by Valerie Pautsch, OU Medicine

Tara Dominguez didn’t fit the profile, if there is one. She was young, with no personal or family history of cancer, and with none of the “usual” risk factors. The diagnosis – cervical cancer – was shocking.
It was early in 2016, and a routine pap smear revealed an abnormal growth. A subsequent biopsy with Dominguez’ regular obstetrician-gynecologist determined cancer was present. “I asked where I should go for treatment – thinking I might be headed to Houston or New York. When I found out there was a cutting-edge cancer center right here in Oklahoma City, it really put my mind at ease,” Dominguez recalls.
Her doctor referred her at once to Katherine Moxley, M.D., Stephenson Cancer Center gynecologic oncologist.
As a pharmacist, Dominguez had a healthcare background and her education was science-heavy. With that perspective, she familiarized herself with treatment guidelines. She understood the drugs and what therapy entailed. She asked myriad questions and gained a thorough understanding of what she was facing.
“I got in to see Dr. Moxley right away. When I met her, she already had a plan and I was scheduled for surgery within a month,” Dominguez said.
Dominguez had what was believed to be a fairly early-stage cervical cancer. According to Moxley, the imaging studies looked normal, but did not tell the whole story. Initially, surgery was the primary treatment, and in 85 percent of cases, surgery would have been enough. Unfortunately, Dominguez defied these odds. Pathology identified high-risk characteristics requiring more aggressive treatment.
Dominguez came to Moxley and Stephenson Cancer Center hoping to participate in a clinical trial that used less-aggressive treatment approaches aimed at preserving fertility. But from the beginning, her options began to dwindle.
“We learned the tumor wasn’t confined to cervix,” Moxley said. “Chemotherapy combined with radiation became the next course of treatment, with radiation being the larger component.”
Dominguez was no longer eligible for the fertility-sparing treatments she had hoped for, but became a candidate for a different trial focused on chemo radiation with chemotherapy. Newly married, Dominguez began to see one of her dreams – motherhood – slipping away. Moxley began to work through options that would enable Dominguez and her husband to become parents on the other side of treatment and recovery. Moxley said the physician’s primary goal for patients is to keep them whole, alive and undamaged.
“So,” Moxley said, “the next question became, ‘How can we ensure your ability to have children?’ The answer took Donimguez through infertility treatments, and once they had viable embryos, she came back for surgery.”
For Moxley, it felt as if each meeting was another occasion in which she had to deliver a new and different piece of bad news. “These findings were exceedingly uncommon, and it was astounding that they all happened to Tara. Repeatedly, I had to say, ‘…..but there’s something different, something more or something else.’”
An avid runner before diagnosis, Dominguez competed in cross country events throughout high school. Later she started running 5Ks and 10Ks, then advanced to running a dozen or more half-marathons each year. Here too, Dominguez faced another significant loss in the life she had known.
“After surgery I couldn’t run of course, but more than that, I was advised that radiation treatment would probably mean the end of running altogether,” Dominguez said. Now a cancer survivor, Dominguez also has become a runner again, thanks in large part to Moxley’s steadfast encouragement. Recovering from treatment, Dominguez and Moxley both completed the 2017 Go Girl Run. “Dr. Moxley stayed after the race to cross the finish line with me,” she said. “It was a new start to this new chapter, returning to being able to run.”
Dominguez has completed five half-marathons this year. She will participate in the Outpace Cancer Race 10K event on Oct. 6, with Moxley once again as her running partner.
“We seek to cure cancer, but also, enable individuals to return to those things that inspire their passions,” Moxley said.
Though the physician/patient relationship is first defined by professionalism, cancer treatment introduces a different dynamic. For Moxley and Dominguez, appointments were frequent and spanned an entire year. “Discussions about life and health are intensely personal. During that time, I came to know Tara as a person, as well as a patient. You can’t really treat someone for a long-term condition if you don’t know their lives,” Moxley said. “Cancer is like ‘slow trauma.’ You walk through it with the patient as an advocate.”
As if experiencing a kind of mutual grace, the conversations seemed to follow a pattern with Moxley’s refrain, “I’m so sorry,” and Dominguez’ response, “Well, this is what we have before us, and I know you’re going to do the best thing for me.”
Moxley described Dominguez as incredibly stoic and strong, meeting each new challenge with courage and determination. “Tara came through therapy beautifully, and her long-term prognosis is excellent. Aggressive treatment was crucial.”
At Stephenson, Dominguez said she found one of the best treatment facilities in the nation. “I received the best care possible from amazing doctors – the best minds from across the country – and incredible staff. All that – and not having to travel for treatment, having friends, family and a complete support network right here…I already had obstacles in my mind, but these were no longer obstacles I had to cross.”
Dominguez underwent chemotherapy and radiation treatment spanning nearly four months. She credits radiation oncologist Spencer Thompson, M.D., and his staff for making her feel so much at home and so confident of the care she received.
Dominguez said her experience with cancer in some ways mirrors the effort of being a runner. “There are days you’re going to have setbacks, but you’ll also experience great joy and success.”
To register for the Outpace Cancer Race 5 or 10K event on Oct. 6, go to outpacecancer.com.

