story and photo by Bobby Anderson, Staff Writer

A cough. A sniffle.
You feel something coming on. But what next?
You can call your doctor and hopefully get an appointment sometime in the next couple weeks.
Or you can get in your car and head to the local urgent care clinic and wait with 20 or 30 others doing the same thing.
What if there was a better way?
That’s what Dr. Mark Prather thought in 2013 when he came up with a unique service model that would eventually become DispatchHealth.
“Really anything you can think of you would get in your car and go to urgent care for but more,” Dispatch Community Engagement Manager Tiffany Traxler said, explaining the service that has recently expanded into the metro.
DispatchHealth is bringing back the house call with a modern technology twist. DispatchHealth gives patients ways to access convenient, high-quality acute care in the comfort of their home at the time of need.
DispatchHealth is redefining the healthcare landscape as an extension of a patient’s healthcare team and offering solutions for simple to complex medical problems all from the comfort of your home.
The concept dates back to 2013 when Prather was running the emergency department in Denver for Centura Health.
“They asked Dr. Prather if he could come up with a system that could be delivered safely in the home for patients who go to the emergency room with urgent needs but not emergent,” Traxler explained. “He knew the need and he knew how to make things mobile.”
“He started going out on calls.”
Working with the ambulance service through the 911 system, Prather helped more than 400 patients in 18 months in the comfort of their own homes.
The total cost savings to the health system was more than $1 million.
But saving patients the time, expense and hassle of an ER visit was priceless.
The model has spread like wildfire to Colorado Springs, Richmond, Phoenix, Las Vegas, Houston, Oklahoma City, Tacoma, Dallas and Springfield.
Blue Cross and Blue Shield – one of Oklahoma’s largest insurers – quickly saw the value.
“Blue Cross and Blue Shield saw what we were doing and the impact we were making,” Traxler said. “For the 65-and-under patient if you have Blue Cross and Blue Shield it’s an urgent care co-pay. For 65 and up all Medicare, Medicaid and Medicare Advantage plans … we bill as an urgent care.”
For some that can mean an urgent care visit in their home for less than $50.
Services include testing such as: blood tests on-site, strep test, flu swab, urinalysis, urine cultures, stool culture, test for blood in stool, pregnancy test, lactate, 12-lead EKG, PT/INR, rapid infectious disease testing and more.
Dispatch also provides medications such as: anti-inflammatories, IV antibiotics, IV fluids, prednisone, lasix, antiemetics, flu medications, laxatives, stool softeners, heartburn prevention, glucose gel, anesthetics, migraine cocktail, antihistamines and more.
IVs can be placed and fluids begun all in your home.
Breathing treatments can also be administered.
AVOID THE BUG
Last year’s influenza outbreak was one of the worst in nearly a decade and the severity of the outbreak was extreme. In fact, The Center for Disease Control and Prevention (CDC) recorded over 20,000 positive flu tests per week at the height of the outbreak.
While most seek treatment at an emergency room (ER) or urgent care clinic, when leaving one’s home the virus can be immediately exposed to others and cause further spread of the flu. Also, ERs and clinics can easily become overwhelmed with a high number of sick patients during flu season, leading to overcrowding, lengthy wait times and even physician burnout.
Adults can infect others one day before their flu symptoms even develop and can pass on the virus up to a full week after becoming sick.
“Flu comes on very, very quickly. If it’s 2 p.m. and you realize you don’t feel well you’re not going to get into your (doctor’s office),” DispatchHealth Market Director Amy Evans said. “With flu if you can get those anti-virals within that first day or two it cuts down on the length of flu.”
“When you’re talking about the elderly population and people with compromised immune systems that 12 hours means something.” To request on-demand urgent care brought to you call 405-213-0190

