Pg. 5 - National Parks n Pg. 10 - Palliative Care n Pg. 12 & 13 - Game Pages Pg. 16 & 17 - GR Family Fun n Pg. 20 - Social Security Scammers PAGE PAGE PAGE 5 16 21 JANUARY | FEBRUARY 2019 n WHAT’S INSIDE THIS ISSUE 5 National Parks 9 Are You Prepared? 12 Game Page 19 Special License Plates 22 Practicing Gratitude by Jackie O’Connor by Sarah Willink 13 Mixed Seasons by Jerry Mattson by Kim Kroll 6 Avoiding the MI Choice Maze 10 Ask the Provider: by Joel Dulyea 20 Social Security Q&A 23 Reading is My Life’s by Regina Salmi Understanding Palliative and by Vonda VanTil 14 Conquering Arthritis: Part I Passion Supportive Care 7 Humor in Caregiving: How Can I by Holly Lookabaugh-Deu 20 Beware of Social Security by Joel Phillips, DO and by Dick Hoffstedt Laugh at a Time Like This? Scammers Gerald Harriman, DO 16 Family Fun in Grand Rapids by Kendra Schumaker by Vonda VanTil 11 Understanding Social Security 18 Fire Safety 8 LGBT Aging Initiative: Providing 21 Ask the Vet - Canine Infl uenza Disability Benefi ts by Christine Wistrom Services to ALL Seniors Virus by Vonda VanTil by Kendrick Heinlein by Dr. Eric Peterson

EDITOR & PUBLISHER WRITERS MEMBER OF Area Agency on Aging of Western Michigan Christine Wistrom Information & Assistance Dick Hoffstedt Dr. Eric Peterson (616) 456-5664 or (888) 456-5664 Dr. Gerald Harriman Dr. Joel Phillips [email protected] | (fax) (616) 456-5692 Holly Lookabaugh -Deur website: www.aaawm.org Jackie O’Connor MEMBER OF Mission: Michelle Fields Jerry Mattson Area Agency on Aging of Western Michigan’s 231-733-3523 Joel Dulyea [email protected] Kendra Schumaker mission is to provide older persons and persons [email protected] Kendrick Heinlein with a disability an array of services designed Kim Kroll to promote independence and dignity in their Regina Salmi homes and their communities. Sarah Willink Vonda VanTil To advertise in an upcoming GRAPHIC DESIGN Senior Perspectives publications, Jay Newmarch contact: CRE8 Design, LLC 269-345-8845 Michelle Fields [email protected] Editor of the Senior Perspectives COPY EDITOR (231) 733-3523 [email protected] Bonnie Borgeson

COVER PHOTOGRAPHER No part of this publication may be reprinted or otherwise Glenn Rutgers reproduced without written permission from the publisher. softglowdigital.comON THE COVER: [email protected] Rutgers softglowdigital.com Did you know that Senior Perspectives has a Facebook page? [email protected] Like us! www.facebook.com/SeniorPerspectives

SENIOR PERSPECTIVES - KENT COUNTY 2 JANUARY | FEBRUARY 2019 Jackie O’Connor, Executive Director

AREA AGENCY ON AGING OF WESTERN MICHIGAN BOARD OF DIRECTORS EXECUTIVE COMMITTEE Bill Routley ...... Chair Marilyn Burns ...... Vice Chair Don Black ...... Treasurer Richard Karns ...... Secretary Carol Hennessy ...... Member-at-Large Robert Sundholm ...... Advisory Council Chair REPRESENTATION Don Black ...... Allegan Elected Offi cial Stuart Peet ...... Allegan Consumer Larry Tiejema ...... Ionia Elected Offi cial Dennis Sitzer ...... Ionia Consumer Carol Hennessy ...... Kent Elected Offi cial Nancy Nielsen ...... Kent Consumer Betty Dermyer...... Lake Elected Offi cial Marilyn Burns ...... Lake Consumer Gary Castonia ...... Mason Elected Offi cial Patsy Hagerman ...... Mason Consumer Bill Routley ...... Mecosta Elected Offi cial Sharon Bongard ...... Mecosta Consumer John Johansen ...... Montcalm Elected Offi cial Linda Weger ...... Montcalm Consumer Vern Willett ...... Newaygo Elected Offi cial Cindy LaBelle ...... Newaygo Consumer Page # where you found Larry Emig ...... Osceola elected Offi cial Sponsored by Richard Karns ...... Osceola Consumer the snow globe Kurt Reppart ...... Grand Rapids Elected Offi cial Jane DeVries...... Grand Rapids Consumer Name ______AAAWM ADVISORY COUNCIL Address ______Thomas Peelle ...... Allegan County I Spy Natalie Van Houten ...... Allegan County City ______Norma Kilpatrick ...... Ionia County State ______Zip ______Kenneth Thompson...... Ionia County It’s easy! F. Rob Deane MD ...... Kent County Simply fi nd this Phone ______Harold Mast ...... Kent County Keith Vandercook ...... City of Grand Rapids snow globe Nellie Blue ...... Lake County in this edition. List where you Nicolette McClure ...... Lake County spotted it, clip and return this Robert Sundholm ...... Mason County form for the chance to win Mary Bechaz ...... Mecosta County $ Jerrilynn Strong ...... Mecosta County a 20.00 gift card to Meijer! Tim Reno ...... Montcalm County Ben Witbrodt ...... Montcalm County Adele Hansen ...... Newaygo County Return to: Senior Perspectives, I Spy, 560 Seminole Rd., Muskegon, MI 49444 Elsie Plank ...... Newaygo County Barbara Hazlett ...... Osceola County LAST WINNER: CAROL BLAUWKAMP OF HUDSONVILLE Mary Lou Proefrock ...... Osceola County Priscilla Kimboko Ph.D...... Grand Valley State University The dementia logo was found on page 13 in the Christmas cookie photo.

JANUARY | FEBRUARY 2019 3 SENIOR PERSPECTIVES - KENT COUNTY SENIOR PERSPECTIVES - KENT COUNTY 4 JANUARY | FEBRUARY 2019 National Parks I love National Parks. I try to visit a new one every year. I started hiking in the parks when my kids were “tweeners” and now 20 years later I am still hik- ing, just a bit slower. Recently I traveled to Utah be- cause it has fi ve National Parks, BY a few National Monuments and JACKIE O’CONNOR some great State Parks. Let me tell you about a few adventures in Zion and Bryce National Parks. Their beauty and wonder are so vastly differ- ent from what we enjoy in Michigan. which passes through the Zion–Mount Carmel Tunnel. The tunnel is 1.1 miles Entering Zion, you are at the bottom of the canyon, long and was built in 1930. Most of the always looking up at the red rock walls. Red from time the tunnel is limited to one-way the iron that is in the soil and traffi c because of large camper vehicles rock formations. This is one that need a wide berth. Illumination National Park that has chosen is provided only by car headlights to control the worldwide visi- and the occasional galleries or what tors by offering a free shuttle I would call “open windows” to the bus system. The shuttle will canyon below. take you to the start of all the highlights of the park, but you Next stop was Bryce Canyon which is do need to walk from your bus the opposite of Zion in that you arrive stop to see and know the inner at the top of the canyon, 8,000 feet beauty of the canyon. There are above sea level, and the road through free Ranger-led hikes and talks, the park always has you looking private led hikes or you can do down. Down at the hoodoos. Bryce it on your own. But for most has more than 200 days of above and views, you will be going up. below freezing temperatures in a 24-hour period. This freezing and thawing cycle breaks the rocks down. Over years, a rock plateau breaks down into walls My fi rst hike was the Watch- of stone, then creates windows in the walls until fi nally there are free-standing man trail led by a Ranger who stone shafts called hoodoos. And what a beautiful sight they are. One morning I also explained the various watched the rising sun shine a gold spotlight on the hoodoos. Temperature was vegetation along the trail. The only 40 degrees. A few hours later I was walking the moderate Queens Garden moderate trail was 3.3 miles Trail down from Sunrise Point to the fl oor of the Bryce amphitheater. The trail got round trip and up an eleva- its name from a rock face that looks like Queen Victoria in a long fl owing gown. tion of 370 feet. When you The hoodoos ranged from my height to over 10 stories tall. I linked up to the Na- arrived at to the top, there is vajo trail which led me out of a “slot” canyon and up to Sunset Point. Well worth a great view of the Towers of it. Later that night I participated in a Ranger talk on the night sky. The stars and the Virgin, lower Zion Canyon, the planets sure look bigger and brighter away from city lights. Watchman Peak, and the small town of Springdale which is next to the National Park. This hike is best done in the morning when it is cooler and mostly in the If you are 62 years of age, I highly recommend getting a lifetime Senior Pass to shade. Our Ranger surprised us with a sample of prickly pear jelly made from the National Parks. It now costs a one-time fee of $80, but all the passengers in the local prickly pear cacti. Quite delicious and a nice treat on our hike. your vehicle get into the park free. There are 59 National Parks in our country, and more national monuments, national lakeshores and seashores. Go out and A paved trail that is handicapped accessible but has a great view of Zion’s stone enjoy them. walls is Pa’rus Trail that runs along the Virgin River. Walk up to the bridge at Can- yon Junction as dusk is falling and see the setting sun light up the canyon walls. Jackie O’Connor is Executive Director of AAAWM and has been working with older adults for over 40 years. Her hobbies include photography, hiking and visiting After two days in Zion I headed out on Zion-Mount Carmel Highway (SR-9), a new National Park every year.

