Cincinnati Health & Life: Summer 2018

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

S U M M E R 2 0 18 THE GOOD LIVING MAGA ZINE

NEW OPTIONS FOR STROKE NAPA’S CHARMS SAVING LIVES: GENETIC TESTING

LO O K & F E E L YO U R B E ST R E C I P E S : H E A LT H Y B R E A K F A S T S

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SUMMER 2018 | $3.95 | TRIHEALTH.COM

C I N C I N N AT I H E A LT H & L I F E

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FEATURES 14

PROTECTING PREGNANCIES

Too often, cervical insufficiency is discovered only after multiple pregnancies are lost. One TriHealth OB-GYN is making a difference.

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IT’S IN THE GENES

How genetic testing led members of one local family to lifesaving preventive surgery.

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PARTY SMART!

Practical tips to make 2018 the year of your best-ever backyard bash.

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Doctors gain new options for treating some stroke patients.

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LOOK AND FEEL YOUR BEST

At a new TriHealth care center, medical, wellness and aesthetic experts collaborate to offer a full range of therapies.

I N E V ERY I S S UE

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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

CONTENTS

STROKE: ADVANCING CARE

20 CINCINNATI HEALTH & LIFE | SUMMER 2018

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CONTENTS

36 28 DEPARTMENTS 10

44

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

Photos from recent events in Hamilton County.

LOCAL BUZZ

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HEALTH NEWS

Tips and insights you can use now.

34

GATHERINGS

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POWER FOOD

Sweet red peppers are packed with disease-fighting nutrients.

28

TASTES

Explore three healthy breakfast recipes with a vegan twist.

36

ESCAPES

A Napa wine-tasting getaway will please your palate and aid the area’s recovery from last fall’s wildfires.

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SUMMER 2018 | TRIHEALTH.COM

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Dave Lapham, Bob Herzog, David Fulcher and Local Restaurants are Kicking Hunger BENEFITING

Find participating restaurants and more information at

KickHungerChallengeCincinnati.org

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{ WELCOME LETTER }

IN SICKNESS AND IN HEALTH...

Top 15 in the nation. #1 with our patients.

• Bethesda North and Good Samaritan hospitals ranked among the Top 100 Hospitals in the nation • Bethesda Butler, Bethesda North and Good Samaritan hospitals awarded Leapfrog “A” safety ratings • 140 locations • 650+ employed physicians • 4th-largest employer in Cincinnati, with 12,000+ team members We are bringing all of this together to deliver the health care that is right for you.

TriHealth has been recognized as a top health system in Cincinnati and one of the top 15 in the nation by Watson Health. This and other awards acknowledge our commitment to setting a higher standard of care as we continue to deliver the right care at the right time. We are proud of these achievements, and we look forward to continuing to provide the best health care in the region.

WITH THE WEDDING SEASON now in high gear, that familiar vow is being recited often—signaling the start of a lifetime commitment to care for each other under every circumstance. At TriHealth, we pledge that same vow to you and your family. We are committed to getting health care right for our community, and that means continually seeking new and better ways to improve health, improve care and improve value for every individual we serve—at every occasion! In sickness and in health, we aim to be the trusted provider of choice for all your care needs—from innovative preventive and wellness care to lifesaving critical care and everything in between.

In this issue, we share two very different, but equally remarkable, patient stories that demonstrate this pledge in action.

Through an artful combination of high tech and high touch, our physicians and care teams are devising and delivering innovative and effective ways to create brighter tomorrows and renew hope: hope for a couple who thought a full-term pregnancy might not be possible, and hope for a family with a history of cancer to have a future that’s free from the devastating disease. You’ll also learn about the advances we’re making to reduce the occurrence and minimize the impact of strokes.

We’re proud to offer our Greater Cincinnati community the best care available anywhere. And we’re thrilled that our exceptional care teams, clinical services and patient outcomes are being recognized among the best in the nation! Our Good Samaritan and Bethesda North hospitals were named Top 100 Hospitals this year by IBM Watson, which also named TriHealth as a Top 15 Health Care System in the U.S.! And this is out of more than 5,000 hospitals and more than 500 health systems nationally!!!! Visit TriHealth.com/best to learn more.

At TriHealth, our nearly 14,000 doctors, nurses and other team members are committed to continue to innovate, grow and advance in our ability to help you be your best—at every stage of life and in every state of health. Enjoy the rest of the summer and all the opportunities it brings to be active and healthy.

Yours in good health,

MARK C. CLEMENT TRIHEALTH PRESIDENT AND CEO

TriHealth.com/best FOR ADDITIONAL INFORMATION ABOUT TRIHEALTH, VISIT OUR WEBSITE AT TRIHEALTH.COM.

100 Top Hospitals® is a registered trademark of IBM Watson Health™

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Escape. Relax. Rejuvenate.

Your journey begins here.

Restore and reawaken your natural beauty at TriHealth’s new Cosmetic Surgery & Rejuvenation Center. It’s an oasis that’s staffed with physicians and a team of medical, wellness and beauty experts who work together to renew your body, mind and spirit.

Cosmetic & Plastic Surgery | Injectables | Laser Treatments Spa Services | Microneedling | Acupuncture Call 513

246 5454 to schedule a consultation.

6200 Pfeiffer Road, Suite 350 Cincinnati, OH 45242 THCosmeticCenter.com

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{ EDITOR’S NOTE }

CREATING HOPE

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.

One of the things I enjoy most about planning and editing Cincinnati Health & Life is the opportunity to share “good” news. This issue, for example, is full of hope. It features some inspiring individuals—from people meeting health challenges head-on to the physicians and nurses caring for them.

For example, when Linda Wehby of Mason found out that she had breast cancer, then through genetic testing learned she also had an 80 percent chance of developing gastric cancer, she made a brave and potentially lifesaving decision. Read her story, and learn how her family was impacted, on page 16. Hope also can be found in the work of William Schnettler, MD, a TriHealth maternal-fetal medicine specialist. Dr. Schnettler has created a program to help identify and treat women with cervical insufficiency, a condition that can lead to repeated pregnancy loss. Many women with this problem go unidentified until they’ve lost two or three children. Through his unique program, Dr. Schnettler hopes to find ways to help more women like Erica Holden, whose story you can read on page 14, before those tragic losses occur.

What else is in this issue? Healthy breakfast recipes, news about a unique new cosmetic and surgery center that lets you utilize a full range of therapies (all in one place!) to reach personal goals for appearance and well-being, plus 18 creative tips to help you throw your best-ever backyard bash as summer winds down. Anyone interested in a West Coast sojourn should check out our tips for exploring Napa, Calif., and its many attractions (page 36), both wine related and not.

Thanks for spending some of your day with us!

Warm regards,

MARIA K. REGAN EXECUTIVE EDITOR

Discover women’s care as unique as you.

Learn more at TriHealth.com/womens

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Making Strides Against Breast Cancer of Greater Cincinnati October 27, 2018 | 9:00 a.m.

Yeatman’s Cove 705 E Pete Rose Way Join us for the American Cancer Society Making Strides Against Breast Cancer walk to help save lives, celebrate survivors, and honor loved ones lost. With every dollar raised, we’re able to make a bigger impact by helping conduct innovative research, promote early detection, and simply provide a hand to hold.

MakingStridesWalk.org/Cincinnati 1.800.227.2345

TriHealth celebrates the 3rd Annual Real Men Wear Pink Campaign kicking off this summer in support of Making Strides! This distinguished group of over 25 male community leaders will raise awareness and money to support the American Cancer Society’s breast cancer initiatives – and to help us save more lives than ever before. Thank you to our Real Men Wear Pink candidates for your leadership in the fight for a world without breast cancer!

For more information about the campaign, or the candidates, visit: www.realmenwearpinkacs.org/greatercincinnatiOH.

©2018, American Cancer Society, Inc.

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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 4, Issue 2. © 2018 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.

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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

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Š

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

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{ LOCAL BUZZ }

THE SPIRIT OF RADIO

T H E R E ’S S O M E T H I N G new and exciting happening in Cincinnati radio, but it’s not coming over the airwaves. Like so many of the most engaging ideas these days, it comes to you through your Internet connection. INHAILER is an online radio station that’s dedicated to giving locals a leg up on their own music scene as well as regional and community updates, all while offering nonstop opportunities for music discovery.

The story of INHAILER really began when Northern Kentucky University shut down its indie-rock-oriented radio station WNKU and sold its spot on the radio dial to religious broadcasters.

This inspired Coran Stetter, budding entrepreneur and singer/ guitarist with local band MULTIMAGIC to fill the void in a creative way. In May of last year, he and a hardy crew of volunteers launched INHAILER Radio, with the idea that the web could reach even more people than a broadcast station but still operate on a grassroots level.

There’s no faceless corporation handing down programming decisions at INHAILER. The DJs program their own shows, making sure to leave room for local bands amid the national names. The station also hosts shows specifically dedicated to local music.

Adding local news and podcasts that deal with Cincinnaticentric subjects—from politics to the town’s cultural legacy—INHAILER offers a platform for all kinds of information, entertainment and interaction. The mission statement on their website, www.inhailer.com, focuses on “the belief that communities thrive when diverse people come together for live entertainment, music, arts and culture.”

If that’s what they’re after, they’re off to a great start.

SEW WHAT?

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disposal. Maynard started the feministoriented art and design company Working Girls, and now has years of fashion and retail skills under her belt.

She knows from the inside out about what it’s like for start-up brands to build their businesses.

The Sew Valley model works on a membership basis. In return for that membership, designers are provided with tools of the trade, discounted rates with some of the contractors that are vital to the process, and even education on new ways to build their businesses and their brands. In addition to helping out the local talent, Kovacs and Maynard are aiming to bring about a fashion business boom in Cincinnati, so keep an eye out for what happens next.

