NEWS AND POSSIBILITES FOR SENIORS A Publication of

PHILADELPHIA CORPORATION FOR AGING October 2018 • Free

IN THIS ISSUE Health Care

HEALTH CARE Making your medical visits more meaningful ‘Brain attack:’ By Sally Friedman minimizing your risk...... 6 You write shopping lists, “To Do” lists and holiday lists. You make time to get the car inspected and pay your taxes. But do you approach your medical visits with a plan, a list of priorities and willingness to do some homework before you even get to that office? In too many cases, such preparation is overlooked in a mad scramble to get to the appointment. Every medical visit is worth not just your time, but also your careful preparation to make sure that it’s a meaningful experience. Read on to find out what you

Ryan Collerd can do to maximize what may be the most important A monument at West ’s Woodlands Cemetery stands in front of a Ginkgo tree. The calendar date of all. Medicare enrollment: species was first introduced to the U.S. by William Hamilton when he brought them to the site. navigating the maze...... 20 Be prepared Let’s begin at the beginning. Treat a doctor’s ap- Philadelphia’s historic cemeteries pointment as if your life depended on it – because it might. Preparation is key for a successful visit. offer many activities this autumn • continued on page 18 By Constance Garcia-Barrio only in legend, but also in a three-story mu- ral at 2902 Germantown Ave. Rows of collards, If you’re looking for a dose of history and kale, beans and tomatoes grow near the graves autumn beauty, try dropping by an area ceme- of Quaker abolitionist and grandmother of the tery. Philadelphia’s cemeteries feature architec- women’s movement and black tural marvels, lush gardens and often-forgot- businessman Robert Purvis, whose South ten history. In October, some cemeteries offer Philadelphia home became a safe house for quirky tours, sell organic produce, share stories fugitives from slavery. Mobs threatened to kill Health Brief...... 2 about personalities of the past, and host Hal- these two staunch abolitionists because of loween parties ablaze in autumn’s mantle of Calendar...... 12 their anti-slavery activism. crimson and gold. Recipe Box...... 17 HFH provides a peaceful space where chil- dren in this North Philadelphia neighbor- Crossword...... 23 Historic Fair Hill Historic Fair Hill Cemetery and Garden hood can play, learn about history, and enjoy (HFH), 2901 Germantown Ave., sits on 4.5 the organic fruits and vegetables grown there. NEXT MONTH: acres that William Penn gave to his friend and “We host family-friendly parties, and we have fellow seeker of religious freedom George Fox, workshops on how to grow and cook vegeta- Caregiving founder of Quakerism. Some of this burial bles,” said HFH director Jean Warrington, 67.

ground’s permanent residents live on, not • continued on page 10 iStock Milestones 2 October 2018

Health Brief

WHO IS PCA? Philadelphia Corporation for Aging (PCA) is a nonprofit agency dedicated to serving Philadelphia seniors. In addi- tion to bringing you Milestones newspaper, PCA offers: • Care in the home • Home-delivered meals • Home repairs and modifications iStock • Protective services Older Americans face challenges • Senior centers • Ombudsman services • Caregiver support • Health education in HIV/AIDS diagnosis, treatment • Employment and • Information and referral Older Americans face unique challenges risk factors and warning signs of HIV, accord- volunteer programs For more information, call the PCA when it comes to HIV prevention and treat- ing to the CDC. • Legal services Helpline at 215-765-9040 or visit • Transportation pcaCares.org. ment. While the likelihood of contracting HIV is about the same for all sexually active Living with HIV adults, older people are more likely to have Older adults who are infected with HIV Call 24/7 to report suspected elder abuse. late-stage HIV infection at the time of their face the additional challenge of preventing PCA Helpline: 215-765-9040 Outside Philadelphia toll-free: diagnosis, according to the Centers for Dis- other diseases. Both age and HIV increase the 888-215-765-9041 (TDD) ease Control and Prevention (CDC). risk for cardiovascular disease, bone loss and Published by Philadelphia Corporation for Aging www.pcaCares.org Early detection and diagnosis of HIV is cru- certain cancers. Older HIV patients must re- Holly Lange, President and CEO Milestones is published monthly and distrib- cial to successful treatment. A late diagnosis main on the lookout for early warning signs uted at more than 1,100 locations throughout increases the potential for immune system of these and other illnesses, as their immune Board of Directors Philadelphia, lower Bucks and eastern Mont- damage, putting patients at increased risk for systems may not be strong enough to fight Katherine E. Galluzzi, D.O., gomery counties. F.A.C.O.F.P., Chair other illnesses and even death. them off. Check us out online: pcaMilestones.org. Judee M. Bavaria, Vice Chair The CDC points to a number of reasons It’s important for health care providers and Sheri C. Gifford, LCSW, Secretary Editor: Alicia M. Colombo why older Americans are diagnosed with older patients to communicate openly and Barbara Waynant Murphy, Treasurer 215-765-9000, ext. 5081 HIV at later stages than younger people. For consistently to ensure there are no negative PCA, 642 N. Broad St. Louis A. Bove one thing, health care providers may not test interactions between HIV medications and Philadelphia, PA 19130 Glenn D. Bryan older patients for HIV infection at the same those used to treat other chronic health con- Angela Foreshaw-Rouse Email: [email protected] rate as younger patients. In addition, older ditions, including high blood pressure, high Lydia Hernandez-Velez Advertising: Joan Zaremba Frederick Lewis 215-765-9000, ext. 5051 people may not consider themselves at risk cholesterol and diabetes. Fran Miller Email: [email protected] for infection or may mistake early HIV symp- Resources are available online for seniors Victor M. Negrón, Jr. Subscriptions & Distribution: toms, such as fatigue or mental confusion, as to learn more about HIV/AIDS. Action Well- Satya B. Verma, O.D., F.A.A.O. Home delivery: $12/year Lenore Wasserman Scola a normal part of the aging process. ness is a nonprofit organization serving the To subscribe or find a distributor: John Whitman Older patients may also be reluctant to Greater Philadelphia area that offers a wel- Emily Porcelli, 215-765-9000, ext. 5050 Eloise N. Young speak to health care providers about their coming atmosphere to get information on Email: [email protected] Emeritus: Arthur E. Helfand, D.P.M. sex life and drug use. It is important for older many chronic illnesses, including HIV/AIDS. The views expressed in Milestones are not necessarily those of Philadelphia Corporation for Ag- adults who may be at risk for contracting HIV Seniors can learn more about HIV/AIDS risk ing (PCA). Milestones will not knowingly accept or publish fraudulent or misleading advertising. to talk to their health care providers openly factors, access resources for living with HIV/ Milestones reserves the right to edit, revise or reject ads. Milestones assumes no responsibility for errors, misprints, omissions or misinformation; for failure to publish an ad; or for any damages of about their sexual habits. In turn, health care AIDS and find a test site in their community any kind. Neither the publisher nor any other party is rendering expert advice in this publication. providers should ask questions about their by visiting actionwellness.org or calling 215- No part of this newspaper may be reproduced without the permission of PCA. patients’ habits and clearly communicate the 981-0088 ©2018 Philadelphia Corporation for Aging. All rights reserved.

Funded by PCA OurOur Community. Community.Our Community. OurOur Health. Health. Our Health. Our Community. Our Health. PAPA Health HealthPA & & WellnessHealth Wellness &is focusedWellnessfocused on on whole iswhole focused on whole healthhealthPA Healthcare, care, refl& refl Wellness ecting ecting ison focused aa person’sperson’s on whole total total health care, refl ecting on a person’s total well-beingwell-beinghealth and and meeting meeting care, refleacheach ecting person’s person’s on unique unique a person’s total well-being and meeting each person’s unique needs. Providing whole health care and long needs.needs. Providingwell-being Providing whole whole and healthhealth meeting care care and and longeach long person’s unique term supports and services requires us to termterm supports supportsneeds. and and Providing services services requiresrequires whole us us tohealth to care and long broaden our services and provide solutions broadenbroaden our our services services and and provide solutions solutions to addressterm all ofsupports life’s changes. and services requires us to to addressto address all all of of life’s life’s changes. changes. Our fullbroaden continuum ofour health, services support, and and provide solutions Our Ourfull fullcontinuum continuum of of health, health, support,support, and and servicesservicesto options options address provides provides all diversediverseof life’s solutions changes. servicestoto improve improve options outcomes. outcomes. provides We We understanddiverseunderstand solutions and to addressimproveaddressOur barriers barriersoutcomes. full to continuumto health health We understand andand provideprovide of health, and support, and addressaccessaccess barriersservicesto to the the best best to care options healthcare for for eachandeach provides provide and every diverse solutions accesspersonperson to to theto live live best his his or careor her her forbest best each life.life. and every person toto live improve his or her outcomes. best life. We understand and PAHealthWellness.comaddressPAHealthWellness.com barriers to health and provide PAHealthWellness.comaccess1-844-626-68131-844-626-6813 to the best care for each and every person1-844-626-6813 to live his or her best life. PAHealthWellness.com 1-844-626-6813 Milestones 4 October 2018