JANUARY | FEBRUARY 2019 5 SENIOR PERSPECTIVES - KENT COUNTY get services. Right? Well, not always. ing, dressing, cooking, etc. “Most What these companies are referring commonly,” Hecksel describes, “indi- Avoiding the MI to is the MI Choice program. It’s viduals need some sort of ongoing, important to know the facts about hands-on assistance due to physical MI Choice, so you don’t fi nd yourself or cognitive challenges.” Determin- stuck in a maze of misinformation. ing whether someone is nursing Choice Maze home eligible involves several cri- The “waiver” being referred to is teria and is done through an assess- not a piece of paper – it is not a pass ment performed by a licensed social With the population of people age in businesses – it is funding that the government worker and registered nurse. If it 65+ in the United States expected catering to se- set aside to be used for a specifi c turns out that a person is not eligible to double by the year 2030, it is no niors also raises purpose. There are often strict criteria for MI Choice based on the criteria, wonder every other advertisement red fl ags. Some attached to these types of funds to on television, in magazines and on businesses are BY these same professionals can help REGINA insure they are being used for the the internet is marketing services to in it for the an individual get connected to other SALMI purpose intended. This is the case available services and help them older adults. Not only is the popula- money and will with MI Choice. tion of seniors growing, people are promise the receive the level of help they need to living longer. The result? Businesses moon, but what seniors and their MI Choice provides adults age 65+ remain independent. created to serve seniors are sprouting families receive instead is a run- and adults 18-64 with a certifi ed When seeking services, it is also up every day. around, endless waiting and misin- disability the services necessary to important to recognize that the State formation. The motto, “If it seems too continue living independently, rather of Michigan has designated specifi c For the most part, the increase in good to be true, it probably is” is a than moving into a long-term care non-profi t agencies specializing in the need for services has inspired good one to hang on to when consid- facility. Individuals in the MI Choice services for older adults as the agents innovation and offers older adults ering some of these promises. program can receive help with all for the MI Choice program. In our a greater variety of options for care sorts of daily living tasks, like in- region, which is made up of Allegan, than in decades previous. Today, it One of these fl ags is the promise to home cleaning services, bathing and Ionia, Kent, Lake, Mason, Mecosta, is possible for many older adults get a senior connected to “Medicaid dressing, nursing, and meal delivery. Montcalm, Newaygo and Osceola to live out their remaining years in waiver programs.” It seems so sim- Individuals may qualify for services counties, there are two agencies: their own homes. The rapid increase ple – one gets a waiver and then they like home modifi cations, personal Area Agency on Aging of Western emergency response systems, and Michigan and Reliance Community transportation. Stephanie Hecksel, Care Partners. LMSW, Outreach Specialist at Area Attempting to follow other avenues Agency on Aging of Western Michi- into the MI Choice program signifi - gan (AAAWM) explains, “There are cantly delays a person’s ability to get a variety of services offered through connected to the services they need. the MI Choice program to help in- Applying for the MI Choice pro- dividuals remain as independent as gram begins with a phone call to possible. MI Choice is also a person- Area Agency on Aging of Western centered program, which means Michigan or Reliance Community services are put into place based on Care Partners. If you are interested the individual’s unique situation, in learning more about the services needs and personal choices.” that may be available to you or your MI Choice is a fantastic program loved ones or you would like to and there are many people who begin the application process, contact qualify for MI Choice, but still don’t Area Agency on Aging of Western know about it. Unfortunately, a lot Michigan at (888) 456-5664 or email of people who aren’t qualifi ed for at [email protected]. Reliance the program are being referred to it, Community Care Partners can be which takes time and resources away reached at (800) 447-3007 or info@ from reaching out to those who need relianceccp.org. it. Regina Salmi is the PR & Communica- Besides age, one of the main criteria tions Coordinator for AAAWM. When is that the person being referred to not keeping up with two busy teenagers, the MI Choice program is nursing she enjoys reading, writing, volunteer home eligible. Eligibility usually work, golf, technology and learning some- involves needing assistance with thing new every day. daily living tasks like moving, bath-

SENIOR PERSPECTIVES - KENT COUNTY 6 JANUARY | FEBRUARY 2019 and after the caregiving has stopped. We rather than waiting for “someday”. Humor in Caregiving can be so caught up in the moments of Don’t take yourself too seriously. Think caregiving that it does seem like it will about creating a fi le of funny jokes, spe- last forever, but in reality caregiving will cial cards, and other positive reminders How Can I Laugh come to an end. As caregivers we dread that your time on earth as a caregiver that time, but if we recognize it we can will ultimately be brief, although some- make better choices and further enjoy times it may not feel like it! Lastly, make the time we have with our loved one. time for a special friend(s). Fill your emotional bucket whenever you can and at a Time Like This? Now that we have discussed how remember that without you, your loved valuable humor can be in a caregiver’s one would have a deep void in their life. When we think of caregiving, medicine. Laughter is conta- life, how do we realistically incorporate You are special. You are important. Take very rarely do we think of gious and helps us connect it in our daily life? My fi rst step toward care of yourself. laughter. After all, it is laugh- with others, especially the one this was realizing that I can’t control ter that brings us back into the we are caring for. the world around me, nor can I control Kendra Schumaker has 27 years experience joy of the present moment, my mother’s physical health. I may working in the fi eld of aging. As former We have all heard the saying, usually in an unexpected way. do everything I can to help her on her caregivers, she and her husband, Brian, “I laughed so hard I cried!” It Famous actor Bob Newhart life’s journey, but ultimately I am not in realized the need for an additional resource turns out that there is strong once stated, “Laughter gives control. This is where people often turn for Home and Community Based Care. As a evidence that these emotions us distance. It allows us to BY to their higher power for help. Next step: result of this, SarahCare Adult Day Center KENDRA are much more closely related step back from an event, deal Be nice to yourself. Use positive self-talk, opened in 2008 to families of West Michigan. SCHUMAKER than we once thought. The with it, and then move on.” treat yourself as you would your best Kendra is a Certifi ed Dementia Practitioner, Magic of Humor in Caregiving by Isn’t that just what we need as friend. Don’t always notice what you facilitates several support groups locally, and James R. Sherman discusses the thera- a caregiver? It is often too common for have not done, instead focus on your is the Ambassador to West Michigan for the peutic effects of humor in the caregiver a family caregiver to leave our sense of best. Live as though you want to have Alzheimer’s Association. Kendra’s passion situation. In his book, there is a story humor behind. After all, what is funny? “no regrets”. Realize that this journey is not only home and community-based care about an adult son who gave his father At serious times, we tend to focus on is uniquely yours. Learn to laugh now, services, but also caring for the caregiver! (whom he was caring for) a Super Soaker. the sickness, disability, or care needs of The two ended up laughing and playing the person we love. Research has shown in a way that they had not done in years. us that even in the grimmest situations, It was a way for the father and son to con- laughter and humor are good for us. nect in a very intimate, yet non-verbal and Finding humor in our day will allow us to very powerful way. This was especially lighten up, relax, and become more likely important for the adult son, because his to fi nd an improved mood. Many studies father had lost many of his word-fi nding have shown that laughter is good for our abilities due to dementia, and through health. Laughter is life’s natural relaxant. play his son really felt that he and his When we laugh our whole body relaxes. father were “on the same page.” Often as Our immune system is boosted, and caregivers, we miss the reassurance from antibodies are increased which defend our care recipient that we are doing a our body against abnormal cells. Blood good job. We want reassurance that they fl ow to the heart is increased, providing a know who we are, and that they know better air exchange which oxygenates the we love them. entire body and is a very good thing for If you have seen the movie The Bucket our brain. This natural blessing also helps List, you may remember the discus- us deal with the challenges of caregiving sion of the ancient Egyptian belief that and can help protect you, a caregiver, when their souls got to heaven, there from a heart attack. Laughter is also a were two questions that would be asked natural form of exercise for many of our before they could enter heaven. The fi rst large and small muscles including facial, question was, “Have you found joy in thoracic, abdominal, and pelvic muscles. your life?” The second question was, If we are optimistic about our daily activi- “Have you brought joy to others?” It is ties, it is likely we will be better prepared especially true for us when we are going to fi nd the blessings in our caregiving through the most serious times in our journey. Humor can help us do this by life that we remember there were joyful shifting our focus off ourselves and on to moments before the illness, and that other people. Laughter often is the best there can be similar moments during,

