50 Plus! June 2017 by Gannett Wisconsin Media

JUNE 2017

plus! The magazine for active, mature lifestyles

9 PAGE

3 steps to reach 100 feeling youthful and healthy

50 plus!

JIM MILLER

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

INSIDE 2 How to pick a

medical alert system

3 Cells dripped into

brain help man fight deadly cancer

4 ADRC of the

Lakeshore has moved!

5 ‘Sci-fi’ cancer

therapy fights brain tumors, study finds

6 Kevin Kline says

farce looks easy but is certainly not

McCullough talks Trump, history and his new book

8 Puzzles 9 ON THE COVER: 3 steps to reach 100 feeling youthful and healthy

10 Puzzle Answers

How to pick a medical alert system Dear Savvy Senior, I would like to get my 82-year-old mother, who lives alone, a home medical alert system with a panic button that she can push in case she falls or needs help. Can you recommend some good options to help me choose? — Overwhelmed Daughter Dear Overwhelmed, A good medical alert system is an affordable and effective tool that can help keep your mother safe, but with all the choices available today choosing one can be quite confusing. Here are some tips that can help.

Brandon Reid, editor Herald Times Reporter 920-686-2984 breid@manitowoc.gannett.com

2 . JUNE 2017 . 50 plus!

– and a base station that connects to the home phone line, or to a cellular network if no landline is present. At the press of a button, your mom could call and talk to a trained operator through the system’s base station receiver, which works like a powerful speakerphone. The operator will find out what’s wrong, and will notify family members, a friend, neighbor or emergency services as needed. In addition to the basic home systems, many companies today (for an additional fee) are also offering motion sensitive pendants that can detect a fall and automatically call for help if your mom is unable to push the button. And mobile medical alerts that work when your mom is away from home. Mobile alerts work like cell phones with GPS tracking capabilities. They allow your mom to talk and listen to the operator directly through the pendant button, and because of the GPS, her general location would be known in order for help to be sent.

HOW THEY WORK Medical alert systems, which have been around for about 40 years, are popular products for elderly seniors who live alone. Leased for about $1 a day, WHAT TO CONSIDER these basic systems provide a wearable help button – When shopping for a home usually in the form of a neck pendant or wristband medical alert system, here are

STAFF

50 Plus! is published monthly by the Herald Times Reporter Media. It also is distributed to select businesses in Manitowoc County.

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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some things to look for to help you choose a quality system: • Extra help buttons: Most companies offer waterproof neck pendant and wristband help buttons, but some also offer wall-mounted buttons that can be placed near the floor in high fall risk areas like the bathroom or kitchen, in case your mom isn’t wearing her pendant. • Range: The base station should have a range of at least 400 feet so it can be activated from anywhere on your mom’s property – even in the yard. • Backup: Make sure the system has a battery backup in case of a power failure. • Monitoring: Make sure the response center is staffed with trained emergency operators located in the U.S., are available on a 24-hour basis, and responds to calls promptly. • Contacts: Choose a company that provides multiple contact choices – from emergency services, to a friend or family member who lives nearby – that they can contact if your mom needs help. • Certification: Find out if the monitoring center has been certified by Underwriters Laboratories, a nonprofit safety and consulting company. TOP RATED COMPANIES While there are dozens of companies that offer medical alert systems, here are some top options that offer both home and mobile alerts: Bay Alarm Medical (fees start at $30 per month for a home landline system); Life Station ($30/month); Medical Alert ($33/month); MobileHelp ($30/month); and Phillips Lifeline ($30/month plus a $50 activation fee). Most of these companies offer discounts if you pay three to 12 months in advance. For mobile medical alerts only, you should also see GreatCall’s Lively Mobile and Wearable(these cost $50 plus a $20 to $35 monthly service fee) and Consumer Cellular’s Ally ($150 plus $25 per month). 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.

