Category Archives: Health

10 ways to cope with grief this holiday season

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By Janet Jaymin, MA, LPC, Bereavement Manager at Faith Hospice


Family and togetherness are key themes around the holidays. And when a loved one is missing from those gatherings and traditions, the holiday season can be especially difficult. 


The holidays can often serve as a stumbling block on the journey from grief to healing. The topic of grief is not often something anyone wants to talk about, especially at a time of year that, for most, is a time of great joy and happiness. 


For anyone who has experienced the loss of a loved one, the holidays can bring about intensified or renewed grief. You may become flooded with memories or find the carrying-out of past traditions to be overwhelming.


With all of this in mind, we’ve developed a list of ways to cope with grief this holiday season. In doing so, we hope to generate an increased level of empathy when helping a friend or family member through grief in this season.

Why is recognizing grief around the holidays important?

Grief isn’t the same for everyone, nor is there a right or wrong way to cope—particularly around the holidays. Depending on what someone’s relationship was to a person who has passed, the intensity of that loss will be felt differently. For older generations, it may be a spouse, sibling or close friend. For younger generations, it might be a parent or grandparent. Different relationships mean different memories, experiences, and traditions that were shared with that loved one.


Because of this, grief can come about in a variety of ways. Accepting and understanding these truths is key, whether you’re coping yourself or are close to someone who is coping. If you’re finding yourself struggling on your journey from grief to healing this holiday season, or know someone who is, here are 10 tips for coping:

1.  Plan as much as you can.

The holidays bring with them an increased pressure to attend parties or gatherings. This can be stressful for anyone, but for someone grieving a loss, it can cause an even greater level of anxiety. This is why it’s even more important to plan ahead regarding which events you’re going to attend. Trying to manage your grief is hard enough, overloading your schedule can only lead to more stress. That leads us to the second tip:

2.  It’s OK to set boundaries.

Protect yourself from gatherings you feel may be too much. You may fear anything from a specific song playing to seeing your loved one’s favorite dessert is going to cause you to be emotional in front of a large group of people. There’s absolutely nothing wrong with asking questions regarding who will be there, how long the event will last, etc. That way, if there are people you may not be ready to face or if you are worried about how long you’ll have to endure the event, this will allow you to be prepared or, simply to say, “no”—and that’s OK.

3.  Drive yourself.

To expand on No. 2, for the gatherings you decide to attend, it’s recommended you drive yourself. This way, should you find yourself in a situation that’s overwhelming or feel the need to leave, you’re not dependent on someone else’s schedule.

4.  It’s OK to need a break from tradition.

If trying to carry out past traditions you would’ve typically shared with your late loved one is too painful, its OK to change things up. For example, if decorating the Christmas tree was always something you did with your spouse, perhaps put decorations up outside or help a friend decorate instead. It doesn’t mean you can’t go back to your tradition, you’re simply allowing the wound to heal—especially if it’s your first holiday without that loved one.

5.  If you’ve typically hosted, ask someone else.

This goes back to the notion that managing your grief is hard enough on its own. Adding the planning of a party and preparation of a large meal can only lead to additional stress. If you typically have hosted for the holidays, try asking another family member to this year. Better yet, you could go out to eat at a restaurant instead. This takes the pressure off one person to cook, clean, etc. and is an especially good option if you’re feeling guilty (even though you shouldn’t) about asking someone else.

6.  Use your pain for the betterment of others.

You’d be amazed how getting out to volunteer or giving to a cause can have incredibly healing effects. And it doesn’t have to be volunteering; perhaps you know someone who is alone this holiday season—an elderly person in your neighborhood or a person whose family lives far away. Try inviting them over, or see if they’d want to do something together. Maybe the elderly woman down the street doesn’t put up decorations because her husband always did, or her age no longer allows for her to do so (now you can combine elements of #4 as well). The point is, doing something good for someone else changes the mood, and not only are you doing something good for yourself, you’re helping someone else in the process.

7.  Honor your loved one.

For anyone sharing in the loss, coming together to share stories, lighting a candle in your loved one’s memory, or playing a favorite song can offer healing—just because they’re gone doesn’t mean you forget them or stop loving them. 

8.  Laughter really is the best medicine.

Many coping with grief find themselves feeling guilty when they catch themselves laughing or feeling happy in the wake of a loved one’s death. They’re thinking, “No, I should be sad.” Or, “If I appear happy, does that mean I’m not mourning my loved one enough?” However, it’s good for us to find joy or humor in times of grief. And what better way to incorporate honoring your loved one than by sharing funny stories or fond memories with others sharing in the grief.

9.  Self-care.

One of the best things you can do during this time is to take care of yourself. The holidays are busy and stressful enough, let alone trying to cope with your grief. Take time for yourself. Get your rest. Eat well. Get some fresh air and exercise. Treat yourself to a massage. Take that class you always wanted to try. Whatever it may be, now more than ever, is a great time for you. 

10. There’s no right or wrong way to cope.

Wherever you are in your journey through grief, just remember that however you’re feeling is not only normal, but valid. Losing a loved one directly leads to change in a person’s life and past traditions aren’t the same. For those who may know someone struggling with grief, it’s important to be mindful of what they’re going through and remember that grief appears in different ways.

Everyone will experience grief at some point in their lifetime, and the best thing we can all do is be understanding and support one other.


Need support in your journey through grief? Faith Hospice offers counseling and guidance through a number of programs—from individual counseling to support groups—and invites you to join any of the support services that are appropriate for you.


For additional help through your journey through grief, contact the Faith Hospice Bereavement team at 616-235-5122 or visit our website at https://faithhospicecare.org/services/bereavement/



Why health literacy is important for senior living

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By Vista Springs Assisted Living


As we move into our golden years, it’s more important than ever to educate ourselves on how to stay healthy. Basic health care services are essential, but modern research shows that this is just the beginning for the healthiest, happiest senior living. Here are a few areas where education and preparation can help you or your aging loved ones avoid future risks and enjoy life to the fullest.

Dealing with chronic conditions

Chronic health conditions create ongoing daily challenges for senior living. The physical, emotional, and practical demands of living with a chronic illness can be overwhelming. With some understanding and planning, however, it’s possible to minimize the frustration and isolation that often comes with chronic illness.

  • Develop an exercise routine that is appropriate for your physical condition. Even a ten-minute walk or a gentle stationery bike ride will strengthen you and lift your mood. Building flexibility and endurance gives your body essential tools for the fight against sickness and fatigue.
  • It’s important to be educated on the appropriate use of medications. Know how each prescription interacts with other drugs and what impact it will have on your body.
  • Understanding nutrition can make a significant difference for senior living. The vitamins and nutrients found in fresh, whole foods are powerful weapons against disease and fatigue.
  • Decision-making and evaluating new treatments can be difficult for someone suffering from chronic illness. If your aging loved one finds it difficult to make important decisions, make it a priority help them stay informed. Develop a calm, orderly strategy for working through decisions with the assistance of doctors and family members.

Emotional well-being

While working with your doctors to ensure the best medical treatment, remember that emotional health is also a significant part of your overall well-being. Many aging adults are unaware of the risk of depression that comes with many common health problems. However, by educating yourself on the symptoms of depression, you can notice and handle potential problems before they get out of control.


A therapist or counselor will help you adopt healthy emotional responses to the stress of health problems. The physical consequences of stress are minimized when we understand how to care for ourselves emotionally in painful or stressful situations. If we take the time now to understand the psychological and spiritual challenges that accompany aging, we can more easily prevent problems from arising in the future.

Health literacy is essential

It’s impossible to over-emphasize the importance of good health education for seniors and their families. There are many programs and resources available to assist aging adults and their families in these essential matters. Discuss these situations with the staff at your community to find out what they can do to support healthy, educated senior living.


With a good understanding of your own medical needs, you have the power to improve your daily quality of life. You can help your medical team keep you strong by focusing on areas of life that relate to health and happiness. Healthy emotional habits, a diet full of fresh whole foods, and an appropriate level of exercise can all dramatically improve the quality of senior living. Improve your health literacy today to take control of your health and happiness in your golden years.


Reprinted with permission from Vista Springs Assisted Living.

Feeling glum? Just embrace it

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It’s far better for your long-term mental health if you accept your negative emotions, rather than passing judgment on yourself. (Courtesy Spectrum Health Beat)

By Len Canter, HealthDay


Feel bad about feeling bad? Don’t.


Studies done at the University of California, Berkeley, have found that acknowledging a blue mood—and not berating yourself for it—can help you work through it more easily.


It turns out that accepting negative emotions is better for your long-term mental health than constantly passing judgment on yourself, which can cause your feelings of negativity to snowball.


Putting pressure on yourself to feel upbeat can make you feel even more downbeat, according to the research.


It turns out that the people who let feelings like sadness, disappointment and even resentment run their course had fewer mood disorder symptoms than people who judged themselves for having them or who tried to bury them.


Accepting negative emotions seems to help you better cope with your stressors.


There’s one important caveat, however.


While it helps to acknowledge the normalness of negative emotions and not think you can—or need—to feel happy 24/7, it’s also important not to ignore a persistent and deep blue mood and other signs that could signal depression.


Symptoms of depression include a loss of interest in things that you used to enjoy and deep feelings of worthlessness and hopelessness that last for three or more months.


Unlike a blue mood, depression needs treatment, such as counseling, medication or both.

Key signs of depression

  • Deep sadness
  • Lack of energy or overwhelming fatigue
  • Difficulty concentrating
  • Thoughts of suicide
  • Not sleeping or sleeping too much
  • Loss of or marked increase in appetite
  • Irritability

Reprinted with permission from Spectrum Health Beat.



Family caregivers provide a vital service — Part 1

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By Linda Cronk, Michigan State University Extension


As the American population ages, family caregiving emerges as a major concern for more and more families. In the National Alliance for Caregiving and AARP 2009 report, Caregiving in the U.S., it was reported that 65.7 million caregivers make up 29 percent of the United States adult population that provide care to someone who is ill, disabled or aged. The report says that caregivers average 20.4 hours per week providing care and caregivers who live with the person they care for spend 39.3 hours per week caregiving.


According to the National Alzheimer’s Association 2011 Alzheimer’s Disease Facts and Figures report, in 2010, 14.9 million families and other unpaid caregivers of people with Alzheimer’s disease and other dementias, provided about 17 billion hours of unpaid care. This represents an average of 21.9 hours of caregiving per week or 1,139 hours of care per caregiver, valued annually at $11.93 per hour—an estimated $202.6 billion in 2010.


Needless to say, the contributions of informal caregivers are very important, valuable and necessary to the well-being of many older adults and a huge contribution to our society. But the challenges and physical, emotional and financial toll of caregiving are also huge.


A Family Caregiver Alliance 2006 report, Caregiver Assessment: Voices and Views from the Field, states several statistics about the emotional and mental health challenges of informal caregiving. Caring for a person with dementia can impact a person’s immune system for up to three years after their caregiving experience ends, increasing their chance of developing a chronic illness themselves.


Also, 40 to 70 percent of family caregivers show symptoms of depression. Caregivers who are caring for someone who has emotional or mental health problems, in result are more likely than others to report a decline in their own health.


There are often physical health challenges for informal caregivers as well. In the National Alliance for Caregiving and AARP 2009 report, Caregiving in the U.S., it says that 17 percent of caregivers feel their health in general has become worse as a result of their caregiving responsibilities. The report also states that studies have found that 23 percent of family caregivers who have been providing care for five years or more, report their health is fair or poor. Twenty-one percent of older caregivers caring for those age 65 and older, report a higher degree of physical strain, compared to 13 percent who are younger caregivers.


The immense challenges of informal caregiving make it very clear that caregivers need to make sure they take good care of themselves. It may seem impossible when responsibilities pile up, but with support and thoughtful planning, self-care for caregivers can make the difference between maintaining good health and becoming someone who needs caregiving. For more information about self-care for caregivers, watch for Family Caregiving – Part 2 coming soon. For more information on caregiving, visit the Michigan State University Extension Caregiving page.


This article was published by Michigan State University Extension. For more information, visit http://www.msue.msu.edu. To have a digest of information delivered straight to your email inbox, visit http://www.msue.msu.edu/newsletters. To contact an expert in your area, visit http://expert.msue.msu.edu, or call 888-MSUE4MI (888-678-3464).



5 ways to celebrate holiday traditions in assisted living

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Courtesy Vista Springs Assisted Living

By Vista Springs Assisted Living


Many of our most treasured holiday memories take place at Mom and Dad’s house. So after a loved one has moved into a senior living facility such as an assisted living community, it may feel like you can’t celebrate the usual holiday traditions. Luckily, that just isn’t true at all. While locations may have changed, there are still plenty of ways to enjoy everything the season has to offer.


Holiday traditions are usually based around activities that take place in the home, which is why we can feel as though there isn’t a way to celebrate favorite family traditions the way you used to. However, with the right attitude (and with the right tips and tricks up your sleeve) your family can still enjoy the same traditions, just with a slight twist.

1. Holiday shopping trips

Going out searching for presents is often a time of bonding for family members. After all, nothing brings a family closer together than navigating the crowds at the mall! But with a loved one in assisted living, it may be difficult to make that trip out to the store. Talk to your loved one about how they would feel about this type of day trip, and consult their physician to see if it’s safe for them.


If it’s going to be too difficult to take your loved one out for the day, take the shopping mall to them! Online shopping allows you to find the perfect presents with only a few taps of a computer. Help your family member search the gifts they want to purchase, or just enjoy browsing around together and seeing what the holiday sales and hot-ticket items are, all from the comforts of home!

