hln october 2015

tYour Monthly Guide to Healthy Lifestyles

Also in this issue:

October 2015 • FREE Also available at hlntoledo.com

• Autumn skin spruce-up• Post-mastectomy breast

reconstruction• My fingers feel funny!• Fall fun at the Toledo Zoo• Laughing off labor pains• Job-related anxiety

• Retirement Planning• Senior Living Guide• Sound Advice• Eating Well• Walk in the Park• And much more!

Hee lthy Li ing N wseeDiscover the Catholic

School difference!

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

v Trick-or-treating safety starts with the costumeAutumn skin spruce-up

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

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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 al-most entirely by sun! What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler.

The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging areas of the neck, jowls, upper arms, and abdomen. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected. This heating of the dermis causes immediate collagen contraction and tightening followed by new collagen production over a period of time. This procedure also encourages a natural repair process that results in fur-ther 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 lines (the sad look) from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad! Since these products are combined with a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the injection of a new filler called “Restylane Silk.” This product markedly im-proves upper and lower lip lines (lipstick runs uphill). Restylane Silk also volumizes your lips and restores their natural curve while looking attractive and natural. Restylane Silk also can be utilized to minimize the “worry lines” between your eyes. There is

no downtime with these non-invasive procedures.

For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless 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 re-sults 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 en-hancements are performed entirely by Dr. Handler. To view before-and-after photographs of patients who have had these procedures performed by Dr. Handler, visit www.drharveyhandler.com. For more

detailed information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. Be sure to ask about specials available on many cosmetic procedures and products to diminish the signs of aging and obtain a more vibrant and youthful appearance of your skin.

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 womenAre 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 treat-ment 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! ❦

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

Dear Readers,Thank you for picking up the October issue of Healthy Living News. It’s hard to fathom, but this month marks the beginning of our 20th year of publication, an exciting milestone we proudly attribute to our advertisers, our dedicated team of contributing writers, and, above all, our loyal readers. We’re humbled by the continued support we enjoy, and it’s our pledge to keep bringing you the highest quality locally produced content in the years ahead.

The image on this month’s cover spotlights Catholic education and the many benefits it imparts to kids. If you’re contemplating where to send your child to school next year, the article on page 26 might just help inform your decision.

In recognition of National Breast

Cancer Awareness Month, this issue features expert insights on individualized breast cancer care from Dr. Tim Kasunic of The Toledo Clinic Cancer Centers (p. 8), a discussion of post-mastectomy breast

reconstruction courtesy of Dr. Thomas Flanigan of ProMedica Physicians Plastic Surgery (p. 5), and dietitian Laurie Syring’s thoughts on the role of diet in breast cancer risk (p. 33).

Also in this issue, you’ll find articles on job-related anxiety in observation of National Mental Illness Week (p. 38); the new-old practice of using nitrous oxide to ease the pain of childbirth, now offered at Mercy St. Vincent Medical Center (p. 34); UT Health’s new Menopause Clinic (p. 14), and much, much more!

With its cool, crisp weather, fall is always a popular time for area non-profits to hold their fundraising walks and 5Ks, and this year is no exception. The autumn run-walk season kicked off with the Susan G. Komen Race for the Cure on September 27 and continues with all kinds of offerings this month, including the Hero Hustle 5K to benefit Community Tissue Services of Northwest Ohio and Life Connection of Toledo (p. 10) as well as the Walk to End Alzheimer’s (see ad on p. 31). We hope you’ll come out with the whole family to enjoy the fine weather and support as many of these worthwhile causes as possible.

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

October 2015 • Vol. 20, Issue 10

Your Monthly Guide to Healthy Living

@HLNToledo

Connect with Friends who Like Healthy Living News!

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FOOD & NUTRITION33 Eating WEll The role of diet in breast cancer risk

by Laurie Syring, RD/LD

HEALTH & BEAUTY2 Autumn skin spruce-up5 Post-mastectomy reconstruction helps patients

adjust to life after breast cancer8 Insights on individualized breast cancer care10 thE acadEmy cornEr “My fingers feel funny and I’m

dropping things!” by Michael Makowski17 Manor at Perrysburg offers dysphagia-rehab

system with power to “see the swallow”18 Heartland Rehab’s hints for a healthier start to the

holiday season, by Jim Berger21 Spiritually SpEaking Ecological spirituality

by Sister Mary Thill31 Sound advicE from northWESt ohio hEaring clinic,

by Randa Mansour-Shousher, AuD, CCC-A39 nobody’S pErfEct I don’t want to fall! by Sister Karen

Zielinski, OSF43 The Low-down dirt on cleanliness

by Douglas A. Schwan, DC, Dipl ac

TAKING CARE OF YOUR LIFE7 Running tips for beginners, by Amanda Manthey12 Retirement planning for dual-income households

by Scott D. Brown15 Health Crossword, by Myles Mellor25 What’s your design style? 30 Attention retirees! October is Fire Prevention

Month!38 Don’t let job-related anxiety cripple your career

advancement!41 a Walk in thE park Lawn and garden care

by LeMoyne Mercer

OUR COMMUNITY6 New pulmonary rehabilitation program at

Lutheran Village, by Christine A. Holliday10 Hurry to the Hero Hustle 5K Run/Walk on

November 714 UT Health to open first Menopause Clinic in

Northwest Ohio, by Brandi Barhite16 Senior Living Guide20 Addison Heights: committed to caring,

compassion, and community22 Fall is fun for all at the Toledo Zoo, by Kim Haddix28 Wolcott House offers paranormal tours in October34 St. V’s introduces option of nitrous oxide to ease

anxiety and pain of childbirth36 Laurels rehab team sees many happy returns37 Bittersweet’s #GivingTuesday campaign aims to

raise $10,000 for art program

CHILDREN & PARENTING23 Failed school hearing screenings, by Dianna

Randolph, AuD, CCC-A26 Catholic education—Excellence achieved through

faith and values26 Trick-or-treating safety starts with the costume 27 St. John’s Jesuit initiates 50th year with Mass of the

Holy Spirit32 Are trophies for everyone? by Mark S. Faber, USPTA

Elite Professional45 Central Catholic High School announces new

girls’ lacrosse program

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Post-mastectomy reconstruction helps patients adjust to life after breast cancer

Women fighting breast cancer face tremendous challenges

on both the physical and emotion-al fronts. The dual nature of their battle is particularly evident when treatment requires mastectomy—surgery to remove all or part of the affected breast. Not only must they contend with any pain, discomfort, or potential side effects stemming from the mastectomy itself, but also with a significantly altered body image and anxiety over how others might perceive them.

The good news is breast cancer patients today have the option of undergoing state-of-the-art breast reconstruction surgery following mastectomy to restore a natural breast shape. The surgery helps many women adjust to their lives post breast cancer and find their “new normal.”

According to Thomas Flanigan, MD, of ProMed-ica Physicians Plastic Sur-gery, “When breast cancer patients are told there’s no other option but mastectomy or they’ve made the tough decision themselves to undergo the procedure, they’re often very upset, distraught, and worried that their body will never be the same. We first emphasize that they’re very brave for coming to our office, staring cancer in the face, and fighting back, and then assure them that through reconstructive surgery, we can make their breast—and them—whole again. They may be scared, but we want them to know they still have choices and we’re going to be there for them every step of the way.”

Dr. Flanigan guides mastectomy patients down one of two recon-structive pathways. One is to use the patient’s own tissue, typically from the back or belly, to reconstruct the breast. Because this approach does result in scarring and involves the removal of muscle at the donor site, which can cause complications, it’s usually reserved for patients who have had previous radiation therapy and, thus, have limited implant options.

If the patient has not undergone radiation, Dr. Flanigan is likely to recommend the use of a tissue ex-pander and breast implant. With this method, immediately after the

general surgeon completes the mas-tectomy, Dr. Flanigan inserts a silicone shell, called an expander, under the patient’s chest muscle and closes the skin. Then, over the course of several post-surgical office visits, the expander is gradually filled with fluid to slowly stretch the tissues and create a pocket. Once a suitably

sized pocket is produced, a second surgery is performed to replace the fluid-filled expander with a silicone implant.

Whatever reconstructive option is chosen, the patient is fully

apprised of what comes next. “Every option and pathway is fully explained before she walks through the hospital door. Then, right before surgery, we

explain everything again, answer any questions she may have, and make sure all the prescriptions and information she needs are waiting for her at home. Nothing is a surprise. We try to remove

all doubts, so patients can go home after surgery, rest, recuperate, and get back to their lives,” says. Dr. Flanigan.

An important aspect of preparing patients for post-mastectomy breast reconstruction is managing their expectations with respect to the out-come. Plastic surgeons can re-create a nicely contoured breast mound that will look perfectly natural in a bra or bikini, but the breast won’t look exactly as it did prior to mastectomy. Nonetheless, most women who un-dergo breast reconstruction are very pleased with the results. Also, Dr. Flanigan notes that insurances will typically pay for symmetry surgery to make the unaffected breast appear as similar as possible to the newly created breast, which may involve reduction, augmentation, or lift of the unaffected breast.

What’s more, the option of breast reconstruction isn’t limited to breast cancer patients who have a full mastec-tomy. Those who undergo breast-con-serving therapy, or lumpectomy, in which the tumor is removed and the breast is radiated, can also benefit from it. “Most of these women are very pleased that they can keep their breast, but the damage from radiation never goes away and a subset of

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

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

Contacts

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

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

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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.

them experience complications such as a contracted breast or a scarred or deformed breast. These women may feel they just have to live with these complications, but they don’t. There’s still a lot we can do to help them,” explains Dr. Flanigan.

Regrettably, despite the tremendous benefits, a significant percentage of breast cancer patients are never offered the option of reconstruction following mastectomy or breast-conserving therapy or even have a consultation with a plastic surgeon. As a result,

they believe they have no alternative but to go through life without their breast or with a breast deformity. Dr. Flanigan strives to get the word out that reconstruction is always an option and will even travel outside Toledo to meet with patients who might benefit from it. “It’s never too early or too late to consult with a plastic surgeon about breast reconstruction. We can do something at any point in a woman’s life to make sure she gets back her natural appearance and a positive self-image,” he says. ❦

Breathing. We take it for granted. If our lungs are in optimal shape and

we are normally active, we breathe more than 25,000 times each day, without giving that complex and crucial process a second thought.

Prince Yeboah gives breathing a great deal of thought and attention. As the new respiratory therapist at Lutheran Village at Wolf Creek, he will work full time with other people’s

New pulmonary rehabilitation program at Lutheran Village

by Christine A. Hollidaybreathing—assessing patients with chronic or post-surgery breathing concerns, educating patients, and helping to develop a new pulmonary rehabilitation program at the facility in Holland, Ohio.

Jason Napierala, Executive Direc-tor at Lutheran Village, explains that the new pro-gram will take an inter-disciplinary approach to the care of their long-term and short-term patients who are diagnosed with COPD, asthma, emphyse-ma, and congestive heart failure. “This program involves a team of profes-sionals working together to give patients with some serious health issues the highest quality of life.

He notes that there will be a nurse practitioner on duty five days a week, something no similar facility offers, as well as a pulmonologist and physician’s assistant once each week to consult with the team. Physical therapists will help with the exercises needed to promote healthy breathing, and a counselor will be available to work with patients and their families who are experiencing depression and/or anxiety when their breathing (and general health and well-being) are compromised.

Yeboah is the newest addition to the team. He has a bachelor’s degree in respiratory therapy (2012) from the University of Akron, and he worked as a resident care associate in Akron and as a respiratory therapist in Pennsylvania.

He has already worked with pa-tients, educating them about respi-

ratory health. He has patients who are learning to live with the effects of a lifetime of smoking or those who weren’t aware that their work environments (with chemical, in-dustrial, or agriculture fumes) have done serious damage to their lungs, compromising their ability to get enough oxygen for their body systems to work correctly.

He notes that the organs connect-ed to breathing begin to change as the body ages, sometimes making inhaling and exhaling more difficult. Sedentary lifestyles can hide breathing problems, too, and the stress of other diseases can impact one’s ability to breathe well.

He is looking forward to using new wrist monitors (much like Fit Bits) that will help to ascertain exactly how and when a patient’s breathing is substandard, and then formu-lating a plan for rehabilitation. He does lung-expansion therapy and breathing practice as well as other techniques to clear airways and en-courage deeper breaths and longer exhaling. “You don’t want carbon

dioxide building up in the lungs,” he advises. As part of the team, Yeboah will also work with families as they plan for post-surgery care in the patient’s home.

Mr. Napierala said that the Lutheran Village staff will be eager to verify that the team approach will yield benefits that help patients and appeal to healthcare reimbursement officials. “We believe this

approach will bring about better re-sults for our patients at a much lower price than having them admitted to the hospital. We hope discharge planners take a look at what we are offering to see how our approach can help their clients. Our goal is to have our patients do well enough that they don’t have to come back, and we think this team approach will be a big step toward that goal.”

Lutheran Village at Wolf Creek is located at 2001 Perrysburg Holland Road in Holland, Ohio. Phone: 419-861-2233. It is a ministry of Lutheran Homes Society in partnership with St. Luke’s Hospital, providing a full continuum of care for retirement living that meets the various needs of older adults based on their phys-ical, emotional, social, and medical needs. The Wolf Creek campus fea-tures independent living, assisted

Prince Yeboah

Lutheran Village at Wolf Creek, a ministry of Lutheran Homes Society in partnership with St. Luke’s Hospital.

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living, medical care services, and rehabilitation services. Medical ser-vices include long- and short-term skilled nursing care, dementia care, complex medical care, chronic disease management, palliative and hospice care, and respite care.

More information is available at http://www.lutheranhomessociety.org/wolfcreek/AboutMinistry.aspx.❦

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

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 that specializes in running shoes, such as Dave’s Performance Footgear, for an assessment of your needs and a personalized fit.

One of the most common complaints of a new runner is, “I

can’t breathe.” Focus your energy on exhaling 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 repair 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 running group, or seek out a running partner. Some runners find that taking music along on their workouts 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 running is to enter road races. The experience of finishing a running race is exhilarating. Start with the

goal of a 5K (3.1 miles) road race, “fun run,” or a relay race with your running friends. Races can provide the foundation for enjoying a long life of running.

Happy running! ❦

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

Don’t miss Dave’s races!Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Performance Footgear. For more information on the following events, including start times, registration details, and any associated costs/fees, please visit davesraces.com.

Saturday, October 3Kappa Delta Shamrock N’Run 5K— Swan Creek Preserve Metropark, 4659 Airport Hwy., Toledo, Ohio.

Running tips for beginnersby Amanda Manthey

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Insights on individualized breast cancer care

October has been designated Na-tional Breast Cancer Awareness

Month to promote understanding of this disease that, according to the American Cancer Society, will be diagnosed in an estimat-ed 231,840 women in 2015 alone. While that number may seem alarming, the good news is, an ever-in-creasing number of women are beating breast cancer as science learns more about the various subtypes of the disease and develops individualized treatments to fight them.

Notwithstanding ex-citing treatment advances, Dr. Tim Kasunic of The Toledo Clinic Cancer Centers reminds women that the key to an optimal outcome con-tinues to be early detection. “Most breast cancers are cured, but in gen-eral, the earlier the stage, the higher the chance of cure. That’s why it’s so important to be compliant with

annual mammograms and monthly self breast exams. If you notice a lump or any other change in the breast or nipple, let your doctor know immediately.”

Of course, in order to maximize patients’ odds of a positive outcome, oncology practitioners must stay on the cutting edge with respect to their level of expertise. Because the field of cancer treat-ment—and breast cancer care in particular—con-tinues to change rapidly, Dr. Kasunic attends the School of Breast Oncology

at Emory University on a regular basis to remain updated on new advances.

Dr. Kasunic supports the recom-mendation of starting annual mam-mograms at age 40. Those who have a family history are encouraged to begin mammogram screenings even earlier. He also urges women with

Feed-A-Child 5K—Riverside Park, 231 McManness Ave., Findlay, Ohio.

Sunday, October 4Rethink Addiction Heroin Awareness Run—Bedford Stadium, 8285 Jackman Rd., Temperance, Michigan.

Panther Prowl 5K—Whitmer High School, 5601 Clegg Dr., Toledo, Ohio.

Saturday, October 10Meecheway 5K Trail Run & Walk. Camp Lakota, 2180 Ginter Rd., Defiance, Ohio.

