OutreachNC Magazine November 2017 by OutreachNC

COMPLIMENTARY

NOVEMBER 2017 | VOL. 8, ISSUE 11

“Sweet Potato Pie

and I shut my mouth”

Plus 3 STEPS TO FULFILLING YOUR LIFELONG DREAMS FALLING IN LOVE WITH SKYDIVING CAROLINA CONVERSATIONS WITH WRAL-TV’S AMANDA LAMB

Serving the Sandhills & Southern Piedmont

NOVEMBER 2017 |

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Pet Friendly

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features NOVEMBER 2017

Neuro Physical Therapy: Three Dimensions of Care by Jennifer Webster

Falling in Love with Skydiving by Michelle Goetzl

Honoring World War II Veteran Series: Don Colvin by Jonathan Scott

3 Steps to Fulfilling Your Lifelong Dreams by Rachel Stewart

Carolina Conversations with WRAL-TV News Reporter Amanda Lamb by Carrie Frye

Understanding Long-term Care Insurance by Robin Nutting

OutreachNC.com | NOVEMBER 2017

Planning with Purpose Issue

NOVEMBER 2017 |

OutreachNC.com 5

departments November 2017

“Autumn is a second spring when every leaf is a flower.”

—ALBERT CAMUS

24 advice & health

life

Ask the Expert by Amy Natt, MS, CMC, CSA

The Reader’s Nook by Michelle Goetzl

Brain Health by Maryanne Edmundson, PhD

Regional Culture by Ray Linville

Medicare Update Open Enrollment Through Dec. 7

Cooking Simple by Leslie Philip

Women’s Health by Dawn Cutillo

Resource Marketplace Find the resources you need.

Caregiving by Mike Collins

Planning Ahead by Tim Hicks, RICP, APMA

Grey Matter Games Sudoku, Word Search & Crossword Puzzles

Law Review by Tyler Chriscoe

OutreachNC.com | NOVEMBER 2017

Generations by Carrie Frye & Michelle Goetzl

Over My Shoulder by Ann Robson REGIONAL CULTURE SWEET POTATO PIE PAGE 18

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articles

advice previous issues recipes

magazine extras

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from the editor

ovember’s blustery days are here, but the painted Carolina fall landscape remains, so I plan to take in its beauty as long as it graces us with its presence. This month’s theme is “Planning with Purpose,” so we offer helpful tips to make your dreams or bucket list items a reality, advice on living wills, organizational strategies to boost your brain health, Medicare open enrollment information and help understanding long-term care insurance. Our cover photo was inspired by Regional Culture columnist Ray Linville’s affection for fall and sweet potato pie, and we include a recipe for the decadent dessert by Cooking Simple columnist Leslie Philip to adorn your holiday table. But don’t overlook this month’s Cooking Simple recipe for crock pot white bean pumpkin chili as a main course either. Viewers of WRAL-TV will recognize news reporter Amanda Lamb as we sit down for our November Carolina Conversations to talk about community news, writing and what’s on her itinerary for her Second 50. Having personally watched her work and cover news stories over her 20+ year tenure, this editor is still smiling from our visit. We also learn about the specialty of neuro physical therapy and its benefits for those coping with spinal cord injuries, Parkinson’s disease, Alzheimer’s disease, and the effects of a stroke or other neurological disorders by strengthening the body and building new mental connections. This month, we salute all veterans on Nov. 11 and honor Ret. U.S. Air Force Tech Sgt. Don Colvin in our World War II series with his harrowing story as a POW. Skydiving often tops bucket lists, and we go up in the air with the Special Forces Association Parachute Team. This team, who in addition to jumping out of a perfectly good plane on a regular basis, performs patriotic skydiving displays with American flags, raises funds for wounded Special Forces veterans and tandem jumps with wounded veterans, all in the name of giving back. And in this season of thanksgiving, we are so thankful and grateful to you, our readers and advertisers, for your continued support of OutreachNC! Co-editor Jeeves is impatiently awaiting his serving of turkey and gravy with extra gravy. Until next month... 8

OutreachNC.com | NOVEMBER 2017

—Carrie Frye

Editor in Chief Carrie Frye | CarrieF@OutreachNC.com Contributing Graphic Designers Stephanie Budd, Nikki Lienhard Contributing Proofreaders Ashley Eder, Michelle Goetzl, Kate Pomplun, Rachel Stewart, Jennifer Webster Contributing Photographers Brady Beck, Diana Matthews Contributing Writers Tyler Chriscoe, Dawn Cutillo, Mike Collins, Maryanne Edmondson, Michelle Goetzl, Tim Hicks, Ray Linville, Robin Nutting, Leslie Philip, Ann Robson, Jonathan Scott, Rachel Stewart, Jennifer Webster

Y Publisher Amy Natt | AmyN@AgingOutreachServices.com Marketing & Public Relations Director Susan McKenzie | SusanM@AgingOutreachServices.com Advertising Sales Executive Ashley Haddock | AshleyH@OutreachNC.com 910-690-9102 Advertising Sales Executive Butch Peiker | ButchP@OutreachNC.com 904-477-8440 OutreachNC PO Box 2478 | 676 NW Broad Street Southern Pines, NC 28388 910-692-9609 Office | 910-695-0766 Fax info@OutreachNC.com

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OutreachNC is a publication of The entire contents of OutreachNC are copyrighted by Aging Outreach Services. Reproduction or use without permission of editorial, photographic or graphic content in any manner is prohibited. OutreachNC is published monthly on the first of each month.

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advice

Our Aging Life Care ProfessionalsTM will answer any aging questions you may have.

Email us your questions! info@OutreachNC.com

ASK THE EXPERT

Plan Ahead to Make Travel More Manageable by Amy Natt, MS, CMC, CSA My husband and I are both very active and have always loved to travel. Last year, he was diagnosed with mild cognitive impairment and has been struggling with short-term memory problems. Traveling is becoming more of a challenge, but we are not ready to give it up. Do you have any suggestions to make traveling easier?

Changes in a person’s cognitive ability can have an effect on how he or she tolerates things, such as travel. Many of us rely on our routine and environmental cues to keep us on track. When there are problems with short-term memory or the ability to quickly process new information, it can result in feeling unsettled or disoriented. Travel takes a person out of a familiar environment and typically changes his or her routine, so it can easily lead to insecurity and create underlying emotions related to those changes. Even if it is going to visit family, or someplace you have visited before, it can still be a challenge. Your husband may be feeling increased frustration, because it is more difficult to do things than it was in the past. When you see him becoming frustrated, ask him what is bothering him and watch for non-verbal cues. He may experience difficulty finding the right words, so be patient and give him time to talk. There are many aspects of travel that can be unsettling to a person struggling with memory impairment. You and your husband can still travel, but you may need to do more of the planning and make some adaptations to make it feel more manageable for you both.

OutreachNC.com | NOVEMBER 2017

Here are some travel tips to consider: • Simplify travel plans so you have one destination. • Allow for more breaks, if you are driving, and realize that the person with memory impairment should probably not be driving in unfamiliar areas. It is much easier to get disoriented when you are someplace that is unfamiliar. • Put your travel plan in writing and plan for some down time to rest. • Try to keep a similar routine to home, including meal times, and wake and sleep times. • Make sure the bedroom and bathroom have adequate lighting, so if either of you wake up to go to the bathroom in the middle of the night, you can easily find it. • Keep important items in familiar places. If something always sits on the night stand, make sure it is there when you travel. If the razor and toothbrush are typically on the right side of the sink, place them there when you travel. • Consider sharing the diagnosis with family or friends who might be traveling with you. This will let others help look for signs of disorientation, and they can provide cues or reminders as needed.

“ ” A JOURNEY IS

best measured in friends, rather than miles. —TIM CAHILL

• Being in an unfamiliar environment can trigger wandering, so even if that has never happened before, be aware that it is possible. Alert your hotel’s front desk staff to notify you if they see your spouse leaving the property, or up in the middle of the night. • A lot of chaos and activity can cause anxiety, so if you are in large crowds or big areas, plan for a way to get a break from that or to leave, if necessary. • Consider an ID bracelet, in case the two of you get separated while traveling. • Make sure you have all important documents that you may need and a list of current medications and medical providers with you. • If you are flying, allow plenty of extra time to get through security and to make connections. • Consider using family restrooms, so if you are in an unfamiliar environment, like at an airport or shopping area, you do not risk getting separated.

There may come a time when travel causes more anxiety than joy. You need to watch for the cues and when adaptations are no longer working, you may come to the conclusion that overnight trips are no longer practical. Suggest family come to see you, or try some simple day trips. This is a journey you are both on, and it is a different journey for each person. Consider connecting to a local support group, so that you have a support network of other couples who may share similar experiences. You can both continue to live life to the fullest, just keep an open mind and awareness that cognitive changes may impact that experience. Give yourself space and time to adapt.

Readers may send questions to Natt, an Aging Life Care ProfessionalTM, certified senior advisor and CEO of Aging Outreach Services. She can be reached at amyn@agingoutreachservices.com .

