Dear Savvy Senior, A good friend of mine got a bad case of shingles last year and has been urging me to get vaccinated. Should I? Suspicious Susan

Dear Susan,
Yes! If you’re 50 or older, there’s a new shingles vaccine on the market that’s far superior to the older vaccine, so now is a great time to get inoculated. Here’s what you should know.
Shingles, also known as herpes zoster, is a burning, blistering, often excruciating skin rash that affects around 1 million Americans each year. The same virus that causes chickenpox causes shingles. What happens is the chickenpox virus that most people get as kids never leaves the body. It hides in the nerve cells near the spinal cord and, for some people, emerges later in the form of shingles.
In the U.S., almost one out of every three people will develop shingles during their lifetime. While anyone who’s had chickenpox can get shingles, it most commonly occurs in people over age 50, along with people who have weakened immune systems. But you can’t catch shingles from someone else.
Early signs of the disease include pain, itching or tingling before a blistering rash appears several days later, and can last up to four weeks. The rash typically occurs on one side of the body, often as a band of blisters that extends from the middle of your back around to the breastbone. It can also appear above an eye or on the side of the face or neck.
In addition to the rash, about 20 to 25 percent of those who get shingles go on to develop severe nerve pain (postherpetic neuralgia, or PHN) that can last for months or even years. And in rare cases, shingles can also cause strokes, encephalitis, spinal cord damage and vision loss.
New Shingles Vaccine
The Food and Drug Administration recently approved a new vaccine for shingles called Shingrix (see Shingrix.com), which provides much better protection than the older vaccine, Zostavax.
Manufactured by GlaxoSmithKline, Shingrix is 97 percent effective in preventing shingles in people 50 to 69 years old, and 91 percent effective in those 70 and older.
By comparison, Zostavax is 70 percent effective in your 50s; 64 percent effective in your 60s; 41 percent effective in your 70s; and 18 percent effective in your 80s.
Shingrix is also better that Zostavax in preventing nerve pain that continues after a shingles rash has cleared – about 90 percent effective versus 65 percent effective.
Because of this enhanced protection, the Center for Disease Control and Prevention recommends that everyone age 50 and older, receive the Shingrix vaccine, which is given in two doses, two to six months apart.
Even if you’ve already had shingles, you still need these vaccinations because reoccurring cases are possible. The CDC also recommends that anyone previously vaccinated with Zostavax be revaccinated with Shingrix.
You should also know that Shingrix can cause some adverse side effects for some people, including muscle pain, fatigue, headache, fever and upset stomach.
Shingrix – which costs around $280 for both doses – is (or will soon be) covered by insurance including Medicare Part D prescription drug plans, but be aware that the shingles vaccines are not always well covered. So before getting vaccinated, call your plan to find out if it’s covered, and if so, which pharmacies and doctors in your area you should use to insure the best coverage.
Or, if you don’t have health insurance or you’re experiencing medical or financial hardship, you might qualify for GlaxoSmithKline’s Patient Assistance Program, which provides free vaccinations to those who are eligible. For details, go to GSKforyou.com.

