Rising Suicide Rate Stirs Cape by Larry Fox the Recent Death of Robin Williams Presents at Least Two Ironies: the First, of Course, the Tragic Clown

SUPPLEMENT TO THE CAPE CODDER, THE REGISTER, HARWICH ORACLE, BOURNE ENTERPRISE, BOURNE COURIER, THE BULLETIN, FALMOUTH ENTERPRISE, VOL. XXII NO. 4 • Fall 2014 MASHPEE ENTERPRISE, SANDWICH BROADSIDER, SANDWICH ENTERPRISE, WAREHAM COURIER Rising Suicide Rate Stirs Cape By Larry Fox The recent death of Robin Williams presents at least two ironies: The first, of course, the tragic clown. Sec- ond, the combination of the actor’s celebrity and the grisly accounts of his demise have succeeded in bring- ing the growing problem of suicide out of the shadows into the arena of public discourse. (Just check the number of references in the leads of our related stories!) It is a national problem, where there were 40,000 deaths by suicide in 2011 (the most recent statistic available) compared to 16,000 deaths by homicide. Massachusetts may have one of the lowest suicide

Chart courtesy of Barnstable County Dept. of Human Services rates in the country. But it is a growing problem on the Cape, where in Barnstable County the number of suicides has doubled in the decade between 2000 and 2011 to represent the highest rate in state and 1.4 WE REMEMBER: With the flag in the background times higher than the state average. The 320 suicides symbolically at half staff, County Commissioner outpaced homicides by a 6-to-1 ratio. Sheila Lyons assists one of the survivors to attach These figures were presented by Jessica McHugh, ribbons to the string of remembrance for the third co-chair of the Cape and Islands Suicide Prevention year in recognition of National Suicide Preven- Coalition as she set the table for a full discussion of tion Week September 11 before a special meeting the Advisory Board of To Your Good Health, A Health of the Cape and Islands Suicide Prevention Coali- Care Newsletter, at Cape Cod Community College. tion at the Barnstable County Courthouse. The 21 “But it’s really all about the people behind the sta- yellow ribbons represent memory of those lost to tistics. They feel the only way to stop their pain is to suicide, the 14 blue and purple versions represent go over a cliff. They don’t think about landing on the prevention and a message of hope. And each year, bottom, just that this is one way to get ‘somebody to they report, the number of ribbons and ceremony notice my pain,’” she said, “But suicide is preventable participants has increased. Inset, County Commis- and we try to educate the community with a basic sioner Bill Doherty delivering a moving memoir of course stressing the need to communicate and to lis- his own two sons lost to suicide. ten and notice the early warning signs.” The growth in our suicide rates has placed a strain on local treatment facilities, according to Debbie Cia- she added, is “the growing numbers of children and ways depression. They want to be like the others. And vola, executive director of Cape Cod Healthcare’s Cen- adolescents in need of treatment due to increasing then there’s always the problem that they get on medi- ters for Behavioral Health. “We don’t have enough stress and lack of self-esteem.” cation, feel better and say they don’t need them any services here and what we do have is booked up. Plus Dr. Herbert Mathewson, a pediatrician and Medical more…until they go down again. there’s a limited number of psychiatrists as well,” she Director of the VNA of Cape Cod (and the medical ad- “Plus,” she suggested, “it pays to look more closely said, also citing the lack of state funding and the frus- viser of this newsletter), agrees. “Adolescents unique- at those single car ‘accidents.’” trating search for outside grants. ly struggle with their sexual identity in high school. Cheryl Osimo, Executive Director of the Massachu- Exacerbating the situation…and more disturbing, There must be separate support groups just for them... setts Breast Cancer Coalition, has a unique perspective. and safe places as well.” “Women when first diagnosed with breast cancer Unstable families also create problems for children, often are in shock. They feel a sense of hopelessness.” he added, and one of the questions pediatricians have she said. “Rather than enduring the journey to well- to ask is, “Are there any guns in the house? Because ness, they think it would be better for them and their suicide is an impulse and they have to be put in a safe place where children can’t get to them.” Continued on page 4 “And keep the bullets separate,” Ms. McHugh chimed in, adding, “It’s interesting that (in suicides) young people attempt more, seniors complete more.” To Our Readers Alcohol also can be a factor, according to Liz Smith, If you’re interested in learning more about a nursing facility administrator, citing the incident of our advertisers and editorial contributors, To Your a young man in middle school in the emergency room BE SEEING YOU SOON? Could Cheryl Bartlett, Cape Good Health, A Health Care Newsletter, has now after his second failed suicide attempt who was told resident and Commissioner of the Massachusetts put them just a click away if you go to our newly by the physician there, “If you keep on with alcohol Department of Public Health, be tipping off friends upgraded website, toyourgoodhealth.com. you will die.” that she soon would become Executive Director of Simply click on the ad or the identifying para- She added, “He had to hit bottom, but his friends the Cape Cod Regional Substance Abuse Prevention graph on the bottom of most articles and—with rescued him.” Initiative and Public Health? This photo was taken the few exceptions where we don’t have that Geri Medeiros, special programs coordinator at August 14 when she participated in ribbon-cutting information as yet—you will immediately be Cape Cod Community College, noted “We see a lot of ceremony for Harbor Community Health Center- linked to the appropriate web set or one of those problems in the college. Social media is a big problem, Hyannis’s new digs on Attucks Lane. (Full story of “contact us” e-mail forms. Ms. Bartlett’s appointment appears on page 2.) there’s the question of sexual identity and there’s al- 2 TO YOUR GOOD HEALTH, A Health Care Newsletter Fall 2014 Keating Proposal Addresses Medicare Abuse By Congressman Bill Keating cannot exclude an official who resigned or was ter- Medicare is one of the most important programs As the Representative for the 9th minated before a conviction. Therefore, the official created by our federal government. Our seniors have District of Massachusetts, which is can then join a new company and potentially resume worked hard and made sacrifices to ensure a better, home to the largest population of fraudulent activities. Should H.R. 5340 be signed into stronger country for future generations and they de- senior citizens in the Common- law, this loophole would be closed, and we would be serve a secure and stable Medicare program. wealth, I understand the unique able to exclude such an individual from reentering the The Fighting Medicare Fraud Act is an important challenges that many within our Medicare program, an obvious safeguard against fu- step toward ensuring that the health care system that senior community face. I have ture fraudulent activities. they’ve earned remains strong for those who rely on it heard time and time again that one The bill also would add a new penalty for stealing in their daily lives. of their concerns is that the services they rely on, such or selling a Medicare ID number. Under current law, (Congressman Keating (D-MA) represents the as Medicare, remain robust and available to those Cape & Islands and South Shore 9th District) who need them. One such way is by eliminating fraud and abuse Capitol Hill UPDATE that, sadly, is still present within the Medicare system. For this reason I was proud to introduce legislation that, if passed, would close important loopholes in ex- there is no specific federal offense for participating Bartlett To Lead isting Medicare law. in this type of activity, even though many fraudu- This Fighting Medicare Fraud Act (H.R. 5340) spe- lent Medicare activities involve illegal distribution cifically would close a loophole that allows CEOs and of Medicare ID numbers. Under this proposed law, a Cape’s Anti-Drug parent corporations to defraud Medicare even after new penalty of up to 15 years in prison would be es- they were caught and punished for earlier fraudulent tablished for selling or stealing a Medicare ID num- activity. ber, which would greatly assist authorities in cracking Abuse Group Current law allows the Health and Human Services down on criminals who target seniors. With the impending end of the Deval Patrick Office of The Inspector General to exclude from the Finally, H.R. 5340 would require Medicare Advan- administration, Department of Public Health, Medicare system those companies and officials con- tage and prescription drug organizations to report Commissioner Cheryl Bartlett is returning to victed of fraud. fraud and abuse, something that is currently not re- the Cape as Executive Director of the Cape Cod Now, due to an oversight in the existing law, we quired. Regional Substance Abuse Prevention Initiative (CCRSAPI) and Public Health. She will be employed by Cape Cod Healthcare to lead the conglomerate of health and humans services groups launched in March. Weight loss surgery at Southcoast. Ms. Bartlett was named to lead the DPH in 2013. She will leave that post December 12 and will begin her new role two days later after a week- Get your health – end hiatus to catch her breath. Ms. Bartlett has worked in the public health and your life – back. arena throughout her career and was the first person with a background in nursing to lead the state public health agency. While at DPH, she helped draft the state’s new medical marijuana regulations and was instrumental in developing a childhood obesity campaign called Mass in Motion. She has Weight loss surgery can not only help you lose weight, an associate’s degree in nursing from Quinnipiac it can also improve your health, lengthen your life, and College, and a bachelor’s degree in healthcare administration from Stonehill College. resolve many chronic conditions, including: Before taking the state position, Ms. Bartlett helped establish many programs and initiatives at • High blood pressure • Acid reflux the Community Action Council in Hyannis. • High cholesterol • Urinary incontinence “Cheryl’s knowledge and expertise in the public health field make her eminently qualified to • Type 2 diabetes • Migraines lead this important Substance Abuse Prevention • Sleep apnea initiative,” said Michael K. Lauf, President and CEO of CCHC. “With her local and state experience, she has had a chance to see the full spectrum If you’ve tried diets and exercise but are still of this issue, and I’m confident she will bring new gaining weight, the Southcoast Center for energy, ideas and contacts to help solve this problem that is so dangerously afflicting our region.” Weight Loss can help. As the Cape’s primary healthcare system, CCHC is providing the resources to launch the CCRSAPI by hiring a name leader, but Mr. Lauf added that Find out more at our FREE the ultimate goal is to involve the entire community and make it self-sustaining. weightloss lectures in Hyannis “I look forward to leading this important Ini- tiative,” Ms. Bartlett said. “As Governor Patrick and Plymouth. gets ready to transition out of office, this is a great opportunity for me to return to the Cape and to take what I have learned in my work on a state Call 508-273-4900 to register and national level to address the opiate prescription and heroin crisis.” The new Cape initiative grew out of a Febru- ary meeting where several organizations discussed Southcoast offers four possible solutions to the regional substance abuse minimally invasive crisis. techniques for weight In addition to Cape Cod Healthcare, these included the Barnstable County Human Services De- loss surgery: roux-en-y, partment, the Kelley Foundation, the Palmer and sleeve gastrectomy, Jane D. Davenport Foundation, and Gosnold on adjustable gastric band Cape Cod. and bariatric revisions. Their goals are to: Develop a regional, community-based approach to reduce substance abuse among young Cape Codders through education and prevention programs; Identify and implement education and prevention activities to address the use and abuse of Southcoast Center for Weight Loss a range of substances, focusing on prescription One day for surgery. A lifetime of support. painkillers and opiates; Launch and expand collaborations among 100 Rosebrook Way community partners, including schools, families, youth organizations, law enforcement, public Wareham, MA 02571 health advocates, civic leaders, the business com- www.southcoast.org/weightloss 508-273-4900 munity, and private philanthropy. Fall 2014 TO YOUR GOOD HEALTH, A Health Care Newsletter 3 New Technology Making Braille Trail Even More Of A Joy For Cape Codders Thanks to what can only be described as an im- probable confluence of outside and local forces, the natural wonders of the Johnny A. Kelley Recreation Area Braille Trail in Dennis now have become even more accessible to its visually impaired visitors. It all began when Liz Myska, an attorney in Worces- ter, read a reprint in her local paper of an article con- cerning the innovative Low Vision Support Service program recently installed at The Cove at Thirwood Place Assisted Living in South Yarmouth. Ms. Myska, an advocate for the visually impaired who serves on the state Commission for the Blind—and herself has developing vision problems—was struck by some of the technology now available for the first time in New England for Thirwood Place residents. One of these was the ability of so-called Smart Phones to read text and repeat it out loud for the edi- fication of the visually impaired. This, she learned, includes the raised dots of Braille. She’d been to Cape Cod, was familiar with the Braille Trail and realized how this new technology would make its wonders even more accessible to the visually impaired. The next step was to track down the developer of this particular technology, Peacock Communications, Inc. in Marietta, Georgia, just outside Atlanta. Jack Peacock, who holds the patent, realized the promotional advantages that could accrue from of having his technology on display in such a public NOW HEAR THIS: The new device translating Braille descriptions into voice messages through any smart place and agreed to donate his LaunchGuide technol- phone (circled) occupies the attention (from left) of Jack Peacock, the Atlanta inventor; Attorney Liz ogy to the town of Dennis for the Braille Trail. Myska of Worcester, an advocate counsellor who expedited the connection that brought this innovation Actually, it’s all pretty simple, once you’ve come to the Cape; Brian Kennedy, Brewster coordinator of a sight loss support group; and Cynthia Stead, Execu- up with the codes. At various stations along the Trail, tive Director of Sight Loss Services, Inc. a wooden frame is attached to the descriptive signage already in place at the various stations. The coded message is pasted on…and then there’s a simple wire commercial uses for his device. “You can see its utility tion. “But with this device you can go to what you frame to hold the visitor’s smart phone at the correct in grocery stores…in museums…on walking trails,” he want to see, it’s self-guided, not like those other guides distance. Turn it on…and listen. If weather or vandal- points out. that you must follow,” Ms. Stead points out. ism harms the coded message, you just paste on an Many museums do have programs that verbally Allowing the visitor the most priceless gift of all, inexpensive replacement! guide visually impaired visitors from station to sta- independence. The next step was to involve Sight Loss Ser- vices and its executive director, Cynthia Stead. They’ve just opened new offices on Route 134 in South Dennis Sight Loss (where, incidentally, they stock many of the innovative devices being used at Thirwood Services, Inc. Place and they’re avail- LOW VISION able at cost) and she carried the ball before A Self-Help Human Service Organization SUPPORT SERVICES the Dennis Board of OF and FOR Selectmen. She made FOR SENIORS an offer they couldn’t The Newly Blind refuse. Mr. Peacock would The Visually Handicapped & Are you a senior or do you donate the equipment, have a senior family member People with Progressive Eye Disease Sight Loss Services struggling with low vision? would be responsible for all maintenance. The advantages of the new technology are The new innovative residential striking. program at the Cove at Thirwood As Ms. Stead ex- plains, “Actually, very Place Assisted Living is designed to few people can read help seniors with low vision. Braille, perhaps 2 percent of those who are Learn practical living techniques in a visually impaired. And supportive environment. this is particularly true of older people, such NEW ADDRESS! Residences well-equipped with the latest in as make up most of our assistive tools and technology. population, who be- 900 Route 134, Towne Plaza come vision-impaired Professional specially trained staff available late in life. They may South Dennis, MA 02660 at all times to assist in solving challenges and not read Braille, but provide support. they do have smart (Exit 9B off the Mid-Cape Highway) phones.” Scribe services, support groups. Mr. Peacock says his Tel: 508-394-3904 technology can include To learn more call 508-398-8006 much more informa- Or tion than would fit in or visit thirwoodplace.com. the standard Braille 800-427-6842 message. And, he adds, people can feel their P.O. Box 241, South Dennis, 02660 way to set the phone into the bracket. Mr. Peacock sees 4 TO YOUR GOOD HEALTH, A Health Care Newsletter Fall 2014 Treating Physical And Mental Ills A Key Tool In Suicide Prevention By Karen L. Gardner to feelings of hopelessness, helplessness, and a desire thereof. A sense of connectedness is an important pro- All too often it takes a high pro- for control over death. The AFSP reports that increased tective factor for suicide and that is what CHC strives file event to bring attention to a frailty and likelihood of illness is a contributing factor to provide patients and the community. longstanding problem. The death by suicide of Robin to suicide in older adults. Outside the walls of CHC, our Youth Suicide Pre- Williams is just such an example. Following this tragic At Community Health Center of Cape Cod we vention Project actively addresses the threat of suicide event, people are wondering, if it could happen to make a particular effort to help patients who may be in our region. It provides education for youth, fami- him, someone who seemingly had it all, could it hap- lies, education and human service professionals, and pen to me or someone I love? emergency responders on how to recognize someone Research cited by the American Foundation for Sui- We Are COMMUNITY at risk and intervene appropriately. When a death by cide Prevention (AFSP) reveals that many people who suicide occurs, assistance in the form of support and die by suicide have an underlying medical, mental at risk for suicide. As a medical home, that means car- education is provided to those who are most impact- health, or substance abuse issue. In fact, “psychologi- ing for the whole person. Caregivers focus not only on ed. It’s all part of a broad coalition on the Cape and cal autopsies”, which are interviews with family, close patients’ medical health, but their mental well-being. Islands dedicated to raising awareness of suicide and friends, and others who were in close contact with a Primary care providers are trained to recognize signs increasing activities to prevent it. person who died by suicide, indicate that 90 percent of a mental health disorder and, in many cases, pro- (Ms. Gardner is Chief Executive Officer of the had a mental health disorder—primarily depression— vide treatment for that condition within the primary Community Health Center of Cape Cod with facilities that was not diagnosed or adequately treated at the care setting. Or, if more appropriate, connect the pain Mashpee, Falmouth and Bourne, 508-477-7090; time of their death. tient immediately with a behavioral health clinician. they recommend that if you or anyone you know Patients with a medical condition such as can- It is important, though, to understand that it is not needs help regarding suicide, call the Samaritans at cer, HIV/AIDS, lupus, or traumatic brain injury are at just about depression and mental health, but about 1-800-893-9900 or the DMH Crisis Line at 1-800- higher risk for suicide. Experts suggest that this is due resiliency, ability to cope, and social supports or lack 322-1356.) Serious Illness Can Trigger Depression, Suicide By Melissa Weidman Jerry Levin, former chairman of Time-Warner, was depression and hopelessness. Yet, specialists treating The recent death of actor Robin inspired by Ms. Schneider’s revelation to disclose that serious illness often neglect to ask patients about their Williams provoked a national con- he himself had been suffering from Parkinson’s for mental state. versation about suicide, mental the past decade. In a recent interview he commented, If a patient does express thoughts about hastening illness and depression. When his “One of the telltale signs of Parkinson’s is this chill- death, it should be interpreted as a call for help. Accord- widow Susan Schneider revealed ing phrase called Bland Effect…your facial expression ing to social worker Susan Fencer-Cote at HopeHealth’s a few days later that the beloved begins to dissolve…it’s almost blank and it’s quite McCarthy Care Center, “We have seen patients who are comedian had been in the early stages of Parkinson’s noticeable…Once the diagnosis is given, there is an depressed and hopeless when they first come to us. But disease, the conversation broadened. enormous psychological shift and you tend to view as we manage their pain and make them more comfort- How does receiving a diagnosis of serious illness the world from that prism. It is so hard to distinguish able, those symptoms tend to abate. We also treat their impact one’s mental health? Though it’s difficult to what’s normal anymore, what’s Parkinsonian.” depression. Listening to them and validating their con- second-guess what was going on for Robin Williams This is just one of the many possible aspects of cerns can be helpful. And our interdisciplinary team himself, there are general issues that can shed light on functional loss that puts a mental strain on patients. can explore spiritual and emotional questions that can the complexity of dealing with such a diagnosis. According to WebMD, about 40 percent of Parkinson’s set their minds at ease.” and Cystic Fibrosis patients and a third of those who The Guy/Stern study noted that “spiritual well-be- have heart attacks develop some form of depression. ing had a strong negative correlation with end-of-life And so do a quarter of cancer and diabetes patients. despair. In particular, the ability to find an overarch- Yet, mental health experts caution that depression ing meaning—even at the end of life—was protective alone rarely causes suicide. Many other risk factors are against the development of hopelessness.” involved, including medication, substance abuse, family But when hope fails, for whatever reason, it’s criti- history, past suicide attempts and other mood disorders. cal to seek help. As Ms. Schneider said, “It is our hope According to a recent case study published in the in the wake of Robin’s tragic passing that others will Journal of Clinical Psychiatry by Doctors Maytal Guy find the strength to seek the care and support they and Theodore A. Stern of Massachusetts General Hos- need to treat whatever battles they are facing so they pital, only a minority of patients with terminal illness may feel less afraid.” express a desire to hasten their own deaths. Yet those (Ms. Weidman is Director of Community Rela- with depression were four times more apt to express tions and Outreach for HopeHealth, 508-957-0200 such a desire as were two thirds of those with both or [email protected].) Royal Expands By Adding Cotuit Center The Royal Health Group, founded in 1997, contin- when he decided to start his own company in 1997 ues to extend its reach with the recent purchase of Roy- with the purchase of the Royal Megansett Nursing and al of Cotuit, formerly the Mashpee Health Care Center. Retirement Home in North Falmouth. This acquisition of a ninth skilled nursing facility Three years later he purchased Royal Cape Cod allows the family-owned Royal Health Group to ex- Nursing Center in Buzzards Bay, Royal Nursing Cen- tend its service area that also includes the southcoast ter Falmouth and Royal Taber Street Nursing Center in and southeastern Massachusetts. New Bedford, followed by Royal Fairhaven, Royal Har- James Mamary Sr., founder of Royal Health Group, wich Assisted Living, Royal Braintree Nursing Center had 25 years of experience in the healthcare industry and Royal Norwell Nursing Center. WHERE WOULD WE BE WITHOUT IT? “Suicide in the elderly often comes from many years Suicide – Continued of depression and primary care physicians don’t al- For those facing serious illness or loss, ways recognize or treat depression in a timely fashion. families to end their lives. hope is here. We’re focused on meeting Two of my clients killed themselves after verbalizing hope. “Alternatively, at the end of life, many don’t want and attempting beforehand. The system often cannot the needs of the seriously ill and their their children to see them in that condition, or they wor- help these lost souls. Elders have so many comorbidi- families — dedicated to touching lives ry about the impact on their significant other taking care ties that contribute to their depression that their doc- of the children. So they contemplate ending their life.” in so many ways. tors must to look at the whole picture.” Aging also creates suicidal feelings. “The problem is anxiety or some form of depres- “Losing your job can be a factor,” said Sue Rohr- sion, especially among those 35-40,” said Karen L. bach, Senator Dan Wolf’s Cape District representa- Gardner, chief executive officer of Community Health tive and a member of the Suicide Prevention Coali- Center of Cape Cod, “And now we have another class tion Steering Committee. “But there is new legislation of those at risk, returning veterans. They don’t have (coming up) on mental health issues and a task force is any one person they can confide in and we need to get in place. We’re going at it from a lot of angles.” them into treatment. We’d like to do more.” “There also are mental health issues like depression (508) 957-0200 • HopeHealthCo.org But we have come a long way. that come from facing the illnesses of aging,” added Jim Lyons, retired founding CEO of Cape Cod Carole Stasiowski, marketing and communications di- Healthcare, recalls, “When I first came here in the HOSPICE | PALLIATIVE CARE | HOUSECALLS rector of Spaulding Rehabilitation Hospital Cape Cod. mid-80s as President of Cape Cod Hospital, there were DEMENTIA & ALZHEIMER’S SERVICES “People face decline…and Parkinson’s disease can be no patient beds for mental health on Cape Cod, none. COMMUNITY CARE | CARE FOR KIDS very challenging…before they learn to deal with de- They didn’t know how to deal with it…so they didn’t. cline as part of the aging process.” We were coming out of the dark ages back then.” Formerly Hospice & Palliative Care of Cape Cod Carol Vigliano, a care management adviser, agrees, Fall 2014 TO YOUR GOOD HEALTH, A Health Care Newsletter 5

