HLN February 2014 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

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February 2014 • FREE

Also available at hlntoledo.com

Giving back to a beloved Irish community

Also in this issue: • Look your best in 2014 • AFib: a heart out of sync • Solve sinus headaches over lunch • The Catholic school advantage • Heart-health awareness on the rise my h eart belo ngs t o:

Take care of your heart. For you. For them. For life. To find a Mercy physician, call 888-987-6372 or visit mercyweb.org/heart.

• • • • •

Noisy toys Home Run Groceries Health crossword A Walk in the Park And much more...

Look your best in 2014! V

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused from prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler. The Thermage CPT procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging skin on the neck, upper arms, abdomen, and jowls. The Thermage CPT procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis while the epidermis is cooled and protected. This heating of the dermis causes immediate collagen contraction followed by new collagen production over a period of time. The procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only one treatment, tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain! The Thermage CPT system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients. For lines between the eyes (worry lines), crows’ feet, and the “sleepy look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas with resultant diminished Is your dermatologist a dermatologist and is he/she board certified? Individuals seeking diagnosis and treatment of skin cancer and other skin conditions should determine if their dermatologists are indeed dermatologists and board certified by the American Board of Dermatology. Not surprisingly, individuals seeking care of their skin conditions may receive care by physicians, nurse practioners, and physician assistants who may call themselves “skin specialists” and dermatologists. These physicians and others may do so without completing a formal dermatology residency. Many physicians who are board certified in fields unrelated to dermatology may be practicing dermatology. Now there are training programs being developed to permit nurse practioners to receive a doctorate of nursing and call themselves “Doctor” as would a PhD in a specialized field. These nurse practioners (NPs) are NOT doctors of medicine as is a board-certified dermatologist. Certification by the American Board of Dermatology is the consummate title addressed to a dermatologist based on their education and experience. If you see a “skin specialist,” it is your responsibility to ask of their credentials. Remember; a board-certified dermatologist is a medical doctor who has completed a minimum of twelve (12) years of training (four years of college, four years of medical school, and four more years in an internship and a formal dermatology residency program) to even become eligible to take the testing for board certification by the American Board of Dermatology. Individuals seeking diagnosis and proper treatment of their skin disease can depend on board-certified dermatologists for their care.

2 February 2014 | Healthy Living News

lines and a more “wide awake” and less tired appearance. This is also performed with minimal pain with results lasting 5-7 months and longer. The use of fillers such as Restylane, Perlane, Juvederm, Radiesse, and others to “fill” deep smile lines and the marionette (sad) lines from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad! These products are also very useful for producing a more full but normal appearance to lips that thin as we age. Since these products are combined with a numbing agent, the pain is minimal. For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio. Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler. Dr. Handler’s office now has available a new camouflage makeup that is excellent to cover red or blue veins on the face or anywhere else on the body. It is also very helpful to camouflage and cover blue, red, or yellow bruises from

Before

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prior cosmetic procedures, and especially useful for facial, neck, and chest redness secondary to the diagnosis of rosacea. Remember; this winter is the perfect time for eliminating unwanted hair of men or women on the face, chest, underarm, back, bikini, and leg areas with a special laser for hair removal. This is done exclusively by Dr. Handler with little pain and NO downtime or restrictions following the procedures. For more information about the above-mentioned procedures or products to reduce the signs of aging, please call Dr. Handler’s office at 419-885-3400. His staff will be able to address your questions or concerns regarding these procedures. Also, please visit Dr. Handler’s website at drharveyhandler.com to view many before-and-after photographs of patients who have had these procedures performed. And speak with his office staff to inquire about holiday specials on many cosmetic procedures and products to diminish the signs of aging.

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February 2014 • Vol. 19, Issue 2

Your Monthly Guide to Healthy Living

HEALTH & BEAUTY

TAKING CARE OF YOUR LIFE

2 Look your best in 2014! 6 A heart out of sync: Understanding atrial fibrillation 8 Lunch-time office procedure could be the solution to your headaches 10 Oncologists find clues to guide cancer diagnosis and treatment in tumor markers 27 Fueling your body for optimal performance in 2014 31 Mercy physician notes encouraging trend in hearthealth awareness 32 Acupuncture for colds and flu? by Douglas Schwan, DC, Dipl ac 33 Seven basic habits to wellness and chronic disease prevention: Part 1, by Dan Ngur, BSc (Pharm), PhD 35 Feeling SAD? Let there be light! 37 The Art and Science of Beauty Hydrate for healthy winter skin 38 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 45 The best is yet to come! by Carol Klotz 47 Diets don’t work—Detox does, by Christa Kantner

5 How to get started in the lifetime sport of tennis by Mark S. Faber, USPTA Elite Professional 11 Nobody’s Perfect The National Institutes of Health has their medical fingers in lots of things 21 Health Crossword, by Myles Mellor 24 Bathroom safety tips for the entire family 25 Practical tips for memory caregivers by Jessica Derkis 28 A Walk in the Park Just be still and listen by LeMoyne Mercer 34 Running tips for beginners, by Amanda Manthey 36 Not too early to ask: How does your garden grow? 39 Spiritually Speaking Wisdom in the new year by Sister Mary Thill 41 Winter fall prevention tips for seniors 42 Tips for taking control of your 2014 resolutions

OUR COMMUNITY 4 Lourdes students inspired to give back to beloved Irish community by Ellie Sharkey and Krystal Starling 19 Have a Heart for Max Clark 20 New business features grocery delivery by Christine A. Holliday 22 University of Toledo offers Graduate Certificate in Elder Law, by Assoc. Prof. Michael J. Spiros, JD 23 104-year-old rehab guest wows Laurels staff with her motivation 44 Go Red For Women® on February 7

Dear Readers, Thank you for picking up the February issue of Healthy Living News. As I write this letter in mid-January, our area has already surpassed its average annual snowfall for winter and we’ve all learned an entirely new weather-related term—polar vortex. Needless to say, the last month or so has provided a great opportunity to take advantage of the Toledo area’s many high-quality indoor fitness facilities! This month’s cover story (p. 4) highlights the wonderful charity work that Lourdes University students are doing in Connemara, Ireland. What began as the students’ study-abroad experience soon expanded into a movement to help provide health services to the people of this ruggedly beautiful but impoverished region of Ireland. Also in this issue, you’ll read

FOOD & NUTRITION 40 Eating Well Boost protein for weight loss by Laurie Syring, RD/LD

CHILDREN & PARENTING 13 Noisy toys, by Shelly Horvat, AuD, CCC-A 18 Catholic education—Values received, excellence achieved 19 Seventh and eighth grade program builds girls’ self-confidence

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perspectives on the role of tumor markers—substances produced by cancer cells or by other cells in the body in response to cancer—in diagnosing, treating, and monitoring cancer from oncologist Dr. Bradley Sachs of The Toledo Clinic Cancer Centers (p. 10). Then we really “get to the heart of the matter” with insights from Dr. Kamala Tamirisa of ProMedica Physicians Cardiology on atrial fibrillation, the most common form of heart arrhythmia, which is strongly associated with increased stroke risk (p. 6), as well as thoughts on some encouraging trends in heart-health awareness from Dr. Tanya Baldwin of Mercy Family Physicians at Isaac Street (p. 31). Headache sufferers who suspect their misery might stem from chronic sinusitis are urged to read the article on page 8

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about the revolutionary in-office Balloon Sinuplasty procedure, offered locally by Dr. Oliver Jenkins and Dr. Christopher Perry of the Toledo Clinic ENT Sinus Center of Excellence. If you or someone you love has difficulty getting out to buy groceries due to health or mobility issues, Home Run Groceries can do the grocery shopping for you and deliver them right to your home. Read the full story about this innovative service on page 20. Last but certainly not least, if you’re in the process of choosing where to send your child to school next fall, you won’t want to miss the article about the benefits of Catholic education on page 18. If it piques your interest, be sure to visit one of our local Catholic grade schools during their February open houses. Until next month, stay safe, active, and healthy!

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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 submit an article or announce an event: Editor, Healthy Living News, 1619 Circular Dr., Toledo, OH 43614. Phone: 419-754-1339, fax 888-506-5790; email: editorhln@bex.net. Deadline for editorial submissions is the 10th of the month preceding publication.

Publisher Kevin O’Connell Editor Jeff Kurtz Travel Editor LeMoyne Mercer Sales Robin Buckey Layout and Design Jan Sharkey Distribution Jim Welsh • Alison Foster Dominion Distribution Distributech - Toledo Copyright © 2014 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe. Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

4 February 2014 | Healthy Living News

Lourdes students inspired to give back to beloved Irish community by Ellie Sharkey and Krystal Starling place in the cottages and reinforced what we were learning. The intimate setting of class in the cottages was the seat of many conversations about the people, history, and culture of the area. Each of the students that joined us was impressed by our quick integration into the community. The people of Tullycross opened their arms and accepted us, not as visitors, but as family. n June 2013, we set off Our experiences of the with 13 other Lourdes living history and rich University students and culture of the area were two instructors, Terry Keller, apparent not only in Chairperson of the Social the classroom, but also Work Department, and Dr. in our daily interacMary Robinson, Chairperson tions with the locals of the History Department, and the community. to live and study in thatchedWhile the landroof cottages located in the scape of Connemara small village of Tullycross. is hauntingly beautiAfter the long flight to Shan- Students spent class time in the ful, what truly charms non, we boarded a bus to cottages. Wooden boards were visitors are the quaint make the two-and-a-half- used as writing desks. villages and the hospihour trip to our new home. table nature of the local Green rolling hills transformed into people. We were granted firsthand rocky hillsides and rugged mountains experience of the Connemara region as we entered the beautiful Conneon the first-ever Ireland Experience mara region that attracts visitors to Program at Lourdes University. Howthe west coast of Ireland. Upon our ever, the cottages are open not only arrival in Tullycross, our group quickto students, but to other travelers ly settled into our assigned cottages. as well. The beautiful Irish cottages were cozy Whether it’s the annual mussel and comfortable, complete with peat festival, bog week, or a host of other fireplaces. We had the opportunity to local and cultural experiences, the live in true Irish fashion. Connemara area has a rich array of At the end of our first day in Tulactivities for locals and visitors alike. A lycross, a small group of students relaxing cup of tea or a stroll down the decided to walk to Letterfrack, a beach, an exciting night of local music small town located about two and at Paddy Coyne’s or Angler’s Rest, a a half hilly and winding miles from visit to the nearby islands, strolling Tullycross, to experience some trathrough the gardens at Kylemore ditional music and dancing. As we Abbey, enjoying the beautiful town of began the walk, a local man walking Clifden, adventuring up mountains out of town joined us. After striking in the Twelve Bens, and sampling up a conversation, he learned of our plans to walk to Letterfrack. He laughed and told us that he would find us a lift. His mother-in-law, who lived in a house close by, was a local taxi driver. We were invited into their home to relax and converse while we were taxied in small groups to our destination. This was one of the many experiences our group had with the friendly and caring people of this wonderful community. In preparation for our travels, we spent two full weeks learning the culture and history of Ireland. Our Built in 1867 by Henry Mitchell and later firsthand experiences in the commuconverted to a Benedictine monastery, Kylemore Abbey is a favorite spot of visitors. nity complemented classes that took

amazing food are just some of the activities Connemara has to offer. Connemara also boasts a rich history and has created a narrative about a resilient community that is finding innovative methods to adapt to a constantly changing world. We were welcomed into the Connemara West establishment as well as the Galway-Mayo Institute of Technology in Letterfrack. Connemara West is a community-owned and -managed rural development company that was established in 1971 to maintain and improve the economy and culture of that area. Through a talk and tour of Connemara West, we learned that the community’s first project was the construction of the same thatched-roof cottages that we were staying in. The goal and hope of building the thatched-roof cottages was to boost the economy of the area by encouraging visitors to the area. Erected in the 1970s, the

It was common for locals to invite students in for tea and conversation. This couple we met on the beach gave us a tour of their 300year-old home.

cottages have been utilized to welcome guests and allow them to feel at home while simultaneously being enriched by the surrounding culture. Connemara West’s other projects have included the establishment of a trade skills program, which originally taught 15 locals in the wood skills trade. This small program developed into what is now a furniture-making college that takes pride in furniture design and wood technology. Despite the resilience and innovation of the community, there is still need. Upon leaving Connemara, we were inspired to give back to the community. After much brainstorming, we decided that it was a nearly impossible task to thank the community that had taught us so much and profoundly affected our lives. Our final decision was the establishment

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of a grant that could give back to the community today and in the future. This grant will work in conjunction with Connemara West with the hopes of providing aid in ways that will help locals and the survival of the community. Connemara West will work with the Lourdes program to distribute funds to the areas that are most in need of assistance. Many of these needs are medical assistance, support, and transportation for locals. The Lourdes fund also hopes to impact the crèche (the local childcare facility) with any supplies that may be needed. Additionally, a goal of this grant is to create community awareness and development for mental and physical health. Our idea for this grant was inspired by the interactions we had within the community—we experienced a community that worked together to support one another. During our three weeks in Ireland, we learned what it truly means to be Irish. To us, Connemara is having a sincere appreciation for life, relying on others for help, treating acquaintances as friends, and treating friends as family. We hope that we can make a small impact on the community that taught us so much. ❦ Ellie Sharkey is a senior majoring in history & theology at Lourdes University. Krystal Starling studies psychology and Spanish at Aquinas University. If you would like to donate to the Lourdes Ireland Fund, contact Terry Keller, tkeller@lourdes.edu or 419-824-3535.

Connemara revisited by Ellie Sharkey

was blessed with the wonderful opportunity to visit Tullycross again over the holidays. I walked into the local pub to meet some friendly faces and was welcomed with open arms by the owner of the pub who said,

How to get started in the lifetime sport of tennis

by Mark S. Faber, USPTA Elite Professional

ver the past four months, I have shared with the readers of Healthy Living News so many great aspects of participating in the lifetime sport of tennis. Looking back, I’ve shared the academic benefits of kids playing tennis, the team aspect of the game, as well as the overall health benefits of playing tennis. Well, now that you know the benefits, it is time to share with you where you can get started. Obviously, in the part of the country we live in, playing outdoor tennis is only possible during certain months. However, in Northwest Ohio, we are very luck to have several indoor facilities that provide many tennis opportunities. The following facilities are in Toledo or the Toledo area: Belmont

You can get healthier by doing the right things. And the best way to start is a physical with your ProMedica doctor. Get on the road to living a long healthy life. Remember to schedule your physical with a ProMedica doctor today.

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Connemara’s beauty is often portrayed in movies. This famous spot can be seen in The Quiet Man, starring John Wayne. Other famous movies filmed in the area include: The Field, Marley and Me, and Tristan & Isolde.