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 Kaylee Snow

HOLLIS – It only took 21 years for Jane Testerman to land her dream job.
She only wishes it could have happened sooner.
Testerman, who now helps her husband Charlie full time with his three businesses – Testerman Farms, Circle T Trucking, and Testerman and Son Harvesting – says her lengthy career in teaching was only holding her back.
While she spent her days impacting children at school, she was running herself in circles between keeping farm records and working at school.
Testerman was anxious to be outside if it was a nice day. She loved being outdoors.
Testerman’s husband is a fourth-generation custom harvester of wheat and corn. With a partnership between him and his father Doug, Testerman Farms consists of about 2,000 acres of cotton and 3,000 acres of wheat. Additionally, the Testermans have a small herd of cattle and the trucking business, where they haul grain, fertilizer and cotton modules.
Testerman recalls the challenges she faced trying to juggle teaching and agriculture.
“They’d start cutting wheat in May before school was ever out,” she said, “but I was ready to go with them.”
With her husband often gone on harvest, she kept things afloat back home, managing paperwork and directing trucks. The record keeping kept her busy.
“Plus then we had our livestock in the barn, our show stock,” she said.
The Testermans’ three daughters, Blair, 25, Mylah, 20, and Hadie, 14, who are “quite the characters,” all exhibited sheep and pigs, but cattle was their main focus.
“When we got a little more involved in the stock shows, I had to take off work to go, and so that was hard for me,” Testerman said.
A Farming Family
The Testerman daughters have been farming since they were babies, literally.
“Blair had been around the harvesting since she was a little over a year old,” Testerman said. “Mylah was about 9 months old when we started harvesting, and Hadie was a week. I had her, and a week later we left on wheat harvest.”
Rhonda Ellison, who has known Testerman for many years through Harmon County OSU Extension, said, “Jane was expecting their second child during one harvest season, but it didn’t slow her down. As each of their three daughters came along they were each taught the value of hard work, following in the footsteps of their parents and grandparents.”
Testerman says the reason she loves agriculture is because of the next generation.
Since the girls have traveled and have grown up around the hired help, they have learned valuable life skills. Testerman is convinced agriculture was the best place for her children.
“They lay down at night and they say their prayers, and they’ll be praying for the hired hands, listing their names off,” she said. “So we taught them a lot of right from wrong by working on the farm and being around the hired help.”
All the girls can run the equipment – combines, tractors and grain carts.
“I mean it’s definitely a family business,” Testerman said.
The girls often get frustrated with boyfriends who do not understand farming.
Testerman will tease the girls, asking, “Why get a boyfriend if you know more than the boy does?”
She knows without a doubt her kids know how to work because of their experiences with agriculture. It has exposed her children to outstanding people as well.
“Agriculture – whether it’s farming, harvesting or livestock showing – all of that puts the kids around good people that are hardworking,” she said.
Her kids understand the need to pray for rain – to keep livestock alive.
“Everybody prays for rain, and it’s not just so our yard will grow,” Testerman said. “They all know where it comes from and that it takes hard work to get those things.”
“We’ve been to every swimming pool from here to Colorado,” she laughed, “and I cook during harvest. Sometimes I’d run a tractor grain cart, and then it got to where we had so many hired hands you can’t afford to eat out all the time, or somebody would have to get off equipment and run to town to get food.”
Life After Teaching
On top of keeping records and directing trucks, Testerman now keeps all computer software up-to-date for accounting purposes for all three businesses. As technology has advanced, she now enters the amount of fertilizer and water used by each sprayer into a computer system. She picks up parts and runs the hired hands around – who say they would rather have Charlie in charge because Jane works them too hard.
“Since I quit teaching, my role has quadrupled,” Testerman said, who describes herself as farm hand and secretary.
She is busier now than she was when she was teaching.
“I learned early on that learning all of those things was not necessarily a good thing,” Testerman laughed, because the more she learned, the more she was put to work.
Because the Testermans have “lots of different irons in the fire,” they have had to cut back.
“We’ve gotten more involved in local farming and trying to stay home more,” she said. “We figured out it was harder to travel so much doing custom harvesting and then tend to your own farming at home.”
Currently, the Testermans still custom harvest 10,000 to 12,000 acres, all within a 60-mile radius of home and the Texas Panhandle. This past year, the crops overlapped.
“We were still picking corn in Texas, picking our cotton here, and hauling the cotton modules,” she said. “So we were spread very thin.”
With 2017’s cotton harvest being the largest since 1933, Testerman said it feels like “the longest cotton harvest ever.”
“We haul cotton round bales for three or four different gins locally,” she said. “We start that in October, and that usually ends in February. We’ve had a couple of years that it ended in March, but this year it lasted until the end of April.”
Memories
Testerman’s earliest memories of agriculture come from two places: her dad and 4-H. Her dad, Larry Odom, was the district conservationist for the Harmon County Natural Resources Conservation Service from 1972 to 2008. She exhibited sheep through 4-H, which is where she first fell in love with agriculture.
Now her kids have shown livestock for 16 years, and by the time her youngest graduates, she will have attended 20 Oklahoma Youth Expos.
She laughed and said, “I expect a plaque.”
Some of her fondest memories include her daughters’ stock show success. Blair had two breed champions with her steers.
“In 2013, Mylah won the youth expo with a steer, all her sheep made the sale, and she had the third Chester in the sale,” she said. “In 2018, Hadie exhibited the bronze medallion steer.”
FFA and 4-H are very important to the Testermans, who are currently working with the superintendent to build a multi-purpose facility. Martin Lewis, Doug’s first cousin, passed away this past year and left money to be donated to a good cause, which involved youth and/or animals. The Testermans chose to use that money for the facility, and this enabled the school to start building.
“The school can use it for their activities,” Testerman said. “The community will be able to use it, and then it will be for livestock shows. That way they can host some jackpot shows if they want.”
She also organizes the Keaton Owens Memorial Scholarship in honor of her nephew. She gathers funds each year, which are then awarded to FFA and 4-H students to help fund next year’s show project.
“Agriculture has kind of consumed our household and everything that we do,” she said.
Like all farmers, the Testermans face challenges every day, from drought and erosion to the rising costs of equipment and chemicals.
“The people that think farmers just set their own hours and throw a little fertilizer and water down and the crop grows, it’s not like that at all,” she said. “It’s a lot of hard work. There’s a lot of prayer in farming. Please let it rain. Please don’t let it hail. It seems like I probably count on the Lord above in farming more than any other thing I’ve been involved in … You’re not just doing it for yourself. You’re counting on it for other people.”

