Senior Guidebook - Oct/Nov/Dec 2011

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For advertising information contact: DAVID KIERSKY, Publisher 213 V Avenue / Anacortes WA 98221 PHONE 360.588.9181 / FAX 360.588.9003 EMAIL JENNIFER KIERSKY BLAIR Chief Editor/Production Copyright 2011 Kiersky Publishing, Inc. All rights reserved. Kiersky Publishing Senior Guidebook to Western Washington is published quarterly by Kiersky Publishing, Inc. The opinions, advice or statements expressed by contributing writers don’t reflect those of the editor, the publisher or of Kiersky Publishing Senior Guidebook to Western Washington. No part of this magazine may be reproduced without prior consent of the publisher. It is your responsibility to evaluate the accuracy, completeness or usefulness of any information, opinion, advice or other content contained herein. Furthermore, Kiersky Publishing, Inc. makes no representations and, to the fullest extent allowed by law, disclaims all warranties, expressed or implied, including but not limited to, warranties of merchantability and fitness for particular purposes regarding the suitability of the information; the accuracy, reliability, completeness or timeliness of the content, services or products advertised herein. The content published herein may include inaccuracies or typographical errors.

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Taking Control of Your Health Care – Brian Giddens, LICSW Four Tips to Beat the Winter Blues – Paul Anderson, N.D. Eliminate Stress with Biofeedback – Brad Lichtenstein, N.D. She Looks Well to the Ways of Her Household – Kellie Moeller Get Moving! – Jane Meyers-Bowen Stretch, Move, Dance, Thrive Insider Tips for Sustaining Whole Life Living – Tracey Harvey How Health Conscious Seniors Can Mentor Health Conscious Kids – Andrew Schorr The War Against Breast Cancer – Theodore Kim, D.O. Bastyr University Combats Prostate Cancer – Kelly Manalo Caring Faces Look Who’s Telling Who How to be Green – Jennifer Blair European Trains Still A Great Way to Travel – Rick Steves Safety Standards for Ayurvedic Herbs – Virender Sodhi, M.D., N.D. Directory

ADVERTISERS Front Cover Garden Court Retirement Community – Everett Back Cover Mirabella – Seattle Front Inside Cover Forest Park Insurance – Seattle/Lake Forest Park Back Inside Cover Salem Village Communities: Highland Greens Cottages, Salem Village II, Highland Greens Senior Apartments, Salem Village Apartments – Mount Vernon


QR codes, Quick Response codes, now appear throughout Senior Guidebook to supplement the articles and ads with web sites, videos, special offers and other similar content. To make use of the code, download and launch a QR code reader on your smart phone, then point the camera at the image to scan the code. Download the QR code reader I-nigma by 3GVision. Go to and install via your mobile browser or download to a computer and transfer it to your mobile device. As an example, scan the code above and visit


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Edmonds Landing – Edmonds Rosewood Courte – Edmonds

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Garden Court Retirement Community – Everett

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The Bellettini – Bellevue The Bridge – Mount Vernon Bastyr Center for Natural Health – Seattle CRISTA Senior Living – Shoreline; Crista Shores – Silverdale Radiant Senior Living: Ashley Pointe – Lake Stevens; La Conner; South Pointe – Everett Leisure Care: Fairwinds-Brighton Court – Lynnwood; Fairwinds-Brittany Park – Woodinville GenCare Lifestyle: Ballard Landmark – Seattle; The Lodge – Renton; Scriber Gardens – Lynnwood; The Village – Granite Falls; Remington Place – Seattle/Lake City; Sun City-Arizona

Forest Park Insurance – Seattle/Lake Forest Park Alzheimer’s Association – Seattle

SENIOR guidebook – bridging generations

People have always relied on your strength. Why should it be any different now? An Extraordinary Retirement Community in Downtown Bellevue

You’ve built a career, raised a family, and served your country and community. And now that you are retired, your strength is just as important as ever. At The Bellettini, our comprehensive wellness program will help you remain physically and mentally strong. It is the only one of its kind, customized just for you to explore every aspect of well-being. Because a healthier, happier you, means all of those around you benefit. Assisted living services are also available.

Discover everything The Bellettini has to offer. Stop in for a visit, take a tour, and sample the inspired cuisine at Toscano, our world-class restaurant.

1115 - 108th Avenue NE | Bellevue | (425) 450-0800


Taking Control of Your Health Care by Brian Giddens, LICSW I was recently talking with a friend who had been turned down for a job. She is in an industry that has been especially hard hit in our economy, and despite her experience and preparation, she is competing against scores of people who also have extensive skills. I encouraged her to recognize, that as hard as she might try, she has no control over the poor economy and abundance of competition. Instead, I suggested that she focus on her health. This would help her maintain her strength, energy, and attitude, so that she may continue to seek employment. There are a lot of things that are out of our control. However, we continue to look for ways to control our experiences, because when we don’t, we feel anxious, helpless, and never sure of what might happen next. After working in health care for over 25 years, I have seen people face overwhelming health issues. It seems that the people who do best are the ones that find some semblance of control over their condition, and become actively involved in understanding and managing their health. But how does one take control over a disease that hit them “out of the blue?” For example, how does one take control over having a heart attack, receiving a cancer diagnosis, or a chronic condition such as diabetes? It might seem that at such difficult junctures, all we can do is try our best to absorb the impact of what we are facing. Keep in mind that taking control is not fixing the problem. We cannot alter the reality of a medical diagnosis through sheer will, no matter how much we like being in control. However, we don’t have to let the condition take the upper hand. Rather, we can work to be fully engaged in our care, and co-exist with our situation. Here are some ideas for how we can take control of our health care: 1. If you are not currently dealing with a health crisis, take time to appreciate your good fortune and think about what you may be doing to stay healthy. What do you find that has worked for you in your diet, your physical activity, and in your attitude? Chances are, even with good genes, you should be able to account for behaviors and activities that have reinforced your good health. 2. Think proactively about how you can prevent health issues. There is a lot of information about diet and exercise in the media, but adhering to your own personal health plan is complicated (look at all the diets that have come and gone in the past few years). A personal plan to keep you healthy should be something that is realistic for you, your lifestyle, and your schedule. This may mean instead of walking three miles per day, you park your car farther 4

away and do a “parking lot walk” when you go to the store, or take the stairs instead of the elevator. Instead of cutting out all desserts from your diet, change out the ice cream for low-fat yogurt and add in some berries to make it taste better. Healthy behaviors work best when they are combined, so try to take a long walk to “earn” that chocolate chip cookie. 3. View health professionals as consultants to you. You need the expertise of professionals for diagnosing and knowing the best treatment for your condition, but you are the expert when it comes to knowing your body. Who else has spent as much time with it as you? If the doctor says something that does not seem right, or does not make sense, don’t accept it as fact until you have received answers to your questions. Challenging a health professional is not easy. The health terms and language they use can be confusing to you, and figuring it all out during your limited appointment time makes it difficult. Don’t forget that you are paying for their expertise, so you should be allowed enough time to understand enough to determine your next steps. 4. Get to know your disease or health condition. Think of it as an unexpected guest that you cannot get rid of, at least for the time being. Understand it’s motivation-what makes it worse, what can make it better? If it cannot be made better, what keeps it manageable? Think of what may have caused it, and work to eliminate or reduce those factors (smoking, high-fat diet, lack of exercise, stress, etc...). Explore fully current research on the condition, and “best practice” treatments. Be wary of too much Internet research – it can be overwhelming and difficult to tell what is real versus “quackery.” Rely on trusted research from respected sites, and remember that if something sounds too good to be true, it probably is a hoax. 5. Keep in mind that sometimes taking control means letting go. In the midst of difficult health issues and treatments, there may come a time when we have to just let things be as they are. Surround yourself with people you trust, and “ride out the wave” until you have the strength to manage the next challenge. This is easier said than done, but think of it as conserving your energy for those times when it can do you the most good. Taking control of one’s health requires us to be aware of our bodies, and to recognize that we are the experts when it comes to knowing what is best. It places us first in the hierarchy of health care professionals, who we may use to prevent and manage illness. Being in control is a big responsibility, but one that can add many benefits to the quality of one’s life. Brian Giddens is associate director social work & care coordination University of Washington Medical Center.

SENIOR guidebook – bridging generations


Assisted Living is designed to meet the needs of individuals who are unable to live alone yet do not require skilled nursing care. The Bridge at Mount Vernon offers a unique combination of residential housing, personalized services and health care while promoting the maximum independence and dignity of each of our residents by providing compassionate, professional care.

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At The Bridge at Mount Vernon, it isn’t just about the quality of our Assisted Living services. It’s also about the quality of life that you want for yourself or your loved one.


To learn how The Bridge at Mount Vernon can benefit you or a loved one, call now to schedule a tour and ask about our move-in specials!


