hln december 2015

t

Your Monthly Guide to Healthy Lifestyles

Also in this issue:

December 2015 • FREE Also available at hlntoledo.comHee lthy Li ing N wsee

• Winter skin spruce-up• Timely fall-prevention tips• From Homs to homes• Collaborating for cognitive health• Minimally invasive neurosurgery

We were meant to listen, help, heal.mercy.com

A handmade holiday at

Sauder Village

NutriMost success stories

Winter skin spruce-up

Harvey L. HandLer, m.d. FeLLow american academy oF dermatoLogy • Board certiFied in dermatoLogy

5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital)

419.885.3400

ADULT,PEDIATRIC,

& COSMETICDERMATOLOGY

HAIR & NAILS

Reduce lines, fade sun spotsSmoother, tighter, younger-looking skin on face, arms, and chest

No surgery. No injections. No downtime.

clear +brilliant

Very few individuals realize that 80% of their facial appearance with aging

is due to sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler.

The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging areas of the neck, jowls, upper arms, and abdomen. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected. This heating of the dermis causes immediate collagen contraction and tightening followed by new collagen production over a period of time. This proce-dure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only ONE treatment, results are seen before leaving the of-fice. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain. The NEW Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients.

For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas. The results are diminished lines and a more “wide awake” and less tired appearance. These products are also fantastic to reduce anxiety-induced underarm sweating for months after injections. This is also performed entirely by Dr. Handler with minimal pain with results lasting 5-7 months and longer.

The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette lines (the sad look) from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad! Since these products are combined with a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the injection of a new filler called “Restylane Silk.” This product markedly improves upper and lower lip lines (lipstick runs uphill). Restylane Silk also volumizes your lips and restores their natural curve while look-ing attractive and natural. Restylane Silk also can be utilized to minimize the “worry lines” between your eyes. There is no downtime with these non-invasive procedures.

For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless proce-dure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio.

Prospective clients who decide to have non-ablative cosmetic procedures performed by Dr. Handler are not gender specific. Men are now utilizing products and having procedures to maintain their younger and vibrant look just as are women. Males seeking cosmetic procedures have tripled over the past 10 years in their desire to recapture their younger appearance. Age is not a factor in deciding to improve your self-image. Whether you seek to improve the appearance of your aging face, neck, or other “sagging” areas due to competition in the work force or simply for your own self-esteem, these procedures and anti-aging products are for you!

Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler. To view be-

fore-and-after photographs of patients who have had these procedures performed by Dr. Handler, visit www.drharveyhandler.com. For more detailed information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. Be sure to ask about specials available on many cosmetic procedures and products to diminish the signs of aging and obtain a more vibrant and youthful appearance of your skin.

Dr. Handler is currently offering special holiday discounts on all skin-care products. Call his office for complete details.

Also, please remember to have a yearly full body exam conducted by a board-certified dermatologist to check for skin cancer.

Hair loss in men and womenAre you losing hair from surgery, anaesthesia, illness-es, pregnancy and delivery, medications, genetics, or “normal” hair loss secondary to aging or low blood levels of nutrients?

There are many causes of hair loss in men and women. Most are not simply due to age, and many are frequently treatable. Now these problems of hair loss can be evaluated and there is hope for reducing your hair loss and stimulating new growth. Dr. Har-

vey Handler, board-certified dermatologist of Sylvania, Ohio, has a medical treatment for increasing blood flow to the hair follicle, thereby decreasing hair loss and increasing growth in many patients!

After appropriate examination of your scalp hair and blood testing is performed by Dr. Handler to rule out treatable medical causes, Dr. Handler will discuss a product to decrease hair loss, increase growth, and

cause the hair you have be fuller and thicker. This is not a product that is forever, but for months only. This new treatment works with or without Rogaine (minoxidil, which is forever) for reducing loss and promoting growth.

Call Dr. Handler’s office to set up an appointment for a thorough evaluation and discussion of your particular hair loss and the therapy that may be in-dividualized for you. Don’t assume because it “runs in the family” that you can do nothing to slow your hair loss. Most patients notice a decrease in loss in 30-60 days! ❦

www.drharveyhandler.comRejuvenation of aging handsPhotodamage plays a major role in the appearance of the hands and can give away one’s true age. The most common reason for treatment is brown (age) spots on the top of the hands and a “skeleton-like” appearance of the skin. This unfortunate result of sun damage can be greatly improved by utilizing a laser to destroy the brown spots. Further, Dr. Handler can reduce the signs of aging of the hands (veins and tendons showing through) with products that are used for facial sagging and wrinkling. Many patients have been treated for this form of “hand aging” with excellent results.

AROUND TOWN Wolcott House reopens for holiday tours, 40; Lucas County Children Services kicks off Holiday Gift Drive, 42; Mercy Children’s Hospital asks community to “Band Together for Kids” this holiday season, 43.

Dear Readers,Thank you for picking up the December issue of Healthy Living News. We understand how chaotic the holiday season can be, and we sincerely appreciate that you’ve chosen to share a few precious moments with us. Rest assured it will be time well spent! We’re confident you’ll find something in the pages of this jam-packed issue that informs, inspires, or entertains you.

Of course, one of the biggest challenges this month is finding suitable gifts for all the special people in your life. Rather than attempt to chase down all the latest-and-greatest holiday gift trends, why not do something different this year by presenting your loved ones with handmade items produced by the artists and craftsmen at Sauder Village? Check out the article on page 18 for some

one-of-a-kind ideas!While the holiday season is

certainly heartwarming, it also ushers in hazardous wintry weather and shorter days. To help prevent debilitating injuries related to winter’s ice and snow, Dr. Jeffrey Bair of

ProMedica Physicians Orthopaedics offers some timely tips for winter fall prevention on page 5. In the article on page 36, licensed clinical psychologist Dr. Kyle Barry of Mercy St. Vincent Family Care Center shares his insights on the cause and potential treatment options for seasonal affective disorder, or SAD.

Also in this issue, Dr. Sherry-Ann Jenkins, PhD, of the Toledo Clinic Cognitive Center discusses how she is developing important partnerships with other practitioners, organizations, and senior facilities in our community to strengthen access to holistic

cognitive care (p. 27); Dr. David Brown of The Toledo Clinic Cancer Centers offers readers a closer look at lymphoma (p. 7); Brandi Barhite of University of Toledo Health writes about UTMC’s new lung cancer screenings, offered every Tuesday at the Lung Nodule Clinic (p. 29); and Laurie Gross of Gross Electric shares her perspectives on how the different types of home lighting can improve our lives (p. 22).

Remember, if you’re inspired to take advantage of any of our advertisers’ products or services, be sure to tell them you saw it in the pages of HLN! On behalf of everyone here at HLN, I’d like to wish you and yours the very best this holiday season.

Until next month, stay safe, active, and healthy!

December 2015 • Vol. 20, Issue 12

Your Monthly Guide to Healthy Living

@HLNToledo

Connect with Friends who Like Healthy Living News!

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FOOD & NUTRITION10 Eating WEll Healthy holiday recipe substitutions

by Laurie Syring, RD/LD

HEALTH & BEAUTY2 Winter skin spruce-up7 A closer look at lymphoma8 NutriMost participants share their fat-burning

success stories12 Acupuncture: What is it good for?

by Douglas A. Schwan, DC, Dip ac20 10 tips for better hearing at holiday gatherings

by Randa Mansour-Shousher, AuD, CCC-A27 Toledo Clinic Cognitive Center takes collaborative

approach to memory care28 Laurels’ Anti-Gravity Treadmill is “miracle

machine” in eyes of local rehab patient29 UTMC physician promotes early detection of lung

cancer, by Brandi Barhite36 With treatment, SAD sufferers can reclaim joy of

holiday season38 Let’s make sure our dentists can smile—and hear

by Randa Mansour-Shousher, AuD, CCC-A39 Holiday health tips from Heartland Rehab!

by Jim Berger41 Small incisions but big relief: Neurosurgeons do

minimally invasive surgeries by Christine A. Holliday

TAKING CARE OF YOUR LIFE5 Make sure you have the health insurance coverage

you need5 ProMedica physician offers timely tips for winter

fall prevention14 nobody’s PErfEct We ought to be in pictures

by Sister Karen J. Zielinski, OSF19 Health Crossword, by Myles Mellor22 Lighting affects your life in many ways!30 Gift giving across the generations31 a Walk in thE Park Plan now for your national parks

trip in ’16, by LeMoyne Mercer35 The senior community transition:

What are you really leaving behind?40 It’s never too early to set your New Year’s

fitness resolutions, by Amanda Manthey42 Achieve “relative peace” this holiday season44 Keep your ficus looking fabulous!

OUR COMMUNITY16 From Homs to homes: a tale of Syrian refugees17 Senior Living Guide18 Celebrate a handmade holiday at Sauder Village23 Advanced Healthcare Center opens pulmonary

ventilator unit24 sPiritually sPEaking From farmland to park to village

in 100 years, by Sister Mary Thill26 Kingston helps people combat Parkinson’s

CHILDREN & PARENTING37 The trend(s) we need to change

by Mark S. Faber, USPTA Elite Professional

In your home or ours.Your husband’s doctor just told you it’s time for hospice care. You’re overwhelmed and aren’t sure where to start. At ProMedica Hospice we provide our compassionate, patient-centered care anywhere you call home – whether it’s in your home, an assisted living or nursing facility or at Ebeid Hospice Residence.

ProMedica is the local health care system that can help you and your husband on this journey by providing expert guidance, care and support. It’s all about being well connected.

To connect with ProMedica Hospice, call 419-824-7400.

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4 December 2015 | Healthy Living News We love feedback. Like us on Facebook. Follow us on Twitter.

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Winter’s slick, icy conditions significantly increase the risk

of slip-and-fall accidents for peo-ple of all ages. But the stakes can be much, much higher for seniors who experience such a fall—especial-ly if they have decreased bone mineral densi-ty stemming from osteopo-rosis. For them, a simple slip on an ice-covered surface can lead to a painful, in-capacitating frac-ture that deprives them of mobility and independence.

Jeffrey Bair, MD, of ProMedica Physicians Orthopaedics, notes that his practice sees a lot of ankle and wrist fractures owing to slips on icy steps,

porches, sidewalks, and driveways at this time of year. “And when we start to get snow and older parents

and grandparents are out there trying to shovel, you have to add in the risk of upper-extremity, shoulder, and hip fractures. In older patients, these injuries can be very debilitating and dif-ficult to fix with the potential for prolonged downtime,” he says.

What’s more, Dr. Bair points out, if a fall on icy pavement results in a broken hip, pelvis, or femur, the individual may be unable to get back up. If he or she is alone and doesn’t have a cell phone on hand (or is

unable reach it), many hours may pass before help arrives, in which case hypothermia and frostbite can become a major issue. “Plus, shoveling snow is a very physically demanding, highly aerobic activity so it increases

Dr. Jeffrey Bair

Make sure you have the health insurance coverage you need

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At Medical Mutual, we’ve served Ohio for more than 80 years with a focus on providing people with the best health insurance available. That’s why we offer a variety of plans with different benefits, prices, and deductibles to meet your needs. Open enrollment runs from November 1 through January 31, 2016, and we’d be glad to work with you.

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include different networks of care providers. By visiting our website or talking to us, you can find a plan with the doctors you already know and trust.

Finally, we can help you determine what type of plan

fits you best. A high-deductible plan typically offers lower monthly costs but may require higher out-of-pocket expenses. A traditional co-pay plan will offer higher monthly costs, but you’ll likely pay less out of pocket.

It’s important to make sure you have good coverage. Give Medical Mutual a call at 877-328-4279 or visit www.medmutual.com/GetCovered to explore your options. ❦

ProMedica physician offers timely tips for winter fall prevention

The chance to be a daughter, again.

ProMedica Home Health Care provides all the services your mom needs to keep her at home, and healthy. We will take care of monitoring her after her surgery, providing wound care, physical therapy, and home medical equipment for you and for your mom.

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To connect with ProMedica Home Health Care, call 800-234-9355.

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the risk of heart attack and stroke as well as simple strains and sprains from lifting heavy snow,” he adds.

The reason winter slip-and-fall accidents are so perilous for people with osteoporosis is that the loss of bone density leaves them highly vulnerable to a fragility fracture, defined as a broken bone resulting from minimal to no trauma, commonly a fall from a standing position (three feet or less). In fact, a fragility fracture is often the first sign that the “silent” disease of osteoporosis is taking its toll on the bones.

“We have different ways of pre-venting these fractures, one of which is working with primary-care and OB/GYN physicians to help them develop a primary prevention strat-egy for their patients ages 60 to 65, including DEXA scans to screen for osteoporosis. We also get involved with secondary prevention after a fracture has occurred to help prevent additional fractures,” says Dr. Bair.

With winter weather just getting underway, now is the ideal time to implement a fall-prevention strategy,

beginning with commonsense outdoor safety practices. Before heading out into the snowy, icy conditions, Dr. Bair advises dressing appropriately for the cold weather, which includes wearing multiple layers of clothing and waterproof boots with non-slip soles. If you walk with the assis-

tance of a cane or walker, make sure the tips are in good repair. There are even special cleats that can be attached to cane ends to

maximize their traction on slick surfaces.

However, Dr. Bair emphasizes that at-

tempting to shovel snow while using a cane is a good sign that it’s time to enlist someone else’s aid in clearing the driveway. He also urges younger people to keep an eye on their older neighbors’ and family members’ driveways and sidewalks in winter. Stepping in and clearing their snow and ice so they don’t have to deal with it will significantly reduce their risk of falling and experiencing a debilitating injury.

Of course, the best way to avoid slipping on ice is to prevent it from building up on walking surfaces in the first place. When icy conditions

prevail, rock salt or another deicing product should be applied to walk-ways, driveways, and stairs, and a coarse, granular material such as sand or kitty litter can be used to enhance traction where needed.

Considerable care should be ex-ercised while entering and exiting vehicles parked on snowy or icy surfaces. “When you park, be aware of the conditions around the vehicle. When you get in or out, pay close attention to your footing and hold on to the door or handle for balance. Above all, move slowly and delib-erately. Remember, gravity always wins,” Dr. Bair cautions.

Also, as alluded above, having a fully charged cell phone in your pocket whenever you’re outdoors in slick conditions will allow you to get help quickly in the event of a fall, thereby reducing your risk of hypothermia and frostbite. While not completely foolproof (depending on how you fall, you may or may not be able to reach the phone), having a cell phone on your person is the best insurance against a prolonged wait for assistance in cold weather.

Dr. Bair reminds readers that slip-ping and falling isn’t the only way to sustain or inflict a serious injury while clearing snow. For example, snow blowers can hurl stones or chunks of ice at bystanders, so it’s important to keep other people—especially curious little kids—away from the area you’re clearing.

Also, under no circumstances should you stick your fingers into a snow blower to clear a clogged discharge chute. Instead, use a long, sturdy stick to clear the obstructiont (many snow blowers come equipped with a tool designed for this pur-pose). Even if the engine is shut off, the blades can still recoil when the obstruction is removed, potentially causing a laceration or partial to complete amputation of the fingers.

Last, but certainly not least, Dr. Bair advises caution when operating a snow blower near the street. Distracted by the task at hand and unable to hear approaching traffic due to the loud engine noise, it’s all too easy to step into the street and get hit by a passing motor vehicle. ❦

To schedule an appointment with ProMedica Physicians Orthopaedics/ Trauma & Adult Reconstruction, call 419-291-3858.

Mission StatementHealthy Living News offers the resi-dents of northwest Ohio and southeast Michigan a monthly guide to news and information about healthy life styles, health care, sports and fitness, and oth-er issues related to physical, mental and emotional quality of life. The pub-lication promises to be an attractive, interesting and entertaining source of valuable information for all ages, especially those 35 to 50. Healthy Living News is locally owned, committed to quality, and dedicated to serving our great community.

Healthy Living News is published the first of each month. The opinions expressed by contributing writers do not necessarily reflect the opinions of the publisher. Distribution of this publication does not constitute an endorsement of any kind. While HLN makes every attempt to present accurate, timely information, the publication and its publisher and/or advertisers will not be held responsible for misinformation, typographical errors, omissions, etc.

Contacts

Business office:To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615. Phone: (419) 841-8202 or email Kevin O’Connell at [email protected]. Ad reservation deadline is the 15th of the month preceding publication.HLN reserves the right to refuse adver-tising for any reason and does not accept advertising promoting the use of tobac-co.

