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redefining life after 45

Financial Strategies

Men's Healthcare Checklist

for your 50s & 60s

Patti Page Legendary singer and spokesperson for National Committee of Grandparents for Children’s Rights (NCGCR)

Parenting... the Second Time Around Long Island’s Bicycle Boom Where to go for fun & fitness $295

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M A K I N G 4 | fall ‘09 | generations

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D I F F E R E N C E

E V E R Y D A Y


Restorative & Cosmetic Dentistry By Dr. Terry S. Shapiro - Serving Suffolk County for over 25 years

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Two prospective patients came into the office recently with the same complaint. Both had lost all of their

teeth and were wearing worn-out and ill-fitting dentures. Their dentures were loose; they had trouble eating foods they would have liked; their faces had that sunken-in look and they were in constant pain. Their previous dentists recommended implants to stabilize the dentures. The problem was that as they were both retired and on fixed incomes they could not afford implants. What to do? Yes, implants are a wonderful service and have revolutionized what we can do to improve lives. I love implants! But due to the laboratory and materials costs involved, they are expensive. My approach is different from

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other dentists. I make new, customfitted dentures for my patients and explain to them that if the new dentures don't fit and function well, we can then add implants. My experience is that the denture patient does very well with the new dentures and rarely decides to go ahead with the implants. Implants are always an option but they don’t have to be the first option. I believe that patients like these can be well served with well-fitting dentures.

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s ’ r e h s i l b u P ner Cor

Sitting on my beach chair at Davis Park on Fire Island, I think how wonderful it is to live on this beautiful island of ours! We say goodbye to summer and we embrace the coming of fall - the harvest, the festivals, THE COLORS! Enjoy a bike ride, a great form of exercise. What better way to take in the scenery than from one of our many biking trails. Don’t forget the sun block! Read more about sun damage and the dangers of tanning in our article by Dr. Lisa Makrides of Long Island Beauty MD. Our feature story, “Parenting the Second Time Around,” tells how many grandparents have been faced with the roll of caregivers to their grandchildren. The National Committee of Grandparents Rights (NCGCR) are advocates for helping to place children in permanent homes while creating laws to protect the children while in kinship care. In this issue, we are focused on our futures. An interesting fitness article by John Boos, “Back to the Future,” searches for the true fountain of youth. You may be surprised to find where the key lies! Because Finance is an important matter to our readership, our writers are always thinking about the big picture. Jonathan Boswick, financial advisor, provides some insight for your “50s and 60s,” asks you to envision what you want your retirement to be, and offers advice as to how you can achieve it. Future happiness and fulfillment and how to realize it is being addressed in a series of articles by Andrea Fienberg, M.B.A., life coach. “I Can See Clearly Now” will help you think about what is really important to you in life. Visit our website, click on the blog page, and let us hear from you. Generations Magazine can be found in CVS Stores throughout Nassau and Suffolk Counties as well as King Kullen, Stop & Shop and Best Yet Food Markets, public libraries and over 700 other high volume businesses throughout the island. Enjoy our fall issue! Gia Ricottone - Publisher

Publisher Gia Ricottone redefining life after 45

Generations Magazine PO Box 961 | Port Jefferson Sta., NY 11776 ph. 631.473.0388 |www.generationsmagazine.com

Editor Pamela Smith Art Direction Advertising Dynamics & Art Inc. Advertising Sales Dorothy Ricottone Paul Gembs

6 | fall ‘09 | generations

CONTRIBUTORS Andrea Feinberg, MBA Brigitte Castellano Terry Shapiro, DMD John L. Boos L.M.T., N.S.C.A.-C.P.T. Lisa Makrides, MD, PC Mary Ann Kuntz


Smart Skin Care

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Even though summer has slipped away, it’s still important to think about sun and UV protection. Melanoma rates are on the rise and a few simple tips can help you protect yourself and your family. The sun’s rays are an important part of our everyday lives and can be beneficial in many respects; some individuals require the sun’s rays to feel well and all of us need the rays for vitamin D. However, in excess sun exposure can lead to wrinkling of the skin, age spots, basal cell cancer, squamous cell cancer, melanoma, and even blindness. The sun’s rays are composed of ultraviolet light, UVA, UVB, and UVC. Some of these rays are absorbed and some of them are scattered and reflected. The absorbed rays cause protein and cell damage. The protein damage occurs at the level of our cellular DNA. DNA damage is manifested as a change in the cell structure which can lead to abnormal cell growth. Abnormal cell growth can translate into skin cancer and permanent damage to the eye causing blindness. The National Institutes of Health have classified solar ultraviolet radiation and sun lamps and beds as a carcinogenic. Carcinogens are agents known to cause cancer. Sunburn is usually the first evidence of UVB damage and tanning is the long-term effect of UVA and UVB sun exposure. The UVA rays may be thought of as the aging rays and are most likely responsible for the long-term harmful effects of sun exposure. Sun tans are

