Milestones Newspaper October 2023

PHILADELPHIA CORPORATION FOR AGING

WHAT IS PCA?

Philadelphia Corporation for Aging (PCA) is a nonprofit agency dedicated to serving Philadelphia’s older adults and adults with disabilities.

PCA publishes Milestones and offers:

• Care in the home

• Home-delivered meals

• Home repairs and modifications

• Protective services

• Senior centers

• Caregiver support

• Employment and volunteer programs

• Legal services

• Transportation

• Ombudsman services

• Health education

• Information and referral

Ageism awareness: Changing negative stereotypes

For more information, call the PCA Helpline at 215-765-9040 or visit pcaCares.org.

By Najja R. Orr, MBA, DBA PCA President & CEO

Published by Philadelphia Corporation for Aging

Najja R. Orr, MBA, DBA

President and CEO

PCA Board of Directors 2022-23

Satya B. Verma, O.D., Chair

Glenn D. Bryan, Vice Chair

Angela Foreshaw-Rouse, Secretary

Louis A. Bove, Esq.

Louis Colbert

Nora Dowd Eisenhower, Esq.

Lynn Fields Harris

Katherine E. Galluzzi, D.O., FACOFP

Sandra McNally

Paul Nathanson

John Whitman

Eloise N. Young

Jacqueline S. Zinn, Ph.D.

Emeritus: Arthur E. Helfand, D.P.M.

Call 24/7 to report suspected elder abuse. PCA Helpline: 215-765-9040 Outside Philadelphia toll-free: 888-215-765-9041 (TDD) pcaCares.org

Milestones is published monthly and distributed at more than 1,100 locations throughout Philadelphia, Lower Bucks and Eastern Montgomery counties.

Check us out online: pcaCares.org/Milestones

Editor: Alicia M. Colombo

215-765-9000, ext. 5081

PCA, 642 N. Broad St. Philadelphia, PA 19130

Email: MilestonesNews@pcaCares.org

Advertising: Teresa Heavens

215-765-9000, ext. 5053

Email: Teresa.Heavens@pcaCares.org

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Email: MilestonesNews@pcaCares.org

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Ageism – how we think, feel and act – toward others based upon age is often fraught with prejudice or discrimination toward older people. The World Health Organization has deemed ageism as one of the most widespread and socially accepted forms of prejudice. Our society often portrays young people as active, vibrant and intelligent while older people are often shown as slow, forgetful and weak.

This negative way of thinking is not just wrong, it’s extremely hurtful with far-reaching effects on us all:

• AARP estimates that $850 billion (about $2,600 per person) is lost to the U.S. Gross Domestic Product annually due to involuntary retirement, underemployment and unemployment among older workers.

• A study published in The Gerontologist estimates that $63 billion in unnecessary health care costs are due to ageism each year.

and my time at Philadelphia Corporation for Aging (PCA), I have personally met a countless number of older adults who are leading healthy, vibrant and active lives well into their 80s, 90s and even 100s. This proves that ageist stereotypes are obsolete and need to be reframed correctly.

Throughout PCA’s 50-year history, we have proven that many older Philadelphians just need a little help to maintain their independence and to support healthy aging. By providing the right services, resources and assistance when needed, older people can live happy, healthy and productive lives.

Let’s all do our part to dismantle ageism every day. Take note of your words, actions and judgements of older people – and of yourself. I caution you to think about the connotations or implications of your words when describing older people. Instead of saying that someone is having a “senior moment” or that people should not be in certain roles due to their age, focus on a person’s capacity and the richness of life, which often includes volunteering and employment.

The views expressed in Milestones are not necessarily those of Philadelphia Corporation for Aging (PCA). Milestones will not knowingly accept or publish fraudulent or misleading advertising. Milestones reserves the right to edit, revise or reject ads. Milestones assumes no responsibility for errors, misprints, omissions or misinformation; for failure to publish an ad; or for any damages of any kind. Neither the publisher nor any other party is rendering expert advice in this publication. No part of this newspaper may be reproduced without the permission of PCA. ©2023 Philadelphia Corporation for Aging. All rights reserved.

• Researchers at Yale University concluded that ageism negatively affects health and longevity. Older adults who are more optimistic in general and who have a positive view of their own aging live more than 7 years longer than older adults who think negatively about their own aging.

Throughout my career in the aging network

If you step into any of the 28 PCA-supported senior community centers throughout Philadelphia, you will see active and engaged older adults involved in a flurry of activities – exercising, socializing, learning, playing, enjoying a communal meal and more!

It’s time to change our perceptions and language about age to reflect the great diversity, wisdom and contributions of older adults.