(360) 416-0400



301 South LaVenture Road Mount Vernon, WA 98273

Point your QR code reader on the image at right for more information on The Bridge 9/09


Four Tips to Beat the Winter Blues

Eliminate Stress with Biofeedback

by Paul Anderson, ND

by Brad Lichtenstein, ND

Everyone gets “the blues.” But the winter season can be especially difficult for many people. Even those who normally don’t experience feeling down or “blue” can be affected during winter in the Pacific Northwest. Bastyr University faculty member Paul Anderson, ND, shares some simple things you can do to beat the blues and help maintain your good mood during this part of the year.

For many of us, stress is more than a mere annoyance. Migraines, muscle tension, irritability and an inability to concentrate are just a few potential health effects of chronic stress. In fact, two-thirds of all visits to family doctors are linked to stress-related symptoms, according to the American Academy of Family Physicians.

Improve Your Diet During the winter, well-chosen nutrients, including protein, B vitamins and minerals, add to the brain’s natural ability to resist depression. Protein intake is key for two reasons: blood-sugar control and amino-acid maintenance. First, regular portions of protein in the diet help keep your blood sugar steady, which is key to reducing mood swings. Second, the brain runs largely on amino acids from dietary proteins. A regular and balanced supply of amino acids keeps the brain from getting "low" on this essential component. Additionally, the brain requires many B vitamins and minerals to function correctly. During times of increased stress and lower levels of sunlight, these nutrients are crucial. Dark green leafy vegetables and whole grains are excellent dietary sources of these the minerals and B vitamins. A good multivitamin/mineral may also help fill dietary gaps.

Biofeedback treatment, a counseling technique offered at the Bastyr Center for Natural Health this fall, is a powerful method of alleviating stress and promoting overall health.

Remember Vitamin D Vitamin D is crucial for many brain and body operations. A chemical reaction that begins in sun-exposed skin cells produces vitamin D. Since winter is a time of grey skies and little sunshine, it’s a good time to have your vitamin D-level checked. If low, your physician may advise a supplement.

“It is really just a way to teach awareness about the body’s unconscious physiological processes,” Brad Lichtenstein, ND, Bastyr Center clinical supervisor and Bastyr University faculty member, says of biofeedback. The process involves attaching sensors or electrodes to the body that give a variety of readings – instant feedback – on things like skin temperature, muscle tension and/or brainwave function. Lichtenstein says a session might involve asking a patient about a stressful situation at work. The patient’s physiological response to this event, which could involve a cooling of the hands, tensing of the muscles or sweating, is instantly recognized and “fed back” to the patient by a machine. This trains the patient to instantly understand, and unconsciously respond to, the effects of stress through self regulation techniques, such as taking deep breaths, relaxing tensed muscles or even slowing the heart rate. Biofeedback essentially uses your mind to improve your health.

Get Moving During winter we are less likely to exercise or move around, but physical activity helps with improving mood. When you exercise, your body releases chemicals called endorphins that trigger a positive feeling in the body. The more you exercise, the better you feel, so do what you can to keep moving. Use the stairs, walk, stretch, join a yoga class or participate in another physical exercise. Try Talking Resist the urge to bottle your emotions when you are feeling down. Talk to close friends and get others’ perspectives on your concerns. Sharing with others can improve your understanding of issues you face. Take care of yourself during the winter! If you still feel like you cannot beat the blues, see a naturopathic physician – an integrated preventive approach will likely help with many mood issues. For more information you can visit 6

Lichtenstein notes the technique really “gets to the heart of naturopathy – the ideal of sustainable medicine.” “The key here is we’re teaching patients to be in control of their own health – teaching them to take care of themselves,” he says. “The idea is that you become so aware of your physiological processes that you don’t get that headache.” Biofeedback has proven useful in combating such ailments as: addictions, anxiety, asthma, insomnia, chronic pain, depression, fatigue, headaches, high blood pressure and irritable bowel syndrome. In recent years, biofeedback has also gained popularity as a way to help top athletes relax in high-stress situations. Four members of the Italian national soccer team used it as part of their training for the 2006 World Cup (a tournament the Italians won), while India’s lone gold medalist from the 2008 Summer Olympic Games in Beijing, Abhinav Bindra, cited biofeedback as a key ingredient in his 10-meter air rifle win. The proof, in this case, is in the winning. Sources: Brad Lichtenstein, ND; American Academy of Family Physicians (; Association for Applied Psychophysiology and Biofeedback (; United Press International, Inc. ( For more information you can visit

SENIOR guidebook


“She Looks Well to the Ways of her Household” by Kellie Moeller

What is the definition of a household? According to the dictionary, it is “the people of a house collectively; a family.” For any woman in today’s world, looking well to the ways of her household includes tasks both inside and outside of the home. For most, this includes a job outside of the home, children still living at home, and full responsibilities for managing the home. For those defined as the “sandwich” generation, it means that in addition to the above responsibilities, daughters are caring for their aging parents as well. Preparation is not an option for most women who suddenly step into the role of making decisions about their parents’ daily care, and the many legal, financial and emotional issues that are included in this roller coaster journey. Usually predicated by an emergency health event, an adult child is immediately thrust into life’s biggest juggling act...and without training. Balancing a parent’s “need” with “autonomy” can be a difficult battle for the adult child who wants to respect their parent’s right to make decisions, while assuring that they are in a position to receive the best care and support they deserve. As your parents age, take into consideration these issues: • Talk and Tour: Start the conversation about preferences long before the need. It may be uncomfortable, but many parents will say,“I want to be part of the decision before a health emergency happens and I am not able to decide for myself.” • Empower: Whatever decision needs to be made, whatever care must be provided, and if your parent is able, allow them the choice. Even limiting the choices can still provide the independence they need. • Facilitate: Don’t do for your parent what they can do for themselves. Facilitate does not mean do it for them. Provide your parent with the tools necessary, to do the task on their own. • Offer: Know enough about their lifestyle to see what the difficult tasks are, and offer to help, before they have to ask. Most parents will not ask for help, but will be grateful for help offered. • Get Help: Just because you are the child, it does not mean you have to do all the work. Sometimes a little “in-home” care can be provided by an outside agency to enhance their safety. • Remove the Guilt: Make decisions based on what is best for your parent, not what might be more emotionally fulfilling for yourself. Having your parent stay in your home, with little social stimulation or activity, and having to accept your help is not always the best option. Many seniors prefer to live in a 8

community where they can maintain their independence and privacy, have a social life, and continue with a lifestyle that allows their children to enjoy quality time with them. • Keep Your Job: With the cost of living, economic challenges, and the high cost of care, some adult children put themselves at risk by quitting work to stay home and care for aging parents.The Family Leave Act allows a person to take time off, in case of an emergency, while maintaining one’s job. • Advocate: As I recently spent three days in ICU with my father, I realized that the medical professionals were making decisions without my Dad’s consultation, because he was unable. I asked questions, clarified medications, got details about why they were choosing specific interventions, and was generally the advocate for my father.There are times when adult children have to “step up” to the plate, and make tough decisions about future care. There is an old saying: “A son’s a son ‘til he takes a wife,’ but a daughter’s a daughter for the rest of her life.” As our parents age, may we live up to the excellence that Proverbs 31 reflects: “Strength and dignity are her clothing, And she smiles at the future... She looks well to the ways of her household... Many daughters have done nobly, But you excel them all.”

For more information you may contact Kellie at 206-546-7565 or visit

SENIOR guidebook – bridging generations


Get Moving! by Jane Meyers-Bowen

There are many ways of going through change. There are those that take off the band aid with one quick rip, involving a lot of pain, but for a short duration. Then, there are those that gently tug on the band aid, pulling one hair at a time. Both tactics involve different tolerances and experiences, but there is nothing right or wrong about either approach. When seniors face the major life decision of moving out of their home into a retirement community, we see both styles. Many family members aren’t always sure how to help their parents make this transition, with the least amount of wear and tear. Even families with the healthiest approach to coping with change, can bring out the worst in their family members. The following are some suggestions that can help make the process go more smoothly. Planning vs. Worrying As many seniors approach this decision they say, “I sure have a lot to think about.” The reality is that, many seniors are really not thinking, they are worrying. They are wringing their hands, trying to anticipate what could go wrong. It is important that they ask questions, instead of bottling everything inside. What do I need? Should I be close to my family? Will I have room for my hobby? What can I afford? How long will my money last? These are all good questions that once answered, can help ease your loved ones fears. It’s My Parents’ Decision. The truth is, sometimes it is just too big of a decision for your parents to make without assistance from their loved ones. It is touching when family members want to respect the dignity of their parents, but frankly, few seniors come to their children and say,“I’m ready to move.” It is more efficient if family members drive the process, but respectably include their parents in every step. On the other hand, I recently worked with a family where the daughter moved her mother here from the Midwest. Not only does the daughter live in another state for six months out of the year, she moved her mother to a retirement community in a remote area. She did this against the wishes of the granddaughter and 4 other family members who live and work just 5-10 minutes from our community. Even though the daughter would only commit to visits once a week (when in the area), the mother was afraid to stand up for what she really wanted – to be close to family – the reason she moved across the country in the first place. 10