16 | spring ‘08 | generations

merely a sign of damaged skin; the bodies defense mechanism against sun exposure, i.e., to produce more melanin in the skin. This damage is cumulative and irreversible over time. When a physician sees a patient with tanned skin it should immediately alert them to look for signs of skin cancer. Protection is the key to avoiding the hazards of sun exposure. Hats, sunglasses, sunscreen, and protective clothing are essential for everyone to wear. When should someone start thinking about protection? People should start using sunscreen immediately. Good habits should start as early as infancy, continue through adolescence and follow through until adulthood. A majority of sun damage occurs before the age of 18 so parents need to be especially vigilant about caring for their young children. Teenagers may be somewhat harder to convince but should be reminded and encouraged often to protect their skin. Just remember that a tan is sun damage. It may look healthy to have a tan but in reality it is not. People of all color need to realize that unprotected exposure over years is responsible for the visible signs of aging but even more importantly the cancers that can kill. Not all sunscreens are created equal. When choosing a sunscreen make sure that it is broad spectrum, meaning that it protects against UVA and UVB rays. It is important to apply sunscreen properly. This means applying appropriate sunscreen 20 minutes before you go out so

that it has time to bind to the skin. You need to also apply the proper amount. The average adult requires approximately one shot glass amount of sunscreen per each application. Sunscreens also need to be reapplied every two hours. There is some new emerging evidence that not reapplying may be more damaging than never having applied sunscreen to begin with. Don’t be mistaken and believe that a sunscreen will have adequate protection all day long. Also, “very water resistant” means that you need to reapply every 90 minutes if swimming and if “water resistant” the sunscreen needs to be applied every 40 minutes. Lastly, do not use expired sunscreen. Make sure you check the date before using and discard old products. I can’t stress enough how important it is to be sun “smart.” Even if premature aging isn’t a concern of yours, skin cancer should be. Losing a relative or friend to skin cancer is just unnecessary in this day and age when we are more educated regarding the hazards of poor protection and unsafe sun practices. For further information please contact Lisa Makrides, MD, PC at 631.751.0542, or visit www.libeautymd.com www.generationsmagazine.com | 7


fall ‘09

redefining life after 45

cover articles 12

Win

Men's Healthcare screening checklist

14

Long Island Bicycle Boom

E THREE THEATR Y

to Generations Magazine You will automatically be entered in our drawing to win tickets to Theatre 3 in Port Jefferson

Parenting the second time around

18

Financial Strategies for your 50s & 60s putting a plan in place

subscription

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where to go for fun & fitness

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FREE

4 Free Ticktoets

Name Address City, State, Zip

table of

contents

7 19 20 22 24 25 26 27

Smart Skin Care Marketplace Fountain of Youth Dinner Parties Bisphosphonates & Osteonecrosis of Jaw Crossword Puzzle Creating Personal Vision

Phone Where did you get your copy of Generations?

What topics would you like to see in future issues?

SEND TO: Generations Magazine • PO Box 961 Port Jefferson Sta., NY 11776 OR EMAIL US AT: info@generationsmagazine.com

crossword solution puzzle on page 25

Planning for Care vs. Crisis Planning

8 | fall ‘09 | generations

Email


Islip Landing... the lifestyle you deserve. Homes starting at $275,000

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The complete terms are in an offering plan available from the sponsor. CD05-0235 & CD05-0465. Prices are subject to change without notice.

Islip Landing: Carefree Lifestyle For All Seasons What do residents of Islip Landing have in common? After

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visiting the charming traditional neighborhood in Central Islip, they all fell in love with its lifestyle and became homebuyers. The Islip Landing Community boasts exquisite, 2- and 3bedroom town homes and condominiums with all designer upgrades included. The Club, featuring a state-ofthe-art fitness center, billiard and card room, community meeting room, plus a heated outdoor pool and sundeck makes this the social “meet and greet” center for all seasons. A playground in this petfriendly community of young professionals, families and retirees offers something for

everyone and is only five minutes away from the East Islip Marina where you can fish, crab, eat and enjoy the view of the Great South Bay. “Historically low mortgage rates and special buy-down promotions being offered by the developer makes this a buyer’s market and a wise investment,” said Joyce Michaels, assistant director of sales & marketing of The Benjamin Companies, the developer of Islip Landing. The community is located adjacent to the Town of Islip’s nine-hole Gull Haven Golf Course, and some units offer golf course views. Nearby are the Southern State Parkway, the LIRR Central Islip railroad station and the home of the Long Island Ducks.

Some residents make the decision to downsize but still stay on Long Island to be near their children and family. “The seasonal views overlooking the golf course from every window of our townhouse really sold us,” said one homeowner. “We have our own little community consisting of warm and friendly neighbors and social events which brings everyone together. Our new home and lifestyle is better than we ever imagined!” For further information please contact: 631.297.8008 or visit www.isliplandingny.com www.generationsmagazine.com | 9




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Men’s Healthcare Screening Checklist

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While the life-expectancy gap between men and women has decreased, it’s no secret that men still need to pay more attention to their bodies. Several things work against men. They tend to smoke and drink more than women. They don’t seek medical help as often as women. Some men define themselves by their work, which can add to stress. There are also health conditions that only affect men, such as prostate cancer and low testosterone. Many of the major health risks that men face – like colon cancer or heart disease - can be prevented and treated with early diagnosis. Screening tests can find diseases early, when they are easier to treat. It’s important to have regular checkups and screenings. This chart lists recommended screenings and immunizations for men at average risk for most diseases. These are guidelines only. Your doctor or nurse will personalize the timing of each test and immunization to best meet your health care needs.

Screening Tests

Ages 18 - 39

Ages 65 and Older

Yearly

Yearly

Yearly Heart Health: Blood pressure test

Yearly

Yearly

Yearly

Cholesterol:

Start at age 20, discuss with your doctor or nurse.

