Primetime - February 2016

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Just what the doc ordered?

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February 2016

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6 Solitary Refinement

14 Price Is Right

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12 Time to Get Some Sleep Is lack of sleep making you sick?

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Pilates & Yoga

b y j e s s i c al s e lb y

Just what the doctor ordered?

“Stand up tall.” “Pull your shoulders back.” “Don’t slouch.”

Do you remember growing up a poor postured adolescent and your mother constantly reminding you by saying things like that?

Well today, your mother might not be the one reminding you anymore, it’s more likely going to be your Pilates or yoga instructor.

Patricia Calderone, a certified Pilates instructor at Benefitness Pilates Studio in East Greenwich, was on one side of the studio doing just that with her husband and wife duet. She repeatedly called out posture ques as she talked them through the back rowing series, a round of exercises that Calderone explained is geared to improve the strength in your mid and upper back.

Meanwhile, in a rear room at the studio, another instructor, Joanne Knowles, worked with a private client on mastering the Jackknife, an exercise where your lower body flips up and over your upper body through a sequential lift up and lowering movement of the legs that Knowles said challenges core strength and stability.

“Improving dynamic stability is what we do so that we can work w i t h our clients toward prolonging the activities of daily living,” said Melissa Siple, the owner of Benefitness Pilates Studio and Training Center. Siple is the only Level 2 Stott Pilates Trainer in all of Rhode Island and nearby Connecticut and Massachusetts. “Staying active as we age is the key to maintaining bone density, improving balance, and spinal alignment.”

Siple said that when people come to the studio she and her team of instructors use an array of equipment and various exercises with them to work toward these goals. Behind the heavy wooden door at Benefitness Pilates studio there are large pieces of equipment with leather beds and metal chains and thick oversized springs hanging from them; one unit even has fuzzy stirrup like straps with leopard spots strapped to it.

In another room, long canvass straps are draped in a line from the ceiling. Scattered amongst the space, there are people lying on their backs with their feet over their head, some bal | PrimeTime

ancing on one foot and one hand, and others folding their bodies into pretzel shaped morphs of their normal selves.

To the uninformed eye, it’s questionable what actually goes on there, but feedback from clients and instructors indicate a much clearer picture.

“Pilates has changed the shape of my body,” said Leslie Higgins, a 57-year-old who has been a client at Benefitness for more than six years. “And beyond that, there is the whole mind body connection and the stress relief of it too. I can’t say enough about how great it makes me feel.”

According Siple, Pilates has, overtime, garnered much more positive feedback like this and as a result serves a much wider spectrum of clients than in years past.

In fact, she said, Benefitness today serves clients ranging in age from early teens to men and women in their mid 80s; some whom are extremely physically fit while others who are just coming out of physical therapy from major and minor procedures like knee and or hip replacements, broken bones or musculature weaknesses.

Steve Hinger, a 61 year old client at Benefitness said that he first came to the studio in 2006 because of a referral from his doctor.

“I had back surgery because of a bulging disk and my doctor told me I had to start doing either Pilates, yoga or tai chi and I would have to do it for the rest of my life if I wanted to be able to continue to walk upright,” Hinger said. “I have been here ever since and I know it’s been helpful just by looking at a lot of other people my age that do not have the movement and energy level that I have. Even just in my everyday life, things like balance and flexibility, it’s all improved because of what I do here.”

Siple said that like Hinger, many clients at the studio actually come from referrals as well as word of mouth from existing clients.

“We get a lot of referrals from physical therapist and even orthopedic physicians,” Siple said. “More and more healthcare professionals are acknowledging the benefits of staying active and encourage it when it is done in a carefully guided program by trained professionals where we are lookFebruary 2016

“

p h o t o s b y j e s s i c a s e lb y

health & wellness

“

I had back surgery because of a bulging disk and my doctor told me I had to start doing either Pilates, yoga or tai chi and I would have to do it for the rest of my life if I wanted to be able to continue to walk upright.

More and more today, people feel that they should not be limited by their age and are trying to stay active and vibrant for as long as they can.”

– Michelle Riley Owner/Simplify Yoga

– Steve Hinger

ing at the person as a whole and challenging them at an attainable and not impossible level.”

All of the instructors at Benefitness Pilates Studio and Training Center are fully certified and trained professionals, Siple said. In fact, she said, “I are three main benefits of yoga; bone health, circulation and cardiovascular always encourage people to research who they are being trained by because health; reducing the risk of hypertension, fall risk and improved balance there is a big difference between a person who got certified by taking a 10 and strength, but posture, she said, is right up there too.

“We get a lot of people that come to us in their 50s and 60s that have question quiz over the Internet versus our people who spent more than two years obtaining their full certification and then must still take various spe- discomfort that they are struggling with or a condition that they are looking to manage,” Riley said. “We get a lot of men that worked they’re entire cialty workshops throughout the year in order to maintain their status.”

Susan Little, a 62 year old client at the studio, said that it was the experi- life in a job that was hard on their body and now they’re feeling the effects ence of the staff at Benefitness that lead her to become a client. At nine of it so their doctor or their wives suggested that they try this and they end months old Little was diagnosed with polio and as a result of the illness she up loving it. For some of them that have been referred to physical therapy; has to walk with a brace on her right leg because she lacks the control to they can make connections between the movements.”

Simplify Yoga also serves a wide variety of women and even children clistabilize her knee and she has an underdeveloped hip socket.

“As I get older I get weaker and it’s harder and harder to do even just the ents as well, Riley said. In fact, she said, her students range in age from 2 everyday things that I need to in my life,” Little said. “But coming here is years old to 92. as close to physical therapy as it gets. The trainers help me with balance and FIT – Page 8 core strength, which helps me with agility and in a gym; you just don’t get that level of experience or assistance.”

Not all clients at the studio have the same needs or challenges. Sarah LaMontagne, a 26 year old client, said that she was in physical therapy because of severe back pain. After researching the issue LaMontagne said that she learned the pain was a result of physical weakness and it was “highly recommended” that she begin a fitness regimen.

“My experience here has been great because I know I am not abusing my body like in a gym group class yet the instructors are really good about giving us suggestions on what we need to do to make a particular exercise that we are doing in a group harder or easier so that everyone can be challenged at their own level,” LaMontagne said.

So whether you are looking for a weight loss, a therapeutic or a rehabilitative program, Pilates might just be the method for you, but it is not the only way. ...coming here (Benefitness) is as close Yoga, according to Michelle Riley, a certified Kerpala to physical therapy as it gets. The trainers yoga instructor who owns Simplify Yoga studio in Covhelp me with balance and core strength, entry, offers an array of benefits. In fact, Riley said, there – Susan Little of Jamestown

“

February 2016

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SOLITARY Health & Wellness

b y d awn kl i ng e n s m i t h

REFINEMENT Be it quiet time with a book, an hour at the spa or an afternoon at the movies, quality time minus friends or family can be rejuvenating – and a great way to de-stress and improve your efficiency

R

enee Baker is composer, musician, musician contractor and artist, so her schedule is packed with practices, meetings and performances. But if her daily todo lists are longer than most, work obligations aren’t the only reason.

Each day, along with her tasks, she writes down and checks off activities that detach her from the work world - soaking in the tub, reading a book, writing in her journal, sipping tea.

Spending time by myself is right up there with eating,” says Baker, “My alone time is non-negotiable. It recharges my batteries so I’m more efficient at managing the rest of my life.”

Baker has the right idea about solitude and efficiency. Be it taking a bubble bath, doodling in a | PrimeTime

sketchbook or bending your body into complex yoga poses, spending time minus friends and family boosts productivity, promotes health and ultimately improves relationships, says Dr. Scott Haltzman, author and Medical Director in the Behavioral Health Department at St. Joseph’s Medical Center in Providence. ���� But prioritizing and scheduling alone time can be challenging.

“Between work and family, people think they’re too busy,” Haltzman says. But if you reflect back on times when you were stressed, maybe you overlooked something at work, misplaced your keys or blew up at a loved one and had to make amends.

