50 PLUS!

AUGUST 2017

plus!

The magazine for active, mature lifestyles

9 PAGE

5 simple steps to be your best at any age

50

plus!

INSIDE

JIM MILLER

Syndicated columnist, NBC Today contributor & creator of SavvySenior.org

Smaller portions at mealtime and eating slower can help reduce heartburn symptoms. He should also wait at least three hours after eating before lying down or going to bed.

2 The Savvy Senior:

The hidden dangers of heartburn

3 Quickly reporting

cancer complications may boost survival

4 ADRC: Senior

farmers’ market vouchers still available

5

Sleep gadgets adjust if you’re restless or snoring

6 Steve Earle enlists

Miranda, Willie to revisit outlaw music

7 Book Review:

‘Apollo 8’ tells thrilling story of moon mission

8 Puzzles 9 ON THE COVER: 5 simple steps to be your best at any age

10 Puzzle Answers 10 Shrimp salad

with spicy orange dressing goes with summer

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.

LOSE WEIGHT: Having excess weight around the midsection puts pressure on the abdomen, pushing Dear Savvy Senior, up the stomach and causing acid Is regular heartburn or indigestion anything to worry to back up into the esophagus. about? My 60-year-old husband eats a lot of Tums or QUIT SMOKING: Smoking Rolaids throughout the day to help him manage it, but it can increase stomach acid and keeps him up at night, too. What can you tell us? — Inweaken the valve that prevents quiring Spouse acid from entering the esophaDear Inquiring, gus. If your husband smokes, the Almost everyone experiences heartburn or acid in- National Cancer Institute offers a digestion from time to time, but frequent episodes number of smoking cessation recan signal a much more serious problem. Here’s sources at SmokeFree.gov or call what you should know, along with some tips and 1-800-QUIT-NOW. treatments to help relieve your husband’s symptoms.

SLEEP ELEVATED: To help It’s estimated that more than 60 million Americans keep the acid down while sleepexperience heartburn at least once a month, with ing, get your husband a wedgearound 15 million people who suffer from it daily. shaped pillow to prop him up a If your husband is plagued by heartburn two or few inches. If that’s not enough, more times a week, and it’s not responding well to try elevating the head of his bed over-the-counter antacids, he needs to see a doctor.

6-8 inches by placing blocks under Frequent bouts may mean he has gastroesophageal the bedposts or insert a wedge bereflux disease (GERD), which can severely irritate tween his mattress and box spring. and damage the lining of his esophagus, putting him Wedges are available at drugstores at risk of Barrett’s esophagus and esophageal cancer and medical supply stores. Sleepif it’s not treated. ing on his left side may also help LIFESTYLE ADJUSTMENTS Depending on the frequency and severity of his heartburn, he can make a number of lifestyle adjustments that can help provide relief and avoid a more serious problem down the road. Consider these tips:

The hidden dangers of heartburn

AVOID PROBLEM FOODS: Certain foods can trigger heartburn symptoms like citrus fruits, toSTAFF Brandon Reid, editor matoes, fatty foods, chocolate, garlic, onions, spicy Herald Times Reporter 920-686-2984 foods, mints, alcohol, coffee and sodas. Your husbreid@manitowoc.gannett.com band should keep a food diary to track which foods 50 Plus! is published monthly by the cause him the most problems and avoid them.

Herald Times Reporter Media. It also is distributed to select businesses EAT SMALLER, SLOWER AND EARLIER: in Manitowoc County.

2 . AUGUST 2017 . 50 plus!

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keep the acid down.

TREATMENT OPTIONS If the lifestyle adjustments don’t solve the problem, or if antacids (Tums, Rolaids, Maalox, Mylanta or Alka-Seltzer) aren’t doing the trick, a variety of over-the-counter and prescription medications can help, along with surgery. His doctor can help him determine which one is best for him. Treatment options include: H-2 BLOCKERS: Available as both overthe-counter and prescription strength, these drugs (Pepcid, Tagamet, Axid and Zantac) reduce how much acid your stomach makes, but may not be strong enough for serious symptoms.

