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Coming of Age Are You In Pain? Respiratory Care Recognizing Elder Abuse

Stroke Awareness FALL 2016 / WINTER 2017

Spot a Stroke

FACE Drooping

ARM Weakness

SPEECH Difficulty


TIME To Call 911

14 Headaches and Migraines

Stroke symptoms are SUDDEN:

Alternative ways to treat pain

• Numbness or weakness in the face, arm, or leg (especially on one side of the body) • Confusion and/or difficulty in speaking or understanding • Problems with vision


• Trouble in walking, dizziness, or loss of coordination • Severe headaches without cause

Bonner General Health’s Telestroke program puts patients in front of experienced neurologists in minutes to evaluate the severity of the stroke, saving valuable treatment time and giving our patients the best chances for recovery.

520 N. Third Avenue • Sandpoint, ID 83864 • 208-263-1441 • BonnerGeneral.org

Get Smart About Antibiotics


From Hope to a Cure

Know when it’s best NOT to use them

Research is a beacon of hope

About the Cover............................................................... 5 Incorporating Asset Protection into Estate Planning......... 8 Stem Cell Therapy — A New Tool.................................... 12 Headaches and Migraines............................................ 14 Get Smart About Antibiotics......................................... 16 Fats: Key to Healthy Eating?.......................................... 18 From the Sun to the Earth............................................. 20 A New Look at Low Back Pain....................................... 22 A Safe Home Environment is Key................................. 26 Who Will Be Responsible?............................................. 28 NIC CTE Facility Opens its Doors................................ 30 Non-Traditional Therapy.............................................. 32 Veterans Resources........................................................ 33 Follow the VA Guidelines.............................................. 34 Veterans VSOs................................................................ 35 Veterans Pages..........................................................36-37 North Idaho Crisis Services.......................................... 38 How to Pick a Medicare Part D Plan............................. 40 From Hope to a Cure..................................................... 42 Alzheimer’s Association Support Groups.................... 44 Crossword & Sudoku................................................46-47 Aging at Home, Some Considerations......................... 48 Aging isn’t the Pits!......................................................... 60 What Are You Waiting For?............................................ 62 Hospice Care: Serving Families and Communities.... 64 Run It By Tamara........................................................... 66 Hidden Gems Sparkle Under Stage Lights................... 68 The Holidays and Scammers........................................ 70


Agencies, Free Referral Services & Volunteer Opportunities....................................... 50 Counseling..................................................................... 50 Dental............................................................................. 51 Education & Recreation................................................ 51 Financial & Asset Management.................................... 52 Gifts & Shopping............................................................ 52 Hearing & Vision............................................................ 52 Hospice........................................................................... 53 Hospitals & Medical Care.............................................. 53 Independent & Assisted Living, Adult Day Care......... 54 In-Home Health & Personal Care................................. 56 Insurance....................................................................... 57 Legal............................................................................... 57 Massage & Health Maintenance................................... 57 Personal Emergency Systems....................................... 57 Pharmacies, Medical Equipment & Supplies.............. 58 Rehabilitation & Skilled Nursing.................................. 59 Veterinary & Animal Care............................................. 59

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About the Cover

Helping you is energy well spent. When budgeting for energy needs becomes challenging, Avista has options. • Bill Payment Options such as Comfort Level Billing to even out your energy bill’s seasonal highs and lows;

Cover Artwork: “Paseo del Luna” admits to learning something from by Dan Carpenter almost every artist he meets. While specializing in the About the Artist wildlife and landscapes of the Dan Carpenter refers to his American West, Dan has also been work as “(fairly) Fine Art” and has able to study subjects all over the achieved widespread acclaim for his country. He has been fortunate beautiful and evocative paintings of enough to observe whales, eagles, wildlife and Western subjects. His and the brown bear, acrylic paintings capture the humor among other wildlife, in Alaska and Canada. Born in Cody, Wyoming, Dan was raised in the mountains of Northwest Colorado. His interest in art, wildlife and the outdoors began in the pristine environment. A football scholarship brought him to the University of New Do Not Disturb Mexico where he studied and essence of the animals as well as the wonderful natural settings in which they are found. Dan paints with fine detail and realism and with his ‘fairly fine’ sense of humor. He is frequently commissioned to paint portraits of his patrons with their favorite animal. Dan described himself as being in the continuing process of becoming a “self-taught artist” and Quiet Time

• Senior Outreach educational workshops to learn how to conserve and use energy efficiently; • Referrals to local agencies for assistance; • Dedicated customer service representatives to help with medical or family crisis situations; • Online Tools to help you with your home energy management.

For more information, please call 1-800-227-9187 or visit avistautilities.com/senior. 4

Wise Guide | Fall 2016 / Winter 2017

Planning Something

Canada Goose

Palaver architecture, photography and engineering and began taking art classes. Before becoming a fulltime artist, he worked as a sheepherder in Colorado, a game warden in Alaska, a design architect in New Mexico and a free-lance photographer. In 2009, Dan and his wife, Judy, moved to the north shore of Lake Pend Oreille, near Sandpoint, ID. Dan’s work can be found at Artworks Gallery, Misty Mountain Furniture and at various Pend Oreille Arts Council (POAC) events in Sandpoint. To see more of Dan’s work and purchase originals & prints go to www.dancarpenterart.com

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Boundary County Community Restorium Assisted Living with 24 houR CARe

The Wise Guide Fall 2016 / Winter 2017 Office: 208-263-5654 Email: info@thewiseguideonline.com www.TheWiseGuideOnline.com

Jonnie Bradley Editor

The Wise Guide Join us for coffee by the fireplace and help plan the spring garden!

• Cozy Fireplace Setting • Medication Assistance • Rides to Local Medical Appts. • Spa, Sunroom, Exercise Room • Adult Daycare Available


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Medicaid Accepted Veterans Welcome!

Patty Jo Carter Marketing Director

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Hearing aids deliver proven quality-of-life benefits. Research from the non-profit Better Hearing institute (BHI) shows that people who finally do get hearing aids to treat their hearing loss see “impressive improvements in their social, emotional, psychological and physical well-being.


6619 Kaniksu St., Bonners Ferry, ID 83805

FREE Publications

1. It could increase your earning potential. If you have untreated hearing loss, there’s a good chance you aren’t reaching your full potential in the workplace, as you may be missing important items in conversation or unconsciously withdrawing yourself from your duties.

Donna Brosh Designer

The Wise Guide

2. It could improve your social life. Whether you know it or not, hearing problems can cause you to communicate ineffectively with others, which can hinder relationship building. It may also cause you to decide not to participate in the activities or social gatherings that you otherwise would. 3. It could strengthen your relationship with your family. Communication is even more important in the intimate relationships you maintain with family members. When communication is interrupted by hearing loss, it can weaken those relationships unintentionally. 4. Today’s hearing aids have never been smaller. Just as computers and other high-tech instruments are getting smaller, so too are hearing aids. Some are even “invisible.” i.e., small enough to fit completely inside your ear canal where no one can see them.

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Idaho Elder Directory Alzheimer’s Resource Directory Just call 800 584-9916

during normal business hours View/download from our Website retirementpublishing.com > Idaho Publications

Although every precaution has been taken in the publication of this guide, the publisher and authors assume no responsibility for errors or omissions. This guide is not intended to be legal or medical advice or to endorse any product or service. It is meant to serve as an information resource guide and not as a substitute for professional assistance. The Wise Guide, LLC is not responsible for the contents of any websites referenced within this directory, nor does it endorse any specific products or services referenced. No part of this directory may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by an information storage and retrieval system without the express written permission of the publisher, The Wise Guide, LLC.

5. Today’s hearing technology is more advanced than ever. Many people have misperceptions of hearing aids based on outdated information and anecdotes. The fact is, today’s best hearing aids are precision instruments with technology far more advanced than their predecessors, including features specifically designed to:

• Virtually eliminate feedback (buzzing and whistling) • Reduce listening effort and improve speech understanding in noise • Work easily and automatically with your phone • Connect wirelessly with TVs, computers and stereos to stream audio directly to the aids

23 E. Crawford Deer Park, WA 99006

www.eargeek.com 6

Wise Guide | Fall 2016 / Winter 2017

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Incorporating Asset Protection Into Estate Planning:

Yes, We Can Protect Our Children Even After We’re Gone

• Estate Planning (Wills and Trusts) • Asset Protection • Medicaid and VA Benefits Planning • Probate and Estate Administration • Gun Trusts integrated into your estate plan to ensure your hardearned money stays in your family. by Jeffery J. Crandall, Attorney at Law, Crandall Law Group


still remember how my mother would reflexively throw out her arm to stop me from careening through the windshield every time she hit the brakes on our family car. We have a natural instinct as parents to protect and safeguard our children, and as I’ve aged, I’ve learned those instincts continue long after the children have grown and gone out on their own. In the last several decades, we’ve developed carefully engineered car seats to protect our young children from harm, which are much more effective than Mom’s outstretched arm. In a similar respect, we’ve also figured out more effective methods of protecting our children from financial ruin, even after we’re long gone.

Why Is Asset Protection Important? In today’s age of high divorce rates, lawsuits, and bankruptcies, there is an ever increasing chance that property you leave to a child could end up in the hands of his or her creditors or spouses in divorce. No one wants this to happen with their estate. Fortunately, there are relatively simple and cost-effective asset protection strategies that can be


Wise Guide | Fall 2016 / Winter 2017

We Can Create Asset Protection Trusts For Our Children The best way to protect a beneficiary’s inheritance is with a trust. By holding a beneficiary’s share in a properly drafted trust, it is possible to give them the benefit of the assets without exposing them to the beneficiary’s creditors. Such trusts are often used when the beneficiary is disabled, a minor, a substance abuser, or financially irresponsible. These are referred to as spendthrift trusts. However, even financially responsible children can benefit from asset protection trusts, which can be setup in ways that do not restrict the child’s access to the property but still protect it from creditors. Trusts can also be used to protect a vulnerable surviving spouse from predators or to protect a deceased spouse’s share of the estate if the surviving spouse remarries. Most people don’t know about these asset protection strategies or how simple it is to incorporate them into a new or existing revocable living trust. While offshore and domestic asset protection trusts are commonly used by the wealthy to safeguard assets, you don’t need to rush off to the Cook Islands to set up an extremely effective asset protection trust for your Continued on Page 10

• Business Entities (Corporations, LLCs) • Purchase, Merger, or Sale of a Business • Business Succession Planning • General Business Counsel • Real Estate and Business Transactions


Give us a call!

Jeff Crandall

Ryan Crandall

We offer complimentary consultations for Estate Planning and most other matters. So don’t sit through a seminar with a bunch of strangers ... get personalized information from an experienced estate planning attorney in your own, private consultation. To learn about protecting your wealth and loved ones with a Will or Trust....

Call Today to Schedule your No-Obligation, Complimentary Consultation!

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Incorporating Asset Management Into Estate Planning Continued from Page 8


descendants. In fact, you can use the same revocable living trust you created for probate avoidance purposes to serve as a virtually impenetrable asset protection trust for your heirs after you’re gone.

