by Darl Devault

A nurse practitioner with an entrepreneurial spirit recently started a mobile urgent care practice for homebound patients, on-the-go parents and families. Based in Edmond, with scheduling available online, by text or phone, this groundbreaking advanced practice registered nurse delivers convenient, urgent care to her patient’s home.
Research shows that as a member of the American Association of Nurse Practitioners, Kara De La Pena is the only individual advanced nurse providing this service, NP 2 Go, in the Metro area. Her certifications in advanced cardiac life support, basic life support, and pediatric advanced life support allow her to claim first-in-market status.
Several corporate entities are dispatching caregivers at this level to people’s homes. Those companies are not matching the direct-fee, comprehensive impact De La Pena delivers to her patients.
“NP 2 Go’s mobile urgent care or house call service was born from seeing so many patients who could benefit from a more convenient option to get healthcare,” De La Pena, APRN-CNP, said.
The nursing profession is in high demand in Oklahoma. She also serves as a registered nurse at OU Medical Center Edmond part time in perioperative services, as she launches her new community-wide service.
De La Pena provides in-home urgent care visits, migraine treatment, primary care (for homebound patients), weight loss consults, IV vitamins/hydration, and sports physicals. She also helps patients needing advanced directive planning counseling. To answer those questions she says she draws on her experience as an ICU nurse being with many patients during their end-of-life period.
She says several patient populations need intravenous fluids, but have no other options than going to an emergency room. She serves that need in patient’s homes. She stresses how her practice assists other practices and medical offices to help keep their patients out of ERs.
When the flu, food poisoning, or a stomach bug causes some mild dehydration a patient fills out a health history and assessment. She calls the patient if there are any questions. If an emergency room visit is indicated, she sends them on, instead of seeing them. If the ER is not indicated, she provides the hydration in their homes.
De La Pena says many migraine sufferers can have an acute or chronic migraine that can last for several days and be debilitating. She can give the same medications an ER provides, after assessing their condition. Another ER trip avoided.
De La Pena was born and raised in Enid, Okla. She earned her associate’s degree in nursing from Oklahoma City Community College in 2012, and her bachelors of science in nursing from Northwestern Oklahoma State University in 2014.
In 2019, she earned a master’s degree in nursing while graduating as a family nurse practitioner from Maryville University in St. Louis. The school, founded 150 years ago, provides a technology-driven, mentor-inspired education.
Along the way she has been a certified nurse’s aide and licensed practical nurse before becoming a registered nurse. She says her mother prompted much of this by being a mentor and role model.
“My mother is the best nurse that I have ever met, often teaching me things that are not in books. She taught me about the comfort provided by simply flipping over a pillow, or the skill of practicing compassion towards people with unknown struggles,” De La Pena said. Her mother, Karla Brock, an RN since 1991, has worked at St. Mary’s Hospital in Enid for 28 years.
De La Pena has a combined 15 years of experience helping patients throughout her years of basic patient care, nurse tech, CNA, LPN, RN, and now APRN-CNP status.
Her early caretaking skills were honed taking care of her great-grandmother who suffered a stroke when De La Pena was a teenager. She attended to her daily needs, as well as drove her to appointments.
Nurse practitioners in Oklahoma need only a supervising physician to oversee their prescriptive authority. They are prohibited from prescribing Scheduled 2 medications (Hydrocodone, Adderall, etc.).
Oklahoma Nurse practitioners are continuing to pursue legislation that allows for full practice of their license without a supervising physician. These nurses pushed legislation in 2018 seeking full practice authority. Their position then was that 22 states, most with better health outcomes than Oklahoma, allow this status.
De La Pena and her supervising physician have agreed on specific medication protocols for her new outpatient emphasis at NP 2 Go. They went over her business plan extensively before she started her private business ventures.
The company is private-pay only. When patients invite NP 2 Go to come to their homes, they get one bill. The NP 2 Go Website and Facebook cite the costs for the services provided.
De La Pena believes that patients deserve to have transparent billing and to know the costs of services before booking their appointments. NP 2 Go works with local companies to provide the most cost-effective labs, medications, or radiology. She says this provides a thorough solution to the patient’s needs.
De La Pena, 33, has lived in Edmond for more than 11 years, marrying Jason in June of 2014. They now have two daughters 8 and 4 years old. The family attends Victory Church in Warr Acres and enjoys boating at Lake Arcadia often. As soon as her new venture gives her more time, she plans to be more active in local government and volunteer in the community.
Visit www.thenp2go.com or call 405.696.7003.

