The Savvy Senior 2017 by The Daily Star

The

Savvy

SENIOR

A Special Publication of The Daily Star, Wednesday, Sept. 6, 2017

2 WEDNESDAY, SEPT. 6, 2017 The Savvy Senior - THE DAILY STAR

FREE EVENT!

Boomer Bash and Savvy Senior

EXPO Be a part of this incredible lifestyle event for Baby Boomers, Seniors, Caregivers, Friends and Family!

Saturday, September 16 Southside Mall, Oneonta â&#x20AC;¢ 10AM-3PM

10:00-10:30.... NY Skin & Vein Center 10:30-11:00.... BEMER Vascular Therapy “Learn Why BEMER is Being Called-The Fountain of Youth” 11:00-11:30.... HCR Home Care 11:30-Noon.... Advancing Tobacco Free Communities/Reality Check “Seen Enough Tobacco”

1:00-1:30........ Catskill Area Hospice & Palliative Care “Decisions, Decisions. When They Count. What Matters Most” 1:30-2:00

Richard Celli, Assistant Professor at SUNY Delhi “Keeping You and Your Computer Safe”

2:00-2:30........ Wells Fargo Advisors “Five Questions to Answer Before You Retire” 2:30-3:00........ Otsego County Office of the Aging “Medicare: Navigating Health Insurance Plans and Coverage” *Times are approximated

Attend one of her 3 sessions throughout the day

• 10:15-11:00 • 11:00-11:45 • 2:15-3:00

Limited number of chairs will be provided, please arrive early.

Arlana has been practicing yoga for more than 20 years and teaching for 4 years. Her mission is to offer the benefits of a yoga practice to those who thought they could never do it. Her chair yoga classes have developed over the years as she continued in her training and saw the difference yoga can make for people with mobility challenges. She began training in the use of yoga for the prevention and healing of athletic injuries. She recently received her 100 hour certificate in this training. Chair yoga is a gentle beginner’s class in which the chair is used for support through all poses, either standing next to the chair or sitting in it. Emphasis is on exploring range of motion; breathing exercises; and developing greater flexibility. No mat needed, just comfortable, stretch clothing. An excellent class for those with injuries, stiffness, or decreased mobility due to surgery, this class can be done in a wheelchair or seated for the entire class. Options and suggestions are given so that participants can make the class more or less challenging as they desire.

Otsego County

Thanks To Our Sponsors

OFFICE for the AGING 607-547-4232 855-547-4390

of OTSEGO COUNTY

(800) 342-9871

607 547 4390

The Savvy Senior - THE DAILY STAR

12:30-1:00...... Alzheimer’s Association, Central New York Chapter “How The Alzheimer’s Association Can Help”

Intro to Chair Yoga with Arlana Young

WEDNESDAY, SEPT. 6, 2017

Boomer Bash and Senior Savvy Expo

Speaker Agenda

4 WEDNESDAY, SEPT. 6, 2017 The Savvy Senior - THE DAILY STAR

Some benefits of growing older (MS) - Many people are quick to think of growing older in a negative light. Although there certainly are some side effects of aging that one may wish to avoid, people may find that the benefits of growing older outweigh the negatives. Seniors are a rapidly growing segment of the population. In the United States, the Administration on Aging states that the older population – persons 65 years or older – numbered 46.2 million in 2014 (the latest year for which data is available). Statistics Canada reports that, in July 2015, estimates indicated that there were more persons aged 65 years and older in Canada than children aged 0 to 14 years for the first time in the country’s history. Nearly one in six Canadians (16.1%) was at least 65 years old. With so many people living longer, it’s time to celebrate the perks of getting older rather than the drawbacks. Here are some great benefits to growing old. • Higher self-esteem: The insecurities of youth

give way as one ages, and older people have less negativity and higher self-esteem. A University of Basel study of people ranging in ages from 18 to 89 found that regardless of demographic and social status, the older one gets the higher selfesteem climbs. Qualities like self-control and altruism can contribute to happiness. • Financial perks: Seniors are entitled to discounts on meals, museum entry fees, movies, and other entertainment if they’re willing to disclose their ages. Discounts are available through an array of venues if one speaks up. Seniors also can enjoy travel perks, with slashed prices on resorts, plane tickets and more. The U.S. National Park Service offers citizens age 62 and older lifetime passes to more than 2,000 federal recreation sites for just $10 in person ($20 online or via mail). • Reasoning and problem-solving skills: Brain scans reveal that older adults are more likely to use both hemispheres of their brans simultaneously – something called bilateralization. This can sharpen reasoning skills. For example, in a University of Illinois study, older air traffic controllers excelled at their cognitively taxing jobs, despite some losses in short-term memory and visual spatial processing. Older controllers proved to be experts at navigating, juggling

Otsego County

OFFICE for the AGING

multiple aircrafts simultaneously and avoiding collisions. • Less stress: As people grow older, they are able to differentiate their needs from wants and focus on more important goals. This can alleviate worry over things that are beyond one’s control. Seniors may realize how little the opinions of others truly mean in the larger picture, thereby feeling less stress about what others think of them. Growing older may involve gray hair or wrinkling skin, but there are many positive things associated with aging.

