February PrimeTime 2015

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Health & Wellness

The Evolution of the ER

Fitness Solutions • Pain Prevention • Heart Health


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Pr i m e Ti m e

Health & Wellness

February 2015 1944 Warwick Ave. Warwick, RI 02889 401-732-3100 FAX 401-732-3110 Distribution Special Delivery

PUBLISHERS Barry W. Fain, Richard G. Fleischer, John Howell MARKETING DIRECTOR Donna Zarrella donnaz@rhodybeat.com Editor/ Creative Director Linda Nadeau lindan@rhodybeat.com WRITERS Michael J. Cerio, Don Fowler, Daniel Kittredge, Elaine M. Decker, Joe Kernan, Alex Viscusi, Mike Fink, Meg Chevalier, Kerry Park, Kathy Tirrell, ADVERTISING REPRESENTATIVES Donna Zarrella – donnaz@rhodybeat.com Lisa Mardenli, Janice Torilli, Suzanne Wendoloski, Alex Viscusi Classified ADVERTISING REPRESENTATIVE Sue Howarth – sueh@rhodybeat.com PRODUCTION Matt Bower, Brian Geary, Lisa Yuettner A Joint Publication of East Side Monthly and Beacon Communications.

4

YMCA

Your State

Focus on health and wellness programs with seniors in mind

6 Evolution of the ER

Emergency Room has evolved to primary care

8 Joint Pain

Cupid! for a chance to win a

$25.00

Gluten Free Baking............................19

LIFESTYLES

70’s Fitness

Don and Joyce Fowler share their fitness routine

Retirement Sparks.................................8 At the Movies........................................10 What Do You Fink...............................20

17 Your Pharmacist

nextmonth

17 Heart Health

o n t h e c ove r

Questions to Ask

Protect your heart this winter

PrimeTime Magazine is published monthly and is available at over 400 locations throughout Rhode Island. Letters to the editor are welcome. We will not print unsigned letters unless exceptional circumstances can be shown.

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Senior issues

Meals on Wheels.................................16 RI Health Care Association............18 Your Home..............................................19 Alzheimer’s Association..................21 Addiction - finding help................21

Food & Drink

Simple home remedies

9

Gov. Raimondo thinking differently............................14

Aging in Place

Screen shot from the documentary 24|7|365: The Evolution of Emergency Medicine of North Providence native Mark Brady, MD, a 2009 graduate of the Brown Alpert School of Medicine and his students.

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b y M ichael C eri o

Much more than gym & swim

Everyone welcome at the YMCA It’s one of the most recognizable organizations in nervous when first starting to workout—those at the Y the country, if not the world, and not just because of are quick to point out that there’s certainly a place for a catchy 1978 song—though there’s a lot of truth to for-profit fitness centers in the market. those lyrics. With nearly 900 locations in the United “What differentiates us is the not-for-profit chariStates, chances are you’ve driven by, visited, or even table organization foundation we’re built on,” adds been a YMCA member in the past. But what may be Paula. “If you want to be involved in the community surprising is how the Y has evolved, particularly with and have the dollars you put in go back to benefit your additional focus on health and wellness programs de- neighbor’s wellness, we provide that avenue.” signed specifically with seniors in mind. Among the Y’s most popular offerings are its aqua “We have seven full service facilities classes, free swim, group exand envelope pretty much the entire ercise, cardio and strengthstate; there are nearly 45,000 memening equipment. Above bers of our association,” says Diane these, and underscoring the a person’s point of entry may be Nahabedian, Chief Marketing Officer community element found because they got on the scale for the YMCA of Greater Providence. at the Y, members see the Y “I think the best thing about the Y is and decided it was time to lose weight, as a destination activity; a but it’s what happens when they get here that everyone is welcome here, from place to socialize with oththat can really change their life the incredibly fit to those who’ve deers and build bonds also diane nahabedian – ymca proven to improve one’s cided they want to take control of their health and exercise more.” health outlook. As January drifts away in the rearMembers take classes view mirror, so too do many New Year’s together, walk side-by-side resolutions of eating better, losing weight and getting on treadmills as they catch-up on the past week and fit. After all, we all lead very busy lives, often leaving sometimes enjoy a snack together following a workout. little time for the extracurricular activities we’re well There are even groups like the book club and knitting intentioned to keep as part of our routines. club, providing people an opportunity to ease in to With branches that span from Cranston and War- a new community at their own pace through shared wick to Providence, Barrington, Seekonk, South common interests. The knitting club, for example, beCounty and North Kingstown, a strength of the gan at the Kent County YMCA before growing and YMCA of Greater Providence is its accessibility. taking on a life of its own thanks to the passion of The YMCA was founded in London in 1844 with those involved. It gives to nearly ten other charities in the goal of putting Christian principles into practice the area—House of Hope, McAuley House, and othby providing a safe environment for young men to de- ers—having donated close to 4,500 afghans, mittens, velop a healthy body, mind, and spirit; its first stateside hats and scarves over the years. location established in Boston in 1851. While religion “There are relationships built in every branch of the was instrumental in guiding its early years, today, the Y, from young adults to people in their 60s and even YMCA is a non-denominational organization still in- older,” says Diane. “A person’s point of entry may be spired by positive moral values: respect, honesty and because they got on the scale and decided it was time caring. to lose weight, but it’s what happens when they get “We’ve evolved to a place where the ‘C’ is still there, here that can really change their life.” but we’re open to everyone,” adds Diane. “We don’t Two recent program developments are helping the care who you are, where you come from, or what your Y change lives above and beyond what you may conreligious beliefs are—this is a welcoming place.” sider their more ‘traditional’ work: Livestrong at the Speaking with Diane and her colleagues, there was YMCA and a diabetes prevention program. an overwhelming agreement as to one of the Y’s bigDesigned specifically for cancer survivors, Livestrong gest challenges: misconception. Despite everything it at the YMCA is a twelve week program where particioffers, many only think of the Y as a place for gym pants meet for 75 minutes twice a week. Developed and swim. as a collaboration between the Livestrong Founda“I can’t tell you how often I hear, ‘I’d like to join the tion and the YMCA of the United States, the YMCA Y because you have a pool and another fitness center of Greater Providence was one of the first Y’s in the doesn’t,’” says Paula Jacobson, Executive Director of country to offer the program. Those Y’s who wish to the Kent County YMCA. “But, when you get here, offer the program must go through a six-month learnyou see that we’re so much more.” ing collaborative before beginning. There’s no shortage of for-profit fitness centers for “This is a very unique effort that’s entirely evidenceRhode Islanders to choose from. While they may not based; it has significant research behind it that shows be for everyone—people have many reasons for being it’s an effective way to help cancer survivors reclaim

| PrimeTime

their health,” says Neta Taylor-Post, Vice President of Strategic Initiatives for the YMCA of Greater Providence. “While the primary focus is on increasing participants’ overall physical strength and cardiovascular endurance, there’s also a component of support—a cancer diagnosis is a very powerful connection.” Participation in Livestrong at the YMCA has two requirement: those interested must be 18 years or older with a diagnosis of cancer, and they must receive medical clearance from their care team. Run by handselected staff who go through extensive training and quarterly continuing education programs to stay on top of current cancer treatments, the Y collects ongoing data from participants—from the beginning of the program until the end—to illustrate its positive impact. For each session, participants spend an hour exercising and the remaining 15 minutes on more mindful activities; Tai-chi, meditation or group discussion. Livestrong at the YMCA is offered at each of the Greater Providence’s full facility branches. “In this program, it doesn’t matter how old you are or what your race is—everyone has something in common,” adds Neta. Through its diabetes prevention program—available to both members and non-members—the Y works solely with adults at risk for Type 2 diabetes. Research shows that the program’s two goals, helping people lose 7 percent of their body weight and increasing physical activity to 150 minutes per week, can reduce risk by up to 58 percent. People can become involved in the program through a physician’s referral, or self-referral. Following a risk assessment tool, a point-based February 2015


your health

Developed specifically for cancer survivors, Livestrong at the YMCA is a 12-week evidence-based program that helps adults reclaim their health with a focus on increasing participants’ physical activity and strength in a supportive environment.

system of questions, or other diabetes-related testing, participants are weighed in private to establish a starting data point. Instructors then lead a multi-faceted program of exercise and ways to make more informed food choices. The physical activity the Y strives for in its participants is the equivalent of a brisk walk. “It’s so important for people to understand what they’re eating, how much they’re eating and even why they’re eating,” says Neta. “Making changes to your diet is the most effective way to lose weight, while physical activity is the best way to maintain your weight; these elements are crucial for those at risk of Type 2 diabetes.” The YMCA of Greater Providence offers many different types of membership. There are memberships for individuals, couples, family households, seniors and senior couples. Though fees differ across the board—from $49 per month for an adult to $59 for a senior couple and $78 for a family household—the Y offers financial aid for those who may be unable to afford to full rate. No one should ever hesitate to contact their local branch to discuss their individual circumstances. Household memberships can consist of more than two adults, meaning grandparents can often be included. The use of all equipment, the pool, gymnasium and exercise classes are included with a membership. There are also member rates for personal trainer sessions, after school and summer camps for children, and all family memberships include babysitting services in a branch’s family activity center. And, for older adults covered by Blue Cross Blue Shield Blue Chip, many offer a Y membership for as little as $5 per

While having evolved to offer much more than gym and swim, the YMCA of Greater Providence continues to features state-of-the-art cardio and strength training equipment in its seven full service branches across the state. (submitted photos)

month by checking with your provider. “Above and beyond the value I feel the Y offers, your membership to our association also allows for the use of Y’s throughout New England and even the country, so if you’re traveling, you are still welcome at one of our partner branches,” adds Diane. Anyone interested in learning more about the YMCA of Greater Providence, or becoming a member, is encouraged to visit www.ymcagreaterprovidence.org or call their local branch to schedule a tour. All branch contact information can be found on the association’s website.