Badges of Honor 5K—BGSU Campus, Perry Field House, 801 N. Mercer Rd., Bowling Green, Ohio.

The Boo Run Run—Napoleon Middle School, 303 W. Main St., Napoleon, Ohio.

Bridging the Gap to Heart Health 5K, 10K, Kids Fun Run—9269 CR 21 N., Stryker, Ohio.

David Thomas Wish Foundation 5K Walk/Run—Secor Metropark, 10001 W. Central Ave., Berkey, Ohio.

Sunday, October 11Tiffin Firefighters’ 5K & 1-Mile Fun Run—Hedges-Boyer Park, 491 Coe St., Tiffin, Ohio.

The Great Pumpkin Dash—YMCA & JCC of Sylvania, 6465 Sylvania, Ave., Sylvania, Ohio.

Superhero Run 5K Presented by Run for Reece—Swan Creek Preserve Metropark, 4659 Airport Hwy., Toledo, Ohio.

Saturday, October 17Trick or Trot 5K Run and Zombie Walk—The Shops at Fallen Timbers, 3100 Main St., Maumee, Ohio.

Run for the Door 5K—Swan Creek Preserve Metropark, 4659 Airport Hwy., Toledo, Ohio.

5K for Domestic Violence Awareness—Fulton County Fairgrounds, 8514 OH-108, Wauseon, Ohio.

Sunday, October 18Rock-N-Run United 5K—Swan Creek Preserve Metropark, 4659 Airport Hwy., Toledo, Ohio.

Saturday, October 24Aruna 5K—BGSU, Bowen-Thompson Student Union, Bowling Green, Ohio.

JenAbby Memorial Run—831 W. Linfoot St., Wauseon, Ohio.

Jeff ’s Jog 4 Life—8035 Monclova Rd., Monclova, Ohio.

Sunday, October 25Racing for Recovery 5K, 10K, Family Fun Run—Lourdes University, 6832 Convent Blvd., Sylvania, Ohio.❦

Dr. Tim Kasunic

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a family history of breast or ovarian cancer to see their doctor for a risk assessment to determine whether they need to be tested for mutation of the BRCA1 or BRCA2 gene. “The vast majority—about 85 percent—of breast cancers are non-hereditary, but around 15 percent can occur due to a hereditary syndrome, most commonly secondary to BRCA mu-tation,” he explains.

Doctors are discovering that not all breast cancers are alike in terms of their biology and the way they behave. For ex-ample, some cancer cells have estrogen or progesterone receptors on their surfaces, and their growth is promoted by these hormones. In the case of HER-2-positive breast cancer, over-expression of a gene called Human Epidermal Growth Factor Receptor 2 is responsible for the proliferation of cancerous cells. The cells of so-called triple-negative breast cancer test negative for estro-gen receptors, progesterone recep-tors, and over-expression of HER-2. There has been evidence published recently that the drug Carboplatin may increase the effectiveness of treatment in some of these patients.

As doctors’ understanding of the various types and subtypes of breast cancer increases, more and more medications that target particular vulnerabilities of these different can-cer types are being introduced. For example, doctors noted that there were certain patients with estrogen- and progesterone-positive breast cancer who appeared to do worse than those with apparently similar cancer. However, these patients with more aggressive cancers were found to have HER-2 neu receptors on the surfaces of their cancer cells. The development of the drug Herceptin, which targets these cells, markedly improved the prognosis of these patients.

“We’ve also recently seen the advent of two breakthrough drugs for HER-2-positive breast cancer,” says Dr. Kasunic. “One is Pertuzum-ab, which is a monoclonal antibody that targets the HER-2 protein and works by preventing the cancer cell from receiving the message telling it to grow. Kadcyla is an exciting new conjugate drug that uses Herceptin as a targeting agent. The Herceptin directs the chemotherapy to the cancer cell and carries with it a very potent

drug called Emtansine. If this drug were given by itself into the patient’s bloodstream, it would be too toxic, but when attached to Herceptin, it’s extremely effective with virtually no side effects.”

Dr. Kasunic is also pleased that the FDA has approved a combination of three different drugs—Pertuzumab, Herceptin, and Taxotere—for neo-adjuvant chemotherapy for HER-2 non-metastatic breast cancer. In ad-

dition, the FDA has approved Perjeta with chemotherapy prior to surgery, increasing the chance of a complete response to treatment.

Exciting advances are taking place in the area of breast cancer testing, as well. For patients whose breast cancer is estrogen-re-ceptor-positive but HER-2-negative, Oncotype DX testing is available. This test determines the risk of re-currence in women with this form of breast cancer and how likely they are to benefit from chemotherapy after surgery.

Dr. Kasunic, who underwent train-ing at City of Hope to get certified in cancer risk assessment and genetic counseling, advises women to get genetic testing if their medical or family history includes:

• A breast cancer diagnosis prior to age 45

• Any woman with triple-negative breast cancer

• Two female relatives with breast cancer before the age of 50

• Any woman under age 50 who had a close family member with ovarian cancer

• Multiple family members who have had breast cancer or ovarian cancer

• Any other significant breast or ovarian cancer history

With respect to breast cancer screening, mammography is still considered the standard of care. However, in cases where the breast is not well visualized, as when the breast tissue is very dense, the pa-tient has a strong family history of breast cancer, or the patient’s lifetime risk of breast cancer is 20 percent or more, MRI imaging may be used in conjunction with mammogram. Molecular breast imaging and breast tomosynthesis, or 3D mammography, are other examples of modalities that might be utilized in addition to traditional mammogram.

Exciting advances are taking place in the areas of breast cancer

testing and treatment.

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

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

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“My fingers feel funny and I’m dropping things!”

by Michael Makowski

At the urging of family members around a home-cooked Saturday

dinner, a 58-year-old man, whom we shall call Mr. H, decided he would finally see his doctor for recurring hand problems. Starting several months ago, Mr. H began experiencing funny feelings in his thumb, index finger, and middle finger after long days in the office doing computer work. While this was a nuisance, Mr. H explained that it really didn’t affect

his daily routine and he assumed it would get better with time. However, as time went on, the tingling and numbness began lasting longer and he noticed something new: he was dropping objects that pose no difficulty to hold, such as soup cans. This complaint of funny feelings in the thumb, index finger, and middle finger and dropping of objects is classic for carpal tunnel syndrome.

Carpal tunnel syndrome involves compression, and thus decreased functioning, of the median nerve

within the carpal tunnel. The carpal tunnel, as the name suggests, is a tunnel that allows nine forearm muscle tendons and the median nerve to pass from the forearm into the hand. The median nerve has its origin near the neck, passes down the length of the arm, travels through the carpal tunnel, and finally ends in the hand where it provides both a sensory and motor function. The sensory function allows the brain to interpret sensations on parts of the hand, thumb, index finger, middle finger, and portions of the ring finger. Thus, we feel a burning sensation when we touch a pot of boiling water with our index finger. The median nerve’s motor function involves supplying innervation to some muscles of the forearm and the thumb. Thus, we can thank our median nerve and its motor supply to the thumb muscles

Breast cancer affects patients not just physically, but emotionally and spiritually as well. To address these components, The Toledo Clinic Cancer Centers works closely with non-profit community organizations such as the Victory Center and Nightingales Harvest, which help support patients as they’re going through treatment. “The Victory Center offers a wide array of services, such as massage therapy, reflexology, aquatics therapy, support groups, and counseling, while Nightingales Harvest supplies patients with high-calorie, high-protein foods at no cost to help them maintain nutrition throughout treatment. We also work closely with counselors Dr. Brithany Pawloski and Dr. Char-lotte Dabbs, both of whom make a

tremendous impact by helping our patients cope with their diagnosis,” Dr. Kasunic explains. ❦

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.

Hurry to the Hero Hustle 5K Run/Walk on November 7

Calling all runners, walkers, and donation supporters: Commu-

nity Tissue Services of Northwest Ohio and Life Connection of Ohio are proud to present the second annual Hero Hustle 5K Run/Walk on Saturday, November 7, 2015 at The Shops at Fallen Timbers in Maumee, Ohio. Registration begins at 7:30 a.m., followed by a Kids’ Fun Run at 8:30 a.m. and the 5K Run/Walk at 9:00 a.m.

Registrants for the 5K Run/Walk will receive a t-shirt and goodie bag. There are prizes for 12 different age groups and for the Kids’ Fun Run. Raffle items will be available also.

The mission of the Hero Hustle 5K Run/Walk is to strengthen sup-port, education, and recognition of organ, eye, and tissue donation in northwest Ohio.

We welcome the community to rally together again to make this year even bigger than last year, where we had over 600 participants! Organ, eye, and tissue donor families, re-cipients, living donors, supporters, friends, family, and anyone else in support of donation are all invited to participate.

The theme for this event has a close tie to organ, eye, and tissue donation, and truly represents how

we feel about those who are affect-ed by it. While the true “heroes” are the donors themselves, there is still a hero inside us all: the donor families who gave so generously, the transplant recipients who endure their own challenges and live on in remembrance of their donors, and anyone who is a registered organ, eye, and tissue donor. We all have the potential for greatness and to be someone’s hero!

In line with the “hero” theme of this race, we also want to encourage kids of all ages to wear their favorite

superhero costumes (while still being able to run/walk and see safely!). Adults are welcome to wear a favorite “hero” costume as well.

Registration is open and available online at www.davesraces.com!

Helping to make this event pos-sible are the 2015 sponsors: 13abc, K100, Herbally Radiant, University of Toledo Health, ProMedica, and CoriGraphics.

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the next time we win a “thumb war.” Upon hearing Mr. H’s hand

problems, the doctor tested the muscles of the forearm, which are supplied by the median nerve before it enters the carpal tunnel, and the muscles of the thumb, which are supplied by the median nerve after it leaves the carpal tunnel. The median nerve forearm muscles were observed to be normal, while weakness was observed in the thumb muscles. Mr. H’s numbness and tingling applied only to the thumb, index finger, and middle fingers, but not to the pinky finger, which is supplied by a different nerve. Thus, it can be seen that Mr. H’s problems stem from the median nerve after it leaves the carpal tunnel entering the hand, consistent with a diagnosis of carpal tunnel syndrome.

The compression of the median nerve in the carpal tunnel can be due to several factors, including overuse (as with Mr. H’s computer work), rheumatoid arthritis, diabetes, and increased bodily fluids, to name a

few. The diagnosis can be made based on clinical presentation and physical exam testing, and can be confirmed with MRI and nerve-conduction studies.

Carpal tunnel syndrome can be debilitating and may be improved with non-invasive options and

surgery. Surgical decompression improves symptoms in around 90% of cases; however, n o n - i n v a s i v e strategies may be attempted first, including nonsteroidal anti-inflammatories,

hand exercises, wrist splints, and steroid injections.

Carpal tunnel syndrome can be effectively diagnosed and efficiently treated, allowing Mr. H and countless numbers of other people like him to experience improvement in their symptoms and enhancement of overall quality of life. ❦

Michael Makowski, UT College of Medicine, MD Candidate Class of 2017. Presented on behalf of The Academy of Medicine of Toledo & Lucas County.

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Retirement planning for dual-income households

by Scott D. Brown

The typical American family re-flected in iconic television shows

of the 1950s and 1960s, in which the husband went off to work each morning and the wife happily played out the role of homemaker, is firmly in the minority. By 2012, the Bureau of Labor Statistics reported that six in 10 families with children have two working parents. What’s more, the majority of Americans feel they need dual incomes in order to reach their financial goals.1

For a major goal like retirement, work-ing couples need to be especially vigilant to co-ordinate their planning efforts in a way that supports their combined accumulation objectives. As you and your spouse execute your joint retirement strategy, keep some of the following tips in mind:

IRA contributions and deductibilityIn 2015, you and your spouse can each contribute $5,500 to a traditional or a Roth individual retirement account (IRA) if you have sufficient taxable compensation (or earned income from self-employment).2 If you are age 50 or older, you can direct an additional $1,000 to your IRAs for a combined total of $13,000. Your eligibility to contribute to a Roth IRA is dependent on your filing status and modified adjusted gross income for the year. You also may be able to deduct all or a portion of your traditional IRA contributions if you satisfy Internal Revenue Service guidelines. For ex-ample, if you file a joint tax return and neither spouse is covered by an employer-sponsored retirement plan, traditional IRA contributions are generally fully deductible up to the annual contribution limit.

If you both are covered by an employer-sponsored retirement plan,

1 Forbes, “4 Dual-Income Households Tell All: How We Save and Spend,” November 4, 2013.2 If an individual has more than one IRA, the limits apply to the total contributions made in the aggregate to all the Traditional and Roth IRAs an individual owns.

traditional IRA contributions will be fully deductible if your combined adjusted gross income (AGI) is $98,000 or less. The amount you can deduct begins to phase out if the combined AGI is between $98,000 and $118,000, and no deduction is allowed if it is equal to or exceeds $118,000.

Similarly, if one spouse is covered by an employer-sponsored retire-

ment plan and the spouses file a joint federal income tax return, the spouse who is not covered by

an employer-spon-sored retirement plan may qualify

for a full traditional IRA deduction if the combined AGI is $183,000 or less. De-

ductibility phases out for combined incomes of between $183,000 and $193,000 and is eliminated if your AGI on a joint return equals or exceeds $193,000. Note, however, that Roth IRA contributions are not income tax deductible.

Coordinating multiple accountsLike any investment portfolio, re-tirement accounts should work in unison to help you pursue a specific accumulation goal. However, with job changes so prevalent, it is likely that a couple may have multiple re-tirement accounts, including 401(k), 403(b), or 457 plans, rollover IRAs, and possibly defined benefit plans. Because of the range of investment options offered under such plans, it is important to keep the big picture in mind in order to maintain a co-ordinated investment strategy. As you review your accounts, ask the following questions:

• Is your overall asset allocation in line with your objectives and risk tolerance?

• Are the portfolios adequately diversified? Are they overweighted (or underweighted) in any one asset class or individual security?

• Do the portfolios complement your other investments (e.g.,

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taxable investment accounts, real estate, and other assets)?

• Consider the fees associated with your retirement accounts and how they might affect returns. Would it make sense to consolidate some accounts to help minimize these costs?

Retirement distributionsCouples nearing retirement need to decide the timing of retirement account distributions in light of their income needs, tax situation, and market dynamics. Among the issues to consider are:

Tapping taxable and tax-deferred accounts. Conventional wisdom suggests that tapping taxable accounts first enables your tax-deferred accounts to continue compounding longer—and potentially growing larger—over time. However, there are also those who argue that waiting longer to tap tax-deferred accounts could result in larger required minimum distributions.

Converting a traditional IRA to a Roth IRA, allowing you to put off distributions as long as possible and/or receive tax-free income.3

3 A Roth Conversion may not be right for ev-eryone. There are a number of factors taxpayers

If one or both spouses are covered by a defined contribution (DC) and/or a defined benefit (DB) pension plan, you will typically be given several pay-out options to consider. These may include:

A single life or joint life annuity—Typically the distribution method of choice for DB plans, a single life option, pays out a fixed benefit for your lifetime; the joint life option continues paying some portion of the benefit upon death to another party, typically the surviving spouse. DC plans may also offer the option to annuitize, convert all or a portion of the account balance to a guaranteed stream of income for life.

A lump-sum payment—Typically an option for both DB and DC plans, in which the full value of the account

should consider before converting, including (but not limited to) whether or not the cost of paying taxes today outweighs the benefit of income tax-free Qualified Distributions in the future. A 10% penalty tax will apply on funds converted to a Roth IRA, if those funds are withdrawn before five years have elapsed un-less the owner is age 59 ½ or another exception applies. Before converting, taxpayers should consult their tax and legal advisors based on their specific facts and circumstances.

Asset allocation and diversification do not assure a profit or protect against loss in declin-ing financial markets.

is paid out upon retirement. It is up to you to then decide whether and how to reinvest the proceeds.

Social SecurityYou can begin receiving Social Security payments as early as 62, although delaying the election increases the monthly total. Married couples may want to consider first tapping one spouse’s benefit and delaying the other one’s until age 70, which maximizes the income and may substantially

increase the couple’s total Social Security payout over a lifetime.

Determining when and how to claim Social Security benefits is a complex matter involving many variables. Please contact me for assistance in considering the particulars of your situation as you and your spouse plan for retirement. ❦

If you’d like to learn more, please contact Scott Brown, Branch Manager, Morgan Stanley Toledo, Ohio, at 419-842-5312.

