Loving Life After 50: Southeast Valley May 2020 by Times Media Group

May 2020

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Protect your skin to avoid this deadly disease

New writing contest touches on COVID-19

Finding Health, Finding Wealth Southeast Valley Edition

Two Valley women renew their lives after 50

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Doug ‘Cosmo’ Clifford finds his voice Page 17

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10 Finding Health, Finding Wealth

Two Valley women renew their lives after 50

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Opinion

Leibo At Large

6 8

Ask Gabby Gayle News Briefs

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Doug ‘Cosmo’ Clifford finds his voice on ‘Magic Window’

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Columns

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Opinion

Leibo At Large

How will future Americans regard the pandemic? Depends BY DAVID LEIBOWITZ It’s dangerous to contemplate history when a historical moment remains ongoing, but when your days stretch to infinity under quarantine, what else do you have to do? Lately, I’ve taken to pondering this: Once the COVID-19 pandemic is over, how will we argue about it for the next century or so? Because let’s be real: Argument has replaced baseball and football as our national pastime. As I write this, the U.S. has more than 840,000 coronavirus positives and nearly 47,000 dead. Arizona has reported about 5,500 cases and 231 dead. The Institute for Health Metrics and Evaluation’s national projection for the Fourth of July—which they warn has a high degree of uncertainty—is for about 68,000 dead across the country. The worst-case national scenario for Independence Day? More than 123,000 dead. The IHME’s model for Arizona predicts the number of daily deaths in the state falling throughout May and reaching zero in mid-June. The model for Arizona predicts close to 600 deaths by July 4, with a worst-case scenario of 1,700 lives lost. While it feels gruesome to me to talk purely in mathematics about dead human beings, it surely will be essential to our future arguments—which will likely break down, as does everything in America these days, into three camps: “What a tremendous waste of time!” These folks are already out protesting the lockdown outside the state Capitol. They’ll point back to the CDC’s initial worst-case estimates of 1.7 million American deaths and argue that they were deprived of their freedom for nothing. Signature quote, offered by a guy in a MAGA cap waving a Don’t Tread On Me flag: “For the same number of dead as a really bad flu season, we let liberal wussies www.LovinLife.com

crash the whole freaking economy!” “Social distancing worked!” These optimistic arguers will point to America and Arizona having fallen short of the CDC’s dire death estimates and congratulate themselves for having sheltered in place while using massive stashes of Charmin’ as impromptu end tables. For them, spending two months at home watching Netflix and washing their hands raw ranks as a sacrifice alongside the Greatest Generation sending 16 million soldiers to fight World War II. Signature quote: “I’m going to celebrate with a spa day and some red, white and blue acrylic nails during the best mani-pedi ever!” “Imagine if!” The imagine-ifers will start every argument with that phrase, to detail why all of us have blood on hands. For them, our response to the pandemic, from the White House to the Copper Dome, has been a series of screw-ups that can only be measured by lives lost. “Imagine if people had taken social distancing seriously?” Or: “Imagine if Trump hadn’t been out there lying about testing?” Or: “Imagine if Doug Ducey had closed every business in the state back in February?” Their signature quote: “One life lost is one life too many.” So where do I stand? It’s too early yet, but I believe I will end up in all three camps simultaneously. Our response to COVID-19 has been erratic and marked by some worthless gestures— and many intelligent, noble actions. Social distancing has saved lives, though not as many lives as might have been saved by a more comprehensive, less screwed-up response. I imagine I’ll make the only point that matters: Arguing about COVID-19 is a luxury, because the alternative is not being alive to argue. David Leibowitz has called the Valley home since 1995. Contact david@leibowitzsolo.com.

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Dear Gabby: I am writing to respond to Mr. and Mrs. in your February column. Mrs. wanted advice regarding intimate relations, which are now out of the question. My response to her is this: it’s not always about sex in a relationship, sometimes the best type of intimacy is where you just lay back, laugh together at the stupidest things, hold each other and enjoy each other’s company. You never know what tomorrow brings. Signed, KR

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Dear KR: Thank you for writing. I totally agree with you. I might add that some men feel their value in a relationship is performing. It is up to the loving wives to teach them there is a deeper intimacy! Signed, GG

Dear Gabby: My mom is in a rehab after falling and breaking a hip. This is after a series of other falls. She is insisting on going home to her husband. He is older than she is! We so want to protect her from another nasty fall. Her husband feels he can take care of her. We want her in an assisted living place. She declares she will take her life if we put her there. What do we do? Signed, Frustrated Daughter

Dear Daughter: I understand your desire to protect your mother. I, however, being an old person myself, know how your mother feels. I may feel the same way. I recommend you read Atul Gawande’s book “Being Mortal: Medicine and What Matters in the End.” If your mother wants to spend the homestretch of her life with the one she loves, I say make it possible for her to do that. You will have the peace of mind when she is gone that you let her do it her way! By the way, if she were to go into an assisted living during this pandemic, she would not even be able to have visitors— not even her husband. Plus, she is probably safer at home from the virus, in my opinion. I respect that you love your mother and want what is best for her. It’s just that kids do not always know what is best for parents. Ask yourself the question: Is this plan better for

my mother or better for us kids? Good luck, GG

Dear Gabby: Since we have been quarantined because of COVID-19, I have had such a longing for our family to be close, at least in heart. The trouble is, all but one of my family is alienated from me. We have not been in touch for years. I would not even know if one of them died. This is keeping me awake at night. I cannot bring myself to take the first step because it was not my fault. Any ideas? Signed, Too Late

Dear Late: It is never too late as long as there is life. Granted that apologizing for something you did not do is difficult. I could not count the times that I apologized for something I did not do or cause. You know why? I learned a long time ago that holding a grudge is like carrying a sack full of bricks. It fouls up your life, your other relationships, your sleep and your well-being. Plus, you are missing out on their lives. Swallow your resentments and get going on this as fast as you can. I wish you Godspeed. Signed, GG

Dear Gabby: I am in a tough spot. I had been dating a woman for a couple weeks when this quarantine hit. She says we can’t date because we need to quarantine. I say we should just move in together and quarantine together. She said it is too soon. I said we don’t even know if we will be here when this is over. What do you think? Signed, In a Hurry

Dear Hurry: “Haste makes waste?” I agree with your girl. Moving in with someone you have known for two weeks sounds like a recipe for disaster! You can chat and FaceTime and talk on the phone. By the time this is over you may know if you are compatible—or not. Signed, GG If you have a question for Gabby Gayle, please send to: lagmancreswick@gmail.com

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MAY 2020

74/9/20

2:48

News Briefs BY CHRISTINA FUOCO-KARASINSKI

Sun Lakes Republican schedules next meeting Border Patrol Agent Art Del Cueto will discuss Southern border issues at the Sun Lakes Republican Club’s meeting at 6:30 p.m. Tuesday, May 12, in the Arizona Room of the Sun Lakes Country Club, 25601 S. Sun Lakes Boulevard, Sun Lakes. The public is invited. Del Cueto has been with the U.S. Border Patrol since 2003, patrolling the Southern border for the past 17 years. He responds to more than 90% of all significant incidents within the Tucson Sector, including shootings, accidents and agent assaults. As an agent who is fluent in Spanish, he routinely leads the questioning of apprehended subjects. Music has always been a large part of Del Cueto’s life. Throughout his high school and college years he played in a heavy metal band. His love for live music keeps him engaged with communities throughout the West. Also during the meeting, Rep. Jeff Weninger will provide a state legislative update. Info: 480-802-0178, slgop.org

Jewish War Veterans poppy program continues Memorial Day, red paper poppies and the Jewish War Veterans Copper State Post 619 have been synonymous for the past 25 years. The Sun Lakes JWV Poppy Program raises funds for local veterans’ organizations in the Phoenix area to offset costs for thousands of men, women and their families who served our country in all branches of the military.

