50plus LIFE Dauphin County September 2017

Complimentary

Dauphin County Edition | September 2017 • Vol. 19 No. 9

Where animals help people page 4

finding help LOCAL VET for Seniors CARRIES addicted to VIETNAM ON opioids HIS SHOULDER page 8

page 10

Sepsis: Deadly Condition Requires Urgent Treatment

By Keith Gillogly

sepsis physician champion, says, the more Despite the fact that sepsis affects organ systems more than 1.5 million Americans affected, the each year, it’s been called a silent more deadly epidemic and urgent public health sepsis becomes. issue.

Sepsis and Sepsis has been garnering more septic shock are attention lately among the medical considered the community and the public, however.

No. 1 cause of September is Sepsis Awareness preventable and Month. hospital-related Sepsis is a condition that results mortalities, when the body’s response to infection Stoner says. injures its own tissues and organs.

“Statistically, As the immune system responds to a small number foreign invaders, it often overshoots, of our folks in triggering damaging inflammation the community and life-threatening consequences. are aware of Usually bacterial infections lead to what sepsis is, sepsis, but viral and fungal pathogens even though can also cause it. it’s the No. If unchecked, organ systems can 1 killer and begin to fail. During septic shock, September is Sepsis has a higher blood pressure drops so low that Awareness Month mortality rate the body cannot adequately manage than heart blood perfusion and oxygenation of attack,” he says.

“What we need to do is ensure that the community is engaged in sepsis education and awareness.”

Depending on severity of the infection, the sepsis mortality rate can approach 50 percent, says Dr. Jason M. Biggs, chair of emergency medicine at St. Clair Hospital in Pittsburgh.

Historically, Stoner says sepsis was thought of as a condition of the A Commitment To Excellence Since 1867. very young and very ill. In actuality “it affects everyone, top to bottom, left to right,” he says, although it’s more common in the elderly and in immunocompromised patients.

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To diagnose sepsis, doctors first life on your own terms. wherever you call home. assess vital signs. Elevated heart rate and elevated respiratory rate A continuum of care ...

Pursue your favorite hobbies or are key clinical symptoms. Septic focused on quality of life. engage in our many activities. patients usually present a fever or in Making a difference ... some cases, especially in the elderly, Options for independent and with dignity and respect. supportive care available. hypothermia, Stoner says. Confusion Live every moment. and altered mental status can also Our residents are the honored indicate sepsis.

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Such condition puts strain on virtually all the organ systems, potentially causing organ failure and injuring the kidneys, heart, lungs, brain, and other organs.

As Dr. Thomas Stoner, vice president of hospitalist services at PinnacleHealth Hospital and HAP (The Hospital and Healthsystem Association of Pennsylvania)

A History of Caring ...

www.HomelandCenter.org

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www.HomelandatHome.org

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think about [sepsis] every time we see someone with an infection.”

But diagnosing sepsis is trickier than it seems. Conditions such as pneumonia, urinary tract infections, and gastrointestinal infections commonly precede sepsis. These conditions, along with a host of other types of infections, all present their own sometimes similar symptoms and complications, which can muddle diagnosis.

Further, no lab test can specifically identify sepsis. Still, doctors can measure blood lactate levels and perform other tests to aid with diagnosis.

Administering intravenous antibiotics and fluids is standard sepsis treatment. The antibiotics work to eliminate the infectious pathogens and modulate inflammation while the fluids aim to normalize blood pressure and support blood perfusion to organs and tissue.

Staying current on vaccines, such as the meningococcal vaccine and a regular flu shot, will help prevent sepsis. Preventing or properly managing any infections is key to stopping sepsis before it sets in.

Sepsis survivors can still experience cardiovascular complications or be on dialysis for the rest of their lives, among other chronic issues. Stoner says older and sicker survivors can be prone to developing some cognitive impairment.

Biggs recalls seeing one elderly patient with flu-like symptoms and evidence of pneumonia.

Approximately 80 years old, she was the type of patient who knew her medical history and was on top of her health, he says. Her pneumonia led to sepsis and, soon after, septic shock.

She wound up in the ICU on a ventilator and medicine to support her dangerously low blood pressure.

Yet, with aggressive fluids and antibiotics, her treatment prevailed, and she was eventually sent home.

Had she waited an additional 24 hours to come in, Biggs says, she might not have lived.

For more information on sepsis and septic shock, visit the Sepsis Alliance at www.sepsis.org. www.50plusLifePA.com

Social Security News

Your Questions Answered

By John Johnston

My name is John Johnston and I am a public affairs specialist for the Social Security Administration. Every month we receive questions from people on all aspects of the Social Security program.

I offer this column to share some of those questions and answers with readers and to strengthen their understanding of Social Security.

To contact Social Security, call (800) 772-1213 or visit www. socialsecurity.gov.

Question: My spouse and I have

been married for over 30 years and we are about to retire. Will there be any reduction in benefits because we are married?

Answer: None at all. We calculate lifetime earnings independently to determine each spouse’s Social Security benefit

amount, and couples aren’t penalized because they are married.

When both spouses meet all other eligibility requirements to receive Social Security retirement benefits, each spouse receives a monthly benefit amount based on his or her own earnings.

If one member of the couple earned

low wages or failed to earn enough Social Security credits to be insured for retirement benefits, he or she may be eligible to receive benefits as a spouse.

Learn more about earning Social Security credits by reading our publication, How You Earn Credits, available at www.socialsecurity.gov/ pubs.

Question: I plan to retire in spring. How soon can I file for my Social Security benefits? please see questionS page 9

At Your Fingertips Helpful numbers, hotlines, and local businesses and organizations eager to serve you—all just a phone call away.

