HOUSE CALL: CATCH CANCER EARLY | 3 READER ESSAY | 5 SENIOR MEAL MENUS | 22
FETEYOURFEET Take care of the dogs, and they’ll take care of you / 11-13
golden
TIMES A monthly magazine for the region’s seniors
MARCH 6, 2017 / VOL. 27, NO. 3
golden
TIMES
EDITOR: Julie Breslin, (208) 848-2241 / jbreslin@lmtribune.com ON THE COVER: Photo by Tribune photographer Steve Hanks | Story, Pages 11-14 GOLDEN TIMES P.O. Box 957, Lewiston, ID 83501 goldentimes@Lmtribune.com SUBMISSION DEADLINE for the April issue is 5 p.m. March 20.
ON THE WEB
Find Golden Times online at lmtribune. com/special_sections.
INDEX:
Birthday index:
Advice for retirement planning ............................ 8-9, 14 Birthdays .................................................................... 6-8 Briefs ........................................................................16-17 Crossword / solution ............................................... 4 / 21 Cryptofun ..................................................................... 21 Fete Your Feet: Why foot care is important ............ 11-14 Housecall: Early detection key in cancer fight .............. 3 Meal site list ................................................................. 23 Meeting calendar ......................................................... 18 Need a Hand | Lend a Hand ........................................ 19 Reader Essay: No one here but us chickens, boss ......... 5 Senior meals / Meals on Wheels menus ...................... 22 Social Security department expands services ................ 3 Sudoku / solution .................................................23 / 24 The low down on geriatricians .................................... 10 Three lessons learned in elder care ............................. 24 Word scramble ............................................................. 20 Word Search / solution .........................................18 / 20 90-year-old finishes half-marathon ..............................15
Page 6 .................................... Melba Ashburn Odetta Clear Ruth Polumksy Fred Schmidt Wally Rugg Audrey Jones Page 7 .................................... Myrt Foredyce Peggy Holloway Jim Simons Clara Smith Page 8 .................................... Jean Bangert Muriel Bott Jerome Schrempp
DON’T GET BURNED APRIL CELEBRANTS: Send your information to Golden Times by 5 p.m. March 20.
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Early screening is essential to Social security expands preventing colorectal cancer So cia l S ec u r i t y Q & A
service with new features By Nicole Tiggemann of Tribune News Service
Social Security is always innovating and improving our technology to better serve U.S. citizens. In an effort to meet our goal to deliver innovative, quality services, we are improving how applicants can check the status of Social Security benefit applications online. Placing the “Application Status” feature behind our My Social Security portal provides a secure service delivery channel that will allow the agency to provide detailed status information without requiring a confirmation number. Our first service improvement will include status information for Social Security and SSI benefits initial claims and appeals, but future modifications will allow
you to check the status of medical and non-medical redeterminations. With the new Application Status, you will see: l the Re-entry number for in-progress online applications; l detailed information about the current status of the application or appeal; l the location where your claim is being processed; and l scheduled hearing information for appeals. Log into my Social Security to see what other personalized features are available to you at www.socialsecurity.gov/ myaccount. ——— This column was prepared by the Social Security Administration. For fast answers to specific Social Security questions, contact Social Security toll-free at 800-772-1213 or visit www.socialsecurity.gov
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ancer of the colon 50 percent; but if found and rectum is the and treated at an early fourth most comstage before symptoms monly occurring cancer develop, the opportunity in the United States, to cure it is 80 percent or and nearly 5 percent of better. Most colon cancers Americans will develop start as non-cancerous colorectal cancer in their growths called polyps. lifetime. It is the If the polyps are second leading removed while cause of cancer they are still nondeaths in the cancerous, cancer United States for can be prevented men and women and major surgery combined. More avoided. than 56,000 people Despite the are expected to die widespread availfrom it yearly, but House Call ability of highly 40,000 lives could effective screening be saved with early tests, colorectal screening. cancer screening Because there lags far behind are often no sympscreening for other toms when it is types of cancer. In first developing, general, screening colorectal cancer can only should begin at age 50. be found early through People who should begin regular screening. The screening earlier include benefits of early detecthose with a family or tion and treatment are personal history of colon dramatic. The possibility cancer before the age of curing patients after of 50, those with a long symptoms develop is only history of inflammatory
Dr. Brian Hoffman
bowel disease and some women with a personal or family history of ovarian, endometrial or breast cancer. Colorectal cancer screening is covered by Medicare and most commercial insurances. The American Society of Colon and Rectal Surgeons recommends a colonoscopy every 10 years. Alternative screening exams include an annual digital rectal exam and fecal occult blood test or barium enema every 5 to 10 years. People may lower their risk of developing colorectal cancer by avoiding foods that are high in fat; eating plenty of vegetables, fruits and other high-fiber foods; and exercising regularly. ——— Hoffmann is board certified in general and colorectal surgery. He practices at the Valley Medical Center Division of Catalyst Medical Group specializing in surgical and endoscopic procedures and can be reached at (208) 746-1383, ext. 6100.
I opposed the bond in 2011 because there wass no structural study on the existing school, no comparison of the cost of of remodeling the school compared to construction, no plan for w what hat to do with the old school, no professional-technical program,, no allowances ffor or any athletic fields. And no one reached out to the low-income people to make them aware of the circuit breaker or aker program ffor ntry . those who are truly suffering in this valley country
“The current administration and school board have addressed these issues and that’s why I support this bond and am voting YES on March 14th.”
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The Property Tax Reduction (Circuit Breaker) program reduces property taxes for qualified applicants. The amount of reduction is based on total household income for the previous calendar year. If you qualify, the property taxes on your home and up to one acre of land may be reduced by as much as $1,320. Visit YesLHS.com for more information or contact the Nez Perce County Assessor’s Office at 208.799.3010
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golden times
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C r o sswo r d P u z z l e CLUES ACROSS 1. Pea stems 6. Type of music 9. Leader 3. Distant 14. 5,280 feet 15. Beloved Yankee great 16. A female domestic 17. Free from alcoholism 18. Ribosomal ribonucleic acid 19. Entertains with song 21. Wooden shoe 22. Female horses 23. Group of males 24. Sodium 25. Revolutions per minute 28. Neither 29. Woody climbing plant 31. Dismounted 33. Orbits the earth 36. Female parents 38 Separates acids 39. Origins 41. Stuffing and mounting animal skins 44. Rupture 45. Fathers 46. Large primate 48. Shape-memory alloy 49. Halfback 51. “Family Guy” daughter 52. Irish mountain chain 54. Paired 56. Drinks 60. Death notice 61. Skirts 62. Fertility god 63. Where a curve intersects itself 64. Red Sea port 65. Mozambique seaport 66. Leaver 67. The human foot 68. Crash
CLUES DOWN Solution, page 21 14. Tones down 17. Lunar period 20. Leavened Indian bread 21. Military elite 23. One thousandth of an inch 25. L.A. footballer 26. Land plan 27. A satellite of Saturn 29. “Cat Ballou” actor 30. Obscure aspect of Sun God
and a group of asteroids 32. Indicates the fare 34. __ and feather 35. Round Dutch cheese 37. Begat 40. Relaxing place 42. __ Hit’an of Alaska 43. Belgian city 47. Organ of hearing and balance 49. Isolated Southeast Asian people
50. “Power Rangers” villain 52. Yellow-fever mosquitos 53. Heavy cavalry sword 55. Laundry detergent 56. A way to wait 57. Mother and wife of Uranus 58. Justly obtain 59. Stony waste matter 61. Helps you find places 65. Oil company
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1. Excessively theatrical actors 2. Wings 3. French river 4. Internet device 5. Where Tony Bennett left his heart 6. Flowering shrub that bears gooseberries 7. Brews 8. For each 9. Dictatorships 10. Slavic person in Saxony 11. Nobel laureate Shmuel 12. Lasso
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MOND A Y, M A R C H 6 , 2 0 1 7
Reader Essays Readers are invited to share essays of 300 or fewer words on monthly themes. Staff will choose the best for publication. The April Fool theme, “All in Good Fun,” is an opportunity to share a funny memory from the past or present The deadline is 5 p.m. March 20. Anyone 55 or older in the readership area may submit one essay per month. Electronic submissions are preferred at goldentimes@lmtribune. com. Essays may also be directed to the Tribune office at 505 Capital St., Lewiston, ID 83501. Entries must include the writer’s name, age, city of residence and contact information. Golden Times edits submissions for grammar, factual errors and to conform with Associated Press style.
I
am living my ninth decade, but I clearly remember my first 10 years of life on an irrigated farm on the high desert of eastern Idaho. Spring would come slowly in March, when new life began. Sheep men would buy my father’s alfalfa hay and be able to put on portable lambing sheds for the new babies. They were always so white and soft and lovable. Some ewes turned lambs away, so my mother had bum lambs in the house to care for. I got to help bottle feed and play with them — clean up, too. At times, there might be a calf or piglet before going to the farmyard. Then by train from Missouri to the railroad depot in Hamer and by U.S. mail truck for 20 miles to the farm would come 150 baby chicks. Nearly all made the trip. They were very downy and chirpy and needed a warm incubator for a few weeks. All these animal babies were more fun than work.
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ast March, chickens were in my thoughts. This is my story according to some of my childhood times in the vernacular of yesteryear: In our house of the Old Hen and her exhausted rooster came a change in the life of the old hen. I had serious and very successful cancer surgery. When our baby chicks heard of the problem, these once pullets and cockerels decided they would come at different times to roost and visit and help us. The nursing talent was exemplary, the food was tasty and out of my world. The shopping needed no list. The medical knowledge was terrific learning. The mental and physical therapy was A-1 commendable. And the understanding of this older generation was superb. To see all our chicks in action was very rewarding. Friends and neighbors were comforting and loving, too. We would like you to come again to our nest and roost a while. We can share some clucking about old times and crowing about special happenings in all generations, today. Remember, our nest is always warm and waiting. — Margaret Dammarell, 93, Lewiston
Questions may be directed to Golden Times editor Julie Breslin at jbreslin@ lmtribune.com or (208) 848-2241.