by Dr. C.V Ramana

What is osteoporosis?
It is the “weakening” or “softening” of bones.
Bone consists of a framework or matrix of collagen and other soft tissue elements. It is then “hardened” by deposition of calcium mineral into the matrix. We think of bone as being a “static” component of the body, but this is not true. Bone is constantly formed and broken down throughout our life as the result of a complex interplay of dueling hormones, health, diet, and activity. In childhood and young adulthood, bone growth is faster than breakdown. People generally reach peak bone mass in their late 20’s. After that, bone breakdown tends to be faster than new bone formation. When calcium is taken out of mature (or fully formed) bone and not replaced, the frame left behind is soft or weak, and easily susceptible to fracture.
Why is calcium needed in the body?
Calcium is an important mineral in the body – it is vital to the formation and strengthening of our bones, but also plays an important role in the function of muscles and nerves as well as innumerable biochemical reactions in the body. Calcium is transported throughout the body dissolved in blood, and so, available to all of our organs and tissues in carrying out their functions. The amount of calcium in the blood is tightly regulated by hormones released into the bloodstream from the thyroid and parathyroid glands (located below the Adam’s Apple), pituitary gland (in the brain), as well as the adrenal glands and kidneys.
Our bones serve as a massive reservoir of calcium that can be tapped when calcium levels in the blood are low due to inadequate dietary intake, inadequate levels of vitamin D in our bodies, or the wrong form of vitamin D due to inadequate exposure to sunlight, or as a result of some medications.
How to know if you have osteoporosis?
Unfortunately, this is a “silent disease” and does not become symptomatic until a bone is fractured, or the back becomes kyphotic (stooped) due to slow collapse of multiple vertebra in the upper spine.
How to find out if you have osteoporosis?
Sometimes the diagnosis may be suggested based on the appearance of bones on x-rays or CT scans that you may have for other reasons. The most reliable way, though, is through a test called DEXA which measures Bone Mineral Density (BMD) in various bones in the body.
Blood tests to determine the level of Calcium, Vitamin D, calcitonin and parathyroid hormone can also be helpful, especially in planning treatment.
Risk factors for developing osteoporosis
Factors that can be modified
* Lifestyle – inactive lifestyle or extended bedrest
* Smoking
* Alcohol consumption
* Inadequate dietary intake
* Sex hormones – abnormal absence of menstrual periods or menopause with low estrogen in women, and low testosterone in men
* Medications – long term use of steroids, some seizure medications
Factors that cannot be modified
* Sex – women are more prone to develop this than men
* Age – bone mass decreases in everyone after the late 20’s
* Body size – small boned women are more likely to develop osteoporosis]
Ethnicity – Caucasian and Asian women have a higher likelihood, though African American and Hispanic women are also at high risk.
* Heredity – people whose parents have osteoporosis have an increased likelihood
How can it be treated?
* Smoking cessation
* Decrease alcohol consumption
* Lifestyle modification – weight bearing exercises such as walking, jogging, hiking, climbing stairs, playing tennis and dancing are all good. Resistance exercises such as weight lifting or weight training machines are good
* Increase dietary intake of calcium and vitamin D
* Recommended levels – calcium – more than 1000 mg/day after the age of 30, and 1200 mg/day for women after the age of 50. Vitamin D – more than 600 IU/day for adults up to age 70, and 800 IU/day for men and women beyond the age of 70.
Medications
* Supplemental calcium and Vitamin D
* Prescription medications that work in a variety of ways to interfere with the rates of bone formation and breakdown balance
* Bisphosphonates (which bind to calcium for deposition in bone)
* Estrogen and estrogen analogues
* Estrogen receptor modifiers
* Calcitonin – hormone
* Parathyroid hormone blocker
Who can treat Osteoporosis?
A primary healthcare provider should be contacted for diagnosis and development of a treatment plan. In some cases, they may refer to a specialist for the treatment. Specialists can include endocrinologists, rheumatologists, and women’s health specialists such as an Ob/Gyn.
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. https://naadihealthcare.com/