Cremation Zimmerman Auer Funeral Home, Inc. 4100 Jonestown Road, Harrisburg (717) 545-4001 Emergency Central PA Poison Center (800) 521-6110

CONTACT Helpline (717) 652-4400

Dauphin County Area Agency on Aging (717) 780-6130 Floor Coverings Gipe Floor & Wall Covering 5435 Jonestown Road, Harrisburg (717) 545-6103 Funeral & Cremation Services Cremation Society of Pennsylvania Serving Dauphin County (800) 720-8221 Funeral Directors Zimmerman Auer Funeral Home, Inc. 4100 Jonestown Road, Harrisburg (717) 545-4001 Health & Medical Services Alzheimer’s Association (717) 651-5020

Social Security Information (800) 772-1213

American Diabetes Association (800) 342-2383 Arthritis Foundation Central Pennsylvania Chapter (717) 763-0900 www.50plusLifePA.com

The National Kidney Foundation (717) 757-0604 (800) 697-7007 PACE (800) 225-7223

Vision Resources of Central Pennsylvania (717) 238-2531 Healthcare Information Pennsylvania Healthcare Cost Containment Council (717) 232-6787 Hearing Services Pennsylvania Office for the Deaf and Hard of Hearing (800) 233-3008 V/TTY Hospice Services Homeland Hospice 2300 Vartan Way, Suite 115, Harrisburg (717) 221-7890 Housing/Apartments B’Nai B’rith Apartments 130 S. Third St., Harrisburg (717) 232-7516

Housing Assistance Dauphin County Housing Authority (717) 939-9301

Toll-Free Numbers American Lung Association (800) LUNG-USA

Property Tax/Rent Rebate (888) 728-2937 Insurance Apprise Insurance Counseling (800) 783-7067 Nursing/Rehab Homeland Center 1901 N. Fifth St., Harrisburg (717) 221-7902 Personal Care Homes Greenfield Senior Living at Graysonview 150 Kempton Ave., Harrisburg (717) 558-7771

Bureau of Consumer Protection (800) 441-2555

Homeland Center 1901 N. Fifth St., Harrisburg (717) 221-7902 Pharmacies CVS/pharmacy www.cvs.com Services Dauphin County Area Agency on Aging (717) 780-6130

Meals on Wheels (800) 621-6325 National Council on Aging (800) 424-9046 Social Security Office (800) 772-1213 Veterans Affairs (717) 626-1171 or (800) 827-1000 Transportation CAT Share-A-Ride (717) 232-6100 Veterans Services Lebanon VA Medical Center 1700 S. Lincoln Ave., Lebanon (717) 228-6000 or (800) 409-8771

Not an all-inclusive list of advertisers in your area.

The Salvation Army Edgemont Temple Corps (717) 238-8678 50plus LIFE H

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Cover Story

Where Animals Help People Corporate Office

3912 Abel Drive, Columbia, PA 17512 Phone 717.285.1350 • Fax 717.285.1360 Chester County: 610.675.6240 Cumberland County/Dauphin County: 717.770.0140 Berks County/Lancaster County/ Lebanon County/York County: 717.285.1350 E-mail address: info@onlinepub.com Website address: www.onlinepub.com

PRESIDENT AND PUBLISHER Donna K. Anderson

EDITORIAL

Vice President and Managing Editor Christianne Rupp Editor, 50plus Publications Megan Joyce

ART DEPARTMENT Project Coordinator Renee McWilliams Production Artists Lauren McNallen Janys Ruth

BUSINESS DEVELOPMENT Account Representatives Matthew Chesson Janette McLaurin Tia Stauffer Gina Yocum Events Manager Kimberly Shaffer Marketing Coordinator Mariah Hammacher

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On-Line Publishers, Inc. will not knowingly accept or publish advertising which may be fraudulent or misleading in nature.

Views expressed in opinion stories, contributions, articles and letters are not necessarily the views of the publisher. The appearance of advertisements for products or services does not constitute an endorsement of the particular product or service. The publisher will not be responsible for mistakes in advertisements unless notified within five days of publication. On-Line Publishers, Inc. reserves the right to revise or reject any and all advertising. No part of this publication may be reproduced or reprinted without permission of On-Line Publishers, Inc. We will not knowingly publish any advertisement or information not in compliance with the Federal Fair Housing Act, Pennsylvania State laws or other local laws.

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By Lori Van Ingen

she said. “We were thrown out there together.”

The Capital Area C.D., now aged Therapeutic Riding 19, turned into Association holds one of the nicest, a special place in friendliest, calmest volunteer Roni horses at CATRA. Dietrich’s heart.

“Shirley calls him “CATRA ‘the babysitter.’ It is my refuge,” feels good being Dietrich said. part of that. Every “When I started little girl who comes (volunteering at through says, ‘That’s CATRA), I had the horse I love.’” just learned I Currently, there had rheumatoid are about 25 horses arthritis and was in the Grantville in menopause at program, as well the same time. My Examples of Dietrich’s scrimshaw artwork, as a few miniature all carved on 10,000-year-old woolly mammoth ivory. emotions were all horses and donkeys, over the place.” working with clients who come from the six to eight Since 1985, CATRA has been the place to go surrounding counties. The horses are generally older to find “animals helping people.” CATRA is a therapeutic riding school for people of all generations horses, with a median age of 20 years.

“They are fantastic horses. Not every horse can take with all types of special and typical needs. an autistic child who rocks back and forth or hums Clients have had everything from multiple and chatters without being scared and running off. sclerosis, fibromyalgia, and Guillain-Barré syndrome to Down syndrome, autism, and Asperger’s syndrome. Not every horse can take two people on each side (leading them) or two riders on their backs,” Dietrich CATRA has also welcomed clients with attention said. “These horses do it with grace.” deficit disorder, learning disabilities, memory issues, Every Wednesday, Dietrich waters and feeds the dyslexia, hydrocephaly, rheumatoid arthritis, and horses with a special mixture made specifically for nerve damage. each individual horse’s health issues. She also gives Dietrich began volunteering in 1998, working them medications in a big syringe for those who won’t with the horses every Wednesday morning and then take it in their food. helping all year long with lessons for CATRA’s 125Then, after eating lunch with the girlfriends she has 135 riders per week.

“I’ve never found (a therapeutic riding school) like made at CATRA, Dietrich rides the horses herself.

“Horses need a job all the time,” she said. “CATRA CATRA. It’s an amazing program with no paid staff, is great for people like me who don’t have the time, not even the directors,” she said.

Because CATRA has no paid employees, volunteers space, or finances to have a horse.”

It’s also a great place for people over 50 to are “right there in the mix, cleaning stalls, grooming volunteer. horses, working with the clients,” Dietrich said.

“Almost all of our daytime volunteers are in their Two years later, CATRA founder and director 60s. The place is pretty much run by older people.”

