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Time to look as young as you feel! W

hat will your face, neck, and and natural. There is no downtime DR. HANDLER OFFERS TELEDERMATOLOGY hands reveal about you during with these noninvasive procedures. the approaching spring and summer Dr. Handler has been providing virtual dermatology for patients over several years. Due to the viral pandemic, this may be These products also improve the months? When you are enjoying of interest to his present and prospective patients. Go to Dr. Handler’s website at drharveyhandler.com and scroll to the “tear trough” depression and holyourself with friends and family, lowness under your eyes and cause bottom. On the right you’ll find a link to your care. You will receive a diagnosis and treatment program within 24 hours. will the fine lines, brown spots (age darkening to be much less obvious. spots), and sagging jowls and neck Do you want to reduce fine treatment, results are seen before leaving the office. Continued not portray your true age but make you appear tired and withlines, acne scars, and age spots (brown spots from sun exposure) tightening and lifting of sagging skin occurs over a 6-month time ered? Why not consider a painless and no-downtime cosmetic and shrink pores? Then the non-invasive Clear and Brilliant period with results lasting 3-4 years! There is NO downtime and procedure to reduce your aging, sun-damaged, and sagging facial laser is for you. When the Clear and Brilliant laser is combined NO pain. The NEW Thermage CPT Deep Tip system has been skin and eliminate brown spots? Allow Dr. Handler to evaluate with Thermage CPT Deep Tip, the results are ideal for patients utilized by Dr. Handler for many years with excellent results and and personally recommend a skin-rejuvenation program for you to who desire no downtime or pain and predictable results of lifting very satisfied patients. Most patients see results at the completion reduce the signs of aging. Look as young as you feel when gathsagging skin and smoothing fine lines. Dr. Handler is the only derof the procedure. ering with friends and family. matologist in northwest Ohio performing this procedure. For lines between the eyes (worry lines, 11’s, ski slopes), Whenever aged and spotted sun-damaged skin is discussed, Are you aware that Dr. Handler personally performs laser crow’s feet, and the “sleepy and tired look with droopy eyelids,” the term used is rejuvenation. Wait! What about “pre-juvenation”? procedures for removal of body hair anywhere hair grows? Yes, the use of Botox or Dysport works well to improve these areas. Prevent and reduce the signs of future aging and sun damage this minimally painful laser destroys hairs around the chin, jawline, The results are diminished lines and a more “wide-awake” and with a skin-care program designed for the Millennial and prior-tanupper lip, underarms, ears, nose, bikini line, etc. And this laser is less tired appearance. ning-booth generation. Be proactive before the lines and age not just for women. Many men have this laser performed to perEXCESSIVE UNDERARM SWEATING? spots appear. Speak with the staff at Dr. Handler’s office to inquire manently remove chest and back hair as well as beard hair that Most cosmetically-oriented patients know that Botox and about specials for cosmetic procedures and topical products to grows down onto the neck. Dysport are used to reduce the signs of aging. However, Dr. Hanreduce the signs of aging and fade and eliminate “age spots.” Dr. Handler also utilizes the latest in lasers for removal of dler has utilized these products over many years for excessive Dr. Handler personally performs many anti-aging procedures “age spots” (sun spots really) anywhere on the body. This laser sweating of the underarms. This excess sweating is known as that are “non-invasive” with minimal discomfort or downtime. You works especially well for the tops of hands covered with those hyperhidrosis and is associated with embarrassment and anxiety. can minimize under-eye darkening and wrinkling, raise those “age spots.” Finally, Dr. Handler also performs laser removal of Most patients require injections twice a year to reduce sweating droopy eyelids, shrink pores, lift sagging jowl areas, and appear unwanted blood vessels that grow on your face and enlarge with 80% or more! The procedure is associated with minimal pain and as youthful as you feel. Call Dr. Handler’s office for a personal heat, stress, and the intake of alcohol. Again, pain and downtime no downtime. evaluation with treatment recommendations designed specifically are minimal with this laser. for your aging skin. Anti-aging and cosmetic enhancements are not for any specifRemember, 80% of the signs of aging are due to prior sun ic gender. Male cosmetic enhancement and anti-aging procedures exposure and subsequent skin damage. All the brown spots (“age have increased almost 300% in the past 5 years for sagging spots”), broken blood vessels on the face, fine lines, and sagging skin, darkening under the eyes with the “hollow” look, and brown skin are caused almost entirely by sun! This is something young spots. The utilization of fillers, such as Restylane and its family people should be aware of since we get 80% of our lifetime sun of fillers, Juvederm, Radiesse, etc., is excellent for deep smile exposure by the time we are 18-20 years of age. lines and the “sad and tired look” as evidenced with sagging at What about the “worry lines” between your eyes, deep smile the corners of the mouth, hollow cheeks, and aging of the hands. lines, upper lip lines (lipstick runs uphill), and your sagging jowls And, of course, the use of Dysport/Botox to reduce forehead and neck? These unfortunate changes caused by prior sun ex“worry lines” is superb. The use of fillers, such as Restylane, Restylane Lyft, posure and aging can be improved dramatically with pain-free, All of these cosmetic enhancements are performed entirely Juvederm, Radiesse, and others, to “fill” deep smile lines and non-invasive cosmetic procedures performed entirely by Dr. by Dr. Handler. To view before-and-after photographs of patients the marionette lines (the sad look) from the corners of the mouth Handler. who have had these procedures performed by Dr. Handler, visit produces immediate results lasting 12-15 months! Don’t look tired The NEW Thermage CPT Deep Tip procedure painlessly www.drharveyhandler.com. For more detailed information about or sad when you are not! Since these products are combined with heats damaged collagen under your skin to tighten and lift sagthe above-mentioned procedures or products, please call Dr. a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the ging areas of the neck, jowls, and upper arms, and wrinkling of Handler’s office at 419-885-3400. Also, remember to inquire about injection of new fillers called “Restylane Silk” and “Restylane the skin on the abdomen. The NEW Thermage CPT Deep Tip special pricing available on many cosmetic procedures and prodRefyne and Defyne.” These products markedly improve upper and procedure utilizes radiofrequency energy (not laser). This proucts to diminish the signs of aging and obtain a more vibrant and lower lip lines (lipstick lines). Restylane Silk and Kysse also volucedure also encourages a natural repair process that results in youthful appearance of your skin. Look as young as you feel. mize your lips and restore their natural curve while looking attractive further tightening, lifting, and younger-looking skin. With only ONE HAIR LOSS IN MEN AND WOMEN Are you losing hair from surgery, anesthesia, illnesses, pregnancy, medications, stress, 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 or family history, and most are 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 Smoother, tighter, younger-looking skin on face, arms, and chest treatment for decreasing your hair loss and increasing growth in many patients! Pediatric skin disease diagnosis and treatment is one of Dr. No surgery. Handler’s special fields in general Dermatology. Age of the child No injections. is not relevant since Dr. Handler diagnoses and treats eczema, No downtime. hemangiomas, contact and allergic dermatitis, and general “lumps and bumps” that children and infants develop. What about “birth ADULT, marks,” scalp and body “ringworm,” body and head lice, scabies, arvey andLer, m.d., f.a.a.d. psoriasis? If there is a lesion or spot on the skin, Dr. Handler is PEDIATRIC, dipLomate and feLLow of tHe american Board of dermatoLogy trained to examine, diagnose, and treat appropriately. & COSMETIC Also, everyone should have a yearly full body exam to check 5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital) DERMATOLOGY for skin cancer, changing moles, and new growths that develop on our bodies. This comprehensive exam should be conducted solely HAIR & NAILS by a board-certified dermatologist. ❦

www.drharveyhandler.com

Reduce lines, fade sun spots clear + brilliant laser H

L. H

419.885.3400

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

July 2020 • Vol. 25, Issue 7

Your Monthly Guide to Healthy Living

ENRICHING YOUR LIFE

HEALTH & BEAUTY (continued)

12 A Walk in the Park – Nothing’s grander than the Tetons by LeMoyne Mercer

17 Your prostate health, part 2 – Understanding benign prostatic hyperplasia, or BPH

15 Health Crossword Puzzle

25 It’s never too early for good dental hygiene

19 Planting success stems from proper watering

26 Protect your dog from summer’s heat

20 Want to feel good on your feet? Get fitted for the right footwear by Aaron Z. Haydu plus Dave’s Races

27 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A

21 Keeping kids safe in the water: a summer priority by Dennis Bova

31 Keep an eye out for hand, foot, and mouth disease

22 Understanding long-term care 23 Don’t become another fireworks injury statistic!

34 Acupuncture and chiropractic replacing opioids for pain control by Douglas A. Schwan, DC, Dip ac

24 Nobody’s Perfect – Camp Jened helps launch the ADA by Sister Karen Zielinski, OSF

OUR COMMUNITY

27 Spiritually Speaking – Becoming yourself by Sister Mary Thill

5 2020 Marathon LPGA Classic—It’s on!

28 Eating Well – Support your local farmers’ market by Laurie Syring, RD/LD

CONTACTS Business office:

To advertise: Healthy Living News, 130 Louisiana Avenue, Perrysburg, OH 43552. Phone: 419-874-4491 or email Chet Welch at chetw@ perrysburg.com. Ad reservation deadline is the 15th of the month preceding publication. HLN reserves the right to refuse advertising for any reason and does not accept advertising promoting the use of tobacco. Editorial office:

30 You’re never too old for Super Slow Training

33 Get enlightened about lightning

HEALTH & BEAUTY 2 Time to look as young as you feel! 7 Causes and treatment of cancer pain explained 15 We hope you are well! by Marie Zanfardino, MA, LPCC

6 Laurels rehab director explains complex discipline of speech pathology 9 Make the past part of your future this summer at Sauder Village 10 Explore independent senior living at Sunset 18 Zepf Center Recovery House residents find sobriety support despite pandemic 26 COVID-19 volunteer Opportunities by Chris Stieben 30 All the dirt on the Toledo Zoo Garden Tour Series 32 Senior Living Guide

Deadline for editorial submissions is the 10th of the month preceding publication. To contact the editor or send submissions, please email jeffreykurtz68@gmail.com.

16 Protect your hearing while exercising by Shelly Horvat, AuD, CCC-A

Co-Publishers:

Dear Readers, munications and Public Relations for Thank you for picking up the July Sunset Retirement Communities, issue of Healthy Living News. Area golf describes the independent living aficionados will be pleased to know options available to older adults at that the 36th Annual Sunset (p. 10); Dr. Puneet Marathon LPGA ClasSindhwani, chairman of sic—the largest sporting the UTMC department event in our region—is of urology, discusses the officially on for the week diagnosis, symptoms, of Monday, August 3 to and advanced treatSunday, August 9, and ment options for benign spectators have been prostatic hyperplasia, Adam and Chet Welch given the greenlight to or BPH (p. 17); Jennifer attend. This will be our 24th year of Scharringhausen, Rehab Services promoting this exciting community Director at The Laurels of Toledo, event, which has raised millions of explains the complex discipline of dollars for local children’s charities speech pathology (p. 6); Dr. Tim since its founding in 1984, and we Kasunic of The Toledo Clinic Cancer could not be more thrilled! See page Centers shares his expert insights 5 for details, including a schedule on the causes and management of of tournament week events. cancer-related pain (p. 7); and two Also in this month’s issue, Gayle residents of the Zepf Center ReYoung, Director of Marketing, Com- covery House discuss their efforts

Adam Welch Chet Welch

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Brad Beebe,

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Graphic Designer: Mary Ann Stearns Web Designer: Strategically Digital LLC Social Media Specialist: Kate Oatis Distribution:

Welch Publishing Co. Copyright © 2020 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe. Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

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33 Experience the Genesis Village difference by Michelle Oedy to achieve and maintain sobriety during the COVID-19 crisis (p. 18). Of course, that’s just scratching the surface of the content in this month’s issue, and we’re confident everyone who takes the time to read it will find something informative or inspirational in its pages. Special thanks to all the businesses and organizations whose advertising dollars make it possible for us to bring you the latest in locally written health and wellness news at no charge month after month. And, as always, whenever you choose any of our advertisers’ products or services, please let them know you “saw it in Healthy Living News.” Until next month, stay safe and healthy! Adam and Chet Welch

MADE FOR THE MOMENT

PRES ENT E D BY

It all comes down to this. Amazement awaits as the

world’s best women golfers battle it out right in your backyard, August 3 – 9 at Highland Meadows Golf Club. 2 for 1 weekly grounds tickets available at area Kroger stores & online at www.marathonclassic.com. Free admission to Military and Frontline Workers (plus a guest) Wed – Sun. Register to be a volunteer at marathonclassic.com/volunteer

L E X I

T H O M P S O N

Official Automobile Sponsor

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2020 Marathon LPGA Classic—It’s on!

here’s great news for local golf enthusiasts, especially fans of the LPGA Tour: The Marathon LPGA Classic Presented by Dana will return to Highland Meadows Golf Club in Sylvania from Monday, August 3 to Sunday, August 9, and spectators have been given the greenlight to attend. Now in its 36th year, the Marathon LPGA Classic—the largest sporting event in our region—will feature the brightest luminaries of the LPGA Tour, with net proceeds from the tournament going to support 25 area children’s charities. Among the players who have committed to this year’s tournament are Lexi Thompson, Brooke Henderson, Jessica Korda, Danielle Kang, Stacy Lewis, Gerina Piller, and Morgan Pressel. “We’re extremely proud to host these marquee professionals who put their remarkable talent on display for the thrill of spectators and the benefit of area kids in need,” states tournament director Judd Silverman. 2020 benefitting charities Since the Marathon LPGA Classic began in 1984, the tournament has contributed over $11.5 million to 185 children’s charities in Northwest Ohio and Southeast Michigan. In addition to Ronald McDonald House Charities of Northwest Ohio and the Jamie Farr Scholarship Fund administered by the Toledo Community Fou- dation,

both of which are core recipients, this year’s benefitting charities will include Adopt America Network, Aurora Project Inc., Big Brother Big Sister of West Central Ohio, CASA/ GAL of Hancock County, Catholic Club, Children’s Museum of Findlay, College Mentors for Kids, Connecting Kids to Meals, Courageous Community Services, Franciscan Earth Literacy Center, Geary Family YMCA, Girls on the Run Northwest Ohio, Special Olympics Hancock County Ohio, Hancock Literacy, Heartbeat of Toledo Pregnancy Support Center, Junior Achievement of Northwest Ohio, Muscular Dystrophy Association, ProMedica Foundation (First Tee/Boys & Girls Club), Sara’s Garden, Sleep in Heavenly Peace, Sylvania Community Action Team, YMCA of Bucyrus-Tiffin, and YMCA of Greater Toledo. Taking COVID into account Spectators can rest assured that appropriate steps are being taken to minimize their risk of COVID-19 exposure as they enjoy this year’s Marathon LPGA Classic. Silverman explains, “Spectators will be encouraged to bring their own mask, but one will be provided to those who don’t. Also, thermal scanning will be in place; bleachers and grandstands will be eliminated, so we encourage spectators to bring their own chairs; an increased amount of hand sanitizers and handwashing stations will be available throughout the course;

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and, in addition to the usual ‘quiet’ signs, you may see signs that say ‘Separate, please’ to remind fans to maintain safe social distancing.” Tournament events at a glance Each year, the Marathon Classic is packed with exciting events and offers something for everyone. The complete schedule for tournament week is as follows: Monday, August 3 (closed to the public) • PNC Pro-Am, 7:00 a.m. tee times, Highland Meadows • ProMedica/Hylant Pro-Am, 12:00 p.m. tee times, Highland Meadows Tuesday, August 4 (closed to the public) • Practice rounds (all day), Highland Meadows • Dana Pro-Am, 7:30 a.m., Inverness Club • The Image Group Pro-Am, 8:00 a.m., Sylvania Country Club Wednesday, August 5 (closed to the public) • Buckeye Broadband Pro-Am Thursday, August 6 • First Round • Kroger Senior Day Friday, August 7 • Second Round Saturday, August 8 • Third Round • The Blade Day