“The Y is a place that can not only meet a person’s health and physical activity needs, their needs for safety and fun for the family, but also provides a sense of social responsibility and an opportunity to be involved and give back,” says Neta. Finished Diane, “We’ve been around for more than 160 years and we keep evolving with the times; there’s something here for everyone. I see the Y as an integral part of the community, it’s a big part of what we do and I encourage everyone to come see for themselves.”

your health

Benefits of Geriatric Massage Therapy Geriatric massage therapy is designed to address the specific needs of the elderly population. This type of massage for the elderly uses gentle and light application of massage techniques and can include passive stretching and a light oil or lotion to permit your muscles to be worked on without causing excessive friction to the skin. These techniques can help enhance blood circulation, combat depression, improve balance and flexibility, reduce the pain of arthritis, increase joint mobility, improve posture, and encourage overall well-being. Geriatric massage can be especially helpful for maintaining and improving overall health as we age. It also has been shown to relieve anxiety and provide comfort, especially to touch-deprived elderly clients.

If you have a specific health condition, you should receive permission from your physician to proceed with massage. As with any population, there are certain conditions that are not recommended for massage, hence the importance of communication with your doctor. Once you have obtained permission, be sure to specify your preference for geriatric massage when scheduling your appointment. Helpful Wellness Tip: Many clients who use geriatric massage have a friend or family member join them for their first visit to ensure they have a comfortable and relaxing experience. You may decide what amount of clothing you prefer to wear during your massage. Throughout the session, you will be properly draped or covered-only the area being worked on will be exposed. Information provided by Massage Envy Spa www.massageenvy.com

February 2015

PrimeTime |


b y j o e kernan

ER

Emergency Room

has also become

Primary Care

While we have heard a lot lately about the emergency room as the primary care provided for people who don’t have medical insurance, we have not heard how emergency medicine assumed that role relatively recently. “When you dial 911 from any phone, someone picks up your call, an ambulance soon arrives, and you are speedily transported to an emergency room,” says a press release about a film on emergency medicine that aired recently on PBS. documentary featuring “Once there, a team of specially-trained emergency medicine doctors and personnel with an enormous amount of resources at their fingertips care for you. Brown University’s No one asks if you can pay. No one refuses to treat you if you cannot.” professor and chair of “24|7|365: The Evolution of Emergency Medicine,” which aired on Rhode Emergency Medicine, Island PBS in January chronicles the emergence of EMS and the specialty of Brian Zink, MD. (Photos Emergency Medicine, which became a medical specialty as recently as 1979. by Mark Brady) “It’s our privilege to bring this story to the Rhode Island PBS community,” said David W. Piccerelli, president of WSBE Rhode Island PBS in the press release. “Access to 911 and emergency care is something we take for granted today. To realize just how recently this important system emerged is surprising and enlightening. We are thrilled to share this history, and to recognize the role local Rhode Island doctors play in the Technology also became too big storytelling.” The film featured Brown University’s professor and chair of Emergency Medicine, Brian Zink, and too bulky to fit in the doctor’s MD, as historical consultant. The documentary Narrated by little black bag – Dr. Brian Zink is the creation of one of Zink’s former students, Anthony Edwards Mark Brady, MD, a 2009 graduate of the Brown star of the TV series ER Alpert School of Medicine, a North Providence native. “This is a story about mavericks in the medical field - mavericks who went against the medical establishment to meet the changing needs of patients in the ’50s and ’60s,” explained Brady, who is currently working as an emergency physician in Memphis as he fulfills his contract with the Navy Reserve. “I have always had a strong interest in media,” said Brady, “but I also knew that I had to learn more about my medical craft as well.” Brady says he was inspired by Dr. Zink’s book, “Anyone, Anything, Anytime: The History of Emergency Medicine.” “At the time, there were huge changes in society, and the medical establishment was not prepared for the big jump in emergency visits to hospitals. Technology also became too big and too bulky to fit in the doctor’s little black bag - so people increasingly went to the hospital for the latest in urgent diagnosis and treatment,” said Zink in the press release. In a phone interview, Brady said his study with Zink convinced him that there was a strong and important story to be told about emergency medicine and he set out to interview doctors from all around the country and in Canada and England. “I read his [Zink’s] book, which I think is the only book on the history of emergency medicine, and it was an inspiration,” said Brady, “and I wanted to do the film while the founders of the specialty were still around to talk to. Sadly, since we finished the film, two of the people we talked to have passed away, so there is a certain urgency to the subject.” Among the changes affecting emergency medicine was the increased mobility of Americans. As they moved around more, they no longer had family doctors, yet they needed somewhere to go when they got sick. Physicians, too, were also moving away from general practices and house calls, and seeking specialties instead. Specializing offers regular office hours and predictable schedules. The documentary is the creation of one of Zink’s former students, The changes combined to create a gap between the need for urgent treatment Mark Brady, MD, a 2009 graduate of the Brown Alpert School of and the providers trained and on duty to respond. The pioneers of Emergency Medicine, a North Providence native. Medicine - among them, Dr. John Wiegenstein of Michigan - recognized the gap

24|7|365: The Evolution of Emergency Medicine is a

( documentary

| PrimeTime

screen shot )

February 2015


your health

and filled it with persistent advocacy for better training and more resources, ultimately winning recognition as an important and unique branch of medicine. “24|7|365: The Evolution of Emergency Medicine” explains the social, technological, and political forces that shaped the system as we know it now. As for Brady, he’s put a good deal of distance between himself and North Providence in his 35 years. A graduate of LaSalle Academy and Providence College, Dr. Mark Brady received early acceptance into Brown Alpert School of Medicine. He deferred admission to work at a children’s hospital in Cambodia and then walked the Appalachian Trail for a year. While in medical school at Brown, Brady concurrently earned a master’s in biomechanical engineering. He got a scholarship to do a master’s in public health at Harvard for a year. Then, he did an NIH fellowship in Peru and Bolivia for a year, studying emerging infectious diseases. He spent a few months doing an internship, writing at the Discovery Health Channel. He completed a four-year Emergency Medicine residency at Yale, where he was chief resident. At Yale, he earned a diploma in tropical medicine from the London School of Hygiene and Tropical Medicine, went back to volunteer in Cambodia and spent some time working in Liberia as the only emergency doctor in the country. “Back before the 1970s there was no 911, no ambulance systems as we know them, and if you arrived at a hospital the doctor there to care for you was probably the least qualified and most junior,” he said. Brady said there are over 130 million emergency room visits per year in the U.S. Qualified 911 and ambulance systems that are available anywhere, anytime to anyone. And the ER remains the only place that’s required by federal law to treat all patients regardless of their ability to pay. The effect of the Affordable Care Act is too new to assess, but most experts think it will relieve emergency room reliance as more people have access to primary care. Dr. Zink lives in Coventry. He is the Frances Weeden Gibson - Edward A. Iannuccilli, MD, professor and chair of Emergency Medicine at the Alpert Medical School at Brown University. He is also Chief of Emergency Medicine at Rhode Island Hospital and The Miriam Hospital. He received the SAEM Hal Jayne Academic Excellence Award; the American College of Emergency Physicians Outstanding Contribution in Education Award; and the Medical School Dean’s Award for the Advancement of Women. For more information about “24|7|365: The Evolution of Emergency Medicine,” go to www.247365doc.com.

