hln january 2016

t

Your Monthly Guide to Healthy Lifestyles

Also in this issue:

Make the fitness

commitment in 2016!

January 2016 • FREE Also available at hlntoledo.com

• Walt's Corner• Eating Well• Senior Living Guide• Sound Advice• Health Crossword

Hee lthy Li ing N wsee

• Winter skin spruce-up• Love your thyroid• Float away stress• Rehab patients, your ride awaits• The senior living vocabulary

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Dear Readers,Thank you for picking up the January issue of Healthy Living News. At the start of each new year, we resolve to make changes that improve our lives physically, emotionally, and spiritually. We’re confident that you’ll find all the ideas and inspiration you need to get off to a good start and ultimately accomplish your goals right here in the pages of this publication.

If shedding pounds and getting fit is your objective, our friends at Super Fitness can help. They’ll provide state-of-the-art equipment, cutting-edge facilities, and expert training for a modest monthly price. All you need to supply is a little dedication. See the article on page 5 to find out why commitment is key to long-term fitness success.

This month’s jam-packed issue also features an article on Wildwood Athletic Club’s New

Year, New You program (p. 33); the many pathways to joint pain relief, courtesy of Mercy orthopedic surgeon Dr. Rick Miller (p. 28); a glimpse at the exciting trend of cancer

immunotherapy, with expert perspectives from Dr. Mark Burton of The Toledo Clinic Cancer Centers (p. 9); tips to help parents prevent childhood obesity from Cindy Pisano, supervisor of the Healthy Connections Department at Mercy Children’s Hospital (p. 36); and insights on floating as a relaxation technique from Thomas Fine, Associate Professor of Psychiatry at the University of Toledo (p. 19).

We’re also pleased to announce that we’ll be kicking off 2016 with two new columns. The first is Walt’s Corner, which will bring you a healthy, flavorful recipe from Walt Churchill’s Market each month (see p. 40),

and the second is a profile of one of the many vital nonprofit organizations that serve our community, starting with Sunset Retirement Communities (p. 24).

We hope you enjoy these new elements along with our regular columns and monthly feature stories—all of which are contributed by local health writers and made possible by the generous support of local advertisers.

Looking back for just a moment, we’re extremely grateful for readers’ overwhelmingly positive response to our November article on hockey legend Gordie Howe and his family. It’s tremendously rewarding to know our content is inspiring readers and making a positive difference in their lives.

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

January 2016 • Vol. 21, Issue 1

Your Monthly Guide to Healthy Living

@HLNToledo

Connect with Friends who Like Healthy Living News!

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FOOD & NUTRITION14 Eating WEll How to make weight loss less

overwhelming, by Laurie Syring, RD/LD23 Perrysburg Medical Weight Management, Inc.

offers OPTIFAST®

40 Walt's CornEr Edamame salad

HEALTH & BEAUTY2 Winter skin spruce-up9 Cancer immunotherapy: harnessing the body’s

natural defenses10 Love your thyroid, by Christine A. Holliday11 spiritually spEaking Forgiveness touched by mercy

by Sister Mary Thill12 Hearing aids vs. personal sound amplification

products, by Dianna Randolph, AuD, CCC-A18 Heartland’s tips for a healthy New Year

by Jim Berger27 sound adviCE from northWEst ohio hEaring CliniC

by Randa Mansour-Shousher, AuD, CCC-A28 Many pathways to joint pain relief35 Understanding rheumatoid arthritis39 nobody's pErfECt “Not yet!” Why we postpone seeing a

doctor, by Sister Karen Zielinski, OSF41 Toledo Clinic offers help for chronic facial pain

by Christine A. Holliday

TAKING CARE OF YOUR LIFE5 No excuses! Commitment is key to lasting fitness

success8 Investment advice can add value on many levels

by Scott D. Brown15 Acupuncture can help with those pesky

resolutions, by Douglas Schwan, DC, Dipl ac19 Stressed out? UT researcher suggests floating as a

way to relax, by Brandi Barhite30 Health Crossword, by Myles Mellor31 New Year’s resolutions: like a kid in a candy store

by Kat Tomasewski 33 This New Year, start building a new you at

Wildwood37 Do you know your senior living vocabulary?38 Maintaining those New Year’s resolutions

by Amanda Manthey40 Winter fall prevention tips for seniors42 a Walk in thE park Monumental experiences

by LeMoyne Mercer

OUR COMMUNITY20 Anti-gravity treadmill becomes permanent rehab

offering at The Laurels22 Senior Living Guide24 Sunset adapts and evolves to enrich seniors’

life journeys31 Maumee Valley Country Day School announces

invitational student art exhibition32 Rehab patients, your ride awaits!34 Fairwood Health & Body Transition helps patients

restore thyroid health and lose weight36 New independent community pharmacy opens

in Maumee

CHILDREN & PARENTING17 The sports evolution: not just about the players

by Mark S. Faber, USPTA Elite Professional36 Tips to help parents prevent childhood obesity

by Cindy Pisano45 Make becoming a foster parent your New Year’s

resolution

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

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

Contacts

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

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

Publisher: Kevin O’Connell

Editor: Jeff Kurtz

Travel Editor: LeMoyne Mercer

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Print Designer: Jan Sharkey

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Social Media Specialist: Kelly Rickey

Distribution:Jim Welsh • Alison Foster

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

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No excuses! Commitment is key to lasting fitness success

State-of-the-art workout equipment, personal training, and access to

cutting-edge classes and facilities are all important components of a well-rounded fitness program. But according to Super Fitness owner Ron Hemelgarn, none of these will get you any closer to reaching your long-term fitness goals if you lack one key element that comes from within: commitment.

A Toledo fitness industry leader and innovator since 1972, Hemelgarn has observed a frustrating trend over the past 44 years. That is, more and more people are leading sedentary lives and doing sedentary work. As a result, people of all ages—includ-ing children—are not only getting significantly heavier, but also expe-riencing the various health issues that accompany obesity, such as joint pain, back pain, high blood pressure, heart disease, and diabetes.

“If you look back over history, people did much more physical work than we do now and recreational exercise was considered a luxury,” Hemelgarn explains. “But today, we live in an electronic world that demands very little physical effort, and our bodies are paying the price. If there were a pill that could fix this, everyone would be taking it, but there isn’t, so we have to get serious about exercising and eating right and promoting these same habits in our kids.”

The importance of making a long-term commitment was highlighted for Hemelgarn recently when he realized that many Super Fitness members have been with the club since it first opened and that most of those individuals remain in excellent health

and are full of energy despite their age. In fact, three current members are over 100 years old—and one of them just renewed his membership for another three years.

To encourage others in our commu-nity to make a similar commitment, Hemelgarn has worked very hard over the years to make Super Fitness accessible and enjoyable for everyone as well as to erase the various excuses that we so often make to justify our lack of activity. These include:

I’ve never worked out before and don’t know how to beginThe cost of a Super Fitness membership includes access to expert personal trainers who are ready to show be-ginners the ropes and put them on an individualized road to achieving their fitness goals. “Remember, you are not alone! We have beginners starting here every day, and we tailor their programs so they make steady progress without overdoing it or feeling intimidated,” Hemelgarn says.

I’m too old to start exercisingThe above example of the three one-hundred-plus-year-old members should tell you otherwise. In fact, Super Fitness is not only a popular destination for seniors striving to stay in shape, but it has also become a social hub for seniors who enjoy the camaraderie of their peers while they work out and enjoy all the club’s amenities.

I can’t use standard exercise equipment because I’m obese or physically disabledSuper Fitness welcomes and caters to members of all fitness levels, body types, and physical capabilities, of-fering cutting-edge equipment de-signed specifically for obese members and those who use a wheelchair. Also, every year, the club holds the Extreme Weight Loss Challenge to help members shed excess pounds, learn to eat better, and reclaim their health in a fun atmosphere under the guidance of expert trainers.

I don’t have anyone to watch my kids while I work outAs Hemelgarn sees it, fitness should be an activity that includes the entire extended family, including grandpar-ents, parents, and kids. That’s why Super Fitness features the state-of-the-art

NuStep cross trainer.

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

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Super Fitness offers a safe, secure Super Fit Kids Club complete with exercise equipment that’s specifically designed to fit the smaller torsos of children. “Kids are like sponges. They absorb what their parents do. If they see that you value exercise, they will too. But if you keep making excuses to avoid exercise, they’ll develop the habit of making excuses as well,” he cautions.

As a woman, I’m not comfortable exercising around menRecognizing that many women prefer to work out separately from men, for example if they’re feeling self-conscious as they work to lose excess body weight, Super Fitness provides a dedicated Ladies Only section with equipment customized to fit women’s bodies.

Exercise is too painful for meWhile it’s essential to consult with your doctor before beginning any exercise regimen, getting more active, building core strength, and losing weight is often the best way to elim-inate joint pain, back pain, etc. “It’s amazing how many back, hip, knee, and ankle problems we see because people are carrying excess weight and have a weakened core. We’ve seen time and time again that once they start to lose weight and strengthen those core muscles, their aches and pains suddenly disappear. We also have a wide variety of aquatics classes that allow people with arthritis pain to get an exceptional workout with no stress on their joints. They can get in there, get moving, and eventual-ly move on to the machines,” says Hemelgarn.

Today’s fitness programs are too rigorous for meHemelgarn neither offers nor en-dorses extreme exercise regimens. He notes that exercise is not about going to extremes, but committing to regular effort and building strength and endurance gradually. Pain is your body’s way of telling you to stop or slow down, and getting injured is the surest route to abandoning your fitness commitment.

The lines are always too long at fitness clubsSuper Fitness provides a vast se-lection of the very latest cardio and strength-training equipment, which ensures that members never have to wait in line or have their workouts constrained by time limits on equipment.

Also, Hemelgarn continually brings in the very latest equipment designed with medical input. For example, the club features state-of-the-art NuStep recumbent cross trainers commonly used in rehabilitation programs. He also just recently invested in six Oc-tane XT-One elliptical cross trainers, which allow members to do several different types of exercise on a single machine for a customized workout, as well as nine new Cybex treadmills. What’s more, all the equipment is continuously cleaned and meticu-lously maintained.

I get discouraged because I lose weight too slowlyIf you’re significantly overweight, you likely put on those pounds slowly over the course of many years. They’re not going to drop off overnight. However, you could be at or close to your goal within the year if you make the effort. “The key message is ‘just do something.’ It’s not going to happen in a week, but if you get it in your mind that you can do it and make the commitment to fitness, you’ll lose the weight and keep it off,” Hemelgarn says. ❦

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In today’s Internet-enabled, do-it-yourself world, many investors

are opting to go it alone. They pick their own stocks, bonds, and funds; choose their own strategies; and make their own buy-and-sell decisions. While this self-directed approach may work for some, it may not be the wisest course for many.

Investment complexity may require professional adviceInvestors today can choose from more than 5,000 publicly traded stocks, in excess of 7,000 mutual funds, 1,200-plus exchange traded funds, and several thousand bond issues—and that’s just those listed in the United States.1 Then, there are the alternative

1 The Wall Street Journal, US Public Com-panies Rise Again, February 5, 2014; 2015

asset classes that include commod-ities, real estate, hedge funds, and private equity.

The breadth of the public securi-ties markets and the complexity of alternative investments require a high level of experience, and this is the value provided by a professional financial advisor. In addition, qualified financial advisors may have access to sophisticated strategies, institutional quality research, and risk-management tools that are generally unavailable to untrained individuals.

Discipline and objectivity—the hallmarks of successful investingThere are a number of classic mistakes

Investment Company Fact Book, Investment Company Institute, 2014. Stocks do not include over-the-counter stocks.

that retail investors inevitably fall prey to: overreacting to market news, selling an investment too soon or holding it too long, trying to time the market, or under- or overestimating risk. A qualified investment professional is trained to identify the conditions that lead to these reactions and may help you avoid these missteps.

Objective third-party advice can also help you maintain a disciplined investment strategy because it re-quires that you set achievable goals, implement trading guidelines, and establish rules for buying and selling securities. Investment publications, blogs, and television and radio shows are filled with stories about investors overpaying in a bull market and panic selling during a market correction. A financial advisor is more likely to view such situations dispassionately and offer a more balanced and long-term perspective.

A professional can offer a comprehensive approachThe added value of professional advice is its holistic approach to investing, taking into account life events, shifting goals, changing economic and market environments, tax events, insurance issues, and legacy planning needs.

So if you are currently managing your own investment portfolio, you may want to consider tapping into a financial advisor’s experience. It may make a big difference in achieving your long-term goals. ❦

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 pro-vided courtesy of Morgan Stanley Financial Advisor.

The author(s) are not employees of Morgan Stan-ley 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 in-formation 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 infor-mation 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.

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

Scott D. Brown may only transact business in states where he is registered or excluded or exempted from registration http://www.morganstanleyfa.com/theaurora-group/. 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 D. Brown is not registered or excluded or exempt from registration.

© 2015 Morgan Stanley Smith Barney LLC. Member SIPC. CRC 1238692 07/15

Investment advice can add value on many levelsby Scott D. Brown

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/

• Equities,fixedincomeandmutualfunds• Trustandestateplanningservices• Alternativestrategies• IndividualRetirementAccounts• Brokerageservices• Businessfinancialservices• Lendingservices• Financialplanningservices

The appropriateness of a particular investment or strategy will depend on an investor’s individual circumstances and objectives.

MorganStanleySmithBarneyLLC,itsaffiliatesandMorganStanleyFinancialAdvisorsdonotprovidetaxorlegaladvice.Thismaterialwasnotintendedorwrittentobeusedforthepurposeofavoidingtaxpenaltiesthatmay be imposed on the taxpayer. Clients should consult their tax advisor for matters involving taxation and tax planning and their attorney for matters involving trust and estate planning and other legal matters.

