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

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

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

Daily Living Centers of Oklahoma welcomes Bob Chamberlain to their board of directors. Chamberlain is a Certified Aging in Place Specialist.
“I can’t think of anything more important than helping care for and improve the quality of life of others,” said Chamberlain. “That’s why I’m honored to serve on the Daily Living Center’s board of directors.”
As President of Chamberlain & Sons LLC and owner/partner of Full Circle Home Technologies, Chamberlain brings with him an uncommon technology and construction background. He has held senior management positions in technology, building material distribution and new home construction. He is a current member of Central Oklahoma Home Builders Association and the National Association of Home Builders. The 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. For more information please visit, www.dailylivingcenters.org.

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

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

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

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
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www.dispatchhealth.com/flucrew.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