New Alzheimer's Treatment Offers Hope, Uncertainty on June 7, the FDA Our Elected Officials and Other Approved Aduhelm (The Brand Interested Stakeholders

IN THIS ISSUE: "Senior Moment," Dividat Senso, Farm Labor at Linnell Camp, "My Diabetes Tutor," 80-Year-Old Tops UK Album Chart

News,TheThe Health & Leisure for South GoodGood Valley Adults 50+ • Volume VIII, NumberLifeLife 3 • July/August 2021 New Alzheimer's Treatment Offers Hope, Uncertainty On June 7, the FDA our elected officials and other approved Aduhelm (the brand interested stakeholders. With name for aducanumab) to a treatment for a serious, life- treat patients with Alzheimer’s threatening disease in the disease using the "accelerated balance, it makes sense that so approval" pathway, which al- many people were following Pictured (above left, l-r) are Tulare County Supervisors Eddie Valero, lows the FDA to approve a the outcome of this review." Amy Shuklian and Larry Micari; and (above right, l-r) Tulare County drug for a serious She noted that Supervisors Dennis Townsend and Pete Vander Poel placing purple or life-threatening the data included flags on the lawn of Tulare County Government Plaza in recognition illness when the in the applicant’s of World Elder Abuse month during the annual World Elder Abuse drug is reasonably submission "were Month ceremony on June 1. likely to have a highly complex clinical benefit to and left residual patients, but when uncertainties Tulare County Marks Elder there remains some regarding clinical uncertainty. benefit." Abuse Awareness Month Aduhelm is the "There has been June is World Elder Abuse Abuse Awareness Month. first new therapy approved for considerable public debate Awareness Month and Tulare Due to the ongoing Alzheimer’s disease since 2003. on whether Aduhelm should County Health & Human Ser- COVID-19 pandemic, the flag The drug is the first treatment be approved," Cavazzoni vices Agency (HHSA) partici- ceremony planners limited the directed at the underlying conceded. "As is often the case pated by encouraging commu- attendance to follow health pathophysiology of the disease, when it comes to interpreting nity members to wear purple and safety protocols. the presence of amyloid beta scientific data, the expert on World Elder Abuse Aware- World Elder Abuse Aware- plaques in the brain. community has offered differing ness Day on June 15. ness Day (WEAAD) was The clinical trials for perspectives. Purple promotes a better launched on June 15, 2006 by Aduhelm were the first to show "At the end of the day, we understanding of abuse and the International Network for that a reduction in these plaques followed our usual course of neglect of older persons by the Prevention of Elder Abuse — a hallmark finding in the brain action when making regulatory raising awareness of the cul- and the World Health Organi- of patients with Alzheimer’s — is decisions in situations where the tural, social, economic and de- zation at the United Nations. expected to lead to a reduction data are not straightforward," mographic processes affecting The purpose of WEAAD is to in the clinical decline of this she continued. "We examined elder abuse and neglect. provide an opportunity for devastating form of dementia. the clinical trial findings with a On June 1, Tulare County communities around the world "We are well-aware of the fine-tooth comb, we solicited HHSA came together with com- to promote a better under- attention surrounding this input from the Peripheral munity leaders to bring aware- standing of abuse and neglect approval," said Dr. Patrizia and Central Nervous System ness by placing purple flags of the elderly. Cavazzoni, director of the FDA Drugs Advisory Committee, we and ribbons on the grounds In 2020, 866 reports of elder Center for Drug Evaluation listened to the perspectives of of Tulare County Government abuse were received in Tulare and Research. "We understand the patient community and we Plaza along Mooney Boulevard County. If you or a loved one is that Aduhelm has garnered reviewed all relevant data. in Visalia in a show of support experiencing elder abuse, call the attention of the press, the "We ultimately decided to and awareness for World Elder (877) 657-3092. Alzheimer’s patient community, use the Accelerated Approval pathway — a pathway intended to provide earlier access to Life Slowly Gets Back to Normal for Local Seniors potentially valuable therapies It seems that things are She also informed us that, for patients with serious changing and that life is getting “The status for Senior Games diseases where there is an back to normal following the lift- 2021 is yet to be determined.” unmet need, and where there ing of the state mask mandate “We’re trying to get back to is an expectation of clinical last month. There is one con- normal,” said Armando da Sil- benefit despite some residual stant in recent months, howev- va, recreation supervisor for the uncertainty regarding that er – there continue to be mixed City of Hanford. “We’re in the benefit." messages about how much has process of hiring staff and once Alzheimer's Association actually gotten back to normal. they are hired on, we will hope- Response Local senior centers are wait- fully open up completely.” “This approval is a victory for ing for city and county officials It should be noted, however, people living with Alzheimer’s to give them a green light be- that the city’s parks and commu- and their families,” said Harry fore they open their doors. nity services department con- Johns, Alzheimer’s Association “We are awaiting new guid- Zumba in Hanford's Civic Park tinues to host aerobics classes president and chief executive ance from public health officials helps some to celebrate the in Longfield Center and zumba officer. “This is the first FDA- in order to determine when we end of the pandemic. classes in Civic Park. approved drug that delays will be able to offer in-person genkamp, recreation manager No announcement was forth- decline due to Alzheimer’s programming at the (Visalia) Se- for the City of Visalia Communi- coming from the City of Tulare. disease. This means individuals nior Center,” said Laurissa Rog- ty Services Department. (continued on page 9) (continued on page 14) VETERANS CORNER