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M O N D A Y, M A R C H 6 , 2 0 1 7
GOLDEN TIMES
5
Birthdays > March 1
> March 5
> March 8
Melba Ashburn, 92
Ruth Bailey Polumsky, 90
Wally Rugg, 94
Melba (Vawter) Ashburn of Lewiston was Ruth Polumsky of Clarkston was born in born in 1925 in Culdesac. 1927 in Bend, Ore. She graduated from CuldeShe graduated from Lewiston sac High School and earned a High School in 1945, and later bachelor of science and masfrom business college. ter’s degrees from the UniverRuth married Kenneth sity of Idaho. “Pat� Polumsky in 1948. He Melba was married for many died in 1984. years to Robert Ashburn, a loShe worked in several offices comotive engineer. He has died. in town before going to Potlatch They had three children: Diane, Corp. as a private secretary in Julie and Doug. 1965. She retired in 1985. Melba worked as a teacher in the Lewiston Ruth has one daughter. She loved to dance School District for 30 years. and enjoys growing her garden. She is a woman of many interests, including music, writing and genealogy. She is a member of many organizations, including the Lewiston Congregational-Presbyterian Church, the Tsceminicum Club, the Retired Educators April birthday celebrants: of North Central Idaho, Alpha Delta Kappa, P.E.O., and the Red Hat Society. Send your information to Melba lives at Wedgewood Terrace, 2114 goldentimes@lmtribune. Vineyard Ave., where she will be among honcom by 5 p.m. March 20. orees at a birthday celebration at 2:30 p.m. March 20. The public is welcome; reservations are requested by calling (208) 743-4545.
Don’t get burned
> March 6
Wally Rugg of Lewiston was born in 1923 in Cabri, Saskatchewan, Canada. He was the third of seven children born to Clarence and Ella Mae (Humphrey) Rugg. When Wally was 4, his family moved to Peck, where he graduated from Peck High School in 1942. Wally served from 194245 with the Army Engineers, two years in the South Pacific Theater. He retired as a printer for the Clearwater Tribune in Orofino after 27 years of service. He served as past Commander of Post 3296 in Orofino and is a life member of the VFW. He is a member of the Odd Fellows Lodge. He moved to Lewiston in 1993 to be close to children John Rugg, Marilyn (Rugg) Britain and Patty (Rugg) Leonard. He enjoys fishing, baseball, playing cribbage and a dance or two.
> March 10 Audrey Jean (Gillespie) Jones, 95
Audrey Jones of Clarkston was born in 1922 to John Carl and Mary Em (Powell) > March 3 Fred J. Schmidt, 80 Gillespie at their family homestead in Fred Schmidt of Lewiston was born in 1937 Lenore. She was the fifth of eight children. Odetta Maxine Clear, 85 in Greencreek. She moved to Lewiston in Odetta Maxine Clear of Lewiston was born He attended Lewis-Clark Normal School 1936 to attend and graduate in 1932, in Asotin to Andrew and Lela Marvin. for two years, graduated from from high school. She graduated from Clarkston High School. the University of Idaho and Audrey married Chester O. She and Gerald Clear were married Feb. 18, taught for 36 years. For the Jones on Jan. 20, 1940, in 1950, in Clarkston. last 28 years of his career, Orofino. He died in 1987. For several years, she was he coached and taught social She and her husband ran employed as a sales manager studies and driver’s educaChet’s Limousine Service in for Fuller Brush. In 1989, the tion for the Lewiston School the area for many years. She couple moved to Jacques Spur, District. retired as a bookkeeper from where they owned and operated After retiring in 1994, Fred the Vogue Shop in 1988. Odetta’s Country Kitchen. They returned to school for a degree Audrey has five sons and four daughters, later sold the restaurant and in Pastoral Ministry and has served for the 21 grandchildren, 47 great-grandchildren returned to Lewiston. last 16 years as an ordained Deacon at All and 25 great-great grandchildren. She enjoys crafts, especially Saints Catholic Church. She is a past member of The Soropcrocheting and embroidery, and likes to Fred likes staying active by volunteering tomist Club and the Eagles Club. Her write poetry. and golfing regularly with his retired friends. hobbies include crocheting, playing She and her husband have three sons, two He and his wife, Karen, have been married Skipbo, doing crossword and jigsaw daughters, 10 grandchildren and five great56 years and have four children, 10 grandpuzzles, watching the Mariners and grandchildren. One daughter died in 1960, children and two great-granddaughters. Seahawks games and visiting with family and one grandson died in 2009. The family will gather in July on the Oregon and friends. A birthday celebration was planned for Coast for a reunion and to happily celebrate Audrey loves company. Please call or stop March 4. Fred’s 80 years of life. in for a visit to help her celebrate.
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MOND A Y, M A R C H 6 , 2 0 1 7
Birthdays > March 13
> March 14
> March 14
> March 16
Myrton “Myrt” Edward Foredyce, 100
Margarete “Peggy” Holloway, 103
Jim Simons, 80
Clara (Froehlich) Smith, 92
Myrt Foredyce of Clarkston was born to Charles Edward and Ethel Christine (Hagan) Foredyce in 1917 in Asotin. He lived on a ranch on Lick Creek and moved to Clarkston in 1925. He won a trophy as “Best Athlete in Asotin County” for 1935-36. Myrt served in the U.S. Coast Guard from 1941-45 on a ship evacuating people from St. George Island in Alaska because it was believed the Japanese were coming to invade. He also served on a ship in the Philippines when the U.S. recaptured that country from the Japanese. After World War II, Myrt was a grader for Potlatch Forests Inc. in Lewiston until 1954. He moved to Coeur d’Alene with Potlatch in grading/quality control from 1955-79, when he retired. He married Phyllis Agnes Schneider Foredyce Jan. 29, 1949, in Walla Walla. She died in 1997. Offspring include a son, two daughters, two grandchildren and a greatgrandchild. Myrt enjoys bowling, yardwork, and watching football and baseball on TV. Celebrations are planned in Clarkston from 12:30 to 2 p.m. March 12 at First Christian Church, 840 10 St., and from 12:30 to 1:30 p.m. March 14 at Lancer Lanes, 1250 Bridge St. Friends are welcome to attend.
Peggy Holloway of Clarkston was born to Walt and Ida Teel in 1914 in Enterprise, Ore. She attended schools in Eden Bench, Troy, Flora, Ore., Asotin and Davenport, Wash. Peggy and Marvin Holloway were married Jan. 1, 1935. They ranched in Oregon until 1948, when they moved to Asotin, where Peggy worked in the telephone office. In 1958, they moved to Pomeroy, where she operated a laundromat and Marvin worked for the Forest Service. They retired in 1971 and moved to Clarkston. Marvin died in 1983. Peggy just moved to Preferred Care Adult Family Home. She has four children, 14 grandchildren, 28 greatgrandchildren and 21 greatgreat-grandchildren. Peggy enjoys flowers, crocheting, crossword puzzles and visiting with her many friends. She is an active member of the Asotin Methodist Church and volunteered at the Asotin County Food Bank until 2012. Friends are invited for cake and punch at an open house from 1 to 4 p.m. March 12 at the Asotin Lions Club hall, 118 Second St.
Jim was born to Loyd and Marguerite Simons in 1937 in St. Maries. He married Ruth Simons April 6, 1956. The Simons family moved to Lewiston from Coeur d’Alene in 1964 and has lived there ever since. He is a retired truck driver and dispatcher. Jim and Ruth have three children, seven grandchildren and eight great-grandchildren. An open house for friends and family is planned from 1 to 3 p.m. March 18 at their daughter’s home in Gifford. ——— To submit birthdays: Birthday announcements starting at age 70 and every year after will be accepted for free publication in the month of the birthday only. Length limit is 200 words. All submissions must include the name and phone number of the person submitting information. Photos are welcome. To have photos returned, please include a stamped, self-addressed envelope. Submissions may be sent to goldentimes@lmtribune.com or Golden Times, P.O. Box 957, Lewiston, ID 83501. Questions may be directed to editor Julie Breslin at jbreslin@lmtribune. com or (208) 848-2241. April birthdays must be received by 5 p.m. March 20.
Clara Smith of Lewiston was born in 1925 to John and Barbara Froehlich in Dickinson, N.D. She was the third from the youngest in a family of seven boys and seven girls. The family lived on a farm in South Dakota, moving to town during the harsh winters. Clara graduated from Coeur d’Alene High School in Coeur d’Alene. She married her high school sweetheart, Donald Smith; they had two children. Clara worked at many family-owned grocery stores, eventually retiring from Rosauers Supermarket. She and Don made many trips south to Arizona to spend winters and visit family and friends. In her younger years, Clara enjoyed fishing and camping and making an enjoyable home for family and visitors. She was known by many as the “Pie Lady” because of her love of baking pies and the high quality of her pies. Clara lives at Wedgewood Terrace, 2114 Vineyard Ave., and will be among honorees at a celebration there at 2:30 p.m. March 20. The public is welcome; reservations are requested by calling (208) 743-4545.
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M O N D A Y, M A R C H 6 , 2 0 1 7
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> March 23
> March 27
Jean Bangert, 92
Jerome Schrempp, 91
Jean (Schooler) Bangert of Lewiston was born in 1924 in Genesee. She and husband Henry Bangert had two sons, James and Richard, and a daughter, Laurel. Jean earned a degree as a registered nurse practitioner and worked as a nurse throughout her adult life in various locations, including at Lewis-Clark State College, Potlatch Forests Inc., and at several doctors’ offices. She also worked as a surgical nurse at St. Joseph’s Hospital. In addition to nursing, Jean’s interests include family, playing bingo and travel. She lives at Wedgewood Terrace, 2114 Vineyard Ave., where she will be among honorees at a birthday celebration at 2:30 p.m. March 20. The public is welcome; reservations are requested by calling (208) 743-4545.