Your Revocable Living Trust Can Be Used As An Asset Protection Tool This is how it works. After our death, instead of making outright distributions of our estate to our intended beneficiaries, we direct our successor trustee to retain those assets in trust, to be distributed according to our specific instructions. For those beneficiaries with “spendthrift” concerns, we may direct the trustee to make distributions in a very conservative manner, with a focus on protecting the beneficiaries from themselves and others. For those beneficiaries who are more responsible and prudent, we may allow the trustee to be more liberal in making distributions. In fact, with a completely liberal standard, we can effectively give beneficiaries

complete access to their trust funds while still maintaining asset protection. A trustee’s discretionary standard, whether liberal or conservative, might also change as the beneficiary ages. For instance, a conservative discretionary standard may be used until they reach a certain age (e.g. 35) and then changed to a liberal standard. Here’s the beauty of this type of planning: If the beneficiary’s trust is properly drafted, every penny still sitting in that trust account when a creditor comes knocking, or a divorce or bankruptcy is filed, is fully protected from the reach of the court in any legal proceeding. And the reason is very simple: Those trust assets still belong to your estate, even after you’re gone, and the court has no power to levy your assets to pay off your children’s creditors or spouses. As you can see, this type of asset protection plan has a great deal of flexibility and can provide your children and other descendants with some incredible benefits. If you’re not eager to “control” your children after you’re gone, don’t worry. You can let them decide whether they want to take advantage of this asset protection or not. With a liberal discretionary plan, they can always request a distribution of all of the funds and terminate the trust. However, when educated about asset protection, most will see the benefits and appreciate the fact that you left them a means of safeguarding their assets that’s more effective and comprehensive than any offshore trust.

Does Your Estate Plan Include Asset Protection For Your Children? At the Crandall Law Group, we understand asset protection, and we’ll include this in our discussion with you as we work shoulder to shoulder to design an estate plan that fits your unique needs and circumstances. To learn more about how to incorporate asset protection into your estate plan, contact us today for a complimentary consultation. _______________________________________________ Jeff Crandall is a business and estate planning attorney with over 29 years of experience in business, tax, estate planning, elder law and business succession planning. He is licensed in Idaho, Washington and California and has been practicing in the Coeur d’Alene area for over 20 years. Jeff loves helping people solve problems and, whenever possible, helping them to avoid problems in the first place.


Wise Guide | Fall 2016 / Winter 2017

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Stem Cell Therapy - a New Tool

by David Vanos, MD Stem Cell Centers


he medical field of Pain Management is changing rapidly because of a state-of-the-art procedure called “stem cell therapy.” There have been numerous studies showing both the safety and effectiveness of stem cell therapy in treating pain and degenerative conditions in joints and the spine. Stem cell therapy utilizes either a person’s own stem cells, or another person’s stem cells, to target and treat damaged tissue that is causing pain and/ or loss of function. A stem cell’s role in our body is to heal and regenerate all of the tissues; every cell in our body dies and self-renews with new tissue because of our stem cells. Stem cells can turn into every single type of tissue and they secrete growth factors and various other substances that activate other healing cells in the damaged area of your body. Stem cells can multiply and turn into the “tissue builder” for the tissue that needs to be repaired. When a person has damaged tissue, for example an osteoarthritic “bone on bone” knee joint, the damaged cartilage tissue in that knee lets off little “beacons” to signal to your body’s own stem cells to come and heal that damaged tissue. If you have a heart attack or a stroke, your body’s own stem cells can go to the damaged area of your heart or brain and become cells that produce new heart or brain cells. These amazing stem cells are literally what regenerate your body and keep it young and healthy. Unfortunately, as we age, the number of stem cells we have in our body drastically decreases and their potency diminishes substantially as well. This is one of the primary reasons our body starts to “wear out” as we get older and we begin to encounter different degenerative problems. Stem cell therapy counteracts these problems by replenishing your body with stem cells. Stem cells are either harvested from your own bone marrow or adipose (fat) or from brand new stem cells obtained from an FDA certified tissue laboratory. These stem cells are then re-injected back into your body, turning on your body’s own regenerative capabilities to heal your damaged tissue.

Stem cell therapy is widely used in the field of Pain Management across the country and other disciplines of medicine as well. There are many new research studies being released every week showing the huge promise of stem cell therapy. Stanford Medical School released a promising study for

Stem cell therapy is widely used in the field of Pain Management across the country and other disciplines of medicine as well. There are many new research studies being released every week showing the huge promise of stem cell therapy. treatment of stroke victims with stem cell therapy this month. Subjects in the study saw remarkable results including the ability to walk again as well as talk again after the treatment. http://www. nbcbayarea.com/news/local/Stanford-DoctorsStunned-Stroke-Patients-Walk-Again-After-StemCell-Injections-381840871.html Some of the more common conditions treated with stem cells in this country include osteoarthritis of the joints, degenerative disc disease, herniated and bulging discs in the spine, spinal degeneration, neuropathy, COPD and neurological conditions. Although the success rates are not 100% with this new therapy, they are very high with some conditions showing an over 90% success rate. These studies have also shown that stem cell therapy is much safer than almost all other medical interventions with virtually no side effects ever reported. Stem cell therapy is quickly becoming the future of medicine. ________________________________________________ Dr. David Vanos is a former Air Force Officer and former head of the anesthesia Dept. at Fairchild AFB. He is board certified in Pain Management and Anesthesiology with 27 years of experience in Pain Management. He enjoys spending time with his wife of 32 years and 3 wonderful children. See ad on page 11


Wise Guide | Fall 2016 / Winter 2017

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Headaches and Migraines

by Dr. Scott Magnuson Pain Management of North Idaho


lmost everyone of us has suffered from a headache at some point in our lives. These can range from just a mild annoyance to a debilitating condition that can put you in bed, in a dark room for a day or more at a time. Headache is common throughout the world with up to 75% of adults experiencing headache at least once per year. 30% of these adults have reported migraine. Symptoms can include blurry vision, nausea, vomiting, fever, neck pain or stiffness, and increased sensitivity to light or sounds. While most causes of headache are not serious, symptoms of confusion, difficulty walking, difficulty speaking and excessive sleepiness are a cause for concern and need to be looked into further. If you have frequent or non-stop headaches, you need to be evaluated by your primary care provider who can help determine the cause of the headaches. Sometimes neurologists are consulted to rule out more serious causes of the headaches or to help treat particularly difficult cases. There are many treatments for headaches that have been tried over the years. Lifestyle changes are


Wise Guide | Fall 2016 / Winter 2017

one that now occurs daily and is very difficult to treat. Migraine headaches are common and often begin in childhood or early adulthood. They may be preceded by an aura which is a symptom warning that a migraine is starting. These symptoms can be flashes of light, blurry vision, pins and needles sensation, hearing noises, difficulty speaking or even uncontrollable jerking movements. Though migraines are common, why they occur is poorly understood. There is often a family history of migraines and women are three times more likely than men to have migraines. There are many medications that can be used in migraine in addition to the over the counter

maintain its effectiveness. If you have 15 or more migraine headaches per month, with headaches lasting at least 4 hours, you may be a candidate for Botox therapy. With good management techniques, most headache sufferers can be treated successfully and keep up happy and productive lifestyles. ________________________________________________ Dr. Magnuson is a Board Certified Anesthesiologist with Added Qualifications in Pain Management. He is a graduate of Creighton University School of Medicine, University of Missouri Kansas City Anesthesiology Residency and completed his fellowship in Pain Management at the University of California San Diego.

When migraine headaches are frequent and severe, Botox injections have been proven to be effective in decreasing both the severity and frequency of migraines.

often the first line of treatment. Controlling stress in our busy, demanding lives can often bring about significant improvements in symptoms. Avoiding headache triggers such as certain foods, alcohol, caffeine, strong smells or noise will help to decrease the frequency of many headaches. Over the counter pain medications like acetaminophen (Tylenol), aspirin, ibuprofen (Advil), or naproxen (Aleve) are generally very helpful for most of us. However, it is important to take these medications only as directed in the instructions on the bottle. Taking more than is recommended can greatly increase the risk of side effects on these medication which can include ulcers, bleeding, and liver or kidney damage. Opioid type pain relievers like hydrocodone, oxycodone or morphine are generally poor choices to treat chronic headache unless the headache is very severe and these medications are used only short term. Chronic use of opioid pan medications for headache often leads to a condition called “rebound headache� or medication overuse headache (MOH), where the headache recurs every time you try to stop the medication. This can turn an episodic headache into

medications listed above. Triptans like sumatriptan (Imitrex) or eletriptan (Relpax) can help to stop a migraine from occurring if taken at the onset of the migraine headache. Some medications are used to prevent a migraine from occurring at all. Certain blood pressure medications, antidepressants, and anti-seizure medications have all been used with success to prevent migraines from occurring. When migraine headaches are frequent and severe, Botox injections have been proven to be effective in decreasing both the severity and frequency of migraines. This simple, in-office procedure is completed in a matter of minutes and has a proven safety record. Treatments need to be repeated every 12 weeks in order to

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Get Smart About Antibiotics

Know when it’s best not to use antibiotics By Andrea Nagel, Communications Specialist, Kootenai Health


ntibiotics have saved millions of lives since they were first introduced in the 1940s and 1950s. However, because they have been overused, many antibiotics are no longer effective against the bacteria they once killed. Like all medicines, antibiotics that you may be taking for infection have the potential to cause side effects. Doctors choose an antibiotic according to the bacteria that usually causes a particular infection. While antibiotics are effective for treating these bacterial infections, antibiotics do not work against viruses. Taking antibiotics

won’t help you to get over a cold or flu (influenza) faster, won’t stop your infection from getting worse, and won’t prevent your infection being passed onto other people. According to the Centers for Disease Control (CDC), “When germs that cause colds first infect the nose and sinuses (air-filled pockets in the face), the nose makes clear mucus. This helps wash the germs from the nose and sinuses. After two or three days, mucus may change to a white, yellow, or green color. This is normal and does not mean you or your child needs antibiotics.” Other signs and symptoms of

the common cold can include: • Sneezing • Stuffy nose • Sore throat • Coughing • Post-nasal drip (mucus dripping down your throat) • Watery eyes • Mild headache • Mild body aches These symptoms usually peak within two to three days but can last for up to 10-14 days. See a health care professional if you or your child has symptoms that last more than 10 days without improvement, or the symptoms are severe or unusual.

Cough. Sniffle. Sneeze. No Antibiotics Please. Many common infections are becoming resistant to antibiotics. It is estimated that more than half of antibiotics are unnecessarily prescribed.

The Northwest Hospital Alliance is a network of hospitals devoted to improving the health status of our communities by providing a collaborative approach to regional health care delivery. Our role is to coordinate strategies, relationships and services that will improve delivery, access and quality, of healthcare in our member communities.


Wise Guide | Fall 2016 / Winter 2017

What is antimicrobial stewardship and why is it important? Antimicrobial stewardship refers to coordinated interventions by health care providers designed to improve and measure the appropriate use of antimicrobials by promoting the selection of the optimal antimicrobial drug regimen, dose, duration of therapy, and route of administration. The goal of antibiotic stewardship is that all patients receive the right antibiotic at the right time and only when necessary. “While at one time, antibiotics changed the practice of medicine by providing a rapid cure to many illnesses that were once fatal, those days may end,” Giovanna Santovito-Carducci RN, MPH, CIC, infection prevention specialist, said. “The emergence of antibioticresistant bacteria caused by the misuse and overuse of antibiotics is pushing the health care industry to re-evaluate how medicine is practiced.”

When antibiotics hurt Taking antibiotics when they are not needed is fueling an increase in drug-resistant bacteria, which cause infections that are more difficult, and sometimes even impossible, to cure. Almost all types of bacteria have become less responsive to antibiotic treatment. These “superbugs” can quickly spread to family members, schoolmates and coworkers, and threaten our communities with illnesses that were once easily treatable. Combatting antibiotic resistance is a priority for CDC with estimates of more than 2 million

resistant infections occurring annually in the United States alone.

