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JUNE/JULY 2018

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Homemade Apple Pie Celebrate the 4th of July with this must have dessert. page 11

Conquering Carbs world’s first carbohydrate “manager”.


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Fabulous After Fifty featuring Dale Smith Thomas and Teresa Epps

FEATURES 6 10

Dying Well: How Health Care Directives Ease the Process Emulin E: The World’s first patented Carb manager

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MEET THE STAFF Publishers Greg Bounds Garret Epps

From Surgeon to Survivor: Breast specialist offers unique insight

of breast Teaching Your Grands: With Old cancer Fashioned Fun

Lifestyles 50+ Plus is published bi-monthly. Copyright 2017 by Lifestyles 50+ Plus. No part of this publication can be reproduced without the written, expressed consent of the publisher. Reproduction of editorial content or graphics in any manner or in any medium is prohibited. Opinions of staff and contributing writers do not necessarily reflect the opinions of the publisher. Contact the publishers of Lifestyles 50+ Plus via e-mail at info@lifestyles50.com, or call 615571-7437. Letters to the editor are welcome–send signed letters to: Lifestyles 50+ 911 Silkwood Circle Nashville, TN 37221. Please include a phone number for verifi cation (or it will not be published). E-mail letters to info@lifestyles50. com. The Editor reserves the right to edit for length, style and spelling.

Editor Robert Epps

Designer Jorge Barbery Contributing Writers Abbie Stofel Elizabeth Moss Teresa Epps Mary Bounds

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RECIPES & FOOD

e e C L BraTe with Homemade Apple Pie by Mary Bounds

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pple pie is widely considered a “must-have” dessert for American summer festivities. In fact, an elaborate, star-spangled Fourth of July can seem incomplete without it! Known for its lightly spiced fruit and buttery crust, this unassuming fruit pie is both delicious and comforting. It’s no wonder it holds a sentimental spot in the hearts of many Americans. Recipes for apple pie are typically high on flavor yet low on difficulty and can be mastered by anyone from novice to chef. In most cases, the ingredients are basic, and the prep time is quick. There’s truthfully no reason to miss out on this dish and every reason to make it. So grab your apron and paring knife and delight your summertime guests with a scrumptious apple treat! 4

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INDEPENDENCE APPLE PIE 1/2 cup sugar 2 T. all purpose flour 1 tsp. ground cinnamon 1/2 tsp. ground nutmeg 1/4 tsp. salt 8-10 medium apples (pared, sliced) 1 pkg. ready-to-use pie crusts 2 T butter Preheat oven to 450 degrees. Pare apples, then cut into medium slices. Add all dry ingredients to sliced apples and mix well. Line pie pan with ready-to-use pie crust (or prepare pastry from your favorite recipe.) Fill pie crust with apple mixture and dot top with pats of butter. Cover with top pastry crust. Bake for 15 minutes, then reduce temperature to 350 degrees and bake an additional 45 minutes until golden brown. Remove from oven and let cool. Yields one 9-inch pie. (Top with a scoop of vanilla ice cream, if desired.) Enjoy!


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Live Life To The Fullest Trish Gomez RD, CPT Registered Dietitian / Nutritionist C e r t i f i e d P e r s o n a l Tr a i n e r Corrective Exercise Specialist

Nutrition and exercise plans for I m p r o v e d m o b i l i t y, b a l a n c e , s t r e n g t h , a n d s t a m i n a R e n e w e d e n e r g y, v i t a l i t y, a n d e n d u r a n c e (615) 476-5227 trish@trishgomez.com call to set up a free phone consultation Lifestyles50+ / J U N E / J U L Y 2 0 1 8

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HEALTH & WELL BEING

Dying Well: How Health Care Directives Ease the Process By Elizabeth Moss, Caregivers by WholeCare

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irst Lady Barbara Bush once proudly stated she wanted to be known as a wife, mother, grandmother and advocate for literacy. As the world said goodbye to Mrs. Bush a few months ago, it was evident she planned for her own care in her final days as well as she cared for others. In fact, in her last days after consulting with her family and doctors, Mrs. Bush “decided not to seek additional medical treatment and will instead focus on comfort care.” She wished to be surrounded by her family and die in her home (even sipping a final bourbon) and that’s exactly what happened. It’s an important lesson for all of us in dying well. Creating a health care directive such as a living will and identifying a power of attorney for your health care is important for anyone over the age of 18. It provides the blueprint for care at the end of your life so family members are not faced with making these decisions on your behalf. Thinking about end of life care and having these conversations with your loved ones can be difficult. Taking the time to document now what kind of care and treatment you desire will help you prepare your family and health care team. Review the following tips to help you think through this process and consider the kind of care you want in the event you are unable to make your own decisions due to ill health. 1. Begin advance care planning. This should take into consideration what kind of care and treatment you want. It should reflect your personal beliefs and values and who you want to make decisions on your behalf. What are your wishes for treating pain and being comfortable? What type of life-sustaining measures would you like your medical team to take or not take? Where would you like to spend your last months or days? What matters most to you at the end of life?

