Daytime Sleepiness Poses Serious Health Risks

Is sleepiness affecting your ability to function during the day? A prolonged lack of quality sleep can produce irritability, depression, memory loss, workplace accidents and a host of other problems.

People often attribute their sleep problems to the aging process. But while sleep patterns change as we age, the amount of sleep we need does not change. The average adult requires seven to nine hours of sleep per night.

Practicing good “sleep hygiene” promotes quality nighttime sleep and daytime alertness. Maintaining a regular sleep and wake pattern seven days a week is a good start. Other valuable sleep hygiene practices include: spending the right amount of time in bed — not too little or too much; avoiding naps during the day; avoiding stimulants such as caffeine, nicotine, and alcohol too close to bedtime; getting plenty of exercise and exposure to natural light; and maintaining a pleasant and relaxing sleep environment.

Excessive daytime sleepiness may also result from an actual sleep disorder. Millions of Americans suffer from obstructive sleep apnea (OSA), a condition in which your airway becomes blocked while you’re sleeping, leading to episodes in which you stop breathing. The longer the disease goes untreated, the greater the negative side effects. Increased risks of heart disease, stroke and diabetes have all been linked to untreated OSA.

Some dentists, like Dr. Costaras, have begun screening their patients for sleep disorders during their routine dental exams. Patients who exhibit symptoms are then referred for sleep testing – either home-based or in a laboratory – to determine whether obstructive sleep apnea is present. Treatment options include lifestyle changes like weight loss, airway surgery, continuous positive airway pressure (CPAP), or a noninvasive, FDA-approved oral appliance.

RunHer Resolution

By Stacy Rhea

The fastest-growing road race distance in the U.S. is the half-marathon and it’s the sports-bra wearing gender that is leading the way, according to Running USA. The 2011 National Runner Survey reports that 59% of half-marathon  nishers were women; that’s a record high of approximately 950,000.

Each year, the 13.1 distance grows by 10% or more. Women are training for half marathons for two main reasons: training helps get you into the best shape of your life and completing a half marathon gives women the satisfaction of crossing the finish line.

You don’t have to do the training alone. There are running groups and coach-led training programs in Greater Cleveland to help prepare you for a half marathon. One coach-led program is the Rite Aid Cleveland Marathon Rockers 13.1 training, led by Fleet Feet Sports, Rite Aid Cleveland Marathon’s official training partner. Participants are coached through a 16-week training that guides them across the finish line happy and injury free. Fleet Feet Sports’ professional and experienced coaching sta has successfully helped hundreds of women achieve their fitness goals.

Fleet Feet Sports offers free educational clinics that teach participants Good Form Running, injury prevention, cross training and fueling strategies. If you are thinking about your first half-marathon or even your 10th, make it your New Year’s resolution and join Fleet Feet Sports on January 23 for an informational meeting about the Rite Aid Cleveland Marathon 13.1 training program.

“It’s OK – Ask Us Anything!” What Women Want to Know from MetroHealth’s Advanced Gynecology Team

As leaders in innovative treatment options for a wide variety of women’s health issues, MetroHealth’s compassionate, expert physicians offer a private space to ask questions about health issues that may seem awkward or are di cult to talk about.

These conditions may include incontinence and bladder control, fibroids, pelvic pain, pelvic prolapse and others. The MetroHealth Center for Advanced Gynecology team receive many common questions from women like you who are exploring their treatment options, including:

How can I have urinary leakage at my age? 
The problem is very common, although it is not normal and should not be a part of your everyday life. It usually occurs in women 40 and older. However, it canvoccur in younger women and is almost always treatable.

Am I a candidate for a minimally invasive hysterectomy?
Almost all women are candidates for a minimally invasive hysterectomy. It is done through a single incision in the navel, which minimizes pain, risk and scarring; many can be done vaginally with no abdominal incisions, allowing you to return to your life sooner.

How long will I be off work after this type of hysterectomy?
Patients are typically back to full function after 10-14 days. Many patients return to work in less than a week.

Will I have to take hormones after my hysterectomy?
It’s a case by- case basis. However, if the ovaries are not removed, there is no need for hormone therapy. If the ovaries are removed, and you experience hot ashes or other symptoms, hormone therapy is one of several options that can be considered.

