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Healthy Heart

The month of February exemplifies matters of the heart. While love might be the first to come to mind, the Centers for Disease Control and Prevention have dubbed February as American Heart Month. The CDC is dedicating the entire month to education and prevention of the No. one leading cause of death in America: heart disease. Its Million Hearts initiative aims to prevent a million heart attacks and strokes in the U.S. before 2016.

According to the CDC, one in every three deaths is caused by heart disease and stroke, an estimated 2,200 deaths per day.

“There are one to 1.2 million heart attacks each year in America,” says Dr. Wayne N. Leimbach, Jr., medical director for the Oklahoma Heart Institute. “About a third of those people die, and most of the deaths occur before the patient arrives at a hospital.”

The diagnosis is even worse for Oklahoma. Our 2011 State of the State Health Report showed 27 percent more Oklahomans die of heart disease than the national average, the second highest in the nation.

“Oklahoma (has) one of the highest levels of risk factors, such as obesity, diabetes, smoking, high cholesterol and hypertension, creating the perfect storm for high prevalence of heart disease,” says Dr. Jose Exaire, medical director for OU Physicians Heart and Lung Clinic. “Unhealthy lifestyle, such as sedentary behavior, adds to the risk. And, the prevalence of (these) risk factors continue to increase in the country, especially in Oklahoma.”

“Oklahoma (has) one of the highest levels of risk factors, such as obesity, diabetes, smoking, high cholesterol and hypertension, creating the perfect storm for high prevalence of heart disease.”

There is good news to these scary statistics. For most people, this killer is preventable, assures the physicians.

“Most of the risk factors (for heart disease) are modifiable,” explains Exaire.

While age, gender and your heritage impact your risk for heart disease, obesity, smoking, diabetes, cholesterol and hypertension greatly increase your risk of developing cardiovascular disease. These conditions are often caused by or made worse by poor diet and lack of exercise.

“Unhealthy lifestyle is a major factor to heart disease,” confirms Leimbach. “Americans eat significant quantities of unhealthy foods, exercise too little, and too many Americans continue to smoke.”

You do have the power to decrease your risk of having a heart attack or stroke.

“Maintaining good heart health (is) the easiest and most cost-effective tool that we have to lower the incidence of heart disease,” says Exaire.

Simply put, you only have one heart, and you need to take care of it, encourages Leimbach.

Don’t wait. The earlier you start taking charge of your heart health, the better.

“The earlier in life a person starts prevention, the greater the reduction in risk a person will experience,” shares Leimbach.

So how does one get started? Here are five important steps to better heart health, which will dramatically reduce the risk of developing heart disease.

Step One:

Visit with your doctor about your heart’s current status. “The most important thing a person can do is to be screened for the major heart risk factors, and then aggressively treat those risk factors,” says Leimbach.

Talk with your doctor about family history, blood pressure, blood cholesterol levels, blood sugar, activity and whether or not you smoke. Once you understand your at-risk areas, you can appropriately tackle your heart health.

“Follow the recommendations of your health professionals,” stresses Exaire.

Step Two:

Exercise daily. Your heart is a muscle, just like any other muscle in your body. Exercise is important in keeping it strong and in good working order. Physical activity also helps control blood cholesterol, diabetes and obesity, as well as help lower blood pressure for some. Don’t be overwhelmed or feel pressured to buy pricey equipment. Start small and simple.  

“Walk a minimum of 10 continuous minutes a day,” recommends Leimbach.

Then, work your way up to 30 minutes of moderate exercise three to five times a week, advises Leimbach. All exercise is beneficial, but more strenuous activities provide greater health benefits.

Step Three:

Eat a healthy diet low in cholesterol, saturated and trans fats, sodium and sugars. Heart disease in its simplest definition consists of blockages in the arteries that feed blood to the heart muscle. These blockages are a result of atherosclerosis, which is a silent buildup of plaque, explains Exaire.

“The blockages inhibit the heart from effectively pumping adequate amounts of blood to meet the body’s needs,” says Leimbach.

What you eat and how much matters. Sticking to a healthy diet is the best way to manage cholesterol, blood pressure, diabetes and weight; all will directly reduce the risk of developing blockages.

“In general, a normal diet should be around 1,800 calories for women and 2,000 calories for men,” outlines Exaire.