MorganStanleySmithBarneyLLCisaregisteredBroker/Dealer,notabank.Whereappropriate,MorganStanleyhasenteredintoarrangementswithbanksandotherthirdpartiestoassistinofferingcertainbankingrelatedproductsandservices.BankingandcreditproductsandservicesareprovidedbyMorganStanleyPrivateBank,NationalAssociation,MorganStanleyBank,N.A.orotheraffiliates.InvestmentservicesareofferedthroughMorganStanleySmithBarneyLLC,memberSIPC.Unlessspecificallydisclosedinwriting,investmentsandservicesofferedthroughMorganStanleyarenotinsuredbytheFDIC,arenotdepositsorotherobligationsof,orguaranteedby,theBankandinvolveinvestmentrisks,includingpossiblelossofprincipalamountinvested.

©2012MorganStanleySmithBarneyLLC.MemberSIPC. NY CS 7181350 BC004 09/12 CRC394531


CANCER IMMUNOTHERAPY Harnessing the body’s natural defenses

An exciting trend in cancer treatment involves using various means to

harness the body’s immune system so it recognizes cancerous cells as a threat and then attacks and destroys them—essentially turning the tables on the disease, the “hunted” becom-ing the “hunter.” However, while this treatment approach—known as cancer immunotherapy—shows tremendous promise, the science is still in its infancy.

According to Dr. Mark Burton of The Toledo Clinic Cancer Centers, manipu-lating the immune system to attack cancer cells is no simple task and many ques-tions remain about how to modulate the immune response so it is directed only at cancerous cells.

He further explains that there are several different general forms of immunotherapy: “One method is to identify some char-acteristic of the tumor to exploit, such as an abnormal gene or a particular antigen on the surface of the cell, and then develop an antibody that attach-es to it so it becomes a target to the immune system. A second technique is to create a vaccine that triggers an immune response to the cancer, but that’s very difficult. Only one cancer vaccine is currently approved, and it’s for prostate cancer. Yet another example is using various chemicals that affect the immune system, such as interferon and interleukin. There’s also a new drug on the market called Opdivo that ‘takes the brakes off ’ the immune system.”

Dr. Burton notes that melanoma was the cancer studied first (and the most) in relation to immunotherapy, primarily because it tends to respond so poorly to standard treatments. Interferon and interleukin have long been used to treat melanoma, but they work only in a small percentage of cases. Newer classes of immuno-therapy drugs show more promise, however.

“Similarly, standard treatments don’t always work as well on lung cancer as we’d like, so immunother-apy is being tested in that patient population, as well. For instance, lung cancer patients who have failed one round of chemotherapy have the option of going on Opdivo,” he says.

Other examples of immunother-apy agents currently in use include the monoclonal antibody Rituxan, which is used to treat lymphoma; Revlimid, a drug that acts somewhat like interferon and interleukin, for treating multiple myeloma; and BCG for treating bladder cancer. BCG, which stands for Bacille Calmette-Guerin, is actually a bacterium used in tubercu-losis vaccines that has also been used for many years to slow the growth

of certain bladder cancers.It’s important to reit-

erate, however, that sci-ence is far from perfecting immunotherapy. As Dr. Burton points out, we’re still learning how to mod-ulate or direct the immune

response so it targets only cancerous cells, and when you “take the brakes off” the immune system, there’s a risk that it can start attacking other healthy tissue, such as the skin, liver, lungs, and gastrointestinal tract.

“There are a lot of exciting develop-ments in the area of immunotherapy, and we’re likely to see many more dramatic advances in the coming years. But today we’re just beginning to exploit the immune response to fight cancer and we have a long way to go before we can harness it effectively with no unintended consequences,” he adds. ❦

Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, has eight board-certified hematologists/oncologists and eight nurse practitioners on staff and can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TCCC also has satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe for the convenience of the patient, and many TCCC patients are enrolled in the latest cancer research and studies in our region. For more information, please call the Toledo Clinic Cancer Centers at 419-479-5605.

"There are a lot of exciting developments in the area of immunotherapy, and we’re likely to see many more dramatic advances in the coming years." —Dr. Mark Burton

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Love your thyroidby Christine A. Holliday

Most of us start out the New Year with resolutions to treat our-

selves better. We promise to get more sleep, eat healthier foods, and find ways to be more active. The American Thyroid Association and Dr. Mahmood Moosa of Endocrine Specialists are hoping that the observance of Janu-ary as National Thyroid Awareness Month will call your attention to this underappreciated but hardworking organ, whose adequate function is crucial for growth and development, regulation of body temperature, and the maintenance of the body’s me-tabolism (the conversion of calories and oxygen to energy).

The thyroid is a gland located in the front of the neck under the Adam’s apple. Its shape is reminis-cent of a butterfly, with two lobes connected by tissue across the front of the throat. The thyroid contains blood vessels, and nerves necessary for maintaining voice quality are also located there. The main function of the thyroid is to release hormones that act throughout the entire body. If the thyroid is functioning properly, the organs work correctly and the body uses food for an energy source.

If the thyroid is not working correctly, it could be a matter of overworking or underworking. The person whose thyroid is overactive is said to have hyperthyroidism. Dr. Moosa explains how that condition manifests itself: “That person may feel snappy or fidgety, with a rapid heart rate, hair loss, difficulty sleeping, a feeling of depression or anxiety, or bulging eyes. An overactive thyroid may be responsible for weight loss, as well. This is because the metab-olism process is sped up due to the abundance of thyroid hormones.”

On the other hand, if the thyroid is not producing enough of the nec-essary hormones, there are equally serious symptoms. “The patient may

feel sluggish or weary and experience dry skin or a puffy face,” Dr. Moosa notes. “He may have no appetite, slow memory or slow reactions, and problems with depression or constipation. The patient may feel cold frequently, sleep too much, or begin to lose hair.”

A gland as important as the thy-roid needs regular attention, and Dr. Moosa advises, “There can be a long list of symptoms when your thyroid is ‘misbehaving,’ or there can be no symptoms at all. The only way to know whether or not you have a thyroid disorder is to have a simple blood test done to check the different levels of thyroid hormones in your body, which can give your doctor a good idea as to what your thyroid is sending out to the rest of the body and how to compensate.”

He adds, “Difficulty swallowing or a ‘tight’ feeling in the neck can also be an indicator of something amiss. Although somewhat gener-al, if anyone is feeling any of these symptoms, or even just a little ‘off,’ he should ask the doctor to check

his thyroid levels. The difference a person can feel once the thyroid problem is eradicated can be a great relief.”

Many might be familiar with goiter, the general term for “swelling of the thyroid.” Difficulty swallowing may be an indicator of goiter, which may be a harmless condition but warrants medical attention. “If the doctor sus-pects goiter, he or she may order an ultrasound of the thyroid to check for nodules. Goiter can also indicate that the immune system is attacking the thyroid, causing inflammation and enlargement of the thyroid. This is an autoimmune response referred to as ‘Hashimoto thyroiditis,’” Dr. Moosa says.

So, what keeps this little work-horse of a gland going? Iodine! We in the United States are fortunate that there is no iodine deficiency here. Our salt is fortified with iodine, and iodine-rich foods, like seafood, dairy, cranberries, and potatoes, are www.LHSOH.org

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also good sources. The thyroid cells absorb most of the iodine we eat, and the body converts it into the thyroid hormones T4 and T3. If not enough iodine is absorbed, hypothyroidism can result; if too much is absorbed, hyperthyroidism can occur. If the body is lacking iodine, goiter may result, leading to enlargement of the thyroid in order to trap as many iodine molecules as possible, but this can also happen without any sort of deficiency from your thyroid hormones.

Dr. Moosa reports that, “The thyroid can become cancerous, in which case it needs to be removed. Thyroid cancer can also be treated with radioactive iodine therapy, which sends high concentrations of radioactive iodine to any left-over thyroid cells, eventually causing those cells to die in order to wipe the slate clean. A low-iodine diet (usually one to two weeks before treatment) will leave your body iodine-depleted, which will make any thyroid cells hungry for iodine so they’ll maximally pick up radio-active iodine when given. This can maximize the effect of treatment. The prognosis for thyroid cancer is excellent if it’s discovered before

spreading and is well managed.”For more information about the

thyroid, visit www.thyroid.org, the website for the American Thyroid Association, or contact Dr. Moosa’s office, 3830 Woodley Road, by call-

ing 419-724-0004 or emailing [email protected]. ❦

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

Spiritually SpeakingBySister Mary Thill

Forgiveness touched by mercyIn both your private and public lives,discover the sweet release that comes from forgiving others. Feel the healing balm of being forgiven and of forgiving yourself.

—Frederic and Mary Ann Brussat

People are more than the worst thing they have ever done. —Sister Helen Prejean

By itself forgiveness will not solve all per-sonal and social problems, but these problems cannot be solved without it. —Cardinal Avery Dulles, S.J.

Where and when do we begin to show mercy to those mass

murderers, those terrorists, those

drivers who cut us off in traffic? Yes, even those drivers. Should they be equated with murderers and terror-ists? I think so. I think we all have the capacity to do some terrible things to ourselves and others given the opportunity, the occasion, the circumstanc-es that set such actions in motion. We know what causes such behaviors: mental illness, extreme stressors, anger, greed, the need to belong, the need to be noticed, the need to be seen as powerful. We know what does the

damage: guns, pipe bombs, pressure cookers, and knives. We know what to do about these causes and these weapons but seem to be at a loss to act in any meaningful way in order to prevent any more mass shootings, police brutality, domestic violence, and bullying in our world.

I take comfort in the fact that what each of us can do about all this violence in our world is to act with forgiveness and mercy whenever such horrific events happen in our circle of influence. Of course, in order to be able to do so one must be a person who has worked on his or her spiritual life and is able to see the value of forgiveness and mercy even when it is most difficult, when the act of terror or the murder happens to someone we know.

Being a person of faith myself, I wonder how people who have no faith or belief system handle any kind of loss or sadness. I see folks here at the medical center being diagnosed with stage-four cancer and sitting stunned by the news and then going off to the hospital chapel and just sitting

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there being washed with God’s loving presence and grace. I see others being told of the death of a loved one and crying out in anguish and lashing out at the nurses who happen to be in the room with them. We all have our own reactions to evil, bad news, and sadness, and yet the human spirit shows such strength when it can draw on its inner, deepest spiritual self.

I invite you to reflect on the three quotations at the beginning of this article. The Brussats’ wisdom hinges on the fact that forgiveness releases a feeling, a sweet feeling that in fact produces healing in us and in those we forgive. It is not easy to forgive, but it is essential. As Cardinal Dulles says, problems cannot be solved without forgiveness. Sister Helen Prejean, known for her work with prisoners and their families and victims and their families, echoes what Pope Francis has been saying in many ways and places: we must forgive because people are more

than the worst thing they have done in their life.

And where does this virtue called “mercy” come into all this? I think mercy is the sweet feeling that we possess once we are able to forgive and realize, “there but for the grace of God go I,” and I too could be the one needing forgiveness and mercy. I would suggest that 2016, a Jubilee Year of Mercy proclaimed by Pope Francis for all Catholics, become a Year of Mercy for all of us as we face another year of unknown events and experiences that will call forth forgiveness based on mercy with the realization that we are all more than the worst thing we may have ever done and more than the best thing we have yet to do.

Peace and all good things to you in 2016! ❦

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.

by Dianna Randolph, AuD, CCC-A

Hearing loss has become a major health and social concern for

older adults in the United States ac-cording to the Presidential Council of Advisors on Science and Technology. It is reported that 20% of the popu-lation has some sort of hearing loss. So why aren’t most adults perusing hearing aids? The answer may be lack of insurance coverage, lack of encouragement by other health-care providers, the social stigma that wearing hearing aids carries, or even denial that a problem exists.

Many people are going online to find less-expensive solutions to their hearing loss, such as personal sound amplification products (PSAP). But are these devices really helping the hearing loss?

What is a PSAP and how does it differ from a hearing aid? A PSAP is a one-size-fits-all electronic device that amplifies soft sounds. Though regulated by the FDA, these devices are not designed to treat hearing loss. They are intended to be used by people with normal hearing who want to improve their ability to hear for certain recreational activities (like bird watching or hunting).

Similar to a hearing aid, a PSAP has a microphone, amplifier, speaker, and a battery. But that is where the similarly ends. Hearing aids are FDA-approved medical devices designed to compensate for hearing loss. They are prescribed and fit by an audiologist using sophisticated algorithms to precisely divide sounds according to

Hearing aids vs. personal sound

amplification products

Bumble


volume and pitch, making volume increases according to the individual’s hearing ability across all pitches. Simply amplifying sound is fine if you’re listening for a bird’s call in the middle of a forest but not when you’re in a more difficult listening environment, such as conversation in a noisy restaurant.

The low cost of PSAPs may be what attracts people with hearing loss to them, but are you really saving money using a PSAP? Or are you doing more harm than good for your hearing loss? Here are some of the risks of wearing a PSAP:

• The device may not have a 30-day trial. By law, all hearing aids have a 30-day trial attached to them.

• The hearing loss could be a sign of other health issues. You should never self-diagnose hearing loss. There could be a cause to your loss that will need further investigation. If you suspect you have hearing loss, call our office and schedule an appointment with an audiologist.

• The technology in hearing aids is designed to improve speech

clarity. They are programmed specifically to your hearing loss and control background noise so hearing and understanding speech greatly improve.

• Unlike PSAPs, hearing aids have output limits, which are designed to prevent sound from getting uncomfortably loud.

