What are you looking forward to for the rest of the year? The Veraden Senior Living at Edmond

My daughter is coming to spend a few days with me in November.  Alice Musser

I’m looking forward to the holidays but I’m really content right now. I don’t worry about what’s coming up.  Kay Dudley

Enjoying these Indian summers in the Southwest U.S. We just have fabulous days.  Charles Kramer

Football is going on. Basketball is coming up. I like sports so the winter months are good.  Jack Brubacher

Dear Savvy Senior,

I’m concerned that my 80-year-old mother is taking too many medications. She currently takes 10 different drugs prescribed by three different doctors, which I think is causing her some problems. She also struggles to keep up with all the drug costs. Any suggestions?  Concerned Daughter

Dear Concerned,
There’s no doubt that older Americans are taking more prescription medications than ever before. According to the Journal of the American Medical Association, around 40 percent of seniors, age 65 and older, take five or more medications. And the more drugs a person takes, the higher their risk for medication problems, and the more likely they are to take something they don’t need.
Brown Bag Review
To help you get a better handle on the medications your mom is taking, gather up all her pill bottles – include all prescription drugs, over-the-counter medications, vitamins, minerals and herbal supplements – and put them in a bag and take them to her primary doctor or pharmacist for a thorough drug checkup. This “brown-bag review’ will give you a chance to check for duplicate meds, excessive doses, and dangerous interactions, and for you to ask questions.
Medicare Part B covers free yearly medication reviews with a doctor through their annual wellness visits, and many Medicare Part D plans cover medication reviews with a pharmacist too.
You should also note that October 21, is “National Check Your Meds Day.” A number of pharmacies – Albertsons, Costco, CVS, Sam’s Club, Target, Walmart and many independents – have agreed to support the effort. Some may even have extra staff on hand to help you review your meds. Ask your local pharmacy whether it is participating.
When you get your mom’s review, go over the basics for each medication or supplement, such as what it’s for, how long she should take it, what it costs, and any side effects and potential interactions. Also ask if there are any meds she can stop taking, and find out if there are any nondrug options that might be safer, and whether she can switch to a lower dose.
To help your mom avoid future medication problems, make sure her primary doctor is aware of all the medications, over-the-counter drugs and supplements she takes. You should also keep an up-dated list of everything she takes and share it with every doctor she sees. And, be sure that your mom fills all her prescriptions at the same pharmacy and informs her pharmacist of any over-the counter, herbal or mail order prescriptions she’s taking so that there is complete oversight of her medications.
How To Save
To help cut your mom’s medication costs, there are a number of cost savings tips you can try. For starters, find out if there are any generic alternatives to the drugs she currently takes. Switching to generics saves anywhere between 20 and 90 percent.
You should also ask your mom’s prescribing doctors if any of the pills she takes could be cut in half. Pill splitting allows you to get two months worth of medicine for the price of one. And for the drugs she takes long-term, ask for a three-month prescription, which is usually cheaper than buying month-to-month.
Because drug prices can vary depending on where you buy them, another way to save is by shopping around (GoodRX.com will help you compare drug prices at U.S. pharmacies), and find out if your mom’s drug insurance plan offers cheaper deals through preferred pharmacies or a mail-order service.
And finally, if your mom’s income is limited, she can probably get help through drug assistance programs offered through pharmaceutical companies, government agencies and charitable organizations. To find these types of programs use BenefitsCheckUp.org.

Here are some facts from Sepsis Alliance, the nation’s leading sepsis advocacy organization, about sepsis in the U.S. and how simply knowing the signs can save a life.