Health Care Local woman shares journey with ovarian cancer By Barbara Sherf Cancer Research Fund Alliance. Ovarian can- hospitalization, a community oncol- cer is the most lethal of the gynecologic can- ogist visited the 87-year-old woman, Betsy Wallace’s eight-year journey with cers and is the fifth-leading cause of cancer- who had a history of colon cancer ovarian cancer was guided by her belief in the related death among American women. This and ocular melanoma, and told her family motto: “Face the wind.” “The saying year alone, 22,000 women will be diagnosed that the CT scans showed that her came from my mother’s side of the family, with the disease and 15,500 will die from it. cancer had spread to her liver and French people who sailed to Canada in the Ovarian cancer is often difficult to diag- spine. After consulting with an on- 1600s and then found their way down to New nose because its symptoms may be subtle and cologist, Wallace’s mother decided England,” said Wallace, 66, of Wyndmoor. “It are easily confused with those of other dis- not to undergo chemotherapy. is all about facing your challenges, whether eases, and because there is no single, reliable, While Wallace tried to find a it’s the struggle to find and farm arable land, easy-to-administer screening tool. (For more good nursing home nearby where starvation, giving birth to a child in a cabin, information on symptoms and risk factors, her mother could get rehab for her or being newly diagnosed with cancer.” see the sidebar on page 5.) fractured pelvis and die in comfort Wallace, who was diagnosed with ovar- in hospice, she started to experi- ian cancer in July 2010, is well aware of the Mother, daughter ence pain in her abdomen and back, disease’s staggering statistics. Approximately In the late spring of 2010, Wallace’s moth- symptoms that can be associated Barbara Sherf 1.3 percent of all women will be diagnosed er had fallen and wound up in the emergency with ovarian cancer. She treated the Betsy Wallace, 66, an eight-year ovarian cancer survi- with ovarian cancer, according to the Ovarian room with a fractured pelvis. During her brief pain with ibuprofen and didn’t see a vor, stands on the back deck at her Wyndmoor home. doctor until four weeks later, when the pain got much worse. Her gynecologist one of whom was Ella’s doctor, to learn Cancer survivors teach medical students immediately ordered a transvaginal ultra- about treatment options. They tried to keep sound test. Two days later, while at work as the situation quiet until they had a plan of In 2012, ovarian cancer survivor Betsy At the July 27 class at Thomas Jefferson an attorney for the Third Circuit Court of Ap- action – debulking surgery (a radical hyster- Wallace started volunteering for the Sur- University’s Sidney Kimmel Medical Col- peals in Philadelphia, Wallace received “the ectomy) on July 14, 2010, and then radiation vivors Teaching Students (STS) program lege, Wallace asked the more than two call” from her gynecologist. and chemotherapy. sponsored by the Ovarian Cancer Re- dozen medical students attending to take “I knew it wasn’t good that she was calling With her mother settled in a nursing home search Fund Alliance. The program targets a pre- and post-class evaluation to test their me,” Wallace said. “I felt like a deer caught and on hospice care, Wallace shared the third-year medical students with the goal knowledge of ovarian cancer symptoms in the headlights. I was pretty much an emo- news with the rest of her family before they of increasing the number of health care and risk factors, and she led the discussion tional zombie, unable to feel or process what disbursed. She didn’t tell her mother until a providers who recognize ovarian cancer among the panel of women who shared I was hearing.” Wallace wanted to keep the week before her surgery. symptoms and refer women suspected of their experiences with the students. After- news quiet and process it before telling the Always the competent researcher, Wallace the disease to gynecologic oncologists to ward, she shared her experience of the class had done her homework before she had her diagnose and treat the illness in its earli- with Milestones. rest of her family. She called her husband, surgery and learned that clear cell ovarian est stages. The STS program is taking place “Every one of us told the students today left work, and, once she was home, sought cancer was one of the worst types of the dis- in more than 90 U.S. medical schools and that we ignored or tried to self-treat our out her next-door neighbor, Ella, who was in the Virgin Islands, the United Kingdom, symptoms because they were so vague,” she battling ovarian cancer herself. Ella advised ease because it is aggressive and does not re- Canada and Australia. said. “By the time we saw a doctor, some Wallace to find a surgeon pronto and to get spond well to chemotherapy. “I did not want Once every five to six weeks, Wallace and of us had been living with the symptoms a CA125 blood test to confirm with certainty ovarian clear cell carcinoma,” she said. “Then several other local ovarian cancer survivors for as much as nine months. The students whether she had ovarian cancer. I read the pathology report two weeks after share their stories with third-year medical heard that it sometimes takes a long time Wallace did, and she did. “The stats for me my debulking surgery, and I saw the words students in a classroom setting at teaching for women to walk into their office with were grim,” Wallace said. “My mother was ‘Clear Cell.’ My heart plunged into an abyss. hospitals in Philadelphia, followed by an these symptoms, and so, when they do edging her way toward becoming a cancer I was sure that I was going to die within two active dialogue between the women and make an appointment, the doctors should statistic, and I didn’t want to join her.” years. I was full of rage and fear.” students. Topics include how to improve take it seriously and rule out the possibility Her mother had months, not years, to doctor-patient communication, the emo- of ovarian cancer. Plan of action live.”I was really angry and afraid that she was tional impact of the disease on patients and “I think these students really heard us About a week after Wallace got the call going to take me with her,” Wallace said. their families, resources available for sup- today, and my hope is that they will learn from her doctor, her two older sisters and Then, at her first post-op visit with her gy- port, and how to tell a patient “bad news.” to empathize with their patients and listen younger brother and his wife (all of whom necologic oncologist, Wallace found out that Local medical schools participating in for certain symptoms and catch this disease live out West) gathered at the home Wallace her cancer had metastasized to her lungs. The STS are Drexel University, Jefferson Uni- earlier,” Wallace added. “There were a lot shares with her husband, Ken Weiner, to craft doctor’s original treatment plan – abdominal versity, the University of , and of good questions, and I do feel that we got a care plan for Wallace’s mother to keep her radiation preceded and followed by chemo – the Philadelphia College of Osteopathic through to the next generation of physi- comfortable. was cast aside, and Wallace started on chemo- Medicine. cians, so for me, that is a success.” Behind the scenes, Wallace and her hus- therapy immediately. band visited two gynecologic oncologists, • continued on page 5 October 2018 Milestones 5 Ovarian cancer • continued from page 4 had with loved ones make you stronger and my own,” Wallace said. She also attended a at some point, you just get back to living.” free weekly mindfulness meditation class at Symptoms and risk factors “At one point in a visit with my mother Wallace said through all of it, people have the Wellness Center in Fairmount Park that Ovarian cancer is often called “the silent when I was still coughing, her hospice nurse been sincere and helpful. gave her a way of staying centered and of ac- killer” because the symptoms are vague pulled me aside and said, ‘That sounds like When she had used up all of her sick cepting her diagnosis. and there is no screening test. According a cancer cough,’ and she was right,” Wallace time at work, her co-workers – even some She also sought out a good nutrition- ist while she underwent chemotherapy. The to the Ovarian Cancer Research Fund Al- said. she did not know – donated their sick time liance, symptoms and risk factors include When Wallace visited her mother, she to her. Wallace, still believing that she only nutritionist, who had worked with a lot of cancer patients, advised her to stick to an the following: would get out of her bed and sit in the reclin- had two years to live at best, was feeling like anti-inflammatory diet: little to no dairy, very Symptoms: er, offering the bed to her. “To the end, she she wanted to concentrate on spending qual- little sugar, and only organic meat in small • Bloating was always trying to be a mother,” she said. ity time with her husband and doing only portions a few times a week. “I also started ex- • Pelvic or abdominal pain Wallace’s mother died on Oct. 31, 2010, three those things that fundamentally mattered to ercising and still maintain the diet and work- • Difficulty eating or feeling full quickly months after Wallace was diagnosed. her. So in July 2011, she and her husband left out program to this day,” she said. • Urinary frequency or urgency the 9-to-5 work world and didn’t look back. Wallace bristles at the term “cancer survi- See your gynecologist, if you have these Back to living Since her retirement, Wallace has been an ac- vor,” saying, “I am not my cancer. I have can- symptoms for more than two weeks. Wallace met with several other women, tive volunteer in her community. She and her cer, but its not the sum total of who I am.” Risk factors: including her friend and neighbor Ella, as an husband took trips to England for fun and However, she admits that there is no other • The BRCA 1 or 2 genetic mutations informal support group to discuss their fears, out West to see her family and old friends. suitable descriptor. “I didn’t ask for cancer,” • A family history of breast, colon or symptoms, and treatments and bear wit- As she put it, “This is not the time to drink she said. “It came to me, and I did the chemo ovarian cancer ness to each other’s stories. Four of the seven cheap wine.” and even went a step beyond with mainte- • Being post-menopausal women in the group, including Ella, died be- During her treatment at the University of nance chemo. Anyone would have done the Your risk may be reduced by having tween 2011 and 2012. Pennsylvania, Wallace participated in a clini- same under the circumstances. But here’s the children or taking oral contraceptives. “I’m one of the lucky ones,” Wallace said. cal trial focusing on counseling for newly deal: You do try to put yourself and your life For more information and resources, go “I’ve not had one recurrence after chemo and diagnosed ovarian cancer patients. “The one- back together, but cancer is not something to sandyovarian.org or www.ocrfa.org or I’m still here after eight years. You come to on-one counseling was so helpful to me be- that disappears.” contact the Sandy Rollman Ovarian Cancer terms with having cancer, and your priorities cause it made me realize that I had to grieve Author, speaker and writer Barbara Sherf tells the Foundation at 610-446-2272. change. Those deep conversations you have my mother’s death before I could deal with stories of businesses and individuals.