“If your cholesterol is a concern, focus on a diet low in cholesterol and saturated and trans fats,” shares Leimbach. “Manage high blood pressure by limiting sodium intake.”

“People with diabetes or pre-diabetes need to aggressively control blood sugar levels,” adds Leimbach.

An easy way to get started on the path to a healthier diet is to simply eat more fruits and vegetables, encourages Exaire.

Step Four:

Keep a healthy weight. Excess weight increases the heart’s work as well as raises other risk factors like high cholesterol and high blood pressure. Obesity can also make diabetes more likely to develop. The American Heart Association says losing even 10 pounds can improve the heart’s health.

“There are great internet resources to calculate body mass index to see if you have a healthy weight,” offers Exaire.

Step Five:

Don’t smoke, and if you do, quit. A smoker’s risk of developing heart disease is two to four times higher than that of a nonsmoker, according to the American Heart Association. Also, cigarette smoking increases the risk of sudden cardiac death in people that already have heart disease.

“People make plaque blockages in the arteries of the heart at different rates; however, the plaque buildup is accelerated in individuals who smoke,” warns Leimbach.

Remember that you have the power to ensure your heart beats for many more years to come.

“If you want to decrease your risk of having a heart attack or stroke, you should follow a healthy diet, exercise, quit smoking, go to your doctor to be evaluated for conditions such as high blood pressure, diabetes, obesity and high cholesterol,” reminds Exaire. “And, most importantly, be compliant with the recommendations of your health professionals.”


Heart Health and
the Sleep Paradox

Logic might appear to dictate that the more sleep one gets, the healthier the body will be and thus the healthier the heart will be, reducing the possibility of a heart attack.

However, data suggests that those who get too little sleep and those who sleep longer than average are both at increased risk of heart disease and thus heart attacks. A 2011 European Heart Journal review of 15 medical studies found that short sleepers (on average less than six hours sleep nightly) and long sleepers (on average nine or more hours nightly) had increased risk of developing or dying from coronary heart disease in subsequent years, by 48 percent and 38 percent, respectively. The same study showed both type of sleepers also had dramatically higher chances of stroke.

Scientists have yet to be able to fully explain the dynamic in part because the cardiac effects of sleep are not entirely understood. – Michael W. Sasser

Toddy For The Body

Before today’s era of erecting protective bubbles around children, many youth’s first experience with alcohol in decades past was imbibing a hot toddy when ill or when winter chill set in. Blame old-school parenting. Or else blame the Scots, who are generally considered the originators of the term if not the historic hot beverage itself.

A hot toddy is typically a mixed drink made with some sort of liquor, water, sugar and spices, served hot. Traditionally it’s served before going to bed or when the weather is damp and cold. In generations past it was also utilized as a treatment for the common cold and particularly for youngsters, although today we know it might be more harmful than helpful. Still it often put young drinkers to sleep, which might have been its intended purpose.

Serving minors hot toddies today might result in a phone call to DHS (if it still exists), but adults certainly can, and many likely will with the onset of Oklahoma’s cold, damp winter.

For a traditional hot toddy with Scottish influence, dissolve a teaspoon of honey in a small amount of boiled water in a mug, add 1-2 teaspoons of whiskey and top with more boiled water. Add a cinnamon stick and one clove, let steep for five minutes and then remove both from the mix. Lastly add a slice of lemon, a pinch of nutmeg and serve. Variations in spirit and seasoning abound online and in the recipe books of older folks today who remember well how to get a good night’s sleep—even when beset with sniffling children

Finding The Right Fit

Some you drive by every day. Some you regularly see on the news. Some you’ve never heard of before.

There is no shortage of private school options in Oklahoma, but parents must sift through numerous defining factors to determine what school is the right fit for their child. Religious affiliation, cost, class size and educational philosophy are just some of the big questions parents must ask.

Obviously, not every school will fit every child.

“The curriculum, schedule, class size, special programs, tuition, atmosphere of a school and other factors determine the school’s ‘fitness’ for your child,” says Olivia Martin, interim director of admissions at Holland Hall.
There are certain factors that all parents should consider when evaluating if a school is right for their child.

Gut Response

As simple as it sounds, the feeling a school gives parents and students is a great indicator of fit.