What is a prolapsed or falling uterus? 
The word prolapse means displacement from the normal position. When this word is applied to the female organs such as a uterus, it means bulging or sagging. Genetics, obesity, vaginal deliveries, pelvic tumors or repetitive heavy lifting all can
be contributing factors.

Will I be able to return to sexual activity after a procedure?
Yes. Depending on the procedure, your sex life may improve and any
discomfort you experienced before may be eliminated.

I feel as though my bladder is never really emptied. Is that possible?
It is possible to not empty your bladder. It is important to tell your doctor about these symptoms before he or she treats you.

What does it mean when your gynecologist tells you that you have a large uterus and that it could contribute to urinary frequency?
Fibroids could be a possible cause of the large uterus and therefore would be pressing on the bladder causing the frequency.

Is it possible to do a laparoscopic hysterectomy if you had a
C-section and an appendix removed?
Yes. We do this routinely for patients who have had multiple C-sections. MetroHealth’s Center for Advanced Gynecology offers comprehensive care and innovative treatments from the most experienced team in Northeast Ohio. Our physicians are nationally recognized for developing new treatments and training other doctors around the country.

To make an appointment, call 216-778-5890. For more information, or to read more questions and answers from the advanced gynecology team, visit

Love Tips for Your Wedding Day…

TIMELINE: When planning your timeline for your big day, be sure to communicate with your photographer. A good photographer will be able to help you plan out how much time is needed, not only for taking the pictures, but also to allow for the travel time to get to any photo locations you may decide on. Always keep in mind, it does take time to photograph those beautiful moments, so be sure to allow enough time. You only get one chance to capture the memories of that special day.

EXPERIENCE: When looking at a photographers website, always always always find the “about me” or “bio” section and find out their background and training. When looking for the person to capture the most important day of your life, you want to be sure they are more than a “weekend warrior.” You want to know they are true professionals.

COPYRIGHT: Make sure you own your photos! At Ken Love Photography, whether it is a wedding, senior portrait shoot, family shoot or beyond, every client at the end of the process receives every image in high resolution and the rights to those images to print them anywhere! Do they water mark their digital files? At Ken Love Photography, we let our work speak for itself. We get our work from people asking who took your photos, not from our name floating in your image. You paid for photos, not for free advertising for photographer.

SECURE PHOTOGRAPHER: Don’t wait to book! Good photographers are snatched up for those summer dates pretty far in advance. Always ask if photographer o„ffers any off season discounts or discounts for Friday and Sunday weddings. At Ken Love Photography, we understand you pick some dates trying to keep a budget, and we are here to help! After all, if you can’t have one of those prized summer Saturday dates, why should you have to pay the same price?

QUANTITY: Find out how many photos on average they take at each wedding. Ken Love Photography shoots between four and five thousand images each wedding! And the client gets each and every one of them. If they put a limit on how many pictures they take or they will give you, move on. It is always better to have more; you don’t want to miss that one unique special moment.

EQUIPMENT: Do they have back up equipment? We have four cameras, ten lenses and  five flashes with us at each wedding we shoot. No matter what happens, you are covered.

TURN AROUND: How long will it take to get your photos back after your wedding? We have heard horror stories of brides waiting months or over a year for their photos and that is just inexcusable. We have your wedding images retouched and perfect to you within a week after your wedding. You have waited and prepared for this day for some time; you deserve to see the results of your e„fforts as soon as you can. Plus your photos make wonderful memorable gifts for friends and family.

Ken Love is what is considered a “True” Professional Photographer. Graduating at the top of his class from the Pittsburgh Art Institute and the R.I. School of Photography, trained in the Professional Photo Lab field, assisting top commercial photographers in the country, and having spent 22 years as an award winning newspaper photographer, Ken Love has the true experience and knowledge to take on any photography job big or small. After leaving the newspaper business to start his own business four years ago, Ken has quickly become one of the top wedding photographers in Ohio, along with serving dozens of commercial photography clients and ad agencies.

Ken Love Photography provides high-end services, including photojournalistic wedding photography, senior photos, and family portraiture, including children and pets. He also does model portfolios. Ken has extensive experience shooting professional, college, and high school sporting events that he also applies to photographing youth sports.