2. Deck the halls

Even if your loved one doesn’t have a large home to decorate after making the move, their senior living apartment still can get the full holiday treatment! Help them make their living space feel more in tune with the holiday spirit by taking time to decorate together. Try things like:

  • Setting up and decorating a small, fake tree with bright lights and your loved one’s favorite ornaments.
  • Adding blankets, pillows, and other cozy items to warm up the apartment.
  • Stringing garland or tinsel around walls.
  • Hanging a wreath over their door. For extra bonus points, make it a fun crafting experience and build the wreath yourselves!
  • Bringing the outdoors inside with decorations of pinecones, cranberries, branches, and other woodsy elements.

To make apartment decorating even more of a holiday celebration, have several different family members come over, make some yummy snacks and hot cocoa, and play carols that make the day even merrier. 

3. Open presents together

Giving and receiving gifts is a favorite tradition for families, but it’s one that senior loved ones in assisted living communities can often miss out on. Rather than just call a loved one and fill them in on the joys you experienced together, bring the whole family over for a visit and enjoy opening presents as a group, so no one feels left out!

4. Enjoy a holiday dinner

Having a large family meal is often the highlight of everyone’s holiday traditions. When the whole family gathers together to eat, drink, laugh, share stories, and enjoy each other’s company it exemplifies all the reasons that the holiday season is so special. 


Assisted living communities know that eating together is a huge part of family tradition, and that’s why they plan and throw holiday parties full of delicious food and treats for families to enjoy with their loved ones. When everyone gathers together in celebration, no one will ever feel left out!

5. Keep family at the heart of the holidays

The number one reason that people struggle to find ways to celebrate the holidays in assisted living is because they are so used to thinking about these activities in a different setting. But just because “home” has a different meaning than what it used to doesn’t mean that the holidays will never be the same.


Much more important than where we spend the holidays at is who we spend the holidays with. Family and friends are what really keep our memories of holiday traditions alive, not the location where they took place.


In order to make the most of the holiday season, spend time with your loved ones, no matter where they are. When the family is together and celebrating, the holidays are always cheerful and bright.


Reprinted with permission from Vista Springs Assisted Living.




Young adults see rise in colon cancer

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Researchers have seen colon cancer cases in young adults rise as much as 18 percent a year in some countries. (Courtesy Spectrum Health Beat)

By E.J. Mundell, HealthDay


The rise in colon cases among younger adults that’s been seen in the United States is also occurring in wealthier nations worldwide, new research shows.


In the decade leading up to 2014, the number of cases of colon cancer among people under 50 increased by 3% a year in Denmark, New Zealand, Australia and Canada and by 1% per year in Britain.


The increase was most pronounced among those aged 20 to 29, noted a team led by Dr. Marzieh Araghi, from International Agency for Research on Cancer in Lyon, France.


Among twenty-somethings, colon cancer cases rose by 18% a year in Denmark and 11% in Norway, according to the study published in The Lancet Gastroenterology & Hematology.


“Although the incidence of colorectal cancer in adults younger than 50 years remains much lower compared with that in older age groups, our findings are of concern and highlight the need for action to counteract the rising burden of the disease in younger people,” Araghi said in a journal news release.


The increase in cases among the young runs counter to declines in colon cancer among people over 50, the researchers pointed out.


For example, between 2004 and 2014 cases of colon cancer fell each year among people over 50—by 2% in Australia and Canada, 3% in New Zealand and 1% annually in the U.K.


Colon cancer remains a huge global killer.


According to the research team, in 2018 alone nearly 2 million cases of colon cancer were diagnosed and the disease claimed 881,000 lives worldwide.


But why the surge among the young? According to Araghi, the increase is likely driven in part by increases in certain risk factors, specifically obesity and poor diet.


On the other hand, he said, the decrease in colon cancer among people over 50 is most likely due to better screening stool tests or colonoscopy that catches tumors early.


Dr. David Bernstein is chief of hematology and a gastrointestinal specialist at Lenox Hill Hospital in New York City. Reviewing the new report, he said similar data has already changed medical practice in the United States.


“The U.S. findings have led to updated (American Cancer Society) colon cancer screening guidelines, which now recommend the initiation of colon cancer screening at age 45, as opposed to previous guidelines recommending the initiating of screening at age 50,” Bernstein noted.


Early screening and detection could bring colon cancer numbers down again among the young, he said.


Dr. Elena Ivanina is a gastroenterologist at Lenox Hill Hospital in New York City. She believes younger Americans need to pay more heed to avoiding colon cancer risk factors.

“This includes things like obesity, diet, smoking and other carcinogens,” she said. “Patients should discuss their colon cancer risk with their physician and not ignore any symptoms like rectal bleeding, no matter what their age.”


In the meantime, Bernstein said, “perhaps the more important question is ‘why in high income countries is the incidence of colorectal cancer increasing among young adults, and what factors are leading to this?’” Bernstein said. “Significant work needs to be done to answer this critical question.”


Reprinted with permission from Spectrum Health Beat.


Fibromyalgia origin: Insulin resistance?

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Studies have shown differences in the brains of fibromyalgia sufferers, sometimes with areas of lower blood flow than expected. Similar problems have been seen in people with diabetes. (Courtesy Spectrum Health Beat)

By Serena Gordon, HealthDay


Fibromyalgia is a mysterious and misunderstood illness, but researchers may have uncovered at least one key to the disease’s origin: insulin resistance.


The new research compared a small group of people with fibromyalgia to two groups of healthy people and noted that a long-term measure of blood sugar levels was higher in the people with fibromyalgia.


Insulin resistance develops when the body starts to struggle with breaking down sugar.


To see if treating those higher blood sugar levels might help, the researchers gave people who had blood sugar levels in the pre-diabetic range or higher a diabetes medication called metformin.


People taking metformin reported significantly lower pain scores, according to the study.


“We combined metformin with standard drugs used for fibromyalgia and saw a much greater degree of pain relief,” said study author Dr. Miguel Pappolla. He is a professor of neurology at the University of Texas Medical Branch at Galveston.


In fact, Pappolla said, the additional pain relief was so significant that the researchers actually called patients on different days to re-check their pain scores.


Because this is a preliminary finding, the researchers aren’t sure how insulin resistance might contribute to fibromyalgia or how metformin might reduce pain. “Metformin may have some analgesic (pain-relieving) activity on its own,” Pappolla said.


Fibromyalgia is a condition that causes widespread pain, fatigue, sleep problems and distress, according to the U.S. Centers for Disease Control and Prevention.


Even celebrities aren’t spared from this painful condition—Lady Gaga reportedly had to cancel concerts on her tour due to pain from fibromyalgia.


Though the cause of the disorder isn’t clear, it appears that people with fibromyalgia may be more sensitive to pain than other people—what the CDC calls abnormal pain processing.


Pappolla said that studies have shown differences in the brain between people with fibromyalgia and those without, such as areas with a lower blood flow than expected.


The researchers noted that similar problems have been seen in people with diabetes.


The study included 23 people with fibromyalgia.


The researchers compared their hemoglobin A1c levels to large groups of healthy people from two other studies.


Hemoglobin A1c is a simple blood test that measures what someone’s blood sugar levels were during the past two or three months. A level of 5.7% to 6.4% is considered pre-diabetes, according to the American Diabetes Association. A level of 6.5% or higher means a person has diabetes.


Only six of those with fibromyalgia had normal blood sugar levels. Sixteen had levels considered pre-diabetes and one met the criteria for diabetes.


When the researchers compared the average blood sugar levels of the fibromyalgia group to healthy age-matched people in the other studies, they saw that the blood sugar levels were higher in the people with fibromyalgia, suggesting insulin resistance.


The findings were published online recently in the journal PLOS ONE.


Dr. Edward Rubin, an anesthesiologist and pain management specialist at Long Island Jewish Medical Center, said, “It’s interesting that there’s a possible connection between fibromyalgia and blood sugar. We’ve been attacking the symptoms of fibromyalgia, but we don’t have a good understanding of the root cause of fibromyalgia.”


Rubin, who wasn’t involved in the study, said there may be enough evidence here to try metformin along with other medications used for fibromyalgia for people whose blood sugar levels fall outside of the normal range, to see if they have a positive response.


Dr. Bharat Kumar, from the University of Iowa Hospitals and Clinics, said this study shows people with the disease that there is hope.


“People with fibromyalgia are often told (falsely) that they have a disease that simply cannot be managed. This article shows that it’s not true. Although it’s unclear if metformin will work for every person suffering from fibromyalgia, there is active research into finding solutions for this frustrating and overlooked condition,” he said.


Kumar said it’s biologically plausible that insulin could have an effect on pain.


“We know that other hormone abnormalities can cause fibromyalgia-like symptoms, so (this finding) is not too surprising,” he added.


Still, he said, he didn’t expect that metformin would be a “silver bullet” for all fibromyalgia pain. He said there are likely a number of causes of the disease.


Reprinted with permission from Spectrum Health Beat.

Suspect in pancreatic cancer: Gut fungi

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In experiments using mice, researchers found some populations of fungal species increased at a higher rate in a cancerous pancreas. (Courtesy Spectrum Health Beat)

By E.J. Mundell, HealthDay


Fungi living in the gut can move into the pancreas, triggering changes to normal cells that can result in cancer, a new study suggests.


The finding could advance the prevention and treatment of pancreatic cancer, which is usually fatal because it’s often detected too late.


The disease has been in the news lately because “Jeopardy!” host Alex Trebek is waging a battle against an advanced form of the illness.


The new research focuses on a particular form of the cancer, called pancreatic ductal adenocarcinoma, which can be fatal within two years.


While the exact causes of pancreatic cancer remain unclear, the American Cancer Society has long recognized that viruses, bacteria and parasites can help spur pancreatic tumors, the authors of the new study noted.


But fungi haven’t been shown to play a role—until now.


“While past studies from our group have shown that bacteria travel from the gut to the pancreas, our new study is the first to confirm that fungi, too, make that trip and that related fungal population changes promote tumor inception and growth,” study co-author Dr. George Miller said in a news release from NYU Langone Health.


Miller is co-leader of the Tumor Immunology Research Program at Perlmutter Cancer Center at NYU Langone Health, in New York City.


Pancreatic ductal adenocarcinoma is cancer of the tube in the pancreas where digestive juices drain into the intestines.


This exchange causes fungal populations in the gut and pancreas—the “mycobiome”—to become abnormal, the NYU team explained. That change may cause pancreatic cells to turn malignant.


In the new study, the researchers first looked at fungal transfer from the gut to the pancreas in mice that already had pancreatic tumors.


In those experiments, the researchers found that treating the rodents with an antifungal drug shrunk the weight of tumors from between 20% to 40% over 30 weeks.


Investigating further, the team catalogued the species of fungi in the poop of mice with or without pancreatic cancer. They even tagged the fungi with “glowing” proteins to watch the microbes travel from the gut to the pancreas.


Certain patterns emerged, with some populations of fungal species increasing at a far higher rate in the cancerous pancreases versus the non-cancerous ones.


One such cancer-linked species is called Malassezia.


“We have long known that Malassezia fungi—generally found on the skin and scalp—are responsible for dandruff and some forms of eczema, but recent studies have also linked them to skin and colorectal cancer,” study senior co-author Deepak Saxena noted in the news release.


“Our new findings add evidence that Malassezia is abundant in pancreatic tumors as well,” said Saxena, who is professor of basic science and craniofacial biology at NYU College of Dentistry. Pancreatic cancers in the mice grew about 20% faster when Malassezia was allowed to grow unchecked, the team noted.


The researchers theorized that fungi spur growth of the cancer by affecting immune system mechanisms that lead to abnormal tissue growth.


Study co-first author Smruti Pushalkar, a research scientist at NYU College of Dentistry, added, “Moving forward, one goal for our team is to determine which species are most relevant to cancer, as doing so could guide future attempts to slow tumor growth with targeted antifungal medications, and to avert side effects.”


The results of the study add evidence to the theory that fungi increase the risk for cancer by activating an ancient part of the immune system, the researchers said.


This immune response fights infections but also increases cell growth as the infection is cured. Past studies have shown that aggressive tissue growth can cause cancer when it’s combined with genetic flaws.


The report was published recently in the journal Nature.


Reprinted with permission from Spectrum Health Beat.



Dear Santa: Spare me the stress

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Finances are often a source of misery at the holidays. To save money, try giving one meaningful gift to someone, rather than a barrage of soon-forgotten items. (Courtesy Spectrum Health Beat)

By Robert Preidt, HealthDay


Stress abounds during the holiday season, but you can ease it, an expert says.


The way to manage stress is to recognize it and take steps to minimize it so it doesn’t overwhelm you, according to Cinnamon Stetler, an associate professor of psychology at Furman University, in Greenville, S.C.


One way to ease holiday stress is to avoid unrealistic expectations, such as believing the holidays will change people and family relationships.


“If your stress stems from other people’s actions, that’s largely out of your control. What you can do is limit your exposure,” Stetler said in a university news release.


Don’t obsess about family holiday traditions.


“Reflect on why that tradition is so important to you and what about it carries the meaning. See if there’s a way to adapt the tradition while still maintaining the important pieces of it,” Stetler said. “While it is good to maintain traditions, they can cause extra stress if you feel you have to do it the same way no matter what.”


Change your approach to gift-giving, which can cause financial worries.


For example, instead of buying a person several gifts, choose just one or two that will be especially meaningful.


And remember that material things provide only short-term happiness, while doing things for others and appreciating what you have can bring lasting happiness.


Take care of yourself during the holidays.


Get plenty of sleep, watch your diet, exercise regularly and find some time for yourself each day.


“Try to maintain as much of your normal routine as you can. You can treat yourself and indulge in small ways. The holidays are not the time to make big changes,” Stetler said. “Try to get a little bit of physical activity in, even if it’s a 10-minute walk around the neighborhood.”


Reprinted with permission from Spectrum Health Beat.




Find peace of mind with a senior living waitlist

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Courtesy Vista Springs Assisted Living

By Vista Springs Assisted Living


The sudden need for an elderly family member to have assistance or be a part of a senior care community can be a big shock. Getting caught off guard with the sudden need to move your loved one to an assisted living community or nursing home can add stress to you and your family’s lives.


