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

Dodge City has long been on this Okie’s bucket list. It took this long to get there as its really not on the way to anywhere, which is good because Dodge City has modern conveniences yet has still preserved and promoted its popular western romance of the 1870’s.
Dodge City has developed its own catch phrase: “Get Into Dodge.”
Of course that is an ironic take on the wild west phrase of a lawman to an outlaw of, “Get Out Of Dodge.” I say, referring to one of the City’s heroes, “Wyatt Earp Never Had It So Good.” This popped into my brain during my trip’s final dining experience at Prime on the Nine restaurant, while reflecting on the good experiences had in Dodge.
Overlooking a golf course, the Prime on the Nine restaurant, offers the highest of service and food to informed tourists and locals. www.primeonthenine.com
If you have followed my articles for some time, you know I like the traditional dining experience of Martini, and perfectly cooked tender local steak to medium plus. The Prime Rib, risotto, tasty goat cheese starter and the five star tiramiso, were a real treats. This elegant venue with a window table, filled my requirements to perfection and the perfect closing meal to my 3 day visit to Dodge City. Truly Wyatt Earp in his short stay in Dodge, “Never Had It So Good.”
Another outstanding dining experience is the Central Station Bar & Grill, www.centralstationdc.net where you have the option of dining in an authentic 1950 railway car. With a salute to the rails that opened up Dodge City to the cattle markets, its only proper to order a steak as well. I devoured a rib eye steak, side salad, sweet potato fries with onion rings. With four kinds of steaks to be mesquite grilled or with other choices including chicken varieties there is something to satisfy your western appetite. Despite being there on a very popular night, the service and quality of my meal did not suffer. To top off the entree the hot apple cobbler delight dripping with caramel and ice cream was an exquisite and unexpected finale. This venue also offers a dance floor and sports bar amenities as well as guest entertainers.
For a quick casual fix, the homemade pizza while you wait is offered at Dodge City Brewing, www.dodgecitybrewing.com, but closed on Monday and Tuesdays. To hear how vodka and gin is distilled, visit the Boot Hill Distillery, www.boothilldistillery.com with tours and tastings available. More interesting than the process is the building’s history and location on top of Boot Hill cemetery. The Vodka is mild and mixes well while the Gin is heavy on botanicals sold at a premium price.
You must save time to tour the Boot Hill Museum, www.boothill.org/, where a large new museum building is in progress. http://www.boothill.org/construction-update The Museum hosts an extensive gift shop with artifacts and memorabilia upstairs. The best part of admission is being able to walk into a replicate of the Old Dodge City wooden store fronts, including the Long Branch Saloon, complete with bar and piano. Other stores offer remembrance of shops that might have been in old Dodge City on front street. Walking back and forth on the wooden board walk you might feel a moment in old west time.
A walking tour of the town takes you by many of the bronze statues remembering many celebrities made famous by the Myth of Dodge city. Of course there is Wyatt Earp and even Matt Dillon.
I drove up from Oklahoma City on what is casually called the Northwest passage on state highway 270 and 183. While the online map suggested a drive time of 4 and 1/2 hours its more like about 6 hours,but worth it for the destination and a chance to see the unspoiled landscape of western Oklahoma, accented by a few wind farms. A mirage when first approaching Dodge City you see a large hill covered in black. At first you wonder what vegetation or mineral causes the blackness, and soon you see it is a massive panorama of black cattle, the prime resource of Dodge. All of this can be explained if you take the trolley tour, which also goes through the remaining inhabited buildings of Fort Dodge. Also you can learn about the founding of Dodge, the Santa Fe Trail, the cattle industry and the impact of the railroad.
I happily stayed and the conveniently located Best Western North Edge Inn, where my first story room had an exit just feet away from my parked car. Of course they offer all the amenities you expect from a Best Western including the free morning breakfast to start your sight seeing off right.
And you too may come away from Dodge never having had it so good.
So much to see and do in Dodge City so please check out more at: http://www.visitdodgecity.org

