octoBeR 2015
plus!
the magazine for active, mature lifestyles
9 page
one thing beads to another
50 plus!
inSide
2 Benefits to aggressive blood
3 4 6 7
pressure treatment plan the Savey Senior adRc adjusted flu Vaccine options adRc Hoarding on the rise two Rivers Senior center needs new car
9 ON THE COVER:
one thing beads to another
on tHe coVeR: Velma cox, 95, poses for a portrait with the first french beaded flower bouquet she made at her felician Village apartment. cox started making bead crafts about six years ago. Yi-chin Lee/HtR media
STAFF
Dan Benson, Engagement Editor Gannett Wisconsin Media|Lakes Region 920.453.5125 | dbenson2@gannett.com Dale Mahloch, Advertising Manager 920-686-2124 | dmahloch@htrnews.com 50 Plus! is published monthly by the Herald Times Reporter Media. It also is distributed to select businesses in Manitowoc County.
Study finds benefits to aggressive blood pressure treatment plan LiZ SZaBO USA TODAY
Aggressive treatment of high blood pressure reduced the risk of death by 25 percent, according to a new study that could lead millions more Americans to take medications. Doctors found big benefits when they gave patients medications that aimed to reduce their systolic blood pressure — the top number in a blood pressure reading — to 120 milligrams of mercury or less. Today, doctors aim to get most patients’ systolic blood pressure below 140. Reducing systolic blood pressure also reduced the risk of problems such as heart disease, heart failure and stroke by 30 percent, according to researchers from the National Institutes of Health. “More intensive management of high blood pressure in people 50 years and older can save lives and reduce cardiovascular complications like strokes,” said Gary Gibbons, director of the National Heart, Lung and Blood Institute, part of the NIH, which funded the trial. The study, the largest of its kind, included more than 9,300 people 50 and over. Drug companies also donated two of the drugs used in the study. Patients began the study with a blood pressure of about 140, taking an average of about two medications. Those who
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lowered their systolic blood pressure below 120 took an average of three medications. About 1 in 3 Americans — about 70 million people — has high blood pressure, and only half of them have their blood pressure under control, Gibbons said. High blood pressure increases the risk of heart attacks, strokes, kidney disease and other serious problems. Doctors will continue to follow patients to see whether lowering blood pressure also reduces their risk of strokes and kidney disease. Doctors aren’t yet recommending that more patients take blood pressure
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medication or that doctors change their practices, said Jackson Wright, a study leader and director of the clinical hypertension program at Case Western Reserve University in Cleveland. That’s because these results are preliminary and haven’t yet been published. Doctors who announced the study urged people not to change their blood pressure medication without talking to their doctors first. A board overseeing the welfare of patients in the study decided to end the trial early because the results were so strong, and the board considered it unethical to hide the findings from patients.
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Jim Miller
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. Dear Seeking,
Adjusted Flu Vaccine Options Available to Seniors This Year Dear Savvy Senior, What can you tell me about this year’s flu shot? Last year’s vaccine was ineffective at preventing the flu, especially among seniors. What options are available to me this year? --Seeking Protection
You’re right. Last season’s flu shot was not very effective at preventing the flu. In fact, according to the Centers for Disease Control and Prevention (CDC), people who got the shot were just 19 percent less likely to visit the doctor for flu than people who did not get the shot. In good years, flu shot effectiveness is in the 50 to 60 percent range. The reason for the shot’s ineffectiveness last year was because the vaccine was mismatched to the circulating flu viruses, which can genetically shift from year-to-year.
hopefully provide better protection. But a flu shot is still your best defense against the flu. So, depending on your health, age and personal preference, here are the flu vaccine options (you only need one of these) available to older adults this year.
amount of antigen as a regular flu shot does, which creates a stronger immune response for better protection. However, note that the high-dose option may also be more likely to cause side effects, including headache, muscle aches and fever.
Standard (trivalent) flu shot: This traditional flu shot has been around for more than 30 years and protects against three different strains of flu viruses. This year’s version protects against two A strains (H1N1 and H3N2), and one influenza B virus.
FluBlok vaccine: Created for adults 18 and older who have egg allergies, this is a trivalent flu vaccine that does not use chicken eggs in its manufacturing process.
Quadrivalent flu shot: This vaccine, which was introduced two years ago, protects against four types of influenza - the same three strains as the standard flu shot, plus an additional new B-strain virus.
