Grand Living Magazine

Vol. 4 Issue 5 - Sept./Oct. 2012

Grand Living Delmarva’s Premier 50+ Magazine Complimentary

Aging Gracefully Stop Atrial Fibrillation Tax Free Retirement Prostate Screening: Should I Get Checked?

A Small History Behind A Big Car: The Muscle Car

www.grandlivingmag.com

Dream Car 2012

contents Vol. 4 Issue 5 Sept./Oct. 2012

Grand Living Magazine Publisher Sandy Phillips Associate Publisher Farin Phillips

pg. 18

Editor Lou Ann Hill-Davis Creative Farin Phillips Photography Kyle Hughes, Next Wave Studios

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Learning Curve Grand Calendar Grand Life Aging Gracefully A Small History Behind A Big Car: The Muscle Car Home & Hearth Scrapbooking is a Wonderful New Art Form Retail & Apparel Discounts to Lighten Your Load In the News...

Well Being Prostate Screening: Should I Get Checked?

Coping With Caregiver Stress Stop Atrial Fibrillation Understanding the Healthcare Playbook: Game On! Financial Strength Tax Free Retirement Heart’s Desire

Grand Living Magazine

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Contributing Writers Gerry Askew Polly Elliott Therese H. Ganster, ACSW, MPM Elizabeth Kornfield, M.D. Roxana Laguerre Michael S. Logan James W. Respess, Esq. Mark Stoehr, MAC, LAC Betsy van Die

For advertising, contact: Grand Living Main Office (410)726-7334 grandlivingmag@verizon.net

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 may be 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.

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Learning Curve Shingles Vaccine?

Shingles is a disease caused by the varicella-zoster virus—the same virus which causes chickenpox.

After you have chickenpox, the virus stays in your body. It may not cause problems for many years, but as you get older, the virus may reappear as shingles. Unlike chickenpox, you can't “catch” shingles from someone who has it.

Early signs of shingles include burning or shooting pain and tingling or itching, usually on one side of the body or face. The pain can be mild to severe. Blisters then form and last from one to 14 days. If shingles appear on your face, it may affect your vision or hearing. The pain of shingles may last for weeks, months, or even years, even after the blisters have healed.

There is no cure for shingles. Early treatment with medicines that fight the virus may help. These medicines may also help prevent lingering pain. A vaccine may prevent shingles or lessen its effects. The vaccine is recommended for people over the age of 60.

Dreams Study

According to the National Sleep Research Project conducted in Australia, dreams once thought to occur only during REM sleep, also occur to a lesser extent during non-REM sleep phases. And perhaps, dreams may not serve any real purpose at all.

They may be a meaningless by-product of two evolutionary adaptations, sleep and consciousness. The project also suggests that it's possible there may not be a single moment of our sleep when we are actually dreamless. REM dreams are characterized by bizarre plots, but non-REM dreams are repetitive and thought-like, with little imagery.

NIH: National Institute of Allergy and Infectious Diseases

8th Annual Sand Castle Home Tour Adventure

Toenail Fungus According to the Mayo Clinic, once a nail fungal infection begins, it can persist indefinitely, if not properly treated.

You should see your doctor at the first sign of a nail fungus, which is often identified as a tiny white or yellow spot under the top of your nail. A fungus under the nail can cause your toe nail to become thickened, brittle and crumbly. It may also become misshapen and dull in appearance.

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The Art League of Ocean City (ALOC) will host its 8th Annual Sand Castle Home Tour September 20-21, 2012. This year’s event promises to be an adventure with first-time selected homes in bayside communities. Ever wonder what beautiful custom homes could be tucked away in Rum Pointe, Oyster Bay, Gum Point, or Piney Point? You won’t want to miss this opportunity to view some of the finest homes nestled around the bay.

This year’s tour also marks the beginning of the brand new Center for the Arts in Ocean City. The foundation of the new 7,500 square foot art center has been laid and framing will begin shortly.

ALOC President, Rina Thaler said, “Eight years ago, we started the home tour as a major fundraiser for the ALOC to relocate to a bigger home. Now it’s actually happening at our existing location on 94th Street, and all of our hard work will be seen to fruition.”

The tour will kick off with a cocktail party, sponsored by the Gateway Grand, at the home of Palmer Gillis on September 12th from 6-8 p.m. Tickets for the cocktail party are $75 per person and may be purchased by calling the ALOC at 410-524-9433, or online at www.artleagueofoceancity.org. The cost of the 2-day home tour is $30, and tickets may also be purchased from the ALOC.

Grand Calendar

Mid September - Mid October, 2012

Sept 19

Sept 20-23

Parkinson Support Group

Sunfest

FREE 3rd Wednesday every month at 2:30 p.m.

Community Foundation of the Eastern Shore 410-749-8511

Ocean City, MD Inlet Parking Lot Thurs-Sat 10:00 a.m. - 10:00 p.m.

Sunday 11:00 a.m. - 7:00 p.m.

800-626-2326

Sept 22 Sharptown on the Nanticoke -FREE

All day fun!

Town wide yard sale 7:00 a.m.

Parade 10:00 Including...Greyhound Dogs, A Civil War Group; Oyster Sandwiches and lots of great Eastern Shore Food! Raffles & More.

Sharptown Historical Society 410-883-3727 or 443-880-0417

Oct 6 Harbor Day at the Docks

FREE 10:00 a.m. - 5:00 p.m.

Sunset Marina, West Ocean City 410-289-6733 www.ocharborday.com

Oct 7 Coast Day Lewes, DE Hugh R. Sharp Campus Sunday 11:00 a.m. - 5:00 p.m.

302-645-8073

Sept 28-29 - Winefest at the Beach

Sept 28-29

Sept 29

Winefest at the Beach

Freedom Run & Ride 5k Run/Walk/Bike

Ocean City, MD Inlet Parking Lot Friday 11:00 a.m. - 7:00 p.m.

Saturday 11:00 a.m. - 7:00 p.m.

800-626-2326

Oct 9 Alzheimer’s Support Group

FREE 2nd Tuesday every month at 1:30 p.m. - 2:30 p.m.