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

Do you have cramping in your legs while walking or at rest? Is it difficult for you to walk long distances? Do you have restless, cold or pale legs or feet? Do you have hair loss in the lower legs, infections or wounds that take a long time to heal or fungal infections of the toenails? You may have peripheral artery disease (PAD).
Peripheral artery disease is the narrowing or hardening of the arteries that carry blood to your limbs. Arteries are the blood vessels that carry oxygen rich blood to all the tissues in the body. Arteries can develop plaque buildup on their walls as we all get older. The plaques are generally a combination of cholesterol, fat, scar tissue and blood clots. Calcium deposits may also develop. This plaque progressively blocks blood flow to the limbs. In the legs, this reduced blood flow can cause cramping and pain.
Men and women over the age of 50 are most prone to peripheral arterial disease. Incidence becomes increasingly common with each year of life – men are affected earlier, but women catch up quickly. People with diabetes, high blood pressure, smokers, people with high cholesterol, obesity, sedentary lifestyle and genetic predisposition are at increased risk for developing this disease.
Diagnosis is determined with careful history and physical exam of an individual. Simple screening methods can include blood pressure measurement of the wrist and ankle or an ultrasound exam. In some instances a CT, MRI or arteriogram exam may be required.
Symptoms or consequences of the disease include pain, cramping in the legs with exercise or movement. Burning pain, numbness, tingling in the feet, and wounds or infections that are slow to heal or do not heal may also be present. Pale, blue, or cold feet may also be a sign of PAD.. If peripheral artery disease is left untreated or treated too late, it can lead to amputation of the toes, feet or legs.
PAD is preventable!
* Smoking – never start, or if you still smoke – QUIT!
* Diabetes – it’s very important to work with your primary healthcare professional to control your diabetes with a combination of medication, healthy diet, lifestyle modification and weight loss.
* Cholesterol – manage with medication, healthy diet, and exercise
* Overweight – manage with diet modification, weight loss, regular exercise
This disease can be treated surgically or with a minimally invasive procedure through an IV placed into the artery of the wrist, arm, foot, or groin. Treatment can include angioplasty or atherectomy. Angioplasty is the use of special balloons of various sizes that are used to expand an artery to its normal size. The balloon is removed after treatment is complete. Atherectomy removes plaque from the artery wall similar to a “roto-rooter” removing buildup from pipes. This can be achieved with different devices which incorporate cutting blades or lasers. Another method of treatment includes placement of stents which are used in select situations to expand an artery to its normal size and hold it open with a “scaffold”. Stents are permanent implants.
This can be treated by select cardiologists, vascular surgeons and interventional radiologists. If you feel that you may be at risk for PAD, or have some of the symptoms, you should consult your primary healthcare professional to screen for it, and to discuss treatment options.
You are also welcome to call our Vascular Center to schedule a prompt and free consultation. You can contact us at 405-608-8884. We are a specialized center staffed with highly experienced professionals, including a Vascular/Interventional physician, dedicated to treating PAD on an outpatient basis using the latest proven technology to combat this epidemic.
Dr. C.V Ramana is a vascular and interventional radiologist with more than 20 years of practice experience. He has expertise in all areas of vascular and interventional radiology. Dr. Ramana has a Ph.D from Yale University and MD from CWRU in Cleveland, Ohio where he subsequently completed his fellowship in Vascular and Interventional Radiology at the Cleveland Clinic.

