50 Plus - September 2010

Page 1


Financial R IV E R ’S B E N D HE A LT H A N D R E HA B IL ITAT ION CE NT ER

Providing a

Personalized

Approach to Recovery

At River’s Bend Health and Rehabilitation Center, our goal is to ensure your return home and improve your quality of life. Our therapy team will develop a customized treatment plan to address your unique recovery needs with the objective of a safe return home following your surgery. • A tour of our eighteen bed Advanced Rehabilitation Unit that has private suites with walk-in showers, self-temperature control, cable TV and phones.

Diversify the proper way

T

he old adage has always been diversification in regards to one’s stock portfolio. However, not everyone truly understands the meaning of diversification. It is a common belief that diversification can be achieved by simply owing many different stocks, bonds and mutual funds. This alone is not entirely true. A good place to start is by examining the S&P 500, a very broad market index that includes 500 of the biggest companies on Wall Street. As of Aug. 11, stocks with a technology focus constituted 19 percent of the index, energy 10 percent, financials 17 percent, industrials 10 percent, consumer staples 10 percent, consumer discretionary 11 percent, healthcare 12 percent, materials 4 percent, telecom 3 percent, and utilities 4 percent. To properly diversify, sector risk can be reduced by

• Our Advanced Rehabilitation Unit has a separate entrance, nurse’s station & dining room for your convenience during your rehabilitation stay. • An introduction to your Therapy Team while touring our state-of-the art rehabilitation department. • Meeting with the Social Service Staff to begin planning your successful discharge home. • Our Business Office Manager is also available to answer any insurance questions pertaining to your stay with us (Please bring your insurance cards to the appointment). • Assistance from the Admission Team to help you complete your pre-admission paperwork, ensuring your easy transition from the hospital or surgery center.

Call 920.684.1144 to schedule a free pre-surgery consultation. 2 • August/September 2010 • Herald Times Reporter

owning a cross section of stocks across several of the above sectors, with the thought that no two industries perform exactly the same during the same course of time. For instance, owning 10 S&P stocks all in the financial sector in 2008 probably would have spelled disaster as opposed to owning 10 S&P stocks spread out among the 10 sectors during the same time period. Of course, no sector was immune to the economic

Steve Ferris is a portfolio manager at Bank First National and president of BFN Asset Management Inc., Manitowoc.

On the cover

Staff

Judi Hansen poses on the back-yard patio of her Manitowoc home. Hansen recently returned from a medical mission to Belize and brought back the painted frog in the foreground and a decorative plate, background. It was far from a tourist trip, however. Read more about it on Page 4. Sue Pischke/50 Plus

Pat Pankratz, 50 Plus! Editor (920) 686-2138 æ ppankratz@htrnews.com Laurie Bolle, Ad Director (920) 686-2120 æ lbolle@htrnews.com 50 Plus! is published monthly by the Herald Times Reporter. It also is distributed to select businesses in Manitowoc County. Mailed correspondence may be sent to: Pat Pankratz, Herald Times Reporter, Manitowoc, WI 54220

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conditions of 2008 — but the very large hits to equity portfolios in this time frame could certainly have been managed. The importance of “why” cannot be underestimated. Examining the 10 S&P sectors, it is important to note that owning companies in cyclical sectors (materials, industrials, technology, financials) will usually feel the blunt of the downturns in the economy while more defensive sectors tend to outperform in not so good times (telecom, utilities, consumer staples, energy, healthcare). Since it is impossible to know exactly where we are at any one point in regards to the economic cycle, owning a cross section of stocks in each sector helps reduce overall portfolio risk.

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Health/Wellness

Mellinger gains DAISY Award

50 Plus

TWO RIVERS — Aurora Medical Center’s Gail Mellinger, a registered nurse, has been honored with The DAISY Award for Extraordinary Nurses. Her department supervisor nominated her for the award after receiving high praise regarding Mellinger’s care from a thankful mother: “Gail has been through many crises with my family and I have never dealt with a nurse who has more compassion and picks the family up when they look very bleak,” the mother wrote. “She just cares above and beyond for people. Gail has been so caring to my daughter through all her hospital visits. We will be grateful for her forever; she truly is