JANUARY | FEBRUARY 2019 7 SENIOR PERSPECTIVES - KENT COUNTY up in a time where they could be the guide include: adult day and LGBT Aging Initiative: placed in a hospital for having a respite services, caregiver support, mental illness, or put in jail because counseling and education, housing they were LGBT. Often, LGBT had to and real estate, medical, nutrition remain invisible. They operated un- and transportation services. This Providing Services der a “don’t ask, don’t tell” mentality guide is not about LGBT older adults so that they could keep their careers, receiving special care or services. It is housing and even families. Keep- about making sure they know they ing this in mind is important when can access the same care as everyone to ALL Seniors working with LGBT older adults. else and do not have to worry about Organizations stating that they will hiding who they are to do so. not discriminate against members The Area Agency on Ag- Health Endowment Fund. A PDF version of the guide can be of the LGBT community can mean ing of Western Michigan’s The purpose of the initia- found on AAAWM home page: the difference between someone ac- (AAAWM) mission is “to tive is to reduce isolation for www.aaawm.org. cessing the care they need or having provide older persons LGBT older adults by creat- their health deteriorate because they and persons with a dis- ing a resource guide listing Kendrick Heinlein is a graduate of do not trust that they are safe. ability an array of ser- LGBT-affi rming organiza- Grand Valley State University. He vices designed to promote tions in West Michigan. AAAWM, working in collabora- joined AAAWM in 2016 and started independence and dignity tion with the Grand Rapids Pride working on the LGBT Initiative in LGBT older adults are not in their homes and their BY Center (GRPC), created a guide January, 2017. When he is not looking KENDRICK as likely to access health and communities.” In an effort titled, Resources: A Guide to Services up new transportation options for older HEINLEIN aging services due to fear of to make sure every older for LGBT Seniors & Caregivers in adults, he enjoys exploring new nature being discriminated against. adult receives equal ser- West Michigan. Services found in trails with his wife, son and dog. These fears stem from generations vice, AAAWM began working on the of mistreatment and discrimination Michigan Lesbian, Gay, Bisexual and in social and healthcare settings. Transgender (LGBT) & Aging Initia- Todays’ generation does not always tive. The initiative is funded by a realize that LGBT older adults grew two-year grant through the Michigan

SENIOR PERSPECTIVES - KENT COUNTY 8 JANUARY | FEBRUARY 2019 this list with your parents, Legal: assess their needs. Are they comfortable in their home? • Make copies of legal docu- Are You ments and contact informa- Are they able to care for themselves? tion for legal advisor. • Discuss the will — is it cur- Prepared? Health: rent, and where is it located? • Is there a durable power of BY • Keep a list of healthcare pro- attorney for fi nances? (this SARAH I have a few too many people fail to have a plan. viders and health insurance is different than healthcare WILLINK questions. This How does that saying go again? “If companies and their contact DPOA) involves a little you fail to plan, you plan to fail.” information. engagement from your armchair. Are Having these conversations pre- The following is not an exhaustive • Keep a current list of pre- you ready? scription medication. vents tough decisions in the midst list but rather a helpful guide. This of a crisis or after faculties are Raise your hand if: You are confi dent conversation (and checklist) should be • Discuss any pertinent health concerns. diminished (which I see FAR too that you have all of your affairs in covered as soon as possible and then often). You are never too young or order if a health emergency or crisis revisited annually (maybe around the • Do you have a durable pow- er of attorney for healthcare? too old to have these discussions. occurred. You know WHO would holidays) or as circumstances change. It is ALWAYS better to have a plan make decisions for you, should you Written advance directives? Is this information in an eas- that is never used than to scramble become unable. Instructions regarding General: at the last minute during a stress- your estate and healthcare prefer- ily accessed place? • Have a list of emergency ful event. I hope this list provides a ences are clearly written out. You have contacts. good starting point for conversation. discussed these topics with relatives Finance/Insurance: • Create a contact chain. Who It has been my experience that fami- and/or close friends. contacts who in the event of • Discuss any banks, broker- lies who are proactive are always If you raised your hand (or mentally a crisis? age accounts, IRAs, employ- grateful and relieved that they were said yes), to any of the above ques- • Do you have a safe deposit er retirement plans, plans for diligent about planning in advance. tions KUDOS to you (!) for you are in the home. box? Where is it located? Sarah Willink lives in West Michigan the minority by far. The reality is, far • If you are working through • Make a list of life insurance policies — include company where she enjoys her dogs, sunsets at the names and policy numbers. beach, watching football and crocheting. • Be sure all benefi ciary infor- She holds Master’s degrees in Social mation is up to date. Work and in Aging Services Manage- • Review Social Security ment. She enjoys working with older benefi ts. adults as a Case Manager at the Area • Is there an insurance policy Agency on Aging of Western Michigan. or savings in place for long- She is also a Certifi ed Health Coach term care living arrange- and is passionate about wellness in all ments? If so, what do they areas and at all stages of life. She can be cover? reached at [email protected]

