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

Just when you think you’ve seen it all, and can’t be awed by renown Impressionist painters, comes the Kimbell’s Claude Monet the Early Years: 1858 – 1872.
You will be illuminated to find out that Monet, mostly known for his broad strokes of mixing colors to produce a shimmering visual effect, started out as an accomplished realistic painter. Up until the 1870’s Monet produced a body of work comparable to the best of his artistic times, even though many were rejected at first evaluation by the prestigious Paris Salon.
Most affective is the The Magpie (1868-69) where in an expansive rural snow scape on a canvas of 35 by 52 inches, Monet captures our attention and imagination not only in the frosty landscape but by the technical master class with the many shades of white. Off center a back lit black magpie perches on the top rung of a primitive wooden gate. This lonely image is haunting yet peaceful. From the collection of the Musee d’Orsay, it’s only one of the many paintings pulled together from a variety of collections for this extraordinary exhibition.
Sailboats on the Seine at Petit-Gennevilliers (1874), exhibits Monet’s full fledge Impressionism with the dancing water reflections of sailboats under a wistful cloud filled sky. Other water reflections examples can be seen in Houses on the Bank of the River Zoan (1871-72), and Regatta at Argenteuil (1872).
An added delight is the free with admission hand held audio and visual self-tour appliance. The traditional numbers that coordinates with the art, is enhanced here with a visual image on your device. Not only for the painting you are currently viewing but for visual comparisons to other works of art not on display. Once such educational comparison is with Monet’s, Still Life with Flowers and Fruit (1869), compared to Renoir painting the same still life. It may not be known that Monet and Renoir occasionally painted together with plein air subjects. The two floral bouquets are easily and fascinating compared in this exhibition.
Be sure and take your time in the galleries to imprint on you mind the treasure of art you are among. A number of benches are placed throughout the exhibition giving you time to sit, view, spin, view and spin again, enabling you to take in, compare and imprint in your mind this once in a lifetime experience.
You may also want to stroll through the Kimbell’s main gallery of their permanent collection with samples of many of arts greatest artists. And if you visit the Museum Store adjacent to the Monet exhibit, say hello for me to congenial sales assistant, Alice.
This limited edition exhibition at Fort Worth’s Kimbell Art Museum is on display until January 29th. Admission for Seniors is $16 and Adults for $18 with
Tuesday’s offering half price for all. Visit more information at: kimbellart.org

Mr. Terry Zinn – Travel Editor
Past President: International Food Wine and Travel Writers Association
http://realtraveladventures.com/author/zinn/
www.new.okveterannews.com – www.martinitravels.com

