Your Monthly Guide to Healthy Lifestyles

Also in this issue:

February 2015 • FREE Also available at hlntoledo.com

• Get your skin ready for spring• Start making heart-healthy choices• You can beat job burnout!• Excellence through Catholic education• How to avoid medication mishaps

• Sound Advice• Lifelong Learning• Academy Corner• Senior Living Guide• And much more...

Hee lthy Li ing N wsee

Give Parkinson's a one-two punch!

Caring expertly. For every heart.mercyweb.org/heart

Get your skin ready for spring

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,

& COSMETIC DERMATOLOGY

HAIR & NAILS

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

www.drharveyhandler.com

No surgery. No injections. No downtime.

clear + brilliant

Is your dermatologist a dermatologist and is he/she board certified?

Individuals seeking diagnosis and treatment of skin cancer and other skin conditions should determine if their dermatologists are indeed dermatologists and board certified by the American Board of Dermatology. Not surprisingly, individuals seeking care of their skin conditions may receive care by physicians, nurse practioners, and physician assistants who may call themselves “skin specialists” and dermatologists. These physicians and others may do so without completing a formal dermatology residency. Many physicians who are board certified in fields unrelated to dermatology may be practicing dermatology. Now there are training programs being developed to permit nurse practioners to receive a doctorate of nursing and call themselves “Doctor” as would a PhD in a specialized field. These nurse practioners (NPs) are NOT doctors of medicine as is a board-certified dermatologist. Certification by the American Board of Dermatology is the consummate title addressed to a dermatologist based on their education and experience. If you see a “skin specialist,” it is your responsibility to ask of their credentials. Remember; a board-certified dermatologist is a medical doctor who has completed a minimum of twelve (12) years of training (four years of college, four years of medical school, and four more years in an internship and a formal dermatology residency program) to even become eligible to take the testing for board certification by the American Board of Dermatology.

Individuals seeking diagnosis and proper treatment of their skin disease can depend on board-certified dermatologists for their care.

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, upper arms, abdomen, and jowls. 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 procedure 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 office. 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 (sad) lines from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad! These products are also very useful for producing a more full but normal appearance to lips that thin as

we age. Since these products are combined with a numbing agent, the pain is minimal.

For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT 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.

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 before-and-after photographs of patients who have had these procedures performed

by Dr. Handler, visit Dr. Handler ’s website at drharveyhandler.com. For more 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.

Also, please remember to have a yearly Full Body Exam for evaluation of moles and other growths we all develop as we age. Be certain you have no lesions that are pre-cancerous or cancer. Full Body Exams are best performed and evaluated by a board-certified dermatologist.

Hair loss in men and women

Are you losing hair from surgery, anaesthesia, illnesses, 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. Harvey 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 appoint-ment for a thorough evaluation and discussion of your particular hair loss and the therapy that may be individualized 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! ❦

Dear Readers,Thank you for picking up the February issue of Healthy Living News. Our cover story this month, written by long-time HLN contributor Chris Holliday, shines a spotlight on the new Knock Out Parkinson’s program, which helps local residents with Parkinson’s disease manage their symptoms in a most surprising way—through the sport of boxing. See page 5 for more details on this innovative approach.

In commemoration of National Heart Month, this issue is also brimming with information on how to keep this vital organ pumping strong, including insights on making heart-healthy choices from Mercy physician Dr. Karina Zapiecki (p. 8); advice on protecting your heart during the winter months from our friends at the University of Toledo College of Pharmacy (p. 40); suggestions for eating

your way to a healthier heart from Laurie Syring, chief clinical dietitian at ProMedica Flower Hospital (p. 36); and much more.

Of course, that’s just scratching the surface! If you’re a parent who is currently exploring the various

educational options for your child, be sure to read “Catholic Education—Values Received, Excellence Achieved” on page 20. Or, if you’re an adult exploring educational opportunities for yourself, don’t miss the article on Lourdes University’s Lifelong Learning program (p. 13).

Here at HLN, we’re strong advocates of research studies. Without clinical trials—and the selfless volunteers who participate in them—none of the state-of-the-art medications, devices, or techniques currently used by healthcare professionals would have ever seen the light of day. If you or someone you love

could benefit from participating in a study, we urge you to read the article on page 4. In it, Melanie Wheeler, corporate director of ProMedica Research, clears up many of the misconceptions people might have about the risks or requirements of volunteering for these trials.

Last but not least, we’re extremely gratified to hear about the response our advertisers consistently receive from HLN readers. Without advertising support, we could not continue bringing you the very best and latest in locally written health and wellness articles. So whenever you’re in need of a product or service, we urge you to contact our advertisers first. Tell them you saw it in Healthy Living News!

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

February 2015 • Vol. 20, Issue 2

Your Monthly Guide to Healthy Livingelthye

wsl ng

FOOD & NUTRITION14 The AcAdemy corner Optimizing a diet for weight loss

by Jason Liu36 eATing Well Eat your way to a healthier heart

by Laurie Syring, RD/LD

TAKING CARE OF YOUR LIFE12 Innovative program puts the brakes on job

burnout16 Senior living guide17 The senior community transition: What are you

really leaving behind?29 Top 10 reasons to give tennis a try in 2015

by Mark S. Faber, USPTA Elite Professional33 Time for a resolution reality check!36 heAlTh crossWord, by Myles Mellor38 Running tips for beginners, by Amanda Manthey42 A WAlk in The PArk Recovering from Selective

Blindness Syndrome, by LeMoyne Mercer

OUR COMMUNITY5 Delivering Parkinson’s disease a punch

by Christine A. Holliday13 Lourdes Lifelong Learning: an educational, engag-

ing, and social experience for adults22 Vets benefit from clothing drive

by Christine A. Holliday31 Otterbein Portage Valley offers way to prepare for

upcoming surgeries35 New Executive Director named for Lutheran

Home at Toledo39 Laurels rehab guest gives new meaning to

“politically active”

HEALTH & BEAUTY2 Get your skin ready for spring4 Research studies yield powerful tools to combat

disease7 Prostate cancer presents unique screening and

treatment quandary 8 There’s no time like the present to start making

heart-healthy choices!11 sound Advice from norThWesT ohio heAring clinic

by Randa Mansour-Shousher, AuD, CCC-A24 Cardiac rehabilitation can help improve quality of

life, by Dalynn Badenhop, PhD25 Five tips to avoid medication mishaps 27 Acupuncture and real science

by Douglas A. Schwan, DC, Dipl ac32 sPiriTuAlly sPeAking What is love?

by Sister Mary Thill34 Hearing screening vs. hearing test

by Randa Mansour-Shousher, AuD, CCC-A40 Keep your heart healthy during the winter months

by Ashley Romijn, BSPS, and Michelle Schroeder, PharmD, BCACP, CDE

45 nobody’s PerfecT Be honest with your doctor by Sister Karen Zielinski, OSF

CHILDREN & PARENTING20 Catholic education—Values received, excellence

achieved21 Notre Dame Academy accepting applications to

grades 7–921 Tips on empowering your daughter

@HLNToledo

Connect with Friends who Like Healthy Living News!

/HLNToledo

Help us celebrate National Wear Red Day® by wearing red on Friday, Feb. 6.

Share your heart month selfie.#ToledoGoRed

PROMEDICA IS GOING RED FOR HEART MONTH.

promedica.org/heart

© 2015 ProMedica

Help us celebrate National Wear Red Day® by wearing red on Friday, Feb. 6.

Share your heart month selfie.#ToledoGoRed

PROMEDICA IS GOING RED FOR HEART MONTH.

promedica.org/heart

© 2015 ProMedica

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 sfstennis76@bex.net. 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: 419-754-1339, fax 888-506-5790; email: editorhln@bex.net.Publisher: Kevin O’Connell

Editor: Jeff Kurtz

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Print Designer: Jan Sharkey

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Distribution:Jim Welsh • Alison Foster

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Copyright © 2014 HealtHy living news

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

that all study participants be advised of potential benefits, risks, and side effects of the therapy, and be made fully aware of what will be required of them at visits, how long they’ll be in the study, and the fact that continued participation is always voluntary. They must also be given an opportunity to ask any questions they might have.

During studies, participants are never subjected to any treatment or test that wasn’t fully disclosed and discussed in the informed consent process, and strict guidelines are in place to ensure they are treated fairly and ethically throughout.

They might get a placebo instead of an active treatmentContrary to popular belief, not all research studies involve the use of placebo. In fact, in many trials, it’s unethical to use one. For example, research on any drug for a serious or life-threatening illness, such as cancer or infection, would compare the effectiveness of the investigational drug to that of a proven drug that is considered the current standard of care—not to a placebo.

“However, even those who do get a placebo or the standard of care in a clinical trial tend to do better than non-participants because of the closer monitoring and more frequent visits, lab work, and follow-up involved. Plus, if needed, the study coordinator can follow up with the participant’s primary care physician to get him or her seen, often on the same day rather than weeks down the road,” Wheeler adds.

They won’t get all the information they need to make an informed decisionAgain, informed consent is a vital and continuous process in any clin-ical study. Participants are not only given an extensive informed consent document to read and understand initially, but they also receive on-going education and explanation throughout the course of the study.

Furthermore, patients are assessed to ensure they are able to compre-hend everything outlined in the informed consent document, and Wheeler encourages them to involve family members, friends, caregivers, or other interested parties in the in-formed consent process. “The more people who are there to listen and understand what’s going on, the

Every state-of- the-art medication, device, or technique used by to-

day’s healthcare professionals to fight disease or improve patients’ quality of life is available thanks to selfless volunteers who participated in research studies in the past. And it’s only through current clinical trials that the science of healing can advance for the sake of tomorrow’s patients. Yet despite the potential benefits research studies offer to patients and practitioners alike, many people are reluctant to enroll in them due to certain misconceptions they might have about the risks or requirements of participating.

According to Melanie Wheeler, RN, BSN, MBA, CCRC, corporate director of ProMedica Research, “There’s a lot of misinformation out there regarding clinical trials, but without them, we simply cannot advance care for today’s patients

or for our children, grandchildren, and future generations. So a lot of education needs to be done.”

Wheeler notes that a general fear of the unknown is the biggest obstacle to participation in studies and identifies several prevalent myths that she and the ProMedica Research team strive to overcome. Among them:

Once participants are enrolled, they can’t leaveWheeler strongly emphasizes that participation in research studies is strictly voluntary at every stage. Pa-tients are free to change their minds and leave a trial at any point, for any reason, without putting their ongoing treatment in jeopardy.

Participants are “lab rats” or “guinea pigs”As part of the extensive process of informed consent, the FDA requires

Research studies yield powerful tools to combat disease

Constipation Frustration?

Why Participate?

Is your child suffering from constipation?

If your child is:

• Between 6-17 years of age

• Is capable of and willing to swallow capsules

• Suffers from constipation

Your child may be eligible to participate in a research study.

• The investigational drug is already approved for use in adults.

• All study-related clinic visits, medical evaluations, and study medication will be provided at no cost.

• Participants may receive compensation.

• The study requires only 6 clinic visits and 2 phone calls.

• By participating, you and your child may help other children find relief from constipation.

• ––––––––––––––––––––––––––––––––––––––––––––––––––––––

For more information contact: Bonnie (Clinical Study Coordinator) (419) 291-8200

better,” she says. Ideally, patients considering par-

ticipating in a research study will take home all the information they’re given, read it over carefully, discuss it with their loved ones, and then come to a decision. However, there are certain instances in which there isn’t as much time to reach a conclusion. For example, in the case of stroke, there may be investiga-tional drugs that can help save brain tissue, but because prompt initiation of treatment is so critical with stroke, patients may have a very brief window in which to consider participating. Be-cause enrollment is always voluntary, this particular circumstance understandably increases the likelihood of patients declining to participate.

They have to travel far away to access clinical trialsAccessing world-class clinical trials doesn’t have to involve traveling to the Cleveland Clinic, The Ohio State University, or other distant institutions. In fact, plenty of groundbreaking clinical research work is being done right here in the Toledo area.

For example, Michael Moront, MD, FACS, a cardiovascular surgeon at ProMedica Toledo Hospital, was the first physician in the US to implant an investigational surgical aortic heart valve in a patient (actually, he implanted three patients in the same week) as part of the Medtronic, Inc. PERIGON Pivotal Trial.

As part of the VISION clinical trial, John Pigott, MD, FACS, a vascular surgeon at Jobst Vascular Institute at ProMedica Toledo Hospital, performed the first three procedures in the US using the Avinger Pantheris catheter for the treatment of peripheral artery disease (PAD). This innovative cath-

eter allows vascular surgeons to see inside arteries in real time as they cut away the plaque that narrows them.

ProMedica urolo-gist Timothy Schus-ter, MD, performed the world’s first Vortx Rx experimen-tal treatment to re-duce the obstructive symptoms of BPH, or enlarged prostate. The Vortx Rx device, developed by Histo-

Sonics, Inc., is based on histotripsy technology, a non-thermal focused ultrasound therapy that mechanically liquefies targeted tissues.

Also, Wheeler points out that she and her counterparts from other area health systems meet on a regular basis to discuss strategies for improving community awareness of research studies. “We’re working together to promote clinical research and help patients understand all the opportu-nities that are available to them. We still have many serious diseases to conquer, and the only way to reach that goal is to advance the science of healing through clinical trials,” she says. ❦

For more information on clinical research studies, visit www.promedica.org/clinicaltrialsresearch and clinicaltrials.gov.

Delivering Parkinson’s disease a punchby Christine A. Holliday

Parkinson’s disease (PD) is a pro-gressive neurodegenerative disease

that typically affects people between 40 and 70. It develops when brain cells that make the neurotransmitter dopamine die, causing a variety of symptoms, including stiffness or slowness of movement, changes in speech and gait, resting tremor, and com-promised balance. There is

no cure for PD, but surgery or med-ication can ease some of the symp-toms. Many in America are familiar

with the disease because of the public visibility

of boxer Mohammed Ali and actor Michael J. Fox, both of whom

have been living with the disease for many years.

Several local residents

If you think you’re having a heart attack, call 911 within five minutes. Make sure you can recognize the signs of a heart attack.

Chest discomfortUncomfortable pressure, squeezing, fullness or pain in the center of the chest that lasts for several minutes. Or, it goes away and comes back.

Discomfort in other areas of the bodyCan include pain or discomfort in one or both arms, back, neck, jaw, or stomach.

Shortness of breathMay come with or before chest discomfort.

Other signsMay include cold sweat, nausea or lightheadedness.

HAVING SYMPTOMS OF A HEART ATTACK?

February is Heart Month.

© 2015 ProMedica

promedica.org/heart

are among the 60,000 new cases diagnosed in America every year. Our friends and neighbors suffer the symptoms to varying degrees, including the depression that often accompanies the diagnosis of a per-manent disabling condition.

