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C i n c i n n at i H e a lt h & L i f e w i n t e r 2 0 16

Cincinnati t h e

g o o d

l i v i n g

m a g a z i n e

f r o m

T R i h e a lt h

the good living maga zine

MAMMOgramS:

DO they sAVE LIVES?

4

women’s stories

+

DESSERTS WITH A TWIST 10 SUPER SKI SPOTS EXERCISE— AND SAVE!

se asonal sweets

winter 2016 | $3.95 trihealth.com

designer decor

HOME DESIGN IN BLUE AND WHITE

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You’re Just a Few Minutes Away from Bliss.

“...all you need to know is that once you’re through these doors, you matter.” –CinCinnati Magazine

“Top Food Rating Among Steakhouses.” –zagat

“BEST Restaurant, Steak, Food, Service and Vibrant Bar Scene.” —Open table Diners

P R I VAT E D I N I NG AVA I L A B L E

A T ON Y RIC C I STEA K HO U S E 401 West Main center Street registration 12110 Montgomery Road Lexington, KY 40507 Cincinnati, OH 45249

859.243.0210

tonysoflexington.com

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513.677.1993

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Contents Winter 2016

FEATURES

16

the best protection for your breasts

A doctor contends that annual mammograms should begin at 40—and four patients tell why.

20

an e.D. gets senior-friendly

Bethesda North’s facility has been redesigned to meet older patients’ special needs.

22

hip, hip, hooray! This teacher found that the benefits of joint replacement aren’t just for the elderly.

26

true blue

Interior designer Alexa Hampton works wonders with a home in blue and white.

i n e v ery i s s ue

6 8 40 44

w e lc o m e L e tt e r e d ito r’s n ot e Wh e r e to Eat b e th e r e

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Contents Winter

26

46

DEPARTMENTS

48

12

42

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

Photos from recent events in Hamilton County.

LOCAL BUZZ

14

Health news

Intriguing facts about naps, tongues, yoga, deadlines, eating your greens— and much more.

32

Tastes

Step out of your baking comfort zone— and try these five classic seasonal desserts, each with a twist.

GATHERINGS

46

ESCAPES

If you’re a skier, check out 10 super slopes you simply must experience.

48

POWER FOOD

It’s sweet, handy and nutritious, and its history goes back thousands of years. It’s a date!

38

Financial Balance

Want to be fit physically and financially too? Heed these 8 tips.

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WELCOME LETTER

D. Lambers, MD

TOGETHER WE TRIUMPH THERE ARE MANY WONDERFUL THINGS ABOUT THE HOLIDAY season. With a chill in the air we celebrate, hoping to create lasting memories as we take part in old traditions and create new ones. It’s a time to count our blessings as we gather in joyous settings with neighbors, co-workers, friends and family. It’s a time for reflection, as we look at what we have accomplished and achieved during the past year. It’s also time to look for ward, make new resolutions, set personal and professional goals, and celebrate the New Year. At TriHealth, we’ve been blessed to see so many patients come through our doors whether it was for a routine checkup or an emergency surger y. By working together, we were able to celebrate many triumphs for our patients and ourselves. From a healthy birth to a full recover y to a new treatment breakthrough, your triumphs have been our triumphs, and we will continue the TriHealth mission to help our communities live better. Here’s wishing you and yours a happy and healthy holiday season and great success in the New Year. Together we triumph. Sincerely,

Caring for women throughout their lives. JOHN PROUT CEO OF TRIHEALTH INC.

At TriHealth, our women’s services

Obstetrics

go above and beyond as we offer

Gynecology

comprehensive care from some of

Urogynecology

the most well-known gynecologic

Gynecologic Oncology

and obstetric physicians in the region. Whether you see them for a routine checkup, a highly complex surgery or anything in between, you can count on them to be there for you throughout your life.

High-Risk Maternity

MARK CLEMENT PRESIDENT OF TRIHEALTH INC.

Neonatal Intensive Care Breast Care Fertility Nurse Midwives To find a TriHealth physician, call 513 569 5400.

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

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EDITOR’S NOTE

WINTER PURSUITS

days of the week Get urgent care from a doctor.

TriHealth Priority Care is urgent care. When you come to us, you’ll experience short wait times and receive care from a doctor, because there’s always one on staff. Then we’ll work with you and your primary care doctor to get you back on the road to recovery. To learn more, call 513 346 3399 or visit TriHealth.com.

I ADMIT IT. I’M NOT A BIG fan of winter. Sure, I love the look of new-fallen snow—it’s stunningly beautiful. But when my car starts sliding around on the road and the wind chill factor makes it feel like 10ºF, well, let’s just say I’m counting the days till spring. But there are some things I absolutely love to do during winter: picking out the perfect Christmas tree, shopping for holiday gifts, going ice skating with my family, sipping a steaming mug of hot chocolate. You can read about these festive cold-weather pursuits and more on page 12. Is booking a ski holiday on your “to do” list? Be sure to read our downhill bucket list on page 46 before deciding where to go. It takes you on a tour of hot ski spots around the world—from Arapahoe Basin in Colorado to Zermatt in Switzerland. And check out our selection of seasonal dessert recipes on page 32. You’ll have a hard time deciding which one to try first—bourbon bread pudding, pumpkin ice cream, pistachio and coconut rice pudding? (The salted dark chocolate tart is calling my name!) I bet at least one of these sweet treats ends up being a new favorite in your household. There’s much more to discover in this winter issue of Cincinnati Health & Life. Enjoy...and Happy Holidays!

Together We Triumph Walk-In Urgent Care | Minimal wait times On-site X-rays | On-site lab testing 8350 Arbor Square Drive, Mason, OH 45040

RITA GUARNA EDITOR IN CHIEF EDITOR@WAINSCOTMEDIA.COM

(in front of Kroger)

Monday–Friday, 8 a.m.–8 p.m. Saturday and Sunday, 9 a.m.–5 p.m.

TriHealth.com | 513 346 3399

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Cincinnati rita Guarna

Carl Olsen

Physicians, hospitals and communities working toge ther to help you live be t ter.

art director

m a r k e t i n g & o p e r at i o n s

t r i h e a lt h

ed itor in c h i ef Stephen M. Vitarbo

pub li s her

marketing director

Chief Executive Officer

ed i t o r i a l

nigel edelshain

John S. Prout

Managing editor

marketing associate

president

Carol Bialkowski

richard Iurilli

mark clement

senior editor

advertising services manager

Executive Director, Marketing Services

timothy kelle y

jacquelynn fischer

Anjie Brit ton

contributing editors

senior art director, agency services

Marketing Consultant, Marketing Communications

michael Ardi z zone Li z Donovan Harry Dowden David Le vine Art

design contributor Y vonne Marki Web

director of digital media

kijoo kim

agnes alves

h o s p i ta l s

accountant

bethesda north hospital

megan frank

Accounts receivable representative amanda albano

Manager, Office Services and Information Technology catherine ROSARIO

director of production and circulation chri stine hamel

production/art assistant al anna giannantonio

10500 montgomery rd., cincinnati good samaritan hospital

375 dixmyth ave., cincinnati bethesda butler hos pital

3125 hamilton mason rd., hamilton trihe alth e vendale hos pital

nigel edels hain production

Denyse Reinhart

Controller

published by wainscot media chairman carroll v. dowden

3155 glendale milford rd., evendale bethesda arrow springs

100 arrow springs blvd., lebanon good samaritan western ridge

6949 good samaritan dr., cincinnati Mccullough-hyde memorial hos pital

president

110 N. Poplar St., Oxford

mark dowden senior vice presidents shae marcus Carl olsen vice presidents rita guarna CHRISTINE HAMEL

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 3 times a year by Wainscot Media, 110 Summit Ave., Montvale, NJ 07645. This is Volume 1, Issue 3. Š 2015 by Wainscot Media LLC. All rights reserved. Subscriptions in U.S.: $14 for one year. Single copies: $3.95. Material contained herein is intended for informational purposes only. If you have medical concerns, seek the guidance of a healthcare professional. advertising inquiries Please contact Carl Olsen at 847.274.8970 or carl.olsen@wainscotmedia.com. subscription services To inquire about a subscription, to change an address or to purchase a back issue or a reprint of an article, please write to Cincinnati Health & Life, Circulation Department, 110 Summit Ave., Montvale, NJ 07645; telephone 201.573.5541; email christine.hamel@wainscotmedia.com.

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localbuzz c i n c i n n at i n e w s

reviews

tips

trends

The Pursuit of Liberty

You can complete your holiday shopping without stepping foot in a crowded, stuffy mall thanks to the much-anticipated Liberty Center, a $350 million mixed-use mall, featuring retail stores, a hotel, apartments, office space and a movie theater. Browse the racks at dozens of stores, including such retail giants as Dillard’s and Dick’s Sporting Goods as well as smaller indie boutiques, like Delhi Christmas Store and sMari Designs. After shopping, fuel up for the wrapping you’ll do later at one of the food establishments, like local favorite Graeter’s Ice Cream. Although the grand opening was in October, the premiere for tenants is on a rolling basis, meaning that new stores will be opening their doors throughout the holiday season, so be sure to stop by regularly to see what’s new and coming soon. Does this all seem a little overwhelming? TriHealth is the health and wellness partner for the center, which will also offer yoga classes and other activities to stay focused and stress-free in this busy season. The Liberty Center is located at the I-75 and SR 129 interchange in Liberty Township between Cincinnati and Dayton. For more information, including upcoming events, visit liberty-center.com.

Warm Up to Working Out Winter is the best time to stick to a workout routine, what with all the casseroles, cookies and cakes we’re eating. Also, endorphins that are released during a good cardio session will blast away the stress we are all feeling from the season’s social commitments. Yet the frigid temperatures outside make it that much harder to get to the gym. Tom Arnold, assistant manager at the TriHealth Fitness & Health Pavilion, offers the following tips for getting moving and staying motivated: Set a goal: By making a fitness goal and writing it down or signing up for a race, you’ll be making yourself accountable. For instance, many people sign up for one of the Flying Pig Marathon events, which take place April 29 to May 1, requiring training through the winter. Several distance options are available, including a full marathon, a half marathon, a 10K, a 5K, relay events and a kids’ race. Details are available at flyingpigmarathon.com. Get an assessment: Many gyms, including the Fitness & Health Pavilion, offer a free fitness assessment for you to learn how your current workout plan could be modified to help you achieve your goals or how to get a jumpstart on starting an active lifestyle.