302-436-0808 RSVP the Friday before the meeting you wish to attend .

FREE 2nd Thursday every month at 1:30 p.m.

The Woodlands Ocean Pines 410-208-9001

Berlin 2nd Annual Octoberfest

Ocean City Restaurant Week

For more info.

410-641-4775

www.oceancityresturantweek.com

Oct 28

Oct 28

Halloween Costume Party Popular Hill Mansion

Clear Space Theatre “Haunted House”

Halloween Spook-out Party

7:00 p.m. - 10:00 p.m.

Salisbury, MD Ticket info at: 410-749-5168

Parkinson Support Group

Oct 14-28

Oct 27

Rehoboth Beach Theatre of The Arts Sunday 1:00 p.m. - 3:00 p.m.

For other dates and times visit www.clearspacetheatre.org

Oct 11

Oct 13

FREE 12:00 p.m. - 6:00 p.m.

October 14-28 - Ocean City Restaurant Week

Starts at Shorebirds Stadium 7:00 a.m. - 11:00 a.m.

Register online at www.salisburyarea.com

Locations Town wide More information at: 1-800-626-2326 or visit

Northside Park - 125th St. Ocean City, MD For more info visit www.oceancitymd.gov.com

Oct 31 - Halloween

Grand Living Magazine

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by Michael S. Logan

T T

Aging Gracefully

here are many reasons that Grand Citizens should exercise on a regular basis, but the main one is that it helps to increase your overall health and ward off life-threatening diseases — especially those associated with aging.

Simply put, exercising helps us age more gracefully. Almost everyone knows the sort of problems we face when aging; slower metabolism, bone loss and stiffness in joints, muscle loss, balance problems, less endurance, and heart and lung problems.

We all want a quick fix to aging, such as injections and facelifts, or a pill we can take to halt or reduce the aging process. But, in reality, regular exercise is the only thing we can do for ourselves to increase our overall health and well-being. Exercise can help us maintain the ability to do things we love and to accomplish everyday tasks which we need to do, rather than depending on someone else.

Even if you're a very out of shape Grand Citizen, there are simple exercises you can do which will make you feel better and enjoy your life even more. Stretching is simple to do (you can even stretch while sitting) and can help make remarkable strides in improving your joints and muscles. You can find online stretching exercises, choose from the many television shows that promote exercising, or get a book from the library or bookstore.

You'll want to be sure to choose exercises which stretch your back, arms, calves, thighs, stomach and chest — but don't overdo it. Stretch for 5 to 20 minutes per day or whatever you feel up to.

Any activity which increases your endurance is great for senior citizens. Those exercises might include gardening, biking, swimming or simply walking the dog. Try to increase your breathing and heart rate, but don't exercise so strenuously that you

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lose your ability to talk. Take it easy and you'll benefit more than you realize. Strength exercises are very important to engage in as you age. The more you can strengthen your muscles, the better able you'll be to increase your metabolism, maintain a normal weight, and keep your blood sugar at normal levels. Strength exercises can be in the form of machines at a gym or fitness center. Or, you can use items around the house, such as books and cans of food.

Exercises designed to strengthen your back should be an important part of your exercise program. Back pain can be excruciating, life-changing and is common in Grand Citizens.

Ask your doctor for a list of exercises you can do to strengthen back muscles, or research on your own to find some that are right for you.

One of the worst maladies that can affect Grand Citizens are balance problems. Aging can cause loss of balance, but so can

certain medications. There are exercises to specifically build your leg muscles and increase your perception of balance so that you're less likely to fall. Keep in mind that in the United States, hospitals admit over 400,000 people per year for broken hips, and most are Grand Citizens. One of the things I do for balance is walking down the railroad tracks just outside the YMCA where I exercise, along with many other Grand Citizens. I have gotten much better in the year or so that I have practiced. I do not walk them when they are wet or slippery and my kids love to join me.

Remember a lot of balance receptors are in the bottom of your feet. Exercise is a key piece of the brain fitness puzzle. Keep in mind that this isn’t Olympic training that we are doing, but movement just strenuous enough to get the breathing deep. Daily exercise is best. GLM

Shane Kelley at 410-968-1022.

e d tim limite n For a applicatio no , ! s ly e n e o ry f or ent

ADJACENT TO MCCREADY HOSPITAL

Respite Care Program www.chesapeakecove.org Grand Living Magazine www.grandlivingmag.com

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Scrapbooking is a Wonderful New Art Form F F

or centuries, the art of scrapbooking has been kept alive because everyone loves mementos of the past. We all like taking photos of friends and our families because, very often, we do not get to spend as much time as we would like to with them. Scrapbooking is a wonderful way of keeping these special occasions alive. It is a way of capturing the treasured moments you spend together in a personal, photographic journal, which you can make as decorative and detailed as you like.

Very often all of our photographs stay in boxes or drawers, because we never seem to have the time to sort through them.

Some of our favorite photos may get framed or put into albums, which then tend to just stay on a shelf gathering dust. But photos depict milestones in our lives and remind us of special times.

These photos are often taken during important occasions such as weddings, family reunions, birthday parties, and the list goes on.

Scrapbooking has become a great way to rekindle those memories, and it means that all those old photos can now be retrieved to be sorted and reminisced over, in the nicest of ways.

This whole concept of scrapbooking is an inventive approach to making sure nothing is ever forgotten. Scrapbooks are far nicer than just a simple photo album because you can make them into beautifully decorative books, with your own personal touch.

Your treasured moments are there for all to see on the pages you have personally made, and scrapbooks suddenly take on a life of their own, with memories of times long past suddenly jumping out of the pages. Another great part is that you can add text to each of the pages, so your story is not only visual but written as well. Each of the pages will lead to the next, in a wonderful way, if you plan and organize it well.

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These days, to create a memory scrapbook is easy. The internet is full of scrapbooking resources. You can use your printer to download digital images and for a more formal presentation of words or stories. Local craft stores offer a wide selection of embellishments to get you started. In the past, scrapbooks have been created with simple additions from around the home, including scraps of material, printed napkins, or bits of left over wrapping paper to name just a few. You are only limited to your imagination when compiling your new treasure. There are also websites which specialize in scrapbooking, and offer some great ideas as well as supplies and kits to help you get started.