February 2015

Dr. Mark Brady teaching two medical students at Yale-New Haven Hospital ( documentary screen shot )

PrimeTime |


retirement sparks

lifestyles

your health

b y elaine m . decker

Yoga for Seniors Are you interested in lowering your BMI (Body Mass Index)? You could spring for the caffeine panties that have been touted on morning talk shows to help burn off fat. But if your lingerie budget is as skimpy as mine post-retirement, you might want to look into yoga exercises first. They not only relax you and tone your body, they’re purported to help keep your weight under control. There are quite a few exercises that shouldn’t be too challenging for seniors, but would still provide benefits. Several of them can be done using chairs and walls, and therefore don’t require us to get down on a mat. Or more importantly, to get up from one when we’re done. However, most of the ones I’m sharing today have you at least partly on the floor. You can thank me later. Yoga helps stretch our muscles, ligaments and tendons. It also improves our flexibility and increases our range of motion, all admirable objectives. According to health.howstuffworks.com, “you don’t need to be able to tie yourself in knots to become more flexible.” That’s a relief. I always thought that true yogis needed the ability to turn themselves into pretzels. On that note, let’s try some poses. We’re starting with the One-legged Breaking Wind Pose to help get rid of excess stomach gas. Lie on your back with arms and legs extended. Exhale, draw your knees to your chest and clasp your hands around them until you break wind. Straighten just your left leg, extending it along the floor. Then bring your left knee back to your chest and hold until you fart again. Release and extend your right leg. Bring your right knee back to your chest and exhale for one final wind breaker. I hope you feel better now. Legs in Parentheses improves flexibility and has been adapted especially for seniors. Sit on the floor and spread your legs apart as much as you comfortably can. If you’re able to straighten them quite widely, by all means, go for the traditional Legs in V. But feel free to bend your knees slightly into parentheses. Lean forward and feel your leg muscles stretching as you count to ten. Lean back. Repeat. The Shiva Shiver is an obscure yoga pose that helps you lose weight. Supposedly, if you shiver for one hour, you burn 400 calories. Stand in front of your freezer in your underwear. Open the door and put your head inside. Within a few minutes, you should start to shiver. Stay like this for 15 minutes and you’ll burn 100 calories. Hint: empty the freezer out first, in case you fall in, and set a timer to revive you when you’re done. The Shiva Shiver gives new meaning to the phrase “freezer burn.” Quarter Spinal Twist is great for women with osteoporosis; it lengthens and strengthens your spine. So put on some Chubby Checker and let’s do The Twist. Sit with the bottoms of your feet under your butt. Then place your left foot flat on the floor next to your right knee. If you can’t reach the floor with your foot flat, touch with just your toe. Twist to the left a quarter turn until your foot comes off the floor, or until your muffin top pinches. Switch feet and legs and twist again. One of my favorite positions is Downward Facing Cat. It helps us strengthen our abdominal and back muscles, improving our balance. Get down on all fours, like a cat. If you’re not sure how this looks, go to your local animal shelter and adopt a cat. Bring it home and watch it for a few hours. Then stretch like your feline friend, rounding your spine, with your head down. DoingA360.com/Basic-Yoga-Poses says: “As you reverse this… the head comes up and the belly droops.” Boy, have I got this position covered! The unfortunately-named Corpse pose helps you relax at the end of your yoga session. I didn’t need a website to tell me that. I doze off almost every time I do the Corpse. I just never had a name for it. Climbing the Wall is a variation for seniors. Lie on your back on the floor with legs straight up against a wall, arms slightly out from your sides. Then wiggle around. It’s a good way to scratch your back when it’s driving you crazy. It’s also the end of our session. Master these six yoga poses and you’ll be well on your way to senior Nirvana, with lower blood pressure, better balance and improved flexibility. Some of you will also have a lower BMI and a new cat to keep you warm. I’m here to serve. Copyright 2015 Business Theatre Unlimited Elaine M. Decker’s books—Retirement Sparks Redux (just published in December, 2014), Retirement Sparks Again, Retirement Sparks and CANCER: A Coping Guide—are available at SPECTRUM-INDIA, on the East Side of Providence, on Amazon.com, including Kindle editions, and by special order through your local bookstore. One of her essays appears in the recently published anthology: 70 Things To Do When You Turn 70. Contact her at: emdecker@ix.netcom. com.

| PrimeTime

Four simple home remedies for joint pain Soreness, stiffness, tenderness - joint pain can have a direct impact on quality of life. Fortunately, there are a number of proactive steps that incorporate all-natural solutions to help improve joint health and overall wellness. Joint pain is one of the most common health concerns. It affects 30 percent of U.S. adults, according to the Centers for Disease Control and Prevention (CDC). Not surprisingly, joint pain prevalence increases with age. Forty-two percent of adults 45-64 years old, and about one-half of adults 65 and older, have experienced recent joint pain, the CDC reports. “Just because a person ages, it doesn’t mean they should hurt,” says Dr. Christopher Mohr, a fitness and nutritional expert who consults for television, print and radio outlets throughout the country. “Lifestyle plays a big role in maintaining joint health. Joint health and integrity is built on a strong foundation - diet, exercise, and weight management.” Mohr offers four all-natural ways to improve - and even eliminate - joint pain in the knees, hips and ankles:

1. Eat for joint health Key nutrients that help with joint health, mobility and lubrication are healthy fats like omega-3s. “Think of these like lube for your joints,” says Mohr. “Replace some of the usual protein in your diet with fish - wild salmon, tuna, sardines, anchovies, etc. Aim to do this at least twice per week.” In addition to increasing foods with healthy omega-3 fats, Mohr recommends reducing unhealthy fats like trans and saturated fats. These are often found in packaged items, sweet treats and other overly processed foods. “Of course, also think about adding loads and loads of colorful veggies and fruits, as well as decreasing sugar and other refined carbs in the diet,” Mohr suggests. 2. Add supplements Omega-3 fats can support joint health, but often people don’t get enough through the foods they eat. Supplementation is a good option for people who suffer from joint pain. “Joint health can be maintained by ‘feeding’ the body what it needs,” says Mohr. “Nordic Naturals provides a high-quality, concentrated dose of omega-3 fats that your body uses most efficiently. I like the Nordic Naturals EPA Xtra product, as EPA is one of the omega-3 fats that’s particularly beneficial for healthy joints.” 3. Manage a healthy weight “The less body weight you have to carry around, the easier it will be to move around,” says Mohr. “Make physical activity a regular part of your day. The stronger your muscles, the easier it will be to move comfortably. Above all, this will help relieve some of the common pains in the joints.” 4. Stay physically active Mohr says one of the most common misconceptions about joint pain is that rest is helpful. “Unfortunately that becomes a vicious cycle, where more rest can ultimately cause more pain because the surrounding muscles are getting weaker and giving less support to those joints,” he says. Appropriate physical activity should be part of a daily jointhealth routine, but it doesn’t require joining a gym or hiring a trainer. Start with simple steps, like standing instead of sitting, walking as much as possible, swimming at a pool, etc. Basic movements can keep weight in check and maintain joint and muscle integrity. Joint pain and soreness is common. By taking a few simple steps at home, you can dramatically change how you feel and how you move, so you can live to the fullest every day. (BPT)

February 2015


your health

by DON FOWLER

Septuagenarian Shape-Up Like many people in their 70’s, Joyce and I have had our share of health issues. After my heart attack I enrolled in a Cardiac Rehab program through Miriam Hospital’s Center for Cardiac Fitness. After “graduation,” I searched for places to continue working out. Joyce has fibromyalgia and COPD, and is limited in her activities.

Keeping Fit In Our 70’s

We discovered a program that met our individual needs and limitations at Healthtrax, a multi-use facility with programs for all ages, but with an emphasis on senior health and fitness. We were pleased to learn that our Medicare insurance through Blue Cross allowed us to become members for only $5 a month. More good news! We were assigned a personal coach who oriented us to the many programs and equipment at the Warwick facility. After three sessions, we individually created a program that would set us on a path to stay healthy and fit. Cody Doyle, a certified personal coach, worked with us over three individual sessions, developing a program, which included working out on the Milon circuit training system, a unique strength and endurance program that was developed in Europe and brought to the Warwick Healthtrax in 2011, one of only two currently in the United States. Cody worked individually with us, showing how to use the individual machines using a programmed card that contains information relative to our height, weight, and ability. The strength and endurance level can be adjusted up or down at any time. Unlike common Nautilus equipment, there is no need to adjust the equipment. The plastic card does it all for you. The cycle lasts 17.5 minutes-60 seconds on the strength machines with a 30 second rest in between-and four minutes on the endurance machines. Keeping track of the time is made easy by a bubble tube in the center of the workout area. The helpful staff, led by Director of Fitness and Coaching, Laura Gorriaran Goodwin, have degrees in Exercise Physiology and related fields and are required to take continuing education courses. We have established a routine of

February 2015

Don Fowler works on an elliptical machine along with personal trainer Cody Doyle of Healthtrax Fitness & Wellness. working out two to three times a week, usually in the mid-afternoon when the facility is used by many senior citizens, some participating in cardiac rehab, some in the many small group coaching programs, and others on their own. I start my workout with 10 minutes on the treadmill, two rounds of the Milon, and ten minutes on the stationary bike. Joyce does two rounds on the Milon and a few Nautilus machines that meet her needs. I remember the original raquetball club and enjoy watching the younger folks play on one of the three courts. Spinning, basketball, and other activities are also available, but I limit myself to swimming laps at least once a week. The facility houses the Care New England Wellness Center, where integrative therapies include massage, reflexology, reiki, nutrition counseling, diabetes outpatient education, weight management, bariatric and other support services. Fitness and Wellness are the two key words in our programs. While many of our younger friends talk about “going to the gym” and “working out”, we are content to our best in maintaining our health and fitness as best we can as we enjoy life in our seventies.

Joyce Fowler gets training from Cody Doyle on a Strength Endurance Circuit apparatus.

