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Looping enables better hearing in public places BY SUE WEBBER • CONTRIBUTING WRITER Technology that turns hearing aids into wireless receivers has fueled a local campaign for a “looping” system that will enable people with a hearing loss to hear more clearly. Looping refers to hearing loops or audio induction loops. Many hearing aids contain a component called a t-coil that is designed to help hearing aid users hear better on the telephone. When public places like auditoriums, churches and conference rooms install a loop system, a copper wire encircles the room in the ceiling or floor and is connected to the microphone at the podium. The speaker’s voice becomes a magnetic signal flowing through the room inside the wire perimeter. According to Kim Fishman, owner and audiologist at Chears Audiology in St. Louis Park, most hearing aids are equipped with a t-coil, a tiny coil of wire that picks up magnetic signals. When a hearing aid user presses the t-coil button on his or her hearing aid, the sound comes through without reverberation or background noise. “It’s fun and exciting helping people hear better,” said Fishman, who added, “I have a hearing loss myself.” Earlier this year, a loop was installed in the St. Louis Park City Hall council chambers, with help from grants from the Minnesota chapter of the Hearing Loss Association of America and Loop Minnesota. Councilmember Jake Spano, who has impaired hearing in one ear, noted that hearing loss manifests itself in many forms. “I think most folks think of it as something that happens when you are old, or you are born deaf, or to those who abuse their hearing by not using proper protections,” he said. “My hearing loss came from a series of severe ear infections I suffered from as a child and the infection, and perhaps the treatment, led to the destruction of nerves in my ear.” Spano said the addition of looping technology in the St. Louis Park City Council Chambers has made a dramatic improvement in his hearing experience. He compared it to the difference between watching standard definition television images versus high-definition images. “Without looping, your hearing aid is competing with background noise and hiss and if you are turned away from the speakers, you may not get a clear sound transmitted to your ear,” Spano said. “With looping,

all the background noise is gone and the sounds being transmitted are crystal clear and amplified. Essentially, you have a high-definition wireless loudspeaker in your ear.” The city of St. Louis Park became aware of looping during a Business Council meeting in January, and Brian Hoffman, the city’s director of inspections, did some research and discovered how popular the system is in Europe. In the past, Hoffman said, residents attending city council meetings occasionally asked if as-

sisted listening devices were available. “But the devices are big, bulky and very obvious, and people really didn’t want to ask for them,” Hoffman said. Loop Minnesota and the Hearing Loss Association each pledged $1,000 to install looping in the council chambers, and the city took $3,000 out of its budget to get the system installed in May, Hoffman said. The Americans with Disabilities Act (ADA) requires auditoriums and other public spaces with 50 seats or more to provide assistive hearing devices, Fishman said. According to the ADA, 55.8 percent of people have a hearing loss. Many public places supply FM headphone listening sets for hearing-impaired attendees. But the drawback to those is that users “label themselves as having a

hearing loss,” Fishman said. “You don’t know if the headphones are dirty, and they may not be charged up,” she said. “People aren’t using them.” But, Fishman said, “There are more wheelchair ramps and braille than there are hearing systems.” By law in the United Kingdom, many places are looped, including theaters, ticket windows and taxicab back seats. “It’s been going awhile in Wisconsin, Europe and all over London,” Fishman said. “New York has its taxis looped; London has the tube (subway) looped.” Fishman and a group of advocates have formed Loop Minnesota, a 501(c)3 nonprofit organization that meets monthly. Their most immediate goals are to loop city council chambers, plus either the Ridgedale or Southdale libraries. “We want to get into the schools, too,” Fishman said. “We are looking for more advocates. We need people to help us make this movement work.” Loop Minnesota’s next meeting is 11:30 a.m. Friday, Sept. 12, in the council chambers at St. Louis Park City Hall, 5005 Minnetonka Blvd. Information: www.loopminnesota.org, or www.mnhearingloops.com Clinic caters to seniors via Internet, social media Cami Swanson, a member of Chanhassen’s Senior Commission, spends time focusing on the needs of senior citizens in that community. In her job as administrator for a group of five physicians who comprise Southdale Internal Medicine in Edina, she also is seeing a growing trend toward senior citizens’ use of the Internet and social media. The doctors have become a direct-pay clinic, which means that they accept no insurance except Medicare. For a $300 annual fee, more than 200 of the clinic’s patients receive their doctor’s cellphone number and work email address to enable more direct, timely contact. “We have a lot of established patients in that senior age group, and they like to have access to their physician,” Swanson said. “A lot of seniors email their doctors their blood pressure numbers. The doctors do phone consults with established patients so they don’t have to come into the office.” HEARING - TO PAGE 5

