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March/April 2013 Vol. 2, No. 4
Letter from the Executive Editor
10 In and Out
What’s Happening In and Out of New Albany
12 Personalities First Fruits
The New Albany Community Garden grows from the tiny seed of Suzanne Lucas’ idea
On the Path
Nutrition Mission District observes nutritional standards while keeping school lunches appealing
Examining the benefits and risks of imaging services
24 Initiatives From the City of New Albany 26
Foods for Fitness
Let’s Make a Meal New Albany-Plain Local fifth-graders declare their love for favorite foods
Ask the Expert
Behind the Counter When you have a question about a prescription – or about anything in the medicine aisle – turn to a pharmacist for answers
Gadgets & Gear
Health and Fitness Goodies
p. 20 WIN!
p. 26 Visit healthynewalbanymagazine.com and enter to win these great prizes: Big Banjees Wrist Wallet See page 32 for item details.
SKLZ SAQ Speed Chute See page 33 for item details.
On the Cover Suzanne Lucas at Franklin Park Conservatory Photo by Cunningham Charlowe Photography
Books, websites and studies
Share comments/feedback at firstname.lastname@example.org 4
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The Publisher welcomes contributions in the form of manuscripts, drawings, photographs or story ideas to consider for possible publication. Enclose a SASE with each submission or email firstname.lastname@example.org. Publisher does not assume responsibility for loss or damage. The appearance of advertising in Healthy New Albany Magazine does not constitute an endorsement of the advertiserâ€™s product or service by the City of New Albany or Healthy New Albany, Inc.. Healthy New Albany Magazine is published in January, March, May, July, September and November. Subscriptions are free for households within New Albany-Plain Local Schools. For advertising information or bulk purchases, contact Gianna Barrett at 614-572-1255 or email@example.com. No part of this publication may be reproduced without the written consent of the publishers. Healthy New Albany Magazine is a registered trademark of CityScene Media Group. Printed in the U.S.A.
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Jump into Spring I can’t remember a winter during the past 10 years in which my outdoor romps along the winding New Albany paths were so curtailed. The more-than-usual snowfalls produced slippery surfaces that discouraged my outdoor pursuit of fitness. Give me 10 inches of that white powder and I am good to go; no slippery surfaces about which to be concerned. However, trying to walk on a 1-inch layer of snow resting above the asphalt evokes images that elicit my worst nightmares. That broken bone in my wrist as I fall forward, or worse yet, the concussion I suffer as I fall backward, unable to stop my body from using my head like a basketball being dribbled on the playground concrete, are thoughts that transcend every neuron lodged inside my brain. Walking on 1 inch of snow, to me, is just as slippery as having to walk on a surface lined with banana peels resting above a layer of WD-40 lubricant. I detested this past winter so much that I spent more time than ever visiting friends and family in California and Florida. But now I’m pumped up. Spring is just around the corner and I no longer have the desire to migrate to the temperate climates on the west and south coasts. I’m breaking out from the winter doldrums and appreciating what awaits me in New Albany. In perusing the calendar of events in this issue, I am motivated by all of the outdoor happenings that can now take place. Reading about Suzanne Lucas and her involvement in the New Albany Farmers Market and Community Garden evokes thoughts of upcoming warmer weather activities. My enthusiasm for taking advantage of the warmer days ahead has returned, and I’m jumping for joy. Respectfully,
Phil Heit, Executive Editor
in & out
What's happening in and out of New Albany Through March 3 Arnold Sports Festival In and around downtown Columbus, www.arnoldsportsfestival.com The largest multi-sport festival in the nation returns to Columbus for its 25th year. New events including the Arnold Scottish Highland Games, the Arnold Party with the Pros at Hollywood Casino and the Arnold, Champions & Legends Sunday Morning Showcase join such stalwarts as the Arnold Classic and the Arnold Fitness Expo on this year’s agenda.
Through March 3
March 2 An Evening in New Albany
7 p.m., Winding Hollow Country Club, 6140 Babbitt Rd., www.nawn.org This adult-only community event, a fundraiser for the New Albany Women’s Network’s Endowment Fund, features live music by The Conspiracy Band, a photo booth, a silent auction, catering by Winding Hollow Country Club, a cash bar and a signature drink sponsored by Tessora Liqueurs. NAWN’s Endowment Fund supports various community causes, especially those benefiting women and children. Reservations are $51.50 per person. Photo by Pierre Chiha
March 3 Audubon Bird Hike
March 8 Yoga Play! 4-5 p.m., Franklin Park, 1500 E. Broad St., Columbus, www.fpconservatory.org Children ages 6-12 can practice kid-friendly yoga poses, sequences and movement led by Yoga Alliance certified instructor Courtney Denning. Cost is $6 for a drop-in session.
March 10 Spring Vegetables 10:30 a.m.-12:30 p.m., Franklin Park Conservatory, 1777 E. Broad St., Columbus, www.fpconservatory.org Learn proper techniques for planting spring vegetables at this workshop. Participants will receive vegetable seeds. Cost is $15 for conservatory members and $20 for non-members.
March 16 St. Patrick’s Day 5K
9 a.m., Blendon Woods Metro Park, 4265 E. Dublin-Granville Rd., Westerville, www.metroparks.net Those with a passion for birding can meet at the Nature Center for a 2-mile hike on a hunt for birds. Dress appropriately for the weather.
8 a.m., Flannagan’s bar, 6835 Caine Rd., Columbus, www.ultrafit-usa.com Celebrate St. Patrick’s Day with a 5K run/walk beginning at Flannagan’s. Participants get a goody bag, as well as entrance to a pre-race breakfast and the WNCI Flannagan’s party. Open to runners 21 and older with valid photo ID. Pre-registration is $38 or $45 on race day.
March 5 Healthy New Albany Lecture Series: Who’s the Boss? Expecting Excellence as Care Needs Change
March 16 Winter Indoor Farmers Market
7 p.m., Mershad Hall, Jeanne B. McCoy Community Center for the Arts, 100 E. DublinGranville Rd., www.healthynewalbany.org Dr. Bonnie Kantor-Burman, director of the Ohio Department of Aging, speaks on providing healthcare to the aging, in all settings, that is based on the values of relationship, choice, respect and responsive care. Admission is free; canned good donations are accepted.
