Lifestyles 2014

Page 1

Lifestyles

boomers and beyond

2014 A special section of The Issaquah Press, Sammamish Review, SnoValley Star and Newcastle News


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lifestyles of the 50+

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Empty nests, open roads

Motorcycles allow those 50 and older a chance to find friends, adventure Contributed

David Harris, Thundering Angels president and founder, leads the group on a recent ride through the region.

S

By Peter Clark Some treat getting older as more reason to throw caution to the wind. For many thrill-seeking types 50 and older, motorcycles can represent the freedom that retirement brings. After experiencing empty nests and getting golden watches, people find that motorcycles have a way to deliver a hobby, a way to find friendship and, of

course, thrills. Issaquah is a good place to foster such a hobby — the city is home to its own motorcycle gang. Well, more of a motorcycle not-for-profit organization, but still a gang of enthusiasts that welcomes riders to join in touring the region. The Thundering Angels is a registered 501(c)(3) organization that steers its wheels toward community involvement. “Bringing together biker

spirit and values” and “helping those in need by organizing events and activities” are listed among its founding principles. And no one embodies this spirit more than the club’s founder and president, Issaquah’s own Music Man, David Harris. As the face behind the annual Concerts on the Green, Make Music Day and other musical events, Harris doesn’t shy away from the rock n’ roll lifestyle. He provides the rock

to Issaquah and his motorcycle provides the roll. “I started riding motorcycles in England in the late 1950s,” Harris, 75, said. He rode smaller scooters and bikes all through his early years and loved it, but he said life got in the way. “Other things take priorities,” he said. “Many other cyclists drop out for a couple See MOTORCYCLES, Page 4


lifestyles of the 50+

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Motorcycles From Page 3 of years.” He had to drop out of the scene for a little bit, but simple economics brought him back. “It was the gas crunch in this county, that’s when I got back into it,” he said. ‘Like joining a family’ Though Harris has a long history with many motorcycle makes, these days, he only rides a Harley-Davidson. “I think it’s the lifestyle,” he said. “Riding a Harley is like joining a family.” He owns a HarleyDavidson Rocker, which he describes as a “semi-chopper.” He said he “tricked it out a bit” and it looks pretty good

Contributed

David Scandiffio, of Issaquah, sits his on blue Harley-Davidson Ultra Classic touring bike as he was about to embark on a cross-country round trip in the annual Run For The Wall. to him. While normal obligations like families and jobs kept his bike love at bay, he said aging allowed him to explore his passion and find others who shared the same. David Scandiffio is one of

those who shares the mania for motorcycles. The 58-year-old, who serves as the vice president for the Thundering Angels, agrees that more years only gives him greater freedom for diving into a pastime he loves. “I started pretty young,”

Scandiffio said. “When I was 12, I was on a 50cc, but I kind of grew up quick.” He took to motorcycles as a way to explore not only the region, but also the continent. “As I got older, I started going on road trips and touring,” he said. “I enjoy going out and seeing what’s there.” He has been back and forth across America five times and has also traveled through Canada. He has attended Rolling Thunder, the annual veteran motorcycle pilgrimage to Washington D.C., twice. “It’s incredible,” he said. Scandiffio used to be something of a collector of motorcycles, taking up a lot of garage space with a lot of bikes. “When my wife met me, I had 17,” he said. “Now, I’m down to one. One day, you look and you say, ‘You know, you have to keep filling up the

What to know With their motto, “Make this a better world,” the Thundering Angels put their money where their motorcycles are. The nonprofit social organization supports local and regional causes including yearly contributions to the Issaquah Food & Clothing Bank and Life Enrichment Options. Through its mission, the club aims to raise awareness and involvement, as well as maintain a good image for the motorcycle community. Learn more about the club at www.thunderingangels.com.

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lifestyles of the 50+ tires every year, and I’m getting ready to retire.’” A laidback riding style Like Harris, Scandiffio rides a Harley-Davidson these days, and both have developed an appreciation for riding with more mature members. “As you get older, you want to join others your own age,” Harris said, glad to have the Thundering Angels as a foundation for his social life. “There’s always a rally or a gathering to attend.” That also goes for looking for a more laidback riding style. “Once you hit a certain age, going over 100 miles per hour just isn’t

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as fun as it once was,” Scandiffio said. Still, he loves the area, saying it allows for some exceptional views, even if he takes his time to get to them. The Thundering Angels, open to everyone, holds weekly rides and regular events to take advantage of the local scenery. “Mostly, we do a lot of riding around the Snoqualmie Valley and around Black Diamond,” Scandiffio said. “We go out for a jaunt, talk about things and see what’s going on. There are a lot of roads that are really nice to go along.” He said he finds a great deal of relaxation in both riding and

working on motorcycles. “I understand them,” Scandiffio said. “Motorcycle engines are a lot smaller than car engines. You can just grab that damn thing and stick it on the bench.” Harris doesn’t have the cross-country aspirations held by Scandiffio. He is content to merely tool around the community with friendly faces in tow. “I don’t do any long rides anymore,” Harris said, adding the longest for him will maybe be 100-mile trips on a weekend. “I’m not really interested in long rides. I’m more into cruising around and that sort of thing.”

