Story and photos by Darl Devault, Feature Writer

Another National Aging in Place Month has come and gone in October. This year more seniors are retaining the independence and peace of mind of living at home by depending on the skills of a well-trained service dog.
With seniors seeking to stay in their homes as long as possible, working dogs facilitate this in several ways, including the slowing of cognitive decline. Dog training expert Barbara Lewis of Norman, Okla., urges seniors to consider a trained dog to enhance an aging-in-place agenda.
“A simple act of picking things up, opening doors, or letting you know when someone is at the door are critical skills to assist in independent living for years to come” said Lewis, chief executive office of A New Leash on Life in Norman.
Taking dogs on walks provides seniors the benefits of physical activity. And a well-trained canine can do so many tasks for the aging senior. Among these tasks, a service dog can serve as a brace for owners when rising from a chair or fetch items out of a dryer in the laundry room.
Lewis is addressing the absence of information about this important topic for seniors. “What I see missing most is the idea the actual training of a working dog (service or therapy) is only part of the job when preparing a dog for an owner,” Lewis said. “Determining the needs of the owner, finding the right working dog, and making sure the owner is properly matched to the dog are also key tasks.”
For a senior living alone, the additional benefit of companionship for a senior living alone should not be overlooked. Trained dogs generally provide a friendly and comforting presence in an otherwise empty nest.
Many seniors have already experienced the life-changing, positive aspects of owning an intelligent canine. With adequate preparation and training, most seniors can handle the new responsibilities of owning a service dog. Lewis’s nonprofit New Leash on Life combines her extensive background in dog training with her practical experience placing service and therapy dogs
Service dogs are now asked to perform a variety of tasks for seniors and people with disabilities, some duties just based on the owner’s aging body needing assistance. Dogs can provide help in opening doors and carrying items, while helping increase a senior’s self-confidence and self-reliance. Each animal is different and can be trained in tasks tailored to an individual’s unique requirements for living at home and when in public.
Therapy dogs—once largely seen only at nursing homes—are now used for emotional support and motivation in schools, libraries, courts, universities, hospitals, churches and employee lounges.
Still, a trained dog has limitations, Lewis warns. One challenge is what people expect service dogs to do. Owners need to understand the needs—and limitations—of their dogs. They are not machines with an on-off switch. And sometimes even a well-trained dog has an off day.
Some dogs are not inherently suited to perform the type of tasks needed by the owner. And some canines perfectly trained for their requirements fail as a result of inappropriate demands or the owner’s behavior.
An important question is whether a senior can train a dog to help them with their unique needs without outside expertise? In general, the answer is yes—sometimes. People without the means to pay for training may be able to successfully train their dog themselves. They may even bond better with their canine because of it.
Another pressing question for seniors is how long does it take to train a service dog? Many organizations, like Power Paws, train their service dogs from birth to two years of age before setting the dog with a handler.
Dog owners should note that training is a lifelong process for service animals. Without practice, dogs may forget their skills. Handlers should be prepared to work with their dogs to sharpen skills for the duration of the dog’s life.
Seniors need to be proactive in securing help from a service dog, educating themselves about the ins and outs of acquiring this assistance. At the outset of this journey they must determine exactly what they need from their newly trained dog.
Insight for this can be gained from a book recently published. Successful Working Dogs, an inexpensive, fully-illustrated guidebook written by Lewis. The book, provides readers positive-motivation training techniques for their service dog. It also provides information on how to evaluate the suitability of a working dog and its owner.
This book helps trainers—and dog owners in general—to understand the capabilities, needs and limitations of these dedicated animals.
The book can be purchased online from New Leash on Life at its website: http://newleashinc.org.

YOU MAY QUALIFY FOR THIS STUDY! CALL 405-447-8839 TODAY.

A SIMPLE COLD CAN LEAD TO SERIOUS ILLNESS

Now enrolling for a research study that may prevent or reduce illnesses from respiratory tract infections.

