Vol. 4 Issue 1 - January/February 2012
Grand Living www.grandlivingmag.com TM
Delmarva’s Premier 50+ Magazine
No Study Exams
Complimentary
Reduce Carb Intake & Manage Emotions for
Weight Loss Success! Island Hopping
Cold Symptoms:
Comes on more gradually, often with a low grade fever. You’re more likely to have a runny/stuffy nose and sore throat. You may feel tired but not to the point of exhaustion. Tried &True Methods to relieve Cold/Flu Symptoms: • • • • • • • • •
Take Ibuprofen, (i.e. Advil), or Acetaminophen, (i.e. Tylenol) for mild pain relief and fever. Put a hot, damp cloth on your face for 5-10 minutes, followed by a dry towel, to ease pressure in your sinuses. Check label warnings and with your doctor before trying decongestants for a runny nose. If you try nasal sprays, do so for only 3 days to prevent more swelling, bleeding or raw nose and throat. Don’t take antihistamines for a runny nose. They dry up mucus and make it harder to get rid of it. Suck on hard candy and gargle with warm salt water for sore throats. For a stuffy nose, mom’s chicken soup, clear soups and other liquids can help break up the stuffiness. While water, juice and herbal teas are helpful for runny noses, caffeine and alcohol (i.e. hot toddies) are not. Breathe in steam, (i.e. take a hot shower or use a humidifier) to help clear a drippy or stuffy nose.
Cold/Flu Prevention Do’s: Wash your hands many times a day with hot water, and soap long enough to sing the “Happy Birthday” song: • Before and after meals. • After using the bathroom. • After using shared telephones, keyboards and refrigerator handles, etc... • After shaking hands with someone.
Flu Symptoms:
Comes on quickly and severely with a high fever, headache, tiredness to point of exhaustion, dry cough and muscle aches. If You have Flu symptoms, do: Call your doctor immediately (within 48 hours of the onset of symptoms), he may be able to treat you with antiviral drugs, or if you: • Have white patches in the back of your throat and it’s very, very sore. • Have a fever of 102° that lasts more than 3 days. • Cough up something pink or reddish with a fever, shortness of breath or chest pain.
Call 911 or go to the Emergency Room if you: • • • • • • •
Have new and or severe pain in the arms, neck, back, jaw or stomach. Feel numb, especially on one side of the body. Get a sudden very bad headache for no reason. Throw up over and over. Have trouble breathing or shortness of breath. Suddenly feel dizzy or confused. Have pain or pressure in the chest or stomach.
Take Cold/Flu Medicines Safely: Read the Label! • Make sure it is okay to take the cold medicine in combination with your other medicines. • Take the correct dose! Taking more is NOT better! Make sure that if you’re taking acetaminophen, other cold medicines do not include it in their medicine list too (i.e. cough syrup). Check for side effects, particularly drowsiness.
Cold Flu/Prevention Don’ts: Don’t get a flu shot if you are allergic to eggs. Don’t go to work or out in public places, if you have a cold or flu, where the virus can spread.
Use alcohol-based hand sanitizer in between washings. Boost your immune system through exercise, adequate sleep, eating healthy and don’t smoke. Get a flu shot every year, preferably in October or November. However, flu shots are still okay to get as late as January, particularly if you’re over 50 years of age or pregnant. Shots are also recommended for children from six months to four years old, or for people with chronic illnesses like asthma or diabetes.
This Quick Tip Chart brought to you by :
GLM
Grand Living Magazine
Where do you turn when you want the best for your loved one? We chose the comforts of home...
We felt a warm, welcoming feeling the moment we entered Brandywine. Sure it was beautiful... but the people we met and friendly staff are what made it so inviting.
We chose for her to be safe...
Some days are a little harder for mom than others and it is comforting to know that she has the support of the wonderful Brandywine staff when she needs them, including nurses on-site, not on call, 24 hours a day.
We chose her happiness...
Now she has something to look forward to everyday! Brandywine offers so many activities that interest her...from local outings to crafts and movie nights... there is always something for her to enjoy with her new friends.
There are so many good choices available — but there is only one great one...
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Call the location nearest you to schedule a tour & complimentary lunch
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21111 Arrington Drive | Selbyville, DE 19975 | 302.436.0808
SEASIDE POINTE
36101 Seaside Blvd. | Rehoboth Beach, DE 19971 | 302.226.8750 Ask about our award-winning Reflections® program for memory-impairment.
Brandywine Senior Living has Locations throughout NJ, PA, DE, CT, NY www.Brandycare.com • 1-877-4BRANDY
Grand Living Magazine Delmarva’s Cancer Specialists
Publisher Sandy Phillips Associate Publisher Farin Phillips
Salisbury 410-543-1943 Berlin 410-641-0277 Seaford 302-628-6344 DelmarvaCancerDoctors.com
Vincenzo DeMasi, M.D.
Editor Lou Ann Hill Creative Farin Phillips Photography Kyle Hughes, Next Wave Studios
Manoj Jain, M.D.
It may be cold outside, but our staff is always warm and friendly.
Contributing Writers Polly Elliott Therese. H. Ganster, ACSW, MPM Sharon Harrington Marie Nottingham Mark Stoehr, MAC, LAC James W. Respess, Esq. For Advertising, Call: Grand Living Main Office (410)726-7334 grandlivingmag@verizon.net Field Management Brandon Phillips
Cover:
Dr. Joseph Kim, of Nanticoke Memorial Hospital Health Care System, and his mother Gil. Photography, Next Wave Studios.