Sunday, August 9 • Final Round • Frontline Worker and Military Appreciation Day (wear your best red, white, and blue) • Closing Ceremony, 18th Green Tickets and parking Tickets for the 2020 Marathon LPGA Classic are now available online at marathonclassic.com and at area Kroger stores. Silverman reminds fans that if they purchase their tickets in advance through the website or Kroger, 100 percent of the profits will be donated to an eligible charity of their choice. Ticket prices are as follows: Any Day Grounds $20, Any Day Clubhouse Courtyard $35, Weekly Grounds $60, Weekly Clubhouse Courtyard $120, and Labatt Party Deck $65. Public parking will be located in Lot B on the corner of Centennial and Brint, and accessible parking will be available in Lot D, located at Highland Elementary School. Parking prices are $20 for a weekly parking pass (sold online) and $10 for a daily parking pass at the event. For more information on the 2020 Marathon LPGA Classic, please visit marathonclassic.com or call 419-531-3277. You can also follow the tournament on Facebook, Twitter, and Instagram. ❦

Healthy Living News | July 2020 5

Laurels rehab director explains complex discipline of speech pathology

he term speech pathology seems simple on its face. In most people’s minds, it’s about helping people learn or relearn the mechanics of talking. After all, “speech” is right there in the name. However, according to Jennifer Scharringhausen, MS, CCCSLP, Rehab Services Director at The Laurels of Toledo, speech articulation is only one small component of a speech pathologist’s job. “I always describe speech pathology as a ‘shoulders-up’ therapy,” she says. “We certainly do help clients with speech in many ways, but our purview is much larger than that. We also treat problems with swallowing, or dysphagia, and even disorders related to brain function.” Scharringhausen explains that the brain-related issues speech pathologists address fall into the category of either cognition or language. Cognition includes skills such as problem-solving, safety awareness, proper sequencing of tasks, and memory. Language—not to be confused with speech—involves the ability to hear and understand what people are saying as well as put one’s thoughts into words. Appropriate candidates for speech

therapy range from patients who have had a stroke or traumatic brain injury to individuals with Alzheimer’s or other forms of dementia—essentially anyone experiencing speech or language issues, cognitive deficits, or dysphagia. Scharringhausen notes that patients with dysphagia, or difficulty swallowing, are at increased risk of developing pneumonia from the aspiration of food or liquid. “But speech therapists can work with these patients to strengthen the muscles involved in swallowing, teach them techniques that make swallowing easier, and modify their diet if nec-

essary. For example, we might need to make their food thicker or softer, or possibly moisten it with sauce or gravy to help them swallow and eat at the safest possible dietary level—all while working to get them back to where we want them to be. We have all kinds of tips and tricks to help us achieve that,” she says. Among the various therapeutic tools speech pathologists can use to help patients with dysphagia is neuromuscular electrical stimulation, which uses mild electrical impulses to stimulate and strengthen the muscles of the throat involved in swallowing in various ways. This state-of-the-

Outpatient Therapy

art technology can also be helpful in treating the facial drooping that stroke victims often experience. Speech pathologists have numerous options for addressing cognitive issues, as well. One commonly used, evidence-based technique is spaced retrieval. With this modality, patients are encouraged to recall information successfully over progressively longer periods of time. “For example, when you’re working with patients on the safe use of a walker, you might ask them, ‘Where do you put your hands?’ If they answer that they don’t know, you would then say, ‘They go here’ and show them where to place their hands. If they get the answer right, you wait for an interval and ask again, and you keep repeating this with longer delays until they get the answer wrong. Then you ask the question again at the last correct time interval. The idea behind this technique is to get patients to retain important information over longer and longer periods so they can learn and remember how to perform a task or sequence of tasks as safely n

Laurels - continued on p9

Inpatient Short-Term Rehab

Accept Most Insurances

Come Experience The Laurel Difference!

The Laurels of Toledo • 1011 N. Byrne Rd. Toledo, OH 43607 • 419-536-7600 • Go on a virtual tour at: www.laurelsoftoledo.com

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Causes and treatment of cancer pain explained

ancer-related pain can be associat- cancer-related pain. “If patients need ed with a wide range of potential the short-acting drug frequently, we causes and is highly variable from can put them on a longer-lasting, patient to patient. Fortunately, the extended-release drug, or we can put therapies and modalities available for them on the extended-release drug treating different forms of cancer pain once or twice daily along with the 4126 N. Holland Sylvania Rd., Suit today are equally diverse, so the vast short-acting drug for breakthrough majority of patients can get effective pain as needed. There are also various Toledo, OH 43623 relief from their pain and experience ancillary medications we can use, such the highest possible quality of life as as the antidepressant Cymbalta, which they battle the disease. is very effective for cancer-related According to Tim Kasunic, MD, pain, as well as anti-inflammatories of The Toledo Clinic Cancer Centers, such as ibuprofen and steroids. For cancer pain is usually—but patients with nerve-related not always—associated pain, we can use medicawith metastatic rather than tions such as Gabapentin localized cancer, and the and Pregabalin along with likelihood of experiencing Cymbalta,” he says. Located on N. Holland Sylvania Road, we h pain depends largely on From an interventional where in the body the standpoint, there are nulaboratory, MRI and other specialty service cancer has traveled. For merous options for manexample, cancer that has aging cancer-related pain conveniently located on Loc the premises. metastasized to bone is as well. Among these is lab one of the more common radiation. “The medicaTim Kasunic, MD 4126 N. Holland Sylvania Rd., Suite 105 sources of cancer-related tion Xofigo, for example, 4126 N. Holland Sylvania Rd., Suite 105 con Toledo, OH 43623 pain, with or without fracture. How- is a radiation treatment infused into 4126 N. Holland Sylvania Rd., Suite 105 ever, some primary cancers, such as the bloodstream for prostate cancer OH 43623 4126 N.Toledo, Holland Sylvania Rd., Suite 105 Toledo, OH 43623 brain cancer and sarcoma, can cause with multiple bones involved. KyphToledo, OH 43623 pain by exerting pressure on local oplasty and vertebroplasty are other organs or tissues. interventional procedures that are Cancer can also cause pain due very effective at controlling pain in to blockages created in organs such patients with spinal fractures caused as the colon, one of the bile ducts, by cancer. We also work very closely Located on N. Holland Sylvania Road, we have or any visceral organ; bleeding into with interventional pain manage§ Dr. § Dr. Rex Mowat laboratory, MRI andAlkhalili other specialty services Located onAdnan N. Holland Sylvania Road, we have a tumor; blood clotting; or pressing ment, who offer treatments such as conveniently onSylvania the premises. Located onMRI N.located Holland Road, we have laboratory, and other specialty on nerves and causing neuropathy. triggerpoint injections, nerve blocks § Dr. Mohammed Al-Nsourservices § Dr. Richard Phin MRI and other specialty services conveniently located on the premises. “In addition, there’s a whole sepa- for patients whose pain can’t be man§ Locatedlaboratory, on N. Holland Sylvania Road, we have D rate category of pain related to cancer aged effectively with medications, conveniently located on the premises. § Dr. David Brown § Dr. Bradley Sac laboratory, MRI and other specialty services treatments,” Dr. Kasunic says. “To spinal cord stimulation, and epidural § D n Dr. David Brown n Dr. Dhaval Parikh give just a few examples, some chemo infusions. Pain-management special§ Dr. Mark Burton § Dr. Nauman Sh conveniently located on the premises. § D n Dr. Shaili Desai n Dr. Richard and biologic therapies can cause ists are also starting to look at a new Phinney mucositis, or painful inflammation neurological procedure that destroys § Dr. Shaili Desai § Rashid Dr. Abhay Shelk n n Dr. Mersiha Hadziahmetovic Dr. Hammad § D of the mouth; certain chemotherapy the part of the colon responsible for §n Dr. Alkhalili agents can cause neuropathy; and transmitting visceral pain, but this is §TimDr. Tim Kasunic § Dr. nRex Dr. Charu Trived Dr. Adnan Kasunic Dr.Mowat Bradley § Sachs § D some can cause hand-foot syndrome, still in the experimental stage,” Dr. §n Dr. Mohammed Al-Nsour Richard Phinney Alkhalili § Dr. nRex Dr. Adnan Rex Mowat Dr.Mowat Charu Trivedi or painful rashes on the palms of the Kasunic says. § D Adnan Alkhalili §§ Dr. Mowat Brown Bradley Sachs §§ Dr. Dr. David Mohammed Al-Nsour Dr. Rex Richard Phinney hands and soles of the feet. Also, Complementary therapies to reduce §§ Dr. Dr. David Mohammed §§ Dr. Phinney Mark Burton NaumanSachs Shahid radiation treatments involving the stress and help patients relax, such as BrownAl-Nsour Dr. Richard Bradley small bowel, colon, or rectum can guided imagery, aromatherapy, and §§ Dr. Brown §§ Dr. Sachs Shaili Burton Desai Abhay Shelke Dr. David Mark Dr. Bradley Nauman Shahid lead to radiation enteritis or proctitis.” massage therapy, can also be very §§ Dr. Burton §§ Dr. Shahid Tim Kasunic Charu Trivedi Dr. Mark Shaili Desai Dr. Nauman Abhay Shelke As alluded above, treatments for helpful in managing cancer-related §§ Dr. Shaili Desai §§ Dr. Abhay Shelke cancer-related pain are as varied as the pain. Additionally, Sincera, the palDr.Alkhalili Tim Kasunic Charu § Dr. Adnan § Dr.Dr. RexTrivedi Mowat causes. Dr. Kasunic explains that one liative care component of Hospice § Dr. Tim Kasunic § Dr. Charu Trivedi standard treatment is to start patients of Northwest Ohio, works closely § Dr. Mohammed Al-Nsour § Dr. Richard Phinney on a short-acting pain medication, with the care team at The Toledo For the convenience of our patients, we also have satellite usually an opioid such as morphine Clinic Cancer Centers to assist in the offices in Bowling Green, Maumee and Monroe. § Dr. David Brown § Dr. Bradley Sachs or oxycodone. He emphasizes that management of patients’ pain and opioid addiction is a rare problem other symptoms. § Dr. Mark Burton § Dr. Nauman Shahid with cancer patients and that these Because pain is experienced dif§ Dr. Shaili Desai § Dr. Abhay Shelke drugs, when used properly, are safe ferently from person to person and ToledoClinicCancerCenters.com and the most effective option for n Cancer Pain - continued on § p9Dr. Tim Kasunic § Dr. Charu Trivedi ToledoClinicCancerCenters.com

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ToledoClinicCancerCenters.com Healthy Living News | July 2020 7

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Make the past part of your future this summer at Sauder Village

ake the past part of your future this summer with a visit to Sauder Village . . . a fun place to slow down, unplug, and spend quality time with family. The Sauder Village experience moves guests from the modern, fast-paced life into a world that celebrates unforgettable sights, sounds, and memories from the past. Built in 1976 by Erie Sauder, Historic Sauder Village has continued to grow and change through the years and is now recognized as Ohio’s largest living-history destination. Throughout the Historic Village, guests can experience life in Ohio while visiting animals in the barnyard, marveling at working craftsmen, and hearing stories shared by costumed guides along a Walk Through Time from 1803 through the turn of the century. New this year, guests can visit the 1920s Main Street at Sauder Village. This one-of-a-kind project replicates a portion of a 1920s Main Street typical to Northwest Ohio. Guests visiting early this summer will be among the first to explore buildings on the east side of Main Street, including the Farmers and Merchants Bank, Schuck Jewelry Store, Stotzer Hardware, Ohio Farm Bureau Office, and the Livery. By late July additional buildings along the west side of Main Street will open, offering guests an opportunity to stop by the theater to take a peek at what’s playing on the big screen, explore a grocery store, and sip a cherry phosphate at the soda fountain. Guests can see the latest fashions at the dry goods store, buy sweet treats at the candy store, and have fun exploring the fire station and even a speakeasy. The “Roaring Twenties” will come to life through personal stories, authentic reproduction buildings, and historic artifacts. Other highlights of a visit to the Historic Village include a free train ride and meeting farm animals, including horses, cows, goats, and sheep! Families can take a “Walk Through Time” to explore wigwams and a trading post at Natives & Newcomers, and continue to the Pi-

oneer Settlement Area to experience life in Ohio from 1834-1908 at the log school, church, barn, homes, and gardens. Finally, guests can step into the 1920s as they explore the Grime Homestead and the new Main Street! Throughout the Village, guests will marvel at craftsmen blending skill and creativity in metals, fabric, wood, and clay. Talented craftsman demonstrate their trade in places like the Spinning Shop, Pottery Shop, Tin Shop, Basket Shop, Weaving Shop, and Cooperage. Sauder Village also offers a variety of unique shopping venues for guests to enjoy, including the Village Gift Shop, Threads of Tradition Quilt Shop, and an old-time General Store. The Sauder Store and Outlet offers a wide selection of ready-to-assemble furniture made locally in Archbold as well as home accessories. A visit to Sauder Village would not be complete without some delicious, home-style food. From barn chicken, roast beef, and mashed potatoes to hearty soups, salads, and homemade rolls, the Barn Restaurant offers a wide range of menu options and daily specials under the hand-hewn timbers of this historic barn. The Doughbox Bakery is a hometown favorite, offering a wide variety of homemade pies, cookies, sweet rolls, bread, and more! For those looking to extend their stay, the 98-room Heritage Inn has a spacious country inn atmosphere with many places for guests to relax and enjoy time together, whether it’s relaxing by the fireplace in the timber-frame lobby, spending

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Laurels - continued from p6 and effectively as possible. At The Laurels, the speech pathologists work closely with the physical and occupational therapists as part of a collaborative team. “If, for instance, a patient comes to us after a vehicle accident in which he or she experienced a leg injury as well as a traumatic brain injury, all three disciplines would come together in a complementary fashion, each addressing different aspects of the patient’s rehab and recovery—but all focused on getting the best possible outcome for the patient,” she says. The Laurels of Toledo, located at 1011 N. Byrne Road, 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. ❦

Cancer Pain - continued from p7 can develop or worsen as cancer progresses, Dr. Kasunic stresses that open, honest communication between patients and providers is vitally important in treating cancer-related pain. “If you’re experiencing pain, don’t assume it’s just something you have to tolerate. With the therapies available today, it’s very rare that we can’t find an effective way to manage it,” Dr. Kasunic says. The Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, also provides imaging, laboratory, chemotherapy and IV services. The cancer center consists of 8 medical and 2 radiation oncologists along with 8 nurse practitioners and 4 research nurses. The cancer center also has satellite centers in Maumee, Napoleon, Bowling Green, Wauseon, and Monroe. The Toledo Clinic Cancer Centers has earned Patient-Centered Specialty Practice level 3 recognition and Oncology Medical Home recognition from the National Committee for Quality Assurance. Oncology homes align systems and resources with coordinated care focused on cancer patients and their needs. This reduces fragmentation, supports shared decision making, and improves the patient experience. They are the first oncology practice in the state of Michigan and the second oncology practice in the state of Ohio to receive this recognition. For more information, please call The Toledo Clinic Cancer Centers at 419-479-5605. ❦

time under the Great Oak Tree, or playing in the indoor pool or hot tub! The 87-site Campground is a great place to relax while fishing, sharing stories around the campfire, riding bikes around Little Lake Erie, or playing in the Splash Pad. Sauder Village is located at 22611 State Route 2 in Archbold—just minutes from Exit 25 of the Ohio Turnpike. The Historic Village is open Wednesday through Saturday from 10:00 a.m.-5:00 p.m. The Village is closed on Sundays, Mondays, and Tuesdays this season. Admission is $20.00 for adults, $14.00 for students (6-16), and free for members and children 5 and under. Make history of your very own this summer with a trip to Sauder Village! Hours of operation, safety practices, special events, and answers to frequently asked questions are available on the Sauder Village website. For details about planning a memorable Sauder Village getaway, call 800-590-9755, visit the Sauder Village website at www.saudervillage. org, like us on Facebook, or follow us on Twitter and Instagram. ❦

