Queens Chronicle - Senior Living Guide 07-18-19 by Queens Chronicle

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SUMMER 2019

Scam prevention for seniors Senior emergency care at Jamaica Hospital Tips to avoid skin cancer Help with out-of-pocket medication costs

SENIOR LIVING GUIDE • Summer 2019

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• Scam prevention for seniors . . . . . . . . . . . . . .Page 4

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Senior Living Guide

Staying alert to scams and financial fraud by Mark Lord Chronicle Contributor

“Staying aware will help you avoid or limit the fallout if there are any problems.” This is one bit of advice offered by the NOLO website, an online legal encyclopedia, aimed particularly at senior citizens who are the most likely victims of a wide variety of schemes, scams and frauds. Take the case of one older Flushing resident, who wished to remain anonymous, who shared a personal experience that could prove a valuable lesson to others. “My wife, and kids and I were on vacation in Canada,” he said. “We stopped at a gas station and told the guy that we were on vacation. We said too much. We should have kept our mouths shut.” What happened next, he said, was that the attendant put through multiple transactions on his credit card. “American Express called saying they noticed a large number of transactions, at $75 a pop,” he explained. The gas station attendant could have potentially wiped out his credit card. There is no shortage of con men, hustlers and criminals who are perpetually scheming to separate “He didn’t get away with it, but he tried,” senior citizens from their money through a growing number of increasingly sophisticated scams. the intended victim said. Police and senior advocates recommend caution beforehand, and contacting them if you are posMany other senior targets aren’t so lucky. FILE PHOTO sibly a victim. “More and more seniors are being The FBI warns against potentially counsca m med ,” accord i ng to Det. Ta nya unauthorized access to funds, often involvDuhaney, a Community Affairs officer at ing individuals posing as suitors who woo terfeit prescription drugs, which may be older people; charging excessive amounts of hazardous to one’s health. the 113th Precinct in Jamaica. Another major area of concern is with A new trick, she said, involves phone money for goods or services used mainly by callers soliciting money, saying they repre- seniors, such as hearing aids and safety alert healthcare fraud, which could involve federdevices; obtaining money or property by al or private insurance programs, as is sent various police associations. “If the phone number is unknown, don’t duping victims by convincing them it’s for investment fraud, including offers using their own good; procuring a power of attor- false claims to solicit investments or loans. answer the phone,” Duhaney advises. There are various warning signs that And there are plenty of other ways to try ney, will or other legal documents to gain elder abuse is taking place, indications that access to an individual’s possessions. to protect yourself. A particularly popular approach involves those close to seniors should watch for. Seniors are often seen as easy targets, These include: expecting honesty in the marketplace and the offer of false prizes. • unusual or large withdrawals from bank “You have won the being less likely to lot t e r y,” a c a l le r accounts or uncharacteristically large credit take action. might say, asking the card charges; One of the most • checks that are unaccounted for; com mon for ms of advise everyone to call us intended victim to • elderly individuals suddenly forming a wire money for fees elder abuse is finanfirst if you think something and taxes in order to close relationship with someone, frequently cial fraud, which frecollect. This type of quently involves the is sketchy. Scams are mass marketing improper use of a fraud is said to genperson’s money or all over the place.” erate around $1 bilother property. lion a year. It is believed to be — NYPD Capt. Jonthan Cermeli, A nd u nsolicited widespread but many commanding officer, 112th Precinct home repair work is cases go unreported, something else to be according to NOLO. The forging of signatures on legal docu- war y of, especially when payment is ments is also seen as a common practice demanded up front. According to the FBI’s website, “Senior among scam artists. The site also suggests that scammers use citizens are most likely to have a nest egg, to the telephone to conduct credit card fraud, own their home, and/or to have excellent lottery scams and identity theft, and indi- credit, all of which make them attractive to cates that, according to the United States con artists.” Con artists are also drawn to seniors Department of Justice, dishonest telemarketers take in an estimated $40 billion each because of their tendency to be polite and trusting, and less likely to know to whom to year. It further states that, according to AARP, report a fraud. And seniors are seen as poor about 80 percent of the victims are 50 years potential witnesses, due to the effects of age on memory. Often the elderly are too You can always hang up. That is the advice the NYPD has for seniors who are approached in of age or older. NOLO wa r n s t h at ot he r c om mon ashamed to report that they have been telephone scams launched by individuals and organized groups targeting seniors when they are schemes are varied and widespread: Getting scammed. IMAGE COURTESY NYPD perceived as vulnerable.

