Capsules: Kaiser Health News
Slowdown In Medicare Spending Extends Trust Fund
By Mary Agnes
Slower growth in spending is helping extend the life of Medicare’s hospital trust fund to 2026, two years beyond last year’s estimate, officials said.
Lew and Health and Human Services Secretary Kathleen Sebelius, urged lawmakers to address the financial challenges of both Medicare and Social Security as soon as
June 2013 This Issue
page 3 - Slowdown In Medicare Spending Extends Trust Fund page 4 - Opinion: U.S. Sen. Heller: IRS Violated Trust in Government page 5 - Opinion: U.S. Sen. Reid: Honoring Our Fallen Memorial Day page 15 - Farmers’ Markets Open Health and Human Services Secretary Kathleen Sebelius, center, accompanied by Treasury Secretary Jacob Lew, right, and Acting Labor Secretary Seth D. Harris, speaks about Social Security and Medicare, May 31, 2013, at the Treasury Department in Washington. (Charles Dharapak, Associated Press)
page 19 - The Nevada State Plan
They also reported, however, that the Social Security’s disability trust fund, which pays monthly benefits to disabled workers and their families, is expected to be exhausted by 2016. Social Security will begin to run out of money in 2033, nearly the same timeframe as predicted last year. Spending on Medicare and other entitlement programs remains a flash point in the ongoing debate over federal spending and deficit reduction, but Democrats and Republicans have widely different views of how to strengthen the financing of those programs. Medicare’s six trustees, who include Treasury Secretary Jacob
possible, an unlikely outcome in the ongoing partisan environment. Nearly 50 million people are enrolled in Medicare, the health care program for the nation’s elderly and disabled. Enrollment is expected to grow to 80 million by 2030. The Medicare spending projections also encompass areas of current law that are not likely to remain, such as a 25 percent payment cut for Medicare physician services scheduled to take effect on Jan. 1, 2014 that trustees say “is highly unlikely.” Trustee Robert Reischauer said it would be a mistake to make too much of the twoyear extension on the life of (Spending page 6)
on Alzheimer’s Disease page 22 - Dementia and page 28 - VistaCare Hospice Changes Name to Gentiva Hospice page 34 - Nevada Rural Counties RSVP Director Janice Ayres Dies
page 18 - Calendar page 23 - Eclectic Observer page 24 - Eydie Scher - Excerpts
page 27 - Crossword page 29 - Community Resources page 30 - this ‘n that page 32 - Seniors 4 Travel page 33 - Biggest Little City
page 10 - Dr. Marion: Caregiving page 11 - CMS: When a Doctor Doesn’t Take Medicare page 12 - Life Transitions and Retirement: What does it mean? Dr. Lawrence J. Weiss, Ph.D. Center for Healthy Aging page 16 - Ophthalmology: Dr. Michael Fischer, M.D.
page 7 - How a Pet Trust Can Protect Your Furry Friends - Bradley B. Anderson Anderson, Dorn, Rader
Senior Spectrum Newspaper P.O. Box 7124 • Reno, NV 89510 (775) 348-0717 e-mai l : S eni orspectrumnv@aol . com S eni orspectrumnewspaper. com Publishers: Chris & Connie McMullen
Senior Spectrum is a monthly publication dedicated to inform, serve, and entertain. Publication of advertising contained does not constitute endorsement. Signed columns are the opinion of the writers, and not necessarily the opinion of the publishers. Copyrighted publication. All rights reserved.
June • 2013 • 3
U.S. Senator Dean Heller
As I am sure you have heard, the Internal Revenue Sen. Dean Heller Service (IRS) has become embroiled in a political scandal by deliberately targeting conservative groups. These reports are disturbing and contradictory to the fundamental American values of liberty and freedom - the very values the government is designed to protect. Upon learning of these reports, I became incredibly frustrated and believe that those responsible should be held accountable for their behavior. As the President’s massive
4 • 2013 • June
IRS Violated Trust in Government healthcare law continues to be implemented, we will all see drastic changes to the healthcare system. And did you know that these changes will be monitored by the very people that violated your trust by irresponsibly targeted groups based on their political affiliations? It’s true. The President’s budget requested $440 million to go towards hiring thousands of new IRS agents responsible for enforcing President Obama’s Affordable Care Act. I believe we need to address IRS funding in the healthcare law now. Just last month, I introduced the “IRS Accountability Act,” a bill that suspends funding for
new Obamacare IRS agents. It’s simple: right now we can’t trust the IRS to do its job. Nevadans are already concerned about ObamaCare, so the fact that Congress could hand over even more power to an agency under intense scrutiny to enforce the healthcare law is deeply concerning. For this reason, I have also introduced the IRS Accountability Act as an amendment to the Farm Bill, which has been the subject of recent activity on the Senate floor. Public distrust in this agency is already at an all-time high, so providing the IRS with more power to enforce this flawed health-
care policy makes no sense. In light of the nation’s serious economic difficulties, all government agencies – including the IRS – have a responsibility to work together to overcome America’s fiscal challenges. Deliberate irresponsibility found in the IRS scandal should not be tolerated and I will continue to fight for Nevadans as we work to get through these tough economic times. To contact Sen. Heller, write to: Bruce Thompson Federal Building, 400 S. Virginia St., Ste. 738, Reno, NV 89501, fax: (775) 6865729. In Carson City: 305 North Carson St., Ste. 201, Carson City, NV 89701.
U.S. Senator Harry Reid
Honoring Our Fallen on Memorial Day
In 1966, Congress and President Lyndon Johnson Sen. Harry Reid declared Waterloo, New York as the birthplace of Memorial Day, and since that time, our nation has honored its fallen service members by laying reefs, and placing flags on the graves of our nation’s heroes. Nevada’s older American veterans understand this tradition deeply. This year I traveled to Fernley to attend local events in northern Nevada that pay tribute to those who paid the
ultimate sacrifice. These sacrifices must not go unnoticed. In Nevada, the current VA claims backlog fails to deliver on our nation’s promise to care for former service members. Recently, along with other members of the Nevada Congressional Delegation, I co-signed a letter asking the VA to address this issue to ensure our veterans get the help they need when they transition back into civilian life. And I applaud the VA for their recent announcement that will give provisional ratings to veterans who have been waiting for over a year for their rating decision.
I am pleased that I have worked in the Senate this past year to ensure that our service members and older veterans receive the pay and benefits they have earned. This year, Congress provided a 1.7 percent pay raise for our active duty service members. In addition, we provided a 1.7 percent cost-of-living adjustment for our veterans. And after years of work, I was pleased to secure passage of an amendment to the National Defense Authorization Act that provides combat related special compensation for veterans who were medically forced into retirement. In addition,
the ten-year phase in period for concurrent receipt for veterans with a disability rating 50 percent of above will finally come to fruition this year. Taking care of our veterans and active duty service members is the greatest way we can memorialize their efforts and you can count on my steadfast commitment to this cause. I wish all Nevadans a meaningful Memorial Day. Write to Sen. Harry Reid at the Bruce R. Thompson Courthouse and Federal Bldg., 400 S. Virginia Street, Suite 902, Reno, NV 89501 or fax: (775) 686-5757.