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Editor and Publisher: Larry Fox, 508-896-7683 Landmark Addiction Bill’s Passage Advertising Manager: Dick Zeich, 508-760-2693 Will Improve Access To Treatment By Raymond V. Tamasi tion community. Website: www.toyourgoodhealth.com A bill that would ramp up state Treatment advocates have expressed satisfaction e-mail: [email protected] efforts to eliminate barriers to addic- with the bill, which also would reduce barriers for ac- Website design: Wozzaworks, tion treatment and stem the opiate cess to anti-craving medication that has been effec- 508-945-5307 or [email protected] crisis was passed by the Massachu- tive for many patients. This intense craving is one of Design & Production (print version): setts Legislature just as the lawmak- the highest risks that recently detoxified patients ex- KVH Graphic Design, 508-477-3396 ers were ending the fiscal 2014 ses- perience and often leads them to resume use of the Marketing & Promotion Consultant: sion. drug. Medications that blunt craving by their action Marjorie Rafael 508-385-4773 The bill is intended to improve access to detoxifi- on opioid brain receptors can help patients deal with Calendar Items: P.O. Box 918, Dennis, MA 02638; cation treatment by elimi- this phenomenon and, 508-896-7683 (Voice or FAX) nating the requirement when linked to counsel- or e-mail [email protected] for prior authorization On ADDICTION ing and recovery support Medical Adviser: Herbert O. Mathewson, M.D. by the patient’s insurance programs, produce longer Advisory Board: Stephen L. Abbott; company. Patients would be eligible for up to seven periods of remission. Dr. John L. Cox; DeWitt Davenport; days of inpatient treatment before an insurer had the The bill also would toughen the state’s prescription Denise M. Dever; Jim Foley; right to review patient eligibility for that treatment. drug monitoring program and require pharmacists to Karen L. Gardner; Herbert E. Gray, M.D.; Any days of care after the first seven would be subject dispense an interchangeable abuse deterrent drug un- George R. Heufelder; Congressman William Keating; to utilization review by the insurer. less a physician has specified a substitution should not Dianne Kolb; Michael K. Lauf; James F. Lyons; Herbert Heretofore, most insurers required that treatment be made. O. Mathewson, M.D.; Senate President Therese Murray; organizations obtain permission to admit patients for And it has an additional requirement that physi- Cheryl Osimo; David W. Rehm; Gary Sheehan; detoxification, a process that many claim limited ac- cians consult the state’s prescription monitoring pro- Raymond V. Tamasi; Representative Cleon Turner; cess and made this emergency service more difficult gram before writing a prescription on an annual basis Carol Vigliano, Senator Dan Wolf, Andrew P. Young to obtain. In advance of the legislation, Blue Cross al- for patients receiving ongoing treatment of a con- William M. McDermott, M.D., emeritus ready had eliminated the prior authorization require- trolled substance. The Department of Public Health Arthur Bickford, M.D., emeritus ment for any patient referred to a detox center by a will then review and report to the Legislature on Advertising Director: Jane A. Cushman, 1992-2002 hospital emergency room. whether doctors are using the prescription monitor- To Your Good Health, A Health Care Newsletter, Senate President Therese Murray was one of the ing program and the number of physician and phar- is an independent quarterly publication of Larry Fox Associates. champions of the legislation and has been a long- macist violations. The objective is to require a doctor Letters to the Editor, editorial submissions and questions regarding advertising time proponent of a more robust addiction treatment to review a patient’s prescription history, educate the should be mailed to Larry Fox Associates, P.O. Box 918, Dennis, MA 02638. system. Several months ago Senator Murray charged patient on addiction, limit the quantity of pills and FAX and e-mail also accepted. Mailed Editorial submissions will be returned Senator Jennifer Flanagan with the responsibility to conduct a risk assessment all before prescribing cer- only if accompanied by a self-addressed, stamped envelope. study and make recommendations that would im- tain addictive prescription drugs. To Your Good Health, A Health Care Newsletter, reserves the right to prove access to care for addicted patients. The charge While these measures should impact the opiate cri- reject any advertisement for any reason at any time. was given in the face of the most severe opiate crisis in sis, addiction professionals also urge a stepped-up cam- This newsletter is not intended to provide advice on personal medical the Commonwealth’s history. paign to improve prevention efforts, increase school matters or to substitute for consultation with your physician. Heroin overdose deaths have taken a significant awareness programs, support and inform families about toll and especially among the 18-28 age group. Wide- signs, symptoms and resources, and do more to align spread use of opiate pain medication and the easy addiction treatment with general medical care. Failure To Address availability of inexpensive heroin has contributed to Finding better ways to identify problems and inter- the rapid rise in opiate addiction. Senator Flanagan. vene at earlier stages, before someone is in crisis, is the Lyme Issues A Top D-Leominster’ held community hearings throughout best long-term approach to reduce drug demand the State, including one at Cape Cod Community Col- (Mr. Tamasi is President/CEO of Gosnold on Disappointment lege that was attended by many of the Cape’s addic- Cape Cod, 508-540-6550 or [email protected].) By Representative Cleon H. Turner Since this is my last term as state representative for the First Barnstable District, I thought I might make a statement about my biggest disappointments as a Proud Of Our Healthcare Record, member of the Joint Committee on Public Health. I was on that committee my first two terms and serve on it again this term. But There’s Always More To Do The biggest disappointment is that during the entire 10 years I have been in the legislature there have By Senate President Therese Murray Most recently, for Fiscal Year 2015, we have in- been various proposals to deal with the issue of Lyme Throughout my time in the Legislature, both as creased funding for inpatient, outpatient and chil- Disease and especially chronic Lyme. Senator and Senate President, I have been proud of all dren’s mental health services. We also included pro- Two issues were at the forefront of that discussion. we have accomplished to ensure all Massachusetts res- visions to increase and improve substance abuse One was allowing qualified medical professionals idents have access to affordable, quality health care. treatment, because many times addicts also struggle to determine the best approach to dealing with a pa- We have focused on a number of important issues, like with contributing mental health issues. tient’s disease. The Commonwealth’s licensing author- prescription drug benefits, children’s health programs, This past legislative session, we continued our ef- ity and some in the medical profession were vigorous mental health services and substance abuse recovery. forts to combat substance abuse by increasing oppor- in their attempts to prevent doctors from diagnosing However, while we take pride in our efforts, we also tunities for long-term recovery. Massachusetts is in the chronic Lyme and from treating it with a strenuous need to recognize the changes happening and evolve grip of a substance abuse epidemic and public health antibiotic regimen. Their vigor was such that the li- along with them. crisis. We understand that addiction is a chronic con- censing authority threatened to sanction doctors who We all know we made history in 2006 by pass- dition, which is why we proposed a continuum of care prescribed high dosages of antibiotics. Fortunately, ing landmark health care legislation and becoming a and ways to remove barriers to effective treatment. legislation was passed the prevented the sanctions and model for the entire nation. However, we didn’t stop As the ages of addicts continue to drop and abuse re- allows doctors to make an informed diagnosis. there. mains prevalent, this has truly become a problem we The other issue with Lyme is getting insurers to In 2008 and 2010 we passed legislation to increase cannot ignore. pay for high dose antibiotic treatment. Though some access to care and reduce costs for small businesses. Improving the health and affordability of services insurers now pay for such treatment, many don’t and In 2012, we reduced the cost of care over the long- and treatments for residents has always been the Com- legislation that would require those payments has not term by passing cost-containment legislation, known monwealth’s top priority. Thanks to our collective ef- been favorably reported by the committee. as Chapter 224. And we took steps to promote innova- forts, nearly 100 per cent of our residents are covered Medical witnesses who once testified in opposition tions and develop new payment methodologies and by insurance. Legislators, health care providers, busi- to treating chromic Lyme with high dose antibiotics delivery systems. Recognizing the benefits of elec- ness owners and consumers have all come together to have changed their tune only slightly over my 10 years. tronic health records, especially in preventive care, we make this possible. At the beginning, they denied the existence of established a statewide adoption of electronic medical But our work is never done, and we must always such a disease. Lately, though many still doubt the records in 2008 and facilitated their ongoing adoption find new ways to create change where it is needed. existence of the disease their testimony has been care- through Chapter 224. That way we will continue to be national leaders in ful not to deny its existence. They note that there are Overall, this legislation allowed us to move away healthcare. no careful studies that both point to the existence of from fee-for-service and toward a system where the fo- (Therese Murray, retiring as president of the chronic Lyme and to any credible scientific evidence cus is on the quality, not the quantity, of care. That in- Massachusetts Senate, represented the Plymouth that high dose antibiotic treatment is worth the risk of cludes focusing on the “whole health” of the patient, and Barnstable District.) causing immunities in patients to antibiotics that the including behavioral health and general well being. patient may need for other kinds of illnesses. Stressing that behavioral health be covered in the (Representative Turner, D-Brewster/Dennis/Yar- same manner as physical ailments, the Senate in 2000 Senator Wolf’s column mouth/Barnstable, is member of the Legislature’s passed the Mental Health Parity bill. We have contin- Joint Committee on Public Health; www.repcleon- ued to fund mental health services and protect these appears on page 16 turner.com for further updates.) vital programs from being disproportionately cut. 6 TO YOUR GOOD HEALTH, A Health Care Newsletter Fall 2014 Discarded Needle? Handle With Care! Plus Latest On This Year’s Flu Shots By George Heufelder, MS, RS, Every spring towns are offered safety training for And the Cooperative Extension provides free contain- Director, a wide range of public workers, ranging from public ers of various sizes for distribution to the public in all Barnstable County Department works to school, police and fire departments. This 15 Cape Cod towns. To find out where to pick up a of Health & Environment container in your town go to www.capecodextension. The opioid addiction epidemic, associated intrave- County REPORT org/library/2012/08/Sharps_tri_fold.pdf. nous drug use, and improper disposal of hypodermic Residents and visitors can pick up these contain- needles are issues frustrating communities across the program stresses worker safety, particularly address- ers at no cost and return them when full to the same nation and the Commonwealth. ing how to safely retrieve and dispose of discarded sy- locations. The county then collects them and pays for And Cape Cod is no exception. ringes on public properties. It also says workers should their disposal. On average 5,000 empty containers are Barnstable County Department of Health & Envi- be trained annually in OSHA Blood borne Pathogens distributed to the public each year. The majority of ronment and the Cape Cod Cooperative Extension Standards and be offered the Hepatitis B vaccine, both them are returned from in-home medical treatments, have been working with towns to address many of of which are provided through our department. but some others come back from IV drug users. All the needs associated with the increase in discarded The waste disposal program also supplies special needle users are encouraged to utilize the program re- syringes. containers for public workers to keep in their trucks. gardless of how or why they’re generated. Picking up and dropping off containers is anonymous and hassle free. So, what if you find a used syringe? If you’re confident you can follow these guidelines: For over 40 years, Any type of pliers can be used and you should have Gosnold on Cape Cod a special sharps container or similar puncture resistant container right at hand. This procedure can greatly re- has treated individuals and families, duce an accidental needle stick. educated communities, and led the way However, if you don’t feel confident in a safe re- with innovative programs and sponse, notify your local DPW of the location of the treatment approaches. syringe and request its removal. Finally—and this is important—if a person is acci- PREVENTION | INTERVENTION dentally stuck by an improperly discarded needle, seek TREATMENT | RECOVERY medical attention by a qualified health professional for 23 million Americans are living counseling on the risks of contracting an infectious dis- in recovery from addiction ease and what the treatment options are available. If you, or someone you know Choose what kind of treatments you wish. You needs help or information, call: technically are not “required” to undergo anything, but seeking immediate medical advice is both wise 800-444-1554 and prudent. or visit www.gosnold.org • On another front, this flu season Barnstable Coun- ty residents have more choices than ever for a vaccine.