Jerome Schrempp of Lewiston was born to Otto and Theresa Bruder Schrempp in 1926 in Eagle Butte, S.D. He was one of six sons who worked on the family farm. The family relocated to Clarkston in 1942, when Jerome’s father died. Jerome served in the Army and married Jeanne Zellerhoff in 1950 in Colton. They celebrated their 66th wedding anniversary last October. The couple raised their four daughters in their Lewiston Orchards home and were busy with church, their children’s activities and family. Jerome and Jeanne are parishioners of All Saints Catholic Church and actively volunteered for many years in the community, the Boy Scouts and their church’s Religious Education classes. Jerome worked in the grocery business for many years, retiring from Lewiston Grain Growers in 1989. He then served as a maintenance man for Our Lady of Lourdes Church for several years. Jerome enjoys reading, military history, gardening, socializing and spending time with family. In addition to their daughters, the Schrempps have seven grandchildren and four greatgrandchildren. A family celebration is planned. ———
(%
> March 27 Muriel Bott, 80
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Muriel Bott of Pomeroy was born in 1937. She will celebrate her birthday from 1 to 4 p.m. March 25 at the Senior Center, 695 Main, Pomeroy. Friends are invited to the no-gift event being hosted by her children (Jim, Kenny, Eileen and Maria) and grandchildren. Muriel has eight grandchildren and five great-grandchildren. Muriel keeps active with her historical interests, which include the Garfield County Museum, and researching and writing about the history of county families and events. She also enjoys her music and piano, and all of the grandchildren’s events. She worked at the courthouse and then Lewis & Clark Savings and Loan and Sterling Savings Bank, retiring in 2002 as branch manager. golden times
To submit birthdays: Birthday announcements starting at age 70 and every year after will be accepted for free publication in the month of the birthday only. Length limit is 200 words. All submissions must include the name and phone number of the person submitting information. Photos are welcome. To have photos returned, please include a stamped, self-addressed envelope. Submissions may be sent to goldentimes@lmtribune.com or Golden Times, P.O. Box 957, Lewiston, ID 83501. Questions may be directed to editor Julie Breslin at jbreslin@lmtribune. com or (208) 848-2241. April birthdays must be received by 5 p.m. March 20.
High time to think about retirement planning By Nicole Tiggemann of Tribune News Service
Whether you’re at your very first job or wrapping up a successful career, there are always new things to learn about when it comes to saving for the future. Putting money in a high-yield savings account (if you can find one) is always smart, but you can do even more. The U.S. Department of the Treasury now offers a retirement savings option called myRA. There’s no minimum to open the account, you can contribute what you can afford, and you can withdraw funds with ease. To learn more about myRA, visit www. myra.gov/. Hopefully your employer chips in a little. An employer-sponsored retirement plan or 401(k) can be a useful way to set aside funds for retirement, especially if your employer offers matching funds on what you invest. If you don’t work for an employer that offers this type of plan, there are many other plans designed to help you save for retirement. From solo 401(k)s to traditional and Roth IRAs, there are programs designed to fit a multitude of budgets. The earlier you start to save, the more funds you’ll have ready for retirement. And, as always, there is Social Security, which is funded by taxes you pay while you work. To get estimates of future benefits and check your earnings record for accuracy, you can create a my Social Security account at www.social security.gov/myaccount. ——— This column was prepared by the Social Security Administration. For fast answers to specific Social Security questions, contact Social Security toll-free at (800) 772-1213 or visit www.socialsecurity.gov.
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Retirement planning? Couples, mind the age gap But doing so could result in several financial drags on the couple, Hastings says. The early retiree could end up with a shortened age difference in your relationship timeline of Social Security contributions, doesn’t just mean your favorite and miss out on years of contributions to a bands are from different decades. 401(k) or other workplace retirement plan. As you approach retirement together, “Someone has to make sacrifices to that age gap becomes a factor make up for that loss of inin decisions about when you come, and you either do that R on the web retire and when you take Social by working longer or saving Security, and in planning how more,” Hastings says. > RELATED LINKS: much money you need to save If retiring at the same time Social Security and how it should be invested. is important to you, consider Administration whether the older partner – Life expectancy can work longer to meet the A GAP CAN STRETCH YOUR calculator https:// younger one at his or her full RETIREMENT YEARS www.ssa.gov/planretirement age, or use a retireners/lifeexpecEspecially if the younger ment calculator to figure out tancy.html partner is a woman, an age how much more you’ll need NerdWallet difference can mean you to save to accommodate those – retirement need your money to last lonextra years of distributions calculator: https:// ger. Women outlive men on rather than contributions. nerd.me/2k12iP2 average, which adds addiIRS – Joint life tional years to retirement. and last survivor STRETCH YOUR RESOURCES As a couple, your retireexpectancy table: Allocating your investments ment time horizon should be https://www.irs.gov/ with the younger partner in computed from the longest publications/p590b/ mind means you’ll take a more life expectancy of the two of index.html#en—US— aggressive approach, which you, says Kathleen Hastings, 2014—publink should allow your money to a certified financial planner 1000231236 continue to grow and last with FBB Capital Partners in longer. But distributions are Bethesda, Md. required from tax-deferred retirement According to Social Security’s life accounts — like traditional 401(k)s and expectancy calculator, a woman who IRAs — beginning at age 70½. is 45 years old today and reaches full If you’re married, your age difference retirement age at 67 can expect to live an additional 21 years, to age 88. A man who spans more than 10 years and the younger spouse is the sole beneficiary, the amount is 50 today and lives to 67 is expected to of that required minimum distribution live an additional 18 years, to age 85. will be calculated using the IRS’ Joint But as a couple, they may need to draw on their retirement savings from the time Life and Last Survivor Expectancy Table. This allows the account holder to draw he turns 67 to the time she turns 88, a sigless than he or she would if using the table nificantly longer span of 26 years — and for the standard RMD calculation. That many financial planners would add a few years to that projection as extra insurance. can leave more of your money to grow tax-deferred, assuming you want or need to draw only the minimum required. PLAN FOR THE YOUNGER PARTNER You should also consider how to make To plan for those extra years in retirethe most of other sources of income. If ment, mixed-age couples should save the older spouse can put off claiming more, work longer and invest with an eye Social Security until age 70, for example, toward the longer life expectancy in the that person will maximize his or her relationship, says David Hunter, a certified monthly benefit, as well as survivor financial planner with Horizons Wealth benefits for the younger spouse. Pension Management in Asheville, N.C. elections can be set to joint and survivor “The older someone gets, the more benefits, which will allow a surviving conservative they tend to be,” Hunter says. spouse to continue to receive benefits “But when you’re coming at it from two dif- once the pension owner dies. ferent ages, if the older person can stomach All of this requires planning, so as with the volatility, you should probably invest all things retirement, the earlier you get with the younger person’s time horizon in a road map in place, the better, Hastings mind. You’re trying to prepare your assets says. “People often don’t think about this to be around for that second individual.” until it’s too late.” ——— Couples tend to want to retire together, which can tempt a younger partner to This article was provided to The Associated Press by the take early retirement in order to align personal finance website NerdWallet. Staff writer Arielle with the older partner’s retirement plans. O’Shea can be reached at aoshea@nerdwallet.com. By ARIELLE O’SHEA of NerdWallet
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Geriatricians: They’re ‘experts in complexity’ at the end of life.) The patient died peacefully eight months later. Eubank tells of an 80-year-old or months, Teresa Chriscombative and confused patient tensen’s 87-year-old mother, whom her team saw in the hospiGenevieve, complained of tal after one of his legs had been pain from a nasty sore on her right amputated. Although physicians foot. She stopped going to church. recognized the patient was deliriShe couldn’t sleep at night. Evenous, they had prescribed medicatually, she stopped walking except tions that worsened that condition, when absolutely necessary. given him insufficient pain relief Her primary care doctor and overlooked his constipation. prescribed three antibiotics, one “Medications contributing to the after another. None worked. patient’s delirium were stopped. We “Doctor, can’t we do some furmade his room quieter so he was ther tests?” Teresa Christensen disturbed less and stopped staff remembered asking. “I felt that from interrupting his sleep between he was looking through my moth10 p.m. and 6 a.m.,” Eubank said. er instead of looking at her.” “We worked to get him up out of Referred to a wound clinic, Genbed, normalized his life as much evieve was diagnosed with a venous as possible and made sure he got a ulcer, resulting from poor circulapocket talker (hearing device) so he tion in her legs. A few weeks ago, could hear what was going on.” she had a successful procedure to Over the next four days, the correct the problem and returned patient improved every day and home to the house where she’s lived Dreamstime/Tribune News Service was successfully discharged to for more than 50 years in Cottage Many doctors claim competency in caring for older adults. But be concerned rehabilitation. Grove, Minn., a suburb of St. Paul. if they fail to go over your medications carefully, experts say. Would her mother benefit from Finding help. A geriatric conting along in their environment, their 70s, 80s and older who have seeing a geriatrician going forsultation typically involves two how they see their future, their ward, wondered Christensen, her multiple medical conditions. They appointments: one to conduct a support systems, and their intealso provide consultations and mother’s primary caregiver, in comprehensive assessment of your gration in the community,” said work in interdisciplinary medical an email to me? And, if so, how physical, psychological, cognitive Dr. Kathryn Eubank, medical diteams caring for older patients. would she go about finding one? and social functioning, and another rector of the Acute Care for Elders to go over a proposed plan of care. Recognizing that training I reached out to several medical programs can’t meet expected de- unit at the San Francisco Veterans experts, and they agreed that a The American Geriatrics SociAffairs Medical Center. “And when ety has a geriatrician-finder on specialist in geriatrics could help mand as the population ages, the specialty has launched programs a problem arises with a patient, we its website — a useful resource. a patient like Genevieve, with a history of breast cancer and heart to educate other physicians in the tend to ask ‘How do we put this in Also, you can check whether a the context of other concerns that failure, who’d had open heart sur- principles of geriatric medicine. nearby medical school or acamight be contributing?’ ” “We’ve been trying to get all gery at age 84 and whose mobility demic medical center has a declinicians trained in what we call was now compromised. partment of geriatrics. Geriatric syndromes. Another the ‘101 level’ of geriatrics,” said Geriatricians are “experts in Many doctors claim competency essential competency is a focus complexity,” said Dr. Eric Widera, Dr. Rosanne Leipzig, a professor in caring for older adults. Be conon issues that other primary care cerned if they fail to go over your of geriatrics at the Icahn School director of the geriatrics medidoctors often neglect — notably of Medicine at Mount Sinai in cine fellowship at the University medications carefully, if they don’t falls, incontinence, muscle weak- ask about geriatric syndromes or if New York City. of California, San Francisco. ness, frailty, fatigue, cognitive No one better understands they don’t inquire about the goals impairment and delirium. In Essential competencies. Rehow multiple medical problems you have for your care, advised Dr. medicine, these are known as interact in older people and affect searchers have spent considerMindy Fain, chief of geriatrics and “geriatric syndromes.” able time over the past several their quality of life than these co-director of the Arizona Center on “If you’re losing weight, you’re Aging at the University of Arizona. specialists on aging. But their role years examining what, exactly, falling, you can’t climb a flight of in the health care system remains geriatricians do. Also, don’t hesitate to ask stairs, you’re tired all the time, A 2014 article by Leipzig and poorly understood and their expointed questions: Has this docyou’re unhappy and you’re on multiple co-authors defined 12 pertise underused. tor had any additional training in 10 or more medications, go see essential competencies, including Interviews with geriatricians geriatric care? Does she approach a geriatrician,” said Dr. John optimizing older adults’ functionoffer insights useful to older the care of older adults differenting and well-being; helping seniors Morley, professor of geriatrics at adults and their families: ly — if so, how? Are there certain Saint Louis University. and their families clarify their medications she doesn’t use? “Much of what we do is get rid goals for care and shaping care Basic knowledge. Geriatricians “You’ll be able to see in the plans accordingly; comprehensive of treatments prescribed by other physician’s mannerisms and reare typically internists or family physicians that aren’t working,” physicians who have spent an extra medication management; extensponse if she takes you seriously,” year becoming trained in the unique sive care coordination; and provid- Morley continued. Leipzig said. Recently, he wrote of an 88ing palliative and end-of-life care, health care needs of older adults. If not, keep looking for one year-old patient with metastasized who does. among others skills. They’re among the rarest of ——— prostate cancer who was on 26 Underlying these skills is an medical specialties. In 2016, Kaiser’s coverage related to aging & improving care medications. The older man was expert understanding how older there were 7,293 geriatricians in of older adults is supported by The John A. Hartford troubled by profound fatigue, adults’ bodies, minds and lives the U.S. — fewer than two years Foundation. We’re eager to hear from readers about which dissipated after Morley before, according to the American differ from middle-age adults. questions you’d like answered, problems you’ve took him off all but one medica“We take a much broader hisGeriatrics Society. been having with your care and advice you need Geriatricians can serve as prima- tory that looks at what our patients tion. (Most of the drugs had mini- in dealing with the health care system. Visit khn. mal expected benefit for someone org/columnists to submit your requests or tips. ry care doctors, mostly to people in can and can’t do, how they’re getBy Judith Graham of Kaiser Health News
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ost of us would rather not spend much time looking at our feet. Not to mention that many of us can’t, even if we wanted to.
BARE YOUR SOLES CLARKSTON NURSE MEASURES CLIENTS’ HEALTH BY THE FOOT story by MICHELLE SCHMIDT photos by STEVE HANKS
Like it or not, however, foot care is a lifelong responsibility. Age, ironically, makes the task more difficult just at the time of life when it becomes most essential. Neglected feet are not only a bit unsightly, they’re also a health risk.
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While some older adults are able to provide their own foot care, others with physical limitations and certain health conditions need assistance. For folks only looking to pretty-up their toenails, a pedicure at a spa or nail salon will do the trick. But that may not be an option for someone on a limited budget, and the salon treatment is insufficient for those whose health conditions require medical care for their feet. That’s where someone like Linda Busch comes in. Every Wednesday morning, you’ll find Busch at the Valley Community Center in Clarkston, where she provides free medical foot care to Asotin County residents. As a registered nurse who has been trained and certified to provide foot care, she does more than just trim nails and apply lotion.
WALK THIS WAY When a client with an appointment arrives at the community center, Busch welcomes the individual into a private room. As a client walks in, the foot health assessment has already begun. Busch has enough experience in foot care that she can tell a lot about a person’s health by observing their gait; she can, for example, spot hip problems, pain in one leg or some type of an imbalance. This is all helpful information
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BARE YOUR SOLES Continued from Page 11 when it comes to the feet. “You assess constantly as a nurse,” Busch said. Next, she appraises shoes. Excessive wear in one area can indicate an imbalance, poor fit or other problems. She checks to see if shoes provide good support. It isn’t uncommon to find shoes that aren’t serving their owner well, which can contribute to instability and cause unnecessary pain. Scuff patterns and uneven wear can be seen by looking at the outside of a shoe, but a too-small shoe is typically not apparent until the socks come off. And that’s what happens next during a foot care appointment.
whether too small or too big. Busch explained that callouses form where foot bones encounter repeated resistance. When a bone rubs against a shoe, a callous forms; when toe bones rub together, that callous is called a corn. “A callous is the body’s re-
sponse to irritation,” Busch said. Busch is able to trim callouses for immediate comfort, although shoes with a proper fit are a better long-term solution. Well-fitting shoes reduce pain, protect feet from injury, provides traction and help with stability, she said.
THERE’S THE RUB While shoes and socks are removed and placed on a pad, Busch chats about the weather and other benign subjects to help put clients at ease, she said. Occasionally people are uncomfortable with someone else seeing their feet or are reluctant to have their feet handled by someone else because they are especially ticklish. Busch takes time to ensure a positive experience and allay those concerns. When the socks and shoes come off, red marks can indicate an ill-fitting shoe. Older adults often wear shoes that are too small, Busch said, because they’re accustomed to buying a certain size and don’t take into account that feet spread in length and width as people age. A callous or two typically accompanies a poor fit —
BONES OF CONTENTION A better shoe fit is possible even for those who have deformities such as large bunions or amputations. Bunions — bony bumps that form at the side of the big toe — are a common problem. Busch also checks feet for rocker bottom, a condition most commonly seen in diabetics in which the bottom of the foot becomes rounded. The reshaping is a result of charcot foot, which occurs when significant nerve damage causes the bones to weaken. The weakening causes the joints to collapse, and the foot takes on an abnormal shape. Busch is on the lookout for any deformities and offers suggestions that may help. She is able to refer clients with specialized needs to a doctor or podiatrist, and she can also point them in the right direction for finding customized footwear.
NOT IN THE PINK
Clarkston foot care specialist Linda Busch files a client’s toe nails (above and at right). The tools of her trade are pictured at left. Golden Times photos/ Steve Hanks
While trimming the toenails, Busch is able to assess additional elements of foot health. One of the common problems she encounters is fungal nail infection, to which older adults can be more susceptible. An infected nail will grow hard, thicken and become yellowed. Left untreated, the nail can eventually lift from the nail bed and fall off. It’s a common condition that can easily be treated with prescribed medication. Over-the-counter medication, Busch said, tends to be less effective. Among the other things that Busch is trained to look for is discoloration.
> FOOT CARE OPTIONS IN THE L-C VALLEY INCLUDE: Free medical foot care for qualifying Asotin county residents is available on Wednesdays between 9 a.m. and noon. The service includes a nail trim, examination and application of moisturizer; a foot soak is not offered so as to reduce the risk of infection for those who may have wounds on their feet, which are not always visible when small. This is provided
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by Aging & Long Term Care through Linda Busch at the Valley Community Center, 549 Fifth St., Clarkston. Information and appointments are available by calling (208) 743-1459. St. Joseph Regional Medical Center provides medically-based foot care for high-risk patients, said Jolene Tucker, foot care coordinator. SJRMC accepts insurance, but
this service is available only every couple of months to those who are referred by their primary care physician. The purpose of the care is to catch medical problems, look at the health of the foot and trim nails. Happy Feet is a service that provides toenail clipping and basic foot care. Sandie Haddox, owner, is a licensed practical nurse who is
GOLDEN TIMES
trained to provide foot care. She provides the service in her home, where she soaks her client’s feet, clips nails and applies lotion as she checks feet for problems. A nurse’s assistant whom she works with is able to visit clients in their own home for an additional fee. Rates, information and appointments are available by calling (208) 790-4728.
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BARE YOUR SOLES
“Discoloration is usually the first sign of a breakdown,” she said. That’s to say, anything on the foot that’s red, blue or a dusky color indicates something isn’t quite right. She cited an example of a person whose compression stockings were pinching her because they were too tight. Unchecked, that pinch could turn into a wound, so Busch suggested getting a larger stocking. Red marks also appear when a shoe is causing irritation. A blue, purple or dusky color M O N D A Y, M A R C H 6 , 2 0 1 7
is typically a sign that the blood isn’t carrying enough oxygen to the foot, Busch said. She’ll usually check on the heart health status of the person, and as she gathers some health history, she’s able to make a recommendation for care, often encouraging them to make an appointment with a doctor.
