OutreachNC Magazine October 2017

COMPLIMENTARY

OCTOBER 2017 | VOL. 8, ISSUE 10

Slow Medicine Plus

5 ESSENTIAL OILS TO ADD TO YOUR CUPBOARD THE HEALING POWER OF PLANTS CAROLINA CONVERSATIONS WITH JUDSON THEATRE’S “THE SUNSHINE BOYS” ACTORS DON MOST AND ROBERT WUHL

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OutreachNC.com | OCTOBER 2017

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features OCTOBER 2017

29

A Complement To Your Health

by Michelle Goetzl

37

Carolina Conversations with Judson Theatre's "The Sunshine Boys" Actors Don Most and Robert Wuhl

by Carrie Frye

44

The Healing Power of North Carolina Plants

by Jennifer Webster

52

Honoring World War II Veteran Series: Dan Jones

by Jonathan Scott

56

5 Essential Oils To Add To Your Cupboard

by Rachel Stewart 4 OutreachNC.com | OCTOBER 2017

Slow Medicine Issue

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departments October 2017

Pale amber sunlight falls across The reddening October trees, That hardly sway before a breeze As soft as summer: summer’s loss Seems little, dear! on days like these.

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—ERNEST DOWSON, “AUTUMNAL”

66

64 advice & health

life

10

Ask the Expert

by Amy Natt, MS, CMC, CSA

14

12

Osteopathy: A Holistic Approach

by Michelle Goetzl

18

The Reader’s Nook

by Michelle Goetzl

26

Cooking Simple

by Leslie Philip

62

Grey Matter Games Sudoku, Word Search & Crossword Puzzles

Regional Culture

by Ray Linville

16

Brain Health

by Karen D. Sullivan, PhD, ABPP

20

Law Review

by Tyler Chriscoe

22

Women’s Health

by Janet Harris-Hicks, MD

63

Resource Marketplace Find the resources you need.

24

Planning Ahead

by Tim Hicks, RICP, APMA

64

Caregiving

by Mike Collins

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66

Generations

by Carrie Frye & Michelle Goetzl

THE HEALING POWER OF NORTH CAROLINA PLANTS SEE PAGE 44

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articles

advice previous issues recipes

magazine extras

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from the editor

O

ctober and its glorious oranges, garnets and golds are being painted across the Carolina Sandhills, little by little, every day.

The beauty of this new season is one I never want to take for granted as the gradual color changes reach their peak.

Much like the gradual changes of the season, our theme this month is "Slow Medicine," a concept that considers multiple facets of playing a more active role in your own health, depending less on prescription medications and more on lifestyle changes with a holistic approach to natural healing.

With that idea in mind, we look at five complementary medicine alternatives—massage, acupuncture, chiropractic, reiki and hypnotherapy—and how each offers real quality of life impact from flexibility to pain relief.

We delve into the aromatic and healthful benefits essential oils can provide to you and your home. Special thanks to Nikki Lienhard and Diana Matthews for helping the editor create some beautiful scenes and one of the sweetest-smelling photo shoots.

Spending time in nature, whether it is walking among fall flowers or sitting by the fire pit in your back yard, has its own health benefits, too. We learn about some easy-to-grow plant and herb options from local experts, so you can add them to your garden and then to an herbal brew or recipe.

Speaking of recipes, this month's Cooking Simple features ruby red cabbage, which tastes as good as it looks and is a beauty to adorn your fall dinner table.

October also brings Judson Theatre Company back to the Sandhills for its latest production, "The Sunshine Boys." I was fortunate enough to catch up with lead actors, Don Most of "Happy Days" fame, and Robert Wuhl, who has numerous credits but you might remember from "Bull Durham" or "Arliss," for our Carolina Conversations. The two are excited to work together and bring Neil Simon's comedy to life this month, Oct. 19-22, at Sandhills Community College in Pinehurst.

As always, this issue is packed with ways to age with success from caregiving and long-term care tips, to improving your cognitive reserve.

Thank you so much for turning pages with us! Co-editor Jeeves is anxiously awaiting his treats, before answering the call to come back inside for the evening. Until next month...

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OutreachNC.com | OCTOBER 2017

—Carrie Frye

Editor in Chief Carrie Frye | CarrieF@OutreachNC.com Contributing Graphic Designers Stephanie Budd, Nikki Lienhard Contributing Proofreaders Ashley Eder, Michelle Goetzl, Kate Pomplun, Rachel Stewart, Jennifer Webster Contributing Photographers Katherine Clark, Diana Matthews, Mollie Tobias Contributing Writers Tyler Chriscoe, Mike Collins, Michelle Goetzl, Janet Harris-Hicks, Tim Hicks, Ray Linville, Leslie Philip, Jonathan Scott, Rachel Stewart, Karen D. Sullivan, Jennifer Webster

Y Publisher Amy Natt | AmyN@AgingOutreachServices.com Marketing & Public Relations Director Susan McKenzie | SusanM@AgingOutreachServices.com Advertising Sales Executive Ashley Haddock | AshleyH@OutreachNC.com 910-690-9102 Advertising Sales Executive Butch Peiker | ButchP@OutreachNC.com 904-477-8440 OutreachNC PO Box 2478 | 676 NW Broad Street Southern Pines, NC 28388 910-692-9609 Office | 910-695-0766 Fax info@OutreachNC.com

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OutreachNC is a publication of The entire contents of OutreachNC are copyrighted by Aging Outreach Services. Reproduction or use without permission of editorial, photographic or graphic content in any manner is prohibited. OutreachNC is published monthly on the first of each month.

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advice

Our Aging Life Care ProfessionalsTM will answer any aging questions you may have.

Email us your questions! info@OutreachNC.com

ASK THE EXPERT

Recognizing and Providing a Compassionate Approach to Caregiver Burnout

by Amy Natt, MS, CMC, CSA

&

My dad has had multiple small strokes over the past three years, and my mom has been taking care of him at home. She does a great job, and my dad is doing well. They both want to stay in their home, and my mom insists she is capable of managing everything.

When we visited a few weeks ago, we noticed mom slowing down a bit. She looked exhausted and has stopped golfing, because she doesn’t want to leave my dad alone.

How can we encourage her to get more help?

Taking care of the caregiver is an important job and often one that gets overlooked until something happens to alert those around them that there is a problem. Caregivers are often so entrenched in the day-to-day care that they do not see how it is impacting their life and overall health.

Staying in control is how caregivers get through each day, manage each task and somehow keep all the plates spinning. When you ask a caregiver to accept help, it can feel like you are asking him or her to give up a piece of that control, and that can be a scary feeling. There is also an emotional element.

Your mom wants to care for your dad and do a great job. If she accepts help, has she failed in some way?

What if your dad won’t accept the help or feels your mom has left him? These are the questions likely running through the mind of most caregivers, and they try to find the balance. The key is to help your mom remain in control by accepting help as a better way to manage the care that keeps the long game in sight, not just the day to day. If she can focus on the needs that are likely to develop down the road, this can help her see that there is a need for a plan and to give herself permission to implement that plan and accept the help needed to make it happen.

For example, if their goal is to remain in the home and age in place, there may need to be some

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modifications made to increase safety (grab bars, rails, emergency alert systems), as well as respite or supplemental care in place, so that she gets a break and has help as his care needs increase. It is equally important to consider what would happen if she had a significant change in health. Who would step in and care for your dad, if your mom was the one in the hospital? If you can encourage your parents to start having these conversations, it will open the door to identify resources and put added support in place.

You mentioned seeing signs that your mom is slowing down. It is important to look for and recognize signs of caregiver burnout. These can manifest in many different ways: mental, physical, spiritual and social. Here are some things you might watch for: • Changes in eating habits • Increase or decrease in weight • Changes in sleep patterns, insomnia • Signs of exhaustion and low energy (physical and mental) • Giving up social activities previously enjoyed • Losing touch with close friends and family • Increased aches and pains • Headaches, lack of ability to concentrate • Change in spiritual beliefs (loss of hope) • Feeling helpless, irritable or angry over the caregiving situation

“

”

Be a rainbow in someone else’s cloud.

—MAYA ANGELOU

When you notice signs of caregiver burnout, it is time to take action. A family meeting may be in order or getting a professional involved to help assess the situation and recommend options. Remember that your mom may not recognize these signs, so you need to be compassionate in your approach.

Many caregivers focus on others at their own expense. Your role is to help her feel empowered and embrace her role in a more productive way. Here are some suggestions to accomplish that: • Help her identify what she likes the most and the least about caregiving and her daily tasks. Start with one thing on her least list, and solicit help in that area first. It may be someone coming in to bathe dad once a week, or someone to come in and do meal prep.

• Ask her to agree to lunch out with her friends, or a golf game, once a month. Set this up on a calendar and get a family member, friend or paid caregiver to be at the house with dad, so she will not have to worry. Once she has had a good experience, these outings could be increased.

• Make sure she is seeing her physician routinely and doing basic preventive care.

• Create a book of local resources, services and providers she can call on as needed. Offer to help her explore these options and meet with them to get more information on what support they can offer.

• Encourage her to journal as a way to express her own feelings out in a way that feels safe and private.

• Discuss the benefits of some type of exercise or meditation to keep her physical and mental health in balance. Remind her that to be a sustainable caregiver, she must make intentional choices to care for herself. Introducing something new may feel overwhelming, so look for a family member or friend who can do this with her.

