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

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

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

The Holidays are times for comfort and joy. One such tradition is coming back again to experience Oklahoma City Universities Christmas Dance show, “Home for the Holidays.” I have seen it several times and am always overwhelm by the talent, hard work and inventive nature of this performance art. Besides the fact that you are witnessing the dance stars of tomorrow, it’s just plain fun and life affirming.
The Broadway-style dance spectacular, Home for the Holidays – is a Gift of American Dance, as Oklahoma City University’s American Spirit Dance Company presents a “few of its favorite things” and a whole lot more, wrapped in a fast-paced show of beautiful kicklines, spirited tap, and fun-filled and playful musical theatre dance.
Directed by Jo Rowan, dance chair at Oklahoma City University’s Ann Lacy School of American Dance and Entertainment, Home for the Holidays runs from Dec. 5 through 8 in Oklahoma City University’s Kirkpatrick Auditorium, at 2501 N. Blackwelder Ave. Jo Rowan is an American treasure. Not to be overlooked is Dean John Bedford for his behind the scene direction and oversight for the quality of production.
“Home for the Holidays is Christmas magic, a joyful season’s greeting to share with the entire family,” Rowan said. “There’s no need to buy a plane ticket to New York City — our performers are Broadway bound. Enjoy these future Broadway dancers while they are still performing in OKC! The show is a slick and fast-paced as anything you would see on the professional stage.” And this author whole heatedly agrees.
Home for the Holidays has become a yearly tradition for families across the state, and beyond, as the vision of the American Spirit Dance Company’s nationally respected faculty/choreographers combines with the premier talent of the nation’s best-trained dancers to create an experience fit for the lights of Broadway.
Dynamic rhythms and explosive choreography bring Toy Soldiers to life, while fast tapping feet and a very special guest, Tony the Pony, take you for an unforgettable sleigh ride. Little Chip, a darling singing and dancing chipmunk, is making his debut caroling with the triple-threat McNutt Squirrel Family Singers to share their holiday cheer. There will be breathtaking contemporary ballet featuring intricate partnering, and the American Spirit Starettes will treat you to a brand new kickline.
There’s Santa and his workshop filled with fun-loving elves. There are beautiful ladies and handsome men sharing the joy of the holiday season. A call for Peace on Earth followed by a beautiful choral performance of “Silent Night” and a stunning, and imaginative nativity with Mary, Joseph, angels, and a pageant of the three kings and their retinue provide an uplifting and inspirational reminder of the true meaning of Christmas.
Dancers in the American Spirit Dance Company hail from Oklahoma City University’s Ann Lacy School of American Dance and Entertainment, the nation’s premiere musical theatre dance program that has been ranked the No. 1 BFA dance program in the nation by OnStage. This destination collegiate program has alumni credits in nearly 90 Broadway productions and has produced 50 Radio City Rockettes and counting. No wonder Playbill ranked Oklahoma City University among this year’s “Top 10 Most Represented Colleges on Broadway.”
Next year, you might see senior Bond Bourquien at Radio City, but this year she will be dancing in Home for the Holidays as a Starette. Bond said, “The Starettes are kicking off this holiday season with a precise, high energy number that includes iconic moves inspired by the Radio City Rockettes™. It is such a treat to be able to work with Professor Vincent Sandoval who was a performer and also an assistant director and choreographer for the Rockettes™. Expect to see great style, poise and many eye-high kicks.”
Senior Thomas Olson appeared as Tony the Pony in his first Home for the Holidays. This year, he is leading man for “Swingle Bells”, where Tony features his four-legged hoofing. “Working with choreographer Professor Tiffany Warford has been a full-circle experience as her dances are high energy and exude excitement,” Olson said. As an aspiring choreographer, Olson watched Tony’s character develop in rehearsals, and is prepared “to see the joy on families’ faces as Tony will steal their hearts.”
Matthew Schouten, senior, describes Professor Tye Love’s original contemporary ballet, “Somewhere in My Memory” as a whimsical dance displaying exquisite technique and intricate partnering, all while reminiscing in fond memories of holidays past.”
Anthony Giandiletti Jr., shares; “ Home for the Holidays is my favorite production each year, because there is something for everyone. It’s a family friendly show that celebrates time spent with loved ones and spreading holiday joy to our community. This year, we are bringing back some of my favorite dances as well as adding a whole new lineup that will get audience members dancing in their seats.” Anthony feels a dynamic and beautiful a cappella version of “Silent Night” with over 25 vocally talented dancers and a breathtaking nativity scene to “Star of Wonder” will touch the spiritual side of the audience. “The beautiful music, hazy lighting and intricate costumes make you feel encompassed in a whole different world.”
There is no reservation in me saying that this celebration of the season is a tribute to the joyous talent, touching sincerity and exuberance of youth through dance. If you have never seen, or if this is your annual tradition, Home for the Holidays is a must. No worry if this reading is near the performance dates, as the Kirkpatrick Auditorium is a very large facility, and there usually is always one or two seats available at curtain time, for procrastinators. Of course prime seating is available on a reserved seat basis.
Home for the Holidays is set for 8 p.m. Dec. 5, 6, and 7, and 2 p.m. Dec. 7 and 8 in the Kirkpatrick Auditorium on the Oklahoma City University campus. Tickets are $29 and can be purchased by calling 405-208-5227 or visiting www.okcu.edu/tickets . $18 tickets are available for groups of 8 or more.

