Paced by the lowest smoking rate ever recorded, Oklahoma moved up three spots to 43rd in America’s Health Rankings, issued by the United Health Foundation. The improvement was the second highest among all states, trailing only Florida and Utah, which improved their ranking by four spots. America’s Health Rankings are based on four components or aspects of health – behaviors, community & environment, policy and clinical care. Health outcomes are also used to rank states.
“Despite the many challenges facing us, I am encouraged that our employees and our partners across the state continue to work toward improving the health of all Oklahomans and that their efforts are producing results,” said Interim OSDH Commissioner Preston Doerflinger. “We know where our focus must be in providing the core services that will make a difference in the lives of all our citizens going forward.”
In smoking rates, Oklahoma improved to 36th nationally – an improvement of nine spots. Oklahoma’s smoking rate has declined 25 percent in the past five years. That is the largest improvement for any state since 2012 but is still 2.5 percent higher than the national average of 17.1 percent.
An area in which Oklahoma is better than the national average, low birthweight, saw the state improve to 7.9 percent. Oklahoma has improved 11 spots to 22nd in the past five years, one of the best advances in the nation.
The best ratings for the state were in the low occurrence of excessive drinking (2nd), pertussis rates (2nd) and the number of mental health providers (5th). Oklahoma also had improvements in obesity rates, the number of people who are physically active, and drug deaths, but still ranks well below the national average.
Areas of concern include lack of health insurance, diabetes rates, and children’s immunization rates.
While Oklahoma’s uninsured rate has decreased the past three years to 13.9 percent, the national ranking dropped another two spots to 48th and the rate lags far behind the national rate of nine percent.
Following a national trend that saw an all-time high in diabetes rates of 10.5 percent nationally, Oklahoma is ranked 41st with a rate of 12 percent. The rate of immunization among children 19 to 35 months dropped significantly (75.4 percent to 67 percent) moving the state ranking to 42nd while overall adolescent immunization rates improved by six places (40th to 34th).
The complete rankings and summaries for Oklahoma and all states can be seen at https://www.americashealthrankings.org

Photography and Text by Terry “Travels with Terry” Zinn t4z@aol.com

Colorado offers many tourist areas. Two are the college town of Ft Collins and the mountain town and gate way to Rocky Mountain National Park, Estes park. Both offer a staggering amount of dining options and shopping experiences, sure to test your endurance.
For lunch in Ft Collins, the Mainline, 125 South College Avenue, is in an upscale modern renovated industrial building offering a diverse selection of food choices with courteous wait staff. Located in old town on its main street, is popular and validates its reputation.
The Perennial Gardener and Sense of Place, at 154 N College street, offers seasonal décor and specialty items. While the store is packed to the rafters with tempting objects, don’t miss the outdoors back yard with a choice of garden sculptures. Nature inspired gifts include scented candles, wall art, jewelry and even unique pajamas. In their own season, holiday items and ornaments abound. While strolling the town don’t miss the old town square and the candy store, Rocket Fizz.
When shopping on College, on Ft. Collin’s main street, be sure and drop into the Rocky Mountain Olive Oil Company (www.RockyMountainOliveOil.com) where you can sample many different Olive Oil infusions, and a few hole olives. I was looking for gourmet blue cheese stuffed olives for Martinis.
I found my olive search at Flat Top Mountain Trading Company, (145 East Elkhorn, 970-480-1445) in Estes Park, Colorado. The Olives are very large and the cheese as pungent as you cold want. Of course you’ll need to visit Estes Park and its main street filled with a variety of gift and food shops.
While in Estes Park be sure and visit the tasting room at Dancing Pines Distillery (www.DancingPines Distillery.com). Their Colorado Crafted Vodka is distilled from grapes 6 times in a column still with snow melt water from the Rockies. The Vodka has a faint hint of grape and is a truly unique vodka, just the kind of specialty you seek as a delectable souvenir. For a tasting of 6 of their liquor concoctions you can get a cocktail made to your specifications. You can choose from the Campfire Mule, of Ginger Beer with a choice of spirits, Chai Manhattan, of Bourbon and Black Walnut with Cherry Orange, among others. The tasting room offers comfortable seating and an elevated view of the shops below a mountain backdrop.
Visitors are encourage to take the Elkhorn Express Trolley located a the Visitor Center, 691 N, St. Vrain Ave, conveniently located next to the new parking structure. The trolley can make stops at Bond Park, The Ore Cart Rock Shop, West Park Center, the Trading Post, Barlow Plaza and the Grubsteak Restaurant. For availability and times check out; www.estes.org/shuttles.
Twin Owls Steakhouse, near downtown Estes Park on MacGregor Avenue is a natural choice for a mountain log cabin environment. Of course the food selections are numerous and the quality top notch, from prime rib, seafood to trout. Musical entertainment might be engaged on your evening experience. Our wait staffer, Sergei, was Russian charming and efficient. Reservations recommended. (970-586-8113) For overnight lodgings you may want to investigate the nearby Black Canyon Inn.
A trip to this area would not be complete without a stay or short visit to the iconic and historic Stanley Hotel. This hillside white visage is credited with inspiring Steven Kings’, “The Shining,” and tours of the property are available even if you can’t book an overnight stay. As with many famous and upscale hotels, a visit to their restaurant or bar can satiate your need of your atmospheric hunger. The Whiskey Bar offers quality beverages as well as you can order food, as the restaurant proper has limited hours. In coming years a maze, just recently planted in front of the hotel, will grow and offer an old world experience.
This is just a small sampling of two cities which you can explore when visiting Colorado.
For more on Estes Park visit, www.EstesPark100.com
For more on Fort Collins visit, www.visitftcollins.com