June • 2013 • 5
Spending / page 3
the Medicare hospital trust fund. The Medicare projections involved a lot of uncertainty, he said, both on the legislative front — Congress will likely stop the scheduled Medicare physician payment cut, for example — and from the cost impact that new technologies, drugs and medical devices will have. Those “historically have tended to push up costs,” he said. Medicare trustees said the improved solvency estimate of the trust fund, which covers Medicare Part A payments for inpatient hospital services and other facilities, was due largely to lower than expected spending on Medicare services — especially for skilled nursing facilities — and lower projected costs for the Medicare Advantage program, where private insurers provide health benefits to about 27 percent of Medicare enrollees. The growth of individual beneficiaries’ costs also declined to an historic low of 1.7 percent a year between 2010 and 2012 and is expected to remain lower than the rate of economic growth over the next decade, Sebelius said at a news conference. She also announced that the lower overall Medicare spending means that premiums for Medicare Part B, which covers physicians visits and other outpatient services, “won’t increase a single dime” in 2014 over their current level of $104.90 a month. Sebelius and other administration officials said that the 2010 health care law played a major role in the improved Medicare projections. Medicare spending changes in the law include reduced
6 • 2013 • June
payments to hospitals and other Medicare providers, lower reimbursements to Medicare Advantage plans and efforts to cut program waste. “With the health care law, our goal was to put the Medicare program on more stable footing,” Sebelius said. “Not by cutting benefits, but by putting reforms in place to ensure that Medicare dollars were spent more wisely.” Paul Spitalnic, the acting chief actuary for the Centers for Medicare and Medicaid Services, echoed earlier actuarial concerns when he noted a potential problem. Over the long-term, he wrote, some of the health law’s changes would cause Medicare payment rates for home health, hospital and other services to drop below those now paid by the Medicaid program, “which have already led to access problems for Medicaid enrollees.” Mary R. Grealy, president of the industry group Healthcare Leadership Council, said the report’s core message was that the program’s “financial future remains in jeopardy and structural reform is essential.” But rather than further reduce provider payments, “Congress needs to move forward with improvements that drive greater value and cost containment by investing Medicare beneficiaries with greater powers of consumer choice,” she said in a statement. (This article was produced by Kaiser Health News with support from The SCAN Foundation. This column can be found at: http://capsules. kaiserhealthnews.org)
How a Pet Trust Can Protect Your Furry Friends Brought to you by Bradley B. Anderson Anderson, Dorn, & Rader, Ltd.
If you have a pet, you know firsthand the bond that can develop between humans and animals. Many of us consider our pets part of the family. But have you considered what would happen to your furry or feathered companion if something were to happen to you? Over 500,000 pets are abandoned each year due to the death or disability of their owner. These pets could have been protected with just a little planning. It is prudent to include your pet in your estate plan for a number of reasons. First, you want to make certain there is someone designated to take care of your pet in case of your death. Second, you want to provide clear instructions for your pet’s care. Third, you want to leave sufficient funds to ensure that your pet
The American Academy of Estate Planning Attorneys www.probatebusters.com • blog.wealth-counselors.com
receives the best possible care. Including your pet in your estate plan is a little different from including one of your children. For one thing, pets are not people, so they cannot own property. This means you cannot leave money or property directly to your pet. Another issue that arises when incorporating your pet into your estate plan is that communication becomes an especially high priority. You want to make sure the person you designate to care for your pet after your death wants the job and understands all of the responsibilities that come with the job. There are two primary methods for ensuring your pet will be well cared for after you are gone:
Outright Gift One option is to leave your pet, along with a gift of money or property for the care of your pet, directly to a family member or a friend. This is done using your Will or Trust, and the caregiver receives the assets on the condition that they be used for the care of your pet. This option is simple and straightforward. It works best when you are confident that your chosen caregiver is trustworthy and responsible, and when you have clearly communicated your expectations and the details of your pet’s needs. The problem with an outright gift for pet planning is that it provides no means (Estate Plan page 8)
June • 2013 • 7
Estate Plan / page 7
for monitoring your pet’s caregiver. It will be difficult to ensure that the assets you leave behind are, in fact, being used to care for your pet. It will also be difficult to ensure that your pet receives the level of care you contemplate. Pet Trust Another option is to establish a pet Trust. These Trusts have a reputation for being reserved for the rich and famous, but they’re actually gaining popularity among average pet owners. Part of the reason for this increasing popularity is that pet Trusts allow you to have more control over your pet’s fate after your death. A pet Trust is a written document with which you appoint a caregiver as well as a trustee (the person who will manage the money for your pet’s care and keep an eye on your caregiver’s actions). You use the Trust document to specify the standards the caregiver must adhere to, as well as the circumstances under which the trustee will distribute funds to the caregiver. With a pet Trust, as with other Trusts, you’ll also name a remainder beneficiary – someone who will inherit the remaining Trust funds after the death of your pet.
8 • 2013 • June
What if You Can’t Find a Caregiver? If you don’t have a friend or family member who is willing to take care of your pet in the event of your death, you still have options. One alternative is to check with your veterinarian. You may be able to use the outright gift option,
explained above, to place your pet in their trusted hands. If your veterinarian cannot provide long-term care for your pet, they may be able to place your pet with a local family or work with an adoption agency to find them a loving home. Another alternative is to look for a pet retirement home in your area. These are relatively new facilities, often operated by veterinary schools, and they can be costly and difficult to locate. However, such facilities are one way to rest assured your pet will be well cared for. The level of care provided by pet retirement homes tends to range from high quality to luxurious. As with other important estate planning decisions, it is wise to explore your pet planning options with an experienced estate planning attorney. He or she can help you pick the planning method that best meets your needs and make sure that all the formalities are met, so that you can be confident your pet will continue to enjoy a happy, healthy life after your death. About Our Law Firm The Law Firm of Anderson, Dorn & Rader, Ltd. is devoted exclusively to estate planning. We are members of the American Academy of Estate Planning Attorneys and offer guidance and advice to our clients in every area of estate planning. We offer comprehensive and personalized estate planning consultations. For more information or to attend an upcoming seminar, please contact us at (775) 823-9455 or visit us online at www.wealth-counselors.com.
June • 2013 • 9
Ask Dr. Marion
Dr. Marion Somers. Ph.D.
My 86-year-old mother-in-law has lost a number of friends over the past few years, to them either moving in with relatives or passing on. Now she is losing one of her oldest and dearest friends who also happens to be her next-door neighbor. They have depended on each other for various things like dinner or a cup of tea or picking up each other’s mail while one was out of town. She sounds so down I'm not sure what to say to her. She is strong and will survive, but it is very sad. Do you have any suggestions? Pat, 59, in Georgia.
Losing or friends Dr. Marion Somers relatives is a trying time for all of us, and especially for those who are older. There is always a natural period of grieving and remembering. We cannot replace those who are lost to us. But I try to show my clients to be grateful for the blessings and joys these people have given them, and to be buoyed by the friendship that has enhanced their life.
10 • 2013 • June
No matter what age we may be, we are in control of making the most of our lives. Your mother-in-law needs to make the maximum effort so she can go forward in her life. Sometimes people reach out to us, but usually we have to attempt to make new friends or acquaintances in order to build new relationships. It can be very empowering and exciting to renew ties with family members, or to reach out to our religious organizations or clubs or
social venues. This all takes time and effort, but it’s usually well worth it. Having new people in our lives can be very rewarding. We all seek companionship and the comfort of knowing someone cares. Sometimes the simple gesture of volunteering our time and talents, the act of giving, comes with its own rewards. When we stop thinking so much about ourselves, our grief and loss can be healed.
Dr. Marion (Marion Somers, Ph.D.) is the author of "Elder Care Made Easier" and has over 40 years of experience as a geriatric care manager, caregiver, speaker, and expert in all things elder care. She offers practical tools, solutions, and advice to help caregivers everywhere through her book, website, iPhone apps (Elder 411/911), cross-country speaking tours, and more. Visit www.DrMarion.com for more information.