“I

SENIOR LIVING GUIDE • Summer 2019

younger persons; • newly-executed documents, such as a will or power of attorney; • changes in account beneficiaries; • a large number of unpaid bills; • missing property; and • sudden social isolation. Duhaney suggests that anyone who believes they may have been a victim of a scam should either call or go to any police station and ask for assistance. If you receive a letter in the mail that you deem suspicious, she advises you to bring it to a precinct and someone will look into the matter. “If it’s a scam, we’ll tell you on the spot,” she said. In an ironic twist, she has seen cases in which an individual receives a telephone call while at the police station. “We’ll take the call. As soon as we say we’re the police, they hang up,” she said. Duhaney admits that ridding society of such practices is not an easy task. But she said the police department is doing what it can to spread the word, via social media, appearances at senior centers and through the distribution of flyers. Capt. Jonathan Cermeli, the commanding officer of the 112th Precinct in Forest Hills, agrees that education is the key. “I try to get the awareness out there,” he said. “I advise everyone to call us first if you think something is sketchy. Scams are all over the place.” If you suspect you are the victim of fraud or abuse, NOLO advises you to notify bank personnel, as they are in a good position to detect suspicious activity. One can also get help from a senior services group. Eldercare Locator at 800-6771116 can direct you to local programs and services. Other recommended contacts are Adult Protective Services, a governmentaffiliated agency that investigates elder financial abuse and the NYPD, as the police will intervene where there is evidence that a Q crime is involved.

