Cincinnati Health & Life: Winter 2018

C I N C I N N AT I H E A LT H & L I F E W I N T E R 2 0 18

CINCINNATI T H E

G O O D

L I V I N G

M A G A Z I N E

F R O M

T R I H E A LT H

THE GOOD LIVING MAGA ZINE

ROOMS THAT SPEAK TO THE SENSES C-SECTION: REDUCING RATES GORGEOUS GALÁPAGOS

BOWLS OF GOODNESS THE MIDWIFERY DIFFERENCE

WEIGHT LOSS TAKES A TEAM CIN_Winter18_Cover_REV1.indd 2

WINTER 2018 | $3.95 | TRIHEALTH.COM

MEN’S GUIDE TO HEALTH SCREENINGS

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FEATURES 14

HEALTH SCREENINGS FOR MEN

Our handy guide helps men stay on top of their preventive care.

16

WEIGHT LOSS: IT TAKES A TEAM

Two patients share how they shed excess pounds and kept them off.

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AN EYE FOR BEAUTY Rooms that speak to the senses create a feeling of home.

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CONTENTS

{ WINTER 2018 }

THE MIDWIFERY DIFFERENCE

A new TriHealth obstetric practice partners midwives and physicians.

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REDUCING C-SECTIONS

TrHealth OBs are working to safely improve the birth experience for new moms.

20 I N E V ERY I S S UE

4 6 4 2 4 6

W E LC O M E L E T T E R E D I TO R’S N OT E W H E R E TO E AT BE THERE CINCINNATI HEALTH & LIFE | WINTER 2018

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{ WINTER 2018 }

CONTENTS

34 26 DEPARTMENTS 10

44

Our guide to new ideas, tips, trends and things we love in or near Hamilton County.

Photos from recent events in Hamilton County.

LOCAL BUZZ

26

TASTES

Delicious vegetarian recipes that offer a fresh take on the food-bowl trend.

40

GATHERINGS

48

POWER FOOD

Dark chocolate: the treat that’s both decadent and healthy.

34

ESCAPES

Enchanting wildlife, Darwin’s legacy and more await in the Galápagos Islands.

40

FARE WELL

These 8 symptoms call for immediate action.

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WINTER 2018 | TRIHEALTH.COM

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Cincinnati Ballet’s favorite holiday event

The Land of Sweets NUTCRACKER LUNCHEON S AT U R DAY , D EC E M B E R 1 6 , 2 0 1 7 1 1 : 0 0 A M - 1 : 0 0 PM M USIC H ALL B ALLROOM Enjoy a scrumptious kid-friendly lunch and holiday photo opportunities with your favorite Nutcracker characters!

For more information contact events@cballet.org

is a proud sponsor of the Cincinnati Ballet.

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{ WELCOME LETTER }

HIGHLIGHTING THE HUMAN SIDE OF HEALTH CARE

Every stage.

Every step.

Every milestone.

We provide the best care possible for every moment of your life.

No matter where you are in your health care journey, TriHealth is committed to providing expertise, care and support unique to your needs.

From obstetrics and gynecology to urology and reproductive endocrinology, our dedicated Women’s Services physicians are with you at every stage of your life.

MEDICINE IS AN EXCITING FIELD because it exists at the forefront of human knowledge, always evolving and utilizing the very latest discoveries in both science and technology. By living at the intersection of people and science, medicine presents some unique challenges. One of these is how to ensure that we don’t lose sight of the human side of the equation.

At TriHealth, we’re continuously working to take advantage of developments that improve clinical outcomes while ensuring that care remains patient centered.

This issue of Cincinnati Health & Life offers several examples.

On page 32, read how TriHealth is working with OB-GYNs to ensure that, whenever medically appropriate, women in labor are afforded every opportunity to give birth through normal vaginal delivery rather than undergo a cesarean section. While C-section is a vitally important procedure that can save lives, vaginal births have a shorter recovery time and fewer risks, and provide the best birth experience. An article on page 24 announces our new group practice in which midwives work together with OB-GYN physicians. This gives women the opportunity to choose a provider with whom they’re most comfortable while ensuring that all patients have immediate and seamless access to higher-level care if the need arises.

Also in this issue, we remind men of the important screenings that can improve their quality of life. So many conditions that affect men—such as hypertension, prostate cancer and heart disease—can be managed much more effectively if caught early.

TriHealth caregivers are here not just to treat you when you are ill, but to work with you on preventive measures to keep you healthier for years to come.

And this brings me to our single greatest asset in the delivery of “patient-centered” medicine: our physicians. In addition to being experts in their fields, these women and men are dedicated to their families and their patients. Naturally, they have a range of interests and hobbies outside medicine—some of which may surprise you! In Faces of TriHealth (included with this magazine) we’ve created a series of photographic profiles to give you a glimpse of our physicians outside the clinical setting. I hope you enjoy both of these publications, and wish you a wonderful holiday season! ,

MARK C. CLEMENT TRIHEALTH PRESIDENT AND CEO

Discover women’s care as unique as you.

Learn more at TriHealth.com/womens

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FOR ADDITIONAL INFORMATION ABOUT TRIHEALTH, VISIT OUR WEBSITE AT TRIHEALTH.COM.

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This wasn’t just a case of two left feet.

This was two left feet stuffed inside heels that provided zero traction for Jenn on the dance floor.

You’re more than just a patient, and we’re more than just an ER. When you take a tumble like Jenn, you want an emergency department that’s going to do more than just treat you. You want an emergency department that’s going to treat you with care and compassion. With 24/7 coverage by specially trained physicians, electronic medical records, award-winning nurses and stroke-ready facilities, our emergency departments are more than ready to get you back on your feet.

Emergency care near you: Bethesda North Hospital

Bethesda Arrow Springs

10500 Montgomery Road Cincinnati, OH 45242

100 Arrow Springs Boulevard Lebanon, OH 45036

(Located on Montgomery near Pfeiffer)

(Located off I-71 on Ohio 48)

513 865 1112

513 282 7000

Bethesda Butler Hospital 3075 Hamilton-Mason Road Hamilton, OH 45011 (Located near Bypass 4 and Highway 129)

513 894 8888

{ EDITOR’S NOTE }

CREATING COMFORT THIS IS MY FAVORITE time of year, a sentiment surely shared by many. I love the way our family comes together to prepare our home for the holidays, and found the Home story on page 20 to be inspiring. It’s an excerpt from interior designer Beth Webb’s book, An Eye for Beauty: Rooms That Speak to the Senses. In it she shows how we can use sight, touch, sound, taste and scent to create spaces that reflect our individuality and make us feel safe, content and comfortable.

Making people feel at ease is a priority at the TriHealth Fitness & Health Pavilion. Offering medically based fitness and weight-loss programs, this premier health club sets the standard for disease prevention, exercise, rehabilitation and health education. In “Weight Loss: It Takes a Team,” two clients who collectively lost 185 pounds—and counting—share how partnering with the medical professionals at the TriHealth Fitness & Health Pavilion has made it possible to meet their weightloss goals. Read about their experiences on page 16.

For recipes that are both comforting and healthy, turn to page 26, where we feature vegetarian meals that add a little twist to the food-bowl trend. If you’re after some warmth on a cold winter day, look no further than The Loyal Lentil Chili.

To end on a sweet note, I can’t help but draw your attention to our Power Food article on page 48: “Bravo for Cocoa!”

Who can resist dark chocolate, especially this time of year?

Of course moderation is key, but still, being both decadent and healthy is a special gift indeed.

Thanks for sharing some of your day with us.

Warm regards,

MARIA K. REGAN EXECUTIVE EDITOR

To learn more, visit TriHealth.com/emergency

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Strong bonds are

TriHealth Midwife Care and Comprehensive OB-GYN: your partners for exceptional care.

A happy and healthy delivery—it’s what all expecting families want. But you also want reassurances and a personal connection along the way. TriHealth Women’s Services Midwife Care, now open in West Chester, offers a new option for highly personal maternity care.

Working closely with physicians at TriHealth Women’s Services Comprehensive OB-GYN, we offer exceptional care from conception to delivery, fully backed by the TriHealth system of maternity care. And with deliveries at Bethesda North, TriHealth midwives will be with you every step of your journey.

Make an appointment with one of our nurse midwives today.

Call 513 853 7400 or visit TriHealth.com/maternity

5900 West Chester Road, Suite G | West Chester, OH 45069

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CINCINNATI RITA GUARNA

CARL OLSEN

PHYSICIANS, HOSPITALS AND COMMUNITIES WORKING TOGETHER TO HELP YOU LIVE BE T TER.

ART DIRECTORS

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T R I H E A LT H

DIRECTOR OF MARKETING AND DIGITAL MEDIA

PRESIDENT & CHIEF EXECUTIVE OFFICER

NIGEL EDELS HAIN

MARK C. CLEMENT

MARKETING ASSOCIATE

VP MARKETING COMMUNICATIONS

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ADVERTISING SERVICES MANAGER

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ED ITOR IN C HI EF KIJOO KIM STEPHEN M. VITARBO ED I T O R I A L

EXECUTIVE EDITOR MARIA K . REGAN

ASSOCIATE EDITOR DARIUS AMOS

CONTRIBUTING EDITORS

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PUB LI S HER

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SENIOR ART DIRECTOR, AGENCY SERVICES KI JOO KIM

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MARKETING COMMUNICATIONS CONSULTANT

CONTROLLER

CHRISTINE SWALLOW

AGNES ALVES

STAFF ACCOUNTANT

ART

MEGAN FRANK

H O S P I TA L S

ART ASSISTANTS

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Y VONNE MARKI

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WE WANT TO HEAR FROM YOU! Send your feedback and ideas to: Editor, Cincinnati Health & Life, 110 Summit Ave., Montvale, NJ 07645; fax 201.782.5319; email editor@wainscotmedia.com. Cincinnati Health & Life assumes no responsibility for the return of unsolicited manuscripts or art materials.