Editorial office:Deadline for editorial submissions is the 10th of the month preceding publication. Send submissions to: Editor, Healthy Living News, 1619 Circular Dr., Toledo, OH 43614. Phone: 419-382-5751, fax 888-506-5790; email: [email protected].

Publisher: Kevin O’Connell

Editor: Jeff Kurtz

Travel Editor: LeMoyne Mercer

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Copyright © 2015t HealtHy living news

Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe. Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

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A closer look at LYMPHOMALymphoma, or cancer of the lym-

phatic system, is an example of the human body’s immune system gone awry. When this system is func-tioning normally, it stands guard against invading foreign microbes and responds to their presence by triggering the production of special white blood cells called lympho-cytes. These lymphocytes multiply in overwhelming numbers and go on the offensive against the foreign invader. After they do their job and the invader has been eliminated, they should begin to die off to a level that the body can support.

In people with lym-phoma, however, this process doesn’t quite go as planned. In their case, the lymphocytes either fail to die off after the perceived threat has passed or they begin to multiply spontaneously when no foreign invader is present. Eventually, these abnormally growing lymphocytes form a tumor.

There are many types and subtypes of lymphoma, with the two major classifications being non-Hodgkin’s lymphoma, which is diagnosed in approximately 66,000 people in the US each year, and Hodgkin’s lym-phoma, which is diagnosed in about 8,500 people annually.

These two forms are not only derived from different types of lym-phocytes (abnormal B lymphocytes in the case of Hodgkin’s and both B and T lymphocytes for non-Hod-gkin’s), but they’re also morphologi-cally different under the microscope. According to David Brown, MD, of The Toledo Clinic Cancer Centers, “Hodgkin’s lymphoma, which ac-counts for 10 percent of all lympho-mas, is characterized by a typical pathologic appearance due to the presence of certain abnormal cells, called Reed-Sternberg cells, which are not present in non-Hodgkin’s lymphoma.”

As is the case with many cancers, lymphoma often causes no discernible warning signs in the earliest stages. When symptoms do arise, they can be quite variable and non-specific. “There can be myriad signs and symptoms of lymphoma depending upon the type and the area of involvement,”

Dr. Brown explains. “Up to 40 per-cent of patients with lymphoma can have fever, weight loss, and excessive sweating, and more than 66 percent of patients have painless enlarged lymph nodes. This last symptom occurs in approximately 70 percent of Hodgkin’s cases.”

Because many lymphoma symp-toms can be associated with other health problems and there’s no ef-fective screening tool for the disease, early-stage diagnosis is difficult and people with this type of cancer sel-

dom seek medical atten-tion until they notice a lump in the neck, armpit, or groin, all of which contain lymph nodes, where lymphoma com-monly originates. This is significant because, as Dr. Brown points out, the earlier the disease is diagnosed and treat-ment is begun, the more potentially positive the outcome.

Lymphoma treatment varies based on the type and staging of the cancer. Systemic chemotherapy is the typical course of treatment for non-Hodgkin’s lymphoma. However, recent advances have given oncol-ogists more and more tools to fight this form of cancer. “Immunotherapy, chemo immunotherapy, bone marrow transplant with high-dose chemo-therapy, and radio immunotherapy, which utilizes monoclonal antibodies linked to radioisotopes, are all among the exciting new treatment advances available,” states Dr. Brown.

Considering the fact that lympho-ma results from an immune response gone wrong, it’s ironic that some of the latest therapies for treating it actually work in coordination with the immune system—sort of turning the tables on the disease.

For example, the monoclonal antibody drug Rituximab is now available to fight lymphoma. This drug contains laboratory-produced molecules that attach to certain unique antigens on the surface of cancer cells, tagging them as foreign invaders to the immune system. In response, the immune system produces antibodies that attack the tumor cells while leaving healthy tissue unharmed.

Dr. Brown notes that in the year

Dr. David Brown

Toledo Clinic Cancer Centers 4126 N. Holland Sylvania Road, Suite 105

Toledo, OH 43623

Located on N. Holland Sylvania Road, we have laboratory, MRI and other specialty services

conveniently located on the premises.

• Area’s most experienced cancer care team• Enrolling more patients in clinical trials than any other cancer care provider in the region• Largest number of referred patients• NW Ohio’s first QOPI Certified Cancer Center• The Toledo Clinic Cancer Centers has received NCQA Patient-Centered Medical Home (PCMH) Recognition for using evidence-based, patient-centered processes that focus on highly coordinated care and long‐term, participative relationships.

Why area doctors trust us the most…

Dr. David BrownDr. Mark BurtonDr. Shaili Desai

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or call 419-479-5605

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2000, 65,000 people in the US died of non-Hodgkin’s lymphoma and that the incidence has doubled since the 1970s with a confirmed one- to two-percent increase per year. “The good news is, 50 to 70 percent of patients with diffuse large B cell non-Hodgkin’s lymphoma are cur-able,” he adds. The cure rate is even more favorable for patients with Hodgkin’s lymphoma. ❦

Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road,

Suite 105, has eight board-certified hematologists/oncologists and eight nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TCCC also has satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe for the convenience of the patient, and many TCCC patients are enrolled in the latest cancer research and studies in our region. For more information, please call the Toledo Clinic Cancer Centers at 419-479-5605.

NutriMost participants share their fat-burning success stories

With another New Year just a few weeks away, people all across

the country will soon be making resolutions to improve their lives and health, many of them, no doubt, centered on weight loss. And of those individuals who resolve to shed extra pounds, many will succeed . . . for a time. Unfortunately, the vast majority of them will soon regain all those pounds plus interest.

The reason so many weight-loss efforts ultimately fail is that they’re focused primarily on moving the numbers on the bathroom scale. Doctor-supervised, clinically based NutriMost, on the other hand, not only helps people lower that scale reading, but also restores proper hormonal balance and re-educates their metab-olism so they remain in fat-burning mode, keep the weight off long term, and achieve better overall health. In fact, patients who have health issues associated with obesity, such as type 2 diabetes, high blood pressure, or high cholesterol, will find that losing weight through the NutriMost program either completely eliminates the problem or reduces it to a much healthier level

According to Peg Dumas of Nutri-Most Toledo and Findlay NutriMost, Participants undergo a body compo-sition analysis to establish a baseline for key markers such as body fat mass, visceral fat rating, hydration level, and metabolic age. They’re then given a highly individualized program based upon the outcome of extensive biocommunication testing. By following this individualized plan, they can expect to lose 20 to 45 or more pounds in 40 days with no

hunger pains, needles, hormones, or strenuous exercise.

Zandra’s storyZandra Piasecki decided to try Nu-triMost after seeing the remarkable results a friend achieved on the pro-gram. Despite exercising regularly and vigorously, all of Zandra’s weight-loss efforts seemed to fall short and the best she could do was hold steady at the same weight. “Then my friend did NutriMost and posted her be-fore-and-after results on Facebook, so the next time I saw her, I asked her what the program entails. After that, I came to an open house here at NutriMost Toledo and saw Dianne, an RN and NutriMost consultant who was also doing the program, and I couldn’t believe how much

weight she’d lost. So I talked with my hus-band, and we agreed that we’re both getting older and needed to do something to lose weight, so we decided to come here together,” she explains.

In the first week of the program—which was eye-open-ing because she discovered just how much of her eating was based on habit, not hunger—Zandra shed seven pounds. By the end of the 40-day reduction phase, she had lost about 25 pounds. As of this writing, she’s down to 155 pounds from 185 pounds and has dropped from a size 14 to a size 6. More significantly, she’s no longer taking the blood pressure and allergy medications she was on before starting the NutriMost program and she’s no longer experiencing hot flashes associated with menopause.

Peg explains that after the 40-day

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reduction phase, they start reintro-ducing foods, emphasizing pro-tein, fruits, vegetables, and healthy oils (especially coconut oil—one of the most metabolically friendly oils available). At this stage, program participants are often surprised by how many calories they’re able to consume when their bodies’ specific nutritional preferences are addressed. “With our technology, we can cal-culate exactly how many calories an individual needs per day, which keeps their metabolism function on par,” she says.

For Zandra, that calorie count is

1,750 per day. “That was just amazing to me,” she remarks. “I didn’t think I could add that many calories back in without putting all the weight right back on, but that’s exactly what I’ve been able to do!”

Fred’s storyBefore starting the NutriMost pro-gram in October, Fred Cassell was significantly overweight—he states that he’d been so for as long as he could remember—and had just been diagnosed with type 2 diabetes. He also had high blood pressure, high cholesterol, sleep apnea, acid reflux,

and gout. His wife told him in no uncer-tain terms that he was not going to stay in such a poor state of health. While explor-ing cold sculpting as a weight-loss option, he was told he wasn’t a good candidate for that procedure and was given Peg’s phone number.

So he went to NutriMost Toledo for a body composition analysis and then came back a few days later for the full scan. “When Peg told me she was going to put me on 600 calories per day, my first response was, ‘There’s no way I can do this. I eat that much for breakfast!’ But she assured me I would not be hungry or grumpy during the program. Now, here I am 40 days later and over 44 pounds lighter—and I can honestly say I wasn’t hungry at all!”

What’s more, since completing the reduction phase, Fred no longer needs to take medications to maintain healthy blood pressure, cholesterol, and blood sugar levels; his acid reflux and gout are gone; and his wife says he almost never snores anymore.

Peg emphasizes that the bodies of NutriMost participants are not put into starvation mode, but survival mode. “They live off their fat like a bear in hibernation, and as they’re utilizing fat for energy, they’re mak-

ing the fat cell ‘storage closet’ smaller, restoring hormonal balance, and eliminating harmful microbes,” she says.

With Fred just com-pleting the reduction phase as of this writing, Peg estimates that he’ll be able to eat upwards of 2,800 calories per day

by simply sticking with the foods that are best for him and avoiding those that aren’t.

Looking forward, Fred’s goal is to get down to 225 pounds (from his original 315 pounds). But Peg is far less concerned with Fred’s body weight than his body composition. “It’s great to see that scale number moving downward, but we focus more on certain markers, such as the visceral fat rating. When that number is elevated, we know patients are tipping toward diabetes and other health problems. Fred’s visceral fat started at 27 and is now down to 20, which is a huge difference. But my goal is to get him down under 12. It all comes down to body composition. That focus is how we help people lose weight while steering them away from high blood pressure, high cholesterol, and type 2 diabetes,” she says. ❦

For more information on the NutriMost program or to schedule your fat-loss consultation, please call 419-725-2345.

by Laurie Syring, RD/LDEATING WELL

Healthy Holiday recipe substitutions

Well, it’s that time of year when, for most of us, “healthy” eating

goes out the window. At times, it seems impossible to eat right between shopping for the holidays, cleaning and decorating the house, attending to family and work obligations, and trying to squeeze in a little sleep and exercise.

And it’s not just the time crunch that works against our healthy-eating goals this month. Delicious temptation lurks around every corner. At every party, potluck, and gathering, we’re confronted by our favorite holiday foods and cocktails. It’s hard to re-

sist—especially when everyone else seems to be indulging.

But instead of feeling guilty, throwing in the proverbial towel, and consuming tons of calories from now through New Year’s Day, you can make some simple recipe substi-tutions that not only bump up the nutritional value of your favorite recipes, but also make them lower in calories, sugar, fat, and sodium. Sound hard? Not really—whipping up healthy recipes can be easier than you think. Here are some simple steps to follow:

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a critical eye and identify the ingredient that is either high in fat or perhaps sugar.

• Next check out your pantry. It may already be stocked with the healthy ingredients you need whether you realize it or not.

• Then make a shopping list that includes all the things needed from the store to modify your recipe. You might want to look on the internet for healthy recipes for your favorite treats to help guide you.

• If your recipe calls for flour, try substituting whole-wheat flour for half of the specified amount instead of using all enriched flour. This works well in muffins, bars, and cakes. Whole-wheat flour will provide nutrients vital for health, such as fiber and B vitamins.

• When cream is on the ingredient list, substitute evaporated skim milk or use nonfat Greek yogurt, fat-free half-and-half, fat-free sour cream, or low-fat “Neufchatel” cream cheese. Dairy products retain their calcium content and vitamin D.

• If your recipe calls for eggs, substitute Egg Beaters or egg whites.

• Of course, lots of our favorite holiday recipes call for sugar. Try using ¼ cup less or use applesauce. The swap is perfect for oatmeal raisin cookies.

• Applesauce is also a great substitute for oil or butter. Just swap out half of the fat for applesauce.

• The salt in recipes can often be cut in half with no one being the wiser.

• Drink soda water in place of tonic or fruit juices.

• One of my new favorites is to substitute mashed cauliflower for mashed potatoes.

• Add spices—cloves, nutmeg, vanilla, allspice, etc.—to maximize a recipe’s flavor but not its calorie count.

• Add dried fruits like cranberries, cherries, raisins, or apricots for sweetness, texture, and color.

• As delicious as it may look, stay away from anything smeared with frosting or coated with sugary sprinkles.

The holidays come around once a year but can last from Halloween right through the Super Bowl for some

of us. (Isn’t it interesting how the holiday “season” keeps getting longer and longer?) Suspend healthy eating for that whole time and you’re bound to pack on the pounds. My advice: when faced with tempta-tion, reach for healthier

ingredients. If you do it right, you can still enjoy decadent-tasting holi-day treats without ending up on the naughty list.

But don’t be too hard on yourself the first time you try making healthy substitutions! Remember, baking is an art form and it can take several tries to get it right. Get the whole family involved in the experiment and have some healthy fun this holiday season!

Happy holidays! ❦

Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

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by Douglas A. Schwan, DC, Dip ac

Many people in the West have heard about acupuncture

but are not sure exactly what it can treat. Although acupuncture dates back thousands of years in Eastern medicine, it has only made a major appearance in the West over the last 55 years or so.

The first to bring awareness of acupuncture in the West were combat physicians returning from Vietnam. They had observed Vietnamese doc-tors practicing acupuncture to bring pain relief to soldiers injured on the battlefield. When these Western doctors returned to America, they wrote about their experiences with acupuncture for pain relief and focused a spotlight on this ancient practice.

Acupuncture theory states that energy circulates around the body in a way that maintains the balance of health. When we cut ourselves, it takes energy to form the blood clot, produce a scab, pull the skin back together, and heal the cut. Eastern medicine refers to this energy as qi (pronounced “chi”). This energy travels around the body in channels the Chinese refer to as meridians. We can measure this energy in a variety of different ways and determine whether it is flowing in a “balanced” pattern or not.

An Eastern-trained physician may find that certain channels have too much energy, not enough en-ergy, or the wrong kind of energy and term the body out of balance. Stimulating certain points on these channels can help re-establish normal energy flow throughout the body, thus influencing organ health and healing. Supplements, herbs, and other substances may be prescribed to aid in balancing the energies

from the inside out as well.Acupuncture is probably best

known for bringing pain relief. Many chronic arthritis-pain sufferers have found relief through this ancient discipline. In a recent study hailed as “the largest, longest, and most rigorous study of acupuncture” ever conducted, acupuncture was found to reduce pain and improve function and movement among patients with osteoarthritis of the knee. Other stud-ies found similar results with back, shoulder, and neck pain. Even patients with failed back surgery syndrome seem to gain a measure of pain relief with acupuncture treatments.

Jane came into our office with a history of a traumatic car accident that resulted in surgery to screw together vertebrae in her back and neck. She has experienced excruciating pain in her back and neck ever since. One could almost feel the empathy written in the various doctor reports generated over the years as they tried everything from physical therapy to drugs to injections in an effort to at least control the chronic pain.

After examining Jane, we deter-mined that most of her pain was due to chronic inflammation and degenerative disc disease in her neck and lower back. This likely resulted from her car accident years earlier. Using a combination of acupunc-ture along the channels of her back and neck and combining this with modern micro-current therapy, we were able to significantly reduce Jane’s pain level.

But acupuncture is spreading far afield from just offering a safe alter-native for pain relief. Acupuncture is widely used by patients wishing to break addictions. Acupuncture is

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offered as an option in state drug-ad-diction programs to decrease with-drawal symptoms and is one of the top treatments employed by those wishing to kick the smoking or al-cohol habit.

Bruce came to our office desperate for help kicking his 20-year two-pack-a-day smoking habit. He was applying for a good job that required him to be a non-smok-er. Bruce received a total of four acupuncture treatments designed to diminish his urge to smoke as well as calm his withdrawal symptoms. He successfully quit and later passed his lab screening and was offered the job.

Functional MRI scans demonstrate that brain changes can be visualized following an acupuncture treatment. This demon-strates clearly that the treatments are affecting the brain. Studies have reported a “calming effect” in patients with anxiety and depressive disor-ders as well as a “centering” effect in bipolar patients. Treatments have also been used in conjunction with a properly monitored weight loss program to diminish appetite and curb binge eating.