Shirley Nolt came to Dietrich and said, “I’ve got you Besides helping to run the day-to-day operations a horse.” of the therapeutic riding school, Dietrich is also on “She brings out this horse that is every little girl’s dream,” Dietrich said. “I was like 12 years old again.” some of the nonprofit’s committees to raise funds throughout the year, including the motorcycle ride The horse—named C.D. for the actor, Charles Dutton, who had previously owned him—was 2 years committee.

For six years, CATRA has held a 60-mile old and had never had a saddle or lead line. motorcycle ride in the Pennsylvania countryside in “I had never worked with a green horse before,” August. The popular fundraiser offers a musical group Correction performance, silent auction, and door prizes following the ride.

On the cover of 50plus LIFE’s August issue, we Another fundraiser is Comedy, Arts and Sweets, incorrectly identified a photo of Paul Anka as Frankie held in November at Hollywood Casino’s John Henry Avalon. The photo showed Bandstand dancer Arlene Room, which looks out over the paddock where the Sullivan with Anka. We regret the error. www.50plusLifePA.com

Prostate cancer is one of the Brazil nuts. Benefits: Selenium; six most common forms of cancer in to eight nuts contain 700 percent of a men—more than 180,000 cases are daily serving. diagnosed each year.

Tomatoes.

Diet can be a Benefits: Lycopene. factor, doctors Men who eat say, especially 10 portions of one of foods tomatoes a week high in saturated may reduce their fats found in risk of prostate meat and dairy cancer by 18 products. percent.

Men may be Walnuts.

September is Prostate Cancer able to reduce Benefits: Walnuts Awareness Month their risk of and walnut oil developing have been shown prostate cancer to reduce levels of the hormone IGF-1, by eating more of these healthy foods: which has been linked to prostate cancer.

Broccoli. Benefits: Low in Coffee. Benefits: Antioxidants, as well carbohydrates and rich in antioxidants as stimulating the body to metabolize and phytochemicals that may prevent sugars more efficiently. Green tea shares cell changes contributing to cancer. similar qualities.

Salmon. Benefits: Lots of omega-3 Carrots. Benefits: Beta-carotene, fatty acids that can inhibit prostate which turns into vitamin A and has cancer. antioxidant properties. www.50plusLifePA.com

Would you like to see your name in print?

50plus LIFE is looking for

Local Liaisons We want to include your neighborhood news in 50plus LIFE— but we need your help!

We’re looking for volunteers to serve as our designated Local Liaisons in Central Pennsylvania.

If you seem to always know what’s happening in your community and would be willing to send us brief stories, event info, and photos, email mjoyce@onlinepub.com for more information.

Please join us! FREE events!

FREE PARKING !

Sept. 21, 2017

21st Annual

Eat These Foods to Help Prevent Prostate Cancer

Do you have an ear to the ground?

9 a.m. – 2 p.m.

Spooky Nook Sports

2913 Spooky Nook Road Manheim

LANCASTER COUNTY

Sept. 28, 2017

15th Annual

that I couldn’t afford. Mom said, ‘You can make that,’ and I did” after purchasing a starter scrimshaw kit.

She comes by her talent naturally.

Her mother was a woodcarver and her father was a lapidary and silversmith.

Dietrich now sells her artwork mainly through commissioned pieces, as well as at knife and gun shows and occasionally an art show.

Each year, Dietrich enters a piece or two in the Mystic Scrimshaw competition in Mystic, Connecticut.

She earned the Best Color Wildlife trophy in 2005.

Dietrich was even mentioned on page 12 of Tom Clancy’s Net Force book, Point of Impact. She also has contributed to a scrimshaw manual, Scrimshaw Techniques by Jim Stevens.

She has artwork at three galleries: Brain Vessel in Mechanicsburg; Mystic Scrimshanders in Wickford, Rhode Island; and Bowen’s Wharf Scrimshanders in Newport, Rhode Island.

More information about Dietrich’s artwork can be found at Wild Horse Studio’s Facebook page, and more information on CATRA can be found at www.catra.net.

9 a.m. – 2 p.m.

York Expo Center

Memorial Hall East 334 Carlisle Avenue, York

YORK COUNTY

Oct. 19, 2017

18th Annual

horses get ready for the races. After watching the horse races, a comedian performs, donated art is auctioned off in a silent auction, and fancy sweets from local bakeries are auctioned off in a live auction.

The biggest fundraiser is CATRAthon, held each fall.

CATRAthon includes a walk, a bike ride, and a critter parade of all types of farm animals dressed up in costume.

There is also a mini-trail ride, silent auction, bake sale, and chicken barbecue.

While Dietrich can be found at CATRA every Wednesday from 8 a.m. to noon, she used to stay longer and would come other days as well when she started, the 61-year-old Dietrich said.

“Now that my husband is retired and I’m a grandma, my time is split up more. I’m an artist, too, and I’ve got to get that work done, as well.”

Dietrich is a renowned scrimshaw artist, selling her work worldwide. One of CATRA’s horses is Dietrich’s logo for her studio, Wild Horse Studio in Harrisburg.

Dietrich got her start at a rock and gem show in 1979.

“Mom and I saw some scrimshaw

9 a.m. – 2 p.m.

Carlisle Expo Center CUMBERLAND COUNTY

100 K Street Carlisle

Exhibitors • Health Screenings • Seminars • Demonstrations • Entertainment • Door Prizes Limited Sponsorship Opportunities Available (717) 285-1350 (717) 770-0140 (610) 675-6240

www.50plusExpoPA.com 50plus LIFE H

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The Bookworm Sez

Dreaming the Beatles Terri Schlichenmeyer

holiday with his wife, Cynthia, and son, Julian, he could do little but mope about how he missed his mates.

In light of how an album is made today, their work was astounding: their first album was recorded in one 13hour day, the same day some of the lyrics were written; against popular wisdom of the times, their publisher allowed them to perform their own songs rather than covers of 351 pages other tunes.