However, you can avoid all the stress and uncertainty by planning ahead and adding your loved one to a senior community waitlist. Once your family member is on a waitlist, you can rest assured that they will have a place to get the care and services they need when the time comes.

What is senior living?

The most basic definition of senior living is a retirement community or housing group where retirees who can generally care for themselves live to enjoy activities and socialization opportunities together. However, while some of the more exclusive communities might require waiting periods, when we talk about a waitlist for senior living we mean a different kind of senior living option.


As seniors age, they generally need help with their day-to-day care or activities of daily living (ADLs). To get assistance with things like medication management, bathing, and mobility, many seniors need to find a living situation where these kinds of services are provided.


Assisted living communities and nursing homes offer assistance with ADLs and, in the case of nursing homes, dedicated nursing care for seniors who need in-depth aid. Getting your loved one on the waitlist to be in line for a spot in a community ensures that your loved one has these services when they need them.

What is a senior living waitlist?

A senior living waitlist lets you reserve a place in a senior living community like an assisted living community or a nursing home without having to immediately move in. Most places are going to require a deposit, which may or may not be refundable. Once placed on the list, most communities will let you know when you reach the top and are able to move in. Sometimes you can defer the move-in and maintain your position at the top of the list, or you may be moved to the bottom of the list after deferment.

How can a senior living waitlist relieve stress?

It’s difficult to know exactly when your loved one is going to need assisted living or nursing care, so having a plan in place can relieve a lot of the stress that you experience when helping make a plan for an aging family member.


Making a snap decision due to stress when your loved one suddenly needs help with ADLs or needs to quickly be moved to a senior living community often means picking the first available location—even if it doesn’t really fit the needs or wants of your loved one.


Having a spot reserved on a senior living waitlist gives you both security and control when it comes to making these difficult choices for your family member. You have the time to find the right community to fit your loved ones needs. You can look at the differences between assisted living communities and nursing homes, look at pricing across communities, and take your loved one to tour so they know what their new home will be like.

When is the right time for a waitlist?

You don’t necessarily need to start looking for a waitlist to join the minute a loved one reaches retirement age, but you should be aware of their health to look for signs that they might need assistance with ADLs. Once you notice some signs, it might be time to talk with your loved one about finding a community and being added to their waitlist.


Warning signs that it might be time to consider making a move to senior living include:

  • Falling or stumbling often
  • Lapses in memory or cognitive function
  • Struggle to keep enough food in the house
  • Difficulty remembering when to take medications
  • Decreased social life and engagement
  • Unclean or grimy house
  • Visible changes in appearance
  • The need for frequent medical care

What should my next steps be?

If you think you want to get your loved one on a waiting list for senior living, there is no better time to start looking than now. Researching early on can help you find the right place that fits your family member’s lifestyle and budget range.


Be prepared, and don’t let the period to add your loved one to a waitlist pass by. Look for signs that it may be time for them to move, and have a plan of action in place so that you aren’t caught unawares. Being on a senior living waitlist can help ensure that your loved one will have the care they need, when they need it.


Reprinted with permission from Vista Springs Assisted Living.


Red wine—a microbiome fertilizer?

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As little as one glass of red wine each week could enrich the good bacteria in your stomach, according to researchers. (Courtesy Spectrum Health Beat)

By Steven Reinberg, HealthDay


A little pinot noir now and then might help keep the bacteria in your tummy healthy and happy.


As little as one glass of red wine a week can increase the diversity of the good bacteria in your microbiome, which can help lower bad cholesterol and keep your weight down, researchers say.


“The more people drink, the higher the diversity. But even small amounts, such as one glass of red wine every week, shows a benefit,” said study first author Caroline Le Roy. She’s a research associate in the department of twin research and genetic epidemiology at King’s College London.


Le Roy cautioned that while the findings in the study were robust, they can’t prove that red wine improves the microbiome, only that the two are associated.


It’s not the alcohol that has this effect, but rather the polyphenols in red wine. Polyphenols help feed the good bacteria in the microbiome, the researchers explained.


Polyphenols are also found in fruits and vegetables, and include antioxidants.


For the study, Le Roy and her colleagues looked at the effect of beer, cider, red wine, white wine and whiskey on the gut microbiome of 916 female twins.


Only red wine resulted in a more diverse microbiome, the investigators found.


The microbiome is a collection of bacteria in the gut that has an important role in health. A healthy microbiome helps digest food and keeps some diseases at bay.


An unhealthy microbiome can lead to poor functioning of the immune system, weight gain and high cholesterol, Le Roy said.


A microbiome with lots of different bacteria is a healthy microbiome, she added.


Le Roy’s team found that red wine improved the number of different bacteria in the microbiome, compared with those who didn’t drink wine.


The researchers were able to confirm their findings in three other groups in Britain, the Netherlands and the United States, which brought the total number of participants to nearly 3,000.


Moreover, the results remained constant even after accounting for factors such as diet, socioeconomic status and age.


Samantha Heller, a senior clinical nutritionist at NYU Langone Medical Center in New York City, thinks that drinking red wine may be a marker of a healthy lifestyle, so the health benefits may be due to other factors.


“Do they, in general, lead healthier lives, such as not smoking, eating more of a plant-based diet and exercising?” she asked.


Wine comes from grapes, which like a lot of plant foods, are rich in polyphenols, Heller said.


But polyphenols are also found in vegetables, fruits, grains, nuts, legumes and teas that don’t contain alcohol, she noted.


“In addition, plants are our only source of dietary fiber, which is the favorite food for the microbes that live in our gut. When they are healthy, they help keep our bodies healthy,” Heller said.


While drinking small amounts of red wine has apparent health benefits, there are also unhealthy effects of drinking too much, such as liver disease, certain cancers, pancreatitis and a depressed immune system, she said.


“Guzzling red wine, or any alcoholic beverage, is not the miracle we have been led to believe,” Heller said.


For those who drink, the American Heart Association recommends an average of one to two drinks per day for men, and one drink per day for women (one 12-ounce beer, 4 ounces of wine, 1 ounce of 100 proof spirits).


“Let’s be honest, most of us probably drink more than that. If you do not drink alcohol, there is no reason to start,” Heller said.


The report was published recently in the journal Gastroenterology.


Reprinted with permission from Spectrum Health Beat.




Helping older adults with substance abuse problems

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By Linda Cronk, Michigan State University Extension


If an older adult were ill or needed help, most people would reach out and help in whatever ways they could. But, if the illness were signs of alcoholism or drug abuse, it’s often really hard for most people to know what to do or say. Often, it’s difficult to tell if what we see are symptoms of substance abuse. In older adults, these signs can seem to mimic other conditions, such as diabetes, dementia or depression.


Is it substance abuse? According to Hazelden, a prominent addiction recovery center, there are two types of alcoholism in older adults. Two-thirds of older adult alcoholics are early-onset – those who have been heavy drinkers most of their adult lives. The other one-third are those who began to drink excess amounts in their older years, often in response to a difficult life situation or transition.


Doctors routinely prescribe tranquilizers for older adults. More tranquilizers are prescribed annually than for all other medications, over 16.9 million prescriptions each year – with the exception of heart medicine.


Some of the challenges that come with prescription drug use by older adults include:

  • Older people often take higher doses than prescribed because they forgot that they already took a pill or because “if one is good, two are better.”
  • It is not unusual for older persons to take their prescription drugs to a friend or spouse — even when the prescription is old, if the drug fits a self-diagnosed ailment.
  • An older person may also become dependent on alcohol or drugs after a major operation or a lengthy hospital stay. This dependency can be life threatening, yet is treatable.

What are possible signs of abuse? Hazelden has identified several warning signs:

  • Drinks in spite of warning labels while on prescription drugs.
  • Always has bottles of tranquilizers on hand and takes them at the slightest sign of disturbance.
  • Is often intoxicated or slightly tipsy, and sometimes has slurred speech.
  • Disposes of large volumes of empty beer and liquor bottles and seems secretive about it.
  • Often has the smell of liquor on his/her breath or mouthwash to disguise it.
  • Is neglecting personal appearance and gaining or losing weight.
  • Complains of constant sleeplessness, loss of appetite or chronic health complaints that seem to have no physical cause.
  • Has unexplained burns or bruises and tries to hide them.
  • Seems more depressed or hostile than usual.
  • Can’t handle routine chores and paperwork without making mistakes.
  • Has irrational and undefined fears, delusions or seems under unusual stress.
  • Seems to be losing his or her memory.

How can we begin to help our loved ones get help for substance abuse problems? Before talking to your older loved one or friend, talk to a professional trained in addiction and older adults. Prepare by gathering information:

  • A list of prescribed and over-the-counter drugs the person is taking.
  • A list of doctors the person is seeing. They may have a general practitioner and a specialist.
  • A brief life history including religious and cultural background and important life events.
  • An idea of the person’s present ability to live alone and take care of themself.
  • How drinking or the misuse of medicines is affecting their health, family and social life, etc.
  • A list of family members and friends who are concerned and would be willing to help, if necessary.

Together, you and the professional should be able to make an informal assessment as to what type of help the older person needs and how to approach the topic with them. You may decide, for example, that it would be better for your friend’s physician to bring up the problem, since many older people trust their doctors. Or perhaps you can ask another close person, such as a minister or an old acquaintance of your friend to sit down for a personal talk. Find out more at www.hazelden.org about how you can help your friend or loved one get help for substance abuse.


If the person is ready to make a change, the first thing to do is listen and be supportive. You may want to urge your friend to see a physician to get a professional assessment of the problem. Depending on the severity, the older person may need hospital care to treat the physical symptoms of alcohol and drug reactions. Many older persons can benefit from inpatient treatment for alcoholism or drug dependency, if their health insurance or other resources will cover the costs.


Alcoholics Anonymous (A.A.) can be a good alternative, along with individual counseling from an addiction professional that is trained to work with older adults. Founded in 1935, A.A. has helped millions of people achieve sobriety. When you talk to an A.A. volunteer, ask for a meeting where an older person could be comfortable. See www.aa.org for more helpful information for friends and families of older adults dealing with substance abuse.


Fortunately, today it is more accepted to seek help for alcohol and drug abuse problems. There are excellent resources in many communities to help loved ones and friends address the issue. Michigan State University Extension staff works with the Geriatric Education Center of Michigan at Michigan State University to bring the latest health information about older adults to health care providers throughout the state. See www.gecm.msu.edu for more information.


For more about older adults and substance abuse read Substance abuse in older adults: Underdiagnosed and undertreated.


This article was published by Michigan State University Extension. For more information, visit http://www.msue.msu.edu. To have a digest of information delivered straight to your email inbox, visit http://www.msue.msu.edu/newsletters. To contact an expert in your area, visit http://expert.msue.msu.edu, or call 888-MSUE4MI (888-678-3464).



AI for your ears

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Scientists are closer than ever to developing a smart hearing aid that separates desired sounds from undesirable background noise. (Courtesy Spectrum Health Beat)

By Alan Mozes, HealthDay


Chances are if you’re over 60 it’s already happened to you: You’re in a crowded room and finding it tough to understand what your partner is saying a couple of feet away.


It’s a longstanding hearing-loss issue known as the “cocktail party” problem. Conventional hearing aids still aren’t able to fix it—to separate out the talk you do want to hear from the background chatter you don’t.


But scientists may be developing a device that can do just that.


The device would rely on an emerging technology called “auditory attention decoding,” or AAD. AAD cracks the cocktail party problem by simultaneously monitoring a person’s brainwaves and the sound around them.


With that data in place, the new hearing device would triangulate which voice or sound the person is focused on—and then give it an extra sonic boost.


“The cocktail party problem refers to a hearing condition where there is more than one speaker talking at the same time,” explained Nima Mesgarani, who led a group that published their new findings May 15 in Science Advances.


“Because hearing-impaired listeners have reduced sensitivity to different frequencies, they are not able to pick out the right voice,” explained Mesgarani.


He’s associate professor of electrical engineering with the Zuckerman Mind Brain Behavior Institute, part of Columbia University in New York City.


Conventional hearing aids—which simply raise overall sound levels—don’t help much in a crowded room.


“Increasing the volume doesn’t help hearing-impaired listeners, because it amplifies everyone and not just the ‘target speaker,’” Mesgarani said.


AAD works differently.


“(It) works by first automatically separating the sound sources in the acoustic environment,” he said. “The separated sounds are then compared to the brain waves of a listener. And the source that is most similar is chosen and amplified relative to other speakers to assist the listener.”


But this research is still in its early stages, so crowd-addled seniors shouldn’t expect to order the technology anytime soon.


For the moment, the technology requires an invasive surgical procedure and isn’t portable. Any practical application is at least five to 10 years off, Mesgarani said.


Still, the research illustrates yet again the amazing versatility of the human brain.


As Mesgarani noted, neural networks in the brain’s hearing center are remarkably adept at pinpointing which voice a person wants to pay attention to, even with lots of competing noise.


Digging deeper into that phenomenon, the Columbia team enlisted a group of people with epilepsy (who were already undergoing surgical care) to listen to a massed group of several speakers. None of the patients had hearing difficulties.


By means of electrodes directly implanted into their brains, researchers were then able to monitor how brain waves responded to the various sounds. That data was fed into a computer, which quickly learned to automatically raise the volume of the “target” speaker’s voice.


Preliminary results suggest that the technology does work as intended. But to date, testing has been confined to a controlled indoor setting and it remains to be seen whether it would work as well among those with actual hearing impairment, the researchers said.


And, of course, it will take time to convert the technology into something that could be worn as an external hearing aid.


Tricia Ashby-Scabis is director of audiology practices with the American Speech-Language-Hearing Association, in Rockville, Md. She reviewed the new study and said the work “sounds highly promising.”


“Artificial intelligence certainly sounds like a great option in terms of focused listening and setting precedence on which speaker the listener wants to hear,” Ashby-Scabis said.