“You easily spend an hour a day picking up the pieces when you aren’t at your best.”

So why not prevent such setbacks in the first place by slowing down and enjoying a moment alone?

“Often, women take on more responsibility in the household, and they feel selfish and guilty if they take time for themselves - they see it as robbing time from their family,” Haltzman says. “Men often neglect themselves because their sense of identity is so tied up with work and being good providers.”

But as life balance coach Terri Levine, New Wales, Pa., tells her clients, you can’t afford not to take time for yourself. “If you don’t put your own oxygen mask on first and take time to breathe, you can’t help others,” she says.

And others will be less motivated to help you.

“The people around us are sensitive to the stress we’re experiencing even though we try not to show it,” Haltzman says. “Couples are pretty fine-tuned to where their partner is emotionally. When your partner senses your stress, it’s like a barometer detecting a low-pressure system - you know there’s a storm

coming. In an ideal world, your partner would reach out to you and help you de-stress.”

But in reality, your spouse or significant other might assume an emotional “duck and cover” position by withdrawing or pushing you away.

When you have a sunnier disposition, folks around you, including co-workers, are more attracted to you. “They’re more inclined to pitch in and help you,” Haltzman says. “You actually form alliances that enable you to get things done and keep your stress levels low.”

Try blocking off some time alone, Levine says, but make sure that it doesn’t become just another to-do item. “Look at your calendar and figure out when you can spare a few moments for yourself, and then set an alarm as a reminder,” she says.

“I’m a big proponent of using cellphone alarms.”

solitude –Page 8 February 2016

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The Healing Atmosphere

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Winemaking Notes: The waiting area at Ferry Orthodontics in Cranston designed by Michelle Lee Designs.

Have you ever sat in a doctor’s waiting room and felt uncomfortable? Many waiting rooms are very cold, sterile, and stuck in the 80’s. As a mother of three boys, waiting rooms are a very common place for us to to wind up in.

When renovating your waiting room there are so many things you can do without killing your budget. Think about your furniture placement. Is your seating comfortable? Or are your patients sitting on old wooden chairs, or thin vinyl or metal ones?

Reworking your furniture placement and replacing old chairs with new ones with a thicker cushion will definitely put a smile on people’s faces! To increase seating why not install a built-in bench with a custom cushion, along one of your walls?

Color is so important. White walls are cold while the wrong shade of blue will send you into the land of nod. When choosing colors it really depends on what type of patients will be in your waiting room… Do you have children as your patients? Or do you have mainly adults, or a mix of both?

Your space should be uplifting and inviting.

Bright blue, soft greens and even terracotta are great choices.

Books for kids and magazines for adults to read are important. Instead of medical pictures on the walls, abstract artwork is a nice addition, and can be more calming.

Your lighting is also something to factor in. Replace harsh fluorescent lights with soft LED lights.

The reception area is the first impression of your office. Easy ways to update February 2016

the reception area are to add pendant lights coming from the ceiling, install a Silestone countertop, and paint or relaminate the front of the desk.

If you’re building a new waiting area, think about your audience. If your patients are elderly, chairs should be more easily accessible to get in and out of, with minimal effort. Be sure your furniture is sturdy for people who have limited mobility. Also make sure there is enough room for people in wheel chairs. Think about offering toys for kids to play with, built in play areas that are easy to clean, and small round tables so they can draw or do their home work.

Setting up chairs in small groupings is better than a long line of chairs that are side by side. That will create a homier atmosphere.

Wall mounted TVs and Wi-Fi is great for kids and adults. Students can plug in their laptops or tablets.

Another great idea for your office waiting room… water fountains. These are great when you’re dealing with agitated patients, and you need to calm them down.

So, before you renovate, why not take a seat in your own waiting room? Take in the whole atmosphere. Put yourself in your patients’ shoes. Does your back hurt when you’re sitting in your chairs? Does the color on the walls make you feel cold or agitated?

Do the medical pictures that are on the wall creep you out? Then maybe it’s time to create a warm and inviting atmosphere that suits anyone that walks in your office.

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■ FIT “We had a woman who came to us at 87 years old; she is 92 now and her health has actually improved,” Riley said. “Her mobility has increased and overall she tells us that she just ‘feels better.’”

Students, Riley said, can choose from either basic or gentle styles of yoga depending on their limitations or goals. Typically, however, she said, both offer “enough modifications to support whatever limitations the person is dealing with or struggling with.”

“We always encourage our clients to honor their bodies and stop in the practice to accommodate how they are feeling,” Riley said. “Plus we have enough props or use chairs or anything that a person might need to in order to modify for their needs.”

Students in Riley’s Sunday morning gentle yoga class moved through and held various poses as she called them out by name; “pigeon,” “thread the needle,” “warrior,” and “child pose.” Some used folded blankets, some had narrower stances, while some went deep into their lunge or maintained their balance longer.

For Maureen Kingma, a 54 year old Coventry woman, balancing in class was a challenge. Sunday, she said, was her first class. She and her daughter, Rachel Masterson, and her step-daughter, Ashley Neves, tried the gentle yoga class because she said she thought it would be a good fit for them.

“I have pins and screws in my foot so I can’t do a Zumba class, but, I want to try to stay active,” Kingma said.

“People’s mentality has changed a lot over the years,” Siple said. “More and more today, people feel that they should not be limited by their age and are trying to stay active and vibrant for as long as they can.”

Both studios are currently accepting new clients. Benefitness has an into class scheduled for February 21. Anyone interested in learning more about that studio, signing up for the intro class, or checking out their class schedule can go online to ripilates.com. Simplify Yoga has their class schedule with a detailed class description listed on their website, simplifyyoga.com.

Offering Individual & Group Pilates

■ solitude Levine recommends starting with 15 minutes each day “when all you do is be quiet and still,” or you can engage in calming activities like writing in a journal, listening to music, going for a walk or practicing a ritual.

Haltzman suggests going over your weekly routine, as well as your budget, to see what adjustments you can make. Perhaps you can hire a house cleaner or use a grocerydelivery service to free up some time, or eliminate volunteer activities you don’t find rewarding.

Levine equates quality alone time with quiet contemplation, and there have been many studies, most notably by Harvard Medical School researchers, in which mindfulness, meditation and prayer have been shown to reduce blood pressure, increase immune response and expedite healing.

Another meaningful way to be alone is doing something you enjoy and excel at but seldom have time to do, says Suzanne Zoglio, a Doylestown, Pa., psychologist and author of “Recharge in Minutes: The Quick-lift Way to Less Stress,

Disco

ver th

More Success and Renewed Energy” (Tower Hill Press, 2004).

“When we’re engaged and using our strengths, we are happiest and most refreshed,” Zoglio says. Paint, dance, arrange flowers, bake - whatever makes time fly when you’re doing it.

Or, if pondering and painting aren’t your thing, indulging your inner diva can be just as worthwhile as developing your inner da Vinci.

“Getting a pedicure is more than shaving down a callus,” Haltzman says. “There’s a meditative aspect to it, a pampering aspect to it, a sense of taking care of yourself.

But there should be a balance. You shouldn’t just focus on external improvement.”

If family members infringe on your alone time, Haltzman recommends telling them you need occasional solitude to become a better parent or spouse. “They might feel like they’re missing out at first,” he says, “but if you get the message out that this will benefit them in the long run, they’ll probably back off and give you some space.” © CTW Features

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February 2016

Health & Wellness

b y m i r i e ll e c a i ll e s

An Apple a Day… When it comes to keeping the doctor away, apples may actually do the trick. Six recent studies have shown that increasing amounts of fresh apple extract had an inhibitory effect on the mammary tumors in rats. The study highlights the importance of phytochemicals, also known as phenolics, found in apples and other fruits and vegetables.

“We not only observed that the treated animals had fewer tumors, but the tumors were smaller, less malignant and grew more slowly compared with the tumors in the untreated rats,” says Rui Hai Liu, Cornell University associate professor of food science and a member of Cornell's Institute for Comparative and Environmental Toxicology, Ithaca, N.Y. Results showed that compared to the 81 percent of the control group that developed adenocarcinoma, a highly malignant tumor and the main cause of death for breast cancer

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patients, rats fed either low, medium or high amounts of apple extracts – the equivalent of either one, three or six apples a day in humans – only developed the tumor 57, 50 and 23 percent of the time respectively.

