June 2020 Senior Spectrum Newspaper by Senior Spectrum Newspapers

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When to Get Help If You’re Feeling Down

ow to know the difference between depression and the blues – and when you need to get help.

Feeling down on occasion is normal. Some people get the blues due to the season or something going on in their lives, like the loss of a loved one or a job. But when temporary bouts of sadness, hopelessness, irritability or disinterest last for more than two weeks, it may be more than just the blues. It could be depression. Depression is a medical condition that can be debilitating. In fact, it can even be life-threatening. Research shows there’s a strong link between depression and suicide. But more than half of those who die by suicide were not previously diagnosed with a mental health condition. That’s why it’s important to get an accurate diagnosis if you’re depressed. Suicide is the 10th leading cause of death in the United States, and rates have been rising sharply in recent years. Suicide rates increased by 25 percent from 1999 to 2016, according to the Centers for Disease Control and Prevention (CDC). In 2016 alone, 45,000 lives were lost to suicide. Unfortunately, there’s no single test you can take to get a definitive answer about whether or not you have depression and what the cause of it may be. When depression strikes, doctors first usually probe what’s going on in your mind or brain first. But what’s going on in your head is not always to blame for your depression. Depression can be caused by other health conditions or can be a side effect from medication you are taking. In fact, up to 15 percent of all depression cases can be attributed to these causes. It can also occur more often in people with certain medical issues. For example, depression is twice as likely to occur in people with heart disease. Part of your evaluation will include reviewing your entire health history. Once you know you have depression, it’s time to find an effective way to treat it. There’s not a one-size-fits-all approach that will help everyone. Treatments can range from psychotherapy or cognitive behavioral therapy to medication, light therapy or exercise. What’s effective for one person may not be effective for another and it may take some trial and error to find the treatment that works best for you. But getting screened is the first step to getting the help you need. If you or someone you know is thinking about suicide, call the National Suicide Prevention Lifeline at 800-273-TALK 24 hours a day, 7 days a week. In Nevada, call 1-877-885-HOPE.

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JUNE 2020 THIS ISSUE

EVeRY ISSUE

Page 3 - When to Get Help

Page 4 - US Senator Catherine Cortez-Masto

Page 7 - Farewell to Reno Senior Recreation, Hello Health and Wellness

Page 6 - Sparks City Councilman, Khristopher Dahir

Page 12 - Spending on Medical Services to Raise as Population Ages Page 15 - Simple Steps to Practice Fall Risk Prevention Page 16 - CMS Demo to Lower Insulin Costs Page 17 - Your Brain May Disguise Blinding Eye Disease Page 26 - At 90, Mike Kandel Looks Back

Page 9 - CMS: Got Medicare Page 10 - COVID-19 & Elders - Center for Healthy Aging Page 13 - Staying at Home for Nevada Seniors Page 26 -Swan Song Page 27 - Tinseltown Page 29 - Resources Page 30 - Biggest Little City Page 31 - Crossword Page 32 - Simply Smart Travel

Senior Spectrum Newspaper P.O. Box 7124 • Reno, NV 89510 775/348-0717 email: SeniorSpectrumNV@aol.com Web: SeniorSpectrumNewspaper.com Family Publishers Connie McMullen • Chase McMullen Editorial not necessarily the opinion of SSN www.SeniorSpectrumNewspapers.com // June 2020

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RENO.GOV/COVID19

Opinion

Prioritizing Your Mental Health During the Coronavirus Pandemic By U.S. Senator Catherine Cortez Masto

evadans have endured so much over the past several months as we stay home for Nevada. I’ve heard from countless families with loved ones on the front lines treating patients and providing essential services, from workers facing unemployment and from those struggling with anxiety, depression and social isolation. Seniors are especially impacted, as Catherine Cortez Masto many are part of our essential workforce, or are isolating away from children and grandchildren. And many have the additional worry of loved ones in nursing homes and care centers. The steps our state has taken to keep our families and communities safe have saved many lives, but I know many of us are still experiencing feelings of loss and uncertainty right now. That’s why I’m working harder than ever to ensure all Nevadans, and our senior citizens in particular, have the mental health resources they need during this unprecedented time. Reports have shown that maintaining good mental health can keep us physically healthy, and may even improve our ability to fight off viruses like COVID-19. On the federal level, I’ve continued my work to ensure we’re getting additional funding for behavioral health organizations, mental health treatment options and telehealth programs. Last month, I sent multiple letters requesting billions of dollars in additional funding for mental health disorder and addiction treatment providers, including a letter urging the Trump Administration to help behavioral health centers expand telehealth capacity. Senator Jacky Rosen and I also recently welcomed $1,935,621 from the Department of Health and Human Services to improve access to virtual mental health and substance use treatments in Nevada during the coronavirus pandemic, which is especially useful for seniors and other vulnerable populations who need to safely access resources without leaving their homes. In addition, I’ve supported legislation to increase funding for nursing home inspectors and senior services and cosponsored a bill to help nursing homes access telehealth services and obtain technologies to allow virtual visits, so residents and their loved ones can stay in touch and rest assured that care facilities across Nevada have the resources they need.

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Mental Health / page 4 The State of Nevada has also provided numerous helpful resources for seniors struggling with stress, loneliness and anxiety. Any Nevadan can call 2-1-1 or go online to nevada211. org to access important information and referrals to mental health services in their area. Additionally, if you or someone you care about is feeling overwhelmed with emotions like sadness, depression, or anxiety you can call Crisis Support Services of Nevada at 1-800-273-8255 for 24/7 crisis services. Nevada’s coronavirus website, www.nvhealthresponse. nv.gov, has additional resources on coronavirus symptoms, testing and statewide relief programs, as well as guidance on best practices for nursing homes and care facilities. My office has also published a comprehensive resource guide on my website, cortezmasto.senate.gov, to help Nevadans with issues ranging from mental health to requesting food assistance. Seniors can also take small steps themselves to improve their mental health. The Centers for Disease Control encourages frequent walks or other safe physical activity. Staying connected with family members and friends via the phone or video chats is also a great way to maintain social contact remotely, especially for seniors who live in or have loved ones living in nursing homes. In addition, there are many ways for seniors to help to support their communities from home, whether it is by sewing cloth masks, fostering a rescue dog or simply sharing stories with grandchildren. I want all Nevadans to know that as we face this difficult time together, I’m working hard to ensure we have the resources, funding and supplies necessary to keep our state both physically and mentally healthy. I also want to reassure you that during this “new normal” you are not alone. Resources are available to you and your families. In my own life, I’ve also been looking for simple pleasures to draw strength and inspiration from. Last week, I shared a moment of joy while on the phone with my mother, as she described the hand-painted rocks with inspirational messages she has begun seeing in her neighborhood on her daily walks. This is just one of the many uplifting examples of Nevadans finding creative ways to support their communities. As we continue to work together to fight coronavirus and safely re-open our economy, please don’t hesitate to reach out to my office for assistance. Together, we can emerge from this crisis even stronger. _______________________________________ Reno Office: US Senator Catherine Cortez-Masto, Federal Building, 400 South Virginia Street, Suite 902, Reno, NV 89501. Phone: (775) 686-5750 Fax: (775) 686-5757

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www.SeniorSpectrumNewspapers.com // June 2020

Opinion Kristopher Dahir Sparks City Council

Dining with Dignity

here are many businesses and individuals stepping up in order to help some of our most vulnerable population in our community. One of the programs that I have recently tried to support is our local chapter of Delivering with Dignity. I learned about this amazing program when Lt. Governor Kate Marshall called me and asked if I wanted to get involved. Kristopher Dahir She was working with local restaurants like Liberty Foods Chef and Owner Mark Estee, United Way, donors and other non-profits in order to bring meals to the homes of those people who should be staying home and staying safe during this COVID-19 pandemic. “Instead of those who are immune compromised venturing out into the unknown, we have found a way to bring food from local restaurants to their door,” said Lt. Governor Kate Marshall. My first question to her is how do we pay for this? She was excited to tell me how an angel donor told her that they would give $50,000 if she could find a match and that is just what happened. She reached out to Michael Dermody and Nevada Gold Mines and they both said of course. “During the first week of beginning we delivered 2,034 meals. This is Reno-Sparks, we are a community here and we are stronger together.”

If you are one who should stay home and safe, how do you sign up for food? “Nonprofits are submitting names all the time and people are getting the help they need,” explained Michael Brazier, CEO and President of United Way. If you are not involved in a non-profit and need help, call 775-391-0525. You will leave a message and a student from the UNR internship of public health will call you. They will process your information and will make sure to communicate if you are eligible to begin receiving food. What if I want to get involved and help drive? If you want to drive, then email UWNNS.org/dwd. There is a need of 5-20 drivers a day. While I was down at Liberty Foods, I was able to speak to a couple of the volunteers. One of the people delivering food was a UNR intern who was fulfilling her volunteer hours and the other volunteer was one who just likes to give back to the community on a regular basis. Her name is Rudy Leon. Work has slowed down, and she has the time to give and wants to do what she can to help others. Student from UNR loading food for delivery. All volunteers are given PPE’s for safety and all rules keep everyone safe. This program truly is working well but it is because of the volunteer hours given by so many people.

“We’ve gotten messages from our most vulnerable populations that say, ‘Thank you, I am actually going to eat tonight.’” Brazier said.

