by Vickie Jenkins, Staff Writer

You’ve have heard the expression, every cloud has a silver lining, which means that even the worst events or situations have some positive aspect. The expression certainly can be said of the flight nurses that provide emergency medical services to numerous patients every year.
One outstanding gentleman is Matt George, RN, CEN, and the Medi Flight Clinical Base Supervisor at Medi Flight 5. “Medi Flight has been around since 1980. We are based on the helipad on the rooftop of Stillwater Medical Center in Stillwater, OK,” Matt said. “We leave from Stillwater and travel throughout central Oklahoma; largely around the Stillwater area, OKC, Tulsa and sometimes, Kansas. Our work also takes us to emergency situations in rural areas where they might not have the right emergency equipment.”
Matt attended Francis Tuttle for his LPN and Rose State college for his RN. It all began twenty-six years ago. “I always assumed that I would go into the medical field. I spent a lot of my time working in the emergency room, taking care of critically ill patients. My first job as a nurse was working in the medical surgical unit at Logan Medical Center in Guthrie, OK. I continued my education, becoming an RN. I realized I wanted to do more in the medical field and became interested in being a flight nurse,” he commented. “That was ten years ago and I will continue to do what I love to do; helping to save lives,” Matt added.
Matt explained the importance of a flight nurse. “On every flight, there are three of us; the pilot, a flight nurse and a paramedic. We work two twenty-four hour shifts and we always need to be ready to go! A typical day for me involves, making sure the medication count is correct, checking the medical equipment, talking with the pilot over issues of the day, looking over the aircraft and verifying that the helicopter is sound and ready for flight. We also need to pay close attention to the weather conditions; all three of us have our own little tasks to do but we all check the helicopter thoroughly. This is where teamwork is essential.”
What qualities make a good flight nurse? “I think the qualities for a flight nurse are the same for any nurse; they need to really care for others, doing what they like and wanting to continue to learn. Of course, to be a flight nurse, you would need to enjoy flying. Let’s face it, flying isn’t for everyone. Personally, I love it!” Matt replied.
Matt feels like his best quality as a nurse is caring for his patients. “I have always been drawn to the critically ill patients and it makes me feel good knowing that I am helping them. It is also some of the most interesting situations that I have even seen plus I am able to test my skills. Most flight nurses are required to have at least three years of experience in critical care and a high volume of life support service. The training for a flight nurse is constant and ongoing, testing once a year, making sure we are up to par,” he said. “I want to continue to learn and gain knowledge yet stay humble.”
Did you have any mentors in school? “Not so much in school but there were several nurses that I worked with that seemed to shape me into the kind of nurse that I am; helping me get situated and organized. They gave me a desire to learn and better myself,” Matt replied.
As far as Matt’s personal life goes, he is married to his beautiful wife, Shelly, and will soon be celebrating their twenty eighth wedding anniversary. They have two children, Kylee, 24 and Leah, 9 years old. “I am so proud of both of them,” he said with a smile. Their pet is an Alaskan Malamute. “His name is Sam,” he added. Matt’s hobbies include playing the guitar and singing. “I am an amateur guitar player and I sing a little, only at home and with my friends. Now, I did say amateur” he said with a laugh. “I also like going to the lake and boating. I do some home brewing too. With all of that, it keeps me pretty busy.”
If you were going to sum up your life in one word, what would it be? Without a pause, Matt said, “Fortunate.”

www.aefuneral.com

Ralph Shelton, Ph.D., of Perkins, lived with the effects of stress incontinence for more than five years following surgery for prostate cancer, until his physician, Ash Bowen, M.D., OU Medicine urologist, suggested the ProAct system.
According to the American Urological Association, between six and 20 percent of men continue to experience the life-disrupting impact of stress urinary incontinence a full year after prostatectomy. Approved by the Federal Drug Administration in 2017, the ProAct system is a device that addresses incontinence and restores quality of life for many men who deal with the challenges of this condition.
Late last year, Shelton was among the first Oklahoma to undergo the procedure to implant the ProAct system. “It’s a complete turnaround from where I was,” he said.
Bowen explained that urinary incontinence is a very distressing condition, an unfortunate but common consequence that occurs in connection with prostate surgeries, including radical prostatectomy or transurethral resection of the prostate. Physical movement or activity, from coughing or sneezing, to more vigorous activities such as running, lifting and other physical exertion, creates stress on the bladder. “When the muscles surrounding the bladder and urethra are damaged, that loss of muscular support causes incontinence, which may range in severity from very minor leaks to extreme – total loss of urinary control.”
The ProAct implantable device consists of two small, adjustable balloons, connected through short tubes to an injection port. Inserted on each side of the urethra during a short outpatient procedure, these fluid-filled balloons keep pressure on the bladder to help prevent urine leakage. The ports make it possible to adjust the pressure as needed to meet a patient’s individual needs.
The leakage Shelton lived with required the use of absorbent pads all the time. “It was embarrassing; there was always a risk when I went anywhere or tried to participate in any activity. Intimacy was awkward and less than confident,” he said.

