September 2020 • FREE
CELEBRATING
25 YEARS
hlntoledo.com
RACE FOR THE CURE GOES VIRTUAL
National Recovery Month feature | Look as young as you feel Voting assistance for seniors | Routine healthcare despite COVID Local dentist prioritizes patients | No-incision GERD surgery
Time to look as young as you feel! W
hat will your face, neck, and lines. Dr. Handler is the only dermaDR. HANDLER OFFERS TELEDERMATOLOGY hands reveal about you this fall? tologist in northwest Ohio performing When you are enjoying yourself with Dr. Handler has been providing virtual dermatology for patients over several years. Due to the viral pandemic, this may be this procedure. friends and family, will the fine lines, Are you aware that Dr. Handler of interest to his present and prospective patients. Go to Dr. Handler’s website at drharveyhandler.com and scroll to the brown spots (age spots), and sagging personally performs laser procebottom. On the right you’ll find a link to your care. You will receive a diagnosis and treatment program within 24 hours. jowls and neck not portray your true dures for removal of body hair age but make you appear tired and anywhere hair grows? Yes, this mintreatment, results are seen before leaving the office. Continued withered? Why not consider a painless and no-downtime cosmetic imally painful laser destroys hairs around the chin, jawline, upper tightening and lifting of sagging skin occurs over a 6-month time procedure to reduce your aging, sun-damaged, and sagging facial lip, underarms, ears, nose, bikini line, etc. And this laser is not just period with results lasting 3-4 years! There is NO downtime and skin and eliminate brown spots? Allow Dr. Handler to evaluate for women. Many men have this laser performed to permanently NO pain. The NEW Thermage CPT Deep Tip system has been and personally recommend a skin-rejuvenation program for you to remove chest and back hair as well as beard hair that grows down utilized by Dr. Handler for many years with excellent results and reduce the signs of aging. Look as young as you feel when gathonto the neck. very satisfied patients. Most patients see results at the completion ering with friends and family. Dr. Handler also utilizes the latest in lasers for removal of of the procedure. Whenever aged and spotted sun-damaged skin is discussed, “age spots” (sun spots really) anywhere on the body. This laser For lines between the eyes (worry lines, 11’s, ski slopes), the term used is rejuvenation. Wait! What about “pre-juvenation”? works especially well for the tops of hands covered with those crow’s feet, and the “sleepy and tired look with droopy eyelids,” Prevent and reduce the signs of future aging and sun damage “age spots.” Finally, Dr. Handler also performs laser removal of the use of Botox or Dysport works well to improve these areas. with a skin-care program designed for the Millennial and prior-tanunwanted blood vessels that grow on your face and enlarge with The results are diminished lines and a more “wide-awake” and ning-booth generation. Be proactive before the lines and age heat, stress, and the intake of alcohol. Again, pain and downtime less tired appearance. spots appear. Speak with the staff at Dr. Handler’s office to inquire are minimal with this laser. EXCESSIVE UNDERARM SWEATING? about specials for cosmetic procedures and topical products to Anti-aging and cosmetic enhancements are not for any specifMost cosmetically-oriented patients know that Botox and reduce the signs of aging and fade and eliminate “age spots.” ic gender. Male cosmetic enhancement and anti-aging procedures Dysport are used to reduce the signs of aging. However, Dr. HanDr. Handler personally performs many anti-aging procedures have increased almost 300% in the past 5 years for sagging dler has utilized these products over many years for excessive that are “non-invasive” with minimal discomfort or downtime. You skin, darkening under the eyes with the “hollow” look, and brown sweating of the underarms. This excess sweating is known as can minimize under-eye darkening and wrinkling, raise those spots. The utilization of fillers, such as Restylane and its family hyperhidrosis and is associated with embarrassment and anxiety. droopy eyelids, shrink pores, lift sagging jowl areas, and appear of fillers, Juvederm, Radiesse, etc., is excellent for deep smile Most patients require injections twice a year to reduce sweating as youthful as you feel. Call Dr. Handler’s office for a personal lines and the “sad and tired look” as evidenced with sagging at 80% or more! The procedure is associated with minimal pain and evaluation with treatment recommendations designed specifically the corners of the mouth, hollow cheeks, and aging of the hands. no downtime. for your aging skin. And, of course, the use of Dysport/Botox to reduce forehead The use of fillers, such as Restylane, Restylane Lyft, Remember, 80% of the signs of aging are due to prior sun “worry lines” is superb. Juvederm, Radiesse, and others, to “fill” deep smile lines and exposure and subsequent skin damage. All the brown spots (“age All of these cosmetic enhancements are performed entirely the marionette lines (the sad look) from the corners of the mouth spots”), broken blood vessels on the face, fine lines, and sagging by Dr. Handler. To view before-and-after photographs of patients produces immediate results lasting 12-15 months! Don’t look tired skin are caused almost entirely by sun! This is something young who have had these procedures performed by Dr. Handler, visit or sad when you are not! Since these products are combined with people should be aware of since we get 80% of our lifetime sun www.drharveyhandler.com. For more detailed information about a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the exposure by the time we are 18-20 years of age. the above-mentioned procedures or products, please call Dr. injection of new fillers called “Restylane Silk” and “Restylane What about the “worry lines” between your eyes, deep smile Handler’s office at 419-885-3400. Also, remember to inquire about Refyne and Defyne.” These products markedly improve upper and lines, upper lip lines (lipstick runs uphill), and your sagging jowls special pricing available on many cosmetic procedures and prodlower lip lines (lipstick lines). Restylane Silk and Kysse also voluand neck? These unfortunate changes caused by prior sun exucts to diminish the signs of aging and obtain a more vibrant and mize your lips and restore their natural curve while looking attractive posure and aging can be improved dramatically with pain-free, youthful appearance of your skin. Look as young as you feel. and natural. There is no downtime with these noninvasive procenon-invasive cosmetic procedures performed entirely by Dr. HAIR LOSS IN MEN AND WOMEN dures. These products also improve the “tear trough” depression Handler. Are you losing hair from surgery, anesthesia, illnesses, pregand hollowness under your eyes and cause darkening to be much The NEW Thermage CPT Deep Tip procedure painlessly nancy, medications, stress, genetics, or “normal” hair loss secless obvious. heats damaged collagen under your skin to tighten and lift sagondary to aging or low blood levels of nutrients? There are many Do you want to reduce fine lines, acne scars, and age spots ging areas of the neck, jowls, and upper arms, and wrinkling of causes of hair loss in men and women. Most are not simply due (brown spots from sun exposure) and shrink pores? Then the the skin on the abdomen. The NEW Thermage CPT Deep Tip to age or family history, and most are treatable. Now these probnon-invasive Clear and Brilliant laser is for you. When the Clear procedure utilizes radiofrequency energy (not laser). This prolems of hair loss can be evaluated and there is hope for reducing and Brilliant laser is combined with Thermage CPT Deep Tip, cedure also encourages a natural repair process that results in your hair loss and stimulating new growth. Dr. Harvey Handler, the results are ideal for patients who desire no downtime or pain further tightening, lifting, and younger-looking skin. With only ONE board-certified dermatologist of Sylvania, Ohio, has a medical and predictable results of lifting sagging skin and smoothing fine treatment for decreasing your hair loss and increasing growth in many patients! Pediatric skin disease diagnosis and treatment is one of Dr. Handler’s special fields in general Dermatology. Age of the child is not relevant since Dr. Handler diagnoses and treats eczema, hemangiomas, contact Smoother, tighter, younger-looking skin on face, arms, and chest and allergic dermatitis, and general “lumps and bumps” that children and infants develop. No surgery. What about “birth marks,” scalp No injections. and body “ringworm,” body and No downtime. head lice, scabies, psoriasis? If there is a lesion or spot on ADULT, the skin, Dr. Handler is trained to arvey andLer, m.d., f.a.a.d. PEDIATRIC, dipLomate and feLLow of tHe american Board of dermatoLogy examine, diagnose, and treat appropriately. Also, everyone should have a yearly full body exam to check & COSMETIC 5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital) for skin cancer, changing moles, and new growths that develop on DERMATOLOGY 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
2 September 2020 | Healthy Living News
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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.
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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:
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September 2020 • Vol. 25, Issue 9
Your Monthly Guide to Healthy Living
NATIONAL RECOVERY MONTH
ENRICHING YOUR LIFE (continued)
8 Month-long observance celebrates gains of people living in recovery 9 With A Renewed Mind, recovery works by Dennis Bova 10 Learn to recognize the warning signs of suicide 11 “911, what is your emergency?”The unspoken mental health crisis among first responders by Christy M. Snyder, LPCC, CRC, CCM
21 Health Crossword Puzzle 21 Virtual memory screening program expands to meet growing demand 23 Six steps to a better night’s sleep 24 Reflect, reset, rebalance your life 25 Seven suggestions for safe raking 25 Who would have thought the BEST time to move would be right now? by Michelle Oedy 27 Spiritually Speaking – Why do we die, God? by Sister Mary Thill 32 Nobody’s Perfect – The room where it happens by Sister Karen Zielinski, OSF 34 How to help siblings adjust to a newborn’s arrival
HEALTH & BEAUTY 2 Time to look as young as you feel! 7 It’s in your power to prevent lung cancer 17 Keeping up with routine healthcare despite COVID-19 27 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 28 Fall allergies and hearing loss by Shelly Horvat, AuD, CCC-A 29 Eating well – It’s not all downhill from here! by Laurie Syring, RD/LD 30 You’re never too old for Super Slow Training
ENRICHING YOUR LIFE 5 Race for the Cure goes virtual 14 A Walk in the Park – Time to get out of Dodge by LeMoyne Mercer 18 Don’t get stuck in your comfort zone by Amanda Manthey plus Dave’s Races
OUR COMMUNITY 12 Stronger together: Sunset and Otterbein join forces for mutual benefit 13 Seniors may need voting assistance by Chris Stieben 20 Swanton snowbirds overcome COVID, convalesce at The Laurels 22 Long-established Perrysburg dental practice prioritizes patients 26 UTMC gastroenterology group offers advanced incisionless surgical solution to GERD 31 Senior Living Guide
Dear Readers, sored by the Substance Abuse and Thank you for picking up the Mental Health Services AdministraSeptember issue of Healthy Living tion (SAMHSA), that celebrates posNews. This issue marks our 24th itive developments in the treatment consecutive year as a of people in recovery proud sponsor of Komen and helps reduce the Northwest Ohio’s Race stigma surrounding for the Cure, a vital anmental-health and subnual event that brings stance-use disorders. hope to so many area Other must-read residents whose lives items include “Keeping have been touched by up with Routine HealthAdam and Chet Welch breast cancer. In light care Despite COVID-19” of COVID-19, this year’s event will (p. 17), “It’s in Your Power to Prevent be going virtual, with participants Lung Cancer” (p. 7), “Learn to Recwalking or running 3.1 miles in any ognize the Warning Signs of Suicide” location of their choosing throughout (p. 10), and “University of Toledo GI the month of September. For more Group Offers Advanced Incisionless details, be sure to read the article Surgical Solution to GERD” (p. 26). on page 5. And that’s just a sampling of this This issue also features a special month’s content! section on National Recovery Month As we transition from summer to (p. 8), an annual observance, spon- fall, keep in mind that there’s no time
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like the present to take advantage of all the outdoor activities Northwest Ohio has to offer. From bike paths and hiking trails to tennis courts and golf courses, there’s something here for everyone. So what are you waiting for? Get up and get moving while the mild temperatures allow. Before you know it, they’ll be forecasting snow again! Last but certainly not least, we’d like to thank our loyal advertisers who make it possible to bring you the very best, locally written health and wellness news free of charge each month. Whenever you choose one of their products or services, be sure to let them know you “saw it in Healthy Living News.” Until next month, stay safe and healthy! Adam and Chet Welch
Healthy Living News | September 2020 3
FOR THE
NORTHWEST OHIO
Our Vision: A World Without Breast Cancer
REGISTER NOW! Online: komennwohio.org/virtual TOLL FREE: 1-877-604-2873
Register and receive your race t-shirt then, walk or run in your neighborhood and raise funds to fight breast cancer by September 27, 2020! FIGHTING BREAST CANCER AND KEEPING YOU SAFE ARE OUR TOP PRIORITIES! COVID-19 has caused tremendous disruption to our lives but breast cancer hasn’t stopped.
Registration Packet Includes:
- Limited Edition Virtual Race T- Shirt - Pedometer to count your steps*
More Info:
- Register by August 23, to guarantee t- shirt by packet pick up.
- Giveaways From Local Sponsors* - Confetti Celebration for at Home*
- Packet pick up at Dave’s Running September 19 and 20.
- Special Gift for Youth* - Special Gift for Survivors* {*While Supplies Last}
- Tune in Sunday, September 27, at 7:30 am to WTOL for special programing.
Use #RaceWhereYouAre and #Race419TheCure to share photos with us online!
Breast Cancer doesn’t stop and neither do we! 4 September 2020 | Healthy Living News
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Race for the Cure goes virtual Every year, the Susan G. Komen Northwest Ohio Race for the Cure draws thousands of people who support the fight against breast cancer to downtown Toledo and the campus of Blanchard Valley Hospital in Findlay. But this year, in light of the ongoing COVID-19 pandemic, Race for the Cure will look a bit different. Because breast cancer hasn’t been defeated yet and the need for breast cancer programming and research has not diminished, Komen’s signature annual fundraiser will go forward—but with a twist this time around. In the interest of protecting the health and safety of Race for the Cure participants, many of whom are breast cancer survivors and those living with the disease, this year’s event is going virtual. Instead of gathering and doing the race en masse, participants in the Virtual Race for the Cure will be encouraged to put on their race shirt and crazy pink gear and go for a run or walk at a time and place of their choosing during the month of September. During their run/walk, racers are encouraged to take photos and videos and send them to Komen Northwest Ohio at #racewhereyouare and #race419thecure—or simply send them via email to info@komennwohio.org. Then, they can tune into WTOL on race morning, Sunday, September 27, and look for their fun pictures. “While we wish we could be together in person for the 2020 Race for the Cure, we are encouraging all of our breast cancer survivors and
those living with metastatic disease as well as friends and supporters to walk or run 3.1 miles in their neighborhood, at their local park, or in any other location that allows safe social distancing throughout the month of September. Then stay home on Sunday, September 27th, grab your coffee and breakfast, and watch the virtual race event on WTOL,” says Mary Westphal, Executive Director of Susan G. Komen Northwest Ohio. Westphal assures HLN readers that, despite the changes, opportunities for participants to have fun and express their support creatively definitely won’t be missing from the Virtual Race for the Cure. For example, this year’s event marks the debut of Virtual Spirit Weeks, which kicked off in August with Throwback Week, Chalk Your Walk Week, and Wellness Week. The fun continues throughout September with the following Spirit Week themes: Week of September 7: Entertainer of the Year Local, bands, dance troupes, poets, comedians, and other performing artists are invited to record a oneto three-minute video that will be posted on Komen Northwest Ohio’s YouTube Channel. One group or individual from each race will be named the 2020 Virtual Race for the Cure Entertainer of the Year based on the number of views. Entries must be submitted to Kacy@komennwohio.org by Thursday, September 10. Learn more at komennwohio.org/ entertainer/.