www.TheGoodLifeSV.com July/August 2021 2 - The Good Life VETERANS CORNER

Burial Benefits Are you aware that the Department of VeteransVETERANS Affairs (VA) CORNER offers burial benefits? One of these benefits is burial in a Nation- al Cemetery. National Cemetery burials in- Heat and Older Adults clude (at no cost to the family) a gravesite People aged 65 years or old- hot weather. in any of the 155 national cemeteries that er are more prone to heat-relat- • Don’t use the stove or has space, opening and closing the grave, ed health problems. Below is in- oven to cook — it will make you perpetual care, a government headstone or formation from the Centers for and your house hotter. marker, a burial flag, and a Presidential Me- Disease Control and Prevention • Wear loose, lightweight, morial Certificate. website (www.cdc.gov) about light-colored clothing. The San Joaquin Valley National Cem- Ken Cruickshank how you or the person you are • Take cool showers or caring for can stay safe during baths to cool down. etery in Gustine and the Bakersfield National Cemetery outside the heat this summer. • Do not engage in very of Bakersfield are the two closest national cemeteries to Tulare Why are Older Adults More strenuous activities, and get plen- County.VETERANS Cremated and CORNER casketed remains are either buried or in- Prone to Heat Stress? ty of rest. urned in the same manner and with the same honors. • Older adults do not adjust • Check on a friend or A veteran’s spouse or dependent can also obtain burial ben- as well as young people to sud- neighbor and have someone do efits at no cost, which includes eventual burial beside the veteran den changes in temperature. the same for you. in a national cemetery and perpetual care. The veteran’s head- • They are more likely to • Follow additional tips on stone will include the spouse or dependent’s name and dates of have a chronic medical condition how to prevent heat-related ill- birth and death, even if he or she dies before the veteran. that changes normal body re- ness. If a veteran prefers a private cemetery burial, benefits include sponses to heat. Stay Informed a government headstone or marker, a burial flag, and the Presi- • They are more likely to • Check the local news for dential Memorial Certificate, also at no cost. Some veterans may take prescription medicines that health and safety updates. be eligible for a burial allowance, regardless of type of burial. affect the body’s ability to control • Seek medical care im- Specific National Cemetery gravesites cannot be reserved in its temperature or sweat. mediately if you have, or some- advance; however, a veteran may complete a VA Form 40-10007 Stay Cool, Stay Hydrated one you know has, symptoms of Pre-Need Determination Request. This form will not guarantee • Stay in air-conditioned heat-related illness like muscle you will be buried in a specific national cemetery, but it will assist buildings as much as possible. If cramps, headaches, nausea or the VA in fulfilling your final wishes. your home doesn’t have air condi- vomiting. Veterans should advise their family members of their burial tioning, contact your local health Caretaker Checklist wishes, as well as where to find their separation papers (provid- department or find an air-condi- Keep a close eye on those ed at separation from military service), because they establish the tioned shelter in your area. in your care by visiting them at veteran’s benefit eligibility. If you need copies of these papers, • Do not rely on a fan as least twice a day, and ask yourself your local Veterans Services Office can help you apply for them. your main cooling source when these questions: When the time comes, your family can easily seek assistance from it’s really hot outside. • Are they drinking enough a funeral home or cremation center. • Drink more water than water? If you have completed a Pre-Needs Request (this already de- usual and don’t wait until you’re • Do they have access to air- termines your eligibility), you will have to make a call to 1-800-535- thirsty to drink. conditioning? 1117 to request a burial. If not, then the family must gather the • If your doctor limits the • Do they know how to keep documentation required to establish eligibility and fax it to 1-866- amount of fluids you drink or has cool? 900-6417 and then make a call to 1-800-535-1117 to confirm the youEveryone on water pills, needs ask them a little how extra• Dohelp they sometimes show any signs! of burial application. The VA does not make funeral arrangements or much you should drink during heat stress? perform cremations; the family must make those arrangements. The VA does not control burials at either Arlington National Cemetery or The United States Soldiers and Airmen’s Home Na- Everyone needsPenny aEveryone little DeJarnatt extra needs a help little extra sometimes help sometimes! ! tional Cemetery; these cemeteries are under the control of the Phone: (559Everyone) 967 needs-3003 a little extra help sometimes! PENNY Department of the Army, which establishes eligibility. You will SS 'S I Penny DeJarnatt M PennysSeniors @gmail.com need to call 1-877-907-8585 to inquire about burial at either of Penny DeJarnattPhonePenny: (559 DeJarnatt) 967-3003 Phone: (559) 967-3003 these cemeteries. S [email protected] E PhoneS : (559) 967PennysSeniors-3003 @gmail.com R R V O I I My commitmentC PennysSeniorsN is to provide@ servicesgmail .neededcom for aging Ken Cruickshank, the Veterans Services Officer for Tulare Coun- E E My commitmentMy commitment is tois to provide provide services needed needed for foraging aging adultsS F O, orR S seek out the resources to fulfill the need. adultsadults, or seek, or seek out out the the resources resources to to fulfill fulfill the the need need. . ty, is a retired Navy Master Chief Petty Officer. Contact him at the Veterans Services Office at 3348 W. Mineral King Ave., Visalia; by Transportation • ShoppingTransportationTransportation • Errands • Shopping • Shopping• Organizing • •Errands Errands •• Organizing Organizing• Consulting • Consulting • Consulting My commitment is to provide services needed for aging phone at (559) 713-2880; or by email at [email protected]. adults, or seek out the resources to fulfill the need. Compassionate, Transportation • Shopping • Errands • Organizing • Consulting Professional & Reliable Caregivers News,TheThe Health & Leisure for South GoodGood Valley Adults 50+ • Volume VIII, NumberLifeLife 3 • July/August 2021 for Your Loved Ones We offer the highest quality non-medical Publisher/Webmaster - Larry Kast homecare aide and companion services. Managing Editor/Art Director - Steve Pastis We are a cost-effective means of keeping your loved one in their home environment For advertising information, call: for as long as possible. Steve at (559) 280-9774, or Larry at (559) 732-5030 Now accepting clients through the VA. For more information, The Good Life is published by Kast & Company Commu- please visit us at nications. Articles and information not written by Kast & www.extracaringhc.com, Company Communications are assumed to be accurate as or scan the QR code. provided. This publication does not provide professional, Extra Caring Homecare, LLC medical, legal or accounting advice, and always recom- 4119 West Walnut Avenue mends seeking counsel from an appropriate professional. Visalia, California 93277 (559) 366-7987 Kast & Company Communications P.O. Box 7173, Visalia, CA 93290 (559) 732-5030 Deadline for September/October issue is Wednesday, August 18, 2021 July/August 2021 www.TheGoodLifeSV.com The Good Life - 3 Elder Abuse Grant Continues to Serve Tulare County Seniors In 2020, the Tulare County District Attorney utilized a Gov- ernor’s Office of Emergency Services grant to advocate and assist victims of elder abuse. The $190,000 grant fully funded two victim advocates, one of whom is bilingual, who work with victims through the court process, train caretakers and community members on elder The 2019 Walk to End Alzheimer's, held at Mooney Grove Park in abuse, and create awareness of Visalia, raised more than $32,000 to fight the disease. the crime. The grant also funds a yearly Local Alzheimer's Association television and radio anti-abuse The grant funded books and campaign, and associated ma- other educational materials in Awaits OK for October Walk terials for community distribu- both English and Spanish. The Alzheimer’s Associa- urday, October 2, at Mooney tion. During the 2020 grant cy- tion is inviting Tulare and Kings Grove Park in Visalia have been cle, advocates worked with over today. The books are free to the County residents to join the submitted to the Tulare Coun- 300 victims of physical and fi- public and will be distributed at fight to end Alzheimer’s by party Parks & Recreation Depart- nancial abuse. During that same future events, trainings and pre- ticipating in the 2021 Alzhei- ment's Advisory Board, which time, 55 cases of felony and sentations. mer’s Association Walk to End evaluates each event's detailed misdemeanor elder abuse were “With California on the Alzheimer’s. COVID plan before approval. filed by TCDA prosecutors. The verge of returning to pre-pan- "We’re moving forward with The pandemic forced the grant was renewed for 2021. demic activities, we greatly en- plans to host Walk to End Alz- cancellation of the traditional “I don’t have to remind any- courage any community group, heimer’s in person this fall," Mooney Grove event last year, one that the COVID pandemic caretaker association, church, reported Amanda Valenzuela, replacing it by having partic- was a stressful time for many senior center or individual inter- development manager of the ipants organize walks in their and greatly inhibited our office’s ested in spreading elder abuse Alzheimer's Association's Cali- own neighborhoods. in-person contacts,” said District awareness and education to fornia Southland Chapter. "The The Alzheimer’s Association Attorney Tim Ward. “However, contact our office for resources health and safety of our par- Walk to End Alzheimer’s is the staff was vigilant in its pursuit of and presentations. Prevention ticipants, staff and volunteers world’s largest event to raise justice for abused seniors and is the key to stop seniors from remain our top priorities as we awareness and funds for Alz- we look forward to increasing becoming victims,” said TCDA make decisions about event heimer’s care, support and re- important outreach in 2021.” Victim Advocate Nicole Burn- details, and we’ll continue to of- search. Held annually in more A significant resource was ham. fer options to participate online than 600 communities nation- developed during the 2020 For printed resources or to and in your neighborhood." wide, this inspiring event calls grant cycle – a bilingual book schedule a presentation, call Plans for this year's walk, on participants of all ages and that addresses the most com- the TCDA Victim Services Divi- tentatively scheduled for Sat- (continued on page 11) mon scams targeting seniors sion at (559) 636-5471. 4 - The Good Life www.TheGoodLifeSV.com July/August 2021 Hanford Endocrinologist Creates Diabetes Telehealth Program Hanford-based endocrinol- diagnosed with diabetes has ogist Prem Sahasranam, MD, is more than tripled locally and now offering My Diabetes Tu- across the United States. tor, a telehealth education pro- “People struggle with dia- gram for residents struggling betes self-management, which to manage their diabetes. can lead to high blood sugar My Diabetes Tutor is an on- over time and poor outcomes,” line program that focuses on Dr. Sahasranam explained. “Or helping the estimated one out they rely on their health care of every two Valley residents provider for help, but providers who are living with high blood may lack the time to educate sugar but who have never seen them, and there may be no oth- a specialist in diabetes care er resources to help them.” and education. That’s where My Diabetes According to a recent Cal- Tutor can help. ifornia Health Interview Sur- My Diabetes Tutor is the My Diabetes Tutor provides five one-hour sessions to educate pa- vey, 48% of the population has first statewide telehealth dia- tients about type 1 and 2 diabetes, along with diabetes in preg- been diagnosed with pre-di- betes education program in nancy, and insulin pump and sensor education and support, all abetes, 13% has diabetes and California to receive national via the internet. 10% has gestational diabetes. accreditation by the Associa- Gujarati and Mandarin, Dr. Sa- Healthcare, Aetna, Sante, Brand And the number of adults tion of Diabetes Care & Educa- hasranam noted. New Day, Blue Cross Medicaid tion Specialists. It provides five “Telehealth is a convenient and KEY MEDICAL (Kings and one-hour sessions to educate and effective way to help pa- Tulare counties). patients about type 1 and 2, tients manage their diabetes The practice is in the pro- along with diabetes in preg- from the comfort of their home, cess of securing contracts with nancy, and insulin pump and with the peace of mind that other major health plans and sensor education and support, comes from knowing the pro- on the path to providing care all via the internet. viders are trained specifically to to patients associated with Ad- Follow-up sessions are address the concerns of diabe- ventist Health, United Health available to provide more in- tes,” Dr. Sahasranam said. “And Center facilities and Aria Com- formation on topics such as we are seeing patients lower munity Health Centers in the nutrition and weight manage- their HbA1c thanks to the right Central Valley. ment. Patients can schedule an education. To learn more, visit www. online video session with one “It’s never too late to take mydiabetestutor.com and reg- of the certified diabetes care action,” he added. ister online with one of the and education specialists via The program is approved certified diabetes care special- the secure, HIPPA-compliant by the Center for Medicare ists; email the practice at info@ secure platform. and Medicaid services so it mydiabetestutor.com; or call The program has 18 edu- is covered by Medicare. And 1-844-623-0999 to schedule cators who speak foreign lan- the practice is contracted with an appointment or for more in- Prem Sahasranam, MD guages such as Spanish, Hindi, Tricare, Blue Shield, United formation.