www.meadowlakesretirementvillage.com

by Bobby Anderson, Staff Writer

Far too many people are living with a pulse but not a purpose.
It’s something that drives Marilyn Olson and the idea behind VillagesOKC.org.
“What we do is connect people who want to be active and live with a purpose,” the executive director of VillagesOKC.org said.
Olson’s background is extensive, helping open 10 retirement communities in multiple states.
“Each of use in VillagesOKC.org has learned a few things in the decades of our life and together we share what we’ve learned,” she said. “One day I said to my husband ‘it would be a real shame to wake up dead one morning and not having shared some of these things.”
A PLAN, NOT A PLACE
“What we’re learning is 100 is the new reality. More and more people are living until 100,” Olson explained. “And most people are only planning til 80 so what are you going to do with those other 20 years that God gives you?”
“Our plan is to live long and die short, not live and then slowly die. And you can have some control over that.”
Mounting research is showing that you can improve your risk of Alzheimer’s by up to 60 percent by simply making lifestyle changes.
“The problem is doing that is very difficult,” Olson said. “Villages gather people together and says ‘Let’s do this together.’”
“It’s peer pressure with love.”
That’s where Villages come in.
First of all, this Village is not an actual village. It is not a real estate development or a retirement community. It is a group of like-minded people in a geographic area who come together and develop the resources they will need to age comfortably in their own homes.
Villages bring services to people rather than moving people to services – neighbors helping neighbors create networks of support and reduced-cost professional services.
WHAT IS THE VILLAGE MOVEMENT?
Across the nation the village movement is an innovative grassroots organization which has emerged in the last decade providing support services for community-dwelling older adults.
The village movement is one of the most viable options to let our society cope with the upcoming “Revolution Aging.”
The revolution is due to the unprecedented number of seniors in America over 55. This number is growing by 10,000 per day. This number is many times greater than the number of available retirement communities or assisted living communities available or even planned. Thus has developed another option – aging in place in one’s own home.
Beacon Hill, the first village, came to birth in Boston, Massachusetts. Others have cropped up all over the nation.
Now it’s Oklahoma City’s turn.
“There are villages all over the nation,” Olson said. “It just depends on what the people want. This is not my idea. I just agreed to initiate it because that’s what I’m supposed to do. This is my calling right now.
“The end result is really up the people and what God orchestrates.”
Locally, the group celebrated its one year “Village-versary” and launch of VillagesOKC.org Pickleball as a new way for Village members to stay active and participate in one of the fastest-growing sports in the U.S.
Being active and productive is a way of life.
That’s why Olson helped with the recent Christian Women of Oklahoma City Bazaar. Her involvement began last year.
“Powerful testimonies of God’s goodness, encouragement and new friends,” Olson said of her first experience.
Seventy-seven years ago, a group of Oklahoma City Christian women gathered in a home for a few hours of fellowship.
Little did they know that first coffee klatch would spark lifelong friendships for several generations of Christian women in Oklahoma City and change the lives of countless others.
Those meetings are still going on, although the increased numbers have moved the meetings outside of members’ homes and into the Quail Creek Country Club.
And the centerpiece has become a bazaar that raises thousands of dollars for needy Oklahoma charities.
This October event was one of the group’s best ever.

