The Wise Guide 2015

FR E E

Let’s Talk About Mom

DE Fancy Footwork Probate - Is it Worth Avoiding?

Recognizing Elderly Depression

BONNER GENERAL HEALTH COMMUNITY HOSPICE BONNER GENERAL HOME HEALTH Our Hospice and Home Health Services programs partner with your physician to bring you the skilled health care you need at home.

We offer a wide range of services, including: • Disease and pain management

• Skilled nursing

• Physical, occupational and speech therapy

• Assistance and management of medications

• Palliative care

• Plus many more services

Our services are covered by Medicare, Medicaid, and most insurance providers.

Call Bonner General Home Health Services at 208-265-1007 or Hospice at 208-265-1179 for more information on how we can help.

It’s just another way Bonner General Health nurtures quality of life.

520 N. Third Avenue • Sandpoint, ID 83864 • 208-263-1441 • www.BonnerGeneral.org

SPRING / SUMMER 2015

Features

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E24

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Probate: Is It Worth Avoiding?

Pros and Cons of Probate

Valley Vista Care An All Inclusive Campus................. 4 Life’s Unexpected Turns............................................... 6 Caregiving – The Universal Occupation................... 16 Probate: Is It Worth Avoiding?........................................ 18 A Holistic Approach to Financial Planning.............. 20 Let’s Talk About Mom................................................. 22 Recognizing Elderly Depression............................... 24 What Is Chronic Kidney Disease?............................. 26 What is Cash Pay Packaged Pricing?......................... 28 My Broken Back!......................................................... 30 Fancy Footwork.......................................................... 32 Visual Aids.................................................................. 34 Preferred Provider? Says Who?.................................. 36 Bone Health................................................................ 38 Ceramic Implants....................................................... 40 Caregivers, Got Help?................................................. 44 Magnetic Jewelry Can Help YOU.............................. 46 Crossword & Sudoku.............................................48-49 The Medical Reserve Corps....................................... 50 Are You Visually Challenged?..................................... 52 Your Parent CAN Love a Retirement Home.............. 54 Is Aging in Place the Best Option?............................ 56 So What’s In Your Toolbox?........................................ 58 Veterans Pages.......................................................60-63 Dealing with the Changes in Health Care................ 74 A Wider Network of Care........................................... 76 Run It By Tamara........................................................ 78

Activities and Events

Elderly Depression

6 Million Age 65 and Older Suffer

Fancy Footwork

Be Barefoot Ready for Summer

Regional Events............................................................ 9 General & Alzheimer’s Support Groups................... 72 Community & Senior Centers................................... 73

Directory

Agencies, Free Referral Services & Volunteer Opportunities....................................... 64 Care Communities; Independent &

Assisted Living, Adult Day Care........................... 64 Counseling.................................................................. 66 Dental.......................................................................... 67 Financial & Asset Management................................ 67 Gifts & Shopping........................................................ 67 Health & Wellness....................................................... 67 Hearing & Vision ........................................................ 68 Hospice ...................................................................... 68 Hospitals & Medical Care.......................................... 68 In-Home Services....................................................... 69 Insurance.................................................................... 70 Legal............................................................................ 70 Pharmacies, Med. Equip., Safety & Supplies............ 71 Veterinary & Pets........................................................ 71

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Valley Vista Care

An All Inclusive Campus

V

alley Vista Care is a nonprofit organization offering long term care and other services to the elderly and disabled in beautiful St. Maries, Idaho. In 1986, St. Maries’ citizens formed Valley Vista Care to buy the local skilled nursing facility from a national chain. Since then, Valley Vista Care has expanded in St. Maries to create a 5 acre campus with multiple services available.

The skilled nursing facility was expanded and updated to 74 beds to include a specialized Behavior Care Unit, along with a full therapy and rehabilitation services area with an aquatic pool. Separate assisted and independent living facilities were also added. In addition, Valley Vista Care operates a public transportation service and manages an in-home personal care services agency.

Valley Vista’s services include: • Skilled Nursing – Valley Vista’s goal is to help residents regain or maintain the highest possible level of health, function and comfort. Ongoing education is provided to all nursing staff to maintain high standards of care for all. There is 24 hour nurse and certified nursing assistant staffing, higher than average staff to resident ratios and an emergency call system in every room. Private and double occupancy rooms are available.

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• Therapy – The therapy department offers in-patient and out-patient Physical, Occupational and Speech therapy services. Aquatic therapy is available, encompassing a wide range of benefits including increased joint range of motion, muscle endurance, decreased soft tissue pain, muscle flexibility, and enhanced balance. Panhandle Health District also contracts with Valley Vista Care to provide in home therapy services to qualified individuals.

• Behavior Care Program – The specialized Behavior Care Program was created in 1993. Its goal is to serve residents experiencing a variety of difficult to care for conditions, with a focus on diseases like Huntington’s, Alzheimer’s, and other advanced dementias, in order to provide the highest level of care possible in a healthy and secure environment.

• Independent & Senior Housing – Two levels of independent living are available.

The Apartments include 19 various sized units designed for independent living with kitchenettes, barrier free bathrooms, and a 24 hour emergency call system. Cottage Care is a 20 unit complex offering private and semi-private rooms, also with a 24 hour emergency call system. Both buildings offer up to three meals plus snacks per day, 24 hour staffing and include telephone, TV and internet service.

Wise Guide | Spring / Summer 2015

Residents can select the level of care desired, which can include housekeeping, laundry, medication assistance and daily activities of living such as bathing, dressing or other personal needs.

• Benewah Area Transit (BAT) – BAT is a public Transportation Agency providing transportation to all of Valley Vista Care’s residents, St Maries and the surrounding communities. The goal is to make quality public transportation available to the residents of Benewah County and adjacent parts of Shoshone and Kootenai Counties.

• In Home Personal Care – Valley Vista Care is the managing company for Idaho Partners in Care, an in home care agency that provides personal care services to clients who live in their own homes, but need some assistance.

Services provided include assistance with personal care needs, light housekeeping, laundry, meal preparation, shopping and general oversight to aid in the wellbeing and safety of the clients.

Valley Vista Care provides quality physical, mental and spiritual care to all those entrusted to it. With a beautiful campus and a dedicated staff, it is truly a gem to the community and everyone it serves. If you know someone that is elderly or disabled and in need of services, contact Valley Vista Care at 208-245-4576.

Skilled Nursing • 74 Beds • 24-hour Staffing by RNs, LPNs & CNAs • 17 Bed Special Care Wing

Therapy • Occupational, Physical, Speech • Aquatic • In/Out Patient • Home Visits

Assisted Living • 19 Apartments • Barrier-free Bathrooms • Studio & 1 Bedrooms Available • Cottage – 20 Room Complex • Private & Semi-Private Rooms • Meal Plans Available • 24-hour Staffing ...and Much More!

Medicaid - Medicare - VA - Private Insurance

Valley Vista Care 820 Elm Street • St.Maries, ID 83861 Skilled Nursing: 208-245-4576 Assisted Living: 208-245-5909

ValleyVista.org

Life’s Unexpected Turns

Aaron Nicholes, Owner & CEO, Omnia Health Services, LLC

I

f someone would have asked me in 1995 when I received my Master of Management from Willamette University what I would be doing in 20 years, the medical field would probably not have even crossed my mind. After spending two years in Japan on a Church mission, I became fascinated by international relations and international business and determined to work as an expatriate for a large multi-national firm. I spent the next 5 years working in a Fortune 500 company, among others, and quickly

became thoroughly dissatisfied with the “corporate ladder.”

My first real exposure to some of the problems in the medical field occurred when my sweet wife, then only 24 years old, was diagnosed with macular degeneration, a life-altering event for both of us. My wife was given her diagnosis, charged her co-pay and sent on her way, without anyone even bothering to help us connect with other services that a legally blind person would find essential to live a meaningful life. This has stayed with me since that

•Home Health Care Occupational •Physical, and Speech Therapy Emotional and •Social, Counseling Services •Personal Care Services Call Today: 208-907-1790

Ordered by your doctor, provided by Omnia professional RNs, LPNs, Licensed Therapists and Medical Social Workers.

Assistance with activities of daily living.

OmniaHealthServices.com 305 N. Lincoln St., Ste .B Post Falls, Idaho 83854 Most insurances accepted

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“ ‘Loving care from our family to yours’ is our company motto, our mission statement, and it’s how we work every day here at Omnia. We are a locally-owned small agency dedicated to treating our patients, clients, and employees like family.”

–Aaron Nicholes, Owner and CEO

Wise Guide | Spring / Summer 2015

time—the desire to see a new dynamic in medicine where partnerships and networking and compassion all work hand in hand.

In the summer of 2000, a strange twist of events found us moving from Portland to Post Falls, where I took the position as the Chief Operating Officer at North Idaho Dermatology (NID), my first foray into the medical management field. My time at NID was invaluable and I made many friends, including wonderfully caring and compassionate doctors and nurses. During this time, my eyes were also first opened to the needs of those needing in-home care

Cindi Richardson, Director of Clinical Services, Omnia Health Services, LLC

I

did not follow in my mother’s or grandmother’s footsteps by becoming a nurse as a lot of nurses do. It was not an early passion of mine. In fact, I did not choose to pursue nursing as a career until I was in my early 30’s. What led me down this path was my pregnancy with twins. A multiple pregnancy is considered a high risk pregnancy and there is a lot of monitoring and testing done throughout the nine

when my mother began to require physical therapy and personal care services in her home. After 14 years, I left North Idaho Dermatology to start up my own Home Health Agency. I determined that now was the time to create an Agency that reflected my own personal values—Loving care from our family to yours.

It is my daily goal that every agency employee, every business partner, and especially every patient and their family truly feel that they are treated like family. I consider it a great honor to work within the amazing North Idaho community to help make it a better place.

months. I became fascinated with the miracle of the human body and the delicate balance that must be maintained in order to remain in good health.

Prior to having children, I had worked in the business world. After the birth of my twins, I chose to stay home until they were about three years old. At that time, I decided to return to school, at first thinking of pursuing an English major. I soon discovered I wanted to do something more personal and relevant and I turned to nursing, completing my Bachelor’s degree in 1996. After a short time working in the hospital, I began a 17-year career with a hospice company and developed a passion for patient care in the home. I am excited to continue this passion of providing exceptional, compassionate nursing care to people in their homes with Omnia Health Services!

Residential programs for people with severe and persistent mental illness.

Learning to live a full and independent life.

Donations are highly appreciated – send check to address below or use credit card or PayPal on website:

P.O. Box 1861 • Coeur d’Alene, ID 83816 208-667-9607 • www.trinitygrouphomes.net

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Experience excellence in care and recovery.

We offer our residents on-site physician care because convenience and quality matter!

Dr. Harry Downs with resident Lee Carlisle in the Coeur d’Alene facility

Dr. Jennifer Garwick with resident Jean Zeiler in the Post Falls facility

• We’re Kootenai County’s only Post Acute Care facilities to offer full-time on-site physicians.

• Our on-site physicians offer convenience and quality to your stay - no more waiting for phone calls or faxes. They are on site for you!

• State-of-the-Art rehabilitative facilities with the latest technology!

• 7 days a week of therapy so you can stay on the fast track to recovery.

• We have the best clinical outcomes in the county - including the lowest rates for rehospitalization.

• Simply put - we have the recipe for your successful return back home!

Stop in for a tour and see why we were voted

Best Senior Care Facilities in Kootenai County!

Coeur d’Alene Facility 208-762-1122 Post Falls Facility 208-777-0318 500 W. Aqua Ave., Coeur d’Alene, ID 83815 460 Garden Plaza Court, Post Falls ID 83854 Wise Guide | Spring / Summer 2015 8 www.LCCA.com

Activities and Events Our Market is a Social Event with Live Music & 100+ Vendors

Bonners Ferry CROP Hunger Walk

June 13th at the High School track 8:30 am-2 pm 75% of funds raised May 2nd thru October 10th goes to the world-wide hunger relief Farmin Park • 3rd & Oak organization, Church World Service.

Saturdays: 9:00 am - 1:00 pm & Wednesdays: 3:00 - 5:30 pm 25% of the funds go to the Food Bank Ever-changing veggies, plants, flowers, jams, baked goods, meats, eggs, cheese, unique handmade arts & crafts. of Boundary County Community Action Partnership.

Sandpoint Farmers Market Contact: Judy Dirks, 208-267-3859 May 2 - Oct. 10 - Wednesdays 3-5:30, Saturdays 9-1:00.

Over 100 vendors offering fresh produce, fruits, Lavender Festival homemade cheeses and baked goods, plants, flowers, July 11th & 12th Saturday 9-6, Sunday 10-4 Newport, soaps, baskets, berries grown locally or collected wild, WA - 3rd & Calispel Sts. Artists, artisans, growers, and high quality craft items. This is a Social Venue with food, beer & wine, live music, kids’ activities, a monthly Special Event - 3rd & Oak, Farmin Park. demonstrations. Adults $6/$10 weekend, Children 12 & www.sandpointfarmersmarket.com under Free. BRING YOUR GROUP! Bus Rates $5 www.povLavenderFestival.com

AARP Idaho Consumer Fraud Forums

Collaborative presentations to discuss fraud awareness and avoidance.

To register visit: aarp.org/id or call toll free: 877-926-8300 • May 11 Sandpoint - Ponderay Events Center - 8:30 am - 1:45 pm, 401 Bonner Mall Way, Suite E, Ponderay Speakers: Former Rep. George Eskridge, former Rep. Tom Trail, University of Idaho, Idaho Department of Insurance (SHIBA), local law enforcement and AARP. Light refreshments, free lunch and drawing at close.

• May 12 - Coeur d’Alene - Kroc Center - 8:30 am - 1:45 pm, 1765 W. Golf Course Road, Coeur d’Alene Speakers: Representative Luke Malek, former Rep. Tom Trail, University of Idaho, Idaho Department of Insurance (SHIBA), local law enforcement and AARP.

Rural Conference on Aging - see page 4 May 16th - 9:00 - 3:30 at the Priest River Event Center Learn what you need to know in order to stay in your home (age in place) as long as you want to and are able.

Caregiver resources, independent living services, inhome service providers, all the things you need to know to make aging in place a reality.

Pend Oreille Valley’s 12th Annual

July 11-12 2015 Saturday July 11th 9-6 pm Sunday July 12th 10-4 pm Artists • Artisans • Growers • Food • Beer & Wine Live Music • Kids’ Activities • Demonstrations www.povlavenderfestival.com

City Park, Newport, Washington

Admission $6 / $10 Weekend Children 12 & under FREE • Bus Tours $5 Wise Guide | www.TheWiseGuideOnline.com

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Activities and Events Ponderay Garden Center

presents the

Garden of Artistry Invitational Fine Arts Show July 24, 25 & 26 Come meet over thirty artists and enjoy the work of some of the region’s finest painters, sculptors, photographers and jewelers. A rich variety of styles, media, and subject matter.

Art Show is open with Free Admission:

Fri. 1-5 pm • Sat.10 am-5 pm • Sun. 10 am-3 pm

Opening Benefit Reception Friday Evening 6-8 pm

Boundary Community Restorium Bonners Ferry. Come Join Us! Schedule of Events: June 28th - 11:00 am - 3:00 pm - Picnic August 22nd - 1:00 pm - Luau BBQ Lots of wonderful food, live music and fun!

Garden of Artistry July 24, 25 & 26 - Annual Invitational Juried Fine Arts Show. Free Admission: Fri. 1-5, Sat. 10-5, Sun. 10-3 at the Ponderay Garden Center - Hwy. 95 (north of Walmart) Painters, sculptors, photographers and jewelers. Wide variety of styles, media & subject matter.

Opening Benefit Reception - Friday Evening 6-8 pm.

Contact: Director Gabe Gabel, 208-265-9613.

Festival at Sandpoint August 6-16 Enjoy live music under the stars on the shores of Lake Pend Oreille. For tickets and information contact 888-265-4554, www.festivalatsandpoint.com

Please contact Gabe Gabel, Show Director at 208-265-9613 Ponderay Garden Center • Highway 95 (north of Walmart)

FesTival aTsandpoinT The

augusT 6 - 16, 2015

Music under the Stars, On the Lake

SANDPOINT, IDAHO

IN

For more information and tickets visit us online at:

www.festivalatsandpoint.com or call: (208) 265-4554 10

Wise Guide | Spring / Summer 2015

Friends of the Kootenai National Wildlife Refuge 287 Westside Rd., Bonners Ferry - 208-267-3888 Educational Events: August 21st - Taxidermy, Caring for Pelts, etc., by Dan Hooper, Hooper Taxidermy October 9th - Wolverines, by Lacy Robinson, Idaho Forest Group These programs are held at the Refuge Headquarters in or near the Education Barn.

Additional programs are continually added: www.friendsofkootenainationalwildliferefuge.org and Facebook.

Monthly Bird Walks are about 2 hours long, hosted every 3rd Saturday through June, then again September through November. People of all birding expertise levels are welcome and learn from Boundary County experts.

Bring binoculars and a field guide if you have them.

Dress for the weather. Under 18 must be accompanied by a responsible adult.

September 24-27, 2015 Bonner County Fairgrounds Sandpoint, Idaho • $10/day

Friday “Senior Day” 2 for 1 tickets for seniors!

Saturday Tough Enough to Wear Pink!

For Info: 208-699-0816 • info@idahodrafthorseshow.com

Any Pie Contest!

Idaho State Draft Horse & Mule International Show

September 2nd at Life Care of Sandpoint. Bring your best pie and compete for great prizes!

Call 208-265-9299 for more information.

September 24-27, Bonner County Fairgrounds, Sandpoint. Come see these gentle giants: log skidding, weight pulling, farm classes, driving classes, demonstrations, art & gear show. Call 208-699-0816, www.idahodrafthorseshow.com

Geezer Forum Meets every 2nd & 4th Tuesday from 2:30 - 4:00 pm at the Columbia Bank, 414 Church St., Sandpoint. Informal meeting to explore issues of aging. Speakers and open discussion. Sponsored by ElderAdvocates, hosted by Paul Graves. Everyone’s welcome!

Convoy of Hope Sandpoint October 3rd - 10 am Bonner County Fairgrounds convoyofhope.org/sandpoint. A collaborative community event bringing hope through distribution of free goods and services to community members.

To get involved and learn more: 1-844-690-7900, dayofhopesandpoint@gmail.com

Rent A Lakeside Beach Bungalow at Dover Bay & discover Lake Pend Oreille!

208-263-5492 DoverBayBungalows.com

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Activities and Events Bonners Ferry EMS offers FREE CPR Courses! Call 208-267-2604 for more information.

Bird Aviation Museum & Invention Center

Bird Aviation Museum & Invention Center

Admission is FREE! Vintage Aircraft • Classic Cars • Military Memorabilia Modern Day Patents • Original Prototypes & Models Signed Artwork & Original Signatures of Famous Aviators, Inventors & Astronauts Summer Hours: Monday through Saturday, 8am to 4pm Winter Hours: Monday through Friday, 8am to 4pm Café Hours: 11am to 3pm, Memorial Day through Labor Day Contact: (208) 255-4321 for up-to-date information and to arrange a special event or a group visit.

www.birdaviationmuseum.com NOTE: Inventors Association of Idaho meets the first Tuesday of the month.

For additional info, visit www.inventorsassociationofidaho.com

The Bird Aviation Museum and Invention Center in Sagle, ID offers FREE Admission and strives to educate visitors about the historic contributions of aviators and innovators who have helped create modern technology and to celebrate these individuals who have forever changed the way we live. The museum is open year ‘round, is available for private functions and welcomes groups of any size. Call 208-255-4321 for more information. www.birdaviationmuseum.com

Living with Alzheimer’s for Middle-Stage Caregivers May 26, 9:00-4:30, Guardian Angels Homes, 1136 E. Mullan, Post Falls. Free and open to the public. Lunch provided.

June 16, 23 & 30, 2:00-4:00 pm, Hayden Public Library, 8385 N. Government Way. Specifically designed for the person with dementia. Get answers to all your questions. Free and open to the public. Reservations required: 208-666-2996.

Did you know that.....