Independence Run Amuck Many seniors are moving from homes they’ve lived in for 60 years. In their minds, the only responsible thing to do is to go through everything by themselves, to get their house in order before they move. The better approach, if the resources are available, is to make the move first. Find the apartment that is the right fit for them. Only move in those things that are essentials, the things that make a house a home. Then, you and your senior parent can spend time at the house conveniently sorting through, giving away, donating and disposing of their items. Each evening your senior can come home to their new clean apartment and a hot meal, without being overwhelmed. This takes an abundance of pressure off the seniors and their family. Things Over Well-being We often witness seniors being overwhelmed by an attachment to their things. Unfortunately, this comes at the expense of them losing a sense of their well-being. The attachments can be to things they have collected over the years, items collected through their travels, or gifts given to them by friends and family. Be aware that special actions may need to be taken, so your senior can let go of some of the extra stuff. For example, imagine how wonderful a gifting party would be! Mom or Dad would have the joy of giving important treasures to family members, and telling them the story behind the gift. Waiting for the Perfect Time! The perfect time for going through change is when someone feels good, has support, and has a positive expectation for the future. Permission! This generation of seniors has known sacrifice, and saving their whole lives. Yet, depression, loneliness, and boredom are major threats to seniors’ health. Many seniors need their family’s blessing to spend their own money on themselves. I have had family members say to me, “I have to talk to my brother, because it’s his inheritance too!” Flabbergasted, I clarified that their parent was still alive and her money is hers! The best gift a senior can give a family is to let them know that their senior is happy, safe, and enjoying the last chapters of their life. Jane Meyers-Bowen is the marketing director for Garden Court Retirement Community. For more information you may contact her at 425-438-9080, or visit www.

SENIOR guidebook – bridging generations

Western Washington’s Finest Retirement & Assisted Living Communities

Ashley Pointe 11117 20th Street NE • Lake Stevens WA 98258 425.397.7500 •

La Conner Retirement Inn 204 N. First Street • La Conner WA 98257 360.466.5700 •

South Pointe 10330 4th Avenue West • Everett WA 98204 425.513.5645 •

Come by for a free lunch and tour. Featuring independent retirement apartments and cottages with licensed assisted living A complete range of personal support and care services • Cozy, home-like environments Proudly owned and managed by Radiant Senior Living



SENIOR guidebook – bridging generations

grandpas who like

to make silly faces love to live here.

And grandmas, too, by the way. It makes perfect sense. Fun-loving folks love it at Leisure Care Premier Communities because they’re fun places to live. And they love all the social and recreational programs, too — PrimeFit,SM Brain Fitness, Twist Travel,SM and more. And they really love that they feel like resorts. As you can see, there are many reasons to love living at a Leisure Care Premier Community. But the number one reason? You can be yourself. Call now to schedule your complimentary lunch and tour. And see for yourself why fun-lovers love it here. It’s More Than Retirement. It’s Five-Star Fun.

Fairwinds - Brittany Park 17143 - 133rd Avenue NE • Woodinville (425) 402-7100

Fairwinds - Brighton Court 6520 - 196th Street SW • Lynnwood (425) 775-4440

Assisted Living services available


Insider TIPS for Sustaining Whole Life Living by Tracey Harvey

Whole Life Living is a comprehensive approach that promotes freedoms for your retirement years. Providing our communities with the tools and encouragement to live a whole life means really listening to our audience, and providing solutions to assist them in the aging process. One overlooked area in retirement living has been the overwhelming evidence that for every 1 person diagnosed with gluten intolerance, 80 people are undiagnosed. This might sound hard to believe, but what you put into your mouth can be responsible for how you will feel and age. Supporting good health and promoting wellness is something everyone should strive to achieve, because they are likely the ingredients that are responsible for people living longer. In 1970, the average life expectancy at birth was 70.8 years; in 2000, it was 76.9 years; and by 2030 it is estimated that the “oldest-old,” age 85 and older, could grow to 10 million people. It is interesting to note that researchers at Tufts University state that older adults over the age of 70 have unique dietary needs.This rings true when you think about how ones sense of taste and smell change overtime. Often times we hear complaints of,“I am just not hungry,”“I have trouble chewing,” or “it’s too much trouble to cook for one person.” These all could be warning signs to other problems related to digestion and poor diet. Another hidden epidemic that over 3 million Americans are suffering from is Celiac disease. Those who have Celiac disease are suspected to be allergic to gluten, and can experience bloating, fatigue, or joint discomfort. According to the Gluten Intolerance Group (GIG) symptoms can range from a wide variety of symptoms: headaches, weight loss or gain, irritability, behavioral changes, and a multitude of gastro-intestinal problems (pain, gas, constipation). At GenCare Lifestyle we teamed up with the experts at the Gluten Intolerance Group (GIG), and became the first retirement community in the nation to become Gluten Free Food Service Accredited (GFFS). Through our passionate approach to provide solutions, we found that many Washington residents feared dining out; because they were unaware they were gluten intolerant. As a result of not fully understanding the reason for their symptoms, they began eliminating important nutrients in their diet. If you or someone you know falls into this category, I encourage you to reach out to the experts and the comprehensive GIG website to learn more. You will learn educational information such as, what restaurants provide gluten free dining, to learning how to connect with medical professionals. We are proud of our innovative approach to living a WHOLE LIFE, and we encourage you to join in on more informational discussions at our BLOG You can also become a fan of WHOLE LIFE LIVING on GenCare Lifestyles FACEBOOK page. 14

TIP: According to the (NIH) National Institute on Aging, scientists are discovering that what you eat, how frequently, and how much, may have an effect on quality and years of life. Of particular interest has been calorie restriction, a diet that is lower by a specific percent of calories than the normal diet, but includes all of the needed nutrients.

Tracey Harvey is the Corporate Director of Vitality for GenCare Lifestyle, creating Whole Life LivingTN – connections for seniors. To learn how you can join in on GenCare Lifestyle’s WHOLE LIFE LIVING programs for 2011, contact 206.949.5885 or visit our website at

SENIOR guidebook – bridging generations

Put an end to the scourge of toilet cleaning.

Forever. Forget everything you knew about senior and assisted living, GenCare Lifestyle has made it all obsolete. We’re talking organic foods, vitality and stay sharp centers, and wellness programs that GenCare Lifestyle Granite Falls at The Village 302 N Alder Ave. Granite Falls, WA 98252 360-691-1777

focus on balance, flexibility and strength. Plus, you’ll enjoy giving

GenCare Lifestyle Lynnwood at Scriber Gardens 6024 200th St. SW -ZOOXPPE 8" 425-673-7111

It’s a whole new approach we call Whole Life Living,

back and staying connected to your local community through a wide range of rewarding opportunities.

and we’d love to tell you more about it. Give us a call today or visit us online at

With other communities in:



EDMONDS LANDING Gracious Retirement & Assisted Living Catered Living ~ Boutique Lifestyle

• Olympic Mountains Views • No Buy In - No Lease • Free Health Club Membership Included • Free Transportation to Doctor’s Appointments • Walk to Shops & Downtown Edmonds

425.744.1181 180 Second Avenue South • Edmonds • 16

SENIOR guidebook – bridging generations

She’s always been there for you. Now it’s your turn.

Caring for the Memory Impaired

Call us, we can help. 425.673.2875 17

How Health Conscious Seniors Can Mentor Health Conscious Kids by Andrew Schorr The gym that I go to every morning is closed for a few weeks, while they update their facility with new exercise equipment. Thoughtfully, the manager arranged for members to workout at a nearby community center exercise room in the interim. The other day I went there, and all of a sudden it hit me how seniors can use their own interest in health, exercise, good nutrition, and preventive medicine to cause positive change among younger generations. I came to this conclusion as I started riding the exercise bike in the community center gym. As with any gym, there were regulars – people who are there day after day. At this community center there were several people in his/her 80’s who came every morning. As I continued on my ride, it became clear that the “queen bee” of the group was a feisty lady about 80 who was in incredibly fit shape. I hopped on the bike as I did every morning, but soon after I began riding I noticed she was eyeing the exercise bike. Apparently, I arrived just a few minutes before her regular time and every minute I pedaled was disrupting her schedule. I can’t quite say that she was giving me the “evil eye,” but before long it became clear I was not to pedal one minute longer than the “30 minute limit when someone is waiting.” She pointed to the sign. I signaled that it was no problem, and I climbed off at 30 minutes and one second. She proceeded to get on, and pedaled into better health. I actually applauded her devotion to her exercise program. As I walked out of the exercise room I saw there was a dance room, with a class for seniors in full swing. People seemed happy, limber, and looking fairly fit. There was no obesity in sight.

each day and swimming even just a bit. If I am right, why can’t these seniors suggest and inspire better health behavior among their adult children and grandchildren? Can’t grandma and grandpa be models for how to live a long, healthy life? I understand retirement may bring more time to focus on health, but the younger generations should more fully understand the benefits of allocating time to this way of living. Can’t you, in a not too pushy way, mentor your daughter or son to put more focus on this too? Maybe urge them to come visit and take regular walks with you, a dance class, or swim a few laps? Go to any airport or a big shopping mall and you’ll see America has a looming health problem. Obesity is rampant and diabetes is epidemic, even among children. If the health and exercise bug has bitten seniors, like the “queen bee” at my community center, can’t that passion flow back to the younger generations that need it too?