Page 2 Mature Lifestyles • Thursday, August 21, 2014

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Mature Lifestyles • Thursday, August 21, 2014 Page 3

Lifesaving devices often come in small packages BY SUE WEBBER CONTRIBUTING WRITER An otherwise-healthy 73-year-old man experienced a series of fainting spells that finally were relieved with the implantation of a heart pacemaker. The device to pace his heart was surgically inserted below the skin under his collarbone on the left side of his chest. The pacemaker is connected to his heart by one or more wires. If his heartbeat falls below 60 beats per minute, the pacemaker sends signals to his heart to keep the level above 60. Pacemakers work only when needed. They go on when the heartbeat is too slow, too fast or irregular. “I’m not aware of its being there; I don’t feel a thing,” the patient said. The pacemaker is checked periodically throughout the year, via a telephone call to his cardiologist, or a visit to the doctor’s office. “My cardiologist once said, ‘You know, it wasn’t too many years ago that you wouldn’t have lived with that condition,’” the patient said. The lifesaving results of pacemaker use continue with additional medical advances. True to the adage that good things come in small packages, Medtronic has in the last year perfected and introduced two small devices destined to help people with heart conditions. In December 2013, the Fridley-based company announced the first in-human implant of the world’s smallest pacemaker, the Micra Transcatheter Pacing System (TPS). It is one-tenth the size of a conventional pacemaker and comparable in size to a large vitamin pill, the company said. In February 2014, the company launched its Reveal LINQ Insertable Cardiac Monitor (ICM) system, the smallest implantable cardiac monitoring device available for patients. Miniature pacemaker The Micra TPS goes directly into the heart through a catheter inserted in the femoral vein. The device does not require the use of wires to connect to the heart, but is attached to the heart via small tines that deliver electrical impulses to pace the heart through an electrode at the end of the device. “Traditional pacemakers have wires weaved into the heart, but the Micra has

no leads or wires,” said Joey Lomicky, senior public relations specialist in the Cardiac and Vascular Group at Medtronic. “It’s fully self-contained.” Pacemakers are small implantable medical devices that are prescribed for people whose hearts beat too slowly or irregularly. A pacemaker stimulates the heart muscle with precisely-timed pulses of electricity that cause the heart to beat in a manner similar to a naturally occurring heart rhythm. A normal heart beats about 100,000 times a day. Modern pacemakers, averaging 70 pulses per minute (depending on the need of the patient), generate about 36 million pulses a year. Someone with a slow or weak heart rhythm may feel dizzy, weak or very tired. An implantable pacemaker may then be used to restore a consistent flow of proper electrical impulses, thus improving blood circulation and restoring a general feeling of well-being to the patient. Although people of all ages receive pacemakers, 65 percent of pacemaker patients are between the ages of 50 and 79. About 30 percent are 80 or older and less than 5 percent are under 30. In contrast to conventional pacemakers, the TPS does not require a surgical incision in the chest and the creation of a “pocket” under the skin, eliminating any visible sign of the device. It weighs less than a small coin and has an estimated battery life of up to 10 years. More than 300,000 people receive pacemakers in the United States each year. Worldwide, the figure is approximately 950,000. Approximately half the pacemakers in the world are manufactured by Medtronic. More than 5 million Medtronic pacemakers have been implanted since the company was formed in 1949. Since that time, Medtronic has become the world’s largest medical device company. A typical pacemaker weighs less than one ounce and is about the size of two stacked silver dollars. The wearable, external battery-powered pacemaker was developed in 1957 by Medtronic co-founder Earl E. Bakken. The first U.S. implant of a pacemaker with a self-contained power supply took place on June 6, 1960.

Above and below right, the LINQ Insertable Cardiac Monitor is one-third the size of a AAA battery. Below left, a Micra TPS pacemaker is about the size of a nickel. (Submitted photos)

implantable cardiac monitoring device available for patients. It is one-third the size of a AAA battery. “This is part of the new focus on miniature device techniques,” Lomicky said. “These are new, cutting-edge futuristic techniques.” The system allows physicians to continSmall, wireless remote monitor uously and wirelessly monitor a patient’s The Reveal LINQ Insertable Cardiac heart for up to three years. Monitor (ICM) system is the smallest It is used for patients who have dizzi-

ness, heart palpitation, fainting or chest pain that might indicate a cardiac arrhythmia, and for patients at increased risk for cardiac arrhythmias. The Reveal LINQ system also includes a simplified remote monitoring system with global cellular technology to transmit patients’ cardiac device diagnostic data to their doctors from any location in the world.