Hearing aids are more than just a glorified amplifier, and as stated before, they are prescribed to you and programmed to your hearing needs. When you see your audiologist, he or she will give you a comprehen-sive hearing test to determine your degree and type of hearing loss. If hearing aids are recommended, the style and levels of technology will be discussed with you. With your hearing needs and hearing loss in mind, you will work with your audiologist to determine the best hearing aid for you. This hearing aid is then ordered and programmed specifically to your hearing loss and listening needs.

The hearing aid manufacturers are held to rigorous standards and employ highly educated audiologists, engineers, and scientists who con-duct ongoing research in an effort to

replicate natural sound. New hearing aid circuitry takes an average of five to seven years of research and testing before it is available to an audiologist. Hearing aid circuitry is significantly more advanced than the simple PSAP electronics.

A hearing aid contains the fol-lowing:

• Features for reducing background noise and improving speech recognition

• Multiple microphone arrays to provide directional enhancement and improve localization

• Wireless connectivity for accessing other personal devices

• Multiple programs to improve hearing ability according to the environment

• Greater cosmetic appeal than most PSAPs.

Though PSAPs may provide you with improved hearing in quiet situations, this is not where most people with hearing loss need help. Background noise is the most difficult environment to hear in when you have hearing loss. A PSAP will simply

amplify everything, but a hearing aid is able to determine what is speech and what is noise and, based on the programming, amplify the sounds that are needed to make speech clear.

Hearing aids now have a feature in them to treat tinnitus (ringing in the ears). This feature is already installed in the hearing aids, so it is not an extra charge. It just simply has to be programmed into the hearing aid by your audiologist and fine-tuned to your liking.

If you or someone you know uses a PSAP or thinks they may have hearing loss, please feel free to contact Northwest Ohio Hearing Clinic to schedule a complete hearing evaluation. Only an audiologist can diagnose a hearing loss and prescribe the correct amplification needed. Wishing you and yours a wonderful New Year! ❦

Information in this article was taken from Healthy Hearing, Nov. 13, 2015.

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).

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by Laurie Syring, RD/LDEATING WELL

How to make weight loss less overwhelming

“I need to lose weight!”As a registered dietitian, that’s

the top complaint I get. Of course, it follows naturally that the top request I get—especially after the holidays—is, “Can you work me up a meal plan?”

Yes, it’s that time of year again! All that holiday overindulgence may be behind us, but its legacy of extra pounds remains. Many of us are dismayed by the elevated number on the bathroom scale and the tighter fit of our clothing.

It’s also the time of year when we’re inundated with ads promoting programs, books, treatments, pills, and equipment to help us lose those extra pounds. Some of them may (or may not) actually work, but all the weight—and then some—usually comes right back on.

Starting a new diet can be exciting at first. You’re eating right, working out, and seeing impressive results on the scale. But as the weight loss slows and levels off at a less rewarding rate, motivation evaporates and failure soon follows.

It doesn’t have to be like this! If you follow these five tips for losing weight the healthy way, this can be the year you finally shed those extra pounds without feeling overwhelmed and putting them right back on with interest:

1. Don’t do too much at one time—Make weight loss your

one-and-only goal. Remember, timing is everything. This is not the time to stop smoking, train for a marathon, or have a major life-changing event. If you want to achieve lasting weight-loss success, you have to focus your

effort on changing the behaviors and habits that caused you to gain weight in the first place. That requires mental energy and planning.

2. Be informed—Every day we are hit with relentless media

messaging: “eat this, not that”; join this gym; take this pill; “wrap yourself thin.” With so many media voices competing for our attention, it’s often hard to make the right choices. Taking the time to gather valid information and write it down is the best way to find out what will work for you and what won’t.

3. Remember, patience is a vir-tue—We’re an immediate-grat-

ification culture; we do not want to wait. But setting deadlines for weight loss hardly ever works out. Losing weight for a wedding or re-union may be good motivation to get started, but that should not be the only purpose. Imposing weight-loss deadlines often causes stress and can lead to desperate quick fixes.

4. Don’t expect perfection—We’d love to have our weight-loss

program meticulously planned and prepared, but that is time-consum-ing and things seldom go exactly as planned. Instead of focusing on eating perfectly, focus on what is realistic for you. You may just have to stop for fast food on certain nights because of the kids, etc., but when you do, choose wisely—a grilled chicken sandwich with a side salad.

5. Commit to change—We all associate the New Year with

resolutions, so you may feel obli-gated to give weight loss a shot. Or, perhaps, a friend talks you into adopting a gluten-free diet. Every morning you wake up and have to find the motivation to eat right and work out. Then at lunch you choose the burger and fries instead of a salad and fruit. By the end of the week, all the decisions you’ve had to make—or haven’t made—leave you feeling drained and resentful of even trying.

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To lose weight and keep it off, you must be 100% committed to making changes. Lots of planning is key to your success.

To summarize all this:

• Make a plan and stick to it. Leave yourself reminders of what you’re doing and why.

• Writing down your plans and tracking your progress is the number one way to succeed. This approach has been studied and proven to be extremely effective.

• Try going online to www.choosemyplate.gov. It is a great, easy, consumer-friendly website for weight loss and has a nice tracker for daily food intake.

• Get discouraged, frustrated, or angry? Go out for a walk, grab an apple, and drink some water

instead of reaching for the pan of brownies and taking a nap.

• Keep in mind that the skills and behaviors you need in order to succeed will develop slowly over time and build upon themselves week after week. Set mini goals—just five to eight pounds at first.

• Make an honest assessment of what you’re doing and why, then break them into small, achievable goals with an action plan.

Remember there is no magic bullet for weight loss and diets/eating plans are not one-size-fits-all. It’s all about a healthy lifestyle for you and making healthy choices. ❦

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

Acupuncture can help with those pesky resolutions

by Douglas Schwan, DC, Dipl ac

Acupuncture is a system of medicine that goes back over 2,500 years.

Its essence is that there are flows of energy around the body, termed Qi, which are used by the body to maintain health and homeostasis. Disruption of these patterns can lead to health problems. Acupuncturists can diagnosis these patterns and stimulate points along their flow in order to balance the energies and restore health.

Can I stop smoking?With the coming New Year, many people will make resolutions to start living healthier. Smoking is one health hazard that is easy to recognize. However, kicking the habit can be devilishly hard. With the cost of cigarettes today, a monthly bill for a one-pack-a-day habit can easily equal a car payment!

Studies have shown that acupuncture stimulates the release of endorphins and other brain chemicals, canceling out cravings and easing the symptoms of nicotine withdrawal. Acupuncture in the first two weeks of quitting can get you over the “hump” and lead to long-term cessation of a bad, dirty habit.

Can I lose weight?Of course, smoking is only one New Year’s resolution. Another is to lose weight in the coming months. There are many reasons people become overweight—hormone imbalances, slowed metabolism, overeating, poor nutrition, and lack of exercise are some of the most common. People also have a tendency to “medicate” themselves with food in times of stress. There is also the problem of getting the proper balance of vitamins and minerals in our diet. If some trace nutrient is in short supply, our body might compel us to eat a lot of useless calories in order to get enough of this nutrient. A well-known example of this is food cravings, the body will crave a certain food because it is rich in something the body needs. We see this in pregnancies all the time.

Whatever the cause, weight gain occurs when we take in more calories than we use up. The body’s hunger reflex is controlled by an area in the brain called the hypothalamus and by cells in the gut lining. When the gut is empty, it stimulates the release of the “hunger hormone” called ghrelin, which stimulates the brain to “be hungry.” Fat cells, in turn,

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fill up with fat and release another hormone called leptin, termed the “satiation hormone.” Leptin tells the brain you are full and to stop eating.

Research has shown that this simple feedback mechanism can be influenced by specialized acupuncture treatments that can reduce blood levels of the hunger hormone and raise the levels of the satiation hormone. It thus becomes much easier to maintain proper portion control when you are not glut-tonously hungry all the time!

Acupuncture for weight loss is usually paired with commonsense steps that help avoid repeating a pattern of poor nutrition that can seriously impede your journey to a healthier you.

Can I stop hurting?Pain comes in all shapes and sizes. If pain is cramping your style, a con-sult for acupuncture may be a good idea in the New Year. Chronic pain can, after a time, reinforce itself as a “pattern” in the brain. Studies have shown that acupuncture treatments are capable of raising the levels of endorphins and enkephalins, which are morphine-like natural painkillers made by the body.

In addition to pain relief, acupuncture treatments can stimulate healing directly in areas of damage. Many times your doctor will accelerate the energy effect by running a micro current between two acupuncture needles, thereby “turbo boosting” the local energy levels and speeding healing. Even Western physicians are keen to this trick, as electric currents are used to speed the healing of particularly nasty bone fractures.

One recent research study on pain and acupuncture utilized magnetic resonance imaging (MRI) of the brain. As much as a 70% decrease in activity in the pain center of the brain was recorded after an acupuncture treatment.

Strong pain killers can be addictive as well as lose their effectiveness over time. Acupuncture might be a good adjunct to your pain management.

What about stress and anxiety?Stress is probably the number-one cause of most illness today. It lowers your resistance to disease and can break down the body’s functions

over time. Eliminating or minimizing stress should be on top of everyone’s “get healthy” list.

There are many drugs out there to treat stress and anxiety, but they come with many side effects: weight gain, suicidal thoughts, addiction, sexual dysfunction, difficulty focusing, etc. For thousands of years practitioners

have known that acupuncture can relieve or reduce stress and

anxiety in patients.The question has al-

ways been, “Just how does acupuncture do this?” A recent study in the Journal of Endo-

crinology may point the way. When a body is under

stress, three chemical hormones are released, one each by the hypo-thalamus, the pituitary gland, and the adrenal gland. In a carefully controlled study of rats, these stress hormones had reduced levels fol-lowing acupuncture treatment vs. sham and no treatment. Reducing prolonged elevations of this “Terrible Triad” of stress hormones is key to managing long-term stress. In fact, many patients report a feeling of euphoria from their treatment. Many chronic illnesses can be headed off just by reducing your stress levels.

Are you considering acupuncture?If you are interested in starting the New Year right and are firm in your resolutions, you may find that acu-puncture is a good, drug-free way to achieve your goal of quitting smok-ing, losing weight, decreasing pain, or lowering your stress and anxiety.

Most practitioners will allow you to come in for a free consult and talk about how acupuncture might be suited to your particular case. Together you and your doctor can work out a treatment plan that is tailored to your individual needs. ❦

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

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coaching is not evolving, it is falling behind and not providing athletes (and their families) what they deserve. Coaching has probably evolved more than any other aspect of sports with the exception of technology.

Now, you might be asking why I’m devoting this month’s article to the topic of evolution in coaching when there are so many other things that could be discussed. Well, I came across a quote from Billy Graham that was shared by one of my friends on Facebook: “A coach will impact more young people in a year than the average person does in a lifetime.”

As a parent, it is important to recognize that every player is different. I hear this being said all the time, though the actions do not always follow those words. The fact is that a six-year-old is not the same as a 30-year-old or even a 10-year-old, so they should not be treated the same way.

I personally remember a time when we looked at what older athletes did and tried to coach/teach younger players to do things the same way. Through education and many hours of reading,

we’ve come to the key realization that in any sport or activity, development is a marathon, not a sprint. Coaches and parents alike must understand that what is occurring between mile one and mile 25 is crucial to athletes’ development and success.

It is particularly during this time that the coaching evolution is occurring. The delivery system to the athletes has changed. Enough stress cannot be placed on these words: For young athletes and their parents to get the experience they deserve, coaches cannot just sit in their own little world. They must evolve.

For example, as I’ve mentioned,

the sport of tennis is evolving to accommodate the youngest athletes

so they not only experience success at an earlier age (which builds self-confidence), but they also become better athletes through various non-tennis skills. Why is this important? Well, as I shared several months ago, most kids drop out of sports before the age of 13. This is a trend that we all must try to stop.

As coaches, we are on the front lines. We must change our approach and evolve in an effort to change the dropout rate. What we have been doing over the years has contributed to this dropout, and we must take ownership in this and evolve so that we’re a positive influence in young people’s lives and help them develop healthier lifestyles.

As a parent, I encourage you to do your homework and find coaches out there who attend conferences, read the research, and deliver the positive trends that are growing in the sports world. In doing so, you will find a coach who cares for your child both on and off the playing field.

I’ll close this month with another quote that has stuck with me and driven me to evolve as a coach: “A child/person does not actually care how much you know until they know how much you care.” ❦

Over the years, as an athlete and now a coach, I have seen sports

evolve on so many levels. Nutrition, conditioning, and technology always seem to be on the forefront. You cannot turn on a TV and watch a sporting event without lines being drawn all over a screen and slow-motion analysis of either an athlete or play. Much of what is now being done on TV can also be brought into the private sector with various apps available. Sports is certainly no longer just about the Xs and Os.

This month, I would like to address another area that is not talked about as much: evolution in coaching. If

by Mark S. Faber, USPTA Elite Professional

The sports evolution: not just

about the players

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A good life is when you assume nothing, do more, need less, smile often, dream big, laugh a lot, and realize how blessed you are. —Author unknown

It is at this time of year that we set New Year’s resolutions or goals for

ourselves. Wouldn’t it be wonderful to use the quote above as our reso-lution or goal to start the year? If we were to do that, I believe that every other resolution or goal would fall into place and our success rate in keeping our resolutions would be significantly higher.

Heartland’s tips for a healthy

New Year

by Jim Berger

Webster defines a resolution as “a firm decision to do or not to do something.” What happens as the year goes on? Do we forget what we firmly decided in January to do or not to do, especially those that are based on getting healthier? Are we like the hare in Aesop’s fable The Tortoise and the Hare? Do we go gangbusters in January, only to end up burned out and unable to complete the race by February? The tortoise has the right plan: a steady pace will get us to a healthier lifestyle.