CINCINNATI HEALTH & LIFE is published 4 times a year by Wainscot Media, 110 Summit Ave., Montvale, NJ 07645. This is Volume 3, Issue 4. © 2017 by Wainscot Media LLC. All rights reserved. Subscriptions in U.S.: $14 for one year. Single copies: $3.95. Material contained herein is intended for informational purposes only. If you have medical concerns, seek the guidance of a healthcare professional.

ADVERTISING INQUIRIES Please contact Carl Olsen at 847.274.8970 or carl.olsen@wainscotmedia.com.

SUBSCRIPTION SERVICES To inquire about a subscription, to change an address, or to purchase a back issue or a reprint of an article, please write to Cincinnati Health & Life, Circulation Department, 110 Summit Ave., Montvale, NJ 07645; telephone 201.573.5541; email christine.hamel@wainscotmedia.com.

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Memories are the one gift you give to yourself.

Elevate your stay with an intimate place to belong beyond your hotel room. The Ritz-Carlton Club Level is an exclusive space with unique amenities and services where guests enjoy fine culinary presentations ideal for families and business travelers. ritzcarlton.com/resortsofnaples

NAPLES____________ NAPLES GOLF__________

2017 The Ritz-Carlton Hotel Company, L.L.C.

Š

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{ LOCAL BUZZ }

Holiday Meals FOR ALL

W I T H T H E D E C E M B E R H O L I D AY S fast approaching, many of us are eagerly anticipating family gatherings and the opportunity to reconnect with loved ones over a traditional meal. One area charity, Freestore Foodbank, is gearing up to make sure that every Cincinnati-area family has that opportunity by providing holiday boxes at their Customer Connection Center in Over-the-Rhine. The organization was founded in 1971 when Frank Gerson, a worker at Cincinnati’s incinerator, noticed that usable household items were being tossed away.

Today, it has evolved into one of Ohio’s largest food banks, distributing 24 million meals each year in greater Cincinnati, northern Kentucky and southeast Indiana.

But Freestore Foodbank doesn’t rest on its laurels. Not content to address immediate needs, it also works to provide the necessary resources to help people move out of poverty. Driven by the area’s thriving food scene, the organization developed Cincinnati COOKS! Participants in this free culinary job-training program learn the skills they need to work in a commercial kitchen. A follow-up program called Second Course teaches advanced skills for those who want to pursue management opportunities and employment in high-end restaurants. And the proverbial cherry on top? Freestore Foodbank has a steller efficiency record, with 94 percent of donations going directly to programs and services.

There are many ways to support this critical organization, which you can learn about at freestorefoodbank.org. Here’s a sneak peek at one you’ll no doubt appreciate if you’re hosting any seasonal celebrations: Cincinnati Cooks Catering. This fullservice catering company works with fresh local ingredients to prepare food fit for any occasion, from private parties and business lunches to wedding receptions.

In addition to having yourself a stress-free event, you’ll be directly supporting Freestore Foodbank and its many programs. Cheers to that!

A NEW SLANT ON

T H E C I N C I N N AT I Shakespeare Company got its start back in 1993 when they were known as the Fahrenheit Theater Company. Despite the different name, their mission was the same as it remains today: to utilize a resident ensemble capable of tackling a meaty repertoire. Performances encompass not only the immortal works of William Shakespeare, but also classics of a relatively more recent vintage, from Arthur Miller and Oscar Wilde to Eugene O’Neill and Neil Simon.

The company is in its 24th season now, and while

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SHUTTERSTOCK / PHOTO BY MICKI SCHAFFNER AND USED WITH PERMISSION FROM CINCINNATI SHAKESPEARE COMPANY

SHAKESPEARE

the artistic commitment, vision and talent remain consistent, there’s one very important difference about this season. The productions are hosted in a new home: the Otto M. Budig Theater at 1195 Elm Street. Until now, the company staged performances at an old 150-seat theater on Race Street, but the time finally came for them to move on up to something bigger and better.

The company manages to have the best of both worlds at its new location. While there are now 233 seats to accommodate theatergoers, the design keeps intimacy in mind—no matter which seat in the Budig Theater’s three sections you wind up watching the show from, you’ll never be sitting any further than 20 feet from the stage. And the sightlines are second to none, giving you a truly up-close and personal theatrical experience.

Another important aspect of the company’s move is the neighborhood itself. This area of Over-the-Rhine has come to be known as the city’s Classical Arts Corridor. So the Shakespeare Company has quite a collection of ideal new neighbors, including Cincinnati Symphony Orchestra, Cincinnati Opera and Cincinnati Ballet. Having all of these artistic institutions together makes for a lively creative community—and a more exciting experience for visitors, who can find plenty of intriguing options for dining pre- or post-theater.

WINTER 2018 | TRIHEALTH.COM

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KING OF THE KITCHEN

SHUTTERSTOCK

BIGGER, BOLDER BALLET I T I S N ’ T A S though the Cincinnati Ballet didn’t already hold a place of importance in the cultural life of the city, but with its new season comes a dizzying onslaught of new developments and expansions. And they all add up to making the Ballet a bigger, better and richer experience for everyone.

The most obvious change is a visual one, as the Ballet takes on a new branding initiative and adopts a distinctive new logo, courtesy of international design team LPK. But that’s barely scratching the surface of the changes you’ll find.

New blood will be on board at the Ballet, with no fewer than eight dancers joining the company. This season also will see the introduction of the Family Series, programming designed to be fun for kids and their parents alike, while still remaining up to the exacting performance standards the Ballet is known for. Guided narration will make it easy for youngsters to follow the storyline.

Also new for the 2017-18 season: A program to help dance students earn a professional level of skill, and a trio of performances at the newly renovated Cincinnati Music Hall. One of those performances will be the Cincinnati premiere of Carmina Burana by world-renowned choreographer Nicolo Fonte.

B E T W E E N H I S Food Network successes and the high-profile jobs he’s held over the course of his impressive career, Ohio-born super chef James Major is an imposing figure within the culinary world. And while his work has taken him from Cleveland to New York City and beyond, these days Major is extremely happy to be operating right here in Cincinnati.

Major grew up with a keen interest in cooking, but before taking the usual culinaryschool route, he went down the rather more unexpected path of becoming a cook in the U.S. Navy. Eventually, he found himself working in New York before he made his way back home, racking up experience as both a caterer and restaurateur. That led to a position with Delaware North, the global culinary and hospitality concern.

Through Delaware North, Major helped oversee special culinary events for some of the baseball parks on the company’s client list, and soon took over as the Executive Chef at the home of the Reds in the Great American Ball Park. That in itself would be more than enough for most folks, but there’s more to Major’s story.

While working at the ballpark, he came to the attention of the Food Network, which was setting up an episode of its Chopped series with baseball chefs competing against each other. Not only did Major win the competition, he went on to the finals of a second show. Subsequently, he shifted to a local upscale catering company, Funky’s Catering Events, which numbers the Riverbend Music Center, Pinecroft at Crosley Estate and many others among its clients. Fate may have pried him from the lure of the baseball diamond, but this Cleveland boy is sticking with Cincinnati.

KARAOKE CLUB GETS LOST IN TRANSLATION I F YO U ’ V E E V E R seen the classic 2003 film Lost in Translation starring Bill Murray and Scarlett Johansson as Americans feeling isolated in Tokyo, you definitely remember one of the most fun scenes in the film when the main characters make their way to a karaoke spot. Jacob Trevino’s Gorilla Cinema group is out to make that singular movie experience available to everyday Cincinnati karaoke and dance lovers.

Using that unforgettable scene as inspiration, they’ve designed the Tokyo Kitty karaoke venue at 575 Race Street to create the feeling of stepping into a little slice of Tokyo nightlife as soon as you walk into the club. From an entryway designed to duplicate the vibe of disembarking from an airplane to the neon visuals mimicking the sensory assault of Tokyo in the DJ/dance floor area, you’ll feel thrillingly lost in translation yourself.

Order from a drink-bearing robot, sample high-end Japanese whiskeys, and sing karaoke either at the dance floor or in one of seven, reservable private rooms (each with an individual theme, including the Bill Murray room).

The folks at Gorilla Cinema know what they’re doing when it comes to drawing inspiration for nightspots from famous films. They’re also responsible for a bar modeled after the weird old hotel at the center of the spooky action-in-suspense classic The Shining (OK, that one’s a little creepy), and a bar that takes its atmospheric cues from the films of Quentin Tarantino. So setting up a slice of Tokyo in Cincinnati should be a snap for them. Judge for yourself when the venue opens this winter.

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{ HEALTH NEWS }

BERRY THE POUNDS

The resveratrol in strawberries, raspberries and blueberries works to turn flabby white fat into calorieburning beige fat, making it easier to lose weight.

PUT A CHILL ON SELFCONTROL

People who held a cold object fared better on a test measuring selfcontrol than those who held a warm object.

Colder temps are thought to be linked to alertness.

—Psychological Research

—Washington State University

FOCUS on eating

When it’s mealtime, don’t think about multitasking, such as working, chatting on the phone and watching Netflix.

Studies show that eating while distracted causes you to consume more food—50 percent more. So be singleminded when dining.

—Journal of Clinical Nutrition

WEEKEND WARRIORS WIN

In a study of nearly 64,000 people age 40 and up, those who crammed 150 minutes of exercise into two days got the same health benefits as those who spread their routines over the week. Sure, they might have a greater risk of injury than their daily fitness brethrens but they were 30 percent less likely than non-exercisers to die from cancer or heart disease.

—JAMA

Breathe EASY

Taking a fish-oil supplement containing 17-HDHA daily can cut asthma risk. Why? This type of omega-3 polyunsaturated fatty acid was shown to reduce production of IgE, an antibody that triggers asthma.

— University of Rochester Medical Center

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COUNTERACT THE EFFECTS OF

THAT DESK JOB

You don’t have to worry about being stuck at your desk for hours on end—as long as you’re exercising an hour or more each day, that is. A recent metaanalysis of 16 studies of more than 1 million people found no correlation between how much time people spent sitting and how soon they died—as long as they stayed active.