“These studies add to the growing evidence that increased consumption of fruits and vegetables, including apples, would provide consumers with more phenolics, which are proving to have important health benefits,” Liu says. “I would encourage consumers to eat more and a wide variety of fruits and vegetables daily.”

According to Liu, apples provide 33 percent of the phenolics that Americans consume annually. His study also found that apple phytochemicals inhibit an important inflammation pathway in human breast cancer cells. © CTW Features

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Health & Wellness

b y d awn kl i ng e n s m i t h

A Heart Warning Story

America's deadliest illness is also one of it's most preventable – here's how to take charge of your cardiovascular health today

B

arbara Hunt and Carolyn Reuther live a thousand miles apart and have never met, but in 2007 and 2008, respectively, they received the same devastating news with similar reactions.

Told they had heart disease, these otherwise healthy women were stunned almost to the point of disbelief.

Both are active and physically fit, choose healthy foods, and have normal blood pressure and cholesterol levels.

Neither smokes.

“I was in shock. I don't have any of the risk factors,” says Reuther, a two-time heart attack survivor.

Heart disease, an umbrella term for a number of cardiovascular ailments, is the leading cause of death for both men and women in the United States. In 2005, heart disease killed 652,091 people in the U.S. alone, according to the federal government's Centers for Disease Control and Prevention (CDC).

“It kills more people than the next top five killer diseases combined,” says Hunt's cardiologist, Dr. Michael Goodwin, Midwest Heart Specialists, Naperville, Ill. Surviving a heart attack often depends on taking immediate action when symptoms arise; however, in a 2005 survey, most people (92 percent) recognized chest pain as a heart attack symptom, but only 27 percent correctly identified all symptoms and knew to seek immediate medical attention when they arose, according to the CDC. Those other symptoms include pain or discomfort in the jaw, neck, back, arm or shoulder; feeling weak or light-headed; and shortness of breath.

While Reuther had the telltale chest pain, Hunt's initial symptoms were vague.

Neither sought immediate medical attention, partly because each was engaging in an activity they thought might be the sole cause of their physical discomfort.

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Hunt had just hiked to the top of a mountain.

Reuther was at her father's graveside services. The bugler was starting to play “Taps.”

“That's when the classic elephant-onthe-chest pain began,” says Reuther, 60, of Charleston, S.C. Ironically, when Reuther sought medical help an hour or so later, tests that should have pointed to heart trouble came back negative and she was sent home with anti-anxiety pills. It wasn't until she had her second heart attack two years later, at age 59, that further testing revealed she'd already had one.

Jaw, back and neck pain, along with dizziness and nausea, sent her to the Medical University of South Carolina Hospital the second time, when doctors found blockages in the arteries leading to her heart. She is on medication and undergoing cardiovascular rehabilitation, including a supervised exercise regimen, in hopes of preventing a third attack.

Hunt's initial symptoms were mild compared with Reuther's but no less of a red flag. In February 2007, to celebrate Valentine's Day with her husband, she hiked up a mountain in Palm Springs, Calif., and felt tired and winded. Fiftynine at the time, Hunt attributed her fatigue to growing older; however, as a precaution, when she returned home to Aurora, Ill., she scheduled a heart scan at Edward Heart Hospital in nearby Naperville because heart disease runs in her family.

Her dad had a heart attack while playing church league baseball and died at the age of 38. Her brother's third heart attack killed him at age 43, and another brother died at age 62 after several previous attacks.

Hunt's heart scan showed a buildup of calcium, and though she had not suffered an actual heart attack like her father and brothers, she had to have triple bypass surgery followed by cardiovascular rehabilitation.

Except for family history, other major risk factors for heart disease – smoking, high cholesterol, high blood pressure, physical inactivity and high body mass index (or BMI, a formula to assess a person's body weight relative to height) – are modifiable, says Dr. Jennifer Peura, assistant professor of medicine, Medical University of South Carolina, Charleston.

Diabetes is another major risk factor that can be controlled through proper treatment.

Studies among people without heart disease have shown that lowering high cholesterol and high blood pressure can reduce the risk of developing heart disease. And studies among people with heart disease have shown that lowering high cholesterol and high blood pressure can reduce the risk of dying, having a non-fatal heart attack and needing bypass surgery or angioplasty.

Although Hunt and Reuther both got heart disease despite healthy eating habits, generally speaking, “Diet is the cornerstone of prevention,” says Christine Palumbo, a Naperville-based dietician.

It's a key part of treatment, too, along with weight control, stress management and increased physical activity, she adds.

“There is research dating back to the 1970s that shows diet can reverse the effects of an unhealthy lifestyle,” Palumbo says, adding that a number of her clients no longer need blood pressure and cholesterol-lowering medications after improving their eating habits.

A heart-healthy diet includes plenty of whole grains, fruits, vegetables, beans, nuts and fatty fish, such as salmon and tuna.

A healthy eater by habit, Hunt allowed herself a poolside margarita in Phoenix in February 2008 to celebrate Valentine's Day, the holiday of hearts, and, more important, her health. It was there in Phoenix, a year after her trip to Palm Springs and nine months after her bypass surgery, that Hunt hiked up another mountain – with happier results.

“It was like a victory lap,” she says. “It was exhilarating.”

Heart Attack Warning Signs • Chest discomfort: Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness or pain.

• Discomfort in other areas of the upper body: Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach.

• Shortness of breath with or without chest discomfort.

• Other signs may include: Breaking out in a cold sweat, nausea or feeling lightheaded

10 | PrimeTime

February 2016

lifestyles b y L a r r y G r i m al d i

business

Reflecting On Year One of Retirement In what seems to be the blink of an eye, February marks Year One of my retirement. My first thoughts on reaching this milestone are reflected in the clichĂŠâ€œWhere did the time go?â€?

We had spent two years carefully preparing for our retirement . Our financial and legal houses were in order. We had decided to stay in our home. I had outlined the basic physical, social, emotional, and spiritual goals for my new life. Yet, as Departure Day of February 5 loomed ever closer, I faced the same questions and experienced the same emotions of many future retirees.

How would I manage the transition?

How would we adjust to a new income pattern? Could I do all the things I wanted to do without over-scheduling myself? Even though Kathy had retired a year before me, I wondered if a new dynamic would emerge in our 45 year marriage. Above all, the biggest question was, “We had planned, but were we prepared?� Anticipation mixed with uncertainly creates an interesting emotional brew.

One year later, the report card is in and the marks are fantastic! The transition from the workforce to retirement has been smoother than I expected. I attribute this to the year of preparation and planning that eased the financial, emotional, and social impacts posed by a new lifestyle. For the most part, I have followed through with the guidelines I had sketched out in my mental “to do� list.

Our daily routine begins between 8:00 and 9:00 a.m. when Kathy and I have breakfast and read the newspaper.

Before beginning the day in earnest, we have our “morning briefing.� Kathy has her own volunteer work and social schedule, so she gives me the daily rundown on her plans for the day. I often joke with her that I’m going to buy a scheduling whiteboard from an office supply outlet where she can write her name and move the magnetic button to the “in� or “out� column! Then I outline my day for her. At supper, we have the daily “de-briefing� the of comings, goings, issues, events, and “preview of coming attractions.�

At least three times a week, I go to the gym for workouts on the treadmill and the stationary bike. Recently, I began taking guitar lessons a hiatus of more than 50 years. My limited repertoire now includes playing notes on four strings, strumming 10 chords, and picking several simple songs like Love Me Tender, Ode to Joy, and Tom Dooley.

If I get stuck during practice, I call on the expertise of Sophia, my 12 year-old granddaughter, to help. She has been playing for two years and it much more February 2016

advanced than I am.

I read or work on writing columns.

Besides working a travel book based on our cross-country journey this spring, I am also outlining a cook book based on recipes developed by Kathy, Sophia, and her twin sister, Kailyn.

