Holiday Grief Support
Free program offers help for those recovering from loss of loved ones
The holiday season is usually a wonderful time filled with happy memories. But you may find it more difficult when experiencing grief. INTEGRIS Hospice offers this program especially for those who may benefit from additional support during this time of year.
Normal grief responses include appetite loss, difficulty sleeping, feelings of guilt or regret, lack of concentration, mood changes, numbness or crying.
Date Tuesday, Nov. 8
Time 6:15 to 7:30 p.m.
Place Bethany First Church of the Nazarene
6789 NW 39th Expressway • Bethany, OK 73008

To enroll Call Marla Mercer-Cole, M.S., 405-603-1708
Program is free of charge; space is limited. Reservations are required.

The session is facilitated by Marla Mercer-Cole, M.S., licensed professional counselor certified in thanatology: death, dying and bereavement. As current vice president of Mercer Adams Funeral Service in Bethany, she directs the aftercare program for families they serve and oversees community relations. Mercer-Cole also conducts six-week grief support programs throughout the metro Oklahoma City area for INTEGRIS Hospice.

story and photo by Traci Chapman

Oklahoma Department of Veterans Affairs administrators say a lot has improved in the VA’s reboot, but there is a long way to go – for patients and employees alike.
“We are very much on a learning curve, working to make the VA experience the best we possibly can for our veterans and their families, while we make sure our employees are happy and fulfilled, because that’s the way to make sure they are dedicated to giving the best care possible to our patients,” Oklahoma City VA Medical Center Director Wade Vlosich said.
The director’s comments were made during a Sept. 21 Town Hall, attended by dozens of veterans and staff members. Aimed at addressing both patient and staff concerns, the meeting was part of an effort to help move beyond years of bad press involving long wait times for care, employee concerns about hospital leadership and more at VA centers across the country. And, while the Town Hall gave individuals a chance to air ongoing issues, it was also a sign of a change in philosophy at the center, staff said.
“We are all working to make sure we are an active part of what we’re calling the ‘New VA,’” said Darrell Long, hospital specialty clinic float nurse. “We all know there is a bad perception out there, and we’re working to change that.”
Vlosich is a big part of that change, staff said. Joining the Oklahoma City VA facility in May, Vlosich is the first “permanent” director named in more than four years. With staff having no stable leadership to look to or lean on, Vlosich said it was difficult to provide both the kind of atmosphere needed for happy and quality employees, as well as the best in patient care.
“You just can’t make it work without stable and dedicated long-term leadership,” Vlosich said. “The quality of care we do offer is a testament to our employees – but now we owe them more too.”
That staff cares for more than 61,000 veterans annually, this year that number jumping by more than 3,000 over the number of patients seen two years ago, Vlosich said. The center’s $460 million budget funds a 192-bed hospital and emergency room operations, as well as a myriad variety of specialty clinics, including extensive mental health facilities. The VA also administers community centered outpatient clinics in north Oklahoma City, Lawton, Ada, Wichita Falls, Blackwell, Ardmore, Altus, Enid and Stillwater.
Employees have worked hard to address issues with wait times in all areas of the facility, something that’s been a longtime problem, Vlosich said. But, while the director has his work cut out for him in his new position, the challenge isn’t anything new. Before coming to Oklahoma City, he served as director of Harry S. Truman Memorial Veterans’ Hospital in Columbia, Missouri, for more than two years – a facility that before his arrival had been under “significant” fire for serious patient care issues.
“It was certainly a challenge, but we made some real improvement, and I know we will do the same – and better – here,” Vlosich said.
Like the Missouri facility, Vlosich said Oklahoma City has a major asset, its employees, and they are the primary key in hastening the forward strides needed to improve service.
“We are very lucky to have people with amazing dedication and talent, people like our specialty clinic chief, Terri Sharp,” the director said. “She and her staff have elevated our nursing services and make a huge difference in the lives of their patients.”
Those efforts have made a difference, with primary care waits dropping from seven days to three days, mental health from three days to two days and specialty care decreasing from 12 days to 11 days, Vlosich said.
“Obviously, that’s an improvement, but we have lots of room for more advancement,” he said.
Another frustration has been aged facilities, including inadequate parking for both staff and patients. Crews are working on a first and second floor clinic expansion, which will add 8,000 square feet and renovate another 16,000 square feet. A major parking addition should add 300 spaces and ease a situation that causes headaches on a daily basis, Vlosich said. The clinic project is slated for completion March 2017, while the new parking spaces should be ready by May 2017.
“We are also working to improve our facilities, which are a direct patient benefit but also is positive for our staff,” Vlosich said. “That allows us to keep the excellent employees we have happy, while allowing us to appeal to quality staff because, of course, we are only as good as the quality of our nursing/medical and other staff.”
That is an area that has seen forward momentum, staff said.
“There is a lot of excitement, a lot of commitment to the VA family,” said Leann Denney, a chemotherapy nurse navigator. “We have the greatest patients, and we are so committed to them because there is that additional component that they have served, they’ve sacrificed for all of us.
“That’s always been there, but there is also a new feeling that we are more of a coordinated team, that we will be able to better work together for the good of our patients,” she said. “We are a family here, all of us – nurses and staff, patients and their families – and we’re looking for things to just get better and better.”