SHUTTERSTOCK.COM

O N T H E G R O U N D F LO O R of the National Flag Co. building on Freeman Avenue, where flags have been made since 1869, a couple of forward-thinking Cincinnati natives have set up shop for some solid manufacturing initiatives of their own. Overseen by Rosie Kovacs and Shailah Maynard, Sew Valley seeks to offer the area’s up-and-coming fashion makers the tools and the space they need to make things happen.

Kovacs has a degree in fashion design and has run her own furniture company and her own clothing line, where she came up against the harsh realities of being an indie entrepreneur.

This experience influenced her to find a way to aid designers in realizing their vision by putting what they need at their SUMMER 2018 | TRIHEALTH.COM

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THE NEW ZOO REVUE OUTLAW TALES L E A H S T E WA R T is the kind of writer who clearly doesn’t like to be pigeonholed. Over the course of her six books, the Cincinnatibased author has written about some drastically different types of characters, settings and scenarios. A crime reporter in Memphis, a middleaged woman wrestling with her identity amid the demands of family life, a 90-year-old woman living alone on a Tennessee mountaintop—these are just a few of the figures who’ve been at the center of Stewart’s stories.

For her latest novel, What You Don’t Know About Charlie Outlaw, Stewart continues her tradition of treading fresh territory each time out. This time around, the author is telling the tale of a newly minted but troubled Hollywood star who runs off to a remote location to figure things out for himself and winds up being drawn into an even bigger mess.

The book, published by Putnam, has received no shortage of praise.

The New York Times Book Review said, “Stewart is astute on the cruel calculus of Hollywood.” Entertainment Weekly called Charlie Outlaw “a brutally honest look at the inner workings of fame.” Of course, Stewart had already earned plenty of respect before her sixth book was published.

The author, who is also a professor at the University of Cincinnati, received an NEA Literature Fellowship in 2010 and a Sachs Fund Prize in 2014. She’s also written articles for The New York Times and many other publications.

But as always, her most recent work provides a fresh perspective on her literary gift.

T H E C I N C I N N AT I ZO O and Botanical Garden is already a local institution, a place where every member of the family can go and have a good time. But something already great is about to get seriously better. What amount of money would sound impressive for a revitalization of the zoo? Perhaps 30 million? Maybe 40? Try $50,000,000 on for size. That’s the amount that philanthropists Harry and Linda Fath are donating in order to give the zoo a fresh face. But there are even bigger plans than that in the works. In 2025 (just seven years away) the zoo will celebrate its 150th birthday. Between then and now, they’re looking to raise an additional $100 million.

Where will all that money be going? Well, there are plans afoot to make the Indian elephant exhibit five times bigger and to pump up the Rhino Reserve as well. An expansion of Wildlife Canyon, home of kangaroos and Tasmanian penguins, is in the plans. So is a vastly remodeled Entry Village, a new beer garden and a new parking garage that will accommodate 1,800 cars.

But let’s backtrack for a second. Remember that other 100 million? That’s got to come from somewhere. And the epically generous Faths have already given more than their share. So the zoo is hoping the rest will come in small amounts from the regular folks who come to visit everyday. This way, everyone who enjoys the zoo will feel a sense of personal investment in a place that’s already offered the city so much.

A NEW CHAPTER FOR A HISTORIC STUDIO’S STORY B A C K I N 19 4 5 , a sound engineer named E.T. “Bucky” Herzog opened Herzog Studio at 811 Race Street. It was Cincinnati’s first professional recording studio, and due in part to the high level of skill among the local session musicians whose talents were available in town at the time, the studio soon became an in-demand spot for world-class musicians, whether they were playing pop, country or R&B. Hank Williams cut perhaps the most celebrated country song of all time, “I’m So Lonesome I Could Cry,” at Herzog, along with several other tunes at a pair of sessions in ‘48 and ‘49. Over time, a horde of other highly respected artists worked there, including such legends as Rosemary Clooney, Flatt & Scruggs, The Delmore Brothers, Patti Page, Bull Moose Jackson and more.

But for all of Herzog Studio’s renown, it couldn’t last forever, and after a decade in operation it closed in 1955. As fate would have it, though, the Cincinnati Music Heritage Foundation wound up making the same Race Street building its home, and in 2017, with the help of several partners, they reopened the old studio’s space as Herzog Music.

While Herzog Music honors its history by playing host to all manner of memorabilia from its historic past, it’s also focused firmly on the present. It now operates as a music store selling instruments as well as stereo gear and professional music tech items. It’s a record store, too, and offers plenty of vinyl. Students can take music lessons at Herzog, and the spot also serves as a performance space, where the players of today get to tap into a little of that old-school magic.

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{ HEALTH NEWS }

The number of days it takes most vacationers to completely relax and de-stress.

— University of Tampere, Finland

HOPE FOR HAND AND FOOT PAIN

BETTER

MEDICAL IMAGING

TriHealth will be the first health system in Ohio to adopt IBM Watson Imaging Clinical Review. This cuttingedge software analyzes data in electronic medical records to drive accurate, timely and coordinated care decisions. It’s part of a suite of programs that optimizes medical imaging in two ways: by providing data and insight that can help doctors interpret imaging results, and by making it easier for doctors to share scans and X-rays across hospitals and devices, improving continuity of care and making consultations more effective. —TriHealth

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Peripheral neuropathy, a disorder that affects the nerves that send messages from extremities to the brain, causes pain, tingling and numbness. It affects some 20 million people and is usually caused by an underlying condition, such as diabetes. Studies are underway to develop treatments that alleviate symptoms. In one study, participants who received two rounds of lowdose, non-viral gene therapy called VM202 reported more than a 50 percent reduction in symptoms.

— Northwestern University

Haha

There’s a reason you should be laughing more—including at yourself: A new study compared people’s humor styles with selfreported well-being and found that self-deprecating humor was linked to greater happiness. — University of Granada, Spain

THE FOOD/CANCER CONNECTION

Consuming processed foods—think packaged snacks, canned soups and chicken nuggets—was associated with an 11 percent increase in the odds of getting breast cancer, according to a recent study. —The BMJ

SAY THANK YOU:)

Study participants who took part in a five-minute practice of reflecting on what they’re thankful for were shown to have spikes in immunoglobulin A, an antibody responsible for fighting off viruses.

—Journal of Advancement in Medicine

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PREVENTING

PREGNANCY LOSS How Stitches Can Saves Babies

CERVICAL INSUFFICIENCY, A CONDITION THAT CAN CAUSE PREGNANCY LOSS, OFTEN GOES UNRECOGNIZED AND UNTREATED. ONE DOCTOR IS CHANGING THAT, HELPING MORE AFFECTED WOMEN CARRY PREGNANCIES TO TERM. 14

ERICA HOLDEN was in the second trimester of pregnancy with a son when she went into labor and delivered the baby stillborn in April 2017. “My doctors at the time said it was a rare occurrence, that maybe there was an infection in the placenta or amniotic sac,” says Erica, a 29-year-old from Finneytown. “I had never even heard of cervical insufficiency.”

In September 2017, she got pregnant again, and once again lost the child in her second trimester. She was in the ER at TriHealth’s Good Samaritan Hospital when William Schnettler, MD, an OB-GYN and maternal-fetal medicine specialist came to speak with her. “He asked me some questions and pretty quickly said he thought

it was cervical insufficiency,” says Erica.

“He was able to confirm that diagnosis in a matter of minutes with an ultrasound.”

Dr. Schnettler explains that cervical insufficiency happens when a woman’s cervix isn’t able to hold a baby inside the womb as it starts to grow, which often results in preterm labor and loss of the baby around the second trimester. Cervical insufficiency is a condition that a woman can be born with. It can also result from previous medical procedures like cervical biopsies or surgery.

DEVASTATING CONSEQUENCES “Unfortunately, many women with cervical insufficiency aren’t diagnosed until after they’ve lost two or three children,” says

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Dr. Schnettler. “The emotional damage of that is very real. These are expecting mothers who have already told their families, learned the child’s gender, and started thinking about names.”

Dr. Schnettler hopes to change that with a new Pregnancy Loss Prevention Program aimed at both researching ways to diagnose the condition before multiple losses occur and offering a solution—a procedure called cerclage—that can help these women have healthy, full-term babies.

I FEEL SO MUCH BETTER MENTALLY AND EMOTIONALLY KNOWING THAT WE’RE PREPARED IF I GET PREGNANT AGAIN. AND I WILL DEFINITELY HAVE DR. SCHNETTLER CARE FOR MY NEXT PREGNANCY.”

REINFORCING THE CERVIX Cerclage is a relatively simple procedure in which the cervix is reinforced with a band or sutures (stitches) to prevent early loss of a pregnancy. The procedure can be done before or during pregnancy. The most common form of cerclage is performed through the vagina; however, there are also methods for doing the procedure surgically through the wall of the abdomen. As director of TriHealth’s Trans-Abdominal Cerclage program, Dr. Schnettler is one of only a handful of doctors in the country who offer minimally invasive trans-abdominal cerclage using a da Vinci surgical robot.

After she was diagnosed with cervical insufficiency, Erica continued seeing Dr. Schnettler. “He explained that we had three options,” says Erica. “The first was to do nothing and monitor everything really closely if I got pregnant again. The second was trans-vaginal cerclage, which he said is about 90 percent successful. The third option was trans-abdominal cerclage using the robot, which he said has a 99 percent success rate.”

After discussing it with her husband, Jarrel, Erica opted for the robotic surgery. “The procedure was very simple, and I was back to

William Schnettler, MD

OB-GYN and maternal-fetal medicine specialist

— ERICA HOLDEN

work within a few days,” she explains. “Now I feel so much better mentally and emotionally knowing that we’re prepared if I get pregnant again. And I will definitely have Dr. Schnettler care for my next pregnancy.”

EMPHASIS ON AWARENESS Current estimates of how many women experience cervical insufficiency are around 4 percent, and an important goal of Dr. Schnettler’s Pregnancy Loss Prevention Program is finding better ways to screen and identify women who may have the condition before they lose a child. A big part of that early diagnosis is simply awareness, both among women and their doctors, of the risk factors that can lead to cervical insufficiency.