Discuss with your doctor or nurse.

Discuss with your doctor or nurse.

Discuss with your doctor or nurse.

Diabetes: Blood sugar test

Discuss with your doctor or nurse.

Start at age 45, then every 3 years

Every 3 years

Every 3 years

Discuss with your doctor or nurse.

Discuss with your doctor or nurse.

Discuss with your doctor or nurse.

Prostate Health: Digital Rectal Exam (DRE) Reproductive Health: Testicular exam

Monthly self-exam; Monthly self-exam; Monthly self-exam; Monthly self-exam; and part of a and part of a and part of a and part of a general checkup. general checkup. general checkup. general checkup.

Colorectal Health: Fecal occult blood test

Yearly

Yearly

Colonoscopy

Every 10 years

Every 10 years

Yearly

Yearly

Rectal Exam

Discuss with your doctor or nurse.

Eye Exam

If you have any Every 2-4 years visual problems; or at least one exam from ages 20-29 and at least two exams from ages 30-39.

Every 2-4 years

Every 1-2 years

Hearing Test

Starting at age 18, Every 10 years then every 10 years

Every 3 years

Every 3 years

Skin Health: Mole exam

Monthly mole selfexam; by a doctor every 3 years, starting at age 20.

Monthly mole selfexam; by a doctor every year.

Monthly mole selfexam; by a doctor every year.

Monthly mole selfexam; by a doctor every year.

One to two times every year

One to two times every year

One to two times every year

Oral Health: Dental One to two times every year exam

1612| |spring ‘08 | | generations generations fall ‘09

Ages 50 - 64

Every 2 years

General Health: Full checkup, including weight and height

Every 3 years

Ages 40 - 49

Discuss with your doctor or nurse.


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Long Island’s Bicycle Boom

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From babies to boomers, bicycling is a family friendly activity that all ages can enjoy. For Long Islanders who

enjoy biking with family and friends, we have compiled a guide to bike paths of varying degrees of difficulty. For the casual rider who enjoys low impact cycling, you may want to visit one of the mostly flat, traffic-free recreation paths for a safe ride through interesting places with great scenery. For the more adventurous cyclists, we highlight two excellent onroad trips through the beautiful eastern end of Long Island’s North Fork. Whichever path you choose, we hope you enjoy the ride! Heckscher Park-Central Islip: This flat bikeway is an extremely easy ride and pleasant run through a grove of woods and open fields to broad beaches on the Great South Bay. Swimming facilities are provided at Overlook and West beaches and in the Overlook pool. Heckscher State Parkway in East Islip. (631) 581-2100. Total Mileage: 10 Bethpage State Park, Bethpage Bikeway: One of Long Island’s most popular “lowimpact” trails, this paved route runs the length of Bethpage Parkway, cutting through Bethpage State Park and the Massapequa Preserve to Merrick Road. It’s good for beginners most terrain ranges from flat to gentle slopes. The route can be picked up anywhere off the parkway or at the picnic area parking lot of Bethpage State Park. (516) 249-0701. Total Mileage: 7.6

16 | spring ‘08 | generations 14 | fall ‘09 | generations

Cedar Creek Park, Wantagh to Jones Beach: Cool off on a hot summer day with this popular bike and roller blade route to one of Long Island’s most famous south shore beaches. It’s a safe, paved trail that runs along the Wantagh State Parkway to Zach’s Bay, site of the Jones Beach Theater. At the end of the trail, there’s a place to lock your bike and walk over to the bay where you can enjoy a refreshing dip in shallow, still water. Or walk just a mile farther through the theater parking lot to the main boardwalk area of Jones Beach and go for a swim in the ocean. Cedar Park Parking Field 3. (516) 571-7470 Total Mileage: 9 Orient Point to Greenport: This ride begins at the Orient Point Ferry Terminal, on the easternmost tip of Long Island’s North Fork. The ride ends in downtown Greenport but it’s also a good route if you’re considering a tour of Long Island’s winery region. The shoulders of Rt. 25 from this point are designated as “Bike Route 25.” Both sides of this sometimes busy road are striped with wide, wellmaintained lanes. The ride to Greenport passes quaint “bed & breakfasts,” farm stands, a beach, and a short stretch along the scenic Peconic Bay. Ultimately, you will reach Main Street, where you’ll turn left and continue about another mile into downtown Greenport. Highlights include an historic carousel, an outdoor amphitheater, outdoor cafes and a host of antique shops and crafts boutiques. Total Mileage: 16

Greenport to Sag Harbor: Some places were just made to be seen from atop a bicycle. The areas you’ll pass through on this ride are beautiful from any vantage point, but there’s nothing like seeing them on two wheels. Begin this ride at the Shelter Island Ferry Station in downtown Greenport. You’ll be riding two separate ferries on this trip, so be sure to bring money to cover both round trips. Ferries leave every few minutes during peak season. Take your bike on the ferry to Shelter Island then follow Rt.114 South up a short, but pretty steep hill. Traffic immediately past the ferry may be a little busy, but it opens up once you pass the restaurants and shops. Stay on Rt. 114 South and stick to the shoulder. As you get deeper into the quiet residential area of the island, keep your eyes open for deer. They tend to pop out of the woods unannounced. Follow signs for Rt. 114 until you reach a downhill that leads to the South Ferry Terminal. Take this ferry to North Haven. When you get off in North Haven, stay on Rt. 114, following signs to Sag Harbor. Be careful at the traffic circle! Be sure to go right and loop around as if you are driving a car. After a short, scenic journey past some really nice houses, you’ll reach a bridge that will take you into Sag Harbor. Total Mileage: 16