March 8 NPR’s From the Top
8 p.m., Jeanne B. McCoy Community Center for the Arts, 100 E. Dublin-Granville Rd., www.mccoycenter.org See the popular program From the Top, hosted 10
weekly by Christopher O’Riley on NPR. This program features performances and personal stories of talented young classical musicians from coast to coast. It is the most popular classical music program on NPR, and is broadcasted to more than 200 stations to an estimated audience of nearly 700,000 every week.
10 a.m.-1 p.m., Charity Newsies, 4300 Indianola Ave., Columbus, www.columbuswinterfarmersmarket.com Fresh, local produce and other products are available indoors. Take home some seasonal products such as fresh baked cookies, handdipped chocolate and handcrafted soap.
March 21 Spring Fling Business and Community Expo 4-7 p.m., Church of the Resurrection, 6300 E. Dublin-Granville Rd., www.newalbanychamber.com The spotlight is on local vendors and community organizations at this New Albany Chamber of Commerce expo. The New Albany High School www.healthynewalbanymagazine.com
Inside New Albany
music department provides entertainment, as well as dinner available for purchase with funds benefiting the NAHS Music Boosters. Shred-it offers free shredding (five box limit). Door prizes will be offered, including a drawing for two free airline tickets from local travel company TS24. Admission is free.
March 24, April 7 Scioto Mile(s) Spring Training Series 8 a.m., Genoa Park, 303 W. Broad St., Columbus, www.premierraces.com Walk or run 5K, 10K or 15K on this 5K loop course through Genoa and Scioto Audubon Metro Parks along the Scioto River. The $90 entry fee pays for entry into both races, two unique event T-shirts and Snowville Creamery Chocolate Milk. Can’t make both dates? Entry for a single race is $45.
March 30 Family Hike 1 p.m., Blendon Woods Metro Park, 4265 E. Dublin-Granville Rd., Westerville, www.metroparks.net Meet at the Nature Center to enjoy this 1.2mile hike for all ages on the Goldenrod Trail.
April 6 New Albany Symphony Orchestra Concert and Gala – Fifth Anniversary Finale 7-10 p.m., Jeanne B. McCoy Community Center for the Arts, 100 E. Dublin-Granville Rd., www.mccoycenter.org Eight-time Grammy award winning cellist David Finckel closes the New Albany Orchestra’s fifth season with conductor Luis Biava. The program includes Vivaldi’s Two Cello Concerto, Tchaikovsky’s Rococo Variations and Respighi’s Roman Festivals. Tickets are $9-$17 when purchased in advance.
April 7 Youth Piano Competition Winners Recital 3-4 p.m., New Albany United Methodist Church, 20 Third St., www.naarts.org First and second place winners in each division perform their winning pieces from the Youth Piano Competition for New Albany pianists in grades K-12 at this free event.
Outside New Albany April 3 Container Gardening: Growing Vegetables and Flowers Almost Anywhere
5:30 p.m., Oakland Nursery, 5211 Johnstown Rd., www.healthynewalbany.com Presented by Healthy New Albany in conjunction with Franklin Park Conservatory, New Albany Community Garden and Oakland Nursery, this class on container gardening is taught by an expert from Franklin Park Conservatory.
April 20 Blaze the Trail 5K 9 a.m., Genoa Park, 303 W. Broad St., Columbus, www.premierraces.com Enjoy this 5K and Family Fun 1-mile walk, hosted by the Friends at The Ohio State University Wexner Burn Center, which promotes burn prevention awareness and raises funds for The Ohio State Wexner Burn Center Development Fund. Early registration is $30 through April 6 and $35 afterward. Kids 12 and under may register for $10 through April 6 and $15 afterward.
March 24 & April 7
April 20 Women’s Day Out 10 a.m.-3 p.m., Church of the Resurrection, 6300 E. Dublin-Granville Rd., firstname.lastname@example.org Enjoy a day of shopping, pampering and fun at this expo with more than 50 home-based and small business vendors. New this year, the event includes food trucks. Admission is free.
April 21 Hoover Hustle 10 Miler, 10K and 5K 8 a.m., Bel Lago, 170 N. Sunbury Rd., Westerville, www.ultrafit-usa.com This race features 10-mile, 10K or 5K distances along the banks of the Hoover Reservoir. Registration – $30 for the 5K, $35 for the 10K and $40 for the 10 Miler – includes a technical race shirt and finish line food and beverage.
April 27 Casino Night 6-11 p.m., Winding Hollow, 6140 Babbitt Rd., www.naboosters.org Support the New Albany High School Athletic Boosters at this evening featuring 20 gaming tables open from 7-9 p.m. and a silent auction and prizes until 11 p.m. Tickets are $40 each or $70 per couple and include a complimentary drink, appetizers and casino cash. 11
By Lisa Aurand
It all started with a New Year’s resolution. A few years ago, Suzanne Lucas decided she’d do her best to eat locally as much as possible. “It wasn’t for any political or social reason. I just wanted to see how easily (it could be done),” Lucas says. She already had part of the answer in her own back yard. The first thing Lucas and her husband, Jon, did when they moved to New Albany was set up a garden. At the time, in 2007,
it was a bit unusual. She had to get permission to build it. “It was sort of a novelty for the neighborhood,” Lucas says. “‘What’s she doing? What’s she planting? What’s coming out of the garden this week?’” When Lucas heard that a small group was getting together to talk about health and wellness initiatives in the community, she wondered if gardening would be discussed. www.healthynewalbanymagazine.com
Photo by Cunningham Charlowe Photography. Styling by Michael Puccetti and Melody Sherrell.
The New Albany Community Garden grows from the tiny seed of Suzanne Lucas’ idea
Lucas and her son, Robbie, 7, plant seeds in their community garden bed.
The community garden committee hosted awards last year with categories such as Best Garden Sign and Best Garden Name & Theme.