PREVENTION │ INTERVENTION │ TREATMENT │ RECOVERY Continued on next page

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VISITING NURSE ASSOCIATION OF CAPE COD Member Cape Cod Healthcare 9.14/CCHC Fall 2014 TO YOUR GOOD HEALTH, A Health Care Newsletter 7

Your Good Health WELLNESS CORNER Gotta Keep On Movin’ & Groovin’ To Banish Them Bad Health Blues By Jean Talbert, M.D. aerobic. Muscle strengthening improves Unfortunately, there are many bar- your destination, Physical inactivity ranks fourth be- balance and endurance. Stretching helps riers to regular exercise in our culture. walk during a lunch hind smoking, hypertension and diabetes to prevent muscle injury and keeps the Fear of violence or crime in outdoor break, bike to work. as a risk factor for premature death world- joints more limber. Aerobic activity areas, traffic, weather, and lack of parks Consult with a healthcare provider wide. New technologies, modern con- provides the cardiovascular and meta- and green space in many communities before starting a vigorous exercise pro- veniences, and urbanization have made bolic benefits. All of these benefits are make regular exercise difficult. Gyms are gram if you are pregnant or have risk many elements of our lives easier, but as a optimized with a program of planned, now common, but there is an associat- factors for heart disease or musculoskel- consequence, we are more sedentary. structured, ed cost. Se- etal injury. Almost 50 percent of women in this and repeti- nior centers, The elderly and those with disabili- country have inadequate physical activ- tive exercise Woman’s WORLD community ties should work with their providers ity and here’s a great statistic. The Nurses but just de- recreation and try to be as active as their health Health Study found that for every two creasing the amount of time spent sit- centers and schools may offer less ex- condition will allow. In most cases, start hours spent watching television per day, ting each day has health benefits. pensive alternatives. Exercise classes slowly and gradually pick it up to reach there was a 23 percent increased risk of How much physical activity is have the benefit of social interaction as a moderate level. And don’t overlook obesity and 14 percent higher risk of dia- enough? Current guidelines recom- well as some professional guidance to the need for safety equipment such as betes. Inactivity also has been found to mend 150 minutes of moderate exercise lower the risk of injury. In general, no helmets for biking. correlate with higher rates of heart dis- per week. Moderate exercise is defined one type of exercise is better than an- A formal exercise program is ideal, ease, breast cancer and colon cancer. as activities that increase heart rate but other. Choose what fits best into your but even integrating more activity into Regular and adequate physical activ- not to the degree that you cannot carry lifestyle and your budget. And many ac- everyday life can be beneficial. The ity has benefits for almost every organ on a conversation. Brisk walking, bik- tivities, such as walking, are free. more you move, the more you benefit. system. ing, moderate housework and garden- Simple lifestyle changes can be partic- (Dr. Talbert is a board certified OB/ Three different types of physical ac- ing are examples. The activity can be ularly beneficial for those starting from GYN specialist practicing with Cape tivity are important for overall health: broken up into multiple episodes, but a very sedentary lifestyle. Use the stairs Obstetrics & Gynecology in Falmouth muscle strengthening, stretching and they must be at least 10 minutes each. instead of an elevator, park farther from and Sandwich, 508-457-0088.) What To Do If Your Cold Passes Flu Test: Lots Of Fluids, Healthy Diet…And Rest By Paul M. Marz, M.D. venting illness has been touted for years whatever it takes to give you gray hair. Fe- prone to them any- Its flu time again! and years. We continue to ignore this ver itself is not a bad thing. It is only a way. For those of you who have had the advice. Remember what you have been symptom of itself; it is not a disease. Fever Muscle aches? The flu holds the re- flu, my apologies for not getting this ar- told for years and years? Well, it hasn’t is the body at work. When you crank up cord on this one. Colds try, but are only ticle out sooner. For those of you just changed. (Plenty of rest, a healthy and the engine in the car, you expect it to get mildly successful at it. getting ill, this one’s for you! (Or you nutritious diet, and regular exercise.) hot. The body is no different. Next time Tired and loss of get up and go? The can cut it out and save for later…) Got it? Ok, what to do now. How can you you have the urge and don’t successfully flu can zap you for a week or two, but OK, you are not sick…yet. Just to re- tell it is a head cold, and not something suppress it, take your temperature after not colds. view, flu season is right about now. It will “dangerous?” running 2 Runny nose, sore throat, sneezing? peak sometime from January to March. The flu Kid STUFF miles in 15 Give your cold a point for each! How Just remember to not smoke around and a head minutes. So, about a cough? Well no help there as children, adults, yourself. Wash your cold are both viruses, so which one do how hot is too hot? Studies to date show they both can do that one. hands after being in public, or having you have this time? Now if you have no permanent harm until the tempera- So now you’re the expert, just add contact with someone who is ill. Be nice chest pain, severe illness or other symp- ture reaches 107 or so. Up to 104, there is up the points and congratulations! But to others when you are ill by coughing toms not outlined here, call your doc- no need to sponge off the child. Less than don’t let it go to your head. into a tissue or away from others. This tor for evaluation. But if not, and you’re 102 and if the child looks fine, I would Prescribe yourself plenty of liquids, is just being polite. Avoid close contact wondering what you have, consider the not even treat them. So, in conclusion, healthy foods…and get some rest. with anyone who is ill (kissing / hold- following: for a cold, a temperature is rare; for the (Dr. Marz, a board-certified pe- ing). At home, regularly clean off door- First and foremost, is there a fever? flu, 102 to 104 for three or four days is diatrician, is supervising physician knobs, dials or other things an ill person Your typical head cold most often will not common. for the Barnstable school system. He has touched. give you a temperature. But, infants and Next, is there a headache? Sudden practices with Bass River Pediatrics in So, you are sick. Sorry about that. The small children are the exception. Those onset and impressive? Yep, the flu! Colds South Yarmouth.) most effective proven method of pre- helpless cute little bundles of love will do rarely cause headache unless you are Field Of Dental Cosmetics Expanding To Give The Entire Face A New Look

By Dr. Richard A. Weiler stained and aged teeth. And ortho- medical maladies can result in a loss of Patients who Dental cosmetic procedures have dontics and clear braces, implants and collagen and soft tissue support, lead- have suffered from advanced dramatically over the last de- prosthetic ing to, gulp, temporomandibular cade. Whether applied in a dental office procedures The Whole TOOTH WRINKLES! joint dysfunction or severe headaches or at home, bleaching, cosmetic bond- can enhance In devel- also may benefit from BOTOX injec- ing and ceramic veneers can restore facial form, profile and lip support. oping a more beautiful and youthful tions, especially if all other therapies youthful color and brightness to worn, Aging, exposure to sun, smoking and smile, dentists now can address the have not been totally successful. peri-oral structure that frames your So-called “Dental Spas” now are smile, the lips and cheeks. springing up in metropolitan areas which protects against four of the most Dermal fillers can replace what’s where they can coordinate cosmetic County – Continued common circulating strains of the flu lost and, in some cases, even stimulate procedures of the teeth with the es- this year. the production of new collagen. These thetic treatment of the skin, using such procedures usually are considered mini- techniques as dermal fillers, BOTOX, Inactivated influenza vaccine, triva- Then there is a recombinant influenza mally invasive, nonsurgical face-lifts. laser resurfacing and facials. Cape Cod, lent, protects from three of the most vaccine, trivalent, that contains no egg There are few adverse effects or allergic with its growing baby boomer popula- common circulating strains of flu virus. product for those severely allergic to eggs. reactions, although some bruising can tion, should be seeing development of This same preparation also comes in And, finally, flumist quadrivalent, a occur. There is significantly less expense these dental spas in the not too distant a high dose form for those 65 and older. live attenuated vaccine in the form of and recovery is quick and minimal. future. As we age our immune system weakens, an intranasal spray, recommended for BOTOX also has been used to reduce (Dr. Weiler is a principal of Weiler, thus requiring the extra boost to make those between 2 and 8, but possible to wrinkling by relaxing muscle contrac- Walkley & Associates dental practice the antibodies. give up to 49 years of age. tions. Generally these work best for the in Harwich, 508-430-0505.) Another available form is the inacti- For more information, check out www. forehead and corners of the eyes. vated influenza vaccine, quadrivalent, cdc.gov/flu/protect/preventing.htm. 8 TO YOUR GOOD HEALTH, A Health Care Newsletter Fall 2014

New CCHC Staff Flu Policy: Get A Shot, Or Wear A Mask As the 2014-2015 flu season ap- year. Patients, especially young chil- proaches, Cape Cod Healthcare has dren, pregnant women, the elderly implemented a new policy regard- and those with chronic health con- ing flu vaccinations for all workers. ditions, are at greater risk for influ- Effective December 1, all physicians, enza-related hospitalizations and employees, students, volunteers and death. Agencies such as the Centers vendors will be required to be im- for Disease Control, the Massachu- munized against influenza or wear a setts Department of Public Health surgical mask while in patient care and The Joint Commission recom- areas during influenza season. mend vaccinations for all individu- The new CCHC policy is not a als who work in the healthcare field. mandate to receive a flu shot. Those CCHC will provide these free who choose not to will have the throughout the influenza season. option of signing a form declining All vaccinated staff members will the vaccination, but then will be re- have a sticker displayed on their ID quired to wear a surgical mask at all badge. times within patient care areas. For the safety of patients and Influenza is a serious respira- others, Cape Cod Healthcare strong- Providing the women of Cape Cod tory disease that kills an average of ly advises that anyone entering one 36,000 people and hospitalizes more of its facilities during flu season be the most advanced healthcare than 200,000 in this country every vaccinated against the disease. technology, right here on Cape Cod. …And The Smoking Lamp Is Out! In an effort to create a healthier en- single most preventable cause of death, Cape Cod Healthcare is proud to offer women’s vironment for all who work at, stay in disease and disability in the U.S.” or visit its facilities, Cape Cod Health- All physicians, employees and vol- healthcare services to all women on Cape Cod. care will greet the new year by imple- unteers, as well as patients and visitors, menting a tobacco-free policy through- will be required to comply with this We have the most modern equipment for screening and out the entire system. new policy. And security departments As of January 1, the use of any to- at Cape Cod Hospital and Falmouth bacco or unregulated nicotine product, Hospital will work to enforce the pol- diagnostic services. That means women of Cape Cod including e-cigarettes, will be prohib- icy on hospital grounds. Also adequate ited inside and on the grounds of all and educational signage and handouts have access to the highest level of women’s healthcare CCHC facilities. will be provided at all other CCHC fa- “The reason for the new policy is cilities so patients and visitors can learn simple. We are a healthcare system and about this new initiative. Patients and including the wide-bore 3T MRI, an imaging unit that is our mission is to treat and heal illness residents in CCHC facilities observed and disease, which means we must not using tobacco products will be asked to the only one of its kind south of Boston. Now with the only provide the best care possible, but stop and will receive an informational we must also lead by example,” said card. most advanced technology right here, there is no need to Michael K. Lauf, President and CEO CCHC will provide education, of Cape Cod Healthcare. “Countless counseling and other resources to help studies have documented the devastat- employees and volunteers reduce or go off Cape to get the very best care. ing effects of tobacco use on people’s quit the use of tobacco and unregulat- health. The good news is that it is the ed nicotine products.

Power of Listening Simply

We’re taking good care of you.TM Cannot Be Underestimated By Stephanie G. Kelly, lives, too often Executive Director the response Samaritans on Cape Cod and the consists of plat- Islands itudes and ad- Founded in 1977, The Samaritans vice. We’re here for the women of Cape Cod. on Cape Cod and the Islands is a non- At the Sa- denominational, non-profit volunteer maritans on organization whose mission is to pro- Cape Cod and Cuda Women’s Health Center vide emotional support to those who the Islands, we are lonely, depressed or suicidal. have found that the most important Wilkens Outpatient Medical Complex • 35 Wilkens Lane, Barnstable Samaritan volunteers provide non- contribution is to just listen–not with judgmental active listening to callers the intent to fix the situation, but merely capecodhealth.org/wilkens/cuda • To schedule an exam: 508-957-1700 in need on our crisis hotlines, older to ease someone’s pain, even if only for adults in our Senior Outreach program, a short while until the crisis has passed. 3T Breast MRI and MRI-guided Biopsy • Breast Ultrasound and survivors in our Safe Place support Some simple tips: groups for those who have lost some- Listen actively. Provide them with Digital Mammography • Breast Cancer Support Group • Bone Densitometry one to suicide. your full attention. Let them talk with- As members of the oldest and larg- out interruption. Assure them there is Stereotactic and Ultrasound-Guided Breast Biopsy est suicide prevention network in the no rush. world, we encourage all members of our Be focused. Your voice and manner community to talk openly about suicide will convey your care and empathy. Seifer Women’s Health and Imaging Center so they can provide help, and hope, to What you say or don’t say is less impor- those in need. tant than the way you say it. Falmouth Hospital • 100 Ter Heun Drive, Falmouth Too many of us think that we are Many times there are no real “an- great at listening when we’re really just swers.” Your role is simply to listen, to be capecodhealth.org/seifer • To schedule an exam: 1-877-224-2009 hearing. Hearing simply happens. Lis- with the person, and to share the pain. tening, however, involves concentra- This may not seem like much, but hav- Digital Mammography • Digital Radiology tion and a desire to communicate on a ing someone to talk to may be all that deeper level. is needed to restore their confidence and Ultrasound • Bone Densitometry • Breast Cancer Support Services In our society, those experiencing increase their ability to cope with life. depression, anxiety, isolation, and lone- (The Samaritans on Cape Cod and Stereotactic and Ultrasound-Guided Breast Biopsy liness often are ignored. Yet, they are the Islands Help Line is 1-800-893- the people who most need to be heard. 9900 if you need someone to talk to; They bear their pain alone and in si- but if there is immediate danger, call lence. When they do speak about their 911.) Fall 2014 TO YOUR GOOD HEALTH, A Health Care Newsletter 9 When It Comes To Breast Cancer, Cape ‘Month’ Lasts A Whole Year October is traditionally the time when Hospital and Cuda Women’s Health Cen- women’s health takes center stage in ter at Wilkens Outpatient Medical Com- the United States because it is National plex in Hyannis, plus Fontaine Outpa- Breast Cancer Awareness Month, but that tient Center in Harwich, which provides doesn’t mean women should ignore their only mammography and ultrasound. healthcare needs the rest of the year. The two major centers are accredited Whatever the “month,” women con- by the National Accreditation Program tinue to be encouraged to follow guide- for Breast Centers, a member of the lines for breast cancer screening. The American College of Surgeons, which American Cancer Society advises that means they have met rigorous safety women age 40 and older should have and quality standards. an annual mammogram and should Available at Cuda are digital mam- continue to do so every year for as long mography, stereotactic breast biopsy. as they are in good health. They explain breast ultrasound and ultrasound-guid- that the annual mammogram is an ear- ed biopsy; 3T breast MRI and MRI-guid- ly detection practice that saves lives. ed biopsy (a high resonance unit that is Women on Cape Cod have several the only one of its kind on Cape Cod); options for mammography and any fol- bone density; and a support group for low-up diagnostic, surgical or oncology newly-diagnosed breast cancer patients. procedures they may need. Available at Seifer are digital radi- Cape Cod Healthcare has three loca- ology; digital mammography; bone Of all the investments we’ve tions for digital mammography services. density; ultrasound; stereotactic and They are the full-service Seifer Women’s ultrasound-guided breast biopsies and a made in women’s health, our people Health and Imaging Center at Falmouth breast cancer support group. are the most important. CCHC Cardiac Rehab Program Extended To Cape Cod Hospital Cape Cod Healthcare is proud to offer women’s A dedicated rehabilitation program program consisting of 36 sessions and healthcare services to all women on Cape Cod. Our two for the year following any cardiac epi- participants must have a physician’s or- sode is considered critical to any pa- der and referral. Group programs con- modern state-of-the-art facilities give women a place that is tient’s recovery and Cape Cod Health- sist of warmup, conditioning and cool care’s Heart and Vascular Institute has down phases using stationary bikes, serene, comfortable and private. Our radiologists, surgeons, long been providing this service at Fal- treadmills, arm exercises and hand mouth Hospital. weights. EKG telemetry monitoring nurse practitioners, nurses and technologists have Now, they announce, starting this during exercise is provided and super- fall, this comprehensive exercise and vised by an exercise specialist/physiolo- educational program also will be offered gist and an experienced cardiac nurse. the highest level of specialty training along with a very on the Cape Cod Hospital campus, 25 Once a patient graduates from the Main Street, in Hyannis. monitored program, a self-pay mainte- compassionate approach to women’s health. Now with our Cardiac rehab is part of the aftercare nance program is available to continue not just for patients who have suffered the rehab program in the same setting team of top quality providers using the latest technology and a heart attack within the preceding 12 with medical supervision. months, but also includes situations The educational component includes equipment, Cape Cod women can be assured there is no such as bypass surgery, heart valve re- risk factor identification and modifica- pair or replacement, current stable angi- tions, nutrition and diet, medications, na, chronic heart failure, angioplasty or and stress management. Counseling need to go off Cape to get the very best care. coronary stenting, or a heart or heart- about risk factor modification is avail- lung transplant. able on an individual basis by profes- The medical director of the new sional staff. Spouses, family members service is Dr. Elissa Thompson. The and friends are welcome to attend these Falmouth Hospital team has been educational sessions. directed by Dr. Jennifer Ladner. For more information, visit www. The exercise segment is a monitored capecodhealth.org. We’re taking good care of you.TM Police Stress Dealing With The Mentally Ill Too often, the only time we read Kathy Lalor, coordinator of the about an incident involving police and Taunton Community Crisis Team, cited We’re here for the women of Cape Cod. a mentally ill individual, the story has a two examples of how her department tragic ending. makes this work. The many peaceful resolutions nev- Chief Pawlina had noted in his Cuda Women’s Health Center er make the papers. Commonwealth opening remarks that many mentally ill police departments are taking steps to people that come to the attention of his Wilkens Outpatient Medical Complex • 35 Wilkens Lane, Barnstable make that the absolute norm. Because department are repeaters. They get into peaceful resolutions don’t happen by trouble, are institutionalized for treat- capecodhealth.org/wilkens/cuda • To schedule an exam: 508-957-1700 accident. ment and, when stable, are returned to This was the subject of a Cape Cod their old environment where too often 3T Breast MRI and MRI-guided Biopsy • Breast Ultrasound forum on Mental Health Crisis Response they may stop taking their meds and late this summer at the Chatham Com- the cycle is repeated. Digital Mammography • Breast Cancer Support Group • Bone Densitometry munity Center hosted by the National To break this pattern, Ms. Lalor said, Alliance on Mental Illness (NAMI) and the department has instituted what Stereotactic and Ultrasound-Guided Breast Biopsy the Chatham Police Department. It fea- they call “well-being visits.” As she ex- tured representatives of the Taunton plained, “Too often these people have Community Crisis Intervention Team, other issues besides what led to their ar- Seifer Women’s Health and Imaging Center which has a program that works. rest. And these visits help them recog- As Chatham Police Chief Mark Paw- nize there is a community agency that Falmouth Hospital • 100 Ter Heun Drive, Falmouth lina pointed out, “Although many may can help them.” And reinforce compli- struggle with this, police have to add ance with their treatment program. capecodhealth.org/seifer • To schedule an exam: 1-877-224-2009 mental health skills. What can we do? Spotting potential problems before Where do we take them?” they erupt also extends into schools, Digital Mammography • Digital Radiology Fortunately, as Ron Holmes, Ex- which too often these days have been ecutive Director of NAMI Cape Cod scenes of horrific events. “What we do Ultrasound • Bone Densitometry • Breast Cancer Support Services & Islands, added, “The momentum is is our police department maintains very growing. This is an issue that no longer close contact with teachers and school Stereotactic and Ultrasound-Guided Breast Biopsy needs to be sold.” administrators,” she said, “And so they Avoiding flashpoints in the first can let us know about potential prob- place can be critical. lems in time to prevent them.” 10 TO YOUR GOOD HEALTH, A Health Care Newsletter Fall 2014 Growing Old Can Be Clinically Depressing