Dear Savvy Senior,

At age 76, my husband has become forgetful lately and is worried he may have Alzheimer’s. What resources can you recommend to help us get a grip on this?  Concerned Wife

Dear Concerned,
Many seniors worry about memory lapses as they get older fearing it may be the first signs of Alzheimer’s disease or some other type of dementia. To get some insight on the seriousness of your husband’s problem, here are some resources you can turn to for help.
Warning Signs
As we grow older, some memory difficulties – such as forgetting names or misplacing items from time to time – are associated with normal aging. But the symptoms of dementia are much more than simple memory lapses.
While symptoms can vary greatly, people with dementia may have problems with short-term memory, keeping track of a purse or wallet, paying bills, planning and preparing meals, remembering appointments or traveling out of the neighborhood.
To help you and your husband recognize the difference between typical age-related memory loss and a more serious problem, the Alzheimer’s Association provides a list of 10 warning signs that you can assess at 10signs.org.
They also provide information including the signs and symptoms on the other conditions that can cause dementia like vascular dementia, Lewy body dementia, frontotemporal dementia, Parkinson’s disease, Huntington’s disease, chronic traumatic encephalopathy and others – see ALZ.org/dementia.
Memory Screening
Another good place to help you get a handle on your husband’s memory problems is through the National Memory Screening Program, which offers free memory screenings throughout National Memory Screening Month in November.
Sponsored by the Alzheimer’s Foundation of America, this free service provides a confidential, face-to-face memory screening that takes about 10 minutes to complete and consists of questions and/or tasks to evaluate his memory status.
Screenings are given by doctors, nurse practitioners, psychologists, social workers or other healthcare professionals in thousands of sites across the country. It’s also important to know that this screening is not a diagnosis. Instead, its goal is to detect problems and refer individuals with these problems for further evaluation.
To find a screening site in your area visit NationalMemoryScreening.org or call 866-232-8484. It’s best to check for a screening location at the end of October, because new sites are constantly being added.
See a Doctor
If you can’t find a screening site in your area, make an appointment with his primary care doctor to get a cognitive checkup. This is covered 100 percent by Medicare as part of their annual wellness visit. If his doctor suspects any problems, he may give him the Memory Impairment Screen, the General Practitioner Assessment of Cognition, or the Mini Cog. Each test can be given in less then five minutes.
Depending on his score, his doctor may order follow-up tests or simply keep it on file so he can see if there are any changes down the road. Or, he may then refer him to a geriatrician or neurologist who specializes in diagnosing and treating memory loss or Alzheimer’s disease.
Keep in mind that even if your husband is experiencing some memory problems, it doesn’t necessarily mean he has dementia. Many memory problems are brought on by other factors like stress, depression, thyroid disease, side effects of medications, sleep disorders, vitamin deficiencies and other medical conditions. And by treating these conditions he can reduce or eliminate the problem.

