Perrysburg, OH 43551

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Otterbein Skilled Nursing and Rehab Neighborhoods Monclova/Perrysburg3529 Rivers Edge Drive Perrysburg, OH 43551

Joy Riedl • 419-308-0585 [email protected]

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to see if your insurance plan covers this service.

Checking your blood glucoseA very important part in manag-ing diabetes is checking your blood glucose regularly. You can measure your glucose at home, and it does not take long to do. Checking your blood glucose regularly can provide you information on whether you are reaching your overall blood sugar

goals and how healthy eating, keeping active, medications, and emotions are affecting your blood glucose.

It is generally recommended to check your glucose at least a few times throughout the day, depending on the plan that you and your doctor create. When checking your blood glucose, it’s also important to know what the numbers mean. If you check before a meal, the recommended goal is between 80 and 130 mg/dL. If you are checking one to two hours

after a meal, then the recommended goal is less than 180 mg/dL. Many meters electronically save all of your readings, but a helpful tip is to write down all your results in a log book. This allows you to see your progress and look for any trends or places where you can improve!

Get your vaccines!It is important to get all the appropri-ate vaccinations whether you have diabetes or not, but several vaccines are specifically recommended for patients with diabetes. They include the influenza (flu), pneumococcal (pneumonia), and hepatitis B vaccines. People living with diabetes are not more likely to catch these diseases, but they will have a more difficult time fighting them off if they are caught. Check with your doctor to see which vaccines you may still need to get, and then your local pharmacist or doctor’s office can provide these vaccines to you to make sure you are protected.

Diabetes is not something to be afraid of. It can be easily managed, allowing you to live your life to the fullest. With warmer weather right

around the corner, go out and take control to be healthier this upcoming season! ❦

Angelo Iachini is a sixth-year doctor of pharmacy student at the University of Toledo College of Pharmacy and Pharmaceutical Sciences. Dr. Michelle Schroeder is a clinical assistant professor of pharmacy practice at UT and is currently the program director of the outpatient diabetes education program.

The information presented in this column is intended for your general knowledge only and does not aim to replace medical advice or treatment for specific medical conditions. If you have any specific questions about any medical matter, you should consult your doctor or other professional healthcare provider.

References:1. American Diabetes Association. http://www.diabetes.org/diabetes-basics/statistics/. Accessed on February 4, 2015.2. National Diabetes Information Clearinghouse. http://diabetes.niddk.nih.gov/dm/pubs /physi-cal_ez/#sec1. Accessed on February 4, 2015.3. Mayo Clinic. http://www.mayoclinic.org/dis-eases-conditions/diabetes/in-depth/blood-sugar/art-20046628?pg=1. Accessed February 4, 2015.4. SilverSneakers. https://www.silversneakers.com/about/faq. Accessed on February 5, 2015.5. American Diabetes Association. http://care.diabetesjournals.org/content/38/Supplement_ 1/S20.full.pdf+html. Accessed February 5, 2015.

by Myles Mellor ilovecrosswords.com Answers on page 10

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method24 Breathing problem27 Low calorie28 Herbal tea choiceCrossword by Myles Mellor

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12 13 14

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23 24 25 26

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3 Carelessness

4 Barley bristle

5 Time delay

6 Plow puller

7 Juicy red-orange fruit

8 Health green vegetable

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14 Young 'un

18 Breakfast staple

19 It has less calories than a regular potato

22 Tranquil

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26 Moral strength in Confucianism

27 Agile, like a gymnast

28 Coffee suppliers

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News From

OTTERBEIN“Small houses” have big impact

by Christine A. Holliday

Say “nursing home” and the mind conjures up lonely people, medic-

inal smells, and endless noisy halls. Those thoughts are the reason so many senior citizens fear end-of-life care and the indignities they believe go along with living one’s final days in a nursing home.

Those are the fears that Otterbein Senior Lifestyle Choices is working to address. They have developed and constructed what they call “small house neighborhoods,” which seek to humanize the traditional skilled nursing home care model. The strategic goal: “leading the nation in liberating elders and those who serve them from the mindset of institutional care.”

A typical small house is about 7,400 square feet and situated in what is called a neighborhood. Five of the houses are grouped together, and each house is home to 10 elders. The 50 neighbors include 40 elders who are living in the houses long-term, while the other 10 rehab guests are living in a house dedicated to short term rehabilitation. The houses look like what you might find in a regular subdivision, a far cry from the appearance of typical nursing home facilities, but exactly the home-like look Otterbein desires.