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Senior Living Guide

Jamaica Hospital MC ups its game in the ER He offered the example of a patient coming into the emergency room with an ankle injury. A healthier, longer-living population “If a person is younger, we’ll take an poses challenges to the medical field. x-ray,” he said. “If the ankle is broken, we’ll “Ten thousand baby boomers are turning set it. If it isn’t, we’ll wrap it and send them 65 every day,” said Dr. Shi-Wen Lee, vice home.” chairman of emergency medicine at Jamaica A senior citizen, he said, requires more Hospital Medical Center in an interview last specialized attention. week. “We also want to know why that senior The hospital wanted to be ready. And last injured an ankle,” he said. “Does that person month, JHMC was accredited as having a have dementia and walked out of the house geriatric emergency department by the at night when he thought it was daytime? American College of Emergency Physicians, Does the patient need a walker? Does that the only hospital in Queens with such a patient have balance issues? Are they taking designation. medications that are interacting, maybe The hospital said in a related statement from multiple physicians?” that while people living longer is their aim, Not that the space and equipment aren’t it does require the healthcare industry to adapt to caring for a growing senior With seniors living longer and healthier, geriatric emergency care has had to become more and important. Lee said the emergency room has a sepapopulation. more specialized. The folks at Jamaica Hospital Medical Center wanted to be ready for the rate section for geriatric patients, one that is Senior citizens utilize the hospital system challenge. PHOTO BY MICHAEL GANNON quieter and can spare an elderly patient the at higher rates than nonseniors and they medicine, training aimed at helping provid- noise and commotion of a drunk patient or a often require treatment for multiple chronic standards are demanding. “It’s about our process, our training for ers better understand and address the com- trauma case coming in through the ER conditions. While seniors make contact with the healthcare system at many different geriatric emergency care,” Lee said. “It’s not plex social and physical challenges of the doors. The section has things like walkers and a refrigerator with stores of food and points of care, the place where they most just about space and equipment. That’s the geriatric patient. In addition to receiving focused educa- water that a senior might need. often receive their care is in the emergency easy part — all you have to do is buy those.” But he said it needs to go deeper still. A statement issued by the hospital said tion, the hospital also needed to implement department. Lee said the hospital began the applica- the doctors and nursing staff had to meet geriatric emergency care policies and guide- They have doctors and nurses trained to tion process for certification more than many criteria, and both received extensive lines, ensure geriatric patients received spot signs of physical abuse; social workers six months ago — and that the ACEP’s education and training in geriatric emergency access to specific equipment and supplies, to determine if a patient lacks resources for and even make accommodation the emer- proper food and other material necessities or is isolated socially. gency department’s physical environment. ECOV Then comes the emergency department’s “This training is [intended] to help proR E ID viders better understand and address the role in caring for a patient who must be complex social and physical challenges of admitted. “Eighteen percent of the patients who the geriatric patient,” the hospital said. “The process to achieve this designation come into the emergency room are seniors,” CENT ER was not an easy one; it required hard work Lee said. “But they make up 46 percent of the patients who are and dedication by ad mit ted. A nd 50 many, but ultimately p e r c e n t of t h o s e we feel that it disighteen percent of patients are admitted plays a commitment to critical care. Gerito elevating the level the patients who come atric patients who are of care we provide to our geriatric into the emergency room admitted are sicker patients.” patients,” said Dr. are seniors. But they At this point, Lee Nathan Washbur n, said, they also are an ER attending phymake up 46 percent of looking to work with sician integ rally a patient to discuss i nvolved i n t he the [ER] patients who what they are lookaccredit ation pro are admitted.” ing for out of treatcess, in the hospital’s ment. One example, statement. — Dr. Shi-Wen Lee, he said, might be a According to its Jamaica Hospital Medical Center senior who is seekwebsite, the ACEP ing more mobility was founded in 1968 from the treatment by a small group of physicians who shared a commitment to he or she receives at JHMC. “If we don’t put in the orders ‘bed to improving the quality of emergency care. Its members set out to educate and train physi- chair’ immediately, that person will be kept cians in emergency medicine to provide in bed,” Lee said. “Someone who is young www.highlandrehabandnursing.com quality emergency care in the nation’s can be in bed for two or three days with no problems. But older patients can become hospitals. And Lee said any hospital receiving the deconditoned very quickly.” He said they would like to switch the curgroup’s specialized certification must be thorough in its application and performance. rent thinking by instead making an elderly “You have to make sure the same process patient as ambulatory as possible after is in place on both the day shift and the night admission unless the doctor’s orders are to shift,” Lee said. “You have to use the same keep them in bed. Q “Reverse the process,” Lee said. process if I’m on duty or another doctor is.” HIGC-075838

by Michael Gannon Editor

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SENIOR LIVING GUIDE • Summer 2019

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Senior Living Guide

What you should know to avoid skin cancer by David Russell Associate Editor

More people are diagnosed with skin cancer each year in the United States than all other cancers combined. Heather Summe, a dermatologist with Northwell Health, said the recommended sunscreen to use is SPF 30 or greater broad-spectrum but a big issue she sees is that people aren’t putting on sunscreen correctly. “People get really focused on the number on the bottle but really what’s most important is that they ... have to be putting enough on in the first place. So to cover the body, they really need to put on a shotglass amount, significantly more than most people are putting on,” she said. Summe added that people should be reapplying the sunscreen every two hours or any time they get in the water or sweat. Most people aren’t doing that. She explained that there is an ABCDE way of checking for the possibility of melanoma skin cancer. A is for asymmetry. The two sides of any given mole should look exactly the same if you draw a line down the middle. B is for borders. Borders of a mole should be smooth and round, not jagged or scalloped. C is for color. It should be one, even color throughout. It shouldn’t be multiple colors or irregular colors. D is diameter greater than a pencil eraser. Generally it should be that size or smaller. E is evolution. “That is definitely the most important one,” Summe said. Look out for anything that’s changing shape, color, size or anything similar. She also said there is an ugly ducking rule which seems to be remembered the best by patients.