“I looked around New Albany and noticed there was a lack of gardens, especially vegetable gardens. A lot of that is probably for aesthetic reasons, but I hadn’t met a lot of people that were gardening,” Lucas says. “I said, ‘Let me go (to the meeting) and see if gardening is a part of it.’” At that meeting in 2009, one of the first for the fledgling Healthy New Albany, Lucas raised the idea of both a farmers market and a community garden. Though both have sprung up in the intervening years, the community garden has been Lucas’ personal project – one she’s tended to with just as much care and enthusiasm as the garden in her own yard. “I’m not a gardening expert, but I have this desire to learn and to share what I know and to glean what other people know, too,” Lucas says. Lucas’ love of plants goes back to her childhood. Her father had a garden, so plants were always a familiar fixture in her life. “He had the richest, most fertile soil because he was always throwing his grass clippings on it. It was all those little lessons that I didn’t know I was learning along the way,” she says. Lucas studied botany at Miami University for her undergraduate degree and earned a master’s in plant breeding and genetics at Michigan State University. After graduation, she bred petunias for PanAmerican Seed in Chicago. www.healthynewalbanymagazine.com
“I loved science, but I knew I didn’t want to go into medicine,” Lucas says. “Now I do the stay-at-home mom thing, so I guess this is my outlet to get back into botany.” After that initial meeting with Healthy New Albany, Lucas launched an online survey, the results of which indicated New Albany’s strong support for a community garden. Through her involvement in the Franklin Park Conservatory Women’s Board, she learned about the Growing to Green program, which supports community gardening. A class on starting a community garden helped give her confidence to move forward with her efforts in New Albany. In spring 2011, those who took the survey were invited to a planning meeting at the New Albany branch of the Columbus Metropolitan Library. A lot of people at that first meeting haven’t remained involved in the garden, says Jackie Krebs, member of the New Albany Community committee. At the time, the group was still trying to find land to host the community garden. “I think they were ready to plant that first day, and we were only starting to sprout,” Lucas jokes. “I was kind of stuck in a mode of analysis paralysis, and it was that small group of people that said, ‘No, let’s start now. …’ And I was so glad we did because we were able to expand and get more support.”
Fortunately, the City of New Albany turned out to be on their side, allowing the group – the core of which is about 25 dedicated volunteers – to build 16 4-foot-by-4-foot raised-bed plots in the green space behind the Village Hall parking lot. The effort proved so popular that there was a lengthy waiting list for plots. The New Albany Women’s Network kicked in $1,500 toward a rain barrel system, which was installed at the New Albany Police Department building. “I thought it was the biggest coup when we put the rain barrels up at the police station,” Lucas says, adding that the Village Hall location seemed equally improbable. “I still feel like we’re getting away with something.” In its second year last year, the garden expanded to 76 plots. Gardeners included neighbors, families with children, newlyweds, a mother-son team, a class of sixth-grade boys and a group from NAWN. The committee hosted fun activities: a potluck and awards for categories such as Best Garden Sign and Best Garden Name & Theme.
New Albany Community Garden Committee meetings are held at 5:30 p.m. the first Tuesday of each month, in the garden during warm months and, in the winter, at the Plain Township Fire Department building, 9500 Johnstown Rd. 13
A group of community leaders from Healthy New Albany and the City of New Albany gathered Jan. 17 to celebrate a $10,000 grant from the Aetna Foundation, presented by Maria Mendez, a community relations director for Aetna (front left).
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As Lucas and her crew gear up for the garden’s third season, even more developments are popping up. In January, the Aetna Foundation awarded it a $10,000 grant to help secure a more permanent water source and add signage. The rain barrels have been useful, but ran dry a few times during last summer’s drought. Lucas wrote the grant herself. The committee is still examining how to best spend the money, she says. Options include tapping into city water or drilling a well. And the garden is again expanding – this year by an additional 10 plots. But the real success, Lucas says, has been the relationships that have developed through the garden’s growth. “(Bill Dawson, the Growing to Green coordinator for Franklin Park Conservatory) is always saying the actual gardening in a community garden becomes secondary to the camaraderie, the knowledge passed on and the experience,” Lucas says. That’s been true in her personal life as well. Lucas’ sons Robbie, 7, and Owen, 4, love helping Mom in the garden. All winter long, Owen asked her when he could go back to see the plants, but she told him the garlic and onions were still sleeping. “I love that sense of pure joy and pride they have when they run up to their friends and say, ‘Look at this zucchini I grew! It’s this big!’” she says. www.healthynewalbanymagazine.com
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Lucas’ kids were a large part of her motivation for starting a community garden. “My father was a huge gardener in my life,” she says. “Once he passed (in 2008), I just realized that was something I could give my children from him. … I really think this garden has pulled me out of the depression of losing my dad. It’s positively impacted my life and my kids’ lives while having a positive impact on the community, too. It’s about becoming part of something bigger than myself. That’s helped me.” Outside of time spent planting and pulling weeds, Lucas spends her free moments online on gardening message boards and perusing the website Pinterest for garden ideas. “We’re lucky because (Lucas’) New Year’s resolution has sparked a revolution in New Albany of eating locally and finding those sources,” Krebs says. “I think if you see something you want changed, you have to be that change,” Lucas says. “That’s what I want to teach my kids, hopefully.’ For more information on the community garden, visit www.facebook.com/ newalbanycommunitygarden. Lisa Aurand is editor of Healthy New Albany Magazine. Feedback welcome at email@example.com. www.healthynewalbanymagazine.com
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on the path
By Garth Bishop Photography by Lisa Aurand
Nutrition Mission District observes nutritional standards while keeping school lunches appealing
Reworking the school lunch menu to ensure it complies with far-reaching federal health mandates is no easy task. But in New Albany-Plain Local schools, district food services staffers have put their all into making lunches compliant. And while other school districts face unrest and even boycotts from students upset at the new limitations on pizzas and desserts, New Albany has managed to keep its offerings appealing as well as healthful. The federal Healthy, Hunger-Free Kids Act of 2010 set, among other things, new nutrition standards for school meals. Those standards have been phased in since the act took effect, affecting a la carte offerings during 16
the 2011-12 school year and focusing on lunch entrees this school year. Previously, standards determined only the minimum offerings available to students. The new standards, though, put maximums on offerings. For instance, protein is capped at 2 ounces per meal for high school students and 1 ounce for elementary and middle schools, encouraging students to eat balanced meals containing sufficient amounts of fruits and vegetables. That necessitated changes to some of the options available to New Albany students, such as the burrito bar. â€œOne of our biggest serving days is burrito bar (day),â€? says Pam Charles, director of food services for the district.