www.arborhouseliving.com

You’ve enjoyed reading, and laughing at, Greg Schwem’s weekly humor columns in Senior Living News.  But did you know Greg is also a nationally touring stand-up comedian? And he loves to make audiences laugh about the joys, and frustrations, of growing older. Watch the clip and, if you’d like Greg to perform at your senior center or senior event, contact him through his website at www.gregschwem.com

by Dr. C.V Ramana

Understanding diabetes and the long-term problems associated with uncontrolled blood sugar is the first step in preventing more serious complications of the disease.
Diabetes is a disease that involves problems with the hormone insulin. To understand why insulin is important, it is useful to know how the body uses food for energy. The body is made up of millions of cells and these cells need food in a simple form to function appropriately. Much of what we eat and drink is broken down into a simple sugar called glucose. Glucose is food for the cells. The pancreas releases insulin to help your body use and store the glucose (sugar) and fat from consumed food. Insulin regulates the amount of glucose that is in the blood stream by conducting the transfer of glucose from the blood stream to the muscle and fat tissues to use be used for fuel or to the liver for storage. Diabetes can occur when 1) The pancreas does not produce any insulin. 2) The pancreas produces very little insulin or 3) the body does not respond to insulin also called insulin resistance. The most common form of diabetes is type II. Ninety-five percent of diabetics are classified as type II. This form of diabetes occurs when cells are resistant to insulin. The pancreas releases more and more insulin, but eventually it gives out.
Too much glucose (sugar) in the blood stream for long periods of time has serious health consequences. Some of the long-term affects of diabetes are increased risk for heart disease or heart attack, increased risk for stroke, plaque build-up in the arteries, kidney damage, nerve damage, changes in vision, skin problems and wounds that won’t heal. These negative long-term effects can be prevented by proper management of blood sugar. Damage to the arteries can lead to vascular disease. Some of the symptoms and side effects of vascular disease include pain in the legs or calves when walking, numbness or tingling in the feet, cold feet, and discoloration or sores that will not heal. There are a number of treatment options available for those affected by vascular disease.
The most important blood test for diabetes is called the A1c. Your doctor may call it glycosylated hemoglobin. It is a simple blood test that gives the average of blood sugar level over the past three months. The value is determined as a percentage ranging from 4%-15%. A normal value is around 4%. The American Diabetes Association (ADA) recommends an aggressive approach to the prevention of diabetes and the current guidelines call for an oral diabetic medication such as Metformin with an A1c of 5.8% or greater. A value of 7% or higher can require tighter control with the use of injectable insulin. Studies by the ADA report prevention of complications related to diabetes when the A1c value is under 7%. A person with normal blood sugar levels should have their A1c tested every 6 months and those already diagnosed with diabetes should have their A1c tested every 3 months. Decreasing the A1c value as little as one percent may decrease the risk of irreversible effects of nerve damage, kidney damage and changes to vision.
The early signs of high blood sugar are increased thirst, headaches, trouble concentrating, blurred vision, frequent urination, fatigue and weight loss. Often the signs and symptoms of high blood sugar are discrete and go unnoticed. If you are not currently under the care of a primary provider, then establish one and ask to be screened for diabetes. If you are currently diagnosed as a diabetic, consistency is key to long-term prevention. Have your A1c level checked every three months and work closely with your primary care provider to establish a care plan and a medication regimen that works for you.
If you feel that you may be at risk for diabetes, any of its complications, vascular disease, or have some of the symptoms, you should consult your primary healthcare professional to screen for it, and to discuss treatment options.
You are also welcome to call our Vascular Center to schedule a prompt and free consultation. You can contact us at 405-608-8884. We are a specialized center staffed with highly experienced professionals, including a Vascular/Interventional physician, dedicated to treating vascular disease on an outpatient basis using the latest proven technology to combat this epidemic.
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.
Visit Naadi Health at 1 NW 64th Street in Oklahoma City or call (405)-608-8884. www.naadihealthcare.com