JANUARY | FEBRUARY 2019 9 SENIOR PERSPECTIVES - KENT COUNTY receiving palliative care as early. Question: Does medical insurance cover Palliative and Supportive Care Ask the Provider In addition, there are nu- services? merous medical studies Understanding Palliative in a variety of settings Answer: Yes, Medicare and Medic- demonstrating the aid provide reimbursement for the postivie impact of sub-specialty of palliative care. As we and Supportive Care Palliative and Sup- know, Medicare and Medicaid are the portive Care on not largest nation health plans driven by Courtesy of Mercy Health tant subset only the quality of federal and state regulations. life but the length of of Palliative Comercial insurance companies have Question: What is the and Support- life. different plans and coverage. For the purpose of Palliative and ive Care that Graph to left: Palliative medi- most part, we have seen an increase in Supportive Care? serves patients and cine can be provided to any patient coverage of palliative care by private Answer: The purpose of their families at the end of with chronic disease, and it focuses on health insurance companies — for Palliative and Supportive life. Palliative and Supportive their sickest members. Care is to assist patients Care is not about the end of living well. Hospice is a form of pallia- and caregivers, who are BY life, but life until the end. It tive medicine specifi cally for patients At this time, the best advice we can living with a long-term or JOEL helps patients with serious, with terminal disease at the end of life. offer is for you to check with your advanced disease, with PHILLIPS, DO advanced illnesses to live as insurance provider for any details and Question: Can patients or their fami- improving quality of life well as possible for as long as requirements or restrictions regarding lies request Palliative and Supportive and ensuring that patients possible. Palliative and Supportive Care before Care? continue to fi nd meaning you ask for these services. One important difference Answer: Yes, on an outpatient basis, and value in their lives. In Grand Rapids, to contact the Palliative between Hospice Care and patients can ask for a referral from Question: What is the main Palliative and Supportive their primary care physician. On an and Supportive Care team at Lacks Cancer focus of Palliative and Sup- Care is that with Pallia- inpatient basis, the referral would Center, please call 616.685.5231. For neuro- portive Care? tive and Supportive Care, need to come from the patient’s palliative care at the Hauenstein Neurosci- Answer: Palliative and Sup- patients will still see their attending physician while being ence Center in Grand Rapids, please call 616.685.5050. portive Care focuses on: BY GERALD specialists for their medical hospitalized. • Examining the goals of HARRIMAN, conditions, receive cura- care, taking into account DO tive medicines and treat- the benefi ts, burdens and ments, as well as undergo risks of treatment. occupational or physical therapy as • Managing all of the patient’s symp- appropriate. Patients may receive the toms, which may include pain, benefi ts of Palliative and Supportive depression, digestive issues and the impact of cognitive impairment on Care for a brief period of time or decision making. years! • Addressing psychosocial stress that Question: Why do patients and the patient, caregivers or family families often hesitate when offered members may be feeling caused by Palliative or Supportive Care? the illness or health care system. • Dealing with fi nancial, social and Answer: Patients and their families practical issues the patient and fam- may reject palliative care because they ily are facing think it is the same as hospice care. • Caring for the human spirit — People may mistakenly think that the including any feelings of loss of patient is dying if palliative care is purpose, as well as spiritual needs called in for a consult. of the patient. It is important to remember that • Advanced care planning, so that Palliative and Supportive Care is rec- future treatment plans are aligned ommended for patients with serious, with the patient’s wishes. complex, and long-term illnesses. It is • Transitioning to hospice care as the not requested for patients who “are disease progresses to the end stages expected to die soon.” of life. A recent pilot study of patients with Question: How is Palliative and Sup- serious neurological illness showed portive Care different from Hospice that receiving Palliative and Support- Care? ive Care early in their treatment was Answer: Hospice Care is an impor- associated with a higher quality of life after 16 weeks than those patients not

SENIOR PERSPECTIVES - KENT COUNTY 10 JANUARY | FEBRUARY 2019 Disability is something most people don’t like to think It’s important that you know which benefi ts you may about, but the chances that you’ll become disabled be qualifi ed to receive. You can read more about Social probably are greater than you realize. Studies show Security Disability Insurance at www.socialsecurity. that a 20-year-old worker has a 1-in-4 chance of becom- gov/pubs/EN-05-10029.pdf and more about SSI at ing disabled before reaching full retirement age. www.socialsecurity.gov/pubs/EN-05-11000.pdf. Social Security pays disability benefi ts through two When you apply for either program, we’ll collect programs: medical and other information from you and make a decision about whether or not you meet Social • The Social Security Disability Insurance (SSDI) Security’s defi nition of disability. In addition to meet- program and; ing our defi nition of disability, you must have worked • The Supplemental Security Income (SSI) program. long enough — and recently enough — under Social Social Security Disability Insurance is funded through Security to qualify for SSDI benefi ts. payroll taxes. Social Security Disability Insurance recip- To see if you meet the requirements for disability ients have worked for years and have made contribu- benefi ts, visit www.socialsecurity.gov/planners/dis- tions to the Social Security trust fund in the form of ability/qualify.html. Understanding Social Security taxes – either FICA (Federal Insurance Contributions Act) for employees or SECA (Self-Em- Social Security covers millions of people, including ployment Contributions Act) for the self-employed. children, wounded warriors, and people who are chronically ill. And this is just a part of what we do. Re- Social SSI is a means-tested program, meaning it has nothing member, you can also apply for retirement, spouse’s, to do with work history, but provides payments to Medicare, or disability benefi ts online at www.socialse- people with disabilities who have low income and few Security resources. Social Security manages the program, but curity.gov/forms/apply-for-benefi ts.html. SSI is not paid for by Social Security taxes. Social Secu- Vonda VanTil is the Public Affairs Specialist for West rity pays benefi ts to people who can’t work because Michigan. You can write her c/o Social Security Admin- Disability they have a medical condition that’s expected to last at istration, 3045 Knapp NE, Grand Rapids MI 49525 or least one year or result in death. Federal law requires BY via email at [email protected] VONDA this very strict defi nition of disability. While some VANTIL programs give money to people with partial disability Benefits or short-term disability, Social Security does not.

JANUARY | FEBRUARY 2019 11 SENIOR PERSPECTIVES - KENT COUNTY ACROSS 12 “Peachy” 1 Divers’ destinations 13 Windy weather fliers 6 Japanese cartoon art 18 Arms-akimbo joints 11 “Shoot!” 22 Arch site 14 Send to cloud nine 25 Oft-baked pasta 15 Sir Arthur __ Doyle 26 Miles away 16 Traffic court letters 28 Arrest 17 Spread some gossip 30 Adobe file format 19 Chow fixer? 31 Head of a pub? 20 Emphatic affirmation 32 Prez on a fiver 21 Paperless tax return option 34 Rodent-eating reptiles 23 Original “Veronica Mars” 35 Day before a big day airer 36 Shucker’s unit 24 Hybrid toaster oven snacks 39 Letter-shaped beam 27 Surrealism pioneer Max 40 Pita sandwich 29 That being the case 41 Deserving 30 “... Mr. Tambourine Man, 44 Frat party wear __ song for me” 47 Barely flow 32 __ standstill 49 Wild 33 Birch or beech 50 Hoity-toity 37 Buns and flips 51 Flamboyant Dame 38 He has a nest at 1231/2 52 Handmade bleachers sign Sesame Street 53 Hyper 42 Actress Gardner 54 Skin “Creme” in blue tins 43 Racing legend A.J. 55 Workout buff’s motto 45 “Later!” opener 46 Absolute 57 Impish looks 48 Sharif of “Doctor Zhivago” 60 SALT weapon 50 Prophets 61 Whirlpool 52 Stayed on 64 Metered praise 56 Dutch banking giant 65 Portland Timbers’ org. 58 Homeric epic 59 Philips electric toothbrush brand 62 “” network (c)2018 TRIBUNE CONTENT AGENCY, LLC. 63 Young player on the rebound ... or, in another way, what each set of circles in this puzzle represents 66 Iron source 67 Go off-script 68 Mix 69 Baby goat sound G 70 Like mosquitoes 71 In disarray

DOWN 1 Second try A EGP 2 Philanthropist Yale 3 “No sweat” 4 1862 Tenn. battle site 5 Match makers? M 6 Nailed the test 7 Brand for serious last- minute preparation 8 Italian food ending 9 Tarnish E 10 Comes in 11 Pain reliever sold in Liqui- Gels