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Parenting By Brigitte Castellano

the Second Time Around

A

Ask any grandmother if she enjoys her new status as a grandparent and I bet you will send her gushing about her wonderful grandchildren as she whips out the photos of her darlings. Hey, you can’t blame us grandparents. We have found our niche. We get to give our grandchildren our hearts without getting the headaches that come from parenting. Not all grandparents are so lucky. There is another group of grandparents out there who are parenting their grandchildren 24x7 and who can’t walk away when junior gets sassy. They are the selfless champions who are raising children the second time around. These grandparents aren’t looking forward to retirement. They worry about day care and schools. They are on top of the

In spite of the many challenges facing these grandparent caregivers, when given the choice, they chose the children every time. new math as well as being familiar with iPods, iPhones, and My Space. It’s a whole different ball game than when we were raising our children. The world was safer. Kids could stay outside all day playing but had to be in before dark. Now kids have cell phones so parents can keep tabs at all 16 | fall ‘09 | generations

times. In spite of the many challenges facing these grandparent caregivers, when given the choice, they chose the children every time. Without these grandparents stepping in, their grandchildren would be in foster care. Nationally, there are over 500,000 children in foster care but over 6 million children in the care of grandparents and other relatives. When I first started as an advocate for grandparent caregivers in 1999, upon the death of my daughter, there was very little information available, and certainly no laws to protect the children in our care. A grandparent could be caring for a child in his/her home for ten years and, at any time, a previously absentee or non-

involved parent could come back in and decide to take the child. Judges oftentimes ruled in favor of the parent (even when the parent was a felon). Because of that, many children were treated as possessions and ripped from loving homes without a best interest test by the court (as happened to our grandson). During those years of advocacy, we grandparents discovered that it is important that we come together as one voice if we wanted to make changes, and that is how the National Committee of Grandparents for Children’s Rights (NCGCR) started. NCGCR is headquartered in Long Island, NY at the School of Social Welfare at Stony Brook University, and has grown to 41 chapters around the country.


In 2003 our organization succeeded in the passage of the Grandparent Caregiver Rights Act, which states that if a grandparent has been caring for a child for twenty-four or more months, and a non-involved parent wants custody, the court must determine what is in the best interest of the child before making the custody decision. Since then, other laws affecting children and grandparents have been passed as well. Our organization has become much more vocal, holding annual rallies in Albany to make legislators aware of what grandparent caregivers need in New York State, and we have partnered with other groups to organize bi-annual rallies in Washington, D.C. The national rallies have resulted in the passage of a federal law called Fostering Connections for Success which was signed by President Bush in October, 2008. This bill included the notification of grandparents by the Department of Social Services as soon as children are removed from a parent’s home by Child Protective Services. NCGCR is proud to have a wonderful grandmother caregiver as our Honorary Spokesperson, and that person is the legendary singer Patti Page (“The Singing Rage”). Three years ago, I had the opportunity to interview Patti. At the time, Patti and her husband, Jerry Filiciotto, were raising Patti’s two granddaughters, Page now 14 and Sarah now 16. Patti and her 16 | spring ‘08 | generations

husband gave us a tour of their farmhouse in NH, and we met Page and Sarah who were quite charming. It was clear that Patti and Jerry were doing a wonderful job raising these girls. In 2007 Patti was asked to be our Honorary Spokesperson. Since then Patti has participated in other national events giving freely of her time and talents to the cause of grandparents parenting the second time around. Sadly, Patti’s husband, Jerry, passed away this past April so it means Patti is the only full time caregiver of the girls. In spite of her hectic schedule, Patti makes the effort to travel to places where our events are held. She willingly greets the people who come to meet her and is always gracious to her fans. At the same time, she speaks of her experiences as a grandparent caregiver and emphasizes that we all must work together to ensure that the children in our care have the same opportunities that all children deserve. Patti has given a voice to this previously forgotten population. The 2000 census showed that, on Long Island alone, there were 66,000 grandparents caring for minor children and many more children in other forms of kinship care arrangements. In spite of these numbers there were few services available and grandparents struggled to make the best out of a challenging situation. In 2005, our organization received a grant from the New York State Office of Children and Family Services to establish the Long Island KinCare Connection program. This grant enables the organization to provide walk-in

For further information please call our office at Stony Brook University, 631-444-3160, call our toll free line at 866-624-9900 or visit www.grandparentsforchildren.org. centers at our office in Hempstead and at the School of Social Welfare at Stony Brook University. The goal of KinCare Connection is to promote permanency for children living with caregiver relatives and to help children to be placed with relatives. The program provides counseling, support groups, entitlement information, and also works with an attorney who provides free consultations to grandparents seeking custody or visitation.

www.generationsmagazine.com | 17


Financial Strategies

for your 50s and 60s

W

When you started out in your career, you may have focused on paying off student loans, buying a home, and, hopefully, starting to save for retirement. Generally speaking, these are pretty straightforward goals. But by the time you enter your 50s and 60s, your financial objectives may be somewhat more complex, so you will need to take great care in creating and implementing the right strategies.

