NICOA SCSEP – NATIONAL INDIAN COUNCIL ON AGING SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM – is a federally funded program, serving the low-income job seeking population 55 and over. Arnetta Yancey, SCSEP Central Region Program Manager, NICOA stated: “The program offers paid on-the-job training, job search assistance, help in writing a resume and tips on improving interviewing skills. This is a four (4) year training program and is the only federal program for low-income U.S. citizens, age 55 and over. The program is administered by the U.S. Department of Labor under the authority of the Older Americans Act of 1965. The program is free to participants and host agencies.”
NICOA SCSEP participants provide community services for public agencies or nonprofit organizations providing much needed staff in the workplace. Positions are 20 hours per week at minimum wage. The NICOA SCSEP staff focuses on matching job seekers with agencies offering job training in their field of interest. Information on Job Fairs, mentoring, and counseling are available to all. Participants are offered the opportunity to take part in trainings provided by NICOA SCSEP and host agencies. These trainings include ESL, computer literacy, telephone systems and other skills specific to their field of interest and job assignments.
While many seniors need to work to supplement their income, others want the workplace camaraderie and personal fulfillment working provides. NICOA SCSEP is an organization which can help in either case. For seniors’ educational barriers may exist in getting a job in this fast-paced, ever changing work environment. Some may not have the skill sets applicable while physical limitations may prevent others from working in their previous jobs. Some career fields impacted include construction, oil field, plumbing, welding, waitressing or any field requiring physical strength and stamina. For other seniors, becoming proficient in technology skills needed in the workplace is the goal. Many seniors need training in using the internet, social media and computer programs, such as Word, Publisher or Excel.
The goal is for each trainee to find a job outside of the NICOA SCSEP program. In Oklahoma County, NICOA currently has 60 elders enrolled and have placed over 30% of the participants in employment. In 2018, NICOA partnered with more than 35 community agencies including The Salvation Army, Lottie’s House, Department of Veterans Affairs, Heartline 211 and Oklahoma County Senior Nutrition. Diane Maguire, North Coordinator for The Salvation Army, oversees the Warr Acres and Danforth Senior Centers, stated “NICOA SCSEP trainees have been a blessing in many ways for us at The Salvation Army Senior Centers. Having them be a part of the staff has given us the ability to do more for our seniors. Throughout their training I have watched them build skills that have enabled them to serve our senior citizens, ‘the golden generation,’ with both skill and love.”
Jacqueline Lewis, a former NICOA trainee, gave a pep talk and shared her success story with Paycheck Club participants in Oklahoma City. Jacci’s story: “When I applied to this program, I felt defeated. The job-hunting process has changed so much from the earlier years. Beginning with my very first host site to the last one, the things I learned were invaluable. This program teaches self-worth for the aging population that still wants to work. The staff will listen to your concerns and guide you in the best direction. They provide workshops and interview techniques along with the onsite training to better prepare you to reenter the work force. This program is a confidence builder that at 55+ you can step out and succeed. I am now employed full time thanks to this program. If you have barriers to employment start here for help in overcoming them and success in job search.”
Jacci joined NICOA SCSEP to prepare herself to be a viable candidate for employment. She wanted to enhance her skills, learn new processes and techniques, become proficient in computer programs in daily use. At NICOA SCSEP Jacci said she found all of this and more; “The moral support, guidance, advice and workshops kept me on target and focused.” She has been full-time employed for over 18 months and loves having a meaningful job.
If you are looking for a way to learn, develop and refine marketable skills call NICOA SCSEP to learn of your options. NICOA SCSEP provides the opportunity for paid training, meaningful community service, skills development and a great support network.
Ms. Yancey stated: “Our elders have so much experience and knowledge to contribute we must give them viable options. NICOA SCSEP offers options. Contact our office at 405-254-3642”.