—The Lancet

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The number of harmful chemicals found in indoor dust.

— George Washington University

Nap for brain health

People who took a 60- to 90-minute nap after lunch every day had better brain function than those who took shorter naps, longer naps or no naps at all. This was reported after studying nearly 3,000 people age 65 and older.

— Journal of the American Geriatrics Society

WINTER 2018 | TRIHEALTH.COM

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TriHealth celebrates the

REAL MEN WEAR PINK CLASS OF 2017, who together raised

$125,426

for breast cancer research, programs, and services.

Campaign Winner: John Fay, $15,946 Scott Altman Jamie Berrens Tim Brown Marvin Butts Mark Clement Dave Collins John Fay

Jeffrey Gaylor Walt Kelsey Jay Koch Dave Lapham Marvin Lewis O’dell Owens, MD, MPH

Chris Riva Drew Ross Eddie Tyner Tom Weidman Kent Wellington Xiaoting Zhang, PhD

Chair: Jeanette Altenau

©2017, American Cancer Society, Inc. No 041232

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{ IN GOOD HEALTH }

HE ALTH SCREENINGS

A GUIDE FOR

MEN

HELP KEEP THE MEN IN YOUR LIFE HEALTHY BY SHARING THIS HANDY LIST WITH THEM. REGULAR MEDICAL EXAMS help find problems early, when they’re most treatable. Yet research conducted for the American Academy of Family Physicians found that 37 percent of American men had not had a health checkup in the most recent two-year period.

The researchers also discovered that 78 percent of men who have spouses or significant others said that person has influence over whether they go to the doctor. Use this guide to inform yourself and your partner.

By getting the right health services and screenings, men can improve their chances of living a longer, healthier life.

Physicians might modify or add to these guidelines based on an individual’s medical history and personal risk factors.

REPRODUCTIVE HEALTH • Prostate cancer screening: A prostatespecific antigen (PSA) test can detect prostate cancer earlier than no screening at all. But testing is not universally recommended because there are questions about whether the benefits of testing outweigh the risks for most men. Current guidelines advise men age 50 to 70 (starting at age 40 for

African-Americans) to discuss with their physicians whether screening makes sense for them based on family history and other risk factors.

• Sexually Transmitted Infection (STI) tests: Throughout life, before sexual intercourse with a new partner both partners should be tested for STIs, including human immunodeficiency virus (HIV).

HEART HEALTH • Blood pressure test: At least every two years. High blood pressure can lead to a variety of health problems, including heart attack, heart failure, stroke, kidney disease and dementia.

• Cholesterol panel: At least every five years, total cholesterol, LDL, HDL and triglycerides should be measured to assess heart-disease risk. If you have diabetes, kidney problems or certain other conditions, you may need a cholesterol test more often.

COLON HEALTH • Cancer screening: Colonoscopy every 10 years, or stool-based test (can be done at

home and requires no bowel preparation) every year. Talk to your physician about which option is best for you. For those at average risk, colon-cancer screening should occur from age 50 to 75.

DIABETES • Glucose screening: Every three years for men ages 45 and older, and for younger men with a BMI greater than 25 plus at least one diabetes risk factor, such as high blood pressure or a family history of the disease.

ONETIME SCREENINGS • Hepatitis C (HCV): Men born between 1945 and 1965 should talk to their doctor about this test.

• Osteoporosis: Men ages 50 to 70 should be screened for osteoporosis if they have risk factors, such as long-term steroid use, low body weight, smoking, heavy alcohol use or a family history of osteoporosis.

TO FIND A DOCTOR TO SCHEDULE YOUR ANNUAL PHYSICAL, GO TO TRIHEALTH.COM OR CALL 513 569 5400.

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BY GETTING THE RIGHT HEALTH SERVICES AND SCREENINGS, MEN CAN IMPROVE THEIR CHANCES OF LIVING A LONGER, HEALTHIER LIFE.”

CINCINNATI HEALTH & LIFE | WINTER 2018

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WINTER 2018 | TRIHEALTH.COM

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{ IN GOOD HEALTH }

WEIGHT LOSS: IT TAKES A TEAM

LOSING WEIGHT AND KEEPING IT OFF IS EASIER WHEN YOU’RE NOT GOING IT ALONE. TRIHEALTH OFFERS A RANGE OF PERSONALIZED PROGRAMS.

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WEIGHT-LOSS AND NUTRITION SERVICES The TriHealth Fitness & Health Pavilion offers three programs—open to members and nonmembers alike—to help you meet your weight-loss goals.

LIFESTEPS® This comprehensive 12-week program provides education and guidance for eating healthier and increasing physical activity, as well as strategies for successful behavior change.

HealthOne This 24-week, low-calorie, meal-planbased diet is designed for individuals with a BMI of 27 or higher. It includes a weekly small-group class (8-15 people) taught by registered dietitians.

Nutrition Consults Registered dietitians offer onehour consultations and follow-up appointments to help you meet individual health and nutrition goals.

To learn more about TriHealth’s nonsurgical weight-loss programs, call 513 246 2606.

ROY SILCOTT HAD two umbilical-hernia surgeries and was preparing for a third— all within five years. His TriHealth surgeon, George Kerlakian, M.D., was blunt. “Roy, I can repair the hernia, but another will occur unless you fix the real problem: your weight.”

It was a wake-up call for Roy. He didn’t realize his excess pounds were putting increased pressure on his abdominal muscles, making them weaker and prone to developing hernias. “I’ve always been a bigger person,” says Roy, 39, who has worked as a chef for 20 years. “Before I knew it, I was 415 pounds.”

As the manager of Cincinnati chef Jean-Robert de Cavel’s newest restaurant, Frenchie Fresh, Roy took customer satisfaction seriously, sampling his signature burgers, macaroni and cheese and french fries. “It’s common to consume huge amounts of calories in the restaurant business,” he admits.

“I never sat for a meal. I’d graze all day and then pull into Wendy’s ravenous after a 12-hour shift.”

A “LIFE-SAVING” REFERRAL Dr. Kerlakian suggested bariatric surgery or a structured diet plan. Opting to explore a non-surgical approach, Roy was referred to HealthOne, a 24-week weight-loss program at the TriHealth Fitness & Health Pavilion. Roy says Dr. Kerlakian’s frank talk and the HealthOne referral saved his life.

HealthOne is a low-calorie diet regimen for individuals with a BMI of 27 or more. Kristen DeAngelis, R.D., explains: “Unlike other programs that also use meal-replacement products, ours provides a holistic approach, integrating the nutritionally-balanced HealthOne meal replacement with fruits and vegetables as well as exercise, cooking classes and group meetings.”

DeAngelis, who holds a bachelor’s degree in human nutrition, foods and exercise, appreciates that HealthOne is an evidence-based product, designed and tested by physicians and scientists.

MAKING HEALTH A PRIORITY Becky Lowry, a coding specialist at TriHealth, knew she had to break the cycle of losing and gaining weight. She liked HealthOne’s six-month commitment and the accountability of the weekly weighin and group classes. “I wanted to do it right this time and learn what goes into a healthy lifestyle,” she says. “I had been so busy with my family and career that my health was always on the back burner.” At 62, Lowry weighed 289 pounds and had hypertension and prediabetes. Her job was sedentary. Her ankles ached when she walked.

She enrolled in HealthOne and bonded with DeAngelis, described by both Becky and Roy as equal parts coach, cheerleader and counselor.

“Kristen is a wealth of knowledge and so

FOR MORE INFORMATION ON TRIHEALTH WEIGHT-MANAGEMENT PROGRAMS, VISIT TRIHEALTH.COM. UNDER INSTITUTES AND SERVICES, CLICK ON WEIGHT MANAGEMENT.

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I WAS FEEDING AN EMPTY HOLE IN MY HEART AND LOOKING TO FOOD FOR PEACE.” — BECKY LOWRY (RIGHT), SEEN HERE WITH KRISTEN DeANGELIS, R.D.

The TriHealth Fitness & Health Pavilion offers state-of-the-art exercise facilities, classes, personalized programs and medical expertise to support weight loss.

positive,” says Becky. “She understands all the components of weight loss. She’s taught us that losing weight is not just choosing to eat well. It’s a head game. It’s a physical game.”

DeAngelis likens a weight-loss journey to building a house. She begins with the foundation, teaching practical skills such as shopping in the produce aisle and planning and preparing meals. Next she helps clients create healthy eating environments and understand the behaviors behind overeating.

“I was a stress eater,” says Becky, who lost 85 pounds and is working to drop another 30. “I was feeding an empty hole in my heart and looking to food for peace.” Through HealthOne, she learned to listen to her body and mind when hunger hit. “It might be that I’m actually thirsty or tired or need company,” she says. “These days I find I need to exercise more.”

Fitness is a revelation for Becky. She began an easy walking plan at the TriHealth Fitness & Health Pavilion gym and now exercises with a personal trainer closer to home. “I’m at the gym every morning at 5 a.m. strength training and running. I’m hooked!”

FLEXIBLE OPTIONS Activity wasn’t lacking for Roy, who logged miles a day at his restaurant, but high-calorie food was ever-present.

With HealthOne, he took a militaris-

tic approach, drinking five chocolate meal-replacement shakes each day, in addition to eating fruits, vegetables and chicken. “Drinking shakes was easy and pleasing,” says Roy. “I started noticing a difference right away. I was fueling my body with nutrients it hadn’t gotten for years.”

Becky adopted a more flexible style, experimenting with recipes from the HealthOne cookbook, including brownies, muffins and pizza. “Kristen introduced us to different fruits and vegetables and cooking methods,” she says, noting a new fondness for roasted cauliflower and grilled asparagus.

Since completing HealthOne, Becky has found joy in shopping for regularsized clothes. She no longer requires hypertension medication, and was told she had “the heart of an athlete” at her recent physical. She’s looking forward to traveling the world with her husband.

Roy has lost 100 pounds and plans to lose 70 more with the help of STRIDES, TriHealth’s follow-up program for HealthOne Graduates. STRIDES offers ongoing support, coaching and education to help participants continue the healthy diet and exercise changes they’ve made.