1 NW 64th Street 73116 Oklahoma City, OK Phone: (405) 608-8884

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

The annual Governor’s Buffalo Roundup in South Dakota had been on my Bucket list for some time. I have always been attracted to the American Bison and am always in awe when in the presence of that intimidating, powerful symbol of America’s western frontier.
A few year’s ago I attended the September Governor’s Buffalo Roundup held in South Dakota. Next year the roundup date is September 25. The annual roundup in Custer State Park includes: an art show, pancake feed Saturday & Sunday mornings, continuous entertainment under the big top, annual buffalo chili cook-off, living history recreations, authentic chuck wagon cookout, state park tours, and of course the roundup itself, when over 1,000 bison are gathered together for inoculations and sale. The wildlife spectacle held in the hills of Custer State Park is an annual event for hundreds of bison enthusiasts. The sight of these brown beauties running into the corrals is a sampling of western lore not easily duplicated.
Custer State park, (www.custerresorts.com/index.php) is one of the largest in the nation, has four state lodges with restaurants, and is accessible to horseback riding and hiking. Seventy-one thousand acres of natural beauty and adventure await you in the beautiful Black Hills of South Dakota. Situated 25 miles south of Rapid City; Custer Resorts is within 25 miles of Mount Rushmore National Memorial, Crazy Horse Memorial, Windcave National Park and Jewel Cave National Monument. As this was my first visit to South Dakota, I explored a few more locales, and found that South Dakota has a lot to offer in the way of diverse landscapes, man made wonders and historic western towns, caught in the 21st century yet suspended with a portion of its pioneer roots.
The splendor of Mount Rushmore is not to be underestimated. (www.mtrushmore.net) One would think that after seeing this image a hundred times in the media that its emotional impact upon viewing in person would be lessened, but it’s not. The mountain itself was originally named after Charles E. Rushmore, a New York lawyer investigating mining claims in the Black Hills in 1885. Sculptor, Gutzon Borglum chose this mountain due to its height (5700’ above sea level), the soft grainy consistency of the granite, and the fact that it catches the sun for the greatest part of the day. The visitor center complete with movie theaters, gift shop, parking garage, snack bar, avenue of states, and event venues, is a boon for the visitor. If you stay for the formal evening lighting program, be forewarned that this is an over the top patriotic celebration of America. I found it enlightening, while talking with some international viewers, that this type of program, that is extolling the virtues of their native land in video and live presentations, would not be tolerated in Europe.
Deadwood South Dakota is a town steeped in history and mystery, but alive today as it ever was. (www.deadwood.org)
The entire city of Deadwood is a national historic landmark. In Deadwood you can ponder the truth at the foot of Wild Bill’s grave in Mount Moriah cemetery (along with Calamity Jane’s), tour Adams Museum and House, pan for gold at the Broken Boot Mine, choose from various guided tours, or take a self-guided walking tour into the past that puts the Wild West into perspective. You may even run into an incarnation of Will Bill himself, either at the number 10 saloon or on horseback inspecting main street. And there’s plenty of casinos for your gaming pleasure along with some fine eateries. One such is Kevin Costner’s Diamond Lil’s, where I had a pleasant Martini during sunset over main street. Costner’s Memorabilia and costumes from his films are on display throughout the dining room, and if that was not enough finery, the top floor hosts a fine dining restaurant complete with piano and beveled glass décor.
Deadwood is full of surprises such as Costner’s founded and funded Museum of the Tatanka (Buffalo) Museum right outside of town. Even with expert Lakota interpreters, displays of costumes worn in “Dances With Wolves”, and historic explanatory panels, the best part of Tatanka is the monumental 17 part sculpture of an Indian hunt near a buffalo jump. With wafts of movie theme music and the rustling of Dakota grass, this hill top venue is the pride of South Dakota, itself. Hats off and congratulations to Kevin Costner for giving back to America with the preservation and inspiration found at Tatanka: Story of the Bison interpretive Center and Sculpture. (For more information visit www.storyofthebison.com)
The badlands is another South Dakota wonder.(www.nps.gov/badl/index.htm) Roaming among the many outcroppings of natural time sculptured stone you are transported to another world. Containing the world’s richest Oligocene epoch fossil beds, dating 37-28 million years old, the evolutionary stories of mammals such as the horse and rhinoceros arise from the 244,000 acres of sharply eroded buttes, pinnacles, and spires.
The privately funded Crazy Horse memorial, is indeed a large undertaking and one that started in 1948 and will continue for many more decades. The memorial is more than a carved mountain but also is a Native American museum and artist’s gallery, along with an institution giving scholarships to Native Americans wishing to continue their education. This is certainly a part of Americana where young children can return as adults and see its slow but steady progress. At certain times it’s possible to take tours to the arm of Crazy Horse and feel its immensity. (www.crazyhorsememorial.org)
There are many more treasures to this part of South Dakota including: the towns of Hill City with its Black Hills Bronze works, Black Hills mining museum, the Mickleson Bicycle Trail, the town of Keystone with its Big Thunder Gold Mine tour, the Rushmore Borglum story, and the most delicious meal of my trip at Powder Lodge House. So you can see, South Dakota is more than its most famous resident, Mount Rushmore. www.travelsouthdakota.com