Working together “For over 20 years, members of the Northwest Hospital Alliance have been working together on issues to continually improve the health care to people in our communities and region,” Caryl Johnston, director of the Northwest Hospital Alliance, said. “The issue of antibiotic use – potential overuse and misuse – has become a national health issue. We need to tackle this problem together in our communities and as a nation. The Northwest Hospital Alliance has brought Infection Prevention specialists, physicians, pharmacists and nurses from the hospitals, clinics and nursing homes to work on this together.”

Prevention is key The best way to stop these “superbugs” is to prevent germs from spreading in the first place. Hand washing is like a “doit-yourself” vaccine—it involves five simple and effective steps (wet, lather, scrub, rinse, dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy. Regular hand washing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others. It’s quick, it’s simple, and it can keep us all from getting sick. Learn more about antibiotic use and disease prevention at cdc.gov/getsmart.

Stay At Home, Stay Independent At Addus, we understand the importance of remaining at home and independent. We provide quality in-home care services including, but not limited to: • Medication reminders • Personal care • Shopping and errands • Companionship • Light housekeeping


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Fats: Key to Healthy Eating? by Bruce Weaver, MPA, PA-C Owner, AAging Better In-Home Care


ith the abundance of new research findings about dietary fat, there’s no question we’ve given fats a bad rap over the past 30 years. It’s understandable when you consider that over 70 percent of American adults are classified as being overweight or obese. And years ago, it was rare to see young children and teens with the kind of obesity we see today. The low-fat craze of the 80s and 90s resulted in stripping fats out of our diets only to have them replaced by foods high in starch and sugar which actually makes people hungrier since sugar and starches are less able to suppress appetite. And animal fat was replaced with unnatural fats called “trans fats” (margarines and shortenings) and “vegetable” oils (soy bean, corn and canola) which extended the shelf life of products in grocery stores but turned out to be either downright bad for our health or not helpful in maintaining good health. When most people think of body fat, they’re thinking of the “bad” white kind. While we need this kind of fat to store calories for future use during lean times or for more energy between meals, any excess calories we eat are stored in our fat cells as white fat. This eventually manifests as obesity if we continue consuming more calories than we use. Until recently, it was felt we were all at the mercy of this “bad” fat and that many of us had little of the “good,” heat-generating brown fat typically seen in infants. Brown fat helps regulate our internal temperatures by signaling white fat to release its stored lipids (fats) which are then burned as heat. Loss of this good brown fat over time is one of the reasons many older adults often complain of being cold, even on warm days.


Wise Guide | Fall 2016 / Winter 2017

Overeating causes white fat cells to enlarge to the saturation point and as these overloaded cells age and die, they release molecules called cytokines that cause additional inflammation leading to problems like insulin resistance and type 2 diabetes. Nature provides a feedback loop meant to prevent such inflammation by secreting a hormone called leptin that decreases the urge to eat. But those with obesity often become resistant to leptin and no longer respond to the hormone’s appetite suppressing effects. This “loop” of overeating without the sense of being full, can create real challenges for many overweight individuals and diabetics. But we need fat for optimal health. Without it, our bodies are unable to use vitamins A, D, E and K. Some animal fats in our diets are actually a good thing; mono-unsaturated fats like fish, olive and nut oils help our bodies to produce inflammation-reducing types of substances called prostaglandins. On the other hand, eating animal fats in excess can have the exact opposite effect on our bodies; these fats can make prostaglandins that promote inflammation. A diet that includes red meats 2-3 times a week is fine but we should also include fish, poultry and some other types of non-animal proteins as staples in our diets.

We also know now that regular exercise like walking, biking, water aerobics and others, has taken on a new dimension in the battle for better health through a newly discovered hormone in skeletal muscle called irisin. It triggers conversion of white fat to beige fat (a newly discovered second kind of “good” fat). When we combine moderate exercise (enough to get you a little out of breath) with a diet high in fresh fruits and vegetables, adequate amounts of natural fats, like butter, olive oil, whole milk and farmraised eggs, we are much more likely to achieve or maintain healthy weights and better health overall, especially as we age into our later years of life when absorption of nutrients from the gut often becomes diminished. So what do we make of fat in general? It turns out fat also plays a role in sleep quality. Brown and beige fats not only burn calories, they also help promote normal sleep patterns. Obesity, with its preponderance of white fat, does the exact opposite. It’s often associated with sleep loss. So is there a way to help us create more good fat? The answer is antioxidants (substances found in all fruits and vegetables) and exercise. Antioxidants protect our cells from damage due to ongoing oxidation and also help stimulate the conversion of white fat to beige fat. Polyphenols, an antioxidant found in abundance in most fruits, enhance the oxidation of dietary fats which helps keep the body from becoming overloaded by them. Drinking that glass of red wine or two can be both enjoyable and very good for your health along with eating the recommended five servings of fresh fruits and veggies every day! _________________________________________________ Bruce Weaver is the owner of AAging Better In-Home Care with offices in Post Falls and Sandpoint, and a retired USAF Lt. Colonel. As a physician assistant (PAC), his medical background in Family Medicine was put to good use teaching health and wellness at the Air War College to senior military and international officers and their families.While overseeing the Air Force Health Promotion Program while stationed in Washington D.C., he came to truly appreciate the importance of a healthy diet and regular exercise after seeing their effects, or lack thereof, on 400,000 troops.

Open Enrollment Nov. 1st - Dec. 31st


Our Enrollment Counselors are here to answer your questions and help you find the program that works best for your family. Heritage Health is here to help you navigate this year’s open enrollment period. Learn about your insurance options and take the next steps to get enrolled.

Scheduling will begin October 15th. To schedule an appointment, please call 208.620.5220 or email us at Outreach@myheritagehealth.org. Open enrollment will be from November 1st through January 31st Don’t wait until the last minute! Schedule your appointment now.


Get Medicare Ready! Call your local licensed Humana sales agent for a free consultation. Chris Murphy 1-208-215-5817 (TTY: 711) 8 a.m. - 5 p.m., Monday - Friday, Licensed Sales Agent

Humana is a Medicare Advantage HMO organization with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. This information is available for free in other languages. Please contact a licensed Humana sales agent at 1-208-215-5817 (TTY: 711). Esta información está disponible gratuitamente en otros idiomas. Póngase en contacto con un agente de ventas certificado de Humana al 1-208-215-5817 (TTY: 711). Y0040_GHHHXDDEN16 Accepted

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From the Sun to the Earth

PERSONAL EXPERIENCE đ&#x;Œą “I eat chlorella as a snack whenever I get a hungry, and then I’m all set to continue whatever it is that I was doing without the hunger signal distractions!â€? “Even my kid thinks they’re tasty!â€? “My dog LOVES THEM. They’re her favorite treat to eat! What better way to treat my puppy with love than with healthy and tasty chlorella treats!â€?

EXPERT TESTIMONIAL đ&#x;Œą “Chlorella is at the top of the list for detox. It is the most effective of the green algae in taking out heavy metals and radiation from the body, as it has a mineral complex that magnetizes toxins and acts as a sponge to soak them up.â€? –Dr. Brian Clement from LifeForce

INSIDER INFORMATION đ&#x;Œą by Tom Whitmire Founder, Livet Lifestyle http://livet.tv


ealth is all about strengthening the immune system and fighting off disease. Chlorella is a single-cell freshwater GREEN ALGAE at the top for detoxing the body and strengthening the immune system. Chlorella’s foundational abundance in chlorophyll, which is the first physical form of food from light energy, makes it of the highest healing and nutritional ability. Take chlorella to DETOX heavy metals & toxins out of your body, reduce cravings, and STABILIZE your blood sugar levels!

FAST FACTS NUTRITION | Chlorella contains many vitamins, nutrients, amino acids, and nucleic acids to help strengthen your cells, blood, and oxygen-carrying ability, along with balancing your blood sugar levels. IMMUNE SYSTEM | Chlorella stimulates the immune system, specifically Natural Killer cells and the initiation of the immune response to fight off foreign substances and toxicity. Take Chlorella to immediately strengthen your immune system’s response to fighting off illnesses of any scale. HEAVY METAL DETOX | Chlorella is the top food to detox the body of heavy metals. It is even more effective when combined with INFRA-RED SAUNA therapy. Remember to drink plenty of water with


Wise Guide | Fall 2016 / Winter 2017

chlorella and sauna therapy so any detoxed toxins can be flushed out of the body, so that they do not become reabsorbed again. RADIATION DETOX | Chlorella helps heal the effects of radiation exposure. CHLOROPHYLL | Chlorella contains large amounts of chlorophyll, which is almost identical to the structure of the Hemoglobin in our red blood cells. Similar Structure = Similar Function. Chlorophyll builds blood! BLOOD SUGAR REGULATOR | Chlorella balances blood sugar levels. Take 8-20 chlorella tablets and wait 20min and your blood sugar will balance out. This makes chlorella an excellent supplement for healing your body, but also for people with hypo or hyperglycemia. REDUCES CRAVINGS | Cravings are attributed to blood sugar ups and downs. Since chlorella stabilizes blood sugar, it also reduces food cravings by evening out blood glucose levels associated with the carb cycle trap. DIGESTIVE AID & HEALER | Chlorella helps to heal and reduce inflammation of the digestive tract lining, along with supporting beneficial bacteria of the gut flora. Chlorella helps alleviate constipation. NEURAL BALANCER | Chlorella balances stress, calms nerves, and aids in establishing good mental health. BREATH FRESHENER | Chlorella freshens mouth odors!

LifeGive CHLORELLA | This brand of chlorella is a trusted product. And with chlorella, the product quality can widely range depending on the location and system of processing. Other sources of chlorella can also be at a greater risk of being tainted with surrounding radiation in the area or water. According to LIVET, this is the top product.

BioPure Chlorella | Get any or all of the Chlorella Products from BioPure including the liquid extracts and the capsules. KIDS | Many kids enjoy the taste of chlorella! Try it out! DOG TREATS | Dogs find them delicious. Just like wheatgrass. Give them to your dog as a healthy treat and help them detox too! BernardJensen.com SOURCES PubMed.com Life’s Experiences GreenMedInfo.com http://livet.tv TreeOfLifeCenterUs.com HippocratesINST.org SophiaHI.com Viktoras.org _______________________________________________ Tom Whitmire is an ultimate authority on helping people of all levels to achieve their optimum health. Tom is the founder of the LIVET LIFESTYLE and is certified as a Health Educator by the Hippocrates Health Institute in West Palm Beach FL. Tom can be found consulting for government officials, consulting for businesses, lecturing to large groups or on his monthly live TV morning show spot but he would much prefer to spend his time with you. http://livet.tv/consult/entry/tommy

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A New Look at Low Back Pain By J. Sorin Ispirescu, MD Idaho Pain Clinic & Pain Clinic of Spokane


s a pain management doctor for the last 13 years, seeing thousands of patients with lower back pain, I noticed some curious patterns. On one hand, I saw lawyers and accountants, as well as others who did mostly sedentary work, with severe lower back pain and findings of severe degenerative disc disease on their MRIs. On the other hand I noticed farmers and construction workers, those who did heavy physical work their whole lives, with minimal degenerative disc disease. I wondered how that could be! If degenerative disc disease was just caused by so called “wear and tear” resulting from heavy lifting over and over for decades, then one would expect there to be a clear correlation between degenerative disc disease and those who had done heavy work, and we would expect that those who did mostly sedentary work to have less degenerative disc disease. But this was not the case. I then supposed that perhaps those that did the heavy physical work had built up better core muscles

and thus protected their spines from wear and tear, and perhaps those who did more sedentary work were less fit, and when they did some minor lifting on the weekends, they injured themselves more. This explanation may hold some validity, but it was still not fully satisfactory to me and I knew there had to be more to the story. Lower back pain is the second leading cause of disability in the United States, causing an estimated loss of 149 million work days per year due to low back pain and correlating 100-200 billion dollars lost annually.1 Cardiovascular disease is the third leading cause of disability, arthritis being the first2, but could there be a correlation between chronic lower back pain and cardiovascular disease? Dr. Kauppila, from Helsinki University Central Hospital in Finland, did a systematic review of all the literature covering this topic and published her findings3 which help to shed light on this subject. We know that in developed countries, 10% of the population already has advanced atheromatous plaques in the abdominal aorta by the age 20! This disease process rapidly accelerates between the ages 44 and 64. The main blood supply to spinal segments in the lower back comes from blood vessels originating directly from the abdominal aorta (L1-4) or from branches off of the abdominal aorta (L5). Thus, it would make sense that advancing atherosclerosis would affect