In light of the COVID-19 pandemic, Post 619 will be posted at Chandler/Sun Lakes Fry’s grocery stores on Memorial Day weekend to collect donations. One of the organizations JWV assists is Veterans First, which helps vets and their spouses, surviving spouses, veterans with compromised health, disabled veterans, and veterans struggling with families with children. Veterans First works to provide food for elderly and vulnerable veterans. U.S. Vets-Phoenix also benefits from money raised by the poppy sales. Jewish War Veterans Post 619 has donated over $42,000 to the organization. To donate to the poppy fund, send a check to Jewish War Veterans Copper State Post 619, P.O. Box 13113, Sun Lakes, AZ. 85248. Info: robtlinda72@gmail.com, 480-5881827

Plaza del Rio Foundation awards 13 spring scholarships The Plaza del Rio Foundation’s Spring 2020 Scholarship Awards Presentation honored 13 employees from Freedom Plaza Retirement Community, Freedom Plaza Care Center and Peoria Post Acute & Rehabilitation, all located on the Plaza del Rio Campus in Peoria. Funded by resident donations, the William T. and Laura Lou Riggs Memorial Scholarship Fund awarded $27,763 in scholarships. Founded 23 years ago, the Riggs Memorial Scholarship Fund has awarded 436 scholarships, funding $620,082 for tuition and books since 1997. “Thirteen worthy students qualified for spring 2020 scholarships,” says Gail Poolner, board president. “We do not select the recipients. They select themselves by fulfilling the scholarship requirements. Tonight, we are proud to show the benefits of your donations.” The spring 2020 scholarship recipients from Freedom Plaza InBarbara Eylands, a resident of Freedom Plaza serving on the Plaza del Rio Foundation, awards a spring 2020 scholarship to Marlee Burgess, of Freedom Plaza’s dining services. The four-time scholarship recipient is enrolled at ASU with a goal of earning a business administration degree. (Photo by Marla Levine)

MAY 2020

Masuko Sato, a 15year resident of The Forum at Desert Harbor, celebrates her 100th birthday festivities in style by wearing a kimono reminiscent of her Japanese heritage. (Photo by Marla Levine)

dependent Living include business office employee Kristi Silva; concierge Stephanie Guzman; custom care Alyssa Linares; dining services Marlee Burgess, Courtney Doss, Cristian Jacobo, Lauren Lucas and Ashleigh Perkins; and marketing Erynn Duran; as well as staff from Freedom Plaza Care Center rehab tech Kara Payment; resident programs Deborah Ingram and Sergio Torres; and Peoria Post Acute & Rehabilitation dining services Adelyne Gomez. “It’s been a true blessing,” says Doss, a five-time scholarship recipient enrolled in the nursing program at Grand Canyon University. “Amazing to start my career as a nurse debt free.” To learn more about the Plaza del Rio Foundation and William T. and Laura Lou Riggs Memorial Scholarship Fund, call 623-815-4013. The Freedom Plaza Retirement Campus, located at 13373 Plaza del Rio Boulevard in Peoria, features 345 entry-fee independent-living apartments, 65 assisted-living apartments at The Inn with 20 additional apartments providing specialized Alzheimer’s or dementia care, plus skilled nursing and rehabilitation services at Freedom Plaza Care Center. Visit freedomplazaarizona.com for more information.

Forum friends celebrate centenarian’s good fortune Masuko Sato, a 15-year resident of The Forum at Desert Harbor, celebrated her 100th birthday in style on February 17. In the Japanese tradition for marking special milestones in life, Sato donned an ankle-length, silk kimono to her coming-of-centenarian-age celebration. The Forum Center was filled with more than 100 residents and staff singing “Happy Birthday” wishes accompanied

by 10-year resident accordionist Shirley Santas. The tunes and an array of appetizers, including sushi and shrimp cocktail, hit a high note before the birthday cake was served. Another close friend and 15-year resident, Katie Baskett, created two large picture boards featuring the myriad of activities Sato has shared with Forum friends, as well as career highlights. Sato’s workaday world experience began as an interpreter with the U.S. Army, then took flight assisting with the startup of America West Airlines, which later landed her work with a travel agency and a chance to globetrot. In retirement, she attends a great deal of events. Sato was a natural at caring for the roses in her courtyard, picking blossoms to brighten assisted-living and retirement residences. “Masuko has participated in so many activities and outings throughout the years—all the exercise classes, plus scores of cards, games and parties,” says Margie O’Boyle, The Forum at Desert Harbor’s Lifestyle 360 program director. “She traveled the world extensively. Her zest for life has been so inspiring. She loves everyone and everything.” The Forum at Desert Harbor is a waterfront retirement community located at 13840 N. Desert Harbor Drive, north of Thunderbird Road at 91st Avenue in Peoria. For more information, call 623-9720995 or visit fivestarseniorliving.com.

Northwest Valley AAUW celebrates new members New and prospective members of AAUW Northwest Valley were invited to a new member coffee on February 13. Many of them offered to join AAUW’s many committees. AAUW’s mission is to advance gender equity for women and girls through research, education and adwww.LovinLife.com

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Attending the AAUW Northwest Valley meeting were, front row seated, Diane Preston, Marilyn Keizer, Jane Trok and Sally Heckt, and standing, Cheryl Anderson, Jessica Hoss, Linda Clancy, Joanne Matlack-Robison, Dorothy Alexander, Karen Hilleman, Mary Beltz, Jane French, Sheryl Thielke and Marilyn Crider. (Photo courtesy AAUW Northwest Valley)

vocacy. AAUW provides women the opportunity to join a circle of women intent on breaking through educational and economic barriers to enable women and girls to enjoy success in their professional, community and personal lives. Membership is open to anyone holding an associate’s, bachelor’s or higher education degree from a regionally accredited college or university. For more information, call 623-572-4676.

Southeast Valley AAUW elects new leaders Candace Cox is joining Mary Humecke to lead the Southeast Valley Branch of the American Association of University Women (AAUW) as co-presidents. They assume their new roles July 1, with Humecke starting the second year of her two-year term. Members also elected Judi Edmonds and Judy Baur, program vice presidents; Beth Zdeblick, membership vice president; and Debra Austin, secretary, to the branch’s executive board. The Southeast Valley Branch of AAUW draws members from Chandler, Gilbert, Ahwatukee, Tempe and Sun Lakes. Humecke, who joined AAUW in 2019, has a bachelor’s degree in child development from San Jose State University. After working in the savings and loan business, she spent more than three decades in the telecommunications industry with AT&T, Lucent Technologies and Avaya. Following retirement, she earned a master’s degree in biology from Miami University. “Our branch is full of interesting womwww.LovinLife.com

en with diverse backgrounds and unique experiences,” Humecke notes. “We work together to further our national organization’s mission of advancing equity for women and girls through advocacy, training and fellowships. Our informative monthly programs and public policy outreach give us many opportunities to do that, while our varied interest groups help members get to know each other better.” Cox, who joined AAUW in 2019, earned bachelor’s and master’s degrees in business and marketing from the University of Iowa and the University of Arizona, respectively. She was director of the University of Denver’s Center for Management Development before launching UNIVentures, a consulting firm sourcing and managing faculty/trainers, consultants, U.S. universities and learning events for companies and government entities around the world. “We’re fortunate to be part of a national organization that’s been advocating for women and girls since 1881,” Cox says. “In the 30 years since our Southeast Valley Branch began, we’ve been actively supporting our communities, awarding local scholarships and promoting opportunities for women. With nearly 100 members and growing, we see many possibilities for our branch to continue to develop and thrive.” AAUW membership is open to graduates holding an associate or higher degree from an accredited college or university. Info: southeastvalley-az.aauw.net/ comembership

Chronic pain and/or peripheral neuropathy is a result of damage to the nerves often causing weakness, pain, numbness, tingling, and the most debilitating balance problems. This damage is commonly caused by a lack of blood flow to the nerves in the hands and feet which causes the nerves to begin to degenerate due to lack of nutrient flow.

evaluation. As long as you have not sustained at least 95% nerve damage there is hope!