• Locate and attend a support group in your area, encourage her to do the same.

• Talk to a professional who can help her navigate both the day to day and the long game plan. There is a nationwide database available on www.AgingLifeCare.org

This caregiving journey your family is on can be very difficult. Understand that it is a process, and accepting help can be difficult. Change can cause fear, and you need to counter that with empowerment and planning. Take small steps to make for an easier journey for both you and your parents.

Readers may send questions to Natt, an Aging Life Care ProfessionalTM, certified senior advisor and CEO of Aging Outreach Services. She can be reached at amyn@agingoutreachservices.com .

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Osteopathy: A Holistic Approach

by Michelle Goetzl

A

t some point in scheduling medical appointments, you may have come across a doctor with the credentials DO after their name, rather than MD, and wondered what it meant.

There are two kinds of practicing physicians in the United States: allopathic physicians (MDs) and osteopathic physicians (DOs). Both are fully licensed, trained in diagnosing and treating illnesses and disorders, as well as providing preventive care. However, the root of how they look at patient care is often different.

Osteopathic medicine was founded in the late 1800s in Kirksville, Missouri, by Dr. Andrew Still, a medical doctor who recognized that the medical practices of his day often caused more harm than good—whether treating with toxic “medicines” or utilizing procedures, such as bloodletting.

Dr. Still was concerned that doctors were only treating the effects of a disease rather than the cause.

Dr. Still studied the attributes of good health to better understand disease and came to the conclusion that the body had an innate ability to heal itself. He focused on developing a school of medical care that emphasized preventive care and the integration of the body’s systems and called this system of medicine osteopathy, now known as osteopathic medicine.

In the 21st century, the training of osteopathic medical physicians in the U.S. is equivalent to the training of doctors of medicine. Osteopathic medical physicians attend four years of medical school followed by an internship and a minimum two years of residency. They use all conventional methods of diagnosis and treatment.

In addition to the typical subjects that all medical students learn, osteopathic medical students also

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take approximately 200 hours of training in the art of osteopathic manipulative treatment.

As the American Osteopathic Association explains, students “receive extra training in the musculoskeletal system, which is the body’s interconnected system of nerves, muscles and bones. DOs use this knowledge to perform osteopathic manipulative treatment, a series of hands-on techniques used to help diagnose illness or injury and facilitate the body’s natural tendency toward self-healing.”

The difference comes in how osteopaths tend to view the patients. Doctors of osteopathic medicine are trained to partner with patients to help them get healthy and stay well. Rather than treating specific symptoms, osteopathic physicians tend to practice a “whole person” or holistic approach to medicine. There is a strong focus on preventive care, and DOs often encourage their patients to develop healthy attitudes and lifestyles that help fight illness and prevent it. There is a stronger focus on alternative therapies, holistic medicine and disease prevention.

The osteopathic medical profession has a solid history in training primary care practitioners, from the pediatrician your children or grandchild sees, to the primary care doctor you visit or the hospitalist making rounds at the hospital. There are thousands of DOs who work in all medical specialties in hospitals and clinics across the country. It is highly possible that the doctor you saw in the emergency room or at a local clinic was actually a DO instead of a MD. At the end of the day, all doctors follow the same guideline of wanting to help their patients and see them live long, full lives.

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life

R E G I O N A L C U LT U R E

The Comforts of Divinely Inspired Food

by Ray Linville

T

he Sandhills and the central Piedmont are so popular in the fall. Who doesn’t enjoy a brisk walk, a bike ride, a round of golf, or horseback riding in October in our area?

To me, those activities are great, but they don’t feed my soul or my stomach. What does? Church suppers that are popping up now at many rural crossroads to celebrate traditions related to harvest time.

As you drive by a red-brick or a white-frame church in a small community, look for a sign or banner recycled from previous years that says “Harvest Supper and Auction.”

Sometimes, the banners focus on the menu, such as “Fall BBQ Dinner” or “Chicken Stew,” which hasn’t been changed in decades as new generations of volunteers take over from parents and grandparents.

If you’re lucky, you can find a church that celebrates the fall with both barbecue and chicken. You can pick one or the other; if you smile kindly at the volunteer dishing up the plates, sometimes, you can get both.

Although I love barbecue, when I’m at a church supper, I confess that chicken stew, chicken and dumplings, chicken pastry, whatever they call it, is much more divinely inspired. Sometimes, I’ve even skipped the barbecue and asked for two helpings of the chicken dish.

Most dinners are served on paper plates that remind you of having lunch in elementary school—the ones with three sections. The large section allows an ample serving of barbecue or chicken (or both). The two small sections are for sides, typically cole slaw and a vegetable. (This is not a broccoli crowd so don’t worry).

Fair warning: Don’t show up late, such as 15 minutes before a supper ends. All the good desserts will have been taken.

Usually on folding tables along a side wall, individual servings of the best homemade pies and cakes are ready

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for the taking. Yellow cake with chocolate icing, pound cake (with no icing), and sweet potato pie seem to be everywhere in October. (I never take two, although I have watched more than one person saunter to the tables as if she hadn’t been there before.)

Sometimes I go to the dessert tables first and find my favorite before entering the serving line for the “main” food (and I’m not the only one who does). After all, after eating barbecue or chicken, who wants a cake with pink icing (usually all that’s available after the best desserts have been taken)?

A few churches also sell whole pies and cakes, and some are auctioned off during the dinner. It’s interesting to watch the bidding frenzy when a matriarch’s sevenlayer cake is put up for sale. No self-respecting grandson is going to let another family member outbid him and garner her special attention over the next few weeks.

Want recommendations? Cypress Presbyterian in Cameron, Mt. Pleasant Christian in Lobelia, Vass United Methodist, White Hill Presbyterian near Tramway, Center United Methodist near Sanford, Culdee Presbyterian in Eastwood, Bells Baptist near Jordan Lake and Priest Hill Presbyterian near Carthage.

Napoleon once remarked that “an army marches on its stomach.” In October, I travel on my stomach, and I don’t venture too far from home. My destination each Saturday is a church that celebrates the fall with tasty chicken or slow-cooked barbecue.

Linville writes about local connections to Southern food, history and culture. He can be reached at linville910@gmail.com .

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health

B R A I N H E A LT H

3 Ways to Increase Your Cognitive Reserve

by Karen D. Sullivan, PhD, ABPP

C

ognitive reserve is an important multi-dimensional concept that is beneficial to understand for preserving the health of your brain for as long as possible. It provides the best chance for fighting back against normal brain aging and ageassociated brain disorders, like dementia.

Cognitive reserve is an evidence-based idea proposed by Columbia University neuropsychologist Dr. Yaakov Stern in the mid 1990s. It was inspired by a series of autopsy studies that revealed advanced pathological symptoms of Alzheimer’s disease (amyloid plaques and neurofibrillary tangles) in the brains of some subjects who did not show symptoms of the disease in real life. Researchers initially thought this was due to a type of physical brain reserve after realizing that the people had larger brains than their counterparts. This was based on the assumption that they had more brain cells to lose and could, therefore, tolerate more brain disease before they showed the effects in life.

Stern agreed with the study findings but took his explanation to the next level when he stated that the real contribution was a process of active compensation due to stronger brain cell connections. He called his theory cognitive reserve. Stern and other brain researchers spent the last few decades studying what life experiences make the biggest contributions to cognitive reserve.

Some highlights of their findings include: • It’s all about an enriched environment. The most important thing to understand about cognitive reserve is that it is a result of many types of brain-friendly activities, including physical activity, new and complex learning, social interaction and diet. Relying on one intervention for brain health, like one brain game or a single supplement, is one of the fundamental errors of the majority of brain health products on the market today. Science tells us that healthy brains result from enrichment in all aspects of health.

Enriched environments are defined as those offering increased opportunities for physical activity, learning, and social interaction. It is thought that these experiences encourage the growth of new brain cells and their connections, a process called neurogenesis, that allows for multiple “back up” systems for thinking, problemsolving and memory.

• The almighty exercise: The influence of aerobic exercise on cognitive reserve is impressive.

Cardiovascular fitness is associated with lower rates of age-related decline in brain volume, particularly in the gray matter of the brain. In one study of cognitively normal older adults, those who exercised three or more times per week were more likely to not develop dementia during the next six years, independent of other risk factors for dementia. Walking more than 72 blocks (3.6 miles) per week was the minimum determined for safeguard against age-related brain changes in another study.

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• It’s never too late to make a deposit in your cognitive reserve.

Population-based studies have suggested that early exposures to enriched environments, including educational and occupational achievement, provide the most robust effects, but leisure activities in older adulthood can also increase this reserve. Research subjects with high engagement in leisure activities had 38 percent less risk of developing dementia in a 2001 study. Reading, visiting friends or relatives, going to movies or restaurants, and walking for pleasure or going out in the community for social events were most strongly associated with a reduced risk of dementia.

Consider these three ways to increase your cognitive reserve:

1

Know that YOU can make a difference in your brain health: It’s never too late to stimulate your brain and build cognitive reserve.

Science tells us this is a powerful tool in helping prevent cognitive decline, reducing the risk of developing dementia and keeping us living a life of the highest quality. Remember, it is cumulative behavior change across all aspects of health (physical, cognitive and social) that contribute to cognitive reserve.