Dear Savvy Senior, What can you tell me about reverse mortgages for retirees? My wife and I are contemplating getting one but want to make sure we know what we’re getting into. Running Short

Dear Running,
For retirees who own their home and want to stay living there, but could use some extra cash, a reverse mortgage is a viable financial tool, but there’s a lot to know and consider to be sure it’s a good option for you.
Let’s start with the basics.
A reverse mortgage is a unique type of loan that allows older homeowners to borrow money against the equity in their house (or condo) that doesn’t have to be repaid until the homeowner dies, sells the house or moves out for at least 12 months. At that point, you or your heirs will have to pay back the loan plus accrued interest and fees, but you will never owe more than the value of your home.
It’s also important to understand that with a reverse mortgage, you, not the bank, own the house, so you’re still required to pay your property taxes and homeowners insurance. Not paying them can result in foreclosure.
To be eligible, you must be 62 years of age or older, own your own home (or owe only a small balance) and currently be living there.
You will also need to undergo a financial assessment to determine whether you can afford to continue paying your property taxes and insurance. Depending on your financial situation, you may be required to put part of your loan into an escrow account to pay future bills. If the financial assessment finds that you cannot pay your insurance and taxes and have enough cash left to live on, you’ll be denied.
Loan Details
Around 95 percent of all reverse mortgages offered today are Home Equity Conversion Mortgages (HECM), which are FHA insured and offered through private mortgage lenders and banks. HECM’s also have home value limits that vary by county, but cannot exceed $679,650.
How much you can actually get through a reverse mortgage depends on your age (the older you are the more you can get), your home’s value and the prevailing interest rates. Generally, most people can borrow somewhere between 50 and 65 percent of the home’s value. To estimate how much you can borrow, use the reverse mortgage calculator at ReverseMortgage.org.
You also need to know that reverse mortgages have recently become more expensive with a number of fees, including: a 2 percent lender origination fee for the first $200,000 of the home’s value and 1 percent of the remaining value, with a cap of $6,000; an upfront 2 percent mortgage insurance premium (MIP) fee on the maximum loan amount, plus an annual MIP fee that’s equal to 0.5 percent of the outstanding loan balance; along with an appraisal fee, closing costs and other miscellaneous expenses. Most fees can be deducted for the loan amount to reduce your out-of-pocket cost at closing.
To receive your money, you can opt for a lump sum, a line of credit, regular monthly checks or a combination of these.
More Information
To learn more, read the National Council on Aging’s online booklet “Use Your Home to Stay at Home” at NCOA.org/home-equity. And see the National Reverse Mortgage Lenders Association self-evaluation checklist at ReverseMortgage.org/consumerguides.
Also note that because reverse mortgages are complex loans, all borrowers are required to get face-to-face or telephone counseling through a HUD approved independent counseling agency before taking one out. Most agencies typically charge around $125. To locate one near you, visit Go.usa.gov/v2H, or call 800-569-4287.
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.

The Retired and Senior Volunteer Program of Central Oklahoma (RSVP), a nonprofit organization that enriches the lives of senior adults through community volunteer opportunities and the Provide-A-Ride Senior Transportation Program, recently announced its 2019 Advisory Council members.
RSVP Advisory Council members are: Debbie Evers, community volunteer; Jamie Jeter, retired, Tinker Air Force Base; Wanda Patrick, retired, Hank Martin, CPA; Sheryl Presley, TRIAD coordinator, Oklahoma City Police Department; Kimberly Sanders, retired, Focus Oil & Gas; Paul Sanders, retired, All-American Bottling Corporation; and David Smith, retired, Oklahoma Tax Commission.
RSVP’s advisory council helps to enhance the nonprofit’s recruitment, retention, and recognition of volunteers.