Not long after, their touring schedule would be Stories of ordinary men and women likewise brutal: The Beatles would called to perform extraordinary military service. play a half-hour in one tiny venue, then dash to the next joint to do it From 1999–2016, writer and World War II again in the same night. veteran Col. Robert D. Wilcox preserved the They squabbled, compromised, firsthand wartime experiences of more than and laughed, mourned losses and 200 veterans through Salute to a Veteran, his celebrated successes. They learned monthly column featured in 50plus LIFE. to “stop swearing and eating and drinking and belching onstage” and Now, for the first time, 50 of those stories— became pros who were sometimes selected by Wilcox himself—are available to annoyed by “the scream.” own in this soft-cover book.

In the end, they were so sick of one

There are places you remember.

And things: the basement rec room in your parents’ house, where the family stereo sat. Your upstairs bedroom and the portable turntable bought with babysitting money. The transistor radio on the beach or at your part-time summer job.

You hear a certain song, and they’re all practically in front of you, and in Dreaming the Beatles by Rob Sheffield, you’ll revisit them again.

No matter what age you are, says Sheffield, you know exactly who they are: John, Paul, George, and Ringo.

Even today’s grade-schoolers know Beatles songs from half a century ago—but why? What made those “lads” so special?

“It wasn’t their timing,” says Sheffield. “It wasn’t drugs. It wasn’t

that they were the voice of a generation … yet the allure of the music keeps on growing, nearly 50 years after the band split.”

They were just four talented boys among thousands back then.

John met Paul at a village fair. They interviewed George for the band. Ringo, almost a pro with his personalized drum kit, came along later. Dreaming the Beatles: The Love They meshed and Story of One Band and became so close to the Whole World By Rob Sheffield one another that c. 2017, Dey Street when John went on

Simply complete and mail this form with your payment to the address below to order Salute to Our Veterans.

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Or send a check made payable to On-Line Publishers, Inc. You can also order online at www.50plusLIFEpa.com!

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another that none could wait to be rid of the rest.

And yet—they couldn’t completely let go …

Although it’s nearly totally subjective and perhaps itching for argument, Dreaming the Beatles is a Fab Four fantasy for fans. Truly, it’s hard to imagine debating with anyone other than author and Rolling Stone columnist Rob Sheffield on this subject.

Sheffield writes with the patter of an AM-radio deejay, as he moves from album to band biography to musician profile in his reasoning for naming the Beatles as the best band ever.

In leaving room for dissent and inviting discussion, that opinionated evidence offers enough memorysparkers to take boomers back a few decades and plenty of insider gossip to satisfy younger readers.

So, argue and ponder, enjoy Dreaming the Beatles, but give yourself time to listen to the songs, too. You won’t be sorry, in any case: You know you love the music, and you may have read other books about the Beatles, but in your life, you’ll love this more.

The Bookworm is Terri Schlichenmeyer.

Terri has been reading since she was 3 years old and she never goes anywhere without a book. She lives on a hill in Wisconsin with two dogs and 14,000 books.

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Dear Pharmacist

Suzy Cohen

I Bet I Can Make You Yawn

Last week I forced myself to stay up two nights in a row to work. I certainly had work to do, but I also wanted to evaluate my brain function after sleep deprivation.

The following morning, I was yawning quite a bit while sharing the story with my husband, Sam. He jokingly snapped, “Hey, stop that!

You’re making me yawn!”

I thought that was hilarious and kept my eye on him for several minutes, and sure enough, when I yawned, he yawned.

Yawns are known to be “contagious,” especially if you are emotionally connected with one another. Did I get you to yawn just yet?

Saying the word out loud or reading “yawn” triggers a yawn. They’re usually satisfying in nature, and if they’re not, it is thought to be your subconscious inability to let go. One yawn lasts about six seconds, and during that time, your heart probably beats faster.

A yawn does not always happen just because you’re bored or tired. For decades, doctors said it was your brain’s attempt to pull more oxygen in for its tissues.

But research on animals published in The International Journal of Applied Basic Medical Research in June 2017 points to yawning as a way to drain lymph from around the brain. That’s interesting because we are only now realizing the brain actually has a lymphatic system.

We, meaning humans, yawn in the womb—and yes, it’s boring in there for sure—but around 11–20 weeks post-conception, it can be seen on ultrasound.

Another interesting fact about yawning is that medications can cause it. For example, one of the biggest offenders is antidepressant medication, www.50plusLifePA.com

especially the SSRIs and SNRIs like Prozac and Cymbalta, respectively.

Benzodiazepines (clonazepam, alprazolam) and opiate analgesics (hydrocodone, oxycodone, morphine) will often trigger yawning attacks—it’s a well-documented side effect during normal treatment.

It’s more apt to happen during “interdose withdrawal” (the hours in between your scheduled doses of the day) or more likely when you quit taking these drugs, which requires a long tapering process. Yawning attacks induced by antidepressants, benzos, and opiates are almost always annoying and uncomfortable.

Anesthetics used to sedate you before surgery can cause yawning. And a big yawn-inducing category is the dopaminergics used in Parkinson’s, such as L-dopa or levodopa (Sinemet contains that) or Apokyn (apomorphine).

Did you know that the complete disappearance of yawns could indicate damage to your hypothalamus?

It’s specifically damage to the dopaminergic (dopamine-producing) neurons.

This is why Parkinson’s patients yawn less frequently. Likewise, the effectiveness of Parkinson’s drug therapy can actually be gauged if the patient begins to yawn again.

Some researchers think you yawn more if you are depressed. I’m not really convinced of that. Confirming this is difficult because depressed folks often have insomnia, so they are going to naturally be more fatigued during the day and probably yawn more too.

This information is not intended to diagnose, prevent, or treat your disease.

For more information about the author, visit SuzyCohen.com

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Learn more about us at

www.greenfieldseniorliving.com 50plus LIFE H

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Savvy Senior

Finding Help for Seniors Addicted to Opioids Jim Miller

Dear Savvy Senior, I’m worried about my 72-year-old mother, who has been taking the opioid medication Vicodin for her hip and back pain for more than a year. I fear she’s becoming addicted to the drug, but I don’t know what to do.

– Concerned Daughter Dear Concerned, The opioid epidemic is a national problem that is hitting people of all ages, including millions of older Americans. Here’s what you should know and do to help your mother.

The Cause The main reason opioid addiction has become such a problem for people over age 50 is because over the past two decades, opioids have become a commonly prescribed (and often

overprescribed) medication by doctors for all different types of pain, such as arthritis, cancer, neurological diseases, and other illnesses that become more common later in life.