Those residents have found a surprising way to manage their symp-toms: boxing. They are participat-ing in a program called Knock Out Parkinson’s, offered in the former Fun Spot roller skating rink in East Toledo. Harry Cummins, a former boxer, coach, and trainer, has helped to organize the program to help Parkinson’s patients improve their motor skills, build up their cardiovascular systems, and help to stabilize their posture and walking motions.

Cummins notes that the program got its start in April, 2014 when Rachel Martinez, a UT graduate student in the Occupa-tional Therapy Doctoral program and brother of a boxer who had trained with Cummins, asked if she could do her Capstone project there. They worked together with Dr. Beth Anne Hatkevich, one of Rachel’s professors and her faculty mentor, to set up a program to help patients at all stages

of the disease. The first group of four patients has grown to 27, from ages 47 to 84, and they attend sessions on Monday and/or Wednesday from 9:00 to 10:00 a.m.

Dr. Hatkevich continues to work with volunteers from the UT occupational and physical therapy programs to orient and evaluate new participants and to provide

consultation to those who may be having difficulties with daily activities as a result

of Parkinson’s. All work with the students as they stretch, strap on the boxing gloves, and do some serious punching of bags, as well as jumping rope, rope drills,

and holding

the bag for a partner (a great way to work on balance.)

“There is no boxing against peo-ple,” Cummins explains with a smile. “But we find that the activity really makes a difference in the students. One woman in her late 70s came to the class shy and withdrawn and not able to move very well. After a few classes, she is moving a lot, talking to others, and is really tapping the

bag. One fellow in his mid 50s has worked hard at the boxing, and now he looks like a professional boxer. It is so rewarding to see that they are helped!”

Cummins notes that he is adding a third weekly session in February on Friday mornings from 9:00-10:00, and he invites those with any stage of Parkinson’s disease to give boxing a

try. “We don’t charge for our program. We want to reach out to help people in our community. We know that exercise is good for cardiovascular health and for mental well-being. Our boxing program gives participants a great workout. We invite men and women to participate.”

The program is run at the International Boxing Club

at 525 Earlwood Avenue in Oregon, Ohio. Mr. Cummins is available at the Club’s office at 419-244-8955 or 419-450-8435, and by email at hec3rd@aol.com. ❦

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

KNOCK OUT PD

University of Toledo Main CampusHealth Education Building

419-530-6671

Kingston Care Center4121 King Rd. Sylvania, OH 43560

Thursday, Feb 5 419-517-8282

Dance and Drum for PDThe Beat Dance Company

1060 N. Main St.Bowling Green, OH 43402

419-308-7125

Delay the Disease Fitness ClassesHancock County Agency on Aging

339 E. Melrose Ave.Findlay, OH 45840

419-423-8496 ext. 2004

UTMC Morse Center/YMCAHealth Science Campus

419-383-5370

Knock Out Parkinson’s ProgramIBC 525 EastwoodOregon, OH 43616

419-450-8435

Movers & Shakers Fitness ClinicFremont American Legion

200 Buckland Ave.Fremont, OH 43420

419-334-6630

Wood County Committee on Aging305 N. Main St.

Bowling Green, OH 43402419-353-5661

Exercise has been shown to

DELAY THE DISEASE

Save the Date • Saturday, April 18 • 18th Annual Parkinson’s Disease Symposium • Parkway Place, Maumee

Parkinson Foundationof Northwest Ohio

Dedicated to Educate, Comfort, and Raise Awareness

Join a Parkinson exercise program today!

If a routine screening test reveals that an individual potentially has

cancer, it’s only common sense to confirm the diagnosis with a biopsy and then begin aggressive treatment as soon as possible to eradicate the disease, right? After all, we’ve heard time and again that the sooner cancer is detected and treated, the better the outcome is likely to be. Well, when it comes to prostate cancer, the best course of action isn’t always so clearly defined.

The PSA controversyThe only screening tool available for prostate cancer is a test to check the level of PSA, or prostate-specific anti-gen, in the patient’s blood. Generally speaking, a higher PSA level can be correlated to a higher risk of prostate cancer. However, other factors, such as enlarged prostate (benign prostatic hyperplasia, or BPH) or infection of the prostate (prostatitis), can also cause the PSA to rise, and some men with prostate can-cer can have a PSA level below what is considered suspicious. So there’s a significant likelihood the test will yield either a false positive or false negative.

Why should this matter as long as the test ultimately catches more cases of prostate cancer? As Dr. Bradley Sachs of The Toledo Clinic Cancer Centers explains, “PSA testing does lead to more diagnoses, but that also means more anxiety and decision making. The vast majority of men who have prostate cancer will die with the disease, rather than from the disease. Only about ten percent will actually get metastatic disease and die from it. So, you have to consider whether the best approach is radia-tion or surgery—with possible side effects of incontinence and erectile dysfunction—or just continued ob-servation, which many men aren’t comfortable with. That’s why it’s important to discuss all possible options with your doctor if you have a suspicious PSA and urinary symp-toms such as increased frequency, urgency, hesitancy, decreased flow,

or having to get up multiple times during the night to urinate.”

Prostate cancer risk factorsDr. Sachs points out that family his-tory is a major risk factor for prostate cancer, with heredity playing a role in 42 percent of cases according to stud-ies. Having two or three first-degree relatives who have had the disease increases risk by five to 11 times the baseline risk, and in twins, it’s been noted that if one develops prostate cancer, there’s a high risk that the other will too. “Having the BRCA1 or BRCA2 gene mutation is another risk factor. We usually associate these mutations with breast and ovarian cancers in women, but they also put men at risk for prostate cancer. In fact, BRCA2 is associated with a

higher grade of prostate cancer and a younger age of diagnosis,” he says. Other factors that may elevate prostate cancer risk to one degree or another include consuming a diet high in animal fat and low in vegetables, smoking, and obesity.

Factors that may help lower prostate cancer risk include a diet high in ly-copene and soy as well as taking statins or the anti-di-

abetic drug metformin. Ironically, exercise has not been shown to lower the risk of prostate cancer as it does for certain other forms.

Breakthrough treatmentsIf treatment, rather than observation, is determined to be the best course of action for a patient diagnosed with prostate cancer, the oncologist has a variety of therapies to call upon in addition to surgery or radiation. One of the biggest advances in this area is the advent of two new agents that work in different ways to decrease testosterone—the hormone that drives prostate cancer. One of these is Zytiga, which lowers testosterone levels in the body much better than previous agents did, and the other is Xtandi, which blocks testosterone receptors on the cancer cells. “Both of these are very effective and have a really

Dr. Bradley Sachs

Prostate cancer presents unique screening and treatment quandary

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

Toledo, OH 43623

Toledo Clinic Cancer Centers has moved to better serve our patients and families.

Be sure to join us for our open house onMarch 5th, 2014 from 4pm - 7pm!

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

GET DIRECTIONS TO HERE

Scan the QR code and use Google Maps to get directions to this location.

• 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

Why area doctors trust us the most…

or call 419-479-5605

Dr. David BrownDr. Mark BurtonDr. Shaili Desai

Dr. Tim KasunicDr. Rex MowatDr. Richard Phinney

Dr. Howard RitterDr. Bradley SachsDr. Charu Trivedi

CANCER CENTER

nice side-effect profile. We used to do chemotherapy right away, but now we go right to these two,” says Dr. Sachs.

Another important advance is the Provenge vaccine. Actually an adap-tive immunotherapy approach rather than a true vaccine, Provenge was one of the first treatments shown to be effec-tive in fighting can-cer in general. This approach involves taking white blood cells from men and then sending them to a lab where they’re exposed to PSA and certain proprietary chemicals in order to activate them and target them to prostate cancer. This treatment produces very few side effects and can extend the lives of men with metastatic prostate cancer by approximately three to four months.

Other breakthrough treatments include the chemotherapy agent

Jevtana and the radioactive isotope Xofigo (radium-223), which is effective against bone pain. However, according to Dr. Sachs, the most exciting recent breakthrough was shared at the June 2014 meeting of the American Society of Clinical Oncology (ASCO),

where the results of the CHAARTED trial (Chemohormonal Therapy versus Androgen Ablation Randomized Trial for Extensive Disease in Prostate Cancer) were presented. This study looked at the effectiveness of up-front chemotherapy (using the drug Tax-otere) plus androgen deprivation therapy (using a combination of the testosterone blockers Lupron and Casodex) compared to androgen depri-

vation therapy alone.The results of the trial were quite

dramatic. The median survival rate was 57.6 months for chemothera-py and ADT combined versus 44

months for ADT alone. The result was even more impressive for men with high-volume metastasis. Medi-an survival for this group was 49.2 months for both chemo and ADT compared to only 32.2 months for ADT alone. “This amounts to a major breakthrough that will really change how we approach treatment for men who qualify,” enthuses Dr. Sachs. ❦

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 through the Toledo Community Oncology Program (TCOP). For more information, please call the Toledo Clinic Cancer Centers at 419-479-5605.

Heart disease is having a pro-found effect on the health of

our nation. According to the Centers for Disease Control and Prevention (CDC), heart disease claims the lives of approximately 600,000 people in the United States every year and is the leading cause of death for both men and women. What’s more, heart disease is costing our nation billions of dollars annually ($108.9 billion

There’s no time like the present to start making heart-healthy choices!

from coronary heart disease alone) in healthcare services, medications, and lost productivity.

To help Healthy Living News readers avoid becoming another heart-disease statistic, Mercy physician Karina Zapiecki, MD, offers the following advice:

Know the symptoms of heart attackMost people associate heart attack with crushing chest pain that radi-ates down the left arm and may be preceded by a sense of impending doom. While a heart attack can cer-tainly cause these “classic” symptoms in any victim, male or female, it’s important to understand that the warning signs may be much more ambiguous—particularly in women.

As Dr. Zapiecki explains, “Women are more likely than men to experi-ence vague symptoms, such as jaw or back pain, gastric pain or discom-fort, nausea, or fatigue. Because the symptoms are less specific and more subtle, it’s often difficult for women to determine whether they’re actu-ally experiencing a heart attack or something less serious like GERD, anxiety, or the flu.”

Know your risk factorsSeveral factors are known to increase the risk of developing heart disease. They include elevated blood pres-sure, elevated cholesterol levels, tobacco use, obesity, poor diet (es-pecially one high in saturated fat), physical inactivity, excessive alcohol consumption, and family history of heart disease. Many of these factors are modifiable, meaning they can be influenced or controlled through

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lifestyle changes and/or medical treatment.

For her patients with known risk factors for heart disease, Dr. Zapiec-ki recommends a low-dose aspirin regimen for prevention. If they do experience suspicious symptoms, they are to take one 325 mg aspirin and call 911 immediately. However, not everyone is a good candidate for aspirin therapy, so she cautions HLN readers not to begin taking aspirin on their own before consulting with their physician.

Know your numbersBecause blood pressure and choles-terol levels play such a significant role in heart disease, it’s critical to monitor these levels to ensure they stay within proper limits. The newest recommendations for blood pressure are no higher than 140/90 for people under age 60 and adults with dia-betes or kidney disease and 150/90 for those age 60 or older. “Recent studies also show that in healthy people who are below age 65 with no

diabetes, more emphasis should be placed on the diastolic number—the bottom number—versus the systolic number. If the diastolic number is above 90, there is a much greater risk of developing heart disease,” says Dr. Zapiecki.

Total cholesterol should be below 200, with the HDL (high-density lipoprotein—the “good” cholesterol) being above 40 and the LDL (low-den-sity lipoprotein—the

“bad” cholesterol) staying below 100. However, it’s very important

to keep in mind that factors such as age, gender, ethnicity, diabetes, obesity, and smoking must be con-sidered—and discussed with your doctor—in determining appropriate target levels for both blood pressure and cholesterol.

Know your family historyDr. Zapiecki notes that it’s also very important to inform your doctor of any family history of stroke or heart attack. “This information is particularly important if your mother experienced

Dr. Karina Zapiecki

one of these events before the age of 60 or your father before age 50,” she adds.

Adopt a heart-healthy lifestyleAs already mentioned, modifiable factors such as the types of foods we eat, our level of activity, how much alcohol we consume, and whether or not we use tobacco play a major role in our overall heart disease risk. With respect to diet, emphasis must be placed on getting more vegetables, fruits, low-fat dairy, and fish while

limiting meats and other sources of saturated fat. Alcohol consumption should be moderated to no more than seven drinks per week and three drinks per day for women and 14 drinks per week and four drinks per day for men. Of course, tobacco use should be shunned altogether. “Plus, we should all be getting at least 150 minutes of vigorous physical activity per week,” Dr. Zapiecki advises.

See a primary care physicianLast but certainly not least, Dr. Zapiecki urges HLN readers to go to a primary

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care physician, not the emergency room, for their routine healthcare needs, even if they’re still relatively young and seldom sick. Developing a relationship with a primary care

doctor who knows your personal and family medical history, lifestyle, and health goals is key to disease prevention and ensures much better continuity of care. ❦

Q: My migraines have really inten-sified recently. They’ve been known

to become severe with fluctuations in the weather. However, I’ve also noticed that while experiencing a migraine, I am regularly dizzy. Is this normal or something I should be concerned about?

A: You’ll be relieved to know you’re not alone. Of the 20 million Amer-

icans who suffer from migraines, more than 5 million experience mi-graines coupled with dizziness. In fact, migraines and dizziness are

directly related. Other side effects of your migraine could include anx-iety, depression, low blood pressure, lightheadedness, and vertigo, or spinning. You may initially think these issues are related to your vision, but in fact, they’re directly connected to your hearing, more specifically your inner ear.

Your inner ear is responsible for maintaining balance. The labyrinth within the inner ear interacts with the vision and sensory systems. The cochlea, a snail-shaped chamber that

is filled with liquid, is lined with hair cells. These cells transform sound into electrical signals and send them to the brain. When you move, the brain ensures that your eyes continue to provide information regarding your position. It sends signals to the muscular system to maintain balance. This collection of systems working together is known as the vestibular system.

You’re more likely to experience other hearing-related issues, such as sensitivity to noise and ringing in the ears, if you suffer from migrain-ous vertigo. The good news is, with proper medical treatment, dizziness symptoms can be improved.

There are a few routes you can take to ensure this happens. For one, examine your lifestyle. You may be eating foods that trigger these mi-graines and vertigo. Common trigger foods include sourdough, chocolate, and red wine. It’s also recommended to quit smoking, avoid stressful situa-tions, and partake in regular exercise, all of which are beneficial for your health overall. You may opt to take a daily preventative medication to block migraines from even starting. Conversely, you may choose to only take medication when a migraine

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has begun.Non-medication treatments can

include biofeedback therapies and acupuncture. Contact your healthcare professional to find the migraine solution that is best for you. It’s im-portant to consult a hearing healthcare specialist if you are experiencing dizziness or vertigo.