In addition to volunteering for the Senior Journal, a public access cable television program, I keep in touch with family, friends, colleagues, or re-connecting with others. For the last few years, I have helped my disabled 79 year-old cousin remain independent and living in her own apartment. I try to set aside a few “quiet moments� each day for rest and reflection. To be honest, I take an occasional afternoon nap or just listen to music.

We meet Sophia, Kailyn, and six year-old Nicholas at the bus stop two days a week and they hang out with us until my daughter or son-in-law to get home from work. Of course, there are the usual household errands and chores to be done, but now there is more time to do them. The day flies by and we are not bored. In fact, we understand the common question echoed by our retired friends, “How did we find the time to do all this when we were working?�

This summer, I met a friend in Narragansett and he gave me a refresher course in the art of quahogging, something I have not done in 55 years. While he harvested about two dozen quahogs, my efforts yielded a grand total of four.

I guess my technique needs refinement.

I will probably give it another try next summer, but I realized that it’s simpler to buy prepared stuffed quahogs at the fish market! It’s just not as much fun.

In addition to our cross-country trip, we joined friends this fall on a music mini tour to Memphis and Elvis country and to the seat of country music in Nashville. In July, our annual major league baseball tour stopped in St. Louis.

We have been visiting major league ballparks with our sons and brothers-in-law since 1999. My sister-in-law Darlene will reveal her 2016 choice soon. Kathy and I took an anniversary trip to the Dominican Republic in November.

Tentative travel plans for 2016 include a family vacation with our children and grandchildren, six weeks in Florida, and the baseball trip. With any luck, I can fulfill a lifetime dream of visiting Tahiti.

We have been very fortunate. We have good health and the resources to live a productive and interesting retirement. As Frank Sinatra crooned, “It Was a Very Good Year,� of adventures and experiences shaped by the opportunities of a new lifestyle. I can hardly wait for Year Two!

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b y a f i - o d e l i a e . S c r u gg s

Clocking It How your body’s internal controls manage your sleep cycle

If you’ve ever caught your head dropping around 1 or 2 p.m., don’t blame yourself. Blame your body – specifically, the biological cycles that scientists call the circadian rhythms.

Most people know the rhythms rule everything from the most natural times for sleep ­– between midnight and 7 a.m., and again from 1 to 4 p.m. – to blood pressure, hormone levels and heart activity.

“Circadian rhythms are the cyclical changes that occur regularly every 24-hours,” explains Dr. Kumar Budur, a sleep specialist and psychiatrist at Cleveland Clinic in Cleveland. “The rhythms respond to light and dark, and help keep humans in touch with society.

But did you know your body has a master timekeeper?

Researchers have found that all cells have an internal clock that governs daily rhythms. In humans, each organ has its unique cycle. This master time-keeper is a small group of cells called the suprachiasmatic nucleus located in the hypothalamus. These cells respond to light and the absence of it and help the body keep up with the demands of society.

Budur explains that the body’s natural “day” is 24 hours and 18 minutes. “Continuously, our body made adjustments to keep us in tune with society. The most important factor is our ability to adjust to light. Light is the most important stimulus by which we can adjust the internal clock,” he says.

You feel more alert in the summer because you are more alert. Longer days mean the body doesn’t get the signal to sleep until later in the evening. And, if you find yourself winding down around 9 or 10 p.m., it’s because lack of light tells the SCM to prepare the body for rest.

But work and family obligations may put us out of sync with our internal clocks. The consequences can range from a shortened attention span to problems falling or staying asleep.

Long-term consequences can include depression or substance abuse.

Night-shift or swing-shift workers, who are often at odds with the body’s clock, are especially vulnerable to some of these problems. That’s because they need to stay awake when the physiological changes are shutting the body down. And when they want to rest, the body is generating impulses to keep them awake, Budur says.

Folks who find themselves traveling across numerous time zones are also susceptible to sleep disorders.

“Usually humans can make minor adjustments up to three time zones,” Budur says. “If it’s more than three time zones, then it’s hard for body to make adjustments. That’s when we get into problem with jet lag, difficulty falling asleep, or staying asleep, excessive daytime sleepiness.”

Following these tips for good sleep hygiene will help you sleep when your circadian cycles have gotten out of sync from work, stress or jet lag: Turn down the lights If you work nights, you can get a good day’s rest by darkening the bedroom. If it’s not possible to darken a room, invest in eye masks or ear plugs. The goal is to mimic nighttime and trick the body into lowering its temperature and otherwise preparing for sleep.

Travelers, reset your clocks Reset your internal clock by shifting your exposure to light. Online jet-lag calculators, such as the one featured on www.bodyclock.com, provide instructions on readjusting your internal clock.

Of course, if sleeplessness or other problems are affecting your work or relationships, then seek professional help.

Bonebuilders of RI Bone Builders of RI is an innovative community-based program designed to promote bone health and overall well-being for both men and women.

The program is expanding with a total of 11 classes being offered around the state. BoneBuilders classes are designed for seniors who want to build and maintain strong bodies and good bone health at an affordable cost and at convenient times.

The program is based on the work of Dr. Miriam Nelson, Director of the Center for Physical Activity and Nutrition, and Associate Professor of Nutrition at Tufts University. Dr. Nelson’s research shows that moderate free-weight training performed at least twice a week for at least six months can improve strength, balance, energy levels, and bone density. The cost for the program is a suggested donation of $1.00 per participant.

BoneBuilders of RI is sponsored by The Village at Waterman Lake in Greenville.

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Diane Sangermano, Village Partner and BoneBuilder Master Trainer, has been a BoneBuilder volunteer, class leader and organizer for more than ten years. Diane is so inspired by the results she has seen that she is expanding the program statewide.

To find a class near you and to register for a class or to find out about leader training opportunities, visit bonebuildersri.com, or contact John Dionne at The Village at Waterman Lake, 401-949-1333.

The Village at Waterman Lake is located at 715 Putnam Pike in Greenville, RI. Family owned and operated since 1990, The Village at Waterman Lake offers catered retirement living, catered assisted living, assisted living for people with Alzheimer’s, and skilled nursing.

February 2016

Health & Wellness

The more we do, the less we sleep:

That is making us sick.

If getting a good night’s sleep seems like an impossible dream, take solace in the fact that you’re one of 70 million Americans suffering from a sleep disorder, according to the U.S. National Institutes of Health.

The problems range from insomnia caused by emotional stress or depression, to an inability to get to sleep – also known as delayed sleep syndrome – to restless leg syndrome, involuntary muscle movement that keeps folks from getting a full rest.

Whatever the cause, lack of shut-eye costs the country billions in health-care expenses and in lost productivity. And the situation doesn’t seem to be improving. More Americans are meeting the demands and stresses of daily life by getting less sleep, not more, even though studies show that skipping sleep hinders productivity, slows down reaction time and decreases the ability to focus.

So how much sleep is enough? Adults need between six to eight hours of sleep a night. And nighttime really is the best time for sleep, since our body clock revs us up during the day and winds us down after dark.

When your inability to fall or stay asleep begins to interfere with work or other responsibilities, it’s best to see a doctor. Still, there are steps you can take to ensure you drift off to dreamland when your head hits the pillow.

“I like my patients to work on habits first,” says Dr. Hitesh Makkar, a pulmonary specialist in Akron, Ohio, who also specializes in treating sleep disorders. © CTW Features

Elderly Housing Must be 62 years of age or older. Rents are based on 30% of adjusted household income.

stick with a schedule Go to bed at a regular time and get up at a regular time. Having a schedule seems to strengthen the circadian cycle, the body clock that regulates our sleeping and awakening. rise and shine Work out early in the day, not late in the evening. The body clock prepares us for sleep by slowing lowering our body temperatures. Exercise raises the body’s temperature. If a trip to the gym is part of your routine, do so at least four hours before bedtime. cut the caffeine Sipping a venti mocha latte at 6 p.m. almost guarantees you’ll be tossing and turning at midnight. That’s because the half-life of this stimulant – the time the body needs to metabolize half the amount of caffeine consumed – is about six hours. To compensate for a restless night, you’ll probably reach for another cup of coffee, starting the cycle again.

try a bedtime snack A cup of warm milk seems to help induce sleepiness, although the science behind the claim is debatable.

