Dear Savvy Senior,

What steps need to be taken after a loved one dies? My 71-year-old uncle, who’s divorced with no children, has terminal cancer. He’s asked me to take care of his affairs so I would like to find out what I need to do after he passes away.– Unsure Nephew

Dear Unsure,
I’m very sorry to hear about your uncle. The death of a loved of can bring about a host of different tasks and responsibilities. Here’s a list of some things you can do now, and after his death, that can help keep a sad event from becoming even more difficult.
Before Death Occurs
There are several tasks you can do now while your uncle is still living that will make things easier for you after he dies.
For starters, find out where he keeps all his important papers like his trust and/or will (also make sure it’s updated), birth certificate, Social Security information, life-insurance policies, military discharge papers, financial documents, key or combination to a safe deposit box or a home safe. Also make a list of his digital assets (including usernames and passwords) like his email account, online banking accounts, social media accounts, etc.
If your uncle doesn’t have an advanced directive, help him make one (see CaringInfo.org for free state-specific forms and instructions). An advanced directive includes a living will that specifies his end-of-life medical treatments and appoints a health-care proxy to make medical decisions if he becomes incapacitated. In addition, you should also make a do-not-resuscitate (DNR) order. Your uncle’s doctor can help you with this.
You should also pre-arrange his funeral, memorial service, and burial or cremation.
Immediately After Death
Once your uncle dies, you’ll need to get a legal pronouncement of death. If no doctor is present, you’ll need to contact someone to do this.
If he dies at home under hospice care, call the hospice nurse, who can declare his death and help facilitate the transport of the body.
If he dies at home without hospice care, call your uncle’s doctor. You’ll then need to call the funeral home, mortuary or crematorium to pick up the body. If your uncle is an organ or tissue donor, contact the funeral home or the county coroner immediately.
Within a Few Days
If funeral plans were not pre-arranged, you’ll need to make arrangements and prepare an obituary. If your uncle was in the military or belonged to a fraternal or religious group, you should contact those organizations too, because they may have burial benefits or conduct funeral services.
You should also notify family members, close friends and his employer if he was still working, and make sure his home is secured.
Up to 10 Days After Death
To wind down your uncle’s financial affairs, you’ll need to get multiple copies of his death certificate, which are typically ordered by the funeral home.
If you’re the executor of your uncle’s estate, take his will to the appropriate county or city office to have it accepted for probate. And open a bank account for your uncle’s estate to pay bills, including taxes, funeral costs, etc.
You also need to contact your uncle’s estate attorney if he has one; tax preparer to see if estate or final income taxes should be filed; financial advisor for information on financial holdings; life insurance agent to get claim forms; his bank to locate and close accounts; and Social Security, the VA (if he’s a veteran) and other agencies that provided benefits in order to stop payments.
You should also cancel his credit cards, delete or memorialize his social media accounts and, if relevant, stop household services like utilities, mail, etc. His home and personal belonging will also need to be dealt with in the coming weeks.
Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.

Hospitals Helping Patients Quit (HHPQ), an Oklahoma Hospital Association (OHA) initiative, recognized 11 hospitals and clinic partners at OHA’s recent Connect 22 annual conference that have achieved notable benchmarks in reducing tobacco use in Oklahoma. These visionary hospitals and clinics have implemented a permanent and standard best-practice protocol for identifying, counseling, and referring individuals to the Oklahoma Tobacco Helpline (OTH) for coaching support and nicotine replacement therapy.
OHA recognized these hospital leaders for achieving notable benchmarks in clinical tobacco treatment:

Helpline Referrals 100-499
Great Plains Regional Medical Center, Elk City – 100 referrals

McAlester Regional Health Center – 150 referrals
Cedar Ridge Behavioral Hospital, Oklahoma City– 275 referrals