Fig. 2

Aspen Medical will do a chronic pain and neuropathy severity examination to determine the extent of the nerve damage as a public service to you and/or your family and friends. This neuropathy/pain severity examination will consist of a detailed NOTE: Once you have sustained 95% sensory evaluation, extensive nerve loss, there is likely nothing that peripheral vascular testing, and a we can do for you. detailed analysis of the findings of 3) How much treatment will your your neuropathy. condition require? The treatment that is provided at Aspen Medical has three main goals. 1) Increase blood flow 2) Stimulate and increase small fiber nerves 3) Decrease brain-based pain The treatment to increase blood flow, stimulate small nerve fibers and get you back to health is our new $50,000.00 SANEXAS UNIT!

In addition, we use a state-of-the-art diagnostics like the TM Flow diagnostic unit to accurately determine the As you can see in Figure 2, as the increase in blood flow and a small skin blood vessels that surround the nerves biopsy to accurately determine the become diseased they shrivel up increase in small nerve fibers! which causes the nerves to not get the nutrients to continue to survive. When The Sanexas electric cell signaling these nerves begin to “die” they cause system delivers energy to the you to have balance problems, pain, affected area of your body at varying numbness, tingling, burning, and many wavelengths, including both lowfrequency and middle-frequency additional symptoms. signals. It also uses amplitude The main problem is that your doctor modulated (AM) and frequency has told you to just live with the modulated (FM) signaling. During problem or try the drugs which you a treatment session, the Sanexas don’t like taking because they make system automatically changes to you feel uncomfortable. There is now simultaneously deliver AM and FM a facility right here in Mesa that offers electric cell signal energy. you hope without taking those endless THE GREAT NEWS IS THAT SANEXAS drugs with serious side effects. IS COVERED BY MEDICARE AND MOST (See the special neuropathy severity INSURANCE! Depending on your examination at the end of this article) coverage, your treatment could be In order to effectively treat your little to no cost to you! neuropathy three factors must be The amount of treatment needed determined. to allow the nerves to fully recover

Aspen Medical will be offering this chronic pain and neuropathy severity examination from now until May 31, 2020. Call 480274-3157 to make an appointment to determine if your chronic pain and peripheral neuropathy can be successfully treated. Due to our very busy office schedule, we are limiting this FREE consultation offer to the first 15 callers. YOU DO NOT HAVE TO SUFFER ANOTHER MINUTE, CALL Call 480-2743157 … NOW!

We are extremely busy and if your call varies from person to person and goes to our voicemail, please leave a can only be determined after a message and we will get back to you 2) How much nerve damage has been detailed neurological and vascular asap. sustained. 1) What is the underlying cause?

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Features

FINDING

Health FINDING Wealth

Two Valley women renew their lives after 50 BY CHRISTINA FUOCO-KARASINSKI After a long corporate career and a 27-year marriage, Nancy A. Shenker was yearning for something different. “I drank the Kool-Aid,” she says. “The women of the ’80s were told we should have these big jobs and kids and we can do it all. I did for quite a while. I just reached a stage in my life where it was no longer about the money or ego, it was just about being happy. When you work full time and you’re a full-time mom, you

always put yourself in last position.” Shenker founded a marketing consultation business and started writing the column “The Silver Hair Playbook: How to Be a Badass Over 50.” The Scottsdale resident also began a workout routine. “I’ve made my physical and mental health more of a priority,” she says. “For the first time in a long time, I’m able to indulge in a certain level of selfcare without feeling guilty about it,” she says. “We’re the first generation of women who had economic independence and are going to live close to 100.” Shenker is one of many who aren’t following the typical playbook for those older than 50. She checked all the boxes required of women of the ’80s and wanted to discover what was next. “The sad reality was Katie Couric was put out to pasture at a certain time,” says Shenker, 64. “We’re wondering as a gender and age group, ‘What comes next? What do you do between the ages of 50 and 100? It’s Nancy A. Shenker isn’t following the typical playbook for those older than 50. She switched careers. (Photo by Pablo Robles)

MAY 2020

Audrey Martinez founded Audrey’s Chia Cookies, all-natural, non-GMO cookies that center around the superfood chia seed. (Photo courtesy Audrey Martinez)

a whole second lifetime.’” Before the COVID-19 pandemic/quarantine, Shenker was weight training twice a week. Now she works out occasionally in Chaparral Park but walks daily. “Truthfully, I never loved to exercise,” she says. “I always struggled with my weight. As you get older, you have to work at it. I eat relatively clean. I eliminated sugar, dairy and gluten. I go to a naturopath for vitamin supplements. “I’ve become my own guinea pig. I’m trying different things to see what leads to peak performance. If I eat sugar in small doses, I have a mood swing. I recently started tracking my macros and I dropped even more weight.”

Working it out

There’s some credence in that. As the fitness and wellness director of Robson Ranch in Eloy, Lois Moncel has seen the homeowners at her master-planned community change. “Even if they keep going to tai chi, chair yoga or regular yoga, they see changes in their body as they progress,” Moncel says. Before making any changes to a fitness program, Moncel advises her clients to check with their health professionals. “We want to make sure there are no limits,” she says. “You don’t have to start out gung-ho crazy. Start out small and work your way up. If you’re not a walker,

walk 10 minutes and gradually build up. Ask for help, too. I think a lot of people are afraid to ask for help.” Moncel has a sage piece of advice for those over 50 considering a fitness program. “Fitness can do so much for people if they would just give it a chance,” Moncel says. “It can boost your mood if you’re depressed. It helps control your weight. You can fight off health conditions and diseases. May is High Blood Pressure Month. Even if they’re running a little high, there are natural ways to bring that down. You can’t just avoid it or overlook it. It helps you sleep better. It does so much to your mental state. Working out makes you feel 100% better.”

Chia power

In 2014, Audrey Martinez gave herself a 50th birthday present—her first marathon, the Phoenix Marathon, now known as the Mesa Sprouts Marathon. “My son had been doing marathons and triathlons. He was a big athlete,” Martinez says. “My daughter runs like it’s nothing. I thought, ‘If they can do it, I can do it.’ I started running when they were still in high school. I trained and was running like 20 miles every week. When it came to the marathon, I was able to finish.” www.LovinLife.com

She prefers half marathons, but the Phoenix run was the hardest thing she’s ever done. “It’s really a mental game,” she says. “It’s more mental than anything. You put some headphones on, get your thoughts going and build yourself up mentally and just run. You don’t have to run fast. I’m a slow runner.” Post-50, Martinez also founded her own company, Audrey’s Chia Cookies. The all-natural, non-GMO cookie recipe centers around the superfood chia seed. Each tiny seed is packed with nutrients like proteins, vitamins, amino acids and antioxidants, which have strong immune-boosting properties and help reduce inflammation, making them a powerful tool when preventing and fighting viruses. The cookies come in four flavors—almond, lemon, peanut butter and chocolate chip—and are available for purchase online or at select AJ’s Fine Foods, Sprouts and Fry’s, as well as several independent grocers.