Science tells us that enriched environments result in the strongest brains, so say yes to new and stimulating experiences. Even if you won’t be totally successful at the task, there is brain-value in trying!

2

Mix up your exercise routine. It is thought that a single type of exercise is not as brain-beneficial as a diverse aerobic program that builds aerobic fitness, muscular strength, balance training and increased flexibility.

A recent study investigated the effects of a two-day per week multicomponent exercise program that combined aerobic, strength and balance training in older adults with mild cognitive impairment showed improved memory and maintenance of brain matter compared with the control group.

3

Re-visit an old hobby. This is thought to be particularly beneficial for strengthening the brain later in life, as you are building on established brain networks that are just waiting to be awakened. After you re-establish your basic skills, keep pushing yourself to advance to the next level of mastery.

Bit by bit, your brain will get stronger and stronger.

A word of caution: If you or someone you know has been diagnosed with dementia, please do not think it is because there is a lack of cognitive reserve.

The expression of dementia is based on a complex interaction between genetic and lifestyle factors that are unique to each person. There are many people who will develop dementia, no matter what they do or how smart they are, because their genetic predisposition is so strong.

Dr. Sullivan, a board-certified, clinical neuropsychologist at Pinehurst Neuropsychology and creator of the I CARE FOR YOUR BRAIN program, can be reached at 910-4208041, or by visiting www.pinehurstneuropsychology.com or www.icfyb.com .

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life

THE READER’S NOOK

“The Stolen Marriage” and “Blue” Book Review by Michelle Goetzl

I

n Diane Chamberlain’s latest novel, “The Stolen Marriage,” a series of unfortunate events leads Tess DeMello to end her engagement to her childhood sweetheart and enter into a strange and loveless marriage with an enigmatic man. In trademark Chamberlain style, the novel has characters whose secrets get in the way of their ability to live their lives but manage to untangle themselves by the end.

There are two stories being told in “The Stolen Marriage.”

The first focuses on the characters. Young Tess DeMello lives in Baltimore in the Little Italy neighborhood. She has dreams of being a nurse and marrying her childhood sweetheart who plans to be a pediatrician. While Vincent is off in Chicago fighting the polio epidemic, Tess begins to fear that he isn’t coming back to her.

Too much alcohol, bad judgment and bad luck change her life forever. Tess marries Henry Kraft and moves to Hickory, North Carolina. Knowing that Henry’s mother and sister do not approve of her, Tess struggles to understand her new husband and his lack of emotion.

At the same time, in Southern Gothic style, Chamberlain tells readers a story of the South in the 1940s when the polio epidemic came to Hickory. Chamberlain paints the picture of the powerful racial tensions permeating the South.

Chamberlain manages to lure the reader in with her ever unfolding story and with characters who tug on your heartstrings. Learning about the history of Hickory and truly contemplating the cultural, religious, and ethical restrictions that people lived with 75 years ago was impressive.

For another look at the polio epidemic that hit Hickory, consider the book “Blue,” by Joyce Moyer Hostetter. This novel is an outstanding look at the epidemic and at race relations from the eyes of a 13-year-old girl.

When protagonist Ann Fay’s father goes off to fight in World War II, she is left as the “man of the house” to take care of her mother, two younger sisters and a younger brother. While her father is away, her hometown gets severely hit by polio and her home is not spared.

Hostetter uses her work as a way to inform young readers about a disease that we no longer have to deal with, aptly illustrating what iron lungs were like and how families had to deal with quarantines. Hostetter also manages to look at segregation from a child’s perspective. If you want to open up an interesting conversation about history with a child, “Blue” is a great start.

Goetzl writes an online blog—“Books My Kids Read.” She loves books and sharing that love of reading with children. She can be reached at booksmykidsread@gmail.com .

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advice

L AW R E V I E W

The Importance of Choosing Beneficiaries

by Tyler Chriscoe

I

f you have a 401(k) or an IRA, then you have come across “beneficiary designations,” even if you didn’t realize it.

There are places on the paperwork for you to list who the beneficiaries will be and what percentage you wish them to receive after your death. The secondary or contingent beneficiary takes it, if the primary beneficiary is unable to do so, such as if the primary beneficiary has already died.

IRAs and 401(k)s are often referred to as non-probate assets. This means they operate outside of the probate estate, separately from your will. In effect, these operate as “little wills.”

Focus on Both Primary and Secondary Beneficiaries Each of these non-probate assets provides beneficiary designation forms for you to fill out stating who you want the primary and secondary beneficiary to be. Unfortunately, it is common for spouses to put each other as the primary beneficiary but leave the secondary beneficiary line blank.

It is crucial for you to fill out both primary and secondary beneficiaries. Also, it is a good idea to request current beneficiary designation information every five years.

Adverse Tax Consequences If you fail to make a proper beneficiary designation on a 401(k) or an IRA, then by law, the proceeds go into the decedent’s estate and become a taxable probate asset.

For example, imagine each spouse lists the other as the

primary beneficiary but leave the secondary beneficiary line blank. When the first spouse dies, the proceeds will go to the survivor spouse. However, if the second spouse’s beneficiary designation remains unchanged, then upon the second spouse’s death, there will be no beneficiary who can receive the proceeds. Therefore, the proceeds will go to that spouse’s estate. Once it goes into the estate, then it faces serious tax consequences and will be taxed as ordinary income. You do not want to accidentally leave your loved ones with a high tax bill.

What You Should Do Now It is crucial to take the time to make sure that you have proper beneficiary designations. Every estate planner should ask you about these during a conference. The best course of action is for you to take time before you visit your estate planner to obtain current beneficiary designations and make copies of them to show your estate planner that you have properly filled out the paperwork. Beneficiary designations are as vital as anything else in your estate plan.

Protect your family by not overlooking your designations.

Chriscoe, an attorney with Robert S. Thompson, PA in Southern Pines, can be reached at 910-692-2244.

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Enjoy upscale food stations showcasing local restaurants and premiere Pinehurst chefs presenting signature dishes, hors d’oeuvres and desserts.

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W O M E N ’ S H E A LT H

Love, Laugh...Leak?

October is Pelvic Organ Prolapse Awareness Month

by Janet Harris-Hicks, MD, FACOG, FPMRS

M

illions of women suffer with urinary and fecal incontinence, as well as pelvic organ prolapse.

Women often endure their problem in silence, allowing the issue to compromise their quality of life. It is estimated that less than 30 percent of women actually seek treatment, because they feel uncomfortable or embarrassed.

A woman’s pelvic floor is made up of a support system that includes muscles, ligaments, connective tissue and nerves. This system is bowl-shaped and functions to support the bladder, uterus, vagina and rectum while allowing these organs to properly function.

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According to a study funded by the National Institutes of Health (NIH), nearly 25 percent of all women face pelvic floor disorders (PFD). PFDs affect women of all ages. The same NIH study found that PFDs affect: • 10 percent of women between the ages of 20 and 39 • 27 percent of women between the ages of 40 and 59 • 37 percent of women between the ages of 60 and 79 • Nearly 50 percent of women age 80 and older

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When any component of the pelvic floor support system is weakened, pelvic floor disorders occur. Common life occurrences such as childbearing, heavy lifting and common health conditions, such as obesity, hypertension and diabetes can weaken the pelvic floor support system and result in any of three types of disorders: Urinary incontinence (lack of bladder control), fecal incontinence (lack of bowel control) and pelvic organ prolapse, a condition in which the uterus, bladder or bowel may “drop” into the vagina and cause pain, pelvic pressure or bulging or even result in these organs protruding outside of the body.

Symptoms of PFDs include an urgent need to urinate; leaking of urine with laughing, coughing or sneezing; sensations of incomplete bladder emptying; painful urination; constipation or straining during bowel movements; pressure or pain in the vagina and rectum; or a heavy feeling in the pelvis.

Though the incidence of PFD increases with age, it is neither a normal nor an acceptable part of aging. Although these issues significantly affect the quality of life in women, many treatment options are available to restore proper function and allow women to return to a healthy, productive lifestyle.

Options of intervention include mechanical support of dropped organs with devices called pessaries. Pessaries are made of silicone and can be inserted into the vagina to provide support to the bladder and rectum. Physical therapy with a certified pelvic floor physical therapist can isolate weakened pelvic floor muscles and strengthen them so that episodes of urinary and fecal incontinence are lessened.

Surgical options also exist that allow for reconstruction of pelvic organ prolapse and support of the urethra to correct certain types of urinary incontinence. These procedures are typically performed by a specialized surgeon certified in female pelvic medicine and reconstructive surgery (urogynecologist), but may also include specialists in urology, colorectal surgery or plastic surgery.

If you have a pelvic health issue, do not hesitate to learn more about your treatment options. The American Urogynecology Association, www.augs.org, is an excellent source of information and also provides women with a searchable list of board-certified, female pelvic medicine and reconstructive surgery physicians by geographic location.

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Dr. Harris-Hicks focuses on providing care and treatments for urinary and fecal incontinence, pelvic organ prolapse, overactive bladder, painful bladder syndrome and chronic pelvic pain. She is also part of the Clinical Trials team at FirstHealth of the Carolinas.

