4
VOLUNTEERS MAKE THE WAIT EASIER FOR THOSE ON HEART TRANSPLANT LIST by Casey Capachi Reporting this story turned out to be one of the most meaningful events of my summer spent on the Health desk of The Plain Dealer. I chose this piece because it involved one of my favorite aspects of health reporting: making people care. This time about the need for organ donation. My two main sources were Holly Mulkerin and Frank Bianchi, both of whom had undergone heart transplant surgery on the same day at the Cleveland Clinic. Each of them opened up to me about their darkest hours waiting for a new heart and were very generous with their time. What started out as a visit to Frank’s home to interview him and Holly about the volunteer calling program they run to help those now on the waiting list eventually turned into much more. I spent time getting to know Frank’s family and attended one of the monthly dinners at the Cleveland Clinic for their “heart transplant family.” There, those who had undergone heart transplant surgery lent support to those who were still waiting for a new heart. They also gathered to remember their donors who gave them a “second chance at life.” Many pulled me aside to tell me about their transplant experience. Although identities of donors are kept confidential, the recipients often cling to the few details they know about the strangers whose hearts are now beating inside them. One woman said her husband, a heart transplant recipient, worked out so much to keep fit that the doctor had to tell him, “You’ve got a young heart but an old body, so cool it.” Most of the recipients I talked to echoed Frank’s appreciative sentiment that they couldn’t let these hearts “go in vain.” Following the dinner, Frank and his family took me on a tour of the unit where he spent some of his sickest days. Frank, who was left blind after a brain aneurysm over 20 years ago, was reminded by walking around the familiar layout of the floor of happy memories. He recalled many lively interactions with the other patients, including Holly. The patients’ vivacious behavior even earned them the nickname, “The Rowdy Hearts.” I could have written a book about Frank and Holly’s story and, in the end, I practically did before whittling it down to a length that could fit in the weekly Health section. I was fortunate enough to have the support of my editor, Ellen Burbach and fellow reporters who encouraged me to spend time developing the story to its fullest. After Frank’s wife read him the story, he called to thank me. I told him that I should be thanking him. “I’m glad you got to experience it without any members of your family going through it,” said Frank. He said he was also hopeful that the story would encourage more people to sign up as organ donors.

VOLUNTEERS MAKE THE WAIT EASIER FOR … MAKE THE WAIT EASIER FOR THOSE ON HEART TRANSPLANT LIST by Casey ... heart transplant surgery on the same day at the Cleveland Clinic

Embed Size (px)

Citation preview

VOLUNTEERS MAKE THE WAIT EASIER FOR THOSE ON HEART TRANSPLANT LIST by Casey Capachi Reporting this story turned out to be one of the most meaningful events of my summer spent on the Health desk of The Plain Dealer. I chose this piece because it involved one of my favorite aspects of health reporting: making people care. This time about the need for organ donation. My two main sources were Holly Mulkerin and Frank Bianchi, both of whom had undergone heart transplant surgery on the same day at the Cleveland Clinic. Each of them opened up to me about their darkest hours waiting for a new heart and were very generous with their time. What started out as a visit to Frank’s home to interview him and Holly about the volunteer calling program they run to help those now on the waiting list eventually turned into much more. I spent time getting to know Frank’s family and attended one of the monthly dinners at the Cleveland Clinic for their “heart transplant family.” There, those who had undergone heart transplant surgery lent support to those who were still waiting for a new heart. They also gathered to remember their donors who gave them a “second chance at life.” Many pulled me aside to tell me about their transplant experience. Although identities of donors are kept confidential, the recipients often cling to the few details they know about the strangers whose hearts are now beating inside them. One woman said her husband, a heart transplant recipient, worked out so much to keep fit that the doctor had to tell him, “You’ve got a young heart but an old body, so cool it.” Most of the recipients I talked to echoed Frank’s appreciative sentiment that they couldn’t let these hearts “go in vain.” Following the dinner, Frank and his family took me on a tour of the unit where he spent some of his sickest days. Frank, who was left blind after a brain aneurysm over 20 years ago, was reminded by walking around the familiar layout of the floor of happy memories. He recalled many lively interactions with the other patients, including Holly. The patients’ vivacious behavior even earned them the nickname, “The Rowdy Hearts.” I could have written a book about Frank and Holly’s story and, in the end, I practically did before whittling it down to a length that could fit in the weekly Health section. I was fortunate enough to have the support of my editor, Ellen Burbach and fellow reporters who encouraged me to spend time developing the story to its fullest. After Frank’s wife read him the story, he called to thank me. I told him that I should be thanking him. “I’m glad you got to experience it without any members of your family going through it,” said Frank. He said he was also hopeful that the story would encourage more people to sign up as organ donors.

“That’s the thing, Casey, people don’t think it’ll happen to them,” he said about needing an organ transplant. “But it can happen to anyone.” To this day, I sometimes feel my own heart beat and wonder what might happen when it will no longer be able to sustain me. Knowing that my heart might be in the right condition to go to someone like Frank, Holly, and the other patients I met on the waiting list always seems to make it skip a beat. This article, which originally ran on September 11, 2012, has been reproduced in its entirety on our website with permission from The Plain Dealer.