To keep servings from exceeding the cap on grains, tortilla sizes were reduced and students now choose between a tortilla and rice instead of being able to have both. In order to avoid exceeding the cap on protein with meat and cheese, the district portioned out the meat in each burrito and keeps the cheese on the side as an option. Responding to pressure, the U.S. Department of Agriculture temporarily removed the caps in December, but the standards in the New Albany-Plain Local kitchens have only been relaxed slightly because of the knowledge that maximums could be reinstated at any time, Charles says. www.healthynewalbanymagazine.com
Opposite Page: A high school food service worker dishes out pesto vegetable pasta. Right: Students must take at least two fruit or vegetable items. There is no maximum on how many produce items they select. Bottom Right: Yogurt is just one of the selections available daily on the a la carte menu for the district’s middle and high school lunches.
The pasta bar is incorporating more vegetables and pesto, and one day a week it offers a Piada-style option similar to that offered by the burrito bar. As with the burrito bar, staffers have the portioning down to a science, knowing exactly how much protein and grain they should add to an individual student’s meal, Charles says. To make sure its panini line met standards, the district cut panini sizes in half and serves them on whole grain bread. The pizza line, once a consistent offering every day, is now converted to a chicken nuggets line one day a week and a sub sandwich line one day a week. Desserts are rare. Federal standards put no maximum on the amount of fruits and vegetables a student can have, so neither does the school district. To make up for the calories students cannot obtain from protein and grain, the district offers unlimited fruits and vegetables. Participation in a government commodity program focused on fruits and vegetables has allowed the schools to offer a lot of items they might not otherwise have access to, such as tangerines. The program also provides portion-sized bags of items such as broccoli, cauliflower and apple slices. Drinks that are 100 percent juice, such as Capri Sun pouches and fruit slushes, are also an option. Elementary school students have fixed menus and, thus, fewer options in general, but they do have access to a fruit and vegetable bar with five options per day. While some nutritional changes have been made in response to federal mandates, others were established years ago to make sure kids’ options are healthful. Skim and 1 percent milk and www.healthynewalbanymagazine.com
whole grain breads have long been incorporated into New Albany’s lunches, and French fries are baked rather than fried. “We’ve never had deep fryers here,” Charles says. Fattening snacks such as potato chips have been pulled and replaced with more wholesome options such as granola bars. New Albany schools have never carried soft drinks, and sports drinks are available only to high school students. Vending machines carry mostly water, and water is the only beverage that can be dispensed from them during the
school day; there are no snack vending machines. Condiments are now available on request rather than at an unattended station. Though changes to their established options rubbed some students the wrong way, the student body as a whole has been understanding about 17
Unlike older students, elementary school students who purchase lunch have only one option for entrees, but a fruit and vegetable bar, added in 2010, features five options each day.
the limitations the food services program faces, Charles says. It helps that New Albany students are fairly healthconscious she says, and the district works hard to engage them. The key is making sure offerings appeal to students, even if they’re not what they used to be, Charles says. “I think we give them just about everything they could possibly want,” she says.
Collaborations with outside groups have allowed the district to expand its horizons and look for new ways to make meals tasty without making them unhealthful. These collaborations include Chefs Move to Schools, a national program that connects school districts to local chefs who suggest new ideas; visits to other school district’s cafeterias; and work with dieticians, including
one from Ultimate U and an intern from Columbus State Community College. Charles expects the 2013-14 school year standards to focus on breakfast. New Albany offers breakfast as an option for all grade levels. Garth Bishop is a contributing editor. Feedback welcome at laurand@city scenemediagroup.com.
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By Sherri M. Gordon
X-Posure A As a patient, it is common to have questions about the medical imaging procedures prescribed for you or your children. In fact, many people today wonder about the effect of radiation exposure when it comes to X-rays, CT scans and MRIs.
Decoding the Imaging Alphabet
Before you can understand the risks, it’s important to understand the purpose of each diagnostic tool. For instance, Xray imaging, or radiography, is a relatively inexpensive form of imaging with very low levels of radiation exposure to patients, says Donna Hutchinson RT, CT, ARDMS, M, a sonographer at Mount Carmel New Albany. “Most doctors start with an X-ray because it’s a good screening tool. If they see something on the X-ray that might require further imaging, they might refer the patient to get more advanced imaging (like a CT scan or an MRI),” Hutchinson explains. “It depends on what you are looking at. Both are very good tools.” CT scans, or computed tomography, can help doctors detect everything from cancer to kidney stones. Although CT scans emit much more radiation than an X-ray, doctors order them because of improvements in diagnostic accuracy, 20
greater availability and improved technology that reduces radiation exposure. CT scans are good for looking at fractures and bony structures, says Director of Radiology Carl Hunlock, RTR, CT also from Mount Carmel New Albany. In contrast to CTs, MRIs use strong magnets to allow for the computed generation of their images, says Dr. Allen Katz of Riverside Radiology and Interventional Associates, a board member of the Ohio Patient Safety Institute. “MRI does not use (any type) of ionizing radiation; (that’s) one of its benefits, especially with younger patients,” he says. Another benefit, says Katz, is “its outstanding soft tissue detail. This makes it very useful when evaluating injury to ligaments, tendons and menisci of the knee, for example.” It also can provide unique information on the brain, chest, abdomen and pelvis. The disadvantages are long scan times, poor tolerance by claustrophobic patients and high cost, says Katz.