SERIOUS DANGER SIGNS Wounds are another problem Busch encounters frequently, especially in those with neuropathy,
which is a numbness or pain that results from nerve damage. Diabetics are especially prone to developing neuropathy. High blood sugar levels affect blood vessels in a way that deprives the nerves and other body parts of oxygen. This deprivation causes damage. Neuropathy is also a common side effect for people undergoing radiation and chemotherapy treatment, Busch said, and among those who consume a lot of alcohol. Exces-
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sive alcohol intake interferes with absorption of B vitamins, she said, which are needed for nerve function. This lack of sensation in the foot puts a person at risk. For example, a person who can’t feel their feet can be unaware of a wound that needs to be dressed or can easily cut themselves when trimming their nails. For diabetics and others with blood
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Saving a little extra makes a big difference to retirement
BARE YOUR SOLES
By SARAH SKIDMORE SELL
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OF THE ASSOCIATED PRESS
circulation problems, these wounds are especially vulnerable to developing an infection, like MRSA or gangrene. An infection that gets down to the bone has to be amputated. Because of the elevated health risks, Busch emphasized that a basic daily foot check is important for those with neuropathy. It is helpful if the check is done by a spouse, neighbor or friend who is able to examine the whole foot. Busch is also on the lookout for swelling in the feet and lower leg. “When you swell, it puts pressure on your circulation system, so it doesn’t work as well,” she said. Swelling, also called edema, often indicates heart problems, Busch said, so she’ll encourage an appointment with a doctor if the person isn’t already being treated for a heart condition. Compression stockings are typically used to help minimize swelling. The compression helps the blood vessels Linda Busch work more effectively in circulating tion by a doctor or podiatrist. the blood. Left unchecked, the swellBusch is able to provide the service ing can get bigger and bigger and may for free to qualifying adults 60 and older eventually leak fluid, bringing a risk because of a grant through the Older of infection. Americans Act and the state of Washington — which is why she is able to KEEPING CLIENTS ON THEIR TOES serve Asotin county residents only. Individuals must complete a form to deterBusch’s full foot health assessment, nail trim and application of lotion takes mine eligibility, but Busch said anyone who feels they need help with foot care about 20 to 25 minutes. Although the typically qualifies. nail trim is what brings most people Individuals may make a donation if in, the full process can provide early they wish, she said, but it’s not expectdetection of existing and potential foot health problems. During checks, Busch ed. Busch is paid through the grant, and donations help replenish those funds so answers questions and educates climore people can access the service. ents about foot care. The assessment ——— also provides valuable clues to general Schmidt can be contacted at (208) 305-4578. health problems that may need atten-
If saving more is your aim but you just never seem to manage it, try this more specific goal on for size — set aside just 1 percent more for retirement. Here are a few reasons why:
IT’S EASY “People sometimes get overwhelmed thinking about it (retirement saving), so we are trying to chunk it up for them,” said Christine Marcks, president of Prudential Retirement, which is urging people to pledge, in person or online, to save one percent more in 2017 toward their retirement. The general rule of thumb is to save 10 to 15 percent toward retirement, but that is often too much off the bat. So start small and try it out — you can add another percent each year if you want. It doesn’t take much time either. You can have withdrawals automatically made from your paycheck or checking account, and setting up the process can take just minutes.
IT WORKS “The fact is, people
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GOLDEN TIMES
who make resolutions on money matters tend to feel better about the state of their finances and are generally in better financial shape than those who don’t,” said Ken Hevert, senior vice president of Retirement at Fidelity Investments. Saving just 1 percent more can make a big difference. Fidelity gives the example of someone at age 25 who earns $40,000 a year. If they add an extra one percent monthly to a 401(k), that’s only an extra $33 a month, but it will mean an added $3,970 at retirement. And it adds up, no matter the age. At age 45, someone earning $70,000 a year is going to have an added $1,880 each year in retirement if they increase their savings by 1 percent now. This minor adjustment also removes another major hurdle for some savers: affordability. The 1 percent savings, which may be pretax, is often so small that the change is barely detectable in your monthly income.
IT’S SCALABLE This is a goal you can build on. If you are already saving, great. But odds are good you could be saving more, so why not nudge it up? If you aren’t saving at all, this is an easy place to begin. You can easily add another 1 percent each year. Or if it feels comfortable, bump it up a notch later in the year. It doesn’t have to be painful. Plus you get the bonus of seeing your contributions grow, which can provide the positive feedback you need to make better choices down the road. “Make a New Year’s resolution to fund your future,” Marcks said. Remember: Saving for retirement is never going to happen unless you start. M O N D A Y, M A R C H 6 , 2 0 1 7
“I’m 90, but I don’t really feel like it. It hasn’t sunk in. After my birthday went by, I said, ‘Am I really 90?’ Because I don’t feel any different.” Dorothy Joy
Great-grandma logs 53rd half-marathon made her stop for the day.” Joy was joined by family at the hospital. UNTINGTON Once home, her husBEACH, Calif. — band told her no more half Dorothy Joy walked marathons. her first Surf City “You see how much inHalf Marathon at age 75. fluence he has,” Joy joked. On Sunday, at 90, she “For her, walking is selfwalked her last. gratification,” Marangakis Or so she says. said. “She’s proving to Surrounded by four herself that she can still do generations of family and it. But I know that she does several longtime friends, like to inspire other people.” Joy celebrated her recent On Sunday morning, Joy birthday the way she has and Dean were up before for a decade plus: by walk5. Marangakis and her ing 13.1 miles on Super daughter like to imagine Bowl Sunday. them blasting “Eye of the “I’ve done 63 5Ks,” said Tiger” while getting ready. Joy, a Yucaipa, Calif., resiFamily members in the dent. “One 10K, 53 halves race wore orange shirts and 10 relays. I’ve moved that read “Team Joy, around a little bit.” walk of ages.” Joy wore a Joy’s active lifestyle yellow visor with flowers inspires family members and ladybugs. and strangers alike, said “I’m 90,” a patch on the daughter Jenny Dean. Orange County Register/Mindy Schauer back of her shirt read. Dean, one of three daugh- Dorothy Joy, 90, gets a finish line hug from Judy Ikenberry after the great-grandmother At 7:45 a.m., contestant ters, and Mandey Maranga- completes her 20th Surf City Half Marathon last month in Huntington Beach, Calif. No. 17847 stood among a kis, one of four grandchilgaggle of runners inching dren, walk with Joy for the Surf City race, dislocating closer to the start line. Roll San Jose Half Marawalking club, the Inland quality time together race her shoulder. Three miles thon every year since its Empire Racewalkers. “Oh, my gosh, it’s days afford. Marangakis from the finish line, she “Pick ’em up and put ’em 2006 inception. Dorothy Joy!” an emcee — the antithesis of a morn- down, Cliff!” Veasey repicked herself up, dusted More than 100 medals bellowed. “Ninety years ing person, she joked — has membered Joy telling him. — many she received for herself off and continued young! Make some noise braved dawn the past few walking. finishing first in her age “We all hope to be half for Dorothy Joy!” years and learned about her as active at 90 as Dorothy,” group — hang on walls “I had her arm, and we The crowd roared. And grandparents’ relationship were going to make it,” inside her home. said Veasey, 56. with that, Joy was off. as a result. Dean recalled. “But this But it’s the half maraDistance races have tak“I’m 90, but I don’t realRecently, Marangakis’ one couple we’d been talk- ly feel like it,” she said. “It en Joy all over the country. thon she couldn’t finish teenage daughter, Ashley ing with before came back hasn’t sunk in. After my that she and her family She’s walked in Phila— one of 10 great-grandto find out what happened. birthday went by, I said, remember most. delphia; Nashville, Tenn.; children — joined the They talked to a police of- ‘Am I really 90?’ Because I Twelve years ago, Joy Orlando, Fla.; and Arizomobile family gathering. ficer on the street and they don’t feel any different.” na. She’s done the Rock ’n’ tripped and fell during a “We talk about all kinds of family history out there,” said Joy, who’ll conThinking of Pre-planning Your Funeral or Cremation tinue to walk competitively but only shorter races. For the past several years, Joy has written her age fol• Prepayment guarantees lowed by “Come walk with the cost of services and me” on the back of her shirt. merchandise at today’s price. She has stories from • Ensures your wishes are met • Pre-plan in your home, our races past of younger men office, by phone or online and women taking her up on the offer. “I hope I’m doing this when I’m your age,” she’s 743-2471 often been told. One year, Joy coached a woman walking her first half marathon up an in920 21st Ave. Lewiston 1-800-900-2471 cline. She later did the same 208-743-6541 or 800-584-8812 All work done by professional memorialists in our own local plant. for Cliff Veasey, a longtime Dennis Hastings www.vassar-rawls.com 1603 Main Street, Lewiston, Idaho 83501 friend and member of Joy’s By Brian Whitehead
The Orange County Register
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B r i ef s Services available for seniors, those with disabilities
Lewiston Parks & Rec plans jaunts
Free help for some tough discussions
Residents 50 and older are eligible to take part in trips being planned by the Lewiston Parks and Recreation Department. All trips begin at the Lewiston Community Center, 1424 Main St. Cost doesn’t include meals or wine tasting fees. Registration is required and can be completed at the Parks and Rec office between 8 a.m. and 5 p.m. weekdays; by calling (208) 746-2313; or online at www. cityoflewiston.org/parksandrec. Lunch and a Tour trips: All trips depart at 11 a.m. l Pataha Flour Mill and Garfield County Museum Tour, March 11. Cost: $25. RegistraSons of Norway plan Scandinavian breakfast tion deadline: March 6. l Matt’s Grill and a Trolley Tour of LewThe Sons of Norway will mark 25 years of iston, April 6: To Asotin for lunch at Matt’s Scandinavian breakfasts from 8 to 11 a.m. Grill, then a trolley tour of Lewiston with March 18 at Valley Community Center, 579 historian Garry Bush. Cost: $40. RegistraFifth St., Clarkston. tion deadline: March 31. The traditional menu includes Oslo eggl Dining on the Edge and Dworshak Dam and-sausage casserole, pancakes, juice, coffee Tour, April 21: Trip to Orofino begins with and a mouth-watering spread of Scandanalunch at Dining on the Edge, then a tour of vian treats including Swedish tea ring, Danish Dworshak Dam. Cost: $25. Registration deadpuff, lefse, rice pudding with raspberry sauce, line: April 17. krumkaka, kransekake and rosettes. l Cinco de Mayo and Basalt Cellars Winery Cost is $7 for adults and $2 for children 6 Tour, May 5: Lunch at Lewiston’s El Somand younger. brero, followed by a tour and tasting at Basalt Cellars in Clarkston. Cost: $25. Registration Senior housing applications welcome deadline: May 1. A senior housing complex under construcAnother trip planned: tion in the Lewiston Orchards is accepting l Lilac Festival, May 20 and 21 in Spoapplications from seniors 62 and older. kane, featuring a flower festival, car show One- and two-bedroom rentals at Kinsale and parade in honor of Armed Forces Day. Place Apartments, 918 Bryden Ave., will be The tour departs from the center at 11 a.m. available this spring. Kinsale is an Equal and will return about the same time the Housing Opportunity business, and Section 8 next day. Cost: $176 covers transportation vouchers are accepted. and an overnight stay at the Northern Quest Information and applications are available Casino, but not meals. Registration deadby calling (208) 743-2800 or (208) 746-2820. line: May 2. Help is available for the elderly and those with disabilities who wish to live independently in their own homes. Deborah Snyder, executive director for the Interlink Volunteer program, will give an overview of services available to folks in the Lewiston-Clarston area. The free program is at 3 p.m. March 7 in the activity room of Royal Plaza Retirement Center, 2870 Juniper Drive, Lewiston. More information is available by calling (208) 746-2800.