• Every 2.5 seconds a person over 65 years of age falls?

• Falls are the leading cause of death due to injury among the elderly?

Reflexology

Reflex areas in the feet and hands correspond to all of the glands, organs and parts of the body.

Reflexology is a non-invasive method of using the thumbs and fingers on these reflex areas of the feet to bring about the body’s natural healing powers.

Doctors agree that over 80% of our health problems can be linked to stress and tension.

By stimulating the reflex areas on the feet, the body is brought into its natural balance by normalizing body functions through improved nerve function and blood supply. Reflexology is a serious advance in the health care field, not to be confused with massage. It is a safe and effective way to better health.

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Wise Guide | Spring / Summer 2015

Two convenient locations in Athol & Hayden and in-home sessions. Call Lisa for an appointment - 208819-1629

Sole to Sole Reflexology 10% OFF FIRST SESSION

Healing the body & mind through the sole

Lisa Kuhl-Thomas Certified Reflexologist

208-819-1629

BY APPOINTMENT ONLY ~ GIFT CERTIFICATES AVAILABLE

The Wise Guide Spring /Summer 2015

Cynthia Dalsing, MSN, ARNP Tabitha Barron, MSN, ARNP

Office: 208-263-5654 Email: info@thewiseguideonline.com www.TheWiseGuideOnline.com

Advanced Nurse-Practitioners

Women’s Health Care K Annual Exams & Pap Smears K Well Woman Gynecology K Birth Control Services K Menopause Management

Jonnie Bradley Editor

The Wise Guide

1215 Michigan Street, Suite C • Sandpoint, Idaho

208-263-1299 Most insurance plans accepted

Patty Jo Carter Marketing Director

208-512-0912 pjcartwiseguide@wildblue.net

Providing...

Sandpoint 208-255-1640 Outreach Director 208-512-0814

Donna Brosh Designer

The Wise Guide

Skilled Nursing & CNAs Physical, Occupational & Speech Therapies, MSW Serving North Idaho

Copyright ©2015, All Rights Reserved.

Although every precaution has been taken in the publication of this guide, the publisher and authors assume no responsibility for errors or omissions. This guide is not intended to be legal or medical advice or to endorse any product or service. It is meant to serve as an information resource guide and not as a substitute for professional assistance. The Wise Guide, LLC is not responsible for the contents of any websites referenced within this directory, nor does it endorse any specific products or services referenced. No part of this directory may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by an information storage and retrieval system without the express written permission of the publisher, The Wise Guide, LLC.

Calling All Hearing Aids!

Do you have an old pair of hearing aids sitting in a drawer? Please donate them.

We at the Hearing Center work closely with the local Lions Clubs & the Angel Network to fit hearing aids for people in need. Make a change in someone’s life by donating hearing aids today. Call Toll Free 1-844-Eargeek (844-327-4335), for more information.

It’s time to take steps to a better life…

DRUG, ALCOHOL & DUI EVALUATIONS COURT ACCEPTED TREATMENT GROUP OUTPATIENT SERVICES • Full Outpatient Psychiatric and Mental Health Services • Outpatient Treatment & Medication for Opioid Addiction • Comprehensive Employer Assistance Services also available • Medicaid, Most Insurances, BPA, Private Pay w/Sliding Scale Fees

Rathdrum Counseling Center, LLC 208-687-0538 14954 Coeur d’Alene St. Rathdrum, ID

www.rathdrumcounseling.com

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You can’t predict it. But you can help protect it.

Aflac is insurance that helps cover expenses major medical doesn’t. It pays cash benefits directly to you.* It provides predetermined benefits that are paid regardless of any other insurance you have. And it fits most budgets—rates don’t go up when you file a claim. Learn how we’ve got you covered under our wing.

The Bradley Insurance Team Independent Representatives of AFLAC

kathleen_bradley@us.aflac.com quinnett_tarbert@us.aflac.com shawn_mcglothen@us.aflac.com

208-265-1888 476653 Highway 95, Suite 3, Ponderay, ID 83852 Serving, Idaho, Washington and Montana

* Benefits are paid directly to you, unless assigned otherwise.

Individual coverage is underwritten by American Family Life Assurance Company of Columbus. Group coverage is underwritten by Continental American Insurance Company (CAIC), a wholly-owned subsidiary of Aflac Incorporated. CAIC is not licensed to solicit business in New York, Guam, Puerto Rico, or the Virgin Islands. For groups situated in California, group coverage is underwritten by Continental American Life Insurance Company. For individual coverage in New York or coverage for groups situated in New York, coverage is underwritten by American Family Life Assurance Company of New York.

Worldwide Headquarters | 1932 Wynnton Road/ Summer | Columbus,2015 Georgia 31999 Wise Guide | Spring 14

We’re aCCePtING NeW PatIeNtS.

Dialysis.

Near where you live.

Near where you work.

5 convenient locations in the North Idaho area.

Liberty Dialysis Sandpoint Fresenius Medical Care Hayden Lake Fresenius Medical Care Post Falls Fresenius Medical Care North Idaho Gritman-Fresenius Medical Care Moscow

(208) 263-4488 (208) 762-4411 (208) 777-6054 (208) 664-3064 (208) 882-1817

Call us today to learn more about all the dialysis treatment options and flexible scheduling available to our patients.

www.UltraCare-Dialysis.com

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Caregiving – The Universal Occupation

by Randy Simon, Director of Communications, AARP Idaho

I

n Idaho, and across the nation, there is a silent army of hard working family members and friends providing largely unnoticed but critical services. They are family caregivers and the work they do is truly remarkable. Family caregivers are wives, husbands, daughters, sons, grandparents, friends and neighbors who perform complex medical tasks at home; coordinate services and medical appointments; take care of intimate personal needs like bathing, dressing, and feeding; and make difficult health care and legal decisions for people who cannot do these things for themselves. They receive no training on how to provide care and few breaks from their

duties. For the majority, caregiving is not their only responsibility. At least two-thirds of family caregivers are also raising a family and holding down a job. It truly is the universal occupation and most of you reading this will provide or receive care at some point in your life.

Just consider that roughly seven of every 10 people who reach age 65 will need services and support to help them live independently.

The numbers are growing and will skyrocket as our population ages,

Comprehensive Medical Services:

F A M I L Y

M E D I C I N E

• In-Clinic Surgeries • Chronic Disease Management • Urgent - Immediate Care • General & Proactive Healthcare • Women’s Health • Pediatric Care

30544 Highway 200, Suite 101 • Ponderay, Idaho • 208-263-6300 woodlandsfamilymed.com

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Wise Guide | Spring / Summer 2015

which raises the question, how will we care for them? Institutions and healthcare professional play a role in helping Idahoans live independently, but family caregivers are an equally important part of the equation.

According to AARP research, there are more than 61 million family caregivers providing an estimated $450 billion in unpaid care. This includes more than 300,000 Idahoans providing an estimated $2 billion worth of unpaid care. At kitchen tables across Idaho, real families are confronting the same question; how will we care for Mom or Dad, or another loved one if something happens and they cannot care for themselves?

Organizations like AARP Idaho are promoting positive social change across the Gem State by recognizing and honoring family caregivers and the work they do to help their loved ones stay at home,

education to make sure family caregivers have the resources they need and deserve.

Given the many serious challenges facing America’s families today, it is time we move this issue beyond kitchen tables, and into corporate conference rooms, idea labs and legislative chambers.

It is time we get serious about supporting those who need help living independently, and the family caregivers who help them do so. Our plan at AARP Idaho is to push for solutions, and to keep the spotlight shining on this critical issue. We hope you will join us in this important endeavor. To learn more about the work we are doing in Idaho go to aarp.org/id or find us on Facebook at facebook.com/AARPIdaho.” ________________________________________________________ Randy Simon is the Director of Communications for AARP Idaho.

Prior to joining AARP Randy worked as a consultant for Gallatin Public Affairs and as a journalist in New Mexico. He can be reached at rsimon@aarp.org or 208-855-4004. with dignity, as they age. Through a recently launched initiative, I Heart Caregivers, caregivers now have a platform to share their story and hear from others going through the same experiences. According to AARP research, the vast majority of older Idahoans want to continue to live independently and at home.

Family caregivers are the ones who step up and provide the bulk of assistance to make this goal a reality.

Yet they often have little if any formal training. Increasing family caregivers’ confidence and competence requires some level of training in the skills they need to provide care. Providing care for someone can be very isolating, and too many caregivers do not know where to look for information and support.

At AARP Idaho, we believe this is one of the most seminal issues of our time. That is why we are working through advocacy, partnerships and

Thank you Bonner County for voting us the Best Senior Living Community of 2014!

It’s an honor serving this community.

Join us for lunch, tour our community, meet our staff and see for yourself why Luther Park at Sandpoint was voted One of the Best in Bonner County for over five years in a row!

510 South Olive Avenue • 208-265-3557

Where aging is all about living

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Probate: Is It Worth Avoiding?

by Jeffery J. Crandall, Attorney at Law, Crandall Law Group

A

s I talk to clients about estate planning, one of the most common misconceptions I encounter is the notion that if they’ve signed a will, their kids won’t have to worry about probate. I wish it were that simple and easy. It’s not.

In Idaho, a probate is required for any person who dies owning real estate or property with a combined value over $100,000. For a married couple, probate may be avoided at

the first spouse’s death if all of the assets are held jointly, but probate can’t be dodged at the second death without some other planning.

Having your will in place allows you to control the appointment of your personal representative (PR) and the manner of distributing your estate among your intended beneficiaries,

SKIP THE SEMINAR! Schedule a complimentary consultation.

We offer complimentary consultations for Estate Planning and most other matters. So don’t sit through a seminar with a bunch of strangers ... get personalized information from an experienced estate planning attorney in your own, private consultation. To learn about protecting your wealth and loved ones with a Will or Trust, call today to schedule your no-obligation consultation.

• Estate Planning (Wills and Trusts) • Asset Protection • Medicaid and VA Benefits Planning • Probate and Estate Administration • Gun Trusts • Business Entities (Corporations, LLCs)

• Purchase, Merger, or Sale of a Business • Business Succession Planning • General Business Counsel • Real Estate and Business Transactions

Call us today!

Jeff Crandall

Ryan Crandall

8596 Wayne Drive, Suite B, Hayden, ID | 208.772.7111 crandalllawgroup.com

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Wise Guide | Spring / Summer 2015

but it doesn’t change anything when it comes to probate.

It’s All About the Title

You might ask why a will doesn’t avoid probate. Why can’t the PR just divide up my estate to the beneficiaries I named in the will?

It’s all been decided, so why does the court have to get involved? The simple answer is…it’s a matter of title. If you have an average estate, which might include your home, some money saved in the bank, and a car or two, you’re going to leave behind several assets that are held of record in your name. Those assets can only be transferred to someone else by a signed, written document, such as a deed to transfer real estate or a title endorsement to sell your car. Once you’re gone, getting your signature to transfer title would be impossible, and the PR, even though named in the will, doesn’t have the legal authority to transfer title until the court gives them that power. The probate court is the only place where we can obtain the legal authority the PR needs to take care of your estate business, such as selling the house or car, or getting control of the bank accounts.

Disadvantages of Probate

So, how bad is probate, really? Is it worth avoiding? The probate process can be complex, so most PR’s will need to hire an attorney to assist them in completing all of the requirements. This can be expensive. On a national average, the cost of probate is between 2% to 5% of the estate. So for a modest $500,000 estate, you may be looking at $10,000 to $25,000 in probate costs. Probate costs in Idaho generally fall below the national average, but a standard probate will still likely run from $6,000 to $10,000, and many probate proceedings costs significantly more. In addition to the cost, it usually takes between 30 to 60 days to secure the PR’s legal authorization from the court, which means no one can access bank accounts to pay for funeral expenses, ongoing bills such as mortgages and utilities, medical expenses, legal fees, and other costs. This causes huge problems, especially when family members don’t have the resources to advance these costs. Once the probate is going, it takes on average 9 to 24 months to complete the process, leaving your beneficiaries frustrated and upset because they won’t see their inheritance for at least that long. Lastly, probate is a matter of public record so there is absolutely no confidentiality regarding your estate, finances, and other personal family matters.

The Revocable Living Trust (RLT)

The safest, most effective method of avoiding probate is to use a revocable living trust (RLT) as a

substitute for your last will and testament. The RLT does everything your will can do and more, and if properly drafted and funded, it will entirely avoid the court-supervised probate proceeding. The RLT eliminates the initial delays in getting access to bank accounts, dramatically reduces the time necessary to administer the estate and distribute the assets to your beneficiaries, preserves confidentiality, and saves your estate thousands in legal fees and costs.

The RLT also gives you additional tools to provide beneficial planning in the areas of asset protection, retirement accounts, special needs, and estate and income tax avoidance.

Take Action Now

At the Crandall Law Group, we offer our prospective clients complimentary, one-on-one consultations with an experienced attorney to help design a plan that fits your needs and desires.

Contact us today to find out more about probate and how revocable living trusts (RLT’s) can save your family valuable time and money. _______________________________________________ Jeff Crandall is a business and estate planning attorney with over 29 years of experience in business, tax, estate planning, elder law and business succession planning.

He is licensed in Idaho, Washington and California and has been practicing in the Coeur d’Alene area for over 20 years. Jeff loves helping people solve problems and, whenever possible, helping them to avoid problems in the first place.

...providing its communities with affordable and accessible healthcare.

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19

A Holistic Approach to Financial Planning

by Patricia Geesaman Client Services Manager Capital Financial Consultants Group

“In character, in manner, in style, in all things, the supreme excellence is simplicity.”

—Henry Wadsworth Longfellow

T

he concepts of financial planning are quite simple, really. Build your nest egg. Then grow it, protect it and grow it some more until you need to start using it someday…and then make sure you use it wisely so it lasts as long as you do.

It is that simple.

When our firm works with clients, the first thing we want to know is what they want out of life…what’s important to them and how do those values impact their lifestyle? Then we want to help them answer two key questions:

• Will I make it?

• Do I have any financial blind spots?

After the goals and values are prioritized, and the potential blind spots are identified, the purpose of the financial plan is to help our clients create the lives they want to live from now through their retirement years – with built-in strategies to “build it, grow it, protect it, use it” and then pass it on to their loved ones.

Working with a professional makes it as easy as it is simple.

We build your financial plan and strategies to help you achieve it by evaluating your unique situation and needs in the following areas:

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Wise Guide | Spring / Summer 2015

• Estate Planning – What do you want for your family or heirs when you’re gone?

• Risk Management – How will you protect yourself, your family and your property from loss if you get sick and can’t work?

• Tax Planning – What strategies can you use to lower your taxes?

• Retirement Planning – Will you be able to retire with financial independence?

• Investment Planning – What types of investments are you comfortable with to help you meet your goals?

• Debt Management – How can we leverage other strategies to help you lower your monthly payments?

Boundary County Community Restorium Assisted Living w/24 Hour Care Our Mission Statement: Through thick and thin, we work together, supporting, caring and loving each other in this amazing place called “The Restorium.”

Working with a financial planner can help you tie up the loose ends of your financial life into a neat package that takes the worry and guesswork out!

Working with a financial planner can help you tie up the loose ends of your financial life into a neat package that takes the worry and guesswork out! Choose a professional with the credentials, education and experience you can trust to make recommendations that you can be confident in. To learn more about financial planning and choosing a planner that’s right for you, visit our website at www.capitalfin.com and download your free report.

Advisory services offered through Capital Financial Consultants Group, a registered investment advisor. Securities and additional advisory services offered through Independent Financial Group, LLC (IFG). Member FINRA/ SIPC. Capital Financial Consultants Group and IFG are unaffiliated entities.

OSJ Branch Office: 12671 High Bluff Drive, Suite 200, San Diego, CA 92130.

Capital Financial Consultants Group, Inc. is based in Poway, California with offices in Sandpoint, Idaho and San Juan Capistrano, California. The firm specializes in comprehensive financial planning, personal investment management, retirement income strategies and company retirement plans. We are an independent firm and custom-tailor our advice to the unique needs and circumstances of each and every client we are privileged to serve.

__________________________________________________ Patricia has been with Capital Financial Consultants Group since June, 2013. She brings over 20 years of marketing, client services and coaching experience to the team. “I love being the first point of contact for our Inland Northwest clients! It’s so rewarding to be in a position to help people articulate their goals and dreams, and then actually play a part in helping them succeed.”

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6619 Kaniksu, Bonners Ferry, ID Wise Guide | www.TheWiseGuideOnline.com

21

Let’s Talk About Mom

by Jonnie Bradley, Editor, Wise Guide

L

ook around and what do you see? We Baby Boomers are all getting older and dealing with aging issues of our own as well as those of our parents.

Ask yourself these questions and consider your own circumstances, those of family members and friends.

Which would you prefer? Making your own choices calmly or making decisions in a crisis when you don’t have time to research the facts? Or when you are not able to for mental or physical reasons, even something as simple as being under anesthesia and a complication arises. Who do you trust to make those decisions then, or do you just want to take your chances and let strangers make choices for you?

Many of us find ourselves in circumstances with our loved ones when we have to make decisions on their behalf with absolutely no idea what their wishes may be, either during their lives or after they have passed. Personally, I’d like to have an idea what they might want.

There’s a simple way to answer almost any questions you may have, and that is a trust. A trust is not a will, but a will is part of a trust. Why not have a free consultation with a lawyer who can explain how all this works and save yourself a huge amount of grief? You will be surprised how much you will learn and how many things of which you might be completely unaware.

One thing a trust does not cover is the very unpleasant topic many of us must wrestle with, “when is it time to stop driving?” This is the single most difficult decision to make, both on the part of the driver and family members. Do you remember how important it was to you to be able to get your driver’s license? It meant freedom and independence!

Removing the ability to go where you want, when you want is not something readily relinquished.

The Dept. of Veterans Affairs office of the Medical

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Wise Guide | Spring / Summer 2015

Inspector & Geriatrics published an excellent article on the subject: www.va.gov/vhapublications/ ViewPublication.asp?pub_ID=1162

Having that conversation BEFORE it’s time, is the best way to go, not after you see the totaled vehicle in the tow lot after visiting your loved one in the hospital.

I was lucky with Mom. A friend of hers had a very scary thing happen and after she was safe, handed the car keys to her son and quit driving on the spot. I asked Mom if she thought she’d know when to quit driving, and her answer was, “I hope so.” This opened the door for a smoother conversation when it was time to revisit the subject.

If you have to quit driving, what then? Do you have transportation to and from your home? Do you have friends or family whom you can - and will - ask? Can you afford to pay to maintain your home and obtain the health needs while remaining in that home?

What if your loved one says they want to stay in their home until “…they carry me out feet first?” What circumstances might make this option feasible, what might not? There are “what if” conversations that can be held on the next road trip. Find out what your loved

one is thinking BEFORE it’s time to act on anything.

Waiting until life pushes decisions upon you means you do not have time to consider facts, research options, gather the information you need to make an informed decision. Instead, you very likely will find yourself making decisions in panic mode.

How many sound decisions have you made when you’re upset?

Much of life is filled with remarks prefaced by “I wish I had known…” And, there’s a reason for the statement, “Hindsight is 20-20.” Yes, life is pretty complicated these days with many, many options on almost every subject, but there are some very predictable topics that are timeless; how you wish to live your life, and what you want to have happen when you are at the end of your life.

Unfortunately, for those romantics among us, much of it does all come down to money. Many families have chosen to take a loved one into their homes for financial reasons. This is not always practical, or it may work in the beginning, and then not later. This is where that crystal ball fails us, we do not know what the future holds, but we can at least have some ideas of what to consider when answering those “what if” questions.

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23

Recognizing Elderly Depression

by Cindy Barnett, Director of Addus Homecare

O

pening a dialogue on elderly depression is the first step in creating awareness of how common this problem has become. As the older adult population continues to rapidly grow, the need for mental health services for this group will increase rapidly. Based on a report by the Substance Abuse and Mental Health Services Administration (SAMHSA), depression is one of the most common mental health disorders in older adults with one in ten older adults in primary care displaying symptoms of depression, and higher rates

Stay At Home, Stay Independent At Addus, we understand the importance of remaining at home and independent. We provide quality in-home care services including, but not limited to: • Medication reminders • Personal care • Shopping and errands • Companionship • Light housekeeping

We service all of Northern Idaho.