PROTON-PUMP INHIBITORS (PPI): If you have frequent and severe heartburn symptoms, PPIs are long-acting prescription medications that block acid production and allow time for damaged esophageal tissue to heal. They include Nexium, Prevacid, Prilosec, Zegerid, Protonix, Aciphex and Dexilant. Prevacid 24 HR, Prilosec and Zegerid OTC are also available over-thecounter. But be aware that long-term use of PPIs can increase your risk for osteoporosis and chronic kidney disease.

SURGERY: If the medications don’t do the trick, there are also surgical procedures that can tighten or strengthen the lower esophageal sphincter so gastric fluids can’t wash back up into the esophagus.

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.

Quickly reporting cancer complications may boost survival Study gives patients online tool to note side effects

MARILYNN MARCHIONE ASSOCIATED PRESS

CHICAGO - If you’re being treated for cancer, speak up about any side effects. A study that had patients use home computers to report symptoms like nausea and fatigue surprisingly improved survival — by almost half a year, longer than many new cancer drugs do.

The online tool was intended as a quick and easy way for people to regularly report complications rather than trying to call their doctors or waiting until the next appointment. Researchers had hoped to improve quality of life but got a bonus in longer survival.

“I was floored by the results,” said the study leader, Dr. Ethan Basch. “We are proactively catching things early” with online reporting.

Patients were able to stick with treatment longer because their side effects were quickly addressed, he said.

People shouldn’t assume that symptoms are an unavoidable part of cancer care, said Dr. Richard Schilsky, chief medical officer of the American Society of Clinical Oncology.

“You want to be able to reach your provider as early and easily as possible” because a sign like shortness of breath

might mean treatment isn’t working and needs to be changed, he said.

The study was featured at the cancer group’s annual meeting in Chicago on June 4 and published in the Journal of the American Medical Association.

Earlier studies suggest doctors miss about half of patients’ symptoms.

“Much of this happens between visits when patients are out of sight and out of mind,” said Basch, a researcher at the University of North CarolinaChapel Hill and Memorial Sloan Kettering Cancer Center in New York.

Sometimes patients just put up with a problem until their next exam.

“The spouse will say, ‘My husband was laid up in bed, exhausted or in pain,’ and I’ll say ‘Why didn’t you call me?’” Basch said.

The study tested whether the online tool could catch problems sooner. It involved 766 people being treated for various types of advanced cancers at Sloan Kettering. Some were given usual care and the rest the online symptom tool.

Patients were as old as 91, and 22percent had less than a high school education, but using a computer proved easy.

“The older patients really grabbed onto it very quickly,” Basch said.

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Dr. Ethan Basch conducted a study that shows cancer patients who use home computers to report problems like nausea and fatigue improved survival by nearly half a year, longer than many new cancer drugs do. (Gerry Broome/AP)

The online group was asked to report symptoms at least once a week — sooner if they had a problem — and given a list of common ones such as appetite loss, constipation, cough, diarrhea, shortness of breath, fatigue, hot flashes, nausea or pain.

Doctors saw these reports at office visits, and nurses got email alerts when patients reported severe or worsening problems.

“Almost 80percent of the time, the nurses responded immediately,” calling in medicines for nausea, pain or other problems, Basch said.

Six months later, health-related quality of life had improved for more of those in the online group, and they made fewer trips to an emergency room. They also were able to stay on chemotherapy longer — eight months COMPLICATIONS CONTINUED ON PAGE 11

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ADRC Senior farmers’ market vouchers still available Aging and Disability Resource Center

BY CATHY LEY

The ADRC of the Lakeshore is pleased to announce upcoming community presentations titled “Medicare: Parts A-D.” These sessions provide the opportunity to learn about Medicare costs/ coverage for: hospital, medical, prescriptions, skilled care, homecare and hospice. They are open to anyone of any age who is new to Medicare or already on Medicare and just interested in more information.

The session will be in Manitowoc from 3 to 5 p.m. Aug. 8 at the Manitowoc County Office Complex, Room 300, 4319 Expo Drive, Manitowoc.

The Kewaunee session will be from 3 to 5 p.m. Aug. 8 at the Kewaunee County Human Services Building, Medium Conference Room, 810 Lincoln St., Manitowoc.

These sessions are a free public service, but registration is requested.

Register by calling 920-683-41880 or toll-free at 1-877-416-7083.

years of age or older, annual income for a single person cannot exceed $22,311 and a couple’s annual income cannot exceed $30,044.