“I just fell in love with chia when I found out how amazing it was,” says the 54-year-old Northeast Mesa resident. “I came across it when I was looking for increased energy to run the marathon. “I started ingesting it during training. I would do one week with and one week without. The weeks I did use chia, I was so much more energized. I felt like I could keep going. I was noticing all the other benefits—digestive health, my hair and nails were healthier. I just felt better overall.” She wanted to share her discovery with others, but she wasn’t sure how. Then it dawned on her: Everybody loves cookies. “We wanted to create delicious cookies that people would still eat but get that added health benefit of chia seeds,” Martinez says. “Who doesn’t eat cookies every once in a while? We got our first bag of cookies two years ago. They were barely on the shelves of grocery stores less than a year ago. Now we’re at AJ’s, Sprouts, Fry’s and a lot of independents. We’re in 400 stores across the United States right now.” Martinez and Shenker did a lot of soul searching before they entered a new business and a renewed health regimen. “It’s a whole new career opportunity for me,” Shenker says. “It’s made my life whole.”

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MAY 2020

Functional Fitness Scottsdale man invents stretch machine that’s adjustable BY CHRISTINA FUOCO-KARASINSKI Jonathan Hyams was working out at a gym when he found it diﬃcult to use a “one-size-fits-all” stretch machine. “As I stretched, I realized the machine lacked an adjustable seat, making it hard for users to position themselves according to their height and stature,” Hyams says. “In addition, I noticed there were no designated pieces of equipment at my gym for anyone to stretch their calves.” Hyams had an epiphany. Already producing exercise and medical rehabilitation equipment, the Scottsdale man launched his own—the Nitrofit Limber Pro Stretch Machine. “I always use a stretch machine to stretch out before my workouts,” Hyams says. “I was sitting on this machine and suddenly I got this thought in my head: Every other piece of equipment in this gym adjusts to fit whoever is using it. Shouldn’t this piece of equipment not be one-size-fits-all? That’s when it hit me.

“I own a fitness company. I watched a taller person struggle, and a smaller female get in. I figured out people couldn’t stretch their calves.” The average stretching machine uses a fixed-seat design that does not allow its users to adjust the distance between the seat and the handlebars. The Nitrofit Limber Pro Stretch Machine is the only one in the marketplace with an adjustable seat and calf-stretching station. The machine is compact and can be used without a personal trainer or gym buddy. “The patented sliding-seat design ensures that the Nitrofit Limber Pro is the only stretch machine available that can be adjusted on the fly to fit your height and reach,” Hyams says. “The adjustable height calf-stretch board adds a very beneficial stretch to the machine, making it the most valuable and effective home stretching machine available today.” The NLP is a home/semi-commercial device that assists its users through a variety of stretching exercises. Each device

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Jonathan Hyams founded Medvibe in 2007 when he was 24 years old. (Photo courtesy Jonathan Hyams)

comes with an illustrated exercise guide on the handlebar’s mounted placard. Users then hold a set of handles in front of them and use the illustrations to guide them in how to position their body in order to stretch a specific muscle group. Users activate gravity by leaning back in a chair outfitted with a knee pad, a backrest and foot pedals. The chair is mounted to a bearing, which allows the chair to pivot away from the handles. As the user leans back, more force is placed on their bodies, allowing them to attain a deeper stretch using only their own body weight. The NLP is most commonly used to reduce muscle stiffness and back pain, but it can also be useful for athletes, chiropractic patients or the everyday person looking to get a deep and effective stretch. Everyone needs to stretch for optimal health. Regular stretching improves flexibility, reduces the risk of injury during exercise, increases range of motion, increases blood flow, relieves stress and helps to reduce back pain. “I would say the majority of our customers are 40-plus,” he says. “At chiropractic oﬃces, they put you on a Precor machine. If you think about it, a lot of people who are older go to chiropractors to mitigate pain. Additionally, when I go to LA Fitness, I see a lot of older people using a Precor machine. Mine is easier and more comfortable to use.” Hyams says it’s especially important with the advent of COVID-19, coronavirus, and folks working at home.

“In this current economic time, a lot of people are going to be working from home and not in the oﬃce walking around as much,” Hyams says. “We need to get up and stretch regularly. All these people who went to the gym are no longer able to go. We need something like this now—and we need an affordable option.” The Nitrofit Limber Pro Stretch Machine is part of Hyams’ company Medvibe, which distributes its products across North America and has been sold through costco.ca, walmart.com, sears. com and amazon.com. Hyams has been passionate about fitness since he was a seventh-grade student in Tucson. “I got heavy into weight training then,” he says. “This has been my passion ever since. It’s something I maintain. I go to the gym five days a week. It’s good for mental health, too. Physically, it’s good to be agile and physically strong. “I’ve done all sorts of intramural or club sports. I love the endorphin rush. I love the feeling of the workout.” Hyams founded Medvibe in 2007 when he was 24 years old. He waited tables full time and took “any gig I could to fund it, to get it going.” In 2013, Medvibe was accepted into costco.ca (Costco Canada). Medvibe also offers a Nitrofit Deluxe Plus whole-body vibration machine and Nitrofit FitRoll Vibrating foam roller through costco.com as well as on Amazon and direct from its website. Its target market is those older than 40. www.LovinLife.com

Walk It Oﬀ Tips to help make walking a healthy habit BY DR. ANNE DOCIMO Chief Medical Oﬃcer of UnitedHealthcare

AND DIANA NYAD

Founder and Executive Director of EverWalk

With an increased focus on practicing healthy habits—such as washing hands frequently and staying home when sick to help avoid spreading COVID-19—it’s important to remain mindful about the importance of daily walking. In fact, a report from Harvard Medical School concluded that walking can help boost the immune system, ease joint pain and curb cravings for high-sugar foods, which may contribute to inflammation and disease. Plus, studies have shown walking more and sitting less may help people maintain a healthier weight. People and communities should walk for at least 30 minutes each day and put themselves on the road to a healthier lifestyle. With that in mind, here are three tips people can consider to help make walking part of your daily routine:

Stay active at home: Even if you are spending more time at home, it is crucial to still stay active and not fall into the trap of only binging the latest TV series or movie. Remember to take short walks frequently throughout the day, aiming for six separate “mini-walks” of at least 300 to 500 steps. To enhance cardiovascular fitness, aim for at least one “brisk walk” of at least 2,000 to 3,000 steps within 30 minutes each day. To help build endurance, work toward 8,000 to 10,000 aggregate steps per day. Start small and dream big: If those targets seem daunting, remember it helps to start slowly and build up over time. And don’t discount walking compared to running: Maintaining a quick walking pace has been shown to be on par with running when it comes to lowering the risk of high blood pressure, high cholesterol and diabetes. If you are in good health and want to push yourself, think about someday planning a trip (once the glob-

al pandemic ends) to explore one of our nation’s top “bucket list” hikes, such as the Dr. Anne Docimo, Chief Medical Oﬃcer Kalalau Trail in Ha- of UnitedHealthcare (inset) and waii or the Grand Diana Nyad, Founder and Executive Director of EverWalk. (Submitted photos) Canyon “Rim to Rim.” While it might seem mundane to may help ward off depression and preonly walk around your home or imme- vent issues like heart disease. If you need diate neighborhood for the time being, external motivation, check with your emstudies show that setting long-term ployer about incentive-based wellness goals may help promote a healthier life- programs, including ones that provide fistyle. nancial rewards for meeting certain daily Identify “intrinsic” and “extrinsic” walking goals. motivators: In general, people are motivated by a combination of “intrinsic” Following these tips may help you factors, such as wanting to maintain a achieve those daily step goals during healthy weight, and extrinsic ones, such these turbulent times, while encouragas financial rewards. Walking likely of- ing seemingly small healthy habits that fers several intrinsic motivators given re- can eventually translate to meaningful search has shown consistent movement improvements.