Welcome to Medicare: Learn the basics

worker must have a specified number of quarters of coverage and file an application for Social Security. The number of quarters of coverage depends on whether the individual is filing based on age, disability status or end-stage renal disease.

package with a Medicare card. If you sign up the month before you turn 65, your coverage begins the month you turn 65. If you sign up during the month you turn 65 to three months after, then coverage begins the following month.

By Jeremy Rodriguez

Medicare is confusing. To make the most of your benefits, it is vital to arm yourself with all the necessary information.

“As you near age 65, you need to make several important decisions about your Medicare coverage,” said a spokesperson for the Centers for Medicare & Medicaid Services (CMS). “These decisions can take some time to make, so be sure to review all of the information available to you so that you can make an educated choice about your Medicare health insurance coverage.”

What is Medicare?

Medicare is health insurance for people aged 65 and older, as well as some younger people who are living with disabilities or with end-stage renal disease.

Original Medicare consists of Part A (hospital insurance) and Part B (medical insurance). Part A provides coverage for care given in a hospital, skilled nursing facility or hospice. Part B covers medical care and services from doctors and other health care providers; outpatient care; med-

ical equipment; and preventive services, such as vaccines and screenings. Parts A and B also cover eligible home health services as long as you need part-time or intermittent skilled services and as long as you’re homebound, according to Medicare.gov.

Part D, which Medicare beneficiaries can join separately, helps cover costs for prescription drugs.

Through Medicare Advantage, which is sometimes referred to as “Part C,” you can select a Medicare-approved plan from a private insurance company as an alternative to original Medicare. These plans include Part A, B and sometimes D. Medicare Advantage requires you to use doctors in the plan’s network, and may offer extra benefits — such as hearing, vision and dental services. Depending on your needs, your outof-pocket health care costs may be lower.

Who is eligible?

According to CMS, there are numerous factors for eligibility. For example, to receive Part A for free, an applicant must be entitled to receive Medicare based on their own earnings or those of a spouse, parent or child. The

There are additional factors to consider if a person is still working past age 65 and has health insurance. In this case, talk to your health insurance provider. You may want to consider waiting until you stop working before applying for Medicare. There is a helpful guide on Medicare.gov, titled “Working Past 65,” that provides information on what you need to know.

How do I sign up?

An application for retirement or disability benefits from Social Security also serves as a Medicare application. Once approved for either of these benefits, the applicant automatically receives Part A coverage upon becoming eligible for Medicare. Generally, applicants can apply for Medicare three months before turning 65 until three months after. For more information or to sign up for Medicare:

• Contact the Social Security Administration at 1-800-772-1213 or ssa.gov/medicare/sign-up. You can also go to a local Social Security office. To find a location, go to ssa.gov/locator.

• If you or your spouse worked for the railroad, contact the Railroad Retirement Board at 1-877-7725772 or rrb.gov. The Philadelphia field office, located in the Nix Federal Building at 900 Market St., Room 301, is open weekdays from 9 a.m. to 3 p.m. Call for an appointment.

Upon completing the application, Medicare will send you a welcome

After your Initial Enrollment Period for Medicare ends, you can only sign up for Part B and Premium-Part A during one of the other enrollment periods, and you might have to pay a monthly late enrollment penalty:

• General Enrollment Period –January 1-March 31 each year.

• Special Enrollment Periods –Certain life situations, including loss of Medicaid or other health coverage, natural disaster or emergency, innacurate or misleading information from your health plan or employer, and incarceration.

How do I use Medicare?

Once you receive your Medicare card, protect it like a credit card or any other personal information. Only show it to doctors, hospitals and other health care providers to ensure your visit is covered by Medicare.

For assistance and information about different cost-saving options, call 1-800-MEDICARE or go to medicare.gov. Philadelphia residents can also contact PA MEDI for free personalized health insurance counseling by calling the PCA Helpline at 215-765-9040. (For more information about PA MEDI, see page 5.)

Pennsylvania residents, outside of Philadelphia, can call the PA MEDI Helpline at 1-800-783-7067.

Jeremy Rodriguez is a freelance journalist, blogger, editor and podcaster.

PA MEDI provides free health insurance guidance for Medicare

ical Center, Philadelphia Corporation for Aging (PCA) provides PA MEDI health insurance counseling services without charge to Philadelphia residents who are eligible for Medicare, as well as their caregivers. (See page 4 for more information about Medicare eligibility.)

prevention and more.

By Bill Conallen

Throughout the nation, State Health Insurance Programs (SHIPs) are preparing to help Medicare beneficiaries navigate their health insurance requirements. In Pennsylvania, the state’s SHIP program, known as Pennsylvania Medicare Education and Decision Insight (PA MEDI), offers older Pennsylvanians a confidential, unbiased and comprehensive information platform about health insurance options.