Last month, Sen. John McCain died from glioblastoma, a form of brain cancer. The same disease took the life of Sen. Edward Kennedy.
But here in Oklahoma, Norman’s Mike Schuster continues to live with the disease. As he nears the three-year anniversary of his diagnosis with the deadly cancer, he’s already doubled the life expectancy for patients with glioblastoma.
Doctors can’t say why Schuster has lived where others have succumbed to the disease. But they believe it may be because of an experimental drug he received—one that was developed by scientists at the Oklahoma Medical Research Foundation.
For Schuster, the first clue that something was awry came in the fall of 2015, just past his 50th birthday. While at work, he passed out with no warning.
He was rushed to the hospital, where an MRI revealed a brain tumor the size of a kiwi just above his right eye. “I’d been healthy all my life,” Schuster said. “No medical issues at all. I just couldn’t believe that this was happening.”
Of the more than 120 types of brain and central nervous system tumors, Schuster’s type, known as a glioblastoma, is the most aggressive. The standard treatment regimen involves surgery to remove as much of the tumor as possible, followed by radiation and chemotherapy. Still, the tumor almost always grows back.
With treatment, the median survival—which means half of patients live longer, and half die sooner—is 12 to 18 months. Only 1 in 20 glioblastoma patients will live five years.
In a procedure that lasted six hours, doctors removed as much of Schuster’s tumor as they could. When Schuster regained consciousness, his surgeon explained that he’d succeeded in excising most of the tumor. But, he said, like most glioblastomas, this one had “tentacles.” Tiny arms of the tumor had grown into surrounding brain tissue and could not be removed.
Schuster began follow-up radiation treatment at the Stephenson Cancer Center at the University of Oklahoma. Even though Schuster couldn’t feel the electromagnetic waves pulsing through his brain, “you could smell it,” he said. He also started chemotherapy, taking a pill called temozolomide. Together, the treatments were intended to kill the tumor cells that remained in the fissures of his brain.
“If you leave even a single cancer cell in the brain, it can regrow,” said Dr. James Battiste, the neuro-oncologist who oversees Mike’s care at Stephenson. “The brain is fertile soil for these tumors. That’s why chemo and other therapies are so important.”
Following radiation—doctors limited his treatment to six weeks for fear of triggering a secondary cancer—Schuster stayed on temozolomide. But just after the one-year anniversary of his diagnosis, an MRI revealed a new tumor.
A second surgery once again removed the primary tumor. This time, doctors kept Mike awake throughout the procedure to ensure they didn’t damage crucial areas of his brain. Still, many glioblastoma tentacles had escaped surgeons’ reach, remaining lodged in Schuster’s brain.
Schuster knew those tentacles were, in essence, seeds that could sprout another full-blown tumor in a matter of weeks. He told Battiste he was willing to try anything to beat back the glioblastoma. He’d read about clinical trials of experimental medications. Was there one that might help him?
Battiste, in fact, was testing a new drug that, he said, “just seemed suited for Mike.” It was an investigational medication for glioblastoma that had been born just down the block from Stephenson, in the labs of the Oklahoma Medical Research Foundation.
Known as OKN-007, the experimental medication was discovered by OMRF scientists Drs. Rheal Towner and Robert Floyd. In pre-clinical glioblastoma experiments, the compound dramatically decreased cell proliferation (spread) and angiogenesis (formation of new blood vessels), and it turned on the process of removing damaged cells so they can’t become cancerous.
“Those are the three major factors needed in a cancer drug,” Towner said. “This compound seemed to do all of them.”
Oblato, Inc., a New Jersey subsidiary of Korean biotechnology company GTreeBNT, has acquired the rights to OKN-007 from OMRF. It will move ahead with further trials of the drug in glioblastoma.
At Stephenson, Battiste has been cautiously optimistic about the performance of OKN-007 in Schuster and his other patients. “We’ve gone to the highest dosage levels the FDA would allow, and we haven’t seen any negative effects from the drug.” Although evaluating the medication’s effectiveness at stopping the regrowth of tumors is not a primary focus of the early phases of the trial, “it’s helpful to see things looking good” on this front, too, he said.
In August, Schuster celebrated his 53rd birthday. When he sees other patients with brain tumors, he said, they appear thin and frail. He, on the other hand, has added 15 pounds since beginning OKN-007 infusions. “I’ve had no side effects at all,” he said. “I’ve also been able to get back to the gym and am doing some yard work. I feel really good.”
He continues to travel to Oklahoma City each week for infusion treatments with OKN-007. “I really appreciate all of the support we’ve received from Stephenson and from people at OMRF,” he said.
While fighting glioblastoma has brought numerous challenges, Schuster said the experience has also revealed silver linings. “My friends and family and their prayers for me have turned into blessings.”
Of course, neither Schuster nor his doctors can know for sure if the drug is responsible for keeping his cancer at bay. Nor can they say if, or when, the disease might recur. “I can’t worry about stuff,” Schuster said, “that’s out of my control.”
Still, he feels certain he made the right decision when he opted to participate in the clinical trial. “Let’s just say I’ve been very blessed. It’s pretty cool how this stuff is working.”