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Coronavirus Scams Thieves are ready to prey on the vulnerable during this crisis BY CHRISTINA FUOCO-KARASINSKI The coronavirus pandemic has given rise to online scam artists offering phony cures and ways to steal scared people’s money. Socialcatfish.com released a report in March on four online coronavirus scams to avoid using guidelines from the Centers for Disease Control and Prevention and the World Health Organization and identifying common scams used during H1N1, ebola and zika outbreaks.

Family scams

cine that only a select few are privy to. If it sounds too good to be true, it is—especially in regard to the coronavirus. Don’t give the solicitor credit card information. It will be compromised. How to avoid: Don’t listen to anyone who asks for money over the phone, no matter what the excuse. Chances are they’re a scammer trying to steal money. Hospitals and universities will be the ones to help fund vaccines and research to try and find a cure, and they won’t bother people over the phone.

Grandparent and family scams often occur at night and target older adults. The potential victim answers the phone and hears someone saying “grandma” or “grandpa.” They’ll say they’ve contracted the virus and are homebound and in quarantine. The caller asks to send a gift card online immediately so they can buy delivery food or supplies. The caller is a scammer and keeps the money. How to avoid: Always check the caller ID to make sure it’s actually a loved one. If there’s any question about who’s calling, hang up and call the “loved one” back and verify it’s them. Don’t send money over the phone, even if it is someone “trustful.”

Fake CDC and WHO emails

Quack alert

Those who encounter a coronavirus scam should contact local law enforcement or file a complaint with the FTC. Those with compromised financial and personal data should request a credit freeze.

There are no viable antibiotics for the coronavirus, and natural products are not, in any way, going to fight this illness. The FTC is compiling these fraudulent scams and products and has released a list. These scam products may be shared on social media with testimonials or warnings about the disease. Don’t fall for them and save money for needed items like tissues or face masks. How to avoid: Do not believe anyone who says they have found a natural remedy to cure the coronavirus. Chances are they just want to sell fake products so they can steal money. The only ways to get better from the coronavirus is to get rest, go to the doctor and keep hydrated.

Fake vaccine Do not contribute to a fund to develop a vaccine to fight against coronavirus. There may be “secret” calls, emails or texts about a supposed government vac-

MAY 2020

Potential victims will receive a fake email that looks legitimate. It reads as if it was sent from the Centers for Disease Control and Prevention. It’s actually a scam and not really sent by the organization. How to avoid: Don’t click on any email that claims it has a product to help cure the coronavirus. The cure will be on legitimate news pages before an email is sent. Those who are unsure should look at— but not click on—the “reply to” email address and all hyperlinks in the email. They will link to outside websites that are not secure and can collect all financial data or download malware.

Attorney general warns scammers In response to COVID-19, Attorney General Mark Brnovich reminds businesses and individuals that his oﬃce will hold them accountable if they exploit the virus and try to scam Arizonans. “Our consumer protection team is working hard to protect consumers during this diﬃcult time, and we will continue to do so long after it ends,” Brnovich says. “There is no statute of limitations for state to take action under the Arizona Consumer Fraud Act. So if you engage in fraudulent behavior today, you may

think you can hide, but we will come after you if you violate the law.” The attorney general’s oﬃce is closely monitoring all consumer complaints and advises consumers to be on the lookout for these scams.

Government check scams The federal government is considering a plan to send money to help people through this crisis, but a plan has not yet been approved. Government imposter scams are already frequent but are likely to become even more common under the current circumstances. Remember, the government will never ask you to pay anything up front to get money; the government will never call and ask for Social Security numbers, bank account information or credit card numbers; the government will never threaten arrest for not providing personal information or ask for gift cards.

Work-from-home scams With an increasing number of people at home and away from work, workfrom-home scams are likely to rise. Consumers should keep the following six tips in line: Don’t pay money to make money: Legitimate businesses offer to pay for your services. Scammers want you to pay them and promise that you’ll make it all back and more. Why do they need you? If someone is selling websites that will make a lot of money, guaranteed, why wouldn’t that person just run the websites on their own? If a business doesn’t have a good reason why it needs your help, it’s probably a scam.

Clean reputation: Triple check the reputation of a business before becoming involved. Interview other investors and customers, search the business and promoter’s name online with “scam” or “complaint,” and check with the Better Business Bureau for information on the company’s credibility. Online business scammers frequently change their names, so beware of companies without an established track record of success. Risky refund policy: Online businesses promising a “no-risk refund policy” are red flags. This is a common term fraudsters use to reassure potential investors or customers, and pressure people to make a quick decision. Guarantees like this are rarely reliable. Expert opinion: Take the time to bring in a business lawyer, CPA and other third-party, impartial business experts to vet potential opportunities before committing resources. They’ll be able to assess the legitimacy of the business, as well as if there’s a potential to make a profit. Time to think: Most importantly, demand the time to think through any business opportunity thoroughly, rather than giving in to pressure to quickly make a decision before a “golden” opportunity passes. If you believe you have been the victim of consumer fraud, you can file a consumer complaint by visiting the attorney general’s website, azag.gov. For more information, call 602-542-5763. Maricopa County Sheriff Paul Penzone suggests calling his oﬃce, too, at 602876-8477. www.LovinLife.com

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MAY 2020

Entertainment Tinseltown Talks

Paul Petersen remembers TV mom Donna Reed BY NICK THOMAS While most of us will be remembering mothers on May 10 this year, entertainers who worked as child actors in television sitcoms may also have special memories of their “TV mom.” For Paul Petersen, that was Oscar winner Donna Reed, matriarch from “The Donna Reed Show.” In 2018 for the anniversary of the show’s first broadcast, Petersen (and co-author Deborah Herman) released “The Donna Reed Show: A Pictorial Memoir” (see micropublishingmedia.com). “It’s kind of an archival look back at an iconic television show,” says Petersen, who, like Reed, appeared in all 275 episodes during the series run from 1958 to 1966. “I wanted the book to not only examine the people who made the show but to put television in the historical context of the period. During the eight years, we went through a lot including illnesses, accidents and national incidents from that era.” One of the most memorable was the 1963 Kennedy assassination. “We were rehearsing and a guy from the radio station across the street called with a real quiver in his voice asking for Donna,” says Petersen, who remembers answering the phone.