Medicare open enrollment for 2024 coverage runs from Oct. 15 through Dec. 7. This is an essential time for older adults to make informed choices about their coverage options.

Trained volunteers under PA MEDI can guide individuals through all aspects of Medicare, including Medicare Advantage and supplementary plans, prescription drug coverage, and the Medicare appeals process. PA MEDI helps older Pennsylvanians compare diverse plan options and associated costs, empowering them to make well-informed decisions based on their specific needs.

In collaboration with the Center for Advocacy for the Rights and Interests of Elders (CARIE) and Einstein Med-

By leveraging a staff that mainly comprises volunteer counselors, many who have gone through the enrollment process themselves, the program strives to better cater to the needs of Medicare beneficiaries, promoting an impartial approach grounded in personalized interactions.

“Volunteer counselors are the backbone of the PA MEDI initiative; their involvement bolsters the program’s effectiveness, which would be unsustainable without their dedication,” explained Lynda Pickett, PCA’s assistant director of volunteer services. “Volunteers derive immense satisfaction from aiding beneficiaries in navigating the complexities of transitioning to Medicare, setting a great example of how their efforts enhance a person’s daily life. They serve as a crucial resource for Medicare beneficiaries who find the array of available options bewildering.”

After receiving support from PA MEDI, many volunteer counselors were motivated to share their newly acquired knowledge of the Medicare system with others. PA MEDI volunteer counselors receive extensive training covering Medicare, Medicaid, Medicare Advantage (an encompassing alternative to the original Medicare, designated as Part C), Medigap (supplementary Medicare insurance), Medicare prescription drug coverage (Part D), procedures for appeals, fraud detection, abuse

Qualifying Medicare recipients are offered informed, personalized choices that consider a range of factors, such as health conditions and financial circumstances. In addition, PA MEDI assesses eligibility for Pennsylvania’s cost-saving programs related to Medicare, including Pharmaceutical Assistance Contract for the Elderly (PACE), Extra Help and the Medicare Savings Program.

“There is a prevailing sense of uncertainty among Medicare beneficiaries about the potential money-saving avenues available to them through the PA MEDI program,” said Deena Pollock, a PA MEDI counselor at Einstein Medical Center. “We work confidentially and individually with beneficiaries, taking their health care

needs and preferences into account. Using this comprehensive approach, we can save Medicare beneficiaries money, sometimes, hundreds of dollars each month!”

Medicare beneficiaries in Philadelphia can arrange for a PA MEDI counseling session by contacting Einstein Medical Center at 215-4567600 and CARIE at 215-545-5728. Those seeking PA MEDI program consultations are advised to have their Medicare cards readily available prior to scheduled counseling sessions. Pennsylvania residents outside of Philadelphia can call the toll-free PA MEDI Helpline at 1-800-7837067, weekdays from 8 a.m. to 5 p.m.

WHEN A VESSEL THROWS YOU A CURVE

For expert cardiac care, your heart belongs here.

Bill Conallen is the public relations specialist at

Smart security: A look at doorbell cameras

wireless doorbell camera is usually powered by batteries or electricity. Recorded video footage is stored on a memory card or cloud-based storage system. Cloud storage uses a secure, designated folder on the internet to store large files. Wireless doorbell cameras can be placed almost anywhere outside the home that is within range of your home’s Wi-Fi connection.

A wired doorbell camera is powered by batteries or electricity and connects to the internet through a wire or cord. This hardwired connection transmits the camera’s footage to a central recording hub or a secure account. Wired doorbell cameras need to be placed in a location where an internet cable can connect to the device. The information transmitted is protected, since it does not require a wireless signal to transmit security footage.

By Mary Anna Rodabaugh

These days, many high-tech devices on the market are advertised to make our lives easier, better and more efficient. Today, doorbell security cameras continue to grow in popularity. According to Strategy Analytics, more than 20 million homes in the U.S. are equipped with a video doorbell.

A doorbell or outdoor camera may provide an added layer of safety and security. There are several different types of cameras available. Many security cameras on the market are equipped with “smart technology” and can relay video footage and information/alerts to a secure account on your smartphone or tablet.

Doorbell cameras are good for

personal safety and can also notify you in the case of stolen property.

“If you order a package and it’s delivered by USPS, DHL, or Amazon, you will be able to see when the package was delivered, if you’re not home,” says Philadelphia Police Department Officer Miguel Torres. “If the package is stolen, you will have proof of who took it and when the theft occurred. This can help authorities and the store that sent you the package when you request replacement or refund.”