Healthy Living News | July 2020 9

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Explore independent senior living at Sunset

lder adults’ sense of well-being is strongly rooted in their ability to pursue their own interests and chart their own course. Simply put, seniors place high value on self-reliance and the ability to maintain the independence they’ve achieved and enjoyed for most of their lives. Recognizing this perception, Sunset Retirement Communities offers two independent-living options that allow older adults to pursue their own passions while leaving behind the burdensome chores of homeownership— Fieldstone Villas at Sunset Village and The Woodlands at Sunset House. “Both of these exceptional communities cater to independent older adults and allow them to maintain whatever lifestyle suits them best without the worry and cost associated with owning a private home,” explains Gayle Young, Director of Marketing, Communications and Public Relations for Sunset Retirement Communities. Fieldstone Villas at Sunset Village Located on Sunset’s Sylvania campus on Sylvania Metamora Road, Fieldstone Villas at Sunset Village was launched in the fall of 2016. The original villas filled up more rapidly than anticipated, so additional villas were constructed in subsequent phases to meet the overwhelming demand and ensure area seniors have the opportunity to experience the flourishing, maintenance-free, independent lifestyle that Fieldstone Villas has to offer. As part of the Sunset Village Life Plan Community, Fieldstone (formerly called a CCRC) features several different villa styles to suit different tastes. Ranging in size from just over 1,200 square feet to 1,800 square feet, each beautifully appointed, barrier-free home includes a full kitchen with full-size appliances, two bedrooms, two baths, and a gas fireplace. All the villa homes also feature a twocar garage, with the exception of the smallest floorplan, which has a one-

car garage. Residents enjoy access to the community’s clubhouse, which features an indoor swimming pool, an area for exercising, chef-prepared dinners served to residents Monday through Friday, and ample opportunities to gather and socialize with friends and family. “Best of all, Fieldstone residents can expect their monthly fee to cover all aspects of home maintenance, both inside and outside, including lawn care and snow removal, preventive maintenance, appliance repair and other repairs associated with home ownership, and even bi-monthly housekeeping,” Young says. The Woodlands at Sunset House Tucked away on Sunset Retirement Communities’ Indian Road campus, The Woodlands is a casually elegant independent-living community where residents enjoy a wide range of amenities and safety features in a private one- or two-bedroom apartment, furnished and decorated with their own cherished possessions. Young adds that older adults who choose The Woodlands can also expect an attentive staff that is dedicated to their happiness and well-being, as well as a dining room that rivals the best restaurants in town. Along with all the comforts and amenities, Woodlands residents soon discover that the community allows and encourages them to maintain the lifestyle of their choosing, whether that means keeping their present daily schedule or exploring something completely different. The Woodlands’ staff handles housekeeping, lawn care, snow removal, home repairs, and other chores that once consumed so much of their time and energy. “In addition, The Woodlands offers ample opportunities for healthy social interaction and a wide variety of Life Enrichment programs that keep residents active, engaged, and flourishing,” Young says. n

Sunset - continued on p27

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Healthy Living News | July 2020 11

Lake, maybe even fly fishing for cutthroat trout. Drive an hour south, and the primary focus at Grand

Shirley enjoys catching beautiful cutthroat trout in Pacific Creek.

A WALK IN THE PARK Scenic Drive is one-way along the shore of Jenny Lake. If you are not up for the hike around the end of the lake, a boat will take you to Hidden Falls and Inspiration Point on the far side.

Teton is definitely on the spectacular mountains themselves. The Tetons are awe-inspiring because of the way ragged peaks rise abruptly from the valley floor like a trumpet blast announcing the arrival of the king. No foothills, just whango! up they go all sparkly in the sun. All winter long, winters before 2020 anyway, the mountains attract skiers

Nothing’s grander than the Tetons by LeMoyne Mercer

e went to Grand Teton National Park for the first time in 1985 as an extension of our first visit to Yellowstone. The parks are virtually adjacent in NW Wyoming, so there is little sense in going all that way and doing one without the other. All of our trips are planned as loops with a primary destination in mind

and several additional places going and coming. Thus, we have visited a thousand places on our way to or from someplace else. The two parks, though neighbors, offer quite different experiences. You are undoubtedly familiar with the main reasons to visit Yellowstone: amazing wildlife, Old Faithful, Grand Prismatic Spring, Yellowstone Falls, Mammoth Hot Springs, Yellowstone

Golden balsamroot is succeeded by blue lupines on the floor of the Hole, and vibrant colors climb the mountains each spring as the snow melts.

from all over the world. In May, they are still mostly snow covered. As the snow melts, the wildflowers burst forth in successive waves of color as balsamroot gives way to lupines, Indian paintbrush, columbines, wild geraniums and roses, bluebells, spring beauty, and hundreds of other varieties. By midsummer, the dry valley floor is dominated by sagebrush but there are still flowering plants along any of the trails that take you to moister ground at higher elevations. When the huckleberries and thimbleberries are ripe, you may have to share them with the bears. The bears seldom object to sharing, though some may grumble among themselves about all the #$%& tourists. We think the easiest and best way to get quickly acquainted with the Tetons is to make a scenic loop trip around the edge of the valley. And I might as well take this opportunity to get all pedantic on you. Jackson, Wyoming is the famous upscale resort town at the south end of the park. Jackson Hole is the valley itself, not the town, and most of the Hole is the national park. Assuming you begin at Jackson, take the well-marked road from the elk-antler park in the center of town into the Tetons. Just past the National Elk Refuge and the airport, turn left and cross the Snake River to reach Moose Village. Actually, there is not much village at Moose Village, but there is a wonderful visitor center where you can view high-quality exhibits, pick up maps and advice from rangers, and buy a few tchotchkes at the park store.

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Before crossing the river, you will have passed Dornan’s where there are shops and restaurants, but we think you should save Dornan’s for the end of your loop trip. You have to go there, of course, but not first.

Pronghorns are often in Antelope Flats where the deer and the antelope play. Nice song, though pronghorns are technically not antelope.

Go inside the historic Chapel of the Transfiguration to photograph the mountains through the window behind the altar. A park entrance station is just beyond the visitor center. Take a right for the historic Chapel of the Transfiguration and Menor’s Store and Ferry. Get pictures of the chapel with the mountains behind it. Then go inside and shoot the Cathedral Group of the Tetons through the window behind the altar. At Menor’s, an authentic old rustic store, you can buy old-timey stuff, including a cold sarsaparilla—the favorite beverage of wimpy guys in old westerns. If the cable ferry is operating, you can take the short trip across the Snake just to see how it is done. (One year the ranger even let Shirley drive.) The ferry lands at the back side of Dornan’s—but you don’t want to go there yet. Continuing along the park road, you will climb a slight rise and round a curve where you will suddenly find your jaw resting in your lap. After you have pushed it back into place, pull into the parking area and take a few hundred more photos. Many of them should feature your companions jumping up and down, waving their arms, and grinning like fools. Yes, I know it sounds silly, but thousands of tourists do it every single day in the Tetons. Even little blue-haired ladies with aluminum walkers insist on jumping and grinning. Watch out for herds of pronghorns as you continue along the road and herds of bicyclists on the paved trail that parallels it. The bike path occasionally crosses the road, so look out for small children and adults who are not quite clear on what STOP means. If you have more

than one day in the park—it would be a crime if you did not—you might want to look into renting a bike or even taking an escorted bike tour. Soon you will come to the parking lot for the Taggart Lake Trail. This is our favorite hike in the Tetons. It is a

We always try to reach Taggart Lake before the crowds disturb the solitude and the breeze disturbs the reflections. relatively easy climb of about 1.5 miles over a glacial moraine to a beautiful setting. If a breeze does not ripple the water, the mountains are reflected in the lake. We always arrive as early as we can because both the parking area and the trail get more crowded every year. When you have seen it, you will understand why. The trail follows a tumbling mountain stream and passes through an old wildfire area where new growth is rapidly replacing the standing dead trees. From the lake, you can just retrace your steps to the trailhead, but we prefer to have a snack on our lunch rocks and take the connecting 2.5mile Beaver Creek Trail back down. On up the road from the trailhead is Jenny Lake where you’ll find a ranger station, visitor information, places to get snacks and souvenirs, a canoe/ kayak rental, and a ten-minute boat ride across the lake to Hidden Falls. Our second favorite hike is around the south shore of the lake to the falls

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and from there up the sheer cliff side to Inspiration Point for grand views of the lake and the Hole. Frankly, we have not done that recently because it has become extremely difficult to get a parking space even in the very sizeable lot that was recently made even sizeabler. Just north of Jenny Lake is the oneway Scenic Drive that doubles back along the shore. About half way is a parking area for String Lake, which is connected to Jenny by a very short stream. The trail around String is our third favorite hike because it passes through lodge pole pines on the east shore before climbing along the open slope on the west side of the lake. Great views—as there are literally everywhere—and wildflowers in the open meadows. Taking the Scenic Drive means duplicating a short stretch of your route north, but the time is well rewarded. Besides, you are going to be stopping again at all of the pullouts between Jenny and Jackson Lake anyway. Even if you are one of the poor souls with only one day in the park, you can spare a few minutes to stop and gawk. That’s why you are there after all. What you may not have time for, more’s the pity, is the detour up

Signal Mountain. From the summit you can look back the full length of the Hole and across Jackson Lake to the mountains. It is a great place for sunsets. Schedule permitting, you can do that the next day or the day after. Or on your next visit because, once you have been there, you will want to return. Jackson Lake, the largest in the Tetons, was formed by a dam where you might want to stop for a look. If you walk out on the lake side of the dam, you can see thousands of trout just a few feet below you bunched up against the wall of the dam. Beyond the dam is Jackson Lake Junction. To the left, the Rockefeller Parkway takes you up to Yellowstone. On the lake shore, quite stunning in this stretch, is Jackson Lake Lodge with panoramic views through the 60-foot windows of the dining room. Sure, the view is spectacular, but it is exactly the same view you can get from the deck or from anyplace along the way. Still, there is something special about having a meal (try some bison) with all that magnificence spread out before you. If you are lucky, there will be free performances by orchestral musicians from the Grand Teton n

A Walk in the Park - continued on p14

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A Walk in the Park - continued from p13 Music Festival. Five miles farther north is Colter Bay Visitor Center with shops, food, and the Indian Arts Museum. But, n

National Geographic. Then continue to Moran Jct. and begin the return drive south on the east side of the Snake. This is not a park road but the highway route through the park. You will be permitted to drive faster, but you will also find several more reasons to stop. The first reason will probably be a herd of bison that tend to hang out just south of Moran. Get pictures

The Oxbow Bend of the Snake River is a must stop for visitors to the Tetons. if you are nervous about the time, turn right at the Junction, instead of left, and stop at one of the most photographed places in the whole world—the Oxbow Bend of the Snake River. Even if you don’t recognize the name, it is pretty much impossible for you not to have seen it on a calendar or a jigsaw puzzle or an old

to see the rather crude, sod-roofed, dirt-floored Cunningham Cabin that will make you abandon all those romanticized images of pioneer life we get from the movies. But it does clearly illustrate the three most important aspects of real estate—location, location, and location. Life in the Hole may have been challenging, especially in winter, but there were evidently some compensatory delights. Today, you can pretend to be a pioneer by staying in one of the private cabins (with actual floors, glazed windows, and shingled roofs) at the nearby Triangle X Ranch—the dude-variety ranch. Stop at all three pullouts overlooking the Snake and the mountains, then take the road left into Antelope Flats. The three attractions there are

Quite often there are bison hanging out just south of Moran Jct. of them with the mountains as the backdrop. A little farther on, stop Pioneer homesteads are preserved in the Mormon Row section of Antelope Flats.

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the pioneer homesteads at Mormon Row, a good chance to see more bison, and the pronghorns (which are not technically antelopes) for which the area is named. You could continue through the Flats to the village of Kelly and thus back to the highway on your way to Jackson. But you would miss Dornan’s, and I promised you could go there, so turn around and go back to the highway. Dornan’s is a shopping area with everything a tourist needs: fuel, outdoor sporting goods, food and drink, and T-shirts. In other words, it has what Jackson has but on a much smaller scale. So, what else could you do in the park if you had more than one day? • Outfitters offer rafting trips down the Snake inside the park, where the water is gentle, and through whitewater in the canyon just south of Jackson. • There are seven campgrounds in the park. Jenny Lake CG is tents only, but the rest accommodate both tents and

RVs. The days when you could just arrive at the park and feel confident of getting a site are over. See the park website for reservations. • There are numerous commercial lodging and dining options in Jackson. Within the park, consider the lodges at Jenny Lake, Flagg Ranch, Colter Bay Village, Jackson Lake, or Signal Mountain. • Horseback rides are available from several locations. • Lessons in technical mountaineering are available through Exum Mountain Guides and School of American Mountaineering. Even if you are too sensible to do that yourself, you might want to spend a few minutes watching students clinging by fingernails to a sheer cliff, whining pitifully for help. The Tetons and all the national parks have become so popular that campgrounds and lodges may be booked up six months or more in advance. An option chosen by a huge number of visitors to the Tetons is a guided tour that includes transportation, lodging, and meals. You don’t have to worry about reservations because someone else takes care of that for you. They also decide exactly where you will go and exactly how long you will spend there, as well as when and where you will eat. This works out nicely for people who want to avoid the stress of doing all that pre-trip research and decision making. Not to mention the stress of negotiating a thousand details with their travel companions. (A principal symptom of altitude sickness is irritability. You are hereby encouraged to use “altitude sickness” as the excuse for your totally uncharacteristic ill humor. I always do.) Once you have acclimated to the altitude, there are no legitimate excuses for ill humor in the Tetons. Cerulean skies, vibrant wildflowers, wildlife, and the simply amazing mountains are guaranteed to make your visit just a walk in the park. LeMoyne Mercer is the travel editor for Healthy Living News. There is limited space here for LeMoyne’s photos. You might want to see more at anotherwalkinthepark.blogspot.com. Please leave comments on the site. ❦

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We hope you are well! thinking is a feature of depression and can lead to despair and hopelessness. A person has between oday more than ever, 25,000 and 50,000 thoughts the need for hope that a day. You can change there will be brighter days how you feel by changahead burns inside us all. ing how you think. The The timelessness of the evidenced-based practice power of positivity in the of cognitive therapy is an works of Norman Vincent effective method for treatPeale can be a guiding light. ing depression. A cognitive Yes Norman, there is power therapist helps people to in positive thinking! Not change negative patterns only that, positivity begets of thinking. Also, because positivity and negativity of some new information begets negativity. You can Marie Zanfardino, on brain stimulation, a spiral your mood up to MA, LPCC current conception of dethe sun or down to the pression is that it is a brain circuit depths of darkness. There is power in thinking, and you can develop a habit dysfunction. Stimulating an area in of thinking positively or negatively. the prefrontal cortex of the brain helps As it turns out, Norman Vincent set in motion the circuits to a positive Peale and his message that there is mood. Positive thinking stimulates power in positive thinking has been the prefrontal cortex. Anyone can validated by research. Researchers benefit from having a positive mood. Here are some ways to pump-up have found that positive thinking your prefrontal cortex: can help you manage stress and live longer. On the flip side, negative 1. Picture yourself as succeeding. by Marie Zanfardino, MA, LPCC

HEALTH CROSSWORD

Use your wild mind and reach for the stars! Get the right amount of shut-eye. If you have trouble getting quality sleep, listen to Erin Wiley’s Therapy Show podcast number 5 (https:// erinwileytherapy.com/ podcast/). She gives you a great sleep-inducing trick! Offer and receive physical contact. Yep, hugging is good for your brain. Cuddling your pet counts! Develop an attitude of gratitude. Weirdly, there is a law of diminishing returns when re-counting your gratefulness too often. Keep a gratitude journal, but only write in it about two days a week for the best result. Work with a counselor to retrain your brain. Cognitive therapists are the experts at this, so find one to guide you through the road to positivity. Move your body. Dance, clean, run, take a yoga class, or just

by Myles Mellor • ilovecrosswords.com • Answers on page 16 ACROSS 1 High temperature 3 Green vegetable 8 “Pet” plant 9 Kind of decongestant 11 Ingredient in household cleaning products 12 Oomph 13 Backbone parts 17 It’s better fresh 18 Tropical fruit 22 Part of the large intestine 23 Cure-all 25 Prefix with cycle 26 Medical quantities 27 Give new energy to 29 Nuts 30 Worked on one’s muscles