Our trusted aides are trained and certified.

Call today to learn about in-home services for you or your loved one.

208-667-2309 Serving Families at Home Since 1979

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Wise Guide | Spring / Summer 2015

are found among older adults who are hospitalized or residing in a nursing home.

Late life depression affects approximately six million Americans 65 and older. However, only a small percentage of this number receives treatment.

This is due in large part to the way in which the older adult population displays their symptoms, which can be confused for either other illnesses or side effects of medications. Early recognition, diagnosis and treatment can help to ensure elderly depression does not define the later years of one’s life.

According to SAMHSA, older adults can become more vulnerable to depression due to many of the health and lifestyle changes that accompany growing older.

Common risk factors for depression in older adults include: • Changes in physical health or functioning (e.g., presence of a new or chronic physical disorder or sensory impairment) • Changes in mental health (e.g., changes in medication or cognitive impairment) • Changes in circumstances or social support (e.g., retirement, or other income changes, or recent loss of a loved one)

It is important to recognize the signs and symptoms of depression in order to make informed choices regarding treatment. As defined by the American Psychiatric Association, symptoms of depression can include: • Depressed mood most of the time • Loss of interest or pleasure in activities • Disturbed sleep (sleeping too much or too little) Weight loss or gain (changes in appetite) • atigue or a lack of energy • Feelings of worthlessness or extreme guilt • Difficulties with concentration or decision making • Noticeable restlessness (agitation) or slow movement • Frequent thoughts of death or suicide, or an attempt of suicide

Without treatment, the symptoms of depression can last for years and inhibit an older adult’s ability to age happily and healthily. According to the World

Health Organization, depression is among the top causes of worldwide disability and is associated with decreased ability to rehabilitate, worsening health status and reduced quality of life. Because signs of elderly depression can be under-recognized, and therefore under-treated, it can be beneficial to consult a practitioner who is experienced in working with older adults. There are several treatments that can reduce the symptoms of depression for most older people.

Exercise is a great mood booster and does not have to be strenuous.

In addition to any medication or therapies prescribed by your doctor, there are other adjustments to activities of daily living that can have a positive impact (when approved by your doctor). Exercise is a great mood booster and does not have to be strenuous; exercise can even be done while sitting in a chair. Other lifestyle adjustment options include getting plenty of rest, maintaining a healthy diet, enjoying activities or hobbies, taking care of a pet, learning something new, volunteering and even just laughing more.

Care providers should report any depressive

symptoms or changes in condition to their supervisors to ensure appropriate measures are taken to address the potential for depression. The SAMHSA estimates that health care costs for older adults with depression are approximately 50 percent higher than for older adults without depression. Depression education and appropriate treatments are essential for a reduction in depressive symptoms, and therefore, in some instances, the overall cost of health care.

Providers, like Addus HomeCare, who understand the need for real time reporting and regular education can assist in the steps that combat depression and minimize hospitalization. Caregivers not only provide much needed companionship and social support, but they can be the lead in preventing a client from a downward spiral and aid in monitoring healthy aging. ________________________________________________ Cindy Barnett is the Director of Addus Homecare; providing quality In-Home Care to those in need. Cindy has a degree in Psychology and a minor in health promotions from Weber State University. Over the last 30 years she has worked with a range of age groups; many who suffer with depression. Her passion is to help others live a better quality of life.

Wise Guide | www.TheWiseGuideOnline.com

25

What is Chronic Kidney Disease?

by Dr. Thuy--Trang Ngo North Idaho Nephrology Associates

C

hronic Kidney Disease affects millions of people in the United States. According to the Mayo Clinic, there are more than 3 million newly diagnosed cases each year. With so many people being affected, it is important to understand what exactly our kidneys do for our bodies and what Chronic Kidney Disease is.

Addressing Chronic Kidney Disease at an early stage is important and can help provide us with the support and knowledge needed to manage this disease.

levels within our bodies. Addressing Chronic Kidney Disease at an early stage is important and can help provide us with the support and knowledge needed to manage this disease. Chronic Kidney Disease is often associated with other chronic illnesses such as Hypertension and Diabetes.

There are many symptoms of Chronic Kidney Disease that develop over time and, if left unchecked, can cause permanent kidney damage and further progression of the disease.

Here are a few of the common symptoms: • High blood pressure (hypertension) that’s difficult to control • Shortness of breath, if fluid builds up in the lungs • Swelling of the feet and ankles • Muscle spasms and cramps • Decreased mental acuity • Changes in urine output • Fatigue and weakness

Our kidneys are designed to help our body filter waste and excess fluid from our blood. If the kidneys are not functioning properly, waste, excess fluid and even electrolytes can build up to dangerous

• Loss of appetite • Vomiting • Nausea

North Idaho Nephrology Associates

www.ninephrology.com

A teamwork approach to managing Chronic Kidney Disease & Hypertension North Idaho Nephrology Associates (NINA) provides care from the main clinic in Hayden, as well as at satellite locations throughout the region.

Call the Hayden clinic to schedule an appointment with our doctors in your area.

Main Clinic: 208-772-7760 • 8836 N. Hess, Ste C, Hayden Newport Newport Community Hospital 714 Pine Street W., Newport

26

Silver Valley 858 Commerce Dr., Ste 100 Smelterville

Wise Guide | Spring / Summer 2015

St. Maries Benewah Community Hospital 229 S. 8th St., St. Maries

Sandpoint 1210 Washington Street Sandpoint

Many of the symptoms of Chronic Kidney Disease can be associated with other medical conditions. Having one or more of these symptoms does not necessarily mean you have the disease. If you are concerned, you should consult a health care provider.

Established in 2008, North Idaho Nephrology Associates is a privately owned physician clinic that specializes in managing Chronic Kidney Disease and Hypertension. Our goal is to provide quality care through a teamwork approach to treatment that means partnering with local Physicians, Nurses, Social Workers, Dieticians, Dialysis Technicians, Dialysis Units and Hospitals. We strive to serve our community by not only providing access to quality care locally, but also to underserved areas around the Northwest.

Over the past several years, we have been expanding our practice in order to serve our communities more effectively. We now have outreach clinics in Sandpoint, Newport, Kellogg and St. Maries with plans to continue growing our care

network. To that end, we are pleased to welcome our newest Physician, Dr. Thuy-Trang Ngo to our staff. Dr. Ngo will be working alongside our current Physicians Dr. Shaun K. Joshi and Dr. Sherwin S. Foster as well as our three Nurse Practitioners and four Physician Assistants.

______________ Dr. Thuy-Trang Ngo received her nephrology training at the University of Texas in Houston and completed her internal medicine residency at Norwalk Hospital in Connecticut.

Prior to becoming a doctor she was a board certified nurse practitioner. She was born in Vietnam and came with her family to the USA in the 1980’s. She currently resides with her husband in Coeur D’Alene, ID.

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On the other end, a trained Lifeline response associate is waiting to quickly dispatch assistance.

Lifeline offers you peace of mind. Over half a million people–along with their friends and family–trust Lifeline every day. You can too!

For more information call 208.625.5020.

208.625.5020 | kh.org

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27

What is Cash Pay Packaged Pricing? (and why should you be interested?)

Pend Oreille Surgery Center Physician Owners (left to right): Jon Fisher, DPM; Charles Crane, MD; Michael DiBenedetto, MD; Nathan Kanning, MD

T

he Affordable Care Act is now in full effect.

The previously un-insured are now faced with purchasing health insurance on the marketplace or paying growing penalties. Even though the ACA (also known as “Obamacare”) does not allow insurance companies to exclude people with pre-existing conditions, many people are finding many plans to have high premiums that they are unable or unwilling to afford, therefore choosing “catastrophic” plans with a higher deductible. These plans are required by law to cover most diagnostic screenings, but may not cover facility, laboratory, anesthesia, and diagnostic imaging fees until the deductible has been met. This is the advantage of Cash Pay Packaged Pricing!

Ambulatory Surgery Centers (ASCs) like Pend Oreille Surgery Center, are beginning to offer Cash Pay Packaged Pricing (CPPP) to circumvent the costs and hurdles required to bill insurance. By lowering these costs, ASCs are able to pass those savings to patients.

CPPP has several more benefits: • Transparent pricing: you know the cost before you schedule the procedure, • One payment typically covers the facility, surgeon, and anesthesia fees, but may not include pre & post-op doctor visits, or pre-op tests (confirm with the ASC), • Ease of scheduling: since we are not billing an insurance company, we do not need to wait for a pre-approval, • Since the ASC is not operating under a contract with an insurance company, ASCs are usually able to bill at a lower price for any hardware or implants necessary for the procedure (e.g. plates and screws for orthopedic procedures).

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Jon Fisher, DPM, is Board Certified by the American Board of Foot and Ankle Surgery in the areas of foot and ankle surgery, trauma, and reconstruction, and practices at North Idaho Orthopedics and Sports Medicine.

Charlie Crane, MD, received his Medical Degree from Duke, completed his Internal Medicine residency at the University of Washington, and joined Internal Medicine Associates in Sandpoint in 2004. He has been providing endoscopy services at POSC since 2009.

Michael DiBenedetto, MD, Board Certified Orthopedic Surgeon, has been in practice 24 years. His expertise includes arthroscopic and sports medicine, complete hand care, trauma and fracture management, knee, hip, and shoulder joint arthroplasty and spine care. Michael is the energy behind North Idaho Orthopedics and Sports Medicine.

Nathan Kanning, MD, attended the University of Kansas School of Medicine and completed his residency in General Surgery in Portland, OR before joining Sandpoint Surgical Associates in 2008. He is Board Certified in General Surgery and provides surgical and endoscopy services at POSC, BGH, and BCCH.

What kind of procedures qualify for CPPP? • Carpal tunnel release • Knee Arthroscopy • ACL Repair • Rotator cuff repair • Bunion repair • Hernia repair • Gall bladder surgery • Endoscopy/Colonoscopy, etc.

These procedures are typically same-day and elective. Patients arrive at the ASC, have the procedure, and leave the same day.

What is an Ambulatory Surgery Center (ASC), and are they safe?

• An ASC is usually a physician-owned center that is certified to perform ambulatory or “same day” surgeries.

• ASCs can be single-specialty, such as endoscopy, or can be multi-specialty, such as orthopedic, podiatric, general, etc.

• ASCs cannot keep patients more than 24 hours. ASCs also do not have Emergency Rooms, Intensive Care Units, or Delivery Rooms. Therefore, they do not have the 24-7 staffing requirements of a hospital, and can pass those savings on to their patients.

• ASCs do not treat patients with acute illnesses or infectious diseases.

open-heart surgery can require 24-7 monitoring for several days in an ICU and are not ASC appropriate in nature.

• ASCs are required to have the same trained and credentialed providers as a hospital, such as Registered Nurses, Medical Doctors/Surgeons, and Anesthetists. This ensures the patient will receive the same high quality care expected from a hospital.

Can ASCs treat Canadians?

Can I have my procedure done at an ASC? In most cases, yes, but you must meet certain criteria: • Are you otherwise healthy? Remember, ASCs do not treat patients with acute illnesses or infectious diseases, e.g., if you have a cold or flu, you would need to re-schedule.

• You must be a good candidate for surgery at an ASC (un-controlled diabetes, congestive heart failure, or un-controlled high blood pressure may preclude you from ASC services). However, you may be able to have some procedures, such as a diagnostic colonoscopy. Other procedures that require a longer recovery, necessitating a hospital stay (longer than 24 hours), are not offered.

• What kind of surgery do you need? A carpal tunnel or knee arthroscopy usually requires only a few hours before you can return home, whereas,

Of course! With increasing wait times for some elective surgeries, many Canadians are looking into “medical tourism” (traveling to a hospital or ASC in another country) to have their surgery, returning home for recovery. By avoiding the long wait times (and potentially longer recovery time), they may be able to return to activity much sooner.

Who do I need to talk to about scheduling an appointment and getting a quote for a surgical procedure?

• If you are local, talk to your regular doctor to confirm your need for surgery. Your doctor can refer you to a specialist for a consultation. Ensure that specialist has surgical privileges at an ASC. • If you are out of town, call us directly and we can provide a list of credentialed surgeons certified to perform procedures in our facility. Scheduling your procedure at an ASC is fast and easy.

Surgery Options —

redefined

High deductibles, long wait times and limited access are the reality of healthcare today. Pend Oreille Surgery Center offers cost-effective, packaged plans with immediate scheduling of your surgical procedure. Our low infection rate, board certified physicians and comfortable setting make Pend Oreille Surgery Center the best option for the cash customer.

Visit our website for complete package and pricing information.

30544 Hwy. 200 . Suite 201

|

Ponderay, Idaho 83852

|

208.265.8194

|

www.poscllc.com

Wise Guide | www.TheWiseGuideOnline.com

29

My Broken Back!

Vertebral Compression Fractures

by Dr. Scott Magnuson, North Idaho Pain Management

M

ost of us have had a broken bone at some point in our lives. Whether from falling off the playground swing or tripping on some stairs, we instantly know what is wrong. A visit to our local ER usually results in a cast and a prescription to “slow down” until the bone heals. Everyone can see the cast and we may even get sympathy and better seating on the plane or in a movie. After a period of weeks our cast is removed and the bone is healed, a mini miracle of our body’s ability to heal itself.

However, sometimes and injury occurs and the fracture is not so obvious. The pain can be severe, making it hard to stand and even breathe. Finding relief is difficult. Lying down may help, but you can’t stay in bed 24 hours a day. You see your doctor who orders an X-ray and diagnoses the problem: you have a spinal compression fracture. You ask, ”What can I do to heal this?” No cast will help. Pain medications can take the edge off the discomfort but often there are side effects like mental slowing and constipation, which can make the pain even worse. Unfortunately, compression fractures heal much more slowly than other bones in our bodies. The thought of spending months with this kind of pain can be depressing.

Compression fractures are essentially a collapse of the vertebra, the bones forming our spine.

Compression fractures can occur from bone diseases like osteogenesis imperfecta or from tumors, but most often are a result of osteoporosis (thinning of the bone). The fractures can occur slowly and may not cause symptoms initially, but they can also occur acutely after a fall or even simply bending over.

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When a compression fracture is the suspected source of pain, an X-ray is done to look for the fracture. If a fracture is found that is consistent with your pain, an MRI is the next step to determine if the fracture is new or old. Compression fractures can lead to loss of height, breathing problems, and even early death. The initial treatment of compression fractures is conservative. Rest, physical therapy and pain medication are commonly utilized. However, if

Patients can experience marked improvement in their symptoms almost immediately. the pain is severe or lasts more than 30 days, more advanced treatment may be necessary.

Vertebral augmentation (also commonly referred to as kyphoplasty) can lead to dramatic improvement in pain and function, and can potentially restore some height loss in the bone. Vertebral augmentation is an outpatient procedure done under local anesthetic and IV sedation. With the aid of fluoroscopic imaging, a specialized needle is placed into the vertebral body of the compression fracture and a small cavity is made. Bone cement is then slowly injected to stabilize the compression fracture. After the needle is removed, a simple bandage is all that is needed to close the wound. Patients can experience marked improvement in their symptoms almost immediately.

Studies have shown long term improvement in pain and function after vertebral augmentation. There are always risks with any procedure, but with experienced practitioners and newer techniques of vertebral augmentation, risks are extremely small.

Regardless of the method used to treat compression fractures, management of osteoporosis is vitally important in order to help prevent future fractures from occurring. Chronic pain is not normal and the cause should be investigated. Think of all the things you can’t do because of the pain. The sooner the cause is determined, the sooner you will be on the road to recovery and freedom from pain. _________________________________________________ Dr. Magnuson is a Board Certified Anesthesiologist with Added Qualifications in Pain Management. He is a graduate of Creighton University School of Medicine, University of Missouri Kansas City Anesthesiology Residency and completed his fellowship in Pain Management at the University of California San Diego.

Compassionate Care …Right at Home • Skilled Nursing Services: Post-Operative Care, Diabetic Care, Pain Management, Injections & Blood Draws • Rehabilitation Services: Physical, Occupational, Speech & Respiratory Therapy • Home Health Aides Services

Visit our website to view all services: www.ReliantHealthCDA.com Call 208-665-3514 Today! Serving North Idaho Wise Guide | www.TheWiseGuideOnline.com

31

Fancy Footwork

by Dr. Jonathan Fisher, DPM, North Idaho Orthopedics and Sports Medicine

S

ummer is right around the corner and so many of us are ready to hit the beach sporting our flip flops. However, others would rather hide their feet in the sand to cover up their yellow brittle toenails. Many people struggle with this issue…nail fungus!

Onychomycosis, is a fungal infection that is evidenced by nails that are yellow, gray, or brown, thickened, brittle, crumbled, distorted in shape, dull or even painful at times. When the nail becomes deformed it can interfere with being able to wear shoes, walk, run, play sports and other daily activities.

A large number of our population suffer from

onychomycosis and struggle with various treatment options, none of which show long lasting effects. This is an extremely frustrating and embarrassing issue.

Nail fungus has been a great challenge to cure over the years. Most people have tried everything from tea tree oil to mouthwash or topical ointments yet nothing seems to eradicate the fungus. Until now — there is a laser treatment available that has proven to be far more effective than the creams, ointments and oral medications alone that so many people have tried unsuccessfully. With our current treatment regime we are seeing extraordinary success rates!

During the laser treatment the laser light passes through the nail, without causing damage to the nail or the surrounding skin, and targets the fungus that lives in and under the nail. The results are seen over a 9 to 12

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Wise Guide | Spring / Summer 2015

month period as the nails grow out.

The laser is a high dose of UV light. It does not burn or cause any adverse reactions. After the initial laser treatment follow-up treatments are scheduled at 4 months and 9-12 months to monitor progress. The PinPointe laser treatment takes approximately 30 minutes total and there is literally no downtime.

For a vast majority of patients this procedure is completely pain free.

Some may feel a warming sensation or a slight pinprick.

Fungi live in a layer of dead skin around the nail, under the nail and in the nail, therefore its important to treat all components of the problem for maximum results. Anything in the medical field should be treated as a systems approach. The question is asked, “Why has this problem occurred?” not just focusing on treating the symptoms. The skin, the nails, and the environment all have to be evaluated. Issues in the environment include shoes, socks, sheets, shower and others. Patient participation is very important in order to achieve total success.

This procedure is considered cosmetic and therefore is not covered by insurance. However patients can use their Health Savings Account, Medical IRA or a Flex Spending Account to pay for the procedure.

If you’re one of the many people who have been dealing with this issue and have tried everything…. there is HOPE! ________________________________ In 2008 Dr. Fisher moved to Sandpoint and currently works at North Idaho Orthopedics & Sports Medicine as well as Bonner General Hospital, and the Pend Oreille Surgery Center. www.HealthyNailLaserCenter.com www.NIOSM.com

Compare Skilled Nursing Centers at www.medicare.gov Ivy Court is the only nursing & rehabilitation center in Kootenai County to have a 5 Star Rating the Federal Government’s Highest rating.

We understand that finding a center that meets your personal needs is extremely important and feeling comfortable and safe in a healing environment is the best way to recover. At our center we believe in helping people live better by providing quality care with dignity and respect while enhancing the lives of each individual. s Short-Term Care s Traditional/Long-Term Care s Post-Operative Care s Respiratory Services s Infusion Therapies

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33

Visual Aids

by Dennis Foster, Owner of Vision Matters

Living with Low Vision as We Age

If you’re struggling to read the opening sentence of this article, you’re not alone.

Millions of Americans have trouble reading fine print, even with the help of eye glasses, contact lenses or optical magnifiers. As we age, the likelihood of encountering an eye disease drastically increases. According to a Special Report on Aging and Vision Loss done by the American Foundation for the Blind, experts predict that by the year 2030, rates of vision loss will double along with the country’s aging population.