Types of security cameras

“Wireless” refers to how the doorbell camera communicates with the user, not how the camera is powered. A wireless camera will communicate over a wireless internet connection, known as “Wi-Fi.” A

You can purchase a doorbell camera at many local stores or through online retailers. Doorbell cameras allow you to use your smartphone, tablet, or another mobile device to interact in real-time with visitors or to view recorded video footage. You can also set up notifications to receive alerts on your mobile device when someone is at your door or motion is detected during a set range of time. For example, you can receive motion alerts at night for added peace of mind. Be sure to ask questions when purchasing a doorbell camera for the first time, as some cameras require an annual paid subscription to operate and store video.

“Any doorbell camera or private security camera can be a deterrent for stopping crime,” Officer Torres said. “Cameras can offer valuable

evidence for your local police department about suspects committing a crime.”

The Philadelphia Police Department requests that Philadelphia residents register their doorbells and/ or private security cameras with SafeCam at https://safecam.phillypolice.com. The quick three-step setup process can be completed online. Camera registration allows the Philadelphia Police to ask for footage from your security camera. You will only be contacted by the Philadelphia Police Department in the future if there is a criminal incident in the vicinity of your security camera.

Doorbell cameras are a great asset that can add additional safety and security to the home, especially for older adults living at home. Most cameras are easy to install and simple to operate. To learn more about doorbell cameras and read about ratings on popular models, visit ConsumerReports.com and search for home security doorbell cameras.

(See page 15 for crossword)

Mary Anna Rodabaugh is a writer, editor and writing coach.

Events

October 2023

OCTOBER 1

INTERNATIONAL DAY OF OLDER PEOPLE

Celebrate by raising awareness about issues affecting older adults. It is also a day to appreciate the contributions that older people make to society.

OCTOBER 1-31

BREAST CANCER AWARENESS MONTH

OCTOBER 1-31

HEALTH LITERACY MONTH

Health literacy is the degree to which individuals can find, understand and use information & services to inform health-related decisions for themselves and others. Information: HealthLiteracyMonth.org

OCTOBER 2

GETTING THE MOST OUT OF YOUR DOCTOR’S VISIT

Learn to effectively ask questions & engage your physician. 2 p.m. Roxborough Library. 215-685-2550 | Free

Send your calendar items to MilestonesNews@pcaCares.org by the 25th of the month (for publication in two months) Questions? Call 215-765-9000, ext. 5081.

OCTOBER 3

CROCHETING CLASS

Attendees with no prior experience can learn to crochet & take part in engaging conversation. 11 a.m. Star Harbor Senior Center. 215-727-0100 | Free

OCTOBER 4

COVID TEST DISTRIBUTION

Pick up free at-home COVID tests from the Department of Public Health. 2 p.m. Fumo Family Library. 215-685-1758 | Free

OCTOBER 6

PCA’S ANNUAL SENIOR STRUT

Older adults are invited to join in a one-mile walk led by musicians followed by a health fair. Includes t-shirts & light lunch. 9:30 a.m. to 12 p.m. Lloyd Hall. 215-765-9000, ext. 5055 | Tickets: $5

OCTOBER 7

ROXTOBERFEST

The 11th annual fall-themed festival will feature food trucks, craft brews, live music, German folk music, competitions & children’s activities. 12-6 p.m. Ridge Avenue in Roxborough, Lyceum Avenue to Leverington Avenue. 215-508-2358 | Free

OCTOBER 7

FISHTOWN MUSIC & ARTS FESTIVAL

Celebrate the culture Fishtown has been cultivating for more than 200 years. Features local artists, musicians and businesses. 11 a.m. to 10 p.m. Front Street, between Girard Avenue & Master Street. FishtownFestival.com | $20

OCTOBER 8

AUTUMN FLEA MARKET

Fun, friendship & socialization. Includes light snacks & refreshments. 9:30 a.m. Marconi Older Adult Program. 215-2180800 | Free

OCTOBER 10

INDIGENOUS PEOPLES DAY

National day of recognition to honor the legacy of Native communities, and to celebrate the cultures, contributions & resilience of contemporary Native peoples.