High-dose flu shot: Designed specifically for seniors, age 65 and This year, U.S. health officials have tweaked the flu vaccines to include older, this trivalent vaccine, called the last year’s missing strain, which will Fluzone High-Dose, has four times the
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Intradermal flu shot: For those who don’t like needles, the intradermal flu shot uses a tiny 1/16-inch long microneedle to inject the vaccine just under the skin, rather than deeper in the muscle like standard flu shots. This trivalent vaccine, however, is recommended only to adults, ages 18 to 64. To locate a vaccination site that offers these flu shots, visit vaccines.gov and type in your ZIP code. You’ll also be SAVVY SENIOR continued on page 5
Some Decisions are TOO IMPORTANT to be Rushed
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It just makes sense to prepare for the inevitable while emotions are at rest and heads are clear. Pre-planning Specialist Mike Jarzin is available to answer your questions and provide the guidance you need to make educated decisions. Call Mike today to set up an appointment.
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Pre-planning Specialist 818 State Street Manitowoc, WI 54220 920 682 0118
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ADRC
Aging and Disability Resource Center
Substitute drivers needed By Cathy Ley The ADRC of the Lakeshore is looking for volunteer substitute drivers that may be interested in delivering Meals on Wheels to homebound senior citizens in and around St. Nazianz. Days available are Tuesdays, Wednesdays and/or Thursdays. The time involved would be approximately 10:30 a.m. to noon. These meals make it possible for senior citizens to continue to live independently in their own homes. If you would like to give some time to this worthwhile endeavor, please contact Alyssa at The Aging & Disability Resource Center of the Lakeshore at 920-683-4180 In addition, the ADRC is looking for volunteer drivers to help drive others to medical appointments, grocery shop-
ping and other events. If you would like to help others who otherwise have no means of taking care of these necessities, please call Linda Grider at the Aging & Disability Resource Center of the Lakeshore at 920-683-4180. Medicare Part D Open Enrollment Gives Opportunity to Save Money Open enrollment for Medicare plans in 2016 is Oct. 15 through Dec. 7, 2015. This is the time that Medicare beneficiaries, enrolled in either Part D prescription drug plans or Part C health & drug plans, can review and compare their current plan to the new 2016 plans, to determine their best coverage options. Because insurance companies can change their premiums, deductibles and copays, switching to a different plan often
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results in extra money in your pocket. If you have had changes in your medications this past year it seems obvious that looking into a different plan is a good idea. But even if you have not had medication changes, sometimes the different pricing structure an insurance company imposes will mean that the costs for your same drugs will increase next year. Likewise, a different company may now offer better coverage for those same medications. Some people have saved hundreds of dollars in a year by switching to a different Part D plan. Insurance companies can also change their formularies (the list of medications that they cover) or change the way they cover your medication. In some cases, you will need to get prior authorization before your medication is covered. Sometimes, insurance companies will make you try an alternative drug before they pay for the one you and your doctor have chosen. This is called step therapy. Another restriction to watch out for is quantity limits, where you are limited to a certain number of pills each month. These are other reasons it is important to carefully review your Part D plan each year. People on Senior Care, Wisconsin’s state drug plan, are not affected by this open enrollment period. They only need to renew their enrollment every 12 months. A renewal notice will be sent in the mail to the beneficiary. If you are on Senior Care and have had medication changes, you might want to check on the cost of a part D plan to see if Senior Care is still the best option for you. Assistance with plan comparisons can be obtained through the following resources: • 1-800-MEDICARE or www.medicare.gov • Medigap helpline 1-800-242-1060 • Disability Drug Helpline 1-800-926-4862 (if under age 60) • Wisconsin Medigap Prescription Drug Helpline 1-855-67 PART D • The Aging & Disability Resource Center of the Lakeshore 1-877-416-7083 Another avenue to saving money on prescription drugs next year is the Extra Help program. Extra Help reduces your drug costs by decreasing premiums, de-
ductibles and co-pays for medications based on your income and asset levels. If you are married and your income is less than $1,991.25 per month with assets below $24,250 or single with an income less than $1,471.25 per month and assets below $12,140 you may qualify for Extra Help. Remember that your home and car and not counted as assets. Call The Aging & Disability Resource Center of the Lakeshore 1-877-416-7083 for more information. Take the time to review your insurance options and also check to see if you might qualify for Extra Help. You just might end up with extra money in 2016. The following educational opportunities exist yet this year through the ADRC of the Lakeshore. Living Well with a Chronic Condition – Oct.-Nov. 17. This is a 6-week class for any adult with an ongoing health condition. This class is being held at River’s Bend Health & Rehabilitation Center at 960 S. Rapids Road in Manitowoc. A hot lunch will be served to participants at 11:30 a.m. with class beginning at noon and ending at 2:30 p.m. Healthy Living with Diabetes – Oct. 13-Nov. 17. This is a 6-week class for any adult with Type 2 Diabetes or PreDiabetes. There are two options for this class: 1-3:30 p.m. at the Two Rivers Senior Center, 1520 17th St. in Two Rivers, or 6-8:30 p.m. at Felician Village, 1635 S. 21st St. in Manitowoc. You must sign up for one or the other and may not switch back and forth. Stepping On – Nov. 4 through Dec. 16. This is a 7-week falls prevention program for anyone who is 65 or older; has had a fall in the past year; is fearful of falling; is living at home; and is not suffering from dementia. Class begins at 9:30 a.m. and goes until noon on Nov. 4. All other classes will end at 11:30 a.m. This class will be held at the Manitowoc Health and Rehabilitation Center, at 2021 South Alverno Road in Manitowoc. To register for any of these classes, please call the Aging & Disability Resource Center of the Lakeshore at 6834180 or toll free 1-877-416-7083.