Helpline Referrals 500-999

AllianceHealth Ponca City – 500 referrals

Stillwater Medical Center – 600 referrals
INTEGRIS Health Edmond – 600 referrals

Helpline Referrals 1000-1999
OU Health, Oklahoma City – 1,000 referrals

Comanche County Memorial Hospital, Lawton – 1,100 referrals

Helpline Referrals 2000 or more

SSM Health St. Anthony Hospital – Oklahoma City – 2,850 referrals

Chickasaw Nation Medical Center, Ada – 5,000 referrals

INTEGRIS Outpatient Clinics – 8,600 referrals
Through effective, health care provider-driven tobacco treatment services, HHPQ partner hospitals and clinics have referred 55,000 patients to the OTH, resulting in an estimated 39,000 years of life saved and $19.5 million dollars in reduced health care costs as well as personal spending on tobacco products.
The Tobacco Settlement Endowment Trust (TSET) supports OHA’s Hospitals Helping Patients Quit and the Oklahoma Tobacco Helpline. For more information the HHPQ initiative, go to https://www.okoha.com/hhpq. For information on the Oklahoma Tobacco Helpline,
http://okhelpline.com.

An Oklahoma Medical Research Foundation scientist hopes a new, two-year grant will help him pinpoint the genetic variants that can cause age-related hearing loss.
Scientist Gaurav Varshney, Ph.D., will receive $469,000 from the National Institute on Deafness and Other Communication Disorders, a part of the National Institutes of Health.
Varshney’s lab studies human disease through zebrafish. More than 80% of human genes known to be associated with disease have a counterpart gene in the paperclip-sized fish.
In the U.S., hearing loss affects 1 in 8 people ages 12 and older, according to the NIH. The numbers rise as we age, with 1 in 3 experiencing hearing loss among those 65 to 74 years old.
Genetic causes account for up to half of all hearing loss cases, Varshney said. Scientists have narrowed the possible responsible genetic variants to about 100 mutations through genomewide association studies.
One such U.K. study, published in 2019, analyzed the DNA of 250,000 people between 40 and 69 years old with diagnosed and self-reported hearing loss. That study identified 44 regions within the DNA where one or more genetic mutations could cause hearing loss.
Humans and zebrafish share 39 of those 44 regions. Those 39 areas will be the focus of Varshney’s research.
“We want to pinpoint the specific genes within those 39 regions that could be responsible for hearing loss,” he said. “With that information, scientists can design better treatments for the condition.”
Varshney’s lab will use the gene-editing tool CRISPR/Cas9 to turn off individual genes within a given DNA region in the fish. To determine whether that missing gene results in hearing loss, his team will track fish behavior immediately after generating a startling sound. He’ll then repeat this process for genes in all 39 regions.
“Dr. Varshney’s research is a critical step, and it’s representative of how genetic studies often work,” said Patrick Gaffney, M.D., who chairs OMRF’s Genes and Human Disease Research Program. “You narrow the list of potential mutations until one day, hopefully, you can target a specific mutation with a drug therapy. That’s the direction his research is headed.”
Varshney’s grant is 1R21DC020317-01A1.

