Dear Savvy Senior,

My father died several years ago, at the age of 76, from a stomach aneurysm, which now has me wondering. What are my risk factors of getting this, and what can I do to protect myself, as I get older? Just Turned 60

Dear 60,
The process of selling a house and Stomach aneurysms, also known as “abdominal aortic aneurysms,” are very dangerous and the third leading cause of death in men over 60. They also tend to run in families, so having had a parent with this condition makes you much more vulnerable yourself.
An abdominal aortic aneurysm (or AAA) is a weak area in the lower portion of the aorta, which is the major artery that carries blood from the heart to the rest of the body. As blood flows through the aorta, the weak area bulges like a balloon and can burst if it gets too big, causing life-threatening internal bleeding. In fact, nearly 80 percent of AAAs that rupture are fatal, but the good news is that more than nine out of 10 that are detected early are treatable.
Who’s At Risk?
Around 200,000 people are diagnosed with AAAs each year, but estimates suggest that another 2 million people may have it but not realize it. The factors that can put you at increased risk are:
· Smoking: Ninety percent of people with an AAA smoke or have smoked. This is the number one risk factor and one you can avoid.
·Age: Your risk of getting an AAA increases significantly after age 60 in men, and after age 70 in women.
·Family history: Having a parent or sibling who has had an AAA can increase your risk to around one in four.
·Gender: AAAs are five times more likely in men than in women.
·Health factors: Atherosclerosis, also known as hardening of the arteries, high blood pressure and high cholesterol levels also increase your risk.
Detection and Treatment
Because AAAs usually start small and enlarge slowly, they rarely show any symptoms, making them difficult to detect. However, large AAAs can sometimes cause a throbbing or pulsation in the abdomen, or cause abdominal or lower back pain.
The best way to detect an AAA is to get a simple, painless, 10-minute ultrasound screening test. All men over age 65 that have ever smoked, and anyone over 60 with a first-degree relative (father, mother or sibling) who has had an AAA should talk to their doctor getting screened.
You should also know that most health insurance plans cover AAA screenings, as does Medicare to beneficiaries with a family history of AAAs, and to men between the ages of 65 and 75 who have smoked at least 100 cigarettes during their life.
If an AAA is detected during screening, how it’s treated will depend on its size, rate of growth and your general health. If caught in the early stages when the aneurysm is small, it can be monitored and treated with medication. But if it is large or enlarging rapidly, you’ll probably need surgery.
AAA Protection
While some risk factors like your age, gender and family history are uncontrollable, there are a number of things you can do to protect yourself from AAA. For starters, if you smoke, you need to quit – see smokefree.gov or call 1-800-QUIT-NOW for help.
You also need to keep tabs on your blood pressure and cholesterol levels, and if they are high you need to take steps to lower them through diet, exercise and if necessary, medication.
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.