Nearly one-third of all Medicare patients—almost 12 million people—were prescribed opioid painkillers by their physicians in 2015. That same year, 2.7 million Americans over age 50 abused painkillers.

Taken as directed, opioids can manage pain effectively when used for a short amount of time. But with long-

term use, people need to be screened and monitored because around 5 percent of those treated will develop an addiction disorder and abuse the drugs.

Signs of Addiction Your mother may be addicted to opioids if she can’t stop herself from taking the drug and if her tolerance continues to go up.

She may also be addicted if she keeps using opioids without her doctor’s consent, even if it’s causing her problems with her health, money, family, or friends.

If you think your mom is addicted, ask her to see a doctor for an evaluation. Go to the family or prescribing physician or find a specialist through the American Society of Addiction Medicine (www. asam.org) or the American Academy of Addiction Psychiatry (www.aaap.org).

It’s also important to be positive and encouraging. Addiction is a medical matter, not a character flaw. Repeated use of opioids actually changes the brain.

Treatments Treatment for opioid addiction is

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different for each person, but the main goal is to help your mom stop using the drug and avoid using it again in the future.

To help her stop using the drug, her doctor can prescribe certain medicines to help relieve her withdrawal symptoms and control her cravings.

These medicines include methadone (often used to treat heroin addiction), buprenorphine, and naltrexone.

After detox, behavioral treatments—such as individual counseling, group or family counseling, and cognitive therapy— can help her learn to manage depression, avoid the drug, deal with cravings, and heal damaged relationships.

For assistance, call the Substance Abuse and Mental Health Services Administration confidential helpline at (800) 662-4357 or see www.samhsa. gov. They can connect you with treatment services in your state that can help your mom.

Also, if you find that your mom has a doctor who prescribes opioids in excess or without legitimate reason, you should report him or her to your state medical board, which licenses physicians. For contact information, visit www.fsmb.org.

Jim Miller is a regular contributor to the NBC Today show and author of The Savvy Senior Book. www.savvysenior.org

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Adults ages 18-24 increased their coffee habit from 48 to 50 percent, and 63 percent of adults 25-39 drank more, up from 60 percent.

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The 60-plus crowed moved to 68 percent in 2017 from 64 percent the previous year.

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Answer: Social Security understands that unexpected changes may occur after you begin receiving retirement benefits. If you change your mind, you may be able to withdraw your Social Security claim and reapply at a future date.

This withdrawal must occur within 12 months of your original retirement, and you are limited to one withdrawal during your lifetime.

Keep in mind, however, that you must repay all of the benefits you received.

You can learn more about the oneyear period when you can postpone your benefits at www.socialsecurity. gov/retire2/withdrawal.htm.

John Johnston is a Social Security public affairs specialist.

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He continued his parachute Jay Snyder’s war ended 51 years ago.

But after retiring from a distinguished training, which paid an extra $110 per month — a lot of money in the midcareer working for the Pennsylvania ’60s. state government and as the leading “If I was going into combat, I tennis official in the United States, the war now seems as close as it’s been wanted to go with the guys who were volunteers, who were well trained, since he left Vietnam in 1966. who were there because they wanted Snyder was a minister’s son, so to be part of that unit. And that’s he frequently moved as he was what I got in an airborne unit,” says growing up. His father was working Snyder, who adds that his training in Selinsgrove, Pennsylvania, when prepared him to be a soldier, but “I Snyder finished high school, so don’t think anything can prepare you he attended nearby Susquehanna for the reality of combat.”

University and graduated in 1964.

In July 1965, President Lyndon Realizing he had a very low draft Johnson number, ordered Snyder Snyder’s decided to cavalry enlist in division to the Army.

Vietnam.

When On Aug. the Army 15 they recruiter departed pointed aboard a out that transport he’d have a ship, the better life USNS as an officer Geiger, than as an from enlisted Savannah, man, Georgia.

Snyder Jay Snyder today at his home.

After signed up passing for Officer Candidate School and headed for Fort through the Panama Canal and stopping in Hawaii and Guam, they Benning, Georgia. landed in mid-September in Qui “They warned us that OCS would Nhon, in central Vietnam. be the toughest challenge we had in Snyder and his men expected to our life,” recalls Snyder.

He spent the next six months doing land in a hostile environment, with enemy soldiers shooting at them as pushups, doing chin ups, and being they got off the boat. Instead, they yelled at constantly. were greeted by TV cameras and “The army’s theory is that they signs saying “Welcome to Jones Beach have to break you down to build you back up,” says Snyder. “It was a pretty East.”

“So much for landing under fire,” tough six months, and about 60 jokes Snyder. percent of the class washed out.”

But his unit soon got down After graduating from OCS as nd to business. They were flown by a 2 lieutenant, Snyder wanted to become an Army Ranger, so he was Chinook helicopters to a base camp sent to jump school. But he was later in the Central Highlands. For transferred to an airborne cavalry nearly a month the duty was mostly unit. uneventful, with occasional mortar www.50plusLifePA.com

rounds being lobbed into the base.

Snyder’s unit went on patrols to chase away the attackers.

Snyder’s first battle took place in the Suoi Ca Valley. Snyder and his company of about 110 men spent a couple days on search-and-destroy missions, going into villages to look for signs of enemy activity.

The men destroyed a number of rice caches used by the Vietcong, but Snyder insists, “We did not burn rice that belonged to villagers.”

The men received sporadic gunfire but suffered no casualties. They spent the night in rice paddies, where they encountered one of their most annoying enemies — leeches — which came out of the ground in heavy rain.

“We found out pretty quickly that they’re not nice beasts,” says Snyder.

Like all soldiers, Snyder relished each mail delivery. Besides receiving letters from family and friends, he started corresponding with a woman named Jeanne, who was his sister’s college roommate. What started out as “a fake romance” would later blossom into a 50-year marriage that’s still going strong.

Snyder’s unit was later flown by chopper into the Pleiku Campaign, which lasted from late October to late November 1965. Despite heavy fighting all around them, Snyder and his men at first saw very little combat.

“For whatever reason, the North Vietnamese chose not to engage us,” he says. “We were all walking on eggshells, thinking they’re going to hit us any second now, and they didn’t.”