Perhaps one of the more interest-ing applications of acupuncture is in the area of “facial rejuvenation.” We have long known that stimulating certain points along the meridians of the body can have a local healing effect. In fact, physicians today will implant needles into bones that re-fuse to heal (non-union of a fracture)

and use a micro-stimulator to put energy into the area. This seems to stimulate the growth of blood vessels, which, in turn, allows a recalcitrant fracture to heal. This is much better than the old surgical approach of screwing two bones together with metal plates and screws.

Cosmetic acupuncture is a relatively new specialty rap-idly gaining in popularity. The stimulation of new blood

vessel growth is particularly effective in diminishing the lines and wrinkles associated with aging. What makes a young face smooth and wrinkle-free is a structural molecule known as collagen. This layer of under-skin protein is constantly replenished by the small blood vessels of the face. As we age, these small blood vessels slowly die off and deposit progressively less collagen into the

layer. Over time the collagen layer thins with the resultant emergence of the lines and wrinkles we associate with aging.

Anything that accelerates the death of blood vessels in the face can lead to premature loss of collagen and the acceleration of wrinkle formation. Things like excessive tanning or smoking will age you before your time. In facial rejuvenation, fine acupuncture needles are placed in selected acupuncture points in the lines of the face. A series of treatments stimulates the new growth of micro blood vessels which, in turn, bring in collagen that smoothes out wrinkles and gives the face the softer glow of youth. On the East and West coasts, we are starting to see local acupuncture centers popping up that specialize exclusively in cosmetic acupuncture!

Fertility treatment is another growth area for Oriental medicine. In this day and age, couples wait until later in life to start their families only to find some issue is preventing con-ception. One study showed that when couples undergo in

vitro fertilization, adding acupuncture to the mix seems to increase successful implantation by about 15-17%—an inexpensive boost in success for a procedure that typically costs many thousands of dollars.

Samantha and her husband came into our office for a fertility consul-tation. She was 35 years old and had already been through one round of in vitro treatments without success. They could afford only one more round. She didn’t understand why she was having so much trouble conceiving as the doctors could not find anything specifically wrong with her.

We explained that conception is a very intricate process, likened to a symphony playing a complex piece of music. You may hear only noise when you walk in the concert hall, but when you listen to each separate instrument , you realize

they are all playing the same music; they just are not all on the same note at the same time. That can happen during attempts at conception. Every-thing is working,

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just not in harmony.Acupuncture seems particularly

adept at “balancing” all the things going on that are required to produce a happy, healthy newborn baby. We are happy to report that the second time around resulted in a successful pregnancy for Samantha and her husband.

From chronic pain, to smoking cessation, to fertility, to anxiety and depression, to facial wrinkles, acu-puncture offers a broad approach to treatment. It is safe and effective and growing in popularity as more people become acquainted with its

broad potential. ❦

Dr. Schwan is a Doctor of Chiropractic and a Diplomat of the International Academy of Medical Acupuncture. He is an author, lecturer, and one-time stand-up comedian. He has maintained an active practice in Toledo, Ohio for the last 33 years. Dr. Schwan is available to speak to your group on a wide variety of alternative medicine health topics. He may be contacted at [email protected]. For more information on alternative medicine, please visit his website at www.acupuncturetoledo.com.

Sister Karen Zielinski, OSF

nobody’s perfect

We ought to be in pictures

The first time I saw someone with a disability in a movie I was eight

years old. I cried when I saw the movie Heidi decades ago. I remember watching the movie as a young child when I stayed home from grade school, suffering from the flu. My mom let me rest on our living room sofa one day, and I watched an afternoon movie.

Heidi is a 1937 Amer-ican musical drama film based on the 1880 chil-dren’s story of the same name by Swiss author Johanna Spyri. The film is about an orphan named Heidi (Shirley Temple) who is taken from her grandfather to live as a companion to Klara, a spoiled crippled girl. The film is currently available on DVD, which features the original black-and-white and the newly colorized version of it.

What I remembered most was that Klara used a wheelchair. I think it was the first time I saw someone using a wheelchair in a movie. It did not bother me but rather surprised me that a young girl did not walk. Klara eventually stood up and could walk again, and that’s what caused my tears.

As the years passed, I found my-self, like Klara, in an electric cart (similar to a wheelchair) because of

my multiple sclerosis. What I real-ized over the years is that film and other media have portrayed persons with various disabilities. I think that is good because we all need to see disability as part of mainstream life. Not everyone is physically perfect, and that is OK—nature is not perfect.

I did not know that the late President Frank-lin D. Roosevelt used a wheelchair while in office until I was in high school. I bought a black-and-white pic-ture of him in a rare public appearance of him using a wheelchair

at Top Cottage in Hyde Park, New York, in 1941. He was introducing his dog, Fala, to a little girl, Ruthie Bie, the granddaughter of FDR’s Hyde Park caretaker. Some critics of ability organizations feel that the president, not showing his disability, put the disability movement back many years. Why not show that someone has a physical challenge and can still work and run a powerful nation?

“Art imitates life,” as the saying goes. And nobody’s perfect. When we see a person with a hearing loss, a mental illness, visual limitations, or autism spectrum disorders in films, I think that is good. Movies are just including every person into

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the stories they tell. None of us has perfectly white teeth, perfect hearing, or healthy knees after the age of 40. Telling stories about the “stuff” of life can make us all a bit more sensitive and aware that we are not perfect, and that is okay.

Just recently, the award-winning PBS Show Sesame Street added a new char-acter named Julia, a preschool girl with autism who “does things a little differ-ently when playing with her friends.” Julia is part of the nonprof-it’s “See Amazing in All Children” initiative, which is designed to teach kids about autism and offer tools for those with the developmental disorder.

A website includes tips for par-ents and siblings, as well as guides to help kids on the spectrum learn everyday basics like brushing teeth and going to the grocery store, Ses-ame Workshop said. In addition, the initiative includes an iPad app and printed storybooks.

It is a wonderful cultural step

to include those with disabilities in media of all forms! As we all know, nobody’s perfect—and that is just fine!

The Iris Center of Peabody Uni-versity has a philosophy on media

and disabilities: “The ways in which individ-uals and groups are portrayed in popular media can have a pro-found effect on how they are viewed by society at large.” The center also provides a list of films on topics related to disabilities, noting that, “This tool represents an attempt to catalogue the rep-resentation of people

with disabilities in motion pictures. Many of those representations are inaccurate, and some are offensive. Their inclusion in this tool is in-tended to stimulate discussion and should by no means be considered an endorsement of their accuracy or appropriateness.”

The list includes:

Autism Spectrum DisordersA Mile in His Shoes, 2011, NGN Pro-ductions. A young hurler, who has

autism, is an inspiration to the play-ers and coaches on a minor league baseball team.

Deaf/Hard of HearingChildren of a Lesser God, 1986, Par-amount. A teacher at a school for the deaf falls in love with a former student, who also works at the school.

Emotional or Behavioral DisordersThe Aviator, 2004, Miramax/Warner Brothers. Howard Hughes, the en-trepreneur, film producer, pilot, and owner of TWA Airlines, struggles with severe symptoms of Obsessive Compulsive Disorder.

GiftedMy Kid Could Paint That, 2007, Sony Pictures Classics. A four-year-old girl paints pieces of art for which she re-ceives critical acclaim and hundreds of thousands of dollars, only to have the resulting media frenzy threaten their family.

Health ImpairmentsAwakenings, 1990, Columbia Pictures. A doctor working at an institution takes special interest in patients with encephalitis, which leaves them co-

matose. He is able to bring them out of their condition, but for how long?

Intellectual/Developmental DisabilitiesThe Importance of Tying Your Own Shoes, 2012, Sonnet Films. A difficult young man finds himself leader of a theater troupe whose members all have some form of intellectual disability.

Learning DisabilitiesDumb and Dumberer, 2003, New Line Cinema. In this “prequel” to Dumb and Dumber, both of the main charac-ters are placed in a class for students with special needs. They accidentally discover the principal embezzling money from the school and the state.

Physical ImpairmentsHappy Feet, 2006, Warner Bros. A young penguin, born without a heartsong, sets off on a perilous journey to save his colony from starvation and face those who shunned him for being different.

Speech DisordersThe King’s Speech, 2010, The Weinstein Company. When he is thrust upon the throne by his brother’s abdication,

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One in a thousand: In the midst of this huge crisis, Toledo, Ohio is becoming a place of hope for a few families that fled Homs. They made it to a refugee camp in Jordan, where they applied for refugee status and were granted permission to resettle in the US. (Only one person in one thousand that apply ever get resettled.) They recently arrived here to restart their lives. In fact, Toledo has taken in more Syrian families in the past year than most other cities in our nation, and more will arrive in the next 12 months.

The path to self-sufficiency: Once a refugee family arrives in the US, they are expected to learn English and find jobs quickly. Within a few months, they will be required to begin making payments to the US Department of State to pay back the cost of their plane tickets to move

Destroyed homes: Homs (pro-nounced homes) is a province

in Syria. It contained the ancient city of Palmayra, destroyed by ISIS earlier this year. It is also home to several major cities (one of them also called Homs) that have fallen under complete control of ISIS. It has been one of the hardest hit areas in the four-year-old conflict that has left 250,000 people dead and forced half the population—11 million—from their homes.

to the US. Most of the adults are enrolled in nine to 12 hours of English coursework every week. Many of the men work all day, then sit in three hours of class each night.

Need for a bigger home: Water For Ishmael, a local, faith-based non-profit is serving these families, helping the moms, dads, and kids to learn English

so they can get jobs, succeed in school and integrate into American life. Ironically, Water For Ishmael also needs a new home. Because of the increase in the number of families being served, their existing borrowed space is no longer sufficient to take care of everyone who needs help. They are actively looking for a larger space to serve

and welcome Toledo’s refugees, international student families, and immigrants through their “Strangers No More” campaign.

For the next few weeks, donations made to the “Strangers No More” campaign will be doubled, up to $60,000. You can give to the “Strangers No More” campaign at http://www.gofundme.com/strangersnomore.

If you are interested in volunteering to help families settle in, please contact Water For Ishmael, PO box 2861, Toledo, OH 43606, 419-720-8089, www.WaterForIshmael.org. ❦

Photo credit: Rebecca Trumbull

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From Homs to homes A tale of

Syrian refugees

King George VI of England seeks un-orthodox treatment for the stammer that plagues his public career.

Traumatic Brain Injury (TBI)Run and Jump, 2012, IFC Films. An American doctor travels to Ireland, where he treats a patient whose life has been forever changed by a massive stroke.

Visual DisabilitiesHenry O!, 2009, Hamzeh Mystique Films. Despite his blindness, a man calls Major League Baseball games for a radio station in Tampa, Florida.❦

Sister Karen Zielinski is the Director of Canticle Studio, a part of the Sisters of St. Francis of Sylvania, OH’s overall advancement effort and has a mission of being a creative center where artists generate works, products, and services in harmony with the Mission of the Sisters St. Francis. She can be reached at [email protected] or 419-824-3543.

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27121 Oakmead Drive, Suite C, • Perrysburg, OH 43551Phone: 419-322-2020 • Fax: 419-874-3512

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Oakleaf Village4220 N. Holland Sylvania Rd.

Toledo, OH 43623

419-885-3934www.wallickcommunities.com

Lutheran Home at Toledo131 Wheeling St. Toledo, OH 43605

419-724-1414www.lhsoh.org

Otterbein Portage Valley Senior Lifestyle Community

20311 Pemberville Rd. Pemberville, OH 43450

Geri Ricker • 419-833-8917 [email protected]

www.otterbein.org

Sunset Village9640 Sylvania-Metamora Rd.

Sylvania, OH 43560

419-724-1200www.sunset-communities.org

Advanced Healthcare Center955 Garden Lake Parkway

Toledo, OH 43614

419-382-2200www.Communicarehealth.com

The Laurels of Toledo1011 Byrne Road Toledo, OH 43607

419-536-7600www.laurelsoftoledo.com

The Woodlands4030 Indian Rd.

Ottawa Hills, OH 43606


The Manor at Perrysburg250 Manor Drive

Perrysburg, OH 43551

419-874-0306www.ManorAtPerrysburg.com

Swan Creek Retirement Village

5916 Cresthaven Lane Toledo, OH 43614

419-865-4445www.swancreekohio.org

Sunset House4030 Indian Rd.

Ottawa Hills, OH 43606


Parkcliffe Community4226 Parkcliffe Lane

Toledo, OH 43615

419-381-9447www.parkcliffe.com

Heartland of Waterville8885 Browning Drive Waterville, OH 43566

419-878-8523www.heartland-manorcare.com

Senior Star at West Park Place

3501 Executive Parkway Toledo, OH 43606

419-972-2280www.seniorstar.com

Pelham Manor2700 Pelham Rd

Toledo, OH 43606

419-537-1515www.jewishtoledo.org

The Lakewoods II & III1021 Garden Trail Toledo, OH 43614

419-382-1200www.thelakewoodsoftoledo.com

Kingston Care Center of Sylvania

4121 King Road Sylvania, OH 43560

419-517-8200www.kingstonhealthcare.com

Spring Meadows Senior Community1125 Clarion Ave. Holland, OH 43528

419-866-6124www.springmeadowsecf.com

Lutheran Memorial Home795 Bardshar Rd.

Sandusky, OH 44870


Addison Heights Health and Rehabilitation Center

3800 Butz Road Maumee, OH 43537

419-867-7926www.consulatehealthcare.com

Lutheran Village at Wolf Creek

2001 Perrysburg-Holland Rd. Holland, OH 43528


Elizabeth Scott Community2720 Albon Road

Maumee, OH 43537

419-865-3002www.elizabethscott.org

Senior Living GuideChoosing a senior living community that’s right for you or a loved one is among the most important—and challenging—decisions you’ll make in your lifetime. We’re fortunate here in Northwest Ohio and Southeast Michigan to have a wide variety of high-quality senior living options, including independent liv-ing, assisted living, continuing-care, and subsidized low-income housing communities.

To make your decision a bit easier, we’ve assembled this guide to all the senior living properties that regularly support Healthy Living News through advertising. In addition to referencing this page for each organization’s contact information, we urge you to see their ads in the pages of this issue, check out their websites, and give them a call to schedule a tour if you are interested in hearing more about all the services and amenities they offer.

St. Clare Commons12469 Five Point Road Perrysburg, OH 43551

419-931-0050www.homeishere.org

Kingston Rehabilitation of Perrysburg

345 E. Boundary Street Perrysburg, OH 43551

419-873-6100www.kingstonhealthcare.com

Otterbein Skilled Nursing and Rehab Neighborhoods Monclova/Perrysburg3529 Rivers Edge Drive Perrysburg, OH 43551

Joy Riedl • 419-308-0585 [email protected]

www.otterbein.org

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Celebrate a handmade holiday at Sauder Village

While our pioneer ancestors made things from hand by necessity,

“handmade” items are now consid-ered to be quite trendy! From knit-ting, quilting, and making baskets to canning jams and jellies or making homemade sweet treats, more and more people are looking for ways to give handmade gifts this holiday season.

For some people, being crafty or cooking from scratch comes quite naturally. Sitting down to knit a pair of socks or roll-ing out a pie crust can be a relaxing endeavor. For others, how-ever, the thought of sewing or stir-ring up a batch of homemade sugar cookies is cause for alarm.

At Sauder Vil-lage, we can help you celebrate a handmade holiday without the stress. While some people may opt to take a class and learn to make something

new for the holiday season, others will enjoy the tranquility of shopping from our “Discover Handmade” shop or purchasing some sweet treats from our Doughbox Bakery to share with loved ones.

Again this year the “Discover Handmade” shop will be set up just outside the Gift Shop in the Welcome Cen-ter. Thanks to our talented craftsmen, a wide variety of handmade items will be available for guests to

purchase for family and friends this holiday season. The items made by our tinsmiths, coopers, weavers,

spinners, broom makers, and basket makers are truly one-of-a-kind gifts. Guests will also find beautiful glass and pottery.

Handmade continues to be the word that defines the most unique and desirable gifts on the market. We hope many people consider shopping local this holiday season—such a great way to support the talents of our

local craftsmen.While you

may be running out of time to take a class and make a new gift

for this year, why not plan ahead and learn a new skill to make unique gifts for the future? From quilting, cooking, and knitting to jewelry-making and other heritage arts, there are a variety of classes offered year round at Saud-er Village. Visit www.saudervillage.org for more class information and registration details.

