Chowline: Binge drinking on the rise in certain populations

A binge drinker is someone who experiences at least one binge-drinking episode during a 30-day period……

Is there a difference between heavy drinking and binge drinking? And do these have any effect on my health?

Yes, the Centers for Disease Control and Prevention defines heavy drinking as the consumption of 15 drinks or more per week for men and 8 or more drinks per week for women. On the other hand, they define binge drinking as consuming five or more drinks for men and four or more drinks for women, in about two hours. A binge drinker is someone who experiences at least one binge-drinking episode during a 30-day period.

Per the National Institute on Alcohol Abuse and Alcoholism, a standard alcoholic drink is equivalent to 12 ounces of beer, which is typically about 5% alcohol; 5 ounces of wine, which is typically 12% alcohol; or 1.5 ounces of hard liquor, which is typically 40% alcohol, or 80 proof.

According to a new study released this week by the CDC, U.S. adults who binge drink have significantly increased their alcohol intake in recent years. The study found that U.S. adults consumed more than 529 binge drinks per binge drinker in 2017 compared to 472 in 2011. Binge drinkers in Ohio average some 764 alcoholic drinks per person annually, according to the study. 

The CDC says this is a concern because excessive alcohol consumption or binge drinking can lead to long-term health problems such as cancer, diabetes, heart disease, and liver failure. In fact, the CDC states that binge drinking is responsible for more than half of the 88,000 alcohol-attributable deaths and three-quarters of the $249 billion in economic costs associated with excessive drinking in the United States annually.

The U.S. Dietary Guidelines for Americans says that women of legal drinking age should have no more than one drink per day, while men of legal drinking age should consume no more than two drinks per day.

Why are there different recommendations for men and women?

Well, the body depends on substances known as enzymes to process alcohol, said Irene Hatsu, state specialist in food security for Ohio State University Extension, the outreach arm of The Ohio State University College of Food, Agricultural, and Environmental Sciences. 

“And women generally produce less enzymes compared to men, thereby causing more unprocessed alcohol to go straight into their blood, thus quickly building up and producing effects,” she said.

In addition, compared to men, women are generally smaller, have more body fat, and have less total body water. The alcohol they consume, therefore, doesn’t get diluted and becomes more concentrated in the blood.

So, what can be done at the community level to reduce binge drinking?

The CDC recommends that alcohol screening and intervention by health care providers become a routine part of clinical care. It also recommends the widespread use of community prevention strategies such as limiting the number of places that serve or sell alcohol in a geographic area, as well as limiting the days and hours of alcohol sales.

Chow Line is a service of The Ohio State University College of Food, Agricultural, and Environmental Sciences and its outreach and research arms, Ohio State University Extension and the Ohio Agricultural Research and Development Center. Send questions to Chow Line author Tracy Turner, 364 W. Lane Ave., Suite B120, Columbus, OH 43201, or [email protected].

Understanding Rare Cancers

Four facts to know about one type of rare cancer, soft tissue sarcomas….

(Family Features) Although rare cancers don’t occur often, they can affect people of all ages and genders.

Photo courtesy of Getty Images


A rare cancer is defined as fewer than 15 new diagnoses per 100,000 people per year, according to the National Cancer Institute (NCI). Additionally, as noted by the American Cancer Society (ACS), the 5-year survival rate is lower for people diagnosed with a rare cancer than for people living with more common cancers. Greater awareness of rare cancers may lead to earlier diagnosis and management, and potentially better survival rates.  

  1. There are more than 50 types of soft tissue sarcomas (STS). STS account for about 1% of all cancers and affect soft tissues such as muscle, fat, nerves, blood vessels and skin. Although STS can be found in any part of the body, they are often in the arms or legs, internal organs, the back of the abdominal cavity or in the trunk, head and neck area.

If you have recently been diagnosed with STS, it’s important to ask your doctor for more information about the specific sub-type you have. For example, if you received a diagnosis of undifferentiated sarcoma, ask your doctor for an integrase interactor-1 (INI1) test to see if you have a rare STS called epithelioid sarcoma (ES). (See sidebar for more on ES.)

