DECEMBER 2016
plus!
The magazine for active, mature lifestyles
9 PAGE
7 Social Security facts you need to know
50 plus!
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.
JIM MILLER
Syndicated columnist, NBC Today contributor & creator of SavvySenior.org
INSIDE
2 The Savvy Senior: Forgetfulness: What’s normal, what’s not?
4 ADRC: Program
supports Alzheimer’s family caregivers
Forgetfulness: What’s normal, what’s not? Dear Savvy Senior,
WARNING SIGNS At age 76, my husband has become forgetful lately and is As we grow older, some memory worried he may have Alzheimer’s. What resources can you difficulties – such as forgetting recommend to help us get a grip on this? —Concerned Wife names or misplacing items from
6 Cranston details
heart: Studies send mixed messages Many don’t need supplements, researcher says
8 Puzzles 9 ON THE COVER:
7 Social Security facts you need to know
10 Puzzle Answers
SAVVY SENIOR CONTINUED ON PAGE 3
ACHES & PAINS?
dark thoughts, inspirations New memoir details ups and downs
7 Calcium and your
Dear Concerned, Many seniors worry about memory lapses as they get older fearing it may be the first signs of Alzheimer’s disease or some other type of dementia. To get some insight on the seriousness of your husband’s problem, here are some resources you can turn to for help.
time to time – are associated with normal aging. But the symptoms of dementia are much more than simple memory lapses. While symptoms can vary greatly, people with dementia may have problems with short-term memory, keeping track of a purse or wallet, paying bills, planning and preparing meals, remembering appointments or traveling out of the neighborhood. To help you and your husband recognize the difference between typical age-related memory loss and a more serious problem, the Alzheimer’s Association provides a list of 10 warning signs that you can assess at 10signs.org. They also provide information including the signs and symptoms on the other conditions that can cause dementia like vascular
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Brandon Reid, editor Herald Times Reporter 920-686-2984 breid@manitowoc.gannett.com 50 Plus! is published monthly by the Herald Times Reporter Media. It also is distributed to select businesses in Manitowoc County.
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SAVVY SENIOR CONTINUED FROM PAGE 2
MEMORY SCREENING Another good place to help you get a handle on your husband’s memory problems is through the National Memory Screening Program, which offers free memory screenings throughout National Memory Screening Month in November. Sponsored by the Alzheimer’s Foundation of America, this free service provides a confidential, face-toface memory screening that takes about 10 minutes to complete and consists of questions and/or tasks to evaluate his memory status. Screenings are given by doctors, nurse practitioners, psychologists, social workers or other healthcare professionals in thousands of sites across the country. It’s also important to know that this screening is not a diagnosis. Instead, its goal is to detect problems and refer individuals with these problems for further evaluation. To find a screening site in your area visit NationalMemoryScreening. org or call 866-232-8484. It’s best to check for a screening location at the end of October, because new sites are constantly being added. SEE A DOCTOR
If you can’t find a screening site in your area, make an appointment with his primary care doctor to get a cognitive checkup. This is covered 100 percent by Medicare as part of their annual wellness visit. If his doctor suspects any problems, he may give him the Memory Impairment Screen, the General Practitioner Assessment of Cognition, or the Mini Cog. Each test can be given in less than 5 minutes. Depending on his score, his doctor may order follow-up tests or simply keep it on file so he can see if there are any changes down the road. Or, he may then refer him to a geriatrician or neurologist who specializes in diagnosing and treating memory loss or Alzheimer’s disease. Keep in mind that even if your husband is experiencing some memory problems, it doesn’t necessarily mean he has dementia. Many memory problems are brought on by other factors like stress, depression, thyroid disease, side effects of medications, sleep disorders, vitamin deficiencies and other medical conditions. And by treating these conditions he can reduce or eliminate the problem. 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.
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dementia, Lewy body dementia, frontotemporal dementia, Parkinson’s disease, Huntington’s disease, chronic traumatic encephalopathy and others – see ALZ.org/dementia.
. DECEMBER 2016 . 3
ADRC
Aging and Disability Resource Center
Program supports Alzheimer’s family caregivers BY CATHY LEY
Aging and Disability Resource Center of the Lakeshore director
The Alzheimer’s Family Caregiver Support Program was created by the Wisconsin Legislature in 1985 in response to the stress and service needs of families caring at home for someone with irreversible dementia. 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 inhome 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 follows: 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.
4 . DECEMBER 2016 . 50
To find out more about this program, contact the ADRC of the Lakeshore at 920-683-4180 or toll free, 1-877-4167083.
