Morning Journal - Fall Prime Time 2012

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2 • MORNING JOURNAL - FALL PRIME TIME • SUNDAY, OCTOBER 28, 2012

Robotic prostate cancer treatment (NAPS)—It’s one of the most common cancers facing men over 50 today—prostate cancer. According to the American Cancer Society, one in six men will be diagnosed with prostate cancer in their lifetime, with nearly two-thirds receiving a diagnosis at age 65 or older. For the hundreds of thousands of men battling this cancer annually, deciding how to treat the disease is often difficult as there is no shortage of treatment options. Among the options, robotic treatments are becoming increasingly popular, tripling their use in the treatment of prostate cancer over the last five years. Two robotic treatments are fast becoming the most talked about and widely used treatments for prostate cancer: the CyberKnife® Robotic Radiosurgery System and the da Vinci® Surgical System. In fact, more than 112,000 robotic prostate procedures were performed last year alone using the CyberKnife or da Vinci System. At first look, the two treatments look and sound pretty similar. Both options use robots and boast quick recovery times and minimal side effects—including erectile function preservation—but the similarities end there. While the name “CyberKnife” conjures up visions of a space-age scalpel, the treatment is actually noninvasive and doesn’t require surgery. During a CyberKnife treatment, the CyberKnife robot delivers high doses of targeted radiation directly to the tumor site, minimizing radiation exposure to surrounding healthy tissue and organs. This is possible due to a built-in mechanism of the CyberKnife robot that tracks every motion of the tumor and/or prostate in real time and throughout treatment. CyberKnife treatments are typically delivered in five outpatient sessions and last about an hour each. The patient doesn’t need anesthesia and is never hospitalized. Many men continue with their daily routines during treatment, including working and low-impact activities like golfing, and report few side effects after treatment. In fact, clinical studies have found that CyberKnife patients return to normal activities faster compared to any form of surgery including robotic surgery. Warren, a 69-year-old attorney from Long Beach, N.Y., is one such patient. With an active lifestyle and as the owner of a law practice, Warren sought a treatment for his prostate cancer that would allow him to return to his normal activities and the demands of his busy life as soon as possible. When he learned about the unique benefits that the CyberKnife treatment offered, in addition to being a treatment supported by strong long-term data, he knew it was the right treatment for him. Immediately after receiving his first CyberKnife treatment, Warren put in a full day’s work. “After the first procedure with CyberKnife, I felt fine. I felt really nothing. I didn’t feel tired. I didn’t feel fatigued.” Warren is thankful that the CyberKnife was offered as a treatment option to him and hopes more men like him will learn about it so they too will have a seamless treatment experience. Meanwhile, the da Vinci surgical procedure is referred to as robotic surgery, but that’s not entirely true, as it is unable to perform surgery independently. Rather, it is powered by the hands of a surgeon. Because a surgeon must drive the da Vinci machine, it takes hundreds of procedures to perfect one’s technique, in order to increase the rate of optimal patient outcomes. Several studies have documented this steep learning curve; therefore, patients are encouraged to seek an experienced sur-

MEMORY LANE

geon who has performed hundreds of da Vinci procedures. Patients undergoing treatment with the da Vinci undergo general anesthesia for the procedure and are hospitalized for a short time post-procedure. During treatment, the surgeon manipulates the daw Vinci machine and extracts the patient’s prostate. Because this is surgery and an incision is made, there is an anticipated recovery time of four to six weeks. While both treatments take a very different approach to treating prostate cancer, both boast similar effectiveness in terms of treating the cancer and preventing a recurrence. The natural confusion that may exist for men learning about these two robotic treatment options underscores the importance of fully understanding the pros and cons of existing treatment options and asking doctors enough questions before making treatment decisions. Patients should perform their own research and seek a second opinion if they feel uneasy about the recommended treatment path they are offered. The good news is that most men diagnosed with prostate cancer do not die from it. According to the American Cancer Society, more than 2.5 million men in the United States who have been diagnosed with prostate cancer at some point are still alive today. Regardless of a patient’s location, there are experienced medical professionals throughout the country who can guide them through a prostate cancer diagnosis and the latest cutting-edge treatment options, providing them and their loved ones the information needed in the battle against prostate cancer. For more information on the CyberKnife System and to see more of Warren’s CyberKnife treatment experience, please visit www.cyberknifeforprostate.com.