Depression is a life-long issue for many, but it can At the same time, you’re alert for signs of deeper trouble. Being agnosis. These risk factors are independent of his diagnosis. also arise after an illness or injury or in response to ag- involved in the patient’s rehab team right away helps you get to know When the National Parkinson Disease Foundation asked which ing. The clinicians at Spaulding Rehabilitation Hospi- the patient and family and assess their coping skills. A psychiatrist symptoms had the most negative impact on quality of life, depres- tal Cape Cod help patients sort out what is an expect- may check to rule out causative medical conditions or medications. sion was number one. It changes how you see things. ed response to a health problem from a more serious Sometimes the stress of illness brings to the surface long-standing That said, it’s very atypical for someone newly diagnosed with depression needing treatment. Health psychologist anxiety or depression that was undiagnosed and untreated. Parkinson’s to commit suicide. Many live relatively independently for John Allen, Ph.D., and Janet Mooney, LICSW, senior Q. What happens after a patient goes home? years. Most develop skills to deal with decline. Much depends on the social worker, inpatient programs, recently shared JM: This can be a real concern. Patients are in a protected en- patient’s coping skills, supports and other factors. their insights into depression related to health prob- vironment, surrounded by a compassionate care team focused on Q. Why is depression so common in Parkinson’s disease? lems and age. their physical and emotional recovery and well-being. You strive to JA: As with other chronic illness, depression can occur in reac- Q. Being in the hospital is stressful, but can it actually cause prepare them for the frustrations and hard work that lie ahead. Once tion to the diagnosis. It can also emerge as the disease progresses depression? home, the reality of their limitations really sinks in. Signs of depres- and loss of function worsens. Prior depression poses a greater risk. Janet Mooney: Many of our patients have experienced a sudden, sion can occur months after discharge. You seek to educate the fam- Compared with other chronic diseases, people with Parkinson’s life-altering event, such as stroke, brain injury, trauma, or amputa- ily about warning signs and when they should contact their primary do have a higher rate of depression. So depression may be a result of tion. Others have a new diagnosis of a chronic disease, such as Par- care physician. changes in the brain’s biochemistry that are inherent to the disease kinson’s or MS. These conditions can profoundly change a person’s Q. Are certain people at greater risk for depression? process. The depletion of dopamine and decreases in serotonin and life. Some go through an initial adjustment and soon are able to cope. John Allen: Yes. People with chronic psychological issues are at norepinephrine—all neurotransmitters associated with feelings of Others, overwhelmed, may develop depression. higher risk. Much depends on their mental framework, whether they well-being—are likely culprits. In any case, treatment is essentially Q. How can you identify the difference between a normal are generally negative, critical or anxious. the same. You evaluate medications, provide counseling, encourage reaction and a major depression? JM: Also people with poor support systems. Women have been the use of support systems, and treat the symptoms. JM: Duration and severity are key. It’s normal to feel sad, angry, shown to be twice as likely to become seriously depressed. Another Q. How is depression treated? helpless, confused after a major threat to health. In the initial throes factor is how the illness will affect function. JA: It’s very individualized. Medications may be necessary. In the of adjusting to a significant loss of function, quality of life can look so Q. Robin Williams was diagnosed with Parkinson’ disease be- rehab setting we look at multiple approaches because not every- bleak that patients may say they don’t want to live like this. You help fore he took his life. Is depression more common with this disease? thing works with everyone. Exercise is often overlooked but can be a them understand that this “reactive depression” is temporary and JA: First, there’s ample reporting that Robin Williams had long- part of the grieving process. term struggles with depression and addiction that preceded his di- Continued on next page

parent, sibling or loved one. EPOCH Senior Living has named Kristine Callahan • director of community relations of Bridges® by EPOCH Community Action Committee of Cape Cod & Is- at Mashpee, a 54-suite memory care assisted living com- HAPPENINGS lands, Inc. (CACCI) has been selected for the second year munity now under construction and scheduled to open in a row by the Massachusetts Health Connector to serve next summer. Hope HouseCalls, part of the HopeHealth family of as the designated Health Care Navigator agency for the • services, has contracted with Senior Whole Health to pro- area and has been awarded a commensurate grant. Broad Reach Healthcare in North Chatham has added vide home-based primary care physician services to their • Dr. Scott Graham to the medical staff at Liberty Com- members who are MassHealth Eligible Recipients. This The Tobey Hospital Guild has announced scholarship mons where he will serve in an advisory role as an Associ- includes initial and ongoing assessment, care coordina- awards for area high school seniors interested in pursu- ate Medical Director as well as following patients as their tion, medication management and medical advice. ing a career in healthcare. Among three winners of the attending/primary care physician. The mission of Senior Whole Health is “to maximize $1,000 grants were Rachel Bordieri, a graduate of Upper • the quality of life, health, security and independence Cape Cod Regional High School, who will attend Fitch- The Community Health Center of Cape Cod in Mash- of their members,” particularly for “dual-eligibles” who burg State University to pursue a career in nursing, and pee has announced the addition of three new providers quality for both Medicare and Medicaid. Hannah Hayward, a graduate of Wareham High School, to its professional staff. HopeHealth also has scheduled a free one-day pro- who will attend Emmanuel College as a pre-med student. Dr. Michael Messina is a family medicine physician gram for children who have experienced the death of a • who received his medical degree from the University of Massachusetts Medical School at Worcester and a bachelor of science degree in biochemistry from Bos- ton College. Dr. Messina will be seeing adult and pediatric pa- SERVICE DIRECTORY tients at the Health Center’s Mashpee location as will the newly appointed dentist, Dr. Theresa Guanci. Dr. Guan- HOME CARE HOME SAFETY ci received her Doctor of Dental Medicine degree from Boston University School of Henry M. Goldman Dental Medicine and completed a dental externship at Commu- nity Health Center of Cape Cod. The third new hire, Yvonne Nickerson, MSW, LCSW, Assistive care is a social worker with extensive experience working with and support people with co-occurring disorders, mental illness, and services from substance abuse. 1 to 24 hours • Recognized for quality and performance, Tufts Health Plan has earned 4.5 stars out of a possible 5 for its Tufts Medicare Preferred HMO and Senior Care Options plans Call 888-778-5568 | www.bayada.com Michael MacDonald Don’t Fall, Call! from the Center for Medicare and Medicaid Services as part Owner/Operator of their annual Star ratings for 2015. Tufts’ Medicare Pre- Bayada Nurses is now BAYADA Home Health Care. 508-771-2347 ferred HMO, the largest Medicare Advantage plan in Mas- Uniquely qualified through the National Association of sachusetts with over 104,000 members, has received this Home Builders as a “Certified Aging In Place Specialist” 4.5 star rating for five consecutive years. Five is perfect. Celebrating 16 years of serving Cape Cod

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508.833.1366 www.northriverhc.com 508-398-1177 • www.capecodlifeline.com Fall 2014 TO YOUR GOOD HEALTH, A Health Care Newsletter 11 Norte Heads Harbor Point; Benchmark Group Honored Jean Norte, recently named Executive Director at Care Director and Execu- Harbor Point at Centerville, comes to her new positive Director at The Falls tion with 22 years of healthcare experience. of Cordingly Dam in New- She began her career at Boston Medical Center ton. The move to Harbor where she worked for over 13 years before accepting Point, an assisted living a position at a new continuing care retirement com- facility that specializes in munity in Hingham. There she served as practice memory loss as well as re- manager of the on-site primary care medical office spite and short-term care, that provided care for over 1,000 senior residents. She allows her to be closer to eventually was promoted to assist in the development her home and family in Plymouth. and opening of the on-site skilled nursing facility Harbor Point is among the 50 Benchmark com- where her primary role was managing the operations munities specializing in assisted living for the mem- of the long-term and short-term care floors as well as ory impaired in the Northeast that were honored as the hiring and supervising of the care associates for a group to receive Long-Term Living magazine’s 2014 this 132-bed facility. OOPTIMA award for excellence. The award gave spe- Ms. Norte joined the Benchmark Senior Living or- cial recognition to Benchmark’s Memory Care Pro- ganization in 2012, filling the dual roles of Traditional gram.

WELCOME TO BREWSTER: One of many town offi- ogy, a mental health screening is part of the evaluation. The team is cials in attendance, Ben deRuyter, vice chair of the Continued attuned to addressing psychosocial issues as part of the treatment plan. Board of Selectman (right), chats with Maplewood Aging – JM: This model is an advantage for both patient and clinician. Senior Living Chairman and CEO Gregory D. Smith powerful anti-depressant. Other helpful strategies include healthful By getting involved with inpatients early on, if a crisis hits there’s at the October 16 ground-breaking ceremony that diet, not smoking, maintaining relationships, and cultivating an at- already a built-in rapport. People open up differently when they’ve officilly marked the commencement of construc- titude of gratitude. As with exercise, these can have a real impact on been able to talk to you before. That helps the rehab team respond tion for Maplewood Senior Living’s newest assisted someone struggling with depression. Combining approaches often more quickly and effectively to the patient’s needs. living and memory care community on Harwich turns things around dramatically. Road. Mr. Smith said the 132-unit facility, to be Q. What about depression related to aging? known as Maplewood at Brewster, is expected to be JM: We don’t like to discuss getting old in our culture. New completed in about 16 months. fears crop up, especially if a spouse dies. Support systems dwindle. Friends die. When an illness hits, the situation is ripe for depression and anxiety. One danger is that the symptoms may not be recognized. Fatigue and apathy may be attributed to illness or medications. Emotions are not validated and the underlying cause isn’t treated. Primary care physicians, emergency rooms, councils on aging and others who routinely interact with elders can help identify someone with depression so their suffering can be lessened with the right treatment. Isolation should be a red flag. People with chronic illness should be routinely screened. Often they’ve already developed strong coping skills, so the idea of more lifestyle changes isn’t necessarily daunting. But it may be harder to maintain their level of function. Q. When a loved one has a serious illness, the whole family is affected. Is depression a risk to them? JM: It can be. Both patient and family should be important parts of the rehab team. You recognize that this event impacts the family, too. Roles of spouses and adult children can dramatically shift. Care- THE GANG’S ALL HERE: Staff at Gentiva Home givers may not only feel they have lost a partner, but also a loss of Health service are all smiles September 24 as they self, of who they were before they became “the caregiver.” prepare to greet visitors to the open house marking JA: I run the Healthy Mindset program for persons with Parkin- their new quarters at 88 Route 6A in Sandwich. son’s and their care partners. Families can get very stressed from seeing how their loved one is changing while powerless to stop the disease. Normalizing these feelings is key. We educate groups to reduce the unknown and prepare for the future. Care partners play a key role in facilitating treatment and we emphasize that care partners also need to alleviate their stress. Q. What can be done to identify depression early? JA: One study recommended that people with Parkinson’s should be screened each year for depression. At our Centers for Geriatric Neurol-