OCTOBER 11

ADULT NUTRITION WORKSHOP

Registered dietician empowers older adults to pursue healthy lifestyles & help build a sustainable food system. 1:30. Walnut Street West Library. 215-685-7671 | Free

OCTOBER 12

SEWING CLASS

Join a clever group of crafters who crochet, knit, sew, embroider, quilt, felt & more. 5 p.m. Parkway Central Library. 215-686-5403 | Free

OCTOBER 16

COMPUTER CLASS

Digital skills workshop. Learn to use a computer, get online & more. 11 a.m. Parkway Central Library. 215-686-5403 | Free

OCTOBER 17

FINANCIAL LITERACY CLASS

A financial expert will discuss spending & saving. Learn about types of expenses, different budgeting techniques & tricks you can use to save money. 3 p.m. Parkway Central Library. 215-686-5394 | Free

OCTOBER 18

PUZZLE CLUB

If you like a challenge, come solve some perplexing puzzles! 4 p.m. Wynnefield Library. 215-685-0298 | Free

OCTOBER 21

BOOK SALE & VENDOR MARKET

The Friends of Oak Lane Library will sell used books, baked goods and more. Find some new treasures. 11 a.m. Oak Lane Library. 215-685-2848 | Free

OCTOBER 24-26

REGIONAL CONFERENCE ON AGING

Continuing education credits are offered for professionals. Presented by Philadelphia Corporation for Aging. Details: pcaCares.org | 215765-9000, ext. 5065 | $20-40 per session

OCTOBER 24

DIABETES SELF-MANAGEMENT CLASS

Evidence-based workshop to help you better manage your condition & symptoms. 12:30 p.m. KleinLife: Northeast Philadelphia. 215-698-7300 | Free

OCTOBER 25

LEGAL HELP FOR GRANDPARENTS RAISING GRANDCHILDREN

Older adults can receive legal advice about their rights as guardians and the family court system. 10 a.m. SeniorLAW Center. 215-716-5081 | Free

OCTOBER 30

HALLOWEEN ARTS & CRAFTS

Create fun Halloween-themed arts & crafts to take home with you. 11 a.m. Star Harbor Senior Center. 215727-0100 | Free

OCTOBER 30

MONSTER MASH DANCE PARTY

Prizes for the most creative & funniest costume. Games include spider web walk, poke-a-pumpkin & how many candy corns can you eat. 10 a.m. St. Edmond Senior Community Center. 215-790-9530

OCTOBER 31

WOMEN CODE BREAKERS OF WORLD WAR II

Learn about some of the unsung heroes who made a significant impact on the outcome of World War II. 12:45 p.m. KleinLife: Northeast Philadelphia. 215-698-7300 | Free

OCTOBER 31

HALLOWEEN

Access mental health care in the comfort of home

health or having a therapist come to their location through mobile mental health.

Overcoming barriers

In Philadelphia, several barriers may prevent older adults from accessing needed behavioral health services.

Mental health resources

The first step in seeking a diagnosis or treatment for a mental health concern is to find a provider.

By

Regular physicals, routine checkups and exams are essential for healthy aging. However, a healthy lifestyle is not only about the physical body. Addressing mental health is equally important to overall wellness.

According to the National Institute of Mental Health, symptoms of mental disorders in older adults may include noticeable changes in mood, difficulty sleeping or sleeping too much, misuse of alcohol or drugs, increased feelings of worry, engaging in high-risk activities, obsessive thinking, and/or compulsive behavior.

If your mental or emotional state, or that of a loved one, concerns you, connecting with a behavioral health specialist may help.

Telemedicine for behavioral health

During the COVID-19 pandemic, most physical and mental health providers began offering appointments virtually. This is often called telehealth or telemedicine, where patients with internet access are sent a confidential link to a video conferencing application. At the time of the appointment, patients sign in with their individual, unique link using any computer, tablet or smartphone that has a camera. Patients can see their doctor and talk in real time from the comfort of their home, or anywhere in

the world. Telemedicine also offers a voice-only option, where counseling sessions take place over the phone.

“Psychiatric and mental health telehealth offers a convenient and cost-effective way to deliver mental health care services to older adults who have substantial mental health care needs or mobility and transportation limitations that make getting to a health care provider’s office difficult,” said Joseph J. DiMeo, Jr., M.S., behavioral health coordinator for Community HealthChoices, Community Behavioral Health (CBH).

CBH is a behavioral health managed care funder for Medicare beneficiaries. For older adults who also have Medicaid, CBH is automatically their behavioral health insurer.

“Our CBH provider network has levels of care and clinicians who can treat older adult behavioral health needs, as these needs are very different from adults and children,” DiMeo said. “There are also older adult specific inpatient psychiatric units, older adult psychiatric rehabilitation day programs (called “Community Integrated Recovery Centers”), as well as mobile mental health therapy and supportive older adult peer specialists.”

DiMeo notes a guiding principle in behavioral health care in Philadelphia is “consumer choice,” so older adults should have the right to choose which option works best for them: coming to a clinic, receiving treatment by tele-

“The number one barrier is insurance coverage,” DiMeo said. “Older adults in Philadelphia can now have up to five different insurers, and the confusion can lead to the individual not getting services.”