FREE Publications

Age-Related Macular Degeneration

The leading cause of vision loss among seniors is Age-Related Macular Degeneration (AMD). Although this disease does not cause total blindness, it is responsible for damage to the macula resulting in a blurred area and eventually what some people describe as a dark spot or “hole” in their central vision. The progression of this disease affects daily tasks such as reading, driving, watching television, cooking and even recognizing faces. The impact on a person’s life can be devastating as they feel their independence slipping away. Routine eye exams are essential in the early detection of this disease as well as an appropriate treatment plan.

What’s Next?

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Wise Guide | Spring / Summer 2015

Taking advantage of the services and tools available to help you maximize your remaining vision is extremely important. Speaking with a low-vision specialist or joining a low-vision support group is a great start. You may consider vision rehabilitation to help with independent living skills and small home modifications to help you get around. Optical magnifiers, like the ones often seen at your local drug store are a quick solution to help you with spot reading a label or phone number, but have inherent limitations with a fixed magnifying power and a limited field of view (how much text you can see at a time).

Luckily, newer forms of high tech electronic magnifiers such as the new portable Amigo HD are also available and offer adjustable high-range magnification without sacrificing your field of view.

Devices like these come in many forms, from portable

hand-held, battery-powered units the size of a cell phone or tablet, to desktop reading machines with larger (22” and 24”) displays. This adaptive technology makes it possible to read books, newspapers, check your mail, or even put on make-up. In addition to

Taking advantage of the services and tools available to help you maximize your remaining vision is extremely important. magnifying your text, recent models can even read printed text back to you out loud with a simple push of a button.

Proven Tools for Success

The Acrobat HD desktop electronic magnifier allows retired veteran Dean Boyers to continue reading his favorite publications. “It’s magic,” he says, “and I can’t live without it.” The ability to do crafts and hobbies, see what’s happening outside, write checks, and so much more is all within reach through easyto-use electronic magnification. Electronic magnifiers have restored hope and independence to so many who thought they would never read again.

In-Home Demonstration

It is most common in this field to get a noobligation, in-home visit where people can be surrounded by family and friends as they examine technology. Take advantage of this free and local service to see what technology can do for you.

A word of caution is appropriate though in this highly web-based world we live in. Buying any product ‘on-line’ without the benefit of a demonstration and some training can turn out poorly, adding to the frustration of not being able to read.

Should you have any problems or questions, you’ll want a local resource to turn to. ________________________________________________ Owner of Vision Matters, Dennis Foster has 14 years of experience helping people living with low vision. He finds great satisfaction in making a tangible difference in the lives of individuals – whether students or seniors, allowing them to once again read, do crafts and have more independence. For more information, please visit www.visionmatters.net or contact Vision Matters at 888-281-1492.

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35

Preferred Provider? Says Who?

by Rich de Blaquiere, Pharm D, White Cross Pharmacy

S

ome trends are easier to spot than others. If bell-bottom jeans came back in style most people would probably notice.

Other trends fly a little more “under the radar” yet can have a much bigger effect on your life than clothing. Healthcare policy trends qualify as such a trend.

Let’s explore one trend we are all experiencing right now with profound effects on who delivers our healthcare; the concept of the

“preferred provider.”

Like many concepts a preferred provider could be defined differently, depending on your perspective. One is that of the healthcare consumers.

For most people, their “preferred provider” would be the doctor, nurse, pharmacist or hospital they choose. That choice is based on factors such as the provider’s credentials, experience, personality, recommendations from friends and family, referrals from other providers, location, and reviews to name a few.

Another perspective is of those actually in control of the healthcare system, the insurers. When an insurance company creates a list of preferred providers the criteria for inclusion is simple. In most cases, the provider that makes it onto an insurance company’s preferred provider list simply is

willing to accept the contract terms (a reduction in reimbursement from typical contracts) presented by the insurance company. Those who don’t accept the terms are not “preferred.” In the last few years, small chain and independent pharmacies are often not even offered a chance to participate in the network at all. In the end, you and the insurance companies probably have a very different idea of what a preferred provider is.

Why preferred provider networks?

The goal of preferred provider networks is simple and not necessarily a bad one. It’s all about cost containment. The government spends 1 out of every 5 to 6 dollars on healthcare and hires insurance companies to run their plans,

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Wise Guide | Spring / Summer 2015

providing healthcare to over half of the country. Cost containment is a must. The question is not, “Should we do it?” the question is, “How do we lower costs without sacrificing quality and limiting access?” Any tool used to accomplish cost containment must run the gauntlet to ensure that it serves the economic goal without causing other problems.

How do preferred networks do under this test?

Since providers who participate in these networks are willing to accept lower reimbursements for services rendered it seems like costs should go down.

Basic math tells us that if we pay less for something, we are saving. However, like so many things in healthcare, it’s just not that simple. Is the provider who is paid less for a service just incentivized to bill for more services? In the Pharmacy world, there are problems with the “preferred provider” system. CMS (the government agency that runs Medicare and Medicaid) did a study on the cost of prescriptions in preferred provider networks versus non-preferred networks. Costs in some preferred networks were lower, as expected, but some were actually higher.

It is apparent these systems may not be the best tool to lower costs – especially when rural pharmacies are left out. If a rural pharmacy is left out of a preferred network, either due to the poor economics of the contract from the insurer, or because they weren’t even offered a contract, the rural patient loses out. The patient may have a plan with a copay of $3 less at a preferred pharmacy, but have a 45-minute round trip to get that discount. It’s an institutionalized system of

“drive more or pay more.” In addition, due to the lower reimbursements received by preferred pharmacies, they may not offer beneficial services like compliance packaging or delivery which save people money and improve medication adherence. When many people are taking an extra drug because they aren’t taking the first one correctly these services can be very valuable.

One has to ask, “Is the ‘preferred provider’ system as we know it pennywise and pound foolish?”

Patients need to realize they have other ways to save on the cost of drugs. A conversation with a pharmacist who is willing to take time to go over your medications may be the most financially rewarding.

Copay incentives offered by “preferred” networks are one thing. A pharmacist working with you and your physician resulting in savings of hundreds of dollars per year is another.

There is a strong trend toward eliminating provider and drug choice as a way to save money. I invite you to look past marketing slogans to preserve your choices. When choosing a plan, scrutinize your choices using your own definition of preferred provider. When choosing a pharmacy, find an engaged pharmacist and have him/her review your options for potential cost containment and other valuable services. _______________________________________________ Rich de Blaquiere obtained his PharmD from Washington State University in 2004. He has been a pharmacist at White Cross Pharmacy since graduating and has been a partner since 2007. Rich also serves on the Idaho Board of Pharmacy.

Wise Guide | www.TheWiseGuideOnline.com

37

Bone Health

by Dr. Ken Howayeck, DPM The Wellness Center

H

ave you ever stood near a table spread with tempting refreshments and felt a little thrill when the hostess told you to “help yourself”? Most of us would be more than happy to do just that. So if your doctor ever uttered those same “help yourself” words regarding your bone health would you be as

Schedule your bone density scan today! $30 Mention this ad and get $10 off!

The Wellness Center (208) 262-4044 1810 Schneidmiller Ave, Suite 350 Post Falls ID 83854 38

Wise Guide | Spring / Summer 2015

quick to take action? Your doctor probably hasn’t vocalized the sentiment in those exact words, but as a private practitioner of 33 years, I can tell you that they’ve more than likely thought it. And your bone health is infinitely more important than indulging

Bone health is a huge and growing concern these days, and it really comes down to you. Osteoporosis is on the rise, and it’s effects are literally crippling.

Stooped shoulders and hunched backs, spinal stress fractures, broken bones and hip fractures can lead to permanent disabilities and even early and painful death for those who suffer from this terrible condition. Why wouldn’t you want to “help yourself” avoid this fate in every way that you could? Impact

Impact exercises, complete nutrition and avoiding things that compromise the health of your bones are actions that you can and should be taking on a daily basis.

exercises, complete nutrition and avoiding things that compromise the health of your bones are actions that you can and should be taking on a daily basis.

Add to those a simple, comfortable radiation-free

heel scan, and you can be sure that you are doing all in your power to promote optimal bone health.

While your doctor can and should order a DXA scan to check for signs of trouble, this test is only available to medical professionals, and is done only every few years. Testing by means of public ultrasound bone density screenings is an easier, cheaper, and more frequent manner of selfmonitoring that can clearly allow for much earlier detection of problems. The results are both accurate and easily understood by the patient, allowing you to empower yourself, as you have your own finger on the pulse of your progress. You are giving yourself and your doctors vital information that you can use to extend the healthy lifespan of your bones.

I would encourage you to take your health in

your own hands and take positive action. Heel scans are available at the Wellness Center in Post Falls, ID. You will also find a caring team of individuals who are ready and willing to explain your useful nonmedical options, ones that will effectively support your medical ones. With this scan so easily available, offering you a powerful tool to help ensure your best odds for healthy, supportive bones that carry you into a future of activity and strength, I say go ahead, my friends, and help yourself! _______________________________________________ Dr. Ken Howayeck is a Board Certified Foot and Ankle Surgeon and Podiatric/Osteoporosis, Author of “Bone Health Made Easy”, Lecturer and Certified Speaker for the Foundation for Osteoporosis Research and Education.

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39

Ceramic Implants

by Dr. Michael G. Durnin, DDS

H

ealthy teeth form the foundation of a healthy body and are crucial to overall good health. Our teeth directly influence the functions of eating and speech. Missing teeth can cause shifting of remaining teeth and serious compromises in our ability to chew and function. This can lead to more serious health complications including headaches, neck pain, breathing and sleep disorders as well as major limitations in our ability to eat a healthy diet.

Over the years, dentists have evaluated many practical, comfortable, functional, and affordable materials to replace missing teeth. Over the last 30 years implants have been the standard of care for ideal replacement of missing teeth. Until recently titanium implants have been the only option available to us.

In 2005 a new form of dental implants, called ceramic dental implants or zirconia dental implants were introduced. They were designed to offer a potentially more aesthetic and tissue-friendly alternative to traditional titanium implants. Zirconia dental implants are made from special, industrial, high impact resistant ceramic (zirconium oxide, ZrO2) that is customarily used in aerospace engineering because of its high resistance to fracture and heat. For years, doctors have used zirconia implants to replace hip joints. The Food and Drug Administration’s recent approval of zirconia has opened the door for these implants in dentistry.

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Wise Guide | Spring / Summer 2015

Zirconia Implants

Zirconia is a biocompatible material that is resistant to chemical corrosion, nor will it conduct electricity or heat. As a bio inert material, it will never trigger chemical reactions, migrate to other sites in the body or interfere with the maintenance of optimal oral health.

There are now several five to ten year studies demonstrating that the long term serviceability and retention rate for these implants is comparable to that of titanium implants.

Studies in the mouth have also shown that

Ceramic implants retain less plaque and calculus than titanium resulting in healthier gums and overall health. The rough surface of zirconium also integrates or attaches itself exceedingly well to the jawbone.

Well over 100 million Americans suffer some form tooth loss, and today ceramic implants represent the most aesthetically pleasing option available for tooth replacement. Ceramic implants are comfortable for our patients, and due to their all-white color they present the most natural looking results. Traditional titanium implants, especially when used in the front of the mouth, often leave a darkening in the gum tissue at the base of the crown or bridge due to the darker metal showing through the tissue. Ceramic implants eliminate this problem due to the white or

Ceramic dental implants will help prevent long term bone deterioration as they are not subject to the classic gum disease concerns we have with a natural tooth. tooth color of the implant. Ceramic dental implants will help prevent long term bone deterioration as they are not subject to the classic gum disease concerns we have with a natural tooth. Ceramic implants also provide a metal free foundation and when combined with an all porcelain crown or bridge it eliminates any metal sensitivity issues as well as any electrical conductivity concerns (Meridian fluctuation).

Zirconia implants are hypoallergenic, which is not the case with metal implants. Today, there’s a growing number of people who have allergies, metal sensitivities, skin sensitivities and or compromised immune systems. As such we are looking more and more to ceramic solutions to bypass these issues.

Ask your Dental health care provider about this exciting new alternative for replacing missing teeth. ________________________________________________ Dr. Michael G. Durnin DDS is a graduate of the University of Texas Dental School at San Antonio. He has worked as an implant and reconstructive dentist for over 34 years with 20 years in Sandpoint. Dr. Durnin was recently certified among only a handful of dentists on the west coast in the placement and restoration of Ceramic Implants.

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502 N. 2nd Avenue, Sandpoint 208-263-7621

Wise Guide | Spring / Summer 2015

One of the hardest things you will ever do is say “Good-bye.” Be glad you have the chance as too may do not have the opportunity when death is sudden, unexpected or accidental.

Even if you had a less-than-positive relationship with someone, the opportunity to at least say, “I wish things had been different between us…” will be a genuine sentiment, an honest statement that will do you both good. Leaving things unsaid can torment you because once someone is gone, you never get another chance to say how you feel or ask those burning questions.

Give some thought to the answers they may have that, once they’re gone, no one else can answer. How man of us have said, “I wish I had asked Dad, because nobody else knows?”

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Wise Guide | towww.TheWiseGuideOnline.com 43

Caregivers, Got Help?

by Diana Ring, LSW, Kootenai Health Senior Care Program

F

or caregivers, attempting to handle everything is a recipe for disaster. They give so much of themselves they forget to take care of themselves. Ignoring their own needs can result in fatigue, depression, irritability and eventually a breakdown in their own immune system and health.

There is help available.

Research and learn about your

loved one’s disease, ask for and utilize assistance from family members, neighbors, friends and your church community. Seek out area resources and you are certain to find options that can relieve some of the often overwhelming responsibilities. The Alzheimer’s Association or Area on Aging of North Idaho are excellent places to start.

Koot ai He th offers a positive part-time

care environment for seniors who are receiving care at home. Open weekdays, the program provides a safe, caring environment where seniors can spend their day while their usual caregiver is away. Staff are specially trained in caring for the mental and medical needs of seniors while providing activities that engage their interest and help reduce social isolation.

For more information, call (208) 625-5354 or visit KH.org/SeniorCare

(208) 625-5354 or visit KH.org/SeniorCare

SeniorCare_WiseGuideAd.indd 1

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Wise Guide | Spring / Summer 2015

3/25/15 8:57 AM

Adult day programs are an important resource to consider.

They bridge the gap between home and assisted living or nursing home and cost less than half of private inhome care. Kootenai Health’s Senior Care program has been offering a safe environment for those with Alzheimer’s or other disabilities since 1996. The facility is large, colorful and homey in an open environment with comfy furniture.

Nutritious meals and snacks are provided along with daily activities that include music and dancing, arts and crafts, horticulture, pet therapy, games, puzzles and activities designed to provide both mental and social stimulation.

There are holiday and birthday celebrations plus low impact exercise and occasional outings. All activities are designed to address the special needs and interests of the participants. The program helps them remain active, promotes independence and reduces social isolation in addition to meeting the respite needs of the caregivers.

Feelings of guilt and denial are common among caregivers who are considering a day program for their loved one. But caregivers who ask themselves, “What good will I be if I wear myself out?” will realize

Coeur d’Alene’s Only Comprehensive Pain Management Center. much–needed breaks make them better able to care for others. Coming to terms with the realities of a dependent person’s needs often results in a sense of relief for the caregiver and makes is easier for them to cope with whatever lies ahead.

There are several adult day programs in the north Idaho region. When selecting a program, ask questions about activities, transportation, meals and snacks, personal care and behavior management. Be sure to give the program a chance. Consider using the program at least twice a week the first week. Patients who resist day care will typically look forward to going once they have had a chance to meet others and get involved in the activities.

An adult day program can provide people with dementia a host of opportunities they may lack at home. Those who can no longer organize, plan and complete the simple tasks of daily life can benefit from a structured program that is designed to meet their needs, interests and abilities. Participating in activities that encourage self-expression and focus on enjoyment rather than achievement can help those with dementia and disabilities develop a sense of purpose.

Are you a caregiver in desperate need of a welldeserved break? Please call Diana Ring, Kootenai Health Senior Care Program Coordinator, at 208-625-5353. _________________________________________________ Diana Ring obtained her Social Work degree from Boise State University in 1978. She has been with Kootenai Health for 14 years and is now into her second year as coordinator of the Kootenai Health Senior Care Program. She is a member of CareNet, a networking organization of professionals providing services to senior and their families.

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45

Magnetic Jewelry Can Help YOU

by Karen Horst, KC Kreations

M

agnetic necklaces, bracelets, anklets and rings have the potential to help with chronic pain and healing of many conditions. However, the correct application and strength is necessary to achieve the best results.

It’s not easy to explain how magnets affect the human body because most of the action and reaction occur at the molecular level. Humans are made up of millions of living cells and those cells are electromagnetic by nature. Because of this, we respond to magnets.

Studies prove there is a similarity between bi-polar magnetism and acupuncture. The combination of

polarities applied to the human body over acupuncture points creates an emergency response.

For instance, you have painful symptoms from shoulder bursitis or tennis elbow and you apply a bi-polar magnetic bracelet to the wrist with the condition(s).

The magnet(s), in this instance, need not be placed directly over

KC Kreations Magnetic Jewelry

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46

Wise Guide | Spring / Summer 2015

the affected area. Immediately, chemical changes begin; increases in blood levels of serotonin, beta endorphins, ACTH (adrenocorticotropic hormone) and a reduction of cortisol. The cells receive an electro-magnetic charge, oxygen saturation levels increase in the blood, begin carrying away toxins from the affected areas. This is our body ‘healing itself’. Soon there is a noticeable reduction of inflammation and swelling, improved range of motion and the “ahhhh” effect of greatly reduced pain. Timing for any of these effects is dependent on the severity and duration of the condition ranging from minutes to days!

Sally and Rob K’s experience: “My skeptical husband, Rob and I each purchased a bracelet and anklet last summer from KC Kreations. I convinced Rob to give it a try. A sign said if it doesn’t work we get our money back. So, why not?

I have sciatica and a bum knee.

My hands have arthritis and my fingers painfully swell up like little sausages. I was advised to try a bracelet for hands and an anklet for sciatica and knee. Wow, I was surprised to see the pain from the sciatic leg gone the next day. The knee, usually swollen and hard to bend, not anymore. I can cross my legs and the pain left too. I nearly CRIED FROM JOY when pain in my hands noticeably began subsiding and I can use them like I did years ago, and in just two days time!

Rob suffered from RLS (restless leg syndrome) and from 35 years

in construction, his elbow and right hand and wrist were always in pain. Since wearing his new bracelet his hand, wrist and elbow quit bothering him and feel great. And, he sleeps better because he quit being ‘restless’ after wearing the anklet.

We are so grateful that Karen at KC Kreations opened her year-round shop. The jewelry and service are quality. We heard from other people who swore by their magnetic jewelry, so we knew we would never know if it really does work until WE gave it a try. And

Mention this article, receive 10% discount on your entire magnetic jewelry purchase. we are so, so glad we did. It feels good to not be using drugs or medications and doing it naturally. Thank you Karen. Keep up the great work!”

Thank you, Rob and Sally! Their story is typical of what I hear on an ongoing basis. It’s these stories of real people that keeps me going! I am in business to help you (and your pets) with chronic pain issues.

If you experience any of these conditions: ARTHRITIS, SCIATICA, CARPAL TUNNEL, TENDONITIS, RLS, HEADACHES, FIBROMYALGIA,

ELBOW, SHOULDER, HIP, BACK, NECK or JOINT PAIN, NEUROPATHIES, GOUT, PLANTAR FACIIATIS (to name a few) – you owe it to yourself to give magnetic jewelry a try. Come in and see if our products can make a difference for you. There’s nothing to lose, but maybe some pain! I offer 100% satisfaction or 100% money-back guarantee. It could quite possibly be the best few bucks you’ve ever spent!

Not local? Visit my webstore: www.kckreations. com (coupon code: WiseGuide10 for 10% off). Oldfashioned kustomer service, kustom-designed kreations, re-purposing your old non-magnetic jewelry into new magnetic wares and magnetic jewelry repairs are just some of my specialties.

KC Kreations Magnetic Jewelry is in the Integrative Wellness Center, located at 579 W Hayden Avenue, Hayden, Idaho. 208-610-4117. Hours: Tuesday – Friday 10 am – 5pm. __________________________________________________ Karen Horst had a personal magnetic-healing experience and chose to establish KC Kreations in 2008.