When a Doctor Doesn’t Take Medicare David Sayen, Regional Administrator Medicare Region 9 What does it mean when a doctor tells you they have “opted out” of Medicare? An optout doctor is David Sayen one who doesn’t accept Medicare. Doctors who have opted out of Medicare can charge their Medicare patients whatever fees the physicians choose. These doctors don’t submit any health care claims to Medicare. In addition, opt-out doctors aren’t subject to Medicare laws that limit the amount they can charge their patients. More than 1 million health care providers throughout the United States – the vast majority of them doctors – accept Medicare as payment. But when you visit a doctor who has opted out of Medicare, you pay the entire cost of your care, unless it’s an emergency or you need urgent care. Generally, Medicare doesn’t pay for health care services you receive from an opt-out doctor. If your doctor has formally opted out of Medicare, he or she must have you sign a private contract stating that you agree to receive care from a doctor who doesn’t accept Medicare. This private contract only applies to services provided by the doctor or other provider who asked you to sign it. You don’t have to sign a private contract. You can always go to another provider who does take Medicare. If you do sign a private contract with your doctor or other provider:
• Medicare won’t pay any amount for the services you get from this doctor or provider, even if it’s a Medicare-covered service. • You’ll have to pay the full amount of whatever this provider charges you for the services you get. • If you have a Medicare Supplement Insurance (Medigap) policy, it won’t pay anything for the services you get. Call your insurance company before you get the service if you have questions. A physician or other provider must tell you if Medicare would pay for the service if you get it from another provider who accepts Medicare. Your provider also must tell you if he or she has been excluded from Medicare. And keep in mind that you can’t be asked to sign a private contract for emergency or urgent care. You may want to contact your State Health Insurance Assistance Program (SHIP) to get help before signing a private contract with any doctor or other health care provider. Your local SHIP number is available by calling 1-800MEDICARE (1-800-633-4227). In Nevada call SHIP at 800307-4444 or 702-486-3478. Most doctors, providers, and suppliers accept Medicare, but you should always check to make sure. (You can always get services not covered by Medicare if you choose to pay for them yourself.) Providers who participate in Medicare have signed an (Medicare page 14)
June • 2013 • 11
Adding Life to Years
Life Transitions and Retirement: What does it mean? Dr. Larry Weiss Center for Healthy Aging
Over the past month I have had several good friends retire. I attended a special educational session that NY Life put on about “The 10 things you should know for retirement,” and I discovered AARP’s new website that walks you through reimagining your life. As a result, I am focusing my article on what retirement means today. Clearly the historical image of sitting in a rocking chair on the porch is gone. Not only do most of us not have porches, we also are not likely to be spending our time passively. It’s a new world with new definitions, and regardless of where you are in your life, it is
12 • 2013 • June
important to visualize how you want to live in retirement. Knowing exactly why you are saving, although most of us do not, can be a powerful motivator. With the amazing story of longevity – and millions more people living well into their 80s, 90s and 100s, the challenge is achieving the retirement you want – however you define it. There are many reasons that some people choose to never retire, or to return to work after retiring. There’s not only the difficulty of planning for retirement, but also wages and fringe benefits, expenditure of physical and mental energy, production of goods and services, social interaction, and social
status may interact to influence an individual’s workforce participation decision. Increasingly, reaching age 65 does not mean slowing down or retiring. Instead, it may mean transitioning to an encore career, or simply a next phase of life to pursue a passion. According to AARP, the number of workers age 50 and over is soaring – from 20 percent of the workforce in 1996 to 31 percent today. Gallup data on retirement plans states that three-quarters of U.S. adult workers believe they will continue working past retirement age, with 40 percent saying they will do so because they want to, and 35 percent
because they will have to. A much smaller percentage, 19 percent, fit the prototype of someone who chooses to stop working at retirement age. Retirement once connoted a lifestyle free from the demands of work, but also reliance on personal savings and Social Security. Both of those impressions are changing as Americans plan to continue working, at least part time, after reaching retirement age. This pattern could have benefits both socially and personally with respect to health for older Americans, since staying in the workforce keeps us more physically and mentally active than if we were not working. Gallup
Years to Life / page 12
has also found that older Americans 60-69 who work have better emotional health than those who do not work, and this relationship is stronger for Americans in fair or poor health. Clearly working into our older years helps us financially, particularly if the alternative is dependency on inadequate retirement savings and an uncertain Social Security system. This, in turn, could benefit the economy, with older workers contributing experienced labor as well as earning income that fuels consumer spending and, therefore, the economy as a whole. Non-retirees who are closer to age 65 are typically more likely to project a later retirement age than those who are further away from retirement. More than half of non-retirees aged 58 to 64 expect to retire after age 65, compared with 36 percent of non-retirees aged 50 to 57, 38 percent of those between 30 and 49, and just 26 percent of those younger than 30. Retirement financial accounts of the older group have declined in value during the economic recession in recent years, while the younger age group may feel that their retirement accounts' values will be high enough for them to retire at age 65 or younger -even taking into account the uncertain financial situations of Social Security and Medicare. However, given the general amounts in workers savings or retirement accounts today, it is grossly inadequate for the future retiree. American’s biggest financial concern is funding their retirement with 61 percent saying they are worried about having enough money for it. Thus, postponing retirement could help Americans save enough money to live comfortably. How about you? Is your retirement an opportunity for learning? Volunteering? Helping others? Research from the Employee Benefit Research Institute tells us that 92 percent
of people who worked for pay in retirement in 2010 said that one of their motivations for doing so was the desire to stay active and involved. Therefore, we are now transitioning into an encore career. Hence, AARP is working hard to be the best online and in-person resource to help aging baby boomers and those older to discover new possibilities as part of the “Real Possibilities” initiative. AARP offers a way to “reimagine” your life through a website that offers people over age 50 an opportunity to design their own “reimagined” life – www.lifereimagined.aarp.org. Check it out. Regardless of where you are in your stages of life, it is important to visualize how you want to live in retirement. If you are thinking about your encore career, you will see that the line between work and retirement is becoming more blurred all the time. The fact is that many people who retire go back to work part-time – some even full-time. People are living longer and want to remain involved and productive. As many as 9 million Americans aged 44 to 70, or 9 percent of this demographic group, are currently in encore careers, and as many as 31 million of their peers are interested in starting encore careers. Think about experiences in your life when you felt passionate, fully engaged, and fulfilled. Is there a pattern that can give you some insight into a second career choice that you will find rewarding, like teaching or mentoring? Whichever route you choose to take, experts agree that you need to plan. Most want to embrace change and make a difference. What a way to continue “adding life to years.” Lawrence J. Weiss, Ph.D. is CEO of the Center for Healthy Aging. Dr. Weiss welcomes your comments on this column. Write to him at email@example.com or c/o Center for Healthy Aging, 11 Fillmore Way, Reno, NV 89519.
WHAT IS YOUR HEART TELLING YOU?
Get the answer with a baseline EKG Northern Nevada Medical Center recommends getting a baseline EKG so you can document your normal heart function. We are offering a baseline EKG for $35. When you get your first EKG to establish your baseline, you will receive a wallet-size card with your test results. In the event of an emergency, your EKG card will give first responders information they need to take care of you. Knowing your heart and early detection of heart disease saves lives.
To schedule your baseline EKG for just $35, call 356-4056
2375 E. Prater Way | Sparks, NV 89434 775-331-7000 | www.NNMC.com
Physicians are independent practitioners who are not employees or agents of Northern Nevada Medical Center. The hospital shall not be liable for actions or treatments provided by physicians.