“Welcome home!” That is Connemara. Home. I can’t even begin to express the feeling of community that I felt, not only on my trip in June, but on my recent travels. Many conversations with locals made me truly realize the impact that the students’ time in Tullycross has on the community. With a struggling economy and limited job opportunities, sadly many young people have left the area in search of work. I was told on more than one occasion that the students that come to Connemara bring “life” to the community. It is my hope that through the Lourdes Ireland Fund, we will be able to bring even more life into this beautiful community by helping locals throughout the year, instead of only when we are physically present. Although this fund is still being established, the thought of being able to provide locals with the means to improve their community is exciting. Lourdes University has made such a huge impact on my life and the lives of many. The passion Lourdes has for improving their expanding community is a testament to their mission of providing “a values-centered education that enriches lives and advances academic excellence through the integration of the liberal arts and professional studies.” ❦

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Country Club (419-666-3454), Laurel Hill Tennis Club (419-381-9661, Mark Faber), Perrysburg Tennis Center (419873-6123, Mark Weider), and Shadow Valley/Shadow Valley North (419-8651141/419-537-0001, Jim Davis). In the Findlay area, the Findlay YMCA runs various tennis programs (kkenny@ findlayymca.com, Kory Kenny), and in the Lima area, there is Westwood Tennis and Fitness Center (419-2221515, Jeff Brown). If you are looking for more tennis opportunities in the area, contact the USTA/Northwest Tennis Association office (419-842-1269). All of the above facilities offer tennis programs that fit every level of player. As the summer months approach, I will provide the readers a list of facilities that offer outdoor tennis programming. In closing this month, I would like to leave you with a quote from one of the greatest tennis players and ambassadors of the sport of tennis, Billie Jean King: “A lot of sports, over the years, become a game. If you are into tennis, it becomes part of your lifestyle.” ❦

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Understanding atrial fibrillation

he most common heart arrhythmia, known as atrial fibrillation (AFib), though not directly fatal, is a condition that should not be downplayed or ignored. Strongly associated with stroke risk, reduced longevity, and lower quality of life, AFib is no minor abnormality. The good news is, AFib can often be successfully managed and potentially even cured using state-of-the art techniques. According to cardiac electrophysiologist Kamala Tamirisa, MD, FACC, FHRS, ProMedica Physicians Cardiology (formerly known as Northwest Ohio Cardiology Consultants), AFib

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or chest pain, congestive heart failure, or, rarely, loss of consciousness. What are the underlying causes of AFib? “We know that the risk of developing AFib increases over age 65,” Dr. Tamirisa explains. “Other known risk factors include hypertension, obesity, obstructive sleep apnea, and a history of heart disease, including bypass or valve surgery. We’ve also recently become aware that there’s a significant genetic component to AFib.” The ProMedica Physicians Cardiis a disorganized heart rhythm that ology team also sees an interesting originates in the top chambers of the association of AFib with life-long heart (the atria), predominantly the endurance training, especially in male left atrium. These erratic electrical athletes. This form of AFib tends to impulses usually originate in the occur in athletes such as marathon roots of the pulmonary veins. The runners and triathletes who train inelectrical impulses that regulate the tensely in preparation for endurance heartbeat and normally produce a competitions and have strong, steady rhythm done it for a long time. become rapid and disorStiffening of the muscle ganized so the left atriin the left ventricle and um flutters and cannot dilation of the atria is squeeze blood down one among several other to the lower chambers speculated causes for of the heart (the venthis clinical entity. tricles) effectively. In If left untreated, turn, the heart muscle AFib reduces patients’ cannot pump oxygenlongevity for two likely and nutrient-rich blood reasons. The first is that throughout the body AFib causes the heart efficiently. to beat faster. So, over Some people with time, the heart muscle AFib are completely untires and weakens and aware that they have the patient goes into the condition, and it’s congestive heart failure. Dr. Kamala Tamirisa only discovered inciThe second is the high dentally during other risk of stroke (five times higher risk medical examinations or procedures. of stroke when compared to people But in most cases, AFib patients do without AFib) associated with AFib. experience symptoms, which may Because the left atrium quivers and include exercise intolerance (shortness does not squeeze blood out as it of breath and fatigue), palpitations, should, blood tends to pool and stagworsening dizziness, chest tightness

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nate there, which can lead to clotting. If a blood clot is then released, it can travel to the brain and cause an ischemic stroke. “That’s why it’s so important not to ignore AFib symptoms and why there’s such a big push for stroke prevention in people with AFib right now,” says Dr. Tamirisa. As far as stroke prevention is concerned, blood thinners are a good option that doctors can prescribe. But some patients stand to benefit more from blood thinners and are less likely to experience bleeding problems than others, so it is not a one-size-fits-all treatment. To help determine which patients are at higher risk of stroke and more likely to benefit from blood thinners, physicians use an assessment tool called the CHADS2-VASc calculator, which assigns points for several medical criteria. Specifically, “CHADS” is an acronym for: Congestive heart failure, Hypertension, Age 75 years or over, Diabetes, and prior Stroke or TIA (transient ischemic attack). The “VASC” acronym stands for: Vascular disease, Age 65 to 74 years, and Sex Category (females are at higher risk). “We look at the CHADS2-VASC score, and depending on the number, we know an approximate risk for stroke per year and can determine who is likely to benefit from blood thinners,” Dr. Tamirisa notes.

The “gold standard” blood thinner

has long been Warfarin (Coumadin®), and until fairly recently, it was the only option. However, the past few years have seen the advent of several new blood thinners that work differently, including Apaxiban (Eliquis®), Rivaroxaban (Xarelto®), and Dabigatran (Pradaxa®). A major benefit of these medications to patients is that they don’t require routine blood draws. Warfarin, on the other hand, requires patients to undergo biweekly to monthly blood draws to make sure their blood is neither too thin nor too thick. Another powerful stroke-prevention ally for patients with AFib is a new procedure called Left Atrial Appendage Occlusion. The left atrial appendage is a small, windsock-like outpouch with no known function, in which blood can pool and form clots in patients with AFib. This procedure involves either tying off this appendage or plugging it with an occlusion device, such as the Watchman Device, which looks like a small parachute. Can AFib be cured? The answer is

oftentimes yes, but there are certain criteria that tend to predict a better rate of cure. Patients with the highest cure rates are those who are younger, have paroxysmal AFib (meaning it occurs on and off), have had AFib for a relatively short period, do not have a large left atria, and have their apnea (if present) under control through the use of a CPAP (Continuous Positive Airway Pressure) machine when they sleep. Curative treatments, which are indicated for AFib patients who are symptomatic, can include either medications or surgical procedures to regulate the electrical activity in the heart. The medications used to treat AFib do have potential side effects and achieve a cure in only about 40% of patients. Still, they are a good, conservative starting point. If the medications fail or the patient experiences adverse side effects, the next step may be an ablation procedure. In asymptomatic patients, heart rate control with blood thinners is usually the treatment. The electrophysiologists at ProMedica Physicians Cardiology perform ablations at ProMedica Toledo Hospital, using the Pulmonary Vein

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Isolation and Left Atrial Ablation procedures. With this minimally invasive approach, a catheter is inserted through the groin and advanced to the heart, which is imaged with x-ray and a mapping system. With the catheter positioned in the left atrium, the tissue surrounding the mouth of the pulmonary veins, which draw blood into the left atrium, is burned or frozen with radiofrequency or cryothermic energy to eliminate the electrical “short circuits” that are causing the irregular heart rhythm.

Surgeons can achieve similar results using a more invasive technique called the MAZE Procedure, in which cuts are made in the atrial tissue to produce scarring and isolate the pulmonary veins. “The success rate for ablation is close to 80% for good candidates. But if you’ve lived with AFib for years, have a big atrium, have severe sleep apnea, and are morbidly obese, two attempts may be necessary to achieve this success rate,” Dr. Tamirisa observes. ❦

Lunch-time office procedure could be the solution to your headaches

ew physical symptoms diminish quality of life and emotional well-being the way severe chronic headaches do. The constant throbbing pain, which may intensify with the slightest exertion or exposure to certain sensory stimuli, significantly compromises one’s ability to function

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8 February 2014 | Healthy Living News

effectively on a day-to-day basis. The potential causes of headache are numerous and varied, ranging anywhere from simple lifestyle factors to certain disease processes. Among the myriad possible causes is a condition called chronic rhinosinusitis, which afflicts more than 37 million Americans. Chronic rhinosinusitis is defined as a persistent inflammation of the nasal cavity and paranasal sinuses that causes a wide range of unpleasant physical symptoms, including headache. Other common sinusitis symptoms that affect quality of life include facial pressure and pain, sinus drainage, nasal congestion, reduced sense of smell and taste, tooth pain, bad breath, and fatigue.

If you suffer with chronic headaches and other symptoms of sinusitis, an evaluation by Dr. Oliver Jenkins and Dr. Christopher Perry of the Toledo Clinic ENT Sinus Center of Excellence may be in order. Doctors Jenkins and Perry can help determine whether sinusitis is your underlying problem, as they’ve already helped many sinusitis sufferers in Northwest Ohio and Southeast Michigan find relief from chronic sinus headache pain as well as breathe easier through a revolutionary, minimally invasive endoscopic procedure called Balloon Sinuplasty. During the Balloon Sinuplasty procedure, a small, flexible balloon catheter is placed through the nostril and into the blocked sinus. The balloon is then inflated to gently restructure and open the sinus passageway, restoring normal sinus drainage and function. The procedure is similar in many ways to the balloon angioplasty technique used to open narrowed coronary arteries. “Dr. Jenkins and I have done literally thousands of these procedures over the last eight years and have found that Balloon Sinuplasty is just as effective as conventional surgical techniques at relieving chronic sinus headaches along with the symptoms of nasal congestion and sinus pressure and drainage. And, the long-term success rate of this revolutionary procedure is equal to or better than that of traditional surgery. In fact, in approximately 98 percent of patients undergoing the procedure, the sinus-

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es remain open indefinitely,” notes Dr. Perry. He goes on to explain that, “Conventional endoscopic sinus surgery involves the removal of bone and tissue to open up blocked sinus passageways, which can lead to post-operative pain and scarring and often requires uncomfortable nasal packing to control bleeding. In contrast, Balloon Sinuplasty simply restructures the tissue around the natural opening into the sinus, which translates into less pain, less bleeding, faster recovery time, and no need for painful nasal packing.” The Balloon Sinuplasty procedure until recently has been performed in the operating room setting with the patient asleep under general anesthesia. But Drs. Jenkins and Perry now offer a pioneered form of the procedure called In-Office Balloon Sinuplasty, which they perform right in the office in about one hour, using only a topical and local anesthetic. Not only is In-Office Balloon Sinuplasty more convenient and cost-effective than surgery at the hospital, but it’s also just as safe and effective as surgery performed in the operating room. What’s more, patients do not have to worry about the risk of side effects or complications associated with general anesthesia. Dr. Jenkins

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notes, “The experience is much like going to see the dentist to fill a cavity.” “The advent of In-Office Balloon Sinuplasty makes it possible for us to help chronic sinusitis sufferers who don’t want general anesthesia or who are unable to tolerate it. In essence, more patients who would benefit from this procedure now have access to it. Our Balloon Sinuplasty patients are also pleased to learn that there is

virtually no downtime following the in-office procedure. In fact, patients are able to return to work the next day,” says Dr. Perry. Balloon Sinuplasty isn’t appropriate for every patient, and it’s important to keep in mind that not all chronic headaches are related to sinusitis. However, more than 90% of patients who undergo this revolutionary procedure find long-awaited relief from

their chronic headaches and other debilitating sinusitis symptoms—and that’s something worth celebrating.❦ The Toledo Clinic ENT Sinus Center of Excellence is located at 5800 Park Center Court, Suite C in Toledo. For more information about In-Office Balloon Sinuplasty, call 419-724-8368 or visit www.ToledoClinicENT.com or www.ToledoRhinoplasty.com.

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Study finds renal artery stent procedure leads to similar outcome when compared to medication-only therapy NIH-funded research finds patients with high blood pressure and narrowed renal artery do not benefit from stenting procedure A commonly used stenting procedure to treat plaque build-up in the renal artery appears to offer no significant improvement when added to medication-based therapy, according to results from a new National Institutes of Health-funded study. The narrowing and hardening of one or both renal arteries, known as renal artery stenosis, occurs in 1 to 5 percent of people who have hypertension, or high blood pressure. The findings were presented at the American Heart Association (AHA) 2013 Scientific Sessions in Dallas, Texas on November 18, 2013 and appeared concurrently in the New England Journal of Medicine. Renal artery stenosis can lead to conditions including chronic kidney disease, coronary artery disease, and stroke. Effective treatment of this condition can improve blood pressure control, stabilize kidney function, and reduce incidence of serious cardiovascular events. “Demonstrating the ineffectiveness of certain medical procedures can be as valuable as proving the effectiveness of treatment techniques,” said Dr. Michael Lauer, director of the Division of Cardiovascular Sciences in the National Heart, Lung, and Blood Institute, which supported the study. “The findings from this study could help change clinical practice by encouraging health care providers to avoid unnecessary stenting procedures when treating renal artery stenosis.” According to the study’s researchers, between 1996 and 2000 there was a 364 percent jump in renal artery stenting procedures for Medicare beneficiaries. The procedure involves inserting a metal mesh tube into an artery to open the clogged passageway. An estimated 78 million Americans have hypertension, according to the AHA, and as many as 3.9 million people in the United States may have renal artery stenosis. “Renal artery stenting for this condition

remains a common practice because while several, smaller studies showed negative results, other research has suggested the procedure may help lower blood pressure and stabilize kidney function,” said Dr. Christopher Cooper, lead author of the study and Chairman of the Department of Medicine at the University of Toledo Medical Center. “Our larger study demonstrates that this procedure offers no incremental benefit when added to treatment with medication.” The Cardiovascular Outcomes in Renal Atherosclerotic Lesions study, known as CORAL, studied 947 patients whose plaque build-up in the renal artery narrowed the blood vessel by 60 percent or more. Participants, whose average age was 69, also had either systolic blood pressure of 150 mmHg or higher while taking two or more drugs or Stage 3 chronic kidney disease. Researchers from more than 100 institutions randomly split participants into one group that received medical therapy and another group that received a stent plus medical therapy. The research team examined the effect of the two treatment options on a combination of cardiovascular and renal outcomes that included death from renal or cardiovascular causes; heart attack; hospitalization for congestive heart failure; progressive renal insufficiency; or renal replacement therapy. During an average follow-up period of 43 months, researchers found that 35.1 percent of patients who received medical therapy and stents experienced one of the negative endpoints versus 35.8 percent of patients who received medication alone. Related Resources: - Clinical Trials.gov CORAL page http://www.clinicaltrials.gov/ct/show/ NCT00081731 - CORAL Home Page http://www.coralclinicaltrial.org/ - What is atherosclerosis? http://www.nhlbi.nih.gov/health/ health-topics/topics/atherosclerosis/ - What is high blood pressure? http://www.nhlbi.nih.gov/health/ health-topics/topics/hbp/

Have you ever considered volunteering for a

clinical research study? The Jacobson Center for Clinical & Translational Research at the University of Toledo Medical Center is participating in over 65 enrolling clinical research studies.

To find out if one is right for you visit http://utmc.utoledo.edu/research/ patients/currentstudies.html or call 1-419-383-6919

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10 February 2014 | Healthy Living News

Oncologists find clues to guide cancer diagnosis and treatment in tumor markers

hen a crime has been commitcancer, while some with the disease ted, crime scene investigators can test low for it. Furthermore, while use a wide range of cutting-edge PSA testing is making it possible for tools and techniques to help them sift oncologists to catch prostate cancer through evidence, determine what earlier, it can also lead to unnecessary happened, and narrow down the list invasive biopsies and treatments, of possible suspects. Similarly, oncolwhich are not without serious poogists—doctors who specialize in the tential side effects. diagnosis and treatment of cancer— Beyond helping doctors diagnose bring to bear an array of advanced certain cancers, tumor markers can technologies and also help provide a tests in their pursuit picture of how well a of an accurate cancer patient is responding diagnosis and in the to treatment. “If somesubsequent treatment one has prostate, colon, and monitoring of the breast, or pancreatic disease. Among the cancer with elevation many tools that aid of tumor markers, the them in their “detectrend of the marker is tive work” are various usually a good way of substances known as defining the response,” tumor markers. says Dr. Sachs. “If the “Tumor markers tumor is shrinking, can be defined as subthe marker should go stances produced by down. If the treatment cancer cells or by other isn’t working as well cells in the body in or the cancer is recurDr. Bradley Sachs response to cancer. ring, the marker will These are mostly proincrease so we know teins found in the bloodstream, but we’re headed in the wrong direction. some can also be found in other body Still, the tumor marker is just one influids and tissues,” says Dr. Bradley dicator we consider. I ultimately put Sachs of The Toledo Clinic Cancer more trust in the results of diagnostic Centers (TCCC). tests such as CAT scan and PET scan.” He goes on to explain that tumor Dr. Sachs points out that in addition markers are somewhat nonspecific in to proteins present in the blood or tisthat, besides cancer, there are certain sues, the definition of tumor markers benign processes that can cause them could be broadened to include certain to be elevated. Plus, not all forms of genetic markers, and this is an area a given cancer, such as breast cancer of oncology that is really taking off. or colon cancer, will cause them. For example, people with non-smallTCCC uses over 20 different kinds of cell lung cancer may fall into one of tumor markers clinically, though it’s several subsets of the disease that important to understand that tumor are driven by certain specific genetic markers are only one small piece mutations, such as mutation of the of the cancer screening, diagnosis, gene EGFR (10% of patients), ALK (3 and treatment puzzle and there is to 5%), or ROS-1 (1%). If one of these no universal tumor marker for all gene mutations is identified, a very forms of cancer. successful, well-tolerated treatment Examples of tumor markers that can then be initiated. Dr. Sachs cites include the protein Recognition that a specific genetic carcinoembryonic antigen (CEA) for abnormality, known as the Philadelcolon cancer; CA (cancer antigen) 125 phia chromosome, causes most cases for ovarian cancer; CA 15-3 or CA 27-9 of chronic myeloid leukemia led to for breast cancer; CA 19-9 for pancreatic the development of a groundbreaking cancer; and alpha-fetoprotein, beta targeted therapy called Gleevec®. This hCG, or LDH for testicular cancer. drug took patients who otherwise Perhaps the most familiar tumor would have had just three to five marker where men are concerned years to live and gave them a very is prostate-specific antigen, or PSA, high probability of being cured. There which can indicate the presence of are now second generations of this prostate cancer when elevated. Howdrug that are just as, if not more, ever, Dr. Sachs notes that PSA testing effective than Gleevec, and they’re has become somewhat controversial even looking into a third generation. for several reasons. Some men with a Exciting advances in the treatment high PSA level do not have prostate of melanoma are taking place based We love comments and feedback. Like us on Facebook. Follow us on Twitter.