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945-2236 362-8856; Tuesdays, Dennis Memorial Cancer Support Groups NAMI Cape Cod Support Groups Library, 5-7 p.m., 508-385-3501 Breast Cancer Support Group, 1st & 3rd Your Good Health Calendar (508-778-4277 for details, including Tourette Support Group, meets monthly Tuesday month, 1-2:30 p.m., Women’s Family-to-Family program): For friends at CCH, call 508-420-1812 for day and Health Resource Center, FH, 508-548- To have your program included in the next Inc., 508-771-1727 or 1 (800) 845-1999; and family of people with mental illness: time 0411, extension 0738 Lower Cape-Healthy Connections, 508- Barnstable Village, St. Mary’s Episcopal Veterans/Active Duty Caregiver Group, Falmouth Cancer Support Group, 2nd & To Your Good Health Calendar contact: 255-1903 Church, third Tuesday month, 7-8:30 Eastham Senior Center, 4th Wednesday 4th Wednesdays month, 1:30-3 p.m., FH, Calendar, P.O. Box 918, Dennis, MA 02638; Caregivers Support, call VNA, 508-240- p.m., 508-364-9035; East Harwich, first month, 9 a.m., 508-778-1622 or brooks. 508-548-3050 e-mail [email protected]; or FAX 508-896-7683. 1100 or 1 (800) 696-0303 Thursday month, St. Peter’s Lutheran [email protected] to pre-register Lung Cancer Support Group, 1st Between issues, this calendar is regularly updated Caregivers Support Groups sponsored Church, 774-722-0248; Falmouth, fourth Violence Prevention Network, 3rd Thursday month, 1-2:30 p.m., FH, 508- by Beacon Hospice: all conditions (in- Monday month, Gus Canty Rec Center, Wednesday month, CCH, 9-11 a.m., 457-3730 on our website, www.toyourgoodhealth.com cluding dementia), 2nd and 4th Tuesday 7-8:30 p.m., 508-428-4351; Sandwich, 508-771-1800, ext. 2667 MID/LOWER CAPE month, Barnstable Senior Center, 3-4:30 second Tuesday, Lighthouse Christian Weekly Evening Exercise Classes, (Abbreviations: CCHC, Cape Cod Arthritis & Total Joint Replacement Sup- Alcoholics Anonymous, Sundays, 6 p.m.; dementia specific, 3rd Tuesday Fellowship, 7-8:30 p.m., 508-330-0305. Barnstable Senior Center, 508-862-4750 Healthcare; CCH, Cape Cod Hospital; port Group, 3rd Wednesday month, 10 p.m., CCH month, Bourne Manor, 4-5:30 p.m. For people with mental illness: Orleans, for information FH, Falmouth Hospital; SCC, Spaulding a.m., Falmouth Hospital, 508-457-4900 Alcoholics Anonymous, Saturdays, 5:30- Saturdays, Federated Chhurch of Widowed Person Service of Cape Cod, Rehabilitation Hospital, Cape Cod; COA, or www.drdimond.com for details Caregiver Support Group for Men, 6:30 p.m. Call PASG, 508-487-9445 Orleans, 10-11:30 a.m., 774-722-0952; Inc., 508-430-2417 Council On Aging; VNA, Visiting Nurse Asthma Support Group, 2nd Tuesday Barnstable Senior Center, 1st & 3rd Cancer Support Group sponsored by Hyannis, first and third Monday month, Widowed Person’s Support Group, 3rd Association; CCCC, Cape Cod Com- month, CCH, 7-10 p.m. Dr. Paul Sklarew, Wednesday month, 9:30-11 a.m., free, Helping Our Women (HOW), Mondays, Hyannis RCC, 4-5:30 p.m., 744-238- Wednesday month, Barnstable COA, 11 munity College) 508-771-6808 Bereavement Support RSVP to Elder Services, 508-394-4630, 11:30 a.m.-1 p.m., Provincetown Senior 2272 a.m.-noon for Adults, Hospice & Palliative Care of ext. 453 (or walk in) Center, 508-487-4357 New Parents Group. Call VNA of Cape A Woman’s Concern, Pregnancy Health Cape Cod: Hyannis-Wednesdays, 4-5:30 “Clown Around Town,” free story telling Caregiver Support and Companion SUPPORT GROUPS Cod, 508-394-2230 Center, 48 Camp Street, Hyannis, 508- p.m., Thursdays, 1-2:30 p.m.; Falmouth- for children in hospitals, 508-259-3006 or Programs: Barnstable Senior Center, Nursing Mother’s Support Group, 790-0584, Monday-Thursday, 10 a.m.-6 CAPEWIDE Thursdays, noon-1:30 p.m.; registration www.clownaroundtown.net 2nd & 4th Wednesdays, 9:30-11 a.m., sponsored by FH and Cape Cod WIC, p.m.; free pregnancy testing, ultrasound, ADD-Adult Support, 508-760-3808 required, 508-957-0200 COPD Support Group, 2nd Wednesday Beth Gilmore of Elder Services at 508- alternate Fridays, 9:30-11 a.m., & alter- referral network for medical care, hous- Adoption Connection, 7 p.m., CCH, Bereaved Parents Support Group, month, 2-4 p.m., Orleans COA 394-4630, ext. 240 for details; Wellfleet nate Mondays, 7:30-9 p.m., at Women’s ing, other social services. 508-896-7332 Mondays, 1-2:30 p.m., VNA office in Chronic Pain Support and exercise group Council on Aging, 1st & 3rd Tuesdays,, Health Resource Center, FH; pregnant Adult ADD Treatment Groups, 508-790- Falmouth, 1-800-978-0838 (Moving On), Mondays, 10:30-noon, UPPER CAPE 9:30-11 a.m., 508-394-4630, ext 212 women welcome; 508-771-7896 or 1 1333 Bereavement Support (for those wid- COA, Orleans, 508-255-6333, $5 per Addiction Family Support Groups, for details (800) 942-2445 for details AIDS Support Group of Cape Cod, HIV owed two years or less), sponsored by session sponsored by Gosnold on Cape Cod, 6-7 The Catholic Cancer Support Group, Nu-Voice Club of Cape Cod, 2nd Thurs- Antibody Testing, 1-800-698-6247 (new Widowed Persons Service of Cape Cod Dare to Be Alive Foundation Inc., dedi- p.m., Tuesdays at Gosnold Counsel- 2nd Tuesday month, 6 p.m., at Our Lady day month, 10:30 a.m., Yarmouth Senior oral swab/needle testing available); Inc., “Finding support After the Death cated to organ transplants (recipients, ing Center in Centerville, Wednesdays of Victory, Centerville (the group is faith Center, 508-771-6902 Needle Exchange Program Information, of a Loved One,” 508-945-0429; Three families, actual and potential donors), at Gus Canty Community Center in based, but all are welcome; reservations Ostomy Association of Cape Cod, 508- 508-430-7382 or 1-800-905-1170; both new 10-session bereavement support 3rd Tuesday month, 7-9 p.m., Cape Falmouth, for information contact Jodi not needed), 508-771-1106 or 508-775- 394-7385 or 508-255-7329 services free and anonymous. For more groups for parents, adolescents and Cod Hospital, 508-398-1260 or www. Landers at [email protected] or 5744 for information Overeaters Anonymous, 8 meetings on information, visit www.asgcc.org adults facing the loss of a parent have daretobealive.org www.gosnold.org Compassionate Friends, 2nd Wednes- Cape Cod, 508-428-9848 for information Al-Anon/Alateen, for family & friends of been established by VNA of Cape Cod Daytime Bereavement Book Club, 2nd Al-Anon, Sundays, 9:45 a.m., FH; 4 p.m. day month, 7 p.m., Harwich Community Pancreatic cancer survivors support alcoholics, 508-394-4555 for information Hospice Program, call 1-800-978-0838 Tuesday month, Bourne Public Library, Stop & Shop Center, 508-237-7904, 508-398-8259 group, 508-237-2030 for information on program and meeting schedules. for details; “The Circle,” VNA Hospice 1-2 p.m., 508-743-0203 or kbogigian@ Alcoholics Anonymous, Saturdays, 8 Helping Our Women (HOW) Women about meeting times and places Alzheimer’s Services of Cape Cod & the support group for children 5-13 and the lifechoicehospice.com to sign up or for p.m., FH; Saturdays 9:30-10:30 a.m., from Provincetown to Eastham with Parents in Touch, 2nd Friday month, 7 Islands, 712 Main Street, Hyannis, MA parent/adult, 508-957-7716 information SCC chronic and life threatening illness p.m., Life Services Rehabilitation Clinic, 02601, 508-775-5656 for information Brain Injury Association of Massachu- Depression & Bipolar Support Group, Breast Cancer Support Group for support group, Tuesdays, 12:30-2 p.m., Rte. 134, S. Dennis. 508-420-0771 or Alzheimer’s Caregivers Support Groups: setts, Southeastern Region (regional Wednesdays, 7-9 p.m., Cape Cod Medi- newly diagnosed women, 2nd & 4th St. Mary of the Harbor, Provincetown; 508-362-1302 Barnstable Senior Center, 3rd Tuesday office, East Wareham: 508-743-0333, cal Center conference room, 40 Quinlan Monday month (except legal holidays), Women with cancer, Mondays, 11:30 Parents of Children with Severe Emo- month, 508-862-44753; Buzzards Bay: 888-60-sport, www.biama.org): Buzzards Way, Hyannis 12:30-2 p.m., Mashpee Health Center, a.m.-1 p.m., Provincetown Senior tional or Behavioral Difficulties, 7 p.m. Cape Cod Nursing & Rehab Center, Bay Support Group, 3rd Friday month, Epilepsy Support Group for Adults with 5 Industrial Drive; 1st & 3rd Tuesday Center; Caregivers support group being Call 508-775-1999 3rd Tuesday month, 6:30-8 p.m., 508- Buzzards Bay Community Center, 6-7:30 Epilepsy, 2nd Monday month, 6-8 p.m., month, 1-2:30 p.m., FH; 508-862-5302, formed; Call 508-487-4357 weekdays Parents of Diabetic Children, 2nd 759-5752; Centerville: Cape & Islands p.m., 508-759-2049; Brain Injury Survivor Cape Cod Hospital, Mugar Building, 508-457-3730, or 508-457-3669 for for information on dates, times and sites Wednesday month, 6:30-8:30 p.m., Vegetarian Supper Club, monthly at and Family Support Group, Cotuit, 3rd Cummaquid Room,1-888-576-9996 or information. Water Pals, free certified or visit office, 336 Commercial St, #9, Sandwich Library; call 508-477-8542 or Cape Cod Seventh-day Adventist Wednesday month, 10a.m.-noon, Cotuit [email protected] Aquatic & Floor Exercise Program for Monday-Friday 10 a.m.-5 p.m. 508-888-7054 Church, Osterville, 6:30-8:30 p.m., $12 Center for the Arts Gallery (jg-capecod@ Faith-Based Cancer Support Group Women After Breast Cancer Surgery Kennedy-Donovan Center Eastham Area Parents of Murdered Children per person (special fees for children), comcast.net, 508-274-4636; Falmouth (open to all faiths), St. Elizabeth Seton (sponsored by FH, YWCA of SE Mass & Parent/Caregiver Support Group for (P.O.M.C.), for information, 508-540- 347-613-2187 or www.capecodsda.org Stroke Survivor Support Group, 2nd Church, N. Falmouth, 508-563-7770 ATRIA-Woodbriar of Falmouth); 2 hours caregivers of individuals with intellectual 0383 or 508-362-4014 for information Tuesday month, 1:30-3 p.m., Falmouth Families of Adults Afflicted with weekly at ATRIA-Woodbriar Assisted and developmental disabilities (through Parkinson’s support, 2nd Monday month Cape Regency Rehab & Nursing Center Hospital (508-540-7641); Sandwich Brain Asperger’s Syndrome, 1st Tuesday Living; for information & to register, June), 4th Tuesday month, 10:30 a.m.- (except holidays, then 3rd Monday), (Radius) 3rd Friday, 3 p.m., 508-778- Aneurysm/Mild Brain Injury Support month, 7 p.m., First Lutheran Church, W. 508-457-3669 noon, 508-385-6091, ext. 125 or jdillon@ 1:30 p.m., 508-240-0276; Care Partners 1835; Harbor Point at Centerville, 1st Group, 3rd Saturday month, 2-4 p.m., Barnstable, 508-775-1412, faaas@faaas. Breastfeeding Support Group, Falmouth kdc.org to register Group, 508-896-9382, Dennis Senior Thursday, 10 a.m., 508-778-2311 (part Corpus Christi Church, East Sandwich org or www.faaas.org Hospital, every other Tuesday, 10 a.m.- Lyme Disease Support Group, 3rd Sun- Center of educational series); Dennis: Dennis (508-539-3732); Sandwich Stroke Food Addicts in Recovery Anonymous noon in the Family Room of the Maternity day month, Cape Cod Covenant Church, Parkinson Support Network, contact COA, 1st & 3rd Wednesdays, 1:30 Survivor and Peer Visitation Program, (no dues, fees or weigh-ins) weekly Department, free, light refreshments, Brewster, 508-398-1144; 3rd Tuesday Rose DiGregorio at 508-862-4753 for p.m., 508-385-8414, and Early Stage 2nd Wednesday month 1:30-3 p.m., meetings: Sunday-SCC, Sandwich, 508-457-3630 for information month, 7-9 p.m., Provincetown COA details (special courses available to onset, 4th Monday month, 1:30 p.m., Spaulding Cape Cod, Sandwich (508- 9:30 a.m., 508-648-8780, Bonnie; Atria Compassionate Friends, 3rd Wednesday National Osteoporosis Foundation Lower assist those afflicted with PD); Monthly 508-775-5656; Eagle Pond Rehab & 420-4574); Wareham Daytime Caregiver Fairhaven, 6:30 p.m., 508-674-2128, month, 7:30 p.m., St. Peter’s Episcopal Cape Support Group, 4th Wednesday education series also conducted at Living Center, 2nd Wednesday, 3:30 Support Group, 2nd Thursday month, Paula; Monday-Barnstable Social Day Church, Buzzards Bay, 508-888-4977, month, noon to 1 p.m., First United YMCA in West Barnstable, reservations p.m., 508-385-6034; Falmouth: Falmouth 10 a.m.-noon, BIA East Wareham office Center, Centerville, 508-280-2269, 508- 508-224-4202, 508-669-5217, 508-813- Methodist Church, Chatham, for informa- required, 800-651-8466 (Parkinson’s Jewish Congregation, 4th Thursday, 3:30 (508-946-1115); Wareham Evening 280-2269, Melissa; Tuesday-Church of 1386 tion and to register, 508-945-7551, Support Group of Plymouth meets last p.m., 508-778-5589 (open to all faiths); Caregiver Support Group, 4th Wednes- Good Shepherd, Wareham, 7 p.m., 508- Parent Information Network (for extension 243 Wednesday of month, at Spaulding Harborside Healthcare, (call for sched- day month, 6-8 p.m., BIA East Wareham 295-81656, Peggy K; Wednesday-Atria parents of children with mental/behav- Neuropathy Support Group, fourth Outpatient Center in Plymouth, 2-3 p.m., ule) 508-457-9000; JML Care Center, office (508-946-1115); Plymouth Family Woodbriar Community, Falmouth, 6:30 ioral problems), Falmouth, 3rd Monday Wednesday month, 2-4 p.m., Orleans 781-871-0555 for information.) last Thursday, 10 a.m., 508-457-4621; and Survivors Support Group, 3rd Mon- p.m., 508-693-5418, Dorothy; YMCA month, 6:15-8:15 p.m.; call Joanne Senior Center, January-May; 508-255- Pregnancy and Infant Loss Group, for Royal Nursing Center, 2nd Tuesday, 6 day month, 6:30-8 p.m., Braintree Rehab Wareham, 9 a.m., 508-992-4656, Carol Leonard, 508-947-8779, extension 25 for 7679 for information information, 508-255-3468 or 508-896- p.m., 508-548-3800; Harwich: Harwich Clinic, Plymouth (781-348-2500) X; Friday-Church of Good Shepherd, information New Parents Support Group for first-time 7251 COA, 3rd Thursday, 10 a.m., 508-430- Breastfeeding Support Group, 1st & 3rd Wareham, 8 a.m., 5008-295-3819, Falmouth Healthy Living Series, Spauld- parents from Dennis, Yarmouth, Brew- Pregnant and Parenting Young Women, 7550; Mashpee: Christ the King Parish, Friday month, call WIC at 508-771-7896 Rachel S; Saturday-Atria Woodbriar ing Cape Cod, Sandwich: Alcoholics ster & Harwich with infants less than 1st & 3rd Thursday month, 7-8 p.m. Call 1st Tuesday, 1 p.m., 508-477-7700; New or 1 (800) 942-2445 Community, Falmouth, 9 a.m., 508-564- Anonymous, Saturdays, 9:30-10:30 a.m.; eight months old; free, pre-registration 508-771-1102 Seabury: The Brain Center, 1st Sunday, Breast Cancer support Group, last 4414; www.foodaddicts.org Food Addicts in Recovery Anonymous, required, 5-week program, call 1 (800) Prostate Cancer Support Group for Cape 508-477-5300 (call to confirm date & Tuesday month, The Center for Healing, FOCUS, 3rd Wednesday month, 4:30-6 Sundays, 9:30-11 a.m.; Aphasia Support 631-3900, extension 6053 for new dates; Cod, fourth Tuesday month, 9-11 a.m., time); Orleans: Orleans COA, 4th Tues- (The Barn across from First Parish p.m., VNA, Rt. 134, S. Dennis, 508-394- Group, 1st Wednesday month, 10-11:30 babies are welcome; VNA of Cape Cod, (508-862-5302); CCH day, 1:30 p.m., 508-255-6333; Sandwich: Unitarian-Universalist Church), 1969 2230 or 1-800-631-3900, ext. 274 a.m.; Stroke Survivors, 2nd Wednesday 434 Route 134, South Dennis REBUILDING: 10-week support group Cape Heritage Nursing & Rehab Center, Main St. (Rte 6A), Brewster, 1-2:30 p.m., Fibromyalgia Support Group, 4th month, 1:30-3 p.m.; MS Support Group, P.A.S.G. Drop-In Bereavement Group, for those ending long-term relationships, 3rd Thursday, 3 p.m., 508-888-8222; 508-237-1449 Thursday month, 5-6:30 p.m., SCC, 617- 3rd Sunday month, 1-3 p.m. (pre- Wednesdays, 5-6:30 p.m. Call PASG 90-minute weekly evening sessions, Wareham: The Tremont, 2nd Tuesday, 2 Breastfeeding Moms support group, 875-2963 for information registration required, 508-477-6048); office, 508-487-9445 small groups, $150, 508-771-2872 p.m., 508-295-1040; Young Alzheimer’s Tuesdays 10 a.m.-noon, Center for Haven for Healing, Fridays, FH, 508- Early Onset Alzheimer’s, 4th Monday Parent Information Network (for parents RESOLVE a support group for people Onset Support Group, under 65, 508- Breastfeeding, 327 Quaker Meeting 564-6133 month; Fibromyalgia Support Group,4th of children with mental/behavioral experiencing infertility. 508-564-6684 775-5656. House Road, Sandwich, 1- 888-890-2229 HAND, Helping After Neonatal Death, Thursday month, 5-6:30 p.m., 617-875- problems), Hyannis, 2nd Tuesday month, SAMARITAN SAFE PLACE support Arts & Alzheimer’s Respite Program for or 508-888-7794 for information support group for parents suffering a 2963 to pre-register 6-8 p.m.; Brewster, 4th Tuesday month, groups for survivors of suicide loss meet patients and caregivers, free, 508-775- Cancer support group: “Polly’s Place,” pregnancy loss, 508-420-0762 Kennedy-Donovan Center Sandwich 6-8 p.m.; call Joanne Leonard, 508-947- twice a month on Nantucket and in 5656 to register for caregivers, the newly diagnosed and H.O.P.E. (Helping Other Parents Endure Area Parent/Caregiver Support Group for 8779, extension 25 for information on Falmouth and Hyannis, 508-548-7999 for General Caregiver Support Groups survivors, First Lutheran Church, W. loss of baby), 2nd Wednesday month, caregivers of individuals with intellectual both groups details. Crisis lines are 1-800-893-9900 (including Alzheimer’s Caregivers): Barnstable, 1st & 3rd Thursdays month, 6:30-8:30 p.m., FH, 508-477-7305 or and developmental disabilities (through PFLAG (Parents, Families & Friends or 508-548-8900. Brewster: Angel Care Support Group, 6 p.m., Karen R.,508-775-1412 for 508-457-4621 June), 3rd Friday month, 10-11:30 of Lesbians & Gays, Bisexuals and Spinal Cord Injury Support Group, first Brewster COA, 3rd Wednesday, 10:30 information Huntington’s disease Cape Cod Family a.m., Spaulding Rehabilitation Hospital, Transgendered), 3rd Monday month-year Wednesday month, cafeteria, Spaulding a.m., 508-896-2737; Eastham: Eastham Cancer Talk Support and Survival Support Group, 2nd Wednesday month, 508-385-6091, ext. 125 or jdillon@kdc. round, 7 p.m., First Parish U.U. Church, Rehabilitation Hospital Cape Cod, Sand- COA, alternate Mondays, 10 a.m., Group for Women, Thursdays, 7-8:30 6:30-8 p.m., Hospice & Palliative Care of org to register Brewster, 508-432-8119 wich, 6-7:30 p.m., [email protected] 508-240-2327 (call to confirm date & p.m., VNA, S. Dennis, 508-432-1452, Cape Cod, Hyannis, before attending first Parenting With Cancer, 1st Friday Caring & Sharing Step Up 4 Kids, for parents of time); Hyannis: Barnstable COA, 2nd 508-385-6302 group or for more information call Susan month, 11:30 a.m.-1 p.m., Mashpee Postpartum Depression Support Group, children with behavioral or emotional & 4th Wednesdays, 9:30-11 a.m., 508- Cape Cod AWAKE: Sleep Apnea Fencer-Cote, 508-957-0310, Ext. 246 Health Center Board Room, for informa- Wednesdays, 5-6:30 p.m., The Cape disorders (including bipolar disorder, 862-4750 or 508-394-4630, extension Awareness Support Group, meetings at Kennedy-Donovan Center Support tion or registration call FH Oncology Cod Children’s Place, 508-240-3310 ADHD, anxiety, depression, etc.), last 181; Provincetown: Provincetown COA, Yarmouth Senior Center, 508-760-1978 Groups for caregivers of individuals with Services, 508-539-6210 Cancer Support Groups Wednesday month, 6:30 p.m., Stop & alternate Mondays, 2:30 p.m., 508-487- for more information intellectual and developmental disabilities Parenting Support Group for Mashpee Lower Cape Cancer Support Group, 1st Shop Conference Room, Independence 7080; Wellfleet: Wellfleet COA, alternate Cape Cod Post-Polio Association, meets (through June), 508-385-6091, ext. 125 families with children up to 5 years of & 3rd Monday month, 2-4 p.m., Wellfleet Park, Hyannis, space limited, parents & Tuesdays, 10 a.m., 508-349-4630, monthly, for polio survivors and their or [email protected] to register: Autism age; Tuesdays, 10 a.m., Christ the King Senior Center, 508-349-2800 or 508- caregivers only, RSVP to 508-432-5880, extension 151 to register. families, 508-362-5547 Parent/Caregiver Support Group, 3rd Parish, call 508-548-0411 for details 349-2437 (Free Reiki Clinic for women [email protected] or maryannmcdon- Early Stage Support Groups (call 508- Cape & Islands Suicide Prevention Wednesday month, 6-7:30 p.m. Dennis Obsessive Compulsive Disorder Support with cancer Thursdays, 1:30-4:30 p.m.); [email protected] (more information at 775-5656 to schedule required interview, Coalition, 2nd Thursday month, 11:15 Senior Center; Dennisport Area Parent/ Group, Falmouth, monthly, for informa- Harbor for Healing, Broad Reach Health- www.stepup4kids.com) individual listed numbers for schedules): a.m.-12:45 p.m., Barnstable Superior Caregiver Support Group, 1st Tuesday tion, call 508-457-0440 care Campus, Route 28, N. Chatham, Stop Smoking Program, free, CCH & Bourne: Bourne Memorial Building/Senior Courthouse; Ongoing Survivor Support month, 6-7:30 p.m., Dennisport Public Postpartum Support Group, Tuesdays, 508-432-8102 for appointment); Polly’s SCC, call 508-457-3627 for both sites Center, 508-759-0653; Hyannis: Alzheim- Groups Library; Mom/Caregiver Support Group, 1-2:30 p.m., Women’s Health Resource Place Cancer Support, 1st and 3rd Straight Spouse Support Group, er’s Services offices, 508-775-5656; in Falmouth, Hyannis & Nantucket, For 1st Friday month, 9-10:30 a.m., Mashpee Center, FH, free, childcare provided. For Thursdays month, 6 p.m., First Lutheran sponsored by PFLAG, Yarmouthport, 3rd Orleans: Orleans COA, 508-775-5656. more information, The Samaritans on Public Library information call 508-548-0411 Church, W. Barnstable, 508-775-1412 Thursday month, 7 p.m., 958 Long Pond Youth Support Group, The Forget-Me- Cape Cod & the Islands, 508-548-7999; Life Choice Hospice’s Caregiver Support PFLAG (Parents, Families & Friends of Cancer Talk Support and Survival Road, Brewster, call 508-432-8119 or Nots, 508-888-8601 Cape Cod & Islands Crisis Team Hotline, Group for full-time caregivers, 4th Tues- Lesbians & Gays, Bisexuals and Trans- Group for Women, Thursdays, 7-8:30 508-896-9060 ALS (Lou Gehrig’s Disease), sponsored 1-800-322-1356; Veterans Crisis Hotline, day of every month, 12:30-2 p.m. Bourne gendered), 2nd Monday month, 7 p.m., p.m., VNA, S. Dennis, 508-432-1452, Stroke Peer Home Visitation Program, by Muscular Dystrophy Association, 3rd 1-800-273-8255, Press one, always Public Library, contact Kathy Bogigian to CIGSYA House, Hyannis, 508-255-5354 508-385-6302 contact SCC @ 508-833-4043 Wednesday month, 2-4 p.m., Heritage at available; For more information about sign up in advance, 508-743-0203. (serves Upper and Mid-Cape) Sight Loss Services Support Groups Stroke Support Group, sponsored by the Falmouth, 508-398-0376 or 508-563- upcoming events and trainings, www. Medicare Counseling by appointment, Stroke Support, 2nd Tuesday month, Barnstable, 2nd Tuesday month, 11 VNA of Cape Cod, for stroke survivors 2373 suicideispreventable.net Orleans Senior Center, Tuesdays, 9:30- 1:30-3 p.m., FH. 508-540-7641 or 508- a.m.-1 p.m., Unitarian Church of Barn- and families, 3rd Thursday month, 1-2:30 Aphasia Support Group, SCC, Sandwich, Caregivers’ Support Group, 2nd & 4th 11:30 a.m. 508-255-6333 450-1531 stable; Brewster, 2nd Wednesday month, p.m., Dennis Senior Center, 1-877-267- first Wednesday month, 10-11:30 a.m., Friday month, 1 p.m., Orleans Methodist Mended Hearts, Inc., CCH, third Thurs- Sight Loss Services Support Groups 11 a.m.-1 p.m., Brewster Ladies’ Library; 7700 508-833-4268 Church, call 508-896-9382 day month, 4-5:30 p.m. Falmouth, 2nd Wednesday month, 10:30 Eastham, 2nd Friday month, 10 a.m.- Stroke Survivors Support Group, 2nd Arthritis Support Groups, 3rd Thursday Cape Resources for Accessing State Multiple Chemical Sensitivity (MCS), 1st a.m.-12:30 p.m., John Wesley Methodist noon, Eastham COA; Dennis-Yarmouth Wednesday month, SCC, 508-833-4267 month, 1 p.m. Call Brewster COA, 508- Health Insurance (adults & children) Tuesday month, 508-362-9657 for details Church, Falmouth; Sandwich-Mashpee, #2, 3rd Tuesday month, 1-3 p.m., Swan Support Group for Survivors of Sexual 896-2737; 2nd Friday month, 10-11:30 CAPEWIDE-1 (877) CAPECOD (227- (Meetings are fragrance-free and held in 3rd Friday month, 10 a.m.-noon, Pond Village, S. Yarmouth; Orleans, 3rd Assault or Abuse, Thursdays, 5-6:30 a.m., Carol Jacobson Senior Center, 3263); Upper Cape-VNA of Cape Cod conjunction with the Massachusetts As- Sandwich COA; Falmouth-Bourne #2, Wednesday month, 10 a.m.-noon, Rock p.m., Provincetown, 508-487-6333 for Mashpee, 508-539-1440. (Call 508-255- 508-457-6194 or 1 (800) 696-4047, sociation for the Chemically Injured.) 3rd Friday month, 10:30 a.m.-12:30 Harbor Village; Wellfleet/Truro/Provinc- information 6333 if interested in joining similar group ext. 194; Mid Cape-Community Action Multiple Sclerosis Support Group, 3rd p.m., John Wesley Methodist Church, etown, 4th Monday month, 10 a.m.-noon, TOPS (Take Off Pounds Sensibly), at Orleans COA.) Committee of Cape Cod and Islands Sunday month, 1-3 p.m., SCC, 508- Falmouth. Wellfleet COA; Chatham-Harwich, 4th Wednesdays, 6:30-8:30 p.m., CCH, 508- Fall 2014 TO YOUR GOOD HEALTH, A Health Care Newsletter 13