2. Identify a durable power of attorney. This is a person who you select in advance that has the power to act and make decisions on your behalf. This decision-maker will utilize your health care directive to ensure your medical team is following your wishes when you are unable to do this for yourself. This is often a spouse, child, relative or close friend. 3. Share your advance directive plan. It’s important to share your plan with your doctor and health care team. They will keep a copy of the form on file. Also talk to your loved ones and family members who may be involved with your health care decisions so that they are aware of your power of attorney and your wishes for end of life care. Keep in mind both the health care directive and the durable power of attorney for your healthcare are legal documents. You do not need a lawyer to complete the forms but you will need a notary and witnesses to sign once you have completed the documents. You may want to consult an Elder Law Attorney if you have questions or would like a professional to guide you through the process. Documenting your wishes for health care helps ease the stress and anxiety for your family and loved ones and they will find comfort in knowing that they are honoring your wishes. Mrs. Bush famously shared in a commencement speech, “At the end of your life, you will never regret not having passed one more test, winning one more verdict, or not closing one more deal. You will regret time not spent with a husband, a child, a friend or a parent.” Make those precious moments count— right up to the very end. Elizabeth Moss is Founder and Chief Care Officer, Caregivers by WholeCare, a locally ownedand operated in-home care provider. For more than 20 years, families in Middle Tennesseetrust WholeCare to provide compassionate care for their loved ones. Learn more at

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Facility-to-Home Transitional Care & Medication Management

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Transitioning from facility to home can be difficult. Caregivers by WholeCare offers a range of comprehensive services to ensure patients transition safely and easily.

How it Works

Transitional Care Services ~ from facility to home This program is designed to help patients transition from a facility back to their home safely and efficiently – bringing peace of mind to the patient and their family. Medication Management Services ~ at home This program is designed to support those individuals who are at risk for over medicating, which is a common reason for hospital readmissions. www.caregiversbywholecare.com Call for details: 615.298.9201


over 50 and Fabulous &

HEALTH & WELL BEING

How to be

Significant

after 60 By Teresa Epps

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o you may be asking, how do I get started on being 50 and fabulous and significant after 60? First you need to know that if you are 50 or over, you have an incredible amount of seasoned wisdom and experience that fuels that wisdom. That alone means you are extremely significant. Abe Lincoln said it best, “I do not think much of a man who isn’t wiser today then he was yesterday”. You have too much wisdom to impart to others and you need to be healthy and have a positive mindset to do that. Do you want to be grumbly and hateful as you age or humbly grateful that the Lord has allowed you to live this long? All you need to do is take one step in the right direction. And you don’t have to do it all at once. In fact, you shouldn’t. It doesn’t matter how small as long as you get going. Your life after 50 and even after 60 can be your best half. It’s really just a matter of choice and commitment. It’s easy to get overwhelmed with all the information out there, not to mention opinions! When I discovered what personal development could do for me, I was consuming lots of books, listening to lots of CDs, you get the picture. The one thing that I took from all that was that they were all saying exactly the same thing. So I figured there must be some truth

“Do you want to be grumbly and hateful as you age or humbly grateful that the Lord has allowed you to live this long? ”

to it, so I started taking action steps they recommended. I realize that all I needed was a simple plan and by just chipping away at it daily I would see progress. It worked, and that was over 40 years ago! The same plan still holds true today, it really is timeless.