story and photos by Bobby Anderson, Staff Writer

Winter is coming.
So are changes to virtually every Medicare plan as the annual enrollment window opens.
For several years, MCM Insurance has helped seniors in our community navigate what can be murky health care insurance waters as time ticks down on a decision they will have to live with for an entire year.
“The biggest thing we want seniors to know is that every plan changes in some way, every year,” said MCM owner Ginny Curtis. “They need to know what those changes are before they enroll or stay on the same plan. “They also need to make sure they’re not paying too much for the benefits.”
As 2019 begins to wind down, one of the most important times of the year for seniors is here. The Medicare Annual Enrollment Period (AEP) occurs annually from (Oct. 15-Dec. 7). AEP is a time in which current Medicare beneficiaries can choose to change part of their coverage. They can change their Medicare Advantage Plan (Part C) and/or Prescription Drug Plan (Part D). It’s a time to reevaluate based on their benefits, health, and finances. If they find a plan that is a better fit for their needs than their current plan, they can then switch to, drop or add a Medicare Advantage or Part D plan.
October 1 is the date consumers can start looking over new plans.
During AEP Curtis’ agency goes into overdrive to make sure that everyone that needs help facilitating the changes coming their way is reached.
“It’s very important to us that each person that comes through our agency chooses their plan based on their specific needs,” said Curtis. During an appointment with the agents from MCM, they will compare plans based on the customer’s list of medicines and doctors to narrow down which plan will cover all their needs the best.
In addition to individual appointments, MCM offers no-cost Navigating Through Medicare informational sessions around the metro.
The hour-long informational sessions allow people to become more familiar with the ins and outs of Medicare in a low-key setting.
“I think the big thing we focus on is people know why they made a decision or why they stayed,” said agent Jennifer Melton. “They need to know that.”
Melton recalled a recent conversation with a client who has had the same supplement and drug plan since turning 65.
“That’s OK, but it’s also problematic in that premiums for Part D can be over $100 whereas the average right now is just around $35. They just stay on that because they feel like that’s what they’re supposed to do,” she said.
Answering those questions and comparing plans is paramount.
“The cool part about dealing with a group like us is they can come in here without the fear of just being enrolled or sold something,” Melton said. “We consistently tell people ‘nope, that’s good, stay on that – even if they’re not our client.”
“I feel like it’s a safe place for them to come and say ‘I’ve been on this forever. Is this what I should be doing or do I need to do something different?”
While many appointments are scheduled in the comfort of client homes, Curtis staffs the office at 2232 W. Hefner Road in the Village so that clients can walk in anytime 10 a.m. to 3 p.m. and speak with an agent directly without an appointment. During AEP they extend their hours.
Having those free conversations can take a load off of someone’s mind, especially when health care costs are eating into their retirement savings.
“You don’t want to change for the purpose of changing but when it comes to Advantage plans because the plans change and the drugs change every year they need to know the plan they’re going to be on next year will work as good as the plan this year and not all of them will do that,” Curtis said.
“That’s what I want, a whole bunch of savvy seniors that have done their research and know what they’re doing.”
MCM also has agents in Tulsa, Claremore and Lawton. You can reach the OKC office by calling 405-842-0494. You can also view their calendar and get more info on their website at www.mcmmedicare.com as well as www.navigatingthroughmedicare.info.

www.mcmmedicare.com

by Dr. C.V Ramana

Cancer is an abnormal or uncontrolled growth of cells that can occur in almost any part of our bodies. Sometimes the abnormal growth is a result of a mutation in our genes that we inherit from our parents. In some cases, it is due to a mutation or alteration in our DNA in our lifetimes. This mutation can occur after we are conceived, due to exposure to radiation, harmful ultraviolet light from our sun, harmful chemicals in our atmosphere, in our water, in our food or from smoking or chewing tobacco. Sometimes it develops as a result of chronic overstimulation of cells due to longstanding inflammation or infection.
Breast cancer is the result of uncontrolled growth of cells in breast tissue. It can occur in both men and women but is much more common in women. There are many different types of breast cancer due to the multiple types of cells in the breast tissue. The type of cancer depends on the cells that are growing abnormally. This can happen in the lobules which make breast milk, the ducts which transport the milk, or in the surrounding supportive tissue of the breast.
Who is at risk for developing breast cancer?
There is a very strong component of inheritance or family history of breast cancer. The most well-known inherited examples are the BRCA1 gene and BRCA2 genes (which we inherit). These genes code for a protein that helps repair DNA. The presence of this mutation markedly increases the risk of developing breast cancer. An individual with the mutation in either of these genes has a 70% risk of developing breast cancer.
What is the likelihood of developing breast cancer in our lifetime?
In the United States, about 1 in 8 (or 12%) of women will develop breast cancer in her lifetime. For men, the lifetime risk is 1 in 1000. Early diagnosis is very important so that it can be treated when it is small and contained in a small area in the breast. Breast cancer is not easy to detect early. Screening is essential.
Screening methods include breast self-exam, healthcare professional exam, mammography, ultrasound, MRI, genetic screening for BRCA1 and BRCA2 gene mutations, and known family history of breast cancer.
How is it treated?
Treatment depends on the type of breast cancer, its aggressiveness (how fast it grows, how fast it spreads, and how it spreads), its size at time of diagnosis, and staging (identifying whether, and where it has metastasized in our bodies). Staging involves diagnostic testing such as mammography, ultrasound, MRI, CT scan, PET scan, Bone scans. Biopsy is an essential part of the diagnosis. A biopsy is done to confirm its presence, the type of cancer, and its aggressiveness. This may also help identify what type of treatment is likely to be most effective.
Treatment methods include surgery, chemotherapy, and radiation therapy. Lumpectomy is the surgical removal of the area around the tumor. Mastectomy is the surgical removal of one or both breasts and axillary dissection is the removal of the lymph nodes or glands and lymphatic tissue in the arm pit. Chemotherapy treatment most commonly involves a combination of pills and intravenous infusions of medicines that have been shown to be effective at killing the abnormal cells. Experimental techniques include targeting the abnormal cells through antibodies and “killer cells” that are engineered to recognize and attack the abnormal cells. Radiation therapy is the treatment by exposure to high doses of x-rays (far higher than the amount used in diagnostic imaging) to the area of the cancer.
Breast cancer is usually treated through a team approach and can include radiologists, surgeons, and oncologists (cancer specialist). Through prevention, early detection, and treatment there are over 3.5 million breast cancer survivors in the United States.
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.
NAADI HEALTH is located at 1 NW 64th Street in Oklahoma City. Call (405)-608-8884 or visit https://naadihealthcare.com