4 Grand Living Magazine www.grandlivingmag.com
Grand Living Magazine is published six times a year; Jan., Mar., May, July, Sept., and Nov. It is circulated throughout Worcester, Wicomico & Sussex counties, by Grand Living Magazine, LLC. Grand Living Magazine is protected under trademark registration. “Grand Citizens”™ is also protected under trademark. No portion in whole or part maybe reproduced without written permission of the publisher. Copyright 2010 ©, Grand Living Magazine LLC. All rights reserved. Content in Grand Living Magazine is intended to provide information only, and is in no way meant to treat or diagnose. Always consult with a speciality professional (i.e. medical, financial, etc.) to address your own personal needs. The company makes every effort to ensure that all information presented is correct. However, we do not make any representations or warranties as to the accuracy of the information, and reliance on information provided is solely at your own risk.
Contents
6- Learning Curve
8- Nanticoke Health Services “For The Heart” 12- How Old is Old? 14- No Study Exama 16- A Heart-to-Heart, Between You and Me 18- Reduce Carb Intake & Manage Emotions for Weight Loss Success! 19- Warding Off Cognitive Impairement
20- Island Hopping 22- Fisher’s Popcorn Celebrates 75 Years 25- Heart’s Desire
www.grandlivingmag.com Grand Living Magazine 5
Learning Curve The Coconut...Fruit, Nut or Seed?
Coconuts are classified as a fibrous one-seeded drupe. A drupe is a fruit with a hard, stony covering enclosing the seed (like a peach or olive) and comes from the word “drupa” meaning overripe olive. The coconut we buy in the store does not resemble the coconut you find growing on a coconut palm. An untouched coconut has three layers. The outermost layer, which is typically smooth with a greenish color, is called the exocarp. The next layer is the fibrous husk, or mesocarp. The third layer, the endocarp, surrounds the seed. Generally speaking, when you buy a coconut at the supermarket, the exocarp and the mesocarp are removed, and what you see is the endocarp. Some scientists refer to the coconut as a seed. A seed is the reproductive unit of a flowering plant. In the coconut’s case, if you look at one end of the coconut, you’ll see three pores (also called eyes). The coconut seed germinates and a shoot emerges from one of the pores. The endosperm, or portion of the seed that nourishes the seedling, is what makes up most of the seed and, in the coconut’s case, is the yummy white fruit we eat. The word “coconut” itself can also be confusing because the word “nut” is contained in the word. A nut can be defined as a one-seeded fruit. However, a coconut is not a true nut or fruit. A true nut, such as the acorn, does not open at maturity to release its seeds. The seeds are released when the fruit wall decays or are digested by an animal. Coconut Facts: •Every bit of the coconut is used. As a result, coconuts are called the “Tree of Life” and can produce drink, fiber, food, fuel, utensils, musical instruments, and much more. •When intra-venous (IV) solution was in short supply during World War II and Vietnam, doctors used coconut water as a substitution for IV solutions. •In the 16th Century, Sir Francis Drake called the coconut “nargils,” which was the common term used until the 1700’s, when the word coconut was established. •It takes 11 -12 months for the coconut to mature. •Coconut growing regions are as far north as Hawaii and as far south as Madagascar. 6 Grand Living Magazine www.grandlivingmag.com
Menopause According to the National Institute on Aging, over 17 million U.S. women are in the periand post-menopausal age range (45 - 55), and by the year 2015, nearly half of U.S. women will be post-menopausal. Of these, 25-33% will experience moderate to severe menopausal symptoms, and all will be faced with decisions related to maintaining their health through mid-life and beyond. For the best direction on options, during this time in life, schedule an annual visit to your Gyn, and make it a regular habit.
Limiting “Bad” Fats • • • • • • • • • •
Trim extra fat and skin on meats and poultry before cooking. Instead of frying, try baking, steaming, grilling or broiling. Use olive or canola oil instead of butter or margarine. Choose margarines with liquid vegetable oil as the first ingredient, or butter substitutes, which list water as the first ingredient. Look for recipes that use applesauce instead of butter or oil. Instead of making a double-crust pie, try a single crust. Serve fruit for dessert. Use fat-free or low-fat dairy products whenever possible. Avoid cream dips, gravy and whipped cream. Remember broth-based sauces, vinegar, salsa, lemon and herbs add flavor, not fat.
I recently had the fortunate opportunity to discover a cooking class at Ristorante Antipasti in Ocean City. I was intrigued by the idea of a cooking class with a well-respected Chef, so I decided to explore the event, to see if it would be a good fit for Grand Living readers. When I arrived, I wasn’t quite sure what to expect. How would a cooking class take place in a busy restaurant? Would we be in the kitchen, while meals were prepared for dinner? Would we be seated, classroom style, watching food prepared from an overhead mirror? What I pleasantly discovered, was that my warm welcome from Master-Chef, Fausto Dicarlo, was followed by a glass of wine and a viewing position at the restaurant’s serving window. From here, I could see the stoves and food prep area, while relaxing with my beverage in the ambiance of the restaurant. I was part of a small group of eager participants who thoroughly enjoyed the lesson. Fausto’s colorful personality makes his cooking class, not just educational, but purely entertaining. He walked us through the preparation of one of his famous Italian dishes, offering cooking suggestions and shopping tips to prepare a delicious, healthy meal, and all in a relatively short time frame. After Chef Fausto completed the preparation of the dish, we all moved to the dining room to enjoy the fare. It certainly did not disappoint. The dish was delightful! While visiting with my fellow diners, I discovered that many had been coming for some time and looked forward to the monthly event in the off season. There were even participants that come to town, simply for Fausto’s class and dinner. If you’re looking for a new meal and to broaden your knowledge of Italian dishes, look no further. Classes are held the first Thursday of each month in the off season. For more details and to reserve your space, call Ristorante Antipasti at 410- 289-4588. It’s well worth your time!