Healthy Living

E THE PLAIN DEALER BREAKING NEWS AND ADVICE AT CLEVELAND.COM/HEALTH

Snuffing smokeon school grounds

T here’s no smoking inside schools housinggrades kindergarten through 12th because a6-year-old Ohio law prohibits indoor smok-

ing in all public buildings and places of employ-ment.But can parents waiting for children, or employ-

ees on break, smoke on the grounds or in theircars parked on school property?It depends on the school district.Linda Diamond, who is a member of the Tobac-

co-Free Delaware County Coalition, would likethat answer to be a categorical, statewide “No,”and she is taking steps to make that happen.Members of the Delaware coalition were instru-

mental in persuading the Ohio Board of Educationto adopt a proposal calling for all school propertyto be tobacco-free, which includes everything fromsmoking cigars and cigarettes to chewing tobacco.The policy covers grounds around buildings hous-ing any grades as well as school board complexes.“We worked to get all the school systems in Del-

aware County to go tobacco-free campuswide.Then we thought: ‘Wouldn’t it be nice for allschools in the state to have the same advantage?’ ”said Diamond, who also is development director ofthe Delaware General Health District.The proposal was introduced to the state board

in July 2010. A study committee was formed, andthe model policy received unanimous approval ayear later.“It was impressive that Republicans and Demo-

crats came together on this very important healthissue,” Diamond said. “But the state board cannotforce individual districts to adopt this policy. Eachschool board has to take separate action.”

see HEALTHY E4

YOUR HEALTH:SAVINGMONEY

PLAINDEALERFILEPHOTOGRAPH

About 2,000 people showed up at theMedWorks vision clinic last year.

Make appointmentfor free eye examIf you’re hoping to get one of the 400 or so ap-

pointments for free eye exams — and glasses — atthe MedWorks vision clinic on Saturday, Sept. 22,in Cleveland, hang on to these numbers:216-858-6250 and 1-877-790-7370.Volunteers will answer those lines beginning at

10 a.m. Wednesday. They’ll close the phone lineswhen all appointment times have been booked.The nonprofit health organization turned hun-

dreds of people away from a similar event in 2011,so it’s taking appointments this time.Ophthalmologists, optometrists, opticians and

other volunteers will staff the vision clinic from 8a.m. to 6 p.m. at the W.O. Walker Center, 10524Euclid Ave., with 10 eye-exam stations running allday. Some glasses can be made that day, but manywill be distributed later.More information is available at medwork

susa.org or by calling 216-231-5350.MedWorks was founded as a way to provide free

care to people in need in Northeast Ohio withoutregard to income, insurance status or citizenship.It held its first clinic in 2009.

—Diane Suchetka

Wewelcomeyour ideas. If youknowof free or low-cost care, sendanemail to [email protected] anote toSavingMoney,ThePlainDealer, 1801SuperiorAve., Cleveland,OH44114.

My Cleveland SmartphoneMovie Contest

STRETCHING OUT

Running 100 miles in a week is risky but rewardingIs your Cleveland exciting? An old home or

new locale? A place you love? A place you wantto improve? A place you want others to know?Show us your Cleveland in our My ClevelandSmartphone Movie Contest, sponsored by ThePlain Dealer, cleveland.com and Positively Cleve-land. From now until Friday, Oct. 5, show yourCleveland love by uploading a one-minute moviemade on your smartphone to cleveland.com/myclevelandcontest. A panel of judges from ThePlain Dealer, cleveland.com and Positively Cleve-land will evaluate the best films and choose threewinners to be announced in The Plain Dealer’sFriday magazine on Oct. 19. Log on for rules andprize information, and to view the entries.

What I did lastweek I do not rec-ommend. In fact,I advise againstit, heartily.And yet, risky

as it was, running100 miles in asingle week madefor an interestingexperiment, an

enlightening test of my body and arevealing glimpse of what it’s like tobe a pro.Make no mistake: This was a fool-

hardy, even dangerous, project.Having never run more than 50miles in a week, I was in no positionto make such a leap.It’s a wonder I didn’t injure my-

self, frankly. Had I played it more

safely, I would have worked up to a100-mile week in 10 percent incre-ments, over the course of severalmonths.But a lifestyle change wasn’t my

goal. All I wanted was to spend onefreakish week pretending to be anOlympian, learning whether high-volume training is doable or, betteryet, beneficial, for a mortal like me.The former question I can answer

definitively: yes, but not withoutsacrifice. I reached 100, but to getthere, I had to average some 15miles — over half a marathon — ev-ery single day. Even beyond thephysical toll, the investment of timewas enormous. Definitely not sus-tainable with a full-time job and twochildren.As to the potential benefit, well, I

won’t know for certain until my nextlong race. I suspect one week isn’tenough to do me any lasting good.Then again, who knows? Maybe it is.Volume training, for those who’ve

never heard of it, is pretty muchwhat i t sounds l ike : To gainstrength, you simply need to spendmore time on your feet. Speed, inthis philosophy, takes second placeto overall mileage.The cha l l enge i s recovery .