MAY 2020

Patty Petersen (Paul’s sister), Donna Reed, Carl Betz and Paul Peterson, stars of “The Donna Reed Show”. (Photo provided by Paul Petersen)

“Donna then told us the president had been shot, and it shut down the studio. We just packed up and went home for a very painful weekend.” Most of Petersen’s memories of the show are far more pleasant, however, like the first day filming on the set. “Donna was from a little town in Iowa called Denison, in the county right next to where my mother was born around the same year,” he explains. “When I got the job, the most excited

person in my family was my grandfather, who insisted on taking me to work to film the pilot. He marched right up to Donna and said, ‘Donna Belle Mullenger (her birth name), I knew your dad!’” Reed was gracious, and remained personable and well-liked throughout the series, according to Petersen. “We all got together for lunch and were very close—uniquely close compared to other television families.” A potentially tragic incident occurred

when Paul crashed his Pontiac Grand Prix during the series. But Reed came to his rescue. “The accident was my fault, and for punishment I had to ride a bicycle 8 miles to work every day. But Donna and Tony (her husband) felt sorry for me and gave me a brand-new Volkswagen Bug. I loved that car!” During the show’s run, Petersen obviously called Reed “mom” while filming, but it was always “Miss Reed” away from the set. “It wasn’t until four years after the show ended when I was in my mid-20s and we were at Chasen’s restaurant that I remember her leaning across the table and saying, ‘Paul, I think it’s time you started calling me Donna!’” Having a close “second mom,” especially a famous one, could have created friction between Petersen’s real mother and the actress. “I remember in an interview my mother said, ‘How could I ever compete with Donna Reed?’ But she understood I had an ongoing professional relationship with Donna that sometimes required spending more time with her than my actual mother. “Donna was my de facto mother and guardian on the set, a pretty safe person to leave your kids with,” Petersen adds. “She was an Iowa-bred farm girl, the oldest of five children, who had lived through the depression and came out to California to be a Hollywood star and succeeded. She was a wonderful role model.” Nick Thomas teaches at Auburn University at Montgomery in Alabama and has written features, columns and interviews for over 800 newspapers and magazines.

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Fortunate Son Doug ‘Cosmo’ Cliﬀord ﬁnds his voice on ‘Magic Window’ BY CHRISTINA FUOCO-KARASINSKI Doug “Cosmo” Clifford just can’t stop making music. Even though Clifford and his bandmates in Creedence Clearwater Revisited stopped touring last year, the drummer is releasing his own music. On April 17—his 75th birthday—Clifford sent “Magic Window” to CD Baby and all streaming platforms. The album was recorded in 1985 and updated earlier this year. “It’s filled with surprises,” says Clifford, who winters in Scottsdale. “I’m very, very proud of it. I found (the tapes) going through a locker in the garage. It had all this old stuff from my studio. The master tapes had more than 100 songs. I always made sure if someone picked up the songs, they would be ready to play.” Clifford wrote the songs sitting at the piano in his Lake Tahoe, Nevada, summer home. More than 6,000 feet altitude, the home is surrounded by bears and deer. During his downtime, he’d gaze out at the lake and mountains and write, sometimes alone, sometimes with collaborators. “I had an analog studio with a good tape deck, so I could try out ideas without looking at the clock,” he says. “I’d invite friends in to jam and experiment. I made ‘Magic Window’ with Russell DaShiell on lead guitar. He’s also a good engineer and co-produced the sessions with me. I was going to use it to look for a record deal, but I got busy with other projects and forgot about it.” Those projects included producing albums for Doug Sahm of the Sir Douglas Quintet and Texas Tornados, playing in Steve Miller’s band, and then joining Stu Cook to play Creedence hits as Creedence Clearwater Revisited in 1995. That group performed worldwide for 25 years, amassing many fans and crossing multiple generations to bring the CCR hits to people. It also released a platinum-certified live hits album. “We had a dream when we were 13. That’s when we started the band originally,” Clifford says. “Our dream was to have the songs played on the radio. We had 52 years of hits on the radio. The Revisited project was 25 of touring. No one was more surwww.LovinLife.com

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Doug “Cosmo” Cliﬀord sent “Magic Window” to CD Baby and all streaming platforms on April 17. (Submitted photo)

prised than us that we lasted that long.” When Clifford found his songs, there were 100 in the locker. “Magic Window” took shape organically over several years. When it was time to record, Clifford invited three friends to his home studio for the freewheeling sessions. Russell DaShiell played lead and rhythm guitars, synthesizer and sang harmonies. Chris Solberg contributed bass and keyboards and Rob Polomsky added rhythm guitar to several tracks. “I grew up in the years rock was evolving,” he says. “Blues, rockabilly, country, rhythm and blues, and folk music were all around me, so I don’t think about genre when I’m writing. I think about groove; the songs all evolved from the groove.” Clifford cowrote with Polomsky, Solberg and DaShiell. Three songs, Clifford wrote by himself. “I’m the writer on every song. I’m the singer on every song,” he says. “I’m not just the drummer anymore. I love to drum. It was a fun project. Everybody was on the same page. You hire good guys; you make sure your door is open. “You have them there for a reason. I told them, ‘If you hear anything or think of an idea that might improve something, let me know.’ It’s the best I’ve ever sung in my life. I had a studio in my house.” Once “Magic Window” is out and fans have digested it, Clifford is going to start the writing process again. “I’m not touring anymore,” he says.

“The creative bug is biting pretty hard. “I had cancer five years ago and radiation did more damage than the cancer, I think. I’m OK, but I have Parkinson’s. My body was saying, ‘No more.’ Plus, I have a bad back. I played the drums for 60 years. I was sitting off to one side. My right foot on the bass drum, my left foot on the high hat. My back will go out now just because of the damage done to my muscles in my lower back. But you know what? I’d do it all again.” Music isn’t Clifford’s only love. Armed with a biology background, Clifford won the Incline Village, Nevada, Chamber of Commerce Citizen of the Year award in 1991 for a program he created to stop or hinder wildfire. “It turned out to be the No. 1 program in the nation,” he says. “Washington was sending busloads of geeks to see what I was doing. “I was the only guy to get that award who wasn’t a chamber member. Those were mullet days, too. I went to the state senate and was dealing with the federal government. It became a full-time job. It was the best thing I’ve ever done as a human.” As is his family. “I’m looking forward to staying home and making up for some of the birthdays I missed along the way,” he says. “My grandkids and wife, you give up a lot when you’re on the road. I’ll be around for the next batch of birthdays.”

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Coping with Crisis

Larry Upshaw is the executive director of Ageless Authors. (Photo courtesy Ageless Authors)

Senior writers wanted for Ageless Authors contest BY CHRISTINA FUOCO-KARASINSKI Ageless Authors is offering older writers an opportunity to comment on the COVID-19 pandemic, as well as perilous times in the past, the future and wherever our imaginations can take them. “Coping with Crisis” is the theme of a new writing contest sponsored by Ageless Authors, the international writers group and publisher devoted strictly to senior writers and poets. For this contest, the definition of “senior” has been expanded to include anyone age 50 and older. Senior writers can enter any of three categories—creative nonfiction prose, fiction prose and poetry—from the contests page of agelessauthors.com. The contest runs through July. “We have millions of people either sheltering in place, self-isolating or simply trying to stay safe with less movement,” says Larry Upshaw, executive director of Ageless Authors. “This contest gives us a constructive way to spend our

time, using our talents to define this crisis or write about crises of the past. This isn’t just about coronavirus. We are examining crisis in all its forms.” Prose entries (short stories or essays) are limited to 3,500 words, while poetry can be any length. Cash prizes will be awarded based on the entry fees received. The fee for each entry is $20. Prize winners will split a pot of approximately $1,500. Outstanding entries that don’t win a money prize will be judged honorable mention or recognized, and certificates will be awarded. Ageless Authors is best known for encouraging and promoting the work of senior writers through these writing contests, publishing the best work from the contests, and offering publishing assistance to older writers. “With this contest, for the first time, we are adding senior writers age 50 to 64 to the 65 and older group,” Upshaw says. “We are all being asked to stay home, so why not give this ‘junior division’ of

senior writers the opportunity to show their creativity.” Here are some subject areas entrants can explore: • How this pandemic could turn out. What does the future hold? • What does this mean to the world’s population? • A rant about government action (but be clever, humorous or in some way more creative about this pandemic than TV pundits).