Once you have created one scrapbook, you are well on your way to creating another because it’s such addictive fun. Your children and grandchildren will love to be a part of the project, and it will encourage them to use their imaginations. Let them help with ideas on how to decorate your book. It’s fun to see how other remember events and often lends greatly to the finished product.

A well-kept scrapbook is an heirloom; it is a family legacy for generations to enjoy. It will preserve your memories perfectly, and it’s a way of passing a little bit of yourself onto those who come after you, in one of the nicest art forms you can imagine. GLM

In the News...

Proactive Partners Working to Reduce Heart-Failure Patient Re-Admissions to the Hospital.

Peninsula Home Care (PHC), Peninsula Regional Medical Center and Genesis Healthcare have joined forces to provide a continuum of care program for high-risk heart patients in Wicomico, Worcester, and Somerset Counties. This program is focused on patient education, medication reconciliation and the consistent tracking of patient care.

“The goal of this program is to identify and develop approaches to circumvent the frequency of heart failure patients being re-admitted into the hospital within 30 days of release,” said Nancy Bagwell, Branch Director, Peninsula Home Care. “Not all patients have the support, or a plan of care, in place to guide them through their recovery when they come home from the hospital.

This program will provide high-risk patients with the education, resources and continued care which will ultimately keep them out of the hospital and in a more independent environment.”

“The collaboration between Peninsula Regional Medical Center, homecare services and skilled nursing facilities in our community is imperative as we strive to improve the continuum of care for our patients,” explains Jeanne Ruff, MS, FAACVPR, Executive Director-Guerrieri Heart & Vascular Institute. “Often times, patients and their families find themselves overwhelmed with a new or chronic medical condition and struggle to manage it in the outpatient setting.

We want to ensure that the resources and support are available for those in need.”

“It comes down to the empowerment of the patient,” says Marsha Butler, Vice President of Sales and Marketing, Genesis Elder Care. “We are working together to provide quality care by changing the dynamics of how we help our patients manage their disease. We don’t want to chase their symptoms, but instead focus on preventative measures which can be incorporated into their daily lives and keep them in their home setting where they are most comfortable.”

FOR EXPERT ORTHOPEDIC CARE,

CHOOSE NANTICOKE.

Partnership Program Initiatives includes Medication Management. Patients admitted to the hospital commonly receive new medication or have changes made to their existing medications. Many times, the new medication regimen prescribed at the time of discharge omit needed medications, duplicate existing therapies or contain incorrect dosages.

Medication reconciliation refers to the process of avoiding such inadvertent inconsistencies across transitions in care, by reviewing the patient's complete medication regimen at the time of admission, transfer, and discharge and comparing it with the regimen being considered for the new setting of care. GLM Grand Living Magazine

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Bill W. of Salis bury, MD, kept his eye on his goals while recove ring from a stroke with P eninsula Home Care: lunch at his favorite resta ura La Roma, wit nt,Vinny’s h his date of 59 years – h is wife Shell.

It can happen to you. One day you are involved in your life, the next you are sidelined by a stroke.The road to recovery can be long – but Peninsula Home Care can be with you every step of the way, from skilled nursing to physical therapy to family education.

Get up, get going, get out to lunch again. At Peninsula Home Care, our mission is to get you back to your best life possible.

The law guarantees you the right to choose who can come into your home and provide nursing, therapy and aid. Choose Peninsula Home Care. . . and get back to your favorite things.

Wicomico & Somerset Counties 410-543-7550 Worcester County 410-208-4828 Sussex County 302-629-4914 www.PeninsulaHomeCare.com Serving Wicomico, Somerset & Worcester Counties in MD & Sussex County in DE since 1985.

Fact: Superior Technology Yields Superior Results

Vincenzo DeMasi, M.D.

Delmarva’s Cancer Specialists Salisbury 410-543-1943 Berlin 410-641-0277 Manoj Jain, M.D. 10

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www.21stcenturyoncology.com www.grandlivingmag.com

Now Selling for 2013 Inside Ocean City

Inside Ocean City, Official Concierge of the Ocean City Hotel Motel Restaurant Association, is an annual, hardbound coffee-table book that delights readers with a savvy, insider’s view of the resort. It is available, in-room, at Ocean City hotels and motels.

Through gorgeous photography and insightful articles, Inside Ocean City is a publication visitors are compelled to pick up and want to linger over—timely yet timeless, and reflective of the soul and spirit of the city. Its modern, eye-catching designs and innovative layout create an environment designed to attract advertisers, impress hotels and the travelers who stay in them.

Inside Ocean City offers useful information that helps tourists decide where to go, what to do, what to eat, what to buy and what attractions to visit during their time in the resort. Inside Ocean City offers rich content and editorialized layout for advertisers, offering them the opportunity to share the scope of their business as opposed to a snapshot.

Support the OCHMRA & Reach Millions, All at the Same Time!

Reserve Your Space Today 410-726-7334

Well Being

Prostate Screening: Should I Get Checked?

by Dr. Elizabeth Kornfield, Urologist Nanticoke Physician Network

T T

he prostate is a walnut-sized gland that is a part of the male reproductive system. The prostate makes the fluid that carries sperm and is located in front of the rectum and just below the bladder. The tube that carries urine from the bladder to outside the body (urethra) runs through the center of the prostate. As men age, the prostate has a tendency to increase in size and can cause the urethra to narrow and decrease urine flow.

Prostate cancer is a tumor or mass of tissue from abnormal cell growth. As with many types of cancers, we don’t know what causes prostate cancer but we do know there are some risk factors including age, race (black men are more often diagnosed with prostate cancer), family history and a diet high in fat. The risk of prostate cancer increases with age.

According to the Centers for Disease Control, during his lifetime a man has a 1 in 6 chance of being diagnosed with prostate cancer and a 1 in 33 chance of dying from prostate cancer. Prostate cancer sometimes requires treatment and, as with all cancer, early detection and treatment improve the outcomes for patients. Sometimes, prostate cancer can grow slowly and treatment may not be the right answer. Your doctor will consider many factors when making a decision about treatment including your age, the size of your prostate, the rate of change in your PSA (prostate-specific antigen) level, your current medications or recent medical procedures that may affect your PSA level.