Whereas most running schedules in-clude days off and ample time forcross-training and “recovery runs,”the busy amateur enjoys few suchluxuries.The way I did it, with single long

runs every day, afforded my legs atleast a little peace. I stretched andmassaged every evening, got a good

night’s rest, and felt more or less de-cent the following afternoon.Many 100-milers, however, are

forced by nonrunning obligationsinto morning and evening segments,thereby doubling the physical stress.Still others in my shoes might havebroken up the distance into three orfour marathon-length runs, which Ith ink wou ld have been eventougher.Pace fell by the wayside, of course.

Desperate not to injure myself, I ranmost of the 100 miles two to threeminutes slower than usual. Had Ibeen more accustomed to such aheavy load, I’d have varied things upa bit and run a handful of miles fast,several more at average speed andthe rest slowly.

see STRETCH E4

FOLLOW USTwitter:@PDHealthOnline: cleveland.com/healthfit

HEALTH

ZacharyLewis

Ellen Kleinerman

TUESDAY, SEPTEMBER 11, 2012

Bianchi checks in with them atleast once a month, as part of a vol-unteer program started by his closefriend Holly Mulkerin of Medina,who received her new heart at theCleveland Clinic on the same day Bi-anchi did. Mulkerin, 55 and a retiredhospital technician, and Bianchi liveonly four miles apart, but they didnot know each other before theirtransplants.

Mulkerin says she wanted to callothers during “the hardest time” ofthe waiting process, when they’re athome and unsure if they will ever re-ceive a new heart.

“On the first call, we explain whywe’re calling as a volunteer but toalso let them know that ‘I’ve beenwhere you’ve been. I’ve gone throughwhat you’re feeling.’ What to expect ifyou’re having a hard day and wonder-ing if this is normal,” says Mulkerin.

“We can answer those questions adoctor can’t.”

Bianchi hears the phone ringa few times before Lisa Cun-ningham picks up at her par-

ents’ home in Powell, Tenn. She saysshe’s always happy to see Bianchi’snumber on caller ID. Especially ona day like today, when she’s feelingnauseous and praying it’s not anotherinfection.

Cunningham chats with Bianchiand tells him that her husband tooktheir daughter to a national fiddlechampionship while she remainedat home to rest.

It’s common, says Bianchi, that pa-tients want to talk about nonmedicalmatters. Many have become friends,and he continues to check in and ar-range lunch dates with them monthsafter their surgeries.

“I’m so happy that [my daughter]

gets to see all of the things that I nev-er got to see. They saw Big Faithful,”says Cunningham, telling Bianchiabout her husband and daughter’sroad trip through Yellowstone.

“You’re going to get to do thosethings,” Bianchi says firmly. “You’regoing to have a new heart.”

In Ohio, there are over 140 peoplewaiting for a heart transplant, ac-cording to Lifebanc.

The Clinic performs 50 to 60 hearttransplants a year, says Kay Kendall,

a social worker with the heart trans-plant program at the Clinic. The pro-gram began in 1984 and since thenhas performed over 1,580 transplants.

When you’re placed on the waitinglist, says Mulkerin, “You are put in astate of limbo.”

“I thought when I was home wait-ing, ‘It sure would be nice if some-body called me every now and then,’ ”laughs Mulkerin, who waited 2 yearsfor her heart.

SEE HEART | E4

Volunteers make the wait easierfor those on heart transplant list

MARVIN FONG | THE PLAIN DEALER

“After I got my heart and started to feel better, I thought the hardest time for me was waiting at home, never hearing from anybody,” says HollyMulkerin, who, after waiting 2½ years for a heart, started the volunteer calling program for heart transplant patients at the Cleveland Clinic.

Casey Capachi | Plain Dealer Reporter

The morning began like any other for Frank Bianchiof Brunswick. The 56-year-old former steelworkerawoke at about 5, ran for an hour on his treadmill

and proceeded to carry out his daily duties as a self-pro-claimed professional volunteer. | Every day, Bianchi, wholost his vision after a brain aneurysm at age 28, phonesseveral of the 35 individuals on his list. Each is waiting fora heart transplant, just as he was 3 years ago.

“When you’re on the waiting list, you think, ‘Have they forgotten about me?’ But I know they haven’tbecause Frank keeps calling me, and I know I’m still in the registry.”

—Lisa Cunningham, a patient on the heart transplant waiting list

GUS CHAN | THE PLAIN DEALER

Frank Bianchi plays with his family dog, Shiloh, in his Brunswickhome. Shiloh is not a guide dog, but he follows Bianchi throughouthis daily activities, from washing the family car to sitting with himas he calls patients on the heart transplant list.