Medicare: Parts A-D 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, home care 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 held in Manitowoc on Tuesday, Dec. 13, from 3 to 5 p.m. at the Manitowoc County Office Complex, Room 300, 4319 Expo Drive, Manitowoc.
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 held from 10 to 11:30 a.m., Wednesday, Dec. 7, at the Manitowoc Public Library. December’s theme is “Merry Christmas.” We are treated with violin player Lydia, playing your favorite Christmas music and songs. We’ll get to sing along, too, and taste some tempting Christmas treats.
Lakeshore Memory Cafés are a proThe Kewaunee session will be held on gram of the Dementia Friendly CommuTuesday, Dec. 13, from 3 to 5 p.m. at Kenity Committee – a partnership of many waunee County Human Services Buildlocal organizations that have joined toing, 810 Lincoln St., Kewaunee. gether to make Manitowoc County more These sessions are a free public service, dementia friendly. but REGISTRATION IS REQUESTFor more about the program, or if you ED. Please register by calling 920-683would like to volunteer for the commit41880 or toll-free at 1-877-416-7083. tee, call Kim Jacquart Franzen at 877Lakeshore Memory Café 416-7083. Memory Cafés welcome those experi- New IRS scam coming through the encing early stage dementia, mild mem- mail ory loss or cognitive impairment, and We’re hearing of a new twist to the family and friends of those affected. It’s IRS imposter scam that was through a great opportunity for lively discussions, telephone calls earlier this year. It is now information gathering, refreshments, cacoming through the mail. maraderie and lots of creative fun! How it works: You receive an officialWe have a dementia specialist prolooking letter from the IRS saying you fessional on hand to answer questions owe taxes related to the Affordable Care
plus!
Act. The notice is labeled CP2000 for tax year 2015. The letter instructs payment be sent to the “IRS” care of an Austin, Texas, post office box. What you should know: If the IRS issues a notice under CP2000, it’s when income or payment information doesn’t match the information reported on your tax return. A legitimate notice will provide a number for you to call and a way to resolve the issue. Also, payments would be to “IRS” but rather to the U.S. Department of the Treasury. What you should do: If you get a notice like this but doubt its integrity, contact the IRS at 1-800-366-4484. The same scam runs through email. If you get an IRS notice by email, delete it immediately; the IRS will not reach out to you by email, nor will they call you demanding payment.
Holiday hours The Aging and Disability Resource Center of the Lakeshore will be closed for the holidays on Monday, Dec. 26, 2016; Tuesday, Dec. 27; Monday, Jan. 2, 2017; and Tuesday, Jan. 3, 2017. On behalf of all our staff, we wish you a safe, healthy and happy holidays. We look forward to continuing to serve you in 2017.
Some immune-boosting cancer drugs might damage heart Risks do not negate benefits, doctors say
MARILYN MARCHIONE ASSOCIATED PRESS
Doctors have found a disturbing downside to some powerful new drugs that harness the immune system to fight cancer: In rare cases, they might cause potentially fatal heart damage, especially when used together. “The problem is, no one has this on their radar,” so patients are not routinely checked for it, said Dr. Javid Moslehi, head of a Vanderbilt University clinic specializing in heart risks from cancer therapies. He led a report Nov. 2 in the New England Journal of Medicine describing two patients who died of heart trouble two weeks after receiving their first doses of two Bristol-Myers Squibb drugs, Opdivo and Yervoy, for the deadly skin cancer melanoma. Two similar drugs also are on the market, and the study leaders believe they might pose heart risks, too. “My sense is that this is a class effect, not limited to one drug,” Moslehi said. The risks do not negate the huge benefits of these relatively new types of drugs, doctors stress. Called checkpoint inhibitors, they have transformed treatment of several types of cancer by helping the immune system see and attack tumors. In rare cases, the immune system seems to attack not only the tumor but also the heart and other muscles, causing dangerous inflammation and heart rhythm problems. Patients need to be told of the risks, monitored closely and treated quickly with medicines to quell the immune response if trouble develops. Besides melanoma, the Opdivo-
Yervoy combination is used to treat some lung cancers, though at different doses. Other checkpoint inhibitors include Genentech’s Tecentriq, for bladder cancer, and Merck & Co.’s Keytruda, which former President Jimmy Carter received for melanoma that spread to his brain. Many more are in testing. There have been occasional, previous reports of heart troubles with these drugs. After the two recent deaths, doctors asked Bristol-Myers to check patient safety records on Opdivo and Yervoy. As of April, 18 cases of serious heart inflammation were found among 20,594 patients receiving either or both drugs, a rate of 0.09percent. It was more severe and more common among people on both drugs, affecting 0.27percent of those patients. BristolMyers scientists helped write the journal report, and some other authors consult for the company. Studies have shown that the drug combination gives a stronger anti-cancer effect than either drug alone, but “we’ve known this is a double-edged sword” because of the risk of overstimulating the immune system, said Dr. Jeffrey Sosman of Northwestern University in Chicago, who treated the two patients who died. “The big question is, is there enough advantage to using the combination, which is much more toxic, than a single drug,” he said. That’s a larger question facing the cancer field, not just with immune therapies. Some of the newer genetargeting drugs also have produced major side effects when used in
combination. Yet many doctors believe that combos may be the best way to get cancer to go into remission and stay there longer, by shutting down multiple pathways the tumor employs at once. Dr. Michael Atkins, deputy director of the Georgetown-Lombardi Comprehensive Cancer Center, believes
the heart problems with checkpoint inhibitors will turn out to be treatable in most patients. “It just gives us a moment of pause,” said Atkins, who led a study that included one of the two patients who died. “This is a rare event … but it’s a particularly serious one.”