Inside are more homey touches. Each house has a large communal area with a living room, dining room, and kitchen area as well as 10 private suites. The communal space provides family members with spaces to visit in areas other than their loved ones’ sleeping areas. The suites include private baths and showers (all with assistance seats and handrails), and all rooms have at least one window to bring in lots of light.

Home-cooked meals are part of the program, as are resident-determined schedules and rehabilitation and

nursing care as required. Each house has a backyard patio with a gas grill and chairs for socializing, and some have flower and vegetable gardens. Residents can take advantage of a salon/spa area (haircuts and hairstyling offered once a week), and a laundry

system insures that one resident’s laundry is done alone—no mixing of other people’s socks or sweaters. Meals are served family style—at a long table in the comfy common area, which might also serve as the perfect spot to do crafts, puzzles, etc.

Marketing Director Joy Riedl explains, “The idea is to have our houses be as much like homes as possible. Those coming to us for long-term stays are encouraged to bring their own furniture and the items that will make their suites feel like home. They can pick the color of their rooms from our choices

and live on a schedule they determine. I tell people to picture it as a house with nursing care!”

The care in these homes is part of a complete approach to elder care. Nurses and state-tested nurse aides deliver care in the neighborhoods. There are no medicine carts, since meds are kept locked in each suite in the house.

Residents aren’t called “patients,” but are “elders,” what Riedl notes is “an honor-filled term” for those who live in the houses.

The administrator is called the “guide,” since it is her responsibility to

http://www.bcsn.tv


guide the elders and their caregivers. The assistant administrator is the “coach,” with the job of coaching all the elder assistants. Elders are assisted by state-tested “assistants” who help with dining, house cleaning, cooking, and caregiving and use iPods to keep in touch with the elders.

In addition to the nursing care and rehabilitation provided, each neighborhood offers physical, occupational, and speech therapies. There is the bonus of elders maintaining their feelings of independence as long as possible. They are in a home setting and can work on skills where they will use them—cooking in a real kitchen, walking in a real garden, getting out of their own bed. Therapy equipment can be brought to a house, making a trip to the rehab center unnecessary. Elders can order their own meals and can look forward to sharing the meals of their choice with others. They can also invite members of their families to dine with them and/or bring favorite foods from home.

“We don’t force anything on our elders,” Riedl notes, “but we do our best to encourage them to engage with others as much as they want. We offer the nursing care they need 24/7 plus plenty of social opportunities.

The February calendar included bingo, a Valentine party, Bible study, cards, and outings to local stores and restaurants. Each neighborhood has a chaplain for providing spiritual support, as well as a case manager to coordinate care between insurance companies, Medicare, therapy, and nursing.”

She is proud of the description Small House…Big Difference and all that it represents.

Riedl notes that Otterbein accepts many forms of payment and invites inquiries about the two local small house neighborhoods (one at 5069 Otterbein Way in Monclova, one at 3529 Rivers Edge Drive in Perrysburg). She is available at 419-308-0585 or [email protected]. ❦

Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

Everyone is looking forward to the end of winter and the beginning

of the warmer spring temperatures. For people who suffer from seasonal allergies, the warm weather of spring, summer, and fall can unfortunately bring on allergy symptoms. Pollen from trees, grasses, and weeds is the main cause of seasonal allergies.

Classic seasonal allergy symptoms include sneezing, coughing, a runny or stuffed up nose, and itchy eyes. When nasal congestion is prolonged, many people experience pain or pressure in the ears, diminished hearing, and even a ringing or humming noise in the ears.

People with allergies are often

Allergies and the ear

by

Shelly Horvat, AuD, CCC-A

surprised when they realize that the allergy problem can affect their ears or hearing ability. The anatomy of the ear can show us how the ears are affected by allergy symptoms.

The ear can be divided into three sections: the outer, middle, and inner ear. The outer ear is the part of the ear we can see, called the pinna, along with the ear canal. The pinna and ear canal help catch and funnel sound vibrations toward the middle ear. The middle ear contains the eardrum, or tympanic membrane, with its connected auditory bones (hammer, anvil, and stirrup), which sit in the middle ear space and transmit sound vibrations to the inner ear or cochlea. The cochlea converts those vibrations into nerve impulses that can be interpreted by the brain as sound. The cochlea also contains the body’s balance apparatus—the vestibular system.