Roy’s a new person, ready for a new life. “I’ve resigned from my job,” he says.

“HealthOne has opened my eyes. Food will always be in my blood. I just need to take it in a healthier direction now.”

SURGICAL WEIGHT LOSS If you have significant weight to lose and are considering weight-loss surgery, TriHealth Weight Management Center has the most experienced bariatricsurgery team in Cincinnati. Surgical procedures can help patients return to doing the things they love while also alleviating diseases that often accompany obesity, including diabetes, heart disease and cancer. To learn more, call 513 862 4957.

Katherine Meister, M.D., is a Cincinnati native and a fellowship-trained surgeon with a specialty focus in bariatric surgery.

She works closely with patients to foster a welcoming, supportive and healing environment.

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In this living room rustic wood and antique antlers—both on display and used to support a pair of shelves—add a touch of the organic as well as texture and form. A Moroccan rug introduces softness underfoot and a linear graphic element, the lines of which repeat, crisply, in the coffee table’s iron base.

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{ HOME }

AN EYE FOR BEAUTY: ROOMS THAT SPEAK TO THE SENSES

For interior designer Beth Webb, there are as many different kinds of homes as there are people. But the way we want our homes to make us feel—safe, comfortable and content—is universal. Through sight, touch, sound, taste and scent, Webb creates spaces that feel, truly and viscerally, like home.

© Beth Webb: An Eye for Beauty: Rooms that Speak to the Senses by Beth Webb, Rizzoli New York, 2017.

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Raw-wood finishes, whitepainted furniture and an antique French limestone floor give a distinctly European flavor and brighten this kitchen. Says Webb: “Light is a form of joy.”

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Multi-functional spaces add depth to design. Above, for example, a table of reclaimed Chinese elm serves as a dining table when surrounded by chairs. But when there’s no dinner party on the menu and the chairs are moved back into their resting positions, the piece acts as a library table displaying personal treasures, like this collection of blueand-white porcelain.

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{ IN GOOD HEALTH }

THE MIDWIFERY DIFFERENCE AT A NEW TRIHEALTH OBSTETRIC PRACTICE, MIDWIVES AND PHYSICIANS WORK TOGETHER SEAMLESSLY.

From left: Sara Lyons, M.D., and Certified Nurse-Midwife Linda Brackett consult with their patient Brittany Casseday.

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CERTIFIED NURSE-MIDWIFE Linda Brackett has been delivering babies for more than 16 years. Women who come to her at TriHealth Women’s Services Midwife Care can expect expert, family-centered medical care—and a hug if they need one.

This personal approach is the cornerstone of care at the new West Chester location, where time-tested midwifery services merge with physician-led obstetric and gynecologic care.

“I love the experience of being able to bond with our patients and come to know their families,” says Linda, noting that nurse-midwives spend extended one-on-one time with patients. “We really form a deep relationship.”

A RANGE OF CARE Though nurse-midwives are known primarily for their pregnancy and childbirth expertise, they provide a range of other health services for women throughout their childbearing years and past menopause, including routine gynecologic checkups, family planning and preconception care.

They prescribe medications, order tests and make referrals to specialists.

Linda, who has a master’s degree in nursing with a specialization in midwifery and is licensed by the state of Ohio, works collaboratively with obstetriciangynecologists from TriHealth Women’s Services Comprehensive OB-GYN. Together, they provide care for women before, during and after pregnancy.

The two practices occupy one large space at 5900 West Chester Road, with a shared waiting room and separate patient suites. Onsite laboratory and ultrasound services help practitioners identify health problems efficiently and are convenient for patients. A large meeting room accommodates educational offerings, such as classes in childbirth preparation, breastfeeding and parenting.

The physician presence at TriHealth

20

Percent of all visits to CNMs in the U.S. are for care outside the maternity cycle

Women’s Services Midwife Care is unique in the West Chester area. “There will be a physician here every day,” says Linda, “allowing easy consultation when there’s a medical concern about a patient or baby.”

Linda and her nurse-midwife colleagues provide total care for normal pregnancies and consult with OB-GYNs for high-risk complications such as gestational diabetes, pre-eclampsia and multiples.

HOSPITAL DELIVERIES Babies are delivered by nursemidwives and physicians at TriHealth’s Bethesda North Hospital, known for the comfort of its private rooms and the stateof-the-art technology of its renovated Level II nursery. Patients at high risk and those who may need the clinical resources of a Level III Neonatal Intensive Care Unit can be cared for at TriHealth’s Good Samaritan Hospital.

Sara Lyons, M.D., is one of six boardcertified OB-GYNs who have joined forces with TriHealth’s new midwifery group. “This is the first full midwifery practice to deliver at Bethesda North Hospital,” she says. “This gives patients a new option close to the hospital. Sometimes patients’ birth needs change as labor progresses. A patient who planned on a vaginal birth may require a cesarean section or develop complications.

That’s when we step in. Our new combined location gives patients choices in maternity care from a shared staff of midwives and doctors.”

Physicians at TriHealth Women’s Services Comprehensive OB-GYN include doctors with decades of obstetric experience. Several have treated generations of families—delivering babies of moms who they also delivered years before.

SUPPORT FOR BIRTH PLANS “We want women to have the best possible birthing experience, and we work hard to fulfill their personal birth

94+

Percent of midwife-attended births in the U.S. occur in hospitals

TRIHEALTH OBSTETRIC CARE IN WEST CHESTER TriHealth Women’s Services Midwife Care and TriHealth Women’s Services Comprehensive OB-GYN have a shared office at: 5900 West Chester Road, Suite G West Chester, OH 45069 To learn more about TriHealth Women’s Services Midwife Care, call 513.853.7400.

Contact TriHealth Women’s Services Comprehensive OB-GYN at 513.793.2229 (793 BABY).

plans,” says Linda. There are numerous alternatives for labor that she advocates, including birthing balls, birthing positions, massage and water therapy.

“Midwives encourage parents and their support people to participate actively in childbirth,” explains Linda. “Patients are welcome to bring music and aromatherapy—anything to create a comforting environment. We stay by each patient’s side throughout all stages of labor and delivery, helping her breathe and push through pain, and providing physical and emotional support.”

After delivery, nurse-midwives assess mother and baby health, promote skin-toskin contact and breastfeeding, and offer guidance about newborn care.

For Linda, the birth experience is sweeter the second, third or fourth time around—when expectant mothers return to her pregnant with another child. “Seeing families grow and knowing I am part of the experience is overwhelming,” she says.

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{ TASTES }

BOWLS OF

GOODNESS MOVE OVER ACAI AND POKE. THESE DELICIOUS VEGETARIAN RECIPES OFFER A FRESH TAKE ON THE FOOD-BOWL TREND.

Golden Shakshuka ONIONS, PEPPERS AND EGGS IN CUMIN AND TURMERIC SAUCE SERVES: 2

INGREDIENTS

DIRECTIONS

n 2 onions, thinly sliced n 2 yellow bell peppers, thinly sliced n ½ tsp. ground cumin n ½ tsp. freshly grated or ground turmeric n ½ tsp. thyme (dried or fresh) n ½ tsp. ground coriander n pinch of cayenne pepper or ½ tsp. spicy harissa n 2 cups yellow cherry tomatoes, chopped n 2 garlic cloves, finely chopped to a paste with ½ tsp. salt n 2 free-range eggs

Prepare the yogurt sauce by mixing the ingredients in a bowl, then set aside. Add a drizzle of olive oil to a skillet and place over medium-low heat. Stir-fry the onion until translucent, about five to 10 minutes.

YOGURT SAUCE n ½ cup Greek yogurt n 1 tsp. honey n juice of ½ lemon

Use the back of a spoon to make two shallow indentations in the surface of the shakshuka and crack an egg into each. Leave the shakshuka to slowly bake the eggs for 10 minutes, keeping the heat low. The result should be a dry sauce with the eggs just set. Remove from the heat.

TO SERVE n handful of fresh herbs (cilantro, mint, parsley), chopped n dusting of za’atar n fresh bread

Add the peppers, cumin, turmeric, thyme, ground coriander and cayenne to the skillet. Stir to coat the onions and peppers with the spices. Add the cherry tomatoes and garlic-salt mixture and cook over low heat for 15 minutes, stirring frequently.

If the sauce begins to dry out, add a little oil and water, but add sparingly as the shakshuka should not be watery.

Serve in bowls with the yogurt sauce drizzled over, and top with fresh herbs and za’atar. Enjoy with bread to scoop up the shakshuka sauce.

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{ TASTES }

Smoked Tofu and Green Pea Salad A FAUX FISH SALAD WITH HORSERADISH CREAM SERVES: 2 TO 3

INGREDIENTS

DIRECTIONS

n ¾ lb. spinach n ¾ lb. white cabbage leaves, finely shredded n 1 head romaine lettuce, leaves separated n 2 handfuls of arugula n 1 apple, quartered, cored, and sliced n 2 avocados, pitted, peeled, and sliced n 1 zucchini, spiralized n ¼ lb. green peas, fresh or frozen (defrost at room temperature for 15 minutes) n 1–2 Tbs. vegetable oil n 2 handfuls of pumpkin seeds n 1 sheet nori (seaweed), torn or cut into smaller flakes n 7 oz. smoked firm tofu, cut into small cubes n sesame seeds n pinch of ground black pepper n 1 Tbs. toasted sesame oil n soy sauce n handful of hemp seeds n juice of 1 lemon n pinch of salt

Toss the spinach, cabbage, lettuce, and arugula in a large bowl. Add the apple, avocado, zucchini and peas.

Heat a small skillet over medium-low heat. Add a little of the oil and toast the pumpkin seeds and nori flakes for two minutes, stirring to make sure they don’t stick. Sprinkle with salt, remove from the pan, and set aside.

Mix the horseradish cream ingredients in a small bowl. Combine in a blender or work it to a smooth consistency with a fork, then set aside.