You probably have never heard of it. In fact, only 55 percent of adults in the U.S. ever have. It’s sneaky and is the result of your body’s immune system turning on itself instead of fighting the cause – an infection. It can start from something as simple as a tiny cut. It doesn’t discriminate and can happen to anyone – young or old, healthy or ill. Every year, more than 258,000 people in the U.S. die from it, more than from prostate cancer, breast cancer, and AIDS combined. The most devastating part is that it’s treatable, especially when it’s caught early and treated properly. What is it? Sepsis.
“Sepsis is the overreaction of the body’s immune response to an infection. This can lead to organ damage and even death,” said John Hurst, St. Anthony Infectious Diseases Pharmacist and Director of Antibiotic Stewardship. “Anything from pneumonia to a UTI can progress to sepsis. The most common causes of sepsis are infections of the lungs, skin, abdomen and urine. It’s important to know that 80 percent of sepsis cases start outside of the hospital setting.”
So what symptoms should you look for? “When someone has an infection along with any combination of the following signs it could be sepsis: shortness of breath or rapid breathing, confusion or disorientation, fever or shivering, high heart rate, extreme pain, and/or pale clammy skin,” said Hurst.
The quicker sepsis is diagnosed and treated, the higher the chance of survival with no or minimal long-term after affects, such as amputations. “The best thing you can do is seek medical care. Sepsis is a medical emergency and every minute counts when we look at sepsis survival,” stated Hurst. “Call your doctor or go to the emergency room immediately if you think you or someone you are caring for has sepsis. Don’t be afraid to ask your doctor ‘Could this be sepsis?,’” he added.
So you know what sepsis is and the symptoms, now what? Prevent infection in the first place by using good hygiene – wash your hands, properly care for open wounds, get vaccinations, and seek medical attention if you suspect sepsis. “Vaccinations are extremely important in the prevention of sepsis, especially the flu and pneumonia vaccines,” said Hurst. “Seeking medical care for infections before they get out of control can help prevent progression to sepsis. For patients with diabetes, skin and foot care can prevent infections from taking hold and putting you at risk for sepsis.”
Remember, every two minutes someone dies from sepsis – a treatable condition that can start from any kind of infection. So don’t hesitate if you suspect sepsis and get medical help as soon as you see the signs. You could save a life.

The silver-rimmed glasses appear to rise each time Shelley Wong is happy.
Wong of Choctaw, is happy a lot while working her farmers market tables along the west edge of the Oklahoma Department of Agriculture, Food and Forestry (ODAFF) parking lot.
The produce under the blue canopy sun tent – butternut squash flanking her to the left and golf ball sized red onions to the right as well as the Chinese okra and the bitter melons before her – are a source of pride because each is from her garden.
A customer studies the items on the tables and tells Wong, “I’d like these two zucchini.”
Wong smiles, the glasses push up, and she replies, “I picked them myself this morning.”
Later, she goes to the passenger side front seat of the Chevrolet Astro van and grabs an aerial photo to show a visitor.
“Here’s my garden,” she said, the smile kicking in instantly. “It’s maybe 6,000 to 7,000 square feet. There’s my seven rows of the big tomatoes, and this is the little cherry tomatoes. Over here is the broccoli, and here I plant spaghetti squash.”
Across Oklahoma, there are dozens of registered farmers markets that are essential outlets for agricultural producers in providing opportunities for them to meet the consumer demand for locally grown, fresh produce. Farmers markets also provide opportunities to create strong community ties and a link between rural and urban populations by allowing farmers and consumers to interact.
Just over the produce and behind the tables stand those who raise a quality product and want to see the public enjoy it. Many of those individuals have interesting stories, including Shelley Wong.
She remembers
The painful cries of a baby.
The moaning of a senior adult.
Many have said that food is taken for granted. Not by Wong.
When Wong – Wong Moy, Shuet Fong – tells the story of her childhood, the happiness is nowhere to be seen. One is certain the glasses on her cheeks will soon begin catching tears.
Food is personal, and that feeling traces back to those babies and seniors, she said.
On Oct. 1, 1949, communist revolutionary Mao Zedong officially proclaimed the existence of the People’s Republic of China, naming himself head of state. Wong was only 3 years old.
She grew up in a time of a “government rate” for food. In her village, that was about 20 pounds of rice per person, per month. That was for two meals a day. Those who couldn’t work, like a child or an older adult, received less, she said.
Wong’s father died when she was 6, and she was the middle of five children. However, her grandfather and an aunt in New York sent them money, so they had a better situation than some others. Still, Wong saw and heard the impacts of hunger all around her.
“So some kids, they cry all day, all night, and some older people,” said Wong, 71. “They swell up because they don’t have enough food.”
She felt she had to get out.
It was 1962. Wong’s grandmother Yee Lau Kwai needed to take a trip and couldn’t see well, so she needed, as was approved by the government, a child 12 years or younger, for assistance. Here’s the catch: Wong was 16, but didn’t have a birth certificate and was shorter than her present height of 4-feet, 11 inches. So they listed her as 12 and she received a passport. They went first to Macau on the south coast of China, across the Pearl River Delta from Hong Kong.
“I lived in Macau for a month and a half and then got into a small boat and we sneak into Hong Kong,” Wong said. “At that time it belonged to the British.”
It was in Hong Kong, in late 1964, she met Sheldon Wong, who had returned to China from Los Angeles to find a wife. They were engaged in March 1965 and married in May of the same year, and in September traveled to Los Angeles, where Sheldon had a grocery store.
“Not long after, we got robbed,” she said. “Four guys come in and they shoot our roof, we got scared so we moved out from that business and sold his part to his brother.”
In 1969, Shelley became a U.S. citizen and shortly thereafter, the Wongs moved to San Diego, where they opened a restaurant that seated about 70 people and served Cantonese cuisine. That continued for about 15 years until Sheldon had health issues and they sold. After a while, Shelley started the restaurant again, in a mall.
Food obviously plays a role in everyone’s life, but it has played a significant part in Shelley’s life: the grocery store, the restaurants, the garden and the farmers market.
“We pay it back a lot of time,” she said, and then explains. “A lot of time at the restaurants, we would have people come in and they say, ‘We hungry, can we have some food?’ and we always give them some fried rice. If they are hungry, we are willing to help them.”
Shelley and Sheldon also sent money back to family members in China and through the years, some family members moved to the United States. Also, her grandmother initially stayed in Hong Kong and then moved to the United States. The grandmother lived with the Wongs until the early 1980s and then moved in with other family members in California.
Wong did return to China to visit, making the first of five trips starting in 1982.
In Oklahoma
While visiting their son and daughter-in-law in Oklahoma, they started thinking about making the move from California and did so in October 2005, buying a house in Midwest City.
It was July of the next year that they moved into their new home in Choctaw.
She saw food – well, sort of.
“When I move into the new house, my yard is pretty big,” Wong said. “I start a couple of rows and I plant those bitter melons, because I love them.”
This was her introduction into soil farming.
“I like to see the things growing from a seed,” she said. “You go out there and you see them popping up. I help them grow and I feel very proud of myself.”
In addition to produce, Wong loves people. That’s why the garden has led to another perfect fit for her, farmers markets. She, along with Sheldon, 87, attends one in Choctaw and the one at the ODAFF parking lot in Oklahoma City.
At the latter, a customer walks up and lifts one of the Chinese okra from a tray.
“I bought one a couple of weeks ago from Shelley and I was like, ‘That was really good,’” the customer said. “I just stir fried it, and it was really pretty tasty.”
Wong’s happiness is readily apparent.
“In my life, I was in business all the time,” Wong said. “I have good communication with the people, with the customer.”
And about that time another walks up and spots her onions.
She grabs a yellow plastic hamburger basket, and scoops some up. Wong grabs an Oklahoma Grown bag, and the woman dumps the onions.
What does she use the onions in?
“Everything,” the customer said. “I had a roommate once that asked me if I made a meal without onion. Pretty much, it doesn’t happen.”
Wong seconds the motion.
“I put onion in soup, stir fry…,” she said. “I love them too.”
Wong then ties a knot in the top of the bag and hands it over, not only thankful for the sale, but the conversation and the fact that someone wants what she has personally grown in her Oklahoma garden.