Article by Wealth Management Systems Inc. and provided courtesy of Morgan Stanley Financial Advisor.

The author(s) are not employees of Morgan Stanley Smith Barney LLC (“Morgan Stanley”). The opinions expressed by the authors are solely their own and do not necessarily reflect those of Morgan Stanley. The information and data in the article or publication has been obtained from sources outside of Morgan Stanley and Morgan Stanley makes no representations or guarantees as to the accuracy or completeness of information or data from sources outside of Morgan Stanley. Neither the information provided nor any opinion expressed constitutes a solicitation by Morgan Stanley with respect to the purchase or sale of any security, investment, strategy or product that may be mentioned.

Tax laws are complex and subject to change. Morgan Stanley Smith Barney LLC (“Morgan Stanley”), its affiliates and Morgan Stanley Financial Advisors and Private Wealth Advisors do not provide tax or legal advice and are not “fiduciaries” (under ERISA, the Internal Revenue Code or otherwise) with respect to the services or activities described herein except as otherwise provided in a written agreement with Morgan Stanley. Individuals are encouraged to consult their tax and legal advisors (a) before establishing a retirement plan or account, and (b) regarding any potential tax, ERISA and related consequences of any investments made under such plan or account.

Morgan Stanley Financial Advisor(s) engaged Healthy Living News to feature this article.

Scott Brown may only transact business in states where he is registered or excluded or exempted from registration www.morganstanleyfa.com/theauroragroup Transacting business, follow-up and individualized responses involving either effecting or attempting to effect transactions in securities, or the rendering of personalized investment advice for compensation, will not be made to persons in states where Scott Brown is not registered or excluded or exempt from registration.

© 2015 Morgan Stanley Smith Barney LLC. Member SIPC. CRC 1261383 9/15

Getting your financial and investment act together takes time and close attention to detail. With more responsibilities, the process becomes even more complex.

As a Morgan Stanley Financial Advisor, I have access to a range of resources, advice and services to help you meet your needs.

Please call me to arrange a meeting about your wealth management needs.

Your Financial Future: Will You Be Ready?

Scott D. Brown First Vice President Financial Advisor 7311 Crossleigh Ct.Toledo, OH 43617 [email protected]://www.morganstanleyfa.com/thefadel-browngroup/

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UT Health to open first Menopause Clinic in Northwest Ohio

by Brandi Barhite

UT Health is offering a new service to help women better cope with

their menopause symptoms. The Menopause Clinic—the first

in the area—will be offered every Wednesday from 1:00 to 5:00 p.m. in the Ruppert Health Center on the Health Science Campus beginning

Oct. 7.Dr. Lance Talmage, professor and

interim chair of the UT Department of Obstetrics and Gynecology, is partnering with Dr. Terry Gibbs, a ProMedica OB-GYN with a faculty appointment at UT. Gibbs is certified through the North American Meno-pausal Society.

“We will be consulting with women to determine the best approach to curbing their menopause symp-toms,” Talmage said. “We will look at hormonal therapies as well as non-hormonal therapies, prescription drugs, and herbal options.”

While many patients will be re-ferred to the clinic, women also can make an appointment on their own. For instance, menopause is a side effect of some cancer treatments, so Talmage expects to get referrals from oncologists.

Gibbs said menopause becomes a quality of life issue for many women as they could experience low energy, sleep troubles, or sex-ual difficulties. Some women don’t know that drinking hot coffee, smoking, or drinking alcohol can exacerbate the symptoms. In some cases, menopause can trigger anxiety or feel-ings of sadness and loss.

“We will talk a lot about the management of all the menopause symptoms and discuss hereditary cancers that

become more prevalent in middle age,” Gibbs said. “There are so many things that women don’t consider. They think, ‘I am done with kids; I don’t need to see a gynecologist.’ However, there is more of a reason to see a gynecologist at age 50 than at age 20.”

Drs. Talmage and Gibbs said they are seeing a cultural change with baby boomers; they do not want to just accept these symptoms as a part of life. “There is less of a willingness to say, ‘This is the way it is. I am older and I have to deal with it.’ Women these days want to ‘fix’ their meno-pausal symptoms,” Talmage said.

Appointments at the Menopause Clinic will be 45 minutes each and involve a consultation, a physical exam, and possible bone test scans, depending on the age of the patient. All patients will receive written lit-erature to take home.

“One of my objectives is to make sure that UT residents are trained in menopausal health care,” Dr. Gibbs said. “Most residents get very little training on this topic, but it is some-thing that virtually all doctors will come across during their practice.”

Dr. Gibbs said menopause consul-tation is a gap in care that needs to be filled. “I think there are so many things in this field that are coming to the market every day. It is fast changing. There is so much research going on right now.”

Patients can make appointments by calling 419-383-3787. Insurance is expected to cover most visits. ❦

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

Dr. Lance Talmadge and Dr. Terry Gibbs

The University of Toledo Health

Breast Cancer Clinicis welcoming new patients

Dr. Iman Mohamed Professor, Associate Dean for College of

Medicine Admissions, and Medical Director of Breast Cancer, Medical

Oncology

Kathryn Chisholm LISWDr. Heather Klepacz, Assistant Professor,

Department of Surgery

Dr. Prabir Chaudhuri Professor, Department

of Surgery, and Surgical Director of UTMC Cancer Center, General Surgery

The UT Health Breast Cancer Clinic offers a variety of services to help assist you in your medical needs. Full time financial counselor, appointments available within 24 hours, clinical lab and infusion center on site along with clinical trials program and coordinators on site.

We Have many neW serviCes, inClUding:

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For more inFormaTion or To sCHedUle an appoinTmenT, ple ase Call: 419.383.6644

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6 Child’s building equipment, 2 words

7 Gets less painful, 2 words

11 Enjoyment12 Watermelon coat13 Popular exercise choice16 Snow-sport conveyor, 2

words17 Will’s beneficiary18 Aid to digestion20 Shining, with good

health perhaps!21 Encourage24 New25 Before for a poet29 Arts degree

words22 The last O of EVOO23 Breathe in- yoga

command26 Real cause27 Hair holder28 Spheres30 Travel31 Some gym wear

Down1 Sleeping problem2 Taking off pounds, 2

words3 Dependent4 It’s pumped in the gym5 Basic food

Across1 Unwanted physical

reactions6 Stretch out8 ____ sprays9 Vitamin C filled fruits10 Happening every

year, like a physical check-up

11 Liquid containers12 Regret13 It frames the mouth14 Obese opposite15 RX dosage, abbr.17 High school, for short19 What you might do

when getting a shot, 4

1 2 3 4 5 6 7

8 9

10 11

12

13 14 15 16

17 18

19 20 21

22

23 24 25 26

27 28 29

30 31

HEALTH CROSSWORDby Myles Mellor • lovecrosswords.com • Answers on page 18

You’re invited to visit us at 1125 Clarion Ave. Holland or call 419-866-6124 • springmeadowsecf.com

A family owned and operated senior community

We Care & It Hasn’t Gone Unnoticed!

2015BRONZE

Ohio Health Care AssociationTop 10 Facility

93.1% AIt’s important to remember you have more choices than ever.

At Spring Meadow we can provide the level care needed

from 24 hour nursing care or stay with us at our assisted living

facility. Short and long-term rehabilitation services are available

if you are recovering from joint replacement surgery or a stroke.

Spring Meadow has received the Bronze – Commitment to

Quality Award for its dedication to improving the lives of

residents through quality care. The quality of care provided

by our professional, caring staff shows and we are honored

to receive this award presented by the American Health

Care Association and National Center for Assisted Living.

Caring for Newborns to Seniors

Welcoming New Patients

THE TOLEDO CLINIC

James D. Diethelm MDRyan Szenderski PA-CSame day appointments available with our physician assistant

7640 W. Sylvania Ave. Suite E Sylvania, Ohio 43560

419.473.2273


Oakleaf Village4220 N. Holland Sylvania Rd.

Toledo, OH 43623

419-885-3934www.wallickcommunities.com

Lutheran Home at Toledo131 Wheeling St. Toledo, OH 43605

419-724-1414www.lhsoh.org

Otterbein Portage Valley Senior Lifestyle Community

20311 Pemberville Rd. Pemberville, OH 43450

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

www.otterbein.org

Sunset Village9640 Sylvania-Metamora Rd.

Sylvania, OH 43560

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

Bowling Green Manor1021 West Poe Road

Bowling Green, OH 43402

419-352-4694www.BowlingGreenManor.com

The Laurels of Toledo1011 Byrne Road Toledo, OH 43607

419-536-7600www.laurelsoftoledo.com

The Woodlands4030 Indian Rd.

Ottawa Hills, OH 43606


The Manor at Perrysburg250 Manor Drive

Perrysburg, OH 43551

419-874-0306www.ManorAtPerrysburg.com

Swan Creek Retirement Village

5916 Cresthaven Lane Toledo, OH 43614

419-865-4445www.swancreekohio.org

Sunset House4030 Indian Rd.

Ottawa Hills, OH 43606


Parkcliffe Community4226 Parkcliffe Lane

Toledo, OH 43615

419-381-9447www.parkcliffe.com

Heartland of Waterville8885 Browning Drive Waterville, OH 43566

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

Senior Star at West Park Place

3501 Executive Parkway Toledo, OH 43606

419-972-2280www.seniorstar.com

Pelham Manor2700 Pelham Rd

Toledo, OH 43606

419-537-1515www.jewishtoledo.org

The Lakewoods II & III1021 Garden Trail Toledo, OH 43614

419-382-1200www.thelakewoodsoftoledo.com

Kingston Care Center of Sylvania

4121 King Road Sylvania, OH 43560

419-517-8200www.kingstonhealthcare.com

Spring Meadows Senior Community1125 Clarion Ave. Holland, OH 43528

419-866-6124www.springmeadowsecf.com

Lutheran Memorial Home795 Bardshar Rd.

Sandusky, OH 44870


Addison Heights Health and Rehabilitation Center

3800 Butz Road Maumee, OH 43537

419-867-7926www.consulatehealthcare.com

Lutheran Village at Wolf Creek

2001 Perrysburg-Holland Rd. Holland, OH 43528


Elizabeth Scott Community2720 Albon Road

Maumee, OH 43537

419-865-3002www.elizabethscott.org

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

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

St. Clare Commons12469 Five Point Road Perrysburg, OH 43551

419-931-0050www.homeishere.org

Kingston Rehabilitation of Perrysburg

345 E. Boundary Street Perrysburg, OH 43551

419-873-6100www.kingstonhealthcare.com

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

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

www.otterbein.org


Manor at Perrysburg offers dysphagia-rehab system with power to “see the swallow”

Swallowing is a reflex behavior that most of us never give a second

thought. But for people with Par-kinson’s disease, multiple sclerosis, stroke, dementia, or other diagnoses that can cause dysphagia (difficulty swallowing), impairment of this nat-ural reflex can lead to serious health and quality-of-life issues. Of major concern for people with dysphagia is the increased risk of aspiration of food or liquid into the lungs, which can result in pneumonia and poten-tially even death.

To put the scope of the problem into perspective, approximately 15 million people in the United States have dysphagia and 1 million new cases are reported each year. What’s more, around 60,000 people die every year in the US from complications of this condition.

To help improve the outcomes and quality of life for their rehab patients and long-term residents with dysphagia, The Manor at Perrysburg, a member of the HCF Management

family of companies, has added the revolutionary Synchrony™ system to its repertoire of treatment options.

“Synchrony is a specialized, research-based, clinically proven system for treating dysphagia, developed by Accelerated Care Plus,” says speech language pathologist Erica Heckman, Director of Rehabilitation at The Manor at Perrysburg. “With this system, we can actually visualize and assess the patient’s muscle activity while swallowing liquid and then use that data to guide a therapeutic program to strengthen and improve his or her swallowing ability. We’re thrilled to offer this system on an outpatient basis as well as to our short-term rehab patients and long-term residents.”

Heckman explains that the Synchrony program has two distinct components. The first is the OmnisEMG™ System, which reads the electrical activity of the muscles used in swallowing through non-invasive sensors attached under the patient’s

chin. Specialized software displays this data on a color monitor so the therapist can get real-time feedback on the timing, strength, and duration of the swallowing reflex—in essence, allowing the therapist to “see the swallow.”

Using this immediate biofeedback, the therapist and patient can work

together to make the patient’s swallowing reflex as good as it can be. “Once that point is reached, we introduce a progressive, resistive exercise program so that good swallowing technique becomes a routine behavior and the patient can eventually enjoy the least restrictive

diet possible,” Heckman says.The second component of

Synchrony is the Omnistim® FX2 Patterned Electrical Neuromuscular Stimulation (PENS) system—a proprietary form of electrical stimulation that helps re-establish normal nerve and muscle coordination for swallowing. According to Heckman, this type of technology is not new to the world of physical therapy, but its use in speech language pathology is revolutionary.

Also, PENS should not be confused with VitalStim, another e-stim modality used to treat dysphagia. “VitalStim works only on the strength function of swallowing, not the neural function. Think of the difference like this: If you go to the gym and work out to build big biceps, it won’t do you any good if your brain doesn’t tell your biceps how to work properly. PENS also works on the neural pathway, so it gets right to the root of the problem,” says Heckman.

Barbara Mullholand, Director of

Synchrony™ Program Objectives and Key Benefits

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

MRK 0188 ACPL Rev2

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

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

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

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

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

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

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

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

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

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

Post-Hospital Care, Redefined

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

DefIcIency free


Heartland Rehab’s hints for a healthier start to the holiday season

by Jim Berger

Halloween marks the beginning of the holiday season. The next

couple of months are filled with treats, parties, family gatherings, alcohol, and a packed schedule. So how do we continue to pursue our health and fitness goals despite the temptations at this time of year?

This year, as the holiday season approaches, let’s do things differently than we have done in the past. Remember that the definition of insanity is doing the same thing over and over again but expecting a different result. It’s not about depriving ourselves of our holiday favorites but about substituting healthier foods and behaviors.

Halloween choicesWe need to start by making better choices. The biggest problem with Halloween candy, other than sugar, is the higher amount of fructose corn syrup and genetically modi-fied organisms (GMO) it contains. It is a processed food that is void

of any nutrients.Instead of handing out candy this

Halloween, what about glow sticks, pencils, or Halloween-themed mini-toys? Get creative!

If you still want to hand out candy, here are some choices free of fructose corn syrup and GMOs:

• Annie’s Gummy Snacks• Trader Joe’s Organic Pops

Lollipops• Individually wrapped

chocolates• Justin’s Peanut Butter Cups

Understanding sugarWe talk about sugar and the negative effect it has on our health, well-being, and weight loss goals, but what do we know about sugar?

• Dextrose, fructose, and glucose

Answers to crossword from page 15

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Market Development for The Manor at Perrysburg, hopes to get the word out to more and more area physicians’ offices that the Synchrony system is available so they can offer this state-of-the-art modality to any of their patients with dysphagia. “We also want hospitals to be aware that we have this system and offer it on an outpatient basis so they know it’s an option when they’re looking at discharging a patient with stroke, Parkinson’s, MS, or any another condition that causes swallowing difficulty,” she adds.

Though not every patient with

dysphagia can be successfully treated using the Synchrony system, almost anyone is a candidate for this totally non-invasive, research-based program and Heckman is extremely pleased that The Manor at Perrysburg can now offer it. “It's a new and revolutionary tool in our toolbox for treating dysphagia, and I'm excited to offer it to any person who might benefit," she says. ❦

For more information on The Manor at Perrysburg or the Synchrony system for treating dysphagia, please call Barbara Mullholand or Erica Heckman at 419-874-0306.

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are all monosaccharides, or simple sugars. How the body metabolizes these three is the primary difference. Glucose and dextrose are essentially the same sugar. Simple sugars can combine to form more complex sugars, like disaccharide sucrose (table sugar), which is half glucose and half fructose.

• Sucralose (Splenda) is not a sugar but, instead, a chlorinated artificial sweetener in line with saccharin and aspartame.

• Agave syrup is highly processed and is 80% fructose.

• Stevia is a highly sweet herb, which is safe if in its natural form, but manufacturers use fillers in many Stevia products, so opt for a natural brand.

• Honey is about 53% fructose but is completely natural and in its raw form can have many health benefits when used in moderation.