Radiation occurs naturally in our environment and has been a part of human life since the beginning. In fact, about half of the average U.S. citizen’s radiation exposure comes from natural sources, according to the United States Nuclear Regulatory Commission. The other half
is mostly from diagnostic medical procedures, with CT accounting for the largest portion of this number. A small portion of radiation comes from consumer products such as tobacco, fertilizer, exit signs, luminous watches and smoke detectors. CT scans, which use significantly more radiation than film X-rays, are the diagnostic tool currently receiving the most scrutiny. A typical CT of the head exposes a patient to 2 millisieverts (mSv, a measurement of the absorption of radiation by the human body), which is the equivalent of 100 chest X-rays or 243 days of background radiation from the environment, according to the Food and Drug Administration. Medical experts are specifically concerned with how CT radiation affects children. Children are considerably more sensitive to radiation than adults because they have more rapidly dividing cells that can be exposed to low-level radiation, according to the FDA. In addition, they have a longer life expectancy than adults, so there is a bigger window during which damage from radiation can appear. As a result, a child’s risk for developing a radiation-related cancer can be several times higher compared to an adult exposed to an identical CT scan, according to the National Cancer Institute. “Children have more delicate tissues ... so reducing the amount of radiation for www.healthynewalbanymagazine.com
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Examining the benefits and risks of imaging services standard procedures has been a very important factor in the development of our technology,” says Dr. Terry Barber, physician director for Nationwide Children’s Hospital’s offsite urgent care centers. Fortunately, newer CT machines are calibrated to expose children to less radiation than ever before, Barber says. Even so, doctors may decide to forego CT scans in favor of other diagnostic imaging, such as ultrasound for abdominal trauma or appendicitis, when the equipment and trained personnel are available. For children whose conditions require CT scans, especially a course of CTs over time, Barber says there are protocols to minimize risk, including limiting the number of scans, as well as the area scanned. “We will minimize the field that we’re looking at … as opposed to doing an entire head CT scan if we’re just interested in the temporal lobe (of the brain),” Barber says. “So it’s not only the technique, but focusing on the problem and eliminating the extraneous radiation.” CT is the largest contributor of medical radiation exposure in the United States. Betweeen 5 and 9 million CT exams are performed on U.S. children each year, according to the National Cancer Institute. Despite the number of benefits – including the detection of cancer or internal injuries – the obvious disadvantage is the www.healthynewalbanymagazine.com
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RADIATION DOSE COMPARISON Diagnostic Procedure
Typical Effective Dose (mSv)
Time Period for Equivalent Effective Dose from Natural Backgroud Radiation
2.7 years *Source www.FDA.gov
inevitable radiation exposure and the chances that exposure can cause diseases such as cancer. Although there is still some debate within the medical community about just how much long-term cancer risk CT scans carry, no form of radiation should be considered risk-free, according to the National Cancer Institute. As a result, medical professionals are taking steps to protect patients, especially children. “While (CT) doses are relatively low, they are significantly higher than is generally used in radiography (or an X-ray),” Katz says. “The radiation dose a person receives from diagnostic imaging, except for very rare accidents, is relatively small. For ex-
ample, a CT of the abdomen is roughly equivalent to the radiation exposure received from the environment living two to three years in the United States. Towards the other extreme, one routine mammogram exposes a woman to about the same amount of radiation she receives over one to two months going through her normal day. A radiograph (or X-ray) of the hand is even less exposure.” So is this exposure enough to cause people to get cancer? According to RadiologyInfo.org, a website run jointly by the American College of Radiology and the Radiological Society of North America, there is some circumstantial evidence suggesting that the diagnostic levels of radiation may be associated with a low-level risk for inducing disease many years after exposure. A study from the National Cancer Institute estimated that of the 72 million CT scans done on Americans in 2007, there would be 29,000 future cancers related to those scans. That number is less than 1 percent of the people scanned. Additionally, the institute’s study indicates that the risk of cancer also depends on how many scans a person gets and which organs are exposed to radiation. Although each scan only has a small impact on a person’s long-term risk of cancer, that risk can build up over time with more scans and more radiation exposure; patients who receive regular scans for chronic problems would be more at risk. For patients who require CT scans, Mount Carmel New Albany uses methods of reducing radiation exposure similar to those used at Nationwide Children’s. These precautions include everything from following low-dose protocols to implementing pediatric doses and shielding portions of the body that aren’t in the machines, Hutchinson says.
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Making the Right Decision for You
In many cases, the benefits of a scan outweigh the risks. “Physicians (wouldn’t) be ordering these tests if there wasn’t a huge benefit,” says Hutchinson. “At Mount Carmel New Albany, all our scanners are using low-dose protocol. We also take a lot of precautions to ensure a very safe environment.” There’s no doubt that CT scans can save lives. For instance, if a person is involved in a serious car accident, a CT scan can be a quick and painless way to detect significant and sometimes critical internal injuries that may not be apparent otherwise. Even when test results are normal, information obtained via CT can prevent unnecessary surgery and lead to other diagnoses. Overall, the goal of any screening exam is to discover a disease at an early stage so it can successfully treated. But when it comes to radiation, it’s good for patients to become aware of the issues, to talk with their doctors and to ask questions. “Diagnostic imaging saves and improves lives every day by diagnosing treatable cancer, by identifying repairable injuries, characterizing infections to guide curative treatments and in many other ways,” Katz says. “It is important to weigh out these benefits against the potential risks of its use.” So what should you ask if your doctor recommends a CT scan? Ask how a CT scan might contribute to your medical care and how it will benefit your treatment. You also might want to ask if it is the only option, especially if the CT scan is for your child. Together, you and your doctor can determine the best course of action. “I encourage everyone to be proactive about their health care,” Katz says. “It is the prerogative of the people to ask questions of health care personnel to their comfort level. Because children are especially sensitive to the effects of radiation, use of CT, in particular, comes with special considerations for children and pregnant women.” Sherri M. Gordon is a contributing writer. Feedback welcome at laurand@ cityscenemediagroup.com.
Unlike CT scans and X-rays, MRIs do not use ionizing radiation.