DOWN 1 Cooking herb 2 It carries blood around the body 3 ___stick 4 Object 5 “Kapow!” in comics 6 It’s used for pain caused by osteoarthritis 7 Environmental watchdogs, for short 10 Connecting tissues 13 Utensil often used to take medicines 14 Purged 15 Mena’s state 16 Motivates to do great things 19 Like a lemon 20 Bottle-shaped containers 21 Potato choice 24 Sanitize 28 In good physical shape

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plain walk. 7. Learn something new or do something different from what you already know—like driving home via a different route or cleaning your house in a different order than usual. 8. Laugh. Humor is one key to happiness. Make jokes, look for the funny side of a serious situation, watch comedy. A lot has been written about this subject, and one book that stands out and has concrete suggestions about looking at thoughts is Awareness by Anthony de Mello. In it, he reveals how negativity operates and is an obstacle to achieving happiness. And, Norman Vincent Peale’s The Power of Positive Thinking has many practical and inspirational messages. The title makes it just plain great to have on the bookshelf! Marie Zanfardino, MA, LPCC, is a Licensed Professional Clinical Counselor at The Willow Center. ❦

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30 Healthy Living News | July 2020 15

Protect your hearing while exercising by Shelly Horvat, AuD, CCC-A

e’ve all been cooped up during the COVID-19 quarantine and are looking to go back to the gym to exercise. As audiologists, we encourage people to exercise and keep fit because we know that regular exercise helps reduce your risk for other diseases shown to increase the risk of hearing loss: diabetes, heart disease, and other diseases related to blood vessels. Many people turn to the gym for cycling, kickboxing, step aerobics, dance, or working out with earbuds or headphones in the ears. These classes often crank up the music to levels that are harmful to the ears. This loud noise exposure can cause gradual hearing loss and ringing in the ears that goes unnoticed until damage is permanent. To protect your hearing while getting back into exercising at the gym, here are some things you can do:

Ask the instructor or gym staff to turn down the music Turning down the volume level will reduce the risk of noise-induced hearing loss and tinnitus (ringing in the ears) for you, the instructor, and the other participants. You all will hear the instructor better once the music is lower too. If that gym refuses to turn down the volume, explore different gyms and fitness studios and their approach to noise management before choosing the facility for your needs. If you need documentation to back up your request, you can easily measure the volume of the music using a free sound-level-meter app on your cell phone. Multiple free sound-level-meter phone apps are available for both iPhone and Android users in their app stores. The National Institute for Occupational Safety and Health (NIOSH) recommends wearing hearing protection (or reducing volume) whenever sound

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levels are 85 dBA or higher. If you do not have an app, a good rule of thumb is that noise is too loud if you need to shout to be heard by someone an arm’s length away. Wear earplugs We recommend that you keep a pair of earplugs in your gym bag or car so that you’ll have them on hand when needed. They also come in handy for loud music concerts. Our office sells small, comfortable earplugs that are effective enough to help soften the loudest sounds while still allowing you to hear the music without distortion or other people talking. We also make customized, filtered earplugs to help ensure a secure fit during high-intensity exercise, for music concerts, or even for people working in noise who still need to hear speech. Keep your distance Stay away from the speakers or sound source. The closer you are to the sound source, the louder the sound, so try to pick a spot as far away from the speakers as possible. That can be harder to do in small rooms or certain setups. If it’s not possible to distance yourself from loud speakers at a gym or class, it’s worth looking for another gym to protect your ears. Frequent or prolonged noise exposure increases the chance of lifelong hearing damage. The damage from noise exposure to the ears is cumulative throughout one’s lifetime, often not becoming noticeable in the form of hearing loss and tinnitus (ringing Answers to crossword from page 15 1

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in the ears) until the body begins to age, typically between the ages of 50 and 60 years. This means that noise damages hearing without us knowing it or experiencing symptoms at the time the damage is occurring. Ironically, noise damage symptoms are often silent and unrecognized by the person experiencing it. Prolonged or extreme noise exposure may cause

immediate ringing in the ears and a muffled hearing sensation, but more often the damage is not noticed for years to come. If your ears ring after a session at the gym, that’s often a sure sign that the music was damaging to your ears. Wearing hearing protection and reducing noise exposure are small prices to pay to prevent future hearing loss and tinnitus. Lastly, if you have any noise exposure or hearing concerns, come in for a complete hearing evaluation, a baseline hearing test, and discussion of your hearing-protection needs. The Audiologists at Northwest Ohio Hearing Clinic are here to support you in your wellness goals. For small, comfortable earplugs, custom hearing protection, or more tips on keeping your hearing safe while working out, contact the audiologists at our Toledo or Perrysburg office. We look forward to hearing from you. Selly 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). ❦

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YOUR PROSTATE HEALTH, PART 2

Understanding benign prostatic hyperplasia, or BPH HLN recently had the pleasure of causing them to wake up multiple sitting down with UTMC urologic times during the night, as well as oncologist Firas Petros, MD, and urgency, or feeling the need to run Puneet Sindhwani, MD, chairman of to the bathroom to urinate. These symptoms can sigthe UTMC department nificantly impact quality of of urology, to discuss life, the ability to get a good various aspects of prosnight’s sleep, and job perfortate health. In part 1 mance. If left untreated, the of this series, which back pressure associated with appeared in the April prostate enlargement can 2020 issue of Healthy also do irreparable harm to Living News, Dr. Petros the bladder and can even be shared his expert intransmitted to the kidneys, sights on prostate cancer causing damage. diagnosis and genetic It’s important to be aware testing. This month, Dr. Puneet Sindhwani, MD that many other conditions can Sindhwani discusses the diagnosis, symptoms, and advanced overlap and have similar symptoms treatment options for benign prostatic to BPH, for example narrowing of the urethra due to previous infection hyperplasia, or BPH. or injury; bladder problems such as HLN: What exactly is the pros- a stone, inflammation, or infection; tate and what causes it to become or something as serious as cancer around the bladder. So, if you expeenlarged? Dr. Sindhwani: The prostate is a rience symptoms, it’s important to small gland, about the size of a walnut, get checked out to determine why. located at the base of the bladder. HLN: What testing is available for Its role is to help nourish sperm as it passes through the reproductive patients with symptoms of enlarged channel. The prostate is the one organ prostate? Dr. Sindhwani: When you go to in men that is hormone dependent, meaning its growth and function are your urologist, he or she will typically perform an exam to check the size related to hormonal status. Enlargement of the prostate tends of the prostate and do a simple test to occur naturally as men age, which called a uroflow study, which involves is a condition known as benign pros- urinating into a special funnel-shaped tatic hyperplasia, or BPH. Prostate machine that’s hooked up to a comenlargement can also occur as a result puter. The test measures the flow and of inflammation, infection, or cancer. force of the urine stream and helps A genetic component may also be determine whether the bladder is involved, as BPH usually runs in emptying properly. You’ll also have families. Some studies show that bloodwork done to check your kidenvironmental and dietary factors ney function and prostate-specific can influence prostate enlargement antigen, or PSA, level. as well. HLN: Can BPH be treated effecHLN: What are some common tively with medications? Dr. Sindhwani: If the BPH is early symptoms of BPH, and why is prostate stage and the enlargement is minienlargement a cause for concern? Dr. Sindhwani: The prostate gland is mal, treatment typically begins with located around the urethra, so when medication. In the past, this meant it becomes enlarged, it can cause life-long treatment with medications obstruction of the urinary stream. such as Flomax or Rapaflo, which As a result, men with this condition help the prostate relax so urine can may have to stand and wait to start flow more easily. However, these urinating, strain to empty the blad- medications treat the symptoms, der, have a weak and/or intermittent not the underlying problem, and stream, and dribble for a long time they’re not without side effects. For toward the end of urination. If it example, they can cause dizziness, goes on too long, it can also lead to muscle weakness, and drop in blood increased frequency of urination, pressure, increasing the patient’s

fall risk. There are other medications that are slow-acting and work by taking the active hormone away from the prostate so it starts to shrink. This happens slowly over time, and it can take six months to a year to see the full benefit. These medications can also cause a hormonal imbalance, mainly in the form of sexual dysfunction, enlargement or tenderness of the breasts, and problems with ejaculation. Both forms of medication have their advantages and disadvantages, so patients have to work with their urologist to determine which is best for them. HLN:When is surgery appropriate for treating BPH, and what are the latest surgical options? Dr. Sindhwani:If symptoms aren’t improving with medications or the patient wants to come off medication due to side effects, surgery may be appropriate. In the past, doctors went straight to a procedure called trans-

urethral resection of the prostate, or TURP, which involves scraping away prostate tissue from the inside. The downside to TURP is that it has to be done in a hospital under general anesthesia. Also, some patients having the procedure require transfusion, and there can be issues with electrolyte imbalance. Many elderly patients can’t undergo TURP, especially if they are on blood thinners. The good news is, thanks to advances in technology, there are now minimally invasive surgical techniques for treating enlarged prostate that can be done without general anesthesia and, in many cases, right in the office. Furthermore, the majority of patients who undergo a minimally invasive procedure maintain the ability to ejaculate, which is not the case with older surgical techniques. The newest of these minimally invasive procedures is Rezum water vapor therapy. Rezum is performed in the office under local anesthesia and involves inserting a scope with a n UTMC - continued on p35

Take care of your health

CLOSE TO HOME!

The University of Toledo Comprehensive Care Center offers easy and convenient access to a variety of healthcare services, making it possible for you to manage your health in one location. Services include:

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Healthy Living News | July 2020 17

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12/12/19 2:33 PM

Zepf Center Recovery House residents find sobriety support despite pandemic W

ith the COVID-19 pandemic dominating the headlines, it’s easy to forget that other major health crises are still taking a heavy toll on our community. One of these is the rate of opioid addiction and overdose, which, according to the Lucas County Coroner Toxicology Laboratory, continues to rise year after year in Northwest Ohio and especially in Lucas County. Now with the coronavirus forcing lockdowns and limiting access to vital addiction and recovery support services, this problem has only been compounded. Amy Peoples, Director of Recovery Housing for the Zepf Center, notes that with the pandemic, people are

isolating more and afraid to reach out for help when they need it. “Being forced to isolate is very different from choosing to isolate. It really changes the dynamics,” she explains. “People grappling with addiction need that human connection, and having a recovery community they can turn to for support is huge for them. Virtual meetings can be helpful, but they are no substitute for direct human interaction.” Despite regular support group meetings being temporarily suspended due to COVID, Peoples observed an interesting phenomenon at the Zepf Center Recovery House—the residents began to rally

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around each other, and several took the initiative to create a sober support community of their own. “Through this crisis, our residents have been in uncharted territory, but they recognized the vital role community plays in recovery and discovered they can still build relationships and have that support,” she says. Among the residents who are benefitting from the programs and strong sense of community at the Zepf Center Recover House is Emory Allen, 35. Allen came to the Recovery House after detoxing in the Zepf Center’s Ashland Avenue walkin detox center about four months ago. He recalls, “I Emory Allen was out on the street doing drugs, and it had been going on far too long. I was killing myself and depriving my kids of the father they need. I was fed up, tired, and ready to make a change in my life, so one morning I woke up and decided to put myself in detox.” Allen’s drug of choice is heroin, and a major trigger for his use is grief over the death of someone close to him. He notes that he has lost loved ones at a rate of one or two each year for the past 11 years, including two this year already. Interestingly, Allen takes a positive view of the position he’s in due to COVID-19, remarking that the restrictions related to the pandemic have helped him realize that he needs to slow down, be content with what’s going on, and focus on getting better. Even with restrictions gradually being relaxed, he leaves the facility only to go to work, the grocery store, or his grandmother’s home, which is located near the facility. This effort at recovery is Allen’s third, but he’s confident he will succeed. “The first two times, I was doing it for others and wasn’t really ready. This time, I’m doing it for myself, and I’m taking it step by step. To get sober, you have to change almost everything about yourself. For me

that means not just taking it one day at a time, but one minute at a time,” he comments. When he made the decision to enter detox, Allen was anxious and afraid he would get extremely sick. Fortunately, the use of suboxone to manage his withdrawal symptoms prevented that from happening. He now urges others who want to recover but are afraid of getting sick not to let this concern stand in their way. “Even if you do feel sick, it’s temporary and only one small part of the process. Besides, it’s a much better alternative to ending up dead or in jail,” he says. Allen is grateful for the support he receives from fellow residents and his roommate, noting that it’s like a big family on the facility’s fourth floor, where he lives. “I’m the happiest I’ve been in twenty-something years—genuinely happy,” he says. “I still have my struggles and my good and bad days, but it’s worth it. I’m happy, my kids are happy, and my granny is through-the-roof happy!” Nate Clark, 62, is also grateful to the Zepf Center and his fellow Recovery House residents for providing a community that supports sobriety. Originally from Cleveland, Clark—who was using a variety of different drugs, but primarily crack cocaiNate Clark ne—moved to Toledo in 2004 because the environment he was in made it impossible to stay sober. “In Cleveland, I had such a large ‘playground’ that I couldn’t stay clean, so I had to leave, and Toledo was the most viable option,” he says. Clark maintained his sobriety for around 15 years but relapsed after going home to visit his mother and family. His father had died just prior to his visit, and soon thereafter his mother also passed n

Zepf Center - continued on p19

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Zepf Center - continued from p18 away. To cope with the intense feelings of grief, he turned once again to drugs. “I found myself in a deep funk. I had given up and gone back to the streets. I didn’t have the nerve to kill myself and hoped the streets would do it for me. I just wanted the pain to stop,” he recalls. Clark’s younger sister—whom he describes as his “best friend, cheerleader, and confidant”—helped him put a name to this deep funk. She told him that he was suffering from depression and pointed out that several of his family members had the condition as well. So he went on medication, connected with his sponsor, and moved back to Toledo to go through detox and get back on track toward sobriety at the Zepf Center. “I’m so thankful that the Zepf Center is here. They deal with all aspects of addiction, and I talk to a psychiatrist about my depression. Through prayer and meditation, I know that nothing happens down here before it goes across God’s desk, and I’ve come to realize he put me here for a reason—to help younger people who are new to recovery,” he says. Right after Clark finished detox, the governor’s stay-at-home order was issued and support meetings were cancelled. Not to be deterred, Clark and several other Recovery House residents began to hold informal meetings. In fact, other residents routinely seek him out for advice and guidance. Also, now that he knows he suffers from depression and can recognize the symptoms, he’s able to help others come to grips with their emotions and direct them to the resources they need. “But it’s a two-way street,” he adds. “I get just as much from them because I can see myself in their story.” Clark comments that he has come to understand that he’s right where he’s supposed to be. Looking to the future, he has re-entered the educational process so he can eventually start a business that serves others, such as providing housing for homeless veterans. “One of my favorite sayings is, ‘Be the change you want to see in the world,’ so I lead by example and try to go the extra mile. At the end of the day, I want to look in the mirror and say I’m part of the solution, not part of the problem,” he says. ❦ n

Planting success stems from proper watering

he month of July is a great time for gardeners and outdoor planters to sit back and enjoy the fruits of their springtime labor. At this point in the growing season, shade beckons and we’re inclined to leave any heavy-duty gardening or landscaping tasks until cooler weather returns in fall. However, given the intense heat and reduced precipitation levels typical of July, at least one gardening chore is inescapable this month—watering. While providing moisture to plants might seem fairly intuitive, proper watering is one of the most commonly misunderstood aspects of gardening and landscaping. Sure, there’s the oft-heard guideline of providing one inch of water per plant per week. But this guideline is relatively meaningless when you factor in different soil consistencies (one inch of water will penetrate about 12 inches in sandy soil but only about four inches in clay), variations in temperature and humidity, the various microclimates present in any given landscape, and the particular watering needs of each different plant species. Reaching the root zone While there really is no one-sizefits-all formula for watering, it’s generally better to water plants deeply on a less-frequent basis than to water them lightly but more frequently. Frequent, light watering promotes shallow-rooted plants that are more prone to heat stress, wilting, and disease. Consider that you want the moisture to penetrate all the way to the root zone of the plant—or even deeper to encourage a drought-resistant root system. Depending on the plant, this is usually somewhere between six and 18 inches deep. It takes time for the water to penetrate to that depth, so don’t assume a quick spritz with the garden hose once a week will be adequate. Deep watering is best achieved by positioning the end of a garden hose at the base of the plant and adjusting

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the water flow rate to a trickle. Leave it in place until the soil all around the plant is well soaked (you may need to move it to different points around the base for uniform coverage), and then move on to the next plant.

foliage, droplets of water can act like tiny magnifying glasses and actually burn unsightly holes right through the leaves. As a general rule, try to water plants at their base rather than over the foliage.