The sleep-inducing amino acid tryptophan, found in milk and other foods such as turkey, cheese, peanuts and tuna, induces sleep when it enters the brain. The protein in milk may decrease the effect of the tryptophan, though. no late-night alcohol Don’t down a glass of beer or wine before bedtime, though.

These drinks make you sleepy but don’t produce the deep, restorative rest, warns Dr. Nancy Foldvary-Schaefer, director of the Sleep Disorder Center at Cleveland Clinic, Cleveland. “Alcohol markedly fragments the quality of sleep,” she says. don’t fight Still can’t sleep? Give in. If you lie in bed longer than 20 minutes without falling asleep, don’t toss or turn.

“If you can’t go asleep, don’t stay there. Get up until you’re tired and then try again,” Makkar says. Keep your activities relaxing, though. Don’t watch action movies or read a mystery novel. Avoid over-stimulation that might further delay sleep.

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February 2016

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PrimeTime | 13

Price is Right

Health & Wellness

b y k e l c y d o lan

Richard (Ritchee) Price swears he is going to be the first man to live until he’s 175 and he’s going to have his trumpet in hand.

p h o t o b y k e l c y d o lan

Price joined the Lionel Hampton Orchestra for the 60th year of Hampton’s “show biz” career, taking a world tour, playing in Paris, Tokyo, Amsterdam, Vienna, throughout Brazil and more.

He would continue to play with the orchestra on and off for the next 9 years, until about 1994, playing gigs throughout the globe and even for President Ronald Reagan at the White House three times.

“I just loved it. I love performing in front of people, I guess its an ego thing,” Price said. “I want people to hear me play, to share this. I’m a very decent trumpet player and I know I can make people happy when I play.”

He said the orchestra would call to him for some of the more important gigs like White House performances, the Newport Jazz Festival and Hague Jazz Festival.

During this time he was also beginning to teach, moving to Rhode Island because of its strategic location between New York and Boston.

When he officially left the Hampton Orchestra, Price joined the Count Basie Orchestra and was able to perform with 14 | PrimeTime

Price, now 63, was first introduced to the trumpet at the age of nine by his doctor. Because Price had been born with asthma the hope was the playing the trumpet, which requires long, deep breaths, would help to strengthen and open up his lungs.

What began as an indirect medical treatment turned into a hobby, then eventually into a career for Price who has been able to travel the world, taking his music and performing with big bands and orchestras.

Initially, Price, who grew up in York, Pennsylvania, had taken a few college courses and had worked a few odd jobs as a disc jockey, a TV sports announcer; they were “interesting”, but just not Price.

At the age of 27 Price’s girlfriend and now wife, Barbara Price, encouraged him to go back to school Ritchee Price began playing the trumpet at only and pursue a career in music, his passion.

He then attended and graduated from Berklee Col9 years old after his doctor suggested it would lege of Music, where he excelled and made plenty of improve his asthma. He turned the trumpet into influential friends, one of them being Doug Miller. not only a hobby, but a life long career. He has Miller had been recruited for the Lionel Hampton Orchestra and when the company was looking for a traveled the world with big bands and orchestras new lead trumpet, Miller reached out to Price. as the lead trumpeter.

“I joined, but at the time I didn’t realize I would be traveling the world,” Price said. some of the biggest names in jazz, such as Joe Williams, Mel Tome, and Sarah Vaughn with performances at Carnegie Hall and Radio City Music Hall.

Price said, “ It was a rewarding experience being able to perform for so many people.”

As much as he enjoyed performing, playing with the band,” just didn’t come with Blue Cross Blue Shield.” With his wife Barbara and their son Matthew Price, now 33, Price wanted to ensure that he could always provide for his family, especially if they were to become hurt or ill.

He spent 10 years at Hendricken as their band director, then 3 years teaching at both Thompson Middle School and Rogers High School in Newport.

For the past 16 years though he has been teaching at Portsmouth Middle School.

He believes that music education is not only important, but should be a core subject in every district.

“Music makes students think for themselves and there is nothing worse than a student who can’t think for themselves,” Price said. “In music classes we aren’t just teaching kids how to be bet-

ter performers as musicians, but better performers as students.”

Although teaching, Price has remained active in the performance community, playing the National Anthem or Taps at various sports arenas and events.

He also put out 2 CDs and is currently working on a Christmas Album and putting together a performance quartet.

He is also still “very active” in the Drum and Bugle Corps, which he himself joined in 1966 at the young age of 13.

“I wouldn’t be playing still without the Corps, they kept me playing,” Price said. “I stay involved because it’s important to the youth. It keeps them off the streets-unless there’s a parade of course.”

Where playing the trumpet helped Price with his asthma early in life, playing the trumpet, also helped Price several years ago when his kidneys began to fail.

In 2008 Price wasn’t feeling right and was having trouble breathing again.

When he went to the emergency room

it was discovered that one of his kidneys wasn’t working at all and the other was only performing at 8 percent of normal function.

He was immediately added to the transplant waiting list and put on dialysis. Through treatment he remained working and performing, having his dialysis three times a week at night from 7p.m. to 3 a.m. sleeping for a hour and a half before going into school. He also organized his performances around dialysis.

Price said, “I was tired, I was sick, but oh, I could still play my butt off.”

In 2012 he finally received a new kidney.

“When I got that kidney it was like the whole world opened up to me again,” he said.

Now, he plans on living to 175, playing his trumpet all the way there.

For more information or to purchase any of his albums email Price at trmpt31152@aol.com.

February 2016

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Presently a few well known restaurants are part of the program to serve those on- the- go seniors. The participating restaurants are Newport Creamery locations, except Barrington, Middletown and Newport: and IHOP restaurants in Warwick and Providence. For the program, the restaurants offer a variety of meal options that meet nutrition standards.

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February 2016

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February 2016

LIFESTYLES

wHAT DO YOU FINK? b y MI K E FI N K

An Auld Acquaintance I stand up with my necktie and my fashionable sneakers and manage to say something lively, I hope, to students, especially in our “winter-session” minicourse from mid-January through February.

These weeks are iffy: It’s the season of snowstorms that can interrupt the schedule, and it’s supposed to be a playful interlude. Our artist disciples can fly from their studio majors and experiment within other areas of the college. This year I gathered a bunch of documentary DVDs from our excellent library collection: interviews and conversations with the well-known or the lesser-famous.

I ask the class to consider the flicks and then to imitate them. To venture perhaps into an assisted living establishment or even simply into the inner life of a relative. “Preferably somebody you haven’t yet explored, an aunt by marriage, not directly connected to you, or even a cousin, not a sibling.”

I share my own experiences as a prelude to each of our morning meetings.

This past weekend I got a call from an alumna of the class of 1960. She told me that her former favorite teacher, long retired, could use a surprise visit...would I send him her regards, all the way from Oregon?

I drove not so many blocks from my house to the Oak Hill section of nearby Pawtucket and found a charming, almost fairy-tale, cottage, with a tile roof and a beautiful front door. We entered and were greeted by a most gracious and hospitable dog, a plump Daschund, named, I was told, “Pie.” She guided us to the enclosed porch, where the host awaited us in his chair. My wife presented him with a bouquet of yellow tulips and a box of cookies. Our nonagenarian companion, colleague, and fellow traveler (literally, no political intention here: we had voyaged together to Portugal decades ago and published our impressions mutually in a magazine called Reunir) told us the story of his house, his career, and his current condition.

“I left the textile department at RISD to create a similar program in Israel. We spent years there, learned the language, loved the land and its people. We came back mostly because during a period of inflation it was financially difficult for us.”

My friend is both a designer and an artist. I mean, he paints on canvas, elegant still life images in soft pastel hues, and also delightful portraits of his series of dogs. “We used to have little packs of small dogs. This one, “Pie,” was born deaf.