But questions remain.


“The difficulty is, communication is dynamic,” said Ashby-Scabis. “It is ever-changing. People jump in and out of conversations, and that is a lot of processing for a device to do, and a lot of knowledge it needs to have. I am surprised if this is something we are close to having researchers solving (or) developing, but it is certainly a promising area to be studying.”


Reprinted with permission from Spectrum Health Beat.


The impact senior living culture has on health

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Courtesy Vista Springs Assisted Living

By Vista Springs Assisted Living


Social life is essential to our health and happiness. Scientific studies have proven that the more isolated and lonely we feel, the more likely we are to experience health problems. For aging adults in particular, living within a vibrant culture has direct health benefits.

Community and health

We often think of families as a senior’s primary source of community, but bearing the total responsibility for a parent’s social life can be a strain on family members. Senior living communities are a wonderful source of support for aging adults and their families.


A 2012 study by researchers at University College London found that social isolation was associated with chronic lung disease, arthritis, impaired mobility, and depressive symptoms. Other research states that, “individuals who lack social connections or report frequent feelings of loneliness tend to suffer higher rates of morbidity and mortality, as well as infection, depression, and cognitive decline.”


Feeling connected within our social environment is a fundamental part of health and happiness. Senior living facilities are designed with this fact in mind. These communities help seniors feel like they belong, which significantly increases life expectancy.

Community features to enhance well-being

As you and your aging loved one choose a senior living facility, look for the culture that best fits their needs. A healthy community will offer a variety of social events to encourage residents’ involvement. This enables seniors to feel welcome and confident as they get established in their new home.


The best communities offer features and amenities which enhance well-being. Rooms should be vibrant and appealing so that your aging loved one feels at home, in addition to offering the best safety features.


Dining options are also important to consider. Does this facility offer a variety of fresh, healthy options? It’s important to find great cuisine so that your senior’s appetite stays strong. Mealtimes are also great for socializing with other residents.

Activities to enhance social support

High-quality senior living involves activities and events that help residents connect with each other. In addition to relaxing and having fun, social events keep aging adults’ cognitive abilities strong. The mental exercises of reminiscing, laughing together, and getting to know new people is an essential part of remaining healthy and active while we age.


Here are a few ways communities can provide active community involvement for residents. If your loved one’s facility has a light social calendar, find out if you can get involved in planning some activities.

  • Reminiscence groups give seniors an opportunity to share their favorite memories. This will increase self-awareness which strengthens mental capacity and overall health.
  • Group exercises like zumba or yoga are great community events.
  • Start a singing group for musical residents. Local music teachers may be interested in getting their students involved.
  • Local museums, libraries, and community centers often have tours and educational programs available for seniors. These activities make excellent field trips.
  • Weekly or monthly game nights are usually very popular.
  • For seniors with literary or political interests, try a discussion groups of books, films, or current events.
  • Holiday and birthday parties are always a great opportunity for social connections. The planning and setup process can also be a lot of fun with more residents involved!

These are just a few of the ways senior living culture can benefit you or your senior loved one. Staying active and involved in our community brings many essential health benefits, and the support within a robust senior living community will keep our golden years healthy and happy.


Reprinted with permission from Vista Springs Assisted Living.


Sip your way to health

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Research has suggested tea may fight inflammation and other maladies. (Courtesy Spectrum Health Beat)

By Angela Fobar, Spectrum Health Beat


Following water, tea is second in line as the most-consumed beverage on the planet.


Not beer. Not soda. Not even coffee.


Tea.


Humanity has been drinking it for thousands of years. And based on the ever-growing evidence of its health benefits, there’s no reason to think we should let up anytime soon.


As Chinese legend has it, the Emperor Shennong discovered tea some 4,700 years ago when a strong wind tossed falling tea leaves into his bowl of boiling water. The emperor noticed the leaves change the water’s color and aroma. When he drank it, it soothed him.


It’s been doing that to legions of folks, princes and paupers, for eons.


The main benefits of tea are its antioxidant properties from flavonoids and catechins, but it also has other characteristics that can reduce inflammation and help with regulation of blood sugar and other systems.


Two cups of freshly brewed tea each day may protect against the development of chronic disease, while larger quantities—say, four cups a day—may lower glucose and lipid markers.


So sip away and enjoy the benefits.

Here’s what the research says:

Heart health

The most compelling evidence is related to heart disease. As it relates to green tea and heart health, there’s an association between lower levels of cholesterol, LDL and triglycerides and higher levels of HDL—the “good” cholesterol. There’s also evidence of significant lowering of systolic and diastolic blood pressure associated with tea-drinking. Black tea in particular could contribute to a decreased incidence of heart attack.

Weight loss

Research has shown that green tea contains the ideal combination of caffeine and catechins, which work in tandem to stimulate thermogenesis. Green tea has been known to provide numerous health benefits, including the prevention of cancer and cardiovascular disease.

Glycemic control

Regular consumption of green tea and black tea has been shown to decrease fasting blood glucose, insulin levels and hemoglobin A1C. This can lead to an increase in antioxidants and a reduction in inflammatory cytokines that cause insulin resistance. It may also cut down on fat accumulation from carbs.

Arthritis

Research has shown tea’s antioxidant properties cause an anti-rheumatic effect that may improve the physical abilities of aging populations. This includes improvements in muscle strength, balance and performance of daily activities.

Depression

While many Americans may not be looking at tea for its health benefits, perhaps they should. There’s even been some evidence of tea’s possible role in combatting depression.


Reprinted with permission from Spectrum Health Beat.





Heads up: Beware of text neck

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Don’t let text neck get you down. (Courtesy Spectrum Health Beat)

By Health Beat staff


The next time you’re in a public place, look around.


Notice how many people are hunched over using mobile devices.


Poor posture while constantly looking down at a cell phone places a lot of strain on the neck, or cervical spine. It’s called ‘text neck.’


And, according to a recent reports, it can result in permanent harm.


“When the head is upright, the upper part of the spine is correctly aligned for minimal stress on the muscles, bones and discs in the neck,” explained Nuala Crotty, MD, a physical medicine and rehabilitation specialist with the Spectrum Health Medical Group. “But when you drop the chin to the chest for long periods, you increase stress on the cervical spine and strain the muscles at the back of your neck.”


Just how much wear and tear does this constant downward gaze put on the neck muscles?


The head weighs about 10 to 12 pounds. For every inch the head tilts forward, the weight or pressure on the cervical spine increases. Bending your head forward at a 60 degree angle, for example, results in almost 60 pounds of stress weight on a neck structure that’s designed to handle much less. That’s like carrying a small child around on your neck all day.


With smartphone users now spending an average of two to four hours a day with their heads dropped down, this results in 700 to 1,400 hours a year of excess wear and tear on the cervical spine, according to the research.


Over time, this much stress can do a lot of damage. Muscles and tissues become strained, sore and inflamed, causing headaches, neck, upper back, shoulder and arm pain.


According to Dr. Crotty, if left uncorrected, text neck can lead to chronic neck pain and an increased risk of disc herniation and neck arthritis. Poor posture also decreases lung volume, interfering with the ability to breathe deeply.


“The first step is to be aware of how you hold your body while using technology,” she said. “And then, take steps to prevent problems by practicing good posture and neck alignment.”


Dr. Crotty offers these tips to avoid feeling the crunch:

  • Hold devices up, at eye level, as much as possible.
  • Take regular breaks from phones and laptops throughout the day.
  • Draw your shoulder blades together gently. This will naturally pull your head back and align your spine.
  • Tuck in your chin and gently lengthen your neck. Imagine a string at the top or crown of your head, pulling it straight up to the ceiling.
  • Roll or shrug your shoulders a few times and move your neck in different directions to prevent muscles from becoming tight.

See a doctor if neck pain does not go away or if it’s associated with pain, numbness, tingling or weakness in your shoulder, arm or hands.


Reprinted with permission from Spectrum Health Beat.


Beware the double-dippers

3-bottom, Citizen Journalism, Community Health, Food, Health, Holidays, How-To's,
A great way to avoid double-dipping: Place utensils in the dip bowl so guests can scoop a dollop directly onto a plate. (Courtesy Spectrum Health Beat)

By Allan Adler, Spectrum Health Beat


Double-dipping with a dance partner? A skillful move marked by grace and beauty.


Double-dipping with a snack at a party? Not quite so beautiful or graceful.


But definitely risky.


Using partially eaten food items such as vegetables or chips to scoop dip from a container can deposit bacteria from the double dipper’s mouth into the dip, which can make people ill if they dip into that same container, said Jessica Corwin, MPH, RDN, community nutrition educator for Spectrum Health Healthier Communities. Especially if the individual is sick.


Even a small amount of bacteria introduced by saliva can grow rapidly, perhaps to more than 100 times the initial level, potentially leading to serious illnesses such as a norovirus or herpes if the person has those viruses.


Even if the party guest is not sick, the bacteria they introduce can lead to foodborne illnesses.


While hosts and guests can take steps to protect partygoers from those who act carelessly with food, most of the precautions rest with the host.

Danger zone

For starters, dips that need to be kept cool should be placed on ice. Dips that need to be kept warm should be placed over the proper heating source, Corwin said.


“Forty-one to 140 degrees Fahrenheit is the danger zone,” she said. “That’s when bacteria can thrive.”


An extra-thorough host can use a thermometer to check temperatures.


The general rule: Leave food out no longer than two hours. If food is sitting outdoors, limit the time to one hour or less, depending on the temperature.


Also, set out smaller amounts of dip and replace them regularly with chilled dip stored in a refrigerator or cooler.


Some dips will grow bacteria more quickly than others, Corwin said. Runny dips, such as salsa and varieties made from sour cream, pose more of a threat than solid dips such as hummus.


And while it may be more tedious to prepare pre-portioned dip in containers, it could also be a wise move—especially if children are expected to attend the gathering.


“Kids are notorious for double-dipping,” Corwin said. As a mom of three, she speaks from experience.

Hands-free

At day’s end, there isn’t much that guests can do to protect themselves from double-dippers. One option is to bring your own food, or even abstain from eating, but that’s neither fun nor practical.


Still, precautions can be taken.


“If you’re dipping from something more solid, like hummus, take your helping from a portion not touched yet,” Corwin said.


Also, aim for dips that have serving utensils. If the host has set out serving spoons and dishes, people won’t need to double-dip—they can use the utensils to place an adequate amount of chips and dip on their plates.


Corwin emphasized the tried-and-true food safety mantra: “When in doubt, throw it out.


“As a host, anything you can do to take those extra precautions would be advisable,” she said. “You wouldn’t want any of your guests to leave sick, because you want them to come back.”


Reprinted with permission from Spectrum Health Beat.

Helping homeless families: WKTV Journal In Focus interviews Family Promise GR

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By K.D. Norris
ken@wktv.org

On the latest episode of WKTV Journal In Focus, we bring to light the urgent need and community efforts to battle family homelessness in the Greater Grand Rapids area. We talk with Kate O’Keefe, Director of Development and Community Engagement at Family Promise of Grand Rapids.

The local non-profit has the mission of ending “homelessness, one family at a time, by engaging faith-based and community organizations to provide emergency shelter and basic needs to families with children who are homeless and to provide additional programs to assist them in finding housing and sustaining their independence.”

Founded in 1997 as the Greater Grand Rapids Interfaith Hospitality Network, Family Promise (familypromisegr.org) now partners with local congregations, individuals, families, foundations and corporations to provide emergency shelter and “viable solutions” for families with children who are facing a housing crisis.

Kate O’Keefe, Director of Development and Community Engagement at Family Promise of Grand Rapids, on set with WKTV Journal In Focus host Ken Norris (WKTV)

WKTV Journal In Focus airs on cable television in the Wyoming and Kentwood areas on Comcast WKTV Channel 26 and on AT&T Channel 99 Government channel (see our Weekly On-air Schedule for dates and times). All individual interviews included in episodes of WKTV Journal In Focus are also available on YouTube at WKTVvideos.

Gout could increase heart disease risk

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Gout is not just a pain in the toe, it affects other organs, too, including the heart. (Courtesy Spectrum Health Beat)

By American Heart Association, HealthDay


Having a type of inflammatory arthritis called gout may worsen heart-related outcomes for people being treated for coronary artery disease, according to new research.


The study, published in The Journal of the American Heart Association, sought to clarify older research on the link between cardiovascular disease and gout, which occurs in people with high levels of uric acid in the blood.


In the U.S., gout affects nearly 6 million men and 2 million women, or about 4 percent of the population, according to the Arthritis Foundation.


The buildup of uric acid can form needle-like crystals in a joint and cause sudden pain, tenderness, redness, warmth and swelling, often in the big toe. But it’s also associated with a greater risk of kidney disease, diabetes, cancer and sleep apnea.


Researchers from Duke University studied data from more than 17,000 patients, including 1,406 who had gout at the start of the study and were being treated for cardiovascular risk factors. After following patients for an average of 6.4 years, researchers found that “in spite of aggressive medical therapy,” the gout was linked to worse outcomes and death.


“Among patients who had gout at the beginning of the study or who developed it during follow-up, their risk of either dying of cardiovascular disease or having a heart attack or stroke was 15 percent higher than patients who never developed gout,” said the study’s lead author, Dr. Neha Pagidipati, a cardiologist and assistant professor at Duke University School of Medicine in Durham, N.C.


Patients who had gout at any point during the study had a twofold increased risk of heart failure death compared to people who never developed gout.


While past research showed people with gout have an increased risk of cardiovascular disease, “a lot of those studies were done decades ago, before modern preventative therapy like statins became extremely common,” Pagidipati said. “We wanted to take a more contemporary look at the relationship between gout and future heart disease in patients with known coronary artery disease.”


Many patients don’t even realize a link exists between gout and heart problems, she said, and the new findings show the need for patients to talk to their physicians about added risks.