on the identification of a specific genetic marker, as well. For example, the drug Zelboraf®, which targets the BRAF gene mutation associated with many cases of melanoma, caused over 50% tumor shrinkage in half the patients treated. Dr. Sachs describes the so far positive outcome he has seen in a young female patient taking Zelboraf: “She had melanoma that spread to her brain and had undergone two courses of radiation and one surgery. A second surgery was being considered, but it looked like nothing was going to work. Then the drug became available and I’ve had her on it for four years. Now, every time I look at the tumor with MRI, it’s smaller than the time before,” he says. What’s more, just within the past month, a new drug combination, consisting of the BRAF inhibitors Tafinlar® and Mekinist®, was approved for treating melanoma. This combination has been shown to keep the disease from recurring longer than one or the other given individually. Also, in clinical trials for the drug combination, 40% of patients had no progression of the disease after one year of treatment, compared to 9% receiving only one drug. In some cases, identifying a specific

genetic mutation tells doctors what treatments won’t work—which can be helpful in guiding treatment. For instance, in colorectal cancer patients with the KRAF mutation, certain drugs are likely to be ineffective. So, if this mutation is known to be present, doctors can spare the patient the potential side effects of the drug and treat with something else instead. When facing a diagnosis of cancer, more and more patients are choosing The Toledo Clinic Cancer Centers. With nine board-certified hematologists/oncologists and ten nurse practitioners on staff, The Toledo Clinic Cancer Centers can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. Also, there are several offices (including the main location at 4235 Secor Road and satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe) for the convenience of the patient. Many Toledo Clinic Cancer Centers patients are enrolled in the latest cancer research and studies in our region through the Toledo Community Oncology Program (TCOP). ❦

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Institutes of Health has their medical fingers in lots of things

n TV, a news reporter shared that the NIH found that multivitamins might not be worth taking for our health benefit. I also heard many times over the years that the NIH is the leader in research on multiple sclerosis. But when I read the NIH—which “refused to even review a study with the word prayer in it four years ago”— is now funding one prayer study through its Frontier Medicine Initiative, I wondered: what is the NIH? It is a huge, diverse facility. The National Institutes of Health (NIH) is a biomedical research facility primarily located in Bethesda, Maryland. An agency of the United States Department of Health and Human Services, it is the primary

agency of the United States government responsible for biomedical and health-related research. The NIH both conducts its own scientific research through its Intramural Research Program (IRP) and provides major biomedical research funding to non-NIH research facilities through its Extramural Research Program. With 1,200 principal investigators and more than 4,000 postdoctoral fellows in basic, translational, and clinical research, the IRP is the largest biomedical research institution on Earth, while, as of 2003, the extramural arm provided 28% of biomedical research funding spent annually in the US, or about $26.4 billion. The NIH comprises 27 separate institutes and centers that conduct

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research in different disciplines of biomedical science. The IRP is responsible for many scientific accomplishments, including the discovery of fluoride to prevent tooth decay, the use of lithium to manage bipolar disorder, and the creation of vaccines against hepatitis, Haemophilus influenzae (HIB), and human papillomavirus. According to its official online history, NIH’s roots extend back to a Marine Hospital Service in the late 1790s that provided medical relief to sick and disabled men in the U.S. Navy. By 1870, a network of marine hospitals had developed and was placed under the charge of a medical officer within the Bureau of the Treasury Department. In the late 1870s, Congress allocated funds to investigate the causes of epidemics like cholera and yellow fever, and it created the National Board of Health, making medical research an official government initiative. In 1887, a laboratory for the study of bacteria, the Hygienic Laboratory, was established at the Marine Hospital in New York. In the early 1900s, Congress began appropriating funds for the Marine Hospital Service. By 1922, this organization changed its name to Public Health Services and established a Special Cancer Investigations laboratory at Harvard Medical School. This marked the beginning of a partnership with universities. In 1930, the Hygienic Laboratory was re-designated as the National Institutes of Health by the Ransdell Act and was given $750,000 to construct two NIH buildings. Over the next few decades, Congress would increase its funding tremendously to the NIH and various institutes and centers within the NIH were created for specific research programs. In 1967, the Division of Regional Medical Programs was created to administer grants for research for heart disease, cancer, and strokes. That same year, the NIH director lobbied the White House for increased federal funding in order to increase research and the speed with which health benefits could be brought to the people. An advisory committee was formed to oversee further development of the NIH and its research programs. By 1971, cancer research was in full force and President Nixon signed the National Cancer Act, initiating a National Cancer Program, a President’s Cancer Panel, a National Cancer Advisory Board, and 15 new research, training, and demonstration centers. The funding of NIH has often been a source of contention in Congress, serving as a proxy for the political currents of the time. This contention

was seen most dramatically during the 1980s, when President Reagan repeatedly tried to cut funding for research, only to see Congress partly restore funding. The political contention over NIH funding slowed the nation’s response to the AIDS epidemic; while AIDS was reported in newspaper articles from 1981, no funding was provided for research on the disease. In 1984, National Cancer Institute scientists found implications that “variants of a human cancer virus called HTLV-III are the primary cause of acquired immunodeficiency syndrome (AIDS),” a new epidemic that gripped the nation. But it was not until July 1987, as NIH celebrated its 100th anniversary, that President Reagan announced a committee to research the HIV epidemic. By the 1990s, the focus of the NIH committee had shifted to DNA research, and the Human Genome Project was launched. In 2009, President Obama reinstated federally funded stem-cell research, revoking the ban imposed by President Bush in 2001. From logistical restructuring, to funding increases, to research prioritization, to government expansion and political influence, the history of the National Institutes of Health is extensive and full of change. The NIH has grown to encompass nearly 1 percent of the federal government’s operating budget. The NIH now controls more than 50 percent of all funding for health research, and 85 percent of all funding for health studies in universities. Intramural research is primarily conducted at the main campus in Bethesda, Maryland and the surrounding communities. The National Institute on Aging and the National Institute on Drug Abuse are located in Baltimore, Maryland, and the National Institute of Environmental Health Sciences is located in the Research Triangle region of North Carolina. The National Institute of Allergy and Infectious Diseases maintains its Rocky Mountain Labs in Hamilton, Montana. So, the next time I hear that the NIH says something, I will know a little more about where it’s coming from. To read more, visit www.nih.gov. ❦ 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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NOISY TOYS

o your children’s noisy Key points to remember toys drive you regarding noise crazy? Not only damage are that could they be anhearing loss from noying you, but they noise exposure is could actually be cumulative throughout damaging your the lifetime and it’s children’s ears! hard to gauge when Parents, teachers, the damage occurs. and caregivers strive Moreover, it’s by to protect children’s impossible to undo health from exposure that damage once Shelly Horvat, to germs, sun, junk it occurs. Preventing AuD, CCC-A food, and dangernoise exposure in the ous chemicals. Profirst place is, therefore, tecting them from the only way to stop exposure to loud noise permanent hearing is often overlooked loss from happening. until the teenage years The hearing loss when parents are concerned that results from exposure to loud about loud music. However, prosound is called noise-induced hearing tection from loud noise deserves to loss. Noise-induced hearing loss is be placed on the list of dangers to cumulative in that it usually doesn’t children even before they reach the result from a single exposure to loud teenage years. sound. Instead, it is a gradual loss of Kids’ ears are bombarded with noise hearing and ringing in the ears that every day from television, videogames, results from repeated exposures to the car radio, mp3 players, screaming loud sound. siblings, loud school bus rides, as well How does noise damage occur? as a variety of toys that whistle, bang, After sound enters the ear, sound waves and play loud music. While most of pass the eardrum and enter the inner these noises appear to be harmless, ear or cochlea. The cochlea is filled some sounds can reach levels so high with fluid and lined with thousands that, over time, they can permanently of tiny hair cells that help convert damage hearing. the sound waves to electrochemical

messages that are sent to the brain. Repeated exposure to loud noises causes those important hair cells to stop moving and flatten. Eventually, the hair cells die and stop sending their messages to the brain. That is why it is important to take measures very early in life to protect the ears. Some toys are so loud that they can cause hearing damage in children. Ringing in the ears is a sign that damage is occurring, but we have to remember that young children will most likely not report ringing ears to us. Some toy sirens and squeaky rubber toys can emit sounds of 90 dB, as loud as a lawnmower. In an industrial setting, workers would have to wear ear protection for similarly noisy sounds on the job. The Toy Industry Association has a voluntary maximum sound limit of 90 decibels with toys held approximately 10 inches from a child’s ear. According to the National Institute of Occupational Safety and Health, exposure to sound levels greater than 85 decibels can permanently damage hearing. The greater the sound level above 85 decibels, the less time it takes for the sound to cause damage to the ear. The danger with noisy toys is magnified because babies

and toddlers often hold the noisy toys directly to their ears, exposing themselves to harmful sound levels. Moreover, toy manufacturers are not required to follow these guidelines, and a toy’s sound level is not required to be on its packaging. While we think of classic loud toy sounds like toy drums and toy car engines and sirens as being too loud for us, studies have found that even sing-along books can exceed safe sound limits when held too close to a child’s ears. What can I do to protect my child’s ears from noisy toys?

Screen toys first Before giving your child a toy, listen to it while holding it no more than 12 inches from your head. If you flinch, then it’s too loud.

Control the volume Look for toys with on/off switches and volume control. If a toy is loud, put packaging tape over its speaker to muffle the sound or remove the batteries. Be sure that the tape is secure, and check it often to prevent it from becoming a choking hazard. Also, remember that children sitting in your car’s backseat are being exposed to sound from your car stereo’s rear

Thank you Northwest Ohio Hearing Clinic for helping our daughter hear and understand her teacher more clearly. Our caring team of audiologists has over 60 years of combined experience. We will make you feel comfortable, informed, and in control of your hearing. We hear what you want, we personalize what you need, and we treat all your hearing concerns. Ask us about our personalized listening experience at no

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speakers. What may not seem loud to you sitting in the front seat could be deafeningly loud to children in the back seat. A simple way to fix this is to adjust the balance to be primarily from the front speakers.

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Listen safely Kids should use earplugs or sound-reducing earmuffs anytime they’re exposed to loud, prolonged sounds, such as at concerts or sporting events or auto races. Having your child plug his ears with his fingers is better than nothing when unexpected loud noise occurs, but it’s less than ideal.

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Inexpensive sound-level meter apps are available for smartphones, and sound-level meters are available at electronic stores. Hold the meter near the toy’s speaker, and take a measurement. Beware of anything louder than 85 decibels.

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If you think a toy is too loud, report it to the Consumer Product Safety Commission (call 800-638-2772 or log on to cpsc.gov/incident.html). Unfortunately, some of the toys available on the market today can

produce decibel levels that far exceed what would be considered safe to hearing, especially if the toy is held close to the ear and played with repeatedly and for extended periods of time as children often do. The Sight & Hearing Association (www.sightandhearing. org) publishes an annual “Noisy Toys List” to help parents protect their kids’ hearing from dangerously noisy toys. It’s surprising and disappointing to see so many educational toys listed. Lastly, have your child’s hearing checked if you suspect any damage. Watch for “red flag” symptoms, such as a child frequently asking “Huh?”, talking very loudly, turning one ear towards a sound, or turning the television up too loudly. If you have any questions or concerns about your child’s hearing, feel free to call the audiologists at Northwest Ohio Hearing Clinic at 419-873-4327 or 419-383-4012. ❦ Shelly Horvat, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

9/17/13 1:19 PM

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Top Physicians & Affordable Healthcare Services: A Trusted Northwestern Ohio Resource For Over 85 Years Radiology Services:

Among the lowest regional prices for services from routine x-rays to state-of-the art imaging services. • No appointments are necessary for X-rays. • Results are faxed to referring physicians within 24 hours. • Precertification of insurance performed by our staff. Service

MRI: Spine

CT: Brain

Mammogram

Ultrasound

$1,327.00

$1,309.00

$214.00

$208.00

The Toledo Hospital

$3,200.00*

$1,350.00*

$525.00*

$1,100.00*

Flower Hospital

$3,300.00*

$1,400.00*

$550.00*

$1,100.00*

University of Toledo Medical Center

$2,550.00*

$1,300.00*

$625.00*

$800.00*

St. Anne Mercy Hospital

$3,300.00*

$1,850.00*

$350.00*

$925.00*

St Vincent Mercy Hospital

$3,300.00*

$1,800.00*

$350.00*

$925.00*

Toledo Clinic

*SOURCE: Prices derived from newchoicehealth.com as of 06/20/2013

Call today! Local: 419.479.5935 Toll Free: 800.444.3561 Or visit us online at www.toledoclinic.com/radiology

View All Of Our Convenient & Affordable Healthcare Services On Our Website: Radiology

Physical Therapy

Pathology

Pharmacy

Outpatient Surgery

For more information on our service visit www.toledoclinic.com/healthcare-services Main Campus: 4235 Secor Road, Toledo, Ohio 43623 • 419.473.3561 • 800.444.3561 If you have questions about an advertiser, click their email or web address in our online issue at www.hlntoledo.com

Get Medicare Ready! New to Medicare and have questions? We’ve got answers. Get the answers you need. Humana is one of the country’s more experienced healthcare companies, serving people for over 50 years. Turn to Humana to help you find a plan that’s right for you. Our licensed sales representatives are happy to talk with you on the phone or visit you at home.

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Humana is a Medicare Advantage organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in this Humana plan depends on contract renewal. A salesperson will be present with information and applications. For accommodation of persons with special needs at sales meetings, call Humana sales at 1-800-819-2691 (TTY: 711), 8 a.m. to 8 p.m., 7 days a week. Y0040_GHHHKYHHH Accepted 1 16HUNO1555v2.indd February 2014 | Healthy Living News

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HUNO1555 – 10.25” x 12.625” – 4C – HLN

Catholic Schools Nurture Academic and Spiritual Growth Visit an Open House and see what makes us different.

Christ the King School

419-475-0909 • www.ckschool.org Christ the King is a Leader in Me school that offers 3 and 4 yr. old preschool through 8th grade all in a faith-filled environment. Spanish is offered K-8. A wide variety of extra curriculars for all ages. iPads available for all grades. Call today for a tour. OPEN HOUSE • Sun., March 2 • 11– 1:30 p.m. 4100 Harvest Lane, Toledo OH

Lial Catholic School

St. Joan of Arc School Courageously Catholic

419-866-6177 • http://school.joanofarc.org We offer an innovative, student-centered curriculum in a nurturing, faith-filled environment. Our exceptional academics are enhanced by additional offerings: • Spanish Program •Jr. High Electives iPads, laptops, & Apple TVs incorporated K-8 • Student-led Service Projects • Advanced Enrichment • Intervention Services

5950 Heatherdowns Blvd. • Toledo, Ohio 43614 Now enrolling Preschool–8th grade.

Call today to schedule a tour.

St. Patrick of Heatherdowns School

419-877-5167 Multi-age Continuous Progress School Readiness through Middle School www.lialschool.org

419-381-1775 • debora.oshea@toledostpats.org http://school.stpatrickofheatherdowns.org 3 1/2-year-old Pre-K through eighth grade Financial assistance available

OPEN HOUSE Sun., March 2 • 12:00 p.m.–3:00 p.m. 5700 Davis Rd. • Whitehouse, OH 43571

OPEN HOUSE Sun., March 2 • 1 p.m.–2:30 p.m. 4201 Heatherdowns Blvd. • Toledo, Ohio 43614

Or call for a tour any time.

Come discover the new

North CommuNity CatholiC SChool Open House Sunday, March 2

Most Blessed Sacrament Campus (K-8) 4255 Bellevue Road • 12 p.m. –2 p.m.