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The Alzheimer’s Association plans two free workshops on how to talk to loved ones who may be suffering from dementia. “Dementia Conversations” will offer tips on how to have honest, caring conversations about doctors’ visits, deciding when to stop driving and setting up legal and financial plans. Meetings are 2 to 3:30 p.m. April 13 at the Area Agency on Aging Community Action Partnership conference room, 124 New Sixth St. in Lewiston; and 10 to 11:30 a.m. April 14 at the Unitarian Universalist Church (behind the 1912 Center), 420 E. Second St., Moscow. More information is available by calling (208) 666-2996.
AARP offers smart driver courses AARP is offering driving safety classes in March in Lewiston and Colfax and in April in Moscow and Lewiston. Idaho and Washington drivers 55 and older who complete the course may be eligible for an insurance discount. Idaho drivers of any age who complete the course may be eligible for a reduction in their traffic law violation count. A two-day session is 9 a.m. to 1 p.m. March 16 and 17 at CrossPoint Alliance Church, 1330 Powers Ave., Lewiston. A second class will be 8 a.m. to 5 p.m. March 21 at the Whitman County Public Service building, 310 N. Main St., Colfax. Two-day sessions are 8:30 a.m. to noon April 4 and 5 at Good Samaritan Retirement Center, 640 N. Eisenhower St., Moscow; and 9 a.m. to 1 p.m. April 27 and 28 at CrossPoint Alliance Church, 1330 Powers Ave., Lewiston. Cost is $15 for AARP members and $20 for nonmembers. Early registration is strongly recommended by calling Kay Gaines in Lewiston at (208) 816-3450, Denis Griner in Colfax at (509) 878-1420 or Elaine
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l Coffee & Books: Read and discuss “Honey in the Horn” by H.L. Davis; 10-11 a.m. March 10 Valley Community Center offers activities l Let’s Talk About It: Reading and discussion series on Pulitzer Prize-winning books Activities offered at the Valley Community — “Growing Up” by Russell Baker with Center, 549 Fifth St., Clarkston, include: speaker Paula Coomer, 6:30 p.m. March 14; l Foot care: By appointment Mondays, “Pilgrim at Tinker Creek” by Annie Dillard (509) 330-1857, and Wednesdays, (208) 743with speaker Barbara Meldrum, 6:30 p.m. 1459; call for cost March 28 l Painting class: Noon-3:30 p.m. Mondays l Library board meeting, 5 p.m. March 21 l Line Dancing: 10:15-11:15 a.m. Wednesdays The library, 411 D St., www.lewistonlibrary. l Fitness class: 10:15-11:15 a.m. Tuesdays org, may be contacted at (208) 798-2525 or and Thursdays l Pinochle: 12:45-3 p.m. Tuesdays and Fridays library@cityoflewiston.org. l Roundtable meals: Noon Tuesdays, Seniors welcome to take part in Thursdays and Fridays at VCC and Asotin Asotin County Library activities Methodist Church, 313 Second St., Asotin l Blood pressure checks: 11:30 a.m. Thursdays The Asotin County Library has a handful of l Bridge: 12:30-4 p.m. Thursdays; 10:30 a.m. free adult events planned for this month: to 4 p.m. Saturdays. l AARP tax-aides will be available at 9 a.m. Mondays and Wednesdays through April 12. Classes, events at the Parks & Rec l The Job & Career Catalyst Center is Free regular activities include: available at 2 p.m. Mondays and Wednesdays l Line dancing: 10 a.m. Mondays and 9 a.m. and 1 p.m. Tuesdays and Thursdays. Thursdays Activities are at the Downtown Branch of l Pinochle: 6:30 p.m. Wednesdays the Asotin County Library at 417 Sycamore l Painting club: noon Thursdays St., Clarkston, (509) 758-5454. The Heights l Bridge: noon Fridays Branch is at 2036 Fourth Ave., Clarkston, l Senior lunches: Noon Mondays and Tues- (509) 758-4601; and the Asotin Branch is at days, and 11:30 a.m. Wednesdays. Suggested 215 Second St., Asotin, (509) 243-6010. donation: $4 per senior and $5 per non-senior Sixth Street Senior Center events guest. Senior Nutrition Program home-delivery meal options are available seven days a For a schedule of March activities planned week: (208) 743-6983. at Sixth Street Senior Center, 832 Sixth St., All activities are held at the community Clarkston, call (509) 758-6872. center at the Lewiston Community Center, ——— 1424 Main St. TO SUBMIT BRIEFS: Groups and organizations may submit event
Lewiston library invites seniors to activities
The Lewiston City Library has a handful of free adult events planned for this month. The library will close at 3 p.m. March 25. l Local History: The Local History & Genealogy collection is open to the public 3-5 p.m. Tuesdays and Thursdays.
ar t e H e m o C
information pertaining to seniors in the region for free publication in the monthly Golden Times magazine. All submissions are subject to editing and space restraints and must include the name and phone number of the person submitting the information. Questions may be directed to editor Julie Breslin at jbreslin@lmtribune. com or (208) 848-2241. Submissions may be sent to goldentimes@ lmtribune.com or Golden Times, P.O. Box 957, Lewiston, ID 83501. Information for the April issue must be received by 5 p.m. March 20.
he WOW Factor
First Vietnam Veterans chapter plans for demise Associated Press
RUTLAND, Vt. — The first chapter of the Vietnam Veterans of America is preparing for the day when there won’t be any members left to care for the monument to their service. The chapter is offering the city of Rutland at least $10,000 to set up a fund that will provide perpetual care for the monument, which includes a sarcophagus-like white marble carving of a soldier lying on his back. “Basically what we’re looking at is the fact that all of us Vietnam vets are getting older, and eventually the chapter will disband,” said Andy Megrath, the president of the local chapter, formed in 1980. On paper, the chapter has 141 members, some of whom joined just to be a member of Chapter 1, but many of those men are spread across the world. Only six to eight attend the monthly meetings, Megrath said. They don’t know how long they can hang on. “I’ve been president of the chapter for 13 years now,” Megrath said. “I’m thinking it’s time for me to step down and have somebody else take over, but as of right now it doesn’t look like anybody is really interested in doing that.” Relative to World War II and Korean War veterans, Vietnam veterans aren’t that old. Megrath, a combat veteran who served in Vietnam in 1969 and 1970, is 68, the median age of Vietnam vets, according to the national organization. Nationally, the Vietnam Veterans of America is increasing in size, now with a membership of about 81,000. While some local chapters have gone under over the years, new ones are being formed, especially in the Sun Belt, where many are retiring, said Rick Weidman, the organization’s executive director of government affairs.
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2 0/ 2 0 VISIO N WORD SEAR CH > Solution, page 20
Custom Plaques of Anything Printed in The Lewiston Tribune
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Meetings C alendar THURSDAYS: Weight Watchers, 5-7 p.m., Valley Community Center, 549 Fifth St., Clarkston Fridays and Saturdays: Weight Watchers, 8-10 a.m., VCC MARCH 8: VCC board meeting, 9 a.m., VCC March 18: Sons of Norway breakfast, 8-11 a.m., VCC March 27: Seaport Quilters, 7-9 p.m., VCC
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SUBMIT MEETING INFORMATION: Golden Times publishes Meetings Calendar monthly as a free public service. Submissions must include the organization’s name, meeting date, time and place and a contact name and phone number. Information may be sent to goldentimes@lmtribune. com or Golden Times, P.O. Box 957, Lewiston, ID 83501. The deadline for the April edition is 5 p.m. March 20.