Older adults can have Medicare A and B, a Medicare Advantage Plan, third-party insurance, Medicaid, Community HealthChoices, and Community Behavioral Health. If you are confused about your options or mental health coverage, a good place to start is Pennsylvania Department of Human Services by calling the DHS Helpline at 1-800-692-7462 or visiting dhs.pa.gov. You can also contact your health insurer directly. For Medicare, call 1-800-MEDICARE (633-4227) or go to medicare. gov. For Medicaid or dual-eligibles, contact DHS or go to medicaid.gov.

The second barrier is the waitlists for providers, staff shortages in behavioral health, and not enough trained clinicians who work with older adults.

A third barrier is the technology needed for telemedicine. Older adults may be worried their teletherapy appointment isn’t confidential or sensitive information could be at risk. All telehealth providers in Philadelphia are required to use HIPAA-compliant software for telehealth platforms to ensure patient information is kept private and secure.

Any older Philadelphian who is enrolled in Medicaid can call CBH Member Services any time at 1-888545-2600 to speak with a live person. You can visit cbhphilly.org for additional information.

• For an immediate mental health crisis, call 988 for the National Suicide and Crisis Hotline or Philadelphia Crisis Line at 215-685-6440. If there is a danger to oneself or others, call 911.

• Any older Philadelphian who is enrolled in Medicaid can call Community Behavioral Health Member Services any time at 1-888-545-2600 to speak with a live person or visit cbhPhilly.org/ members for additional information.

• The Livewell Foundation offers free peer support and video-based support groups for depression. Learn more by visiting livewell-foundation.org or call 267-530-3739.

• The National Alliance for Mental Illness in Philadelphia offers resources for specific needs such as support groups and mental health information. Visit https://namiphilly.org/resources/local-resources or call 877-PHL-HOPE Monday through Friday 9 a.m. to 4 p.m. to learn more.

• Psychology Today has a therapist directory that allows you to filter by condition, gender, insurance, and more. Visit PsychologyToday.com and click “Find a Therapist” to search for providers by city or ZIP code. From the search results, you can select “Elders (65+)” to locate providers in your area that specialize in working with older adults.

Mary Anna Rodabaugh

Mary Anna Rodabaugh is a writer, editor and writing coach.

Focus on your eye health

By Mary Anna Rodabaugh

As you age, maintaining your eye health becomes increasingly important. Most eye diseases are age-related. According to the American Academy of Ophthalmology, adults aged 65 and older should have a complete eye exam every year or every other year.

“Think of it as wear and tear,” says Dr. Doug Wisner, director of the cataract and primary eye care service at Wills Eye Hospital. “Cataracts are natural wear and tear on the lens of the eye, just like exposure to ultraviolet (UV) light, and natural aging may cause changes in the eye.”

Age-related eye conditions

Dr. Wisner says that almost every person who lives a long life will experience cataracts at some point. A cataract is the clouding of the natural lens inside the eye. Over time, the cloudiness can block light from the eye, causing blurriness or fuzzy spots in your field of vision.

Early symptoms of cataracts include increased difficulty with night driving, a halo effect around lights, unclear vision, difficulty reading in a bright environment and the inability to see things far away. Cataracts can be removed through surgery, which is a common and safe procedure.

Dry eye, while not a disease, is the most common eye health condition that older adults experience, says Dr. Wisner.

Glaucoma and macular degeneration also impact older adults. While there is no exact cause for these conditions, genetics and lifestyle, such as smoking, obesity and unhealthy diet, are often contributing factors.

Glaucoma occurs when the eye’s

drainage system does not work properly, allowing a buildup of fluid. This can cause excess pressure that damages the optic nerve, leading to a loss of vision.

Macular degeneration may occur as the eye ages. It blurs your central vision due to damage to part of the retina that controls straight-on vision, known as the macula. The condition is treatable but incurable.

“I tell all my patients, just because you are getting older doesn’t mean that you will lose your vision,” says Dr. Wisner. “All of these conditions are detectable and treatable, if not preventable. Eyes can see very well in the 9th, 10th and even 11th decade of life.”

When to see a doctor

Older adults should see their primary care physician at the onset of symptoms, including dry eye.

“The more rapid the vision loss, the more concerning the problem,” Dr. Wisner says. “Pain inside the eye would also be a reason to be seen immediately. A lot of times people don’t seek care because (they fear) what they’re going to find out, particularly when it comes to vision.”

Dr. Wisner notes that cataracts can be fixed at any stage, no matter how badly they have progressed. However, if patients wait too long for evaluation, the risk of complications from surgery is greater.

Proper eye care

Dr. Wisner offers the following tips to help preserve your eyesight:

• Do not smoke. Smoking worsens most types of eye diseases and accelerates cataract development.