How is sugar processed?Fructose is the sugar of choice in our standard diet. Fructose itself isn’t bad since fruit contains fructose; rather, it is the quantities in which we con-

sume it. Fructose is metabolized in a much different way than glucose. Fructose is processed in our bodies through the liver. Our liver only breaks down about 20 percent of glucose, and since nearly every cell in our body uses glucose, it is normally burned up after consumption. Where does all the fructose we consume go in our bodies? It is stored as fat, so more fat deposits (middle section in particular)! But fruit contains fruc-tose, so does this mean we should stop eating it? No, fruit in its whole form also contains vitamins, fiber, and other antioxidants that reduce the effects of fructose.

What should we do about sugar?Dietary guidelines around the globe suggest we should limit consumption

of sugar and foods with added sug-ars. You don’t need to avoid sugar completely for good health, but it’s sensible to cut back on foods that are correspondingly low in nutrition and easy to overeat—soft drinks, pastries, or sweets, for example.

With 16 calories in every level teaspoon of sugar, we should use only small amounts of sugar to enhance the flavor of nutritious food and watch the large intake that comes from soft drinks, juices, pastries, and processed foods.

Recipes for HalloweenWho says Halloween indulgence has to be bad for our bodies? Try these sweet-but-healthy treats:

Pumpkin Ice Cream2 frozen bananas

¼ to 1/3 cup of canned organic pumpkin

¼ cup canned coconut milk

¼ tsp. pumpkin pie spice or to taste

Directions: Add bananas, pumpkin, milk, and pumpkin pie spice to a food pro-cessor. Process until mixture becomes the consistency of ice cream. Soft serve by

serving it right away, or if you like it thicker, put it in bowls and then in the freezer for 5 to 10 minutes.

Pumpkin Pie Smoothie:1/2 to 1 frozen banana½ cup canned organic pumpkin½ cup coconut milk or 1 cup of unsweetened

almond milk¼ tsp. pumpkin pie spice1 to 2 scoops of protein powder

Directions: Add all ingredients and mix in a blender. ❦

Heartland Rehabilitation Services, provider of Outpatient Physical, Occupational, Hand Therapy, and Wellness Services, also offers special rehab

programs for runners, concussion, sport injury management and prevention, and balance and dizziness at five locations in

the metro Toledo area: Maumee, Perrysburg, Oregon, Lambertville,

and Toledo. Call Jim Berger, Area Manager, at 419-787-6741 for

more information about services, treatment, and educational programs.

•

Unsteady on your feet?

Feeling Dizzy? Everything Spinning?

♦ ♦ ♦

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 Therapy for Today, Wellness for Life!sm

www.heartlandrehab.com


Choosing the right skilled-nursing and rehabilitation center can

seem like a daunting prospect. But for most patients and their loved ones, the decision ultimately hinges upon a center’s core values, which are reflected in the level of care the staff provides, the quality and atmosphere of the campus and facilities, and the overall sense of being at home and part of a vibrant community.

At Addison Heights Health and Rehabilitation Center, a Consulate Health Care Center formerly known as Swan Pointe Care Center, the entire staff takes pride in satisfying all of these elements while creating a fun, warm, welcoming environment for residents and their loved ones.

“What sets us apart is our com-

mitment to providing individualized care and exceptional customer ser-vice using our hearts and hands,” explains Davida Tucker, Admissions Coordinator for Addison Heights. “This dedication is evident in all our services, which range from long-term skilled-nursing care to short-term rehab, dementia care, management of medically complex cases, and short-term respite care.”

Addison Heights recently wel-comed a new leadership team, in-cluding Administrator Kim Dunlap and Director of Nursing Keith Stroder. However, many of the staff mem-bers have worked at the center for many years and become like family to the residents. Tucker notes that the staff ’s willingness to go above

and beyond shines through in the positive feedback received via the facility’s comment card program. In fact, one nursing assistant has received 11 complimentary letters from residents in her care.

The difference in atmosphere at Addison Heights becomes apparent immediately upon entering the re-ception area, which has a charming neighborhood feel, with whimsical floral renderings, a decorative wall fountain, cheerful lighting fixtures, a lighted enclosure housing live birds, patio-style furnishings, and even a quaint corner café complete with yellow-and-white-striped awnings. Tucker remarks that the café is a tre-mendous benefit to residents—partic-ularly those with dementia—because

it allows them to “go to the corner” for a cup of coffee or fresh-baked cookies without having to leave the safety of the facility.

In addition to the café, residents have access to a large dining room serving flavorful meals, barber and beauty shops, optional laundry ser-vice, and a host of other amenities. “We also have a very busy activities department to ensure our residents and their guests stay engaged, and we work with senior centers, churches, and other organizations to plan vari-ous community events,” says Tucker.

To ensure dementia patients stay safe and secure, Addison Heights employs a state-of-the-art wan-der-management system. With this system, the patients are free to move about the facility—instead of being confined to a single hall—but if they get too close to a door, a transmitter worn on the ankle will alert the staff to redirect them to a safe area. De-mentia patients also have access to a beautiful, secure outdoor courtyard, which they come to view as their own back yard.

Addison Height’s continuum of therapeutic and rehab services is quite extensive, including physical, occupational, and speech therapies; orthopedic care; neurological and stroke care; IV therapy; and wound care. The facility also offers short-term respite care at a separate fee for families that need a safe place to leave their loved one while trav-eling out of town or simply need a break from 24-hour caregiving. Also available right on location are mobile dentistry, audiology, optometry, and podiatry services offered by Prime-Source Healthcare as well as mobile psychological services provided by ProHealth.

To help keep rehab patients on track to meeting their clinical goals, out of the hospital, and ori-ented toward successful discharge back into the community, Addison Heights has implemented a special discharge-planning program called

Addison Heights: committed to caring, compassion, and community

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

Call us today to schedule a personalized tour,

and we can answer any questions you may have about our services for you or your loved one.

(419) 867-7926

ADDISON HEIGHTS H e a l t h a n d R e h a b i l i t a t i o n C e n t e r

a Consulate Health Care Center3600 Butz Road, Maumee, OH 43537 | www.consulatehealthcare.com

Outcomes Mean Everything...We are a place to get better, a place for living.

We are committed to our mission of

and as such, our employees take the extra measures to create the comforts

of home during a critical time.

“ Providing Service With Our

Hearts and Hands”


Journey to Home. According to Penny Hayes, Social Services Director for Addison Heights, “Journey to Home starts at admission, when we meet with the patient to discuss goals and a time range for therapy. Then we follow all the necessary steps to help them avoid rehospitalization and return home safely, including making sure all necessary home health or outpatient rehab services are set up, any appropriate medical or assistive equipment is in place, medications are arranged, transportation is provided for, and a doctor has discharged the patient to go home.”

Addison Heights takes ER ad-

missions 24 hours a day and seven days a week and accepts Medicare, Medicaid, and private insurance. “We also honor and cater to our community’s veterans by accepting VA benefits. Many veterans and their families are very uncertain of what they’re eligible for through the VA, and we’re happy to help them with that groundwork,” says Tucker. ❦

Addison Heights Health and Rehabilitation Center is located at 3600 Butz Road in Maumee and is open for tours 24/7. For more information or to schedule your tour, please call the admissions office at 419-867-7926.

Spiritually SpeakingBySister Mary Thill

Ecological spiritualityWill you teach your children what we have taught our children? That the earth is our mother? What befalls the earth befalls all the children of the earth….This we know: the earth does not belong to us, we belong to the earth. All things are connected like the blood that unites us all.

—Chief Seattle, 1854

You may have heard that Pope Francis recently released a letter

(encyclical) to all the people of the world about our common home, the earth. He be-gins the letter with one of the praises of St. Francis of Assisi, Laudato Si, in which the saint praises all of the creatures on the earth because

they remind him of God and thus he is praising the Creator. You may also know that Pope Francis chose his name as the Bishop of Rome in honor of St. Francis of Assisi who is known by many as the Patron of Ecology. The Pope’s letter is pretty easy reading and gives us much to think about as we ponder all that is happening in our world and on our planet these days.

One thing that stands out in his message is the in-terconnectedness between what is happening to our planet regarding global warming and the lives of the poor. Some of the poorest people on

the planet live in areas that have sig-

[St. Francis] shows us just how inseparable the bond is between concern for nature, justice for the poor, commitment to society, and interior peace.

—Pope Francis, 2015

Why should I use an ashley Group Independent broker for my IndIvIdual Insurance needs?We represent a number of companies and we can analyze the various plans which are available in your area. We will discuss which plan or plans will suit your individual needs. We are LOCAL agents. And there is no fee to use our services.

I am neW to medIcare. What can I expect from an ashley Group Independent broker?First, we will educate you on Original Medicare. We will answer your questions such as: How does Original Medicare work? What is Part A, Part B and Part D? Is there a cost? Are there deductibles? Then, after talking to you a little more, we’ll analyze the available plans in your area and help you with your plan selection.

When Is the annual medIcare open enrollment? (also knoWn as aep or the annual electIon perIod)Every year, the Annual Election Period is from October 15th through December 7th with an effective date of January 1st for any plan changes. If you’re already enrolled in a Medicare Advantage Plan or a Medicare Prescription Drug Plan, you will receive the “Annual Notice of Change” from your carrier in late September or early October. If you are happy with your plan, do nothing and your plan will roll into 2016. If you feel the plan you are enrolled in is not the best for you in 2016, the Annual Election Period is your time to make a change.

Our authorized licensed agents have years of experience and represent most major plans.

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nificant air, water, and soil pollution. People who live on the many small islands on the planet are being forced to move because of rising oceans that are flooding the land.

Imagine generation after gener-ation of families living in a certain way, sharing a common language, observing certain rites and rituals, now having to uproot themselves from all that is familiar to them and move into a strange land where others may not be so welcoming. I think this is true for immigrants from any country, and I wonder why we, a country of immigrants, resist wel-coming them into our midst. Where would we be today if our ancestors had not been welcomed or allowed to live in America? Just look at the country we have now because of the blood, sweat, and tears they shed for their families and the common good.

Chief Seattle, quoted above, also had a deep understanding of the interconnectedness we have with the earth and with one another. I was struck with his insight about care for the earth because we belong to it and not the other way around. It is rather common knowledge, I

think, that the Native Americans, the First Peoples, didn’t believe they could sell the land to the foreigners because they did not own the land, the air, or the water. Chief Seattle hoped that the explorers and settlers from foreign lands would teach their children this important lesson. He also recognized that it was our blood, not the color of our skin or the way we looked or what we did for a living, that unites us all.

If we could become more aware of just how close we are to nature and its rhythms and laws and how much we are influenced by it, what a different approach we would have to life and living on this planet. We would be living an ecological spirituality. We would see as St. Francis of Assisi, Pope Francis, and Chief Seattle did that concern for nature, justice for the poor, commitment to society, and interior peace really would lead us to work for the betterment of all.❦

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

Fall is fun for all at the Toledo Zooby Kim Haddix

Halloween is the time of frights and delights, spooky and sweet.

The Toledo Zoo takes the fall season to the next level by mixing the spirit of Halloween and the fun of trick-or-treating with the wild world of animals!

The fall fun starts on Thursday, October 22 with the first day of Little Boo at the Zoo. This two-day event is the preschool pirates’ and princesses’ chance to delight without the fright! Toddlers and preschool-aged children are in-vited to wear their Hallow-een costumes, trick-or-treat throughout the Zoo, and enjoy crafts, puppet shows, strolling magic, and games sized just for them. A special feature this year is the free photo opportunity with

everyone’s favorite princesses! The festivities run from 10:00 a.m. to 3:00 p.m. on Thursday, October 22 and Friday, October 23.

That weekend, the Halloween spirit will be in full force for Pump-kin Path, sponsored by Meijer, on Saturday, October 24 and Sunday, October 25. This event runs from 10:00 a.m. to 4:00 p.m. both days. In addition to costumed trick-or-treating for all ages, there will also be games,

artistic pumpkin-carving demonstrations, bounce houses, and magic shows to entertain all the ghosts and goblins! Also being featured this year is a free photo opportunity with the ever-popular Star Wars characters,

Photo by: Shawna Woody

Photo by: Toledo Zoo



in September and October!

toledozoo.org/seniors

No further discounts will be allowed — cannot be combined with any other discounts or offers.

FREE admission every Tuesday–plus FREE activities, live music and tours for our friends 60+.

On weekdays in September and October, you’ll also get FREE coffee and mini muffin from 10 a.m. until 2 p.m. at Timberline Bakery, plus 20% off at our gift shops.

Presented by:

http://www.tarta.com


compliments of the 501st Garrison from Ohio and Michigan.

During both Little Boo at the Zoo and Pumpkin Path, participants parade through the Zoo collecting treats at sponsored stations while enjoying the animals on exhibit. To help support the Zoo’s mission of in-spiring others to conserve the natural world, participants are asked to be a conservation superhero and bring reusable containers to collect treats. As in years past, featured treats must be made with sustainably-produced palm oil to aid in orangutan habitat preservation, a cause obviously close to the Zoo’s heart. Additionally, there will be allergen-free treats designated by teal pumpkins for those with food allergies. The treat station path, along with the entire Zoo, is accessible to those with disabilities.

Then, on Satur-day, October 31, the Zoo animals get in on the Halloween fun during Jumping Pumpkins. This all-day event is the cre-ative answer to the often-asked question

of “What does the Zoo do with all those pumpkins after Pumpkin Path is over?” The orange fruits are given to the animals, and visitors are invited to view the adventure that ensues. Some animals will make a meal, and others will simply make a mess, but the colorful and nutrient-filled treat not only stimulates their taste buds but also their mind and playful side!

While this event is a fun way to recycle and reuse, it is also an important part of the animal-en-

richment program. Giving Zoo animals something novel, like a pumpkin, triggers their natural instincts to explore and learn. Promoting natural behaviors while enhancing the an-imals’ welfare is an over-arching goal of the Zoo’s enrichment

program. This event is not only fun for the animals but also entertaining for visitors. Just as each child’s jack-o-lantern turns out unique, each animal will interact with its pumpkin differently.

Halloween at the Zoo has

it all—education, entertainment, enrichment, and eats! Bring the whole family and enjoy the outdoors, the animals, the costumed-cuteness and, of course, the treats!

For Toledo Zoo members, one-day admission tickets to Little Boo at the Zoo or Pumpkin Path are $7 for all individuals (children or adult) who wish to participate in the trick-

or-treating. (Those not participat-ing in trick-or-treating are covered under their membership.) Tickets for non-members are $14 for adults and children and $11 for seniors. More information can be found at toledozoo.org. ❦

Kim Haddix is the communication coordinator for the Toledo Zoo.

Failed school hearing screeningsby Dianna Randolph, AuD, CCC-A

School is back in session, and new routines are

getting established for kids, parents, and teachers. A new school year always brings excitement and nervousness to everyone. Just when you think you have your routine set and everyone is in their groove, your child brings home a note that he or she has failed the school hearing screening. Now what do you do?

First, don’t panic. Failed school screenings are not uncommon, but it is important to follow up with an audiologist so a full hearing evaluation can be done. An audiologist will be able to determine the cause of the failed hearing screening and give

recommendations.The following are common causes

of a suspected hearing loss in children when they have failed the hearing screening:

•Wax impaction: This can happen in one or both ears. A wax impaction will cause a temporary hearing loss until it is removed. The audiologist will be able to tell if wax is completely occluding the ear canal with a test called a tympanogram and an otoscopic viewing of the ear canals. Removal of the wax may be performed by the audiologist or a physician.

•Failure to follow directions: This is very common and occurs more with Photo by: Toledo Zoo


Swan Creek Retirement Village a continuing care retirement community located on 34 acres offering spacious villa homes and apartments.We promote an upbeat lifestyle; our residents are able to do the things they enjoy. Call or visit us today.

5916 Cresthaven LaneToledo, OH 43614

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Swan Creek Retirement Village a continuing care retirement community located on 34 acres offering spacious villa homes and apartments.We promote an upbeat lifestyle; our residents are able to do the things they enjoy.









Did you know about Toledo’s best kept secret?Swan Creek Retirement Village a continuing care retirement community located on 34 acres offering spacious villa homes and apartments.We promote an upbeat lifestyle; our residents are able to do the things they enjoy. Call or visit us today.














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younger children than with older students. Smaller children sometimes wait until they hear the beeps loud and clear before they respond instead of responding to the beeps when they are soft. Sometimes they are just too shy to respond or they just did not understand the directions. The audiologist has special techniques to obtain true hearing thresholds.