“The early signs haven’t really been fleshed out in medicine, so we’re doing research and looking for diagnostic methods to find it before these tragic losses occur,” explains Dr. Schnettler. “Right now, the best tools I have are really detailed questioning and history taking of all of a patient’s risk factors and what went on in previous pregnancies, combined with a transvaginal

ultrasound to examine the cervix.”

Erica believes every woman should be aware of cervical insufficiency because it’s relatively easy to find and treat if the doctor is looking for it. “Trust your instincts. If you think something is wrong, get a second opinion from a specialist,” she says. “Who wouldn’t get this done to help ensure they have a successful pregnancy?”

RISK FACTORS FOR MIDTERM PREGNANCY LOSS Unfortunately, a history of pregnancy loss is often the first sign of cervical insufficiency. For many women, a weakened or shortened cervix is an inherited condition. In other cases, the cervix has been damaged or weakened by prior medical procedures such as abortion, cervical biopsy or surgery for cancer, cysts or other conditions.

TO WATCH DR. SCHNETTLER TALK ABOUT THE CERCLAGE PROCEDURE WITH WCPO-TV’S ALISON MONTOYA, GO TO DAILYHEALTHWIRE.COM/TRIHEALTH-ON-CALL.

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{ IN GOOD HEALTH }

IT’S IN THE

GENES GENETIC TESTING UNCOVERED ONE FAMILY’S RISK FOR BREAST AND GASTRIC CANCERS. TRIHEALTH’S HEREDITARY CANCER MULTIDISCIPLINARY CLINIC PROVIDED LIFESAVING SURGICAL STRATEGIES.

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TECHNOLOGY AND KNOWLEDGE HAVE ADVANCED SO MUCH THAT WE NOW OFFER MULTI-GENE PANEL TESTING THAT ANALYZES 10 OR MORE BREAST CANCER GENES WITH A SINGLE TEST. WE LEARN MORE ABOUT BREAST CANCER RISK, AS WELL AS MANY OTHER CANCER RISKS.” — COURTNEY RICE, MS GENETIC COUNSELOR

GENETIC TESTING uncovered one family’s risk for breast and gastric cancers. TriHealth’s Hereditary Cancer Multidisciplinary Clinic provided lifesaving surgical strategies.

Though cancer is a deeply personal experience, for people with inherited cancers, it’s also a family affair. This was the case for Linda Wehby, 51, of Mason, Ohio, whose world turned upside down following a routine mammogram last summer. The results showed a small abnormality and a subsequent biopsy tested positive for stage one breast cancer. Though daunting, this initial diagnosis triggered a chain of events that saved Linda’s life—and changed the future for her family.

Linda met with Barbara Wexelman, MD, a breast surgeon with TriHealth Cancer Institute. “I reassured Linda that her cancer was caught early—but her paternal medical history gave me pause,” she says. Breast cancer had impacted a large number of Linda’s relatives, including

David Lee, MD

Surgical Oncologist Gastric Cancer Specialist

Courtney Rice, MS Genetic Counselor

her grandmother, aunt and several great aunts. One cousin died of gastric cancer at age 40.

Remarkably, Linda’s father had undergone previous testing for the two breast cancer genes known to cause increased risk of breast and ovarian cancer at that time, BRCA1 and BRCA2.

“It’s rare for an older man to get tested without a cancer diagnosis,” says Dr. Wexelman, who explained that though Linda’s father’s BRCA1/2 result was negative, she still felt Linda needed additional genetic testing before surgery.

“Linda’s early stage breast cancer coupled with her dad’s negative BRCA testing meant a lumpectomy would be recommended for Linda. If testing brought up another gene abnormality, my surgical approach would change.”

DISCOVERING THE CDH1 GENE Linda was referred to Courtney Rice, MS, one of four licensed genetic counselors at TriHealth Cancer Institute specializing in cancer genetics. “In the 1990s, BRCA1 and BRCA2 were the only genetic tests done for breast cancer,” she explains.

“Technology and knowledge have advanced so much that we now offer multi-gene panel testing that analyzes 10 or more breast cancer genes with a single test. We learn more about breast cancer risk, as well as many other cancer risks.”

At Linda’s genetic counseling appointment, she and Rice completed a

detailed family tree. Rice educated Linda about potential cancer risks and explained the benefits and limits of gene testing.

“Deciding whether or not to have genetic testing is ultimately a personal choice,” says Rice. Linda felt strongly that she wanted to know: “Knowledge is power,” she affirms.

Linda submitted a blood sample as part of a gene panel test for 42 genes.

Test results revealed a CDH1 gene mutation. “Courtney was brutally honest and told me I had an increased lifetime risk of developing lobular breast cancer and hereditary diffuse gastric cancer (HDGC),” says Linda. Diffuse gastric cancer is a particularly aggressive and rare form of stomach cancer. Patients who inherit the genetic mutation for HDGC are at high risk for developing gastric cancer at a young age. Cancer cells spread in the lining of the stomach, making it hard to detect them by upper endoscopy. Lifetime risk of developing gastric cancer can be as high as 80 percent for CDH1 carriers.

SURGICAL RECOMMENDATIONS For Dr. Wexelman, Linda’s status as a CDH1 carrier was a surgical game changer. Female carriers have an estimated 60 percent lifetime chance of developing lobular breast cancer.

“Because of Linda’s predisposition, she was at increased risk for developing cancer again,” says Dr. Wexelman. She altered her original surgical plan and CINCINNATI HEALTH & LIFE | SUMMER 2018

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FROM THE MOMENT MY FAMILY LEARNED ABOUT OUR CDH1 RISKS, THE CLINIC HAS TAKEN CARE OF EVERY DETAIL.” — PATIENT LINDA WEHBY (CENTER), SEEN HERE WITH DAVID LEE, MD, SURGICAL ONCOLOGIST, AND COURTNEY RICE, MS, GENETIC COUNSELOR

scheduled Linda for a bilateral (double) mastectomy and reconstructive surgery.

Prior to breast surgery, Linda met with David Lee, MD, a surgical oncologist and specialist in gastric cancer with the TriHealth Cancer Institute. Dr. Lee suggested a drastic and life-altering surgical procedure.

“National Comprehensive Cancer Network guidelines recommend a prophylactic gastrectomy (removal of the entire stomach) for people with CDH1 mutations,” he says of the only proven way to prevent and cure gastric cancer. Dr. Lee also recommended that Linda’s children— ages 23, 26 and 29—have the procedure before the age of 30 if they tested positive for CDH1.

According to Rice, the inheritance of the CDH1 mutation is autosomal dominant, meaning it affects both men and women. There was a 50/50 chance Linda’s two sons and daughter might inherit the gene. “Five years ago, this mutation would not have been identified,” she says.

TELLING THE FAMILY Linda’s role switched from patient to educator as she gathered her family together to discuss CDH1 and genetic counseling. A smaller group then met with Rice for detailed information. Some of Linda’s extended family and all of her immediate family decided to pursue genetic testing. “My father, my brother, 18

TO LEARN MORE ABOUT LINDA WEHBY’S JOURNEY, GO TO DAILYHEALTHWIRE.COM/HEALTH-TALK AND LISTEN TO A PODCAST FEATURING LINDA, DR. LEE AND COURTNEY RICE.

Kevin, and my three children tested positive for CDH1,” reveals Linda. One of her brothers received a negative result.

“It’s not always possible to predict what emotions will arise after a positive test result,” says Rice. Genetic counselors are specially trained to help patients anticipate emotions before testing and then navigate different emotions afterward. “Sometimes there’s guilt or shame when a parent or grandparent discovers that a gene they passed down may cause a cancer risk to their children or grandchildren. As genetic counselors, we are sensitive to emotions.

We can connect families to support groups for hereditary cancer families or with behavioral counseling specialists on our team.”

What Linda’s family experienced is not rare. “Last year, the TriHealth Cancer Institute found 186 individuals with a genetic predisposition to certain cancers.

When there is a strong family history of cancer, or a positive genetic test result, we encourage families to share the information with each other and with their health-care providers. Communication and accurate information is the most important step in helping families get appropriate screening and ideally prevent cancer or catch it early,” says Rice. She points out that popular web-based direct-to-consumer DNA sites do not

accurately predict cancer risk. “They are not comprehensive enough.”

Linda’s family members who received positive CDH1 test results were offered appointments at TriHealth Cancer Institute’s Hereditary Cancer Multidisciplinary Clinic. The only clinic providing this type of care in the greater Cincinnati area, the clinic provides a structured follow-up process, including regular testing and physician visits for patients at high risk for cancer. The Clinic’s multidisciplinary team includes genetic counselors, Dr. Wexelman and Dr. Lee, along with specialists from medical oncology, gynecologic oncology, gastroenterology, research, nutrition and behavioral health.

HEREDITARY CANCER MULTIDISCIPLINARY CLINIC Dr. Wexelman describes the Clinic as a “one-stop destination” for people predisposed to cancer. Specialists convene to discuss a case together and then meet individually with each patient.

“From the moment my family learned about our CDH1 risks, the Clinic has taken care of every detail,” says Linda, who attended with her daughter. “They scheduled all of our appointments. We showed up and specialists came to us, one at a time. It was convenient and so informative.”

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Linda chose to follow her team’s advice and have surgery to reduce cancer risk. Despite a positive CDH1 result, her father opted not to undergo stomach surgery.

LIFE-SAVING SURGERIES In September 2017, at TriHealth’s Good Samaritan Hospital, Dr. Wexelman performed a bilateral mastectomy on Linda, removing both breasts. She had immediate breast reconstruction with DIEP flaps by plastic and reconstructive microsurgeon Bianca Chin, MD. This procedure reconstructs the breasts using the skin and fat from the abdomen and preserves the abdominal musculature. Linda did not require chemotherapy or radiation and won’t need regular mammograms. “We anticipate the treatment was curative,” says Dr. Wexelman.