I flashed on visual images in my mind from a recent vacation to the Midwest (note: I am not picking on that region). There were many, many people in their 30’s, 40’s, and 50’s who were overweight. With so many restaurants and ice cream shops, you could see why. Their food choices were all about fried foods and carbs. Rarely did you see anyone eat fruit or vegetables, and the portions of what they did eat were huge.

Think of your own family and consider if there is a positive way to have those youngsters learn from you once again. It could save or lengthen their lives.

So tell me if I am on the right track. Isn’t it top-of-mind among seniors these days to eat right and exercise – to do what you can to live well and feel good? It’s not about running a marathon or swimming a mile, but it’s about walking

I always welcome your comments. You can send them to me via email at


SENIOR guidebook – bridging generations



A N D R E W S C H OR R T



TOPICS COVERED: + Identifying the Problem + Strengthening Your Coping Skills + Distinguishing Fluff from Substance + Reaching Out to Family and Friends

Every quarter, Andrew Schorr has brought his perspective on health to Senior Guidebook. Now, he has bundled together his experiences as medical broadcaster, patient advocate and cancer survivor, to help you and your family feel confident using the Internet to research your condition, find support, and take an active role in effective conversations with your doctor.

+ Deciphering Search Engines + Taking Information and Questions to Your Doctor + Maintaining Your Records + Looking Forward to Long-Term Health



Meet Andrew, the Author of The Web-Savvy Patient on video. Scan the QR Code with your mobile device or





The War Against Breast Cancer by Theodore Kim, DO

I was once told that treating breast cancer is like fighting a battle. Initially, general practice physicians fought this battle. They fought hard, but were ill prepared, as they did not understand what made their enemy work. However, as our treatments improved, it became clear that breast cancer was vulnerable. For example, when women with metastatic breast cancer had their ovaries removed, about half of the patients had their cancers shrink in size, and many of them lived much longer than expected. We are now armed with chemotherapy, radiation, and new, targeted therapies. All of these treatments take advantage of our understanding between the biology of normal cells and breast cancer cells. This understanding has shown us that breast cancer is heterogeneous, that not all breast cancers are the same. Medical Oncologists now have insight into the biology of breast cancer, which has allowed us to tailor a patient’s treatment and target the relevant biological pathways. It is no longer a one-shoe fits all approach. Therefore, the treatment of breast cancer has become more personalized. I clearly recall my first week of clinical practice. I was fresh out of fellowship, and I was well equipped to join the fight against cancer. My first patient was a young female, who had been in remission from her breast cancer for the last ten years. Her family told me that in recent weeks she was active, lively, and enjoying life. She then started to experience progressive fatigue, headaches, and stomach pain, which caused her to stop eating and drinking. Our nursing staff had placed her in an infusion chair, because she was too weak to sit in an exam room. It was clear that this young woman was dying from recurrent breast cancer. Our team quickly admitted her to the hospital where she was stabilized, and then underwent a complete body imaging. Unfortunately, the results showed that she had recurrent disease in the liver, lungs, and brain. She subsequently underwent a biopsy of one nodule that had invaded her liver. The pathologist told us our patient had metastatic breast cancer that was overexpressing a target receptor, called Her2/neu. This receptor, when activated, is believed to allow breast cancer cells to continue to grow by shutting down apoptosis, programmed cell death. She was treated with standard chemotherapy, and a new medicine called Herceptin. Herceptin is not chemotherapy, rather, it is an antibody that binds to Her2/neu. When bound, it turns off this receptor, and allows the cell to undergo programmed cell death. After three months of treatment, our patient had a complete response; we could not find her disease on any scan. Now, five years later, our patient remains in complete remission with no breast cancer or side effects from her treatment. Although not all women are cured of breast cancer, recent developments and breakthroughs continue to improve treatment outcomes. Personalized and targeted therapy, for the treatment of breast cancer, is here. I believe that if we start with the basic science researchers, academic medical centers, community physicians, and the strength that each woman brings, we will beat breast cancer. Until that day comes, we will continue to fight and keep the spirit of hope alive; in memory of all of those who at one time fought this battle. For more information you may contact Dr. Kim at 360-299-4200.


SENIOR guidebook – bridging generations


Bastyr University Combats Prostate Cancer by Kelly Manalo

September is National Prostate Cancer Awareness Month, and Bastyr University is working to tackle the disease on multiple fronts. Calling for prevention, early detection, and new cancer research are the ways Bastyr is working to make strides against this growing epidemic. Who’s at risk? Prostate cancer is the second-leading cause of cancer-related deaths. One in six men will be diagnosed with prostate cancer in their lifetime, though only 1 in 34 will die of it. Factors that can increase your risk of prostate cancer include: • Age The risk of prostate cancer increases with age. Prostate cancer is most common in men over 65. • African American background Though it is not clear why, African American men have a greater risk of prostate cancer and a higher chance of dying from the disease than men of other races. • Family history of prostate cancer If a close relative had prostate cancer, your risk may be increased and annual screenings are suggested for those age 45 and older. • Obesity Obese men diagnosed with prostate cancer are more likely to have the disease spread outside of the prostate gland, making it more difficult to treat. Prevention and Early Detection Men, especially those who fit the risk factors noted above, can take a quick and easy blood test once a year to be screened for the disease. Additionally, all men over the age of 50 should be tested. Prostate-specific antigen (PSA) blood tests are offered at Bastyr Center for Natural Health, the University’s teaching clinic in the Fremont/Wallingford neighborhood of Seattle. All seniors, ages 62 and older, are eligible for $20 visits to any department at any time. You may schedule an appointment by calling (206) 834-4100. Bastyr Center’s expert naturopathic physicians can also help you take a preventive approach to prostate cancer by providing guidance on the importance of a healthy diet, exercise, and balanced lifestyle. Another important step in preventing and detecting prostate cancer is to be aware of the symptoms. While prostate cancer may not cause signs or symptoms in its early stages, more advanced signs and symptoms can include: • Trouble urinating, loss of bladder control • Decreased force in the stream of urine • Blood in your urine and/or semen • Swelling in your legs • Weakness or numbness in the legs or feet • Pain or discomfort in the spine, hips, or other bones • Weight loss and fatigue 22

New Prostate Cancer Research For those who have already been diagnosed with prostate cancer, the good news is that there are ways to fight the disease. One such option is to participate in Bastyr’s innovative clinical research trial that will begin this winter. Bastyr Integrative Oncology Research Center (BIORC) is working together with the Seattle Cancer Care Alliance (SCCA) to recruit patients for a clinical trial to test the effectiveness of medicinal mushrooms on prostate cancer. Thanks to a multimillion-dollar grant awarded by the National Institutes of Health (NIH), the fully funded trials will take place at SCCA, which is made up jointly of the University of Washington, Fred Hutchinson Cancer Research Center, and Seattle Children’s Hospital. “We are proud to work side by side with our partners at SCCC in the fight against prostate cancer,” said BIORC Medical Director Leanna Standish, PhD, ND, LAc.“By attacking prostate cancer in multiple ways, with collaboration from the best minds available, we at BIORC are hopeful that these clinical trials will produce beneficial results.” Recruitment for the prostate cancer trial will begin in late fall 2011. If you have been diagnosed with prostate cancer, please call BIORC at (425) 602-3311 to be screened for participation in the study. This is a free, NIH-funded clinical trial for treating prostate cancer. “Often for prostate cancer, men have been less receptive to medical testing than women,” said Dr. Standish. “That’s why we are actively asking both men and women to help us find candidates for this innovative study.” For more information you can visit

SENIOR guidebook – bridging generations

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South Pointe – Everett Sue Rowell Administrator 425.513.5645

Somerset Memory Care Community – Everett Patrick Shepard Director of Marketing 425.348.8800

Merrill Gardens at Queen Anne – Seattle From left: Abbey Lyons-Ellison Community Relations Director; Angela Wright Community Relations Director 206.284.0055