Regina Coeli Campus (K-8)

530 Regina Parkway • 11:30 a.m.–2 p.m.

St. John the Baptist Campus (K-8) 2729 124th Street • 11:30 a.m.–2 p.m.

St. Catherine Early Education Campus (ages 3-5) 1155 Corbin Road • 11:30 a.m. –2 p.m.

St. Pius X School

419-535-7688 Four-year-old preschool through eighth grade Full-day kindergarten Financial assistance available www.stpiusxtoledo.org email: stpiusx_richardson@nwoca.net OPEN HOUSE • Sun., March 2, 12:30–3 p.m. 2950 Ilger Ave. • Toledo, OH 43606

Or, call for a tour any time.

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Catholic education: Values received, excellence achieved

t seems as though two distinct and divergent sets of values are emerging in our society. One set seems to promote egocentrism, entitlement, moral relativism, instant gratification, and self-aggrandizement while the other embraces concepts such as faith, compassion, self-discipline, determination, accountability, and respect and empathy for others. Parents who hope to raise their children with the latter set of values definitely have their work cut out for them these days. The media and popular culture continually undermine their efforts to instill positive values in their children by sending and reinforcing the message that individual desires and impulses always take precedence over the needs of others and by dismissing positive values as antiquated or obsolete notions. But parents who send their children to Catholic schools find that the values they hope to impart to their children are upheld and reinforced in a supportive, caring environment. As a result, kids educated

in Catholic schools emerge better educated, better citizens, and better prepared to deal with the opportunities and challenges life has in store for them. Here’s what a Catholic education will mean for your child.

they’re given the tools and support they need to do so. The bar of achievement is set high with the goal of preparing students for the rigors of secondary education and the working world.

Safe, supportive learning environment

Christ-centered learning

With their emphasis on Catholic faith, individual responsibility, parental involvement, and respect for human dignity, problems such as behavioral challenges, substance abuse, and risks of violence are significantly lower in Catholic schools than in non-faith-based school systems. In addition, smaller class sizes mean that all students receive the support, personal attention, and interaction they need to excel academically.

Christ’s example is the foundation upon which Catholic education is based. Children are encouraged and nurtured to be Christ-like people and to recognize the presence of Christ in others. Parents appreciate the fact that Catholic schools uphold and strengthen the religious formation they’ve begun in the home.

Elevated expectations Catholic school teachers understand the basic principle that self-esteem results from accomplishment, not vice versa. Students are expected to achieve in their academic endeavors, and

Emphasis on self-discipline Personal responsibility is a hallmark of Catholic education. Students are given the decision-making skills they need to make sound judgments throughout their lives and to extend the respect and dignity deserved by others. Self-discipline leads to academic success, which leads to a more significant contribution to society.

Parents who care Just like you, other parents of Catholic school students want to play an active role in their children’s educational experience. In fact, many parents volunteer in a variety of capacities, such as playground or lunchroom supervision, classroom assistance, fieldtrip support, fundraising assistance, and many other areas. And the support works both ways. The schools are also happy to work together with parents as a team to help solve any problems or challenges that might arise.

Part of a community When your child becomes a part of a Catholic school, your family also becomes a member of this supportive, enriching community, which will allow your entire family to continue growing in their Catholic faith.

College in the future A college degree is critical to career success, and Catholic schools are

Belong.

Come discover the new North Community Catholic School. Open House Sunday, March 2 North Community Catholic School Most Blessed Sacrament Campus (K-8) 4255 Bellevue Road 12:00 pm -2:00 pm

18 February 2014 | Healthy Living News

Regina Coeli Campus (K-8) 530 Regina Parkway 11:30 am -2:00 pm

St. John the Baptist Campus (K-8) 2729 124th Street 11:30 am -2:00 pm

St. Catherine Early Education Campus (ages 3-5) 1155 Corbin Road 11:30 am - 2:00 pm

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focused on preparing students for entry into college. A very large majority of elementary and secondary Catholic school students attend college. In fact, according to the National Catholic Educational Association, 99% of Catholic secondary school students graduate and 97% go on to college. ❦

Seventh and eighth grade program builds girls’ self-confidence

ow girls can build self-confidence and journey toward college and career readiness during seventh and eighth grade by getting a jumpstart on high school preparation at Notre Dame Junior Academy (NDJA). The seventh and eighth grade bold program encourages academic excellence while building self-confidence in girls and enriching their faith life and service to others. NDJA features a foreign language program, a structured curriculum in core areas taught by master teachers, an academic assist period, expanded math options, a full block schedule like the high school, and programs with a career counselor. In addition, there is a one-to-one iPad technology program. NDJA develops critical study and organizational skills in preparation for the crucial high school years. The school focus is on developing an individualized academic program for girls who need more challenge in the areas of math, foreign languages, technology, fine arts, English, and social studies. “Many of the Junior Academy graduates are participating in the International Baccalaureate Program, working toward a full diploma or a certificate in a favorite subject,” said Kim Grilliot, principal grades 7-12. Attending the only Toledo-area International Baccalaureate (IB) School, Junior Academy girls benefit from the philosophy of global learning and critical thinking skill development that permeates the high school culture as well. IB is the world’s most respected academic program and is recognized by the most prestigious colleges and universities. Applications are being accepted now for seventh and eighth grade for the fall of 2014. NDJA is on the Notre Dame Academy campus at 3535 W. Sylvania Avenue, conveniently

located near Westfield Mall. Families with current sixth and seventh grade daughters who would like more information and test dates can call 419-475-9359, ext. 3126 or go to www. nda.org. ❦

for

Bold Academics 7th & 8th Grade ✶ One-to-One iPad Program ✶ High School Level Course Options ✶ Expanded Math Options ✶ Language Program ✶ Fine Arts Program ✶ Academic Assist Study Period ✶ Leadership & Club Opportunities

Have a Heart for Max Clark

n February 8, 2014, a fundraising event and silent auction will be held at The Center for Alternative Physical Therapy from 11 a.m. to 6 p.m. All the proceeds will be used to help purchase a gently used wheelchair-accessible van to transport Max to and from appointments and family events. The proceeds will benefit Max Clark, an 18-year-old who led a typical teenage life until last January, when he contracted the influenza virus. Like most residents who are battling influenza this winter, the family never thought it would turn into something much more serious. The virus spread to his brain and led to a coma, which turned into lengthy hospital and rehabilitation stays. After nine months, Max was moved back home with his family for continued rehabilitation to address physical impairments that interfere with speech, mobility, and daily functioning. Single mother Mary Matuszewski-Clark resigned from her job in order to be home to care for her son, Max, but is now in need of financial assistance. She explains, “Three days a week, in order to transport Max to therapy, a medical transport is required and usually turns a 60-minute appointment into a four-hour event, which is very tiring for Max. Also it severely limits available time for other activities on those days.” Traveling for the family is not possible, as Mary also cares for her other two children, Max’s brother and sister. “The availability of a wheelchair-accessible van would greatly increase independence and provide a much-needed opportunity to participate in activities and events outside of the home. This would in turn benefit Max and aid in his recovery and rehabilitation as he increases his ability to walk and talk.” The “Have a Heart for Max Clark” benefit is an opportunity for the community to come together and help out a local family in need. The benefit will include silent auction items, raffles, and opportunities to donate to the cause in exchange for services provided by local massage therapists, participation in energy and Reiki sessions, yoga, and Pilate’s

✶ ✶ ✶ ✶ ACCEPTING APPLICATIONS NOW ✶ ✶ ✶ ✶ Call 419-475-9359 ext. 3126 for information and test dates.

Notre Dame Junior Academy

BOLD! ✶ BRILLIANT! ✶ BEAUTIFUL! ✶ BLESSED!

Grades 7 & 8 ✶ All Girls ✶ 419-475-9359 ✶ www.nda.org SPONSORED BY THE SISTERS OF NOTRE DAME

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St. Joan of Arc School

offers an innovative, student-centered curriculum in a nurturing, faith-filled environment. Our exceptional academics are enhanced by additional offerings: • Spanish Program • iPads, laptops, & Apple TVs incorporated K-8 • Jr. High Elective classes • Student-led Service Projects • Advanced Enrichment • Intervention Services Now enrolling Preschool – 8th grade Call to schedule a tour today!

419.866.6177 5950 Heatherdowns Blvd. Toledo, OH 43614 http://school.joanofarc.org

St. Joan of Arc School

Courageously Catholic

classes. Lunch will be available as well. This is an open event, and the general public is encouraged to attend. For those wishing to consider a donation in lieu of attending the event, please contact event coordinators at haveaheartformax@aol. com. Further details are available on the Alternative Physical Therapy Ltd. Facebook page (click “events”). The Center for Alternative Physical Therapy is located at 440 S. Reynolds Rd., Suite D, Toledo, OH. 43615, 419-578-4357.

A FOUNDATION OF

SERVICE

IS OUR S I G N AT U R E .

4607 W. Sylvania Ave. | Toledo, Ohio 43623 (419) 841-7773

signaturebankna.com Member FDIC

20 February 2014 | Healthy Living News

New business features grocery delivery by Christine A. Holliday

ow would you get groceries if you were too sick to get out? Could you manage the grocery store experience—reaching and lifting and carrying—if you were recuperating from surgery? Would you have a way to get food for your pets if you had no car and no ride to the store? Chris Wayton worried about people facing situations like those. As a long-time social service case worker and disabilities worker, she knows how difficult it can be for many people to manage normal tasks of life. While helping her sister, she had the idea of a way to meet people’s needs and her own desire to have a helping career. “My sister has MS,” she explains. “She wasn’t able to do grocery shopping without a great deal of difficulty. She knew she could order some grocery items online and have them delivered, but those services couldn’t provide some things, like fresh produce. Sometimes she needed things faster than someplace like Amazon.com could deliver them. We couldn’t find anybody who offered such a service. That’s when I got the idea for a grocery-delivery business. I knew there must be lots of other people with the same needs.” Wayton and her husband decided on Home Run Groceries (“We run groceries to people’s homes,” she laughs to explain the name) and opened for business in October, 2013. She chose a happy, full grocery bag as the logo because she wants the service to be seen as a happy business. “I love to help the people, and I know many of them are glad to be able to maintain their independence. Some are glad to have somebody visit, too, and I enjoy getting to know them.” The service allows a customer to prepare a list of groceries and phone, e-mail, or go online to transmit the list to Mrs. Wayton. She shops at the customer’s store of choice, buying the customer’s specified brand names and sizes, and uses store discount or member cards if applicable. She is careful to avoid outdated products or those

in dented cans and bags them as a perfect bagger would—cold items together in a cold pack, cleaning supplies packaged apart from food. She delivers the items to the customer’s home, putting them away if asked, and might take the extra step of loosening ornery lids or tearing open too-well-sealed plastic packages. Wayton does a bit of research so she can suggest stores with good sales and can purchase almost anything on a grocery list, except for alcohol, prescription drugs, tobacco, or lottery tickets. She is willing to include pet items, too, and will add side trips to the public library, the cleaners, or the post office if the customer requests them. The customer pays for the groceries and a small service fee; gets the satisfaction of a well-stocked pantry; and avoids the stress of driving, parking, wandering around the store, struggling with heavy or hard-to-reach items, or worrying about loading and unloading the trunk. No contract is required for the service, and there is no commitment to use the service more than once. Payment is by cash, Pay Pal, debit card, or credit card, and Wayton offers $5.00 off the first order as well as a willingness to work with customers on low, fixed incomes. As news of the business has spread, Wayton has found that many of her callers are family members looking out for frail or elderly parents or relatives. Adult children who live out of town call to order items to be delivered to their parents, making sure they don’t go out if they don’t have to. One customer, serving in the Air Force, called to order groceries for his mom who was homebound, recuperating from surgery for a broken hip. An out-of-town client called to order a cake and balloons to be delivered to her boyfriend on his birthday. As it turns out, the business is a perfect opportunity for Wayton to use her training Discover an eclectic collection of hand-made items: and education. Her background in senior Artwork and prints services, especially dementia services,  Fair Trade coffee, tea, means that she can chocolate and gifts recognize symptoms  Soaps and lotions Acacia Wood Heart Bowl, of health problems from the Philippines  Ceramic tiles that far-away family members or even  Jewelry All Good Things the customers themSisters of St. Francis selves might not see, 6832 Convent Blvd Sylvania, OH 43560 an added benefit to the service. She notes, 419-824-3749 Bring in this ad for 10% off your “Many of the customwww.allgoodthingsosf.org entire purchase. ers come to think of Coupon expires 3-15-14 www.facebook.com/allgoodthingsgiftshop We love comments and feedback. Like us on Facebook. Follow us on Twitter.

me like a sister or daughter doing their shopping, so I am happy to offer suggestions for referrals for other services if they ask. We recently were able to get a homebound customer a flu shot at home. It felt good to make that happen!” For more information, check out Home Run Groceries at www.home rungroceries.com, call 419 266-1651, or email service@homerungroceries. com. Phone orders are taken between 9:00 a.m. and 6:00 p.m. Monday-Friday,

online orders 24 hours/day. Deliveries are scheduled Monday-Friday between 9:00 a.m. and 7:00 p.m. The primary shopping areas include stores in Rossford, Perrysburg, and Maumee, but Mrs. Wayton will consider shopping in Toledo, Bowling Green, Whitehouse, Waterville, Monclova, Northwood, and Oregon, as well.

In your home or ours.

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

by Myles Mellor

ilovecrosswords.com

30 _____ intolerance, 1 Mucus/inflammatory allergic reactions to milk causing substance sugar 5 Relating to the use of 33 Mediterranean meat medicinal plants 36 Compass point 9 Satisfied 37 Most succulent 11 Bitter 38 Oolong and chamomile 12 Plum center 14 You and me Down 15 Releases, as a gland 1 Overall targets, with a does diet for example 17 ____ microbial 20 Oil or oregano may be 2 Deplete 3 Insignia a weapon to fight this 4 __ plus ultra common illness 6 Relieve 21 Aka Vitamin B1 7 Gluten-free alternative 23 Northeastern state grain (2 words) 24 Irritated 8 Be supine 26 Cholesterol-reducing 10 Separate seeds from cereal grain 29 Complete Crossword by Myles Mellor 1

Answers on page 33 13 16 18 19

Tennis equipment Abdominal pain Cool down Mushroom nicknamed “hen of the woods” 21 Power in a person according to the Tao 22 Ancient grain, rich in manganese and magnesium 23 “I did it __ way” Frank Sinatra 25 A ___ potato! 26 Baking devices 27 Difficulty 28 Lung divisions 31 Kind of lettuce 32 Kimono belt 34 Organized insect 35 Honey maker

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9/18/12 9:52 AM

University of Toledo offers Graduate Certificate in Elder Law

Health Care is complicated

by Assoc. Prof. Michael J. Spiros, JD

But that’s where you come in.

Patient advocates, or professionals who act as liaisons between patients and the health-care provider, are needed now more than ever. You can supplement your undergraduate degree with training in this field through The University of Toledo’s Graduate Certificate in Patient Advocacy Program. This is a 100 percent online graduate certificate that can be completed in just two semesters.

JHHS 32 0113

For more information call or e-mail Debra O’Connell – 419.530.5421 or Debra.Oconnell@utoledo.edu.