“It’s the feeling the parent gets when they walk through the door,” says Matt Vereecke, school director of Monte Cassino. “Schools really take on the feeling of their community, so parents can usually identify if the school has a good administration, whether the kids there are happy or sad, and they’re not going to put a student in a place where they’re not going to be happy. If they’re not happy, they’re not learning.”

Child’s Personality

Structure or independence? Quiet or community? Parents must first know their child and his or her strengths before evaluating school programs.

“As the parent, you know if your child has certain needs and/or preferences and in what kind of classroom/curriculum her/she will thrive,” says Martin. “Does the school provide programs that challenge and inspire your child in his/her interests and strengths?”

Community And Educational Philosophy

“Every school has its own personality and, really, its own charisma,” says Vereecke. “These are the people that will become the parents’ friends and their student’s friends. Parents have to ask, ‘Who will my student be when they leave this place?’”

The community aspect of the school should not stay inside the schoolhouse doors either, says Martin.

“School is a second home to students, and the school culture should mirror a caring family,” she says. “The school should not only foster a sense of close community within its walls, but also work to make the larger community in a city a better place through community service and participation in civic events.”

Schools that encourage students to be an active part of the community often have more successful students leaving high school.

“A well-rounded student is more likely to attend the college of his/her choice and will also take a variety of skills and knowledge into the larger world,” says Martin.

Class Size And Ratios

Regardless of age, small class size and individual attention can make a difference to students.

“Students often experience more success in all areas if they are in smaller classes with qualified and nurturing teachers,” says Martin. “The classes should be small enough that the teacher(s) can truly know each child on a personal level.”

Religious Orientation (Or Not)

Many private schools across the state have a religious affiliation, which some parents seek out and some don’t really consider.

“The religion question is usually the biggest we get,” says Vereecke. “We’re focusing more on universal human values like building community, learning hospitality and serving others than on proselytizing. We would say our values are Catholic, but they’re really universal aspects: If you’re Catholic we want you to be a stronger Catholic; if you’re from a different religion, we want to help you be stronger in your faith.”

Tiered Considerations

Though certain criteria are more important at certain ages – for preschool level students, the teacher is one of the most important considerations a parent must make, while middle schools can be evaluated on how prepared their students will be to enter high school – the match of the school to the student remains the most important factor for determining fit.

“Discovering whether your child can thrive and grow in all areas in that particular school” is the most important factor, says Martin. “If you instantly feel you belong there when you visit the school, you probably do.”

Men of a Certain Age

It’s no secret that the mature human body does not work as efficiently as its younger counterpart. Blood flowing through veins has obstacles. The brain and glands don’t stimulate hormones that communicate with the rest of the body with quite as much vigor.

“As we get older, systems fail, or individual pieces fail that lead to failure of systems. Among other things, testosterone levels go down,” says William Reiner, a professor and urologist at University of Oklahoma Medical Center.

Men in general have a gradual taper in testosterone production. This decline begins just after levels peak in adolescence and early adulthood. According to the Mayo Clinic, testosterone begins to decline in males around age 30, then continues to decrease by about one percent each year.

Some men can reach a symptomatic low in testosterone in their 50s and 60s. This is sometimes referred to as male-menopause. However, Reiner says, menopause is the complete failure of the system. Unlike the female reproductive system, the male system is not designed for complete failure. Low-T or, more scientifically, hypoandrogenism, are more accurate names.

The Low-T Low Down

Despite what TV and radio advertisements pushing drugs to help men with Low-T might lead one to believe, many men are never affected by this decline. Reiner suspects less than half of men have enough of a drop in hormone levels to become symptomatic.

However, those that do have symptoms typically notice loss of stamina, low energy and even hot flashes first, says Reiner. The Mayo Clinic also lists changes in mood and sexual function, weight gain and muscle loss as symptoms.

“According to the Mayo Clinic, testosterone begins to decline in males around age 30.”

“Nothing can be done to prevent it. Not as far as we know,” says Reiner. This shift in hormonal production is a natural part of aging.

Reiner does say he would not be surprised if one day the chemicals and drugs that are commonly used today are increasingly making declines in testosterone a bigger problem.

General preventive care and a healthy lifestyle, which will keep the circulatory system healthy can help ensure that some affects of declining testosterone are minimized or at least not compounded.

Men with good vascular health can have intimate relationships even as their testosterone levels decrease.

“Nothing can be done to prevent it. Not as far as we know.”