Senior farmers’ market vouchers Vouchers are available at the ADRC will again be distributed by the Aging of the Lakeshore office, 1701 Michigan & Disability Resource Center of the Ave., Manitowoc. Please bring proof of Lakeshore. income and a photo ID. The vouchers are valued at $25 and Vouchers will be distributed on a first are redeemable for Wisconsin-grown come, first served basis.

Lakeshore Memory Café Aug. 2 fresh produce, fruits and herbs from For more details, please call 877-416Have you heard about the Lakeshore participating vendors for Manitowoc 7083 or 920-683-4180.

Memory Café?

County and Kewaunee County seniors. ‘Medicare: Parts A-D’ presentaMemory Cafés welcome those exTo be eligible, a person must be 60 tions set periencing early stage dementia, mild memory loss or cognitive impairment, and family and friends of those affected.

It’s a great opportunity for lively discussions, information gathering, refreshments, camaraderie and lots of creative fun!

We have a dementia specialist professional on hand to answer questions and an enormous wealth of experience among participants to be shared. We’d be delighted if you would join us.

An upcoming session will be from 10 to 11:30 a.m. Aug. 2 at Manitowoc Public Library.

Lakeshore Memory Cafés are a program of the Dementia Friendly Community Committee – a partnership of many local organizations who have joined together to make Manitowoc County more dementia friendly. For It just makes sense to prepare for the inevitable while more about the program, or if you would like to volunteer for the commitemotions are at rest and heads are clear. Pre-planning tee, call Kim Jacquart Franzen at 877Specialist Mike Jarzin is available to answer your questions 416-7083. and provide the guidance you need to make educated Aging and Disability Resource Center of the Lakeshore director

Some Decisions are TOO IMPORTANT to be Rushed

Alzheimer Family Caregiver Support Program

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The Alzheimer’s Family Caregiver Support Program, or AFCSP, is a program created by the Wisconsin Legislature in 1985 in response to the stress and service needs of families caring at home for someone with irreversible de-

mentia. To be eligible, a person must have a diagnosis of Alzheimer’s disease or a related disorder, and be financially eligible.

Funds for the AFCSP program are made available in each county to assist individuals to purchase services and goods related to the care of someone with Alzheimer’s disease. Up to $4,000 per person may be available.

Allowable services are those that are necessary to maintain a person with Alzheimer’s disease in the community.

Typical services have included in-home help, respite care, adult day care and transportation. Goods provided have included nutritional supplements, security systems, specialized clothing, incontinent products, home-delivered meals, home adaptation and specialized equipment.

The asset limits are as follow: a couple may have a joint income of $40,000 or less, but if a couple’s income is more than $48,000, the costs related to Alzheimer’s can be subtracted from the gross income. If the net income is less than $40,000, the couple would be eligible. Assets are not counted for this program. Only the income produced by the assets would count toward the $48,000 limit.

To find out more about this program, contact the ADRC of the Lakeshore at 920-683-4180, or toll-free, 1-877-4167083.

The Walk to End Alzheimer’s Disease – Lakeshore Mark your calendars for the Walk to End Alzheimer’s Disease – Lakeshore.

The walk will be Sept. 16 and will start at the Manitowoc-Two Rivers YMCA. Registration is at 9 a.m. and the walk begins at 10 a.m. You can start a team, recruit members, raise awareness and funds.

Register today at http://act. a l z . o r g / s i t e / T R / Wa l k 2 0 1 7 / W I G r e a t e r Wi s c o n s i n ? p g = e n t r y & f r _ id=10219. For more details, please call Melissa Konop at the ADRC of the Lakeshore for more information: 920683-4180 or toll-free 1-877-416-7083.

Sleep gadgets adjust if you’re restless or snoring Companies hope need for better slumber proves lucrative

ANNE D’INNOCENZIO ASSOCIATED PRESS

NEW YORK - Pillows that track your snoozing patterns? A bed that adjusts based on how much you twist and turn?

Companies are adding more technology into their products, hoping to lure customers craving a better night’s sleep.

Some specialized businesses are making gadgets that promise to measure and improve the quality of slumber, while mass-market retailers like Best Buy are offering simpler ideas like the effect types of lighting can have on falling asleep. But with ever-growing options, people might find items that are getting more sophisticated — but may still not be accurate.

The interest in sleep has intensified.

