New general admission prices effective Thursday, February 9, 2023. With more than 1,000 animals to see, immersive habitats and memorable experiences, OKC Zoo remains top destination at best-value among state attractions.

On Tuesday, January 17, 2023, Oklahoma City Council members approved price adjustments to general admission prices for the Oklahoma City Zoo and Botanical Garden. Beginning Thursday, February 9, general adult admission will increase from $12 to $16, and admission for children ages 3 to 11 and seniors 65+ will increase from $9 to $13. Children two and under receive free entry into the Zoo. City Council also approved adjusted admission prices for student field trips which will be decreasing from $6.15 to $6 per student 3 to 11 and from $9.25 to $9 for students 12+. Educators wishing to make a reservation for a field trip can do so online at:
https://www.okczoo.org/self-guided-field-trips.
The Zoo’s last admission increase took effect February 2020.
ZOOfriends’ memberships will also be increasing effective February 9, 2023. Zoo fans are encouraged to join now and purchase memberships at our current prices. All ZOOfriends memberships are good for one year from date of purchase with the same incredible benefits including unlimited Zoo visits for a year and additional discounts. By purchasing a membership, you are also supporting the OKC Zoo, its growing animal family, conservation efforts and expansion including the awaited opening of Expedition Africa this summer! Purchase ZOOfriends memberships online at:
https://www.okczoo.org/membership.
The Oklahoma City Zoo is in its winter hours and open Thursday through Monday from 9 a.m. to 5 p.m. with the last entry at 4 p.m., and closed to the public on Tuesdays and Wednesdays through February 8, 2023. Purchase advance Zoo admission tickets at okczoo.org/tickets and avoid the entry lines. Located at the crossroads of I-44 and I-35, the OKC Zoo is a proud member of the Association of Zoos and Aquariums, the American Alliance of Museums, Oklahoma City’s Adventure District and an Adventure Road partner. Regular daytime admission is $12 for adults and $9 for children ages 3-11 and seniors ages 65 and over. Children two and under are admitted free. Stay connected with the Zoo on Facebook, Twitter, Instagram, Linktree and TikTok, and by visiting our blog stories. Zoo fans can support the OKC Zoo by becoming a ZOOfriends member. Starting at $45, memberships can be purchased at www.okczoo.org/membership and provide access to the OKC Zoo for an entire year plus, additional benefits and discounts. To learn more about Zoo happenings, call (405) 424-3344 or visit https://www.okczoo.org/.

Story by Bobby Anderson, RN, Staff Writer

The new year has brought a new round of hospital layoffs as healthcare systems nationwide deal with surging labor costs, shortages, and declining revenues.
Locally, the first two weeks of January saw layoffs from Integris Health as well as OU Health.
Integris announced it was cutting some 200 positions while OU announced an equal number of layoffs.
In a statement, OU health announced the layoffs would coincide with its planned restructuring.
“As part of the redesign, OU Health will move from a holding company to an operating company structure with duplicative services and positions being eliminated,” the statement read. “An estimated 200 positions will be reconfigured to the new structure, which integrates the organization into clinical business.”
Integris Health announced its reduction would be the result of a combination of cuts.
“Financial challenges are multifold, but some include a dramatic rise in expenses due to labor shortages and supply-chain disruptions, and significantly lower patient volumes compared to pre-pandemic days,” the statement read.
Integris laid off 140 positions and cut 60 vacant jobs, according to a spokeswoman.
The healthcare industry has suffered from nursing shortages and the winter’s omicron surge, forcing many organizations to turn to contract workers demanding higher rates.
The loss of Covid subsidies from the federal government also impacted the ability to keep up with rising labor costs.
Many systems find themselves in a counter-intuitive role of both cutting positions while trying to recruit and retain nurses.
OU Health announced its organizational redesign to complete the integration from its historic merger on July 1, 2021.
OU Health was created as the flagship comprehensive, integrated academic health system to improve the care and outcomes for all Oklahomans. As the state’s academic referral health system, OU Health plays the unique role of providing critical specialty services with access to advanced technology and expertise.
“OU Health needs to support and enhance the capabilities of the state’s vital rural and regional hospitals as the flagship academic referral center. All care that can remain in a community should remain local, but if the patient needs a higher level of care, OU Health is here to serve,” said OU Health President and CEO Richard Lofgren, M.D., MPH.
The organizational redesign and operational restructure will enable OU Health to improve efficiencies and grow its impact in the state and region as well as create a highly integrated, modern clinical platform, one that serves even more Oklahomans.
“In order to grow and adapt to industry changes, we need to perform in terms of the quality of our services, patient experience, and the efficiency and effectiveness of our processes,” Lofgren said. “Oklahoma needs the unique specialty and sub-specialty services we provide. We are positioned with dedicated physicians and staff to fully realize our special mission of clinical care, education, and research. We are committed to our role of continuing to improve the care and outcomes for the region and beyond.”
Both health systems are still actively hiring bedside nurses offering both recruitment and retention bonuses.