www.naadihealthcare.com

Beginning December 1, Pawnee Bill Ranch and Museum will be beautifully transformed for the holiday season with festive decorations that will remain on public view during the entire month of December. Visitors can view the decorations for free during normal hours of operation.
One great opportunity to experience the holidays at Pawnee Bill Ranch and Museum comes on Saturday, December 14, with the Pawnee Bill Ranch Association meeting and the Holiday Open House. The Pawnee Bill Ranch Association will hold its annual meeting in the Big Barn beginning at 11:30 a.m., with a noon meal for members following the short business meeting. For more information or to join the Pawnee Bill Ranch Association, please call 918-762-2513.
Immediately following the Pawnee Bill Ranch Association meeting on December 14, Pawnee Bill Ranch and Museum will host its annual Holiday Open House for the public from 1 to 4 p.m. Holiday Open House activities will include surrey rides and camel rides outside (weather permitting), a children’s craft area inside the museum, a silent auction fundraiser and hot cocoa and cookies. Money raised from the silent auction will help to fund exhibits at the museum.
As a special treat later that Saturday, the ranch will host a Santas of the World Tour from 5 to 7 p.m. in the mansion. The tour is free and open to the public. Come to the ranch for a visit and photographs with these historic Santas. They are dressed authentically from their particular time period and country of origin. Some of the gift-bringers that may be featured are:
Black Peter (Holland, 1550); Grandfather Frost (Russia, 1900) and his granddaughter Babushka (Russia, 1800); Le Befana (Italy, 1800); Ophelia Noel (France, 1800); Civil War Santa (United States, 1861); Sinter Claus (The Netherlands, 1808) and his wife; Weihnachtsmann (Germany, 1800); Tundra Santa (United States, 1840); Tartan Santa (Nova Scotia, 1850s); and St. Nicholas (Turkey, 1100).
Pawnee Bill Ranch and Museum is located at 1141 Pawnee Bill Road in Pawnee. Hours of operation for the months of November through March are Wednesday through Saturday, 10 a.m. to 5 p.m. and Sunday 1 to 4 p.m. For more information about these events, please call 918-762-2513 or email pawneebill@okhistory.org.
Pawnee Bill Ranch and Museum is a division of the Oklahoma Historical Society. The mission of the Oklahoma Historical Society is to collect, preserve and share the history and culture of the state of Oklahoma and its people. Founded in 1893 by members of the Territorial Press Association, the OHS maintains museums, historic sites and affiliates across the state. Through its research archives, exhibits, educational programs and publications the OHS chronicles the rich history of Oklahoma. For more information about the OHS, please visit www.okhistory.org.

www.mcmmedicare.com

Andrew Saul, Commissioner of Social Security, and Gail S. Ennis, the Inspector General for the Social Security Administration, announce the launch of a dedicated online form at www.oig.ssa.gov to receive reports from the public of Social Security-related scams. These scams—in which fraudulent callers mislead victims into making cash or gift card payments to avoid arrest for purported Social Security number problems—skyrocketed over the past year to become the #1 type of fraud reported to the Federal Trade Commission and the Social Security Administration.
To combat these scams, Social Security and the OIG will use the new online form to capture data that will be analyzed for trends and commonalities. The OIG will use the data to identify investigative leads, which could help identify criminal entities or individuals participating in or facilitating the scams. Ultimately, these efforts are expected to disrupt the scammers, help reduce this type of fraud, and reduce the number of victims.
“We are taking action to raise awareness and prevent scammers from harming Americans,” Commissioner Saul said. “I am deeply troubled that our country has not been able to stop these crooks from deceiving some of the most vulnerable members of our society.”
Commissioner Saul and Inspector General Ennis encourage the public to use the new online form to report Social Security phone scams including robocalls and live callers, as well as email, text, and in-person scams. The form allows people to create a unique Personal Identification Number (PIN), so if OIG contacts a person about their report, they will know the call is legitimate.
“Awareness is our best hope to thwart the scammers,” said Inspector General Ennis. “Tell your friends and family about them and report them to us when you receive them, but most importantly, just hang up and ignore the calls.”
Social Security employees do occasionally contact people–generally those who have ongoing business with the agency–by telephone for business purposes. However, Social Security employees will never threaten a person, or promise a Social Security benefit approval, or increase, in exchange for information or money. In those cases, the call is fraudulent and people should just hang up.
Generally, the agency mainly calls people who have recently applied for a Social Security benefit, someone who is already receiving payments and requires an update to their record, or a person who has requested a phone call from the agency. If a person is not in one of these situations, they normally would not receive a call from the agency.
Social Security will not:
* Tell you that your Social Security number has been suspended.
* Contact you to demand an immediate payment.
* Ask you for credit or debit card numbers over the phone.
* Require a specific means of debt repayment, like a prepaid debit card, a retail gift card, or cash.
* Demand that you pay a Social Security debt without the ability to appeal the amount you owe.
* Promise a Social Security benefit approval, or increase, in exchange for information or money.
If there is a problem with a person’s Social Security number or record, in most cases Social Security will mail a letter. If a person needs to submit payments to Social Security, the agency will send a letter with instructions and payment options. People should never provide information or payment over the phone or Internet unless they are certain of who is receiving it.
The Social Security OIG will also continue to take reports of fraud, waste, and abuse in Social Security’s programs and operations. A separate online form for those reports remains available at their website.