Up to that point in the war, Snyder and his men were lucky to avoid casualties. But they didn’t stay lucky.

In January 1966, Snyder was leading a patrol near the village of Bong Son. A captain radioed Snyder to move faster so his platoon of about 25 men could rendezvous with other units.

“We were in a combination of jungle and open area, and it just didn’t feel right to keep moving faster.

I took point and I walked my platoon right into an ambush,” recalls Snyder.

Vietcong guerillas peppered the

men with rifle fire, killing one man.

Another died when his grenade exploded in his hand. Several other Americans were wounded.

Snyder radioed for artillery support, which drove off the attackers after about nine minutes of intense combat.

“The shrapnel would go off over our heads,” recalls Snyder. “It sounded like a freight train driving over your head.”

After some R&R in Bangkok, Thailand, Snyder flew into another battle in a helicopter and nearly died when the helicopter was hit with a 50caliber round and landed hard.

Five weeks later, Snyder and his unit were moving up a mountain when they were nearly surrounded

by Vietcong. Outnumbered in heavy jungle, the men resorted to a tactic known as a “mad minute” — with everyone opening fire for about a minute.

“The mad minute saved us,” says Snyder. Several of his men died in the battle.

Snyder received shrapnel wounds in his left shoulder and buttocks from mortar fire but remained in the fight until the enemy fled.

Snyder had to wait a full day before he could be medevacked by chopper.

He spent three weeks in the 85th Evacuation Hospital at Qui Nhon.

An infection developed, so he was flown to Clark Air Force Base in the Philippines and then to the U.S. Fortunately, he made a full recovery at Valley Forge Hospital outside Philadelphia, but a fragment lodged in his left shoulder still causes pain whenever the weather changes rapidly.

He met Jeanne there in person soon after his return, and they got married in August 1967, about two months after he left the Army.

Snyder took management training and went on to a distinguished career working for several state agencies. He spent much of his spare time working as a tennis umpire, and in 1990, he was promoted to U.S. director of officiating.

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He umpired matches involving all the top men’s and women’s players, including the 1993 Wimbledon semifinal between Andre Agassi and John McEnroe.

Like many umpires, he incurred the wrath of volatile players such as McEnroe and Jimmy Connors. But he later became good friends with McEnroe, whom Snyder credits for being an honest competitor.

He and Jeanne adopted a Vietnamese son, and they now have three grandchildren. They have visited Vietnam twice, and Snyder has been deeply impressed by how the people have welcomed their former adversary, and how a united Vietnam has recovered from the devastation of war.

During these years of constant activity, Snyder was able to put his war experiences in the rearview mirror. He even boxed up all his medals and put them in a barn.

“I got over my experiences in Vietnam by working my butt off,” he says.

But once he retired, painful memories rose to the surface.

“Vietnam has always been with me,” says Snyder. “It took a while

for me to realize that PTSD was something I needed to face up to.”

To this day Snyder regrets the men he lost when he led his company into an ambush, but he’s not sure what he could have done differently.

“You’re responsible for those lives, and you can’t ignore that. I can’t explain how difficult that is, how your decisions cost somebody their life. I just kept that way in the background.”

Snyder has received professional help, including group therapy. And he has started writing about his war experiences as part of a veteran’s writing project, which has been a cathartic experience.

Snyder, now 75, currently lives with Jeanne in Lower Paxton Township, just east of Harrisburg.

He occasionally shares his Vietnam experiences in public talks, including one in June 2017 in Centre County.

You can hear his story by visiting https://goo.gl/Fy1M4g.

Robert Naeye is a freelance journalist living in Derry Township. He is the former editor-in-chief of Sky & Telescope magazine.

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Puzzle Page

CROSSWORD

Solutions for all puzzles can be found on page 15

Across SUDOKU

1. Stigma 6. Vitriols 11. Prayer word 14. Get up 15. Inert gas 16. Modern 17. Wyoming park 19. Compass pt.

20. Negatively charged particle 21. More spooky 23. Sod 26. Mosquito 28. Wanders

29. Retired 30. Burst 32. Via 33. Baseball’s Doubleday 36. Wave rider 38. Annex 39. Actress Ruby or Sandra 41. Digit 42. Distress call 45. Fears 48. Pour 50. Sp. girl 51. Golf item 52. Cookie

53. Use up 55. Scruff 58. ___ Breckinridge 59. Adhesives 61. Witchcraft trials locale 63. Conjunctions 64. Some cartoons 69. Shoshonean 70. Dwelling 71. Coral reef 72. Small indefinite amount 73. Chordophones 74. Disreputable

22. Lasso 23. Path 24. Garden offspring 25. Looking good!

27. Tipster 31. Goad 34. Lyric poem 35. Cool!

37. Fixed charge 40. Promised land 43. Ace 44. Gr. Portico 46. Lease 47. Coastal

49. Travel back and forth 50. Ancient Greek city 53. Gush 54. Transfer paper 56. Strides 57. High note 60. Jungle boy 62. Gr. letters 65. Decompose 66. Fish eggs 67. Time of life (poet.)

68. Cunning

Down 1. Utter 2. Three (It.) 3. Suffer 4. Azores, e.g.

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September 2017

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Calendar of Events

Dauphin County

Support Groups Free and open to the public Mondays, 6:30-8 p.m.

Grief Support Group Mohler Senior Center 25 Hope Drive, Hershey (717) 732-1000 Sept. 6 and 20, 7-8:30 p.m.

ANAD Eating Disorders Support Group PinnacleHealth Polyclinic Landis Building, Sixth Floor Classroom 1 2501 N. Third St., Harrisburg (717) 712-9535 Sept. 7, 7-8 p.m.

Fibromyalgia Support Group LeVan Chiropractic 1000 Briarsdale Road, Suite C Harrisburg (717) 558-3500 Sept. 7 to Dec. 14 (Thursdays) 6-8 p.m.

DivorceCare and DivorceCare4Kids Support Groups Derry Presbyterian Church 248 E. Derry Road, Hershey (717) 533-9667 www.divorcecare.org

Sept. 12, 6-7 p.m.

Alzheimer’s Caregivers Support Group Greenfield Senior Living at Graysonview 150 Kempton Ave., Harrisburg (717) 561-8010 Sept. 13, 6-7 p.m.