There are pros and cons to deciding if you should be screened for prostate cancer. The biggest pro is early detection. Prostate cancer can be serious, grow quickly and spread to other parts of the body. Prostate cancer is the second leading cause of cancer death in men, behind lung cancer. Some prostate cancer can grow very slowly, remain in the prostate, and never cause problems. In such cases, detection of the cancer can cause unnecessary anxiety. Ultimately the decision is up to you and, men 50 years of age and older should talk with your doctor about being screened.

For more information about prostate cancer and prostate cancer screenings, talk with your doctor or go to www.cdc.gov/cancer/prostate. GLM Grand Living Magazine

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4. Safety Issues: This shows up in areas commonly referred to as “The 3 M’s:” Mishaps with mobility issues, medication management (under or over medicating), and meal preparation (can’t or won’t prepare meals anymore).

Roxana has experienced first-hand how the aging process takes its toll on families. “In 2004, I moved back home to Maryland to be closer to my parents, realizing they were in their mid-seventies. I had no idea how quickly the turn of events would change our family’s lives.

The first week I moved back home, I found out my father was diagnosed with end-stage renal disease, more commonly known as kidney disease.

Watching him change from being a vibrant, energetic man, to someone needing to ask for help for almost everything was heart wrenching, especially when he had to go on dialysis. In the spring of 2005, another unwelcome surprise; both of my parents had to have coronary bypass/ open-heart surgery…within 6 weeks of each other! My mom seemed to bounce right back into her routine. My dad had some short term benefits after surgery, however, in December 2006, I lost my father after his long battle with diabetes for over 23 years; he was only 75 years old. You know the expression “just when you think it’s over?”

My mom had a heart attack in the middle of the night in January 2010.

Although it was diagnosed as a “mild” heart attack, and she was able to go back home, we realized it was best if she didn’t live alone anymore. So my husband and I decided to have Mom live with us in her own in-law apartment. The move itself was pretty stressful with all the downsizing, donating, yard sales, moving, etc., but we have treasured our special time together ever since. Family time means so much more now. Besides, I feel like mom spoils us rotten most of the time with her amazing cooking and keeping the garden so pretty!” So, after that series of life events, I realized that my moving back home was meant to be. I also felt like I had to put all of this life experience to use to help families in need. That is how the name “Family Tree Senior Care” came to be.

Services for Grand Citizens have greatly expanded on Delmarva in the last few years, ranging from private duty home care, adult day care, independent and assisted living. Choosing the right solution allows your loved one to have a balance of privacy without loneliness, and independence with supportive services only when needed, allowing them to “grow back” those branches on that tree that have fallen off one by one. It may also reduce stress on family members trying so hard to “do it all!” GLM

Coping with Caregiver Stress...From a First-Hand Survivor

by Roxana Laguerre

T T

his may sound all too familiar: We may be caring for a relative who needs more care than a family can provide all by themselves. Family members want to do more to help but are tied down with daily demands of work, children to care for, a home to run, and not enough energy or hours in the day to complete all the tasks associated with caring for our Grand Citizens and loved ones. This is often complicated by parents being too proud to ask for assistance. Our loved ones may say “I don’t want to be a burden on my family” since most come from the “Can-D” generation. The ultimate goal for the whole family is to have a sense of well-being, remain as productive and active as possible in life, and have peace of mind knowing their family is in the best health possible.

We all feel an emotional connection to our homes, however, with some Grand Citizens, their environment has become more of a burden than a blessing, and often unsafe, despite not wanting to admit it. Those feelings are natural, since they are grappling with feelings of loss of independence.

The lives of Grand Citizens are like trees that have grown many “branches” over time. These branches vary from socializing with family and friends, driving when and where they want for personal needs and pleasure, choosing to cook meals or going out to eat, and most importantly, enjoying retirement by making choices about a lifestyle they desire.

Then one day, another branch falls off the tree: A medical crisis happens; they lose a spouse or can’t drive anymore. These can be life changing events which will lead someone else to make the decision for them. It is typically the adult child, which puts undue strain on otherwise healthy, loving relationship 1. Family Caregiver Stress: When care needs exceed abilities of the family member. Physical assistance, geographical issues, and time constraints simply aren’t doable.

2. Social Isolation: When a loved one can’t drive anymore, or has physical mobility issues, the ability to interact with peers may diminish radically. Living alone is a leading cause of depression, anxiety, nutritional decline, and unhealthy weight loss.

3. Maintenance of the home becomes too overwhelming: this becomes obvious in older homes as the yard, plumbing, electrical, roofs, etc. decline.

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With over 10 years of extensive geriatrics experience, and eight years on the Eastern Shore, Roxana provides a depth of working knowledge with local senior care providers, and has maintained lasting relationships with service providers. Roxana has worked with home healthcare agencies, adaptive equipment providers, as well as skilled nursing and rehabilitation facilities, and assisted living facilities. This allows her to help families with a variety of needs unique to seniors. Call Roxana Laguerre, Senior Care Advisor at Family Tree Senior Care, Inc. at 443-880-7382 to discuss which senior care options can work for you and your loved ones.

Retail & Apparel Discounts

Whether vacationing or in your own neighborhood...

We make your summer a breath of fresh air

Help to Lighten Your Spending Load

by Lou Ann Hill-Davis As you learned from last month’s issue, it PAYS to be a Grand Citizen! Around town and while traveling, make the most of your Grand Citizen years by using the Retail and Apparel senior discounts listed below. As I also mentioned last month, many local businesses shy away from discounting during the summer season, but in the off season, make sure to ask your favorite establishments for their Grand Citizen specials!

Banana Republic: 10% off (50+) Big Lots: 10% off Dress Barn: 10% off (55+) Goodwill: 10% off one day a week (date varies by location) Hallmark: 10% off one day a week (date varies by location) Kmart: 20% off (50+) Kohl’s: 15% off (60+) Rite Aid: 10% off every Tuesday & 10% off prescriptions Ross Stores: 10% off every Tuesday (55+) The Salvation Army Thrift Stores: Up to 50% off (55+) Don’t miss Grand Living Magazine’s next issue when LYLS will bring you Grand Citizen “Grocery Store” discounts!