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health N

B R A I N H E A LT H

Organizational Strategies to Boost Your Brain Power by Maryanne Edmundson, PhD

ot all of us are natural organizers. How much we like organization can depend on personality, the kinds of organization skills we saw our parents use, and our past experiences with strategies that have worked for us. Even if you’re a very go-with-the-flow type of person, you may have important information organized in your head. When we’re young, we often rely on our brains to keep track of our goals and activities. For example, you may say to yourself, “I know I have a stack of bills in my office that need to be paid this weekend.” As we age, we might have a harder time keeping track of important information due to normal changes in the brain, or chronic health conditions, like high blood pressure or diabetes. When we retire, we may be faced with making our own schedules for the first time in a long time. You may find yourself needing to make sure you’re taking several different medications multiple times a day, following recommended diet and exercise guidelines, and going to scheduled activities like medical appointments, family gatherings, volunteer activities and hobbies. Finding ways to organize your environment can help ensure you are keeping up with everything you need to track. Rehabilitation research recommends several organization strategies to boost daily memory and thinking performance, including: 1. Follow a routine. Do daily tasks, like eating meals and taking medications, at the same time and in the same order every day. 2. Cue your senses. If you’re having trouble remembering to do things, use a visual or auditory cue, like a sticky note on the mirror that says “meds” or a reminder alarm that rings when you need to take medicine. 3. Keep a day planner. Having one ready place to write down notes, lists or appointments gives you something tangible you can consult when you’re having trouble bringing information to mind. Review each day’s agenda when you wake up in the morning and check off items when you complete them. 4. Have a home for important items. Keep your keys or wallet in a particular place, like a certain spot on your dresser, when you’re not using them.

Though some cognitive slowness or memory lapses are normal as we age, seek professional consultation if you’re having pronounced memory trouble that makes it hard to do daily activities. 12

OutreachNC.com | NOVEMBER 2017

Consider these strategies to implement new organizational methods: • Each person is unique in the set of strategies that work best for them. Try as many organizational skills as you need to find the ones that work for you. • Give each strategy time to work. We may not notice the difference a new approach is having at first. • If a strategy doesn’t seem to be working, try tweaking it. For example, try moving reminder notes to different places to see which one works best. • Find a good balance. Some structure is helpful, but too much can be overwhelming or can make it hard for you to make changes when life throws you an unexpected curve ball. • Make a few changes at a time. It can feel daunting to add structure to your life if you try to go from none to having everything scheduled out. • Changes in thinking abilities happen with fatigue, pain and stress, so improving these could enhance daily memory and thinking performance. Dr. Maryanne Edmundson, a clinical neuropsychologist at Pinehurst Neuropsychology, can be reached at 910-420-8041, or by visiting www.pinehurstneuropsychology.com .

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advice

M E D I C A R E U P D AT E

Medicare Open Enrollment Period Now Through Dec. 7

ach year during the Open Enrollment Period, Medicare beneficiaries have the opportunity to compare and evaluate their current plans and make changes as necessary. By comparing plans during the Open Enrollment Period, Medicare beneficiaries can save money and make certain that their 2018 plan will be the best for their needs. The Open Enrollment Period began on Oct.15 and runs for eight weeks to give you enough time to review and make changes to your Medicare coverage. All changes must be made by Dec. 7 to ensure that your coverage can begin without interruption on Jan.1. “Comparing Part D plans annually is imperative to ensuring that the Medicare beneficiary has the best coverage for their prescription needs,” says North Carolina Insurance Commissioner Mike Causey. “The staff from SHIIP, the Seniors’ Health Insurance Information Program, are available to help over the phone or in-person in all 100 counties in North Carolina.” SHIIP is a division of the North Carolina Department of Insurance and offers free, unbiased information about Medicare, Medicare prescription drug coverage, Medicare Advantage, long-term care insurance and other health insurance issues. In addition to helping Medicare beneficiaries compare and enroll in plans during the Open Enrollment Period, SHIIP counselors can help people find out if they are eligible for Medicare cost savings programs.

Powering Your Home Despite Old Man Winter 14

OutreachNC.com | NOVEMBER 2017

Here are some of the ways to review and compare plans available for 2018: • Get one-on-one help from your local SHIIP office by calling 1-855-408-1212 or visiting www.ncshiip.com . • Visit www.medicare.gov/find-a-plan to compare your current coverage with all of the options that are available in your area, and enroll in a new plan if you decide to make a change. • Review the “Medicare & You” handbook. It was mailed to people with Medicare in September. • Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day, seven days a week, to find out more about your coverage options. TTY users should call 1-877-486-2048.

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THE READER’S NOOK

“Just Passing Time”

life

Book Reviews by Michelle Goetzl

f you are searching for some down-home traditional storytelling, you will find that in Richmond County’s J.A. Bolton and his collection of short stories, “Just Passing Time.” The book, published by St. Andrews Press, tells tales about country living in North Carolina with a distinctly Southern voice. Bolton’s book harkens back to a time that we often feel has disappeared, a time when we were not so burdened with technology and when people sat around the campfire after dinner and told stories. “Just Passing Time” is a love letter to the art of storytelling and to a simpler life. As the back of his book promises, the short tales are filled with “coon hounds, fishing crappie, a tater pie, rattlesnakes, hunting, gigging suckers, an old truck, the Greatest Generation, cowboys, and much, much more.” His stories are meant to entertain readers of all ages. If you’ve ever loved a hunting dog or taken pleasure in a good day of fishing, you will probably enjoy Bolton’s stories, regardless of whether you are 5 or 95. And if you have lived in North Carolina for most of your life, his stories will take you back to a time when farming was still the main industry and children spent hours of their days just playing in the woods. If you are a fan of short pieces of writing, fall is also the time that the latest edition of “The Best American Series” arrives in bookstores. This series has been around for years and continues to put together anthologies of amazing writing.

For the short story aficionado, “The Best American Short Stories” is a personal favorite. This collection has been published every year since 1978 with a different guest editor, and therefore a different flavor, every year. When you don’t have the ability to get lost in a full novel, short stories are a wonderful way to escape reality for short time. Sports lovers have been enjoying “The Best American Sports Writing” for 25 years. The articles themselves are often timeless and touch on sports triumphs and tragedies. A love for travel? “The Best American Travel Writing” allows readers to get a window into worlds they perhaps haven’t been able to see for themselves and experience the scope of humanity that is this large world we live in. “The Best American Series” has something for everyone. Each book gives readers tastes of a wide array of writing published in magazines and newspapers over the past year. Fiction or non-fiction, this series has stood the test of time.

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Goetzl writes an online blog—“Books My Kids Read.” She loves books and sharing that love of reading with children. She can be reached at booksmykidsread@gmail.com .

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health 3

W O M E N ’ S H E A LT H

Tips to Alleviate Hormone Imbalance by Dawn Cutillo

odern American women are facing obstacles tougher than ever before. From little sleep, nutrient devoid foods and the pressure to multitask, women’s bodies are bombarded on a daily basis. This chronic physical, mental and emotional stress is leading to new modern day imbalances. To understand the delicate balance, it helps to know the core hormones involved: • Progesterone: A fat-burner and diuretic that soothes mood, nurtures sleep and calms PMS and menopausal symptoms. • Estrogen: A key hormone in ovulation that supports many other functions in the body but when out of balance, it can also trigger weight gain, insomnia, mood swings, etc. • Cortisol: A hormone needed to buffer our bodies from the effects of stress. Cortisol itself is not a “bad” hormone but is problematic when we cannot produce enough of this hormone to meet our needs.

Research also shows that key imbalances not only contribute to a woman’s ability to lose stubborn weight but also affect mood, sleep, hair and female-related issues. The pesky symptoms of hormone imbalance can be minimized through small changes in your life, including tweaks to your diet as well as adding meditation and exercise.

DIET: Eating certain food combinations in your diet can make a difference in your hormone balance. Start off your day with protein and some fat along with fiber. These food components will keep insulin in check to keep cravings down. Try to keep caffeine to a minimum as this can cause a blood sugar roller coaster, exacerbating hormonal symptoms. Aim to eat three meals and two snacks with some fat, protein and fiber to aid energy and fat burning all day. Any fiber eaten will help keep your estrogen in the proper balance. A small amount of grains, such as brown rice, can be added to some of your meals since vitamin B leads to better hormone metabolism as well. A protein shake before bed with some

OutreachNC.com | NOVEMBER 2017

flax oil will work to stabilize blood sugar and allow you to sleep deeper, burn fat and avoid waking up in the middle of the night with a hot flash or night sweats.

MEDITATION: When cortisol is increased to an unbalanced level, it increases the sugar in the bloodstream, making you feel restless and causing cravings. A quick way to compensate for your daily stressors that cause the cortisol increase is meditation or relaxation therapy for as little as 20 minutes. Add meditation to your daily routine by sitting in a comfortable, seated position. Then sit tall and close your eyes with palms facing up. Take a few moments to allow your body to relax. Once comfortable, redirect thoughts to your breath and begin counting your exhales by breathing in for a four count and out slowly for an eight count. For an even simpler way to relax, try a link/CD of “soundwave” therapy which will automatically relax brain waves and lower cortisol, even if you have a hard time relaxing.

EXERCISE: The benefits of exercises are connected to balancing hormones, especially stress hormones, like cortisol. Our bodies were not meant to sit at a desk all day or be too sedentary. Aerobic workouts are often emphasized, but too much intensity can raise cortisol and imbalance hormones, making weight loss slower. It is better to do metabolism enhancing resistance training with hand weights or bands. All you need is an open space and 15 minutes. Exercises such as reverse lunges and squats can even be done with just your body as resistance. Or consider trying yoga or Pilates as ways to keep muscles engaged, flexible and toned without raising cortisol levels. Cutillo is founder of the BeBalanced Hormone Weight Loss Center and author of “The Hormone Shift.” She can be reached at 984-229-7588, or by visiting www.bebalancedcenters.com .

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life

R E G I O N A L C U LT U R E

“Sweet Potato Pie

and I shut my mouth”

all is a great time to enjoy the fresh produce of our area in a seasonal pie. Every time that I see pumpkin pie—one of my favorites—on the table or a menu, it takes me back to a time before I was a teenager.