Here’s my simple three step personal development plan: 1. C  reate your personal mission statement (I’m serious! I don’t care if you’re over 80, everyone should know what your mission in life is.) Otherwise you’re just going through the motions and not really living. 2. Write down three goals that you ultimately want to accomplish before the end of your life. Every day to at least one thing that will get you closer to each of those three goals. 3. Create a daily or possibly weekly action plan and take action. As for putting this off for later, no, do it NOW. If you’ve made it to the end of this article that means that you’re interested in this. Don’t trick yourself into thinking you’ll get back to this later. You won’t. You need to act while your will is strong. I promise you will feel awesome as you start checking stuff off your list. What action will you commit to, right now, to get started on your own personal development journey? I’d love to hear from you. You can reach me at teresaepps@comcast.net or check out my website at www.teresaepps.com Lifestyles50+ / J U N E / J U L Y 2 0 1 8

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ACM & CMA Award Winning

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Dale and Teresa’s hair by Kathie Sims Photos by Michael Gomez J U N E / J U L Y 2 0 1 8 / Lifestyles50+


Fabulous AFTER FIFTY

The year was 1987 when two young women met for the first time in very unusual circumstances they never dreamed that over 30 years later that friendship would still be going strong.

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eresa Epps and Dale Smith Thomas met at the Mrs. Tennessee Pageant in the late 80’s. Dale was a contestant and Teresa was the state director. The friendship began to really blossom when Dale won Mrs. Tennessee in 1990 and Teresa was representing Dale all over the state. Although the rhinestones on that crown have long been tarnished the friendship between these two strong women has continued to flourish. They have shared raising children, facing health scares and finding freedom as solo entrepreneurs. Both women are now approaching this phase of life full steam ahead continuing to support each other in their respective careers with no signs of retirement in site. Dale credits her year with Teresa and the Mrs. TN title as the springboard for her international speaking career. Dale is a motivational speaker and author that has traveled the world sharing her message of empowerment to hundreds of thousands of people. Dale is

the President of Winners By Choice, Inc. and is a sought after corporate speaker. Her 2nd book, “Good Morning Gorgeous She tells us that she feels like she is just getting started with fulfilling her life - long dreams and she is thankful to have a friend that has understood and supported her every step of the way in her entrepreneurial journey. For more information on Dale go to www.dalesmiththomas.com Teresa is an entrepreneur, speaker and trainer with the Epps Group. She has been featured in Success At Home Magazine, Upline Magazine, Wealth Builders Magazine and Lifestyles 50+. Her passion is to empower people to become all they were created to be, to equip leaders to reach and surpass their goals whether it be health or business. She is an engaging, energetic speaker, certified success & leadership coach, and trainer with a proven track record of over 30 years in the networking industry in the field as well as in corporate. You can visit Teresa’s website at www.teresaepps.com

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HEALTH & WELL BEING

Conquering Carbs We consume too many refined carbohydrates, especially sugar and starch. Excess carbs lead to “carb toxicity” - increased blood sugar, elevated blood fats, excessive weight gain, poor sleep, sluggish physical and mental energy. Excess intake causes blood sugar peaks, leading to tiredness and constant hunger. Prolonged excess carb intake leads to inflammation – the root cause of most disease. EMULIN® is the world’s first “carbohydrate manager.” Its all-natural

patented blend of 4 ingredients that work in synergy to significantly reduce the negative effects of carbohydrates, giving sustained energy throughout the day. EMULIN® was developed by Dr. Joseph Ahrens – a two-time Nobel Prize nominee. He often says that if EMULIN® was discovered 50 years ago it would have been classified as a “vitamin.” Modern day food processing has stripped “EMULIN®-like compounds” from our diet. These need to be added back by supplementation -- 750 mg of EMULIN® effectively provides this.

available now at

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SCIENCE & MEDICINE

From surgeon to survivor: Breast specialist offers unique insight into treatment of breast cancer Abbie Stofel