Mr. Terry Zinn – Travel Editor
Past President: International Food Wine and Travel Writers Association
http://realtraveladventures.com/author/zin

by Bobby Anderson, Staff Writer

Linda Ardray worked in health care for more than 30 years.
Approaching retirement after working as an MRI tech, Ardray wondered what she would do with the rest of her life.
She knew she had a lot of free time ahead of her. And she didn’t have any big plans to travel the globe.
Sitting at home all day didn’t seem too appealing either.
“My dad was an accountant and he always said you have to start your own business, that’s the only way you’re going to make it,” she said with a laugh.
So she took a deep long look at where her passions lied.
Turns out they were lying at her feet under the kitchen table.
“My dog is my kid and I wanted to get her really good food,” Ardray said of the beginning of her business plan. “I went online to see what I really needed to look for.”
She went to one of the big box stores for pets. Up and down the aisles she went, eventually leaving without what she was looking for.
“That’s why I thought we needed this in Moore,” she said. “I like that I’m right here and that I’m a little neighborhood store.
That’s how The Dusty Paw was born.
Just east of the Cleveland County Health Department’s Moore location, The Dusty Paw serves pet owners looking to make informed decisions about what they feed their animals.
“Unfortunately, the pet food industry is not very transparent,” she said. “There’s groups out there trying to change legislation on the wording of pet food. Instead of pet food a lot of it is pet feed.
“Once I started this store and really delved into it I thought ‘Oh, my God.’”
She noticed immediate changes from both her dog and her cat when she switched their food to one with purer ingredients.
A reduction in shedding was one of the first benefits.
Ardray has a miniature Australian Shepherd. Now 13, her dog still acts like a pup.
“She just runs circles in the backyard,” Ardray said. “When I changed her over I saw the biggest difference.”
Getting up every morning to go to work and then coming home at night, Ardray discovered that after 30 years she didn’t truly know the community she lived in.
Now, every day is an opportunity to bond with someone new.
“The customers are happy when they come in. The dogs are happy when they come in,” she said. “I’ve made a lot of friends here.”
She opened The Dusty Paw in February 2016, shifting from health care to entrepreneur.
“I had more time when I had a job,” she said, only half joking. “But it’s been fun. It’s been very rewarding.
And some things still remain the same. She’s still taking care of people on a daily basis.
Owning a business has allowed her to express her creative side. Often people come to The Dusty Paw in search of quality pet food but they fall in love with Ardray’s hand-made vests and leashes.
Pets are welcome to browse with their owners and most often leave with either a new treat, toy or article of clothing.
“I want them to know that they can come in here and if I can’t answer their questions about nutrition I’ll find out,” she said. “I have a nutritionist I can call for answers. I just want it to feel welcome here, not just a store.”
Ardray remains active in the community, raising funds for various causes, most of them animal related. In December she’s offering an opportunity for owners to bring their pets for photos with Santa. All proceeds benefit the Moore Animal Shelter.
She has a drop box for Pet Food Pantry, which currently serves over 8,000 lbs of dry food & over 2,500 cans of wet food each month to cats and dogs belonging to the homeless, elderly and veterans in Oklahoma.
The pantry also gets her expired food.
With Blake Shelton playing on the radio in the background, Ardray describes herself as a “wanna-be country girl.”
Her down-to-earth demeanor makes it easy for people to ask for advice. She’s researched the ins and outs of all things pet food related.
She warns customers to make sure they know where their food is sourced from.
“You can put Made in the USA on something and it can still be sourced from overseas,” she said.
You can be sure Ardray knows where everything in her store is coming from.
It’s now her passion in life.