•Environment of the testing area/equipment failure: Testing should be done in a quiet environment, and sometimes this cannot be found in a busy school. Also, the equipment may have malfunctioned that day and the malfunction was not caught. The ideal testing occurs in a sound booth environment.

•Fluid behind the ear drum/ear infection: This is the most common cause of failed hearing screenings. It is not uncommon to see a child who has failed a hearing screening because of fluid and the parents had no idea it was even present. Fluid will cause a conductive hearing loss, which is usually temporary but will warrant a referral to an ear, nose, and throat (ENT) physician.

•Sensorineural (permanent) hearing loss: This is not common, but we do see it from time to time. The audiologist will be able to tell whether the hearing loss is permanent and the amount of loss. If a sensorineural hearing loss is diagnosed, an ENT physician referral is mandatory. The ENT will probably order testing to rule out any medical reason for the hearing loss. Once this is ruled out and medical clearance is given, application is then recommended (hearing aids or an assistive listening device).

An unidentified hearing loss in a child can cause speech/language delays, behavioral problems, and/or educational delays. Though there are some false positive results with school hearing screenings, they often identify a hearing loss in a child that was previously undiagnosed. If hearing loss is present, either temporary or permanent, it is important to make necessary accommodations in school until the hearing loss resolves or treatment is given. Accommodations could include preferential seating close to the teacher and seating away from excessive noise. If permanent

hearing loss is present, usually the child’s school is notified and an educational audiologist is then usually consulted.

Sometimes a hearing loss is misdiagnosed as autism or other developmental delays. Autism and hearing loss share many similar characteristics, such as lack of social interaction, lack of attention and communication, and unresponsiveness to verbal commands. Many children are identified as having a hearing loss

before being diagnosed with autism. According to Michelle McChesney Abrams, an educational audiologist for Colorado Springs School District 11 in Colorado Springs, Colorado, “If they have been labeled hard-of-hearing, it is difficult to step back and assess them as

having autism. The first label they get is what sticks with them.”

Other children may be misdiagnosed as having autism when they really just have a hearing impairment. Through careful assessment and testing, Abrams was able to identify a boy with hearing impairment after he had been misdiagnosed as having autism. Managing his hearing loss helped to eliminate the behaviors he displayed that had been perceived as autistic.

The opposite can also happen. Several years back, a three-year-old boy was seen in our office for a hearing test. He was recently diagnosed with hearing loss from another office and was fitted with hearing aids. His parents reported he was rejecting his hearing aids and for a good reason. After many attempts at retesting him and a visit to a child psychologist, it was apparent he was misdiagnosed with hearing loss and correctly diagnosed with an expressive language delay.

So if your child comes home this fall with a note saying he or she failed the hearing screening, simply call one of our offices and schedule a full hearing evaluation. We all have children of our own and have been in your shoes more than once. ❦

Dianna Randolph, 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).

For more information, contact:

Clinical Research Source, Inc. 419-873-1532 VERSION 1 - 27/APR/2012

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Heartland skilled nursing and rehab centers provide a comprehensive regime of specialized rehabilitation services, each one designed to move you one step closer to your recovery goals.

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Modern design. Mediterranean design is inspired

by the coastal regions of Spain, Greece, and Italy. It uses bold jewel tones, such as emerald green, lapis blue, and sunflower yellow, set against earth-toned backdrops. Furniture pieces are large, sturdy, rustic, and hand-carved. Wrought iron is used in cabinet hardware, lighting fixtures, and architectural elements of the home. In Mediterranean design, velvet, linen, and tapestry fabrics hang against textured, plaster walls.

Traditional design uses classic styling and symmetry. This look is all about balance, from architecture to furniture placement. The color palette for Traditional decor is usu-ally in the mid-tones, and fabrics usually have simple florals, stripes, or plaids. Crystal chandeliers and

fixtures with antique brass, bronze, and copper finishes complement Traditional decor nicely.

If you like to blend elements from both contemporary and traditional decorating, Transitional decor is your style. This style is casual and inviting, with simple, clean lines that are neither harsh nor ornate. The Transitional look uses warm neutral colors, such as cream, taupe, khaki, gray, and brown. Choose lighting fixtures with clean lines and a softer finish, like satin nickel or oil rubbed bronze, to complement your decor.

The list of design styles goes on and on! The key is to find the design style that’s right for you—the one that truly reflects your personality.

Sources: Feiss, FROY, HGTV, Hinkley Lighting, Houzz, Kichler Light-

ing. Photos courtesy of: Eldridge Images, Feiss, Gross Electric, and Hinkley

Lighting

When it comes to interior design, there are as many styles as there

are personality types. But what if you don’t know what your personal style is? Here’s a brief overview of some design styles to help you decide which one fits your home the best:

Art Deco design has an air of glamour and sophisticated elegance. It features bold geometric patterns and mirrored accents. Art Deco is all about shine—lighting fixtures with polished chrome and brass, furniture with lacquer, polished wood and metal, glossy paint, and glass tops. The classic Art Deco palette consists of two colors—black and white.

Arts and Crafts, or Craftsman style, focuses on simple form without extraneous decoration. Wood is the single most important element in Arts and Crafts design. Wood used in the architecture of the home and in furniture is stained, rather than painted, to showcase the natural beauty of the grain. Earthy colors of browns and greens are used in this design style. Since Arts and Crafts puts little emphasis on accessorizing, lighting is one of the only real accents. Mica and Tiffany glass lamps and fixtures work well in an Arts and Crafts style home.

As you would assume, Coast-al design is inspired by the ocean. Having lots of windows is key to Coastal design. They allow sunlight to shine in, creating a bright and airy atmosphere. To bring a Coastal feel to your home, use whites and creams with blue and green accent colors. Nautical or beach-themed accessories are perfect accents for a coastal cottage inspired room.

Contemporary design has clean, sleek lines and uses solid colors. When creating a Contemporary space, choose furniture and accessories with

bold punches of color. Ceiling fans, lighting fixtures, and decorative hard-ware with polished nickel, pewter, or chrome finishes work well in a contemporary space.

If you prefer a feminine look, English Country decor may be right for you. Lush chintz patterns in greens, reds, pinks, and blues are commonly used in English Country decor. English Country style homes are filled with carved wooden furni-ture, overstuffed sofas with tufting, and skirted furniture mixed with antiques and lots of small decorative accessories.

French design is ornate and dec-orative, characterized by rich details and extensive use of gold, bronze,

and gilt. Often, one color or fabric is repeated throughout the space. A French home has antique or heirloom furni-ture and dramatic window treatments.

A popular interior design trend over the past few years has been Industrial style.

This decor uses raw materials, such as reclaimed wood, exposed brick, sheet metal, bare bulbs, and dis-tressed leather. An open floor plan is a hallmark of the look. Lighting manufacturers have responded to this trend by developing fixtures that have antique-looking bulbs and bronze, weathered steel, and dis-tressed black finishes.

Originating in the 1950s and ‘60s, Mid-Century Modern is a design style characterized by simplicity, function-ality, and natural shapes. Molded plastic, natural wood, and aluminum are frequently used in Mid-Century Modern pieces. Bold geometrics, strong curves, and whimsical motifs give rooms a graphic punch. State-

ment lighting, such as Sputnik chandel iers , bubble lights, and Arco floor lamps, are key to Mid-Century

What’s your design style?

Craftsman Art Deco

Transitional

English Country French

Mediterranean Coastal Contemporary Mid-Century Traditional

2807 N. Reynolds Rd. 419-537-1818 Hours: M-F 9-6; Sat 9-5 Closed Sun www.grosselectric.com

light up your decor! Designer looks to

Your Lighting & Hardware Design Professionals


CATHOLIC EDUCATIONExcellence achieved through faith and values

In today’s climate of relativism, parents who hope to raise conscien-

tious, ethical, and morally enlightened children really have their work cut out for them. Popular culture con-tinually undermines their efforts by sending the message that “anything goes” and that concepts like faith, self-discipline, and respect for others are antiquated notions. But parents who send their children to Catholic schools find that the values they hope to impart to their children are upheld and reinforced in a supportive, caring environment. As a result, kids emerge better educated and better prepared to deal with the oppor-tunities 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-es-

teem results from accom-plishment, not vice versa.

Students are expected to achieve in their academic

Trick-or-treating safety starts with the costume

For youngsters all across our nation, the month of October means but

one thing—Halloween is on its way. On this one special night of the year, they get to fan out through their neighborhoods, dressed in outlandish costumes, with the goal of collect-ing a sack full of sugar-laden goodies.

Deciding what to be and acquiring or putting together the costume is almost as much fun for kids as the actual trick-or-treating. This is also the point at which parents should get involved to ensure their little ghouls get off on the right foot where safety is concerned.

Costumes should be bright, reflective, and short enough to prevent tripping, entanglement, or contact with flame (e.g., the candles in those porch Jack-O-Lanterns). It’s a good idea to incorporate a flashlight and bands or strips of reflective tape into the costume’s

design so your child will be clearly visible to motorists. Law-enforce-ment authorities also suggest that emergency-identification informa-tion, including your child’s name, address, and phone number, should be discreetly concealed within each child’s costume or worn on a bracelet.

Masks are often considered an integral part of the Halloween

ensemble. However, since they can limit a child’s field of vision, wearing face makeup and/or a decorative hat is a better alternative. All elements of

the costume, including wigs and handheld accessories, should be clearly labeled as

flame resistant. Simulated weap-ons—knives, guns, etc.—are best left at home. Too often, tragedy results when a toy weapon is mistaken for the real thing. ❦

Alex ’17

Open HouseSunday November 1512pm - 3pm

C A R D I N A L S T R I T C H . O R G


endeavors, 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 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. ❦

St. John’s Jesuit initiates 50th year with Mass of the Holy Spirit

St. John’s Jesuit High School & Academy (SJJ) began the celebration

of its 50th year of re-establishment in Toledo on Friday, September 4, 2015 with Mass of the Holy Spirit. At the official opening in September, 1965, Fr. Nicholas Gelin, SJ, the first president, said, “Today, St. John’s begins its second springtime with a planting that we pray will yield a harvest comparable to the first.”

And it has. Many of Toledo’s leaders in education, business, and

government have their foundation in a St. John’s Jesuit education, as do many others around the country. Over the 50 years, St. John’s Jesuit graduates have included Pulitzer Prize winners Michael Sallah ’73 and Nick Anderson ’85, Tony Award winner Kevin Kirkwood Smith ’95, Arizona Governor Doug Ducey ’82, CBS correspondent Steve Hartman ’81, Mayor of Columbus Michael Coleman ’73, Olympic contenders Scott Parsons ’97 and David Colturi

50 Years of Proven Results

Jesuit Education

• Christ-centered atmosphere

• $18.2 million in college awards for 2015 – more than any other school

• TRAC All Sports Champs three years in a row

• Over 50 clubs and activities to have fun and learn leadership

• Most Advanced Placement (AP) Courses to earn college credit

• A+ Learning Center for help when needed

• Three-year engineering program that partners with The Ohio State University

• Local, national and international Christian Service Programs

– An Investment in the Future

St. John’s Jesuit High School & AcademyMen for Others • Grades 6-12

5901 Airport Highway • Toledo, Ohio 43615 • www.sjjtitans.org

OPEN HOUSENovember 15 • Noon – 3 p.m.

Be a Titan for a Day. Call 419-720-0766.


’07, CEO & President of Pitney Bowes Marc Lautenbach ’79, Colonel Mark Swentkofske USAF Attaché Beijing China ’84, Secretariat Leader/Super-intendent of Catholic Schools Chris Knight ’78, Superintendent of Spring-field Schools Dr. Michael O’Shea ‘69, Superintendent of Washington Local Schools Pat Hickey ’81, as well as numerous judges, priests, captains of industry locally and nationally, NFL players and coaches, NBA players and coaches, community leaders and on and on.

That first freshman class in 1965, the Class of 1969, would yield the

CEO of The Andersons, Mike Ander-son; the President/CEO of Superior Vision Services Inc., Rick Corbett; renowned neon light artist Rocky Pinciotti; Springfield Schools Super-intendent Dr. O’Shea; former City Council member, writer, and political activist Michael Ferner; actor Mike Saad; and a future principal of the school, Tim Malone.

The high school opened its doors to all boys in 1965 with the gym, auditorium, and chapel still under construction. Today, the campus has grown to 54 acres and continues its 50-year mission to educate young

men in grades 6-12. The academic facilities feature a high school for grades 9-12 with a wing for grades 6-8. The campus includes the dome gym, auxiliary gym, The Lyden Fitness Center, Lyden Field, a state-of-the-art sports stadium, soccer/lacrosse field, a baseball complex, the McQuade Theatre, Sawicki Family Music Cen-ter, the Carty Fox Commons, a food court, the technology wing, the Iott Center housing the A+ Learning Center, and a chapel that seats the entire student body.

Plans are underway for other celebrations and remembrances

throughout the year to commem-orate St. John’s Jesuit’s 50 years of proven success in educating young men who are the leaders of today and tomorrow in the Catholic Jesuit tradition.

Over 10,000 young men over their four years at St. John’s Jesuit have experienced opportunities that have changed their lives and defined who they are. Graduates know that when you have helped someone and touched his life, it makes a world of difference within you. Although many graduates go on to successful careers because of the premier aca-demic education, Jesuit education has always been more about internal formation based on the teachings of St. Ignatius of Loyola, about the St. John’s Jesuit brotherhood, and about becoming a man for others.

For almost 475 years, Jesuit edu-cation has been producing tomor-row’s leaders in a Christ-centered atmosphere. St. John’s Jesuit is part of a network of 63 high schools and 28 colleges in the US and hundreds of institutions worldwide that all share the same ideals and programs. Founding documents based on the Spiritual Exercises of St. Ignatius orient and guide all Jesuit institutions and their employees to effectively carry on the educational mission and services of the Society of Jesus (Jesuit). ❦

Take a candlelit night tour of the historic Wolcott House where paranormal events have been documented over the years. After seeing a short film on the Wolcott family and their time in Maumee, a docent will take you through the rooms in the historic home and relate the strange happenings that have taken place within its walls.

New in 2015 and for one night only, the ORBS paranormal group will lead two investigative tours of three buildings at the Wolcott Heritage Center. ORBS will be bringing their specialized equipment, and audience participation is encouraged.

Tours will take place throughout the month of October. Registration is now open. For specific dates, times, and availability, please visit www.wolcotthouse.org/events/paranormaltour.

Wolcott House offers paranormal tours in October

SUA is...where I canbe my own

HERO

St. Ursula AcademySt. Ursula Academy is a Catholic, college preparatory school for girls, grades 6 through 12

NOW ENROLLINGFor more information call 419-329-2209

or [email protected]

Open House: November 8thFall Preview Day: October 23rd

High School Placement Test: December 5th

Become an ARROW for a DayTo reserve your spot call 419-329-2209

or online at toledosua.org


BE WHO YOU ARE AND BE THAT WELL. Come see what happens when you’re given every opportunity to

FOR HOMECOMING DAY ON FRIDAY, OCTOBER 16TH

BE A KNIGHT

FOR A DAY

A Knight for a Day. A Brotherhood for Life.Be our guest, shadow a student and see what makes

St. Francis de Sales so special.

JOIN US OCTOBER 16TH FOR HOMECOMING!Experience a KNIGHT pep rally and see the

Detroit Pistons Dunk Team up-close and personal!

After school, there will be cookout followed by a march down Bancroft over to the University of Toledo for the football game.

Please RSVP to [email protected] by 10/12/15.

SUNDAY, NOVEMBER 8TH

1PM - 4 PM

2323 W. Bancroft Street // Toledo, Ohio // sfsknights.org

ST. FRANCIS DE SALES SCHOOL

OPEN HOUSE

Join us for our Open House on November 8th. Meet the Brotherhood. Meet the Tradition. Meet the Knights. Experience the

Mission that has transformed young boys into Knights for 60 years.

High School Placement Test Prep SessionsSaturday, October 24th, 9AM - 12PM

Register by October 14th by emailing [email protected]

For more information, call 419-531-1618 or download our mobile app.*

*Standard data rates may apply.

GARDNER-MCMASTER PARKINSON CENTERDedicated to providing comprehensive, compassionate and contemporary services to patients and their families diagnosed with Parkinson’s disease and other movement disorders.