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Try wearable tech: Add to your holiday wish list a FitBit or another device that tracks your movement and calorie burn. These devices can be helpful in revealing how active or inactive you are on a regular basis, which may be the motivation you need, says Arnold. Visit the gym: Sure, you can always lift weights or do sit-ups in the comfort of your home, but the variety of equipment and classes at a gym can make it easier to find the workout that’s fun for you and maybe feels just a bit less like work. Also, the social interaction at the gym can be useful when you’re having trouble focusing, as can the camaraderie of classes. Stick to a schedule: Studies have shown that it’s not necessarily better to work out in the morning than in the evening, Arnold explains. But it is beneficial to get your heart pumping at the same time each day. Doing so makes exercise become just another part of your daily routine, like brushing your teeth and walking the dog.

Building a Mystery

It all started with a bunch of giantsized Legos being spotted all over Cincinnati last summer: at the zoo, in Fountain Square, at Union Terminal and elsewhere. The only clue was a mysterious hashtag, #WhatTheBrick, painted on the side of each. “What the brick?” indeed. Later, the answer to the riddle was revealed in an announcement by the Cincinnati Museum Center: The Art of the Brick, the world’s largest Lego exhibit, was set to open this fall. The exhibit premiered October 23, with more than 100 pieces of art made completely out of Legos, including classic works, like “Mona Lisa,” “Girl with a Pearl Earring” and “Starry Night.” Also on display are a 20-foot-long Tyrannosaurus Rex “skeleton” (made out of Legos) and a piece that’s so truly Cincinnati we won’t spoil the surprise here. It runs through May 8, and several special events are upcoming, including a Bricktastic Pajama Party (Dec. 18), Lego Overnight (Feb 6) and Harry Potter Camp (Feb. 15). Learn more at cincymuseum.org.

triHEALTH.com

11/30/15 1:45 PM


Winter Bucket List Beat the Cold With Hot Jazz

You may call it a “hidden gem” or an “odd little club,” but to Ed Moss, Schwartz’s Point Jazz Club is a labor of love. Located inside a triangleshaped building at the five-point intersection of Vine St. and West McMicken Ave. in Over-theRhine is a bohemian-style lounge where Moss brings the swinging sounds of jazz music to Cincinnati. Moss, a pianist with a doctorate in music composition and theory, opened the club 10 years ago as a way to provide a venue for his eight-piece band, Society Jazz Orchestra. The lounge is designed for full attention to be on the stage—there are no television screens or dart boards, but the music is so transfixing, we’re betting you’ll even keep your cell phone out of sight during the show. The lounge also lets Moss indulge in his other passion: cooking. On Tuesday nights, the lounge offers a free all-you-can-eat homecooked buffet dinner (with a $10 cover) made by Moss. The menu changes each week—Moss sources his ingredients from the nearby Findlay Market and cooks up whatever strikes his fancy. “We each get only one or two gifts in life,” Moss says. “My gifts are music and cooking. Not to use them would be a travesty.” Schwartz’s Point Jazz Club is open on Tuesdays ($10 cover, buffet at 7:30 p.m., followed by music) and Fridays and Saturdays ($5 cover, 9 p.m.). See schwartzs point.com for more info.

music while helping local churches and nonprofits gain funds and exposure. Venues include Moerlein Brewery, St. Francis Seraph Church, First Lutheran Church and Over-the-Rhine Community Church. See christmassaengerfest.com for a schedule and participating choral groups. Warm up with a big bowl of hot chocolate topped with a generous dollop of whipped cream at the Coffee Emporium (coffee-emporium.com), which has four locations in the Cincy area. Or if you’re hoping for a more decadent drink, stop by Sitwells Coffee House (sitwellscoffeehouse.com) for a Mexicoco, made with Droste’s dark Dutch cocoa, steamed milk and just the right amount of seasonings for it to be named Cincinnati’s best hot chocolate last year in Cincinnati magazine. Last but not least, show your Cincinnati pride with a sizzling plate of Skyline Chili that’ll warm your bones and stick to your ribs. You don’t have to get it with a heap of cheddar cheese on top, but… actually, yeah, you really do. Locations are available at skylinechili.com, but if you really want to stay in, you can pick up the Skyline products a local grocery. Looking for something more local? Check out Findlay Market’s annual chili cook-off in January (findlaymarket.org).

One of the most classic moments of the holiday season is selecting the perfect Christmas tree. And it’s an important decision. Over the next several weeks, that tree will be decorated, stuffed with presents, and eventually gathered around by jolly parents and excited children. Why not make the process of picking the tree all the more special and adventurous for the family by going on an outing and cutting down your own? A selection of places offering this service can be found at pickyourownchristmas tree.org, where you can search by state and county. Never done this before? Avoid a grievous error à la Clark Griswold by following these tips from the Ohio Christmas Tree Association: Know your limits: Measure the height and width of the room the tree will be in to ensure it’ll fit. Do your research: Is the farm “bring your own saw” or do they provide one? How are the trees priced? Will the farm shake (or blow) the tree to remove the loose needles? See before you saw: Inspect the tree closely before you start to cut. Is the trunk crooked? Is the bottom long enough to fit in a stand? Are the branches sturdy enough to hold the decorations you plan to use? For more great tips, visit ohiochristmastree.org. Happy hunting!

Oh , Ch ris tm as Tre e!

Check Off Your

When the weather outside is frightful, it can be tempting to curl up indoors in front of the fire with fleece pajamas and board games. And while that makes for a perfectly delightful evening on occasion, wintertime activities abound in Cincinnati. Here, we’ve created five festive excuses for you and your family to get out and explore our great snowy city: Lace up your skates and make some figure eights around Fountain Square at the US Bank Ice Rink. This outdoor skating rink features lockers, concessions and skate accessories, like traction aids for parents who want to walk next to their young child as he or she spins around the rink. Admission: $4, skate rental: $4. Swing by the Cincinnati Zoo (cincin natizoo.org) to see the penguins. During Penguin Days (January 3 through February 29), zoo admission is half price, and heated indoor animal exhibits allow visitors to enjoy the zoo’s residents all winter long. But be sure to venture out into the cold at 11 a.m. or 2:30 p.m. when the penguins put on their twice-daily parade. Hear traditional Christmas carols by more than a dozen choirs at four different venues over two days during Christmas Saengerfest on December 4 and 5. This 160-year-old German tradition brings choir musicians and the public together over the celebration of seasonal

Cincinnati HEALTH & Life

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25

Health News

Yoga does a heart good

The percentage increase in the amount of fruits and veggies purchased at the supermarket among shoppers who ate a healthy snack before heading to the grocery store.

Sure, yoga can increase flexibility and improve balance. But did you know that it can reduce the risk of heart disease just as much as conventional exercise? According to research, yoga participants lowered their low-density (bad) cholesterol by 12 points.

—Cornell University

Take a nap

—European Journal of Preventive Cardiology

A couple of half-hour naps can reverse the effects of a poor night’s sleep.

40

—Journal of Clinical Endocrinology & Metabolism

The percentage of age-related skin changes that can’t be blamed on genetics.

—Clinical, Cosmetic and Investigational Dermatology

Did you know?

Forget about beating the clock

People who set arbitrary time limits on their tasks were less happy than people who didn’t. Of course, real work deadlines can’t be ignored, but living by the clock shouldn’t be the norm. —Journal of Personality and Social Psychology

3

The minimum number of servings of fish per week it takes to maintain bone mineral density in older adults.

The tongue is the only muscle in our body not attached to something at both ends. And just like fingerprints, everyone’s tongue print is different.

—Delta Dental

—Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University

The weight/ cancer connection

Added pounds have been associated with a higher risk of a brain cancer known as meningioma. Being overweight upped the risk of developing this cancer by 21 percent; and obesity increased the risk by 54 percent.

—Neurology

Feed your mind with greens

Folks who eat one to two daily servings of leafy greens had the cognitive ability of someone 11 years younger. —Rush University Medical Center

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ingoodhealth pat i e n t c a r e at T r i H e a lt h

The best protection

Though guidelines differ, a doctor says you should start annual mammograms in your 40s— and tells why.

For your breasts

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For a test with a high rate of success, mammography—used to spot breast cancer—also carries a surprisingly high rate of confusion and conflict. When should women start getting mammograms? At age 40? 50? Should they get them every year? Every other year? The answers, oddly, depend on whom you ask. “Screening guidelines from different groups are really inconsistent, and that is very confusing,” says Susan Weinberg, M.D., a diagnostic radiologist with TriHealth. And things stand to get even more confusing if proposed guidelines from the United States Preventive Services Task Force (USPSTF) are approved. Dr. Weinberg calls these recommendations “very disturbing.” The USPSTF is proposing that “women should not be screened at all between ages 40 and 50, unless there is a family history of breast cancer,” says the doctor, “and only every other year from 50 to 75.” USPSTF guidelines are particularly important because many health insurance carriers base their coverage on them. Dr. Weinberg and many others in her field are aghast at the recommended guidelines, and major medical groups are fighting back during the “open comment” phase of the guideline proposal process. There is currently legislation in Congress called Protect Access to Lifesaving Screenings, which would place a two-year moratorium on implementing the USPSTF breast cancer screening recommendations. More information can be found at stoptheguidelines.com. Opponents of the proposed guidelines make several arguments. One justification offered for the new recommendations, says Dr. Weinberg, is fear of “overdiagnosis”—findings of small and possibly insignificant cancers that may

be overtreated, or of false-positive results, which cause needless fear, anxiety and potential overtreatment. Dr. Weinberg concedes that there are such cases and that they’re a problem. “But it’s unknown what their actual number is,” she says. “And the belief that anxiety from falsepositive results outweighs the benefits from picking up cancers early doesn’t make a lot of sense.” The proposed recommendations appear to cast doubt on the importance of mammography screening for women without a family history of breast cancer, says the doctor. “But we know that 75 percent of breast cancer cases are in women without any family history, so how is that logical?” she asks. Dr. Weinberg adds that the new proposed guidelines also fail to endorse breast tomosynthesis, a three-dimensional imaging system that is better at separating suspicious from benign growths and is useful in women with dense breast tissue. “The recs say there is insufficient evidence that this tool picks up more cancer, and that is absolutely not true,” she says. How does she explain such a discrepancy between these proposals and the beliefs widely held in her profession? “There are no radiologists or breast surgeons or oncologists on the panel that drew up the USPSTF guidelines,” she says. “We saw the names on the list—they excluded anybody with any experience in diagnosing or caring for breast cancer, which makes no sense.” The panel also based its findings in part on a Canadian study, the Canadian National Breast Screening, that, she says, used “flawed data.” The mammograms used in the study were of poor quality, and the statistical estimate of overdiagnosis was off by a wide margin—it was

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women who are glad they were screened

Undecided about the value of mammograms in spotting breast cancer early? Take a lesson from the experience of these former patients.