“Also, from a physician’s perspective, it’s important to consider that patients with gout may be at increased risk for cardiovascular disease even if they’re already treating them with all the standard therapies. It’s something to have on their radar,” Pagidipati said.


Although it’s unclear why gout might increase the risk of cardiovascular disease, she said possible reasons include increased oxidative stress and inflammation.


“We know that people who have a high level of inflammation are at an increased risk for cardiovascular disease, and we also know gout is characterized by periods of acute inflammation: The link may have to do with that,” she said.


Dr. Jasvinder Singh, who was not involved in the study, said the new research may help the public understand how insidious gout can be.


“Gout is not just a disease of the joints: It’s a disease that causes inflammation in the joints and in the body. It’s not just a pain in the toe, it affects other organs, too, including the heart,” said Singh, a gout researcher and professor of medicine and epidemiology at the University of Alabama at Birmingham.


Singh said the new study underscores the potential dangers of ignoring even occasional episodes of gout.


“Patients may say, ‘I have an attack every two years, so shouldn’t I wait (for treatment) until it becomes more frequent?’ But in light of studies such as this one,” he said, “patients might want to take that into account and know that leaving gout untreated might be affecting their cardiovascular health.”


Reprinted with permission from Spectrum Health Beat.


Assisted living: Value vs. cost

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Courtesy Vista Springs Assisted Living

By Vista Springs Assisted Living


As parents reach their golden years, they often rely on us to maintain a happy, healthy standard of living. Our loved ones need care and support as they age. They face increased physical challenges in everyday tasks we may take for granted.


As these needs arise, family members often step in to help, but this may not be sustainable as time passes. Additionally, dementia and chronic illness often require professional assistance.


Assisted living communities offer an appealing and comforting solution to these challenges. Since assisted living cost is not insignificant, it’s important to ensure you receive the highest value for your financial investment. If you’re considering assisted living for an aging parent, here are a few things to keep in mind.

What do assisted living communities offer?

Some assume that a nursing home is the only option, but there’s a big difference between assisted living and nursing home care. Assisted living residents are more active and mobile than nursing home patients, who are often bedridden and may need 24/7 care. Depending on your location and on the level of care needed by your senior loved one, assisted living cost can be lower than home care or nursing homes in the same area.


There is no federal definition of assisted living, although individual states provide regulation. This means that the amenities, care packages, and pricing at each community will vary. Some states require different tiers of licensing for different kinds of care, so ask about the community’s licenses in order to clearly understand what they offer.

Benefits of community life vs. assisted living cost

There are countless ways that community life will benefit your aging parent. Remember that you’re not only investing in a living space and meals, but your loved one’s overall quality of life will be much higher. Here are just a few ways this takes place:

  • Physical activity and fitness are encouraged.
  • Social opportunities like movie and game nights are provided. This is essential for retaining mental faculties and communication skills!
  • Senior safety is a top priority. Precautions such as shower railings and medical alert systems are provided, and physical assistance is always nearby.
  • Secure entrances prevent strangers or intruders from threatening your loved ones.
  • Classes and cultural events, such as book clubs or museum trips, keep residents mentally active.
  • Supervised meals, with a variety of food and a happy social environment, help keep appetites strong. In some communities, staff members monitor meals and provide supplements when necessary.
  • Housekeeping and transportation are provided, easing demands on family members.

Managing assisted living cost

The best way to keep costs manageable is to research thoroughly ahead of time. Try to plan as far ahead as possible so that you aren’t rushed by a sudden medical development. Taking time to pick the right community will prevent expensive moves later.


Visit potential communities multiple times and get to know the staff. Don’t be afraid to ask about price flexibility and compare options with care packages. Once you select a community, it’s a good idea for an attorney to review the contract. Make sure you understand the costs as well as exactly what care will be provided.


Although it may be more expensive, quality care is worth the financial investment. In an uplifting and empowering environment, your aging loved one will enjoy a more positive, upbeat outlook. You will have time and emotional energy left for more meaningful connections when family members are not completely responsible for your loved one’s care. With proper planning and research, you can help your parent find a community that uplifts and enriches their life. 


Reprinted with permission from Vista Springs Assisted Living.


Are pets a good idea for seniors?

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Courtesy Vista Springs Assisted Living


By Vista Springs Assisted Living


As you continue to age, many seniors struggle to find motivation during the later years of life. Sometimes days can become very gloomy and lonely. Adding a dog, cat, or other animal companion to your everyday life can make a big difference in your mental and emotional health. 


Pets for seniors can turn lives around, but it’s important to be realistic about your capabilities for caring for an animal as well. Read below to see our suggestions on if a pet is a good idea for you!

Benefits of having a pet

The number one benefit of a pet is the joy that they bring. It’s the reason that so many people have pets—or want to have one if they don’t currently. But, especially in the case of seniors, a pet can be so much more than just a playful friend. 


Pets help seniors feel less alone, and you can experience daily love through the devotion of an animal companion. Pets can also help seniors stay active, by helping you stick to a routine and move around your home, get up at specific times, and get out of the house to buy food and toys to take care of the pet. Animals like dogs also help you get outdoors and socialize with other people. 

Types of pets for seniors

All animals provide a sense of purpose, love, and happiness that all people, especially seniors, can benefit from. But what type of animal friend is best for you?

Dogs

Dogs are a great companion animal for seniors. After all, they are man’s best friend! Dogs encourage seniors to walk, play, and stay active. Certain small breeds of dogs can also be picked up and carried, helping you build and maintain muscle. Small dogs are generally a good idea for seniors, as they aren’t as strong and make great lap pets. In the same vein, older dogs are much less work than energetic and excitable puppies.

Cats

If you want a pet that is a little more low-maintenance than a dog, a cat is a great choice for seniors. Cats like to cuddle and have distinct personalities, but don’t take as much time and energy to care for and are generally quieter and cleaner than dogs. They also are a great choice for seniors who don’t have any outdoor space at their residence. 

Fish

If you are looking for a low-maintenance pet, then there is no better option than a fish. While you can’t pet or play with fish, they still provide seniors with a schedule and routine for daily feeding and cleaning the tank. Too many fish and large tanks can be a burden for seniors, so a few fish in a 5-10 gallon tank is often the best choice. 

Birds

Many seniors enjoy having an avian companion, as birds are colorful, pretty, and play around with toys without as much hands-on care as a dog or cat needs. Some types of birds are able to mimic words, so you have an animal friend that talks back! However, birds still need specific cleaning and feeding routines, so it’s important that seniors understand how to care for a bird before buying one.

Exercise caution before making a decision

While pets provide a lot of benefits to seniors, they are also a lot of work. It’s important for seniors to understand their limitations before making a long-term decision like buying an animal. Pets can take up a lot of energy and time, and if you can’t provide those, it might not be a good idea to have one.


Pets can also become expensive, so it’s important that you know you have the money in your budget to pay for food, toys, vet bills, cleaning supplies, and treats before purchasing an animal friend. 


Finally, while it’s not fun to think about, there is always the possibility as a senior that your pet may end up outliving you. Take into consideration who would pick up the responsibility of an animal in the case of an emergency, and make sure that any pet you pick will fit into their lives as well. 

Pets at assisted living communities

If you want an animal companion, but aren’t sure you can handle the responsibility of caring for one on your own, consider a community pet at an assisted living home! While some assisted living communities are pet-friendly and you can bring your own friend along with you, others have animals for residents to share and enjoy together. 


As you age in place at assisted living, you can enjoy all the benefits of a pet without having to worry about taking care of the upkeep, feeding, and housing of the animal. It’s all of the fun of having a pet without any of the work! 


Reprinted with permission from Vista Springs Assisted Living.



Deaf person support group brings ‘Signing Santa’ event back for 10th year

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The Kentwood-based Deaf and Hard of Hearing Services (D&HHS) will host a special “Signing Santa” event this week. (Supplied/D&HHS)

WKTV Staff
ken@wktv.org

The Kentwood-based Deaf and Hard of Hearing Services (D&HHS) offers a multitude of programs with the goal to “provide equal communication access, education and advocacy to the Deaf, DeafBlind and Hard of Hearing in pursuit of all life’s opportunities.”

And, this time of the year, one of those opportunities often unavailable to local deaf and hard of hearing children is simply visiting — and communicating with — Santa.

So, for the 10th holiday season, a D&HHS event will present a deaf ‘Signing Santa’ on Saturday, Dec. 7, from 11 a.m. to 1 p.m. at Crossroads Middle School, 4400 Ambrose NE, Grand Rapids.

“To see a child who is deaf have that experience with a deaf Santa who literally speaks their language takes my breath away every time,” Deb Atwood, D&HHS executive director, said in supplied material. “It never gets old. Every time I see it, I see it through the eyes of the child, and it is amazing every single time.”

In addition to Signing Santa, the event also will feature two signed story times at 11:30 a.m. and 12:30 p.m., and will also include holiday crafts, snacks and drinks.

Some of the guests at Deaf and Hard of Hearing Services (D&HHS) special “Signing Santa” event in 2018. (Supplied/D&HHS)

According to D&HHS, there also will be numerous interpreters at the event so that everyone has access. Interpreters at the entrance, interpreters at the crafts, interpreters for Santa and interpreters for the story. Every station will have ASL to English and English to ASL interpreters.

There will also be gifts will be available to the first 50 children, and gift donations from the public are still being welcomed. People who would like to donate can call 616-732-7358 for more details.

For more information about Deaf and Hard of Hearing Services, visit deafhhs.org .

Top 10 reasons to exercise 30 minutes today

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Just 30 minutes of exercise five times a week can keep you in good health. (Courtesy Spectrum Health Beat)

By Sue Thoms, Spectrum Health Beat


Just give it 30 minutes―exercise, that is.


Federal health guidelines urge us to spend half an hour each day moving with enough vigor to boost the heart rate. But half the U.S. population fails to squeeze in time for it.


To encourage us to make exercise a priority, Thomas Boyden, MD, a Spectrum Health Medical Group preventive cardiologist, details the many ways physical activity can make our lives better.


His top 10 reasons to exercise can provide a little motivational boost to put down the smartphone and pick up the pace.


Routine exercise:

  • Lowers blood pressure
  • Lowers blood sugar
  • Helps control cholesterol
  • Builds bone strength
  • Helps prevent dementia
  • Fights depression, stress and anxiety
  • Improves balance
  • Reduces risk for heart attack and stroke
  • Aids weight control
  • Helps you sleep better

Exercise does not have to mean running a marathon, Dr. Boyden said. But it should involve activity more vigorous than a leisurely stroll.


“I say walking the dog doesn’t really qualify as exercise,” he said. “I have a dog and I know how often they stop.


“We want the heart rate to increase and we want it increased for sustained periods of time. That’s proven by research to lower your risk of events like heart attack and stroke.”


Those with physical limitations, because of weight, arthritis or other health issues, can still be active, he added.


“Particularly when you get older and have joint problems, I encourage people to figure out ways to do seated exercises, so they can take the weight off the joints and exercise without pain,” he said.


The Centers for Disease Control and Prevention advises people to exercise at least 150 minutes a week (two hours and 30 minutes). Doctors often recommend breaking it into 30-minute sessions because it sounds less daunting, said Dr. Boyden.


“It’s possible and usually easy to do 30 minutes of anything,” he said.

Sedentary sickness

More than 70 percent of Americans are overweight or obese, which can lead to a number of health problems, Dr. Boyden said. These include:

  • Diabetes and high blood pressure, which can lead to cardiovascular disease
  • Increased risk of cancer, blood clots, depression and early-onset dementia
  • Problems with menstruation
  • Gastrointestinal issues
  • Sleep apnea
  • Joint problems, leading to a need for hip and knee replacements

“We are getting sicker as a country because we are getting bigger and more sedentary,” he said.


Excess weight and a sedentary lifestyle drive heart disease, which is the No. 1 killer of both men and women, according to the CDC.


“The strongest data shows if we all maintained a healthy weight, ate healthy, did just a little bit of exercise and didn’t smoke, at least 80 percent of our country would likely never have a heart problem,” Dr. Boyden said.


“I’m a big lifestyle advocate,” he said. “Everything we do for ourselves is as meaningful, if not more meaningful, than the services provided by a health care system.”


Reprinted with permission from Spectrum Health Beat.


How to make the most of the winter season

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Image by Besno Pile from Pixabay

By Emily Armstrong, Area Agency on Aging of Western Michigan


Once freezing temps hit, you are more inclined to stay indoors and pass on events you used to enjoy in the warmer months — it happens to the best of us. Yet this lack of socialization, movement, and engagement in the winter can take its toll on your mood. As an older adult, winter can be an especially difficult season.


You may not have the means to drive or keep up with home maintenance and repairs, and you may start feeling a bit defeated during this time. Trying to combat these things can be overwhelming, but just because you aren’t able to get out as much doesn’t mean there aren’t a number of things you can do to have a more fulfilling winter season. Check out the tips and resources below that can help you to embrace a slower winter lifestyle.

  • Become a part of something. Whether it is joining a senior center, book club, or volunteering for a cause that matters, being involved helps your mood immensely. You get a healthy dose of regular socialization with others, and when you join a group initiative you are more likely to stick to it as other people are there to help keep you accountable.
  • Challenge yourself to pick up a new hobby. Hobbies are a great way to keep your mind sharp and fill those long winter hours. The great thing about hobbies is that there are so many out there, you shouldn’t have a hard time finding one that interests you. Top hobbies for seniors are reading, crafting, playing cards and games, and exploring family history.
  • Move your body. Regularly exercising is another great way to boost your mood through the winter months. Maybe you take a low impact water aerobics class at a local gym, walk around an indoor track, or enroll in a wellness class at your local senior center, all options provide you with the means to exercise indoors while getting much-needed endorphins to improve your attitude.
  • Ask for help around the house. As mentioned, it can be especially hard to keep up with the maintenance of your home in the winter. When this happens, don’t be afraid to ask for help. A family member or friend was probably always willing, but was just unsure of what you needed help with. Or if this isn’t an option, through the Area Agency on Aging of Western Michigan a number of home chores and repair services are available; from yard cleanup, snow removal, lawn mowing, and minor home maintenance.
  • Catch a ride. A number of transportation resources are available specifically for older adults and it is great to take advantage of these in winter months when there is inclement weather. In Kent County, RideLink provides seniors 60+ with affordable rides throughout the county. Recently ride-sharing services such as GoGo Grandparent have also become popular, allowing you to use the popular Lyft or Uber apps without a smartphone. No matter which resource you choose, you’ll have a safe, reliable option to get you to your destination despite unpredictable winter weather.