story and photos by Van Mitchell, Staff Writer

The Oklahoma Territorial Museum and Carnegie Library in Guthrie on Nov. 10, honored veterans at a special event called “Flames of Memory.”
Veterans’ families were invited to place a luminaria to help light up the steps of the library. The luminaria display stayed in place for the Veterans Day parade and ceremony.
The event was sponsored by the Samuel King chapter of The Daughters of the American Revolution. The American Legion, Veterans of Foreign Wars and other groups also took part.
“We write their names tonight and remember their spirit,” said Kristen Ferate, Regent, Samuel King chapter of the DAR. “Tonight, we gather to acknowledge those amongst us who have served and fought to preserve our freedom. Tonight, we light the flames in their memories.”
Ferate told audience members to always keep veteran’s memories and stories alive so the next generation can learn of their sacrifices for freedom.
“We have read stories of war, we have read books, and we have seen films, but how many of us know the pain and scars left by its ravages,” she said. “To those of us that have not served, nor privy to intimate conversations, we must embrace the importance of the freedoms that men and women have died to win. We must never take freedom for granted. I implore you to thank a veteran or seek out the history of ones that have passed. Remember them, and shine a light on their valor.”
Veterans Day (originally known as Armistice Day) is a federal holiday in the United States observed annually on Nov. 11, for honoring military veterans of the United States Armed Forces (who were discharged under conditions other than dishonorable).
It coincides with other holidays including Armistice Day and Remembrance Day which are celebrated in other countries that mark the anniversary of the end of World War I. Major hostilities of World War I were formally ended at the 11th hour of the 11th day of the 11th month of 1918 when the Armistice with Germany went into effect. At the urging of major US veteran organizations, Armistice Day was renamed Veterans Day in 1954.
The guest speaker at “Flames of Memory” was retired U.S. Navy Rear Adm. Gregory Slavonic, who previously served as acting undersecretary of the Navy and the assistant secretary of the Navy for manpower and reserve affairs.
Slavonic talked about some of the sacred military cemeteries that he has visited around the globe that inter U.S. servicemen. He discussed his work on the USS Oklahoma Memorial, and recent conversations with veterans of the battle at Iwo Jima in World War II.
He said it was a stark reminder of the sacrifices military personnel made to ensure freedom.
“Many of them served beside us, and many of them perished,” he said. “This day (Veterans Day) allows us the opportunity to remember our friends, our shipmates who perished in one of the wars that we have been involved with. I was proud to wear the uniform. I am proud to be part of services like this on Veteran’s Day.”

Story by Joyce Clark, Executive Director – Saint Ann Retirement Center

Winter is here. Sometimes that means power outages. Tornadoes and other events during the year can also impact utilities, travel, and access to needed items. Take steps now to ensure you have the knowledge, fuel, and supplies to stay warm and thrive without electricity. Pooling resources and gathering with others is an economical way to have access to more supplies and assistance. An added benefit is that more people in a small space helps generate heat. Outlined below is a sample list of things you may want to maintain in your home at all times.

EMERGENCY SUPPLIES TO STAY WARM DURING A POWER OUTAGE
Backup power for the most important needs. A generator, backup battery bank, charging station, or inverter can be incredibly helpful during a power outage. If you have critical medical equipment, it may be a necessity. Solar options come in various sizes and qualities.
Lighting – Items such as glow in the dark sticks, solar lights, flashlights, headlamp, or an old-fashioned oil lantern. Outdoor solar walkway lights are an affordable & easy light source. Just place them outside or in a sunny window during the day & use by night.

• Extra batteries. Rechargeable batteries with charger.
  Bottled water
  Hand, foot, & body warmers
  Back-up supply of essential medications & personal care products
  Extra oxygen tanks &/or battery power
  Extra blankets &/or zero-degree sleeping bag. Wool & down blankets are the warmest.
  Cot or blow-up mattress
  First aid manual & supplies
  Cooking source. Outdoor grill or camping stove, special designed indoor cook stove.
  Hand held radio or communication tool
  Solar, rechargeable, or battery operated radio
  Non-perishable food that does not require cooking or refrigeration
  If you have a cooking source, items like canned soups, chili, stews, & instant noodles are easy hot meals to keep in stock. Beverages such as decaffeinated coffee, tea, cocoa, hot lemonade, hot Tang, & apple cider will help keep you warm & hydrated. Avoid caffeine & alcohol because they can have an adverse effect.
  Manual can opener
  Power banks to charge phones & smaller items
  Layered clothing. Gloves & head covering. Down or wool coat.
  Heat activated fan to blow warm air from fireplace or alternative heat source. This helps keep the room warm & less heat rising to the ceiling.
  Emergency heating used properly. Fireplace & stocked wood, candles, terra cotta clay pot / tea candle heater. Mr. Buddy indoor propane heater. Be sure to keep a working carbon monoxide detector and fire extinguisher nearby.
  Propane or appropriate fuel. Wood for fireplace.
  Fire extinguisher, smoke detector, & carbon monoxide detector
  Matches & lighters
  Self-protection. This can be as simple as a can of wasp spray that can be used from 12 feet away. Sprayed into a person’s eyes, wasp spray can be very painful & stop or slow down an attacker.
  Small 2-3 person tent or a larger one if your emergency plan includes more people.
  Tarps, plastic sheeting, sheets, cardboard, towels, wide painter’s tape, or items to stop window & door drafts.
  Puzzles, games, & things to do
  If water or the well pump is not working, a 5-gallon bucket with plastic trash bags can be used for a toilet. Purchase a seat in advance or make one by cutting a slit in a pool noodle & sliding it on the bucket rim.
  Tools to turn off water if pipes freeze
  If the refrigerator is not working, put ice or snow in a clothes washing machine with your refrigerated or frozen food. The ice will conveniently drain away as it melts.