Ingredients • 1 prepared pie shell, blind baked at 350 degrees for 10-12 minutes (lined with foil and filled with dried beans) • 1 lb. sweet potatoes, scrubbed • 1 cup sour cream • ¾ cup brown sugar • 3 large eggs • 1 tablespoon all-purpose flour • 1 teaspoon ground cinnamon • ½ teaspoon ground ginger • ¼ teaspoon ground nutmeg • Tiny pinch of ground cloves • Whipped cream for serving

Instructions Preheat the oven to 375 degrees. Wrap the sweet potatoes in foil and bake for 30 minutes to 1 hour, depending on the size of the potatoes. Check for doneness by squeezing them; they should be soft. Allow them to cool until they can be handled, then peel and discard the skins, place the potatoes in a large mixing bowl, and mash with a fork. Reduce the oven temperature to 350 degrees. Add the remaining ingredients to the the sweet potatoes and beat with a mixer until smooth and no lumps remain. Pour the mixture into the warm pie shell. Position the oven rack to the bottom third of the oven. Bake the pie for 45-50 minutes or until the center is just set. Cover the edges of the pie with aluminum foil if the edges are getting too brown. Let the pie cool completely before serving. Slice and serve with whipped cream. 18

OutreachNC.com | NOVEMBER 2017

by Ray Linville Recipe courtesy Leslie Philip

Join

Neuropsychologist Dr. Karen D. Sullivan

My aunt lived with my family and prepared all the meals after my mother died when I was eight. As only an aunt with a sense of humor would do, she asked one November if I would like a homemade pumpkin pie with supper. My answer was obviously a resounding “Yes.” Some aunts really know how to spoil their young nephews. Mine was one. Not only was she making a pie that I loved, she even hinted that I would get the first slice—even before mealtime. I hovered around the kitchen like never before and dutifully watched as the pie came out of the oven and she placed it on a counter to cool. As I waited impatiently, I kept asking, “How much longer?” Aunt Clara was a perfectionist in the kitchen—she knew the exact moment when a pie would be just right to cut the first piece. I kept worrying that someone else, particularly my older brother, would ace me out for that first piece. Finally, my patience—and her knowledge—paid off. She cut a piece, put it on a small plate and handed it to me without saying a word. I don’t remember how long—it disappeared so quickly—or how many bites it took me to eat it, but I do remember asking for a second piece. To sweeten her willingness, I professed, “It’s the best pumpkin pie I’ve ever eaten.” I could tell by the smile on her face that my compliment had made her day. She was an old-fashioned cook—everything was made from “scratch,” including the pie crust. She never opened a can and used only ingredients that she had just bought from the grocery store. Although I had not seen the pumpkin seeds or shell while she was making the pie, the delicious yellow-orange pulp in the pie convinced me that nothing could have been fresher. She continued to smile quietly at me. Unsuspecting that anything was amiss, I smiled back at her until the quietness became overwhelming. At last, she broke the silence: “That pie is not made with pumpkins. It’s all sweet potato.” I was floored. Not only had I been duped, I had been tricked with sweet potato, which I would never taste in a pie, like all other selfrespecting children. Whenever someone offers me a piece of pumpkin pie, I always say that it’s one of my favorites. But when I see sweet potato pie on the menu or on display, I immediately pick it up without even looking at what else is available. You can’t trick me: It’s better than any other pie.

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Licensed Professional Counselor

advice

CAREGIVING CAN MAKE LIFE CRAZY!

Make Self-Care Part of Your Caregiving Plan by Mike Collins

or many of us, there has never been and never will be 4. Exercise: If you aren’t reasonably fit, you are putting a dragon in our personal lives like caregiving. While yourself at risk for a wide range of injuries. Walk on a the activity can be a wonderful experience of love, caring regular basis, and use some stretch bands or dumbbells. and giving, it can also be a fiery dragon of stress, blame Water exercise, as we age, is even better. and exhaustion. Caregiving calculations, as Tolkien called 5. Fun: If you have any interest in moving through your them, should include three plans—a doctor’s plan of caregiver experience and maintaining your sanity, you care, caregiving plan and caregiver plan— and too many must find times to relax and have some fun. What do caregivers only consider the first two. you like to do that is easy, inexpensive The doctor’s plan of care for your and close? Fun, especially laughter, loved one focuses on the medical “It does not recharges our minds and hearts. issues your loved one is experiencing. do to leave a live 6. Say “No”: Many caregivers The caregiving plan addresses mostly believe they have to do it all. Practice dragon out of your non-medical issues, such as updating saying the word, “No.” Strengthening an emergency kit, with an advance calculations, if you your “No” muscles allows you to directive, living will or standard live near him.” maintain some balance in life. will, healthcare/financial power 7. Connect: Reach out to family of attorney, insurance and other —J.R.R. TOLKIEN and friends, and maintain those financial documents. “The Hobbit” contacts who mean so much to you. Most caregivers do a reasonable job Friendships keep you sane. of understanding the first two plans. However, what about the plan for you as the caregiver? 8. Relax: A few minutes of relaxing activities, such This is the calculation most caregivers overlook. as meditation, walking at a relaxed pace or focused breathing can help you maintain both a positive Here are 10 areas of self-care to include in your plan: mindset and energy level. 1. Rest: Fatigue makes us more susceptible to 9. Help: Do not be afraid to ask for help. Seeking help mistakes, shortens our patience, lowers our immunity does not show weakness. In fact, asking for help makes levels, scrambles our thinking skills and hinders you stronger because it helps you understand that you communications. Sleep or nap whenever possible, and are not in this challenge by yourself. ask family/friends/professional caregivers to visit or 10. Spirituality: Whatever your beliefs may be, stay with your loved one, so you can sleep. whether it is prayer, meditation or a walk in the woods, 2. Hydration: Research shows that if your hydration all can help you connect with a source that can raise levels drop by 2-3 percent, your simple math skills are your spirits and energy, and lighten your burden. affected. Many of the ills caused by fatigue can also be connected to lack of hydration. Drink more water!

3. Food: Caregivers who don’t keep themselves sufficiently nourished don’t have the energy to meet their responsibilities. Keep a bowl of fruit handy and grab a piece or slice whenever possible. 20

OutreachNC.com | NOVEMBER 2017

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OutreachNC.com 21

advice

PLANNNING AHEAD

Are You Ready for a Financial Emergency?

by Tim Hicks, RICP®, APMA®

as well as after to help you in the insurance claims process.

he wrath of natural disasters has been on full display in recent weeks as hurricanes, earthquakes, wildfires and floods have ravaged large swaths of the world. While our first thoughts go to the victims of these tragic events and the challenges ahead for recovery, it may also cause you to step back and think about your own preparedness for a natural disaster. If you’re feeling underprepared from a financial standpoint for the possibility of an unwelcome weather event, consider creating an emergency plan. Create a plan Just as you plan ahead for your retirement or children’s college tuition, you need to prepare for risks related to a financial emergency. Any type of unforeseen event could jeopardize your financial security. Work with your financial advisor, estate planner and attorney to identify and address potential financial risks. Protect your property One common concern in such events is catastrophic damage to your home. Start by making sure your property is appropriately insured. Review your homeowner’s insurance policy to make sure there is sufficient coverage for unforeseen events. Remember that typical home insurance does not include coverage for flood damage, which needs to be purchased separately. Home owners may assume they are not at risk of such damage, but unusual circumstances might mean your risk is greater than you think, so it’s best to double check. Those who rent their living space should consider renter’s insurance to protect property. In the case of disasters like a flood or tornado, you want to make sure you have sufficient coverage for possessions, including valuables, vehicles (e.g. cars, boats, ATVs), and technology. Maintain good records of the valuable items you own and keep them in a safe place. It can be helpful to take pictures of your property before an event occurs

OutreachNC.com | NOVEMBER 2017

Establish your emergency fund A general rule of thumb is to have at least three to six months’ worth of expenses saved in case of an emergency. Consider saving more if you have children or live in an area where severe weather threats are more common. Keep these funds in accounts that offer liquidity like a money market fund or in bank savings. Make sure you have some cash on hand in case power outages or other issues prevent ATMs from working. The money you set aside could be used for temporary housing, medical care or to cover your essential expenses if you’re unable to return to work. The funds can also jump-start your relief and clean-up efforts. Safeguard your financial information When unanticipated events occur, you will need access to your financial information and personal identification documents. Store copies of your insurance policies, financial account statements, medical information, Social Security cards, driver’s licenses, passports and other important records in a secure location, such as a bank safety deposit box or a secure electronic vault. Having documentation readily available allows you to quickly verify your identity and work through your emergency plan after disaster strikes. Recent events are a reminder of the importance of having an emergency financial plan in place to help protect you against worst-case scenarios. Hicks, an RICP®, APMA® and financial advisor with Ameriprise Financial Services, Inc. in Southern Pines, can be reached at tim.hicks@ampf.com or 910-692-5917.

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OutreachNC.com 23

life

OutreachNC.com | NOVEMBER 2017

COOKING SIMPLE

Crock Pot White Bean Pumpkin Chili by Leslie Philip Photography by Diana Matthews

Ingredients • Cooking spray

• 1 teaspoon oregano

• 2 lb. 99 percent lean ground turkey

• 2 (15 oz.) cans white northern or navy beans, rinsed and drained

• ½ teaspoon olive oil

• 15 oz can pumpkin puree (or homemade)

• 1 small onion, chopped

• 4.5 oz canned chopped green chili

• 3 garlic cloves, minced

• 2 cups low sodium chicken broth

• 1 teaspoon chili powder to taste

• Chopped cilantro and chives for topping

• 2 bay leaves

• Salt & pepper to taste

• 2 teaspoons cumin

• Low fat sour cream for topping (optional)

Directions

UNCOATED

Heat a large heavy sauté pan over high heat and lightly spray with oil. Add meat and cook, breaking it up until white, about 5 minutes. Add to crock pot. Add oil to sauté pan, then onions, garlic. Sauté about 3-4 minutes, add cumin and sauté another minute. Add to crock pot. Add beans, pumpkin puree, green chiles, broth, chili powder, oregano and bay leaves to crock pot. Cover and cook on high for 4 hours or low for 8 hours. Remove bay leaves and adjust seasoning to taste.