Cells dripped into brain help man fight deadly cancer Patient’s own blood is modified to attack tumors

MARILYNN MARCHIONE ASSOCIATED PRESS

A man with deadly brain cancer that had spread to his spine saw his tumors shrink and, for a time, completely vanish after a novel treatment to help his immune system attack his disease — another first in this promising field. The type of immunotherapy that Richard Grady, 50, received has already helped some people with blood cancers such as leukemia. But the way he was given it is new and could allow its use not just for brain tumors but also for other cancers that can spread, such as breast and lung. Grady was the first person to get the treatment dripped through a tube into a space in the brain where spinal fluid is made, sending it down the path the cancer traveled to his spine. He had “a remarkable response” that opens the door to wider testing, said Dr. Behnam Badie, neurosurgery chief at City of Hope, a cancer center in Duarte, California, where Grady was treated. The case was reported recently in New England Journal of Medicine. Each year in the United States, about 20,000 people are diagnosed with a type of brain tumor called glioblastoma. Grady, who lives in Seattle, had the usual surgery, radiation and chemotherapy, but the cancer came back. He enrolled in a clinical trial at City of Hope and had some of his own blood cells, called T cells, removed and genetically modified in the lab to turn them into specialized soldiers to seek and destroy cancer. The treatment, called CAR-T cell

therapy, has been used for blood cancers, but its value for solid tumors is unknown. City of Hope has been testing injecting the cells directly into the brain. First, Grady had more surgery to remove three of his largest tumors. Then he got six weekly infusions of the cells through a tube into his brain, where the biggest one had been. No cancer recurred there, but the remaining tumors continued to grow, new ones appeared, and cancer spread to his spine. Doctors decided on a bold step: placing a second tube in his brain, into a cavity where spinal fluid is made, and putting the cells there. “The idea was to have the flow of the spinal fluid carry the T cells to different locations,” along the route the cancer had taken, Badie said. After three treatments, all tumors had shrunk dramatically. After the 10th treatment, “we saw all the tumors disappear,” and Grady was able to cut back on other medicines and return to work, Badie said. New tumors, though, have now emerged in different spots in his brain and spine, and he is getting radiation treatment. But his response to immunotherapy lasted more than seven months, and “for him to live more than a year and half ” after starting it is amazing for a situation in which survival often is measured in weeks, Badie said. Side effects of the treatment were manageable, including headaches, fatigue and muscle aches, and some might have been due to other medicines Grady needed, doctors reported.

It’s early research, but it’s an advance for the field “that they showed this is safe, at least in this patient,” said Dr. Donald O’Rourke, a neurosurgeon heading a similar study at the University of Pennsylvania. O’Rourke treated 10 brain tumor patients with CAR-T cells but used a single IV dose. A paper detailing results is in the works, but “it’s pretty striking what we’ve found,” he said. At City of Hope, nine patients have been treated so far but only three with infusions into the spinal fluid brain cavity. Two of the nine have not responded to treatment, Badie said.

Richard Grady in Duarte, Calif., is the first person to get cells that were genetically modified to seek and kill cancer dripped through a tube into a space in the brain where spinal fluid is made. (City of Hope via AP)

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ADRC

Aging and Disability Resource Center

ADRC of the Lakeshore has moved! BY CATHY LEY

Aging and Disability Resource Center of the Lakeshore director

In late April, the ADRC of the Lakeshore moved to the Manitowoc County Heritage Center, at 1701 Michigan Ave. in Manitowoc. We made the move with the Manitowoc County Veteran’s Service Office. We are very proud of our new home and would like to invite you to join us in a Grand Opening Celebration. Our celebration and open house will be from 1 to 4 p.m. June 28. Please join us for tours, information about our services and refreshments. We look forward to seeing you! Senior Farmers’ Market Vouchers available Senior Farmers’ Market Vouchers will again be distributed by the Aging & Disability Resource Center of the Lakeshore. The Farmers’ Market Vouchers are valued at $25 and are redeemable for Wisconsin-grown fresh produce, fruit and herbs from participating vendors for Manitowoc County and Kewaunee County seniors. To be eligible, a person must be 60 years of age and older, yearly income for a single person cannot exceed $22,311 and a couple’s yearly income cannot exceed $30,044. Vouchers will also be available in Manitowoc County on the following dates and times. Please bring proof of income and a photo ID. • June 5, 9:30 a.m.-noon, ADRC, 1701 Michigan Ave., Manitowoc; • June 7, 9:30-10:30 a.m., Kiel Community Center, 510 Third St., Kiel; • June 7, 11:15 a.m.-12:15 p.m., Reedsville Manor Apartments, 431 Madison St., Reedsville; • June 8, noon-1 p.m., Manitou Manor, 1433 N. Seventh St., Manitowoc; • June 8, 1:30-2:30 p.m., River Hill Apartments, 1500 N. Third St., Manitowoc; • June 8, 2:45-3:45 p.m., Valley