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“You should have plenty of time to reason through it,” he says. “Let your mind wrap around this and the imagination take over.” The group also needs judges of all ages to read and evaluate the entries on a volunteer basis. Go to agelessauthors.com/ current-contests for more information, to enter the contest or qualify as a judge.

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Villas by Mary T.~ Casa Grande

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Our pet friendly, 55+ Community offers spacious 1-level rental townhomes with private entrance and patio, attached garage, large heated pool and spa, and a variety of social, recreational, and educational activities.

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MAY 2020

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Dining What’s Cooking?

One-Pot Chicken Cacciatore BY JAN D’ATRI It’s a one-pot Italian wonder! That’s what my momma’s comfort food chicken cacciatore recipe should be named. As a little Italian girl growing up, I just thought it was one of those dishes everyone ate at least once a week—just like we did—with polenta or pasta. I also assumed that all chicken cacciataore pretty much tasted the same. But many years later, having tasted chicken cacciatore in numerous restaurants, I’m going to finally go on the record and say momma’s is the best. You’re going to get to try it for yourself and see if you agree. Momma’s cacciatore is simple and inexpensive, uses only one pan, and the flavors are absolutely divine. It’s about as close to a fool-proof dish as you can get with the recipe I’m sharing with you today. Momma’s chicken cacciatore was one of the first recipes we included in our first cookbook, “Momma & Me & You,” and through the years we’ve tweaked it just a bit to make it even better.

Here’s what momma wrote in our cookbook: “Almost every Italian restaurant has chicken cacciatore on the menu, and there are as many versions of the dish as there are places that serve it. Although it’s a southern Italian specialty, it has been adopted as a treasure throughout Italy. When I introduced cacciatore on my restaurant menu back in 1957, our customers fell in love with the very first delicate bite. It became one of our most popular signature dishes for the celebrity crowd and locals alike.” I find that good quality, fresh chicken enhances the taste—and that chicken thighs seem to be the most flavorful. Pick up a nice bottle of wine, some good sourdough bread, and make this for your momma this Mother’s Day!

Jan’s Momma’s Chicken Cacciatore (Serves Four) Ingredients:

- 3 to 4 pounds chicken thighs - 1 cup flour for dredging - 1/2 cup olive oil - 1 cup Marsala wine - 1/2 cube butter, cut into pieces - 1 (8 ounce) can tomato sauce (organic preferred) - 2 cups white mushrooms, sliced - 1 large sweet yellow onion, chopped fine - 3 cloves of garlic, chopped fine - 3 green onions (white and green parts), sliced thin - 2 teaspoons fresh parsley - 1/2 teaspoon fresh oregano - 1 tablespoon fresh basil - Salt and fresh ground pepper to taste

flour to coat. In a deep skillet or Dutch oven, heat oil and fry chicken on both sides until golden brown. Discard most of oil, leaving brown bits in bottom of pan if possible. Add Marsala and butter, and simmer on low heat until wine begins to evaporate, about 2 to 3 minutes. Add tomato sauce, mushrooms, onion, garlic, green onions, parsley, oregano and basil. Gently stir ingredients then cover and simmer for 15 to 20 minutes until tender. Add salt and pepper to Directions: Wash chicken and pat dry. Dredge chicken in taste. Serve over pasta or polenta.

Check out my how-to video here: jandatri.com/recipe/mommas-chicken-cacciatore-2 www.LovinLife.com

MAY 2020

Columns

Hospice Is Hope

Caregivers can live well with dementia, too BY LIN SUE COONEY

Director of Community Engagement, Hospice of the Valley

It’s a staggering thought, but right this moment, there are 5.8 million Americans living with dementia. Arizona has 140,000 cases and we also have the nation’s highest growth rate for dementia. Experts forecast a 43% spike between 2017 and 2025. And we aren’t ready. There are not enough health care workers trained in dementia care. And family members who are suddenly thrust into the “caregiver role” are not prepared for a disease that lasts years and becomes more challenging. That’s the bad news. The good news? There is help—resources and education that are breaking down the stigma surrounding dementia and, as Dr. Maribeth Gallagher puts it, “taking the shame away.” Hospice of the Valley’s dementia program director was a family caregiver herself and that firsthand experience profoundly changed her life. She is a national expert dedicated to educating others living with this disease. Her goal is to help families celebrate the loved one who is present now, and the person who existed in the past. “We want people to know it’s possible to live with dementia and still do many of the things they love. They can have con-

nection and experience joy,” Gallagher says with passion. Caregivers struggle, in large part, because they don’t understand dementia—and they feel alone and abandoned. Gallagher answers critical questions, provides valuable insight and informs families of an innovative Hospice of the Valley program called Palliative Care for Dementia, designed to educate, empower and support caregivers on this very difficult journey.

Do people know when they have dementia?

I’ve heard some experts suggest that approximately half of people who have dementia in the early stage are aware that something is not quite right. Others living with dementia may not be aware of changes, which naturally poses increased safety risks. Dementia is not a specific disease and it is absolutely not a normal part of aging. There are anywhere between 70 and 100 different types—the most common being Alzheimer’s disease.

How do people know when to talk to their doctor and get some testing? From around age 30 on, we may start to notice that it occasionally takes a bit longer to retrieve a word or information. Given enough time, however, we can successfully recall. That is a normal part of aging. But if memory changes begin to frequently interfere with our ability to function as we once did, safely and independently, this is cause for concern. The best thing we can do is request a medical eval-

MAY 2020

Dr. Maribeth Gallagher, director of Hospice of the Valley’s dementia program, is a champion of caregiver education who gives presentations Valleywide. Gallagher and her team work one on one with patients and families to maximize the quality of life of those living with dementia. (Photos courtesy Hospice of the Valley)

uation to explore possible underlying causes.

Is it true that memory issues are not always caused by dementia?

There are reversible conditions that can cause changes in memory and thinking: hypothyroidism, sleep apnea, electrolyte imbalances, certain medications—just so many different things. So, the important thing is to report to your provider when you notice changes that begin to interfere with your normal day-to-day functioning. Testing will begin with a complete physical exam, some blood work, a review of your history and all medications and supplements. What I want to stress most is: Don’t be afraid to be tested if you think something isn’t right. Do it.

How does Alzheimer’s disease progress over time?

One of the first things people notice is short-term memory loss—they might not remember what happened this morning or a recent conversation. There can be trouble finding the right words. Over time, there is commonly a decline in insight, judgment, visual-spatial skills, thinking, reasoning, planning and language abilities. A person living with dementia may have difficulty following through on a request to “get dressed,” because getting dressed actually requires a sequence of many actions that maybe now have to be broken down into specific step-by-step directions. When we talk about dementia, many people think it’s just memory.