by Bobby Anderson, Staff Writer

The flu season is just now ramping into overdrive and Oklahomans are feeling it.
According to the most recent data provided by the Oklahoma State Department of Health, more than 250 Oklahomans were hospitalized for the flu the week of Feb. 13-19 alone – bringing the total number of hospitalizations to more than 1,200.
Some 31 Oklahomans have died from the flu since Sept. 1, 2018.
Nationally, the Centers for Disease Control estimates 20.4 million have already contracted the flu.
And in late February the CDC announced an emerging variant of the virus was responsible for nearly half of all cases and could push the season all the way into May.
Odds are you’ll come into contact with the flu this season.
But what if there were a way for you to minimize not only your exposure but the exposure of others when you start feeling sick?
Enter DispatchHealth, an innovative health care delivery model rapidly growing in the metro.
DispatchHealth is bringing back the house call with a modern technology twist. DispatchHealth gives patients ways to access convenient, high-quality acute care in the comfort of their home, office or in the location of need.
DispatchHealth is redefining the healthcare landscape as an extension of a patient’s healthcare team and offering solutions for simple to complex medical problems all from the comfort of your home.
While most seek treatment at an emergency room (ER) or urgent care clinic, when leaving one’s home the virus can be immediately exposed to others and cause further spread of the flu.
And if you don’t have the flu then you’re walking right into a waiting room full of it.
Randee Green, APRN, is one of the Dispatch nurse practitioners treating patients in their home.
“I know from working in the ER if they go to the ER and they’re 80 years old and say they’re weak they’re going to get worked up from head to toe,” Green said. “I like being able to go in with a couple tests I can run and say ‘this is something we can handle at home.’ Then if it’s not then we can send them on.”
“I do like the satisfaction of knowing I’ve saved this person from getting run through the mill in the emergency room.”
No lengthy waits. No need to leave your home.
And maybe one of the best things about the service is that for patients with Medicare, Medicare Advantage as well as Blue Cross and Blue Shield insurance plans the cost is the same or less than that of an urgent care co-pay.
A respiratory therapist for 15 years, Amy Evans is the Dispatch market director.
“I’ve learned what a valuable resource it is for seniors to keep them at home,” Evans said.
The flu is transmitted by contact and airborne measures and is especially dangerous for young children, seniors and those with chronic illnesses. A person who has caught the virus can infect others up to six feet away. Adults can infect others one day before their flu symptoms even develop and can pass on the virus up to a full week after becoming sick.
“If they don’t have the flu they risk getting it when they go to the ER,” Evans said. “If they do have the flu then they can stay at home and be comfortable and have someone come to them.”
“And the cost is cheaper than the ER.”
Evans said – on average – Medicare patients without a secondary insurance are paying less than $20 locally.
“I feel like I’m finally in a positive track in healthcare because we’re doing something to help,” Evans said. “We’re helping the population, the community and we’re helping the healthcare system reduce costs. It’s win-win all over the place.”
“We’re helping providers after hours so they not just telling them to go to the ER. We’re partnering with physicians, hospitals, post-acute care, skilled and assisted living.”
Services include testing such as: blood tests on-site, strep test, flu swab, urinalysis, urine cultures, stool culture, test for blood in stool, pregnancy test, lactate, 12-lead EKG, PT/INR, rapid infectious disease testing and more.
Medication – as well as IV fluid and breathing treatments – can also be administered on site.
DispatchHealth can be reached by calling 405-213-0190 and currently sees patients from 8 a.m. to 8 p.m.