Kenneth Wyatt just celebrated his 80th birthday on June 4. What makes this milestone even more special is knowing he underwent a lung transplant on
Jan. 10, 2019, at the age of 79.
The staff at INTEGRIS Baptist Medical Center held a surprise party for Wyatt and hope to have more of these celebrations in the future.
“People should not see age as a deterrent to seeking an organ transplant,” says Mark Rolfe, M.D., co-medical director of lung transplantation and advanced pulmonary disease management at the INTEGRIS Nazih Zuhdi Transplant Institute in Oklahoma City. “We look at physiologic age, not chronologic age. The old way of thinking was you can only transplant people 65 and younger, but there’s a lot of 75-year-olds who are otherwise healthy and still young at heart.”
About a year and a half ago, Wyatt suddenly started to experience shortness of breath. “It came on really quickly,” remembers Wyatt. “I just couldn’t get enough air. I felt claustrophobic, like I constantly needed more oxygen.”
He was diagnosed at another facility with idiopathic pulmonary fibrosis and was told his condition was terminal and he was simply too old for a transplant. Thankfully, Wyatt persisted and found another physician who immediately referred him to the INTEGRIS Nazih Zuhdi Transplant Institute.
“I was anxious to meet Mr. Wyatt,” says Alan Betensley, M.D., co-medical director of lung transplantation and advanced pulmonary disease management at INTEGRIS Nazih Zuhdi Transplant Institute. “We ran some tests and concluded he was healthy despite his pulmonary fibrosis, so we felt he would be an ideal candidate for transplant, regardless of his age.”
Wyatt was placed on the lung transplant list Nov. 15, 2018. “I hear some people wait years for a transplant, so I was surprised to get ‘the call’ less than two months later,” admits Wyatt. “I woke up in the Intensive Care Unit and everyone told me I did great. I was out of the hospital within a week.”
“Kenneth did remarkably well through the entire process. His oxygen level is back up to 98 percent and he is currently undergoing rehabilitation to regain his strength and endurance,” Betensley says. “I have no doubt he will make a full recovery. He is proof positive that age is relative.”
Wyatt says the experience has given him a new outlook on life and a brand-new purpose for living. “The way I figure it, is God gave me this condition for a reason. And maybe that reason is to help raise the age limit for transplant consideration. INTEGRIS took a chance on me when most other institutions wouldn’t, and I will be forever grateful for that.”
“I could still have 20 years ahead of me,” Wyatt predicts. “My mom is still living at 104 and my grand-dad lived to be 101 … so there’s a lot of life left in me.”

Online voting contest to help choose names of the male and female red panda cubs

The Oklahoma City Zoo and Botanical Garden is pleased to announce the arrival of two healthy red panda cubs, one male and one female. The cubs were born late in the evening on Sunday, June 2, at the Zoo’s red panda habitat in Sanctuary Asia to mom, Leela, 5, and father, Thomas, 6. Caretakers report that first-time mother Leela is demonstrating appropriate maternal behaviors such as a grooming and nursing her offspring and all are in good health. At birth, the male weighed 119 grams and the female 124 grams (less than a third of a pound). By June 18, both cubs had more than doubled their birth weights to 252 grams (male) and 257 grams (female).
“We are so excited to welcome these adorable red panda cubs to the Zoo’s animal family and are beyond thrilled that Leela is such a nurturing mother,” said Tyler Boyd, OKC Zoo Curator of Carnivores and Hoofstock. “While we don’t yet know when the cubs will be on public view, mom and her offspring are doing well and bonding behind-the-scenes at their habitat.”
Online Naming Contest
The carnivore caretaker team at the Zoo compiled name options for the cubs that are representative of their natural habitat in central Asia. For the male cub, the name options are: Ravi (Nepalese for sun), Tau (Nepalese for handsome) and Jetsun (Buddhist reverend from Tibet). For the female cub, the name options are: Nima (Nepalese for small), Mohu (Nepalese for cloudy) and Khyana (Nepalese for light). An online vote will determine the duo’s names. Voting is open until Friday, July 5 and the winning names will be revealed on the Zoo’s Facebook page Monday, July 8. Cast your vote at okczoo.org/redpandacubs.
About the OKC Zoo’s Red Pandas
Thomas, 6, came to the OKC Zoo from the Virginia Zoo in Norfolk and Leela, 5, was born at the Charles Paddock Zoo in Atascadero, California, in 2014 and moved to the Toledo Zoo and Aquarium in 2015. Their relocation to the OKC Zoo in 2018 was a species survival plan (SSP) recommendation. SSP programs were developed by the Association of Zoos and Aquariums (AZA) to help oversee the husbandry and breeding management and, as a result, the sustainability of select animal species within AZA-member institutions, including the OKC Zoo. Many of these programs help enhance conservation efforts of these species in the wild as well.
Red Pandas in the Wild
Red pandas are listed as an endangered species. Only an estimated 10,000 remain in the wild, and their habitats in remote areas of the Himalayan Mountains, from Nepal to central China, are being threatened by deforestation, agriculture, cattle grazing and competition for resources. In addition to a taste for bamboo, red pandas consume many other types of food including fruits, acorns, roots and eggs. Red pandas grow to be about the size of a typical house cat and have a life expectancy between 8 and 10 years. Their bushy, ringed tails add about 18 inches to their length and serve as a type of blanket, keeping them warm in cold mountain climates. Though previously classified as a relative of the giant panda, and also of the raccoon, with which it shares a ringed tail, red pandas are currently considered members of their own unique taxonomic family—the Ailuridae.
It’s (red) panda-monium at the OKC Zoo! Located at the crossroads of I-44 and I-35, the 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. Hours of operation are 9 a.m. to 5 p.m. daily. Regular admission is $11 for adults and $8 for children ages 3-11 and seniors ages 65 and over. Children two and under are admitted free. Stay up-to-date with the Zoo on Facebook, Twitter and Instagram and by visiting Our Stories. Zoo fans can support the OKC Zoo by becoming Oklahoma Zoological Society members at ZOOfriends.org or in-person at the Zoo! To learn more about these and other happenings, call (405) 424-3344 or visit okczoo.org.s of the male and female red panda cubs