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MORNING JOURNAL - FALL PRIME TIME • SUNDAY, OCTOBER 28, 2012 • 3

New tool for exploring family history (NAPS)—If you’re like most Americans, you like to feel connected: to the past, to a place and to others. Discovering your family history can be a rewarding way to establish those connections and help uncover who you are and where you came from. It can start simply by identifying who is in your extended family. You may be able to find the names of your ancestors—grandmothers, uncles, cousins—going back hundreds of years. Next, you can get to know them, learn where they were born, whom they married, how they made a living, where they lived and how they died. The ability to make such connections is getting an unprecedented boost this year with the release of the 1940 U.S. Census. Research shows that 87 percent of Americans alive today should be able to find a relative in the 1940 Census. That’s almost 275 million people who have a connection to these records. This is the census of The Greatest Generation. It showed 16 million American men and women safe at home on the brink of joining the deadliest war in human history. For the more than 400,000 who never returned from World War II, it’s the last census to record their names. The census tells the story of a country grappling with the greatest economic hardship it had ever known, something many find particularly relevant today, as the country starts to emerge from its current economic troubles. Because modern technology lets you access the census at home as never before, Tim Sullivan, the president and CEO of Ancestry.com, the world’s largest online family history resource, says his company has made the 1940 Census free to search at www.ancestry.com/1940. Millions of people can literally sit down with neighbors, friends or relatives who were actually there in 1940, find the census page with their name on it, and get them talking. You’ll find an address for their home, names of family and neighbors. You’ll see the highest grade they had completed in school and the family’s yearly income in 1939. While they talk, you may get to know them better and get a better understanding of that place in time. You may even get to know a little more about yourself and how you fit into the larger arc of your family’s history and the world’s.

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Americans can get help digging for their roots now that the 1940 U.S. Census is available, free, online.

For example, Sharon Harris had only been looking at the 1940 Census for a brief time on Ancestry.com before she came across a record of her uncle. She couldn’t believe her luck: Not only had she found him quickly, but he was married to someone she didn’t recognize. This short search into the new census has already given her a clue to an aunt that Harris never knew about. Next on her list for discovery is her family’s biggest mystery: her great grandfather’s disappearance in the 1930s. It could help you understand—and share with your family—the essential human question of who you are and where you came from.


4 • MORNING JOURNAL - FALL PRIME TIME • SUNDAY, OCTOBER 28, 2012

Physical therapy for a better quality of life (NAPS)—The next time you have a pain in the neck or back, your arthritis is acting up, you are recovering from surgery or any of the countless other conditions affecting your ability to move freely within your daily life, a physical therapist can probably help. Physical therapists can even help fight complications from diabetes, such as loss of movement. And, physical therapy is a covered benefit under Medicare and most commercial insurance plans. Who Physical Therapists Are Physical therapists are highly trained clinicians and over 75 percent have a Doctor of Physical Therapy (DPT) degree. The discipline can trace its roots back to Hippocrates, father of Western medicine, who advocated “hands on” treatment, including massage, manual therapy and hydrotherapy for the ancient Greeks.

“Most people only think about physical therapy for help with orthopedic issues, such as a bad knee or shoulder, or in relation to sports injuries, but physical therapy is much more than that—it is a key component in the treatment of the full range of neuromusculoskeletal diseases and conditions,” said Matthew R. Hyland, PT, Ph.D. and president of the New York Physical Therapy Association.

Physical therapy can play a key role in any wellness program, helping people avoid future problems.

“Physical therapy can help people walk after suffering a stroke, help people with rheumatoid arthritis complete everyday tasks such as cooking or writing, and help people regain their stamina after a heart attack.”