Return the skillet to medium heat and add a little oil. Cook the tofu cubes with the sesame seeds and ground pepper, stirring constantly, for two to three minutes. Remove from heat and drizzle with sesame oil and soy sauce.

Add the tofu, pumpkin seeds, and nori flakes to the salad bowl. Top with the hemp seeds. Drizzle with lemon juice and sprinkle with salt. Serve with the horseradish cream.

HORSERADISH CREAM n ¾ cup vegan crème fraîche or dairy crème fraîche n ¾ Tbs. horseradish (or 1 Tbs. wasabi or 1 Tbs. Dijon mustard) n good pinch of salt

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{ TASTES }

The Loyal Lentil Chili LENTIL CHILI WITH BUTTERNUT SQUASH, COCONUT MILK, PEPPER AND LIME SERVES: 4

INGREDIENTS n 1 cup Le Puy or black lentils n 1 Tbs. coconut or olive oil n 5–7 shallots, finely chopped n 4 garlic cloves, finely chopped to a paste with 1 Tbs. salt n ½ Tbs. ground cumin n 1 tsp. ground turmeric n 1 tsp. ground cinnamon n 1 tsp. paprika n 1 tsp. ground coriander n 1 red bell pepper, halved, seeded and finely chopped n 1–2 red chile peppers, seeded and finely chopped n 2 tomatoes, finely chopped n 1 lbs. butternut squash, cooked and diced n 1 Tbs. tahini n 1 Tbs. honey or agave syrup n 14 oz. can coconut milk n juice of 1 lime

n 3 Tbs. soy sauce n salt and pepper SIMPLE YOGURT SAUCE n 1 cup yogurt or vegan yogurt (soygurt or coconut yogurt) n 1 tsp. honey or agave syrup n drizzle of extra-virgin olive oil QUICKEST CUCUMBER SALAD n ½ cucumber, shaved into ribbons n ¼ cup rice vinegar TO SERVE n extra-virgin olive oil n fresh cilantro n cooked brown rice or other whole grain n lime wedges n Sriracha or similar hot sauce

DIRECTIONS Cook the lentils according to the package instructions. Rinse, drain and set aside. Heat a skillet over medium-high heat. Add the oil and gently cook the shallots until translucent. Add the garlic, spices, bell pepper, chile peppers and tomatoes. Cook for a few minutes over medium-low heat.

Stir in the lentils, squash, tahini and honey. Pour in the coconut milk and stir, then simmer over medium-low heat for five minutes, adding a little water if needed and stirring regularly.

Add the lime juice and soy sauce, then continue simmering for a few minutes while stirring.

Taste and adjust the seasoning with salt and pepper. Remove from the heat.

Mix the ingredients for the yogurt sauce. Make the cucumber salad by combining the shaved cucumber and rice vinegar. Drizzle the chili with extra virgin olive oil, top with freshly chopped cilantro. Serve with the cool yogurt sauce, cucumber salad, brown rice, lime wedges and hot sauce.

Reprinted with permission from Bowls of Goodness by Nina Olsson, published by Kyle Books. Photography by Nina Olsson.

No images may be used, in print or electronically, without written consent from the publisher.

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{ IN GOOD HEALTH }

How TriHealth Is

REDUCING C-SECTIONS THOUGH IT CAN BE LIFE-SAVING, C-SECTION CARRIES RISKS AND RECOVERY CHALLENGES THAT DON’T OCCUR WITH VAGINAL BIRTHS.

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I WANT DELIVERING MOTHERS TO HAVE THE SAFEST AND HIGHEST-QUALITY BIRTH EXPERIENCE POSSIBLE, AND AT TRIHEALTH WE BELIEVE THAT SAFELY INCREASING THE VAGINAL DELIVERY RATE IMPROVES THE BIRTH EXPERIENCE.” — ALAN ALTMAN, M.D., PICTURED HERE WITH PATIENT TINA BEIS

TRIHEALTH PHYSICIANS are tackling a long-standing problem: the high percentage of babies born by Cesarean section in the United States. According to the Centers for Disease Control, nearly a third of the nation’s babies are born by C-section. In individual states, the rate for this surgery varies from a low of 22.8 percent in Utah to a high of 38 percent in Mississippi. Ohio’s rate is 30.4 percent.* C-sections can be life-saving for both mothers and babies. However, they are major abdominal surgeries, and complications can occur that are not seen in vaginal deliveries. Also, recovery from C-section takes longer and can be more complicated.

Avoiding a C-section that is not absolutely medically necessary, especially for first-time mothers, is thought to be the best option for both mothers and babies.

Alan Altman, M.D., an OB-GYN with TriHealth Women’s Services, is working to decrease the C-section rate for TriHealth patients. “In order to create awareness,” he says, “we’ve been periodically publishing the C-section rate of every OB physician on our staff in a blinded fashion. We put everyone’s C-section percentage on a graph, and each physician receives a copy with their individual percentage highlighted. They can then compare their rate to all other TriHealth OB physicians.”

Dr. Altman explains that bringing attention to the issue makes physicians think: “If my rate is on the higher end, what are others doing to have lower rates?” They then talk to other doctors, asking about methods, practices and startegies that can help them bring their own rates down.

“Having this data also makes doctors think twice when considering a C-section,” says Dr. Altman. “Certainly, there are cases where a C-section is necessary, but there are also those times when, if you just gave the mother more time to labor, perhaps she could have a successful vaginal delivery!”

TriHealth’s efforts have been working. “It absolutely has made a difference,” says Dr. Altman. “We have pulled the C-section rate down.” In 2015 before the reporting program started, the C-section rate at TriHealth for first-time mothers was 36 percent. After the program was implemented, the rate dropped to 26.9 percent in 2016. For 2017, the rate through September is 24.6 percent.

BIG BENEFITS FOR MOMS Two TriHealth patients recently avoided C-sections with the help of Dr. Altman.

Billie Elam was a first-time mom who was induced to begin her labor. Things were going alright at first. “All of a sudden, there were about six people in the room because the baby’s heart rate kept dropping,” says Billie. “They told me to be prepared for a possible C-section.”

However, the efforts of the TriHealth staff helped Billie avoid a C-section. “The nurses were suggesting things like moving me around. I didn’t want to have a C-section, so I was glad they tried all these things to avoid it,” she says.

After successfully giving birth vaginally, Billie had nothing but praise for the nurses, doctors and staff at Bethesda North Hospital. “Everybody was really great,” she says. “The nurses were so nice. They have a really good team of people.”

The experience Billie had with her first birth was in stark contrast to that of Tina Beis, who delivered her first child in another area of Ohio. She had an emergency C-section under general anesthesia. “It was a pretty traumatic birth experience, and the recovery was very hard,” recalls Tina. “With my second pregnancy, I just assumed I’d do a C-section because of my previous one.”

However, Tina went into labor a couple of days before her scheduled C-section.

Dr. Altman was on call and explained to her that she could try a VBAC, or a vaginal birth after C-section. He told Tina and her husband what the risks were, and that her chance of success was 70 percent.

“We decided to go for it,” she says. “The staff kept me at ease, and because of Dr. Altman’s confidence and the statistics he provided, he made me feel much better. And we just kind of trusted in his judgement.”

Tina says the birth experience and recovery were much different than her first delivery. “My husband was able to be by my side the whole time,” she recalls. “To actually be aware and experience everything, that moment of seeing your baby come into the world, was really great. And this time, I was up and walking around the next day, able to go up and down stairs and drive—all things I couldn’t do after my C-section.”

“Ultimately,” says Dr. Altman, “I want delivering mothers to have the safest and highest-quality birth experience possible, and at TriHealth we believe that safely increasing the vaginal delivery rate improves the birth experience.” * The CDC’s C-section rates are from 2015, the latest year for which statistics are available.

TO SCHEDULE AN APPOINTMENT WITH TRIHEALTH WOMEN’S SERVICES ASSOCIATES IN OB-GYN CALL 513 745 9045.

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{ ESCAPES }

THE GORGEOUS GALÁPAGOS IN THIS PACIFIC ARCHIPELAGO YOU’LL DODGE IGUANAS, SWIM WITH SEA LIONS AND COMMUNE WITH DARWIN’S GHOST—AND THAT’S ONLY PART OF THE MAGIC OF THESE “ENCHANTED” ISLANDS. BY RITA GUARNA

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The Pacific Ocean crashes against Darwin’s Arch, a rock formation just off of Darwin Island in the background. The island is one of the smallest in the Galápagos archipelago, with an area of just one square kilometer.

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At first I was reluctant. This was a cruise, and a cruiser I’m not. I cringe at the thought of prescribed mealtimes, lounge acts and forced fun, and I also tend toward motion sickness. So a proposed journey to the Galápagos Islands in the Pacific didn’t immediately float my boat. But reports of that destination’s stunning beauty and unrivaled glimpses of nature—going all the way back to 19th-century English naturalist Charles Darwin—were so persuasive, you could say my thinking evolved. I convinced myself that this once-in-alifetime journey would be worth it.

Nature is indeed the Galápagos’ raison d’être. So it stands to reason that there are strict environmental regulations here and that there’s nary a golf course or chain restaurant to be found. Never mind. You can golf again when you’re back in an ordinary place.

Named Las Islas Encantadas—the Enchanted Islands—by the first explorers to arrive in the 16th century, the Galápagos provides an otherworldly experience. For one thing, it’s remote: This archipelago of 19 islands (not to mention some 100-plus islets and rocks) straddles the equator more than 600 miles off the coast of Ecuador. Volcanic eruptions formed these parts between 3 million and 5 million years ago, making conditions quite harsh. Still, you’d have to say indigenous life adapted resourcefully; roughly 2,000 plant and animal species found here exist nowhere else in the world. This is a wildlife-watching destination on steroids, where humans play second fiddle to the all-star animal cast. Where else besides a zoo can you see penguins and tortoises on the same trip?

My cruise-phobia quickly waned. It helped that we set sail on the MV Origin, a 20-passenger yacht launched last year that is part of the Ecoventura fleet.

(The company has been in the expedition cruising business some 20 years and knows these islands.)