SAVVY SENIOR
happy to know that if you’re a Medicare beneficiary, Part B will cover 100 percent of the costs of any flu shot, as long as your doctor, health clinic or pharmacy agrees not to charge you more than Medicare pays. Private health insurers are also required to cover standard flu shots, however, you’ll need to check with your provider to see if they cover the other vaccination options. Pneumonia Vaccines Two other important vaccinations the CDC recommends to seniors, especially this time of year, are the pneumococcal vaccines for pneumonia. Around 1 million Americans are hospitalized with pneumonia each year, and about 50,000 people die from it. The CDC is now recommending that all seniors, 65 or older, get two vaccinations -Prevnar 13 and Pneumovax 23. Both vaccines, which are administered just once at different times, work in different ways to provide maximum protection. If you haven’t yet received any pneumococcal vaccine you should get the Prevnar 13 first, followed by Pneumovax 23 six to 12 months later. But if you’ve already been vaccinated with Pneumovax 23, wait at least one year before getting the Prevnar 13. Medicare Part B covers both shots, if they are taken at least 11 months apart.
Roadside Assistance Services for Older Drivers Dear Savvy Senior, I would like to get my wife and I set up with some type of roadside assistance service in case we get a flat tire or our battery conks out. Can you recommend some good and affordable services for retirees on a budget? --Too Old to Fix a Flat
how far (about 5 miles for basic plan is common, although some plans might Dear Too Old, Getting set up with a roadside cap the amount they pay for a tow at assistance service you can call on day $100 or less). or night if your vehicle breaks down is Auto Clubs
continued from page 3
a smart idea, and can provide you and If you find that you aren’t covered, your wife some real peace of mind. or you want a better roadside plan Here are some different options to look than what’s currently available to you, into that help you find a plan. you’ll want to check out auto/motor Already Covered? clubs. Most of these clubs offer two or For years, auto clubs like AAA were more levels of membership depending the only option drivers had when it on how much roadside assistance you came to roadside assistance, but today want and are willing to pay for, and they you have lots of choices. Most roadside often provide a variety of discounts on assistance plans provide services like things like hotels, rental cars and other towing, flat-tire changes, jump-starting a services. battery, lost-key or lockout services, fuel One of the best known and delivery and help with stuck vehicles. longest running clubs, AAA offers Before you start shopping for a roadside assistance plan, you first need to find out if you already have coverage, or have access to inexpensive coverage that you’re not aware of. For example, if you drive a vehicle that is still under warranty, there’s a good chance you’re already covered. Most auto manufacturers now include comprehensive roadside assistance coverage for free when you buy a new or certified used car. This typically lasts as long as the basic warranty, but not always. Be sure you check. Also check your auto insurance provider, your credit card issuers and cell phone service providers. Many of these services provide different variations of roadside assistance as add-on plans that cost only a few dollars per year, or they’re free.
comprehensive services and has an extensive network of more than 40,000 roadside assistance providers, which usually means fast response times. Costs vary widely from $48 to $162 per
year depending on where you live and the plan you choose, plus an additional fee for adding a family member. Some other clubs to consider that may be a little less expensive include Allstate Motor Club; AARP Roadside Assistance for AARP members only; Better World Club; BP Motor Club; Good Sam; and GM Motor Club. On-Demand Assistance Another new money saving option to consider is pay-on-demand roadside assistance services like Urgently and Honk. If you use a smartphone and live in their service area, these nonmembership app-based services will let you call for help via smartphone, and will only charge you for the assistance you need at a low price.