Over the past years in this col-umn, Heartland Rehabilitation has provided tips and pointers to achieve success for a healthier you. We’d like to continue that in 2016. The goal should not be to change everything, but to begin eating healthier, making a commitment to include protein, carbohydrates (good carbs, fibrous carbs), and fats in our meals. Cut back on foods high in processed sugars. In addition, here are few simple changes or healthier substitutions you can make to your regular diet so it’s more heart-friendly:

• Limit your intake of hydrogenated oils, which can be found in fast food,

margarine, and fried foods.• Use extra virgin olive oil and

garlic when cooking.• Instead of using shortening

or butter for baking, use applesauce for half of the butter amount. You may need to decrease the baking time by 25 percent.

• Reduce the sugar in baked goods by one-quarter to one-third. Cinnamon, vanilla, or almond extract can be used to increase sweetness.

• To increase fiber intake, replace regular grains with whole grains or whole-wheat flour.

• Eat darker green or leafier lettuces as opposed to iceberg lettuce for more fiber.

• Drink plenty of water.

Exercise is the next step. Plan to exercise at least three times per week for at least 30 minutes. Depending on your age and your condition, it can be a straight 30 minutes or it can be in smaller increments spaced throughout the day. In that 30 minutes, be sure to include some resistance exercise (weights, body weights, bands, balls, machines) as well as some cardio. Mixing it up will keep it fresh and

decrease the boredom factor.At times, the thought of going to the

gym and performing a long strenuous exercise routine is overwhelming and causes many people to not exercise at all. Here are some simple guidelines for beneficial exercise:

• Consult a physician prior to beginning any exercise program.

• As mentioned, try to exercise three to four times a week for at least 30 minutes.

• Remain consistent, start out slowly, and progress exercise as tolerated.

• Remember to stretch before and after exercise.

• Stay hydrated and rest between sets.

• Consult a physical therapist for an individualized exercise program or to treat any injuries you may have.

If you’re starting a walking/running program as one of your resolutions, Heartland Rehabilitation Services and Second Sole Running Specialty Store, located at Levis Commons, will be holding a “Running Biomechanics and Injury Prevention” program at Second Sole on January 12, 2016

•

Tuesday January 12, 2016 6:00pm-7:30pm,

4190 Levis Commons Blvd., Perrysburg OH 43551

Call Heartland Rehabilitation Services 419-874-2657 to reserve your spot 0r email [email protected], seating is limited.

Whether you are running or walking for fitness or preparing for a race/ competition, pain limits your fun. Almost 80% of runners and fitness walkers will have some pain or injury over the course of a year. Don’t become another statistic. See a Running Rehab Specialist as soon as your pain starts.


from 6:00 to 7:30 p.m. This program is designed for walkers/runners of all abilities and levels. Come join us for this free program, a simple screening, and the ability to talk to the running experts from Heartland Rehabilitation Services and Second Sole. Seating is limited, so call today at 419-874-2657 to reserve your spot. ❦

Heartland Rehabilitation Services, provider of outpatient physical therapy, occupational therapy, hand therapy, and wellness services, has 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.

Stressed out? UT researcher suggests floating as a way to relax

by Brandi Barhite

A University of Toledo mental health counselor says that people aren’t

taking time to relax and enjoy life these days, in particular during the hectic holiday season.

While that might seem like nothing new, Thomas Fine, associate professor of psychiatry, said floating is making a comeback as an alternative mode of relaxation.

“If you are looking for ways to deal with stress, I would consider floating as a stress management activity,” Fine said. “Floating is so relaxing. The buoyance of the water allows your muscles to relax. As your muscles relax, your mind begins to shut off.”

Fine, who started researching floatation in the 1970s with UT col-league John Turner, a professor in the Department of Physiology and

Pharmacology, said that it is prom-ising that this once “hippie thing” is gaining credence as a possible source of relaxation. Fine was recently quot-ed in a TIME magazine article about floating as a therapy for distress.

Through the ’90s, Fine and Turn-er published studies on floating. Scientifically known as floatation Restricted Environmental Stimula-tion Technique (REST), their studies looked at subjects who participated in eight 40-minute float sessions in salt water at skin temperature.

“In several studies we saw im-provements in blood pressure, mood, pain, and muscle tension as a result of the regular experience of deep

relaxation that accompanies frequent floatation experiences,” Fine said.

Isolation tanks designed for floa-tation relaxation, which are lightless and soundproof, are as close as Detroit.

“Interestingly enough, people want to relax, but don’t want to take the time to relax or make the drive to experience the best relaxation of their life,” Fine said. “What makes our research still relevant today is that the stress that humans are ex-periencing continues to ramp up as

we become more immersed in tech-nology. When I first started studying floating, we didn’t have smartphones or emails. We could go on vacation without having to check in at work or respond to questions or concerns. We live in a world filled with stress and overstimulation.”

Fine, who presented at the Portland Float Conference in August of 2015, recognizes that not everyone will be able to experience an isolation tank, but yoga and meditation are activities that can produce similar results.

“You could also get into bed and put a pillow under your head and a pillow under your knees and lie there with no light and no sound for 30 minutes,” he said. “If you did that, you would be starting to approach the deep relaxation experienced by those who float.” ❦

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

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Anti-gravity treadmill becomes permanent rehab offering at The Laurels

The therapy team at The Laurels just received a holiday gift that

will make their New Year bright while providing tremendous benefits to their rehab clients and area medical practitioners—approval to keep the state-of-the-art AlterG® Anti-Gravity Treadmill® in their repertoire of ther-apeutic modalities on a permanent basis.

“This was the best Christmas gift we could have hoped for,” states Julie Leidel, Rehab Services Director for The Laurels. “We’ve had the AlterG for three months on a trial basis, and the clinical outcomes we’re seeing are truly impressive, so we’re thrilled that it’s here to stay! This technology not only helps our clients make greater advancements in their rehab programs, but it also offers our therapists an exciting and challenging professional experience as we head into 2016.”

The AlterG, developed by NASA engineers while study-ing the biomechanics of exercise in

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

To use the AlterG, patients put on special pants that zip into an inflat-able chamber on the treadmill. The therapist then calibrates the machine and increases the air pressure in the

chamber to the desired level. Video cameras located at the front and on

either side of the treadmill allow the patient and therapist to observe on a monitor exactly what’s going on with the patient’s gait from multiple vantage points.

Perhaps not surprisingly, unweight-ing patients with the AlterG has a wide range of uses in orthopedic and sports medicine, for example in rehabilitating patients with total knee or hip replacement, arthritis, ACL or Achilles tendon injury, or any other injury, surgery, or disability affecting the lower body. It’s also helpful for athletes who want to increase their training volume or stay in peak con-dition while recovering from injury or surgery.

Laurels physical therapy assistant Brad Weaver explains that patients are often given specific weight-bear-ing limitations by their doctors. For example, an orthopedic patient may be told to limit weight bearing on a particular extremity to only 50%. “With the AlterG, we can very precisely dial in any level of weight bearing, with increments as small as 1%, so we can stay in total compliance with doctors’ orders as we work on increasing

activity tolerance,” he says.As the patient’s tolerance increases,

the therapist can adjust the amount of weight borne by the AlterG incre-mentally downward until the patient is able to manage the activities at normal weight and can then tran-sition to performing them with no assistance from the machine.

However, the applications for this technology go far beyond orthopedic and sports rehab. “For example, the AlterG can be tremendously advan-tageous in boosting activity tolerance in patients with congestive heart failure or other cardiac conditions, so we’ve incorporated the unit in our cardiac recovery program to prepare them to function independently at home as well as to get them ready to participate in a formal cardiac rehabilitation program.” Other ap-plications include promoting weight loss in significantly overweight pa-tients so they can qualify for joint replacement or other procedures, conditioning and fall prevention in the elderly, and improving gait mechanics and trunk control in pa-tients with neurological conditions


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

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

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such as Parkinson’s disease, stroke, traumatic brain injury, cerebral palsy, and multiple sclerosis.

Laurels rehab patients appreciate that there’s no extra cost to incorpo-rating the AlterG in their therapy program—and that it’s available to both inpatient and outpatient rehab clients. Also, patients participating in the outpatient program—which is offered seven days a week—may

qualify for free bus transportation to and from The Laurels based on distance from the facility and acces-sibility to their home. ❦

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

Perrysburg Medical Weight Management, Inc. offers OPTIFAST®

Perrysburg Medical Weight Man-agement, Inc., located on

Commerce Drive, is the only weight-management program in Northwestern Ohio to offer the premier OPTIFAST® program. In January 2016, the program will be celebrating their second year in operation. With close to 1,500 pounds lost to date, the program has helped dozens of patients reach their health goals.

OPTIFAST® is the leading low-calorie, full meal replace-ment diet option for people serious about losing weight and improving their health. The typical OPTIFAST® patient loses over 50 pounds while reducing cholesterol levels by 14 percent and blood pressure by 11 percent in 18 to 24 weeks.

The program is overseen by Dr. Catherine Carrigan, MD, Diplomat of the American Board of Bariatric Medi-cine, Diplomat of the American Board

of Obesity Medicine, and a board-certified

family physician. The program focuses on safe, rapid weight loss

through use of the exclusive OPTIFAST® medical nutrition products made by Nestlé Health Sci-ence. “OPTIFAST® is a high-quality medi-

cal nutrition product that supplies 100% of a patient’s daily nutri-tion needs for a period of several weeks. This allows the patient to reassess their eating habits and effectively change their relation-ship with food,” says Dr. Carrigan. When people discover why they had been using food for reasons other

than physical hunger, they have a much better chance at keeping the weight off over the long term.

Since the program is medically supervised by experienced physi-cians, patients with obesity-related medical conditions can be monitored and their medications adjusted as they lose weight. According to Dr. Carrigan, weight loss treatment can be complex when a patient is on mul-tiple medications, especially those for diabetes and blood pressure, which need to be adjusted or discontinued with weight loss.

Dr. Carrigan works with Registered Dietetic Technician and Program

Coordinator Heather Heidebrink and the other physicians at Perrys-burg Medical Weight Management, Inc. to closely monitor patients. The program includes complete medical evaluation, behavioral support classes, expert counseling, and personalized ongoing support.

To receive additional information about the OPTIFAST® program or to schedule a free information meeting, please call 419-260-0906. More infor-mation is also available at the Perrys-burg Medical Weight Management website, www.pbweightloss.com, or Nestle Health Science’s OPTIFAST® website, www.optifast.com. ❦

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Sunset adapts and evolves to enrich seniors’ life journeys

When choosing a retirement community, seniors and their

families look at many elements to aid in their decision. Whether the community is affordable and a good personal fit are, of course, key con-siderations, but just as important are factors such as the history of the organization, the opportunity to “age in place,” access to necessary care and services, the value placed on family members and their inclusion in events and activities, the quality and stability of the staff, and whether the organization is not-for-profit or for-profit.

Recognizing the complexity of this decision-making process, Sunset Retirement Communities, an indepen-dent, not-for-profit organization that has served older adults in Northwest Ohio and Southeast Michigan since 1871, strives to make the choice easier for seniors and their families by con-tinually adapting and evolving their facilities and amenities, expanding their continuum of care, and creating enriching environments that foster personal growth and fulfillment.

Robust growth and renovationSunset’s continued evolution is evident in the robust growth taking place on both of their area campuses. “This year, we completed a major reno-vation of the 1930s Victorian-style Manor at Sunset House, our beau-tiful, wooded Toledo campus on Indian Road,” explains Gayle Young, Director of Marketing, Communica-tion and Public Relations for Sunset Retirement Communities. “We’ve updated the finishes and amenities in all the Manor House apartments, which are available in both studio and one-bedroom styles, without compromising their historic charm.”

Sunset House provides options for assisted living, healthcare, and inpatient and outpatient rehab. The Woodlands, a 65-unit apartment complex with many amenities, is also situated on the Sunset House campus for seniors who choose to remain independent.

But Sunset’s most significant growth this year will be seen at Sunset

Village, the organization’s Sylvania campus located on Sylvania Metamora Road, where construction on Field-stone Villas is underway. Fieldstone Villas is a 12-unit independent lifestyle community for people age 65 or older who want their own home but are ready to leave behind the upkeep, maintenance, and other responsi-bilities that homeownership entails. Construction on the villas began in October, and the first residents are expected to take occupancy in the summer of 2016.

“Fieldstone Villas completes a continuum of care on the Sunset Village campus, offering an indepen-dent lifestyle with assisted living at all levels, healthcare, memory care, and both inpatient and outpatient rehabilitation,” Young says.

In addition, Sunset Village will soon boast a 15-bed rehab facili-

ty, featuring private patient and treatment rooms; state-of-the-art therapy equipment; a Swimex pool with three-foot, four-foot, and five-foot depths; and an apartment with kitchen, bedroom, and bathroom features to allow rehab patients to relearn and practice activities of daily living before returning home. The new therapy center, scheduled to open in the fall of 2016, will also include a separate entrance for pa-tients taking advantage of Sunset’s outpatient therapy program.

Complete continuum of careMoving from one’s lifelong home to a retirement community is a major step that seniors don’t want to make more than once. They shouldn’t have to worry that as their care needs and capabilities change, they’ll have to move to a different community to accommodate them. To ensure res-idents not only feel comfortable in their community but can also rest assured that they’re home to stay, Sunset Retirement Communities provides a complete continuum of care levels that includes independent living, assisted living, memory sup-port, and skilled nursing.

“Of course, Sunset continues

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to serve all areas of need with our Ashanti Hospice and Palliative Care team available at Sunset Retirement Community campus or in a patient’s private home,” Young adds.

Offering a complete continuum of care in the same community also gives residents the opportunity to make decisions related to their care for as long as they’re able, which alleviates some of the stress for their family and friends.