“O

ver the years I have found nursing to be a very rewarding career. The thing I find to be most rewarding is working with patients and their families.” Gail Mellinger

an outstanding role model!” Mellinger works as a case manager at Aurora Medical Center in Manitowoc County. “As case manager I am able to work with patients and their families to ensure that their hospitalization meets all quality standards,” Mellinger said, “and that they have a safe discharge plan in place shortly after they arrive at the hospital.” Her job is also to educate patients about all services available to them after discharge, and to work with pa-

tients’ insurance companies to ensure proper reimbursement is received during hospitalization. Mellinger has worked for Aurora for 15 years. She first began to explore a career in health care when she was a student at Sheboygan Falls High School, deciding on nursing before graduation. “I always enjoyed science and liked to work with people, so this seemed to be a career that would combine both of these,” said Mellinger. She moved to Manitowoc to attend Holy Family

School of Nursing and graduated in 1974. Mellinger also attended the University of Wisconsin-Green Bay and earned a bachelor’s degree in nursing about 10 years ago. Shortly thereafter she accepted the position as case manager at Aurora. “Over the years I have found nursing to be a very rewarding career,” Mellinger said. “The thing I find to be most rewarding is working with patients and their families.” The DAISY Award is presented in collaboration with the American Organization of Nurse Executives (AONE). It is part of the DAISY Foundation’s program, which is based in Glen Ellen, Calif., to recognize the extraordinary efforts nurses perform every day.

Gail Mellinger holds the DAISY Award she received in recognition of extraordinary efforts in nursing. She works for Aurora Medical Center. Submitted photo

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Herald Times Reporter • August/September 2010 • 3


Feature story

LEFT: Judi Hansen helps at a delousing exercise at a school in Belize. RIGHT: Hansen checks the pulse of a woman during a medical mission trip to Belize. Submitted photos

Belize medical mission is eye-opening Hansen plans to return to help the needy BY MICHELLE TURCOTTE 50 Plus

When Judi Hansen was presented with the opportunity to participate in a medical mission to Belize in mid-May, she says it was an automatic “yes” for her. Though she’s a seasoned traveler, the nineday trip to Central America was her first medical mission. Hansen has been passionate about community-health

nursing since taking a publichealth course her last semester at the University of Wisconsin-Madison, where she earned a bachelor’s degree in nursing in 1974. She had previously earned a registered nurse diploma from Columbia Hospital in Milwaukee. “I fell in love with it immediately and knew that was the kind of nursing I wanted to practice,” says Hansen, 59, who was born in Two Rivers and lives in Manitowoc. “I went into community health because I love being outside the walls, and the direct contact and opportunity to work with people on their own turf

— home, school or work — to teach prevention and then see the change that can come about in their level of health and wellness.” Hansen supervised seven nursing students from Concordia University of Wisconsin — the next generation of public-health nurses — on the mission, funded by a federal grant under the direction of the UW-Madison School of Nursing. Hansen facilitated collaborative partnerships between schools of nursing in eastern Wisconsin and community health agencies as UW’s Education-Practice Liaison.

4 • August/September 2010 • Herald Times Reporter

An eye-opener

Hansen says the trip was a life-changing experience. It’s impossible not to be affected by seeing a 15-month-old girl getting a golfball-sized abscess removed from her forehead on school grounds in what would be a hospital admission in this country. Or seeing sick, elderly folks home alone all day in the sweltering heat while family members work because there are no nursing homes. Or having to form a bucket brigade to delouse 250 elementary school children all morning and afternoon, only to know it’s simply a temporary fix. Or even more affecting,

seeing how patient and grateful the children were for the helping hand. “The powerful thing about that experience was we had preschoolers to sixth-graders, and there was not one child who complained or cried,” Hansen says. “They waited in line in the heat, they let us shampoo their hair, and they had no complaints. The kids were so good-natured and so unspoiled … It’s gut-wrenching to see the desperate conditions and they still have a smile on their faces.” Belize, about the size of

ã See Belize, Page 5


Belize From Page 4

New Hampshire with a population of about 311,000, is a rising tourist attraction. “They actually have five cultures there, which is so fascinating,” Hansen says. “It makes for such a rich mix, between the food and the music you hear.” Belize is home to Mestizo (Spanish-Indian), Creole (African-European), Maya, Garifuna and European residents. It’s baffling to imagine a popular tourist destination would also be in need of a medical mission, but it’s all too common. Hansen says experiencing Belize as part of the medical mission was a far different experience than her visit to a similar country as a tourist.