Plus, we didn’t exactly have to rough it: Our stateroom was spacious and featured panoramic windows perfect for spying the area’s unique topography. And there’s a roomy Jacuzzi and fitness center on board and a library. Add to that twice-daily excursions led by certified naturalists (10 passengers per guide to ensure an intimate experience), nightly briefings and the use of wet suits (you’ll need them as the water is cold several months of the year), snorkel equipment and kayaks, and you have the makings of a perfect trip.

From our first minutes on San Cristóbal, we were confronted with creatures completely unperturbed by humans. We were told to keep our distance and not to touch them (or anything, for that matter), but they heeded no such warning about us. As if on cue, a large land iguana swaggered onto the path, its From top, the blue-footed booby lives mostly on water but uses land to breed and rear young. Nearly one-half of the world’s breeding pairs nest on Galápagos Islands and islets like Punta Pitt. Tourists can take a wooden staircase to the summit of a dormant volcano on Bartolomé Island, a small isle off the tip of Santiago. The Galápagos giant tortoise, which can weigh up to 920 pounds, is native to seven of the Galápagos Islands and can readily be seen in their natural habitat at Rancho El Manzanillo on Santa Cruz.

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This page, top and left: Sea stacks such as Kicker Rock and smaller islands can be reached by small boats and kayaks. Below right: Cruises around the Galรกpagos Islands take one of two routes and are strictly monitored. Whether in a stately room or on deck, views from the MV Origin are breathtaking. Fine dining and fresh seafood are guaranteed on ship and on shore.

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resplendent yellow skin glowing in the sunlight. Actually, it’s tough to keep clear of the lizards, tortoises and even sea lions that co-exist with us. They’re a fearless and curious lot, and while it’s a tad disconcerting at first, soon these face-to-fauna encounters are not only welcome, they’re almost expected.

You can’t help but wonder if this is how Darwin felt back in 1835, when after weeks of studying the native plants and animals the young naturalist developed his theory of evolution and in so doing introduced the islands to the world. It wasn’t until 1959, however, that the archipelago became Ecuador’s first national park, and the islands were named a UNESCO World Heritage Site in 1978.

Only time will decide which of our extraordinary encounters remain with my fellow passengers and me. Will it be the turtles gracefully swimming along38

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side us or our front row seat as sea lions and dolphins performed what appeared to be a carefully choreographed dance? Then there were the marine iguanas, sea snakes and sharks—yes, sharks that abounded.

The islands are home to some two dozen types of sharks, from whale sharks and hammerheads to black-tip and Galápagos sharks.

I’m not sure when exactly it dawned on me that this is what it means, truly, to commune with nature. On one snorkeling “tour,” for example, a manta ray swam up to me and flitted about before gliding into the deep.

There’s the comical gait of the blue-footed boobies, the nimble prancers, aka Sally Lightfoot crabs, Darwin’s finches, the waved albatross, and of course, the frigatebird, whose wrinkled throat can inflate like a bright red balloon.

Was it my imagination, or did these creatures all seem to share a buoyant spirit just this side of gloating? That would make sense. After all, they get to live there, while I’m reduced to obsessively plotting my next cruise.

This page, from top: Snorkelers can swim with sea lions just off the olive-sand beach at Punta Cormorant on Floreana. A view from the top—a unique look at Las Tintoreras and Isabela. After a day of island hopping, dinner awaits aboard the MV Origin.

Opposite, from top: Curious and friendly manta rays are some of the pleasant surprises of the sea. The Origin’s Jacuzzi is the perfect place to unwind after a long day of exploring.

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{ FARE WELL }

SYMPTOMS TO ACT ON NOW EVERYONE IS BUSY. IT’S A FACT OF LIFE IN OUR FAST-PACED WORLD. SO THE LAST THING ANY OF US WANTS TO DO IS MAKE A DOCTOR’S APPOINTMENT FOR A SEEMINGLY MANAGEABLE PROBLEM. BUT FOR THESE EIGHT SYMPTOMS, THAT APPOINTMENT COULD SAVE YOUR LIFE. SEE YOUR PHYSICIAN IF YOU EXPERIENCE ANY OF THESE WARNING SIGNS.

Unexpected weight loss

Blood in the stool

Skin changes

Sudden confusion

While sudden, unexpected weight loss may sound like the stuff of infomercial dreams, it can signal serious problems, including endocrinesystem disorders, diabetes and cancer.

Losing 10 pounds or more without trying is cause for concern.

Changes to bowel habits, such as diarrhea or constipation lasting more than two days, accompanied by blood in the stool can be a symptom of hemorrhoids, inflammatory bowel disease, irritable bowel syndrome or colorectal cancer.

Any mole or freckle that changes color, shape, texture or size could be a natural part of aging or it could be skin cancer. There are many types of skin cancer and luckily, if caught early, most are easily treated by removing the offending mole.

A sudden bout of confusion, inability to concentrate or a change in personality could be caused by any of the following: dehydration, low blood sugar, an infection, a stroke, a brain tumor or bleeding in the brain.

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15 minutes A typical office visit with a primary care doctor takes only 15 minutes. That’s time you can afford to spend on your health!

Shortness of breath

Seeing flashes of light

Swollen legs

Difficulty breathing or shortness of breath is called dyspnea. Many people suffer from dyspnea occasionally, but if it is sudden, severe and limits your activities, you should seek medical attention.

Breathing problems could indicate asthma, lung infection, blood clot, stroke or heart attack.

Flashes, bright spots or other unexplained oddities in your vision may indicate the onset of a migraine or a detached retina, which can quickly lead to permanent blindness without swift medical intervention.

Hot, red and swollen legs or pain in the back of your calf can be symptoms of vein problems, thyroid issues or heart failure.

Pain in the back of your legs also can indicate a blood clot that could be fatal if not treated promptly.

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Constant fatigue Being tired all day, every day despite an early bedtime should be addressed by a medical professional.

Persistent fatigue could indicate depression, sleep apnea, anemia, hypothyroidism or cancer.

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{ WHERE TO EAT }

AMERICAN

ARNOLD’S BAR AND GRILL The city’s oldest bar, featuring traditional American comfort food and a wide beer selection, 210 E. 8th St., 513.421.6234 BJ’S RESTAURANT AND BREWHOUSE Handcrafted burgers and deep-dish pizzas with beers brewed on-site, 11700 Princeton Pike, Unit J1A, 513.671.1805 CHARLEY’S STE AKERY Ser ving quality Philly steak s for more than 25 years, Liber ty Center, 7100 Foundr y Row, Liber ty Town s hip, 513.755.1626 THE CHEESECAKE FACTORY Inventive American cuisine with an extensive dessert menu focusing on cheesecake, Liberty Center, 7612 Blake St., Liberty Township, 513.755.2761 THE EAGLE FOOD AND BEER HALL Southern comfort food and beer hall, 1342 Vine St., 513.802.5007 FLIP SIDE BURGER & BAR Burger, shake and craft beer concept featuring Ohio grass-fed beef and free-range chicken, Liberty Center, 7622 Blake St., Liberty Township, 513.777.6328

KRUEGER’S TAVERN Contemporar y American bar food with a European influence, 1211 Vine St., 513.834.8670

RED ROOST TAVERN Contemporar y American fare with organic, farm-to-table ingredients, 151 W. 5th St., 513.579.1234

MELT ECLECTIC CAFE Vegetarian restaurant specializing in sandwiches and meat substitutes, 4165 Hamilton Ave., 513.681.6358

RICK’S TAVERN & GRILLE Friendly neighborhood drinker y ser ving up pub grub amid 50 flat-screen T Vs, 5955 Boymel Dr., Fair field, 513.874.1992

METROPOLE Contemporar y dishes cooked in a wood-burning fireplace, 609 Walnut St., 513.578.6660

THE RUST Y BUCKET Relaxed, family-friendly neighborhood tavern, Liberty Center, 7524 Bales St., Liberty Township, 513.463.2600

MITCHELL’S FISH MARKET Specializing in off-theboat-fresh fish, 9456 Water Front Dr., West Chester, 513.779.5292 NORTHSTAR CAFE Hearty, healthy American fare with a renowned brunch ser vice, Liberty Center, 7610 Sloan Way, Liberty Township, 513.759.0033 ORCHIDS AT PALM COURT Contemporar y American food at Hilton’s well-established fine-dining restaurant, 35 W. Fifth St., 513.421.9100 THE ORIGINAL MONTGOMERY INN Cincy staple well-known for its BBQ ribs, 9440 Montgomer y Rd., Montgomer y, 513.791.3482

SALAZAR Casual contemporar y American fare with farm-inspired lunch and dinner menus, 1401 Republic St., 513.621.7000 SENATE RESTAURANT Casual contemporar y American eater y specializing in upscale hot dogs, 1212 Vine St., 513.421.2020 SKYLINE CHILI It’s a Cincy staple, famous for its chili ser ved as Cheese Coneys and 3-Ways, multiple locations including 10792 Montgomer y Rd., 513.489.4404 SLATTS Relaxed neighborhood pub with plenty of plasma T Vs for watching the game, 4858 Cooper Rd., Blue Ash, 513.791.2223

THE GOLDEN LAMB Comfort food that may just be worth the half-hour trek to Lebanon, 27 S. Broadway, 513.932.5065

PALACE RESTAURANT Inventive fine-dining establishment located inside the historic Cincinnatian Hotel, 601 Vine St., 513.381.3000

HOLY GRAIL TAVERN & GRILLE Lively sports bar with casual fare and drink menu, 161 Joe Nuxhall Way, 513.621.2222

PAXTON’S GRILL Relaxed, friendly spot housed in one of Loveland’s oldest buildings, 126 W. Loveland Ave., Loveland, 513.583.1717

INCLINE PUBLIC HOUSE Upscale pub food including NYC-style pizzas ser ved against a stunning view of the city, 2601 W. 8th St., 513.251.3000

PIES & PINTS Authentic craft piz za and beer establishment featuring bar food, Liberty Center, 7621 Gibson St., Liberty Township, 513.755.7437