Linda’s brother, Kevin, had a total gastrectomy at Bethesda North Hospital in February 2018, and Linda had the procedure one month later. Dr. Lee and his surgical partner, Erik Dunki-Jacobs, MD, removed the siblings’ stomachs in a minimally invasive fashion through the use of robotic-assisted surgical technology. “We removed the entire stomach through a small incision. We brought up a piece of the small intestine

and created a new connection to the esophagus,” explains Dr. Lee. Linda and Kevin have settled into a new normal as they relearn eating and dietary habits. “I now eat six to eight small meals a day,” says Linda. She watches her dairy and sugar intake to avoid “dumping syndrome,” which brings a host of digestive symptoms. While Linda has adjusted well, Kevin has had several hospitalizations for chronic hiccups and drastic weight loss.

“It took a while, but his doctors have finally found the perfect cocktail of medications and nutrition,” says Linda.

Dr. Lee noted that Linda’s pre-surgical tests showed no signs of gastric cancer.

Pathology results following surgery, however, revealed early stages of the disease. If Linda’s mutation had not been discovered, the cancer may have grown and potentially spread. Genetic testing and surgery saved her life.

THE NEXT GENERATION Linda considers herself lucky. She has a positive attitude and a strong faith.

“Finding out my kids carry this cancer gene has been the hardest part,” she says of her challenging year. As her children move forward, making difficult decisions about their bodies and their future families, Linda is heartened to know they are not alone. TriHealth is by their side.

WHO SHOULD CONSIDER CANCER GENETIC TESTING? Testing is recommended only after discussion of the benefits, risks, limits and potential outcomes of genetic testing. A family meeting any of the criteria below may consider genetic counseling: •C ancer that occurs at an early age (50 or younger) • Two or more close relatives who have the same type of cancer or related cancers •C ancer that occurred in more than one generation •O ne family member has two or more cancers • A rare cancer or tumor, such as sarcoma or male breast cancer •C ancer that develops in both breasts, both ovaries, both kidneys, etc.

• Any person concerned about developing cancer because of their family history

FOR MORE INFORMATION, CALL 513-853-1300 AND ASK FOR A CANCER GENETIC COUNSELING APPOINTMENT. CINCINNATI HEALTH & LIFE | SUMMER 2018

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SMART!

PARTY

WITH THESE PRACTICAL TIPS, MAKE ’18 THE YEAR OF YOUR BEST-EVER BACKYARD BASH.

BY ALENA WOODS WHETHER YOU’RE planning a Labor Day bash, a college send-off or a casual weekend barbecue, you’ve got to face it: Successful outdoor parties don’t just happen; they take planning. With that in mind, we gathered summertime hosting advice that’s sure to delight guests—and help ensure that the festivities run smoothly so you can enjoy yourself too. In Chinese folklore, the number 18 is considered lucky because its pronunciation resembles that of the word meaning “definitely get rich.” We can’t promise that our smart-party counsel will bring you a pot of gold. But will these 18 tips help your hospitality prosper? Definitely!

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2

Save face.

Ladies, don’t make makeup a hassle. Before putting on concealer, moisturize your skin and use a face and eye primer.

And finish your look with setting spray to keep makeup in place.

A good setting spray is oil-free and has temperature control, so even if you’re hot and start sweating, your makeup won’t be going anywhere. For daytime parties, be sure to have sunscreen available for guests.

3

1DRESS

FOR COMFORT. Guys typically have an easy time choosing what to wear for an outdoor party, but women may be in danger of overthinking. Bring on the sundresses!

Your perfect garden party dress should be made of a light, breezy material, so that you look classy yet comfortable. Steer clear of denim, which tends to stick to you in the heat. And if you’re playing hostess, a cute pair of slip-on sneakers lets you run around while staying stylish.

Think of a theme.

Just enjoying guests’ company is fine, but the occasion can be more special if you give it a motif. 1980s attire? Stars and stripes? Think of something fun yet practical, perhaps an idea that you can incorporate into every facet of the event. Luaus are a good go-to theme for summer and early fall parties. You can easily turn your backyard into an oasis with artificial floral leis and tiki torches. Menus and attire can reflect the theme, too.

4

Make sure flowers fit the mood.

If your event is a traditional one—a garden party or an afternoon tea, for instance— tropical flowers may not feel right. In that case, consider using daisies, pom poms and chrysanthemums. Many people shy away from carnations.

But when clustered together, they look modern—almost

like peonies—and are a less expensive and heat-resistant option.

5

Start side dishes early.

The best barbecue and picnic side dishes are those you can make ahead of time, especially those that are even better for having been made in advance. Grain salads made the day before achieve a better flavor profile—the ingredients have time to mingle. Salads made with wheatberry and farro tend to hold up well, as do veggie salads made with corn and beans instead of greens.

6

Keep things cool.

If you keep dishes like pasta and potato salads cold as long as possible, they’ll stay appetizing longer—and be more refreshing. Fill a bowl that is larger than your salad container halfway with ice, then put your salad bowl on top and keep it in the shade.

7

Brief the guests.

It’s a drag to show up for an event unprepared or overdressed, so spare your partygoers that feeling. When hosting something outdoors like a pool party, you need to let guests know more than for an indoor event. On your invitations, include whether you’ll be outside, around the pool or on the grass, so they know what clothes and shoes to wear.

8BE A

SMART COOKIE ABOUT DESSERT.

Pre-order a platter of themed cookies to lay out for dessert— they’re an interesting talking point and a treat to eat! For your high school graduate’s send-off party, for example, why not custom order cookies with the logo of his or her college? You can find cookies that celebrate everything from favorite sports to animals to flowers. Cookies pre-wrapped in cellophane make for mess-free party favors as well!

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9 PICK

POWERFUL PETALS.

Everyone loves a colorful floral centerpiece, but no cut flowers will survive in heat for too long. Create floral arrangements of heat-resistant flowers such as tropicals and hardy succulents. Protea, cymbidium orchids, birds of paradise and anthurium are all great varieties to use. They’re wonderful if your party revolves around a bright color palette. Try keeping them in a cool location for as long as possible before guests arrive.

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10 LIGHT THE WAY.

Because parties can continue when the sun goes down, your outdoor space needs ample and safe lighting. A portable fire pit provides light and warmth, making it perfect for late-summer evenings—and for making s’mores. Another option is string lights, which are easy to hang on a pop-up tent or entrance arbor. You also can place batteryoperated candles inside metal lanterns and use them as centerpieces for your tables.

These are safer than wax candles and help you to avoid a drippy mess.

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Think natural.

Insect repellent containing DEET is fine for your next jungle hike, but for an outdoor bash—near the food—you may wish to consider natural alternatives.

Lemon verbena is an excellent substitute for chemical-laden bug spray, and it can be purchased at garden centers. Have your guests rub a few of the leaves on their skin instead of using spray.

12

Let your guests do DJ duty.

Want to add some vintage charm to your party? Pick up a stack of inexpensive vinyls from a local record store and set them up—along with a portable record player—for everyone to browse through and enjoy.

13

Book rentals in advance.

When it comes to renting tables and tents, beat the summer rush and book as far in advance as possible. Reserve your rentals at least a month in advance. Most rental places will be 100 percent booked some weeks out in the summer.

14

Please with a freeze.

Who doesn’t love a slushy? If you’re planning a party, reunion or cookout where both adults and kids will be in attendance, you can’t go wrong with a frozen drink machine. Frozen drinks are a favorite because they can be made with or without alcohol based on your guest list, then enjoyed by all. You can choose from flavors galore, including such tempting tastes as piña colada, strawberry daiquiri and kid-favorite blue raspberry. A frozen treat is refreshing, and there’s no need to worry about melting frosting or chocolate-chip cookies gone gooey in the heat.

15

Be imaginative with photos.

Take lighting into consideration when photographing your big event outdoors. Try attaching a lens flare to your DSLR camera and using the bright sun to your advantage. To be in on the memories yourself, bring a tripod and use a wireless remote, your phone (if your camera is Wi-Fi ready) or the camera’s delay setting to take the shot. If you’ll be shooting photos near a pool, lake or at the beach, a polarizer can cut down on water reflection. It can also make white, puffy clouds stand out and increase color saturation.

16

Prepare to be surprised.

Hosts and hostesses aren’t the only ones who can be creative—guests can too! If the shoe’s on the other foot and you’re invited to a summer bash, bring a thoughtful hostess gift—something a little more fun than the traditional dessert or bottle of wine. Herbs you’ve dried yourself and placed into a pretty, air-tight container or live herbs in a perky pot make welcomed gifts. A cute set of serving spoons is another nice idea. You can never have too many, especially when you’re throwing a party!

17 CHOOSE COCKTAILS THAT HYDRATE.

Alcohol can cause dehydration, but that doesn’t mean you and your guests can’t enjoy a drink on a summer day. If you decide to serve alcoholic beverages at your outdoor soirée, opt for a cocktail that’s tasty and hydrating (water and juices from fruits and vegetables will do the trick). Try a batch of Basil-Cucumber Vodka Rickey. It’s made with 1.5 liters of vodka, the purée of one cucumber, two cups of fresh lime juice, two liters of club soda and one cup of basil simple syrup. Combine ingredients in a large drink dispenser with ice, mix and leave out on the table for guests to enjoy.

18 PLAY THAT

FUNKY MUSIC.

Save your personal playlists for the gym or commute and put together a string of classic tracks that your guests can sing and dance to.

(Hint: The oldies are “goodies” for a reason!)

Put together a list of popular favorites that will be familiar to your guests. You know your friends and family best, so put in the time to curate a soundtrack for your party in advance.

It will pay off in spades by setting the mood you want to create and putting people in a festive frame of mind.

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{ IN GOOD HEALTH }

STROKE:

ADVANCING CARE

WHEN A STROKE happens, which it does about every 40 seconds in the U.S., time is critical in the race to minimize brain-tissue damage, which can lead to permanent disability or even death. The sooner a stroke victim reaches emergency medical care, the more likely it is that doctors can improve the outcome.