Homemade treats are also a great gift for the holiday season. Whether you need something special to take to a holiday party or just want to spend time decorating Christmas cookies with your children, the staff at the Doughbox

19


Bakery will help take the stress out of the holiday season.

Baking and decorating cut-out sugar cookies is a time-honored tra-dition for many families; however, we realize many people don’t have the time to mix up the cookies, roll and cut them out, and then bake them. The Doughbox Bakery can help by offering cut-out sugar cookies you can decorate at home. Just give the Doughbox a call to order your

cookies, pies, or other sweet treats for the holidays!

For more information about unique gifts, shopping events, and other activities at Sauder Village, visit www.saudervillage.org or call 800-590-9755, like us on Facebook, or follow us on Twitter and Instagram. Let Sauder Village help make your Christmas one to remember this year by celebrating a handmade holiday with your family and friends! ❦

infection11 Man cave14 Beverage made from

fermented milk15 Capitol Hill vote17 Drops on blades18 Unwanted paunch23 The Beatles’ “___ It Be”24 Jam fruits27 Large shade tree

providing perches for birds

28 Spider-Man co-creator Stan

29 Takes weight off31 Athletic events33 Medical examination35 Liquid measure (abbr.)

it25 Born as26 Some gym weights30 Svelte32 Roaring zodiac sign34 Peas and beans36 Relative of a leek37 Yellow parts38 They may be cleared

with a spray

Down1 Healthy breakfast cereal2 Retirement savings3 Central quality4 Dream6 Fruit of the vine7 Regrettable9 Check for disease or

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diet, this replaces butter, 2 words

5 They have whites and yolks

8 “Partially hydrogenated oils,” made in an industrial process, 2 words

10 Recipe direction to include something

12 Cloak13 More slim16 Complete19 Beans container20 Wide of the mark21 The cornea is part of it22 It has a funny bone in

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HEALTH CROSSWORDby Myles Mellor • ilovecrosswords.com • Answers on page 20

John S. Carroll, DPM* Michael D. Cardinal, DPM* John W. Lane, DPM* Andrew B. Clark, DPM* Matthew M. Wilkin, DPM*+ Kevin C. Sorensen, DPM** Board Certified By The American Board

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609 Ford St., Maumee

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MedBridge at Heartland provides a comprehensive regime of specialized rehabilitation services, each one designed to move you one step closer to your recovery goals. Recovery begins with our state-of-the-art rehab gym where our team can treat patients recovering from orthopedic injuries, stroke and neurological, cardiac, oncology and pulmonary issues.

Rehabilitation Services designed to get patients back to living.

For additional information or MedBridge contact:

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©20

15 H

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anor

Care

20


by Randa Mansour-Shousher, AuD, CCC-A

10 tips for better hearing at holiday gatherings

Answers to crossword from page 19

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We all have had the experience of being together with family

during the holiday season and seeing a loved one sitting quietly alone in the corner. You might think they aren’t feeling good, just don’t want to be bothered, or are mad because they didn’t get the sweater they really wanted. But, did you ever think they may be quiet because they’re suffering from a hearing loss? For those with hearing loss, the holidays can cause

a lot of anxiety. The numerous din-ners and get-togethers cause a great deal of listening difficulties right up through the New Year.

Northwest Ohio Hearing Clinic values family time and wants to help by giving sugges-tions on how to make holiday com-munication enjoy-able. Here are some simple tips that will help all your family members feel part of the excitement during the holidays:

1. When you are out at a restau-rant, remember to have your family member with hearing loss sit away from noise with their back to a wall. In this position, they’ll have less com-peting ambient noise to deal with.

2. When there’s a large group of people, take turns speaking. This will make listening easier not just for the individual with the hearing loss, but also for everyone else.

3. Before starting to speak to a

family member with hearing loss, call their name or simply tap them on the shoulder to get their attention. Then they’ll be ready to listen with both ears.

4. If they don’t understand what you said, try re-phrasing it, giving them the ability to hear it again.

5. Make sure the lighting in the room is bright. Dim lighting makes it

difficult to see faces and read lips. You might say, “Grandma reads lips? I never knew that.” In fact we all have the talent of reading lips, but we might not rely on it as much.

6. If someone is singing, avoid speaking at that point. Wait until it’s over to tell them about the re-freshments. The less competition to hearing, the better the experience will be.

7. To ensure they heard what you said correctly, ask them to repeat

what they heard.8. To enhance communication, talk

to the other family members before your gathering so all are aware and on the same page on how to commu-nicate with your hearing-impaired family member.

9. Before the gathering, ask your family member, “How can I help make your listening experience less stressful?” Showing an interest will allow them to be relaxed and less anxious.

10. The best tip we can give you is, don’t have your family member wait to improve their hearing one more year. Seek help and advice before the family dinner. That way everyone can enjoy the holiday season this year.

Happy holidays from Northwest Ohio Hearing Clinic! ❦

Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

5916 Cresthaven LaneToledo, OH 43614

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21


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Beauty through health and wellness.• Facial & Body Chemical Peels• Micro-needling• Facials• Oxygen Facials• Microdermabrasion• Mineral-based Cosmetic Services• Eyelash Extensions• Permanent Makeup• Lash & Brow Tinting• Spray Tanning• Laser Hair Removal• Body and Facial Waxing• Massage Therapies• Body Wraps• Healing Stone Therapy

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We provide the finest quality care and individual attention. Our facility, including our AAAHC-certified operating suite, is designed for your safety and privacy. Our patients benefit from a wide range of surgical procedures, including breast augmentation, facial rejuvenation, and body contouring.• Injectables BOTOX® Cosmetic, Juvéderm™, Voluma™ and Kybella™

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22


Lighting affects your life in many ways!

You may not realize it, but lighting makes a big difference in your

life. It helps you see better when you’re cooking dinner or helping with homework. It provides safety around your yard and to a child who’s afraid of the dark. It helps set the mood for a festive holiday party or an in-timate dinner for two.

Light im-pacts us in other ways as well. It has been prov-en to affect our moods, our pro-ductivity and concentration, even our sleep cycles! This is why it’s so important to have the right lighting in your home.

There are three basic types of lighting: ambient, task, and accent. According to Laurie Gross, president of Gross Electric, “A good lighting plan combines all three types of lighting working together in your home.”

Ambient, or general lighting, is usually provided by a chandelier or ceiling-mounted fixture and gives overall illumination to an area. It allows you to see and walk about safely in a room.

Task lighting helps you perform specific duties, such as cooking, doing homework, applying makeup, or reading. It should be bright enough to prevent eyestrain without causing glare or shadows. Task lighting can be

provided by many sources, such as recessed or track lighting, pendants, and under-cabinet lighting. Floor and table lamps are also a great source of task lighting.

Accent lighting adds drama to a room by bringing focus to a painting, sculpture, or architectural feature of your home. It is usually provided by track, recessed, or picture lights. Accent

lighting can also be used outdoors to highlight a brick or stone wall or landscaping.

Lighting is also an important factor in the energy consumption of your home. LED bulbs are beginning to replace incandescent bulbs—providing

the same levels of light but using less energy and having a much longer lifespan. LED lighting can be used in areas that weren’t possible a decade ago,

such as inside water fountains, under cabinets and bookshelves, and behind glass shelving.

Along with LEDs, lighting con-trols are rapidly developing tech-nologies. While you may have had a dimmer switch in the dining room of your childhood home, today’s lighting controls are much more sophisticated and offer more ver-satility with your lighting. Remote

controls, tablets, and other elec-tronic devices are being used to adjust light levels in rooms and throughout entire homes. With the touch of a button, you can alter the mood of a room by

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23


pulmonary assessment, management of respiratory conditions, ventilator troubleshooting, and many other vital skills so they can provide the best possible care and help prevent patient rehospitalizations.”

This facility was designed with the whole patient in mind, referred to as Advance360, and their goal is to heal mind, body, and soul by combining clinical experience and the soothing aesthetics and amenities of a boutique hotel or spa so you can heal faster and get home sooner.

A d v a n c e d Healthcare Center is a subacute nurs-ing center, offering short-term recovery and rehabilitation services and long-term care program-ming, and is located on the campus of Advanced Specialty

Hospital, a local long-term acute-care hospital.

Advanced Healthcare Center is located at 955 Garden Lake Parkway, Toledo. To take a tour of the facility or for more information, call Megan Smiddy, Director of Provider Rela-tions, at 419-206-1337. ❦

activating a preset lighting scheme.Today’s lighting isn’t just func-

tional, however. Gross says, “Lighting fixtures themselves have become important design elements in the home.” With an ever-expanding

range of styles, shapes, colors, and sizes, lighting fixtures provide the finishing touch to your decor.

Yes, lighting affects your life in many ways. The good news is that you’re in complete control! ❦

Advanced Healthcare Center opens pulmonary ventilator unit

Advanced Healthcare Center is excited to announce the opening

of a dedicated pulmonary ventilator unit to offer specialized care for pa-tients with respiratory issues. The new unit will provide services to patients who may require the help of a ventilator to breathe, tracheostomy patients, those with chronic obstruc-tive pulmonary disease (COPD), and those with acute respiratory failure.

Ever committed to providing the most soothing environment and the highest levels of care, Advanced Healthcare Center has added wall oxygen and vacuum suction to each room in the unit, which helps create a peaceful and quiet environment. What this means for their patients is they will be able to get the rest they need without the noise of traditional

stand-alone oxygen tanks and con-centrators. The new unit’s ventilators are portable, hos-pital-grade Phillips “Trilogy” models that can be used in the home.

Michelle Hoff, Executive Direc-tor of Advanced Healthcare, is very proud of the team for designing this pulmonary ventilator program. “We saw a great need for this service in our community. Many times pa-tients require a little more time to wean off a ventilator after a hospital stay, and now we can provide this service locally. Our staff has also undergone specialized training in

The facility combines clinical experience and the

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24


Spiritually SpeakingBySister Mary Thill

From farmland to park to village in 100 years

Called like Francis of Assisi to live the Gospel in joyful servanthood among all people, the Sisters of Saint Francis, Sylvania, Ohio, as messengers of peace, commit themselves to works that reverence human dignity, embrace the poor and marginalized, and respect the gift of all creation.

—Mission Statement

Traveling by train from Minneapo-lis, Minnesota with two Sisters of

St. Francis and a candidate from St. Paul, we arrived in Toledo, Ohio on a dark, rainy night on June 14, 1957. Sandy and I were 13 years old and coming to the convent in Sylvania, Ohio to attend St. Clare Academy and to eventually become members of the Order of Sisters who taught us in grade schools in Minnesota.

Mother Adelaide Sandusky, the Foundress of the Sisters, came to Toledo in 1916 with a group of Franciscan

Sisters from Rochester, Minnesota to teach the Polish immigrant children at St. Hedwig’s and several other schools in the area. They moved to a farm in the little village known as Sylvania and started to do some serious farming in order to help make a living to support the growing community of Sisters. Because the soil was so sandy, things did not work out too well for farming the land, so Mother Adelaide decided to plant thousands of evergreen trees that would someday hold down the sandy soil.

She also needed to provide housing and services for the Sisters but was only able to build military-type barracks, which served the community until

the 1940s when she was able to begin to build sturdier, more architecturally pleasing buildings, the first one being St. Clare Academy. Her plan for the permanent buildings was based on the Franciscan Mission style of architecture used by Father Junipero Serra in California. People who have visited the California Missions and come to the Motherhouse campus are immediately reminded of the Missions with the red, clay rooftops and the many arches on the light-

beige brick buildings.Most of what is now

on the original part of the campus, the heritage campus, was built in the 1960s when I was in training to be a Sister and a teacher. It was wonderful to get up each morning and see the lovely arches, red roofs, and artwork being worked on or installed each day. There was a lot of energy and

hope around the campus at that time.The Sisters were mostly involved

in teaching and health care with schools and hospitals in Minnesota, Michigan, Ohio, Texas, and Louisiana. After Vatican II, the sisters branched out into many other ministries in order to meet the needs of the poor and marginalized who had yet to have a voice in their world. Soup kitchens, Bible schools, a safe place for abused women and their children, and a variety of church and non-church ministries were engaged in by the Sisters.

They had many adaptable skills that gave them courage and the ability to live the Gospel in joyful servanthood

among all people. Following the signs of the times, many of the former ministries were given over to our brothers and sisters, the laity, who have carried on beautifully and even grown and developed many of the ministries we started.

As the decades passed, the campus did indeed become a park as Mother Adelaide had predicted when she realized that it would no longer function as a farm. The many lovely shrines and flowerbeds, the huge variety of trees and plants, and the magnificent architecture of the permanent buildings make for a beautiful and peaceful setting, a park in the best sense of the word.

As the college grew, as the ministries of the Sisters included a retirement community on the campus, and as the Sisters realized that the mission was present wherever they were, the idea of a Village came into being, and the place, the Sisters, and everyone we come in contact with are now considered part of the Sylvania Franciscan Village.

On December 8, 2015, the Sylvania Franciscans will open their Centennial Year with a Mass in their Chapel in Sylvania. There will be a variety of activities throughout the Village to celebrate the legacy of the Sisters and to look

forward to what God has in store for us in the future.

Peace and all good to you from the Sylvania Franciscans! ❦

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

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25


PurePRP may help to improve the symptoms of or even cure many debilitating conditions involving the bones, joints or other tissue types. Patients have enjoyed great success when receiving this therapy in place of surgery or other invasive procedures. This amazing therapy consists of the careful extraction of concentrated platelets and other regenerative cell types from your own blood. these cells are then resuspended in a small volume of your blood plasma and then applied to the treatment site. PurePRP has been used by physicians to treat various conditions involving:Muscle • Spine • Elbows • Hip/Pelvis • Shoulders • Knee • FootPurePRP has been used as an effective adjunct to surgery in various surgical procedures including:• Orthopedic Surgery• Ortho-Spine Surgery• Periodontal Surgery• Plastic Surgery• Cardiovascular SurgeryThe injection procedure is usually completed in under 10 minutes. Most patients are satisfied with one treatment but it is common to have multiple treatments for larger areas or complicated pathologies. Many patients are able to avoid surgery when using this treatment option.OSTEOARTHRITIS & ADVANCED THERAPIESOsteoarthritis is a chronic condition in which the cartilage that cushions the joint begins to break down. The breakdown of this tissue will eventually lead to pain, joint stiffness and sometimes swelling. Articular cartilage is the highly specialized connective tissue found in the joint.SYMPTOMS OF OSTERARTHRITISPain, stiffness, reduced range of motion, and crunching.ABOUT ORTHO-BIOLOGIC THERAPIESOrtho-biologic therapy is an outpatient procedure that’s done at the point of care (at the patient’s bedside). It involves the application of a concentrated form of platelet rich plasma, or bone marrow aspirate to the affected area. The application can be used to treat acute injury or long term degenerative disease.

EliteBeauty.indd 2 11/3/2015 7:49:08 AM

PurePRP may help to improve the symptoms of or even cure many debilitating conditions involving the bones, joints or other tissue types. Patients have enjoyed great success when receiving this therapy in place of surgery or other invasive procedures. This amazing therapy consists of the careful extraction of concentrated platelets and other regenerative cell types from your own blood. these cells are then resuspended in a small volume of your blood plasma and then applied to the treatment site. PurePRP has been used by physicians to treat various conditions involving:Muscle • Spine • Elbows • Hip/Pelvis • Shoulders • Knee • FootPurePRP has been used as an effective adjunct to surgery in various surgical procedures including:• Orthopedic Surgery• Ortho-Spine Surgery• Periodontal Surgery• Plastic Surgery• Cardiovascular SurgeryThe injection procedure is usually completed in under 10 minutes. Most patients are satisfied with one treatment but it is common to have multiple treatments for larger areas or complicated pathologies. Many patients are able to avoid surgery when using this treatment option.OSTEOARTHRITIS & ADVANCED THERAPIESOsteoarthritis is a chronic condition in which the cartilage that cushions the joint begins to break down. The breakdown of this tissue will eventually lead to pain, joint stiffness and sometimes swelling. Articular cartilage is the highly specialized connective tissue found in the joint.SYMPTOMS OF OSTERARTHRITISPain, stiffness, reduced range of motion, and crunching.ABOUT ORTHO-BIOLOGIC THERAPIESOrtho-biologic therapy is an outpatient procedure that’s done at the point of care (at the patient’s bedside). It involves the application of a concentrated form of platelet rich plasma, or bone marrow aspirate to the affected area. The application can be used to treat acute injury or long term degenerative disease.