  1. STS can be visible or invisible depending on location. STS may appear as painless bumps under the skin, usually on arms or legs. Some sarcomas begin in the abdomen and typically don’t show symptoms until they grow and press on nearby organs, nerves, muscles or blood vessels. When this occurs, symptoms may include pain and trouble breathing.
  1. Early diagnosis can help inform disease management. As with other types of cancer, early diagnosis of STS is key, as earlier treatment may result in more favorable outcomes. Because other conditions can cause similar symptoms, it’s important to check with your doctor if you are experiencing any of the warning signs listed above. If your doctor decides it’s best to “watch and wait,” consider developing a six-week follow-up plan in partnership with your health care team if your symptoms have not improved.
  1. Seeking care from a specialist is key. Given the rarity of STS, finding a sarcoma specialist who understands the complexity of this rare disease and can help determine which treatment option is best for you is important. Treatment options depend on multiple factors, including your overall health, the location and type of tumor, its size and whether the disease has spread elsewhere in the body. STS are typically treated with a combination of options including chemotherapy, radiation therapy and surgery. A specialist may also speak to you about participating in a clinical trial where investigational therapies in STS are being studied.

Learning More About Epithelioid Sarcoma

A rare type of STS, epithelioid sarcoma (ES) accounts for less than 1% of all STS, which themselves account for approximately 1% of all cancers, according to research published in “Archives of Pathology & Laboratory Medicine.” ES can present as a lump or sore on the skin.

Notably, more than 90% of ES tumors do not express the INI1 protein, which when present acts to suppress tumor growth. INI1 loss plays an important role in the diagnosis of ES, according to researchers with “The American Journal of Surgical Pathology.”

Data from the NCI indicates that approximately 150-200 people in the United States are diagnosed with ES each year. Research published in “The Journal of Clinical and Aesthetic Dermatology” found the disease often occurs in young adults in their 20s and 30s. Because most ES patients are adolescents and young adults, there is a gap in the unique psycho-social needs for this patient population, including resources for patients who miss school while undergoing treatments, as well as fertility considerations later in life.

If you or someone you love is living with ES, you can find resources, information and the real-life perspective of an ES survivor at

Content courtesy of Epizyme, Inc.


New Doctor Joins Fostoria Primary Care

Dr. Mark Weiner Joins Fostoria Primary Care

Dr. Mark Weiner, a family practice physician, has joined Fostoria Primary Care, a division of Blanchard Valley Health System, and will begin seeing patients located at 617 North County Line Street, Fostoria.

Dr. Mark Weiner, MD, Family practice physician


Dr. Weiner will be providing primary care and internal medicine to all ages. Services will include care for chronic diseases such as asthma and diabetes, family planning and reproductive counseling and routine check-ups for overall health.

“I am excited to welcome Dr. Weiner to the Blanchard Valley Health System family of professionals,” said Kelly Shroll, president of Blanchard Valley Medical Practices. “He shares our strong passion for providing the best patient care.”

Dr. Mark Weiner received his bachelor’s degree from Kalamazoo College (Kalamazoo, MI) and then completed his osteopathic medical degree at Michigan State University (East Lansing, MI).

Dr. Weiner is accepting new patients. To make an appointment, call 419.436.9091.

Custom Cut Specials Jan. 21

ORDER Chicken Wings for the Super Bowl!

January 21 – 25, 2020


Senior Citizens Tuesdays
10% Off Any Purchase

From the farms to YOUR freezers we’ll cut whatever you want!

We have your SUPER BOWL supplies!!!






Call 419-257-3529 to get your poundage!

Chicken Leg Quarters – 99¢ #

Boneless Chix Breasts – $2.89#


Our Bun Length Brats >>> $1.50 each <<<
Choose from:
Regular – Cheddar – Pepper Jack and Bahama Mama

Pork Spare Ribs – $2.99#
Western Style Pork Ribs – $3.39#

Beef Chuck Eye Steaks – $5.59#
Beef Brisket – $4.09#

Rib Eyes Steaks

N. Y. Strip Steaks

T-Bone Steaks

Top Sirloin Steak

Amish Natural
Casing Hot Dogs

Rudy’s Famous
Chili Dog Sauce

Harlan’s Famous
B-B-Q Rub

Deli Cheese
Swiss-Colby – Pepper Jack – CoJack



We accept 
EBT – Debit – Credit


Chowline: Is drinking more water your New Year’s resolution?

If so, here’s how to do it……..

As part of my 2020 New Year’s resolution, I’ve pledged to drink more water this year. Do you have any tips on how I can stick to my goal and keep up my water intake?

If drinking more water was one of your New Year’s resolutions, you’re not alone. Not only is increasing the amount of water one drinks one of the top consumer resolutions for 2020, but increased water intake continues to be a growing trend as more people seek to boost their hydration rates as part of a healthy lifestyle.