Board certified in Female Pelvic Medicine and Reconstructive Surgery and OB/GYN at FirstHealth Urogynecology in Hamlet, and she can be reached at 910-205-8909 or by visiting www.firsthealth.org .

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advice

PLANNNING AHEAD

Taking a Hard Look at Long-Term Care Insurance

by Tim Hicks, RICP®, APMA®

F

or many of us, buying insurance to cover your home, car and health is standard practice. But longterm care insurance is a mystery for many, even though it offers important financial protection against some of life’s uncertainties.

The goal of long-term care (LTC) insurance is to protect the policy owner from footing the entire bill of an extended stay in a healthcare facility, such as a nursing home or rehabilitation center.

Because there’s no telling whether you will need longterm care in the future, and the costs can run very high if you do, it’s worth your while to learn about your long-term care insurance options and make an informed decision.

It’s possible that at some point later in life you may need specialized care. For example, as you get older, your physician may discharge you to a nursing home following a hospitalization for surgery or illness. Fortunately, Medicare will cover qualified stays up to 100 days.

Sometimes, however, deteriorating mental or physical health caused by an accident, illness or dementia will lead to an extended stay in a nursing home or ongoing in-home nursing care. When this happens, even families that are in a good financial position may need to balance the expense of long-term care with their other priorities.

While Medicaid will cover long-term care costs after 100 days, this federal program requires individuals to first deplete their personal savings, among other

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qualifications. For this reason, even individuals who are financially comfortable may want to carefully consider long-term care insurance.

Here are some factors to think about as you consider long-term care insurance: • Your age and health may affect your eligibility.

Purchasing a policy when you’re relatively young and healthy may mean more years of payments, but it also helps you lock in a benefit that may not be available when you’re older or in the event you experience a health issue. The cost of a policy tends to increase with age, particularly after age 60 when health problems start to become more common. If you have a pre-existing condition, or a family history of one, you may not be eligible to purchase certain policies.

Carefully review the fine print to see if any conditions are excluded from coverage.

• Long-term care insurance policies come in many forms—from barebones to all the bells and whistles.

Price is only one factor to consider. Compare components of the policies side-by-side to see which plan may make sense for you. Evaluate facilities and programs in your area so that you can match your service expectations with what various policies may cover.

• Most plans are tied to the need for assistance with a pre-determined number of activities of daily living (ADLs) such as dressing, showering and eating. You will pay more if you want a policy that requires fewer concurrent ADLs to trigger benefits.

• Consider nursing home costs in your area to determine whether you want to buy coverage on the higher or lower end of the spectrum. Choose a daily benefit—or the amount of expenses covered each day—you can live with, as you will be expected to make up the difference.

• Most plans have an elimination period, which is the amount of time that must elapse before your insurance covers the bill. This “gap” in benefits ranges from 30 to 180 days. You are responsible for 100 percent of the costs before your benefits begin.

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• Inflation protection is a common plan rider that can help offset rising costs of care by increasing your eligible lifetime benefits under the plan. It’s worth considering if you can afford the cost of a more generous lifetime limit.

Your financial advisor can help you calculate whether your projected future income and assets can withstand the cost of long-term care if the need arises.

If there’s any doubt, a long-term care insurance policy may make sense.

Together you can review your options and choose a plan that helps you meet your long-term goals for financial security.

Hicks, an RICP®, APMA® and financial advisor with Ameriprise Financial Services, Inc. in Southern Pines, can be reached at tim.hicks@ampf.com or 910-692-5917.

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Directions

Use a non-aluminum pan. Preheat oven to 350 degrees. Cut cabbage into thin slices, and set aside. Melt butter in a large, heavy oven-proof pot over medium heat. Add the cranberries and cook for 2 minutes, or until they begin to soften, stirring.

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A

lternative medicine is a term that conjures up a lot of differing images. For some, it is one of relaxation and peaceful meditation. For others, there is the less positive image of a snake oil salesman.

When thought of as a partner or complement to Western medicine, some non-traditional practices can really make a difference in quality of life.

Growing numbers of people of all ages are seeking out alternate therapies to treat medical conditions, manage side effects of traditional therapies and relieve pain.

According to the Centers for Disease Control and Prevention, 36 percent of adults in the United States use some form of complementary or alternative medicine (CAM) therapy.

Utilizing alternative and more holistic medical practices is not as widespread in the United States as it is in many other countries, but that trend is changing. “We are only beginning to realize its value and how well it can complement Western medicine. It’s cost effective, there are relatively no side effects and it is used for a variety of conditions,� says Susan McKibben, LAc, Dipl Ac, a licensed acupuncturist in Southern Pines.

Consider these five different complementary therapies and the benefits each can provide:

A Complement To Your Health

by Michelle Goetzl Photography by Diana Matthews & Mollie Tobias

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MASSAGE: The Power of Touch Massage is one of the most popular and well-known treatments that can be considered alternative. While many people consider massage a great treatment to have at the spa while on vacation, there are many health benefits to receiving a massage on a regular basis from a qualified practitioner.

One important benefit of massage is improved circulation. As we age, it is harder for blood to circulate throughout the body, especially to your feet and legs. There are many things that contribute to poor circulation, from diabetes and smoking to a sedentary lifestyle. Fortunately, massage is well documented to improve circulation, which leads to better skin tone and skin integrity, and aids in keeping your hands and feet from always feeling cold.

Improved circulation can also keep you healthier.

Healthy skin is better able to fight off bacteria and infection. When your heart pumps at full force, your heart rate lowers, heart muscles relax and your blood pressure flows evenly and smoothly.

With massage, too, there is the power of touch.

“We talk about touch as a need,” says Samantha Allen, program coordinator and a professor of the therapeutic massage program at Sandhills Community College in Pinehurst. “When we don't get touched, our behavior changes and those in isolation may become depressed.

For all of us, there are periods of isolation. Massage is one great way to help decrease the effect of that isolation.”

Massage also produces and regulates neurohormones.

“Massage tends to elevate the levels of dopamine, a neurohormone released by the hypothalamus that affects intuition, inspiration, joy and enthusiasm, and influences fine motor activity like painting or playing a musical instrument,” says Donna Johnson, LMBT, MMP, owner of Utopia Spa in Aberdeen.

Additionally, massage reduces levels of cortisol, the stress hormone.

“When you are in a stressed state," she adds, "massage can really be a calming experience.”

Johnson has such a passion about working with older adults that she has created a unique program of therapeutic lifestyle care. She focuses not only on fullbody massage but also foot and facial massage.

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Foot massage treatments can have a positive effect on overall wellness, pain management of arthritis in the ankles and feet, plantar fasciitis, diabetes-related foot problems, and improved balance and walking.

Research backs up the power of massage. The American Massage Therapy Association has conducted studies and gathered medical research about the effectiveness of regularly receiving massage. Studies show that massage promotes relaxation and stability while helping temper the effects of dementia, high blood pressure and osteoarthritis. Studies have even shown that brief massage can reduce agitation in people living with dementia, most likely relating back to the sheer power of touch.

“When people regularly get body work," Allen says, "their health doesn't deteriorate as quickly, and they can maintain their daily activities longer."

CHIROPRACTIC: Staying Aligned As we age, one thing that we notice is that our bodies tend to get less flexible. Maintaining flexibility is essential for retaining the ability to complete everyday tasks. Exercise and yoga can certainly help, but when pain makes moving difficult, chiropractic care is another complementary therapy.

Aches and pains are signs that your body is not working correctly. The field of chiropractic medicine revolves around this idea and understanding that the body has the ability to take care of and heal itself. Chiropractors are trained to find joint restrictions, called subluxations, and apply a precise force to help the body right itself.

“A subluxated spine is much like a misaligned wheel on an automobile,” says Dr. Vic Naumov, DC, of New Milford, New Jersey. “This misalignment causes the spine and the wheel to wear out prematurely. Since all moving parts eventually wear down over time, it is very important to get your spine aligned periodically.

Chiropractic care decreases spinal degeneration and other arthritic changes by normalizing the spinal alignment and reducing spinal stress.”

Chiropractors use a variety of methods to help the healing process, from traditional manual manipulation to more state of the art techniques with modern technology. They employ manual manipulation, but many chiropractors are now also utilizing computerized systems to help them evaluate exactly where the spine needs adjustment and to apply the needed pressure.

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One such option is the Sigma Instrument, utilized by Dr. Joseph Wahl, DC, of Southern Pines Chiropractic.

The Sigma evaluates very small spinal motion abnormalities and lets Dr. Wahl know exactly how much low-force pressure is necessary for the involved segments. During the treatment mode, the Sigma constantly analyzes the back's response.

Similarly, Dr. Sharon Wright, DC, MCS-P, of Wright Chiropractic Clinic in Seven Lakes uses the Pressure Wave system, which sends strong energy pulses into the joint itself and into the deep muscles behind the joint.

The force created by these pulses penetrates tissue and stimulates the cells in the body that are responsible for bone and connective tissue healing.

Pain is often what initially brings a person to a chiropractor, but the very nature of chiropractic medicine is to look at the whole body.

“The body is a perfect system,” says Celia Wahl, office manager of Southern Pines Chiropractic. “If we move well, eat well and think well, we can achieve optimum health.”

ACUPUNCTURE: Balancing Qi

Whereas massage and chiropractic focus on both wellness and specific ailments, acupuncture mainly emphasizes pain management. Acupuncture is a holistic health technique that stems from traditional Chinese medicine practices, in which trained practitioners stimulate specific points on the body by inserting thin needles into the skin.