She studied at various magnetic workshops around the US. Karen says, “Empathy drives my joy for helping people with their chronic conditions. Good oldfashioned customer service and a friendly face is what you get when you come to KC Kreations!”

Wise Guide | www.TheWiseGuideOnline.com

47

Crossword Dancing the Night Away Across

1 Formerly, once 5 Spoke like a seagull?

10 Soft ___ (dance) 14 Surf sound 15 Nitrous ___ (laughing gas) 16 Sentry’s cry 17 ___ of Capri 18 American dance (‘30s-’50s) 19 Caddie’s offering 20 Strutting dance based on a march 22 Alpha’s opposite 23 Fury 24 2014 Melissa McCarthy, Susan

Sarandon comedy 25 Rand McNally book 29 Eerie 32 Latin dance 34 Wood sorrels 35 Game pieces 38 “Shake a leg!�

39 Battery units 41 Alborg native 42 Historic period 43 Fringe benefit 44 Dances to “Hernando’s Hideaway�

46 Arabian Nights hero 48 Takes an ocean voyage 49 Legumes 51 Decompose 53 Drink holder 54 Stately court dance of the 17th

and 18th centuries 59 Word of honor 60 Line dance 62 In ___ of 63 Environs 64 Drivel 65 Commotions 66 Declare untrue 67 Not yet cities 68 Twisted

Down 1 2 3

48

___ the Red Soprano Ponselle Polio vaccine developer

4 Forest unit 5 Back tooth 6 Expel from a country 7 Blink of an eye?

8 Byrnes of “77 Sunset Strip�

9 Susan of “L.A. Law�

10 Ragtime dance 11 Sheik’s bevy 12 Field of study (suffix) 13 Sicilian erupter 21 Desire 22 Thousand ___, Calif.

24 Breakfast bread 25 Highest point 26 Norse thunder god 27 Basalt source 28 Duffer’s dream 30 Bohemian dance 31 Fall mo.

33 Chocolate root and prairie

smoke, etal.

Wise Guide | Spring / Summer 2015

35 Travelers to Bethlehem 36 Form of ether 37 Capone nemesis 40 Sphere 41 Paternity identifier 43 Stickers 45 “The Thin Man� dog 46 Square dance routine 47 Flying lizard 49 Cacophony 50 Consumed 52 Certain exams 53 Prod 54 Winter forecast 55 Tell all 56 Glorified gofer 57 Sign gas 58 Do maid’s work 60 Time zone 61 Spanish gold

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This non-invasive palm scan measures antioxidant levels from supplement absorption.

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(Inside Super 1 Foods)

Sudoku

Let’s Dance to Health

D

courtesy of AARP.org

How to Play Sudoku To solve the Sudoku puzzle, each row, column and box must contain the numbers 1 to 9.

Crossword and Sodoku answers on page 77.

ancing can be magical and transforming. It can breathe new life into a tired soul; make a spirit soar; unleash locked-away creativity; unite generations and cultures; inspire new romances or rekindle old ones; trigger longforgotten memories; and turn sadness into joy, if only during the dance.

On a more physical level, dancing can give you a great mind-body workout. Researchers are learning that regular physical activity in general can help keep your body, including your brain, healthy as you age. Exercise increases the level of brain chemicals that encourage nerve cells to grow. And dancing that requires you to remember dance steps and sequences boosts brain power by improving memory skills.

There has been some promising research in this area, according to Rita Beckford, M.D., a family doctor and spokesperson for the American Council on Exercise. For instance, a study published in the New England Journal of Medicine found that ballroom dancing at least twice a week made people less likely to develop dementia. Research also has shown that some people with Alzheimer’s disease are able to recall forgotten memories when they dance to music they used to know.

Whether it’s ballet or ballroom, clogging or jazz, dance is great for helping people of all ages and physical abilities get and stay in shape. There’s even chair dancing for people with physical limitations.

Wise Guide | www.TheWiseGuideOnline.com

49

The Medical Reserve Corps–

The Best Kept Secret in Emergency Response!

by Judith Scarborough, Coordinator for the MRC of North Idaho at Panhandle Health District

The Mission of the MRC of North Idaho is to RECRUIT and TRAIN community members from all walks of life, including healthcare professionals, in order to RESPOND efficiently

A

Medical Reserve Corps (MRC) unit is a community-based, organized and trained group of members (medical and non-medical) intended to supplement existing community medical and emergency response systems. In the same way that the Red Cross provides emergency shelter after a disaster, the MRC can assist with valuable medical personnel when local services are overwhelmed. But few have heard of us – have you?

and be prepared to function in a public health or other emergency, and SUSTAIN the interest and commitment of the membership.

9/11 Triggered Volunteerism

Shortly after the planes crashed into the World Trade Center on 9/11, New York Mayor Giuliani asked for physicians to volunteer at Ground Zero. Medical volunteers arrived at the Stuyvesant Triage Center (an evacuated grade school), to find chaos with no clear lines of authority. The medical volunteers organized themselves, took control of the situation, and began to triage victims. Two physicians coordinated the volunteer effort—they worked with the other physicians and medical personnel to treat the injuries of search and rescue workers.

Creation of the MRC

After the events of 9/11, the volunteer physicians recognized the need for an organized group of medical volunteers who would be trained and prepared to provide medical and public health

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Wise Guide | Spring / Summer 2015

anthrax attacks, plane crashes, and pandemics.

MRC units engage in large-scale exercises with community partners, such as local American Red Cross and local fire, emergency medical services, and law enforcement personnel, to ensure effective collaboration during a real-life scenario.

The MRC of North Idaho was formed in 2003 and has 750 members to serve the five northern counties in the Idaho Panhandle. MRC volunteers contribute to public health activities such as providing flu vaccinations, promoting personal preparedness, staffing free community clinics, and offering blood pressure screenings at community events. The MRC of North Idaho sent 17 volunteers to help after Hurricanes Katrina and Rita, and over 70 volunteers responded to the H1N1 pandemic by staffing the appointment lines and vaccination clinics.

MRC volunteers contribute to public health activities such as providing flu vaccinations, promoting personal preparedness, staffing free community clinics, and offering blood pressure screenings at community events.

support in response to emergency operations. This proposal eventually got to the Office of the President and the national Medical Reserve Corps was formed in 2002.

A second impetus to the MRC’s creation was the response to the anthrax letters sent to Congressional staff and postal workers in October and November 2001. The administration realized that, should largescale mass dispensing/mass vaccination be required, the United States would need a group of organized volunteers ready to respond.

Today’s MRC

There are over 1,000 Medical Reserve Corps units in all 50 States and some US Territories, with over 200,000 volunteers. MRC units now spend time preparing for man-made and natural disasters, including severe weather, hurricanes, tornadoes,

______________________________________________ Judith Scarborough has been the Coordinator for the MRC of North Idaho at Panhandle Health District since 2010 and has focused on training her volunteers in preparedness and response, and participating in training exercises. Judith holds a Bachelors degree in Psychology from San Diego State University. To learn more about the MRC, call 208-415-5185 or email mrc@phd1.idaho.gov.

Happy Feet

I can come to you!

Minimum Fee $10

Nail Clipping & Massage Call LaVerne 208-610-2972 Wise Guide | www.TheWiseGuideOnline.com

51

Are You Visually Challenged?

by Michelle Grandstaff Rehabilitation Instructor Idaho Commission for the Blind & Visually Impaired

I

magine a loud buzzing pulling you out of a dream, as you clumsily reach over and turn your alarm off.

You rub your eyes, stretch, and slowly open your eyes to a familiar sight. Depending on your taste, you could be gazing at peaceful floral prints, dainty knick knacks, and an assembly of bedroom furniture, or you could be gazing at North Idaho dĂŠcor, consisting of magnificent landscape scenes, rugged hand-carved furniture, and maybe a mounted deer or elk head on the wall.

Either way, you know you have a busy day at work ahead of you, so you quickly climb out of bed, go to the closet, and look at the different options, deciding what color and fabric best suits your needs and mood for the day.

After quickly selecting a comfortable, yet professional two piece combo, you move to the bathroom, for a quick shower. Next, you dry off, get dressed, style your hair, and finish your morning grooming routine. You sort through various creams and lotions to find your toothpaste. After brushing your teeth, you check your watch. You’re startled when you realize what time it is, so you sprint to the kitchen, where you quickly scramble two eggs, and pour yourself a hot cup of black coffee.

After hastily eating your eggs, and slightly burning your mouth by gulping the last of the coffee in your Complete Veterinary Services for Small & Large Animals

24-HOUR EMERGENCY 208-444-1024

Roland H. Hall, DVM Dan Dombroski, DVM 8:30 - 5:00 M-F 8:30 - 1:00 Sat.

6657 MAIN BONNERS FERRY 208-267-7502

Bonners Ferry Veterinary Clinic

52

Wise Guide | Spring / Summer 2015

cup, you clumsily place the dishes in the sink, run to the front door, race down the steps, and jump into your car for the 20 minute drive to work.

Now picture this same scenario as a person who has recently lost the majority of their central vision, the vision in the middle of your eye that is responsible for reading, details, facial recognition, etc. This type of vision loss often occurs due to Macular Degeneration, Diabetic Retinopathy, or Severe Cataracts.

Now, with little to no central vision, how do you set the alarm that will buzz you to wake-up in the morning? How do you locate your closet after you get out of bed? How do you match your clothes?

How do you locate the bathroom? After reaching the bathroom, how do you find a towel, how do you know which faucet is cold or hot? How do you know which bottle is shampoo or conditioner? How do you know which tube is toothpaste or facial cream? How do you apply the toothpaste to your toothbrush? How do you plug in the blow dryer to style your hair? How do you check your watch to see what time it is?

How do you navigate to the kitchen? How do you safely scramble eggs on the stove? How do you pour hot coffee without pouring the coffee on the counter or filling the cup too full and burning yourself? How do you safely walk down the front steps of your home?

How do you get to work? What kind of work can you do?

The Idaho Commission for the Blind can answer these questions for you. ICBVI is a state agency that was established to provide the training that individuals need to assist them with becoming independent in their homes and the community. Our agency serves individuals from the beginning stages of vision loss, to individuals that are totally blind. Our training is free, and our agency has adaptive aids, such as magnifiers, large print timers, talking watches, large number phones, and many other aids that are available. For more information, call 208-769-7077. _________________________________________________ Michelle Grandstaff graduated from Eastern Washington University with a B.A. degree in Clinical Psychology, and a minor in Applied Psychology, and Sociology.

She volunteered for the Spokane Crisis Hotline, the YWCA Domestic Violence shelter, and she has worked as Domestic Violence Court Advocate, a Residential Trainer for individuals who are disabled, and as a Rehabilitation Teacher for the Blind for the last 20 years.

Come see why Sandpoint Assisted Living is unique.

• Medicaid welcome • Diverse age range & social activities • No up-front deposits (pets $200) • We embrace our residents as family

Call Janel at 208-265-2354 or drop by for a tour!

Medicare Doesn’t Cover Everything!

Call Carey today to learn the basics of Medicare. Discover the right Medicare Advantage or Medigap health plan for you!

Serving North Idaho

• Medicare Supplement • Medicare Advantage (MA / MAPD) • Part D Drug Plans

208-610-8096

We are proud to be a 100% employee-owned and operated assisted living community

624 S. Division • Sandpoint • 208-265-2354 www.sandpointassistedliving.com

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53

Your Parent CAN Love A Retirement Home

by Carla Pennington Kirby, President, TidyTop

Mrs. Gayle Pennington visiting with Tiffany (granddaughter) Caroline (great granddaughter) and Carla (daughter).

D

o you have an elderly loved one who needs more care than can safely be handled at home, even with a part-time caregiver? This is the position in which millions are finding themselves and I was one of them, treading the waters of “what was best for Mom”.

Visions of retirement homes from the past sped through my mind. The ones I sang Christmas Carols for as a child that had nothing fun for seniors to do and a peculiar scent in the halls. I couldn’tt put my mother there!

My mother was resistant to the thought, too.

Retirement Homes were fine, for other people, but not her and besides, she said she wasn’t ready. On the contrary, indications were proving otherwise. Even with part-time care at home, she was falling more, leaving pots forgotten on the burner more and laughing less.

The once happy, social butterfly was isolated, bored and crabby. Besides safety concerns, she needed more interaction and stimulation. Sound familiar?

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Thankfully, standards in the Retirement Communities have made a dramatic turnaround in the last 30 years. One need only visit a few to see the upward trend of catering to our precious elders’ every need in a dignified and uplifting manner.

Many Retirement Communities have multi-level care, taking residents from Independent Living, to Assisted Living and finally Skilled Nursing on the same campus. This makes for smoother transitions while still keeping the friends they have made in the previous level of care.

A new venture has allowed me to visit hundreds of Retirement Communities in the last year. In an effort to help challenged diners keep their clothes clean, I created a stylish and stain proof “TidyTop” with chest pocket to replace tired and stained cotton bibs I have witnessed in so many places. Stylish dining is just another element to add to the fun and dignified changes that have taken place in some Retirement Homes such as: • Activity Center • Cards, Crafts & Games • Gift Shop • Hair Dresser and Manicurist • Library • Shuttle Service • Movies • Entertainment/ Music • Weekly Newsletters • 3 Healthy Meals a Day • Church Service • Exercise Room • Coffee and News • Birthday Parties and Recognition • Off-site Excursions • Some have even more amenities & accept pets

SENIORS X SPECIAL NEEDS COOKING X CRAFTS

Designed for Challenged Diners

• Stain Proof • Reversible • Pocket

• Wipe Off or Wash • Tote Bag Included

1995

$

(Qty. Discounts)

www.tidytop.com

208-255-2530

Even though my mother actually tripped and fell flat her first day while entering the dining hall for dinner, her initial embarrassment was washed away by the loving care of those angel-like employees who had compassion and respect for the elderly. Since her debut day, her hours are so filled, it’s hard to catch her in her room! “Excuse me, but I’m headed to crafts... bingo...movie... guest musician or exercise,” she’ll say with a wink and a smile!

_________________________________________________ Carla Pennington Kirby holds a Masters Degree in Education as a Reading Specialist. Recently, she took an entrepreneurial path creating TidyTop, a stylish and stain proof adult bib, for the challenged diner.

Tidy Top won the prestigious Medtrade 2014 Innovative Retail Product Award WINNER! She can be reached at 208-255-2530 or carla@tidytop.com website: www.tidytop.com

Sandpoint Super Drug

Since 1972

Favorite Pharmacy • Best Customer Service • Friend liest Business

SandpointSuperDrug.com 604 N. 5th Ave., Sandpoint

(208) 263-1408 Wise Guide | www.TheWiseGuideOnline.com

55

Is Aging in Place the Best Option?

by Dana Klaas Executive Director Bestland Senior Living

I

want to stay in my home forever, I will not live in a senior home!” This sentiment is shared among most older adults, even my own parents. AARP reports the vast majority of people 50-plus years of age want to stay in their homes and communities for as long as possible. Every organization from home care companies to reverse mortgage brokers present the same theme of advertising to their audience of seniors encouraging them to stay in their homes and age in place. If you are happy and healthy, still driving, and have all your faculties, by all means, stay in your home!

Senior Living Community

208.665.1600 www.bestlandcda.com

606 E. Best Ave. • Coeur d’Alene, Idaho 56

Wise Guide | Spring / Summer 2015

What if you are no longer able to drive? Let’s face it, most of us don’t have a bus stop right outside our front door. And what about in Winter? Not only does losing the ability to drive impact a person’s independence, it can ultimately lead to isolation, the single worst occurrence to happen to an older adult. AARP reports that more than 50% of non-drivers over age 65 do not leave home most days, partly because of a lack of transportation options. And, more and more studies prove that a person’s brain must be stimulated by socialization in order to thrive and be healthy, mentally as well as physically.

What are some long term consequences for the elderly in isolation? Studies by the Social Care Institute of Excellence, published May 2012, show that acute loneliness and social isolation negatively affect wellbeing and quality of life, with demonstrable harmful health effects. Being lonely has a significant and lasting negative effect on blood pressure. It is also associated with depression (either as a cause or as a consequence) and higher rates of mortality. Health risks associated with social isolation have been compared in magnitude to the well- known dangers of smoking cigarettes and obesity. Individuals who lack social connections or report frequent feelings of loneliness tend to suffer higher rates of morbidity and mortality such as infection, depression, and cognitive decline.

What does this study prove? Aging in place may be the worst decision for some individuals.

A couple who lived at Bestland faced a challenging situation when the husband fell and broke his hip. Due to cognitive decline and advancing Parkinson’s, he was no longer able to return to independent living. The family moved Dad to a skilled nursing facility and then decided to move Mom in with them. Two months later the family called to confess they had made a mistake.

They worked outside of the home on a full-time basis and Mom was becoming increasingly agitated, depressed and bored being left home alone all day. They moved Mom back to Bestland and now she is thriving, social and healthy.

There is a misconception that moving into a retirement community means the loss of independence.

In reality, most residents become even more

Together we can help you find solutions to issues facing aging adults!

independent than they were before. They no longer have the stress of home maintenance, arranging rides, preparing meals, or cleaning. With the stress removed, they are able to relax and enjoy their lives. Sometimes family members call the office because they can’t reach their loved one by phone. Most of the time it is because their loved one is engaged in an activity outside of their apartment. It is amusing when the most initially resistant resident living at Bestland claims later they are so happy they moved in and can’t believe they waited so long! Change is hard especially for older adults, and the unknown can be intimidating. Our community is not “a facility,” it is a home where we love our residents as if they are truly our own family members. We have a lot of fun, laughter, and a great deal of love to share. ________________________________________________ Dana Klaas was raised in CA and attended Cero Coso College and University of Phoenix. Dana was a representative for Sunrise Medical and later became a Realtor. Nine years ago she decided to make a change in her career and happened into Senior Housing. She is the Executive Director at Bestland Senior Living and loves working with the Greatest Generation and sharing in their lives each and every day.

F Providing Information & Referrals F Identifying Needs F Medicare Fraud Prevention & Assistance F Hospital to Home Transition Assistance F In-Home Support Programs F Community Support Services F Options Counseling F Volunteer Opportunities

Call us to learn about available resources in your community!

800-786-5536 www.aaani.org /aaanorthidaho

PROudly SeRVINg BeNewAH, BONNeR, BOuNdARy, KOOTeNAI & SHOSHONe COuNTIeS

Wise Guide | www.TheWiseGuideOnline.com

57

So What’s In Your Tool Box?

by Darryl Heisey State Veterans Service Officer Idaho Division of Veteran Services

Y

our local County Veteran Service Officer (CVSO) or your State Veteran Service Officer (SVSO) are there to assist you in the entire process of benefit application. Your VSO is able to do most of the application process, yet there is still some responsibility on the veteran or their family in the collection of personal records. The VSO may not have the authority to access these records, and the veteran and/or their family are the only individuals able to request needed information. Your VSO will be direct and clear on these lines of responsibility and will assist you in acquiring the needed information.

The challenge often comes when trying to provide what information/documents the VA needs to process any type of application for the benefit you are seeking.

What are some of the most common VA benefits sought?

Here is a list of the most common:

• Medical Care

• Disability Compensation

• Veterans Non-Service Connected Pension

• Death and Burial Benefits

• Education

In all cases, the most important item that you need to have on file would be your discharge document (i.e. DD-214). This is the single most critical piece of documentation one needs to keep on hand.

Your service treatment records and your private medical records are also critical, especially when applying for disability compensation. These medical records are pivotal in giving you the best chance of a positive decision for a disability claim.

In both cases above, you can order your records either from the National Personnel Records Center or the VA Records Management Center. Your VSO can assist you in the completion of the records request, and in most cases, will be able to mail/fax the request for you.

Financial records can also be a driving factor if you are applying for VA medical care or applying for the Non-Service Connected Pension. Your income may be

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Wise Guide | Spring / Summer 2015

the one primary item that allows your application to be approved or denied.

Please ensure that you have a firm grasp on your annual income and also your annual out-of-pocket medical expenses. Also, knowing the value of your assets is also essential. The VA medical and Pension application will require you provide accurate financial information during the submittal process.