Chef Mark Estee (left), Lt. Governor Kate Marshall, and myself (center) posing with a delivery van.

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What if I want to donate financially to the cause? If you are able to donate and want to make sure this program continues through these tumultuous months ahead, please do so quickly as the need is now and this program is trying to grow and reach more people. All donations are tax deductible and go directly to the need at hand.

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Editorial:

by Donna Clontz

Farewell to Reno Senior Recreation, Hello Health & Wellness

ince February 2020, community seniors discovered that the City of Reno was again moving to raise the fees for senior programs and raise the age for their senior Donna Clontz discounts. Many residents wrote, called and emailed the Reno City Council to protest these raises due to their severe impact on low- and fixed-income senior users of these recreation programs. Many residents stated that without more information on how many people would be unable to afford recreation, the council should just leave the fees and the age alone. In mid-March, all city recreation facilities

closed, and activities were suspended. Nearly 370 temporary part-time recreation/parks employees were temporarily laid off. With the closure of UNR,TMCC and the county schools, many part-time college temporary employees lost their housing as well as their jobs. The city’s after-school programs also closed when the county schools closed. However, in spite of community protests, and due to the coronavirus situation and so many unknown economic variables, the council voted unanimously on May 13 to raise recreation fees, raise the age to 60 for senior discounts and do away with a separate Seniors Division and instead combine it with the Recreation Centers Division. Here is a summary of what they approved:

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• Parks and Recreation combined the Recreation Centers division with the Seniors division to create the new Health and Wellness division. All adult programs for those 18 and over will be in the new division, with staff assigned to run programs for all adults. • Fees in various recreation programs will go up by half of what was proposed in February in order to cover the cost of the minimum wage increase. For example, the daily drop-in fee for someone 60+ will be $1.50. For someone under 60, it will be $2 for next year. • The age of a senior is raised from 50 years old to 60 years old for discounted fees. (Fees page 8)

www.SeniorSpectrumNewspapers.com // June 2020

Pass, Rec Centers Pass, and Aquatics Pass. The new pass will allow all holders to do all the senior activities with the daily drop in fee (such as playing cards, beanbag baseball, bingo, shuffleboard, sit & get fit, Super Seniors, etc.) as well as swimming, playing sports in the gym (such as basketball/ pickleball/table tennis) and using the weight rooms. If you do not have a scholarship, you will pay regular drop-in fees or purchase a pass to participate in all these activities. If you are 18-59, you will pay adult fees. Senior discounts start at 60. • Pickleball is removed from the Senior Activity Pass and is now in the same fee structure as open gym basketball. However, free pickleball is included for scholarship-holders in the new Health & Wellness Pass.

Fees / page 7

• All scholarship recipients will automatically receive a Health and Wellness pass at no cost. This will not count toward the maximum $500 credit to be used toward parks and rec program fees. • The Health and Wellness pass includes the Senior Activity

The city is still accepting scholarship applications while its programs are closed. So if you are a single person earning less than $2813 per month, call Reno Direct at (775) 334-4636 to ask them to send you the forms or go online to download them from the Parks & Recreation website https://www.reno.gov/government/departments/parks-recreation-community-services/important-information/registration/scholarships. Since most staff are working remotely, it will take some time to process your application, but it makes sense to apply now if you are interested. Parks, trails and open spaces are still open, so you can take a walk or run and maintain social distancing. When some restrictions are lifted, and facilities begin to open, social distancing may still be necessary. This should not mean that senior activities are last to come back online. The proposed priority for opening up city recreation programs puts senior programs and facilities at the end of the list---after children’s and adult’s programs. This is of great concern to seniors as there are ways to modify activities to incorporate safe social distancing to keep everyone safe. People over 50 who are healthy, with no serious underlying health conditions, have the same right as any other age group to have access to recreation activities. Folks over 50 want and need to be active and social, too. It is not fair to everyone over 50 (or 60, the new “senior”) to be put at the end of the line—shoved to the back of the bus---merely because of age. This is ageist discrimination and should not be tolerated. When these policies are discussed, I urge you to tell the council that healthy seniors should be given the same priority as any other age group and not be left until last. Please let the city know how you view these decisions. Call Reno Direct at (775) 334-4636 or email the council at renodirect@reno.gov.

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For more information, please contact Donna at donnanorm1@yahoo.com or (775) 240-2745.

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CMS

Got Medicare? Get a No-Cost Test for COVID-19

By Seema Verma Administrator, U.S. Centers for Medicare & Medicaid Services

f you have Medicare and want to be tested for coronavirus disease 2019 (COVID-19), the Trump Administration has good news. Medicare covers tests with no out-ofpocket costs. You can get tested in your home, doctor’s office, a local pharmacy or hospital, a nursing home, or a driveSeema Verma through site. Medicare does not require a doctor’s order for you to get tested. Testing is particularly important for older people and nursing home residents, who are often among the most vulnerable to COVID-19. Widespread access to testing is a critical precursor to a safe, gradual reopening of America. When a vaccine for COVID-19 is developed, Medicare will cover that, too. For Medicare beneficiaries who are homebound and can’t travel, Medicare will pay for a trained laboratory technician to come to your home or residential nursing home to collect a test sample. (This doesn’t apply to people in a skilled nursing facility on a short-term stay under Medicare Part A, as the costs for this test, including sample collection, are already covered as part of the stay.) If you receive Medicare home health services, your home health nurse can collect a sample during a visit. Nurses working for rural health clinics and federally qualified health clinics also can collect samples in beneficiaries’ homes under certain conditions. Or you can go to a “parking lot” test site set up by a pharmacy, hospital, or other entity in your community. We’re doing similar things in the Medicaid program, giving states flexibility to cover parking-lot tests as well as tests in beneficiaries’ homes and other community settings. We also implemented the Families First Medicaid eligibility option, which allows states to cover tests for uninsured people with no cost-sharing. Individuals should contact their state Medicaid agency to apply for this coverage. Both Medicare and Medicaid cover serology or antibody tests for COVID-19. These tests can help identify who has been exposed to the virus. Medicare generally covers the entire cost of COVID-19 testing for beneficiaries with Original Medicare. If you’re enrolled in a Medicare Advantage health plan, your plan generally can’t charge you cost-sharing (including deductibles, copayments, and coinsurance) for COVID-19 tests and the administration of such tests. In addition, Medicare Advantage plans may not impose (Medicare Care page 12)

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www.SeniorSpectrumNewspapers.com // June 2020

“Adding Life to Years” Dr. Larry Weiss Center for Healthy Aging

COVID-19 and Elders

ast month I discussed how we all have internalized “ageism”, especially our healthcare workers. Given the tremendous impact that this pandemic has had on all us, I need to elaborate on its impact, especially where it has the greatest number of cases. In Nevada, as of 5/14/20, 661 people in long-term care facilities had Larry Weiss tested positive and 50 people have died. Just under 160 people have recovered. Most of the deaths in Nevada have been residents of care facilities. The two staff members who have died worked at Northern Nevada facilities: Willow Springs and Lakeside Health and Wellness. The largest outbreak in Northern Nevada has been at Lakeside Health and Wellness, where 84 people have tested positive and 15 people have died— the highest number of deaths at a nursing home in the state. That single nursing home is responsible for half of the COVID-19 deaths in Washoe County. The facility with the highest number of infections in Nevada is The Heights of Summerlin in Las Vegas, where 98 people have tested positive and five residents have died. These facts are disgraceful and certainly will increase. Unfortu-

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nately, they are not unique to our state. According to early data shared by the Centers for Disease Control and Prevention, older adults are twice as likely as younger people to develop serious symptoms. Elders experience changes to their immune systems, making it harder for their bodies to fight off diseases and infection. Many elders are also more likely to have underlying health conditions that make it harder to cope with and recover from illness, especially in long-term care facilities. Reducing exposure to pathways by which the disease is spreading is especially important for people at higher risk for serious illness. One study found that more than 10,000 people have died due to the virus in long-term care facilities across 23 states that are reporting such data. However, many states are not reporting death information. In six states reporting data, 50% of all COVID-19 deaths have occurred in long-term care facilities. Clearly the lack of attention to our elders in these living environments is due to a lack of political and healthcare leadership at the top. The Center for Disease Control (CDC) is just this past month paying attention to nursing homes and other longterm care facilities, when the disease has been known since January 2020. The Nevada Division of Health Care Quality and Compliance is now conducting inspections at facilities where outbreaks have occurred. Washoe County Health Officer Kevin Dick has said his agency is working on making testing more available to the vulnerable populations at local nursing homes. During April the National Guard started going in to work with our nursing homes to make sure they’re clean, sufficiently staffed and have adequate personal protective equipment, and they are accompanying state health inspectors doing “auxiliary spot checks” at the facilities. The Guard also assist in the inspections and collection of virus test samples. They focus on: Individuals who are 65 years and older; Individuals with