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22 February 2014 | Healthy Living News

hether you rely on statistics or anecdotal information; whether you blame it on us Baby Boomers who want to live well and live long; or whether you attribute it to nature, nurture, or more people paying attention to what they read in Healthy Living News, one thing is certain: our population is rapidly aging. The statistics are mindboggling. According to the U.S. Department of Health and Human Services, in 2009, the last year for which statistics are available, there were approximately 39.6 million Americans age 65 or older—roughly 13 percent of the population. Between 2010 and 2020, that number is projected to increase by about 36 percent to approximately 54.8 million, 22.5 million of whom will be 75 years old or older. In response to this demand, the Legal Specialties Program in the College of Human Service Professions at the University of Toledo, in cooperation with UT’s Center for Successful Aging in the College of Medicine, is proud to offer the Online Graduate Certificate in Elder Law. The UT Elder Law Program consists of five classes, all of which can be completed in just two semesters. Courses are accessible 24/7 through distance education methods over the Internet. Three legal classes, Legal Issues for the Elderly, Elder Health Law and Ethical Issues, and a Guided Study in Elder Law Topics are offered in the summer session. Legal Issues for the Elderly covers wills, trusts, estate administration, powers of attorney, guardianships, advance directives (health care powers of attorney, etc.), Social Security, Medicare, Medicaid, grandparents’ rights, and legal issues involved in late-in-life marriages. Elder Health Care Law focuses on the ethical issues involved in legal practice with elderly clients, age discrimination in employment, health care and long-term care for the elderly, income maintenance, and elder abuse. The Guided Study in Elder Law is a vehicle for exploration of elder law topics chosen by the students, with

the approval of the faculty, which may not have been covered in significant depth in the other courses. Examples have included a comparison of the laws of various states on such issues as end-of-life decision making and elder abuse. Students are given the opportunity to create a project that explores their interests and suits their particular needs and/or reasons for enrolling in the Elder Law Certificate Program. The other two classes, Health and Aging and Issues in Contemporary Gerontological Practice, are offered each fall semester. Health and Aging is designed to investigate health-related issues in older adults, including the psychosocial aspects of disability and disease. Practical application of the material is emphasized. Issues in Contemporary Gerontological Practice explores introductory issues in older adults. Biological, psychological, and sociological perspectives of aging are addressed. A student who recently completed the program had this to say: “The Elder Law Program at the University of Toledo has opened my eyes to both the health and legal issues that the older adult population encounters. The courses have touched on the challenges, limitations, and the frustrations of getting older as well as the opportunities and resources that are available. The program is structured to facilitate learning in a nontraditional setting, all online. As a full-time nurse and mother of two children, this has been ideal for my lifestyle. The professors have made the courses interesting, interactive, and above all meaningful. I recommend this program to anyone who works with the older adult population or has someone in their life who is an older adult and needs guidance with caring for their loved one.” ❦ For more information, contact Assoc. Prof. Michael J. Spiros, Esq. at mspiros@ utoledo.edu or Debra O’Connell at Debra. OConnell@utoledo.edu.

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104-year-old rehab guest wows Laurels staff with her motivation

ena Lucas, who celebrated her 104th birthday on Saturday, December 21 at The Laurels of Toledo, knows a thing or two about motivation. Lucas came to The Laurels, inpatient rehab facility recently after experiencing syncope, or fainting, related to atrial fibrillation. Unable to stand, which was not a normal limitation for her, Lucas was understandably worried and anxious to regain as much of her former function as possible. During her rehab journey, she astonished the therapy team and motivated rehab guests half her age with her determination to achieve goals. In fact, according to Julie Leidel, Rehab Services Director for The Laurels, Lucas was one of the first rehab guests for the month to meet 100% of her clinical Pathway to Home goals. Pathway to Home is a collaborative, interdisciplinary program that helps Laurels rehab guests and their caregivers develop a cohesive set of goals so everyone participating in the rehab journey is on the same page and can monitor and track the guest’s progress. Guests are required to achieve only 90% of these goals before they can safely transition home.

Lucas wasn’t content to stop there. “At first, it took two people just to get Lena on her feet, which concerned everyone because she’d never had that problem before,” recalled Laurels physical therapist Lynne Nidek. “But she progressed so steadily and nicely that she’s now walking short distances with a walker, which is her prior level of function.” Christina Nickle, a licensed certified occupational therapy assistant at The Laurels, notes that Lena’s occupational therapy goals were focused primarily on activities of daily living such as dressing, bathing, and feeding. “Things were a little rough when she first came in. In fact, Lena couldn’t even feed herself at first,” she said. “But she’s shown so much improvement and really surprised us all. She’s always so cooperative and motivated.” The therapy team also provided a lot of caregiver education to Lucas’ daughter, Bobbie Parker, with whom

she resides. Parker has been very involved in Lucas’ rehab journey and even came to The Laurels to learn the techniques and strategies she would need to use in order to continue helping Lucas after her transition home. It was also during discussions with Parker that the rehab team discovered Lucas, who had never been in rehab before, did not have a wheelchair at home. She had been using a wheeled desk chair to get around at home. Now, thanks to the efforts of the therapy team, she’s equipped with a safe, properly fitted

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wheelchair. During her birthday celebration, which featured cake and cards provided by both family members and Laurels staff, Lucas was surrounded by five generations of family, including the newest member—a four-day-old baby boy. When asked the secret to her remarkable longevity by a news reporter covering the special event, Lucas looked at all the family members standing around her and replied, “This is the secret.” Perhaps the best birthday present yet—or was it a Christmas present?— came three days later on Christmas Eve, when The Laurels’ staff held her Celebration Home to honor her for meeting all the clinical goals necessary to transition home. “The people who worked with me here were so wonderful, but I’m very happy to be going home to my family,” she remarked. For their part, The Laurels’ staff will certainly miss the 104-year-old guest who worked so hard and inspired so many. “There’s just something about her manner and her presence that has an influence on anyone who meets her. Plus she never refused a challenge and was always willing to

do therapy. Those are the reasons she progressed so nicely,” Leidel said. ❦ The Laurels of Toledo, a skilled nursing and rehabilitation center located at 1011 Byrne Road, accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services. For more information, call 419-536-7600 or visit www.laurelsoftoledo.com.

Bathroom safety tips for the entire family

f all the rooms in a house, the bathroom is second only to the kitchen when it comes to family safety hazards. When you think about it, the average bathroom is a veritable warehouse of dangers—toxic medications and cleaning chemicals, slip-and-fall hazards, electric appliances in close proximity to water sources, etc. In

fact, family members of every age face at least some degree of risk in the bathroom. Here are some of the most common bathroom-based hazards and steps you can take to eliminate them:

For the kids The bathroom is an especially dangerous place for toddlers and very young children. Medicine bottles and chemical containers can be very attractive to them, so if they have unsupervised access to such products for even a brief period, an accidental poisoning can easily occur. Even so-called childproof caps will deter a determined child for only so long. Some of the most common poisons ingested by children age five and under are: • • • • • •

Vitamins containing iron Aspirin or Acetaminophen Topical ointments and sprays Tranquilizers and sedatives Cold preparations Rubbing alcohol

To keep these and other dangerous products out of children’s hands, cabinets and drawers containing

medicines or potentially caustic or toxic chemicals of any kind should be securely latched. Better yet, remove the substances from the bathroom altogether and store them in a high place, well out of a child’s reach. Toilets and bathtubs present their share of safety hazards to kids as well. Young children seem to find the swirling water of a flushing toilet irresistible and are sometimes tempted to take a closer look. If the toilet seat should happen to fall shut at the wrong time, the result could be a painful black eye, bloody nose, cut lip, smashed finger, or other injury. What’s worse, despite the relatively small volume of water toilets hold, it’s still possible for young children to drown in them. This most often occurs when an unsupervised toddler falls headfirst into the toilet and can’t get free. Installing an inexpensive toilet seat safety latch will help prevent such a tragedy as well as injury caused by a falling lid. Bathtubs can cause injury if a child falls while attempting to climb in,

especially if the tub has high sides or is sunken. And, parents must be especially vigilant at bath time to prevent accidental drowning or scalding. Young children should never be left alone in a bathtub (not even for a brief moment), placed in the tub while you’re filling it with water, or allowed to play with the faucet handles or spout while bathing. Also, set your home’s water temperature no higher than 120°F to prevent accidental scalding. To prevent slip-and-fall accidents, cover the bathtub floor

Young children and pets may be attracted to an open toilet. The seat and lid should be kept down to avoid painful accidents, and cleaning products should be stored safely out of reach.

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24 February 2014 | Healthy Living News

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with a non-slip bath mat. With respect to electrical safety, parents or older siblings should never leave a hair dryer, hair straightener, curling iron, or other small appliance plugged in where a child can reach it or accidentally bump it into water. Also, make sure any conventional electrical outlets you might have in the bathroom (newer homes should have them already, but older ones may not) are replaced with GFCI (ground fault circuit interrupter) outlets, which will cut off the flow of electricity immediately if an improper ground situation—such as a hair dryer being submerged in water—is detected. A great way to help prevent children from being injured or poisoned in the bathroom is to install an inexpensive door alarm on the bathroom door or a cabinet alarm on the medicine cabinet.

For seniors Seniors will also benefit from many of the aforementioned bathroom safety features, such as using a non-slip mat in the bathtub and limiting the water temperature to 120 degrees, but additional safety measures may need to be implemented to accommodate the mobility limitations, reduced vision, balance issues, and memory/cognition problems that often accompany aging. These might include: • Replacing a standard tub/ shower with a walk-in model • Replacing throw rugs with lowpile, non-skid bath mats • Installing safety grab bars/ handrails around the tub/

shower and toilet • Increasing the overall illumination for maximum visibility • Installing a light or increasing the level of illumination in the medicine cabinet to prevent dangerous medication mix-ups • Installing a nightlight in the bathroom • Replacing glass shower doors with break-resistant plastic • Clearly labeling or color-coding the hot- and cold-water faucets.

For everyone Regardless of your age or physical condition, potential dangers await you in the bathroom. Anyone can slip and fall on wet linoleum, tile, or marble, so non-slip mats should be a feature in every household bathroom. And, even though an adult is unlikely to intentionally submerge an electrical appliance, it takes only a small oversight to bump a hair dryer or curling iron into the toilet, tub, or sink. If you get in the habit of unplugging and putting these items away when you’re not using them—or better yet, use them in the bedroom instead—you can eliminate the risk of electrical injury. Proper handling of chemicals in the bathroom should also be a concern for family members of all ages. Many cleaning fluids are extremely volatile and can cause severe burns or eye injury if accidentally spilled or splashed. Their fumes can even pose a health risk, so it’s imperative to make sure the bathroom is properly vented before you begin cleaning. ❦

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Practical tips for memory caregivers by Jessica Derkis “I thank my God in all my remembrance of you…”

—Philippians 1:3

id you know that talking into the left ear may help foster communication between a caregiver and someone with dementia? Wow! If you missed Dr. Bharwani’s talk last month, please read on for just a few ideas that he shared with families to improve moods and reduce anxiety with their loved ones. Last month, we shared some of the results of new Alzheimer’s therapies based on the research of Govind Bharwani, PhD, who is the Director of Nursing Ergonomics and Alzheimer’s Care in the Nursing Institute of West Central Ohio and a professor at Wright State

Dr. Hesham El Gamal

University. Dr. Bharwani shared that the left hemisphere of the brain, the “logical and analytical” portion, is first and most aggressively affected. He noted that as with any lost sense, another often attempts to compensate, and so it is with dementia. He shared brain scans and statistics showing “At the end of the day people won’t remember what you said or did, they will remember how you made them feel.” —Maya Angelou

Dr. Hesham El Gamal is the Physician Advisor for the Ridgewood Manor Pulmonary Recovery Program.* Dr. El Gamal specializes in pulmonary and critical care medicine. He coordinates a highly trained team of health care providers to lead the pulmonary program. Dr. El Gamal is Board Certified in Internal Medicine, Internal Critical Care, Sleep Disorders and Pulmonary Medicine. Dr. El Gamal has privileges at several northwest Ohio Hospitals. He is licensed to practice medicine in multiple states including Ohio, Michigan, and Indiana. *as of October 1, 2013

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that as the reasoning and rational side declines, frequently the right brain, the “creative and emotional” center, takes over. This means that each interaction is not about the intent or the end result but how it makes your loved one feel. A positive interaction, from a smile to a familiar smell, can linger in the emotional center for hours. The bad news is that the inverse is also true; a frustrated tone or an unkind word can contribute to a bad mood for the rest of the day. There is little to no reasoning with the right brain, so you can’t persuade someone to “cheer up” or cooperate. And it’s not because the person is uncooperative. As tiresome as it may seem, the person with dementia is not being obstinate or contrary to hurt our feelings, for revenge, or for any other motive. Most often, they genuinely cannot grasp whatever you are trying to communicate. Even when you believe you have a yes with a nod, it may be only social cueing, not a sincere approval. For those who missed the programs in January, these are some simple but already proven Behavior Based Ergonomic Therapy techniques to improve interactions with your loved one:

• Speak through the left ear to communicate to the right “creative/emotional” brain, whenever possible. • Massage the left hand for calming effect of the right brain. • Avoid long stories in conversations or movies with complex story lines. • Speak in short sentences, and use “I” statements. • Use short words (three-letter nouns and verbs). • Use favorite food items to give medications. • Share pictures of family and the loved one that were taken many years ago to help with reminiscent therapy. • Use familiar fragrances such as her “night out” perfume or a new carton of tennis balls if that is something that evokes fond memories. • Investigate, too, specific aromatherapies to calm stress levels. • Play the type of music and video with emotional connections that he/she used to enjoy before. • If helpful, use colorful and eye-catching clothing, décor, and paintings.

• Share pictures and videos of spatial-nature connections (outdoors, gardens, mountains, lakes, flowers, etc.). • Use favorite textures, such as a soft sweater or a warm quilt, to encourage range of motion and exercise. Are you ready to learn more? The doctor is in! Join Dr. Govind Bharwani on Thursday, February 27 at 6:00 p.m. or Friday, February 28 at 11:30 a.m. at St. Clare Commons. Seniors, their families, and anyone else who would like to improve communication skills with those diagnosed with Alzheimer’s/dementia are welcome. Learn about the neuroscience behind, and how to care for loved ones diagnosed with, Alzheimer’s or dementia. Please call 419-931-0050 to reserve for either time. Refreshments and tours will

be available. The first phase of St. Clare Commons is now open and Medicare certified! Reservations are available for in- and outpatient rehabilitation, assisted-living apartments, a secure area featuring efficiency suites specializing in dementia care, and comfortable short-term-nursing-care suites. Other amenities you will find in the new 136,000-square-foot healthcare building are a state-of-the-art therapy lab, Starbucks,™ a piano bar and lounge, a well-stocked library, community education space, a beautiful chapel, and many connections to Blessed John XXIII Parish. St. Clare Commons is a member organization of Franciscan Living Communities (FLC). FLC is a division of Sylvania Franciscan Health, sponsored by the Sisters of St. Francis of Sylvania, Ohio. FLC is a mission-driven, industry-leading provider of senior-living services throughout Ohio and Kentucky. The organization offers continuum-of-care options including independent living, assisted living, skilled nursing, rehabilitation, memory care, senior housing, and home health services. ❦ Jessica Derkis is the Marketing Director for St. Clare Commons.

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26 February 2014 | Healthy Living News

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Fueling your body for optimal performance in 2014

hether you’re a weekend warrior or Ironman finisher, your athletic performance is directly tied to your diet. If you want to be at your peak and recover quickly, you must take care of your body by eating correctly. If your body is starved for essential nutrients, then your performance and recovery will end only in frustration—and frustration for many leads to overeating. Let’s look at the basics.

Nutrition 101: the foundation The big three nutrients that you need to be concerned with are carbohydrates, protein, and fat. An eating strategy that balances these three macronutrients will skyrocket your fitness results. Carbohydrates—Some have argued that carbohydrates are the most important nutrient that an athlete consumes, because carbs fuel muscle. Every time you move one of your muscles, you are using carbohydrates. Your body breaks down carbs into sugars and then stores them in your muscles and liver. If you eat more than can be stored in either of these two places, the excess is stored as fat in your body. Good sources of carbohydrates include whole grains, vegetables, fruits, and beans. Protein—In order to build muscle, you must have protein. Muscle is the foundation of every athlete: without a solid muscle base, you will be ineffective in any fitness pursuit. It is important to eat protein daily because your body cannot store protein very easily. Animal sources are the easiest way to get complete protein, but plant-based proteins can be combined to provide complete protein as well. Fat—It is unfortunate that fat came under such fire during the last decade or so. Fat is essential, and you need a lot of it. The key is to know what kind of fat to eat. Avoid anything that is hydrogenated or partially hydrogenated. These fats are also called trans-fats and are very unhealthy. Instead, try to get the majority of your fat from olive oil, coconut oil, nuts, seeds, avocado, wild-caught fish, and products such as butter, cheese, yogurt, beef, and poultry from free-range animals. If you are like many people, you are often confused about how to balance out the different kinds of foods you eat. It seems as though there is a new

diet promotion every day, promising all sorts of miracles. A key place to start is with an eating ratio of 40/30/30 (carbohydrate/protein/fat). Start here and then adjust the ratios to see what best suits your body.