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Week of September 14: Mix It Up Pink Make a pink mocktail or cocktail. Use one of Komen’s recipes or make your own. Share a photo and review online using the hashtags #racewhereyouare and #race419thecure for a chance to win. Week of September 21: Paint the Town Pink Pink out everything! Jazz up your t-shirt, throw on a boa, and load up your Komen spirit wear. Take a fun photo of yourself or your entire team and share them online for a chance to win. Hang your window sign and decorate your home and office throughout the week. Westphal emphasizes that going virtual due to the pandemic doesn’t mean this year’s Race for the Cure is any less vital to those whose lives are touched by breast cancer. “COVID-19 may have taken a fun weekend from us, but breast cancer robs our friends, loved ones, and neighbors of their health, their hair, their bodies, and, for some, even their lives. We can’t stop because breast cancer doesn’t stop. That’s why we need our community to rise up, register, fundraise, and then celebrate the fight against this terrible disease,” she states. The fundraising element of Race for the Cure is especially critical this year. Due to COVID-19, many women have delayed their screenings, and many more have lost their jobs or health insurance. As a result, Komen Northwest
Ohio anticipates the breast cancer and breast health needs in our community will be even greater in the coming year and asks for the community to help meet this already-surging need. Participants can rest assured that any dollars they help raise will be well spent. In fact, 75 percent of the money raised through Race for the Cure goes to fund vital local breast health services, such as diagnostic testing and breast health education, and the remaining 25 percent is used to fund cutting-edge research in areas such as metastatic stage 4 breast cancer, triple-negative breast cancer, new therapies, and advanced genetic testing. Each year, Race for the Cure pays special tribute to a breast cancer survivor and an inspirational individual who lost their life to breast cancer, and this tradition will be upheld for the virtual race. The “In Celebration Of ” and “In Memory Of ” tributes are a way for Komen Northwest Ohio to recognize inspirational individuals who have had a profound impact on those around them despite their breast cancer diagnosis. This year’s race will be held “In Celebration Of ” Sheryl Wingate (Toledo honoree) and Joella Hamlin (Findlay honoree) and “In Memory Of ” Dennis Crippen (Toledo honoree). For more information on the Komen Northwest Ohio Virtual Race for the Cure, visit komennwo.org/virtual, call 419-724-2873 (1-877-604-2873), or email info@ komennwohio.org. ❦
Healthy Living News | September 2020 5
6 September 2020 | Healthy Living News
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It’s in your power to prevent lung cancer ACCORDING TO THE American Cancer Society, lung cancer is by far the leading cause of cancer death among both men and women in the United States, surpassing colon, breast, and prostate cancers combined. In 2020 alone, it is estimated that there will be 228,820 new cases of lung cancer and approximately 135,720 deaths from the disease. Despite these sobering statistics, the vast majority (though not all) of lung cancer cases could be prevented through one particular lifestyle choice—smoking avoidance. Though there are other risk factors for lung cancer, approximately 90 percent of all diagnosed cases are associated with tobacco smoking, including secondhand exposure to smoke. Nurse practitioner Cindy Sutton of The Toledo Clinic Cancer Centers puts the risk in perspective: “For current smokers, the risk of developing lung cancer is about 20 times higher than the risk for those who have never smoked. When smokers quit the habit, their lung cancer risk decreases significantly but they never quite reach the same low level of those who have never smoked.” She adds that all forms of smoking, not just cigarettes, increase the risk of lung cancer. This includes smoking cannabis. The use of e-cigarettes, or “vaping,” may also be a risk factor for lung cancer. The liquids used in these products have been found to contain a wide range of chemicals and substances known to be carcinogenic. In fact, studies have found that mice exposed to e-cigarette vapor for prolonged periods can develop lung cancer. However, according to Sutton, research on the effects of vaping in humans is more complicated because many people who vape have a prior history of cigarette smoking, making it more difficult to determine cause and effect. Examples of non-smoking-related lung cancer risk factors include occupational or environmental exposure to toxins/materials such as asbestos, radon, or heavy metals, as well as having a family history of lung cancer. Sutton advises, “The best defense
against occupational exposures is to use any protective equipment recommended for that environment, such as a respirator or filtration system. Unfortunately, many workers don’t take the necessary steps to protect 4126 N. Holland Sylvania Rd., Suit themselves.” Radon is a colorless, Toledo, OH 43623 odorless gas that leaks into buildings from the ground. To avoid exposure, Sutton recommends placing a radon detector on every occupied floor of the home or building. Adopting certain healthy habits can also offer some protection against lung cancer. For example, incorporating plenty of antioxidant-rich fruits and vegetables into one’s diet can reduce risk. Cruciferous vegetables, such as Located on N. Holland Sylvania Road, we h broccoli, cauliflower, kale, and cablaboratory, MRI and other specialty service bage, seem to be especially beneficial in this regard. “We’ve also found conveniently located on Loc the premises. that people who routinely see their physician and promptly report any lab unusual symptoms 4126 N. Holland Sylvania Rd., Suite 105 4126 N. Holland Sylvania Rd., Suite 105 are more likely to get con Toledo, OH 43623 4126 N. Holland Sylvania Rd., Suite 105 testing that detects OH 43623 4126 N.Toledo, Holland Sylvania Rd., Suite 105 Toledo, OH 43623 lung cancer in the Toledo, OH 43623 earliest stage when it’s most treatable,” Sutton says. The most impactful step anyone can Located on N. Holland Sylvania Road, we have take to prevent lung § Dr. § Dr. Rex Mowat laboratory, MRI andAlkhalili other specialty services Located onAdnan N. Holland Sylvania Road, we have cancer is to avoid conveniently onSylvania the premises. smoking. For those who have already Located onMRI N.located Holland Road, we have laboratory, and other specialty § Dr. Mohammed Al-Nsourservices § Dr. Richard Phin taken up the habit, Sutton advises, MRI and other specialty services conveniently located on the premises. § Locatedlaboratory, on N. Holland Sylvania Road, we have D “Do anything you have to do to stop conveniently located on the premises. § Dr. David Brown § Dr. Bradley Sac smoking. It’s an extremely powerful laboratory, MRI and other specialty services § D n Dr. David Brown n Dr. Dhaval Parikh habit, as anyone who has tried to quit § Dr. Mark Burton § Dr. Nauman Sh can tell you, but there are programs conveniently located on the premises. § D n Dr. Shaili Desai n Dr. Richard Phinney that can help. It’s also important to § Dr. Shaili Desai § Rashid Dr. Abhay Shelk n n seek medical attention immediately Dr. Mersiha Hadziahmetovic Dr. Hammad § D if you experience symptoms such §n Dr. Alkhalili §TimDr. Tim Kasunic § Dr. nRex Dr. Charu Trived Dr. Adnan Kasunic Dr.Mowat Bradley § Sachs as a persistent cough, unexplained § D §n Dr. Mohammed Al-Nsour Richard Phinney Alkhalili § Dr. nRex hoarseness, difficulty breathing, or Dr. Adnan Rex Mowat Dr.Mowat Charu Trivedi § D Adnan Alkhalili §§ Dr. Mowat spitting or coughing up blood, which Brown Bradley Sachs §§ Dr. Dr. David Mohammed Al-Nsour Dr. Rex Richard Phinney is a cardinal sign of lung cancer. AnyDr. David Mohammed Dr. Bradley Richard Sachs Phinney Mark Burton Nauman Shahid §§ Dr. BrownAl-Nsour §§ Dr. thing unusual needs to be evaluated §§ Dr. Brown §§ Dr. Sachs Shaili Burton Desai Abhay Shelke Dr. David Mark Dr. Bradley Nauman Shahid medically, and the earlier the better.” §§ Dr. Burton §§ Dr. Shahid The Toledo Clinic Cancer Centers, Tim Kasunic Charu Trivedi Dr. Mark Shaili Desai Dr. Nauman Abhay Shelke located at 4126 N. Holland Sylvania §§ Dr. Shaili Desai §§ Dr. Abhay Shelke Dr.Alkhalili Tim Kasunic Charu § Dr. Adnan § Dr.Dr. RexTrivedi Mowat Road, Suite 105, also provides imag§ Dr. Tim Kasunic § Dr. Charu Trivedi ing, laboratory, chemotherapy and IV § Dr. Richard Phinney services. The cancer center consists§ofDr. Mohammed Al-Nsour For the convenience of our patients, we also have satellite 8 medical and 2 radiation oncologists offices in Bowling Green, Maumee and Monroe. § Dr. David Brown § Dr. Bradley Sachs along with 8 nurse practitioners and 4 research nurses. The cancer center § Dr. Mark Burton § Dr. Nauman Shahid also has satellite centers in Maumee, Napoleon, Bowling Green, Wauseon, § Dr. Shaili Desai § Dr. Abhay Shelke and Monroe. ToledoClinicCancerCenters.com n Lung Cancer - continued on p12 § Dr. Tim Kasunic § Dr. Charu Trivedi ToledoClinicCancerCenters.com
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ToledoClinicCancerCenters.com Healthy Living News | September 2020 7
Month-long observance celebrates gains of people living in recovery WHEN A BREAKTHROUGH is made in the treatment of a health condition such as hypertension, diabetes, asthma, cancer, or heart disease, we celebrate the advance and the difference we hope it will make in the lives of those who have the problem. However, positive developments in the treatment of people with mental-health or substance-use
disorders often go unnoticed despite the profound impact these advances can have on the lives of those affected. To ensure the gains made by those in recovery are recognized and celebrated—and to convey the message that mental health treatment and services can and do help people grappling with mental-health or substance-use
issues reclaim healthy, rewarding lives—the month of September has been designated National Recovery Month. This national observance, sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA), also serves to help reduce the stigma and misconceptions surrounding mental-health and substance-use disorders, which
can have the effect of discouraging people from seeking help when they need it. Some examples of these misconceptions are beliefs that people with mental-health or substance-use disorders: • Could solve their own problem if they would just think positively • Are violent and dangerous • Are too weak to handle the rigors of work or school • Are strange and unpredictable • Have a problem that will never affect me. Dedicating the month of September to shine a spotlight on the people who are succeeding in recovery—as well as on the treatments, services, and individuals that helped them get where they are—is the best way to dispel these and other persistent myths related to mental illness and substance abuse. National Recovery Month is important not just to the individuals whose lives have been touched by mental-health or substance-use problems, but also to thousands of prevention, treatment, and recovery programs and facilities around the country, for whom the commemoration provides an opportunity to speak about the gains made by those in recovery and share their success stories with their neighbors, friends, and colleagues, thereby helping to increase community awareness and understanding of these disorders. This year, National Recovery Month is themed, “Join the Voices for Recovery: Celebrating Connections,” which emphasizes the vital role support networks play in helping individuals achieve and maintain recovery for the long term—because recovery is not something people can achieve alone. If you or someone you know is struggling with a mental-health or substance-use issue, it’s time to stop suffering in silence. Make this the month you reach out for help and begin your journey to recovery. The organizations and services advertised in this section are a great place to start. ❦
8 September 2020 | Healthy Living News
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With A Renewed Mind, recovery works by Dennis Bova THERE ARE MANY agencies available to treat Northwest Ohioans who battle addiction and mental illness. Then there is A Renewed Mind. “I feel that A Renewed Mind as an organization shares a common belief system with our community,” says Matt Rizzo, chief executive officer and president of the private not-forprofit 501(c)3 agency. His message to the community: refer anyone who might be struggling with mental health and addiction and who is looking for help to A Renewed Mind “because of our experience, history, expertise, and commitment to taking care of people.” A Renewed Mind began in the basement of a church in 2007. “Our genesis was providing addiction treatment to youths,” Rizzo says. Soon, though, the agency realized that upwards of 70 percent of the persons it was serving also had co-occurring mental health issues. “As we evolved,” he says, “we’ve built a complete care
continuum serving kids and adults with addiction and mental health issues. That move happened in 2009, about when I got here.” Rizzo has been CEO and president for the past six years. His academic background is earning a bachelor’s in social work from Bowling Green State University, a master ’s in social work from Ohio State, and a master ’s in public administration with a concentration on health care from Brockport University. He’s been providing behavioral health care since 1993. Rizzo says A Renewed Mind is different among other local agencies in three ways. “First, our commitment to taking care of not only our clients, but also our staff. We support the recovery behaviors of clients as we support our staff to go the extra mile. We value staff development. We value flexibility for our staff whether it’s
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working from home or in the office. We want them to have a work-life balance.” “The second thing that makes us different is that we are a faith-based organization,” he says, adding that the agency doesn’t subscribe to any particular denomination. Rizzo says the name comes from the Book of Romans, Chapter 12, which says “be transformed by the renewing of your mind.” “As a corporate value,” Rizzo adds, “we reinforce and support the Golden Rule with our clients and staff: Treat people like you want to be treated.” The third point, he says, is “we offer a complete care continuum for our clients—whether it’s residential care, recovery housing, or outpatient therapy. You don’t see very many agencies that have the complete care continuum.” A Renewed Mind has nine outpatient offices, a residential center,
and two recovery houses serving Lucas, Wood, Hancock, Henry, Fulton, Williams, and Defiance counties. The main office is in Perrysburg, which the agency feels is central to its service area. Those offices employ 260 staffers who saw about 6,000 clients in the fiscal year that ended in June, 2019. In the fiscal year that ended this past June—which included the months of coronavirus restrictions—the agency saw about 7,400. In the new, current year, “we’ve already started to see a rush for treatment,” Rizzo says. “We in all likelihood will far exceed that 7,400 number.” A Renewed Mind’s offices have been open throughout the pandemic and continue to be so. Rizzo says that’s because of the nature of different services, such as medication-assisted treatment, face-to-face psychiatry, and medication injections. The agency’s recovery housing and residential care requires staffing. That’s not to say the agency doesn’t n
A Renewed Mind - continued on p11
Healthy Living News | September 2020 9
Learn to recognize the warning signs of suicide ACCORDING TO THE National Center for Health Statistics, suicide is the 10th leading cause of death for all ages in the United States. Furthermore, the number of individuals who lose their lives to suicide has been rising steadily in recent years. In fact, between 1999 and 2018, the suicide rate increased by 35%—from 10.5 per 100,000 to 14.2 per 100,000. In 2018 alone, there were an estimated 1.4 million suicide attempts and 48,344 deaths by suicide in the US. Numerous factors can lead to suicidal ideation or attempts, for example severe depression or other forms of mental illness or highly stressful life circumstances that seem insurmountable. While suicide rates may vary among people of different HLN 1/4 pg. SUD Sept2020
ages, genders, ethnicities, and races, suicide occurs in virtually every demographic group. It’s also noteworthy that women attempt suicide more frequently than men do but men are more likely than women to actually complete suicide because they tend to choose more lethal methods. Though suicide impacts all demographics, not all individuals are at equal risk. The Mayo Clinic (mayoclinic.org) identifies several factors that increase risk for attempting or committing suicide. They include: • Having attempted suicide before • Feeling hopeless, worthless, agitated, socially isolated, or lonely • Experiencing a stressful life event, such as the loss of a loved one, military service, a breakup, or financial or legal problems • Having a substance abuse problem—alcohol and drug abuse can worsen thoughts
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of suicide and make you feel reckless or impulsive enough to act on your thoughts Having suicidal thoughts and having access to firearms in your home Having an underlying psychiatric disorder, such as major depression, posttraumatic stress disorder, or bipolar disorder Having a family history of mental disorders, substance abuse, suicide, or violence, including physical or sexual abuse Having a medical condition that can be linked to depression and suicidal thinking, such as chronic disease, chronic pain, or terminal illness Being lesbian, gay, bisexual, or transgender with an unsupportive family or in a hostile environment.