So, what’s your next step? Reach out to the Area Agency on Aging of Western Michigan; it is a knowledge hub for services available to seniors. Oftentimes they will offer information on local senior centers to join, available exercise programming, and a number of home and transportation resources to help you maintain your independence over the more difficult winter months and throughout the year. Visit www.aaawm.org.



How to encourage family involvement in assisted living

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Courtesy Vista Springs Assisted Living

By Vista Springs Assisted Living


The later years in life come with many changes. As we age and health concerns become an important part of life, many of us worry that a move into assisted living will mean the end of our independent, active lifestyles. This is where our family plays an essential role. Although physical and mental capabilities may not be what they once were, maintaining an active relationship with family helps aging adults stay engaged with life. Their memories and emotional health are strengthened by reminiscing and connecting with family. However, it’s not always easy for family members to understand how often to visit or how to spend time together during visits. In some cases, poor communication between family and staff can lead to problems with the resident’s care.


As family members, how can we work with assisted living staff members to provide a happy, robust daily life for our aging loved one?

Understand community policies

First, make sure that you are aware of the community’s guidelines. Each senior living facility has unique needs that require unique policies. For instance, some communities choose to restrict family visits due to the nature of care required by residents. It’s essential to understand policies so that your involvement is beneficial, not interruptive, to your loved one’s care.


When families do not understand the needs of the assisted living facility, their well-meaning visits can become a frustration. Here are a few simple things to keep in mind so that your presence is as helpful to your loved one as possible:

  • Be respectful of staff members’ time. They have many residents to care for in a limited time frame.
  • Be careful not to take over and dominate the facility. Remember that the person you are visiting is not the only person in the community.
  • Treat staff members as partners in your loved one’s care, not as subordinates or adversaries.
  • Staff and residents alike will love families who help out. Take initiative in tasks such as pushing wheel chairs, starting a game of cards with a lonely resident, or volunteering in the dining room.

Socializing and recreational activities

Many senior communities offer social events such as movie or game nights. Ask for a calendar of the activities planned by your community and make a priority of attending. It is not the quantity of time spent with your loved one, but the quality and type of activity. Make sure your visits are filled with worthwhile activities and quality time.


This is a great opportunity to get involved with your elder’s life. The transition to assisted living can make aging adults feel isolated. Taking the time to get involved with their social circle will help them stay connected to the world around them. It’s important to maintain the continuity of the life they had before the move to assisted living.


Working with the community to schedule your own events is another great way to stay connected. Perhaps a grandchild’s music teacher can bring their students for a recital, or your family can help arrange an outing to a local park or museum.


The most important thing to remember is that your aging loved one’s life does not need to stop just because they move to assisted living. Take initiative to help them stay active and alert. These years are a wonderful opportunity to create memories together.


So, if you have a parent or grandparent in assisted living, don’t underestimate what a difference you can make in their life. Come alongside staff members and get involved in the community’s social events. Your support will help your aging loved one enjoy an active, alert lifestyle after the transition to assisted living.


Reprinted with permission from Vista Springs Assisted Living.


The first step in every recipe

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Wash hands for about 20 seconds before and after handling food. (Courtesy Spectrum Health Beat)

By Robert Preidt, HealthDay


Following the recipe for food safety is a must anytime you’re in the kitchen—and it starts with clean hands, the Academy of Nutrition and Dietetics says.


“Always wash your hands with soapy water for at least 20 seconds before and after handling food,” spokeswoman Isabel Maples advised in an academy news release. “Don’t forget to wash your hands after handling raw meat and poultry to avoid spreading germs through the juices.”


Wash fruits and vegetables, but don’t wash meat and poultry before cooking. Doing so could spread harmful bacteria to your sink and surrounding kitchen areas, she explained.


“Clean your countertops with hot, soapy water. Use paper towels or disinfectant wipes, instead of washcloths or sponges, which can harbor bacteria,” Maples said.


Take apart small appliances—such as can openers and blenders—to clean them, then air dry completely before storing, she recommended.


“Clean your refrigerator every few weeks to rid it of potentially dangerous residue from raw foods. Rid your refrigerator of leftovers after four days. When in doubt, throw it out,” Maples said.


Use a food thermometer when cooking meat—it’s the only real way to know if it’s done, she suggested.


“Insert the thermometer into the thickest part of the meat, without it touching the bones or the bottom of the pan, to avoid getting a false reading. Then clean your thermometer with hot, soapy water after each use,” Maples said.


Keep hot foods hot and cold foods cold and refrigerate perishable foods within two hours, or within one hour during warmer weather.


Thaw frozen foods in the refrigerator, in cold water or in the microwave—not on the counter. Pathogens multiply fast when foods are in the “danger” zone between 40 degrees and 140 degrees.


“Store foods in the correct area of the refrigerator,” Maples said. “To minimize the risk of raw juices dripping into other foods, put cooked and ready-to-eat foods at the top and raw meats and poultry at the bottom. Plus, place raw meats in a container to catch any drips.”


Reprinted with permission from Spectrum Health Beat.

3 tips to help your loved one avoid fraud

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Courtesy Vista Springs Assisted Living

By Vista Springs Assisted Living


Senior abuse in the form of financial scams is a huge problem—especially as scammers are changing tactics and taking advantage of fears and uncertainties. In fact, recent reports say anywhere from 3 billion to 30 billion dollars are lost every year as a result of senior financial scams. With these high numbers in mind, it’s important that you do your part to help protect your loved ones. 

1. Visit elderly family members regularly

One of the best ways to prevent fraud is to keep in contact with your senior family members. By visiting and talking with them, you can stay up to date on their daily lives and be the first to hear about suspicious new “friends” who might be having an undue influence on their financial decisions. 


Seniors who are isolated from their families and don’t have active social lives are often the first targets of scammers, since a senior without a strong support system is more likely to believe a lie and fall victim to fraud. 

2. Warn your loved one about common scams

Most scams happen over the phone or online, as scammers can impersonate people of authority. Scammers will either act charming to influence seniors, or act like there is a serious emergency in order to trick them. Here are a few of the most common elderly scams you can warn your loved one about. 

Social Security & IRS scams

A common scam involves a perpetrator pretending to be an authority from the Social Security office or the IRS. They will tell a victim that there is a major problem with their account, and if they don’t immediately give out personal information to clear up the problem they could face legal action or arrest.


This scam can scare seniors into giving away their Social Security number or banking information to avoid threats. However, it’s important to explain to seniors that the Social Security office and IRS will never threaten someone over the phone, and often don’t reach out by phone at all—especially when asking for personal information.

Charity scams

Some scammers try and take advantage of kind-hearted seniors by pretending to be from a charity asking for donations. Assure your loved one that if they get a call from a charity and want to contribute, there will be other ways they can donate or volunteer their time than by giving out information over the phone. 

Internet & tech support scams

Scammers like to take advantage of the lack of knowledge many seniors have surrounding technology. For example, seniors can receive a phone call or pop-up claiming their computer is infected with a virus, and the problem can’t be resolved until the victim verifies their identity by handing over a Social Security number or other piece of information. 


Remind your loved one that they should never give out personal information to an unverified source, especially if the other person is making the situation seem suspiciously urgent.

Lottery & fake prize scams

Another set of scams are lottery and prize scams. These will try to convince seniors to hand over a small amount of money for “taxes and fees” with the promise that a larger amount of winnings and prizes will be given to the victim after the first transaction clears. Tell your loved one that if something seems too good to be true, it probably is. 

Grandparent scams

These scams involve a perpetrator pretending to be a family member who is in an emergency and needs quick money. Often they say that they need money immediately to cover rent and expenses, lawyer fees, bail, or medical bills. They will request that the victim keep this transaction a secret from the rest of the family out of shame or embarrassment. 


To protect your loved one, tell them to ensure they are speaking to someone they know and can verify that the situation is legitimate. If they aren’t certain, have them hang up and call a trusted family member.

3. Always advise caution with finances

While you don’t want to frighten your loved one into never making a transaction again, it’s important they are aware of the dangers of financial scams and that they can be a target. Come up with a plan together, and include things like:

  • Blocking solicitation calls with the help of an app or phone provider
  • Having your loved one call you before agreeing to anything suspicious
  • Talking to their bank to see what measures can be taken to limit the damage of a scam
  • Creating a separate bank account that houses a majority of their savings that isn’t connected to a card or their primary checking account
  • Setting a spending limit on debit cards

Remember:

While seniors can be targeted by strangers, most elder financial abuse comes from other family members, so keep an eye on anyone who becomes too invested in your loved one’s financial situation. If you or your loved one believes they have been targeted by a scammer, report it to the police immediately or call the number below to talk through the options for reporting fraud.


AARP Fraud Watch Network Hotline (877-908-3360)


Reprinted with permission from Vista Springs Assisted Living.


Deep sleep—cleansing for the brain

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While the biological processes are still a bit murky, researchers suspect a proper night’s rest gives your brain a chance to rid itself of toxic molecules. (Courtesy Spectrum Health Beat)

By Amy Norton, HealthDay


The deep stages of sleep may give the brain a chance to wash itself free of potentially toxic substances, a new study suggests.


Researchers found that during deep sleep, the “slow-wave” activity of nerve cells appears to make room for cerebral spinal fluid to rhythmically move in and out of the brain—a process believed to rinse out metabolic waste products.


Those waste products include beta-amyloid—a protein that clumps abnormally in the brains of people with dementia, said researcher Laura Lewis, an assistant professor of biomedical engineering at Boston University.


Lewis stressed that the findings, reported in a recent issue of Science, do not prove that deep sleep helps ward off dementia or other diseases.


But the ultimate goal of research like this is to understand why poor sleep quality is linked to higher risks of various chronic conditions, from dementia to heart disease to depression, she said.


Researchers have known that cerebral spinal fluid helps clear metabolic byproducts from the brain, so that they do not build up there.


They’ve also known that the process appears to amp up during sleep.


But various “hows” and “whys” remained.


So the investigators recruited 11 healthy adults for a sleep study using noninvasive techniques: advanced MRI to monitor fluid flow in the brain and electroencephalograms to gauge electrical activity in brain cells.


Sleep is marked by REM and non-REM cycles.


During REM sleep, breathing and heart rates are relatively higher and people often have vivid dreams.


Non-REM sleep includes stages of deep—or slow-wave—sleep. During those stages, there’s a slow-down in brain cell activity, heart rate and blood flow, and research has found that deep sleep may aid memory consolidation and allow the brain to recover from the daily grind.


“There are all these fundamental things your brain is taking care of during deep sleep,” Lewis said.


Her team found that housecleaning may be one.


When study participants were in deep sleep, each pulse in slow-wave brain activity was followed by oscillations in blood flow and volume, which allowed cerebral spinal fluid to flow into fluid-filled cavities in the central brain.


The spinal fluid moved in “large, pulsing waves” that were seen only during deep sleep, Lewis explained.


Based on what’s known about the work of cerebral spinal fluid, experts said it’s reasonable to conclude that slow-wave sleep promotes the flushing of waste from the brain.


The study “elegantly” illustrates the importance of deep sleep, according to Dr. Phyllis Zee, a sleep medicine specialist not involved in the work.


It “helps to explain how and why sleep is important for keeping neurons healthy—facilitating the removal of toxic molecules,” said Zee, a professor of neurology at Northwestern University Feinberg School of Medicine, in Chicago.


“One can think of sleep as a top way to take care of your brain,” she said.


Another sleep medicine specialist agreed.


“There is growing evidence, with this study and others, that sleep plays a role in clearing toxins from the brain,” said Dr. Raman Malhotra, an associate professor of neurology at Washington University in St. Louis.


Other research has suggested that sleep loss can promote the buildup of “unwanted proteins” in the brain, said Malhotra, who also serves on the board of directors of the American Academy of Sleep Medicine.


A recent government study, for instance, found that one night of sleep deprivation triggered an increase in beta-amyloid in the brains of healthy adults.


“As we learn more about this role of sleep,” Malhotra said, “it may help explain why individuals who don’t get enough sleep, or suffer from sleep disorders, are at higher risk of certain chronic health conditions.”


The latest study involved younger adults with no health problems.


Lewis said that it will be important to find out whether healthy older adults, or people with certain health conditions, show any differences in cerebral spinal fluid dynamics during deep sleep.


A big question for future research, she said, will be whether alterations in those dynamics precede the development of disease.


Reprinted with permission from Spectrum Health Beat.




Stuck on cubicle mode? Walk it off

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Long bouts of sitting at a desk can lead to greater risk of health problems, including heart disease. (Courtesy Spectrum Health Beat)

By Robert Preidt, HealthDay


Take a stand for a longer life.


Researchers say even a few extra minutes off the sofa each day can add years to your life span.


“If you have a job or lifestyle that involves a lot of sitting, you can lower your risk of early death by moving more often, for as long as you want and as your ability allows—whether that means taking an hour-long high-intensity spin class or choosing lower-intensity activities, like walking,” said study lead author Keith Diaz.


He’s assistant professor of behavioral medicine at Columbia University in New York City.


The new study involved nearly 8,000 American adults, aged 45 and older. Each wore physical activity monitors for at least four days as part of research conducted between 2009 and 2013. The investigators then tracked deaths among the participants until 2017.