Daily Living Centers of Oklahoma will celebrate 45 years of service to caregivers of elderly and disabled members of our community on Tuesday, October 22nd from 11:30-1:00 p.m.
With four locations, Daily Living Centers stands apart as an affordable non-residential facility that supports the health, nutritional and social needs of adults in a professionally staffed group setting. DLC is an alternative to long-term care solutions such as an assisted living center or nursing home.
“I’m passionate about helping caregivers in our community,” said Daily Living Centers Board Chairperson, Ellyn Hefner. “They provide a service that goes unseen, and having a place where caregivers can take their loved ones while they go to work or run errands is vital.”
The Anniversary Celebration will be held at Daily Living Centers Rockwell location at 3000 N Rockwell Ave., Bethany, OK 73003. The event is free to attend, but guests are asked to RSVP by October 18.
Founded in 1974 as a therapeutic day care center for impaired, homebound and elderly people, DLC is the oldest and largest adult day health care organization in Oklahoma. Because of DLC, caregivers can hold jobs, safeguard their own mental health and maintain a sense of normalcy in their own lives knowing their loved ones are well-cared for at DLC.
Daily Living Centers of Oklahoma is an adult day health non-profit organization offering affordable non-residential facilities that support the health, nutritional and social needs of disabled or elderly Oklahomans in a professionally staffed group setting. For more information please visit, www.dailylivingcenters.org.

www.guardianangelsokc.com

Dear Savvy Senior, Because of my mobility problems, I’m thinking about getting a walk-in bathtub that’s easy to get into and out of but could use some help selecting one. What can you tell me about walk-in tubs, and can you recommend some good companies that make and install them?  Bubble Bath Betty