Around The Clock In-Home Care Referrals Quality In-Home Nursing Care Referrals.

Promoting independence & quality of life for older adults in Otsego County

We are a NYS Licensed Employment Agency and Nurse Registry. Stay in the Comforts of your Own Home. Call Us Today!

140 County Hwy 33W Meadows Complex Suite 5 Cooperstown, NY 13326 (607)547-4232 or (855)547-4390

Referred Nurses and Non-Medical Companions

of OTSEGO COUNTY

607 547 4390 (800)342-9871 342-9871or (607) (800) 547-4390

Around The Clock IN-HOME CARE REFERRALS

5 1/2 Main St., Suite 8, Delhi, New York 13753 607-746-7455 www.atcinhomecare.org We are not a home care services agency and do not provide home care services or employ those who do.

False memory Watch out for ‘brain-preserving’ supplements

D R . M A R C A G R O N I N, B O A R D C E RT I F I E D G E R I AT R I C P S Y C H I AT R I S T

What can be treated

Supplements are not medicine Manufacturers are heavily marketing memory enhancers or memory pills to adults looking for drugs to help combat the effects of aging. Some make big claims that suggest their products can be used as treatments for diseases including Parkinson’s and Alzheimer’s. The U.S. Government Accountability Office recently reviewed hundreds of dietary supplements claiming to improve memory and found that many made misleading claims. “Medications are highly regulated. Dietary supplements are not. The crackdown on supplements is happening because they’re not subject to the same rules (as medicines). People are looking for a miracle, but these companies are selling something not helping someone,” Agronin said. As people age, cognitive function

“There’s no evidence these brain tonics work. They’re more hype than hope.”

[MCN ILLUSTRATION]

tends to slow down, Agronin said. While it varies from person to person, memory loss is a normal part of aging. “There is a decline. There are more tip-of-the-tongue experiences as we get older,” Agronin said. Memory disorders are quite common, and age is the main risk

factor, Agronin said. But, that doesn’t take into account the benefits of aging. “Other things improve. You have more experience. Wisdom and creativity improve,” Agronin said. Memory concerns are also subjective. What might bother one person may not concern another.

If memory issues are frequent and bothersome, it’s worth having them checked out either by an internist, neurologist or gerontologist. “Medically, they can see if everything is good,” Agronin said. Often memory loss symptoms are relatively benign and more treatable than commonly thought, Agronin said. Some reasons a person may be experiencing memory loss include depression, low thyroid, sleep disorders, substance abuse and side effects from drug interactions. Many are reversible factors, but the longer you wait the harder they can be to treat, Agronin said. To maintain a healthy brain, keep a healthy lifestyle. “What’s good for the heart is also what’s good for the brain,” Agronin said. Eat a diet (like the Mediterranean diet) low in fat, high in fruits and vegetables. “Do things that you enjoy that keep your mind, body and soul active,” Agronin said. That can mean Sudoku or computer games, long walks or vigorous exercise, learning a new language or actively baby-sitting your grandchildren.

The Savvy Senior - THE DAILY STAR

s Americans are living longer and thriving into their 70s, 80s and beyond, they’re also dealing with the effects of old age, including memory loss. Some are turning to dietary supplements to help preserve their minds, but “there’s no evidence these brain tonics work. They’re more hype than hope,” said Dr. Marc Agronin, board certified geriatric psychiatrist and vice president for behavioral health and clinical research at Miami Jewish Health Systems, a network of assisted living facilities. “There’s no question with more attention on Alzheimer’s, concerns about memory loss are becoming more common. I’m seeing more and more younger people coming in complaining about memory lapses,” said Agronin, author of “The Dementia Caregiver.”

WEDNESDAY, SEPT. 6, 2017

More Content Now

By Melissa Erickson

TIME FOR

6 WEDNESDAY, SEPT. 6, 2017

BED

The Savvy Senior - THE DAILY STAR

We know sleep is important – tips for getting more

“Sleep is very important for brain health. It is during sleep that our brain’s glymphatic system removes toxins such as beta amyloid that can cause Alzheimer’s,” Rosenberg said.

Boomers and sleep A recent AARP report found that 99 percent of adults older than 50 believe that sleep is important for their brain health, but over four in 10 (43 percent) say they don’t get enough sleep. More than half (54 percent) of adults report they wake up too early in the morning and can’t get back to sleep. As we age, our sleep patterns change. “We demonstrate less deep (slow-wave sleep) and increased amounts of lighter stages of sleep,” Rosenberg said. “Dream, or REM, sleep stays about the same. We also have more frequent brief awakenings from sleep. We may have more trouble falling asleep and staying asleep, the former due to decreased production of melatonin and weakening of circadian rhythms, the latter in part due to more chronic pain and other medical conditions such as pulmonary and cardiac disorders, which interfere with sleep.”