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

Gov. Kevin Stitt signed a bill on that enhances requirements for health care providers who perform mammograms to notify patients about their test results. The measure is part of Oklahoma’s ongoing efforts to fight breast cancer.
Known as Nancy’s Law, the legislation is named for Nancy Simpson of Edmond, who lost her life to breast cancer in 2018 at the age of 69. The law focuses on dense breast tissue, which can interfere with efforts to detect breast cancer.
“Mammograms are vital tools for detecting breast cancer,” said Sen. Adam Pugh (R), Edmond, who co-authored the bill. “But for some women, they may not tell the whole story. Nancy’s Law will equip those women with the knowledge they need to take charge of their health and, in some cases, save their lives.”
Dense breast tissue affects as many as half of all women and can obscure basic mammography scans, making cancer more difficult to detect. Under existing Oklahoma law, if a patient is found to have dense breast tissue, when she receives her mammography results, the health care facility that performed the mammogram must advise the patient of this fact and provide information on additional testing options.
The new legislation requires those mammography results and notification to be emailed to the patient if she so elects.
“Our wives, mothers, sisters and daughters depend on breast screening to detect cancer,” said the bill’s co-author Rep. Lewis Moore (R), Arcadia. “This new measure will give more Oklahoma women the chance to live their lives cancer-free.”
Simpson worked for 30 years as a laboratory technician at the Oklahoma Medical Research Foundation, searching for effective ways to control fats that play a major role in heart disease and stroke.
Although she underwent yearly mammograms, Simpson’s dense breast tissue hid her cancer until doctors discovered it at stage 4, when it was too advanced to respond to treatment. At the end of her life, she wrote a letter to Pugh and Moore that served as the catalyst for the new legislation.
“Nancy dedicated her career to helping make discoveries to benefit people she would never know,” said OMRF President Stephen Prescott, M.D. “Even in the fight for her own life, she did what she could to ensure that future generations of women could take control of their own breast health and live longer.”
“We are so grateful to Sen. Pugh and his staff for what they’ve done in Nancy’s memory,” said John Simpson. “Nancy was a caring, empathetic person. She would love knowing that Nancy’s Law will save lives.”
“This law is a major step for women’s health in Oklahoma,” said Stitt. “It ensures that all women can take advantage of advances in breast cancer detection and treatment that can spell the difference between life and death.”
Nancy’s Law will take effect Nov. 1.

For the past week, I have been scouring drug stores searching, without success, for a greeting card I plan to mail to Erramatti Mangayamma and her husband, E. Raja Rao.
The card I’m looking for would say, “Congratulations! What the hell were you thinking?”
On Sept. 5, Mangayamma gave birth to twin girls. This event alone may not be card-worthy, as women give birth every day. But not all of them are 73 years old.
With an 80-year-old husband.