EE4 Health The Plain Dealer Breaking news: cleveland.com Tuesday, September 11, 2012

HEALTHYfrom E1

Snuffing smokeon school groundsShelly Kiser, director of advo-

cacy for the American Lung Asso-ciation in Ohio, said the issue isimportant because most adultsmokers began lighting up asyouths. Tobacco use is the No. 1cause of preventable death in thecountry, she said.Diamond sees it as part of the

education process. “If studentsdon’t see others — including pos-sible role models — smoking orusing tobacco in other ways, thenthey’re less likely to take it up.”For the past year, Diamond’s

group has continued its campaignto adopt the policy statewide.They also are trying to find statelawmakers to sponsor a bill thatwould make all public schoolgrounds tobacco-free.A state law would put weight

behind a policy that is now some-times difficult to enforce, Kisersaid. “Districts encourage stu-dents not to smoke, but somedon’t have a written policy or justdon’t have the means to back it.”Boards can formulate punitive

measures against employees andstudents who may violate a tobac-co-free campus policy. But whatabout parents or visitors smokingunder the stadium bleachers orin their cars? The most districtemployees can do is ask visitorsto stop or ask them to leave thecampus.Diamond said that the policy

adopted by the state board callsfor 100 percent tobacco-freecampuses. That means no to-bacco use of any kind in vehiclesowned by the schools, on schoolgrounds, parking lots, footballstadiums or other athletic fields.Individuals also would not be al-lowed to smoke in private vehi-cles parked on school property.

About 130 of Ohio’s 613school districts have adopted thestate board’s campuswide tobac-co-free policy, according to theOhio Department of Health.Some of the larger districts onthe list include Cleveland cityschools, Fairview Park, Medina,Mentor, Avon Lake, Canton andColumbus.This cost-free policy could also

help a district’s bottom line, Dia-mond said, by reducing litterand fire hazards.Diamond said that about 23

states have passed a law prohib-iting tobacco use on K-12 publicschool campuses.“We are very happy that the

Ohio Board of Regents recom-mended that Ohio colleges anduniversities become tobacco-freecampuses,” Diamond said of theaction taken this summer.Diamond said movement on

the issue likely will not occur un-til after the November generalelection, but her group will con-tinue to spread the message.“It’s important for students

and their health both now andin the future,” Diamond said.

The impact of taxeson smokingPeople may be trading one bad

tobacco habit for another.A report released last month by

the Centers for Disease Controland Prevention shows that ciga-rette consumption declined by32.8 percent between 2000 and2011. Besides education pro-grams, experts credit this reduc-tion in part to the 2009 increasein the federal excise tax on ciga-rettes.But the consumption of loose

tobacco and cigars increased 123percent over the same period,probably because these productsare taxed at a lower rate, makingthem less expensive overall,according to the study.“The data suggest that certain

smokers have switched from ciga-

rettes to other combustible to-bacco products,” the study stated.The CDC used excise tax data

from the U.S. Department ofTreasury’s Alcohol and TobaccoTax and Trade Bureau to deriveestimates on consumption for cig-arettes, roll-your-own tobacco,pipe tobacco and cigars.These products are not easily

compared, as loose pipe tobacco,for example, is taxed by thepound and cigarettes are taxed bythe pack. To determine consump-tion, researchers converted thetax data from pounds of tobaccoto a per-cigarette equivalent usinga formula in the Master Settle-ment Agreement (between attor-neys general and tobacco compa-nies).Researchers noted that the tax

on loose pipe tobacco was $22 perpound less than on loose roll-your-own cigarette tobacco (taxedat the same rate as manufacturedcigarettes).With a cheaper base material,

manufacturers have been able tomarket products such as a tightlyrolled cigar for 7 cents each —about one-fourth of the cost ofone conventional cigarette.Consumers might not always

realize that taxes are figured intothe total price of tobacco prod-ucts. Ohio, for example, levies a17 percent tax on the wholesaleprice of tobacco products such assnuff, chew and cigars. Ohiosmokers pay about 41 percent instate taxes on a pack of cigarettes.Even though cigar and pipe

smoking doubled in the last dec-ade, the rate of cigarette use re-mains significantly higher.According to the CDC study, ciga-rette smoking fell from 435 bil-lion to 292 billion cigarette-equiv-alent units from 2000 to 2011.Use of noncigarette combustibleproducts increased from 15 bil-lion cigarette-equivalent units to33.8 billion in the same time pe-riod.But the CDC study noted that

tax increases have been instru-

mental in reducing tobacco useoverall and preventing some peo-ple from starting.

A modelfor abuse

New research shows that itprobably does matter if childrenare enamored of people whoglamorize smoking and drinkingwithout regard to the dangers.A Yale School of Medicine

study released in August foundthat adolescents who engage indrinking alcohol, smoking ciga-rettes or using marijuana may beat greater risk for subsequentabuse of prescription painkillersas adults. Kids who have early ex-posure to these vices are two tothree times more likely to abuseprescription opioids as adults, re-searchers stated in the study thatwas published online in the Jour-nal of Adolescent Health.The study used data from sub-

jects ages 18 to 25 from the2006-08 National Survey on DrugUse andHealth.It found that 12 percent of

those surveyed reported currentdrug abuse. This is the break-down of substances used by peo-ple in that group when they werekids: 34 percent marijuana, 56percent cigarettes and 57 percentalcohol. Researchers said that inyoung men, previous abuse of allthree substances was linked to agreater likelihood of drug abuseas young adults. In women, theconnection to adult abuse wasonly with those who had usedmarijuana when they were young.Alerting kids to the dangers of

using these substances could de-crease the number of youngadults who abuse prescriptionpainkillers, the study said.