In acute ischemic stroke—by far the most common type, accounting for about 80 percent of all strokes—a vessel that supplies blood to the brain is blocked by a clot.

Many patients who seek care soon enough can be given clot-dissolving medication called alteplase.

REMOVING CLOTS IN THE BRAIN For some patients who have a blockage in one of the large arteries feeding the brain, there is another highly effective option: removing the clot physically. Two TriHealth facilities, Bethesda North Hospital and Good Samaritan Hospital, have the expert teams and specialized imaging and clot-retrieval devices needed to perform this procedure, called mechanical thrombectomy.

Andrew Ringer, MD, Chief of Neurosciences with the TriHealth Neuroscience Institute and a neurosurgeon with Mayfield Brain & Spine, explains: “We can go into an artery in the groin and use X-ray guidance to steer a small device—either one that works like a fishing net or one that works like a vacuum cleaner—up to the blocked artery, then use the device to grab that blood clot and pull it out of the artery, restoring blood flow.”

The window of opportunity to treat patients with mechanical thrombectomy recently became significantly larger. New guidelines from the American Heart Association/American

IN THE

NEWS

26

Stroke Association show that, in some patients, clots causing large-vessel strokes can be safely removed 16 to 24 hours after the event.

MORE PATIENTS ELIGIBLE “This is a dramatic change in the way we consider patients as candidates for emergency care,” says Dr. Ringer. “It wasn’t that long ago that we thought that after three hours we couldn’t do mechanical thrombectomy. That went up to four and a half hours, then up to six hours. And now, all of a sudden, it’s up to 24 hours. This is a big change in the way we approach it.”

The expanded window of treatment opportunity applies to a relatively small group of stroke patients, explains Dr. Ringer. They either woke up with stroke symptoms or for some other reason don’t know when their stroke began. In addition, their stroke must have been of a certain type, diagnosed with specialized MRI or perfusion CT scans. These are done to ensure that a certain amount of the brain tissue fed by the blocked artery is not yet dead and that the patient can recover once the clot is out and the stroke is minimized.

“Many people don’t meet the criteria for treatment because their stroke is too large,” says Dr. Ringer. “In that situation, there’s a risk we could make things worse, and the chance that we could make things better is very low.”

Based on the new guidelines, Dr. Ringer has already treated patients who woke up with stroke symptoms and would not previously have been considered eligible for clot removal.

However, he stresses that even though doctors may now have more time to treat some patients, any stroke is an emergency and patients should be brought to the nearest hospital as soon as possible.

THE RIGHT CARE, RIGHT NOW To improve outcomes for stroke patients, the TriHealth emergency departments (EDs) listed below have earned certification from The Joint Commission, a nonprofit organization that accredits health-care organizations and programs. Acute Stroke Ready EDs use a standardized method of delivering care, have an acute stroke team, have a neurologist available at all times and meet other requirements.

Stroke patients needing highly specialized treatment can be stabilized at the closest ED and transferred to an Advanced Primary Stroke Center, where procedures including robotic-assisted and manual mechanical thrombectomy can be performed to remove blood clots from the brain.

Acute Stroke Ready EDs: • Bethesda Arrow Springs • Bethesda Butler Hospital • Good Samaritan Western Ridge Advanced Primary Stroke Centers: • Bethesda North Hospital • Good Samaritan Hospital

Hear how Andrew Ringer, MD, of TriHealth Neuroscience Institute and Mayfield Brain & Spine, used a state-of-the-art procedure to safely remove the blood clot causing a stroke in one woman—who just happened to be his wife’s aunt. https://bit.ly/2jZ3EKM

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NEW NATIONAL GUIDELINES INCREASE DOCTORS’ OPTIONS FOR TREATING SOME STROKE PATIENTS, REDUCING THEIR RISK OF DISABILITY OR DEATH.

USING ROBOTICS TO TREAT STROKE TriHealth neurosurgeon Andrew Ringer, MD, has helped to pioneer the use of roboticassisted technology to benefit stroke patients. Read more here: TriHealth.com/stroke

HOW TO RECOGNIZE A STROKE At TriHealth, we educate people about stroke signs and symptoms based on guidelines provided by the American Stroke Association, which uses the acronym “BEFAST.” BEFAST stands for:

B BALANCE

Watch for a sudden loss of balance.

E EYES

Is there a sudden loss of vision in one or both eyes?

Or double vision?

F FACE

Ask the person to smile and check to see if one side of the face droops.

A ARM

Ask the person to raise both arms and see if one arm drifts downward.

S SPEECH

Ask the person to repeat a simple sentence, and check to see if words are slurred or the sentence is repeated incorrectly.

T TIME

If a person shows any of these symptoms, it is important to immediately call 911 and get to the hospital as quickly as possible.

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HEALTHY BREAKFASTS WHETHER YOU’RE JUST CURIOUS ABOUT VEGAN CUISINE OR ALREADY A FAN, THESE RECIPIES FROM LONDON’S FAMED FARMACY KITCHEN RESTAURANT ARE SURE TO WAKE YOUR TASTE BUDS UP WITH A SMILE. GOOD FOR THE EARTH AND GOOD FOR YOU.

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{ TASTES }

FLUFFY GLUTEN-FREE PANCAKES YIELDS: 5 SERVINGS

INGREDIENTS

DIRECTIONS

cup gluten-free oat flour ½ n ¾ cup buckwheat flour n 1 cup homemade apple sauce (see page 33) n ½ cup dairy-free milk n 2 Tbs. maple syrup n 1 tsp. baking powder n 1 tsp. baking soda n 2 tsp. lemon juice n 1 tsp. vanilla extract

Place all the ingredients in a blender and purée until smooth. Heat a nonstick skillet over medium-high heat and, when hot, pour 2 ⁄ 3 cup of pancake batter into the center of the pan. Spread it into a circle with the back of a spoon, keeping it reasonably thick. Cook for 2 to 3 minutes.

n

FINISHING TOUCHES sliced bananas n fresh berries n jam n coconut yogurt n m aple syrup n

Slide a spatula underneath the pancake, flip it over and cook for another 2 to 3 minutes before removing it from the pan. Put the pancake on a warm plate and cover with a dish cloth. Repeat until you have used up all the batter.

Serve with banana slices, berries, jam, coconut yogurt and a drizzle of maple syrup.

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{ TASTES }

PROBIOTIC CHIA & SPIRULINA JAR YIELDS: 4 SERVINGS

INGREDIENTS

DIRECTIONS

FOR THE CHIA PUDDING n 2 cups nut or seed milk n 1 Tbs. honey or other sweetener (optional) n ½ tsp. vanilla extract n 1 ⁄ 3 cup chia seeds

To make the chia pudding, blend the nut or seed milk with the honey (if using) and vanilla extract in a mixing bowl. Stir in the chia seeds until well combined. Soak until the seeds have absorbed all the liquid and become gelatinous.

This mixture will keep for 3 days in a sealed container in the refrigerator.

FOR THE PROBIOTIC SPIRULINA YOGURT n 2 cups cashew yogurt n ¼ tsp. vanilla powder n 1 Tbs. honey or other sweetener (optional) n ½ tsp. spirulina powder n pinch of salt FINISHING TOUCHES 1 cup strawberries, sliced n 2 Tbs. bee pollen (optional) n ¼ cup coconut chips n ¼ cup sliced almonds n

To make the yogurt, blend all the ingredients together in a high-speed blender until well combined.

To assemble, put a layer of strawberry slices around the edge of the bottom of a parfait jar and add some yogurt. Spoon a layer of chia pudding on top of this. Finish with more strawberry slices, the bee pollen (if using), coconut chips and sliced almonds.

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{ TASTES }

SPROUTED QUINOA GRANOLA WITH HOMEMADE APPLE SAUCE YIELDS: 12 SERVINGS

INGREDIENTS

DIRECTIONS

FOR THE GRANOLA n 1 cup homemade apple sauce (see below) n ¼ cup maple syrup n 3 Tbs. tahini n 1 tsp. vanilla extract n 12 oz. sprouted quinoa n ½ cup sunflower seeds n ½ cup pumpkin seeds n 2 tsp. ground cinnamon n pinch of salt n ¼ cup raisins n ¼ cup goji berries

TO MAKE THE GRANOLA: Preheat the oven to 300°F. In a small bowl, mix together the apple sauce, maple syrup, tahini and vanilla until you have a thick paste.

FOR THE APPLE SAUCE 10 medium apples, peeled, cored and sliced n 1 cup water n pinch of ground cinnamon n sweetener of choice (optional) n squeeze of lemon juice (optional)

Allow the granola to cool, then stir in the raisins and goji berries. Store in an airtight container.

n

Note: most apple varieties will work in this sauce, but a sweet variety will eliminate the need to add sweetener.

In a large mixing bowl, combine the quinoa, sunflower and pumpkin seeds, cinnamon and salt. Pour the apple sauce mixture over the quinoa and seeds and stir to combine. Spread the granola evenly over a baking pan lined with nonstick parchment paper and bake in the oven for 20 minutes. Remove the pan, stir the granola minimally to ensure you keep nice big clumps and bake for another 20 minutes, until toasted.

TO MAKE THE APPLE SAUCE: Put the apple slices in a large saucepan, add the water and cover. Bring to a boil over medium-high heat, then reduce the heat and simmer, stirring occasionally, until the apples break down into a thick sauce. This will take about 20 minutes.

Pour the cooked apple into a blender and whizz until smooth. Taste and add any of the optional ingredients to taste. Store in a refrigerator for 1 week, or freeze.

All recipes and photos reprinted with permission from Farmacy Kitchen Cookbook by Camilla Fayed.

Photos by Nick Hopper. © 2018 Aster.