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lifestyles of the 50+

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How much is

too much? Taking too many meds is a common issue among older adults

By Christina Corrales-Toy Janene DavisWebley’s family faced a tough decision when her 92-year-old grandmother’s health rapidly declined. Hospice care loomed as a real possibility, Davis-Webley said, as grandmother Margaret Brandt struggled to recognize family members and seemed under a constant fog. All that changed after a 90-minute visit to the Overlake Senior Health Clinic, where Dr. Priyanka Duggal and clinical pharmacist Trang Le reduced Brandt’s medication from a staggering 20 to five. “After all of the meds were out of her system, she was much brighter,” Davis-Webley said on behalf of her grandmother, whose strokerelated dementia prevents her from speaking clearly for herself. “She could recognize family members again and she’s happy to see us when we visit.” Brandt, an Issaquah resident, was taking several prescription medications that caused harmful side effects such as drowsiness, blurred vision or increased risk of falls. Some of the medicines also increased the risk of mental decline. The problem of taking too many medications or supplements at the same time is known as polypharmacy, or “many drugs,” and it’s


lifestyles of the 50+ an all too common issue, especially among older adults, Duggal said. “We see it almost every day, multiple times a day,” she said. Too many medicines Overmedication can cause serious health and safety concerns, Duggal said. All medications have side effects, many of which increase the risk of dizziness, drowsiness and falls. Older patients’ bodies also cannot clear the same amount of medication they could when they were younger, so doctors must dose the appropriate amount based on a person’s kidney function, Duggal

added. “A lot of medicines affect the central nervous Dr. Priyanka system Duggal or the brain, so we see a lot of seniors on medications that interact and cause falls, which can lead to hip fractures and nursing home placements,” she said. What makes polypharmacy extra concerning is that it can get out of hand quickly and easily, Le said. It happens when patients see multiple healthcare providers

PAGE 7 without a complete medication list, leading to overprescribing, or it can occur if a patient uses different pharmacies. Patients can fall victim to what Duggal called a “prescribing cascade,” as doctors prescribe medications to mask the side effect of other medications. Seniors are more susceptible to polypharmacy since they generally do have multiple chronic medical conditions that need treating, Le said. “That requires multiple drug therapies,” Le said. “Therefore, they’re on more medications See MEDS, Page 8

What patients can do to avoid polypharmacy q Have a continual discussion with your healthcare provider about the medications, both prescription and nonprescription, you are taking. q Keep an updated list of all medications you take, including any vitamins or herbal supplements. Include dosage on the list, and bring it along anytime you visit a healthcare professional. q Ask if any of your medications are known to cause side effects. If you think you may be having a bad reaction to a drug, tell your healthcare professional. The American Geriatrics Society publishes a list of medications known to have harmful side effects, particularly in older patients. Learn more at www.healthinaging.org. q Know your medications, and

understand what each one does to improve your health. q Do not stop taking prescribed medications simply because you think they are not working or may cause side effects. Instead, talk to your healthcare professional about your concerns first. You should never stop taking medications without first checking with your doctor. Source: Overlake Senior Health Clinic

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lifestyles of the 50+

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Meds From Page 7 and then, because of the more medications they’re on, they’re at a higher risk of adverse drug reactions.” The issue also arises as patients transition from one care setting to another, such as from the hospital to a nursing home, Le said. “Everywhere a patient is transitioned, prescribers will prescribe medications,” Le said, “so multiple prescribers are involved, and medications are continually added, when maybe some medications are supposed to be discontinued.” There is no definitive number of medications that a patient should or should not have, Duggal said. It’s different for everyone, and some people just might need more medications than

others, and that’s OK, she added. What it ultimately comes down to is a patient’s need for those medicines. Duggal and her colleagues at the Overlake Senior Health Clinic use the American Geriatric Society’s Beers Criteria as a guide. The criteria identifies medications that are potentially inappropriate or should be used with caution among older adults. It helps healthcare providers improve medication safety for their patients. Preventing polypharmacy As easy as it is to see the medications pile up, it’s just as easy to prevent polypharmacy with a few diligent steps, Duggal said. Patients should keep an updated list of all medications they take, and bring it to every health specialist they see, she said. That com-