Williamson Medical Center

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ne in eight U.S. women will develop invasive breast cancer over the course of her lifetime. Those are odds breast surgeon Rebecca Baskin, M.D., knows all too well. At age 36, the Franklin provider was diagnosed with stage 2A breast cancer. “I’d never been on the other side, and it’s a scary place to be,” Baskin said. Eleven years later, the cancer survivor uses her own experience to treat patients at Williamson Medical Group’s Breast Health Center. An individual journey Because every woman’s cancer experience is unique, Baskin has learned to move at her patient’s speed – not her own. “Every woman is different in how she comes to grip with her diagnosis and how proactive she is,” Baskin said. “Cancer is a journey, and everyone approaches it differently.” Prior to her own diagnosis, breast patients comprised 60 percent of Baskin’s surgery cases. Following treatment, she made the decision to devote her entire practice to the all-too-familiar world of breast cancer, and made multiple changes to reflect her newfound level of empathy for the physical and mental health of patients. “During chemo and surgery you have this in-your-face fight you’re up against, and when it’s suddenly over you may find you still have that anxiety rather than the feeling of celebration you expected to experience,” she said. “There are a lot of transitions, and I remind patients that this is more of a marathon than a sprint.” Advances in treatment Baskin said breast cancer treatment has improved substantially since her own diagnosis. Once scary operating-room biopsies are now minimally invasive with tiny incisions, and often fewer lymph nodes are removed for testing. Meanwhile, MRI scans help physicians better delineate the scope of surgery beforehand. “More high risk MRI and 3D mammograms help find cancers sooner while they’re smaller, especially in dense breasts,” Baskin said. Oftentimes, 3D mammography is performed alongside biopsy to find and biopsy lumps in one day. New radiation protocols are also a plus for patients, with external beam radiation therapy still considered gold standard. The new therapy protocols often shortens radiation treatment closer to four weeks – welcome news for patients making the daily hospital pilgrimage. Mammography recommendations Recommendations for mammography also continue to evolve, although Baskin still errs on the conservative side. “The American

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societies for surgeons and radiologists don’t agree with fewer mammograms,” she said. “We urge women to undergo mammograms yearly from age 40, as cancer in younger women tends to progress faster.” A woman with a first- or second-degree relative diagnosed young should begin screenings 10 years earlier than her relative was when diagnosed. Baskin also believes women with a life expectancy of 10 years or more should continue mammograms. “If cancer’s found later in life, surgery may not be the answer, but there are now medications that can shrink tumors so grandmother doesn’t have to decrease her quality or quantity of life,” she said. “We have options today that weren’t there 20 years ago.” Genetic testing Today’s high-risk screenings better identify which patients would benefit from genetic testing, which plays a key role in personalized medicine. In fact, 2018 marks a monumental change in protocol for oncologists, with cancer staging now based on tumor markers and genetic testing of the tumor, not just size of lymph node status. That means yesterday’s one-size-fits-all approach to cancer treatment is officially a thing of the past. “The genetics of each tumor is important in how it acts and reacts to treatment,” Baskin explained. “We do genomic testing after surgery to determine whether a patient only needs estrogen blocking treatment, chemo, or both, based on the genetic profile of the tumor itself.” In addition to identifying HER2 proteins, known to promote breast cancer, oncologists now look at 20 to 60 genetic pieces of each tumor to determine aggressiveness and what it responds to. Personalized medicine ensures patients are not under- or over-treated, and continues to expand as researchers work to better understand how to teach the body to fight cancer using its own immune system instead of chemicals. “Between imaging and treatment advances and catching cancer earlier, there’s not the need to be scared even if you do need a biopsy,” Baskin said, noting that 80 percent of biopsies prove to be benign. “Treatments have changed a lot, with overall survival rates going up. We’re seeing better outcomes, so don’t put screenings off because of fear. Take care of yourself and be proactive.” About Rebecca Baskin, M.D. Dr. Baskin is a board-certified breast surgeon at Williamson Medical Group’s Breast Health Center. She can be reached at (615) 595-4570.


FUN & OUTDOORS

TEACHING YOUR GRANDS

With old fashioned fun By Mary Bounds

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id you ever play the games Simon Says and Blind Man’s Bluff? Many adults in the over 50 crowd treasure youthful memories of old-fashioned fun. An afternoon wasn’t complete without jump rope, Checkers or a game of cards. Today, they’re finding these childhood pastimes were more beneficial than first thought. Who knew that the game Go-Fish was actually teaching skills? Playing has a vital role in childhood development. Basic games and activities help children communicate and share with others. Playing also enhances problem solving, imagination and concentration. By fostering social interactions, traditional play can help facilitate a sense of identity and self esteem. And no one can deny that old-fashioned fun supplied a healthy dose of exercise. Have you ever run toward the opposite side in the game Red Rover? Today grandparents are re-examining the games and toys of their youth. And many are asking, “Can old-fashioned activities benefit my grandchildren today?” The answer is a resounding, “Yes!” In fact, games that span generations are a perfect way for grandchildren to have fun, learn and connect. Want to treat your grandkids to some old-time fun and enjoy bits of nostalgia along the way? Bring out the board games and dust off the dominoes; it’s easy to start. Just recreate those childhood activities that made you laugh and smile. And remember, the kids will be busy learning while they’re having fun at play.