(NOTE: Ms.Hill-Davis would like to thank Nancy Larson for her invaluable information used for this article.) Lou Ann Hill-Davis is the President of Lighten Your Load Solutions, LLC. Offices are located in Jacksonville, FL. www.LightenYourLoadSolutions.com.

Respiratory homecare specialists

Transportable self-filling oxygen tanks.

Home Medical Equipment including: • Invacare • Pride • Respironics

Delivery & set-up of a wide array of medical equipment to your home or vacation rental.

Locally owned and operated since 1988

Visit our web site for a full list of products & services. www.bayviewhomecare.com

302.629.0202 800-564-0633

1601 Middleford Road, Seaford, DE

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13

Stop Atrial Fibrillation

A A

& Help Prevent Potentially Fatal Stroke

trial fibrillation (AF or AFib) is the most common irregular arrhythmia (heart rhythm). It originates from the upper right and left chambers (atria) of the heart which leads to the lower chambers (ventricles). It is a serious condition affecting an estimated 2.66 million Americans, with the incidence expected to soar to 12 million by 2050. People age 40 and older have a 25 percent chance of developing AF at some point in their lives, and by the age of 80, an estimated 10 to 15 percent will have this condition. A normal heartbeat is about 60 to 80 times per minute at rest. In people with AF, abnormal electrical impulses in the atria cause the ventricle contraction (heartbeat) to be erratic, and in some cases, rapid. The atria can contract at a rate of 400-600 beats per minute, causing a disruption of blood flow to the ventricles and a resting heartbeat of 100-180 times per minute. “If left untreated, AF can lead to potentially fatal congestive heart failure and stroke.

The mission of the Dr. Jeffrey Thomas Stroke Shield Foundation (SSF) is to reduce both the incidence and the impact of stroke, through technology and education. Research targeting demonstrated risk factors for stroke, like AF, is a vital focus of SSF,” says Jeffrey E. Thomas, M.D., F.A.A.N.S., F.A.C.S., founder and chairman.

People with AF have a five-fold risk of stroke, with about 35 percent of all AF patients suffering a stroke during their lifetime.

“The reason AF poses a serious stroke risk is because, when your heart doesn't pump properly and blood pools, clots have a propensity to form and these clots can travel quickly to the brain. Once inside the brain, a clot can become lodged in an artery and cause a stroke,” says Dr. Thomas.

AF symptoms vary from person to person and can be chronic or fleeting. If your AF is occasional, and you happen to be at the doctor's office when your heartbeat is regular, the condition can easily be overlooked. An AF classification system was devised in 2006 and includes the following types: • Paroxysmal or intermittent — episodes that come and go, but self resolve within one week • Persistent — episodes that last beyond one week or require intervention to resolve 14 Grand Living Magazine www.grandlivingmag.com

by Betsy van Die

• Longstanding persistent — continuous AF that lasts longer than one year • Permanent — persistent or longstanding persistent AF in which a decision has been made to not attempt to restore normal sinus rhythm by any means, including catheter or surgical ablation Possible Symptoms • Racing, irregular heartbeat • Fluttering in the chest • Heart palpitations • Dizziness or lightheadedness • Shortness of breath • Chest pain • Weakness • Faintness • Fatigue when exercising • Sweating Primary Causes • High blood pressure • Abnormal or defective heart valves • Overactive thyroid • Lung disease • Exposure to stimulants including medications, caffeine, tobacco or alcohol Secondary Causes • Sleep apnea • Viral infections • Prior heart surgery Diagnosis Your physician will ask about your general health, medical history, symptoms, and alcohol or caffeine intake to help

determine contributing factors. Electrocardiogram (ECG or EKG) is the primary test to determine if an arrhythmia is AF. Additional diagnostic tests may include echocardiogram, Holter monitor, or mobile cardiac monitoring.

Medications The goals of AF treatment are to slow down the heart rate, restore and maintain normal heart rhythm, and prevent blood clots which may lead to strokes. While the majority of AF patients are on blood thinners, a smaller number of patients are prescribed medication to slow down the heart rate and maintain normal rhythm.

Approved for human use in 1954, warfarin has long been prescribed as the anticoagulant of choice in patients with AF. Newer FDA-approved drugs including dabigatran (Pradaxa) and rivaroxaban (Xarelto), and Apixaban (Eliquis) — not yet FDA-approved, have greatly expanded pharmaceutical options. The American Heart Association/American Stroke Association recently issued a scientific advisory stating that all of the above anticoagulants can be considered for the prevention of stroke in patients with nonvalvular AF. Patients should be evaluated on a case-by-case basis due to varied contraindications/side effects associated with anticoagulants. Once they are prescribed, blood-clotting levels must be monitored on a regular basis with dosage adjustments made accordingly.

Minimally-invasive treatment If medicine is ineffective or cannot be tolerated by the patient, a nonsurgical procedure called catheter ablation may be performed. Under light sedation, thin flexible wires are inserted into a vein in the groin and threaded up through the vein into the heart. An electrode, at the tip of the wire, sends out radio waves that create heat, destroying the heart tissue responsible for the arrhythmia. Some facilities currently cite success rates of 80 to 85 percent for first-time ablations and 95 percent for second ablations, but there are variances in the methodology for measuring success. Cryoablation is a newer technique in which extreme cold is used to destroy the abnormal heart tissue which has caused the arrhythmia.

AF Stroke Statistics • AF causes 15 to 20 percent of all ischemic strokes.

• Stroke outcome is worse in AF patients, with 70 percent of all strokes being fatal.

• Studies indicate that well-controlled warfarin reduces the risk of stroke in people with AF by 50 to 65 percent.

• A recent 18,000-patient trial indicates that 150mg of Pradaxa twice daily is superior by 35 percent in reducing ischemic and hemorrhagic strokes in patients with nonvalvular AF, compared to well-controlled warfarin. GLM

Betsy van Die is a Chicago-area communications professional with more than 16 years of diverse public relations, media, design, and publishing experience.