If you go Overlake Senior Health Clinic q 1750 112th Ave. N.E., Suite A101, Bellevue q www.overlakehospital.org/services/seniorcare/health-clinic q Call 688-5234 to make an appointment. prehensive list should also include any vitamins or herbal supplements, as well as the dose amounts. A lot of times, patients don’t consider vitamins or herbal supplements as medication, so they omit them from the list, Le said. “Just keep in mind that all herbal supplements have their own side-effects profile,” she said. “They can cause side effects, they can interfere with other prescription drugs, they

can interfere with other herbal supplements, so that’s why it’s important for the doctors to know about all the medications.” Patients can also bring their medicine bottles to every doctor visit. That allows the healthcare provider to make sure the patients are taking the medication regularly. “When we look at the bottles we can also look at compliance,” Duggal said. “Some people have memory issues, and that can lead to us adding more and more medication when they’re not taking the ones we prescribed in the first place.” Duggal suggests patients stick to the same pharmacy, so that the pharmacist has a complete list of medications on file, and can keep an eye out for any harmful interactions between medicines. Knowing what the

medications are, and what exactly they are for, is also important, Duggal said. “Sometimes patients stop taking essential medicines because they don’t know what they’re for,” she said. Finally, if you think a particular medication is causing side effects or is not working, do not stop taking it. Patients should communicate with healthcare providers first. Overlake Senior Health Clinic Knowing how common polypharmacy is, every first-time patient at the Overlake Senior Health Clinic receives a 30-minute medication-management consultation with a pharmacist, along with a 60-minute visit with a physician. The Bellevue clinic specializes in seniors, serving only those 65 and older. Each patient

is cared for by a team consisting of a physician, licensed pharmacist and a group of nurses with vast experience in taking care of the elderly. “That’s why it’s unique, because we work as a team to make sure that all the medications are reviewed in order to prevent adverse drug reactions,” Le said. Davis-Webley, who is in the healthcare field herself, said the staff was understanding and welcoming when she brought her grandmother to the clinic. “They heard all of my concerns, and we worked together to make a plan for titrating her medicines down,” Davis-Webley said. “They were very proactive. There aren’t a lot of doctors who specialize or understand that maybe less is more at this point in their patient’s life.”

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lifestyles of the 50+

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Is 60 the new 40? By Pat Detmer I have a tendency to view this kind of wholesale proclamation with a jaundiced eye, and it makes me wonder if we’ll soon be bombarded with articles declaring 70 the new 50, or 100 the new 75, and once we’ve gone to that extreme, why not revert to square one, where 8 will be the new 3, and 3 will be the new second trimester? In addition to these breathless declarations, there are also lots of tests out there to help

us with our national age classification obsession, tests entitled “Your REAL age” and “How old are you really?” These questionnaires suggest that certain activities and choices that we make can mean that we’re younger or older than our actual ages. I know that my driver’s license doesn’t lie (well ... OK ... there’s that weight thing) and it tells me I turned 64 on July 8, but I wondered what these tests would reveal. Against my better judgment, I

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lifestyles of the 50+ rent hot musical acts and insist upon calling Pharrell “Pharaoh” or “Darrell” — add 5. If you have a large circle of friends, good for emotional support — subtract 6. If, in conversation with those friends, you forget the names of their spouses or children — add 6. If you forget theirs — add 10. If you have a smart phone and know how

to use it — subtract 3. If you used a party line in your youth and enjoy telling Millenials about it, and suggest that if they don’t know what it means they should look it up — add 3. If you go to the gym and work out on a treadmill or elliptical machine — subtract 4. If, when inputting data into the treadmill or elliptical machine,

PAGE 11 you briefly forget how old you are — add 4. Math has never been my forte and I don’t have a calculator handy, but I think my “real” age is either 151 or 152. Or it’s whatever I feel today, and today, I feel pretty damned good. You can find out more about Pat Detmer — who’s waiting anxiously for the day when weighing 180 will be the new 125 — at www.patdetmer.com.

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401(k) or other employers sponsored account. • You may be able to delay taking Social Security. You can start taking Social Security as early as age 62, but your benefits will be permanently reduced unless you wait until your Full Retirement Age (FRA), which will likely be 66 or 67. Your payments can increase if you delay taking your benefits beyond your Full Retirement Age, up to age 70. • You may be able to delay tapping into your retirement vehicles. The longer you wait until you begin withdrawals from your IRA and 401(k), the more time you are giving these accounts to potentially grow. (Once you turn 70 ½, you will need to generally start taking withdrawals from a traditional IRA and a 401(k) or similar plan, but you don’t face this requirement with a Roth 401(k) account.) As an alternative to delaying your retirement — or possibly as an additional step you can take along with a delay — you may be able to adjust your investment mix to provide you with the combination of growth and income that can help carry you through your retirement years. You can also be strategic about which investments you start taking withdrawals from, possibly allowing your portfolio to grow more than you had envisioned. Start thinking now about ways you can help yourself achieve the retirement lifestyle you’ve pictured. You may want to consult with a professional financial advisor who can suggest the strategies and techniques most appropriate for your situation. In any case, with some careful planning, you can be a boomer whose retirement plans don’t go bust. This article was written by Edward Jones for use by your local Edward Jones Financial Advisor.