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Health Care Strokes: Act quickly to minimize your risk for death, long-term disability By Alicia M. Colombo ens your heart and puts you at a greater risk for stroke. “When your heart-pumping Every 40 seconds, someone has a stroke. function is not great, you are more prone to That adds up to nearly 800,000 strokes each forming clots in the heart that can travel to year. According to the National Stroke Asso- the brain,” Yuan said. She added that a lot ciation, stroke is the leading cause of disabil- of seniors have atrial fibrillation, or “a-fib,” ity among older adults and the fifth leading a form of heart disease that is characterized cause of death in America. These statistics are by an irregular heart rhythm. “This condition certainly cause for concern, but not for panic. makes the heart more prone to forming clots Up to 80 percent of strokes can be prevented, because an irregular heartbeat doesn’t allow and the chance of long-term disability after the blood to circulate as well,” she said. a stroke may be greatly reduced by acting Small vessel disease, which includes con- quickly at the onset of symptoms. Read on to ditions such as diabetes and hypertension, learn more. is a condition that causes narrowing of the small vessels that provide blood flow to the What is a stroke? BALANCE EYES FACE ARMS SPEECH TIME heart. This can in turn make the vessels in the A stroke is often referred to as a “brain at- Headache Blurry One side Weakness Slurred Call 9-1-1 brain weaker and more prone to injury. tack.” In more specific terms, a stroke occurs Dizziness vision drooping Difficulty IMMEDIATELY Cancer – Cancers, mostly those involving when a blood vessel leading to or located solid tumors, can cause blood to be thicker iStock within the brain is blocked or bursts. This than usual and more prone to forming clots. begin to die. Brain cells deprived of oxygen speech, sight, sense of touch and thought causes injury and reduces or prevents blood “About a quarter of strokes are initially di- can die within minutes, resulting in a loss processing. flow to the brain. When the brain cannot get agnosed as cryptogenic, meaning there is an of physical and mental functions, such as There are two main types of stroke. An isch- the oxygen it needs to function, brain cells unknown cause,” Yuan said. “However, many emic, or “clotting” stroke, occurs when there of these patients later find out they have a is a blockage in a blood vessel in the brain. cardiac condition or irregular heart rhythm.” “Most of the time, when we’re talking about a stroke, it’s ischemic,” said Qingyang “Kristy” Controlling risk Yuan, M.D., assistant professor of clinical If you have a family history of cardiovascu- neurology at The Perelman School of Medi- lar disease, are 50-plus or are African-Ameri- cine, University of Pennsylvania. According to the American Stroke Association, 80 per- can, you have a greater risk of experiencing a cent of strokes are ischemic. stroke. “These are known as non-modifiable The second form of stroke, hemorrhagic or risk factors, since there is nothing you can “bleeding,” occurs when a vessel in the brain do to change them,” Yuan said. “However, ruptures and blood begins leaking from the there are many things you can do to reduce vessel. “With a hemorrhagic stroke, there is your risk.” Risk factors that you can control higher mortality, meaning your chance of through medication and lifestyle changes in- dying is greater,” Yuan said. Hypertension, clude being overweight; smoking; and having or high blood pressure, is the main cause of conditions such as diabetes, hypertension or this type of stoke. Other causes include head high cholesterol. trauma and a ruptured aneurysm, an exces- In addition, the American Heart Associa- sive localized enlargement of an artery caused tion has established guidelines, called “My by a weakening of the artery wall. Life Check – Life’s Simple 7,” that can help you improve your cardiovascular health and What causes a stroke? reduce your risk for having a stroke. “These There are three main causes of strokes: seven tips are easy to say, but hard to do,” Plaque – A buildup of plaque in the large Yuan said. “However, they can be life-saving vessels in the brain, known as atherosclerosis, advice.” The recommendations are: can lead to a clot. “This is the same process • Manage blood pressure that causes a buildup of plaque in the heart • Control cholesterol vessels and can lead to a heart attack,” Yuan • Reduce blood sugar said. • Get active Cardiac disease – Cardiac disease weak- • continued on page 23 September 2017 Milestones 7 Milestones 8 October 2018

Health Care Programs empower seniors to take charge of their chronic health issues

By Marcia Z. Siegal

More than 250,000 Phila-

delphia seniors are living with FundedPCA Program by PCA chronic conditions, such as arthritis, diabe- tes, high blood pressure, asthma and heart disease. This fall, Philadelphia Corporation for Aging (PCA) will offer three new series of health management workshops for adults 60- plus at community sites throughout Philadel- phia, such as senior centers, senior living fa- cilities, houses of worship, libraries and other community settings where seniors gather. The evidence-based programs are proven to pro- duce positive outcomes by helping seniors learn to manage their symptoms, maximize their independence and improve their qual- For seniors, aging and staying independent ity of life. The free workshops each focus on is not always simple. The Mercy LIFE services offered a different aspect of self-managing a health at home and in our adult day centers help seniors remain condition – type 2 diabetes, pain or a variety iStock of other chronic diseases. All of these series Strength-building exercises are among independent, active, and healthy. the strategies shared during PCA’s health run for six weeks, with weekly 2 ½-hour ses- management workshops for seniors. sions. • Staying as healthy as possible is easier with a team By participating in any of these programs, Mitigating chronic pain of medical professionals available 24 hours a day/7 days seniors can learn how to communicate ef- Adrienne Clarke recently enrolled in the a week. fectively with their physicians and other “Keep It Moving” pain management work- health care professionals; manage medica- shop to help manage the diabetic neuropa- • The Social Work team supports seniors as they maintain tions; develop healthy, appropriate meal thy, a condition of nerve damage caused by control of life's decisions and daily tasks while feeling plans; and discover suitable exercise/physi- persistently high blood sugar, in her feet. cal activity routines to help improve their “The program did not take away my pain, safe and fulfilled. energy, strength and well-being. “We teach but it taught me how to better cope with it,” participants that they are partners with their Clarke said. “I learned what can trigger pain, • Our Certified Recreational Therapists offer a variety of doctors,” explains Diane Brown, PCA health how to avoid those triggers, and easy exercis- activities that promote physical movement and keep the promotion specialist, who coordinates the es to help me stay active.” mind active & creative, while having fun with other seniors. agency’s health workshops. Keep It Moving draws participants with With the proper knowledge and tools, arthritis, fibromyalgia, lower back and neck No co-insurance, deductibles or payments due for services seniors can learn to take charge of their ailments, or other conditions that cause condition(s) and any associated symptoms, discomfort, stiffness and/or inflammation you receive. such as pain, depression and physical limita- or nerve pain, like Clarke experiences. The tions. At the end of each workshop session, program provides a toolkit to help empower Be Independent. Keep Active. Stay Healthy. participants develop an action plan for the older adults with alternatives to pain medica- tions. That is especially relevant now, when Call 215.339.4747 or visit mercylife.org following week. While the emphasis varies That's LIFE! from series to series, the workshops have a opioid addiction is epidemic in the U.S and for more information. number of commonalities. All are highly in- the prevalence of opioid use, misuse and teractive, focusing on building skills, sharing abuse is rising steeply among older adults, experiences, instilling confidence and provid- according to registered nurse Danielle ing support. They also are led by facilitators McKnight, PCA health promotion nurse su- with at least one chronic condition. In many pervisor. Non-medical strategies to deal with pain can include pacing yourself, resting and 05-09891 cases, facilitators have the same condition(s) as workshop participants. • continued on page 9 October 2018 Milestones 9

Health the knowledge and sense of empowerment • continued from page 8 they’ve gained. “It is a benefit to get as much information as I can to help myself and oth- ers,” Clarke said. engaging in relaxation exercises. The program takes a holistic approach, addressing healthy Dealing with diabetes eating, how to get a good night’s sleep, weight The third workshop series, “Common management, and how to relieve anxiety and Threads,” provides in-depth information stress. “It’s not just about managing chronic geared to self-management of type 2 diabe- pain,” Brown said. “It’s about living a healthy tes. “There is a heavy emphasis on nutrition,” life.” Brown said. “Participants are introduced to Managing chronic disease guidelines for healthy eating that address the role of protein, carbohydrates and fat in Clarke, who has diabetes and arthritis, at- meals; and they have the opportunity during tended PCA’s health workshops and found the workshop to actually plan a meal suitable the program so helpful that she decided to for people living with type 2 diabetes.” become a facilitator for the “Help Yourself Participants also learn about the Ameri- to Health” workshop. The series focuses on can Diabetes Plate Method as another tool a range of chronic conditions, such as diabe- for planning meals and ensuring the recom- tes, hypertension, heart disease, asthma and mended servings of carbohydrates and pro- stroke, and managing these conditions and tein in their diet. This information helps with associated symptoms. the management of diabetes-related health Now also Intent on finding better ways to manage problems such as glaucoma, foot sores, and serving Bucks & her severe health conditions, Clarke learned high or low blood sugar. Like the two oth- Montgomery to chart her medications to ensure she would er self-management programs, Common counties! take them correctly; practice specific exercises Threads also addresses the benefits of physi- to help her stay active, even with limited mo- cal activity and teaches special exercises suit- bility; and ask specific questions of her health able for participants’ health condition. care providers. *** Ramona Reid participated in the Help PCA provides these health self-manage- Yourself to Health workshop to deal with ment workshops for seniors in Philadelphia her joint issues. “I was so interested in what with support of the Older Americans Act, it would take to feel better,” this retiree said. Title IIID federal funding channeled through “The workshops and materials gave me exer- the Pennsylvania Department of Aging. cises that really helped me.” The guided im- For more information about these pro- ages, breathing and relaxation techniques she grams, see the calendar on pages 12-13 or learned helped redirect her focus from her call the PCA Helpline at 215-765-9040. To physical problems. Reid now understands her train as a volunteer facilitator or schedule a conditions better. “I can control these prob- series at your location, contact Diane Brown lems,” she said. “They no longer control me.” at 215-765-90000, ext. 5119, or email Diane. Both Reid and Clarke are enthusiastic [email protected]. about the various health self-management programs PCA offers and their roles as fa- Marcia Z. Siegal is public relations manager for cilitators, which enables them to pass on Philadelphia Corporation for Aging (PCA).

Milestones wants to hear from YOU! We welcome your story ideas, feedback Send ideas, comments & submissions to: and suggestions. (Story-specific comments Attn: Milestones Editor or questions will be forwarded to the writ- PCA, 642 N. Broad St. er.) Submissions of letters or articles for Philadelphia, PA 19130 publication must be signed and dated and Email: [email protected] include your address and phone number. PCA reserves the right to not publish any sub- Submission constitutes permission to edit mission; receipt may not be acknowledged; and and publish in any form or medium. submissions will not be returned. Milestones 10 October 2018