Note:

Cooked acorn squash instead of the pumpkin puree makes this recipe even sweeter. Use two squash, cut in half or sliced, roasted at 350 degrees on a sheet pan coated lightly with oil until tender, then measured per recipe as an added bonus to this fall dish.

Philip, chief egg breaker and owner of Thyme & Place Cafe in Southern Pines, can be reached at leslie@thymeandplacecafe.com or 910-684-8758.

NOVEMBER 2017 |

OutreachNC.com 25

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hrough neuro physical therapy, patients with neurological injuries or disorders strengthen their bodies while building new mental connections and enhancing their social confidence.

Neurological illness and injury limit the body through damage to the brain or central nervous system. In addition to stroke or accident, people may suffer neurological damage due to Alzheimer’s or Parkinson’s diseases, lupus, multiple sclerosis, spinal cord tumors—even neuropathy due to diabetes. The National Institute of Neurologic Disorders and Stroke recognizes almost 450 kinds of neurological disorders. CONTINUED PAGE 28

NEURO PHYSICAL THERAPY:

Three Dimensions of Care by Jennifer Webster | Photography by Brady Beck & Diana Matthews

NOVEMBER 2017 |

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CONTINUED FROM PAGE 27

Impaired in mobility or other physical function, patients may further isolate themselves from the world for a variety of reasons. Perhaps they cannot walk or drive, or they may fear mockery due to obvious physical signs of illness, such as a tremor. Neurological physical therapy (neuro PT) helps patients improve strength, balance and flexibility, while the changes it creates range from improved mental function to increased social confidence. Laura Beck, PT, DPT, NCS, board-certified neurologic clinical specialist and physical therapist with MaxMotion Physical Therapy in Pinehurst, has deep experience in working with people suffering from neurological illness or injury. At the prestigious Shepherd Center in Atlanta, she focused on rehabilitation for people with spinal cord injuries. When she moved to North Carolina, she shifted her practice to embrace Parkinsonâ&#x20AC;&#x2122;s disease, too. Physical therapy, as Dr. Beck tells it, is a physical modality with an existential goal: to help people become more independent. CONTINUED PAGE 30

OutreachNC.com | NOVEMBER 2017

Neuro physical therapy participants Chuck Robertson, James Lewis and William â&#x20AC;&#x153;Billâ&#x20AC;? Moseley-Williams are seeing and feeling the program benefits.

NOVEMBER 2017 |

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CONTINUED FROM PAGE 28

A case in point is Philip “Flip” Welsh, who fell and broke his neck in August 2015. Originally paralyzed from the shoulders down, Welsh went through surgery and rehabilitation in a variety of facilities in Wyoming, Montana and Washington. When he returned to North Carolina to be near his daughter, he had regained a lot of function but relied on a power chair to get around much of the time. Striving to improve, he did an Internet search and found MaxMotion, where he worked with Beck from June 2016 through January 2017. Eager to drink from the firehose, Welsh started with three to four sessions daily. “Don’t be easy on me,” he told Beck. “Do what you have to do to get me going again. I’ll tell you when I’ve had enough.” Beck and her team pushed Welsh to his limit. The program challenged him physically, but he felt the rewards in every aspect of his life. “A lot of PT is physical, helping people become more independent,” Beck says. “We helped Flip progress from his power chair to walking with forearm crutches to the point where he had standing balance and could make breakfast for his family. It’s those physical things that make you more independent, like feeling stronger, having better endurance, and having more stamina to do the things you want to do.”

Moving the Mind Physical therapy does more than strengthen the body. Research shows that the brain can rebuild or reorganize after it’s been damaged, a process known as neuroplasticity. (Spinal cord damage is far less likely to repair itself, though exercise is thought to stimulate undamaged neurons—long nerve cells that transmit electrical impulses—that had not been in use before the injury.) Numerous studies show that exercise can significantly improve cognition after a stroke or in people who have Parkinson’s disease. “On the cognitive and emotional side, we use exercise to optimize brain health,” Beck explains. “Exercise is one of the most powerful things you can do for brain health in general. It increases blood flow to the brain, causing it to sprout new neurons and helping them make connections.” That’s certainly what Welsh is experiencing. He’s discovering a relationship between cognition and executive function—the ability of the mind to give self-instructions and make plans, perhaps akin to the old-fashioned term willpower. “My brain is settling down—it doesn’t play tricks on me anymore,” he says, explaining that the medications he took after his spinal cord injury left him foggy. “I found a lot of your brain is lazy. It doesn’t want you to work hard. This therapy was hard work. I have to get

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“

When someone can modulate and improve how much they are swinging their arms or stepping, they have learned enough so they can be in control — they can take that and run with it. —LAURA BECK, PT, DPT, NCS

”

up every day; I don’t care how tired I am. The brain game was a bigger challenge than the physical game in some ways.” For some patients, especially those with Parkinson’s disease, neuro physical therapy is a brain-training game in itself. Retired Rev. Sarah Edwards describes her initial PT program to treat her Parkinson’s disease as “choreography,” a sequence of dance-like movements. “To manage Parkinson’s, you must stay ahead of it by pushing yourself to go beyond what you’d normally feel like you’d want to do,” she says of her 11-year experience with the disease. “There’s just a feeling of malaise. With any neurological disease, it gradually creeps up and you have more and more days concerned about balance and falling.” Edwards began with the LSVT-BIG program, a series of movements designed to expand how people with Parkinson’s disease use their bodies. “We worked on stretching, flexibility and strength,” Edwards says. “You learn the exercises one-on-one with a physical therapist. After that, you continue with BIG as a group, and you do the exercises at home as many times as you can. They’re built on rhythm, counting. The movements are very defined, but they’re also soft movements to make you flexible and strong.” “LSVT-BIG is a protocol about increasing amplitude of movement,” Beck says. She notes that the protocol was developed for Parkinson’s patients, but can also be helpful for people with injury, like Welsh, or those who have had a stroke and need to expand movement on one side of the body. People learn to take longer steps, to swing their arms more boldly with their stride. Many patients first practice LSVT-BIG with the therapists’ hands guiding their arms or torsos. Gradually, they learn to be aware of how they are moving through space. “When someone can modulate and improve how much they are swinging their arms or stepping, they have learned enough so they can be in control—they can take that and run with it,” Beck says. “That is now theirs. They no longer need me to say, ‘Big steps! I can hear you scuff your feet!’”

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CONTINUED FROM PAGE 31

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OutreachNC.com | NOVEMBER 2017

Social Expansions The “big” philosophy only begins with motion. As people learn confidence in their gait and balance, they may come out of their shells, navigating “bigger” social and physical worlds. “When you have Parkinson’s, you’re concerned about being in crowds with any kind of bumping,” Edwards says. “Airports are the worst. Because you’re losing your strength, you lose confidence in being around other people. A serious issue for people with Parkinson’s is to stay isolated.” That was the case with William “Bill” Moseley-Williams, who also has Parkinson’s disease. He had fallen six or seven times, he says, when his wife suggested he consider neuro PT. Even within the safety of his home, life was becoming scary. When he fell, he had difficulty getting up again. “We had to call 911 to get some people to get me up,” he says. “And most of the time I was all right, but a couple of times I had to go to the hospital.” At MaxMotion, Moseley-Williams improved his balance and learned techniques for rolling over in bed and standing up from the floor, he says. The guided exercises helped; so did the encouragement Beck and the other therapists gave him. “They had a platform set up and I had to get across it, get on the floor and get up again, and that was a struggle for a while,” he says. “The therapists had to put up with me. To boot I had a bad arm. It was doubly hard to crawl with one arm. I liked all the people—the therapists were all willing to help. Sometimes I needed two people to help me. The most important thing about therapy is you like the person who’s doing it. They knew all my idiosyncrasies.” Now, Moseley-Williams says, he rarely uses his cane. He hasn’t fallen since he started PT a year ago. “Dr. Beck has been wonderful staying with me and putting up with me,” he says. Edwards also agrees. “I have no doubt, knowing her as I do, that all her clients are better for knowing her,” she says. “Her gift is a sense of how far she can push before it’s too far. She’s pushed me farther than I thought I could go, and almost every time, I could do it.” While Beck is known for the way she encourages each client, the supportive atmosphere extends beyond her personal touch. Welsh, for instance, notices improvements in his fellow clients and praises them. That camaraderie is enhanced in the more advanced groups, such as the Rock Steady Boxing 1558 work group for Parkinson’s patients. “Often, with a chronic condition such as Parkinson’s, people ... can start presenting themselves differently,” Beck says. “They become more isolated. We do a nice job of linking people up with other folks with a similar condition. People understand each other and can relate to them. At the clinic, too, everyone may not have the same condition, but they are around others, working hard to optimize their independence, optimize their health … there’s accountability, socialization and people cheering you on.”