by Kaylee Snow

Move and adapt.
For Patti Townsend, her entire life could be described by these two words.
After enduring the drought of the Dust Bowl, Townsend’s father, an Oklahoma farmer and coal miner, decided to move his family west to California during World War II. There was a need for work in the shipyards because of the war, so he was certain a better life would await them there.
“My father just threw up his hands and said, ‘This farming is not worth it right now,’” she said.
Townsend grew up in San Francisco, a much different sight from the New Mexico cattle ranches she would soon call home.
After marrying Gayland Townsend, the two began ranching together in Albuquerque and then Roswell. They raised commercial cattle before incorporating Brangus into their herd, eventually owning nearly 800 head. The Townsends moved several times while in New Mexico, each time to a bigger ranch, before relocating to Oklahoma in 2004.
“I was chief cook and bottle washer,” Patti Townsend laughed, pointing out that she worked more than everyone else because she had two jobs: ranching and cooking.
She added, “They counted on me being out there helping them with cattle a nd then having dinner on the table too.”
“I wasn’t a hired hand,” she laughed. “I was a free hand. Let’s put it that way. I was out there working cattle and then having pot roast in the oven.”
She would have beans on the stove and cornbread in the oven while she worked cattle.
“They’d send me up there about 10 minutes before, and then I put everything on the table,” Townsend said. “They ate. I cleaned up. I was back out there in the corral.”
While the Townsends ranched in Roswell on the “home place,” Patti Townsend became heavily involved with the New Mexico Cowbelles. She served on the board, as secretary and as president.
“I did everything they asked me to,” she said.
Townsend worked beef cook-offs, helped the New Mexico Beef Council – where she also chaired the board – at the state fair, and helped put on the beef ambassador contest. She traveled to each region of the state giving workshops, ran booths at the state capitol, and visited schools to teach children about beef cattle. She also led farm tours to show the public more about the industry.
She recalls one lady being so excited – and scared – to give a cow a shot for the first time.
“She did it. She ended up giving that cow a shot, and then she raised her hands up and just thought that was the greatest thing in the world that she gave that cow a shot,” Townsend laughed.
It was the education and promotion of agriculture, specifically beef cattle, that drove Townsend.
She was involved on the local, state and national level. She was named the 1999 New Mexico Cowbelle of the Year and served as president. She also served as region director of the American National CattleWomen for six years and was president of ANCW in 2003.
Townsend, who “to this day still can’t believe it,” was named the 2011 ANCW Outstanding CattleWoman of the Year.
“It was the best honor I could have in my life,” she said.
The “home place” or “family ranch” as Patti Townsend calls it, is where the Townsends lived for about 21 years and raised three sons: Philip, Charles and Steven. It is also where Townsend started her sheep herd, which grew to nearly 600 head over a 20 year period.
“The boys had them [the sheep] for ag,” she said. “It was an ag project, and course they showed sheep too. The oldest one took off to college, and he had to sell his part of the sheep to the other two. And when the second one went off to college, he had to sell his part to the youngest one. And then when the youngest one when off to college, there was nobody to buy them but Momma. So I bought his share, and so those were Momma’s sheep now.”
“There was a herd of them by the time we finished with them because they can have triplets,” she laughed.
Her sons were all heavily involved in FFA, showing cattle, pigs and sheep. All three received their American FFA Degrees, and Charles was a state FFA officer.
All three also grew up to pursue agriculture. Charles is a veterinarian, Philip is a rancher and fishermen’s guide, and Steven runs the ranch, which is now located in Milburn, Oklahoma.
“We started getting bigger on account of the youngest son [Steven] wanting to be a rancher, and so that’s the reason we sold the family ranch,” she said. “He’s always wanted to be a rancher since he was 3 years old.”
The Townsends moved to a bigger ranch outside of Roswell first before moving the cattle to Oklahoma.
Why would a successful ranching family decide to move 500 miles to begin the challenge of raising cattle in a completely new state?
The answer can be found in one word: drought.
After year five of what would be an eight-year intense drought, the Townsends were at a crossroads. Their time in New Mexico had set them up for success in Oklahoma.
“A man walked up to us and wanted to buy the ranch,” she said, “and my husband said, ‘Sold.’ So we bought a place here in Oklahoma, and that’s where we are now. We still have Brangus cattle. We raise about 600 head here.”
As the ranches got bigger and more help came in the form of her sons, Patti Townsend wasn’t needed as much. However, she never got too far away from the ranch.
“I stayed involved with the cattle, and when we culled cows and stuff like that my husband wanted me out there working to make sure I was satisfied with what they sent to the sale and what they kept for heifers. They didn’t sell my pets. Let me put it that way,” Townsend laughed.
She became very involved with the Oklahoma CattleWomen and was slated to become an officer here too, before deciding she was needed more at home to take care of her husband after his heart attack.
“I’m getting back involved with them again, but I am not moving up to be president so leave that off your list,” she laughed.
She has truly loved the ranching life – where she spent her entire career – and is hopeful that her grandchildren and great-grandchildren will pursue it.
“It is a beautiful life for a family, and I would suggest it for any young couple that wants to start living on the ranch to try it,” she said. “Get them out of the city. Put them on the ranch or the farm, and it’s a hard life. I’m not going to say it’s an easy life. We had some rough times. We had some big rough times, but we made it. We just stuck together and made it. I wouldn’t trade it for a billion dollars, or a trillion.”
It has been almost 50 years since the Townsends first started ranching together.
“It was fun days. I enjoyed it. I really did. It’s just something I did, and I was young enough to do it. Don’t ask me to now,” she laughed.
Patti Townsend, now nearly 78, reflects back on her days on the home place and says every memory was great – whether it was good or bad. She would certainly love to be working underneath the Oklahoma sky.
“I wish I was 10 years younger,” she said. “I’d be out there hand in hand. I’d still be the chief cook and bottle washer.”