‘Different perspective’

“You see a whole different

perspective when you’re riding by these areas on a tourist bus,” she says. “What was a shock to me was actually being immersed in it. Walking into people’s homes, knocking on doors — if there was a door.” Hansen and the students did three main activities on their mission: they traveled to outreach post clinics, did assessments and health education in the schools, and visited homes with a volunteer American community nurse. They also held a health fair on market day in the town square in Punta Gorda, where they stayed in dormitories at Hillside Clinic. They brought eight suitcases of supplies to hand out at the market, filled with things like children’s clothes, medical supplies, soap, toothpaste and toothbrushes. The conditions during home visits varied. Some homes had electricity and

plumbing, some had dirt floors and no amenities. “I was so torn between the gamut of emotions when I was there,” says Hansen. “And when you get home, you look around and you see what we have, and it makes you really set your head right in terms of what your priorities are in life. Faith, family, friends, in a nutshell.” Her Lutheran faith is important to Hansen, which is another reason the mission was important to her. “People don’t just need their physical needs taken care of,” she says, “they need spiritual needs taken care of. They need our work and The Word.” Hansen was struck with how appreciative and content the Belizeans are despite how little they have. She hopes people realize how much work there is to be done for underserved populations. “And we have it right

here at home,” says Hansen.

New role

Hansen will take on a new role in September, as executive director for the Wisconsin Center for Nursing, a nonprofit organization dedicated to assuring a well-prepared and diverse nurse work force in all practice areas. It’s a critical mission, as Wisconsin faces a projected 13 percent shortage of nurses in the next 15 years. “I had a lot of teary moments in Belize, because of what I saw, and because of the impact I saw the students make,” Hanson says. “I thought so much about the future of nursing. If this is what our upcoming workforce is going to look like, they’re tremendously giving.” Hansen says she wants to go back to Belize as soon as possible on another mission. Judi Hansen, right, of Manitowoc, visits with a public-health nurse in Belize. Sub“You better Belize it,” she says. “First chance I get.” mitted

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Hobbies/activities

Sept. 10-11

Wacky! Tacky! Fun! A Space Age Festival for all Ages! Friday Night, September 10th “Aliens in the Alley” • County Artists & Membership Exhibition Kick Off • “Miss Space Debris, Queen of all that is Sputnik” Pageant • Outdoor Movie Saturday, September 11th “Sputnikfest” • ARTA THIS WORLD Art Fair • Children’s Activity Area • Sputnikfest Reenactment • Cosmic Cake Baking Contest- Cake • Project Sputnik Costume Contest (must be 21 or older) • Music by Copperbox

THINGS TO DO Sept. 1 — Mishicot Outdoor Summer Concert, Mishicot Middle School, Rod Scheuer, Social hour 5:30 p.m., Concert 6:30 p.m. Sept. 3-4 — The Houdini Club of Wisconsin Convention and Magic Show, Lincoln High School Auditorium, two evenings of magic shows open to the public, in conjunction with Houdini Club Convention at the Best Western Lakefront Hotel. Tickets available at door, 8 p.m. For more information call Ed at (773) 294-8597 Sept. 4 — Shake, Rattle and Roll: Manitowoc County in the 1950s, Manitowoc Heritage Center. Dust off your poodle skirt, slick back your hair and remember the

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sights and sounds of the 1950sthrough fashion, cars, toys, photographs and interviews. This program is part of the Show-Me-Saturday series, held the first Saturday of each month from 10 a.m. to 2 p.m. (920) 6844445 Sept. 4-5 — Kites Over Lake Michigan, Neshotah Beach, Two Rivers. A kite festival for the entire family featuring huge show kites flying over the lake and banners along the beach, several kite demos, events for the kids. Saturday night kite fly and bonfire on the beach. (920) 793-9599 Sept. 10-11 — Sputnikfest, Rahr West Art Museum, commemorating the Russian satellite piece that land-

Sept. 11 — Grandma’s Woodstove Cooking, Pinecrest Historical Village. Make a connection with the past by discovering the art of cooking on a woodstove. Workshop participants will

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Sept. 11 — Lobsterfest, Washington Park, Manitowoc. A Maine lobster dinner, live entertainment, 50/50 cash raffles every hour, theme table competitions and non-lobster food served all evening along with beverages. 4 to 9 p.m. (920) 758-9196

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Word Search

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Sept. 11 — 4th Annual Pig to Pig Walk, Larry’s Piggly Wiggly, Manitowoc. Six miles along Lake Michigan on Mariners Trail from Piggly Wiggly in Manitowoc to Fox’s Piggly Wiggly in Two Rivers to benefit Manitowoc County Habitat for Humanity. Registration at 8 a.m., with walk beginning at 8:30 a.m. Food, prizes, refreshments available after walk with free T-shirts going to the first 300 registered walkers. (920) 629-0414, staceygroll@yahoo.com