 ame Galore Set up yard games and G play along as the grandkids strengthen balance and co-ordination with old favorites such as hopscotch, horse shoes or croquet. Super Sleuth Introduce your grands to the game I Spy. This classic pastime is great for rainy days and can improve perception and observation. “I spy something green.” Game on!  uppet Play Let the kids create P their own puppet show productions with puppets made from socks. This basic type of role-play promotes imagination and self-expression. First Flight Help your grandchild assemble a kite using old clothing scraps to make the tail. Take the kite out for its first flight. Benefits include heightened visualization and planning skills, plus reduced stress.  ll in the Cards Card games are easy A entertainment that can spawn hours of fun (and learning.) Teach the kids your childhood favorites such as Battle or Crazy Eights and watch their math skills grow.

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ENTERTAINMENT NEWS

Secret to Success Preparing the next generation to succeed by Nise Davies

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s the owner of an award winning talent development center, Advantage Models & Talent, I observed that children who were homeschooled immediately took action whencalled upon, whereas children who sat with their peers over 8 hours 5 days a week, usually hesitated, looking around, wondering what the other students thought. This observation lea me to homeschool my 3 children. One of the most effective things I did while homeschooling was to encourage them to dream – to think about what they wanted to be, to do, to accomplish. Then we wrote those things down as if they were facts, not wishes. When I was recently sorting and cleaning I found Ben Davies notebook with his list. His 10 year old handwriting was awkward and the page was filled with spelling errors, but what Ben wrote took my breath away. My 10 year old son wrote: I will work hard and train hard. I will be big and strong and fast and be the world’s greatest track athlete I will work hard and be a big time actor I will fight in a big battle and win it. I will get injured and the most beautiful nurse in the world will help me recover. I will marry her. I had forgotten about this homeschool project and what Ben had written. It’s really inspiring to look at Ben’s life today and see how his 10 year old wishes have manifested. Ben did work hard at track and field. He actually trained 2-6 hours, 6 days a week from 8 years old all the way through college. USA Track and Field Magazine wrote that Ben was the #1 Decathlete in the USA. He received many full ride D1 scholarship offers. Ben was the Gatorade Athlete of the Year, the only athlete in TN history to win a State Championship in track 4 years in a row, Jr Olympic gold medalist, National Champion and National Record Holder. Ben was expected by every university coach to be our next Olympic gold medalist until he injured his shoulder in college. That shoulder injury closed the door to Ben’s Olympic gold hopes, but opened a

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window to his acting dreams. Because Ben was inured and unable to train, he was able to audition for a co-starring role in the SONY film COURAGEOUS. Ben auditioned withhis arm in a sling and when director Alex Kendrick asked him if he would be able to shoot a gun and do stunts if he was cast, Ben looked Kendrick in the eye and said, “Sir, if God tells you to cast me, then I guess he’s going to heal me”. Ben played the co-starring role of the David Thompson the rookie cop and has been in 15 other films and TV shows including: I’m Not Ashamed, Rumors of Wars and Vindication. Now on Ben’s final 10 year old declaration- he has not been in a military battle yet, but he did meet a nurse who has helped him through some personal battles, including a mysterious spider bite that landed him the ER several times while filming a movie. Ben thought she was the most beautiful girl he’d ever seen. And he did marry her. So, dream big and write it down. Work hard and trust God to give you the desires of your heart. Pass the “secret” down to your children and your grandchildren.


You can make an incredible difference by sharing your time, your music, your furry friends, your skills, and your love.

WEEKLY VOLUNTEER OPEN HOUSE We host weekly open houses at all of our office locations. For a complete schedule and more information about volunteering or other Alive programs, visit us online at: alivehospice.org/volunteer or call: 615.327.1087

Pictured: S tuffed anim als, hats, b created by lankets, an a volunteer d more are to bring joy lovingly to our patie nts.

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go get your

mammogram!

Because early stage breast cancer is around 95% curable!”

–Cary Ralph, Williamson Medical Center Certified Breast Navigator

SCHEDULE YOUR MAMMOGRAM:

615.435.5022 Imaging at Williamson Medical Center 4601 Carothers Parkway, Suite 100 Franklin, TN 37067 williamsonmedicalcenter.org

Lifestyles 50+ Middle Tennessee  

Featuring Dale Smith Thomas and Teresa Epps

Lifestyles 50+ Middle Tennessee  

Featuring Dale Smith Thomas and Teresa Epps

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