Dear Betty,
Walk-in tubs are a good option for mobility challenged seniors because they’re much easier to get into and out of than a standard tub, and will help prevent slips, trips and falls too. Here’s what you should know. The Basics
Walk-in bathtubs are uniquely designed tubs that have a watertight, hinged door built into the side of the tub that provides a much lower threshold to step over (usually 2.5 to 7 inches) versus a standard tub that’s around 15 inches.
In addition to the low threshold, most walk-in tubs also have a built-in seat, grab bars, anti-slip floors, anti-scald valves and a handheld showerhead. And many higher-end models offer therapeutic spa-like features that are great for seniors with arthritis and other ailments.
The kind of tub you choose will depend on your needs, preferences and budget, and the size and layout of your bathroom. The cost of a walk-in tub today with professional installation ranges anywhere from $3,000 to $10,000. Here are some other things you’ll need to consider, to help you make a good choice.
Tub size: Walk-in bathtubs vary in size. Most models have high walls between three and four feet high, and are between 28 and 32 inches wide, but will fit into the same 60-inch long space as your standard tub without having to reconfigure the room. There are also bariatric walk-in tubs that have wider door openings and larger seats to accommodate people over 300 pounds.
Wheelchair-accessible: Most walk-in tubs have an inward opening door, but if you use a wheelchair, an outward opening door may be a better option because they’re easier to access.
Tub options: The most basic and least expensive type of walk-in tub you can get is a simple soaker tub. But depending on your preferences, you have many other options like an aerotherapy (air jets) tub, hydrotherapy (whirlpool water jets) tub, aromatherapy tub that mixes fragrant essential oils with the water, or a combination tub that has multiple features. Also, look for tubs that have an in-line heating system to keep your bathwater warm while you soak.
Fast fill and drain: One drawback to using a walk-in bathtub is that the bather must sit in the tub as it fills and drains, which can make for a chilly experience. To help with this, consider a tub that has fast-filling faucets and pump-assisted drainage systems, which significantly speed up the process. But these options may require some plumbing modifications to your bathroom.
Easy cleaning: Keeping the tub clean should be a priority, especially if you get a therapy tub because of the bacteria that can grow in it. So, look for tubs with self-cleaning systems.
Warranty: The best walk-in bathtubs on the market today are made in the USA. Also make sure the company you choose has a lifetime “leak-proof” door seal warranty and lengthy warranties on both the tub and the operating system.
Where to shop: While there are many companies that make, sell and install walk-in bathtubs, some of the best in the industry are American Standard (AmericanStandard-us.com), Safe Step (SafeStepTub.com) and Kohler (KohlerWalkinBath.com). Most companies offer financing with monthly payment plans.
Unfortunately, original Medicare does not cover walk-in bathtubs nor do Medicare supplemental (Medigap) policies, but some Medicare Advantage plans may help pay. There are also many states that offer Medicaid waivers that will help pay for the purchase and installation of a walk-in tub to those that qualify, and the VA offers some programs that provide financial aid too.
To get started, contact a few companies who will send a local dealer to your home to assess your bathroom and give you product options and estimates for free.
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 Vickie Jenkins, Staff Writer

Cedar Ridge Behavioral Hospital provides quality impatient treatment to help stabilize patients struggling with mental health issues. The multidisciplinary treatment teams consist of psychiatrists, licensed therapist and specialized nurse who collaborate to develop and implement compassionate, individualized, evidence-based treatment plans for our patients.
Cedar Ridge Behavioral Hospital is proud to serve our military families. We provide quality acute and residential services to children and teens ages five to seventeen. This program is designed to address specific treatment issues with psychiatric disorders in a secure and safe environment. -Cedar Ridge Behavioral Hospital-
With Cedar Ridge Behavioral Hospital comes a very professional staff. One special nurse is Chris Weigel, RN, Chief Nursing Officer. Chris explains that she has been a nurse for forty-two years. “I always wanted to be a nurse, ever since I could remember. I started out as a candy striper in a hospital. At the time, I loved caring for people but didn’t have any experience in the nursing field at all. When I was growing up, my mom was in and out of the hospital quite a bit so I felt like I wanted to be a nurse too, like the ones that cared for my mom. That’s when my journey began,” she said. “I have worked in many different areas of the medical field, but I especially like working with children. I feel like I am making a difference with the children here, helping them with their mental health issues.” Chris added.
Asking Chris what her favorite part of her job is, she replied, “I like helping the nurses get rid of any barriers that they might have so they can give the best care in a safe and therapeutic way. I believe my strongest asset is leadership. I had quite a few mentors in the past, especially in administration here at Cedar Ridge. We have a phenomenal CEO, believing in compassion and believing in the kids. I try to be that same kind of person, helping the nurses with whatever they need. I want to be a mentor to others,” Chris said.
How would you describe yourself? “I am very open-minded and I have strong communication skills. I am compassionate and make a huge effort to help others, whether it is one of the nurses or children,” she answered.
Chris Weigel was the president of the Oklahoma Nursing Association and has served on the board of Oklahoma Organization for Nurse Executives; Governor’s Clinical Work Force Center and Chris continues to stay active in the community. “I want to make an impact on nursing and how it can change lives,” Chris commented.
Asking Chris what motivates her, she replied, “I love to see change in anything. I like to see the children here change in their control and their temperament and I see such a difference when they get here and when they leave.”
On a personal note, Chris has lived in several different states. When growing up, her dad was an environmental engineer, working in the everglades. Chris was always running around with him. “At one point, I enjoyed myself so much, I wanted to be game warden and train the alligators.” she said with a laugh. “It was between being a teacher, nurse or game warden. I chose nursing because I didn’t think I would do very well with the other two,” she added. “Besides that, it was a lot safer.”
Chris is married to her wonderful husband and has two grown children and one granddaughter, Minnie who is five years old. Their pets include a miniature schnauzer, Cricket, and will soon be getting a second schnauzer mid-October. Chris’s hobbies include gardening, walking, scrapbooking and reading.
To sum up Chris’s life in one word it didn’t take long for her to answer, “That word would be IMPACT. I like to think that I have a great impact on others, especially the children that are here at Cedar Ridge Behavioral Hospital,” she said with a smile.