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Elders / from page 10 chronic lung disease or moderate to severe asthma; Individ uals who have serious heart conditions; Individuals who are immunocompromised; and Individuals determined to be highrisk by a licensed health provider. In addition, last month the Centers for Medicare and Medicaid Services announced that they will require facilities to report COVID-19 information to the CDC and to families. For the first time, all 15,000 nursing homes will be reporting this data directly to the CDC through its reporting tool. With the new regulatory requirements, nursing homes are now required to report the first week of data to the CDC. As nursing homes report this data to the CDC, hopefully swift action and publicly posting this information so all Americans have access to accurate and timely information on COVID-19 in nursing homes will occur. At last some action is being taken. Another critical issue is that the state budgets desperately need assistance from the federal government to avoid deep service cuts that could further harm the economy and elders. It was recently reported that most states cannot cover projected tax revenue losses with available cash and that, in order to avoid budget cuts, more direct assistance will be necessary. Although the bipartisan National Governors Association has requested $500 billion in extra state funding, the White House and many Republican members of Congress have rejected the provision of additional funding. Elders would undoubtedly suffer if state and local services were cut. The state budget problems are directly connected to the spike in unemployment connected to the pandemic, which also triggers a rise in Medicaid enrollment. Medicaid is the federal-state health insurance program for low-income, including elders and people with disabilities in need of long-term care. We need increased federal Medicaid matching funds and targeted resources for Home and Community-Based Services (HCBS). HCBS has been proven to keep people out of nursing homes, which is vital at a time when these institutions have remarkably high rates of COVID-19 infection and death. Medicaid pays for almost two-thirds of long-term care needs for elders and people with disabilities, and is the primary source of coverage for HCBS. Even before COVID-19, nearly 820,000 people were on HCBS waiting lists and the average wait time was 39 months. Unfortunately, HCBS is regularly targeted for cuts, since it is the largest category of optional services in Medicaid. Nursing homes need additional resources to address COVID-19, including additional testing, transparency, infection control, and protective equipment for workers. However, keeping people out of nursing homes by improving access to care at home would save lives and money. Clearly, we have a lot of work to do to educate our political leaders to treat our elders with dignity and equality, each would â&#x20AC;&#x153;add life to years.â&#x20AC;? Lawrence J. Weiss, Ph.D. is CEO of the Center for Healthy Aging. Dr. Weiss welcomes your comments on this column. Write to him at larry@addinglifetoyears.com or c/o Center for Healthy Aging, 11 Fillmore Way, Reno, NV 89519.

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Spending on Medical Services to Rise as Population Ages, Rising Incidence of Conditions Hospitals biggest beneficiaries of government healthcare spending in response to COVID-19

S expenditures on medical services are forecast to increase 5.6 percent annually in nominal terms through 2024, according to Medical Services: United States, a report released by Freedonia Focus Reports. Providers are expected to benefit from continued growth in consumer incomes, government healthcare spending, and the number of acute and chronic conditions. Hospitals are expected to remain the leading provider of medical services in dollar terms due to their specialization in high-cost, complex treatments. The aging of the population and the resulting growth in the

number of acute and chronic conditions will continue to drive demand. Spending for home healthcare services is projected to exhibit the most rapid growth among discrete expenditure segments, with expected annual increases of 7.3 percent in 2024. The lower costs associated with home healthcare services relative to nursing homes and the desire of many people to remain in their homes are expected to drive spending. In addition, the growing elderly population is projected to boost demand. Hospitals are expected to see the most impact from the spread of COVID-19, as they will be treating the most severe cases. Physicians’ offices and clinics are also expected to see COVID-19 patients for less severe treatment and monitoring. Non-emergency visits and elective procedures are being postponed, hurting revenues for hospitals, physicians’ offices, and clinics. Nursing homes and continuing care facilities are expected to see increased staffing and medical supply costs as they try to protect their residents from the impact of COVID-19. Revenues could decline for many facilities as some elderly residents pass away, others choose home healthcare due to safety concerns, and potential new residents delay admission. Home healthcare providers could see an increase in business as more individuals will prefer to receive as much care as possible at home; however, staffing expenses could increase. The report is available at: https://www.freedoniafocusreports.com/Medical-Services-United-States-FF95014/?prog id=91541

Medicare Care / from page 9

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prior authorization or other utilization management requirements on the COVID-19 test or specified COVID-19 testing-related services for the duration of the COVID-19 public health emergency. We have also required that private health issuers and employer group health plans cover COVID-19 testing, and certain related items and services, with no cost-sharing during the pandemic. This includes items and services that result in an order for, or administration of, a COVID-19 diagnostic test in a variety of medical settings, including urgent care visits, emergency room visits, and in-person or telehealth visits to the doctor’s office. From day one, Medicare has worked to ensure that cost is no barrier to being tested for COVID-19, and to make testing as widely and easily available as possible. As a result, we’ve seen a surge in testing among Medicare beneficiaries. Robust and widespread testing is of paramount importance as we begin easing back into normal life. You can always get answers to your Medicare questions by calling 1-800-MEDICARE (1-800-633-4227).

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Staying at Home for Nevada

Paco Lachoy Senior Citizen Advisory Committee

eniors remain the most vulnerable during the present COVID-19 pandemic, which will not end until there is an effective vaccine.

Life as we once knew it has become complicated and non care-free. There is no more doing what you Paco Lachoy want to because you could, You have to be extremely careful with who you interact with and are around. We all need to pay attention to how close we are to people; people who are sneezing or coughing, etc. And we even should be wearing a mask when out in public. Health officials tell us seniors to practice social distancing, but as seniors we need daily interaction with others. Just BE careful out there. As we continue to stay at home. We are definitely starting to feel the pressure from not being able to go here and there as we once did. Seniors are almost being forced to isolate themselves. This is NEVER a good thing. Donâ&#x20AC;&#x2122;t let fear put you in that position. There are services, people to talk to, etc., available.

and can take information, directing it to an agency who can contact you to try and meet your needs. It is available by calling the number above or online at reno.gov. Nevada 2 1 1: is operated by the State Department of Health and Human Services and has a complete guide for elders located on its website: Nevada 211.org. Seniors can also call 2-1-1 to speak with some one who can help. Washoe 3 1 1: is a central hub operated by Washoe County offering information on services and helping residents in need. Seniors can call 311 or visit the website: washoecounty.us/ washoe311. Reno COVID Volunteers, a group started by Reno Councilmember Naomi Duerr of Ward 2 to help deliver food and things to seniors in need. They have been delivering congregate meals to seniors in several of the Reno Housing Authorities locations. (Home page 14)

Because we stay at home (as we have been asked to), seniors are having issues with getting groceries, running errands and picking up medicines or even going to the doctor. Check in on those you know who are alone. Donâ&#x20AC;&#x2122;t let the use of technology come between you and your health. Most insurance providers, medical groups and doctors have some sort of virtual medical visit service available. You can visit and chat with your provider from the comfort of your home. If you are unsure of what to do contact your provider. They will be more than happy to help you or ask a relative or a friend. Virtual doctor visits are easy and fast, and even some urgent care trips can be done virtually. The community has rallied and is offering many things to seniors who are staying at home; who are more vulnerable because of underlying health issues or are just afraid of possibly getting the virus. What help is available? Lets start with: Reno Direct Service (775) 334-4636. It is a clearing house

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www.SeniorSpectrumNewspapers.com // June 2020

Home / from page 13

Delivering with Dignity is a group that gets things to vulnerable populations (seniors and those who have underlying health conditions). They can be reached at (775) 391-0525, leave a message and they will return your call or visit deliveringwithdignityrenosparks.org. Access to Healthcare Network received a grant to provide three bags of groceries to seniors age 60+. There are no income requirements other than age. Access to Healthcare teamed with Raley’s supermarkets for this project. Seniors can get a one time delivery brought to your door by calling and signing up at (877) 385-2345. Shopping Angels was started by a student at the University of Nevada and exploded going nationwide quickly to help especially seniors. They can be contacted on their Facebook page: Shopping Angels Nevada. Or by calling them direct at (702) 389-7228. Food Bank of Northern Nevada; they provide mobile harvest locations where residents can get canned goods and fresh fruits and vegetables; they have a network of local food pantries. They provide seniors with fruits and vegetables at their CSFP box distribution sites (there is no income restriction or other requirement to get the bag of fruits and vegetables, just ask for a bag). They can be reached at (775) 331-3663; all mo-

bile harvest and food pantry sites are available at FBNN.org. Washoe County Human Services Seniors Division, the folks at the Senior Center in Reno have a wide variety of services available for seniors in the community. You only need to be 60 to reach out and see what they have available to help. Call them at (775) 328-2575. The county also provides Meals on Wheels to seniors age 60+ and congregate meals, which are currently grab and go at the following locations: Reno Senior Citizen Center, Ninth and Sutro from 11:15-12:30 p.m., Monday through Friday and at meal sites 11:45-Noon located at Sparks, Sun Valley and Cold Springs Seniors Centers, Neil Road Recreation Center, Riverbend, MetroGardens, Sierra Manor, Silverada Housing and Lazy 5 Park (only Tuesday-Friday). City of Reno Parks and Recreation has created some online and virtual exercise classes people can join in to be active. They are located on the Parks and Rec pages of the City of Reno’s website: https://www.reno.gov/government/departments/parks-recreation-community-services. City Parks are open for walking and hiking, as are park restrooms. Those using facilities are reminded, playgrounds, ballfields, water fountains, Basketball and Vollyball facilities, even if outside remain closed. Outdoor pickelball is available. Washoe County Regional Parks; parks and trailheads, etc., remain open. Officials ask that you be mindful of social distancing if out and walking. Remaining closed is trash service – please “Pack it in, Pack it out.” Includes water fountains, playgrounds, ballfields (baseball, soccer, flat fields), individual and group picnic areas at park facilities. The wearing of face masks has become trendy and fashionable with all kinds of places popping up selling them. There are groups that make masks for free and distribute them especially to Seniors. I need to give a shout out to Masks Across Nevada (it’s a facebook group of mask makers) for donating to the senior living community I live at. The seniors here are on fixed and low incomes and greatly appreciated them. Facebook groups to contact about getting face masks if you are in need: Masks Across Nevada; Nevada FaceMask Warriors, Northern Nevada Mask Coalition with Lexie’s Gift. Face masks are available at several gas station convenience stores, local retail stores, The Flag Store. You just have to look around. A cloth mask is something that is washable. A cloth face mask should be hand-washed after each wearing and dried.