Sept. 18 — Ethnic Fest, Downtown Two Rivers. Celebrate more than 60 cultures from around the world with ethnic food booths, music, dance, craft vendors, entertainment. Free. (920) 794-1482 Sept. 18 — Oktoberfest, Kurtz’s Pub & Deli, Two Rivers. Celebrate local German heritage with live music, food and beverages, in conjunction with Ethnic Fest, 11 a.m. to 9 p.m. Free. (920) 793-1222

Sept. 18 — Carrie Hassler & Hard Rain — Bluegrass Sept. 11-12 — Hmong New Concert, Two Rivers High Year, Silver Creek Park, a School, younger than 8

free, 7:30 p.m., (920) 7947258 Sept. 20 — John Prine, Capitol Civic Centre, a rare opportunity to catch the legendary Prine and his band in a beautiful, intimate setting. 8 p.m. (920) 683-2184 Sept. 25 — Fall Harvest Festival and Barn Dance, Pinecrest Historical Village. Take a break from the fall harvest and spend the day at Pinecrest Historical Village, culminating in an evening barn dance. (Don’t worry, we teach our guests how to dance.) Fee charged. Noon to 8 p.m. Sept. 25 - Lakeshore Women's Expo, sponsored by the Herald Times Reporter and Lakeshore YOU magazine. Manitowoc County Expo Grounds. Call (920) 684-4433 for information. Information from www .manitowoc.info/events

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ADRC news

Learn risks, practice how to prevent falls BY JUDY RANK

The Manitowoc County Board has proclaimed September as Fall Focus Month, along with proclaiming the first full day of fall, Sept. 23, as Fall Focus Day. Manitowoc County will be joining the state in its efforts to make county residents more familiar with the risk factors associated with falls, and to learn about and practice ways to reduce the risk of falling, add years to life, and maintain quality of life and independence for older adults. Wisconsin has one of the highest rates of death in the nation from unintentional falls. The death rate in the state is twice the national average with Mani-

towoc County being one of the highest counties in the state. The Manitowoc County Aging & Disability Resource Center (ADRC) and the Public Health Department, along with medical providers in the community, will be hosting a “Fall Focus on Safe & Healthy Living” seminar on Sept. 23 at the Holiday Inn. The event starts with registration at 8:30 a.m. and will conclude around 1 p.m. with a light breakfast and lunch included. The cost is $7.50 per person. Attendees will have the opportunity to sign up for balance screening, blood pressure screening, a review of medications and take part in water exercises in the pool at the Holiday Inn. Prior registration

for any of the screenings must be made by calling the ADRC at (920) 683-4180. Keynote speaker will be Dr. Halvorsen from Holy Family Memorial Medical Center. He will talk about the positive effects of Vitamin D. The morning also will include demonstrations of Stepping On, a balance and strengthening program, Living Well with Chronic Conditions, tai chi, and Zumba. Alyssa Gaedtke, a dietitian with the ADRC, will provide an overview of the simplicity of providing a healthy diet. Door prizes and handouts are also available.

Alzheimer’s Walk

The ADRC will be participating in the Alzheimer’s Walk, scheduled for Sept. 25 on Mariners Trail. The

walk starts at 9 a.m., with registration beginning at 8 a.m. at Aurora Medical Center in Two Rivers. The ADRC hosts an early stage Alzheimer’s Support Group at 10 a.m. the first Tuesday of each month, an afternoon support group at 2 p.m. on the third Thursday of the month for caregivers of a person with a dementia diagnosis, and a male support group for men who are caring for a spouse, on the third Wednesday at 9 a.m. Staff is also involved in an evening support group the last Wednesday of each month at 6:30 p.m. at the Health Care Center. The Two Rivers/Manitowoc Memory Walk helps to support activities such as these as well as Alzheimer’s support at the

Memory Assessment Clinic in Manitowoc. The ADRC is looking for community support through walkers, signs of support and donations to the silent auction portion of the walk. Registration blanks can be obtained from the ADRC office or can be done online at www.alz.org.

Caregiver tools

The ADRC is taking registrations for both an evening and a daytime “Powerful Tools for Caregiving” six-week program. It helps family caregivers learn techniques to reduce personal stress and to communicate effectively with family and medical professionals. Participants learn to practice self-care, reduce

guilt, anger, depression and tension. There is no charge to attend, but prior registration is necessary. The evening class is set to begin Sept. 13 from 5:30 to 8 p.m. at the Manitowoc Health & Rehabilitation Center. A light supper of soup and a sandwich is included in this session. The daytime class will start Oct. 8 from 9:30 a.m. to noon at Aurora Medical Center. Adult day service is available during the daytime class. To register for either of these classes, please contact the ADRC at (920) 6834180. A safe and happy Labor Day to everyone. Judy Rank is executive director of the Manitowoc County Aging and Disability Resource Center.