Why aren’t we sleeping? It was common for people to sleep eight to nine hours each day in the early part of the century, but not now. Less than one-quarter of Americans get at least eight hours of sleep per day. There are numerous reasons, especially now that we live in a 24/7 society and are always connected. Typically, in our hectic lifestyle, the first change we make is in our sleep, consciously or unconsciously, by getting to bed a little later most nights. But even when we get into bed, we aren’t guaranteed sleep. The National Sleep Foundation reports that 60% of Americans have sleep problems. Eating healthier as identified above and getting more exercise isn’t enough to make up for the danger that sleep deprivation poses to your health. Adults need around eight hours of

sleep each night, and children need more. Getting less than that can have serious consequences, including: • Risk of cardiovascular disease • Obesity: Sleep shortage is directly linked to obesity • Compromised immune system • Impaired exercise performance. The truth is, if you don’t make time for adequate sleep now, you will likely be forced to make time for illness in the future. Concerned about winter weight gain? Winter weight gain varies from individual to individual, but

on average, most individuals will gain from five to seven pounds. Why does this happen? For the most part we eat more (and less healthy foods) and move less during the winter months. Heartland Rehabilitation Services can help with this year’s winter weight gain through our gym memberships, clinical expertise, and healthy lifestyletherapeutic weight management program, which is licensed by Physician Choice for Weight Loss. Call any of our five locations for more information. Contact Jim Berger via email at jberger@hcr-manorcare. com to receive our Healthy Lifestyle Management e-book. ❦

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Just be still and listen

hirley and I have traveled to some of the most beautiful places on the planet and, naturally, we are entranced by the scenery. Sight may be the most highly valued of our senses, but it represents only a portion of our total experience. Now, we might reminisce about the taste of lobster in Bar Harbor, ME, a Mai Tai on Maui, fried chicken in Lorman, MS, jumbo shrimp and sea scallops in Pensacola, FL, or steak in Gardiner, MT. Or the smell of a cedar campfire and the piney woods after rain. Or the feel of a wool shirt softened by years of wear on cool mornings in the mountains. But this month, the subject is sound—illustrated with images. Photos cannot convey the emotional impression of sound, but, then, they really can’t quite capture

the panoramic splendor of the West either. Sometimes the hills are alive with the sound of music. The eight young men holding evening jam sessions in Shenandoah. (And then faithfully adhering to the quiet hours rule.) The mother giving her two small daughters violin lessons in Yellowstone. The Windsync quintet playing Bach in the Tetons. The young woman singing and practicing guitar on her way to a recording session in Nashville. The summer music festival in Sun Valley, ID. Joyful mountain music along the Blue Ridge. Street musicians playing exceptional jazz in New Orleans. Most of the time, though, the sounds we love are provided by birds, animals, wind, and water.

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If you are fortunate enough to hear a mockingbird, it means you must be someplace warm. We love the song of the mockingbird because he is a one-bird jazz sextet who sings snatches of the songs of other birds.

The call of members of the hawk family, including the osprey, is a high-pitched skree-skree-skree. This osprey pair was getting all chummy at the beginning of nesting season.

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Some beaches we love are wide ribbons of soft white sand, and the waves come whump, whump, whumping in. Sometimes the surf crashes onto rocks. Or, where there is pebbly beach, the stones rattle against each other as they move in an out with the waves. Maui has all three kinds. The black volcanic stones on the winding road to Hana become highly polished as they loudly click together in the surf.

28 February 2014 | Healthy Living News

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You know, of course, that roadrunners say “Beep, beep!” and disappear in a cloud of dust just before the Acme safe arrives from above.

All the world knows that the owl asks, “Who?” You may not know that different species ask the question in different ways. The barred owl says hoo-toot-to-hoo. This owl spoke mostly in owly expletives as she defended her chick from a flock of crows.

The bobwhite quail familiar to Midwesterners says his name. The Gambrel’s quail of the West hangs out in coveys that always seem to be kibitzing back and forth, nodding their heads in agreement. Typically, a lookout finds a perch to keep an eye out for predators. He calls “Chi-caa-go!” to put the covey on alert.

A vulture doesn’t actually sing but barks rather like a large dog with something caught in its throat. Black vultures have featherless black heads that make them easy to distinguish from red-headed turkey vultures.

The bull bison is a great rumbler. He doesn’t make an actual call, like the elk or gator, but is constantly mumbling to himself as he walks along. During the rut, he sniffs the air to detect the scent of a cow who might be in an agreeable mood. “Uhmmm! Uhmmm!” he says. “Nice legs, but I think she still has a headache.”

The bugling of the bull elk during the September rut can make the hairs stand up on the back of your neck. The elk cow makes a similar but more plaintive call when her calf wanders off. The calf, in its turn, mews like a kitten when it can’t find mama.

Shirley and I have always enjoyed camping near running water whether backpacking in the old days or in our RV more recently. The phrase “babbling brook” is a horrid cliché. Even so, the gurgling of a mountain stream in the night really does start to sound like a room full of people at a party.

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Nothing says Call of the Wild quite like a wolf. But it is hard to get within half a mile of a wolf, so Cousin Coyote gets to stand in for photographic purposes. A pack of coyotes yipping away in the middle of the night does not actually compare to the haunting sound of wolves calling to each other from neighboring ridge tops. Nevertheless, I’m always happy to be awakened by their song.

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During the mating season, bull alligators roar and sputter like lawn mowers that won’t quite start. The lady gators can tell the mature bulls from the adolescents as easily as you can tell a teenage boy from Barry White. The deep rumble actually makes water drops dance on the back of the gator.

Two things you might not know about cacti: Needles are actually a form of leaf that has adapted to low moisture conditions; as with leaves, you can hear the wind passing between cactus needles. The song of the desert is as distinct as the sound of the wind through aspen leaves or pines.

Seals, sea lions, and other sea mammals gather by the hundreds along the Pacific coast. They constantly squabble over the most favorable position on the rocks like Sheldon Cooper laying claim to his seat on the couch.

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Thunder and lightning can be scary or soothing depending on whether you feel threatened. The sight and sound of an approaching storm can be downright awe-inspiring. On the open prairie of North Dakota, we broke camp and fled a black storm cloud spitting lightning that chased us at 60 mph. Twice we encountered golf ball hail at Devil’s Tower. The best way to see a mountain storm is to be just to the south when it whips through from west to east.

Shirley and I like the sounds of nature so much that we miss them when we are at home. She dealt with that issue by getting us a “white noise” machine for bed time. It has ten settings ranging from birdsongs to rain and ocean

waves. Very restful. Even so, it cannot begin to compete with an actual walk in the park. LeMoyne Mercer is the travel editor for Healthy Living News and regular contributor of A Walk in the Park.

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Mercy physician notes encouraging trend in heart-health awareness

he word may be getting out on cardiovascular disease. While it remains a significant health issue, not just in the Toledo area, but across the nation, local family physician Dr. Tanya Baldwin of Mercy Family Physicians at Isaac Street is encouraged to note that more and more of her patients are becoming aware of the disease, its risk factors, and steps they can take to prevent it. She’s optimistic that this trend will continue and lead to greater overall health and longevity in our community. “I’m seeing more patients, especially women, becoming more aware of their cardiovascular health and adopting a proactive stance when it comes to preventing heart disease and stroke,” Dr. Baldwin says. “Women are also beginning to understand that heart disease isn’t something that ‘just happens to men’ and that they often manifest atypical symptoms during a heart attack. For example, instead of the classic crushing chest pain we tend to associate with heart attack, women may feel a nagging back or neck pain that won’t go away.” Dr. Baldwin goes on to explain that while we have a lot of work to do when it comes to overall prevention, we’re catching the signs and symptoms of cardiovascular disease much earlier, and once patients do experience an event, such as chest pain or a transient ischemic attack (a so-called “mini-stroke”), they seem to be getting the message that they need to make lifestyle changes to prevent the problem from getting worse. “Just today, a male patient was having lunch with his wife when he started to have memory issues,” recounts Dr. Baldwin. “His wife, recognizing that his memory lapse could be a sign of stroke, immediately took him to the emergency room where he was treated with the clot-busting drug tPA. Because they caught the symptom and sought treatment so quickly, he’s doing fine and has no deficits from the stroke.” If Dr. Baldwin could recommend only one thing to help her patients improve their cardiovascular health, it would be to increase their physical activity (her second recommendation would be to drink plenty of water—with nothing added). She suggests that adults who are new to exercise begin by walking briskly for 30 minutes three times per week. For kids, she recommends any kind of ac-

vital micronutrients our bodies need. A diet rich in fresh fruits, vegetables, and lean protein is best. If, like most Americans, you aren’t getting all the nutrients you need from the foods you tive play. “It’s a good eat, Dr. Baldwin recommends idea, especially with taking a daily multivitamin and all of the technology mineral supplement. and videogames out Stress, too, can play a big part. there, to encourage Stress increases blood pressure kids to get active for and causes chemical reactions in Dr. Tanya Baldwin at least 60 minutes the body that can actually bring three times a week,” she says. on a cardiac event. But sometimes Of course, diet plays a significant people aren’t even aware that they’re role in cardiovascular health, as well. experiencing chronic stress. Symptoms Not only does eating the wrong types to watch for include a mild, nagging of foods promote obesity, a major headache daily or several times a risk factor for cardiovascular disweek; difficulty sleeping; extreme ease, but it also deprives us of the fatigue; irritability; and forgetfulness.

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“In addition to exercising and eating right, it’s very important to incorporate things into your lifestyle that help you de-stress and refocus on the things that are most important and most productive,” Dr. Baldwin says. Because elevated cholesterol is so strongly correlated with cardiovascular disease, Dr. Baldwin advises her patients and Healthy Living News readers to “know their numbers” with respect to their blood cholesterol level and other factors that impact circulation. She explains that high cholesterol leads to plaque buildup in the arteries, which increases blood pressure because the heart has to work harder to pump blood through the narrowed vessels to the organs and tissues of the body. Total

cholesterol should be kept under 200. Your LDL (low-density lipoprotein) cholesterol—the so-called “bad” cholesterol—should be under 130 if you have no other conditions, but under 100 if you have diabetes or have had a previous cardiovascular event. If blood testing reveals that your

cholesterol is elevated, steps will need to be taken to lower it, potentially including medications and/or lifestyle changes, and Dr. Baldwin recommends having it rechecked every three to six months. Healthy adults over age 30 need to have their cholesterol checked once every year. ❦

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32 February 2014 | Healthy Living News

ACUPUNCTURE for colds and flu

by Douglas Schwan, DC, Dipl ac

have many patients ask me if acupuncture is good for this or that condition. The answer is always yes! While some extreme medical conditions need to be monitored closely, acupuncture can be used to treat almost any condition by bringing balance back into the body. The cold and flu season is upon us. We are being bombarded by offers of a flu shot while hearing about the dangers of these shots from the opposite corner. Make no mistake, flu-shots equal big business. They take the more common strains from the previous seasons flu, deactivate the virus, and inject it in us to train our immune system. The trouble is, there are millions of strains of flu virus and immunity to one does not confer immunity to all. That’s why you need a new flu shot each season! Saying all this, I see patients every day who have symptoms of the flu yet argue that they had the flu shot. The truth is, they just have a variety of the flu virus that wasn’t in their shot. Traditional Chinese medicine has had cures for the common cold and flu for thousands of years. Treatments have been shown to reduce symptoms and durations of symptoms for these common conditions. Acupuncture itself has been shown time and again to boost the immune system to alleviate the symptoms of, and maybe even prevent, the common cold. Prompt treatment at the first sign of symptoms brings the most effective resolution of cold and flu symptoms. In fact, out of all the medications one might keep in their medicine cabinet, we encourage our patients to have zinc lozenges always handy. At the first sign of a sore throat, they are instructed to suck on sev-

eral lozenges and let the zinc coating wash down their throat. The zinc binds with viral particles and inactivates them. Let the infection penetrate too far into your tissues before using zinc, and they will be shielded from the curative effects. Cold and flu infections are caused by viruses. Antibiotics have no effect on viruses as they are solely for treatment of bacterial infections. Using antibiotics for a viral infection can weaken the body and actually prolong the condition. Using antibiotics when you don’t need them also weakens their effectiveness down the road when you really do need them to fight a bacterial infection. Chinese herbal medicine as well as acupuncture create a diaphoretic action in the body that repels viruses and bacteria. It also reduces the diffuse general myalgia and inflammation from an over response of the immune system to the virus. Colloidal silver has also been shown to be extremely effective in colds and flu and should be utilized at the first signs of infection. Many people use Traditional Chinese medicine not only to improve health conditions, but also to maintain their energy balance and stay healthy. Mind, body, and soul must work together to heal and maintain health. Talk to your Alternative health practitioner today and see what you can do to bring your life back into balance. ❦ Dr. Schwan is available to speak at your group function on a wide variety of topics, including chiropractic, acupuncture, herbal medicine, nutrition, vitamins, etc. He is a graduate of the International Academy of Medical Acupuncture and president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time standup comedian. He has practice locations near Westgate in Toledo, Ohio. He may be contacted at faq@acupuncturetoledo. com. For more information on Alternative Medicine and acupuncture, please visit our website at www.acupuncturetoledo. com.

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Seven basic habits to wellness and chronic disease prevention: Part 1 by Dan Ngur, BSc (Pharm), PhD

t the beginning of every year, most people make New Year’s resolutions. Most of these resolutions will not last partly because of lack of leadership skills. A leader is someone who takes responsibility for setting goals (or vision) for the future, reviews the course of the journey, and makes necessary adjustments to reach the desired destination. There is a leadership vacuum in the world. However, when one begins to talk about leadership, we are quick to point our fingers at those in government or other positions of authority. A leader is a person of resolve. He lives by guiding principles and resolutions. We fail to realize that everyone is a leader in some form and fashion. It is time to make resolutions that are lasting, even if difficult to attain. One area of priority is wellness and chronic disease prevention. Health is wealth. He who has health has everything. Unfortunately, our lifestyles and habits predispose us to unnecessary health issues. In the coming months, I will endeavor to present to you the seven basic habits to wellness and chronic disease prevention. A habit is defined as: • A recurrent, often unconscious, pattern of behavior that is acquired through frequent repetition • An established disposition of the mind or character • Customary manner or practice • An addiction. From the above description, we can see there are good and bad habits. We, therefore, have the responsibility to reassess the way we live, eat, and act. Are there things in our lives that may be robbing us of the quality life we could be living? The first habit to be addressed regards our water intake. Not just any kind of water, but “living water.” About 70% of the earth is covered with water. We as humans are also made up of about 70% water. Water is very critical to our wellbeing. The blood is about 92% water. Adequate hydration keeps us warmer during

the winter months and prevents dehydration during the summer months. A 2% decrease in the hydration of the brain can significantly reduce our ability to reason properly. So it makes sense that fluids are vital for the majority of our bodily functions—protecting our joints, maintaining organ function, transporting oxygen to cells, and sustaining body temperature. I strongly recommend 6-8 glasses of alkaline (living) water daily (on the average) for optimal wellness. This proprietary blend of water has a frequency (living). This is huge. Most other alkaline waters on the market do not possess this technology yet. The benefits of adequate hydration with living water are numerous. A partial list of beneficial effects would include: • It is a proven scavenger of free radicals (more on this later). • It provides micro-clustered water that is able to adequately hydrate the whole body. • It restores the body pH balance and neutralizes lactic acid accumulation during or after workout. • It reduces DNA damage (more on this later). Why not start your journey to wellness today? ❦ Dan Ngur, BSc (Pharm), PhD, is a Wellness Advocate with Fullness of Life, LLC, 5221 Hill (Meadow Brook Plaza). For more information, please email donadi@fullnessoflife.net or call 567-202-3347.

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Mainting those New Year’s resolutions by Amanda Manthey

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re you interested in running but afraid of the first steps? Here are a few tips to get you off on the right foot and on your way to enjoying the sport of running. Most important, consult your physician before starting any exercise program. As a runner, the most important piece of equipment is your pair of running shoes. Before starting your

along on their workouts helps make running fun. When using headphones, though, play the music at a reasonable level so you can hear traffic noise and remain alert to potential hazards. Speaking of hazards, if you are running alone, carry identification and always run against traffic, preferably on sidewalks or running paths. One of the best ways to improve and get more enjoyment out of running is to enter road races. The experience of finishing a running race is exhilarating. Start with the goal of a 5K (3.1-mile) road race, “fun run,” or a relay race with your running friends. Races can provide a foundation for enjoying a long life of running. Happy running! ❦

running program, visit a shop such as Dave’s Running Shop, which specializes in running shoes, for an assessment of your needs and a personalized fit. One of the most common complaints of new runners is, “I can’t breathe.” Focus your energy on exhaling rather than inhaling. As your need for air increases, think about forcing the air out of your lungs rather than sucking it in. This will make you less tired than when you are huffing and puffing and will also help prevent hyperventilation. In the beginning, take frequent short runs after resting sufficiently. Your runs should last long enough for your body to get a workout but still be able to recover in time for your next run. If you over exercise and your muscles do not recover to their original condition, you will not gain any benefit. Strength is gained during rest when your muscles repair the fibers that are broken down during exercise. But remember, every runner is different when it comes to the amount and frequency of exercise that is appropriate. Listen to your body. As a novice runner, take quick steps rather than long ones. You will not tire as fast if you take short, fast steps rather than long, slow ones, especially when you are tackling hills. When running downhill, lean your body forward in order to try to keep your body perpendicular to the hill. Novice runners need motivation and a schedule. Join a beginner running group or seek out a running partner. Some runners find that taking music

Amanda Manthey is a former collegiate runner for Eastern Michigan University. She writes about running and fitness for Dave’s Running Shop.