Its primary goal is to help maintain, restore or improve motion and mobility that has been impaired by disability, injury or disease. It can also help eliminate pain in tendinitis, bursitis, osteoarthritis and rheumatoid arthritis, offering an alternative to costly medications and injections. Plus, by eliminating pain and restoring mobility, it can often help avoid the need for surgery.

What Physical Therapy Does Physical therapy is a cornerstone in the treatment of many musculoskeletal and neurological conditions, from arthritis to vertigo and from sprains, strains and fractures to stroke. It uses a variety of therapeutic techniques including manual therapy, exercise, balance training and patient education to relax, strengthen and heal muscles.

Where To Learn More To find out more about physical therapy and how it can help you, go to www.moveforwardny.com.

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MORNING JOURNAL - FALL PRIME TIME • SUNDAY, OCTOBER 28, 2012 • 5

Study takes a bite out of periodontal disease (NAPS)—Periodontal disease is a chronic inflammatory disease that affects the gum tissue and bone supporting the teeth, according to the American Academy of Periodontology (AAP). It’s a very common chronic disease, can lead to tooth loss and is associated with several other chronic inflammatory diseases, such as diabetes and heart disease. A new study shows half of Americans are living with a periodontal disease and don’t know it. The good news is that regular dental examinations are an effective way to catch and treat periodontal disease early. A Common Disease The study, published in the Journal of Dental Research, found that one out of every two American adults aged 30 and over has periodontal disease. In adults over age 65, prevalence estimates increase to just over 70 percent.

The findings of the study are based on the Centers for Disease Control and Prevention’s (CDC) most recent National Health and Nutrition Examination Sur vey (NHANES). It’s designed to assess the health and nutritional status of adults and children in the United States. This edition of the NHANES has been described as the most comprehensive survey of periodontal health ever conducted in the U.S. The AAP has worked closely with the CDC since 2003 on periodontal disease surveillance. A Precise Measure Said Pamela McClain, DDS, president of the AAP and a practicing periodontist, “For the first time, we now have a precise measure of the prevalence of periodontal disease, and can better understand the true severity and extent of periodontal disease in our country.”

Dr. McClain noted that these findings support the need for comprehensive periodontal evaluations annually. “To really know if you have periodontal disease, a dental professional must examine each tooth and below the gum line. A visual examination alone, even by the most qualified dentist, is not enough.” She believes that these findings from the CDC suggest that it is more important than ever to receive a comprehensive periodontal evaluation from your dental professional every year. To assess your risk for periodontal disease and learn more, visit www.perio.org.

Experts say a comprehensive periodontal evaluation from your dental professional every year can help diagnose and treat periodontal disease early.

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6 • MORNING JOURNAL - FALL PRIME TIME • SUNDAY, OCTOBER 28, 2012

Six questions about long term care (NAPS)—One of the most common objections to buying long-term care insurance is the notion that you can pay for longterm care services yourself if and when those services are needed. According to Mutual of Omaha Vice President Brad Buechler, however, there are many reasons self-funding may not be in your best interests. Ask yourself these six questions:

1. What about your spouse? Even if you think you have enough money to pay for long-term care, think about what will happen if you need care for several years and the financial impact on your spouse’s retirement and future care. 2. Have you considered the tax implications? Most people don’t have money set aside specifically for long-term care. That means they may have to liquidate assets. When that happens, capital gains tax, income tax and potential penalties can all take a bite out of the returns those assets were expected to generate. 3. Are you prepared to invade your plan? People with significant assets generally have a plan for those assets. No one wants to use money that’s been set aside for retirement or a child’s inheritance to pay for long-term care services. You don’t want to have to cash in an asset meant to fund something else.

4. Have you thought about the cost of lost opportunity? Even if you have funds specifically to pay for long-term care services, that money must be invested so there’s enough available to pay for care 10, 15 or 20 years down the road. That could require setting aside a large sum or investing conservatively to ensure money will be available when needed. If you purchase long-term care insurance, you may be able to invest more aggressively and earn higher returns on your retirement nest egg. 5. Can you really save enough? There are a lot of “what ifs” when it comes to investing your own money to pay for long-term care services. What if you don’t save enough? What if your assets don’t earn enough interest? And the biggest “what if”: What if you need long-term care tomorrow? There’s no guarantee anyone will have 10 or 20 years to save. 6. Are you sure you’ll get the care you need? Most people who say they’ll self-fund are reluctant to use long-term care services because they know the cost is coming out of their own pockets. Learn More For more information, visit www.mutualofomaha.com.