To reach this Plain Dealer reporter:[email protected], 216-999-4631

Organ donation registrationIn Ohio, residents can register to become organ donors at

the Bureau of Motor Vehicles when renewing a driver’slicense or state ID, or by going to donatelifeohio.org andeither sign up online or print out a form to mail in to the OhioBureau of Motor Vehicles.

HEARTfrom E1

Volunteers makethe wait easierAfter regaining some of her

strength as a former aerobics in-structor, Mulkerin approachedKendall with her idea. Severalmonths later, and after beingtrained as a hospital volunteer,Mulkerin started calling a hand-ful of patients Kendall recom-mended.“More and more,” Kendall

says, patients are waiting athome instead of at the hospital,due to advancements in medica-tion and cardiac assist devices.The initial feedback was so

positive, says Kendall, that shesent Mulkerin 67 names. Mulke-rin quickly found that the pa-tients had so many questions,there was no way she could reachthem all once a month. That’swhen she enlisted Bianchi’s help.Of the 80 to 100 patients Mul-

kerin and Bianchi have contactedso far, Kendall says only aboutfive did not want to be calledback.Mulkerin spends 15 hours a

week talking to patients over thephone. She’s been calling some ofthem for two years, and the con-versations have moved from theuncertainty and fear leading upto a transplant to the joy ofwatching their children grow.“They actually call us now,”

says Mulkerin.Mulkerin spends much of her

time raising awareness for organdonation. She takes 43 pills aday, a variety of supplements andmedications to prevent herbody’s rejection of her new heart.“I know I’ve made a big differ-

ence in driver’s ed classes be-cause I’ll ask the kids, ‘Howmany of you are organ donors?’before I start my talk, and lessthan half will raise their hands,”says Mulkerin. “Then I’ll do mytalk and ask, ‘How many of youare going to sign up?’ And almostall of them raise their hands.”

A s the sun sets over theCleveland skyline, visiblefrom the rooftop pavilion

of the Clinic, Bianchi, joined byhis wife, Pam, and son, Frank Jr.,greets members of his “trans-plant family.” A few dozen peo-

ple have come to this month’sheart transplant program dinnerat the hospital.“It’s an exclusive family — we

only let about 55 people in it ayear,” jokes Don Peshek, 61, whoreceived a heart transplant fiveyears ago. “We’re an emotionalgroup, there’s no doubt aboutthat.”One by one, the patients stand

and either share their number orsay how many months they’vebeen waiting for a new heart.The crowd, including their fami-lies, applauds as each one sitsback down.“I’m No. 1,352,” announces

William Dlugos, 74, a retiredelectrical engineer from NorthRoyalton who served 25 years inthe Air Force.Dlugos is wearing a white polo

shirt embroidered with a brightred heart logo and black letteringthat reads, “I had a change ofheart on May 7th 2008.”Dlugos’ wife, Marilyn, keeps a

plastic bag containing severaldog-eared photos in her purse.The pictures are of the17-year-old girl who died in a carcrash in Kentucky and gave herhusband a second chance at life.The photos are a gift the Dlu-

goses received after a rare, mutu-ally agreed-upon visit with thedonor’s family. William stillwears the beaded bracelet thegirl’s grandfather gave him.“I feel very close to her,” says

William. “Especially at church, alot of times when I’m praying, Ijust slip my thumb down and feelthe pulse.”Following the dinner, Bianchi

talks to a man whose voice herecognizes immediately but ismeeting face to face for the firsttime tonight.Fred McConnell, 65 and a re-

tired dairy farmer from Welling-ton, has been waiting for a heartfor a year and a half. He is a Sta-tus 2 patient, meaning that, un-less his condition worsens, hewon’t gain seniority on the wait-ing list.McConnell apologizes to Bian-

chi for missing some of his calls,saying he is still able to work out-side on his property for most ofthe day.“Any support from anybody

who’s been through it lifts youup,” says McConnell.Bianchi promises to keep call-

ing until McConnell answers.

STRETCHfrom E1

100 miles doable,but it’s riskyLuckily, I had good weather.

Almost every day I was able torun outside and keep thescenery fresh at EdgewaterPark, the Ohio & Erie CanalTowpath Trail, the ClevelandMetroparks and Shaker Lakes.Only once did heavy rain driveme indoors, forcing me to bangout 15 dull miles on a treadmilland a tenth-of-a-mile joggingtrack.The first four days went

smoothly enough. The weathercooperated, my recovery effortsworked, and before I knew it, Ihad 60 miles under my belt.Then came a blazing-hot Fri-

day and the first hiccup in myplan. Instead of 15 miles, I wasonly able to complete 12, leav-ing me with 28 to cover overthe weekend. Faced with theadditional mileage, I chose thetwo-a-day route: 10 plus eighton Saturday, followed by 10 on

Sunday.I said I don’t recommend

what I did, but I don’t meanthat exactly. If you’re a compet-itive runner and you’re able toincrease your load gradually,100 miles a week is not onlyreasonable but advisable. Lookno further than the pros.I also said I wasn’t sure what

the benefits are, but thatwasn’t 100 percent true, either.Yes, the impact on my racingremains to be seen, but the sideeffects were both clear and pos-itive.The runner’s high was never-

ending. I slept like a rock. Colddrinks tasted heavenly. In theoffice, my head was clear, mymind focused. I even noticed adifference in my personal life.After each long day of workingand running, I returned hometo my wife and sons with purejoy.Doubling my mileage in a

single week definitely wasn’tsmart. Giving my all to run-ning, just for one week? One ofthe best things I’ve ever done.