Save time and money with a soaker hose If you have a lot of plants in need of moisture, watering them all deeply with a single hose may be impractical. In this case, a soaker hose may be a good solution. Soaker hoses have fine pores all along their length that weep moisture into the soil, making them ideal for watering rows of plants. You can also wind them through landscaping beds, encircling trees and shrubs at the dripline, which ensures that water will be directed to the youngest, farthest-reaching roots. (Note that a soaker hose and sprinkler hose are not the same thing. Whereas soaker hoses ooze water into the soil, sprinkler hoses are covered with small holes that spray water in a fine stream.) Soaker hoses can be left in place above ground and concealed with mulch. Then all you have to do come watering time is connect the hose end to your faucet and turn it on. Avoid burying the soaker hose in soil, however, as the fine particles will eventually clog the pores and prevent water from seeping out. One of the greatest advantages of watering with a soaker hose is that it cuts your water consumption considerably—by as much as 75 percent compared to a sprinkler.

Water early Different gardeners may favor watering at different times of day, but watering early in the morning is usually your best bet. One reason is that the temperature is usually cooler and there is less air movement in the morning, so you tend to lose less moisture to evaporation than you would when watering in the middle of the day. Another is that if you do get any moisture on the foliage while watering, it will likely dry out more rapidly. In contrast, if you water in the evening and get the foliage wet, the moisture will tend to remain there all night long, providing the perfect environment for those aforementioned fungal diseases to flourish.

Keep the foliage dry In addition to driving up your utility bills, overhead sprinkling with a conventional oscillating or impulse sprinkler has another major drawback—it keeps plants’ foliage wet, which can predispose them to fungal diseases such as black spot and powdery mildew. Also, if you have plants with relatively tender

Watering container plants Plants grown in containers require a different watering approach than those planted in the ground. The soil in containers tends to drain and dry out more rapidly (especially those hanging baskets), so a good daily soaking is usually necessary in July unless Mother Nature happens to oblige with a drenching rain. Spreading a layer of mulch over the soil surface in containers will help retain moisture, but you have to keep a close eye on the moisture level of the soil nonetheless. Also, if you feed your hanging baskets and other container plants frequently, fertilizer salts may begin to encrust the soil surface. To help leach these salts out of the soil and prevent this buildup, it’s a good idea to thoroughly flush the container with (fertilizer-free) water until it runs through the drainage holes about every other week. ❦ Healthy Living News | July 2020 19

Want to feel good on your feet? Get fitted for the right footwear by Aaron Z. Haydu, Dave’s Running Shop

any disparate factors shape a person’s well-being and health equity throughout Northwest Ohio. Creating opportunities that have the potential to reach everyone in the community is challenging, but when we’re able to see the trees through the forest by compartmentalizing and focusing efforts, the potential becomes more real. From healthcare professionals working long hours on the frontline of the COVID-19 crisis, to first responders moving quickly to provide urgent support, to grocery store clerks, to food-processing workers standing in one spot for their entire shift so we have access to daily essentials, happy feet are the root of long-term sustainability. Feet are often taken for granted when evaluating personal well-being, but when you make your foot health a priority, many of the lifestyle aches

and pains you’re dealing with can be reduced or even eliminated. It all starts with what type of footwear you put on, how often you change them throughout the day, and when you replace them with new ones. The human foot has 26 bones, 33 joints, and over 100 muscles, tendons, and ligaments all working together to provide support, balance, and mobility. Those are a lot of moving parts. Additionally, everyone’s feet are set up a little bit differently and should be evaluated individually. Getting fitted for the proper footwear consists of several observational and measuring steps. All of these steps are pretty basic, but it takes a trained professional to evaluate what they all mean once put together. During a fitting at Dave’s, you’ll be asked to walk, run, or jog; stand in varying ways; and flex your feet through a few low-intensity movements. Measurements will be taken, and your existing shoes will be inn

Dave’s - continued on p34

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Don’t miss Dave’s races! Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear. To register or for more information, including any associated fees, please visit davesrunning.com. Run White & Blue 5K Virtual Race Wednesday, July 1-Sunday, July 5, 2020. Unite to celebrate the best of America at this year's virtual Run White & Blue 5k run/walk on Independence Day—a day to come together from all over the nation around the common love of running and personal growth. Virtual Race: Run for the Refuge Wednesday, July 1-Monday, July 20, 2020. Due to COVID-19, we are converting the Discover Ottawa Run/Walk scheduled for July 11, 2020 to a virtual event. What does that mean? You can complete your race on your own at Ottawa National Wildlife Refuge, in your community, or even on a treadmill. Kaleb’s DONOR DASH 5K Virtual Race The Kaleb DONOR DASH 5k is in memory of Kaleb McLaughlin who was killed in an auto accident on June 24, 2013, just 20 days after his 20th birthday. Our goal is to bring awareness to the importance of organ, eye, and tissue donation. Due to COVID 19 we are changing Kaleb's DONOR DASH 5k to a VIRTUAL RACE! You can run or walk your race on a treadmill, around a school track, or make your own 5k trail! Trillium—A Women-Only Challenge Saturday, July 11-Sunday, July 12, 2020, 8:00 a.m. at Centennial Quarry, 5773 Centennial Rd., Sylvania, Ohio. Since 2005, this women-only event has focused on empowering the competitive spirit in all women. Trillium is designed especially for women of all ages and athletic ability—whether new to multisport, casual swimmer/biker/runner, or an experienced athlete. This day is all about you. Dave’s Ohio-Michigan 8K & 5K Virtual Race Thursday, July 16-Thursday, July 23, 2020. The original virtual border battle—race in two states. Choose the Ohio State, Michigan, or neutral Run the 419 option in two colors. All participants will receive a soft-spun cotton shirt and a custom neck gaiter to keep you safe around town. Create your own route and run two states, if you can; run anywhere. Download and print your custom BIB and submit your results to compare with everyone. Post your photos and route to our Facebook Page and Strava Group sporting your new gear for a chance to win a free pair of shoes, courtesy of Dave’s Running Shop. Only Fools Run a 5K Rescheduled for July 18, 2020, 9:00 a.m. (Fools Family Fun Run at 9:15). Location: Woodmore High School, 633 Fremont St., Elmore, Ohio. In honor of April Fool's Day and hosted by the Explore Elmore Organization. For those fools not willing to take on the 5k challenge, there will be a 1-mile Family Fun Run. Muddy Mini Half Marathon, Quarter Marathon & 5K New date: Saturday, July 25—awaiting final approval from the Health Department and 5/3 Field. Virtual NapNaz 5K Run for the City Saturday, July 25-Saturday, August 1, 2020. The NapNaz 5k Run for the City will now be held virtually. To participate, simply sign up at davesrunning.com, claim your t-shirt, and submit your race time anytime during that week. All proceeds will continue to go towards improvements for the City of Napoleon parks and recreation. ❦ We love feedback. Like us on Facebook. Follow us on Twitter.

Keeping kids safe in the water: a summer priority “A child or weak swimmer can drown in the time it takes to reply here are some fun ways to escape to a text, check a fishing line, or the July heat, like eating ice cream, apply sunscreen,” the Red Cross says. going to an air-conditioned theater, “Death and injury from drownings and taking a dip in cool water, from happen every day in home pools and a beach to a backyard pool. While hot tubs, at the beach, or in oceans, swimming is refreshing and fun, it lakes, rivers and streams, bathtubs, can be deadly, especially for youths. and even buckets.” Kym Cragel is Drowning is the leading cause aware of these meaof death among children, says the sures. As a certified American Red Cross. The American Infant Swimming Academy of Family Physicians says drowning is the most common in- Resource (ISR) injury-related cause of death among structor since 2017, she teaches their use children aged one to four years. and adds some of her But the Red Cross says on its own practices as prowebsite that by adopting a few simple moted by ISR. She practices, the danger of drowning says her lessons are can be lessened: focused on children • Ensure every member of ages six months to six your family learns to swim so years and emphasize they can enter the water, get self-rescue. “If they find themselves a breath, stay afloat, change alone in the water and need help,” position, swim a distance, then Cragel says, “they can survive.” get out of the water safely. They do so because her training • Use barriers to prevent easy has them be aware of rolling over access to water and life jackets, on their backs to take a breath and and closely supervise children. float, and call out until help arrives. • Know what to do in a water For older children, she teaches them emergency, including how to to roll on their back, float, breathe, help someone in distress, call flip over, swim, and roll on their for emergency help, and do back 1again. 10.25x5_ES_Perseverance_Ad_HL_COL_520_HI.pdf 5/20/20 12:39 PM CPR. Cragel, with a bachelor’s degree by Dennis Bova

in education and a master’s in sports psychology, says, “I tailor the lessons to each child. Sometimes I teach 40 children a day. Each one is at a different level. My kids after six weeks can save their lives.” She adds that she recently received a text from a mother whose two-year-old son, who had completed Cragel’s course, found himself in trouble in a pool. “He flipped over on his back and started yelling” until his mother arrived, Cragel says. Cragel uses her background in physical fitness to judge each individual swimming student’s body type for a clue on how to teach the best way for that child to float. And each child has a different personality, she says. “That’s where my sports psychology comes in,” she says. She instills a positive attitude in each student through “self talk.” She has them say “I’m a good swimmer, I love to float.” “We never use any negative terms,” Cragel says. “They don’t say they can’t, but instead, ‘I will try.’” She focuses on establishing breath control through 10-minute lessons to

build muscle memory, and reinforcing the roll-on-your-back technique to be second-nature. Cragel discourages the use of some swimming aids such as puddle jumpers, a flotation device that is worn around a child’s chest and over the arms, and promotes the wrong kind of muscle memory. Those devices are meant for wearing on a boat and keeping the wearer afloat if in the water. But for simply playing in a pool, it’s unwise, and she urges they not be used. She said a child wearing such a device is upright—the drowning position, she says. Children kick their legs in a bicycle motion to stay afloat with the device, but if they don’t have the device, their muscle memory will take over and the child will be upright and prone to tiring, sinking, and drowning—instead of automatically turning over to float on their back. Unlike other summers, many public pools are closed because of COVID-19 restrictions. That has led to an increase in homeowners buying backyard pools. Accompanying these pools should be several layers of protection, including safety fencing with locks, self-rescue lessons, n

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A Lesson In Perseverance. Life is a struggle. Just ask our residents. They are the generation who grew up during the Great Depression. They’re the men and women who fought in World War II and contributed at home. These are the ones who endured deep personal sacrifices to face extraordinarily difficult times.

Now this generation is again faced with a new hardship. A hidden enemy that has created a great divide between the inside world of residents and staff and the outside world of families.

Let’s follow their lead. Let us be inspired and strengthened by this “Greatest Generation” to persevere through the days and weeks ahead.

CMY

A 5-Star Family Facility 2720 Albon Road Maumee, OH 43537

www.elizabethscott.org 419.865.3002

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Healthy Living News | July 2020 21

Understanding long-term care

ddressing the potential threat of long-term-care expenses may be one of the biggest financial challenges for individuals who are developing a retirement strategy. The U.S. Department of Health and Human Services estimates that 70% of people over age 65 can expect to need long-term-care services at some point in their lives.1 So understanding the various types of long-term-care services—and what those services may cost—is critical as you consider your retirement approach.

How much does long-term care cost? Long-term-care costs vary by state and region. The 2019 national average for care in a skilled-care facility (single occupancy in a nursing home) is $102,200 a year. The national average for care in an assisted-living center (single occupancy) is $48,612 a year. Home health aides cost a median $23 per hour, but that rate may increase when a licensed nurse is required.2

What is long-term care? Long-term care is not a single activity. It refers to a variety of medical and non–medical services needed by those who have a chronic illness or disability—most commonly associated with aging. Long-term care can include everything from assistance with activities of daily living—help with dressing, bathing, using the bathroom, or even driving to the store—to more intensive therapeutic and medical care requiring the services of skilled medical personnel. Long-term care may be provided at home, at a community center, in an assisted-living facility, or in a skilled nursing home. And long-term care is not exclusively for the elderly; it is possible to need long-term care at any age.

What are the payment options? Often, long-term care is provided by family and friends. Providing care can be a burden, however, and the need for assistance tends to increase with age.1 Individuals who would rather not burden their family and friends have two main options for covering the cost of long-term care: they can choose to self-insure or they can purchase long-term-care insurance. Many self-insure by default—simply because they haven’t made other arrangements. Those who self-insure may depend on personal savings and investments to fund any long-termcare needs. The other approach is to consider purchasing long-term-care insurance, which can cover all levels of care, from skilled care to custodial care to in-home assistance.

When it comes to addressing longterm-care needs, many look to select a strategy that may help them protect assets, preserve dignity, and maintain independence. If those concepts are important to you, consider your approach for long-term care.

Citizen Advisor y Group is a comprehensive financial services firm that helps Northwest Ohio’s soon-to-beretired and retired residents effectively plan for and prepare for life’s greatest journey. In addition to helping clients with their finances, Citizen Advisory Group offers monthly health and wellness events.

Water safety - continued from p21

knowing CPR, and being aware of—and eliminating—unsafe flotation devices, she says. Swimming lessons generally weren’t offered at private pools for health reasons, but Cragel said a recent change in state law now allows such instructions. Cragel said there are safety protocols that the parents are to follow, including taking the temperature of the child before the lesson and monitoring the child’s sleep and activity levels. “I have waterproof masks that I wear, and I keep sanitizer by the pool,” she adds. Cragel is quick to dispel the notion that a child’s drowning is the result of bad parenting. “Drowning

Please call 419-872-0204 for a complimentary consultation to review your individual financial situation. Investment advisory and financial planning services offered through Planners Alliance, LLC, an SEC Registered Investment Advisor. Citizen Advisory Group is a separate and unaffiliated entity from Planners Alliance, LLC and Advisory Alpha, LLC. ❦ 1. U.S. Department of Health and Human Services, 2019 2. Genworth 2019 Cost of Care Survey

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1H Suggested Donation: Canned food items to benefit the PCU Food Pantry

jH Drive-Thru Event: Masks Recommended jH Protect Your Identity - Shred Confidential Documents jH Safeguard against identity theft/fraud presented by Wood County Sheriff's Office jH Items will be shredded on site by an Allshred Services Truck

Please call 419-812-0204 with any questions about the event.