Mangayamma, who is from Andhra Pradesh, India, is believed to be the oldest woman ever to give birth. Unable to conceive since they were married in 1962, the couple approached Dr. Sanakayyala Umashankar, who reportedly agreed to administer one round of in vitro fertilization to Mangayamma.
As someone whose second child was conceived via IVF, I know the risks involved with implanting multiple eggs into a woman’s body. Before doing so, our fertility doctor wanted us to be aware we could end up with not one child, but an entire litter, and were we OK with that?
We ended up with one but, with an infant and a kindergartner to care for, we were routinely exhausted by midday. At the time, my wife was 36. I was 39. Roughly half the ages of Mangayamma and Rao.
Don’t get me wrong, having a baby is a joyous occasion. But do new parents who are well into their years of Social Security eligibility, IRA withdrawals and entry into retirement communities REALLY know what they are getting themselves into? Mrs. Mangayamma, you do know that you can’t go to bed until your new girls have drifted off, right? I’m 56 and my bedtime is approximately 9:30 p.m.
Your infants’ bedtimes should be approximately, oh wait, infants don’t have set bedtimes. Never mind.
Mr. Rao let’s discuss your duties as a first-time dad. Are you OK with assembling two cribs, two strollers and, nightly, bathing two slippery babies? The latter requires very steady hands. I’m not making any assumptions about your manual dexterity but just yesterday, my fingers unexplainably twitched, causing me to drop a full glass of water. Just saying.
Now, new parents, let’s flash forward a few years. I’m not sure how popular youth sports programs are in India, but my girls started playing soccer and softball when they were 6. Mr. Rao, how are your coaching skills? At 86, will you be up to teaching a team of giggly first-graders how to execute a corner kick? Will you be able to frantically wave your arm in a circular motion, signaling your lead runner should round third base and head for home? Are you confident you can perform both those feats without crumbling to the ground, having pulled something?
Also, be ready to argue with opposing coaches who may have different views about athletic development. Sports have changed considerably since you grew up in the good old 1950s.
Finally, let’s not forget that you sired two girls. It’s worth noting that, sometime around 2030, both will be entering those hormonally charged years that, for parents, are about as pleasant as repeatedly biting your tongue in the exact same spot. Mrs. Mangayamma, you’ll be 84 while your husband will be 91. Better pray you both suffer from hearing loss by then; it’s the only way you’ll be immune from the sounds of slamming bedroom doors, screaming arguments about who-took-whose pair of Justice shorts and shouting matches involving bathroom time.
Also, both likely will have radically different dietary restrictions by then. The only thing they will have in common is their disdain for your dinner of choice: Jell-O and soup.
Well, I’ve probably given too many opinions. I’m sure that, after more than 50 years of yearning for children, you two will make amazing parents. Enjoy the experience because it goes so fast. In the blink of an eye, they’ll be out of college and on their own.
And, at 94 and 101, you’ll be empty-nesters.