Cemetaries Mendez Da Costa, M.D., who • continued from page 1 served as an assistant surgeon during the Civil War, during which he did one of the ear- On Saturday, Oct. 13, from 10 a.m. to 2 liest studies of anxiety disor- p.m., HFH ders in soldiers, at first called will celebrate Orchard Harvest in partnership “irritable heart.” with Philadelphia Orchard Project, a non- The Woodlands’ begin- profit that plants and supports community ning dates to 1766, when orchards in the city. “We have figs, peaches, William Hamilton inherited apples, plums and Asian pears,” Warrington 356 acres of land in West said. “We invite the public to share our fruit Philadelphia, then known as and learn our history.” Blockley Township. In 1770, For more information, call 215-844-1683, Hamilton built a magnificent ext. 107 or email [email protected]. porticoed house with a view of the . An an- The Woodlands glophile, he visited England At West Philadelphia’s Woodlands Cem- after the war and enlarged etery, 4000 Woodland Ave., across the street his house based on what Courtesy: Historic Fair Hill Cemetery and Garden from a trolley portal, names on headstones he’d seen there, transform- Historic Fair Hill Cemetery and Garden in North Philadelphia provides a tranquil space to relax, learn about the read like a “Who’s Who” among 19th- and ing it into the country’s first area’s history or purchase organic produce that’s grown on the grounds. early 20th-century Philadelphians. Founded federalist mansion. Some of healing quiet to 40,000 visitors a year. “Peo- riological chemist and refrigeration engineer in 1840, the Woodlands is a 54-acre National the rooms have geometric shapes, including ple walk, jog, and picnic here,” said Emma Mary Engle Pennington also rests here. She- Historic Landmark, meaning that it has been his drawing room, America’s first Oval Office. Max, program and operations manager. “We helped to develop refrigerated boxcars. recognized by the federal government for il- Visitors may take regularly scheduled tours of also have wildlife walks and bird-watching Laurel Hill Cemetery’s gates are daily from lustrating the heritage of the . the mansion Thursdays, April through Octo- with our resident bird expert.” early morning until early evening for self- The Woodlands has become the final home ber, at 10 a.m., 12 p.m. and 2 p.m. The cost is Several special events are scheduled for guided walking, driving or mobile tours; and of controversial realist painter Thomas Ea- $10 per person or $8 for seniors this month. HollyWoodlands, on Friday, Oct. for exercise, nature walks, dog-walking, bik- kins and distinguished cardiologist Jacob Today, the Woodlands provides lush, green, 12, from 7-10 p.m., will feature a screening ing, picnics or relaxation. Scheduled activities of the original Ghostbusters film for a sug- include outdoor yoga sessions and theater Learn more gested donation of $10. Halloween Family performances, including Shakespeare, mur- about our FREE home Funday on Sunday, Oct. 21, from noon to 3 der mysteries and adaptations of Poe, and and community-based p.m., includes a scavenger hunt involving the an annual 5K run. Laurel Hill offers tours services. stories of some of the Woodlands’ permanent from the sublime to the spooky. “True Tales residents. See upcoming event information at from the Tombs” at 7 p.m. Friday, Oct. 12, woodlandsphila.org/events-calendar. will spotlight scandal, mystery and murder. At 1 p.m. Sunday, Oct. 14, actor Bill Barker, Laurel Hill 65, a Villanova graduate in history who has If you venture to Laurel Hill Cemetery, es- portrayed Thomas Jefferson at Colonial Wil- tablished in 1836, you’ll follow in the foot- liamsburg for 25 years, will present “The steps of Philadelphians from times past. In Worlds of Thomas Jefferson.” the 1840s, not only funeral-goers but also “We’ll take a leisurely two-hour stroll to pleasure-seekers visited this 265-acre site, a the graves of Jefferson’s friends and foes at Laurel Hill,” said Barker. “It’s a passion for National Historic Landmark in the East Falls me.” section of Philadelphia on the banks of the Trusted for coordination of services, including “Oddly Departed: Mischief Night Myster- Schuylkill River. Philadelphia residents used JEVS goes above and beyond to ensure you ies,” a tour at 6 p.m. Tuesday, Oct. 30, caps in-home care, since 1984. to arrive by steamboats on an hourly cir- have control over your choices and needs, your preferences are met, and services are off the month. For more information see cuit between Fairmount and the falls of the expertly tailored to meet those needs. You can count on us to assist you or your loved one. thelaurelhillcemetery.org/events or call 215- Schuylkill. Nearly 30,000 people entered the 228-8200. gates between April and December of 1848, Laurel Hill also is a certified arboretum. Services according to the cemetery’s archives. • Personalized plan for long-term services and supports “Whether you come for a tour or a picnic on At Laurel Hill, 3822 Ridge Ave., several • Dedicated Supports Coordination team that is reliable and responsive your own, October is one of the best times gravesites – including those of six passengers • 24 hours on-call supports of the year to visit,” said Emma Stern, direc- of the Titanic – still draw visitors. There are • Nursing home placement prevention planning and nursing home transition to home supports tor of programs. “With all the leaves changing also 43 Civil War leaders buried here, includ- color, it’s spectacular.” ing Gen. George Gordon Meade, who defeat- www.jevshumanservices.org/being-home ed Confederate commander Gen. Robert E. Native Philadelphian Constance Garcia-Barrio Serving Philadelphia & Area Counties • 215-728-4435 Lee at the in 1863. Bacte- writes about many topics, including black history. MEDICARE YOU ADVANTAGE

Let’s meet to talk about your Medicare choices

You’re invited to a FREE informational meeting right in your community. Get the answers you need to feel confident about your Medicare choices. Learn how one Cigna-HealthSpring Medicare Advantage plan offers all the coverage of Original Medicare + prescription drug coverage + added benefits such as:

› $0 monthly premium › Dental services* › $0 primary doctor copay › Hearing services

We look forward to meeting you at an upcoming meeting. LEARN ABOUT THE ALL-IN-ONE MEDICARE ADVANTAGE PLAN. Oct. 17 at 10 a.m. and 1 p.m. Oct. 18 at 10:30 a.m. and 2 p.m. Come to a FREE, no-obligation informational Cigna-HealthSpring Sheraton Four Points Hotel NE meeting or schedule an in-home visit. For 1500 Spring Garden St., Suite 800 9461 Roosevelt Blvd. upcoming event information: Philadelphia, PA 19130 Philadelphia, PA 19115 Call 1-866-615-7269 (TTY 711) Oct. 18 at 10 a.m. Oct. 19 and Nov. 2 at 11 a.m. 8 a.m. - 8 p.m., 7 days a week Tiffany Diner East Oak Lane Library CignaHealthSpring.com 9010 Roosevelt Blvd. 6614 N 12th St. Medicare annual enrollment ends on December 7. Philadelphia, PA 19115 Philadelphia, PA 19126

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. For accommodation of persons with special needs at sales meetings call 1-800-668-3813 (TTY 711). *Select benefits may not be available in all service areas without a monthly premium or without an additional monthly premium. Some plans may include these benefits under the monthly premium. Cigna-HealthSpring complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age disability or sex. Cigna-HealthSpring cumple con las leyes federales de derechos civiles aplicables y no dicrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. English: ATTENTION: If you speak English, language assistance services, free of charge are available to you. Call 1-888-284-0268 (TTY 711). Spanish: ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-284-0268 (TTY 711). Chinese: 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-888-284-0268 (TTY 711). You must reside in the plan service area. Available in certain counties of Alabama, Arizona, Arkansas, Florida, Mississippi, North Carolina, Pennsylvania, South Carolina and Tennessee. Cigna-HealthSpring is contracted with Medicare for PDP plans, HMO and PPO plans in select states, and with select State Medicaid programs. Enrollment in Cigna-HealthSpring depends on contract renewal. © 2018 Cigna 920763 Y0036_19_66317_M Accepted 08132018 October 2018 MONDAY TUESDAY

1 Chronic Disease Self-Management 2 Program: Help Yourself to Health. To the Polls. Phila. Mural Arts curator Conrad Benner discusses how art can en- 10 a.m. Center on the Hill. 215-247-4654. courage civic participation through voting. (Tuesdays through Nov 6.) 448 N. 10th St. 6-8 p.m. 215-685-0750. Community HealthChoices Community Meeting. 10 a.m. to noon or 1-3 p.m. Ralston Center. Register: 1-888-735-4416. SUNDAY

COLUMBUS DAY Old City Fest. Block party with crafts, 7 8 9 exhibitions, food & drink. 11 a.m. to Kinship Care Meet-Up. All kinship 6 p.m. North 3rd & Arch streets. 215- caregivers of children welcome. Cyber- 592-7929. Spinning Yarn. Enjoy a relaxing evening bullying prevention tips, storytelling & of knitting & crocheting. Fumo Family refreshments. 10 a.m. to noon. Phila. Outfest! Celebrate the LGBT community Library. 6:30 p.m. 215-685-1758. with awards & live entertainment. Noon Corporation for Aging. Register: 215- to 6 p.m. 13th & Locust streets. 215-875- 765-9000, ext. 5300. 9288.

Community HealthChoices La NOCHE! Live bands perform Community Meeting. 10 a.m. to 14 rhythms of the Caribbean & Latin 15 16 noon or 1-3 p.m. Journey’s Way. America. 8 p.m. Kimmel Center. 215- Sempre Vivaldi. Baroque performances Register: 1-888-735-4416. of works from composer Antonio 893-1999. September & October Birthday Party. Vivaldi. 4 p.m. Great Hall at Bryn Mawr Managing Sugar Cravings. Understand Celebrate members’ birthdays with College. 610-688-2800. $ why you are craving sweets & how you lunch, cake & special entertainment. can gain control. 10 a.m. PSC – Allegh- 11:45 a.m. KleinLife: Northeast Phila. eny. 267-286-1455. $ Register: 215-698-7300.

21 CPR Training. 3 p.m. Paschalville 22 Mural Dedication: Water Gives 23 AIDS Walk Philly. The region’s largest Library. 215-685-2662. Life. Join Philadelphia Mural Arts to dedicate a new mural from artists Eurhi HIV/AIDS fundraiser features a 5K Health Benefits of Functional Food. Events that end with a “$” require an walk & 5K run. 6:30 a.m. Eakins Oval, The seminar focuses on foods with Jones & David McShane that celebrates entrance fee or advance ticket purchase. Phila. Museum of Art. Register: dietary components that may reduce the the connection between Philadelphia’s Free events may request donations or aidswalkphilly.org. risk of chronic diseases. 10 a.m. PSC – rivers & local horticulture. Noon. 13th sell items. Please call the number listed Allegheny. 267-286-1455. $ & Arch sts. 215-685-0750. for pricing or other details. Send your calendar items to: ATTN: Milestones Editor PCA, 642 N. Broad St., 28 How to Save a Constitutional 29 This Is What Democracy Reads 30 Philadelphia, PA 19130 Democracy. Authors Tom Ginsburg & Like: A Conversation with Wilson Philly Farm & Food Fest. Enjoy seasonal Aziz Z. Huq discuss the Constitution. Phone: 215-765-9000, ext. 5081 Goode. Former Phila. Mayor discusses Fax: 215-765-9066 food & drink from more than 200 local Noon. Constitution Center. 215-409- vendors. 11 a.m. to 4 p.m. Phila. Navy his new book “Black Voters Mattered: Email: 6645. Yard. $ A Philadelphia Story.” 6:30 p.m. Lucien [email protected] Staying Warm with Healthy Foods. E. Blackwell West Philadelphia Library. Event submission deadline: 25th of the Meals for effective weight loss. 10 a.m. 215-685-7422. month for publication in month after next. PSC – Allegheny. 267-286-1455. $ October 2018 WEDNESDAY THURSDAY FRIDAY SATURDAY

Philadelphia International Dragon Chronic Disease Self-Management AARP’s We Walk PHL. Community 3 5 Boat Festival. 8 a.m. to 5:30 p.m. Program: Help Yourself to Health. 4 6 walk to explore Phila. & meet new . 610-642-2333. 10 a.m. Center on the Hill. 215-247- Oktoberfest Philly. Bavarian beer festival people. 6-8 p.m. Outside Please Touch Midtown Village Fall Festival. Noon to 4654. (Tuesdays through Nov 6.) featuring German fare & live entertain- Museum. 877-926-8300. 8 p.m. 13th & Chestnut streets. 215- Community HealthChoices Red Cross & You. Learn how to be “Red ment. 7:30 p.m. 23rd Street Armory. 670-4323. Community Meeting. 10 a.m. to Cross Ready” at home. 9:30 a.m. Klein- 267-909-8814. noon or 1-3 p.m. Deliverance Church. Revolutionary Germantown Festival. 10 Life: Northeast Phila. 215-698-7300. Register: 1-888-735-4416. a.m. to 4 p.m. Cliveden of the National Trust. 215-328-7312.