Tonya’s story Tonya West Wright was saved by mammography. Wright, 40, of Fair-

calculated at 22 percent, when all other evidence suggests the usual rate is closer to 4 percent, she says. What do the USPSTF panelists have to say about all this? Little if anything— they are notoriously tight-lipped about their process and procedures, says Dr. Weinberg. And there is no way to know when the new recommendations will be approved—or rejected. “We are all in limbo, waiting with bated breath,” she says. Until the final results are released, she continues to follow guidelines from the American College of Radiology. “After many, many years of doing mammography and studying its benefit, the ACR recommends that screening mammography begin at 40 and continue yearly until the woman’s health indicates it is no longer a good idea,” she says. As for the admittedly real issue of overdiagnosis, she suggests setting up solid, randomized trials to study different treatments for women with earlystage breast cancer. “The onus is on us as a society to figure out which breast cancer cases may be insignificant and overtreated and how to avoid this so we can make more educated decisions down the road,” says Dr. Weinberg. “You don’t stop screening entirely because 4 or 5 percent may be overdiagnosed. Why throw out the baby with the bathwater, when we also know from years of experience that early screening saves lives? If we do, we could have a situation like in China, where there is no screening. Breast cancers there are usually caught only when women can feel them, when most are already at stage 3 or higher. “Mammography is the best tool we have for picking up breast cancer in women in their most productive years—those with young families, who are a significant part of our society,” says Dr. Weinberg.

field Township, felt something “a little different” in her left breast this past spring. “I had a cyst removed at age 20, and I thought it was just scar tissue, but since I was almost 40 it was time for a mammogram, so I made an appointment.” Wright, director of teaching and learning for Princeton City Schools, and her husband, Ronald Wright, 45, who works at Winton Woods City Schools, have a 3-year-old son,

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Ronald Wright III (known as Tre). Wright’s mammogram results were inconclusive but suspicious. A follow-up ultrasound, magnetic resonance imaging (MRI) and two biopsies, however, confirmed she had early-stage cancer that had spread over a large area. She had a single mastectomy in July, and pathology reports showed that some of the cancer had progressed from stage 0 to stage 1. “The tumor measured only 2 millimeters and it hadn’t spread to my lymph nodes, but that scared me,” she says. “They told me that because they caught it early, it would be OK, and I would be at my son’s graduation and wedding.” Thanks to a mammogram, Tonya West Wright is looking forward to being present at the wedding of her son Tre, now 3.

Rachel Young wishes she had started mammography sooner. Young, 42, a realtor and mother of two teenagers in West Union, noticed one morning last year that her right breast “looked awkward. It was dimpled and bruised, and the nipple was going to the right. It was so strange.” She hadn’t been to a doctor for 15 years—“since my last child was born”— but she scheduled a mammogram for a month later, in December 2014. That was followed by a biopsy that found not one but two malignancies—one an invasive ductal carcinoma, the other a noninvasive form of the same cancer. She began chemotherapy first to attack the invasive cancer; in the week following her mammogram it had already grown. “They pushed me to start quickly, and I am glad I did,” she says. She had chemo through April, and then a double mastectomy in June. That was followed by radiation this September. “It has been stressful, but I sure am thankful,” she says. “It has worked out great.” She admits that before her ordeal “I hadn’t thought about having mammograms. My mother had them regularly, and I don’t know why I didn’t. My two sisters haven’t either, and now I am constantly stressing they have one done. My six nieces, too.”

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West Union resident Rachel Young is pictured with her two teenage children.

courtesy of trihealth

Rachel’s story

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Camille’s story Camille King was saved by mammography. She began yearly screening at age 40, and after her second mammogram, at age 41, she was diagnosed with noninvasive ductal carcinoma. “I was speechless” at the diagnosis, says King, now 44, of Cincinnati, who works for the city’s Department of Transportation and Engineering. She had two lumpectomies—the first didn’t remove all the cancer—and radiation therapy and is now cancer-free. “I knew to start mammograms at 40, to be proactive,” she says. “It has always been recommended, and when a van came to my job site I signed up for that first year. I am very glad I did. I still do it annually. I had friends who weren’t having mammograms, but after my diagnosis, they started getting them. I think it is crucial for women to be proactive with preventive health.”

Jessica’s story

courtesy of trihealth

Jessica Week was saved by mammography. “It was instrumental for me, because I was atypical,” says the 47-year-old special education teacher from Milford. “I wouldn’t have found the tumor with self-exams because it didn’t give me anything to feel, but with a mammogram it was easily detectable. If I had waited, who knows how far it would have spread?” In June 2014 she was diagnosed with stage 2B invasive ductal carcinoma, which had spread to three lymph nodes. Her husband, Ben, 61, a marketing executive for Harley-Davidson, was out of town. By coincidence, Week was with her 12-year-old son Theo’s Boy Scout troop in that year’s Relay for Life breast cancer walk just after she got the news. (The couple also has a daughter, Naomi, 23.) “I was at the moonlight ceremony with luminaries lit with people’s names on them, and as I was standing there I thought, ‘Next year I will either be a survivor or an in memory of,’” she remembers. Her treatments included chemotherapy to shrink the tumor, then a lumpectomy, which revealed that the tumor had not shrunk much. More chemo followed, then radiation. Her son’s troop honored her at this past June’s Relay for Life—as a survivor. “They had five luminaries, and I was there, with my quarter-inch of hair on my head.” She’s now a firm advocate of mammography, because she knows how pervasive breast cancer is. “I have had four acquaintances in their 30s and 40s diagnosed with cancer in the past few months,” she says. “I won’t miss a mammogram. I want a machine for my kitchen!”

To find out more about services avail able at trihealth, please call 513.569.6111 or visit TRIHEALTH.COM.

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The Emergency Departments at Bethesda North and Bethesda Butler are now the only hospitals in the area specifically designed for the needs of older patients. Erin Monroe B.S.N., CEN, EMT-P, works with geriatric patients in Bethesda North’s ED.

An E.D. gets senior-friendly

2030, one in five Americans will be over age 65. And the number of the oldest among us, those 85 and older, is growing nearly three times faster than the general population. Locally, Bethesda North Hospital serves many older patients: 28 percent of all emergency department (ED) patients are 65 or older, and 59 percent of all hospital admissions (excluding maternity) are in that age group. And those numbers are only going up. For that reason, the hospital has redesigned its ED to become “geriatric-friendly.” A $1.2 million renovation was designed to improve the quality of geriatric emergency care, and a project was launched to improve outcomes with a team approach to helping these patients. “We took on this project

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because Bethesda North has a large geriatric population with special needs that require special attention,” says Kenneth Patton, D.O., medical director of the ED. “TriHealth currently has the only hospitals in the tristate region with geriatric-friendly EDs.” There were three arms to the project, he explains. The first involved structural changes to the ED. “The entire department was renovated to include special non-slip flooring, hand rails throughout, more soothing colors and lighting to decrease glare,” says Dr. Patton. “All this is to help prevent falls and to help patients’ family members, who often are also geriatric.” In addition, specially designed beds that are built lower to the floor and have thicker cushions will help decrease falls and complications such as pressure ulcers. Rest rooms are larger

triHEALTH.com

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courtesy of trihealth

As a nation, we are getting older. By the year

courtesy of trihealth

At Bethesda North, this department has been redesigned to meet older patients’ special needs.


courtesy of trihealth

courtesy of trihealth

for easier access, and hearing and visual assistive devices are available for those who need them. The second arm of this initiative included extensive continuing education in geriatric care for all ED staff members. All emergency nurses and technicians completed the nationally recognized NICHE program. (NICHE stands for Nurses Improving Care for Healthsystem Elders.) They were trained in geriatric assessments, functional impairment screenings, cognitive impairment and delirium screening and geriatric protocols for pain and treatment. Nurses also took the Emergency Nurses Association’s GENE (Geriatric Emergency Nursing Education) course for further training. “This continuing education shows the commitment we all have to managing geriatric patients,” says Maria Newsad, ED manager. The third and final arm—“which I think is the most beneficial by far,” Dr. Patton says—is the Geriatric Navigator Program. Some geriatric patients are assessed by one of the two geriatric-trained social workers. He or she helps with referrals to programs in the community that offer assistance in maintaining health and safety in the home, makes follow-up appointments with primary care physicians and follows up with phone calls to ensure that patients are getting the care and services they need at home. The social workers on site seven days a week, 10 hours a day, intervene for approximately 30 percent of geriatric ED patients. “The best part is that we have time to make a comfortable connection with older adults and have these conversations,” says Nancy Roach, social work supervisor for TriHealth Navigator Care Transitions. “Many times they are afraid to expose any problems at home. By asking questions we can provide appropriate interventions,” such as home health care, community services and nursing home placement for patients who are unable to be cared for at home. Everyone on staff, from the physicians, nurses and navigators to registration and administration personnel, is involved. “It is an all-encompassing, multidisciplinary approach,” Roach says. “Everyone is focusing on how to help the patient.” “This is essential to help bridge the gap from the ED to home and the patient’s primary care physician,” Dr. Patton says. “Our navigators make sure they understand their discharge instructions, know how to take their medication, know whom to follow up with and when, and whether they need any assistance at home. The goal is to prevent readmission to the ED or hospital, increase patient satisfaction and, of course, improve their overall health care.”