A collaborative cultureYoung observes that while each Sunset Retirement Community has its own

personality, one aspect is shared throughout—a collaborative relation-ship between the resi-dents and staff. “Our staff works diligently to allow our residents to have an en-riching life experience and fun, while providing the highest quality of care and services to meet their emotional, physical, social, and spiritual needs. We offer a safe and clean environment with respect for our residents’ personal dignity and privacy,” she says.

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about continuing to grow.” So, activities

organized for residents and their loved ones are

intended to be meaningful and engaging, such as participating in arts education, enjoying outings, or listening to thought-provoking speakers from the community. Pets are an important aspect of the Sun-set environment as well, with both

dogs and cats being welcome on the campuses and aviaries and aquariums throughout the buildings.

Part of the larger communityWhile Sunset communities are com-fortable and safe places to live, they’re not isolated from the larger commu-nity. Rather, they’re an integral part of it—and have been throughout their 144-year history. Young notes that in the past year, Sunset staff par-ticipated in the local Memory Walk and adopted a family through the Kinship Navigator Program. They have also donated to a food bank, collected hats and mittens for kids in need, and prepared a dinner for a home-away-from-home program for families with children seeking medical attention.

The not-for-profit differenceSunset’s not-for-profit status may seem like an organizational consid-eration that doesn’t directly impact the care and services provided to residents. But in actuality, it makes a tremendous difference from several standpoints. “First, no one will ever be asked to leave their home with us or do without care or services because they have legitimately exhausted their financial resources. Second, to the extent that our funding allows, Sunset adheres closely to its original mission to serve people of Northwest Ohio with limited assets or who have never married and have no family. Our Residents’ Assistance Fund pays for personal items that any resident cannot otherwise afford but are nec-essary for their overall well-being. Finally, Sunset is governed by a vol-unteer board of directors. It’s their efforts and dedication that make it possible for our communities to main-tain their excellence of high-quality care, services, and financial stability,” Young states.

A bright outlookLooking ahead to Sunset’s future, Young is very optimistic. She an-ticipates that the organization will continue to be a leader in the senior market by providing quality care and meeting the needs that our community deems important, adding “We will continue to be a socially accountable non-profit by supporting others in their mission and by continuing to serve the older population by stay-ing true to our mission of enriching individual life journeys.” ❦


Q: It was interesting spending the holidays with my parents. My dad

seemed like he wasn’t as excited as every-one else, and I actually wondered if he was hearing. Is it true that hearing loss can lead to some degree of depression? What would you suggest we do?

A: Hearing loss has been known to increase the risk of depression

in adults, especially in the 18- to 69-year-old age group, but studies by the Better Hearing Institute show that treating the hearing loss will boost the individual’s quality of life to its fullest.

People with hearing loss who use hearing aids are shown to get more enjoyment out of activities with friends and family and to be more productive at work, while those who do not use hearing aids are more likely to feel down, depressed, or hopeless.

Today’s cutting-edge hearing aids allow people to hear conversations more clearly from all directions while filtering out background noise. There are also different styles, ranging from hearing aids that fit inside the ear completely to wireless behind-the-ear styles that are capable of streaming sounds from smart phones, home-en-tertainment systems, conference-room speakerphones, hearing loops, and other devices at volumes just right for each person.

Just remember, if you or a family member is fighting the doldrums, make sure it’s not related to unaddressed hearing loss. Don’t waste any time; see your audiologist for a complete hearing test.

The Better Hearing Institute (BHI) has found that treating hearing loss can help put some spring back in your step in the following five ways:

1. Keeping a positive outlookPeople with hearing loss who use hearing aids are more likely to be optimistic and feel engaged in life, BHI research shows. Many even say they feel more confident and better about themselves.

also more likely to exercise and meet up with friends to socialize, BHI re-search reports. Most even say it has helped their overall quality of life.

3. Cultivating relationships and social connectionsUsing hearing aids can have a pos-itive effect on your relationships and ability to participate in group activities. In fact, people who wear hearing aids are more likely to have a strong social network.

4. Communicating effectivelyUsing present-day hearing aids can help people with hearing loss in their

overall ability to communicate in most situations. Most who bought their hearing aids within the past five years say they’re pleased with their ability to hear in the workplace; at home with family members; in conversations in both small and large groups; when watching TV with others; in lecture halls, theaters, or concert halls; when riding in a car; and even when trying to follow con-versations in the presence of noise.

5. Maintaining a can-do attitude at work and at homeBHI research shows that those with hearing difficulty who use hearing

2. Getting out and enjoying lifePeople with hearing difficulty who use hearing aids not only get more pleasure from doing things, but are

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aids are more likely to tackle prob-lems actively. And most hearing aid users in the workforce say it has helped their performance on the job. In fact, earlier BHI research found that using hearing aids reduced the risk of income loss by 90 to 100 percent for those with milder hear-ing loss, and from 65 to 77 percent for those with severe-to-moderate hearing loss. People with untreated hearing loss can lose as much as $30,000 in income annually, the study found.

We are so happy that the tre-mendous technological advances made over the last few years allow

audiologists to make hearing aids better than ever, which should mo-tivate many to start 2016 fresh by making an appointment to have their hearing assessed. Feel free to call us at Northwest Ohio Hearing Clinic with any questions.

From our family to yours, here’s wishing you the best hearing health in 2016! ❦

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).

Many pathways to joint pain relief

Joint pain can have a variety of dif-ferent causes, ranging from ordinary

sprains and strains to arthritis and a host of other disease states. What’s more, joint pain as a medical complaint is on the rise in our nation, owing to factors such as the Baby Boomer generation get-ting older, the increasing rate of obesity, and the growing popularity of extreme fitness programs and “week-end warrior” athletics.

When joint pain becomes chronic, it’s only natural for sufferers to wonder whether they’ll soon need to schedule an appointment with an orthopedic surgeon for joint replacement. However, while sur-gery is a viable option that can relieve pain and significantly improve mobility and function, it’s not the only treat-ment option, nor should it be the first. In fact, there are many ways to

manage joint pain before resorting to surgery.

But if surgery works to alleviate joint pain, why not schedule it as soon as pos-sible? According to Mercy orthopedic surgeon Dr. Rick Miller, “A joint replacement is like any other machine part; it has a lifespan and will wear out eventually. If

you replace a joint in a younger patient, not only do you have to consider that it will last only for a finite time, but also that they will likely put mileage on

the replacement in a different way than a person in their 70s or 80s would because of their more active lifestyle. Plus, we want joint replace-ment to be a one-time-only surgery. Repeating the surgery again and again increases the risk of infection and stiffness, and by the second or third procedure, you have less and less bone to work with, making it harder to anchor the replacement.”

Dr. Miller states that there are several non-surgical modalities for treating joint pain, beginning with very conservative approaches such as losing weight to reduce stress on the painful joint (if appropriate) and taking traditional nonsteroidal anti-inflammatory drugs (NSAIDs), such as Advil or Aleve. “Some patients also use the nutritional supplements glucosamine and chondroitin sulfate, though the research on their effec-tiveness is mixed,” he says.

For patients with sore, arthritic knees, wearing a brace can help stabilize the joint, thereby reducing pain, and cushioned insoles can be worn inside shoes to act as shock absorbers. In some instances, the use of an assistive device, such as a cane or walker, may be recommended as well.

Steroids, either taken by mouth or injected directly into the inflamed joint, are another non-surgical alter-native, as are gel injections. Dr. Miller explains that the latter technique in-volves injecting a sterilized substance derived from rooster combs that helps lubricate the joint. Gel injections seem to work best in treating joint pain caused by mild to moderate arthritis but are less effective in severe cases.

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

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Physical therapy can also be very helpful in strengthening the mus-cles around painful joints, reducing stiffness, and improving range of motion. In fact, exercise in general actually helps the body produce its own pain medication in the form of endorphins. And as Dr. Miller points out, patients with arthritis combined with joint stiffness get much better relief from both symptoms through therapy and exercise.

Given all the effective nonsurgical

options available to them, how can people with joint pain determine when it’s actually appropriate to explore the option of joint replacement? “The answer primarily comes down to pain management and activity level,” Dr. Miller says. “If they’ve tried all other alternatives but their pain is still intolerable or if their quality of life is suffering and they’re having difficulty managing activities of daily living, then it’s time to consider joint replacement as an option.” ❦

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It’s that time of year when adults become like children in a virtual

New Year’s resolutions candy store. All those resolutions look so enticing, shiny, and sweet, and our appetite is colossal. So we grab that basket and rush through the aisles, tossing in as many resolutions as we can, such as get in shape, lose weight, eat dinner as a family every night, travel more, volunteer in the com-munity, be more active as a family, etc. But like children whose eyes or much larger than their stomachs, our ambition far outweighs our reality. Often three weeks into the New Year, we have only taken a small bite out of each resolution. We are then doubled over with severe stomach pains. There are just too many, and it is too overwhelming, so we toss the bag in the trash and bid farewell to those resolutions. Not this year!

This year we will rise to the oc-casion; we will not toss that bag of resolution in the trash. This year will be different. We will follow these simple steps to achieving New Year’s resolution bliss:

To thine own self be true!Far too often we see someone else fall head over heels in love with their passion and they literally radiate with joy. That is what we all want and yearn for, but it is important to remember that simply copying some-one else’s passion will not provide us with the same results. Just because your neighbor’s passion is downhill skiing doesn’t necessarily mean it will be yours. This is not to discourage you from trying something new but rather a word to the wise to test the waters with your toe before diving in headfirst. Thus, don’t buy the skis and all the gear and book the trip to Colorado just to find out you hate skiing. Rather, take a class at Boyne, rent those skis, and see what you think before you book that trip.

Evaluate the costThink about the cost—not just the monetary cost, but also the time it could take away from the family or other responsibilities and obligations. Is it worth that cost? Could it cause strain somewhere else in your life? If you answer yes to either of these

on their bodies, but what about the health of our minds and souls?

ForgivenessWe are human. We will fall short. When we do fall short, we must forgive ourselves and remember tomorrow is a new day. We can start fresh tomorrow. Do not become dis-couraged if you slip up and forget to fulfill a daily or weekly resolution. Do not punish yourself; simply start fresh the next day/week.

Keep these steps handy this month as you navigate that virtual New Year’s resolutions candy store. Don’t

become distracted by the resolutions in others’ baskets, keep your list to a minimum, and choose wisely! ❦

Kat Tomasewski writes the wildly popular Mom on the Go in Holy Toledo blog. Kat is a wife and mother living in Northwest Ohio and is a regular contributor to WTOL. She shares her knowledge on healthy recipes, parenting tips, local family friendly activities, and marriage advice. Kat will be writing a monthly blog that will be featured on our website as well as several print articles throughout the year. We welcome Kat and her thousands of followers to HLN!

Maumee Valley Country Day School

announces invitational student art exhibition

The Wolfe Gallery at Maumee Valley Coun-try Day School is featuring an invitational exhibition of artwork by Northwest Ohio and Southeast Michigan students in grades K through12. This exhibition will be on display January 11 to February 26, 2016 from 8:30 a.m. to 4:30 p.m., Monday through Friday.

The focus of the exhibit is original two- and three-dimensional art pieces inspired by the theme of “Selfie.” The theme was left open to interpretations by the students. In addition to Maumee Valley students, there will be exhibitors from Anthony Wayne, Bowling Green City Schools, Ayersville, Eastwood schools, Sylvania, St. Ursula Academy, Genoa, Perrysburg, and more.

A reception will be held on Sunday, January 31, 2016 from 3:00 to 4:30 p.m. in the Wolfe Gallery on the campus of Maumee Valley Country Day School, 1715 S Reynolds Rd, Toledo, OH 43614. This reception is free and open to the public.

By Kat Tomasewski

New Year’s resolutions: like a kid in a candy store

questions, then perhaps that resolution isn’t for you, or at least isn’t for you at this point in your life. Remember, you can do it all, just not all at once!

Less is moreLimit the amount of resolutions you make. If you make too many, you will become quickly overwhelmed and chances are you will buckle under all that pressure. Also, try to broaden the scope of your resolutions; everyone seems to focus all their attention

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Upon discharge from the hospital, patients destined for an inpatient

rehabilitation center often experience firsthand what it means to “hurry up and wait.” As soon as their discharge is approved, the clock begins ticking on moving them out of the room so another patient can occupy the bed. However, there may be a significant lag time before transport to the rehab facility can be arranged. As a result, patients often end up sitting in the hospital lobby for several hours before a vehicle finally arrives.

This phenomenon is frustrating not just for patients and their fam-ilies, but also for hospital discharge planners and social workers who have patients’ best interest at heart and do their very best to make the post-discharge transition as efficient and comfortable as possible.

As Mark Mullahy, Regional Admin-istrator for Franciscan Living Com-munities and Interim Administrator for St. Clare Commons, explains, “A patient in this situation can feel like a man or woman without a country. They’ve gotten their referral from the hospital and they’re packed and ready to go, but their transport is still hours away. And if the ambulance service is running late, they can be waiting for a long, long time.”

To help reduce this unnecessary post-discharge downtime, St. Clare Commons has introduced “Your Ride Is Here,” a complimentary transpor-tation service from area hospitals to their rehab facility located at 12469 Five Point Road in Perrysburg. “A few months ago, we started letting hospital social workers know that there are many circumstances in which we can pick up patients and bring them here,” explains Lindsay Duke, Director of Admissions/Mar-keting for St. Clare Commons. “So, we transported a few patients as a test and it went really well, and then did it a couple more times with

equally positive outcomes. Discharge planners are telling us that the ser-vice is a tremendous help, and for patients it’s a much smoother transi-tion and a much more comfortable, less intimidating ride compared to an ambulance.”

St. Clare Commons currently has a van and a bus dedicated to the pro-gram, both of which are wheelchair accessible. The service is appropriate for any patient who is medically cleared to leave the hospital by pri-vate automobile, and a loved one is welcome to accompany the patient in the same vehicle.