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here is a moment of suspended disbelief when you first jump out of a plane. After that initial shock, the beauty and awe that come with free fall take over, and it makes sense why an avid skydiver says, â&#x20AC;&#x153;I do it, because now I know why birds sing.â&#x20AC;?

in love with Skydiving by Michelle Goetzl | Photography by Diana Matthews 34

OutreachNC.com | NOVEMBER 2017

For people who fall in love with skydiving, chasing that next jump becomes a way of life. For Stanley “Bo” Kinnison, it has become not only a way of life, but a way of giving back. Kinnison joined the U.S. Army in 1978 and served in a maintenance position. While he retired in the 1990s, a contract position opened up at Fort Bragg that he fell into which would change his life. Kinnison acknowledges that, at the time, he was quite the wild one and a definite adrenaline junkie. He got his nickname from tearing up the race track, like Bo and Luke Duke. He had a cousin in the 82nd Airborne who took on the “job” of channeling that wild streak into something useful. For Kinnison, something useful became jumping out of planes. CONTINUED PAGE 36

NOVEMBER 2017 |

OutreachNC.com 35

CONTINUED FROM PAGE 35

“The thrill of it,” Kinnison recalls with a boyish grin. “Stepping out of an airplane at 120 knots takes a certain kind of strength.” When he began jumping in the ‘90s, being airborne-qualified truly meant being part of an elite 10 percent of the company. Like any sport, if you want to do it well, and in this case, safely, one has to practice. The problem lies in securing jump time to practice. That’s where the Special Forces Association Parachute Team first enters the picture. “The founding members were special-operations soldiers who had a great desire to free fall, but who could not get enough during their normal parachuting duties for the Army,” Kinnison says. The team formed in 1961 as the Green Beret Sport Parachute Club, and in 1967, it was integrated into morale, well-being and recreation activities (MWR) and funded by the government. When funding ended and the club was shut down, Kinnison asked the Special Forces Association to let them come under their umbrella, and they agreed. Now, it is their mission to perform free-fall parachute demonstrations in support of local and national venues and raise money for Special Forces veterans. Parachute demonstrations are important for the army. They demonstrate professional excellence by performing precision aerial maneuvers, encourage pride toward both our military and our country and work wonders as recruitment tools. One of Kinnison’s skills is to jump with a giant American flag that is anywhere from three by five feet to 20 by 30 feet. CONTINUED PAGE 38

OutreachNC.com | NOVEMBER 2017

Is skydiving on your bucket list? Bo Kinnison suggests that you only jump at a U.S. Parachute Association sanctioned drop zone that abides by certain rules and regulations to keep you safe. You can locate your local drop zone at www.uspa.org/dropzonelocator . For more information on the Special Forces Association Parachute Team, visit www.sfapt.net . NOVEMBER 2017 |

OutreachNC.com 37

CONTINUED FROM PAGE 36

However, skydiving as a team is also something special for the men and women participating. The demonstrations are much more complicated than simply jumping out of a plane; they are more like an aerial ballet. “It is the ultimate in teamwork,” Kinnison says. “We trust each other. Our routines are all perfectly choreographed.” The majority of the work is done during the free fall portion of the jump, which is the only period where jumpers can be close to, if not touching, each other. “You have about a minute of workable time,” Kinnison explains. “It is so fun, trying to get all of these maneuvers in in one minute.” Even after the parachute opens, these skydiving artists can still do so much. “Just by contorting my body into different forms, I can do so many things,” Kinnison says. “They really learn how to fly their bodies just like birds.” One of the most exciting experiences that Kinnison has been able to have while skydiving was jumping in totality during the recent solar eclipse. “Night jumps are the biggest rush in the world,” Kinnison says. “Night jumps require special equipment with special lights, because you are a body flying in the dark, but what set the eclipse jump apart was the impact of jumping in totality and less than three or four minutes later, landing in daylight.” For the jump during the eclipse, Kinnison and three other jumpers climbed to the necessary altitude in a helicopter. As they jumped into the darkness,

OutreachNC.com | NOVEMBER 2017

they set off sparklers that were attached to their feet. To viewers on the ground who saw them near Orangeburg, South Carolina, the team looked like shooting stars. Not only was there an immense amount of adrenaline pumping through Kinnison’s body, but he also knew that this was a memory that he would hold onto for the rest of his life, not only for him but for his team as a whole. This camaraderie is one aspect that sets the Special Forces Association Parachute Team apart. For Kinnison, it is an integral reason that the team is able to make an impact and make a difference. With a checkmark beside skydiving, giving back and making a difference is actually the only thing that is on Kinnison’s bucket list. The SFAPT jumps to excite and entertain people, but they are also jumping to raise funds for Special Forces veterans. In 2016, the team raised $11 million to help wounded Special Forces veterans. Kinnison and his team also take wounded vets on jumps when possible. “We can take wounded vets and amp them up, get them to feel they are worth something,” Kinnison explains, “I never want them to feel alienated.” Kinnison understands that a wounded veteran needs to feel like they still matter, that they are still a viable part of society. When he takes a veteran who has been seriously injured on a tandem jump, he knows that he is fulfilling his mission. Another way that Kinnison pays it forward is by focusing on safety and by training younger jumpers. Kinnison’s actual title is safety and training advisor,

a role that he takes quite seriously. Many of the people that come out to jump with the the group are activeduty military. While waiting for his jump time recently, Kinnison walked Ray Steele, an active-duty soldier, through the steps to pack and prep his rig. “We help them transition from a standard military rig to a civilian type rig,” Kinnison says. “Being able to safely and correctly pack your own parachute is a vital skill.” The military usually packs the chutes for soldiers, so Kinnison and his team provide an important service. This parachute team is a brotherhood. The older guys make it a point to train and mentor the younger ones. Long-time SFAPT member and Assistant Team Leader Bill Gatter watches the younger jumpers and gives pointers on how to improve for their next jump. Gatter started skydiving in 1962 and spent 5 years with the elite Golden Knights army team. The years of experience that Gatter and Kinnison bring are invaluable. At the end of the day, the team looks forward to telling tall tales about how their jumps went. “We are like a bunch of old hunters,” Kinnison says. “We tell little white lies about what we did or joke about the little errors that we made. It’s tradition. And I’m not going to quit skydiving, until I physically can’t do it.” For all of the people he inspires, the veterans he helps, and true difference he makes, we all hope that is a day far in the future.

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Honoring World War II veterans Series «»

Don Colvin by Jonathan Scott Photography by Diana Matthews

y the time the Germans pulled U.S. Air Force Tech Sgt. Don Colvin out of the cold waters of the North Sea on July 21, 1943, Colvin was drifting in and out of consciousness. It had been three hours since Colvin’s B-17 had been shot down as they were returning from a bombing mission 75 miles from Berlin.

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“Can any of you speak German?” A short German officer stood on the deck of a small boat, looking down at Colvin and the other five survivors of the crash. “You’re doing pretty good in English,” the American radioman said. “I was the pilot of the plane that shot you down. Which one of you was in the top turret?” Colvin roused himself enough to remember what had just happened. One of their engines had taken a direct hit and the other was failing. Before going in the back to tell the crew to brace themselves, he had shot off a round at their attacker from his position in the top turret. The German looked directly at Colvin. “Congratulations,” he said with what nearly looked like a smile. “You took us down with you.” The next thing Colvin knew he was waking up in a German hospital in a leg cast purposely all the way to his thigh so he couldn’t walk. Three guards took turns keeping their guns pointed at him for eight-hour shifts. One night the guard pointed to his own chest. “Me,” he said, in conspiratorial broken English. “When war end, go Canada.” It would be nearly two years before the war would end. In the meantime, Colvin was shipped to Stalag 7A in Germany. Trapped behind rows of barbed wire, sleeping two men per flea-infested bunk, surviving on thin, watery soup, the American enlisted men knew they had it better than their Russian counterparts. The USSR had refused to sign the 1929 Geneva Convention concerning the treatment of POWs and the Germans both feared and detested Russian prisoners. Colvin heard stories that the Germans systematically starved the Russians and refused them medical treatment. American prisoners would tell how Russian POWs propped up the bodies of their dead to fool the guards into giving rations to the corpses. At one point in their interminable confinement, Colvin and his comrades were forced to leave Stalag 7 and march nearly 240 miles to the infamous Stalag 17 in Austria. There, more than 4,000 enlisted American soldiers huddled together with more than 25,000 English, French, Russian, Polish and Italian prisoners held nearby behind fences and wire. “Can you use a slingshot?” One of Colvin’s bunkmates pulled him over toward the barbed wire one afternoon. Colvin was confused. “Yeah, sure. Why?” “See them Italians? They’re my paesonos from the old country. But they got it better than us Yanks.” CONTINUED PAGE 44

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“Yeah? So what?” “You don’t smoke, do you, Colvin? I seen all them cigarettes you got just going to waste. If you think you can sling some packs over the fence, I can talk them into getting’ us some food.” It was how the POWs struggled to survive by finding small ways to circumvent the agonizing loss of control in the camp. It helped keep Colvin from falling into the hopelessness he could often see in the eyes of other prisoners. News reached the prisoners through the illicit cobbledtogether radio hidden in the rafters of the barracks. In April of 1945, when it was becoming clear the Russian army was heading their way, the Nazis decided they’d rather take their chances with the American army. They rounded up the prisoners to march west. The night before leaving, the Germans set everything on fire. Colvin watched one of his fellow prisoners walking slowly around the blaze, the dancing flames reflecting in his vacant eyes. News that the war would end came too late for this young man to regain hope in life. The kid was hypnotized, drawn toward a fiery death that would offer an escape from unbearable suffering. It took several of his comrades to hold him back to keep him from throwing himself in the inferno. Things began to unravel. The men were put into eight groups of 500 men each, forced along by the bayonets of the guards. After three torturous weeks, the guards halted the prisoners at the juncture of the Inn and Salzbach rivers near the border of Austria and Germany.