Why senior-friendly care matters: three stories

Sometimes, old age brings difficult conditions. So it’s all the more important that elderly people get the services they need to make their lives as healthy and satisfying as possible. That’s what the geriatric-friendly Bethesda North Hospital Emergency Department does—and in many cases it’s able to make a dramatic difference. Here are three recent examples: An 85-year-old man came to the department with balance problems and a history of recent falls. He lives alone. The navigator discussed the case with the ED physician and obtained an order for skilled home care services: physical and occupational therapies to address balance issues and a visiting nurse for medication management, vital signs monitoring and updating the primary care physician. The navigator also referred the patient to a community Senior Services agency for help with cleaning, laundry and grocery shopping and to assess the need for Meals on Wheels coverage. A 76-year-old woman was brought in by emergency rescue personnel, who reported that her apartment was dirty and cluttered and smelled bad. ED nurses noticed that she had poor hygiene, including dirty clothes and an apparent lack of bathing. She refused home care help. The navigator referred her to Adult Protective Services due to self-neglect so that her problems, both physical and psychological, could be addressed. An 87-year-old man with a cancer diagnosis was sent to the ED from a local nursing home. He wanted to return to his own home with his wife for end-of-life care. The social worker consulted with the ED physician and nurse and arranged 24hour private duty care and skilled care services. A follow-up call the next day confirmed that all services were in place.

To find out more about services avail able at trihealth, please call 513.569.6111 or visit TRIHEALTH.COM.

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Patients of the TriHealth Orthopedic and Sports Institute enjoy a more active lifestyle following successful joint replacement.

courtesy of trihealth

Hip, hip, hooray!

A teacher discovers that these days, the benefits of joint replacement aren’t just for the elderly.

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It wasn’t too long ago that having a hip replaced was considered a ritual of old age. Not anymore. Today, baby boomers and Gen X-ers in their 40s, 50s and early 60s are having achy hips replaced in record numbers so they can maintain (or get back to) the active lifestyles they prefer. Brenda Campbell is one of them. Campbell, 54, a high school math and science teacher from Cincinnati, began having pain in her left hip about two years ago. “Within the year, it became severe,” says Campbell, who has two grown sons with her husband, Calvin, 56, a site manager for Skillman Corp. “I had pain in both hips and it hurt a lot, to the point where I had trouble walking.” She was diagnosed with osteoarthritis, the most common form of arthritis, which occurs when the cartilage on the ends of bones wears down. She was referred to Dirk Pruis, M.D., an orthopedic surgeon at the TriHealth Orthopedic and Sports Institute. He ordered X-rays, which revealed that her left hip was so arthritic there was no cartilage left to provide a cushion between the bones of the ball-and-socket joint. “He showed me the pictures, and there was no gap between the bones, while in the other hip —Brenda there was still a gap,” Campbell says. Indeed, Dr. Pruis thought that the pain in her right hip was the result of her limping and not from any structural damage, and would resolve itself once her left hip was tended to. But that would require total replacement of the joint. Her surgery was performed last Sept. 14. Dr. Pruis cut a 5-inch incision into her hip, removed the damaged joint and replaced it with a synthetic ball and socket. One of the reasons why more people are able to receive new joints today is the recent advance of materials technology. Over the past decade or so, manufacturers have created longer-lasting joints out of new plastics and metals that bond to bone better and last longer. The operation takes about an hour, Dr. Pruis says, and the patient is usually up and walking the same day, thanks to another improvement in care: better pain control. “We now use preemptive pain medications administered one hour before the operation, which include anti-inflammatory medication, intravenous Tylenol and a nerve blocker,” he explains. “We continue those for 48 hours. In addition, we inject a numbing medicine containing morphine and anti-inflammatories directly into the soft tissues of the joint at the end of the operation. It is remarkable how well all this works to reduce pain.” With less pain, patients are able to return to walking and begin the rehabilitation process sooner, an improvement that has been shown to facilitate better outcomes. “Patients used to lie in bed for a couple of days, and we have learned that’s

not good for them,” says the doctor. “The sooner they get moving, the better.” “I walked to the bathroom that day,” Campbell recalls. “It was sore, but not excruciating. I did rehab that first day in bed, too, and on the second day I walked to the physical therapy [PT] room.” Rehab is a third reason for better success in hip replacements, notes Dr. Pruis. “We are much more aggressive with PT than we used to be,” he says. Rehab starts with stretching to improve range of motion, followed by balance work and strength training. “It’s all done lying down the first day,” Campbell reports. “Some of the exercises were easier than others. By the second day I started on more occupational therapy stuff, like getting in and out of the shower and taking stairs.” The therapists quizzed her about her home shower design, the number of stairs she would need to climb and other specifics to get her ready to go home, which she did just two days after the surgery. “I was extremely well prepared to go home,” she says. Though her husband, her mother, a son and a daughterin-law were there to help her for two weeks, “I’m not sure I needed it,” she says. She felt Campbell comfortable on her own in just a week. Campbell continued outpatient PT for four weeks, then worked on her strength and balance at home. Mostly, she walked—“more and more every day,” she says. Five weeks after the surgery, she reported, “I still have some work to do.

courtesy of trihealth

“I was in so much pain, it was affecting my quality of life, so I needed to get this done.”

Can this institute help you be active once more? TriHealth’s Orthopedic and Sports Institute offers a comprehensive range of specialized services at several locations throughout the area. They include:  joint replacement surgery  arthroscopic surgery  fracture and trauma management  sports injury treatment, rehabilitation and preventive conditioning  diagnostic testing  the Heads Count Concussion Program, Greater Cincinnati’s most comprehensive sports concussion initiative  physical therapy  urgent injury clinics for after-hours injury care at the Kenwood and Montgomery offices

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Today’s artificial joints are more durable than those of just a few years ago, says orthopedic surgeon Dirk Pruis, M.D.

According to U.S. National Center for Health Statistics data, the number of hip replacement surgeries performed annually in the U.S. more than doubled from 2000 to 2010, to about 310,000. While procedures rose 92 percent in people age 75 and older, they increased 205 percent in people ages 45 to 54, from 17,000 to 51,900. In addition, the average length of hospital stay following total hip replacement decreased by approximately 1 day for inpatients among all age groups 45 and over. In 2010, inpatients aged 45–54 undergoing total hip replacement stayed an average of three days, which was lower than all other age groups. The goal? Restoring patients to their active lifestyles more quickly, with fewer complications, less pain—and longer-lasting artificial joints.

To find out more about services avail able at the Trihealth orthopedic and sports institute, please call 513.985.3700 or visit TRIHEALTH.COM.

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tktktktktk

Today, more people get ‘hip’

courtesy of trihealth

I walked funny for so long I need to get out of bad habits. I am still using a cane to help me get my gait straight.” But the fact that she is walking at all without any pain is, to her, remarkable. “And Dr. Pruis was right—my other hip stopped hurting, too,” she adds. She is surprised at how rapid her recovery has been. “I know I have a high tolerance for pain, but I didn’t know I would be moving so well in so short a period of time,” she says, adding that “there is some itching at the incision site.” Dr. Pruis isn’t surprised that she’s doing so well, although he notes that “in the old days she would still be on a walker at this point. She is very positive, and very anxious to recover.” For Campbell, that means getting back to doing the things she loves. “I was in so much pain, it was affecting my quality of life, so I needed to get this done,” she says. “I like to shop, and I like to go camping and to visit different towns and walk around. I wasn’t able to do that.” Since the operation, though, she has visited Knoxville, gone camping, taken in the Renaissance Fair near Cincinnati and toured the antiques and crafts shops of small towns in southern Ohio. “I’ve walked more in the past few weeks than I did in two years before that,” she says.


24

hour Emergency Care Bringing our best closer to you.

For your emergency care needs, it’s good to know the same

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quality of care from Bethesda North Hospital is right here in your

• Cancer, Digestive, Heart, Orthopedic & Sport, and Surgical Institutes

neighborhood. We’ve brought some of our best care closer to serve you. To learn more, call 513 282 7000 or visit TriHealth.com.

• Imaging services • Laboratory services

Together We Triumph

• Primary and specialty care physicians • Physical therapy 100 Arrow Springs Boulevard Lebanon, OH 45036 TriHealth.com | 513 282 7000

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award-winning interior designer alexa hampton extends a timeless duo—blue and white—throughout an entire home. And the result is simply stunning.

true blue

Blue and white is an iconic color scheme; people have been falling in love with it for centuries. And many homeowners decide to dedicate one room to the color combo. But decorating an entire house in blue and white? That is another matter entirely—one that Alexa Hampton has tackled with aplomb. “There’s no need to worry about blues matching exactly—it’s the mix of tones and textures that make it interesting,” she explains. Take, for example, the chambray curtains and indigo ginger jar lamps in the sunroom (right), and the floral pillows and chairs and geometric rug in the master bedroom (following page). As Hampton so elegantly demonstrates, success is in the details. Reprinted from Decorating in Detail by Alexa Hampton. Copyright © 2013. Published by Potter Style, an imprint of the Crown Publishing Group, a division of Random House LLC. Photographs copyright © 2013 by Steve Freihon.

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The expansive sunroom is washed in monochromatic blues contrasted with the rugged textures of the braided sisal rug and bamboo blinds.

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The play of geometry is subtle but striking in the family room, which features windowpane plaid walls, a striped rug and a beadboard ceiling.

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Patterns of varying scale and density are layered to beautiful effect in the periwinkle blue master bedroom. The mahogany bedside tables help ground the paler hues.

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A mix of materials and finishes—blue and white cabinets; marble and stainless steel counters; beadboard, flat- and glass-front doors—add visual variety to the large kitchen.