Sandy
Learning Curve
Local Cooking Class, A Must Do
Eldercare Mediation: A New Way To Make Decisions Regarding Aging Parents
As our population is becoming older, more decisions must be addressed regarding the health and medical care, end-of-life care. There are also decisions to make regarding living arrangements, property maintenance, guardianship, financial arrangements and probate matters, such as wills, estate and trusts of elderly parents. To avoid the tension regarding these decisions, there is a new and powerful way to get support and help. It is called Eldercare Mediation. In mediation, all family members, including the parents, agree to the process and can agree to the inclusion of other participants. A family mediator is a neutral third party who helps the family with the appropriate process to assist them in reaching a true consensus on decisions regarding eldercare. The mediator does not make any decisions with the relatives, but instead facilitates discussion among the family, so the family can reach an agreement about these issues. The mediator helps the family evaluate options, while leaving the decision making to the family. The mediated agreement lasts longer because the family worked together to create it, and family members are better able than a judge to anticipate ongoing changes as they arise in the future. It results in better family relationships and a lower likelihood of going to court. For further information, please call Steve Cohen, Esq. at 301-667-3099 or log onto www.millenniummedation.com
www.grandlivingmag.com Grand Living Magazine 7
by Sharon Harrington
Nanticoke Health Services
A
“For The Heart”
cross the nation, heart disease is the number one killer of women. Delaware is ranked 43rd out of 50 states, in mortality, due to heart disease. Women in Delaware also have a higher rate of diabetes and high cholesterol. There is on average, an 8% higher prevalence of heart disease in women in Sussex County, than women in the U.S. Nanticoke Health Services is working to raise awareness about heart disease, helping women recognize the warning signs, lead their families in reducing the risk, and living healthier lives. Women can experience different symptoms than men and they don’t always recognize the warning signs. According to The Heart Truth not all heart attacks begin with sudden, crushing pain, as is often shown on T.V. or in the movies. Many heart attacks start slowly, as mild pain or discomfort. It’s important to know the warning signs. Just ask Dr. Joseph Kim, Primary Care Physician with the Nanticoke Physician Network. Earlier this year, his mother, Gil Kim, complained of a cough. Dr. Kim checked her and heard a heart murmur. He asked her to see a cardiologist. A life-long farmer, Mrs. Kim reluctantly agreed and went to see Dr. Alvaro Buenano with 8 Grand Living Magazine www.grandlivingmag.com
Nanticoke Cardiology. Dr. Buenano ran a battery of tests, most of which came back with moderate to severe heart disease. This came as a total shock to both Dr. Kim and his mother. Mrs. Kim is only 120 lbs, works from dawn to dusk on the farm, and had no complaints of chest pain or trouble breathing. She’s never smoked. But, Mrs. Kim is a controlled diabetic. Dr. Buenano scheduled her for a cardiac catheterization with Dr. Ivan Pena-Sing, Interventional Cardiologist also with Nanticoke Cardiology. The procedure went beautifully and Mrs. Kim was found to have two severe blockages, both repaired with stents. “I owe Dr. Buenano and Dr. Pena everything,” says Dr. Kim. “But through no one’s fault, there were several emergencies at Nanticoke’s cardiac catheterization lab. And, Mrs. Kim had to wait, just a bit, for her procedure. Dr. Kim sat with her as she waited and he saw something in her eyes he had not seen before. She was afraid. She lay in the holding area patiently waiting, trying to show a brave face but she couldn’t hide it from her son. “My mother is a strong woman and has faced many obstacles, but she never seemed afraid until that day. I do not want to see that fear in her eyes again or in the eyes of any of my patients.” As she has always done, Mrs. Kim preached that if you are passionate about something, “go all in.” She’s always encouraged her son to do whatever he can for the betterment of his patients and that of Nanticoke. So, he listened to his mother. Dr. Kim decided to partner with Nanticoke Health Services and The Heart Truth, to raise awareness about heart disease and to help Nanticoke in its efforts to raise money to build a second cardiac catheterization lab.
Cover Story The most common warning signs for women and men are listed: • Chest discomfort. Most heart attacks involve discomfort in the center of the chest that lasts for more than a few minutes. It may feel like pressure, squeezing, fullness, or pain. The discomfort may be mild or severe, and it may come and go. • Discomfort in other areas of the upper body, including one or both arms, the back, neck, jaw, or stomach. • Shortness of breath. This may occur with or without chest discomfort. • Other signs include nausea, light-headedness, or breaking out in a cold sweat. The Heart Truth campaign warns women about heart disease and provides tools to help them take action against its risk factors. It is primarily targeted to women ages 40 to 60, the time when a woman’s risk of heart disease begins to increase. However, it’s never too early—or too late—to take action to prevent and control risk factors since heart disease develops over time and can start at a young age—even in the teen years. For more information about The Heart Truth go to www.nhlbi.nih.gov/educational/hearttruth.
Dr. Kim, along with others at Nanticoke Health Services, sees the critical need for an additional cardiac catherization lab at the hospital. Following his mother’s instructions, Dr. Kim has organized a women’s heart health awareness campaign through The Heart Truth. Dr. Kim is also the event chairperson for From The Heart, For The Heart, with Former First Lady Laura Bush. This exciting event will be held on June 26, 2012 at the Dover Downs Rollins Center in Dover, Delaware. Money raised at this event will be used to help Nanticoke Health Services renovate current space and purchase the necessary technology to open a second cardiac catheterization lab at Nanticoke Memorial Hospital. Mrs. Kim raves about her experience at Nanticoke to all her girlfriends. As for Dr. Kim, “I believe Nanticoke Memorial Hospital is vital to the health of our community and it has the foundation to stand tall among the giant health systems with great success, for decades. My mother, my family and my patients are my motivation. They deserve nothing less than access to excellent health care.” GLM
® The Heart Truth is a registered trademark of HHS.