Bowen said Shelton was a prime candidate for the surgery: he was doing well after prostatectomy, had no underlying health conditions, was physically active, and was ready and willing to find a solution to the incontinence problem he had endured for years.
The device has been widely used in Europe since 2002, and follow-up studies in the United States are promising for long-term (five years or more) benefits.
“The device is safe and effective,” Bowen said. “Potential complications are only what might be expected with any surgical procedure – risk of infection or reaction to anesthesia, for example. Side-effects encountered with the ProAct device are mild and easily managed.”
He cited a number of patient benefits related to the procedure itself. “The procedure typically takes only 30 minutes, is minimally invasive and is performed under general or local anesthesia in an out-patient setting – no hospitalization. There are no sutures or other anchoring devices. Most men experience only minor discomfort, if any.”
Shelton confirms that discomfort was minimal, and that the procedure was simple from the patient’s perspective. “I was back to my routine, daily activities quickly.”
If adjustments are needed, these also can be done non-surgically in an office setting. Shelton recently had one such adjustment with excellent results.
“Immediately after the procedure, I wasn’t sure there was much difference, but healing and recovery came quickly, and leakage began to decrease significantly. After one adjustment to increase the pressure, it works perfectly. It’s as if I never had a problem at all. I feel like I have my life back – I’m 100% normal.”
With a doctorate in adult education, Shelton taught generations of professional educators various techniques and methodologies to promote successful learning. In addition, he expanded his career, using his expertise to assess employer needs to ensure optimal hiring practices, matching a candidate’s skill set to the employer’s desired work objectives. He enjoyed ongoing opportunities to use these skills in retirement, until incontinence began to limit his activities.
Several years into retirement, he has no plans to resume an ambitious schedule of professional engagements, but the ProAct device does mean he can consider options that may not have been possible for him before the procedure. He continues to stay active and engaged in pursuits that use his well-honed skills of analysis. He currently works as a heavy equipment specialist for a local tractor dealership, once again using his expertise to assess needs and find solutions.
“Some may call it ‘odds and ends,’ but it’s still important to me to help people find ways to succeed. I’m something of a career-tech consultant, which offers me opportunities to travel, meet people and help facilitate a teamwork mentality. Now I know I can continue to do that that on my own terms, not limited by inconvenience or anxiety about accidental leakage.”
While a referral by a primary care provider is not considered necessary, it may be required for coverage under some healthcare plans. Bowen sees patients at OU Physicians Edmond, located in the Fountain Lake Center, 14101 N. Eastern, Suite E, and performs the ProAct procedure exclusively at OU Medical Center Edmond, One South Bryant. For an appointment, call (405) 340-1279.

www.crawfordcares.com

The healthy heart thrives on flexibility, using any available nutrient source for fuel. But in diabetes, that flexibility stops.
Scientists at the Oklahoma Medical Research Foundation are investigating why this inflexibility occurs with diabetes and, ultimately, what can be done about it.
“The healthy heart has a dynamic capacity to respond and adapt to changes in nutrient availability—it’s an omnivore,” said OMRF researcher Kenneth Humphries, Ph.D. “The problem with diabetes, though, is the heart’s inability to use or make insulin, a hormone that allows your blood to use sugar.”
In diabetes, either you’re not making enough insulin or it’s not working properly, said Humphries. This increases the heart’s reliance on fats to meet energy demands, which can lead to damaging effects and even death.
Heart disease is the number one cause of death in diabetic patients, and it can result in a specific type of heart disease called diabetic cardiomyopathy.
“So far, there are no effective treatments for this type of heart disease,” said OMRF graduate student Maria Newhardt, who contributed to the research. “We are trying to increase our fundamental understanding of heart metabolism and how it is disrupted in diabetes so better therapeutic treatments can be developed.”
Humphries and his team conducted a study to see if they could increase flexibility in the hearts of diabetic mice by introducing the complications of obesity.
“Obviously, regulating blood sugar would be the ultimate goal, but we’re looking fundamentally at how the heart responds to differences in nutrient availability,” said Humphries. “We decided to try to force the diabetic heart to use more sugar and see if that made the diabetic heart go back to its normal function.”
The team uncovered a previously unknown form of metabolic regulation. They discovered that two cellular switches in the heart that determine what nutrients the heart will use are interrelated, rather than independent, as previously thought.
These switches need to be able to turn on and off, but in diabetes, one is constantly turned on.
Newhardt said this basic finding is a next step in understanding how diabetes impacts heart health and how interventions—future drugs and therapies— might be used to treat the effects of diabetes on the heart.
Other OMRF researchers who contributed to the findings were Albert Batushansky, Ph.D., Satoshi Matsuzaki, Ph.D., and Mike Kinter, Ph.D.
The research was supported by grants from the National Institute of General Medical Sciences, National Heart, Lung, and Blood Institute, and the National Institute of Aging, all parts of the National Institutes of Health, as well as a Graduate Research Fellowship Program grant from the National Science Foundation.

Dear Savvy Senior,

Because of my mobility problems, I’m thinking about getting a walk-in bathtub that’s easy to get into and out of but could use some help selecting one. What can you tell me about walk-in tubs, and can you recommend some good companies that make and install them?