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View Apartments, 1485 N. Seventh St., Manitowoc; • June 9, 9:30-11:30 a.m., Two Rivers Senior Center, 1520 17th St., Two Rivers; • June 9, 12:15-1:15 p.m., Village Green East, 2401 Polk St., Two Rivers; and • June 9, 12:15-1:15 p.m., Village Green West, 2602 Forest Ave., Two Rivers. Vouchers will be distributed on a first come, first served basis. 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, 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. June 13 at the Manitowoc County Office Complex, Room 300, 4319 Expo Drive, Manitowoc. The Kewaunee session will be from 3 to 5 p.m. June 13 at the Kewaunee County Human Services Building, Medium Conference Room, 810 Lincoln St., Kewaunee. These sessions are a free public service, but registration is requested. Register by calling 920-683-4180 or toll-free at 1-877-416-7083. Lakeshore Memory Café June 7 Have you heard about the Lakeshore Memory Café? Memory Cafés welcome those experiencing 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. June 7 at Manitowoc Public Library. June’s theme is “Jeopardy!” We honor fathers this month. 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 more about the program, or if you would like to volunteer for the committee, call Kim Jacquart Franzen at 877416-7083. Grief support group forming Losing a loved one is extremely difficult. In difficult times, it is very easy to feel isolated and alone. There is help and support available so that no one needs to grieve the loss of a loved one alone. The Lakeshore Area Grief Support Groups will be offering an afternoon drop-in session beginning in July of this year. The support group will offer resources designed to help you understand grief and build special friendships during this very difficult and emotional time. We will explore the stages of grief, participate in exercises that help us to understand grief, and discuss the impact of grief in our lives. The group will evolve based on feedback and input from those who attend. We want the support group to be what those who attend want and need it to be. The group will be facilitated by Rani Beckner of HomeCare Health Services, and Lynn Scheinoha of the Aging and Disability Resource Center of the Lakeshore. The group is open to anyone who has lost a loved one and is looking for guidance and support. Please help to spread the word. If you or anyone you know may be interested in attending this support group, please consider joining. There is no cost, there is no registration required, and there is no forced participation – you choose and have full control over how little or how much you wish to participate in the group. Snacks and beverages will be available at each meeting as well. Grieve not alone! Reach out to others who are experiencing the same feelings and thoughts. Our first meeting will be from 1 to 2:30 p.m. July 11 at the Aging & Disability Resource Center of the Lakeshore, 1701 Michigan Ave., in Manitowoc. The group will continue on the sec-

ond Tuesday of each month at the same time and place. For information about this grief support group, contact the Aging & Disability Resource Center of the Lakeshore at 877-416-7083 or Rani Beckner at 920684-7155. Caregiving class offered The Aging & Disability Resource Center of the Lakeshore will be offering a “Powerful Tools for Caregiving” series beginning July 12 and concluding Aug. 16. The classes will be at River Woods Place Senior Living at 950 S. Rapids Road in Manitowoc. This is a six-week series that meets each Wednesday from 5:30 to 8 p.m. Attendance at all six sessions is highly encouraged, as each class builds upon previous skills acquired. The focus of the class is on the caregiver and self-care. You will learn techniques to reduce personal stress, communicate effectively with family, friends, medical professionals; reduce guilt, anger, fear, depression and tension. You will practice relaxation techniques and build confidence in handling difficult caregiving situations, emotions and decisions. Though this class is educational in nature, support comes from other caregivers who experience the same feelings and day-to-day struggles. Ample time for sharing helps caregivers realize others are also walking in their shoes. Caregiving can be both challenging and rewarding, however, it is very important that caregivers pay attention to the physical, emotional and financial problems that this role may cause and continue to take care of themselves. Families usually believe no one can care for their loved one as well as they can, even though they are struggling to do it all. Respite care for our loved one, if they are unable to be home alone during the time of the sessions, can be provided in the home at no cost to the caregiver by contacting the ADRC of the Lakeshore. An assessment is required prior to the start of class. Please call now to arrange this service. A minimum of one week is required to coordinate this service. For more information or to register, call Lynn Scheinoha at 920-683-5110. Class size is limited.