by Corporal Kim Lopez, TRIAD Coordinator for all of Oklahoma County

Telephone scams, remember the good ole days when you just requested an unlisted number? Yes, those days are gone, I remember my parents saying, “this is an unlisted number” like all mankind would respect it. I’ve spent almost 33 years of my life dedicated to my community and as I look back on the good works of law enforcement officers of the past it’s laughable that we use to tell people “Just Hang Up!” this is no longer good advice. In today’s world you can no longer trust the caller ID boxes we worked so hard to hand out to seniors who couldn’t afford one. These scammers can use software to make calls look like they are coming from anywhere, even the pentagon. The first thing seniors need to understand is that other cultures believe that it is perfectly honorable, acceptable and smart to cheat others out of their money. Unlike our belief system here, they actually believe that they have harmlessly out smarted you to their benefit. There is no guilt associated with their actions to gain your money. The second thing to understand is that in other countries they believe every senior citizen is sitting on a huge three hundred thousand dollar nest egg! Hard to convince them otherwise when some people are sending over two hundred thousand dollars to crooks who promise to be someone they are not! Romance Scams, Solicitation Scams, Granny Scams and even IRS Scams require one thing, your cooperation!Telephone scams, remember the good ole days when you just requested an unlisted number? Yes, those days are gone, I remember my parents saying, “this is an unlisted number” like all mankind would respect it. I’ve spent almost 33 years of my life dedicated to my community and as I look back on the good works of law enforcement officers of the past it’s laughable that we use to tell people “Just Hang Up!” this is no longer good advice. In today’s world you can no longer trust the caller ID boxes we worked so hard to hand out to seniors who couldn’t afford one. These scammers can use software to make calls look like they are coming from anywhere, even the pentagon. The first thing seniors need to understand is that other cultures believe that it is perfectly honorable, acceptable and smart to cheat others out of their money. Unlike our belief system here, they actually believe that they have harmlessly out smarted you to their benefit. There is no guilt associated with their actions to gain your money. The second thing to understand is that in other countries they believe every senior citizen is sitting on a huge three hundred thousand dollar nest egg! Hard to convince them otherwise when some people are sending over two hundred thousand dollars to crooks who promise to be someone they are not! Romance Scams, Solicitation Scams, Granny Scams and even IRS Scams require one thing, your cooperation!I recently learned that some of my seniors in SALT (Seniors And Law enforcement Together) that they answer every call because they do not have voice mail, they feel more comfortable answering calls of their own area code and some even admitted feeling more comfortable if the prefix matched theirs. All are false, a gross false sense of security.  Many are intended to provoke you to call a number.  Many use sad emotional stories about one’s family being in fatal car accidents to entice you to make a call, unbeknownst to an adult entertainment network overseas.  All will come at a cost and all will have one common dominator: A SENSE OF EMERGENCY! In regard to IRS Scams, it’s important to understand that the IRS will notify you in writing should you need to be notified of lack of payment.  Criminal warrants are usually threatened that do not exist. If you know anyone who hangs their head at owing the IRS money and you feel they could be scammed, share this sage advice:1. Do not answer your phone unless you are certain of the caller.2. Never give any numbers associated with your financial well-being.3. Never call numbers back. Make a note of the number they are calling from and make a note of the number they want you to call back as many times these are different. Report these numbers to the IRS. These reports should be handled as IRS Impersonation Scams, report all of them to 1-800-366-4484 or complete a form online at WWW.tigta.gov.  If you do owe money for federal taxes or think you may owe taxes call 1-800 829-1040 IRS workers can help you with payment questions.Remember the IRS will never call to demand immediate payment, they will never demand you pay taxes without giving you opportunity to question or appeal and you will never be required to use a specific payment method such as prepaid debit cards.We currently hold 19 key core community groups about topics such as IRS Scams and many more. Get involved with local police and your Oklahoma County Sheriff’s office by calling 405-713-1950 and leaving your address, I will send you a reminder call every month to the Seniors And Law enforcement or SALT group near you. SALT works to prevent crimes against the 65 plus population and holds monthly meetings to be more accessible to you should you have questions or crime concerns. I am Corporal Kim Lopez, TRIAD Coordinator for all of Oklahoma County and I look forward to meeting you.