Presti family Gift Helps transform The Children’s HosSam Presti, executive vice president and general manager of the Oklahoma City Thunder, and his wife, Shannon, have announced their gift of $600,000 to The Children’s Hospital at OU Medicine.
The Presti’s gift will have a major impact on The Children’s Hospital. Thanks to the family’s gift, two procedure rooms will receive renovations and technology upgrades in the Jimmy Everest Center for Cancer and Blood Disorders in Children and the Bone Marrow Transplant Unit at The Children’s Hospital. The Presti’s generosity will also create a nurturing and interactive space in the east lobby of The Children’s Hospital, transforming both indoor and outdoor areas for patients and families that will foster creativity and healing for patients during their stay.
“Sam has been an engaged supporter of our mission and efforts and approached us last fall to determine how he and Shannon could most effectively make a positive difference for our patients and their families,” said Jon Hayes, president of The Children’s Hospital. “It became clear that Sam had a resolute sense of gratitude to the community and wanted to reciprocate in a way that would benefit all Oklahomans irrespective of location, socioeconomic status or any other barrier. The Prestis see a strong children’s hospital that endures well into the future as an essential aspect for all citizens of the state. We are so grateful for their generosity. At The Children’s Hospital, our highest priority is to provide quality patient and family-centered care and to improve the lives of children throughout the region. The Presti family’s gift helps us make every patient and family’s hospital stay as comfortable as possible, thereby improving their recovery and healing process.”
The Children’s Hospital is part of OU Medicine, a 501(c)(3) providing state of the art medical services to the children of Oklahoma and the region. OU Children’s Physicians representing nearly every pediatric specialty, see patients at the hospital, as well as in clinics in the Oklahoma City metropolitan area and throughout the state.pital at OU Medicine