TIPS TO KEEP WARM DURING A WINTER POWER LOSS

DRESS APPROPRIATELY TO RETAIN BODY HEAT

• Dressing in layers is one of the best ways to stay warm. Wear items that can be easily taken off or on as the temperature changes. It is important to be comfortably warm, but not sweat. Moisture can wick heat away from your body.
• Protect your extremities. Keep your hands and feet covered and warm. The human body responds to cold by drawing the warm blood supply back into its core as a survival mechanism. This puts your hands and feet at risk for frostbite.
• Cover your head. Keep your head covered to prevent precious heat from escaping out the top.
• Dress warmly from the start. It is easier to stay warm than to get warm once you are cold.

PREVENT HEAT LOSS IN YOUR HOME
If there is potential the power will be off for an extended time, take action to keep the cold out and retain heat inside of your home.

• Block entry points for cold air. Take a look around and identify places where cold air enters your home. Block cold airflow by rolling up towels or blankets and stuffing under doors. Use wide painter’s tape to seal leaks around doors and windows. Avoid duct tape, which can damage paint. Common cold air entry points include:
  Gaps around doors & windows
  Kitchen exhaust fan
  Dryer vent
  External wall outlets & switches
  Furnace, water heater vents, & cold air returns
  Fireplace flue damper or chimney
  Cover windows. Insulating windows can make a tremendous difference in your home’s inner temperature. Start by closing curtains and blinds. Further insulate by taping plastic sheeting over the window, cutting cardboard to place against the window, or even draping an extra blanket over the top of the curtain rod.

CREATE A WARM SPACE

• If the cold is potentially dangerous, you can make a small warmer area to stay in until power is restored.
  Confine activity to one selected living area. A smart approach is to condense living and sleeping to one general area of the home. This enables you to use alternative heat sources in a smaller area and conserve fuel. Choose a space that makes the most sense. Is there a room with a wood burning stove, fireplace, or even a south facing window that can provide radiant heat during the daytime? A room on the south side of the home is often warmer than a room on the north side. Basements will be warmer than the main floor during the winter. Shut all the doors or block off areas by hanging blankets, sheets, or plastic. Confine alternative heating to this one space. Be sure to maintain a working carbon monoxide detector. If anyone starts to feel headachy or sick, stop using alternative heating immediately and get fresh air.
• Set up an indoor tent. Putting up a small tent inside your designated living area will help create additional warmth. A tent provides some extra insulation to retain heat. You can create a makeshift tent by placing blankets over the top of a table or bunk bed. Body heat and any source of warmth is more contained and effective in a small area like a tent. Protect your pet and generate more warmth by keeping it in your warm spot with you.

DRINK WARM LIQUIDS AND EAT HOT FOODS
Drinking warm liquids can be comforting and help the body maintain temperature. Hydration is important to preventing hypothermia and your body needs calories to create heat. Always keep the pantry stocked with bottled water and easy-to-prepare shelf stable foods and beverages.
Cooking during a power outage can be accomplished with the correct equipment and/or back-up power source. Be very careful not to create deadly carbon monoxide or start a fire. Outdoor grills and camping stoves are a safe way to prepare meals and boil water outside. Be sure to keep a fire extinguisher and sufficient propane or fuel in supply.