The number of sleep centers accredited by the American Academy of Sleep Medicine nearly tripled from 2000 to 2015, the group says. People are more likely to brag about how much they spent for a mattress than on their clothes, said Marian Salzman, CEO of Havas PR North America.

“Sleep is the new status symbol,” she said.

It’s a big business. One of the more expensive products is Sleep Number’s 360 Smart Bed, which runs from $3,449 to $4,999. It makes adjustments based on how restless people are while they’re sleeping. The Zeeq pillow, which sells for $299 and is from bedding brand REM-Fit, monitors snoring and can vibrate gently to nudge someone into a different sleep position.

“I’m willing to spend more on sleep technology because it will hopefully help me fall asleep quicker, stay asleep longer and be more rested when I wake up,” said Frank Ribitch, a selfdescribed gadget junkie from Martinez, California, who tracks his sleep with apps connected to a Sleep Number bed and the Zeeq pillow.

Insufficient sleep is a public health concern, federal officials say, with more than one-third of American adults not

getting enough on a regular basis. That can contribute to problems like obesity and diabetes. And a study published by the Rand Corp. put the financial loss to U.S. companies at up to $411billion a year.

Finding solutions could be a lucrative enterprise. Earlier this year Apple Inc. bought Finland-based Beddit, which was making an app and sleep monitoring device that’s placed under the sheet on top of the mattress. The $150 sensor begins tracking when a person lies down and analyzes data such as the portion of time someone is in bed asleep before waking up. It also monitors heart rate, temperature, movement — and even snoring.

“Previously, it was about the sleeping pill, and people didn’t want to talk about sleep apnea,” Lasse Leppakorpi, co-founder and now former CEO of Beddit, said before Apple bought the company. “Snoring is embarrassing. But this has been untapped opportunity.”

Apple, whose own Apple Watch tracks activity and offers sleep-tracking experiences through third-party apps, declined to talk about the future of Beddit. Leppakorpi noted before the acquisition that Beddit had been working with sleep labs like the MIT Lab, which used the devices to collect data on patients.

At the Stanford Sleep Medicine Center, neurologist and medical director Clete A. Kushida tests new therapies and medications. Over the past two years, the analysis has expanded to wearable devices. The scientists assess how well the devices match the center’s own overnight sleep studies, which use measures such as heart rate and brain wave activity to determine the length and the stages of sleep.

Kushida’s conclusion: “Consumer wearable devices are not there in accurately detecting the stages of sleep,” he said. The problem: They focus on motion, which can be deceptive because a person could be lying in bed awake.

In fact, San Francisco-based startup

Sleep Number store manager Lee Pulliam demonstrates how the company’s sleep technology tracks sleeping patterns. A number of companies are incorporating sleep science into products that help people track and improve the quality of their sleep. (Rogelio V. Solis/AP)

Hello, the maker of a product aimed at tracking sleep via a clip attached to a person’s bedsheet, recently announced it was shutting down amid reports the device didn’t correctly track sleep patterns.

Still, Kushida said he believes the consumer products are getting better and will be accurately monitoring and solving sleep issues in the next five to 10 years.

What Causes You To Lose Your Balance?

This month’s Manitowoc Senior Center health topic will discuss the different causes of balance disorders, how they can be helped and which medications may be causing you to lose your balance. Thousands of elderly fall from balance disorders every day which, in many cases, result in hip fractures.

Come learn what you can do to help prevent a serious fall!

Monday, August 14th at 11 am Manitowoc Senior Center Presented by:

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Steve Earle enlists Miranda, Willie to revisit outlaw music KRISTIN M. HALL Associated Press

NASHVILLE, Tenn. - Alt-country rocker Steve Earle and country star Miranda Lambert shared writing credit on one of Lambert’s biggest hits from her debut album in 2005, but the two never actually got into a writers’ room until more than a decade later.

Lambert wrote the song “Kerosene,” the album title track, which led to her first Grammy nomination.

But she later decided it sounded too similar to a song penned by Earle, so she gave him credit.

“I hate telling her this, but I would have never done anything about it,” said the 62-year-old Grammywinning songwriter known for songs like “Copperhead Road.”

“It’s a gift from Miranda the way I see it.”