Acupuncture stems from the Chinese concept of qi (chi). Qi literally translates as “breath” or “air,” but it's looked at more as your vital life force or energy flow.

In traditional Chinese medicine, symptoms of various illnesses are believed to be the product of disrupted, blocked or unbalanced qi movement through the body.

“When qi is balanced and flowing freely, the body’s natural self healing abilities are activated,” says McKibben, as she begins the process with a patient.

“This encourages internal stability and harmony, allowing health and a general good feeling of well being. This is where acupuncture needles come in. We use [the needles] to coax the energy back into balance by increasing the available energy to certain areas and dispersing others.”

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Acupuncture has been utilized in the United States for a long time, but has definitely gained popularity in recent years. Of all of the forms of alternative or complementary health options, it is the one that has been studied the most. The National Institutes of Health views acupuncture to be “generally considered safe when performed by an experienced, well-trained practitioner using sterile needles.”

“Acupuncture is especially good for pain management, a general feeling of low energy and for issues that require an immune response or calming the immune system, such as auto-immune disease or chronic fatigue,” Allen says.

The most prevalent conditions McKibben encounters with clients are low back, neck, shoulder, knee and

results have emerged showing efficacy of acupuncture in adult postoperative and chemotherapy nausea and vomiting, and in postoperative dental pain. There are other situations such as addiction, stroke rehabilitation, headache, menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, osteoarthritis, low back pain, carpal tunnel syndrome and asthma, in which acupuncture may be useful as an adjunct treatment.”

Advances in the practice of acupuncture continue, such as the notion of scalp and neuro-acupuncture.

According to Allen, there is research in China on utilizing acupuncture post-stroke, and also research at the University of Maryland School of Medicine on the effectiveness of acupuncture on Parkinson’s disease.

REIKI: Hands-On Therapy

sciatic-related pain, as well as hypothyroidism, gastrointestinal conditions, autoimmune disorders, migraines, depression, anxiety and post traumatic stress.

However, acupuncture is not a stand-alone treatment.

Susan Gordon, a retired nurse, recalls how her sister used acupuncture to help her deal with the side effects of her chemotherapy treatments.

“She had no sickness and no nausea after her acupuncture,” Gordon says.

“We are not treating cancer, we are treating the side effects,” Allen adds, “and acupuncture has been highly effective in terms of treating those side effects.”

Research done by the U.S. Department of Health and Human Services backs that testimony, stating “promising

Like acupuncture, Reiki looks at the body as a container for a life force of energy that moves through and around us. Reiki is a Japanese healing technique for stress reduction as well as physical, mental and spiritual healing. It can be administered by the laying on or off of hands. When your energy is low through illness, injury, stress or emotional dissatisfaction, then we are more likely to become sick or feel more stressed. When the energy is high, we are more capable of feeling happy and healthy.

“Our life force is responsive to thoughts and feelings,” says Lisa Medlin, Holy Fire II Karuna Reiki Master and owner of Reiki for You in Aberdeen. “It becomes disrupted when we accept, either consciously or unconsciously, negative thoughts and feelings.

These negative thoughts cause a disruption in the flow of life force, which diminishes the vital function of the organs and cells of our physical body.”

According to the International Association of Reiki Professionals, this therapy lessens muscle tension, stimulates circulation and soothes the nervous system.

It relieves pain from tight muscles, increases range of motion in arthritic or stiff joints and even improves coordination to reduce the risk for falls and fallrelated injuries. Reiki can speed healing from injuries and after surgery, ease breathing, boost vitality, and rejuvenate energy and mental alertness.

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While most of Western medicine is focused on specific symptoms and ailments, Reiki focuses more on overall healing by helping bring peace and calm to an individual.

More medical practitioners are seeing the importance of stress and mood on the ability to heal. Reported outcomes of Reiki treatments include a state of calm relaxation. Those with dementia can often have problems with agitation, so Reiki’s calming influence can be most effective.

Research on the effectiveness of Reiki is ongoing.

Medlin's practice is participating in a study by a postdoctoral research fellow at Harvard Medical School to discover the tangible benefits of Reiki sessions.

“The best way to understand Reiki,” Medlin says, “is to have a session and to feel the relief and release you receive.”

HYPNOTHERAPY: Empowerment Hypnotherapy is an alternative curative healing method that is used to create subconscious change in a person in the form of new responses, thoughts, attitude, behaviors or feelings by using verbal repetition and mental imagery

to induce a “trance-like state” of increased focus.

It’s typically described as feeling calm and relaxing and usually opens people up to the power of suggestion, according to the Mayo Clinic.

“Hypnosis is establishing communication with the subconscious mind and putting programs in there that empower a person to help achieve their goals,” says Tom Thompson, owner of the Awakened Heart Center. “When you get lost in a movie or a book, that is a form of hypnosis. The issue is having hypnosis work for us instead of against us.”

As we age, we have a lot of degenerative ailments that can plague us. Hypnotherapy can support and complement other parts of the recovery process. Most commonly, Thompson's clients are coping with cancer and the effects of their medical treatments.

jason.burgin@ncfbins.com www.ncfbins.com/moore-burgin/moorecountyoffice.html

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“Allopathic medicine is needed to get the cancer out of your body,” he says, “but hypnotherapy works to support the process.

Part of the job of our subconscious is to protect us, so to the subconscious, a lot of medical treatment is seen as invasion. You have to tell the subconscious mind what's going on and why to help it do its job instead of resisting. And then all of those treatments become more effective, and the recovery rate from the treatments improve.”

When visiting a hypnotherapist, Thompson emphasizes the importance of being clear about the reason for the therapy and to set the agenda, enabling the hypnotherapist to help get you to your desired destination.

While all of these complementary medicine practitioners encourage clients to continue seeing their medical doctors, there is a strong belief in the body’s natural ability to heal. There are times that we need to turn to medications, but there are also ways to help reduce and eliminate pain without drugs.

The best way to see if an alternative medicine is for you to give it a try.

“People around the world are recognizing the benefit of seeking an alternative to traditional medicine,” Dr. Wright says. They are looking for a way to achieve and maintain optimal health."

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CAROLINA CONVERSATIONS WITH Judson Theatre's "The Sunshine Boys" Actors DON MOST and ROBERT WUHL

by Carrie Frye

F

or the fall production of its sixth season, Judson Theatre Company brings two familiar faces to the Owens Auditorium stage with actors Don Most and Robert Wuhl for Neil Simon’s “The Sunshine Boys.” The show runs Oct. 19-22 at Sandhills Community College in Pinehurst. This comedy focuses on a long-time vaudeville duo of characters, Al Lewis and Willy Clark, who went their separate ways after working together for more than 40 years but come back together for an unanticipated reunion.

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Don Most, 64, makes his way to the Sandhills from southern California, resonating with “Happy Days” fans as his most notable character, Ralph Malph, from the 1970s sitcom. With a long career of screen and stage roles, Most also enjoys time behind the camera directing. However, his most recent project, “Donny Most Sings and Swings” has him in the role of entertainer, performing a variety of classic songs from the “Great American Songbook.”

Robert Wuhl, 66, is recognizable from stage, television and movies, throughout a storied list of roles from “Batman,”“Bull Durham” and “Good Morning Vietnam,” to HBO’s “Arliss.” Beginning his career in stand-up comedy, he brings his appreciation for the art of comedy to the role and his admiration for playwright Neil Simon. With his wife, two dogs and golf clubs, Wuhl will be making the trip from New York.

Catching up with Most and Wuhl as they ready for rehearsals, the actors share their development of their characters in “The Sunshine Boys,” and their mutual love for their craft.

ONC: What drew you both to the roles in “The Sunshine Boys?”

DM: I have never seen the actual play. I knew about it. I have seen parts of the film. Since it is Neil Simon, it is going to be very funny. With it being a two-character play, I knew it would be a lot of fun to do, and as an actor, I enjoy those kinds of plays, where it is two people on stage for the bulk of the show.

It’s all about great dialogue and character and acting. It presents some challenges, but I knew the pedigree of it. The other thing that attracted me was that Robert had already agreed to do the play. I really liked the idea of working with him. I have met him once or twice. I think the two of us are going to make a great team. The rapport, dynamics and chemistry for these roles are going to mesh really well.

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RW: I am very much looking forward to it. I am a golfer (laughs). When they first approached me, I was shocked, but I said yes, almost immediately, and I am looking forward to coming down there. I like what they are trying to do there with theater, so I am a supporter of that. I got a call from my agent to say there’s an offer for “The Sunshine Boys” for you to play Willy. Neil Simon has always been one of my heroes growing up. I’ve met him a few times. I saw “The Odd Couple” as a child. Neil Simon is Neil Simon, and to get an opportunity to do that is quite terrific.

What do you want to bring to your characters?

DM: I so far have purposely avoided watching the movie, because I didn’t want to be unduly influenced by George Burns' performance, and he won an Academy Award for that role. The thing is I was a big George Burns fan growing up, so I am sure on some subliminal level, he is going to enter my psyche. At this point, I have just been reading it a lot and going over the scenes, letting it sort of simmer, percolate and seep into me. When we get into rehearsing, we will be finding it a lot more so. There are certain things I can relate to. These two guys have worked together for a long time and were known for being this legendary comedy team in vaudeville, and now, getting back together again. I have some similar experiences. Way back on “Happy Days”—40 years ago—I worked with Anson Williams, who played “Potsie,” and we just did something together again a few years ago with a pilot for a TV show, which was a very different character thing.