Sleep hygiene

By Melissa Erickson More Content Now

ood sleep is essential not only for physical health but also for our brain health. To keep mentally sharp as we age, experts recommend getting seven to eight hours of sleep per day, something many people don’t adhere to.

“Sleep is very important. People who sleep less than six hours on average show decreased cognitive function. Their reaction times are slower, and they have more trouble paying attention and multitasking,” said Dr. Robert S. Rosenberg, board certified sleep medicine physician and author of “The Doctor’s Guide to Sleep Solutions for Stress & Anxiety.”

One of the key ways to get better sleep is to practice good sleep hygiene. “Establish a set sleep/wake schedule and stick to it. Turn off all blue-light-emitting devices such as computers and cellphones one hour before bedtime. Avoid alcohol close to bedtime, and stop caffeine intake at least six hours before bedtime. Make sure your bedroom environment is comfortable and dark,” Rosenberg said. Global Council on Brain Health, an independent collaborative of scientists, doctors and academics, recently came out with new recommendations that cover a wide

range of sleep-related issues, including common factors that can disrupt sleep, symptoms of potential sleep disorders, and prescription medications and over-the-counter sleep aids. Here are a few of their tips on falling and staying asleep: • Don’t stay in bed if you are not sleepy. Leave the bedroom if you are in bed awake longer than you would like to be. Find a quiet place to relax outside of the bedroom and return to bed only once you feel sleepy. • Limiting your time in bed may improve the quality of sleep. For example, if you are sleeping seven hours, you should only be in bed seven-and-a-half hours, not nine to 10 hours. • A regular warm bath may be beneficial two to three hours before bedtime. • Wearing socks to bed may be beneficial if you have cold feet. • Avoid difficult discussions or arguing in the evening. • If you worry a lot while in bed, schedule about 15 minutes each morning as your “worry time” specifically for intentional concentrating on the things you think about at night; this may make nocturnal worrying less. • Try relaxation therapies with deep breathing and meditation, as these help some to fall and stay asleep. • Identify your most comfortable position and sleep environment by investigating how you lie most comfortably in bed (try different positions and pillows). • Avoid long naps; if you must nap, limit to 30 minutes in the early afternoon. • It’s possible that you are getting more sleep than you think, but it is still worth consulting with your health-care provider if your life is being negatively impacted by lack of sleep.

Find good options “Don’t hesitate to inquire to your server to explain cooking methods and ingredients,” said Blair Kidwell, assistant professor of marketing in the College of

You’re No. 1

“When it comes to ordering, go first! I have noticed that if I order last, after discovering my friends have opted for cheese fries and nachos, I am likely to switch my meal to a less healthy option,”

LEARN WHY BEMER IS BEING CALLED “THE FOUNTAIN OF YOUTH” Experience an 8-minute BEMER Session for Yourself BEMER ENHANCES: General bloodflow The body’s nutrient and oxygen supply and waste disposal Cardiac function Physical fitness, endurance, strength and energy Concentration, mental acuity, stress reduction and relaxation European Medical Device - FDA Class 1 Over 50 Studies Since 1998

For more information: http://new-wave.bemergroup.com

Sleep management

said registered dietitian nutritionist Anja Grommons, graduate teaching assistant at Western Michigan University.

Order creatively “Consider ordering a healthy appetizer of salad before your entrée. Ask for low-fat or lowercalorie salad dressing,” said Denise Holston-West, instructor in the School of Nutrition and Food Sciences at Louisiana State University. Order a side salad and appetizer rather than an entire entrée, consider sharing an entrée, or ask for a to-go box immediately and put half of the entrée in the box so you are not tempted to eat the entire dish, she said.

Reproduction in whole or in part without prior written permission is strictly prohibited. Opinions expressed in the publication are those of the authors and do not necessarily represent those of the management of the publication. ©2017 GATEHOUSE MEDIA ALL RIGHTS RESERVED

Decisions, Decisions When They Count. What Matter Most.

5 Things every Boomer, Savvy Senior and family member should know: ¥ What matters most regarding healthcare decisions? ¥ What is an Advanced Directive? ¥ What is a Living Will? ¥ Why is Advanced Care Planning SO important? ¥ How do we talk about it as a family? Bonus Question: Where do we go for help with this? It’s easy, we help people all the time with these issues.

Come to our informational workshop at 1:00pm Can’t make the workshop? No problem, stop by our table for info and free copies of “FIVE WISHES,”a helpful guide for making decisions that matter most to you and your family. -Please call Kelly McGraw at 607.432.5525 if you have any questions-

The Savvy Senior - THE DAILY STAR

Business Administration at FlorMore Content Now ida International University. “Frozen or fresh, farm-raised or mericans love to dine out. wild-caught, made in-house or We spend nearly a third of shipped. There are great gems out every food dollar at resthere — you just have to find taurants, and in 2015 the them.” National Restaurant Association According to Eat This, Not reported that Americans spent That!, typically local foods are more at restaurants than at grofresher and more nutritious than cery stores. those shipped or frozen, and Eating out may be enjoyable, but there’s much debate about the it can lead to an expanding waistbenefits of farm-raised versus wild line. Here are some expert tips for fish. Read up on facts and buzzhealth-conscious foodies who like words before you head out. to eat out: By Melissa Erickson

WEDNESDAY, SEPT. 6, 2017

Make healthy choices at restaurants

8 WEDNESDAY, SEPT. 6, 2017

When was the Last Time Your Legs Felt This Good?