Miniaturized Heart Device Provides Patients with the Most Advanced Pacing Technology Available

INTEGRIS Heart Hospital is one of the first hospitals in Oklahoma to offer the world’s smallest pacemaker for patients with bradycardia. The Micra® Transcatheter Pacing System (TPS) is a new type of heart device, approved for Medicare reimbursement, that provides patients with the most advanced pacing technology at one-tenth the size of a traditional pacemaker.
The first procedure at INTEGRIS Baptist Medical Center was performed by Terrance Khastgir, M.D., a cardiac electrophysiologist with INTEGRIS Heart Hospital, on Aug. 7, 2018.
Bradycardia is a condition characterized by a slow or irregular heart rhythm, usually fewer than 60 beats per minute. At this rate, the heart is unable to pump enough oxygen-rich blood to the body during normal activity or exercise, causing dizziness, fatigue, shortness of breath or fainting spells. Pacemakers are the most common way to treat bradycardia to help restore the heart’s normal rhythm and relieve symptoms by sending electrical impulses to the heart to increase the heart rate.
Comparable in size to a large vitamin, physicians at INTEGRIS Heart Hospital have elected to use Medtronic’s Micra TPS because unlike traditional pacemakers, the device does not require cardiac wires (leads) or a surgical “pocket” under the skin to deliver a pacing therapy. Instead, the device is small enough to be delivered through a catheter and implanted directly into the heart with small tines, providing a safe alternative to conventional pacemakers without the complications associated with leads – all while being cosmetically invisible. The Micra TPS is also designed to automatically adjust pacing therapy based on a patient’s activity levels.
“This device will allow our patients to get the most advanced technology in pacing the heart for slow heart rate,” stated Khastgir.
The Micra TPS also incorporates a retrieval feature to enable retrieval of the device when possible; however, the device is designed to be left in the body. For patients who need more than one heart device, the miniaturized Micra TPS was designed with a unique feature that enables it to be permanently turned off so it can remain in the body and a new device can be implanted without risk of electrical interaction.
The Micra TPS is the first and only transcatheter pacing system to be approved for both 1.5 and 3 Tesla (T) full-body magnetic resonance imaging (MRI) scans and is designed to allow patients to be followed by their physicians and send data remotely via the Medtronic CareLink® Network.
The Micra TPS was approved by the U.S. Food and Drug Administration in April 2016, and has been granted Medicare reimbursement, allowing broad patient access to the novel pacing technology.