The holiday season is approaching, and the Oklahoma City Fire Department has a few safety tips for your family and friends. A small fire can double in size every 30-60 seconds. Following these safety messages will provide a safer winter and holiday season. The holiday season is approaching, and the Oklahoma City Fire Department has a few safety tips for your family and friends. A small fire can double in size every 30-60 seconds. Following these safety messages will provide a safer winter and holiday season. Smoke Alarms· Working smoke alarms should be placed inside and outside each bedroom and sleeping area. Install smoke alarms on every level of the home including basements. The Oklahoma City Fire Department has a “Project Life” smoke alarm program. Firefighters will install smoke alarms at no charge for qualifying residents of Oklahoma City. Contact information 405-316-2337, www.smokealarmsokc.com or www.Gratisalarmasokc.com.  Residents outside of Oklahoma City can contact your local fire department or Red Cross. · Test smoke alarms once a month while practicing your escape plan. Practice your escape plan based on your mobility and always have a meeting place outside the home. · Replace batteries once a year. When replacing the 9-volt battery consider upgrading to a 10-year lithium battery smoke alarm.· Replace all smoke alarms after 10 years or before expiration date located on the backside. · People with hearing impairment can contact the Oklahoma Assistive Technology Foundation (OkAT), 888-885-5588 or email abletech@okstate.edu.     OkAT will install smoke alarms with strobe lights and bed shaker for qualifying Oklahoma residents. Apply at www.okabletech.okstate.edu. * According to the National Fire Protection Association (NFPA), “3 out of 5 fire deaths happen in homes with no smoke alarms or the alarms are not working.”Heating Safety·Keep space heaters a minimum of 3-feet away from anything that can burn. The 3-foot clearance must include people and pets. Never use extension cords with space heaters. Plug them directly into the outlet and ensure the space heater is the only item plugged into the outlet. Turn off and unplug when not in use or going to bed. ·Heating systems and chimneys should be inspected and cleaned every year by a qualified professional. Schedule your inspection and cleaning before use.  ·Keep metal fireplace screens or heat-tempered glass secured and in the correct position when in use. Discard cool ashes from the fireplace into a metal container. Keep the metal container at least 10-feet from your home.  ·Never use ovens, stove top, or open burning to heat your home. Open flame heat sources should have a venting system. The use of alternative heating sources inside your home could have deadly consequences caused by carbon monoxide poisoning or fire. ·Always follow the manufacturer’s instruction. ·Install Carbon Monoxide (CO) alarms outside each sleeping area and on every level of the home.      *According to NFPA, “Half of home heating fires are reported during the months of December, January, and February.”Holiday Safety·Don’t block exits with decorations. ·Follow manufacturer’s instruction and do not overload extension cords. ·Keep candles away from children and pets. ·Ask smokers to smoke outside. Wet all cigarette butts before discarding. ·Never leave food cooking on the stovetop unattended. Make sure you are alert when cooking. ·Cut 2 inches off the base of a live Christmas tree before placing in the stand. Add water to your tree stand daily. Don’t put heating sources or candles near the Christmas tree. Always turn off Christmas tree lights before leaving home or going to bed. ·Immediately remove the Christmas tree from inside your home after the holidays or when it is dry.  *According to NFPA, “Two of every five home decoration fires are started by candles.”Additional fire safety information is available at www.nfpa.org/Public-Education.
This is the first of a series of safetey articles provided by  Oklahoma City Fire Department, Oklahoma County Sheriff Department and the Oklahoma City Police Department.

The March of Dimes Oklahoma Chapter recently honored an OU Medicine nurse at its annual Nurse of the Year awards. Mandy Nelson, APRN in the medicine specialty unit at OU Medical Center, was named Nurse of the Year in the Advanced Practice category.
The Oct. 4 event celebrated nurses in more than a dozen categories, all of which were nominated by colleagues, supervisors or families they have served, according to the March of Dimes website. A selection committee of health care professionals selects the most outstanding nurse in each category.
Two additional OU Medicine nurses, Callie Tkach, RN in the NICU at The Children’s Hospital, and Susie Jones, APRN and Vice President of Quality/Safety and Nursing Practice at OU Medicine, were finalists in the Neonatal/Pediatric and Advanced Practice categories, respectively.
“Mandy and our finalists, Callie and Susie, are incredibly deserving of this honor,” said Cathy Pierce, Chief Nurse Executive at OU Medicine. “Our nurses work tirelessly to improve the lives of our patients and families. They truly represent the best in their fields and the best of OU Medicine.”

Dear Savvy Senior, Can you provide some tips on how to choose a good estate sale company who can sell all the leftover items in my mother’s house?  Inquiring Daughter