MOND A Y, M A R C H 6 , 2 0 1 7
N eed a h an d | L end a h an d Center at 1424 Main St., provides Disability Action Center-NW Inc. individualized volunteer opportuis a nonprofit organization that nities for those wishing to serve assists people with disabilities in Lewiston, Clarkston, Asotin, to live independently. It offers a Pomeroy, Moscow and the variety of services from Orofino area. For more peer-to-peer indepeninformation and other dent living support, volunteer openings, visit medical equipment www.waidvolunteercentexchange and durable er.org or call (208) 746medical goods exchang7787. Pressing volunteer es, help with self-adneeds this month include: vocacy and access to l Project Warm-Up: Join assistive technology. a small group of volunContact person is Melteers to knit, crochet or lowdee Brooks at (208) weave Wednesdays from 746-9033 or mbrooks@ 1:30 to 3:00 p.m. Make dacnw.org. Need a hand– hats, scarves, mittens or Need a hand? Lend a hand lap robes for donation to Area residents with diswas formerly more than 30 nonprofit abilities who could benpublished as agencies in the fall. Yarn efit from the services Volunteer is provided. listed above are invited Opportunities. l Disaster Action Team to contact the Disability This monthly Member first respondAction Center-NW. feature is a free ers provide comfort and Lend a hand public service. direct assistance to help The Disability Action Its goal is to those affected by disasCenter-NW Inc. needs a connect area ter as they begin the revolunteer receptionist volunteers with covery process. Training in its Lewiston office to folks in our is provided. answer phones, greet communities l Pillowcase Project Preand direct visitors and who need their senter is a preparedness perform various cleriservices. education program for cal duties. Hours are grades three through five flexible. that teaches students personal and family preparedness, safety Lend a hand skills, local hazards and basic copThe WA-ID Volunteer Center, loing skills. Training is provided. cated in the Lewiston Community
Need a hand Lend a hand
l America Reads needs reading tutors to help students become proficient readers. Volunteers need to be able to commit to at least an hour a week for the school year. l A hospital has volunteer positions available at the front lobby information desk, admissions, day surgery waiting rooms and the gift shop. l Meal Sites need regular and substitute meal delivery drivers. A valid driver’s license and auto insurance are required. l Food Banks need people to help stock shelves, staff the front counter and box and distribute food. Current need is for Tuesdays and Thursdays. l A nonprofit needs a receptionist. General knowledge of computers and other office equipment is helpful, but not required. l A nonprofit thrift store needs cashiers and staff for the sales floor, general cleaning, pricing and other tasks as needed. l The Idaho State Veterans Home needs people willing to read, play games, plan activities and/or just socialize with the residents. l A food bank needs a team leader to oversee groups of volunteers. The leader will work with food bank staff, provide orientation and supervise projects.
Lend a hand CASA (Court Appointed Special Advocate) is a national association in need of volunteers. CASA advocates help abused or neglected children who have been removed from their homes. Training is provided. The regional office can be contacted at jlouisecasa@gmail.com or (208) 746-3378. Lend a hand Interlink provides volunteers to enable elders and those with disabilities to live independently in their own homes. The office is located at 817A Sixth St., Clarkston; office hours are 9 a.m. to 4 p.m. Monday-Thursday. The phone number is (509) 751-9143. Volunteer applications are online at www. interlinkvolunteers.org. ——— To submit Need a hand | Lend a Hand items: Golden Times publishes Lend-A-Hand volunteer opportunities in the LewistonClarkston Valley monthly as a free public service. Area agencies who wish to take part may send information to goldentimes@ lmtribune or Golden Times, P.O. Box 957, Lewiston, ID 83501. All submissions are edited for brevity and clarity, and will run as space allows. Questions may be directed to editor Julie Breslin at jbreslin@ lmtribune.com or (208) 848-2241. Deadline for the April edition is 5 p.m. March 20.
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FROZEN FOODS FROZEN FOODS
ST. PATRICK’S DAY
ST. PATRICK’S DAY ST. PATRICK’S DAY
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SIGHT SIGHT
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CRAFTS CRAFTS
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Word Search, page 18
Answers: stored, Irish, focus, yarns
Answers: stored, Irish, focus, yarns
Answers: stored, Irish, focus, yarns
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Answers: stored, Irish, focus, yarns
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Crossword puzzle, page 4
Answers: A. shamrock B. saint C. emerald D. parade
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Therapeutic taping can be a useful tool in the management of many musculoskeletal injuries. The benefits may include increased circulation, Levi Frasier, increased muscle force production, increased PT stability and conversely, increased mobility resulting in decreased pain and improvement in function. Short term studies have measured the effect of therapeutic taping on whiplash associated disorders, plantar fasciitis, and shoulder impingement to name a few. Immediate improvements include increased range of motion with decreased pain but long term impacts can inhibit the decline of muscle strength and prevent a decline in our ability to recruit muscles effectively for optimum function. One particular study on neck whiplash reported a statistically significant reduction in pain report after 24 hour follow up with an added bonus of improvements in mobility into all planes of motion. Clinically, I have found therapeutic taping to be effective in the short term especially with initial acute injury. Therapeutic taping is a useful clinical tool to assist in your recovery. At the Institute of Physical Therapy we strive to provide optimal care for our patients to allow for optimal function after rehabilitation. Please contact our professional staff for an evaluation to determine how taping and therapy may assist with your specific needs.
Answers: A. shamrock B. saint C. emerald D. parade
Therapeutic Taping for Pain Relief and Function
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valley meals on wheels — march menu Meals are delivered to established clients between 11 a.m. and 1 p.m. 365 days of the year, with delivery guaranteed by 1 p.m. each day. Individuals can have a hot meal delivered to their residence for $3 per day or a hot meal and a sack lunch for $4 per day. More information is available by calling (208) 799-5767. Menus are subject to change.
sunday
Monday
tuesday
wednesday
thursday
friday
saturday
hot: Lasagna/ veggies sack: Eggsalad sandwich/ green salad/ gelatin
hot: Pot roast/ hot: Teriyaki 8 chicken/rice/ potatoes/veggies veggies sack: Pastramiand-cheese sandwich/ sack: Chicken-salad cottage cheese/ sandwich/carrot-raisin apricots salad/applesauce
hot: Barbecue ribs/beans/ veggies sack: Ham-andcheese sandwich/ pasta salad/brownie
hot: Mac-ncheese with ham/veggies sack: Tuna-salad sandwich/marinated cucumbers/cake
hot: Mandarin orange chicken/ rice/veggies sack: Bologna-andcheese sandwich/ coleslaw/cookies
hot: Barbecue hot: Chicken 13 alfredo/veggies pork loin/roasted potatoes/veggies sack: Eggsack: Turkey-andsalad sandwich/relish cheese sandwich/cotplate with dressing/ tage cheese/peaches pudding
hot: Spaghetti/ hot: Chicken 15 cordon bleu/ meatballs/ veggies rice/veggies sack: Pastrami-andsack: Chicken-salad cheese sandwich/ sandwich/pasta salad/ spinach salad/cookies brownie
hot: Salisbury steak/mashed potatoes/veggies sack: Ham-andcheese sandwich/ carrot-raisin salad/fruit
hot: Chicken parmesan/ pasta/veggies sack: Seafood-salad sandwich/green salad/ cobbler
hot: Chickenfried steak/ mashed potatoes/veggies sack: Beef-and-cheese sandwich/slaw/cookies
hot: Barbecue chicken/roasted reds/veggies sack: Egg-salad sandwich/baby carrots with dressing/fruit
hot: Chicken paprikash/rice/ veggies sack: Bologna-andcheese sandwich/pasta salad/cake
hot: Roast turkey/mashed potatoes/veggies sack: Krab-salad sandwich/spinach salad/cobbler
hot: Glazed hot: Tuna 25 noodle casse24 ham/au gratin potatoes/veggies role/veggies sack: Curried chicken- sack: Ham-and-cheese salad sandwich/relish sandwich/three-bean plate/pudding salad/brownie
hot: Barbecue 30 ribs/beans/ veggies sack: Ham-andcheese sandwich/ pasta salad/brownie
hot: Mac-ncheese with ham/veggies sack: Tuna-salad sandwich/marinated cucumbers/cake
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hot: Tortellini 20 alfredo/veggies sack: Tunasalad sandwich/cottage cheese with paprika/ crisped-rice treat
hot: Apple-cider hot: Lasagna/ 26 chicken/pasta/ 27 veggies veggies sack: Eggsack: Roast beef-and- salad sandwich/green cheese sandwich/potato salad/gelatin salad/cookies
7
14
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hot: Beef stroganoff/veggies sack: Turkeyand-cheese sandwich/ tomato-cucumber salad/fresh fruit cup
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hot: Pot roast/ hot: Teriyaki 28 potatoes/veggies 29 chicken/rice/ veggies sack: Pastramiand-cheese sandwich/ sack: Chicken-salad cottage cheese/ sandwich/carrot-raisin apricots salad/applesauce
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leWiSTon Senior nuTriTion Program — When: Noon, Mon./Tues./Wed. • Where: Lewiston Community Center, 1424 Main St. and the United Methodist Church, 1213 Burrell Ave. • Cost: $4 suggested for seniors age 60 and older; $5 for nonseniors • note: Menu is subject to change 7 Spaghetti/green beans/carrot
salad/garlic bread/fruit
8 BUFFET: (starts at 11:30 a.m.): Pineapple chicken
13 Hot chicken sandwich/mashed
14 Meatloaf/mashed potatoes/
15 BUFFET (starts at 11:30 a.m.):
gravy/corn/pea salad/fruit
Corned beef and cabbage
20 Porcupine meatballs/potato
21 Spaghetti/carrots/beet
22 BUFFET (starts at 11:30 a.m.):
salad/garlic bread/fruit
Turkey
28 Lasagna/gelatin salad/
29 BUFFET (starts at 11:30 a.m.):
6 Turkey enchilada/coleslaw/
peas/pears
M
potatoes/salad/veggies/peaches wedge/carrots/cabbage salad/ fruit cocktail