In the pouring rain, the prisoners were commanded to build shelters in the hills of the pine forest. By the next day, they could see American tanks rolling into the valley far below. A distant village was flying a white flag. Colvin’s buddy, George, had wandered into the woods alone. There was always a possibility of finding something to eat. From behind him he heard a voice, speaking English through a thick German accent. “Take me to one of your officers,” he said. “We want to surrender.” George stared back at the man—a Nazi who had treated him not much better than an animal. He put down the stick in his hand and grabbed the guard by his neck collar. “You’ll surrender to me, you son of a bitch!” It was not much more than a few minutes later when Colvin saw George marching hundreds of German soldiers down the hill, their hands clasped behind their heads. Colvin spent two horrendous years as a POW until they were liberated in April 1945. Eight years later after Colvin had returned home and married his sweetheart, renowned Hollywood director Billy Wilder released the blockbuster movie, “Stalag 17,” starring William Holden. It portrayed feisty American prisoners plotting escape and trying to ferret out an informer. It was the very camp where Colvin had been held. Colvin, now 94 and a resident of Southern Pines Gracious Retirement Living, shakes his head. “It was nothing like that,” he says. “Nothing at all.”

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STEPS A

to Fulfilling Your Lifelong Dreams

ge often brings wisdom, and sometimes, wealth and time and opportunities, but many times, there may be dreams you’ve pushed aside in order to meet the day in and day out demands of life. No matter if your bucket list is short or long, there are three steps you should take before you make your dreams a reality.

by Rachel Stewart

“The future belongs to those who believe in the beauty of their dreams.” 46

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—ELEANOR ROOSEVELT

Talk to others who have taken the risk first. Wanting to move into a tiny house? Go skydiving? Travel the world? Start a second career? Find a friend—or a friend of a friend—who’s already done it—and ask them how they did it. People who have already made the move can offer first-hand perspective and advice on what worked, what didn’t, and what they’d do differently. If you can’t find anyone locally, turn to social media and search for online communities or groups that can answer questions or offer support and help you set your course. CONTINUED PAGE 49

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Consider your finances.

It’s hard to put a price on a dream or once-in-a-lifetime experience, but cost—both small and big—can be a defining factor in whether you follow through with your plans. Take a hard look at how much your goal could cost and how much time and money could be involved. Do you have enough to cover it outright? Do you need to consider taking out a small loan, or perhaps moving other finances around? Should you start a separate savings account or open a certificate of deposit to meet the cost? Estimate how much you’ll need to spend and then head to your local financial institution to discuss in detail with an expert, if you have concerns or need to learn more about your options.

Study to achieve your goal. While researching may be the first step, some dreams may involve further learning, training and testing, such as getting a motorcycle license or studying abroad in another country. Look into what extra classes, certificates or paperwork you may need to complete prior to the big event and sketch out a time frame for achieving your dream.

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advice

L AW R E V I E W

Will Your Wishes Be Honored When It Matters Most? by Tyler Chriscoe

n my experience, a considerable number of people aren’t familiar with what is normally called a “living will.” Although you may have heard of living wills, this is an overview of why it is an important part of your estate planning. A living will, otherwise known as an “Advance Directive for a Natural Death,” is a document that gives your healthcare providers instructions regarding whether to withhold or withdraw lifeprolonging measures in certain situations. It is a document for you to express your desires concerning end-of-life care, that is, whether to be kept alive with life prolonging measures. Physicians routinely rely on these documents in making end-of-life decisions. An Individual’s Right to a Peaceful and Natural Death The North Carolina General Assembly has set out a statutory procedure in creating living wills so that all North Carolina health care providers can rely on the same document. However, the specific language of the statute is often revised. The language at the beginning of the statute is worth quoting in full: The General Assembly recognizes as a matter of public policy that an Individual’s rights include the right to a peaceful and natural death and that a patient ... has the fundamental right to control the decisions relating to the rendering of the patient’s own medical care, including the decision to have life-prolonging measures withheld or withdrawn in instances of a terminal condition. When Does a Living Will Apply? By completing the document appropriately, a person can direct withholding or withdrawal of life prolonging measures, if both the following are true: (I) the person’s attending physician determines that the person lacks capacity to make or communicate healthcare decisions and (II) the person meets at least one of the following conditions:

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(i) The person is determined to have an incurable or irreversible condition that will result in death within a relatively short period of time; or (ii) The person becomes unconscious and his or her healthcare providers determine that, to a high degree of medical certainty, that he or she will never regain consciousness; or (iii) The person suffers from advanced dementia or any other condition that results in the substantial loss of his or her cognitive ability and the healthcare provider determines that, to a high degree of medical certainty, the loss is not reversible. If you are still able to make and communicate healthcare decisions, then the living will does not apply. Also, it should be noted that exceptions are allowed within the living will, if the person desires to make exceptions for either artificial hydration, artificial nutrition, or both. What are the Benefits of a Living Will? The most important benefit of having a living will is ensuring that your desires are observed when the time comes. A living will can also settle family disagreements when there is confusion about what you would desire if you were able to communicate. Although it is not a legal requirement, it is a measure to prevent problems from occurring in the future and to ensure your desires are followed. It is important to note that the living will can be revoked either by being signed in writing or by a clear communication by you to your attending physician. In planning your affairs, don’t overlook the potential benefits of having a living will in your estate plan. Chriscoe, an attorney with Robert S. Thompson, PA in Southern Pines, can be reached at 910-692-2244.

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Carolina Conversations with WRAL-TV News Reporter and Author

Amanda Lamb by Carrie Frye | Photography by Diana Matthews

iewers tuning into the newscast on WRAL-TV have seen reports from Amanda Lamb since 1994, covering everything from crime and court rulings to natural disasters. Earning her bachelor’s in English and psychology from Duke University and her master’s in journalism from Northwestern University, this Philadelphia native proudly calls North Carolina home sweet home. Lamb is an author of eight books, some developed from her investigative news work, while others delve into parenting and caring for mother after her diagnosis with a terminal brain tumor, chronicled in “The Living Room.” She is also is a regular contributor to the “Go Ask Mom” blog on WRAL.com. Her home life with her husband, two teenage daughters and dog, Bella, was showcased on an episode of HGTV’s “Love It or List It,” in which the couple went through several months of extensive home renovations before deciding to “love” it and stay put rather than listing their house. On the sun porch of her Cary home with Bella at her side, Lamb talks about journalism, writing, caregiving for her mother, her assignment in Uganda and her goals for her Second 50.

s ONC: How did your love for journalism develop? AL: I joked that I was a writer when I was 10 years old.

And that’s when I started writing. I have the little books to prove it. They are notebook paper with construction paper covers, still glued together. It was always something I loved, always something I did in school. I wrote for the school newspaper and a magazine. I took creative writing classes. I went to Duke, and I majored in English with a concentration in creative writing. I always loved writing. When I was at Duke, I did an internship at, actually, my competitor, WTVD. I had grown up acting. It was a great way to marry performance with the writing. I loved it right away, and I knew it was for me. It was dynamic, it was interesting and it was a way to write every single day. I had no idea at this point in my life that I would be writing as much as I am, because I do four shows a day usually, and I write and produce all the original content for every show. So, it has allowed me to be a better writer in every other area of my writing. It’s been a good life experience. Not to mention the characters that I meet along the way. I wish I had taken more notes, because there are so many characters. It’s been a great career, just in terms of

life experience. Peeking into everybody else’s world, so I know a little bit about a lot of things. It’s been a great 28 years—28 years in television and a few months in radio when I first started. My first job was in Myrtle Beach, South Carolina. Then I was in Portland, Maine. Then I came to WRAL in the fall of 1994. Three jobs, but WRAL was the job that raised me as a journalist. And the job lured you back to North Carolina?

I really did love North Carolina. My mother’s family is from outside of Charlotte. So, I had grown up coming to that part of the state. I thought it would be a great stepping stone, and WRAL had a great reputation, but I had no idea I would stay. I came here for two years, and that was in 1994. I ended up staying and getting married and having children. It just turned out to be such a great place to be. I’m an outdoor person. My whole family loves the coast of North Carolina. We bike, paddleboard, hike, and you can do that almost year-round here. Also, having grown up in the Northeast, I felt like this was a gentler culture to raise my children in. I feel like it’s been a good place for them to grow up. CONTINUED PAGE 54 NOVEMBER 2017 |

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What do you still love about community news?

When you work day in and day out in a community like Raleigh, and people think of Raleigh as a big city if you’re from outside of it, but it’s really a small town. You really make ties and get to know people, and you have a sense of responsibility and obligation to the viewers and to the people that you interview and the people you do stories on. You have this connection that you are not going to have in network news. I love storytelling. I enjoy learning something new every day, meeting new people and being in new environments. It’s always interesting, it’s dynamic, it changes every day, and just when you think you’ve seen it all, you have not seen it all. There is always something new. Which of your assignments stands out the most for you?

I have covered a lot of disasters. And that sounds like that would be such a negative, but as the same time, you really learn a lot from people who have been through a crisis. Because a wiser person than myself once said, “The thing that teaches us the most are tragedies and travel.” I have had an opportunity to be in the background or a bit player in seeing how a lot of people deal with crisis. And it’s really informed me and in my life has taught me how to handle obstacles, challenges and crisis. So I say one of the top would definitely be covering Hurricane Katrina. I went right after the hurricane with a producer, engineer and photographer, and we lived in an RV in Walmart parking lots all over Mississippi and Louisiana. So we saw the sheer destruction. Then I went back six months later, so I got to see the beginning of the rebuild. And then back a year later, and I saw how much had been done and how much hadn’t been done. I cover a lot of murder trials. I don’t want to point out any particular one, because they are all tragedies for somebody. But at the same time, I am fascinated by the law and criminal law. I like the interplay between the attorneys and 54

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the judge and the witnesses. And I like to see how something goes from an investigation to a courtroom, where you take away a lot of the emotions and you make it just about the facts. In a way, it’s theater to me. I think it’s really fascinating. My dad was a district attorney when I was growing up. I probably saw my first murder trial when I was 13. That was pretty eye opening to me. Journalism for me has allowed me to experience a lot of things that I would have never seen. I just came back from Hurricane Harvey, so I was in Houston. Every hurricane is different and seeing what has happened. In that area, the flooding was just overwhelming. And I had seen flooding in North Carolina. I covered Hurricane Fran, but it was beyond what I had ever seen before in an urban area. I love a “feel good” story. I have had the opportunity over the years to do stories about children and adults overcoming hardships. I am going to Uganda with the Duke East Africa Neurosurgery Program, too. They have a global health initiative where they are going to help train doctors to perform neurosurgery. They bring surplus supplies to the people of Uganda and to their hospitals. It’s an amazing program, and they have been doing it for 10 years. So, they invited us to go. I know that’s going to be a transforming experience. It will probably air in the first week in November. How did reporting crime turn into writing books?