26


Kingston Skilled Nursing Rehabil-itation facilities can help people

proactively manage their Parkinson’s disease (PD). Kingston offers special-ized inpatient and outpatient therapy and wellness programs to help combat the impact that PD has on their daily function. Kingston therapists go above and beyond to provide personalized care for patients with Parkinson’s, utilizing evidence-based treatment approaches. Kingston employs staff who are passionate and experienced at helping people affected with PD regain skills and improve quality of life. Several Kingston therapists are certified in the specialized PD treatment approaches LSVT BIG and LOUD.

LSVT LOUD is a research-based PD-specific program designed to increase healthy vocal loudness in people with PD. LSVT LOUD focus-es on the vocal loudness of speech with intensive, high-effort vocal exercises in order to facilitate vocal calibration in each patient (patients recog-nizing how “loud” or “soft” their voice actually is and the amount of effort required to consistently produce loud-er speech). The overall goal of the LSVT LOUD program is to as-sist in facilitating louder or “nor-mal” speech in people with PD to improve their desired communication with others and improve their over-all quality of life. LSVT LOUD is a standardized program conducted by a speech language pathologist who has completed a certification course, and is performed four consecutive days per week for four weeks. Daily homework exercises are done during the treatment duration.

The LSVT BIG program has a sin-gular target of increasing amplitude of movement across motor systems with intensive, high-effort exercises and activity geared toward gener-alized sensory calibration (patients recognizing how “big” or “small” their movements actually are and the amount of effort required to consis-tently produce bigger movements).

The overall goal of the LSVT BIG program is to assist in facilitating bigger or “normal” movement pat-terns in people with PD to increase their confidence, decrease their fear of falling, and improve their quality of life. LSVT BIG is a standardized program conducted in 16 one-hour sessions, four consecutive days per week for four weeks, with daily homework practice and carryover exercises done for 30 days, with the intention of creating a life-long habit of exercise.

The LSVT LOUD and LSVT BIG programs are available on an inpatient basis after a patient has had a hospital stay, or on an outpatient basis.

Delay the Disease (DTD) is a community-based fitness program designed for people with PD to im-prove their physical function, delay the progression of the symptoms of PD, and thus improve their quality of

life. DTD is often performed in a group setting and can be per-formed on land or as an aquatic program, and is conducted by

staff who have completed the two-day DTD certification course. DTD is currently offered at Kingston Care Center of Sylvania and will be offered soon in Perrysburg.

Kingston Care Center of Sylvania and Kingston

Rehabilitation of Perrysburg offer a variety of wellness classes in a land or aquatic-based setting within a one-to-one or group class, with the intensity of exercise being selected primarily by the client. Each wellness class at Kingston is directed by a member of the wellness team having a minimum of a bachelor’s degree in an exercise- or wellness-related field. The wellness programs at Kingston are an informal way for people with PD to exercise on a daily or weekly basis in order to assist in preventing functional decline or even improve quality of life.

For more information about these Parkinson’s-specialized programs and our other healthcare services, please feel free to contact us at 419-724-CARE. ❦

Kingston helps people combat Parkinson’s

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deep and help me get back home as soon as possible.

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27


Toledo Clinic Cognitive Center takes collaborative approach to memory care

Always looking for innovative ways to reach people whose

lives are touched by memory loss, Dr. Sherry-Ann Jenkins, PhD, of the Toledo Clinic Cognitive Center has partnered with several practitioners, organizations, and senior facilities in our community to strengthen access to holistic cognitive care.

Among Dr. Jenkins’ community partners is the Traumatic Brain Injury Resource Center (TBIRC), a non-profit organization dedicated to supporting traumatic brain injury survivors as well as their caregivers and families. The TBIRC, located at 7430 W. Central Ave., offers a wide variety of helpful services, including speech and cognitive therapy, sup-port groups, social events, community outreach, rec-reational therapy/yoga, and Bible study.

Dr. Jenkins explains, “With our shared focus, it only made sense for us to join forces. I send my TBI patients to them and they send patients with memory issues to me. I also go there to do workshops, and I’m joining their board of directors. All of the programs and services they offer are 100 percent free.”

Because cognitive deficits are a potential complication of any major surgery, Dr. Jenkins is also working collaboratively with The Toledo Clin-ic’s Neurosurgery and Cardiology departments. Both before and after brain or heart surgery, she performs a workup on the patient so she can identify any deficit that might arise and then address the specific impairment, helping the patient regain as much of his or her prior cognitive function as possible. “The willingness of these departments to take advantage of my services is further evidence that they’re focused on being proactive rather than reactive when it comes to the overall health and well-being of their patients,” she says.

Nursing facilities are also fertile ground for memory issues, so Dr. Jenkins is collaborating in that realm as well. For example, two Fridays each month, she visits The Grove at Oakleaf Village, located at 4220 N. Holland Sylvania Rd., to do cognitive workups on residents and follow up on those who exhibit deficits.

In January, she’ll begin visiting two additional nursing facilities in our community.

“Plus,” Dr. Jenkins notes, “I’ll soon be working with a neurology group in Cleveland two days a month as well as with Dr. Bryan Weinstein, a psychiatrist and neurologist who will be opening a Wellness Village in Trenton, Michigan this coming February.” She’s also proud that the Toledo Clinic Cognitive Center and several of their patients recently showed their community spirit and helped raise funds to fight Alzheimer’s disease by participating as a team in the Walk to End Alzheimer’s.

Of course, whenever Dr. Jenkins visits a nursing fa-cility or satellite office, she’s accompanied by Jasper, the Toledo Clinic Cognitive Center ’s resident work-ing dog, who helps calm anxious or fearful patients through his comforting, friendly, furry presence.

Dr. Jenkins’ holistic, all-natural, non-pharma-ceutical approach is effective in treating patients with all

forms of memory impairment, whether stemming from Alzheimer’s or other forms of dementia; head trauma; stroke; diseases such as multiple sclerosis, epilepsy, Parkinson’s, or fibromyalgia; chemotherapy treat-ment; or any other cause.

Treatment involves neurocognitive testing and lab work to determine which specific areas of memory are deficient and confirm the specific cause of memory loss. A PET scan is also performed so Dr. Jenkins can visualize which parts of the brain are functioning well and which are not. This information is then used to design an individualized program with the goal of teaching the func-tioning parts of the patient’s brain to compensate for those that aren’t working properly.

Each individualized program includes special dietary changes to promote greater brain function as well as daily memory exercises designed to improve short-term memory. Also, patients are strongly encouraged to socialize, take advan-tage of support groups (e.g., through the Alzheimer’s Association), and get actively involved in the community,

Dr. Sherry-Ann Jenkins



Office Location4417 N. Holland SylvaniaToledo, OH 43623

Sherry-Ann Jenkins, PH.D.Cognitive Center

phone: 419-479-5556

Dr. Jenkins is welcoming new patients.

The Cognitive Center has a holistic approach to slowing down memory loss while assisting the patient to function at a higher cognitive level. This is accomplished through:

• Customizing daily memory exercises to train other parts of the brain that is functioning properly to compensate for areas that inactive.

• Recommended counseling and support for patient and family along with participation in activities that enhance brain functioning.

• Adjustments to diet to support greater brain function.

• Educational sessions for caretaker to assist them in providing a safe environment for their love ones and support groups for personal assistance.

The Cognitive Center calls all patients every 3 weeks in order assess the effect of their therapy and allows the patient to have someone talk to about their memory issues. At the Cognitive Center, the patient and family are both actively involved and integral parts in the treatment plan.

28


knee problems, it felt like my whole life had stopped. I couldn’t even travel anymore because I was afraid of falling down in the airport,” Stewart says.

Following her knee surgery, per-formed by orthopedic surgeon Dr. Richard Miller, Stewart chose The Laurels for rehab. In pain from sur-gery and uncertain what to expect from her rehab experience, she was initially very apprehensive. That soon changed after she met Laurels physical therapy assistant Justin Bates. “After spending a little time with Justin and working with him, I decided, ‘I like this guy,’” she recalls.

Recognizing that using the AlterG could maximize Stewart’s rehab prog-

ress, he suggested repeatedly that she give it a try. “I finally decided that the only way to get him to shut up about it was to get in the thing!” she jokes.

To use the Al-terG, patients put on special pants that zip into an in-flatable chamber on the treadmill. The

therapist then calibrates the machine and increases the air pressure in the chamber to the desired level. Video cameras located at the front and on either side of the treadmill allow the patient and therapist to observe on a monitor exactly what’s going on with the patient’s gait from multiple vantage points.

“When it inflated, I was a bit scared and thought, ‘What are you doing, dude!’ But when he started the treadmill and I saw my feet moving, I knew I was going to walk again. It felt great, like I was actually doing something, and having the ability to see my feet from all angles allowed me to visualize exactly what Justin was telling me to do. It really is a miracle machine,” Stewart says.

Bates notes that after just four sessions in the AlterG, he was able to increase Stewart’s weight bear-ing from 40% to 48% and that her speed on the treadmill more than doubled. “Not only was she going faster, but she was able to walk much longer—from a tenth of a mile to a quarter mile. Plus, her gait pattern significantly improved and she was able to carry that over when using her walker,” he says.

for example through volunteering at their church, a senior or youth center, or an Alzheimer’s adult day care center. ❦

For more information on the Toledo Clinic Cognitive Center or to schedule an appointment, please call 419-479-5556.

Laurels’ Anti-Gravity Treadmill is “miracle machine” in eyes

of local rehab patient

The Laurels of Toledo only recently introduced the state-of-the-art Al-

terG® Anti-Gravity Treadmill® to their repertoire of therapeutic modalities, but this cutting-edge technology is already having a dramatic impact on the progress and outcomes for their rehab patients.

The AlterG, developed by NASA engineers while studying the bio-mechanics of exercise in space, uses differential air pressure technology to “unweight” patients as they walk, stand, or perform various exercises on the treadmill under the close supervision of a therapist. The unit can unweight patients as much as 80% while allowing normal gait mechanics.

As far as Sheila Stewart is con-cerned, the AlterG is nothing short of miraculous. Stewart recently came

to The Laurels for rehab following total replacement of her right knee. She explains that her knees had been giving her trouble for the past four or five years and that in the last year, the problem had gotten so bad that she was experiencing falls and had to walk with a cane to keep her balance.

“When I finally decided to go ahead with the surgery, they asked what I like to do and whether I’m generally active. I told them, ‘I have four great grandchil-dren, I still drive, and I travel to California or Las Vegas every year. So, yes, I’m very active.’ But with my

29


And it’s not only patients who are taking notice of the AlterG. This advanced technology—which is offered to Laurels rehab patients at no additional cost—is also creating a buzz in the local medical commu-nity. Laurels Administrator Edward Beatrice remarks that the Laurels team recently presented the AlterG in front of a large group of physicians repre-senting the orthopedic, cardiology, and neurosurgery specialties, and they were all highly impressed with the technology and the possibilities it offers their patients. In fact, Toledo Clinic cardiologist Dr. Ghiath Yazji commented that it’s remarkable for a city the size of Toledo to offer such an innovative and dynamic piece of equipment to patients. And, after

walking and running in the AlterG while unweighted by 80%, orthopedic surgeon Dr. Robert Kalb remarked that it “literally feels like walking on the moon.”

For his part, Beatrice is especially proud that The Laurels is able to offer this state-of-the-art technology to rehab patients at no extra cost, stating “With it, we can accelerate patients’ rehab programs, allowing them to get home sooner, safer, and stronger.” ❦

The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services. For more information, call 419-536-7600 or visit www.laurelsoftoledo.com.

UTMC physician promotes early detection of lung cancerby Brandi Barhite

The biggest problem with lung cancer—the leading cause of

cancer death in the United States for both men and women—is that it doesn’t generate symptoms until it is advanced.

That’s partly because there is a lot of space in the lungs where a tumor can expand without causing symptoms. “It can be growing for more than a year, and the person really has very little symptoms or no symptoms until it is large enough to metastasize to other parts of the body,” said Dr. James Willey, lung cancer expert and University of To-ledo professor of medicine.

“We highly recommend that people who are 55 to 75 years of age with a heavy smoking history get this screening once a year,” Dr. Willey said. “This includes people who smoked at least a pack a day for 30 years and quit smoking less than 15 years ago. In addition, to qualify for screening it is important that their overall health permits them to safely undergo surgical removal of the tumor.”

Dr. Willey said lung cancer screen-ings—a standard of care as determined by the United States Preventive Ser-vices Task Force—have been shown to reduce deaths from lung cancer by more than 20 percent. Medicare and Medicaid are now covering the cost of these screenings with private insurance companies expected to follow that example. Even without

insurance coverage, the cost is only $99 at the Lung Nodule Clinic at The Uni-versity of Toledo Medical Center.

The screenings are offered at UTMC the first Tuesday of every month from 4:00 to 6:00 p.m. The visit includes immediate results and optional smok-ing-cessation counseling. To make an appointment, call 419-383-3927.

If lung cancer is detected in people who are screened, it can be treated in 85 percent of cases. Dr. Willey hopes this will help with the stigma of lung cancer. “Historically, lung cancer has had a bad reputation because without screening, it is advanced at the time of diagnosis and not curable in more than 85 percent of cases. Consequently, most people die within one to two years of diagnosis.”

Dr. Willey has been funded for many years by the National Cancer Institute to conduct molecular ge-netic studies aimed at determining why some people are genetically predisposed to lung cancer. This is important because although tobacco use is the number-one cause of lung cancer, about 20 percent of lung cancers occur in people who don’t smoke. ❦

Brandi Barhite is a Media Relations Specialist with University of Toledo Health.

Dr. James WilleyThe University of Toledo Health

Infectious Disease Clinicis welcoming new patients

The Division of Infectious Diseases offers expertise in the diagnosis and treatment of chronic and recurrent infections that arise from exposure to infectious diseases.

Our servIces IncluDe TreaTmenT fOr:

• HIV/AIDS

• Staphylococcalinfections

• STIs

• Osteomyelitis

• Hepatitis

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new Patient appointments available Tuesday & Wednesday mornings and Thursday & friday in the morning and afternoon.

view our list of providers and use our convenient online scheduling system at: uthealth.utoledo.edu/schedulenow

for more information or to schedule an appointment via phone, please call: 419.383.3780. for the ryan White clinic, please call: 419.383.6843

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News From

OTTERBEIN

With the holidays upon us, it is the time of year when giving gifts

to others is a way to show our love and friendship. As we all know, there are limitless amounts of merchandise and services, at all price levels, that are sure to entice buyers to make a purchase. How do you choose? What can a grandparent give that has lasting meaning and won’t be quickly discarded and forgotten by the new year? And for families, what gift will delight grandparents—many of whom aren’t particularly interested in the newest and greatest electronic or gadget?

A little creative thinking outside the gift box can provide some answers. By December, it’s time to take action and decide what to give, but during the next year, try taking some time to listen and observe what your loved one enjoys, uses, or mentions that might be a clue to an appropriate gift.

Here’s an example: A daugh-ter noticed that her mother loved watching a certain local news station every evening at 5:00. Her mother commented on the female commen-tator’s beautiful clothing and how the weather man is so funny and even makes rainy days seem like fun. The daughter decided to take her mother to a live appearance by the news team at a holiday food drive. Her mother got to meet all of her favorite celebrities. She told her daughter that it was one of the most thrilling gifts she had ever received!

For grandparents, there are a number of ways to give a gift that becomes a legacy. A legacy does not have to be monetary, but it is any-thing meaningful that lasts long into the future. One idea is to complete a book that is designed for grandpar-ents to share their life stories. Visit a local book store, and you will find a

variety of formats. You will be sure to find one that seems doable. Most of them contain questions about life that will get you thinking and writing. You can also ask someone to help you do a video life story. Make an outline. Keep it simple. Start the camera, then talk and smile! What a lasting gift for your family!

If you would like to make a fi-nancial gift, think about a 529 plan. A 529 plan is an education savings plan operated by a state or educa-

tional institution designed to help families set aside funds for future college costs. It is named after Section 529 of the Internal Revenue Code, which created these types of savings plans in 1996. Section 529 includes a special exemption to the gift tax for the purpose of contributing to a 529 plan. Five years of the gift tax exemption may be contributed at once if paid directly into a 529 plan. That means that each grandparent could contribute a one-time gift of $70,000. Today, over 17% of college students rely on families for help with college. Whether the gift is large or small, over time it becomes a legacy of learning and success for the grandchildren. Consult your financial planner about this type of gift as well as others.