Parents, teachers, and other adults also need to be cognizant of the fact that factors such as being bullied (online or in person), having problems in school, losing a friend, or having a peer commit suicide must be added to this list for children and teens. What’s more, taking or changing the dose of an antidepressant medication can increase suicide risk in children, teens, and young adults. The good news is, suicide can be prevented if the developing problem is recognized and addressed in time. According to the American Foundation for Suicide Prevention (AFSP.org), most people who take their lives exhibit one or more of the following warning signs:
Talking about… • Killing themselves • Feeling hopeless • Having no reason to live • Being a burden to others • Feeling trapped • Unbearable pain. Exhibiting behaviors such as… • Increased use of alcohol or drugs • Looking for ways to end their lives, such as searching online for methods • Withdrawing from activities • Isolating from family and friends • Sleeping too much or too little • Visiting or calling people to say goodbye • Giving away prized possessions • Aggression • Fatigue. Exhibiting moods such as… • Depression • Anxiety • Loss of interest • Irritability • Humiliation/shame • Agitation/anger • Relief/sudden improvement. If you or someone you know is experiencing one or more of these warning signs, don’t hesitate to seek help. Your life or the life of a loved one may depend on it! Call 911 if you’re feeling overwhelmed by thoughts of suicide. Also, free, confidential help for those in suicidal crisis or emotional distress can be accessed 24/7 by calling the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) or by texting “HELLO” to 741741 (the Crisis Text Line). ❦
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10 September 2020 | Healthy Living News
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“911, what is your emergency?” The unspoken mental health crisis among first responders by Christy M. Snyder, LPCC, CRC, CCM DISPATCH CALLS OUT your unit number to give you the details they have gathered from a person calling in crisis. You gear up and head into a situation, driving with lights and sirens, not being fully aware of what you will see upon arrival. You have very little time to mentally prepare for what is about to unfold before you, and right now you rely on your adrenalin and training to meet the demands of the task at hand. As you are wrapping up at that scene, dispatch calls over the radio, another call coming your way, followed by another as you work through another 10-hour shift, never really having enough time to recover between each call. The impact of the day does not go away when you sign off for your shift, as it is a burden you will carry for years to come. The constant exposure to trauma, life-threatening situations, and the physical strain of working long hours on little to no sleep can negatively impact first responders’ overall mental health. It’s estimated that 30
percent of first responders badge, their career, or the will develop behavioral respect of their peers. health conditions, includSome are even met with ing, but not limited to, deresistance when they do pression, post-traumatic come forward, noting that stress disorder (PTSD), they receive comments such secondary trauma, anxas “be a man” or “suck it up, iety, or a substance-use this is what you signed up disorder as compared with for.” This leads to the valida20 percent of the general tion of the stigma associated with seeking support and population. First responders chose reinforces the association the path of being on the of struggle with weakness. frontlines because they We have systematically want to make a difference, normalized the treatment to help others, or they have of physical-health needs, Christy M. Snyder, LPCC, CRC, CCM a calling to serve their combut stigmatized seeking munities. However, some treatment for the behaviorare paying the ultimate price by their al-health component, leaving critical own hand due to ongoing, unresolved needs untreated and “swept under behavioral-health conditions. the rug.” In a perfect world, every person It comes as no surprise that our who experiences symptoms associated men and women on the front lines, with a behavioral-health disorder as well as the families that are behind would have the ability to self-identify, the scenes providing support, need to acknowledge the need for help, and be offered and consistently reminded seek out treatment. However, many of the resources that are available to first responders have an overarching provide support, especially during fear that disclosing the impact and toll that their job has on their mental health may cause them to lose their
A Renewed Mind - continued from p9 respect the dangers of the pandemic. Early in the restrictions, 80 to 90 percent of the counselors shifted to telehealth sessions with their clients. “But from late July to early August,” Rizzo says, “we’ve been starting to have more of our staff come in the office. Now, probably 50 percent of our counselors work through telehealth.” Some therapy places a greater emphasis on face-to-face visits, such as with groups. “On average, we have eight people in a group, and we set up the treatment centers to follow all Ohio and CDC [Centers for Disease Control and Prevention] guidelines. Our clients need to have their temperature taken before they come into a building. We set up social distancing. We require masks for clients and staff, unless there’s a medial reason not to for clients.” With fall—and perhaps another round of coronavirus—approaching, Rizzo says A Renewed Mind has three equally important priorities. “The first is to provide timely access to care. We need to get clients right into treatment as soon as possible. Second is to focus on keeping clients connected to treatment. Client retention and client engagement. Third will be safety for all. We want to be sure we’re doing everything we can safety-wise.” Also in the fall, A Renewed Mind aims to continue its association with local public school districts. “We are still going to provide school-based counseling and social work,” he says. “It could take on a hybrid approach, virtual and in-person. It depends on what the schools are willing to be flexible with.” Looking to A Renewed Mind’s history, mission, and experience, Rizzo says, “I want people to know not just who we are and what we do, but to understand what we believe. We believe that mental health and addiction don’t discriminate. And that recovery works.”
the challenging times our country is faced with today. The leaders of first responders play a vital role in ensuring there is ongoing assessment of their staff during yearly evaluations, implementing ongoing training to ensure they are prepared with appropriate tactics to handle complex situations, and encouraging and normalizing the utilization of resources that are offered through counseling and routine debriefing. These processes need to be implemented in everyday protocols and made more normalized as long-term exposure to trauma has long-lasting impacts on our first responders. Our first responders are the first to provide care to those in great need, but if they are not healthy— physically and mentally—we cannot expect them to take care of others appropriately. Christy M. Snyder, LPCC, CRC, CCM, is a Licensed Professional Clinical Counselor at The Willow Center and can be reached at 419720-5800. ❦
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Healthy Living News | September 2020 11
Stronger together: Sunset and Otterbein join forces for mutual benefit
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SUNSET COMMUNITIES AND OTTERBEIN SENIORLIFE have a lot in common. Both are senior-care non-profit organizations that provide a wide array of senior services, including independent and assisted living, memory support, skilled nursing, and rehabilitative care and hospice. Recognizing that their respective organizations share a very similar focus and philosophy, Sunset and Otterbein have announced an affiliation, with the resulting entity being even stronger than the sum of its parts. The intent behind the partnership for both organizations is to drive up synergy and drive down the cost of operations, while maintaining outstanding care and customer service. In making the announcement, Sunset Communities CEO and President Vicky Bartlett says, “Our board has been looking for the best way to assure the long-term viability of our Community, and this is it. Otterbein SeniorLife is clearly one of the premier senior-care providers in the nation and aligns best with us culturally and philosophically. The fact that Otterbein already operates four senior-care organizations in Northwest Ohio, among other locations, and that their home office location is less than three hours away are added bonuses.” Partnering with a large, multi-site entity like Otterbein offers Sunset a variety of opportunities for future growth and success. Among the many significant benefits of the new partnership for Sunset is greater access to capital that allows increased investment in their campuses and ultimately leads to enhanced facilities and an even higher degree of excellence in the care residents receive. Having access to greater financial resources n
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also means Sunset is less vulnerable to the changes that constantly impact senior care, such as the rising costs of health care, increased government regulations, reductions in Medicare and Medicaid reimbursement, and new competitors. Of course, Otterbein stands to benefit from the affiliation as well. Jill Wilson, president and CEO of Otterbein SeniorLife, remarks, “We are very pleased to join forces with Sunset Retirement Communities. Their 149-year track record of enriching individual life journeys combined with Otterbein’s 108 years of enhancing the quality of life and holistic growth of older persons will strengthen our organization and open up all kinds of strategic opportunities to carry out our mission. Our board could not pass up the opportunity to affiliate with a like-minded organization committed to exceptional stewardship. We believe the synergies of our organizations blend very well and will contribute greatly to continued excellent care and support for residents and working experiences for employees.” As part of the affiliation, Sunset will be making minor changes to the names of their communities. Sunset House and Sunset Village will become Otterbein Sunset House and Otterbein Sunset Village respectively, and the independent living residences will be called The Woodlands at Otterbein Sunset House and Fieldstone Villas at Otterbein Sunset Village. What won’t change are the current staff members, leadership team, and local board of directors. However, they’ll now have the support of a home office team to create leverage for sales, marketing, communications, financial analyses, strategic planning, and other initiatives. ❦
Lung Cancer - continued from p7
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. ❦ We love feedback. Like us on Facebook. Follow us on Twitter.
Book bag. Pencil pouch. And a health check? Seniors may need voting assistance by Chris Stieben MANY SENIORS RECEIVING CARE in their home or a facility may not think about the voting process. It is important that our seniors have the opportunity to vote in local, state, and federal elections. Residents of nursing homes and assisted livings will need assistance to request an absentee ballot to make sure that their vote counts. Ohio rules are as follows: Steps to request and vote an absentee ballot: 1. Complete the absentee ballot request form at ohiosos.gov/ publications/#abr. 2. Once you have completed your application by providing all of the required information, print and sign it. 3. Mail the request form back to your own county board of elections. 4. Wait to receive your ballot in the mail from your county board of elections. If you have questions about your absentee ballot request, you should call your county board of elections or you can track the status of your ballot request as well as your voted absentee ballot through the Voter Toolkit at ohiosos.gov/elections/voters/ toolkit/. 5. Return your voted ballot. You can send it by US Mail or deliver it in person to your county board of elections, but the return envelope containing your marked ballot must either be received by your county board of elections prior to the close of the polls on Election Day or postmarked no later
than the day before the election and received by the board of elections no later than 10 days after the election. To make sure your absentee ballot is counted, it must be received by your board of elections by 7:30 p.m. on Election Day or be postmarked by the day before Election Day. The U.S. Postal Service (USPS) estimates that it may take two to five days for your voted absentee ballot to be delivered to your board of elections by mail. If you are returning your voted ballot during the week before Election Day, you should take it to USPS no later than the day before Election Day and ensure it receives a postmark as follows: • If you use a postage label purchased at a USPS customer service window or vending machine, the date on the label is the postmark. This is the USPS-recommended way to postmark your ballot. • If you use postage stamps, ask that it be postmarked If you live in a facility, someone should help you through the process, If you have questions regarding access to an absentee ballot or your ability to vote, you can reach out to the Office of the Ombudsman at 419-259-2891. If you would like to volunteer to make window visits to nursing homes and make a difference in the lives of our seniors, we have a place for you to serve. 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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Call us – your primary experts. Your child’s annual well-check is essential for measuring growth and development. Make sure your child’s vision and hearing are A-OK for the classroom, vaccinations are up-to-date to keep them healthy and they’re in tip-top shape to play sports. Your primary care doctor also is a friendly face who can help your child manage school-related anxiety. Build a relationship with your primary care provider. Ask for family medicine at The University of Toledo Medical Center and discuss your ongoing health needs.
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Healthy Living News | September 2020 13
A WALK IN THE PARK
you just love people who immediately pick up on a gag?) Marshal Dillon was not alone in his desire to “get out of Dodge.” Millions of us were stuck at home for months because of the Great Plague. When things started to loosen up ever so slightly, it was as if the dam busted. Everybody wanted to go somewhere. It really didn’t matter where. But it mattered how. People were still a little nervous about flying in a metal tube, re-breathing other people’s air, or staying in hotel rooms last occupied by who knows who.
El Capitan represents the more than four million steers driven from Texas to Dodge City, making it the Queen of the Cowtowns.
