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A SPECIAL SUPPLEMENT to the MONTANA STANDARD Fall 2019 LivingFall 2019 A SPECIAL50Plus SUPPLEMENT TO THE MONTANA STANDARD Living on your own Support services focus on seniors, Page 4 David Crosby is busy LONGER making new music, Page 8 2 | SATURDAY, AUGUST 17, 2019 LIVING 50-PLUS THE MONTANA STANDARD Boomer U: SHOOTING FOR THAT THE SPOKESMAN REVIEW ILLUSTRATION SHINGLES SHOT TREVA LIND Despite ongoing shortages, Spokane, oping shingles by about 51 percent and The Spokesman-Review Washington, doctors say it’s worth a shot postherpetic neuralgia by 67 percent, the (Spokane, Wash.) to seek the newer Shingrix vaccine to CDC says. prevent shingles if you’re 50 or older. The agency recommends Shingrix as Shingles occurs when the chickenpox the preferred shingles vaccine. Its pro- virus resurfaces in adulthood and tection after both doses lasts for about causes skin rashes, blisters and five years. Another difference is the new possible long-term pain. About vaccine is inactivated, meaning it uses a 1 in 3 U.S. residents will get dead version of the virus, while Zostavax shingles in their lifetime, and contains a weakened live virus. about 15 percent develop “Because Shingrix can be used in severe pain from a compli- younger people, and because it’s not a cation called postherpetic live-virus vaccine, it was pretty well re- neuralgia. ceived by the medical community that In fall 2017, the FDA quickly adopted it and used up initial approved Shingrix. Maker supplies,” Breems said. GlaxoSmithKlin didn’t antici- “I think the maker has set up a little pate the high demand during bit of an allotment system and is work- 2018, and supplies got used up ing with different health systems and quickly. The Centers for Dis- pharmacies so we can budget who gets ease Control and Prevention it and prioritize. But it’s still in shortage says GSK is increasing pro- and unclear when a full supply for the duction for the U.S. market this demand will be available.” year, but supply gaps are expected So depending on your medical clinic throughout 2019. or pharmacy, you might get on a wait- “For people who have had ing list. chickenpox, or presumably Breems, also a doctor at Spokane’s have had chickenpox, and Mann-Grandstaff VA Medical Center, are 50 years and older, they specializes in internal medicine and in- can ask their providers fectious disease. She said the single-shot about Shingrix,” said Dr. Zostavax still can be given to healthy Joanna Breems, clini- adults 60 and older, and it might be an cal assistant professor at option in some cases. the WSU Elson S. Floyd “If Shingrix was not available because College of Medicine. “It of the shortage and they’re over 60 and at seems to protect for a lon- risk, they can still get the Zostavax. It’s ger period of time. still available and does work.” The CDC says Shin- If Shingrix is an option, make sure of grix as a two-shot series availability for that second shot given provides more than 90 two to six months after the first, said Dr. percent protection against Gretchen LaSalle, a family medicine shingles and postherpetic doctor at MultiCare Rockwood Quail neuralgia. That compares Run clinic. Rockwood sets aside that with a lower effectiveness second dose per patient, she said. rate for the older shingles “About a million people a year de- vaccine, Zostavax, which velop shingles, so people are definitely reduces the risk of devel- aware of the new vaccine,” LaSalle THE MONTANA STANDARD LIVING 50-PLUS SATURDAY, AUGUST 17, 2019 | 3 said. “They see the commercials immune system declines with aging, seek out the vaccine if they think and talk to friends. It’s frustrating notably for people in their 60s, 70s they’re at risk. that its hard to find. thin the and 80s, Breems added. While shingles causes a rash that manufacturer underestimated how “It allows a latent virus like vari- can be quite painful, a bigger con- popular the vaccine would be, and cella to reactivate and cause shin- cern is the potential for a lasting it takes six to nine months to make gles,” she said. “But I would say impact. the shingles vaccine. with the shortage going on, if some- “What we’re mostly worried “ opefully, we will be catching body recently got the Zostavax, they about is a condition called posther- up in the coming year, but right now probably are well protected for at petic neuralgia. The pain of shingles we’re only getting it here and there least several years as compared with can last. The rash usually goes away and not getting a reliable schedule.” someone who has never been vac- within a couple of weeks, but the Chickenpox and shingles are cinated.” nerve pain is terrible. We’re trying related because they are caused