by Bobby Anderson, Staff Writer

An eight-month executive search ended this month with the word “interim” removed from President and Chief Executive Officer Richie Splitt’s title.
The first weekend in November saw the Norman Regional Hospital Authority Board name Splitt, FACHE, to the position permanently after he took over for David Whitaker in March.
“Since his first day in 2013 and while serving as Norman Regional’s interim President and CEO, Richie’s dedication to this health system was evident,” said Tom Clote, chair of the Norman Regional Hospital Authority Board. “He is a visionary leader who empowers Norman Regional’s team of more than 3,000 employees to achieve superior quality patient care and operational excellence.”
Largely popular among staff and highly visible throughout the halls, Splitt served in the interim capacity through a nationwide candidate search as the hospital board brought a number of candidates in to interview.
Throughout the process he continued in his role helping the hospital re-open Norman Regional Moore, which was destroyed in the May 20, tornado, as well as overseeing the system’s re-accreditation in several high-volume service lines.
He guided the system’s major investment in its cardiothoracic and vascular surgery program, adding state of the art robotic surgery under vascular surgeon Dr. Jim Neel.
“It was extremely important to continue the good work of the great people already here,” Splitt said. “One constant in healthcare is change and I knew we could not stand still or we would lose ground. While it was an important and top priority for me to sustain those gains … I knew I was going to have to keep pushing for better results, better outcomes and all of those types of things.”
“Healthcare is changing every day and we have to change along with it or we get left behind.”
Before serving as the interim president and CEO, Splitt was the Chief Administrative Officer of the Norman Regional HealthPlex in Moore. He helped guide the rebuilding of Norman Regional Moore, after a tornado destroyed the former Moore Medical Center on May 20, 2013 and then expanded EMSSTAT, the health system’s ambulance service, to the City of Moore. He has led the expansion of both the robotic surgery and cardiovascular service programs for the Health System. Norman Regional recently celebrated 25 years of heart surgery and its 70th year of providing lifesaving care to the community with Splitt at its helm.
“There are tremendous pressures whether it’s declining reimbursements or unfunded mandates for technology or systems, data collection and submission – all of those things are high priorities for us and all the while we’re in a heroic industry and have that privilege of providing sacred care,” Splitt said. “We have to always remember our patients and at the same time be mindful of those requirements.”
Splitt has nearly 30 years of experience providing direct patient care, leading high growth operations in a multi-facility environment and driving operational integration and new business development. He earned his Master of Business Administration from Oklahoma City University. He earned both a Masters of Science in Health and Exercise Science and a Bachelor’s of Arts in Communication/Psychology from the University of Oklahoma. He is a fellow with the American College of Healthcare Executives. Splitt has served on the board of both the Moore and South Oklahoma City Chamber of Commerce.
“Hands-down are greatest strength is our people,” Splitt said. “At Norman Regional we call them healers. We have nearly 3,000 healers who make a difference every single day all in the name of great patient care. By far the greatest asset for our organization is our people.”
“I feel so empowered by the people because when we work together we can really achieve some big things.”
The last decade has seen tremendous growth for the health system, which has now grown to three campuses across Norman and Moore.
More recently, the hospital system finished its last fiscal year meeting nearly every one of the quality, patient satisfaction and financial benchmarks set by the Norman Regional Hospital Authority Board.
“I’d be remiss if I didn’t say what an honor and privilege it is for me to serve the great people of Norman Regional and I know our future is quite bright because I know the people,” Splitt said. “I know their commitment to our patients and the community. When we work together, align our mission and our vision then nothing will stop us.”

Tis the season for toy shopping, but Easter Seals Oklahoma has a request for special toys for their boys and girls. Therapeutic and sensory toys help students with disabilities work on hand-eye coordination, fine and gross motor skills and social interaction. It can also be used to help increase attention and focus during instructional time.
“Teaching a lesson while a child’s hand is actively engaged in a fidget has been shown to result in more information being retained by the child than if the same lesson were taught without the sensory element”, says Mia Dianda, Director of Medical Rehabilitation.
Easter Seals Oklahoma is accepting donations of therapeutic toys such as koosh balls, light up toys, and fidgets. Social and turn taking improvement items are also needed like: Twister, Chutes and Ladders, Mouse Trap, Head-band, toy cars, super heroes, baby dolls, and related items. Donations may be brought to 701 N.E. 13th Street, Oklahoma City, Ok 73104 between the hours of 8:00 a.m. -5:00 p.m. Monday through Friday or donate by calling 405-239-2525.
The Medical Rehabilitation Program at Easter Seals Oklahoma helps individuals with disabilities gain greater independence some thought to be unachievable. It is our goal to empower children with atypical development by helping to build their self-esteem and self-efficacy through therapy services.
For more than 90 years, Easter Seals Oklahoma has provided services to children and adults with disabilities and other special needs and support to their families. Services include an early learning and inclusion academy, adult day health center, medical rehabilitation, and financial assistance. For more information, please visit www.eastersealsok.org.