One additional idea is to give the gift of time. Grandparents have a wealth of knowledge and life lessons. Schedule a series of ongoing “dates” with your grandchildren. Pass on your love of fishing, share a secret recipe, or educate them on who’s who in the family tree. Golden memories shared will be a lasting legacy.

What can families get for Grandpa or Grandma? Again, notice the things

Gift giving across the generations

31


that they like to do. For example, many retirees love to eat out. Have you ever noticed that when talking about an event, the first thing your loved one says is something about the food? Gift certificates to restaurants will delight and encourage eating with others. Research shows that folks who eat with others eat more and eat healthier.

Look for practical gifts that you can give. Many grandparents are downsizing and they don’t need more knickknacks and collectables. You might see a need for a new coffeemaker, new towels, new floor mats for the car, or a coupon book of carwash tickets. Taking Grandma and

Grandpa on a short weekend trip is a great idea for family togetherness and discovery.

Giving gifts is one way to show that we love one another. It doesn’t cost a lot of money when you do a little thinking and research. Need ideas? There’s no place like Pinterest for creative ideas. Just search “Gifts for …” and you’ll get lots of super ideas that will make this holiday one to remember! ❦

Otterbein Senior Lifestyle Choices takes pride in promoting intergenerational connections. For more information on these vibrant communities, call 419-833-8917 or visit www.otterbein.org.

Plan now for your national parks trip in '16

A Walk in the Parkby LeMoyne Mercer

In 2015, Shirley and I visited ten national parks. Yes, we are lucky

people. One of the things we noticed was that there were a lot of other lucky people. Some of those lucky people were retirees—of which there is a rapidly growing number. Some lucky people were celebrating the dramatic decrease in the price of gas-oline by doing more traveling. Some were foreigners, especially Asians, who have discovered that travel in America has a lot to recommend it.

Add up all those lucky people and you get crowds in the western national parks like we have never experienced before. Part of the reason is that Utah invested enormously in the promotion of the five national parks in the state: Arches, Canyonlands, Zion, Bryce, and Capitol Reef. The Centennial of the National Parks Service is 2016, so we can look forward to an extensive campaign touting all the beauty and adventure from purple mountains to fruited plain. Utah got a head start in 2015, and visits in 2016 are expected to continue breaking records from Acadia to Zion.

At Zion, for example, one of our favorite hikes is up to the Emerald

Pools. Water plunges in a fine mist from a high ledge to form a modest puddle that drains into the Virgin River. It is an easy half-mile walk beginning right across from the lodge. You could end the walk by standing in the misty spray behind the waterfall, trying to take photos without getting water on your lens.

With a little more effort, though, you could climb to the Middle Pool. The trail takes you to the top of the cliff you just passed under at the waterfall.

With considerably more effort, even though it is only a quarter mile, you might climb all the way to the Upper Pool.

In our experience, the number of people willing to continue to the Middle Pool was considerably smaller than those willing to make the easy stroll to the lower pool. Strong hikers often avoid crowds simply by going where most people are unwilling to go. The trail to the Upper Pool is much steeper and strewn with rocks and boulders, so in places you do more scrambling than walking. When we took our daughters there in 1988, we had the place all to ourselves.

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In subsequent years, sometimes there have been other hikers. Rarely more than a dozen total. This year, there were about a hundred. There is a natural bottleneck where the trail enters the basin holding the Upper Pool. The passage is a narrow jumble of rocks. There is not enough room for people to pass each other going in opposite directions. Historically, this did not matter because there wasn’t anybody coming from the opposite direction.

This year, impatient people ar-riving tried to force their way past those trying to leave like Christmas shoppers who had just heard about a

last-minute sale on the latest iSome-thing. Parents lost contact with little kids who disappeared into crevices. Lots of shouting back and forth. A little kid calls out, “Mommie! Where are you?” Seventeen mommies echo back, “I’m over here!”

The Upper Pool is a small spring-fed pond nestled among enormous boulders and flanked by impressive red and white cliffs rising 300 feet straight up. There must have been a lot of iron in those boulders because they were magnets for every boy between the ages of 4 and 24. “Look where I am! Take my picture! Take my picture!”

There were signs warn-ing you to stay off the rocks and, at the edge of the Pool, one declaring that wading was prohibited. You can guess how much deterrent value they had. A ranger sauntered around trying to look stern yet friendly while keeping people from running too far amok. Sub-stitute teachers are greet-ed with more respect and compliance.

So, do you hope someday to visit the Pools without

getting trampled in the stampede? We recommend starting as early as it is light enough to tie your shoe laces. While other visitors are having breakfast, you could be there. And back. You can do all three Pools in about two hours.

You might also consider early evening, but the timing is more crit-ical then. You probably don’t want to be caught after dark on a narrow mountain ledge with steep drop-offs. Even in broad daylight, parts of the trail don’t look like a trail.

Of course, you might actually prefer the physical and psychological security of traveling with the herd. We have met people who admit they are somewhat intimidated by being alone in the wild. Besides, the herd offers the benefit of encounters with all sorts of “interesting” people. On our way back from the Pools, there was a young couple who had arrived directly from 1968 via Mr. Peabody’s Wayback Machine. She sang (I think it could be called singing) all the way back down the trail.

Shirley and I have shared travel experiences with people from all over the country and several foreign coun-tries. Most of them were interesting in a somewhat less exotic sense. We

met a nice couple from Austin at the Gateway to the Narrows. I offered to use their camera to take their picture, and we spent some time chatting about our travels. Shirley and I are no longer amazed by the number of people with whom we have shared similar travel experiences and even connections to home.

“So, you’re from Toledo? We have a daughter in Sylvania!”

“Really? We have a daughter in Sylvania, too.”

The Gateway is where the Virgin River emerges from a narrow can-yon—about 20 feet wide with vertical walls of 2,000 feet. You can walk back into the Narrows, but the “trail” is the riverbed. There is a cobblestone bottom until you get around the first bend. Then it is sandy and much easier wading. Daughter Sarah—the one from Sylvania—and I went back in there in 1988. It was one of those father-daughter experiences that are simply irreplaceable. Part of the charm was that we had it to ourselves. This year, the army ants formed a steady stream sloshing into the Narrows. It has become so popular that vendors rent special shoes with neoprene liners so you don’t have to get your hiking boots or sneakers filled with water. The water is usually only about knee deep. Usually.

When it rains 20 miles away, there can be flash floods that carry mud, rocks, trees, and other sorts of debris roaring through narrow canyons with no way for hikers to escape. There are signs advising visitors to check the weather report with a ranger before venturing through Zion’s canyons. This year, four men and three women lost their lives when they were caught in a flashflood. The risk is part of the adventure. Still….

Shirley and I went into Spring-dale, right on the edge of the park, for supplies at a small market and gas for the RV. While I was gassing up, it started to rain. Suddenly it came in torrents with thunder echoing off the cliff sides. I was in such a hurry to get out of the rain that I left the gas cap on the bumper. It could have been worse. I was thinking about all the hikers exposed to the dangers of lightning on rock ledges and to flash floods down in the canyons.

Getting back into the park was somewhat more difficult than getting out of it. There was a long line at the entry gate. But there is another lane marked “Park Staff Only” with a lift gate activated by inserting a park

We had the Upper Pool all to ourselves. Well, in the past we did. Not this year. Win a free subscription to HLN if you can find Shirley.

When people reach points in their lives when they depend on others, our compassionate caregivers create a place to live, providing care for our patients like family, not because it’s their job, but because it’s their calling.

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ID card. A woman in a white mini-van pulled out from behind us and got in the staff lane. Other vehicles pulled in behind her. At the gate she remembered that she wasn’t actually park staff. Didn’t have one of those card thingies. A ranger emerged from the gatehouse in the pouring rain. We couldn’t hear the conversation, but we could see the ranger gestur-ing that she should make a U-turn around the entry gate and go to the back of the line. The ranger inserted her own ID card and the gate lifted.

You know how people sometimes ignore signs. Well, sometimes they

ignore rangers too. Though I don’t approve, I can

appreciate that she might not have wanted to sit in that line. Especially if, like us, she had visited several other national parks and already used up her annual allocation of patience.

At Arches, there was a long lineup at 7:30 a.m. as if everybody in the Moab hotels had decided that the smart thing was to get started early. (Yes. I know. I just recommended that. Typically, though, people ignore my recommendations.) We drove back to the campground at the far end of the road. Full. Next available opening

on the 12th of Never.So, we spent that day in the park

and went up the road a piece to Can-yonlands. The campground there is also at the end of the road. It never fills up because there is no water or other services that people tend to appreciate in the desert in July. The ranger at the entry gate said we could probably find a site. Probably.

After looping through the camp-ground twice just to make sure we had not overlooked an empty site or people preparing to leave, we went to an overlook for a peek at the canyons. On our way out, we

Many of the must-see formations in Arches, like Balanced Rock, are readily accessible and therefore attract a lot of visitors.

EAT HEALTHY, SLEEP MORE, DRINK WATER AND GET MOVING!Mercy Children’s Hospital and Kohl’s Cares believe that fostering positive behaviors in health and nutrition will help children be healthier and happier. We’ve teamed up to offer parents and other caregivers’ practical advice on raising healthy children. Kohl’s Kids in Action is focused on four valuable steps that are important to better health: good nutrition, increased physical activity, proper water intake and good sleep habits.

Screen Time What does watching TV or playing video games have to do with your child’s health?Children are spending more time in front of a screen (screen time) and less time getting the 60 minutes of daily exercise they need to stay fit and healthy.

Doctors suggest limiting the time children spend watching TV, playing video games or using computers for reasons other than schoolwork to no more than 2 hours per day.

• Ask a friend or relative to play with the kids while you get your work done.

• Team up with family or adult neighbors to spend one day a week supervising play activities for the kids.

And remember:

• No snacks, sugary drinks and fast food during screen time.

• Turn off the TV during meals and use that time to discuss the events of the day.

• Keep TV sets, DVD players, video games and computers out of children’s bedrooms.

• Channel surfing is a sure sign of boredom.

• It’s time to turn off the TV and get active!

Mercy Children’s Hospital and Kohl’s Kids in Action offer free obesity prevention education to your elementary school or at health fairs.

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34


went back through the campground again just in case.

Fortunately, just outside the national park is a Bureau of Land Management campground down a deeply-rutted dirt road. Except with extreme caution, it is definitely not advisable for vehicles with low ground clearance.

A couple weeks later, we were up at Yellowstone. Visitor numbers were 40% above 2014 and the highest on record. Shirley and I went into Gardiner, MT for groceries and gas for the RV. Like Springdale, Gardiner sits right on the edge of the national park. Given our experience, we should have noticed that something was up. The exit lane from the park was detoured so it could be turned into another in-bound lane. Even with double lanes, traffic was backed up all the way to the great stone arch that marks the park boundary. We decided to stay in town for a while rather than sit in that line.

While we waited near the road, a car pulled up to the end of the line. The driver got out and his wife took the wheel. Dad opened the back door and told son to come with him to get some sandwiches and drinks. The car inched forward.

“Dad, she’s leaving us,” said the kid.

“Don’t worry about it. We’ll catch up,” said Dad.

And they did.Shirley and I visited shops and

used the free Wi-Fi at the Chamber of Commerce until early afternoon when the line was considerably shorter though still doubled up and longer than usual.

Despite our experience at Arches, I am still convinced that earlier is better. Sometimes “early” is a close call. We are especially tuned in to beating the tour buses that disgorge their excited cargo at the national parks’ major

Take the Red Rock Trail for this view of the Lower Falls of the Yellowstone. It is only 1,000 steps down the face of the canyon wall—and 10,000 steps back up. We had the view all to ourselves.

attractions. It is important not only to get there early but also to get out early unless you really enjoy being trapped in the parking lot as we were at the Norris Geyser Basin. Nobody can move until somebody else moves first. And that guy clogging things up is the same guy who is always waiting for somebody to leave the parking spot right next to the mall entrance. He’d rather sit there 30 minutes blocking traffic and ignoring horns than walk 30 seconds.

So, if you are even vaguely con-templating a 2016 trip to the national parks, our advice is to get serious about your research and reservations at the earliest possible date. Today would be good. See the National Parks website for help with planning your visit. You might also consider going during the shoulder months—spring and fall—when demand for hotel and lodge rooms and campsites is somewhat lower. Or, you could just take one of those tours and let somebody else worry about finding you a place to sleep, eat, and park.

Shirley and I prefer the flexibility and spontaneity of traveling without reservations when that is feasible. This year, though, I called ahead for reservations at Rocky Mountains and Yellowstone. We are always prepared to change our plans along the way, but we never leave home without a plan. And a fall-back plan. That’s one of the reasons our trips are always just a walk in the park. ❦

LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

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The senior community transition: What are you really leaving behind?

For many people, one of the big-gest obstacles to moving from

their long-time home into a senior living community is the perception that, in doing so, they’ll be leaving behind all that’s comfortable and familiar along with all the poignant memories they’ve created there over the years. While there’s no question that such a significant step can seem overwhelming and a little frightening, seniors who choose to make the move to senior living stand to gain much more than they lose.

“It’s only natural for seniors to focus on the things they’ll be giving up when they move into a com-munity, but the truth of the matter is, they actually take with them all their memories and the things they genuinely treasure while saying goodbye to most of the hassles and worries of homeownership,” explains Lisa Chalk, Executive Director of St. Clare Commons.

The following are some aspects of homeownership—or simply liv-ing alone—that seniors won’t likely miss when they make the move to a senior community:

Challenging choresAmong the many hassles left behind are various household and outdoor chores, some of which can put seniors at risk of serious injury. At this time of year, snow and ice removal from side-walks and driveways is a routine job, but that just scratches the surface. In other seasons, there are tasks like lawn mow-

ing, weeding, leaf raking, gutter cleaning, and window washing to tackle. Year-round indoors, there are chores like vacuuming, dusting, and mopping in multiple rooms and often on more than one floor of the house. Of course, laundry is a never-ending

job that may involve hauling heavy baskets up and down stairs, which puts seniors at risk of falling.

“In contrast, senior living communities, such as St. Clare Commons in Perrysburg, take care of all the yard work and outdoor maintenance and even offer housekeeping and laundry services, freeing residents to pursue the activities they enjoy,” says Chalk.

Unanticipated repairsIt’s an unavoidable reality of home-ownership that, at one time or another, a pipe will leak, a furnace will fail, a toilet will run continuously, concrete stairs will crack, etc. When prob-

lems like these arise, most people need to call an expert to come out and tackle the job, hoping he or she will be scrupulous, do the job right, and charge a fair price. In a senior living community, staff members handle all such repairs at no ad-ditional cost and their

services are just a phone call away.

Security worriesSeniors living on their own are much more vulnerable to break-ins, physical attack, or other forms of victimization than their counterparts who live in a community with state-of-the-art security, in-room emergency alert-ing systems (help is always just a few steps away), as well as staff and fellow residents who are concerned about—and watching out for—their safety, security, and well being.

Transportation tribulationsAs people get older, issues such as vision impairment or functional limitations can make it difficult or impossible to drive a motor vehicle safely. Therefore, seniors who are still living at home may have difficulty getting around without imposing on family members or friends to drive them. “Seniors who no longer drive can very easily become isolated, which in turn can lead to symptoms of depression,” says Chalk. “Here at St. Clare Commons, we offer residents transportation services for shopping,

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doctor appointments, and other ne-cessities, as well as for all kinds of fun activities and social events out in the community.”

Coping with sickness unassistedLast but certainly not least, when seniors who are otherwise healthy

and independent get sick, being home alone (or with a spouse who is also sick) can present some serious challenges. “In this situation, they may not be able to get to the pharmacy to pick up medications they need or the grocery store to restock their refrigerator and pantry. They may even be too weak to prepare meals

for themselves, or they may become dehydrated without realizing it. Quality senior living communities employ specially trained staff who can provide all the care and monitoring they need until they’re feeling better and back to their independent lives again,” Chalk states. ❦

With treatment, SAD sufferers can reclaim joy of holiday season

The holiday season should be a cheerful, uplifting time of year.

With all the festivities and fellowship to enjoy, it would seem only natural to be in a celebratory frame of mind from Thanksgiving right up through New Year’s Day. However, the holidays also happen to coincide with the onset of shorter days and herald a long, gray winter ahead. For people who suffer from the condition known as Seasonal Affective Disorder, or SAD, this marked reduction in sunlight can trigger a constellation of unpleasant emotional and physical symptoms.

Among other problems, SAD can cause feelings of sadness, irritabili-ty, hopelessness, or worthlessness; fatigue and low energy during the

day; oversleeping and difficulty waking in the morning; loss of concentration; carbo-hydrate cravings and weight gain; reduced productivity on the job; and social with-drawal.