To reach this Plain Dealer reporter:[email protected], 216-999-4632

HEALTH EVENTSWEDNESDAY

Joint replacementsWhen: 6:30 p.m.Where: Ehrnfelt Recreation andSenior Center, 18100 RoyaltonRoad, Strongsville.Details: Dr. Mark Panigutti dis-cusses new technologies andapproaches for knee and hip re-placements and how advancesin care, materials and tech-niques mean shorter hospitalstays and improved outcomes.To register: 440-816-8446.

SATURDAY

Sickle cell walkWhen: Registration, 9 a.m.; fairbegins at 10 a.m.Where: East Technical HighSchool, 2439 East 55th St.,ClevelandDetails: The Sickle Cell Aware-ness Walk is designed to bringattention to the needs of adultswith sickle cell anemia and

sickle cell trait. The event in-cludes a health and resourcefair. For information, go tokks4sicklecell.org or call216-347-1931.

Tosubmita future event for con-sideration in theHealth section’sEvents listing, send the informa-tionat least twoweeksprior to:[email protected].

ATLAS CINEMASVisit us at www.atlascinemas.net

DIAMOND CENTER 16 Rt 2 at Heisley (440) 352-8822EASTGATE CINEMAS 10 1345 SOM Center Rd. (877) 474-3066GREAT LAKES STADIUM 16 7860 Mentor Ave. (440) 974-2200LAKESHORE 7 EXPERIENCE XXDXP WIDESCREEN (216) 731-1700

CALL FOR FEATURES AND SHOWTIMES OR VISIT ONLINE

CINEMARK THE BEST SEAT IN TOWNAURORA 140 Barrington Towne Center • WWW.CINEMARK.COM(800) FANDANGO Express Code 2125#

THIS SCHEDULE IS GOOD FOR TODAY ONLY!SHOW SCHEDULE IS SUBJECT TO CHANGE WITHOUT NOTICE

Senior Mondays - All Day Seniors $5.00 •Early Bird Discounts - $5.25 Times in ( )RealD (3D) Additional Premium Charge of $3.50 on all RealD (3D) Movies

THE WOrdS . . . . . . . . . . . . . . . (PG13 . . . . . . (12:00) / 2:30 / 5:05 / 7:35LAWLESS . . . . . . . . . . . . . . . . . (r) . . . . . . . . . (1:30) / 4:25 / 7:25THE POSSESSION . . . . . . . . . . . (PG13) . . . . . . (12:15) / 2:40 / 5:00 / 7:402016:OBAmA’S AmErICA . . . . . (PG) . . . . . . . . (12:05) / 2:25 / 4:55 / 7:20PrEmIum ruSH . . . . . . . . . . . . (PG13) . . . . . . (12:20) / 5:15HIT ANd ruN . . . . . . . . . . . . . . (r) . . . . . . . . (2:50) / 7:50Odd LIfE Of TImOTHy GrEEN . (PG) . . . . . . . . (1:15) / 4:00 / 6:45PArANOrmAN . . . . . . . . . . . . . (PG) . . . . . . . . (3D) (2:30) / 7:10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2D) (12:10) / 4:50

HOPE SPrINGS . . . . . . . . . . . . . (PG13) . . . . . . (12:25) / 2:55 / 5:20 / 7:45BOurNE LEGACy . . . . . . . . . . . (PG13) . . . . . . (12:30) / 3:45 / 6:55ExPENdABLES 2 . . . . . . . . . . . . (r) . . . . . . . . . (12:00) / 2:35 / 5:10 / 7:45

AdvANCEd TICkETS oN SALE Now: (3d) FINdINg NEMo (g)

CINEMARK MACEDONIA (800) FANDANGO Express Code 1124#8161 Macedonia Commons Blvd. WWW.CINEMARK.COM

THIS SCHEDULE IS GOOD FOR TODAY ONLY!SHOW SCHEDULE IS SUBJECT TO CHANGE WITHOUT NOTICE

Senior Monday: $5.00 Senior Tickets - Early Bird Special Pricing - Only $5.25RealD (3D) Additional Premium Charge of $3.50 on all RealD (3D) Movies.