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lifestyles of the 50+

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The age-old problem of aging has changed By Peter Clark Thanks to technology and scientific advances, you can actually affect how you age. Anyone older than 30 feels old at some point, but a healthy medical movement is determined to reverse that course. The Eastside has at least one organization dedicated to not only helping extend people’s lives, but enhancing the years to come. PRO Sports Club in Bellevue is a sprawling 272,000-square-foot exercise facility that also includes a great number

of services and programs — one of which is a state-of-the-art AntiAging Center with a goal to help add quality time to people’s lives. “As we age, we can have a tendency to have less energy — those classic things of, ‘Hey, I’m getting old,’” Dr. Joe Upton, medical director of the center said. “Through treatment, you can expect more energy, better fitness, increased sex drive, etc.” He and center director/PRO Sports co-founder Dr. Mark Dedomenico, a former cardiovascular surgeon,

By Peter Clark

Dr. Mark Dedomenico (left) and Dr. Joe Upton have done extensive research to help people age well. have undertaken a mission to help people live

the healthiest and longest lives possible.

“In traditional medicine, you try to test and treat disease,” Upton said. “Here, we’re trying to prevent disease.” Specialists at the Anti-Aging Center treat each person with a holistic approach to wellness. The staff promotes healthy dietary habits, appropriate exercise, nutritional supplementation and what they consider the key factor — hormone optimization. Hormone optimization The center staff focuses on treatment in

bio-identical hormone optimization. “We look at all major hormones and optimize those because a hormonal range can be very broad,” he said. “We take an individual approach and optimize per person.” Looking at thyroid, estrogen, testosterone and other hormones, Upton said a depleting level of those basic biochemicals could result in many symptoms people associate with old age. The center uses bioidentical hormones, which mirror the ones


lifestyles of the 50+ patients produce, rather than work with lab-created or animal hormones. “They are the molecular structure down to the chemical bonds based on what you would have made,” Upton said. “It’s the opposite of biosynthetic.” Bio-identical hormones provide the safest way to optimize those chemicals in a person’s body, Upton and Dedomenico said. “You want to see what your body has been making all these years,” Dedomenico said. Hormone treatment is not new. “It’s been around for a while,” Upton said. “It’s getting more prevalent and popular, and even more accepted.” However, the old form of

PAGE 13 pregnant horse urine used to treat menopausal hot flashes. “When it first came out, every doctor gave it out,” Dedomenico said. “It looked like it was a great drug, but it wasn’t.” The use of nonbio-identical hormones offers treacherous side effects, such as an increase risk of heart disease.

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In addition to personal trainers, PRO Sports Club also gives clients access to 12 dietitians and 12 psychologists as part of its Anti-Aging Center. hormone treatment was not the same as it is today. “We haven’t had bio-

identical hormones for very long,” Dedomenico said. He said one of the first

drugs introduced to help stabilize hormone levels was Premarin, a drug made from

‘I just feel good’ Dedomenico stands behind the Anti-Aging Center’s treatments, considering he has used anti-aging methods for the past 35 years. “I probably haven’t changed what I’ve been doing for 20 years,” he said. “I started with testosterone, get my tests done every year, and I’ve felt good the whole See AGING, Page 14

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time. I can lift the same amount of weight that I did 40 years ago — maybe more.” Dedomenico, 76, could easily pass for 50 or younger. A full head of hair, glowing skin and quick, exuberant energy all act as evidence for the success of the center’s treatments. Dedomenico said he believes the human body is capable of living up to 150 years. “Behind my eyes, I think I’m 40 years old,” he said. “I just feel good.” Both doctors cautioned against hormone treatments that come without a full inspection of a patient’s health. “I have to worry what some of these other clinics are doing,” Upton said. “You have to get a lot of wellrounded care.” Anti-Aging Center technicians give each client a thorough checkup before administering bio-identical hormones. “All these testosterone products have been coming out,” Dedomenico said, warning that using hormones without knowing an optimal or starting level could be dangerous. “You have to be careful. You better get the level up to normal.” With 12 dietitians, 12 psychologists, 110 personal trainers and many programs, PRO Sports