What I do on TV is a minute and a half. So, I really don’t get a chance to tell a full story. I’ve written three crime books, and basically, it has just allowed me to delve into so much more information. It gives you kind of a wider breath, if you are interested in that type of thing, to understand all the background. That being said, I have moved away somewhat from that and moved more into my humor and memoir writing. That just gives me a lot more joy. And after a certain age, joy is a lot more important. The true crimes are a lot like my job, so I like my writing to be less of a job and more of an escape and an enjoyment. I am writing my first novel that I hope to have published. It’s a murder mystery, and it’s based on a lot of the cases that I covered and a lot of things that I have never been able to report on, woven from many different cases. So, that’s kind of my next foray into writing. It’s a little scary, because fiction is more personal, and the criticism of it will be more personal. But, I figured what do I have to lose? You don’t make a lot of money writing books. So, my philosophy is I just need to write what I want to write then. I love blog writing, I write a blog for WRAL every Monday called “Go Ask Mom.” I have been doing that for close to 10 years. I have written about parenting all the way through. It gets a little complicated now that I have teenagers. There are many off limit topics I am not allowed to talk about. I really enjoy that type of writing. I enjoy that kind of quick, slice of life, philosophy, kind of relatability, trying to give people something to think about.

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Can you tell us about “The Living Room” and your caregiving experience?

My most recent fully published book was “The Living Room.” When my mom got sick—she had glioblastoma, a brain tumor. She was diagnosed April 20, 2012, in Pennsylvania where she lived. She was a lawyer and worked full-time. Basically, she walked into the emergency room in high heels and a suit, and left the hospital with me three days later in a wheelchair, barely able to walk.

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LOG ONTO

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It’s one of those cancers that just takes you down. I called it the “Titanic” of cancers. We made the decision very quickly to bring her to Duke. She went downhill physically very quickly. Her cognitive abilities really maintained to very close to the end, but physically, she lost the ability to walk, to care for herself and to feed herself. We put a hospital bed in my living room, because of the set floor plan of my house, that just made the most sense. And I was writing posts on Caring Bridge for her friends. We started kind of writing them together, and I would read them to her. About halfway through the process, she said we should write a book. And I said “Mom, I can’t write a book right now, you’re dying. That’s not going to work out.” A couple months after she died, I printed all of the posts out and laid them on the floor in chronological order. I took all of that, put it together and decided it would really be cathartic to write a book. After it was published, I ended up speaking at Duke’s annual brain tumor center event. I was really able to connect with a lot of people that had gone through the same thing and reached a lot of people that way. It was an important book for me to write, because my mother was such an amazing person and taught me so much. I still speak on palliative care and caregiving from the perspective of an adult child, which all of us, at some point, will go through to some degree. How did your appearance on HGTV’s “Love It or List It” come about?

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A friend of mine had done it. The show moved from Canada to Raleigh, and they were looking for families here. They wanted some kind of fun dynamics. So, my friends knew that I am a Yankee, and my husband is a Southerner, and we have some different ideas about things. He recommended us, and we did the paperwork. We did the show at the end of 2014. We had to actually move out, which was really hard for my husband, because he did not like the loss of control. I, on the other hand, am not domestic at all. I was thrilled to have somebody else pick everything. They did a fabulous job! The day in and day out thing that made the most difference in my life is my bathroom. I mean, I’m not going to lie. I love my bathroom. My bathroom is better than most hotel bathrooms. And a walk-in closet. The big thing that they did was take in a patio, added 300 square feet to our basement and made it a teen hangout. And let me tell you, I have a lot of teens hanging out.

Any specific goals for your Second 50?

Going to Uganda. I’ve always wanted to go to Africa, so, that’s one off the list. Next year, a friend is trying to do a 26-mile hike for charity in the Piedmont area. I have never done anything like that. I have done a marathon, lots and lots of half marathons, two triathlons— one many years ago and one in 2014. I have done a couple bike events, a long bike event, but I have never done a long hike. That is the next big physical challenge. I want to publish my novel and see how that goes. As I neared 50, I started to reconnect with old friends again. I think when you’re raising kids, your life is pretty chaotic, and you just don’t have the same opportunities. Three of my best friends from college surprised me on my 50th birthday. We promised to never let the time pass again. I would say reconnecting with people who are important to me and making friendships a priority is a goal. Then career wise, who knows. I am open to things. I am very passionate and have a lot of energy. I feel like I have a lot more years of working. My husband and I both love to travel. Once our kids get through college, which would be eight years—not that I’m counting— we want to start looking at some travel. I would like some adventure travel. I would like to do a bike trip or some crosscountry skiing or rent an RV— things I have never done—and be open to those possibilities. NOVEMBER 2017 |

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Understanding LONG-TERM

CARE Insurance

by Robin Nutting , CLTC®

t’s a fact: People today are living longer. Although that’s good news, the odds of requiring some sort of long-term care increase as you get older. And as the costs of home care, nursing homes and assisted living escalate, you probably wonder how you’re ever going to be able to afford long-term care. One solution that is gaining in popularity is long-term care insurance (LTCI).

What is long-term care? Most people associate long-term care with the elderly. But it applies to the ongoing care of individuals of all ages who can no longer independently perform basic activities of daily living (ADLs)—such as bathing, dressing, or eating—due to an illness, injury, or cognitive disorder. This care can be provided in a number of settings, including private homes, assisted-living facilities, adult day-care centers, hospices and nursing homes. Why you need long-term care insurance (LTCI)? Even though you may never need long-term care, you’ll want to be prepared in case you ever do, because long-term care is often very expensive. Although Medicaid does cover some of the costs of long-term care, it has strict financial eligibility requirements—you would have to exhaust a large portion of your life savings to become eligible for it. And since HMOs, Medicare and Medigap don’t pay for most long-term care expenses, you’re going to need to find alternative ways to pay for long-term care. One option you have is to purchase an LTCI policy. However, LTCI is not for everyone. Whether or not you should buy it depends on a number of factors, such as your age and financial circumstances. Consider purchasing an LTCI policy if some or all of the following apply: • You • You • You • You

are between the ages of 40 and 84 have significant assets that you would like to protect can afford to pay the premiums now and in the future are in good health and are insurable

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How does LTCI work? Typically, an LTCI policy works like this: You pay a premium, and when benefits are triggered, the policy pays a selected dollar amount per day (for a set period of time) for the type of long-term care outlined in the policy. Most policies provide that certain physical and/or mental impairments trigger benefits. The most common method for determining when benefits are payable is based on your inability to perform certain activities of daily living (ADLs), such as eating, bathing, dressing,

continence, toileting (moving on and off the toilet), and transferring (moving in and out of bed). Typically, benefits are payable when youâ&#x20AC;&#x2122;re unable to perform a certain number of ADLs (e.g., two or three). Some policies, however, will begin paying benefits only if your doctor certifies that the care is medically necessary. Others will also offer benefits for cognitive or mental incapacity, demonstrated by your inability to pass certain tests. CONTINUED PAGE 60

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Comparing LTCI policies Before you buy LTCI, it’s important to shop around and compare several policies. Read the Outline of Coverage portion of each policy carefully, and make sure you understand all of the benefits, exclusions, and provisions. Once you find a policy you like, be sure to check insurance company ratings from services such as A. M. Best, Moody’s, and Standard & Poor’s to make sure that the company is financially stable. When comparing policies, you’ll want to pay close attention to these common features and provisions: • Elimination period: The period of time before the

insurance policy will begin paying benefits (typical options range from 20 to 100 days). Also known as the waiting period.

• Duration of benefits: The limitations placed on

the benefits you can receive (e.g., a dollar amount such as $150,000 or a time limit such as two years).

• Daily benefit: The amount of coverage you select

as your daily benefit (typical options range from $50 to $350).

• Optional inflation rider: Protection against

inflation.

• Range of care: Coverage for different levels of

care (skilled, intermediate, and/or custodial) in care settings specified in policy (e.g., nursing home, assisted living facility, at home).

• Pre-existing conditions: The waiting period

(e.g., six months) imposed before coverage will go into effect regarding treatment for preexisting conditions.

OutreachNC.com | NOVEMBER 2017

• Other exclusions: Whether or not certain

conditions are covered (e.g., Alzheimer’s or Parkinson’s disease).

• Premium increases: Whether or not your

premiums will increase during the policy period.

• Guaranteed renewability: The opportunity

for you to renew the policy and maintain your coverage despite any changes in your health.

• Grace period for late payment: The period

during which the policy will remain in effect if you are late paying the premium.

• Return of premium: Return of premium or

nonforfeiture benefits if you cancel your policy after paying premiums for a number of years.

• Prior hospitalization: Whether or not a hospital stay

is required before you can qualify for LTCI benefits.

When comparing LTCI policies, you may wish to seek assistance. Consult a financial professional, attorney or accountant for more information. What’s it going to cost? There’s no doubt about it: LTCI is often expensive. Still, the cost of LTCI depends on many factors, including the type of policy that you purchase (e.g., size of benefit, length of benefit period, care options, optional riders). Premium cost is also based in large part on your age at the time you purchase the policy. The younger you are when you purchase a policy, the lower your premiums will be. Nutting, CLTC, a financial associate with Thrivent Financial in Southern Pines, can reached at 910-692-5570 or robin.nutting@thrivent.com .