Time to get out of Dodge by LeMoyne Mercer AT ABOUT 10:00 on the morning of July 8, Shirley and I were in Dodge City, KS on our way to Southern Colorado. At the Visitors Center I asked a very nice woman if Miss Kitty, Chester, and Marshal Dillon were likely to be at the Long Branch that early in the day. “Oh, I’m so sorry, Honey,” she
said. “Normally they don’t show up until after lunch, but these are not normal times. Last week the marshal announced that, in the interest of social distancing, he had decided it was time to get out of Dodge. Let me tell you, Miss Kitty was not happy to hear that. Besides, the marshal said he was sick and tired of running over to the bank every time somebody showed up wearing a mask.” (Don’t
At 9,200 feet, our site among the aspens and pines was pleasantly cool in the daytime and great sleeping at night. So there was a dramatic up-tick in the sales and rentals of RVs. In addition to safe distancing and hygienic conditions, there are other benefits to RVing. Some may seem
John Henry “Doc” Holliday, celebrated friend of Earp who later joined him at the OK Corral in Tombstone, AZ. minor but if you are on the road for more than a couple days, they can become increasingly important. For example, you may have noticed that not all hotel pillows and mattresses are to your liking. If it is only for a night or two, you might just tough it out. But Shirley and I always know that our pillows will be My Pillows and we are absolutely certain that the sheets were recently washed and changed. Fairly recently, anyway. Though our RV breakfasts may not be “free” like those offered by motels, they are always prepared exactly the way we like them. There is often time for an extra half pot of coffee perked in a real percolator and enjoyed outdoors where that heavenly aroma is further enhanced by the scent of pine. As with real estate, location is the three most important things about camping and RVing. The most beautiful, serene places in the world can be right outside your door. Even so, you shouldn’t assume that conditions will always be practically perfect in every way. When we consider the half million road miles
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we have logged, the disappointments are extremely rare. Some of that is pure luck. Much of it is a matter of planning and attitude. As the great moral philosopher Roger Miller asserts, “You can’t roller skate in a
The statue of Wyatt Earp commemorates Dodge’s most famous actual marshal—though technically he was only a deputy marshal and deputy sheriff. buffalo herd but you can be happy if you’ve a mind to.” Our initial objective in Colorado was a return to Great Sand Dunes National Park, site of the tallest dunes in North America. You can climb them and pretend to be Lawrence of Arabia, go sand sledding or sand boarding, splash around in the creek at the base of the dunes, and thrill to the night sky with stars as big as quarters and the Milky Way a glittering diamond bracelet. The park and the campground reopened on June 17. Camping reservations were required, rather than optional as they were before the Pandemic, so Shirley went on recreation. gov to secure a site. Closest date she could get was Aug.18. For one night only. So, never mind. But the dunes themselves were still open for day use, so we thought that was an option. Until, that is, I read on the website that visitors should expect delays of up to two hours at the entrance sta-
Boot Hill Cemetery was named for those who died with their boots on.
tion. “Be prepared with food, water, and a full tank of gas. There are no restrooms available while waiting in line.” Well, never mind that either. Under the heading of sour grapes, it might be pointed out that the sand was just scorching anyway. But flexibility is another major benefit of RVing. Though I devote considerable time to planning an itinerary, we are never bound to a fixed schedule—or even the original route, for that matter. Plans are not handcuffs. If we like where we are, we stay longer. If the weather disappoints or there are other little bumps in the road, we move on. Getting to the places we love sometimes requires dealing with minor challenges. For example, the Great Plains with open grasslands undulating all the way to infinity have their own special charms. Unless it is 104°. Then we start looking for a campground with electric hookups so we can run the AC and sleep in comfort. You may recall that July was a tad warmish, so we spent three nights in campgrounds with electricity on our way to Colorado. Under more favorable conditions, we would have settled for Walmarts and Cracker Barrels. At Monte Vista, I stopped at the Bureau of Land Management and told the agent we were looking for a campground at a higher elevation so it would be cool during the day and good sleeping at night. My other goals were to secure a site before the weekend rush where we could spend three days or so adjusting to the higher elevation. (Altitude sickness is not pleasant, so we try to postpone strenuous activity until we have ac-
canyon to 9,200 feet. On our second morning there it was 41°. Good sleeping with the windows open. Shirley put the coffee on the RV stove while I went to start the old Coleman camp stove on the picnic table. (We prefer to cook and eat outside even though The building that once was the Long Branch Saloon is now home to a taco stand, a Chinese restaurant, and some law offices.
We prefer to cook and eat outside even though we have the option of the RV stove and microwave. Rather cool at breakfast time. Note the Alaska hat and flannel overshirt. we don’t have to.) But the reliable old Coleman died. Bad news. But at least we still had the RV stove. I went to break the news to Shirley. She beat me to the punch. Said the RV refrigerator had died.
The fix for that was simple: two styrofoam coolers and 20 lbs. of ice. You are probably ready to suggest that, with coolers, we could have just kept going. We were really tempted and tried to figure out a way to make that work. But our plans had been to zigzag north through Colorado, revisiting some of our favorite trout streams and, after five or six weeks, spend yet another week in the Tetons. Replenishing ice every day when you are way up gravel Forest Service roads and at least 20 miles from the nearest town is just not practical. We were headed home. After supper at the end of that day, we sat planning the rest of our route n A Walk in the Park - continued on p16
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We chilled our traditional first-nightin-camp bubbly in Rock Creek. climated.) He said to take Second St. to the end of the pavement and the gravel road that follows Rock Creek another eight or nine miles up the mountainside. There were several places to camp along the way as we drove back an increasingly narrow
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Healthy Living News | September 2020 15
A Walk in the Park - continued from p15 and options for where to get hookups for the next two nights. Shirley looked up and said, “Eek! There’s a chipmunk on the bed!” (Actually, she has never used a girly word like “eek” in her life. I just threw that in for dramatic effect.) Evidently he climbed aboard while we were busy packing up that morning. She went around to open the back door through which I would shoo him out. Except he dived into the storage compartment behind and under the bed. So, I went back there to empty out all the gear and persuade him to leave. When the compartment was empty, I reloaded all the gear. Though I never actually saw him leave, the compartment was definitely empty. Really it was. The next day he miraculously reappeared again right next to my driver’s seat and bounded past my feet up behind the brake pedal where he was sure to be trapped against the firewall. “Got you now, you little bugger!” I exulted. “Time for you to get out of Dodge.” I pulled over to the side of the highway and turned on the flashers while we negotiated the terms of his eviction. But he wasn’t trapped by the firewall. He had scurn
ried up behind the dash. We could hear him scritch-scratching around back there. So I generously let him be until we reached our campground. Put some peanuts as bait outside three doors and watched for two hours. Snatch and dash! Back to the security of the dashboard he went, rejecting numerous opportunities for freedom. In South Toledo this spring, there was a dramatic increase in the chipmunk population. Our friend Bill said he had heard of a “humane” way to dispose of them. At this point, I was not interested in a “humane” solution. I wanted the little beast to suffer and beg for mercy—which I would refuse to grant—and then perish in horrible agony. At a Tractor Supply store I bought the biggest, most gruesome looking rat trap they had. This whole thing would be hilarious if it were happening to somebody else. But the only laughing I did was maniacal. By this time, we were back in Kansas, so I extended the threat. “I’ll get you, my pretty, and your little dog Toto too!” In my head, I had started calling him Monk. Not for the jazz musician but for the fervid desire that he would never have or even attempt to have
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any progeny. On the third night, at Land Between the Lakes, KY, it looked like I had finally chased him out. By now you know that is not what happened. While we were on the road the next day, he descended from behind the dash, right between my feet, and took up residence under the driver’s seat. After pulling over to the side—yet again—I blocked off access to the dash and prodded him out with a fly swatter. Shirley had opened the side door so he could exit, and he did go zipping in that general direction. She thought maybe he had finally gone out. Maybe. We arrived home that night and the next morning we completely emptied the rig, including the bedding and mattress. Not a sign of him anywhere. Hallelujah! Our neighbor Kelly and her daughter Kaitlyn came over to welcome us home, though somewhat earlier than expected, and to tell us they had seen a chipmunk jump out of the RV, run a few laps through our rose garden just to stretch his legs and jump right back in. Now, there is something heroic about struggling with a worthy adversary, but if you have conquered a chipmunk, where is the glory? And if you fail to conquer, you are an even more pathetic loser for picking on a cute little guy.
Don’t let that innocent demeanor fool you. This is the spawn of Satan. On the other hand, if you are the chipmunk weighing in at about four ounces who manages to outwit two giants, you are entitled to wear a belt with a huge buckle proclaiming your championship. Maybe even get a movie contract. This time next year, check the listings on Disney Plus to see if they have produced another of those heartwarming films about courageous animals that
16 September 2020 | Healthy Living News UTMC 1546_1 Male Health ad_4.6354 x 5.5625.indd 1
make their way home over improbable distances against improbable odds. In this case, 1,743 miles back to the mountainside above Monte Vista. Though Walt Disney might not approve, I fantasize about him being pursued successfully by a weasel who tears him to shreds or a coyote who swallows him whole or a bobcat mother who toys with him playfully before carrying him home for her kittens to finish off. At no point have I pictured his odyssey as just a walk in the park. But wait. There is a happy ending after all. Thanks to our vigilant neighbors, I reset that horrendous Tractor Supply Company trap baited with a nibble of extra crunchy peanut butter. That did the trick at last. (Insert maniacal laughter here.) “Aww,” said Shirley, “I was starting to like the little guy.” “That’s not what you said this morning,” I reminded her. “Think of him as a rat wearing a more fashionable fur coat. And remember how many times he pooped on your bed.” Alternate ending Shirley ordered a live trap from Amazon that arrived the next day. In no time at all he went in to sample the peanut butter. Then I carried him up to the Chessie Trail for release. Shirley then insisted that I reset the trap because of that chipmunk infestation I mentioned above. “They’re digging around in the potted coleus,” she said. “I can’t stand the little #$%&s.” (Actually, she has never said #$%& in her life. I just threw that in for dramatic effect.) Choose the ending you prefer. Both could be true. Or at least as true as anything else you are likely to read in this column. The moral of this story is that it is not just the Covid that can make you eager to get out of Dodge. So, here we are with no winter trip and a summer trip of ten days (eight on the road and two in camp), and we are still looking forward to our next walk in the park. Any park. We don’t care. A Metropark might do. Even the Chessie Trail. Because you can be happy if you’ve a mind to. 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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Keeping up with routine healthcare despite COVID-19 WITH THE COVID-19 pandemic who staff Mercy Health’s pre-service continuing to make daily headlines, call center are trained to determine many people are understandably which form of visit is best and to offer anxious about leaving the safety of the option of a virtual visit if approprihome, even for essential purposes ate and preferable to the patient. For such as healthcare visits. However, those who are unable to take advanprotecting oneself from COVID should tage of virtual visits because they lack not preclude taking measures to a cell phone or other device with the right capability, an maintain one’s overin-person visit will all good health and still be recommendprevent other seried. “The whole idea ous ailments from is to provide a full developing. range of options, Mercy Health and everything is family physician done in the interest Nicholas Espinoof creating the best za, DO, observes, possible care plan “A significant block of for the patient from people are still leery the standpoint of about simply leaving Nicholas Espinoza, DO safety, quality, and home, let alone going to a medical office or ambulatory cost-effectiveness,” he says. In addition to urging folsetting, out of concern that they’ll be at risk of exposure to COVID-19. But low-through with routine primary routine healthcare is no less important care visits, whether virtual or in-person, Dr. Espinoza encourages patients because of the virus.” Fortunately, Dr. Espinoza further to stay on top of preventive health explains, we now have access to tele- screenings, which, research shows, health technology that allows patients can make a significant difference in to connect with their providers virtually. people’s health status. Screening This technology is not entirely new, recommendations depend largely but prior to the start of the pandemic on where the patient is in life, with and the subsequent shutdowns, there decade markers often indicating was no real opportunity to launch the which tests should be done. However, telehealth platform to the extent it is a variety of factors, such as having a personal or family history of a now being used. Telehealth visits can be conducted disease or disorder, come into play right from the comfort of a patient’s in determining which screenings are home using an app (similar to Face- appropriate, the age at which they Time) on a smartphone, iPad, laptop should be initiated, and the interval computer, or other device. Though and frequency at which they should not a perfect substitute for in-per- be repeated. According to Dr. Espinoza, cancer son clinical exams, virtual visits still screenings are especially vital because serve a vital purpose. “Patients are wise and recognize that virtual visits early detection, diagnosis, and treatment aren’t ideal. But they provide an op- of various cancers can improve patient portunity to keep that patient-doctor outcomes dramatically. In his role as a connection going and for patients family physician, he typically focuses to share any concerns or symptoms on wellness screenings, including they might have. Also, most of the immunizations, and he really enjoys patients I’ve seen virtually through doing functionality screenings, which televisits tell me that when this crisis help him determine how well his pais over, they definitely plan to come tients are able to function in their home to the office for a face-to-face visit,” environment. “For example, I’ll ask questions such as whether they have Dr. Espinoza says. Access to virtual visits necessarily easy access to the different rooms and begins with the awareness that this areas of their house, whether they have option is actually available. Dr. Espinoza stairs to climb to reach different levels notes that Mercy Health has been very of the house, whether the bathroom effective at promoting this technology is on the main floor, and how easy it to patients. In addition, when listening is for them to get in and out of their to patients’ concerns, the individuals house safely,” he says. Connect with our advertisers via our online issue at hlntoledo.com
Dr. Espinoza has served the community as a family doctor for decades. In 2016, he joined Mercy Health as Clinical Faculty and Medical Director of Family Medicine Residency. In addition to providing clinical care to Mercy Health patients, he serves as Assistant Dean for Ohio University Heritage College at Mercy, offering clinical education to third- and fourthyear medical students. He recently opened an office in the new medical office building at the new Mercy Health – Perrysburg Hospital, located in the heart of the Perrysburg community at 12623 Eckel Junction Road. “As a Perrysburg resident myself, I’m very excited to see and be part of the wide range of services available at Mercy Health – Perrysburg Hospital. It’s very reassuring to me, my patients, and my own family to have convenient access to this facility right here in town,” he says. For more information about primary care services or Mercy Health – Perrysburg Hospital, visit mercy.com. ❦
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Don’t get stuck in your comfort zone by Amanda Manthey WHEN YOU’VE BEEN RUNNING the same course at the same pace for a long period, the route and scenery become boring and you might feel as though you’re on “auto pilot” during your run. Most runners experience these same feelings at one time or another during their training. Challenging yourself daily with your running program will help minimize your “comfort-zone” tendencies. Here’s how: First, runners should set personal fitness goals to improve fitness performance. Whether you are improving your time or your distance, you should be monitoring these personal goals weekly. Remember, you can’t reach goals that you never set for yourself. A daily running log is a great way to monitor time, distance, and running routes to notice patterns in your running and will enable you to
achieve your goals. In addition, choosing different running routes to vary the scenery and terrain will allow you to challenge yourself as a runner. But, most important, remember to choose safe running routes either in a park or on streets with sidewalks. Adding sprints to your workout and varying your speed at different points during your run will provide a more effective, challenging workout, as well. Cross training is another great way to vary your workout routine. Choosing at least two cross-training sports to include in your running program will provide a well-balanced, challenging fitness program. Finally, evaluate yourself as a runner and choose one or two areas in running that you can improve upon, and focus your attention on those areas. For example, my areas of n
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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 Running Shop. For complete details and updates on any listed event, please visit davesraces.com Virtual Dexter-Ann Arbor Run Tuesday, September 1-Monday, September 7, 2020, Dexter, Michigan. Register online via the RunSignup platform linked to our event. You must opt-in to receive text messages and email notifications from the registration platform. These will prompt you and provide important links to results and custom information throughout the virtual results submission window. Our automated system will send you notifications via text and/or email with how to download and print your custom race bib, submit your results once completed, and prompt you to download your finisher certificate, etc. Olander 24-Hour Ultra, Marathon & Relay Saturday, September 5-Sunday, September 6, 2020, 10:00 a.m., at Olander Park, 6930 W. Sylvania, Ave., Sylvania, Ohio. Our permits are in place, we have host approval, and we are planning to run this year’s Olander 24-Hour Ultra, Marathon & Team Relay in person, as safely as possible. Registrants will be required to follow all the event guidelines, without exception, in order to participate. Deferral and/or refund options will be presented prior to race day. As We Grow’s Diaper Dash—A Virtual Race Friday, September 11-Sunday, September 27, Toledo, Ohio. The Junior League of Toledo diaper bank, As We Grow, addresses the diaper need in Lucas County. One in three American families experiences diaper need. Babies without clean diapers are exposed to more potential health risks and less likely accepted to daycares, leaving parents unable to attend work. Support the As We Grow Diaper Bank by participating in this virtual race. All proceeds will go toward the diaper bank.