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Cranston details dark thoughts, inspirations
New memoir details ups and downs JOHN CARUCCI Associated Press NEW YORK - Bryan Cranston seems so far apart from the murderous Walter White that one wonders how he was able to channel such darkness with Emmyworthy ferocity in “Breaking Bad.” But in his new memoir, “A Life in Parts,” Cranston details a real-life incident that helped him get in character: an unhinged ex-girlfriend who threatened his life and made him have violent thoughts about her. “She threatened my life. She threatened to kill me, and it was a constant thing, and there were times when I thought I was going crazy,” Cranston said of woman. (Later he married actress Robin Dearden, and they’ve been together 27 years.) It’s one of the more revelatory moments in the book, released earlier this month. The Emmy-winning, Oscar-nominated Cranston covers everything from his early childhood to his signature role on “Breaking Bad” to personal challenges. Cranston, 60, discussed some of those moments in a recent interview with The Associated Press. AP: You write about wanting to kill your ex-girlfriend; what drove you to that? Cranston: I was flush with fear, and I felt like a trapped animal, and I realized that I was capable of killing someone. That experience helped me in developing Walter White in the transition that he made, because Walter had to come to terms with that himself. That he was actually a good guy, but transitioning into not such a good guy … he was able to be honest with himself and say, “Yeah I could take another life,” and that is a tough thing to say to the person in the mirror. AP: What made you want to write a book at this point of your career? Cranston: I am aware from an objective point that the wave, the tsunami wave that “Breaking Bad” created also created tremendous opportunity for me, and there is a peak and valley to careers and that includes fame. If you are lucky to ride this wave of fame to a
6 . DECEMBER 2016 . 50
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Bryan Cranston, left, as Jack O’Donnell, and Ben Affleck, as Tony Mendez, are shown in a scene from “Argo,” a rescue thriller about the 1979 Iranian hostage Crisis. (AP)
plateau — it won’t last there. … I guess it is just a bluecollar work ethic that I was raised with. AP: In the book you talk about your dad being dissatisfied as an actor. Why follow in his footsteps? Cranston: It was in my DNA, and they were actors — my parents were both actors — so that was part of it. So really when you think about it (in) that sense, you’re going into the family business, so it’s very common. The turmoil that my dad went through, and then by extension, the kids went though, was profound and disastrous for the marriage, for the family. AP: In season two of “Breaking Bad,” Walter watches Jesse Pinkman’s girlfriend die. Why did Jane’s death affect you?
Cranston: I had this transformative experience that is almost hallucinogenic that — that I saw the face of my real daughter, Taylor. Her face took the place of Krysten Ritter, and it made me, uh, just you know, hesitate. And God, it is funny — every time I retell this story or when I wrote that story in the book, there is an uneasiness in my chest ’cause I think it is my biggest fear. It is my biggest fear, something happening to a child, your child, is unfathomable. AP: How long do you plan on working? Cranston: When the sun is shining, make hay, because it would be sunset on my career at some point, and when it is, I want to be exhausted. I want to be done, and actually go, “I had a good run. No regrets. I’m ready to step aside.”