www.grandlivingmag.com Grand Living Magazine 9
SILVER
SLUGGERS
Official 55+ up membership club of the Shorebirds Affiliate of the
9 Wednesday Games for $10 April 18 - 7:05pm April 25 - 10:35am May 16 - 10:35am May 30 - 7:05pm June 27- 10:35am July 11 - 7:05pm Aug. 1 - 7:05pm Aug. 8 - 7:05pm Aug. 29 - 7:05pm
To Sign up for the Silver Sluggers Program Contact... Shawn Schoolcraft
410-219-3112 ext. 168 | sschoolcraft@theshorebirds.com 10 Grand Living Magazine www.grandlivingmag.com
Photo courtesy of The Heart Truth®, www.hearttruth.gov, National Heart, Lung, and Blood Institute, National Institutes of Health, U.S. Department of Health and Human Services
Mrs. Laura Bush is an advocate for women's health and has been an active participant in campaigns to raise awareness of breast and cervical cancer, and heart disease, both in the U.S. and around the world. She partnered with the National Heart, Lung, and Blood Institute in The Heart Truth campaign and the Red Dress® project. Mrs. Bush was born in Midland, Texas, to Harold and Jenna Welch. She holds a Bachelor of Science degree in education from Southern Methodist University and a master's degree in library science from the University of Texas. She taught in public schools in Dallas, Houston and Austin and worked as a public school librarian. In 1977, she met and married George Walker Bush. They are the parents of twin daughters, Barbara and Jenna, and son-in-law, Henry Hager. Her memoir, Spoken From the Heart, is a New York Times #1 best seller. To learn more about From The Heart, For The Heart, with Former First Lady Laura Bush, to be held on June 26, 2012 at the Dover Downs Rollins Center in Dover, Delaware, go to www.nanticoke.org/ForTheHeart. Tickets go on sale in March.
I
The Heart Truth & Nanticoke’s Red Dress Road Show
n February, Nanticoke Health Services will be partnering with The Heart Truth, a national awareness campaign for women about heart disease sponsored by the National Heart, Lung and Blood Institute (NHLBI), part of the National Institutes of Health. The Heart Truth campaign message is paired with an arresting visual—The Red Dress®—designed to warn women that heart disease is their #1 killer. The Heart Truth created and introduced The Red Dress® as the national symbol for women and heart disease awareness in 2002, to deliver an urgent wake-up call to American women. The Red Dress® reminds women of the need to protect their heart health, and inspires them to take action.
Nanticoke Health Services will kick off the campaign with a Red Dress Road Show to be held on Friday, February 3, 2012 at the Seaford Library and Cultural Center from 10 a.m. until 2 p.m. Along with health professionals from Nanticoke Health Services, representatives from The Heart Truth will be onsite to help educate women about heart disease. The Red Dress Road Show will feature four red dresses worn during The Heart Truth’s annual red dress fashion show. For more information about Nanticoke’s The Heart Truth campaign, the February Red Dress Road Show, or From the Heart, For the Heart with Former First Lady Laura Bush, go to www.nanticoke.org/ForTheHeart. GLM
How Old is Old? T
by James W. Respess, Esq.
his question comes up regularly. It all depends on how we feel. Sometimes we feel older than our years would indicate. We also are older, than our years, when our health deteriorates. We are becoming an older country. The over 65 group now makes up the largest part of the overall population. The Baby Boomers are turning 65 at the rate of 10,000 per day. It’s no longer unusual to find our neighbors to be age 90 and above. The longer we live, the more chance we have of becoming disabled, either physically or mentally. In fact, we are told that if we reach age 65, we have a 70% chance of needing Long Term Care before we die. Those are very big odds, compared to other events in our lives. We all have homeowners insurance and the odds of using that is about 1 in 2,500. The odds of our using our auto insurance are 1 in 1,250, yet we would never be without either of these coverage’s. How many of us think about needing Long Term Care until, we really need it? Unfortunately way too many of us go thru life as if nothing is going to ever happen, that everything will remain the same as we age. This is very dangerous thinking and an even more dangerous practice. Since 70% of us will need some form of Long Term Care before we die, it is too late to plan for it after we need it. We can’t insure the house after it is on fire, and we can’t insure our self after we are sick. Without planning for Long Term Care, we then depend on our daughters or daughters-in-law to tend to our physical needs. We become part of “The Sandwich Generation,” (When a child is caring for an elderly parent and trying to send their children to college.) This challenge is a burden that they should never have to endure. Being a full-time care-giver is one of the most difficult jobs in the world. Don’t wish that on any of your loved ones! The FUTURE IS NOW, start preparing now, not later. An Elder Care Attorney can assist you in taking control of your future and assist with the planning for the future as follows: • You can obtain Long Term Care Insurance that will pay for your care at home; in an Assisted Living Facility or in a Skilled Nursing Facility. The State has provided a Partnership arrangement, so that they will provide an equal amount for your care, matching what you have purchased in your insurance policy. For example, if your policy will pay a total of $500,000, the State will pay the same amount after your policy has been used. This will also protect your assets from the “Spend Down” required by the State to qualify for Medicaid. • If you don’t have Long Term Care insurance, because your health will not allow you to qualify for a policy, then you can re-position your property so that the property will not be used 12 Grand Living Magazine www.grandlivingmag.com
against you when you apply for assistance from Medicaid. Again an Elder Care Attorney will assist you in the Asset Protection Planning process. • Take control of your future, because you can’t control what will happen. Proper planning offers piece of mind. Where, when and how you position your property makes all the difference, with regards to your qualification. The Federal Law requires that the State look back for 60 months at all transfers of property, to determine your qualifications for care under Medicaid. So Where, When and what is transferred is of vital importance. • Maryland has a Criminal Statue that allows the State to bring criminal actions against a child or children for failure to provide care for a parent, if they are financially able to do so. Therefore, if you have parents that are vulnerable you may want to urge them to purchase Long Term Care insurance. If they can’t afford it, you may want to purchase it for them. Two or more children can purchase a policy together at very little cost to each, and avoid the risk of having to care for parents, at some time in the future. • Delaware has a Civil Statue that can be used to recover amounts spent to care for your parents, based on your assets and income. In addition to the State and Federal Medicaid assistance, if you are a veteran who served at least ninety (90) days in the Armed Service and one (1) day during time of war, you may be qualified to receive non-service connected disability coverage, including nursing home care. Know your options, have a plan. Remember you can’t insure the house, once it’s on fire! GLM James W. Respess has an Estate Planning, Elder Care and Veteran’s Benefit Planning practice and serves families with children and non-traditional families. He is committed to helping families bring their greatest gifts into parenting fearlessly and with love and joy. Legal planning for parents, is part of the parenting journey and a primary responsibility to ensure that the children who are entrusted to us, are cared for the way we want them to be, no matter what happens to us as parents.