Dear Inquiring,
The estate sale business has become a huge industry over the past decade. There are roughly 22,000 estate sale companies that currently operate in the U.S., up nearly 60 percent from just 10 years ago. But not all estate sale companies are alike.
Unlike appraisal, auction and real estate companies, estate sale operators are largely unregulated, with no licensing or standard educational requirements. That leaves the door open for inexperienced, unethical or even illegal operators. Therefore, it’s up to you to decipher a good reputable company from a bad one. Here are some tips to help you choose.
Make a list: Start by asking friends, your real estate agent or attorney for recommendations. You can also search online. Websites like EstateSales.net and EstateSales.org let you find estate sale companies in your area.
Check their reviews: After you find a few companies, check them out on the Better Business Bureau (BBB.org), Angie’s List (AngiesList.com), Yelp (Yelp.com) and other online review sites to eliminate ones with legitimately negative reviews.
Call some companies: Once you identify some estate sale companies, select a few to interview over the phone. Ask them how long they’ve been in business and how many estate sales they conduct each month. Also find out about their staff, the services they provide, if they are insured and bonded and if they charge a flat fee or commission. The national average commission for an estate sale is around 35 percent, but commissions vary by city and region.
You may also want to ask them about visiting their next sale to get a better feel for how they operate. And be sure to get a list of references of their past clients and call them.
Schedule appointments: Set up two or three face-to-face interviews with the companies you felt provided you with satisfactory answers during the phone interviews.
During their visit, show the estate liquidator through the property. Point out any items that will not be included in the sale, and if you have any items where price is a concern, discuss it with them at that time. Many estate companies will give you a quote, after a quick walk through the home.
You also need to ask about their pricing (how do they research prices and is every item priced), how they track what items sell for, what credit cards do they accept, and how and where will they promote and market your sale. EstateSales.net is a leading site used to advertise sales, so check advertising approaches there.
Additionally, ask how many days will it take them to set up for the sale, how long will the sale last, and will they take care of getting any necessary permits to have the sale.
You also need to find out how and when you will be paid, and what types of services they provide when the sale is over. Will they clean up the house and dispose of the unsold items, and is there’s an extra charge for that? Also, make sure you get a copy of their contract and review it carefully before you sign it.
For more information on choosing an estate sale company, see National Estate Sales Association online guide at NESA-USA.com, and click on “Consumer Education” then on “Find the Right Company.

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 Bobby Anderson, Staff Writer

To say Mike Isaac’s resume is extensive would be an understatement.
EMT, police officer, detective, SWAT team member – all of it has combined into Isaac’s RN Nurse Manager role at JD McCarty Center for Children with Developmental Disabilities in Norman.
And for the past six years now, Isaac has been a nurse. But his past is almost as interesting as his present.
Fellow nurse manager Suanne Livingston likes working alongside Isaac and is constantly amazed by his background.
“He’s very organized and he’s very respected,” Livingston said. “He does a great job with staff. When he was a staff nurse he was a great staff nurse. I kind of defer to him as far as how he handles things employee-wise because he’s a little more hard-nosed than I am.”
“I learn a lot from him and I kind of watch and learn how he handles situations.”
Isaac worked in emergency rooms at night to help put him through college. He applied for PA school and quickly found it wasn’t a career track he wanted to pursue.
He spent some time in medical research and a couple other jobs before signing on with the Norman Police Department as an EMT for the ambulance service.
He attended the prerequisite police academy and later pursued his master’s degree. The only problem was working those 24-hour EMT shifts really took a toll on his studies.
So he decided to become a police officer instead.
“I said I would just transfer over and I did,” Isaac said. “I did really well and got promoted quickly and did a bunch of really good stuff but I got really interested in things involving mental health.”
A detective and eventually a supervisor, Isaac helped craft Norman’s policy on dealing with mental health subjects. His plans were carried over into department’s across the nation during his 27 years with Norman PD.
Isaac’s reputation earned him a spot helping craft officer-involved shooting policy.
“They weren’t getting the help they needed post-shooting,” Isaac said. “There were a lot of trauma victims involved with homicide and rape – two of the things I was assigned to – that weren’t getting follow-up care to prevent and treat post traumatic stress.”
Working with the FBI’s Behavioral Science unit in Quantico, Va., he helped craft policy to protect all involved.
“You didn’t take their gun right after a shooting. You took it as evidence but you replaced it,” Isaac said. “You didn’t put them on a desk job and treat them like they were unable to do work. Basically we wrote it so they would get a return to work slip.”
The process helped officers work through the ensuing mental and physical issues while protecting their personal health information. Inservice training was given and officers qualified again at the shooting range before easing back into their duties while riding with a supervisor.
“That was actually taken to Quantico for the national FBI academy that all law enforcement agencies around the world send people to.
“Our policy is still given out there.”
A friend mentioned he would be a perfect fit for nursing school.
“They sold me on this BADNAP program,” Isaac said of Oklahoma City Community College’s accelerated nursing program. “It was a great program. I wouldn’t do it again but it was a great way to get in and get employed and get out. I had a couple jobs before I even graduated.”
EMT, policeman, mental health advocate – you would think it all prepared him for nursing school.
“It did, but the pace was a great equalizer. It was just so fast. I don’t know how some of those people did it,” Isaac said. “I don’t know how some of those people did it, single heads of households with children to take to soccer games and other things.
“They were my heroes throughout. It was a great experience.”
Day and night, Isaac completed his ADN in eight months.
“It was tough but it was good. They don’t cut any corners,” Isaac said.
Assessment, investigation, report writing and observation – all skills Isaac honed in his former life have prepared him for a nursing career.
Nursing care plans are still vital. Different disciplines are heavily involved such as dietary and physical therapy.
He laughs when he admits his experience as Norman’s chief hostage negotiator still comes in handy.
But most days he doesn’t need it.
“The opportunity to see mostly the direct care staff grow in professionalism and responsibility so they can take ownership,” Isaac said of his greatest reward. “I always tell them when I interview it’s not a nursing home for kids.”