“Honor Your Living Legend” designed to showcase seniors and impressive contributions to loved ones and communities

story and photos submitted

Home Care Assistance, Edmond/Oklahoma City’s premier provider of in-home care for seniors, is pleased to introduce a campaign that recognizes the lifetime accomplishments of seniors. Family members and friends submit stories and photographs, which are shared publicly on HonorYourLivingLegend.com and through Home Care Assistance’s social media pages. The goal of the campaign is to give people a platform to express their admiration for aging loved ones and in doing so, remind the community that older adults should be respected for their contributions.
With a mission to change the way the world ages, Home Care Assistance fosters a positive view of aging and honors each client’s lifetime legacy by providing compassionate and dignified care that enables older adults to maintain their independence at home.
“Honor Your Living Legend is our way to celebrate the legendary lives of our clients and seniors at large,” said Melissa Hill, Co-Owner of Home Care Assistance of Oklahoma. “Our mission is to change the way the world ages by promoting aging as a rich and meaningful stage of life, and this campaign is just one of the many ways we accomplish this. Older adults boast many years’ worth of accomplishments, relationships, experiences and memories. We seek to respect and honor them by shifting the focus away from their care needs and towards the legacies they’ve created.”
Candidates for Honor Your Living Legend are dynamic individuals who have given a lifetime of service and love to their communities and families. Living Legends can be publicly acclaimed or individuals who have influenced others’ lives in less high-profile ways such as a mother who taught her children to read or a well-known entrepreneur whose real passion was volunteering and helping those less privileged.
For more information about Honor Your Living Legend or to submit a story, please visit www.HonorYourLivingLegend.com.
Home Care Assistance is the leading provider of home care for seniors across the United States, Canada and Australia. Our mission is to change the way the world ages. We provide older adults with quality care that enables them to live happier, healthier lives at home. Our services are distinguished by the caliber of our caregivers, the responsiveness of our staff and our expertise in home care. We embrace a positive, balanced approach to aging centered on the evolving needs of older adults. For more information on Home Care Assistance of Oklahoma, visit www.homecareassistanceoklahoma.com.

The Fred Jones Jr. Museum of Art on the University of Oklahoma Norman campus opens its 2018 fall exhibition Ticket to Ride: Artists, Designers, and Western Railways, on Oct. 5. The exhibition features more than five dozen works by artists and commercial designers created between 1880 and the 1930s, the height of western railway travel.
A public opening reception will take place at 7 p.m. Thursday, Oct. 4, with a presentation by the exhibition curator and Adkins Associate Curator, Hadley Jerman. Following the talk, attendees will enjoy live music, food and a chance to win two free, roundtrip tickets on the Heartland Flyer.
The exhibition highlights how artists and railway companies together influenced lasting perceptions of the American West, particularly the Grand Canyon, the Pacific Coast and the Northwest. “Designers and artists sought railway patronage to achieve their own ends as much as railways courted image-makers for wanderlust-inducing imagery,” says Jerman. “This exhibition brings together, often for the first time, artists and designers who were engaged in parallel projects promoting western travel but also making use of railway patronage to promote their own careers and interests.”
Some, like celebrated American landscape painter Thomas Moran, sought an opportunity to camp and paint in dramatic western landscapes. Maynard Dixon, best known today for his easel paintings of the Southwest, produced many poster and billboard designs for multiple western railways which he exchanged for free transportation via “artist passes.” Women, including the Tacoma-based painter and activist Abby Williams Hill and St. Paul muralist Elsa Jemne, found in railway patronage an escape from turn-of-the-century social constraints. Other artists like W. Langdon Kihn and his teacher, Winold Reiss, bought into misguided period notions that Native populations were on the brink of “vanishing” as victims of modernity. In railway patronage, they found an entre into the indigenous communities they aimed to record.
The images in this exhibit, then, simultaneously reflect corporate railway concerns along with their creators’ enthusiasm for dramatic landscapes and Native communities, particularly in the American Southwest, Montana and western Canada. This exhibition features paintings, studies, posters and graphics that emerged from the parallel relationships between artists and commercial designers with rail companies in the transnational American West.
Guest speaker Cliff Bragdon, nephew of Langdon Kihn, whose portraits are featured in the exhibition, will give a presentation prior to the opening at 3 p.m. Wednesday, Oct. 3, in the Mary Eddy and Fred Jones Auditorium at the museum. Exhibition curator Hadley Jerman, author of the Ticket to Ride catalogue, which will be on sale when the exhibition opens, will give a gallery talk at 1 p.m. Tuesday, Nov. 13.
The museum also will use use the exhibition as a jumping-off point for its new holiday train event, All Aboard, from 6 to 8 p.m. Thursday, Dec. 13. Model trains resembling Route 66 will take over the entire Sandy Bell Gallery in the museum. Included in this new family holiday event will be Santa Claus pictures, banjo lessons, a cookie and hot cocoa bar and much more. This family-friendly event starts at 6 p.m. with a train-lighting ceremony beginning at 7 p.m.
More information about this exhibition and related programs is available on the
museum’s website at www.ou.edu/fjjma.
The Fred Jones Jr. Museum of Art is located in the OU Arts District on the corner of Elm Avenue and Boyd Street, at 555 Elm Ave., on the OU Norman campus. Admission to the museum is complimentary to all visitors, thanks to the generosity of the OU Office of the President and the OU Athletics Department.
The museum is closed on Mondays. Information and accommodations are available by calling (405) 325-4938 or visiting www.ou.edu/fjjma.