We don’t want you to make any

changes regarding treatments pre-scribed by your physicians; you need to make sure to check with them first. Our purpose is to make sure you are aware that the spinning, lightheadedness, or vertigo may be part of your migraine. Many of our patients get relief from the extra symptoms after they understand the connection and try their best to

identify whether there is a trigger. As far as the winter season is

concerned, migraine headaches are not as prevalent since there are no allergens like the pollen from flow-ers and freshly cut grass during the spring time and the ragweed pollen during the fall. So for now, enjoy the wintery weather and try to avoid

other factors that may cause the migraines and vertigo. ❦

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).

In today’s complex working en-vironment, many businesses and

organizations are striving to accom-plish their objectives using fewer resources. As a result, more and more employees are struggling under the burden of unreasonable demands and an untenable workload, leaving them feeling overwhelmed, unsupported, and undervalued—and putting them at significant risk of job burnout.

Unlike the normal—even reward-ing—tiredness one would expect to feel after completing a challenging work project, job burnout is a level of mental, emotional, and physical exhaustion that drains energy, saps

motivation, damp-ens confidence, and promotes cynicism and resentment toward the job as well as doubt in one’s abilities and contributions. Left unchecked, burn-out can take a serious toll on one’s physical and emotional well-being and begin to seep into relationships outside the job.

Recognizing this worrisome trend, two area professionals, Deb Olejownik and Cindy Patterson, co-owners of DJC Core Consulting, have made it their mission to help non-profit orga-nizations, businesses, corporations, and individuals learn to recognize burnout, prevent it from taking root, or heal from its effects.

Olejownik’s background includes a 32-year relationship with Toledo Public Schools and a recent career transition to organizational consulting. As a stress-management trainer, she taught a stress-management course at Washtenaw Community College

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—Continues on page 41 Deb Olejownik and Cindy Patterson

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Lourdes Lifelong Learning: an educational, engaging, and social experience for adults

Ongoing learning and social en-gagement are key elements of

a vibrant, healthy adult life. Staying active, connected, and intellectually engaged not only keeps the mind nimble, but also promotes better overall health as we age. Adults in our community can find all the scholarly stimulation they seek—minus the pressure of homework, exams, and grades—in the Lourdes University Lifelong Learning program.

Lifelong Learning offers something for everyone, covering a diverse range of topics and interests in stimulating classes, day trips, special events, and a monthly lecture series.

Classes, which are held on the beautiful campus of Lourdes University and taught by Lourdes University professors or experts from the commu-nity, are open to adults of all ages, backgrounds, and religious affiliations. The only prerequisite to participate is an interest in ongoing learning. Also, the courses demand only a modest investment of time, meeting once a week for no more than eight weeks, with some classes meeting only once.

Learning & Memory, Chocolate Creations, Making Sense of Music History, Wonderful Watercolors, Films of the World, Philosophy Is Still Phun, Survival Spanish, iPad, and Computer Overview are just a small sampling of the Lifelong Learning classes offered this coming spring. Members can choose whichever courses, lectures, and events capture their imagination and fit into their lifestyle and schedule.

Those who love to combine a little learning with their travel are encouraged to take daytrips with Lifelong Learning. On April 8, day-trippers will head to the La Comedia Dinner Theatre in Springboro, Ohio for a performance of the classic Rog-ers & Hammerstein’s musical South Pacific. Then, on the Auto Baron Home Tour coming May 19, they'll experience the opulent estates built with the fortunes of the Dodge and Ford families: Meadow Brook Hall in Rochester Hills, Michigan, and the Ford House in Gross Pointe Shores, Michigan.

The monthly lecture series offers

an engaging presentation on the third Friday of each month, from 10:00 to 11:00 a.m. in the Franciscan Center of Lourdes University. Lectures are free to Lifelong Learning members and first-time guests. Coffee and donuts are served at 9:15 so Lifelong Learners can meet and socialize beforehand. Upcoming lectures include:

Edmund Fitzgerald: What Really Happened? (Feb. 20)—Explore a brief history of shipping on the Great Lakes and several prevailing theories on the sinking of the ore ship Edmund Fitz-

gerald with Carrie Sowden, Archaeological Director for the Great Lakes Historical Society.

Federal Project One: The WPA Cultural Agencies (Mar. 20)—Learn about the pro-grams President Franklin Delano Roosevelt creat-ed to provide work for artists, actors, musicians, writers, and other creative arts workers during the

Great Depression with Tom Barden, professor emeritus of English at The University of Toledo and a member of the adjunct faculty at Lourdes University.

The A, B, C’s: Archaeologists, Bones, and Coroners (Apr. 17)—Learn about the life history written in our bones from Julie Saul and her husband Frank. Based at the Lucas County Coroner ’s Office, Julie and Frank have spent a lifetime reading these life histories, joining archaeolo-gists in the jungles of Mexico and Central America to learn about the ancient Mayans, and working with law enforcement, coroners, and medical examiners on recent forensic cases, including multiple fatality disasters.

Let’s Talk Cars (May 15)—Roger Kwapich, host of The C.A.R. Show®, commercial radio’s top-rated auto-motive call-in-program, shares his extensive automotive expertise.

And that’s just scratching the sur-face of ways you can stay engaged, intellectually stimulated, and socially connected through the Lourdes Uni-versity Lifelong Learning program. For more information, visit lourdes.edu/lifelong or contact Dr. Laura Megeath, Lourdes’ Lifelong Learning Coordinator, at lifelong@lourdes.edu or 419-824-3707. ❦

Begin your Lifelong Learning journey at Lourdes University!

Laura Megeath, Coordinatorlifelong@lourdes.edu • 419-824-3707

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CLASSES History, food, film, art, technology, wine tasting, and much more!

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Optimizing a diet for weight lossby Jason Liu

Weight loss is a goal many aspire towards yet ultimately strug-

gle to maintain despite the deluge of programs, advice, and products. Research consistently demonstrates that a majority of people who lose weight regain it, often within a year. Despite the common difficulties, we can consistently succeed through smarter eating and smarter drinking.

Contributing to the difficulties of weight loss, food and drink labels are needlessly complicated, often providing grossly misleading facts. For example, the pro-liferation of “low-fat” and “no-fat” food products available in supermarkets muddles the most fun-damental aspect of weight loss or weight gain: caloric intake. Weight loss occurs only when caloric intake is less than caloric expenditure. Whether those calories come from fat, carbohy-drates, or protein does not change that principle. Quite frequently, the amount of fat in a product does not correlate very well with the actual calorie count, and many “fat-free” foods are simply loaded up with an unhealthy amount of added sugars to make up for taste. Thus, the main goal in weight loss should be to limit caloric intake.

However, limiting caloric intake should be only the beginning of a healthy weight-loss plan. The next factor that comes into play is satiety, how full you feel, which is controlled by your brain courtesy of response signals from your digestive system. In effect, this is how your body re-sponds to each calorie you consume.

In the most basic situation, calo-ries from bulk foods as compared to calories from fluids generate different signals to the appetite center in the brain. Bulk foods cause more dis-tension of the stomach, which then signals the brain that you have been eating, leading to satiety.

Liquid calories, such as those wildly popular colas and fruit juices, do not send the same satiety-oriented signals to the brain. In fact, research shows that sugary drinks have a very minor

effect on appetite compared to water. Therefore, a person will often either continue eating after a soda or not actually eat less during a meal with a soda, leading to an accumulation of calories and unhealthy sugars.

Satiety is also affected by the type of calorie consumed, whether pro-tein, fat, or carbohydrate. Controlled for caloric load, recent research has confirmed that protein does a better job of suppressing the ghrelin levels

in the body. Ghrelin is one of the protein signals

to the brain that tells you that you’re hun-

gry. This means that later in the day, you would have less of an urge to eat if you would simply shift from fatty or sugary

sources of food to a source of protein as a snack. Good examples include roasted nuts or deli slices. High-protein diets are also often helpful for patients with obesity and metabolic syndrome.

Beyond satiety, we also need to consider the quality of each calorie we are getting. Some foods come loaded with nutrients essential for healthy skin, strong bones, strong muscles, and functioning organs while other foods are simply “empty calories.” Whereas a candy bar pro-vides mostly calories with little nutritional gain, eating a few slices of apple dipped in some natural peanut butter with minimal sugar added can provide the sweet taste, but with the addition of protein, antioxidants, and nutrients.

Ultimately, maintaining weight loss requires high levels of discipline and sacrifice. However, focusing on limiting calories and keeping in mind how the body responds to each calorie and the nutritional value of each calorie will provide a wide variety of options for reaching individualized weight-loss goals. ❦

Jason Liu, MD candidate, University of Toledo College of Medicine, class of 2016. Written on behalf of The Academy of Medicine of Toledo and Lucas County.

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The Woodlands4030 Indian Rd.

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The Manor at Perrysburg250 Manor Drive

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Swan Creek Retirement Village

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Heartland of Waterville8885 Browning Drive Waterville, OH 43566

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Spring Meadows Senior Community1125 Clarion Ave. Holland, OH 43528

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Lutheran Memorial Home795 Bardshar Rd.

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Swan Pointe Care Center3800 Butz Road

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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 jriedl@otterbein.org

www.otterbein.org

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 frighten-ing, 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 community, 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 homeown-ership,” explains Carrie

McGlothlin, Regional Director of Marketing for Franciscan Living Communities.

The following are some of the as-pects of homeownership—or simply living 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 se-niors 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 sur-face. In other seasons, there are tasks like lawn mowing, 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 nev-er-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 house-keeping and laundry

services, freeing residents to pur-sue the activities they enjoy,” says McGlothlin.

Unanticipated repairsIt’s an unavoidable reality of homeownership that, at one time or another, a pipe will leak, a furnace will fail, a toilet will run continu-ously, concrete stairs will crack, etc. When problems like these arise, most people need to call an expert to

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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 additional 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 alerting 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 McGlothlin. “Here at St. Clare Commons, we offer residents transportation services for shopping, doctor appointments, and other necessities, 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, for ex-ample with the virulent strain of flu that’s currently circulating, 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 phar-macy 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,” McGlothlin states. ❦

PROTECT YOUR CHILD’S SLEEP JUST AS YOU DO THEIR SAFETY

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.

DRINK WATER, EAT HEALTHY, SLEEP MORE AND GET MOVING!

Kohl’s Kids in Action offers free obesity prevention programs to your elementary school or at health fairs. For more information, call Kohl’s Kids in Action at 419-251-1246 or visit us online at kohlskidsinaction.org.

Sleep problems don’t just effect a child’s nights, they

disrupt their days too. Lack of sleep can cause your

child to have learning delays and be hyperactive,

less alert, easily distracted, physically impulsive,

injured from increased falls, and overweight.

Establish a bedtime routine

• Turn the TV, cell phone and computer off a half hour before bedtime, allowing for quiet play

• A warm bath and comfy pajamas will help your child ease into sleep

• Take care of all of the “have-to’s” like brushing teeth and going to the bathroom so your child won’t ask after they’re in bed

• Read to your child or let them read to you for 10-15 minutes

• Give your child a big hug, tell them that you love them, turn off the light, leaving just a night light on, say “goodnight” and leave the room

• Children thrive on routine so be consistent even on the weekends

How much sleep time do they need?Infants 14-15 hours

Toddlers 12-14 hours

Preschoolers 11-13 hours

School-age 10-11 hours

Teenagers 9-10 hours

North CommunityCatholic School

Belong.Come discover the new North Community Catholic School.Check out our Open House!

Most Blessed Sacrament Campus (K-8)* 4255 Bellevue RoadMarch 812:00 pm - 2:00 pm

Regina Coeli Campus (K-8)*530 Regina ParkwayMarch 112:00 pm - 2:00 pm

St. John the Baptist Campus (K-8)* 2729 124th StreetFebruary 2211:30 am - 1:30 pm

St. Catherine Early Education Campus (ages 3-5)1155 Corbin RoadFebruary 2210:00 am - 2:00 pm

*EdChoice, Jon Peterson and Austism Scholarship Providers.

vvv

St. Patrick of Heatherdowns • Open HouseMarch 1, 2015 • 1:00 - 2:30 p.m.

Classes Art • Band • Computer • French • Gym • Music • Spanish

Extras Musical • Newspaper • Scouts • Sports • Tech Crew • Yearbook

Pre-Kindergarten - Grade 8Extended Day and Hot Lunch Programs

Private Tours Available - 419-381-1775

St. Patrick of HeatherdownsWhere Christian Values and Knowledge Unite

It seems as though two distinct and divergent sets of values are emerg-

ing in our society. One set seems to promote egocentrism, entitlement, moral relativism, instant gratification, and self-aggrandizement while the other embraces concepts such as faith, compassion, self-discipline, determination, accountability, and respect and empathy for others.

Parents who hope to raise their children with the latter set of values definitely have their work cut out for

them these days. The media and pop-ular culture continually undermine their efforts to instill positive values in their children by sending and re-inforcing the message that individual desires and impulses always take precedence over the needs of others and by dismissing positive values as antiquated or obsolete notions.

But parents who send their chil-dren to Catholic schools find that the values they hope to impart to them are upheld and reinforced in

Catholic education—Values received, excellence achieved

CATHOLIC EDUCATION

Values received

Excellence achieved

a supportive, caring environment. As a result, kids educated in Catho-lic schools emerge better educated, better citizens, and better prepared to deal with the opportunities and challenges life has in store for them.

Here’s what a Catholic education will mean for your child:

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

Elevated expectationsCatholic school teachers understand the basic principle that self-esteem results from accomplishment, not vice versa. Students are expected to achieve in their academic endeav-ors, and they’re given the tools and support they need to do so. The bar

of achievement is set high with the goal of preparing students for the rigors of secondary education and the working world.

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

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

Parents who careJust like you, other parents of Cath-olic school students want to play an active role in their children’s edu-cational experience. In fact, many

Separated by two campuses yet integrated by one faith, and challenged by teaching excellence at every grade level, our student body is a community growing strong in mind and spirit.

We are St. Joseph School Sylvania.

In the face of new technology, we see opportunity;

In the face of new curriculum, we see mastery not memorization;

In the face of every student, we see Jesus.

PRESCHOOL – GRADE 8

www.stjosephschoolsylvania.org 419-882-6670

2013_14 SJS Ad 9.5x5.75.indd 1 9/17/13 1:20 PM

parents volunteer in a variety of capacities, such as playground or lunchroom supervision, classroom assistance, fieldtrip support, fund-raising assistance, and many other areas. And the support works both ways. The schools are also happy to work together with parents as a team to help solve any problems or challenges that might arise.