27 Chicken fajitas/corn/salad/
apples/corn bread
T
green beans/spinach with berries/fruit
W
Ham
Senior meal TH F menus for March
Senior round Table nuTriTion Program — When: Noon, Tues./Thurs./Fri. • When: Valley Community Center, 549 Fifth St. No. F, Clarkston; and the Asotin United Methodist Church, 313 Second St. • Cost: $4 suggested for seniors age 60 and older; $7 for nonseniors • note: Menu is subject to change 7 Chicken-fried steak/mashed potatoes
M
with gravy/corn/apricots/roll/brownie
T
14 Tater tot casserole/carrots/green
beans/peaches/mufin
21 Tuna casserole/peas-n-carrots/
pickled beets/apricots/biscuit
28 Roast pork/mashed potatoes with
9 Pronto Pup hot dogs/mac-n-
W
gravy/carrots/juice/roll/cake/ice cream
cheese/veggies/veggie gelatin/pears
10 Clam chowder/salad bar/ Texas toast
16 Barbecue pork sandwich/baked
17 Corned beef/cabbage/baby reds/
23 Hot turkey sandwich/mashed
24 Lentil soup/salad bar/Texas
TH
beans/coleslaw/chips/pudding
F
carrots/applesauce/roll/cookies
potatoes/gravy/corn/gelatin with fruit
toast
30 Spaghetti/green beans/salad/
31 Vegetable soup/salad bar/ Texas toast
apple rings/Texas toast
moSCoW Senior nuTriTion Program — When: Noon Tues./Thurs. • Where: Great Room of the 1912 Center, 412 E. Third St. • Cost: $5 Suggested for seniors 60 and older; $7 for nonseniors. • details: Salad bar is available at 11:30 a.m.; soup/dessert available at each service. • note: Menu is subject to change
M 22
7 Fettuccine alfredo/veggies/bread
T
14 Sweet-n-sour meatballs/rice/
veggies/bread
21 Chicken-noodle casserole/veggies/
biscuits
28 Chicken parmesan/noodles/veggies
W GOLDEN TIMES
9 Baked fish/au gratin potatoes/
TH
veggies/bread
16 Corned beef/cabbage/roasted red/bread 23 Hamburger steak/mashed potatoes/
gravy/veggies
30 Pork chops/scalloped potatoes/veggies
F M O N D A Y, M A R C H 6 , 2 0 1 7
R eg i o n a l S en i or M e a l S i t es Deary Shared Council
401 Line St., Deary, (208) 877-1717, meals at noon on Tuesdays
Cottonwood Community Church
510 Gilmore St., Cottonwood, (208) 962-7762, meals at noon on Tuesdays
(208) 743-6983, meals at noon on Mondays, Tuesdays and Wednesdays
Potlatch Senior Citizens
IOOF/Rebekah Hall on Pine Street, Potlatch, (208) 875-1071, meals at noon on Tuesdays and Fridays
Moscow Senior Center
412 E. Third St., Moscow, (208) 882-1562, meals at noon on Tuesdays and Thursdays
Pullman Senior Center
325 S.E. Paradise St., Pullman, (509) 338-3307, meals at 11:45 a.m. on Mondays and Fridays
Nezperce Senior Citizens Craigmountain Senior Center 501 Cedar St., Nezperce, 413 Nezperce St., Winchester, (208) 924-6581, meals at noon on Wednesdays
Grangeville Senior Center
108 Truck Route, Grangeville, (208) 983-2033, meals at noon on Mondays and Fridays
Juliaetta-Kendrick Senior Citizens Center
104 S. Sixth St., Kendrick, (208) 289-5031, meals at 11 a.m. to 1 p.m. on Mondays, Wednesdays and Fridays
Kamiah Senior Center
125 N. Maple St., Kamiah, (208) 935-0244, meals at noon on Mondays, Wednesdays and Fridays
Lewiston Community Center 1424 Main St., Lewiston,
Sudoku puz zle
(208) 937-2465, meals at noon on Mondays and Thursdays
Riggins Odd Fellows Building 121 S. Lodge St., Riggins, (208) 628-4147, meals at noon on Tuesdays
Orchards United Methodist Church
United Methodist Church
313 Second St., Asotin, (509) 758-3816, meals at 11:45 a.m. on Tuesdays, Thursdays and Fridays
1213 Burrell Ave., Lewiston, (208) 743-9201, meals at noon on Mondays, Tuesdays and Wednesdays
Orofino Senior Center
Valley Community Center
Palouse Senior Meals
Weippe Hilltop Senior Citizens Center
549 Fifth St., Clarkston, (509) 758-3816, meals at noon on Tuesdays, Thursdays and Fridays
930 Michigan Ave., Orofino, (208) 476-4328, meals at noon on Tuesdays and Fridays 220 E. Main St., Palouse, (509) 878-2301, meals at noon on Wednesdays
115 First St. W., Weippe, (208) 435-4553, meals at noon on Mondays and Thursdays
Pomeroy Senior Center
Sudoku solution, page 24
Pullman Meals on Wheels
695 Main St., Pomeroy, (509) 843-3308, meals at noon on Mondays, Wednesdays and Fridays
(509) 397-4305
Feeling overwhelmed? There’s help.
Valley Meals on Wheels (208) 799-5767
BREAKFAST
Rusty’s Ranch Cafe Breakfast & Steakhouse
Everyday Senior Specials! LUNCH
Cheeseburger With French fries - $6.79 Hot Beef or Turkey With mashed potatoes
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and gravy - $6.99
(Add 2 strips of bacon or 2 sausage links for $1.99 ~ Add 1 egg for $1.29)
Egg with hashbrowns & toast - $5.99 One One Two: 1 pancake, 1 egg, 2 strips of bacon or 2 sausage links - $6.99 Mini Belgian Waffle plus: With 1 egg & 2 strips of bacon or 2 sausage links - $6.99 Belgian Waffle - $5.99 French Toast Combo: 2 wedges of French toast, 1 egg & 2 sausage links or 2 strips of bacon - $5.99
Grilled Cheese - $5.99 Soup or Salad - $3.59 Chili - $3.59
Ham, Bacon or Sausage, & Cheese Omelette: 2 egg omelette with hashbrowns & toast $5.99
DINNER
Tomato, Mushroom & Cheese Omelette: 2 egg omelette with hashbrowns & toast $5.99
Served with soup or dinner salad, real mashed potatoes and vegetable. Your choice - $6.99 Chicken Fried Steak Two Chicken Strips Two Fish and Chips Four Deliciously Golden Shrimp Chopped Sirloin with Mushroom Sauce Liver and Onions 6 oz. Sirloin Steak - $8.59
Chicken Fried Steak: Comes with eggs cooked your way, hashbrowns & toast $7.49 Biscuit & Gravy Combo: 1 biscuit & sausage gravy with 2 strips of bacon or 2 sausage links - $6.79 Biscuit & Gravy- $3.99 495160AB_17
M O N D A Y, M A R C H 6 , 2 0 1 7
golden times
23
“I consistently was impressed with the health care professionals who treated my parents. I’m sure I had 100 conversations with doctors, nurses, pharmacists and support staff about my parents. I had only one bad interaction. … that’s a customer service success rate of 99 percent. That’s good in any industry … .” — John Drescher, recalling the years that he cared for his ailing folks
Three things I learned taking care of my elderly parents By John Drescher The (Raleigh, N.C.) News & Observer
RALEIGH, N.C. — Recently I was invited to speak to the Raleigh Academy of Medicine. Here is an edited version of my remarks: During the last five or six years, as my elderly parents were overtaken by illness and disease, our roles reversed from when I was a child. I became their caretaker, which included navigating our health care system. My parents had a host of ailments, but principally for my mother, a 50-year smoker, it was a chronic, progressive lung disease. For my father, it was Lewy body dementia, which shares some symptoms with Parkinson’s disease, such as tremors and problems with walking or balance. These are just my observations; I don’t know if others have had a similar experience. Here’s what I learned: 1. No single person in the health care system was in charge of managing and coordinating the treatment for each of my parents. My parents saw multiple doctors, all highly competent, but those doctors typically did not communicate with one another. Technology promises to improve this communication through universal access to records. But if there was active communication among doctors, I rarely saw it. What my parents needed was a case manager — and
staff about my parents. I had only one bad interaction. That was with a hospital nurse responsible for my father who had not paid attention to the course of action prescribed by the physician. I’ll chalk that up to a tired nurse with a busy shift. So if I had 100 interactions with doctors, nurses and other health care professionals in the last six years and one was not good, that’s a customer service success rate of 99 percent. That’s good in any industry and, given the complexity of treating human beings and the 24hour, 7-day-a-week nature of what you do, that’s impressive. I wanted to understand my parents’ health issues, Dreamstime/Denis Tabler and the best way for me to A couple goes for a walk in the park. do that was to ask questions of their doctors. I never had 2. The complexity of our ents’ bills, my sister, who eventually, I realized that to wait more than 24 hours works in a hospital and case manager would be me. system of health insurunderstands health insur- for a physician to return Which was fine. I live here ance is overwhelming. my phone call. I am not smart enough, or ance, was able to educate in the same community as Counting emergency me and guide me. patient enough, or both, to my parents did and saw room and hospital visThere must be a way to navigate health insurance, them at least once a week. its and the doctors my pay claims and understand create an insurance sysI could communicate parents saw regularly, tem that is less complex what I am paying for and with doctors and nurses I’ve spoken with at least why. I know, as you do, that and puts incentives in the and make sure they knew a dozen physicians in our system generates large right places by encouragthat my parents had seen ing all of us to improve our the past few years. Each other doctors. And I could amounts of paper. patiently answered my health and fitness. Reading and underask questions so I underquestions and tried to stood the options for treat- standing a hospital bill is explain my parents’ vari3. I’ve offered two ment. My wife and I could difficult for a person who ous ailments in language criticisms of our health is not fluent in the health get my parents to their that I, as a layman, could care system and its proce- care system but want appointments. So for my understand. to also offer some welldures and language. parents, it worked. So I want to thank all of deserved praise. Does a visit to the But what about those the medical professionals I consistently was imemergency room for what elderly people who have who looked after my parpressed with the health no one in town to look after turned out to be a modest ents. Their level of profesamount of treatment really care professionals who them? Who don’t have sionalism and compassion cost several thousand dol- treated my parents. I’m anyone who can discuss was very high. I am gratesure I had 100 conversalars? Maybe it does. treatment options with a tions with doctors, nurses, ful for that, and for all of Fortunately, when it doctor or nurse? Who will you and what you do. pharmacists and support came to paying my parbe their case manager?
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Sudoku, page 23 MOND A Y, M A R C H 6 , 2 0 1 7