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YOUR PD TEAM

Clinicians:

Lawrence W. Elmer MD, PhD Director, Gardner-McMaster Parkinson Center

Krishe Menezes, MBBS, MD, DM Assistant Professor

Mary E. (Molly) Scott, RN, MSN, FNP-BC

Kimberly Cole, DNP, MSN, RN

Patient Support Team:Kelly Kohler, RN

Nikki Rippke, MA

Roseann Shepherd, MA

Beth Weller, MA

Clinical Trial Research Team:Julia Spears, CCRC

Stephanie Wilson RN, MSN, CCRC

Social Work Team:Lisa Keaton, MSW, LSW

Kristen Schuchmann, MRC, LSW, LPCC

THE GARDNER- MCMASTER PARKINSON CENTER WAS NAMED IN HONOR OF TWO GENEROUS DONORS:

HAROLD A. MCMASTER , 1916-2003, was known as the “glass genius” for his Glasstech Inc. team’s creation of high-quality, tempered glass. At the time of his death, it was estimated that 80 percent of the world’s auto glass and 50 percent of its architectural glass was made using machines his team helped to develop. McMaster was also a well-known philanthropist, donating millions of dollars to northwest Ohio institutions with his wife of 66 years, Helen. In 1991, McMaster — along with Thomas Edison and tire maker Harvey Firestone — was part of the inaugural group inducted into the Ohio Science Hall of Fame.

PHILIP D. GARDNER , 1917-2006, led Findlay Industries for 45 years, building the automotive parts manufacturer from a three-employee shop in a garage into a multinational organization with sales of almost $1 billion and more than 5,000 employees at 36 locations. Gardner was also president of the Findlay Inn and Conference Center and chairman of Centrex Plastics. An involved member of the Findlay American Legion, Rotary Club and Chamber of Commerce, he contributed to area charities and sponsored the Phil Gardner Fitness Center and the Virginia B. Gardner Arts Pavilion, named for his wife, Virginia.

Comprehensive Compassionate Contemporary

Gardner-McMaster Parkinson Center 3000 Arlington Ave. Toledo, Ohio 43614

419.383.4405 [email protected]

GardnerMcMasterParkinsonCenter

DEDICATED NEUROLOGICAL CARE SPECIALIZING IN MOVEMENT DISORDERS• Servingasaresourceforlocaland

regional primary care physicians and neurologists.

• Offeringsecondopinionsregardingpatients with challenging diagnostic and therapeutic cases.

• Comprehensiveservicestoassurethe accurate diagnosis and effective treatment of Parkinson’s disease and other movement disorders.

• Currentandevidence-basedinterdisciplinary therapies along with opportunities for participation in clinical studies.

• Psychological,socialworkandcounseling services to help with life changes, vocational decisions and caregiver stress.

• Rehabilitationservicestoimproveandsustain mobility in order to maximize physical independence.

• Educationalactivitiesforthecommunity.

• Wellnessprogramsofferingaholisticapproach to daily living with PD.

• Supportservices,educationandgroupactivities for caregivers.

• Multiplestructuredvolunteeropportunities and services.

RESEARCH 101:

Participation is entirely voluntary and can be ended at any time.

Research is not the same as regular medical care; you may or may not receive direct benefit although future patients may benefit from knowledge gained from the study.

Before agreeing to participate, you will be given information about the study, including:

• Thepurposeofthestudy

• Acompletedescriptionoftheresearchstudy and duration of your involvement

• Therisksandpotentialsideeffects

• Cost,ifany;typicallythereisnocosttoparticipants

• Ifyouwillreceivepaymentforyourtime,travel and effort to participate

• Alternativetreatmentoptions

• Yourrightsasaresearchparticipant

Youcanchangeyourmindandwithdrawfrom the study at any time.

AREAS OF STUDY:• EarlyParkinson’sdisease

• Pre-motorstudies

• Diseasemodification

• Earlysymptomtreatment

• AdvancedParkinson’sdisease

• Motorfluctuations

• Non-motorsymptoms

• Dyskinesias

• Cognitivechanges

• Parkinson’sdiseasemanagement

• Exerciseandyoga

• Speechandswallowing

• Deepbrainstimulation

• Botulinumtoxinfordystonia

• Huntington’sdisease

• Advocacygroupsandcommunityresources to assure services appropriate for the needs of patients and their families, coordinated with the Parkinson’s Foundation of Northwest Ohio.

• Interdisciplinaryapproachestoclinicalresearch.

• FulfillingthemissionofTheUniversityofToledo and University of Toledo Medical Center by educating future physicians, nurses, pharmacists, therapists and other clinicians about how to diagnose and optimally treat those affected by Parkinson’s disease and other movement disorders.

Our goal is to make Parkinson’s disease as insignificant as possible in the lives of our patients and their families.

GARDNER-MCMASTER PARKINSON CENTERDedicated to providing comprehensive, compassionate and contemporary services to patients and their families diagnosed with Parkinson’s disease and other movement disorders.

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YOUR PD TEAM

Clinicians:

Lawrence W. Elmer MD, PhD Director, Gardner-McMaster Parkinson Center

Krishe Menezes, MBBS, MD, DM Assistant Professor

Mary E. (Molly) Scott, RN, MSN, FNP-BC

Kimberly Cole, DNP, MSN, RN

Patient Support Team:Kelly Kohler, RN

Nikki Rippke, MA

Roseann Shepherd, MA

Beth Weller, MA

Clinical Trial Research Team:Julia Spears, CCRC

Stephanie Wilson RN, MSN, CCRC

Social Work Team:Lisa Keaton, MSW, LSW

Kristen Schuchmann, MRC, LSW, LPCC

THE GARDNER- MCMASTER PARKINSON CENTER WAS NAMED IN HONOR OF TWO GENEROUS DONORS:

HAROLD A. MCMASTER , 1916-2003, was known as the “glass genius” for his Glasstech Inc. team’s creation of high-quality, tempered glass. At the time of his death, it was estimated that 80 percent of the world’s auto glass and 50 percent of its architectural glass was made using machines his team helped to develop. McMaster was also a well-known philanthropist, donating millions of dollars to northwest Ohio institutions with his wife of 66 years, Helen. In 1991, McMaster — along with Thomas Edison and tire maker Harvey Firestone — was part of the inaugural group inducted into the Ohio Science Hall of Fame.

PHILIP D. GARDNER , 1917-2006, led Findlay Industries for 45 years, building the automotive parts manufacturer from a three-employee shop in a garage into a multinational organization with sales of almost $1 billion and more than 5,000 employees at 36 locations. Gardner was also president of the Findlay Inn and Conference Center and chairman of Centrex Plastics. An involved member of the Findlay American Legion, Rotary Club and Chamber of Commerce, he contributed to area charities and sponsored the Phil Gardner Fitness Center and the Virginia B. Gardner Arts Pavilion, named for his wife, Virginia.

Comprehensive Compassionate Contemporary

Gardner-McMaster Parkinson Center 3000 Arlington Ave. Toledo, Ohio 43614

419.383.4405 [email protected]


DEDICATED NEUROLOGICAL CARE SPECIALIZING IN MOVEMENT DISORDERS• Servingasaresourceforlocaland

regional primary care physicians and neurologists.

• Offeringsecondopinionsregardingpatients with challenging diagnostic and therapeutic cases.

• Comprehensiveservicestoassurethe accurate diagnosis and effective treatment of Parkinson’s disease and other movement disorders.

• Currentandevidence-basedinterdisciplinary therapies along with opportunities for participation in clinical studies.

• Psychological,socialworkandcounseling services to help with life changes, vocational decisions and caregiver stress.

• Rehabilitationservicestoimproveandsustain mobility in order to maximize physical independence.

• Educationalactivitiesforthecommunity.

• Wellnessprogramsofferingaholisticapproach to daily living with PD.

• Supportservices,educationandgroupactivities for caregivers.

• Multiplestructuredvolunteeropportunities and services.

RESEARCH 101:

Participation is entirely voluntary and can be ended at any time.

Research is not the same as regular medical care; you may or may not receive direct benefit although future patients may benefit from knowledge gained from the study.

Before agreeing to participate, you will be given information about the study, including:

• Thepurposeofthestudy

• Acompletedescriptionoftheresearchstudy and duration of your involvement

• Therisksandpotentialsideeffects

• Cost,ifany;typicallythereisnocosttoparticipants

• Ifyouwillreceivepaymentforyourtime,travel and effort to participate

• Alternativetreatmentoptions

• Yourrightsasaresearchparticipant

Youcanchangeyourmindandwithdrawfrom the study at any time.

AREAS OF STUDY:• EarlyParkinson’sdisease

• Pre-motorstudies

• Diseasemodification

• Earlysymptomtreatment

• AdvancedParkinson’sdisease

• Motorfluctuations

• Non-motorsymptoms

• Dyskinesias

• Cognitivechanges

• Parkinson’sdiseasemanagement

• Exerciseandyoga

• Speechandswallowing

• Deepbrainstimulation

• Botulinumtoxinfordystonia

• Huntington’sdisease

• Advocacygroupsandcommunityresources to assure services appropriate for the needs of patients and their families, coordinated with the Parkinson’s Foundation of Northwest Ohio.

• Interdisciplinaryapproachestoclinicalresearch.

• FulfillingthemissionofTheUniversityofToledo and University of Toledo Medical Center by educating future physicians, nurses, pharmacists, therapists and other clinicians about how to diagnose and optimally treat those affected by Parkinson’s disease and other movement disorders.



Comprehensive CompassionateContemporary

Gardner-McMaster Parkinson center3000 Arlington Ave., Toledo OH 43614

[email protected]


Comprehensive CompassionateContemporary

Gardner-McMaster Parkinson center3000 Arlington Ave., Toledo OH 43614

[email protected]



News From

OTTERBEIN

Knowing what to do in the event of a fire is particularly important

for older adults. At age 65, people are twice as likely to be killed or injured by fires compared to the population at large. Many of the fires involv-ing the elderly are cooking-related fires. And with our numbers growing every year—in the United States and Canada, adults age 65 and older make up about 12 percent of the population—it’s essential to take the necessary steps to stay safe.

Remembering When: A Fire and Fall Prevention Program for Older Adults, an informational booklet for retirees, was developed by NFPA and the Centers for Disease Con-trol and Prevention (CDC) to help older adults live safely at home for as long as possible. The program is built around 16 key safety messag-es—eight fire prevention and eight fall prevention. The free booklet and

message cards can be downloaded from the National Fire Prevention Website at www.nfpa.org.

To increase fire safety for older adults, NFPA offers the following safety tips:

Keep it lowIf you don’t live in an apartment building, con-sider sleeping in a room on the ground floor in order to make emergency escape easier. Make sure that smoke alarms are installed in every sleeping room and outside any sleeping areas. Have a telephone installed where you sleep in case of emergency. When looking for an apartment or high-rise home, look for one with an automatic sprinkler system. Sprinklers can extinguish a home fire in less time than it takes for the fire department to arrive.

Sound the alarmThe majority of fatal fires occur when people are sleeping, and because smoke can put you into a deeper sleep rather than wake you, it´s important to have a mechanical early warning of a fire to ensure that you wake up. If anyone in your household is deaf or if your own hearing is diminished, consider in- stalling a smoke alarm

that uses a flashing light or vibration to alert you to a fire emergency. Most importantly, in addition to placing a smoke detector in each bedroom, always remember to replace the batteries in your smoke detector when the time changes in the fall and spring.

Do the drillConduct your own, or participate in, regular fire drills to make sure you know what to do in the event of a home fire. If you or someone you live with cannot escape alone, designate a member of the household to assist and decide on backups in case the designee isn’t home. Fire drills are

also a good opportunity to make sure that everyone is able to hear and respond to smoke alarms.

Open upMake sure that you are able to open all doors and windows in your home. Locks and pins should open easily from inside. (Some apartment and high-rise buildings have windows designed not to open.) If you have security bars on doors or windows, they should have emergency release devices inside so that they can be opened easily. These devices won’t compromise your safety, but they will enable you to open the window from inside in the event of a fire. Check to be sure that windows haven’t been sealed shut with paint or nailed shut; if they have, arrange for someone to break the seals all around your home or remove the nails.

Stay connectedKeep a telephone nearby, along with emergency phone numbers, so that you can communicate with emergency personnel if you’re trapped in your room by fire or smoke.

Need more help?For family caregivers, one of the first

Attention retirees! October is Fire Prevention Month!

A Fire and Fall Prevention Program for Older AdultsRemembering Whentm


signs that their loved ones may not be living successfully in an inde-pendent setting or at home is the incidence of a smoke or fire event. Sometimes the person forgets that they left the stove on or they leave the home without turning off the

stove. Otterbein Portage Valley and Otterbein North Shore both offer independent living with extra secu-rity, smoke alarms, and staff nearby to help keep seniors safe. Please call Geri Ricker or Jo Ann Franks toll free at 1-855-300-5686. ❦

Q: I travel a lot for work, sometimes up to once per week. The problem

is, whenever I fly, I suffer from intense ear pain. There is no way for me to avoid the travel, so what can I do to minimize and prevent this pain?

A: It sounds like what you’re suf-fering from might be Eustachian

tube dysfunction. I think it would be a good idea to describe the anatom-ical structure of the Eustachian tube so you can better understand. The Eustachian tube connects the middle ear to the throat, is made up of four muscles, and aids in pressure equalization and mucus drainage. Under normal circumstances, the Eustachian tube is closed, but it also has the ability to open when necessary. To prevent damage, it opens to let air through, which essentially equalizes the pressure between the middle ear and the atmosphere.

In fact, dramatic pressure

differences can lead to a hearing loss, which we call conductive hearing loss. A conductive hearing loss occurs when there is an issue with the outer and the middle ear but the inner ear is free of any damage. Some common immediate solutions to clear the ear’s pressure include chewing gum, swallowing, or yawning. In fact, many people swear by chewing gum during a flight’s takeoff and landing.

You might notice babies on planes uncomfortable and crying at times. The reason might be the pain they’re

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experiencing. Babies and young children do not have the ability to equalize pressure because the shape and angle of their Eustachian tubes are different from that of adults. When the Eustachian tube doesn’t open properly to let air pass through, it creates a bulge in the eardrum, which results in pain and muffled sounds. Varying altitude changes can also lead to fluid buildup that could result in ear infections.

There may be things you can do to plan ahead for your next trip. Speak to your caring physician to determine if you may use some type of antihistamine. Other patients may need a simple procedure to allow the Eustachian tube to function properly.❦

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).

by Mark S. Faber, USPTA Elite Professional

Are trophies for everyone?

Over the past few months, this issue has been brought back to

the forefront with the statements and actions of Pittsburg Steelers player James Harrison. For those who do not recall this situation, Harrison made his kids give back their par-ticipation trophies and said they should only get them when they have earned them. So, since then, the great debate has begun once again with numerous articles being shared on the topic as well as conversations on various talk shows. With fall sport seasons underway, I’d like to share my thoughts on this subject with HLN readers.

Let me start off by saying that participation in a sport should be based on the fun factor (remember my previous article on that “F Word”?). Young kids need positive, realistic reinforcement for their efforts, and, at least in my opinion, giving them a certificate or a trophy really does not harm them. The harm comes from not having any fun. If children are

enjoying themselves and are with their friends, they will continue.

The negative focus that participa-tion trophies are receiving is unfor-tunate. If the kids are young, does it really matter? I have this debate with my professional friends, and we all sit on different sides of the fence. My belief is that, if handled correctly, participation trophies do no harm. As long as the kids are enjoying themselves, the little trophies will just be a reminder of the fun times they had.

Now, what do I mean by “handled correctly”? At a certain age, we still need to encourage participation, but we also need to start acknowledging winning and losing. Kids already know who is winning and losing. I sat at many baseball games this summer where “the score was not kept,” but the kids all knew what the score was (especially the com-petitive ones). There are many life lessons that can be learned through winning and losing. Learning how to handle the ups and downs of both will prove valuable as a child faces many of life’s challenges.

Sure, at a young age, say 6 or 7, it might not make sense to some. The groundwork that is laid during the formative years does set the tone for future actions. Learning how to deal with winning can be just as valuable as learning to handle the narrow defeat or the absolute beat down. So, rewarding children for participating is not a bad thing, but it can be if we do not teach them how to handle winning and losing.