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

College in the futureA college degree is critical to career success, and Catholic schools are fo-cused on preparing students for entry into college. A very large majority of elementary and secondary Catholic school students attend college. In fact, according to the National Cath-olic Educational Association, 99% of Catholic secondary school students graduate and 97% go on to college. ❦

Notre Dame Academy accepting

applications to grades 7–9

Studies show that women graduates of single-sex schools have higher

SAT scores, higher academic confidence, and a greater interest in graduate school. These studies help reinforce what is happening in the U.S. today. Women earn about 60% of undergraduate and of all master’s degrees, close to half of all law and medical degrees, and 44% of all master’s degrees in business and management.

Notre Dame Academy, all girls, grades 7–12, is accepting applications now for grades seven, eight, and nine for fall 2015. Notre Dame Academy has distinguished itself with top-level programs such as the prestigious International Baccalau-reate Diploma Program, college credit opportunities, and international service trips to maintain educational leadership and provide young women with strong academic and spiritual formation.

Girls interested in grades seven and eight need to complete an application, but no testing is necessary. Some fam-ilies are transitioning their daughters to eighth grade to provide them with an extra year to learn time-management skills and adapt to a college-prep high school curriculum. Students interested in seventh and eighth grade can apply for a new Empowerment Award, valued at $1,500, based on academics, leadership, and service. Applications are online and due Friday, February 26.

Eighth grade girls interested in ninth grade can take the High School Placement Test February 21 at 8:00 a.m. Testers must register to reserve their spot by calling 419-475-9359, ext. 1269.

For more information on how Notre Dame Academy empowers girls to grow as leaders, gain self-confidence, deepen their spirituality, and earn college credit in high school, contact Admissions at 419-475-9359, ext. 1269 or go to www.nda.org. ❦

Mrs. Grilliot suggested some tips that parents can use to empower their middle school and high school daughters:

Encourage leadership rolesHelp your daughter step up and take a leadership role. Opportunities are everywhere. Maybe she can be a

Did you know women earn about 60% of undergraduate and of all

master’s degrees, close to half of all law and medical degrees, and 44% of all master’s degrees in business and management? Is your daughter going to be prepared for her future?

“As an educator for over 25 years in both co-educational and single-sex schools, as well as a parent to three adult children, it is no secret that girls think, interact, lead, and make decisions differently than boys,” explained Kim Grilliot, principal of Notre Dame Academy, an all-girls, grades 7–12 school. “Studies have also shown that girls are routinely called upon less, often receive less feedback, and can display lower self-esteem than boys in co-educa-tional settings,” she added.

Tips on empowering

your daughter

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homeroom rep at her school; volunteer to lead a project in her church youth group; help with a Girl Scout troop; or be a patrol leader, counselor at a summer Bible school, or a ZOOTeen. There are a variety of ways for her to hone her leadership skills.

Help her discover her passionsMiddle school and high school are the perfect times to try new things. Does she like doing crafts or drawing? Try an art class. Does she love snapping pictures with her phone? Consider a photography course. Is she interested in athletics? Encourage her to play a sport she has never done. If she likes to sing, have her join a choir at school or in her church.

If she doesn’t make the school play, encourage her to join the stage or tech crew. One of the biggest programs at Notre Dame Academy is the Speech Team (one of people’s biggest fears is speaking in front of others). You never know where a new-found passion will lead you.

Encourage her to find her voiceTeach your daughter how to be as-

sertive in expressing her thoughts and needs to adults and her peers but in a respectful manner.

Help her inspire othersEncouraging a girl to get involved helps her develop a compassionate heart. When she serves a meal in a soup kitchen, helps a child learn to read, or shops for a special gift for

a needy child during the holiday season, she develops self-esteem by helping others.

Encourage her to stretch herselfGirls need to continue to stretch themselves. It is better to work a little harder in a tougher class than to go for the easy “A.” ❦

Vets benefit from clothing drive by Christine A. Holliday

Fortunately for social service agencies and people in difficult

situations, the holidays bring out the best in most people. Schools, churches, and individuals celebrate the holidays by providing toys for needy children, food for families who might go without, even gas cards or utility payments for people down on their luck.

At St. Ursula Academy, students and teachers did the same through a food drive and a campaign to “adopt” families at the holidays. Like many other schools, they collected gloves, socks, and hats for those who don’t

have them. Their work to help others falls in line with one of the school’s core values: service.

Recently, the girls contributed to a new drive, this one to help home-less and struggling veterans. The idea originated with Social Studies teacher Andy McGurk, who wanted to make certain his students had a clear understanding of Veterans Day and why we remember vets at that time of year.

“The subject came up in one of my classes, and I asked the girls how many of them had a relative who had served or was serving in one of the

armed forces. I was surprised to see that at least 75% of the students had a connection to a vet. Some of them had lost family members in Iraq and Afghanistan, so they were familiar with the sacrifices veterans make in serving our country. That’s when we talked about doing something for vets,” he says.

The first part of the project was to contact the Office of Veterans Af-fairs, which provided a video giving background about Veterans Day. McGurk and his students showed the video to the entire school as a

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SUA is...where my potential is undeniable!

Are You an SUA Girl?

Join us as an Arrow for the Day • Call 419-329-2209 or rhayes@toledosua.org to reserve your spot.

St. Ursula Junior Academynow enrolling grades 6-8

We support families struggling with

MENTAL ILLNESS.FAMILY SUPPORT GROUPDo you have a loved one in a mental crisis? Are you feeling overwhelmed, frightened, guilty? Do you need support and help learning ways to cope with these difficulties?

NAMI CONNECTIONS GROUPAre you living with depression, bipolar, or anxiety disorder? Are you feeling frustrated, hopelessness, or confused? Do you need to talk with people who have experienced similar feelings and challenges?

Please join us for a free support group.All support groups are led by trained facilitators. Support groups meet Monday 7:00-8:30 pm.

2753 W. Central Avenue, Toledo OH 43606419.243.1119Located in the NPI Building (Kenwood Plaza)

www.namitoledo.org www.facebook.com

SPRING SESSIONSStarting in February - Register Today!

Sign up online atwww.

namitoledo.org or call

419.243.1119

2753 W. Central Avenue, Toledo OH 43606

Located in the NPI Building (Kenwood Plaza)

Basics

Family-to-Family

For any parent or caregiver of a child or adolescent living with a mental illness.NAMI Basics offers education and support. It is taught by parents who have lived similar experiences with their own children. It is an educational program that provides learning and practical insights for families.

The course is offer free of charge and consists of six classes that meet weekly or bi-weekly for 2-1/2 hour sessions.

February 17 - March 24, 2015 • 6:30 - 9:00 pm Classes offered at 2753 W Central, Toledo - Kenwood Plaza

This course teaches the knowledge and skills that family members need to cope more effectively.The free 12-week course is taught by trained NAMI members who have lived with this experience and offers education and support for families and friends of people with mental illness. Many describe the impact of this program as life changing. Join the over 150,00 individuals just like you, who have gained information, insight, understanding and empowerment!

March 3 - May 19, 2015 • 6:00 - 8:30 pm Classes offered at Mayores Senior Center - 2 Aurora Gonzalez Dr., Toledo

March 3 - May 19, 2015 • 10:00 am - Noon Classes offered at 2753 W. Central, Toledo - Kenwood Plaza

March 3 - May 19, 2015 • 6:00 - 8:00 pm Classes offered at Flower Hospital, Medical Office Building Auditorium - 5200 Harroun Rd., Sylvania

St. Joan of ArcCatholic School

PreK through Grade 8

5950 Heatherdowns Blvd., Toledo, Ohio 43614419-866-6177

Learn more at https:/school.joanofarc.org/sja/

OPEN HOUSE:Sunday, February 22nd

11am- 2 pm

Where faith is not just a word... it’s our way of life.

We are recruiting adults with confirmed type 1 Diabetes for a study to determine whether a medication called allopurinol can delay the progression of kidney disease. The study is called Preventing Early Kidney Loss in Diabetes or ‘PERL’ and is sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and JDRF International.All lab work and study medication are provided at no cost to those eligible to participate in the study.

Who Can Take Part in this Study?Men and women between the ages of 18-70 diagnosed with type 1 diabetes (T1D) who also:

• Have had T1D for at least 8 years• Have a history or presence of microalbuminuria or moderate macroalbuminuria• At the time of screening, have a serum uric acid level of > 4.5

Compensation is provided for participation in the study

To learn more about the PERL study, please visit:www.perl-study.org

For more information and/or to schedule a screeningappointment, please contact:

Ginny Leone (734) 936-8656 or vleone@umich.edu

Study ID: HUM00080944 IRB: IRBMED

Do you have Type 1 Diabetes and suffer from kidney disease?

If so, you may be interested in a new clinical trial that is

testing the effectiveness of a new drug therapy.

kick-off to a drive to collect articles of clothing for veterans a few days before November 11. The response was so good that the drive was ex-tended from the original two weeks.

“We asked for any clothes a male veteran could use—shirts, sweaters, socks, coats, pants, shoes,” McGurk explains, “and the girls really respond-ed. “We got a very good collection of items. The girls brought in quite a lot of clothes and quite a lot of variety, so all of us were very pleased.”

On Veterans Day, McGurk showed another video to the student body.

This video was one the students made, featuring an interview with a veteran and with students explain-ing why they were glad to be part of the drive.

It took a truck to deliver all the clothes collected to the VA in Ann Arbor, and McGurk hopes to have a similar drive next year, saying “This was an issue the girls could respond to, and they really did!” ❦

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

Cardiac rehabilitation can help improve quality of life

by Dalynn Badenhop, PhD

Cardiac rehabilitation is a medically supervised program tailored to a

patient’s specific needs. This program of diet, exercise, counseling, and education can dramatically improve a patient’s health and quality of life. Cardiac rehab patients undergo ther-apy three times a week for 12 weeks.

If you were to go through cardiac rehabilitation, we would first ensure your exercise program is safe and effective by having you perform a cardiopulmonary exer-cise (CPX) test. This test assesses the ability of your heart, lungs, blood vessels, and muscles to use oxygen efficiently. The initial amount and intensity of the exercise is kept at a very low level. The amount of ex-ercise is then gradually increased each week. Highly trained nurses and clinical exercise physiologists continually evaluate your exercise tolerance as you work through the program.

Counseling is provided to help you lower high blood pressure, lose weight and abdominal fat, lower cholesterol levels, manage diabetes, manage daily stress, and quit smoking.

A registered dietician will teach you how to read food labels, and you will receive dietary counseling on how to reduce fat and total calories and increase fruits, vegetables, and fiber in your diet.

There are many benefits to partic-ipating in a cardiac rehab program. You will:

• Learn your capabilities and limitations after suffering a heart attack or undergoing heart surgery.

• Be able to do more daily physical activity.

• Have less shortness of breath and swelling.

• Sleep better.• Experience less depression and

anxiety.

Patients who participate in a cardi-ac rehab program have a 50 percent lower risk of death and a 30 percent lower risk of another heart attack than patients who do not go through a cardiac rehab program.

Medicare and most health insur-ance companies provide benefits for cardiac rehab, so please contact your provider for further information about your benefits. ❦

Dalynn Badenhop, PhD, UTMC director of cardiac rehabilitation, has 30 years of experience in cardiac rehab and is certified by the American College of Sports Medicine.

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The University of Toledo Health

Cardiac Rehabilitation Program

is welcoming new patients

A Higher Degree of Healing

Dalynn T. Badenhop, Ph.D., FACSM, FAACVPR

UTMC offers the only cardiac rehab

program within the Toledo city limits and

the most comprehensive exercise facility

in the area. All of our clinical exercise

physiologists are certified by the American

College of Sports Medicine, and our

program is certified by the American

Association of Cardiovascular and

Pulmonary Rehabilitation.

Our programs and services include:

• Phase II Cardiac Rehabilitation

• Phase III Cardiac Rehabilitation

• Cardiopulmonary exercise testing

The cardiac rehab staff is led by:

Dr. Dalynn T. Badenhop

Appointments available within 7 days

of referral.

To schedule an appointment, please call:

419.383.5378

Five tips to avoid medication mishaps

As our 55-and-over population continues to rise, so does the

concern of health professionals re-garding how to best manage their health and safety. One such concern is for the number of medications that are prescribed for seniors. According to the Journal of the American Medi-cal Association, nearly one-third of Americans ages 57 to 85 take at least five or more prescription drugs, and some with chronic illness may take as many as 20.

Medication has tremendous bene-fits to curing, preventing, and easing chronic conditions. At the same time, the combination of medicines can lead to negative effects on the body, or even dangerous outcomes, if not carefully monitored. Elderly patients are particularly susceptible to issues caused by polypharmacy, a term used when a patient is taking over four different medications, increasing the risk of misuse or negative effects.

As a Certified Nurse Practitioner (CNP), Brenda Blackshear is all too famil-iar with the challenges of polypharmacy. Black-shear has managed and prescribed medications for over 20 years. As a full-time CNP for Kingston Residence of Sylvania, an assisted liv-ing and memory care community for seniors, she has seen how the stress of keeping track of medications can take a toll on residents and caregivers. “In some cases, it’s the medication overload that is the tipping point for choosing to come to assisted living.”

“At Kingston, we have many res-idents who can manage their own medications on a daily basis, then as they age or their symptoms continue to worsen, the pill burden can become overwhelming. Fortunately, residents can choose to have our clinical staff monitor their medications and look for changes in their health or behav-iors,” states Blackshear.

Part of Blackshear’s experience is de-prescribing medications for resi-dents to improve their well-being and quality of life. “What you find is that people will take the same medication for years without question, or have prescriptions from the cardiologist, pulmonologist, and family physician.

It’s a case of having several health-care providers prescribing medicines without having the entire picture. So people get a number of pills and doses that could create potentially negative outcomes, like higher risks of falls or hospitalization,” Blackshear explains.

The success of any medicine truly hinges upon the communication among patients, doctors, and care-givers. A few simple measures can be taken to bridge communication in order to increase the success of a medication program and hinder the risks of medical mishaps.

1Create a medication journal and keep it up to date

This is particularly important for pa-tients who take multiple medications. Be sure to include the physician, date the medication was originally pre-scribed, diagnosis (why and what it

will be used for), and how long it needs to be taken. Write down both the brand and generic name of the medication as well as the pharmacy source. If you

use a smart phone, take a picture of all your prescription labels. Make a few notes about a drug after you start taking it. Include positive and negative effects that it caused you, such as nausea, anxiety, or joint pain. Remember to include over-the-counter medication and herbal remedies as well. Tell your loved ones about the journal and where to find it in case of an emergency health situation.

2Bring your medication journal everywhere you will receive healthcare

Your healthcare is a team effort with you being the key player. Keep all your doctors informed about your medications to ensure that you do not run the risk of having drug-related problems. Review your medications frequently with your physicians, particularly if you have been tak-ing them for quite some time. The pharmaceutical market is continually making progress; you may find that new alternatives are available for your condition.

With a specialty in physical medicine and rehabilitation, Stacey Hoffman, M.D.

is the full-time medical director of the Kingston care staff. She manages a

team of well-qualified licensed nurses and certified nurse practitioners to

give you the best chance at stroke recovery.