But that connection and a chance meeting between the two at a beauty salon lead Earle to decide it was finally time to do a proper co-write with one of country music’s biggest stars. Last year, the two penned a twangy breakup duet featuring fiddle and guitar that melds the two voices, one weathered and the other weary. The two later cut the song in Austin, Texas, for Earle’s new album, “So You Wannabe An Outlaw,” released in June.

“It was a really cool experience to write with him and he’s such an amazing songwriter,” Lambert said.

“I was intimidated but I learned a lot.”

Earle has the same high opinion of Lambert, calling her last effort — the critically acclaimed double album “The Weight of These Wings” — stunning.

“So You Wannabe An Outlaw,” Steve Earle (Warner Bros. Records) (Warner Bros. Records via AP)

6 . AUGUST 2017 . 50 plus!

“The women are the strong singer-songwriters in Nashville as this point,” Earle said during a tour rehearsal in Nashville, Te n n e s s e e.

Grammy-winning songwriter Steve Earle poses in a rehearsal studio in Nashville, Tenn. When Earle first arrived in Nashville from Austin in the ’70s, he was the young gun among a group of veteran singer-songwriters. It was the beginning of the outlaw movement, which Earle attempts to revisit on his new album, “So You Wannabe An Outlaw.” (AP)

“Chris Stapleton is an exception. Most of the guys, their stuff is all right, but they are mostly, largely just party songs. It’s kind of hip-hop for people who are afraid of black people, I guess, as far as I can tell.”

wheeling lifestyle, although Earle’s previous addictions have contributed to that lore. “Part of the point of this record was to rehabilitate the term ‘outlaw,’” he said.

But he doesn’t blame country radio for largely ignoring female artists.

“There was this moment when country music that was art was going on here and in Austin, and I was there.”

“I think the labels have an idea of what is selling and right now the common wisdom is guys under 30 is what’s selling in country music,” Earle said.

When Earle first arrived in Nashville from Austin in the ’70s, he was the young gun among a group of veteran singer-songwriters like Townes Van Zandt, Rodney Crowell, Guy Clark, Waylon Jennings and more. It was the beginning of the outlaw movement, which Earle attempts to revisit on his new record.

Earle, who broke out with his 1986 debut “Guitar Town,” said he still runs into fans who believe the movement was all about booze, drugs and a free-

In writing the record, Earle swapped out his acoustic guitar for a Fender Telecaster and spent a lot of time listening to Jennings’ “Honky Tonk Heroes.” He growls on the title track with Willie Nelson that being an outlaw meant “you can’t ever go home.”

“I was always grateful and was very aware that I had just gotten here in time to be a part of a moment,” said Earle. “A lot of the things that I am able to do at this point in my life, I am able to do because I happened to be lucky and be in the right place at the right time.”

BOOK REVIEW

‘Apollo 8’ tells thrilling story of moon mission JEFF AYERS Associated Press “Apollo 8: The Thrilling Story of the First Mission to the Moon” (Henry Holt), by Jeffrey Kluger In “Apollo 8: The Thrilling Story of the First Mission to the Moon,” author Jeffrey Kluger takes readers inside the capsule of the Apollo 8 mission, the first one to journey to the moon and back, which paved the way for the Apollo 11 mission less than seven months later.

Kluger takes a fly-on-the-wall approach to the beginning of the American space race, showcasing the various men who would become astronauts. With the end of the 1960s rapidly approaching, the

deadline unveiled by President John several times and photographing F. Kennedy to put a man on the moon potential landing sites on the luby the end of the decade seemed a lost nar surface. cause. Bold and dangerous decisions had Every agonizing moment to be made. both prior to the mission and the Apollo 1 ended in tragedy when the mission itself unfolds in fascithree men inside the capsule perished in nating detail, and Kluger makes a fire during a test on the ground. That the reader more than just an obput off missions for a while, but when server while events transpire. they resumed, the astronauts did nothing Those familiar with the early more than work in Earth’s orbit. When it came time for Apollo 8, the heads of history of NASA and the ApolNASA realized that if they were going lo missions will love “Apollo 8,” to achieve Kennedy’s dream, they had to and those who were born in later make a bold move. years will discover a full underIt was decided that Frank Borman, standing of a tumultuous time Jim Lovell and Bill Anders would make and the fascinating people who the first journey to the moon, orbiting it helped make a dream a reality.