Community HealthChoices Fishtown River City Festival. 10 11 12 Enjoy live music, food trucks & 13 Who Was John Milton? Rediscover Community Meeting. 10 a.m. to Chinatown Ye Shi Night Market. noon or 1-3 p.m. William Way Commu- craft beer by the river. Noon to 6 p.m. this great poet. 11 a.m. Parkway Central Penn Treaty Park. 610-761-6896. Library. 215-686-5331. Explore Chinatown at night with mobile nity Center. Register: 1-888-735-4416. food vendors & live entertainment. 7-11 Philly Cheesesteak & Food Fest. Volunteer Fair. 10 a.m. to 1 p.m. Klein- PCA’s Senior Strut: A Health Event in p.m. 10th & Arch streets. 215-922-2156. Celebrate our city’s signature sandwich Life Northeast Phila. 215-698-7300. the Park, Presented by PA Health & Wellness. 9:30 a.m. Lloyd Hall. Register: with food vendors, kid’s carnival & beer 215-765-9000, ext. 5055. $ garden. 1-6 p.m. 2300 Arena. 888-827- 8340. $

Community HealthChoices 17 Community Meeting. 10 a.m. to 18 Community HealthChoices 19 20 noon or 1-3 p.m. Juniata Park Older Community Meeting. 10 a.m. to noon Community HealthChoices Community Pysanky: The Art of Ukrainian Egg Adult Center. Register: 1-888-735-4416. or 1-3 p.m. Samuel Tabas Apartments. Meeting.10 a.m. to noon or 1-3 p.m. Decoration. Learn the unique method Faith & the Founding Fathers. 6 p.m. Register: 1-888-735-4416. Goldstein Apartments. Register: 1-888- of creating colorful intricate patterns on Constitution Center. 215-409-6645. eggs. 2:30-4:30 p.m. Tacony LAB Com- 735-4416. Outdoor Movie Night: ‘The Incredibles.’ The Transformative Power of Mindful- 7-10 p.m. Starr Garden Playground. 215- munity Arts Center. 267-686-7420. ness. 7-9 p.m. Holy Family University. 686-1782. 267-341-3687

UNITED NATIONS DAY 24 25 26 27 CPR Training. 10 a.m. West Phila. Trip: Clef Club. Enjoy a live show, South Street Pumpkin Fest. Celebrate Senior Community Center. 215-386- Parkway 100 Celebration. Music, food movie & boxed lunch. Noon to 3:15 Halloween with circus performances, 0379. & live performances. 5-10 p.m. Benjamin p.m. Presented by Marconi Older Adult horse & wagon hayrides, & activities for Who Was William Blake? Learn the Franklin Parkway. parkway100.org. Program. 215-717-1971. $ kids. Noon to 5 p.m. 2nd & Pine sts. truth about this fiercely independent 215-413-3713. poet, painter & engraver. 11 a.m. Parkway Central Library. 215-686-5331.

HALLOWEEN 31 Harvest Party. Celebrate the fall harvest Breast Cancer Awareness Month with entertainment & refreshments. 1:30 p.m. PSC – Avenue of the Arts. 215-546- 5879. $ Domestic Violence Awareness Month Milestones 14 October 2018

[ Emotional Intelligence Awareness Month | October ] Studies show emotional intelligence can increase with age, experience

By Michael Hanisco cent years exploring the topic. A few of these studies examined the role of emotional intel- Despite popular notions of seniors being ligence in mental health, well-being and job stubborn or set in their ways, evidence sug- performance, while others explored the role gests that we may actually gain in skills known that age plays in developing or enhancing as “emotional intelligence” as we age. Octo- one’s emotional intelligence. ber was designated as Emotional Intelligence Multiple studies have shown that people Awareness Month by the nonprofit Emotional with high emotional intelligence have better Intelligence Institute to improve emotional mental health, job performance and leader- literacy, communication and mindfulness. ship skills. While higher emotional intel- The concept of emotional intelligence has ligence is correlated with these traits, debate been a hot topic in the field of psychology over remains over whether emotional intelligence the past few decades. Author Daniel Goleman is the root cause of them. popularized the term in a 1995 book titled A number of studies have suggested that “Emotional Intelligence.” Goleman’s defini- older people may have a higher level of emo- tion of emotional intelligence is “the capa- tional intelligence compared to their younger bility of people to recognize emotions, use counterparts. One such study conducted in emotional information to guide thinking and 2010 by psychologist Robert Levenson at the behavior, and manage their emotions to adapt University of California, Berkley, and pub- to different environments.” lished in the journal Psychology and Aging, An emotionally intelligent person is better looked at how healthy adults in their 20s, 40s able to empathize with others, and to see and and 60s reacted to film clips depicting scenes feel things from a perspective different from categorized as neutral, sad or disgusting. Par- iStock their own. Emotionally intelligent people ticipants were asked to use three different with other people,” Spencer said. For seniors to teach or guide the younger people in their may be better communicators, friends and coping mechanisms as researchers monitored with shrinking social circles, senior commu- lives, creating more opportunities to build confidants. For seniors looking to build new things like blood pressure, heart rates, perspi- nity centers may provide opportunities for and practice emotional intelligence. social structures or improve existing ones, ration and breathing patterns. those interactions. Many centers offer classes, emotional intelligence may play a crucial role. While younger participants were better support groups and special events that can in- Improving emotional intelligence at simply tuning out the unpleasant film The research crease levels of engagement and improve se- For those who are looking to improve their clips, older participants were the best of any niors’ quality of life. emotional intelligence, Spencer suggests prac- Even as the concept of emotional intelli- age group at reinterpreting negative scenes ticing introspection. Some tips: gence continues to be debated, a number of to focus on their positive aspects, a coping Benefits of age • Keep a journal of your feelings high-profile studies have been released in re- mechanism that is referred to as “positive Spencer points to two of the three com- • Meditate reappraisal” and correlated with higher emo- monly cited pillars of emotional intelligence • Attempt to see things from another’s per- Crossword puzzle solution tional intelligence. According to Levenson, when considering why older people may be spective (See page 23 for clues.) this method relies heavily on life experience more adept at recognizing and adapting their • Pause before you act or react and lessons learned, which may account for emotions: self-management and self direc- We also have the ability to learn from oth- the better scores among older participants. tion. Evidence suggests that older people may ers, she said. Think about everyday heroes and Because of their success in handling these be more self aware and more sure of their life consider what personality traits you would situations, Levenson and his team concluded, direction than younger people, laying a stron- like to emulate. In more tangible terms, she “Older adults may be better served by staying ger foundation for emotional intelligence. suggests looking for opportunities to practice socially engaged and using positive reapprais- “Age gives us experience,” Spencer said. empathy in daily life and thinking about how al to deal with stressful, challenging situations “And experience gives us feedback. We de- you might work to repair or improve personal rather than disconnecting from situations that velop a better sense of who we are as we get relationships. The most important factor is to offer opportunities to enhance quality of life.” older.” stay connected to others, she said, no matter Michelle Spencer, Psy.D., a psychologist in As we age, there are more opportunities your age. the Older Adult Protective Services depart- to share what we have learned, according to ment at Philadelphia Corporation for Aging, Spencer. During their older years, people of- Michael Hanisco is multimedia communica- echoed the call for seniors to stay engaged. ten begin to think about their contributions to tions specialist at Philadelphia Corporation for “The key [to personal growth] is interacting the next generation. They may be in a position Aging (PCA). The Power of Choice. Your Home Care, Your Way “I can enjoy theI c luxury of living in the community with access to care whenever I need it.” -Ricardo

High Quality Home and Personal Care Proud Liberty Resources Home Choices brings the partner Power of Choice to you, enhancing your health and of: promoting your independence. The Power of Choice to select a friend, family member, or one of our attendants to provide you with the care you want. -Durable Medical Equipment -Home Modifications

-Scooters It’s your home care, your way. Call 215-634-2000 ext. 617 or visit us on our website Call 267-765-1530 for www.homechoices.org for more information. more information Milestones 16 October 2018