Adult Day Program & Alzheimer’s Program When illness or disability occurs, Easter Seals can help. Our Adult Day program provides a safe, secure and active environment for your loved one, while allowing you to rest, work or take care of other needs.
• • •
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• •
Transportation and meal provided Flexible schedules
Due to the recent expansion of our Georgetown facility, we now have room for more people in our Adult Day program! Call NOW to reserve your space!
www.grandlivingmag.com Grand Living Magazine 13
No Study Exams A
By Marie Nottingham
• Pap Smear - Women should begin Pap test screening at age 21, be screened every 2 years through age 30, and then be screened every 3 years, as long as their last three test results have been normal. American College of Obstetricians and Gynecologists. • Mammogram - Yearly mammograms are recommended starting at age 40, and continuing for as long as a woman is in good health. American Cancer Society. • Colon Screening - Beginning at age 50, both men and women. American Cancer Society. • Skin Cancer screening – Ongoing personal screening. Any suspicious spots should be evaluated by a medical professional. American Academy of Dermatology. • Prostate Cancer Screening – Starting at age 50. If you are African American or have a father or brother who had prostate cancer before age 65, you should have this talk with your doctor starting at age 45. If you decide to be tested, you should have the PSA blood test with or without a rectal exam. How often you are Current guidelines for healthy individuals: tested will depend on your PSA level. American Cancer Society. • Blood Pressure –The target numbers of 130/80 tell us that • Eye Exam – About every two years from ages 18 – 60, people live longer overall, when they fall near or below those annually, after age 61. American Optometric Association. numbers. American Heart Association. • Dental Exam – Every 6 months. American Dental Association. • Cholesterol Screening –Target Numbers…LDL cholesterol • Bone Density - The U.S. Preventive Services Task Force. levels below 100 mg/dL; HDL cholesterol level above 40 mg/dL recommends that women, age 65 and older, be screened routinely for men, and 50mg/dL for women; Triglycerides below 150 mg/dL. for osteoporosis. The task force also recommends that routine American Heart Association. screenings begin at age 60 for women who are at increased risk for osteoporotic fractures.
s our bodies age, we need to take charge of our preventative health. Technology has come a long way in our lifetime. There are now large health care studies that have collected decades of information on how our bodies work and how our lifestyle affects our health. Although health care guidelines have changed over the years, they will continue to evolve as scientists discover new information. It’s a healthy choice to follow the applicable guidelines which fit your stage in life. Today’s guidelines are established by recognizable and highly reputable groups of scientists and medical/dental professionals, such as the American Medical Association (AMA) or the American Cancer Society (ACS), and other very visible organizations which strive to help us live longer, healthier lives. The following are things you should speak with your healthcare provider about as you enter your Grand years. Review those points applicable to you as an individual, and see if they should be a part of your preventative healthcare plan.
14 Grand Living Magazine www.grandlivingmag.com
Well Being
• Immunizations- 2011 guidelines per the Center for Disease Control. Influenza – Annually Tetanus booster – Every 10 years Zoster – One dose after age 60 MMR – One dose after age 60 Pneumococcal – One or two doses between ages 19 – 65, age 65+ , one dose Meningcoccal – One or more doses after age 19 Hepatitis A – 2 doses after age 19 Hepatitis B – 3 doses after age 19 Other notes for healthy a lifestyle include: • Blood Sugar – According to the American Diabetes Association, there are no target guidelines for blood sugar. They do know that healthy individuals typically have a fasting blood sugar less than 100, and less than 140 after a meal. • Smoking – Quite simply STOP. There is no safe level of smoking. American Cancer Society. • Alcohol - For most adults, moderate alcohol use - up to two drinks per day for men and one drink per day for women and Grand Citizens - causes few, if any, problems. National Institute of Health. • Calcium Supplements – 51 - 70 yrs. Women should have 1200 mg each day, with vitamin D. Men should have 1000mg each day. 71+ yrs. – Women and men should take 1200 mg each day. National Institute of Health. • Exercise – For health benefits to the heart, lungs and circulation, perform any moderate-to-vigorous-intensity aerobic activity for at least 30 minutes, on most days of the week, at 50 - 85 percent of your maximum heart rate. You can accumulate 30 minutes in 10 or 15 minute sessions.,, Regular physical activity can also help reduce or eliminate some of these risk factors: • High blood pressure — Regular aerobic activities can lower blood pressure. • Cigarette smoking — Smokers who become physically active are more likely to cut down or stop smoking. • Diabetes — People at their ideal weight are less likely to develop diabetes. Physical activity may also decrease insulin requirements for people with diabetes. • Obesity and overweight — Regular physical activity can help people lose excess fat or stay at a reasonable weight. • High levels of triglycerides — Physical activity helps reduce triglyceride levels. High triglycerides are linked to developing coronary artery disease in some people. • Low levels of HDL — Low levels of HDL ("good" cholesterol, less than 40 mg/do for men/less than 50 mg/do for women) have been linked to a higher risk of coronary artery disease. Recent studies show that regular physical activity can significantly increase HDL cholesterol levels and thus reduce your risk. American Heart Association. Remember, these are preventative health guidelines. Talk to your doctor about each of them to see which ones should be a part of your personal prevention plan, for a healthy life. GLM
lutions 2012 New Year’s Reso 1. 2. 3. 4. 5.