INTEGRIS Health is celebrating 35 years of kidney transplantation. Surgeons with the INTEGRIS Health Nazih Zuhdi Transplant Institute have performed more than 2200 kidney transplants since the program began.
The INTEGRIS Health Kidney and Pancreas Transplant Center offers superior outcomes for kidney transplants from both living and deceased donors. It consists of one of the largest and most experienced transplant teams in the United States.
E.N. Scott Samara, M.D., is the surgical director of kidney transplant at INTEGRIS Health Baptist Medical Center. He conducted the first kidney transplant at the facility and still practices today. He is proud of what the program has accomplished through the years
“I have been grateful to see over 2000 patients be able to avoid or stop dialysis and live normal productive lives,” says Samara. “In the last 15 years, I have even been able to work with my son, Dr. Shea Samara, and Dr. Jose El-Amm, who is the medical director of kidney transplant and like a son to me, which has been both professionally and personally fulfilling.”
Every ten minutes another person is added to the national transplant waiting list. Of those, 82% are in need of a kidney. There are more than 90,000 people in the United States waiting for a kidney donation. The average wait time for a kidney is three to five years from a deceased donor. With living donation, a patient may be able to receive a transplant much faster. To learn more or schedule an assessment, call 405-949-3816.

If your organization is having an upcoming event, let us know. Email the information to [email protected]

Story by Darl DeVault, contributing editor

Seniors 65 or older who like to walk or run can invest in a new experience, the Senior Marathon, on April 29th at the 23rd annual Oklahoma City Memorial Marathon, akin to taking a vacation rather than buying themselves a new toy. Psychologists say it is much better for one’s well-being to invest in experiences rather than purchasing new things to own.
After 22 years of community service to help fund the Oklahoma City National Memorial & Museum, the Oklahoma City Memorial Marathon now provides a new experience.
For the first time, seniors who walk or run before the event can support the downtown museum to help to honor the victims, survivors, rescuers, and those affected by the April 19, 1995 bombing. Mercy is the presenting sponsor of the inaugural event.
Beginning in January, Senior Marathoners who sign up will walk or run 25 miles before race weekend. They can walk as they typically walk or run in their local areas, recording their 1.5 miles weekly. They add up their mileage on a Senior Marathon Running Log available online 2023-Senior-Marathon-Running-Log.pdf (okcmarathon.com) to equal the first 25 miles of a marathon.

This mileage allows them to be a part of one of our nation’s most significant feel-good events for fitness in the lead-up to the “Run to Remember” event Sunday, April 30. The day before the marathon, Saturday, at 8.m., the Senior Marathoners complete their event between the 7 a.m. start to the 5K run and the Kid’s Marathon of a similar style at 9 a.m.
From the marathon starting line at the Oklahoma City National Memorial, seniors can run or walk the last 1.2 miles of their marathon distance directly south to the finish in Scissortail Park to be part of something much bigger than themselves. This allows seniors to feel like “elite” participants because of the on-course support from a massive outpouring of cheering from volunteering OKC residents.
These new Senior Marathoners can feel the camaraderie of attending, interacting, and supporting the Health and Fitness Expo that Saturday at the Oklahoma City Convention Center. The OKC Convention and Visitors Bureau and OU Health present the Expo adjacent to the finish line.
“There’s a generation of Oklahomans who were ever-present on April 19, 1995 … so we want to reconnect both the Memorial and race weekend with the generation that was so key on that day,” said Chris Fleming, Marathon trustee chairman. “The Memorial Marathon is America’s most meaningful marathon, and the new Senior Marathon will now be a part of it.”
Oklahoma City provides walking opportunities on its trail system, but walkers in groups along these trails are a rarity. This specific new goal in April reached with the logging of miles in January, February, and March has the potential to spark groups of seniors socializing as they use the trail system. Officials say the YMCA, senior centers and community agencies will offer senior walking events for those wanting to accumulate 25 miles in a group.
The two-day event some years hosts more than 25,000 runners and walkers from every state and several foreign countries. Aside from this inaugural inclusion of seniors, the event offers a marathon, half marathon, marathon relay (5 member teams), 5K, Kid’s marathon and a wheelchair division.
Costing $30, seniors will receive an event t-shirt, finishing medal and free entry to the Museum with their bib number as they share the experience with their friends and family. Achieving their fitness goal can energize many people to participate in an activity providing good health, a key to aging gracefully.
This is just one of the ways this new facet of the marathon can stimulate Oklahomans and those around the country to enhance their lives at the finish line in Oklahoma City. The marathon weekend is the largest fundraiser for the privately owned and operated Oklahoma City National Memorial & Museum.
The marathon has built a reputation as one of the best in America, praised in many running publications. It also attracts legends of marathoning to speak at the Expo and run at the event. This new form of inclusion has the potential to make the event even more significant as one of the premier marathons in the country. For more info, go online to: *NEW* Senior Marathon – Oklahoma City Memorial Marathon (https://okcmarathon.com/).