Page 4 Mature Lifestyles • Thursday, August 21, 2014

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Medical alert devices, defibrillators help save lives BY SUE WEBBER CONTRIBUTING WRITER Technology, systems and devices for providing help to people outside a medical setting are continually evolving, prolonging lives that once might have been lost. Two of those techniques are used at North Memorial Health Care in Robbinsdale. One is North Memorial Connect, a medical alert system enabling people who have fallen or need help to get immediate assistance. Another is the AED (automated external defibrillator), a device that can be used by non-medically trained people in the field to resuscitate the victim of sudden cardiac arrest. North Memorial Connect Ben Musburger, supervisor with Home and Community Services at North Memorial, said the personal response service began in 1998 and since has served more than 1,000 people. Senior citizens and people with disabilities are the most frequent clients. The medical alert service is a pendant worn around the neck or on the wrist that can automatically place a call for help when a fall or other emergency is detected. The device works with existing landline telephone service. When an emergency is detected, the system is programmed so a live person answers the call 24/7. Once the situation is assessed, a family member, neighbor or emergency service is contacted. If a user has pushed the button on the alert system and does not respond when the call is answered, 911 is summoned immediately. “If you use it once, it pays for itself,” Musburger said. “Most folks want to continue to live in their own homes, and this gives them and their family members peace of mind.” It is especially helpful for people with medical conditions who are living alone, people who have fallen or are at risk of falling, people who have recently been hospitalized, and people who have problems with balance or chronic ailments. According to Musburger, North Memorial responded to more than 400 calls in 2013 that resulted in someone with the device being taken to the hospital. Another 400 people were given help on site.

Automatic defibrillator Using a defibrillator, Paul Mendoza, a 25-year paramedic at North Memorial, has personally saved 12 people from sudden cardiac arrest. He is coordinator of North Memorial Heart Safe Communities. According to Mendoza, 4,000 people in Minnesota die of sudden cardiac arrest each year. If an automatic defibrillator had been available, some might have been saved. Thirteen years ago, Mendoza was recruited to sell automatic defibrillators, and now runs Advanced First Aid Inc. The AED he sells is made for anyone to use to resuscitate a person who has suffered sudden cardiac arrest and collapsed. Mendoza’s company provides training and service on the devices. The first AEDs were available in the 1980s, but they were big and expensive and required a large car battery to operate, according to Mendoza. In the mid-1990s, Medtronic came up with a smaller version and the device has increased in use and popularity since then, Mendoza said. The devices are now commonly found in businesses, schools, senior citizen facilities, condominiums and public places, and “wherever people gather.” “The AED is very small, smaller than a phone book,” Mendoza said. “Anyone can operate them. You can’t A medical alert device, such as the one worn around this woman’s neck, can automatically hurt anyone when you use it. The num- place a call for help when a fall or other emergency is detected. (Submitted photo) ber one failure with AED is battery “The man who was 79 when I saved “You don’t have to be a paramedic failure.” A recorded voice talks users through him died this spring at the age of 90,” to use it,” Fournier said. “The machine proper placement of the leads on the Mendoza said. “He didn’t die of heart prompts you on how to use it safely.” “It’s just an excellent tool. It reads victim’s body and instructs them when disease. He died of cancer.” New Hope Police Chief Tim Fourni- the rhythm and really only reacts to and if to push the button to electrically er, who worked as a paramedic at Hen- one heart rhythm. It won’t shock the shock the heart. “If you use the AED within 1 or 2 nepin County Medical Center from patient if their heart isn’t in a shockminutes, that’s when there is the highest 1988-91, said he believes AEDs are “a able rhythm.” Another new device now on the marsuccess rate,” Mendoza said. The more very effective tool.” He estimated that 90 percent of all ket is CPR RSQ, a tool that makes delay there is, the less likely you are to police departments have them, along CPR easier to administer, Mendoza save the victim, he said. He notes that the American Heart with many fire departments. Every po- said. “CPR is not easy,” Mendoza said. Association’s Chain of Survival has lice squad car in New Hope is equipped five links for emergency care: Call 911, with an AED, he said. New Hope also “People who are on the older side don’t start CPR, use an AED, get help from has installed an AED in each of the have the strength to push down and the ambulance and paramedics, and city buildings: City Hall, Public Works, maintain CPR on someone else. This the golf course, the ice arena and the tool makes it easy. For about $90, it’s get to a hospital. “Each link plays an important role,” swimming pool. The device also is in- a no-brainer.” A graduate of Bethel University and Mendoza said. “All the cogs together stalled in all area school buildings, he said. of paramedic school at the University make a system.” Many people who have heart is- of Iowa, Mendoza does training in Of the 12 lives he has saved with resuscitation, Mendoza said, the young- sues also have AEDs in their homes, CPR and AED for physicians, nurses Fournier said. and EMTs. est was 18 and the oldest was 79.