Laura Gorriaran Goodwin, is Director of Fitness and Coaching, ACSM Certified HFS, TRX from Healthtrax Fitness & Wellness stands next to the bubble timer. (photos by Steve Popiel)

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b y alex visc u si

At the Movies

lifestyles

Celebrating Romance on Valentine’s Day Well Rhode Islanders, we’ve made it to February. It’s freezing, icy, snowy and we’re all battling a Vitamin D deficiency by now. We’ve almost made it to spring. But before flowers bloom in our various gardens we have to get through the rest of winter and a pretty great, albeit expensive holiday. No, I’m not talking about Groundhog’s Day. I’m speaking about Valentine’s Day which is a great excuse to eat a lot of chocolate and drink a lot of wine. If you’re like me you like to turn every holiday into a movie-fest. So whether you celebrate Valentine’s or not, I have your complete romantic guide to February, hole yourself up on your comfy couch with some coco or wine, relax and enjoy the month of Romance. For those of you who want to cuddle up and watch the classics these are what you should be watching this month. These movies stand the test of time, and they cannot be put in a category other than a classic. They need no explanation or synopsis and they’re the perfect films to watch for this holiday. 1. Casablanca 2. An Affair to Remember 3. On Golden Pond 4. Gone with the Wind 5. It Happened One Night If you’re interested in some sadness mixed in with your romance then these are the movies for you; Tragic endings, starcrossed lovers, you definitely know what you’re getting into when you pop any of these in your DVD player.

1. The Fault in Our Stars: Based on the novel by John Green. It tells the story of cancer patient Hazel who meets and falls in love with amputee and fellow patient Augustus. As the movie and relationship develops it’s more than just your average sad romance. The two of them are sarcastic, self-aware and funny which makes the outcome all the more heartbreaking. I would say you need three tissue boxes for this one. 2. A Love Story: “Love means never having to say you’re sorry.” Cue the weeping. Working class Jenny and upper-class Oliver fall in love against the wishes

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of his wealthy father, so they get married and shun his inheritance. They’re struggling but their in love, and that’s when Jenny is diagnosed with cancer. I would go on, but I’m going to cry even thinking about it. 3. Titanic: Ah, if only a floating door could hold two people, then we may feel differently about the doomed-before-they-started romance of Jack and Rose. Their star-crossed love wasn’t enough to prevent...you know…their boat from sinking but hey it was beautiful to watch their young love. 4. The English Patient: A beautiful epic about an illicit affair in the Sahara during the 1930’s that ends in despair. Good movie to watch if you have 3 hours and tears to spare. 5. Moulin Rouge: This technically could be considered for the quirky category. Director Baz Lurman always has a flair for the dramatic and oddities. In this musical tragedy, penniless writer Christian falls for Satine, a courtesan for the famed Moulin Rouge night club. Their romance faces obstacles, and she is sick with Tuberculosis. Moulin Rouge is a spectacle of music, glitter and decadence, but at its core, is a tragically beautiful love story. If you’re in the mood for some dark comedy, general quirkiness, or something that isn’t too sappy check out some of these greats. 1. 500 Days of Summer: To be honest, I don’t know if I consider it a romantic movie. It certainly has some romantic elements but it’s basically about the evolution and dissolution of a relationship between Summer and Tom. This movie is more focused on how people impact our lives, inspire us to be better despite a romance not working. It’s one of the most original

films that has come out recently and it works for those who aren’t too thrilled it’s Valentine’s Day, but can also make you appreciate your partner. 2. Annie Hall: Anything by Woody Allen is going to be odd, and not everyone likes his particular style. Annie Hall seems to be the exception. Starring a luminescent Diane Keaton as the woman everyone wanted to be and every man wanted to date. Alvy and Annie go through the motions of coupling in New York City complete with neurosis and plenty of laughs. Sometimes relationships don’t work out, but that doesn’t mean you should give up on love. 3. Harold and Maude: A cult classic dark comedy from 1971 tells the story of Harold a young boy obsessed with death; stages fake suicides, attends funerals of people he doesn’t know, etc. At one of these funerals he meets Maude, a 79-year-old woman who shares in Harold’s unique interests as well. Eventually their relationship turns romantic to the chagrin of everyone around them. 4. Eternal Sunshine of the Spotless Mind: So this movie starring Jim Carrey and Kate Winslet is classified as a romantic science-fiction comedy-drama. That’s a lot to handle and it can be a bit overwhelming if you’re not prepared. Carrey and Winslet play lovers who hire a firm to go in and erase their memories of one another after they break up. The problem is, they meet and begin dating again. This movie raises questions about love and if we can end our own destructive cycles and if love is worth it. 5. Juno: This little Indie flick is unconventional to say the least. Starring Ellen Page as Juno, a teenager who becomes pregnant with her best friend’s baby. An internal conflict arises as she develops a crush on a man who plans to adopt her baby. As Juno navigates her pregnancy and impending adulthood she learns for herself what love means. This includes the great supporting cast of Alison Janney, Michael Cera, Jennifer Garner and Jason Bateman, for a really heartwarming and hilarious movie.

The 80’s and beyond! These films came out in the 1980’s and after and a couple of them are considered more new-age classics. 1. Sleepless in Seattle: We had to put this film starring Tom Hanks and Meg Ryan on this list somewhere. While they’ve made a handful of great romantic comedies together this is certainly their greatest. 2. The Notebook: Based on the novel by Nicholas Sparks, The Notebook tells the epic story of Noah and Allie, teenagers who fell in love despite their class difference. Forced to split apart, they carried a torch for each other for twenty years until a week before Allie’s wedding – they reconnected. 3. When Harry Met Sally: Another gem starring Meg Ryan along with Billy Crystal. Can men and women just be platonic friends?

4. Crazy, Stupid Love: I want to be clear, I love this movie. It’s so unique and surprising as well as boasting a great cast. Ryan Gosling is a playboy who helps middle-aged dad Steve Carell get back in the dating world after his wife, Julianne Moore, asks for a separation. Gosling’s character discovers there’s more to life than being a playboy when he meets a woman that changes his entire attitude on women and love. 5. Love Actually: This is considered to be a Christmas movie, but I like to recycle it on Valentine’s Day. It centers on multiple people who are connected in some fashion in London during the weeks leading up to Christmas. It’s funny and well-written along and sports an all-star cast. February 2015


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Meet Bruce Lane, the founder of LANE Senior Real Estate Solutions, seen here in his office, under the watchful gaze of his lifelong mentors. A framed montage of four photographs hangs on the wall over the desk of Bruce Lane, the owner and founder of LANE Senior Real Estate Solutions. Though a moment captured in time, the photographs are of four men whose examples of integrity, ingenuity, perseverance, dedication and charity have transcended time and live on today in Lane, their protégé. These men, a former principal of Cranston East, two prior mayors of the city where Bruce got his start ever so long ago and Bruce’s immigrant grandfather who spoke little English but who achieved great success in this country, have all shaped the man that he is today. It is to them that Bruce poses his daily inquiry “Am I doing the right thing?” If any one of these men were alive today, they would surely answer that heartfelt question with a resounding “yes” for this is what drives Bruce Lane every day, the desire to “do the right thing.” In their honor. Guided by these deep-seeded ethics, Lane, a veteran realtor and lifelong resident of Cranston, founded Senior Real Estate Solutions to address the needs of aging homeowners who are facing the prospect of selling their properties. The purpose and plan of Senior Real Estate Solutions is to help seniors tackle the daunting task of selling their homes by putting in the necessary work to restore that home to its true competitive market value, and then working with the seller until that home is successfully sold. Lane becomes a “project coordinator” in this process, tapping a lifetime of contacts and partnerships with vendors from all areas of home improvement – from Aging in Place Specialists to tradesmen to cleaning and “junk removal” experts. With the assistance of his wife and fellow realtor, Mindy, Bruce takes what can be an overwhelming undertaking and breaks it down into workable, daily “solutions.” This is done with compassion, professionalism and a directness that can sometimes be difficult for often weary family members. When an elderly resident is ready to begin the process of “decluttering” their home, or simplifying their lives or even upgrading parts of their homes for re-sale, Lane is there to walk them through each step. One of the helpful programs he offers is what he calls “Lunch N’ Learn” sessions. Here, in Lane’s comfortable office, questions are answered and counsel is given to advise homeowners on everything from home maintenance needs to what to be aware of as they prepare to take this next step in their lives. Finally, when the last of the signatures have been finalized, Bruce Lane’s work is not done. His mentors’ legacies live on in Lane’s altruistic “Good Deed Program” wherein he takes a part of his commission to “pay it forward” and aid another senior homeowner in need. To learn more about LANE Senior Real Estate Solutions, contact Bruce Lane at 228-7800 or via email at bruce@seniorrealestatesolutionsri.com. Headquartered in Cranston, you will find his office at 5 Exchange Street. You can also visit his website at www.seniorrealestatesolutionsri.com. February 2015

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now frosted her hair and flecked her red wool jacket. The state’s first female governor rubbed her hands on the snowy inaurguration day. With enthusiasm belying the chill of the day, Gina M. Raimondo, 43, looked out from the steps of the State House and asked Rhode Islanders to “think differently.” “We’ve witnessed a growing acceptance that ‘this is Rhode Island’ … it’s just the way things are. So we’ve lowered our expectations, deferred our dreams and allowed corruption to take root,” she said. “Today, we begin to change this attitude.” “Ask yourself: what role can I play in the comeback of Rhode Island? How can we, as elected leaders, represent all of the concerns of a diverse people? How can business