CRISTA Senior Living – Shoreline Billie Pendleton Executive Director of Residential Living 206.546.7573

Vineyard Park – Bothell Derek Sandbeck Executive Director 425.485.8900

Forest Park Insurance – Seattle/Lake Forest Park From left: Kenny Zener, Owner/Agent Lyndsie Zener, Owner/Agent 206.364.4230


SENIOR guidebook – bridging generations

Look Who’s Telling Who How to be Green by Jennifer Blair

I always encounter interesting conversations and confrontations while in line at the grocery store. It makes for many great stories for me to tell. Well, just the other day, I overheard yet another interesting conversation between the cashier and an older shopper. The cashier told the woman that she should consider bringing re-usable grocery bags, because it is better for the environment. The grocery happens to sell bags for $1.00, which is clearly marked at every checkout. So, the cashier could have certainly been more tactful in her approach to sell a re-usable bag,“We have these wonderful and trendy bags for just a $1 you could use for groceries, or just about anything you’d like, if you’re interested in purchasing one?” would be the first approach that would come to my mind. Clearly this cashier needed a little more customer service training before starting, but I digress. The older shopper politely declined, to which the cashier replied, “That’s right, your generation didn’t have the green thing back in your day. I guess no one was concerned enough about saving the environment back then.” Well! I would have loved to chime in, but with my two kids becoming restless with our shopping excursion, I had to keep my focus on them. Unbeknownst to me, this delicate and sweet older woman was perfectly capable of fighting her own fight. In response she said,“Oh, that’s right, our generation didn’t have the green thing in our day. We walked up stairs because we didn’t have an escalator in every store and office building. We walked to the grocery store and didn’t climb into a 300-horsepower machine every time we had to go two blocks; but you’re right, we didn’t have the green thing in our day. Oh, and back then we washed baby’s diapers because we didn’t have the disposable kind. We dried clothes on a line by wind and solar power, not in an energy-gobbling machine. Shall I go on?” she asked. The cashier stood dumbfounded.“Back then we had one TV, or radio in the house, not a TV in every room, and the screen was the size of a handkerchief, not a billboard. In the kitchen we blended and stirred by hand, because we didn’t have electric machines to do everything for us. We drank from a water fountain instead of using a plastic bottle every time we were thirsty. Back then kids rode their bikes to school or walked, instead of turning their moms into a 24-hour taxi service.” “It is sad though how you young people point out how wasteful us old folk were, just because we didn’t have the green thing back then.” I guess she told her! It would have really been a great story if the store had broken out in cheers and hollers, but there was just silence. The crimson shade of red on the defeated cashier’s face, said it all, and the victorious older woman thanked her and headed out the door. I’m sure the cashier will think twice before reprimanding a helpless old lady. HA! Oh, how I always look forward to what jaw dropping story my next trip to the grocery might bring. Jennifer Blair Senior Guidebook/Editor 310-994-9216


European Trains: Still A Great Way To Travel by Rick Steves When I travel, I still get a little rush when I finally settle into the right train. With each journey, I celebrate the joy of not having to drive. Riding the rails through Europe is less stressful, better for the environment, and just plain friendly – offering a relaxed way to connect with traveling Europeans. I wouldn’t be telling the truth however, if I didn’t say that after all these years, my train travel still comes with a twinge of stress: Do I have enough time for a cup of coffee? Is my wristwatch in synch with the official station time? Would these locals really point me in the right direction? Am I on the right train? After running through all of those questions in my head, I ultimately sit back in my seat, and reflect on the ease and comfort of European train travel. European trains go where you need them to go and are fast, frequent, and generally affordable (especially in the south). You can easily have dinner in Paris, sleep on the train, and have breakfast in Rome, Munich, or Madrid. Learn your options and “choo” – choose what’s best for your trip. I still use railpasses, as I did on my first trip to Europe. With a railpass you can travel virtually anywhere, anytime, and often without reservations. Fast, international, or overnight trains are more likely to require reservations, but despite that chore, a railpass is still freedom on wheels. Although the array of railpasses seems daunting, every pass has these features: It covers a specific geographical area (regional, country, or multiple countries); it has a fixed number of travel days; and it’s either a consecutive-day pass or a flexipass (allowing you more flexibility to spread out your travel days). Which type of pass is best? If you plan to travel nearly daily and cover a lot of ground, a consecutive-day pass is the right choice. If you like to linger for a few days at various places, a flexipass is the better option. Most travelers prefer the flexipass. You have a certain number of travel days to use within a longer window of time (for example, any 10 days within a two-month period). You can sprinkle these travel days throughout your trip or use them all in a row. Once you’ve planned a route for your trip, fine-tuning your actual “moving days” will help you zero in on the best pass for your trip – and save you lots of money. (For all your options, see

Here are some tips: With careful juggling, a shorter pass can cover a longer trip. For example, you can take a one-month trip with a 21-day consecutive pass by starting and/or ending your trip in a city where you’d like to stay for several days, or in a country not covered by your pass. On, say, a London-Rome trip, spend a few days in London, pay separately to take the Eurostar Chunnel train (not covered by any railpass) to Paris, sightsee in Paris for several days, then validate your consecutive-day pass when you leave Paris. Plan for your pass to expire in Rome, where you can easily spend a few days without the use of a railpass. It can also make sense to buy a longer pass for a shorter trip. One long train ride (for example, $250 first class from Florence to Paris) at the end of a 25-day trip can justify jumping from a 21-consecutive-day railpass to a one-month pass. Stretch a flexipass by paying out of pocket for shorter trips. Use your flexipass only for those travel days that involve long hauls or several trips. If a particular day trip costs significantly less than your pass’ per-day cost, pay out of pocket. Point-to-point tickets can be a good budget option. Probably 10 percent of railpass travelers would have traveled more cheaply by buying tickets as they went. Point-to-point tickets are often your best bet in regions where rail travel is relatively cheap, (such as Italy, Spain, and Eastern Europe) and for short travel distances anywhere. Don’t be led to believe that you have to buy your tickets at the station. Arriving at the Venice train station during the 2010 Iceland volcano eruption, I saw something I’d never seen before: a ragtag line of travelers stretching from the station, all the way to the Grand Canal. They were waiting to book train tickets out of town. These people were like refugees. They stood there for the better part of the day, trying to get out.To avoid the chaos at the station, I dropped into a travel agency and purchased my ticket for a 3-euro fee. Anyone can book tickets either online or from travel agencies. Sure, rail travel can be pricey, but if you’ve never experienced 21st-century rail travel (and you haven’t, if your experience is limited to rail travel in the U.S.), you may find that it’s about the best travel deal going.

Rick Steves ( writes European travel guidebooks and hosts travel shows on public television and public radio. Email him at, or write to him c/o P.O. Box 2009, Edmonds, WA 98020. Rick Steves grew up in Edmonds, Washington and studied at the University of Washington where he received degrees in Business Administration and European History. But his real education came in Europe — since 1973 he’s spent 120 days a year in Europe. Spending one third of his adult life living out of a suitcase in Europe has shaped his thinking. Today he employs 80 people at his Europe Through the Back Door headquarters in Edmonds where he produces 30 guidebooks on European travel, the most popular travel series in America on public television, a weekly hour-long national public radio show, and a weekly column syndicated by the Chicago Tribune. Rick and his wife Anne have traveled each of the last 22 years with their two kids, Andy and Jackie. 26

SENIOR guidebook – bridging generations

The Facts of Safety Standards for Ayurvedic Herbs by Virender Sodhi, M.D., N.D.