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Mature Lifestyles • Thursday, August 21, 2014 Page 5

Better Business Bureau tips for safe shopping online Shopping online means avoiding the crowds, but it also opens buyers up to attacks from scammers and hackers. In order to fight these online menaces, the Better Business Bureau of Minnesota and North Dakota (BBB) offers 10 tips for staying safe when shopping online. Following are the “Top 10 Online Shopping Tips� for shoppers to help fight unscrupulous online retailers, scammers and hackers: 1. Protect your computer – A computer should always have the most recent updates installed for spam filters, anti-virus and anti-spyware software and a secure firewall. 2. Shop on trustworthy websites – Shoppers should start with the BBB to check on the seller’s reputation and record for customer satisfaction. Always go to www.bbb.org first, and look for the BBB seal and other widely-recognized “trust marks� on retailer websites. Always remember to click on the seals to confirm that they are valid. 3. Protect your personal information – The BBB recommends taking the time to read the privacy policy of every website you visit and understand what personal information is being requested and how it will be used. If there isn’t one posted, it should be taken as a red flag that personal information may be sold to others without permission. 4. Beware of deals that sound too good to be true – Offers on websites and in unsolicited e-mails can often sound too good to be true – especially extremely low prices on hard-to-get items. Consumers should always go with their instincts and not be afraid to pass up a “deal� that might cost them dearly in the end. 5. Beware of phishing – Legitimate businesses do not send e-mails claiming problems with an order or an account to lure the “buyer� into revealing financial information. If a consumer receives such an e-mail, the BBB recommends picking up the phone and calling the contact number on the website where the purchase was made to confirm that there really is a problem with the transaction. 6. Confirm your online purchase is secure – Shoppers should always look in

the address box for the “s� in https:// and in the lower-right corner for the “lock� symbol before paying. If there are any doubts about a site, the BBB recommends right-clicking anywhere on the page and select “Properties.� This will let you see the real URL (website address) and the dialog box will reveal if the site is not encrypted. 7. Pay with a credit card – It’s best to use a credit card, because under federal law, the shopper can dispute the charge if he or she doesn’t receive the item. Shoppers also have dispute rights if there are unauthorized charges on their credit card, and many card issuers have “zero liability� policies under which the card holder pays nothing if someone steals the credit card number and uses it. Also, never wire money if prompted to do so. 8. Keep documentation of your order – After completing the online order process, there may be a final confirmation page or the shopper might receive confirmation by e-mail. The BBB recommends saving a copy of that as well as any e-mails for future reference and as a record of the purchase. 9. Check your credit card statements often – Don’t wait for paper statements; the BBB recommends consumers check their credit card statements for suspicious activity by checking statements online regularly or by calling their credit card companies if fraud is suspected. 10. Know your rights – Federal law requires that orders made by mail, phone or online be shipped by the date promised or, if no delivery time was stated, within 30 days. If the goods aren’t shipped on time, the shopper can cancel and demand a refund. There is no general three-day cancellation right, but consumers do have the right to reject merchandise if it’s defective or was misrepresented. Otherwise, it’s the company’s policies that determine if the shopper can cancel the purchase and receive a refund or credit. For more advice on staying safe online this holiday season, and to see reports on thousands of online retailers, go to www.bbb.org/us/consumer-tipsholiday/.