Introducing Kingston’s On-SiteStroke Recovery Physician

345 E Boundary St., Perrysburg, OH 43551

(419) 873-6100 | www.kingstonhealthcare.com

When a stroke

rebuild mobility renew strengthresume life

Call today to schedule a tour and learn moreabout our unique stroke program.

We understand that stroke isn’t just a neurological disruption; it’s a family disruption that affects both patient and loved ones. Kingston HealthCare is here to set you and your family back in motion through premier stroke care at our state-of-the art facility.

Kingston HealthCare is the region’s best choice for stroke rehabilitation offering:

• Newly constructed skilled nursing and rehabilitation center• Team of clinical and rehabilitative experts• One-to-one specialized therapy• Clear and candid facility-to-family communication• Immediate, ongoing and long-term coping strategies• Private, spacious rooms

unexpectedly pauses life, we help you

press play again.

3Choose one pharmacy source if possibleMany drugs come with pages

of information that are prone to be confusing rather than educational. Find a pharmacy that has a strong team of experts who take the time to answer your questions and fol-low your medication closely. Studies show that about 40% of seniors fail to take their medication as instructed. Take advantage of your pharmacy’s counseling service when you have a

question about a medicine. Be sure to review your prescription if you have any doubt as to how and when to take it. If you take generic drugs, ask the pharmacists whether the company providing your medication has changed. Even though drugs are closely monitored, they can have a small change from one generic pro-vider to the next. A change to your generic prescription could cause new side effects. Contact your pharma-cist if you suspect that your generic prescription is different.

4Pay close attention to changes in your body or behavior

Just as your body changes over time, so can the way you react to a certain medication. Symptoms such as head-aches, dizziness, lethargy, irritability, or forgetfulness could be caused by alterations in the way you are react-ing to your medications. Dr. Chad R. Worz, PharmD, a pharmacy expert for Kingston HealthCare, shares, “Older adults metabolize medication differ-

ently than younger adults. This will affect how the medication works as people age and also how medications may interact with one another.” Ask your spouse or caregiver to mention changes in your behavior that you may not be aware of, such as con-fusion or anger. Be sure to call your physician if you notice a difference in how you feel or act.

5Accept helpOften seniors avoid asking for help for fear of being seen as less

independent or weak. In the case of medication, one should consider that the result could be a better quality of life versus dire consequences. Seek the help of a caregiver, such as spouse or other family member. Involve them with your medication journal, and together seek resources to help manage your medication. Ask your pharmacist or physician about resources that they recommend for your particular needs.

While medications are necessary and invaluable for helping manage illness and experiencing better quality of life, it is important to be aware of mishaps that could occur by taking an uneducated approach to medi-cine, whether it be over-the-counter, natural remedies, or pharmaceuti-cals. By becoming more informed and involving your loved ones and clinical care givers, you increase the chances of having the best outcomes for health and wellness. ❦

Answers to crossword from page 36

Acupuncture doesn’t attract the high dollars for research from

pharmaceutical companies that the next expensive new pill might. But, nonetheless, a growing body of research has taken this traditional Chinese medical procedure and el-evated it to the level of mainstream medicine.

MigrainesTrisha, a high-achieving teenage girl, was brought into our office by her parents with complaints of severe, disabling migraine headaches. At this point, she was experiencing them almost daily and hurt so bad her mother said she would lock herself in her dark bedroom and cry. Strong medications prescribed by her doctor didn’t seem to help and made her feel sick. After a workup in our office, she received a series of eight acupuncture treatments. We see her about once a month for update treatment, and her parents report that she has had only two minor headaches during that entire period.

A recent medical study that com-pared two groups of migraine suf-ferers published that one group, receiving standard medical drugs with acupuncture, had evidenced

25% fewer doctor visits and used 15% less medication than the group of patients receiving just standard medical treatment.

FertilityKathy was a 35-year-old urban pro-fessional. She had married after es-tablishing her professional career and was anxious to start a family. However, after three years and two IVF attempts, a pregnancy did not materialize. Her new family only had money for one more attempt, and she felt her biological clock ticking down. The thought of never having children of their own was crushing to Kathy and her husband Jim.

After a consult with Kathy and her husband, it was decided to combine treatments due to time constraints with her biological clock. She would have acupuncture concurrent with her last IVF attempt in order to maximize chances of a full-term pregnancy.

We treated Kathy with acupuncture in combination with an advanced microstim technique and appropriate supplements. She was treated three times a week for four weeks. Sixty days after her last visit in our office, she returned with a big cake with a picture of a baby on it. We all decided to forego our healthy diets that day!

In a 2002 study that appeared in the reproductive journal Fertility and Sterility, a group of German researchers found that adding acupuncture to the traditional IVF treatment protocols substantially increased pregnancy success. In two groups, those receiving acupuncture along with their IVF had a successful pregnancy rate of 43% while those receiving IVF alone had a pregnancy rate of 26%.

An article published in the Brit-ish Medical Journal and authored by researchers from the University of Maryland Medical School, found that acupuncture raises the odds

Acupuncture and

real science

by Douglas A. Schwan, DC, Dipl ac

Try Acupuncture!Are You Suffering?

Schwan Chiropractic and Acupuncture is dedicated to promoting health and wellness through the traditional Eastern techniques of acupuncture, nutrition, chiropractic and lifestyle choices.

AcupuncTure cAn help.• Migraines, Fibromyalgia & Arthritis

• Infertility, Menopause & PMS

• Bell’s Palsy, Carpal Tunnel & Sciatica

• Pinched Nerve, Allergy & Sinusitis

• Smoking, Weight & Stress Control

Better health. naturally.

“My husband and I had a two pack a day cigarette habit. We tried patches, gum and drugs but nothing worked. A friend reccomended Dr. Schwan to us for acupuncture. After our treatments my husband and I have both been smoke-free for eight months now! I tell all my friends about how Dr Schwan gave us back a healthy lifestyle!”

... Kristin & Tyler

Dr. Douglas Schwan, Licensed Chiropractor & AcupuncturistOver 32 Years experience with holistic health careEducated: Palmer College & International Academy Medical Acupuncture

Schwan chiropractic & Acupuncture center

Call for your FREEConsultation Today!419-472-7055

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of a successful in vitro fertilization by 65%.

Acupuncture in combination with specific nutritional and herbal counseling is also very effective on its own. Many couples who can’t afford the high cost of multiple IVF procedures find acupuncture, by itself, greatly increases their chances of a successful pregnancy.

Smoking, drugs, and other addictionsBrian came in as a 44-year-old man with a long history of smoking and a recent history of lung cancer. Two months prior, he had part of his right lung removed and he was hopeful that this would “cure” his cancer. His surgeon told him that his cancer was related to his two-pack-a-day cigarette habit since age 16. He was also told that he would die if he smoked again.

As soon as Brian was released from the hospital, he fell back into his old habits. He would sneak away from his wife and light up a quick one in the garage. He tried a traveling hypnosis show for smoking and ended up smoking on the drive home. Already feeling bad from the cancer and surgery, he

found anti-smoking drugs nearly killed him.

In our office, we find that smok-ing-cessation patients usually respond well with two to four acupuncture treatments and some minor counsel-ing. Our office package includes up to four treatments over the critical two-week period where falling back into old habits is most likely. After three treatments, Brian declared that he was “free of the nicotine demon!” We saw Brian about six months later when he returned for his fourth free visit for a booster session. While he didn’t smoke again, he felt the urge ramp up as worry about his impend-

ing cancer checkup climbed. We treated Brian for anxiety and stress, and to this day he remains cancer and smoke-free.

In 2011, the US Department of Justice, in association with American University, looked at acupuncture as a treatment for various drug addictions. Many drug courts were sentencing drug offenders to receive acu-puncture as part of their sen-tence in order to help them kick

their drug habits. They found that a number of studies in the literature showed that acupuncture treatments

reduced cravings and symptoms of withdrawal and were more effective than conventional treatments alone.

Arthritic knees and backsMarlene limped into our office with severe lower-back pain and bilateral knee pain. She was 45 years old with a history of steel rods implanted into her lower spine as well as a left knee replacement years earlier. She was on a variety of pain drugs up to and including morphine-based drugs. She stated these drugs were no longer controlling her pain, and her surgeon said there was nothing more he could do.

Examination revealed that Mar-lene was hunched forward in pain and could only straighten up with considerable suffering. Her replaced right knee was stiff with very lim-ited and painful motion. She said it felt like “glue” in the joint and just touching around it was excruciatingly painful. Her left knee had only 50% range of motion, and x-rays demon-strated bone-on-bone osteoarthritis throughout.

Marlene had a prescription in hand for a wheelchair, but she was determined to walk on her own as long as possible. She began crying

in the office when she described being forced to give up fostering abandoned dogs in her home due to her infirmities.

Despite Marlene’s many prob-lems, we prescribed an acupunc-ture protocol for her that combined ancient needling techniques along with modern computer-controlled methodology. By needling specific acupuncture points and running a computer controlled microcurrent through specific needles, we were able to accelerate the body’s ability to deal with all the arthritic scar tis-sue and inflammation that was the main underlying problem. After a series of three-times-weekly treat-ments for a month, Marlene noted significant relief from pain, increased range of motion, and a pronounced improvement in her ability to walk. She now returns twice a month as needed for tune-up visits. Marlene relates that she has not only begun fostering dogs again, but has adopted a Siberian/lab mix as her own.

In 2006, the National Institute of Health published a literature review of acupuncture research into treatment of osteoarthritic knee pain. They were looking to compare acupuncture to placebo (sham) treatments. The Na-

I love the geriatricpopulation. �ey’refunny, honest… andyou can learn a lotfrom them.”Maggie M., RN, 2-year employee

Maggie enjoys caring for the elderly. Not just providing medicalcare, but getting one-on-one time with each resident. She believesthe family atmosphere at the Elizabeth Scott Community providesa unique environment.

“�e owners are here every day, and they’re de�nitely available when you need them. It’s a great place to work, and that makes for a nice living arrangement for our residents.” Our founder, Elizabeth Scott, was also a nurse and believed incaring for residents like they were family. Sixty-�ve years later,nursing is still at the heart of our resident-centered care.

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Toledo, Ohio. His office may be contacted at FAQ@acupuncturetoledo.com. For more information on Alternative Medicine or past articles, please visit our website at www.acupuncturetoledo.com.

Top 10 reasons to give tennis a try in 2015

by Mark S. Faber, USPTA Elite Professional

As we head into 2015, people will be looking for new ways to ac-

complish their New Year’s resolu-tion of getting themselves in better health. As I was surfing the internet, I stumbled upon a site, active.com, that shared an article on reasons people should try tennis, written by the Tennis Industry Association (TIA). So here goes my David Letterman Top 10 list of reasons to try tennis as shared by the TIA:

10. A longer lifeScientists and doctors around the

tional Institute of Health found that, “Acupuncture that meets criteria for adequate treatment is significantly superior to sham acupuncture, with no additional intervention, in improving pain and function in patients with chronic knee pain.”

ConclusionAcupuncture and nutritional therapies are very effective in treating a wide variety of conditions. Acupuncture procedures can be used in conjunc-tion with or, at times, in place of drugs and surgery. It is also very safe with few side effects. The practice of acupuncture is a high-level skill and takes years of study to master. In considering acupuncture, make sure your practitioner is trained and experienced in the condition you seek treatment for. ❦

Dr. Schwan is available to speak to your group on a wide variety of Alternative Medicine topics. He is a 1982 graduate of Palmer College of Chiropractic as well as a Diplomat in the International Academy of Medical Acupuncture. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. He is an author, lecturer, and one-time stand-up comedian. His practice is located in

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world point to tennis as one of the healthiest activities that you can par-ticipate in because it delivers overall physical, mental, and emotional gains. It will add years to your life.

9. A happier lifeTennis engages your mind and body at the same time, unlike a traditional workout at the gym. Because tennis players are more confident, healthier, less stressed, and more socially in-teractive, they’re just plain happier.

8. It’s socialOn court and off, you’re guaran-teed to make friends through tennis. The sport encourages interaction, communication, and just plain fun. Plus, it’s great for making business connections.

7. The whole family can participateNo matter the age, gender, ethnicity, ability level, or fitness level, tennis is perfect for families to play together. Few sports can offer the opportunities for families that tennis can.

6. Tennis teaches life lessonsParticipants, particularly youngsters, develop a work ethic, learn sportsman-ship, accept responsibility, manage mistakes, enhance discipline, learn to compete, cope with pressure and adversity, develop healthy habits, learn teamwork, and more.

5. Tennis can be anything you want it to beLooking for competition, social play, team camaraderie, a good workout, time with family or friends, tourna-ments, and national championships?

Tennis has all of that, and more. The sport can be anything you want or need it to be.

4. It’s funAt every level of the game and at every age, from 10-and-under ten-nis through super-senior leagues, players have fun while getting a great workout.

3. It develops your mindTennis requires alertness, tactical thinking, and problem solving, and evidence suggests it may generate new connections between nerves, promoting a lifetime of continued development of the brain.

2. FitnessThe constant movement and action in tennis will burn calories, build mus-cle, increase bone strength, improve flexibility, fine-tune coordination, and enhance overall health and fitness.

1. It’s a sport you can play your whole lifeThere’s no other sport you can play throughout your lifetime—from the earliest ages to your latest years—that gives you the physical, mental, emotional, and social benefits tennis gives you.

So contact one of the local in-door tennis clubs (Shadow Valley Tennis Club, Laurel Hill Swim and Tennis Club, or Perrysburg Tennis Center) and tell them you want to give tennis a try. Once you try it, you will be hooked and will start working towards sticking with your New Year’s resolution in a new and more-than-rewarding way! ❦

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News From

OTTERBEIN

Otterbein Portage Valley offers way to prepare for upcoming surgeries

Rehabilitation programs follow-ing surgery are often prescribed

by surgeons to aid in strength and healing, but starting weeks before surgery might help patients regain function even faster.

According to Dr. Julie Silver, a physiatrist at Spaulding Rehabilita-tion Hospital in Boston, “So-called ‘prehabilitation’ to prepare someone for an upcoming stressful event has been used quite a bit in orthope-dic surgery. And there’s increasing interest in using it before cancer treatment, especially to help frail or elderly patients better tolerate what lies ahead.”

Researchers from McGill Univer-sity in Montreal studied 77 patients scheduled for colorectal cancer sur-gery. A kinesiologist gave the patients

aerobic exercises and strength training to do at home. A registered dietitian gave them nutritional counseling and prescribed a whey supplement to make up any protein deficits, and a psychologist provided anxiety-re-ducing relaxation exercises.

Half of the patients were told to start the program before surgery—an average of about 25 days before—and to continue afterward for eight weeks. The other group was told to start right after surgery.