A lot about these guys and performing are things I can certainly relate to. A lot of it feels very real to me.

RW: There’s a long shadow with Neil Simon. I am a generation behind him, but I grew up in the same East Coast concept as Neil Simon.

I grew up in surburbia New Jersey, and he was a Brooklyn kid, but still, it was the same New York rhythms he developed. I grew up in that world.

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So in learning the lines, of which there are many, it lends itself. I just keep reading it over and over again.

Being an actor who started in stand-up comedy, although I was never part of a comedy team, which is a whole different mindset, there’s always a fear that one is going to break apart, and can you go on without him? Like show business is pop culture, so as you age, the parts and choices become fewer, and you are always in fear of that. The play is a lot about aging. That’s something else, because my mother-in-law is going through dementia now, so I have dealt with that, which is something you think about as you get older. What’s interesting is that when George Burns and Walter Matthau did the movie, but the play is slightly different, the characters are supposed to be in their 70s, which I am not there, yet (laughs). However, —DON Walter Matthau was about 10 years younger than I am now when he did the part.

RW: No, other than the 10th anniversary of “Bull Durham.” I don’t play as much golf as I would like to, but that’s what you’ve got to do there, so I hope I can find the time.

How did you develop your love for acting, and do you have a preference for comedy or drama?

DM: I knew pretty young that acting was what I wanted to do. I actually started my pursuit of the arts with singing. I was going to a school in Manhattan where they taught singing, dancing and acting, and through that, I got picked to be in their professional review and got booked for clubs in the Catskill Mountains in the resort area in upstate New York. After that summer, I switched gears and enrolled in a more serious acting workshop, and that’s when I started really pursuing it and wound up getting a manager and going out on MOST auditions. I started doing a lot of commercials in New York City. I went to Lehigh University. My parents were supportive, but they knew how precarious that kind of career could be, so they wanted me to have a college degree and something more solid. That’s why I didn’t major in acting, and college was a backup. In the meantime, I was doing a lot of theater in college and working in the city. Then I went out to L.A. after my junior year in college for the summer to make some contacts and pursue acting.

"I was a big George Burns fan growing up, so I am sure on some subliminal level, he is going to enter my psyche."

Have either of you spent any time in North Carolina before, other than your “Bull Durham” days, Robert?

DM: I have been to North Carolina but not the Pinehurst area, so I am looking forward to coming there. I love golf, so I am hoping for some playing opportunities, too. This will be my first visit for work.

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At the end of the summer, the agent said I should take six months off from school, so that’s what I did. I was cast in another guest starring role and then got “Happy Days.” And it went on the air pretty quickly.

Do you have a greatest role or one that resonates with you throughout your careers?

DM: Ralph (“Happy Days”) is obviously the one I am most known for because of the success of the show and on and on in reruns. It is probably not my favorite role. I enjoyed the development and evolution of it.

RW: You are really always doing drama. Drama is Then it changed, and I didn’t feel it was growing as comedy and tragedy so you are playing both. I think one much. It is certainly a highlight of my career, but I of the most misused phrases in the English language had many roles I have enjoyed doing more. In some is sense of humor, in the sense that you cannot feel it, plays, most of what I was cast touch it, taste it, hear it or see in before “Happy Days” was it, and that’s what professionals dramatic work. I just landed a do, they find the humor. There’s comedy and got well known for an appreciation of humor. I’ve it. One of my favorite roles as been fortunate to make people an actor was in a play I did in laugh, and what’s better than Omaha, Nebraska, “Wait Until laughter. It’s something I take Dark,” which is a psychological seriously and play it seriously. thriller with a killer. That’s the With comedy, it’s a thing I part I got to play. It was a real have always enjoyed. I took challenge and something so drama classes, but I always different and very rewarding. I enjoyed the art form, because do love comedy though. I know .

I wanted to be a storyteller, to I am going to enjoy working do acting, writing, directing, with Robert. This play is heavy producing … I want to be part —ROBERT WUHL on the comedy, and the more I of that world as a storyteller, read it, the funnier it is. and you want to convey it, depending upon the part that RW: I have enjoyed every single thing I’ve done. I you are playing. I do love collaboration and working love the process and people. I have been fortunate to with other people. Writing is a very solo, frustrating work with very talented people: Barry Levinson, Jack art. Comedy depends on timing, and, sometimes, you Nicholson, Michael Keaton, Kevin Costner… There was don’t know what’s going to get a laugh. There’s little a little movie called “Mistress” that I did with Robert things you would have never thought would get a De Niro and the late Martin Landau. I enjoy them all, laugh, and when it does, you have to wait for that. By especially the whole HBO experience with “Arliss.” the fifth performance (of "The Sunshine Boys"), my timing will be perfect (laughs).

CONTINUED PAGE 42

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being up there with a big band, sometimes, 17 pieces. I usually do "Mac the Knife" as my encore. Bobby Darin was my guy, and incredible, so I usually close the show with it. There could be some more directing coming up, too. This play is good timing for me. I am feeling the drive to take on different roles now.

RW: I have two kids that travel with my wife and me a lot, and each has four paws.

Those are my kids, and they will be coming down there with us. They go everywhere with us. Other than that, I am everybody’s godfather, and I enjoy being that.

CONTINUED FROM PAGE 41

Do you prefer the stage to the screen, or does one medium appeal to you more?

DM: I really love doing it all. They have their own unique challenges, using different parts of your brain and muscle memory. I probably would pick acting and singing. Directing uses a different part of your brain to create a vision.

RW: No, they are different though. When you are doing stage, which I haven’t done a ton of, and when you are in an ensemble piece, the one thing that takes a unique discipline is doing the same thing every night over and over again and keeping it fresh without changing things.

You just have to give yourself over and trust that you are going to do the best job you can.

Can you share a little about balancing family life with the demands of your work schedule?

DM: My wife and I have two daughters, no grandkids, yet. I have been going back to singing and performing the "Great American Songbook." I love doing that. I love

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Do you have any specific goals for your Second 50?

DM: Definitely. One of the top ones is having a second career as an actor that will be close to the level of success that I had on “Happy Days” and having my best work ahead of me as an actor. I want to continue to direct and sing and record. I feel like my best work is yet to come.

RW: It is not a question to me of a real bucket list, per se.

There are a couple of mottos I have. One is, “Life is always better when the home team wins.” That pertains not only to sports, it pertains to family, it pertains to politics and it pertains to business. I also have always loved the line, “If you don’t pay for first-class, when you die, your kids will.”

So I urge people to enjoy life for themselves. You’ve earned it. I just want to continue to working on good projects with terrific people and be excited. There’s also that old line, “Make a plan, and God laughs.” You have to be willing to go with the flow and improvise. So right now, I am looking forward to North Carolina and doing the best job I can.

For more information, visit www.judsontheatre.com .

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The Healing Power of North Carolina Plants

by Jennifer Webster | Photography by Diana Matthews

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A

woodland stroll or visit to your garden may yield cures for a variety of ailments.

At least, that’s what North Carolina’s ancient inhabitants, native and settler alike, believed.

Cherokees used blackberries to soothe stomach aches. They burned mullein root and breathed in the smoke to treat asthma. And they used tea made of wild rose hips — which contain vitamin C — to prevent illness.

European pioneers into the Appalachians brought their own remedies and identified local ones. In one 18th-century account, an old mountain woman cures edema due to congestive heart failure with foxglove. She must have been exceptionally skilled getting the right dosage, because foxglove can be highly poisonous. Yet, this herbalist’s instincts and experience served her patient well — the plant does contain digitalis, now used to treat congestive heart failure and atrial fibrillation.

Sometimes, the settlers found the same plants they had left at home; for instance, St. John’s wort is found in both Europe and the eastern United States. The plant is sometimes used to treat anxiety and depression.

If you delve into local curatives, you’ll be stepping into a centuries-old tradition of using the healing powers of nature — but be wary. Many herbal remedies have not been scientifically tested. And some can be dangerous or even deadly. However, there are milder roads to plants’ power, too — herbs, for instance, that can be brewed into teas or stuffed into sachets to bring sweet dreams.

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Voices of Experience Susan McKibben, L.Ac. Dipl. Ac., is a licensed acupuncturist in Southern Pines who has also trained extensively in both western and eastern herbalism. She hopes one day to open a compounding pharmacy where she’ll draw on her expertise in Chinese and western herbs.

“Just like Chinese medicine [North American herbalism] reflects historical events and cultural diversity and how they have affected our health,” McKibben says. “North Carolina is a great place to grow herbs. Western North Carolina has some of the most diverse medicinal plants in the world. Many herbs grow wild and have been used historically for healing.”

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“North Carolina

is a great place to grow herbs."

—Susan McKibben 46

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"While not everyone enjoys getting their hands dirty in gardening, simply being outside in nature has healing powers."

—Amy Stidham

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However, McKibben urges caution. It’s important to seek out proper training before experimenting with herbal medicine. Laypeople may not know the proper doses, the possible interactions with prescription drugs, or the kinds of binding agents being used, she says.

