by Susan Price – www.NursingHomeAbuseCenter.org

Individuals who have limited mobility or who are confined to a bed or wheelchair are at a high risk of developing bedsores. What starts as inflammation can quickly turn into a painful wound that is difficult to treat. What’s more, once bedsores are established, the patient is at risk for infection, sepsis, gangrene, and amputation. These complications can be fatal.
Bedsores most commonly develop on bony prominences, or parts of the body that come into the most contact with a bed, chair, or other surface. Common places bedsores develop include the heels, elbows, tailbone, and shoulder blades.
Fortunately, bedsores are preventable. Caregivers who follow the standards of care for repositioning, skin care, diet, and exercise can help prevent bedsores among patients.
Exercise to Prevent Bedsores
Exercise is a great way to help prevent bedsores. Exercise increases blood flow throughout the body, including to the skin. This helps prevent bedsores by keeping skin and underlying tissue healthy and well oxygenated. Exercises don’t have to be strenuous in order to be effective. Here are some examples of the type of exercises that can help prevent bedsores. · Ankle Stretches – Ankle stretches are a great way to improve circulation and range of motion. Caregivers assist with ankle stretches by holding the heel and ankle, and slowing bending and moving the foot around. · Arm Lifts – Arm lifts can be done with assistance, or solo. Raise the arm as high as possible (and comfortable), and hold it for ten seconds. Arm lifts can be easily customized depending on the patient’s needs. · Leg Lifts – Leg lifts are a great way to improve circulation and encourage flexibility and range of motion. These exercises can be done with the patient on their back or side, depending on what is most suitable. The leg is slowly raised even with the hip, and is held there for 10-20 seconds as is comfortable and appropriate. · Palm Stretches – Palm stretches are a simple way to improve circulation in the lower arm and hand. With this exercise, the patient opens his or her hand as wide as possible extending the fingers. Then, the patient touches each finger to their thumb slowly before extending the finger again.
Doing these exercises a few times each day, or even once a day, can reduce the risk of a patient developing bedsores.
Exercise as Part of a Healthcare Plan
Exercise is most effective at preventing bedsores when it is part of a comprehensive healthcare plan.
Caregivers can also help prevent bedsores by making sure patients have adequate food and hydration, access to medical care, and assistance with hygiene.
Bedsores often develop on parts of the body that are covered with clothing or linens. Caregivers should perform routine skin checks to look for signs of a developing bedsore. Once a developing bedsore is stageable, it is dangerous and needs immediate medical attention.
Of course, you should never start an exercise regimen for yourself, or for someone you are caring for, without talking to a doctor first. Exercise should be performed with the guidance of a doctor who knows about the overall health of the patient.
Sources: www.nursinghomeabusecenter.org/bedsores/
www.accessrehabequip.com.au/blog/post/21-how-to-prevent-bedsores%3A-exercises-for-pressure-care-patients/
https://advancedtissue.com/2015/06/4-effective-exercises-for-bedridden-patients/
https://www.nursinghomeabusecenter.org/stages-of-bedsores/

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.

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.

story and photos by Bobby Anderson, Staff Writer

On Sundays strangers gather at New Heights Baptist Church on the city’s south side and sing their praises to the Lord.
But each Monday night, Capitol Hill alumni get together at New Heights to sing in praise of Albert “Ozzie” Ossenkop.
Randy Parsons directs Ozzie’s Capitol Hill Alumni Choir, a group composed solely of individuals taught by the local choral legend.
Members are either Ossenkop’s former students, their spouses or those he taught in church choirs.
Membership is by audition only and encompasses Capitol Hill students from 1963 to 1972.
“But we all auditioned 50 or 60 years ago,” Parsons laughed. “Ozzie was a great showman, a great choral director and taught us not only the love of music but he loved all of us.
“He made us feel special.”
The choir started after a couple of large reunions honoring their former director. Hundreds of students came out of the woodwork for those.
Ossenkop taught for 34 years and passed in 2011 at the age of 89.
During the later years, the group gathered each Christmas to serenade him at Legend at Rivendell.
“Many of the choir stayed in touch and would come to visit and still consider him like a father,” Parsons said. “As he aged our love for him probably increased because we could care for him a little bit like he cared for us.”
But when Ossenkop passed there was a void.
A couple of alumni got the idea of gathering members to sing for the lighting of the Stockyards Christmas tree.
“That’s what got us started and now we are the official choir of Stockyards City and we sing every year at the lighting,” he said. “We figured if we were going to do this let’s do this with the songs Ozzie taught us.”
The choir doesn’t just sing, it performs Ossenkop’s original arrangements he taught back in high school.
This will be the fourth season for Ozzie’s Capitol Hill Alumni Choir, which performs around 14 shows yearly.
In late August, the group performed at the Capitol Hill Alumni Association Annual Banquet.
One of Ossenkop’s students made it all the way. Tenor Chris Merritt has performed all over the world from Carnegie Hall to London’s Royal Opera House.
Ossenkop took his choirs all over as well. Disneyland, Montreal, San Antonio – Ossenkop’s choirs toured performing his annual Musical Extravaganza, a collection of show tunes he arranged.
Member Cheryl Tolsen was part of Ossenkop’s last choir. Coincidentally, her mother was in Ossenkop’s first choir.
“The alto doesn’t fall far from the tree,” Parsons joked.
On Monday nights you’ll find Kathy Perkins, Class of 1968, accompanying the choir on piano the same way she did in high school.
Following Labor Day, Parsons said the group will look to add more members. Anyone who was taught by Ossenkop is welcome to join this month to begin work on the group’s Christmas performances.
Carol Netherton (Class of 68) serves as the group’s secretary and treasurer.
“He was just full of vitality and vivaciousness,” she remembered. “I don’t know anybody who didn’t like him. He was like a father to so many.”
Alana Stephens (Class of 69) described her mentor as ‘“a big old teddy bear.” Seeing Ossenkop each morning at 7:25 a.m. was always a treat.
“He really was interested in all of us kids,” Stephens said. “He wasn’t just a teacher.”
Ossenkop’s expectations were straightforward: no smoking, no drinking, be an A+ person.
Even decades later, when Ossenkop would see one of his students he could tell them what voice part they sang and even remembered details about their families. “One teacher’s influence has been multiplied over all these years and is still being multiplied,” Parsons said. “Nobody pays these people to come. They have to put up with me but they come week after week, year after year. We enjoy each other but our main motivation is we want to honor the guy that started it all.”
Ossenkop left an indelible mark on every member of the choir.
Juanita Gasaway (Class of 1968) still has two pictures of Ossenkop on her cell phone. The first is of him holding her first son in 1970. The second was Ossenkop holding her son’s son in 2010.
“He had a heart of gold,” Gasaway said.