In July, we celebrate the independence of two great nations—the United States, on the 4th; and France, on July 14th, the day the French people stormed the Bastille prison and sparked the French revolution. What better time to consider all the reason I love all things French? In July, we celebrate the independence of two great nations—the United States, on the 4th; and France, on July 14th, the day the French people stormed the Bastille prison and sparked the French revolution. What better time to consider all the reason I love all things French? Perhaps it started during the two years I lived on Lafayette Street in Hampton Falls, New Hampshire. The Marquis de Lafayette served in the colonial army with distinction, even though he was still a teenager in 1776. In high school, I was surrounded by French Canadian culture. Later, my son camped out at Shakespeare and Company, across from Notre Dame, for the short time he lived in Paris. Here are a few reasons why I love France. If I fail to mention your favorite memory of France (the wine, perhaps?), take no offense. This is a personal list that I hope will trigger happy memories for you. Fictional HeroesAlthough these characters are fictional, they taught me a lot about French history.Charles Dicken’s Paris (A Tale of Two Cities) provided one of my favorite quotes. “It was the best of times, it was the worst of times.” I’ll never forget Madame Defarge’s knitting needles and Sidney Carlton’s self-sacrifice in this tale of the French revolution. LeClerc, the spunky Frenchman on Hogan’s Heroes, introduced me to the lure of the French accent. Captain Jean Luc Picard of the Starship Enterprise, from France, once compared our countries’ flags: “America’s flag is red, white, and blue. The French flag is, more properly, blue, white, and red.I first encountered Versailles in the pages of The Three Musketeers and swooned to Richard Chamberlain as The Count of Monte Cristo. The Hunchback of Notre Dame, movie and film, brought that magnificent cathedral—and the concept of sanctuary—to poignant life. Paris, home in exileLet’s not forget the American novelists who lived France in the 1920s—Ernest Hemingway, F. Scott Fitzgerald, Henry James, Edith Wharton, Kathryn Mansfield, Ezra Pound, Gertrude Stein, and John dos Passos, among others. Interesting how many of America’s best-known writers did their best writing away from home.Consider the books written during their exile: A Farewell to Arms (Hemingway), Ethan Frome (Wharton), The Great Gatsby (Fitzgerald)—my literary world would be a lot poorer without the Americans living in ParisImpressionismThe impressionist movement in art and music began in France. I’ve spent time enjoying the works of Debussy, Ravel, Monet, Renoir, Cezanne, and Degas. Even Vincent Van Gogh might be considered French, since he moved there from his native Holland. It’s hard to imagine a museum without one of Degas’ ballerinas or Monet’s water lilies. I personally engage with impressionist music by performing it. My senior piano recital included two compositions from Debussy’s “Estampes”: Gardens in the Rain and Evenings in Granada. The music paints a picture without words or color. And I’m always spellbound by Ravel’s Bolero.Scientists and ThinkersA children’s book introduced me to Louis Pasteur and Madame Curie were among the celebrated scientists. Pasteur not only developed the process whereby we “pasteurize” milk but also developed the first treatment for anthrax. The Curies discovered the wonders of radium and opened the field of radiology.More recently, how about oceanographer Jacques Cousteau? He made the ocean accessible to the world. I can’t leave this section without mentioned Rene Descartes, who told us, “It is not enough to have a good mind; the main t hing is to use it well,” and “I think; therefore I am.”Food and LanguageNo homage to France would be complete without mentioning food and language. I’m not talking about fancy French cuisine. Beef “au jus” makes my mouth water. Omelet, quiche, souffle, and crepes are all improvements over scrambled eggs. What salad is complete without croutons? Acroissant is so much tastier than a slice of white bread. Sweets are my special downfall: eclairs, sorbets, petit fours, bon bons, crème brulee, macarons. Is everyone else hungry by now?The language I love would be incomplete without the French. They ruled England for several hundred years, so it’s no surprise we share a lot of words, even if we pronounce t hem differently. French continues to enrich the English language: chic, mystique, a la carte, cliché, carte blanche, bon voyage, R.S.V.P. (respondez-vous sil vou plais) Of all the reasons I love France, one stands above them all: the Statue of Liberty, their gift to America. Vive la France!Darlene Franklin continues to write from her home in a nursing home. You can find her online at www.facebook.com/Poet.Darlene.Franklin/.