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Continued on Page 24


Wise Guide | Fall 2016 / Winter 2017

OUR PROVIDERS: J. Sorin Ispirescu, MD Clinton Thome, MD Regina Kendra, ARNP A. Cipriana Niculaescu, PA-C Amanda Thome, DPT

LOcatIOnS: Sandpoint, ID: 1327 Superior Street, Suite 101 Deer Park, Wa: 11 E H Street, Suite F newport, Wa: 714 W Pine Street St. Maries, ID: 229 S. 7th St., 4th Floor, Suite 401 Wise Guide | www.TheWiseGuideOnline.com 23 208.263.9757

A New Look at Low Back Pain Continued from Page 22 ______________________________________________________

blood flow to the spinal cord and lumbar discs. In the literature review, it was found that smoking and high serum cholesterol levels have the most consistent associations with disc degeneration and lower back pain. One study showed that people with blocked arteries to the lumbar spine were 8.5 times more likely to have back pain. Thus, as we step back and look at the overall weight of the evidence, it becomes clear that vascular disease and lower back pain are related. This also helped explain to me why we see the variations in the degree of degenerative disc disease, not just on the basis of how hard somebody worked with their back, but also on how healthful their lifestyle was. This gives us more motivation to follow a heart healthy diet, eating plenty of fruits and vegetables as well as unprocessed whole foods. Now, we can add back pain to the long list of reasons why we should live a healthy lifestyle, avoid cholesterol laden foods and not smoke!

1. Freburger, J.K. et al. “The Rising Prevalence of Chronic Low Back Pain.” Archives Internal Medicine 2009 Feb 9: 169(3): 251-258. 2. From the Centers for Disease Control and Prevention. Prevalence of disabilities and associated health conditions among adults--United States, 1999. JAMA. 2001;285(12):1571– 1572. 3. L.I. Kauppila. “Atherosclerosis and Disc Degeneration/LowBack Pain - A Systematic Review.” Eur J Vasc Endovasc Surg. 2009 June:37(6) 661-70.

_________________________________________________ Dr. Ispirescu is double board certified in Pain Management and Anesthesiology, trained with top experts in the field at UC San Diego. As founder of Idaho Pain Clinic and co-founder of Pain Clinic of Spokane, Dr. Ispirescu and his team have developed one of the region’s only true multi-disciplinary programs, incorporating minimally-invasive pain management treatments, along with medication management, nutrition counseling, physical therapy, chiropractic care, massage therapy, and psychological services. Dr. Ispirescu is passionate about looking at the whole person when treating pain, utilizing the latest and most advanced therapies with a holistic, integrative approach.

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Wise Guide | Fall 2016 / Winter 2017

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By Dan Carpenter (see About the Cover Artist, pg. 5). To see more of Dan’s work and purchase originals & prints go to www.dancarpenterart.com Wise Guide | www.TheWiseGuideOnline.com


A Safe Home Environment is Key by Jenifer & Graham Christensen Owners, Harmony House Assisted Living


tudies have shown that if a stable home environment and supportive services are not available, many people with mental health issues are victimized and are often homeless, incarcerated, or hospitalized. Inappropriate housing can make recovery from mental health or substance abuse problems much more difficult. Safe, affordable and structured housing is one of the most important factors that affect our mental health. Housing is tied to our mental, physical, and social well-being. Good housing can help rebuild personal confidence, independence, and social networks. Harmony House is an assisted living facility that specializes in working with adults who are diagnosed with a mental illness, developmental disability or traumatic brain injury. We have been providing quality care to individuals since 2000 with residents ranging in age from 18 to 70 years old. Harmony House provides a loving, supportive environment dedicated to individualized care and encourages personal growth. Our goal is to work with each individual person to help them reach their highest potential. We work closely with the resident’s family, social service providers, and doctors to create a collaborative team

working toward the same goal for the resident. Some residents desire to maintain stability, ultimately enabling them to secure independent housing, while others are seeking long term care in a consistent and loving home. In order to allow residents to focus on their own well-being, we provide delicious home cooked meals, supervision, transportation to medical appointments and fun, age-appropriate activities within the community every day. Many of our residents are employed in the community, taking college courses or volunteering in the community. Harmony House Assisted Living strives to provide housing that allows our residents to grow and lead a stable, productive life. Our safe, affordable, and structured environment allows our residents to thrive in our community. For more information, visit our website: harmonyhousealf.com and/or call 208-704-2502. _________________________________________________ Jenifer and Graham Christensen acquired Harmony House Assisted Living in 2005, expanding it from 25 beds to 61, and serving over 200 individuals. Graham served on the Idaho Health Care Association board, and Jenifer has volunteered on various committees and regional charity events. Jenifer holds a Bachelor of Science in Industrial and Manufacturing Engineering and is a licensed Residential Care Facility Administrator. Graham holds a Bachelor of Science in Chemical Engineering, Oregon State University and a Masters in Environmental Engineering, Oregon Health Sciences University.

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Wise Guide | Fall 2016 / Winter 2017

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Who Will Be Responsible?

by Katherine Coyle, CELA, Attorney at Law Coyle & Wytychak Elder Law


hese are words that no family wants to hear: Alzheimer’s, Dementia, Parkinson’s, Stroke. While different afflictions, the end result can be the same; they are debilitating diseases. They are followed by three words that can change the dynamics of a family very quickly: “Long Term Care.” Many times these words come as a shock. Other times, it is a long-held suspicion come to fruition. Once heard, many families find themselves scrambling for information. My hope is this article will






Wise Guide | Fall 2016 / Winter 2017

give families some guidance in the few, important first steps after hearing these words. Where to turn? Who to trust? Luckily, there are answers. While I realize that there are many other interfamilial issues to discuss, such as the emotional response to the diagnosis, putting together support systems, and dealing with the loss of independence of a loved one, this article focusses on the legal options for a family facing an Alzheimer’s or dementia diagnosis. The first thing to understand is the concept of legal capacity, the ability of a person to understand and comprehend the consequences of a certain act (entering into a contract, signing a legal document, managing finances). While capacity can be intact in the early stages of the diagnosis, because Alzheimer’s and dementia are generally progressive, capacity will diminish over time, sometimes quite rapidly. If your family member has diminished capacity, the family must determine who is responsible for making health care and financial decisions on their behalf. If your family member has prepared an estate plan, there may be documents such as a “Living Will and Power of Attorney for Health Care” or “General Durable Power of Attorney.” In these documents a signor (your family member) has nominated someone to make health and/or financial decisions if the signor becomes incapacitated. No one ever knows what the future holds. As we live longer, we increase the likelihood that some form of short term (due to accident or illness), or declining incapacity may be in ours or a family member’s future. Knowing someone you trust has the legal authority to follow your wishes brings peace of mind. Simple advanced planning alleviates a great deal of stress, regret and expense later. If there are no Powers of Attorney in place, the Idaho Statutes offer guidance on a priority of decision makers, such as a spouse, adult children, parents, brothers and sisters. However, many times a Guardian or Conservator is required to allow a surrogate decision maker to act. In Idaho, a Guardian is a courtappointed decision maker for health and personal care decisions. A Conservator is a court-appointed decision maker for financial decisions.

No Guardianship or Conservatorship case is simple. The courts are granting permission to make decisions on behalf of someone else (keep in mind that most people have authority to make his or her own decisions), and therefore, the cases are taken very seriously. A proposed Guardian or Conservator must take a training course and be background checked. Professionals are appointed to report on whether or not he or she is fit for such a role. A case can be especially difficult if there is more than one son or daughter who wants to be appointed. Priority is given to the person preferred by the person to be protected (someone nominated in a Power of Attorney document or expressly), however if a preference is not expressed, all children have equal priority to serve as Guardian and Conservator. This means that litigation may be necessary in order to determine who is better fit to serve in such a role. This can be very time consuming and very costly. Another issue to consider is how to pay for long term care if it necessary. In-home care, assisted living, and skilled nursing care can be very costly and typically increases as the disease progresses. Many find out too late that Medicare does not cover these costs on a long-term basis. The earlier a family puts together a financial plan to pay for care, the more options a family will have. My bottom line is this: Don’t wait until disaster strikes to make a legal and financial plan for a family member facing a loss of capacity. Speak to a CELA (Certified Elder Law Attorney) as early in the process as possible to find out your specific options and make a thoughtful, well informed plan. _________________________________________________ Katherine (Kate) Coyle is a Certified Elder Law Attorney (CELA) accredited by the National Elder Law Foundation. She has been practicing Elder Law in North Idaho since 2008. Kate holds one of five CELA certifications in the State of Idaho. She is active on the Kootenai Health Ethics Advisory Committee, serves as counsel for the Kootenai County Board of Community Guardians, and is a member of the local CareNet chapter, the National Academy of Elder Law Attorneys, and Idaho Women Lawyers. Kate is an active educational speaker for the Alzheimer’s Association, is on the Coeur d’Alene Estate Planning Council, and is a Coeur d’Alene High School Community Mentor.

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NIC CTE Facility Opens its Doors H

undreds of community members turned out to celebrate with North Idaho College the opening of the new career and technical education facility at a ribbon cutting ceremony Wednesday, Sept. 28, at 7064 West Lancaster Road in Rathdrum. The 110,960 square-foot facility was built with $15 million from college capital funds coupled with donations secured through the Building the Future Campaign, which has raised $4.5 million of its $5 million goal. The facility will house the following programs: Advanced Manufacturing/Mechatronics,

pursuing trades and industry careers to ensure students have quality career opportunities regardless of their financial limitations,” said Rayelle Anderson, Executive Director of the NIC Foundation. To support the Building the Future Campaign, contact the North Idaho College Foundation at (208) 769-5978 or foundation@nic.edu or visit www.nic.edu/buildingthefuture. Gifts of all sizes are appreciated.

Donate. Shop. Change a life.

A huge crowd turned out for the ribbon cutting on NIC’s new career and technical education facility on Sept. 28. Donate to the Building the Future Campaign today to be part of the historical undertaking in Rathdrum. Automotive Technology, Collision Repair Technology, Computer Aided Design Technology— Architectural, Computer Aided Design Technology—Mechanical, Diesel Technology, Industrial Mechanic/Millwright, Machining and CNC Technology, and Welding Technology. “NIC is proud to respond to the growing regional demand from business and industry for the most highly skilled, adaptive workforce as a result of this new facility and expanded programming,” said NIC President Rick MacLennan. Previous facilities for these programs were too small or limited, did not adequately meet student enrollment demand, were outdated, and many were located in offsite facilities that were leased by the college. Consolidation brought economies of scale and provided a


more effective teaching and learning environment for the trades and industry programs. There is still work to do. Donations need to be secured to reach the $5 million fundraising goal. “The Building the Future Campaign will provide funding for current and future equipment needs to ensure these programs remain current and responsive to industry needs. There is also a focus to provide scholarship opportunities specifically for students

Wise Guide | Fall 2016 / Winter 2017

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Non-Traditional Therapy by Rob & Kathy Wenzel Art of Redirection Counseling


If you are a veteran or partner of a veteran, these organizations are here to help with free assistance. Call any of them and they can connect you with the services you are seeking.