Whoever conceived of the idea for Norman Forward is to be commended. The Quality of Life projects are certainly important to our growing city. But at the same time, we should take time to reflect on Norman, backward though the years to the work accomplished by citizens who built our thriving community.
We need to show our appreciation to those citizens who got up every morning, went to work and paid their taxes to build roads, streets, schools, parks, a hospital and more that we use everyday. Many of those same people are retired, living in Norman, and they voted for Norman Forward with the expectation of a new senior center with space available to offer more activities than can be provided in the current center.
As Norman has grown, working people adapted to many changes in Norman, along with changes within their own families. Some lost spouses, family and friends, and with that, some lost badly needed contacts with people. A senior citizens’ center would be a perfect place to spend a few hours, meet new people, socialize and ward off depression which is prevalent in older citizens.
A forward-looking Norman should say thank you to earlier residents by opening the doors to a new center and making an extreme effort to contact and invite people to take part in the activities. Also, for their health’s sake, we must motivate these citizens to make new friends and remain vibrant.
Since recreation is the primary reason for the Quality of Life NF projects for younger people, city planners should extend the same criteria to seniors. Seniors need to move, too. Many NF projects will be delayed for the next 15 years, but the senior citizens’ project should not be one of them.
Nadine Jewell, Norman

What do you hope to find under the Christmas tree? Salvation Army Central Oklahoma

I hope to find a new cast iron skillet with a lid.  Jeff Lara

Just to be home. That will be my only day off. Maj. Carlyle Gargis

Really, I’m not looking for gifts. I’m just the type of person who enjoys serving and doing for others.

James Dixon

I have everything I need. God has blessed me with everything. Meiing Ong

by Bobby Anderson
Staff Writer

Integris Canadian Valley Hospital is using technology to make a giant leap forward in improving outcomes of its stroke patients.
And thanks to a computer screen on wheels with high resolution cameras patients are getting the help they need anytime day or night.
Christine McMurray, RN-PCCN, serves as an administrative supervisor at Canadian Valley, and has served as the clinical coordinator for getting the new telestroke program off the ground.
“It’s kind of like a fancy-FaceTime where the physicians we have, the neurologists can beam in on the screen … and lenses can zoom all the way into their pupils and check pupil responses,” McMurray said.
Attached is a wired stethoscope that allows both the onsite clinician as well as the remote clinician to hear lung and heart sounds in real-time for those patients presenting with stroke symptoms.
The robot is controlled remotely and can be moved around the patient. The 360-degree microphone also captures sound from all directions inside the room.
The attached monitor screen allows both patient and doctor to have a face-to-face conversation as well as examination even if the doctor is hundreds of miles away.
“We were taking all of our stroke patients that required tPA to Southwest Medical and Baptist,” McMurray said. “Now what we can do after they are seen in the ER with telestroke we can give them tPA on a stable patient and bring them here for a neurology consult.
“Now, rather than shipping them out of Yukon they can stay here in town, in the community and neurology will beam in if there are no complications within 24 hours … they can prescribe the discharge medications, change any anti-coagulations medicines without physically being here but being present.”
Integris Canadian Valley Hospital Chief Nursing Officer Teresa Gray, RN, BSN, MBA said the technology offers immediacy for both doctor and patient.
“The doctor can basically do a full assessment from any device – iPhone, iPad, computers from anywhere anytime,” Gray said. “This technology allows for when you may not have services 24/7 in your facility and the patient has a change in their condition or you need a different level of care we have immediate access.”
“When you talk about neurology in the state of Oklahoma and there is a shortage of neurologists, this allows them to provide access to smaller communities that may not normally have neurologists and various high-level specialities that are hard to recruit. This gives the opportunity to bring that kind of service back to the smaller communities.”
Stroke is the fourth-leading killer in the United States and the leading cause of long-term disability.
Approximately 800,000 people experience a stroke each year in the US. Successful management of acute ischemic stroke is extremely time-dependent.
According to the American Heart Association, ideally, the only Food and Drug Administration-approved treatment for acute ischemic stroke should be administered within 3 hours of the onset of stroke symptoms.
The American Heart Association estimates that only 3% to 5% of ischemic stroke patients are treated with thrombolysis (a clotbuster known as tPA).
“They don’t have to be transferred out anymore. They don’t have to wait for a bed,” McMurray said of the major benefits of telestroke. “Baptist and Southwest have both been on delay several times. Then they have to go to the ER and they are put on hold there or are waiting in a hallway. Where here we’ve got eight ICU beds and they can come right over. They are treated with the same protocols and the same order sets. Everything is the same. If there is any problem all the physician has to do is come in over (Telestroke).”
The program is done in collaboration with the hospital’s hospitalist program which follows the plan of care throughout the course of a patient’s stay.
McMurray said the technology has already been used by the hospital’s two hospitalists to dial in remotely to check on other non-stroke patients who are experiencing changes in condition or acuity.
On average, Gray said Canadian Valley transfers out 7-8 stroke patients per month with lower-level patients not requiring tPA kept.
Gray said Canadian Valley continues to evolve its service offerings as it becomes the mainstay for healthcare for those living in Western Oklahoma.
“This is something cardiology and nephrology can use – any of our services that are not onsite 24/7,” Gray said. “That’s what we hope to expand is increase our complexity of patients, add additional services to the community we haven’t had and incorporate new technology.”