What You’ll Need – and What You’ll Have During your 20s, 30s and 40s, you may have put away as much as you could afford in your 401(K) and IRA, but your more immediate concerns were paying

For starters, you’ll want to envision a retirement lifestyle. Of course, you may have done this exercise when you were younger, but your plans could easily have changed. someone else - your student loan provider, your mortgage company, your children’s college, etc. Once you reach your 50s, you may have finished with these types of obligations, and that gives you an opportunity to look ahead. For starters, you’ll want to envision a retirement lifestyle. Of course, you may have done this exercise when you were younger, but your plans could easily have changed. Now it’s time to take a close look at what you expect from retirement. Where will you live? Will you travel much? Volunteer? Open a small business? 18 | fall ‘09 | generations

The possibilities are vast – and so are the differences in cost. So, to navigate your course during the years left until you retire, you will want to know what your retirement will look like - and how much it will cost. Once you know about how much money you will need to fund your retirement, your next step is to look at your potential retirement assets: Social Security payments, distributions from your 401(k) or other employer sponsored plans, and income from your personal investments, such as bond interest and stock dividends. Factoring in all these resources, will you have enough to enjoy a retirement that could last two to three decades? If not, what can you do about it during the years before you retire? Should you adjust your portfolio to provide more growth? Can you contribute still more to your 401(k) and IRA? If you have “maxed out” on these vehicles, should you look for another taxadvantaged retirement vehicle, such as an annuity? Clearly, these are not simple questions to answer, which is why you may be able to benefit from working with a financial professional – someone who knows your situation and can help you create individualized strategies to meet your goals.

estate. Specifically, you will want to have the appropriate legal documents in place. Have you named the correct beneficiaries on your insurance policies? Do you have a will and a living trust to make sure your assets will be distributed according to your wishes? Do you have a durable power of attorney so that someone can make financial decisions on your behalf if you become incapacitated? By working with an experienced estate-planning attorney and tax professional, you can protect your financial interests – and those of your family. So don’t delay – the sooner you start, the less you will have to worry about in retirement.

Put Estate Plans in Place Beyond estimating the cost of your retirement lifestyle and assessing your financial preparedness, what else can you do in your 50s and 60s to make sure you are on track to meet all your goals? You need to plan your

For further information please contact: Jonathan Bostwick, Edward Jones Financial Advisor, Member SIPC. (631) 928-2034. jonathan.bostwick@edwardjones.com.


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Back to the future... the true fountain of youth

J

By John L. Boos

Jack and Jill went up the hill in search of the fountain of youth. They both came down wearing a frown still searching for the truth. Jack LaLanne and Charles Atlas both knew the answer to staying younger. Many of the muscle builders of the ‘40s, ‘50s, and ‘60s knew it, as well. But instinctively knowing something and being able to prove it are two different things. Only in the last few years has medical science disclosed how to remain healthy, vital, disease-free, and younger for much longer…in other words, the truth of the fountain of youth. To understand this, we must understand the other side of youth, aging. As we age, we lose muscle. This muscle loss is accompanied by a multitude of other negative changes, such as raised blood pressure, diabetes, and obesity. There have been a number of in-depth studies performed demonstrating that by staying physically active and working on maintaining muscle mass, you can ward off the greatest health risks and sustain a feeling of youthfulness. One of the best works to address the aging process was conducted at Tuft’s University by Dr. Bill Evans. This may not sound like a big science breakthrough because you don’t have to be a brain surgeon to know exercise is good for you. But there has been a breakthrough that is big. That breakthrough is that it’s not just any exercise. It’s exercise that affects a special kind of muscle tissue. Our bodies have several different kinds of muscle fiber types. One class of muscle fibers perform endurance activities,

16 | spring ‘08 | generations 20 | fall ‘09 | generations

such as jogging, walking, and aerobic activities. Another class of muscle fibers perform in a more power and strength fashion as in resistance exercising (barbells or weight training machines). Until recently, medical science believed that the key to health and vitality was exercise and a good diet. However, the never ending search for more specifics has revealed that not only do we lose our muscle through the aging process, but we now know what kind of muscle fibers we lose. The definition given to “age-related loss of muscle mass, strength and function” is sarcopenia. This muscle loss (atrophy) is seen in the power and strength fibers. These fibers are recruited or activated only during high levels of anaerobic exercise, not during lower levels or aerobic exercise. Fortunately, sarcopenia is significantly reversible with appropriately applied resistance exercise intervention. Along with sarcopenia, comes a decrease in sex hormones, body repairing hormones, and body building hormones. Proper nutrition uptake of vitamins, minerals, phyto-nutrients, and micronutrients are essential to combating the aging process. What is becoming more and more scientifically evident is that if the approach is taken to deal directly with muscle tissue that is associated with strength and power, it becomes a winwin situation for all of the aforementioned concerns of the aging breakdown. With properly executed resistance exercise, sex hormones remain higher, nutrition breakdown is

magnified, and the uptake of precious enzymes and natural food elements are vastly improved. So what is the formula for reversing this muscle, strength, and power disintegration? The answer is – intense anaerobic exercise. What is the proper intensity formula? According to medical research, it is 70% to 90% of what a muscle can lift once. To simplify, it would be a repetition range of 6 to 14 until you can no longer properly perform the movement. Now don’t go stampeding off to the gym and piling on the weight. Exercise in itself is a process requiring knowledge, knowhow, and experience. Please seek professional guidance. Medical science is finally catching up with what the oldtime physical culturists, like Jack LaLanne, knew instinctively. When I was younger, body building to the outside world was back alley fun. Now science is making it front room news and promoting it as a necessity to staying younger while growing older. If you want to have a younger future, you now know you must go back and get your strength and power. Now it can be said… Jack and Jill went up the hill in search of the fountain of youth. They both returned from what they learned, and now they know the truth. For further information please contact John L. Boos, L.M.T., N.S.C.A.-C.P.T. at 631.587.4786 or www.Boosworld.com