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Wednesday, February 18 Baked Ham with Raisin Sauce, Mashed Potatoes, Baby Carrots, Friendship Cake. Pub Option: Italian Grinder BreakFast

Tuesday, February 24 Tomato Juice, Scrambled Eggs & Bacon, Home Fries, Fruit & Muffin Our caterer provides the following three options (two each day) for your meal • Hearty Meal – Appetizer, Main Entrée with sides (potato, vegetables) • Pub Option – Delicious Sandwich • Spa Option – Lighter, healthy option for those on the go All luncheons include an appetizer, bread, dessert and coffee or tea Senior CenterS Charlestown 401-364-9955 east Greenwich 401-886-8638 Jamestown 401-423-2658 the Center - S. Kingstown 401-789-0268 West Warwick 401-822-4450 Westerly 401-596-2404 Senior ApArtmentS (you do not have to be a resident) park View-Westerly 401-596-4918 Shalom Apartments 401-737-0180

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your

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Gov. Raimondo asks Rhode Islanders to expect more leaders develop new strategies to meet payroll and expand jobs here in Rhode Island? How can our educators create cutting-edge laboratories of learning, where we teach the next generation of innovators and leaders?” she said after oaths of office had been administered to Lt. Gov. Daniel McKee; Secretary of State Nellie Gorbea; Attorney General Peter Kilmartin and General Treasurer Seth Magaziner. “Every decision we make must pass the test of whether or not it will create opportunity for Rhode Island families,” she said in her address. “In everything we do, we must ask ourselves, how will this create good middle-class jobs? And then have the fortitude to act accordingly.” To spark the comeback, Raimondo (Photos by John Howell) said the state must build the skills the students and workers need to compete in the 21st century; attract entrepreneurs and investment in industries of strength; stimulate the economy and create jobs; and innovate, including in state government, to enhance accountability and deliver value to taxpayers. As her first act as governor, Raimondo signed an executive order on ethics and integrity in government. The order calls on herself, all officers and employees within her jurisdiction to comply with the mandates of the state code of ethics. Also, is requires department directors and chairs of boards and commissions to designate a Public Ethics Officer to inform officers and employees of the law and to take appropriate action if the laws are not followed. As one of her first actions, Raimondo called the news media into her office

Raimondo called the news media into her office to witness her signing an executive order on ethics and integrity in government. to witness her signing the executive order. Such access promoted an outpouring of questions as camera crews vied for the best shot and reporters edged microphones onto her desk. “We cannot continue doing what we’ve been doing … annually scraping together enough cuts and revenues to make it through the next year,” she said in her address. “Let’s commit ourselves to eliminating our structural deficit over the next several years to put our state on sound footing, and to making the tough choices so that we will also be able to invest in job-creating priorities.”

Charlie Fogarty nominated for Director of the Division of Elderly Affairs Governor Gina M. Raimondo announced today that she will nominate Charlie Fogarty to the position of Director of the Division of Elderly Affairs. Raimondo will submit Fogarty, former head of the Department of Labor and Training (DLT), for consideration to the Rhode Island Senate in January for confirmation. “From his days as a state senator and lieutenant governor, Charlie has shown compassion and commitment to our state’s senior citizens,” Raimondo said. “This understanding, combined with his expertise in leading a state agency will be invaluable as we work to improve services to our state’s elderly community. I am grateful for his continued service.” Most recently, Fogarty led the Department of Labor and Training (DLT) with more than 400 employees in six lines of business serving 250,000 customers. Prior to joining DLT, he served as Director of Policy for the Mayforth Group, a government relations group with clients in Rhode Island and Washington, D.C. From 1999-2007 he served as the Lieutenant Governor of Rhode Island, where he led statewide efforts regarding small business advocacy, emergency management issues and healthcare policy, including chairing the Long-Term Care Coordinating Council. Fogarty holds an MPA from the University of Rhode Island and a BA from Providence College.

February 2015

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senior

b y kelcy d o lan

issues

Donation funds Emergency Meal Program Despite the cold, seniors can feel food secure this winter, thanks to Centreville Bank. When Meals on Wheels lost funding for the Emergency Meal Program, Centreville came forward for the organization and all their homebound clients across the state. 1,350 Meals on Wheels customers received a package of five non-perishable complete meals this past December, a total of 6,750 meals all together, from the nonprofit’s Emergency Meal Program, thanks to more than $20,000 donated by Centreville Bank. The Emergency Meal Program was in jeopardy when funding fell through in 2014. Rhonda Randall-Plante was the first The emergency meals ensure that custom- recipient of the Emergency Meal Proers will still have something to eat if weather gram’s five-meal package on Dec. 30. keeps staff and volunteers from deliveries. She said Meals on Wheels is a godsend The box includes soup, cookies, juice, dry program. After back pain made cookmilk packets, raisins, applesauce and other ing difficult, she contacted Meals on Wheels and has been a client since. canned goods. Heather Amaral, executive director of (photos by Kelcy Dolan) Meals on Wheels of Rhode Island, said, “With winter upon us, we are extremely grateful to Centreville Bank for allowing this important program to continue.” The Emergency Meal Program, more than feeding the clients, allows seniors as well as their families to feel comfortable and safe about remaining at home for the winter despite weather. For more information on the Meals on Wheels of Rhode Island, donating, or volunteering for the organization, call 351-6700 or visit their website, www. rimeals.org.

Elder Care Forum Home Loan Investment Bank, FSB will host an Elder Care Forum on February 5, 9:30 a.m. to 11:30 a.m., 40 Airport Rd, Warwick. The forum is free and open to the public. Leading experts will be discussing topics ranging from deposit accounts, legal documents, housing, long term care insurance and life insurance. In the next five years, forty percent of the adult population will need some form of elder care. The cost for elder care will be significantly higher and without planning, this could be overwhelming to friends and family. Being proactive will help caregivers plan. Our panel of experts will answer the following important questions: • How can I protect my family’s assets in the event my parent(s) go into a nursing home? • Who do I call to sell my parent(s) home that is compassionate with our situation? • What is durable power of attorney and what can it do for me? • What is the difference between a nursing home and an assisted living facility? • How do I set up bank accounts to help manage money as a caregiver? This forum will fill up fast so please reserve your spot today by calling our Providence office, 401-272-5100.

Collection set for annual toiletries program Sometimes it takes small things to make an impact on someone. With that in mind, Cathleen Naughton Associates is collecting items for their annual Toiletries Program. “I have worked at the North Kingstown Food Pantry for many years and it never fails to put a smile on a client’s face when we have basic toiletry items. Who would think deodorant and toothpaste could be such a God send,” said Naughton. With this in mind the agency is collecting toiletry items which will be donated to the following groups: House of Hope in Cranston, Domestic Violence Center of South County, and the North Kingstown Food Pantry. The program will run from February 1- April 30. “Last year we gathered enough for over 300 bags and we would like to meet and exceed that this year,” Naughton said. Items for women, men and children will be collected. Here is a sample of items we will be collecting: Deodorant, body wash, soap, make-up, hair spray, feminine products, shampoo and conditioner, toothpaste, mouthwash, toothbrushes, baby powder, toilet paper, razors and shaving cream. If you would like to help, bring donations items to either the Providence office, 249 Wickenden Street, Providence, (401) 751-9660 or the Wakefield office, 24 Salt Pond Rd., Ste G1, Wakefield, (401) 783-6116. Other ways to help: Put up a poster in your place of business and we will coordinate pick up times, or volunteer for a “put together” session. Cathleen Naughton Associates has been providing home health care to the Rhode Island community for over 30 years. For more information, visit cathleennaughtonassoc.com.

Centreville Bank has long been a partner with Meals on Wheels and when the Emergency Meal Program lost funding, Centreville stepped up to donate the necessary funds. The over $20,000 donation will help 1,350 customers receive the emergency stores. Pictured from left is Domenica Santilli and Thomas Lamb from Centreville Bank and Heather Amaral from Meals on Wheels.

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Your health

5 questions you should ask your pharmacist A visit to the pharmacy can be about more than just picking up prescriptions or supplies for the medicine cabinet. It can actually be an important, and convenient, time to ask your pharmacist key questions that could impact your health Dr. Andria Fetterman, a faculty member in South University Savannah’s School of Pharmacy, encourages people to use their pharmacist as a resource for information about everything from prescription medication to lifestyle changes. Fetterman says there are five key questions you should frequently ask your pharmacist.

What can I expect from this medication?

Fetterman says whether you’re picking up an over-the-counter remedy or a prescription, you should feel free to ask your pharmacist what to expect from the medication. “Many medications have potential side effects that you should be aware of before you take them,” advises Fetterman. “It may be something as mild as a little stomach discomfort or drowsiness, but knowing what to expect will help you handle any potential side effects. Also, knowing what to expect could keep you from blaming any new, unrelated symptoms on your medication.” You should also ask how long it will take for your medication to make you feel better. Fetterman says most antibiotics should have you feeling better in three to five days, but an anti-depressant may need to be in your system for three weeks before you begin to feel its effects. If a prescription medicine doesn’t seem to be working in the proper time frame, you should let your doctor know. Remember that sudden discontinuation of some medications, without proper professional advice, can be costly to your health.