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If you need assistance there is a large list of people and organizations out there. Don’t be afraid to reach out if you need help. Remember to social distance and stay healthy! June 2020June // www.SeniorSpectrumNewspapers.com 2020 Senior Spectrum // www.SeniorSpectrumNewspapers.com

Simple Steps to Practice Fall Risk Prevention Dr. Traci Biondi, Medical Director Prominence Health Plan

id you know that falls are the leading cause of injuries in older Americans? According to the U.S. Centers for Disease Control and Prevention, 25-percent of Americans aged 65 Traci Biondi and older fall each year. Since June is National Safety Month, let us focus on how to prevent this common injury and understand the life-changing effects that can occur after a fall.

analyzing fall-risk prevention, there are a few essential things to consider. First, acknowledging common risk factors that can cause a fall. Then, diving into preventive measures that can help you stay healthy and improve your quality of life.

Many seniors who experience the trauma of falling endure physical pain, caused by injuries such as hip fractures, head bumps and broken bones. Those who have previously fallen or are nervous about it often develop debilitating anxiety. This fear can have a significant impact on their quality of life. Individuals may limit their future activity level and decrease social engagements. This can result in additional functional limitations, physical decline, depression, and social isolation.

Here are just a few simple steps that you can follow to reduce your risk and improve safety.

Falling or the fear of falling can be traumatic, so it is vital to work through the steps to prevent this from happening. When

Physical Risks: In general, as people grow older, certain risk factors can occur, such as poor balance, poor vision, and reduced muscle mass. These physical changes for older adults can take their toll as age and lack of movement can lead to a decline in coordination, flexibility, and balance. Talk with your doctor for recommendations on exercise programs, walking aids, or other ideas that can help improve your balance and muscle strength. (Fall Risk page 16)

June 2020 Senior Spectrum // www.SeniorSpectrumNewspapers.com

www.SeniorSpectrumNewspapers.com // June 2020

CMS Demo To Lower Insulin Costs in Medicare Part D A Critical Step Forward For Patients

he Nevada Partnership to Fight Chronic Disease (PFCD) applauds the Centers for Medicare and Medicaid Services (CMS) announcement of a voluntary demonstration program aimed at lowering out-of-pocket costs for insulin in the Medicare Part D program. The program marks a significant step forward for those who rely on insulin to manage their diabetes and obtain coverage through Medicare Part D. More than 1,750 standalone Medicare Part D prescription drug plans and Medicare Advantage plans have applied to offer lower insulin costs through the Part D Senior Savings Model for the 2021 plan year. These enhanced Part D prescription drug plans will provide Medicare beneficiaries access to a broad set of insulins at a maximum $35 copay for a monthâ&#x20AC;&#x2122;s supply, from the beginning of the year through the Part D coverage gap. The enhanced programs will be available in all 50 states. Based on CMSâ&#x20AC;&#x2122;s estimates, beneficiaries who use insulin and join a participating plan could see average out-of-pocket savings of $446, or 66 percent, for their insulins, funded in part by manufacturers paying an estimated additional $250 million of discounts over the five years of the model. Beneficiaries will be able to enroll in the enhanced Part D Programs during Medicare open enrollment, which is from October 15, 2020 through December 7, 2020 for coverage that begins on January 1, 2021. The Part D Senior Savings Model is a voluntary model that tests the impact on insulin access and care by participating Part D enhanced alternative plans offering lower out-of-pocket costs. One in five Americans age 65 and older has diabetes and most depend upon affordable access to medicines through Medicare Part D. Cost-sharing has a significant impact on medication adherence and health outcomes for people living with diabetes or other chronic conditions. Diabetes also is frequently associated with one or more other chronic conditions. Uncontrolled diabetes raises risks for heart disease, stroke, amputations, blindness, and kidney disease. For these reasons, lowering out-of-pocket costs for insulin will not only save Medicare beneficiaries money, but it will save lives by improving adherence and reducing the toll of diabetes and its complications. The Senior Saving Model Part D program is an important step forward, and PFCD also encourages

policymakers to consider prescription drug rebate reforms as a pathway to do even more to lower out-of-pocket costs for people living with diabetes and other chronic conditions.

Fall Risks / from page 15

Chronic Conditions: More than 80 percent of older adults have at least one chronic condition, such as stroke, diabetes or arthri- tis, which can lead to inactivity, pain, and a decline in function. Becoming aware of chronic diseases and working with your doctor to manage them can help reduce your risk of falling so you feel healthier overall! Environmental Hazards: Poorly placed furniture and items on the floor in your home may increase your risk of tripping and falling. Make simple modification in your home to make it safer. Have family or friends come over to help. Remove throw rugs and clutter. Improve lighting and secure loose handrails. Eyesight: Vision changes are an inevitable aspect of aging, making it more difficult to see obstacles. As we age, it is important to have your vision checked on a regular basis. If you have trouble with eyesight, it is especially important to analyze hazards in your home that may increase your risk of tripping and falling. Simple solutions such as wearing non-slip socks can be essential as getting checkups with your doctor. Medication: Review your medications for side effects that could potentially increase your chance of falling. For example, if you experience any dizziness, frequent urination, lightheadedness, drowsiness or restlessness when taking a medication, make sure to discuss this with your primary care provider. Medications that may heighten your risk include over-thecounter drugs, such as Benadryl. Available Resources: Physical therapists are the musculoskeletal experts. They can work with you to develop a program to improve strength, balance, and functional mobility. Talk to your doctor about a referral to physical therapy if you have experienced any recent falls or have difficulty performing daily activities such as getting out of a chair, stepping onto a curb, or general feelings of unsteadiness. The good news is most falls can be prevented. Donâ&#x20AC;&#x2122;t live in fear of falling. Be proactive and take steps to increase mobility and balance. Reduce your fall risk and improve your health and wellness!

June 2020 // www.SeniorSpectrumNewspapers.com June 2020 Senior Spectrum // www.SeniorSpectrumNewspapers.com

Your Brain May be Disguising a Blinding Eye Disease

ven though Marlene Klein was having trouble recognizing familiar faces and began to mistake her fingers for carrots as she chopped vegetables, she had no idea she was slowly losing her vision to a leading cause of blindness, Age-related Macular Degeneration (AMD). That's because her brain was compensating for the developing blind spots in her vision. Marlene is not alone. According to a recent Harris Poll survey, most Americans are unaware that people do not always experience symptoms before losing vision to eye disease. The American Academy of Ophthalmology is urging people to protect themselves from vision loss from AMD by getting a baseline eye exam by age 40. More than 2 million Americans are living with the most advanced forms of AMD, a number that is expected to reach 4.4 million by 2050. It is the leading cause of blindness among white Americans over 40, and it’s a leading cause of irreversible vision loss throughout the world. AMD happens when part of the retina called the macula is damaged. It’s the part of the eye that delivers sharp, central vision needed to see objects straight ahead. Over time, the loss of central vision can interfere with everyday activities, such as the ability to drive, read, and see faces clearly.

More needs to be done to elevate eye health as a priority. According to that same Harris Poll, while 81 percent of respondents say they do everything they can to protect the health of their eyes, only 11 percent say eye appointments top their list of the most important doctor appointments to keep. But Marlene is not one of them. She is vigilant about keeping appointments with her ophthalmologist. “I keep going back to see my ophthalmologist every month because I want to be able to see my husband’s face and to see my three, beautiful daughters,” she said. Her commitment has paid off. Even though her initial diagnosis was dire, today she can recognize the faces of her family and friends and cook without nicking her fingers. For more information visit EyeCare America.

Because AMD often has no early warning signs, getting regular comprehensive eye exams from an ophthalmologist is critical. Academy guidelines state that adults with no signs or risk factors for eye disease get a baseline eye disease screening at age 40 — the time when early signs of disease and changes in vision may start to occur. From age 40 to 54, get your eyes examined every 2 to 4 years; from 55 to 64, every 1 to 3 years. By age 65, get an exam every one to two years, even in the absence of symptoms or eye problems. If you have risk factors for eye disease, you will need to be examined more frequently. Ophthalmologists – physicians who specialize in medical and surgical eye care – have more tools than ever before to diagnose AMD earlier, and to treat it better. But these advances cannot help patients whose disease is undiagnosed, or patients who are unaware of the seriousness of their disease. “People’s lack of understanding about AMD is a real danger to public health,” said Rahul N. Khurana, MD, clinical spokesperson for the American Academy of Ophthalmology. “As the number of people with AMD is expected to explode in the coming years, it’s more important than ever that we prioritize eye health and have our eyes examined regularly.”