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SUDOKU 32 34 35 36 37 40 41 42 43 46 47 50 51 54 55 56 57 58 59

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Caustic substance Robust “-- Girls” Consumed Smog monitor That is, in Latin

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Could possibly Single no more Orlando attraction Doorway Bit of merchandise Copacetic (hyph.)

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5 simple steps to be your best at any age Vigilance key in maintaining well-being as you age

(BPT) - They say you’re only as young as you feel, and if you’re an older American, the ability to feel young a little while longer is always appealing. Having a youthful state of mind goes a long way toward accomplishing this goal, but you can’t ignore the importance of solid physical health.

To improve your physical and mental health and prove age is just a number, apply these five tips from Mayo Clinic today.

1. Find the perfect interval. If you’ve never participated in high-intensity interval training before, here’s a compelling reason to start. Researchers at the Mayo Clinic found high-intensity

aerobic exercise actually reversed some cellular aspects of aging. The research also found that the exercise improved muscle proteins, enlarged muscles and increased energy levels.

2. The benefit of brain games. A sharp mind is every bit as important as a healthy body, and exercising your brain can be a lot of fun. Spend time learning new things on the internet, enroll in a class for that craft you’ve always wanted to master, go out with friends or sit down and play a board game. All of these activities can greatly improve your mental health. For example, a Mayo Clinic study found playing games decreased a person’s risk of mild cognitive im-

pairment by 22 percent making this enjoyable activity healthy as well.

3. Supplementing your health. Health supplements should never completely replace whole food offerings, but they may offer you real health value as well. According to the Dietary Guidelines for Americans, supplements may be ideal for vegans and vegetarians or those who consume less than 1,600 calories per day.

People with a condition affecting the way their body absorbs nutrients and those who have had surgery on their digestive tract should also speak with their doctor about supplements that may improve their overall health.

4. The importance of sleep. A good night’s sleep offers health benefits at any age, but getting enough rest can be more difficult as you get older.

To get a better night’s sleep, review your medications with your doctor to see if anything is impacting your rest. You should also try to limit your daytime napping (just 10 to 20 minutes per day is best) and avoid alcohol, caffeine or even water within a couple hours before bedtime.

5. Focus on your sexual health. This topic may not be as widely discussed as your physical or mental health, but it is no less important. Men should talk to their doctors about their lessening STEPS CONTINUED ON PAGE 11

50 plus! . AUGUST 2017 .

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Shrimp salad with spicy orange dressing goes with summer Try steaming the shrimp instead of boiling SARA MOULTON Associated Press

the flavor, I amped it up by making sure the water was heavily salted.

Summer’s here and the time is right for summer salads gussied up with light proteins. Boiled shrimp is the perfect candidate, especially when it’s paired with orange, avocado and mint, as it is here.

Steaming the shrimp cooks them thoroughly in 2 minutes or so, depending on their size. Then you chill them briefly in ice water to stop the cooking and pat them dry. Now they’re ready to go.

There is a problem, however; shrimp often becomes bland and chewy when it’s boiled. In fact, all proteins, not only shrimp, tend to turn tough when they’re subjected to the violence of boiling water. And if the boiling water isn’t wellsalted, the protein in question will end up flavorless and tough.

The dressing for this salad was inspired by various Asian cuisines: reduced fresh orange juice flavored with ginger, sesame oil and chili paste. It requires only 2 tablespoons of vegetable oil, making it very light.

At first, I tried to avoid these pitfalls by gently simmering the shrimp. This resulted in a modest improvement.

Then — eureka! — I decided to take a cue from my favorite new way to make a hard-boiled egg, which is not to boil it at all, but to steam it instead. The result was amazing. Steamed shrimp is much more tender than boiled shrimp. As for

ANSWERS

FROM PAGE 8

SHRIMP, AVOCADO AND ORANGE SALAD WITH SPICY ORANGE DRESSING Start to finish: 1 hour (45 active)

Servings: 4

For the sauce: 1 cup fresh orange juice 2 tablespoons rice vinegar (unseasoned) 2 tablespoons vegetable oil, preferably grapeseed 1/2 teaspoon freshly grated ginger 1/2 teaspoon sesame oil 1/2 teaspoon Asian chili paste with garlic (or your favorite hot sauce) Kosher salt

I have further outfitted the salad with avocado, fresh orange slices and toasted peanuts. But feel free to swap in the vegetables of your choice (shredded carrots, perhaps, or sliced cucumbers) and your For the salad: favorite nuts. Or leave out the nuts alto- 1 pound medium shrimp (26-30 count), peeled and deveined 2 small heads butter lettuce, washed and spun dry gether.