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local business, (For every $1 spent at a munity.) com al 45¢ goes to the loc
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www.grandlivingmag.com Grand Living Magazine 15
part of the cycle of life. Yet, it remains something many of us are uncomfortable in discussing, particularly with our loved ones. But, as a social worker as well as a family member, I can share that much anxiety may be felt should decisions need to be made and you are not able to share your wishes. Effective in 2012, Maryland will be instituting the MOLST or Medical Orders for Life –Sustaining Treatment. The Maryland MOLST form is a twopage directive about cardiopulmonary resuscitation (CPR) and other life-sustaining medical treatment.
A
Heart-to-Heart, Between You and Me MOLST tells doctors and other people what medical treatment a patient wants or does not want to receive, in the event of a medical crisis. The completion of this very important document begins with a conversation or series of conversations between the patient, the patient’s health care agent or surrogate, and a qualified, trained health care professional. Together they will define the patient’s goals for care, review possible treatment options on the entire MOLST form, and ensure shared, informed medical decision-making happens. Your decisions should be based on your preferences, values, and goals. Remember, you have the right to agree or disagree with medical treatments that are recommended to you. While this form includes many sections, only the sections that are completed are the ones that identify the decisions you’ve made regarding your treatment preferences. Every time a physician or nurse practitioner completes a MOLST order form, you will receive a copy for your records. If you do not have a Do Not Resuscitate (DNR) order on your MOLST form, medics in Maryland must attempt resuscitation. This form does not expire and it goes where you go – to the hospital, rehab, assisted living, and back home. Advance Directive: This is a statement of your wishes regarding future medical treatment options. You may also designate who will make decisions for you should you lose the ability to make choices for yourself. When making this decision, make certain the person you choose to be your healthcare power of
Therese H. Ganster, ACSW, MPM
T
he Holidays are over. You may have made some New Year’s resolutions, taken down the Holiday decorations and hoping the winter blues don’t take hold before celebrating Valentine’s Day. There is a certain calmness and quiet that comes with winter. It often can be a time for reflection. My suggestion, and hope is that you not only reflect but act upon what our heart to heart is about. For years, particularly as I’ve gotten older and have shared several losses of loved ones, I have heard that death is just a
attorney will follow through with your requests. Sometimes the ones closest to you may have a difficult time following your requests, should you be unable to do so. Talking about this up front can help all involved. Your health will change over time. You will likely develop new problems. You may decide in the future that you want a treatment that you did not want in the past. As long as you are able to make your own decisions, you can change your advance directive and ask a doctor or nurse practitioner to change your MOLST orders. Take a copy of your Maryland MOLST order form and advance directive with you every time you go to a new physician, the Emergency Room, a hospital, or any other health care facility. It is very important to always give the MOLST form to medics and the ambulance crew. It should be kept in the patient’s home where your loved one or ambulance crew would be able to find this information such as: • At the bedside • Behind the bedroom door • On the refrigerator If you live in Delaware, you are not off the hook. You will be giving yourself and your family members the best gift, peace of mind, by completing an, Advance Directive and Healthcare power of attorney. In 1991, I approached my family regarding “Living wills” or “Advance Directives.” My grandparents, parents, husband and I all completed them and knew what we wanted to occur, if needed. My grandfather became ill and emergency crew resuscitated him upon arrival. Grandpa went into ICU and was on the ventilator for 4 days. When he was able to talk to me on the phone, he asked me “what went wrong?” At the time, the ambulance crew had to resuscitate regardless of what the advance directive stated. If he were alive today, he would be sitting me down and telling me what he would want. And, with the MOLST, his wishes would be followed. For your sake and those that are loved, have that heart to heart. For more information, please go to the following websites: www.dhmh.maryland.gov/ marylandmolst or www.dhss.delaware.gov/ dsaapd/files/advancedirective GLM Therese H. Ganster, ACSW, MPM is a resident of the lower shore and Branch Manager of Peninsula Home Care in Salisbury, MD.
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Winterize Your Home Against Slips and Falls
You’ll spend a lot of time in your home this winter. Peninsula Home Care recommends you spend a few minutes making sure it is as safe as possible. 1. Keep floors clear of clutter, phone lines and electrical cords. 2. Use non-skid throw rugs to reduce the chance of slipping on linoleum. 3. Install handrails on both sides of a stairway. 4. Keep bathrooms and hallways well lit.