We’re here to help. BECAUSE PRE-PLANNING MAKES SENSE • Personal Records are organized and recorded. • Cost of services and merchandise are guaranteed. • Payment plans to fit any budget.
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But be aware that many of these services are limited in what they cover. When investigating these options, find out the benefit details including: Who’s covered (individuals and vehicles); how many roadside-assistance calls are allowed each year (three or four is typical); the average response time per service call; and the towing rules on where they will tow (to the nearest repair shop, or one that you choose) and
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. OCTOBER 2015 . 5
Hoarding on the rise:
How to spot warning signs Tips to recognize a loved one’s hoarding and get them the help they need (BPT) - Think of that family member or friend whose home is nearly clogged with clutter; how do you describe them? How do you address the situation? The terms you use and actions you take can have a serious impact on that individual’s situation and mental state. Hoarding is more common than many realize. Recent estimates show that as many as five percent of Americans may meet the criteria for hoarding disorder, that’s up to 15 million people. Hoarding is also now recognized as its own mental health disorder by the American Psychiatric Association. “A lot of people don’t want to believe their loved one could be a hoarder,” says extreme cleaning expert Matt Paxton. “We want to believe the situation
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isn’t that serious, but the truth is that hoarding isn’t just something you see on TV. It happens everywhere, and real people suffer from it every day.” Paxton, now serving as the inhouse expert on hoarding cleanup for ServiceMaster Restore, provides specialized hands-on training to the company’s franchisees across the country. To help you recognize whether your loved one is truly suffering from hoarding disorder, and to learn how you can help them get the professional help they need, Paxton offers these tips: • Spot the symptoms. People who suffer from hoarding have a tendency to be extremely secretive about their problem. They may even attempt to hide it from friends and loved ones by not allowing people into their homes or
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private living spaces. Sometimes people who suffer from hoarding will cut off all communication to friends and family in fear that their hoarding tendencies will be exposed to the outside world. If you feel like you’re being shut out, don’t give up; it just means you have to work harder to stay in this person’s life and help them get the help they need. • Recognize common triggers. Hoarding is often triggered by a traumatic event in someone’s life - the loss of a loved one, a divorce, cancer or job loss. A person begins hoarding because they are trying to fill this void with physical stuff, which adds up over time. Think of your loved ones who may be going through a tough time; are they purchasing items to an extreme? It’s important to recognize that they
may need help from an expert, and soon. • Seek professional help. If you don’t know how to help someone who suffers from hoarding - and most people don’t - ask for assistance before attempting to handle it yourself. People who suffer from hoarding are not just collectors, they have a psychological attachment to their belongings - something that the average person is not equipped to handle on his or her own. Remember, hoarding is a disorder. Professional cleaning services, like ServiceMaster Restore, can provide compassionate cleaning services for hoarding, and also refer you to local mental health professionals across the country to help ensure your loved ones get the professional help they need. It’s also important to have a professional check for the physical safety and the many hazards that may exist in a hoarded home. • Don’t escalate the crisis. Attempting to clean something up on your own is not only dangerous, it can also be detrimental to the person who suffers from hoarding. Mental health experts warn against throwing things away or making threats about ending a relationship with someone who suffers from hoarding. Both of these practices often do more harm than good. Compassion is key when dealing with a hoarding situation. Paxton urges the importance of understanding that every hoarding situation is unique and requires special attention, especially if harmful contaminants are present. This is where professional companies experienced in construction and repair work, as well as cleaning and de-cluttering, can be particularly helpful. “Together with ServiceMaster Restore, we can help more of thosein-need and have a real impact on the lives of those suffering from this mental health disorder,” says Paxton.
Keeping the Trust:
Two Rivers Senior Center needs new car Sarah Kloepping HTR Media
TWO RIVERS Maintaining independence isn’t always easy for senior citizens. The T.R.U.S.T. — Two Rivers Unique Transportation — car helps them do just that. “They don’t need to rely on family and friends and neighbors,” Two Rivers Senior Center Supervisor Tammy Desten said. “And some people might not have family in the area to help. It’s giving them that sense of living on their own.”
up and the senior center doesn’t want those to become big issues. It is trying to raise $25,000 by November to replace the car with a new model.
Users of the TRUST car purchase 10-ride punch cards for $10. Each stop is $1, which helps pay for gas, and is scheduled in advance with the senior center.
“The new car is a bit bigger, which will allow more room for walkers the users sometimes have,” Desten said. “People have suggested, ‘Why don’t you get a van?’ The car they can easily get in and out of. Our drivers are volunteers, so they’ll open doors, of course, but (users) need to be able to get in and out on their own.”