Ayush Herbs Inc. offers Ayurvedic Supplements Grounded in Quality and Safety, with Roots Planted in 1988 Leading by example to offer herbal formulas manufactured with exemplary safety standards As Ayurveda continues to grow in popularity, Ayurvedic herbs, utilized in Ayurvedic treatments for more than 5,000 years, take center stage in today’s modern times. Ayurvedic remedies have been around about 4,900 years longer than pharmaceuticals, successfully treating everything from minor digestive disturbances to serious disorders. However, there has recently been growing concern over their safety, particularly the level of contaminants found in many herbs. According to Dr. Virender Sodhi, CEO of Ayush Herbs, (manufacturer and exporter of high quality Ayurvedic herbal formulas, vitamins, minerals and enzymes) contamination of herbs can be attributed to many factors including: environmental pollution, soil contaminants, or specific type of herbs called Bhasmas, with an affinity for high levels of heavy metals such as mercury. Ayush Herbs and its subsidiary R-U-VED Inc. follow stringent safety standards to ensure the quality and safety of their formulas. Ayush: Rooted in Safety First In order to obtain high quality, contaminant-free products for their Ayurvedic and naturopathic medical practices, Dr. Virender Sodhi and his brother Dr. Shailinder Sodhi, Ayurvedic MDs and naturopath physicians, along with brothers Dr. Tejinder Sodhi, DVM and Jitender Sodhi, established Ayush Herbs, Inc. in 1988, as they found it nearly impossible to find unadulterated products. Soon they began offering their herbal formulas to other physicians who were also looking for untainted herbs. “This is the founding principle of our company,” said Dr. Sodhi. “We absolutely must have full knowledge and confidence in our herbal products for the sake of our patients and our families. We check every batch for contaminants, following a stringent set of standards. Devising a set of standards was a learning process that developed over the years in cultivating, packaging, and shipping the herbs used in our formulas.” Normal levels of contaminants in everyday foods Dr. Sodhi explains that while it is important to supply and take uncontaminated herbs, many foods and beverages consumed on a regular basis contain acceptable levels of contaminants. “One must be careful not to be overly influenced by negative media reports and studies on Ayurvedic herbs. Even drinking water contains small amounts of lead and arsenic. Similarly, small bacteriological and fungal contaminations are normal, and can be found in breads, jams and packaged foods. This has been the case for millions of years,” explained Sodhi. What about Pharmaceuticals? According to Dr. Sodhi we should consider the fact that we’ve been using man-made chemicals and pharmaceuticals for less than one hundred years, and may not know the real side effects of these drugs until a hundred years more. He went on to say that studies have shown that more people have had

adverse reaction to pharmaceuticals than Ayurvedic herbs. “The third leading cause of death is prescription drugs,” he explained. Safety Guidelines for Every Ayurvedic Herb Company Dr. Sodhi emphasizes that it is important that Ayurvedic herbal companies follow good manufacturing practices (GMP), and are ISO (International Organization for Standardation) certified. Ayush takes it a step further by using herbal extracts in place of raw herbs to ensure product purity, as contamination can more easily occur with raw herbs. With its unique and verified extraction method, Ayush Herbs’ herbal preparations retain the active constituents to ensure the optimal benefits, while removing contaminants. Ayush Herbs’ standards for avoiding heavy metals exceed those of the Food & Drug Administration (FDA). Dr. Sodhi recommends that consumers choose formulas made by herbal companies that employ third-party testing of their products, and follow safety standards similar to Ayush’s eight-step process: 1. Collect Herbs from a clean environment. Ayush Herbs manufactures its products in its state-of-the art plant in Himachal Pradesh, India, an ISO and GMP approved facility. 2. Identify herbs using a thin layer chromatography to ensure consistent species of herbs. For example, turmeric has three hundred species and the active principals differ according to species. 3. Herbs should be subjected to organoleptic inspection through visual examination, feeling and smelling the products to confirm the specifications. 4. Conduct microbiological testing to ensure that the herbs do not contain harmful amounts of bacteria such as salmonella and fungus. 5. Extract herbs with state-of-the-art technology to maximize active principals, utilizing high-pressure liquid chromatography (HPLC) or other methods. 6. Dry herbal extracts; either spray dried, oven dried, or freeze dried. 7. Inspect again for heavy metals (steps 3 and 4 – organoleptic inspection and microbiological testing), once the extracts are concentrated. An additional third party testing is performed on every one of Ayush’s formulations. 8. Hygienically pack every batch and tag a sample for future reference.

Founded in 1988, Ayush Herbs Inc. is the only Ayurvedic herbal company in the U.S. owned and operated by practicing Ayurvedic physicians, who also cultivate the wildcrafted and/or organic medicinal herbs offered to ensure the utmost in quality and safety standards. Ayush Herbs is located at 2239 152nd Avenue NE Redmond, WA 98052. To reach a company representative, contact Gunny Sodhi at or (800) 925-1371 or visit 27

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Š2011 Alzheimer’s Association. All Rights Reserved.


Alzheimer’s disease is devastating. It can steal the most precious moments from you and your family. And because it costs Americans more than $180 billion a year, it could potentially cripple the Medicare system. Now is the time to Take action at or call 800.272.3900.


SENIOR guidebook – bridging generations

DIRECTORY SNOHOMISH ARLINGTON Olympic Place Retirement & Assisted Living Community 20909 Olympic Place Arlington WA 98223 360-435-8440 EDMONDS Aegis of Edmonds Assisted Living/ Alzheimer’s Memory Care 21500 - 72nd Ave West Edmonds WA 98026 425-776-3600 Edmonds Landing Assisted Living 180 Second Ave South Edmonds WA 98020 425-744-1181 Rosewood Courte Assisted Living/Alzheimer’s memory impaired only 728 Edmonds Way Edmonds WA 98020 425-673-2875 Sunrise of Edmonds Assisted Living/Alzheimer’s Care 750 Edmonds Way Edmonds WA 98020 425-673-9700 EVERETT Bethany at Silver Crest Assisted Living/ Nursing Home Adjacent 2131 Lake Heights Drive Everett WA 98208 425-385-2335 Cascadian Place Retirement Retirement 3915 Colby Avenue Everett WA 98201 425-339-2225 Clare Bridge Silver Lake Alzheimer’s & Dementia Care 2015 Lake Heights Drive Everett WA 98208 425-337-6336 Emeritus at Silver Lake Assisted Living 12806 Bothell-Everett Highway Everett WA 98208 425-338-3227

Garden Court Retirement Community Independent and Assisted Living 520 - 112th Street SW Everett WA 98204 425-438-9080 Emeritus at Seabrook Independent and Assisted Living 11333 3rd Place W Everett WA 98204 425-347-0372 Somerset Memory Care Community Assisted Living / Alzheimer’s memory impaired only 524 - 75th Street SE Everett WA 98203 425-348-8800 South Pointe Independent, Assisted Living 10330 4th Avenue West Everett WA 98204 425-513-5645 Washington Oakes Retirement and Assisted Living 1717 Rockefeller Ave Everett WA 98201 425-339-3300 GRANITE FALLS The Village Independent Living 302 North Alder Avenue Granite Falls WA 98252 360-691-1777 LAKE STEVENS Ashley Pointe Independent and Assisted Living 11117 - 20th Street NE Lake Stevens WA 98258 425-397-7500 LYNNWOOD Aegis of Lynnwood Assisted Living 18700 44th Avenue West Lynnwood WA 98037 425-712-9999 Clare Bridge Lynnwood Alzheimer’s & Dementia Care 18706 - 36th Ave W Lynnwood WA 98037 425-774-3300

Chateau Pacific Independent & Assisted Living 3333 - 148th Street SW Lynnwood WA 98037 425-787-9693 Fairwinds – Brighton Court Retirement/Assisted Living 6520 - 196th Street SW Lynnwood WA 98036 425-775-4440 Scriber Gardens Independent & Assisted Living/Wellness Services 6024 200th Street SW Lynnwood WA 98036 425-673-7111 Sunrise of Lynnwood Assisted Living/Alzheimer’s Care 18625 - 60th Ave W Lynnwood WA 98037 425-771-7700 MARYSVILLE Grandview Village Retirement & Assisted Living 5800 - 64th Street NE Marysville WA 98270 360-653-2223 Merrill Gardens at Marysville Independent & Assisted Living 9802 - 48th Dr NE Marysville WA 98270 360-312-1968 MILL CREEK Mill Creek Gardens Assisted Living/ Alzheimer’s memory impaired only 13200 - 10th Dr SE Mill Creek WA 98012 425-379-8276 Merrill Gardens at Mill Creek Independent and Assisted Living 14905 Bothell Everett Hwy Mill Creek WA 98012 425-341-4057 MONROE Merrill Gardens at Monroe Independent and Assisted Living/ Alzheimer’s Memory Impaired 15465 - 179th Ave SE Monroe WA 98272 360-243-0036

MOUNTLAKE TERRACE Mountlake Terrace Plaza A Merrill Gardens Community Independent and Assisted Living 23303 - 58th Ave W Mountlake Terrace WA 98043 425-954-3850 MUKILTEO Harbour Pointe Independent and Assisted Living 10200 Harbour Place Mukilteo WA 98275 425-493-8555 SNOHOMISH Sunrise of Snohomish Assisted Living/Alzheimer’s Care 1124 Pine Ave Snohomish WA 98290 360-568-1900 STANWOOD Josephine Sunset Home Assisted Living/Nursing Home Adjacent 9901 - 272nd Place NW Stanwood WA 98292 360-629-2126 Merrill Gardens at Stanwood Independent & Assisted Living/ Alzheimer’s and Dementia Care 7212 - 265th Street NW Stanwood WA 98292 425-312-1972 Stanwood Community & Senior Center Independent Living 7430 - 276th Street NW Stanwood WA 98292 360-629-7403 Warm Beach Senior Community Independent & Assisted Living/ Skilled Nursing 20420 Marine Drive Stanwood WA 98292 360-652-7585 SKILLED NURSING CARE Aldercrest - Edmonds 425-775-1961 Bethany at Pacific - Everett 425-259-5508 Bethany at Silver Lake - Everett 425-338-3000 Delta Rehab Center - Snohomish 360-568-2168