In the unfortunate event that we lose one of our veterans, the family is able to submit for Death & Burial Benefits. What is needed? The most important documents needed at this time would be the military separation document and a copy of the final death certificate. Once you have obtained this information, please contact your local VSO and they can explain which specific benefits the family is eligible for.

When a veteran wishes to pursue educational opportunities or he/she is rated by the Veteran Affairs as having 100 percent total and permanent disability and they have (college age) children in their household, the VA provides educational assistance. There is Vocational Rehabilitation as well for the veteran who has a 20 percent disability and may wish to pursue another job in the vocational field. The community colleges have VA Educational Counselors who help in the step-by-step process of accessing VA education benefits.

The veteran’s number one tool is the County/State/ Post/Tribal Veteran Service Officer. Stop fighting with the VA and allow your Veteran Service Officer to assist you in the process of obtaining much needed benefits that you have earned through your service to our Country. ________________________________________________ Darryl Heisey is the State Veterans Service Officer, Idaho Division of Veteran Services, Post Falls. Darryl served in the U.S. Army as 56M40H Chaplain Assistant Supervisor from 1982-2002. Army Duty Assignments: Fort Polk, LA, 588th Engineer Battalion, 5th Infantry Division (Mechanized); Fort Richardson, AK, 1st Brigade, 6th Infantry Division (LIGHT); Fort Carson, CO, 4th Infantry Division, Mechanized; Fort Monmouth, NJ, United States Army Chaplain Center and School; Fort Jackson, SC & Schofield Barracks, HI, 25th Infantry Division (LIGHT); Fort Huachuca, AZ, United States Signal Command.

Darryl holds a B.S. degree in Human Resource Management from Madison University.

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•

Getting help after an immobilizing fall improves the chance of survival by 80%, & increases the likelihood of a return to independent living?

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Call Us Today to Learn More About Our VetAssist® Program Mental HealtH & addictions treatMent, trauMa specialist, cHildren, adolescents, adults, couples and FaMilies Idaho & Montana Medicaid, BPA Funding, Veteran’s Services, Private Insurance, Sliding Fee Scale and Private Pay

6807 Cody Street • Bonners Ferry 208-267-0900 • rawlingscommunitycounseling.com

Now with an office in Sandpoint, ID Call Paul Krames at 208-891-6821 or 888-908-6797 www.VeteransHomeCare.com

Wise Guide | www.TheWiseGuideOnline.com

59

We Salute Our Veterans . . .

This page brought to you by:

Northwest Recumbent Bicycles

Do you like to Fish?

Coeur d’Alene Anglers Association lcaaidaho.com Matching veterans with fisherman for free fishing adventures. Contact: 509-220-8865

“If you are a Veteran....Thank you!

If you are not a Veteran...Thank one!

STAND DOWNS Coeur d’Alene, ID - May 9th

Kootenai County Fairgrounds, 8-2 Kalispell, MT - May 30th

Evergreen Fire Hall, 9-3 Colville, WA - September 19-20th

Colville Fairgrounds 8-4 Sat., 8-1 Sun. Libby, MT - Oct. 3-4

in the Armory 9-3

2015 Women Veterans Summit - Three Rivers Convention Center, Kennewick, WA - Saturday June 6th 7:30 am - 5:00 pm. Free to all veterans and current members of the armed forces. Comprehensive information regarding federal and state benefits and managing the challenges women veterans of all ages and services face today. www.dva.wa.gov/women/women-veterans-summit

Point Man Camp Out - June 26, 27 & 28, Marshall Lake, Newport, WA Family friendly event, food provided (bring snack food & drinks for your group) $25 site deposit required. 509-994-7177 pointmannorthwest.com

Freedom Has a Face - an online site honoring ALL Veterans killed in action from the Civil War to Present Day. www.freedomhasaface.org 509-435-6851

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Wise Guide | Spring / Summer 2015

Project Healing Waters is still fly tying, in two different locations.

Contact: 509-263-6934 or 509-990-0286

Burning Boots Trail Club A non-profit wilderness excursion group for veterans by veterans. open to all branches and ranks including ROTC, Police, Fire, and Gold Star. All equipment provided. Activities include but are not limited to the following: Hiking, Backpacking, Hunting & Fishing, Snowshoeing, Winter Camping, Kayak & Canoe Trips, Cabin and Camp Retreats Contact: 208-625-0588 • www.burningboots.org

Need a Job? Monthly Hiring Event 2nd Wednesday of every month.

Idaho Department of Labor, 600 N. Thornton Street, Post Falls, ID 208-457-8789 Come visit with a variety of employers who are hiring now. Come prepared.

Dress for meeting your possible employer, be prepared to complete an employment application, and bring your resume.

View the complete list of employers on our Events Calendar at www.labor.idaho.gov

Now IN PrINt!

The true, spellbinding account of

This page brought to you by: “With respect, dignity, pride, integrity and compassion, we honor Veterans.”

Inland Northwest Disabled Veterans Sports Association Disabled Veterans helping others with disabilities to participate in an active athletic lifestyle. They help find your inner athlete, obtain appropriate training and get you involved in the sports you enjoy. Some of the sports are Handcycle & Wheelchair Racing, Ice Hockey (yes, in the summer!), Field Events, Swimming, Pool/ Billiards, Soccer & Rugby, Baseball & Basketball, Air Rifle & Trap Shooting, Weightlifting, Rock Climbing, and MUCH more.

For more information call: 208-755-4875 Don Waddell Learn more at: www.INDVSA.org

Sandpoint resident Bill Collier’s experiences piloting a Marine Corps H-34 helicopter in combat during the Vietnam War.

“The journal of an honest, down-to-earth and courageous American in some of the most difficult circumstances in this nation’s history.”

-Ben Stein, former speechwriter for President Richard Nixon

AVAILABLE At LoCAL BooKStorES oNLINE At AMAZoN.CoM or KEoKEEBooKS.CoM Want an autographed copy? Buy this book directly from the author! Call Bill at 208-610-0873.

taught me

I can

provide stability for my family discovergoodwill.org

Did you know Veterans can attend Adult Day Care for FREE? Only 2 requirements: the veteran must be seeing a VA doctor (any regular VA doctor at any of the Rural Clinics or CBOC’s.) The doctor has to state that the veteran can benefit from it. It can involved cognitive, memory issues, or disability.

The VA will authorize 1 or 2 days a week, 12 hours a day - for FREE.

One FREE Day on us!

Approved by the VA and Medicaid 1095 E. Timber Lane, Coeur d’Alene

208-651-9060

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61

We Salute Our Veterans . . .

This page brought to you by:

“Heroes never die. They live in our hearts forever.

Thank you for your service and sacrifice.”

RESOURCES

If you are a veteran or partner of a veteran, these organizations are here to help with free assistance.

Call any of them and they can connect you with the services you are seeking.

VA Outreach Clinic/Spokane Vet Center activities, support groups, excursions, general assistance - 509-444-8387 Spokane Mobile Vet Center - they come to your area - call 509-444-8387 for schedule.

Combat Call Center/Crisis Line - 1-877-927-8987 Veterans Transportation Services - for transportation to VA Medical Centers, Outpatient Clinics (CBOC’s) & authorized VA appointments - 509-434-7527 You have no excuse for not going, they will get you there!

Mobile Medical Clinic & Homeless Outreach Program - contact St. Vincent de Paul for schedule of days and locations - 208-704-0548 Newby-Ginnings of N. Idaho, Inc. Free clothing, household items, & gear Dalton Gardens - call 208-660-4601 Veterans’ Caregivers Support Group - Post Falls American Legion Post 143, for caregivers of veterans with dementia, Alzheimer’s and any related disorder - 208-666-2996 Hearing - You do not need to go to the VA for free hearing tests, cleaning and adjusting no matter where you acquired your hearing aids (even if you got them through the VA). Call the Hearing Center in Hayden - 208-762-8900 or Deer Park - 509-276-8859 or toll free: 1-844-327-4335.

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Wise Guide | Spring / Summer 2015 Wise Guide | Spring / Summer 2015

Veterans Cemetery in Medical Lake - Free prearrangements available to all veterans throughout the Inland Northwest, ($300 total cost at time of interment.) - 509-299-6280 Veterans Choice Card - www.va.gov/opa/choiceact for more info. Like all things VA, you must be in the VA system FIRST Eligibility must be verified first - call 866-606-8198 You may be eligible for covered treatment at a non-VA facility if: • You are told by your local VA medical facility that you will need to wait more than 30 days from your preferred date or the date medically determined by your physician OR • Your current residence is more than 40 miles from the closest VA health care facility OR • You need to travel by plane or boat to the VA medical facility closest to your home OR • There is a geographic challenge, such as extensive distances around water or other geologic formations, such as mountains, that present a significant travel hardship.

Camp Lejeune - Past Water Contamination & Health Benefits. From the 1950’s thru the 1980’s, people living or working at the U.S. Marine Corps Base Camp Lejeune, North Carolina were potentially exposed to drinking water contaminated with industrial solvents, benzene, and other chemicals. This chemical exposure may have led to health conditions. There are 15 qualifying health conditions for which you may be eligible for benefits. If you or a family member were there, contact 866-372-1144. Talk to your VSO officer!

CBOC’s and Rural Health Clinics Sandpoint Veterans’ Clinic 208-263-0450 Hwy 200, Ponderay (inside Kaniksu Health Services) Coeur d’Alene CBOC 208-665-1700 915 W. Emma Ave., Coeur d’Alene Libby Veterans Clinic 406-293-8711 211 E. 2nd Street, Libby, MT Kalispell CBOC 406-758-2700 Three Mile Professional Bldg.

31 Three Mile Dr., Ste. 102, Kalispell, MT Colville Rural Health Clinic 509-684-3701 1200 E. Columbia, Colville, WA

This page brought to you by:

BEGIN WITH THE VSO!

“Let us never forget their sacrifices.”

These VSO’s are here for you: IDAHO

The Veterans Service Officers (VSO’s) are NOT part of the VA. They are county supported who’s sole purpose is to be YOUR ADVOCATE and help you with completing forms for eligibility and registration, details about education benefits, medical services, compensation, disability, counseling, and answering any questions.

Idaho State VSO Darryl Heisey 208-446-1092/1094 120 E. Railroad Ave., Post Falls M-F 8:30 AM - 5:00 PM email: Darryl.Heisey@veterans.idaho.gov Benewah County Linda Law 208-245-3212 701 College Ave., Suite 101, St. Maries Wednesdays 9:00 AM - 3:30 PM email: llaw@benewahcounty.org Bonner County Chad Osborn 208-255-5291 1500 Hwy 2, Sandpoint TWTH - 8-5 (call/email for appointment) cosborn@bonnercountyid.gov Boundary County Jim Wilson 208-267-8611 6635 Lincoln St., Bonners Ferry Thursdays 9:00 AM - 1:00 PM Kootenai County Scott Thorsness 208-446-1090/1092 120 E. Railroad Ave., Post Falls M-F 8:30 AM - 5:00 PM email: sthorsness@kcgov.us

Shoshone County Susan Hendrixson 208-752-3331 700 Bank St., Suite 120, Wallace M-Thurs. 9:00 AM - 5:00 PM email: commsec@co.shoshone.id.us

MONTANA

Montana State VSO Carolyn Collins, 406-755-3795 National Guard Armory 2989 Hwy. 93 North, Kalispell Appts. M & F, walk-ins welcome Wed., Tues. is outreach, Thurs. closed.

email: carolcollins@mt.gov Montana State VSO RyanKeeler, 406-755-3795 National Guard Armory 2989 Hwy. 93 North, Kalispell Appts. M & F, walk-ins welcome Wed., Tues. is outreach, Thurs. closed. email: rkeeler@mt.gov Volunteer VSO Steve Combs 406-756-7304 1349 Hwy 2 East, Kalispell Tues. & Thurs., 10:00 AM - 3:00 PM steve@veteransfoodpantry.org

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Agencies, Free Referral Services & Volunteer Opportunities AARP Idaho.............................................. 208-855-4004 3080 E. Gentry Way, Ste. 100, Meridian www.facebook.com/AARPIdaho AARP Idaho is a nonprofit, nonpartisan organization, with a membership of more than 175,000 in Idaho that serves as a voice and an advocate to protect consumers and improve the lives of Idahoans age 50 and over.

Alzheimer’s Association Inland NW Chapter N. Idaho Office.......................................... 208-666-2996 24-Hour Help line.................................... 800-272-3900 www.alz.org/inlandnorthwest P.J.Christo, RN; email: pj.christo@alz.org We connect families to needed programs, products and services, provide Dementia Information, Local Support Groups, State and Federal Advocacy, educational programs, workshops and lectures for caregivers, families and the general public.

The volunteer Community Board of Guardians is provided to Bonner County adults as a last resort when no family or friends are available to help them make decisions for themselves such as financial, health and other aspects of daily living.

Area Agency on Aging of North Idaho..... 208-667-3179 Toll Free.................................................... 800-786-5536 2120 Lakewood Dr., Ste. B, CdA • www.aaani.org Do you have questions about senior services and resources available in your community? Are you eligible for extra help paying for prescription drugs or help paying the monthly Medicare Part B premium? For free information and to discuss your options. Call us!

Bonner County Board of Community Guardian 208-255-3098 • guardianboard@co.bonner.id.us We are a last resort for anyone (often with dementia or debilitation) without family of friends to care for them.

If you know of anyone like this, or would care to serve as a guardian or conservator, please call us.

Compassionate Care Referral Service.... 208-660-9982 www.compassionatecarereferral.com I can refer you to the best fit for your Assisted Living, Senior, and Disabled Care Services needed. Through mutual discussion and needs assessment, I will create for you a customized short list of possible solutions.

Goodwill Industries - Workforce & Family Services 204 Larkspur St., Ponderay..................... 208-265-1984 1221 W. Ironwood Dr., Ste. 101, Cd’A....... 208-667-6463 www.discovergoodwill.org Goodwill Industries of the Inland Northwest provides skills training, testing, job placement and retention services, youth mentoring, services for veterans who are homeless and case management. When you shop at our 12 Goodwill® stores or online at www.shopgoodwill.com, $.85 of every dollar directly supports our services in the community.

Idaho Commission for the Blind & Visually Impaired.................................... 208-769-1419 229 E. Locust Ave., Coeur d’Alene mgrandstaff@icbvi.idaho.gov ICBVI is a state agency that provides free independent living training and offers adaptive aids, such as magnifiers and talking devices, to help individuals who are struggling with vision loss to be more independent in their homes and the community.

How Can i Help?

The Board is truly of great significance and we are seeking persons with compassion to advocate for those not capable of making decisions for themselves. Please consider serving your community as part of the Board.

The Board accepts referrals from the community and determines ability to assist.

208-255-3098 • guardianboard@co.bonner.id.us

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Medical Reserve Corp. of North Idaho.... 208-415-5185 8500 N. Atlas Rd., Hayden • www.volunteeridaho.org The Medical Reserve Corps is a community-based, trained group of volunteers (medical and non-medical) that supplements existing community medical and emergency response systems. Free preparedness training is offered to volunteers and there are no regular meetings to attend.

Care Communities; Independent & Assisted Living, Adult Day Care Bennett House......................................... 208-651-9060 1095 E. Timber Lane, Coeur d’Alene www.bennetthouse.org An Adult Day Care Center offering older adults an opportunity to get out of the house and receive both mental and social stimulation and to give caregivers a much-needed break in which to attend to personal needs, or simply rest and relax.

Bestland Senior Living Community....... 208-665-1600 606 E. Best Ave., Coeur d’Alene • www.bestlandcda.com Bestland Senior Living offers 3 home-cooked meals per day, weekly housekeeping with linens, transportation, all utilities, wi-fi, and cable TV at one low rate. We are a smaller community offering residents a warm and loving atmosphere where they truly feel at home!

Boundary Community Restorium.......... 208-267-2453 6619 Kaniksu St., Bonners Ferry www.boundarycountyid.org/restorium.htm Our facility accommodates 52 residents with homecooked meals and snacks. We help with shopping, medications, and bathing. We offer an array of activities, especially in summertime when residents enjoy our vegetable garden, beautiful flowers and entertainment in our gazebo.

Brookdale Emeritus at Coeur d’Alene.... 208-667-6490 205 E. Anton Ave., Coeur d’Alene www.brookdale.com We offer newly remodeled, all inclusive, independent and assisted living; studios, deluxe studios, one and two bedroom apartment and stand-alone cottages.

We pride ourselves on a full, active, life enrichment program, delicious meals presented restaurant style, housekeeping, transportation to appointments, shopping and other excursions.

Coeur d’Alene Health Care and Rehabilitation Center....................... 208-664-8128 2514 N. 7th St., Coeur d’Alene www.consulatehealthcare.com We specialize in providing comprehensive post-acute care, 24-hour skilled nursing, Physical, Occupational & Speech therapies, Wound care, Progressive Diabetic care, and Alzheimer’s and dementia care with our unwavering commitment to our core values of Compassion, Honesty, Respect, Integrity and Passion.

DayBreak Center...................................... 208-265-8127 820 Main Street, Sandpoint • www.daybreakhouse.org DayBreak provides quality daytime care for individuals with memory impairments allowing caregivers a much needed break. In addition to offering a safe, responsive, and homey environment for your loved ones, the professionals at DayBreak provide activities that stimulate memory, health and socialization.

Garden Plaza of Post Falls....................... 208-773-3701 545 N. Garden Plaza Ct., Post Falls www.gardenplazapostfalls.com The finest in Independent and Assisted Living with stunning surroundings, unparalleled service and lavish amenities, our residents are proud to call Garden Plaza home. We are committed to our residents enjoying a carefree lifestyle. You will love it here, and we welcome the opportunity to meet you!

Kootenai Health Senior Care Program... 208-625-5353 2003 Kootenai Health Way, Coeur d’Alene www.kh.org/seniorcare We are a community based program designed to meet the social needs of seniors and the respite needs of their caregivers. Activities address the special interests of participants and are provided in a safe, loving environment by caring professionals.

Life Care Centers of North Idaho 500 West Aqua Ave., Coeur d’Alene......... 208-762-1122 460 Garden Plaza Ct., Post Falls.............. 208-777-0318 1125 N. Division St., Sandpoint............... 208-265-9299 www.LCCA.com Life Care Centers of North Idaho specialize in long term care, special needs and dementia care, post-operative and acute illness restorative nursing and therapy, 24/7 admissions. Respite stay is also available. Semi-private and private rooms. Schedule your tour today!

Luther Park at Sandpoint........................ 208-265-3557 Assisted Living and Memory Care 510 Olive Ave., Sandpoint • www.luther-park.org Do what you want to do and leave the rest to us! We offer every level of care from unassisted independent living to full memory care. It’s all available at Luther Park. We are the best deal in town!

Newport Hospital Long Term Care & Skilled Nursing..................................... 509-447-2464 714 W. Pine St., Newport, WA • www.phd1.org Our Long Term Care offers both long and short term skilled nursing and restorative care. We provide Skilled Nursing 24 hours a day, coordinating care with local physicians.

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Pacifica Senior Living 2100 E. Sherman Ave.,Coeur d’Alene...... 208-292-3909 850 W. Dalton Ave., Coeur d’Alene........... 208-665-2100 208 S. Division, Pinehurst....................... 208-214-4290 www.pacificaseniorliving.com Pacifica Senior Living is committed to supporting our communities and the families we serve. We strive to create a lifestyle of independence, security, and peace of mind. It is through our dedicated and caring team members that our culture is exemplified in service, accountability, teamwork and compassion.

River Mountain Village Assisted Living.. 509-447-2903 608 W. Second Ave., Newport, WA • www.phd1.org A beautiful 42 unit studio & one-bedroom apartment community for an active, independent lifestyle. Enjoy the cozy fireplace, a stroll along a lovely landscaped walking path, and a variety of daily activities to meet the individual needs of our residents.

Rose Terrace Country Homes.................. 208-623-6154 5672 W. Rhode Island, Spirit Lake Rose Terrace Cottages.............................. 208-665-0580 632 N. 21st St., CdA • www.roseterrace.org Our quaint, home-style facilities offer a compassionate, caring environment with well trained staff 24/7. Nurses available 7 days a week, wonderful meals and fun activities. Private and semi-private rooms. Medicaid accepted.