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.

by Traci Chapman

No matter what Brad Elder has done in his life, he’s always lived by one abiding principle – “be honest and sincere and do the right thing.”
That philosophy has resonated with customers, who recently propelled Elder’s Yukon-based company, Oklahoma Strong Roofing & Construction, to its receipt of the Better Business Bureau’s Torch Award.
“Torch Awards, officially the International Torch Awards for Ethics, are given to companies that demonstrate the best practices in character and leadership, as well as organizational ethics and high standards that benefit not only their customers, but also their communities, their suppliers, employees and shareholders,” said Sheila Adkins, Better Business Bureau community outreach manager. “They’re a way of advancing trust in the marketplace, which is one of BBB’s missions.”
That award – and what it represents – is why Elder began Oklahoma Strong, he said.
“I’ve found in this business that it can be very easy to find someone to do an inexpensive job, even offer things that aren’t ethical, but the important thing is to find a company that will do the job right,” Elder said. “If you do that, ironically, you won’t be coming back to me for more business because you won’t need a new roof.”
While roof installation is part of Oklahoma Strong’s mission, it’s far from all of it, Elder said. Oklahoma Strong’s hail restoration contractors address issues with gutters, siding, windows, garage doors, paint and more – anything that could be part of a homeowners’ insurance claim.
“It could be one of those little gnomes in the garden that might be precious to someone – we inspect to make sure we find all that’s wrong so we can present a full package to the insurance company and make sure the homeowner is fully covered and protected,” Elder said.
The 59-year-old business owner has worked in service industries his entire life, even as a youth. His own grounds keeping and maintenance company, begun as a high school senior to fund college, grew into a 25-employee firm that Elder in 1997 sold to a large regional company.
He then went into telecommunication sales – at a time when long distance services were a big seller. After a year as an independent agent, Elder was promoted to corporate recruiting and mentorship, eventually managing 400 sales representatives.
It was in 2010, however, that a personal event would prompt a complete professional evolution.
“We were renovating our house and were out of town for a wedding when we got a call – a contractor had put in a faulty light fixture and there was a fire in the house,” Elder said. “About one-third was fire damaged, the rest with smoke and water.”
The rebuild of his own home brought Elder face-to-face with contractors, many of whom he watched cut corners and use substandard materials. As the process moved forward, he began to see a light – what he was meant to do, he said.
“I had a friend who said I needed to get into roofing sales, and I had done that, but I saw the same thing in my job as I did at my house – and I knew the only way I could fix it was to start my own company – so I did,” Elder said.
Thus, Oklahoma Strong Roofing & Construction was born.
“Trust is the major factor, the thing I most want to convey to my customers,” he said. “We don’t use substandard materials, we don’t use previously used materials, and we make sure the job is done right – and that’s why we received the Torch Award and why we’ve received the testimonials we have.”
While many roofing companies might re-roof 500, even 1,000, buildings annually, Elder has held the number of his jobs back to about 100 to 150 a year, he said.
“That way I’m able to have my hand in every single one of them,” Elder said. “I want to make sure that I am involved in the process every step of the way and that the homeowners have complete access to me and know exactly who they are dealing with.”
Oklahoma Strong has four full-time employees and a regular crew that performs the actual roofing services. That means every project is the company’s sole focus as it’s being performed – because no more than one roof is being constructed at any one time.
“I’m just one little portion of their life, but for me they’re all I’ve got going on, so I want to make sure it’s as painless as possible for them,” Elder said. “That’s why people are happy with us, and that’s how I want it to stay.”

What advice would you give your younger self? Emerald Square Assisted Living

It would be to treat people the way God wanted, don’t be selfish and don’t let others take advantage of you. Mark Sloan

To be more honest and have a good relationship with God. Not ask but to listen to what God asks you do. Martha Sneed

Stay out of trouble and read more. William J. Warner

I’d be more careful about what I got myself into and involved in. Wanda Galpin