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Prestige Assisted Living at Visalia 3120 W. Caldwell Ave. Visalia, CA 93277 (559) 735-0828 www.PrestigeCare.com License No.: 547200844 July/August 2021 www.TheGoodLifeSV.com The Good Life - 5

Pinwheel gardens align the walkway at Stratford Library (above). Kings County volunteers (at right) take a moment to relax after completing yard improvements for a local senior. Kings County Observes Elder Abuse Awareness Month Volunteers from Kings District Attorney Victim Wit- removed from the front of her to them. The “elder” could County agencies were busy in ness Office and locations in home. It truly was a fire hazard. be a neighbor, grandparent, June with projects to mark El- Corcoran. Our Assistant Chief of Investi- friend or anyone else they der Abuse Awareness Month. "Pinwheel gardens are just gations Charlie Flores went to cared about. Pinwheel gardens were the beginning of the activities the home to assess the need. planted throughout Kings here in Kings County,” she said. He realized that we could re- County. Pinwheels and ban- The Kings County District move the bush but also do ners were placed on display at Attorney’s Office, Kings Coun- several other chores around the Hanford Library, Stratford ty Commission on Aging, the home. We reached out to Library, Stratford Fire Depart- Kings County Human Services Richards Tree Service and they ment, and Fleet and Family Agency, Adult Protective Ser- donated their time and assist- Services. vices, Kings Community Ac- ed us with trimming a large “We also have banners and tion Organization and Kings tree on the property as well. pinwheel gardens at City of County Probation Department "We also repaired a fence Avenal, Hacienda Post Acute, have teamed up to “Adopt a and disposed of yard debris – Corcoran City Park, Kings Senior.” all because Ms. M had a bush County Commission on Ag- Each week in June, the that she needed removed.” ing and Kings County Human committee designated a se- Posters with statistics and Services Agency,” said Julia nior in the community as the drawings were put on display Patino, Kings County victim “adoptee,” and worked to- at the Hanford Mall on June witness coordinator. gether to assist the senior. 16. Patino also listed locations “Our first ‘adoptee' we will Community members were Kings County volunteers work at the Kings County District At- call Ms. M,” said Patino. “Ms. M asked to draw or paint pictures hard for their "Adopt a Senior" torney’s Office, Kings County needed a dried-up dead bush of what the term “elder” meant program. 6 - The Good Life www.TheGoodLifeSV.com July/August 2021 New CDC Campaign Aims to Prevent Injury to Adults Ages 65 and Over The Centers for Disease from happening and maintain older patients. Control and Prevention (CDC) is your independence and mobil- • Older adults can better launching "Still Going Strong," ity longer.” maintain their independence a national campaign to bring Older Adult Injuries and mobility, and minimize the attention to ways adults age 65 Older adults had over 2.4 risk of falls, by removing throw and older can age without inju- million emergency department rugs and other potential trip- ry. (ED) visits and 700,000 hospital- ping hazards. They can limit po- The campaign is raising izations related to injuries from tential injury when travelling by awareness about the leading falls, motor vehicle crashes, opi- always wearing a seat belt while causes of unintentional injuries oid overdoses and self-harm in driving or riding in a vehicle. and deaths in older adults. Still 2018, according to a new CDC • Friends, family and care- Going Strong will encourage report in the Morbidity and Mor- givers can help loved ones live older adults to continue partic- tality Weekly Report. Uninten- longer and healthier lives by ipating in their favorite hobbies tional falls accounted for over talking with them about fall and and activities, while informing 90% of these ED visits and hos- TBI in older adults. TBI is a ma- motor vehicle crash prevention them and their caregivers of pitalizations. jor cause of death and disability, and by encouraging them to steps they can take to prevent Falls – Falls are the leading and those who survive a TBI can stay active and make safe choic- injuries that disproportionately cause of fatal and nonfatal in- face effects that last a few days es, such as finding alternative impact this population — falls, juries in older adults. An old- or the rest of their lives. transportation at night. motor vehicle crashes, and trau- er adult falls every second of Aging without Injury • Healthcare providers can matic brain injury (TBI). the day, accounting for over 36 Over 10,000 people in the ask their older patients if they “Experiencing injuries does- million falls each year. Of those United States turn 65 every day. have concerns about falling or n’t have to be a normal part of falls, one out of every five causes Getting older doesn’t have to driving safely. They also can re- aging; many injuries that are a serious injury, such as broken mean giving up your favorite view older patients’ over-the- common in older adults can be bones or a head injury. After an hobbies and activities. Older counter and prescription med- prevented,” said Debra Houry, older adult falls, their chances of adults are more active and mo- ications to identify if any cause MD, MPH, director of CDC’s Na- falling again and getting injured bile than ever, but an injury from drowsiness or dizziness. tional Center for Injury Preven- increases. a fall or motor vehicle crash can CDC’s Still Going Strong tion and Control. “We know that Motor Vehicle Crashes – decrease their independence. campaign will initially focus ads injuries and deaths from falls Older adults account for over It’s important for older adults in metro and rural markets in and motor vehicle crashes are 46 million licensed drivers in and their caregivers to under- four states: Maine, Oklahoma, increasing in older adults. the United States — or one in stand common injuries that can Oregon, and Wisconsin. States "We hope Still Going Strong five drivers. Driving helps older happen as we age and what they were selected for their inci- will help inform our audience adults stay independent, but the can do to prevent these injuries. dence of older adult falls, fall about simple steps they can do risk of being injured or killed in Older adults and their care- injuries, motor vehicle crashes to prevent injuries and their last- a motor vehicle crash increases givers can help prevent injuries and deaths caused by injuries. ing effects," she continued. "Ev- as we age. Every day, 700 older from falls and car crashes by ask- The campaign will have national eryone has a role — older adults, adultsCaregivers are injured in a motor ve- ing their healthcare providers — reach through digital and- social We See You! caregivers, loved ones and hicle crash and 22 die because including general practitioners, media and partner efforts. healthcare providers. By taking of their injuries. specialists, physical therapists Learn more about the Still proactive steps, you can prevent TBI – Falls and motor vehicle and pharmacists — what safety Going Strong campaign at www. potentially life-changing injuries crashes are common causes of measures they advise for their cdc.gov/StillGoingStrong Caregivers - We See You!