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Dinner Parties

D

Dinner parties are a wonderful way to share a meal with those that we love. Friends and family gathered around the table can be such a heartwarming experience. As a host I get no greater pleasure than when my guests enjoy the meal I have prepared. Below is a complete menu for a lovely dinner for four. Add a salad of romaine lettuce and endive and you’re good to go. Incrementally increase the recipe for additional guests.

Pear Slices with Smoked Trout and Basil (makes 20) 2 medium pears, halved & cored 1 tbsp. lemon juice 8 oz. low-fat cream cheese 2 oz. smoked trout, flaked 2 tbsp. chopped fresh basil 1 tbsp. grated lemon rind* 20 small fresh basil leaves Slice the pear halves into wedges about 1/4” thick (about 5 slices per pear half). Place them in a medium bowl and toss to coat with the lemon juice. (This will prevent them from discoloring.) In another medium bowl, combine the cream cheese, trout, chopped basil and lemon rind until thoroughly blended. To serve, top each pear slice with a dollop of smoked trout cream cheese. Garnish with a fresh basil leaf. Preparation time: 15 minutes • Chef ’s notes: A zester is a great little gadget for removing the intensely flavored citrus rind. Remove the rind before you squeeze the juice from the fruit. Be sure to grate off only the colored rind and avoid scraping deeply into the white, more bitter, layer beneath it.

For a really fancy presentation, put the cream cheese mixture in a pastry bag fitted with a star tip and pipe it onto the pear slices.

Maple Glazed Pork Tenderloin (serves 4)

4 portions pork tenderloin (3 oz. each) 1/4 c. diced shallots 1 tbsp. canola oil 1/4 c. sherry wine vinegar 1/4 c maple syrup 1/4 c defatted chicken stock 22 | fall ‘09 | generations

Heat a large no-stick frying pan on medium-high heat for 2 minutes. Sear the pork tenderloin for about 2 minutes per side. Reduce the heat to medium and add the shallots and oil. Cook until soft, about 3 minutes. Add the vinegar, maple syrup and stock. Bring to a boil and cook until syrupy, about 5 minutes. Soon the glaze over the tenderloin. Preparation time: 5 minutes Cooking time: 15 minutes

Rumaki (makes 60) 2 boneless, skinless chicken breast halves (3 oz. each) 1/4 c. low-sodium soy sauce 20 pineapple chunks 20 water chestnuts 5 slices Canadian bacon* Cut the chicken breasts into nickel-size pieces, approximately 10 per breast. In a small bowl, marinate the chicken in 2 tbsp. of the soy sauce. In another small bowl, marinate the pineapple and water chestnuts in the remaining soy sauce. Let both marinate for about 15 minutes. Cut the Canadian bacon lengthwise into 4" x 1/4" strips. Wrap each water chestnut, pineapple or chicken piece with a bacon strip and secure with a toothpick. Coat a baking sheet with no-stick spray. Place the rumaki on the prepared baking sheet. Broil at 500º for 5 minutes, turning once. Serve warm. Preparation time: 10 minutes plus 15 minutes marinating time Broiling time: 5 minutes * Chef ’s Note: Buy rectangular rather than round Canadian bacon to ensure that th meat strips will be long enough to wrap around the chicken, water chestnuts and pineapple.

Cranberry Rice (serves 4) 1 tsp. canola oil 1/4 c. diced onions 1 1/4 c. water 1 c quick-cooking brown rice 1/2 c. dried cranberries 1/4 tsp. grated nutmeg 1 tbsp. chopped fresh parsley In a medium saucepan, heat the oil on medium until hot. Add the onions and sauté for 3 minutes.

Add the water and bring to a boil over high heat. Add the rice, cranberries and nutmeg; reduce the heat to low, cover and cook for 10 minutes, or until al the water has been absorbed. Stir in the parsley. Preparation time: 5 minutes Cooking time: 15 minutes

Easy Apricot Soufflé with Raspberry Sauce (serves 4) 4 egg whites 1/4 c. honey 1/4 c. all-fruit apricot spread 1 package (10 oz.) frozen raspberries, thawed In a large bowl, beat the egg whites with an electric mixer until they form soft peaks, about 2 minutes. In a small saucepan, heat the honey and apricot spread over low heat until warm, about 1 minute. Fold the warm honey mixture into the egg whites until just blended. Coat 4 (8-oz.) custard cups with no-stick spray. Spoon the soufflé mixture into the prepared cups. Place the cups on a baking sheet and bake at 400° for 10 minutes, or until puffed and golden brown. Meanwhile, place the berries with their juice in a sieve over a small bowl. Push the berries through the sieve with the back of a spoon. Discard the seeds. Stir the raspberry pulp and juice together to combine. Pour the raspberry sauce into a pitcher. Serve the soufflés right from the oven; pass the raspberry sauce. Preparation time: 10 minutes Baking time: 10 minutes * Chef ’s note: A soufflé is very sensitive to temperature changes, so avoid checking on it during baking. Also, a soufflé will begin to deflate as soon as you remove it from the oven, so serve it immediately.