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Blarney Shamrockin’ Shuffle Saturday, September 12, 2020, 8:00 p.m., at 601 Monroe St., Toledo, Ohio. The Blarney Shamrockin’ Shuffle is still a Guinness World Record, “Largest Kilt Race” (sports kilt), glow-party event. Come to run or walk, but come to have fun and be part of this record-breaking event. When you’re done, join the ongoing street party celebration hosted by the Blarney Irish Pub (21 and over only). We’ll be celebrating St. Paddy’s Day, so come dressed in as much accent green as you can find. Run for Literacy and Golf Ball Drop Sunday, September 13, 2020. Virtual run from home. Proceeds will benefit literacy projects at local schools in the Oregon and Northwood communities, as well as special missions at the Lake Erie West Challenger Learning Center for local students. This is a family event, and runners of all speeds are encouraged and welcome! Those over 18 will also receive a free entry into our Golf Ball Drop that is taking place at noon on Sunday, September 13th and will be streamed live on our Facebook page. The winning ball could go home with $1,000! One Step at a Time Saturday, September 19, 2020, 9:00 a.m. at 950 Webster St., Defiance, Ohio. This 5K Run/Walk has been planned to help raise awareness about n
18 September 2020 | Healthy Living News
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Blood pressure on a roller coaster? Call us – your primary experts. Blood pressure, blood sugar, pulmonary issues and other conditions require regular monitoring and occasional referral to a sub-specialist. Whether you have a common health ailment or a specialized condition, your primary care provider is an important and consistent participant in your circle of care. Build a relationship with your primary care provider at The University of Toledo Medical Center and discuss your ongoing health needs.
Call 419.383.4000 for an appointment. Telehealth options are available! utmc.utoledo.edu/primarycare @utoledomedicalcenter @UTMedCenter
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Swanton snowbirds overcome COVID, convalesce at The Laurels SWANTON RESIDENTS Barb and Jim Rieben are classic snowbirds— Northern retirees who head south during the winter months to escape the inclement weather and frigid temperatures. Their annual destination is the sunny state of Florida, specifically the city of Ruskin, near Tampa. In previous years, this pilgrimage provided a pleasant reprieve for Barb and Jim. However, their most recent Florida visit this past winter and spring took a decidedly unpleasant turn. According to Tina Tedrow, the Rieben’s daughter, Barb became ill in February and showed no improvement over the course of several weeks. After Tina begged her repeatedly to seek medical help, Barb finally relented and went to the ER, where she was tested for COVID-19. “The first test came back negative, so they assumed she just had a case of pneumonia. But after a month or so, she still wasn’t getting better, so she went back to the pulmonologist, who performed a branchial wash and then put her on a BiPAP machine a few days later. At that point, we thought we would have to go to Florida and bring her home,
Jim & Barb Rieben but she seemed to recover,” Tina says. Still, Tina was uneasy about her mom’s condition, so when she learned that her oldest daughter, Jolyssa, would be available the last week of June, she decided to take advantage of that week to drive to Florida with Jolyssa and her boyfriend and bring her parents home. It was only after arriving in Ruskin that the real scope of the problem hit her. “When we got to Florida, we discovered that both Mom and Dad were sick and in horrible condition. Dad’s blood pressure was through
the roof, and Mom could barely breathe,” she says. Tina describes the trip from Florida to Ohio as a nightmare. There was no air conditioning in the van they were driving, and Barb and Jim kept getting worse. It seemed one bad thing was happening after another. Then, in Tennessee, they got the news that Barb had COVID. “She had gone to the hospital on the prior Monday and was tested again but never told us, and they had been trying to reach her with the results but couldn’t. I’m Mom’s emergency
Outpatient Therapy
contact, so they finally got hold of her through me while we were on the road,” Tina says. Tina recalls that when she heard the news that her mom had tested positive for COVID, she went into a full-blown panic and took the first exit off the expressway. Fortunately, Jolyssa and her boyfriend, who were driving a U-Haul full of Barb and Jim’s belongings, were right behind them on the road and able to take the exit with her. “I had just spent six days with my parents and two days with the three of us crammed together in a van. As someone who works in the health field, I know what that can mean. My life flashed before my eyes!” she states. “I was also scared to death for Jolyssa because she has lupus, which puts her at higher risk if she gets COVID.” The good news is, neither Tina, Jolyssa, or Jolyssa’s boyfriend developed COVID. However, when they arrived home and took Barb and Jim to St. Luke’s Hospital, they were soon informed that Jim had tested positive. After a stay at St. Luke’s, Jim was moved to The Laurels of Toledo n Laurels - continued on p21
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20 September 2020 | Healthy Living News
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to continue his recovery and rehab. Barb joined him soon thereafter. Barb has since moved back home but still has a long way to go before her health is back to some semblance of normal. Tina notes that it’s difficult to see her mother in her current condition. “Mom has always been such a strong and powerful person. She’s a breast cancer survivor and super tough. Nothing keeps her down. To see her now versus how she looked before she went down to Florida takes some getting used to. I’ve had to reset my mind that this is someone who’s still recovering. As sick and fragile as she looks, I know she may very well still come out of this.” During their stay at The Laurels, both Barb and Jim managed to beat COVID-19. As of this writing, Jim remains at The Laurels and is fighting an infection. Tina hopes he’ll get better and be able to return home soon. She’s also grateful to The Laurels for accommodating her parents in such a time of need. “It was very comforting and reassuring to me that The Laurels was able to make space for Dad and that they kept a bed available for Mom in their COVID unit, knowing she would be coming as well. They’re still not home together, so it’s not a Cinderella story happy ending just yet, but we’re getting there,” she says. For information on The Laurels of Toledo, please call 419-536-7600 or visit www.laurelsoftoledo.com. ❦
Virtual memory screening program expands to meet growing demand THE ALZHEIMER’S FOUNDATION OF AMERICA (AFA) announced that it is expanding its virtual memory screening offerings to accommodate the high demand for the service. Screenings will now be offered every Monday and Wednesday from 10:00 a.m. to 4:00 p.m. (ET) and every Friday from 10:00 a.m. to 2:00 p.m. (ET). Appointments can be scheduled by calling AFA at 866-232-8484. AFA started providing virtual memory screenings through its National Memory Screening Program on July 8th. Screenings are conducted one on one through secure videoconference technology in real time. The program is free and open to everyone; there are no minimum age or insurance requirements. All you need is a phone, computer, tablet, or any other device with a webcam and internet
HEALTH CROSSWORD by Myles Mellor • ilovecrosswords.com • Answers on page 26
ACROSS 1 Equipment used in micro current therapy for pain 6 Fruit often eaten dried 8 Tear carriers 9 Sugar in milk, some cannot tolerate it easily 11 Listening organ 12 The V in COVID 19 14 Bending of a joint 15 Stitching 16 Facial protection during the pandemic 20 Combination 21 Lasting dull pains
23 Type of fatty acid that’s 7 Environmentally reported to be good friendly for the heart, goes 10 Put a strain on with 24 across 13 Type of orange from 24 See 23 across Japan, like a tangerine 26 Like most soups 14 Like kefir drinks 27 Unnecessary inclusions 15 Important distance in foods during the pandemic, DOWN 2 words 1 Salad ingredient 17 Another word for 2 Lesion resulting in buckwheat stomach pain 18 Not lumpy 3 Help cry 19 Vegetable with a lot of 4 The last O in EVOO vitamin A 5 Go over 22 Color 6 State famous for its 25 Iron symbol citrus fruits
capability. Hundreds of people have already been screened. “The response to our virtual memory screenings has been tremendous,” said Charles J. Fuschillo, Jr., AFA’s President and CEO. “Memory screenings are an important part of a good health and wellness routine for everyone. At a time when many families are still at home due to COVID-19, this program allows individuals to get screened without having to travel anywhere. We’re excited to see so many people taking advantage of this program and look forward to serving even more through our expanded schedule.” M e m o r y screenings are simple, quick, and noninvasive, and consist of a series of questions to gauge memory, language, thinking skills, and other intellectual functions. The memory screening takes approximately 10-15 1
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minutes and is confidential. Memory screenings are similar to other routine health screenings, such as those for blood pressure, cholesterol, and skin checks. Results are not a diagnosis, but a memory screening can suggest if someone should see a physician for a full evaluation. Early detection is important because it can enable the person to begin medications sooner, participate in a clinical trial, and take a more active role in developing their care plan.
Anyone wishing to get a free memory screening should call AFA at 866-232-8484 to schedule an appointment. Appointments are required and scheduled on a first-come-firstserved basis. For more information about memory screenings, Alzheimer’s disease, or support services available to help families affected by Alzheimer’s, visit AFA’s website at www.alzfdn.org or call AFA’s Helpline at 866-232-8484. ❦
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Long-established Perrysburg dental practice prioritizes patients SERVING PERRYSBURG AND the surrounding communities for nearly three decades, the dental practice of Christopher Clark, DDS, has a longstanding reputation for providing personalized, comprehensive patient care in keeping with the following vision statement: We believe that superior dentistry is the result of our dedication to the highest standards of care. Our vision is to sense, serve, and satisfy our patients’ needs in a beautiful, warm, and friendly atmosphere where comfort counts. Our patients trust our expertise, value our experience, and enthusiastically refer because they know we’re the best. We earn our reputation of integrity and excellence by providing the finest care in the most comfortable way. Guided by this vision, Dr. Clark offers the full gamut of dental services, ranging from cleaning and other preventive care to restorative and cosmetic dentistry, including smile straightening with Invisalign® clear aligners. Individuals with anxieties or phobias related to dental
care appreciate that Dr. Clark makes patient comfort a high priority and offers various solutions that can help calm their fears and put them at ease, for example allowing personal headphones and music, using oral sedation, and taking short breaks as needed during procedures. Furthermore, Dr. Clark and his staff utilize the very latest technology—such as state-of-the-art digital imaging and impressions, advanced laser dentistry, and a cutting-edge intraoral camera—in diagnosing and treating patients. Established in June of 1991 in downtown Perrysburg, Dr. Clark’s practice eventually grew too large for the original office to accommodate, so in 2003 he built a new facility in Coventry Woods Executive Park at 28321 Kensington Lane, where he and his staff continue to provide professional, patient-centered care. “I’m very grateful to live and work in Perrysburg,” he states. “My practice is here to care for all patients in our community who share our vision.”