1 naval orange, peel and pith removed and cut into sections This light salad will cool you off on a 1 firm ripe avocado hot summer night — and delight your 1 cup fresh mint leaves, torn taste buds in the process.

1/3 cup toasted peanuts 1/4 cup chopped scallion, white and light green part

Make the sauce: In a very small saucepan simmer the orange juice until it is reduced to 1/2 cup. Transfer it to a bowl and whisk in the remaining ingredients. Add salt to taste and chill while you cook the shrimp.

Fill a large saucepan with enough well-salted water to come just up to the bottom of a collapsible steamer. Cover and bring to a full boil. Reduce to a medium boil and carefully add the shrimp to the steamer basket (if your steamer basket isn’t large enough, cook the shrimp in two batches). Make sure the level of the water is just below the steamer and the water doesn’t touch the shrimp. Cover the saucepan and steam the shrimp for 2 minutes. Take a shrimp out, cut it in half and, if the center is still translucent, return it to the pan for 30 seconds.

Immediately transfer the shrimp to a bowl of ice and water and let it cool completely. Remove and pat dry.

To assemble the salad: Line four bowls with the lettuce, mound the remaining ingredients in the center and drizzle the salad generously with the sauce.

Nutrition information per serving: 331 calories; 181 calories from fat; 20 g fat (3 g saturated; 0 g trans fats); 143 mg cholesterol; 941 mg sodium; 19 g carbohydrate; 6 g fiber; 10 g sugar; 20 g protein.

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versus six, on average.

Median survival in the online group was 31 months versus 26 months for the others.

A larger study will now test the online reporting system nationwide.

A colon cancer patient, 53-year-old James Sylvester of New York, is using a version of the one tested in the study to report any problems to his doctors at Sloan Kettering. He hasn’t had many side effects, but a rash led to referral to a dermatologist to see if it was related to his cancer medicine.

“The main benefit is they go holistically all over your body” with the list, asking about things that folks might not realize could be due to cancer, such as a rash or trouble with balance, he said.

“Some of the things you might not tell your doctor, or you might forget,” Sylvester said. The tool ensures the doctor has that information ahead of time, “so when you have that face time, it’s more focused.”

OR PROUD TO CARE F OUR VETERANS!

STEPS CONTINUED FROM PAGE 9

testosterone levels, which drop about 1 percent per year after age 30. Women may experience a similar drop in estrogen levels as well and should consult their doctor for treatment options. Don’t be shy about discussing sexual health issues with your doctor, from STDs to annual checkups, having a thorough understanding of your current sexual health - and what you need to do to protect or improve it - will benefit every other part of your life.

With aging comes new challenges and the need to be more vigilant in maintaining your overall well-being. By incorporating some of the tips above from the experts at Mayo Clinic, you’ll make sure the best years of your life are still to come. You can learn more about improving your health at any age through the advice offered in Mayo Clinic on Healthy Aging, or visit http://www. mayoclinic.org/healthy-lifestyle for more healthy lifestyle ideas.

Accepts Veteran’s Benefits Manitowoc Health and Rehabilitation Center is a 150 private patient room facility which is divided into 6 different neighborhoods; each offering its own dining room, living room and secluded court yard.

The following amenities are included, but are not limited to: • • • • • • • •

HFM Clinic Latte Da Café Galleria of Gifts Salon 1325, LLC Kavala Massage Spa Chapel MHRC Bank All Private Patient Rooms with Private Bathrooms

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Call 920-683-4115 to schedule your personalized tour.

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A Community Asset Reflecting Manitowoc Values

We are YOUR care facility, owned by the community, led by the community, for the community.

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Goal-Centered Healing

Recently completed, 18 beautifully decorated, spacious residences, with large windows overlooking the street or courtyard. These are the latest in senior living design. In the fall, 18 assisted living residences with memory care will open.

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A separate unit, Rehab at Shady Lane clients are goal-centered and work with our rehabilitation partners, HomeCare Health Services.

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Manitowoc’s Own Community Asset, Locally Directed & Non-Profit.

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