We Will Help Your Tired Heavy Swollen Crampy Legs!

The Savvy Senior - THE DAILY STAR

“I was experiencing a constant ache in my legs with severe leg cramps especially at night which interrupted my sleep. Immediately following surgery my pain was gone - absolutely amazing. Dr Dohner and staff were extremely professional.” Beverly from Sidney Be Free of Varicose Veins in only 18 minutes with Sciton Laser Ablation (covered by most health insurances including Medicare). If your legs are painful, ache, throb, feel heavy or tired, swell, itch, cramp, have rashes or neuropathy or numbness or restless legs or skin discoloration or ulcers THEN it’s probably a vein problem that can be fixed in the office in only minutes! And you’ll be back to work and play in just days! Call Dr. Dohner Today! New York Skin and Vein Center 6 Country Club Rd, Oneonta NY 13820 - Call 607-286-0655 Your procedure is done at our office - the ONLY private surgery facility in the area - for your safety, privacy, comfort and convenience. Call for a Complimentary Leg Vein Ultrasound Today!

607-286-0655 Not Ready for Appointment or Ultrasound? Call for a Free DVD and Patient Information Guide to Leg Pains and Varicose Veins!

Did you know? Men and women over 50 who are considering returning to school may be eligible for financial assistance through various programs. According to the American Association of Retired Persons, older men and women who want to go back to school do not necessarily have to bankroll that expenditure on their own. AARP notes that the Internal Revenue Service offers tax breaks such as the American Opportunity Tax Credit and the Lifetime Learning Tax Credit that older students can take advantage of to lessen the blow of tuition costs, which have risen considerably since today’s men and women over 50 were in college. Older men and women may also be able to take advantage of 529 college savings accounts they opened for their children that their kids did not end up needing. AARP also notes that men and women over 50 who want to apply for financial aid must be prepared to enroll in more than one class and in more than just a continuing education program. More information is available at aarp.org. (MS)

Healthy Legs Special Complimentary Consultation and Leg Ultrasound Screening Every Tuesday in September from 9am to 3pm (Other dates available too)

PLE SAM

Medicare + Medicaid =

More Benefits for You!

Call: 1-800-860-8707 (TTY: 1-800-558-1125) fideliscare.org/medicare @fideliscare

H3328_FC 17008 Accepted

9 WEDNESDAY, SEPT. 6, 2017

15 in

Spotting Skin Cancer More Content Now

hen it comes to skin cancer, the more eyes you have on it, the better. Potential skin cancer can be spotted more easily when people, especially spouses, are trained to look for suspicious developments. That wisdom is especially true for men over 50, who have a higher risk than the general population of developing melanoma, the deadliest form of skin cancer. One in five Americans will get skin cancer, according to the Skin Cancer Foundation. Melanoma is the least-common form and if treated early it is almost always curable. If not detected early enough, the cancer can spread, making it difficult to treat and potentially fatal. That’s why it’s important for everyone to keep a sharp eye out for signs of the disease. Research has shown that women are nine times more likely than men to notice melanoma on others, and that men assisted by women during skin exams are less likely to miss skin lesions than women assisted by men. I like to tell my patients, “if you see something, say something,” said Dr. Thomas E. Rohrer, president, American Society for Dermatologic Surgery.

[BIGSTOCK]

— Skin Cancer Foundation

Where to look

What to check

Since it can be difficult to examine some parts of your body on your own, it’s best to ask a partner for help. “We encourage partners to check each other and check your kids, especially in hard-to-see areas such as the scalp, back, back of legs and soles of feet,” said New York-based dermatologist Dr. Anthony M. Rossi. However, not all melanomas develop from moles. Genetics and family history also play major roles. “About one in every 10 patients diagnosed with the disease has a family member with a history of melanoma. Having a first-degree relative diagnosed with melanoma confers about a 50 percent greater chance of developing the disease than people who do not have a family history of the disease,” Rossi said. Additionally, “the risk of developing melanoma increases with sun exposure and, in particular, sunburns. The risk of melanoma doubles if someone has had more than five sunburns. Those who have used tanning beds more than 10 times have a 34 percent increased risk of developing melanoma,” Rohrer said. Melanoma can also develop from existing moles or an area of skin that is newly pigmented, Rossi said.