Bubble Bath Betty

Dear Betty,
Walk-in tubs are a good option for mobility challenged seniors because they’re much easier to get into and out of than a standard tub, and will help prevent slips, trips and falls too. Here’s what you should know. The Basics
Walk-in bathtubs are uniquely designed tubs that have a watertight, hinged door built into the side of the tub that provides a much lower threshold to step over (usually 2.5 to 7 inches) versus a standard tub that’s around 15 inches.
In addition to the low threshold, most walk-in tubs also have a built-in seat, grab bars, anti-slip floors, anti-scald valves and a handheld showerhead. And many higher-end models offer therapeutic spa-like features that are great for seniors with arthritis and other ailments.
The kind of tub you choose will depend on your needs, preferences and budget, and the size and layout of your bathroom. The cost of a walk-in tub today with professional installation ranges anywhere from $3,000 to $10,000. Here are some other things you’ll need to consider, to help you make a good choice.
Tub size: Walk-in bathtubs vary in size. Most models have high walls between three and four feet high, and are between 28 and 32 inches wide, but will fit into the same 60-inch long space as your standard tub without having to reconfigure the room. There are also bariatric walk-in tubs that have wider door openings and larger seats to accommodate people over 300 pounds.
Wheelchair-accessible: Most walk-in tubs have an inward opening door, but if you use a wheelchair, an outward opening door may be a better option because they’re easier to access.
Tub options: The most basic and least expensive type of walk-in tub you can get is a simple soaker tub. But depending on your preferences, you have many other options like an aerotherapy (air jets) tub, hydrotherapy (whirlpool water jets) tub, aromatherapy tub that mixes fragrant essential oils with the water, or a combination tub that has multiple features. Also, look for tubs that have an in-line heating system to keep your bathwater warm while you soak.
Fast fill and drain: One drawback to using a walk-in bathtub is that the bather must sit in the tub as it fills and drains, which can make for a chilly experience. To help with this, consider a tub that has fast-filling faucets and pump-assisted drainage systems, which significantly speed up the process. But these options may require some plumbing modifications to your bathroom.
Easy cleaning: Keeping the tub clean should be a priority, especially if you get a therapy tub because of the bacteria that can grow in it. So, look for tubs with self-cleaning systems.
Warranty: The best walk-in bathtubs on the market today are made in the USA. Also make sure the company you choose has a lifetime “leak-proof” door seal warranty and lengthy warranties on both the tub and the operating system.
Where to shop: While there are many companies that make, sell and install walk-in bathtubs, some of the best in the industry are American Standard (AmericanStandard-us.com), Safe Step (SafeStepTub.com) and Kohler (KohlerWalkinBath.com). Most companies offer financing with monthly payment plans.
Unfortunately, original Medicare does not cover walk-in bathtubs nor do Medicare supplemental (Medigap) policies, but some Medicare Advantage plans may help pay. There are also many states that offer Medicaid waivers that will help pay for the purchase and installation of a walk-in tub to those that qualify, and the VA offers some programs that provide financial aid too.
To get started, contact a few companies who will send a local dealer to your home to assess your bathroom and give you product options and estimates for free.
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.

www.safesolutionswalkintubs.com

Every day, researchers across the globe search for answers to diseases of aging, but you don’t have to be a scientist to get a leg up on the aging process.
In fact, said Oklahoma Medical Research Foundation physiologist Benjamin Miller, Ph.D., some of the best methods for preventing diseases of aging are simple: diet and exercise.
But getting people to follow them, said Miller, can prove difficult.
Want to age gracefully? Try these simple tips:
1. Stay active
Research shows even 30 minutes of exercise and light weight training daily not only helps you avoid packing on the pounds, it also lowers blood pressure, strengthens bones, improves mood and helps maintain muscle mass. And light weight training can improve balance, which can help you avoid falls and injuries.
“If you start exercising, even a little, it will make a big difference,” said Miller.
2. Stay engaged
Like exercise, staying mentally and socially active can have a slew of long-term brain benefits, as well.
Alzheimer’s is the fifth-leading cause of death in Americans over the age of 65. It is the most common form of dementia, accounting for 60-80 percent of all cases, according to the Alzheimer’s Association.
“Scientists increasingly believe it is wise to read, work puzzles, play games and socialize to help improve memory,” said OMRF Aging and Metabolism Research Program Chair Holly Van Remmen, Ph.D. “It keeps the brain healthy and perhaps delays the onset of Alzheimer’s and other forms of dementia. So grab a good book or head out to a bingo night. It’ll be good for you.”
3. Stay moderate
When it comes to diet, moderation is key. Eating too much can have negative health implications from heart disease to type 2 diabetes and arthritis. But as people age, many find they eat too little.
“Over time, your body requires fewer calories, but it needs just as many nutrients,” said Van Remmen. And, she says, don’t skimp on protein. Adequate protein—45 grams of protein for women and 55 grams for men—helps your body maintain muscle mass even when your appetite wanes.
None of these tips are rocket science, said Miller. “Everyone has heard them, it’s just that many people don’t do them. Start now, whatever your age, and you’ll be glad you did.”

www.meadowlakesretirementvillage.com