What are you looking forward to this Fall? Integris Canadian Valley Hospital volunteers

I’m looking forward to being alive, being happy, successful and volunteering at this hospital.

Eugene Johnson

What I like about fall is football. We have five sons so we are a sports family.

Nancy McKinney

Being warm and helping people. If I’m warm I want them to be warm so I donate a lot of coats.

Zola Johnson

Not mowing my grass and it not being as hot. But I’m not looking forward to winter.

Nam Huynh

Lewis Perkins, RN, BSN, MSN, DNP is named Chief Nursing Officer for INTEGRIS Baptist Medical Center and it’s affiliated entities.
Lewis is currently the System Vice President of Nursing at Norton Healthcare in Louisville, Kentucky where he has worked since 2011.
Lewis has an incredible career in nursing leadership with significant MAGNET experience, he serves on the APRN Practice Committee for the Kentucky Board of Nursing and brings a wealth of nursing leadership experiences and innovative ideas to the table.
Lewis will begin his duties at INTEGRIS on Oct. 1. He and his wife (also a nurse) have a son in college and a son in high school who will be re-locating to Oklahoma City at the end of the school year.

Financial scams continue to target seniors due to scammers thinking that seniors have a significant amount of money just sitting in their accounts. Unfortunately, financial scams go unreported due to embarrassment and can be difficult to prosecute which leave seniors vulnerable with little time to recoup their losses.
To help prevent you from getting tricked into a scam, we have outlined below what a scammer is and what to do to avoid being scammed.

A scammer is the ultimate salesperson with a tempting offer or a skilled liar with a plausible story
* Easily pinpoints a victim’s vulnerabilities and appeals to emotions: sympathy, fear, loneliness * Quickly gains trust * Insist on secrecy * Shows no mercy, e.g., doesn’t take “no” for an answer

Know the Red Flags of a Scam
* Immediate action required * Insistence on secrecy * Money needed up front * Hard-to-track payment methods

Build Your Scam Defenses
* Do not be rushed into any financial decision * Assume that insistence on secrecy is a ploy to deceive you * Be suspicious of any situation that requires you to send money up front * Confirm all stories, offers or charities independently * Be very cautious about clicking on email links

Block Those Scammers
* Register with National Do Not Call Registry at www.donotcall.gov to limit legitimate telemarketing phone calls, making phone scams easier to detect * Register with www.DMAchoice.org to limit legitimate advertising mail, making mail scams easier to detect * Limit personal information on social media and choose the strictest privacy settings on social media accounts * Use antivirus software on your computer

What to Do If You Are Scammed
* Don’t be embarrassed or afraid * Tell someone you trust * Report the scam to your bank immediately to limit losses * Contact your local police and federal agencies, like the Federal Trade Commission
For more information, visit aba.com/Seniors