by Bobby Anderson, Staff Writer

It’s early afternoon in the hot, Oklahoma sunshine and Christa Boren, LPN, pulls back on the slingshot straps and lets a water balloon fly.
The wooden SpongeBob target 20-feet away survives a dousing as the balloon splashes to the ground.
Boren laughs.
It’s good to be home.
“It’s amazing,” she says. “I really miss the center so when they gave me this opportunity I had to jump on it.”
Boren worked at J.D. McCarty Center in Norman for a number of a years as a nurse and nurse manager. When family business moved her away she thought she’d never get to work at the center for children with developmental disabilities again.
She was wrong.
Boren has worked as the evening and night shift nurse at Camp ClapHans for three years now.
Horseback riding, movie nights, talent shows and dance parties are just some of the events offered at camp ClapHans. Several members of the University of Oklahoma football team visited this summer as well as some church groups.
“That allows our kids to interact with other kids who are age-appropriate,” Boren said. “Our kids get to really play with those kids and they’re not being judged. It also allows those kids from these groups to come out and interact with our kids and learn. Maybe next time they’re out and they see a wheelchair they’re not going to stare … because they are just kids.”
Camp ClapHans is a residential summer camp for kids with special needs ages eight to 18.
The camp is located on the south end of the McCarty Center’s 80-acre campus in Norman.
It features two cabins, a multi-purpose building and is built next to an 11-acre lake. The camp features summer camp activities like archery, canoeing, fishing, horseback riding, camp fires, swimming, indoor and outdoor games, arts and crafts and much more.
J.D. McCarty provides a one-to-one camper-to-staff ratio with a nurse on site 24-hours a day.
That’s where Boren comes in.
“It was a little overwhelming but really the worst thing about camp is the heat,” she said. “The kids are amazing. We have a group of counselors every summer who are college students … and they come out and they do this for free five weeks out of the summer and are an amazing group of kids.”
When her husband opened a physical therapy clinic in Elk City Boren quit her job at J.D. McCarty and moved with her family.
Boren became a nurse at 20 and had worked in the hospital setting before settling into her role with J.D. McCarty.
“It’s absolutely amazing. I loved the fast-paced stuff but at times it does get a little overwhelming. In the acute-care settings in the hospitals you have to deal with all the sad stuff – giving people cancer diagnosis and all that stuff that comes with nursing,” Boren said. “Here at camp we don’t have that at all. These kids love to be here. It’s so laid-back and we get to really enjoy the kids and try to make their time here as enjoyable as possible.
“These kids would normally not get to do this at a regular camp.”
When she’s not in camp, Boren still makes the drive from Elk City to Norman to take her six-year-old son for therapy at JD McCarty.
Last school year, Boren was a teacher’s aide but admits most of her time is spent being the mom to three boys active in sports.
The move to Elk City was a good but so has the opportunity to bring her child to treatment at J.D. McCarty.
The J. D. McCarty Center was founded in 1946, by a veterans group called the 40 et 8 of Oklahoma. The 40 et 8 was an honor society within the American Legion. When the McCarty Center first opened its doors to patients it only treated one diagnosis – cerebral palsy.
Today, the center has treated more than 100 different diagnoses in the developmental disability category.
Kids come to Norman for treatment from all over the state of Oklahoma.
Children referred to the hospital are evaluated and treated by a team of pediatricians, pediatric specialists, registered nurses and LPNs, direct care specialists, physical, occupational, speech and language therapists, a dietitian, a clinical psychologist and psychology clinicians and social workers who focus on getting a child to their highest level of functionality and independence. “Any kid who comes through the door becomes your kid,” Boren said.

story and photos by Betty Thompson

Pawnee – It has been said that a picture is worth a thousand words. The framed photo of young Virginia Norris Rogers sitting horseback, dressed in her boots, jeans, button up and cowboy hat, is no exception. The photo is a mere glimpse of the woman she would become, strongly rooted in agriculture.
“I tell people my outfit never changed, I just buy bigger sizes,” laughs Rogers.
Rogers said she began working on the ranch at a very young age with her father and their long-time ranch hand Albert. She even had a horse before she was born, which she later named “Chicken,” because of his yellow color.
“I was out at the crack of dawn getting cattle in,” Rogers recalled. “We would work until noon or so, and then my dad would go off to auction.”
Her father, Cecil “Whitey” Norris, started trading cattle at the age of 16 and became an auctioneer at age 23. Rogers said he went to an auction just about everyday.
After marrying Avis, Rogers’ mother, in 1933, Cecil bought 160 acres of land and used every opportunity from trading and auctions to buy more land. Together, they built a ranch of nearly 5,000 acres with horses and Hereford cattle.
Rogers is proud to be a fourth-generation farmer in Pawnee County and deeply rooted in agriculture. Family photos and keepsakes fill her walls and shelves, including her parents’ spurs, which hang above the front door. Her grandfather’s brand was the first brand ever registered in the state of Oklahoma and is still used today by her cousin John Henry.
“I think it’s [agriculture] been more fulfilling than shaping,” said Rogers. “It’s hard to describe what’s in your blood. You don’t know anything else.”
Rogers was no stranger to the hardships that ranch life brought: drought, cattle prices, finding reliable help, and more, but her love for ranching never faltered. After marrying her husband Olin, she said “it was just natural” for them to start their own ranching operation, Rogers Ranches, LLC, and have been running the operation ever since.
Rogers and Olin have been married for 42 years and have been running their commercial Angus herd on the farm Olin grew up on since 1986.
“It’s not a lot, but it’s enough to keep us busy,” laughed Rogers.
Busy is an understatement.
Not long after marrying, they bought an insurance agency which they worked while running their cattle operation, and only just sold it in November 2011.
Rogers was also very active in Oklahoma Extension Homemakers, now known as Oklahoma Home and Community Educators, a service designed to provide homemakers with resources similar to the resources farmers receive from the extension service. Rogers served as the county secretary/treasurer under Martha Waters, who was the first woman to be a director of an Oklahoma county extension.
A few years later, she was appointed to serve on the Pawnee County Health Department Board.
Like her father, Rogers and Olin have always been active in the Pawnee County Cattlemen’s Association (PCCA). Olin served as PCCA president in the early 1970s, and Rogers served as president from 2009 to 2011. During Rogers’ time as PCCA president, PCCA became a unified county under the Oklahoma Cattlemen’s Association (OCA). Rogers went on to serve for three years as a district director for the OCA before being elected as the North Central District vice president, putting her on the Executive Board of Directors. She also makes it a priority to be involved in the Oklahoma Cattlewomen’s Association as well.
“It has been very rewarding,” Rogers said. “I love it. Olin and I both enjoy meeting other people and learning about ranches across Oklahoma.”
Rogers was recently appointed to serve as the president of the Pawnee County Economic Development Foundation by the chairman of the Pawnee County Commissioners. The Foundation is actively involved in trying to bring new businesses to the community, and recently awarded a $75,000 grant to the city of Pawnee to refurbish an old building.
In addition to her leadership positions, Rogers writes a column for the local newspaper addressing concerns for farmers and ranchers.
“I just had this wild hair idea one day to start writing about issues in the cattle industry,” Rogers said. “Every now and then I throw in a column about my upbringing, experiences on the ranch as a child, or encourage membership and participation in the OCA.”
If you think she cannot make time for any other commitments, think again.
Rogers also serves as Chairman of the Board for her church, as well as staying busy with four grandchildren and two great-grandchildren.
She attributes this desire to give back to her upbringing.
“I learned early from my family that caring for people was important,” Rogers said. “You have to do what you can for others. I hope to relate to others that agriculture is vital to our state.”
Another important lesson she learned on the ranch is that you can be caring and giving, but also a tough fighter.
Rogers laughed recalling that she woke up to her father saying “Get up boys!” even though it was only her sister and her. Perhaps that oftentimes hard upbringing is what made her so strong when she was diagnosed four years ago with breast cancer.
However, cancer picked the wrong cowgirl. Today, she is cancer-free and proud to be called a survivor.
“I never had a ‘straight path’ in life,” Rogers said, “but I love doing what I am doing now—trying to be one of the best representatives for agriculture I can be.”