The results: People who replaced just 30 minutes of sitting per day with low-intensity physical activity lowered their risk of an early death by 17 percent, according to the recent study published online in the American Journal of Epidemiology.


More intense exercise reaped even bigger rewards, the researchers said.


For example, swapping a half-hour per day of sitting for moderate-to-vigorous exercise cut the risk of early death by 35 percent.


And even just a minute or two of added physical activity was beneficial, the findings showed.


“Physical activity of any intensity provides health benefits,” Diaz said in a university news release.


His team pointed to a recent study that found that one in every four U.S. adults sit for eight-plus hours per day.


Two experts in heart health believe that level of inactivity can be a killer.


“Exercise, at any risk level for cardiovascular disease, is shown to improve not only how long one lives, but also lowers the risk of heart attacks and strokes,” said Dr. Satjit Bhusri, a cardiologist at Lenox Hill Hospital in New York City.


And heart specialist Dr. Guy Mintz said there are many ways Americans can change their slothful ways. He directs cardiovascular health at Northwell Health’s Sandra Atlas Bass Heart Hospital in Manhasset, N.Y.


The American Heart Association currently recommends “moderate aerobic activity for 150 minutes per week or vigorous aerobic activity for 75 minutes per week,” Mintz said.


“Some American companies, like Google, are taking note of the importance of exercise and the deleterious consequences of a sedentary existence, including increases in obesity, diabetes and heart disease,” Mintz added. “Employees are encouraged to get up from their desks and exercise—whether that is in the form of stretching, ping pong, walking, jumping jacks, treadmill or stationary bicycle.”


He believes other companies could follow that example.


“Employers with tight work schedules should carve out mandatory time daily for their staff to exercise and make it fun,” Mintz said. “Both the employer and employee benefit. Companies also win with higher productivity, less sick days, lower health costs and improved morale.”


For his part, Diaz said future research will “look at the risk of specific cardiovascular outcomes, such as heart attack, heart failure and cardiovascular-related deaths, associated with physical activity versus sedentary behavior.”


Reprinted with permission from Spectrum Health Beat.


15 easy (and healthy) recipes for cold weather

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Courtesy Vista Springs Assisted Living


By Vista Springs Assisted Living


As the weather starts to cool down, it’s time to start looking for ways to keep warm. While cozy blankets and cranking up the heat can help, so will having hot food. At the same time, it’s important to keep your health in mind and remember that as you age it’s not as easy as it once was to whip up complicated meals. 


Having recipes in hand that are hot, healthy, and easy to prepare can make a big difference when it comes to planning out your meals and shopping trips. Take a look at these fifteen different dishes from Good Housekeeping and Delish that meet all these criteria—and taste amazing as well! 

Courtesy Vista Springs Assisted Living

Satisfying chicken dishes

1. Light Chicken Parmesan⼁Cook Time: 25 minutes

This light take on a classic Italian dish can be prepared in under a half hour and will meet your cravings without packing on calories the same way a heavier, traditional Chicken Parmesan would.

Get the recipe here.

2. Lemon Pepper Baked Chicken⼁Cook Time: 30 minutes

Both flavorful and healthy, this baked chicken can be paired with some roasted fall vegetables for a full meal that chases the cold away!

Get the recipe here.

3. Healthy Chicken Casserole⼁Cook Time: 1 hour

Casseroles are a great way to make a delicious meal without having to spend a long time in front of the stove—just combine the ingredients and bake! This dish features healthy grains like wild rice and great vegetables like brussels sprouts and sweet potatoes. 

Get the recipe here.

4. Apple Cider Glazed Chicken⼁Cook Time: 35 minutes

What better way to celebrate fall than with a recipe featuring everyone’s favorite autumn drink, apple cider! This sweeter take on chicken will help you get into the fall spirit while ensuring you keep eating healthy at the same time. 

Get the recipe here.

Courtesy Vista Springs Assisted Living

Soups, stews, & chilis

5. Savory Pumpkin & Sage Soup⼁Cook Time: 1 hour 5 minutes

Nothing else can warm you up and satisfy your taste buds the way good soup will! This pumpkin soup is simple, but the sage and mushroom garnish will make you feel like a professional chef.

Get the recipe here.

6. Easy Black Bean Soup⼁Cook Time: 35 minutes

This flavorful soup combines black beans, red onion, and jalapeño to make a deliciously spicy dish that will make you forget about the chilly weather, all while taking only a half hour to make. 

Get the recipe here.

7. Cauliflower Soup⼁Cook Time: 30 minutes

Cauliflower is a great versatile food that can hold a lot of flavor. This simple soup only uses a few ingredients, but the outcome is so hearty and healthy that you wouldn’t believe it was so easy to put together. 

Get the recipe here.

8. Roasted Butternut Squash Soup⼁Cook Time: 40 minutes

When it comes to fall food, butternut squash soup is a classic. This soup doesn’t take long to make, but it will impress anyone you share it with.

Get the recipe here.

9. Butternut Squash & White Bean Soup⼁Cook Time: 45 minutes

If you love butternut squash soup but want to add a little more, then try this variation. With white beans and chickpeas, this take on the original adds some extra heartiness and flavor. 

Get the recipe here. 

10. Chicken Pumpkin Stew⼁Cook Time: 40 minutes

This healthy stew uses plenty of fresh vegetables like pumpkin, red pepper, and green beans to satisfy both you health needs and your taste buds.

Get the recipe here. 

11. Turkey Slow Cooker Chili⼁Cook Time: 4 hours 20 minutes

Don’t let the long cook time scare you away! This meal only requires about 20 minutes of prep, and the rest takes care of itself in a slow-cooker. Start it in the morning and have a delicious meal ready for dinner!

Get the recipe here. 

Courtesy Vista Springs Assisted Living

Recipes featuring fall veggies

12. Spaghetti Squash Alfredo⼁Cook Time: 35 minutes

Cut back on carbs normally found in pasta with this spaghetti squash substitution. Spaghetti squash is easy to prepare and can help you get your favorite flavors in a healthier way.

Get the recipe here.

13. Spaghetti Squash Pizza Boats⼁Cook Time: 55 minutes

Another recipe featuring spaghetti squash, this cheesy dish has all the makings of a great pizza without the empty calories. Warm and tasty, this meal will fill you up in the same amount of time it would take to get delivery.

Get the recipe here. 

14. Cauliflower & Broccoli Carbonara⼁Cook Time: 20 minutes

This cauliflower and broccoli dish is a great way to get the recommended helping of vegetables while making a recipe for the cold weather in only 20 minutes.  

Get the recipe here. 

15. Cheesy Bacon Butternut Squash⼁Cook Time: 45 minutes

Cheese, bacon, and butternut squash? Whether you use this as a side dish for a family meal or make it by itself, this recipe has it all! 


Get the recipe here. 


Being able to make simple, healthy meals that taste great is a useful skill, especially as you continue to age. Cooking shouldn’t be an all-day task, and it’s important to find foods that aren’t just delicious, but provide additional benefits for you and your health as well. Try these dishes out and stay warm and healthy all year long!


Reprinted with permission from Vista Springs Assisted Living.



It’s never too early to quit smoking

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Courtesy Centers for Disease Control and Prevention

By Centers for Disease Control and Prevention (CDC)


Quitting smoking can be challenging, but you can find support for your quit journey where and when you need it, to raise your chances of quitting for good.


“I’m sick of this addiction.” Clay A. left that comment on the CDC Tobacco Free Facebook page. “I quit for a year and four months and came back,” he went on to say. “Quitting is not easy.”


CDC’s Office on Smoking and Health (OSH) knows that it may take a number of tries before you’re able to quit for good, but we also know that it can be done. In fact, so many people have quit that there are now more former smokers than current smokers in the United States. Quitting can be challenging, but you can find support for your quit journey where and when you need it, to raise your chances of quitting for good. This year, make a New Year’s resolution to quit smoking for good.


“At this time of year, we know that many smokers make a resolution to quit and start off on a healthier course,” says Corinne Graffunder, DrPH, MPH, director of OSH. “If now is your time to quit tobacco, there are many tools available to help you find and follow a quit strategy that works for you.”


Whether you’ve never tried to quit or have tried many times, a new year means another chance to create your successful quit plan.

Never too early to quit

No matter how long you’ve smoked, there are health benefits to quitting. James, a participant in the Tips From Former Smokers® campaign and a smoker for 30 years, started having some trouble doing everyday tasks. He also learned he had diabetes. So James decided he needed a healthier lifestyle. He put down cigarettes and started exercising. Quitting smoking gave him the energy to bike, run, and swim—things he couldn’t imagine doing before.


James said he wanted to send a message to people who think smoking won’t harm them because they haven’t had a major smoking-related illness. “I want to help people like me quit smoking,” he said.  “Maybe nothing really bad has happened to you yet. Maybe you’re lucky, but you’re probably not going to stay lucky.”Still a Leading Cause of Death


Even though adult smoking rates are at an all-time low, cigarette smoking remains the leading cause of preventable death in the country, with 480,000 people dying every year.


Smoking is linked to many dangerous diseases, including heart disease, type 2 diabetes, emphysema, and cancer. Smoking around others hurts their health, too. Breathing secondhand smoke can cause many of the same illnesses as smoking does. It can make children get sick more often, and smoking while pregnant raises the risk of a baby dying suddenly in the first year of life. No amount of secondhand smoke is risk-free.Find What Works for You


Every smoker’s quit journey is different. It may take some time to find the strategies that help you stay quit. It helps to create a personalized quit planexternal icon. Some of the steps in an effective quit plan include:

  • Picking a quit date. Choose a date only a week or two away and highlight that day in your calendar or phone.
  • Telling loved ones and friends that you’re quitting. Let them know how they can help you quit.
  • Listing reasons to quit.
  • Getting rid of cigarettes and anything that reminds you of smoking.
  • Picking out feelings, places, and situations that make you want to smoke. It’s easier to avoid them if you’ve identified them!
  • Having healthy strategies to fight cravings.

Build your strategies

Smokers crave cigarettes because they contain a drug called nicotine, and smoking makes your body dependent on nicotine. Stopping smoking causes nicotine withdrawal, which can be uncomfortable, especially in the first weeks. There are ways to get through withdrawal—these can include support from family or a counselor, as well as medication that helps ease cravings.

Courtesy Centers for Disease Control and Prevention

It may take many tries to quit. The important thing is not to give up. Health care providers, such as doctors and nurses, can be good supporters in your quit journey. Your doctor may recommend some of the medications approved by the U.S. Food and Drug Administration to help people quit smoking. These may include nicotine replacement therapy medicines, which are patches, gums, or lozenges that give the body a small amount of nicotine to ease cravings without the other harmful effects of smoking cigarettes. Pharmacists can let you know about the effects of any medicine your doctor prescribes.It’s Not Too Late


Whether you smoked for decades, like James, or only just started, whether you have a smoking-related illness or haven’t felt the damage from smoking yet, quitting right now can put you on the road to better health.


Says former smoker Dean G.: “Can’t wait to see my health continue to improve. Quitting is the best decision I ever made.”

Help is out there: Use it!

There are many free resources to help you quit—no matter where you are in your quit journey.


Websites. Tips From Former Smokers® and Smokefree.gov.external icon


Quitlines. 1-800-QUIT-NOWexternal icon(1-800-784-8669) and 1-855-DÉJELO-YAexternal icon (1-855-335-3569) (for Spanish speakers) both offer resources like coaching, help with making a quit plan, and information about smoking and can even refer you to more resources in your area. There are also Asian-language quitlines:external icon 1-800-838-8917(Chinese), 1-800-556-5564 (Korean), and 1-800-778-844 (Vietnamese).


Text Support. Smokefree TXTexternal icon is a free, 24/7 program that sends coaching and encouragement by text messages to help you keep your commitment to staying smoke-free.


Smartphone App. The smoke-free app for your phone called quitSTARTexternal icon helps you understand your smoking patterns and build skills so you don’t give in to cravings.




Why Uber and Lyft works for seniors

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Courtesy Vista Springs Assisted Living

By Vista Springs Assisted Living


The sharing economy, which provides ride-sharing technology from companies such as Lyft and Uber, is quite useful to seniors who can no longer drive or have no access to a means of transportation. While previously the focus was on millennials, the companies are now focusing more on older adults, launching several services to reduce obstacles these adults have while working with the technology.


One stereotype you will come across is that the aging population are more resistant to technology; however, the reality is that there are more members in this age group embracing technology, and taking advantage of services such as Uber and Lyft. Many seniors who cannot drive depend on their friends and family members to get around; however, this is not a sustainable option if you are looking to enjoy your flexibility. Seniors can schedule rides and get to their appointments or social engagements on their own time.

Benefits of Using the Ride-Sharing Apps Include:

  • An easy to use app you can learn to use in a short time even if you are not technologically savvy. Get a tech-savvy helper to guide you through the set up and you can start using the app immediately.
  • Ride-sharing apps offer affordable transportation regardless of your budget. The duration and distance of your ride will determine the money you pay the driver
  • You have access to helpful features that give an estimate for your trip and allow you to split the fare when travelling with a friend.

Despite the obvious advantages, you are likely to face challenges common to seniors when using the apps. Many seniors have concerns such as legality and the credibility of drivers. Additionally, if you grew up with cell phones, you may find the apps a little difficult or confusing. Fortunately, Uber and Lyft are aware of these challenges, and are continuously working to provide solutions for their senior customers.

Some of the Solutions Include:

  • Partnerships with companies that serve seniors and that seniors trust. You can call the numbers of the partner company, where they will organize your transport and schedule a ride for you. If you need assistance getting into or out of the car, the partner company will inform the driver in advance. The partner company also helps you process your credit card details so you have an easy time making payments.
  • Partnerships with companies that offer care services to seniors who have no access to smart phones for easier transportation. The care facility has access to a dashboard where it can request, organize and pay for multiple rides at a go.