lifestyles of the 50+ Club staff members work interchangeably with the Anti-Aging Center to offer a complete program to those interested in living the most quality years possible. It does this by staying on top of current trends in the anti-aging field. “We’re pretty cutting edge,” Dedomenico said. “We don’t miss much.” Healthy from the inside out The Anti-Aging Center is tied into a great number of programs offered by the PRO Sports Club as a whole. The 20/20 Lifestyles and My Best 10 programs are com-

prehensive training and personal wellness programs that bring together all of the facility’s resources. “We want to help people get healthy from the inside out,” Upton said. Younger people seem to want the same thing. “It’s getting earlier all the time,” Dedomenico said about the age of people coming into the Anti-Aging Center. “The best thing you can do is to not let your testosterone drop.” At the end of the day, both doctors said the key to more, healthier years lies in day-to-day life. “What is fundamental is their lifestyle,”

PAGE 15 Upton said, listing diet, weight and health as the primary forces of anti-aging. “And people don’t just want extra years, they want quality years.” Dedomenico said behavior leads to mentality. “You eat the wrong foods and you start acting old,” he said. “Don’t act old.” He said modern science allows people to better understand what may cause fatigue, poor appetite, decreased muscle mass, memory loss, lower sex drive and depression. “We used to live with aging hormonal imbalance,” Dedomenico said. “Now, we don’t

have to live with it.” He said the AntiAging Center not only decreases many symptoms associated with aging, but also increases longevity. “I really do think people we treat live longer,” he said. “And you’ll live a quality life.” Final words of advice came quickly from Upton and Dedomenico. “Don’t accept all signs and symptoms of aging as a given,” Upton said, urging older adults to explore anti-aging treatment. Dedomenico said it more simply: “Quit treating yourself like a senior citizen.”

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OR15 Tuesday, September 16, 2014 www.athenawomenshealth.com September 15 Hosted By: Lora Plaskon, M.D., MSE -have Athena Women's Health material. We are sending this mailing to people who may or may Date: Monday,Date: September 2014 Hosted By:educational Lora Plaskon, M.D., MSE -M.D., Athena Women's Health Date:Monday, Monday, September 152014 2014 Hosted By: Lora Plaskon, MSE - not Athena Women's Health the medical conditions mentioned. This material is meant only to provide information Time: Registration: 5:30 p.m.; Seminar: 6:00 p.m.about Location: Swedish Issaquah - Conference Rooms products available. If you’ve received this letter in error, please disregard this ORORTuesday, September 16, 2014 www.athenawomenshealth.com To learn more, s health seminar* Tuesday, September 16,attend 2014 our free women’ www.athenawomenshealth.com OR Tuesday, 16, 2014 www.athenawomenshealth.com 2. AmericanUrologicalSeptember Association Foundation, Inc.2011. Frequently AskedQuestions RSVP: 1-877-433-2873 751 NE Blakely Dr., Issaquah, WA Rx Only AboutStressUrinaryIncontinence.Retrieved fromhttp://www.urologyhealth.org/ SUI/_documents/_pdf/AUAF_SUI_FAQs.pdf © 2013 American Medical Systems, Inc. All Rights Reserved. Minnetonka, MN 55343 Time: Registration: 5:306:00 p.m.;p.m. Seminar: Location: Swedish Issaquah - Conference Rooms Time: Registration: 5:30 p.m.; Seminar: 6:00 p.m. p.m.Swedish Location: Swedish Issaquah --Conference Rooms Time: Registration: 5:30 p.m.; Location: Issaquah - Conference Rooms *American Medical Systems, Inc. has sponsored patient seminar and accompanying AMSUS/WH-00149(1)/July 2013 www.AmericanMedicalSystems.com 1-800-328-3881 Date:Seminar: Monday, September 15 2014 Hosted By: Lora Plaskon, M.D., MSEthis Athena Women's Health U.S. Use Only educational material. We are sending this mailing to people who may or may not have RSVP:1-877-433-2873 1-877-433-2873 751 NE Blakely Issaquah, WA RSVP: 751 NE Blakely Dr., Issaquah, OR Tuesday, September 16, 2014 www.athenawomenshealth.com the medical conditions mentioned. ThisDr., material is meant only toWA provide information RSVP: 1-877-433-2873 751 NE Blakely Dr., Issaquah, WA about products available. If you’ve received this letter in error, please disregard this *American Medical Systems, Inc. has sponsored this patient seminar and accompanying