Health Care

iStock Getting needled for her health: One woman’s acupuncture odyssey By M.L. Polak and experiencing a complete and utter sense of relaxation, acupuncture became my health Through a chance recommendation from a care of choice. holistic friend, I started going to an acupunc- Typically, my session lasts about an hour. turist about 25 years ago – and for me, it was I either wear loose-fitting clothes to the ap- love at first needle. Acupuncture is a holistic pointment to give the acupuncturist access to or alternative health technique from tradi- different parts of my body or change into a tional Chinese medicine (TCM) in which gown when I arrive. My acupuncturist often trained practitioners stimulate specific points will start my appointment by studying my on the body by inserting filament-thin nee- tongue color and coating as an early indicator dles into the skin to galvanize the flow of qi of possible problems and taking my pulses (pronounced “chi”), or energy, along internal on three points of each wrist because in TCM pathways called meridians. Don’t worry – the there are multiple pulse points to consider. needles are stainless steel and sterilized. They My practitioner likely will ask how I am feel- are used just once, then discarded. ing. He or she tends to listen supportively – Since originating in China about 5,000 without watching the clock. Then I stretch out years ago, acupuncture has become widely on a comfortably cushioned cot and receive practiced in the West. Supposedly, it was a configuration of removable needles in vari- first brought to the U.S. in 1971 after Henry ous points of my body depending on how I Kissinger visited China and New York Times “am” on the day of my visit. Most of the time, reporter James Reston, who was there cover- I don’t even feel them being slipped into my ing the visit, received the treatment following skin. Sometimes my acupuncturist will twirl an emergency appendectomy. Reston’s pub- them to activate the waiting energy. In the lic endorsement of acupuncture’s soothing, background, soft music plays. I like the lights pain-killing properties provoked curiosity. off; others may prefer them dimmed. I close As for me, I was more than curious since my eyes and breathe deeply. Sometimes I fall learning acupuncture’s goal is to bring the asleep. I have never experienced any side ef- body and mind back into balance. Balance fects from a treatment. was what I wanted. All my life I had been There are various versions of acupuncture highly allergic to many prescription drugs – Chinese, Japanese and Korean, for instance. and other pharmaceuticals, including an- Each focuses on placing needles in various tibiotics and over-the-counter products. parts of the body, including the hands, ears Somehow Western Medicine didn’t work for and feet. Having tried several varieties, I pre- me. Doctors never seemed to understand fer classic acupuncture, a basic regimen which whatever was wrong with me. The longer my can also include herbs you take between ses- medical history, it seemed, the shorter their sions in the form of tea, pills, powder or cap- attention span. And yet, in mere minutes of sules. my undergoing that first acupuncture session • continued on page 17 October 2018 Milestones 17

Recipe Box Bloomin’ baked apples taste like a crustless pie

Did you know that Pennsylvania grows more than 400 million pounds of apples each year, making it the fourth largest producer in the country? The state’s most famous fruit is in season from July through October, but Pennsylvania- grown apples are available year-round through cold storage. This easy dessert recipe for fall combines the flavors of warm apple pie with those of a caramel-coated apple. iStock Bloomin’ baked apples narrow, vertical cuts all the way around the (Servings: 2) apple. Flip it back over and you can see all of the cuts. Ingredients: Place the apples in an oven-safe dish and 2 Honeycrisp apples or other crisp apples put two caramels into the center of each ap- 2 tbsp. butter ple. 3 tbsp. brown sugar, packed Put the butter and brown sugar in a mi- 1 tbsp. flour crowave-safe bowl and heat for 30 seconds. 1 tsp. cinnamon Stir the mixture and continue heating for an 4 soft caramel candies additional 30 seconds. Remove from the mi- Optional toppings: vanilla ice cream, crowave and stir in flour and cinnamon. Pour caramel sauce and ground cinnamon half the mixture over the top of each of the Directions: two sliced apples. Preheat the oven to 375 degrees. Bake the apples for 25-30 minutes, or un- To get the blooming apple look, you need til tender. (Some apples can take 45 min to 1 hour to soften.) Use a large spoon to move to cut the apples. Slice off the top ¼ to ¼3 of the apples. Scoop out the core with a melon the apples into bowls. baller or stainless steel measuring spoon. Top with a scoop of ice cream, drizzle with Use a thin paring knife to make two, deep caramel and/or sprinkle with cinnamon, if circular cuts around the center of each apple. desired. Next, turn the apple upside-down and make Source: TheGunnySack.com

Acupunture appointment. And if there’s a sudden health • continued from page 16 crisis – like the return of my old carpal tunnel symptoms after I transcribed 132 voice-mail If healing is a belief system, then I “trust messages for my last job – I can go for more the process” of acupuncture. What impresses frequent appointments until the symptoms me again and again about the acupuncturists alleviate. I’ve encountered is how well they listen to my In my experience, the results of acupunc- health concerns. Over the years, I have been ture can be immediate or gradual, relative or successfully treated with acupuncture and absolute. One session or a series of three or Chinese herbs for carpal tunnel syndrome, more appointments may be recommended, bronchitis, anxiety and stress, cat allergies, depending on the condition and how I re- tension, digestive issues, pain, Lyme disease, spond to the treatment. Each session is over banged-up knees, sleeplessness, pulled mus- before I know it. I get dressed, and I leave re- cles, and even grief. laxed, energized and refreshed, ready to face These days, I have monthly acupuncture whatever life has in store with a song in my appointments, for maintenance – to keep my heart. assorted minor ailments at bay. I’ve found acupuncture to be especially helpful with M.L. Polak writes, edits, draws cartoons and gar- whatever I am experiencing on the day of my dens in Philadelphia. Milestones 18 October 2018

Medical visits PCA’s health promotion nurse supervisor. It’s • continued from page 1 a good idea to bring every prescription and Exceptional Care over-the-counter medication to every visit. “The focus on successful medical visits is a This “brown bag reminder,” as Galluzzi calls in the Comfort of Your Home matter of thinking through what it means to it, allows you to have all of your medication be a patient and your role in the management information at your fingertips. of your health,” said Diane Brown, health For Our Clients: For Our Caregivers: promotion specialist at Philadelphia Corpo- Communicate openly ration for Aging (PCA). “Above all, taking It’s best to prioritize your symptom diary • Bathing, dressing, • Competitive Wages care of one’s own body is the ultimate respon- grooming, toileting • Medical/Dental/Life Benefi ts or listed concerns so those that are most trou- • Grocery shopping • Paid Time Off (PTO) sibility of all adults.” bling to you are given attention at a medical • Light exercise • Holiday pay at time & a half Before any doctor’s visit, it is recommend- visit, when time is a precious commodity. It • Light housekeeping • Paid travel time between clients ed that that you review your own health his- is your responsibility to be focused. “Most • Meal preparation • Paid training tory, medical problems and medications. of all, make sure that this list, which should • Accompany to medical • Personal Protective Equipment “Your own understanding of the purpose of bring your physician up to date on your cur- appointments • Discounts on scrubs & the visit is key,” said Katherine Galluzzi, D.O., rent health, is carefully prepared, prioritized • Changing Linens/Laundry protective footwear who has been practicing and discussed,” Brown said. • Community Integration • Reward & Recognition program geriatric medicine in Phil- “It’s important to your health • Respite • Flexible schedules adelphia for 25 years and provider and to you.” • Companion Services is chair of PCA’s board of Also, take notes during the • Assistance while families are directors. “Recent medi- visit. You may not remember out of town 24/7 On-Call Support Services cal emergencies, illnesses everything that transpired • Holiday Helpers and falls are of great im- when you’re back home, • Additional services by request portance, and therefore, so your notes will help you or per service plan Wellness & Home Safety all paperwork about those later. Visits by Staff Nurse instances needs to be pre- During appointments, be sented.” prepared to be completely Music & Memory Keeping a symptom di- honest with your physician, Program ary about new problems including about whether you also is a valuable tool. have been following your

It’s imperative that you iStock doctor’s instructions. “State write down a list of any Keep a symptom diary not only what you have been concerns, symptoms and doing, but also the things FREE Accepting: and prioritize health questions ahead of time you were supposed to do, but In-Home Services Assessment Medicaid, Private Pay, concerns for your doctor. didn’t, as well as the things and most insurance plans to share with your doctor during the appointment. It may also be help- you shouldn’t have done, and did,” Brown ful to share concerns, problems, fears and said. “Withholding seemingly unimportant recent medical history when you schedule information from your physician may result the appointment, as well as with the medical in problems.” assistant or nurse who may precede the doc- This information-sharing may involve un- tor during your visit. Galluzzi also strongly comfortable topics. In addition to discussing advises doing as much paperwork as possible physical concerns, McKnight advises patients in advance. Many practices send forms to the to share any and all emotional challenges, patient in advance, and by completing those including any bouts of depression or suicidal forms before the visit, patient-doctor time can thoughts. Doing so allows you to get these be maximized. “You wouldn’t haphazardly concerns addressed. If you are nervous about the appointment show up for an airplane trip,” she said. or want another pair of eyes and ears with Medications are an important aspect of you, you may consider having a family mem- your visit because they have the potential ber or trusted friend accompany you. That’s a to affect your health and how you manage personal decision that should be made with chronic conditions. “Your physician needs consideration of your own comfort level, as to know what’s working for you, what’s not well as how to ensure you can process infor- working, and especially whether you’re hav- mation that may seem overwhelming. www.jevsathome.org ing adverse reactions that may even be dan- gerous and could worsen your condition,” Sally Friedman has written for the New York 9350 Ashton Rd., Suite 102, Philadelphia, PA 19114 | 267.298.1325 said registered nurse Danielle McKnight, Times and other publications. October 2018 Milestones 19

Ask the Expert Programs help older workers re-enter workforce

QUESTION: I retired several years ago but am now getting bored and would like to start working again to PCA’s Mattie Kersey bring in some extra money. Are there programs to help seniors find employment? It’s your turn! ANSWER: Send Milestones your questions Philadelphia Corporation for Aging (PCA) SCSEP provides paid training opportunities that ties, career and job search counseling, computer about aging-related issues. We will print select questions – funds two employment programs that provide help eligible seniors to enter or re-enter the work- training,? and seminars on networking and inter- along with answers from experts information and resources to seniors at no cost. force. PCA subcontracts with the Mayor’s Com- viewing. For information, call JEVS at 267-647- at Philadelphia Corporation These services help older workers build job skills mission on Aging (MCOA) to administer SCSEP 7137. for Aging (PCA) – in upcom- and find employment. services in Philadelphia. For information, call For information about additional senior em- ing issues. Submit your name, The Senior Community Service Employ- MCOA at 215-686-8450. ployment programs, contact the PCA Helpline at address, phone number and ment Program (SCSEP) is a federal community JEVS Career Solutions for 55+ Program 215-765-9040. question to: milestonesnews@ service and job training program that provides assists unemployed seniors of all income levels pcaCares.org or: training for income-eligible, unemployed adults who are out of work. JEVS’ services include re- Mattie Kersey is a program manager and oversees se- Milestones Editor, PCA 55 or older. Through the U.S. Department of ferrals to full- and part-time jobs, assistance with nior employment programs at Philadelphia Corpora- 642 N. Broad St. Labor and Pennsylvania Department of Aging, resume writing, help finding training opportuni- tion for Aging (PCA). Philadelphia, PA 19130