GET SOCIAL AND BE ACTIVE
Two people keep a space warmer than one. Three is even better. Pooling resources and having company during a power outage can be advantageous. Shared supplies and a helping hand could be life-saving. Spending time interacting with others and playing games helps keep spirits up and time pass faster.

Moving around will help you stay warmer. Twenty minutes of mild exercise can keep a person warm for an hour. It is important to exercise moderately and not break a sweat. Sweating will wick the heat way from your body and cool you.

HEAT SOURCE OPTIONS
It is best to prepare alternative heat sources in advance and have them on hand if needed. Potential sources of heat are all around. Huddle up with friends, family, or pets under a blanket to stay warmer.

• Dry rock or brick warmer. High density objects such as rock, concrete, brick, and tile can be used as thermal mass. Put the item near a heat source and it will retain the heat after the heater has been turned off. Cooler items are great for tucking in bed to keep you warm. Make sure any rock is completely dry before heating or it could explode.
• Hand, foot, and body warmers. Options include rechargeable, butane, and disposable warmers. They all provide instant warmth. Many will last for 8 to 12 hours.
• Hot water bottle warmers. To create a small water heater, simply heat water and fill a container. You can use a traditional hot water bottle or any water-tight container like a mason jar.
• Rice bag warmer. These are helpful if you can use a microwave powered by a backup generator or other source. Make flannel bags filled with dry rice or corn. Heat them in the microwave and then use them as a hand, body, or bed warmer. Your pets will love them too.
• Indoor emergency space heating. There is a significant risk of carbon monoxide poisoning with some backup heat sources. It is important to use one that is rated for indoor use. Mr. Buddy Propane Heater is a popular choice. The VESTA Self-Powered Indoor Space Heater & Stove is another helpful and affordable devise. It is powered by canned heat or Safe Heat and can be used as a heater or cooker. Candles can be used for warmth, light, and even cooking. A terracotta pot heater made with a tea candle and clay pot is a simple system that many people recommend.

Joyce Clark is the Executive Director of Saint Ann Assisted and Independent Living in
Oklahoma City. Saint Ann is an affordable and fun community that has new levels of care, including short-term respite stay. The home is a ministry of The Archdiocese of Oklahoma City and people of all faiths love living at Saint Ann. Call Lisa at (405) 721-0747 Ext. #322 for more information about assisted or independent living https://www.saintannretirementcenter.com/.

By Eddie Roach

As the new year begins, VillagesOKC reflects on a very rewarding 2022 and looks forward to an even bigger and better 2023.
VillagesOKC was established in 2018 as a plan founded on relationships rather than transactions. Like many small towns in Oklahoma, here like-minded members can trust the connections to valuable resources, education and programming. Membership allows for personal responsibility while Empowering Independence for mature adults to age well – in the way they choose.
The combination of internal leadership and external visibility has raised awareness and opportunities for VillagesOKC. Yet its three core values remain unchanged:
* LEARN (growing the brain at any age)
* PLAN (for the bumps in life)
* SERVE (helping others is life-giving)
Highlights of 2022 accomplishments:
LEARN:
* Offered monthly iPhone and iPad technology support
* Participated in monthly Town Hall Lectures
* Held six-week Brain Health Academy
* Continued 12-month Senior Living Truth Series as educational partners
PLAN:
* Updated the Gathering Information for Transitions (GIFT) workbook and expanded the number of facilitators
* Made GIFT registration, scheduling and payment available online
* Videoed GIFT testimonials for informational sharing
* Piloted one-hour workshops for Medical Power of Attorney and Advance Directive
SERVE:
* Launched the Veteran Initiative with pinning of 350 veterans at the Oklahoma History Center
* Expanded Caregiver Ambassadors to 18 faith communities
* Grew an exciting monthly women’s coffee
* Expanded partnership with NewView Oklahoma
* Established partnership with OKC Friday Newspaper, Oklahoma Warriors Honor Flight and Force50 Foundation
In 2023, VillagesOKC will begin LifeSkills Academy, expand The GIFT and Power of Attorney Workshops, expand the Veterans Initiative, double the number of Church and Synagogue connections, and double the VillagesOKC Advisory Board.
VillagesOKC is becoming the magnet, the trusted one source for senior connections in greater Oklahoma City.
To learn more about VillagesOKC, go to their website: https://www.villagesokc.org/ or call (405) 990-6637.