TANO BISTRO & CATERING Contemporar y bistro in historic Loveland, featuring fresh ingredients and a menu that changes with the seasons, 204 W. Loveland Ave., 513.683.8266

J. AUSTIN’S RIVERBANK CAFE Southern-style specialties like grilled catfish and shrimp po-boys, 102 Main St., Hamilton, 513.795.7640

THE PRESIDENTS ROOM Eclectic menu that blends contemporar y American, Italian and German flavors, 812 Race St., 513.721.2260

TERRY’S TURF CLUB Laid-back burger joint with large portions and vegetarian options, 4618 Eastern Ave., 513.533.4222

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STONE CREEK DINING COMPANY A varied menu of sandwiches, salads, seafood and steaks, multiple locations including 9386 Montgomer y Rd., Montgomer y, 513.489.1444 and 6200 Muhlhauser Rd., West Chester, 513.942.2100

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TOM + CHEE Specializes in tomato soup and grilled cheese, multiple locations including 9328 Union Centre Blvd., West Chester, 513.860.0638

JEFFERSON SOCIAL Upscale Mexican fare with extensive cocktail weekend, 101 E. Freedom Way, 513.381.2623

JEFF RUBY’S STEAKHOUSE Reser vations highly recommended at this high-end steak house, 700 Walnut St., Ste. 206, 513.784.1200

THE WILDFLOWER CAFE Farm-to-table fare ser ved in a converted centur y-old farmhouse, 207 E. Main St., Mason, 513.492.7514

MAZUNTE TAQUERIA MEXICANA Casual Mexican eater y with trendy, festive decor, 5207 Madison Rd., 513.785.0000

MCCORMICK & SCHMICK’S Steak house and seafood with extensive bar menu and tapas options, 21 E. 5th St., 513.721.9339

BBQ

NADA Trendy Mexican cantina ser ving creative cock tails and modern twists on traditional south-ofthe-border favorites, 600 Walnut St., 513.721.6232

MOERLEIN LAGER HOUSE Fine-dining establishment and artifact-adorned beer bar with a wonder ful view of the river, 115 Joe Nuxhall Way, 513.421.2337

QDOBA Casual Mexican grill featuring fresh, handcrafted meals, 2721 Edmonson Rd., 513.351.2269; Liberty Center, 7100 Foundr y Row, Liberty Township, 513.755.0486; Mason, 5030 Deer field Blvd., 513.770.0301; Blue Ash, 9749 Kenwood Rd., 513.984.2629; Florence, 7683 Mall Rd., Florence, KY, 859.647.0296

MORTON’S THE STEAKHOUSE Popular steak house and seafood restaurant overlooking Fountain Square, 441 Vine St., 513.621.3111

MIDWEST BEST BBQ & CREAMERY BBQ joint and ice cream parlor launched by the popular local BBQ sauce and rub company, 7832 Glendale-Milford Rd., Camp Dennison, 513.965.9000 MONTGOMERY INN BOATHOUSE Ribs, burgers and other BBQ specialties, 925 Riverside Dr., 513.721.7427 SMOQ Southern BBQ soul food cooked low and slow, including ribs, brisket and pulled pork, 275 Pictoria Dr., Springdale, 513.671.7667

FRENCH

JEAN-ROBERT’S TABLE Exquisite French cuisine with a weekly changing lunch menu, 713 Vine St., 513.621.4777 TASTE OF BELGIUM Waffles and crepes (both sweet and savor y) at this local favorite, multiple locations including 1133 Vine St., 513.381.4607

GREEK/MEDITERRANEAN

ABIGAIL STREET Inventive cuisine with cheese menu and wine on tap in a trendy but casual setting, 1214 Vine St., 513.421.4040 DURUM GRILL Small, casual gyro eater y loved by the locals, 4764 Cornell Rd., 513.489.4777 PALOMINO Offering a mix of Mediterranean and contemporar y American cuisine with a view of Fountain Square, 505 Vine St., 513.381.1300 PHOENICIAN TAVERNA Mediterranean cuisine in a trendy but casual setting, 7944 S. Mason Montgomer y Rd., Mason, 513.770.0027 RAYA’S LEBANESE Mediterranean food, specializing in kabobs and gyros, 801 Elm St., 513.421.0049 ZULA Eclectic menu of Greek tapas dishes and extensive wine and craft beer lists, 1400 Race St., 513.744.9852

ITALIAN

BOCA French and Italian dishes, NYC-style pizzas and a gluten-free menu, 114 E. 6th St., 513.542.2022 BRIO TUSCAN GRILLE Ser ving high-quality steaks, housemade pasta and flatbreads prepared in an authentic Italian oven, Liberty Center, 7600 Gibson St., Liberty Township, 513.759.4500 BRAVO CUCINA ITALIANA Upscale-casual chain ser ving Italian classics with a twist amid Roman-ruin decor, multiple locations including 5045 Deer field Blvd., Mason, 513.234.7900, and 9436 Water front Dr., West Chester, 513.759.9398

PIZ Z A

DELICIO COAL-FIRED PIZZA An artisan pizzeria that fuses rustic Italian traditions with the smoky flavors of the U.S. Southwest, 9321 Montgomer y Rd., Montgomer y, 513.834.5460; Xavier, 3701 Montgomer y Rd., 513.834.5460 DEWEY’S PIZZA Specialty pizza pies with seasonal menu, multiple locations including 7663 Cox Ln., West Chester, 513.759.6777 GOODFELLAS PIZZERIA Pizzeria with large slices and late-night hours, 1211 Main St., 513.381.3625 LAROSA’S PIZZERIA Casual pizza joint ser ving the area for more than 60 years, multiple locations RICHARDS PIZZA Local chain ser ving up pies since 1955, multiple locations including the original at 417 Main St., Hamilton, 513.894.3296 SBARRO Casual eater y ser ving up New York-style piz za and pastas, Liberty Center, 7100 Foundr y Row, Liberty Township, 512.443.8300

STEAK HOUSE

BISTRO ON ELM Located within the Millennium Hotel Cincinnati, this bright spot offers steaks, seafood and pasta, 150 W. 5th St., 513.352.2189 CARLO & JOHNNY Another winner from Jeff Ruby ser ving prime steaks, seafood options and bountiful sides in an elegant space that was once a stagecoach stop, 9769 Montgomer y Rd., 513.936.8600 CELESTIAL STEAKHOUSE Upscale steak house and seafood restaurant with an impressive view, 1071 Celestial St., 513.241.4455 JAG’S STEAK & SEAFOOD Sur f and tur f is ser ved in the dining room or the high-energy piano bar, 5980 West Chester Rd., West Chester Township, 513.860.5353

PARKERS BLUE ASH TAVERN Elegantly rustic restaurant known for its prime rib and award-winning wine list, 4200 Cooper Rd., Blue Ash, 513.891.8300 THE PRECINCT The original Jeff Ruby’s location features fine steaks and seafood in a turn-of-thecentur y setting, 311 Delta Ave., 513.321.5454 PRIME 47 Upscale menu featuring prime cuts and a wine vault, 580 Walnut St., 513.579.0720 RODIZIO GRILL Bra zilian steakhouse ser ving succulent meats and authentic sides, Liber ty Center, 7630 Gibson St., Liber ty Township, 513.777.4777 TONY’S OF CINCINNATI Huge portions of prime beef and the freshest seafood (salad and potato included) are the hallmarks of this steak house from Tony Ricci, 12110 Montgomer y Rd., 513.677.1993

SUSHI/ASIAN FARE

ASIAN PARADISE Asian fusion restaurant and lounge offering popular happy-hour specials, 9521 Fields Ertel Rd., Loveland, 513.239.8881 BIBIBOP Healthy Korean meals that include quality proteins, vegetables, gluten-free grains and Asian sauces, Liberty Center, 7616 Blake St., Liberty Township, 513.310.6615 FUSIAN Sushi bar with create-your-own rolls, fresh juices and healthy side dishes, 600 Vine St., 513.421.7646 KAZE Trendy sushi and Japanese gastropub featuring a beer garden, 1400 Vine St., 513.898.7991 KONA GRILL Innovative exotic entrees, awardwinning sushi and fresh fish, 7524 Gibson St., Liberty Center Mall, Liberty Township, 513.322.5860 QUÁN HAPA Asian fusion and gastropub with trendy setting, 1331 Vine St., 513.421.7826

THAI

MANGO TREE THAI & SUSHI Casual eater y ser ving fresh, authentic Thai cuisine and sushi, 7229 Wooster Pike, 513.271.0809

NICOLA’S RISTORANTE Italian cuisine featuring fresh pastas and an extensive wine list, 1420 Sycamore St., 513.721.6200 PITRELLI’S A true mom-and-pop dining experience with cuisine from several regions of Italy, 404 2nd Ave., Mason, 513.770.0122 PRIMAVISTA Traditional Italian entrees with wine menu and a view of the city, 810 Matson Pl., 513.251.6467 SOTTO Trendy Italian restaurant ser ving small plates and handmade pastas, 118 E. 6th St., 513.977.6886 VIA VITE Casual dining of stone-fired pizza and fresh pastas with alfresco courtyard seating, 520 Vine St., 513.721.8483

MEXICAN

BAKERSFIELD Authentic Mexican street food with extensive tequila and whiskey menus, 1213 Vine St., 513.579.0446 CHUY’S Eclectic Tex-Mex eater y featuring handmade tortillas, 7980 Hosbrook Rd., 513.793.2489 EL PUEBLO Authentic Mexican fare made from secret family recipes, 4270 Hunt Rd., Blue Ash, 513.791.4405

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{ GATHERINGS }

TRIHEALTH BREAST CANCER AWARENESS GAME AT PAUL BROWN STADIUM 44

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17TH ANNUAL BETHESDA LYCEUM

SAVE THE DATE

THE BETHESDA FOUNDATION annually hosts the Bethesda Lyceum, a premier social event featuring well-known keynote speakers. In keeping with the LYCEUM’s tradition of thoughtprovoking speakers, we are pleased to welcome J.D. Vance, author of Hillbilly Elegy, a #1 New York Times Best Seller.