Men who feel a loss of stamina or low energy can visit their primary care physician to discuss symptoms. The doctor may do a blood test to confirm low levels of testosterone. Then testosterone can be taken by injection, patch or gel.

Failure To Communicate

Reiner says the decrease in production of testosterone is because of  “a disconnect between central brain function and the testicle. (They) no longer stimulate each other appropriately.”

Reiner explains a seesaw pattern in which the brain, pituitary gland and testicles work together to regulate the levels of testosterone in the body. When testosterone levels dip, they trigger the production of more. When an adequate level is reached they shut down production. In time, like memory, Reiner points out, this begins to break down. 

In women, the reproductive system actually ceases creating the hormones that fuel it. This results in the more acute and pronounced change than the gradual decline in men. Most men do not have a total failure of the system that produces testosterone.


 

Pitfalls And Perils

Hormonal issues aren’t the only ones aging men need to monitor.

While the loss of testosterone in many men might be the most discussed aspect of andropause, it is not the only significant change facing men beginning as early as their 40s and continuing through their senior years.

Joint trouble is a common occurrence in men in their 50s, brought on by a combination of injury, wear-and-tear and osteoarthritis. Low-impact exercise might be key to staving off the pain and limitations of joint trouble. Even mild bicycle riding, for example, has shown to significantly reduce pain and other complications.

After as young as age 35, men begin to lose bone minerals, and it can begin to have a noticeable effect by the age of 50. Healthy calcium intake, under a doctor’s supervision, is certainly one way to address the issue. The other is putting your bones to work for you to strengthen them, notably by running, walking and strength training.

A number of issues, from inactivity to bone mineral loss, can tighten a man’s spine and pelvic muscles, forcing other parts to pick up the slack and lead to back pain. Exercise such as Pilates, yoga and even exercise with a foam roll can help alleviate the situation by increasing flexibility and strengthening stomach muscles, which reduces stress on the back.

Between the ages of 50 and 80, men can lose 35 percent of their muscle mass, which can lead to additional complications. This is a time to commit seriously to muscle-building exercises. Done correctly, there should be little more risk of injury at 50 than there is at age 20 from lifting weights or similar activities. Make sure you’re following good practices and strength training can help offset the loss of muscle mass – and make you feel better, too.

The effects of aging in men might be less discussed than women’s menopause, but men also can have a more hands-on strategy for staving off those effects. – Michael W. Sasser

Preparing for the Worst

School safety is at the front of every parent’s mind. Although no plan is perfect, experts agree there are basic questions parents can ask to ensure schools are prepared for an emergency situation, whether that school is a kindergarten or university.

Dale Yeager, a criminal behavior analyst, forensic profiler and nationally recognized school safety expert, says the most important thing parents can do is to ask questions of their school’s leadership in writing and ask for a written response.

“Parents need to stop thinking everything is fine and put their words into actions and demand from their school board answers to these questions,” Yeager says.

What proof of prevention policies and training does the school have?

“Hardware does not stop a shooter, it is management of the school,” Yeager says. Though fences and cameras may deter some, it is the administration and staff that ultimately handle an emergency situation.

A solid plan of action, with contingency plans in case something goes wrong, is essential in the event that something happens while students are on campus. Besides just having a plan, Yeager says it is essential that all members of the staff know the plan and their roles.

Does the school have a formal process for outside security walks every 15-30 minutes?

Many of the tragedies that have become headlines in recent months could have been prevented with basic safety walks, Yeager says. The open back door at the theater in Aurora, Colo. or the illegally parked car in Newton, Conn., might have tipped off a well-trained safety professional and prevented a tragedy.

Yeager says security cameras are no match for human intuition, so it is important that a person who knows what is proper for that school checks regularly for anything out of the ordinary.

Has a federal security management audit been done in the last 12 months?

“You can’t heal something that hasn’t been diagnosed, and there are schools across the state that haven’t had an audit, but they have a plan,” Yeager says. “There is no school system in Oklahoma that has ever had a proper federal audit.”

Besides having a plan, having it regularly evaluated by safety professionals is essential to maintaining school safety.

“Although we do not utilize an outside group to provide our safety audit, we do utilize audit guidelines developed through best-practices shared at the federal level,” says Jeff Pratt, Dean of Students at Bishop Kelley High School. “We also have a strong local relationship with Tulsa Public Schools Safety Office, Tulsa Police Department and Tulsa Fire Department. All of these groups, as well as Bishop Kelley, operate under the National Incident Management System developed through FEMA and Homeland Security.”