www.harborchase.com

story and photo by Bobby Anderson, Staff Writer

For 30 years now, John Houge has has helped seniors lead a longer, safer and more comfortable life all in the comfort of their own homes.
As the state manager, Houge helped bring Craftmatic adjustable bedding to Oklahomans near the turn of the century, ushering in a new era in home health and safety products.
And for the past 13 years he’s been an expert traveling the metro counseling seniors on the benefits of A Safe Solution walk-in tubs.
For many seniors, the worry about a fall is always in the back of their minds.
According to data compiled from the 1997 and 1998 National Health Interview Survey, the majority (55%) of fall injuries among older people occurred inside the house.
Falls in the bathroom are a major source.
Combine already slick surfaces with water and rugs and getting in and out of a bathtub and it can be a recipe for disaster – literally.
That’s where Houge and A Safe Solution come in. Walk-in tubs provide homeowners with the peace of mind knowing they will be as safe as possible.
“I enjoy going to see people and I enjoy helping them with their home health needs,” Houge said.
A SCARY FALL
According to the National Institutes of Health, one in three adults aged 50 and over dies within 12 months of suffering a hip fracture. Older adults have a five-to-eight times higher risk of dying within the first three months of a hip fracture compared to those without a hip fracture. This increased risk of death remains for almost ten years.
Beyond suffering pain, a hip fracture results in a loss of physical function, decreased social engagement, increased dependence, and worse quality of life. Many people who have a hip fracture need to change their living conditions, such as relocating from their home into a residential aged care facility.
Ultimately, the often rapid regression of an older person’s health following a hip fracture means outcomes are poor.
By offering high-quality walk-in tubs that are safe and therapeutic, individuals overcome the risks of bathing in a standard bathtub.
For those who struggle to get into and out of a standard tub, dreading the difficult 30” threshold and slippery bathtub floor, a walk-in tub is the answer to changing bathing requirements.
Safety is a major reason many rely on walk-in tubs, but Houge said there’s a host of other reasons.
BLISSFUL HEALTH
The benefits of a relaxing bath are becoming clearer and clearer in scientific literature.
Hydrotherapy is the full immersion of the body into both hot and cold water as a natural and holistic treatment which detoxifies the blood, stimulates blood circulation, enhances the immune system, improves digestion, reduces inflammation and much more.
For thousands of years, people around the world have benefited from the healing power of hydrotherapy. In recent decades, doctors have confirmed the healing power of bathing, and studies and testimonials have shown how hydrotherapy is a reliable and affordable home remedy for treating the symptoms of many of today’s most common ailments.
According to an article in the New England Journal of Medicine, type II diabetes patients reported a 13% reduction in blood-sugar levels, improved sleep, and an increased sense of well-being by simply enjoying warm water therapy as a home remedy for diabetes symptoms. Research shows stress reduction improves the quality of life and may indirectly improve blood sugar control.
“There’s the safety and integrity of being able to take care of themselves,” Houge added. “There’s enough safety (features) that most of our customers can take a bath by themselves without being afraid.”
Houge makes his sales calls personally.
“I don’t send a salesman. We’re family-owned, operated and local,” said Houge, who owns the business with wife Karen.
Knowing that change – even change for the good – can be stressful, Houge is there to answer any and all questions before during and after the process.
Once all questions are answered the product can be installed in as little as a day, with two days of set time to insure the optimal cure.
“It feels great because that’s what they really want,” Houge said. “It’s rewarding when they finally see the benefit. Most of our customers are pretty conservative. That is why our mission statement has always been to provide the highest quality products at the most reasonable price in the industry.”
Houge offers Veteran’s Discounts and lifetime warranties along with free in-home estimates.
He can be reached at 405-226-8424 or by email at asafesolution@gmail.com.