by Bobby Anderson, Staff Writer

The first year of Rick Dimit’s retirement went by in the blink of an eye.
By the time the second year rolled around he realized he needed to do something to get the most of out of his retirement.
“I wanted to do community work that was equivalent to about a day for a non-profit,” Dimit said, unfolding the story of how he got plugged into the Salvation Army Food Pantry.
Dimit’s professional life included serving as the human resources director at Francis Tuttle Technology Center. He also served as the equity officer at the University of Central Oklahoma as well as putting his law degree to work as inhouse counsel for the university.
But with all that behind him and more free time than he ever imagined he decided to commit to something once again that was bigger than himself.
“Once you’re down here and see the work they do and meet the people you basically just want to be a small part of their team,” said Dimit, who helps stock the pantry before visitors arrive. “They’re helping people that have desperate needs in a lot of areas of their life. It keeps me connected and makes me still feel like I’m part of a group and I really just appreciate what the organization stands for.”
Dee Watts serves as the social services ministry director. She says volunteers like Dimit are part of her “Salvation Army sunshine.”
“The fact we can get quality volunteers like Rick, they help us do our mission in the fact they’re not only giving people some food but they’re being kind and compassionate. It’s so important to me and the Salvation Army that we leave people intact. When they come they are honored and respected.”
“You might be coming here for something but it’s no different than if I were in that same position I would want to be treated that way.”
Currently The Salvation Army is in need of volunteers to serve in its Client Choice Food Pantry at its Oklahoma City location.
“We have seen an increase in donations for which we are extremely thankful,” said Liz Banks, volunteer coordinator. “With the increase of donations comes an increase in need of volunteers to help stock the shelves in the pantry and to serve clients.”
Dimit admits he may never truly understand the depth of how much the Salvation Army helps those in need.
“I couldn’t believe the pantry, the kitchen and after watching what they do at the holidays and so on I still don’t totally understand what they do but it’s just amazing how much is here to serve the community,” Dimit said. “A lot of people don’t understand that people walk through those doors and they have horrific needs and there is somebody here that if someone can’t address they’re getting another agency to help.”
“It’s just incredible.”
Volunteer duties may include assisting clients as they shop the pantry, preparing items before being placed on pantry shelves, and keeping the pantry shelves stocked. Volunteers are needed Monday through Friday at 1001 N Pennsylvania Avenue for the following shifts:
* Monday: 9 a.m. to 12 p.m. (Stock pantry) / 1 to 4 p.m. (Assist clients with groceries)
* Tuesday: 9 a.m. to 12 p.m. (Stock pantry) / 1 to 3 p.m. (Stock pantry)
* Wednesday: 8:30 a.m. to 12 p.m. (Assist clients with groceries) / 1 to 4 p.m. (Assist clients with groceries) / 10 a.m. to 2 p.m. (Stock pantry)
* Thursday: 10 a.m. to 2 p.m. (Stock pantry)
* Friday: 8:30 a.m. to 12 p.m. (Assist clients with groceries) / 10 a.m. to 2 p.m. (Stock pantry)
Watts urges people needing assistance to come to the pantry first before they start spending their limited monthly benefits like Social Security or food stamps.
“Let me see how much I can give you first so it will stretch,” Watts said. “That’s less out of your pockets.”
To learn more about this opportunity, please contact Liz Banks at 405-246-1107 or via email, liz.banks@uss.salvationarmy.org.
Dimit admits if he can do it anyone can. Watts agrees.
“We can teach them whatever needs to be taught but just for them to be kind and generous and flexible with us,” Watts said of volunteer qualities. “We need someone with a servant’s heart – that nothing is too beyond them or too difficult.”