Parents should check with each of their children’s schools to see what sort of audit, if any has been conducted and what relationship the school has with local authorities.

What threat assessment training has been done for all school personnel and what were the instructor’s qualifications?

Schools are not hospitals or private businesses and come with specific safety considerations. Yeager says asking what training all staff members have is important, as is asking where that training came from. Having prevention and threat recognition training from an expert on school safety is an essential part of maintaining a secure campus.

What relationship do the faculty and staff of the school have with students and visitors?

“The most important thing we do at Bishop Kelley is to build strong and meaningful relationships with our students,” says Pratt. “Our faculty and staff take the extra time to get to personally know students and they are vigilant in monitoring student moods and behavior and maintain a caring environment.”

Pratt says a strong counseling department and student support services are an important part of Bishop Kelley’s programs.

“We also have a robust extra-curricular program that helps build positive peer to peer relations,” Pratt says.

Yeager says it is also important to ask how schools deal with visitors to campus, not just students.

“One of the things as a parent you must recognize is that threats are not just from students, but also from adults in and outside the school,” he says. “Any visitor is a threat, so you have to treat every visitor not rudely, but as a potential threat.”

Although the idea of a child being unsafe in school is a frightening one for parents, experts agree that basic questioning can make the difference.

“Don’t be scared, be angry, get upset,” Yeager says. “Parents don’t have a right to come in and tell a school how to educate a student, but they do have a right to know the plan on safety.”

A Sobering Thought

Many of us may have laughed at the old joke, “I’m not so think as you drunk I am,” but knowing when to stop and recognizing when there is a problem is a serious topic. Excessive alcohol use ranks third in lifestyle-related causes of death in America. High-risk or problem drinking has harmful repercussions that can hurt not only the consumer, but also those around them.

As the intake nurse at the St. John Outpatient Behavioral Health Services in Tulsa, Jo Ann Flournoy, RN-BC, has seen this problem firsthand and believes that awareness and education are key to becoming responsible consumers. “It’s important to catch something before it turns into problem drinking. Awareness is the number one key to prevention,” explains Flournoy. The risk factors for developing alcoholism include the “steady” drinking amount, age, family history and mental health. It’s important to note that it’s also possible to have a problem with alcohol even though it has not developed into alcoholism. Allan Gates, manager of the Intensive Outpatient Program at Laureate Psychiatric Clinic and Hospital, suggests assessing your risk by asking yourself  a few questions: Do you understand your reasons for drinking alcohol? Is it to get drunk, be social, fit in with others? Do you over-drink when you don’t mean to? “If you do, it’s a problem that needs to be addressed,” shares Gates. Does anyone in your family have alcoholism? “If so, it is a red flag for you.” 

By The Numbers

The National Institute for Alcohol Abuse and Alcoholism terms “heavy” or at-risk drinking for a man as more than four drinks per day or more than 14 drinks a week, and for a woman as three drinks a day or seven drinks in a week. To remain below these amounts is considered low-risk drinking. A “drink,” according to official standards is defined as one 12-ounce beer, five to six ounces of wine or one-and-a-half ounces of 80-proof liquor.

“From what I’ve seen, even these amounts are probably a bit too lenient,” says Flournoy, who encourages people to consider lowering that amount. “Many times we’ll hear, ‘I’ve switched to beer,’ but you can be drinking beer and still have a problem,” she adds. The current Dietary Guidelines for Americans recommend that people keep their alcohol consumption to no more than two drinks per day for men and no more than one for women.

Problem Drinking

Alcohol abuse is a pattern of drinking that becomes harmful to one’s health, relationships, work and many times results in legal woes such as receiving a DUI. If left unchecked, this behavior can lead to increasing the amounts of “steady drinking” to get the same effect, which most often ends in chemical dependency. While drinking alcohol is common at many social gatherings, it’s crucial to be aware of your consumption. “By definition, it is no longer social drinking when alcohol causes a problem in any area of your life,” says Gates.