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ob and Kathy Wenzel are a couple of Harley riding therapists, known as “Counselors Who Ride.” They have a unique, unconventional, nontraditional approach of addressing addictions, individual and couples counseling and effective parenting which stands out from the rest, providing a REAL and unique experience that is refreshing. With 14 years experience of seeing couples together, they have the ability to work through certain issues that may not be as productive as with only one counselor. Rob often counsels one spouse, while Kathy counsels the other, offering similar, consistent education and tools that compliment and accelerate the progress and mutual growth of both spouses simultaneously. They have had the honor of working with “at risk” challenging youth, parents, couples, individuals and active duty and retired service members and their families, and in the process have developed a niche working with Combat Vets. Their style and approach are out of the ordinary. “We provide a clear understanding of how you have gotten to where you are, and a focused direction to successfully change and grow. At times it’s straight up, in your face, with the truth and clear guidance on what to do about the situation at hand, which many therapists fail to provide.” “We simplify the process; first by using everyday language to help explain what’s going on and why, so you get a clear understanding as to what is really going on (see our videos on this at: artofredirection.com/videos).

Then we teach what to do about it with a simple, easy to understand, step-by-step plan of what to do, how to do it and when to do it. See our book The Art of Redirection available at: amazon.com. The real problem is, it’s hard to do. People tend to be laid back and look for the easy way out and there is no easy way out. It takes work and a lot of it, to make any lasting change.” So if you’re at your wits end, yet want to give it one last chance, or just haven’t found something that really works to get the results you want and need, give these guys a call at 208-267-9228 or shoot them an email: ArtofRedirection@msn.com. Read more about their approach at ArtOfRedirection.com and you’ll find a new, refreshing perspective that makes sense, and you’ll learn what you can do to make a lasting productive change. _______________________________________________ After 33 years of counseling in a city environment, Rob & Kathy Wenzel felt it was time to move for a better way of life, and to raise their youngest daughter in a small town, with good old fashion values, where almost everyone knows each other. They moved from Colorado Springs, CO to Bonners Ferry, ID in May of 2015, where they have an office for clients throughout the region and also provide services, via telephone and online/ Skype, to those outside the North Idaho area.

VA Outreach Centers Spokane Vet Center 509-444-8387 Kalispell Vet Center 406-257-7308 or 877-927-8387 Missoula Vet Center 406-721-4918 Spokane Mobile Vet Center - they come to your area! Call your local VFW for schedule. Veterans Transportation Services - for FREE transportation to VA Medical Centers, Outpatient Clinics (CBOC’s) & authorized VA appointments 509-434-7527 VA Hospital/Medical Center - 800-325-7940 4815 N. Assembly St., Spokane, WA

CBOC’s and Rural Health Clinics Sandpoint Veterans’ Clinic 208-263-0450 420 N. 2nd Ave., Ste. 200, Sandpoint Coeur d’Alene CBOC 208-665-1700 915 W. Emma Ave., Coeur d’Alene Libby Veterans Clinic 406-293-8711 211 E. 2nd Street, Libby, MT Kalispell CBOC 406-758-2700 Three Mile Professional Bldg. 31 Three Mile Dr., Ste. 102, Kalispell, MT Missoula CBOC 406-493-3700 2687 Palmer St., Ste. C, Missoula, MT Colville Rural Health Clinic 509-684-3701 1200 E. Columbia, Colville, WA


Wise Guide | Fall 2016 / Winter 2017

Online Resources va.gov/homeless Each VA medical center has a homeless coordinator and programs that help veterans establish or maintain safe, stable housing. Call VA’s National Call Center for Homeless Veterans 1-877-424-3838, 24/7. oefoif.va.gov Toll-free line and website that provide information about health care, dental care, education and other benefits for OEF/OIF/OND veterans. 1-877-222-8387 ptsd.va.gov VA’s center of excellence for research and education on the prevention, understanding and treatment of PTSD. 1-802-296-6300 caregiver.va.gov Provides support for caregivers of veterans and information about services that may be available to them. 1-855-260-3274

Need a Job?

Idaho Dept. of Labor - Veterans Reps. Benewah/Kootenai/Shoshone Counties Robert Shoeman,208-457-8789 x3993 600 N. Thornton St., Post Falls robert.shoeman@labor.idaho.gov Bonner/Boundary Counties Tyler Anderson, 208-265-0193 x4079 613 Ridley Village Rd., Ste.C, Sandpoint tyler.anderson@labor.idaho.gov Art of Redirection Counseling “Counselors Who Ride” offering nontraditional counseling. Army One Source & TRICARE provider, 208-267-9228 artofredirection.com

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Follow the VA Guidelines By Bryan Hult, Bonner County Veterans Service Officer


hy don’t they pay the bill? I’m a veteran! I served my country and now they won’t pay!” I’ve heard similar comments many times as a veterans service officer. I can help the veteran make a request to the VA (Veteran’s Affairs) to get the bill paid, but there are times when I cannot and even a congressman cannot get the VA to reimburse. Congress enacted the VA to take care of veterans; there are currently some 23 million eligible veterans. The VA is set up to provide excellent medical care and safeguard against fraud and abuse, so the taxpayers do not get milked. The Choice Program is an example of the VA’s desire to help. The Choice Program was established so veterans, who cannot get an appointment in less than 30 days, OR who live more than 40 miles from a VA facility, OR have excessive burdens in traveling (like traversing huge bodies of water or mountains), the VA allows the veteran to go to a “local” doctor approved by the Choice Program. Unfortunately, there are several precautions and guidelines so that you, the veteran, will not end up paying for the medical bill. The VA CANNOT pay the bill if the veteran doesn’t follow the guidelines. First, ALWAYS make sure you have an authorization number for the non-VA appointment.


With your preferences, Choice will coordinate the appointment for you, then call and send you a letter. It’s best to wait for the letter with the authorization number and specifically what is authorized. Secondly, ALWAYS make sure you have an authorization number for every visit, especially if your procedure requires several visits. For example, if you have dialysis treatments, make sure you know what treatments are authorized and the specific period of time. If you happen to get a treatment outside of your window of time, you will end up paying the bill. Thirdly, ALWAYS make sure you keep your authorization number for treatments. We were taught in the military, “Keep all your records, orders and leave and earnings statements.” If you follow that directive after the service, you will have a paper trail that can be used for an appeal. Without the paperwork trail, all the veteran has is his/her word and the VA requires two sources for a claim or appeal; the veteran’s request and other objective evidence. Fourthly, ALWAYS deal with discrepancies as soon as you notice them. I have tried to help veterans who had bills that were four and six years old. Needless to say, when the bill is that old, there is often little that can be done and the veteran will pay. Today, the VA passes the bill collection to the US Treasury and once that happens, the VA CANNOT help out, except for

Wise Guide | Fall 2016 / Winter 2017

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obvious errors committed by the VA. Finally, if a doctor says you need another appointment or CT Scan or MRI, ALWAYS make sure you get an authorization number from the Choice Program FOR THAT REQUEST. It doesn’t matter if the doctor was initially set up by Choice. Only what Choice approves will be authorized and paid. The VA provides excellent medical care through the Choice Program. I’ve used it twice and so far have had good experiences. I try to be patient and believe the best about those trying to help me, but I also strictly followed the above guidelines. If you have a billing problem, take your issue to a veteran service officer, who MAY be able to help, but even he or she cannot fix everything. We’re here to assist and be an advocate for veterans to the VA. Help us help you by following the above guidelines. If you have any questions, please contact me. Thanks for your service! ________________________________ Bryan Hult is the Bonner County Veterans Services Officer. He enlisted in the infantry, graduated from Officer Candidate School and Jump School from Fort Benning, Georgia and Flight School from Fort Rucker, Alabama. He then flew helicopters at Fort Hood, Texas. His military education included the Army War College in Carlisle, PA. After seminary, he served at every level of the Army chaplaincy in the Indiana National Guard and retired in 2010 as the Assistant Chief of Chaplains.

“Heroes never die. They live in our hearts forever. Thank you for your service and sacrifice.”


Idaho State VSO

Darryl Heisey 208-446-1092/1094 120 E. Railroad Ave., Post Falls M-F 8:30 AM - 5:00 PM Darryl.Heisey@veterans.idaho.gov

Benewah County

Tribal Veteran Service Officer Steven Moffitt 208-686-1800 x2085 850 North A Street, Plummer smoffitt@cdatribe-nsn.gov

Bonner County

Bryan Hult 208-255-5291 1500 Hwy 2, Ste. 122, Sandpoint M-TH 8-5 (call/email for appointment) bhult@bonnercountyid.gov

Boundary County

John Tucker 208-267-8611 6635 Lincoln St., Bonners Ferry Thursdays 9:00 AM - 1:00 PM jtucker@bonnercountyid.gov

Kootenai County

Scott A. Thorsness, Director 208-446-1090/1092 120 E. Railroad Ave., Post Falls M-F 8:30 AM - 5:00 PM sthorsness@kcgov.us

Shoshone County

Susan Hendrixson • 208-752-3331 700 Bank St., Suite 120, Wallace M-Thurs. 9:00 AM - 5:00 PM commsec@co.shoshone.id.us

Carolyn Collins carolcollins@mt.gov

RyanKeeler, 406-755-3795 rkeeler@mt.gov

Bryan T. Zipp bzipp@mt.gov

The Montana Veterans Affairs Division (MVAD) represents the State of Montana’s commitment to providing specified services – as authorized by state statute – to veterans and their family members. The division and its services are absolutely separate from the federal Veterans Administration (VA) – there is no organizational, supervisory or legal connection between the two agencies; although, we work very closely together. The veterans services program is comprised of accredited and certified “veterans service officers.” The fundamental duty of a veterans service officer is to assist veterans and veteran family members in applying for and attaining federal VA benefits. Most commonly, the assistance is focused on filing claims for physical, mental or emotional conditions resultant of military service. Service Officers also assist with filing claims for veteran and surviving spouse’s pensions, burial benefits and dependents indemnity compensation (DIC). The claims process is complex, and veterans are wise to utilize a professional veterans service officer to assist him or her with the claims process. Recent changes allow veterans to enroll for VA health care benefits online at https://www.vets.gov/ healthcare/apply/ or by phone at 1-877-222-vets (8387). To find the MVAD office nearest to you go to http:// montanadma.org/montana-veterans-affairs and one of our trained service officers will help you.

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This page brought to you by:

This page brought to you by:

We Salute Our Veterans . . . FREE Legal Help for Military Military Legal Alliance Group Post 143 in Post Falls - 208-773-9054 Meets to assist veterans and others on the last Wednesday of each month: 11/30/2016, 12/28/2016. Call for 2017 schedule.

Project Healing Waters is still tying flies and coordinating with Spokane Fly Fishers for outings in our region. Call Mike Ainsworth 509-701-7115 for more information.

“If you are a Veteran....Thank you! If you are not a Veteran...Thank one!