Ready to get outside and enjoy fall? Hikers and walkers of all levels are invited to join foresters from across the state for the annual “Walk in the Forest” event held at Turkey Mountain Urban Wilderness Area in southwest Tulsa from 10 a.m. – 3 p.m. on October 22. Foresters and natural resource professionals from across the state will be stationed along the trail to provide information about the forest, which is located in Tulsa’s backyard. There will additionally be special activities for kids at each station.
“This really is a great opportunity to plan a fun day outdoors with friends and family,” said George Geissler, director, Oklahoma Forestry Services. “Foresters enjoy being on hand to answer your questions and tell you about all of the benefits that our Oklahoma forests provide, some of which may surprise you.”
Hikers should dress appropriately for the weather and wear sturdy, comfortable shoes. The Walk in the Forest will take about an hour if participants stop at each educational station. Kids will receive a special booklet with activities to do along the way and prizes for completing them. Participants will receive a loblolly pine seedling and other giveaways while supplies last.
The Walk in the Forest program is part of a national campaign coordinated by the Society of American Foresters (SAF) and the American Forest Foundation. The Oklahoma walk is being hosted by the Oklahoma Division of SAF, in partnership with Oklahoma Forestry Services; Oklahoma State University (OSU) Department of Natural Resource Ecology and Management; the OSU Student SAF Chapter; and the City of Tulsa’s River Parks Authority. Event sponsors include Weyerhaeuser Company, International Paper, Winlectric and the Oklahoma Forestry Association.
For more information about the Walk in the Forest, contact Oklahoma Forestry Services at 405-522-6158 or visit www.forestry.ok.gov. For information and directions to Turkey Mountain Urban Wilderness Area, visit www.turkeymtn.com.

Dear Savvy Senior,

After a recent hospital stay, I have a stack of confusing medical bills at home I need to decipher. I’ve heard these bills frequently contain mistakes. How do I spot them to ensure I’m not paying more than I need to be? Cautious Carol