SENIOR PERSPECTIVES - KENT COUNTY 12 JANUARY | FEBRUARY 2019 Mixed Seasons It was a transcendent moment that spring day in April 2018, but not for any spe- cial reason or accomplishment. It occurred while Merijo and I answered winter’s demand to shovel our driveway. The task might have been easier if I was a better prognosticator and not stowed away the snow blower too soon. After two hours of shoveling wet and heavy snow, arms tired and back sore, the special moment oc- curred. I turned to see my wife dressed in black jeans, maize and blue jacket, stocking cap and white mittens. Wielding a red-handled shovel, with which she cleared snow from the driveway, she paused, lifted her face to the sky, and with a breath from the depths of her lungs lamented, “OK, isn’t it time for winter to stop?” April had deceived us with sunshine enough to melt snow and convince brown patches of turf, shadowed with green whiskers, to unite into the remembered backyard of warmer tempera- tures. In anticipation of spring’s imminent return, our spirits SENIOR PERSPECTIVES were on the rise. But winter ignored our calendar. I pulled the curtains open to greet with a groan another morning of winter BY on spring’s door step. GAME PAGE JOEL Answers on Page 23 DULYEA It was a day to endure; a day to remain couched inside with a book beside the fi replace, sheltered from unwanted visitors that ignored boundaries. Sleet slapped our wooden deck with applause, gleeful to linger. Snow blanketed the bed of daffodils, tulips, and grape hyacinth, prolonging their slumber, delaying their blossoms. Hail mimicked our wire-haired dachshund, tapping at the sliding glass door to be let in. It was a time to hole up and wait for warmer temperatures, but Heidi had an appointment with the veterinarian. Later during the morning, Merijo called from the vet’s offi ce to tell me she nearly got stuck at the end of our driveway. With shovel in hand, I traipsed in boots and warm clothing to the end of the driveway and shoveled. Twenty minutes later Merijo re- turned with Heidi and slid into our garage on her third attempt. She then joined me to remove snow from the driveway. Once she started, she wouldn’t stop, so neither would I. Thirteen years ago, Merijo couldn’t walk. Scoliosis caught up with her, leaving her bedridden. Eight months after her surgery, she returned to work with two titanium rods holding her spine as straight as the surgeon could make it. She has strength enough for her physical needs now. Enough to shovel snow. Her back bone inspires me. Shoveling snow. In that mundane occurrence, when Merijo directed her rhetorical question heavenward, was a coagulation of our life together. Overlapped layers of shared memories melded into a moment. The benefi ts of our marriage fi ltered into consciousness; the recognition of love in full maturity. Merijo crafted a glass jar with the label “Good News” and has placed it in the kitchen. We deposit written messages of meaningful events during the year and read them to each other on New Year’s Day 2019. Upon one note was an early valentine message scribbled after a cold winter’s day in the spring of 2018: “I shoveled snow with the one I love, the one who loves me.” Joel Dulyea is a United States Army retiree who loves to sing with his wife Merijo, go on dates with his daughter and spoil his wire-haired dachshund, Heidi.

JANUARY | FEBRUARY 2019 13 SENIOR PERSPECTIVES - KENT COUNTY Conquering Arthritis: Part I

Are aches joints -- are freely movable and and pains a they are connected and secured normal part by ligaments (bone to bone,) of growing tendons (end of a muscle con- BY HOLLY old? I am nected to a bone), soft tissue and LOOKABAUGH asked this fascia, and are encapsulated by a - DEUR complicated membrane (capsule) that secretes question synovial fl uid to lubricate the often. The answer is just as com- joint. Examples of these joints are plex! If we can better understand knees, hips, shoulders, elbows, “aches and pains” as they relate and fi nger and toe joints. The to movable joints, the picture of ends of the bones are covered normal vs. abnormal joint health with pressure-sensitive, articular becomes more clear. cartilage (hyaline) that protect There are three primary types the bones, absorb shock, and of joints in our bodies. Joints allow for smooth movement form in areas where two dif- between the ends of the bones. ferent bones come together. Other types of joint categories Some joints– called SYNOVIAL are FIBROUS, which are non-

SENIOR PERSPECTIVES - KENT COUNTY 14 JANUARY | FEBRUARY 2019 movable joints, such as between joint destruction occurs, causing the puzzle pieces that fi t together infl ammation and nerve end- perfectly to form the skull. A ing irritation. ARTHRITIS is one semi-movable joint category is the cause of joint deterioration. While CARTILAGENOUS joint –such there are several types of arthritis, as between the vertebrae in the one of the most well-known and spine. widespread types is osteoarthritis – “osteo” (refers to bone). “Arth” Let’s focus on the freely moving (means joint) and – “itis” (infl am- joints – our synovial joints. There mation). Osteoarthritis affects are many factors that can contrib- millions of people, and once the ute to aching or painful syno- anatomical changes occur, they vial joints. A few of the normal cannot be reversed. The good changes from aging of the mus- news is that there are ways to culoskeletal system – our bones, prevent and minimize the impact muscles and joints - include the of arthritic changes, keeping us following: active, functional and living life • Reduction in protein synthesis to its fullest. • Reduction in size and number Stay tuned for the next issue of muscle fi bers, particularly in where we will explore how to the lower limbs balance the following manage- • Reduction in muscle growth ment strategies for the top areas • Reduction in the ability of impacted by osteoarthritis: the muscles to repair themselves spine, hips, knees, and hands. • Replacement of active muscle fi bers by non-contractile fi brous tissue Top strategies: • Reduction in the number of mo- tor neurons and deterioration of 1. Specifi c exercise strategies neuromuscular junctions – for hands, knees, hips, and • Increase in fat deposition at the spine expense of lean muscle tissue 2. Rest vs. unloaded movement • Accumulation of lipofuscin (an 3. “Over the counter” and natu- age-related pigment) ral solutions • Reduction in blood fl ow to the 4. Nutrition – how diet really major muscle groups make a difference with joint • Decreased bone density infl ammation • Replacement of the elastin com- 5. Eastern medicine strategies ponent of soft tissue (the ability to stretch and fl ex) with more 6. Invasive interventions: Injec- restrictive and rigid tissue fi ber tions and surgical interventions called collagen • Gradual deterioration and “wearing” patterns in hyaline Holly Lookabaugh-Deur is a physical cartilage of joints therapist with 39 years of experience and the president of Generation Care. While this might all sound a bit She is a board certifi ed Geriatric Clini- bleak, believe it or not, we can cal Specialist and special certifi cations age WITHOUT pain while all of as an edema specialist in oncology re- these changes are happening! habilitation, wound care, and as a certi- Problems arise when an exces- fi ed exercise expert for aging adults. sive, disproportionate amount of

JANUARY | FEBRUARY 2019 15 SENIOR PERSPECTIVES - KENT COUNTY Family Fun in Grand Rapids The Grand Rapids Public Museum, Grand Rapids Civic Theatre and Frederick Meijer Gardens announce events and exhibits

Grand Rapids Civic Theatre: Agatha Christie’s And Then There Were None takes to the stage through the end of January

This January, step out of the cold and into a Butterfl ies are world fi lled with Blooming Exhibition mystery and intrigue as Grand The annual Fred Rapids Civic & Dorothy Fich- Theatre produces ter Butterfl ies Are a dramatic mas- Frederik Meijer Gardens Blooming exhibition terpiece. Written at Meijer Gardens is by the grande & Sculpture Park: the largest temporary dame of mystery, tropical butterfl y Agatha Christie’s A National Treasure: exhibition in the na- And Then There tion. Tropical butter- Were None will Fred Meijer, His Collection fl ies from around the keep you guess- and Legacy world fl y freely in the ing until the Lena Meijer Tropical Although never for- curtain goes down. Adapted for the stage in mally trained in the 1943, it was a smash hit on the West End and visual arts or art history, Broadway and it is still surprising audiences Fred Meijer was deeply today- even mystery fans may be stunned to interested in cultural realize the play has two possible endings! endeavors and history, Ten strangers are summoned to a remote and had a long inter- island. All that the guests have in common est in sculpture. Visit A is that each carries a past fi lled with dark National Treasure: Fred secrets. When they gather for dinner expect- Meijer, His Collection ing to meet their host, it becomes evident and Legacy at Frederik that they have been summoned to atone for Meijer Gardens & those secrets. Which is the greater struggle, Sculpture Park through Conservatory every March and April. Through- the burden of guilt or the quest for retribu- August 25, 2019. More out the exhibition, there is special educational tion? See for yourself, as And Then There information can be found at meijergardens.org programming and the Lena Meijer Children’s Were None takes the stage, January 11-27. Garden offers butterfl y-themed activities. More Call 616-222-6650 or visit www.grct.org for information can be found at meijergardens.org ticket information.