Systems, Inc. has sponsored thisRooms patient seminar and and accompanying Time: Registration: 5:30 p.m.; Seminar: 6:00 p.m. *American Location:Medical Swedish Issaquah -has Conference 2. AmericanUrologicalAssociationFoundation,Inc.2011. Frequently AskedQuestions *American Medical Systems, Inc. sponsored this patient seminar accompanying *American Medicaleducational Systems, Inc. has sponsored this patient seminar and accompanying Rx Only AboutStressUrinaryIncontinence.Retrievedfromhttp://www.urologyhealth.org/ material. We areare sending thisthis mailing to people whowho maymay or may not have educational material. We sending mailing to people or may not have 751 NE Blakely Dr.,toIssaquah, WA SUI/_documents/_pdf/AUAF_SUI_FAQs.pdf RSVP: 1-877-433-2873 educational material. We areAmerican sending this mailing people who may oronly maytonot have © 2013 Medical Systems, Inc. All Rights MN 55343 the medical conditions mentioned. This material isReserved. meant information the medical conditions mentioned. This material is meantMinnetonka, onlyprovide to provide information AMSUS/WH-00149(1)/July 2013 www.AmericanMedicalSystems.com 1-800-328-3881 the medical conditions mentioned. This material isreceived meant toseminar provide information about products If you’ve this letter in error, please disregard this this *American Medicalavailable. Systems, Inc. sponsored thisonly patient and accompanying about products available. Ifhasyou’ve received this letter in error, please disregard U.S. Use Only received about products available. If you’ve this this letter in error, please disregard this 2. AmericanUrologicalAssociationFoundation,Inc.2011.FrequentlyAskedQuestions educational material. We are sending mailing to people who may or may not have 2. AmericanUrologicalAssociationFoundation,Inc.2011.FrequentlyAskedQuestions the medical Rx Onlyconditions mentioned. This material is meant only to provide information AboutStressUrinary Incontinence. Retrieved fromhttp://www.urologyhealth.org/ gicalAssociation Inc. 2011. Frequently Asked Questions AboutFoundation, StressUrinary Incontinence. Retrieved from http://www.urologyhealth.org/ about products available. If you’ve received this letter in error, please disregard this SUI/_documents/_pdf/AUAF_SUI_FAQs.pdf © 2013 American Medical Systems, Inc. All Rights Reserved. Minnetonka, MN 55343 naryIncontinence. Retrievedfromhttp://www.urologyhealth.org/ SUI/_documents/_pdf/AUAF_SUI_FAQs.pdf 2. AmericanUrologicalAssociationFoundation,Inc.2011.FrequentlyAskedQuestions © 2013 American Medical Systems, Inc. All Rights Reserved. Minnetonka, MN 55343 2013 Reserved. www.AmericanMedicalSystems.com s/_pdf/AUAF_SUI_FAQs.pdf Rx OnlySystems, Inc. All Rights AboutStressUrinaryIncontinence.Retrievedfromhttp://www.urologyhealth.org/ © 2013 AmericanAMSUS/WH-00149(1)/July Medical Minnetonka, MN 553431-800-328-3881 AMSUS/WH-00149(1)/July 2013 www.AmericanMedicalSystems.com 1-800-328-3881 SUI/_documents/_pdf/AUAF_SUI_FAQs.pdf U.S. Use Only Medical Systems, Inc. All Rights Reserved. Minnetonka, MN © 2013 American 55343 AMSUS/WH-00149(1)/July 1-800-328-3881 U.S. Use Only2013 www.AmericanMedicalSystems.com AMSUS/WH-00149(1)/July 2013 www.AmericanMedicalSystems.com 1-800-328-3881 U.S. Use Only U.S. Use Only

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Protect your ears, at any age By Rachel Osgood Hearing loss is largely determined by your exposure to noise and can begin as early as adolescence unless basic precautions are taken. “Among the many causes of hearing loss, noise exposure and the aging process are the most common,� said Chris Borders, a doctor of audiology at Eastside Audiology in Issaquah. “General health issues, such as vascular disease and diabetes, are known contributors to hearing impairment, and viruses

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can trigger sudden hearing loss. “Regular use of NSAIDs, such as ibuprofen and acetaminophen, has also been linked to hearing loss in women.� Hearing loss is largely irreversible and often goes unchecked as its effects become increasingly severe. Hearing impairment typically begins with the distortion of high frequencies. Difficulty hearing or understanding highpitched voices is an indication the process is beginning. Age-related hearing

loss is called presbycusis and according to the National Institution on Deafness and Other Communication Disorders, 18 percent of American adults 45-64 years old, 30 percent of adults 65-74 years old and 47 percent of adults 75 or older have hearing loss. When hearing loss is ignored, it can lead to social impairment, misunderstandings in the workplace and feelings of isolation. Measuring noise Levels of sound are measured in decibels,

On the Web Learn more about hearing loss and protection at www.eastsideaudiology.com or www.nidcd.nih.gov. with ordinary conversation taking place at about 60 decibels and noises above 85 decibels capable of causing hearing damage. Noise-induced hearing loss occurs because of damage to the hair cells in the ear that allow one to hear. Once