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 more information on any event, please visit davesrunning.com.

Blizzard Breakfast Run—Saturday,

February 1, 2014, 10:00 a.m. at 9101 Hufford Rd., Perrysburg, Ohio. 3.5mile prediction run and 7-mile run. Race day registration will begin at 9:00 a.m. Breakfast will be served after the race to all participants. Sponsored by Dave’s Running. For more information, please email jeff.taylor@ davesrunning.com. Open Door-Open Your Hearts 5K Run/ Walk—Saturday, February 15, 2014, 9:00 a.m. The Open Door is sponsoring their first 5k to raise money for their shelter, GED program, scholarship fund, and other expenses. The race will start and finish at the Open Door facility at 104 Monroe Street in Delta, Ohio. ”Cutest Cupid” costume award will be presented. Hot chocolate, pastries, and door prizes too! Our vision is to assist people in need: through mentoring, education, financial literacy, and housing to achieve self-sufficiency in a non-profit setting. For more information, please email taryndonahue@gmail.com. ❦

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Feeling SAD?

Let there be light! I

t’s not unusual to experience a little post-holiday letdown. After all, you’ve spent the last few months in a celebratory frame of mind surrounded by family and friends. Now that the celebration is over and a long, cold winter lies ahead, it’s natural to feel a bit melancholy. But for people who suffer from the condition known as Seasonal Affective Disorder, or SAD, the winter months can be a real emotional rollercoaster. As the days get shorter and the sun remains hidden behind heavy, gray skies much of the time, SAD sufferers can experience a host of unpleasant symptoms, including depression, lethargy, loss of concentration, carbohydrate cravings, difficulty waking, sleep disturbance, social withdrawal, reduced productivity at work, and overall irritability. SAD can strike at different stages of life, but onset usually occurs during adulthood. Women are four times more likely to experience SAD than men, and one out of every five people living in northern latitudes is affected. SAD also seems to run in families, which suggests the disorder may have a genetic link. Symptoms of SAD typically begin with the arrival of fall and gradually worsen until spring. Some people with the condition may also experience “winter worsening”—when a pre-existing condition such as depression or PMS gets worse during fall and winter. Studies have revealed that SAD actually stems from the lack of light—or, more accurately, an inadequate amount of light of the correct spectrum and intensity. What SAD sufferers need is increased exposure to sunlight, which, unfortunately, is sorely lacking in the northern latitudes at this time of year. So how does light, or the lack thereof, cause a mood disorder? During the winter months, there is less sunlight passing through our eyes. This decrease in natural sunlight exposure can have a significant impact on two neurotransmitters strongly associated with mood—serotonin and melatonin. As the light level decreases in winter, the level of mood-regulating serotonin in the brain tends to decrease, which can lead to feelings

of depression and other emotional problems, and the melatonin level tends to increase. One of melatonin’s major roles is regulating the body’s internal clock so we feel relaxed and sleepy when night comes. About 90% of melatonin is produced in the pineal gland, which is located in the brain. Cells in the retina of the eye produce the rest. During daylight hours, the production of melatonin normally decreases. However, on short, cloudy winter days, more melatonin tends to be present, which explains why SAD sufferers often feel tired and lethargic. While some individuals who suffer from SAD may find relief through antidepressant medication, light therapy can be a very effective alternative. The theory behind light therapy is that when bright light passes through the eyes, chemical and electrical reactions begin to reverse abnormalities in brain chemistry related to serotonin and melatonin. Those able to afford a winter-long trip to Florida each year can get all the light therapy they need by basking in the sun at the beach, but those who are obliged to stay in northern climes may have to get their light through artificial means. Lighting manufacturers have responded to the demand for therapeutic lighting by producing various styles of SAD light boxes for use in the home. Light therapy involves sitting in front of a light box for a specified amount of time each day. The recommended duration for treatment sessions will vary depending on the severity of symptoms and may change as the winter season progresses. The best time to begin a light therapy session is upon first waking in the morning. A second treatment later in the day may also be helpful. Bedtime treatments are usually discouraged as they can cause insomnia, but some SAD sufferers find them beneficial. However, it’s important to note that when it comes to treating SAD, not all light boxes are created equal. Many of the light boxes on the market are designed primarily to be compact and convenient but may be of dubious therapeutic value because they don’t necessarily provide lighting of

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the appropriate spectrum and lumen output. Consult with a reputable lighting specialist before making the investment in a light box. If you experience symptoms of SAD, it’s important to discuss the problem and the best course of

treatment with your doctor. Don’t assume it’s just a bad case of the winter blues or post-holiday blahs. Once diagnosed, SAD is one of the most treatable mood disorders—and feeling better might just be a matter of seeing the light. ❦

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oming off one of the most brutal stretches of winter weather in recent memory, it’s hard for area gardeners to imagine they’ll ever get their hands back in workable soil. But this downtime can be put to good use planning any changes you’d like to make in your garden and landscape this coming spring. The cold of winter is the perfect time for gardeners to dream, scheme, and determine whether their outdoor spaces are planted to their best advantage or not.

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First, consider the plants that are currently visible in your garden. Are enough evergreens worked into the landscape to provide a year-round framework? Does your landscape contain enough plants with winter interest, such as ornamental grasses with attractive seed heads or ornamental trees and shrubs with an interesting branching habit (e.g., contorted filbert) or colorful berries or bark? If these elements are missing and, instead, you’re looking at a bare and colorless patch of ground, plan to make a few changes when the planting season finally arrives. If designed properly, a garden should be a happy diversion all year round, not just in the spring and summer. Next, think back to the way your landscape looked last growing season. What would you do differently? Were the plants appropriately spaced with shorter plants toward the front of the beds and larger ones toward the back? Or were they growing on top of one another with no thought to size? Were all the blooms concentrated into a few short weeks in the spring? If so, a little research will help you choose plants with varying

bloom times so you can have color from spring right through fall. Does your yard or garden need a little more privacy from the prying eyes of neighbors? Perhaps a hedge is in order. And how about the element of water movement? Would a small, tasteful fountain or pond make your garden more enticing (to you and wildlife)?

Drawing a landscape design Once you’ve answered all these questions and determined the types of changes you’d like to make, it’s a good idea to get your thoughts down on paper. By drawing a simple landscape design, you can combine all your new ideas with the existing plantings to create one cohesive layout to

If your garden doesn’t contain enough plants with winter interest, you might want to plan a new design.

work from. Come spring, you can take the design to your local garden center and use it as a shopping list as you pick out plants and other items. Of course, you’ll also want to refer to it when you install your new plants to ensure proper placement and spacing. To get started on your design, you’ll need some graph paper, a few sharp pencils, a tape measure, and some good gardening reference books,

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magazines, websites, etc. Weather allowing, measure each area you intend to modify as accurately as possible (or, take the measurements from existing blueprints or plans of your home and property if available) and make a simple sketch on the graph paper based on your measurements. Assume each block on the graph paper is equal to one square foot or whatever scale works best for you. Sketch in the perimeter of your house or any other permanent structures you intend to plant around, as well as the outline of your existing planting beds. You might need to

measure from several points along the front of irregularly shaped beds in order to transfer the shape accurately onto the graph paper. Be sure to draw in any objects or obstacles you might need to work around (or would like to obscure with plant material), such as gas meters, air-conditioning units, mature trees, and, of course, any established plants. Also, draw an arrow on the design to indicate where north lies and make a note of any areas that get an inordinate amount of sun or shade. That way you won’t end up planting sun-loving plants in heavy shade or vice versa. ❦

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The Art and Science of Beauty

BOARD CERTIFIED

Oliver H. Jenkins, M.D. Christopher B. Perry, D.O. Specializing in Allergy, Nasal, and Sinus Disorders

Hydrate for healthy winter skin

elcome to the Art and Science of Beauty, a monthly column sponsored by Aesthetics Group. ”Beauty is in the eye of the beholder,” and the beholder is you! Aesthetics Group, located in Perrysburg, is ready to partner with you in taking your beauty to an entirely new level. As mentioned in the January issue of HLN, Aesthetics Group’s formula for success includes taking the time to really know their clients’ lifestyles, passions, needs, and desires, but it is also about educating the client about the science behind beauty. We want our clients to know the importance of hydrating, diet, exercise, reducing life stressors as much as possible, and protecting the skin from too much sun exposure and other harsh elements like winter. All of these and more contribute to beautiful skin and beauty itself. Each and every month, Aesthetics Group will be offering a complimentary tip to beautiful healthy skin, and our February tip of the month is the importance of “hydrating,” especially in the wicked months of winter. In order for your skin to protect your body from UV radiation, microorganisms, and toxic agents, it must be hydrated. Hydrated skin will remain flexible and allow your protective skin barrier to remain intact. If the skin barrier is broken, environmental factors can damage your body and cause even more water loss, feeding a cyclical pattern of more damage due to further dehydration. Your skin is made up of three layers—the outer layer (epidermis), the underlying skin (dermis), and the subcutaneous fat tissue. If the outermost layer of the epidermis doesn’t

contain enough water, your skin will lose elasticity and feel rough. The human body consists of 60 percent water, so it makes sense that water would play an important role in your body’s functions. Water in the human body allows the nutrients to pass through to the cells for nourishment and removes toxins. Hydrated skin ages slower than moisture-deprived skin and is better protected against environmental influences. Hydration makes your skin look plumper, healthier, and smoother. Also, as we begin to age, our skin becomes less effective at regulating its water balance, so it becomes even more important to include moisturization in our daily routine. As our mothers and grandmothers would say, “Water, water, and more water,” and, boy, were they ever right! As we now say, “Hydrate!” Remember it is never too late for healthy skin, no matter what your age, and the first step is to contact Aesthetics Group for a complimentary consultation. You are welcome to call or email us. Take the time to invest in you and your new beautiful skin regime. You are worth it! Aesthetics Group specializes in skin care and will be providing the following services for their clients: microdermabrasion, chemical peels, spray tanning, professional makeup, laser skin renewal, laser body contouring, face injectables, permanent makeup, and retail cosmetic services. Come join Aesthetics Group for their Open House on March 13 from 3:00 to 7:00 p.m. Reservations are recommended because seats are limited. Aesthetics Group is located at 900 W. South Boundary 4B, Perrysburg,

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ripheral and central auditory system, and the potential positive influence of improved cardiovascular health on these same systems, has been found through a sizable body of research. Good cardio health translates into a higher probability of good hearing. Healthy blood flow throughout the body ensures blood flow is not interrupted when it reaches the inner ear. The inner ear, while highly important, is very small. Variations in blood flow or damage to blood vessels in the body can cause damage to blood flow in the ear, which can potentially cause hearing loss. Northwest Ohio Hearing Clinic highly recommends annual exams to monitor your hearing health and monitor and prevent hearing loss. At our state-of-the-art clinics, we are able to further educate patients regarding the risk of cardiovascular diseases and the relationship to their hearing. And, as always, feel free to contact us with any questions or concerns regarding your hearing health needs. ❦

: I have recently been diagnosed with high blood pressure and cholesterol. My general physician prescribed a visit to my audiologist to rule out any potential effects to my hearing health. What is the relationship of cardiovascular health to my hearing?

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: Your doctor is absolutely correct in involving an audiologist in your portfolio of health maintenance. There is a strong correlation between coronary heart disease, hypertension, blood pressure, cholesterol, diabetes, and open-heart surgery and the auditory system. Low-frequency hearing loss is often seen in patients who are at risk of having, or have had, a stroke. Also, research has shown that high blood pressure is associated with a low- to mid-frequency hearing loss. Diabetic patients dependent on insulin tend to have a greater hearing loss across the frequency spectrum. In the June 2010 issue of the American Journal of Audiology, Raymond H. Hull and Stacy R. Kerschen did a comprehensive review of research that has been conducted over the past 60+ years. They found that the negative influence of impaired cardiovascular health on both the pe-

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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38 February 2014 | Healthy Living News

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Department told me he thought we should be giving out gloves because people were coming in with frostbite because they didn’t wear gloves. Sometimes we need others to save us from our own irresponsible actions. I think the Level 3 Emergency did

BySister Mary Thill

Spiritually Speaking Wisdom in the new year Snowstorms are God’s way of saying, “You’ve been working too hard.” —Bern Williams

he beginning of 2014 gave those of us living in Northwest Ohio a chance to experience a winter that many of us hadn’t experienced in two decades. The snow and the bone-chilling cold literally stopped us in our tracks, and hopefully we heeded the warnings and stayed home and simply enjoyed being there with no other place to go and nothing else to do but be. I must admit I did get a lot of those little things done that have been hanging over my head for months and years, but I really enjoyed the “beingness” of it all. I updated my address book (handwritten one, that is), wrote Christmas cards that just didn’t get done before Christmas, cleaned out and rearranged my personal Christmas decorations, and watched some of the college bowl games. I did not shorten several pairs of slacks that need it, but I’ll leave that for another time or snowstorm or arctic freeze. Bern Williams’ quote above reminded me that even though I may think I’m indispensable, I’m not and that St. V’s kept right on functioning without me. I must say that I’m very proud of the way the staff at the Medical Center kept going in spite of the harsh weather, and I’m very glad that I didn’t have to venture out to do anything but fill the bird feeders outside our dining room window. I was amazed how a little bird could keep hanging on to a branch in the wind and cold that kept me inside and afraid to venture out. I did want to make a snowperson and an angel, but my housemates kept me from doing such crazy things since they would have had to come out to rescue me. Minnesotan that I am, I immediately go into snowball, snowperson, and snow angel mode when I see the right kind of snow falling for packing and making lots of fun things. As with just about every decision

just that. I personally want to thank God for giving me the opportunity to stop and reflect on what is really important in my life. I also want to thank God for the incredible beauty that the snow and cold brought to

made these days, there are those who loved being freed from “working too hard” and those who are counting the financial losses from being closed for three or four days. If you haven’t noticed, many weather-related events in all seasons cost money, not to mention lives and homes and work places. I’m personally proud that our new Mayor, Mike Collins, and his staff had the wisdom and compassion to encourage all of us to watch out for our neighbors and to be safe in our homes. I can’t even imagine how many deadly accidents and injuries would have been the result of trying to drive on the very slippery roads and freeways. How many people would have died or been seriously injured by the extremely cold temperatures? Can you picture kids waiting for the school bus or walking to school in a thin jacket (wide open), no boots (or socks), no hat, and no mittens or gloves? I can because I saw kids coming and going to and from school like that on some cold and snowy days last December. One of the doctors in the Emergency

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our campus and to our part of the world. If I had had a good camera, I would have ventured out to take some pictures of the gorgeous trees and breathtaking views on our campus. In the words of St. Francis of Assisi, I pray, Bless the Lord, ice and snow!❦ Independent Living Assisted Living Nursing Care • Respite Care Short Term Rehabilitation Outpatient Therapy

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

Eating Well by Laurie Syring, RD/LD

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o, how’s your New Year’s resolution coming along? Are you still sticking with your healthy eating and fitness plan? Last month, I mentioned that these goals often falter by around day 17 and I talked about how keeping a journal and making healthy choices can help you stay on track. This month, let’s focus on one type of nutrient that can really boost your weight-loss efforts—keeping in mind, of course, that there’s no magic bullet or miracle diet that will get you to your desired weight overnight. That nutrient? Protein. New studies show that following a

diet too low in protein during weight loss can lead to muscle wasting, and this is changing the way we look at the RDA (recommended daily allowance) for protein. In one study, adults were put on three different weightloss diets. As it turns out, the participants who consumed the most protein and exercised the most lost the most weight and maintained their muscle mass. How much protein do we need? Most Americans get enough protein each day. In fact, one 12-ounce steak contains enough protein for two women (along with other dietary food sources). So, this advice is not intended to give you carte blanche to eat protein without restriction. For weight loss, a calorie-restrictive diet is a must (in general, I usually recommend about 1,400 calories a day for women and about 1,800 calories a day for men for weight loss), and protein still has calories. Studies show that 27 to 35% of those restricted calories should come from protein, and that consuming 2.0 to 2.4 grams of protein per kilogram of body weight is the best for weight loss and muscle sparing.