Van Die is currently working as a free-lance PR director for the San Francisco-based Stroke Shield Foundation. Prior to this, van Die was director of communications at the American Association of Neurological Surgeons, where she oversaw and implemented public relations and corporate communications activities of the organization.

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Financial Strength

Tax Free Retirement I I

by James W. Respess, Esq., RFC

n the early 80’s, Congress established some programs for us to prepare for our retirement. They established the 401(k)’s, Simple IRA’s, IRA’s, 403(b)’s and others. The plan was, and still is, to allow workers to have an income-deferred plan for their retirement. They would take pre-taxed income and invest it in one of these deferred income tax plans, then pay the tax on the money we took out at retirement. The theory was that the tax rate would be much less, when we retired, than when we placed the money in the plan.

What does the future look like? There is no indication that our tax rate will be less when we retire; in fact it may even be higher than it is now. The Federal Estate Exemption is presently $5 million, but that will be changed on December 1, 2012. What it will be in the future is anyone’s guess. There is a chance that the plan we don’t use will be taxed twice. If our assets exceed the Federal and State Estate Tax Exemption, and we leave an unused deferred retirement plan. It will be included in our estate for tax purposes. If our assets at death are over the exclusion amount, we would pay 35% of that as Estate Tax. Then our beneficiary (if not our spouse) would pay income tax on the use of the money in the plan. That could also be 35%, for a total of 70%, that is only the Federal Tax. When we factor in the market risk which hit all plans, in 20002001 then again in 2007-2008, those plans lost as much as 50% of their value overnight. That makes these plans much more undesirable.

Choice for the Future Compare this to a Farmer’s Operation: Would you rather pay tax on the seed or on the crop. If you pay on the seed, you pay tax on a small investment, then plant the seed and watch it grow. You then harvest a tax free crop. If you choose not to pay tax on the seed, but choose to defer paying tax, you will pay tax on the crop. We are doing that now when deferring tax on our accounts; 401(k), IRA, 403(b) account. Which would you choose?

We have two choices, or maybe we can use both. The Roth IRA is one choice; we can invest after tax money in a Roth and then take the money out at retirement income tax free. The problem; we can only invest $5,000, a year before age 50, and then we can invest another $1,000 in catch-up funds. This limits the retirement amount.

The second choice is in Cash Value Universal Life Insurance.

If we start before age 45 we will have enough time to have the cash value to grow to meaningful amount. For example a healthy 30 year old can place $10,000 in a policy each year until age 65.

Then he or she can withdraw $174,000 each year tax free until age 120 and still have a death benefit for any one they designate.

The policy has other benefits too. If the insured should die anytime before retirement, even the day after the policy is issued, his or her beneficiary would receive the full death benefit. This is not universally understood, and should be setup in accord with the tax regulations or all the planning will be for naught. Also if children are possible heirs, a plan should be placed into effect to protect them from themselves. If they should become a beneficiary before age 18, there would have to be a court appointed guardian. Then when they become 18, they could demand the money. No one I know would want their 18 year old to have a large sum of money that young, in fact most parent and/or grandparents will think in terms of 35 years of age, as the safe age, and even then there are conditions; such as no destructive life style or being a spendthrift.

The Other Option What are the options for those of us who are over 40 years of age and those of us who don’t have enough time for the money to grow in a Life Insurance Policy? We will need another option in getting our retirement money out of the market influence and into a safer vehicle that still has growth possibility. We just don’t have the time for our investments to recover from the market crashes that we have seen in the past. Most of us don’t have the risk tolerance we had at a younger age.

Another option might be the Equity Indexed Fixed Annuity.

Most Insurance companies offer these, and deferred plans can be rolled into tax free funds. There is no cost to transfer the plans, and most companies will offer bonus of 5% to 12%. The returns have traditionally earned an average 6% and have the same tax savings which the original plan had, along with a safety net.

Many offer a lifetime income stream, which can be used when you are ready. GLM James Respess, Esq. owns Respess Financial Services, Inc and in conjunction with his law practice, assists his clients in taking control of their future and the future of their loved ones. He can be reached at 443-736-7523, jrespess@comcast.net and online at www.estplan.net

Still gambling with your future?

Understanding the HealthCare Playbook: Game on!

I I

by Therese H. Ganster, ACSW, MPM

can’t help it. In September, my thoughts turn to football. I love the energy of the game, especially the strategies that each team employs to move the ball down the field. It’s the success or failure of those strategies that dictate who wins the game. Those strategies don’t happen by accident. At the start of each season every player receives a playbook which becomes the basis for all of the team’s communication. It’s well read and players are never without it.

You may not know it but healthcare has a playbook, too.

One with equally well-worn pages, diagrams and forms.

As always, the “game” of healthcare has a primary goal: To maximize each patient’s independence and assist in keeping the individual healthy long-term. This approach works to keep patients from returning to the hospital, limiting readmissions, which in turn helps to keep healthcare costs down and protects healthcare resources, insurance, and programs from depletion. But healthcare, like football, is never static, so there are often new terms and programs being introduced, and new pages to add to the “book.”

One of those new terms being bandied about right now is “patient-centered medical home,” a new approach to the movement of patient information.

Let’s look at how referring organizations have acted until now. While acute and rehabilitation hospitals, nursing facilities, home healthcare and outpatient facilities all refer to each other, (meaning each sends patients to others for further treatment), they have not shared much actual information about any given patient.

For instance, an elderly patient falls and breaks a leg. The emergency room doctor who sets the leg refers the patient to hospital admission for observation. The hospital, upon release, refers the patient to a nursing home and back to their own physician for follow-up. While at the nursing home, the physician refers the patient to home healthcare, ordering physical and occupational therapy which starts at the nursing home and follows the patient back to their home when they are released.

Each of these organizations keeps its own charts, records and information on the patient’s care, as well as medication and progress. This means that the patient and his family have to follow each separate treatment protocol and be responsible for checking on any updates and/or potential conflicts. It’s

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212 West Main St. Suite 308, Salisbury enough information to make one’s eyes cross! Especially when you take into consideration that, while one organization may have discussed a specific set of needs with the patient and family, the information may not have been shared with any other resource. It can be severely overwhelming.