How long should I take an over the counter medication before I call my doctor?

Over-the-counter medicines can provide relief for a number of ailments, but sometimes you need to see a doctor either for a prescription or a correct diagnosis of your symptoms. Fetterman says your pharmacist can help guide you when you’re not sure if it is time to see a doctor. “A pharmacist can give you advice on how quickly you should see symptom relief with an over-the-counter medication,” says Fetterman. “Many times, people will treat themselves too long with over-the-counter medicine or will switch from one product to another looking for relief, and many times don’t go to a physician when they need to.”

Protect your heart this winter Heart disease and stroke remain the two top killers of Americans, according to the American Heart Association. Cardiovascular-related incidents increase in winter for a number of reasons, including drops in temperature that constrict blood vessels, irregular workout routines, poor stress management and changing eating habits. “We tend to eat significantly more inflammation-promoting foods in the winter,” says Dr. Michael Roizen, founder of RealAge.com. “The combination of poor diet and other stressors can trigger plaque ruptures and cause chunks of fatty deposits lining arteries to enter the bloodstream, potentially leading to more risk for heart attack and stroke.” Here are suggestions for keeping your heart healthy this winter: Maintain a healthy diet Less than 1 percent of adults meet the American Heart Association’s definition for an “Ideal Healthy Diet,” which means the majority of people need to make some smarter nutrition decisions. Don’t overindulge on artery-clogging dishes, and instead focus on foods that contain key heart health nutrients, including: • Omega-3s DHA and EPA, found in fatty fish like salmon and sardines, are essential fatty acids which have been shown to support healthy blood pressure and brain function. GOED (the Global Organization for EPA and DHA omega-3) recommends getting 250-500mg of EPA and DHA per day through foods and supplements. • Vitamin D, found in mushrooms and added to soy and almond milks, has been shown to support heart health. Some research indicates that a vitamin D deficiency may be a risk factor for heart attacks, congestive heart failure, peripheral arterial disease and high blood pressure. Sunlight is the best natural source for vitamin D, but since people spend more time indoors during the winter, add foods that pack an added vitamin D punch, like soy milk fortified with the nutrient to the grocery list. • Beta-glucan, found in oats, is a plant-based sugar known to lower absorption of cholesterol, which may reduce the risk of heart disease. Research shows that consuming approximately 3mg per day of oat beta-glucan has a statistically significant cholesterol lowering effect. Even if you do follow a healthy diet, a busy lifestyle can make it difficult to obtain the recommended amounts of vitamins and minerals from food alone. One simple way to enhance your diet is to look for foods fortified with key nutrients and nutritional supplements. Stay active – Regular exercise has a favorable effect on many of the established risk factors for cardiovascular disease. For example, exercise promotes weight reduction and can help reduce blood pressure. Take the dog on a walk or challenge your kids to a snowball fight. Make it fun, but make sure it happens. Keep warm – If you’re going outdoors in the cold, keep your mouth covered with a scarf so warm air hits your lungs first when you breathe in. For those who are traveling from a warm to a cold climate, pack warm gear, because some research suggests a dip in temperature from what you’re used to may increase your risk for stroke by 7 percent, and heart attack by 12 percent. (BPT)

How do I manage my condition?

“When someone leaves the doctor’s office after a diagnosis, they may be scared or shell-shocked,” Fetterman explains. “There may be questions about medication or daily management that they didn’t think to ask. That’s where a pharmacist can help.” Fetterman uses Type 2 diabetes and high blood pressure as examples. “A pharmacist can counsel you about weight loss, healthy eating and ways to promote cardiovascular activity. With proper disease management, some patients can actually reduce or eliminate their need for prescription medication altogether.”

Do these medicines mix?

It is important to ask a pharmacist about whether any new medication will mix well with other things you are already taking. “Dietary supplements, herbal supplements and over-the-counter medicines can interact or interfere with prescription medications. When you are having a prescription filled, your pharmacist should ask you about all other medications that you’re taking. If you’re on prescription medication, check with the pharmacist before beginning any new over-the-counter supplements or medication to make sure it is safe.”

What should I do about my persistent, minor symptoms?

Never hesitate to ask a pharmacist about a persistent, minor symptom that might be bothering you. “If you’re having a non-specific or persistent symptom that you think is minor, you should still ask your pharmacist about it,” says Fetterman. “A pharmacist can recommend an over-the-counter medicine that may relieve symptoms, but can also advise you to see a doctor about your symptom rather than ignoring it. (BPT) February 2015

Rhode Island named 15th healthiest state Rhode Island is the 15th healthiest state in the nation, according to the recently-released America’s Health Rankings®—2014 edition report, jumping four spots in the new rankings, up from 19th place last year. According to the report, the state’s strengths include its high immunization coverage and ready availability of primary care physicians. “We applaud our health professionals, hospitals, health care facilities, and community partners for helping to make Rhode Island a healthy and safe place to live, learn, work, and play,” said Michael Fine, MD, director of HEALTH. “We are pleased by these steps forward for Rhode Island’s health, but we are also reminded of the work that will help us get to number one.” That work will include addressing Rhode Island’s health challenges, which, according to the report, include a high rate of drug deaths, prevalence of binge drinking, and preventable hospitalizations. In addition, Rhode Islanders report many days of poor mental and physical health per month. America’s Health Rankings® is the longest-running report of its kind. For 25 years, these rankings have provided an analysis of national health on a state-bystate basis, evaluating a historical and comprehensive set of health, environmental and socioeconomic data. For more information, visit www.americashealthrankings.org For specific data about public health in Rhode Island, visit www.health. ri.gov/data PrimeTime | 17


b y kerry park

senior issues

Donations raised in support of West African nursing home employees The staff of nursing homes throughout Rhode Island stepped up to take care of their own over the holidays, raising funds for those affected by Ebola. Donations poured in in support of some 700 West African nursing home employees currently working in Rhode Island’s skilled nursing centers, whose families and friends have been personally touched by the Ebola outbreak. Spurred on by an incentive by the Rhode Island Health Care Association to match donations raised by its member facilities, skilled nursing and rehabilitation centers donated thousands to two non-profit organizations working to aid Ebola patients, ‘Doctors Without Borders’ and ‘Samaritan’s Purse.’ Along with the Association’s donation, more than $9,000 was distributed to the two organizations. “Many members of Rhode Island’s long term care workforce came here from the three countries most affected by Ebola: Liberia, Sierra Leone, and Guinea. These individuals, many of whom are performing laborious and unsung housekeeping, kitchen and laundry jobs at skilled nursing centers, have loved ones back home who are in danger.” said Virginia Burke, CEO of the Rhode Island Health Care Association.

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Trinity Health Care employees Jeanette Brooks (left) and Kayla Corkin helped raise funds for RI Liberian Nurses’ Group with a bake sale. (submitted photo)

Burke spearheaded the initiative after speaking with representatives of the Liberian Nurses’ Group who relayed the concerns and anxiety currently plaguing many West African nursing home employees. Passing on what she learned to RIHCA members, who comprise 65 of Rhode Island’s 84 nursing homes, the nursing home community spread the word and jumped into action. “We have at least 20 employees with people they care about in West Africa working at Trinity Health Care. One just came back from there. The least we can do is give them our support and do what we can to help them,” said Linda Wheeler-Omiunu, Administrator of Trinity Health Care in Woonsocket. Trinity coordinated with Hebert Health Center to hold a bake sale that raised hundreds in donations. Their fundraiser was just one of a variety around the state. Hopkins Manor in North Providence raised $750 through staff donations. Employees at Briarcliffe Manor in Johnston, initiated an intensive grassroots initiative, holding several December fundraisers including an auction, bake sale and staff dress down days. Their efforts were met with a matching donation from administrator, Akshay Talwar, and then matched again by the Rhode Island Health Care Association. Similar activities were held in skilled nursing facilities from Pascoag to South County. Patrick Marsh, Vice President of the Rhode Island Liberian Nurses’ Group was overwhelmed with the nursing homes’ efforts. “Support has been great - very, very good. More than we could have asked for,” he said. While he notes that the situation in Africa is getting a little better, the group would happily accept further assistance. Anyone interested in donating to support those affected by Ebola can contact the Rhode Island Liberian Nurses’ Association at 401-257-9292.