For many of us, lack of sleep, elevated stress and increased travel are as much a part of the holidays as turkey and stuffing or hanging stockings over the fireplace. So how can you set yourself—and your loved ones—up for a healthy holiday season?
1. Get your flu shot
Flu season has arrived, but it’s not too late to get your vaccination.
“The U.S. flu season doesn’t fully hit its stride until December,” said OMRF President Stephen Prescott, M.D. “But the sooner you vaccinate, the more time your body has to build immunity so you are primed and ready.”
The Centers for Disease Control and Prevention estimate that last year’s flu outbreak affected up to 43 million Americans and resulted in, or contributed to, between 36,000 and 61,200 deaths. “Even though the flu shot isn’t perfect, it’s still your best chance to avoid this potentially deadly virus,” said OMRF immunologist Eliza Chakravarty, M.D.
2. Count sheep
Studies show that people who get eight hours of sleep are three times less likely to catch colds than those who average fewer than seven hours.
Sleep deprivation also causes stress hormones like cortisol to rise, signaling the body to go into fat-storage mode by slowing your metabolism. And when you’re sleepy, you eat more, which can put you on a slippery slope with all the extra treats around this time of year.
3. Hand-y advice
Think of all the hands will you shake at holiday parties and how many surfaces you will touch at the airport. Touch your mouth, nose, food or face, and you’re susceptible to the bacteria and viruses you just picked up.
“The more germs you come in contact with, the greater the risk of catching a cold, the flu or other illnesses,” said Prescott. “But there’s a simple defense: Wash your hands often.”
Good old soap and water work best, but hand sanitizer helps in a pinch.
4. Fit in fitness
A great way to neutralize the some negative holiday effects is to stay active.
“Too often, taking a little time off is the start of falling away from your exercise program entirely,” said Prescott.
Exercise does more than help avoid weight gain. “Even light exercise can lower blood pressure, strengthen bones and improve your mood,” he said. “It also decreases the risk of catching a cold or the flu. And who wants to be sick during the holidays?”

www.legendseniorliving.com

Fred Millard, Jr., of Holdenville, has been featured by National Geographic and the Smithsonian Magazine for his extensive contributions to the freshwater turtle industry. But this time, he is in the spotlight for a vastly different record: his 25-pound, 2-ounce sweet potato.
Millard, who is turning 80 in December, has been gardening all his life. For more than 40 years now, he has aimed to grow his sweet potatoes bigger than the year before, and he even issued a steep dare for friends and family members.
“I’ll challenge anyone to a catfish supper if they can grow a bigger sweet potato than me,” said Millard. “Otherwise, they have to buy me one!”
However, that is a tough challenge to step into—Millard has only been beaten twice in more than forty years.
When asked if he aims to beat state and world records with his sweet potatoes, he said his only goal is to be a tad bigger than his competition for that year.
The Great Pumpkin Commonwealth, which records not only record-breaking pumpkins but also other vegetables, has been contacted to see if Millard’s sweet potato breaks Oklahoma records and we are awaiting confirmation.
“A sweet potato this big doesn’t require much peeling and you get quadruple the ‘good stuff’,” Millard said.
Millard and his wife, Caroline, plan to cut this sweet potato and can it—just like they do all of their sweet potatoes.
But with this one, there will be plenty to share. He said they will have to cut it with a saw and will save some for Caroline’s famous sweet potato casserole for Thanksgiving and Christmas and share the rest with Hughes County neighbors.