Not surprisingly, the group as-signed to prehabilitation did better on a presurgery test that measured how far they could walk in six min-utes. And it paid off.

Two months after surgery, the prehabilitation group walked an aver-age of 23.7 meters farther than when

they started the study. Rehab-only patients walked an average of 21.8 meters less than when they started. (A change of 20 meters is considered clinically significant.) And a great-er proportion of the prehabilitation group was back to baseline exercise capacity by then. The study ap-pears in the journal Anesthesiology.

Prehabilitation can include a combination of exercise, mindful meditation, improved eating, smoking ces-sation, and mental preparedness. There have been a variety of studies to show that preparing one’s mind and body for a stressful event improves the chances of successful outcomes after the event.

Otterbein Portage Valley Senior lifestyle Community is proud to announce a new monthly event for the public called Otterbein PreHAB. This ongoing Lunch and Learn se-ries is free to the public. Men and woman anticipating a hospital stay

or surgery are invited to come and receive a free lunch, education about improving health and wellness prior to the surgery, and some information about what to expect while they are

in the hospital.The first PreHAB

event will be held on Thursday, February 26th beginning at 11:30 a.m. at the Otterbein Portage Valley cam-pus in Pemberville on Pemberville Road. Debbie Davis, Diabetes Educator from Wood County Hospital, and Jaxon Bowles, Dis-charge Planner from St. Charles Hospital, will be the featured speakers. Participants will also be given a free copy of the book The Hospital Checklist to

take home. Please call Jaime Brown at 419-833-8917 to make a reservation for this important event! ❦

Excerpts from this article were included from the October 29, 2014 edition of NPR Shots.

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Spiritually SpeakingBySister Mary Thill

February has come to be identified with love, the St. Valentine’s Day

kind of love, where we give people we love cards, candy, and flowers to show them our love. The candy and souvenirs for Valentine’s were on the shelves of the stores even as the Christmas stuff was on sale. I could hardly believe my eyes when I saw Easter candy on the shelves next to the Valentine candy. I’m really not sure what to think about all this con-sumerism, but I do want to rethink with you here just what it is we mean when we say we love someone.

I came across the quote by St. Augustine a few months ago, and it struck something in me that said, “Yes, that is what love is!” I would like to submit that I see a lot of that kind of love here in the medical center where I work. There are many helping hands here from the first person a patient meets in Patient Access where registration, blood tests, x-rays, and other tests may be performed so the next set of caregivers can do their thing. I see folks hastening on their feet when Code Blue and RRT Codes are called to help the poor and the needy. I see kind and caring looks in the eyes of our caregivers as they see the misery and want in our patients in the Emer-gency Department. I hear the calm and consoling words of nurses and chaplains as they receive the sighs and sorrows of family members who have just witnessed the death of a loved one. Love is very visible in a place like this.

What does love look like in a family setting? The worn and weath-ered hands of a mother as she does yet another load of wash, prepares another meal, washes another dirty floor, cleans another bathroom, and changes yet one more diaper comes to mind. The tired feet of a father who has literally walked miles on his job as a mail deliverer in order to provide for his family comes to mind. The eyes of a junior high student who sees his younger brother struggling

over a math problem and reaches out to help him with a helpful clue or a better way to solve a problem comes to mind. The ears of the big sister in the family who listens to a sibling who shares a very difficult experience that she is unable to share with anyone else comes to mind. This is how love plays out in a family.

Recent events here and around the world have shown me how we globally love one another. Rescue workers using their hands to dig and pull someone from a mudslide, car accident, or burning building show their love.

People who take part in a variety of walks and runs for charitable causes, using their feet to hasten to help the needy and the poor, show their love.

Photojournalists and reporters who often risk their own lives to capture a story, using their eyes to help all of us see the misery and want

of millions of human beings around our world, certainly show us their love and touch something in us that, in turn, helps us show our love.

Listening to the outcry of hundreds and thousands of people whose loved ones and fellow coun-trymen and women have been killed by

terrorist guns and bombs show the love that comes from hearing the sighs and sorrows of others.

Valentine cards, candy, and flowers certainly are visible ways to express our love, but I would suggest we take our love to another level and show it by using our hands, our feet, our eyes, and our ears in such a way that the people we love know what real love is and that we know it and show it. As another wise person once said, “Work is Love made visible” (Kahlil Gibran). May our work, indeed, make our love visible. Happy St. Valentine’s Day! ❦

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

What does love look like?It has the hands to help others.It has the feet to hasten to the

poor and needy.It has eyes to see misery and

want.It has the ears to hear the sighs

and sorrows of others.That is what love looks like. —St. Augustine of Hippo

Time for a resolution reality check!As we approach the middle of the

second month of the year, it is time to ask, how am I doing with my New Year’s resolutions? Am I still on track, or am I, like most people at about this time, ready to give up? According to the USA.gov website, the most popular resolutions are:

• Lose weight• Volunteer to help others • Quit smoking• Get a better education• Get a better job• Save money• Get fit• Eat healthy food • Manage stress• Manage debt• Take a trip• Reduce, reuse, and recycle• Drink less alcohol.

A statistic from a “big box” gym identified that the most drastic drop off in gym attendance occurs 38 days from the New Year (February 7th). We all begin the year with high hopes and big goals for our health and fit-ness. But only 30 days into the year, only six out of ten people are still on

track with their goal to lose weight, exercise more, or eat healthy. And by the end of the year, only one out of ten people have sustained their New Year’s resolution to be healthier.

What’s even worse, for those who actually do lose weight, 80 percent of them gain it back again and 67 percent of those people gain more weight back than they originally lost!

If we take a minute to look at our list of resolutions, we see one common point; they are all outcome-oriented. Here is the problem with outcomes: We can’t control them. Life happens and the world we live in can be un-controllable. If we want to lose ten pounds, we can’t command our body or will it to do so. We can, however control behaviors that will lead to the outcomes we want. We can eat more protein at each meal, limit our sugar and salt intake, walk one mile a day, and do three strength-training workouts a week.

The key to succeeding in your goals for 2015 is to start with—and continue with—small, manageable tasks that are within your control, that you can do now, today, or in the

near future. Things that you can do consistently and regularly are key. When we take the outcomes we want and frame them into behaviors we control, we will be more successful.

Another question to consider as we look at the big resolution of weight loss that so many of us set is how to approach it. For most of us, the approach is to go on a diet to lose those ten pounds or whatever the number is. But by its very nature,

a diet is temporary. We think of a diet in the short term with an end in sight. We struggle and hold out to the end or until we have reached the target. Once we have, we tell

ourselves that it’s over and we can go back to eating more normally. We hold off eating something because we are “on a diet,” but once we reach the goal, we can finally eat it again.

Wouldn’t it be better when we decide to lose weight to make it a lifestyle change? A lifestyle change, as the name suggests, is for life. You are in it for good. The result is that we begin to adapt behaviors to match the new lifestyle. You create ways to enjoy your food and adjust areas of your life to your new habits.

When we achieve the mind shift from a diet to a lifestyle change, the choices we make get easier. The weight-loss focus is to sustain it for the long term. It is possible to achieve this goal—along with a healthier, happier you.

Call Heartland Rehab (Arrowhead: 419-897-9822, Oregon: 419-697-8000, Perrysburg: 419-874-2657, Westgate: 419-536-8030, Bedford: 734-856-6737) to schedule your complimentary therapeutic weight management screening! Let Heartland help give you the tools to make 2015 the healthiest year yet! ❦

When we achieve the mind shift from a diet to a lifestyle change, the choices we make get easier.

With a combination of exercise, healthy coaching and behavior modification,

you can achieve results. Let Heartland be your resource for

Therapeuc Weight ManagementTherapeuc Weight Management Outpatient Rehabilitation ApproachOutpatient Rehabilitation Approach

Arrowhead: 419-897-9822 Oregon: 419-697-8000 Perrysburg: 419-874-2657

Westgate: 419-536-8030 Bedford: 734-856-6737 Contact Center 800.699.9395Contact Center 800.699.9395

Suffering with orthopedic problems due to weight, you have a choice! •• Reduce your low back, hip & knee painReduce your low back, hip & knee pain •• Decrease your risk for heart diseaseDecrease your risk for heart disease •• Lower your risk for Type 2 Diabetes Lower your risk for Type 2 Diabetes •• Improve your blood pressureImprove your blood pressure •• Regain your acve lifestyleRegain your acve lifestyle

Have you received a promotion for a free hearing screening?

Wondering what the difference is between a full diagnostic hearing test and the complimentary check? Two words: hearing loss.

A screening only reveals whether or not you have a hearing loss. Typically, if you sign up for a screening, you already have an idea that you may have a hearing loss. While that may be a good first step in determining

whether you have a hearing loss, the screening isn’t going to give you an in-depth diagnosis and will require you to make an additional appoint-ment for a full assessment, diagnosis, and treatment with an audiologist. In other words, a screening is not a medical diagnosis and is not a sub-stitute for a full evaluation.

A complete hearing assessment includes multiple tests that are per-formed by a licensed audiologist.

Essentially, an audiometric test assesses your ability to hear and the brain’s ability to receive and translate the sounds. The sounds begin as vibrations and evolve into sound waves. These waves travel at a certain frequen-cy and amplitude. Eventually, the waves enter the ear and are turned into impulses, which are sent to the brain. The brain receives them and translates them.

A full hearing evaluation actually includes multi-ple assessments. Tests include otoscopy, air conduct ion, bone conduc-tion, and im-mittance testing. The hearing test will include a tympanogram, which involves placing a small probe in the ear and assessing how well the eardrum and other structures in the middle ear function. Then, the audiologist will perform an acoustic re-flex test. In this assessment, a probe is placed in the ear and a loud tone is emitted. The test looks at the reflex of the sta-pedius muscle; this is important because it’s as-sessing the pro-tection the ear receives from loud noises, typically over 70 decibels. The assessment will also evaluate your ability to hear and under-stand speech by having you re-peat the words that you hear.

A compre-hensive hear-ing test helps

identify the three main types of hearing loss to identify the treatment route. The first type of hearing loss is called conductive hearing loss, which occurs when the sound has difficulty being conducted from the outer ear through the ear canal to the eardrum and the ossicular chain, which are little bones in the middle ear. Often this type of hearing loss can be treated medically.

Another type of hearing loss is called sensorineural hearing loss, which happens when there is damage in the inner ear (cochlea) or to the nerve pathway from the inner ear to the brain. Unfortunately this type of hearing loss is usually permanent. The most common recommendation the audiologist will discuss with you will be to obtain hearing aids to help hear conversations louder and clearer.

The last type of hearing loss is called mixed hearing loss, in which conductive hearing loss occurs at the same time as a sensorineural hearing loss. So, the damage may occur in the outer, middle, and inner ear at the same time, causing a mixed hearing loss. This type of hearing loss may be treated medically or surgically, but the use of hearing aids may still be necessary.

It’s important to discuss with the doctor any hearing-related issues you have experienced. This can include any exposure to excessive loud noises or ringing in the ears. You may not realize that certain medications or sicknesses can also have an effect on your hearing, so be sure to discuss them with the audiologist as well.

Based on the results of these tests, your audiologist will be able to deter-mine the severity and pattern of your hearing loss and whether it’s tempo-rary or permanent. The audiologist will divulge whether your hearing loss is conductive, mixed, or sensori-neural and will help you determine the appropriate treatment for your hearing loss. You may need to see an ear, nose, and throat specialist; you may require annual monitoring; or you may benefit from a hearing aid. An audiologist is able to make these recommendations for you.

Hearing screening vs. hearing test, by Randa Mansour-Shousher, AuD, CCC-A

The Sensory Learning Program treats individuals that have been diagnosed with:• Autism• Aspergers• ADD/ADHD• Sensory Integration Disorder• Speech and Language Delays• Anxiety/Depression• Behavior Abnormalities

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New Executive Director named for Lutheran Home at Toledo

Lutheran Homes Society (LHS) announces the appointment of

Michael Freeman as Executive Di-rector for Lutheran Home at Toledo, a care community located at 131 N. Wheeling St. in Toledo, Ohio.

As Executive Director, Mr. Freeman will be responsible for the day-to-day operations, community outreach, and business development of the Lutheran Home at Toledo campus. The campus offers assisted living, long-term and short-term skilled nursing care, inpatient and outpa-tient rehabilitation services, and respite care.

Mr. Freeman has been a leader in long-term care for more than 20 years. Most re-cently, he was employed by Diversicare Healthcare Services as the Admin-istrator of Siena Woods Transitional Care Commu-nity in Dayton, Ohio. Mr. Freeman has spent more than half of his career in not-for-profit, mission-driv-en organizations.

“Michael comes to us with many years of expe-rience as an administrator and has demonstrated a passion for providing quality care and service,” stated Steve Dumke, Senior Vice President for Home Health and Long-Term Care Services. “He has a strong commitment to the LHS mission and

is a welcome addition to the Lutheran Home at Toledo family.”

Mr. Freeman is a Licensed Nursing Home Administrator in the state of Ohio. He earned a Bachelor of Science in business administration from The Ohio State University. Additionally, he has a master’s degree in business administration from Wright State University, with a concentration in health care. He has relocated to the Elmore, Ohio area with his wife.

“I have a passion for the ministry at Lutheran Home at Toledo,” Mr. Freeman stated. “It is an honor to lead an exceptional team of healthcare professionals every day who have

a heart for providing exceptional care and services to those most in need. I am excited about the future of this ministry.”

Lutheran Homes So-ciety is a social minis-try organization based in Toledo, Ohio that has been serving the unique needs of youth and elderly since 1860. Lutheran Home at Tole-do is a ministry of LHS

that began operating in 1906. Today, more than 3,600 individuals located throughout Northwest Ohio and Southeast Michigan benefit from the housing, medical care, and services offered through LHS ministries. ❦

Michael Freeman

If you’re having trouble hearing and require a full assessment, feel free to call us at Northwest Ohio Hearing Clinic. We are happy to answer any questions you may have and set you up with an evaluation.

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).

Lutheran Homes Society’s rehabilitation services focus on the needs of the patient. Do you want a private room for your recovery? We have that. Looking for individualized care? We have that, too. Our care plans are designed to restore function, reduce pain, prevent further injury, and, most importantly, get you back home.

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by Laurie Syring, RD/LD

Eat your way to a healthier heart

Every February, we see red—hearts, that is, and lots of them. The heart

is the symbol of love and, of course, Valentine’s Day. In keeping with this theme, February is also American Heart Month, a time to show love to those around us by making heart-smart choices that will help keep us alive and well for as long as possible.

Why do we need a whole month dedicated to heart health? Consider that cardiovascular disease is the number one killer of women and men in the United States and the leading cause of disability, preventing Americans from working and enjoy-ing the people and things they love. What’s more, cardiovascular disease

eating weLL

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becomes an established habit and then try an-other change.