The middle ear space is the part of the ear that is primarily affected by allergies. The middle ear has a drainage tube, or pressure-release valve, called the eustachian tube that runs from the middle ear space to the back of the throat. In their normal state, the eustachian tubes open and close quickly, releasing middle ear

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pressure throughout the day when one swallows or yawns. If this tube is clogged with mucus or its opening is blocked by allergy swelling, pressure and fluid can build up in the middle ear. This gives us the sensation of being plugged up and can result in diminished hearing. When the ears do finally “pop,” it can be painful and louder than usual. If the ears do not pop often enough and negative pressure is present long enough, fluid can build-up in the middle ear space and hearing ability decreases further. This fluid creates a good environment for infection to occur.

When negative pressure or fluid is present in the middle ear space due to allergies or an upper respiratory infection, the type of temporary

hearing loss present is called a con-ductive hearing loss. In this situation, the middle ear space is not allowing sound to be conducted to the inner ear. This pressured or clogged feeling can also cause discomfort.

Allergies are a well recognized cause for negative pressure buildup and recurrent middle ear infections in children. Although this is usually a temporary or reversible hearing loss, it is imperative to keep the periods of decreased hearing at a minimum during the early language develop-ment years

This temporary hearing loss can also fluctuate, getting better and worse as allergy congestion symp-toms change. This fluctuating hearing loss can make it difficult for parents

to notice a hearing loss in a child affected by this condition. At times, the child may appear to hear well, and other times, he or she may seem to ignore people, turn up the television vol-ume, or fail to follow directions.

Another cause of fullness in the ears can

be a condition called otitis externa, or swimmer’s ear. It is a bacterial infection of the skin covering the ear canal. Swimmer’s ear is usually caused by excessive exposure to water from swimming, diving, or other water sports. Water can be trapped in the ear canal, and this allows bacteria to grow. Abrasions from cotton swabs can also predispose the ear canal to bacterial infections in the ear canal. Swimmer’s ear is not typically caused by seasonal allergies but tends to occur around the same time of year due to the warm weather.

To prevent swimmer’s ear or to keep water out of the ear canals for children or adults with pressure-equal-izing tubes, custom earplugs can be ordered at Northwest Ohio Hearing Clinic. These durable earplugs have a superior, comfortable fit and are the best way to keep water out of the ear canals.

Lastly, a complete hearing eval-uation performed by an audiologist can identify the difference between temporary conductive hearing loss and permanent sensorineural (nerve) hearing loss. It will also identify the

amount of hearing loss caused by the middle ear problem and the degree of negative pressure behind the eardrum or whether or not middle ear fluid is present. The hearing evaluation will also rule out other causes of hearing loss. Also speak to your family doctor about your allergy concerns to see whether referral to an allergist or ear, nose, and throat specialist is needed.

The good news about seasonal allergy symptoms is that they will likely subside as the seasons change and allergy triggers dissipate.

Feel free to call Northwest Ohio Hearing Clinic at 419-873-4327 or 419-383-4012 to speak with the audi-ologists, schedule your hearing eval-uation, ask questions about hearing loss symptoms you or your child is experiencing, or get more information on the custom-made swim plugs for all ages. ❦

Shelly Horvat, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

The recent statewide Ohio Sub-stance Abuse Monitoring Network

(OSAM) report, and corresponding local media coverage, has sent at least two clear messages: Individuals abusing prescription opiates and her-oin continue to die at alarming and increasing rates, and secondly, this epidemic does not discriminate. Not a surprise, the same OSAM report, released by the Ohio Mental Health and Addiction Service Department (OMHAS), also identified an increase in heroin’s availability. Additionally, on Febru-ary 10, 2015, Dr. Forney from the Lucas County Coroner’s Office de-clared that he expects the 2014 final statistics to show heroin related deaths to nearly double in Lucas County and the 22 surround-ing counties as compared to 2013.

Concerned, you may be thinking, “What can I do to help?” Having served the mental health and chemi-cally dependent community for over 23 years, I have advocated for and

witnessed three tangible actions you can take to combat this epidemic:

1. Dispose of unused/expired pre-scriptions. They can be dropped off at Med Return Boxes across Lucas County. (Call the Lucas County Mental Health and Recov-ery Services Board at 419-213-4600 or visit www.lcmhrsb.oh.gov for locations and hours.)