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The over-$7 million project improved the 100-apartment, nine-story facility to a higher standard than what people expect from low income residential housing. Town Meadows Extreme Makeover Nears Completion "It (COVID) was more of a new landscaping was installed, tion to renovate Town Meadows By Larry Kast hindrance to the project.” said including a planting bed for was to bring to life and beauti- While the rest of the world Lori Trowbridge, who manages vegetables and a renovated fy the already existing property battled COVID-19, Town Mead- the 100-apartment, nine-story barbecue area. Where there that we had recently acquired,” ows was more than lobby deep facility. “Some of the construc- was once an awning outside the said Jordan Pynes, president of in a massive renovation project tion employees didn't want to front entrance is now a massive Thomas Safran & Associates. at the senior residential apart- risk coming to work, especially pergola, including the facility’s “The residents were already liv- ment complex in downtown at a senior residential facility," name and signature Thomas ing in the community, and we Visalia. Town Meadows is a low in- Safran & Associates clock. recognized an opportunity to Today, with just a few tweaks come housing complex for A fully redecorated lobby enhance the building." remaining, the over-$7 million those ages 62 or over, which greets residents and visitors The corporation has devel- project catapults the multi-sto- receives subsidies from the U.S. upon entrance, and each apart- oped over 6,000 units of luxury, ry building past what many Department of Housing and ment in the building was re- affordable and mixed-use rent- would think of when it comes Urban Development that offset modeled while the occupants al housing in Southern Califor- to low income residential hous- the cost of rent. Eligible resi- were temporarily relocated to nia over the past 40 years, and ing. dents pay 30% of their monthly a nearby hotel, all at the new said in a press release, “We are “I think it's very nice. The income toward their rent, with owner’s expense. committed to providing supe- common areas are beautiful“, all utilities included. But while Despite the cost of the proj- rior design, maintaining our said Betty Giles, an 89-year-old low income housing might con- ect, residents’ rent was not af- properties to the highest stan- who has lived at Town Mead- jure images of spartan furnish- fected. But what was affected dards and enriching the lives of ows several times since orig- ings and 1960’s decor, the re- due to COVID was the nor- the people who reside in our inally moving there in 2000. model that began in the fall of mally long waiting list, which buildings.” While most of the “We have a beautiful kitchen. In 2019 did far more than paint a has dwindled. Prospective res- corporation’s properties are in the lobby, we have a beautiful few walls and spruce up some idents weren’t allowed to tour Southern California, two are in couch and chairs. It's very, very pillows. the facility due to the shutdown Fresno. nice.” “. A new kitchen and com- caused by the pandemic, and For more information or to The facility, purchased by puter lab were created. Where what was once more than a apply, go to www.TSAhousing. Thomas Safron & Associates there were once storage rooms year's wait to get an apartment com or call (559) 627-2220. in August 2018, wasn’t easy to is now a beautiful lounge area after meeting qualifications has (Want to see more? Log on transform during the COVID with a massive TV and inviting diminished. to www.TheGoodLifeSV.com for pandemic. couches. Outside the building “The motivation and inspira- more photos.)

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(559) 713-6999 Open: Friday 9am-1pm Sat & Sun 9am-5pm Monday 9am-1pm 218 N Conyer, Suite E, Visalia CA 210 N. Tipton Street | Visalia, CA 93292 | (559) 733-5975 8 - The Good Life www.TheGoodLifeSV.com July/August 2021 ENTERTAINMENT Shatner, Smart, Lloyd Share a 'Senior Moment' Victor Martin (William Shat- ner) is a retired NASA test pilot often seen speeding around Palm Springs in his vintage Porsche convertible with his best friend Sal (Christopher Lloyd). His life changes when his license is re- voked for drag racing and his car impounded in the new romantic comedy "Senior Moment." Forced to take public transportation for the first time, Victor meets his polar opposite, Caro- Sir Tom Jones line (Jean Smart), and learns to navigate love and life again as he 80-Year-Old Tops battles a new district attorney to get back his license and car. Christopher Lloyd and William Shatner star in "Senior Moment." UK Album Charts "'Senior Moment' is a roman- classic and modern, it's classy all the right elements to become With the release of his newest tic comedy that will please many and funny. Just like the movies a commercial success, led by a record, "Surrounded by Time," generations of viewers," said Di- 'Something’s Gotta Give,' 'It’s cast that everyone loves, from Sir Tom Jones has become the rector Giorgio Serafani. "It brings Complicated' and 'When Harry millennials to a mature audi- oldest man to top the UK album together two iconic actors in the Met Sally.' ence." chart. splendid setting of Palm Springs. "'Senior Moment' is a love "The central theme of this The 80-year-old singer broke "What attracted me to 'Senior story with a message," added movie is you’re never too old to the record set last year by Bob Moment' was the possibility to Serafani. "It is an unpretentious fall in love," said Producer Gina Dylan, who was a mere 79 when make a film that will resist the test reflection on growing older. With Goff. "ln addition to the large au- his "Rough and Rowdy Ways" of time," he continued. "A film the only goal to make the audi- dience for our movie, we have a topped the chart. (Jones' new that has the potential to become ence laugh and cry, it is my goal built-in audience of 50-plus view- album includes his version of a cult Valentine's Day re-run. It's to bring to screen a film that has ers who represent 34% of the Dylan's song "One More Cup of United States population and are Coffee.") underserved by our industry." "It's wonderful that the public William Shatner, best known has allowed me to be musically for "Star Trek" and “The Prac- expressive at my time of life and tice," stars in "Senior Moment." have shown their support," he Jean Smart, his romantic inter- said in an interview. "I am forever est in the movie, has appeared grateful." in movies such as “Watchmen” The new release is Jones' and "Garden State." Christopher fourth number one album and Lloyd, who starred in the "Back first since 1999. to the Future" movies, as well as For the "record" (sorry), the on the television show "Taxi," is oldest person to top the Brit- also featured in the movie. ish album chart was 92-year-old "Senior Moment" is now Dame Vera Lynn with her 2009 A tender moment between Jean Smart and William Shatner in "Senior showing on Amazon's Prime Vid- greatest hits collection. Moment." eo and on Apple TV. THE GOOD LIFE BUSINESS CARD DIRECTORY Experts in the diagnosis and treatment of LEG PAIN and VARICOSE VEINS

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(559) 492-7745 Learn More at Heycuz.net/get-my-tree/ July/August 2021 www.TheGoodLifeSV.com The Good Life - 9 Back to Normal... Webinar Offered to Caregivers (continued from page 1) of Those with Memory Loss “We are playing it week by It might start small – may- week,” said Karie Rodriguez of be your mom or dad forgets a City of Tulare Community Ser- birthday, or the cable bill goes vices unpaid for a month. It might There was good news from seem like the type of thing that Valley Strong Ballpark last month can slip anyone’s mind. as the Visalia Rawhide was able But soon it progresses to to open the park to full capacity. more consistent forgetfulness. (See article on page 10.) Many Maybe they go for a walk and of the special game events will then can’t remember how to continue, but unfortunately, not get home. Maybe their spend- all of them. ing habits change, and sudden- “We will not be having a ly more purchases are showing Belle of the Ballpark this year up at the door that they don’t because of not being able to remember buying. have player involvement,” said Before long, they receive a Jillian Gearin, the team’s direc- diagnosis that may not be sur- tor of broadcasting and media prising but is still devastating David Troxel, MPH relations manager, about the - Alzheimer’s disease or some or dementia – in other words, senior pageant. She explained other dementia. family members or spouses who that players still need to main- The message on the Visalia Fox A diagnosis of a cognitive have taken on the responsibility. tain social distance rules. Theatre marquee during the condition means that often the If you have a loved one with After the pandemic forced early days of the pandemic is adult child has to assume the a diagnosis of Alzheimer’s Dis- last year’s Walk to End Alzhei- finally about to come true. role of parent, as they care for ease or dementia, or you are mer’s from Mooney Grove Park about event details, and we’ll their loved one who may not just concerned about cognitive in Visalia to neighborhood walks continue to offer options to be able to live alone anymore. decline, you will probably ben- throughout the South Valley, the participate online and in your The demands of taking on that efit from a free webinar present- event looks to return to its tradi- neighborhood.” responsibility are stark – from ed by Prestige Assisted Living tional location this year. And entertainment venues worrying about nighttime wan- at Visalia at 2 p.m. on Tuesday, “We’re moving forward with also expect to open their doors derings to managing their fi- August 24. plans to host Walk to End Alz- soon. nances. It might become a sec- David Troxel, MPH, will host heimer’s in person this fall,” said “We'll start having shows ond full-time job on top of one the webinar entitled “Demen- Amanda Valenzuela, develop- again in the fall,” said Kent Stahl, they might already have. tia - Lessons Learned through ment manager of the Alzhei- production & operations man- If you find yourself in that Purposeful Engagement," which mer's Association’s California ager of the Visalia Fox Theatre. position, know that you’re not will help provide caregivers with Southland Chapter. (See article With any luck, this will be the alone. The Alzheimer’s Associa- tools and strategies in caring for on page 3.) “The health and last of our "pandemic updates." tion estimates there are over 11 their loved one. safety of our participants, staff Congratulations to all of you for million Americans currently pro- To sign up for the free webi- and volunteers remain our top making it through the last 16 viding unpaid care to people nar, visit www.prestigecanhelp. priorities as we make decisions months! living with Alzheimer’s Disease com