Symptoms such as drinking alone, making excuses to drink, the inability to stop, neglecting to eat, as well as experiencing shakes in the morning or after long periods without drinking are telltale signs that there is a problem. For teens, it’s important to look for changes in relationships, declining grades, mood changes and defensive behavior. Experts agree that setting a good example and talking openly with children about expectations can make a big difference. Gates points out that you need to know what the role model is in your family for how to use alcohol successfully. Self-medicating plays a big role in alcohol abuse. It’s important to catch the signs, such as using alcohol to mitigate social situations or anxieties, fix depression or alleviate work pressures. Beyond the mental, there is also a physical toll. “Alcohol is truly an equal opportunity employer,” says Flournoy. “It affects the entire body.” From the brain to the immune system and even reproductive system, all areas of the body are severely harmed by abuse. Those who aren’t abusing alcohol do need to be aware of how their consumption affects medication and other conditions they have. Education and awareness are critical to being responsible.

Getting Help

If you are concerned about your risk or find yourself unable to limit drinking, it’s important to contact a primary care physician or health care provider. They can direct you to the next step, whether that is a full-care detox program or a mental health professional. There are also private hotlines, such as the National Drug and Alcohol Treatment referral, as well as support groups.

In cases where it is a loved one that you are concerned about, experts suggest voicing your concerns. “Many times, people are unaware of how much it affects them. Let them know in a non-confrontational way that you care about them and that you are becoming concerned,” says Flournoy. Gates recommends also getting a professional alcoholism counselor to do an assessment. There are interventions and therapists that can help guide you to your next step.

Brewburger

Not often does a burger incite food critics to dub it “a beautiful thing,” but that’s just what happened on Sept. 18, better known as National Cheeseburger Day. Brewburger may not have the notoriety of some other flashier, well-known local burger establishments, but it’s got the street cred to hold its own against any burger. The establishment has served traditional burgers for years at its 71st Street location. The most popular, of course, is the classic Brewburger: a one-third-pound fresh beef patty served on toasted ciabatta with lettuce, tomato, onions, pickles and choice of cheese. Add-ons include such delicacies as bacon, guacamole or gooey queso. And no Brewburger is complete without a heaping helping of homemade fries, onion rings or chips. 6577 E. 71st St., Tulsa. 918.591.2818

Melt In Your Mouth

We assign an awful lot of power to chocolate in our culture. According to most of us, chocolate has the ability to alter our moods and make us feel comforted and loved. It’s presented as a gift on a bevy of holidays, most notably Valentine’s Day. But our esteem of chocolate pales in comparison to the high regard ancient Mesoamerican cultures, the Mayans and Aztecs being chief among them, held the bitter bean.

The Mayans celebrated chocolate as both a gift and as a medicinal elixir. Artifacts recovered from burial sites show cacao’s important place in the culture. Unlike the sweet confections we think of today, ancient chocolate was often ground into a paste and mixed with chilies and water to create bitter drinks.

Perhaps the Mayans were onto something. Recent studies continue to tout the health benefits of chocolate, as long as it is consumed in moderation, and the darker, the better. Benefits of regular chocolate intake may include a reduced risk of heart disease, diabetes and stroke, and an increase in blood flow, vision and intelligence.

The next time you walk past the candy aisle in the grocery store, stop and scan the chocolate. Remember, it’s good for your health.

What We're Eating

Kabob Platter

Kabob-n-Curry
When most Americans think of kebabs, we envision skewers of grilled chicken or beef interspersed with mushrooms, onions and other vegetables. Though the American version of the kebab does take liberties from its Middle Eastern cousin, the preparation of the meats is what makes authentic kebabs stand out. At Kabob-n-Curry, ground meats are mixed with spices, then formed into patties and grilled on skewers. Flavorful chicken is marinated and cooked in an authentic Tandoori oven. All kebabs are served with oodles of side items, rice and bread. At $11.75, it’s one of the best deals in town. 4104 N. Portland Ave., Oklahoma City. www.kabob-n-curry.com

Chili

Caz’s Chowhouse
In the wintertime, there’s little more comforting than a big bowl of steaming chili. Chock full of meat, beans and tomato-y goodness, there’s not many that beat the bowl at Caz’s Chowhouse. Served with or without cheddar cheese and onion, depending on the diner’s desires, it’s a hearty meal any time of the year. And nestled next to the fireplace in Caz’s cozy dining area, it’s a little slice of chili heaven. 18 E. Brady St., Tulsa. www.cazschowhouse.com