‘Sci-fi’ cancer therapy fights brain tumors, study finds

Costly, high-tech electric device attacks at a cellular level MARILYNN MARCHIONE ASSOCIATED PRESS

WASHINGTON - It sounds like science fiction, but a cap-like device that makes electric fields to fight cancer improved survival for the first time in more than a decade for people with deadly brain tumors, final results of a large study suggest. Many doctors are skeptical of the therapy, called tumor treating fields, and it’s not a cure. It’s also ultra-expensive — $21,000 a month.

But in the study, more than twice as many patients were alive five years after getting it, plus the usual chemotherapy, than those given just the chemo. “It’s out of the box” in terms of how cancer is usually treated, and many doctors don’t understand it or think it can help, said Dr. Roger Stupp, a brain tumor expert at Northwestern Memorial Hospital in Chicago. He led the company-sponsored study while previously at University Hospital Zurich in Switzerland and gave results

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April 2 at an American Association for Cancer Research meeting in Washington. Dr. George Demetri of the DanaFarber Cancer Institute in Boston, who’s a board member of the association hosting the conference, agreed but called the benefit modest because most patients still die within five years. “It is such a horrible disease” that any progress is important, he said. About the treatment The device, called Optune, is made by

Novocure, based in Jersey, an island near England. It’s sold in the U.S., Germany, Switzerland and Japan for adults with an aggressive cancer called glioblastoma multiforme, and it’s used with chemo after surgery and radiation to try to keep these tumors from recurring, as most do. Patients cover their shaved scalp with strips of electrodes connected by wires to a small generator. They can wear a hat and go about their usual lives, using the device at least 18 hours a day. It’s not CANCER CONTINUED ON PAGE 11

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Kevin Kline says farce looks easy but is certainly not Actor starring in Noel Coward’s ‘Present Laughter’

MARK KENNEDY Associated Press

speare’s “Twelfth Night” — “Present youth hath present laughter.”

NEW YORK - At a press event celebrating his return to Broadway, Kevin Kline wanted to be crystal clear on one topic: He’s not having a midlife crisis. He’s playing someone who’s having a midlife crisis.

Described by the playwright himself as “a series of semi-autobiographical pyrotechnics,” the play has now been revived five times on Broadway and many times in London, starring Ian McKellen, Albert Finney, Frank Langella, Victor Garber and Coward himself.

“I’m way past my midlife crisis. I’m in my third,” the actor joked. Kline is starring in “Present Laughter,” Noel Coward’s 1939 farce about an egomaniacal matinee idol in the midst of personal turmoil. It’s all about dressing gowns, love affairs and witty repartee, but Kline says it’s really hard work. “One of my friends said, ‘Noel Coward? That’ll be a breeze for you.’ But I’ve never done it before. It’s not as easy as it looks,” he said. “It’s supposed to look easy, but, in fact, it’s threading a needle.” Kline, 69, plays Garry Essendine, an aging star who can’t answer the door without first checking his hair in a mirror. The character is planning a trip to Africa but is interrupted by a love-struck ingenue, a producer, his estranged wife and crazed young playwright. The title comes from Shake-

“It had always been on my list of parts because I saw it once and thought, ‘What a funny play and what a great part,’” said Kline. “Someone who takes himself terribly seriously — those are funny characters.” Kline, an Oscar and two-time Tony Award winner, is being joined onstage at the St. James Theatre by Tony and Emmy nominee Kate Burton, Tony nominee Kristine Nielsen and, in her Broadway debut, Cobie Smulders. The play marks the first time Smulders has worked with Kline, but she said she’s adored him in films like “In & Out” and “A Fish Called Wanda.” She called him a dynamic and deeply interesting force onstage. “I find him to be so fluid,” said Smulders, who was a cast member on “How I Met Your Mother.” “I don’t know if

“I have asked him to do very little. He brings so many options and tools to the table that it has been a wonder-

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it’s his physicality or just way that he is, he’s so quick to change and move and switch.” Director Moritz von Stuelpnagel, who earned a Tony nomination directing “Hand to God,” said the Coward play is timely despite being 78 years old. He said it’s about how celebrity and success can change you. Getting Kline on board was icing on the cake.