Duke emphasizes that she and at least one other staff member—a nurse and/or the vehicle driver—al-ways ride along with patients being transported. “This provides a great opportunity for us to get to know our patients and for them to get comfort-able with us before they arrive at St. Clare Commons,” Duke says. “Plus, we’re all fully trained and certified in safe transport, so patients and their loved ones can be confident they’re in good hands on the way

to our facility.”Mullahy adds, “This completely

free service ensures patients arrive here in comfort and in a timely man-ner, so they can get settled in, enjoy a nice dinner, and get ready to begin their rehab journey.” ❦

For more information on Your Ride Is Here or other services and amenities available at St. Clare Commons, please call Lindsay Duke at 419-704-4403.

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The difference between a fitness resolution that succeeds and one

that soon sputters out is a combi-nation of expert training, support, and accountability. Of course, it also helps if you enjoy a little fun and camaraderie along the way.

ProMedica Wildwood Athletic Club offers all of these ingredients—along with innovative, medically-based programming, state-of-the-art exer-cise equipment, and a host of other amenities—to help area residents of all ages, body types and fitness levels achieve their unique health-and-fitness goals.

As part of Wildwood Athletic Club’s ongoing effort to promote health and fitness in the community, the club is inviting everyone in the community to take part in a 60-day challenge, titled New Year, New You.

“This fun competition is open to everyone—members and nonmembers alike—and kicks off on New Year’s Day,” said Kelly Ries, fitness manager for Wildwood Athletic Club. “Teams of up to four people are encouraged to participate with one of our floor trainers. Everything you do here at the club accrues points, with higher point values given to our newer programs, such as monthly nutrition demos, nutrition consultations, our educational Healthy Start services, and our five-week programs. The top three teams will get prizes at the end of the 60-day challenge.”

In addition to this challenge, Wild-wood Athletic Club offers a wide variety of unique programs and services found nowhere else. Among the club’s amenities are a pool for both swimming and aquatic therapy, a steam room and dry sauna, a kids’ club offering pool and gym parties, massage-therapy services, the very latest in fitness machines sourced from highly reputable manufacturers, completely overhauled cardio and strength-training equipment, a fully updated locker room supplied with all manner of toiletries, high-definition TVs, and much more.

“Our top-of-the-line equipment is all on a five-year lease, so our members get brand-new equipment every five years,” Ries says. “We’re also currently demoing the Cybex SPARC, a cutting-edge interval trainer that the manufacturer hasn’t even offered for sale yet. Of course, we continue to offer a wide variety of popular fitness classes, including power yoga, Zumba, cardio dance, kettlebell blast, barre basics, Tabata cardio drumming F.A.S.T., joints in motion, gentle aquatics, aqua yoga, and many others.

But what truly sets Wildwood Athletic Club apart is having recently earned designation as a Certified Medical Fitness Facility by the Medical Fitness Association (MFA). In fact, Wildwood Athletic Club is one of only 43 fitness clubs nationwide to achieve this certification. According to the MFA, this certification indi-cates that a fitness center features

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“the professional expertise and pro-gramming necessary to safely and effectively assist people, regardless of their current health status, to develop, initiate, and maintain an active lifestyle that minimizes the risk of illness and disease and promotes health and wellness.”

Wildwood Athletic Club’s medical-ly-based programs, services, equipment, and degreed, licensed, and certified staff are advantageous not just to members, but also to community physicians, physical therapists, and other healthcare professionals who can be confident that the patients they entrust to Wildwood will receive the expert care and individualized pro-gramming and services (e.g., exercise, nutrition, and weight-loss programs) that lead to more favorable outcomes.

Among these individualized, clinical offerings are the various Bridge to Fitness programs, which are integrated with ProMedica’s diabetes, bariatric, and cardiac and pulmontary rehabilitation programs as well as the Hickman Cancer Cen-ter. “We also offer Script for Fitness programs that give patients coming out of physical therapy and reha-bilitation full access to our club and amenities for 60 days at a cost of just 60 dollars,” Ries says. ❦

For more information about ProMedica Wildwood Athletic Club’s medically-based programs, services, and facilities, or to inquire about the New Year, New You 60-day challenge, please call 419-539-0235 or visit www.wildwoodathleticclub.com.

Fairwood Health & Body Transition helps patients restore thyroid health and lose weight

Imagine finally losing those stubborn pounds and restoring your health

at the same time. This isn’t a dream. This is typical of what patients have been experiencing at Fairwood Health & Body Transition, Toledo’s premier weight loss clinic.

The clinic environment is sunny and friendly—more like a neigh-borhood get-together than a weight loss clinic. But, don’t let that fool you. Behind the familiar hugs and welcoming smiles, serious solutions for thyroid problems and excess weight through safe, holistic treatment are underway in every room.

As you walk by the Whole Body Vibration machines, you can catch the buzz of patients telling each other stories about how the friendly staff has helped them over-come their thyroid issues and how thrilled they are with their shrinking figure.

While a small group of patients are receiving Self-Mastery Technology (SMT) to promote focus, learning, and concentration, a few other pa-tients are getting infrared saunas to trigger their fat-burning hormones and burn calories. In another alcove of the building, patients are lying on tables while all-natural herbal body wraps work their magic to firm skin and detoxify trapped cellulite.

“In order for my patients to achieve the best results, I have developed advanced all-natural protocols aimed

at resolving a variety of obesity causes including thyroid, autoimmune, and Hashimoto’s disease issues. These methods have resulted in patients regaining their health and losing weight, some of them for the first time in years,” said Jason Peisley, DC, Clinic Director.

When you meet and shake hands with Dr. Peisley, you immediately recognize his capability and passion for his profession. His kind demean-

or is unmistakable, yet he dives into your diagnosis and treatment plan with assertive scrutiny. The first step is to attend a Healthy Thyroid Weight Loss class to learn about hidden causes of obesity and Fairwood’s all-natural solutions. This is followed up by a health evaluation to discover each patient’s individual underlying causes

of weight gain.Even with complex health histo-

ries, Dr. Peisley evaluates the mass volume of medical information into a targeted treatment plan—a skill that comes from extensive training and successful patient outcomes. After-ward, a customized plan of action is presented to each patient with a binder schedule for weekly detox supplementation, daily food plans, and Fairwood’s amazing body-shap-ing services.

“Today, the media and stores are flooded with messages to consume sugar and non-nutritious processed

Dr. Jason Peisley

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foods. Too many people suffering from obesity end up being pushed through our current healthcare system, which is set up to treat symptoms. What’s sad about this cycle of misery is how serious health issues go unchecked and only get worse over time,” explains Dr. Peisley. “As a preferred method, my holistic weight loss solution is designed to find the cause and cor-rect the condition without surgery or drugs.”

Dr. Peisley is also Clinic Director of Fairwood Chiropractic & Physical Therapy and has contributed to new insight in the non-invasive treatment of neuropathy, successfully relieving

leg and foot pain. His combination of acupuncture, nutrition, natural supplementation, state-of-the-art technology, and chiropractic thera-py provides total health care under one roof.

For a limited time, Fairwood Health & Body Transition is offering first-time patients a Healthy Thyroid Weight Loss Class, Health Evaluation, and Body Wrap for only $39. Class attend-ees are eligible to win a free “Body Shaping” Spa Day, valued at $600, so bring a friend. Call 419-517-1030 or visit www.BurnFatToledo.com. The clinic is located at 5215 Monroe St. in Toledo. ❦

Understanding rheumatoid arthritis

When we hear the term “arthri-tis,” we tend to think of the

most common form of the disease, osteoarthritis, which develops as normal wear and tear breaks down the cartilage in the joints. But for people with rheumatoid arthritis, or RA, inflammation and pain in the joints occurs not as a result of the normal aging process, but due to an immune response gone awry.

What is RA?More specifically, RA occurs when the body’s immune system attacks the synovial membrane lining the joints, causing it to become inflamed. The cartilage in the joint—the nat-ural “shock absorber”—then begins to break down, resulting in bone damage. The disease process can also weaken and stretch supportive tendons and ligaments, leading to deformity and misalignment of the joint. Other organs and tissues, such as the heart, lungs, eyes, mouth, blood vessels, skin, or nerves, may be affected as well.

What causes RA?Exactly what causes this abnormal immune response is not understood, but according to the Arthritis Foun-dation, scientific evidence suggests that genetic, hormonal, and envi-

ronmental factors are involved. The organization’s website further notes that researchers are continuing to investigate whether factors such as bacterial or viral infections, female hormones, obesity, and physical or emotional stress might play a role as well.

RA symptoms and risk factorsWhatever the trigger may be, common warning signs include joint pain, tenderness, and swelling; joint stiff-ness, especially in the morning; and fatigue. Typically, multiple joints are affected and there is a symmetrical presentation to the symptoms—meaning that pain and swelling tend to arise in the same joint on both sides of the body. Symptom onset may be very gradual or sudden. Some people with the disease may have symptoms consistently while others may experience periods of remission and flare-ups. Still others may have a bout with symptoms and then go into remission for the rest of their lives.

Though anyone can develop RA, the disease is much more common among women than men and usually manifests itself between the ages of 40 and 60. Heavy, long-term smoking has also been established

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as a significant risk factor.

Treating RAThere is no cure for RA, but in many cases it can be managed effectively, especially if aggressive treatment is initiated early in the disease process. Rheumatologists have a wide vari-ety of medications (or combinations thereof) at their disposal for fighting pain, reducing inflammation, slowing the progression of the disease, and disrupting the body’s abnormal im-mune response. In severe cases that don’t respond to treatment with med-ications, surgery to repair or replace damaged joints may be an option. Every case is unique, so treatment is likewise individualized.

The role of exerciseIt may seem counterintuitive, but reg-ular exercise—particularly low-impact forms such as swimming, cycling, stretching, walking, or using an ellip-tical machine—can be very beneficial for people with RA. Doing so can help reduce joint pain and stiffness, build or maintain bone mass, and stabilize the joint by strengthening the surrounding musculature.

However, it’s important to consult with your rheumatologist before

beginning any exercise regimen. He or she may recommend exercising when you’re not experiencing symptoms and giving your body rest during flare-ups. Also, it’s a good idea to work closely with a physical therapist who can help you develop a personalized workout plan as well as teach you how to perform the exercises properly and safely so you can achieve the most benefit.

Don’t ignore RA symptoms!If you’re experiencing the symptoms described above, don’t ignore them or dismiss them as insignificant. See your doctor to rule out the possibility of rheumatoid arthritis. Remember, the earlier in the disease process treatment is begun, the more pos-itive the outcome and the greater the odds that you’ll avoid disabling joint damage. ❦

Approximately 12.7 million US chil-dren and adolescents are obese.

This raises concerns because child-hood obesity has serious health-re-lated consequences. Obese children and adolescents are at greater risk for weight-related health problems in adulthood. This includes, heart disease caused by high cholesterol and/or high blood pressure, type 2 diabetes, asthma, sleep apnea, and social discrimination.

To help your child maintain a

Tips to help parents prevent childhood obesityby Cindy Pisano

healthy weight, balance the cal-ories your child consumes from foods and bev-erages with the calories used for physical activity.

Encourage your child to get 60 minutes of physical activity each day. Limit your child’s soda and juice intake. Both contain empty calories that can make your child too full to want to eat healthier foods. Only offer calorie-rich foods that are high in fat and sugar in moderation.

For snacks, offer your child low-fat and low-sugar treats that are 100 calories or less. A medium-size apple or banana; 1 cup of blueberries or grapes; or 1 cup carrots, broccoli, or bell peppers with 2 tablespoons of hummus are good choices.

For more ideas, visit the Mercy’s Kohl’s Kids in Action website at www.mercyweb.org/childrens_kohls_kids.aspx.

Kohl’s commitment to Mercy Children’s Hospital is made possi-ble through the Kohl’s Cares cause merchandise program. Through this initiative, Kohl’s sells $5 books and plush toys, where 100 percent of net profit benefits children’s health and education programs nationwide, including hospital partnerships like this one. Kohl’s has raised more than $274 million through this merchandise program. For more information, visit www.Kohls.com/Cares.

Mercy is a member of Mercy Health (formerly Catholic Health Partners), the largest health system in Ohio and one of the largest non-profit systems in the country. Locally, Mercy is based in Toledo, Ohio and serves 20 counties in Northwest Ohio and

Southeast Michigan. Mercy provides comprehensive primary and critical care services to residents as well as a robust physician group, Mercy Medical Partners, Life Flight critical air transport services, and Mercy College of Ohio.

Mercy is proud to have provided over $92 million in community ben-efit in 2014, which includes charity care and community health services. With more than 7,300 employees and

2,200 medical staff members, Mercy has been a part of the Northwest Ohio community it serves for 160 years. Please visit mercyweb.org for additional information and connect with Mercy on Facebook and Twitter @mercynwohio. ❦

Cindy Pisano is the Supervisor of the Healthy Connections Department at Mercy Children’s Hospital.

New independent community pharmacy

opens in Maumee

Maumee Discount Pharmacy, lo-cated at 1398 Conant St., Ste. C, in Maumee, Ohio, opened for business on December 7th, 2015. Hours of operation are 9:00 a.m. to 7:00 p.m. Monday through Friday and 9:00 a.m. to 2:00 p.m. on Saturday.

Maumee Discount Pharmacy is an independent community pharmacy co-owned by Bilal Salim and Donald Sigman. Mr. Salim has successfully owned and operated Holland Dis-count Pharmacy since July, 2013 and has 18 years of pharmacy experience. Mr. Sigman has been a community pharmacist in the Holland, Ohio area for the past 10 years and will serve as the lead pharmacist at Maumee Discount Pharmacy.