MORNING JOURNAL - FALL PRIME TIME • SUNDAY, OCTOBER 28, 2012 • 7

Finding your way as a caregiver (NAPS)—Living in Texas far from her ailing father in Michigan, Pamela Curry was looking for the best way to help him. When her 78-year-old father, James, became ill, Pamela placed a call to her company’s employee assistance program. “I had no idea what kind of resources I had through my employer. The first call I got back was on home agencies and then another call on the kind of care he needed,” Pamela says. “I felt like I had people on ‘Team Dad’ and on ‘Team Pamela.’ I could figure out the options that were best for Dad and they provided a basis for me to make decisions.” Solutions for Caregivers helped put Pamela at ease by helping her find ways to address her father’s health needs. “It has been an ongoing support process. If I have more questions or other needs, I am confident I could call and get the support I need,” Pamela stresses. “It is almost like a road map through the various steps that I might go through to care for my dad. It is as though I have a guide, instead of me trying to blindly find my way. There is someone providing me guidance, not telling me what to do, as my family and I decide what will work best for my father and our situation,” Pamela adds. Solutions for Caregivers provides care planning and care coordination services designed to support the overall well-being of the person receiving care and help alleviate stress for you and your family. Services are available in all 50 states and can be tailored to your needs. You can get the support you need today.

Caring for an older family member far away can be easier with the right resources.

You can learn more at www.WhatIsSolutionsForCaregivers.com or by calling (877) 765-4473.


8 • MORNING JOURNAL - FALL PRIME TIME • SUNDAY, OCTOBER 28, 2012

Sharing and caring safety (NAPS)—When it comes to helping elderly relatives adjust to changes in their lives, even the most devoted adult child may not see all the signals or know what to do—especially if he or she is far away—but help can be available. What To Do To the extent possible, talk with your elderly parents gently and honestly about their wishes, their abilities and their options. These conversations are helpful and put the adult child in a better position to make decisions later when the parent may not be able to do so. What Help Is Available Fortunately, recent technological advances can make aging easier: Velcro fasteners, lightweight wheelchairs, devices to control appliances and dial telephone numbers. There are walk-in bathtubs for people who have difficulty climbing into an ordinary tub. Also helpful can be an entirely private, ad-free website in which to manage private information associated with your elderly parent, from Social Security numbers to lists of online accounts and passwords or medications. It’s a safe place to store and manage those binders full of information most people keep.

Social networks can be a place to confer, organize and connect about private family issues—the key, though, is privacy. On this one, the information is shareable with anyone you designate as a trusted participant, even relatives across the globe. That means everyone concerned about someone’s care can have the latest information.

What You Get There’s a journal for keeping tabs on recent activities, a place to trace medications, a to-do list, key contacts, a notepad for tracking key accounts and a place to upload important files and documents. This can be done securely and privately and without the worry of this information being shared beyond your control. Called CareZone, it can mean you don’t have to worry about privacy, where the information is kept and stored, or how it’s used.

The information can be available on any device you use to access the Internet—smartphones, tablets, Macs or PCs. The service is free through 2012 and will cost $5 per month in 2013. Where To Learn More You can find further facts about CareZone, Inc. online at www.CareZone.com or call (888) 407-7785.