Here are some other heart-healthy dietary changes you can make:

• Choose plenty of fruits and vegetables. When filling your plate, cover half of it with fruits and veggies first rather than filling up on meat, potatoes, and gravy.

• Choose more whole grains and beans and legumes.

costs over $300 billion each year, including the cost of health care, home health, medications, and lost productivity. I’d say those are some pretty compelling reasons for a month’s worth of focus on heart health!

While family history plays a role in heart disease risk (having a close family member with the disease in-creases your risk), many of the risk factors are modifiable—meaning you can change them. One of the big ones is diet. Giving your body the solid nutrition it needs is important for so many reasons, most importantly for lowering your risk of heart disease and stroke.

Did you resolve to give your diet a healthy overhaul back on January 1? If you did, you’ve probably already discovered that making multiple diet changes at once can be overwhelming and often sets the stage for defeat. I encourage people to look at their diet and decide where they can make one change—maybe start by switching from whole milk to 1%, eliminating all deep-fried foods, or avoiding red meat. Try to stick with that one change for a couple of weeks until it

Creamy “Ranch” Salad Dressing

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in a 1-gallon plastic bag and mix together well. Place in a pie plate.Roll chicken tenderloins in cereal mixture until coated well. Place in single layer

on baking sheet. Spray chicken lightly with vegetable oil spray.Bake 30 to 45 minutes until chicken is golden brown and tender.Serving: 3 strips (235 calories, 6 gm fat, 28 gm protein, 77 mg cholesterol, 220

mg sodium)

• Work some meatless meals into your weekly menu. Joining the “Meatless Mondays” initiative is a good way to reduce your family’s intake of saturated fat.

• At snack times, reach for nuts and seeds instead of chips and candy bars.

• Choose fish three times per week. Living in the Midwest, we do always have that luxury. No, fried perch sandwiches and pan-fried walleye don’t count, in case you were wondering! However, canned

tuna and salmon are acceptable alternatives.

• Choose fat-free dairy products.• Choose lean poultry (don’t eat

the skin), and limit red meat to no more than 9 ounces a week.

• Limit salt and sodium to no more than 2000 mg a day, and limit sugar-sweetened beverages. Drink more water!

• Eat reasonable portions.

—Continues next page

Total Body Rehabilitation Center is pleased to announce the addition of Triggerpoint Dry Needling (TDN) to its practice.

Eating heart-healthy is about making wise choices, so be sure to read those food labels carefully. Try to eat a variety of different healthy foods so your diet isn’t missing any key nutrients your body needs. If you could use a little inspiration, get yourself an American Heart Association Cookbook and visit the websites cdc.gov/nutrition/ and choosemyplate.gov. I’ve also included two of my favorite heart-healthy recipes on

page 37 so you can get a sense of how flavorful healthy eating can be.

Most importantly, try not to be-come overwhelmed—make only one or two changes at a time.

Remember, February is the month of love. Why not give yourself—and the people who love you—the gift of a healthy heart? ❦

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

Running tips for beginnersby Amanda Manthey

Are you interested in running but afraid of the first steps? Here are

a few tips to get you off on the right foot and on your way to enjoying the sport of running. Most important, consult your physician before starting any exercise program.

As a runner, the most important piece of equipment is your pair of running shoes. Before starting your running program, visit a shop such as Dave’s Performance Footgear, which specializes in running shoes, for an assessment of your needs and a personalized fit.

One of the most common com-plaints of new runners is, “I can’t breathe.” Focus your energy on ex-haling rather than inhaling. As your need for air increases, think about forcing the air out of your lungs rather than sucking it in. This will make you less tired than when you are huffing and puffing and will also help prevent hyperventilation.

In the beginning, take frequent short runs after resting sufficiently. Your runs should last long enough for your body to get a workout but still be able to recover in time for your next run. If you over exercise and your muscles do not recover to their original condition, you will not gain any benefit. Strength is gained during rest when your muscles re-pair the fibers that are broken down during exercise. But remember, every runner is different when it comes to the amount and frequency of exercise that is appropriate. Listen to your body.

As a novice runner, take quick steps rather than long ones. You will not tire as fast if you take short, fast steps rather than long, slow ones, especially when you are tackling hills. When running downhill, lean

your body forward in order to try to keep your body perpendicular to the hill.

Novice runners need motivation and a schedule. Join a beginner run-ning group or seek out a running partner. Some runners find that taking music along on their work-outs helps make running fun. When using headphones, though, play the music at a reasonable level so you can hear traffic noise and remain alert to potential hazards. Speaking of hazards, if you are running alone, carry identification and always run against traffic, preferably on sidewalks or running paths.

One of the best ways to improve and get more enjoyment out of run-ning is to enter road races. The expe-rience of finishing a running race is exhilarating. Start with the goal of a 5K (3.1 mile) road race, “fun run,” or a relay race with your running friends. Races can provide a foundation for enjoying a long life of running.

Happy running! ❦

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

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

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bers. Registration will be available on Friday, February 6, 2015 at Dave’s Running Shop, Perrysburg, from 5:00 to 8:00 p.m. Race day registration will begin at 8:00 a.m. New race

time begins at 9:00 a.m. with both distances. Breakfast will be served after the race to all participants. For more information, please email jeff.taylor@davesrunning.com. ❦

Laurels rehab guest gives new meaning to “politically active”

For rehab guests at The Laurels of Toledo, a skilled nursing and reha-

bilitation center located at 1011 Byrne Road, motivation to keep pushing through the program and making progress can come from any num-ber of different sources. For some, it may be the desire to get back to a favorite activity or pastime, such as cooking, fishing, walking the dog, or playing with the grandkids. Others may have a passion to return to their chosen sport with greater strength and full function after an injury. Still others might set their sights on simply regaining their independence and managing activities of daily living, such as dressing and bathing.

But for Mary Hollis the greatest motivator is getting back to serving her community and actively support-ing her favorite political candidates.

Hollis, age 90 and a lifelong To-

ledoan, gives new meaning to the term “politically active.” For decades, she has been actively involved in the Democratic Party, having served as an Ohio delegate to the Democratic National Convention for presidents

Jimmy Carter and Bill Clinton, an elected board member of the Demo-cratic Party Central Committee, and a member of the Perry Burroughs Democratic Women’s Club. A former corrections officer for the Lucas Coun-

ty Sheriff ’s Office, Hollis also serves on the Mother Ministry at Jerusalem Baptist Church and was honored by the National Association of Negro Business and Professional Women’s Clubs, Inc. in 2002. Plus, she has at-tended the inaugurations of several presidents, including both of Barack Obama’s.

Hollis has been a rehab guest at The Laurels on several occa-sions, mostly for orthopedic issues. But her most recent visit stemmed from a stroke she ex-perienced after being admitted to the hospital for acute mental

status changes. When the stroke occurred, Hollis

was given the clot-busting drug TPA (tissue plasminogen activator), which stopped further damage, but not before the stroke had significantly affected her strength, function, and speech. Having had excellent clinical outcomes and very positive custom-er-service experiences during her prior Laurels visits, she was adamant about returning there for rehabilita-tion following the stroke.

“When she got here, Mary was pretty weak from the stroke and had a lot of trouble walking and talking. She could articulate speech but had difficulty finding the right words,” recalls Laurels physical therapy as-sistant Justin Bates. “So we did a lot of different exercises to improve her overall strength and balance and had her work with a speech therapist to

address that deficit. Now, she’s doing very well and starting to walk with a cane. She was even strong enough to go home at Christmas and spend the holiday with her family.”

When most people are recovering from injury or illness, they get mes-sages of support from their family, friends, and coworkers. Hollis, gets personal letters from presidents. In fact, upon hearing she was recovering from a stroke, President Obama just recently sent her a card urging her to get well soon. According to Laurels Rehab Services Director Julie Leidel, the rehab team has an ongoing joke that they’d better push Hollis hard to succeed because the Secret Service may be watching.

For her part, Hollis is eager to get back to Mother Ministry and her work in support of her political party. She also has only good things to say about Bates and the rest of the Laurels rehab team. “These people are wonderful and very dedicated to helping you recover and get back to your life. Believe me, if you aren’t able to walk when you get here, they’ll have you walking before you leave!” she remarks. ❦

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.

Winter is currently in full swing here in Northwest Ohio and

Southeast Michigan, and those cold temperatures can bring about a variety of problems. We want everyone to stay healthy this winter, and this starts with keeping your heart healthy!

One big problem that our area faces this time of year is a heavy dose of snow. Although most of us are aware of the dangers associated with prolonged exposure to the cold or driving on the snow-covered streets, many do not realize that one of the most dangerous tasks of winter is shoveling your driveway. A study conducted by Nationwide Children’s Hospital found that snow-related injuries and emergencies account for an average of 11,500 hospital visits each year.1 The causes for hospital visits range anywhere from bruising or a head injury due to a slip on the ice to the most fatal outcome—a heart attack. Approximately 100 deaths are caused by snow shoveling each year 1 New National Study Finds 11,500 Emer-gency Department Visits, Nearly 100 Deaths Related to Snow Shoveling Each Year. Re-trieved January 8, 2015, from http://www.nationwidechildrens.org/news-room-articles/new-national-study-finds-11500-emergency-department-visits-nearly-100-deaths-related-to-snow-shoveling-each-year?contentid=86424.

Keep your heart healthy during

the winter monthsby Ashley Romijn, BSPS, and

Michelle Schroeder, PharmD, BCACP, CDEin the United States, all of which are a result of cardiac-related injury.2

In today’s column, we’re going to discuss exactly why shoveling snow is such a strenuous activity for your heart, those who are at a higher risk for having heart issues while shoveling snow, and tips to make shoveling that pesky snow a little bit easier on your heart!

Shoveling snow is a workout for your heart!If you’ve shoveled snow in the past, I’m sure you’ve gone inside afterwards a little sweaty and very exhausted. This is because shoveling snow is a true workout for you and all of your muscles, including your heart. During this activity, your blood pressure and heart rate are both increased, even more so than if you were exercising on a treadmill!3 Shoveling snow re-quires you to use your upper body to lift heavy, wet snow, which can

2 11,500 emergency department visits related to snow shoveling each year, national US study finds. Retrieved January 8, 2015, from http://www.sciencedaily.com/releas-es/2011/01/110118101356.htm.3 Why do so many people die shovelling snow? Retrieved January 8, 2015, from http://www.bbc.com/news/blogs-magazine-moni-tor-30119410.

impose a burdensome workload on your heart. Combine cold air, which causes constriction of the blood ves-sels and thus reduces blood supply and oxygen to the heart, with the physicality of this activity, and you get a recipe for cardiac issues.

Who is at increased risk for heart attack while shoveling snow?Shoveling snow is, obviously, a nec-essary task in this part of the country, but some people are more vulnerable to experiencing heart trouble during this activity. Those who should exercise caution before shoveling snow are:

• Adults age 55 and older• Individuals with known

cardiovascular disease or history of a heart attack

• Individuals with high blood pressure or high cholesterol

• Smokers• Individuals who are physically

inactive or lead a sedentary lifestyle.

If you have one or more of these risk factors or if you want to be sure you’re healthy enough to engage in strenu-ous activities like shoveling, consult your family practi-tioner or cardiologist.

Snow shoveling safety tipsIf you do face the inevitable task of shoveling the driveway and side-walk, we have compiled a list of tips to make it easier on your body and your heart:

• Do a light warm-up exercise before you start.

• Give yourself frequent breaks.• Do not eat a heavy meal,

smoke, or use alcohol immediately before you start.

• Use a small shovel or a snow blower.

• Dress in layers, and be sure to wear a hat, scarf, and gloves.

Listen to your body!It is important to know your body and recognize when you are ex-periencing signs and symptoms of certain medical conditions such as hypothermia, asthma exacerbation, or cardiac arrest—all of which are real concerns when shoveling snow. To stay on the topic of heart health,

in Ann Arbor, Michigan, and she is currently an academic student coach at Lourdes University in Sylvania, Ohio.

Co-owner Cindy Patterson is a global real estate analyst for Owens Corning in Toledo, Ohio, and has served on non-profit boards and in other capacities in the non-profit world for the last 20 years.

“Deb and I met at Lourdes Univer-sity in the Masters in Organizational Leadership program,” Patterson re-calls. “At first, we were assigned to do projects together, but we hit it off right away, so we later chose to work together on projects and research.”

When the two began their con-sulting business, with a focus on non-profits, they observed that in smaller organizations, the same people are often called upon over and over again to do all the work.

Many of these individuals, while still passionate and dedicated, were so overstretched and overburdened that they seemed to be losing hope. “So before we could get into strategic planning, fundraising, and other organizational concerns, we found that we really had to address that critical communication piece,” says Olejownik.

In addition to working with non-profits, they were doing staff retreats, where it soon became ap-parent that there is fertile ground for burnout training in many other orga-nizational structures as well. So they decided to expand their target market to include businesses, corporations, and individual employees. Each time Olejownik and Patterson presented on the topic of burnout, the response was overwhelmingly positive and participants would question why they didn’t offer a comprehensive program on the subject.

That feedback motivated them to

innovATive ProgrAm PuTs The brAkes on job burnouT Continued from page 12

below is a list of heart attack warn-ing signs from the American Heart Association:4

• Chest pain, including squeezing, pressure, fullness, or uncomfortable pain

• Discomfort in one or both arms or in the neck, jaw, or stomach

• Shortness of breath• Nausea or vomiting• Lightheadedness• Cold sweat.

Good luck to all HLN readers in their quest to make it through the winter of 2015! Remember to make your heart health a priority and be safe when clearing the snow off your driveway! ❦

Ashley Romijn is a sixth-year doctor of pharmacy student at the University of Toledo College of Pharmacy and Pharmaceutical Sciences. Dr. Michelle Schroeder is a clinical assistant professor of pharmacy practice at UT and is

currently the program director of the outpatient diabetes education program.

The information presented in this column is intended for your general knowledge only and does not aim to replace medical advice or treatment for specific medical conditions. If you have any spe-

cific questions about any medical matter, you should consult your doctor or other profes-

sional healthcare provider.

4 Shoveling Snow Health Hazards. Retrieved January 7, 2015, from http://

www.heart.org/HEARTORG/Affiliate/Shovel-ing-Snow-Health-Hazards_UCM_426562_Arti-cle.jsp.

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place at the entrance gate since he retired. (Makes me wonder where National Parks employees go when they retire.) Ranger Myrta is still protecting wildlife and introducing college students to the joys of “en-vironmental science.” (More about that later.) Ranger Kirk always asks where we are from every time he sees us. (That would be at least six or seven times a year for the past ten years.) And his reaction is always the same. “Toledo?” he says. “I’m from Akron. I love to eat at Mancy’s when I am passing through.” Kirk works summers at Canyon Village in Yellowstone. We have never yet run into him there, but when we do, I’m going to ask him where he’s from.