Dear Savvy Senior,

What are some financial factors to consider when retiring abroad? My husband and I will be retiring in a few years and are interested in living in a foreign country that’s cheaper than the U.S.

Frugal Couple

Dear Frugal,

Retiring abroad has become a growing trend for millions of U.S. retirees who are looking to stretch their retirement savings. Here are some tips and resources to consider that can help you prepare.
Researching Tools
For starters, you can find lots of information and articles on the countries and cities you’re interested in retiring to at websites like InternationalLiving.com and EscapeArtist.com.
Another good tip is to talk or network with some expatriates who have already made the move you’re thinking about making. They can give you tips and suggestions on many issues, as well as the advantages and disadvantages and day-to-day reality of living in a particular country. Some popular sites for finding expat resources are ExpatExchange.com and ExpatForum.com.
But before committing to location, most experts recommend that you visit multiple times during different seasons to see whether you can envision yourself living there and not just exploring the place as a tourist. Also, consider these financial factors:
Cost of living: Retiring abroad used to be seen as a surefire way to live beyond your means, and for some countries it still is. But the U.S. dollar isn’t what it used to be, so your money may not stretch as far as you think. See Numbeo.com for a country-by-country cost of living comparison.
Taxes: No matter what foreign country you decide to retire in, as long as you’re a U.S. citizen you must file an annual tax return reporting all income above certain minimums, not matter where it’s earned. For details see the IRS publication 54, “Tax Guide for U.S. Citizens and Resident Aliens Abroad” at IRS.gov/pub/irs-pdf/p54.pdf.
Health care: Most U.S. health insurance companies do not provide coverage outside the U.S., nor does Medicare. Check with the embassy (see USembassy.state.gov) of your destination country to see how you can be covered as a foreign resident. Many countries provide government-sponsored health care that’s inexpensive, accessible and just as good as what you get in the states, or you may want to buy a policy through Medibroker (Medibroker.com) or Bupa Global (BupaGlobal.com).
Also know that most people who retire abroad eventually return to the U.S., so you should consider paying your Medicare Part B premiums. If you drop and resume Part B, or delay initial enrollment, you’ll pay a 10 percent premium penalty for every 12-month period in which you could have been enrolled.
Banking: Opening or maintaining a bank account abroad has become more difficult because of the Foreign Account Tax Compliance Act, a U.S. law designed to prevent Americans from hiding assets abroad. So, you may have to establish a savings and checking account with an institution that has international reach like Citibank. And/or consider maintaining your U.S. bank account that you can access online, and get U.S. credit and debit cards that don’t charge foreign transaction fees.
Rent versus buy: Buying a home in a foreign country can be complicated, so it’s usually cheaper and simpler to rent, unless you know you’re going to live there for a long time.
Social Security: You can receive your monthly Social Security benefits almost anywhere you live around the world (see SSA.gov/international/payments.html). Your benefits can be deposited into your bank account either in the U.S. or in your new home country, but there are some exceptions.
The U.S. State Department offers a handy checklist that can help you think through all the issues on retiring abroad. To access it visit Travel.state.gov and search for “retirement abroad.”
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.