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22 July 2020 | Healthy Living News

happens to the best of parents,” she says. “It doesn’t matter how much money you have or what your socio-economic background is. It can happen to anyone. A child can take one big gulp of water, go below the surface, and not come up.” She cautions parents: “With children in the water, you cannot have a phone in your hands or be reading a book. You have to have constant eyes on your child. It takes only one or two seconds to slip below the water.” Cragel has a pool in her Maumee backyard where she gives lessons, and has a network of host pools where she can teach. She is available to teach throughout Northwest Ohio. “I go to where I’m needed,” she says. “There are about 25 of us [ISR-certified instructors] in the whole state,” she says. “My goal is to build a team in Northwest Ohio.” Her main goal, though, is to keep children safe around the water. In agreement is the Red Cross, which says that by “working together to improve water competency—which includes swimming skills, water smarts, and helping others—water activities can be safer and just as much fun.” Dennis Bova is a retired newspaper reporter, columnist, and copy editor. ❦

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Don’t become another fireworks injury statistic!

ireworks have long been a mainstay of Independence Day celebrations. Unfortunately, the excitement and splendor of fireworks can be extinguished all too suddenly if careless use or product malfunction causes someone to be injured. There’s no question that fireworks—including consumer-grade devices—are inherently dangerous. In fact, according to the Consumer Product Safety Commission (CPSC), on average, 180 people go to the emergency room with fireworks-related injuries each day in the month surrounding the Fourth of July holiday. What’s more, the National Safety Council reports that fireworks are responsible for an average of 18,500 structure fires each year. Considering the intrinsic danger in using fireworks, the safest way to enjoy them is by viewing a public display put on by professionals. However, many municipalities are canceling their fireworks displays this year to help limit the spread of COVID-19, which may encourage more amateur use. But before you start to plan that

backyard fireworks display, it’s important to verify whether amateur use of fireworks is actually legal in your area. Despite what your eyes and ears may tell you around this time every year, it is not currently legal to discharge fireworks in the state of Ohio. This may soon be changing, however, as the Ohio House just passed a bill that will allow Ohioans to discharge consumer-grade fireworks on their own property, and (as of this writing) the legislation has advanced to the Ohio Senate for consideration. In addition to verifying the legality of amateur use before buying or discharging fireworks, be sure to observe all the following fireworks safety recommendations from the Consumer Product Safety Commission (source: cpsc.gov/Safety-Education/ Safety-Education-Centers/Fireworks): • Never allow young children to play with or ignite fireworks. • Avoid buying fireworks that are packaged in brown paper because this is often a sign that the fireworks were made for

professional displays and that they could pose a danger to consumers. • Always have an adult supervise fireworks activities. • Don’t assume sparklers are harmless, devices. Parents don’t realize that young children suffer injuries from sparklers. These devices burn at temperatures of about 2,000 degrees, which is hot enough to melt some metals. According to the National Fire Protection Association, sparklers alone account for more than 25% of emergency room visits for fireworks injuries, and for children under five years of age, sparklers accounted for nearly half of the total estimated injuries. For a fun, kid-friendly alternative to sparklers, consider glow sticks instead. • Never place any part of your body directly over a fireworks device when lighting the fuse. Back up to a safe distance immediately after lighting

fireworks. • Never try to re-light or pick up fireworks that have not ignited fully. • Never point or throw fireworks at another person. • Keep a bucket of water or a garden hose handy in case of fire or other mishap. • Light fireworks one at a time, then move back quickly. • Never carry fireworks in a pocket or shoot them off in metal or glass containers. • After fireworks complete their burning, douse the spent device with plenty of water from a bucket or hose before discarding it to prevent a trash fire. Remember, while fireworks can deliver some explosive and visually dazzling Fourth-of-July fun, they’re also inherently dangerous. If you plan to use these devices on your property, try to do so as safely as possible. Don’t put yourself or any of your loved ones at risk of injury! ❦

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Healthy Living News | July 2020 23

EXPERIENCE. QUALITY. CARE.

n body’s perfect Camp Jened helps launch the ADA by Sister Karen Zielinski, OSF

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wo friends told me to watch Crip Camp: A Disability Revolution on Netflix, who describe the documentary as “A groundbreaking summer camp that galvanizes a group of teens with disabilities to help build a movement forging a new path toward greater equality.” I watched it three times. The film, directed by former camper Jim LeBrecht and Nicole Newnham, tells of a summer camp in the Catskills (near Woodstock) that created a sense of community and creativity, which led to the enforcement of portions of the American disability rights movement in the 1970s. Camp Jened was named after some funders in 1951 and shut down after the summer of 1977 due to lack of money. Counselors basically ran the camp as any other camp for young people. These campers were people with disabilities related to polio or cerebral palsy, people with blindness, or people who became disabled after car accidents. They took part in as many camp activities as their disabilities allowed, in that it gave them a sense of community, hope, and dignity. Campers were not stared at as they would have been back home in everyday places in society. They bonded, talking about other disabilities they all lived with—society limiting and excluding them as unable to be part of life, working, living independently, getting an education, using public transportation, attending concerts, visiting museums and National Parks. They realized from their lived experience that people with disabilities were excluded from everyday life. Conversations at the dining room tables included boyfriends and girlfriends, popular music, and clothing fads. The real conversations centered

around deeper topics: “When will the world see handicapped people as people?” “Do people without handicaps know what it feels like to be excluded?” “It isn’t our problem; it is the people without disabilities’ problem.” The significance of the camp was that many of the former campers bonded together to become disability activists who played a significant role in passing legislation that focused on inclusion. Former camp member Judy Heumann started Disabled in Action as a result of a lawsuit against New York City’s Board of Education. She was denied a teaching license, so she sued for discrimination and won the right to conduct classes from a wheelchair. Her groups worked on the deinstitutionalization of disabled persons. Civil Rights legislation was going on all around the country and Disabled in Action saw that as an opportunity to talk about why they were excluded from society. There were not anti-discrimination laws at the federal level, but members in the senate and house were looking for ways to make that happen. The Rehabilitation Act in 1972 was a perfect vehicle. Buried at the end of the Bill was Section 504, an anti-discrimination provision. The language was drawn from civil rights legislation in the 1960s. Section 504 would include persons with disabilities in many aspects of life, but the ław was not being enforced or put into action. The Disabled in Action group got involved in protesting this lack of enforcement. So Judy Haumann and her group travelled to make legislators aware that the ław passed, but nothing was happening. They sat in San Francisco in the 504 Sit-In of 1977. It meant that anyone who received federal moneys—hospitals, n Nobody's Perfect - continued on p25

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Nobody's Perfect - continued from p24

schools and universities, transportation, etc.—would not be allowed to discriminate. The bill passed, which would have set up a vocational rehabilitation program. It was vetoed by Richard Nixon, who said, “Just costs would be horrendous in terms of their total.” William Ronan, then Director of the NYC Transit Authority, said it would be just impossible in terms of its financial cost to put elevators and ramps in all the train and subway stations. The Disabled in Action group protested by showing up in wheelchairs and crutches on a busy New York intersection. Fifty people literally shut down streets in New York. In the spring of 1973, the group decided to have another demonstration in Washington, DC. For days, the group demonstrated outside the Department of Health, Education and Welfare office buildings in Washington, DC. A number of those with disabilities, left their wheelchairs on the side of the marble steps and pulled themselves up with their arms to enter the building. Eventually, President Nixon signed the bill, which was truly a civil rights bill about including those with disabilities wherever federal money was involved. But legislators did nothing to support section 504 of the bill which specifically spoke of rights for persons with disabilities. Although legislation had passed, there was very little reinforcement. After some peaceful but firm protests of some of Crip Camp’s alumni, the bill finally passed due to some very determined members of Disabled in Action. Crip Camp played a significant part in the beginnings of the ADA—the civil rights legislation started for those with disabilities. The Americans with Disability Act (ADA) passed on July 26, 1990. 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 kzielins@sistersosf.org or 419-824-3543. ❦

It’s never too early for good dental hygiene

ood dental hygiene habits should be established before an infant has teeth. Though this may seem premature, implementing proper dental care before a baby’s teeth begin to erupt will set the stage for a lifetime of healthy smiles. But how can parents start caring for their baby’s teeth before they’ve actually emerged? All you need to do is gently wipe your baby’s gums with a clean, wet washcloth or gauze after each feeding. This will help eliminate the bacteria that cause tooth decay as well as help your baby grow accustomed to the sensation of having his or her teeth brushed. In addition, gum cleaning is soothing for baby and offers a wonderful bonding opportunity for both baby and parent. In fact, most babies respond very positively to the gentle massage-like sensation—especially babies who have itchy, irritated gums as a result of teething.

Once your baby’s first tooth appears, usually between the ages of six months and one year, you can begin to use an infant toothbrush after every feeding and at bedtime. An infant toothbrush has very soft, rounded bristles, so it won’t scratch your baby’s sensitive gums. Your dentist may recommend that you brush your infant’s teeth with water only or with just a pea-sized amount of toothpaste. If you do choose to use toothpaste, be sure to purchase a product designed specifically for infants—one containing no fluoride. Your baby will likely swallow the toothpaste, and fluoridated toothpastes can cause problems if they are continually ingested over time. Getting the earliest possible start on a child’s dental hygiene is more important than many parents realize. Why? Because baby teeth have a thinner enamel layer and are more vulnerable to bacteria than adult teeth are. Hence, any decay that gets a foothold can penetrate to the nerve

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much more rapidly than it typically will in adult teeth. But aren’t baby teeth just destined to fall out anyway? What difference does it make whether they decay or fall out early? Remember, baby teeth serve as a placeholder for adult teeth. If baby teeth are lost prematurely, the adult teeth will be much more likely to come in crooked. One of the biggest dental-health problems facing young children is a condition called “baby-bottle tooth decay” (BBTD). This condition can develop when a young child’s teeth are continually bathed with sugars present in milk, formula, fruit juice, or other sugary beverages—usually because the child takes a bottle filled with one of these liquids to bed or has them frequently throughout the day. The sugars present in the liquid are converted to acid by bacteria in the baby’s mouth, and this acid begins to dissolve the teeth, usually beginning with the upper front teeth. Not only can BBTD cause severe damage to your child’s baby teeth, but it can also lead to problems that affect the permanent teeth. To prevent BBTD:

• Avoid putting your child to bed with a bottle. • Avoid using a bottle as a pacifier. Limit bottles to feeding times only. • Regularly clean your baby’s gums and teeth. • Teach your child to drink from a cup as soon as possible. Of course, along with initiating good dental-hygiene practices at home, you’ll want to be sure to schedule your child’s first visit to the dentist by the age of one year or within six months after his or her first tooth comes in. The first dental visit doesn’t usually involve much in the way of treatment, but it’s an opportunity for your child to get acquainted and comfortable with the dentist, staff, and office surroundings. It’s also a chance for the dentist and parents to discuss the child’s developmental milestones, such as teething; fluoride needs; oral habits, such as thumb sucking or tongue thrusting; good oral hygiene practices and cavity prevention; and proper nutrition for good oral health. ❦

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   Healthy Living News | July 2020 25

COVID-19 volunteer opportunities by Chris Stieben

e are taking a break from our vignettes about Mrs. Jones to discuss new opportunities with the Long-term-Care Ombudsman Program. During the time of COVID-19 we have seen many changes to the way we advocate for consumers and residents. Like visitors to nursing homes, the Ombudsman program is unable to enter facilities due to concerns over COVID-19 transmission. As such, we have made commitments to reach out to residents and resident families of long-term-care facilities to educate and empower them via phone or video chat. This is a way that we can continue to educate residents about their rights, validate any concerns they may have, and field any complaints they may have about their care. As you can imagine, calling residents and family members is quite an undertaking. We have been lucky enough to be able to utilize our volunteers to assist with these calls. We are always looking for new volunteers, and this time may be a perfect opportunity for you to become a Certified Ombudsman Associate from the comfort of your home. You can advocate for long-

design

term-care consumers without leaving the safety of home and ensuring that your health is protected while you help others. This change in the way volunteers are sharing their time has been invaluable for our program. As an advocate for long-term-care consumers, you will have the opportunity to enrich the lives of residents and their families. Your contribution as an advocate will help residents feel that they have a voice and are understood. So, if you are interested in free training, becoming a Certified Ombudsman Associate, and helping our area’s long-term-care consumers, please reach out for more information. Inquiries can be directed to Crecia Decker, our Volunteer Coordinator, at 419-259-2891. We look forward to adding to our family of Ombudsman and continuing to advocate for excellence in long-term care. “We make a living by what we get, but we make a life by what we give.” -Winston Churchill. Chris Stieben is Director of the ABLE Long-Term-Care-Ombudsman Program, which can be reached at 419-259-2891 (http://ombudsman.ablelaw.org). ❦

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26 July 2020 | Healthy Living News

Protect your dog from summer’s heat

hink how miserable you feel in summer when the air temperature and relative humidity are on the rise. Now, think how much worse you’d feel under those same conditions if your body happened to be covered with a thick layer of fur, you lacked the ability to speak, and you had to depend on a completely unrelated species to perceive and respond to your need to drink water, get out of the scorching sun, and cool off. That’s the reality for the dogs (and other furry pets) in our care—and it’s the responsibility of every dog owner to take proper precautions to protect their beloved pet from heat-related illness or injury. Here’s how: Keep the water flowing Make sure your dog has plenty of fresh, clean water to drink throughout the day. Outdoor drinking bowls should be placed in a shaded location rather than in full sun where the water will heat up and evaporate more rapidly. Also, choose a spill-proof bowl so your dog doesn’t accidentally tip over its water supply while you’re away, leaving it with nothing to drink until you come home. Provide shelter from the elements Dogs that are kept outdoors for any amount of time must also have access to a permanent shelter that protects them from sun exposure, heat, and inclement weather conditions. And, remember, a yard that is shady in the morning when you leave for work could be exposed to scorching sun all afternoon. An appropriately sized all-weather, insulated/ventilated doghouse is ideal shelter. Don’t spare the sunscreen Sunscreen may seem like an unusual requirement for a furry animal, but remember, many dogs, especially those with shorter, lighter fur, are prone to sunburn and skin cancer. The most vulnerable areas are the bridge

of the nose, the tips of the ears, and the skin surrounding the lips. Dogs that are shaved or have lost fur due to illness or medication are also at increased risk of sunburn. Choose a sunscreen formulated specifically for use on pets and carefully follow the label instructions for application. Don’t walk and play in the heat of the day To help prevent your dog from getting overheated during exercise, try to limit walks and active play to morning or evening hours rather than the middle of the day when temperatures tend to be at their highest. Also, keep in mind that hot concrete or asphalt can easily burn the pads of a dog’s paws. Think how hot beach sand feels on your feet, and you’ll get the general idea. If you can’t tolerate placing your hand or bare foot on a surface for several seconds, your dog’s pads won’t be able to tolerate it either. Never leave your dog in a parked car Sure, you may be running into the store for just a few short minutes, but that’s all the time it takes for the temperature in a parked car to rise to a level that can be deadly to pets—even if you leave the windows cracked open. If you must run errands in hot weather, do your dog a favor and leave him or her at home. Consider your dog’s age and physical condition Just as with people, dogs that are elderly, very young, or ill are more vulnerable to heat-related illness or injury. For example, an aged dog with arthritis that is left outside all day long will be more vulnerable to heat stroke because it has greater difficulty getting up and moving around to avoid sun exposure. Outdoor time for senior dogs, puppies, and sick dogs should be limited on hot days. ❦

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Spiritually Speaking Becoming yourself

by Sister Mary Thill

Who would I be if I ever became myself? No one goes through life unscathed. Scathing is, in fact, the process that wears away the dross of arrogance and entitlement, of preeminence and pretention. The pruning goes on all our lives until we grow into whatever shape or substance we are meant to become. +Joan Chittister, OSB, author, sociologist

pending so much time in social distancing and staying home certainly have given me plenty of time and space to reflect on Sister Joan Chittister and Toni Morrison’s insights about who I am at this juncture in my life. The pandemic and the murder of George Floyd have called me to take a good look at myself and see where I need to continue on the lifelong paths of reconciliation and conversion. Just how does all this impact me at this time in my life? Covid 19 caught us off guard and the response of our governors and their teams certainly put us on a lockdown of sorts and forced us to think and act in creative and sometimes panicky ways. I’m not sure what the hoarding was all about (especially the toilet paper!), but I was reminded of similar behavior happening before hurricanes and snow storms. It has always made me realize how fragile we are and how interdependent we are on others and things when perhaps we should be more concerned about what really matters in such emergencies. I think many people finally did realize that family, home, food on the table, faith in God, and hope for the future are the important values even when some of these values were sorely tested. I will never forget the bravery of the caregivers in health care, the sheer numbers of those who died, and the terrible loneliness of our elders and others as they were quarantined from family, friends, and volunteers. The death of George Floyd, the murder by a police officer of yet another black man in my hometown of Minneapolis, upset me to the core. How could this happen in a city that has been working on becoming an international welcoming community? The Minneapolis I grew up in 70 plus years ago was being integrated with European settlers who were learning to get along in a new world. There were ethnic churches on every corner in northeast Minneapolis, and as a child I wondered why we had so many Catholic churches if we were all Catholics. There were no black children in my church, school, or

What is now known is not all that you are capable of knowing. You are your own stories and therefore free to imagine and experience what it means to be human without wealth. What it feels like to be human without domination over others, without reckless arrogance, without fear of others unlike you, without rotating, rehearsing, and reinventing the hatreds you learned in the sandbox. And although you don’t have complete control over the narrative… you could nevertheless create it. +Toni Morrison, author neighborhood. I hardly ever saw anyone who looked different from me. As I matured and worked with children and adults from different cultures as a teacher, administrator, gerontologist, department chairperson, community leader, and currently as patient liaison to the elders in an inner city medical center, I’ve had the privilege to listen to, interact with, and share ideas with people from many different backgrounds and cultures and feel richer for the experience. Each of these wonderful human beings, with whom I have found so much common ground, has helped to make me who I am today. I look forward to their helping me become n

Spirtually Speaking - continued on p35

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: I just took my twin daughters who are 8 years old to see an ear specialist because they keep sniffing with watery eyes and are having problems hearing me. The doctor told me that allergies are causing the symptoms. Could this really be true?