The goal of Maumee Discount Pharmacy is to offer a cost-effective, efficient, and convenient pharmacy experience. Services include prescrip-tion and over-the-counter medications, compounding, pet medication, drug interaction and allergy screening, and counseling on medications. The pharmacy will accept most insur-ance plans and offer a drive-through option and free delivery. For more information, please call Maumee Discount Pharmacy at 419-887-0101.

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News From

OTTERBEIN

When you or a loved one devel-ops a need for “extra help” or a

move to a senior living community, you will soon discover that there are many options, but to research and choose the best option for you is a confusing task. For those in the business of helping aging adults and their families, the vocabulary of services is part of the language of the senior living culture. For most people needing to access services, the language is foreign and needs defining. Here is a glossary of some of the services available to seniors and their families:

Adult day services: Adult day services provide care and supervi-sion to those who need supervision, social support, or assistance with daily activities and who attend the center during the day for a specified number of hours but are not residents of the facility.

Advance directive (living will): A document written when in “good” health that informs an individual’s family and healthcare providers of wishes for extended medical treat-ment in times of emergency.

Assisted living: Assisted living is for those 55+ who want to live as independently as possible but may desire assistance with some of the activities of daily living, such as laundry, housekeeping, bathing, dressing, transferring/walking, or medication management.

Home health: Home health pro-vides therapy and skilled nursing services to homebound patients during an illness or injury. Home health care is paid for by Medicare, Medicaid, and most private insurances and will usually only pay for services while the homebound patient recovers. After recovery, for most people, con-tinued help in the home will become

private pay.Hospice care: Hospice is a type of

care for those with life-limiting illness. Hospice care takes place wherever an individual calls home and is provided by a team that includes physicians, nurses, chaplains, social workers, nurse assistants, and volunteers. Hospice is a Medicare benefit and is also covered by Medicaid and most private insurances.

Independent living: a communi-ty designed exclusively for seniors (usually defined as persons over age 55), in which the resident does not need daily assistance with medical or personal care but enjoys social engagement and activity with peers.

Medicaid: A jointly funded medical financial federal/state health insurance assistance program, offering benefits to individuals with limited financial resources, the disabled, and the el-derly. There are income eligibility criteria that must be met to qualify for Medicaid. A person must have exhausted nearly all assets and be in a skilled nursing facility to partic-ipate in this program. Medicaid can reimburse skilled nursing facilities for the long-term care of qualifying seniors, and in some states, Medic-

aid pays for assisted living through Medicaid waivers.

Medicare: Nationwide medical insurance program administered by the Social Security Administration for individuals 65 and over and certain disabled people, regardless of income. Provides for hospital and nursing facility care (Part A) and physician services, therapies, and home health care (Part B).

Medicare Part A: Helps pay for care in a hospital or skilled nursing facility, home healthcare, and hos-pice care.

Medicare Part B: Helps pay for doctors, outpatient hospital care, and other medical services not requiring hospitalization.

Memory care: Memory care of-fers specialized care for individuals with memory impairments, such as Alzheimer’s and other forms of dementia.

Occupational therapy: Occupa-tional therapists show individuals how to achieve their maximum level of ability to perform daily activities, such as bathing, dressing, and basic housekeeping chores, to regain their highest level of independence possible.

Physical therapy: Physical therapy

Do you know your senior living vocabulary?


focuses on exercise techniques as well as strengthening and pain relief. The goal of PT is to make activity easier, including walking, going upstairs, getting in and out of bed, etc.

Respite care: Respite care pro-vides temporary relief for caregivers, ranging from several hours to days. May be provided in-home or in a residential care setting such as an assisted living community or skilled nursing facility.

Speech therapy: Speech therapy helps individuals improve any im-paired speech functions and regain

their communication skills. Qual-ified therapists also complete an assessment and provide treatment for swallowing.

Skilled nursing: Skilled nursing provides round-the-clock assistance and medical attention on either a long-term or short-term basis.

Transitional care: Transitional care is for those who need to regain strength and independence after surgery, in-jury, or illness and are in transition from home or hospital. May include physical therapy, speech therapy, and/or occupational therapy. ❦

Maintaining those New Year's resolutionsby Amanda Manthey

One month almost down and eleven more to go. Is keeping

that New Year’s resolution harder than you thought? If your resolution entailed improving your general health by exercising and you already feel you are on the downhill stretch, follow these easy uplifting tips.

Most of us lose interest in a daily workout because it is too boring, too long, or we are short on time. We all battle the workout blues at one time or another. First, reevaluate your New Year ’s resolution so it is attainable and fits your personal fitness expectation.

Develop three levels of workout routines to maximize your goals, and create an organizational hier-archy based on your abilities. The three levels will be labeled minimal workout, moderate workout, and exceptional workout.

The key ingredient is to listen to your body and do only what you are capable of doing. On the days when your body feels energized and more time is available, your workout can be more intense and longer. On the days when your body is sore and time is limited, your workout can be less intense and shorter.

Rather than saying, “I’ll do it to-morrow,” reduce the workout and use your three-level workout routines as a quick guide. Remember, you do not want to start over. Reducing your workout instead of skipping a workout maintains consistency and continues to build stamina.

Here are a few ideas when time is limited and some form of exercise is better than no exercise:

• Reduce your cardio minutes if time is limited, or reduce your resistance or speed if lacking motivation, whether it is on a machine at the gym or running outside.

• When strength training, choose machines or strengthening exercises that will target two or more muscle groups. This may entail combining two or more exercises into one exercise. This can be more efficient and less time-consuming if done correctly.

Consistency is the key to a suc-cessful New Year ’s resolution. If the workout blues are approaching, reevaluate your situation and make adjustments to your workout routine. You might need to alter your long- or short-term goals so that they are attainable fitness goals. Remember, don’t give up and keep a consistent workout lifestyle even if it is minimal. It will leave you feeling great each and every day and one step closer towards accomplishing your New Year’s resolution. ❦

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

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

Dave’s Spring Marathon In-TrainingTuesday, January 5, 2016 to Sunday, April 24, 2016 at 5700 Monroe St. in Sylvania, Ohio.

Dave’s Marathon Training Group gives you the benefit of personal coach-ing through a training plan designed to enable you to achieve your goal. The marathon and half-marathon program will begin the first week of January. The Mercy Health Glass City Marathon will be the focus of all the programs offered. Each pro-gram will have different pace groups to meet your needs and assigned coaches for each group. Come out and join hundreds of other runners just like you.

Included in the program will be a Saucony gender-specific jacket and a training shirt for the half and full marathoners.

Prior to the start of the training programs, you will receive a welcome

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letter regarding the logistics of the training. Best of luck, and thanks for allowing Dave’s Running the opportunity to coach you.

Dave’s 10-Miler/5KSunday, January 24, 2016, 2:00 p.m. at 605 Taylor Street in Delta, Ohio. Dave’s 10 Miler was started in 1974 by Dave himself and has happened every year regardless of the unpredictable

weather. At the race, we have seen highs of 65 degrees to blizzard condi-tions and ice on the road, so be sure to dress for the weather. The course starts at Delta High School and loops through the beautiful countryside of Delta, Ohio. After the race, stay and enjoy some hot chicken noodle soup, sandwiches, and the shower facilities. Great training run for spring marathons! ❦

Sister Karen Zielinski, OSF

nobody’s perfect

because they feel their symptoms are nothing major. Being tired and achy, having less of an appetite, etc., are not life-threatening symptoms. They do, however, affect the everyday quality of our life, and little symptoms can often be addressed and corrected by seeing our physician.

Bob also admitted that he did not see his doctor because it would be acknowledging that he’s getting older. He felt that the doctor would just give him a slew of medical tests and new medications and tell him he could not do things like drive, work, etc. He admitted that he was afraid the doctor would “find something wrong” with him.

Often, we avoid medical appointments because we are afraid of what might be wrong with us. We fear that the pain in our back might require surgery. Or that our headaches are more than just sinus infections. We fear the worst-case scenarios. And blood work? Some people say they hate needles

and know that the doctor will find bad things in their blood.

We might put off medical tests because we are overwhelmed, lazy, or nervous and afraid. Others wait because that is just their personality. Paying for healthcare can stop us from seeing a doctor, too. A Rasmussen

Report nat ional telephone survey found 37% of Americans say they have postponed medical changes to save money.

Dr. Ian Clark, founder of a joint-replacement laboratory at Loma Linda University, says most patients delay hip replacements for perceptual reasons: fear of the unknown, fear of surgery, fear of ‘losing’ a body part, fear of the post-operative surgery

pain, and fear that they may end up worse off than before they started.

It’s about lossesWe might delay a medical change to avoid a loss. After a surgery, we might lose some strength. Moving to assisted living means losing our

“Not yet!” Why we postpone seeing a doctor

Bob was feeling more and more tired. He did not have much of an

appetite and said he just felt “lousy” when asked how he was doing. He still went to his part-time job but did little else. When friends asked

what his doctor had to say about the situation, he replied, “I didn’t see my doctor. It is nothing major.”

Why do we wait?Sometimes people wait to see a doctor

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service—Not only does the act of shoveling heavy snow in the cold present serious health risks to seniors in and of itself, but it also puts them in much greater jeopardy of slipping or losing their balance and falling. Consider hiring a professional snow-removal service—if not a grandchild or neighbor kid—to take on this treacherous chore for you. It will be money well spent, and your body will thank you for it.

Check your traction—We all know it’s wise to verify that we have adequate tread on our vehicle tires before winter sets in, but it’s equally important to ensure that your shoes, boots, and other footwear will provide adequate traction on snow and ice. Dress shoes can be particularly slip-prone, so if you’re heading somewhere dressy, it’s a good idea to wear boots en route and carry your dress shoes with you so you can change into them when you arrive.

Reinforce railings—That ornate wrought-iron railing along your sidewalk front stairs may give your home wonderful curb appeal, but how will it hold up if it has to support your

whole weight after you slip on ice? If it’s wobbly, rusty, or otherwise structurally compromised, it’s a good idea to get it replaced with something sturdier.

Keep your hands free—While navigating potentially slick sidewalks, driveways, steps, or parking lots, be sure to keep your hands free so you can grab

homes and years of memories. Giving up a driver’s license means a loss of independence. Taking a medical leave might mean losing our job and identity.

We have no control over some losses. We can only be honest about it, acknowledge it, and move on, embracing the messiness and uncertainty. After the feared medical procedures are over, people express a common reaction: “If I only knew then what I know now, I would have done it years ago.”

It’s the New Year. Sometime in 2016, promise yourself you will see a medical professional and find out why you are not sleeping well, eating well, or feeling well. Often, it can be a simple solution. Seeing a doctor or medical professional can prevent something “simple” from becoming a major problem or financial burden! Early detection is a good thing in health challenges.

Nip it in the bud! Be good to your body, and face up to the “minor symptoms.” What you think will happen usually never does!

Handy tips Still reluctant to see a doctor? Here

are some tips that might help you overcome your hesitancy:

• Talk honestly with a friend or family member about your making an appointment.

• Start with a “first step”: see a doctor, a dentist, etc. Do a little at a time.

• Remember that your visit will not necessarily end in surgery, therapy, etc.

• Visualize how much better off you will be when the medical

appointment is over! ❦

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.

Edamame Salad2 pounds shelled edamame beans—thaw under cold, running water. Drain well and set aside. Whisk sauce ingredients. Add to beans.

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this time of year can all too easily end up experiencing a painful—and potentially debilitating—fall on icy or snow-covered surfaces.

However, with the proper precautions, seniors can minimize the risk of slipping and falling on slick outdoor surfaces in wintertime. Here are some suggestions that will help:

Keep the deicer handy—Sidewalk/driveway deicer isn’t much help if you have to walk across perilously slick surfaces to reach it in a detached garage or storage shed. Keep your deicing product within easy reach inside your home (e.g., in a foyer or mudroom) or an attached garage. The same applies to your snow shovel.

Hire a snow-removal

Seniors often go to considerable lengths to reduce the risk of fall-

ing inside the home—eliminating tripping hazards such as throw rugs and extension cords, installing grab bars in bathrooms and railings on stairs, applying a non-skid surface to the bathtub, and so on. Then, along comes Old Man Winter to turn all of Northwest Ohio and Southeast Michigan into one big slip-and-fall hazard. Area seniors who aren’t especially cautious and vigilant at

Winter fall prevention tips for seniors

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Toledo Clinic offers help for chronic facial pain by Christine A. Holliday

Trigeminal neuralgia—ever heard of it? It’s something you don’t

want to experience, but if you do, you’ll be glad to know there’s help. Trigeminal neuralgia is chronic facial pain, marked by stabbing, burning, or electric-shock-like pain that can last a few minutes. It’s a condition that can be triggered by touching the face or merely having the wind blow against the face, and it can lead to physical and mental crippling in an effort to avoid the pain.

Dr. David Lewis, neurol-ogist at the Toledo Clinic, notes, “Trigeminal neuralgia is caused by compression by a blood vessel of the trigeminal nerve in the face. That nerve conducts sensations from the upper, middle, and lower portions of the face, including the jaws, gums, lips, sides of the nose, and the scalp and forehead. If the nerve is compressed by a blood vessel, the pulsation of the artery against the hypersensitive nerve can cause serious pain. The patient may have so much pain that he cannot chew or may stay indoors to avoid wind blowing against his

face, both of which can have detri-mental side effects. The pain starts spontaneously and occurs most often in middle-aged people, and while it is not very common, those who suffer from it really want relief.”