She copes, though. And I know, I overfeed her, and she’s a bit overweight. She’s a great comfort to me. Her breed, they like to burrow, so she digs into the covers and shares my bed. We stay warm together.”

He has a sense of style and of humor and meets the challenges of age and its problems with equanimity and honesty. As he narrates anecdotes of his journeys in time as well as space, I remember, and I appreciate, his graceful qualities.

He has a sharp wit, never flinching as he describes the disappointments as well as the rich rewards, of his life’s adventures. From the wide windows, we look outside at the bird feeders he keeps hospitably supplied. A squirrel sits on the cement stairs and steals from the sparrows and the cardinals. The flock of those common English finches is surprisingly immense, but their crested red rivals for the wintry fare capture our attention – it’s a gray Sunday, and the colorful fancier fowl command admiration.

Monday follows the weekend and brings me back to my morning rendezvous with my class on documentaries. “I’m reporting on that visit because I was contemplating asking him if I could come back and film his dog, his house, his paintings, and some of his words.” I encourage the students to think visually rather than merely verbally or narratively, especially for a movie course. How does the camera also listen? You can work in small groups, an editor, a camera-person, a script-writer perhaps, a participatory interviewer, but the point is, discovery and escape from the confines of technology for its own sake. Instead, sharpen and deepen your interest in a person, plus a pet!”

Why don’t I name my auld acquaintance? I don’t know, I think it’s because I don’t want to invade his privacy, and if I ask his permission, he might say no, and so, here I slip away and take my leave.

b y d o n f o wl e r

senior

issues

Eyes, Ears, Throat, Heart, & Stoma

Or Assisted Living Aids I remember the good old days.

The alarm went off. I jumped out of bed, showered, shaved, brushed my teeth and hair, grabbed a cup of coffee, and headed off to work.

These days, after many years of retirement, I wake up early with the sunlight coming through my bedroom window, with no need for an alarm clock. My bladder tells me when to get up.

I still need that morning shower to get me started. And I need to brush my remaining teeth, but no need to brush my bald head.

The cup of coffee is still a necessary ritual, enjoyed with the morning newspaper, ( Not CNN news) a habit that is hard to break, but which now requires bifocals.

To enjoy the sounds of the birds, it is now necessary to put on my “assisted living” devices-my hearing aids-which also help me hear other sounds, like the phone ringing with offers of free vacations, computer upgrades and chimney cleaning.

In order to enjoy my breakfast, I remove my “plate” (Never call them false teeth) from the glass of water, where they have spent the night.

It is time for my morning walk, so I make sure my nitro is in my pocket, just in case my heart should need some assistance, and put on my special neuropathy socks and sneakers (Do they still call them sneakers?).

One final check. Make sure my ostomy devices are firmly attached. Ostomy surgery over 25 years ago was the beginning of the need for external devices to assist me in my daily life.

I’m one of the lucky ones whose ileostomy surgery (removal of my colon) saved my life and offered me a much better quality of life than I had living with ulcerative colitis. I was cured and able to live a normal life-whatever that is-by adding yet another extension to my body: a bag just below my waistline that nobody knows is there.

One can live quite well without a colon. Over the years I’ve also lived quite nicely without my tonsils, appendix, gall bladder, kidney stones, and part of my prostate.

At times, I feel like the bionic man. All of these extensions to my body are at times an inconvenience.

The good news is that I can see, hear, chew, and remain active because of them.

And that makes my quality of life at age 78 a lot better.

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February 2016

PrimeTime | 17

b y j o d y R o bb i n s

STRETCH WORK

We do the hard work it takes to figure out simple movements that take the stress out of chronic and traumatic injuries before – and after – they happen

G

ot a fitness problem? Sometimes… you’ve got to stretch yourself.

The most common injuries are sorted into two categories: chronic and traumatic.

Chronic injuries occur thanks to repetitive movements, a tennis swing, for instance.

Traumatic injuries happen, quite obviously, because of a more sudden occurrence, like taking a hard hit on the sports field or a car crash.

Either way, proper stretching for flexibility and body strengthening can make all the difference, helping you pursue your favorite hobbies with less pain and for longer. The point is to strengthen muscles around the injured spot and to counteract the effects of repetitive movement.

“After an hour or two of practicing a golf swing, your body literally starts to stay in the form of the drive,” says Chris Frederick, who, along with his wife, Ann, operate Phoenixbased Stretch to Win, a total fitness system. Their days range from working with NFL quarterback Donovan McNabb to penning their most recent book, “Stretch to Win” (Human Kinetics, 2006). “We teach people how to untwist by doing things as simple as swinging the golf club in the opposite direction a couple of times, which will prevent back pain and allow you to continue to have a good time.”

Ankle sprain This kind of traumatic injury can occur thanks to hardcore sports action or one clumsy step. The key here is flexibility and ability to react quickly: agility work. McMillian recommends exercises as simple as standing on one leg for a period of time, then alternating.

For more effect, she recommends the basic single-leg squat for balance and strength; and the inch worm, a stretch that involves bending over with your hands on the floor, then walking them forward and straightening out your body as you do so, then following with your feet — and repeat.

Tennis elbow Professional tennis players don’t get tennis elbow because they have good form. If you have it, that could mean it has a lot to do with bad form, says Brad Schoenfeld, fitness author and owner of the Personal Training Center for Women in Scarsdale, N.Y.

18 | PrimeTime

“Injuries like tennis elbow are caused by repetitive motions but also by bad mechanics,” Schoenfeld says. So you’ve got to learn good form and strengthen the surrounding muscles (triceps, biceps, forearm). If your tennis elbow is already in effect, Schoenfeld recommends a three-part, at-your-desk wrist exercise that works the arm from shoulder to fingertips.

“It really contains three separate stretches, but they work synergistically together,” Schoenfeld says.

Sciatica/Lower-back pain It all comes back to the abdominals, especially lowerback pain. The author of “Boot Camp Abs” (Fair Wind Press, 2005), McMillian says if you want to figure out why your back’s hurting, just look down at your stomach.

“Get the ab work done,” she says. “There is no sidestepping ab work, and I’m not just saying that because I wrote the book.”

Her recommendation: Total body crunches, known in the military as atomic sit-ups. You can lighten the load of this advanced exercise at first by supporting your weight with your hands on the ground beside your hips. Basically, you lay down flat on your back and tuck both ends by bringing your knees into your chest and your chest into your knees, then extend it back out.

“The key with ab work is your stomach has to be drawn in, or engaged, the whole way through,” McMillian says.

To make it easier, just balance on your backside with your torso upright and kick your legs out.

Arching reach stretch

Good for: Stretching out shoulders and abdominals. Don’t arch too much if you have lower-back problems.

February 2016

health & wellness

Runner’s knee Tendonitis is the culprit when it comes to this chronic knee injury, and that is usually caused by pounding the pavement, putting repeated pressure on the knee joint.

As with many chronic conditions, it’s possible to avoid this one by varying your workouts and engaging your entire body. Schoenfeld recommends working on the hips with a sit-and-reach stretch. Sit with your back against a wall and extend your legs; then reach forward and try to touch your ankles while keeping your back straight. Bend with your hips, not your spine.

Carpal Tunnel SynDrome Maybe sitting at your desk and working on a computer doesn’t sound like a period of the day where fitness counts, but you’d be wrong about that.

“Most of us sit all day at work leaning forward, which makes the discs in your back bulge toward the rear, and can end up herniated, so we try and reverse that,” says Ann Frederick, who recommends what she calls the shoulder opener: Put hands on your posterior with elbows behind, opening up your chest; lean backward slightly and slowly extend the distance.

“It reverses what has become short and tight, thanks to sitting at a desk,” Frederick says. “Think carpal tunnel and we think of our hands (reverse wrist curls work well) but, like so many things, it starts closer to the core.”

Inside elbow stretch

Shoulder stretch

sure you rotate wrist.

you rotate body away from the bar (or wall) on which you are bracing yourself.