INTEGRIS assumed operations of Deaconess Hospital and its affiliated family care clinics at midnight, Oct. 1.
Rex Van Meter is the newly named president of INTEGRIS Deaconess, as it is now called. The hospital is considered a campus under the INTEGRIS Baptist Medical Center umbrella.
Van Meter has been a part of executive leadership at INTEGRIS since 2001. He joined as vice president of finance at INTEGRIS Blackwell Hospital and was promoted to president there four years later. In 2012, he was named president of INTEGRIS Canadian Valley Hospital, and has led that facility to successive year-over-year record performances. Van Meter earned a bachelor of accounting from Northwestern Oklahoma State University and a master of health care administration from Trinity University.

What will be on your Thanksgiving plate? Norman Regional Hospital Auxiliary

Ham and dressing, gravy, green beans. Maybe a little turkey and hot rolls.

Derald Fendley

We’ll be eating off the same menu but my favorite is cornbread dressing.

Jan Fendley

The usual turkey and dressing but also rutabagas and red cabbage.

Jonnina Benson

Turkey and dressing with candied yams, and pumpkin pie with lots of whipped cream.

Dixie Hurd

by Bobby Anderson, Staff Writer

This fall has been pretty sweet for Belinda Winslow and husband Mike.
In September, she received the blessed news that her 27-year-old daughter was finally cancer free.
October saw her Watermelon Pie creation clean up in the awards category at the Oklahoma State Fair. The pie, an old recipe from her childhood, earned the FAIRest of Them All award as the best overall food creation. The fruity, creamy treat also was named the top overall sweet offering at the fair, dubbed Sweetest of the Sweet.
“We’ve had a good year this year,” Belinda Winslow smiled.
Going up against eclectic creations like deep fried coffee, Frosted Flakes chicken on a stick and Kit-Kat fries, Winslow’s watermelon pie blew away judges at the Great TASTE of a Fair competition which immediately precedes the September fair.
The event, staged to whet appetites and drum up publicity for the fair, was Winslow’s coming out party for her mobile food truck business.
Based out of Moore, the Winslows opened their trailer for business in March 2015 after scores of friends and family kept insisting they bring the watermelon pie to every gathering.
Winslow said some of those invites may have just been for the pie, but it was clear she had something on her hands that people really liked.
“It was a recipe my mom came across and she just loved it and we started making it,” Winslow said. “It just stuck.”
So did the idea of opening her own business. Her and her husband, who runs a full-time paint contracting business, began drawing up a business plan months earlier.
Cost projections outpaced savings for opening a traditional brick-and-mortar business.
“The food truck was the first thing we could think of,” Winslow admitted.
A business on four wheels came with its drawbacks.
Running a business in a trailer meant more prep work. Winslow typically makes her runs to Sam’s Club, Wal-Mart and the Chef Store the Tuesday before an event. Six to seven hours the following day are spent doing prep work, including cutting up some 20 to 25 watermelons by hand.
“It’s hard work, very hard work,” Winslow said of the business. “It’s not something you could just do on a part-time basis. It’s a full-time job.”
“You’ve got to pack it up, move it and have it ready on time.”
The concept also came with advantages.
Being on wheels means that Cutie Pies can be at almost any venue in the state with enough advance notice.
This month the trailer will pull up to Norman and the University of Oklahoma Day of the Dead Celebration. The following day Cutie Pies will be at Integris Baptist with 100 pies for a private event hosted by the radiology department.
Twelves days later you can find watermelon pie at the Luther Pecan Festival.
Outside of the State Fair, Winslow said one of the company’s best events is always the The Old Chicken Farm Vintage Barn Sale in Jones.
It’s a good thing Cutie Pies gets around because it will take you awhile to work through the menu. Watermelon pie may be the star but there’s a talented ensemble cast of banana cream cheesecake, root beer float pie, cherry limeade pie and cotton candy pie.
If sweet isn’t your thing they have savory covered, too, with Winslow’s chicken and corn frito pie.
The twist on the original frito pie includes santa fe chicken layered on Fritos doused in queso cheddar cheese mixed with feta, cilantro and a special chili lime mayo.
Wash it all down with a variety of lemonades – including watermelon, of course.
“This our first year to actually make money,” Winslow said.
And that’s despite a trying year.
Winslow’s daughter battled stage IV ovarian cancer before doctors announced she was cancer-free three days after her last surgery.
Through it all, Winslow has been her daughter’s caregiver, keeping her out of the truck for most events. That’s meant Mike pulling double duty.
“He’s been our savior. He’s saved both of our businesses,” Winslow said of her partner of 20 years.
But it all paid off this fall.
“It was kind of Heaven-sent because (my daughter) finished chemo and we had the fair,” Winslow said. “Right after the fair she had her surgery.”
“But she was still out there.”
All three of Winslow’s kids help in the business including a 21-year-old daughter and a 38-year-old son.
Her two granddaughters pitch in, too.
“They come stay with us every other weekend,” Winslow said. “They love to work on the truck and they hope we have leftovers, which doesn’t happen very often.”
So what’s next? Can she top Watermelon pie?
“I have somethings in the works for next year but I can’t tell you,” Winslow laughed.
You can find out where Cutie Pies Concessions will be next through their Facebook page.