As licensed clin-ical psychologist Dr. Kyle Barry of Mercy St. Vincent Family Care Center explains, “SAD is similar to major depres-sion but usually—though not always—less severe. There’s some debate over whether SAD is a component of major depression or a distinct condition. Patients with

this disorder experience symptoms predictably during the same

season each year and are depressed more days than not for most of the day during

these episodes. If you experience this prob-lem and it persists for more than two weeks, it’s important to see your healthcare provider.”

Dr. Barry also points out that SAD isn’t always associated with the shorter days

of winter. Some individuals experience summer onset of the condition and

exhibit the symptoms of weight loss instead of weight gain and insomnia instead of excessive sleepiness.

With respect to SAD risk, it appears women are more susceptible than men and younger people are more vulnerable than older people. As with most aspects of mental health, having a family history of the condi-tion also elevates risk. Furthermore, certain individuals with year-round depression or bipolar disorder may find that their condition becomes more severe at this time of year.

Because SAD is associated with reduced sun exposure, where one resides has a major influence on risk as well. For example, the incidence is much lower near the equator than it is in northern latitudes. Of course, prevailing weather patterns are a factor too. “Here in Ohio, we more or less have the same cloudy and rainy conditions as they do in Portland, Oregon. In the spring, there may be more sunlight during the day, but it’s not necessarily reaching you,” says Dr. Barry.

What does sunlight—or the lack thereof—have to do with a mood disorder? The exact cause-and-effect isn’t fully understood, but it’s believed that reduced sunlight upsets the

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body’s natural circadian rhythm, or “internal clock,” and interferes with the levels of the neurotransmitters serotonin and melatonin, which are associated with mood and the sleep-wake pattern.

But as Dr. Barry points out, it’s important to understand that compo-nents other than sunlight can play a role in SAD. “You have to determine what else is going on in the context of the patient’s life,” he explains. “Have there been any major changes, such as a death or divorce? Are they taking care of themselves? Are they getting good nutrition, regular exercise, and adequate sleep? What are their social circumstances? These are all potential factors in the equation.”

The good news is, SAD is a very treatable mood disorder and peo-ple with the condition have several treatment choices available to them. The best approach depends on the individual and should be determined through discussion with one’s health-care provider.

For people with winter-onset SAD, one very effective alternative is light therapy, which involves sitting in front of a special light source for a specified amount of time, ranging anywhere from 30 minutes to two hours per day. The appropriate du-ration of sessions and the distance one should sit from the light source depend on several factors, such as the severity of the condition and type of bulb used. “These lights differ from normal home lamps in their level of brightness, and they differ from tanning bulbs in that they filter out harmful UV rays. Based on what I’ve gathered through research, over 70 percent of patients who use light therapy report improvement,” Dr. Barry says.

Pharmaceutical (antidepressant medication) and psychiatric options are also available for treating SAD. The latter, according to Dr. Barry, typically includes cognitive behavioral therapy, or CBT, which explores and addresses how patients’ feelings and thoughts influence their behaviors and interactions. “CBT is the best option for long-term management of SAD because it’s proactive and focused on finding a balance more conducive to wellness,” he says.

Each of these treatment options can also be used to help prevent SAD symptoms from recurring. Once the seasonal pattern has been identified, patients can, for example, begin light therapy or antidepressant use before

symptoms typically arise. Of course, those patients who choose CBT learn a set of strategies that they can use throughout the year as well as at the usual time of symptom onset.

“Changes in any area of life, even seasonal changes, can cause stress that affects emotional health. The most important thing is finding that balance through treatment. It’s also important to keep in mind that symptoms such as hopelessness, suicidal ideation, and substance abuse are definite markers that you should see your healthcare provider to address the issue so you can achieve the quality of life you want and deserve,” Dr. Barry advises. ❦

Let me start off this month by once again sharing a statistic that I have

shared several times with readers: 70% of all youth drop out of sports by the age of 13!

Since hearing that statistic, I have challenged myself to reflect back to my youth (as I challenge all of you to do) as well as look at my evolution as a coach. As I reflect on both, I realize one important thing—change is the one word that comes to my mind.

As parents and coaches, we seem to get so wrapped up in championships at a young age. We believe we have the next Tom Brady, Derek Jeter, Pete Sampras, or Serena Williams. With that being the drive, the focus then shifts from overall athletic and personal development to a one-track focus, 100% commitment to the child becoming the next “big thing.”

Now, I am not saying there are not some outliers. There are. What I am saying is the majority do not fall into the outlier category, and the push by all sides takes the fun away and helps with the 70% dropout rate before the age of 13.

So, what can be done? Well, let us get back to allowing free or open play. Let us get back to a not-so-scheduled life (today we are very good at over scheduling). How many of you can reflect back to the days when you would get home from school and

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head straight outside to play the sport of the day with your friends? The only rule you had from Mom was to be home before the streetlights turned on. Little did we realize “back in the day” that we were developing overall athletic skills, having a great deal of fun, and accomplishing what organizations are pushing for. We were exercising over 60 minutes a day on our own.

Now, yes, I understand that times have changed. As a coach, the biggest change I’m seeing is fewer kids participating in sports. And those who do are pretty much focusing on one sport. Since not as many kids are participating in sports and the electronic generation is upon us, child obesity is on the rise today. Not to mention (once again), 70% of kids who do participate under the

age of 13 are quitting. As parents and coaches, we need

to take on the challenge of blending the old and new. Encourage open and free play. Encourage multiple sport participation, and truly understand that this has a huge benefit athletically as well as socially. Encourage kids to not only be the best they can be, but also to have fun. If we all take on this challenge, then maybe we can do our part to reduce the dropout rate of kids under 13 and lower the obesity rate. Let’s do this together, one child at a time, and let’s all make a positive impact.

In closing, I would like to wish all of you the happiest of holiday seasons! Enjoy the time with your families, and let us get out there and make a positive impact on the youth of today. ❦

Let’s make sure our dentists can smile—and hear

by Randa Mansour-Shousher, AuD, CCC-A

Work-related hearing loss contin-ues to be a critical workplace

safety and health issue. The National Institute for Occupational Safety and Health (NIOSH) and the occupational safety and health com-munity named hearing loss one of the 21 priority areas for research in the next century. Noise-in-duced hearing loss is 100 percent preventable but, once acquired, is permanent and irrevers-ible. Therefore, preven-tion measures must be taken by employers and workers to ensure the protection of workers’ hearing.

Approximately 30 million workers are exposed to hazardous noise on the job, and an additional 9 million are at risk for hearing loss from other agents, such as solvents and metals. We need to think beyond the factory workers, construction workers, and service-related employees who may be affected. What about other pro-fessions where hearing loss is most common?

One of the largest professional populations at risk for hearing loss is the dental industry. Think about the drills utilized in a dentist’s office, which can produce a noise level exceeding 100 dB (OSHA standards

state noise exposure over 80 dB for an 8-hour period requires the indi-vidual to wear ear protection). What is happening to their ears?

Dentists and their assistants, who are consistently expos-ing themselves to these drills and other dental instruments, put them-selves at risk for devel-oping a sensorineural hearing loss. Typical-ly, the types of dental equipment that produce the highest level of noise and cause permanent hearing loss are older drills and instruments.

The Industrial Deafness Watch is

very concerned, and their job is to educate the public about work- related hearing loss. They stated that the newer dental equipment, made within the last five years, has strived to reduce the level of noise, making them quieter than older products.

Our dental professionals are here to serve and take care of us. We, in turn, can let them know how much we care about their hearing health. Don’t be afraid to let them know you’re concerned about them protecting their hearing by advising them to consider these measures:

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and noise-absorbent.• Research the noise level of the

equipment being used.• Protect their ears with custom-

made earplugs.

They might be experiencing early symptoms of work-related hearing loss, such as:

• Muffled or muted conversations

• Difficulty concentrating on conversation in noisy surroundings

• Not being able to hear certain consonants, such as “S” or “T” sounds

• Tinnitus, or ringing in the ears.

If your dentist or dental assistant has noticed some or all of these signs, encourage them to contact an audi-ologist quickly to get their hearing checked and find out what they can do to prevent hearing loss. Their job is to give us a pretty smile; your job is to help them seek advice—and you will be smiling from ear to ear knowing you made a difference in their life. ❦

Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with

Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo

(419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

Holiday health tips from Heartland Rehab!

by Jim Berger

We are in the midst of the big holiday season, Thanksgiving

behind us and Christmas and New Year ahead. We are gearing up for events, parties, overindulging, and then setting our resolutions for 2016. In this article, I want to share some tips on surviving this holiday season without gaining a pound:

1. Focus on family and friends, not food. This is the time of year when we truly need to appreciate those around us. Let this be the main event, not the food.

2. Think quality over quantity. Use quality ingredients in your cooking. Also, eat what you want. Yes, I am encouraging you to eat what you like and like what you eat. Just modify the quantity (a little can go a long way!). Sometimes in an

effort to avoid certain foods, we fill up on other foods that may not be the best for us because they have poor nutritional value and more calories.

3. Fill up on fiber. Choose whole-grain ingredients. Add nuts and seeds to your salads. Eat more beans, lentils, and essential leafy green vegetables.

4. Add a workout prior to a big meal. A quick workout does wonders to keep your metabolism stoked.

5. Drink lots of water. Give up soda and liquid calories. It is better to eat your calories; you will be more satisfied and stay fuller longer.

6. Enjoy yourself. Fret less and enjoy more.

What to do if you struggle over the holidays with too much partying and bad eating? First let’s take a mo-ment to think about this. You were out and overindulged, then you got on the scale and it showed that you gained three pounds overnight. You are devastated and feeling down. But wait, is it really possible to gain three pounds from last night’s binge? You stop and think what you had to eat and drink, realizing it was a large amount of starchy carbs. The weight gain is extra water weight.

This is a social time of year. You can decide not to go out and enjoy the company of others. You can decide to really enjoy and overindulge in food and drink and worry about getting into a new routine in January. Or you can find a happy middle ground and strategically plan to manage the holiday season:

1. Manage your carbs, cutting back on what you take in.

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Consume protein at every meal.

2. Increase your fats and double your servings of green, cruciferous veggies. This will help provide more fiber in your diet and help with appetite control.

3. Double your water intake, especially the day after a food binge. The extra pounds are water, and taking in more water will tell your body it needs to get rid of it. The more water you give your body, the less the body will retain.

Moving on from the holidays, we are going to start thinking about our New Year ’s resolutions. For most of us, that will involve setting a goal to start an exercise program, which a lot of the time will be cardio-focused. We will start a walking, jogging, or running program. We might have done a little of this over the past year but stopped because of time or because we started having some pain in our back, hip, knee, or feet.

This year, before you start your walking, jogging, or running program, why not get a screening to assess your

gait/stride, foot and ankle mobility, calf and hamstring flexibility, and core strength? Call any of the five Heartland Rehabilitation Services Outpatient Physical Therapy Clinics today to ask about the Runners 8 and talk to our clinicians who are experts in the running community. ❦

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It's never too early to set your New Year's fitness resolutions

by Amanda Manthey

With 2016 just a month away, it’s time to start thinking about

those New Year’s resolutions and a perfect time to re-evaluate your personal fitness goals. If you’re a novice runner, an advanced runner, or even a member of a local gym, the approaching New Year is a great time to set short- and long-term goals for yourself. Whether it’s for weight loss or to improve your 5K run time, personal goals will keep you on track. Here are five tips for maximizing your resolutions this year:

❏ Set three measurable personal short-term goals (one- to two-month periods) and three long-term goals to accomplish next year. Remember to reward yourself with personal tokens, such as a massage or a new workout outfit.

❏ Chart your progress and goals by using a running log or calendar. Visualizing your accomplishments will provide support, reassurance, and motivation to keep achieving those goals.

❏ Keep a regular schedule. This helps maintain normalcy in your life by designating that time of day as “your own personal workout time.” Whether it’s with a running group or a workout companion, a schedule will help regulate your busy lifestyle and help you reach your personal goals.

❏ Develop a fitness/exercise consciousness. Running or working out is just like brushing your teeth daily to help maintain your personal

health. Make exercise a part of your daily routine.

❏ Inspire a friend, family member, or coworker to join you for a run, walk, or an hour at the gym. You can make a difference in your life and their life. By motivating someone else, you are motivating yourself to be a role model, and believe me, it’s contagious. ❦

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

Don’t miss Dave’s races!Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear. For more information on any event, including any applicable fees, please visit davesrunning.com.

4th Annual Jingle Bell 5K—Saturday, December 5, 2015, 9:00 a.m. at 901 E. Main St., Leipsic, Ohio. All proceeds benefit The Challenged Champions Equestion Center.

Jingle Bell Run/Walk—Toledo, OhioSaturday, December 12, 2015, 8:00 a.m. at the Shops at Fallen Timbers, 3100 Main St., Maumee, Ohio. Wear a holiday-themed costume, tie jingle bells to your shoelaces, and raise funds to help find a cure for arthritis, the nation’s leading cause of disability.

Wolcott House reopens for holiday tours

The Wolcott House Museum reopened to the public on

Saturday, November 14, 2015 for tours this holiday season. Various members of the local communi-ty have thoughtfully decorated the fourteen-room Federal-style house this year, providing for the perfect excuse to escape the falling outside temperatures.

Due to popular demand, the Downton Abbey exhibit has been extended through the end of 2015. The exhibit, based on the popu-lar PBS series, displays original gowns and decorative art from 1900 through the “Roaring 20’s.”

Tours will be held Thursday

through Sunday at 12:30 p.m. and 2:30 p.m. Special holiday rates are as follows: Adults, $3.00; Seniors, $2.50; Students, $1.25; Members, free. The museum closes for the season on December 30, 2015. Visit www.wolcotthouse.org for additional information.

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419-874-0306 250 Manor Drive, Perrysburg, OH 43551-3118 | www.manoratperrysburg.com

Synchrony™ Program Objectives and Key Benefits

Improve Outcomes and Quality of Life for patients and residents with Dysphagia• Lower facility costs associated with modified diets, PEG Tube feeding and labor• Reduce hospital recidivism and higher mortality rates associated with Dysphagia• Strengthen referrals and census through superior clinical expertise and • progressive technology

MRK 0188 ACPL Rev2

Dysphagia impacts the health and quality of life for millions of Americans, and creates significant management and labor costs for Skilled Nursing Facilities.

Now Rehabilitation Providers and Speech Language Pathologists have a revolutionary new tool to improve patient outcomes, while reducing this significant cost burden.

Introducing Synchrony™ Dysphagia Solutions by ACP, a comprehensive program combining evidence-based protocols, advanced therapist training, a revolutionary sEMG Biofeedback system, and ACP’s proven “PENS” e-stim technology.

Unlike any other dysphagia rehabilitation solution available, Synchrony™ enables SLPs and patients to “See the Swallow” using virtual reality augmented sEMG biofeedback. This important capability helps SLPs evaluate the specific dynamics of a normal, effortful or Mendelsohn swallow in real time, while guiding a series of therapeutic exercise activities that are engaging and fun for patients. While “immersed” in these virtual reality augmented activities, exercise intensity and duration are enhanced for superior treatment outcomes. SLPs are also able to capture objective data with this unique program to demonstrate treatment progression and strengthen documentation.

Introducing Synchrony™– A Revolutionary New Program for the Treatment of Dysphagia from ACP

The Power to “See The Swallow”The Power To “See The Swallow”

Introducing Synchrony™A Revolutionary New Program for the Treatment of Dysphagia available at The Manor at Perrysburg• Safe, non-invasive and medication-free treatment.

• Virtual reality augmented exercise activities that are therapeutic, fun and engaging.

• Leading-edge medical technology and evidence-based protocols.

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Run or walk a 5K route with your team members and celebrate the season by giving.

UpTown Toledo’s 5K Santa Run—Saturday, December 12, 2015, 9:00 a.m. at UpTown Green Park, 1900 Madison

Ave., Toledo, Ohio. A fun, festive romp to ring in the holiday season in Toledo’s most eclectic arts-and-entertainment district. Toledo’s second Santa Run will step off in UpTown to help raise funds for UpTown neighborhood improvements. ❦

Small incisions but big relief

Neurosurgeons do minimally invasive surgeries

by Christine A. Holliday

The spine is a wonderful piece of engineering. Its 33 bones (ver-

tebrae) are arranged on top of each other, held together by ligaments and muscles that allow the spine to act as the main support for the body. The spinal cord and its associated nerves are protected by those bones and muscles and, if everything is working properly, the body can stand upright and move, twist, and bend.