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tastes

3

Au couranl five classic seasonal desserts... with a twist

When the temperature begins to drop, it's time to seek shelter in a toasty kitchen—and start baking. Sure, you can whip up an apple crisp or a pecan pie. But we invite you to venture beyond your baking comfort zone and try one of these wonderful seasonal desserts—all classics, with a twist. Instead of carrot cake with cream cheese frosting, we present parsnip cupcakes with maple frosting. Rice pudding is transformed into luscious persimmon parfaits. And bread pudding benefits from a shot (actually, a quarter-cup) of bourbon blended with silky butterscotch. Chances are, at least one of these sweet treats will become a new favorite.

Steve Legato

Recipes reprinted with permission from WINTERSWEET: Seasonal Desserts to Warm the Home © 2013 by Tammy Donroe Inman, Running Press, a member of the Perseus Books Group.

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Parsnip Spice Cupcakes with Maple Frosting Makes 15 cupcakes n n n n

3

n n n n n n n n n

4 to 6 parsnips 1 cup vegetable oil 1½3 cups granulated sugar ½ cup unsalted butter, melted 1 tsp. vanilla extract 3 large eggs 2 cups all-purpose flour 2 tsp. baking powder ½ tsp. baking soda 1 Tb. ground coriander 2 tsp. ground cinnamon 1 tsp. ground nutmeg ½ tsp. salt

Frosting:

n 4 Tbs. unsalted butter, at room temperature n 4 oz. cream cheese (not light), at room temperature n 5 Tbs. confectioners’ sugar n ¼ cup maple syrup (preferably Grade B) n ¼ cup chopped walnuts

1. Preheat the oven to 350ºF. Line two cupcake pans with 15 paper liners. 2. Grate the parsnips with a box grater by holding each peeled parsnip upside down and rubbing the sides against the large holes of the grater. The central core of some parsnips can be woody and tough. In that case, just grate one side until you hit the core (you will feel more resistance), then rotate and repeat on the remaining sides. Discard the cores. You should have about 2 cups of grated parsnips. 3. In a large bowl, whisk together the oil, sugar, melted butter and vanilla. Whisk in the eggs, one at a time. In a medium bowl, sift together the flour, baking powder, baking soda, spices and salt. Stir the dry ingredients into the wet ingredients until combined. Fold in the grated parsnips. Spoon the batter into the 15 muffin cups just shy of the rims. Bake the cupcakes for 20 to 25 minutes, or until the centers have set. Remove the pans from the oven and let the cupcakes cool completely. 4. For the frosting, in the bowl of an electric mixer, beat the butter and cream cheese until smooth. Sift the confectioners’ sugar on top of the butter mixture and continue to beat until no lumps remain. Add the maple syrup and whip well. 5. Frost the cupcakes and sprinkle them with chopped walnuts if desired.

Steve Legato

The cupcakes can be stored, covered, in the refrigerator for 3 to 4 days.

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tastes Butterscotch Bourbon Bread Pudding Makes one 13 x 9-inch pudding

n 1 loaf of French, Italian, brioche or challah bread, tough crusts removed (about 1 lb.) n 3 large eggs n 1 cup dark brown sugar, firmly packed n 4 Tbs. unsalted butter, melted n ¼ cup bourbon n 1 Tb. vanilla extract n ½ tsp. kosher salt or fine sea salt n 1½ cups milk n 1½ cups heavy cream Topping:

n 4 Tbs. unsalted butter, cubed n ¼ cup light brown sugar, firmly packed n Fine sea salt

1. For the pudding, generously butter a 13 x 9-inch glass baking dish. 2. Cut the bread into ¾-inch cubes and place them in the dish. 3. In a large bowl, whisk together the eggs, dark brown sugar, melted butter, bourbon, vanilla and salt. (If you find yourself with only light brown sugar, use that plus 1 tablespoon of molasses.) 4. Slowly whisk in the milk and cream. 5. Pour the mixture over the bread cubes and press down gently with your hands to get as much bread in contact with the liquid as possible. 6. Let the bread soak for 20 minutes (or longer if using stale bread). 7. Stir the bread cubes with your hands or a spatula so the drier bread on top ends up on the bottom. 8. Let the bread soak for an additional 20 minutes (longer if using stale bread), or until the bread is fully saturated. 9. Meanwhile, preheat the oven to 350°F. 10. Dot the top of the pudding with the butter cubes and sprinkle with the light brown sugar and a few pinches of sea salt. 11. Bake the pudding for 50 to 55 minutes or until the custard is puffed and set and the top is toasty brown. 12. Remove the pudding from the oven and let it cool for 10 minutes. 13. Serve warm with vanilla ice cream and butterscotch sauce.

Steve Legato

The pudding can be stored, covered, in the refrigerator for 3 to 4 days. Reheat before serving.

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Persimmon, Pistachio, and Coconut Rice Pudding Parfaits Makes 6 Parfaits

n 5 cups whole milk n 13½ oz. coconut milk (not light) n 1 cup long-grain white rice (like basmati or jasmine) n 1 cinnamon stick n 2½3 cup granulated sugar n 6 ripe Fuyu persimmons or 3 very ripe Hachiyas or wild persimmons (about 1½ pounds) n ¼ cup chopped, shelled, salted pistachios 1. In a medium saucepan, combine the milk, coconut milk, rice and cinnamon stick over medium-high heat, stirring every few minutes to prevent the rice from sticking to the bottom of the pot. 2. Bring the liquid to a boil, and then reduce the heat to medium-low and simmer uncovered for about 25 minutes, stirring occasionally. 3. Add the sugar and cook, stirring frequently, for 10 to 20 minutes more, or until the pudding is thickened but still creamy and pourable (think risotto). 4. Remove the cinnamon stick. 5. Let the pudding cool to room temperature. 6. When ready to serve, slice the Fuyu persimmons in half along their equators. 7. With a paring knife, score the flesh on the cut side all the way down to the skin in parallel lines about ½-inch apart. 8. Do the same in the other direction, so you get perpendicular lines. Now you have little cubes you can spoon out of the skins when assembling the parfaits. (If using Hachiyas or wild persimmons, you can simply scoop out the soft, jelly-like flesh, removing any seeds.) 8. In small parfait glasses or jelly jars, alternate layers of rice pudding and persimmon, ending with a layer of rice pudding. 9. Sprinkle the chopped pistachios on top. Serve warm, at room temperature, or chilled. Any leftover rice pudding can be eaten plain, straight from the fridge.

Steve Legato

Variation: Try this with pomegranate seeds or kiwi, papaya or mango substituted for the persimmons.

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tastes Pumpkin Ice Cream

1. Whisk the eggs in a medium bowl. 2. Add the sugar and whisk for another minute. 3. Whisk in the puréed pumpkin or squash along with the vanilla, spices and salt. 4. Finally, add the cream and whisk until all the sugar has dissolved, about 1 minute more. 5. Freeze the custard in an ice cream maker according to the manufacturer’s instructions. 6. Transfer the mixture into a freezer-safe container and freeze until firm, at least 8 hours. Homemade ice cream is best eaten within a month.

Steve Legato

Makes 1 quart

n2 large eggs n¾ cup light brown sugar, firmly packed n1 cup puréed pumpkin or winter squash n1 tsp. vanilla extract n1 tsp. ground cinnamon n½ tsp. ground nutmeg n¼ tsp. ground ginger n ¼ tsp. ground cloves n½ tsp. salt n2 cups heavy cream

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Salted Dark Chocolate Tart with Pistachios

MAKES ONE 10-INCH TART OR 9-INCH PIE Crust:

n ½ cup unsalted butter, cut into 8 pieces, at room temperature n ¼ cup granulated sugar n 2 Tbs. cocoa powder n ¼ tsp. salt n 1 cup all-purpose flour n 1 Tb. milk n Few drops of vanilla extract Filling:

Steve Legato

n 1½ 3 cups chopped bittersweet chocolate or bittersweet chocolate chips n 3 Tbs. granulated sugar n ¼ tsp. salt n 1 Tb. Chambord or crème de cassis (optional) n 1¼ cups heavy cream n 2 Tbs. unsalted butter n 2 Tbs. finely chopped pistachios n 1 to 2 pinches large, coarse-grained sea salt

For the crust: 1. Cream together the butter, sugar, cocoa and salt in a medium bowl with an electric mixer. 2. Scrape down the sides of the bowl, then add the flour and mix on medium speed until the mixture looks like clumpy sand. 3. Scrape down the bowl again. Add the milk and vanilla, and mix on low until the dough comes together. 4. Tear off a sheet of plastic wrap and dump the mixture into the center. Knead the dough a few times, and then press it into a disk, wrap it up and refrigerate it for 30 minutes. 5. Roll out the dough on a well-floured surface into a circle about ¼-inch thick and 12 inches in diameter. 6. With a bench scraper or spatula, flip one side of the dough over the top of the rolling pin, gently loosening any dough that may be stuck to the counter, until it is fully draped over the pin. 7. Center the dough over a 10-inch tart pan (or a 9-inch pie plate). Gently press the dough into the corners of the pan without stretching it. Roll the pin over the top of the pan edge to clip off excess dough, and then press the dough against the sides of the pan with your fingers so the dough rises slightly above the edge to compensate for shrinkage. For best results, freeze the dough for 30 minutes before baking. 8. Preheat the oven to 350°F. Remove the tart pan from the freezer and line the inside of the dough with foil. Fill with pie weights all the way to the sides to keep the dough from shrinking (dried beans work well).

9. Bake the crust for 20 minutes, and then carefully remove the foil and weights. 10. Bake for 10 to 15 minutes more, or until the bottom crust is cooked and dry. Let it cool completely before filling. For the filling: 1. Combine the chocolate, sugar, salt and Chambord in a medium bowl. In a small saucepan, heat the cream and butter until the butter has melted and the cream is hot with some bubbles forming around the edges. Do not boil. 2. Pour the cream mixture over the chocolate and let it sit for 1 minute. 3. Gently whisk just until smooth so as not to create air bubbles. 4. Pour the filling into the tart pan and set on an even surface in the refrigerator for at least 6 hours, or until firm. 5. Just before serving, sprinkle the tart with chopped pistachios and 1 to 2 pinches of large, coarsegrained sea salt. 6. Serve with lightly sweetened whipped cream, if desired. The tart is best eaten the day it’s made, but it can be stored, covered, in the refrigerator for 1 to 2 days.