If you put all of this together, you could have a serious recipe for success on the sports field as well as in life. Participating in sports teaches kids many life lessons. The bottom line, though, is if it is not fun, then kids will not want to continue. If they do not want to continue, then participation numbers will decline.

It seems as if the new normal for growth is a flat line. Remember a

Toledo Center for Clinical Research is currently seeking volunteers, ages 18 to 85, currently experiencing abdominal pain and constipation due to Irritable Bowel Syndrome (IBS) to participate in a research study of an investigational medication for IBS with Constipation.

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few months ago I shared how par-ticipation in youth sports for kids under the age of 12 is down? The sport of tennis was, and is, a flat line, which is actually great. One reason for this is the new approach to 10-and-under tennis, where the kids can get out and play and be successful. Most importantly, lines have been eliminated so kids are

not standing around. Instead, they are having fun.

It is not about the trophy; it is about the approach that is taken and the fun they are having. If they compete and have fun, is a trophy or certificate all that bad if it reminds them of the fun? In my mind, the answer is no, as long as winning and losing are included to teach life’s lessons. ❦

by Laurie Syring, RD/LDEATING WELL

The role of diet in breast cancer risk

October is Breast Cancer Aware-ness Month—though, with one

in every eight women expected to be diagnosed with breast cancer in her lifetime, you’d be hard pressed to find someone who hasn’t been touched by this disease. Still, many questions remained unanswered, such as how the foods we eat influence our breast cancer risk.

We do know that certain lifestyle factors, such as being overweight or obese, increase the risk of developing breast cancer and that getting exer-

cise, which is important during all stages of life, is particularly crucial for breast cancer survivors. A good, manageable exercise regimen is to walk briskly six days a week for at least 30 minutes.

With respect to diet, it’s highly recommended to keep it largely plant-based—fruits, vegetables, and whole grains along with lean proteins. In fact, your goal should be to consume five or more fruits and vegetables per day.

Based on the latest studies, the “Mediterranean Diet” has much to recommend it. Most of you have probably heard of this diet from one source or another. Basically, it’s not a specific diet plan, but a general pattern of eating that emphasizes fish, nuts, legumes, fruits and vegetables, and olive oil—lots of olive oil!

We’ve known for years that olive oil helps protect against heart disease and fend off memory loss, but research—including a new study from Spain that will be appearing in the Journal of the American Medical Association (JAMA)—now shows that it can also aid in the prevention of breast cancer. This recent study, conducted over a five-year period, involved over 4,000 postmenopausal women ages 60 to 80 years who followed one of three diets. According to the research findings, women eating the Mediterranean Diet,

with four extra tablespoons of extra virgin olive oil (EVOO) per day, had a 68 percent lower risk of developing breast cancer. While no study is per-fect, this one certainly seems to have overwhelmingly positive outcomes.

What’s in this EVOO—the “fruit juice” of olives—that makes it so

healthy and gives it cancer-pre-ventive qualities? EVOO contains a range of beneficial compounds, called

polyphenols and phytochemicals, that researchers are just beginning to understand. As I’ve emphasized here many times before, there is no perfect or “magic” food for weight loss and good health, but there’s no question olive oil is establishing itself as a superstar food! Perhaps not surprising, the study concludes that more emphasis should be placed on the olive-oil-rich Mediterranean Diet to reduce cancer and heart disease while improving health and well-being.

In summary, exercise and main-taining a healthy weight are the best ways to achieve optimal health and lower your cancer risk. Eat a well-balanced diet with lean protein (including plant sourc-es such as lentils, beans, nuts, and nut butters), whole grains, fruits, vegetables, and healthy fats like olive oil. Keep in mind, however, that not all olive oils

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are created equal. For optimal health benefits, choose extra virgin olive oil and make sure it’s fresh! Always check the expiration date.

Looking for ways to make your diet more Mediterranean? Try tossing this delicious honey-lime dressing on your next salad:

Honey-Lime Dressing¼ cup fresh lime juice1 garlic clove, minced2 Tbs. honey

¼ cup extra virgin olive oil2½ Tbs. fresh chopped cilantro1 tsp. chopped jalapeno pepper

Whisk ingredients in a cup or a small bowl until well blended. Store in an airtight container in your refrigerator. ❦

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

St. V’s introduces option of nitrous oxide to ease anxiety

and pain of childbirth

Most Americans are familiar with nitrous oxide as one of the tools

dentists have at their disposal to se-date patients. But what they might not know is that what works to ease pain and anxiety in the dental oper-atory can be just as effective in the labor-and-delivery suite.

Several decades ago, before other painkillers and sedation methods came to the fore, nitrous oxide, aka “laughing gas,” was widely used to soothe labor pains in the US. In England and other countries, its use in labor and delivery never went

out of favor and continues right up to this day. Now, Mercy St. Vincent Medical Center is making nitrous oxide available to women in labor who would like an alternative or adjunct to other interventions.

“The use of nitrous oxide for labor pain is an old thing that’s become new again,” remarks Certified Nurse Midwife Jonalea Thomas of Mercy Women’s Health, Physicians and Midwives. “Actually, it works better for reducing anxiety than managing pain. Women who use it during labor still feel pain with their contractions, but

the nitrous oxide gives them a sense of calm so they’re not as bothered by it. They can also breathe the gas at any point in their labor that they feel it’s necessary, giving them a greater sense of control over their pain.” In addition to its effectiveness during labor, nitrous oxide is safe to use for certain post-partum procedures, for example if the patients perineum was damaged during delivery and requires suturing.

Thomas explains that the nitrous oxide used in labor and delivery is a mix of 50 percent oxygen and 50 percent nitrogen. The gas is not administered to the laboring mother. Rather, she delivers it to herself as needed through a mask that she holds. In fact, by law, the patient—not a caregiv-er or family member—is required to hold the mask to her own face.

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The effect of nitrous oxide wears off very soon after the woman stops breathing it, and using the gas causes no known significant side effects or long-term complications. “Some women report dizziness or nausea, but we can’t be sure whether these symptoms are a result of the gas or just a byproduct of being in labor. Also, nitrous oxide doesn’t cross the placenta, so there are no known effects on the baby, making it safer to use than narcotics,” Thomas says.

Another benefit to managing the pain of childbirth with nitrous oxide is that it doesn’t seem to have an effect on the duration of labor. “Women’s labor will sometimes stall out with epidural or because Mom is feeling anxious and tense and fighting what her body wants to do. With nitrous oxide, women feel more comfortable and in control, and we’re not seeing a change in the progress of labor,” states Thomas.

All of the labor-and-delivery rooms at Mercy St. Vincent Medical Center are equipped with easily accessible nitrous oxide connections and the nursing staff works hard to ensure patients are aware they have the option of using the gas at any point during

their labor. What’s more, the mask and tubing are very portable so the patient doesn’t have to be confined to her bed and is not restricted from assuming any position that she finds comfortable and conducive to labor.

“Most women who use nitrous oxide during labor have very positive things to say about it. We’ve wanted to make this available to women in our community for a long time, and were just really excited to have an-other option that helps women take control of their labor,” Thomas says.❦

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Laurels rehab team sees many happy returnsYou could say Sharon Jeiles orig-

inally came to The Laurels of Toledo for the convenience but she ultimately stayed—and came back again—for the camaraderie, expert staff, and exceptional facilities.

Jeiles is just one example of the many rehab guests who undergo multiple joint-replacement surgeries and choose to return to The Laurels for rehabilitation after each procedure. “I first came here two years ago after I had my left knee replaced,” she recalls. “I didn’t even know until after surgery that I’d have to go to rehab. I thought I could just go home. So I picked The Laurels because I wanted to be close to family. As it turned out, the people were wonderful and so hands-on and the overall environment was very pleasant.”

In fact, Jeiles was so impressed with her first rehab experience at The Laurels, that she came back in July for rehab again following surgery to replace her right hip. She notes that her second rehab stint has been just as positive as the first. “I just love the camaraderie here, and the staff has become like family to

me. No matter who you are, they’re very patient and go out of their way to meet your needs and answer all your questions,” she says.

Of course, just because Jeiles’ experiences at The Laurels have been overwhelmingly positive doesn’t mean they’ve always been easy. After her hip replacement, she arrived in

a lot of pain and with a high fever. She also has other health problems to be monitored in addition to her joint issues, including heart issues and bouts with gout. There were plenty of rough days when she felt ready to give up. It was at those times that the staff really stepped up to provide motivation. “We just encouraged her to take it one day at a time and put her trust in the therapy and nursing staffs,” says Laurels physical therapy assistant Brad Weaver.

Rehab at The Laurels is never one-size-fits-all. Every program is tailored to the unique goals of the patient. “Sharon leads a very active life that includes riding Harleys and playing very actively with her great nieces. We weren’t going to get her back to that lifestyle without presenting her with a few challenges that she’s likely to encounter out there in the real world. So we went outside onto different surfaces and up and down inclines, and we did high-level balance and multisensory work. We threw every curve ball at her that we could think of, and she hit every one of them out of the ballpark,” Weaver explains.

As with all rehab guests at The Laurels, Jeiles’ progress was tracked using the innovative Pathway to Home program, which is a collaborative, interdisciplinary system that the therapists, nursing staff, guests, and their loved ones utilize to develop and monitor a cohesive set of personal and clinical goals. Julie Leidel, Rehab Services Director for The Laurels, notes that Pathway not only helps motivate the patient and keep everybody on the same page, but also breaks down the therapy program into manageable, attainable goals.

Jeiles is also gratified that the occupational therapy staff at The Laurels assisted her in sourcing various adaptive devices that will help her with activities of daily living following her hip replacement, such as a mechanical reacher, long-handled shoehorn, and sock aid. “I had no idea where to look for these items, but the occupational therapists found them all for me in one location and at the best possible price,” she says.

Looking to the future, Jeiles will once again have the opportunity to work with the therapists who

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have become like family to her. On November 17, she’s slated to undergo total replacement of her right knee, and, of course, she’s already making plans to return to The Laurels for her post-surgical rehab. “I love it here, and it’s the only place I’ll go for rehab. I’ll see all these wonderful people again in November!” she states. ❦

The Laurels of Toledo, located at 1011 Byrne Road, 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.

Bittersweet’s #GivingTuesday campaign aims to raise $10,000 for art program

Bittersweet, Inc. has joined #Giv-ingTuesday, a global day of giving

that harnesses the collective power of a unique blend of partners—charities, families, business, and individu-als—to encourage philanthropy and to celebrate generosity worldwide. #GivingTuesday is held annually on the Tuesday after Thanksgiving, this year December 1, 2015, to kick-off the holiday giving season and to inspire people to take collaborative action to improve local communities and to give back in better, smarter ways to charities and causes they support.

This is the third year in a row that Bittersweet has participated in #GivingTuesday, hoping to channel the generous spirit of the holiday season and to inspire action around charitable giving in the Northwest Ohio area. This #GivingTuesday, Bit-tersweet challenges its supporters to help raise money to fund the growing Bittersweet Creative Arts (BCA) Pro-gram across Bittersweet’s four Ohio locations. Each year, it costs $100 to fund one individual in the Bittersweet Creative Arts Program. Bittersweet Farms is currently serving over 100 individuals in the BCA program. To help provide all the individuals at Bittersweet Farms the opportunity to experience art education, vocational art, and therapeutic art, Bittersweet needs to raise $10,000.

Valerie French, Creative Arts Man-ager, says, “Bittersweet Creative Arts is an important part of the lives of individuals we serve. Participation in our program offers individuals the opportunity to express themselves in a way that words cannot achieve. The calming and soothing nature of art reduces stress and anxiety and helps us build meaningful partner-ships with our artists. The bond and trust that is formed between teachers and students and staff and artists promotes communication, socializa-

tion, and skill development. Many individuals have experienced great artistic achievement, and several have developed vocational skills that now provide them with income from the creation of art. We strive to sustain the financial needs of our program through the sale of our artwork, but with over 100 individuals now being served, additional assistance is greatly needed and appreciated.”

Those who are interested in joining Bittersweet’s #GivingTuesday initia-tive can donate through Bittersweet’s website (www.bittersweetfarms.org) on December 1, or by sending a check to Bittersweet Farms, 12660 Archbold-Whitehouse Road, White-house, Ohio 43571.

Individuals may also participate by volunteering at Bittersweet in the Creative Arts Program or by becom-ing a social media ambassador. A social media ambassador is expected to “like” and follow Bittersweet’s social media platforms as well as share and comment on posts about #GivingTuesday at Bittersweet. For more information, please contact Shannon Solt at 419-875-6986, ext. 1263 or [email protected].❦

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An elevated level of nervousness is perfectly normal when starting

a new job. You’re suddenly spending the majority of your waking hours in a completely different work en-vironment with, very likely, a com-pletely different workplace culture that you’ll have to learn to navigate. You don’t even know the names of your coworkers yet, let alone their personalities. Then, there are the demands and quirks of a brand new boss to figure out. At the same time, you’ve got a whole new set of skills and responsibilities to master. It’s no wonder you’re nervous! Fortunately, most people find that this feeling diminishes gradually as they become more and more familiar with their new workplace and their role in it.

However, for some people, the nervousness associ-ated with starting a new job far exceeds the norm. Instead of the typical “new job jitters” that dimin-ish with time, they experience over-whelming, almost debilitative feelings of anxiety. These people tend to have certain symptoms in common, such as an extreme sense of dread, panic, hyperventilation, an intense urge to run away from the situation, feelings of nausea, the urge to cry, intense fear of revealing inadequacies or being “exposed as a fraud,” and mentally “blanking out” when receiving directions from a superior in the workplace.

As a result of these emotions, they often feel that they’ve erred in taking the new job—even if they know logically that it is a good fit for them and they’re getting positive feedback from their boss and fellow employees. Hence, many experience a powerful urge to quit and return to their prior place of employment before really giving the new job a chance.

Making matters worse, these intensely negative feelings aren’t usually limited to time spent in the workplace. People with this form of anxiety often report insomnia and the inability to set aside their anxious feelings during non-working hours and over weekends. Sundays can be particularly anxiety-provoking with the start of a new work week looming. Moreover, while the severity of this anxiety may taper off somewhat with time and job familiarity, it seldom diminishes completely and can easily re-intensify if significant changes occur in the workplace, such as the introduction of new management or the shuffling of responsibilities.

Job-related anxiety can be a major problem for those who suffer with it—not just in the sense that it causes

intensely unpleas-ant emotions, but also because it can virtually paralyze careers. Many peo-ple with this form of anxiety are clas-sic “underachiev-ers.” They’ll often avoid seeking ca-reer advancement

through job change or taking on new responsibilities at an existing job because they fear the overwhelming emotions that always seem to ac-company such changes in their lives. In essence, they have a hard time distinguishing between their toxic feelings and a genuinely toxic work environment, so they tend to avoid entering new work arrangements altogether. Of course, in cases where the work environment actually is bad for one reason or another, job-related anxiety makes the situation all the more intolerable.

It’s worth noting that anxiety sufferers are also at increased risk of developing addictions because many choose to self-medicate with alcohol or other drugs in an attempt to alleviate their symptoms. Furthermore, they

Don’t let job-related anxiety cripple your career advancement!

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may find that their anxiety begins to manifest itself in other areas of their lives and to affect their relationships with family and friends.

The good news is, you don’t have to let job anxiety derail your career advancement. It’s a treatable condition that can be managed very effectively with the appropriate therapy. For example, in many cases, therapists use a form of psychotherapy known as cognitive behavioral therapy (CBT)—which involves identifying destructive thought patterns and fears and learning practical ways to change maladaptive behaviors—to help patients manage their anxiety. Anti-anxiety medication may also be prescribed to minimize the intensely negative feelings until the CBT starts to make an impact.

The best time to take advantage of this type of therapy is before starting a new job—ideally when you’re in the planning stage of a job or career change. That way, you’ll have the tools necessary to manage those powerful emotions before they reach an overwhelming level.

CBT won’t magically transform you from “nervous wreck” to “cool cucumber” overnight, but in time, it will help you to not only identify

destructive thought patterns but also to implement various strategies that will help you overcome them. It’s an active process—involving the patient’s direct participation in his or her own treatment—that has been shown to yield meaningful results in managing many forms of anxiety

and other disorders. If job-related anxiety has been

sabotaging your career advancement, it’s time to stop suffering in silence. Seek the help of a qualified therapist and put this stumbling block behind you. ❦

Sister Karen Zielinski, OSF

nobody’s perfect

from all of them was, “It took a lot of hard work in PT to regain my strength and live life as normally as I can.” I learned in my own limited experience, PT is hard but wonderful work. PT could improve my life. I wanted to live better.