June 2020 Senior Spectrum // www.SeniorSpectrumNewspapers.com

www.SeniorSpectrumNewspapers.com // June 2020

Calendar of Events

2 Coronavirus Resource Guide

Generation Boomer // GenerationBoomerMagazine.com

When considering a safe, phased reopening, events and activities across Northern Nevada are subject to change.

• June 10, The Coors Light Boneyard Blast XIV, 6 p.m., Reno Sports Complex, $30

• July 18, Poison + Joan Jett & The Blackhearts, 7 p.m., Nugget Event Center

• June 17-24, Reno Restaurant Week

• July 21, The Raja’s Birthday Bash, 6 p.m., Atlantis Casino Resort Spa

• Aug 8, Reno Aces vs. Oklahoma City Dodgers, 6 p.m., Greater Nevada Field

• July 23, Little Big Town, 7 p.m., Nugget Event Center

• Aug 8, Agent Orange, 7 p.m., Cargo Concert Hall

• July 2 - Aug 2nd, 25th Annual Putnam County Spelling Bee, Reno Little Theatre

• July 24, Lucas Oil Off Road Racing, • Aug 8, Dublin Dirty Softball Tour4 p.m., Wild West Motorsports Park nament, 8 a.m., Golden Eagle Regional Park • July 25, Northern Nevada Pride, 10 • July 11, Toby Keith, Nugget Event Center, 7 p.m. a.m., Wingfield Park • Aug 15-16, 2020 Reno River Festival Craft Beer Experience, 11 a.m., Wing• July 11, Mike Tyson: Undisputed • July 27 - Aug 2nd, Barracuda Champi- field Park onship, Old Greenwood Truth, 8 p.m., Grand Sierra Resort • Aug 15, Northern Nevada Dragon • July 12, Bill Maher Standup Tour, 8 • July 27 - Aug 1st, PCCHA Road To Boat Festival, Sparks Marina Reno, Livestock Events Center p.m., Reno Ballroom • Aug 15, Joey Diaz, Silver Legacy Re• July 15, Reno 1868 FC vs. San Anto- • July 31 - Aug 1st, Virginia City kicks sort Casino at THE ROW nio FC, 7 p.m., Greater Nevada Field off Hot August Nights • Aug 21, #IMOMSOHARD, Silver • July 14, Sleeping with Sirens, 6 p.m., • July 31, Jason Isbell and the 400 Legacy Resort Casino at THE ROW Cargo Concert Hall Unit, 7 p.m., Grand Sierra Resort • Aug 29, In This Moment, Grand • July 17, Lindsey Stirling, 8 p.m., • Aug 1, Reno 1868 FC vs. Real Mon- Sierra Resort Grand Sierra Resort archs, 7 p.m., Greater Nevada Field • Sep 2 - 7th, Best In The West Rib • July 18, Irreverent Warriors Silkies • Aug 5, Reno Aces vs. Wichita Wind Cookoff, Victorian Square Hike, 8 p.m., Re-Track Plaza Surge, 6 p.m., Greater Nevada Field • Sep 10, Tenth Avenue North - The • July 18, Reno 1868 FC vs. Colorado • Aug 4 - 9th, Hot August Nights, Farewell Tour, 7 p.m., Spirit Filled Springs, 7 p.m., Greater Nevada Field Reno/Sparks Church, $15 June 2020 Senior Spectrum // www.SeniorSpectrumNewspapers.com • July 9 - Aug 13th, Classical Tahoe, Sierra Nevada College

Coronavirus Resource Guide3

Generation Boomer // GenerationBoomerMagazine.com

COVID-19 and Caregiving: Caring for someone living with dementia during the COVID-19 pandemic adds unique challenges for caregivers. This program provides simple tips caregivers can put in place whether the person living with dementia lives at home, in a residential facility, or care providers are coming into the home. TO REGISTER, PLEASE CALL 800.272.3900 OR VISIT US ONLINE AT ALZ.ORG/CRF Monday, June 8, 1-2:30 p.m. | Register Friday, June 19, 10-11:30 a.m. | Register Thursday, June 25, 10-11:30 a.m. | Register Healthy Living for your Brain and Body Thursday, June 4, 10-11:30 a.m. | Register Wednesday, June 10, 3-4:30 p.m. | Register Friday, June 19, 1-2:30 p.m. | Register Tuesday, June 23, 10-11:30 a.m. | Register Monday, June 29, 3-4:30 p.m. | Register 10 Warning Signs of Alzheimer’s Monday, June 1, 1-2:30 p.m. | Register Thursday, June 11, 1-2:30 p.m. | Register Monday, June 15, 10-11:30 a.m. | Register Wednesday, June 24, 1-2:30 p.m. | Register Understanding Alzheimer’s and Dementia Thursday, June 4, 1-2:30 p.m. | Register Monday, June 8, 10-11:30 a.m. | Register Thursday, June 18, 1-2:30 p.m. | Register Monday, June 22, 1-2:30 p.m. | Register Tuesday, June 30, 10-11:30 a.m. | Register

Understanding/Responding to Dementia Related Behavior Monday, June 1, 10-11:30 a.m. | Register Tuesday, June 9, 1- 2:30 p.m. | Register Tuesday, June 16, 10-11:30 a.m. | Register Friday, June 26, 10-11:30 a.m. | Register Dementia Conversations Friday, June 5, 1-2:30 p.m. | Register Thursday, June 11, 10-11:30 a.m. | Register Tuesday, June 16, 1-2:30 p.m. | Register Thursday, June 25, 3-4:30 p.m. | Register Effective Communication Strategies Wednesday, June 10, 10-11:30 a.m. | Register Monday, June 15, 1-2:30 p.m. | Register Wednesday, June 24, 3-4:30 p.m. | Register Monday, June 29, 10-11:30 a.m. | Register Legal and Financial Planning for Alzheimer’s Disease Friday, May 29, 10-11:30 a.m. | Register Friday, June 5, 10-11:30 a.m. | Register Savvy Caregiver Training Dates: Thursdays, June 11, 18, 25 & July 2, 9 and 16 Time: 1 to 3 p.m. Registration required. Contact Rachel Main at 415.463.8505 or by email at rmain@alz.org.

June 2020 Senior Spectrum //

Caregiving While Black Addressing the Cultural Implications of Caregiving Date: Friday, June 12, 2020 Time: Noon to 1 p.m. Register at tinyurl.com/caregiving61220 For more information, contact Karla Fields at kdfields@alz.org or 925.444.0474 www.SeniorSpectrumNewspapers.com

Businesses that May Reopen with Restrictions in Phase 2 Generationthe BoomerGovernor’s // GenerationBoomerMagazine.com (Per Executive Order effective May 29, 2020)

4 Coronavirus Resource Guide

Phase 2 Update: Here’s Who Can Reopen

Please find one-page, industry specific detailed guide sheets at end of this document and links on the covid19washoe.com website. General guidance by industry provided below:

Gyms & Fitness Facilities (including studios): x

x x x x

Members and capacity limited to 50% of applicable fire code allow for social distancing including equipment adequately spaced or listed as “closed” as necessary to ensure distancing Classes limited to number of participants to ensure distancing Face coverings required by employees when practicable Locker rooms, break areas, showers, steam rooms, hot tubs and other communal facilities closed until further notice (restroom excluded) No contact sports allowed (basketball, boxing, martial arts, and wrestling)

Body Art Establishments: x x x x x

Services by appointment only and waiting customers shall wait outside, socially distanced Face coverings required by employees; customers and clients to wear coverings to the extent practicable No body art or piercing may be done around the nose or mouth Employees to be screened for symptoms including temperature check Partitions are strongly encouraged between stations and must be at least 6 ft. apart if no wall or partition between chairs/workstations - see additional state and local guidelines in the industry section of this document

Faith-Based Services (including weddings, funerals, etc.): x

Communities of worship are strongly encouraged to continue to offer online telecommunication tools and drive-up options to conduct services or other operations and are discouraged from operating in person. If a Community of worship elects to conduct in-person services, the following rules must be followed: o Seating arranged to allow for social distancing and restricted to no more than 50 people with face coverings required for anyone above the age of 2 years old (with the exception of readers, song leaders when appropriate) and officiants within 6 ft. of others o Refrain from physical contact of any type and no shared food or drink, including Businesses that May Reopen communion, allowed with Restrictions inare Phase 2,ifContinued Weddings, funerals, baptisms, and initiations permitted the services can be performed following the guidelines contained in this section

Bars, Wineries, Pubs, and Breweries that DO NOT serve food: x

x x x x x

May open and operate at no more than 50% allowed occupancy based on applicable fire code.5 Bartenders and employees must wear face coverings Table service must adhere with 6 ft. distancing Bar seating will ONLY be allowed with proper distancing Billiards, darts, video games, dancing, communal spaces, etc. shall be closed during Phase 2 Waiting customers shall be socially-distanced outside with signage Customer sitting a table only served via table service - may not order from bar top area