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By Scott McAfee
Shocking Saves AEDs are now in many local government buildings, schools and vehicles
Sudden cardiac arrest is one of the leading causes of death in the United States, impacting an estimated 1,000 people every day. It can occur without warning anytime, anywhere, to anyone at any age. Cardiopulmonary resuscitation (CPR) has been a mainstay for decades and can be very helpful to those in cardiac arrest. Still, CPR alone is unlikely to restart the heart. The main purpose of CPR is to extend the window of opportunity for a successful resuscitation without permanent brain damage by restoring partial flow of oxygenated blood to the brain and heart. This is where AEDs have become a powerful tool locally for much of the past decade. Short for automated external defibrillator, an AED is a portable electronic device that automatically diagnoses those who may be in cardiac arrest. While not as sophisticated as the defibrillators used by health professionals, the simple and straightforward commands the devices give can help even a layperson provide electrical therapy, if necessary, in an attempt to re-establish an effective heart rhythm for someone in cardiac arrest. The New Albany Police Department began installing AEDs in police cruisers about 10 years ago. “Our officers have used them multiple times while responding to emergencies,” says Chief of Police Mark Chaney. “We often jointly respond to an emergency with
a fire department. Since our cruisers are often already out patrolling the community, an officer may arrive on scene first. Having AEDs in our police cruisers allows us, as potential first responders, to have the best chance of re-establishing heart rhythm when time is of the essence. Then, when the medics arrive, they can take over.” Due in part to the success of the devices in police vehicles, New Albany officials purchased AEDs in 2009 for three municipal buildings – Village Hall, the police station and the public service headquarters. “Having AEDs in our buildings serves two purposes,” says City Manager Joseph Stefanov. “First, these AEDs are
available if any of our staff would fall victim to cardiac arrest. Second, with many public meetings in our facilities, there is a chance that a visitor could go into cardiac arrest. We’ve never had an occasion to use the AEDs we purchased for our buildings, but I’m happy to say that we have them if such a situation arises.” When city officials purchased more defibrillators for their buildings in 2009, they also purchased two for the New Albany-Plain Local Joint Parks District, and the district purchased a third AED on its own at that time. Two of these are kept at Bevelhymer Park, and one is kept at Thompson Park. While the district’s defibrillators have never been deployed for an emergency, Parks & Recreation Director Dave Wharton also appreciates having them. “With so many recreational activities occurring in our parks, there will come a day when something happens. We routinely let our league coaches know where our AEDs are stored during pre-season coaches’ meetings, should an emergency occur,” Wharton says. The New Albany-Plain Local Schools have 15 defibrillators on the campus – at least one in each building, including the McCoy Center. “Having the AED resources available on our school campus is an investment in safety for our students, staff and the community,” says Barry Zwick, the center’s interim director for operations and planning. “One of our devices has been deployed over the time that www.healthynewalbanymagazine.com
Those with access to AEDs should definitely use them. They are simple to use, provide good instructions and perform electrotherapy only when necessary.
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we have had them, and it is credited with helping to save the life of one of our parents.” The Plain Township Fire Department equips all front line fire vehicles with AEDs or full heart monitors and it places a defibrillator at the Plain Township Aquatic Center during the summer. The fire department also routinely trains the community on the use of AEDs as part of its ongoing CPR/ACLS certification, and all known device locations are logged in its dispatcher computer system. This data allows fire dispatchers at the Metropolitan Emergency Communications Center serving New Albany to direct 9-1-1 callers to specific locations in buildings where AEDs are placed, if one is available at the site of the incident, so they can be used in emergency situations before the professionals arrive on scene. When it comes to cardiac arrest emergencies, Assistant Fire Chief Jack Rupp encourages people to use CPR and AEDs depending upon the situation. “First and foremost, it is important to call 9-1-1 as soon as possible to start the professional response in motion,” Rupp says. “Those with access to AEDs should definitely use them. They are simple to use, provide good instructions and perform electrotherapy only when necessary. Those who don’t have access to an AED should perform CPR after they have called 9-1-1 until medics arrive or risk losing potentially lifesaving minutes. In short, call professionals, have an emergency plan and practice your plan so that it becomes second nature.”
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Scott McAfee is the New Albany public information officer and a contributing writer. Feedback welcome at laurand@ cityscenemediagroup.com. www.healthynewalbanymagazine.com
Foods for Fitness
Story and photo by Lisa Aurand
Let’s Make a Meal New Albany-Plain Local fifth-graders declare their love for favorite foods
If you have an elementary school student in New Albany-Plain Local Schools, you see the lunch menu each week. Your kids may eat school lunches – about 80 percent of New Albany High School students do, and the elementary and middle school participation rate is a little lower – but what do they actually enjoy eating? We anonymously surveyed New Albany-Plain Local fifth-graders to find out their favorite foods. This was not a scientific survey by any means (it was obvious that some kids had discussed their answers with each other, and our analysis of the responses was only surface-level), but we think it offers an interesting sneak peek into the minds of local students. Each of the questions with data presented here was multiple choice with a write-in option, and the answers we picked to present as choices were somewhat arbitrary. Three other questions with write-in only answers were also included in the survey. We asked stu26
dents what they would like to see served that isn’t currently served, what is their favorite snack to bring from home and, if the school were to bring in food from a restaurant for lunch, which they’d prefer. Survey questions and answers were formulated with the help of school district Director of Communications Patrick Gallaway. The good news is that the fifth-graders love fruit. The fruit question on our survey generated the most responses – 291 students answered. Some were so enthusiastic about fruit they circled every single one on the list (disqualifying their answers, since directions said to circle one). Write-in watermelon topped multiple-choice option orange. We lumped all write-in berries (strawberries, blueberries and raspberries) in with the multiple choice “Berries” to declare our fruit victor. Vegetables got a more negative rap, as you might expect. Quite a few students left the question blank, but there were also a variety of veggies written in; artichokes, asparagus, Brussels sprouts
Snack To urge first-graders to bring more nutritious snacks, the K-1 building implemented a new program called Snack Attack after students returned from winter break. “We wanted to encourage them to make good choices during snack time,” says K-1 Principal Susan Wittig. The idea came from a teacher who had seen the program implemented at a school in another state where she previously worked. “We modified it to fit our needs,” Wittig says. One random day each week, a surprise announcement is made in the morning: “Today is Snack Attack Day.” Teachers count how many stuwww.healthynewalbanymagazine.com
At least 13 percent of New Albany fifth-graders bring packed lunches to school, according to our survey. Pictured to the left are (back row, left to right): Aur’Devyne Lillard, Lucy Cush, Dylan Hooper, Zoe Paragas, Haley Tobias, Richelle Collins, Ella Guehl; (front row, left to right) Alanna Garver, Jay Cahall, Jack Sokol, Mae Doran and Hayle Tillman.