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{ IN GOOD HEALTH }

LOOK

And FEEL Your BEST

A NEW TRIHEALTH CENTER HELPS PATIENTS RECOVER FROM CANCER, COMBAT SIGNS OF AGING AND UTILIZE A FULL RANGE OF THERAPIES TO REACH THEIR PERSONAL GOALS FOR APPEARANCE AND WELL-BEING. AT THE TRIHEALTH Cosmetic Surgery & Rejuvenation Center, medical, wellness and aesthetic experts collaborate to meet an individual’s personal goals, whether related to recovering from an illness or regaining a more youthful, healthy appearance. The center was created to help patients after health events that can leave unwanted visible reminders, such as bariatric or cancer surgery, and to support those who want to reduce the signs of sun damage and aging, remove or reduce scarring or take advantage of other treatments and services designed to help them look their best. “If you look great, you feel great,” says Kristine Wilson, practice administrator of cosmetic services at the Center. “We wanted to create a single destination to provide a wide range of services that can help people look and feel their best.”

Kevin Shumrick, MD, the Center’s medical director, is board-certified in otolaryngology (treatment of diseases of the ear, nose and throat) as well as plastic and reconstructive surgery. “The most rewarding aspect of taking care of patients at the TriHealth’s Cosmetic Surgery Center is the opportunity & Rejuvenation Center is to address issues that located in the TriHealth Fitness improve the way patients & Health Pavilion at look to the outside world 6200 Pfeiffer Road, Suite 350, and, at the same time, in Cincinnati. For an improve how they feel appointment, call about themselves,” says 513-246-5454.

Dr. Shumrick.

RECEIVE A CONSULTATION

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Kristine Wilson, MBA, BSHM, CMPE, CSS, practice administrator at TriHealth Cosmetic Surgery & Rejuvenation Center, loves helping patients look and feel their best.

Many patients treated at the Center have had some form of facial skin cancer or facial trauma, dramatic weight loss or breast cancer. “It’s hard to overstate the psychologic impact of alteration of the facial appearance,” says Dr. Shumrick. “Many of these patients continue to feel ‘deformed’ despite very reasonable reconstruction.

Working with them at the Center not only improves their external appearance but helps restore their inner confidence as well.”

Dr. Shumrick remembers a recent example of how integrating medical and cosmetic services helps patients. A woman who lost a significant portion of her nose to skin cancer wasn’t comfortable with her appearance, though her nose was reconstructed so that she looked very close to her pre-cancer appearance.

“She didn’t like that some blood vessels around the reconstructed site were visible,” says Dr. Shumrick. “At the Center, we were able to treat those blood vessels with our lasers and completely eliminate them.

The patient now sees her appearance as ‘normal’ and is ready to get back into her routine social interactions. That’s a rewarding feeling.”

A RANGE OF SOLUTIONS The Center works with physicians at TriHealth’s Bethesda North Hospital to provide reconstructive surgery for cancer survivors. It also offers services at its Pavilion Spa designed for cancer patients, including oncology facials, massage,

Kevin Shumrick, MD, Medical Director at TriHealth Cosmetic Surgery & Rejuvenation Center, is board-certified in otolaryngology and plastic and reconstructive surgery.

acupuncture, permanent makeup, and all-natural, organic skin-care products that promote health for skin suffering the harsh effects of chemotherapy and radiation.

A complete range of cosmetic services is also available, including facials, Botox and other injectables, brow lifts, cheek implants, chemical peels, face-lifts, fat grafting, facial and body liposuction, rhinoplasty, tummy tucks, breast augmentations and reductions, laser hair removal and more. In addition, the Center provides alternative and complementary treatments for migraines and headaches, allergies, arthritis, joint pain, fibromyalgia, insomnia and alcohol and drug addiction.

MEDICAL & HOLISTIC TREATMENT The blending of medical and holistic treatment is a distinct hallmark for the Center.

“We try very hard to provide something unique and highly beneficial to patients in that every discipline works collaboratively together to achieve the best possible outcome for each patient,” explains Wilson.

The Center’s decision to offer services like acupuncture and spa treatments allows patients to get all the care they’re seeking in one location and to feel comfortable that the services are backed by medical expertise. “The integration of all these services speaks to our patientcentered model,” says Wilson. “The physicians we partner with are experts in a range of specialties, from plastic surgery

AVAILABLE SERVICES TriHealth Cosmetic Surgery & Rejuvenation Center offers a broad range of services, including: • Cosmetic & Plastic Surgery • Injectables • Laser Treatments • Spa Services • Integrative Health & Medicine

to dermatology to family medicine. Working together, we can view people’s needs from all different perspectives as we treat them.

It’s about asking, ‘How can we pool our resources to get our patients their best result in one central place?’”

INDIVIDUALIZED CARE The Center creates an individualized treatment plan to help each patient reach his or her goals. Ultimately, the Center helps individuals become the best version of themselves. Wilson sums up her perspective: “We help educate people about their options and then get to be around to see how truly happy they are with the results they see from the Center. It feels good to see people excited, with a new lease on life.”

FOR MORE INFORMATION ABOUT SERVICES PROVIDED, VISIT THCOSMETICCENTER.COM. CINCINNATI HEALTH & LIFE | SUMMER 2018

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AIMING FOR

NAPA

THE AREA’S WINES ARE WORLD-CLASS—AND SO, AS SAVVY TRAVELERS ARE DISCOVERING, IS ITS NEWEST BOUTIQUE HOTEL, THE ARCHER. BY RITA GUARNA

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{ ESCAPES }

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{ ESCAPES } DID YOU EVER THINK doing good could be as easy as drinking a glass of wine?

The wildfires that spread with unprecedented speed through northern California wine country this past fall are now the stuff of legend: They forced some 100,000 people to evacuate their homes and burned nearly 250,000 acres; 44 people lost their lives, and more than 7,000 buildings were destroyed.

While most of the area’s vineyards survived unscathed, nearly two dozen were damaged or destroyed. The region’s ability to bounce back depends in part on tourists, and the message is clear: Napa Valley is open for business and not shy about letting folks know that it’s counting on the roughly 4 million thirsty visitors who travel there each year.

From Highway 29, the main artery that runs through the valley’s heart, the world seems to consist of just one thing: row upon perfectly symmetrical row of waist-high grapevines. Indeed, there’s hardly a red or white wine that hasn’t been cultivated in Napa since grapes were first grown here in 1838. Though it’s the area's celebrated cabernet sauvignons that lure most imbibers here, visitors can sample about seven varietals at Napa County's roughly 500 wineries. One of the region’s great moments came in 1976, when two of its wines—a cabernet sauvignon and a chardonnay— beat their French counterparts in a blind, side-by-side tasting, stunning the world. The competition came to be known as the Judgment of Paris, and it forever changed wine lovers’ perceptions of Napa, solidifying its reputation as a producer of some of the world’s best wines.

First, get oriented by hopping aboard the Napa Valley Wine Train. Yes, it’s touristy, but this three-hour ride gives you glimpses of town centers and wineries in Napa, Yountville, Oakville, Rutherford and St. Helena through oversized windows. Naturally, the 140-seat train, which departs from downtown Napa, makes stops at various wineries. Or take off for a bird’s-eye tour of the area: A Balloons Above the Valley flight promises sunrise views with coffee and pastries followed by a champagne brunch.

There are many wonderful places to stay, but kudos to the Archer Hotel, a luxury boutique hostelry located in Napa’s downtown on First Street, for opening in November so soon after the devastation in the area.

If hotels run a gamut from palaces to cozy hideaways, put this brand-new, five-story gem somewhere between, in happy medium territory. Savor the impeccable modern design along with an experience that is expertly curated.

There are 183 luxurious rooms including 40 balcony-blessed suites, some with cozy gas fireplaces.

Rooms feature beds outfitted with down duvets and pillows (hypoallergenic ones available) and laptop-size safes You’ll enjoy Frette bathrobes, Malin+Goetz bath amenities, complimentary Nespresso, Wi-Fi and (when in Rome, you know) a wine refrigerator with temperature control. A rooftop spa created by the famed Francis & Alexander design team promises to pamper you with a seletion of massages and facials offered in a tranquil setting. Also on the rooftop: the

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Previous page: A balloon flight will give you a bird’s-eye view of the beauty.

Left: The Archer’s suites feature down duvets and pillows, along with luxurious amenities. The Charlie Palmer Steak eatery offers artisan American beef and locally sourced ingredients. Relax in the sun or in umbrella-provided shade on the Archer Hotel’s rooftop. Charlie Palmer’s Doughnut Wheel is the perfect ending to any meal.

This page: Northern California wineries run the gamut from old and storied to upstart. A little advance research can help you create your list of must-visits.

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This page: Sunset over vineyards in St. Helena.

Opposite page: A little advance research will help you choose wineries that best match your preferences and interests. The Napa Valley Wine Train offers a three-hour ride with stops at several wineries. Make the most of your visit by checking winery websites for special offerings, like vineyard tours, wine-and-food pairings and barrel tastings.

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{ ESCAPES } full-service Sky & Vine Rooftop Bar, as well as comfy lounge seating, stone fire pits, potted olive trees and views of the city and the valley beyond.

That brings us to Charlie Palmer Steak, an eatery captained by executive chef Jeffery (yes, it’s spelled that way) Russell, a Culinary Institute of America grad who once worked at Manhattan’s Michelin-starred Aureole and more recently delighted discerning diners in D.C. and Denver.

Locally sourced ingredients and artisanal American beef claim the spotlight here, though world-renowned Wagyu is also an option. Try the Bone-On Tomahawk for Two or the 18-ounce ribeye. There are non-beef alternatives, too, such as the Snake River Farms Pork Chop, the Pan-Roasted Black Cod or the Sweet Pea Ravioli.

Don’t dally overtime at the Archer, however—there’s too much exploring to do. Downtown Napa, on the banks of the Napa River, is filled with shops, bars, restaurants and—yes, several wine bars and tasting rooms. Start by taking a stroll and admiring the art courtesy of the Arts Council Napa Valley; every year, it curates a new set of sculptures from top artists as part of its Napa ARTwalk program. Also downtown is the historic Napa Valley Opera House, a nonprofit performing arts center that provides entertainment in an intimate setting. Jazz lovers shouldn't miss its first-floor live music club and restaurant, Blue Note Napa.