This is MY SHOT to end the pandemic

COVID-19 vaccination appointments are available! Call to schedule yours today. 559.741.8444 10 - The Good Life www.TheGoodLifeSV.com July/August 2021 QUAIL CORNER Visalia Rawhide Loneliness and Dementia; Insurance and Living Facilities Open Ballpark to QuailQ&A with ParkKimberly RetirementJensen Village Full Capacity My mom has been living by by getting her involvedTo with host injuries that occur when the de- Valley Strong Ballpark herself during the COVID pan- social interaction now, you can lay of medical services is intro- opened at full capacity on June demic, and I am noticing she help to slow her decline. Now duced. I always recommend that 22. The Visalia Rawhide, follow- is getting extremely forgetful.FREE that churches, Shredding restaurants Day and seniorsFor Allwho insist Seniors on living in ing the recommendations of Does she have dementia? senior centers are re-opening, their homes have a person they the California Department of The fear of getting COVID it is importantFriday, for her Septemberto feel call twice 13 a day to check in with Public Health (CDPH), no lon- has been very detrimental to purpose-filled 8:00 and toactively 11:00 en- them a.m. to say that they are alright. ger require social distancing. the mental health of our seniors. gaged with others. Many independent and as- “Our staff is excited to final- Older adults who are socially sisted facilities will allow friends ly have Valley Strong Ballpark isolated show more rapid cogThere- areI amtwo looking main reasons into moving why document to to share shredding apartments, is important: which filled with Rawhide fans,” said nitive decline than thoseTo who prevent a senior identity independent/assisted theft and to safely dispose means of confidentialthey split the information. cost of se- Sam Sigal, president and team are in a social senior setting. living community. Does insur- nior living, making it easier on co-owner. “This has been some- Loneliness has been found Oneance or paytwo forpieces it? of personal informationthe finances. from your Make garbage sure you get thing our entire community has to increase the risk of devel- Independentare all that livingis required and asto- stealalong your well identity. with your roommate been working towards. We are oping dementia exponentially, sisted living communities in Tu- because if one of the two of you grateful to Tulare County for all especially when there is a loss lare County are private pay. If are no longer in the apartment, of their hard work.” of a spouse (who used to Markbring youryou calendars were wise and enough bring yourto get important a the remaining documents party for willshredding. have to This announcement means much needed companionship). long-term care Helpinsurance us protect pol- yourpay ID!the full price. there will no longer be pod In fact, loneliness has an influ- icy (one that includes residen- seating, limited group areas or ence like other more well-es- tial care facilities), it will help Kimberly Jensen has been a buffer zone between players tablished dementia risk factors youLocation: pay the assisted Quail living Park fees. Retirement working with Village Quail Park as a Se- and fans. All group outing areas such as diabetes, hypertension, Long-term4520 care W.insurance Cypress pol -Ave.,nior Resource Visalia Advocate for over can be used to full capacity and physical inactivity and hearing. icies are purchased separately ten years and has helped hun- the 100-level grandstands will Social activity can buffer seniors from health insuranceInformation: and have 624-3503 dreds of families find solutions to be available for seating. against cognitive decline. hefty premiums. They are life their senior problems. If you have Masks will no longer be Maintaining relationships in savers, however, when you start a question, you can send it to her mandatory to enter Valley person and staying social is a using themRefreshments to cover expenses, will beat [email protected] or Strong Ballpark if you are ful- key element for protecting brain and once activated, you no lon- call (559) 737-7443. ly vaccinated, but the Tulare health from negative impacts of ger pay the premium. If you have County Health & Human Ser- loneliness. Seniors who place a long-termE-Waste careAccepted policy, look at it vices Agency and Visalia Raw- and see how much it will pay per hide recommend fans continue themselves in a social setting Cell phones such as a communal environ- day towards your assisted living to wear them except when ac- ment, like senior living, or move fees.Computers/monitors It will give you a better idea tively eating and drinking. San- into a home with other seniors, on Keyboards/printershow much you can spend itizing stations will continue to be throughout the ballpark feel more satisfied in their rela- whenLaptops/servers the time comes. tionships and have a much low- Many seniors want to stay Tickets can be purchased er risk of dementia. in theirAnd homes more! for as long as at www.rawhidebaseball.com, Yes, your mother probably possible, but with that comes as well as by calling (559) 732- does have some dementia, but isolation and possible falls and 4433.

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Report neglected pools Keep fountains running Fill empty plant trays Place window screens & hot tubs anonymously & chlorinated or empty with soil/sand or perlite over yard drains