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NOVEMBER 2017 |

OutreachNC.com 61

GREY MATTER See Grey Matter Puzzle Answers on Page 65

ACROSS 1. Certain apartment 5. Amigo 8. Preserve, in a way 12. Halo, e.g.

13. Break 14. Bender 15. Computer picture 16. “I had no ___!” 17. Forgo 18. Trembled

OutreachNC.com | NOVEMBER 2017

Affect Aliens Athlete Blend Blown Child

Collar Colored Congratulates Course Dividing Early

20. “Shoo!” 21. Downy duck 22. Coal container 23. Cold and sticky hands 26. Service for a death

Electronics Enter Extremely Force Forth German

Heard Humor Hurting International Little Liver

Lunches Lungs Mixed Numbered Pearls Reeds Refer Sacks Salad Sells Sense Shaggy Snack Spade System Teach Teeth Thanking Their Toast Trial Trout Twice Understanding Weigh

30. Fix, in a way 9. “Mi chiamano Mimi,” 31. A, B or C e.g. 34. Eastern music 10. Impose, as a tax 35. Ally 11. Golf ball support 37. ___ v. Wade 13. Hippy tee style 38. Money in the bank, 14. Beau say 19. Barely lit 39. Unload, as stock 22. Sticker 40. Dog breed 23. Pizza feature 42. Discharge letters? 24. Lid or lip application 43. Goo 25. Catlike 45. Spin 26. Pedal pushers 47. “Don’t give up!” 27. Bob Marley fan 48. Unimpressed 28. Bond, for one 50. Fill 29. Coffee order 52. Proximity 32. Certain surgeon’s 56. Auspices “patient” 57. Yorkshire river 33. “Sesame Street” 58. Crazily watcher 59. Great balls of fire 36. Roadside problem 60. Big game 38. Appeared 61. Not yet final, at law 40. Arch 62. Reduce, as expenses 41. Desk item 63. “To ___ is human ...” 44. Salad green 64. Put one’s foot down? 46. Letter 48. More like the sky 49. Doofus DOWN 50. “La Scala di ___” 1. “O, gie me the ___ (Rossini opera) that has acres o’ charms”: 51. Biology lab supply Burns 52. The “C” in U.P.C. 2. “That hurt!” 53. Arabic for 3. German married “commander” woman 54. Comme ci, comme 4. Two-seater ca (hyphenated) 5. Man with a mission 55. ___ row 6. A chieftain 56. Death on the Nile 7. Detective’s need cause, perhaps 8. Those who produce offspring

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OutreachNC.com 63

life

OVER MY SHOULDER

Planning Is a Gift by Ann Robson

everal years ago, following a presentation on important documents for seniors, I asked my husband what his final wishes would be and what he would want me to do in case he was unable to make medical decisions for himself. “Oh, you’ll know what to do,” was his answer. End of discussion—for a while. We’d had wills for a long time and with each new state of residence had them updated to meet state codes. But that was as far as we’d gone. Then each of us became an executor for a family member on each side, and we soon realized that even with good wills, being an executor wasn’t the easiest job in the world. So we resumed our discussion about important matters facing us as we are growing older. As the parents of an only child, some things are easier. We have tried to spell out what we mean in our wills and in our medical powers of attorney, as well as power of authority for financial matters and have pre-arranged our funerals. When we first approached the subject with our daughter, she really didn’t want to read any of our documents. We were soon leaving on a trip, so I left the material on the kitchen table and asked her to please read it before we left. She did and gave us a concise summary of what took a lawyer several pages to write. Talking about your last will and testament or your wishes for receiving or refusing medical care does not mean that anything is imminent. We should do it while we are still very sound of mind and can explain it to our families. Each family has a different dynamic concerning such matters, and only you know the best way to approach them. Perhaps the death of a friend or a member of the family would give you an opening to gently move into the subject of wills, and then other important matters. It’s not usually overwhelmingly well received on your first try. But don’t take that as disinterest; rather it’s usually a subject that children, at whatever age, don’t want to think about when it comes to a parent’s final days. Approaching it as something you’re doing for them, so they won’t be burdened with a lot of “what ifs?” could be a starting point. It truly is a gift to your family, and one that should be given sooner rather than later. With the holiday season upon us, when families are gathering together, what better time than to let them know you’ve done some forward planning and you know (or maybe hope) they’ll understand and support you. It might work to say to the family, “We have something to discuss with you” at an appropriate time, probably after the feasting and football are over. For other families, it may be easier to tackle one family unit at a time. The advantage of doing it when as many as possible are present is there can be no misunderstanding among siblings. You can solicit their opinions if that makes things go more smoothly. You’ll likely feel quite relieved when all is said and done.

Robson is the author of “Over My Shoulder: Tales of Life and Death and Everything In Between.” She may be reached at overmyshoulder@charter.net .

OutreachNC.com | NOVEMBER 2017

GREY MATTER ANSWERS SUDOKU

HOLIDAYS with the

IP TR IGH D A LE RO R A O T

WORD SEARCH

Christmas with the Callaway Sisters SAT, DEC 16 | 3PM

MEYMANDI CONCERT HALL, RALEIGH

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Tony-nominated Broadway stars and sisters Ann Hampton Callaway and Liz Callaway shine in holiday favorites including “The Christmas Song,” “Joy to the World,” and more!

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Your coach leaves Fayetteville Tech at 11am, arriving in Raleigh in time for lunch in beautiful Cameron Village, where you can choose from dozens of restaurants before the matinee (enjoy 15% off at Cameron Bar & Grill!) Transportation included in price.

A Classic Holiday Pops THUR, DEC 21 | 8PM

LEE AUDITORIUM, PINECREST HIGH SCHOOL, SOUTHERN PINES

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OutreachNC.com 65

Generations

by Carrie Frye & Michelle Goetzl

OutreachNC asked adults and children our November question. Share your answer on our Facebook page.

What’s your favorite Thanksgiving tradition? Taking a great big nap. —Pete, 74 Cooking and eating the meal. —Gaye, 55 Having family gather at our house. —Rodney, 58 Spending the day with my kids and grandkids. —Carol, 68 Family, friends, great food and fresh fruit salad. —Ben, 70

Pumpkin pie!

—Jack, 77 The Thanksgiving lunchtime meal. —Trevor, 63

Turkey and gravy, and more gravy! —OutreachNC Co-editor Jeeves, 4

Making my grandmother’s dressing recipe. —Brenda, 55 Eating a special meal with the whole family. —Jackie, 56 Breaking the wishbone. —Reuben, 79 Watching Hallmark Christmas movies. —Mary Lou, 67 Canned cranberry sauce sliced in

OutreachNC.com | NOVEMBER the 2017shape of the can. —Diane, 59

Going around the table and hearing what everyone is thankful for. —Damien, 7

There is no school. —Evalyn, 8

Helping my mom in the kitchen, seeing my family and spending time with them. —Brynna, 7 Having my grandma and grandpa come over to eat with us. — Jaxon, 7 Going to my nanny and papa’s house for a special dinner and opening a special Thanksgiving present. —Colette, 7 When my grandpa and aunt come over. —Malia, 7 I enjoy cooking with my mom and when I go to my uncle’s house, because he has a lake. —Olivia, 8 Eating the turkey and pouring gravy on everything! —Connor, 7 Eating a huge feast with my family. —Hannah, 7 My uncle and aunt come to town and eating a huge dinner. —Jordyn, 7 Meeting with my family. —Sydney, 9

Meet Your Village Family Dentists

Anuj James, DDS General Dentist IV Sedation

Michael Knowles, DMD General Dentist

Faith McGibbon, DDS Pediatric Dentist

Terrance Smith, DDS Prosthodontist

Bradley Ryan, DDS General Dentist IV Sedation

Grant Wiles, DDS General Dentist

Mit Patel, DDS General Dentist

Lauren Brannon, DDS General Dentist

Lawrence Bullard, DDS General Dentist

Plummer Ray Chavis, DDS General Dentist

Annie Floor, DDS General Dentist

Molly Guy, DDS General Dentist

Gary Hall, DMD General Dentist

Ken Harrel, DDS General Dentist

Herald â&#x20AC;&#x153;Bearâ&#x20AC;? Hughes, DDS General Dentist

Andrea Jacobs, DDS General Dentist

P.W. Jessup, Jr., DDS General Dentist

Ronald Katz., DDM General Dentist

Garrett McDaniel, DDS General Dentist

Daniel McInnis, DDS General Dentist

Kushan Patel, DMD General Dentist

Meredith Smith-Wiles, DDS General Dentist

Sunny Yu, DDS General Dentist

Oral Surgeon, Cosmetic Surgeon

Elda Fisher, DMD, MD

John Kent, DMD Oral Surgeon

Brett Alvey, DDS Orthodontist

Richard Burke, Jr., DMD Pediatric Dentist

Pawandip Singh, DDS General Dentist

Trina Collins, DDS Pediatric Dentist

Anne Dodds, DDS Pediatric Dentist

Fayetteville (910) 485-8884 Eastover (910) 437-0232

Jordan Olsen, DDS Pediatric Dentist

Hope Mills (910) 424-3623

Dental Health Assoc. (910) 486-4180

Raeford (910) 875-4008

Daniel Ravel, DDS Pediatric Dentist

Nathan Abramson, DMD Prosthodontist

Buzz King, DDS Prosthodontist

St. Pauls (910) 446-1130 Laurinburg (910) 276-6640

For more information, visit us online at: www.vfdental.com

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OutreachNC.com 67

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