Edmonds Rehab and Healthcare –Edmonds 425-778-0107 Everett Rehab and Care Center Everett 425-513-1600 Everett Trans. Care - Everett 425-258-7552 Forest View Trans. Health Center –Everett 425-258-4474 Josephine Sunset Home Stanwood 360-629-2126 Lynnwood Manor Health Center Lynnwood 425-776-5512 Madeleine Villa Health Care Marysville 360-659-1259 HCR Manor Care - Lynnwood 425-775-9222 Marysville Care Center Marysville 360-659-3926 Merry Haven Health Care Center Snohomish 360-568-3161 Parkway Nursing Center Snohomish 360-568-8566 Regency Care Center at Arlington - Arlington 360-403-8247 Regency Care Center of Monroe Monroe 360-794-4011 Sunrise View Convalescent Center - Everett 425-353-4040

SKAGIT ANACORTES Fidalgo Care Center & Rosario Assisted Living Assisted Living/Skilled Nursing/ Secured Dementia Care/Rehab 1105 27th Street Anacortes WA 98221 360-293-3174 Cap Sante Court Retirement 1111 32nd Street Anacortes,WA 98221 360-293-8088 Chandler’s Square Retirement / Assisted Living 1300 “O” Ave. Anacortes WA 98221 360-293-1300 BURLINGTON Creekside Retirement Community Retirement / Assisted Living 400 Gilkey Road Burlington WA 98233 360-755-5550


LA CONNER La Conner Retirement Inn Independent, Assisted Living 204 North First Street La Conner WA 98257 360-466-5700 MOUNT VERNON The Bridge Assisted Living/Hospice 301 S LaVenture Mount Vernon WA 98274 360-416-0400

Country Meadow Village Retirement & Assisted Living 1501 Collins Rd Sedro-Woolley WA 98284 360-856-0404 Life Care Center of Skagit Valley Skilled Nursing 1462 West SR 20 Sedro-Woolley WA 98284 360-856-6867


Highland Greens Senior Apartments Affordable Senior Apartments 3100 N 30th St Mount Vernon WA 98273 360-848-8422

BELLINGHAM Alderwood Park Licensed Skilled Nursing 2726 Alderwood Bellingham WA 98225 360-733-2322

Highland Greens Cottages Senior Residences Village Court @ 3200 N 30th St Mount Vernon WA 98273 360-540-1438

Bellingham Health Care & Rehab Licensed Skilled Nursing/ Specialized Care 1200 Birchwood Bellingham WA 98225 360-734-9295

Salem Village II Senior Residences 2601-2617 N LaVenture Rd Mount Vernon WA 98273 360-540-1438 Salem Village Apartments Affordable Senior Apartments 2619 N. LaVenture Rd Mount Vernon WA 98273 360-428-5662 Life Care Center of Mount Vernon Assisted Living/ Skilled Nursing/ Rehab/Alzheimer’s 2120 E Division Mount Vernon WA 98274 360-424-4258 Logan Creek Retirement/Independent Living 2311 E Division Mount Vernon WA 98274 360-428-0222 Mountain Glen Retirement/Assisted Living 1810 East Division Mount Vernon WA 98274 360-424-7900 SEDRO-WOOLLEY Birchview - A Memory Care Community Assisted Living/ Enhanced Adult Residential Care 925 Dunlop Ave Sedro-Woolley WA 98284 360-856-1911

Cordata Health Care & Rehab Center Licensed Skilled Nursing 4680 Cordata Parkway Bellingham WA 98226 360-398-1966 The Courtyard Dementia Care Community Assisted Living/Enhanced Specialized Care 848 W Orchard Dr Bellingham WA 98225 360-715-1338 Fairhaven Estates Assisted Living 2600 Old Fairhaven Parkway Bellingham WA 98225 360-647-1254 Highgate House Assisted Living/Specialized Care 151 & 155 East Kellogg Bellingham WA 98226 360-671-1459 Highland Care Center Licensed Skilled Nursing 2400 Samish Way Bellingham WA 98226 360-734-4800 The Leopold Retirement & Assisted Living 1224 Cornwall Ave Bellingham WA 98225 360-733-3500

Merrill Gardens at Cordata Retirement/Assisted Living/ Alzheimer’s 4415 Columbine Dr Bellingham WA 98226 360-312-3542 Mt. Baker Care Center Licensed Skilled Nursing 2905 Connelly Ave Bellingham WA 98225 360-734-4181 Parkway Chateau Retirement/Independent Living 2818 Old Fairhaven Parkway Bellingham WA 98225 360-671-6060 Rosewood Villa Retirement/Assisted Living 702 32nd Street Bellingham WA 98225 360-676-9193 Shuksan Health Care Center Licensed Skilled Nursing 1530 James Street Bellingham WA 98225 360-733-9161 Spring Creek Retirement & Assisted Living 223 E Bakerview Road Bellingham WA 98226 360-756-2301 St. Francis Extended Health Care Licensed Skilled Nursing 3121 Squalicum Pkwy Bellingham WA 98225 360-734-6760 Summit Place at Mt. Baker Assisted Living 2901 Connelly Ave Bellingham WA 98225 360-738-8447

ISLAND FREELAND Maple Ridge Assisted Living Community 1767 Alliance Avenue Freeland WA 98249 360-331-1303 OAK HARBOR Harbor Tower Village Retirement & Assisted Living 100 E Whidbey Ave Oak Harbor WA 98277 360-675-2569

SENIOR guidebook – bridging generations

Home Place Alzheimer’s & Dementia Care 171 SW 6th Ave Oak Harbor WA 98277 360-279-2555

BOTHELL Aegis of Bothell Assisted Living / Memory Care 10605 NE 185th Street Bothell WA 98011 425-487-3245

Regency on Whidbey Assisted Living, Independent Cottages, Harbor Care 1040 & 1045 SW Kimball Dr Oak Harbor WA 98277 360-279-0933 & 360-279-2224

Chateau at Bothell Landing Independent & Assisted Living 17543 102nd Ave. NE Bothell WA 98011 425-485-1155

Summer Hill Retirement and Assisted Living 165 SW 6th Ave. Oak Harbor WA 98277 360-679-1400

Life Care Center of Bothell Assisted Living/Skilled Nursing 707 228th Street SW Bothell WA 98021 425-481-8500

KING AUBURN Auburn Meadows Assisted Living/Memory Care 945 22nd Street NE Auburn WA 98002 253-333-0171 BELLEVUE Aegis of Bellevue Assisted Living / Memory Care 148 102nd Ave SE Bellevue WA 98004 425-453-8100 The Bellettini Luxury Apartment Homes in the Heart of Bellevue / 62+ 1115 108th Avenue NE Bellevue WA 98004 425-450-0800 Brighton Gardens of Bellevue Assisted Living & Alzheimer’s Care 15241 NE 20th Street Bellevue WA 98007 425-401-0300 The Gardens at Town Square Independent, Assisted Living, Alzheimer’s & Dementia Care 933 111th Avenue NE Bellevue WA 98004 425-688-1900 Sunrise of Bellevue Assisted Living & Alzheimer’s Care 15928 NE 8th Street Bellevue WA 98008 425-401-5152 Wynwood Bellevue Assisted Living Alzheimer’s & Dementia Care 1640 148th Ave SE Bellevue WA 98007 425-373-1161

North Creek Retirement & Assisted Living 907 201st Place SE Bothell WA 98012 425-483-8927 Riverside East Retirement & Assisted Living 10315 East Riverside Drive Bothell WA 98011 425-481-1976 Vineyard Park at Bothell Landing Independent & Assisted Living Community 10519 East Riverside Drive Bothell WA 98011 425-485-8900 BURIEN El Dorado West Retirement & Assisted Living 1010 SW 134th Street Burien WA 98146 206-248-1975 COVINGTON Covington Place Retirement Apartments 26906 169th Place SE Covington WA 98042 888-548-6609 FEDERAL WAY Foundation House Independent Living Personalized Assisted Living 32290 1st Avenue S Federal Way WA 98003 253-838-8823 ISSAQUAH Aegis of Issaquah Assisted Living / Memory Care / Hospice 780 NW Juniper Street Issaquah WA 98027 425-526-6037

University House - Issaquah Independent &Assisted Living 22975 SE Black Nugget Road Issaquah WA 98029 425-557-4200

Merrill Gardens at Island House Independent & Assisted Living 7810 SE 30th St Mercer Island WA 98040 206-204-5421

KENMORE Spring Estates - Kenmore Assisted Living / Memory Care 7221 NE 182nd Street Kenmore WA 98028 425-481-4200