At a “patient centered medical home,” all of the organizations can discuss what the patient and family need across the continuum of care.

This is a “virtual” location which can really be a “game changer.” Within the confines of the HIPPA Privacy Act, it is a repository of information accessible by all “players” in the game: doctors, nurses, home care and therapists – each of whom can document what has been done to treat the patient and what information has been shared with the family. The approach builds teamwork. It also creates and updates a “playbook” of care for the patient and his family. Each time a patient faces an issue or a challenge, the team can come together in one (virtual) place to plan strategy and move the ball “downfield.”

One example of this approach is the pilot program between Peninsula Home Care, Peninsula Regional Medical Center and Salisbury Nursing and Rehab. (You can read more about this in the “Announcements” section of GLM.) These organizations are coming together in this team approach to best meet the needs of the patient with congestive heart failure (CHF), creating a “playbook” that they believe will bring positive change to patients and their families. It’s a strategy that will move the ball downfield for a great outcome: a better result for the patient and their family.

We are fortunate that all the community hospitals on the lower Eastern Shore are coming to the table to discuss opportunities like the example shared and, I'm glad to be able to be “in the game." 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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Dream Car 2012

1957 Chevy 1963 Chevy Corvette 1967 Chevy Nova 1967 Plymouth Barracuda 1968 Chevy Camero 1968 Shelby GT Cobra 500 1970 Chevy Chevelle

...Maybe it’s how a well-tuned engine releases that throaty roar

when the pedal is pressed. ...Maybe it’s the way the sun reflects on the chrome. ...Maybe it’s just the freedom of riding down the road with the wind in your hair.

So many work years, for the luxury of owning the car of their dreams. If Mr. Ford knew the passion his creativity would instill, decades after his death, he couldn’t have created a better legacy. Diehards collect cars like baseball cards.

For some, it’s the reflection of how far they have come. For others, it’s the culmination of a dream that began with their first car. Maybe it’s even a lifeline to their youth. Although these are the current cars of a few, they are dreamers, and dreamers dream on. There will be other cars and new dreams to come.

For your dreaming inspiration and a nudge to make your own dreams come true, we bring you Dream Car, 2012.

A Car’s “Cinderella” Story 2012 Dream Car Cover

Tim Church & his ‘68 Rally Sport Camero Tim Church has always been a muscle car guy. His first car was a ‘62 Nova, followed by a ‘66 Charger. Of course there were other makes of cars over the years, but Tim always wanted to be back in American Muscle.

When Tim sold his classic Mustang, he began a quest for a Camero. His eye was on a particular car which he had been following; a ‘68 Rally Sport. It sported a 327 and gleamed in a hunter green with white stripes. He had an eye on it for months before it came up for sale. Of course the owner wanted too much for it. (Isn’t that always the case?)

But that perfect day would soon present itself, and that very same RS Camero would find its way to his garage. It was meant to be.

“It’s a great car,” says Tim. “I’ve had it for three years now and I’ve learned a great deal about it. I know each of the owners of this car, from the second one. It’s been well cared for and passionately restored.” Tim tells us the only change he will make to the car, is switching it from 4-speed to automatic. “I love to take the car out socially and I just don’t want to shift it anymore,” Tim continues, “but I wouldn’t change anything else. The outside has of course been painted, but the interior is all stock.” GLM

On a dark night while driving his date home, Bill West and his 1972 Chevelle were involved in a head-on collision. It was a fatal crash, for the other driver, but Bill and his girl would walk away with only minor injuries and his beloved Chevelle totaled.

Like many car buffs, the accident was a scar on his life, yet the car a fond memory. Bill had always hoped to have another Chevelle some day, and it was only a matter of time.

Just prior to his 60th birthday, an old 1970 Chevelle entered the picture. It was in serious need of rescue, and even had a tree growing up through the engine! Bill knew he had to make that car his own and set the wheels in motion for a full restoration.

Once the decision to move forward was made, the work was completed in just months. Typical restorations of this magnitude often take years, but the passion drove the process. All parts were sourced locally. The 454 engine was even reworked from a Bayliner boat. (Imagine that hum!) Paint in Cranberry Red, bodywork, and the project in general, were overseen by his soon to be brother-in-law at G&A Custom Body in Eden.

This very special car will be a part of Bill’s upcoming nuptials.

He tells GLM that he had wanted his original Chevelle to be in his first wedding, but it just didn’t work out. GLM

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Jerry & Ruth Wilkerson’s Collection Years ago, Jerry Wilkerson began restoring cars. He would often restore them for others with a plan to one day have his own. As fate would deal the cards, in 1978 he opened Expert Collision. Jerry has always worked on cars, and of course perfected his bodywork skills into a successful business.

Today Jerry and his wife Ruth have a growing stable of collectible cars. The group is currently comprised of a 1967 Nova, 1967 Barracuda, and a 1932 Ford Hot Rod, but Ruth will tell you the Hot Rod is her car!

For the Wilkerson’s, the passion is a family affair. Their children often help and offer support at car shows and even jockey vehicles for competition. On the topic of competition, Jerry has recently (at age 62) begun drag racing at the U.S.13 Speedway. His ‘67 Nova, sporting a 460 engine with a 400 turbo, is the second car he restored for himself. The car will do the 1/4 mile in 11.5 seconds, reaching 117 mph. The Nova is now both a winning car at the Speedway and in car competitions.

Jerry says his Barracuda is their “pleasure” car. It’s their most recent restoration and, of course, they love to share it with others.

Jerry says it’s so easy on gas it’s always first out of the garage. “They just don’t make them like they use to,” he continues. “Great ride;low cost.”