“The signs of melanoma include any new or changing mole. The ABCDEs of melanoma are often used as signs of worrisome features that could be melanoma,” Rohrer said. These are: A: Asymmetry – when a mole is symmetrical, a line can be drawn down the center and both halves will look the same. Asymmetry means lack of balance in this regard. B: Border – if mole borders are jagged and irregular (not smooth). C: Color – irregular and uneven. It may have different shades of brown or black. D: Diameter – greater than 6 mm, which is a bit smaller than a fingertip. E: Every mole that is changing or evolving or looks different than all of a person’s other moles. Selfies can be a great way to check abnormal skin developments you might otherwise not notice, Rossi said. “We also encourage patients to get naked and check themselves at least yearly on their birthdays. Get in your birthday suit on your birthday,” Rossi said.

The Savvy Senior - THE DAILY STAR

By Melissa Erickson

Americans will get skin cancer

11 The Savvy Senior - THE DAILY STAR

The Savvy Senior - THE DAILY STAR

WEDNESDAY, SEPT. 6, 2017

Living on

Myths and facts surrounding organ donation By Melissa Erickson More Content Now

eing an organ donor is a very personal choice. While some people have religious objections or may be uncomfortable with the idea, organ donation can save lives. “You could save up to eight lives through organ donation and give hope to the more than 100,000 people waiting for an organ transplant,” said Dr. David Klassen, chief medical officer at the nonprofit United Network for Organ Sharing. Every 10 minutes another person is added to the national waiting list

for organ donation. Each day, “92 people get life-saving organ transplants in this country, but another 20 die waiting for an organ that didn’t come in time,” Klassen said. All organs are needed, but by far the largest number of people need kidneys followed by livers, Klassen said. “The average is 3.5 organs transplanted per deceased donor. The same donor can improve the lives of an additional 75 people through eye and tissue donation,” he said.

Anyone can donate “People of all ages and medical histories should consider themselves potential donors,” Klassen said. You don’t even have to be in top

physical shape. “A liver was transplanted from a 93-year-old organ donor — the oldest donor to date,” Klassen said. The first successful human organ donation was a kidney transplant in 1954. “Your medical condition at the time of death will determine what organs and tissue can be donated. It’s never too late to register, and there are very few conditions that are automatic rule-outs,” Klassen said. Conditions that can rule out organ donation include current or recent cancer diagnosis or morbid obesity. Signing up to be an organ, eye and tissue donor is free, Klassen said. Just fill out the form at registerme.org.

[PHOTOPIN]

Myths and misconceptions

“You could save up to eight lives through organ donation and give hope to the more than 100,000 people waiting for an organ transplant.” – D R . D AV I D K L A S S E N, C H I E F M E D I C A L O F F I C E R AT T H E N O N PROFIT UNITED NETWORK FOR ORGAN SHARING

Organ donation does not disfigure the body. “Organ and tissue donors can have open-casket funerals. Organ transplant and organ recoveries are surgical procedures performed in operating rooms,” Klassen said. Your family will not be charged a fee. “There is no cost to the donor’s family or estate for organ and tissue donation,” Klassen said. If you’re a registered donor, your doctor’s first priority is your life. “If you are sick or injured and admitted to the hospital, the No. 1 priority is to save your life. Organ donation can only be considered after brain death has been declared by a physician,” Klassen said.

No one jumps to the front of the line. “A national computer system and strict standards are in place to ensure ethical and fair distribution of organs. Organs are matched by blood and tissue typing, organ size, medical urgency, waiting time and geographic location,” Klassen said.

A lifesaving chain When someone is willing to donate a kidney but their intended recipient is incompatible, all hope is not lost. “Kidney paired donation programs match incompatible donor and candidate pairs with other pairs that don’t match. A donor chain is kicked off when a living donor who gives a kidney to help a stranger is added to a kidney paired donation program,” Klassen said.

12 WEDNESDAY, SEPT. 6, 2017

Terms to know • A standard drink is one can (12 oz.) of beer or ale; a single shot (1.5 oz.) of hard liquor; a glass (5 oz.) of wine; or a small glass (4 oz.) of sherry, liqueur or aperitif.

• A binge itself is usually defined as any drinking occasion in which an individual consumes five or more standard drinks. For older adults, a binge is four or more drinks per occasion. People who are alcohol-free throughout the work week and celebrate with Friday night or holiday “benders” would be considered binge drinkers.

What to know

drinking and aging By Melissa Erickson More Content Now

inge drinking is more commonly associated with young adults living recklessly, not older adults. But a new study has found that baby boomers are increasingly making unhealthy choices when it comes to alcohol. “Our findings show that based on the National Survey on Drug Use and Health, there have been significant increases in alcohol use in general, binge alcohol use and alcohol use disorder among older adults,” said Dr. Benjamin Han, a geriatrician and health services researcher at the Center for Drug

Use and HIV Research and in the Division of Geriatric Medicine and Palliative Care at NYU Langone Medical Center. The study examined the trends of self-reported binge alcohol use among adults 50 and older and found a significant increase in pastyear alcohol use, past-month alcohol use, past-month binge drinking and alcohol use disorders.