SENIOR PERSPECTIVES - KENT COUNTY 16 JANUARY | FEBRUARY 2019 electronic learning sta- Volunteer Program tions. Visitors can learn Open Orientation about modern imaging techniques like high-en- Explore Meijer Gardens’ volunteer program ergy neutron beams that at an open orientation on March 13, 2019. This reveal the inside of a T. meeting will last approximately an hour and a Rex skull in microscopic half. We will go over policies from the handbook, detail never seen before. give an overview of the open positions, tour The exhibit includes a number of hands-on the volunteer center and take a photo for your interactives that explain dinosaur move- badge. Additionally, the Volunteer Manager ment, digestion, and evolution, and show and several current volunteers will be available the life and methods of dinosaur hunters to answer any questions you have about our pro- from the 1800s to today. and play, and how toys have changed over gram. More information can be found at meijer- time,” said Alex Forist, the GRPM’s Chief gardens.org Expedition: Dinosaur taps into our fascination Curator. “We hope each visitor will remem- with these incredible creatures. It is perhaps ber playing with their favorite toys from the closest experience to what it would have childhood, as well as make new memories been like to be in the presence of a living, with their family, friends, and classmates.” breathing Mesozoic-era dinosaur. Through the design This exhibit focuses on the science of pa- process of the exhibi- leontology. Exhibit developer Stage Nine tion, the Museum Exhibitions engaged renowned paleontolo- worked with sev- gist Dr. Thomas Williamson to consult and eral experts from inform the exhibit. Dr. Williamson, Curator the community of Paleontology at the New Mexico Museum making sure the of Natural History and Science, was featured design was as in the PBS documentary “The inclusive as pos- Day The Dinosaurs Died.” sible so everyone visiting can enjoy it. The exhibition will be presented in both English Grand Rapids TOYS! – and Spanish, and will also include Braille. Public Museum: Now Open Thanks to the many donors, lenders, col- laborators and friends of the GRPM who TOYS! is an interactive, Expedition: Dinosaur shared their toys and ideas for the exhibit. multi-generation exhibition

Expedition: Dinosaur explores the fascinating of toys and games to re- world of dinosaurs and the hunt for their kindle childhood memories ______fossils from Stage and spark the creation of Nine Exhibitions, new ones. This GRPM origi- Coming Soon... on display now nal exhibit features toys and through Spring games from the Museum’s Concerts Under the Stars 2019. Collections and on loan from the com- January through March This exhibit munity, has something Artists to be announced. allowing for every age and interest, from life-sized visitors to and lifelike animatronic dinosaurs - some imagine, compete and Roger That! controlled by visitors - to mechanical and create, while going on a February 15 & 16 journey of toys through generations. Ice Worlds: “TOYS! is a fun and inter- New planetarium show active exhibit experience that is meant to spark Beginning January 7 inter-generational conver- sations about the im- ______portance of imagination

JANUARY | FEBRUARY 2019 17 SENIOR PERSPECTIVES - KENT COUNTY Fire Safety

Most of us try to keep fi re safety in Some mind when we other tips are cooking or include using a timer when you leave working around something on the stove, not wearing our homes, but full, dangling sleeves while cooking, sometimes it and keeping all fl ammable items away BY helps to stop from your cooking area. If a fi re starts CHRISTINE and take a closer in your microwave, turn off the power WISTROM look at how well and keep the door closed until the fi re prepared we re- goes out. Do not use the microwave ally are. You probably feel confi dent again until it is checked by a profes- if you have a fi re extinguisher handy sional repairman. in your kitchen. Did you know that If you have a grease fi re, do not try to many people with disabilities are put it out by pouring water on it. This unable to pull the pin out of their could cause a fi reball to develop. Also, fi re extinguisher? If you have muscle do not try to toss the burning pan into weakness, or arthritic hands, pull- the sink as you may drop it and burn ing the pin out so you can use your yourself. Instead, turn off the heat extinguisher may be impossible. and place a lid on top to suffocate the Fire fi ghters may suggest you leave fl ames. the pin partially pulled, but that can cause the extinguisher to prema- The best way of responding to a fi re turely discharge and when you need is by preventing it in the fi rst place. it, it may not work. So, if you have a Be sure you have a smoke detector on fi re in your home, what can you do? each fl oor of your home, and make As with most fi res, your best bet may sure it is in working order. Place one be to call 911 and go outside. near the kitchen, and another by your bedroom or sleeping area. Replace the Two out every fi ve home fi res batteries at least once a year. If you use reported take place in the kitchen. a space heater, take care not to overload Ninety percent of kitchen fi res are the electrical circuits, and keep your liv- from cooking mishaps, most often ing area clutter-free and well illuminat- caused from unattended cooking ed. If you use a wheelchair, make sure equipment. If you have a kitchen fi re, there are two wheelchair-accessible try to smother it by tossing a damp exits available. A bit of common sense cotton towel on it, or throwing a box and some advanced preparations can of baking soda on it. Many people make fi re safety a reality. keep an open box of baking soda in their refrigerator to deodorize it. If Chris is a Gerontologist who works at the soda is easily accessible, it may Disability Network/Lakeshore in Holland, save the day, but do not substitute Michigan as an Independent Living Spe- fl our, sugar or baking powder. Bak- cialist. Current interests include assistive ing soda has bicarbonate in the soda technology, veterans’ issues, emergency that releases carbon dioxide that will preparedness planning and service dog smother the fl ames. training.

SENIOR PERSPECTIVES - KENT COUNTY 18 JANUARY | FEBRUARY 2019 for the event, we thought a special plate would be in 2017, over 300,000 personal plates were being used order, so he got 2SWEDES for the car. One of the fi rst in Michigan, and 27,401 were on the denied list. In Special people to see the car after the plate was mounted was Canada DVL WMN is banned according to a short his niece. “What does 25 Wedes mean?” she asked. piece titled “Restrictor Plates” in the May 18, 2009 Auto Week magazine. It stated that an application for My wife, Suzette, and I spend a lot of time riding in a plate like mine was rejected along with 17 others License our 1939 Plymouth hotrod which resembles a 1950s including: FLOR-IT, RACE2WN and DEMON. How era dirt-track racecar. about that, eh? BY A friend and I picked JERRY Plates #42 for the car, the My other personal plate is FUN48F1. This is on our MATTSON same number singer modifi ed 1948 Ford F-1 pick-up hot rod. Marty Robbins At a car show, I saw MRSOBER on a plate at the rear When they fi rst became available in Michigan, in of very large 4 X 4 pickup. The owner was also very 1973, they were known as Vanity Plates. I suppose large, about six-foot four, and looked like Mr. Clean. you only got one of those if you were vain enough. used when he raced I asked him, “Who is Mrs. Ober?” In no uncertain Maybe one of these two dictionary defi nitions in NASCAR. As terms, he let me know that it was Mr. Sober. Oops. of vanity could apply: “infl ated pride in oneself another nod to him, That was a little too personal, I guess. Later that sum- or one’s appearance” and “a fashionable trifl e or my plate is DVL mer, I saw him and the truck again. I did not mention knickknack.” By the time I bought mine, they were WMN. One of his his plate, but I did notice a white dot of paint after the Personal Plates and I did not have to feel vain when hit songs, and the fi rst R. buying them. name painted on one of his early race cars was Devil Rather than making a guess, the safest, way to fi nd Woman. My wife is often questioned on what she I have had some fun reading others’ plates. My out what a plate stands for is to just ask, “What does did to deserve the recognition. Whoops. cousin had ILBCNU on her car. That one was easy to your plate mean?” WHTISIT fi gure out. Others may be confusing or just make no Not all personal plate applications are approved. A sense to someone not fully tuned-in to today’s world. Jerry enjoys writing stories about mechanical things, screening process weeds out those deemed offensive especially cars and auto-related items. He has many In 2001, my friend Lee Ekblad and I drove cross by the DMV. If someone lodges a complaint about Michigan license plates mounted on the walls of his country in his 1935 Ford in The Great Race. Preparing a plate, it can be recalled by the state. As of June shop, the oldest from 1931.