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lifestyles of the 50+

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“Most sensorineural Life Directions Financial can help. hearing loss cannot be reversed, but you can minimize its effects by wearing hearing aids,” Borders said. “Hearing aids keep the auditory nerve stimulated, slowAt Life Directions Financial, ing down the deterioration of one’s ability to we work hard to establish trust understand speech.” and enhance financial freedom Education is a necessary first step to hearfor our clients. ing protection and loss prevention. Being aware • Customized Lifetime Retirement ing from the earbud/ Protect your hearing of common sources of damage and basic ways There is no way to headphones, then it is Income Roadmaps prevent age-related hear- to avoid them can go a up too loud,” Borders • Leveraging Your Legacy Minimize risks long way to reduce the ing loss, but by reducsaid. “There are also 2 and Date: 07/18/14 • Life Insurance for Tax-Free The good news is risks they pose. ing theProof: intensity output-limiting headthat while many of If you are Issue: experiencto Queen loud noises, phones for children and exposure RSVP SEA 0814Lifetime Income For: Anne Upholstery these noise encounters ing trouble hearing, adults available at a very people can protect their • 401(k) Please proof paying special to and phone numbers, fax numbers, web addresses and emails. Rollovers are unavoidable, there carefully contact your primary hearing reduce the reasonable cost that attention Proof: 2 Date: 07/18/14 We will not be liable for mistakes after proofs are approved. are steps you can take amount of loss that may care physician or a hearhave really nice sound • Creative Gifting Strategies Issue: RSVP SEA 0814 For:aging. Queen Anne Upholstery to minimize the risks to within occur with quality.” PLEASE PROOF 48 SEATTLE hours. Proofs not returned within 48 hours willing bespecialist. considered approved to print as is. Investment Portfolio • emails. Current Please proof carefully paying special attention to phone numbers, fax numbers, web addresses and your hearing. We will not be liable for mistakes after proofs are approved. “Stress-Test” “In order to prevent PLEASE PROOF within 48 hours. Proofs not returned within 48 hours will be considered approved to print as is. hearing loss and mini• Full Service Financial Planning mize its effects, people • Research Based Financial Planning should stay in good health, and above all Educational Courses FRONT use hearing protection to prevent loud noise Contact us for your from entering their ears,” Borders said. “The daily tasks we perform, * such as using the lawn mower or shop-vac, ($100 Value) have the power to cause damage which is easily avoidable with the use of earplugs.” Expert Upholstery, Wood Refinishing, The use of head& Draperies Since 1936 phones and earbuds has become a part of most Doug Anderson “It is about quality. I knew that my family heirlooms were in good hands and that I would be happy with the final product.” Investment Advisor Representative people’s daily regimen. Life Directions Financial While these miniature BACK Refinishing & Upholstery | Custom Furniture Design & Build | Complete Antique Restoration | Window Coverings We deliver value to our customers! Founder, Owner, CEO speakers have enhanced We dthat e l i vmy e r family va l uheirlooms e to our customers! “It is about quality. I knew • Ease of Mind – Over 70 Years of Experience... 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One offer valid per household. “The main rule of Service Staff 904 W,Anne Seattle Trust your FineElliott Furniture Ave to Queen Call Today! Investment Advisory Services offered through Global Financial Private Capital, LLC, an SEC Registered Investment Advisor. thumb is that if a perAny comments regarding safe and secure investments, and guaranteed income streams refer only to fixed insurance products. www.QAgroup.us • Knowledgeable and Friendly Staff Today! Family Owned & Operated Since 1936 Call for a FREE Estimate They do not refer, in any way to securities or investment advisory products. Fixed Insurance and Annuity product guarantees son walks by and they – Expert Consultations are subject to the claims-paying ability of the issuing company and are not offered by Global Financial Private Capital. Hours: Mon-Fri 9am-5pm (206) 453-0247 can hear the music leak• One Source – Expert Refinishing, Upholster y, the damage has been done to these cells, they will not grow back. The intensity and duration of noise determine its destruction potential. Listening to loud music is a common audio hazard reaching intensity levels as high as 120 decibels. Continued exposure to loud machinery, while having a lower intensity, is often a contributor to hearing loss, given the duration.

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Local volunteer opportunities Volunteering is a great way for adults to stay active after retirement, and there are several local organizations that can use a helping hand. Here are just a few: Issaquah Food & Clothing Bank 179 First Ave. S.E. The Issaquah Food & Clothing Bank needs volunteers to sort, package, clean and give food and clothing to clients. Volunteers do not need training, just a few dedicated hours a week and a willing spirit. Volunteer hours vary; call 3924123. Photos by Greg Farrar

Rowan Hinds (left), former Issaquah mayor, and his wife Barbara, volunteers at the Issaquah Valley Senior Center, help with the dishwashing duties.