2. As you interact with loved ones, be aware of symptoms of opiate

abuse. Changes in be-havior and/or mood, and/or appearance are immediate red flags to look for. For more infor-mation on what signs and symptoms of opiate abuse look like, access www.webmd.com. The National Institute on

Drug Addiction at www.drug abuse.gov is helpful also.

3. Be aware of helpful community resources. A Renewed Mind (ARM) (www.arenewedmindservices.org) is a great place to start. Calling 211 is helpful also.

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A Renewed Mind (a faith based 501C (3)) is a leader in addiction and mental health treatment. Currently, ARM serves children, youth, and adults, specializing in Youth Resi-dential Services, Medication Assisted Recovery, and Trauma care. Licensed by the Ohio Department of Mental Health and Addiction Services and nationally accredited by CARF, ARM’s person-centered care is private and respectful.

Timely access to care is critical to treating addiction and mental health issues. A Renewed Mind can provide a diagnostic assessment within 72 hours of an initial phone call. Additionally, medical staff and various clinicians are trained in the latest evidenced-based practices, making treatment not only welcom-ing but effective. We pride ourselves in offering office-based care as well as care in the community—at the kitchen table if needed. ARM can also be found collaborating with over 10 different local schools and the faith-based community.

If you or a loved one have ques-tions or are seeking help related to addiction and/or mental health, call today! Time is not a friend if one is actively abusing drugs and/or alcohol

or struggling with mental health issues. There is relief for today and hope for tomorrow at A Renewed Mind. Caring is our calling. ❦

Matthew D. Rizzo, MSW, MPA, LISW-S, is Chief Executive Officer/President of A Renewed Mind.

In the fall of 1955, Miss Penny’s fifth grade students at Arlington School

were taught the Civil Defense tactic called “duck and cover.” We were told that, in the event of a Russian attack with atom bombs, we were to crawl under our desks and clasp our hands behind our heads. Miss Penny, as I recall, did not explain why the Russians would want to bomb the fifth grade at Arlington School.

By the fall of 1958, Mrs. Homer’s eighth grade students were too big to fit under our desks. Billy Telb said it

really did not matter. “If the Russians bomb us,” he said, “there is only one drill you need to know. Bend over. Put your head between your legs. Kiss your butt goodbye.” (It now can be revealed that it was Billy who edited the sign outside the Industrial Arts room by inserting an “F.”)

Eventually it became commonplace for news commentators to observe that an entire generation of kids had been “traumatized” by the threat of atomic war. Perhaps. But that’s not how I remember it. In addition to duck

and cover, we also participated in fire drills, but nobody I know thought we might actually perish in a raging inferno. Drills were just something that grownups made us do for no apparent reason. Fifth graders must have been made of sterner stuff in those days. Besides, every minute spent ducking or leaving the building in a quiet and orderly fashion when the bell rang four times was a minute not wasted on arithmetic.

The real trauma was when we didn’t get to hear Annette sing “M-I-C, K-E-Y, M-O-U-S-E” real slow and sexy at the end of the show. Or when that upstart Roger Maris beat the magnificent Mickey Mantle in the home run race.

In part, we were complacent because we were just kids and did not take anything too seriously. Life was good.

In those days, though, grownups feared that Soviet bombers would fly over the north pole to attack the US. We kids went to the Saturday matinee every week. Everybody knew that Jimmy Stewart and the Strategic Air Command would stop those guys before they could get anywhere near Arlington School.

But things changed.

Duck and cover

A Walk in the Parkby LeMoyne Mercer

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Nixon. One of the major issues in the campaign was what JFK called the “missile gap.” He claimed the Eisenhower administration had allowed the Russians to gain an

enormous lead in the number and quality of ballistic

missiles. It later became clear that there was, indeed, a huge missile gap—but it was in favor of the US.

In 1961, it also became clear that the greatest military power in history (the US) could not swat a pesky mosquito (Cuba).

When Fidel Castro seized power, thousands of Cuban families fled to South Florida with dreams of someday retaking their homeland. The US help they got was called Operation Pluto after the dark god of the underworld. As it turned out, Pluto more closely resembled Mickey Mouse’s dog.

Nikita Khrushchev knew that the US should have been able to overwhelm Castro’s forces. He knew that he would never have accepted defeat at the hands of such inconsequential adversaries so he concluded that the young president was inexperienced, indecisive, and weak. This impression was only reinforced by the lack of a vigorous US response to the construction of the Berlin Wall. Khrushchev’s perceptions resulted in an attempt to establish Soviet missile sites in Cuba.