Good for: Tennis elbow, carpal tunnel. Make

Good for: Relief from sitting hunched over at a desk. Make sure

© CTW Features

Route 44 • Greenville Common Greenville, RI (401) 949-0180 andersonwinfield.net

Cremation with Memorial Service

$2,215.00

This service includes: collation of vital statistic information through our secure website, one person transfer of remains to the funeral home, use of facilities for state mandated 24-hour waiting period, preparation of remains (not embalming), cremation container, transfer of remains to crematory, filing of death certificate with appropriate city or town, crematory fee and use of funeral home for memorial service with rental urn.

Also Available: Immediate

Cremation – $1290.00

Cremation permit fee of $30 payable to RI General Treasurer not included

February 2016

PrimeTime | 19

Westbay Café…More than a Meal Making a luncheon reservation at our eight Westbay Cafes is as easy as 1, 2, 3!

Special

february Meals

Wednesday, February 3 Bring A Friend Luncheon Escarole & Bean Soup, Beef Tips w/Gravy, Roasted Potatoes, Creamed Spinach, Dessert.

SPA OPTiOn: Cobb Salad Monday, February 8 Chinese New Year Luncheon Wonton Soup, Chicken Teriyaki, Veggie Stir Fry, Fried Rice, Dessert PuB OPTiOn: Roast Beef Grinder w/Chips

Thursday, February 11 Valentine’s Day Meal italian Wedding Soup, Statler Chicken Caprese, Green Bean Parmesan, Wild Rice, Dessert SPA OPTiOn: Chef Salad

Our caterer provides the following three options (two each day) for your meal • Hearty Traditional 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

For more information, please call patty martucci, Assistant Director of Senior nutrition program

401-732-4666 ext. 142

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

We invite seniors age 60 and older and individuals with disabilities to join us at these Cafes for a nutritious lunch. The suggested donation is $3/person. Reservations are necessary and should be made by Thursday for the following week.

20 | PrimeTime

b y k e r r y pa r k

senior issues

Filling the Gap More than half of the individuals affected by heart attacks or other sudden cardiac issues are over the age of 65. For these seniors, their cardiac care needs are quite often complicated by other co-existing conditions. Whereas once these individuals would have stayed in the hospital for continued rehabilitation and monitoring, today skilled nursing centers are increasingly being called upon to provide expert rehabilitation services that fill the gap between hospital and home care.

According to the America Heart Association, “Cardiac rehabilitation is a professionally supervised program to help people recover from heart attacks, heart surgery and percutaneous coronary intervention procedures such as stenting and angioplasty.

Cardiac rehab programs usually provide education and counseling services to help heart patients increase physical fitness, reduce cardiac symptoms, improve health and reduce the risk of future heart problems, including heart attack.”

In the case of many over the age of 65, other issues are involved – COPD, hypertension, depression or dementia for example – so cardiac rehab programs need to be adjusted to promote total wellness for several co-morbidities, not just heart health.

“About 18 months ago we were looking to develop programs for people who were underserved,” said Hugh Hall, Administrator of West View Nursing and Rehabilitation Center in West Warwick. “Staff from a local hospital confirmed that there was a gap in post-acute cardiac care for people with other complex care needs. We collaborated with the hospital and other care providers throughout the continuum and developed a cardiac rehab program last year. I don’t know of any other program like ours that cares for cardiac patients to this degree. We invested in staff, equipment and training. It’s definitely working. Education is key. We’re helping people get better and they’re not going back to the hospital.”

West View’s onsite pharmacist, Stacey Ranucci, understands all too well the intricacies involved in helping “older” cardiac patients regain their health – and maintain it. “A lot can happen during recovery. Someone may leave the hospital following a heart attack for example, with a prescription which lowers their blood pressure. They go home and their medication may need adjustment but because they’re at home, that doesn’t happen right away. That can cause their blood pressure to drop. They get dizzy, fall, end up with a hip fracture, and have to go back to the hospital. There are lots of things that can go wrong,” she explained.

West View’s patients experience a different result. The program fills a need for patients who otherwise would have no option but to receive rehab at home and bear the risks that can accompany those with complex care needs. The nursing center employs an interdisciplinary team of caregivers and educators that help get patients not only back on their feet, but also provides them with the tools they need to stay on a healthy path.

When patients are admitted to the West View cardiac rehab program, staff immediately identify not only their physical needs, but also their level of knowledge about the steps they need to take to regain and maintain their health. Once the initial assessment is completed, the entire West View team works together to ensure the best possible outcome for each new patient.

Drs. Hedgepath and Rosen from Brigham and Women’s Hospital, part of West View’s cardiac rehab team, personally visit with patients weekly to monitor their condition and check their progress. Ranucci oversees patient rounds with the cardiologists and adjusts medications as needed. Physical, occupational and respiratory therapists develop individual therapy programs that address the unique and varied needs of each patient. The nursing center also invested in EKGs and other necessary equipment so that patients can be monitored easily and without disruption, essentially mirroring the offerings founds in a hospital setting.

Perhaps most important, nursing staff teach patients well in advance of discharge how to ensure continued good health when they return home. Simple things like helping patients understand the importance of follow-up appointments and blood tests and working with them to develop a system to make sure they remain home in continued good health. They also learn to manage their own medications and watch for signs such as weight gain or loss that could trigger a backward slide in their health.

West View is not alone in offering a cardiac rehab component to its array of services. With patients being discharged from hospitals more quickly than ever, all of today’s skilled nursing centers are prepared to meet the needs of those needing a transitional step between hospital and home. What makes West View’s program work particularly well is the collaboration between partners.

“We know that it’s the transition from one setting to the next that can cause problems. By working directly with our regional health care providers, we’re all on the same page about where a patient’s care can slip through the cracks and we address those areas together. For example, we work extensively with homecare providers to effectively communicate the individual needs of our patients when they are discharged, so that those providers can follow through on the patient’s goals of care, reducing their chance of re-hospitalization. Essentially, we’re taking numerous steps to help our patients get home and stay there,” said Hall.

February 2016

retirement sparks

senior

issues

b y e la i n e m . d e c k e r

Weight Loss Wardrobes We’re in a new year and no doubt many of you have made resolutions to trim down. I don’t do New Year’s resolutions anymore, but I have some information you might find useful if you drop some poundage this year.

The number that the scale registered at an annual physical a few years ago shocked me into the realization that I needed to lose weight. A lot of weight. Knowing that it gets harder to accomplish this the older we get, I decided to develop a plan. My goal was to lose 30 pounds before my mid-year checkup and another 10 to 15 by the next annual physical. I came close, losing 28 by mid-year, but then I hit a plateau and I’m still there. Along the way, I learned some things about weight loss and wardrobes.

Some of the discoveries were good news; some not so great. On the plus side (or not so plus anymore), my calves were finally sized for regular width boots. Before the diet, I could fit into only the wide width styles, but those were so wide that it looked like I was wearing funnels on my legs. I stopped wearing high boots, traded them for mukluks and muttered to myself “function over form”. On the minus side, I tossed my regular-width boots when I de-cluttered the house to list it, so I’m still wearing those mukluks.

Staying with footwear, I also learned that being thinner meant my taller socks lasted longer. Before the diet my calves stretched out the elastic at the top within a season. The socks then slipped down into puddles at my ankles. The good news is that with my newly slimmed legs, the elastic will last for years. The bad news is that if I diet until I reach my target (you can guess how likely that is), my calves may get so slim the socks will fall down anyway. Garters, anyone?

Moving up my body to slacks, I’m down about two sizes over all, though my waist is apparently on a different schedule from the rest of me. As with the boots,

I got rid of much of my too-small wardrobe in preparation for our home downsizing. I did save a few pairs of favorite slacks in hopes I could squeeze into them again someday.

I need to paint a picture here of how my pants fit as my weight goes up and down. The ideal look is to have them drape in a way that tastefully sculpts my behind. When I put on a few pounds, we get more of a clutching than sculpting.

At my extreme weight the pants are clinging for dear life. Needless to say, I was looking forward to having things fit more tastefully again.