Mr. Terry Zinn – Travel Editor
Past President: International Food Wine and Travel Writers Association
3110 N.W. 15 Street – Oklahoma City, OK 73107
https://realtraveladventures.com/?s=terry+zinn
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www.martinitravels.com

www.dispatchhealth.com/flucrew.com

If you could give the world a present this Christmas what would it be? Tealridge Retirement Community

Peace on Earth. Linda Lee

That’s hard. I guess to just love one another. Karen O’Neill

Compassion for all. Lola Coons

For everyone to just get along. Diann Estrada

integris.com/seniorlifewellness.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.

Dear Savvy Senior, How do I go about appealing Medicare when they won’t pay for something that they covered in the past? Rejected Rhonda

Dear Rhonda,
If you disagree with a coverage or payment decision made by Medicare, you can appeal, and you’ll be happy to know that around half of all appeals are successful, so it’s definitely worth your time.
But before going that route, talk with the doctor, hospital and Medicare to see if you can spot the problem and resubmit the claim. Some denials are caused by simple billing code errors by the doctor’s office or hospital. If, however, that doesn’t fix the problem, here’s how you appeal.
Original Medicare Appeals
If you have original Medicare, start with your quarterly Medicare Summary Notice (MSN). This statement will list all the services, supplies and equipment billed to Medicare for your medical treatment and will tell you why a claim was denied. You can also check your Medicare claims early online at MyMedicare.gov, or by calling Medicare at 800-633-4227.
There are five levels of appeals for original Medicare, although you can initiate a fast-track consideration for ongoing care, such as rehabilitation. Most people have to go through several levels to get a denial overturned.
You have 120 days after receiving the MSN to request a “redetermination” by a Medicare contractor, who reviews the claim. Circle the items you’re disputing on the MSN, provide an explanation of why you believe the denial should be reversed, and include any supporting documents like a letter from the doctor or hospital explaining why the charge should be covered. Then send it to the address on the form.
You can also use the Medicare Redetermination Form. See CMS.gov/Medicare/CMS-Forms/CMS-Forms/downloads/CMS20027.pdf to download it or call 800-633-4227 to request a copy by mail.
The contractor will usually decide within 60 days after receiving your request. If your request is denied, you can request for “reconsideration” from a different claims reviewer and submit additional evidence.
A denial at this level ends the matter, unless the charges in dispute are at least $160 in 2019. In that case, you can request a hearing with an administrative law judge. The hearing is usually held by videoconference or teleconference.
If you have to go to the next level, you can appeal to the Medicare Appeals Council. Then, for claims of at least $1,630 in 2019, the final level of appeals is judicial review in U.S. District Court.
Advantage and Part D Appeals
If you’re enrolled in a Medicare Advantage health plan or Part D prescription drug plan the appeals process is slightly different. With these plans you have only 60 days to initiate an appeal. And in both cases, you must start by appealing directly to the private insurance plan, rather than to Medicare.
If you think that your plan’s refusal is jeopardizing your health, you can ask for a “fast decision,” where a Part D insurer must respond within 24 hours, and Medicare Advantage health plan must provide an answer within 72 hours.
If you disagree with your plan’s decision, you can file an appeal, which like original Medicare, has five levels. If you disagree with a decision made at any level, you can appeal to the next level.
For more information, along with step-by-step procedures on how to make an appeal, visit Medicare.gov and click on the “Claims & Appeals” tab at the top of the page.
Get Help
If you need some help contact your State Health Insurance Assistance Program (SHIP), which has counselors that can help you understand the billing process and even file your appeal for you for free. To locate your local SHIP, visit ShiptaCenter.org or call 877-839-2675. The Medicare Rights Center also offers free phone counseling at 800-333-4114.

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.

www.acs-okc.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.

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 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