Studies also show that this protein intake should continue during the weight-maintenance phase to help prohibit weight regain. In one study, intake of a high-protein meal was shown to make people feel full longer and eat less throughout the day. The thinking behind all this is that protein improves appetite control and satiety, leading to voluntary reduction in food intake as well as a reduction in calories consumed. The protein affects the hormones in the stomach that signal hunger. Unfortunately, the foods from which Americans tend to get their protein are not always ideal. Your best protein picks are lean meats, poultry, fish, low-fat dairy, beans, and soy. Research indicates that the best meal at which to eat more protein is breakfast, as it leads to feeling fuller all day. Furthermore, eggbased breakfasts lead to daily improvements in appetite control, satiety, food motivation/reward, and energy intake as compared to breakfasts comprised of breakfast cereals. So, breakfast should be a nice meal of about 500 calories, with 20 to 30 gm of protein (1 large egg equals 7 gm protein, 1 cup of skim milk equals 8 gm of protein, and 1 ounce of lean meat equals 7 gm of protein). To elaborate on the benefits a bit further, eating more protein, especially at breakfast, will lead to: • Better appetite control, particularly at snack time in the late afternoon when people tend to overeat or overconsume calories. • Less evening snacking and a lower likelihood of choosing high-calorie, high-fat foods. • Better energy-intake regulation throughout the day and night. • Spared muscle mass during weight loss.

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So, if a little protein is good, a lot more must be better, right? No, not really. Consuming above 2.5 grams of protein per kilogram of body weight does not provide any additional benefits for weight loss or muscle sparing. As with all aspects of Eating Well, there’s always a balance to maintain.

Going forward in 2014, keep up with your journaling and physical activity, but to help you stay on the path to your weight and fitness goals, start with meal planning and incorporating good sources of protein. ❦ Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

Winter fall prevention tips for seniors S

eniors often go to considerable lengths to reduce the risk of falling inside the home—eliminating tripping hazards such as throw rugs and extension cords, installing grab bars in bathrooms and railings on stairs, applying a non-skid surface to the bathtub, and so on. Then, along comes Old Man Winter to turn all of Northwest Ohio and Southeast Michigan into one big slip-and-fall hazard. Area seniors who aren’t especially cautious and vigilant at this time of year can all too easily end up experiencing a painful—and potentially debilitating—fall on icy or snow-covered surfaces. However, with the proper precautions, seniors can minimize the risk of slipping and falling on slick outdoor surfaces in wintertime. Here

are some suggestions that will help:

Keep the deicer handy—Sidewalk/

driveway deicer isn’t much help if you have to walk across perilously slick surfaces to reach it in a detached garage or storage shed. Keep your deicing product within easy reach inside your home (e.g., in a foyer or mudroom) or an attached garage. The same applies to your snow shovel. Hire a snow-removal service—Not only does the act of shoveling heavy snow in the cold present serious health risks to seniors in and of itself, but it also puts them in much greater jeopardy of slipping or losing their balance and falling. Consider hiring a professional snow-removal service—if not a grandchild or neighbor kid—to take on this treacherous chore for

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you. It will be money well spent, and your body will thank you for it. Check your traction—We all know it’s wise to verify that we have adequate tread on our vehicle tires before winter sets in, but it’s equally important to ensure that your shoes, boots, and other footwear will provide adequate traction on snow and ice. Dress shoes can be particularly slipprone, so if you’re heading somewhere dressy, it’s a good idea to wear boots en route and carry your dress shoes with you so you can change into them when you arrive. Reinforce railings—That ornate

wrought-iron railing along your sidewalk front stairs may give your home wonderful curb appeal, but how will it hold up if it has to support your whole weight after you slip on ice? If it’s wobbly, rusty, or otherwise structurally compromised, it’s a good idea to get it replaced with something sturdier.

Keep your hands free—

While navigating potentially slick sidewalks, driveways, steps, or parking lots, be sure to keep your hands free so you can grab a railing or other stable object in the event of a slip or so you can break your fall if you can’t regain

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your balance. Wear gloves instead of warming your hands in your pockets, and get help with carrying groceries or other loads on icy or snowy surfaces.

Don’t bring winter indoors—Snow and ice

carried indoors on boots and shoes can create a major slip-and-fall hazard on hard flooring surfaces, such as wood, linoleum, and laminate. Remove snowy/ icy footwear at the door (and encourage visitors to do the same), and be sure to wipe up tracked-in snow, ice, or water promptly. Get connected—We all recall— and have probably snickered at— the famous Life Alert® catchphrase: “Help! I’ve fallen and I can’t get up!” But experiencing a debilitating fall with no one nearby to help is no laughing matter. Factor in extremely cold temperatures, and such a fall

can quickly turn deadly. To avoid this scenario, it’s strongly advised that seniors utilize a medical alert system so medical help and other emergency services are available at the push of a button. At the very least, they should carry a cell phone in an easily accessible location on their body so they can call someone for help if necessary.

Consider preventive physical therapy—Stronger

arm, leg, and core muscles will help you maintain your balance better, make it easier to catch and stabilize yourself if you slip, reduce the risk of serious injury in the event of a fall, and help you get back on your feet more easily. A qualified physical therapist or personal trainer should be able to help you implement a manageable workout regimen that will strengthen these key muscles. ❦

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42 February 2014 | Healthy Living News

Be Mine❣

ith the start of the new year many of us evaluated our lives to decide which aspects needed tweaking or overhauling. Some people may have acknowledged a particular bad habit, such as smoking or overeating, they’d like to kick. Others may have decided to adopt a healthy habit, such as exercising more or spending more time with family. Still others may have felt they had so many issues to overcome that nothing short of a complete lifestyle makeover would get the job done. While the idea of breaking every bad habit and adopting a host of healthy ones may seem admirable, it’s not very realistic. More often than not, this mindset leads to failure. If you’re afraid you’ve bitten off more resolutions than you can chew, try the following:

Take them one at a time As the old saying goes, “A journey of a thousand miles begins with a single step.” That’s good advice for those of us with more than one lifestyle change to implement. But how do you determine which one to tackle first? There are a few different ways to approach this decision. One is to start with the change that has the most significant health or safety implications for you or others

around you or that has the greatest impact on your relationships with family, friends, or coworkers. Make this resolution your highest priority, and don’t allow lesser concerns to distract you from it or overwhelm you so that you end up throwing in the towel altogether. Another approach is to begin with a small, manageable resolution, such as getting out of bed as soon as the alarm goes off in the morning rather than hitting the snooze button five or six times. Achieving a small goal will give you a taste of success and the confidence boost you need in order to take on the more substantial ones.

Break them up Sometimes having only one lifestyle change to make can seem insurmountable if it’s an especially significant one. Rather than attempt to swallow the proverbial elephant whole, it helps to break the goal into “bite-size” pieces. For example, if your resolution is to reduce your daily calorie intake and lose weight, you might start off by simply eliminating soda and other sugary beverages or by avoiding eating between dinner and breakfast. Again, small successes breed bigger ones. Once these changes become healthy habits, you can move on to other small goals that will lead you

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to your larger objective.

Make a foundational change Those who would like to make numerous lifestyle changes could benefit from starting with one foundational change that makes it easier to achieve the others. Resolving to get a better night’s sleep is a good example. Better rest at night gives you more energy for exercise; helps your body recover faster in between workout sessions; lowers stress; makes cravings more manageable so you’re less likely to reach for cigarettes, food, or alcohol; and provides a host of other physical, mental, and emotional benefits.

whenever you feel tempted to smoke or reach for the bag of potato chips. • Reward your progress. Establish desired milestones and give yourself healthy rewards (that aren’t related to your bad habit) when you reach them. ❦

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Go Red

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Get help Unhealthy habits with an addictive component, such as smoking, excessive alcohol consumption, or compulsive overeating, can be particularly difficult to overcome—and willpower alone may not be enough to carry you through. However, your chances of beating these problems will improve dramatically if you seek help in the form of professional counseling, a support group, and/or a formal program for smoking or alcohol cessation, weight loss, etc. Any form of assistance that provides ongoing support and accountability will stack the odds of success in your favor. Your doctor or other healthcare professional is a great place to start. He or she can evaluate your current health status as well as connect you with helpful resources in your community.

Don’t lose faith too soon! If you’re reading this and fear your resolution is already on shaky ground, don’t lose heart. There are bound to be stumbling blocks on the road to success, and there’s nothing stopping you from refocusing and picking up right where you left off. Here are some tips to help you on your way: • Form a cheerleading squad of family and friends to help motivate you toward your goal. • List the benefits of making a positive change on a sheet of paper and place the list where you’ll see it every day. • Be on the alert for negative thoughts like “I’ll never be able to stick with this diet,” and be prepared to counter them with positive ones like “If I forego this cookie, I’ll be one step closer to fitting into that bikini.” • Get plenty of sleep, at least eight hours a night. • Learn to substitute behaviors when temptation arises. For example, plan ahead of time to take a ten-minute walk

he American Heart Association’s Go Red For Women® movement in Northwest Ohio is asking all women and those who love them to celebrate National Wear Red Day on Friday, February 7, 2014. Heart disease is the Number-one killer of women—killing more women than all forms of cancer combined. Most women don’t notice the symptoms of heart disease until it’s too late, which is why heart disease has been called the silent killer. But we won’t be silent. The American Heart Association’s Go Red For Women is asking all women to Go Red by wearing red, living a healthy lifestyle, and speaking red by spreading the message that heart disease is killing our mothers, daughters, sisters, and friends. For more than a decade, millions of women have united to raise their voices about this silent killer. While we’ve made remarkable progress, nearly 1,100 women are still dying each day. But, with your help, many more lives can be saved. You can: • Go Red by wearing red on National Wear Red Day, Friday, February 7, 2014. Show the world you are part of a movement that’s aimed at raising awareness about women’s number-one killer. • Become part of the movement by joining Go Red For Women. Visit GoRedForWomen.org to learn how you can get involved. • Go red by speaking red and sharing information about heart disease prevalence, symptoms, and prevention with your friends and family. Keep the women in your life informed about how they can make heart-healthy lifestyle choices and reduce their risk for heart

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disease. • Raising your voice and sharing how you or your loved ones have overcome heart disease is the strongest action you can take. Go Red For Women is encouraging all women who have been impacted by heart disease to speak red by telling their personal stories of diagnosis, treatment, and survival against women’s number-one killer. • Help Go Red For Women end heart disease in women by making a donation to fund critical, women-related research

and education. “For ten years, women have been fighting heart disease individually and together,” said Kali Wulff, Special Events Director of the Northwest Division of the American Heart Association. “More than 627,000 women’s lives have been saved, but the fight is far from over. Go Red For Women is about much more than wearing red. It’s about living a longer, stronger life and encouraging your love ones to do the same.” ❦ Visit www.GoRedForWomen.org or call 419-740-6167 to find out more about Wear Red Day and Go Red For Women.

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The best is yet to come! by Carol Klotz W

hat if you could discover the secrets of people who look and feel 10 to 20 years younger than their age? Now ask yourself, what if you could extend the quality of your years? What price would you pay to accomplish looking younger and living longer with quality? Aging is a choice—a choice no longer reserved for the wealthy and famous. With XALO Ageless, you can tackle aging at its source and manage aging in a healthy way. XALO Ageless is designed to make your “good days longer and your hard days better.” XALO’s all-natural formulas focus on the causes of exhaustion, aging, and daily wear and tear to let the prime of your life continue indefinitely. Based on revolutionary science, XALO Ageless revitalizes the cells that make up your body’s entire composition to give you back that zest for life. Revitalizing and repairing your body’s cells through unique blends, XALO Ageless improves from the inside out, improving blood circulation, enhancing skin appearance, and combating visceral belly fat. Read what doctors say about XALO Ageless: “The central concern in anti-aging/age management should be to feed our cells with bioactive nutrients. When we focus on age management, we help every cell membrane, every tissue, every function of longevity in the body to repair, restore, and regenerate. This compound addresses all these aspects of aging. I use it daily and I recommend it.” —Dr. David Nelson, Center for Advanced Medicine, Encinitas, CA “The new paradigm in medicine today is age management (anti-aging). It is the fastest growing segment of my practice—I recommend this compound on a daily basis.” —Dr. Vaughn Johnson, Salt Lake City, UT Below are results of people taking XALO Ageless for a very short period of time:

Kim C. Just wanting everybody to know how well XALO has worked for me. I’m not one to do a lot of commenting, but having had psoriasis on my elbows for the last few years and having to get shots to stop the pain and bleeding, this is the first time in years that my elbows have not bled. They

are not even a bit sore. I’ve only been taking it for just over a month, but all I can say is wow! So glad not to have to go get shots in my elbows.

Brenda C. I have been using Ageless for about 9 weeks now. Such a simple product to add into my life, and it has out-performed my expectations for sure! From the very first week, I was waking up earlier, feeling incredibly well rested. My usual morning stiffness in my feet was going away, which was welcome since I have been stiffening up a lot. Next week, I noticed the skin tags on my shoulder fell off! In the coming weeks, the skin on the back of my hands began to look years younger and all my skin looked less dry. The facial skin looks younger, and around the eye area has very noticeably tightened . . . the crows feet are gone, dark circles gone, and saggy upper lids back to non saggy. But what has impressed me the most is the return of balance, flexibility, and core strength. Getting in and out of the car, or deep chairs, standing on one leg effortlessly to pull on socks or boots, full squats down and up with a return of hip, lower back and joint flexibility has astonished me. I have rheumatoid arthritis and had accepted the stiffness and loss of flexibility as inevitable! I am so very happy to be back to how I felt decades ago. Now in the last couple of weeks, the spider veins on my legs have faded away at least 80%.

Besides great sleep, I have more energy and stamina. A mole on my jaw line is gone. Flexibility is improved. My visceral belly fat is decreasing—down 1-1/2” in waist! Lips are plumping up (Yeah). My vision is much clearer—everything seems so bright and crisp. When I saw my doctor a couple of weeks ago, my blood pressure was 122/78. My doctor wanted to know what I was doing to be in such great shape. He is taking Ageless too! My body is toning up noticeably in arms, abdomen, and legs. My face has slimmed down, and the fine lines and dark circles under my eyes are diminishing. The skin around my eyes has tightened. One of the most amazing things I have noticed is rather hard to describe or measure. It is a feeling of something like “joy.” I’ve noticed it in others taking Ageless as well. My husband is taking it, and we seem to laugh a lot and have more fun. It’s like I feel younger and more in control of my life and future. Stressful times are easier. I feel more motivated to stay active and to participate with others—I just feel happier and more productive.

What you should expect • Immediately: improved circulation and warmth; improved energy, mental clarity, and focus. • In four to six weeks: improved muscle tone, overall energy (less fatigue), mood/cognitive health, and immune function. • In 60 to 90 days: improved cardiovascular health and skin tone (more youthful skin), reduced belly fat, and weight loss. Getting older isn’t a choice. We can’t reverse the sands of time. But how we age— whether we choose to do it prematurely or with grace—is something we can control. You only have one body. Start now to reduce the signs of aging and live your life the way you want. If you are interested in more information on how to look and feel younger than your age, please feel free to call me at 419343-9189. Or visit www.mymangosteen. com/carol. Take advantage of the 30-Day Money-Back Guarantee.

Vicki K. I went to the doctor the other day. For the past 6 years, I have been battling high blood pressure. I never wanted to go on meds for it, so I just tried to control it with diet. It never changed, and I thought, well . . . after my doctor sees my tests, she will want to put me on medication. I also have “white coat syndrome,” so when I visit the doctor’s office, it spikes so high it is dangerous! Well, when she took my blood pressure, it was normal! The only change I have made was my husband and I have been on XALO Ageless for 90 days! We have never felt better. My husband has lost 7 lbs., we sleep like babies, and we have stamina the next day.

Carol Klotz Here are my personal results, in order, after taking XALO Ageless for 90 days:

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