My favorites are the foliage colors and of course the temperature and the weather.

Rosa Knight

I can work in my garden again and there’s no mosquitoes.

Melanie Wright

The coolness and the Oklahoma State Fair.

June Cavendish

OU football and tailgating.

Vicki Bailey

Oklahoma City Zoo is exclusive stop in OKC for the Adult Swim series’ “Don’t Even Trip Road Trip” tour

You won’t need a Mr. Meeseeks to make the perfect Date Night a reality. After a successful introduction in June, the Oklahoma City Zoo and Botanical Garden is pleased to announce the return of Date Night on Monday, October 14, from 6 p.m. to 10 p.m. Doors open at 5:30 p.m.
The Zoo will be open exclusively for adults 21-and-older to explore, enjoying the beautiful Oklahoma fall with a multitude of activity options, including a special appearance by the Rickmobile, making its only Oklahoma City stop on the nationwide “Don’t Even Trip Road Trip” tour. The Rickmobile is like the Oscar Meyer Weinermobile, but instead of a hotdog, the vehicle is shaped like Rick and Morty’s mad scientist, Dr. Rick Sanchez. It opens to reveal a mobile merchandise shop, with t-shirts, figurines, toys and more from Rick and Morty and other classic Adult Swim series. The Rickmobile mobile shop accepts only credit/debit cards for purchases, no cash or checks.
“Rick and Morty is an absurdly awesome animated series and we’re thrilled to host the Rickmobile’s only stop in Oklahoma City,” said Greg Heanue, OKC Zoo chief marketing officer. “The Zoo’s successful Date Night event series connects adults with wildlife in bold new ways, so hosting the wildly popular series’ tour at this event makes complete sense.”
In addition to Rick and Morty team trivia, Date Night attendees can explore the Zoo, attend a sea lion presentation, sing along with karaoke, play outdoor games, ride the endangered species carousel and enjoy drinks at multiple locations throughout the park. Special menus will be featured at Zoo eateries.
Date Night tickets are now available at okczoo.org/datenights for $25. Each ticket includes one free drink. Food is not included. No one under 21 years old will be admitted. Official federal, state or tribal identification showing both date of birth and a photo is required for entry. Attendees are welcome to dress as their favorite characters from the series, but no face masks or weapons (real or fake) will be allowed.
Rick and Morty is an animated series from Dan Harmon (Community) and Justin Roiland that follows a scientist and his grandson through a multiverse of adventure, calamity and comedy. Its upcoming fourth season premieres on Adult Swim in November.
Wubalubadubdub… don’t miss Date Night fun featuring the Rickmobile at the OKC Zoo! 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, Instagram and YouTube or by visiting the Zoo’s Blog. To learn more about these and other happenings, call (405) 424-3344 or visit okczoo.org.