Skin Care Salons: x

May open under protocols set forth by the Nevada Board of Cosmetology and include services such as facials, eyelash services, hair removal, esthetician, and tanning June 2020 Senior Spectrum // www.SeniorSpectrumNewspapers.com Partitions are strongly encouraged between stations and must be at least 6 ft. apart if no wall or partition between chairs/workstations

x x

Waiting customers shall be socially-distanced outside with signage Customer sitting a table only served via table service - may not order from bar top area

Skin Care Salons: x

x x x x x

Coronavirus Resource Guide5

Generation Boomer // GenerationBoomerMagazine.com

May open under protocols set forth by the Nevada Board of Cosmetology and include services such as facials, eyelash services, hair removal, esthetician, and tanning Partitions are strongly encouraged between stations and must be at least 6 ft. apart if no wall or partition between chairs/workstations Services by appointment only and waiting customers shall wait outside, socially distanced Face coverings required by employees; customers and clients to wear coverings to the extent practicable Businesses must follow the Enhanced Sanitation Guidelines for Salons in Response to COVID-19 issued by the Nevada Board of Cosmetology Steam rooms, saunas, salt therapy rooms, hot tubs and other communal facilities are not allowed in Phase 2 (except pools â&#x20AC;&#x201C; see Aquatic Facilities)

Massage: x x x x x

Face coverings must be worn at all times by therapists, and staff; clients should wear face coverings to the extent practicable Intake screening, via client intake forms to be conducted prior to treatment Out-call and/or in-home service may be provided â&#x20AC;&#x201C; to follow same protocols as establishments Sanitization guidelines strictly adhered to per state guidelines NAC 640C.200-360 and Businesses that May Reopen conducted between each client with linens properly sealed/treated with Phase 2, of Continued See additional state and localRestrictions guidelines in the in industry section this document

Aquatic Facilities / Swimming Lessons: x

x x x x x x x

Apartment complex, HOA, and pools at hotels/motels/timeshares will be allowed to operate with capacity limited to no more than 50% occupancy based on fire code with 6 ft. social distancing required in and around the pool area (may include removal/spacing of lounge furniture) Hot tubs shall be closed during Phase 2 or until further guidance 6 Locker room restrictions should be enforced to avoid gathering Swim lesson facilities should be limited to no more than 50% occupancy based on fire code with 6 ft. social distancing required in and around the pool area Face coverings for employees but do NOT use face coverings in water Attendees encouraged to bring their own towels, equipment, arrive/leave wearing swimsuit Public aquatic venues with locker rooms must be limited to access for only public restrooms and shower facilities, which should be cleaned regularly Deck layouts and furniture must be arranged to ensure that in the standing and seating areas individuals can remain at least six feet apart

Trade/Technical Schools: x x x x x

May reopen and operate at no more than 50% of allowed occupancy based on fire code Distance learning continued to be encouraged for classes; in person classes must be spaced for 6 ft. distance and masks for attendees/instructors are required Keep a log of attendee contact information and conduct temperature/symptom checks Disinfect classrooms and materials and provide hand sanitizer stations Classrooms for children remain closed in alignment with statewide schools

Indoor Venues / Galleries / Movie Theatres / Bowling Alleys / Arcades x

21 x x

May open/operate at no more than 50% of allowed occupancy based on applicable fire code and maintaining six feet of social distancing Close all interactive and/or hands-on exhibits June 2020 Senior Spectrum // www.SeniorSpectrumNewspapers.com Face coverings required Indoor Malls may reopen and operate at no more than 50% occupancy per fire code, including

Classrooms for children remain closed in alignment with statewide schools

Indoor Venues / Galleries / Movie Theatres / Bowling Alleys / Arcades x

May open/operate at no more than 50% of allowed occupancy based on applicable fire code Generation Boomer // GenerationBoomerMagazine.com

x x x

Close all interactive and/or hands-on exhibits Face coverings required Businesses thatthan May Reopen Indoor Malls may reopen and operate at no more 50% occupancy per fire code, including no more than 50% capacity each individual store,2,which must comply with all the Continued with within Restrictions in retail Phase retail business restrictions, including six feet social distancing. â&#x20AC;˘ Face coverings are required for employees interacting with the public and are strongly encouraged for all customers â&#x20AC;˘ Mall operators will be responsible for prohibiting customers from sitting or lingering in any congregation areas (inside or outside) of an indoor mall (except for food court below); benches and seating areas shall be closed Food Courts may only operate at 50% capacity and under other restaurant restrictions 7

6 Coronavirus Resource and maintaining six feetGuide of social distancing Coronavirus Resource Guide

Outdoor Venues / Galleries / Zoos / Miniature Golf / Amusement Parks / Climbing Walls / Racetracks x

x x x

Does NOT include live performances with spectators May open/operate at no more than 50% of allowed occupancy based on applicable fire code and maintaining six feet of social distancing Water parks will be allowed to operate

Businesses REMAIN at Businesses that Remainthat Closed atCLOSED Beginning of Phase 2 Beginning of Phase 2

Special events & gatherings of more than 50 people

Adult entertainment establishments

Live sporting event venues with spectators

Live performance venues with spectators

Nightclubs & day clubs

Spectator-less and closed events o In Phase 2, spectators will NOT be allowed at events with live performances and performers. However, certain events will be allowed under specific restrictions for the purpose of broadcasting or live streaming, but they will NOT include a live audience or any spectators o

This may include sporting events, concerts, theater performances, or other entertainment type events. There will be also be protocols for other spectator-less events that will not be filmed or broadcasted

To hold a spectator-less or closed event, the event operator is required to submit an 8 operation plan to the appropriate entity with jurisdiction over the event. For example, the Gaming Control Board will approve events on gaming properties, the Nevada Athletic Commission will approve events for any athletic competitions that it regulates, and the Nevada Department of Business & Industry will approve all other operations June 2020 Senior Spectrum // www.SeniorSpectrumNewspapers.com

Coronavirus Resource Guide7 Nevada United: Roadmap to Recovery Generation Boomer // GenerationBoomerMagazine.com

Stay At Home Restaurants

Curbside/Delivery/Pickup

Bars, pubs or taverns serving food

Curbside/Delivery/Pickup

Battle Born Beginnings

Silver State Stabilization

Limited, day-use only

Limited day-use & overnight stays w/restrictions

(Phase 1)

(Phase 2)

Bars not serving food Essential businesses remain open; Limited curbside/Delivery/Pickup

Retail Barber, nail & hair salons Aesthetic service establishments Spas & massage therapy Body art & piercing establishments Gyms, fitness facilities Recreational areas & pools Movie theaters, bowling centers, arcades etc Nevada State Parks Cannabis

Curbside/Delivery/Pickup On track for June 4 phased-in reopening

Gaming Nightclubs & dayclubs Adult entertainment establishments Brothels Gatherings

10 people or less

Open/lifted

Open but with additional restrictions

10 people or less

June 2020 Senior Spectrum // www.SeniorSpectrumNewspapers.com

Closed

50 people or less

8 Coronavirus Resource Guide

Generation Boomer // GenerationBoomerMagazine.com

Continue to Operate Under Pre and Phase 2 Standards

Continue to Operate Under Pre and Phase 2 Standards x

Grocery Stores: Will still not be allowed to offer self-serve food options such as salad bars and unpackaged dry goods, like nuts, seeds, coffee, etc. Stores can still pre-package these items and sell them, but they can no longer remain open for self-service. Cap at 50% of store capacity based on local fire code to maximize spacing between customers. Staff should maintain a count of the number of customers exiting and entering stores.

Recreational areas: Local governments shall continue limiting the general public's use of shared recreational equipment, including playground equipment, basketball courts, volleyball courts, baseball fields, beaches, or football fields in a manner that causes the congregation of 50 or more persons contrary to best COVID-19 disease mitigation social distancing practices.

Golf, tennis, and pickleball activities: May continue to operate as long as they comply with social distancing, sanitation, and other requirements to prevent the spread of COVID-19.

State parks: Continue as day use only and now with restrictions on overnight stays.

Beverage production facilities (e.g. breweries, distilleries, and wineries): without food service options may now open at 50% maximum capacity/distancing and may continue to manufacture product and can continue curbside and/or pick-up operations. NO serving for consumption on the premises. Many of these are licensed and permitted as Bars.

Restaurants: strongly encouraged to continue reservations, curbside, delivery, and/or pickup operations. Continue dine-in and waiting areas under existing strict social distancing requirements. Self-service stations remain â&#x20AC;&#x153;not permittedâ&#x20AC;?. Bar seating will be allowed with social distancing restrictions.

Pubs, Wineries, Bars, Breweries that serve food: strongly encouraged to continue curbside pick-up/carryout and may open based on general restaurant restrictions; bar-tops now open to drinking and eating with social distancing measures enforced.

Retail: employees should wear masks/face coverings and encourage customers to as well.

Continue to Operate Under Pre and ordering Phaseand 2 Standards, Continued Continue to promote and continue online or call-in curbside delivery. Continue to limit number of customers to no more than 50% of allowed occupancy. See guidance on open air and indoor malls as well as vehicle dealerships on the State of Nevada website.

Barber Shops, Hair and Nail Salons: continue to operate under strict social distancing requirements with partitions between workstations strongly encouraged. Services by appointment only and waiting areas must adhere to strict social distancing. Face coverings required and staff to follow the Enhanced Sanitation Guidelines for Nevada Salons.