Other 8 Orange* 9
and cabbage each received at least one vote. Corn was the write-in of choice in this category, which shouldn’t be a surprise considering it’s our state’s second-largest crop. Would you be surprised to learn that water is a popular drink choice for students? More than 20 percent picked it as their favorite. Unfortunately, soda (though it’s not sold in school) did pull in just over 5 percent of the vote. In our entree category, we counted all chicken entrees together. Chicken Nuggets was a multiple choice option, but write-ins included chicken Berries 26* patties, chicken poppers and chicken strips.Other Pizza 8 was the most popular choice by far; we’re guessing that’s because the district has Bellacino’s pizza brought in on Fridays. More than 13 percent Orange* of 9 students responded that they bring packed lunches. A notable write-in in this category was Apple* 19 “Bosco sticks” – breadsticks stuffed with cheese and other fillings. Watermelon 10 Popular snacks included Chex Mix, Cheez-Its, chips,Grapes* Goldfish crackers and fruit snacks. Chipotle, Panera and Piada were a10few of the top answers for the outside restaurant food students enjoy. To view the full survey results, visit www.healthynewalbanymagazine.com. Lisa Aurand is editor of Healthy New Albany Magazine. Feedback welcome at firstname.lastname@example.org.
Favorite Vegetable Other 13
Carrots* 37 Peas* 9 Corn 9 Broccoli * 11
Green Beans* 11
dents have10fresh fruit and vegetable snacks. At the end of the month, the class with the highest percentage of fruit and vegetable snacks wins the Snack Attack Trophy, a basket full of plastic fruits and vegetables. The classOther also13 gets one extra wellness class, during which they’ll select a physical activity of their choice. Carrots* 37 So far, the program has proved Peas* very9 effective, Wittig says. “Parents seem very receptive 9 idea. Kids have gone home toCorn the and put pressure them to bring Green on Beans* * 11 healthfulBroccoli snacks to school,” Wittig 11 says. “We’ve had very positive parent support for the program.” Nannette Nardi Triplett, mother to www.healthynewalbanymagazine.com
Carrots* 37 Peas* 9
Chocolate Milk * 25
Green Beans* * 11 says AlbanyBroccoli first-grader, 11
a New the program has changed the snacks she packs each day. “I was packing dried fruit and then some sort of carbohydrate,” Triplett says. “(My daughter) came home very excited about that program, so we switched to apple slices and Juice*that 30 was a cheese stick because (more healthful).” In addition to encouraging better Water* 23 eating habits, the program has also helped reduce problems in * classChocolate Milk rooms where students25have allergies, Wittig says. They plan to continue the program next school year and possibly expand to include kindergarten classes, as well.
Favorite SCHOOL ENTREE
Pizza* 33 Other 12
Results rounded to the nearest percent *Denotes multiple-choice options
Ask the Expert
Behind the Counter D
rug interactions, antibiotic resistance and OTC painkillers, oh my! Don’t be frightened by the complexities of drugs; let New Albany resident and Ohio State University pharmacy professor Bella Mehta give you the courage to face your medicine cabinet with confidence.
Bella H. Mehta Bella H. Mehta, Pharm.D.,FAPhA, R.Ph., is an associate professor of Pharmacy and Family Medicine at The Ohio State University and director of the OSU College of Pharmacy Clinical Partners Program. Clinical Partners’ mission is to help patients make the best use of medications and to educate current and future pharmacists through innovative practice, teaching and scholarship. Mehta provides services at a pharmacist-consulting clinic near campus as well as within the Patient Centered Medical Home with OSU Family Medicine at CarePoint Gahanna. Her areas of focus include diabetes, heart disease, herbs/dietary supplements and establishing reimbursable models of pharmacist-managed direct patient care services.
Are there interactions between medications and herbs/dietary supplements that I should be aware of? Many patients want to use natural products to treat conditions or prevent conditions from occurring. Some natural products show some very real benefits, but others either don’t show any benefits or have some very real concerns. Check with a doctor or pharmacist before starting a product to find out if it is the right one for you. Remember that herbs and dietary supplements can have effects similar to those of conventional medications and that “natural” doesn’t always mean “safe.” Some herbs and dietary supplements have side effects and may have drug interactions. For example, ginkgo can cause thinning of the blood, and if you are already on a blood thinner this can cause a severe problem with a risk of bleeding. Energy drinks have been in the news lately because of the severe side effects that have been linked to their use, including visits to the emergency room. Because herbs and dietary supplements are not regulated by the FDA, finding a good manufacturer is important to your health.
What are the dangers of drug interactions? Drug interactions can come in a variety of forms – sometimes one drug can cause another drug to stay in the body for longer than it should or cause it to be in the body at too high of a concentration. Another type of drug interaction can cause a drug to leave the body too soon or have it work at too low of a dose because it lowers the concentration of that drug. Drug interactions can lead to severe reactions that may lead to hospitalizations, the need for urgent medical attention or even death. Your pharmacist is checking for potential drug interactions each time you get a medication filled in the pharmacy. But if you don’t always fill your medicines at the same pharmacy, then the pharmacist may only know about some of the medications you are on and cannot screen for all potential interactions. Choose a personal pharmacist like you would a doctor and carry a complete list of your medications with you, especially to visits with
all your physicians, as they may not know what your other physicians are prescribing. It is important that every doctor has an accurate medication list.
What is the difference between brand name and generic medications? When new medications come to the market, they are available as brand-only medications. Each brand name has 17 years to be exclusively available as that brand only, and part of this time is used in clinical trials. At the end of the 17 years, other companies are able to market their own versions of that medication as lower-cost generics. The active ingredients are the same in brand and generic medications. Generics have to show that they disperse in the body the same way and have the same action and effect, but don’t have to recreate all the same clinical studies. Generic medications are a good way to save money and still benefit from the medication. There are very few cases in which the medication is particularly sensitive and changing from one generic to another can have an impact on its effect. Warfarin (Coumadin) is one such drug. Other types of drugs might be thyroid or antiseizure medications. If you aren’t sure about whether to choose a brand or generic for a specific medication, you can always check with your pharmacist.
What are the symptoms of a drug allergy, and what should I do if I notice these symptoms? Allergies to medications usually occur when you first start taking a new medication, but can happen after you have been taking it for a few weeks. You can also have a reaction to a medication that you had no reaction to in the past. Drug allergies can appear as a rash, itching or hives. A more severe reaction might cause shortness of breath to the point you have trouble breathing. This can start with a cough and includes severe swelling of the airways or throat, a loss of consciousness and/or a sudden drop in blood pressure. If a severe reaction occurs, you need to get help right away. Remember that an allergy to a drug is different than experiencing a side effect. A side effect can also start when you are put on a new mediwww.healthynewalbanymagazine.com
When you have a question about a prescription – or about anything in the medicine aisle – turn to a pharmacist for answers cation or if your medication dosage changes. If you aren’t sure what you are experiencing, check with a pharmacist or doctor.