Losing weight is hard. But as anyone who has dropped a few pants sizes can tell you, keeping it off can be every bit as challenging.
It turns out, though, that it likely takes more than just staying committed to a maintenance diet once you reach your goals. Scientists believe your body might actually be fighting to get back to where it was previously in a phenomenon called the ‘set point’ theory.
The idea is that, for some reason, your body has an idea of what weight it wants you to be, said Oklahoma Medical Research Foundation President Stephen Prescott, M.D. So whether you’ve lost 40 pounds or gained 15, your hormones will adjust in an effort to get you back to a particular point.
“A person’s weight may not always go all the way back to the original weight, but there appears to be some kind of intrinsic desire on the body’s part to get back to a certain weight and stay there,” said Prescott. “It’s not been proven scientifically, but there is increasing evidence to support it.”
The set-point theory isn’t new, but it has been re-popularized because of a recent study by scientists at the National Institute of Diabetes and Digestive and Kidney Diseases, who tracked the progress of contestants from the reality television show “The Biggest Loser.” For six years, they followed contestants after they shed massive amounts of weight for the popular competition.
The researchers’ discoveries gave the set-point theory a lot of ammunition, as the former contestants packed the pounds back on regardless of how strictly they adhered to their diets. Some even gained to a point higher than their original weight.
“It was a really dramatic, attention-grabbing example of the theory as it had previously been described,” said Prescott. “It also shows that there are mysteries we don’t quite fully understand, and you can’t just blame people for getting fat again. Some may not follow their diets as closely as they should, but it appears likely that people also end up fighting their own biology.”
Prescott said the study’s findings point to resting metabolism, or basal metabolic rate, which determines how many calories your body burns at rest.
Our bodies burn energy just keeping us alive. Prescott said somewhere around 70 percent of the calories you use each day are going to get burned no matter what, even if you’re just sitting on the couch or at your desk.
Your age, muscle mass, fitness level and height all contribute to how many calories your body burns. But the findings presented a paradox: The people who gained the weight back appear to have lower metabolic rates than expected based on these factors.
“It’s thought that this could be a result of a complex interplay between hormones that regulate how our bodies burn energy,” said Prescott. “These people were not burning as many calories as you would think based on their height, weight or age. They were gaining weight even on what would be considered a maintenance diet.”
In other words, if you should be burning around 2,000 calories on a maintenance diet based on your personal combination of factors but you have recently lost 20-30 pounds, your actual metabolic rate might have dropped to somewhere around 1,700 or so.
So if your body is determined to gain the weight back even after all your hard work to lose it, does this mean it’s time to throw in the towel and raid the freezer for that pint of rocky road?
“That’s a little too dramatic,” said Prescott. “There may be a tendency to do that, but I think there is hope that there are things you can do to alter or reset your set point.”
To influence this process in your favor, the best solution may rely on an old standby—the gym.
“An exercise regimen often leads to more success in maintaining a new, lower weight,” said Prescott. “Maintaining your new weight may tough, but increased understanding can help you start to rebuild your behavior and habits around a new number for better long-term outcomes.”