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Dr. Clark gives much of the credit for his practice’s growth and longevity to his dedicated staff and the rapport they share with patients, noting, “Our team loves what they do, and they live our vision of caring for patients. We realize people have a choice of where to go for dental care, and we’re honored when they choose us.” Like all healthcare providers today, Dr. Clark’s practice is grappling with the numerous challenges of providing patient care during the COVID-19 pandemic. Among them is the temporary suspension of certain basic human interactions due to social distancing and the use of personal protective equipment. “The pandemic definitely challenges us to stay connected with our patients,” he states. “Wearing facemasks hides smiles, and we miss the handshakes and patients sharing their time and stories with us.” Despite these challenges, the practice is currently seeing patients and providing comprehensive dental-care services, though patients are required to undergo a COVID-19 screening questionnaire and temperature check prior to treatment. Also, Dr. Clark’s patients can rest assured that every effort has been made to protect them. “The safety of our patients and team is priority one, so we spent a significant amount of time researching all the governing bodies’ requirements and recommendations, and we’ve added several extra levels of equipment and PPE,” he says. Many of the technological changes Dr. Clark made to promote patient safety are hidden behind the scenes. For instance, ozone and ultraviolet light units have been added to the air-circulation system. Also, Dr. Clark has invested in intraoral and extraoral high-volume evacuation systems for the office, which reduce aerosols by 99 percent. “Our patients can take comfort in the fact that we’ve spared no expense when it comes to their health and safety,” he states. To ensure they maintain the best possible oral health throughout the COVID-19 crisis and beyond, Dr. Clark advises HLN readers that an excellent diet and good oral home care are paramount. “And keep in n
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Dave’s Races - continued from p18 depression and its sometimes fatal result—suicide—and is in memory of Scott Hammersmith and those who have died by suicide. Come out to walk or run in memory of someone you have lost or to help spread the word so others are not lost. If you are committed to our message but not quite ready for a 3.1-mile run or walk, we have measured an easy one-mile walk around the Defiance College campus. If you want to help but can’t participate, simply make a donation in any amount.
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Redhead Run Virtual 5K and 1-Mile Fun Run/Walk Saturday, September 19, 2020. Despite not being able to meet together in person, we hope that you will all continue to support us for this year’s virtual Redhead Run. Your participation in this event is what keeps the memorial fund going, and we’re really excited to share that we have enough in the fund to provide a $1,000 scholarship next year! WTOL River Run 10K Sunday, September 20, 2020, 8:00 a.m. at 730 N. Summit St., Toledo, Ohio. Welcome to Downtown Toledo’s premier, competitive 10k tradition held annually on Memorial Day weekend with prize purse totaling $4,500, plus free Saucony shoes to all firstplace age group winners. Start at Promenade Park on Summit St. and finish at the WTOL 11 studios on Water St. with Pizza Papalis and Michelob Ultra. This counter-clockwise route is scenic and challenging, crossing two downtown bridges and running along the renovated waterfront. Join us to remember, respect, and honor the brave men and women who have died while in service to our country. 5K Around the Fairway Sunday, September 27, 9:00 a.m. at Stone Oak Country Club, 100 Stone Oak Blvd., Holland, Ohio. ❦
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Six steps to a better night’s sleep OCCASIONAL BOUTS OF sleeplessness are a fact of life for most people, but for some, a good night’s sleep seems almost unattainable. They may have difficulty dropping off to sleep every night, or, if they are able to fall asleep, they may wake up at some point (or several points) during the night and find that they are unable to regain their restful state. Chronically tired as a result of their insomnia, these weary souls stumble through the day in a fog. Work suffers, relationships are strained, and the vicious cycle of sleeplessness spins on and on. While there are pharmaceutical solutions to the problem of insomnia, sleep medications can cause undesirable side effects and may even promote dependency. Oftentimes, making a few simple lifestyle modifications can help people get the rest they need to take on the day with confidence. So, before reaching for that bottle of sleeping pills, try the following steps: #1 Get regular Failing to keep a regular sleep/ waking schedule throws off your body’s clock and may make restfulness 10.25x5_ES_SkilledRehFac_Ad_HL_820_HI.pdf elusive. Determine how many hours of sleep you need to function
effectively and base your schedule on that number. Try to go to sleep at the same time every night and wake at the same time every morning, and be sure to maintain this pattern over the weekend, as well. It may be tempting to stay up late Friday night and sleep in on Saturday morning, but this disruption of your regular sleeping habits may have you tossing and turning all week long. #2 Know how and when to nap A short midday “power nap” can really recharge your batteries and help you manage the challenges of the day with more energy and enthusiasm. But excessive daytime napping can disrupt your natural 1rhythms 8/7/20 10:01 andAMmake it difficult to
fall asleep and stay asleep at night. Remember, it takes anywhere from 45 to 90 minutes to reach the deep sleep stage, and sleeping long enough to enter that stage during waking hours can sabotage restful sleep at night. Limit naps to no more than 30 minutes, and avoid taking naps close to your regular bedtime. #3 Watch what you eat and drink Going to bed hungry can distract you from sleep, so eating a light snack, such as cheese and crackers, before bed can help quiet a rumbling tummy. However, eating heavy foods or excessive amounts right before bedtime can cause indigestion and keep you awake.
©2020 Elizabeth Scott Community
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Grandma’s old insomnia remedy of warm milk can help you feel drowsy as can other warm, non-caffeinated drinks. On the other hand, caffeinated beverages and foods, such as coffee, tea, soda, and chocolate, are notorious sleep stealers and should be consumed in moderation—and never close to bedtime. Although alcohol may seem to produce a relaxed state, it actually disrupts sleep and, hence, should be limited. Also, to avoid having to answer the “call of nature” in the middle of the night, avoid drinking too much fluid in the late afternoon and evening. #4 Prepare a suitable sleep environment If at all possible, make your bedroom a haven for sleep and intimacy only. Relegate work and all other activities, including television viewing (violent shows and lively debate programs are not conducive to calmness) to a different part of the house so your mind and body know it’s time to rest whenever you’re in the bedroom. Listening to calming music in the bedroom, on the other hand, can help promote drowsiness. Setting aside a dedicated sleeping n Sleep - continued on p24
How can you judge the quality of care at a rehab facility? Ask the patients who’ve been there. They’ll tell you we offer great, customized care with an emphasis on protecting their health during these trying times. They’ll tell you our response time is fast and the food is good. How can we be so sure? Because our patients keep coming back when they need additional therapy. If your provider prescribes skilled rehabilitation, choose the facility with repeat customers. Contact Matt Bucher, Director of Marketing, for more information.
Note: File photos used here were taken prior to the COVID-19 pandemic. Independent & Assisted Living, Skilled Nursing & Rehabilitation 2720 Albon Road Maumee, OH 43537 (419) 865-3002 • elizabethscott.org Healthy Living News | September 2020 23
Reflect, reset, rebalance your life
NOT EVERYONE EXPERIENCES a life-changing event in their lifetime, one that impacts them for better or worse. As we continue to experience the pandemic, we are witnesses to our own experiences. We don’t know what the outcome will be for ourselves, our neighbors, our community, and so on. It can be an unnerving but positive experience if it is a life-changing event that changes us for the better. As you reflect on the pandemic in the next weeks and months, consider your life as it is today and the changes that you intend to make because of it.
We know that preparing our bodies through proper nutrition and exercise and taking care of our mental health through positive experiences is the best way to ensure good health. We also recommend considering the following components as you reflect: Healthy aging needs to start long before retirement. People that are enjoying good health now and in retirement have taken steps along the way: proper nutrition, exercise, no smoking or excessive alcohol use, and monitoring their health with yearly checkups while maintaining a healthy weight. Healthy aging includes ensuring your assets will not prematurely liquidate prior to retirement and during retirement. We all can think of people who have practiced the steps toward healthy aging and those who have not. What are you doing for yourself in the area of personal health? Financial security includes what you do today with your money that impacts your future. Saving and planning helps you to feel financially secure and eliminates stress about running out of money today or in retirement. As you age, continue financial planning while liquidating your retirement assets or consider leaving a legacy for the next gener-
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419-872-0204 770 Commerce Drive Perrysburg, OH 43551
www.citizenadvisory.com Investment advisory and financial planning services offered offe through Planners Alliance, LLC, a SEC Registered Investment Advisor. Subadvisory services are provided by Advisory Alpha, LLC, a SEC Registered Investment Advisor. Citizen Advisory Group is a separate and unaffiliated entity from Planners Alliance, LLC and Advisory Alpha, LLC.
24 September 2020 | Healthy Living News
ation. Having a “spending down” plan and a strategy in retirement is just as important as when you were planning for your retirement. With job security unknown to many due to today’s economic conditions, resetting your savings plan to prepare for financial hardships is crucial. Perhaps you feel unprepared? Don’t make the same mistakes in the future. Now is when you need to change by being prepared for what the future brings. Balancing leisure time and working is critical to you and your relationships. During our working years, focusing on family and yourself first and work second can help reduce stress. Exercise, work, family time, personal leisure time, and volunteering should be part of your monthly schedule. In retirement, having the choice to continue to work because you enjoy it and not because it’s necessary is what financial planning is all about. Your retirement “work” may be a parttime paid position or volunteering to benefit your community in some way. Work becomes a leisure-time activity if planned successfully. Being ready for retirement should be based on your decision—not due to poor physical or mental health—and be something you welcome. Feeling you have achieved all you want to in your career, looking forward to the next chapter of your life, and having a healthy body are just as important as saving money for retirement. Here’s to wishing you good health in the upcoming weeks and time to reflect on what’s truly important.
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. Please call 419-872-0204 for a complimentar y consultation to review your individual 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. ❦
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space can be a challenge for college students and small-apartment dwellers that must use their limited space for a multitude of purposes. In these situations, it can be helpful to set aside a quiet space, such as a soft, comfy chair, where you can relax to the point of drowsiness before heading off to bed. Room temperature is another important consideration in your sleeping quarters. A hot, stuffy atmosphere feels confining and uncomfortable, so keep it on the cool side by opening windows or using fans. Keep extra blankets within easy reach in case the temperature gets too cool in the middle of the night or early morning hours. If you are having a hard time keeping your room dark enough for sleeping—perhaps because you must sleep during daylight hours or because your neighbor ’s motion-sensing security light turns on every time a car or pedestrian passes by—consider putting heavier curtains or blinds in the window or using a blindfold. If excess noise is a problem, try using earplugs. Also, don’t underestimate the importance of a good mattress. You spend a good portion of your life on your mattress, so don’t skimp on its quality. Sound, restful sleep is worth the few extra dollars you might have to pay for a good sleeping surface. #5 Prepare your body and mind for sleep To prepare yourself physically and mentally for sleep, it’s helpful to get regular exercise during the day. However, avoid exercising within a few hours of bedtime. To further enhance restfulness, try gentle stretching, taking a warm bath, or a back massage to relieve tension before bed. Many people find that praying or meditating before going to bed is conducive to restfulness, as well. #6 Schedule time to worry Perhaps the greatest thief of restful sleep is lying awake worrying about work, family problems, and other stressors. Rather than make this a disruptive nighttime ritual that keeps you tossing and turning, schedule some time every day, perhaps for a half hour after dinner, to write down any problems you have to deal with the next day and brainstorm solutions. ❦
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Seven suggestions for safe raking
Who would have thought the BEST time to move would be right now? by Michelle Oedy
IT MAY STILL be warm and summer-like as you read this issue of HLN, but before you know it, fall will arrive with cooler weather and shorter days. After that, it won’t be long before our local deciduous trees start shedding leaves and area homeowners have to dust off their rakes and get to work. Though raking isn’t as arduous as snow shoveling and doesn’t involve the use of equipment with razor sharp edges or whirling blades, it’s a chore that requires a lot of bending, lifting, and reaching. Thus, it can still lead to injury if it’s done incorrectly. So, before you take rake in hand this fall, consider the following safe-raking suggestions: #1 Choose the right tool for the job It may seem insignificant, but using a rake that is inappropriately sized or has missing, loose, or rusty parts can significantly increase your risk of muscle strain or injury because it will cause you to double your effort. Start out right by making sure your rake is the correct size for your height and strength and is completely intact and functional. Using a model with a padded handle will result in fewer blisters, as well. #2 Use proper body mechanics While raking, maintain proper posture. Position your feet so they form a wide base, and place one hand near the end of the rake handle and the other approximately three-quarters of the way down the handle. Maintain an upright position, and try to keep your back naturally aligned, taking care not to twist your spine. Instead of remaining planted in one position and extending your rake in all directions to reach the leaves, change your position frequently and try to avoid overreaching. Also, avoid overloading your leaf bags or tarp, and when picking up leaves, bend at your knees and lift with your leg
muscles. To distribute the strain on your muscles evenly and to prevent overuse of the muscles on one side of your body, it’s important to switch sides frequently—raking right-handed for ten minutes and then left-handed for ten minutes. #3 Rake when leaves are dry Mother Nature—or your city’s leaf-collection schedule—may not cooperate in this regard, but try to choose a dry day to rake your leaves. Wet leaves are significantly heavier than dry leaves and also pose a greater slipping hazard. #4 Dress for leaf-raking success You may feel cool when you start raking, but all that exertion will have you perspiring in no time. Dress in several thin layers so you can shed layers if you start to overheat and add them again if you start to chill. Wear work gloves to protect your hands from blisters and splinters, and make sure your footwear has a good slip-resistant tread so you don’t lose your footing on damp leaves. Fallen leaves can quickly turn moldy, making life miserable for allergy sufferers—not to mention the fact that ragweed plants are pumping out pollen at a remarkable rate at this time of year. If you’re sensitive to fall allergens, be sure to wear a dust mask while raking.