For example, bottled water beat soft drinks as the top beverage in the United States by volume in 2017, with sales increasing 7% over sales in 2016, according to the Beverage Marketing Corporation, a New York-based beverage consulting firm.

And on any given day, the average adult U.S. citizen drinks an average of 39 ounces of water, according to the Centers for Disease Control and Prevention.

So why is getting an adequate amount of water consumption so important?

Not only is drinking enough water every day good for your overall health, but water can help you manage or lose weight considering that it adds zero calories when substituted for drinks that have calories, such as regular soda. Additionally, drinking water can prevent dehydration, a condition that can cause unclear thinking, result in mood changes, cause your body to overheat, lead to constipation, and cause kidney stones, the CDC said.

Although there is no set recommendation for how much water adults and youth should drink daily, there are recommendations for daily total water intake that can be obtained from a variety of beverages and foods, the CDC said.

For example, the Institute of Medicine of the National Academies set general recommendations for water intake based on detailed national data, which showed that women who appear to be adequately hydrated consume an average of approximately 91 ounces of water from all beverages and foods each day, while men average approximately 125 ounces daily.

“‘Choose water first for thirst’ is a good way to make the better choice more automatic,” said Carol Smathers, field specialist in youth nutrition and wellness for Ohio State University Extension. OSU Extension is the statewide outreach arm of The Ohio State University College of Food, Agricultural, and Environmental Sciences.

“When you are at home, at events, or at restaurants, choose water first, before reaching for other drinks or snacks,” she said. “You’ll be refreshed and cut costs and calories at the same time.”

So how can you increase your water intake? Smathers and other nutritionists and healthcare experts offer the following tips:

  • Choose water instead of sugar-sweetened beverages.
  • Carry a water bottle and refill it throughout the day.
  • Don’t stock the fridge with sugar-sweetened beverages. Instead, keep a jug or bottles of cold water in the fridge.
  • Serve water with meals.
  • Infuse water with flavor by adding fruits such as berries, cucumbers, lemons, and limes.
  • Add a splash of 100% juice to plain sparkling water for a refreshing, low-calorie drink.
  • Freeze some freezer-safe water bottles for ice-cold water all day long.
  • Choose water instead of other beverages when eating out, which is also a money-saver.

BVHS Weekend Column: Legislation, Human Trafficking and Healthcare

The socio-economic inequality of trafficked victims limits their potential to escape….

Legislation, Human Trafficking and Healthcare, by Mindy M. Lause, RN, Blanchard Valley Hospital Emergency Department

Mindy Lause, RN


Recent legislation has proven to be effective for trafficked persons. The Trafficking Victims’ Protection Act (TVPA) of 2000 created the first comprehensive federal law to address human trafficking. The TVPA introduced a practical approach: prevent trafficking through public awareness, protecting victims of trafficking and prosecuting traffickers. Ohio’s Human Trafficking Law (ORC 2905.32) further defined trafficked persons to include minors and individuals with developmental disabilities.

The state of Ohio, with 19 other states, has enacted legislation encouraging a statewide task force; thus, the Ohio Human Trafficking Task Force was created. This force coordinates efforts to identify victims, investigate and prosecute human trafficking and provide services and treatment necessary for victims to regain control of their lives.

Preventative measures throughout the state of Ohio included promoting the National Human Trafficking Hotline, due to Ohio having the fourth-highest number of reported Human Trafficking cases in 2018. This hotline lead to the identification of 509 victims, 228 traffickers and 73 trafficking businesses, disguised massage parlors and/or nail salons. A human trafficking study was also completed, focusing on minors and adults up to 21, revealing the presence of this issue in Ohio.

Criminal penalties for traffickers and purchasers have also increased. Trafficking a person has been named a first-degree felony in the state of Ohio with a mandatory sentence of 10 years in prison (ORC 2905.32). Sex traffickers are also required to register as sex offenders and cannot live within 1,000 feet of a school (ORC 2950.01). Although these punishments exist, the prosecution still remains low. If laws are created yet not enforced, this creates a high-profit, low-risk opportunity for traffickers.

The socio-economic inequality of trafficked victims limits their potential to escape. Those with more power, both legally and illegally, call the shots regarding release and rehabilitation. Factors such as poverty, cognitive dissonance, ignorance, lack of funding and/or societal standards corroborate this crime while debt, violence and threats force victims to stay.

An area in need of further exploration is when human trafficking intersects with healthcare. Most human trafficking data has been collected by law enforcement. Given that nearly 88% of victims come into contact with healthcare providers, how can medical professionals assist in the effort to eradicate this injustice?