Veterinary Care of Veterans’ Service Dogs: In a new pilot program, the VA will pay for veterinary care for mobility service dogs (not pets or comfort animals) approved for veterans who have chronic mobility impairments associated with a mental health disorder. To be eligible, the veteran must be enrolled in the VA Healthcare System and should ask their Primary Care Physician for a referral. Additionally, the service dog must be provided and trained by an organization accredited by Assistance Dogs International. More information: prosthetics.va.gov/serviceandguidedogs

Update on Camp Lejeune Contaminated

Medicare & Veterans: If a veteran/spouse is receiving TRICARE and becomes Medicare Eligible (Part A and B), the veteran/spouse must be enrolled in Medicare Part A and B to remain in TRICARE. This will make Medicare the primary payer and TRICARE the supplemental payer. If a veteran’s spouse is eligible for CHAMPVA benefits, they must also enroll in Medicare Part A and B when they meet the eligibility age or their CHAMPVA benefits will terminate. If a veteran is enrolled in healthcare at the VA Medical Centers and has no other insurance, it is highly recommended the veteran also enroll in Medicare Part A and B when they become eligible for it. If the veteran is treated for a medical emergency at a private hospital, which for whatever reason the VA refuses payment, having Medicare Part A and B will at least pay a large portion of that medical bill.


Wise Guide | Fall 2016 / Winter 2017

“For their valiant courage in defending the cause of freedom, we honor our Veterans.”

The Department of Motor Vehicles now offers a Veteran Designator on Idaho State Drivers Licenses. The veteran must provide proof of an Honorable discharge from the Armed Forces.

Water Presumptive Conditions: On July 18, 2016, the VA published final regulations extending health care to veterans who served at least 30 days at Camp Lejeune (which includes Camp Lejeune, Camp Johnson, Camp Geiger, and New River Air Station) from August 1, 1953, through December 31, 1987, for the 15 medical conditions approved. Previously only veterans who served at Camp Lejeune from January 1, 1957, were covered. In addition, veterans have a two year window in which they can claim reimbursement for any co-pays made to the VA for health care services provided previously for treatment of a listed condition.

Mike Anderson - freehandyman@aol.com 509-329-6864. Serving a 60 mile radius from their location on Trent & Pines in Spokane, including Newport/Priest River, all of Coeur d’Alene & Post Falls and points in between depending on the need. In their words, “We are here to help, whatever it takes!”

VA Burn Pit & Environmental Hazard Registry: Registry for veterans and servicemembers in the VA’s Airborne Hazards and Open Burn Pit Registry allows eligible veterans and servicemembers to document their exposures and report health concerns through an online questionnaire. Eligible veterans and servicemembers include those who served in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn, Djibouti, and Africa on or after September 11, 2001; and Operations Desert Shield, Desert Storm, or the Southwest Asia Theater of Operations on or after August 2, 1990. More information: publichealth.va.gov/exposures/burnpits/registry

Flu Shots at Walgreens: If a veteran is enrolled in

Any ship can be a minesweeper. Once.’ —Naval Ops Manual

FREE Handyman Service to Disabled Vets:

VA Healthcare, they can go to any Walgreens Pharmacy and receive a free flu shot by showing them their VA Healthcare ID Card.

American Legions Celebration of Craft Dec. 2nd & 3rd - FREE Admission Fri. 10-6 Sat. 9-4 Boundary County Fairgrounds Exhibit and Memorial Halls This delightful Arts and Crafts show is the local American Legion’s major fund raiser. Musical Entertainment and Santa Claus for the Kiddies! For information 208-267-5083 or elena_the_rose@yahoo.com

‘The only time you have too much fuel is when you’re on fire.’ —Unknown Author Wise Guide | www.TheWiseGuideOnline.com


North Idaho Crisis Services by Catherine M. Perusse, LCPC, NCC Director, North Idaho Crisis Services


risis can affect anyone at any time. The need for emotional support or referral assistance is something most individuals encounter at some point in their lives. North Idaho Crisis Services provides a FREE, confidential, after-hours Crisis Hotline, available on an immediate and ongoing basis, to help people who are trying to cope with their difficulties in dealing with every kind of problem, illness, trauma or loss. The after-hours crisis line often serves as the first point of contact for help.

FREE help when YOU need it. after hours crisis assistance


5pm-8am M-F 24 hours Sat & Sun

Staffed by Licensed Mental Health Professionals


Wise Guide | Fall 2016 / Winter 2017

At Life Care Center of Sandpoint, we offer personalized care programs designed to turn your wellness goals into achievements. Our after-hours Crisis Response Team consists of trained counselors who are able to respond between the hours of 5:00 PM to 8:00 AM on weekdays and 24 hours on Saturday, Sunday, and holidays to people in need of crisis services, seeking help, support and information. Crisis services are available to anyone living in Bonner or Boundary County, regardless of their ability to pay or with or without any insurance plan. This is a FREE Service. Services can include: phone crisis intervention, phone assessment and referral to appropriate provider(s) based on insurance/payment source, referral to local services, access to the Northern Idaho Crisis Center located in Kootenai County, or just someone to listen when you are feeling alone and overwhelmed. Callers can also be referred to North Idaho Crisis Services to help them cope with depression, anxiety, feelings of panic, domestic violence, sexual assault, bullying, alcohol and substance abuse, a painful loss, post-traumatic stress, gender issues or for less specific but just as painful difficulties such as divorce, unemployment, immigration issues, etc. Our goal is to provide local community assistance helping people in distress of any kind and preventing suicide. North Idaho Crisis Services—we are here when you need us—208-946-5595.

• 24-hour Skilled Care • Inpatient and Outpatient Rehabilitation • On-Site Physician • Respite Services • Wound Management

Joint Commission accredited


1125 North Division Street Sandpoint, ID 83864 www.LCCA.com

“The Bridge at Sandpoint was there when Mom needed more than I could give.” “Moving Mom to The Bridge at Sandpoint was the best decision I could have made. She needed attention and monitoring that I wasn’t capable of providing. The Bridge has revitalized my Mom’s health and put my mind at ease.”

Call 208-263-1524 to learn how The Bridge enriches the lives of seniors.

1123 North Division Street Sandpoint, ID 83864 www.thebridgeatsandpoint.com

Wise Guide | www.TheWiseGuideOnline.com Resident Lorna Resident Lorna and and Granddaughter Granddaughter Demarie Demarie39

How to Pick a Medicare Part D Plan

use a mail order pharmacy or a big chain pharmacy (Walgreens and CVS). A common misconception is that these plans are cheaper because they make patients get their medications from a place that offers less customer service. This is not true. Figuring out this information on your own can certainly be difficult, but the out-of-pocket difference between plans can be thousands of dollars. It is definitely “worth it” to gather this information.

Figuring out this information on your own can certainly be difficult, but the out-of-pocket difference between plans can be thousands of dollars.



edicare Part D is vitally important for so many Americans. However, navigating through all the mail each plan sends you and evaluating the commercials that are broadcasted on television, can be the biggest challenge most face as they attempt to sign up for this program. Every plan (Humana, Aetna, Silverscript, Wellcare, etc.) all claim the same thing – they’re the best plan for you! Unfortunately, this is not the case. Only one plan is the best for a particular patient. Whether you are just turning 65 or participating in ‘Open Enrollment,’ how are you supposed to know which plan is actually the best?


The way to do this is to evaluate three aspects of each plan: 1. Does the plan cover the medications I am currently taking? If so, what is the copay for each medication going to be? Tracking down this information takes time and due diligence, but it can be done. 2. How much am I required to pay out of pocket? This is determined by the plan’s premium and deductible. Some plans do not have a deductible, while others charge $360 before the insurance begins to kick in. 3. Is my pharmacy in the network with the plan I am considering? Some plans require the patients

Your Medicare Part-D Specialists FREE Medicare Part-D Plan Review

Finding the right plan for you and/or your loved one is important for both financial and health reasons. Prior to open enrollment, call your nearest Medicine Man Pharmacy to arrange your personalized Medicare Part-D Review.

Insurance plans change from year to year. It is important to review your plan annually!


Serving North Idaho Since 1978 Hayden Post Falls

Join us on Facebook!

/MedManPharmacy Health & Wellness Tips • Contests • Special Events • Free Seminars • Monthly Newletter

Coeur d’Alene

Bonners Ferry

(208) 687-5717

(208) 267-4021

802 E. Medical Court (208) 773-3566


Post Falls

Coeur d’Alene


(208) 772-3311

(208) 777-7732

(208) 765-2268

(208) 597-7466

inside Super 1 Foods

inside Super 1 Foods

Wise Guide | Fall 2016 / Winter 2017

1114 Ironwood Dr. (208) 666-2502


8093 Cornerstone Dr. (208) 762-9355

inside Super 1 Foods

inside Super 1 Foods

inside Super 1 Foods

inside Super 1 Foods

Coeur d’Alene’s Only Comprehensive Pain Management Center. Providing comprehensive assessments and coordinating traditional therapies with state-of-the-art treatments. SOME OF THE MODALITIES WE USE:

How can the Medicine Man Pharmacy help me? Now here is the good news. The Medicine Man Pharmacy will examine all of this information for you. For our current patients, the process is quite simple. Give us a call at one of our pharmacies and ask to arrange a Medicare Part D Review. We then use the medications you are currently prescribed and evaluate what your total out-of-pocket cost (premium, deductible, and co-pays) will be for the year for each plan. We will offer you the best available plans that fit your needs and help you choose the coverage that works best. From there, we will give you with the necessary information to help make the enrollment process easy. For patients that do not currently fill at one of our locations, we would love to have you join our family! Simply call whichever of our nine locations is most convenient for you and ask us to transfer in your prescriptions. It is that easy. Once this is done, we will be able to complete the same evaluation for you! Finding the appropriate plan for you and/or your loved one is one of the most important challenges to accomplish, both for financial and health reasons. Because of this, the Medicine Man Pharmacy is committed to making this an easy process for our patients. Please let us know if we can help you! Look for our ad in this publication for a valuable coupon and to find a Medicine Man near you.

Scott Magnuson, M.D. Fellowship Trained

• Fluoroscopically Guided Injections • Vertebral Augmentation • Intrathecal Pain Pumps • Spinal Cord Stimulators • Scrambler Therapy


Arthritis Botox for Migraines Cancer-related Pain Neck and Back Pain Compression Fractures Peripheral Neuropathy Spinal Stenosis

208-765-4807 1686 W. Riverstone Drive Coeur d’Alene, Idaho website: www.cdapain.com

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From Hope to a Cure by Becca Verda Communications & Marketing Manager Alzheimer’s Association


henever I ask people what gives them hope in the face of Alzheimer’s, their first answer is almost always the same: A cure, of course. I hear it all the time. For caregivers, people living with memory loss and those who have lost loved ones to dementia, research is the beacon of hope they can all reach to even when current advancements won’t change their fate. This is not to say that services and support to people living with dementia now aren’t just as important. The growing need for support is paramount to our mission at the Alzheimer’s Association and those caring for and living with dementia. However, what people affected by Alzheimer’s and dementia really want to see is the end of this disease. Research is complicated, and the science is just the beginning. Research depends on a collaborative, international community of scientists, researchers, and clinicians supported by significant private and governmental funding. We can see the culmination of these things at the Alzheimer’s Association International Conference (AAIC), the world’s largest forum for the dementia research community. International investigators, clinicians and care providers gather to share the latest study results, theories and discoveries that bring the world closer to breakthroughs in dementia science. Research shared at AAIC comes from years of trials, countless grant applications and diverse volunteer participants to pursue promising discoveries. Despite its complexities, research is the ultimate solution we can all reach to and it’s the solution to Alzheimer’s and dementia that we can all propel forward. By supporting local researchers, scientists and institutions as volunteers in research trials our community can come together to find a cure. Over 30 individuals leading research in our community will be at AAIC lending a voice from


Wise Guide | Fall 2016 / Winter 2017

As a healthy control subject, Ann visits the University of Washington Alzheimer’s Disease Research Center once a year for tests including basic check-ups and memory tests.