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www.generationsmagazine.com | 23


Bisphosphonates and Osteonecrosis of the Jaw

M

By Terry S. Shapiro, D.M.D.

Many of my mature Long Island dental patients are taking the bisphosphonate drugs, Fosamax, Actonel, or Boniva, to prevent further bone loss. No one wants to lose inches or suffer with broken bones. But you should be aware of a condition called osteonecrosis of the jaw (ONJ) which has been linked to use of bisphosphonate medications. Bisphosphonate ONJ is diagnosed in a patient who has an area of exposed bone in the jaw that persists for more than 8 weeks and who has no history of radiation therapy to the head and neck and who is taking, or has taken, a bisphosphonate medication. The condition is characterized by pain, soft-tissue swelling, infection, loose teeth, and exposed bone. It is important that you distinguish between the bisphosphonate medications (such as Fosamax, Actonel, Boniva) which are taken orally to treat osteoporosis and others (such as Aredia, Bonefos, Didronel or Zometa) which are administered intravenously as part of cancer therapy. In rare instances, some individuals receiving intravenous bisphosphonates for cancer treatment have developed osteonecrosis of the jaw, or destruction of the jawbone. Still more rarely,

1624| |spring ‘08 | | generations generations fall ‘09

osteonecrosis of the jawbone has occurred in patients taking oral bisphosphonates. Patients currently receiving intravenous bisphosphonates should avoid invasive dental procedures if possible. Visit your dentist and take care of needed dental work before beginning the bisphosphonate therapy. Be sure to let your dentist know if you use any bisphosphonate medication, whether oral or intravenous. The January 1, 2009 issue of the Journal of the American Dental Association reported on a new study at the University of South Carolina showing that the proportion of people taking oral osteoporosis drugs who develop osteonecrosis of the jaw (ONJ) may be much higher than previously thought. The USC School of Dentistry’s database showed that nine of 208 patients taking Fosamax had active ONJ, a prevalence of about 4 percent. All were patients who had undergone some kind of dental procedure, such as having a tooth removed. The jaw complication has been seen in patients taking Fosamax for as little as one year. It seems to occur most frequently after routine tooth extraction. Although no one is sure why bisphosphonates seem to have this effect only on jaw bones, researchers have

speculated that the drugs may make it easier for bacteria to adhere to bone that is exposed after a tooth extraction. At the USC School of Dentistry patients are put on anti-microbial, anti-fungal rinse one week pre-operatively or post-operatively if they have been on bisphosphonates six months or longer. It is up to you and your physician whether to modify use of the bisphosphonate medication before dental surgery procedures. The consensus is that good oral hygiene and regular dental care will help to lower your risk of developing osteonecrosis of the jaw. For further information please contact Terry S. Shapiro, D.M.D. 631.751.4433 www.drterryshapiro.com


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www.generationsmagazine.com | 25


I Can See Clearly Now Creating Personal Vision

M

So often we focus on goals that reflect a change we’d like to achieve: lose weight, stop smoking, change jobs, plan a vacation. How often is the same degree of planning applied to the very 'big picture' concepts, the kind that don't often come up in conversation? Concepts like: What do you want for yourself, personally? How do you imagine your life's 'theme'? How do you shift gears after a lifetime of traveling a comfortable, wellknown path? If you’ve reached a ‘fork in the road’ moment, perhaps resulting from the wisdom of age or the results of a severe economy, you’ll find that answering these questions can help. And they’ll help with more than the circumstance of today or the coming months. They represent the kind of thinking and planning that can direct a lifetime of small decisions, making sure we continue to follow our own compass toward a destiny of personal fulfillment, pride and success (however you choose to define that word). Here’s an example of what I mean. About 20 years ago, I walked away from a truly great job to begin my first entrepreneurial venture. In the months after this change, I noticed a tremendous shift in my sense of self. All the external elements of my former life were gone. The suits, the private office, the secretary and staff, the paid health insurance and vacations, the expense account, meals at great restaurants, the glamour and credibility conferred on me by my famous employer - all gone. In my new business, I’d traveled a 180-degree departure from my prior career. I was in a completely new industry in which I had no experience, no influence or track record. Now, I thought I’d handled all the right ingredients

16 | spring ‘08 | generations 26 | fall ‘09 | generations

before making this life-changing shift: • I knew that my business idea met my analytical side's criteria for being good • I knew how to expertly craft my product • I had 12 year's excellent business experience as a manager of a multi milliondollar division • I was secure with my MBA in marketing Never the less, there were some critical things I didn't have. It took me a long time to recognize the value of all those environmental and intangible elements I'd left behind - how fundamental they were to my sense of self and how they'd provided a sense of ‘place’ - where I fit in the working world's hierarchy. I’d never thought about these things before. As I later understood, professional pride, accomplishment and credibility had been conferred on me with a business card and a title. Where would I find these resources again in a start-up with no name recognition? This experience taught me a lot about transitions. It has since become the common element in thousands of coaching conversations with clients. While we often consider the logistical element of making a change, it’s not the most significant aspect of ensuring a planned change is the right one for us; the one that will enrich our lives rather than cause stress at having left the familiar for the unknown. The facet that’s often left out of our deliberations is self-awareness: understanding our strengths, priorities and the personal needs we must fulfill to know the shift was the right one for us. Another aspect we tend to ignore when moving on is the environment or context of the