: Actually, this may be quite true. This is the time of year when we see seasonal allergies, which can prevent the Eustachian tube from draining properly, potentially causing hearing loss. In order to be certain there’s a hearing loss and determine what type it is, an audiogram, which is a hearing test, should be performed. The middle ear reacts to an allergic reaction by developing fluid, which can remain in the middle ear space for days, weeks, or even months, so along with the audiogram, a tympanogram is usually performed to determine whether there is a fluid buildup in the middle ear cavity behind the eardrum (otherwise known as the tympanic membrane). This disorder is known as a conductive hearing loss. It is usually treated with antihistamines and occasionally steroids. In rare cases, a small incision is made in the eardrum

to evacuate the fluid. If the inner ear, also known as the cochlea, is affected by allergies, it also may accumulate excessive fluid, a condition referred to as endolymphatic hydrops. This may in turn develop into a sensorineural hearing loss along with a sensation of fullness, pressure, and often vertigo. This needs to be taken seriously, and quick medical attention is suggested. The audiogram at this point is quite important to rule out other factors, such as a sudden hearing loss, which also could be caused by viral infection, tumor, multiple sclerosis, stroke, and chronic ear infections. We would encourage a visit to an audiologist and/or ear specialist as quickly as possible. So yes, it’s true allergies can be causing your daughters’ difficulties, but a visit to the doctor may lead to better hearing health. 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). ❦

Sunset - continued from p10

A lifelong community Whether they opt for Fieldstone Villas or The Woodlands, older adults can rest assured that they’ve joined a community for life. Independent living is just the beginning of a continuum of care offered at Sunset. As residents’ care needs change, appropriate services will be available to accommodate them, whether they require assisted living, skilled nursing, memory support, rehab, or hospice and palliative care. If someone isn’t certain which level of care is best for their needs, Sunset’s very knowledgeable staff will be able to help them find the best fit for their personal situation. For more information on Sunset’s independent living options, please visit www.sunset-communities.org or call: Fieldstone Villas at Sunset Village at 419-386-2686; or The Woodlands at 419-724-1220. ❦ Healthy Living News | July 2020 27

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Welcoming New Patients 28â&#x20AC;&#x192;July 2020â&#x20AC;&#x201A;|â&#x20AC;&#x201A;Healthy Living News

tâ&#x20AC;&#x2122;s that time of year againâ&#x20AC;&#x201D;late spring/early summer when we all get excited about good weather, the end of school, graduations, vacations, etc. For healthy food aficionados like me, another exciting event that happens at this time every year is the return of farmersâ&#x20AC;&#x2122; markets! For my money, thereâ&#x20AC;&#x2122;s no better place to buy fruits and vegetables. The freshness and flavor of their wares are inarguable, plus patronizing these marketsâ&#x20AC;&#x201D; more than 10,000 strong nationwide, representing over 50,000 farmersâ&#x20AC;&#x201D;is a great way to get to â&#x20AC;&#x153;know your foodâ&#x20AC;? as well as your local small-scale farmer, who just might happen to be your neighbor. Here are more good reasons to support your local farmersâ&#x20AC;&#x2122; market: The freshness factor When it comes to freshness, thereâ&#x20AC;&#x2122;s simply no comparing the produce sold at the supermarket with that available at your local farmersâ&#x20AC;&#x2122; market. In fact, most farmersâ&#x20AC;&#x2122; market fruits and veggies will last two to three times longer than those sold in stores. Tasty inspiration Not only do farmersâ&#x20AC;&#x2122; markets offer the freshest, tastiest produce possible (short of growing your own), but they also introduce their customers to new foods they may have never seen before, opening up all kinds of possibilities for fun and experimentation in the kitchen. Plus, the farmers often have simple recipe ideas that theyâ&#x20AC;&#x2122;re happy to share. You might just find that one special food you can take home and make a mundane meal really great. If you love to cook, the farmersâ&#x20AC;&#x2122; market is the place to be! Seasonal eating The farmersâ&#x20AC;&#x2122; market follows the

seasons, so itâ&#x20AC;&#x2122;s worth coming back week after week to see whatâ&#x20AC;&#x2122;s been harvested recentlyâ&#x20AC;&#x201D;asparagus in spring followed by strawberries, tomatoes, and corn, then the squash and peppers of fall. Healthy eating The health benefits of a plant-based diet abound, and as regular readers of this column know, I often emphasize the importance of developing a healthy eating pattern and filling half your plate with fruits and vegetables. There is no better way to achieve that than to visit the farmersâ&#x20AC;&#x2122; market and load up your basket with produce. Be sure to put some fresh fruit in a bowl on the counter so itâ&#x20AC;&#x2122;s convenient for the whole family. The colors, textures, and delicious flavors of fresh fruits and vegetables far outweigh anything you can find in pill or smoothie form. Not to mention, when you buy and cook with farmersâ&#x20AC;&#x2122; market foods, you can control exactly what (and how much of it) you put in your meals, such as salt. Community support The benefits of the Farmers Market go way beyond your health to something larger for the entire community. Small growers thrive on the local market. Your support helps ensure the farmer is economically viable and will remain in business year after year. Sustainable agriculture Small farmers have been instrumental in reviving growing techniques that are safer for our environment, often using very few fertilizers and pesticides. Their hard work helps prevent contamination of rivers, streams, lakes, etc., which is something very near and dear to our hearts here in Toledo. We are just beginning to understand the important role small farmers play in finding solutions to our environmental challenges. n

Eating Well - continued on p29

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Eating Well - continued from p28

Just for the fun of it! Last but not least, the farmers’ market is just a fun place to be! It’s a place where people come together to shop, talk, eat, and discover new foods—often seeing friends as well as making new ones in the process. As a dietitian, I know that a diet built around fresh seasonal fruits and vegetables is the cornerstone to prevention. Chances are, there is a terrific farmers’ market or community-supported agricultural program nearby where you can buy a certain amount of produce from a local farmer each week. You can also learn something new about foods each time you shop there–where they came from, how they were grown, how to prepare them, etc. So what are you waiting for? Stop at a farmers’ market, cook something healthy—like the recipe for oven-roasted asparagus below— and enjoy the taste of eating right! Laurie Syring, RD/LD, is Clinical Nutrition Manager at ProMedica Flower Hospital. ❦

OvenRoasted Asparagus

1 bunch of asparagus spears, trimmed 3 Tbs. olive oil 1½ Tbs. grated Parmesan cheese (optional) 1 clove garlic 1 tsp. sea salt (optional) ½ tsp. fresh ground pepper 1 Tbs. lemon juice Preheat oven to 425 degrees. Place asparagus in plastic freezer bag or mixing bowl. Drizzle with olive oil, toss to coat, then add cheese, garlic, salt, and pepper. Arrange in baking dish or baking sheet in a single layer. Bake for 12-15 minutes until just tender. Sprinkle with lemon juice just before serving.

A Perfect Place to Recover

Donna Hens, West Toledo resident chose Rosary Care Center I rehabilitated after knee surgery at Rosary Care because I don’t have anyone at home to help me. My room was private with a bathroom – and it was clean! I can’t say enough about the nurses and how responsive they were whenever I needed something. Daily activities for residents were nice and they encouraged me to get out of my room and socialize. AND, Physical Therapy came daily – even on weekends. Rosary Care Center is located on the 89 acre Sylvania Franciscan campus. We welcome everyone in a warm, caring environment.

Visit us online at rosarycare.org

Call for a tour today. 419.824.3600 jphillips@rosarycare.org

6832 Convent Blvd. • Sylvania, Ohio

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Learn how you can prevent ozone pollution www.ozoneaction.org Healthy Living News | July 2020 29

You’re never too old for Super Slow Training

hough most of the clients currently taking advantage of the Super Slow Training method offered at TriggerPoint are in their 40s, this evidence-based, time-efficient exercise solution is gaining popularity among people of all ages—including individuals well into their senior years. One such client is Peg Anderson, age 92. Anderson learned about Super Slow Training from an ad and article in Healthy Living News and decided to explore the program further. So she came to TriggerPoint, tried it out, and was immediately impressed. “I thought, ‘This is great! I need to keep doing this!” she recalls. At that time, Anderson was beginning to have difficulty managing the stairs outside her home and wasn’t sure whether she would be able to continue living there. She had even purchased two canes to help her navigate the stairs. However, after just a handful of Super Slow Training sessions, she began to notice a positive change. “I could tell a difference after doing the program once a week for just three weeks. I realized I was getting stronger and could go up and down those stairs without much

effort whereas I struggled before. So I said I’m never going to quit this. I’m still not using either of those canes, and I attribute that to coming to TriggerPoint and making my muscles stronger,” she says. TriggerPoint o w n e r Ru s s Wakefield explains that Super Slow Training involves lifting and lowering weights at a very slow rate, keeping consistent tension on the muscle throughout its whole range of motion. High-tech monitors on the specially designed Super Slow Training equipment help clients maintain the proper form, technique, and tempo during workouts. This method differs from conventional strength-training techniques in that there is no fast momentum to help do the work for you. Though slow, this technique is intense, really working the mus-

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30 July 2020 | Healthy Living News

cles. It’s also very safe, with highly experienced and educated trainers working one-onone with clients and monitoring and adjusting their every move. After this intense exercise stimulus, the body recovers for seven days, producing the desired results. Ours is a busy, fast-paced society that allows us little time to focus on health and fitness, so TriggerPoint clients appreciate the fact that Super Slow Training demands no more than a half hour of their time once a week. In fact, the program can be completed over your lunch hour with no requirement to change clothes or shower afterward. What’s more, as you progress through the program and begin to see results you never thought possible, that weekly workout time may actually decrease. Super Slow Training is considered a high-intensity workout, but that should not discourage anyone from participating as long as they have their physician’s approval. Wakefield notes that clients of all ages, backgrounds, personalities, and body types—even

pregnant women—can participate in and benefit from this time-efficient program. Anderson has certain physical challenges, including arthritis in her shoulder, but she says that her trainers at TriggerPoint are fully aware of her age and limitations and are careful to modify her program accordingly. Asked what she would tell others in her age group about Super Slow Training, Anderson states, “You are never too old for this. If you have physical limitations, the trainers will help you work around them. Remember, health problems are expensive and become more and more likely the older you get. You can’t just sit around reading magazines and eating bonbons and expect to stay healthy. You have to get moving and keep moving!” Wakefield urges anyone who is seeking a more efficient strength-training and conditioning alternative—or is simply tired of getting disappointing results from conventional workouts—to follow Anderson’s example by calling TriggerPoint and giving Super Slow Training a try. “This efficient, evidence-based program might just be the exercise solution you’ve been looking for,” he states. For an appointment, call Russ Wakefield at 419-536-0408. TriggerPoint, located at 2449 N. Reynolds Rd., is also on Facebook. ❦

All the dirt on the Toledo Zoo Garden Tour Series It has been said that gardeners know all the dirt, so here are all the details about your Zoo’s Garden Tour Series. This series brings people and plants together by taking guests through the Zoo’s beautiful gardens and grounds to better understand how our plants grow, bloom, and change throughout the seasons. Each tour is guided by a Zoo horticulture staff member who will discuss different gardening topics, including growing tips, best management practices, and much more. Whether you are a seasoned green thumb or gardening greenhorn, there will be something to learn and apply to at-home gardening projects. Tours meet in front of Ziems Conservatory 15 minutes prior to start time, last approximately 90 minutes, and happen rain or shine. Guests are encouraged to dress for the weather and wear comfortable walking shoes, as tours may encompass the entire Zoo. Cost is $10 for Toledo Zoo members and $15 for non-members, per person/tour. Space is limited and reservations are required. 2020 Garden Tour Series dates and topics • Saturday, July 11—Stop and Smell the Roses, begins at 9:30 a.m. • Tuesday, July 21—Stop and Smell the Roses, begins at 10:30 a.m. • Tuesday, August 18—Flowering Perennial Care, begins at 10:30 a.m. • Tuesday, September 22—Discovering Native Plants, begins at 10:30 a.m. Please visit toledozoo.org/gardens for more information and to make reservations. ❦ We love feedback. Like us on Facebook. Follow us on Twitter.

Keep an eye out for hand, foot, and mouth disease A

fter spending the morning in daycare, six-year-old Derek came home complaining that his throat hurt and looking exhausted. Assuming he had probably just “overdone it” playing with the other kids, his mom got him settled on the couch and slipped a thermometer in his mouth. To her surprise, he was running a high temperature, so she called Derek’s pediatrician to schedule an appointment for early the following day. By morning, Derek’s fever had broken, but he now had a rash on the palms of his hands and the soles of his feet. Worse, ugly sores had erupted on his tongue and the insides of his cheeks. After the pediatrician’s evaluation, however, Mom’s fears were put to rest. She diagnosed Derek with a case of hand, foot, and mouth disease (HFMD), a common illness of infants and children that tends to appear more frequently in summer and early autumn. What causes HFMD? HFMD can be caused by various enteroviruses, but the most common culprit is the virus coxsackievirus A16. This relatively common condition usually resolves within a week to ten days without medical intervention. The first symptoms to manifest themselves are typically fever, loss of appetite, and general malaise. Within a day or two of symptom onset, a rash develops on the hands, feet, and, possibly, the buttocks and/ or genitals. However, the rash is not always accompanied by mouth sores and vice versa. Not to be confused with hoofand-mouth disease Upon first hearing the diagnosis “hand, foot, and mouth disease,” parents often ask their pediatrician whether it’s connected in any way to “hoof-and-mouth disease,” which affects livestock. But, in spite of the similar-sounding names, these two diseases have nothing in common with one another. Is HFMD contagious? According to the Centers for Disease Control and Prevention, HFMD is usually not serious but is very contagious. Infection is spread from person to person by direct contact

• Washing hands frequently and correctly, especially after changing diapers and after using the toilet. • Cleaning and disinfecting dirty surfaces and soiled items. • Avoiding close contact, such as kissing, hugging, sharing eating utensils, etc., with persons who have HFMD.

with nose and throat discharges, saliva, fluid from blisters, or the stool of infected persons. An infected individual is most contagious during the first week of the illness. However, the virus remains in the feces and can be spread for several weeks after the blisters and mouth sores have healed. Given its contagious nature and modes of transmission, outbreaks of hand, foot, and mouth often occur in childcare or preschool settings where it easily spreads among groups of children. Though HFMD occurs primarily

among children under age 10, people of all ages can get the virus. It’s much less common among adults as they are more likely to have developed immunity to coxsackievirus A16 from previous exposure. Can HFMD be prevented? Proper hygienic practices can help reduce the risk of HFMD infection. The CDC recommends the following steps to minimize exposure (all of which are also helpful in preventing the spread of COVID-19 and other communicable illnesses):

Parents should also advise their children to cover their mouth and nose when sneezing or coughing. If a child who drools has mouth sores, it’s a good idea to keep him or her out of preschool, daycare, or play group until the sores resolve. How is HFMD treated? While there is no specific treatment for hand, foot, and mouth disease, your pediatrician may recommend over-the-counter pain relievers and fever reducers to help manage the symptoms. He or she may also recommend mouth washes or sprays to reduce the pain associated with mouth sores. ❦

Announcing Continuing Healthcare of Toledo (formerly Fairview Skilled Nursing & Rehab Center)

Continuing Healthcare Solutions is excited to be in your community!