Tuesday month, 10 a.m.-noon, Chatham Wednesdays, 10 30-11:30 a.m. Brooks Free Library in Harwich Expand- ing the needs of children and families in VNA S. Dennis Office, town residents ings, 54 Sea St. Ext., Hyannis, 2nd Housing; Dennis-Yarmouth #1, 4th Parent Education Program, free, Hyan- ing Horizons Wednesday Lecture series, crisis with services ranging from mental only, appointments required, 508-957- Wednesday month, 11 a.m.-noon; Wednesday month, 11 a.m.-1 p.m., nis & Falmouth, call MSPCC 1 (800) 1-2:30 p.m., health care programs, health treatment in our clinic or in the 7423, bring immunization record; Blood Cape Cod Apartments, Falmouth, 2nd Carleton Hall, Dennis 272-9722 508-430-7562 for details home to supported housing for mentally Pressure Clinics, Tonset Woods, Town Wednesday month, 10-11 a.m.; Cromwell Wellfleet Senior Center Wednesday Positive Psychology Groups, for patients, Childbirth Preparation Classes, 7-8:30 disabled adults at Larry Doughty House, Hall, Rock Harbor Village, Orleans COA, Courts, Hyannis, 2nd Thursday month, Club, 1-4 p.m., adult supportive day care-partners & family, sponsored by p.m., Mondays, 6-week sessions, Cape 508-862-0273, www.familycontinuity.org 508- 255-6333 2-3 p.m. care, congregate lunch available noon-1 SCC, directed by John S. Allen, PhD, Cod Children’s Place, N. Eastham, FREE, ANONYMOUS HIV, hepatitis B PROVINCETOWN: Child and Adolescent Orleans COA offers programs on p.m., 508-349-2800 or 508-349-0313 for health psychologist, 508-833-4117 or call for dates and registration 1 (800) & C and syphilis testing/counseling from Immunization and Lead Screening Clinic, general fitness, People with Arthritis information (also available: Acupuncture www.spauldingnetiwork.org 871-9535, free (sponsored by the March Falmouth to Provincetown offered by VNA S. Dennis Office, town residents Can Exercise (PACE), chronic pain, treatment, Tuesdays & Thursdays, Pulmonary Rehab, Tuesdays, 10 a.m.-3 of Dimes) AIDS Support Group of Cape Cod and only, appointments required, 508-957- stress management and Alzheimer’s 10:15-11:15 a.m.; Fleet Feet Walking p.m., CCH, must refer through hospital, Children’s Pre-Surgery Tour, CCH, 2nd Infectious diseases Clinical Services, 7423, bring immunization record; Blood Caregivers support; call 508-255-6333 Group, Mondays & Thursdays, 8:30-9:30 508-771-1800, ext. 2223 & 4th Wednesday month, 3:30-4 30 p.m. free Hep A &B vaccines, 508-274-5428 Pressure Clinics, (with Blood Sugar for information a.m., $25 for 10 weeks, non-residents Parkinson’s Disease Wellness, six-week for child and family. 508-862-7603 or 866-990-2437 for details Screening) Provincetown Office of Public Pediatric Neurology Clinic, CCH, appoint- accepted; Caregivers Support Group, 1st exercise program, Tuesdays and EASTHAM SENIOR CENTER PRO- Healthy Living Series, Spaulding Cape Health, 508- 487-7083 ments required, 508-771-1800, ext. 2253 & 3rd Tuesday month, 10-11:30 a.m., Thursdays, 12:30-2 p.m. or 1-2:30 p.m., GRAMS: Yoga for All, new beginner’s Cod, Sandwich, second Wednesday TRURO: Child and Adolescent Immuni- Reiki Clinic, 3rd Thursday month. 508-394-4630 for information and to reg- SCC-Sandwich, Harwich, Wareham, class, Tuesdays, 8:30 a.m., $5 per ses- month, free, pre-registration required, zation and Lead Screening Clinic, VNA Osterville Fitness Center, 7:15 p.m., $3, ister; Cancer Support Group, 1st and 3rd $199, physician’s approval required, 508- sion, 508-255-6164; Tai’ Chi for Every- 508-833-4141 S. Dennis Office, town residents only, 508-428-1654 Monday month, 2-4 p.m.; NAMI Support 833-4197 to register or for information one, new beginner’s class, Thursdays, 9 Life Line Screenings Three tests for appointments required, 508-957-7423, Pre-School Immunization Clinics (most Group, 4th Tuesday month, 6-8 p.m.; RED CROSS Courses available on a.m., $5 per class, 508-255-6164; Coping cardiovascular risk, plus bone density; bring immunization record include lead screening): Sight Loss Support Group, 4th Monday First Aid Basics with Adult CPR ($50); with New Challenges, 1st Wednesday $35-$40 per test, discounts for three or WAREHAM: Blood Pressure and Health Chatham, 2nd Tuesday month, 1-2 month,.10 a.m.-noon) Community CPR ($50), Community month, 9 a.m., 508-778-1622 or brooks. more, registration 24 hours in advance Counseling, Thursdays, 9-10 a.m. p.m., 1250 Main St., 1 (800) 631-3900, First Aid and Safety ($65), Pet First Aid [email protected] to pre-register required, 1 (800) 407-4557 Wareham Senior Center, 508-291-3130 extension 6053 EDUCATION ($35), CPR for the Professional ($80), Family Birthplace at CCH, 2009 Sched- Ostomy Clinics, 2nd and 4th Wednesday YARMOUTH: Child and Adolescent Eastham, Wellfleet & Truro 3rd Thursday CPR Review and Challenge ($35 for ule, 508-862-5123 to sign up: month, 8 a.m.-noon, VNA of Cape Cod, Immunization and Lead Screening Clinic, month, 1-3 p.m., Eastham Commons, CAPEWIDE Community CPR/$40 for CPR/FPR), Early Bird Prenatal Workshop, 4th Friday Dennis, free, doctor’s approval required, VNA S. Dennis Office, town residents 1 (800) 631-3900, extension 6053 for Adaptive Sports & Recreation: Includes Babysitter’s Training Course ($40), call month, 7 p.m., $5 per couple, 508-957-7476 for appointment only, appointments required, 508-957- appointment golf, curling, horseback riding, kayaking, for dates; Instructor courses in CPR, First Birth & Beyond; a family experience, VNA CLINICS AND SUPPORT GROUPS 7423, bring immunization record; Health Harwich, 2nd Tuesday month, 1-3 p.m., fishing; various locations; 508-566-3298 Aid, AED’s and Babysitting available monthly, 6:30 p.m., 5 classes, CCH, (listed by town) Counseling, Blood Pressure, and Blood Harwich Town Hall, for appointment call or [email protected] monthly, call for details; Call Cape Cod $25 per couple, (Mondays, Tuesdays or (NOTE: These activities generally Sugar Screenings, Yarmouth Town Hall, Sheila Griffin at 508-240-1100 or 1 (800) for information on times, dates, locations Chapter in Hyannis, 508-775-1540 for Wednesdays) follow a similar pattern, such as “1st 508- 398-2231 696-0303 & fees information on all courses. Visit www. Labor Express, one-time prenatal class, & 3rd Wednesday of the month.” Just (The VNA of Cape Cod is currently Orleans, 2nd Tuesday month, 3-4 p.m., Beacon Hospice Caregivers group and capecodredcross.org offered quarterly on a Saturday, $25 per call ahead to verify dates, times and accepting appointments to receive the Orleans Elementary School, includes educational series, 2nd and 3rd Tuesday SCC Arthritis Foundation Exercise Pro- couple, location.) Shingles Vaccine at the Dennis office on lead screening, for information call month. 4-5:30 p.m., Barnstable Senior gram, Cape Cod Apartments, Falmouth, Breathing & Relaxation, monthly, $10 NOTE: Free Ostomy Clinics 2d & 4th Route 134. All participants must be 50 Meredith Hamilton, 508-945-2869 or 1 Center, free; Alzheimer’s specific care- Tuesdays and Thursdays 9-10 a.m. and per couple Wednesday month, VNA office in South years of age or older. Appointments are (800) 987-9784 givers series, 3rd Tuesday month, 4-5:30 Sandwich 3-4 p.m.; $35 for 8 classes, VBAC Class (Vaginal Birth After Cesar- Dennis, call VNA intake department at required, contact Public Health & Well- Provincetown, Public Health Office, 4th p.m.; for requested pre-registration and trial class free, pre-registration required, ean), 4th Wednesday every other month, 508-957-7476 for appointment, prior ness, 508-957-7423.) Thursday month, 1-3 p.m., 508-487-6110 further details contact Brooks Reinhold 508-743-0465 7:30 p.m., $5 per couple approval from doctor required. UPPER CAPE for appointment at 508-778-1622, ext. 115 or brooks. “Self-Help for Your Health,” hypnosis Infant-Child CPR, 4th Monday month, 6 NOTE: Appointments now being ac- Cape Cod Free Clinic in Falmouth, free Harwich, 2nd Tuesday month, 1-3 [email protected] and EFT, free introductory classes, fee p.m., $15 per person, must register at cepted to receive the Shingles Vaccine health care for uninsured adults, 508- p.m., Harwich Town Hall, call VNA at “Battered Women and Addiction,” five- courses on pain control and smoking least one month in advance at Dennis office on route 134; applicants 540-7075 for appointment information 1 (800) 696-3900, extension 6053 for week online course for professionals in cessation, 508-240-0024 Our New Baby, 4th Wednesday month, must be 50 or older, appointments man- Fit To Be Kids Weight Management, appointment the field, for information call 508-752- Stroke Education/Support Group, last $3 per child (space limited, early registra- datory, contact Public Health & Wellness, Tuesdays & Thursdays, 5 p.m., ages Dennis, Yarmouth, Brewster, 2nd Tues- 7313 Monday month, 6:30-7:30 p.m., free, tion suggested) 508-957-7423 6-14, SCC-Sandwich, 8-week program, day month, 9-noon, VNA of Cape Cod, Birth Defects/Genetic Counseling CCH, Dennis Senior Center, 508-385-5067 Mothers Support Group, Fridays, 10 BOURNE: Child and Adolescent Im- $240, 508-833-4197 434 Route 134, S. Dennis, appointment 508-771-1800, ext. 2253, appointments Supermarket Shopping Tours, registered a.m.-noon, free munization and Lead Screening Clinic, Free Hearing Screenings, 2nd Wednes- required, 1 (800) 631-3900, extension, required dietician instructs consumers on how to Portuguese Prenatal, 4th Wednesday Falmouth VNA Office, town residents day month, by appointment, SCC-Sand- 6053 Bridges Associates, Inc, Take Charge shop smart, nutritionally, sponsored by every other month, 7:30 .p.m. only, appointments required, 508-957- wich, 508-833-4141 SCC Aquatic Physical Therapy at Programs: Coach Training: At Home CCH Center for Health Education, small Fatherhood Initiative Pizza Party, every 7423, bring immunization record; Blood “Free Dental Service,” one Sunday a Mayflower Place Retirement Community, Family Coaching: Bridging Out Program, fee, 1-877-729-7200 other month Pressure Clinics, Wednesdays, 9:30-11 month, 10 a.m.-2 p.m., Direct Pay Dental West Yarmouth, twice-weekly (in addition Stories of Resilience; Think & Grow Cape Cod WIC Family Tobacco Educa- Infant/Child CPR Certification classes a.m., Bourne Senior Center, 508- 759- Care of Falmouth, appointments only, to main hospital in Sandwich), 508-771- community Group Programs; Think Tank; tion Program, free quit smoking classes, twice yearly (October & May), call 0654 508-524-3732 1300 for information or appointment 508-362-7692, 800-790-1890, www. 508-775-2727 to register for dates and registration, Cape Cod BREWSTER: Child and Adolescent Glucose screening, 3rd Wednesday bridgesaccosiates.com for information VNA of Cape Cod Hospice Volunteer Children’s Place, N. Eastham, 1 (800) Immunization and Lead Screening month, 10 a.m.-2 p.m., CVS Pharmacy, ACTIVITIES Cape Cod Center for Whole Health Training, 508-957-7709 871-9535 Clinic, town residents only, appointments Falmouth Mall; last Thursday month, Parkinson Support Network of Cape Cod, (Mashpee), Usui Reiki Clinic, 3rd “Water Pals,” Aquatic Program for Wom- Sojourner’s Bereavement Support Group, required, S. Dennis VNA office, 508-759- 8:30-10:30 a.m., Falmouth Senior Cen- 2013 Education Series, YMCA Cape Tuesday month, 10 a.m.-noon; Exploring en Recovering from Breast Cancer Sur- eight weekly sessions, St. Christopher’s 7423, bring immunization record; Health ter, 1 (800) 631-3900, extension 6022; Cod in West Barnstable, November 8, 11 Meditation, 2nd Tuesday month, 10-11 gery, conducted by CCHC Rehabilitation Episcopal Church, Chatham, 1-2:30 Counseling/Blood Pressure Check, (with 3rd Tuesday month, Wareham VNA, a.m.-12:30 p.m. (seating begins at 10:30 a.m.; $5 donation requested, 508-539- Services, Gold’s Gym, Radisson Hotel, p.m.; $10 fee requested; pre-registration blood sugar screening), Brewster Council 508-760-6514 a.m.); 1-800-651-8466 or information@ 2885 or [email protected] for details Hyannis, 12-week series recommended, requested; for dates, call 508-432-9147 on Aging, 508- 896-2737 Reiki Free Clinic, 3rd Sunday month, 3-5 apdama.org for required reservations or Diabetes Education/Support Dennis $5 per session, 508-771-9600, extension or 508-945-4611 CHATHAM: Child and Adolescent Im- p.m., FCTV-Maser Gallery, Falmouth, information Senior Center, 1st Wednesday month, 225, for information or enrollment Young at Heart Weight Training, 8-week munization and Lead Screening Clinic, 508-524-5040, [email protected] Pilates School, Harwich, exercise 10-11 a.m., 508-385-5067; Yarmouth Water Wellness Aquatics Program, program, Tuesdays & Thursdays, VNA S. Dennis Office, town residents SCC for Children Pediatric Orthope- classes for women who have undergone Town Hall, 2nd Wednesday month, 10:30 Broad Reach Outpatient Rehabilitation 9-10 a.m., physician’s written approval only, appointments required, 508-957- dic Clinic, last Friday month with Dr. surgery for breast cancer, 508-4332- a.m.-noon, 1 (800) 631-3900, extension Clinic, N. Chatham, 8-week sessions; required; Provincetown COA; call Mary- 7423, bring immunization record; Blood Seymour Zimbler of the Medical Staff at 2111 or www.thepilatesschool.com for 6022 call Maria McGrady for information, anne at 508-487-7080 to register. (Co- Pressure Clinics: Wednesdays, 9-11 Children’s Hospital Boston, 617-355- information Elder Services Cape Cod & Islands, 508-945-3668 sponsors CCHC & VNA of Cape Cod). a.m. Chatham Council on Aging, 508- 2411 for information or appointment Southcoast Center for Weight Loss, free programs for caregivers, for general Weight Reduction Series, Mayflower Free to Provincetown residents, Outer 945-5190 SANDWICH NURSING DEPARTMENT monthly information sessions on gastric information, 508-394-4630, extension Place Fitness Center, West Yarmouth, Cape seniors welcome for $2 donation DENNIS: Child and Adolescent Immuni- PROGRAMS (270 Quaker Meetinghouse bypass surgery: the Cape Codder, 181, or 1-800-244-4630; Brewster $30 for six-part series or $6 per session; zation and Lead Screening Clinic, VNA Road, 508-833-8020 for all program in- Hyannis; Tobey Hospital, Wareham; COA, 508-896-2737; Cape Organiza- UPPER CAPE 508-790-0200, extension 159, or 1 (800) S. Dennis Office, town residents only, formation/appointments; Blood Pressure White’s of Westport; Southcoast Center tion for Rights of the Disabled (CORD), FH Childbirth Education Classes (to 245-8389 for information appointments required, 508-957-7423, Clinics-1st Thursday month: Sandwich for Women’s Health, North Dartmouth; 508-775-8300; Friends of the Barnstable register for any of these courses, 508- Women’s Wellness Series, Chatham bring immunization record; TB Clinics, Public Health Nursing Department, Hu- John Carver Inn, Plymouth; 4th Tuesday, COA, 508-862-4750; Hospice & Pallia- 457-3632; scholarships available) Health Improvement Center, Chatham; VNA S. Dennis Office, $20, appoint- man Services Building, Quaker Meeting Benjamin’s Restaurant, Taunton; 508- tive Care of Cape Cod, 508-862-4750; FH-Joslin Clinic offering 10-week exer- monthly series on different issues; 508- ments required 508-957-7423; Adult House Road, 11 a.m.-noon, walk-ins, 273-4900 to register or for information on Chatham & Orleans Councils on Aging, cise program for people with diabetes, 945-3555 Immunization Clinic, VNA S. Dennis Sandwich residents; Shawme Heights times and dates 508-255-6333; Overlook VNA, 508-862- Young at Heart, Weight Training for two mornings per week, for information Office, appointment required, 508-957- One, 5 Leveridge Lane, 9:30-10:30 Hope Dementia & Alzheimer’s Services 0200; Yarmouth COA, 508-394-7606; Seniors, meets three times a week or to register call 508-457-3525 7423; Cholesterol Screening, Dennis a.m.; Sandwich Housing Authority, Music & Conversations Support Groups Barnstable County Department of Human throughout the Cape; 10-week sessions, Preparation For Birth 5-week sessions, Council on Aging, appointment required, Hansen Village, 11-11:30 a.m. Adult for people with memory impairment Services, 508-375-6628; Wellfleet COA, minimal fee, doctor’s approval required, $60, 7-9:30 p.m.; call for dates 508-385-5067, $7.50 fee; Health Immunization Clinics-1st Tuesday month, and their care partners funded by local 508-349-2800 for information and locations call VNA of Infant & Pediatric CPR-two sessions, $25 Counseling and Blood Pressure Check, 8:30-9:30 a.m., appointments required, Cultural Councils on Cape Cod (for “Family-to-Family, 12-week program for Cape Cod, 1-877-267-7700 per person, call for dates Dennis Council on Aging, 508-385-5067; Sandwich residents. Well Women’s required advance registration & informa- family caregivers sponsored by NAMI “Reach the Children” free workshops, Labor Express, one-time prenatal class, Blood Glucose Screening Clinic, Dennis Clinics-508-833-8020 for information and tion, 508-775-5656, HopeDementia. Cape Cod, free, 508-778-4277 or 508- 6:30-8:30 p.m., sponsored by Mashpee $60/couple Council on Aging, 508-385-5067; Dennis appointment org for updates and new locations): 778-0650 for information or to register in Community Partnership Program, Special Sibling class, call for dates, 4-5 p.m., one Stroke Support Group, Dennis Council Eastham Senior Center Health-Related next session Needs Parents Advisory Council, Young class, free MID/LOWER CAPE on Aging, 508-385-5067; Activities: Parkinson’s Dance, Movement Integrative Medicine and Holistic Well- Children First Falmouth Community Breast feeding support group, Thursdays, Diabetes Associates, 1st Monday month, EASTHAM: Child and Adolescent Immu- & Exercise Groups, Tuesdays, 10:30 ness Center Workshops: Introductory Partnership Program; for information call 10 a.m.-noon CCH, 7 p.m.; also Thursdays 10 a.m-3 nization and Lead Screening Clinic, VNA a.m.-noon, free, drop-ins welcome; sessions on Tuesdays, 6:30-7:30 p.m., Cape Cod Human Services, 508-790- Breast feeding, Thursdays, 7-9:30 p.m., p.m.; must refer through hospital, 508- S. Dennis Office, town residents only, Alzheimer’s Specific Group, 2nd and 3rd Hyannis, free; other workshops offered 3326 free 771-1800, ext. 2559 appointments required, 508-957-7423, Tuesdays month. 10:30 a.m.-noon; Sit & on food and aging, 508-790-0606 for “WOW! Way of Wellness,” with Dr. Kevin Breast feeding clinic, Tuesdays and Diabetic screenings Brewster, 3rd Tues- bring immunization record Be Fit Class, Mondays & Wednesdays, information on topics and directions Lowey, D.C., check your local access Thursdays, by appointment only, 508- day 8-10 a.m., Brewster COA, 1673 Main FALMOUTH: Child and Adolescent 11 a.m. suggested $1 donation; Senior KICK BUTTS: Monthly classes, call cable station for schedule 457-3630 Immunization and Lead Screening Clinic, St. Call VNA of Cape Cod at 1 (800) 631- CCHC, 1-877-729-7200, for all sites; Birth refresher classes, Tuesday, 7-9:30 3900, extension 6022; Provincetown, 2nd Exercise Class, Tuesdays & Thursdays, MID/LOWER CAPE VNA Falmouth Office, town residents noon, $5 charge; Yoga, Tuesdays 8:30 also Thursday nights, 7-8 p.m., Marstons p.m., one class, $10 couple only, appointments required, 508-957- Tuesday month, 8:30-9:30 a.m., Grace Alcohol & drug abuse counseling for a.m., Thursdays 8 a.m., $5, bring your Mills, $10 per session Newborn care, free 7423, bring immunization record; Adult Gouveia Building, free to residents, walk- seniors, Grace Gouveia Building, Prov- own mat; Tai’ Chi, Thursdays 9:30 a.m., La Leche League for breastfeeding moth- Prenatal & Postpartum Yoga, 508-566- Immunization Clinic, VNA Falmouth ins welcome, 508-487-7083; Yarmouth, incetown, 8 a.m.-5 p.m., Monday-Friday $5; 508-255-6164 for information. ers and expectant mothers, for Upper 2531 or [email protected] Office, appointment required, 508-957- 1st and 3rd Wednesday month, 11 (detox hospitalization, 508-487-7080 for Beacon Hospice programs--Healing from Cape meetings, call Deb (508-375-0119) for information 7423; TB Clinics, $20, Falmouth VNA a.m.-noon, Yarmouth Town Hall, 1 (800) appointment); Mental Health Counseling, Loss: Stories of the Heart, Tuesdays, or Robin (508-539-3088); or 1-800-LA Cape Heritage Rehabilitation & Nursing Office, 508-957-7423 for appointment; 631-3900, extension 6022; Dennis, 4th 508-487-7080 for appointment, Monday, 9-10:30 a.m., Borsari Gallery, Dennis, LECHE; for information elsewhere on Center Breakfast Club, 9-10 a.m., free, Blood Pressure Clinics, Thursdays Wednesday month, 9-10:30 a.m., Dennis Thursday, Friday, 8 a.m.-5 p.m.; Home free; Caregivers Reflection Time: Cape, call Carolyn at 508-255-8521, Route 6A, Sandwich; Call 508-888-8222 1:30-3 p.m., Falmouth Senior Center, COA, (fasting blood sugar test...do not Assessment for Nursing and Home educational series open and free to any Gabrielle at 508-349-3988, Sara at for schedule and to register 508-540-0196; Blood Glucose Screening, eat morning of test), signup not required, Health, 508-487-7080 for appointment, type of caregiver, 2nd & 4th Tuesdays, 508-896-5611 or Cole in season at Optional classes (offered as needed) pre- Falmouth Senior Center, 508-540-0196; 508-385-5067 Monday, Thursday, Friday, 8 a.m.-5 p.m.; 3-4:30 p.m., Barnstable Senior Center, 508-487-6979 conception, adoption, smoking cessation Blood Pressure Clinic, Harborview Apart- Endocrinology Clinic, CCH, appointments Provincetown Ask A Nurse, Mondays, pre-registration requested; contact LifeCare Conversations for Family for pregnant women, Cesarean birth (call ments, 508-957-7423 for appointment; required, 508-771-1800, ext. 2253 9-10 a.m., Grace Gouveia Building, [email protected] or 508- Caregivers Workshops, sponsored by for private session), private birth classes Bone Density (Osteoporosis) Screening, Family Planning Hyannis--Free preg- 508-487-7083 for information or private 778-1622 for information or to register for The Center For Life Care, Planning and (available days, evenings & weekends as Falmouth Senior Center, appointment nancy testing Tuesdays 1-6 p.m., Fridays appointment either program. Support, Hospice & Palliative Care of needed, $25 per hour) required, 508-540-0196; Breast Cancer 9 a.m.-12:30 p.m.; family planning clinics Anti-Aging & Health Improvement Series, Cape Cod, 508-957-0230 or lifecare@ Support Groups, Women’s Health daily, call 508-771-8010 for information & Orleans COA, Carol Penfield, RN, MS, hospicecapecod.org for information Resource Center, Faxon Wing, Falmouth appointment SPECIAL EVENTS MPc, presented by Nauset Community CLINICS/SCREENINGS American Cancer Society “Look Good... Hospital, 508- 457-3669 Hearing Clinic, 3rd Thursday month, Dementia Certificate Level Two: Behavior Education, 508-255-6333 for information Feel Better” Program, free, 1-800-ACS- CAPEWIDE HARWICH: Child and Adolescent Immu- Barnstable COA and Medication Management: November Baby Massage Class for Mother and 2345 for details on sites and dates and COMMUNITY HEALTH CENTER OF nization and Lead Screening Clinic, VNA Hepatitis A Immunizations, Monday- 10, four-hour program designed for profes- Child, Thursdays or Saturdays, 12:30- to pre-register CAPE COD, Mashpee, a non-profit S. Dennis Office, town residents only, Thursday-Friday, 9-11 a.m., Grace Gou- sionals; Dementia Certificate Level One 2:30 p.m., Women’s Body Shoppe; 508- Massage therapy, SCC Sandwich (508- Federally Qualified Health Center that appointments required, 508-957-7423, veia Building, Provincetown, available at required; CEs available, 12:30-4:30 p.m., 771-1600 or 508-362-3543 to register 833-410) and Orleans (508-240-7203), provides access to health care for bring immunization record cost, call 508-487-7083 for appointment HopeHealth headquarters, Hyannis, $100 Barnstable Senior Center Exercise fee varies with length of time of session adults and children with MassHealth, MASHPEE: Blood Pressure Clinic, OUTER CAPE HEALTH SERVICES: fee includes materials; 508-775-5656, Programs: varied programs, some free, Nutrition Free nutritious food for qualified Commonwealth Care, Medicare, private Mashpee Senior Center, 508-539-1440; Harwich Community Health Center. www.HopeDementia.org/Professional- others $20-$40, early evenings, must pregnant and post partum women, insurance, or no insurance at all. Child and Adolescent Immunization and Mon-Fri: 8 a.m.-7 p.m., Sat: 9 a.m.- 5 Education or [email protected] for RSVP, 508-862-4750 infants and children under WIC program; Services include primary and preventive Lead Screening Clinic, VNA Falmouth p.m.; Provincetown Health Center, Mon- more information or to register. Better Breathing Program, new 8-week eight sites on Cape Cod & Islands; 1 care, dental care, behavioral health, Office, town residents only, appointments Fri: 8 a.m.-7 p.m., Sat: 11 a.m.-5 p.m.; Death Café: Exploring the sacred and courses offered by SCC at the SCC- (800) 942-2445 during regular office coordinated case management, and required, 508-957-7423, bring immuniza- Wellfleet Health Center, Mon-Fri: 8 a.m.- unexplained in Life and death: November Orleans Outpatient Rehabilitation Center, hours prescription assistance, at locations in tion record 7 p.m., Sat: 9 a.m.-3 p.m.; Pharmacy in 6, 9:30-11 a.m., Beacon Hospice, 508- 21 Old Colony Way, 508-240-7203; refer- Osteoporosis prevention & exercise Falmouth, Mashpee and Bourn, www. ORLEANS: Child and Adolescent Im- Wellfleet, Mon-Fri: 8 a.m.- 7 p.m., Sat: 9 778-1622 X115 or brooks.reinhold@ ral required, fee covered by Medicare class, Hyannis COA, Mondays and chcofcapecod.org or 508-477-7090. munization and Lead Screening Clinic, a.m.-5 p.m., Sun: 9 a.m.- 3 p.m. amedisys.com to RSVP. and most insurance FAMILY CONTINUITY PROGRAM, serv- Overlook VNA Blood Pressure Screen- 14 TO YOUR GOOD HEALTH, A Health Care Newsletter Fall 2014 CC5’s Savarese In Football And Social Security Makes Top Ten A Good Game Plan Is Essential