JANUARY | FEBRUARY 2019 19 SENIOR PERSPECTIVES - KENT COUNTY Question: I am receiving Social Security retirement Answer: It depends on your date of birth. If you benefi ts and I recently went back to work. Do I have were born before 01/02/1954 and your spouse is to pay Social Security (FICA) taxes on my income? receiving Social Security benefi ts, you can apply for retirement benefi ts on your spouse’s record as long Answer: Yes. By law, your employer must withhold as you are at your full retirement age. You then will FICA taxes from your paycheck. Although you are Questions earn delayed retirement credits up to age 70, as long retired, you do receive credit for those new earnings. as you do not collect benefi ts on your own work Each year Social Security automatically credits the and Answers record. Later, when you do begin receiving benefi ts new earnings and, if your new earnings are higher on your own record, those payments could very well than in any earlier year used to calculate your current be higher than they would have been otherwise. If benefi t, your monthly benefi t could increase. For your spouse is also full retirement age and does not more information, visit www.socialsecurity.gov or call receive benefi ts, your spouse will have to apply for us at 1-800-772-1213 (TTY 1-800-325-0778). benefi ts and request the payments be suspended. Then you can receive benefi ts on your spouse’s Social Security record. Question: I’m trying to fi gure out how much I need to save for my retirement. If you were born on or after 01/02/1954, and you wish to receive benefi ts, you Does the government offer any help with fi nancial education? must fi le for all benefi ts for which you are eligible. The Social Security Adminis- Answer: Yes. For starters, you may want to fi nd out what you can expect from tration will determine the benefi ts you are eligible for and pay you accordingly. Social Security with a visit to Social Security’s Retirement Estimator at www.so- For individuals born on or after 01/02/1954, there is no longer an option to cialsecurity.gov/estimator. The Financial Literacy and Education Commission select which benefi t you would like to receive, even beyond your full retire- has a website that can help you with the basics of fi nancial education: www. ment age. Widows are an exception, as they can choose to take their deceased mymoney.gov. Finally, you’ll want to check out the Consumer Financial Protec- spouse’s benefi t without fi ling for their own. For more information, please visit tion Bureau, which offers educational information on a number of fi nancial www.socialsecurity.gov. matters, including mortgages, credit cards, retirement, and other big decisions. Visit the Consumer Financial Protection Bureau at www. Vonda VanTil is the Public Affairs Specialist for West Michigan. You can write her c/o consumerfi nance.gov. Social Security Administration, 3045 Knapp NE, Grand Rapids MI 49525 or via email Question: Can I delay my retirement benefi ts and receive at [email protected] benefi ts as a spouse only? How does that work? Beware of Social Security Scammers BY VONDA VANTIL In the digital age, frauds and Callers sometimes state that your Social Security scams are an unfortunate part of number is at risk of being deactivated or de- doing business online. During leted. The caller then asks you to provide a phone the holiday season, Social Security has tradition- number to resolve the issue. People should be aware ally seen a spike in phishing scams, and we want to the scheme’s details may vary; however, you should protect you as best we can. avoid engaging with the caller or calling the number provided, as the caller might attempt to acquire We urge you to always be cautious and to avoid pro- personal information. viding sensitive information such as your Social Secu- rity Number (SSN) or bank account information to un- Social Security employees occasionally contact peo- known individuals over the phone or internet. If you ple by telephone for customer-service purposes. In receive a call and aren’t expecting one, you must be only a few special situations, such as when you extra careful. You can always get the caller’s informa- have business pending with us, a Social Security tion, hang up, and — if you do need more clarifi cation employee may request the person confi rm personal — contact the offi cial phone number of the business or information over the phone. agency that the caller claims to represent. Never reveal Social Security employees will never threaten you or personal data to a stranger who called you. promise a Social Security benefi t approval or increase in exchange for informa- Please take note; there’s a scam going around right now. You might receive a call tion. In those cases, the call is fraudulent, and you should just hang up. If you from someone claiming to be from Social Security or another agency. Calls can receive these calls, please report the information to the Offi ce of the Inspector even display the 1-800-772-1213, Social Security’s national customer service num- General at 1-800-269-0271 or online at oig.ssa.gov/report. ber, as the incoming number on your caller ID. In some cases, the caller states Remember, only call offi cial phone numbers and use secured websites of the that Social Security does not have all of your personal information, such as your agencies and businesses you know are correct. Protecting your information is an Social Security number (SSN), on fi le. Other callers claim Social Security needs important part of Social Security’s mission to secure today and tomorrow. additional information so the agency can increase your benefi t payment, or that Social Security will terminate your benefi ts if they do not confi rm your informa- Vonda VanTil is the Public Affairs Specialist for West Michigan. You can write her tion. This appears to be a widespread issue, as reports have come from people c/o Social Security Administration, 3045 Knapp NE, Grand Rapids MI 49525 or across the country. These calls are not from Social Security. via email at [email protected]

SENIOR PERSPECTIVES - KENT COUNTY 20 JANUARY | FEBRUARY 2019 Ask the Vet Canine Infl uenza Virus

With the temperature starting to drop and friends, family, and coworkers coughing and sneezing we start thinking about trying NOT to get the fl u! It turns out our dogs have their very own strains of the fl u, too! There are currently two types of canine infl uenza virus- es (CIV) H3N8 and H3N2. While these sound similar to the types of fl u we can get, we cannot catch the fl u from BY our dogs. CIV is fairly new to the State of Michigan, and DR. ERIC since July 2018 we have had 160 confi rmed cases state PETERSON wide (last reported date 10/3/2018). CIV is a reportable disease, so if a veterinarian diagnoses a case of CIV, he or she must report it to the Health Department so that it can be tracked. Dr. Eric Peterson is a North Muskegon High School graduate and has lived in Muskeg- Many diseases diagnosed by veterinarians are not reportable, so this makes on life-long. In 2003, he graduated from the College of Veterinary Medicine at Michigan CIV different. State University. He currently owns and practices at Northside Veterinary Hospital CIV is a highly contagious respiratory tract infection and is frequently as- and Holton Road Veterinary Clinic in Muskegon. He has been married to his lovely wife sociated with the kennel cough disease complex. The CIV is spread in high Marisa for nine years and together they have four wonderful children Charlotte age 7, population environments such as shelters, dog parks, dog beaches, ken- Graham age 5, and twins Will and Penelope age 3. neling facilities, boarding and grooming facilities. Spread of the virus oc- curs via aerosol transmission that can occur by direct contact (dog to dog) or indirect contact (on inanimate items such as doors, walls, plants, etc.). The virus can remain in the environment for up to 48 hours. Peak infections typically occur in the winter months but will also show up during summer and fall. A dog can become infected within a few hours of exposure to the virus and can show illness within 2-4 days. Dogs with CIV typically cough and sneeze while having thick nasal and eye discharge. Most will be lethar- gic (slow and sluggish) and have a decreased appetite. Many will come down with secondary bacterial infections that will lead to green or yel- low discharge too. For most dogs, recovery will happen within 2-3 weeks, however some can battle lengthy infections requiring hospitalization. The occasional dog can have CIV and never show any signs (coughing, sneez- ing, etc.) while still being able to spread the disease. In rare cases, CIV can lead to death. To help keep your dog free and clear of CIV, limit his or her exposure when an outbreak is present. If your area has CIV, keep your dog from going to places where they will encounter other dogs or where other dogs frequent. There is a safe and effective vaccine available from your veterinarian to protect again both strains of CIV so that you can prevent your dog from getting sick. It is a vaccine that is recommended for dogs that frequently have high exposures to places where other dogs frequent. If your dog is showing signs of respiratory disease (coughing, sneezing, eye or nose drainage) contact your veterinarian. For more information on Canine Infl uenza Virus (CIV) contact your veterinarian.