For more information or to schedule your personal tour, please call 419-531-4201

Continuing Healthcare of Toledo Skilled Nursing and Rehabilitation

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Healthy Living News | July 2020 31

Elizabeth Scott Community 2720 Albon Road Maumee, OH 43537 419-865-3002 www.elizabethscott.org

Continuing Healthcare of Toledo 4420 South Ave. Toledo, Ohio 43615 419-531-4201 www.ContinuingHC.com

Rosary Care Center 6832 Convent Blvd. Sylvania, OH 43560 419-824-3600 www.sistersosf.org

Genacross Lutheran Services Wolf Creek Campus

Senior Star at West Park Place

Park Terrace Nursing and Rehabilitation

2001 Perrysburg-Holland Rd. Holland, OH 43528

3501 Executive Parkway Toledo, Ohio 43606

2735 Darlington Rd.

419-861-2233

419-442-8563

www.GenacrossLutheranServices.org

www.seniorstar.com/westparkplace

Senior Living Guide Choosing 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 living, 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.

Toledo, Ohio 43606 419-531-4465 www.parkterracenursing.com

Parkcliffe Community 4226 Parkcliffe Lane Toledo, OH 43615 419-381-9447 www.parkcliffe.com

Pelham Manor 2700 Pelham Rd Toledo, OH 43606 419-537-1515 www.jewishtoledo.org

St. Clare Commons

The Manor at Perrysburg

Gardens of St. Francis

Fieldstone Villas

12469 Five Point Road Perrysburg, OH 43551

250 Manor Drive Perrysburg, OH 43551

930 S. Wynn Road Oregon, Ohio 43616

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

419-931-0050

419-874-0306

419-698-4331

419-386-2686

www.homeishere.org

www.ManorAtPerrysburg.com

www.homeishere.org

www.sunset-communities.org

Sunset House

Ohio Living Swan Creek

Franciscan Care Center

The Lakes of Monclova

4030 Indian Rd. Ottawa Hills, OH 43606

5916 Cresthaven Lane Toledo, OH 43614

4111 N. Holland-Sylvania Rd. Toledo, Ohio 43623

Monclova Road Maumee, Ohio 43537

419-536-4645

419-865-4445

419-882-6582

419-866-3030

www.sunset-communities.org

www.ohioliving.org

www.homeishere.org

www.lakesofmonclova.com

The Woodlands

Plaza Apartments

The Laurels of Toledo

4030 Indian Rd. Ottawa Hills, OH 43606

2520 Monroe Street Toledo, Ohio 43620

1011 Byrne Road Toledo, OH 43607

Browning Masonic Community

419-724-1220

419-244-1881

www.sunset-communities.org

419-536-7600

www.vmc.org

www.laurelsoftoledo.com

Sunset Village

Genesis Village

9640 Sylvania-Metamora Rd. Sylvania, OH 43560

2429 S. Reynolds Rd. Toledo, OH 43614

Genacross Lutheran Services Toledo Campus

419-724-1200

419-720-1286

www.sunset-communities.org

www.genesisvillage.org

32 July 2020 | Healthy Living News

131 Wheeling St. Toledo, OH 43605 419-724-1414 www.GenacrossLutheranServices.org

8883 Browning Drive Waterville, Ohio 43566 419-878-4055 www.bmcohio.org

The Glendale Assisted Living 5020 Ryan Road Toledo, Ohio 43614 419-340-6721 www.glendaleassistedliving.com

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Experience the Genesis Village difference by Michelle Oedy

Get enlightened about lightning

here is no safe place outside when thunderstorms are in the area. But you can protect yourself, even if you’re caught outdoors, when thunder and lightning storms are close by knowing lightning safety. The National Weather Service (NWS) and the Ohio Committee for Severe Weather Awareness (OCSWA) encourage Ohioans to have a safety plan not only for severe thunderstorms, but also for all weather events. Here is there advice: • Make listening or reading weather reports a part of planning your day. If the weather forecast calls for thunderstorms, you may need to postpone your trip or outdoor activity. • “When thunder roars, go indoors!” Stop outdoor activities and seek a safe, enclosed shelter immediately. • Remember the 30-30 Rule. After seeing lightning, start counting to 30. If you hear thunder before reaching 30, go indoors. Suspend outdoor activities for at least 30 minutes after hearing the last clap of thunder. • If shelter is not available, crouch down low, with as little of your body touching the ground as possible. Lighting can cause electric currents along the top of the ground that can be deadly up to, and exceeding, 100 feet away. • Avoid concrete floors and walls. Lightning can travel through metal wires or bars that may be embedded in concrete. Prepare before the storm • Know your area’s risk for thunder and lightning. Spring and summer are typical seasons for thunderstorms, but they can occur year-round, day or night. • Sign up for your local emergency notification system or download a weather app. The Emergency Alert System

and NOAA Weather Radio also provide emergency alerts. • Cut down or trim trees that may be in danger of falling onto your home. • Consider buying surge protectors, a lightning protection system, or lightning rods to protect your home, appliances, and electronic devices. Survive during the storm • When you hear thunder or see lightning, move to safe shelter immediately, such as a substantial building or a metal-topped vehicle (not a convertible) with the windows rolled up. • Pay attention to weather reports and thunderstorm warnings. • Get out and away from bodies of water. If boating, fishing or swimming, get to land and find a sturdy, grounded shelter or vehicle immediately. • If indoors, avoid running water or using landline phones. Electricity can travel through plumbing and telephone lines. • Never drive or walk through flooded roadways. Turn Around Don’t Drown ®. It takes just six inches of fast-moving water to knock an adult down, and about 12 inches of moving water can sweep away most vehicles.

hank you for voting Genesis Village as the #1 Senior Living in the area! The last few months have been a rollercoaster ride with a new normal that none of us expected. As a team, Genesis Village has not only pulled together by combining all our efforts to keep our community safe, but we have also designed some very creative ways to keep those beautiful smiles on our residents faces. That includes Zoom video chats for our residents and their families in town, throughout the US, and overseas; introducing our new mascot, Teddy, that we have all come to love at GV and on our social media page; GV Spirit Week; delivering meals, root beer floats, popcorn, and specialty coffees to residents in their apartments; making masks for our local healthcare workers; the monthly “birthday crew” where we load up on delicious cupcakes, put on our party hats, and zip through the building singing happy birthday to anyone celebrating that month; and the list goes on. We are excited to announce that

we are now moving residents into Genesis Village again! Our process has a very detailed protocol and steps that we follow to ensure health and safety for everyone. It is an exciting next phase for us to move into after the circumstances all of us have experienced during this pandemic. Genesis Village has won the award for a Five Star Best Senior Living for six years in a row! We are designed for people 55+ and offer exclusive amenities unlike any you’ll find in Northwest Ohio. We are locally owned and operated, and our 170,000-square-foot community sits on over 10 partially wooded acres and offers 160 spacious two-bedroom, one-bedroom, and studio apartments for seniors who want nothing less than the best out of their retirement years. We invite you to call Carleen or Kim at 419-720-1286 or email carleen@ genesisvillage.org to find out how you or your loved ones can enjoy resort-style living! We look forward to meeting you! Michelle Oedy is Director of Marketing and Business Development for Genesis Village. ❦

Be safe after the storm • Listen to local authorities and weather forecasts for storm watches or warnings or for any instructions regarding potential flash flooding. • Wait 30 minutes after the last rumble of thunder before resuming outdoor activities. • Watch for fallen power lines or broken tree limbs. Report hazards immediately. ❦

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6/8/2020 2020 10:48:28 PM Healthy Living News | July 33

Acupuncture and chiropractic replacing opioids for pain control by Douglas A. Schwan, DC, Dip ac

hronic pain is one of the most frequent complaints of patients seen in physicians’ offices today. As the average age of the baby boomer population passes 60 years old, chronic pain becomes a much more prevalent problem as years start taking their toll. Recently, awareness has surfaced of the pervasive issues with opioid dependency in America. Long-term opioid use is fraught with problems. These strong pain medications were never meant to be used for long-term pain control. Many addicts report getting hooked after first taking prescription opioids for pain relief. When opioids are taken over time, the effective dose will rise, and people who are addicted are forced to keep taking higher and higher doses to get the same level of pain relief. Eventually, the effective dose can come close to lethal levels. Diverting of opioids into the black market and their subsequent abuse is also a huge issue. In just 2017, 47,600 people died directly from opioid overdose. Non-opioid pain relievers, such as aspirin, acetaminophen, and naproxen, which come at prescription levels n

Dave's - continued from p20

spected for wear patterns before any type of shoe is recommended and tried on for comfort. You’ll be able to walk around the store in each pair and ask any questions that arise. It may be that you simply need an insole for the type of shoe you’re already wearing. Ultimately, it’s about what feels best to you, so you shouldn’t ever feel pressured into any one choice during a fitting. Changing shoes throughout the day is one way to maximize their life and reduce your foot fatigue. Those you’ve spent your workday in are not necessarily what you should wear around the house or while exercis-

34 July 2020 | Healthy Living News

and over-the-counter strengths, have their own issues. Long-term use has been linked to heart, liver, kidney, and gastric problems. So what alternatives are there for those suffering from chronic pain? A report by the Joint Commission on Healthcare in August of 2018 issued the recommendation that acupuncture and chiropractic care should be firstline treatments in chronic back pain, shoulder pain, and migraine-type headaches. This was seconded by the American College of Physicians. There has been an explosion of awareness and insurance coverage for these alternative treatments as the horror of the opioid crisis finally rose to the level where it absolutely had to be dealt with. Medicaid policies in many states, including Ohio, now cover chiropractic and acupuncture treatments 100%. Veterans can now seek and get referrals for 100% coverage for acupuncture and chiropractic treatments for a wide variety of chronic pain conditions. More traditional insurance carriers are looking deeply into adding alternative care options in their coverage. The list of insurance carriers offering them grows daily. The National Institute of Health has noted efficacy in the treatment of a wide variety of chronic pain

disorders: fibromyalgia, post-operative pain, osteoarthritis, myofascial pain, and the facial pain of trigeminal neuralgia and of temporomandibular joint (TMJ) dysfunction. The NIH panel pointed out that acupuncture and chiropractic is associated with a lower risk of adverse events than those associated with drugs, surgery, or other medical intervention. Recently, The American College of Physicians guidelines for treatment of lower-back pain have chiropractic care and acupuncture along with several other alternative therapies as the preferred first-level treatment methods. They suggest avoiding most types of drug-based pain relievers as able to provide little or no relief. A study by The Journal of Alternative and Complementary Medicine found that patients who received alternative chiropractic and acupuncture care for their lower-back pain were much less likely to obtain a drug prescription than those who didn’t receive such treatment. Drugs and surgery will always have a place in the modern approach to management of chronic pain lasting over three months. What we are seeing today is a societal evolution where, instead of being front-line treatments, strong drugs and surgery are being replaced increasingly by alternative treatments

such as chiropractic and acupuncture for initial management of chronic pain. In order to practice chiropractic or acupuncture, one must first be a licensed professional. To practice chiropractic, one must be a Doctor of Chiropractic and be licensed in the state. Acupuncturists may be one of several different types of professionals (including medical and chiropractic physicians) who have received advanced training and are licensed to practice acupuncture after passing a state board. Most professionals will offer a free consultation to discuss your health concerns and advise you if chiropractic and/or acupuncture is a good fit for you. The best thing is that neither chiropractic nor acupuncture will cause irreversible harm, unlike the irreversible complications that can occur with opioids or surgery as a first-line treatment.

ing. Consider a pair of soft recovery sandals or ultra-cushioned shoes for around-the-home wear and running shoes with the right lift for your calf flexibility during your runs, walks, and cross-training routines. Remember not to over-tighten your shoe laces; your feet need good circulation to perform at their optimal levels. Going barefoot at some points throughout the day is also a great way to stay in touch with your feet and what they might be trying to tell you. Unfortunately, shoes will not last a lifetime. They only last so long before the stability and cushioning begin to break down and no longer support your foot health. When worn regularly, shoes typically last about

six months before they should be replaced. Frequency of wear, type of activity, wear patterns, and miles put on them will be the primary deciding factors in their overall lifespan. Don’t let the name fool you. Dave’s Running Shop provides footwear for people of all ages and lifestyle preferences. You don’t have to be a runner to find the right footwear at Dave’s. In fact, a large number of our customers don’t run at all—but they keep coming back because their feet feel good in their selection and they were treated right during their visit. Dave’s Running Shop is the only locally owned and operated footwear store in Northwest Ohio, and was the first running shop in Ohio.

Founded in 1973, four area locations serve the community from Sylvania, Perrysburg, Findlay, and Delta. The staff is thoroughly trained on the ideal fitting process and latest footwear technology, and no one at Dave’s works on a footwear sale commission. The sole mission is to fit each individual in what’s right for them and their lifestyle goals. After getting fitted on your first visit, Dave’s will maintain your purchase history and be able to evaluate initial recommendations to meet your evolving needs and preferences each time you visit—giving your feet exactly what they need to feel good the whole time you’re on them. ❦

Dr. Schwan is a Doctor of Chiropractic and a Diplomat of the International Academy of Medical Acupuncture. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time stand-up comedian and has maintained an active practice in Toledo, OH since 1982. He is available for lay lectures and may be contacted at Dr_Schwan@ AcupunctureToledo.com. ❦

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UTMC - continued from p17

a needle into the prostate and injecting steam at high pressure. The steam destroys prostate tissue, causing the prostate to shrink, and the dead tissue is absorbed naturally by the body. The number of sites injected depends on the size of the prostate, but typically ranges between four and six. The procedure takes from 15 minutes to a half hour, and most patients require no pain meds, blood transfusion, or lab work post surgery. Some do need a catheter for a short time afterward, but we can usually remove it in the office after two to five days. Also, there’s no need to stop taking blood thinners before undergoing water vapor therapy. Another minimally invasive option is UroLift, which is also done in the office under local anesthesia with no requirement to stop blood thinners. With this procedure, clips are used to move the lobes of the prostate laterally and hold them apart—sort of like tying back curtains—so they no longer block the urethra and urine can flow more easily. UroLift provides good temporary relief for high-risk anesthesia patients, and the majority of patients do not need to be catheterized afterward. However, it’s not as durable as Rezum because the prostate can regrow and re-obstruct the urethra. Both Rezum and UroLift are available at The University of Toledo Medical Center. In fact, we were the first in the area to offer these procedures. There are categories of patients that will benefit more from either technique, and which one we choose depends on the anatomy and overall health of the patient among other factors. For more information or to schedule a consultation with a UTMC urologist, call 419383-3578 or 419-473-3446. ❦ n

Spiritually Speaking - continued from p27

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

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become the best me I can be as we continue this lifelong journey of reconciliation and conversion together. I end with a prayer for our times by Dag Hammerskjold: You who are over us, You who are one of us, You who are also within us, May all see you—in me also. May I prepare the way for you. May I thank you for all that shall fall to my lot. May I also not forget the needs of others, Give me a pure heart—that I may see you, A humble heart—that I may hear you, A heart of love—that I may serve you, A heart of faith—that I may abide in you. Amen.

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Healthy Living News | July 2020 35

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36 July 2020 | Healthy Living News

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