THE YEAR 2020 has been full of surprises that have kept all of us on our toes and expecting the unexpected. Starting in March, we found ourselves doing everything we could to make sure our residents were safe as this pandemic transformed all our lives. The daily changes and new protocols were an unexpected challenge, but our team rolled up their sleeves and pushed through by forming a COVID response team whose primary goal was to make sure our community remained safe. At the same time, this dynamic team has continued their creative efforts to keep our residents entertained and socially active while following all safety protocols. Social interaction is essential for a senior’s mental and physical well-being as isolation is one of the biggest causes of depression and loneliness. We have been able to safely provide socialization during this pandemic with a variety of activities, including exercise classes, gardening, Zoom calls with family, bingo, our “wine &
cheese” hour, walking club, noodle ball, bible study, trivia, Wii bowling, and more! In June, we slowly started moving new residents in with a rigorous screening process to ensure safety for our community. It has been a smooth transition for our new residents, and we are beyond excited that they have joined our community. Many people have realized how important socializing is as most were either alone or stuck in their house with nowhere to go before moving to Genesis Village. Whether it’s during a pandemic or the long, cold winters in Ohio, living in a beautiful community filled with friends, an endless amount of fun activities, and helpful staff who can drive you to pick up your groceries is a benefit to all. Additionally, our on-site “Village Salon” meets your beauty needs, while the convenient dining options include eat-in or to-go for every meal. We also have our “Solid Ground Café” with the most welcoming barista who will whip up your favorite specialty coffee each n Genesis - continued on p33
#5 Special considerations for leaf blowers If you use a powered leaf blower instead of a rake, you’ll need to consider several additional safety issues. These devices can produce powerful air currents and move debris at considerable velocity. They also generate a great deal of noise. So, when using a leaf blower, make sure children and pets are removed from the area and that you protect yourself with goggles, hearing pron
Raking - continued on p33
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ad_healthyliving_0620_qtr.indd 1
6/8/2020 2020 10:48:28 PM Healthy Living News | September 25
UTMC gastroenterology group offers advanced incisionless surgical solution to GERD GASTROESOPHAGEAL REFLUX that, in some cases, can significantly DISEASE, OR GERD, is the among impact the individual’s quality of life. the most common medical complaints “The most common symptoms are and the most common gastrointes- directly related to the esophagus, such as heartburn, difficulty tinal-related diagnosis swallowing, or chest pain. in the United States. GERD symptoms can also In fact, according to occur outside the esophagus. Ali Nawras, MD, gasFor example, if the vocal troenterologist at The cords are affected, the patient University of Toledo can develop hoarseness. PaMedical Center, aptients might also experience proximately 40 percent sore throat, asthma, chronic of Americans complain cough, or even problems of experiencing GERD with their teeth due to the symptoms. Ali Nawras, MD reflux of stomach acid,” Dr. Dr. Nawras explains Nawras states. that GERD is the chronThe treatment approach for inic reflux, or backwash, of stomach contents into the esophagus, usually dividuals with GERD also varies, due to weakness in the gastroesoph- depending on the severity of their conageal valve located just below the dition. “Mild GERD, which accounts diaphragm between the stomach for approximately two-thirds of the and esophagus, or due to the pres- cases, can usually be managed with ence of a hiatal hernia, defined as a dietary and lifestyle modifications or section of stomach bulging through through the use of acid-suppressing medications called proton-pump the diaphragm. GERD can produce a variety of inhibitors (PPI), such as Prilosec, bothersome signs and symptoms Protonix, and Nexium, which block
the acid-secreting pumps in the stomach,” says Dr. Nawras. “Examples of helpful lifestyle changes include avoiding eating or drinking before bedtime, eating smaller portions, avoiding fatty foods, limiting alcohol, elevating your head when sleeping, and losing weight if appropriate. However, for patients with moderate to severe cases, more intervention is usually recommended, potentially including surgery.” Dr. Nawras explains that the standard approach to GERD surgery, or fundoplication, involves wrapping part of the stomach around the junction between the esophagus and stomach in order to restore the function of the gastroesophageal valve and prevent reflux. This can be done either through traditional open surgery involving large incisions or through a laparoscopic approach requiring only a few small incisions. “With both of these approaches, the wrap created is 360 degrees, which often means the patient is unable to belch or vomit after the procedure. Also, recovery time is one to two weeks for either approach. Because of the potential side effects and relatively long recovery time, standard fundoplication is not very popular. Only 0.5 percent of people with GERD elect to have it done,” he states. The good news for GERD sufferers with more severe symptoms is that gastroenterologists at UTMC are now offering—and in fact were the first in our region to offer—an advanced approach to fundoplication called transoral incisionless fundoplication, or TIF. “TIF is performed through the Answers to crossword from page21
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mouth using a special instrument called the EsophyX device and involves no cutting or scarring,” Dr. Nawras says. “Another advantage is that the wrap we make is only about 270 degrees, not 360 degrees, so there’s always some room to allow the patient to belch or vomit if necessary. In addition, recovery time is faster. Most people stay in the hospital just overnight and return to normal activities within a few days of the procedure.” Dr. Nawras notes that patients who come in for TIF are typically those who either aren’t responding well to lifestyle modification and medications or are concerned about the potential side effects of long-term proton-pump inhibitor use, which can include bacterial overgrowth, issues with nutrient absorption, effects on the kidneys, C. diff. colitis, and other problems. “I also just recently read a report that indicated people who are on PPIs are at higher risk of COVID19,” he adds. TIF is not appropriate for patients under age 18, those with a body mass index (BMI) of 35 or more, or those with narrowing of the esophagus. If a hiatal hernia of more than two centimeters is present, the hernia must be fixed before proceeding with TIF, though Dr. Nawras states that this repair can usually be performed at the same time as the TIF procedure. As of this writing, TIF has been performed on over 25,000 patients worldwide, and patients who have undergone the procedure consistently report significant improvement in symptoms, quality of life, PPI therapy cessation, and other measures. “We’ve found that TIF can be a great option for the one-third of GERD sufferers who experience moderate to severe symptoms. It provides an excellent middle ground between lifestyle modification and medication use and the standard invasive procedure,” Dr. Nawras says. For more information visit utmc.utoledo.edu/clinics/gastroenterology. To schedule an appointment at the UTMC Gastroenterology clinic, call 419-383-6105. ❦
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Why do we die, God? by Sister Mary Thill
Q
: When I was younger, I had major bouts of middle ear infections, some of which were treated and some of which didn’t cause pain and went unidentified. I remember my ears feeling plugged and not being able to hear very well. I just went to have my ears assessed, and they are suspecting a hearing loss caused by a cholesteatoma. Would you mind explaining what that means?
A
: I would be happy to explain to you everything you need to know about a cholesteatoma. This usually occurs in the middle ear cavity, behind the tympanic membrane (ear drum), causing abnormal skin to grow. Typically a cholesteatoma starts from a non-functioning eustachian tube, the presence of repeated ear infections, or even a perforation of the tympanic membrane that allows skin to grow into the middle ear area. The eustachian tube is supposed to equalize the pressure between the middle ear and the nasal cavity. When it isn’t able to work correctly, the air in the middle ear is absorbed by the body, creating a vacuum in the ear which then sucks in a pouch, stretching the tympanic membrane. Cholesteatomas usually start out as a cyst or a pouch where old layers of skin stay behind and build up in the middle ear. Cholesteatomas aren’t present right away; they usually grow slowly over time. If one continues to have ear infections, the cholesteatoma may spread over the ossicular chain, consisting of three little bones in the middle ear called the malleus, incus, and stapes, which may require reconstructive surgery of the ossicular
chain. A permanent hearing loss, vertigo, and even facial paralysis may be side effects from the presence of a cholesteatoma. In rare instances, cholesteatomas can be congenital and present at birth, but cholesteatomas associated with ear infections are the most common type seen. There are signs that may identify the presence of a cholesteatoma. Patients usually experience fluid drainage with a foul odor from the ear. As the cholesteatoma pouch or sac enlarges, it can cause a feeling of fullness or pressure in the ear along with hearing loss. An ache behind or in the ear, especially at night, may cause significant discomfort. Dizziness or muscle weakness on one side of the face (the side of the infected ear) can also occur. Any or all of these symptoms are good reasons to seek a medical evaluation. A cholesteatoma is a serious but treatable ear condition. Usually you need a medical examination along with an audiological evaluation to help identify whether there is a hearing loss associated with the cholesteatoma and to determine an appropriate treatment regime. At Northwest Ohio Hearing Clinic, we, along with a team of physicians and other health professionals, have successfully treated many patients with cholesteatoma. If you need any additional information on this subject, feel free to call us or visit our office. 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 (419383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327). ❦
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I REALLY DON’T’ KNOW the answer to the title of this article, I can only share what I think is the Creator’s plan as I’ve experienced the deaths of so many loved ones over the years and especially in these last several months. Since January I’ve experienced the deaths of eight Sylvania Franciscan Sisters, three of them in the month of July alone. My last surviving uncle, Richard Thill, died in March just as we became aware of the pandemic, and my cousin, Peter, and my dear sister, Bobbie, died in June. None of the deaths were attributed to Covid-19, but that is little consolation as they have indeed all passed on from this earth to heaven. At least that is my hope and prayer. The older I get and reflect on what I think I know about death from my religious beliefs, my reading about death, media coverage, and discussions on the topic with a variety of people, I find myself questioning and wondering, like Susie, why do we seem to have to leave this earth and just where is it that we go? When I taught gerontology courses at Lourdes College in the 80s and 90s, I developed a course on Death and
Dying because the students wanted to know more about the topic. They were going to have to face the loss of the elders they were caring for and working with, and they were searching for insights in order to help the elders and themselves deal with the last phase of life’s journey. We had some excellent discussions on life after death, people they knew who had a near death experience, and those who believed that there was nothing after death. I like what the poem on Bobbie’s memorial card has to say about death, especially the verses quoted above. Personally, I find it consoling to be-
Dear God, Instead of letting people die and having to make new ones, why don’t you just keep the ones you got now? -Susie (From Children’s Letters to God by Stuart Hample) My life’s been full, I’ve savored much, Good friends, good times, A loved one’s touch. Perhaps my time seemed much too brief, Don’t lengthen it now with undue grief. Lift up your heart and share with me, God wants me now…He’s set me free. (From Bobbie’s memorial card) lieve that I will go somewhere after death, though I’m not real clear just where that may be. Do any of us really know? When I taught religion to my third graders, I used to tell them that, “Heaven is where God is, and God is everywhere, and if that is true then we are in heaven right now!” I must admit I don’t really know if that works when life right here doesn’t feel like I imagine heaven should feel like. There are times, though, when things here seem heavenly—a newborn baby, a fluffy puppy, a gorgeous sunset, people being kind to one another, eating a delicious tomato, enjoying a glass of wine, crunchy potato chips, graduation, being cancer-free, etc., etc., etc. Maybe at times like these we are in heaven, we just don’t know it yet! I picture my sister saying these words now: Lift up your heart and share with me, God wants me now…He’s set me free. 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. ❦
Healthy Living News | September 2020 27
Fall allergies and hearing loss by Shelly Horvat, AuD, CCC-A AS THE HEAT of summer winds down, everyone is looking forward to cool fall days and nights. For people who suffer from seasonal allergies, though, fall brings on more allergy symptoms. Ragweed is the biggest allergy trigger in the fall. Though it usually starts to release pollen with cool nights and warm days in August, it can last into September and October. About 75% of people with spring allergies also have reactions to ragweed. Classic fall allergy symptoms include sneezing, coughing, itchy throat, a runny or stuffed up nose, itchy or watery eyes, headaches, and rashes or hives on the skin. When nasal congestion and itchy throat symptoms are prolonged, many people experience pain or pressure in the ears, diminished hearing, and even a ringing or humming noise in the ears. People with allergies are often surprised when they realize the allergy problem can affect their ears
or hearing ability. The anatomy of the ear can show us how the ears are affected by allergy symptoms. The ear can be divided into three sections: the outer, middle, and inner ear. The outer ear is the part of the ear we can see, called the pinna, along with the ear canal. The pinna and ear canal help catch and funnel sound vibrations toward the middle
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ear. The middle ear contains the eardrum, or tympanic membrane, with its connected auditory bones (hammer, anvil, and stirrup), which sit in the middle ear space and transmit sound vibrations to the inner ear, or cochlea. The cochlea converts those vibrations into nerve impulses,
which can be interpreted by the brain as sound. The cochlea also contains the body’s balance apparatus—the vestibular system. The middle ear space is the part of the ear that is primarily affected by allergies. The middle ear has a drainage tube, or pressure release valve, called the eustachian tube that runs from the middle ear space to the back of the throat. In their normal state, the eustachian tubes open and close quickly, releasing middle ear pressure throughout the day when one swallows or yawns. If this tube is clogged with mucus or its opening is blocked by allergy swelling, pressure and fluid can build up in the middle ear. This creates the sensation of being plugged up and can result in diminished hearing. When the ears do finally “pop,” it can be painful and louder than usual. If the ears do not pop often enough and negative pressure is present long enough, fluid can build up in the middle ear space and hearing ability decreases further. This fluid creates a good environment for infection to occur. When negative pressure or fluid is present in the middle ear space due to allergies or an upper respiratory infection, the type of temporary
hearing loss present is called a conductive hearing loss. In this situation, the middle ear space is not allowing sound to be conducted to the inner ear. This pressured or clogged feeling can also cause discomfort. Allergies and frequent colds are a well-recognized cause for negative pressure buildup and recurrent middle ear infections in children. Although this is usually a temporary, or reversible, hearing loss, it is imperative to keep the periods of decreased hearing at a minimum during the early language development years This temporary hearing loss can also fluctuate, getting better and worse as allergy congestion symptoms change. This fluctuating hearing loss can make it difficult for parents to notice a hearing loss in a child affected by this condition. At times, the child may appear to hear well, and other times he or she may seem to ignore people, turn up the television volume, or not follow directions. A complete hearing evaluation performed by an audiologist can identify the difference between temporary conductive hearing loss and permanent sensorineural (nerve) hearing loss. It will also identify the amount of hearing loss caused by the middle ear problem as well as the degree of negative pressure behind the eardrum or whether middle ear fluid is present. The hearing evaluation will also rule out other causes of hearing loss. Speak to your family doctor about your allergy concerns to see whether referral to an allergy specialist or ear, nose and throat specialist is needed. The good news about seasonal allergy symptoms is that they will likely subside as the seasons change and allergy triggers dissipate. Feel free to call and speak to the audiologists at Northwest Ohio Hearing Clinic to schedule your hearing evaluation or ask questions about the hearing loss symptoms you or your child is experiencing. Shelly Horvat, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327). ❦
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not necessarily an unavoidable byproduct of aging, provided we take steps to prevent it. What can you do to keep sarcopenia at bay? Perhaps not surprisingly, exercise—specifically weight training/resistance training—is the main treatment for sarcopenia. Keep in mind, though, that beginning a strength-training regimen without proper instruction and guidance can be counterproductive. Working with an exercise specialist is often the best way to determine the proper form,
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We give immunizations! hospitals or art museums, serving as crossing guards for school-aged kids, delivering meals to homebound individuals, and various other activities. Many of these older adults are active and physically fit. However, there are also those who are not as energetic or fit and even fall into the frail category. Why does this happen? From birth until about age 30, your body is in muscle-building mode, but as you enter your mid-30s, you begin to lose muscle mass as a natural part of the aging process. This is called age-related sarcopenia. People who are physically active lose about three percent of their muscle mass each decade, but in people who are not physically active, sarcopenia can happen much faster. After the age of 75, this condition can really kick into high gear. Oftentimes the evidence is seen in the legs, which appear very thin due to the muscle-wasting process. The good news is, muscle loss is
intensity, frequency, and number of reps in order to get the most benefit out of your exercise regimen without injuring yourself. Naturally, diet plays a role as well. It’s important to get enough calories and protein each day to sustain muscle mass. Protein is the most valuable nutrient for repairing and building muscle fibers, yet a significant percentage of us don’t get enough of it. Studies show that 12% of men and women over the age of 70 eat significantly less than the recommended amount of protein, which is 1.2 grams per kilogram of body weight each day for healthy adults. Those with sarcopenia need even more protein—1.2 to 1.5 grams per kilogram of body weight. What foods are good sources of protein? Most meat, poultry, and fish have about 7 grams of protein per ounce, and one cup of milk or an egg contains about 8 grams of protein. The best protein sources include
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grass-fed beef, organic whey protein, lentils, organic chicken, black beans and other beans, milk, yogurt, eggs, and cheese. And keep in mind that itâ&#x20AC;&#x2122;s important to have some protein after you exercise for muscle repair. While the number-one cause of sarcopenia is lack of exercise and inactivity combined, even people who have been physically active all their lives experience age-related sarcopenia because other factors also play a role, such as the aging of nerve cells, inadequate intake of calories and protein, the bodyâ&#x20AC;&#x2122;s ability to synthesize protein, and decrease in growth hormones. But itâ&#x20AC;&#x2122;s not all downhill from here! Be positiveâ&#x20AC;&#x201D;think about your current age and how you want to be 10 years from now. To reach that goal, youâ&#x20AC;&#x2122;re going to need to move more, lift more, and choose protein-rich foods. Remember, September is time to celebrate healthy aging. Its time to rejuvenate and eat right! Laurie Syring, RD/LD, is Clinical Nutrition Manager at ProMedica Flower Hospital. â?Ś â&#x20AC;&#x201A;â&#x20AC;&#x201A;Healthy Living Newsâ&#x20AC;&#x201A;|â&#x20AC;&#x201A;September 2020â&#x20AC;&#x192;29
You’re never too old for Super Slow Training THOUGH 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 owner Russ 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
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concern are hills and incline workouts. I purposely choose certain routes that concentrate on hills to challenge myself as a runner. There are many ways to discover new challenges as a runner. Find out for yourself what you can do to minimize your “comfort-zone” tendencies. It will make you a better runner.