June • 2013 • 13
Medicare page 11
agreement to accept the Medicare-approved payment for all Medicare-covered services. In other words, they “accept assignment.” Here's what it means when your doctor, provider, or supplier accepts assignment: • Your “out-of-pocket” (Out-of-pocket means your health or prescription drug costs that you must pay on your own because they aren’t covered by Medicare or other insurance.) costs may be less.
14 • 2013 • June
• Your provider agrees to charge you (The amount you must pay for health care or prescriptions before Original Medicare, your prescription drug plan, or your other insurance begins to pay.) “the deductible,” (An amount you may be required to pay as your share of the cost for services after you pay any deductibles.) and "coinsurance” (Coinsurance is usually a percentage for example, 20%) amount, and usually wait for Medicare to pay its share before asking you to
pay your share. • Your provider has to submit your "claim” (A request for payment that you submit to Medicare or other health insurance when you get items and services that you think are covered.) directly to Medicare and can't charge you for submitting the claim. If you have a Medicare Advantage plan, also known as a Medicare private health plan, you should see doctors
within your plan’s network. You typically pay the least if you go to a doctor who’s in the plan network. Check with your plan to see what rules apply. You can always get answers by calling 1-800MEDICARE (1-800-6334227).
Farmers’ Markets Open for Summer Season Farmers’ Markets are back for the summer season bringing fresh farm grown produce and vegetables to many area open markets. Nevada and California farmer’s will be offering vegetables and produce ranging from fresh cherries and plumbs, to summer squash and mellons. Numerous vendors will be selling locally made goods such a honey, bread, soap and jewelry. Seniors living on a limited budget can also participate by signing up for the Senior Farmers’ Market Nutrition Program. Participating farmer’s will accept coupons worth $2
each. Those eligible must not have an income exceeding $20,665; for a couple $27,991. Applications for the Senior Farmers’ Market Nutrition Program are available at the City of Reno Parks, Recreation and Community Services Department on June 12, or by calling 657-4620. In Carson City coupons are being distributed at the Carson City Community Center. Carson seniors can sign up or find out more information by calling RSVP at 697-4680, ext. 0. To find a Farmers’ Market near you, visit http://nevadagrown.com/fa rmers-market-list/
June • 2013 • 15
Putting the “E” in “PRK” Michael J. Fischer, M.D. Eye Physician & Surgeon
Photorefractive keratectomy (PRK) is a popular vision-correcting laser Michael Fischer procedure among older individuals with thinning or scarred corneas. This eye surgery involves removing the outer layer of the cornea to allow cells to regenerate, thereby preserving corneal tissue. Because it exposes the deep layers of the cornea, eye drops (and sometimes prescription pain medications) are needed to relieve discomfort, typically for 1-7 days post-PRK. Now, another post-PRK treatment is on the horizon. Eye surgeons already use silicone hydrogel contact lenses to deliver ophthalmic drugs
16 • 2013 • June
to treated eyes. In the future,vitamin E may also be added to the lenses, which has been found to extend the release of the medication. The vitamin provides relief up to a week following surgery. It should be noted PRK is the forerunner of LASIK, and unlike LASIK, does not involve making the corneal flap. If you would like further information on today’s topic or an appointment, please call my office at (775)8822988. We are conveniently located at 3839 N. Carson Street. Hours are 8-5 p.m., Monday through Friday by appointment. M/C, Visa, and Medicare Assignment are accepted.
June • 2013 • 17
Calendar June 10 - Trip: Fort Churchill State Historic Park, 8 - 5:30 p.m., $15, call City of Reno, (775) 689-8484. June 11 - Mile High Jazz Band, vocalists Jakki Ford and Cindee LeVal, five poets and readers for "Farewell, Goodnight," a lively evening of big-band jazz music and poetry. Call the Mile High Jazz Band at 775-883-4154, or visit: MileHighJazz.com/ June 12 - Senior Golf Program, 55+, golfers of all abilities, thru Aug. 7, every Wednesday, 12:30 - 1:30 p.m., $150/person, Chateau, Incline Village Golf Courses. For a demonstration
contact Frank at firstname.lastname@example.org/ June 12 - Washoe County’s Lazy 5 Regional Park in Spanish Springs, Wednesday evening concert series featuring Motown R&B with Escalade. For more information, call (775) 823-6500. June 13 - Line Dancing Class, beginner step class, 1 p.m.; also June 20, 27, Reno Senior Center, Multipurpose Room, (775) 3282575. June 13 - Zumba Gold Fitness, 10 - 11 a.m., $10/mo., Teglia’s Paradise Park; also June 20, 27, call (775) 356-3176.
June 13 - 16 -Community Appreciation Day, free access to Tennis Center (after 12 noon), and Recreation Center all day *for Valid IVGID Picture Pass Holders. Incline Village Recreation Center, (775) 8321235.
Senior Center, Senior Law Project, RSVP by June 13, (775) 328-2592.
June 14 - Carson City Symphony and Brewery Arts Center, Jeremy Keppelmann Harp Recital, 7:30 p.m., tickets are available at www.breweryarts.org, (775) 883-1976, and at the door.
June 23 - Reno Aces, Skybox Seats, 12:45 p.m., call for pick up locations, (775) 689-8484.
June 14 - Voices of Paradise Glee Club, 1 - 2:30 p.m., $.50, Teglia’s Paradise Park Activity Center, (775) 356-3176; also June 28. June 15 - The University of Nevada School of Medicine, one free Student Outreach Clinic for June: 8 - 3 p.m., University of Nevada, Reno campus. Clinics offer physicals for work or school, EKGs, blood pressure monitoring, referrals and selected lab services at discounted fees. June 16 - Wild River Grille, Summer Concert Series, Erika Paul Carlson, 6 - 9 p.m.; and June 21, 7 - 10 p.m, (775) 2847455. June 18 - Emergency Food Pantry, 9 a.m.; Food Stamp Program, 10 am., Reno Senior Center, (775) 328-2575. June 19 - 30 - Reno Tahoe Summer Senior Games, Opening Ceremonies, 11 - 1 p.m., Neil Rd. Rec. Center; Closing Ceremonies June 30, registration fee $15 plus $5 per sport, call (775) 689-8484.
18 • 2013 • June
June 20 - Living Will and Durable Power of Attorney for Health Care, 2 p.m., Reno
June 21 - Nevada Historical Society, reception, Lady Jill Mueller, 5:30 - 7 p.m., Great Basin Park.
June 23 - Senior Dance Club, 2 5 p.m., Neil Rd. Recreation Center, $5/person, pay at the door, (775) 689-8484. June 25 - Wound Care Center at Northern Nevada Medical Center, Diabetes Support Group, last Tuesday of every month. June 26 - High Noon Series, Nevada Historical Society, History of Bicycling + Tour de Nez, Tim Healion, Tales of Nevada Television Series. June 27 - Healthy Habits Lecture, Northern Nevada Medical Center, Find the Right Relief for Your Knee & Hip Pain, 1:30 - 2:30 p.m. Call for information (775) 689-8484. June 29 - 30 - Race the Lake of the Sky, premiere flat water stand up paddleboard (SUP) race, El Dorado Beach, Sat., Jun 29, 6:30 - 4 p.m.; Sun., Jun 30, 6:30 - 3 p.m. July 2 - Colin Ross Senior Music Program, Western Show, 6:30 8 p.m., Neil Rd. Community Center, $5, (775) 689-8484. July 25 - Health Education Workshop: Are You Wearing Someone Else’s Shoes? Orthopedic surgeon Rowlin L. Lichter, M.D., 1 p.m., Reno Neil Rd. Recreation Center, call (775) 689-8484.