What do you hope the new year has in store for you? Cleveland County Habitat for Humanity

Health, health and more good health. Eileen Checorski

For Habitat I want us to build three houses and complete five mortgages. Tambra Gowin

That I don’t lose my sanity along the way. Susan Pearson

To deepen my relationship with Habitat through raising money to build more homes. Andrea Marler

SYNERGY HomeCare provides hope and help to seniors and their families

by Traci Chapman

Kassem always knew she had a calling to serve – it was a calling that became a beacon of light for seniors and their families who needed help.
“Caring for people and providing hospitality are my natural passions, and part of my culture is to care for seniors,” Kassem said.
Kassem’s passion lit the beacon that became SYNERGY HomeCare, a flame that began to burn in 2011.
It was in 2011 Kassem graduated with an MBA from University of Central Oklahoma. That graduation marked a turning point for her – Kassem said she saw a void when it came to compassionate senior care and was determined to do something about it.
Kassem had a unique approach – fusing her drive to care for people with her love for hospitality, she did extensive research on senior care franchises. When she found SYNERGY, Kassem knew exactly where she was meant to be, she said.
“My heart just connected with the mission and values of SYNERGY HomeCare,” she said.
Kassem’s philosophy quickly took hold, spurring growth for the local franchise. Today, Kassem’s SYNERGY operation includes two offices – the original in Edmond and a second location, opened in December 2016 in Norman – employing 10 staff members and more than 100 caregivers. The company has a 5-mile service area and also provides referrals to clients in other locales, Kassem said.
“Although the metro area is geographically widespread, the small-town culture naturally evolved into relationships extending southward down the Interstae-35 corridor, allowing SYNERGY to begin penetrating the Moore/Norman market,” Kassem said.
While about five percent of Kassem’s caregivers provide live-in care, most do not, offering services to clients that take anywhere from an hour and up to 24 hours, at any given time, she said. Those caregivers tend to a myriad of needs, from the most personal – like bathing and dressing, feeding, dealing with incontinence and other issues – to companionship, coordinating outside appointments and services, meal planning and preparation, transportation, light housekeeping and running errands.
Those, of course, are necessities and things seniors need assistance with every day. But, there is so much more to it – and, that’s where post-hospitalization care comes in, Kassem said.
“It’s difficult for anyone to come home after a hospital stay, but for seniors it can be much more challenging – they might suffer from memory loss, their health depends on remembering and following hospital discharge instructions, keeping follow-up doctor’s appointments and other matters,” she said. “They also face trying to take care of day-to-day tasks while they’re recuperating.”
According to the Agency for Healthcare Research and Quality, almost a quarter of seniors hospitalized are readmitted within 30 days of discharge, many times for conditions unrelated to the initial illness or injury. That’s one reason why SYNERGY moves beyond daily assistance, with coworkers providing medical and emotional issue care, including care management, recovery assistance, difficult behavior management and more. Caregivers provide help, and hope, not only to senior clients, but may also provide relief for family members who need respite from taking care of a loved one, Kassem said. It’s assistance that can mean all the difference to everyone involved, she said.
All Kassem SYNERGY caregivers are employees, not contract labor – something somewhat unusual in the senior home care industry, and management is always a phone call away, including on-staff supervising registered nurses, she said. Care assessments are always provided on a complimentary basis, Kassem said.
Veterans are an integral part of SYNERGY’s mission – in fact, she said the organization is one of the largest veteran home care providers in the state.
“Veterans call us directly, and we can even help get them through the paperwork process,” Kassem said. “At times we work with the VA Center in Norman and with the Dale K. Graham Foundation in Norman.”
As SYNERGY continues to grow, Kassem said she hopes to provide even more services, including expanding a program started in 2017 – Dine & Discuss, an event hosted at SYNERGY’s Edmond location, which also served as an Alzheimer’s Association fundraiser.
“We partnered with the Alzheimer’s Association, where we provided complimentary dinner and two free hours of respite care while the topic was discussed,” she said. “The topics change each month, and the speaker also varies – we hope to create the same opportunity to the public going into 2018, but working towards creating a calendar of speakers further in advance and promoting it more so the word is spread.”

More information is available by calling or reviewing SYNERGY HomeCare’s websites, both for its Edmond and Norman locations:
SYNERGY HomeCare Edmond
13720 N Bryant Ave
Edmond, Oklahoma 73013
405-254-3046
www.synergyhomecareedmond.com
SYNERGY HomeCareNorman
1272 N Interstate Drive
Norman, Oklahoma 73072
405-701-0791
www.synergyhomecarenorman.com