There is no visible sign of the pain and no test to verify it, but once a clinical diagnosis is made, a patient might undergo treatment with med-

icine. If that doesn’t work, the physician might try a balloon rhizotomy. This not-so-invasive surgical procedure is done under general anesthesia and in-volves introducing a needle through the cheek into the trigeminal nerve. A balloon is then expanded to compress the nerve. The patient may stay in the hospital for a day or two, and when he goes home, he may experience facial pain briefly, but will then

be pain free for more than five years.A second procedure is known as

a microvascular decompression. Dr. Lewis explains that with this proce-dure, the surgeon makes an incision behind the patient’s ear, cuts through the skull, and reaches the covering

Toledo Clinic offers help for chronic facial pain

by Christine A. Holliday

a railing or other stable object in the event of a slip or so you can break your fall if you can’t regain your balance. Wear gloves instead of warming your hands in your pockets, and get help with carrying groceries or other loads on icy or snowy surfaces.

Don’t bring winter indoors—Snow and ice carried indoors on boots and shoes can create a major slip-and-fall hazard on hard flooring surfaces, such as wood, linoleum, and laminate. Remove snowy/icy footwear at the door (and encourage visitors to do the same), and be sure to wipe up tracked-in snow, ice, or water promptly.

Get connected—We all recall—and have probably snickered at—the famous Life Alert® catchphrase: “Help! I’ve fallen and I can’t get up!” But experiencing a debilitating fall with no one nearby to help is no laughing matter. Factor in extremely

cold temperatures, and such a fall can quickly turn deadly. To avoid this scenario, it’s strongly advised that seniors utilize a medical alert system so medical help and other emergency services are available at the push of a button. At the very least, they should carry a cell phone in an easily accessible location on their body so they can call someone for help if necessary.

Consider preventive physical therapy—Stronger arm, leg, and core muscles will help you maintain your balance better, make it easier to catch and stabilize yourself if you slip, reduce the risk of serious injury in the event of a fall, and help you get back on your feet more easily. A qualified physical therapist or personal trainer should be able to help you implement a manageable workout regimen that will strengthen these key muscles. ❦

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

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

rehabilitation• Substantial cost savings associated with outpatient surgery

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

Radiology

Laboratory

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

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

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

Toledo Clinic Neurosurgery4235 Secor Road, Building 1, Upper Level

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of the brain. He then uses an instru-ment to move the covering aside, locates the offending blood vessel, and pushes it away from the nerve. A Teflon sponge is put between the blood vessel and the nerve so there is no further contact, and the incision is closed. The post-surgery patient is monitored for several days but can then expect to enjoy life without facial pain. Dr. Lewis calls this procedure

“powerful and permanent.”Those with questions about trigem-

inal neuralgia or other neurological issues are encouraged to call Dr. Lewis’ office at 419-479-5590. His practice is located at The Toledo Clinic at 4235 Secor Road in Toledo. ❦

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

Monumental experiences

A Walk in the Parkby LeMoyne Mercer

Shirley and I are big fans of the national parks. Our favorite,

Yellowstone, first and still the best, was established in 1874 by President Grant. The NPS is celebrating its

centennial this year. Yes, I know the math doesn’t work out. There were national parks a long time before there was an NPS. Because of the centennial, you can expect a lot of

publicity encouraging you to visit some of our national treasures.

In the East, half the population of the US is within a day’s drive of Acadia, Shenandoah, Great Smoky Mountains, or Everglades National Parks. Smoky Mountains has long been the most visited national park. All provide exceptional recreational opportunities and outstanding values for visitors. Entry fees are typically low—in the $20 range for an entire carload for a week or more. You don’t have to pay again every time you re-enter the park. Smoky Mountains has no fee at all. In 2016, however, you may have to share the experience with lots of other visitors.

In the West are the parks that get featured on calendars: Yellow-stone, Yosemite, Rocky Mountains, Grand Canyon, Arches, Bryce Can-yon, Zion, and others. With a little encouragement from the NPS and lower gasoline prices, you just might decide that 2016 is a good year for your own version of the Griswold family vacation.

The NPS also manages 117 areas that are designated national monu-ments, 50 national historic parks, and 90 national historic sites. The first monument, Devils Tower in South Dakota, was established by Teddy Roosevelt in 1906. Monuments can be created by presidential proclamation or by act of Congress.

In addition to natural features, the monuments include places of historic significance. This is where the designations can get tricky because there is some overlap with national historic parks and national historic sites. George Washington’s birthplace, not to be confused with Mount Vernon, is a national monument. So is the birthplace of Booker T. Washington, born a slave in Virginia. Fort Clinton, in Battery Park at the tip of Man-

hattan, served as a clearing house for immigrants before Ellis Island. Federal bureaucrats may agonize over the subtle distinctions among national parks, national monuments, historic parks, or historic sites. You need not. Just go have a good time while the national whatever-it-is is still there.

Sometimes national monuments get “promoted” to national park status. Sometimes national parks and monuments are demoted and taken over by the states. Sometimes they are just decommissioned and disappear altogether. The second national park, established in 1875, was Mackinac in Michigan. It lasted only 20 years. Jackson Hole National Monument was folded into Grand Teton National Park. Although we may think of national park lands as protected in perpetuity, sometimes “perpetuity” means only until some-body says, “Oh, never mind.”

Though national monuments do not get the attention the national parks get, they still offer outstanding travel experiences. We have been to that first national monument, Devils Tower, several times on our way to or from Yellowstone and Glacier. It is exceptional enough to be featured in Steven Spielberg’s 1977 classic Close Encounters of the Third Kind. There is a trail that circles the tower so you can view the same thing from 360 slightly different angles. The tower is also a magnet for technical climbers who think the best angle for viewing it is with your face pressed right against the rock. And you can see forever from up there. Or so I would surmise.

There always seems to be a hail storm when we are at Devils Tower. Either that or 7,000 Harley riders on their way to and from Sturgis. Sometimes both. These phenomena make me think that Spielberg’s space

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aliens were not entirely fictional. Just coincidental? I think not!

Relatively nearby is Scotts Bluff, a major landmark on the Oregon Trail. Like Devils Tower, it is one of those monoliths that you can see sticking up from miles and miles away. If you get tired of driving I-80—which is easy to do in Nebraska—you can always exit at Ogallala and take Rt. 26. Traffic is very light and towns are far apart so you don’t have to slow down and/or stop every 3.7 miles. The scenery is better too.

An alternative to the Oregon Trail is the 3,700-mile Lewis and Clark National Historic Trail that follows the Missouri River from St. Louis to its headwaters and down the Snake and Columbia to Fort Clatsop on the Oregon coast. In 2004, we went to the Lewis and Clark Bicentennial Exhibition in St. Louis and have subsequently visited several of the stops along the trail. Many are easily accessible from interstates and major highways. Fort Clatsop, a national historic park, is an accurate recon-struction based on the journals. The Corps of Discovery spent the winter of 1805-06 in the 50-foot square that

housed 32 men, a famous Indian woman, and her baby. There are costumed re-enactors to bring his-tory to life.

Last summer, we spent a night at Colorado National Monument on our

way from Rocky Mountain National Park to Arches. The

monument, just off I-70 in far-western Colorado, is basically a high plateau overlooking the Colorado River. When we left Rocky Mountain that morning, it was 43 degrees, but once we were out of the mountains, the temperature rose quickly. We started the climb to Saddlehorn Campground in the monument hoping to find cool-er temperatures at about 7,000 feet.

By early evening it did cool—way down into the low 80s—so we went out Rim Rock Drive to enjoy the golden glow as the sun dropped closer to the ridge. There is plenty to see right from the park road. Inde-

pendence Monument, for example, is a 450-foot spire that inspires rock climbers to crowd onto its top every July 4. The Coke Ovens is a series of rock domes that early visitors thought resembled the beehive-shaped struc-tures in which coal was converted to coke for iron and steel foundries. At the head of the canyon was a place where the cliff face clearly suggests that a waterfall is there during the snow melt of early spring.

Only six of the 80 campsites at Saddlehorn were occupied though several others had reserved signs for the next weekend. On a trip that

Fort Clatsop on the Oregon coast is where Lewis and Clark spent the winter of 1805-06. Costumed re-enactors explain what life was like back then.

Scotts Bluff was a major landmark for settlers headed west on the Or-egon Trail.

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found all national parks campgrounds full, the availability of a campsite was a welcome anomaly. If, like us, you enjoy the solitude and quiet of wild places, you might consider including a national monument or two on your next national parks trip.

If our winter travels include Ar-izona, we prefer the Tucson area. It is only a 13-mile, highly scenic drive over Gates Pass from downtown Tucson to the Tucson Mountain Park, the Desert Museum, and Saguaro National Park. Once over the pass, you would not guess that Tucson is anywhere nearby. Saguaro is a rarity among western parks in that it has no campground. (Another one, by the way, is Cuyahoga Valley National Park between Cleveland and Akron. Didn’t know Ohio had a national park, did you?) Saguaro, divided into two districts east and west of Tucson, preserves the giant armed cactus that everyone recognizes even if they don’t know what it is called. Or how to pronounce it.

But there are other ways to get your cactus fix. Our favorite, Organ Pipe Cactus National Monument, sits right smack on the Mexican border. Organ Pipe takes its name from the multi-columnar cactus that reaches the northern edge of its range in southern Arizona. If there was just enough rainfall the preceding sum-mer monsoon, the desert will bloom

in late winter to early spring with spectacular shows of flowering cacti and other plants such as the yellow brittle bush, the deep red of the claret cup cactus, the scarlet globemallow, and the desert fairy duster.

There is also a surprising range of birdlife in the Arizona desert: Gila woodpeckers that nest in cacti, Gam-bel’s quail, curve-billed thrashers, a variety of colorful hummingbirds, Harris hawks that hunt in packs like

wolves, and even, would you believe it, cardinals. We met our friends the British Columbia ladies, Dorothy and Mary, when they were chasing a cardinal through the campground. The state bird of Ohio is a vivid red rarity in the West and totally unheard of in BC.

At the Chiricahua National Monu-ment, off I-10 near Willcox in southeast Arizona, the main attraction now is just rocks. In the 1880s they were the rocks where Geronimo and his Chiricahua band of Apaches managed to hold out in the last of the Indian wars. When Geronimo surrendered, by the way, he was sent to Ft. Pick-ens near Pensacola, FL, which just happens to be another of our favorite places to camp.

If you are a history buff, you might want to take the gravel Apache Pass Road to the ruins of Ft. Bowie, the center of the 30-year conflict between the Chiricahua and the US army. Ft. Bowie is one of the national historic sites, but the stone fort is in ruins, so don’t expect it to look like a movie set. The road up there is part of the old Butterfield Stage route that went through what is now Arizona and Nevada to the California gold fields. John Wayne’s first starring role, in Stagecoach, featured a Butterfield coach. The central threat in the film is an attack by Geronimo. The real Geronimo would still be holding out if he had as many warriors as there were in the movie.

If you are more interested in scen-ery and hiking than in history, we recommend taking the shuttle bus from the Chiricahua National Mon-ument visitor center to the Massai

This rock formation in Chiricahua National Monument is called Punch and Judy. Can you tell why?

Organ Pipe Cactus National Monument is named for the columnar cactus that reaches the northern limits of its range in southern Arizona.

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Point trailheads. From there you can walk about seven miles along inter-connecting trails through amazing and convoluted rock formations back down to the visitor center. Don’t miss the short Heart of the Rocks Loop portion of the hike. You are not required to do all seven miles. You might choose to take a shorter hike and return to the trailhead for the shuttle back down.

There are several other national monuments we can recommend: Castillo de San Marcos and Ft. Matanzas in St. Augus-tine, FL; Fort Sumter in the Charleston harbor; Ft. Pulaski at Savannah; Dinosaur National Monument in northwestern CO; Cedar Breaks in UT; the Little Bighorn Battlefield in southeastern MT. We don’t think of national mon-uments as primary destinations but as highly worthwhile side trips that can often be made with very little extra effort.

The same is true for the histor-ic parks and sites. You might look

Tumacacori National Historical Park, an old Spanish Mission between Tucson and Nogales, was a refuge for Indians fleeing their more aggressive Apache neighbors.

Make becoming a foster parent your New Year’s resolution

Lucas County Children Services (LCCS) is looking ahead to 2016

and asking individuals and families to make becoming a licensed foster/adoptive caregiver one of their New Year’s resolutions. LCCS currently needs families willing to foster chil-dren of all ages, particularly young children and groups of three or more brothers and sisters, who have been victims of abuse or neglect.

The agency is again providing its free information and training classes at its offices, located at 705 Adams Street in downtown Toledo. Tuesday/Thursday evening classes run January 6 through February 11, 2016, from 6:00 to 9:00 p.m.; Saturday sessions are scheduled for February 13 through March 19, 2016, from 9:00 a.m. to 4:00 p.m.; and classes will be held on Monday/Wednesday evenings from April 4 through May 11, 2016, from 6:00 to 9:00 p.m. To register for any of these sessions, please call 419-213-3336 or

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into historic parks such as Lincoln’s Birthplace in KY, Appomattox Court House in Virginia, and Jean Lafitte at Chalmette Cemetery, better known as the site of the Battle of New Orleans. National historic sites include Fort

Laramie and, much clos-er to home, Fallen Timbers Battlefield and Fort Miamis in Maumee.

Our preferred mode of

Fort Laramie in Wyoming was a fur trading post in the 1830s that was taken over by the army in 1849 to protect travelers on the Oregon Trail.

travel is in our motor home. It gives us the flexibility to visit places we might not otherwise have considered. If you are hoteling it, more detailed trip planning may be required, but you can always leave holes in your schedule for some spontaneity. You are bound to discover that visiting our national monuments, historic

Jamestown, the first English colony in Amer-ica in 1607, is part of the Colonial National Park that also includes Colonial Williams-burg and the Yorktown Battlefield.

This marker at Little Bighorn Na-tional Monument in Montana is where Gen. Custer died. He is actually buried in the West Point Cemetery.

parks, and historic sites can be just a walk in the park. ❦

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

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