The Nevada State Plan on Alzheimer’s Disease Panel discusses its development, support for caregivers by Connie McMullen
A panel discussion regarding legislation and public policy changes resulting from the Nevada State Plan on Alzheimer’s Disease was presented at an annual education conference held May 3, at John Ascuaga’s Nugget in Sparks. “Alzheimer’s Disease: Current Care Perspectives 2013,” presented by the Alzheimer’s Association of Northern Nevada, featured a full day of presentations to educate and help caregivers and people living with Alzheimer’s and dementia related illnesses. The Nevada State Plan on Alzheimer’s Disease was created with passage of ACR 10 during the 2011 Legislative Session, and resulted in 20 significant recommendations to address the economic and social impacts of Alzheimer’s and the stigma associated with it. Sponsored by Assemblywoman Debbie Smith, ACR 10 created a task force that recommended better access to services such as home-based care, support services that included care management and counseling, and services that reach Nevada’s rural communities. Alzheimer’s disease is one of the most devastating forms of dementia, affecting 5.3 million Americans. The sixth leading cause of death in the country overall and the fifth leading cause of death for those aged 65 and older, the number of people affected by Alzheimer’s is projected to double in 10 years, and more than triple
to 16 million by 2050. In Nevada 29,000 people over age 65 were living with Alzheimer’s in 2010, a number expected to grow to 35,000 by 2020. To address the lack of services in the state, several bills were signed into law from the 77th Legislative Session. A significant piece of legislation that was almost immediately signed by Governor Brian Sandoval, to take effect May 21, Vicki Railton sought help when her mother Marilee Railton (right) began suffering memory 2013, was SB 86, issues. Marilee has since been diagnosed. Photo: Connie McMullen which requires the Department of developed Alzheimer’s or services in aging statutes Health and Human Services other dementia’s to receive because of their age. (DHHS) to allocate money much needed care, support AB 170, signed in law to allowing people who are and respite. Previously peotake effect May 31, 2013, under age 60 who have ple under 60 were denied (State Plan page 20)
June • 2013 • 19
sought when her Marilee keeps a journal of mother Marilee activities she does daily. It is began suffering mem- obvious, daughter Vicki says, ory issues. Bravely the that her ability to remember two talked of the things has changed in just experience at the one year. Marilee underReason to Hope stands. “I was checking the luncheon, held May journal. I thought I was 16th, in Reno. doing fine. The journal said I Marilee was diagwasn’t fine.” nosed with For Vicki the hardest Alzheimer’s in 2010. challenge has been keeping Three years later, Mom safe physically and both mother and mentally. Marilee said of the daughter are coneffort, “I am peaceful.” sciously working to For more information make the experience about Alzheimer’s disease, as close to everyday resources, and support life as possible, trying groups, contact the Representing the Alzheimer’s Association: (L) Ruth Gay, Mary Liveratti, Gini Cunningham, and to delay the inevitable, Alzheimer’s Association of Angie Pratt participate in a panel discussion about development of the Alzheimer’s State Plan. Photo: Connie McMullen yet there is continual Northern Nevada at (775) evidence the disease 786-8061, or 1-800-272-3900 revises provisions relating to families, and health progresses. (http://www.alznornev.org). the advanced practice of providers, there is still no nursing. The bill removes effective medication that will the requirement that an cure or reverse the cognitive advanced practice registered decline of Alzheimer’s disnurse must practice only ease. The costs to provide with the supervision and care continues to impact the approval of a licensed physiMedicare and Medicaid syscian. This change allows tems and will continue to nurse practitioners to progrow as the baby boomer vide much needed diagnosis, population ages. In fact, medication and support to Alzheimer’s disease is said to families; especially in the be the epidemic of the baby rural communities and boomer generation. under-served areas where The impact on families physicians may be unavailcaring for loved ones with able or non-existent. Alzheimer’s cannot be measAB 80, effective July 1, ured in dollars. In 2012, 2013, creates the Task Force 135,000 caregivers in Nevada on Alzheimer’s Disease that provided a total of 153 milwill be responsible for imple- lion hours of unpaid care, the menting the recommendatotal value estimated at $1.8 tions of the recently develbillion. oped Alzheimer’s State Plan. At a recent “Reason to The task force will have the Hope” campaign to raise ability to monitor progress support for families living on the state plan, revise the with Alzheimer’s, state plan as deemed necesAssociation CEO Bill Fisher sary, and research related said the goal for families is to issues to Alzheimer’s and identify loved ones in early other related dementia’s. stages and to intervene Today, while legislation is before the disease develops. Nevada Assemblywoman Debbie Smith accepts an award from Ruth Gay, Director of changing public policy to Early intervention is Public Policy, Alzheimer’s Association of Northern Nevada and California, for her Photo: Connie McMullen work in helping pass ACR 10 into law. provide assistance for people, exactly what Vicki Railton 20 • 2013 • June
June • 2013 • 21
Dementia and Co-Occurring PTSD: Issues for Caregivers
Data suggests veterans suffering from Posttraumatic Stress Disorder (PTSD) or significant stress and trauma are more like-
22 • 2013 • June
ly to develop dementia. The presentation “Dementia and Co-Occurring PTSD: Issues for Caregivers” was made at the Alzheimer’s Association annual education conference, held May 3, in Sparks. Licensed Clinical Psychologist John H. Krogh, Ph.D., VA Sierra Nevada Health Care System, Reno, says dementia and co-occurring PTSD are a concern for veterans, caregivers and families. PTSD affects veterans of all ages, particularly individuals who served in recent wars where explosive devices have played a significant role in ground combat. Veterans who have PTSD may be predisposed to disorder of memory. “People with PTSD have a harder time with verbal memory. It is considered by some to be a marker for dementia,” he said. “PTSD may even speed up the aging process.” Krogh, who works in disorder recovery at the VA, says veterans deployed more than once have a large
by Connie McMullen
Licensed Clinical Psychologist John H. Krogh, Ph.D., Veteran’s Administration in Reno, says Posttraumatic Stress Disorder may increase dementia risk twofold.
probability that they will develop some short of psychological issue or PTSD. The study is a relatively new field but Krogh believes it will be a big problem in years to come. Statistics from literature show PTSD among veterans: • Vietnam Veterans: Men=31% Women=26% • Iraq-deployed troops: 12-20% • Afghanistan-deployed troops: 6-12% • Those living near the World Trade Center during 9-11 attacks: 20% • Lifetime prevalence of PTSD in male combat veterans: 39% The data indicates there is a strong connection between the two illnesses, and points to the importance of treating PTSD patients early. “It also indicates that patients with early stage dementia may benefit from traditional trauma focused therapies, while later stage dementia treatment should focus on basic coping strategies such as identifying and limiting triggers of unwanted behaviors.
ECLECTIC OBSERVER by Janet Ross
request from a cousin in California prompted a call to the Nevada Historical Society’s Research Library. It seems a possible ancestor (vintage 1870s) might have had a Reno connection; the gentleman in question was reputed to have served as Coroner for Washoe County and built a home on Mill Street way back when. Michael, one of the Library’s dedicated staff, took my call and let me know within a few days that there was a Charles W. Jones listed in several Nevada State Journal entries from those
Nevada Historical Society’s Research Library long ago times. He suggested I come in to the Library to continue my research in person. As my last visit to a library devoted entirely to scholarly research was several years ago, I’d forgotten the common rules of such institutions: no personal items allowed (my purse was locked up and I was provided with a key); a registration card that included name, address, reason for research was required; and, only pencils were provided and allowed for note taking.