Another landmark, but of a far different variety, is the Oxbow Public Market. Open daily from 9 a.m. to 7 p.m., it sells everything from fresh fish and produce to kitchen gadgets and ceramic gift items. Beside getting your fill of good eats, you can listen to live music, watch a cooking demo and—yes again, enjoy wine tastings. The market has beer lovers covered, too: They'll enjoy a tasting of their own at Fieldwork Brewing Company, an outpost of the Berkeley, California-based craft brewery.

Back to wineries: With about 500 to choose from in Napa County alone, it’s wise to do a little advance research (at napavalley.com/wineries, for example) to see which locations best match your interests. One suggestion to start: the Beringer estate. Founded in 1876 by German expat Jacob Beringer, it’s the oldest continuously operating winery in Napa. In addition to tasting wines, you can poke around the Rhine House, a Victorian manse built by Jacob’s brother Frederick. Check out the stunning stained-glass windows, which in 1884 cost a then-whopping $6,000 to install.

Though planning a few must-visit wineries is a good idea, don't hesitate to stop along the way if an intriguing option crosses your path. The smaller family wineries you may not have heard of often provide the most enjoyable tasting experience, with friendly, knowledgeable hosts only too happy to answer your questions and share their wines with you.

“Voting with a visit” for the future of Napa is surely one of the tastiest, most warming ways you’ll ever do a publicspirited deed. Despite the devastating wildfires of 2017, the wise betting says it won’t be long before northern California wine country is better than ever. We can all raise our glasses and drink to that.

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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 STEAKERY Serving quality Philly steaks for more than 25 years, Liberty Center, 7100 Foundry Row, Liberty Township, 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 THE GOLDEN LAMB Comfort food that may just be worth the half-hour trek to Lebanon, 27 S. Broadway, 513.932.5065 HOLY GRAIL TAVERN & GRILLE Lively sports bar with casual fare and drink menu, 161 Joe Nuxhall Way, 513.621.2222 INCLINE PUBLIC HOUSE Upscale pub food including NYC-style pizzas served against a stunning view of the city, 2601 W. 8th St., 513.251.3000

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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 contemporary American, Italian and German flavors, 812 Race St., 513.721.2260

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

RED ROOST TAVERN Contemporary American fare with organic, farmto-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 METROPOLE Contemporary dishes cooked in a wood-burning fireplace, 609 Walnut St., 513.578.6660 MITCHELL’S FISH MARKET Specializing in off-the-boat-fresh fish, 9456 Water Front Dr., West Chester, 513.779.5292 NORTHSTAR CAFE Hearty, healthy American fare with a renowned brunch service, Liberty Center, 7610 Sloan Way, Liberty Township, 513.759.0033 ORCHIDS AT PALM COURT Contemporary 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 Montgomery Rd., Montgomery, 513.791.3482 PALACE RESTAURANT Inventive finedining establishment located inside the historic Cincinnatian Hotel, 601 Vine St., 513.381.3000 PAXTON’S GRILL Relaxed, friendly spot housed in one of Loveland’s oldest buildings, 126 W. Loveland Ave., Loveland, 513.583.1717 PIES & PINTS Authentic craft pizza and beer establishment featuring bar food, Liberty Center, 7621 Gibson St., Liberty Township, 513.755.7437

RICK’S TAVERN & GRILLE Friendly neighborhood drinkery serving up pub grub amid 50 flat-screen TVs, 5955 Boymel Dr., Fairfield, 513.874.1992 THE RUSTY BUCKET Relaxed, family-friendly neighborhood tavern, Liberty Center, 7524 Bales St., Liberty Township, 513.463.2600 SALAZAR Casual contemporary American fare with farm-inspired lunch and dinner menus, 1401 Republic St., 513.621.7000 SENATE RESTAURANT Casual contemporary American eatery specializing in upscale hot dogs, 1212 Vine St., 513.421.2020 SKYLINE CHILI It’s a Cincy staple, famous for its chili served as Cheese Coneys and 3-Ways, multiple locations including 10792 Montgomery Rd., 513.489.4404 SLATTS Relaxed neighborhood pub with plenty of plasma TVs for watching the game, 4858 Cooper Rd., Blue Ash, 513.791.2223 STONE CREEK DINING COMPANY A varied menu of sandwiches, salads, seafood and steaks, multiple locations including 9386 Montgomery Rd., Montgomery, 513.489.1444 and 6200 Muhlhauser Rd., West Chester, 513.942.2100

TANO BISTRO & CATERING Contemporary bistro in historic Loveland, featuring fresh ingredients and a menu that changes with the seasons, 204 W. Loveland Ave., 513.683.8266 TERRY’S TURF CLUB Laid-back burger joint with large portions and vegetarian options, 4618 Eastern Ave., 513.533.4222 TOM + CHEE Specializes in tomato soup and grilled cheese, multiple locations including 9328 Union Centre Blvd., West Chester, 513.860.0638 THE WILDFLOWER CAFE Farmto-table fare served in a converted century-old farmhouse, 207 E. Main St., Mason, 513.492.7514

BBQ

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

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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 savory) 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 eatery loved by the locals, 4764 Cornell Rd., 513.489.4777 PALOMINO Offering a mix of Mediterranean and contemporary 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 Montgomery 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 Serving 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 Upscalecasual chain serving Italian classics with a twist amid Roman-ruin decor, multiple locations including 5045 Deerfield Blvd., Mason, 513.234.7900, and 9436 Waterfront Dr., West Chester, 513.759.9398 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 serving 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

PIZZA

DELICIO COAL-FIRED PIZZA An artisan pizzeria that fuses rustic Italian traditions with the smoky flavors of the U.S. Southwest, 9321 Montgomery Rd., Montgomery, 513.834.5460; Xavier, 3701 Montgomery 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 serving the area for more than 60 years, multiple locations RICHARDS PIZZA Local chain serving up pies since 1955, multiple locations including the original at 417 Main St., Hamilton, 513.894.3296 SBARRO Casual eatery serving up New York-style pizza and pastas, Liberty Center, 7100 Foundry 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 serving prime steaks, seafood options and bountiful sides in an elegant space that was once a stagecoach stop, 9769 Montgomery 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 Surf and turf is served in the dining room or the high-energy piano bar, 5980 West Chester Rd., West Chester Township, 513.860.5353 JEFF RUBY’S STEAKHOUSE Reservations highly recommended at this high-end steak house, 700 Walnut St., Ste. 206, 513.784.1200 MCCORMICK & SCHMICK’S Steak house and seafood with extensive bar menu and tapas options, 21 E. 5th St., 513.721.9339 MOERLEIN LAGER HOUSE Fine-dining establishment and artifact-adorned beer bar with a wonderful view of the river, 115 Joe Nuxhall Way, 513.421.2337 MORTON’S THE STEAKHOUSE Popular steak house and seafood restaurant overlooking Fountain Square, 441 Vine St., 513.621.3111 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-the-century 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 Brazilian steakhouse serving succulent meats and authentic sides, Liberty Center, 7630 Gibson St., Liberty 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 Montgomery 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-yourown 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, award-winning sushi and fresh fish, 7524 Gibson St., Liberty Center Mall, Liberty Township, 513.322.5860 MANGO TREE THAI & SUSHI Casual eatery serving fresh, authentic Thai cuisine and sushi, 7229 Wooster Pike, 513.271.0809 QUÁN HAPA Asian fusion and gastropub with trendy setting, 1331 Vine St., 513.421.7826

MEXICAN

BAKERSFIELD Authentic Mexican street food with extensive tequila and whiskey menus, 1213 Vine St., 513.579.0446 CHUY’S Eclectic Tex-Mex eatery 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 JEFFERSON SOCIAL Upscale Mexican fare with extensive cocktail weekend, 101 E. Freedom Way, 513.381.2623 MAZUNTE TAQUERIA MEXICANA Casual Mexican eatery with trendy, festive decor, 5207 Madison Rd., 513.785.0000 NADA Trendy Mexican cantina serving creative cocktails and modern twists on traditional south-of-the-border favorites, 600 Walnut St., 513.721.6232 QDOBA Casual Mexican grill featuring fresh, handcrafted meals, 2721 Edmonson Rd., 513.351.2269; Liberty Center, 7100 Foundry Row, Liberty Township, 513.755.0486; Mason, 5030 Deerfield Blvd., 513.770.0301; Blue Ash, 9749 Kenwood Rd., 513.984.2629; Florence, 7683 Mall Rd., Florence, KY, 859.647.0296

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{ GATHERINGS }

1

FERNSIDE CLASSIC

Celebrates

RECORD REVENUE!

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AT THIS YEAR’S FERNSIDE CLASSIC, presented by TriHealth, more than $160,000 in net revenue was raised to support Fernside: A Center for Grieving Children. This two-day event included a dinner celebration at Cooper Creek Event Center and a beautiful day of golf at Shaker Run Golf Course. On Friday, May 18, guests enjoyed an evening of great food, fellowship and a moving speech by Greg Mancz, a Fernside alum and a pro-football center for the Houston Texans. Mancz inspired the crowd with his reflections about the impact Fernside had on him and his family after the death of his father when he was just 11 years old. A participant in the NFL’s #mycausemycleats, Mancz donated his cleats for the Fernside auction. One of the most touching moments that night was when TriHealth placed the winning bid for Mancz’s cleats so they could be given back to Fernside. That way all future Fernside kids will see them and be inspired by Greg’s journey.

On Monday, May 21, more than 200 golfers enjoyed a beautiful day at Shaker Run Golf Course. Fernside is an affiliate of Hospice of Cincinnati and provides a safe place where children can share their stories, feelings, memories and thoughts about their futures with peers who have experienced a similar loss. Fernside provides all services free of charge with the help of generous donors who support its mission.

Save the Dates Mark your calendar for the Bethesda Foundation’s upcoming events. For more details, visit bethesdafoundation. com/events.