More people are diagnosed with skin cancer each year in the United States than all other cancers combined. “All of your moles will generally look kind of similar to one another and, if you have one mole that does not look like the others, that’s also an indicator that it should be looked at,” Summe said. Nonmelanoma skin cancer is more difficult to detect, but warning signs could be any new growth or cut that’s not healing. Summe said a lot of times a patient will think it’s just a pimple or that their dog scratched them a few months earlier. About 90 percent of nonmelanoma skin cancers and about 86 percent of melanomas are associated with exposure to ultraviolet radiation from the sun. A person’s risk for melanoma doubles if he or she has had five or more sun-

burns at any point in life. The Skin Cancer Foundation has a number of tips for reducing risk, such as seeking the shade, especially when the sun is strongest in the late morning and early afternoon. People are also advised to avoid tanning and UV tanning booths. Indoor UV tanners are 74 percent more likely to develop melanoma than those who have never tanned indoors. Tanning bed users are also 1.5 times more likely to develop basal cell carcinoma and 2.5 times more likely to develop squamous cell carcinoma, two of the most common forms of skin cancer. Regarding use of tanning booths, Summe said, “People don’t tell me, or at least admit that to me, as often as I think I used to hear it. I do think there’s a little bit better awareness about tanning bed use now.” It’s recommended that people apply one ounce of sunscreen to their entire body 30 minutes before going outside. One eight-ounce bottle of sunscreen should provide two full days of sun protection. While self-exams shouldn’t replace an annual skin exam performed by a physician, self-exams offer the best chance of detecting the early warning signs of skin cancer. If you notice any change in an existing mole or discover any new spot that doesn’t heal after several weeks, see a physician immediately. The website for Parentgiving, Inc. noted that those at higher risk include people with a lighter natural skin color, blue or green eyes and naturally blond or red hair, a personal history of skin cancer, a family history of melanoma, exposure to the sun through work and play, a history of sunburns early in life and skin that burns, freckles, reddens Q easily, or becomes painful in the sun.

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Senior Living Guide

Help with out-of-pocket medication costs Even in the privacy of a doctor’s office, many patients hesitate to discuss one subject — money. While nearly one in four Americans over the age of 50 feels stressed about their medical bills, only half of those have spoken to their healthcare provider about it, according to a University of Michigan poll. But it pays to ask about the cost of your treatment. The same poll found that twothirds of patients who talked to their healthcare provider about drug costs received a recommendation for a lower-cost alternative. Speaking with your healthcare provider about treatment options and out-of-pocket costs should be one of the first things you do after being diagnosed with a chronic illness. But sometimes it can be hard to know how to start the conversation, or what questions to ask. As the largest independent charitable organization dedicated to helping people pay out-ofpocket costs for their prescribed treatments, the Patient Access Network Foundation helps patients manage the financial burden of care every day. Dan Klein, president and CEO of the PAN Foundation, suggests asking your healthcare provider the following

questions if you are concerned about the cost of your medication. 1. Can you or someone in your off ice help me f ind out how much this medication will cost out-of-pocket? Although drug prices fluctuate and patients pay different amounts depending on their health insurance, healthcare providers or their staff can usually provide an estimated cost for a treatment or can call your pharmacy and find out. This simple question is an easy way to start the cost-ofcare conversation and let your healthcare provider know that you want to explore ways to minimize your costs. 2. Does this medication have a generic equivalent that I can use? Many brand-name drugs, especially those that have been on the market for a long time, have generic equivalents that are significantly cheaper. These generic copies contain identical active ingredients and are rigorously tested by the FDA to ensure they are as safe and effective as the brand-name versions. 3. Could a change in dosage or frequency help reduce my costs, but still be effective? Out-of-pocket costs should not