Many people may be unaware of the services and items covered by Medicaid for residents in long term care. Nursing care for at least 80 percent of the residents in Oklahoma Long Term Care facilities is paid for through Medicaid and includes certain services and items. Long Term Care facilities are reimbursed a standard rate per day for each resident living in the facility who qualifies for Medicaid. Nursing care in a Long Term Care facility includes routine items and services that must be provided directly or through appropriate arrangement by the facility when required by Medicaid residents. Charges for routine services may not be made to residents’ personal funds or family members, guardians or other parties who have responsibility for the resident.
Routine services include but are not limited to, a semi-private room and dietary services, which would include supplements and equipment required for preparing and dispensing tube and oral feedings. Social services including mental health counseling, should be provided to attain or maintain the highest physical, mental and psycho social well being of each resident. Personal care hygiene items should be provided like shampoo, bath soap, razor, toothbrushes, toothpaste and sanitary napkins. The facility must also provide the resident with incontinence supplies, which include disposable briefs and skin care supplies, when ordered by the physician. The facility is required to pay for all of a resident’s prescription medications and over-the-counter drugs as well as any equipment needed to administer these medications.
The facility should furnish or obtain any necessary equipment to meet the needs of the resident upon physician order. Such items may include, but are not limited to, wheelchairs, walkers, overhead frames, commode extenders and/or bedside commodes, canes and oxygen.
Payment for the cost of dentures and related services are included in the daily rate for routine services. When the need for dentures is identified, one set of complete dentures or partial dentures. One dental examination is considered medically appropriate every three years. Dental cost also includes realignment of dentures when needed.
Routine eye examinations for the purpose of medical screening or prescribing and or changing glasses as well as the cost of glasses are also included in the daily rate for routine services. For eligible individuals there is an allowance for one routine eye examination and one pair of glasses every 12 months. When the provision of vision or denture services is medically appropriate, the Long Term Care facility must make timely arrangements for the provision of these services. It is the responsibility of the Long Term Care facility to ensure that the resident has adequate assistance in the proper care, maintenance, identification and replacement of these items.
Ombudsmen are available to assist residents and families or other concerned parties with issues such as these. Right now, the program is looking for people interested in helping Oklahoma’s most vulnerable population. If you are interested, go to the Areawide Aging Agency website at www.agingcare.com. You can also contact an Ombudsman Supervisor at (405)942-8500 or follow Areawide Aging Agency on Facebook. Be the difference!