Pictured following the installation of a hearing loop at the St. Louis Park City Council chambers are, from left: Ross Hammond, St. Louis Park Inspections Director Brian Hoffman, Monique Hammond, Kim Fishman, Rick Nelson and Dick Davis. (Submitted photo)

Hearing FROM PAGE 1 The office is listed on LinkedIn and Facebook, and has videos on YouTube, Swanson said. “We started the social media at the beginning

of the year, and we’re getting new senior patients every month,� Swanson said. “One of the physicians was pushing it. I was hesitant, but a lot of marketing people said this is the way to go.� Swanson was convinced when she learned that one of the clinic’s

91-year-old patients, when asked for a list of her medications, pulled out her iPhone. “Many of our seniors email and have iPhones,� Swanson said. “Some send text messages, or they email their questions.�

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Page 6 Mature Lifestyles • Thursday, August 21, 2014

Seniors, local business team up for computer class BY SUE WEBBER CONTRIBUTING WRITER Ken Anderson calls himself a facilitator, not an instructor. But no matter the term used, he is the point man for a monthly Computer Cracker Barrel group at the Eden Prairie Library. The group meets from 9:3011 a.m. on the first Thursday of each month. “The Eden Prairie Senior Center does not offer computer classes on our own,” said Sue Bohnsack, recreation supervisor for the city. “We partner with Community Education because they have the computer lab and the teachers to do those classes.” Anderson, who worked as a manufacturer’s representative before he retired, said, “I got to know about computers in the marketplace. I had accounts in Minot, Rapid City and Milwaukee and the computer sped things up. I had to learn by default.” In computer classes he attended years ago, Anderson said, “I learned something every time.” Now, he’s sharing his knowledge with his peers. He sends out email notifications about the Cracker Barrel group to about 35 people each month. Some months only two or three people show up. Other times, it’s four or five people, or as many as 15. “Most of them learn how to do something on the computer by doing it three or four times,” Anderson said. “A lady who has kids all over the country wanted to send and receive pictures, and she didn’t know how to do it. I could help her with that. Or, I can help someone send an email to themselves, something many didn’t know they could do.” Anderson finds the work very satisfying, particularly when someone he’s helping rewards him with a big smile. “Some people come every month and friendships develop,” Anderson said. “You get to know the people and they talk about their families. It’s been fun.” He is quick to credit a unique partnership the Senior Center has with C.H. Robinson Co., a local business. For many years, the company has generously supplied a technology instructor for each of the monthly classes for seniors. The current helper is Caleb Johnson, a programmer analyst at C.H. Robinson. “We go over general topics,” Johnson said. “People come in with any prob-

Ken Anderson is the point person for the monthly Computer Cracker Barrel group at the Eden Prairie Library, which works with seniors. The group has benefitted through a partnership with representatives from C.H. Robinson, which provides instructors. (Sun staff photo by Joseph Palmersheim)

According to a survey, 91 percent of seniors use their computer for email, 86 percent for Internet searches, 49 percent for Facebook or other social media, 39 percent for sharing photos, 29 percent for video chats and 64 percent for word processing.

lems or questions they have. Lately, Windows XP is a big topic. And people want to know what computers to buy. Some are wary of how to use a new operating system, or they need email and Facebook help. There are a lot of common problems.” Working with the seniors has been “very satisfying,” Johnson said. “I enjoy it very much,” he said. “Most of the questions are things I don’t think about because it seems so simple to me. But I’m learning every day how to help people and that helps me with my job.” Steve Minor, who works as a scrum master (a facilitator for a product development team) at C.H. Robinson, met with the Cracker Barrel group for five years prior to handing his duties off to Johnson. “Our company sent out an email asking who would be interested in doing it, and I replied,” he said. “I got as much out of it as they did. We were always in a learning phase.” Minor said he saw a lot of growth among seniors in the five years he worked with them. But as much as Ken Anderson credits help from the C. H. Robinson technology experts, Minor said, “Ken is the glue that holds it all together. He sends out the email reminders.” Anderson is a lifelong resident of Eden Prairie who grew up on a family farm on the site now occupied by St. Andrew’s Lutheran Church. He is a University of Minnesota graduate in agricultural business administration. Many Eden Prairie seniors are using computers in their homes, Bohnsack said. Respondents to a survey of the city’s baby boomers and seniors Bohnsack conducted earlier this year indicated that most were between the ages of 56 and 90. The survey revealed that 91 percent use their computer for email, 86 percent for Internet searches, 49 percent for Facebook or other social media, 39 percent for sharing photos, 29 percent for video chats and 64 percent for word processing. Only 5 percent of the respondents said they do not use computers. Thirty-one percent of the respondents said they are still working. Between 83 and 95 percent of the respondents said they would be most likely or likely to go online if they were looking for help or information for themselves or others.

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Mature Lifestyles • Thursday, August 21, 2014 Page 7

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Page 8 Mature Lifestyles • Thursday, August 21, 2014

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