• Eat a well-balanced diet. Studies show that a Mediterranean-style

diet, emphasizing plant-based foods and healthy fats, may reduce the risk of macular degeneration.

• Exercise regularly. Being active can help slow the progression of glaucoma.

• Protect your eyes. Wear goggles when participating in activities that could cause projectiles to damage your eyes.

• Get a regular eye exam.

Eye health resources

There are many resources available to assist with vision loss. VisionLink is an organization dedicated to helping people who are living with vision loss to achieve greater independence. Programs include classes on home management and independent living skills, using technology as a tool, community-based enrichment, and resource connections. To learn more about VisionLink, call 215-627-0600, ext. 826 or visit VisionLinkPhl.org.

EyeCare America’s Seniors Program, provided by the Foundation of the American Academy of Oph-

thalmology, connects eligible older adults, aged 65 and older, with local volunteer ophthalmologists who provide a medical eye exam at no outof-pocket cost. In addition, up to one year of follow-up care is provided for any condition diagnosed during the initial exam. To learn more or to apply, call 1-877-887-6327 or visit aao.org/eyecare-america.

Do you have a positive story about aging that you’d like to share with Milestones?

Contact our editor at 215765-9000, ext. 5081 or MilestonesNews@pcaCares. org.

Mary Anna Rodabaugh is a writer, editor and writing coach.

Stop Senior Scams: Help stop Medicare fraud

By Jeremy Rodriguez

Medicare helps adults age 65-plus and younger adults living with disabilities pay for life-saving medications and other treatments. (See page 4 for more information about Medicare.) However, some scammers try to take advantage of consumers by committing Medicare fraud. According to the Centers for Medicare & Medicaid Services’ (CMS) booklet “Medicare Fraud & Abuse: Prevent, Detect, Report,”

Medicare fraud includes submitting false claims to obtain federal health care payments, knowingly ordering unnecessary medical equipment and billing Medicare for appointments you did not attend. These scams can result in medical identity theft and unexpected exhaustion of your insurance coverage limits.

This year’s edition of the official U.S. government’s Medicare handbook, titled “Medicare & You,” offers several tips to help you avoid Medicare fraud. The best way to protect yourself is to keep your information safe. You should only give personal information, including your Medicare and Social Security numbers, to your doctors and

other health care providers; health insurance company representatives; and other trusted personnel, such as counselors with the State Health Insurance Assistance Program (see article on page 5 for information).

It is important to know that Medicare representatives will only call beneficiaries in limited situations. For example, someone who is enrolled in Medicare may receive a call from the person who helped them join. Additionally, if the participant left a message or reported fraud at 1-800-MEDICARE, a representative from Medicare will likely call back to follow up.

Another way to prevent fraud is to review the Medicare Summary Notices to confirm that the correct services were billed to Medicare. People with original Medicare can also create a secure online account for

free at Medicare.gov to view claims, which are usually available online within 24 hours of processing. You can also contact the health care provider or supplier directly to request an itemized statement, which you should receive within 30 days.

Lastly, upon suspecting Medicare fraud, older adults should call 1-800-MEDICARE to report it. Medicare.gov recommends having the following information ready when you call: your Medicare number, the name and other identifying information of the provider, the item(s) or service(s) in question, the amount(s) that Medicare approved and paid, and the date (from the Medicare Summary Notice or the provider’s Explanation of Benefits statement).

Jeremy Rodriguez is a freelance journalist, blogger, editor and podcaster.

Yoga improves mental, physical balance

started teaching yoga 25 years ago. She notes there is no barrier to practicing yoga. No one is too old, too stiff, too skinny, too fat, or too anything to do yoga. It is all about the way you use your breath and move your body. Yoga can be adapted for any individual’s ability. Thayne has taught yoga classes for participants who cannot get out of a chair.

“There is something in each yoga practice for everyone,” Thayne says.

low-cost yoga classes that are designed especially for older adults. For the location of a senior center near you, call the PCA Helpline at 215-7659040 or go to pcaCares.org/ senior-centers.

• Free Chair Yoga for Seniors – Mondays, 12:15-1 p.m. at Lutheran Settlement House, 1340 Frankford Ave.

By

When it comes to total body health, incorporating the practice of yoga into your life can help improve strength, balance, and flexibility.

“Yoga is for anybody,” says Loren Thomas, a yoga teacher with Yoga4Philly. “Often, I talk to someone who says, ‘I can barely touch my toes.’ For those who are not athletic, they may have an image of 30-yearold women in tights who used to be dancers. We need to get that Instagram image out of our minds and think about using (yoga as a) tool for physical and mental well-being.”