JANUARY | FEBRUARY 2019 21 SENIOR PERSPECTIVES - KENT COUNTY “Cultivate the habit of being ing takes care of itself. Commit to NOT taking grateful for every good thing this miracle for granted. that comes to you, and to give Practicing 2. Every night before you go to sleep, take an thanks continuously. And inventory of the things for which you are because all things have contrib- grateful. Write them down in a Gratitude uted to your advancement, you journal. Keep the journal at your bedside should include all things in so that you can refer to it whenever you your gratitude.” Ralph BY need to be reminded of the things you have to be KIM Waldo Emerson grateful for. KROLL What is Gratitude? practice gratitude sleep better, exercise 3. Engage in an act of kindness today. The fi rst thing many more, are sick less often and generally dem- 4. Bring to mind someone for whom you are grate- of us may associate gratitude with is the Gratitudeonstrate a positive, more accepting, outlook on ful. Savor this image or memory. Notice what act of saying “thank you.” I believe gratitude life. This is not to say that these individuals never happens in your emotions and body when you is an action but goes deeper than that. The benefi ts experience disappointments, sadness, anger or pain. do this. do not stop with the “thank you.” Instead, that is No one is immune to these feelings but adopting only the beginning. Gratitude is contagious, spreads gratitude as a way of life allows us to experience 5. At any point during the day, refl ect upon one when nurtured, and provides immense health and these feelings, process them and grow from them. important thing that you have learned in this day. emotional benefi ts. Write down what you have learned. Therefore, if gratitude has a positive effect on our 6. Send a card or a note letting someone know you I would defi ne gratitude as an emotion, a feeling; a wellbeing then the question is: How do I begin are thinking of them today. state of mind that serves a greater purpose for our practicing gratitude? There are many ways to start 7. Make a decision to see your most challenging general well-being. Being grateful for the ordinary creating the mindset of gratitude. You will need to moments today as opportunities. things and events in our daily life contributes in a fi nd what works for you as there is no set protocol profound and practical way to our well-being and or magic button to push. Below are a few sugges- 8. Reach out to someone who you know is going happiness. If we go through our day’s activities tions to get you started on the path of “practicing through a diffi cult time. You do not have to have without paying attention to what we are doing gratitude.” This list is by no means complete but is the right things to say, just connect in a meaning- or feeling thankful for what is in front of us, we just a beginning. ful way. run the risk of not really experiencing them. It is 9. Give someone a grateful hug. Actually give a hug 1. Close your eyes. Take a few breaths -- all the way important to be in the moment and take some time -- do not take a hug. Ask fi rst. out and all the way in. Notice how your breath- to be grateful. Gratitude creates a positive feeling, 10. Treat yourself! Often times we are so busy tak- reduces stress and fosters happiness. Feeling ing care of others that we forgot to take care of grateful and expressing gratitude is “not ourselves. just an emotional response or action” to an “Practicing Gratitude” is a conscious event or situation. It is a committed choice choice that takes commitment and we make any given day to experience effort. The benefi ts are immense. So greater wellness and vitality in our lives. today, make the choice to practice Scientifi c research supports that there gratitude so you can experience are benefi ts to practicing gratitude. Listed greater wellness and vitality in below are a few research-based benefi ts: your life. You are worth it! 1. Gratitude makes us happier. 2. Gratitude makes us healthier. Kim Kroll is from Four Pointes 3. Gratitude helps us relax. Center for Successful Aging, 1051 S. Beacon Blvd. 4. Gratitude makes us more opti- Grand Haven, MI 49417 mistic. www.fourpointes.org 5. Gratitude improves sleep. 6. Gratitude increases our energy level. 7. GRATITUDE MAKES US FEEL GOOD! Research has shown that individuals who practice gratitude have less stress in their lives. Individuals who

SENIOR PERSPECTIVES - KENT COUNTY 22 JANUARY | FEBRUARY 2019 Reading is My Life’s Passion!

Reading has been a most Nicholas and Alexandra and Peter the Great. Mark important part of my life. It Twain’s three-volume autobiographies are terrifi c. began with getting my own I also enjoy books pertaining to music in all its personal library card in the various forms. It could be about famous composers Chicago Library System when or even the history of how every instrument came I was ten years old. into being. Stories of Broadway and Hollywood It was a small storefront build- musicals are most interesting. ing about three blocks from How about books on inanimate objects like The my house, but it held a world BY DICK History of the Pencil? It’s hard to believe how many of magic. I could take home HOFFSTEDT books there are on so many unusual things. books for free, read them and make sure they were back by the due date. If not, I also love travel stories. Mark Twain’s Innocents you were fi ned a penny a day for a late book. Did Abroad, Following the Equator and A Tramp Abroad are I ever pay a fi ne? I don’t think so. I started reading some of the best ever. He probably saw more of the as soon as I got home and made sure I fi nished on world in the 19th Century than any other American. time. Who can forget that wonderful book about a man and his dog, Charley, travelling incognito around So, what were my reading tastes as a young boy? the United States in an RV to get the pulse of a na- They were adventure stories mostly, Robinson course, are Huckleberry Finn and To Kill a Mocking tion in the 1960s. Crusoe, Robin Hood, and Gulliver’s Travels. I never Bird. thought to determine if they were real or fi ctional Fiction is another story. I do like a sci-fi tale that has I could go on for pages, but I think the reader knows tales. That came later. an element of possibility. I enjoy a good mystery like enough now about my love of reading and some those by Dashiell Hammet, Henning Mankell or High School English changed everything. I now of my favorites. So readers, sit down and refl ect on Agatha Christie. John Grisham’s courtroom dramas became aware of the difference between fi ction and your favorites. You’ll have fun doing it. hold a special interest for me. non-fi ction literature. Could made up stories (fi c- tion) be as important as true (non-fi ction) stories? The fi ction I love best are stories about real people Richard Hoffstedt was born to Swedish immigrants in living real lives, especially stories about people of 1934 and raised in Chicago. He is a U.S. Army veteran. Let’s start with non-fi ction. My favorite is probably meager means struggling to rise above their posi- He has been married to Shirley for 63 years. Richard ha biographies and autobiographies of famous people. tion in this world to make a better life for them- six children, fi ve grandchildren and three great grandchil- After all, history is a conglomeration of biographies. selves. Grapes of Wrath by John Steinbeck is a perfect dren. Richard is an engineer by profession. His interests I love anything by Doris Kearns Goodwin such as example of this kind of book. Another type of story are music, reading, travel, riding his adult tricycle, Mark No Ordinary Time: Franklin and Eleanor Roosevelt - The is about people fi ghting prejudice and bigotry but Twain and John Steinbeck. This is Richard’s 40th article Home Front in World War II, and Robert Massie’s who cannot do it themselves. Two of the best, of for Senior Perspectives

Answers for Word Search , Crossword Puzzle and Suduko on Pages 12 & 13

Boggle Answers: OHIO MAINE OREGON ALASKA FLORIDA COLORADO ______

Jumble Answers: JUICE EVENT SCROLL FILLET

Answer: When the clown helped out the ringmaster, he we a – NICE JESTER

JANUARY | FEBRUARY 2019 23 SENIOR PERSPECTIVES - KENT COUNTY SENIOR PERSPECTIVES - KENT COUNTY 24 JANUARY | FEBRUARY 2019