by Traci Chapman
Staff Writer

It was Cindy and Bob Ward’s first time at Oklahoma State Fair’s Senior Day – and by the end of the day, they say they realized there really was no place like home during a day they would never forget.
“If you had told me this morning we would have done any of this, I would have thought you were kidding around,” Cindy Ward said that afternoon. “I never, ever would have expected this.”
In fact, when the El Reno couple entered the Modern Living Building, this year Oklahoma Senior Day’s new state fair home, they said they were impressed at the number of vendors, the entertainment and the wide range of activities going on, even early in the morning. With a Wizard of Oz theme – There’s No Place Like Okla’HOME’a – the Wards said they hadn’t really realized the state fair offered such a host of activities designed especially for seniors. When they discovered the “King and Queen of Emerald City” contest, they decided to enter – well, perhaps not exactly “they.”
“It was my idea,” Cindy said with a laugh. “Bob would never do anything like this on his own, but he went along with it for me.”
That’s how the couple ended up on the Senior Day stage, as they competed with four other couples in a “Newlywed Game” style contest designed to test how well each husband and wife knew each other. The Wards wondered about their chances, as they were surrounded by couples who had been married far longer than their eight years – two of them wed for 50 years; of the other two couples competing, one said they had been married more than 10 years, another had celebrated more than 20 wedding anniversaries.
But, the El Reno proved wrong everyone who believed those who lived together longest knew each other best, matching each other’s answers on four of five questions.
“I couldn’t believe it, but we just are so compatible, just know each other so well, that I guess I shouldn’t be surprised,” Cindy said.
After being crowned 2017 king and queen and receiving a host of prizes, flowers, crowns and a trophy, the couple took part in the antique tractor parade, which wound its way through State Fair Park.
Bob and Cindy Ward met, as many couples do, online. After each lost their respective spouses, they reached out on a Christian dating site, literally across the miles – Cindy lived in Deming, New Mexico, while Bob was in Sierra Vista, Arizona.
“We had a 97 percent match, and when we met, it just clicked,” Bob said. “We knew it was meant to be.”
With family members facing serious illnesses in Cindy’s hometown – El Reno – the Wards decided Oklahoma was the place to be, and they’ve never looked back, they said.
“It hasn’t always been easy, but we’re together and that’s what matters,” Cindy said.
While Cindy and Bob Ward were the stars of Senior Day, they were far from the only attraction during the special event. Many vendors provided medical, home, entertainment and other information, while others conducted diabetes, blood pressure, fall risk and memory screenings.
The day started with Ms. Oklahoma Senior America Dawn Anita Plumlee singing the National Anthem. The Duncan, Oklahoma, singer and songwriter was crowned during a July 29 pageant; 2016 Ms. Oklahoma Senior America, Dove Morgan Schmidt of Bristow, led the antique tractor parade later that day.
The antique tractor parade featured not only Schmidt and the Wards, but also other state fair royalty – Oklahoma City Indian Princesses, Miss Oklahoma State Fair, Miss Oklahoma State Fair Outstanding Teen and Oklahoma Frontier Experience cast members, as well as several area Red Hatters riding their own float. Tractors, ranging from historic to beautifully restored and even a little silly, were not only the parade’s stars, but also then remained for the rest of the fair as part of a tractor exhibit involving several Oklahoma tractor clubs. The Not Just Country Line Dancers, Oklahoma State Fiddlers, Okie Stompers, Southeast Navy Band, Dorothy’s Line Dance Class, Vocal Sounds of Oklahoma and Yellow Rose Dinner Theater provided entertainment, and Oklahoma State Department of Health sponsored two Tai Chi sessions. Several trivia and creative activities rounded out the day, while an Elvis Extravaganza was the event’s evening finale.
“We wanted to make this bigger than ever before – to make this a celebration of all seniors, to give them what they’re interested in seeing, learning about and doing,” organizer Wynelle Record said. “We’re very happy with the turnout, and we’re already looking forward to next year.”