Professional Services and Other General Office Environments: Legal services, accounting services, and real estate services should be conducted virtually or by telephone whenever possible. Staff should be encouraged to continue to work from home as much as possible 9 or return to work in phases.

State and Local Governments: State and local government offices may begin to open to the public during Phase 2 in a responsible way to provide services that cannot be provided online.

Cannabis Dispensaries: no change from Phase 1 directive - retail cannabis dispensaries were able to offer curbside sales and home delivery as well as in-store sales pursuant to guidance theSpectrum Marijuana Enforcement Division / Cannabis Compliance Board. Junefrom 2020 Senior // www.SeniorSpectrumNewspapers.com

Coronavirus Resource Guide9

Generation Boomer // GenerationBoomerMagazine.com

Individual Guidance – Phase 2 Individual Guidance – Phase 2 Individual Guidance – Phase 2

x x x x x x x x x x x x x x

The public is still strongly encouraged to continue staying home and limit trips as much The public istostill strongly to as possible mitigate theencouraged spread of Covid-19 continue staying home and limit trips as much Face coverings strongly encouraged in public as possible to mitigate the spread of Covid-19 or around persons from other households Face coverings strongly encouraged in public General public encouraged (but not required) or around persons from other households to stay home General public encouraged notpeople required) Limit public gatherings to up(but to 50 with to stay home social distancing and face masks Limit public gatherings to up to 50 people with Maintain 6 ft of social distancing with nonsocial distancing and face masks household members Maintain 6 ft of social distancing with nonVisits to senior living facilities, long-term household members care facilities, nursing homes, and hospitals Visits to senior living facilities, long-term prohibited care facilities, nursing and hospitals If tested positive must homes, stay at home/quarantine prohibited for two weeks If tested positive must stay at home/quarantine for two weeks

x x

x x x x

Vulnerable populations should stay at home including those: Vulnerable populations should stay at home x 65 years and older; including those: x With chronic lung disease or moderate x 65 years and older; to severe asthma; x With chronic lung disease or moderate x With serious heart conditions; to severe asthma; x That are immunocompromised; x With serious heart conditions; x That are pregnant; and x That are immunocompromised; x Determined to be high risk by a x That are pregnant; and licensed healthcare provider x Determined to be high risk by a Travel guidelines remain in place licensed healthcare provider Adhere to self-quarantine and monitor health Travel guidelines remain in place for 14 days after arriving/returning to Nevada Adhere to self-quarantine and monitor health for 14 days after arriving/returning to Nevada

Guidance Guidance Adhere to "Social Distancing" measures

maintaining at least six (6)Distancing" feet of space from other individuals Adhere to "Social measures maintaining at least six (6) feet of space from other individuals

"Sanitation Requirements" or "sanitation measures": x Washing hands with soap and water for at least twenty (20) seconds as frequently as possible "Sanitation Requirements" or "sanitation measures": or using hand sanitizer x Washing hands with soap and water for at least twenty (20) seconds as frequently as possible x Covering coughs or sneezes (into the sleeve or elbow, not hands) or using hand sanitizer x Regularly cleaning high-touch surfaces x Covering coughs or sneezes (into the sleeve or elbow, not hands) x Not shaking hands x Regularly cleaning high-touch surfaces x

Not shaking hands

Confirmed / Symptomatic Cases Confirmed / Symptomatic Immediately isolate the individual – seekCases medical

care if necessary 9 Immediately isolate the individual – seek medical care if necessary 9 Contact the Washoe County Health District at (775) 328-2427 suspected cases or exposure 9 about Contact the Washoe County Health District at (775) 328-2427 about suspected cases or exposure 9

3 3

June 2020 Senior Spectrum // www.SeniorSpectrumNewspapers.com

THE ECLECTIC OBSERVER by Janet Ross

SWAN SONG

Myron "Mike" Kandel, 90, Looks Back on 'Moneyline'

t was April of 1998 when my first column, The Eclectic Observer, appeared in Senior Spectrum. That’s twenty-two years and 263 columns.

The first one featured the vast resources of Nevada Libraries in Washoe County; the last, in April this year, was about the Blizzard of 1899 in South Dakota. (Prior to my writer’s relationship with Senior Spectrum, I began with a Nevada Newcomer column in the Sparks Tribune back in 1973, when we first arrived in the area.) Janet Ross

I have been very lucky as a writer to have supportive editors and the ability to write whatever I chose. There were only two topics I avoided – politics and religion. Anything else was acceptable, including garden snails, red cabbage, small appliances, Denmark, high school reunions, good books, local travel, an eggplant festival, etc. - you get the idea, whatever inspired me at the time and ahead of deadline for publication. It’s been a joy to have such incredible freedom as I inform, entertain and recommend for others to enjoy. A huge thank you to my editor, Connie, for making this possible. But it’s time, time to close this door in my 84th year, time to take a new direction with doing something creative (even if it’s only pulling weeds in the garden or “weeding” seldom worn clothes from the closet). We are all encountering a year of major changes to our lives with the only certainty there are more changes to come. May you and your loved ones stay well and continue to read this excellent publication for years to come. My best regards to all my readers, Janet Ross Editor’s Note: It is with great sorrow that this day has come. I wish Janet the best and a future filled with new adventures.

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Myron "Mike" Kandel in his CNN office. (Photo: Dean Rotbart - 2001)

head of the 40th anniversary of the founding of Cable News Network, NewsLuminaries.com presented an oral history with Myron “Mike” Kandel, now 90, reflecting on the start of the 24/7 all-news network and its pioneering economic news program “Moneyline.” Moneyline first aired on Monday, June 2, 1980, a day after CNN’s official launch. The live weeknight Wall Street and consumer news half-hour quickly became a mainstay, setting the standard for business and financial television programming. Kandel previously had served as financial editor of The New York Herald Tribune, The Washington Star, and the New York Post. For 25 years, Kandel reported and commented on the major financial and general news stories of the era, including seven presidential elections, the stock market crash of 1987, the dot-com bubble, the aftermath of the September 11 terrorist attacks, and an untold number of stories on the economy, mergers and acquisitions, regulations, and business bankruptcies. Recent oral histories available at NewsLuminaries.com include interviews with Neil Cavuto and Maria Bartiromo of FOX Business Network, Stephen J. Adler, editor-in-chief of Reuters, Nina Easton of Fortune Magazine’s Most Powerful Women conferences, and Henry Dubroff, founder and editor of the Pacific Coast Business Times.

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Tinseltown Talks:

By Nick Thomas

Kelly Stewart Remembers Dad Jimmy Stewart “Dad sat in a big comfy armchair that had a matching footrest and no one else ever sat in that chair when (he) was home! When he was working on a movie, he would sit with the script in his hands and his lips moving saying his lines to himself. He never said anything out loud. I have that image of him burned into my mind. We never read any of the lines with him. Except for that, he rarely brought his work home with him.” His trademark slow drawl, says Kelly, was no act. “He loved to tell stories about his own experiences and he had great timing. He just took a long time to come out with the punch line!” Although not a traditional father in some ways, she (Tinseltown page 28)

Jimmy Stewart takes high school daughters on a trip to British Columbia to look at colleges. Judy and Kelly (R). Photo provided by Kelly Stewart.

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f you don’t think Jimmy Stewart put the classic in ‘classic movies,’ consider these titles in which he starred: “It’s a Wonderful Life,” “The Philadelphia Story,” “Mr. Smith Goes to Washington,” “Rear Window,” “Vertigo,” “Harvey,” and the list goes on. No wonder Stewart appears near the top of just about every list of all-time most popular classic film actors. With such a resume, it’s hard to imagine the man didn’t develop an ego the size of the famous Hollywood Sign on Mount Lee in the Santa Monica Mountains. But according to his daughter, Kelly, the respectable, unpretentious, all-American guy he often portrayed on film was also the real Jimmy Stewart.

Married to his beloved Gloria for 45 years, the Stewarts had two sons (one killed in Vietnam) and twin daughters. Like her siblings, Kelly never took up acting (she became an anthropologist). “The life of an actor didn’t really look like that much fun to me,” she said. “We went to dad’s set a couple of times (and) it looked very tedious – short takes, just a few minutes long, after which people come rushing up to you, touching up makeup and hair, hovering and fussing and looking. I remember thinking, I could never do this.” Growing up, Kelly recalls her father preparing for roles at home.

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Tinseltown / from page 27 still gives him high praise. “He wasn’t a hands-on dad – he didn’t help us with our homework and I doubt he ever changed a diaper. But he taught by example and just had a very quiet way about him.” Not surprisJimmy Stewart and wife Gloria, twin daughters, Kelly and ingly, Kelly Judy and his two sons, Ron and Mike in 1951. remembers her dad as being gracious with fans. “I’ve had people come up to me and tell me they wrote him a letter when they were in high school and got a personal response back. He had a secretary helping him, of course, but he signed all the letters. I never saw him say ‘no’ to an autograph seeker, even when there were crowds of people. It was actually a kick to get that glimpse of dad’s fame.”

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Jimmy Stewart in Harvey, 1950. Publicity still, Universal Pictures.