We have a comfortable, familiar routine in the Everglades. Every day, we are awakened by mockingbirds and then have a nice breakfast in the sunshine. Quite often, a hawk comes to perch in a nearby slash pine to see what we are having. The towhees and catbirds also come to see if they can talk us into sharing.

After breakfast, we head over to the Anhinga Trail. It is an easy mile or so of pavement and elevat-ed boardwalks that takes you out through the saw grass and over Taylor Slough. We try to get there before the school buses arrive with their wild-eyed, noisy cargo. School groups vary widely in their approach to the experience. Some teachers are quite knowledgeable and provide illustrated checklists so students can look for and identify the animals and birds. Other teachers just let the kids run amok. A walk in the park can be a stimulating educational experience or an escape from it altogether for both educator and educatee.

We encountered a well-disciplined and inquisitive class of fourth graders.

“Is this Mrs. Kohler ’s class?” I asked. (A half hour earlier I had overheard her giving them intro-

Recovering from Selective Blindness

Syndrome

As travelers, Shirley and I like to say that there are a thousand

places we want to go to and another thousand we want to go back to. In the “go back to” category is Ever-glades National Park. Since I retired, we have been able to indulge our “go back to” wishes every year. We sometimes go to Texas and Arizona as well, but the Everglades in winter is always first on the itinerary.

We have known some of the Ev-erglades park staff for several years, and they go out of their way to be welcoming and accommodating. Cindy, for example, brings canta-loupe-size avocados to our campsite because she knows Shirley makes excellent guacamole. Erin seems to have resolved some of the soap opera issues in her life and gone on to better things. Alice has taken Phil’s

develop Bouncing Back from Burnout, an eight-week program that educates organizations and employees on the signs of burnout and gives them the necessary tools to overcome it. “The program starts right in with ‘Re-building the Foundation,’ which has usually crumbled to the point where professional guidance is needed in order to move forward, and takes participants right through ‘Planning for the Future,’” Patterson explains.

Olejownik, who acknowledges having firsthand experience with job burnout, notes that helping people reconnect to their core values and overcome communication issues are major elements of Bouncing Back from Burnout. “If an employee’s core values aren’t in line with the practices or philosophy of the orga-nization or if communication issues are perceived to be insurmountable, there’s an inevitable collision and they often don’t know how to move on from it. We have the expertise to walk and talk them through this dilemma and help them determine whether the problem can be resolved or perhaps it’s time to seek a different work environment,” she says.

Patterson adds, “Not everyone with burnout is in the same stage

at the same time, so we help them identify where they are in that pro-cess and give them the tools to start changing the situation right away.”

Bouncing Back from Burnout is highly interactive, and each time the program is presented, new issues and questions invariably arise. In fact, Patterson points out that she and Olejownik often learn just as much as the participants do. And because every individual and organization is unique, there’s a steady flow of new information and perspectives that they can share with participants in future programs.

The communication aspect of their courses has proven to be so important across the board that Olejownik and Patterson are currently in the process of developing a comprehensive com-munication program that they hope to launch in the fall of 2015. They’re planning to preview components of the program through webinars beginning in spring of 2015.

Previews are also offered for Bounc-ing Back from Burnout, with the next two scheduled for Wednesday, February 4, from 11:30 a.m. to 1:00 p.m. and Thursday, February, 19, from 5:30 to 7:00 p.m.. Both previews will be held at West Park Place, located at

3501 Executive Parkway in Toledo. The full Bouncing Back from

Burnout program will be offered on consecutive Monday evenings from 5:30 to 7:30, beginning March 2, at Westgate Village Office Center, 3450 W. Central Ave. in Toledo, and on Friday mornings from 8:30 to 10:30, beginning March 6, at ITT Technical Institute, 1656 Henthorne Blvd. in Maumee. The courses will span a total of nine weeks with one week off in observance of the Easter holiday.

Register on the DJC Core Con-sulting Facebook page, at www. djccoreconsulting.com, or by contacting Deb Olejownik at 419-392-7737 or deb@djccore consulting.com. ❦

A WALK IN THE PARK

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ductory instructions.) Their eyes got bigger. “How did you know that? How

did you know that?” several of them asked, impressed by my clairvoyance.

“Mrs. Kohler is famous,” I said, “for having world-class students.”

Mrs. K. came up behind me just in time to hear that comment. From the way she grinned and grabbed my hand, I think she was happy. Good teachers don’t get nearly enough recognition.

Everglades National Park is only 45 miles from Miami, but most city dwellers and their children have never been there. First timers of any age immediately begin hyperventilating over alligators. It is a little-known fact that seeing an alligator leads to Selective Blindness Syndrome (SBS). The chief symptom is that everything but alligators becomes temporarily invisible. There was the lady, for example, who said to her husband, “Just keep walking. There’s nothing to see here.” If she had not been afflicted with SBS, there are quite a few things she might have seen.

Let’s start with Shirley’s favorite marsh bird, the purple gallinule. (We have also heard it referred to as a “galleon,” a “Galileo,” a "Galla-gher, a "granule," and a “Galliano.”) It is a blue, chicken-size relative of the marsh hen or mud hen or coot with a red and yellow beak and a pale blue forehead. It really is quite handsome, though I wouldn’t call it purple exactly.

The gallinule tends to hang out in undergrowth at the edge of the water. It has really long toes that enable it to walk across lily pads without sinking. It can swim but usually prefers not to. Perhaps it has seen what can happen when you go swimming in gator country.

And speaking of marsh hens, coots, or mud hens, there are lots of them too. There is a rumor that Muddy and Muddonna spend the off season with relatives in Florida. We have never seen them, but there are a lot of old coots in the Everglades.

It is easy to miss a gallinule or not recognize it when you do see it. But there are thousands of large birds that you can’t miss and most you would recognize immediately.

A fellow tourist came up to me and asked, “Are you a bird watcher?” I declined to answer on the grounds that TV sit-coms always cast “bird watchers” as socially awkward dorks who lack even the charm and savoir faire of Dr. Sheldon Cooper.

“What,” he asked, “is that big black bird that looks like a vulture?”

“Well,” I said, “we call that a black vulture.”

There are also turkey vultures that have red heads instead of black. But only card-carrying dorks know that sort of thing.

Vultures, like dorks, have acquired negative reputations thanks to popular media. Both, however, have important roles in the environment. In 2010, for example, there was a rare freeze in South Florida. Thousands of dead fish and a deadly smell almost eliminated the pleasures of walking the Anhinga Trail. Within a couple days, though, the vultures, with a little help from the gators, totally removed all the carrion. Anthropologists explain that the dork’s chief contribution to the social environment is to enable people with no discernible achievements to feel superior nonetheless.

There are two more big black birds that are common in the Ev-erglades—the cormorant and the anhinga. They have several simi-larities in appearance and behavior that make it difficult for non-dorks to tell them apart.

Let us turn first to the bird that lends its name to the Anhinga Trail. It swims underwater to spear fish with its pointed beak. The fish is typically removed by whacking it against the tree where the anhinga is perched. Sometimes it takes a lot of whacking. The fish is swallowed head first to keep its spines from cutting the anhinga’s throat on the way down.

Anhinga feathers are not coated with oil like most waterfowl. This makes it easier for the bird to stay submerged while fishing, but it also means that the anhinga must dry its wings by spreading them in the sunshine.

Virtually all of that is also true of cormorants except they catch fish with their hooked beaks instead of spearing them. Sometimes cor-morants carry their fish right into a

The gallinule's long toes enable it to walk across lily pads without sinking.

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crowd of tourists on the boardwalk to keep the great blue herons from stealing them.

Great blues are among the most

impressive birds in the park. Or anywhere else for that matter. You may have seen them fishing in local waters. Or, like us, you may have had a heron steal the fish out of your backyard water garden. The great blue’s motto is, “Why should I waste time catching my own lunch if I can just take yours?”

Other herons we see regularly in the Everglades are the little blue, little green, tri-colored, and black crowned night heron. Then there are the storks, egrets, ibises, roseate spoonbills, and stilts. Unless you are afflicted with SBS, all can be fascinating to watch while they are fishing. A hovering

osprey that plunges into the water to seize a fish is also pretty dramatic.

And we won’t even go into the varieties of turtles and snakes. Except to mention that one year we heard that there was a big rattlesnake tak-ing a nap right in the Gumbo-Limbo Trail. “But don’t worry,” we were told, “the rangers have it roped off.” How in the world, I wondered, do you rope off a rattlesnake? It turns out the rangers had stretched some yellow plastic tape across the trail to keep visitors from getting too close. The snake didn’t seem to mind how close we got.

While you are afflicted with SBS, the best place to go is to the end of a short spur trail to what Shirley and I call the Wisconsin Hole. There can be up to three dozen gators sunning themselves there, and, in mating season, they may be roaring or bel-lowing. The deep rumble makes the water dance on their backs.

Ranger Myrta had a class of en-vironmental science students from UW who had “volunteered” to clear away non-native reeds that were encroaching on the hole. The kids were in there with machetes while Myrta stood watch at the edge of the water with a ten-foot pole. The gators, meanwhile, were lined up shoulder to shoulder with their jaws just resting on the shore or occasion-ally mimicking the arm motions of University of Florida football fans.

Whenever a gator stood up to take a step forward, Myrta reached out and bonked it on the snout. The UW students tried hard to keep their minds on their work instead of on the gators. It can be challenging to wield a razor-sharp machete with your right hand while looking over your left shoulder. We admired their selfless dedication to the environment. That’s why, in their honor, we call it The Wisconsin Hole.

On the opposite side of the loop trail is another spur that goes out to what we call the No Little Hole. In January and February, this is a good place to see those purple Gallianos, little blue herons, little green her-ons, little snowy egrets with golden feet, and perhaps even a bittern. The natural camouflage of the latter makes it virtually invisible even if you don’t have SBS. Most of all, though, we look forward to seeing the little piebald grebes.

By the end of March, nesting season is wrapping up for many of

the marsh birds. Still, we’d walk out there just in case. “No little grebes again today,” said Shirley. “And no little greenies or little blues either.” So we started calling it the No Little Hole even when, like this January, there are lots of little grebes, little greenies, and little blues.

We have walked the Anhinga Trail hundreds of times (truly) since our first visit back in the ‘80s. You might think that the same old, same old would get boring after a while. In our experience, though, once you recover from that initial case of SBS, every day on the Anhinga Trail is 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.

The bittern is so well camouflaged that it is hard to see even if you are not experiencing SBS.

Sometimes it is hard to tell if an anhinga chick is eating or being eaten. Heads com-pletely disappear down parents' throats.

Little green herons fish from low-hanging branches. They just lean forward and extend necks that are much longer than they might appear.

Baby gators are born hungry. This one took a long time to properly masticate his sunfish dinner.

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Be honest with your doctor • by Sister Karen Zielinski, OSF

I used to watch the TV Show House, a medical drama starring Hugh

Laurie as Dr. House. House was a cantankerous person but a brilliant di-agnostician. His bedside manner was rough and often rude, but he could diagnose every obscure ailment before the hour-long show ended. Despite his brash interpersonal manners with his fel-low medical staff and patients, he spoke the truth to them. One of his classic lines dealt with patient honesty with their physicians. Dr. House simply said, “Everybody lies.”

The writers of TV’s House got it right when they gave Hugh Laurie’s jaded alter ego that motto. In a Co-lumbia University survey, researchers found that more than half of women ages 25 to 49 aren’t entirely honest with their physician during their doctor visit. The top reasons: They were embarrassed, didn’t think the information was important, or didn’t want to face a scolding. But if any-thing, your doctor needs TMI (too much information)—not answering doctor questions completely leads to errors in diagnosis or treatment.

According to WomensHealth.com, there are three instances when it pays to “tell the truth, the whole truth, and nothing but the truth” when talking to your doctor:

Your doctor asks whether you smokeYou tell your doctor you are not

smoking, but actually you’ve been known to bum a smoke—or three—on nights out.

Possible fallout: You don’t need a doctor to tell you that lighting up can raise your cancer risk. What you may not know is that smoking also increases your risk of blood clots and stroke if you’re on any hormonal contra-ceptive. Smoking also raises blood pressure, so if you’re taking any meds that could also increase your BP, such as certain antidepres-

sants, let your doctor know if you’re lighting up.

Your doctor asks whether you take a multivitaminYou say you take a daily multivitamin. But you are on a first-name basis with the manager at the local health food store. You take many other vitamins and “natural” supplements.

Possible fallout: Although most Americans keep up-to-date records of their prescriptions, less than half include over-the-counter (OTC) meds and vitamins and just 20 percent list the herbs they take, reports an American Pharmacists Association survey. “Supplements can interact with other medications and inter-fere with their effectiveness,” says Julie Dolan, MD. "For example, St. John’s Wart is believed to influence serotonin levels in the brain, so your doctor would advise you to stop taking it if you’re also on certain antidepressants. Be safe; provide a

list of everything you take.”

You doctor asks whether you drinkYou answer that you drink occasionally, usually only on the weekends—and it’s never more than a glass. But, al-though you don’t drink every night, you’ve been known to gulp a beer at happy hour, then a glass of wine with dinner, then a couple of cocktails afterward.

Possible fallout: Mixing too many margaritas with certain medications (statins and some OTCs, even Tylenol) can damage the liver. And if you have diabetes, excess drinking can lead to high blood pressure and nerve damage. If your nights out tend to turn into four-martini affairs (even if only occasionally), tell your doctor to help avoid problems.

Honesty is good for our overall health. Some people plan their doctor visits with what they will tell and what they will not. One patient visits her doctor for her annual physical. She gets her basic tests—blood, urine, mammogram, and bone density if ordered. She writes down any ques-tions about what is going on in her body and makes sure she prioritizes the most urgent concerns. She tells the doctor she has trouble sleeping and that some of the medications she is taking seem to be helping her. She asks a few questions and seems to be doing well.

She is not telling her doctor the complete story about her health; she is not being completely honest with her doctor. She does not want to tell how she is doing because she does not want to be bothered with

more tests, shots, or medications. She sometimes is worried about a few new symptoms, like constipation, constant dry coughing, or back pain, but feels they will go away and does not bring them up at the visit.

A doctor is not a mind reader and can only respond to what a patient says at a visit. If a person has problems with constipation, or hearing, and they are too embarrassed to speak up about it, it cannot be addressed. Although we might have visited a doctor for many years, there are so many patients that a doctor cannot remember each person’s specific symptoms and case history even after reviewing the patient’s charts.

You may want to say what you think your doctor wants to hear, like you are smoking less or eating healthier foods. It is important to tell your doctor the truth, even if it is embarrassing. Your doctor can best help you only when he or she knows what is really going on.

Also, be honest with your doctor about how you feel about your visit. Tell your doctor if you feel rushed, worried that you didn’t have enough time, or uncomfortable with your visit. You can offer to come back for a second visit to talk more about your health concerns. Honestly. ❦

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

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