by Bobby Anderson, Staff Writer

An open wound that just won’t heal can be a matter of life and limb.
Traci Davis, RN, is the director of wound care and hyperbarics at Summit Wound Care in Edmond and says seniors need to know when to seek care for a problem that can quickly get out of hand.
Davis says an open wound that hasn’t gotten at least 50 percent better in four weeks is indicated for advanced wound care.
“But, if you can get in sooner rather than later that’s always the best approach,” Davis said. “That way we can do any cultures or x-rays. Especially, diabetics if they are doing their weekly checks and notice they have a small opening that would be an indication to come in … to prevent it getting into a deeper, diabetic foot ulcer.”
What to know
According to the American Podiatric Medical Association, a diabetic foot ulcer is an open sore or wound that occurs in approximately 15 percent of patients with diabetes and is commonly located on the bottom of the foot. Of those who develop a foot ulcer, six percent will be hospitalized due to infection or other ulcer-related complication.
Diabetes is the leading cause of non-traumatic lower extremity amputations in the United States, and approximately 14-24 percent of patients with diabetes who develop a foot ulcer will require an amputation. Foot ulceration precedes 85 percent of diabetes-related amputations. Research has shown, however, that development of a foot ulcer is preventable.
Anyone who has diabetes can develop a foot ulcer. Native Americans, African Americans, Hispanics, and older men are more likely to develop ulcers. People who use insulin are at higher risk of developing a foot ulcer, as are patients with diabetes-related kidney, eye, and heart disease. Being overweight and using alcohol and tobacco also play a role in the development of foot ulcers.
Ulcers form due to a combination of factors, such as lack of feeling in the foot, poor circulation, foot deformities, irritation (such as friction or pressure), and trauma, as well as duration of diabetes. Patients who have diabetes for many years can develop neuropathy, a reduced or complete lack of ability to feel pain in the feet due to nerve damage caused by elevated blood glucose levels over time.
Vascular disease can complicate a foot ulcer, reducing the body’s ability to heal and increasing the risk for an infection. Elevations in blood glucose can reduce the body’s ability to fight off a potential infection and also slow healing.
Often times, wound patients have issues with arterial or venous disease.
“We see them every week so we tend to recognize changes,” Davis said. “As a whole, Dr. (William G.) Morgan III and ourselves we look at every system in the body and make sure everything is working together because if everything isn’t working together it makes for difficult wound healing.”
The holistic approach is one Dr. Morgan adopted long ago. Where some see wounds, Dr. Morgan sees much more.
“It’s all connected,” Dr. Morgan explained. “It’s not that we’re treating a wound, we’re treating a person that has a wound. All these things we deal with are connected.
“One of the rules about about wound care is that every wound is a window to an underlying problem.”
“That’s a rule with no exceptions.”
And if left unchecked, those wounds can lead to life-altering amputations.
“It’s extremely dangerous because diabetic foot ulcers very quickly get infected and can get staph infections very easily,” Davis said.
Lower-limb amputations may be rising after decades of decline, according to new data published in Diabetes Care, the journal of the American Diabetes Association.
After years of decline, the rate of amputations jumped by 50 percent between 2009 and 2015.
Oklahoma ranks No. 8 in the country in the number of individuals living with diabetes.
Davis has worked with Summit’s patients for the last eight years. She says it’s like family.
“The patients, Dr. Morgan and the relationships we have here,” Davis said of why she stays. “We are a little bit different in that we are more family-oriented, take care of each other and try to take care of our patients holistically and try to be advocates for them in other areas of their health care and get them to the right places they need to go.”
Patients are able to self refer to the clinic.