HIKE FOR HOSPICE OF CINCINNATI & TRIHEALTH 5K Saturday, September 8, at Summit Park: 4335 Glendale Milford Rd., Blue Ash. TriHealth 5K Run: 9 a.m.

Fernside Fun Run: 10 a.m.

Hike for Hospice 2.5-Mile Walk: 10:30 a.m.

HIKE FOR HOSPICE OF HAMILTON Saturday, September 22, at Hospice of Hamilton: 1010 Eaton Ave., Hamilton.

Hike for Hospice 2.5-Mile Walk: 10:30 a.m.

CELEBRATION OF ANGELS An elegant evening event to benefit the Mary Jo Cropper Family Center for Breast Care.

Sunday, September 30, at Manor House: 7440 Mason Montgomery Rd., Mason.

3 1. A Fernside Classic golfer tees up to practice for a beautiful day of golf.

4

2. The cleats of Greg Mancz, who plays center for the Houston Texans, on display before being auctioned to benefit Fernside.

3. Kelly Holden, Fernside Classic Committee Chair; Amy Poetker, Fernside supporter.

4. Vicky Ott, Fernside’s Executive Director; Greg Mancz, pro-football center for the Houston Texans and a Fernside alum.

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{ BE THERE }

Making Strides of Greater Cincinnati: October 27

Marvel Universe Live!

Age of Heroes: September 20–23

If you’re ready for a new way of looking at art that gives you a fresh perspective on familiar things, toddle over to the Taft Museum and take a look at VANESSA GERMAN: RUNNING WITH FREEDOM. As a cutting-edge sculptor, German uses a lot of “found” objects in her work, the kinds of things you’d find in someone’s attic or their garage sale—pieces of toys, discarded antiques, anything that has an evocative vibe to it. And she puts them all together along with religious imagery and other elements to create something that’s pleasing to the eye as well as socially conscious, exploring African-American concerns and more. Start the experience by finding more info at taftmuseum.org

14,000 die from it. The Ovarian Cancer Alliance of Greater Cincinnati, a nonprofit dedicated to creating public awareness and providing support and education, is helping women fight back with its annual TEAL POWER 5K RUN/WALK in Summit Park. This is the 12th year that runners and walkers alike can join in to raise money and awareness to combat ovarian cancer. Both the 5K run and the 3K walk begin at 10 a.m. Registration is $35 and free T-shirts are available for participants. Survivors of ovarian or gynecological cancer are honored guests and will receive complimentary registration. For all the details, take a look at cincyovariancancer.org/events

September 15

September 15–16

Every year more than 20,000 women are diagnosed with ovarian cancer and about

Whether you’re expecting your first child or adding to a growing home,

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the TRIHEALTH CINCINNATI BABY & BEYOND EXPO is your guide to everything family. Discover new products from over 175 baby and children’s boutiques specializing in the latest and best products, clothing and accessories. In addition to shopping, the family-friendly environment features child- and health-care experts conducting educational activities such as: The Active Child, Wellness & Education, Pre- & Post-Pregnancy Fitness & Yoga and Pre- and PostPregnancy resources such as Birthing Centers, OB Physicians, Pediatric Dentistry, On the Go Products and much more. The TriHealth Cincinnati Baby & Beyond Expo produced by Cincinnati Magazine takes place at the Sharonville Convention Center. Details at cincinnatibabyandbeyondexpo.com

ECLECTICALLY FOR YOU PHOTOGRAPHY | SHUTTERSTOCK.COM

Now–October 21

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September 21–23 Let’s look at some stats: 24,640 potato pancakes, 64,000 sauerkraut balls, 80,500 bratwursts, 1,875 pounds of potato salad. That’s merely a portion of the delectable cuisine on offer at OKTOBERFEST ZINZINNATI, the largest Oktoberfest in the entire country. Taking place downtown on 2nd and 3rd Streets between Elm and Walnut, this celebration has been bringing a fulsome flow of German food, beer and music to Cincinnati since 1976, attracting well over half a million people. Did we mention the world’s largest chicken dance led by the Bengals’ A.J. Green and Andy Dalton, and the Running of the Wieners (dogs, that is)? Get the rest of the story at oktoberfestzinzinnati.com

ECLECTICALLY FOR YOU PHOTOGRAPHY | SHUTTERSTOCK.COM

September 20–23 The thrill of following superhero adventures in a comic book is one thing, but actually seeing dazzling, larger-than-life battles between costumed heroes and their evil nemeses right there in front of you is another experience entirely. MARVEL UNIVERSE LIVE! AGE OF HEROES brings that exact experience to the U.S. BANK ARENA, putting the likes of Captain America, Black Panther, Iron Man, The Hulk and Black Widow onstage in a throw-down to defend the universe against some seriously evil characters.

Video projections, special effects and aerial stunts add a seriously dynamic atmosphere to this live-action event. Learn more: usbankarena.com/ event/2018/09/marveluniverse-live-age-of-heroes

October 4 With a contemporary but roots-conscious style that appeals to multiple generations, Chris Stapleton is one of the most respected names in country music these days. Having the chance to see this five-time Grammy Award winner in

action is reason enough to rejoice, but catching CHRIS STAPLETON’S ALLAMERICAN ROAD SHOW at the Riverbend Music Center is an even more enriching experience. It allows you to enjoy not only Stapleton himself, but also longtime country legend Marty Stuart and rising star Brent Cobb, who penned tunes for some of Nashville’s biggest stars before going solo. Show info at riverbend.org/event/chrisstapleton-with-marty-stuartand-brent-cobb

October 6–28 If you really want to get a feel for the fall, tip on into the BURGER FARM FALL FESTIVAL, happening every Saturday and Sunday in October from 10 a.m. until 6 p.m. The Burger Farm & Garden Center is the ideal spot for autumnal encounters with pumpkins, ponies, gourds and copious amounts of apple cider. With rides, games, farm animals, music and more, it’s the kind of event with something fun for every member of the family. Find out everything you need to know at burgerfarms.com/ seasonal-events-2

October 10–13 Over the course of four days in October, BLINK CINCINNATI will bring you a unique experience that spreads itself out over the length of 20 blocks in downtown and Overthe-Rhine, from the Banks to Findlay Market. Prepare yourself for a full-on art attack, as you’re dazzled by a deliriously colorful display of light- and projection-oriented art appearing on the streets and structures you pass by every day, lending something striking and magical to the area. Get the details by visiting blinkcincinnati.com

October 27 One of the ways that the American Cancer Society combats breast cancer is with a nationwide series of walks, and you can take part with MAKING STRIDES OF GREATER CINCINNATI. The event begins at Yeatmans Cove, 705 East Pete Rose Way, and registration opens at 8 a.m. Every Making Strides walk is between three and five miles and includes a ceremony to kick things off as well as some entertainment to finish things up. Along the way, they make it possible for

Burger Farm Fall Festival: October 6–28

a lot more people to become informed about breast cancer and for a lot more research to get funded. More details at main.acsevents.org/site/ TR?pg=entry&fr_id=89554

November 3– December 23 King Records is a crucial part of Cincinnati’s musical legacy.

Founded in 1943, the label started out releasing country music before moving into blues and R&B. From the ’40s through the ’60s King’s roster was overloaded with hordes of now-legendary artists, from Hank Ballard and Ivory Joe Hunter to the Delmore Brothers and Moon Mullican.

In CINCINNATI KING, his musical about the King story, director KJ Sanchez brings some of the label’s most popular songs to the stage of the Shelterhouse Theatre.

To learn more or to purchase tickets, head on over to cincyplay.com/productions/ cincinnati-king

CINCINNATI HEALTH & LIFE | SUMMER 2018

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{ POWER FOOD }

The Promise of

RED PEPPER

ITS SPICY COUSINS MAY WIN MORE FAME, BUT THIS SWEETTASTING VEGGIE IS PACKED WITH DISEASE-FIGHTING NUTRIENTS. IN CULINARY TERMS, the red bell pepper is a vegetable, but botanically it’s actually a fruit—just like tomatoes. No matter which bin you drop it in, you’ve got a nutritional superfood. In fact, red peppers are some of the most nutrientdense vegetables you can eat, boasting 30 different antioxidants, which protect the body from disease-causing free radicals.

BUY | STORE | SERVE

POWER UP One medium red pepper provides a hefty 253 percent of your daily value of vitamin C and 74 percent of vitamin A. It’s also a very good source of B6 (17 percent), folic acid (14 percent) and fiber (10 percent).

And it’s high (second only to tomatoes) in the antioxidant lycopene, which can help prevent cardiovascular disease, lower

3X

The vitamin C of an orange

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your risk of certain types of cancer and lessen the likelihood of chronic inflammation. Red peppers are potent when it comes to eye health too: They’re rich in lutein and zeaxanthin, which combat macular degeneration. Added bonus: One medium red pepper contains just 37 calories, making it an ideal snack for waist-watchers.

Choose red peppers with deep color, taut skin and stems that look green and fresh. They should feel heavy for their size and firm enough so that they only “give” slightly to a small amount of pressure. If you’ll be eating your peppers in a day or two, there’s no need to refrigerate them. Beyond that, unwashed peppers will keep in the fridge for 7 to 10

74%

Of recommended daily intake of vitamin A in one pepper

days. Options for using red peppers are limited only by your creativity: Add finely chopped pepper to soups, stews and tuna or chicken salad; toss sliced pepper into stir-fries and green salads; dip slices into hummus or low-fat ranch dressing for a healthful snack or appetizer.

DID YOU KNOW? Bell peppers come in a palette of colors—green, yellow, orange, red—and the difference in their hue is, for the most part, a matter of maturity. Crunchy green peppers are harvested before they are fully ripe. When left on the vine, they usually turn yellow-orange and then red.

Since red peppers spend more time on the vine before being picked, they’re sweeter, have a higher nutritional content and are more expensive.

70°F

Temperature needed for seeds to germinate

2.5

Grams of fiber in one pepper (chopped, raw)

SUMMER 2018 | TRIHEALTH.COM

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