Brian advances research so that someday his daughter (above) can benefit from a cure. home to crucial advancements. Research done at the University of Washington and Washington State University depend on local residents living with dementia and healthy individuals alike to participate in studies and advance the international communities’ understanding of the disease. Research volunteers are empowered by the experience. Brian Whitney of Manson, Washington, has attended AAIC as a volunteer and participant in the DIAN-TU, Dominantly Inherited Alzheimer’s Network Trial. Brian qualifies for the DIAN-TU study because he carries a rare deterministic gene mutation that will someday develop into Alzheimer’s disease. For Brian and his family, this research means hope, “It’s the first time that they’ve ever looked at a drug and tried treatment on people before they showed symptoms of Alzheimer’s. That’s exciting to me. To me that’s a reason to hope,” said Brian. Seattle writer Ann Hedreen advances research as a healthy research participant. Unlike Brain, Ann isn’t currently showing signs or symptoms of dementia but still shares Brian’s hope for a cure. When Ann’s mother was diagnosed with younger onset Alzheimer’s she and her siblings were able to spend time with their mother, give her the joy of grandchildren and provide simple pleasures for her throughout the disease. But

there was still a frustration with how little they could do to help treat her disease. “What we could never give her was our sorrow and rage about Alzheimer’s” said Ann, “so what could we do with those emotions? One answer I found: volunteer for research.” Research helps people like

Ann be a part of the most significant solution we can find to the pain dementia causes people; a cure. Because people like Ann, Brian and others like them support research, the research community in Washington and Northern Idaho is strong, and growing. But it needs

more help and support to continue to advance toward treatments. Today, at least 50,000 volunteers with and without Alzheimer’s disease are urgently needed to participate in more than 130 trials actively enrolling participants. You can join them. Don’t just hope for a cure. Help us find one. Learn more about research trials in your area through the Alzheimer’s Association TrialMatch program today: alz.org/trialmatch and call 800-272-3900. ________________________________ Becca Verda is the Communications and Marketing Manager with the Alzheimer’s Association Washington State Chapter Serving Washington & Northern Idaho. She joined the Association in October 2013 bringing with her a diverse background and experience in the nonprofit sector. As a native to the northwest, she enjoys traveling for Association work across Washington and Idaho.

If you watched this on one of these, it’s probably time to schedule your colonoscopy.

Your Newport Hospital Surgical Center offers scope procedures in the comfort of your own community. Receive expert care and avoid the potentially awkward drive to the city following your colonoscopy prep.

Newport Hospital & Health Services

Newport, WA ● 509.447.2441 ● www.NewportHospitalAndHealth.org Wise Guide | www.TheWiseGuideOnline.com


Alzheimer’s Association Support Groups

for Caregivers of Those with Dementia, Alzheimer’s & any Related Disorder are held throughout the entire North Idaho & Inland Northwest region! They are facilitated by professionals and volunteers. Don’t see one near you? Call: 208-666-2996 x8314 to find one. Sandpoint Senior Center 820 Main St. 1st & 3rd Thursday @ 1 - 2 pm Facilitators: Jan Griffiths 208-290-1973 Liz Price 208-263-7889 Free respite care available at DayBreak Center next door during group session with advanced reservation. 208-265-8127 Benewah Community Hospital, St. Maries 229 S. 7th Street (Tamarack Room, near the ER) 3rd Friday @ 3 p.m. Facilitators: Aline Rohde, MSW 208-659-6719 & Dawn Cook, LPN 208-651-2165 Brookdale at Coeur d’ Alene 205 E. Anton Ave. 1st Wednesday @12 Noon (lunch free & provided by Brookdale) Facilitator: Shelley Webb, RN 714-768-0778 Kootenai Health Medical Center, Coeur d’Alene Main Building – Main Floor Classrooms 3rd Saturday @ 1:30 – 3:30 pm Facilitators: Arlene Sleigh 772-2542 & Connie Clark, CSA 769-9560 The Inn at Guardian Angel Homes 1136 E. Mullan Avenue, Post Falls 2nd Thursday @ 5:30–7 pm (light dinner free & provided by Guardian Angel Homes) Facilitator: Anita Grimm, RN 208-777-7797

Powerful Tools for Caregivers Classes Powerful Tools for Caregivers provides a practical approach to dealing with caregiver stress, prioritization, challenging family communication and planning. In the six weekly classes, caregivers develop a wealth of self-care tools to: reduce personal stress; change negative self-talk; communicate their needs to family members and healthcare or service providers; communicate more effectively in challenging situations; recognize the messages in their emotions, deal with difficult feelings; and make tough caregiving decisions. Class participants also receive a copy of The Caregiver Helpbook, developed specifically for the class. Classes are offered in Coeur d’Alene. If you are interested, please call 208-666-2996 x8314 for the schedule.

Kootenai County Area: EARLY STAGE SUPPORT GROUP for people with dementia & their family EARLY STAGE SOCIAL ENGAGEMENT PROGRAM for people with dementia & their family Please contact the Alzheimer’s Association branch office in Coeur d’Alene to register for these groups or for further information: 208-666-2996 x8314 YOUNGER ONSET (Younger than 65 yrs. old) Coeur d’Alene - Bakery By The Lake conference room, N.W. Corner of 7th & Front Sts. (across from public library) 3rd Tuesday @ 3:30 - 5 pm Facilitator: Julie Tastad

ONLINE: ALZConnected (alzconnected.org) an online social networking community for people with Alzheimer’s, their caregivers and others affected by the disease.


Wise Guide | Fall 2016 / Winter 2017

Wise Guide | www.TheWiseGuideOnline.com


Crossword Animal Magnetism Across

1 Father figures 4 Battleship letters 7 Stratagem 11 Tip off 12 Go ballistic 13 Root vegetables 14 Proof word 15 Gymnast Korbut 16 Fit to be tied 17 Grizzly 19 “When pigs fly!� 20 Impudence 21 Sail technician? 23 City on the Missouri 26 “Dracula� author 28 Yellowstone sight 29 Female sheep 30 Middle of March 34 Great Lakes city 35 Accumulate 37 Cairo’s river 38 Wine label info 39 Clear the tables 40 Skein formers 41 Talisman 44 Not before 45 It usually has two sides 47 Emanation 49 Catnip and lovage, e.g. 50 Teal hunter’s secret spot 55 Anticipate 56 Actress Sommer of “A Shot in the Dark� 57 Jockey’s whip 58 Exams 59 Son of Seth 60 Feed bag contents 61 Storm centers 62 Dashed 63 Compass pt.







How to Play Sudoku






To solve the Sudoku puzzle, each row, column and box must contain the numbers 1 to 9.


Crossword and Sodoku answers on page 67.


27 Needle 31 Losing proposition? 1 Young salmon 32 “What ___ is new?� 2 Jason’s ship 3 Large-footed North American hares 33 Clairvoyant 35 Go up against 4 Except if 36 It has two-pronged antlers 5 Long story 6 Small dull-colored singing birds 40 Duds 42 Spars 7 Fastest bird on Earth 43 Add 8 Shove off 45 Manila Bay hero of 1898 9 Weasel relative 46 Clear the slate 10 Belgian river 48 Luau strings 11 Fly catcher 49 Despise 12 Blubbers 51 Arm bone 13 Pig out 52 Persia, today 18 Indian bread 53 Musical mark 22 Alibi ___ (excuse makers) 54 Extra outs, in baseball, briefly 23 Mind 24 Slough 25 Atlas section

Wise Guide | Fall 2016 / Winter 2017

Copyright Š2016 PuzzleJunction.com

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Aging at Home, Some Considerations by Bruce Weaver, MPA, PA-C and Charlene Weaver, RN Owners, AAging Better In-Home Care


here was a time in our country when many families worked small farms, living fairly independently of the local economies by raising their own food, making their clothes and household items. Those days may be long gone for most of us but the independent streak those post-World War 2 “Boomers” have shown most of their lives is still strong, especially here in North Idaho. And that goes for staying at home as they age into their 60s, 70s and beyond, regardless of any medical conditions and increasing frailty that’s developed over time. Last year, The Demand Institute, a think tank based in Washington D.C., reported they don’t expect this generation to “stick to the script” when it comes


Wise Guide | Fall 2016 / Winter 2017

to retirement or housing decisions. Canvassing 4,000 boomers, ages 50-69, the survey found very few of them had any intentions of downsizing or moving to warmer climates away from family or friends. Not surprisingly, they value strong family relationships and want to be near their kids and grandkids. This next decade will see many of these individuals doing everything they can to age in place, even as their health and physical abilities decline. And because they carry much more mortgage debt than earlier generations at this life stage, paying for major modifications to the home to make it easier to get around may not be doable. Climbing stairs to second story bedrooms becomes out of the question and getting a walker through an older bathroom doorway can become a real chore or even create a situation where the senior may fall. As this happens, their adult children will begin looking for ways to help by taking on caregiving roles in one way or another. These adult children often have full schedules working or raising their own children. Being available for their parents adds an extra level of stress that eventually takes its toll on the caregiver’s own health and financial assets. As this situation evolves, the healthier parent or the adult child often begins to look for help, considering hiring an outside caregiver to assist Mom or Dad. Deciding to take on outside help can be a daunting task. Bringing someone new into your home creates a stress of its own, at least until the caregiver becomes well known to the family and a trusted agent. Hiring an unknown individual is not without risk and obligation. The family or parent becomes the employer of that caregiver, required to pay the taxes on the caregiver’s wages, along with that leap of faith that the caregiver is a trustworthy and competent individual. Without a background check on the potential employee or checking references, most families can only hope for the best when hiring a caregiver privately. It may not be the cheapest alternative, given the tax obligations, potential insurance issues and the complications if theft or abuse of the parent occurs at the hands of that individual. There is another choice to consider—a home care company. Full FBI background and reference checks on new employees are done before hiring. If anything nationwide reveals a felony or misdemeanor, the

individual is not hired. Another benefit is the training provided to their new hires, regardless of that person’s work experience. It’s helpful to have a certified nursing assistant (CNA) background but not essential to providing excellent in-home care services to clients. Nothing beats years of actual experience in the home caring for clients, along with a good training program provided by the home care company. Another item to ask about is the kind of medical background the company management has. This is important because virtually all in-home care clients have medical conditions or diagnoses that could influence the care they receive at home. A company with medically trained management often provides the best oversight both in their training programs and the actual hands-on care the client receives at home. Once you’re confident the caregiver will come well prepared, the work of matching caregiver skills and personality to the needs and particular personality of the client comes into play. One of the most important things I’ve discovered over the passed 14 years of offering in-home care services to North Idaho residents is that if we don’t get the personality match right, the rest of the items I just mentioned won’t be quite as important to the client. Enjoying one another’s company is one of the most critical aspects of in-home

care and any company you’re considering should work hard to ensure this match is successful. There are many good options to choose from when considering how best to provide assistance for Mom or Dad, or yourself. Everything from certified family homes, to nursing homes or assisted living facilities, to in-home care is available in our area. A good source of objective advice, where to look and what resources are available across all of North Idaho, is the Area Agency on Aging — 800-786-5536. Getting a second opinion and as much information as possible before making an important decision can save the family and the loved one much stress and avoid possible problems down the road. _________________________________________________ Bruce Weaver holds a BS degree in Science as a Physician Assistant and a Masters degree in Public Administration. He spent 30 years in the Air Force before retiring in 2003 as a Lt. Colonel. He and his wife, Charlene, who holds a Masters degree in Nursing, have run AAging Better In-Home Care (aagingbetter.com) for the past 13 years. Their philosophy has been to keep the frail and disabled in the safety and comfort of their own homes for as long as possible. They take great pride in having some of the most well-trained and compassionate caregivers in the industry.