Kathy Shaw of Oklahoma City was less than six months out from treatment for breast cancer when she learned that she had nodule on a lobe of her lungs that was cancerous.
It was more than she could bear to think about. She had just undergone a double mastectomy, chemotherapy and radiation, and the idea of undergoing another major surgery was disheartening. She was told that lung cancer surgery would involve a large incision, the spreading of her ribs to access the lungs and a lengthy hospital stay and recovery.
“I went ahead and made the appointment for the surgery, but in my heart, I didn’t feel like I would go through with it,” she said.
Instead, she began looking for another option. That search led her to J. Matthew Reinersman, M.D., a thoracic surgeon at Stephenson Cancer Center at OU Medicine. Reinersman and his colleague Subrato J. Deb, M.D., are the only two surgeons in Oklahoma who specialize in a minimally invasive surgery for lung cancer called VATS – Video-Assisted Thoracoscopic Surgery. The surgery, which requires only three small incisions, removes the cancer while giving patients a much shorter hospital stay, less risk for complications and faster recovery.
“I had the VATS surgery, and I went home after two days,” Shaw said. “I think I took one or two pain pills, but I didn’t experience what I would call real pain. Because of the procedure and Dr. Reinersman, my recovery has been pretty remarkable.”
Reinersman has been performing VATS for patients with lung cancer since he arrived at Stephenson Cancer Center four years ago. Studies have shown VATS to result in outcomes that are just as good as those in a traditional, open surgery, but with all the benefits of a minimally invasive procedure.
In the traditional procedure for removing cancers of the lung, surgeons make a large incision on the patient’s side and push apart the ribs to reach the lungs. This results in significant pain for the patient and a hospital stay of at least five to seven days, which then leads to greater risk of pneumonia, blood clots and infections.
During VATS, Reinersman makes three small incisions to insert a tiny camera and his surgical instruments. The camera transmits images of the lungs onto a video screen to guide the surgery. Depending on the location of the cancer, he may remove a small part of the lobe, the entire lobe or more of the lung. Nearby lymph nodes also are dissected to ensure the cancer has not spread.
“The advantage is that we can get patients out of the hospital as soon as one to three days after the procedure,” Reinersman said. “They have less pain, fewer side effects and can return to their normal activities faster.”
The reduction of pain is a significant advantage of VATS. Patients having open surgery for lung cancer usually receive an epidural catheter in their backs for pain control. Pain must be managed because patients need to be able to take deep breaths and cough to lower their risk of getting pneumonia – something they won’t do as well if they are hurting. Because VATS is minimally invasive, no epidural catheter is needed and pain is greatly minimized. Surgeons also use nerve blocks to provide long-acting pain control in the nerves that run along the ribs.
“When I see my patients back in the clinic a couple of weeks after surgery, they’re usually taking little to no pain medicine and they’ve resumed doing most of the things they want to do. It’s really gratifying,” Reinersman said.
Reinersman considers VATS for any patient with lung cancer, but the best candidates are those with Stage 1 or 2 cancer, he said. VATS is also preferable for patients who have borderline lung function because the procedure is easier for them to tolerate than an open surgery.
In Shaw’s case, she has never been a smoker. About 20 percent of people diagnosed with lung cancer are non-smokers, Reinersman said.
“That shows the importance of lung cancer screening and early diagnosis and treatment,” he said. “It’s not a death sentence. If we can catch it early, we can get them through it. We’ve done hundreds of VATS surgeries here.”
Many surgeons will use VATS for simple surgical procedures in the chest, but Reinersman and Deb are experts in its use for removing lung cancer, a more technically complicated surgery. The surgeons also are unique because they focus solely on surgeries of the chest and esophagus, whereas many cardiothoracic surgeons focus mostly on the heart.
OU Medicine is also the only institution in Oklahoma that submits its lung cancer surgery data to the Society of Thoracic Surgeons General Thoracic Surgery Database, where it can be viewed by the public. OU Medicine’s two-star rating is equivalent to that of larger institutions like Mayo Clinic and M.D. Anderson.

Dear Savvy Senior,

I need to locate a good in-home caregiver for my 83-year-old mother. What’s the best way to find and hire one? Looking for Care

Dear Looking,
Finding a good in-home caregiver for an elderly parent can be challenging. How can you find one that’s reliable and trustworthy, as well as someone your parent likes and is comfortable with? Here are some tips that can help.
Know Your Needs
Before you start the task of looking for an in-home caregiver, your first step is to determine the level of care your mom needs. This can pinpoint the type of help she’ll need. For example, if she only needs help with daily living tasks like shopping, cooking, doing laundry, bathing or dressing, a “homemaker” or “personal care aide” will do.
But, if she needs health care services, there are “home health aides” that may do all the things a homemaker does, plus they also have training in administering medications, changing wound dressings and other medically related duties. Home health aides often work under a nurse’s supervision.
Once you settle on a level of care, you then need to decide how many hours of assistance she’ll need. For example, does your mom need someone to come in just a few mornings a week to help her cook, clean, run errands or perhaps bathe? Or does she need more continuous care that requires daily visits or a full-time aide?
After you determine her needs, there are two ways in which you can go about hiring someone. Either through an agency, or you can hire someone directly on your own.
Hiring Through an Agency
Hiring a personal care or home health aide through an agency is the safest and easiest option, but it’s more expensive. Costs typically run anywhere between $14 and $25 an hour depending on where you live and the qualification of the aide.
How it works is you pay the agency, and they handle everything including an assessment of your mom’s needs, assigning appropriately trained and pre-screened staff to care for her, and finding a fill-in on days her aide cannot come.
Some of the drawbacks, however, are that you may not have much input into the selection of the caregiver, and the caregivers may change or alternate, which can cause a disruption.
To find a home-care agency in your mom’s area ask for referrals through friends, family or doctor’s offices, or use the Area Agency on Aging’s home-care locator service at PayingForSeniorCare.com – click on “Find Quality, Affordable Care.” In addition, Medicare offers a home health compare tool at Medicare.gov/HomeHealthCompare to help you find and compare home health care agencies.
You also need to be aware that original Medicare does not cover in-home caregiving services unless your mom is receiving doctor’s ordered skilled nursing or therapy services at home too. But, if your mom is in a certain Medicare Advantage plan, or is low-income and qualifies for Medicaid, she may be eligible for some coverage.
Hiring Directly
Hiring an independent caregiver on your own is the other option, and it’s less expensive. Costs typically range between $12 and $20 per hour. Hiring directly also gives you more control over who you hire so you can choose someone who you feel is right for your mom.
But, be aware that if you do hire someone on your own, you become the employer so there’s no agency support to fall back on if a problem occurs or if the aide doesn’t show up. You’re also responsible for paying payroll taxes and any worker-related injuries that may happen. If you choose this option make sure you check the aide’s references thoroughly, and do a criminal background check, which you can do sites like eNannySource.com.
To find someone, ask for referrals or try eldercare-matching services like Care.com or CareLinx.com. Or, for a fee, an aging life care expert (see AgingLifeCare.org) can help you find someone.
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.