Lending a hand Volunteerism helps keep adults active By Christina Corrales-Toy Longtime Issaquah residents Rowan and Barbara Hinds retired from their day jobs almost two decades ago. Rowan said goodbye to his job at Weyerhaeuser, where he worked for more than 20 years, in 1996, and Barbara soon followed, leaving her bookkeeping

position. Life generally slows down after retirement, giving eternal workaholics a well-deserved respite from the daily grind. These days, the Hinds do have more time to hit the golf course, or rest on the sun-splashed deck of their Issaquah home, but try as they might, “slowing down” just isn’t a part of this

hands-on couple’s vocabulary. The Hinds stay busy throughout the year, dedicating their time to serving others and volunteering with organizations across the city. “We’ve always had very, very busy lives,” Barbara said. “We’ve always done whatever we had to do, plus some volunteering, and it schedules you. If you become unscheduled, you do nothing. So, volunteering kind of keeps us on track. It keeps us going, and if you can do

more, you have a fuller, richer life.” On Mondays, Barbara volunteers at the Issaquah Library, where she stocks shelves and pulls books to send to other locations. A longtime library user, Barbara said staff members were initially confused when she told them she wanted to volunteer several years ago. “They weren’t really used to having volunteers,” she said. “But over the years that we’ve lived here, we’ve used it so much, and I just feel like I can give something back.” Rowan and Barbara volunteer at the Issaquah Senior Center

History museums 165 S.E. Andrews St. Issaquah History Museums volunteers help discover, share and preserve the history of Issaquah. Volunteers are needed to serve as docents, tour guides, administrative assistants and more. View a full list of opportunities at issaquahhistory.org/ about/volunteering, and email Lissa Kramer at volunteer@issaquahhistory.org to get involved. Salmon hatchery 125 W. Sunset Way The Friends of the Issaquah Salmon Hatchery needs volunteers to lead hatchery tours, staff the gift shop and educate the public about salmon at

local events. FISH offers volunteer training that includes a hatchery tour and a presentation about the salmon lifecycle. Learn more at www.issaquahfish.org, or email volunteer@ issaquahfish.org to get involved. VOICE Mentor Program The Issaquah Schools Foundation’s VOICE Mentor Program pairs struggling students with an adult mentor. Students and mentors meet for an hour a week. Learn more and sign up to become a mentor www.voicementorprogram.org. Eastside Baby Corner 1510 N.W. Maple St. Eastside Baby Corner helps kids thrive by providing basic necessities for children. The organization needs volunteers to help sort and organize donated items. Register to volunteer at www.babycorner.org/volunteertime. The city of Issaquah The city of Issaquah could always use a few volunteers. Whether it’s lending a helping hand during the farmers market, or assisting with a community event, there are plenty of opportunities to get involved. Learn more at www.ci.issaquah.wa.us/ volunteer.


lifestyles of the 50+ on Tuesdays. They teach mahjong, a tile game originated in China, and wash dishes after lunch. The kitchen duty brings back fond memories for the couple, who married 52 years ago, Rowan said. They first met at Oregon State University, while the two worked in a dormitory cafeteria. “We’re still washing dishes,” Barbara said

with a smile. On Wednesdays, Rowan attends Kiwanis Club of Issaquah meetings. He is an active member of the volunteer organization. Thursdays represent the couple’s most arduous of days, Barbara said. It’s when they volunteer at the Issaquah Food & Clothing Bank. They sort through donations, package food and serve clients.

PAGE 19 “That is heavy, physical labor,” she said. “We are exhausted when we get home from the food bank.” Fridays are usually the Hinds’ day off, but they still keep busy doing yard work or making a trip to the grocery store. They get most weekends off, too, though they usually dedicate at least one Saturday a month to the Issaquah

History Museums, where they serve as volunteer docents. It all might seem like a lot of work, but it’s nothing to the Hinds, whose track record of volunteering and public service are well-known in the area. Barbara was a dedicated classroom volunteer for 21 years, while her children attended schools in the Issaquah School District. Rowan

served on the Issaquah City Council, starting in 1979, until he was elected mayor in 1989. He then served as the city’s mayor until 1997. “There is life after retirement, and as we get older, volunteering keeps you younger and it keeps you more active,” Rowan said. “But really, everything that we do, it’s really for the people of this great

community.” The Hinds immediately fell in love with Issaquah when they relocated here in 1971, and now see a sort of duty to give back to the community. “When he was mayor, they came up with an Issaquah slogan, and I think that it’s probably still true,” Barbara said. “‘It’s a special place where people care.’”

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