Nevada Historical Society on S. Virginia Street, Reno Photo: Nevada Historical Society
Seeing as the Nevada Historical Society’s Research Library has a collection of priceless books, manuscripts, photographs, maps, pam-
phlets, newspapers, film and other ephemera, it’s no surprise these Nevada treasures are closely monitored. (Eclectic page 26)
June • 2013 • 23
Eydie’s Excerpts Eydie Scher
The Indispensable Tool Woman
t only takes him 50 years to realize what is staring him in the face. He is well aware of my abilities like writing, playing piano, teaching and other attributes. David is handy and I am grateful for that. So is almost everyone female and some males in our neighborhood. The toilet is backed up, the sink eradica-
tor is stopped up, and the water heater pilot is out. The sprinklers don’t work and one of the sprinkler heads is shooting water straight up, and assorted other semi emergencies. The snake in our next-door neighbor’s backyard stops him in his tracks. David repairs all the other things but does not touch that fairly huge chubby reptile. A call to animal patrol relays how useful they are at eating insects so he
24 • 2013 • June
leaves it. It better not cross under the fence. I don’t think it would be a hit with the dogs or me. My spouse also has become somewhat of a furniture builder. The unit he built for our bedroom is awesome and it was his first such project. But whenever he is working on a project, I ask if I can help and he invariably says an emphatic NO. This time is totally different. I am indispensable, his word, not mine. This might be his attempt to assuage his guilt about screwing something up but hey, I’ll take it! Not only is he relating this to friends and family, but also to total strangers. What did I do to earn the accolades? This month I am hitting the big 70 and hitting it hard, with a hammer. With my kneepads and work gloves, I look the part. I am not only allowed to use the cordless drills, I am essential to the task. Back in March, the weather in Tahoe is a bit weird. We have snow, rain, and some mild sunny days.
Staying over at our “Cabin in the Woods,” David notices the bed is sopping wet and it isn’t from the dogs or me. The ceiling is leaking badly. Buckets catch the drips and fill rapidly. Would the entire ceiling cave in? Right over our bedroom is a huge deck. It doesn’t take an Einstein to figure out that is the cause of the problem. The entire deck has an ice dam that is about 5 inches thick. As the weather warms up, some of it melts in spots. The ice has to be dealt with. First we try to break it up with shovels. Next we try hammers and screw drivers. The heavy pieces are chucked over the side of the house. Evening slides away. Morning makes it way and we are at it again. No, this is not the fun part. But wait, it gets worse. The house, including this deck, is 26-years-old. A few years ago, we turned over the boards just to improve its appearance. Now we begin removing the boards. Under each board is an awful mixture of dead pine needles,
Uh oh. Rain reaches out over Tahoe. Will the deck hold its own or will it resume its flooding? A special trip up resolves the uncertainty. Water is not breaking through the bedroom ceiling. Puddles pour on the deck and wait for the sun to sop them up. Success is on our side! Pictures tell the tale of a
job well done. I get my pat on the back and indispensable lists alongside my credentials. Yes, I know women have come along way in construction but I’m starting this thing at what you might say is an advanced age. I love it. What can we build next? Comments always appreciate: email@example.com
A job well done. (finished deck)
dirt, and what can only be called gunk. The deck has about 60 boards. Each one has to be removed and the stuff cleaned out from under it. I am awarded the drill and I do some unscrewing to release the boards. Mostly my job and David’s is to clean out the mess and dispose of it in large black garbage bags that are then tossed over the side and carted carefully to the bear-proof garbage area. Since this stuff is soaking wet, you can imagine how heavy the bags are. This is not a single day job. The weather refuses to cooperate and snow again covers the work place. More moisture and even heavier bags greet us on our jaunts to Tahoe. Yes, we’re ready for the next stage. Carefully our feet tread on the unscrewed partially broken boards that threaten to hit us hard. One of us is going to have an accident. Well, it isn’t me but David’s foot falls through a board and he winds up with quite a scrape. The new boards are ordered and arrive on a Friday afternoon. Time is not wasted as he readies boards to be lifted up onto the deck. Hold on. This is where I begin to be more
indispensable. He hands the boards, one at a time, up to me on the deck. I grab them and haul them on the deck. Careless is not a label I want plastered on me. These are not lightweight. Two x 6 ‘s are pretty heavy and very long especially since I am only 5’1”. Six at a time is all I can manage. Today the sun is adding sweat to the task. Each board is measured and cut. NO I’m not allowed to use the saw. I need all my fingers to play the piano. My job now entails using the cordless drill to make holes for the screws that he fills them with. How did anyone manage before these drills? Imagine if we had to use a screwdriver and hammer. I’m not even going there! Hammers have not been kind to my thumbs in the past. Friday morphs into Saturday. Progress is evident. My picture is snapped holding up the two drills. The halfway point of the job is evident. My husband does not know the word rest but I do. This is exhausting work for a newly certified tool woman. Exactly 24 hours after the job starts, it is finished. Time is set aside to take the dogs down to the beach for a swim.
June • 2013 • 25
Electic / page 23
However, library staff are exceptionally helpful and knowledgeable. Even those not familiar with this type of library will feel welcomed. My search turned up some interesting information. It seems Mr. Jones was, indeed, a Washoe County Coroner, being elected to the position in 1875. No mention of a Mill Street residence, instead he lived and worked at 45 Virginia Street back then. I sensed a possible scandal in his marriage to the widow of a prominent local physician, in the same year as the doctor’s demise. That’s one of the delights of research - the surprises one doesn’t expect. Should you be interested in checking out an aspect of Nevada history, the Reference Library is open Wednesday through Saturday, from noon until 4 p.m. There’s no admission fee for the Library, but if you want to explore the Museum itself there’s a $4 charge. I’ve visited the Museum many times, most often to enjoy its special exhibits in the Changing Gallery. For first-timers I highly recommend a leisurely exploration of the five galleries of permanent exhibitions that tell the story of Nevada and its people through the last 13,000 (that’s not a typo) years. You’ll find the Museum open Wednesday through Saturday from 10 a.m. until 5 p.m. As Nevada’s oldest state museum, this gem located at the North end of the University of Nevada, Reno’s campus is truly a special place. (There’s even a small parking lot dedi26 • 2013 • June
cated to Museum visitors, so you don’t need to worry about an on-campus parking permit.)
Biggest Little City in the World Photo: Nevada Historical Society
Even if you’ve no need of the Reference Library, and aren’t in the mood for Nevada history, the Museum has a fabulous gift shop (no charge). The selection of Nevada and Western themed items is outstanding. I was first drawn to “rusted silk scarves and wild rags” produced by the Old 1862 Ranch - old farm implements are used to create unusual designs. Nevada’s silver is represented in handsome jewelry, reasonably priced. There’s a large selection of handmade soaps from several vendors. T-shirts are a gift shop standard; the ones with Hobo Signs & Symbols are great fun. Children will be charmed by the soft, stuffed animals - including the legendary Jack-a-lope and there’s a large rack of great reading for the younger set. The complete list of what’s on offer is almost endless ... Nevada history books, vintage postcards, DVDs, photographs, fine woodworking items, Nevada turquoise and so much more. The Nevada Historical Society is a 1650 N. Virginia Street. Telephone (775) 6881190. Why not add it to your to-do list today?