Calcium and your heart: Studies send mixed messages Many don’t need supplements, researcher says
KIM PAINTER USA TODAY Confused about calcium? That wouldn’t be surprising. The mineral found in popular supplement pills — and in dairy foods, leafy greens and many fortified foods — is unquestionably good for your bones. But in recent years, doctors have raised concerns that calcium supplements might be overused and bad for hearts. Recently, two new studies made headlines. One found a link between the supplements and a buildup of calcium in arteries, a possible precursor to heart attacks and strokes. A second, wider-ranging study found
no heart risks and was the basis of new fading. guidelines from two medical groups sayOver the past decade, some studies ing calcium supplements should be con- have raised the possibility that calcium, sidered heart-safe. from supplements but not from food, “The public has been receiving very might raise heart risks. confusing and alarming messages about calcium supplements,” said JoAnn Manson, a professor of medicine at Harvard Medical School and chief of preventive medicine at Brigham and Women’s Hospital, Boston.
Most recently, researchers at Johns Hopkins University tracked nearly 3,000 adults and found that those who took calcium supplements at the study’s outset were 22 percent more likely to show artery calcification 10 years later. Those About 35 percent of U.S. adults take who got the most calcium from food had calcium supplements, alone or in multi- a decreased risk. But the study, published vitamins, according to a recent report in in the Journal of the American Heart Association, was not designed in a way the medical journal JAMA. that could prove the supplements caused So here’s what people need to know:
the artery changes. And its findings were quickly refuted by a larger review of 31 previous studies, including some with more rigorous designs. Taken together, those findings suggest healthy adults face no increased heart risks from calcium, in food or supplements, in amounts of up to 2,0002,500 mg a day, researchers reported in the Annals of Internal Medicine. The review was funded by the nonprofit National Osteoporosis Foundation, with support from Pfizer Consumer Healthcare, which makes calcium supplements. The review “is really reassuring,” said Clifford Rosen, senior scientist at the CALCIUM CONTINUED ON PAGE 11
Concerns about heart risks may be
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7 Social Security facts you need to know (BPT) - Planning ahead and getting an accurate picture of your options may be key to getting the most out of your retirement. However, a survey commissioned by Massachusetts Mutual Life Insurance Company (MassMutual) aimed to better understand
how much Americans know about Social Security retirement benefits suggests many may be leaving Social Security retirement benefits they’re entitled to on the table, or incorrectly assuming what benefits may be available in retirement. Here are some the
most common questions and answers for people of all ages: My spouse can qualify for Social Security retirement benefits, even if he or she has no earnings history. True! Many spouses choose to stay at home to raise children or other-
50
wise spend extended periods of time outside the paid workforce. This can affect a spouse’s ability to qualify for Social Security benefits. In such cases, the spouse who earns less may be eligible for a Social Security spousal
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SOCIAL SECURITY CONTINUED ON PAGE 10
. DECEMBER 2016 . 9
SOCIAL SECURITY
CONTINUED FROM PAGE 9
benefit. A spousal benefit can be as much as 50 percent of the higher earning spouse’s full retirement age benefit. The exact percentage will depend on whether or not each spouse has reached his or her full retirement age. As a divorced person, I can collect Social Security retirement benefits based on my ex-spouse’s earnings history. True! You may be eligible to receive retirement benefits based on your ex-spouse’s earnings record, provided your marriage lasted at least 10 years, you are currently unmarried, you are at least 62 years old and the benefit you would receive based on your personal earnings history is less than the benefit amount you would receive if you filed for benefits based on your ex-spouse’s earnings record. If your ex-spouse has not yet applied for
retirement benefits, but qualified for them, you can collect benefits based on his or her record provided that you have been divorced for at least two years. Under current Social Security Law, full retirement age is 65. False! Your full retirement age is based on the year you were born. For people born between 1943 and 1954, the full retirement age is 66. If you were born in 1960 or later, the full retirement age is 67. For anyone born between 1955 and 1959, the full retirement age increases gradually. Once I start collecting Social Security, my benefit payments will never change. False! The Social Security Act of 1973 included a provision for cost-of-living adjustments (COLAs) to help Social Security benefits account for inflation. Each year, the Social
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credits and meet additional criteria.
If I file for retirement benefits and have minor dependent children, they also may qualify for Social Security benefits. True! When you file for Social Security retirement benefits, your children may also qualify to receive benefits based on your record. An eligible child can be your biological child, adopted child or stepchild. A dependent grandchild may also qualify. Normally, benefits stop when children reach age 18 unless they are disabled. However, if the child is still a full-time student at a secondary school at age 18, benefits will continue until the child graduates or until two months after the child becomes age 19, whichever is first.
and a Social Security Number.