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Kevin Kline, seen in 2013, is starring in “Present Laughter,” Noel Coward’s 1939 comedy about an egomaniacal matinee idol in the midst of personal turmoil. (Chris Pizzello /Invision/AP)

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ful exploration. He can make the lowbrow seem high-brow and the highbrow seem low-brow, but he also has a sensitivity in his sad-clown way that helps add depth to this play.” Kline has played an aging ham before — particularly in 1991’s “Soapdish” — but said he relishes the chance to parody his art in a high-energy show onstage. “It’s not falling off a log,” he said. “I hope it’ll look like it’ll be falling off a log.”

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McCullough talks Trump, history and his new book

Actor starring in Noel Coward’s ‘Present Laughter’ HILLEL ITALIE Associated Press NEW YORK - David McCullough, worried about a president he calls “a cloud” on the American horizon, knows well the consolations of history.

McCullough, who turns 84 in July, had for decades been nonpartisan in his public life. He has praised Democrats (John Kennedy) and Republicans (Dwight Eisenhower) and hesitated to directly criticize a sitting president. His history of the Panama Canal, “The Path Between the Seas,” was cited by members of Congress from both parties as they deliberated over the Panama Canal treaties, approved in 1977. “When I was a witness to the great debate over the Panama Canal treaties, I saw Congress at its best,” he says. “I saw people crossing party lines when they realized it was the best thing to do.” McCullough’s latest book is “The American Spirit,” a collection of talks he has given over the past 30 years. Known for such best-sellers as “John Adams” and “The Wright Brothers,” McCullough also is one of the country’s most popular speakers, in demand at colleges, historical societies

Historian and author David McCullough’s latest book, “The American Spirit,” is a collection of talks he has given over the past 30 years. Known for such bestsellers as “John Adams” and “The Wright Brothers,” McCullough also is one of the country’s most popular speakers. (File/AP)

and political gatherings, including a joint session of Congress in 1989. Like so many releases this year, “The American Spirit” was conceived well before Trump’s election, but takes on new meaning because of it. McCullough, speaking in 2016 at the U.S. Capitol Historical Society, praises the immigrants who helped build the capitol. In a 1994 commencement address at Union College, he warns against the “purists” who shun the “empirical method.” At a conference in Providence, Rhode Island, not long after the Sept. 11, 2001, attacks, he disputes assertions that “everything has changed.” “But everything has not changed,” he says. McCullough works hard on his speeches, spending days or more to find the right words for a graduation or occasion for national reflection, McCULLOUGH CONTINUED ON PAGE 11

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“We’ve been through much harder times than we’re in now,” the Pulitzer Prize-winning author told The Associated Press during a recent telephone interview. “Yes, we have had problems and have had dishonest and evil people in positions of responsibility. But we have overcome those challenges and we’re often better for it.”

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3 steps to reach 100 feeling youthful and healthy (BPT) - What will your life be like when you turn 100? A century ago, the question seemed almost flippant, a needless consideration for most people, but today it’s very real. The percentage of people living to 100 has grown almost 66 percent in the last 30 years, according to U.S. News and World Report. The MDVIP Health and Longevity Survey reveals that more than half of Baby Boomers and Generation Xers want to live past the age of 90. More than a quarter want to live beyond 100. The majority from both generations also believe advances in science and technology are going to keep more peo-

ple alive past the age of 100. However, these findings come at a time when the life expectancy of Americans has declined for the first time in two decades and one in two adults is living with at least one chronic disease. “To reach their longevity goals, Americans can no longer afford to put their health on the back burner,” says Dr. Andrea Klemes, chief medical officer at MDVIP. “Most people don’t wait until they’re 60 to start saving for retirement. The same should go for their health, where making small investments today can pay big dividends many years down the road.”