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financial balance

stretch your exercise dollar so, like nearly everyone, you have a goal of dropping a few pounds and getting back in shape. But you’re watching your wallet too—and again, you’ve got lots of company. Can these two lofty ambitions actually coexist? With some crafty maneuvering, the answer can be a resounding “yes!” As Brett Fischer, president and CEO of Gr8FITness, a website devoted to helping people achieve their fitness goals, says: “One can get in great shape without spending a lot of money.” Here are some strategies for getting these two unruly rascals—fitness and finances—on the same page. 1. Negotiate your gym membership rate. Gyms face a lot of competition and can be persuaded to negotiate their rates. It may pay to sign up when gym sales are typically slow (summer and toward the end of the year) and they’re more eager to sign up members. A good negotiating tip: Ask the gym to write off the initial membership fee if there is one. And find out if there’s a discount for paying up front for the year. 2. Simplify your workout gear. Do you really need to spend more money to be seen with a logo? Go with generic, lowcost workout clothing until you can afford the logo-wear…or feel you’ve trained hard enough to earn it as a reward. 3. Gather information and become your own “expert.” “The most effective way to save money on fitness is to do your own research,” says Fischer. Become knowledgeable about dieting and training, and you can reach your health and fitness

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goals faster and more efficiently, saving you money and time. 4. Go back to basics. There’s no reason to blame your financial situation for getting out of shape. Rent workout DVDs from the library, start a walking group or put on a pair of shorts and go jogging. Cost: $0. You can do a tough workout using only your bodyweight (remember push-ups and pull-ups?) and a minimum amount of equipment (jump rope, bands). Alternatives like these may not be cool, but they’re effective. Modern weight training machines are great—if you can afford them. If not, use your creativity and make use of what you have. Does your house have stairs? 5. Join a group; there’s health in numbers. From sharing a personal trainer to joining a health food co-op, there are savings in numbers. Join up with like-minded people and pool your resources. If no group exists, start one. 6. Get the most out of freebie apps and websites. Apps that do everything for you and websites that give you detailed, customized information are a blessing. Check out 7 Minute Workout, a highintensity program; Simply Yoga, which provides 20-, 40- and 60-minute sessions; and YogaYak, which can guide

you to free yoga classes. Count calories, get fitness advice and receive community support from websites like sparkpeople .com and myfitnesspal.com. You’ll also find free workout programs at thetumblr gym.com/workout. 7. See if your company will kick in something. Some employers will give you a rebate on your gym membership—it more than pays for itself with lower healthcare costs. “Employers look at workplace wellness programs as investments,” says Lacie Glover of NerdWallet, a website dedicated to helping people make smarter buying decisions. Your company may also have corporate rates from gyms. According to Glover, “Securing a group rate is one of the most affordable investments an employer can make.” 8. Consider pre-owned equipment. There’s a huge market in used home exercise equipment because many people don’t have the drive that you do, nor are they as careful with their money. Most fitness equipment stores—both online and brick-and-mortar—that sell new equipment also sell pre-owned. But your preference should be to purchase from the previous owner, who’s likely anxious to get rid of it. Check out the offerings on ebay.com too. —MICHAEL ARDIZZONE

thinkstock

want to be fit physically and financially too? heed these 8 tips.

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TriHealth Ad4.pdf 1 7/15/2015 5:41:46 PM

Be Here Moment

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for the

Y

CM

MY

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CMY

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ENGALS.COM / TICKETS 039_CINCY_WINTER16.indd 1

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where toeat f i n e

American

fa m i ly

of the city, 2601 W. 8th St., 513.251.3000

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

J. Austin’s riverbank cafe Southern-style specialties like grilled catfish and shrimp po-boys, 102 Main St., Hamilton, 513.795.7640

BJ’s Restaurant and Brewhouse Handcrafted burgers and deep-dish pizzas with beers brewed on-site, 11700 Princeton Pike, Unit J1A, 513.671.1805

Krueger’s Tavern Contemporar y American bar food with a European influence, 1211 Vine St., 513.834.8670

Bra zenhead Irish Pub Three floors of dining and entertainment with an extensive beer menu, 5650 Tylersville Rd., Mason, 513.229.0809 Charley’s steakery Ser ving quality Philly steaks for more than 25 years, Liber ty Center, 7100 Foundr y Row, Liber ty Township Opening Soon The cheesecake factory Inventive American cuisine with an extensive desser t menu focusing on cheesecake, Liber ty Center, 7612 Blake St., Liber ty 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, Liber ty Center, 7622 Blake St., Liber ty Township Opening Soon 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 ser ved against a stunning view

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Melt ecletic cafe Vegetarian restaurant specializing in sandwiches and meat substitutes, 4165 Hamilton Ave., 513.681.6358 Metropole Contemporar y dishes cooked in a wood-burning fireplace, 609 Walnut St., 513.578.6660 Mitchell’s Fish Market Specializing in off-theboat-fresh fish, 9456 Water Front Dr., West Chester, 513.779.5292 northstar cafe Hearty, healthy American fare with a renowned brunch ser vice, Liberty Center, 7610 Sloan Way, Liberty Township Opening Soon Orchids at Palm Court Contemporar y American food at a Hilton’s well-established fine-dining restaurant, 35 West Fifth St., 513.421.9100 the original Montgomery Inn Cincy staple well-known for its BBQ ribs, 9440 Montgomer y Rd., Montgomer y, 513.791.3482 Palace Restaurant Inventive fine-dining 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 piz za and beer

establishment featuring bar food, Liberty Center, 7621 Gibson St., Liberty Township, 513.755.7437 The Presidents Room Eclectic menu that blends contemporar y American, Italian and German flavors, 812 Race St., 513.721.2260 Red Roost tavern Contemporar y American fare with organic, farm-to-table ingredients, 151 W. 5th St., 513.579.1234 rick’s Tavern & Grille Friendly neighborhood drinker y ser ving up pub grub amid 50 flat-screen T Vs, 5955 Boymel Dr., Fair field, 513.874.1992 The Rookwood Bar and Restaurant Burgers, pasta and other traditional American classics, 1077 Celestial St., 513.421.5555 the rust y bucket Relaxed, family-friendly neighborhood tavern, Liber ty Center, 7524 Bales St., Liberty Township, 513.463.2600 Ryan’s tavern Authentic Irish pub and gathering place situated in a restored 1890s building, 241 High St., Hamilton, 513.737.2200 Salazar Casual contemporar y American fare with farm-inspired lunch and dinner menus, 1401 Republic St., 513.621.7000 Senate Restaurant Casual contemporar y American eater y specializing in upscale hot dogs, 1212 Vine St., 513.421.2020 Skyline Chili It’s a Cincy staple, famous for its chili ser ved as Cheese Coneys and 3-Ways, multiple locations including 10792 Montgomer y Rd., 513.489.4404 Slatts Relaxed neighborhood pub with plenty of plasma T Vs for watching the game, 4858 Cooper Rd., Blue Ash, 513.791.2223

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STone Creek Dining Company A varied menu of sandwiches, salads, seafood and steaks, multiple locations including 9386 Montgomer y Rd., Montgomer y, 513.489.1444 and 6200 Muhlhauser Rd., West Chester, 513.942.2100 Tano bistro & Catering Contemporar y bistro in historic Loveland, featuring fresh ingredients and a menu that changes with the seasons, 204 W. Loveland Ave., 513.683.8266 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 W.G. Kitchen & bar Neighborhood bistro and retail wine shop where you can buy a bottle to take home, 3371 Princeton Rd., Hamilton, 513.887.9463 The Wildflower cafe Farm-to-table fare ser ved in a converted centur y-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, 275 Pictoria Dr., Springdale, 513.671.7667

French

Via Vite Casual dining of stone-fired pizza and fresh pastas with alfresco courtyard seating, 520 Vine St., 513.721.8483

Me xican

Bakersfield Authentic Mexican street food with extensive tequila and whiskey menus, 1213 Vine St., 513.579.0446 Chuy’s Eclectic Tex-Mex eater y featuring handmade tortillas, 7980 Hosbrook Rd., 513.793.2489 El Pueblo Authentic Mexican fare made from secret family recipes, 4270 Hunt Rd., Blue Ash, 513.791.4405 Jefferson Social Upscale Mexican fare with extensive cocktail weekend, 101 E. Freedom Way, 513.381.2623 Mazunte Taqueria Mexicana Casual Mexican eater y with trendy, festive decor, 5207 Madison Rd., 513.785.0000

Rodizio grill Bra zilian steakhouse ser ving up succulent meats and authentic sides, Liberty Center, 7630 Gibson St., Liberty Township, 513.777.4777

Delicio coal-fired Pizza An artisan pizzeria that fuses rustic Italian traditions with the smoky flavors of the U.S. Southwest, 9321 Montgomer y Rd., Montgomer y, 513.834.5460 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

Sbarro Casual eater y ser ving up New York-style piz za and pastas, Liberty Center, 7100 Foundr y Row, Liberty Township, 512.443.8300

Zula Eclectic menu of Greek tapas dishes and extensive wine and craft beer lists, 1400 Race St., 513.744.9852

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

Piz z a

Greek/Mediterranean

Raya’s Lebanese Mediterranean food, specializing in kabobs and gyros, 801 Elm St., 513.421.0049

Morton’s The Steakhouse Popular steak house and seafood restaurant overlooking Fountain Square, 441 Vine St., 513.621.3111

Prime 47 Upscale menu featuring prime cuts and a wine vault, 580 Walnut St., 513.579.0720

Richards Pizza Local chain ser ving up pies since 1955, multiple locations including the original at 417 Main St., Hamilton, 513.894.3296

Phoenician Taverna Mediterranean cuisine in a trendy but casual setting, 7944 S. Mason Montgomer y Rd., Mason, 513.770.0027