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Health Care How to navigate Medicare’s annual open enrollment period By Marcia Z. Siegal the Centers for Medicare & Medicaid Services ered in the coming year under your current (CMS). “But don’t be intimidated,” Ryan plan. The annual open enrollment period for said. “There is a lot of information and sup- Medicare starts October 15 and extends port available to assist you in making the best Choose a plan that fits your budget through December 7. If you are already en- decisions for your personal situation.” Your financial circumstances may have rolled in Medicare, the country’s health Ryan offers these tips to help navigate open changed – for instance, you may have more insurance program for those 65-plus (and enrollment. medical expenses than you used to, or a drop also for people younger than 65 who have in income due to retirement. Even if your certain disabilities and health conditions), Review your Medicare materials finances are stable and you are happy with you have the opportunity to change your Before the annual open enrollment period your plan, it is wise to “shop around” and Medicare health plan and prescription drug begins, Medicare health and prescription compare pricing on the various plans. coverage for the following year. It is recom- plans will send you documents, often titled There is a wealth of information on the “Evidence of Coverage” and “Annual Notice Medicare site, Medicare.gov, including a link mended that you review your plan every year Shutterstock to evaluate whether the same or another plan of Change.” Read them thoroughly. Medicare to the Medicare plan finder. “You may find a would best meet your upcoming needs. Dur- plans can change each year with regard to plan that offers the same level of coverage but the resources that are there for you. These re- ing open enrollment, you can also add Part cost, coverage, providers and pharmacies in at a lower cost,” Ryan said. “Every year, more sources include the following:

D prescription drug coverage if you do not the network, and other factors. If your plans people are taking an active role in reviewing • The Apprise program offers Medicare have it already. Any changes to your Medicare are changing, make sure they will still meet their options and switching plans that cost beneficiaries free personalized assistance plans made during open enrollment will take your needs for the coming year. less for the same coverage.” However, it is including help with reviewing Medicare effect Jan. 1, 2019. (New to Medicare? See our “One of the biggest mistakes people can important to note that if you are happy with coverage options and enrollment. (For primer on page 21.) make is not to read the information about your current plan and it meets all of your more information on APPRISE, see story When it comes to Medicare, there are nu- how their plans are changing,” Ryan said. health and medication needs at a price you on page 21.) merous choices available and navigating “Failing to review those changes, and how can afford, you can stay with your current • The Center for Advocacy for the Rights & open enrollment can seem overwhelming, those changes will impact their coverage and plan. If you are doing so, you do not need to Interests of the Elderly (CARIE) makes according to Lorraine Ryan, public affairs of- costs for the following year, can have serious do anything. presentations about Medicare for groups ficer for the Philadelphia Regional Office of consequences for them if they stay in that plan.” Compare plans’ quality ratings year-round and provides one-on-one In addition to cost comparisons, the Medi- counseling to beneficiaries during open Avoid fraud with the Decide what matters most to you care.gov Medicare plan finder provides a enrollment. For more information, con- new Medicare cards Is it most important to keep your doctors one- to five-star rating system to grade plans. tact CARIE at 215-545-5728. • Medicare.gov offers information about all The Centers for Medicare and Med- and have them considered “in-network?” Are Ratings are available for several factors, in- the parts of Medicare and supplemental icaid Services (CMS) began a year-long there medications you need to have covered? cluding complaint resolution, customer insurance (Medigap), as well as online process of sending all Medicare benefi- The answers will be different for each person, service, customer experience, overall plan tools to enroll in or change health and ciaries a new Medicare card in April. Ben- and knowing what matters to you most will performance, and helping members to man- prescription drug plans, including costs eficiaries in Pennsylvania should have help guide your health plan decision. “Have age chronic conditions or stay healthy with and coverage information, and plan received their new cards by now. The new all your important health information at your screening tests and vaccines. cards have a unique Medicare Beneficiary fingertips when you are making your enroll- “A lot goes into those ratings,” Ryan said. comparison tools. Information is also Identifier (MBI) instead of your Social Se- ment decision,” Ryan said. This includes a list “You want to consider the quality of your available by calling 1-800-MEDICARE (1- curity number to help prevent fraud and of the medications you take, including doses; Medicare and prescription drug plan to en- 800-633-4227). TTY users can call 1-877- identity theft. the names of your health care providers; and sure you are getting the most for the services 486-2048. You will still need to protect your your preferred hospital and pharmacy. “Con- you are paying for.” • The Social Security Administration’s Medicare card and your identification sider what your medical needs will be for the website, ssa.gov, provides information information. Never share or confirm coming year,” she said. “Have you developed Get help with Medicare about applying for Medicare; the Extra your Social Security number or MBI with any new medical conditions? Take note of How one navigates Medicare choices and Help program, which provides help with anyone who contacts you by phone, changes to your health, which can mean new decisions is up to the individual. “You may Medicare prescription drug plan costs; email, or in person unless you have given specialists, treatments and medications.” be comfortable ‘shopping’ and enrolling on- and rules for Medicare beneficiaries with that person permission to contact you in Also, consider whether you need to en- line yourself,” Ryan said. “Or you may want higher incomes. Information is also avail- advance. If you suspect any scam or fraud roll in a prescription plan if you do not have to consult with a broker or your financial ad- able by calling 1-800-772-1213. TTY users involving your new Medicare card or if one or are losing coverage. You may want to visor or take advantage of the free Medicare can call 1-800-325-0778. you have not yet received your card, call change prescription plans because one or counseling programs available.” 1-800-MEDICARE (1-800-633-4227). Marcia Z. Siegal is public relations manager for more of your medications may not be cov- Take a deep breath and avail yourself of Philadelphia Corporation for Aging (PCA). October 2018 Milestones 21

Medicare basics: Learn your A, B, C and D’s Medicare is the federal health insurance These plans are offered by health mainte- program for people 65 or older, and some nance organizations (HMOs), preferred younger people with disabilities. Each of provider organizations, private fee-for-ser- LEARN MORE. the four different parts of Medicare covers vice plans, special needs plans and Medicare DO MORE. different services. Parts A and B are known savings account plans. Medicare Advantage as Original Medicare and cover the major- plans must offer at least the same benefits SHARE MORE. ity of in-patient and out-patient care. Part C as Original Medicare but can do so with dif- allows you to shop around for plans not of- ferent rules, costs and coverage restrictions. fered through the government. Through Part You may also get prescription drug coverage D, you can add prescription drug coverage. as part of your benefits package. Medicare Part A covers most hospital, When you enroll in a Medicare Advantage skilled-nursing facility, home health and plan, you continue to pay premiums for hospice care deemed medically necessary. It your Part B benefits directly to Medicare. In is free if you have worked and paid Social addition, Medicare Advantage plans often Security taxes for at least 10 years. You will charge a separate monthly premium. pay a monthly premium if you have worked Medicare Part D provides optional out- and paid taxes for less time. patient prescription drug coverage. These Medicare Part B is basic medical insur- plans are offered by insurance companies ance. It covers most medically necessary and other private companies approved by doctors’ services, preventive care, durable Medicare. They are not provided directly by medical equipment, hospital outpatient the government. services, laboratory tests, X-rays and mental You must have both Part A and Part B to health care, and some home health and am- join a Part D plan. Part D may charge a pre- SM bulance services. You pay a monthly premi- mium penalty if you don’t sign up during INTERNET ESSENTIALS FROM COMCAST um for this coverage, which varies depend- your initial enrollment period and want it ing on your income and when you enroll. later. If you want Part D, you must choose Medicare Part C is the part of the Medi- Part D coverage that is compatible with your NO CONTRACT care policy that allows private health insur- Medicare health benefits. NO CREDIT CHECK ance companies to provide Medicare ben- For more information, see page 20, call $ 95 NO INSTALLATION FEE efits, known as Medicare Advantage plans. 1-800-633-4227 or go to Medicare.gov. per month + tax IN-HOME WiFi INCLUDED ACCESS TO 40 1-HOUR SESSIONS OF 9 XFINITY WiFi HOTSPOTS EVERY 30 DAYS Free help with Medicare is available from Apprise Internet Essentials gives you access to affordable, high-speed Internet. Choosing a Medicare plan can Philadelphia by Philadelphia Cor- You may qualify if you have at least one child who is eligible for the be a daunting task. But free help poration for Aging (PCA). For more National School Lunch Program or receive HUD housing assistance. is available. Apprise is a federally information or to make an appoint-

funded health insurance counsel- FundedPCA-funded by PCA ment, contact the Apprise provider ing program for Pennsylvanians eligible for for your residence: APPLY NOW Medicare. Apprise – Mayor’s Commission on Aging: InternetEssentials.com Professional and volunteer counselors 100 S. Broad Street, 4th Floor, Suite 400; can answer your questions and provide 215-686-8462; covered ZIP codes: 19102, 1-855-8-INTERNET objective, easy-to-understand information 19103, 19104, 19105, 19106, 19107, 19112, about Medicare eligibility and enrollment. 19121, 19122, 19123, 19125, 19127, 19130, Restrictions apply. Not available in all areas. Limited to Internet Essentials service They can also counsel you on Medicare Ad- 19131, 19132, 19133, 19134, 19137, 19139, for new residential customers meeting certain eligibility criteria. Advertised price applies to a single outlet. Actual speeds may vary and are not guaranteed. vantage, Medicare Supplement (Medigap) 19138, 19142, 19143, 19145, 19146, 19147, After initial participation in the Internet Essentials program, if a customer and drug prescription plans. 19148, 19151, 19153 is determined to be no longer eligible for the program and elects a different XFINITY Internet service, regular rates will apply to the selected Internet service. Counselors work confidentially with you Apprise – Einstein Medical Center: 5501 Subject to Internet Essentials program terms and conditions. WiFi Hotspots: to determine your health care needs and Old York Road; 215-456-7600; covered ZIP Available in select locations. Requires compatible WiFi-enable laptop or mobile device. Limited to forty 60-minute sessions per 30-day period per person/ preferences, compare health insurance op- codes: 19111, 19114, 19115, 19116, 19119, account. If session is terminated before 60 mins. remaining time expires. tions, and obtain Medicare and, if desired, 19120, 19124, 19126, 19128, 19135, 19136, Unused time does not carry over to subsequent sessions or 30 day periods. Not responsible for lost data resulting from terminated Internet session or any other supplemental coverage that fits your life- 19138, 19140, 19141, 19144, 19149, 19150, reason. A maximum of up to 10 devices may be registered to a single XFINITY style and budget. Counselors also assist 19152, 19154 WiFi On Demand account. May not be combined with other offers. Call 1-855- 846-8376 for restrictions and complete details, or visit InternetEssentials.com. caregivers, professionals and others. The Statewide Apprise Helpline at 1-800- © 2017 Comcast. All rights reserved. The Apprise program is administered in 783-7067 can answer questions.