Pending research outcomes, to prevent both shingles and the pain by the same virus, varicella zoster Shingrix isn’t yet recommended from happening.” virus. After a person recovers from for people who have suppressed im- Breems echoed that prevention is chickenpox, the virus stays dormant mune systems, perhaps because of better than hoping it doesn’t happen. in the body and can reactivate years rash has gone away. Y ou can get the Shingrix vaccine chemotherapy treatment or disease. “What I counsel my patients par- later and cause shingles. Y ou can get Shingrix even if you even if you have had shingles in the While Shingrix is covered by ticularly around postherpetic neu- The CDC offers a few other rec- don’t remember having had chick- past, or received Zostavax. If you most health insurance plans, that’s ralgia is that shingles is very painful ommendations about shingles vac- enpox in the past. Studies show that had Zostavax in the recent past, you another important question to clear and for some people it can last well cination more than 99 percent of Americans should wait at least eight weeks be- up, LaSalle said. People ask her al- beyond after the sores of the skin are Zostavax may still be used to pre- 4 0 and older have had chickenpox, fore getting Shingrix. most on a daily basis about the new gone,” she said. vent shingles in healthy adults 60 even if they don’t remember having “The CDC is recommending that vaccine, so she mentions confirming “The side effects of Shingrix are years and older, such as if a person the disease. even if you have had Zostavax pre- insurance coverage or out-of-pocket j ust like any vaccine. Y ou can be a is allergic to Shingrix, prefers Zos- If you’re older than 70, the effec- viously, you can still get the Shin- costs. little sore for a day, or to be feeling a tavax, or requests immediate vac- tiveness of Shingrix drops slightly. grix vaccine and maybe should be- “I usually counsel people to check little under the weather two to three cination and Shingrix is unavailable. In adults 50 to 69 getting two doses, cause it is more effective,” Breems with their insrance company first, days is not unusual. The overall ef- here is no specific time length Shingrix was 97 percent effective in said. LaSalle said. “It’s probably close to fects are limited.” you need to wait after having shin- preventing shingles among adults The older you are, the higher your $ 300 for the two shots if you have gles before you can receive Shin- 70 years and older, Shingrix was 91 risk for shingles and the complica- to pay out of pocket.” Distributed by Tribune Content grix, but you should make sure the percent effective. tions from it. That’s tied to how the She agrees that patients should Agency, LLC. SERVICES FOCUSED ON CRITICAL SUPPORT AREAS Best We assist elderly and adults with a disability identify services Decision that maintain maximum Ever. independence and dignity. No risk. No worries. Just guaranteed residuals − for life. SW MT Aging & Disability Services 2103 Harrison Avenue, Butte, MT FREEDOM TRAVEL Phone: 406-782-5555 2403 Bayard St. • 406-494-4993 4 | SATURDAY, AUGUST 17, 2019 LIVING 50-PLUS THE MONTANA STANDARD New support services are focused on helping seniors take care of themselves JUDITH GRAHAM | Kaiser Health News auline Jeffery had let things slide since her husband died. Her bed- room was a mess. Her bathroom was disorganized. She often tripped over rugs in her living and dining room. P“I was depressed and doing nothing but feeling sorry for myself,” said the 85-year- old Denver resident. But Jeffery’s inertia faded when she joined a program for frail low-income seniors: Com- munity Aging in Place-Advancing Better Living for Elders (Capable). Over several months last year, an occupational therapist visited Jeffery and discussed issues she wanted to address. A handyman installed a new carpet. A visiting nurse gave her the feel- FRAIL SENIORS CAN LIVE ing of being looked after. In short order, Jeffery organized her bed- room, cleaned up her bathroom and began to feel more upbeat. “There’s a lot of people like myself that just need a push and somebody to make them feel like they’re worth some- thing,” she said. “What they did for me, it got me motivated.” INDEPENDENTLY New research shows that Capable provides DREAMSTIME considerable help to vulnerable seniors who have trouble with “activities of daily living” “There’s a lot of people like myself that just need a push and “Why does it work? Because we’re guided — taking a shower or a bath, getting dressed, by what people want, and in order to get bet- transferring in and out of bed, using the toi- somebody to make them feel like they’re worth something.
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