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

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.

OGE Energy Corp. will join forces with United Way of Central Oklahoma during its annual fundraising campaign to double new, first-time company contributions.
“United Way agencies provide such valuable services to our communities, and we’re only as strong as the communities we serve,” said Sean Trauschke, chairman, President and CEO of OGE Energy Corp. “We identified this as a way to help support and grow the missions of these agencies where we live and work.”
This opportunity comes at a critical time as United Way of Central Oklahoma begins fundraising efforts for 57 local nonprofits, serving hundreds of thousands of clients each year who need us more than ever. The gift will help Partner Agencies serve more central Oklahomans by providing life-saving services to those in need.
“OGE Energy Corp. is known for giving back in big ways, and we are truly grateful that they thought of United Way – that says a lot about the caring nature of their organization,” said Debby Hampton, United Way of Central Oklahoma president and CEO. “It takes all of us to make this a more compassionate community, and OGE’s support is one of the big puzzle pieces that makes that possible throughout central Oklahoma.”
Donations may be made online at unitedwayokc.org or by giving through your workplace campaign.
About United Way of Central Oklahoma
United Way of Central Oklahoma researches human needs within the communities of central Oklahoma and directs resources to accountable health and human services agencies to meet those needs by improving the health, safety, education and economic well-being of its most vulnerable citizens. For more information about United Way of Central Oklahoma, please visit unitedwayokc.org or call (405) 236-8441.

The Administration for Community Living (ACL) recently awarded a three-year grant to the Oklahoma Healthy Aging Initiative, part of the Donald W. Reynolds Department of Geriatric Medicine. ACL is part of the United States Department of Health and Human Services.
The grant will help fund implementation of a statewide program for falls prevention.
Lee Jennings, M.D., geriatric medicine specialist, will coordinate the program, which integrates complimentary components: Tai Chi Quan: Moving for Better Balance (TCQ: MBB), and Stay Active and Independent for Life (SAIL) in an effort to decrease the likelihood of falls and improve mobility among older Oklahomans and those with disabilities.
“In addition, OHAI will train volunteer class leaders to enhance program sustainability. Our objective is to build sustainable partnerships with organizations, such as hospital systems, long-term care facilities and insurance providers,” Jennings said. She is also principle investigator on a study related to the grant-funded program.
National Falls Prevention Awareness Day, Monday, Sept. 23, is about preventing fall-related injuries. Among older adults, falls are the leading cause of fatal and non-fatal injuries, posing a threat to life and quality of life.
In connection with the national emphasis, OHAI will host a Facebook live event from 9 a.m. until 2 p.m.
The event will include healthcare professionals in a discussion of the adverse impact of falls, how to prevent them as well as practical tips for creating a more secure environment. The event will also feature video demonstrations of TCQ and SAIL classes.
Keith Kleszynski, Ph.D., associate director of OHAI, explained that the SAIL program is new to OHAI and relatively new to Oklahoma. “We selected this program for its emphasis on physical activity and its appeal to those inclined toward more rigorous exercise,” he said. “It represents a strategic move to reach more male participants.”
Currently, 79 percent of OHAI tai chi participants are female; however, the risks associated with falls and injuries are not limited by gender.
SAIL was developed to improve strength, balance and fitness – all critical components in one’s ability to remain physically active and reduce the risk of falls. It can be done seated or standing. Tai chi incorporates slow and controlled movements that also increase balance and flexibility.

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