Each year, across the country, thousands of educators, caregivers, health and aging professionals, and older adults focus their efforts on one goal: preventing falls. That’s why the Oklahoma State Department of Health (OSDH) is partnering with the National Council on Aging (NCOA) and the Falls Free® Coalition to celebrate Falls Prevention Awareness Day, Sept. 23. This year’s activities will focus on the teamwork needed to prevent falls effectively.
Every second of every day in the United States an older adult falls, making falls the number one cause of fatal and nonfatal injury among older Americans. Every week in Oklahoma, approximately 124 adults age 65 and older are hospitalized and 11 die from a fall. Acute care hospital charges alone total more than $250 million a year.
Falls are not a normal part of aging, and an individual has the power to prevent them. The OSDH offers the following tips on simple tips to prevent falls:
Exercise regularly. Exercises that improve strength, balance, and coordination are the most helpful in lowering the risk of fall-related injuries.
*Speak up. Talk to your doctor about fall risks and prevention. *Ask a doctor or pharmacist to review both prescription and over-the-counter medications for side effects and interactions. The way medications work in the body can change with age. Some medications or combinations of medications can contribute to drowsiness or dizziness, which increases the risk of falling. *Have vision screenings at least once a year. The wrong prescription eyeglasses or health conditions, such as glaucoma or cataracts, limit vision and may increase the risk of falling. *Reduce hazards in the home that may lead to fall-related injuries. *Keep floors clean and clear of clutter where people walk.
*Maintain adequate lighting throughout the home, especially near stairways. *Remove throw rugs or use non-skid throw rugs in the home, and use non-slip mats in the bathtub or shower. *Install handrails on stairways and grab bars in bathrooms. *Keep regularly needed items in easy-to-reach places that don’t require the use of a step stool.
The Tai Chi: Moving for Better Balance program has been proven to reduce the risk of falls. Throughout Oklahoma, many individuals have been trained as Tai Chi instructors and teach Tai Chi: Moving for Better Balance classes to older adults. This exercise program focuses on improving functional abilities, such as balance and physical function, to reduce fall-related risks and frequency of falls. Oklahoma seniors are invited to join one of the more than 90 open Tai Chi: Moving for Better Balance classes across the state.
To receive more information on classes and how to prevent falls, contact the OSDH Injury Prevention Service at (405) 271-3430 or visit http://falls.health.ok.gov.

About one in five licensed drivers in the United States is over the age of 65. Driving is one of the last points of independence some seniors have to give up. This makes it difficult when a family has to have the conversation with an elderly loved one about whether or not it is safe for them to continue driving.
“It is a major life change,” said Faye Beam, coordinator for the Retired and Senior Volunteer Program (RSVP) of Central Oklahoma’s Provide A Ride (PAR) program.
Provide-A-Ride is a free medical transportation program for seniors who are no longer able to drive to doctor’s appointments. Volunteers pick up seniors, take them to their appointments, wait with them, and return them home. Currently, volunteers take PAR clients to more than 300 physicians in the Oklahoma City metro area.
“I receive calls often from children concerned about their elderly parents driving,” Beam said. “All families face similar scenarios. Children become caregivers for their parents, and they worry about their well-being and safety.”
Some of the red flags Beam hears from family members about their elderly parents and driving include: parents getting lost, vision problems at night, easily distracted while driving, developing fear related to driving, or unable to keep up with the expenses of owning a vehicle.
Beam wants families to know that PAR can be a reliable, safe alternative form of transportation for their loved one and encourages family members to have their loved one call and talk with her about the program.
“I always try to make clients feel at ease and comfortable and in charge of scheduling their transportation to medical appointments,” she said.
As with new things, the PAR clients get used to their new form of transportation and most make friends with the volunteer drivers, Beam said.
“They have interesting conversations, and many look forward to the time spent with their Provide-A-Ride drivers,” Beam said.
Beam suggests taking gentle baby steps with elderly parents about the subject of driving.
“Give mom and dad time to think about giving up their vehicle,” she said.
Currently, the PAR program has 683 active clients and 55 volunteer drivers. Volunteer drivers choose their schedules and receive free supplemental liability insurance coverage and mileage reimbursement. If you would like more information for a loved one who can no longer drive or if you would like to sign up to be a volunteer driver, contact Faye Beam at 405.605.3110 or email her at faye.beam@rsvpokc.org.