Over the years, I have written several articles on physical and occupational therapy, walking aids (walkers, canes, wheelchairs, etc.), and general wellness. I do basic stretching exercises each day at home and other exercises when I get up in the morning, but I was ready for Extreme Physical Therapy (I like saying that because it sounds so dramatic!). I wanted to ramp up my muscles by going through a program with professionals who designed exercises tailored to my physical needs.

My health insurance would allow 20 one-hour-long sessions, and I would pay the difference. I knew that physical therapy would be a great help to me as I went about my activities of daily life. This is the 40th year of my MS diagnosis, and I wanted to be safe, to ensure, especially, that I avoid a fall. In the back of my head, I kept hearing a comment that my friend and retired physical therapist Margaret Hodges said to me: “PT

I don’t want to fall!

“What’s the matter with you? Did you have an attack?”

“No, I decided to strengthen my weak legs by going to physical therapy,” I replied.

People wondered why I was doing physical therapy (PT). I had countless questions about whether my MS was getting worse, if I broke a leg, or if I had a stroke.

Maybe it was the fact that some of my friends fell and broke bones or had bumps and bruises as a result of their fall. Or it could have been that I was inspired by watching TV and seeing people who had strokes, or athletes who fell while involved in their sport, come back and walk and talk like they did before their falls.

One thing I remember hearing

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can give you that resource of extra strength, security, and stamina that can help you avoid falling.”

I asked my doctor for a prescription for physical therapy and set up my evaluation and sessions. I went to the Franciscan Care Center twice a week for ten weeks. The therapists were excellent. They put me through the standard “chair exercises” and had me walk with a walker, use the NuStep machine, and stand and hit a large rubber ball (balance work). They also answered my questions. They encouraged me to continue the chair exercises at home daily, gave me directions on using a walker at home, and suggested I get a new AFO (Ankle Foot Orthotic, or leg brace) to help me walk a little easier. An AFO guides the foot to step out on the heel, not the toe. I always got tripped up when my right foot did not want to step out on my heel.

I have been blessed and lucky not to have fallen. As anyone who ever falls knows, often, it is more surprising and embarrassing than painful to fall. Of course, if you do experience a fall, it is always wise to check out any bruises, bumps, cuts, etc. with a healthcare professional to make sure nothing serious happened. It is also wise to watch any bumps or bruises after the fall.

Anyone concerned about avoiding falls might consider doing some physical therapy. Ask your doctor for a prescription, and the nurses at the office to recommend a place where therapy is offered. There are many outpatient facilities that offer physical therapy.

Trying to strengthen muscles is a great way to work on your own overall wellness. It is not another pill, and it is non-invasive. All you have to do is follow your PT plan. These exercise plans can be continued at home. Therapists can suggest ways to make your walking safer, such as getting an orthotic or using a cane correctly.

Orthotics are custom-designed shoe inserts that allow the muscles, tendons, and bones of the feet and

lower legs to function at their highest potential. When appropriately prescribed, orthotics can decrease pain, not only in the foot, but also in other parts of the body, such as the knee, hip, and lower back. They can also increase stability in an unstable joint, prevent a deformed foot from developing additional problems, and improve overall quality of life.

An orthotic can help with problems of numbness (neuropathy) or balance,

and just give you a steadier gait on snow or ice. Orthotics usually require that you wear tie or buckle shoes, which can add to your overall security when walking.

A cane can also add security to your walking. Sometimes we feel self conscious using a cane or wearing tie shoes that look like Kleenex boxes. We all have our pride and fashion sense, but to be safe, it is wiser to wear things that medical experts have prescribed for our well being and safety than to wear cute shoes and fall on our heads! Or other body parts!

Rainy or wintery weather can challenge even the most sure-footed people. When it comes to ice, black ice, wet pavement, snow, or sleet, we need to proceed with a little more conscious preparation. My Mother’s words ring true: “Be careful or you’re gonna fall!” (Actually, Mom usually said, “Be careful or you’ll break your neck!”)

I came to my PT sessions with questions for my therapists. They answered all of them, and gave me sensible advice. On days when my legs were very weak due to high humidity, they prompted me to rest before I continued with my chair exercises. When I asked about where to get an updated AFO, they gave me a couple of options. They told me which type of walker fit my body and even told me I could call them if I had other questions. Their knowledge was probably one of the

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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best parts of my sessions. I left my ten weeks of PT sessions

having more energy, sleeping better, and with the homework of doing my daily chair exercises, getting a new AFO, and using the NuStep machine a few times a week. Thanks to my therapists, I felt stronger, happier, and on a mission! I told them I would see them next year with my new AFO and my improved walking skills.

They seemed to really like me because of my hard work—or maybe

it was because of the Rice Krispies treats I brought them! ❦

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

Lawn and garden care

A Walk in the Parkby LeMoyne Mercer

A rider came toward our campsite through the willow bushes along

the Gros Ventre River. At first we could see just his head with Western hat and the ears of his horse. When he entered the clearing, we could see his pack horse carrying four stain-less-steel canisters like those that dispense restaurant soft drinks. He held the nozzle of a long hose that led back to one of the canisters.

The rider, Samuel Fowler, said we should not be concerned. He was just spraying herbicide on non-na-tive invasive plant species such as Canadian thistle. I asked how much of the park he was responsible for spraying.

“All of it,” he said.Grand Teton National Park is

309,993 acres.“Wow!” I said. “I’m impressed.

I have about 1,500 square feet of lawn and I can’t keep the invasive species out.”

Samuel said he is a student in range management at Colorado State University. He acknowledged that his efforts at weed control were probably futile but the pay was the same whether he succeeded or not. He said we should not worry about the toxicity of the herbicide because its effects deteriorated after about three hours.

More political correctness, I thought. The Parks Service is dedicated to eradicating invasive species—with a kinder, gentler, all-natural, organic herbicide that won’t harm the envi-ronment—or even weeds.

While he talked, Samuel’s horse was nuzzling Shirley.

“The last people we saw gave him an apple,” Sam said to her. “He thinks you might have one.”

Shirley is a great admirer of the velvety smooth noses of our equine friends. But she had no apples and the horse’s interest soon waned. Liked having his ears scratched, though.

This was not our first encounter with the efforts to destroy illegal alien plants in the national parks. Usually, though, the canisters are carried on backpacks by foot soldiers in the war

Sam Fowler sprays while his pack horse does his part to control invasive weeds.

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against weeds. A person on foot can cover less ground than one on a horse so the range is usually restricted to where the results will be more clearly evident to the public—along roadsides and near park facilities. Yellowstone, for example, is about two and a quarter million acres. There is no way they can cover all the places where the wind or the birds might carry seeds.

Samuel said his horses find the flower heads of thistle quite tasty. “They bite them right off,” he said, “and avoid the prickly stems and leaves.”

It occurred to me that the Parks Service might have more success by scrapping the herbicide and hir-ing more hungry horses. And they would get free lawn fertilizer as part of the deal.

At least Samuel raised our aware-ness of the issue. The native wild-flowers of Grand Teton National Park have always been a significant part of the charm of the place. The gran-deur of the mountains is impossible to overlook, but, typically, when I’m taking photos, I bend down to include some flowers in the foreground. It adds color to the scene and creates a feeling of depth in a two-dimen-sional medium.

The next day, when we headed off on our favorite hike to Taggart

Lake, we paid more than our usual attention to the native and non-na-tive wildflowers. Shirley and I prefer to make the walk to Taggart in a counter-clockwise loop. Many people choose to return from the lake on the same route that got them there.

The trail crosses Cottonwood Creek on a narrow foot bridge and climbs parallel to the stream over a glacial moraine. Then it descends gently through a meadow with snow-capped peaks rising dramatically straight ahead. The trail passes through a stand of lodgepole pines with lots of timber downed in a 1988 wild-fire. The new growth is about 20 feet high—far from mature yet. The trail then continues across another meadow to the lake, fringed by more lodgepoles and aspens.

Along the way are splashes of scarlet Indian paintbrush and the blue of harebells swaying in the slighted breeze. In July, yellow seems to be the dominant color whether it is but-tercups, mule’s ears, blanket flower, or Shirley’s favorite, “members of the hawkweed family.” That is, any yellow flower we cannot identify.

Shirley went ahead of me to stake claim to our lunch rocks at Taggart Lake.

Sam Fowler evidently had not yet gotten to this patch of thistle.

Firecracker penstemon provides red highlights in a landscape dominated by yellow and blue flowers.

Alpine sunflowers bring a little something extra to a view of the always astonishing Teton Mountains.

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An impressively large patch might be designated a “Hawkweed Family Reunion.”

Fortunately, Shirley has grown more patient over the years as I stop frequently for photos. (In the Olden Days when I shot film, there might be 250-300 photos per trip. With digital, you can add another zero.) Can’t drag my feet too much, though, because traffic on the trail tends to pick up when other visitors leave their hotels and restaurants down in Jackson. This summer we visited nine national parks in the West and found a dramatic increase in the number of visitors at all of them. Some of our favorite “private” spots were simply overwhelmed this year.

The incentive to move right along was to reach our lunch rocks at the lake before interlopers arrived. Shirley managed to get there first and stake our claim. Usually, lunch is fruit, a trail bar, and water. This time we had nectarines. We are slaves to habit.

“No,” says Shirley, “we are just traditionalists.”

So, traditionally we continue to

This must be a "member of the hawkweed family"; that is, a yellow flower that I don't recognize. But a hawkweed by any other name would smell as sweet.

Elk droppings are an all-natural fertilizer for alpine phlox.

A bighorn ewe takes time to "smell the roses." And nibble a few.

Color seems to vary significantly with the pH of the soil and water conditions. Indian paintbrush varies from that intense scarlet to a more washed out yellow-orange.

Every national park has at least one iconic feature that helped get it named a national park in the first place. The Grand Canyon is obvious. Yellowstone has Old Faithful and the Lower Falls. Everglades has alligators. Visitors don’t feel that they have “done” the park unless they check these features off their list. (What do you mean you didn’t see Yosemite Falls and Half Dome?)

All of the parks have far more to offer if you can just find time to smell the roses (wild, of course) or lupines. Or any member of the hawkweed family. Just don’t get so distracted that you bump into an elk, a deer, a moose—or a bear. No matter how far you walk into the park, though, you will probably bump into some thistle. ❦

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

the south end of the lake where the outlet is crossed by a footbridge. The trail climbs steeply for just a short dis-tance back over the moraine through more lodgepoles. It emerges into a sloping meadow with views back over our right shoulders of South Teton, Middle Teton, and Grand Teton. Ahead is Blacktail Butte rising in Jackson Hole.

The trail descends through long, easy switchbacks to run beside Beaver Creek. It is about a mile farther this way, but if we had wanted to avoid hiking we could have just enjoyed the scenery from the pullouts along the road. My guess is that the ma-jority of visitors never get more than 10 or 20 feet from their cars and yet have a simply stunning experience nonetheless. So, walk or don’t. Your mileage may vary.

The reward for walking is the chance to see deer or maybe a prong-horn with her calves. And, of course, more of those wildflowers such as geraniums. (Not at all like the do-mestic varieties that grow in home gardens.) Their colors range from almost white to medium blue-purple.

I remember playing in the woods as a child, picking up slimy critters,

and then coming home and tracking mud in the house. In the winter, the windows and doors leaked a little bit, and when the wind howled, a breeze could sometimes be felt in the house. Nobody had ever heard of hand sanitizer, and our mom had to remind us to wash our hands as we ran to the dinner table.

Our immune system is pretty amazing. It stands against all the bad bugs in the outside world that seek to take up residence in our bodies. Our immune system works very much like a muscle; the more exercise it gets, the stronger it becomes. Exposure to bugs and allergens, especially at a young age, helps train our immune system to recognize what is “good” in our bodies versus what is “bad.”

We get our first immune training

The Low-down dirt on cleanliness

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from our mothers when we breast-feed. Certain immune proteins are transferred from mothers’ fully trained immune systems into babies through their breast milk. That is why breast-feeding can be so important to start us off right.

Excessive cleanliness can lead to a whole host of problems, starting in our homes. With today’s emphasis on conserving energy, homes are now designed to be almost hermetically sealed against the outside. In fact, homes are so airtight that builders are mandated to install a separate outside air intake to bring at least some fresh air into a new home. The problem arises when stale air is not allowed to exchange to any great degree with fresh, outside air.

Also, new construction includes lots of glues, laminates, plastics, and solvents, which are slowly released into the household air for years after construction. Soaps, sprays, detergents, etc. also used in the home are not diluted very well over time, especially in the winter months. These toxins linger in the air and are repeatedly breathed in and out by family.

Bacteria in a sealed home can also thrive. Built up in the air over time, they can tax and overwhelm

our immune system as well. Simply running the sweeper pulls up clouds of nasty stuff living in the carpet, which we breathe in time after time if fresh air isn’t brought in.

Common hand cleaners, house-hold disinfectants, handy-wipes, and detergents have now been linked to asthma, skin eczema, hormone imbalances, and other health prob-lems. The strong chemicals in today’s household cleaners were developed to sterilize hospital settings. It is vast overkill and detrimental to try to achieve that level of cleanliness in the home.

So what can be done? It is import-ant to “air-out” the house whenever possible. Open doors and windows whenever the weather permits—even just for an hour or so. Change AC and heater filters often enough so

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that there is no buildup on them. Instead of using chlorine, ammonia, ammonium quaternary compounds (found in toilet bowel cleaners), triclosan and triclocarban (found as anti-microbial agents added to soap), and nano-silver (added to plastics during manufacture as an anti-microbial agent), try using more natural cleaning agents like vinegar and water for glass, regular soap and water, and Borax whose chemical properties make it a good cleaner and bleaching agent.

The new “old healthy” may re-quire that families are less obsessed with disinfection and more focused on non-toxic cleaners and a little elbow grease.

Finally, need more proof that keeping a home over-sanitized isn’t the healthiest thing to do? The journal Pediatrics has reported that babies growing up in a household contain-ing a dog or cat are less likely to get

sick than children who live pet-free. Coughs, colds, sniffles, and flu are decreased in households with pets. Pets have also been associated with a lower incidence of asthma and allergies in children. Exposure to pets seems to exercise the immune system and mature it faster—just like exercising a muscle makes it bigger and stronger.

So put away those harsh chemical cleaners, open a window, and head out to your local Humane Society for a new best friend. All it can lead to is a better, healthier life for you and your family. ❦

Dr. Schwan is available to speak with your group on a wide range of holistic topics. Just drop him a line at [email protected]. For more information about TCM, acupuncture, or Schwan Chiropractic & Acupuncture Center, please visit us at www.AcupunctureToledo.com.

The Central Catholic High School Department of Athletics is pleased

to announce that the school will begin a girls’ lacrosse program in the spring of 2016. The Ohio High School Athletic Association has stat-ed that girls’ lacrosse will become an OHSAA-regulated sport for the 2016-17 year.

Central Catholic also announces that Patrice Brock has been named as the new head girls’ lacrosse coach. Coach Brock’s experience includes serving as head coach of Perrysburg High School girls’ lacrosse from 2010-15 where she was instrumental in developing that program since its inception in 2006. She also served as President of the Perrysburg Lacrosse Club (boys and girls high school teams) from 2005-2009 and was a coach and coaching advisor to Perrysburg Youth Lacrosse and Stingers Girls Youth Lacrosse.

“I am pleased to be at the ground level of developing the Fighting Irish Girls’ Lacrosse Team. The ceiling is so

high for this program, and I cannot wait to build a solid foundation for the many female athletes at Central Catholic, helping them move closer to reaching their athletic potential,” said Coach Brock.

“As we continually evaluate our sports offerings at Central Catholic, it is imperative that we are cognizant of trends at the local, state, and national level. The addition of girls’ lacrosse is in alignment with that philosophy as we maintain our objective to advance our department forward and provide the best interscholastic experience in Northwest Ohio,” said Dan Gill, Director of Athletics.

“Coach Patrice Brock exemplifies impeccable integrity, and her knowledge and commitment to the game of lacrosse is undeniable. I am excited about the prospects of our program under her guidance, as she demonstrates all the intangibles necessary to develop the sport here at Central Catholic,” added Gill. ❦

Central Catholic High School

announces new girls’ lacrosse

program

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