Different effects The National Institute on Alcohol Abuse and Alcoholism recommends no more than one drink per day for people over 65, a maximum of two drinks on any drinking occasion and somewhat lower limits for women. “While in general men engage in

more unhealthy alcohol use than women, we found significant increases in both binge drinking and alcohol use disorder among women during the study period,” Han said. The evidence of increased unhealthy alcohol use among older adults should not be ignored, researchers said. “The main risks of binge drinking for older adults in particular include unintentional injuries, particularly falls, exacerbating existing chronic diseases such as cardiovascular or liver disease, and that it can lead to certain cancers and chronic conditions. Binge drinking can also complicate the management of chronic medical disease,” Han said.

[FREEPIK]

The Savvy Senior - THE DAILY STAR

• Binge drinking is generally defined as short periods of loss of control over drinking alternating with periods of abstinence or much lighter alcohol use, according to the national Substance Abuse and Mental Health Services Administration.

Know the signs It can be difficult to recognize unhealthy alcohol use given physical and social changes that often accompany aging. “For example, for younger adults a sign of a drinking problem may be that it interferes with obligations at work or school, but for older adults these role obligations may not exist or are different, especially in retirement,” Han said. “Also for younger adults, tolerance to alcohol is usually developed, but for older adults due to the increased sensitivity of alcohol, they may seem to have a lower tolerance to alcohol.” People are often unaware they have a problem with drinking or do not realize their health problems are related to their drinking, Han said. “When talking with older parents it is important to use non-judgmental and non-stigmatizing language, and discussions about drinking should take place in the context of an older adult’s overall health,” Han said.

Local Health Professionals Providing Innovative Home Care for Nearly 40 Years Is there anything tobacco companies wouldn’t do to get cigarettes in front of our kids?

GET THE FACTS seenenoughtobacco.org

Confidently choose HCR Home Care when you need support and peace of mind after an illness or injury. 800-270-4904 | HCRhealth.com |

The Savvy Senior - THE DAILY STAR

Mature pets might be an ideal fit for seniors. When seniors are looking to adopt a pet, there are various reasons why older pets or particular animals might be the perfect fit for them. • Adult pets may already be house trained, saving seniors the trouble and effort of training them. • Seniors may find cats fit their lifestyles more

than dogs, as cats are less active and do not need to be walked or played with as much as dogs. Cats also are small and easily maneuverable, meaning even seniors who have arthritis or other physical limitations can easily care for cats. Many cats are also content to spend long periods of time sleeping on their owners’ laps. • Small dogs that can be active within the house might be a good idea as well, especially for seniors with mobility issues. They’re also easily transported to and from vet appointments. It’s important that seniors carefully weigh the benefits of adopting a pet against any limitations they may have. Having a backup plan for care is advantageous as well. Seniors should not adopt a pet if they anticipate frequent travel or medical care that requires they be away from home for long periods of time.

WEDNESDAY, SEPT. 6, 2017

(MS) - Companion animals bring great joy to their owners. The unconditional love cats and dogs provide appeals to people of all ages. While many people associate pets with kids who can’t wait to welcome the first cat or dog into their homes, pets can benefit aging men and women as well. It’s not uncommon for seniors to feel lonely or depressed when they retire, their children move away or they lose a spouse or close friend or friends. The American Humane Society states that studies show pets help seniors overcome loneliness and depression by providing affection, company and entertainment. Pets also provide much-needed mental stimulation, and many pet owners find their pets help them become more physically active as well. Seniors who adopt pets may also feel a sense of purpose when helping animals who may not have anywhere to live. This is particularly true of older companion animals, which many young families are understandably hesitant to adopt.

Adopting a dog or cat later in life

14 WEDNESDAY, SEPT. 6, 2017

TIPS TO AVOID

DRUG INTERACTIONS By Melissa Erickson More Content Now

Polypharmacy Polypharmacy is defined as taking five or more medications at the same time and is most common in older adults, Little said. “As a geriatrician who quarterbacks the health care of my patients, I think six medicines usually is too many, and studies have shown mortality is higher among patients who are taking 10 medicines,” she said. “I love to analyze medicines my patients are taking because reducing the number of drugs often makes them feel

Know the side effects

The Savvy Senior - THE DAILY STAR

A medicine might address one problem but create another. For instance, antidepressants can cause frequent urination, which can lead to incontinence. Statins and blood thinners worsen frailty, which makes patients vulnerable to more medical problems. An antidiuretic for blood pressure can worsen symptoms of gout, which is a form of arthritis. “Some older adults believe taking a pill will make them healthier, which is not always the case, particularly when they’re taking many

WIKIPEDIA.COM

he pills you’re taking to keep you healthy have a chance of making you sick. That’s because people taking a multitude of medications are risking potentially dangerous drug interactions or could be limiting their effectiveness. “The more drugs you take, the more chances you have to experience a bad reaction,” said Dr. Milta Little, associate professor of geriatrics at Saint Louis University. “Drugs may not play well with each other, and problems can snowball for older adults who take five or more medicines.” As people grow older, they can develop a litany of health problems and see multiple specialists who prescribe various drugs to treat common conditions such as osteoporosis, high blood pressure, diabetes, heart disease, arthritis and memory loss. These can be in addition to over-the-counter medications, herbal supplements and vitamins one is taking at home.