2016: OBAmA’S AmErICA . . . . . . . . (PG) . . . . . 12:30 / 2:50 / 5:05 / 7:20THE BOurNE LEGACy . . . . . . . . . . . (PG13) . . . 12:20 / 3:20 / 6:20BrAVE . . . . . . . . . . . . . . . . . . . . . . (PG) . . . . . (3D) 12:45 Pm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2D) 3:25 Pm

CELESTE ANd JESSE fOrEVEr . . . (r) . . . . . . 3:10 / 8:00THE COLd LIGHT Of dAy . . . . . . . . . (PG13) . . . 12:20 / 2:40 / 5:20 / 7:40THE dArK KNIGHT rISES . . . . . . . . (PG13) . . . 12:00 / 3:30 / 7:00THE ExPENdABLES 2 . . . . . . . . . . . . (r) . . . . . . 12:55 / 3:35 / 6:30HIT ANd ruN . . . . . . . . . . . . . . . . . (r) . . . . . . 12:45 / 5:35HOPE SPrINGS (2012) . . . . . . . . . . (PG13) . . . 12:40 / 3:40 / 6:50LAWLESS . . . . . . . . . . . . . . . . . . . . (r) . . . . . . 12:15 / 3:50 / 7:30mArVEL’S THE AVENGErS . . . . . . . (PG13) . . . 6:40 PmTHE Odd LIfE Of TImOTHy GrEEN . (PG) . . . . . 12:25 / 3:55 / 6:55PArANOrmAN . . . . . . . . . . . . . . . . (PG) . . . . . (3D) 12:10 / 4:50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2D) 2:30 / 7:10