While there are legitimate concerns to using ride-sharing apps, there is a lot of investment going into making the apps more friendly and safe to seniors. Using Uber or Lyft can simplify your life, cut your transportation costs and reduce your dependency on loved ones. The good news is that the sharing economy is focusing more on seniors, providing solutions that are more relevant to the challenges the older generation may face.


Reprinted with permission from Vista Springs Assisted Living.


Aging adults and the importance of a rich social life

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Courtesy Vista Springs Assisted Living

By Vista Springs Assisted Living


Think about the last time you hung out with people you enjoyed being around, that made you laugh and with whom you shared interests. How did you feel? Energized? Excited? Now think about the last time you realized it had been a while since you got the chance to see friends or be around people you cared about. How did you feel? Lonely? Deflated? Like your energy had been sapped? Now picture feeling like this every day. It’s a common feeling for many seniors who live alone and is why a rich social life is so important for aging adults.


When we are young, socialization helps develop who we become as a person, and in our older age, socialization can help maintain that. If we lose that, whether it’s due to a health condition that keeps us inside or a decline in friends due to death and illness, it can have a profound effect on our lives and our health.


Experts have labeled loneliness almost as harmful to our health as smoking. According to an article in the Journal Sentinel by Mark Johnson, studies have found that one in 10 Americans live alone and the rate of loneliness in seniors is 35% or higher. And loneliness can lead to a handful of other problems including, poor sleep, high blood pressure, depression, cognitive deterioration, and stress.


The answer to loneliness is socialization. And, given the fragile state of our health as we age, maintaining a strong social life to help prevent extra health issues is particularly important as we get older.


Connecting with friends, talking, and laughing all stimulate the brain. Having something to look forward to every day offers a positive outlook on life and encourages a healthy mental state. This boost in brain activity offered by a connection with others can actually help slow (not cure or stop) the onset of dementia or Alzheimers.
And, those who take the time to see friends and make a point to connect, are more likely to participate in the physical activity that will maintain a healthy body weight, strengthen the heart and slow the onset of many other ailments that can plague us as we age. Simply knowing that there will be someone else there to participate in the activity with, can make anyone more likely to get and move (like an accountability partner at the gym).


This connection and interaction with others is one of the key reasons many family members decide that an assisted living facility is best for their loved one or why many seniors make the decision to move to a more accommodating community. Injuries in our old age can often confine us to wheelchairs and limit our mobility. Assisted living facilities provide all the benefits of an active, social, community, without the hassle of travel.


Activities don’t even have to be extremely physical to be beneficial. Playing cards or games with friends, making something together, group move time, or simply chatting over a cup of coffee are all beneficial to the mental health of seniors, therefore spilling over into their physical health.


So, as your loved one ages and finds it harder to get out and see friends, it’s important to begin thinking of ways to help them remain socially active. Whether it’s making sure they have frequent visitors, providing transportation to and from events, or looking into assisted living facilities that will provide a social community right at their fingertips; any activity is good activity.


Reprinted with permission from Vista Springs Assisted Living.


Surviving Vietnam, Agent Orange and diabetes

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[huge_it_slider id=”70″]


By John Barnes, Spectrum Health Beat


South Vietnam’s Central Highlands was no place to be in 1969.


Double-rotored Chinook helicopters delivered Army Sgt. Scott Chesser, 19, and his soldiers into the enemy mountains, where they fired 33-pound Howitzer shells to support U.S. troops.


“When bullets were zinging around the LZ, when bullets bounced off (the helicopter), it was kind of disconcerting,” deadpans Chesser, now 70, Texas in his voice.


There was another unseen enemy: Agent Orange, a notorious defoliant, now known to cause numerous long-term disorders.


Chesser’s type 2 diabetes is presumably caused by dioxin, the problematic ingredient in the jungle defoliant.


He is an example to others hoping to control the disease—losing nearly 80 pounds with help from his wife, Janna, and the Spectrum Health Medical Group Diabetes and Endocrinology team.


On this summer afternoon, the retired oil industry design technician weighs 210 pounds and is 6 feet, 1.5 inches in height.  “I used to be 6’3” before gravity took over,” he wryly notes. His A1C—a long-term blood sugar measure—is 5.6, the upper range of normal. He no longer takes insulin shots. His blood sugar readings average 100 to 110. About normal.

The diabetes connection

Among Vietnam veterans, combat-related diabetes passed post-traumatic stress disorder as the No. 1 cause for disability payments to Vietnam veterans eight years ago.

Courtesy Scott Chesser

Because Chesser was in combat where Agent Orange was used, he is “presumed” by the U.S. Department of Veterans Affairs to have been in contact with the toxic defoliant. Harmful effects from Agent Orange were not known until years later.


About 270,000 Vietnam veterans are compensated for having diabetes, according to the Department of Veterans Affairs. Chesser does not receive payments.


In 2001, type 2 diabetes was named by the VA among a list of maladies believed tied to Agent Orange. Veterans no longer have to prove contact or a direct link. Service must be from Jan. 9, 1962, through May 7, 1975.


Chesser says Agent Orange was not as widely used in his area, and there is no evidence he or his firing battery came into contact with any.


That is a point of controversy. One in four Americans 65 or older has type 2 diabetes; that compares to one in eight overall. Once called “adult-onset” diabetes, a body’s blood sugar is consistently too high. It can lead to amputations, blindness, heart disease, stroke, kidney damage and nerve damage.


In 2001, the VA added diabetes to its Agent Orange complications after the National Academy of Sciences found “limited/suggestive” evidence due to increased insulin resistance. It was the year after Chesser’s diagnosis.

Life after Vietnam

In 1969, the Army’s storied 1st Cavalry Division (Airmobile) was mounting a counter-attack after North Vietnam’s surprise Tet New Year offensive.


Chesser’s was the Vietnam of combat movies. Heavy-lifting Chinooks, with their distinctive rotors front and aft, sped 7,000-pound Howitzers over perilous mountains. He was based near the demilitarized zone, the contested border between North and South Vietnam. (“You know why it’s called the DMZ? he asks. “Dead Marine Zone.”)


From landing zones hacked into the jungle, artillery batteries fired the cannons at targets miles away to support foot soldiers searching for the enemy. Sometimes they targeted ammo dumps and harassed enemy patrols. Chesser’s landing zone was LZ Action, just below Mang Yang Pass. The steep, narrow choke point was known for enemy snipers and ambushes on US convoys.


Chesser survived the jungle, Viet Cong guerrillas and North Vietnamese soldiers for 365 days. But No. 366 and 367? His return flight on Flying Tiger airway was grounded.


Enemy missiles targeted the Cam Rhan Air Base runway.


“Now, those two days really irritated me,” he said, his humor dry as a Texas oil well.


After the war, Chesser learned electrical and mechanical engineering. He designed and oversaw equipment used to find oil, from the swamps of Louisiana to the remotes of Oklahoma. A test hole was bored. Measuring equipment looked for tell-tale hydrocarbons. Oil.


“We’d break them or make them heroes,” Chesser says.


The Ohio native worked 30 years before retiring in 2010 from Schlumberger Oilfield Services, in Sugar Land, Texas, near Houston.

Photo by Chris Clark

One summer Monday morning, Chesser arrived at his office in Sugar Land. He had spent an uncomfortable weekend, thirsty, urinating at all hours and generally feeling unwell.


A co-worker entered Chesser’s office to review drawings. The worker, a friend, told Chesser, “You know, you got symptoms of diabetes,” Chesser recalls.


The co-worker knew the symptoms well. “When he retired, he was only 59. Within a year he had passed. It was related to diabetes.”

Mustering resolve

Whatever the presumed cause of Chesser’s type 2 diabetes, the treatment is the same, said Gregory J. Deines, DO, a physician with Spectrum Health Medical Group.


Dr. Deines knew of the Agent Orange and Vietnam connection. He did not know the dramatics behind it. “It sounds like you are hearing the other side of the story,” said Dr. Deines, a specialist in endocrinology, diabetes and metabolism.


Initially, Chesser was prescribed oral metformin, a first-defense pill, Dr. Deines said. That worked for about 13 years, but Chesser steadily gained weight. He reached 280 pounds. He was officially obese. His blood-sugar levels were high altitude. And injections?


“I worked myself all the way up to eight insulin shots a day. Every time I ate a bite, I had to take a shot,” Chesser recalls. “I went to my endocrinologist. I said, ‘I’m really tired of this. I think it’s time to finally face it and lose some weight.’”


Physician assistant Gail Friedrick worked closely with Chesser.


“It seemed like the more weight he lost, the more motivated he became,” Friedrick said. “He did an excellent job of logging everything he ate on an app on his phone, along with his exercise, and when he reached his calorie limit for the day, he quit eating. …I don’t see a lot of patients that have the self-discipline to do this.”


Between appointments, Chesser and Friedrick communicated by email on MyHealth, Spectrum Health’s secure patient portal. “This allowed us to have a conversation about adjusting his medications as he lost weight, without the burden or cost of frequent appointments,” Friedrick said.


Chesser’s wife, Janna, 59,  showed Chesser the way. She had seen Scott’s struggle.


“I knew if I didn’t lose the weight I was headed there and I didn’t want that,” said Janna, who began her own weight-loss plan before her husband.


Already 20 pounds lighter toward her planned 70, she and Scott ate healthier and exercised more. They paid attention to portion and diet. He used a free smart phone app “religiously” to monitor calories, consumed and burned, toward his weight goal.


Chesser’s insulin shots became smaller and less frequent.

Coming home

Chesser and Janna moved to 3.5 acres south of Lowell, Michigan, the year he retired.


Not long ago, Chesser stepped out of his pickup into his favorite repair shop, just as he had countless times in the small farm town, population 3,800.


“I said, ‘How you guys doing?’” Chesser recalls. “A worker responds, ‘Can I help out, sir?’ “And I say, ‘You gotta be kidding. I got a bay here with my name on it, I’ve been coming here so long.’


“A lot of people don’t recognize me,” he says.

Photo by Chris Clark

On Day 580 of Chesser’s campaign, his blood-sugar levels averaged near normal. He lost the equivalent of a bag of concrete mix, 76 pounds. He consumes 1,700 calories a day.


“It’s a tremendous feeling,” Janna said. “I don’t have to watch him stick himself all the time.”


Chesser figures he had an advantage or two. “I don’t smoke or drink. Those things probably get me out of harm’s way.”


With his weight-loss goal met, the retiree now turns to monitoring and maintaining.


“If it helps anyone, even one person realize they can do it, then it’s worth it,” Chesser said. “There is nothing special about me. I finally got the gumption to do it.


“My cousin died of complications of diabetes. It was a horrible death, horrible way to go, and all because she didn’t take care of herself,” Chesser said. “If you see that and it doesn’t inspire you, I don’t know what will.”


Another motivator? “I just don’t want to lose my eyesight, a leg or a foot.”


Reprinted with permission from Spectrum Health Beat.

Memory care: The specifics that matter

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Courtesy Vista Springs Assisted Living

By Vista Springs Assisted Living


When caring for patients facing different forms of dementia or memory loss, it can be tempting to look at the big picture only. Will they be safe? Will they be clean? Will they remain physically healthy and as happy as possible? These are all important questions to ask when looking at the care a loved one will receive when diagnosed with a memory disorder. But it’s also important to make sure the memory care facility you are considering focuses on the individual details that will aid in well-rounded care.


Details matter. Here are some of the specific care elements you should consider when choosing a memory care facility for aging adults.

Layout and design

The design of an assisted living community should make it easy for residents to find their way around on their own for as long as possible. The layout should optimize wayfinding, ensure safety and create freedom. Wide hallways, creative labeling, and naming of hallways and sections, bold colors and shapes can all contribute to a safe and vibrant community.


Sliding doors over swinging doors add an extra element of safety, and soft amber lighting over areas such as the restroom can trigger memory and make it easier for patients to locate a spot over and over.

An understanding staff

A staff that is not only trained and certified to care for those with memory problems, but who are also sympathetic, caring, and engaging is key when it comes to creating a positive environment for those with Alzheimer’s or dementia. Looking at certifications and qualifications is important, but it’s also vital to look at the details of their behaviors and attitudes toward their patients.


It’s important that caregivers know when to just go with the flow and when to encourage a patient to try to remember. There will be times when it’s best to go along with an idea even though it’s obviously wrong, and times when it’s best to redirect and distract them. Treating your loved one like a resident and not just a patient can have a huge impact on their overall well-being, and you want to work with a staff you like and can trust.

Peace and stability

A memory care facility that can manage any type of memory care can be beneficial as the needs of your loved one change. Things can become unfamiliar and scary as memories begin to fade, but being in a familiar environment and surrounded by friends can keep patients in good spirits and often slow the progression of the disease. When a facility supports all stages from independent living, to minimum care to advanced memory care, it can make sure your loved one is getting the best care, right from the beginning and they won’t be jarred by sudden moves, changes in staff or location.


A part of this stability comes from a peaceful living environment. Alarms should be as silent as possible to avoid distressing patients, and all areas of the facility should be designed with peace in mind. Fireplaces, pianos, patios and plenty of sunlit areas can all add to a feeling of peace and contentment and help keep patients calm no matter their stage.

An active social life

When memory patients are at home being cared for by a loved one, it can be easy to create a bubble and cut off the outside world. But, maintaining an active social life is key to making sure they feel like belong. Even if they don’t participate in activities or conversation, just being surrounded by it, listening, thinking and reacting will activate and stimulate certain areas of the brain. Organized activities and an active community help make sure patients stay involved and maintain a social life.


Social time is also a great time to promote activities and games that build memory muscle, keep brains active and renew remaining capacities for memory.


So, when choosing a memory care facility, don’t just look at the pictures. Pay attention to the details and make sure your loved one will be cared for in every aspect of their everyday life.


Reprinted with permission from Vista Springs Assisted Living.