Neurosurgeon Brian Hoeflinger of the To-ledo Clinic enters the picture if there are prob-lems with the spine. Back pain, pain down the legs, pain in the buttocks, pain in the neck—all might be symptoms of lumbar stenosis or herniated disc, and might require his medical treatment, including the use of minimally invasive surgery.

Dr. Hoeflinger explains, “The typical patient has no-ticed pain for one or two months, but sometimes a patient reports just waking up and having the pain. Some of these conditions are a function of aging or genetics, but you don’t have to be old to have these pains. In fact, the average herniated disc patient we see is between 30 and 50 years of age.”

Tests are used to verify a diag-nosis of spinal stenosis (narrowing of the spinal canal caused by bone spurs, back injuries, thickening of the spinal ligaments), a pinched nerve (compression on or inflammation of a nerve root exiting the spine), or a herniated or slipped disc (a bulging or broken spinal disc).

The first line of treatment is con-servative, including medicines, heat therapy, maybe a visit to the chiro-practor. But if that doesn’t work, the doctor might recommend surgery. And this is not the back surgery of the “old days,” with large incisions

and long hospital stays.“This is not brand new,” Hoe-

flinger says, “but it has become more common in the last five to ten years. We make a small one- to two-inch incision, which helps us avoid dis-turbing the muscle and soft tissue in the area. The surgery is done on an outpatient basis, so the patient

is often ready to walk and go home to recuperate in his

own bed that same day. With the small incision, healing is

faster, and the patient is often much better much

more quickly. Recovery time is shorter, and there may be no need for physical therapy after the surgery.”

The post-operation rec-ommendations are to be expected: no heavy lifting for a couple of weeks, begin light exercise two to four weeks after the surgery, and

don’t drive while taking the pain medications. (Those medicines are most often prescribed for muscular pain.) Those who prefer swimming for exercise are advised not to swim until the incision has fully healed (three to four weeks), but patients are encouraged to shower or bathe the first day after surgery.

Dr. Hoeflinger advises that the minimally invasive procedures aren’t ideal for all patients, but he encour-ages those who are tired of pain while they walk or stand to contact him and his colleagues at The Tole-do Clinic at 419-479-5590. “The five neurosurgeons at The Toledo Clinic all are able to do the procedure, and we have the most experience in the Toledo area. We are accepting new patients.” ❦

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

The region’s most experienced Neurosurgeon team are now offering Minimally Invasive Back Surgery at the Toledo Clinic’s Outpatient Surgery Center. Minimally Invasive Back Surgery offers relief for patients without the complications associated with traditional open back surgery.

Benefits to Minimally Invasive Back Surgery at the Toledo Clinic are:• Home the same day• Shorter recovery time• Less risk of postoperative complications • Small incisions leave less scaring• Less trauma to the patient’s body• Comprehensive Care from initial consultation through to post-op

rehabilitation• Substantial cost savings associated with outpatient surgery

Comprehensive Care with the Toledo Clinic’s on-site services includes:

Radiology

Laboratory

Minimally Invasive procedures can be used to treat a variety of conditions such as:

• Spinal Stenosis• Degenerative Disc Disease• Facet Disease• Spondylolisthesis• Collapsed, Bulging and Herniated Discs

Contact the Toledo Clinic Neurosurgery team to have your MRI reviewed.

Toledo Clinic Neurosurgery4235 Secor Road, Building 1, Upper Level

Toledo, OH 43623Phone: 419.479.5590

Fax: 419.473.8893Web: www.toledoclinicneurosurgery.com

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42


Lucas County Children Services kicks off 2015 Holiday Gift Drive

The holiday season is upon us, and Lucas County Children Services

(LCCS) is once again asking area residents to “Give the Best Gift Ever” this holiday season!

The agency is kicking off its annual Holiday Gift Drive, which is co-spon-sored by the Friends of Lucas County Children Services (FLCCS) and several community partners. The community-based cam-paign is expected to provide gifts to as many as 2,000 children who are victims of abuse and neglect. Gift collection is underway and runs through December 18, 2015.

The drive provides gifts for children living in foster care, with relatives, or with their families under LCCS supervision. “So many of the children we work with are going through the most difficult time of their young lives. The gifts we provide are just one way that we help them overcome these challenges and feel like normal kids again,” says Robin Reese, LCCS interim executive director.

The gift drive provides toys for children from birth to age 18. While we are seeking gifts for all age groups,

the agency is in particular need of gifts for children of all ethnic groups who are newborn to 3 years old, and gift cards for teenagers.

Several generous community partners are

again stepping up to support the gift drive: Allshred Services; Bennett Management Corp., a franchisee of BURGER KING Corporation®; Dana Corporation; Kroger; Teamsters Local 20; Toledo Auto Care; radio station WRVF 101.5 The River; WTOL and WUPW TV; and Woodcraft. Local residents are encouraged to drop a new, unwrapped toy in the collection boxes located around the community:

• Allshred Services, 3940 Technology Drive in Maumee.

• All Toledo-area BURGER KING® restaurants in Holland, Maumee, Northwood, Oregon, Toledo, and Lambertville, Mich.

• Kroger stores in Holland,

Maumee, Oregon, Swanton, Sylvania, Toledo, and Waterville.

• The Town Center at Levis Commons, 3201 Levis Commons Blvd., Perrysburg.

• Toledo Auto Care, 4544 Monroe St., Toledo, which is hosting several prize drawings for customers who donate a toy.

• Woodcraft, 5311 Airport Highway, Toledo.

• WTOL and WUPW studios, 730 N. Summit St., Toledo.

Additionally, the Barnes & Noble Booksellers at 4940 Monroe Street

in Toledo has designated the LCCS Holiday Gift Drive as the recipient of its 2015 holi-day book donation campaign,

which encourages customers to purchase books to be donated to the gift drive. ❦

Holiday family gatherings are a time to come together with

loved ones, strengthen familial bonds, share in a few traditions, and gorge ourselves on holiday goodies. Un-fortunately, they can also be a time for settling old scores, making catty comments, rehashing old rivalries, and quarreling nonsensically after one or two Tom and Jerry’s too many. Then, there’s always that one relative who manages to single-handedly turn every family gathering upside down with his or her caustic, drunken, or eccentric behavior.

If family discord is making your holiday gatherings seem more and more like a war zone each year, im-plementing the following strategies might help you restore some “relative peace.”

Check your opinions at the doorNeutral discussion topics should be the order of the day at any fami-ly get-together. Even among fairly like-minded relatives, opinions can vary widely when it comes to certain political, social, and religious topics. So, pontificating about the foibles of politician so-and-so from this or that political party is apt to raise an eyebrow or two. Tacitly or overtly judging the child-rearing techniques or housekeeping standards of present company is a sure way to sow discord, as well. Remember, no one is going to be converted to a new way of thinking based on your lecture or sermon.

Set the example for the rest of the group by limiting your discussion to non-emotionally charged topics, such as sports (unless the Michigan/Ohio State “border battle” is strong in your family), work, vacation plans, or an interesting book you read recently. If someone else starts to proselytize, listen politely, hold your tongue, and let them be right. Then take the first opportunity to steer the conversation into neutral territory.

Don’t take the baitSome relatives come to every fam-ily gathering just raring for a fight with the first person who expresses a contrary viewpoint. This person is typically familiar with everyone’s hot-button issues because they’ve successfully triggered arguments in the past—and an argument is exactly what he or she wants. Don’t fall into the trap! If there are no takers for an argument, this baiting behavior will soon extinguish. If you must say something in response, keep it light and quickly shift gears (“Aunt Bessie, you sure make a delicious pumpkin pie!”).

Go alcohol freeThere’s no tactful way to tell inebri-ated relatives that they’ve had too much to drink or to take a drink out of their hands once they’ve crossed the line into obnoxious drunkenness. If you’ve invited a relative who tends to overindulge and lapse into embar-rassing behavior, consider making

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the party alcohol free. Or, limit the amount of alcohol you serve so it’s not so easy for a guest to overdo it.

Do unto othersWhen you’re a guest in the home of a challenging relative during the holidays, make a point of showing your appreciation for all of the host’s hard work. Comment on the delicious foods and the tasteful furnishings and décor. Avoid making any criticisms or offering any unsolicited advice or suggestions. When the tables are turned and you’re the host, that person will remember your gracious behavior and may be more inclined to act civilly in your home.

Careful with other people’s kids!Few things infuriate a father or mother faster than someone else stepping in to discipline their children right in front of them. When Mom and Dad are in the room, they should be considered the first and final word when it comes to disciplining their kids—even if little Billy is creating a general disturbance and they aren’t doing a thing to intervene. Of course,

exceptions must be made—and pa-rental feelings hurt if necessary—in any situation that could lead to someone being injured or property being damaged.

Embrace the chaosEven the most peaceful holiday fam-ily get-together is a study in chaos. Don’t fight it! Go with the flow! If a horde of screaming kids is stamped-ing through the house, shake it off and remind yourself that it’s only temporary. If Grandpa tells the same corny joke that he’s told every year for the past three decades, laugh like you’re hearing it for the first time. If Aunt Jane says something that could be construed as insulting, give her the benefit of the doubt. Assume that she didn’t mean to offend and move on to another topic.

While these tips won’t make your holidays look like a Norman Rockwell painting come to life, they might help you set a more positive tone that others in your family will appreciate and, perhaps, seek to emulate.

Who knows, Uncle Dave might even stop teaching the kids to burp their ABCs—but don’t count on it.❦

Now through December 31, the Toledo community is invited

to “Band Together for Kids” receiv-ing treatment at Mercy Children’s Hospital, the local Children’s Mira-cle Network Hospital. The holiday campaign celebrates individuals and groups uniting to support local kids while raising funds to benefit the hospital.

There are several options for the community to get involved at BandTogetherForKids.org. With a $5-per-month or one-time $60 do-nation, supporters will receive a kit including a holiday-edition Miracle Band, a red marker to personalize the Miracle Band in honor of a Miracle Child and a #BandTogetherForKids window sticker as a token of appre-

ciation. Supporters will also receive a download of “Enough,” a lullaby written and performed by Children’s Miracle Network Hospitals’ Celebrity Teen Ambassador, Alli Simpson; her brother, pop star Cody Simpson; and their dad.

Supporters may also make a dona-tion on behalf of others by “gifting” Band Together For Kids kits for a $10 donation. The donor will receive an email template with a thank you message and redemption code they may forward to their gift recipients. A recipient may then use the code to request his or her kit.

Donors will be asked to select one of 170 benefiting Children’s Miracle Network Hospitals participating in the national holiday campaign. Do-

Mercy Children’s Hospital asks community to “Band Together

for Kids” this holiday season

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nations to Mercy Children’s Hospital are vital for providing best-in-class care for kids in the community and are typically used to fund treatments and programs, research, equipment, and charitable care.

Online donors can also show their support virtually by upload-ing a profile photo to Facebook, or image to Twitter and Instagram using #BandTogetherForKids. The photo would show the supporter(s) with their arms slightly outstretched on either side so when the photos are placed side-by-side, supporters ap-pear to be holding hands or “banding together.” To see the virtual com-munity, to learn more, or to donate to Mercy Children’s Hospital, visit BandTogetherForKids.org. ❦

changes occur too rapidly. Many a ficus owner has thrown up his or her hands in frustration after watching a once lush and lovely ficus drop most or all of its leaves in response to a simple location change. If this should happen, don’t be discouraged. In most cases, the plant will rebound if given proper care and adequate time to acclimate to its new surroundings. The key to success with Ficus benjamina is keeping its growing environment as stable as possible.

Soil and pot sizeA ficus can be potted and will thrive in almost any well-drained soil. Com-mercial growers typically use a mix of peat moss, bark, and sand. Avoid using oversized pots when repotting a ficus plant. They tend to perform better in relatively small containers. In fact, it’s not unusual to see a five-foot specimen growing happily in little more than a ten-inch pot. The only drawback to this preference for undersized pots is that a ficus can become quite top-heavy over time. However, this can be overcome easily enough by placing the growing pot into a larger and heavier decorative container.

Moisture and feedingImproper watering is the most com-mon cause of problems with ficus plants grown indoors. The tendency is to water heavily and keep the soil soggy, which can stress the plant and lead to leaf drop. The best watering approach is to keep the soil evenly moist without allowing it to dry out completely between watering, which can also lead to leaf drop. If your ficus does drop leaves, the color of the fallen leaves will help explain why. If they’re yellow, you’re probably overwatering. Green fallen leaves are usually a sign of underwatering.

As with any houseplant, your ficus will fare better if the water it is given is room temperature, not cold from the tap. Also, it’s a good idea to age your tap water at least overnight before watering to allow the chlorine to dissipate.

Feeding on a regular schedule is also recommended. Any gener-al-purpose plant food will suffice, but a slow-release granular food spread evenly over the soil surface will yield the best results.

Light, temperature, and humidityFicus plants can adapt to a wide range of interior lighting conditions, but again, changes must be made gradu-ally to prevent leaf drop. Best growth rates are achieved in bright, filtered light, such as that available near a curtained, south-facing window. The humidity in the room should be maintained above 25 to 30 percent, and the daytime temperature should fall somewhere between 68 and 80 degrees Fahrenheit. Cold and drafty conditions will cause the plant’s growth rate to slow.

Pests and diseasesSucking insects, such as mealy bugs, aphids, and scale, can be problematic on ficus—especially if the plants are placed outdoors during the warm season. To eliminate adult insects and their eggs, clean the foliage fre-quently with a damp cloth, paying special attention to the undersides of leaves where the eggs are typically deposited. If an infestation has gotten out of control, you may need to treat the affected plant with a systemic insecticide.

A fungal infection called phomopsis is another common ficus affliction. This disease spreads through the interior of the plants branches and causes twig dieback. To eliminate phomopsis, prune out any dead branches—cutting well back into healthy tissue—with sharp pruners, and sterilize the cutting blade with alcohol or bleach after each cut to prevent the mechanical transmission of the fungus. ❦

The ficus easily ranks among the most popular houseplants. Hailing

from the Old World tropics, there are over 800 species and around 2,000 different varieties of this attractive foliage plant, with Ficus benjamina being the most commonly cultivated variety. In its native habitat, the ficus grows in both full sun and dense shade, and it must adapt to very distinct wet and dry seasons. It’s this ability to persevere under a wide range of growing conditions that has made the ficus such a perennial favorite among houseplant enthusiasts.

But in spite of its adaptability, the ficus can be temperamental if

Keep your ficus looking fabulous!

To eliminate adult insects and their eggs, clean the foliage frequently with a damp cloth, paying special attention to the undersides of the leaves.

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Synchrony™ Program Objectives and Key Benefits

Improve Outcomes and Quality of Life for patients and residents with Dysphagia• Lower facility costs associated with modified diets, PEG Tube feeding and labor• Reduce hospital recidivism and higher mortality rates associated with Dysphagia• Strengthen referrals and census through superior clinical expertise and • progressive technology

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Dysphagia impacts the health and quality of life for millions of Americans, and creates significant management and labor costs for Skilled Nursing Facilities.

Now Rehabilitation Providers and Speech Language Pathologists have a revolutionary new tool to improve patient outcomes, while reducing this significant cost burden.

Introducing Synchrony™ Dysphagia Solutions by ACP, a comprehensive program combining evidence-based protocols, advanced therapist training, a revolutionary sEMG Biofeedback system, and ACP’s proven “PENS” e-stim technology.

Unlike any other dysphagia rehabilitation solution available, Synchrony™ enables SLPs and patients to “See the Swallow” using virtual reality augmented sEMG biofeedback. This important capability helps SLPs evaluate the specific dynamics of a normal, effortful or Mendelsohn swallow in real time, while guiding a series of therapeutic exercise activities that are engaging and fun for patients. While “immersed” in these virtual reality augmented activities, exercise intensity and duration are enhanced for superior treatment outcomes. SLPs are also able to capture objective data with this unique program to demonstrate treatment progression and strengthen documentation.

Introducing Synchrony™– A Revolutionary New Program for the Treatment of Dysphagia from ACP

The Power to “See The Swallow”The Power To “See The Swallow”

Introducing Synchrony™A Revolutionary New Program for the Treatment of Dysphagia available at The Manor at Perrysburg• Safe, non-invasive and medication-free treatment.

• Virtual reality augmented exercise activities that are therapeutic, fun and engaging.

• Leading-edge medical technology and evidence-based protocols.

• Specialized software captures swallowing data for objective measurement of therapy progression.



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“This is what I was meant to do.”

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