Moerlein Lager House Fine-dining establishment with a view of the river, 115 Joe Nuxhall Way, 513.421.2337

qdoba Casual Mexican grill, Liberty Center, 7100 Foundr y Row, Liberty Township, 513.755.0486

Taste of Belgium Waffles and crepes (both sweet and savor y) at this local favorite, multiple locations including 1133 Vine St., 513.381.4607

Palomino Offering a mix of Mediterranean and contemporar y American cuisine with a view of Fountain Square, 505 Vine St., 513.381.1300

McCormick & Schmick’s Steak house and seafood with extensive bar menu and tapas options, 21 E. 5th St., 513.721.9339

THe Precinct The original Jeff Ruby’s location features fine steaks and seafood in a turn-of-thecentur y setting, 311 Delta Ave., 513.321.5454

LaRosa’s Pizzeria Casual pizza joint ser ving the area for more than 60 years, multiple locations

Durum Grill Small, casual gyro eater y loved by the locals, 4764 Cornell Rd., 513.489.4777

Jeff Ruby’s Steakhouse Reser vations highly recommended at this high-end steak house, 700 Walnut St., Ste. 206, 513.784.1200

Nada Extensive menu of traditional Mexican favorites, 600 Walnut St., 513.721.6232

Jean-Robert’s Table Exquisite French cuisine with a weekly-changing lunch menu, 713 Vine St., 513.621.4777

Abigail Street Inventive cuisine with cheese menu and wine on tap in a trendy but casual setting, 1214 Vine St., 513.421.4040

5980 West Chester Rd., West Chester Township, 513.860.5353

Steak House

Bistro on Elm Located within the Millennium Hotel Cincinnati, this bright spot offers steaks, seafood and pasta, 150 W. 5th St., 513.352.2189 Carlo & Johnny Another winner from Jeff Ruby ser ving prime steaks, seafood options and bountiful sides in an elegant space that was once a stagecoach stop, 9769 Montgomer y Rd., 513.936.8600

Tony’s of Cincinnati Huge portions of prime beef and the freshest seafood (salad and potato included) are the hallmarks of this steak house from Tony Ricci, 12110 Montgomer y Rd., 513.677.1993

SUSHI/ASIAN FARE

Asian Paradise Asian fusion restaurant and lounge offering popular happy-hour specials, 9521 Fields Ertel Rd., Loveland, 513.239.8881 bibibop Healthy Korean meals that include quality proteins, vegetables, gluten-free grains and Asian sauces, Liberty Center, 7616 Blake St., Liberty Township, 513.310.6615 crave Sushi bar that also features casual American fare, 175 Joe Nuxhall Way, Ste. 125, 513.241.8600 fusian Sushi bar with create-your-own rolls, fresh juices and healthy side dishes, 600 Vine St., 513.421.7646 Kaze Trendy sushi and Japanese gastropub featuring a beer garden, 1400 Vine St., 513.898.7991 Kona grill Innovative exotic entrees, award-winning sushi and fresh fish, 7524 Gibson St., Liberty Center Mall, Liberty Township Lords Sushi Fresh Japanese and Korean fare, 6679 Dixie Hwy., Fair field, 513.870.0067

Celestial Steakhouse Upscale steak house and seafood restaurant with an impressive view, 1071 Celestial St., 513.241.4455

Quán Hapa Asian fusion and gastropub with trendy setting, 1331 Vine St., 513.421.7826

Jag’s steak & Seafood Sur f and tur f is ser ved in the dining room or the high-energy piano bar,

Mango Tree Casual eater y ser ving Thai cuisine and sushi, 7229 Wooster Pike, 513.271.0809

Thai

Italian

Boca French and Italian dishes, NYC-style pizzas and a gluten-free menu, 114 E. 6th St., 513.542.2022 Brio Tuscan grille Ser ving high-quality steaks, housemade pasta and flatbreads prepared in an authentic Italian oven, Liber ty Center, 7600 Gibson St., Liber ty Township, 513.759.4500 Bravo Cucina italiana Upscale-casual chain ser ving Italian classics with a twist amid Romanruin decor, multiple locations including 5045 Deer field Blvd., Mason, 513.234.7900 and 9436 Water front 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 Pitrellli’s A true mom-and-pop dining experience with cuisine from several regions of Italy, 404 2nd Ave., Mason, 513.770.0122 Primavista Traditional Italian entrees with wine menu and a view of the city, 810 Matson Pl., 513.251.6467 Sotto Trendy Italian restaurant ser ving small plates and handmade pastas, 118 E. 6th St., 513.977.6886 Cincinnati HE ALTH & Life

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Gatherings

Hike for Hospice and Trihealth 5k

More than 1,000 walkers and runners showed their support for Hospice of Cincinnati and Hospice of Hamilton at the 34th Annual Hike for Hospice and TriHealth 5K. The events raised more than $30,000, helping Hospice to continue to provide grief services, spiritual counseling, volunteer support and holistic services such as healing touch, massage, and art, music and pet therapy.

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be there D E C ember

JA N UA RY

F E B RUA RY

A sneaker instead of a glass slipper? See the new version of Cinderella at the Ensemble Theater. Dec. 2–Jan. 3.

Check out Christmas items from the 1800s at Cincinnati’s Taft Museum through Dec. 31.

THROUGH DEC 31Will Ralphie get his Christmas wish, a Red Ryder Carbine Action 200-shot Range Model air rifle? Follow the adventures of Ralphie and his kooky family in A CHRISTMAS STORY, a live-action retelling of the 1983 film put to music at La Comedia Dinner Theatre in Springboro. Enjoy a pre-show buffet dinner. Tickets: $57–$73 (or $30 for children 11 and under). Visit lacomedia.com to see times and buy tickets.

THROUGH JAN 3 Get a glimpse of holidays past—including 19th-century toys and ornaments—at the Taft Museum of Art’s ANTIQUE CHRISTMAS exhibition. Want to learn more? On Dec. 11, Kathy and Stewart “Greg” Gregory, lenders to the exhibition, will give a gallery talk at 1:30 p.m. Exhibit tickets: $10 (adults), $5 (children 6 to 17), FREE (on Sundays). Visit taftmuseum.org.

THROUGH JAN 24 See how fashion evolved from 1910 to 1980 at the Cincinnati Art Museum’s exhibition HIGH STYLE, which features garments and accessories from the Brooklyn Museum’s collection. Among designers represented are Chanel, Dior and Givenchy. Additional programming

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includes an American Sign Language tour (Dec. 19, 11 a.m.) and a pattern-making class for kids (Dec. 19, 1–3 p.m.). FREE admission. See cincinnatiartmuseum.org.

DEC 2–20 See Jonathan Larson’s rock musical RENT at the Warsaw Federal Incline Theater. The story, loosely based on the opera La Bohème, follows struggling artists in 1990s New York City. Tickets: $26 ($23, students and seniors). Visit cincinnatiland markproductions.com/incline to learn more.

DEC 2–JAN 3 The rags-to-riches classic CINDERELLA is presented at Cincy’s Ensemble Theater. This family-friendly musical takes a new angle, delivering the message that intelligence is more important than beauty, and features a missing sneaker in place of a glass slipper. Tickets: $18–$44. Purchase tickets at ensemblecincinnati.org. DEC 5 Lebanon’s HORSE-DRAWN CARRIAGE CHRISTMAS PARADE gained national attention when Martha Stewart featured it on television. There’s a holiday street festival, with entertainment and vendors selling food and crafts. This year

the festival runs from 10 a.m. to 8 p.m., with parades at 1 and 7 p.m. Admission: FREE. See lebanonchamber.org for more details.

DEC 6–26 Eric Wolf’s one-man rendition of the Dickens classic A CHRISTMAS CAROL in three acts is unlike all the others. It incorporates the audience and adds a bit of comedy. The 60-minute dinner-theater show at Hammel House Inn in Waynesville includes a meal. Tickets: $49.95. Go to thehammelhouseinn.com for more details. DEC 11–13, 18 Make something to decorate your home and learn about the art of glass blowing at Neusole Glassworks’s ORNAMENT BLOW in Forest Park, from 10 a.m. to 8 p.m. In 30-minute sessions participants learn how to craft a one-ofa-kind globe ornament out of hot glass. Advance reservations required; minimum age 5 years. Cost: $35 per ornament. Learn more at neusoleglassworks.com. DEC 11–13, 18–20 Celebrate Cincinnati’s German history with the group Cincideutsch at its annual CHRISTKINDLMARKT, an authentic German holiday mar-

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ket in Fountain Square for two December weekends (times vary). Buy works by local and visiting artists as gifts, or just enjoy the live entertainment, German fare and Glühwein (a hot spiced wine). Admission: FREE. Visit cincideutsch.com for details.

DEC 12 Evendale’s Gorman Heritage Farm presents GINGERBREAD HOUSE MAKING in its Sunflower Room, 1–3:30 p.m. All ages can learn how to make gingerbread from scratch and then craft the result into a holiday decoration. Cost: $60 (plus $30 for each extra gingerbread house). Preregistration required at gormanfarm.org.

DEC 18–27At FRISCH’S PRESENTS THE NUTCRACKER at the Arnoff Center for the Arts, the Cincinnati Symphony Orchestra plays the Tchaikovsky score as ballerinas bring this classic story to life. (Come during matinee performances Dec. 23 or 26 for the Sugar Plum Parade—a chance to walk on stage after the show to see the sets and the dancers.) Tickets: $32–$85 at cballet.org.

p.m. Tickets: $35 (adults), $26 (kids). Make a reservation at bbriverboats.com.

Historical Society. Go to wchsmuseum.org for times and directions.

JAN 2–3 The tradition of the ANNUAL

JAN 30 The CINCINNATI CYCLONES

BOAR’S HEAD AND YULE LOG FESTIVAL goes back to the mid-1300s. Since 1939, Christ Church Cathedral has been presenting its own version, featuring actors playing lords, knights, ladies and wise men in a carol-filled ceremony; a Nativity retelling; homemade yuletide foods and, as tradition insists, a lighting of last year’s Yule log. Free tickets will be distributed to the public at the cathedral Dec. 12 at 8:30 a.m. (two per person). Learn more at christchurchcincinnati.org.