situation we’re leaving behind. How you personally respond to the stimulus of a new environment, whether due to a changed job, industry, level of responsibility or authority, or a move to a new community with a different local culture, or pace of interacting – all those things that helped to shape your former familiar day may now be gone. These sensations and changes can have an enormous impact on how you start to adapt and get comfortable with your new situation. How you feel will control the enthusiasm with which you undertake your new life and will affect your ability to believe this was the right change for you. There's a huge emotional component that goes into considering and executing a life change. The key is to acknowledge and address the ‘hidden’, intangible elements that are important to us. Include them in your deliberation of ‘what’s next?’ to determine how critical they are as you step toward what’s next in your life. For further information please contact: Andrea Feinberg, M.B.A., Certified Professional Behavioral Analyst and Certified Strategic Business Leadership Coach. 631.642.7434. www.coachinginsight.com


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www.generationsmagazine.com | 27


Planning for Care

vs. Crisis Care Planning

M

By, Mary Ann Kuntz, Medicaid and Senior Care Consultant

Most Baby Boomers today feel that getting significantly ill or old and frail is either a long way off or won’t happen somehow. It is a direct result of how our medical advances have allowed us to live very healthy lives for the most part. We have also seen older people in general living longer, more healthy lives too. Most of our seniors don’t think about getting older either as.it is too stressful. Our seniors of today lived in an era where people did not survive to be very old as there was no medical insurance for seniors prior to 1966 (when Medicare and Medicaid began) and lesser medical care. . Most seniors utilize Medicare and supplemental health insurance to pay their medical bills and use ever evolving medical advances to keep living much longer. But this comes at a cost to the families as to provide home care or an adequate living arrangement for our seniors and parents. As a result, most people, both old and young, get caught off guard at a crisis point whereby care needs for their seniors become immediate and serious. It creates a lot of

1628| |spring ‘08 | | generations generations fall ‘09

serious chaos in the lives of the children such as time off from work, quitting jobs, losing jobs due to care issue, etc. Crisis Care for our seniors today is unprecedented in our history. Today’s children of seniors are the first generation to have to deal with ongoing care issues for their parents. Sudden Crisis Care for a senior is very overwhelming. It is a steep learning curve for the children of seniors to learn medical and care issues, legal issues, medical insurance issues, estate planning, and housing solutions. All these issues have a significant depth of learning involved. How do you plan for care? The best kind of care planning is prior planning. This starts with the senior and the family as care becomes a joint family issue. There are a lot of answers depending on the stage of the care needs. 1. Age and health of the senior 2. Medical evaluations of illness and depth of care 3. Short term or long term care plans 4. Ability to stay at home 5. Closeness of family member in emergencies Modern families are not realistically set up to facilitate the care of a senior. Women now have jobs that prevent

them from staying home full time. Some families carry 3 jobs to make ends meet. The care of seniors is much like child care. Seniors that are older and more frail need a consistent daily schedule of being physically (and mentally) cared for. Care of seniors is also very changeable. Care needs of a senior can escalate due to an illness or hospitalization and then stabilize and then worsen again. Utilizing health care professionals such as Geriatric Care Managers, Elder Law attorneys for legal issues and your own medical doctors can assist greatly in developing ongoing care plans for your seniors. For further information please contact: Guiding Light for Seniors 516-536-5760 www.guidinglightforseniors.com


Foods

to Help Prevent Prostate and Breast Cancer

Nursing Home Ratings

Studies show that including lycopene-rich foods in your diet may help to reduce the risk of prostate and breast cancer. Lycopene is an antioxidant pigment found in tomatoes, grapefruit and watermelon that gives these foods their reddish color. Research shows that this free radical scavenger is effective in preventing cancer. Antioxidants can also strengthen the immune system, as well as boost the body's overall level of health.

One of the most difficult decisions you may have to make is choosing a nursing home for an elderly relative. A wonderful new tool provided by the federal government is a website that rates these facilities for quality. The site, www.medicare.gov, provides information on 15,800 nursing homes, which you can compare by region. The site also has information for community-based alternatives to nursing homes that may be of great interest to families. Visit www.medicare.gov, go to search tools, and click on Compare Nursing Homes in Your Area.

Does your loved one need help? If your parent or elderly loved one has been acting out of character, it could be a sign that they need advanced care services - or it could be nothing. Before you get worried, get informed. Here are the specific changes you should watch for:  Personal hygiene problems

 Home in disarray or needing to be   

cleaned Weight loss or weight gain - check for spoiled food or insufficient food in the home Failure to manage medications or medical appointments Increased difficulty with mobility (such as climbing stairs or using a bathtub)

 Changes in judgment, mood or    

overall behavior Increased forgetfulness - check for unopened mail or unread newspapers Missed bill payments or other financial difficulties Unusual or extravagant purchases that are out of character Decreased social activities or failing to maintain friendships

If you have noticed a majority of these changes in your loved one, it may be time to find them the help they need.

www.generationsmagazine.com | 29


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Generations Fall 2009