prevent you from accessing and adhering to your treatment. But controlled changes to your dosage or frequency may help you lower your costs without compromising effectiveness. It’s crucial that this is only done under medical advice, as making cost-cutting decisions without your healthcare provider’s input can be harmful. 4. Is there a less expensive way to receive my treatment? Depending on your condition, there may be multiple ways to receive treatment, some more expensive than others. For example, oral anti-cancer agents have become an increasingly common part of cancer treatment plans but are sometimes more expensive than traditional intravenous administration. Be sure to ask your healthcare provider if there is a cheaper treatment option for you. 5. Do you have drug coupon discount cards for my medication, or free samples? Drug companies often give healthcare providers discount coupons or free samples to dispense to patients. It can be easy for healthcare providers to forget about these, so don’t be afraid to ask. Drug manufacturer discount

coupons can only be used by those with commercial insurance, not by people with Medicare or Medicaid. 6. Can you or someone in your office help me find financial assistance to cover my costs? Is there a charitable foundation that I can apply to? Charitable foundations, like PAN, can help patients pay their out-of-

pocket costs for prescription medications. Your healthcare provider’s office should be familiar with these programs and can point you in the right direction. You can learn more about patient assistance charities and connect with resources to help you manage your chronic illness at Q panfoundation.org. — Brandpoint

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arrangement, which we called Congregate Living. But our residents don’t have to share rooms to keep costs down! They enjoy their own private, spacious apartments. They are free to come and go, to entertain family and friends, and to make their own financial decisions. Currently, Flushing House is accepting applications for Two Week Trial Stays in our lovely community. The Trial Stay is What makes an Independent Community designed for people who are considering different from other types of making a move into a community setting housing options for older adults? but are fearful of such a commitment. This Retirement residences which combine offers the opportunity for people to try the Independent Living with supportive services community for 2 weeks while living in a on premises have recently become a furnished apartment. They can meet our popular alternative in the U.S. In Queens, residents, enjoy the amenities and see if Flushing House is known as a pioneer in this is the right fi t for them all at an incredsuch communities. Independent Living facil- ible rate of $30 per night. ities are real estate Flushing House developments, is located at 38-20 owned by large, Bowne Street, for-profit corpoFlushing, NY 11354. rate chains, and Space is limited. For more inforthey’re a lot more e x p e nsi ve t ha n mation on Flushing Flushing House ! H ous e and our trial stays call us As a not-for-profi t, at (347) 532-3014 we pioneered our unique living or (718) 752-3198. For more information visit us at www.FlushingHouse.com

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Flushing House is a private senior residence was built in 1974 with the purpose of offering older adults an alternative and affordable retirement experience. Today it is home to over 300 older adults. Flushing House has long been recognized as an innovator, one of the fi rst to offer Independent Living, along with supportive services on the premises.

SENIOR LIVING GUIDE • Summer 2019

Speaking with your healthcare provider about treatment options and any out-ofpocket costs should be one of the first things you do after being diagnosed with PHOTO COURTESY BRANDPOINT a chronic illness.

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constantly stand in the shoes of the families we serve, calloused responses never define us. Each life brought to us becomes part of our own. As others bring a new life into the world, our profession comforts those who have a life that has departed. When we serve families of ordinary people rather than the famous we replaced the crowds. By doing so our obligation is harder for we are place throngs through our individual participation. In the end it is the families that will determine whether we have served our purpose. Instead of public fanfare we realize our true purpose by a grateful handshake and a heartfelt thank-you. St. Michael’s Cemetery is located at 72-02 Astoria Blvd., East Elmhurst. For further information call (718) 278-3240.