But it’s much more. It influences how we think, function and behave.

What do caregivers need to know?

This complex condition requires a considerable amount of education and support. Imagine if you lose your ability to think, reason and use language. You will still have the same needs as before, but now you will have more difficulty getting them met. Caregivers need to develop skills to anticipate—what is it that you need? What brings you comfort in body, mind and spirit so I can optimize your quality of life? What makes you feel seen, heard and valued? And how can I care for you physically to help you be the best you can be? The good news is that caregivers are generally experts when it comes to knowing what gives their loved one comfort, pleasure and a deep sense of belonging.

Explain the stress and frustration that dementia caregivers experience.

Dementia care partners have high morbidity and mortality rates, because no matter how smart, spiritual and financially stable we may be, this kind of caregiving requires absolutely everything we have and more. Caregivers generally have very little, if any, education when it comes to understanding dementia and how to meet the numerous challenges that commonly arise. They lack the resources and support to help them successfully sustain their caregiving efforts Hospice...continues on page 21 www.LovinLife.com

Hospice...continued from page 20 while maintaining their own well-being. They often feel isolated—like they are carrying the strain alone. This is where we, as a community, can make a positive difference by learning about dementia and offering our talents to support them. And as a society, we need to shatter the stigma surrounding dementia. There is shame, as if someone with dementia is stupid. They’re not—they have brain changes over which they have no control.

It truly does require a village. How does the Palliative Care for Dementia program help?

It’s for people at any stage of dementia—even without a diagnosis, because

over half the people who have dementia have not received a formal diagnosis. We provide psycho, social and educational support to caregivers—and because we go into the home, you don’t have to bring your loved one to an office. We’re available 24/7 because many times issues crop up in the middle of the night or on weekends. So instead of going to the emergency department, you call and there’s always a nurse on the other end. I just really want to encourage all caregivers to educate themselves as much as possible and look for something or someone who can give you emotional support on this journey. Lin Sue Cooney is director of community engagement for Hospice of the Valley.

Palliative Care for Dementia Family members often feel overwhelmed, anxious and isolated while caring for a loved one with dementia. Hospice of the Valley’s Palliative Care for Dementia program helps patients at any stage of the disease, not just end of life. Some families only need it a short time to learn behavior management techniques. Others want support much longer. We provide: Home visits from a dementia educator who teaches b e h av i o r- m a n a g e m e n t strategies for Alzheimer’s disease and other dementias, and helps with medications, placement options and living wills. 24/7 phone support, so whenever you need help or advice, you can call

www.LovinLife.com

and talk directly to a nurse or social worker who specializes in dementia care. There’s someone to turn to any time of day or night—never an answering service. Call 602-636-6363. Ask the Doc if you have concerns. Dr. Gillian Hamilton, a nationally recognized geriatrician and dementia expert, can answer your questions by phone and consult with your loved one’s physician if desired. For more information on our dementia care, visit hov.org or email dementiacare@azphc.org.

The Healthy Geezer

Move your body, move your bowels BY FRED CICETTI

What is the definition of constipation?

The clinical definition of constipation is any two of the following symptoms for at least 12 weeks (not necessarily consecutive) in the previous year:

• Straining during bowel movements • Lumpy or hard stool • Sensation of obstruction or incomplete evacuation • Fewer than three bowel movements per week. Those reporting constipation most often are women and adults age 65 and over. Constipation is one of the most common gastrointestinal complaints in the United States. Common causes of constipation include insufficient intake of fiber and liquids, lack of exercise, medications, older age and abuse of laxatives. The most common cause of constipation is a diet low in fiber and high in fats. The bulk and soft texture of fiber help prevent hard, dry stools that are difficult to pass. Fiber is the part of fruits, vegetables and grains that the body cannot digest. Keep in mind that many refined and processed foods we eat have the natural fiber removed. Many seniors eat a low-fiber diet that causes constipation. Some lose interest in eating and choose convenience foods low in fiber. Others have difficulties chewing or swallowing; this leads them to eat soft processed foods low in fiber. Liquids add bulk to stools, making bowel movements softer and easier to

pass. People who are constipated should drink about eight 8-ounce glasses of liquids a day. Avoid drinks with caffeine and alcohol, because they dehydrate. Not enough exercise can lead to constipation, although doctors do not know why. If you want to move your bowels, move your body. Some medications can cause constipation. They include pain medications (especially narcotics), antacids that contain aluminum and calcium, blood pressure medications (calcium channel blockers), anti-Parkinson’s drugs, antispasmodics, antidepressants, iron supplements, diuretics and anticonvulsants. Aging may affect bowel regularity because a slower metabolism results in less intestinal activity and muscle tone. Laxatives usually are not necessary to treat constipation and can be habit forming. The colon begins to rely on laxatives to bring on bowel movements. Over time, laxatives can damage nerve cells in the colon and interfere with the colon’s natural ability to contract. For the same reason, regular use of enemas can also lead to a loss of normal bowel function. Most people with constipation can be treated with changes in diet and exercise. A diet with 20 to 35 grams of fiber each day is recommended. Other changes that can help include drinking enough liquids, engaging in daily exercise, and reserving enough time to have a bowel movement. In addition, the urge to have a bowel movement should not be ignored. For those who have made diet and lifestyle changes and are still constipated, doctors may recommend laxatives or enemas for a limited time.

MAY 2020

It’s Seriously Sunny How to protect your skin during the summer BY SARAH NEUMANN

Physician Assistant, Ahwatukee Skin and Laser

Skin cancer and the sun are big deals in Arizona. According to the American Academy of Dermatology and Skin Cancer Foundation, one in three Arizonans will be afflicted with skin cancer in their lifetime. Physician Assistant Sarah Neumann is on a mission to educate the public on skin protection as part of Melanoma Awareness Month in May. “Sun damage and skin cancer does not discriminate,” says Neumann, the founder of Ahwatukee Skin and Laser and Sun City Dermatology. “The sun can do major damage in as little as 20 minutes. No matter if it’s a quick trip to the store, a day at the pool or years of constant sun exposure, the best thing to do is to be smart and be aware.” Neumann says there are a few sun tips for Arizonans to follow. Be sun smart. Avoid the sun during the hottest times of the day (10 a.m. to 2 p.m.). Not sure if you should be outside? Abide by the shadow rule. If your shadow is shorter than you, seek shade. Always generously lather up with a sunscreen with a minimum of SPF 30 and invest in sun protective clothing that has SPF built in. Be sunscreen savvy. On May 6, 2019, the FDA announced it would investi-

MAY 2020

gate the safety of chemicals used in sunscreens and their impact on breast milk, blood and endocrine activity. Check product packaging and always look for sunscreens containing titanium or zinc oxide as the active ingredient. Give yourself a check. Look for moles with changes in color, size, shape and texture. Sometimes the most serious problem areas aren’t as obvious as dark-colored moles. Be on the lookout for small patches that resemble scratches, or those that are flesh colored or firm bumps. Bottom line: If it’s new or worries you, see a professional. Get treated. See something out of the ordinary? Call and schedule an appointment immediately. Early cancer detection saves lives and skin care professionals can recommend the best preventive measures for your skin type. “In Arizona we enjoy 300 days of sun each year, but everyone needs to be diligent about sun protection,” she says. “One American dies every hour of malignant melanoma, but this condition is often treatable and curable. Sarah Neumann has been practicing dermatology physician assistant for over 20 years and is the founder of Ahwatukee Skin & Laser in Phoenix.

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