I must be a U.S. citizen to collect Social Security retirement benefits. False! You do not have to be a U.S. citizen to qualify for Social Security retirement benefits. Resident aliens who pay into the Social Security system may qualify to receive retirement benefits, assuming they earn enough
ANSWERS
Anyone 55 years or better is eligible to live here.
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Security Administration uses specific indexes and formulas mandated by this legislation to determine whether a COLA will apply to benefits paid in the coming year and if so, how much the increase will be.
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FROM PAGE 8
To become part of the Social Security system, non-U.S. citizens must have lawful alien status, permission by the U.S. Citizenship and Immigration Services (USCIS) to work in the U.S. I can continue working while collecting my full Social Security retirement benefits - regardless of my age. False! You can work and receive Social Security retirement benefits. However, if you have not reached full retirement age, your earnings will be subject to the retirement earnings test. If your income exceeds the test limit, Social Security may withhold all or a portion of your benefits. Withheld benefits are repaid over your lifetime once you reach full retirement age. Final decisions about Social Security filing strategies always rest with you and should always be based on your specific needs and health considerations. It is important to acquire as much information as possible in order to make an informed Social Security claiming decision because one year after the Social Security claiming decision is made, it cannot be changed.
CALCIUM
CONTINUED FROM PAGE 7
Maine Medical Center Research Institute at the University of Maine. He was not involved in the research. Also reassured were the osteoporosis foundation and the American Society for Preventive Cardiology, which issued new guidelines saying supplements appear heart-safe.
Not everyone is convinced. The larger review did not include all potentially relevant studies, said Erin Michos, an associate professor of medicine and epidemiology who led the Johns Hopkins study. “I’m still concerned about harm from supplements, and I don’t advise them for my patients,” she said.
There are other reasons not to take calcium supplements. The first is that most people don’t need them, Rosen said. Calcium intake from food has been rising, he said, with recent surveys finding averages of about
1,000 mg a day — close to or meeting the 1,000 mg to 1,200 mg recommended for adults (the higher level is advised for women over 50 and men over 70). Many people get more than they realize, he said, not just from milk, cheese and yogurt but from vegetables, grains, and, increasingly, fortified foods and beverages. When there is a gap, food is a better choice than supplements, the experts agree. Calcium-rich foods, such as milk (300 mg a cup), plain yogurt (400 mg per cup) and kale (100 mg a cup), come with added nutritional benefits. And supplements come with extra risks: increases in kidney stones and, for some people, constipation and bloating.
Some people do need supplements. Older adults with osteoporosis — bone thinning severe enough to raise the risk of debilitating fractures — can benefit from calcium supplements, Rosen said, though most need just one 500 mg to 600 mg dose a day. Larger doses are
poorly absorbed and rarely needed, he said. Among others who might need a boost: vegans, people with lactose intolerance and anyone who, for whatever reason, does not consume enough calcium, said Taylor Wallace, an affiliate professor of nutrition at George Mason University in Fairfax, Virginia, and a coauthor of the new cardiovascular statement. Teen girls, who are in crucial bonebuilding years, often have diets that fall short of their needs, 1,300 mg a day, Wallace said.
Your bones need more than calcium alone. Vitamin D — found in fatty fish, fortified foods and supplements, and produced by the skin in response to sun exposure — is also essential to bone health. Many supplements combine vitamin D and calcium, but experts disagree
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While some studies have linked over-thecounter calcium supplements to heart risks, a large review found no link. (Bebeto Matthews, AP)
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A NEW Era In Senior Living Dawns! Shady Lane, Inc. – is Changing!
Visit us on Facebook www.shadylaneinc.com
Our 3-Phase Plan will evolve our campus into a modern senior living community sensitive to Manitowoc’s needs. The first step of this change is a
NEW Assisted Living Building
that adds accommodations to Laurel Grove Assisted Living
Our dedicated rehabilitation center is goal-centered. We want to send you home -- but we want to send you home healthier and ready to resume your life. Smart Healing is a program centered on activities and diet that works to achieve that goal.
Privacy when you want it, help when you need it. Independence is important to healthy living. Healthy living sometimes calls for someone to help at times, to be there so you’re not alone. We provide nutritious and delicious meals, activities, cleaning and laundry service as well as companionship. Secure memory care is also available.
When intense care is required, our staff of professional caregivers and nurses offer compassionate nursing. Hospice and palliative care are available. Founded in 1951, Shady Lane, Inc. is a not-for-profit, community-directed facility. We have no stockholders only stakeholders.
For information contact: Theresa Patrick, Community Relations Director, 920-682-8254 WI-5002061671
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Shady Lane, Inc. / 1235 South 24th Street / Manitowoc, WI
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