By Jose M Olivero, Social Security Public Affairs in Oklahoma City

If you have higher income, the law requires an upward adjustment to your monthly Medicare Part B (medical insurance) and Medicare prescription drug coverage premiums. But, if your income has gone down, you may use form SSA-44 to request a reduction in your Medicare income-related monthly adjustment amount.
Medicare Part B helps pay for your doctors’ services and outpatient care. It also covers other medical services, such as physical and occupational therapy, and some home health care. For most beneficiaries, the government pays a substantial portion — about 75 percent — of the Part B premium, and the beneficiary pays the remaining 25 percent.
If you’re a higher-income beneficiary, you’ll pay a larger percentage of the total cost of Medicare Part B, based on the income you report to the Internal Revenue Service (IRS). You’ll pay monthly Part B premiums equal to 35, 50, 65, 80, or 85 percent of the total cost, depending on the income you report to the IRS.
Medicare Part D prescription drug coverage helps pay for your prescription drugs. For most beneficiaries, the government pays a major portion of the total costs for this coverage, and the beneficiary pays the rest. Prescription drug plan costs vary depending on the plan, and whether you get Extra Help with your portion of the Medicare prescription drug coverage costs.
If you’re a higher-income beneficiary with Medicare prescription drug coverage, you’ll pay monthly premiums plus an additional amount, which is also based on the income you report to the IRS. Because individual plan premiums vary, the law specifies that the amount is determined using a base premium. Social Security ties the additional amount you pay to the base beneficiary premium, not your own premium amount. If you’re a higher-income beneficiary, we deduct this amount from your monthly Social Security payments regardless of how you usually pay your monthly prescription plan premiums. If the amount is greater than your monthly payment from Social Security, or you don’t get monthly payments, you’ll get a separate bill from another federal agency, such as the Centers for Medicare & Medicaid Services or the Railroad Retirement Board.
You can find Form SSA-44 online at www.socialsecurity.gov/forms/ssa-44.pdf. You can also read more in the publication “Medicare Premiums: Rules For Higher-Income Beneficiaries” at: www.socialsecurity.gov/pubs/EN-05-10536.pdf.

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

Allied Arts announces that their 2019 fundraising event, ARTini, will take place on April 12, 2019 at Science Museum Oklahoma from 7 P.M. to 11 P.M. ARTini is one of the year’s most popular fundraising events, bringing together local restaurants, entertainment and artists for a night of fun for a good cause. This year’s event, STAR-tini, will present a galaxy theme—from décor and lighting to entertainment and cocktails—and guests are invited to dress the part.
Having attended and exhibited at several previous ARTini events, I can vouch that this event combines Original Art from abstract to realism for purchase, sampling of fine restaurants’ finger food offerings, and imaginative sips of original and fanciful Martinis made and offered by a number of local venues. The congenial gathering is accented by patrons eager for a good time and to see and be seen by friends of art conscious guests. Music entertainment is usually a staple and there are always surprises such as one year; live mannequins, which were a delightful photographic attraction. Good natured selfies and group photos are encouraged.
Event proceeds benefit Allied Arts and the local nonprofit arts organizations it supports. Each year, Allied Arts contributes to more than 40 organizations that collectively impact more than a million individuals. Allied Arts grantees have programming in all 77 Oklahoma counties—working to ensure that the arts are accessible to everyone from all walks of life.
As a United Arts Fund, Allied Arts works to broaden support for the arts by raising financial support for cultural organizations, encouraging participation and attendance, advocating for arts education and promoting excellence in the arts and arts management. Since its founding in 1971, the organization has raised more than $67 million to advance the arts in central Oklahoma.
ARTini is presented by Catalyst, Allied Arts’ emerging professionals group. Joining Catalyst requires an annual donation to Allied Arts of $300 for a single membership or $500 for a couple. Membership includes ticket(s) to ARTini, as well as networking, learning and volunteer opportunities throughout the year.
Allied Arts contributes to approximately 40 organizations annually. Member agencies include: Ambassadors’ Concert Choir, Arts Council Oklahoma City, Carpenter Square Theatre, Lyric Theatre of Oklahoma and Thelma Gaylord Academy, Mabee-Gerrer Museum of Art, also Oklahoma City Ballet, Oklahoma City Museum of Art, Oklahoma City Philharmonic, Oklahoma Contemporary Arts Center, Oklahoma Shakespeare in the Park, Oklahoma Visual Arts Coalition (OVAC), Prairie Dance Theatre, Red Earth, Inc., Science Museum Oklahoma and The Sooner Theatre among others.
More than 800 guests are expected to enjoy a sampling of martinis from several Oklahoma City restaurants and partake in one of the largest silent art auctions in the region – featuring work from around 100 local artists. ARTini tickets are $100 and must be purchased in advance. Tickets will go on sale shortly, and sponsors, artists, and restaurants will soon be available. You must be at least 21 and display a valid ID to to enter the event.
For more information, about ARTini or Catalyst, contact Allied Arts at 405-278-8944 or visit alliedartsokc.com.

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