As those who have tried endless diets know, there are no easy fixes when it comes to losing weight and keeping it off. Even with dieting and exercise, many don’t succeed. Brandi (last name withheld), a 35-year-old mother from Ardmore, Oklahoma, thought she found her answer when she discovered weight loss surgery at cheap prices was a booming business in Tijuana, Mexico.
She knew people from her small town who traveled to Mexico for successful gastric sleeve weight loss surgery, and in her research she found numerous clinics there advertising their services on YouTube with slick patient videos. Those Tijuana clinics charge as low as $4,000 for the whole surgery plus anesthesia. The clinics woo potential patients by marketing the experience as more like a vacation than a possible life-threatening surgery.
In gastric sleeve surgery, which is usually suitable for patients who have 100 pounds or more to lose, the structure of the stomach is changed to be shaped like a long, skinny tube, which restricts the amount of calories the body absorbs. The new banana-sized stomach, or “sleeve,” is about 1/10th the size of the original stomach.
Brandi traveled to Tijuana to have the surgery on March 11, and one day later “they put me on the plane while I was still hurting really bad, with no instructions on after-care,” she says.
Once Brandi returned to Ardmore she ran into more problems. “I ran a low-grade fever for days and my back pain was horrible and getting worse. It got so bad after several days that I had to go to the ER. They told me I had a softball-sized abscess and leak from the surgery,” she says. “Right away, the local ER rushed me to INTEGRIS in Oklahoma City for emergency surgery to repair the leak.”
Brandi’s story doesn’t surprise Hamilton Le, M.D., who performed that emergency repair surgery 10 days after her failed surgery by the other doctor in Mexico. Le is medical director at the INTEGRIS Weight Loss Center. “In just the last eight weeks or so, I’ve had to repair four people who had life-threatening complications — in some cases, critically ill and almost dead from sepsis — from gastric sleeve surgery by doctors in Mexico,” he says.
Dr. Le points out all four patients are from smaller, more rural towns such as Ardmore and Woodward. He believes the clinics in Tijuana are targeting small towns with their advertising, since those potential patients aren’t near the bigger cities that offer weight loss surgery locally. “The patients I’m seeing with complications aren’t coming from Edmond, they’re coming from Elk City,” he says.
In Brandi’s case, “Dr. Le thinks the infection came from the way they did my sleeve,” she says. “It should look like a banana, but there is a big kink in the middle. When you look at the X-ray it doesn’t even look like a gastric sleeve.”
Although the price for weight loss surgery usually starts at $10,000 in the U.S. and can run up to $25,000, “you get what you pay for,” Le says. “Any money people save by doing the surgery in Mexico could go down the drain. If you have complications once you get back to the states, often insurance won’t cover care from an unapproved surgery, and many hospitals won’t work on the patients without their paperwork.”
Brandi says, “When I was so sick at the ER in Ardmore, I called lots and lots of doctors, but nobody else in the state would take me because the surgery was done in Tijuana. Thank God for Dr. Le. I don’t know what I would have done without him.”
She stayed in the INTEGRIS hospital for a week and continues to make bi-weekly trips to Oklahoma City for follow-up care. She says she might need additional surgery in the future to do further repairs on the sleeve. Still, Brandi feels like one of the lucky ones. “My medical bills (from treatment of the complications) run in the hundreds of thousands of dollars now. I’m lucky because my insurance is helping me pay. I can’t even imagine how the others with no help from insurance will make it,” she says. Brandi advises, “Don’t go down there and do it. It is much safer to pay for it here, and know what you’re getting. I didn’t even get the right kind of sleeve… it didn’t even look like a normal sleeve.”
Dr. Le says long-term outcomes of having weight loss surgery in Mexico aren’t good. “The surgery is just the tip of the iceberg. When you have the surgery in the U.S., there are extensive pre- and post-surgery requirements and after-care, like getting an EKG to check heart health, meeting with a psychologist to make sure patients are emotionally ready for the surgery, and having a nutritionist teach them how to re-learn to eat.” Without this coaching, patients are much less likely to maintain any weight loss, he says.