As summer approached, I visited the closet where I stored my off-season wardrobe to see what might fit the new me. I found two pairs of pants that I had kept in the “hope springs eternal” section of the closet. (Oh, admit it. You have one of those, too.) With great anticipation, I tried them on.

Imagine my dismay when I discovered that my lower torso had passed right through “drape” to “droop” where these beloved pants were concerned. They were passable enough for me to wear them (barely), but who knows how bad the droop will be if I ever get off my dieting plateau. I refuse to give up on them, however, and I’m considering investing in one of those “Kim Kardashian” butt enhancers that you see on late-night TV. It occured to me that falling off the diet wagon and putting back on a few pounds might not be so terrible.

I fared better with some of my favorite jackets. In addition to dieting, I’d been using hand weights most mornings. My hope was to get some definition to my upper arms and avoid that bat-wing look that we older women get. Extreme weight loss can lead to excess flesh, so if you’ve got it, don’t flaunt it. I doubt I’ll be running around sleeveless anytime soon, although you never know. Read on.

One of the other articles of clothing nostalgia in that “hope springs eternal” section is a tank top from Club Med. It has a visual pun on the front, and the explanation (in French) on the back. I couldn’t bear to part with it. There’s a certain allure to French women, after all, even when they’re Italian. The tank doesn’t go with those pants that droop, but maybe I’ll wear it with them anyway. Perhaps it will direct peoples’ eyes upwards. Then again, if that Kardashian butt enhancer does its job, I’ll keep my jacket on and let my pants do the talking.

Hope does indeed spring eternal.

Copyright 2016 Business Theatre Unlimited

Elaine M. Decker’s books—Retirement Sparks Redux, 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 anthology: 70 Things To Do When You Turn 70. Contact her at: emdecker@ix.netcom.com.

February 2016

PrimeTime | 21

senior

issues

senior issues

b y d o r e e n p u t na m

b y Ca m i lla Fa r r e ll de ve l o p m e n t d i re c to r , a l z h e i m e r ’s association r i chapter

Alzheimer’s Early Stage Program

Retirement: A Double-Edged Sword

“Although I have a diagnosis of early memory loss, I am learning to be healthier and have fun among friends who are in the same boat as me.”

This program is offered to people who have a diagnosis of early memory loss. It focuses on maintaining the quality of life as one learns to communicate with others about common experiences living with memory loss in order to maintain an active lifestyle. The program gives participants the opportunity to exercise, as well as to learn ways to manage the changes in memory from each other and group facilitators trained by the Alzheimer’s Association, RI Chapter. Simultaneously, the program provides time for care partners to pursue their own interests. The program offers valuable information/ resources to families living with someone who has a diagnosis of memory loss in Rhode Island.

Retirement can be a very exciting. Financial responsibilities are not as great as they were when the “kids” were still at home. Hopefully the mortgage is paid off or will be soon. Vacation time can stretch out to be whatever amount of time we want it to be and if we are lucky, we get to do the kinds of things we have always dreamed about doing.

Retirees might be headed for a warmer climate during the winter months or perhaps it’s a “bucket list” trip to Africa or Europe. Maybe it’s spending quality time with your grandchildren or volunteering for WaterFire or the American Red Cross. Having time to hunt, fish or “play” in the garden appeals to many retirees as well. On those summer days it might be walking on Narragansett Beach.

But retirement can be a double-edged sword. There are those in the retirement age bracket who are finding they are dealing with other pertinent issues within their life. Many older individuals are saddled with a myriad of medical issues that may limit their effectiveness in the work force or even restrict their activities during retirement.

Many men and women are extending their work life and we find retired people back in the work force with part time jobs in fields unrelated to their training or work history.

But for those individuals who are ill, infirmed or facing dementia or Alzheimer’s disease this is not the case.

Statistics tell us that in 2015 there were over 25 thousand people diagnosed with Alzheimer’s disease in the state of Rhode Island. Individuals and families who are facing this destructive disease are and will be facing years of care and challenges.

Alzheimer’s disease is a progressive, long term, terminal illness. Once a diagnosis has been identified, someone could need specialized care for another 10 – 15 years. Nationally there are more than 5 million Americans suffer-

Benefits of Social Engagement • Allows group members to be proactive about their memory loss • Offers a social and support system outside of the family • Provides chances to participate in activities one likes to do in the community and at program site • Participate in physical and mental exercise that is beneficial for overall health • Receive information regarding supportive resources outside the group setting • Opportunities to share interests and hobbies through fun & socialization • The group becomes part of a personal health program • Gives members a voice to educate others about having memory loss Eligibility to join the Early Stage Program • A diagnosis of mild cognitive impairment, early Alzheimer’s disease or other early memory disorder • A willingness to acknowledge memory loss • A desire to participate in social and group activities • A desire to increase physical fitness and energy • A desire to learn about your memory loss and ways to manage it • A willingness to meet with the Alzheimer’s Association staff to determine eligibility Please contact the RI Chapter for more information on this program and to schedule a time to meet with the Program Manager, Annie Murphy to determine eligiblity. Call 1-800-272-3900 or email mmurphy@alz.org and ask for Annie Murphy.

The Alzheimer’s Association Rhode Island Chapter, an affiliate of the National Alzheimer’s Association, is a private, nonprofit organization started in 1989 by family caregivers and interested community healthcare professionals. The Chapter programs and services include a 24/7 Helpline, Support Groups, Training for Families, Early Stage Engagement, Newsletter, Advocacy, Resource Library, Conferences, Lectures, and special fundraising events.

If you are interested in receiving more information about Chapter programs, please contact Program Manager Annie Murphy mmurphy@alz.org or Development Director, Camilla Farrell, cfarrell@alz.org

ing from this disease and by 2050 it is expected that more than 15 million will be diagnosed.

So, what is Alzheimer’s disease? AD destroys the physical structure of the brain that controls our cognitive abilities and bodily functions. It affects short term memory and one’s ability to make good decisions. Judgment is impaired and many times patients will experience personality changes. Eventually, over a period of years, they will lose the ability to care for themselves.

They will no longer be able to handle their ADLs (Activities of Daily Living) which include bathing, dressing, walking, eating, etc. You may be in a position to care for your loved one at home, but many families must consider adult day care, assisted living memory-care communities or nursing home placement. These are not easy decisions to consider. Eventually you will want to know more about Hospice and how they may be able to help your family and your loved one.

Be assured that there are resources available in the Rhode Island area to assist you as you travel this long road.

If you are suspicious that a loved one might be showing the early stages of dementia or Alzheimer’s disease, please contact your physician. The sooner you recognize what is happening, the sooner you will be able to help your loved one and yourself, as a caregiver.

DCPutnam Consulting is available to assist your family in clarifying the disease process; give you one-on-one, personal attention; and help your family understand the behaviors and challenges you are or will be facing. Doreen Putnam, 401464-2372 or (doreen@dcputnamconsulting.com)

BANKRUPTCY $

950

00

Atty. Fee

Chapter 7 Bankruptcy Payment Plan Available

Attorney David B. Hathaway Former Chapter 7 Bankruptcy Trustee

Senior Discounts 22 | PrimeTime

401-738-3030

ribankruptcy.net February 2016

BUSINESS PROFESSIONALS AND

SERVICE DIRECTORY

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LABORATORY SERVICES

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Quidnessett Memorial Cemetery EST. 1902 ~ HISTORIC ~ NON-DENOMINATIONAL

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REAL ESTATE

BAYADA provides: • CNA and homemaking services (from 1-24 hrs./daily) • Variety of payment options, including Medicaid, state waiver programs, and private pay Call 401-330-2525 www.bayada.com

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February 2016

MEDICAL PROFESSIONALS

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PrimeTime | 23

Sprin g

Senior Living Expo!

Thursday

April 14, 2016 Warwick Mall 10:00 AM - 3:00 PM

For registration information call Lisa Bronstein

American Health Resources, Inc.

508-588-7700 or e-mail lisab@ahrevents.com

exhibitors wanted S p r r i u n o g s e s x i p m o t ! ’ n o D 24 | PrimeTime

February 2016