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THERE IS NO CHARGE WHEN USING DISTRICT SERVICES. Delta Vector Control District is an independent special district that is committed to protecting public health. For more information on the District and our services, visit the website, or call Monday - Friday, 7:30am to 4:00pm. (559) 732-8606 | www.deltavcd.com | @Deltavcd July/August 2021 www.TheGoodLifeSV.com The Good Life - 11 American Ambulance POD Program Assists Vaccination Efforts With the world opening up again and California’s mask mandate having been lifted, many local seniors who have not yet received the COVID-19 vaccine may be wondering how they can get vaccinated. One solution, especially for those who are homebound, may be American Ambulance of Visalia, which has partnered with the Tulare County Health and Human Services Agency to establish a vaccination POD (point of distribution) program to increase vaccine accessibility American Ambulance of Visalia administers vaccinations at the Visalia Farmers Market (above left). in the South Valley. Paramedic Nolan Marros prepares a COVID-19 vaccine at the POD at the Tulare County AgriCenter. Currently, American Ambu- lance vaccination PODs, which location has been a prohibit- these peoples’ homes and get and approximately 30 minutes are fixed locations where any- ing factor for people with mo- them vaccinated.” for patients with one or more one 12 years of age and older bility issues or who are shut-in, Homebound appointments pre-existing medical condi- can get vaccinated, are regular as both groups have limited and requests for scheduling a tions. fixtures at several standing and ability to leave their home. In vaccination POD at a company “American Ambulance has rotating events throughout the instances like this, American event, assisted living facility or performed homebound vacci- area, including the Visalia Farm- Ambulance offers homebound other singular event must be nations in Visalia, Goshen, Dinu- ers Markets and several Visalia appointments, delivering and booked through the myturn. ba, Tulare and Cutler-Orosi ar- Rawhide home games. administering the vaccine to ca.gov website, which connects eas,” said Paul Main, president (Those receiving the COVID- those who cannot visit a POD people with their respective of American Ambulance, who 19 vaccine at Rawhide games or other vaccination center. county health and human ser- estimated that as of mid-June, from 3-6 p.m. in the Terrace “There are so many folks who vices agency. the program had vaccinated Lounge of Valley Strong Ball- are elderly or injured or otherwise All COVID-19 vaccinations about 50 homebound seniors. park on July 3 or 24, August 21 can’t get to a vaccination site,” are free to the public, including “American Ambulance plans or September 11 will receive said Jeff Ruch, operations super- those administered at an Amer- on offering these services in a complimentary ticket to that visor at American Ambulance of ican Ambulance vaccination conjunction with Tulare County day’s game.) Visalia. “It’s been game-chang- PODs. Vaccination appoint- for as long as they request our In many cases, however, the ing to have the resources and ments take approximately 15 assistance,” Main added. “We ability to get to a vaccination other capacities to go directly to minutes for patients without a are glad to help our communi- pre-existing medical condition, ties stay safe any way we can.” CALENDAR Walk to End Alzheimer's... Saturday, August 14 – 13th starting at 10 a.m. To become (continued from page 3) participants appreciate our Annual Veterans Salute a sponsor and/or a shooter, or abilities to join the fight against commitment to keeping all in- Dinner-Dance & Silent for more information, visit www. the disease. volved healthy and safe.” Auction hconline.org or call (559) 625- “Alzheimer’s is not taking More than six million Ameri- Central Valley Vietnam Veter- 3822 ext. 100. (See ad on page a hiatus during COVID-19 and cans are living with Alzheimer's ans is sponsoring this event at 7.) neither are we,” said Sherrie disease – a leading cause of the Visalia Veterans Memorial Wallace, event chair for this death in the United States. Ad- Building, 609 W. Center Ave., Friday, October 8 – 7th year’s event. “We must contin- ditionally, more than 11 million Visalia, starting with no-host Judy Sarber Memorial Golf ue Walk to End Alzheimer’s, family members and friends cocktails at 5:30 p.m., followed Tournament and we are working with all provide care to people living by dinner at 7 p.m. For tickets Habitat for Humanity of Tulare/ participants to ensure they with Alzheimer’s and other de- ($35), to become a sponsor or Kings Counties is sponsoring have a powerful and moving mentias. for more information, call (559) this event at River Island Coun- experience that is felt when we To register or to receive the 731-8989. try Club, 31989 River Island are together. Many of our con- latest updates (including con- Dr., Porterville. To register or stituents are at higher risk when firmation of the date) for this September 15-19 – 2021 for more information, call (559) it comes to COVID-19 and we year’s Walk to End Alzheimer’s, Tulare County Fair: 'It's a 734-4040 ext. 106. know that our volunteers and visit: alz.org/walk New Beginning' The Tulare County Fair features new rides, tribute bands, the popular Destruction Derby, fun fair food, livestock competi- THESE FLOWERS tions and more. The live music lineup includes Nashville Stars HAVE A LOT OF Live, featuring tributes to Carrie Underwood, Eric Church and FIGHT IN THEM. Thomas Rhett; Journey Revisit- The Alzheimer’s Association Walk to End Alzheimer’s® is full of flowers, ed; 24K Magic, a tribute to Bru- each carried by someone committed to ending this disease. Because like no Mars; Best of Both Worlds, flowers, our participants don’t stop when something’s in their way. They featuring a tribute to Van Halen keep raising funds and awareness for a breakthrough in the fight against with Sammy Hagar and David Alzheimer’s and all other dementia. It’s Lee Roth; and a Karla Perez time to add your flower to the fight. tribute to Selena. Admission Join us at alz.org/walk and grandstand event tickets will be on sale by mid-July. For more information, visit www.tc- fair.org or call (559) 686-4707. Tulare & Kings Counties Walk to End Alzheimer's Saturday, September 25 – Register. Donate. Volunteer. 2nd Annual Sporting Clay act.alz.org/tularekings Classic Hands in the Community is 2021 NATIONAL PRESENTING SPONSORS sponsoring this event at Sun Mountain Gun Club, 32868 Shotgun Lane, Coarsegold, 12 - The Good Life www.TheGoodLifeSV.com July/August 2021 Kaweah Delta Rebrands as Kaweah Health To better reflect the wide “It isn’t just a hospital, it’s a range of health services it of- system that’s dedicated to the fers to residents in Tulare and wellness and health of the com- Kings counties, Kaweah Delta munity and making sure that became Kaweah Health on May everybody is as healthy as they 1st. can possibly be,” he said. The largest acute care hos- County with more than 5,000 Health is a fully-accredited The estimated cost of re- pital and the only trauma cen- team members working beside teaching hospital with close to branding is between $600,000 ter between Bakersfield and more than 300 active medical 130 residents training in six dif- and $700,000 or roughly Fresno announced that it com- staff members. Together, the ferent residency programs. $10,000 per year – .00125% of pleted an extensive rebranding Kaweah Health team offers car- For the past 10 years, the the system’s $800 million annu- initiative that includes a new diac surgery, neurosurgery, vas- healthcare district watched al operating budget, if Kaweah name, a new logo and an up- cular surgery, trauma, invasive, others change their names to Health stands for another 60 dated website. non-invasive and interventional better reflect their broadening years like Kaweah Delta did, “It’s the perfect time to rein- cardiology, along with every- offering of services and their Herbst said. Kaweah Health vent, to redefine, to modernize thing from mental health to di- changing role in their commu- hopes to further defray costs and to distinguish ourselves alysis, cancer care and more. nities. Two years ago, the idea through potential communi- as much more than a hospi- “We have really become a of its own rebranding initiative ty fundraising as part of the tal or a medical center,” said comprehensive, state-of-the- picked up steam after Kaweah Kaweah Delta Hospital Foun- Gary Herbst, Kaweah Health’s art, integrated health system Delta adopted a new mission dation’s 2021 Modernization CEO. “Our new name reflects with numerous outpatient clin- and vision statement to better Campaign. our changing role from being a ics and urgent care centers,” reflect Kaweah Health’s -pur "We firmly believe Kaweah healer of sickness and injury to said Herbst, noting that the pose, passion and reason for Health to be an investment in a champion of health and well- organization has been named existence. our future. It will help us grow ness.” one of the best 250 hospitals in Kaweah Delta’s board of di- our market and our share of the Over the last 60 years, the nation by Healthgrades for rectors unanimously approved market by making our services Kaweah Health has grown ex- three years in a row and one of the rebranding initiative, which and facilities recognizable, ac- ponentially from its beginnings the country’s top 50 cardiac sur- also received unanimous sup- cessible and preferred,” Herbst as a 68-bed community hospi- gery programs for four years in port from those employees, said. “We’ll continue to put our tal to a healthcare system with a row. physicians, and community patients first as we invest in new eight campuses across Tulare Kaweah Health is also the leaders and members who par- services, new technologies, and and Kings counties, anchored only cardiovascular affiliate of ticipated in focus groups. new facilities. We’ll also be able by a 435-bed acute medical the Cleveland Clinic in Cali- David Francis, president of to continue our efforts to recruit center in downtown Visalia. fornia, and has in recent years, the Kaweah Delta Health Care and retain the best and bright- It is the largest district hos- partnered with USC and Val- District Board of Directors, said est who not only provide world- pital in the State of California, ley Children’s Hospital to help he quickly learned after joining class care, but who infuse mil- with a combined 613 licensed raise the level of care available the board in 2018 that Kaweah lions into our local economy as inpatient beds and it is also to children and adults in Tulare Delta was more than just a hos- they buy homes here and shop the largest employer in Tulare and Kings counties. Kaweah pital. local.” Seven Tips to Help Seniors Get Affordable Car Insurance The number of senior citi- reasons, senior drivers can gain check if they are eligible for a zens who are driving in the US a discount that is about 5% off low-mileage discount. is constantly increasing. This their insurance. • Raise the deductible. One means that the demand for af- • Enroll in a defensive driv- of the easiest methods used fordable car insurance for se- ing course. Insurance com- to save money on insurance is nior drivers is also increasing. panies will offer a discount to to raise the deductible. Senior However, car insurance com- senior drivers who attend and drivers should raise the deduct- panies are seeing these things graduate a defensive driving ible only if they have enough from a different perspective. course from any of the state-ap- money to pay for it if something The more senior drivers are on proved training institutes. it. Usually, if their car’s value is happens to their vehicles and the roads, the higher are the • Drive safely. One of the less than ten full coverage pay- they need to file a claim. chances for an accident to hap- best methods used by senior ments, then senior drivers are • Compare quotes. Compar- pen. drivers to save money on insur- recommended to drop full cov- ing online car insurance quotes Nevertheless, senior drivers ance is to drive carefully in or- erage and keep only the mini- can help senior drivers discover can obtain affordable car insur- der to maintain a clean driving mum required insurance by law. better insurance deals than the ance if they follow the next tips: record and the no-claim bonus. • Obtain a low-mileage dis- ones they currently have. • Look for senior driver dis- • Drop coverage on old- count. Senior drivers are usual- For more information, visit counts. Some insurance com- er vehicles. Seniors who have ly retired and are driving fewer http://compare-autoinsurance. panies consider that seniors are full coverage and drive older miles than the average person, org, which brings online visitors safe, responsible and defensive vehicles should think twice if so senior drivers should contact deals from many different insur- drivers while on roads. For these keeping full coverage is worth their insurance providers and ance carriers.