THE POSSESSION (2012) . . . . . . . . (PG13) . . . 12:35 / 3:05 / 5:30 / 7:50PrEmIum ruSH . . . . . . . . . . . . . . . (PG13) . . . 12:05 / 2:25 / 5:00 / 7:45SPArKLE . . . . . . . . . . . . . . . . . . . . (PG13) . . . 12:50 / 3:45 / 7:25THE WOrdS . . . . . . . . . . . . . . . . . . (PG13) . . . 12:00 / 2:35 / 5:10 / 7:35

~~~~~~~~New Fall Hours: oPeN NooN TIll 10:30 PM FrIDaY THrouGH MoNDaY

NooN TIll 8:30 TuesDaY THru THursDaYMET OPERA 2012-2013 SEASOn STARTS 10/13 DOnizETTi’S “L’ELiSiR D’AMORE”

Those Under 17 Must Have a Parent Attend Any (R) Rated Film With Them.No Kids Under 6 in (R) Rated Films 6pm Or After

CINEMARK STRONGSVILLE (800) FANDANGO Express Code 2139#17450 Southpark Center - Strongsville 44136 - WWW.CINEMARK.COM

THIS SCHEDULE IS GOOD FOR TODAY ONLY!SHOW SCHEDULE IS SUBJECT TO CHANGE WITHOUT NOTICE

Senior Monday: $5.00 Senior Tickets - Times in ( ) are Early Bird Special Pricing - Only $5.25RealD 3D Additional Premium Charge of $3.50 on all RealD 3D Movies.

THE WOrdS . . . . . . . . . . . . . (PG13) . . (11:35) / 2:00 / 4:30 / 7:00 / 9:30THE COLd LIGHT Of dAy . . . (PG13) . . (12:10) / 2:45 / 5:10 / 7:40 / 10:00POSSESSION . . . . . . . . . . . . (PG13) . . (12:40) / 3:00 / 5:20 / 7:45 / 10:10LAWLESS . . . . . . . . . . . . . . . (r) . . . . . (12:30) / 4:00 / 7:20 / 10:05THE AVENGErS . . . . . . . . . . (PG13) . . (3D) 9:50 Pm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2D) (2:55) / 6:402016: OBAmA’S AmErICA . . (PG) . . . . (11:50) / 2:05 / 4:20 / 6:50 / 9:15HIT ANd ruN . . . . . . . . . . . . (r) . . . . . (12:05) / 5:05 / 9:55PrEmIum ruSH . . . . . . . . . . (PG13) . . (2:40) / 7:35THE ExPENdABLES 2 . . . . . . (r) . . . . . (11:55) / 2:25 / 4:55 / 7:25 / 9:55PArANOrmAN . . . . . . . . . . . (PG) . . . . (3D) (11:45) / 2:15 / 7:10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2D) (4:50) / 9:35

THE Odd LIfE Of TImOTHy GrEEN . . (PG) . . . . (12:00) / 2:30 / 5:00 / 7:30 10:05THE BOurNE LEGACy . . . . . (PG13) . . (12:45) / 3:45 / 6:45 / 9:45THE CAmPAIGN . . . . . . . . . . (r) . . . . . (12:15) / 2:50 / 5:30 / 7:55 / 10:15HOPE SPrINGS . . . . . . . . . . (PG13) . . (11:40) / 2:10 / 4:40 / 7:15 / 9:40dIAry Of A WImPy KId: dOG dAyS . . (PG) . . . . (11:30) / 1:50THE dArK KNIGHT rISES . . (PG13) . . (4:10) / 8:00BrAVE . . . . . . . . . . . . . . . . . (PG) . . . . (2D) (12:20)

SPECIAL EVENTS:FALL CLASSIC FILm SErIES: CHINATOWN. SEPTEmbEr 13TH AT 2Pm & 7Pm

SPECIAL AdVANCE SHOWINgS: 9/13 AT 12:01Am (THurSdAy NIgHT/FrIdAy mOrNINg):rESIdENT EVIL: rETrIbuTION (3d), FINdINg NEmO (3d)

CINEMARK VALLEY VIEW 24 (800) FANDANGO Express Code 1127#6001 Canal Road - Valley View - WWW.CINEMARK.COM

THIS SCHEDULE IS GOOD FOR TODAY ONLY!SHOW SCHEDULE IS SUBJECT TO CHANGE WITHOUT NOTICE

Senior Monday: $5.00 Senior Tickets - Times in ( ) are Early Bird Special Pricing - Only $5.25RealD (3D) Additional Premium Charge of $3.50. XD & XD(3D) Special Pricing.

2016: OBAmA’S AmErICA . . (PG) . . . . (12:20) / 2:50 / 5:15 / 7:30 / 9:50APPArITION . . . . . . . . . . . . . (PG13) . . (12:15) / 2:30 / 4:40 / 7:40 / 10:15BOurNE LEGACy . . . . . . . . . (PG13) . . (12:30) / 3:40 / 6:55 / 9:55BrANdEd . . . . . . . . . . . . . . . (r) . . . . . (CinE~ARTS) (12:55) / 4:00 / 6:50 / 9:25BrAVE . . . . . . . . . . . . . . . . . (PG) . . . . (3D) (3:30) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2D) (1:00)CAmPAIGN . . . . . . . . . . . . . . (r) . . . . . (12:00) / 2:15 / 4:35 / 7:00 / 9:40CELESTE & JESSE fOrEVEr (r) . . . . . (CinE~ARTS) (12:10) / 2:30 / 4:50 / 7:10 / 9:30COLd LIGHT Of dAy . . . . . . (PG13) . . (12:00) / 2:20 / 4:40 / 7:05 / 9:30dArK KNIGHT rISES . . . . . . (PG13) . . (12:45) / 4:25 / 8:05dIAry Of A WImPy KId: dOG dAyS (PG) . . . . (12:15) / 2:45 / 5:10ExPENdABLES 2 . . . . . . . . . (r) . . . . . (2:10) / 4:55 / 7:35 / 10:05HIT ANd ruN . . . . . . . . . . . . (r) . . . . . (12:05) / 2:35 / 5:05 / 8:00 / 10:35HOPE SPrINGS . . . . . . . . . . (PG13) . . (12:40) / 3:35 / 6:45 / 9:15LAWLESS . . . . . . . . . . . . . . . (r) . . . . . (1:05) / 2:20 / 3:45 / 5:00 / 6:25 / 7:45 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9:05 / 10:30mArVEL’S THE AVENGErS . . (PG13) . . (3D) 6:05 / 9:20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2D) (1:10) / 4:20 / 7:40

Odd LIfE Of TImOTHy GrEEN (PG) . . . . (12:50) / 3:55 / 6:35 / 9:10PArANOrmAN . . . . . . . . . . . (PG) . . . . (3D) (12:35) / 10:15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2D) (2:55) / 5:20 / 7:55THE POSSESSION . . . . . . . . (PG13) . . (1:15) / 3:50 / 6:10 / 8:40 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (XD) 12:05 / 2:40 / 5:00 / 7:20 / 9:45PrEmIum ruSH . . . . . . . . . . (PG13) . . (12:25) / 3:00 / 5:30 / 7:50 / 10:25SPArKLE . . . . . . . . . . . . . . . (PG13) . . (1:20) / 4:05 / 7:25 / 10:10TEd . . . . . . . . . . . . . . . . . . . (r) . . . . . 7:30 / 10:20TOTAL rECALL . . . . . . . . . . . (PG13) . . (1:25) / 4:15 / 7:00 / 10:00THE WOrdS . . . . . . . . . . . . . (PG13) . . (11:55) / 2:25 / 4:50 / 7:15 / 9:45

MET OPErA 2012-2013 SEASON STArTS 10/13 dONIzETTI’S “L’ELISIr d’AmOrE”CINEmArk CLASSICS SErIES - CHINATOWN (Xd) 9/13 @ 2Pm & 7Pm

TMC EvENT SERIES ALFREd HITCHCoCk’S “THE BIRdS” 9/19 oNLY 2PM & 7PM

Move It! Sell allthat unused stuff

with aPlain DealerClassified ad.

Movies • FilM • CineMa • DireCtory

Easy to find... no waiting in line!Check out the latest movie listings and

times everyday inThe Plain Dealer.

Easy to read, accurate listings...just lookfor your favorite theatre in today’s

Movie Directory.

HEALTHLETTERSHelp needy first,then offer sliding scale

W hen money is tight, themost needy should beserved first (“Helping

hands for baby,” Sept. 4). Whynot offer the service on a slidingmonetary scale for those withfinancial resources?

debpostedon cleveland.com

Letters regarding stories in theHealth section canbe sent [email protected] to:HealthEditor,ThePlainDealer, 1801SuperiorAve.,Cleveland,OH44114.Lettersmaybe edited for lengthandclarity.

RED CROSSDisaster services available 24hours a day. Call216-431-3010, Ext. 2141,2138, 2137.