Senate Bill 142
Authored by Sen. Stephanie Bice, the bill prohibits the use of antipsychotic drugs unless a patient was previously diagnosed with a psychotic disorder, with some exceptions.
Bice said according to research from the Centers of Medicaid and Medicare Services, Oklahoma is the worst state in the nation when it comes to the use of antipsychotic drugs for nursing home patients who have received no psychiatric diagnosis to warrant the use of such medications. Bice said it happens to one in five nursing home residents in Oklahoma.
“It’s pretty shocking, really. Nursing homes are basically prescribing these drugs as a pharmaceutical restraint to make it easier to handle the patients, but it’s extremely dangerous. It can result in illness, injuries, cognitive decline and even death,” Bice said. “Until this legislation, there’s been nothing that requires the patient, their family or other caregivers to be informed about the use of these powerful drugs. Senate Bill 142 is about requiring informed consent and a proper diagnosis.”
Under the provisions of SB 142, a nursing home patient would have to be examined by the prescribing clinician and diagnosed with a psychiatric condition before an antipsychotic drug could be given. Further, the clinician would have to confirm with the nursing facility that they had received informed consent from the resident or their representative.
In May, Gov. Kevin Stitt signed the bill into law effective Nov. 1.
“AARP Oklahoma applauds Gov. Stitt and the legislature for taking action to reduce the inappropriate use of antipsychotics and chemical restraints on nursing home residents,” said Sean Voskuhl, AARP Oklahoma state director. “With the passage of Senate Bill 142, Oklahoma’s most frail and vulnerable will now be treated with the dignity and respect they deserve.”

Senate Bill 888
Oklahoma is second in the nation for nursing home residents with low care needs who could be better served in home and community-based settings. Authored by Sen. Kim David, this bill provides seniors and their families options that best suit the individual’s long-term healthcare needs while saving the state money.
“Oklahoma spends 70 percent of its long-term care dollars on nursing homes, and only 30 percent on less costly alternatives. Oklahoma’s senior citizen population is expected to increase by nearly 100,000 in the next 30 years – a trend we won’t be able to afford unless we start using more affordable options,” said David, R-Porter. “By using a variety of home and community-based services, other states like Texas, Alaska and Colorado have obtained a 50/50 mix or better in long-term care spending, achieving significant cost savings while allowing senior to choose care in their preferred setting. This bill will provide Oklahoma’s elderly with more options while providing significant savings to the state that can be used on other important services.”
SB 888 allows seniors to take advantage of options counseling to ensure they are fully informed of their options prior to admission to a long-term care program, including less costly choices like home health and adult day services.
The bill was also authored by Rep. Carol Bush, R-Tulsa.
One option provided under SB 888 is the PACE program, which is a Medicare and Medicaid program that helps meet people’s health care needs in their homes, community or local PACE center rather than going to nursing homes or other care facilities. PACE provides all the services and care covered by Medicare and Medicaid if authorized by the individual’s health care team. Services include, among others, adult day primary care (including doctor and recreation therapy nursing services), dentistry, emergency services, home and hospital care, meals, physical therapy, social services and transportation.
In May, Gov. Stitt signed the bill into law effective Nov. 1.