Sandpoint Assisted Living....................... 208-265-2354 624 S. Division St., Sandpoint www.sandpointassistedliving.com Our community is unique because we are small and affordable, providing residents close and easy access to staff 24 hours a day. Rents are the lowest in the area and we also accept Medicaid.

Trinity Group Homes, Inc........................ 208-667-9607 Coeur d’Alene • www.trinitygrouphomes.net Since 1979, Trinity Group Homes Inc. has provided housing and supportive services in North Idaho, for men and women with severe and persistent mental illnesses with currently 32 rooms. Since 1980, we have been certified as a 501(c)(3)organization.

Valley Vista Care Skilled Centers: 820 Elm St., St. Maries.............................. 208-245-4576 220 S. Division, Sandpoint....................... 208-265-4514 Assisted Living: 820 Elm St., St. Maries.............................. 208-245-5908 www.valleyvista.org Enjoy a comfortable, homelike setting in either our assisted living or skilled care centers. We offer physical, speech, occupational and aquatic therapy for in-patient and out-patient rehab. Specializing in an innovative activity program and two unique behavior care units.

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Whispering Pines at Ivy Court................ 208-667-6486 2200 Ironwood Pl., Coeur d’Alene www.extendicareus.com/ivycourt A leading provider of long-term skilled nursing care and short-term rehabilitation solutions. Our 80 bed facility offers a full continuum of services and care focused around each individual in today’s ever-changing healthcare environment.

Woodland Crossing.................................. 208-265-4644 839 Kootenai Cut-off Rd., Ponderay 0859@nationalchurchresidences.org Woodland Crossing is a lovely, non-smoking, affordable independent senior community. Spacious garden style apartments include many amenities creating a comfortable and desirable home. This quiet community is close to shopping, banks, restaurants, and the SPOT bus.

Counseling Alcohol & Drug Counseling and Recovery Services..................................................... 208-255-9333 1009 Hwy 2 West, Ste E, Sandpoint When concerned about alcohol or drug problems, the prospect of change may appear challenging. We work together to explore options and find solutions that strengthen your quality and enjoyment of life. You are welcome to call for a complimentary consultation.

Heritage Health Mental Health............... 208-620-5210 2025 W. Park Pl., Ste B, Coeur d’Alene Family Support Services.......................... 208-769-4222 2201 Ironwood Pl., Coeur d’Alene www.myheritagehealth.org Heritage Health is North Idaho’s premier provider of integrated medical, dental, behavioral health and physical therapy. Our amazing care teams deliver world-class healthcare utilizing a patient directed, community focused approach. Providing high quality, affordable healthcare from the heart is our passion.

Rathdrum Counseling Center, LLC......... 208-687-0538 14954 Coeur d’Alene St., Rathdrum www.rathdrumcounseling.com Rathdrum Counseling Center is a full outpatient substance use disorder and mental health treatment clinic. We focus on client strengths, needs, abilities, and strive to encourage least restrictive interventions that are culturally sensitive, cost effective and within your own community.

Rawlings Community Counseling.......... 208-267-0900 6807 Cody St., Bonners Ferry www.rawlingscommunitycounseling.com Mental health counseling for children, adolescents, adults, couples and families. Offering addiction treatment, case management, and EMDR Therapy for trauma treatment. We accept most insurance, Medicaid and a sliding fee scale is available.

The Life Choices Pregnancy Center & In-Sight Clinic....................................... 208-263-7621 502 N. 2nd Ave., Sandpoint We offer free & confidential services for women faced with unplanned pregnancies. Services include medical-grade pregnancy testing, verification, limited ultrasound imaging, and options education. We are advocates for women and their unborn children.

Dental Heritage Health Dental Care Appointments in both locations............. 208-292-0697 1090 W. Park Pl., Coeur d’Alene 413 Pine Street, Wallace www.myheritagehealth.org Heritage Health is North Idaho’s premier provider of integrated medical, dental, behavioral health and physical therapy. Our amazing care teams deliver world-class healthcare utilizing a patient directed, community focused approach. Providing high quality, affordable healthcare from the heart is our passion.

Marshall A. Arbo, DDS............................. 208-267-5187 5246 Westside Road, Bonners Ferry Dr. Arbo, a General Dentist for over 40 years, provides complete denture service including full and partial dentures, denture repairs, adjustments and relines.

Full dentures are fabricated in-office. The office is open by scheduled appointment only. Please call for an appointment.

Michael G. Durnin, DDS.......................... 208-263-1412 1323 Hwy 2, Ste. 301, Sandpoint www.drdurnindentalsandpoint.com We are committed to creating a positive dental experience for you and your family. The comprehensive services we offer include implants, extractions, dentures, root canals, crowns, cleanings, and more. Your comfort and dental care are paramount at our office!

Financial & Asset Management AARP Idaho.............................................. 208-855-4004 3080 E. Gentry Way, Ste. 100, Meridian www.facebook.com/AARPIdaho AARP Idaho is a nonprofit, nonpartisan organization, with a membership of more than 175,000 in Idaho that serves as a voice and an advocate to protect consumers and improve the lives of Idahoans age 50 and over.

Capital Financial Consultants Group..... 208-255-2766 123 S. Third Avenue, Ste. 8, Sandpoint www.capitalfin.com Providing custom-tailored financial planning, investment management and retirement income strategies for individuals, and retirement plan management for businesses. Advisory services offered through Capital Financial Consultants Group, a registered investment advisor. Securities and additional advisory services offered through Independent Financial Group, LLC (IFG). Member FINRA/SIPC. Capital Financial Consultants Group, and IFG are unaffiliated entities.

Northwest Professional Bookkeeping.... 208-265-5950 1217 Baldy Mtn. Rd., STE 101A, Sandpoint nwpbookkeeping@gmail.com Northwest Professional Bookkeeping helps individuals of all ages, as well as small business owners by offering Monthly Bill Paying Help, Bookkeeping, Payroll, and Tax Services, Budget Planning & Bill Paying. Call or come and see us. We’re here to help!

Gifts & Shopping Goodwill Industries Retail Stores 204 Larkspur St., Ponderay..................... 208-265-1980 1212 N. 4th St., Coeur d’Alene................. 208-664-2552 317 Seltice Way, Ste. A, Post Falls............ 208-773-6181 www.shopgoodwill.com Goodwill Industries operates 12 modern and bright stores, including Coeur d’Alene, Ponderay and Post Falls. The stores are stocked with unique and quality bargains7 days a week. Sales support Goodwill’s programs that help people obtain jobs and assist adults and children overcoming barriers to independence.

TidyTop..................................................... 208-255-2530 4302 Burns Court, Sandpoint • www.tidytop.com A stylish, stain proof, long length adult clothing protector with pocket. Designed for the challenged diner for dignity, and versatile enough for a cooking and crafting apron! Comes in four reversible patterns: plaid, roses, hearts and leopard. Everybody can use one!

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Health & Wellness Healthy Nail Laser Center....................... 208-265-9817 30544 Hwy 200, Ste 102 Ponderay www.healthynaillasercenter.com Dr. Fisher and his staff can help you eliminate embarrassing and painful toenail fungus. We offer a very effective FDA approved laser treatment to cure those hard to treat nails.

KC Kreations Magnetic Jewelry............... 208-610-4117 579 W. Hayden Ave., Hayden • www.KC_Kreations.com Old-fashioned kustomer service, kustom-designed kreations, re-purposing your old non-magnetic jewelry into new magnetic wares and magnetic jewelry repairs are just some of my specialties.

Sole to Sole Reflexology........................... 208-819-1629 579 W. Hayden Ave., Hayden • 6101 Highway 54, Athol Reflexology is a non-invasive method of using the thumbs and fingers on reflex areas of the feet to bring about the body’s natural healing powers. It relieves stress and tension, improves blood supply and helps the body heal.

The Wellness Center................................. 208-262-4044 1810 E. Schneidmiller Avenue, Suite 350 Post Falls, ID 83854 • www.magneticleaders.com You can take charge of your own bone health with a technology that is: Accurate, Inexpensive, Safe, Quick, and Comfortable! We use Ultrasound Bone Density Testing to promote and support healthy bone function.

Hearing & Vision Audiology Research Associates 700 Ironwood Dr., Ste. 220, Cd’A............. 208-765-4961 123 S. 3rd Ave., Ste. 9, Sandpoint............. 208-255-4389 Serving North Idaho for over 20 years. We help you hear better! Hearing evaluations for adults and children. We sell the most advanced digital hearing aids available and each hearing aid comes with 3 to 5 years free batteries.

Hearing Center 8920 N. Hess, Hayden................................208 762-8900 23 E. Crawford, Deer Park........................509 276-8859 Toll Free.....................................................844 327-4335 www.Eargeek.com The HEARING CENTER is committed to providing outstanding customer service and superior products.

We offer complete audiometric hearing evaluations, consultations, full service repair & custom hearing protection. We specialize in Workman’s Comp and WA Labor & Industry claims.

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Vision Matters, Inland Empire.................888 281-1492 Vision matters is in business to help people living with low vision, providing quality service, a gentle touch and no obligation, in-home and hands-on demonstrations of video magnifiers.

Hospice Bonner Community Hospice.................. 208-265-1179 A service of Bonner General Health 520 N. 3rd. Ave., Sandpoint • www.bonnergeneral.org Caring for terminally ill patients and their families in Bonner and Boundary counties. Services include pain management, specialized nursing care, bathing and personal care, chaplaincy, supportive counseling, medical supplies and equipment. Covered by Medicare, Medicaid and most private insurance.

Crest Home Health and Hospice............. 208-765-4343 700 Ironwood Dr., Ste. 210, Coeur d’Alene www.rmcare.com/managed/crest/index.php As members of our communities, our mission is to provide accurate information on services available, deliver compassionate health care and to improve the quality of life to all those entrusted in our care.

Hospice of North Idaho........................... 208-772-7994 9493 N. Government Way, Hayden • www.honi.org Our holistic concept of hospice care provides physical, emotional and spiritual care to patients and their families offering choices about how care is provided.

The goal is to help a person live fully, maintain dignity, and retain control over personal decisions.

Hospitals & Medical Care Bonner General Health........................... 208-263-1441 520 N. 3rd Ave., Sandpoint Bonner General Immediate Care............ 208-265-3751 400 Schweitzer Plaza Rd., Ponderay www.bonnergeneral.org Your community hospital providing quality, compassionate care in a comfortable, healing environment. We provide a full range of healthcare services, including home health, hospice, physical, occupational and speech therapy, radiology, laboratory, surgery, and emergency services.

Camas Center Clinic................................ 509-447-7111 1821 W. LeClerc Rd. #1, Cusick, WA www.kalispeltribe.com/camas-center-clinic The Camas Center Clinic offers comprehensive healthcare including: medical, dental, chiropractic, physical therapy and massage therapy. The clinic is open to the general public and accepts most major commercial and public insurance carriers.

Fresenium Medical Care.......................... 888-864-4203 7600 N. Mineral Dr., Ste.850, Hayden Lake, 208-762-4411 2100 Ironwood Ct., Ste. A, Coeur d’Alene, 208-664-3064 723 S. Main St., Moscow.............................. 208-882-1817 1300 E. Mullan, Ste. 1200, Post Falls........... 208-777-6054 Liberty Dialysis............................................. 208-643-4488 1210 Washington, Sandpoint The nation’s largest network of dialysis clinics. Our expertise, experience and commitment all combine to provide you with comprehensive services and technologically-advanced care. We’re proud to have helped improve the health of thousands of people living with kidney disease.

Heritage Health Medical Centers 1090 N. Park Pl.,Coeur d’Alene................ 208-292-0292 117 Terrill Loop, Mullan.......................... 208-783-1267 925 E. Poston Ave., Post Falls................... 208-618-0787 14775 N. Kimo Ct., Ste.B, Rathdrum....... 208-687-5627 www.myheritagehealth.com Mountain Health Care 740 McKinley, Kellogg.............................. 208-783-1267 Heritage Health is North Idaho’s premier provider of integrated medical, dental, behavioral health and physical therapy. Our amazing care teams deliver world-class healthcare utilizing a patient directed, community focused approach. Providing high quality, affordable healthcare from the heart is our passion.

Idaho Pain Clinic..................................... 208-263-9757 1327 Superior St.,Ste. 101 Sandpoint, ID 714 W. Pine Street, Newport ,WA www.IdahoPainClinic.com Idaho Pain Clinic is a leader in non-operative orthopedics, pain management research, diagnostic procedures and techniques, and effective treatment.

Our physicians are board certified and fellowship trained in pain management and offer the most advanced treatment options available in the U.S. Kaniksu Health Services 6615 Comanche St., Bonners Ferry........ 208-267-1718 30410 Hwy. 200, Ponderay....................... 208-263-7101 6509 Hwy. 2, Ste. 101, Priest River........... 208-448-2321 www.KaniksuHealthServices.org Providing comprehensive health care and services for all patients, regardless of income. Accepting Medicaid, Medicare, private insurance, VA and uninsured people who need medical care.

North Idaho Nephrology Associates Main Clinic............................................... 208-762-7790 8826 N. Hess, Ste C, Hayden Outreach Clinics: 714 W. Pine St. W, Newport Hospital, Newport 858 Commerce Dr., Ste 100, Smelterville 1210 Washington St., Sandpoint 229 S. 8th St., Benewah Hospital, St. Maries We are dedicated to the care and treatment of acute and chronic kidney disease offering the latest treatment advances and local convenience to patients.

Our nephrologists and staff coordinate all aspects of patient testing and care, with continuity of care being a primary goal.

Pain Management of North Idaho.......... 208-765-4807 1686 W. Riverstone Dr., Cd’A • www.cdapain.com Pain Management of North Idaho is Coeur d’Alene’s only comprehensive Pain Management Center where patients have access to two fellowshiptrained interventional pain physicians and a multidisciplinary team.

Pend Oreille Surgery Center................... 208-265-8194 30544 Hwy. 200, Ste. 201, Ponderay • www.poscllc.com Pend Oreille Surgery Center provides quality, cost effective outpatient surgical care. Our professional team and comfortable environment help make your surgical experience a positive one. Ask your healthcare provider if your procedure may be scheduled at Pend Oreille Surgery Center.

Women’s Health Care............................... 208-263-1299 1215 Michigan St., Ste.C, Sandpoint Our advanced nurse-practitioners provide personalized, comprehensive care to women of all ages, and enjoy educating and empowering patients about their health care needs. We encourage our patients to take an active role in their overall health with recommended health screenings.

Woodlands Family Medicine.................. 208-263-6300 30544 Hwy 200, Ste. 101, Ponderay www.woodlandsfamilymed.com From heads, hands, shoulders, knees, to toes and prenatal to geriatrics, our medical team is dedicated to providing you with the finest health care for your entire family. Urgent care and same day appointments offered. Accepting new patients!

Newport Hospital & Health Services...... 509-447-2441 714 W. Pine St., Newport, WA • www.phd1.org We provide 24-hour care when you need it! Two primary care clinics offer same day/walk-in appointments.

Other services: Emergency; General Surgery; Obstetrics; Anesthesia; Diagnostic Imaging; Laboratory; Physical, Speech, & Occupational Therapy; Acute Care; Swing Bed; Long Term Care; Assisted Living.

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In-Home Services Addus Health Care................................... 208-667-2309 850 W. Ironwood Dr., Ste. 101, Coeur d’Alene www.addus.com Since 1979 we have been providing quality in-home care; companionship, light housekeeping, meal preparation; transportation to appointments, bathing assistance, medication reminders. Our cost-effective services are designed to improve health and well-being and make your choice easier to remain independent at home.

Alliance Family Services - Home Health 515 Pine St., Ste. G, Sandpoint................. 208-255-1640 Coeur d’Alene Contact............................. 208-665-6410 www.alliancefamilyservices.com We are committed to providing quality home health services such as Skilled Nursing, CNA’s, Physical, Occupational & Speech Therapists. We are dedicated to promoting independence and quality of life to all those we serve throughout North Idaho.

August Home Health, Inc ........................ 208-664-0858 Toll free..................................................1-800-664-0838 2005 Ironwood Pkwy #227, Coeur d’Alene www.augusthh.com New clients call Lynn our Supervising Nurse to schedule a visit! A Medicaid and Veteran approved Agency we hire and screen local caregivers (even family members) to provide assistance for Seniors struggling with tasks or the disabled of any age. If you are selecting an Agency to provide care, or know someone who needs help give us a ring. There is no obligation. We simply love what we do!

Bonner General Health Home Health Services ............................. 208-265-1007 520 N. 3rd Ave., Sandpoint www.bonnergeneral.org Providing skilled, intermittent care in the homesetting.

Services include skilled nursing care; physical, occupational and speech-language therapies; medical social services and certified home health aid services.

Covered by Medicare, Medicaid and most private insurance.

Boundary Personal Care......................... 208-267-5070 6821 Main Street, Bonners Ferry Dawn Pownall is all about her hometown. A Medicaid and Veteran approved Agency we hire and screen local caregivers (even family members) to provide assistance for Seniors struggling with tasks or the disabled of any age. If you are selecting an Agency to provide care, or know someone who needs help give us a ring. There is no obligation. We simply love what we do!

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Crest Home Health and Hospice............. 208-765-4343 700 Ironwood Dr., Ste. 210, Coeur d’Alene www.rmcare.com/managed/crest/index.php As members of our communities, our mission is to provide accurate information on services available, deliver compassionate health care and to improve the quality of life to all those entrusted in our care.

Happy Feet............................................... 208-610-2972 Sandpoint • cr.rbti.idaho@gmail.com I serve both Bonner and Boundary Counties. In the comfort of your home or your local senior center, I will clip your nails, and massage your feet for a price that can’t be beat!

Idaho Partners In Care, LLC....800-576-1825, Ext. 1 or 2 820 Elm Dr., St Maries........................... 208-245-5920 Providing services that reduce the difficult and stressful aspects of living at home. With a list of caregivers or if you have a relative or friend you would prefer, it is possible they could become a member of IPIC and provide you with your services.

Omnia Health Services............................ 208-907-1790 305 N. Lincoln. St. Ste B, Post Falls “Loving care from our family to yours” is our company motto, our mission statement and it’s how we work every day here at Omnia. We are a locally-owned small agency dedicated to treating our patients, clients and employees like family.

Reliant Healthcare................................... 208-665-3514 1103 E Best Ave., Cd’A • info.relianthealth@gmail.com A locally owned and operated business. Our experienced team delivers compassionate, quality care during or after changes in health conditions. Our team is committed to fostering positive changes and promoting independence for your loved ones within the comfort of their own home.

VetAssist.................................................... 208-891-6821 Paul Krames • www.VeteransHomeCare.com We help qualifying wartime veterans or widows apply for the VA’s Aid & Attendance benefit. We promptly provide home care with no out-of-pocket cost, help navigate the VA approval process and help clients meet VA criteria to keep their pension - and home care.

Insurance Bradley Insurance.................................... 208-265-1888 476653 Hwy 95, Ste 3, Ponderay kathleen_bradley@us.aflac.com We provide the product that assists people with every day expenses that major medical does not. As an independent agent, I set myself apart with customer service, the lost art in the insurance world.

Spears Insurance, Inc.............................. 208-265-2026 102 S. Euclid Ave., Ste. 103, Sandpoint www.cspears4insurance.com There are many types of benefit plans. Which one is right for you? Let’s first understand the basics of Medicare in plain simple language, and then discuss other factors to finding the right coverage for you. Call me today to schedule your appointment.

Legal Crandall Law Group................................ 208-772-7111 8596 Wayne Dr., Ste.B, Hayden • CrandallLawGroup.com The Crandall Law Group is a boutique law firm offering highly specialized, top quality legal services to clients in the Inland Northwest region in the areas of estate planning, business, elder law, probates, guardianships, tax and business succession planning.

We offer free initial consultations during which we will review your estate, discuss your needs, and explain your planning options.