There is a need for healthcare providers to work beside law enforcement regarding this complex human rights issue. It is suggested that healthcare facilities become proactive and create a Human Anti-Trafficking Response Team (HART). This team could consist of medical providers, social workers, behavioral health, forensic nurses, faith leaders, security and/or hospital leadership. Together, this team can educate front-line medical and non-medical professionals on the red flags of trafficked victims, misconceptions associated with a coerced lifestyle (such as being labeled as a prostitute, drug addict or foreigner) and how to address safety issues and concerns if suspicion is aroused or disclosure occurs. When disclosure occurs, the HART can provide trauma informed care and offer the choice of resources and/or rehabilitation.

The use of a forensic nurse presents an opportunity to increase prosecution rates of traffickers, given details documented in medical records can be used as legal documentation in a court of law. Forensic nurses are familiar with testimony and the evidence collection process. Data regarding this vulnerable patient population can also be collected through the medical records, which can contribute to future insight on the presentation, care and rehabilitation of the trafficked victim.



Fundraiser for Disabled Elderly NB Resident

You can help get a disabled elderly North Baltimore resident home safely!


You can help get a disabled elderly North Baltimore resident home safely!

Unable to share the name or what skilled nursing home he is at due to HIPPA laws.

You can help out to purchase the lumber ($1200) for a ramp big enough so this elderly man can SAFELY enter his home and help his caregiver by making his home more assessible.

An account is set up at Huntington Bank in NB – “A Ramp for Ronnie” if you would like to donate directly at the bank. There is a Fund Donation page on FB. Or call – Sara Mason’s work cell number is 419-708-6731.

Chris Bry at Bryar Woodworking & Custom Carpentry LLC was at the home to do measurements and provided an estimates for me (Sara Mason) in less than 24hrs. Chris is willing to do this work for free!!! We hope to raise more than what is needed for the materials, so that balance could go to him for his time and efforts!

WC Health Department centennial celebration set for Jan. 30

Event will include tours, speakers and historical highlights from the past 100 years

BOWLING GREEN — Wood County Health Department will celebrate its 100-year anniversary with an event that is open to the public from 3-6 p.m. Thursday, Jan. 30.

Everyone can enjoy refreshments and tours of the health department during an open house and reception from 3-5 p.m. Historical displays will highlight major accomplishments in public health over the last century. A short program will begin at 5 p.m., with speakers touching on the past, present and future of public health in Wood County, in Ohio and beyond.

Speakers will include Ned Baker, who began a long and accomplished public health career in Wood County in the 1950s; Benjamin Batey, Wood County Health Commissioner; and Philip Welch, associate professor and graduate coordinator of Bowling Green State University’s Department of Public & Allied Health.

The Wood County Board of Health met for the first time on Jan. 20, 1920, after legislation established municipal and general health districts across Ohio to ensure that the state could effectively respond to public health crises. The board consisted of five members: George T. Brim of Plain Township; Dr. R. Frederick Whitacre of Prairie Depot; Dr. J. Cliff Wetherill of Weston; Robert L. Ennis of Rossford; and James H. Apple of Henry Township.

The health department is located at 1840 E. Gypsy Lane Road, Bowling Green.

The mission of Wood County Health Department is to prevent disease, promote healthy lifestyles and protect the health of everyone in Wood County. Our Community Health Center provides comprehensive medical services for men, women and children. We welcome all patients, including uninsured or underinsured clients, regardless of their ability to pay, and we accept most third-party insurance. For more information, visit

5 Questions to Ask When Planning for Long-Term Care

Long-term care can be provided in a variety of settings, including at home, in an assisted-living facility or in a nursing home….

(Family Features) You may not want to consider a time when you might not be able to fully take care of yourself, but the reality is there is almost a 70% chance someone turning 65 today will need some type of long-term care service and support in his or her lifetime, according to the U.S. Department of Health and Human Services.

Photo courtesy of Getty Images

Even if you’ve worked hard to save for retirement and create the financial security you want in the future, the need for long-term care could throw a wrench into even the most well-thought-out plans and impact you and your loved ones’ finances.

Consider these questions as you begin the long-term care planning process.

What is long-term care?
Different from traditional medical care that treats illnesses and injuries, long-term care includes services designed to help you maintain your quality of life and perform everyday activities even if age, illness, injury or a severe cognitive impairment make it a challenge to take care of yourself for an extended period of time. Long-term care services help with common daily functions including dressing, bathing and eating, and even skilled nursing services such as giving medication.