www.caresuitesokc.com

A change of weather and watching the grounds how they change. Jan Welch

It’s in March – but, we’ll be celebrating our 50th wedding anniversary. I think we’re going to make it. Nancy Markum

Ballgames with OU – football and then basketball season. Todd Markum

The only project I have going is feeding the ducks. Frank Kalies

by Greg Schwem

Elizabeth Warren, exactly what do you eat for breakfast?
There must be something in your cereal, your eggs, your breakfast smoothie, or whatever it is you start your day with, that allows you to take selfies with strangers for four hours AFTER you’ve completed the stump speech that you hope propels you to the nation’s highest office in 2020.
If I posed for that many photos, my first act as president would be to lock myself in the White House, alone, and not come out for four years. Want my signature on a bill? Just slip it under the Oval Office door and wait patiently. Eventually, I’ll push it back out. Along with an executive order banning selfies.
In your case, calling the photos “selfies” is misleading, for it implies that every one of your fans held their own phones, extended their arms, took the pictures themselves, viewed them with disappointing looks and said, “Wait, can we do one more? In landscape mode?”
Your loyal subjects hand their phones to a staff member who takes the photos. Other celebrities use similar methods. Two years ago, I was one of 1,500 fans who waited in a Chicago bookstore for over three hours simply to meet and take a photo with Bruce Springsteen. A member of The Boss’ security team took my iPhone and held the photo button down continuously for about five seconds. I was left with 10 pics, including one of Springsteen welcoming his next fan while my rear end exited the stage. I deleted that one.
Truthfully, I’ve never understood the desire to take, and post, photos of oneself, regardless of the background or situation. Several times a year I open my social media feeds to find someone has snapped a “hospital bed selfie,” taken just before the subject sees an emergency room physician or undergoes an operation. Invariably, the photos are accompanied with text such as, “Guess where I am?” as if the hospital gown wasn’t a clue. Seriously, what kind of medication makes a person think, “Hmmm, I have a tube in my nose, a needle in my arm and all my body hair has been shaved. DAMN, I LOOK GOOD!”
But the chance to rub shoulders with celebrities and come away with proof is a different story. My Bruce pic is on my office wall and elicits cries of, “Whoa, you met Springsteen?” from most who see it. Mere seconds after taking the photo, I posted it to all my social media feeds and happily read the comments expressing awe and jealousy. I’m sure 1,499 others were doing the same thing that day.
So, Sen. Warren, I understand your strategy. The more pics of you floating around cyberspace with everyday Americans, the greater your likability. I doubt President Trump even knows what a selfie is. Then again, it’s impossible to snap a photo while simultaneously tweeting and golfing.
But senator, are you sure this is the right strategy? With all those people waiting in line, chances are excellent at least one of them is a pedophile, a Ponzi scheme creator or a future school shooter. In 1978, after serial murder John Wayne Gacy was arrested, a photo emerged of him posing with First Lady Rosalynn Carter, taken just seven months prior. Oops.
Of course, you can’t possibly know the backgrounds of everyone waiting to smile with you, but would that stop vicious memes from circulating? Would it stop the hosts at Fox News from plastering that photo onscreen every time they mention your name? Doubtful.
I have yet to decide who among the Democratic candidates will receive my vote. But Sen. Warren, I do admire your grass-roots approach, not to mention your stamina. If you win, thousands upon thousands of Americans will be able to say they met the president of the United States.
Let’s hope they all know how to back up their iPhones.
(Greg Schwem is a corporate stand-up comedian and author of two books: “Text Me If You’re Breathing: Observations, Frustrations and Life Lessons From a Low-Tech Dad” and the recently released “The Road To Success Goes Through the Salad Bar: A Pile of BS From a Corporate Comedian,” available at Amazon.com. Visit Greg on the web at www.gregschwem.com.) (c) 2019 GREG SCHWEM. DISTRIBUTED BY TRIBUNE CONTENT AGENCY, LLC