Law Offices of Houk & Hornburg, Inc. Houk & Hornburg, Inc. Thomas E. Hornburg Thomas E. Hornburg “We make people better.” C. Matthew Gaebe C. Matthew Gaebe William N. Hannah William N. Hannah We take pride in offering the Philip T. Hornburg (Retired) Philip T. Hornburg (Retired) highest level of nursing and Gareth W. Houk Jr. Paralegals: Robert Nix • Michelle Barnes • Paralegals: Robert Nix • Michelle Barnes • therapy services in the industry. Gareth(1937 W-.2009) Houk Jr. Sarah DeJohn • Pamela Cardoso (1937-2009) Sarah DeJohn • Pamela Cardoso Our first priority is providing you with outstanding care and attention PROVIDING SERVICES IN: for all your health care needs. Business Law •P CoROrVIDINGporations SE • RPVICESartnerships IN: • Real Estate BusinessLandlord/ LawT enant• Corporations • Wills and • PTarruststner ships• Civil • LitigationReal Estate Landlord/Tenant • Wills and Trusts • Civil Litigation 1007 W. Lacey Blvd. • TOURS DAILY Family Law • Probate • Farm and Ranch Law Family Law • Probate • Farm and Ranch Law 559.582.2871 • Find us on Facebook 206 S. Mooney Blvd., Visalia, CA 93291 • (559) 733-1065 206 S. Mooney Blvd., Visalia, CA 93291 • (559) 733-1065 July/August 2021 www.TheGoodLifeSV.com The Good Life - 13 Dividat Senso Fights Dementia with 'Targeted Play' By Steve Pastis tion, and working memory. Cognitive motor training Targeted play means that helps in the fight against Alz- we offer specific and goal-di- heimer’s and other forms of rected cognitive-motor exercis- dementia, according to a study es for different health problems by an international team of re- and symptoms to find improve- searchers with ETH Zurich, a ments in daily life. public research university in Zurich, Switzerland. TGL: How does the Dividat “It has been suspected for Senso slow the progression of some time that physical and Alzheimer's and other demen- cognitive training also have a tias? positive effect on dementia,” Eva: A recently published study said ETH Zurich researcher El- showed for the first time that a ing de Bruin. “However, in the specific training program on past it has been difficult to mo- the Dividat Senso that address- tivate dementia patients to un- es cognitive and motor skills dertake physical activity over can weaken the symptoms of extended periods.” neurocognitive disorders. Im- To overcome this challenge, Eva van het Reve explains the rules of the Dividat Senso game provements in lower extremity Eva van het Reve, a former ETH showing on the screen. functioning, cognitive perfor- Zurich doctoral student, found- training program. The Dividat TGL: You used the phrase "tar- mance, step reaction time and ed Dividat in 2013, together Senso trains the interaction geted play" in another inter- symptoms of depression have with her Ph.D. supervisor de of cognitive and motor skills view. What does that phrase been found. Bruin and another doctoral stu- simultaneously and thus sup- mean? We strongly assume that dent. ports the coordination of the Eva: There are certain aspects people with neurocognitive “We wanted to devise a cus- musculoskeletal system. in daily life that happen auto- disorders benefit from the Sen- tomized training program that Harmoniously orchestrated matically and we don't notice so because we focus on brain would improve the lives of old- movements are a prerequisite that our brain does a lot of regions that are often deterio- er people,” said van het Reve. for an independent life in all work. Especially in old age or rated in these patients. A next The new company devel- phases of life. Simple exercises with certain diseases (e.g. neu- trial will be launched this sum- oped fun exercises to encour- can improve certain aspects of rological diseases) crossing a mer at ETH Zurich with peo- age people with physical and the body the same as certain street or even just walking is a ple with mild cognitive impair- cognitive impairments to par- instruments in an orchestra are complex task. ment. In addition to the training ticipate. The result of their ef- played. But to synchronize all The brain does an important programs that help weaken the forts was the Dividat Senso your movements, you will need job in planning and synchro- symptoms, we will also imple- training platform. to improve the conductor of nizing our movements and in ment a standardized assess- The platform includes a your body – the brain. allocating enough attention to ment tool to measure functions screen that plays game soft- Muscle mass, as an example, the involved tasks. The interac- that might allow early detection ware and a floor panel with can be increased by strength tion with the environment gets of cognitive changes (e.g. in four fields that measure steps, training, because the loss of more complicated. Walking, as executive functions, attention weight displacement and bal- muscle mass is mainly a prob- an example, strongly depends or memory). ance. Users attempt to com- lem of our muscular system. on the cognitive functions that plete a sequence of movements The loss of muscle strength, on are especially located in our TGL: What other health ben- with their feet as indicated on the other hand, is a combined frontal lobe. efits does the Dividat Senso the screen, enabling them to problem of our muscular and To improve walking it is not have? Does it slow the progres- train both physical movement our central nervous systems. sufficient just to go walking. sion of other age-related dis- and cognitive function simulta- It is not surprising that to gain Exercises to improve walking eases such as Parkinson's? neously. muscle strength, the body- should target the core compo- Eva: More than 15 scientific tri- “The first idea of a device brain interaction needs to be nents of these cognitive func- als have been conducted or are like the Dividat Senso came up improved. tions, such as attention, inhibi- in progress in the fields of geri- in 2014 when I was finishing my atric rehabilitation, neurore- Ph.D. in Movement Sciences at habilitation (MS, Parkinson's, ETH Zurich, Switzerland,” van stroke and acute vestibular syn- het Reve told The Good Life. “I drome), cardiac rehabilitation, investigated the effect of cog- orthopedic rehabilitation (ACL nitive and motor training solu- injury), and also, the first study tions in older adults, aiming has been conducted with em- to help them reduce falls and ployees in the sense of health remain independent as long promotion and stress reduction as possible. The findings were at work. amazing and we reported an There is a strong connection 80% fall reduction in a larger between cognitive and motor study with 182 participants. functions, and the interaction “We learned that it is rele- between body and brain is of- vant to include exercises that ten disrupted in diseases such challenge the brain and espe- as Parkinson's. Gait initiation cially the frontal brain. I also for example is a complex task knew about the challenges for these people and we train it people face when they get old- a thousand times on the Senso. er. At that time, my father was All these trials found positive working as a managing director effects on body and brain func- at a senior living facility in our tions and, therefore, quality of hometown, Schindellegi-Feu- life. sisberg, Switzerland. We tested My most impressive expe- our prototypes there and peo- riences are when you see old ple enjoyed the exercises a lot.” and frail people or people with neurological diseases moving The Good Life: What makes the on the Senso almost normal, Dividat Senso better than sim- even if they are not able to ple exercise? walk. The Senso is a new way Eva van het Reve: The brain is for these patients to increase the conductor of most human their quality of life. movements. Its role should be The platform includes a screen that plays game software and a floor accordingly central in every panel that measures steps, weight displacement and balance. (continued on page 14) 14 - The Good Life www.TheGoodLifeSV.com July/August 2021 New Alzheimer's Treatment... (continued from page 1) Dr. Milton Teske, health may have more time to actively officer for the Kings County participate in daily life, have Department of Public Health, sustained independence and offered a different opinion on hold on to memories longer. the FDA's decision. He noted We can experience longer — that aducanumab was not the relationships we hold most recommended by the review dear — our families and friends.” committee. “This FDA drug approval "There are 11 members on ushers in a new era in the committee and 10 voted Alzheimer’s treatment and not to approve," he said, adding research,” said Maria C. Carrillo, that the FDA is not bound Ph.D., Alzheimer’s Association to accept the committee's chief science officer. “History recommendation. has shown us that approvals of 'I wouldn't rush out to use it," the first drug in a new category said Dr. Teske, who believes that invigorates the field, increases the FDA acted "prematurely" in approving the drug. The Dividat Senso offers a variety of games to keep participants investments in new treatments "There's a number of drugs challenged and involved. and encourages greater innovation. We are hopeful and that dissolve plaques but none this is the beginning — both have been shown to improve Dividat Senso... for this drug and for better patients," he said. "There are a (continued from page 13) treatments for Alzheimer’s.” lot of unknowns. They have to This enthusiasm was do more research on it." TGL: How are Dividat Senso (and others)? shared by the leadership of Teske believes that a sales in the U.S., and what plans Eva: We are currently working the Alzheimer's Association's better approach to fighting do you have to increase sales in on a solution that can be used California Southland Chapter, Alzheimer's would be one that the U.S.? at home. The Dividat Senso was which includes the South Valley. addresses how people live Eva: Since 2019, there are mainly designed for institution- "This is a new type of their lives. around 80 senior living commu- al clients and in many cases, it is Alzheimer’s treatment, and "Alzheimer's is primarily nities that offer their residents too bulky to place in your living it addresses the disease in a dietary and lifestyle-driven," training on the Dividat Senso. room. We want to get as many way that has never been done he said, disagreeing with More and more communities people exercising as possible before, compared to currently those who "think you're going decide to invest in equipment and that's why it is important approved drugs," said Meg to find one drug that will cure that helps their customers to to have a solution that is light- Barron the chapter's regional Alzheimer's. If you want to manage health problems and er and more mobile. The Sen- leader and executive director. cure the disease, you have to prevent them. so-Flex will be available at the "It is the first approved therapy eliminate the cause." This year, we decided to in- End of 2021. of this type; it demonstrates Teske recommends the crease our sales activities and that removing amyloid from approach promoted by Drs. to quickly go forward in the TGL: Is there anything else you the brain may delay clinical Dean and Ayesha Sherzai, co- U.S. because we are sure that would like to say to seniors in decline in people living with directors of the Brain Health the Senso will be an efficient California's Central Valley? Alzheimer’s." and Alzheimer’s Prevention and affordable solution for hos- Eva: Health is in constant Local Health Officers' Program at Loma Linda pitals, clinics, care homes and change and flow, it knows Responses University. at home for the prevention of ups and downs, and this in all "This treatment is the first Their books, such as The 30- several health problems. phases of life. Alzheimer’s drug to target the Day Alzheimer's Solution: The Your health is the most amyloid plaques in the brain Definitive Food and Lifestyle TGL: What other devices are important asset - protect it, thought to causes Alzheimer’s Guide to Preventing Cognitive you working on to help seniors throughout life! Disease," said Dr. Karen Haught, Decline and The Alzheimer's public health officer for Tulare Solution: A Breakthrough Pro- County. "The Accelerated gram to Prevent and Reverse Approval Program allowed the Symptoms of Cognitive approval of the treatment based Decline at Every Age, present on the reduction of amyloid the argument that lifestyle plaque rather than requiring choices are the best defense the clinical trials to show available in fighting cognitive clear clinical improvement or disease. slowing of the progression of How Things Now Stand 10 AM Start the disease. The FDA will continue to "This approval pathway monitor Aduhelm as it reaches Sun Mountain Gun Club has been used for treatments the market and ultimately the for life threatening conditions patient’s bedside. Additionally, 32868 Shotgun Lane, Coarsegold, CA when there is not currently an FDA is requiring Biogen, the alternative treatment option," manufacturer of aducanumab, she continued. "After the to conduct a post-approval approval, the FDA is requiring clinical trial to verify the drug’s additional clinical trials to clinical benefit. establish whether or not there "If the drug does not work is clinical improvement or as intended, we can take steps • One squad of 4 shooters – $700 slowing of disease progression to remove it from the market," • Sponsorship Packages… associated with the reduction in said Cavazzoni. "But hopefully, • Alvin York – 3 squads amyloid plaque. we will see further evidence of "We look forward to the benefit in the clinical trial and Daniel Boone – 2 squads • findings of these additional as greater numbers of people • Squad of First Responders trials. We all hope for an effective receive Aduhelm. As an agency, • Carts – Breakfast – Lunch – Awards treatment to help our loved we will also continue to work to • Day of event $200 per shooter ones and their families affected foster drug development for this catastrophic disease." • Packages include 12 ga. Ammo, Clays, Light Breakfast, Lunch with Beverages and Raffle Prizes by Alzheimer’s Disease."