St. Mary’s Community Mausoleum

72-02 Astoria Boulevard East Elmhurst, NY 11370 718 278- 3240 STMC-067222

SENIOR LIVING GUIDE • Summer 2019

he death of a celebrity has throngs of the curious and fans emotionally involved in a life only seen at a distance and through filters. Regardless of our personal thoughts about Michael Jackson or Walter Cronkite their passing was a family loss. Friends of a lifetime shed tears with those left behind. The differences between celebrity and the man-on-the street deaths are little to the families we serve. The insecurity and fear are palpable. Hushed conversations invade our facilities. We are relied upon to ensure the wishes of the deceased and the family these realized. The trust that is handed to us mostly by strangers empowers us creating obligations and responsibilities rarely offered. In place of hordes of grief-stricken strangers seeking recognition of a life now passed, our profession demands we can acknowledge the identity of the deceased. Representing the family we seek to honor the deceased in memories and stories that proved by reflection and comfort. We are family historians. We are judged and create lifelong relationships by our success in fulfilling the wishes of others. Though we

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“Thousands of Arthritis Sufferers Now Walk, And Enjoy Life WITHOUT Pain —Who Never Thought They Could!” New Treatment From The Arthritis Knee Pain Center Has People With Knee Pain Flocking To Them…. Viscosupplementation And Why Your Knee Hurts….

New York, NY- Have you ever been told that exercise will help your knee pain? How about taking a supplement by mouth and the pain will go away? For some it may help but for many who are in late stage osteoarthritis it may be too late. Maybe you’ve even tried injections but had no luck with them either. Well, if you can relate to any of this then read on because we have great news for you…

SENIOR LIVING GUIDE • Summer 2019

Finally, A Treatment for Severe and Chronic Knee Pain That Actually Works! Millions of older Americans suffer from knee pain due to osteoarthritis. This constant, crippling pain can keep people from doing even the simplest of tasks. Sleep problems, limited mobility and not being able to do the things you used to do can suck all the joy out of life. The good news is that there is a new treatment that is effective and has given thousands of people in the Houston area relief. It’s called viscosupplementation (lubricating Gel) and our method uses—“special digital imaging”.

Your knee pain all begins when the cartilage of the knee starts wearing away and the natural lubricating fluid in your knee dries up due to the arthritis. The bones then start rubbing together and this causes excruciating pain. Viscosupplementation is an effective treatment where a lubricating gel is injected directly into the knee joint. This gel acts as a lubricant and cushion between the bones of the knee similar to how oil lubricates a car’s engine—and helps ease your pain.

The Difference in Our Treatment… Many people, however, don’t get the relief they need from viscosupplementation. This is usually due to two reasons: 1. Their body doesn’t respond to the lubricating gel used or 2. The lubricant is injected in the wrong place. Here at The Arthritis Knee Pain Center we use several different lubricants. Not all lubricants work well for everybody in the same way; not all people respond the same way to certain medications. One person may try 2 or more blood pressure medications before they finally get the right one that works. The same is true with these gel injections.

There are over 7 different types that are all FDA approved. But the main difference in our treatment is that our doctors are thoroughly trained in using advanced digital imagery to see right into the knee joint and determine EXACTLY where the injection should go to be most effective. Studies have shown that doctors miss the right spot up to 30% of the time! That’s almost a third of the people getting this treatment not getting the relief they need!

Contact Us For a FREE Knee Screening... Call (646) 992-5323 This treatment is taking the New York area by storm! Lots of people are coming to our office to get this treatment. With the baby boomer population aging, knee pain from arthritis is a growing problem for this age group (and the younger generations are also being more and more affected). Call us now at (646) 992-5323 for a free knee screening. We’ll evaluate you and see if you’re a good candidate for our treatment. We want to help as many people as we can but we only have room for 20 evaluations every month and slots fill quickly. CALL US NOW! Becoming pain free and getting your life back may be just one call away…

Call (646) 992-5323 Or Log On To: www.NYCKneePain.com Covered by

and most insurances.