For the third straight year, By Kristen Alberino, estimates based upon your own earnings record. It’s American Banker Magazine has in- Social Security Public Affairs Specialist like training camp for financial planning. cluded Cape Cod Five President/ Given that football season is upon us, now’s an ap- Simply provide some information about yourself to CEO Dorothy A. Savarese on its list propriate occasion to trot out a gridiron analogy. verify who you are for security purposes—name, So- of “25 Most Powerful Women in Good coaching and a great playbook can make cial Security number, date and place of birth, mother’s Banking” and this year she’s made all the difference in the world for a winning football maiden name, and an estimate of last year’s earnings. it to No. 10. team. Fail to create a sound game plan, and you’re The Retirement Estimator will then create Social Secu- The women named to likely to miss opportunities and fall behind. rity benefit estimates based on your entire career earn- the list are selected based on The same is true for retirement—except you call ings record, including what you could receive if you their professional achievements, their contribu- the plays, including when to retire and how much to retire at age 62, what you could receive at your full re- tion to the success of their organization, and their save. If you walk onto the retirement field without a tirement age, and how much if you work until age 70. influence within the financial services industry. game plan, you may have to work longer than you had Interested in other play options, such as what will The magazine characterized Ms. Savarese as a dy- hoped. You certainly don’t want to find yourself unable happen if you made more money in the future? Or if namic leader of a bank that “regularly outperforms to have the comfortable retirement you envisioned. you want to stop work at a different age than the three its much larger competitors.” And noted that un- You may have to call your own financial plays, but we show you? You can always try out alternate game der her leadership, The Cape Cod Five Cents Savings Social Security has tools to help you decide what op- plans using the Retirement Estimator if you change Bank has grown to more than $2.5 billion in assets. tions might be successful in any given situation. your mind about your initial retirement plans. Last year, through bank sponsorships and grants from its For example, how much can you expect to get from The last thing you want to do is depend on a “Hail foundation, Cape Cod Five provided more than $950,000 Social Security? How much more if you worked a year Mary” pass when it comes to your retirement. For a in financial support to community based organizations. longer? Two years? What about your spouse? Are you good game plan, the best place to begin is at www. Ms. Savarese, described as a “tireless community saving enough in addition to your expected Social Se- socialsecurity.gov. leader and volunteer” at both the local and national curity benefits? (Visit www.socialsecurity.gov/myaccount to cre- level, recently was nominated as Vice Chairman of the By simply visiting www.socialsecurity.gov, you can ate your own my Social Security account. And if American Bankers Association, and she also serves on answer all these questions. You will find several finan- you would like to host a my Social Security sign- the FDIC Advisory Committee on Community Bank- cial planning tools, including our easy-to-use and se- up event for your employees, consumers or clients, ing, as Secretary of the Board of Trustees of Cape Cod cure Retirement Estimator to obtain quick retirement contact me via email at [email protected].) Community College, and on the Boards of Gosnold on Cape Cod and The Cape Cod Chamber of Commerce. Following 12 years in key management positions, Ms. Savarese became President and CEO of the Cape Cod Don’t Wallow In That Pitfall, Five in 2005. She also serves as Chairman of the Board of Directors and Executive Committee of The Cape Cod Five Cents Savings Bank and Chairman of The Cape Cod It’s A Hurdle To Be Leaped Five Cents Savings Bank Charitable Foundation Trust. The American Bankers Association is the prima- By Melissa Murphy people from actually living a full life. What are you ry national organization that represents and sup- “Why do I always get caught up in the pitfalls of afraid of? What is it that you doubt? What worries ports the banking industry. The ABA provides nu- life, get stuck and feel defeated?” you? We all can choose our outcome, as long as we merous services and benefits to its member banks, A great question, but is it the “right” question? take action toward the final goal. all of which help them to be more successful. My candid reply, “Not all pitfalls are negative. Actu- Trying to be someone else: Be who you were meant The bank recently hosted its annual Community ally, some are the hallways to new opportunities and to be. You are unique, your past stories or current cir- Commitment Meeting at the Resort and Conference growth, what if you reflected on this?” cumstances don’t define your future. Avoid seeking Center in Hyannis. During the session, area nonprofit The response? Usually an extremely curious look. approval of others or wanting what others have. Most organizations and public schools supported by the What one may find as a pitfall, another perceives will keep you small as they don’t want you to be larger bank and its foundation were recognized and thanked as merely a small hurdle en route to the next step. Of- than themselves. Trying to be someone or something for the difference they make in the community. ten times we don’t realize we’re headed into a pitfall, you truly are not is not living, it’s existing. Live your Ms. Savarese said that last year, between sponsor- until we’re there, then the real wisdom lies in how life and make it count. ships and foundation grants, support for community- you pull yourself out and what you learn so you can Keep doing it the same as you always have: Albert based organizations exceeded $950,000 for a total of grow through it. That answer can only come through Einstein defined insanity as “doing the same thing nearly $6 million over the last 10 years. reflection. over and over again and expecting different results… She also highlighted grants to area public schools as None of us can achieve success without a few per- We can’t solve problems by using the same kind of part of the Foundation’s Educational Mini-Grants Pro- ceived pitfalls along the way. As Thomas Edison once thinking we used when we created them.” We must gram. This past year, 95 educational mini-grants totaling said, “I have not failed, I have just found 10,000 ways change/challenge our perspective to create new think- just over $40,000 were awarded to area public schools. that won’t work.” ing and therefore new outcomes. Since 2000, the foundation trust has awarded nearly a Thankfully, he didn’t wallow in the pitfall; he em- Can you identify with any of the above? See how quarter of a million dollars in educational mini-grants. braced it. And, now we simply turn on a switch and many “pitfalls” you can turn into a success. She also unveiled a new website, www.CapeCodFive- have light! (Ms. Murphy is a Certified Transformational Coach FoundationMiniGrants.org, which provides a forum for Here are just a few examples of pitfalls to avoid and and founding partner of Insight of Success, LLC, a teachers to share information and ideas and facilitates why or how to turn them around: Coaching, speaking & teaching company, www.in- the replication of the innovative, low-cost projects fund- Too many people focus on the problem instead of sightofsuccess, [email protected] or ed by the mini-grants program in additional schools. the solution: Fear, doubt and insecurity prevent many 774-993-9698.)