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Dust Bowl migrants arrived at Linnell Camp oftentimes carrying The Linnell Camp Post Office as it appeared in about 1940. (Photo all their worldly possessions. (Photo courtesy Stein Collection, Tu- courtesy Stein Collection, Tulare County Library History Room) lare County Library History Room) Farm Labor and Linnell Camp It’s no secret that agriculture a highway or ditch bank to pitch is king in Tulare County. It al- a tent. ways has been. Rich soil, favor- Living conditions were obvi- able climate, plenty of water, ously primitive. Poor sanitation good farming practices, and became a serious concern and hard working laborers all have the fear of disease was on ev- combined to make the county eryone’s mind. Health officials an amazing success story. So would “clean out these squat- much so that Tulare County, and ters’ camps and drive the peo- really all of California’s Great ple on, but almost as soon as Central Valley, has earned the one lot goes, another moves small city. It had its own water tions there were basic, the fa- well deserved title “breadbas- in.” and sewer system, shower and cility was a godsend to many. ket of the world.” Adequate housing for the laundry facilities, community Eventually, the management of With vast acres of farmland migrant workers became a pri- hall and council, health center, the labor camp was turned over under production, having an ority, and thanks to President branch of the Tulare County to the Housing Authority of Tu- adequate number of farm la- Franklin D. Roosevelt and his Public Library, U.S. Post Office lare County. borers to work the soil has al- “New Deal,” help was on the and a newspaper called The Linnell Camp remains today ways been a challenge. Farm- way. His plan included a large Hub. and continues to be a welcom- ers have historically relied on package of programs designed Even though living condi- ing place for many. migrant workers to supplement to address many of the prob- the local workforce. In the late lems, including migrant hous- 1800s and early 1900s, for ex- ing. The federal government ample, Chinese and Japanese searched and they found a workers came to Tulare County, large parcel in Tulare County and many other labor groups about five miles east of Visalia. followed. The land at one time had be- In 1929 and for a number longed to the Linnell family. of years thereafter, the United Construction for the hous- States went through a signif- ing facility began in about July icant economic collapse — a 1938, and on December 16th, period that became known as R. S. Hardie, the Farm Security the Great Depression. Many Administration camp manager, workers lost their jobs and announced the official opening many farmers went bust. The of the Migratory Farm Labor midwestern and southern state Camp, sometimes referred to farmers were especially hard as the Visalia Migratory Farm hit, made worse by a long peri- Labor Camp. To qualify to live od of drought. there, the principal family wage Many of these families earner had to be an agricul- packed their belongings and tural worker. In the years that headed west to California and followed, the facility would go Tulare County hoping to con- through several name changes, tinue to use their skills to work many that included the name the land. These dustbowl immi- Linnell. grants came from all over the The camp was laid out in a country, but states like Oklaho- hexagonal pattern complete ma, Missouri, Arkansas and Tex- with streets. A variety of dwell- as contributed the most. Col- ings were built, including one- lectively, the new arrivals were room metal buildings, trailer called “Okies.” houses, garden homes and Fiercely proud, they strug- apartments. Concrete tent pads gled to settle in this new land. were also poured. The metal The lucky ones lived with friends buildings measured about 12’ x or relatives until they could get 16’ and initially had no electric- on their feet. The less fortunate ity or running water. just found an open space along The camp resembled a The deadline for the September/October issue is Wednesday, August 18, 2021 16 - The Good Life www.TheGoodLifeSV.com July/August 2021