Wednesday, April 18, 2018 Jack Cincinnati Casino Reception 6 p.m.

Dinner 7 p.m.

Business Attire

• Featuring guest speaker J.D. Vance, author of Hillbilly Elegy, a #1 New York Times Best Seller.

• Sponsorship and ticket opportunities are available.

• For more information, please contact Tammy Rasey at 513-865-1621 or email Tamara_Rasey@TriHealth.com $300 per individual | $500 per couple • Ticket includes dinner, drinks, complimentary parking and access to presentation by J.D. Vance.

•T o register online or make a donation, please visit BethesdaFoundation.com.

Proceeds will benefit the NEW Thomas Comprehensive Care Center on the campus of Bethesda North Hospital. This center will feature the premier cancer program in Greater Cincinnati, offering a comprehensive network of cancer specialists and facilities delivering multidisciplinary, collaborative care with cutting-edge treatments and technologies.

OCTOBER 29TH WAS the date for the annual TriHealth BCA game at Paul Brown Stadium. TriHealth is the official health-care partner of the Bengals, and as such is the sponsor of the annual BCA game, which is a Bengals initiative backed by the NFL. Keyana Williams, a TriHealth breast cancer patient, along with her care team, delivered the game ball to the field while TriHealth employees brought out a giant BCA ribbon.

Front row: Keyana’s daughters, Kennedi and Danyell; Second row: Keyana’s brother, Jeff Malcom; Keyana; Michele Anderson, R.N., nurse navigator; Barbara Wexelman, M.D., breast surgeon; Aime Jackson, M.D., medical oncologist; Susan Boyer, R.N.; Jenna Trapp, R.N.

THE GOOD SAMARITANS’ 34TH ANNUAL GALA THE GOOD SAMARITANS’ 34TH ANNUAL GALA will be held on February 10, 2018 at the Hyatt Regency, downtown Cincinnati. This year’s theme is “Illusions: Expect the Unexpected.”

The Gala Chair is Holly Mouch and Co-Chairs are Felicia Burger and Mary Beth Schmidt. The Physician Champion is Dallas Auvil, M.D. The beneficiary for the 2018 Gala is the Good Samaritan Hospital Drug and Alcohol Treatment Program, along with annual support for the Good Samaritan Free Health Center and Medical Education Research Fund. For more information, please visit www.gshfoundation.com.

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{ BE THERE }

PNC FESTIVAL OF LIGHTS Through January 1

Quick question: How do you take one of the most beloved holiday films of the last few decades and make it even more fun? By making it into a musical, of course! That’s why the folks at the Cincinnati Arts Association will be bringing A CHRISTMAS STORY: THE MUSICAL to the stage, in conjunction with Fifth Third Bank Broadway in Cincinnati and TriHealth. Little Ralphie Parker’s deeply held desire for the perfect Christmas present and his attempts to secure it for himself are an enormous amount of fun on-screen, but the whole thing ascends to another level when you add some infectious tunes and take it to Procter & Gamble Hall at the Aronoff Center. Discover the details at cincinnatiarts.org/events/ detail/christmas-story

Over the last two decades, the TRANS-SIBERIAN ORCHESTRA has become one of the biggest holiday attractions around, blending the edge-of-your-seat excitement of rock ‘n’ roll with larger-than-life theatrics and a series of spectacular Christmas-centric themes.

In spring of 2017, the show’s composer and creator Paul O’Neill passed away unexpectedly. He had been working on updating one of the TSO’s most popular shows, THE GHOSTS OF CHRISTMAS EVE before he died, and the ensemble will be bringing that production to the US Bank Arena to honor O’Neill’s memory and help brighten up the holidays once again. For more, visit usbankarena.com/ event/2017/12/trans-siberian-

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orchestra-presents-theghosts-of-christmas-eve

DECEMBER 19 Jennifer Nettles became a country superstar as the lead singer for Sugarland, but for the last few years they’ve been on hiatus. Since then, Nettles has been filling a series of solo albums with her big, bold voice. The most recent was 2016’s To Celebrate Christmas, where she brought her signature sound to a batch of classic holiday tunes. So it’s not such a huge surprise to find that Nettles is taking her unique slant on Christmas songs to the stage. And when she hits the Taft Theatre for CHRISTMAS WITH JENNIFER NETTLES, you can expect to hear plenty of holiday standards given that special Nettles touch. Find

out more at tafttheatre.org/ events/2017/12/christmaswith-jennifer-nettles

THROUGH JANUARY 1 For the 35th year in a row, the holiday season will involve a lot more than encounters with the animal kingdom at the Cincinnati Zoo, as the PNC FESTIVAL OF LIGHTS comes around again. Of course, as the name implies, the event will feature some eye-popping illumination, but it includes a lot more than that. Kids (and adults who haven’t lost that youthful spirit) will get to see a special black-light puppet show, take a Toyland Express train ride, visit a gingerbread village, chat with Santa Claus himself and plenty more.

For details, swing over to cincinnatizoo.org/events/ festival-of-lights/

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GETTY IMAGES

DECEMBER 5–10

JANUARY 5–7 Let’s put it this way: If it’s awesome and it’s on wheels, it’s probably going to be at the KOI CAVALCADE OF CUSTOMS. After all, this epic auto show is the annual event where just about every conceivable kind of custom car and hot rod can be seen.

But there will be much more than that on hand to give the audience a thrill, including everything from custom motorcycles to one-of-a-kind trucks. And along the way, there’ll be celebrity guests, fun activities for auto admirers and some special surprises.

Get revved up for this event at duke-energycenter.com/ events/cavalcade-of-customs

The Taft Museum will show you that sometimes the ghosts of Christmas past aren’t scary after all—sometimes they can be downright stunning. Especially if they’re the kind represented by the items included in the museum’s ANTIQUE CHRISTMAS show. After all, what are the holidays about if not tradition? And what better way to celebrate them than by viewing an amazing collection of Christmas-related items from bygone eras? Vintage toys, Christmas decorations, and more will be on display in one of the most eye-catching holiday experiences you’re likely to encounter. Get all the info at taftmuseum.org/ holidays-at-the-taft GETTY IMAGES

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THROUGH JANUARY 7

KOI CAVALCADE OF CUSTOMS January 5-7

FEBRUARY 10-11 & 16-18 Fortunately for parents eager to expose their kids to the magic of live theater, The Children’s Theatre of Cincinnati has a knack for presenting shows that the little ones love, with plenty of high production values to keep the grownups feeling satisfied that their offspring are getting some top-shelf entertainment.

And their production of MADAGASCAR: A MUSICAL ADVENTURE is certainly no exception. You’ll be amazed at how well the blockbuster DreamWorks movie—full of fun animal characters—makes the transition to the stage, with a hefty heap of catchy songs to bring the whole thing home. See King Julien and company like never before.

Plot your family escape at thechildrenstheatre.com/ mainstage/shows

Send event listings to: Cincinnati Health & Life, 110 Summit Ave., Montvale, NJ 07645; or email editor@wainscotmedia.com. Listings must be received two months before the event and must include a phone number/website that will be published.

MADAGASCAR: A MUSICAL ADVENTURE February 10-11 & 16-18

ANTIQUE CHRISTMAS Through January 7

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{ POWER FOOD }

BRAVO FOR

COCOA!

NOT MANY FOODS CAN CLAIM TO BE BOTH DECADENT AND HEALTHY. DARK CHOCOLATE IS ONE OF THEM. CHOCOLATE’S POSITIVE press began in the days of the Aztec emperor Montezuma II, who called hot, frothy Aztec cocoa “the divine drink,” claiming that one cup enabled a man to walk for an entire day without food. Today, dark chocolate continues to generate news about its health benefits as science begins to unravel its mysteries.

POWER UP Eating one ounce of dark chocolate (at least 70 percent pure cocoa) a day may help keep the doctor away. Let us count the ways. Dark chocolate is rich in antioxidants, which neutralize free radicals in the body that can damage cells. It also contains cocoa butter, which the liver converts to a healthy monounsaturated fat that lowers bad (LDL) cholesterol while raising good (HDL) cholesterol.

Additionally, chocolate contains several

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anti-inflammatory compounds that help to reduce blood pressure. Though chocolate and hearts are forever linked in our minds thanks to Valentine’s Day, the health benefits of cocoa extend well beyond it. Studies have found that eating dark chocolate can reduce risk of some cancers, asthma, osteoporosis and type 2 diabetes. It also has been shown to improve concentration and decrease memory loss.

BUY | STORE When selecting chocolate, check the ingredients. Choose products that list cocoa, or something that comes from it (like cocoa butter or cocoa powder), first.

Avoid choices that list hydrogenated or partially hydrogenated oils—those contain unhealthy trans fat. Some chocolate is “Dutched” to cut bitterness, but that process also reduces antioxidants. To identify Dutched chocolate, look for “cocoa pro-

cessed with alkali” on the ingredients list.

Store chocolate in a cool, dark, dry place.

It should be well wrapped in foil, as well as a paper over-wrapper. Kept like this, it can last up to a year. A telltale sour aroma will let you know if chocolate is spoiled.

Grittiness and discoloration are other signs to watch for.

DID YOU KNOW? Research shows that it takes 200 mg of flavanols (one of the antioxidants in cocoa) a day to reap heart-health benefits.

Flavanols don’t have to be reported on food labels, but some companies are making chocolate that meets the 200 mg standard and including that information on their wrappers. As you celebrate the health benefits of this tantalizing treat, keep in mind that it’s high in calories.

Balance the extra calories and sugar by cutting them elsewhere.

9.5

101

4+

18%

Pounds of chocolate eaten by the average American each year

Billion dollars spent on chocolate worldwide each year

Years it takes for a cacao tree to produce its first beans

Share of the world’s chocolate eaten by Americans annually

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Tirisi Jewelry is made of 18 Kt gold with high quality diamonds and fine handcut semi-precious stones

www.tirisi.com

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Merry Christmas!

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