When should you start thinking about long-term care planning?
Because you never know when a need for care may arise, planning for care when you are younger and healthier can provide additional options as you’re more likely to qualify for coverage. Plus, cost is based on your age when you apply, so waiting can end up costing you more. Some people are beginning to plan as early as in their 40s.

How much does long-term care cost?
Long-term care costs vary depending on where you live, the type of care provided and the setting. Home-care services average $24-$135 per hour, according to the New York Life Cost of Care Survey, while private rooms in nursing homes can cost more than $100,000 a year.

Long-term care is generally not covered by health insurance, and government programs like Medicare or Medicaid have limitations, which often isn’t discovered until care is needed. However, New York Life offers long-term care options to AARP members and provides specially trained agents who can provide guidance. The agents can work with you and your family to create a customized plan based on your financial goals, helping protect your assets should you ever require long-term care.

Where is care provided?
Long-term care can be provided in a variety of settings, including at home, in an assisted-living facility or in a nursing home depending on the amount and type of care needed. In fact, some insurance plans cover care on a part-time basis by a family member or home health worker. Planning ahead can allow for more control over how and where you receive care.

How much coverage do you need?
The amount of coverage you need typically varies based on several considerations including budget, age, the type of care expected and how much of your assets and income you may be willing to use to offset the care costs. You don’t have to cover your entire risk – choosing a modest amount of coverage can still provide benefits and help protect other assets.

While planning for long-term care can seem daunting, you can find more benefits and information to make the process easier at

AARP Services, Inc.

Urologic Oncology Care Now Available at the Bluffton Hospital

Joshua Ebel, MD will be the lead physician in this region for urologic oncology services……

Urologic oncology services will now be available in Bluffton through Blanchard Valley Urology Associates, a division of Blanchard Valley Health System. Located at Bluffton Hospital, 139 Garau Street, the urology team will provide services in elevated prostate-specific antigen (PSA), hematuria, renal masses/cysts, bladder masses, testicular masses, and prostate and other urologic cancers.

“We are extremely excited to have our urology experts providing oncology services in Bluffton,” said Kelly Shroll, president of Blanchard Valley Medical Practices. “Patients will now receive the highest level of care regarding their prostate, bladder, kidney or testicular cancers, close to home.”

Dr. Josh Ebel


Joshua Ebel, MD will be the lead physician in this region for urologic oncology services. Dr. Ebel joined Blanchard Valley Health System in 2019 and brings new skills in robotic urologic surgery. Dr. Ebel completed undergraduate studies at Miami University (Oxford, OH) before pursuing his medical degree, surgical internship and urology residency at The Ohio State University Wexner Medical Center and The James Cancer Hospital (Columbus, OH).

For more information on urology services or to schedule an appointment, call 419.369.2299.

180th Night Flying This Week

Fighter Wing is scheduled to conduct training flights at night beginning Tues., Jan. 14 through…

The Ohio Air National Guard’s 180th Fighter Wing is scheduled to conduct training flights at night beginning Tues., Jan. 14 through Thurs., Jan. 16, weather permitting. Area residents may see or hear F-16 fighter jets taking off and landing until about 8:30 p.m. this week.

Training flights normally take place during daylight hours, but F-16 pilots and maintenance personnel are required to conduct night operations as part of their overall readiness training. The 180th Fighter Wing appreciates the continued support from the citizens of Ohio and Michigan as we continue to train in support of our mission.

For updated photos and videos of the 180FW visit:

Urology Services Now Available at the Bluffton Hospital

George Adam, MD, brings years of experience to the Bluffton location and will be the lead physician for this region….

Urology services will now be available in Bluffton through Blanchard Valley Urology Associates, a division of Blanchard Valley Health System. Located at Bluffton Hospital, 139 Garau Street, the urology team will provide services in laparoscopic & robotic surgery, as well as treatment of kidney stones, overactive bladder, benign prostatic hyperplasia (BPH), prostate cancer and more.

Dr. George Adam

“We are elated to provide elite urological services to the Bluffton community and surrounding areas,” said Kelly Shroll, president of Blanchard Valley Medical Practices. “It is our mission to provide the highest level of care, close to home, so that patients will no longer need to travel.”

George Adam, MD brings years of experience to the Bluffton location and will be the lead physician for this region. Board certified by the American Board of Urology, Dr. Adam is a graduate of Southern Illinois University (Springfield, Illinois) and is a fellow of the American College of Surgeons.

For more information on urology services or to schedule an appointment, call 419.369.2299.