Many chronic conditions, such as high blood pressure, heart disease and Type 2 diabetes, are preventable through simple lifestyle changes. Still, nearly two out of three Boomers and Gen Xers admit they could be doing a better job of exercising regularly, eating well and maintaining a healthy weight. The key to greater longevity is prioritizing your health now – when you’re well – to prevent problems later on. Whether you’re age 38 or 68, arm yourself with the right knowledge and tools to set realistic health goals and help you stay on track to achieving them. You can start today by asking three

questions: What’s your number? When’s the last time you had your blood pressure or cholesterol levels checked? Maintain a current record of your vitals and lab results along with your family history. Make sure you discuss these details with your doctor, who can help identify your risk for certain conditions and suggest lifestyle changes based on the results. For example, if you know you have pre-diabetes or are at a moderate risk for developing heart disease, you can work with your doctor on modifying 3 STEPS CONTINUED ON PAGE 10

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your diet and increasing your physical activity. These data points serve as an important guide in managing your health and can be the difference between preventing an issue and treating it. What’s up, doc? Going to the doctor is an essential component of maintaining good health, but choosing the right doctor directly affects the benefit of each visit. Surprisingly, the survey revealed that one out of three Gen Xers avoid going to the doctor out of fear of finding something wrong. It’s important to find a primary care doctor you trust, who makes you feel at ease and takes the time to know you and your medical history. “Having Dr. Gassner on my side has been the best medicine,” says Rose Demitrack, a 101-year-old patient of MDVIP-affiliated physician Dr. Lawrence Gassner in Phoenix, Arizona. “He spends time with me and makes sure I’m doing the right things. Plus he always makes me laugh, which is one secret to staying young. I may be older than most, but I still feel young on the inside.” In the current health care environment, an appointment with a doctor is usually scheduled weeks in advance, and after a long wait in the waiting room, patients often feel rushed through the

ANSWERS

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visit. Patients deserve better and you McCULLOUGH CONTINUED FROM PAGE 7 should shop around for a doctor whose like his 2013 address in Dallas for the goal is to build a relationship and keep 50th anniversary of President Kenyou well. nedy’s assassination. His talks have What’s the plan? been mini-essays on the evolution of Whether your goal is to lose 10 the presidency, the Declaration of Inpounds or to lower your blood pressure, dependence, his native Pittsburgh, the you need a plan to get you there. “I tell role of universities in public policy or my patients to think of it as a business the lives of congressional leaders he plan for their health,” says Dr. Steven thinks deserve more attention, from Wilson, an MDVIP-affiliated family Florida’s Claude Pepper to Robert practitioner in Redlands, California. Taft of Ohio. An official at the U.S. “First, determine your health goals and Capitol Historical Society, Laura Mcmake them the focus of your attention. Culty Stepp, says McCullough came Discuss your goals with your doctor to Washington a few weeks before his who can help you formulate a health speech for research and to get a feel for plan for the next year and beyond.” the actual location. Once you have your plan established, it’s up to you to execute it. Many people don’t stick with a plan because it’s hard to stay disciplined and easy to fall back into old habits. So don’t be afraid to consult your doctor along the way. Your doctor is your partner in your health journey, and working together could give you a better chance at seeing exactly what your life will be like when you reach 100. To learn more about MDVIP’s national network of more than 900 primary care physicians who deliver personalized care with an emphasis on prevention and a close doctor-patient relationship, visit MDVIP.com.

“He spent quite a bit of time touring the site,” says Stepp, the society’s vice president, membership and development. “He paid a great deal of attention to detail and to making sure everything he said was accurate. He never assumed anything.” In his address to the society, he lamented the “Dialing-for-Dollars reality” of the current Congress, but last year he had much harsher and more surprising words for the Republicans’ presidential contender. In July, he and Ken Burns started the Facebook page Historians Against Trump, featuring videos from McCullough, Burns, Stacy Schiff and others. “What has the Republican Party come to?” McCullough asked in his video. “He is unwise, he is plainly unprepared, unqualified and, it often seems, unhinged.” For McCullough, being an historian is itself a kind of rebuke to Trump. (”History is an antidote to self-importance,” he said during his recent interview.) Politicians of both parties once seemed to compete over who most admired McCullough’s biography of Harry Truman. Trump, McCullough says, “not only doesn’t read history, he brags about it.” “He talks about how he’s never read a biography of a president and that he