Alzheimer’s Support Group Brookdale Harrisburg 3560 N. Progress Ave., Harrisburg (717) 671-4700 Sept. 18, 6:30 p.m.

Support Group for Families of Those with Memory-Related Illnesses Frey Village 1020 N. Union St., Middletown (717) 930-1218 Sept. 20, 2-4 p.m.

Parkinson’s Support Group The Residence of the Jewish Home – Second Floor Library 4004 Linglestown Road Harrisburg (717) 697-2513

Senior Center Activities Sept. 21, 6 p.m.

Alzheimer’s Support Group Country Meadows of Hershey Second Floor Training Room 451 Sand Hill Road, Hershey (717) 533-6996 astoner@countrymeadows.com

Bistline Senior Center – (717) 564-5633

Sept. 21, 6-8 p.m.

Harrisburg Area Parkinson’s Disease Caregiver Support Group Giant Food Stores – Second Floor 2300 Linglestown Road, Harrisburg (717) 580-7772

Rutherford House – (717) 564-5682, www.rutherfordcenter.org Mondays, 10 a.m. – Line Dancing Tuesdays, noon – Circuit Exercise with Personal Training Fridays, 11 a.m. – Chair Yoga

Sept. 27, 7-8 p.m.

Connections Support Group: Families of Memory Impaired Ecumenical Retirement Community Building 3, Second Floor 3525 Canby St., Harrisburg (717) 561-2590 If you have an event you would like to include, please email information to mjoyce@onlinepub.com for consideration.

PARKS & RECREATION Sept. 6-29 (weekdays) plus Sept. 17, 10 a.m. to 3 p.m. – Archaeological Excavation, Fort Hunter Mansion Sept. 10, 1:30-3 p.m. – Flower Walk: Goldenrods, Aster, and Other Fall Surprises, Wildwood Park Sept. 24, noon to 4 p.m. – Celebrate Wildwood, Wildwood Park

Community Programs Free and open to the public Sept. 6, 7 p.m.

World Culture Club of Central PA Meeting Penn State Hershey Medical Center Fifth Floor, Lecture Room B 500 University Drive, Hershey www.worldcultureclubpa.org Sept. 7, 7 p.m.

Central Pennsylvania World War II Roundtable Meeting Grace United Methodist Church 433 E. Main St., Hummelstown (717) 503-2862 charlie.centralpaww2rt@gmail.com www.centralpaww2roundtable.org Sept. 14, 7:30 p.m.

Central Pennsylvania Vietnam Roundtable Meeting Vietnam Veterans of America, Michael Novosel MOH Chapter 542 8000 Derry St., Harrisburg (717) 545-2336 centralpavietnamrt@verizon.net www.centralpavietnamroundtable.org

www.50plusLifePA.com

Sept. 19, 10 a.m.

Funeral Planning in Advance: What to Know Derry Seniors Derry Presbyterian Church 248 E. Derry Road Hershey (717) 533-9667 www.derrypres.org Sept. 26, 6 p.m.

Susquehanna Rovers Volksmarch Walking Club Bass Pro Shop – Hunt Room Harrisburg Mall 3501 Paxton St., Harrisburg (717) 805-9540 Sept. 27, 7 p.m.

Piecemakers Quilt Guild of Middletown St. Peter’s Lutheran Church Spring and Union Streets Middletown (717) 915-5555 gsk1308@gmail.com

Edgemont Senior Center – (717) 236-2221 Friendship Senior Center – (717) 657-1547 Mondays, Wednesdays, and Fridays,

8–9 a.m. – Light Aerobics Wednesdays, 12:30 p.m. – Mah Jong

Library Programs East Shore Area Library 4501 Ethel St., Harrisburg, (717) 652-9380 Sept. 11, 6 p.m. – Let’s Salsa! Dance Instruction Sept. 20, 6 p.m. – Computer Classes from Start to Finish: Basic Email II Elizabethville Area Library 80 N. Market St., Elizabethville, (717) 362-9825 Sept. 21, 6 p.m. – Thursday Theater and More!

Sept. 30, 1 p.m. – Lively Minds Series: Spinning Wool into Yarn Harrisburg Downtown Library 101 Walnut St., Harrisburg, (717) 234-4976 Hershey Public Library 701 Cocoa Ave., Hershey, (717) 533-6555 Johnson Memorial Library 799 E. Center St., Millersburg, (717) 692-2658 Sept. 9, 11 a.m. – That’s (P)interesting: A DIY Club Kline Library 530 S. 29th St., Harrisburg, (717) 234-3934 Sept. 21, 6:30 p.m. – Kline Library Friends Meeting Madeline L. Olewine Memorial Library 2410 N. Third St., Harrisburg, (717) 232-7286 Sept. 11, 6 p.m. – Food for Thought Book Discussion Sept. 30, 11 a.m. – Design a Library Tote Bag McCormick Riverfront Library 101 Walnut St., Harrisburg, (717) 234-4976 Wednesdays in September, 11:30 a.m. – Midday Getaway Northern Dauphin Library 683 Main St., Lykens, (717) 453-9315 Sept. 28, 6 p.m. – Knit 1, Crochet Too! William H. & Marion C. Alexander Family Library 200 W. Second St., Hummelstown, (717) 566-0949 Sept. 12, 6:30 p.m. – Tangle Basics Sept. 13, 6 p.m. – Second Wednesday Cinema

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Walk to End Alzheimer’s Alzheimer’s disease is the sixthleading cause of death in the United States and the fifth-leading cause of death for individuals age 65 and older.

This devastating and debilitating disease is the ultimate thief—of memories, independence, control, time, and, ultimately, life.

And the disease is often dealt with in silence. Those facing the disease feel a stigma surrounding

their diagnosis and often don’t seek the support they need.

At the Alzheimer’s Association, we hear from individuals daily that they “feel alone.” Family and friends stop

September 16, 2017 City Island, Harrisburg

Registration at 9 a.m. • Walk at 10 a.m.

September 23, 2017

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visiting because of “abnormal” behavior—a symptom of the disease— and caregivers become more and more isolated.

We want patients and their families to know that there is hope, and there is help, through the Alzheimer’s Association of Greater Pennsylvania.