Ruth certainly shares his passion for the older cars. She speaks “car” as well as any guy and drives each with confidence. She is fearless of the power under the hood. Ruth even shared a story with us about how she and Jerry got pulled over in Ocean City during Cruisin, for drag racing. “You know, you never really grow-up,” she says. “We were just having a little fun. Unfortunately it ended in fines and this time, the kids were fussing with us! It’s humorous now when we look back on it...drag racing at our age.” What a great couple; Jerry and Ruth make a wonderful team. GLM

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The 1968 Shebly GT 500 of Ron Holloway What else can you say but, Wow? This Shelby is amazing, and we were lucky enough to catch a glimpse. Everything on this car is original. Built by Maryland Muscle Cars and signed by Carroll Shelby himself, this too was a car on Ron Holloway’s watch list. He first saw it three years ago at Cruisin in Ocean City and each year thereafter. It was for sale, but Ron and the previous owner just couldn’t’ come to terms on the price, so it would end up at auction in New Jersey. If you’ve ever watched Barrett Jackson on cable and felt curious about “phone” bidders, meet Ron. He acquired his treasure from the comfort of his home while the car was on the block.

Ron’s father had a Ford dealership, and when he was about 10, he saw a Shelby on the showroom floor. He spent a great deal of time sitting in that car, and all the while the “car bug” was slowly working its magic. Like most people, a busy life and family just seemed to prevent him from driving one home, until he found this car. It was truly meant to be in his garage and finally found its way there.

His Shelby is a 4 speed with a 428 cubic inch police interceptor engine, and local police know all about it. Not that Ron has been caught testing the waters, but he’s been stopped on occasion, by local police, just so they can take in the amazement of the car. GLM

From the Stable of Bill Herne Like so many, Bill Herne caught the car bug at a very early age. From drag cars to National competitions, he’s done it all. At an age when many have retired, Bill’s still going strong and his stable even more impressive. In fact his ‘57 Chevy, one of the first cars he restored from the ground up, won 977 out of 1,000 points in National competition. This car sports a 502 big block engine, with a 400 turbo transmission and a street performance, tune-port fuel injection. No detail is left undone here, all the way down to the red seatbelts.

Bill’s 1963 split-window Corvette really is just something to drive and enjoy. With a 540 Scott Scatterof big block and 400 turbo, accompanied by a stack fuel injection, it’s a great car to enjoy at local car show competitions. It has some neat features and lots of chrome, he’s definitely improved on the original, and this car has “wow” power!

Although we strayed a bit from our American Muscle topic, we just had to share what else we found in his garage. A 1934 Ford Hot Rod, a beautiful car with so many unique features, it just brings out the “ahh...” It too, has a 540 big block Chevy engine with a 400 turbo and a quick-change rear, just like they use to use in stock cars during the ‘60’s. It has a retractable license plate, although we didn’t ask the purpose for that, but I’m thinking it’s a feature we may have all wished for at some time in our lives. The hood flames are all hand painted and are such a unique blend of color fusion, you would think they were computer generated, if not for the artist signature near the rear. As with many collectibles in Bill’s stable, this too is an award winning car, holding the highest honor from the World of Wheels. GLM 24

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A Small History Behind A Big Car:

The Muscle Car

E E

by Gerry Askew

veryone out there loves a “muscle car.” From the roar of that huge engine to the flames on the hood, it is hard to resist looking when you hear one rumbling down the road. But most people don't really know the history behind the muscle car, like who created the first one and when were they introduced on the market?

Almost every historian and car buff credits Pontiac with the first muscle car on the market, which was a variation of the Tempest, the 1964 GTO. This first muscle car offered a huge 2011 Winner V-8 engine that boasted 389 cubic inches and a MD Tou floor-shift manual transmission instead of on the Council rism Indu column. With a newer, sleek look and trim to Partner stry ship die for, both inside and out, who could resist the Award car that was born that year. These cars sold like hotcakes, even though Pontiac was in direct 5th Annual violation of a General Motors policy on the size of the engines that were placed in their vehicles.

It didn't matter, the muscle car was born, and a Waterfront Heritage Festival everyone rushed to get in on the action.

These muscle cars had great performance that Free Admission was fit for the street or the races, and allowed Fishing Exhibits them to completely dominate every race that they Seafood Cooking Demos were placed in. It wasn't long before other auto companies wanted a piece of the action, and more Maritime artisans styles of muscle cars were born. While some of Kids Activites these other muscle cars bragged about bigger Local Seafood engines and more options, the youth market in ...and much more! *Rain Date: Sunday, October 7th America didn't care. The muscle car was all the rage because they embodied rebellion, style, and “coolness.” But every era comes to an end. In the later 1960's, there was an uprising about the commercial Fishing harbor • West oc prices and weights of these muscle cars, which prompted the auto manufacturers to create a “budget muscle car,” which carried names like the “Road Runner”.

Though they were wildly popular, the muscle car didn't quite sell as many as their manufacturers would have liked, but their rise in popularity has not been matched since. No other type of car in history has been able to create such an air of personality as the muscle car has. But, toward the mid 1970's, these smaller, budget muscle cars once again got a boost. The competition in the auto industry was heating up once more, and the muscle cars produced during this time boasted some of the biggest engines ever, like the 450 big block. Although this created yet another spike in sales and popularity, concerns about the safety of these cars gave way to more protests and problems. With some of the other industries such as insurance agencies protesting the larger muscle cars, and refusing to insure them, the sales of these powerful icons plummeted. Then, another crushing blow to the muscle car were the oil problems that plagued the world in the late 1970's and early 1980's, which ended the muscle car all together, and auto manufacturers removed them completely from the market.

But, even today, the muscle car is still sought after by car buffs, collectors, motor-heads, and rebels in general. They are sought out, fixed up, and rumbling down the road in every town across the United States, and all over the world. No matter how old or young you are, the muscle car still holds unquestionable bragging rites as well as an instant pass to “coolness.” GLM

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Heart’s Desire

from “Grand Living” Readers

We all have a list of things to do in our lifetime, and 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.

“Visit the Louvre.”

P. Barnett - Age 70 - Salisbury, MD

“Go river tubing.”

B. Warren - Age 48 - Ocean City, MD

“Be an extra in a film.”

K. Sanders - Age 58 - Georgetown, DE

“Catch a White Marlin.”

F. Pierce - Age 53 - Fruitland, MD

“To see a Broadway Show” C. Gilbert - Age 62 - Rehoboth, DE

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