Betsy (Goff) Willman Anderson

Betsy (Goff) Willman Anderson celebrated her 100th birthday in Pawnee. In Tulsa, Betsy graduated Class of 1939 from Central High, attended TU, was a member of 1st Baptist & Parkview Baptist Churches, Chi Omega Sorority & volunteered at Gilcrease Museum. She says anything fattening is her favorite food!

Louise (Noels) Green

Louise (Noels) Green of Tulsa was born December 16, 1919. She was a lifelong educator, teacher and counselor in McAlester & stayed very actively involved in the Beebe Chapel CME Church, L’Ouverture High School Alumni & American Legion Post 250. Louise’s life advice: “Education. History. Treat people the way you want to be treated!”

WWII Veteran Paul Romanello

WWII Veteran Paul Romanello of Tulsa having 100th birthday fun with him family and friends. He was a man before his time, never said an unkind word about anyone, loves people and was always the center of attention with his good looks and charming magnetic personality. His words of wisdom are to enjoy your family and life to the fullest! Thank you for your service!

KNOW A CENTENARIAN?
If you know of a Centenarian you would like to honor, please visit
http://centenariansok.com/ and download, complete and submit our form. One of our team members will contact you directly with the next steps.

*Includes 15 hospitalizations in pediatric beds.
**Focus, Rehabilitation and Tribal Facilities numbers are not assigned to a specific region as their patient populations reside across the state. Information provided through survey of Oklahoma hospitals as reported to HHS as of the time of this report. Response rate affects data. Facilities may update previously reported information as necessary.
Data Source: Acute Disease Service, Oklahoma State Department of Health. *As of 2022-12-29 at 7:00 a.m.

Christina Sibley, EMT/RMA, Bachelor of Science- Health Studies

Hormone replacement therapy (HRT) has been a subject of debate for decades, with both sides of the fence claiming harms and health/longevity benefits of taking or leaving it. That can leave women, in particular, at a loss when trying to make an informed decision. Why is it so difficult to get a definitive answer?
In short: hormones, and their effects on the body are complicated and studies tend to concentrate on one or two hormones at a time, usually synthetic, like estrogen and progesterone. Results vary across studies, or even in the same study, when data is analyzed using different variables.
The Women’s Health Initiative (WHI) study is an example of this. A report was sent out in 2002 by the WHI that HRT showed increased risk of certain cancers and cardiac events. Because of that release, prescription and use of HRT plummeted shortly after. Their final report in 2013, after reassessment of study data and addition of new data, showed risk results depended greatly on age and/or time HRT was started post menopause.
Many studies, including the WHI study, only look at estrogen alone or in combination with progesterone, usually synthetic or animal based. They generally don’t consider testosterone (T) at all, which women also produce and is widely available in the body prior to menopause, especially surgical. Additionally, there’s much debate over using synthetic HRT vs bio-identical (plant based) HRT, which is not currently FDA approved. The most effective method of delivery (oral, injectable, creams/gels, patches, or implanted pellets) is also debated, further complicating the issue.
Where does that leave us now? The general consensus, according to the WHI, and other studies, is that in otherwise healthy women, benefits outweigh risks, especially if started closer to the beginning of menopause (natural or surgical). The decision should be made on an individual basis, by the patient and their physician, considering the health history and risk factors of that person.
Christina Sibley, with Sibley Insures, is a licensed health insurance agent who specializes in Medicare plans, all types, and Medicare education. Call (405) 655-6098 or visit https://www.sibleyinsures.com/.