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Reduce Carb Intake & Manage Emotions for Weight Loss Success! W
hat is your New Year’s resolution? For many people it’s weight loss. Dealing with underlying emotional issues is key to accomplishing your weight loss goals. Are you eating to mask your emotions? Some people drink, use drugs or smoke to avoid dealing with difficult emotions, others use food. The term, “comfort food”, is an excellent example of this. Foods like brownies, cookies, and macaroni-and-cheese are all comforting and nourishing to your mind and soul. The comfort occurs because these foods release “feel-good” brain chemicals which numb our minds to the realities of our lives. In lieu of dealing with our emotions fully and completely, it is critical to find something other than food to settle the mind (not to mention dealing with the emotion). What can you use to calm down instead of popping a cookie in your mouth every time you feel excited? Some ideas include spending time with a friend, walking, doing an arts and crafts project or taking a nap. I would also recommend acupuncture to help you overcome troublesome feelings that are triggering your fattening behavior. If you haven’t heard by now, many of the common dietary theories recommended by medical professionals, are not working to solve the obesity epidemic. They are also not working to prevent and reverse diabetes and heart disease. So what is it that so many of us are doing wrong? The problem, as I see it, is not the amount of fat we are eating, it is the amount of carbohydrates that we are eating. So when you sit down for dinner and you have a roll for your appetizer, your body releases insulin in response to the glucose in your intestines. The presence of insulin signals a large cascade of chemicals which eventually sends a signal to your fat cells to store more energy and not to release any energy. This is what makes you fat (Please read “Why We Get Fat and What to do About It” by Gary Taubes). So, the answer is really to avoid foods that stimulate your body to produce insulin. The foods that stimulate the body to produce the most insulin are sugars and carbohydrates. Based on this fact, my recommendation is to eat a diet low in these foods. So an ideal meal would consist of meat, vegetables and fats as these foods do not create rises in blood sugar and insulin. A good dinner idea would be steak, mashed cauliflower, salad, and sauteed broccoli. For dessert I recommend a sugar free cheesecake (sweetened with stevia and a low carb crust) or a cake made with either coconut flour or almond meal. Vegetables are a critical component because, in addition to being low carb, they are packed with antioxidants which will fight 18 Grand Living Magazine www.grandlivingmag.com
by Mark Stoehr, MAC, LAC the aging process as well. Antioxidants fight off oxidative damage in our bodies. Oxidative damage is similar to a piece of metal rusting or oxidizing. Oxidative damage leads to inflammation, and inflammation is the underlying cause of many diseases including heart disease, diabetic neuropathy, Alzheimer's, pain and even cancer. Therefore, it is very important to eat high antioxidant vegetables and fruit. Weight loss can be quite challenging and I recommend enlisting the help of a friend, family member, or an acupuncturist to help meet your goal. Remember to limit the amount of carbohydrates in your diet and manage your emotions in a healthy way. One thought I will leave you with is to comprehend the fact that feeling thin and healthy is more rewarding than the momentary pleasure of eating. Good Luck!! GLM Mark Stoehr earned a BS degree of University of Maryland College Park and a Masters Degree in Acupuncture from Tai Sophia Institute. He has a private practice in North Ocean City on 142nd Street and West Ocean City next to OC Organics. Mr. Stoehr is also a faculty member at Tai Sophia Institute and has been a guest lecturer at University of Maryland Medical School, Salisbury University and Howard Community College. Mark can be reached at (410) 707-1540, mastoehr@hotmail.com and www.marksacupuncture.com.
Warding Off Cognitive Impairment
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esearch from the Mayo Clinic and published in the Archives of Neurology tells us there is a growing amount of evidence that adults who engage in moderate exercise, during mid-life or late in life, are less likely to suffer from mild cognitive impairment. Maintaining cognitive abilities is among the top five issues that concern Grand Citizens. “This study reinforces the fact that as you age, it is especially important to take preventative measures when it comes to your overall health,” says the International Council on Active Aging. Managing a healthy brain includes eating wellrounded meals and participating in regular physical fitness. Talk to your physician about an exercise program that meets your individual needs. Exercise at a comfortable pace and keep your breathing regular. While running or cycling, you should be able to hold a conversation without feeling out of breath or panting. If you find yourself feeling overwhelmed, slow down and build your endurance at a more steady pace. As your physical fitness improves, you will feel the benefits mentally too. Warm up and cool down with some easy aerobic exercise before and after your work out so both your body and your brain can adjust. Stay well hydrated during the day, particularly during and after exercise. Dehydration will stop your brain and body from functioning normally. If you don’t drink enough water, you may not feel the rewards of exercise physically or mentally. If anything, it will slow down your success rate. The Mayo Clinic suggests you consume 8, eightounce glasses of beverage a day. The Institute of Medicine advises that men consume roughly 3 liters (about 13 cups) of total beverages a day, and women consume 2.2 liters (about 9 cups) of total beverages a day. Studies also show that regular brain stimulation helps maintain cognitive ability. Reading new material, doing crossword puzzles, and being actively engaged in regular “thinking” activities, helps keep the brain alert. Remember, physical exercise is for more than just the part of your body you see in the mirror. It plays a valuable part in your cognitive health too. GLM
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Island Hopping
by Farin Phillips
I
know you have seen the Caribbean make several appearances in GLM’s Grand Escapes, but most of us are residents living within an hour drive of either Maryland or Delaware’s premier beach resorts. The pace and warmth of the Caribbean mirrors the lifestyle we all enjoy during the warmer, sunnier months, and it’s an affordable escape during the dreary cold. My family and I have recently started this tradition of travel to the Caribbean, during the winter months, and we escape on a cruise ship. A cruise ship is a great way to see many different places, within a short frame of time. If you decide to visit one of the islands, and it turns out you aren’t the biggest fan of a particular port, it doesn’t matter; by the time you wake up the next morning you will be in a totally different place, or enjoying a beautiful day at sea. Island hopping is an adventure in itself! So far, in my cruising experiences, I have found that my favorite part of the Caribbean, is the Southern Caribbean. A cruise here includes stops at islands such as Barbados, St. Lucia, St. Kitts, St. Maarten, Aruba, Grenada and a few others depending on your cruise line, and the itinerary you choose.