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

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

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

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

TIPS TO KEEP WARM DURING A WINTER POWER LOSS

DRESS APPROPRIATELY TO RETAIN BODY HEAT

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

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

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

CREATE A WARM SPACE

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

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

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

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

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

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

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

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

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

by Van Mitchell, OKNT writer

Dr. Elizabeth Diener, PhD, RN, PNP, CNE, has taught in programs of nursing for the past 30 years in New York, Missouri, and Oklahoma City University’s Kramer School of Nursing.
She said her 13-year stint at OCU has been the most rewarding of her teaching career.
“I can say without a doubt this is the best teaching job that I have ever had,” she said. “They have always encouraged me to explore my own personal research interests, in addition to fulfilling my teaching duties.”
That reciprocation was returned to Diener by her fellow staff members as she was named the 2022 recipient of the DAISY Award for Extraordinary Nursing Faculty.
An acronym for Diseases Attacking the Immune System, The DAISY Foundation was established in 1999 in memory of J. Patrick Barnes who died (at the age of 33) from complications of the auto-immune disease Idiopathic Thrombocytopenic Purpura (ITP).
Barnes’s family was very touched by the remarkable compassion and clinical skill demonstrated by Patrick’s nurses during his illness, so they created DAISY to recognize exceptional nurses everywhere.  Diener said she was humbled by her award recognition.
“It would both serve as a validation of everything that I have done in my past 25 years as faculty,” she said. “It would also be quite humbling because I work with an incredible group of faculty that every day try to do their best to foster faculty and student relationships, and be experts in their field. I feel I am just a representative of all of our faculty.”
Diener currently serves as Professor of Nursing. She is trained as a Caritas Coach in Watson’s Caring Science Institute, holds a certificate as a Soul Collage Facilitator, completed a postdoctoral Fellowship at the University of Arizona in Integrative Nursing Curriculum, and is a certified ANFT Nature and Forest Therapy Guide..
She is currently pursuing her teaching certification in MBSR at Brown University, School of Public Health. Her clinical practice areas have included, Pediatric AIDS Care, Neonatal Intensive Care, Pediatric Emergency Care, ECMO, Hospice and Palliative Care, and Nursing Leadership/Administration.
Diener said her parents encouraged her to pursue a career in healthcare. She said watching nurses care for some of her relatives growing up also influenced her to become a nurse.
“I was encouraged by my parents,” she said. “Women went into nursing or education. Either one would have been acceptable to my parents, but they really had a great respect for healthcare. I just have a real respect for the nurses that I saw and how they could comfort people, and assure them that things would turn out okay. It made me want to be a part of that.”
Diener said she learned early on in her clinical practice she had what it took to handle the stress and chaos that a nursing career can sometimes have.
“I got a really good look at what nursing would involve,” she said. “I knew then I had what it took to become a nurse.”
Diener said her approach to teaching has evolved as has the field of nursing with new technology, medicine, and the impact of the COVID-19 pandemic has had on nursing.
“I think at the beginning I was more concerned with delivering the materials that were required or requested for a particular course, and assessing student performance,” she said. “As it has evolved, it has become not only that, but education has become much more in-depth. We have technology now that wasn’t available back in the day. Our skills have expanded greatly.”
Diener said the pandemic hit the nursing field hard with more nurses leaving the field due to burnout and fatigue.
She said nursing schools like OCU have worked hard to help recruit more nursing students, as well as hospitals and healthcare agencies helping them better transition from student to full-time nurse.
“It’s the quick turnaround from being a student to a functionally-responsible nurse,” she said. “It can be pretty overwhelming at times. Hospitals are trying to address that with internships and transitioning into practice.”
Diener said one message she tells nursing students is to always remember to take care of themselves.
“I think a thing we struggle with is how do we get everything done in the time allotted because there are so many demands,” she said. “I think the challenges will always change as they always do,” she said. “We are fortunate enough to be able to educate larger numbers of nurses. Nurses will get the job done.”
Diener said nursing and teaching is not just her career, it is her passion to help others.
“It is a career I never considered leaving, and one of the reasons is because under the umbrella of being a nurse, there are so many places that you can practice and so many roles that you can fulfill that you can be a nurse and still find your place,” she said.
For more information about Oklahoma City University’s Kramer School of Nursing visit:
https://www.okcu.edu/nursing/home