FROZEN 5K RUN/WALK at the U.S. Bank Arena, 9 a.m., takes runners along the Ohio River and underground through Cincinnati’s Transit Center. Afterward, warm up with free hot cocoa, then return at 7:30 p.m. for the Cyclones’ pink in the rink game to support breast cancer research. Registration: $30 (before Jan. 1), $35 (later). Visit cycloneshockey.com/5k to sign up.

JAN 5–17 With music and lyrics by

DEC 31Welcome 2016 in style on board

pop legend Cyndi Lauper and a book by Broadway star Harvey Feinstein, KINKY BOOTS took New York by storm. Now it comes to the Arnoff Center for the Arts, as part of Broadway in Cincinnati, presented by TriHealth. A young man inherits his father’s failing shoe factory and ends up taking his business in a new direction thanks to a cabaret singer named Lola. Times and tickets are available at cincinnati.broadway.com.

BB Riverboats’ four-hour HOLIDAY SEASON CRUISE, 8 p.m. There’s a buffet dinner, entertainment and champagne at midnight— plus late-night snacks and prizes. Tickets: $105 (adults), $65 (children). Or parents who’d rather have an early celebration with their children can opt for the New Year’s Eve Kids Cruise from 10:30 a.m. to 1:30

JAN 16–17 Love collecting unique items from the past? Drive out to the LEBANON ANTIQUE SHOW at the Warren County Fairgrounds. Dealers from all over will be selling everything from furniture to art to jewelry. Admission $8 (for both days), and proceeds benefit the Warren County

FEB 5–6 Classical pianist LEON FLEISHER, who won fame as a child prodigy, kept playing as he lost—then regained— the use of his right hand. He performs at the Cincinnati Symphony Orchestra for a matinee show (11 a.m.) on Friday and an evening show (8 p.m.) on Saturday. Tickets: $10–$110. Visit cincinnatisymphony.org. FEB 8 With Valentine’s Day just around the corner, take a special someone to AN EVENING WITH NATALIE COLE at the Music Hall, 7 p.m. The Cincinnati Pops Orchestra will accompany the Grammy winner as she sings her hits. Tickets: $15 and up. Go to cincinnatiarts.org to order. Send event listings to: Cincinnati Health & Life, 110 Summit Ave., Montvale, NJ 07645; or email editor@wainscotmedia.com. Listings must be received two months before the event and include a phone number/website that will be published.

An “Unforgettable” evening awaits those who catch the act of singer Natalie Cole Feb 8.

The Annual Boar’s Head and Yule Log Festival keeps medieval traditions alive—and lively, Jan 2–3.

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Escapes

ski it while you can Have you made your downhill bucket list? Now is the time! by harry dowden

Warren Miller, beloved maker of ski films, utters a trademark line at the end of each movie: “If you don’t ski it this year, you’ll be another year older when you do!” Inspired by his spirit, I’ve put together a skiing bucket list—a selection of iconic mountains and resorts that beg to be skied while you still can. Any such list is by nature highly subjective. Read mine, and you may launch into an imaginary argument with me. OK, then, which hills would you substitute? Make your own list, and the very act will increase the chances that you ski these great destinations sooner than later or not at all. Arapahoe Basin Hardcore skiers with a mellow ’tude flock to A-Basin for the longest season in North America, which typically stretches from mid-October to July. “The Legend” also has the highest altitude inbounds skiing on the continent (tied with Telluride and Silverton), which, along with north-facing slopes, helps keep the snow fresh. During the 2007/08 season, the Montezuma Bowl expansion added 400 acres to the backside of Arapahoe Basin—blue, black and double black slopes for a total of 36 additional runs. Banff Nestled in the national park whose name it shares, the town of Banff offers an elegant year-round perch from which to enjoy the Albertan wilderness. With skiing at Ski Norquay, Lake Louise and Sunshine Village, winter is the best time to visit. One lift ticket gives you access to the three peaks, 8,000 skiable acres, the best on-piste views in the hemisphere and the chance to ski amidst wildlife. Carving with wolves got your heart pumping? The après scene will take the edge off. Kitzbühel If the charming town doesn’t captivate you, then surely the breathtaking scenery of the Eastern Alps will. Not that any serious skier would need convincing to make a pilgrimage to Kitzbühel: The Streif course, home to the Hahnenkamm race, is the stuff of downhill legend, and the rest of the resort has had more than a century to build its reputation. Fill up on hearty Tyrolean fare, and then head out to some of the most storied runs in skiing.

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Les Trois Vallées If you were to assume that each of the three valleys corresponds to a single French ski resort, you’d be sorely mistaken. If you were to try and ski each resort, well, you’d just be sore. Attempting to conquer the eight resorts over three valleys (technically four, but who’s counting?) might be hell on your knees, but you’ll limp away with the honor of having explored the single largest lift-served ski area in the world. The question isn’t whether to go, but where to start. Portillo The best way to satisfy a ski jones in the summer months is to fly to where it’s winter—in the Chilean Andes. The go-to resort is Portillo, which offers everything from well-maintained cruisers, guided excursions down the off-piste terrain and even per-run heli-skiing flights to the surrounding peaks. There is one big yellow hotel (yes, yellow), no town to speak of and few commercial distractions—just great skiing and a party atmosphere. Stowe What better way to celebrate Vermont, a skiing state at heart, than to tackle its highest peak, Mt. Mansfield? From the renowned Front Four slopes to pristine cross-country trails, Stowe nicely sums up what the East has to offer. Ride the transfer gondola between Mansfield and Spruce Peak for one of the best views of the Green Mountains. And the village of Stowe? It’s New England postcard-perfect. Sun Valley Idaho may not have the highest reputation when it comes to skiing or culture, but a visit to Sun Valley will put any jokes to rest. Home of the world’s first chairlifts, the resort has been creating and captivating skiers since the 1930s. The main hill, Baldy, has plenty of vertical, snow and sunshine, plus an almost complete absence of wind. Once your boots are off, anything from a quiet look through a gallery to drinks while a jazz combo plays will offer a taste of Sun Valley’s thriving arts scene. Tuckerman’s Ravine At this New Hampshire gem, weekend warriors are barred from checking e-mails on the lift between runs. That’s mainly because there are no lifts. As spring arrives and avalanche danger passes, tradition dictates that aspirants climb to the summit with skis flung over a shoulder or strapped to the back. Once on top, a number of challenging routes and chutes offer a thrilling way back down. Vail The smooth groomers of the front side appeal to all ranks, but the real grail of Vail lies in its back bowls. Staying knee deep and steep from Sun Up to Sun Down (Bowls) never disappoints. For further diversion, head to the gladed playground of Blue Sky Basin. The resort celebrated its 50th anniversary in 2013, and it’s hard to imagine a time when this peak went through whole winters untouched—even harder to imagine yourself leaving once you get there. Zermatt Between the gemütlich town and the wild beauty of the Matterhorn, Zermatt looks almost like a Hollywood set. Four ski areas offer plenty of variety. Here you can strap on the planks 365 days a year, although skiing can get down to two on-glacier slopes in June. It’s even possible to ski from Switzerland into Italy for lunch. Motorized traffic is banned from the town, which is dotted with centuries-old chalets. This is perhaps the best place in the world to get your fondue on.

Clockwise from opposite page: A skier tackles the steeps at Les Trois Vallées in the French Alps, the largest lift-served ski area in the world. A powder hound enjoys the descent at Ski Norquay in Banff, Alberta, where the Canadian Rockies provide a picturesque backdrop. Lights twinkle in the Swiss village of Zermatt, where motorized traffic is banned. In the background, the jagged Matterhorn stands out against the evening sky. The quaint town of Kitzbühel, Austria, would be worth a visit even without the epic skiing. That towering spire is the real deal: Built in the 14th century, it tops St. Catherine’s Church.

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power food

the perfect date

Why not schedule a rendezvous with this sweet, nutritious fruit? As a kid, you may have rolled your eyes at a relative who called some dried fruit “nature’s candy.” But for the date—the fruit of a plant called the date palm, or Phoenix dactylifera—the phrase fits. It’s one of the few foods that can satisfy a sugar craving while delivering a host of health benefits. Dried or fresh, this wrinkled brown fruit will never win a beauty prize, but as a sweet temptation you can guiltlessly give in to, it’s flawless.

um, important for blood-pressure control and kidney function. With upwards of 15 minerals and six vitamins, the date is a wellrounded food. Its abundant fiber (more than half a gram per fruit) helps keep you regular, it contains fluorine that works against tooth decay, and a study at Jordan University of Science and Technology even showed that date consumption during pregnancy may promote a more efficient labor.

Power up

DID YOU KNOW?

Boasting a higher calorie count per weight than many other foods (about 80 calories to the ounce), dates are a convenient source of energy if you find yourself in need of a boost. And they have especially high levels of potassi-

Dates are traditionally the first foods eaten after the day’s fast at sunset during the Muslim holy month of Ramadan; the prophet Muhammad is said to have broken his fast

with three dates. In 2005, a 2,000-year-old date seed sprouted in Israel after being uncovered in ruins; it’s now ready to pollinate other trees. Cultivation is going strong today; it’s estimated that more than 7 million tons of dates are harvested each year, with Egypt, Iran and Saudi Arabia the world’s leading producers.

BUY/STORE/SERVE To select fresh dates, look for those with smooth, glossy skins and avoid the ones with white material on the skin—it’s just crystallized sugar that develops naturally, but it means fruits aren’t the freshest. Fresh dates can last in the fridge for up to a month. Dried dates, on the other hand, can keep for several months in an airtight container. Nuts are a frequent protein-rich companion for dates; the fruit’s flavor pairs especially well with walnuts and almonds. But don’t be afraid to experiment! Replace the pits with pieces of strong, soft cheese, wrap the entire date in a piece of cured meat, or chop dates up for a wonderful addition to baked goods. (Baklava, anyone?) If you enjoy the flavor, take some time to explore the wealth of traditional recipes and cuisines that use dates. —HARRY DOWDEN

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