Another herb expert, Amy Stidham, MS, therapeutic program manager with Cape Fear Botanical Garden in Fayetteville, has also extensive experience in botany and horticulture. Stidham regularly works with plants in use from colonial times until today. She believes in the restorative power of gardening and experiencing nature, as well as the specific medicinal uses of plants.

“While not everyone enjoys getting their hands dirty in gardening, simply being outside in nature has healing powers,” says Stidham, who also holds a bachelor’s in psychology. “Walking through the garden benefits our physical and mental well-being by expanding our perspective and helping us feel connected to the world.”

Carolina Favorites Whether you’re visiting a botanical garden or wandering through the woods, take a plant guide (either book or smartphone app) and see if you can locate any of these plants commonly thought to have healing powers: • Bee balm, also known as bergamot, “was used by Native Americans and Colonialists as a tea-infused respiratory remedy,” Stidham says. And it smells heavenly. Plant by your door for a lift to your spirits whenever you step outside.

• Echinacea, or purple coneflower, is said to boost the immune system. Flowers can be dried and made into a tea. However, the plant is listed as endangered, so grow your own rather than collecting from the woodland or roadside.

• Ginseng is one favorite in both east and west, and “is a tonic used for energy and vigor,” McKibben says.

“Historically, Cherokees used it to restore balance and harmony.” McKibben cautions that this plant should not be used by people who are pregnant, breast-feeding or diabetic.

• Goldenseal (orange root) can boost immunity against colds and asthma, McKibben says. Cautions: avoid this one if you’re pregnant or breast-feeding, or if you take prescription drugs.

• Dandelion is safe to nibble and pungent in a salad, as well as high in vitamins and useful. “Native Americans used it as a diuretic and to treat high blood pressure, and it’s also been used as a tonic,” McKibben says. “It’s been used for kidneys, urinary tract infections and liver ailments.”

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“Our fragrant and edible herbs and flowers, such as lavender, lemon balm, basil, rose and honeysuckle … have many sensory characteristics of smell, taste, touch and visual beauty,” Stidham says.

“They lend themselves to a variety of activities, including their cultivation, harvest for teas and cooking, and drying for creative nature art, as in pressed flowers or wreaths.

Using plants in this way provides a means to connect to individuals on many levels—physically, mentally, emotionally and socially— with the purpose of promoting an improved well-being.”

Herbs you may already be picking to sweeten your linen closet or flavor your tea have healing properties, too.

“There are a lot of herbs that can be grown in your own back yard,” McKibben says.

“Some favorites that are useful and easy to grow include lavender, chamomile, stinging nettle, Echinacea, all kinds of mints and, of course, herbs such as rosemary, thyme, basils and parsley all have enormous health benefits.”

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Time for Tea

S “

boiling water over the loose tea blend and let it settle out (especially fun for telling Halloween fortunes with your tea leaves). Mild teas can also be cold-brewed.

So you have a patch of mint in your flowerbed—what do you do eeds can be started with it? McKibben recommends right in a sunny window in drying and making teas with the winter or outside spring herbs. You can also create Create a through fall. Good plants infusions, stronger forms of tea to cultivate include sage, Healing Garden that may steep overnight. parsley, basil, comfrey, “There are many ways to “Cultivation of healing lemon verbena and mints." get the benefits from herbs,” plants can be done by seed, McKibben says. “You can also propagation or simply make them into tinctures, salves —Amy Stidham purchasing plants from a and essential oils.” garden center,” Stidham says.

To create an herb tea, Stidham “Seeds can be started right in a says, pick leaves that appeal to sunny window in the winter or outside spring through you—“lemon balm, basil, chamomile, lemongrass or fall. Good plants to cultivate include sage, parsley, mint, as suits your mood and taste.” basil, comfrey, lemon verbena and mints. These herbs Flowers as well as leaves can be included in the can be used in teas, soups, marinades, stews, baked tea blend. goods, sachets, soaps and wet compresses, all of which “Dry fresh, young tea leaves by laying them out on a have soothing and satisfying properties. Seeds of these screen or tray with a paper towel,” Stidham says. “Keep herbs can be used for fragrant spices, as well.” them in a dry, airy location for a week or two. When Stidham recommends keeping young plants moist, they’re completely dry, discard any leaves with signs of but not soggy. If you start your herb garden this spots or fungus. Put the leaves in an airtight container October, cover tender growth with a light cloth before and label them.” a freeze, then uncover during the day to let plants They’ll keep a year or more if kept cool and dark, enjoy the fall sunshine. Soon, you’ll have your own, she adds. When you’re ready to enjoy your tea blend, homegrown garden of healing plants and herbs. place leaves in diffuser and add hot water. Or, pour

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Honoring World War II veterans Series ÂŤÂť

DAN JONES

by Jonathan Scott Photography by Mollie Tobias

T

wenty two-year-old aircraft electric specialist Dan Jones had been looking forward to his three-day detached duty, a term the Air Force used for a brief vacation. There was not much opportunity for vacation in Saipan. It was basically a busy Air Force base surrounded by ocean on one side and rocky wilderness on the other.

In 1945, Saipan was a strategic point for the United States to launch airstrikes against Japan and had been won the previous year in a costly campaign. The Americans had lost 3,000 men while the Imperial Army of Japan ten times that, and the civilian casualties were uncountable.

From where he lived and worked in Saipan, Jones could see Tinian Island, just three miles across the water. His friend, Calvin Freeman, was stationed there. He and Freeman had grown up together in McColl, South Carolina, near the North Carolina border.

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Jones had been in training to become a flight engineer when the Air Force assigned him and several dozen other students to be part of ground crews. It had been a disappointment to Jones at the time, but he was still doing a vitally important job working on the new B-29 bombers. In fact, these cutting-edge planes had been kept so secret that Jones’ training in them was under high security.

Unfortunately, his pal Freeman had to work throughout that summer weekend, but Jones grabbed a ride in a transport plane to Tinian Island.

When he got there, he noticed someone on a ladder, painting letters on the nose of a shiny B-29.

It seemed like the least important thing to do on a B-29, compared to repairing temperature gauges or air speed indicators, or the other sort of things he did on a regular basis.

Sunday night, after Jones and Freeman had spent hours reminiscing about life in McColl, they went to grab some sleep. Freeman had to start work early the next morning. Sometime before 3 a.m., the two woke up from a flurry of noise and lights coming from somewhere in the North Field. Freeman told him that the North Field was under the command of the Twentieth Air Force XXI Bomber Command.

“Something’s going on along the south side of Runway D,” Freeman said. “It’s all lit up. Lots of flashing.”

“You think something’s wrong?” Jones asked.

“Looks like flash photography,” Freeman said.

“I don’t know why they would be taking pictures of those B-29s. They’re usually just used as reconnaissance.”

It wasn’t until the following afternoon that Jones had any idea what had been going on. Out of a sky patched with deep blue and white clouds, a B-29 landed back at the airfield. There were several hundred people gathered to see the plane that Jones had watched being painted the day before. Now, he could see the finished lettering. It read ENOLA GAY. It was August 6, 1945. The world’s first atomic bomb had just been dropped on Hiroshima. The war in the Pacific would soon be over, and Jones would be returning home.

Jones, married and had a career in electrical and general contracting. Now 94, he's been a resident of Lee County since 1964.

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5Oils Essential

to add to your Cupboard by Rachel Stewart Photography by Diana Matthews

U

sed for healing since the ancient days, essential oils are now more popular than ever and readily available at both upscale grocery stores and through direct sales. If you’re new to the world of essential oils, take a crash course in how they can help protect your health, as well as relax and energize you.

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1

Lavender for calming.

A well-known herb and fragrance, lavender oil is great for relieving tension and stress.

Add a few drops to a hot bath with Epsom salts or use an oil-based spray on your sheets before turning in for the night. You can also run a few drops on your temples to help relieve headaches.

Nikki Lienhard, an avid essential oils user, has found great value in the oils helping to control her headaches over the past two years.

“If you don’t have your health, you have nothing,” she says. “I am a big believer in supporting my wellness and by using essential oils, I have seen a huge improvement with my mind and body. I suffer from chronic migraines and keep a log of all my episodes and when I started to use my oil everyday I was truly impressed with the results.”

2

Frankincense for cleansing. Most often associated with biblical times, Frankincense is great at keeping both bacteria and viruses at bay. Keep a rollerball vial of Frankincense and rosemary oils on hand to disinfect your hands on the go, or add a few drops to a diffuser to keep your home germ-free during cold and flu season. This is also a great choice to heal rashes or bites.

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3

Orange for energy.

Quit reaching for that second cup of coffee, and try rolling on orange oil instead. Citrus-based scents like orange and lemon can provide a natural pick-me-up. Add a few drops in a diffuser to brighten your mood and remove strong odors.

Essential oil user Ann Condon loves using citrus oils to keep distractions at bay.

“I feel oils have really helped my focus and concentration,” she says.

“My mind is clear, and anyone over 60 understands how important that is.”

Take this oil from summer to fall by mixing it with cinnamon or nutmeg oils for a festive and cozy scent.

4

Tea tree for skin woes.