Answers page 28
June • 2013 • 27
VistaCare Hospice Changes Name to Gentiva Hospice VistaCare Hospice, serving Northern Nevada for 15 years, has announced that it is changing its name to Gentiva Hospice. A member of the Gentiva home health and hospice family of companies since April 2011, the name change reflects the relationship and resources of being a part of a national leader in hospice care. “As with VistaCare, Gentiva Hospice’s care is centered on the entire family, designed to help both patient and loved ones make the most of each day,” said Deborah Eby, RN, branch director of Gentiva’s local office. “Our team of professionals supports them with services in the home that include pain and symptom management, HME and related medications, emotional and spiritual support, Crossword p.27
28 • 2013 • June
and a comprehensive bereavement program.” Most hospice services are covered by Medicare, Medicaid, and many private health insurance companies, as well as through private pay. To be covered by insurance, candidates for hospice must have a lifelimiting illness with a life expectancy of six months or less, and must be referred by a physician or other provider. “Gentiva Hospice can help patients and their families determine eligibility and research all available resources,” Eby said. Physicians, referral sources and families who would like more information or to receive a free DVD titled “Hospice and Your Loved One” should call Gentiva Hospice at 775825-5008 or go to www.gentiva.com/hospice.
NEVADA INFORMATION .........................211 AARP INFO. CENTER .........................328-2506 ALZHEIMER’S ASSOCIATION 1301 Cordone Ave, Suite 180, Reno-786-8061 CARE CHEST 7910 N. Virginia Street, Reno..............829-2273 COMMUNITY SERVICES AGENCY 1090 East 8th, Reno .................................786-6023 ELDER PROTECTIVE SERVICES ADSD.….........................................................688-2964 FOOD BANK (TRUCK).......................331-3663 FOSTER GRANDPARENT.................358-2768 HAWC CLINIC 1055 South Wells, Reno..........................329-6300 MEDICATION MANAGEMENT, UNR ............................................................................784-1612 NEVADA STATE WELFARE...........684-7200 CENTER FOR INDEPENDENT LIVING 999 Pyramid Way, Sparks......................353-3599 RTC ACCESS TRANSPORTATION Information..................................................348-0477 RENOWN MED. LOW INCOME CLINIC 21 Locust, Reno..........................................982-5270 RSVP................................................................784-1807 SANFORD CENTER FOR AGING UNR.................................................................784-4774 SENIOR COMPANION.......................358-2322 SENIOR Community Services Employment Program, AARP 1135 Terminal Way, Ste. 102, Reno...323-2243 Job Connect……..........................Reno - 284-9600 ..........................................................Sparks - 284-9520 SENIOR LAW PROJECT.....................328-2592 SENIOR OUTREACH SERVICES...784-7506 SENIOR SAMPLER (Assistance League) 1701 Vassar St., Reno...............................324-2003 SHIP (STATE HEALTH INSURANCE ADVISORY PROGRAM)...........800-307-4444 SOCIAL SECURITY 1170 Harvard Way, Reno..............888-808-5481 VETERAN’S ADMINISTRATION Medical Center, 1000 Locust Street, Reno ............................................................................328-1293 VETERAN’S BENEFITS 5460 Corporate Drive, Reno.......688-1653, X1 (Source: Washoe County Sen. Services)
June • 2013 • 29
this ‘n that
by Anne Vargas firstname.lastname@example.org
Doing What We Do—Again, continued By way of repeated explanation, I regularly sail off into the sunset on lovely cruise ships because my husband is on board as a guest lecturer. Nice as this life is, I have frequently been known to say “the next one is the last... I want to stay home.” Being a somewhat timid traveler, I regularly find myself in the middle of a muddle, subsequently writing about my misadventures. Since a number of readers have asked for more specifics about cruising the way we do it, I decided to describe our February trip to Viet Nam,“Doing what we do…” parts one and two. The intended two articles expanded to four and I am now writing part five from the Mediterranean.
e left in late April to join the last leg of the World Cruise on Seabourn. A world cruise is exactly that; a cruise that goes around the world in 100+ days. The cruise lines that offer them usually have a faithful following who return every year, boarding on day one and staying until the end. These passengers, understandably, feel they are special and
30 • 2013 • June
somewhat entitled since they do the entire trip. There are happy reunions among those who have done it before at the beginning but by the end there can sometimes be a bit of tension and resulting stories. The itineraries feature “segments”, (“legs”) so other passengers board and depart, sailing on whichever of those is appealing. The end result
is two distinct groups of passengers, each deserving attention. The very skilled staff and crew are challenged to keep the rotating segment people from feeling excluded and the “world-ers” feeling exclusive. Entertainers and lecturers are brought on/off throughout the entire cruise to ensure there is always something new and we have been a part of this on five occasions with different
cruise lines, invariably returning home with interesting tales to tell. We were to join the ship in Israel in the middle of the last leg, instead of at the beginning. Security there is extremely tight; even on the plane passengers must remain strapped in their seats after it enters Israeli air space. Since we would be the only people boarding the
this ‘n that / page 30 ship (which was to sail at 9 p.m.) and time was short, we were comforted to have the name and number of the port agent who would pick us up at the airport. We arrived on time in Tel Aviv, around 5:30 p.m. Our luggage even accompanied us (sometimes it doesn’t) so we were feeling very relieved until we realized there was no one there to meet us. This had supposedly been arranged and confirmed according to the paperwork we had received. We finally located a helpful airport representative who called the port agency. They had never heard of us and knew nothing about picking us up but said they would send “Moshe” to drive
us to Ashdod, where the ship was docked. We were told to sit down and relax, that Moshe would be there “very soon” but it was hard to relax since it was nearing 7 p.m. and how did we know Moshe would really show up? We’ve worked out a division of labor as we travel, each of us having responsibilities. I am in charge of worrying (as well as hysteria, according to my spouse) and I do it very well. Pacing anxiously, I envisioned every possible awful scenario and suggested every five minutes that we just take a cab to the ship. Fortunately, my husband ignored me; that would have been a catastrophe. Thirty minutes elapsed before Moshe arrived; another thirty before we reached
the entrance to the port where he had to stop because cabs/private cars are not allowed in there. Moshe called someone inside the gate who came out to pick us up. In this second car we drove through a winding concrete maze until we reached an immigration booth where we had to show passports and be interviewed. They had a list of all the people authorized to board the ship but our name wasn't on it so they wouldn't let us continue until we were verified. Eventually someone did that and we were able to proceed but if we had taken a cab we would have been deposited with our luggage at the port entrance (about 3 miles from the ship) and left to fend for ourselves. Joining a cruise in
the middle, instead of when it begins, is unusual at best; trying to do it in Israel was exciting but I can do without “exciting”. The gangway was about to be raised by the time we reached it, and I was damp with nervous perspiration, doing a lot of spirited muttering that this was absolutely the last time I was going to go on a cruise. Now the fact they gave us a lovely cabin with a balcony (not what we usually get) did help a bit, as did a wonderful dinner. And when I woke up to a glorious sunrise the next morning and sipped coffee on that balcony as the ship glided effortlessly through waters so serene it seemed we were on a pond, life did seem a bit better. I was still muttering but not as loudly.
June • 2013 • 31
Seniors4Travel Robert Boyd & Carolyn Prusa
ne of our offspring is now residing in Ukiah, California. Reason enough for us to begin planning a road trip to the historic community in the upper Russian River Valley of northern California. Offspring notwithstanding, there are any number of other reasons warranting a visit. Who doesn’t like charming small towns with lots of character? With a population of about 16,000, Ukiah is the largest city in Mendocino County as well as the county seat. Nonetheless, it’s as small-town as it gets. If you
don’t fall in love with Ukiah’s 19th-century architecture and tree-lined neighborhoods, we’d be surprised. Author Norman Crompton seems to agree. In his book '101 Best Small Towns in America', Crompton ranked Ukiah the #1 best small town to live in within California, and the sixth best place to live in the United States. The historic downtown is best explored on foot. Don’t miss the farmers market that takes place every Saturday throughout the year. Ukiah Brewing Company, at 102 S. State St., is the nation’s first certified organic brewpub.