20 Grand Living Magazine www.grandlivingmag.com
If you venture to Barbados, be sure to gather some history about the island by visiting some of their historic sites. The Arlington House can be found in the restored 18th-century building in Speightstown. It is an interactive museum that offers an overview of the islands rich history. Another popular site is Harrison’s Cave, it’s a 3 mile long cave that gives you a glimpse into the actual formation of the island. An absolute must see attraction is the Mount Gay Rum Distillery. They have been making rum on the island for over 370 years, since the English sailors first landed on the island. Experiencing this century old tradition, is one you won’t want to miss. Don’t forget that famous Barbados rum punch recipe rhyme; 1 of sour, 2 of sweet, 3 of strong, and 4 of weak. Even if you don’t like rum, the rhyme itself is fun! Our next stop is the volcanic island of St. Lucia, one of the more mountainous of the Caribbean islands, it’s well known for the Pitons, a set of twin peaks that tower over the island. Saint Lucia is also one of the few islands in the world that boasts a drive-in volcano. Other popular attractions include Sulphur Springs (at Soufrière), the Botanical Gardens, the many rainforests, and Pigeon Island National Park, which is home to Fort Rodney.
There are a lot of different excursion options. On my latest cruise we choose to go horseback riding on the island of St. Lucia. This excursion was definitely something that I would recommend for everyone. It started with a ride through a banana plantation, and ended on a little private beach. There you had the opportunity to swim with your horse, if you wanted, and time for a swim yourself before you headed back to barn. Throughout my island hopping, St. Kitts has left it’s mark. From the second that you stepped on that island everyone is so friendly and welcoming. The island boasts gold-sand beaches and a landscape that is covered in old plantations, reminiscence of the sugar cane plantations, that were once a staple of this island country. If you are only able to do one thing while here, you need to go on the Sky Safari excursion; which is a zip-lining excursion. It was the most memorable excursion from my last vacation. We had the absolute best tour guides. Our trip started with a bus-trip to Wingfield Estate. Along the way you received a guided tour, passing places such as Bloody Point and many of the sugar plantations. So, not only do you get to zip-line, you also get a good tour of the island. Once at Wingfield Estate we met our tour guides, “Mashed Potato” and “Pumpkin,” as they wanted to be called, and they took us on our high-flying jungle ride. This excursion is a must see, the guides are brimming with personality, the views are amazing, and your harness and guides provide for your safety. With an area of only 37 square miles, the island of St. Maarten is the smallest landmass in the world to be divided between two countries. The southern Dutch portion, offers casinos, duty-free shopping and island culture. The French side is all about sophistication. Since you only a few hours to explore two separate countries, I would suggest a tour that takes you to the opposite side of the island from where your ship docks. This way you are able to see the other side of the island; then when you return to port, you should have plenty of time to explore the near side of the island. Island hopping aboard a cruise ship is the way to go every winter. You could slip up north for a ski weekend, but it’s going to be cold! GLM
St. Lucia
Barbados
St. Kitts
Fisher’s Popcorn Celebrates 75 years!
I
n 1937, Fishers Popcorn debuted on the Ocean City boardwalk, trading as Pixtons Popcorn. The new business, destined to become a boardwalk icon, served gourmet popcorn made with only the finest, fresh ingredients. The popcorn confection, created in a unique copper kettle, was available in caramel, black walnut, coconut, cheese and buttered flavors. Donald Fisher was seven years old when his father, Everett, opened the business, and he can tell you that for the last 75 years, each batch has been hand-crafted in the very same way, and with the same recipe, that his father created that first batch of caramel popcorn. There is a true craftsmanship behind a batch of Fishers Popcorn. The batch masters you can see making the popcorn, while you wait, spend a great deal of time learning technique. It’s a confection never made with a thermometer, but under the watchful, skilled eye of the cook, that makes for a taste sensation. Fishers product offerings have changed just a bit, over the years. During World War II, when popcorn, butter and other staples were rationed, Fishers offered fresh fudge, caramel apples and salt water taffy along with their popcorn creations. You can still find saltwater taffy today, alongside their popcorn line. In the mid 50’s, the name was officially changed to Fishers Popcorn. That’s really the only significant change to the business, over the years. It’s weathered fire, rebuilt and expanded just a bit at the original location, always maintaining excellence in product and service. In 1972, Donald Fisher and his wife, Calvina, took the reins of the business from his father and maintained the family tradition.
22 Grand Living Magazine www.grandlivingmag.com
As time passed, his son Don became involved in the business, followed by his daughter Cindy. Together, they took the Ocean City business into the 21st Century, offering shipments of the boardwalk favorite across the country and to American servicemen and women worldwide. In 1981, Donald’s youngest daughter, Martha, opened a separate Fishers business and the first Delaware location in Fenwick Island. Today 31 years later, Fishers Delaware boasts three locations, including Bethany and Rehoboth Beach. In the Fisher family traditions, two of Martha’s three sons are involved in the business. A visit to Fishers Popcorn, located on the corner of Talbot and the Boardwalk, is a must for every Ocean City vacation. Today Fishers offers its original caramel popcorn, caramel with peanuts, white cheddar, butter and their newest creation, “Old Bay.” You can get a box for now and a decorative tin to take home to family and friends. When you get home, find them online at www.fisherspopcorn. com. Boardwalk popcorn makes a great gift! GLM —Excerpted from the new Inside Ocean City, Official Concierge of the Ocean City Hotel Motel Restaurant Association.
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Heart’s Desire
from “Grand Living” Readers
We all have a list of things to do in our lifetime. The list often begins in our childhood. Things like college, marriage, children, and home building, take center stage. There are many other things that make your “list of a lifetime.” Consider adding some of the suggestions below, because you’re only as old as you think you are! Send your “Heart’s Desire” for an upcoming issue, to grandlivingmag@verizon.net or call us at 410-726-7334.
“Go on an African Safari.” M. Swainston- Age 61- Ocean View, DE
“Learn to play the guitar.” J. Garron - Age 64- Ocean City, MD
“Ride a Gondola through Venice.” A. Satcher - Age 53- Parsonsburg, MD
“Fly first class.” M. Goldenberg - Age 70- Selbyville, DE
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