CIE_Consumer ad_Diana_gray_4.875x10.indd 1 11/7/17 12:39 PM Milestones 22 October 2018

Nostalgia Mother’s resourcefulness helps girls become princesses for Halloween By Dorothy Stanaitis have left one of us with nothing but a knee- length, frilly Easter dress. This simply would In October 1944, the main topic of recess not do, since we were certain that princesses conversation at James Rhodes Elementary always wore long gowns. School, 4901 Parrish St. in Philadelphia, was We were becoming despondent at the what we would be for Halloween. This was an thought of giving up our princess dreams, important decision for any 11-year-old, since but our mother was not going to let her little we would be going door to door for trick-or- princesses be unhappy at Halloween. She was If you are SINGLE and If you are MARRIED and treat night with friends and didn’t want to quite busy taking care of our new baby broth- wear the same costume as the year before. er and always took an afternoon nap while he have a total monthly have a total monthly Anne Marie Ryan didn’t care about that. took his. On the Saturday before Halloween, She dressed every year as a newsboy, wearing she skipped her nap and came into our bed- income of less than income of less than her brother’s cap, jacket and knickers. A copy room. She took down our pretty, ruffled, pink $1,518, and less than $2,058, and less than of the Philadelphia Evening Bulletin, tucked polka-dotted Swiss curtains. We wondered under her arm, was always an important part why, since they had been freshly washed just a $14,100 in resources $28,150 in resources of her costume. Carrying the paper made col- few weeks before. lecting treats in a bag from John’s American We didn’t have long to wonder, though. Market a little bit awkward, but she wanted She called us into her sewing room and be- to make it clear that she gan measuring us with wasn’t just a boy. She was her long yellow tape. a newsboy, a very impor- Mother sewed most tant job for a grade school of our clothes. She student. worked on our fall I don’t know if it was dresses before school If you are SINGLE and If you are MARRIED and due to slender budgets started in September, or wartime shortages, but and she usually sewed have a total monthly have a total monthly aside from the 10-cent, our Christmas out- half-face masks sold at fits after Thanksgiv- income of less than income of less than Woolworth’s Five and Ten, ing. She’d take us to $1,366, and less than $1,852 and less than no one bought anything Diamond’s Dry Goods for a Halloween costume. Store to have us choose $7,560 in resources $11,340 in resources The closets and bureau the fabric we wanted drawers at home supplied for new clothes. But everything that was need- this time, she didn’t ed for a boy to become Courtesy: Dorothy Stanaitis need to. The curtains a hobo, pirate or sports Dorothy Stanaitis, 11 (right), and her would be the fabric she star. Mother could supply younger sister, Mary Lou, 8, dressed as used to sew two beau- princesses for Halloween in 1944. makeup and dresses for tiful princess gowns. those who wanted to pretend to be a lady. Her With no pattern to guide her, Mother cut pretty scarves, bracelets and necklaces helped and stitched all afternoon. We thought that the little girls who wanted to dress up. The our gowns were splendid, and so were the co- bolder children, who were not as concerned ordinating pretty fluffy headbands. Thanks to with impressing others, could use bed sheets Mother’s hard work and resourcefulness, we to become a ghost. would be beautiful princesses for Halloween But that year, my younger sister, Mary Lou, after all. and I had our hearts set on being beautiful It wasn’t until just before Thanksgiving that princesses. Sadly, my mother had no lacy or she made new curtains for our room. But we satin dresses fit for royal wear, and there were never regretted losing those pink, ruffled cur- no tiaras lying about in her jewelry drawer. tains for a single minute, especially not on One of our cousins had a beautiful flower Halloween. girl gown that she had worn in a wedding. But Dorothy Stanaitis, a certified Philadelphia tour which one of us would wear it? That would guide, writes about history and culture. October 2018 Milestones 23

Don’s Column is taking a break. Don Harrison, Milestones editor emeritus, Crossword Solution is on hiatus from his monthly Milestones column due to health reasons. We The solution can be hope he will return to writing his column soon. Strike zone found on page 14. Across Down PCA wins 2018 Mature Media Awards 1 Offspring 38 Related, in a way 1 Cedar Rapids 31 Conglomerate 6 KGB cousin 39 Fisherman, of a native initials Philadelphia Corporation for Aging portals to activities education and 9 A comic character sort 2 Malice 32 Neither’s com- (PCA) has won four 2018 National Mature wellness” by Alicia Colombo, PCA’s 14 Uncaps 42 Novelist William 3 AL city panion Media Awards, which annually recognize editor and publications coordinator, 15 Zwei predecessor 44 Palacio inhabitant 4 Disassemble 33 He plays close the best marketing, communications, and published in September 2017 16 Tigers’ winter 45 Corrida cries 5 Foresight letters 35 When the QE2 educational materials and programs for • The Senior Center Issue: Published in counterparts 46 He had a salty 6 Disappear! is due adults 50-plus, for outstanding writing and September 2017 17 Walk after this, wife 7 Prepares potatoes 36 Old Kobe coin overall impression of its Milestones news- if you can 48 Bugged 8 Let loose 40 Compass direc- paper. For the past 17 years, 19 Tapestry 50 Colloid 9 Oeufs ___ Russe tions: abbr. Milestones newspaper 20 Sphere starter 53 Former: archaic 10 Civitavecchia coin 41 Cog catcher The prize-winning entries were: has been published 21 Fat liquid 55 Specific male, 11 In this, two 42 Miner king? Gold: “Grandfathers pass along tradi- monthly as a free pub- 23 A growing pain 1 Across must run 43 Coeur d’___, ID tions” by Marcia Siegal, PCA’s public lic service by PCA. To subscribe to Mile- 24 Teachers’ org. 56 Musical Malcolm 12 Dumb 46 Jumped 25 Concerned with 57 Fall flower 13 Ruhr city 47 Le Quai d’___, relations manager, published in September stones e-news, the newspaper’s free weekly knowledge 59 End of a circuit 18 Architectural style Paris 2017 online companion publication featuring 27 Poetic contraction 61 Pietro ___ e Maria 22 Actor Robert 49 NY or PA county Bronze: “Downsizing tips from moving articles from Milestones newspaper and 28 Jackie’s late mate, 62 First person, in de ___ 50 Place for experts” by Alicia Colombo, PCA’s editor additional content, go to pcaCares.org and et al. ancient Rome 25 Imaginary trouble- andirons and publications coordinator, published scroll to the bottom of the page. To down- 29 Charley horse 63 Complete maker 51 Sign up in January 2017 load PDFs of the current or past issues of 31 Go over carefully 64 Classified 26 Provided viands 52 Mistrusting Merit: Milestones newspaper or to find a distribu- 34 Acapulco accom- 65 Prepare hide 28 Made ___ of 54 Vision starter • “Senior community centers are tion site, go to pcaMilestones.org. modations 66 Wallace, in 60 money 56 Aged in Aachen 37 ‘‘___ who asks, it Down perhaps? 30 Mas o ___ 58 Staff shall be given’’ 60 Inverness inn

Stroke Face – Is one side of the face drooping? A • continued from page 6 crooked smile may signal a stroke. • Eat better – The Mediterranean diet is Arms – Does one arm drift downward? especially recommended for stroke pre- Is there weakness or numbness on one vention. side? The inability to raise an arm (or a • Lose weight or maintain a healthy leg) is a symptom of a stroke. weight Speech – Is speech slurred or garbled? • Stop smoking Time – Take note of when symptoms be- A basic recommendation for staying gan, then call 911 for immediate medical active is to engage in 30 minutes of activ- attention. ity that raises your heart rate at least four “It’s important to note that a stroke is times each week. “Anything you can do to a sudden-onset phenomenon, usually on get moving helps,” Yuan said. “Consider one side of the body or in a localized area,” chair yoga, chores around the house, or wa- Yuan said. “It’s definitely something that ter aerobics, which is great for people with happens quickly and strongly. Symptoms bad knees.” are often the worst at the onset. If symp- toms last 10 minutes or more, even if they The symptoms of a stroke subside, go to the emergency room imme- To identify the signs of a stroke in your- diately.” self or someone else, remember to “BE Above all, it is important for people to FAST”: realize that spotting a stroke and getting Balance – Is there a sudden loss of bal- treatment fast may make the difference be- ance or coordination? tween life and death – or a full recovery and Eyes – Is there sudden blurred vision, long-term disability. double vision or other persistent vision trouble? Alicia M. Colombo is editor of Milestones. You r Join the plan where your health is our focus. New to Medicare? Unhappy with your current coverage? Experience the Health Partners Medicare difference! health. We’re the Medicare solution from Health Partners Plans, the health care company that has been improving the health of Pennsylvanians for more than 30 years. Make the right choice for your health and gain peace of mind with plans that offer: Our • Plan premiums as low as $0 • Low-cost prescription drug and dental coverage options • Vision, hearing and fitness benefits, with no copays focus. • Friendly customer service around the clock, 365 days a year • All the protection of Original Medicare, plus extra benefits Find out more about how we can help keep you healthy. Call 1-844-259-3845 (TTY 711) 8 a.m. – 8 p.m., Monday through Friday. Visit HPPMedicare.com

Health Partners Medicare is an HMO plan with Medicare and Pennsylvania State Medicaid program contracts. Enrollment in Health Partners Medicare depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. Health Partners Medicare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-901-8000 (TTY: 711). 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-866-901-8000 (TTY: 711)。

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