Photography and Text by Terry “Travels with Terry” Zinn t4z@aol.com

High on my list of want-a-sees in the Finger Lakes Area of New York, was the Corning Museum of glass in Corning New York.
An enthusiastic and knowledgeable docent took me on a whirl wind tour down their educational history of glass exhibition with stops to glass blowing exhibitions in their hot glass shop, and a chance to participate in a glass blowing experience. While I did the blowing the crafts person spun the blow rod and formed the small pumpkin, which when cooled was mailed to me. This is a Finger Lakes road trip stop not to be missed.
Of course I was overwhelmed by their glass gift shop, where I found several pieces from my favorite glass artists. I also found tempting glass in Corning’s Market street galleries. Also downtown is the Rockwell (no relation to the artist) Museum of Western Art which houses the best of the west in the east.
More hands on glass blowing can be had at Corning’s Hands-on Glass: Hot Glass Studio (www.handsonglass.com) where classes are available as well as a small selection of glass for sale. Rodi Rovner and her team work hard to keep the tradition of glass on a personal level alive. My stay at Corning‘s Radisson hotel was convenient and professionally efficient.
If you want to be over fed and have a sensory dining experience, Spencer’s Restaurant should be your Corning dining choice. If you look closely you’ll see church pews accompanied by fireplaces and an inventive menu including eggplant fries!
On my way up to Aurora I just had to make a very brief detour to Elvira to see Mark Twain’s family cemetery plot and to see the near by little writing retreat, which is like a closed in gazebo. What’s a road trip adventure without an impromptu detour? Its this kind of flexibility that makes a road trip all worthwhile.
Of course it made me late for my lunch appointment at the Pumpkin Hill Bistro at 2051 route 90 near aurora. My delicious lunch was waiting for me, and promptly served amid a charming atmosphere of intimate dining.
I was in a bit of a rush as I had tickets for the Merry-Go-Round Playhouse in Auburn. The professional theatre building was once a merry go round enclosure. Getting off the road, resting and being professionally entertained is a welcome counterpoint to a road tour.
After the theatre there was a brief visit to Auburn’s Willard Memorial chapel with its interior decorated totally with Luis Comfort Tiffany religious stain glass windows and accents.
Then it was off to the Belhurst Chateau to enjoy the grounds and public rooms of this restored and expanded Geneva mansion. An elegant dinner at Edgar’s, with view of the lake was a perfect ending to an adventurous touring agenda. The history of this wine related lodge is felt in every room. To emphasize this wine region, there is even a working wine spicket available to over night guests in the second floor lobby. Now that’s hospitality!
On your drive out of Geneva on your way back to Rochester airport, you can tank up your thirst with award winning 100% fruit juices at Red Jacket Orchards (www.redjacketorchards.com).
While I had a very full Finger Lakes itinerary there is much more to savor, and you may find other areas of interest when you request your Finger Lakes planning booklet. (www.fingerlakes.org) Summer and Autumn are perfect times to tour the lakes, hills and many attractions of this part of America, I call a perfect sampling of Americana.
In our fast moving modern culture it is wise to check details of your stops while planning your trip, as some venues may be closed or have issues with operating times. A road trip is always an adventure and if you have an adventurous spirit, touring the Finger Lakes may be perfect for you.

Mr. Terry Zinn – Travel Editor
Past President: International Food Wine and Travel Writers Association
http://realtraveladventures.com/author/zin