Cape Cod Young Professionals announces it has nounced the addition of R. Christopher Adams of received a $50,000 grant from The Innovation Insti- Barnstable Village to its staff. A lieutenant with Cen- tute at the Massachusetts Technology Collaborative to terville-Osterville-Marstons Mills Fire Department and BIZ BITS launch a Career Connect Mentor Exchange Program. involved in local marine businesses, he will work in The goal is to support our local workforce by offering several areas, including public policy advocacy, com- Hope Dementia & Alzheimer’s Services, part of the mentoring to those starting, changing, or advancing munity development and member services. HopeHealth family of services, announces it has been in their careers or starting or growing a business. Also, Karen Cummings has been promoted to Fiscal able to expand its CARES program, thanks to a grant Full mentoring options will include one-to-one & HR Manager and now has increased responsibilities from the Tufts Health Plan Foundation. pairs and small groups that will meet from October in Human Resource Management. Ms. Cummings has The CARES support group model provides an op- through May, although there also will be a few a spe- been with the Chamber for 15 years and additionally portunity for people with memory impairment and cial events to allow one-time conversations with men- oversees the fiscal operations of the Chamber, Coastal their care partners to participate in two separate sup- tors for those unable to make a full commitment. And Community Capital, and the Cape Cod Economic De- port groups—held simultaneously. One group pro- the application process already has begun. velopment Council. vides information, guidance and respite to caregivers Research has shown that people who have been • while the other group provides conversation and so- mentored are more likely to have greater job satisfac- Cape Cod Healthcare is a major sponsor of Cape cialization for those with memory impairment. tion, be promoted, receive raises, and to express great- & Plymouth Business Magazine’s Enterprising Women Currently CARES groups are held monthly in 13 er perceived overall career success. Also, new business- event November 5 at the Cape Codder Resort and Spa locations in eastern Massachusetts, including Bourne, es whose founders have been mentored generally are in Hyannis. Three CCHC executives will play feature Carver, Chatham, Dennis, Eastham, Harwich, Mashpee much more likely to survive five years or more. roles at the event: Emily Schorer, senior vice president and Wellfleet. The funding from the Tufts Health Plan Mentoring Exchange Programming Partners were of human resources, will open the lunch program; Foundation will enable the organization to add three listed as Nancy Hardaway, founder and president of Terri Ahern, senior vice president of strategy and gov- meetings per month within HopeHealth’s service area. Listening 2 Leaders, a Massachusetts OSD Certified ernment affairs, will introduce guests; and Jeanne Fal- The Tufts Health Plan Foundation’s mission is to business, and Peter Karlson, founder of the NeuEon lon, senior vice president and chief information offi- promote healthy lifestyles and the delivery of quality company and affiliated with the Cape Cod Chamber cer, will hand out awards. Registration for Enterprising care in the community. With a focus on healthy aging, of Commerce as its Entrepreneur in Residence. Women starts at 8 a.m. with the program beginning the foundation funds Massachusetts and Rhode Island For more information on the program, contact at 8:30 and running through 1 p.m., including lunch. nonprofits that elevate the physical, mental and emo- www.capecodyoungprofessionals.org or 508-714-2201. Cost is $75. To reserve a spot go to www.capeplym- tional well-being of older adults and their caregivers. • outhbusiness.com/ourevents www.capeplymouth- • The Cape Cod Chamber of Commerce has an- business.com/ourevents. Fall 2014 TO YOUR GOOD HEALTH, A Health Care Newsletter 15 BUSINESS Short Or Long Term, You’ll Find Disability Insurance A Good Buy DIRECTORY By G. Robert King II, CFP® come disabled before reaching age If you’re unable to work due to a sickness or injury, 67 and it may be easier and less ex- ELDER LAW ATTORNEY disability income insurance can help you meet ex- pensive to get disability insurance penses and maintain your standard of living, pay your when you’re young and healthy; bills and help provide financial stability until you get • A good rule of thumb is to protect 60-80 percent back on your feet and return to work. of your after-tax income; Short-term disability insurance can replace a por- • You will need to meet your essential living ex- tion of your income during penses if you should be- the initial weeks of a dis- King’s RANSOM come disabled. Approxi- abling illness or accident. mately 72 per cent of Long-term disability insur- consumer expenditures are ance replaces a portion of your income after those ini- to cover essential expenses like housing, food, trans- tial weeks for an extended period. portation, health care and education and that’s what You may have one or both of these through your you need to protect; employer although many people also choose to pur- • Some disability insurance is better than no dis- chase individual coverage on their own. ability insurance; Individual disability income insurance can provide • When budgets are especially tight, it still may FINANCIAL ADVISER protection for people who do not have this coverage make sense to purchase sufficient insurance to cover available through their workplace or to augment such the rent or mortgage and keep your family in their group policies. home should you become disabled. No one knows what the future holds, so it’s impor- There are several ways to obtain disability income tant to do your best to prepare for what life may bring. coverage. In addition to work, there are associations Here are some tips that might prove helpful. that offer these benefits to members or do it individu- Remember, that Social Security disability benefits ally. Rates vary according to age, health, occupation are not available if you are expected to be out of work and coverage. Financial advisers can help. for less than a year. (Mr. King of Baystate Securities is a registered • Most long-term absences are caused by illness, Hyannis representative of New England Securities, only 10 percent are due to accidents; member FINRA/SIPC and a RIA, 508-790-7100 or • Almost one in four of today’s 20-year-olds may be- [email protected].) Deadline’s Fast Approaching SHINE ON… To Update Medicare Options GRAPHIC DESIGN By Sheila Curtis Health Insurance Needs of Everyone, is a statewide The annual open enrollment for Medicare Part program that provides free healthcare information, D and Medicare Advantage (managed plans such as assistance and counseling to Medicare beneficiaries HMOs, PPOs) Plans ends December 7. If you are on of all ages and their family members, caregivers or Medicare you should review your options every year representatives. SHINE Counselors are certified by to make sure you have the coverage that works best the state of Massachusetts through the Executive for you. Office of Elder Affairs.) That’s because every year, Medicare Part D and Medicare Advantage Plans may change their formu- laries (list of covered drugs), premiums, co-pays, and 508 477 3396 deductibles. [email protected] You should already have received a notice from your Boost Your Business current plan regarding any anticipated changes for 2015. Some Medicare Part D and Medicare Advantage Did you know that the INSURANCE plans are ending and some new ones are entering the Cape Cod Chamber of Commerce market. More than half of the Medicare Part D plans ranked in the top 10 in have increased their premiums for 2015 so let SHINE assist with finding you the best and least costly plan. member satisfaction among Note: This open enrollment may not pertain to all Chambers our size in the USA? those who receive retiree health insurance through * Per 2012-2013 ACCE survey their employer. How Can SHINE Help You? State-certified SHINE Get more leads for your business and join now. counselors are trained regarding the enrollment rules For membership information, that may apply to your personal situation and your contact Maegan Storey at 508-744-5564. personal coverage choices. We can analyze your needs and compare available plans to find you the most comprehensive coverage at the best price for you. We may also be able to save you money through public assistance programs. Call your local senior center to make an appointment with a SHINE counselor or call MEDICAL BILLING the SHINE Regional Office at 508-375-6762. (Ms. Curtis is Regional Manager for the Cape Find out more about our NEW free discount Cod & Islands SHINE program. SHINE, Serving the drug card at eCapeChamber.com!

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$$ To Your FINANCIAL Good Health $$ Earned Sick Time State $ We Generate Good For Economy Should Return To Us By Senator Dan Wolf ballot question: By Wendy K. new funding mechanisms (Bottle Bill) When I came to the State House, I Employees earn their sick time at the Northcross, CCE or work to hold fast to funding in had 30 years of prior experience in the rate of 1 hour for every 30 hours worked CEO Cape Cod place (Gas Tax Indexing). Typically, the private sector, but it never occurred to and can earn up to 40 hours of sick time Chamber of Chamber would oppose initiatives that me that so many businesses out there per calendar year. Employees with more Commerce seemingly increase costs to consumers didn’t offer an earned paid sick time ben- generous sick time benefits will keep Each year the or business. However, in this voting efit to their employees. them; Cape Cod Chamber cycle we find ourselves considering the My company, Cape Air, offered sick Earned sick time can be used for the of Commerce sur- impact of that stance, and its adverse ef- time from its inception 26 years ago and employee’s own health needs or those of a veys its members on fect on our future vision of Cape Cod. it has never inhibited our ability to grow. child, parent, spouse or parent of a spouse, a broad range of economic issues facing Building a solid future for Cape Cod It was an eye-opener to find that over a including for recovery from a physical or the Cape’s business community. will require ingenuity and investment. million people in the Commonwealth— mental illness or injury, preventive care Protection of the natural environ- We realize there are no perfect answers, about a third of our workforce—did not or medical appointments, and to address ment, the need for wastewater infra- but we will advocate for actions that receive this benefit at all. the employee’s domestic violence needs or structure and concern over health insur- support those things we value most. When working families don’t have fi- those of a dependent child; ance costs This re- nancial security, our whole economy suf- For companies with 11 or more employ- have scored quires sup- fers. Furthermore, studies have shown that ees, workers can earn up to 40 hours of paid as the lead- Chamber MUSES port for when a worker is fired for missing work, sick time per year. In those with fewer than ing issues revenue the position often remains unfilled, mean- 11 employees, workers can earn up to 40 over the past four years. More recently, sources and regional equity in its distri- ing a job lost by one worker is not neces- hours of unpaid sick time annually; long-range solutions to canal bridge bution. sarily a job gained by another. Losing a job Employees cannot be subject to retalia- crossings and increasing public trans- The Chamber has carefully weighed or even fear of losing a job means less fi- tion just for using earned sick time; portation options have ranked high on the proposed revenue programs, taxes, nancial stability and less spending, which Employees begin earning their sick the list, as has support for employment and fees borne by our region against the is detrimental to the entire economy. time at the start of their employment, and options that will attract and retain the direct and indirect benefits they return. It is for these reasons, among many oth- can start using their earned sick time after next generation of Cape Codders. The Cape’s economy brings in excess of ers, why I have campaigned for this change they have been on the job for 90 days; But while our economy is indeed di- $750 million of tax revenues to the Com- in the Legislature. Unused, earned sick time can be carried versifying and jobs are returning, the monwealth annually. Fairness requires Looking historically at other pro- over from one year to the next, up to 40 infrastructure upon which our success that an equitable proportion of the rev- worker, pro-labor legislation that we have hours and the use of sick time is capped depends has fallen behind. enues collected from our businesses, resi- enacted, from child labor laws, to the 40- at the maximum of 40 hours per calendar As we enter the election season, it is dents, and visitors be returned to our re- hour work week, to workplace safety stan- year. Under this ballot law, your employee with this regional perspective and un- gion. This funding is desperately needed dards, we cannot simply look to Washing- does not have the guarantee to “cash out” derstanding of the Cape’s challenges to nurture our economic base, mitigate ton now to pass this legislation. We have unused sick time; and opportunities, that we review the the costs of protecting and repairing our to do it here in Massachusetts and hope- (Senator Wolf, D-Cape & Islands, is upcoming ballot questions and plat- environment and infrastructure, and en- fully serve as the model for other states. co-chairman of the Labor and Work- forms of our candidates. Several of the sure a competitive balance with other Here are some helpful facts about that force Development Committee.) November ballot questions put forth visitor destinations.

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