February 2015


your home

professional perspective

by BRUCE LANE president of senior real estate solutions

LOVE Your Kitchen In my opinion, there’s really no place better than the Ocean State in the summer. The winter however, strikes a stark contrast to those warm summer days on the boat or beach. With shorter days and chilly temperatures keeping us inside, January through March often leads to a form of human hibernation, where we hunker down and wait for the first breath of spring to arrive. Play your cards right though, and this less hectic time of the year can provide the perfect time to make changes to your home that you can enjoy all year long. Without the activities of the summer to distract you, it’s easier to focus on your immediate environment. If you can train yourself to look at your living space with an objective eye, or get someone else to do that for you, you will probably find a whole host of projects that can increase your enjoyment of your home and increase its resale value. One of the best places to start is in the kitchen. Despite the widely held notion that kitchen renovations are wildly expensive, that doesn’t have to be the case. Sometimes all it takes is a little paint on the walls or cupboards to radically transform a space. In fact, generally speaking, minor kitchen remodels increase value more than major kitchen remodels according to Remodeling Magazine’s latest ‘Cost vs. Value Report,’ recouping more than 80 percent of costs upon resale. How do you know what to focus on? If it’s not clear to you, the advice of an architect, builder/remodeler or Realtor can help you decide which improvements would be worthwhile. You may desperately want that Thermador range and Subzero refrigerator, (who doesn’t?) but even if you can afford it, if homes in your neighborhood generally don’t have such high end appliances, it’s probably a sign that yours shouldn’t either - at least not if you want to recoup some of those costs when selling down the road. Besides, if you don’t make your living as a professional chef, do you really need to spend five figures on appliances? Some of the best choices when remodeling a kitchen, include updating cabinetry, counters and appliances and resurfacing badly worn floors. The good news is that in many cases, cabinets and drawers can be transformed with a good paint job and some new pulls and hingFebruary 2015

es. Replacing old laminate or tile counter tops is also probably more affordable than you think. There are now deals to be had on the price of granite – a winner at resale time – and wood is also a good option. Even if laminate is all that you can comfortably afford, choices have increased ten-fold and it often takes a second look for options that copy the look of granite or marble to see that it’s not actually the real thing. Appliance shopping is an art in itself but you can score great deals on scratch and dent sales, where you can find ranges or refrigerators massively discounted because of a small scratch or dent on a side that would never be seen anyway. Some of the pitfalls you should avoid when updating your kitchen include avoiding décor that contrasts with the rest of the home - a sleek, modern kitchen in an antique, colonial home for example. Colors too, are best kept neutral because while you may think that purple and green cabinets are terrific, most buyers likely won’t be so inclined

Winter is a Great Time to Remodel and Update

when it’s time to sell. And, it’s easy to get carried away with the ‘look’ of the new space while forgetting functionality. Do you have enough storage space? Are the floors easy to keep clean and comfortable to stand on for long periods of time? Is your refrigerator large enough? Of course, the biggest pitfall to stay away from is spending more than you intended. Set a budget and stick with it. That way you won’t have buyer’s remorse.

If the work is more than you can handle yourself, and it generally is, there are referral sources for seniors that can help find reputable professionals. Always make sure that the contractor you’re considering is a licensed contractor which dictates that they carry the necessary insurance for the job, and of course, check references. If possible, a referral from a friend that’s been happy with their contractor’s work is worth its weight in gold.

Bruce Lane is the President of Senior Real Estate Solutions, a non-profit referral service for seniors looking for reliable home repair & maintenance services. If you have home maintenance questions, send them to Bruce@BruceLane.com or via the Senior Real Estate Solutions website at www.seniorrealestatesolutionsri.com

food

and

drink

Gluten-Free

Dark Chocolate-Peanut Butter Cookies

Whether for medical reasons or by choice, consumer interest in gluten-free foods is on the rise. The U.S. market for gluten-free foods is expected to exceed $6.6 billion by 2017, signaling the practice of cutting consumption of wheat, barley and rye has gone mainstream.

20 ounces bittersweet chocolate chips (at least 60 percent cocoa), divided 3 tablespoons butter or buttery spread 2 tablespoons creamy peanut butter 3 large eggs 1 cup sugar 1 teaspoon pure vanilla extract 1/2 cup sorghum flour 1/4 teaspoon baking soda 1/4 teaspoon xanthan gum 1/4 teaspoon salt 1 cup finely chopped walnuts

Baking

Giving up gluten doesn’t have to mean giving up the treats you love. The recipe below for Gluten-Free Dark Chocolate-Peanut Butter Cookies proves using sorghum is the smart choice for its many benefits. For more recipes using sorghum, visit www. HealthySorghum.com. Adapted from “1,000 Gluten Free Recipes,” written by Carol Fenster; reprinted with permission from the publisher, Houghton Mifflin Harcourt. (Photo courtesy of Getty Images)

Recipe provided by Carol Fenster • Serving: 48 cookies

In medium microwave-safe bowl, heat 8 ounces (1 heaping cup) of chocolate chips, butter and peanut butter on low power in microwave oven 1-2 minutes, or until melted. Stir; set aside to cool. In large bowl, beat eggs, sugar, vanilla, flour, baking soda, xanthan gum and salt with electric mixer on low speed until very well blended. Beat in melted chocolate mixture until no flour streaks remain. Stir in walnuts and remaining chocolate chips. Dough will be soft. Refrigerate, covered, 2 hours. Preheat oven to 375°F. Line 15-by-10-inch baking sheet (not nonstick) with parchment paper. Shape dough into 48 walnut-sized balls and place 12 balls, at least 1 1/2 inches apart, on sheet. Bake just until cookies are shiny and crust starts to crack, about 10-12 minutes. Do not over-bake. Cool cookies 2 minutes on baking sheet, then transfer to wire rack to cool completely. Repeat with remaining dough. Or, freeze balls up to 1 month and bake later.

PrimeTime | 19


letters PrimeTime values the opinions of its readers and wants your feedback -positive and negative. Whether you want to drop a line of thanks to one of our writers, share your story or poem, or you disagree with something in the magazine, we want to hear from you. Letters, comments or questions can be sent to Linda Nadeau – email: LindaN@rhodybeat.com or by mail: PrimeTime Magazine 1944 Warwick Avenue, Warwick, RI, 02889 attn: Letter to Editor

to the editor

Escape by Donna Cote Walking the beach in winter is a wonderful place to be, The clamorous sounds of the summer crowd are very far from me. I cross paths with a sea gull; he understands my flight. Without a care, he turns to the air and wings on out of sight. The salty smells ride on the wind; I can’t inhale enough, To turn away—to the fray of my day— is going to be tough! This solitude enfolds me like a quahog in its shell, Safely encased, no troubles embraced, time here has done me well.

A Painter’s Approach to Fiber Art Narragansett Bay Quilters Association will host a lecture by Kate Themel, fabric artist and teacher, on Thursday, February 19. Kate Themel enjoys sharing ideas with other artists and encouraging people to develop their creative instincts. The lecture will include a PowerPoint slide presentation, trunk show of Kate’s available quilts, discussion about the techniques and background stories for each quilt. The lecture will be held at United Methodist Church, 1558 South County Trail (Rte 2), East Greenwich, RI and is open to the public. For more information, go to www.nbqa.org.

LIFESTYLES

wHAT DO YOU FINK? by MIKE FINK

Climbing Jerimoth

I wanted to do a Rhode Island version of mountainclimbing and to lay my personal claim on “Jerimoth Hill.” Governor Chafee had recently dedicated the highest point in the state to its citizenry. My friend Dave Madden met me on a Monday morning in Roger Williams Park at its memorial statue, and from there we drove to the westernmost portion of Foster. Dave is a country person, he belongs to the rivers, lakes, and woodland trails, not the complex highways of an urban world. “You can serve as a sort of GPS for me,” he declared. I did my best. On the less “civilized” routes, a historic-looking house with flags flapping from their poles at the front porch seemed the likeliest chance to ask for the right road to our zenith, our acme, our hightower. A depression-era stove stood on the veranda, and some fake milk bottles graced the entrance space. “Go left at the next set of lights,” I was told, over the barking of a dog, and then.....we saw two small signs stating “Jerimoth Hill!” We followed the trail, paved only by a matting of fallen oak leaves. We found merely a flat rock with a few stones arranged in a pattern upon its boulder or shoulder. Nearby, an unimpressive hut, no, not a cabin like the replica of Thoreau’s dwelling in Walden at the pond, just an ordinary storage unit. Dave seemed disappointed, as though he had expected to climb an alp, or at least to discover a ladder to a level from which we might view a landscape, a prospect of the property we had all inherited as a public in a republic. “Couldn’t we construct such a thing, like the one at route 138?” he asked me, or himself, rhetorically, just a dream or Dave Madden idea tossed out into the air. I guess if I had managed to get us here by reading the scribbles on a scrap of paper I had stuffed into a coat pocket, Dave himself gave me the gift of himself. He talked about his private tours of the colony of Providence Plantations via canoe, kayak, boat and skiff, and also by bicycle and by foot along the paths that ignore the highways and slip quietly along the pines and the oaks and maples. The town mouse and the country mouse, the pair of us, found a diner and stopped for a couple of oversize blueberry muffins and mugs of coffee, and then wended our way back to the park, and it was just past noon. We parted company with plans for another excursion. “Thanks for keeping me on track---I get lost in my thoughts,” he said, and I said, “Thanks for your stories, which really made Jerimoth Hill lead me to a new view of Rhode Island!” I do have a postscript to this pilgrimage. At my local branch library I consulted a reference aide to explore the meaning of the name “Jerimoth.” “It’s the name of a son of the biblical King David, a variation of the name Jeremiah. It’s also the first name of J. Brown, the original owner of the property, later bequeathed to us all.” And I thought also of the “zen” of our morning journey. Dave wore a bright orange cap “because maybe there are hunters in back of the trees.” In every season there are ghosts that haunt our footsteps.