US high-altitude reconnaissance planes photographed the construction of those missile sites. President Kennedy decided that Russian missiles capable of delivering atomic weapons could not be tolerated just 90 miles from Florida. He ordered a naval blockade in which Russian ships were intercepted before they could reach Cuba. For 13 days in October 1962,

the Cuban Missile Crisis brought the US and USSR to the brink of atomic war. Ultimately the threat was defused when the US publicly declared that we would not challenge Castro’s control of Cuba and the Soviets agreed to abandon construction of the missile sites. Behind the scenes, the US also agreed to remove missiles from Italy and Turkey that were capable of striking Moscow.

Heightened awareness of the threat so close to the US resulted in the establishment of four anti-aircraft batteries in South Florida: Alpha in Everglades National Park; Bravo in Key Largo; Charlie in Carol City; and Delta just outside Miami.

Twenty two structures of Alpha have been preserved as Historic Nike Missile Site HM-69 in the National Park where public tours are offered. Shirley and I found the tour both fascinating and informative. Most of the two dozen people on the tour were old enough to remember the Cuban Missile Crisis. One gentleman was an Army veteran who had actually been stationed at a Nike missile site and offered an insider’s perspective—now that he is free to talk about it. He said that his crew had received a unit citation from a man who looked a lot like the president. “No he doesn’t.” said his commanding officer. “The president was never here.” Besides, the citation was secret and the crew was forbidden to reveal that they had received it.

Personal aside: Shirley and I were interviewed by the FBI when our son-in-law was training for some hush-hush military thing. He still won’t talk about what he did.

“I could tell you,” he says, “but then I’d have to kill you. What do you want to know?”

“So, how are things looking for the Tigers this year?” I answer.

During the Cuban Missile Crisis, the US Army’s 2nd Missile Battalion of the 52nd Air Defense Artillery was sent to South Florida where they set up tent camps. The heat, humidity, and mud were tough on the men. More importantly, from an Army point of view, it was difficult to keep sensitive technical equipment functioning in tents, so the Corps of Engineers built permanent replacements for the tent camps. At Alpha, the blushing pink Administration Building now provides offices and work space for Everglades scientists. Pink, by the way, is not just a Florida fashion statement. Ranger Kirk said the color was chosen

On October 4, 1957, the Russians launched Sputnik, the first man-made earth satellite. It was a magnificent technological achievement and set off the space race. Americans were accustomed to being first and best so, like Roger Maris, those Russians should not be allowed to get away with it.

There were implications far more serious than wounded national pride. The ability to launch a satellite meant the Russians could deliver atom bombs by rocket instead of aircraft. ICBMs could travel faster than aircraft, which left us with less time to prepare. Not

that advance preparation, according to Billy, would have made much difference.

Sputnik led to the National Defense Education Act that encouraged improving math and science education. (Sound familiar?) It also led directly or indirectly to other unpleasantness.

The presidential election of 1960 pitted young Senator John F. Kennedy against Vice President Richard

Crews sheltered from the heat of missile launch in bunkers where remote controls were located.

Nike Missiles were shipped in pieces and assembled on site in sheds like this.

Don’t miss the Greater Toledo Train & Toy Show, March 8!

Toot! Toot! All aboard! The Fun Express is about to depart to the Greater Toledo Train

& Toy Show. Grown-ups and kids alike are sure to have a “family fun day for all” at the Student Health & Activities Center at Owens Community College (30335 Oregon Road in Perrysburg) on Sunday, March 8th, 2015.

This first-class show features over 250 dealers bringing toy and model trains of all gauges and manufacturers as well as toys from all eras: plastic, tin, diecast, pop culture, and so much more! Free appraisals and repair advice will be offered on site, and original parts will be for sale! There’s a wide selection of distinctive toys and trains at this show just waiting to be added to your collection!

Parents and grandparents will surely re-live memories from long ago when they see many wonderful toys and operating displays from their childhood. Bring along the kids and show them old-time toys in operation that they would otherwise never see today. Many famous layouts and exhibits will be operating all day long, including:

• Operating “LEGO® Big City” layout presented by the Michigan LEGO Users Group.

• The Toledo tradition lives on with our wonderful Tiedtke’s Department Store

• American Flyer antique, operating post-war “S” gauge train display.

• Rare 1950 Lionel Toy Train Store Display

featuring original, antique post-war Lionel “O“ gauge toy trains.

• Fascinating operating layouts from area groups in all gauges of toy trains.