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ã See Recipes, Page 11

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Not all health screens are necessary

Dear Savvy Senior: What health screenings are recommended for seniors? My husband and I are very proactive about staying healthy and are wondering which screenings we really need. Alive and Kicking

Dear Alive: The types of health screenings a person should get will depend on their age, gender, underlying health conditions and family history. Here’s what you should know. One of the problems with our health care system is that many Americans, and their doctors, seem to think that better health means more medical care, including as many screenings and tests as possible. But that’s not necessarily true. According to the U.S. Preventive Services Task Force, an independent panel of medical experts that reviews the effectiveness of screenings, many screening tests are unproven and can not only waste your time and money but also cause more harm than good. Here’s what the task force recom-

Recipes From Page 10

Barbecued chuck roast ¼ cup red wine vinegar

don’t need to be tested. æ Bone density scan: Osteoporosis screening is recommended starting at age 65 – earlier in post-menopausal women with risk factors.

JIM MILLER mends (see www.ahrq.gov/ppip /50plus) as essential tests for you and your husband, and when you should start getting them.

Everyone over 50

æ Blood pressure: Have it checked at least every two years — more frequent if you find your pressure is above 130/85. æ Cholesterol: At least every five years, get a blood cholesterol test that measures your LDL “bad” cholesterol, HDL “good” cholesterol and triglycerides. It should be more frequently if you smoke, have diabetes or a family history. æ Colorectal cancer: Begin regular screening starting at age 50. Your doctor can help you decide which test is right for you. æ Diabetes: While the USPSTF recommends being tested only if you have high blood pressure,

¼ cup ketchup 2 tablespoons reducedsodium soy sauce 1 tablespoon Worcestershire sauce 2 teaspoons canola oil 1 teaspoon brown sugar 1 teaspoon prepared

Men only

the American Diabetes Association recommends a blood glucose test every three years starting at age 45. If you’re obese, have high blood pressure, high cholesterol, a family history of diabetes or are over age 65, check it yearly.

Women only

æ Mammograms: The controversial new guideline by the USPSTF now recommends screenings every other year beginning at age 50. However, the American Cancer Society still recommends annual screenings starting at age 40. æ Pap smear: To detect cervical cancer this test is recommended every three years, however, women who’ve had a total hysterectomy, or who are age 65 or older and have had three negative pap smears in a row usually

mustard ¼ teaspoon garlic salt ¼ teaspoon pepper 1 boneless beef chuck roast (1½ pounds), trimmed In a small bowl, combine the first nine ingredients.

æ Abdominal ultrasound: Men between the ages of 65 and 75 who have ever smoked should be screened for an aortic aneurysm, which can develop over many years before bursting. æ PSA screening: The jury is still out on whether men should get the PSA (prostate-specific antigen) blood test or digital rectal exam to detect prostate cancer. Men, age 40 and older, should talk to their doctor about their risk factors and what they should do.

Other screenings

Some additional screenings to consider are skin examinations by a dermatologist to check for skin cancers; depression screening if you’ve been feeling down; dental checkups at least once a year; HIV screening if you’ve had unprotected sex with multi-

Pour ¼ cup into a large resealable plastic bag; add the roast. Seal bag and turn to coat; refrigerate for 2 to 3 hours, turning several times. Cover and refrigerate remaining marinade for basting. Pre-

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In addition to health screenings, the Centers for Disease Control and Prevention recommends that all seniors, 65 and older, get a one-time pneumonia (pneumococcal) shot, and those over 60 should be vaccinated for shingles. It’s also recommended that everyone over 50 get a yearly flu shot, along with a tetanus-diphtheria-pertussis (Tdap) booster which is recommended every 10 years (if you’re over 65, you only need a tetanus-diphtheria booster). Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.

pare grill for indirect heat, using a drip pan. Coat grill rack with nonstick cooking spray before starting the grill. Drain and discard marinade. Grill beef, covered, over indirect medium heat for 1½

to 1¾ hours or until tender, turning and basting occasionally with reserved marinade. Cut into thin slices. Recipes and photos courtesy of Taste of Home: www.tasteofhome.com

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ple partners; annual eye exams starting at age 60 to check for age-related eye diseases; hearing tests by an audiologist every five years starting at 65; and for women 50 and older, a thyroidsimulating hormone test every five years to check for thyroid disease.

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Herald Times Reporter • August/September 2010 • 11


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