There are more than 5 million Americans currently diagnosed with Alzheimer’s disease or a related dementia and more than 15 million caregivers. In Pennsylvania alone, there are more than 400,000 individuals diagnosed.

We are here to provide education and support to the millions who face dementia every day, while advancing critical research toward methods of treatment and prevention, ultimately to end Alzheimer’s disease.

We have offices locally and support groups throughout the region for those facing this disease to meet with others in similar situations.

We also host the Walk to End Alzheimer’s. This is the association’s largest annual awareness and fundraising event, which occurs during the fall. The Walk to End Alzheimer’s is a day of hope, an opportunity—a day we all come together to see that we’re not alone in our fight.

Some walk to honor and remember those they have lost. Some walk to share stories of living with Alzheimer’s or related dementias. Some walk so

that future generations won’t have to face the debilitating and devastating effects of the disease. Some walk because they want to help make a difference and bring this disease to the forefront.

The money raised allows our chapter to contribute to research to find a cure. These funds also help support programs and services that advance accurate and timely diagnosis of people with Alzheimer’s and other dementias.

In addition, money raised ensures significant increases to affordable, high-quality care and support for people with the disease and their caretakers.

Help us break the silence and start the conversation. Join us, along with thousands of others in your community, at the Walk to End Alzheimer’s.

Register today at www.alz.org/ walk or call our Helpline, available 24 hours, seven days a week, at (800) 272-3900.

Local walks include: Saturday, Sept. 16 City Island, Harrisburg Registration at 9 a.m.

Walk at 10 a.m.

Saturday, Sept. 23 Clipper Magazine Stadium, Lancaster Registration at 9 a.m.

Walk at 10 a.m.

Saturday, Oct. 7 John Rudy Park, York Registration at 9 a.m.

Walk at 10 a.m.

Chapter Presenting Sponsors Registration brochures, team packets, and sponsorship packets available. For more information, please contact: Harrisburg Walk Asheleigh Forsburg, Senior Events Manager (717) 651-5020; aforsburg@alz.org

Lancaster/York Walk Fran Gibbons, Constituent Events Manager (717) 568-2595; fgibbons@alz.org

Alzheimer’s Association 2595 Interstate Drive, Suite 100 • Harrisburg, PA 17110

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September 2017

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Art & Antiques by Dr. Lori

John Ringling: Collector and Circus King Lori Verderame

Puzzles shown on page 12

Puzzle Solutions

John Ringling was a world-class to the early 1900s. collector with the means to collect some For circus-poster collectors, it of the finest art and antiques. is important to note that in 1971, The opportunity to source, acquire, Ringling Bros. & Barnum and Bailey and transport historic art and antique Circus reissued some of the more objects from around the globe resulted popular posters in an effort to promote in the entertainment giant bringing their new combined shows. highly sought-after pieces home to the Look for the telltale signs of an United States. original Ringling circus poster: the The legendary circus king’s collection lithographer’s markings, the beige color is on display in the John and Mable of the paper showing signs of the acid Ringling Museum of Art in Sarasota, tanning that occurs over time, and the Florida. The Ringling Museum thin paper stock that was easy to post houses more than 10,000 objects of around town to advertise the circus’s international art and antiques from arrival dates and attractions. various eras.

When it comes to collecting Photo credit: Staff of www.DrLoriV.com Many of the collections on display Ringling Bros. circus posters, condition, John and Mabel Ringling Museum of Art, Sarasota, Fla. in Sarasota derive from the 1936 preservation, and imagery will impact bequest of John Ringling, including value considerably. Certain poster train. his mansion home and summer residence called Cà imagery will command greater value than others, While the Ringling museum is nothing short d’Zan, as well as his private art museum. such as the Fat Lady, Gargantua the Ape, or Felix of spectacular, John Ringling was known for his Located on the picturesque and sprawling 66the Clown. business and advertising acumen. acre Ringling estate on Sarasota Bay, the museum Some collectors want posters in mint or pristine Nothing says “circus advertisement” better than features an Italianate mansion with Venetian gothic famous and popular Ringling Bros. circus posters condition; other collectors don’t really mind if a revival architecture, filled with art and antiques, with images of animals, sideshow acts, and featured poster has been posted with pinholes in the top a jewel box theater, and a circus collectibles and performers. Many people collect these highly prized corners because posting these posters was their memorabilia museum. intended use. printed lithographic posters that were used to The 56-room mansion—completed in 1925 along advertise attractions when the circus came to town.

The market has been kind to the circus, as manicured, waterfront grounds with adjacent rose these posters still command high prices upward of The Strobridge Lithographing Company of gardens—was named for Mable Ringling, John’s $25,000, depending on many factors. And, with the Cincinnati, Ohio, produced the circus posters for wife.

Ringling Bros. & Barnum and Bailey Circus, which 146-year circus having ended in May 2017, these In 1931, the Ringling Museum of Art opened are now collectible and valuable. These posters were collectibles will quickly become scarce. to display works of art by great masters, including produced from circa 1878-1939 and featured images Dr. Lori Verderame is a Ph.D. antiques appraiser, the Spaniard Velazquez, Venetian colorist Veronese, from the golden age of the circus. author, and award-winning TV personality who stars Greek Mannerist El Greco, British portraitist Advertising images show attractions such as on History channel’s The Curse of Oak Island. Dr. Lori Gainsborough, and the list goes on. the great menagerie of exotic animals, specialty The art museum features paintings and sculptures sideshow clowns, and daring center-ring events that presents antique appraisal events to worldwide audiences and reviews objects online at www.DrLoriV.com or from the Renaissance period to the present day showcase the magic of the circus from the late 1800s (888) 431-1010. in diverse media. Fine objects are on display in the museum’s permanent collection galleries and temporary exhibition spaces.

The personal impact of the Ringling family—as art collectors, philanthropists, and traveling entertainment innovators—is evident in the Circus Museum, which thrills visitors young and old alike and remains on the grounds of the Ringling museum compound.

The main attraction of the Circus Museum is the Howard Tibbals circus model, a 3,800-square-foot real-life replica of the Ringling Bros. & Barnum and Bailey Circus. The model was named for its maker and includes 152 circus wagons, 1,300 circus performers and workers, 800 animals, and a circus www.50plusLifePA.com

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