Carol Blaszczyk, 75, has been using the TRUST car five days a week for the last five years. She can walk to places near her home if the weather is nice but couldn’t get to farther locations without the service. “There is no other way I get around,” she said. “In the wintertime when it’s icy and that, I don’t care to walk. Or if it’s raining
I don’t feel good, it helps me a lot because then I can get around a little bit more.” About 9,000 rides were provided in 2014, which includes Meals on Wheels deliveries on weekends when it’s not used for senior center transports. Any additional money raised will go toward vehicle maintenance. — Reach Sarah Kloepping at 920-686-2105 or skloepping@htrnews.com
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Purchased in 2009 with help from donations and grants, the four-door Prius provides about 450 rides a month to senior center members, who are picked up from their residences and taken anywhere within the city from the bank to the doctor to the grocery store.
Our Manitowoc Clinic Offers: • Physical Therapy Mirro Dr
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That’s about 120 miles a day. “Our car now is getting older,” Desten said. “The car is used every day of the week. We actually turn people away because our car is so utilized. We don’t want service to get interrupted.”
outside, I usually take the TRUST car. When
Proud Members of the Community Our staff in Manitowoc recently celebrated our first anniversary as an ATI clinic.
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Small mechanical issues have started to pop WI-5001909088
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. OCTOBER 2015 . 7
Crossword
sudoku
HOW TO PLAY: Each row, column and set of 3-by-3 boxes must contain the numbers 1 through 9 without repetition.
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Velma Cox, 95, has a display table to show the bead crafts she has made. Cox has made about 30 French bead flower bouquets and many other bead items during the past six years. Yi-Chin Lee/HTR Media
One thing beads to another
95-year-old makes art with tiny, seed beads Sarah Kloepping HTR Media
Velma Cox likes giving flowers to her friends and family — blue roses, gold lilies, even black daisies. Of course, the flowers she gives aren’t real, though they do come from seeds.
“They’re made with probably the smallest beads you can find, seed beads, they call them,” said Cox’s daughter, Arlene Kuehnle. Using thousands upon thousands of beads for one project, Cox strings together rows and rows of the beads — so small 15 would sit comfortably on a fingertip — to form dozens of petals that are eventually put together to make a few flowers.
“I just do it in my spare time and if I don’t feel like working on them, I don’t,” Cox said. “My mind just kind of goes on this and I don’t think about nothing else.”
in one ear from scarlet fever as a child,” Kuehnle said. “Then, when she was 65, the other one went.”
Cox, who’s 95 and lives at Felician Village in Manitowoc, is deaf, but received a cochlear implant 30 years ago.
But her eyesight has never faltered, a good thing for a hobby that requires VELMA COX attention to small de-
“She was one of the first 500 to ever have an implant. She was deaf always
COX continued on page 10
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. OCTOBER 2015 . 9
COX
continued from page 9
tails. She has a lighted magnifying glass at her work station, but only uses it for the light.
her hair and pins for her shirt.
“It’s kind of amazing someone who’s 95 is working with tiny, tiny little beads like that, which takes a lot of eyesight,� Kuehnle said. “I’m sort of amazed she enjoys it as much as she does.�
How many beads does Cox think she’s used? She laughs at the question.
She started making bead necklaces and adding beads to clothing. Her hobby then expanded to beaded flower bouquets and bead critters such as butterflies, rabbits and frogs, which she sometimes turns into barrettes for
from page 8
Cox has made about 30 bouquets and countless other items.
She has drawers filled with beads of every color, along with rolls of wire and pliers. Some items she can make in a morning, others take days to complete. “It takes up time when I’d just be sitting here not knowing what to do,â€? she said of times when she’s not playing games and having meals with friends or visiting family. “I get tired of reading ‌ and this is a little more interesting to me.â€? She also likes giving gifts,
even to people she doesn’t know. Another Felician Village resident saw one of Cox’s bouquets on display and asked her to make a blue one for his late wife’s grave inside a mausoleum. “Most people, if they have imitation flowers, probably have silk or paper,� Kuehnle said. “Not too many people have bead flowers.� — Reach Sarah Kloepping at 920686-2105 or skloepping@htrnews.com
“We Care About Our Residents�
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• Spacious one-bedroom apartments • Utilities included • On-site Resident Managers for your convenience & security • Openings now available at both of our locations - Village Green West and Village Green East.
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For Comfortable Senior Living
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Cox has always been crafty, but the Iowa native only began working with beads about six years ago after her husband passed away.
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