In addition to his work with Yoga4Philly, Thomas, 70, of Queen Village, is an avid runner and yoga practitioner. He also holds three master’s degrees and a doctorate in education. “There is a whole meditative internal peacefulness aspect to yoga; and if you look at that aspect in aging, this is an age where we’re supposed to be reflective,” he says. “Yoga can help with feelings of anxiety, fear and loneliness, which are things older adults may experience.”

Thomas started practicing yoga in 1997. During that same year, he also rode his bicycle across the country. When he returned home, a friend suggested he do yoga to ease the tightening of his muscles. Since he retired from academia five years ago, Thomas has been practicing yoga every day and teaching regularly.

Making yoga accessible

Yoga4Philly is a nonprofit organization that is dedicated to making peace, love and healing accessible to all Philadelphians through yoga and meditation. This means meeting people where they are, whenever they show up, and offering a helping hand on and off the yoga mat.

“At Yoga4Philly, we are trying to make yoga as available and accessible as possible for as many people as possible in the city,” says yoga instructor Kathleen Thayne, 73, of Queen Village. “We don’t ever want money or someone’s perception of their level of health and fitness to be a barrier for anybody.”

Thayne took her first yoga class over 50 years ago at a YWCA and

For those who want more of a challenge, there are plenty of yoga practice offerings that will build core strength, balance, and flexibility. If you are looking for something in between, consider trying restorative yoga, which can be adapted for any type of body. There is no muscle engagement since every pose is supported. This practice encourages pain relief and circulation, and it’s very meditative.

“You always feel better after a session of yoga,” says Thayne.

Beyond the physical benefits, there are also mental and emotional benefits older adults can experience from yoga.

“You have to keep it fun,” Thomas says. “If something is fun, you’ll stay at it. The advantages of being in yoga class are building friendships and meeting new people.”

Yoga classes for older adults

There are many yoga resources for older adults in Philadelphia. Below are just a few examples.

• Yoga at Senior Community Centers – Nearly all the senior centers throughout the city that are supported by Philadelphia Corporation for Aging (PCA) offer free or extremely

• Free Chair Yoga for Seniors – Wednesdays, 11 a.m. to 12 p.m. at Brith Sholom House, 3939 Conshohocken Ave.

• Yoga4Philly Chair Yoga for Seniors – Wednesdays, 10:30 a.m. at Episcopal Church of the Annunciation, 324 Carpenter Lane. $10 suggested donation.

• Free Yoga for Parkinson’s Disease – Wednesdays, 10 a.m. at Enon Tabernacle Baptist Church, 2800 W. Cheltenham Ave.

• Yoga in the Park – Jefferson Square Park, 300 Washington Ave. To register, visit JeffersonSquarePark.org. Donation requested.

• Restorative Yoga – Sundays, 7:30-8:30 p.m. at Practice Yoga Studio, 804 S. 4th St. Donation requested.

• Virtual Chair Yoga – Mondays, 1 p.m. and Thursdays, 4 p.m. Register for a virtual link to classes at https://bit. ly/3Uaw58X. Sponsored by Pennsylvania Hospital.

To learn more about upcoming yoga events for older adults, visit yoga4philly.org/events.

Mary Anna Rodabaugh

Mary Anna Rodabaugh is a writer, editor and writing coach.

Basic Brisket with Root Vegetables

WHAT’S THE WEATHER?

What’s the Weather?

Ingredients:

2.5-lb. first-cut brisket

1 tbsp. kosher salt

1 tbsp. paprika

1 tsp. ground black pepper

2 tsp. garlic powder

2 onions

4 carrots

2 parsnips

4 celery stalks

1 turnip

1½ cups vegetable broth

(3 cups if not using wine)

1½ cups dry red wine

Directions:

Preheat the oven to 450°F. In a small bowl combine the salt, paprika, pepper and garlic powder.

Pat the meat dry and coat (on all sides) with the spice mixture.

Peel and dice all the vegetables.

Place ¾ of the vegetables in a deep baking dish. Place the meat

on top, followed by the remaining vegetables, and bake, uncovered, at 450°F for 30 minutes.

Remove pan from the oven, then add the wine (if using) and broth. Turn the oven down to 250°F. Cover the pan tightly, and return to the oven for 4-5 hours, until a fork goes into the meat with virtually no resistance. (Halfway through the cooking, take the pan out and turn the roast over.)

Refrigerate overnight, then slice thinly against the grain and return to the pan. Reheat with the vegetables/sauce.

Note: A good (and substantially cheaper) substitute for first-cut brisket is a cut often labeled “top of the rib roast.” It should look similar to a first-cut brisket (flat and thin) and if you’re unsure, check with your butcher, since many butchers label cuts differently.

Neil R. Manausa