Estate planning Elder law Wills & Trusts Probate Guardianships Medicaid planning Special needs trusts Asset protection and tax planning Veteran’s benefits

Lillian Magee Lloyd Estate Planning Attorney Orson and Brusini’s Lillian Magee Lloyd has great experience guiding families through the process of estate and long term care planning. Whether you need to arrange for nursing home care, special needs planning or a basic estate plan, Lillian Magee Lloyd can help. Call 401-223-2100 to schedule an appointment today.

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February 2015


senior issues b y L arry G rimaldi

c h i e f , p ro gr a m d e ve l o p m e n t r i depar tment of human ser vices , d ivision of elder ly affairs

Addiction There is hope and help While the topic is not discussed very often, seniors are just as susceptible to the ravages of addictions as any other age group. Loss of family and friends, social isolation, loss of mobility, economic challenges, and disabling chronic conditions can lead to depression, anxiety and a deterioration of coping skills. Whatever the reason, the abuse of drugs and alcohol, compulsive gambling, or other addictions can take over a senior’s life. But there are roads to recovery. There is hope. CODAC Behavioral Healthcare has provided information and referral, treatment, recovery, and prevention services to to folks struggling with substance abuse, gambling problems, and other addictive behaviors for nearly 40 years. CODAC has offices in Cranston, East Providence, Newport, Providence, and South Kingstown. Call 461-5056, or go to www.codacinc.org for information. The Anchor Recovery Community Center in Pawtucket provides a safe place for people to share their journey of recovery from addiction. The Center also sponsors a Telephone Recovery Support Program. Call 721-5100 for details, or go to www.anchorrecovery.org. Did you know that Rhode Island never ratified the 18th amendment establishing Prohibition? Alcoholics Anonymous is perhaps the most famous 12-Step fel-

lowship of recovery worldwide. There are more than 600 AA meetings in Rhode Island. For more information about state meetings call 438-8860, or go to www. aa.org. The national helpline number is 1-800-439-8860. Patterned after the principles of AA, the Gamblers Anonymous fellowship is designed to help problem gamblers begin and maintain recovery, and deal with the devastation of the addiction. Meetings are held daily across the state. For information, call the hotline, 1-877-9426253, or call the Rhode Island Council on Problem Gambling at 248-5606. The national Gamblers Anonymous web site is www.gamblersanonymous.org. The mission of the Narcotics Anonymous fellowship parallels the goals of AA and GA. The fellowship helps persons discover and maintain sobriety from drug abuse. For information or a list of NA meetings, call 1-866-624-3578. wwwgpna.org. Rhode Island Department of Health offers tips on smoking cessation though the Smokers Quit Line. For details, call 1-800-784-8669, www.health.ri.gov. For additional information on dealing with addictions or other behavioral health issues, call, the Rhode Island Department of Behavioral Health Care, Developmental Disabilities and Hospitals at 462-4680. www.bhddh.ri.gov.

Saint Elizabeth Home welcomes French Jeffrey C. French has been chosen as the new Administrator of Saint Elizabeth Home in East Greenwich. French succeeds Matt Trimble, longtime Saint Elizabeth Home Administrator who was promoted to Chief Operating Officer for Saint Elizabeth Community. French has worked for Health Concepts Ltd. for the past 8 years, most recently as the Administrator of Woodpecker Hill Health Center in Greene, RI. A member of the American College of Health Care Administrators, he also served as former Chairman of RI Generations, the RI Long Term Care Culture Change Coalition. French earned his BS in Business Administration at Central Connecticut State University and continued his studies at Providence College completing the Long Term Care Administration program and earning his Nursing Home Administrators License. He is licensed in both Rhode Island and Connecticut. Jeffrey French live in Thompson, CT with his wife and son. Saint Elizabeth Home, founded in 1882, is a member of Saint Elizabeth Community (www. stelizabethcommunity.org), a non-profit, nonsectarian, charitable organization that provides a full spectrum of quality care to older adults and people with physical disabilities.

February 2015

senior

issues

b y C amilla F arrell de velopment direc tor , alzheimer ’s association r hode island chapter

A Time for Chefs to Shine It was a festive evening on December 3 at Rhodes on the Pawtuxet with a culinary tasting, wreath auction, celebrity judges and Lite Rock 105 Brian Demay as Master of Ceremonies. “We salute the chefs from the health care communities who make this wonderful food for their residents each and every day and we are so fortunate to showcase their talents at this event,” said RI Chapter executive director, Donna McGowan. Chefs from the healthcare communities Bayberry Commons, Benchmark Senior Living, Coventry Nursing & Rehab Center, Greenville Nursing & Rehab Center, Greenwood Nursing Center, Heritage Hills, Riverview Health Center, Scalabrini Villa, Scallop Shell and the Village House participated in the culinary tasting for the public and were also judged on their talents. The Judges’ Table winners for “Best Taste” were from Benchmark Senior Living – Chef Steve Morrissette from Greenwich Farms with his barbecued shrimp with creamy grits and Chef David Silva of Capitol Ridge with his Seared Scallops with Red Pepper Sherry Cream Sauce. The Judges Table winner for “Best Display” was Scallop Shell with Chef John Hendrickson who made a trio of desserts and was dressed as the Mad Hatter. The People’s Choice Award went to Village House and Chef Jeff Simshauser for his beef tenderloin wrapped in bacon with baked beans and corn bread. All the proceeds will directly benefit free programs for persons with Alzheimer’s disease and their families. The Alzheimer’s Association raised over $10,000 to support local programs for families dealing with the challenges of Alzheimer’s disease.

A Story of Music and Memory The documentary, Alive Inside, explores music’s capacity to reawaken our souls and uncover the deepest parts of our humanity. Filmmaker Michael Rossato-Bennett chronicles the experiences of individuals around the country who have been revitalized through the simple experience of listening to music. His camera reveals the uniquely human connection we find in music and its healing power. The documentary follows social worker Dan Cohen, founder of the nonprofit organization Music & Memory, as he fights to demonstrate music’s ability to combat memory loss and restore a deep sense of self to those suffering from it. Rossato-Bennett visits family members who have witnessed the miraculous effects of personalized music on their loved ones, and offers interviews with experts including renowned neurologist and best-selling author Oliver Sacks (Musicophilia: Tales of Music and the Brain). Alive Inside won the ‘Audience Award’ at the 2014 Sundance Film Festival. The documentary will be shown Friday, February 20 at the Warren Alpert Medical School of Brown University, 222 Richmond Street, Providence. This is a free event, open to the public (Free parking) 4:00 - 4:30 PM Reception 4:30 - 4:45 PM Opening remarks by Kenneth Rickler, MD 4:45 - 6:30 PM Film viewing 6:30 - 7:30/8:00 PM Panel discussion followed by Q & A Light refreshments will be served throughout the evening Contact Randi Belhumeur for more information, 401-406-1882, rbelhumeur@sevenhills.org

PrimeTime | 21


CLUES ACROSS 1. Licenses TV stations 4. Worn-out horse 7. Expire 10. Winglike structure 11. Supplement with difficulty 12. Confederate soldier 13. Attempter 15. All persons of the earth 16. Vertical position 19. Live longer than 21. Showing keen interest 23. Old Spanish currency units 24. Ingested by sniffing 25. A narrow path or road 26. Old Tokyo 27. Bound map collections 30. Deliquium 35. Brownish coat mixed with white 36. 3 banded S. Am. armadillo 37. Coat a metal with an oxide 41. Slave-like 44. 1950’s TV Wally 45. City founded by Xenophanes 46. Hermaphroditic 50. Kale plant with smooth leaves 54. Forelimb 55. Unassisted 56. Jeweled headdress 57. Auricle 59. Competing groups 60. Cardinal number 61. Light bulb inventor’s initials 62. Heat unit 63. Doctor of Education 64. Make a mistake 65. Point midway between S and SE

22 | PrimeTime

CLUES DOWN 1. Bazaars 2. Cuyahoga River city 3. Latin word for charity 4. Scourges 5. Alias 6. Origins 7. Subjugate using troops 8. Dutch name of Ypres 9. Siskel and __, critics 13. Teaspoon (abbr.) 14. Herb of grace 17. Brew 18. Kilo yard (abbr.) 20. Barn’s wind indicator 22. Griffith or Rooney 27. Macaws 28. 2000 pounds 29. Official language of Laos 31. Cleveland’s roundball team 32. Office of Public Information 33. Chum 34. Before 38. Nation in the north Atlantic 39. Apportion into sections 40. Skilled in analysis 41. More assured 42. ___ Musk, businessman 43. In a way, tells 46. Immature newt 47. Hawaiian taro root dish 48. Extremely angry 49. Wrapped up in a cerecloth 51. Expression 52. Paradoxical sleep 53. Tooth caregiver 58. Swiss river

February 2015


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