Stop by the Grace Hudson Museum at 431 South Main Street, and learn a lot about the local region as well as the history of the artist’s family. The community hosts numerous special events. Here is a sampling. Taste of Downtown June 21, 2013 This evening of fine wines, micro brews and specialty food items also includes local musicians and artists. It all takes place on the streets of historic downtown Ukiah. The Chair Affair at The County Seat June 28, 2013 Celebrating the artistic transformation of the common chair, this Ukiah event showcases 28 Art Chairs as well as other artworks, wine, and local businesses of Mendocino County. Using Ukiah as home base, you can explore beaches, back roads, and vineyards. If wine is your thing, check back with us next month for some recommended winery visits. Montgomery Woods State Natural Reserve Fifteen miles northwest of Ukiah on Orr Springs Rd. is the Montgomery Woods State Natural Reserve. A 3mile round-trip trail through the redwood forest follows Montgomery Creek to groves that have never been logged. A coast redwood growing in the Reserve is the tallest known tree in the world. It stands five stories higher than the Statue of Liberty. 707/937-5804.
32 • 2013 • June
The City of Ten Thousand Buddhas Three miles east of Ukiah, across U.S. 101, is The City of Ten Thousand Buddhas is a Buddhist community and temple. It is a classical Asian teaching facility for monks, male and female followers of the Dali Lama. As one visitor put it, walking into the City of Ten Thousand Buddhas with a camera is similar to a threeyear-old walking into a candy store without parents. Free and Amazing. Enjoy the lush gardens and an Asian-style vegan lunch at Jyun Kang Vegetarian Restaurant. Sierra Nevada World Music Festival Mendocino County Fair 14480 Highway 128 Boonville, CA 95415 June 21-23, 10 a.m. - 10 p.m. With two stages and a "Jamaican-style" Late-Night Dancehall, the Sierra Nevada World Music Festival is an experience for the entire family. The array of children's activities includes arts and crafts, bounce houses, dance and music workshops, a festival parade and family camping opportunities. The vendors at the international festival village are handpicked to provide an exciting selection of international cuisine and arts. The 2013 Festival Village will be offering foods, crafts and art from such places as Indonesia, West Africa, Jamaica, Ethiopia and India. The Sierra Nevada World Music Festival is known for the positive, conscious, environmentally aware community it attracts. Cost: 3-day pass $170; one day tickets vary. Camping additional.
little City Harry Spencer
istening to Mike Houghton, Air Races CEO, last week about the upcoming 50th Anniversary of Reno’s most prestigious event was extremely uplifting for this writer. It was a half century ago when I had a surprise caller to my office in the Mapes Hotel in the person of one Bill Stead. I was quite familiar with Bill because he was a close personal friend of Bill Stead Charles Mapes, and he Nevada Aerospace would often visit him in the hotel. I asked him what I could do for him. He responded that he had just met with Mapes about the possibility of establishing a Reno Air Race. When I looked at him rather quizzically, he said that Mapes had agreed to the hotel being the headquarters for the race should he get it on. He said his next stop would be Harold’s Club, where he intended to ask Roy Powers for the Club’s participation. As it turned out he was successful at Harold’s, and he returned to the hotel so that we could start preliminary planning. One of our first projects was to schedule a Press Conference in Sacramento, California in order to charge up our tourist base in the Valley. Prior to our journey to Sacramento, we had received acceptances from the Sacramento Bee, several television stations, numerous radio stations and both the AP and UPI News Bureaus. Also, we had managed to lure several Bay Area sports editors to attend. When it came time to fly down to Sacramento, Mapes informed me that
A pair of Sport Class racers passing the finish pylon, 2003. Photo by Eric Gideon
Stead would fly us down in a private plane. We met Bill at the airport and the three of us climbed into a small Piper Cub. Because of the weight distribution, I sat in the seat behind Stead to counterbalance Mapes’ almost 300 pound figure. We were strapped in our seats when Mapes asked Bill if this was his plane. Stead replied, “No, I borrowed it.” He added, “It’s just like driving a car, if you can drive one you can drive them all,” whereupon he gunned the engine but the plane did not move. Frustrated, he said, “I wonder what’s wrong with this thing.” Even Mapes was fidgeting in his seat. Finally Stead glanced out of the side window and said, “Gee, I forgot to take off the tie downs.”
tie down incident increased my trepidation about the flight in general. However the worst was yet to occur.
This was the beginning of a plane ride that I was never to forget. As we circled Reno to gain altitude, Mapes asked Bill if he had filed a flight plan. Stead’s response was, “Oh no, it’s just a short trip. I’ll call the airport in Sacramento in plenty of time.” He added a question to Mapes that I thought was peculiar when he said, “Would you like to take an exciting route to Sac?” Mapes replied, “What do you have in mind?” Stead said, “I think I’ll fly you down through the Truckee River Canyon.” As we entered the canyon mouth I noticed that the tree-lined cliffs were often quite a ways above the plane and on several occasions Stead had to bank the craft sharply as he maneuvered through the narrow opening. This coupled with the
During this maneuver I had an awful premonition that Mapes’ seat belt might give way and if it did he would fall on the smaller Stead, maybe even knocking him out of the plane, making it impossible for him to fly. Fortunately that did not occur, but I was already making plans to take the Greyhound bus back to Reno following the Press Conference. The ploy I used was that I had to stay in Sacramento until photos that had been taken at the Press briefing were developed and printed.
It happened when we broke out of the mountains and were above the Sacramento Airport. Stead again turned to Mapes and said, “I think I will give the boys in the tower a thrill.” When I heard this I didn’t know what to expect but was soon to find out as Stead dropped the plane to a low altitude, tipped it to the left so that the plane was 90 degrees to the ground and circled the landing strip. Once he had made a complete turn around the field, he quickly flipped the plane to the right and the wheels hit the ground simultaneously.
Of all the exciting events that occurred during the first Air Races, the trip to Sacramento with Stead at the controls is still the most memorable in my mind. (To be continued) June • 2013 • 33
Nevada Rural Counties RSVP Director Janice Ayres Dies Nevada Rural Counties Retired Senior and Volunteer Program Director Janice Ayres passed away May 27, in Carson Tahoe Hospital, in Carson City. Ayres, 92, was battling cancer and died from complications following surgery. Ayres held the position as
Nevada Rural Counties RSVP Director since 1979, providing assistance for countless seniors and homebound elderly and disabled. The RSVP program provided assistance to seniors in 15 counties. Ayres was often seen at the Nevada Legislature advo-
cating for program funding. The history of her advocacy dates back numerous years, having served on several non-profit organizations and boards. Ayres was a former Nevada Nevada Rural Counties RSVP Program, Executive Director Janice Ayres, honored for 30 years of service by U.S. Sen. Harry Reid at a Washoe County RSVP volunteer recognition event in Reno, 2008. Photo: Connie McMullen
Commission on Aging member, V&T Railroad Reconstruction fundraiser, and a former member of the Carson City Board of Supervisors. In the early years, she also worked as a public relations person for Walt Disney. In 2008, she was honored by the Washoe County RSVP program, and in 2010 was given a Living Legacy Award from the University of Nevada Reno, Sanford Center for Aging. Ayres founded the Nevada Senior Corps Association, a non-profit educational/charitable organization, and served as its president. Over the past few years, she advocated for and helped create the Nevada Senior Advocates, a statewide non-profit working to support the needs of persons with disabilities and the aging population through advocacy to policymakers at the state, regional and local levels of government, and the private sector. 34 â€˘ 2013 â€˘ June