When should or shouldn’t I take an antibiotic? Why is it so important for me to take every dose? Infections can be caused by organisms such as bacteria, fungi, some parasites and viruses. Antibiotics can help your body fight the infections caused by all of them except viruses. Viruses cause the common cold and the flu, so an antibiotic is not something you would want to take for either of those. If you have another type of infection, an antibiotic can help your body get rid of the organism that is making you sick. Although you will start to feel better within a few days, it is important to take every dose and the full amount of antibiotics prescribed so that the bacteria or other organisms that caused the infection can be cleared completely.
Should I get a flu shot every year? What level of protection does a flu shot provide? Yes, you should get a flu shot every year. The strains of influenza that the shot gives you protection from vary each year. The shot is based on which strains are causing flu in other parts of the world and predictions of which of those strains will travel to the U.S. during our peak flu season. Often the shot covers against two or three of the most prevalent strains. The flu shot cannot give you the flu. It does take a few weeks for the shot to start working, so you should try to get the shot in the fall before flu season hits. Each year, too many patients, including children and the elderly, die due to the flu.
Are over-the-counter medications safe to take? What precautions should I take when seeking out overthe-counter medications? www.healthynewalbanymagazine.com
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While over-the-counter (OTC) medications are safe to use, they are still medications so they can cause side effects and they can have drug interactions. Many products that are now available over the counter used to be available by prescription only. They are intended to be used for short-term treatment for certain conditions and all are labeled to say how long a patient should use the product before seeking the attention of a physician. For example, if a patient has heartburn that lasts for longer than two weeks or constipation that lasts for longer than one week, he or she should see a physician. Some over-the-counter medications can cause problems for certain conditions; for example, if you have high blood pressure, diabetes or a thyroid disorder, then you want to avoid certain products. Because there are so many OTC choices and not all are the right choice for every patient, I would recommend talking to your pharmacist to make sure you get the overthe-counter product that will be best for you.
What are the differences between types of OTC painkillers?
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There are many choices in the OTC pain relief market. There are creams and ointments that can help with muscle pain and products to help with migraine headaches, sinus headaches and tension headaches, not to mention the aches and pains associated with a cold. The main categories of oral pain relievers are aspirin, non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil) and naproxen (Aleve), and acetaminophen (Tylenol). While all help with pain relief and reduce fevers, there are times when you would choose one over the other. All of the different categories of pain relievers can have interactions and side effects. Before choosing one, it is important to check with your pharmacist or physician to make sure you get the best one for your specific needs.
Have questions you would like to have answered by an expert? Send them to email@example.com. www.healthynewalbanymagazine.com
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SKLZ SAQ Speed Chute $29.99, www.sklz.com
When just running is not enough, strap on the Speed Chute. Billowing in the runnerâ€™s wake, the chute adds about 15-30 pounds of resistance to take workouts to the next level.
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Powerco_NewAlbany011713_ad.indd 1 www.healthynewalbanymagazine.com
1/17/2013 3:28:24 PM 33
Check out these books, sites and studies
books: Can Onions Cure Ear-Ache?: Medical Advice from 1769
March 21, 4-7pm
Church of the Resurrection (Community Center) 6300 E. Dublin-Granville Rd. Come explore local business and community organizations’ products and services! • Collect product samples from area businesses • Enter to win door prizes— including 2 airline tickets sponsored by TS24 • Shred-It will provide free shredding (5 box limit per household/business) • Mount Carmel will provide blood pressure and height/weight/BMI screenings • Buy Girl Scout cookies! • Live entertainment from the New Albany High School Music Department • NAHS Music Boosters will provide a dinner for purchase, with proceeds to benefit the NAHS Music programs
by William Buchanan (author) and Melanie King (editor) Originally written in 1769 by Scottish physician William Buchanan as Domestic Medicine, this book offers entertaining insight into cures for common ailments during the late 18th century, such as treating heartburn with oyster shells and deafness with eels. Some of Buchanan’s recommendations still are true today, such as the importance of exercise and fresh air. Beware of other “cures” such as Spanish fly for aching joints.
HealthCentral.com features a cornucopia of health information and news on health issues from acid reflux to diabetes. Also featured on this site are health tools for checking symptoms in men, women and children and offering possible causes.
Pocket Yoga HD itunes.apple.com
This $2.99 app was named Best App for Practicing Yoga by Mac|Life. The app acts as a yoga instructor. In practice mode, it guides you through a sequence of yoga postures with customizable scenery, time for practice and level of difficulty. The app is preloaded with one music track, but the user may use his or her own music as well.
studies: Drinking sweetened beverages linked to depression
According to a study conducted by the National Institutes of Health and the American Academy of Neurology, drinks such as sweetened beverages, coffee and tea have important physical and, possibly, mental health consequences. The study, which will be presented at the American Academy of Neurology’s 65th Annual Meeting in San Diego from March 1623, showed people who drank more than four cans or cups of soda a day were 30 percent more likely to develop depression than those who drank no soda. Those who drank four cans of fruit punch per day were about 38 percent more likely to develop depression than those who did not drink sweetened drinks. Conversely, those who drank four cups of coffee per day were about 10 percent less likely to develop depression than those who drank no coffee. According to the researchers, the risk of depression appears to be greatest for people who drink diet rather than regular soda, fruit punch or coffee.
THERE’S MORE COMING OUT OF THAT OLD FREEZER THAN FROZEN PEAS. Using an old freezer just because it still works could mean a lot of wasted energy. That’s why AEP Ohio offers rebates to customers who purchase ENERGY STAR® certified freezers. Learn about our appliance rebates at AEPOhio.com/Rebates.
ENERGY IS PRECIOUS. LET’S NOT WASTE IT. www.healthynewalbanymagazine.com
youare the reason for everything we do.
at Mount Carmel, you are the most important patient we could possibly have. your health and well-being are at the center of everything we do. you are the reason why we assemble the best medical teams. and why we invest in the best equipment. at every moment, in every decision, we work closely with you and your family to deliver the care thatâ€™s best for your unique situation. so you can get better. so you can heal. so you can live, work, play, love.