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.
Amanda Manthey is a former collegiate runner for Eastern Michigan University. She writes about running and fitness for Dave’s Running Shop. ❦
For an appointment, call Russ Wakefield at 419-536-0408. TriggerPoint, located at 2449 N. Reynolds Rd., is also on Facebook. ❦
do the work for you. Though slow, this technique is intense, really working the muscles. 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 n
Dave's - continued from p18
James D. Diethelm, MD Ryan Szenderski, PA-C Same day appointments available with our physician assistant
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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.
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Healthy Living News | September 2020 31
by Sister Karen Zielinski, OSF “THE ROOM WHERE It Happens” is a song from Act 2 of the musical Hamilton, based on the life of Alexander Hamilton, which premiered on Broadway in 2015. The musical relates Hamilton’s life and his relationships with his family and Aaron Burr. Lin-Manuel Miranda composed the song, which detailed the Dinner Table Bargain of 1790 when Hamilton, Jefferson, and Madison met privately and hashed out the compromise that set the location for the new US Capital on the Potomac River in what is now Washington, DC. Historic details of the private meeting are not known, except for some published notes by Jefferson. Others not present in the room would have loved to be there, the room of power where grand decisions were made. The room was a place where politicians and the powerful carved out decisions. The song helped me see that a specific room can enhance my daily life activities. When the stay-at-home/work-athome time started, I was okay. I had a phone, my iPad, a smart phone, and a printer. It was late February, and I knew I could write, plan events, and keep in contact with people by
n body’s perfect The room where it happens phone, email, or texting. My job is co-director with Kathy Faist of the Sisters of St. Francis Associates—Christian women and men who learn about our Franciscan Sisters and join them for prayer, social gatherings, and special programs that support our ministries like Bethany House, Sophia Counseling Center, the Labre Project, etc. The first few weeks, Kathy and I communicated by phone, voice calls, and email. We had to cancel five different events. That meant a loss of help to people who needed food and support for other resources needed in their lives. The cancellations began since most of our activities involved groups of people. We planned a day-long spiritual retreat: cancelled. Our butter lambs and crosses, a fundraiser for the charitable care fund at Sophia Counseling Center, was cancelled.
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Our monthly faith-sharing/scripture-discussion group, as well as our Spring Tea, which helped support Bethany House, our long-term home for victims of domestic violence and their children, would not happen this spring either. After the tough decisions to cancel these events, we called our associates and everyone involved in the event with the message, “We will not have this event this year because of the pandemic. We hope to see you next year.” We returned registration fees by mail and sent a few reflective and upbeat emails to our associates. After about five weeks, we were allowed to return to our offices, wearing masks and keeping our distance from people. I was looking forward to the days (which changed into months) ahead, a time for me to call associates and keep up with my monthly articles from three different magazines. I had no problem meeting my deadlines while I went to work in my office during pre-pandemic times, but during this work-at-home time, I truly struggled to get things done! I was convinced I was suffering from depression because it took me so long to even sit down at my iPad and begin anything. I never missed a deadline but had trouble starting. Once I finally started a project, I was completely focused, almost to the point that I was oblivious to anything else happening around me—thunderstorms, high winds, and even text message alerts. I tried to figure out what changed in my work life so much that I wasn’t my usual disciplined self. Some factors contributed to my new work environment. Phone calls now took a lot of time. Friends, associates, and neighbors would call, and our visits were sweet, deep, funny, and pretty long! I loved the connection with people, but some days I would be on the phone for over two hours. I made schedules so that I could prioritize my day and always included my work tasks. Sometimes that helped me get going but not always. I wondered: what is wrong with me? I think I discovered part of my
slow-to-get-started-on-work problem. I needed a dedicated workspace. For months, I placed my iPad on my little kitchen table and was ready to work, but I didn’t get started right away. I shuffled some papers or I refilled my napkin container, changed my placemats, made sure my salt and pepper containers were filled, and checked the weather forecast. I went to my office for a few days during the week, and I had accomplished much at work. I wondered what was so different about my work environment, and it hit me. I do much better in my office because it is a place for work. I do not have the distractions of emptying a dishwasher, trash, or fruit that needs slicing. Environments help us do what we need to do. A bedroom helps us sleep when it is cool and quiet, with lights off. We can be more spiritually reflective when our place of worship is quiet, calmly quiet, and with a simple, artistic environment. Offices have our computer set up the way we like it, with books, office supplies, a printer, etc. where we want them. These rooms all help us do what we need to by their environment. We pray more easily in a sacred place, sleep better in a relaxing bedroom, and work more efficiently in an office. There is a specific advantage to a room designed and designated for a specific purpose. Many of us can work efficiently in our homes, but I bet that many prefer their workplaces, although it is great to work at home. I just know that I need to be aware of the importance of my “Room where it Happens,” whether at home or my office. It’s like they say in real estate: “location, location, location.” I need to be mindful of making sure that I work in a “Room where it Happens” whenever I can. 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. ❦
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n
Dental - continued from p22
mind that the old adage ‘An ounce of prevention is worth a pound of cure’ always holds true for dentistry. As long as you’re feeling healthy and pass the screening and temperature check, we’ll be happy to provide preventive care or any other dental services you need,” Dr. Clark says. Dr. Clark is currently accepting new patients, and his office can be reached at 419-874-3333. For more information on his office, staff, and services, please visit his website at chrisclarkdds.com. ❦ n
Raking - continued from p25
tection, long pants, and a long-sleeved shirt. When using a plug-in electric blower, keep in mind that electricity and water are a dangerous combination. Never operate a plug-in blower when it’s raining or when the ground is wet from rain or dew. Of course, as with raking, proper body mechanics should be employed when using a leaf blower.
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#6 Break it up Every athlete knows that it’s important to get back in the game slowly after a long hiatus. You should take the same approach to raking leaves. After all, it’s likely been a year since you did it last, so your body is unaccustomed to the exertion. Taking frequent rest breaks in between short work sessions will give your muscles a chance to relax and help prevent an overuse injury. Also, don’t be afraid to ask for help. If you have to carry a heavy load of leaves, don’t approach it like a “weekend warrior.” Get someone to assist you with the burden.
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Please call for information or stop by Mon.–Fri., 8:30am to 4pm 2700 Pelham Road Toledo 43606 419/537-1515
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Genesis - continued from p25
morning, and a luxurious pool and hot tub with the beautiful sun shining through the skylights. Although these are just a few of the first-class amenities offered at Genesis Village, the list goes on how living in a 5-Star Community where you can age in place is the ideal way to spend your retirement years. Please join us as we have spacious studios and one-bedroom and two-bedroom apartments with a variety of layouts available to meet your preferences. Genesis Village is an all-inclusive, resort-like community that will truly knock your socks off and bring a smile to your face every day. To find out how you can make Genesis Village your “Home Sweet Home” call Kim or Carleen at 419-720-1286. You won’t regret it!
• Individually controlled heat and air conditioning • Laundry facilities • Appliances & utlities included • Rent based on income (extremely low-income individuals encouraged to apply)
Pelham Manor is a tobacco-free property providing one- and two-bedroom apartments for persons aged 62 years or older, with some units available to persons under 62 who require certain accessibility features.
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#7 Rake for exercise When done right—i.e., using proper body mechanics and not pushing yourself too hard— raking can be good exercise that strengthens your upper body and core. It can also burn up to 240 calories an hour. By heeding these safe-raking tips, you can make the most out of this annual activity, and your body will thank you for it. ❦ n
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How to help siblings adjust to a newborn’s arrival THERE’S NO QUESTION that the arrival of a newborn is both a blessing and a challenge to parents. The seemingly endless nights with little or no sleep, constant feeding and diaper changes, and ever-present, ear-splitting crying can be a trial for even the most patient, mature moms and dads. In all the excitement and stress, it’s easy to forget that older children, too, have a lot of adjustments to make when a newborn sibling arrives. After all, there’s now competition for the parental time and attention that was, until recently, focused exclusively on them. It’s normal for children to feel a little resentment under these circumstances, even if, on one level, they’re thrilled about having a new brother or sister. The good news is, with a little preparation and understanding, parents can help smooth this transition for older children and nip sibling rivalry in the bud. Here’s how: Set the stage If all goes as planned, you’ve got nine months of pregnancy to get ready for your baby’s arrival.
have around a baby. Encourage them to practice holding a newborn and properly supporting the baby’s head using a doll or stuffed animal.
Be sure to use some of that time to prepare your older child for the changes ahead. It’s a lot easier for kids to adjust to change when they know what to expect. Read some children’s books about pregnancy and new babies together to help them understand what’s happening and how things will be different when the baby comes. Encourage them to discuss any feelings or concerns the books might elicit. Young kids often have unrealistic expectations about a newborn’s capabilities. Explain to your child that it will be quite some time before
their new sibling will be able to play or interact in any meaningful way. Also, make sure they understand that babies are a lot of hard work and demand a lot of time and attention so you might be tired for a while. Many hospitals offer a special sibling class to help prepare kids for a newborn’s arrival. Take advantage of one if available. These programs may include a tour of a maternity room so kids know where Mom is going when it’s time to have the baby. This period of preparation is also a good time to teach your child the proper way to touch, hold, and be-
Sunlight
Don’t sweat behavioral setbacks Don’t be surprised if a child who seemed excited about the pending birth has second thoughts after the baby actually comes home to stay. For example, once a newborn arrives, it’s not uncommon for older children to display some degree of regressive or disruptive behavior, such as using baby talk, wanting to be fed with a bottle, having toileting accidents, or having temper tantrums. Though this behavior might add to your workload and frustration, don’t worry; it typically resolves within a relatively short time. However, it’s important to teach your child that, while it’s okay to have negative feelings about the baby, it’s never okay to express them through aggressive behavior toward the baby. Instead, encourage them to draw a n
Newborn - continued on p35
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34 September 2020 | Healthy Living News
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Newborn - continued from p34
picture showing how they feel or act out their emotions using a doll.
that is suited to their capabilities and safe for the baby.
Reinforce your child’s importance Assuring your child that they have always been and always will be precious to you can significantly allay their anxiety over a newborn’s arrival. Take a few minutes together to look back over their infant photos or videos and discuss how exciting it was when they were the baby of the family. Tell them how proud you are that they’re such a good big brother or sister to the baby and such a good helper for you.
Be mindful of relatives’ gushing When a baby is born, it’s not uncommon for visiting relatives and friends to gush over the newborn while forgetting about the feelings of the older sibling. If your older child seems to be having a particularly hard time adjusting to your new family member, you might want to discreetly mention this fact to visitors or make a point of praising them in front of others for how helpful and mature they’ve been since the baby came.
Get your child involved Another great way to help your child develop a positive attitude toward the new family member is to encourage them to take an active (and age-appropriate) role in caring for the baby. For instance, they could hand you supplies at bath time, choose which outfit to put on the baby (out of two or three options pre-approved by you, of course), fetch wet wipes, help push the stroller, carry the diaper bag, retrieve bottles, or anything else
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Spend one-on-one time together Most importantly, parents should set aside some time every day to play with and listen to their older child one-on-one so they know they’re loved and still an important member of the family. Babies don’t give parents much of a break, but Mom and Dad can always take turns—with Dad spending time with the older child while Mom tends to the baby and vice versa. ❦
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Virtual Visits for a Healthy You Health has taken on a new importance these days. But at Mercy Health, yours has always been our top priority. And we’re as committed as we’ve always been to providing you with high-quality, personalized care—whether safely in our clean facilities or virtually from the comfort of your own home. Visit mercy.com/primarycare to connect with a primary care provider today.
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36 September 2020 | Healthy Living News
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