Pharmacies, Medical Equipment, Safety & Supplies

Sandpoint Super Drug............................. 208-263-1408 604 N. 5th Ave., Sandpoint www.superdrugsandpoint.com We strive to provide the highest quality home health care equipment, supplies and services, while being competitive on product and pricing. We offer goods and services unique to our community, with the comfort and independence of our customers in mind. Medicare approved!

White Cross Pharmacy 5453 Hwy 2, Priest River.......................... 208-448-1633 1319 Hwy 2, Ste. A, Sandpoint................. 208-263-9080 31964 N. Fifth Ave., Spirit Lake................ 208-623-8485 www.whitecrossrx.com Ask us about the special packaging options available to help you manage your medications and supplements.

Free in-town delivery, drive-up window, vaccinations, two convenient locations on Highway 2 in West Sandpoint and Priest River. Proudly serving Bonner County since 1922.

Veterinary & Pets

Kootenai Health Lifeline ......................... 208-625-5020 2003 Kootenai Health Way, Coeur d’Alene pfairfield@kh.org Leader of personal emergency response services the only non-profit provider in North Idaho. Lifeline provides peace of mind and access to emergency help at the touch of a button.

Bonners Ferry Veterinary Clinic............. 208-267-7502 Emergency Phone.................................... 208-444-1024 6657 Main St., Bonners Ferry Let us help you care for your favorite four-legged friends! Our clinic provides complete veterinary services for healthy pets and for sick or injured animals, including horses and livestock. We provide an on-call emergency service in addition to our regular hours.

Medicine Man Pharmacy........................ 208-597-7466 624 Larch St., Sandpoint (Inside Super 1 Foods) www.medmanpharmacy.com Transfer your prescriptions to us. It’s easy! We have pharmaceutical grade neutraceuticals and compounding services. Price matching on most medications and mail or in-town delivery. We care about you and your health. Veterans: we can fill your prescription vouchers!

Dog and Pony Show................................. 509-991-7314 Erica Curless, Certified Equine Massage Therapist Visit “Erica Curless” on Facebook!

Mobile bodywork serving horses and dogs at your home or barn in North Idaho and Eastern Washington.

Enhance your investment and help your horse or dog move better and perform better. Specializing in performance horses and dogs, geriatrics, injury recovery and prevention.

Sandcreek Medical......208-263-3713 306 1/2 N. 1st Ave., Sandpoint (behind Panida Theater) www.sandcreekmedical.com We are your local hometown medical equipment and respiratory company.

Customer care and honest service are the mainstay of our business. Owned and operated by Gary and Tammi Rench, our family has been local business owners since 1967.

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Support Groups & Community/Senior Centers general Support Groups Why struggle alone? Attendees share experience and insight on issues. Come, learn, and get answers.

All Caregiver Support Group – Meets 1st & 3rd Thursdays, 1:00 pm Sandpoint Senior Center, 820 Main St., Sandpoint Jan Griffiths, 208-290-1973 jan@looptravel.com Free respite care available during group session with advance reservations: DayBreak Center, Liz De Wolfe 208-265-8127 Benewah County Hospice Support Group For CAREGIVERS of those with dementia, Alzheimer’s and any related disorder. Meets every 3rd Thursday 2:30 - 4 pm at the federal building conference room, St. Maries. Facilitator: Gail Wemhoff 208-245-5734 hospice@smgazette.com

Bonner Community Hospice “Supporting Each Other Through Grief” – Free to Bonner & Boundary County residents. Meets 1st & 3rd Thursdays 6-7:30 pm in the Page House behind the hospital, Sandpoint. 208-265-1185

Diabetes Support & Education Group

Bonners Ferry Women’s Cancer Education and Support Group – Open to all adults. Your loved one does NOT need to have been under hospice care. Meets every 4th Monday at 12:00 noon, Panhandle Health District Bldg., 7402 Caribou - 208-267-3751

Hospice of North Idaho - General Grief Group Meets 1st & 3rd. Thursdays, 5:30 - 6:30 pm at 9493 N. Government Way, Hayden 208-772-7994

Kathy’s Korner - Support Group for Adult Daughters of Seniors – Focusing on the challenges encountered by the adult children of seniors. Meets the 1st Tuesday of each month at 6:00 pm , Clay Larkin Conference Center, RSVP to at 208-777-3553

Priest River Diabetes – Meets every 3rd Monday at 7:00 pm, Priest River Senior Center 208-448-2899/448-1770

Meetings serve to strengthen your diabetes knowledge so you can feel great and prevent complications. Held the 1st Monday of each month from 10-11:00 am in the Brown House, next to Bonner General Health.

Relatives as Parents Program – Coeur d’Alene.

National Alliance on Mental Illness – Bonners Ferry.

Suicide Survivors Group – This group is for families

Meets every 4th Monday from 6-8:00 pm, Panhandle Health District Bldg. 208-267-5638

Meets every 2nd Thursday at 12:00 noon, Jewett House, 1501 E. Lakeshore Dr., Coeur d’Alene. Glenda Weaver 208769-7096 or Margo Peebles 208-667-0320 and friends trying to understand and cope. Meets 2nd & 4th Wednesdays each month at 205 E. Cameron Ave., Kellogg.

Call 208-556-0500 for more information.

Courage doesn’t always roar.

Sometimes courage is the quiet voice at the end of the day saying, “I will try again tomorrow.”

Kid’s Grief Camps June 12-14th. FREE Weekend Camp Experience for ages 8-17 in Clark Fork from 2:00 pm Friday - 12:00 noon Sunday.

Contact: Lissa DeFreitas 208-265-1185, Bonner General Health Community Hospice July 10-12th. Camp Kaniksu - FREE Camping Experience for ages 7-15 at Camp Lutherhaven on Lake Coeur d’Alene Contact: 208-772-7994, www.honi.org, Hospice of North Idaho

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“I may be disabled, but I can try to do anything” Multiple Sclerosis Advocate Meeting Monthly Call or email for more details: beth@mswobbles.com

208-818-2150

Alzheimer’s Association Support Groups Support Groups for Alzheimer’s & Dementia are held throughout the entire North Idaho & Inland Northwest region! They are facilitated by professionals and volunteers. Call: 208-666-2996 to find one near you.

Telephone Caregiver Support Group – Can’t make

Early Stage Support Group – For care-partners

it to a local support group? Here is your solution! Call the 1st Monday of each month from 1:00 - 2:30 pm to participate in a group session by phone. For more details please contact the 24/7 Helpline at 800-272-3900 or visit our website at www.alz.org

and individuals diagnosed with Alzheimer’s disease and related dementias. “Early Stage” refers to people, irrespective of age, in the beginning stages of the disease who retain the ability to participate in daily activities and in a give-and-take dialogue. Reservations and prescreening are both mandatory. Call 208-666-2996 now with your R.S.V.P. !

ALZConnected (www.alzconnected.org), powered by the Alzheimer’s Association, is a new online social networking community for people with Alzheimer’s, their caregivers and others affected by the disease.

Community & Active Senior Centers Don’t miss out on the fun! Come have a delicious meal, enjoy a wide range of activities, special events, excursions, or just play cards. Many centers are available to rent for special events as well.

Athol Community Center 30355 N. 3rd St. 208-683-2101

Plummer Senior Center 208-686-1863

Bayview Community Center 20298 E. Perimeter Rd. 208-683-8040

Post Falls Senior Center 1215 E 3rd Ave. 208-773-9582

Benewah Community / Senior Center 11640 Benewah Creek Rd., St. Maries 208-245-0269

Frank Chapin Senior Center Priest River “Home of the Happy Agers” 339 Jackson St. 208-448-2352

Benewah Senior Meals Site 711 W, Jefferson, St. Maries 208-245-3456 Blanchard Community/Senior Center 685 Russo Rd. 208-437-1037 Bonners Ferry Senior Hospitality Center 6635 Lincoln 208-267-5553 & 208-267-5554.

The Center (Clark Fork / Hope) 10th & Cedar, Clark Fork 208-266-1653 Fernwood Senior Center 208-245-3392 Kellogg Senior Center 211 McKinley 208-783-4581 Lake City Center 1916 Lakewood Dr., Coeur d’Alene 208-667-4628 Newport Senior Hospitality Center 218 S. Washington St. 509-447-2119

Rathdrum Senior Center 8037 Montana St. 208-687-2028 Sagle Senior Center 560 Monarch Rd. 208-265-2627 Sandpoint Senior Center 820 Main Street 208-263-6860 Silver Valley Community Resource/Senior Center 120 W Cameron Ave., Kellogg 208-784-8891 Spirit Lake Community/Senior Center 32564 4th Ave. 208-623-6125 Wallace Senior Drop-in Center 621 Cedar St, Call Denise at 208-744-1106 Worley Senior Center 9936 West E Street, In City Hall Leave a message 208-686-1258

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Dealing with the Changes in Health Care

by Gary Rench Sandcreek Medical

H

ealthcare is changing rapidly and often. Some changes have to do with the Affordable Care Act and others with insurance companies (Medicare, Medicaid and private insurances) trying to control their costs while getting the most for their money.

Theoretically, when dealing with an insurance company, everything starts with the doctor; he writes the order, the order is filled, the insurance company is billed. It sounds simple, but it is not always that straight forward.

There are many other things that go into the equation: Is what you need covered by your insurance?

Are there required diagnoses and coverage criteria? Are there preferred providers? What are your deductible and co-pay amounts? The list goes on.

Gone are the days of calling the doctor you have not seen for a long time and having them order something for you. You still need to have a doctor’s order to bill your insurance, but you will need to see your doctor, in person, first. And, to save time for you, your doctor and his staff and any provider you are working with at the time, it’s important to go to your doctor armed with as much information as possible.

FULL SERVICE MEdICaL EqUIpMEnt & SUppLIES For all your medical supply needs.

Serving and active in our community since 1989.

208-263-3713 306 1/2 N. First Avenue (behind the Panida Theater) www.sandcreekmedical.com

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All too often clients come in with an order for a piece of equipment. We then have to explain why we cannot immediately fill the order and that we are required to have copies of the doctors chart notes that explain the need for the equipment. More times than not, patients are having to go back to the doctor in order to get what they need.

For example, let’s say that you have Medicare and you need a wheelchair. Medicare has very detailed and specific criteria for wheelchairs. They expect the doctor to document the need for the wheelchair in his chart notes, and phrased exactly the way they want it to be. The problem is that doctors are really good at being doctors, their specialty is not billing wheelchairs.

That is our job as a supplier. Call us first and then go to the doctors office with some information. You will learn the doctor needs to talk about whether you can safely use a walker.

The doctor must state that the wheelchair is needed in the home and how you will benefit from using

the wheelchair. You will also learn that we cannot deliver a wheelchair without a properly filled out “written order prior to delivery.”

The American public needs to know that everyone in the healthcare industry is being looked at under a microscope. They are being audited and surveyed to make sure insurers are getting what they are paying for, and paying for only what they feel is correct. A big problem with these audits and surveys is insurance works in black and white. Healthcare does not happen like that; a person cannot safely use a walker, become unsafe, see a doctor and get a wheelchair the same day. Healthcare providers are forced to work in gray areas which creates issues with insurance companies. To serve the needs of the clients, we have to work within the rules of the insurance companies.

What happens when you are denied what you need? If you believe you are legally entitled to something, you must become your own advocate.

Contact the insurance companies, the Insurance Commission and especially your elected officials.

• • • • • •

Unless the elected officials hear from clients how the rules are affecting them, they will think that everything is going fine.

Medicare is currently auditing medical equipment nationwide. The rules are so complex and the detail in which the auditors look at the documentation has resulted in denial rates that run in the 90% range. That means if a supplier provides a piece of equipment, and is randomly audited, there is a 90% chance the money will be taken back. Fighting the audits is timely and expensive, and it is happening to Durable Medical Equipment companies, physicians, therapists, home health agencies, hospices and hospitals. It is a large part of what we do, but by being a proactive participant, you can help ensure your healthcare needs are met. _________________________________________________ Gary Rench entered the Sandpoint business community when his family bought the Bi-Rite Drug Store in 1967.

In 1989, Gary and Tammi Rench opened Sandcreek Medical providing medical and respiratory services to North Idaho & Western Montana.

Primary Care & Women’s Health Comprehensive Dental Services Clinical Massage Therapy Service Chiropractic Services Physical Therapy–Land & Aquatic We accept most public and commercial insurances

APPOINTMENTS: 509-447-7111 WWW.kALISPELTrIbE.COM/CAMAS-CENTEr-CLINIC • 1821 N LECLErC rD, STE #1 • CuSICk, WA 99119

Getting to the Camas Center: It’s only a 30 minute drive North from Newport to the Wellness Center, but you can also take the Rural Resources’ wheelchair accessible vehicles for only $1 (one dollar) recommended donation round trip! From Newport, 6 departures & return trips run every Monday through Thursday except holidays. Call 800-776-9026 for more information.

Wise WiseGuide Guide || www.TheWiseGuideOnline.com www.TheWiseGuideOnline.com

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A Wider Network of Care

by Aasa Burlin Heritage Health Content Writer

M

ountain Health and their hardworking team of providers and staff has served the people of Kellogg, ID and the surrounding Silver Valley communities for years. Locally owned and operated, the clinic is deeply rooted in the mining community and an essential part of the locals’ wellbeing. In the Spring of last year, Mountain Health entered into a partnership with Heritage Health, a private, non-profit Community Health Center based in Coeur d’Alene. Patients with Medicare and Medicaid have always been welcome at Mountain

Family Practice | Pediatrics | Family Dental | Mental Health

From pediatrics to geriatrics, preventive medicine to chronic disease management, our compassionate provider team can do it all.

Most Insurance Accepted Medicaid & Medicare No Part B Deductible

Sliding Fee Scale Multiple Locations

Schedule an Appointment

(208) 620.5250

Coeur d’Alene | Post Falls | Rathdrum Silver Valley - Kellogg | Mullan | Wallace

Healthcare from the Heart

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www.myHeritageHealth.org

Wise Guide | Spring / Summer 2015

Health. The partnership provides extended access to healthcare for even more Silver Valley residents because Heritage Health accepts patients regardless of whether or not they have health insurance. This allows uninsured Mountain Health patients to pay for their care on an income-based sliding scale.

Lynn Haughn is an administrator at Mountain Health and has seen the clinic through a year of some logistical challenges as well as new and exciting opportunities. She explains, “Partnering with Heritage Health has opened access for many patients that have otherwise typically not gone to the doctor at all. This has, of course, increased our patient volume, but we still make sure to give the same attention and high quality care to everyone.”

In order to meet the needs of old and new patients alike, Mountain Health recently added Patricia Vieth, PA-C, to their team of providers and plans to bring aboard yet another physician shortly. “Having providers here in the Silver Valley is a great and important asset for the community. We don’t want anyone to have to travel too far for healthcare.” Lynn continues, “We also have specialists here, so we can meet our locals’ needs for specialty services without having to send them to Coeur d’Alene or Spokane.”

Mountain Health has always welcomed their elderly patients and all the staff enjoy the older patrons and value their continued trust. Dr. Haller, for example, is a fundamental part of Mountain Health and has cared for the Silver Valley locals for generations. One of Dr. Haller’s main areas of expertise is internal medicine and he gives many senior citizens the special attention they need.

As Mountain Health continues to offer excellent care, Heritage Health is expanding services in the Silver Valley even further into the rural communities and will shortly

The help you need, when and where you need it.

Medicare/Medicaid Certified • Licensed PT, OT, Speech Therapists 24-hour Licensed Nurses • Cardiac Rehab / Wound Care Certified Recreational Therapist • Semi-private and Private Rooms

Silver Wood Village

All faiths or beliefs are welcome.

13-G0821

open a medical clinic in Mullan as well as a dental clinic in Wallace, both scheduled to open this Spring of 2015.

“We are extremely blessed to have an opportunity to work with our friends in the Silver Valley. We look forward to improving the overall healthcare delivery system in partnership with the hospital and other providers in town. Our goal is to ensure that everyone has access to affordable healthcare when they need it. It’s fun seeing these things come together and we can’t wait to see what the future brings!� Says Mike Baker, Heritage Health’s CEO.

August

Home Health • Bath Aide • Meal Prep • Housekeeping • Transportation • Med Reminders

Customize your own plan today!

Let the Sun Shine!

Medicaid Accepted

www.AugustHH.com

208-664-0858

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To learn more about the services we provide in Silverton, call (208) 556-1147 or visit us at www.good-sam.com

Serving North Idaho since 1994

Puzzles on pages 48-49

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77

Run It By Tamara

by Tamara Jacobson, Compassionate Care Referral Services, Inc.

Q

A senior getting ready to transition from her home to an Assisted Living Facility asks, “What do I need to do to move into Assisted Living?”

As a Senior Care Consultant who addresses a lot of varied inquiries regarding Assisted Living, I hear this question frequently! Two items are at the top of the list: • An Idaho Doctor, by State regulations, must okay your need for Assisted Living by determining how many ADL’s (Activities of Daily Living) you require, such as showering, dressing, medication management, meal preparation, etc.

• The second goes along with the first in that you should have been seen by this doctor within the last 6 months. The reason for this is so the Doctor can formulate a Care Plan for the facility which is a key element to the facility’s ability to meet all your needs and approving you for the move.

A daughter/caregiver of her elderly Mother asks, “I want to take care of Mom for as long as possible but to be honest, it is getting harder to balance her care with all my other life demands

A

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especially with her dementia worsening. Her monthly social security is around $1100 and she has about $40,000 left in her savings. I don’t know what we can do.”

These are two different and equally important areas to address. One from the standpoint of stress, emotional ties and all that is entailed when taking care of a loved one, and how to decide when is the best timing to release some care when it has gotten beyond our abilities. I feel family input, and sharing with others in this position and seeking professional counseling advice is a good way to come up with a plan.

The other is the financial reality and how our area handles folks with little savings. Based on my findings of changing patterns in Assisted Living Facilities (ALF’s), these are factors to consider: • Some Assisted Living Facilities do not take Medicaid payment for long term care at all. This is based on the owner’s budget and/or corporate policy, if applicable.

• There are some ALF’s that do accept a resident if there are at least 1 to 2 years of private pay available before they qualify for Medicaid.

• Other AFL’s require 2-3 years of private pay before accepting Medicaid.

A

Your Only Locally Owned Referral Service

A personal approach to evaluating senior care choices to fit your needs and budget.

NO FEES. NO PRESSURE.

Tamara Jacobson Senior Care Consultant

(208) 660-9982

www.CompassionateCareReferral.com

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Wise Guide | Spring / Summer 2015

• A few smaller Certified Family Homes registered with the state accept Medicaid as a form of payment, while others are exclusively private pay.

• There are very few places that accept Medicaid payment right from the get-go, and they typically have either a long waiting list or have limits on the level of care they can offer.

From a strictly financial view, it is better to discuss options earlier than later to consider monthly income (such as social security, pensions, other retirement benefits) and what is left in her savings, in deciding when your mother should be placed in a long term care community.

Let’s take your mother’s situation for example. Assuming an average monthly facility cost of around $3600 ($43,200/year) for a person with mild dementia and some independent functioning, she would only have enough private pay for close to a year, just for her care. Her Social Security amounts to $13,200/yr. + her savings of $40,000 = $53,200 which only leaves $10,000 leftover for other expenses at the end of one year.

These are the matters we can discuss in person to find the best fit overall for you and your mother.

If you would like to submit a question and ‘Run It By Tamara’ regarding senior day-to-day care issues, please email to: RunItByTamara@outlook.com or call 208-660-9982. _______________________________ Tamara Jacobson, a Senior Care Consultant and founder of Compassionate Care Referral Services, Inc., www.

CompassionateCareReferral.com Tamara formed the company as a way to connect area seniors and services in a personal but professional manner. Straight forward comparisons are discussed to fit the individuality of her client.

Garden Plaza of Post Falls offers the finest elements of a retirement community.

From a dynamic social schedule to our hospitable staff, our goal is to promote an active, carefree lifestyle.

As a Continuum of Care Campus, Independent Living, Assisted Living, Skilled Nursing and Rehabilitative Care are offered on site.

Call to schedule your visit and complimentary lunch!

(208) 773-3701