so much better. Many times, less is more.” It is not uncommon for Little to see patients who are on 20 to 30 medicines including supplements. “They think each medicine is doing good, but when you pile on the chemicals you increase the risk of a bad reaction,” Little said. “Because people are unique, onesize-fits-all guidelines don’t work. One 65-year-old man might look 45 while another appears much older. There’s a little bit of art to medicine.” Instead, Little advocates an annual medicine checkup, where patients ask doctors to assess the drugs they are taking, being mindful that vitamins, supplements and over-the-counter medicines count, too. “It’s critical that you’re your own medical advocate and that you know how your body reacts to medicines,” Little said. Here are some good questions to ask and things to bring to your next physical: • Keep a current list of medicines and dosages and bring it to discuss with your doctor. • Ask your doctor if you still need to be taking every medication. “Push back if they say, ‘Yes.’ Ask, ‘Why? What is it being used for and how will it help me?’ ” Little said. • Understand what you’re taking. “If you have literacy or memory problems, bring someone with who can help,” Little said. • Use only one pharmacy to fill prescriptions. • Read and understand labels.

pills for different health issues. Too many medicines can make older adults feel fatigued and undermine the quality of their lives,” Little said. “We have a lot of evidence that non-medical treatments, such as exercise, yoga and massages, work better in improving a person’s health.”

St. James’ Manor

Simplify Your Life, Because Retirement Is Just The Beginning! 9 St. James’ Place • Oneonta, NY (607) 463-9974 stjamesmanor.com

By Melissa Erickson More Content Now

Health insurance Even a short gap in health coverage can expose people to huge financial risk, Vasileff said. If one spouse gets health insurance through their partner’s employer, he or she may be at risk of a gap in coverage before qualifying for Medicare. You have a right to continue coverage under COBRA for 36 months, but the cost could be exorbitantly expensive, Vasileff said. “It’s a good short-term solution, but you should investigate your options. Is there insurance available through your own employer? Health insurance can also be a part of the divorce negotiation and settlement,” Hamra said.

The house “One of the biggest issues is the family home. People get nervous for change. Emotions get in the way. They don’t want to disrupt their kids or sell the home they raised the kids in,” Hamra said. Be realistic and ask, what’s the best financial decision? Hanging on to the home can be financially damaging. Think about resale value, maintenance costs and taxes.

Splitting assets In addition to the home and other property, retirement assets and Social Security also need to be split up. “Think about what you’ll receive in terms of investment” and don’t forget about the tax implications, Vasileff said. “Be aware that what you’re receiving on paper is not always the same as after-tax value.” So a lump sum settlement of $400,000 on paper may be worth less after capital-gains taxes are applied. When it comes to Social Security, a couple must have been married for 10 years before a spouse is entitled to one-half of the other’s benefits, Hamra said. “It’s good, but it’s just half, and keep in mind that if you remarry you are no longer entitled to that benefit,” he added.

The Savvy Senior - THE DAILY STAR

idowed or divorced people who find themselves suddenly single as they near retirement age face tough economic challenges. Medical costs, adequate financial planning, insurance coverage and Social Security concerns are just some of the issues that need to be understood. While divorce is becoming less common for younger adults, the divorce rate for people 50 and up has roughly doubled since the 1990s, according to the Pew Research Center. After rising sharply over the past 25 years, the divorce rate for adults 50 and older has remained relatively steady since 2008, according to the U.S. Census Bureau’s yearly American Community Survey. Whether you’re suddenly single because of divorce or death, change at this stage of life can leave people — especially women — less financially secure, said Lili Vasileff, certified financial planner, certified divorce financial analyst, and founder and president of Divorce and Money Matters, Greenwich, Connecticut. “The higher earner, who is usually but not always the man, is much more likely to be better off 10 years after a divorce even if the divorce was equitable, even if there was spousal maintenance,” said Dave Hamra, certified financial planner, certified divorce financial analyst and owner of Gordian Advisors in Tucson, Arizona. Common financial issues the suddenlysingle face:

WEDNESDAY, SEPT. 6, 2017

single

Money questions to answer after divorce or death

Suddenly

16 WEDNESDAY, SEPT. 6, 2017

PIXABAY.COM

Ways to save on

The Savvy Senior - THE DAILY STAR

PRESCRIPTION DRUGS

By Melissa Erickson More Content Now

rescription drug prices are skyrocketing, especially for older Americans. A new AARP report found that prices for brand-name drugs widely used by boomers increased nearly 130 times the rate of inflation in 2015, for an average increase of 15.5 percent. That’s the fourth straight year of double-digit average annual price increases for widely used prescriptions. “Prescription drug therapy is not affordable when its cost exceeds the patient’s entire income,” said Leigh Purvis, director of health services research, AARP Public Policy

Institute, and co-author of the report. “Even if patients are fortunate enough to have good health-care coverage, high prescription drug costs translate into higher out-of-pocket costs — especially for those who pay a percentage of drug costs rather than a fixed copayment — as well as higher premiums, deductibles and other forms of cost-sharing.” Purvis answered some questions about where and how to get cheaper drugs: Q: Do prescription prices vary by where a person lives or what store they’re bought at? A: Yes, there is a great deal of variation in prescription drug prices. For