Sunrise of Mercer Island Assisted Living & Alzheimer’s Care 2959 76th Avenue SE Mercer Island WA 98040 206-232-6565

KENT Aegis of Kent Alzheimer’s / Memory Care 10421 SE 248th Street Kent WA 98030 253-479-1768

REDMOND Aegis of Redmond Assisted Living / Memory Care 7480 West Lake Sammamish Parkway NE Redmond WA 98052 425-883-4000

Farrington Court Retirement / Assisted Living 516 Kenosia Avenue Kent WA 98030 253-852-2737

Fairwinds – Redmond Retirement / Assisted Living 9988 Avondale Rd NE Redmond WA 98052 425-558-4700

KIRKLAND Aegis of Kirkland Assisted Living / Memory Care 13000 Totem Lake Boulevard Kirkland WA 98034 425-823-7272

Peters Creek Retirement & Assisted Living 14431 Redmond Way Redmond WA 98052 425-869-2273

Aegis at Totem Lake Retirement / Assisted Living / Memory Care 12629 116th Avenue NE Kirkland WA 98034 425-814-2841

The Marymoor Retirement & Assisted Living 4585 W. Lake Sammamish Parkway NE Redmond WA 98052 425-556-9398

Kirkland Lodge Assisted Living 6505 Lakeview Drive NE Kirkland WA 98033 425-803-6911

RENTON The Lodge Retirement / Assisted Living 1600 South Eagle Ridge Drive Renton WA 98055 425-793-8080

Madison House / Totem Lake Retirement / Assisted Living 12215 NE 128th Street Kirkland WA 98034 425-821-8210

Merrill Gardens at Renton Centre Independent and Assisted Living 104 Burnett Ave S Renton WA 98057 425-243-2941

Merrill Gardens at Kirkland Independent & Assisted Living 201 Kirkland Avenue Kirkland WA 98033 425-285-7743

SEATTLE Aegis at Northgate Memory Care 11039 17th Avenue NE Seattle WA 98125 206-440-1700

MERCER ISLAND Aljoya Mercer Island Continuing Care Retirement Community 2430 76th Avenue SE Mercer Island WA 98040 206-230-0150

Aljoya Thornton Place North Seattle Continuing Care Retirement Community 450 NE 100th Street Seattle WA 98125 206-306-7920


Ballard Landmark Retirement/Assisted Living 5433 Leary Ave NW Seattle WA 98107 206-782-4000 CRISTA Senior Living Independent / Assisted Living / Skilled Nursing / Rehabilitation / Memory Care 19303 Fremont Avenue North Shoreline WA 98133 1-877-639-3292 Faerland Terrace Assisted Living / Alzheimer’s Care 1421 Minor Avenue Seattle WA 98101 206-624-7637 Ida Culver House, Broadview Independent, Assistsed Living, Skilled Nursing, Alzheimer’s and Dementia Care 12505 Greenwood Avenue N Seattle WA 98133 206-361-1989

Merrill Gardens University Village Independent & Assisted Living 5115 25th Ave NE Seattle WA 98105 206-452-3170 Mirabella Independent, Assisted Living, Skilled Nursing & Memory Care 116 Fairview Ave N Seattle WA 98109 206-254-1447 Northgate Plaza A Merrill Gardens Community Independent & Assisted Living 11030 5th Ave NE Seattle WA 98125 206-388-5061 Remington Place Retirement 3025 NE 137th Street Seattle WA 98125 206-367-0369

Ida Culver House, Ravenna Independent & Assisted Living 2315 NE 65th Street Seattle WA 98115 206-523-7315

the Stratford at Maple Leaf Independent, Assisted Living and Memory Care 9001 Lake City Way NE Seattle WA 98115 206-729-1200

The Lakeshore Independent & Assisted Living 11448 Rainier Avenue S Seattle WA 98178 206-772-1200

University House, Wallingford Independent & Assisted Living 4400 Stone Way N Seattle WA 98103 206-545-8400

Merrill Gardens at Northgate Independent and Assisted Living 11501 15th Avenue NE Seattle WA 98125 206-388-2989

SHORELINE Aegis of Shoreline and Callahan House Independent, Assisted Living and Memory Care 14900 & 15100 First Avenue NE Shoreline WA 98155 206-367-6700 and 206-417-9747

Merrill Gardens at Queen Anne Independent and Assisted Living 805 4th Ave N Seattle WA 98109 206-438-9270 Merrill Gardens at West Seattle Independent / Assisted Living 4611 35th Ave SW Seattle (West) WA 98126 206-701-6093 Merrill Gardens West Seattle Admiral Heights Independent and Assisted Living 2326 California Ave. S.W. Seattle (West) WA 98116 206-204-5400

WOODINVILLE Fairwinds – Brittany Park Retirement / Assisted Living 17143 - 133rd Ave NE Woodinville WA 98072 425-402-7100 The Creekside A Merrill Gardens Community Independent Retirement Community 18200 Woodinville-Snohomish Road NE Woodinville WA 98072 425-286-8974

Gig Harbor WA 98335 253-851-9929

KITSAP BREMERTON Bay Pointe Assisted Living 966 Oyster Bay Court Bremerton WA 98312 360-373-9904

PUYALLUP Clare Bridge Puyallup Alzheimer’s & Dementia Care 8811 176th Street E Puyallup WA 98375 253-445-1300

Marine Courte Memory Care 966 Oyster Bay Court Bremerton WA 98312 360-373-9904

Merrill Gardens at Puyallup Independent and Assisted Living 123 4th Avenue NW Puyallup WA 98371 253-200-9783

PORT ORCHARD Park Vista Retirement & Assisted Living 2944 SE Lund Avenue Port Orchard WA 98366 360-871-2323 POULSBO Harbor House Alzheimer’s Care 19360 Viking Avenue NW Poulsbo WA 98370 360-779-5533

CLALLAM PORT ANGELES Park View Villas Retirement & Assisted Living 1430 Park View Lane Port Angeles WA 98363 360-452-7222

Liberty Shores Assisted Living 19360 Viking Avenue NW Poulsbo WA 98370 360-779-5533 SILVERDALE Crista Shores Independent, Assisted Living 1600 NW Crista Shores Lane Silverdale WA 98383 1-800-722-4135

PIERCE BONNEY LAKE Cedar Ridge Retirement & Assisted Living 9515 198th Avenue E Bonney Lake WA 98391 253-299-6461 GIG HARBOR Clare Bridge Shoreline View Alzheimer’s & Dementia Care 9324 N Harborview Drive Gig Harbor WA 98332 253-858-7790 Merrill Gardens at Gig Harbor Independent and Assisted Living 3213 45th Street Court N.W. Gig Harbor WA 98335 253-590-4972 Sound Vista Village Retirement & Assisted Living 6633 McDonald Avenue


TACOMA Merrill Gardens at Tacoma Independent & Assisted Living 7290 Rosemount Circle Tacoma WA 98465 253-617-0100

SEQUIM Dungeness Courte Alzheimer’s Care Community 651 Garry Oak Drive Sequim WA 98382 360-582-9309

OTHER Merrill Gardens The Manor at Canyon Lakes Independent & Assisted Living 2802 West 35th Avenue Kennewick WA 99337 509-492-2784 Merrill Gardens at Olympia Independent & Assisted Living 616 Lilly Road NE Olympia WA 98506 360-489-6686 Merrill Gardens at The Academy Independent & Assisted Living 1216 N Superior Street Spokane WA 99202 509-228-7680 Merrill Gardens at Orchards Village Independent & Assisted Living 1011 NE 118th Avenue Vancouver WA 98682 360-989-2175

SENIOR guidebook – bridging generations


alem illage ommunities

Get more for your $ $ Skagit Cou in nty

A Non-profit Corporation...Providing Senior Adults with Quality Housing in a Caring Community

Carefree Single Level SENIOR COTTAGES Carefree independent living • Units 930-1200 square feet • Two bedroom, or one bedroom with den • Dishwasher and disposal • Laundry hook-ups • Deck or patio • Single car garage

Highland Greens Cottages Village Court @ 3200 N 30th Street Mount Vernon WA 98273 360.540.1438

Salem Village II 2601-2617 N LaVenture Road Mount Vernon WA 98273 360.540.1438

Simplified Condo-style living “purchase” and “resale” • “We buy it back” • No closing cost • Yard care provided • Easy

Universal design for aging in place stairs or steps • Wide doorways • Tub and walk-in shower • No

Affordable Senior APARTMENTS • City living with country atmosphere • Spacious one and two bedroom units • Private deck or patio • Social areas and library

Highland Greens Senior Apartments 3100 N 30th Street Mount Vernon WA 98273 360.848.8422 Salem Village Apartments 2619 N LaVenture Road Mount Vernon WA 98273 360.428.5662