10 . JUNE 2017 . 50 plus!

feels he doesn’t need to because he can depend on his instincts and natural genius to decide what he should do,” he adds. Asked what he would tell Trump should he ever have the chance, McCullough said he would urge the president to study his predecessors. “He has to understand who has occupied that all-important role down through the years and what can be learned from their successes and failures, their conduct in the face of disappointment or in the face of seemingly overwhelming odds.” McCullough is confident about the country, because of history — “who we are, how we got to be where we are, and all we have been through, what we have achieved.” He is currently inspired by an act of the Continental Congress from 1787, the Northwest Ordinance, the subject of a book he’s working on and hopes to have out in 2019. The roots of his next book, which he is calling “The Pioneers,” can be seen in a 2004 commencement address at Ohio University. The Northwest Ordinance set down guidelines for the governing and admittance of Ohio and four other future states (plus a part of Minnesota) to the union — Indiana, Illinois, Michigan and Wisconsin. The ordinance also established rights for the territories, including the prohibition of slavery and a commitment to education, which the ordinance deemed “necessary to good government and the happiness of mankind.” “These are strong, clear declarations of faith in education as the bulwark of freedom,” McCullough said in his speech, using words that seem sharpened by the rise of Trump, who as a candidate had boasted of his appeal to the “poorly” educated. “For self-government to work, the people must be educated.”

CANCER

CONTINUED FROM PAGE 5

an electric current or radiation, and they feel only mild heat. It supposedly works by creating lowintensity, alternating electric fields that disrupt cell division. Because cancer cells divide often, and normal cells in the adult brain do not, this in theory mostly harms the disease and not the patient. What studies show In a 2011 study, the device didn’t improve survival but caused fewer symptoms than chemo for people whose tumors had worsened or recurred after standard treatments. The U.S. Food and Drug Administration approved it for that situation. A second study, in newly diagnosed patients, was stopped in 2014 after about half of the 695 participants had been tracked for at least 18 months because those using the device were living several months longer on average than the rest.

The FDA expanded approval, but some doctors were leery because the device wasn’t compared with a sham treatment — everyone knew who was getting what. Study leaders say a sham was impractical because patients feel heat when they get the real thing, and many would refuse to shave their heads every few days and use an inconvenient device for years if the treatment might be fake. Some doctors said they would withhold judgment until there were long-term results on the whole group. Those results showed survival was 21 months for those given Optune plus chemo versus 16 months for those on chemo alone. Survival rates were 43 percent versus 31 percent at two years, 26 percent versus 16 percent at three years, and 13percent versus 5percent at five years. Side effects were minimal but included blood-count problems, weakness,

fatigue and skin irritation from the electrodes. “The device is now impossible to ignore. ... It absolutely is an advance,” said Dr. Andrew Lassman, brain tumor chief at the Columbia University Medical Center/New York-Presbyterian Hospital. He consults for Novocure, as do some doctors running the study. The latest National Comprehensive Cancer Center guidelines include Optune as an appropriate treatment for brain tumors. It’s also being tested for pancreatic, ovarian and lung cancers; electrodes are worn on the belly or chest for those. The price A big issue is cost — roughly $700 a day. The price reflects “an extremely sophisticated medical device, made in very low quantities,” with disposable parts changed several times a week and a support person for each patient, Novocure CEO Bill Doyle said. It also

factors in 17 years of lab, animal and human testing. That cost? “The round number is half a billion dollars,” Doyle said. Joyce Endresen’s insurance covers all but about $1,000 a year for her device. “It’s a great plan, and that’s why I still work,” said Endresen, 52, employed by a direct mail company in suburban Chicago. She has scans every two months to check for cancer, and “they’ve all been good,” she said. “We celebrated two years of no tumor in December and went to South Africa.” Doctors say many patients won’t try the device because of the trouble involved or because they don’t want a visible reminder of their cancer. Not Endresen. “I wear it and wear it proudly,” she said. “It’s an incredible machine, and I’m fine not having hair.”

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