“Prescription drug therapy is not affordable when its cost exceeds the patient’s entire income.” L E I G H P U RV I S, AARP PUBLIC POLICY INSTITUTE

example, one pharmacy may have a very different price than another pharmacy located just across the street. Some states have developed websites that allow you to make those types of price comparisons. There are also a growing number of apps and online tools that allow you to make drug price comparisons, found easily with a Google search. Q: Can people ask for a discount on their prescription? A: Absolutely, although it’s worth noting that a pharmacy’s willingness to give you a discount may depend on your health-care coverage. Some pharmacies are hesitant to offer

discounts to Medicare and Medicaid beneficiaries due to concerns about federal laws that prohibit healthcare providers from offering anything that could be seen as kickbacks. Q: What about discount clubs? They may have a fee to join. Is it worth it? A: It really depends on your individual circumstances. Discount clubs can provide some savings, particularly if you take generic drugs. However, you should keep in mind that you can’t use discount club cards in combination with your health insurance. And yes, you should definitely be mindful that the membership fee could make such programs less of a deal.

More ways to cut prescription costs (MS) Though people who cannot afford to fill their prescriptions often feel helpless, there are a handful of ways they can cut the costs of their medications and start feeling better. • Discuss changes with your physician. Perhaps the simplest way to cut prescription costs is to discuss medication options with your physician. Brand-name drugs are typically more expensive than generic alternatives, so speak with your physician about generic drugs or less costly brand-name drugs that may treat your condition as well as expensive brandname drugs do.

WEDNESDAY, SEPT. 6, 2017

through a program called Verified Internet Pharmacy Practice Sites (VIPPS). Both are affiliated with the National Association of Boards of Pharmacy. Another option is to look for online pharmacies that have walk-in stores in the United States, such as CVS and Walgreens. Q: Anything else readers should know? A: Yet another savings option comes from the drug manufacturers themselves. Many brand-name drug manufacturers have programs that offer their products at greatly reduced prices or even for free for patients who meet their eligibility criteria. However, it’s always a good idea to make sure that a generic equivalent isn’t available before pursuing this option.

• Consider Patient Assistance Programs. Sometimes referred to as “Pharmaceutical Assistance Programs,” Patient Assistance Programs, or PAPs, can greatly reduce the burden of prescription drug costs. Sponsored by pharmaceutical companies, PAPs distribute billions of dollars to patients who otherwise could not afford their medications. Eligibility criteria varies depending on the program, but men and women struggling to pay for their prescriptions can speak with their physicians about PAPs. • Consult your member organizations. If you are a member of the AAA automotive group or the American Association of Retired Persons, you might be eligible for medication discount cards free of charge. These cards provide discounts on your medications, but some come with expensive fees upfront. Look for no-fee cards, such as those offered to AAA and AARP members or others offered by nonprofit organizations, before considering options offered by pharmaceutical companies or other for-profit businesses. • Contact charitable organizations. Some charitable organizations, such as the National Organization for Rare Disorders and maybe even some local nonprofits, offer prescription assistance to people in need. Visit NORD online at www.rarediseases.org.

Offering High Quality Eyewear at a Price You Can Afford!

A complete pair of eyeglasses start at for single vision plastic lens

Many options for service, designed for your convenience! I travel throughout Delaware ALL of the leading names in Co. & Otsego Co. for more optical lenses are available at a accessibility, have established significant savings to YOU! office hours, offer private appointments and even eyewear parties! Many lines of frame Johanna VanDeusen designers, some available NYS Licensed Ophthalmic Dispenser exclusively for our area! From johannavandeusen@gmail.com prescription eyewear, 574 Main St., Franklin NY non-prescription and prescription 607-287-4986 sunglasses to specialty eyewear, facebook.com/franklinspecs let me find the best eyewear for M&F, 1-6pm or by appointment you!

My Focus is Your Eyewear!

Caring for someone with Alzheimer’s isn’t easy. Reaching us is. 24-Hour Helpline: 800.272.3900 Online Caregiver Center: alz.org/care

The Savvy Senior - THE DAILY STAR

Q: Is choosing generics a good way to cut costs? A: We strongly recommend that consumers take every opportunity to use less-expensive, equally effective generic drugs. Generics are required to have the same active ingredient, strength, dosage form and route of administration as their brand-name counterparts. Choosing to use a generic equivalent is an easy way to save a lot of money. Q: Anything to watch out for if shopping online? A: Unfortunately, there are some bad actors out there, so you should make sure that you’re purchasing your drugs from a reputable source. One option is to look for online pharmacies that have been certified by LegitScript.com or

18 WEDNESDAY, SEPT. 6, 2017

HAVE A

SEAT Chair yoga found to ease pain of osteoarthritis

By Melissa Erickson

The Savvy Senior - THE DAILY STAR