Dealing with redness, adult acne, or dandruff? Tea tree oil has great antibacterial and antifungal properties and can heal a variety of skin issues. Try dabbing a drop of oil on a pimple or rash to dry and heal it more quickly. Mix a couple of drops of tea tree oil into your shampoo to invigorate and cleanse your scalp.

5

Ylang Ylang oil for centering.

If you’re feeling out of sorts, Ylang Ylang oil can provide clarity with a light, clean floral fragrance.

“Ylang Ylang restores my emotional balance,” Lienhard says. “The fragrance is like a little piece of heaven for me. The calming and relaxing affect just centers me.”

You can use Ylang Ylang on its own as a perfume, or try adding a few drops to your morning shower to clear your head.

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Choosing the Right Accessories Essential oils can be used straight from their bottles, but a variety of accessories can help you tailor your usage to your needs.

• DIFFUSERS are available at a variety of price points and are great for use in the multiple rooms, such as the living area, bedroom and bathroom.

• GLASS ROLLERBALL VIALS are great for making custom mixed oils and taking them on the go. Many stores have started offering essential oils in this grab-and-go form.

• CLAY PENDANTS can allow you to carry the scent with you throughout the day without overwhelming others.

Uplifting and Easy-to-Make Homemade Cleaners Try mixing up a batch of one of these cleaners provided by Lienhard. She also recommends Young Living’s ready-made Thieves Household Cleaner for all-natural disinfecting and cleaning.

Window Cleaner • 1 cup white vinegar • 10 to 15 drops of lemon essential oil • distilled water Add all ingredients to a one-quart spray bottle, shake well, and spray.

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All-Purpose Cleaning Spray Add 1 drop of a blend of lemon, rosemary, clove, cinnamon and eucalyptus essential oil for each ounce of water to a spray bottle. Shake well before each use.

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OutreachNC.com 61

GREY MATTER See Grey Matter Puzzle Answers on Page 65

Actor Apples Branch Closes Could Count

Crawl Cycle Damaged Direct Dolls Dread

Drift Duties Editor Enough Exact Excuse

Fixed Furry Glove Great Green Greys

experience 33. Dress down 36. Palm berry 37. Large retail store 42. Archaeological site 43. Begin 44. Angioplasty target 47. “A Nightmare on ___ Street” 48. Computer monitor, for short 51. Cracker Jack bonus 52. Dealer in men’s furnishings 56. Justice Frankfurter 57. Go after 58. Daydreamer 63. Kuwaiti, e.g.

64. “Farewell, mon ami” 65. Trickster god 66. “Let’s ___” 67. Strips 68. Initial substance of universe 69. “Trick” joint

ACROSS 1. Hand warming device 5. Aquatic plant 9. Put to the test 14. Cantina cooker

62

15. 2:00 or 3:00 16. Batman’s sidekick 17. Brought into play 18. Robust (hyph.)

20. Charger 22. Agreeing (with)

OutreachNC.com | OCTOBER 2017

23. A spy 26. “It’s no ___!”

29. “... ___ he drove out of sight” 30. Bit 31. Depressing

Hadn’t Hopping Independence Knees Level Loser Magnet Needle Ocean Offering Pause Piled Pistol Quite Reads Recipe Relay Resolutions Results Sacks Season Seven Sneeze Stuff Stump Tears Tyres

11. ___-Wan Kenobi 12. Compete 13. Armageddon 19. 007 21. Block 24. Bakery buy 25. Monroe’s successor 26. So unusual as to be surprising 27. Brand, in a way 28. Ashtabula’s lake 32. Light bulb unit 33. BÍte noire 34. Golf ball support 35. “Come in!”

37. “Dang!”

38. Coin featuring Leonardo da Vinci’s Vitruvian Man 39. Compassion 40. “I ___ you!”

41. Poison plant 45. Kind of monkey 46. Its motto is “Lux et veritas” 48. Styx ferryman 49. Flea market deal 50. Stereo knob 53. Soft flour roll with DOWN onion and poppy seed 1. Pudding-like dessert 54. Glorify 2. Heavy overcoat 55. Predator 3. Rip off 4. Chemical dye remover 56. Feed 58. Drink from a dish 5. “Bingo!”

59. “___ to Billie Joe” 6. Court ploy 60. 20-20, e.g.

7. Soviet labor camp 8. Aggregate of qualities 61. Barely get, with “out” 62. Backboard 9. “Now!” 10. Harassed attachment

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OCTOBER 2017 |

www.Carolina-RTS.com

No Sub-

advice

CAREGIVING CAN MAKE LIFE CRAZY!

Consider Alternative Therapies for Stress Relief

by Mike Collins

G

ood morning, class! This morning, we’ll have a quick, easy, pop quiz. Put a check beside any of the following physical stresses you might be experiencing: • Back, shoulder or neck pain, muscle tension • Chest pain • Disturbed sleep • Fatigue • Headaches • High blood pressure, irregular heart beat or heart palpitations • Loss of hair • Periodontal disease, jaw pain • Perspiration • Reproductive problems/infertility • Sexual dysfunction/lack of libido • Skin disorders (hives, eczema, psoriasis, itching) • Stomach/digestive problems (upset stomach, cramps, heartburn, gas, irritable bowel syndrome, constipation, diarrhea) • Weakened immune system suppression: more colds, flu, infections • Weight fluctuation (gain or loss)

If you are a caregiver and checked any of the maladies on the list, it is highly likely they are related to the stress of caregiving.

Are you willing to try remedies that have proven effective for thousands of years? Therapies, such as massage, acupuncture and natural remedies, may be just what the doctor ordered to provide relief.

If you are of a certain age, which most of us who are caregivers are, you might be skeptical of the various types of alternative treatment. However, these methods are no longer exotic curiosities. In 1997, the U.S. Food and Drug Administration declared acupuncture needles as medical devices. The acceptance, popularity and professionalism of many of these methods has increased dramatically.

There’s an old saying that massage therapy is like pizza, there’s really no such thing as a bad massage. While that 64

OutreachNC.com | OCTOBER 2017

may not be true in all cases, there is a long list of reasons why you should explore bodywork. Life stresses cause many of us to tense our muscles—the fight or flight syndrome—in ways that can cause chronic pain.

I see a physical therapist every couple of weeks. I find the combination of massage and stretching, and the specialized exercises he suggests, keep me limber and decrease soreness.

A number of my friends swear by acupuncture. When I ask them if the insertion of the needles hurts, they consistently say, “No.” The treatment increases the body’s self-healing process. Most of the painful conditions on the list may be addressed with acupuncture.

Natural remedies have been used for as long as humans have walked the Earth. Do they work?

Pharmaceutical companies wouldn’t be studying plants, taking extracts of them, and patenting them as drugs if they didn’t. Ginger has been shown to have anti-cancer and anti-inflammatory benefits and helps regulate blood sugar. Lavender promotes sleep and relaxation, and is a pain reliever. Red yeast rice contains the active ingredient in statins, and willow tree bark contains the active ingredient in aspirin.

How do you know what might work for you? Ask your doctor, friends or family, and do your research. Expect appropriate licenses and professional certifications.

Communicate fully, clearly and honestly about your conditions. If the treatments work, great! If not, try something else.

In the vast majority of situations, relief is out there, you simply have to take responsibility for your health and keep trying!

Collins is the producer of the video, “Care for the Caregiver,” winner of a National Caregiver Friendly Award.

For more caregiving tips, visit www. crazycaregiver.com . ©2017 Mike Collins

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OCTOBER 2017 |

Pet Friendly

OutreachNC.com 65

Generations

by Carrie Frye & Michelle Goetzl

OutreachNC asked adults and children our October question. Share your answer on our Facebook page.

What’s your favorite trick or treat?

Peanut butter cups.

—Jerry, 74

Pumpkin spice latte.

—Kaye, 65

Dark chocolate with almonds. —Sylvia, 68 Caramel candy.

—Imogene, 98 Ice cream! —Hilda, 75 Snickers. —Laurie, 57 Fall flowers and mums.

—Virginia, 79 Peanut butter kisses.

—Jeanne, 70 Caramel apples.

—Sherri, 54 Chocolate, because I love the way it tastes. —Lauren, 9 The sneeze trick. You wet your hands and pretend to sneeze, and then wipe it on someone. —Christina, 9 Sneaking around in the woods. I like it because it is scary. —Aiden, 9 Kit Kats! —Paloma, 10 Scaring people.

—Evan, 9 66

OutreachNC.com | OCTOBER 2017

Nestle Crunch and Reese’s Peanut Butter Cups! —Dahlia, 9 Putting slime in my sister’s bed.

It’s funny watching her scream.

—Sofia, 9 I like Smarties, because they make you smart. —Ethan, 9 Hershey’s. I just really like them.

—Danica, 9 I like candy better than tricks because I am a sweet person.

—Alyvia, 9 Sherbet is the best, and mango flavoring is heaven. —Taylor, 10

Marshmallows over a fire.

—Aidan, 9

Reese’s Pieces, because they are really good. —Sydney, 9 Strawberry ice cream, because I sometimes get to make my own.

—Griffin, 10 Handing out candy. —Emma, 10 I love chocolate and peanut butter, so I love Reese’s. —Aubrey, 10 When my 3rd grade teacher said that we had homework. We all were freaking out, and then she said it was a trick. —Jason, 9

Holding out for the treats when they call me to come inside.

—OutreachNC Co-editor Jeeves, 4

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