When Stewart’s wife died in 1994, Kelly remembers him retreating into great despair. “I think he had just had enough of the world. Dad was the most stubborn person I’ve ever met and was going to do what he wanted – to hunker down inside his beloved home, with his two dogs. At the end, I believe he appreciated his wonderful life and knew he was loved.” This interview for Father’s Day was condensed and edited from the author’s book “Raised by the Stars.”

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BIGGEST Little City by Harry Spencer

Seeing Stars

uring the long lockdown due to the COVID-19 virus, I have spent many more hours before the TV screen watching old movies—many of them produced during the middle of the last century. My two favorite channels on the large flat screen are number one, the Turner ClasHarry Spencer sic Movie channel, and number two, the Western channel. In addition to the great old movies that these two channels disseminate, I especially get a kick out of seeing the vast number of celebrities with whom I have interacted. Most of these old flicks feature an engrossing plot, and there isn’t much in the way of explosions or special effects which seem to dominate the current cinema. The movie “Some Like It Hot” screened the other day, and I spotted four of the characters who I had met personally.

but the two veteran comics made them work. As for Sinatra, I first met him when he made his debut Nevada showroom appearance at the Riverside Hotel in Reno. At that time, Frank Johnson, a Nevada State Journal reporter, and I were able to photograph Frank with his girlfriend Ava Gardner and sell the pic to the wire services. My longest acquaintance with Frank occurred when his son was kidnapped in ’63, and he made the Mapes his headquarters while awaiting word from the kidnappers. For exercise, I took Frank up the freight elevator to the roof of the hotel on a daily basis where we could stroll around. It is hard to imagine the Reno of yore when it was a tiny town that was awash in celebrities in all walks of life. As the performers would stay at the hotels where they were appearing, you could catch them on a daily basis having breakfast, lunch or dinner at one of the town’s dining spots. One of the most famous of those spots was the coffee shop at the Riverside Hotel. The most frequent guest I would catch there, as it was our daily place for AM coffee breaks, was Jimmy Durante. Speaking of the Riverside, at one point in time I happened to turn an inside corner and bump into singer Dick Haymes, who was supposed to be the new Sinatra.

Tony Curtis and Jack Lemmon in "Some Like It Hot", 1959.

First was Tony Curtis who visited the Mapes during the 1960 Olympics with his wife Janet Leigh. Second was Marilyn Monroe who had a summer at the Mapes during the shooting of the Misfits. Third was Jack Lemmon whom I met with the hotel’s booker of entertainment, Pierre Cossette, at a bar in LaCosta, California. The fourth was Dave Barry who played the part of the befuddled orchestra manager and was one of the outstanding comics who appeared regularly on the Mapes’ stage. That film was declared the top comedy of the 20th Century. A couple of really ancient films were those featuring a young Frank Sinatra during his first tour in Hollywood. In one he was paired with Jimmy Durante and in the other he appeared with Groucho Marx. In both offerings it was apparent that the young Sinatra didn’t have the acting skills to carry the films,

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Going back to the Mapes, I especially remember Ray Bolger, an excellent dancer who appeared there, but who insisted on staying at a motel with a swimming pool so that he could get his daily workout to keep him limber. At one point in time, Bolger and I played golf against Charles Mapes and Al Bello at Hidden Valley. Bolger, who was an excellent golfer, gave me some good tips for playing the links sport. On the Western TV channel, I see Robert Wilke on a regular basis. He was the gap-toothed husky guy who usually played the villain, such as his role in High Noon. The reason I remember Bob is that he was the star celebrity at one of the Mapes’ annual golf tournaments. Because he had been preceded by singer Andy Williams, we all thought it was a bit of a come down. Along with Wilke, I have seen other TV shows such as Bonanza, which had its world premiere in Reno, where we had the opportunity to interview all of the Cartwrights. Probably my favorite Western TV star was Jim Arnez, a Silver Spurs winner in Reno, whom I ran into a few years later at the Whisky-A-GoGo men’s restroom where he thanked me again for the spurs he often wore.

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Simply Smart Travel By Jeff and Virginia Orenstein

Québec City & Charlevoix Region, Canada

ote from the Simply Smart Travelers: During this global pandemic, we are avoiding physical travel like most of you. But we’re still thinking about travel and planning future trips. We’re also reminiscing and updating our information from past trips that we would like to repeat. Here is an update of our 2016 trip to Quebec City for you to enjoy until you, too, can hit the road again. Check virus-oriented closings and restrictions before you commit to a trip. If you want to experience a beautiful European-style city without crossing the Atlantic, you should put Québec City on your bucket list. Designated as a UNESCO World heritage site, this charming city of a half a million people situated high on a bluff overlooking Canada’s St. Lawrence River has narrow cobblestone streets downtown, gorgeous views, buskers, an abundance of bistros and boutiques, five centuries of history and French panache. Almost everybody you will encounter in this French-speaking city speaks excellent English. Americans

SOLUTION FROM PAGE 31

The pleasant shops and restaurants in the Charlevoix Region’s Baie St. Paul. Credit: Jeff Orenstein

are definitely welcome and, currently, during the pandemic, the U.S. dollar has very favorable buying power vis-à-vis the Canadian dollar. Dating to the early 17th century, Québec City shows its French and British colonial heritage as well as its Canadian side with the only walled city in the U.S. or Canada, historic fortifications, a bustling old port with quaint shops and modern cruise ships, the ultra-impressive Chateau Frontenac Hotel (built by the Canadian Pacific Railroad in 1893) and great restaurants, shops, museums and a lively arts calendar. Before You Go! Check out • http://www.quebecregion.com/en/what-to-do/activities-attractions/must-see-attractions/ During the pandemic-caused pause in travel, you can enjoy live video of Quebec City online by watching these webcams • https://www.youtube.com/watch?v=z59aSJxdf68&feature=emb_logo • https://www.webcamtaxi.com/en/canada/quebec/cityport.html

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• https://www.webcamtaxi.com/en/canada/quebec/parliament-building.html

Getting There Québec City is accessible by highway, air, train, boat or car. The nearby Charlevoix region is accessible by train, car and boat. • Québec City Jean Lesage International Airport (YQB) has frequent commercial airline service to Canadian, U.S. and international destinations. • The nearest cruise port is right downtown in the Old City riverfront. • Via Rail, the national passenger train system of Canada, serves Québec City with many trains per day and connects with Amtrak at Montreal. • By car, Québec City is on Canadian Autoroutes (freeways) 40 and 20 east and west and from the U.S., Autoroute 55 connects to Vermont’s I-91.

The view from the Montmorency Falls Park rail station shows the spectacular Montmorency Falls (higher than Niagara Falls) as it plunges to the nearby St. Lawrence river. Credit: Jeff Orenstein

When You Are There • Enjoy a meal at a sidewalk café in season. We liked 3 Brasseurs but there are scores of good ones. • Have dinner at an upscale restaurant like Le Grafifiti. • Tour the city on Le Bus Rouge (hop on-hop off) or via a horse-drawn carriage. • Explore the city’s rich history and culture. If You Only Have Two or Three Days: Must-sees • Parliament Hill (Québec Provincial Parliament). • The walled Old City (La Citadelle fortifications and museum European-style shops, galleries, restaurants, and the imposing Chateau Frontenac Hotel). • Taking the funicular or walking down to the Old Port. (Travel page 34)

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Smart Travel / from page 33 If You Have Several Days, enjoy: • Place Royal • Jacques-Cartier National Park, 32 miles north. • Montmorency Falls Park and its gorgeous falls, taller than Niagara. • A round-trip train trip down the St. Lawrence River to Baie St. Paul in the Charlevoix region. The scenery along the river is spectacular and the Charlevoix area is beautiful with summer touring and winter skiing. While in Baie St. Paul, explore Rue Saint-Jean-Baptiste, eat at the Mouton Noir, presided over by French chef Thierry Ferré, built on a spectacular terrace overlooking a river, visit galleries in summer. Stay at Aux Portes du Soleil or the Germain. Ginny O’s Tips For Dressing The Simply Smart Travel Way For Quebec City and Charlevoix Quebec City is an urbane and cosmopolitan place where you can spice things up, wardrobe-wise, with interesting colors, festive sweaters and blouses for women and comfortable jackets and slacks for men. Ties not needed. Be sure to wear comfortable walking shoes and dress for the weather. In Charlevoix, there is more of a small-town atmosphere so casual dress is fine This Destination At A Glance Over 50 Advantage: Great hotels, restaurants and shops. Favorable U.S. dollar exchange. Mobility Level: Moderate, if you want to walk the city’s steps and hills (recommended). Those who cannot/don’t care to walk a lot can take taxis and horse-drawn carriages almost everywhere in the Old City.

The Dufferin Terrace overlooks the Old Port and the St. Lawrence riverfront. The building on the right is the Chateau Frontenac. Credit: Jeff Orenstein

When To Go: Year-round. Summer, fall and winter festivals are popular. Summer is beautiful and winter, though cold, is a bustling time in Quebec City. Museums are open and the city bustles with winter-hardy Québec folks and tourists. Where To Stay: The Fairmont Chateau Frontenac is the best upscale choice overlooking the St. Lawrence. Nearby are many large and small hotels, including the charming Hotel Grande-Allee a ten minute stroll from the Frontenac. Special Travel Interests: French Canadian culture, Canadian history and year-round outdoor activities.

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The view from the train from Quebec City to Baie St. Paul is amazing. Credit: Jeff Orenstein

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