MORNING JOURNAL - FALL PRIME TIME • SUNDAY, OCTOBER 28, 2012 • 9

The benefits of senior living communities (NAPS)—Those who believe that retirement should involve more than chores, home maintenance and yard work can often be found enjoying cultural or educational activities at an independent living community. Such communities typically offer well-kept grounds, spacious attractive floor plans, and comfortable dining rooms where residents can enjoy fine dining experiences with a varied menu. When it comes to programs, residents can often pursue a wide range of interests, such as art classes, pet therapy, walking club, rosary, meditation, yoga, team trivia and bridge club. “The quality of our life span can be measurably affected and improved by the effort we put forth to keep our bodies and our minds healthy and in sync with one another,” said Brookdale Chief Medical Officer Kevin O’Neil, M.D. “Physical activities like walking, aerobics and strength training, and mental activities like team trivia, current events and chess, are commonly offered at senior living communities. These activities help maintain a fit body and a sharp mind, which can add life to your years.” Often, independent living communities will also offer a range of services on-site to assist those with medical or social issues. When care needs change, a senior may consider moving to assisted living. This type of community is designed for those who need some help in their daily lives but don’t require the advanced medical care provided in a skilled nursing environment.

When you think that a loved one may no longer be able to live without assistance, here are some tips to start a conversation about assisted living from the experts at Brookdale Senior Living: Do research: Having in hand information and facts about a few local assisted living communities can help you present the case factually. Keep it private: Your initial conversation should be held in a comfortable private setting with a limited number of individuals. This low-key approach may help the person feel more open to hearing about a possible assisted living move. Focus on the positives: You may want to talk about the services, the social opportunities and the security. Making A Choice When it comes time to actually select a community, here are some factors to consid-

er: • Does it offer a warm, homelike atmosphere and appealing outings and activities? • How does the community meet health needs? • Does the community meet all state and local licensing requirements? Brookdale is the nation’s largest owner and operator of senior living communities throughout the United States. Learn more at www.brookdaleliving.com.

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10 • MORNING JOURNAL - FALL PRIME TIME • SUNDAY, OCTOBER 28, 2012

Medicare encourages preventative care (NAPS)—As a flood of baby boomers approach 65 years of age, many face health challenges they may not have anticipated—but help may be at hand. Consider this: Thirty-one percent of people who turned 65 in 2011 said their physical health is worse than they thought it would be. In addition, 14 million—or one out of every four boomers—will be living with diabetes by 2030. As boomers continue to age, it’s important for them to focus on their health and wellbeing. Medicare and Medicare Advantage, the private sector Medicare option, can help them prepare for a more healthy future. The Doctor’s Advice “Boomers need to realize there is an array of preventive care benefits the federal health care system provides for them,” said Dr. Scott Latimer, Central Florida Senior Products Market President of Humana. “It pays to learn what Medicare and Medicare Advantage deliver and how to access these benefits.”

Benefits include preventive screenings, such as blood glucose tests, now offered by all Medicare Advantage plans. In addition, beneficiaries can participate in a comprehensive “Welcome to Medicare” session with their physician, whatever plan they choose. These provide preventive tests and screenings, including mammograms and colonoscopies; a review of medical history; and planning for a healthy future. “Preventive health care is essential to ensuring boomers aging into Medicare and other beneficiaries live healthier, more productive lives,” Dr. Latimer explained. “Boomers should start researching Medicare health care and prescription drug plans before they enroll.” Tips to Help You Choose Although choosing a health plan can be daunting, boomers and beneficiaries can use these three tips to help them make the best choice.

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1. Before choosing your Medicare plan, you need to understand your unique needs. How would you classify your overall health? What are your prescription drug needs? Make a list of your current medications and consider which prescription drugs you may use in the future. Talk to your doctor about your current health to get a better overall picture of your coverage needs. Review the past year’s health care expenses, including hospital, pharmacy and physician costs, to determine if that year was typical. This will help you make the best estimate for the year ahead. 2. Each of the different parts of Medicare delivers something unique. Make sure you understand them so you can make a confident choice. Use www.medicare.gov as a resource to help find and compare Medicare health plans and prescription drug plans.

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3. Visit Family Health Budget (www.familyhealthbudget.com) for help estimating costs. Now is the time for boomers to get ready for a healthier future by learning about their health options, including preventive care, and regular exercise such as Zumba class, so they can prepare for many more healthy and fulfilling years.


MORNING JOURNAL - FALL PRIME TIME • SUNDAY, OCTOBER 28, 2012 • 11

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12 • MORNING JOURNAL - FALL PRIME TIME • SUNDAY, OCTOBER 28, 2012


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