• A vintage, rare A.C. Gilbert Erector® Set dealer display area featuring toys from the 1920s.

• Free rides for little ones (ages four and younger) on “Thomas” Riding Trains.

Adult admission on March 8th starting at 11:00 a.m. is just $6 each. “Early Birds” are admitted at 9:00 a.m. for $8 each. All children ages 12 and under are admitted to the show free (with one paid adult admission). The show runs until 3:00 p.m.

So, no matter what your age, everyone can be a kid again and enjoy a fun and unique expe-rience. There’s bound to be a “family fun day for all” under one roof at this easy-to-locate show right off I-75 (Wales Rd. exit 198) with plenty of free parking. ❦

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because it is psychologically soothing for people who work in high-stress situations. At Alpha Battery, the air defenders were routinely challenged by Soviet and Cuban MiG aircraft probing US airspace. They had to repeatedly determine whether or not those probes represented actual attacks that required launching their Nike anti-aircraft missiles. Ranger Kirk said the South Florida batteries were undoubtedly the best prepared Nike crews because they “trained” all the time against real MiGs, not just simulations.

Each battery had six missiles. Four were armed with conventional high explosives and two with nuclear warheads that had about three times

the power of the Hiroshima bomb. The nuclear warheads were designed to take out an entire fleet of aircraft in case of a massive assault.

The Nikes were two-stage, solid-fuel rockets 41 ft. 6 in. in length. They were stored in “Safe Mode.” If one of the five target-tracking radars locked on to a potential threat, a huge analog computer determined an intercept point in preparation for firing. Ranger Kirk pulled out his iPhone. “There is more computing power in this,” he said, “than in all of the missile batteries.”

If the launch team went to “Blue Alert” they armed the missiles and moved them manually on rails to the launch point. Then they retreated

to their bunkers to fire the missiles remotely.

At “Red Alert,” the Battery Control Officer would manually select the launch time. This final process took 36 seconds of the 15 minutes the crews had from alert to launch. Ranger Kirk said the Alpha crews learned to do it in 10 minutes or less. “They knew they were toast,” he said. “The first thing you do in any attack is take out the other guy’s defense system. If they had been forced to go nuclear because of a mass attack, the prevailing winds would have carried radioactive fallout right back in their faces. The best they could hope for was to intercept attackers five minutes farther away from their friends and families up in Miami.”

The Nike missile crews never had to fire during an actual attack. I’m sure, however, that some of those young men were more traumatized by their service than any fifth grader faced with an arithmetic test. It is the nature of our military to assume greater burdens so the rest of us can concentrate on the times tables and how the Tigers are going to do this season.

President Obama has announced that we are changing our relationship

with the Cuban people. Surviving Cuban refugees and their families in South Florida seem hopeful but concerned that repairing 50 years of damage is not going to be just a walk in the park. ❦

LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

Missiles were moved manually from the storage barn to the launch site on rails seen just to left of the park information board.

May 2Free melanoma/skin

cancer screeningMay 4 is “Melanoma Monday”—the day to start a lifelong habit of examining your skin. That’s how to detect melanoma—the deadliest form of skin cancer—when it’s in its earliest, most treatable stage. If you see any new or changed mole or other changes in the skin, see your dermatologist.

Mitchell Dermatology is offering a free melanoma/skin cancer screening on Saturday, May 2, 2015, from 9:00 a.m. to 1:00 p.m. at 900 W. South Boundary, BLDG 9A, in Perrysburg, Ohio. Call 419-872-HOPE(4673) for more information.

The launch control panel from the 1960s seems technologically primitive today, but a computer the size of a barn was pretty impressive back then.

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Treat personally.

A CATHOLIC HEALTHCARE MINISTRY SERVING OHIO AND KENTUCKY | CINCINNATI | IRVINE | LIMA | LORAIN | PADUCAH | SPRINGFIELD | TOLEDO | YOUNGSTOWN

This is what we were meant to do. At Mercy, we are joined in our Mission with Mercy Health. To give selflessly, listen patiently,

care purposefully and heal expertly. Together we bring state-of-the-art technology, and experts in over 100 specialties to 23 hospitals,

and more than 450 locations across Ohio and Kentucky. We were not meant to be idle—we were meant to serve. To find out more,

call 888-987-6372 or visit mercy.com

http://www.mercyweb.org

http://www.mercy.com

HLN March 2014

Documents

Transcript of HLN March 2014