Dear Carol,
Medical billing errors and overcharging is not uncommon. According to the American Medical Association, 7 percent of medical bills in 2013 had errors, and other groups estimate that figure to be much higher. Unfortunately, untangling those mistakes is almost always up to you. Here are some tips and tools that can help.
Check For Errors
To help you get a grip on your medical bills and check for errors, you need to familiarize yourself with what your insurance does and doesn’t cover. Then you need to carefully review the explanation of benefits from your insurer, and the invoices you receive from your doctor, hospital and/or outpatient facility providers.
These invoices need to be itemized bills detailing the charges for every procedure, test, service and supply you received. If you didn’t receive an itemized invoice, request it from your health care providers. And if the invoices contain any confusing billing codes or abbreviations that you don’t understand, ask them for an explanation. You can also look up most medical billing codes online by going to any online search engine and typing in “CPT” followed by the code number.
Once you receive and decode the invoices, keep your eyes peeled for these mistakes:
· Typos: Incorrect billing codes, a misspelled name or a wrong policy number.
· Double billing: Being charged twice for the same services, drugs, or supplies.
· Canceled work: Charging for a test your doctor ordered, then canceled.
· Phantom services: Being charged for services, test or treatments that were never received.
· Up-coding: Inflated charges for medications and supplies.
· Incorrect length of stay: Most hospitals will charge for the admission day, but not for day of discharge. Be sure you’re not paying for both.
· Incorrect room charges: Being charged for a private room, even if you stayed in a semi-private room.
· Inflated operating room fees: Being billed for more time than was actually used. Compare the charge with your anesthesiologist’s records.
To make sure the charges on your bill are reasonably priced, your insurance provider may offer an online price transparency tool, or use the Healthcare Blue Book (healthcarebluebook.com) or Guroo (guroo.com). These are free resources that let you look up the going rate of many procedures, tests or services in your area.
Make Corrections
If you find errors or have questions about charges, contact your insurer and your health care provider’s billing office. When you call, be sure you write down the date, time and name of the person you speak to and a summary of the conversation, in case you need to refer back to it at a later time.
If there’s a billing code error or some other mistake that’s easily correctable, ask your health care provider to resubmit a corrected claim to your insurance company.
Get Help
If you aren’t able to resolve the dispute on your own, you may want to consider hiring a medical billing advocate to work on your behalf. To find someone, try sites like billadvocates.com or claims.org. Most advocates charge an hourly fee – somewhere between $50 and $200 per hour – for their services, or they may work on a contingency basis, earning a commission of 25 percent to 35 percent of the amount they save you.
If you’re a Medicare beneficiary, another resource is your State Health Insurance Assistance Program (SHIP). They provide free counseling and can help you understand your medical bills and Medicare coverage. To find a local SHIP counselor visit shiptacenter.org, or call 800-633-4227.
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.

Today, the Social Security Administration announces the launch of a new Health IT initiative with the Department of Veterans Affairs (VA) that enables all Social Security disability case processing sites to receive medical records electronically from all VA facilities. Veterans will receive a faster decision on their Social Security disability claim, speeding them and their dependents through this new process. Both agencies will save time and money with an automatic request through the eHealth Exchange.
“President Obama has said, ‘we must maintain the sacred covenant we share with our veterans by ensuring they have the care and benefits they deserve,’ and I could not agree more,” said Carolyn W. Colvin, Acting Commissioner of Social Security. “We are committed to providing our veterans with the world class service they so richly deserve and improving the speed and efficiency of our disability program.”
The new Health IT program was tested successfully at Social Security locations around the country. On Veteran’s Day, November 11, the eHealth Exchange will go live, nationally, to all Social Security disability case processing sites.
Social Security requests nearly 15 million medical records annually from healthcare providers and organizations to make medical decisions on about three million disability claims. Medical documentation is essential to make a disability determination. Historically, the agency obtained medical records through a manual process (mail, fax, secure mail). This new national initiative puts in place an automated process to obtain medical records electronically without human intervention.
“VA is currently improving quality of life by enabling Veterans to share their health information with federal partners and integrating their data into a safe and secure health-related consumer application,” said Dr. David Shulkin, Under Secretary for Health of the Department of Veterans Affairs. “Currently, when eligible Veterans apply for Social Security Disability Insurance benefits the average wait time for Social Security to receive paper records from VA can take months; this partnership allows Social Security and VA to share the Veteran’s health information electronically in minutes. The Social Security and VA partnership allows VA to continue to be a leader in interoperability efforts among federal partners while improving overall quality of life for our Veteran patients.”
This partnership adds the VA to Social Security’s more than 50 other Health IT partners, including the Department of Defense, in approximately 7,000 facilities across the United States providing electronic health records. Social Security’s goal is to continue expanding the number of healthcare organizations and federal agencies providing electronic health records within a safe and secure environment.
To learn more about Health IT, please visit www.socialsecurity.gov/disabilityssi/hit.
Social Security offers two other programs to expedite disability claims filed by veterans. Wounded Warriors and veterans with a VA disability compensation rating of 100% Permanent & Total have their Social Security disability claims treated as high priority and receive expedited decisions. For more information about these programs, please visit www.socialsecurity.gov/people/veterans.