Together we can help you find solutions to issues facing aging adults!      

Aging & Disability Resource Center Resource Information & Referrals Family Caregiver Support Programs Long Term Care Ombudsman Adult Protection Services Care Transitions from Hospital to Home

     

In-Home Support Services Community Support Services Long Term Options Counseling Volunteer Opportunities Medicare Fraud Education Medicare “Extra Help”

Call us to learn about available resources in your community! 2120 N Lakewood Dr, Ste B ۰ Coeur d’Alene, ID 83814


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Directory Listings

Agencies, Free Referral Services & Volunteer Opportunities AARP Idaho............................................ 208-855-4004 3080 E. Gentry Way, Ste. 100, Meridian facebook.com/AARPIdaho AARP Idaho is a nonprofit, nonpartisan organization, with a membership of more than 175,000 in Idaho that serves as a voice and an advocate to protect consumers and improve the lives of Idahoans age 50 and over. Alzheimer’s Association Inland NW Chapter N. Idaho Office............................ 208-666-2996 x8314 24-Hour Help line.................................. 800-272-3900 alz.org P.J.Christo, RN; email: pj.christo@alz.org We connect families to needed programs, products and services, provide Dementia Information, Local Support Groups, State and Federal Advocacy, educational programs, workshops and lectures for caregivers, families and the general public. Area Agency on Aging of North Idaho... 208-667-3179 Toll Free................................................. 800-786-5536 2120 Lakewood Dr., Ste. B, CdA • aaani.org Do you have questions about senior services and resources available in your community? Are you eligible for extra help paying for prescription drugs or help paying the monthly Medicare Part B premium? For free information and to discuss your options. Call us! Compassionate Care Referral Service.. 208-660-9982 compassionatecarereferral.com I can refer you to the best fit for your Assisted Living, Senior, and Disabled Care Services. Through mutual discussion and needs assessment, I will create for you a customized short list of possible solutions.

Goodwill Industries - Workforce & Family Services 204 Larkspur St., Ponderay................... 208-265-1984 1221 W. Ironwood Dr., Ste. 101, Coeur d’Alene....................................... 208-667-6463 130 E. Third Ave., Spokane, WA............. 509-462-0513 discovergoodwill.org Goodwill has been helping people in the Inland Northwest overcome barriers to independence since 1939. Goodwill provides employment programs, independent living services, supportive services for veterans who are homeless, youth mentoring and more. Programs are funded by our retail thrift stores. Retirement Publishing.......................... 800-584-9916 retirementpublishing.com Keeping Idaho seniors informed of their options with our FREE publications: Idaho Elder Directory, North Idaho Retirement, Assisted Living in Idaho, Alzheimer’s Resource Directory. Call toll free during regular business hours for your FREE copy or visit our web site. SHIBA (Senior Health Insurance Benefits Advisors) ............................................................... 800-247-4422 2005 Ironwood Pkwy, Ste. 143, Coeur d’Alene doi.idaho.gov/shiba/shibahealth.aspx SHIBA is a division of the Department of Insurance. SHIBA counselors offer free education and assistance about Medicare benefits, plan choices and billing. SHIBA counseling is done by phone, email, or at community partner locations throughout Idaho.

Counseling Art of Redirection Counseling.............. 208-267-9228 6821 Main St., STE C, Bonners Ferry ArtofRedirection.com We provide non-traditional individual and couples counseling to gain clear understanding of someone’s current situation, how they got there and focused direction for productive change. We specialize in addressing intimacy, addiction and communication issues and difficult topics of electronic, pornographic and sexual addictions. Heritage Health Mental Health............. 208-769-4222 2025 W. Park Pl., Ste B, Coeur d’Alene Family Support Services....................... 208-620-5210 2201 Ironwood Pl., Ste.100, Coeur d’Alene myheritagehealth.org Heritage Health is North Idaho’s premier provider of integrated medical, dental, behavioral health and physical therapy. Our amazing care teams deliver


Wise Guide | Fall 2016 / Winter 2017

world-class healthcare utilizing a patient directed, community focused approach. Providing high quality, affordable healthcare from the heart is our passion.

healthcare utilizing a patient directed, community focused approach. Providing high quality, affordable healthcare from the heart is our passion.

Life Choices Pregnancy Center............. 208-263-7621 502 N. 2nd Ave., Sandpoint lifechoicespc.org Offering free & confidential pregnancy testing, ultrasound imaging, options education and parenting/ life skills for women and men facing unplanned pregnancy, assistance for women struggling with past abortion or miscarriage, and guidance for young ladies who are wrestling with sexual integrity.

Education & Recreation

North Idaho Crisis Services................... 208-946-5595 Serving Bonner & Boundary Counties northidahocrisis.org Our after-hours Crisis Response Team consists of trained crisis clinicians able to respond - for FREE - to anyone in Bonner & Boundary County in need of crisis services. M-F 5:00 PM - 8:00 AM & 24 hours Saturday & Sunday. Rawlings Community Counseling........ 208-267-0900 6807 Cody St., Bonners Ferry rawlingscommunitycounseling.com Mental health counseling for children, adolescents, adults, couples and families. Offering addiction treatment, case management, and EMDR Therapy for trauma treatment. We accept most insurance, Medicaid and a sliding fee scale is available.

Dental Benjamin D. Hull, DDS.......................... 208-263-1412 1323 Hwy 2, Ste. 301, Sandpoint ivorydds.com We are committed to creating a positive dental experience for you and your family. The comprehensive services we offer include implants, extractions, dentures, root canals, crowns, cleanings, and more. Your comfort and dental care are paramount at our office! Heritage Health Dental Care Appointments in both locations ..............................208-620-5250 1090 W. Park Pl., Coeur d’Alene 413 Pine Street, Wallace myheritagehealth.org Heritage Health is North Idaho’s premier provider of integrated medical, dental, behavioral health and physical therapy. Our amazing care teams deliver world-class

North Idaho College................... 877-404-4536 x1705 Bonners Ferry: 791 Main St. ................. 208-267-3878 Silver Valley: 323 Main St. Kellogg......... 208-783-1254 Sandpoint: 102 S. Euclid........................ 208-263-4594 Parker Career & Technical Education Facility ............................................................... 208-769-3448 7064 W. Lancaster Rd., Rathdrum • nic.edu North Idaho College is committed to bringing educational opportunities to the communities we serve. Our outreach locations offer admissions and advising assistance, financial aid and career counseling, credit and non-credit classes, testing and tutoring services, and a welcoming and supportive staff. North Idaho Massage Academy............ 208-265-1933 1315 W. Hwy 2, Suite 4, Sandpoint nimassageacademy.com One of the Most Comprehensive Massage Therapy Certification Programs in the Region. Low Enrollment Costs, Creative Financing Options to Help You Graduate Debt Free! Hands-on Curriculum, Training Labs & Clinics. Earn Your Massage Therapy Certificate in 14 Months, Job Placement Assistance upon Graduation. NorthWest Recumbent Cycles............... 208-818-5491 Gary@NWrecumbentcycles.com We specialize in getting anyone riding cycles, especially those with special needs. We build custom bikes and trikes for those with almost any disability. Come on out to Post Falls and play on many models of the most stable and comfortable bikes and trikes in the world. Call for appointments.

5% DI


Your North Idaho Recumbent Dealer

M COUNT Wiseention ! Guid e

Home of the comfortable, affordable, reliable and fun way to bicycle! Gary Dagastine Call or email for appointment gary@nwrecumbentcycles.com

208-818-5491 Wise Guide | www.TheWiseGuideOnline.com


Directory Listings

Financial & Asset Management AARP Idaho............................................ 208-855-4004 3080 E. Gentry Way, Ste. 100, Meridian facebook.com/AARPIdaho AARP Idaho is a nonprofit, nonpartisan organization, with a membership of more than 175,000 in Idaho that serves as a voice and an advocate to protect consumers and improve the lives of Idahoans age 50 and over. Caring Transitions Inland Northwest... 208-443-7101 1869 E. Seltice Way, #289 Post Falls caringtransitionsinlandnw.com We understand that any downsizing or de-cluttering project can be overwhelming. As the nation’s largest professional resource for downsizing, de-cluttering and household liquidation, your Caring Transitions team provides a total solution for sorting, organizing, donations, shipments, packing, Estate Sale and Online Auction.

Gifts & Shopping Goodwill Industries Retail Stores 204 Larkspur St., Ponderay................... 208-265-1980 1212 N. 4th St., Coeur d’Alene............... 208-664-2552 317 Seltice Way, Ste. A, Post Falls.......... 208-773-6181 202 E. Third Ave., Spokane ................... 509-444-2396 9832 N. Nevada, Spokane ...................... 509-466-2012 13721 E. Sprague Ave., Spokane........... 509-928-4032 2927 E. 27th Ave., Spokane ................... 509-321-0478 168 N. Main, Colville............................. 509-684-6162 Goodwill Outlet Store 1406 E. Front St., Spokane .................... 509-279-2916 Online Shopping with Goodwill shopgoodwill.com stores.ebay.com/gwspokane etsy.com/shop/GoodwillSpokane Goodwill has been helping people in the Inland Northwest overcome barriers to independence since 1939. Goodwill provides employment programs, independent living services, supportive services for veterans who are homeless, youth mentoring and more. Programs are funded by our retail thrift stores.


Wise Guide | Fall 2016 / Winter 2017

Hospice of North Idaho Thrift Stores 1823 N. 4th St, Coeur d’Alene................ 208-667-5128 503 E. Seltice Way #5, Post Falls............ 208-773-5076 honi.org Shop our huge selection of high quality, gently used items from furniture, books, electronics, craft supplies, kitchenware, linens, clothing, shoes, accessories, and much more. All proceeds go to Hospice of North Idaho, the community’s non-profit hospice.

Hearing & Vision Audiology Research Associates 700 Ironwood Dr., Ste. 220, Cd’A........... 208-765-4961 123 S. 3rd Ave., Ste. 9, Sandpoint........... 208-255-4389 hearingtricities.com Serving North Idaho for over 20 years. We help you hear better! Hearing evaluations for adults and children. We sell the most advanced digital hearing aids available and each hearing aid comes with 3 to 5 years free batteries. Hearing Center of Deer Park................. 509 276-8859 23 E. Crawford, Deer Park Toll Free..................................................844 327-4335 eargeek.com The HEARING CENTER is committed to providing outstanding customer service and superior products. We offer complete audiometric hearing evaluations, consultations, full service repair & custom hearing protection. We specialize in Workman’s Comp and WA Labor & Industry claims. Idaho Commission for the Blind & Visually Impaired.................................. 208-769-1419 229 E. Locust Ave., Coeur d’Alene • icbvi.idaho.gov ICBVI is a state agency that provides free independent living training and offers adaptive aids, such as magnifiers and talking devices, to help individuals who are struggling with vision loss to be more independent in their homes and the community. Lilac Blind.............................................. 509-328-9116 1212 N. Howard St., Spokane • ilacblind.org Lilac Services for the Blind provides individualized training in alternative techniques and strategies, adaptive aids and optical devices, and continuing support to help individuals maintain independence and safety at home and in their communities. Serving Eastern and North Central Washington.

Hospice Bonner Community Hospice................ 208-265-1179 A service of Bonner General Health 520 N. 3rd. Ave., Sandpoint • bonnergeneral.org Caring for terminally ill patients and their families in Bonner and Boundary counties. Services include pain management, specialized nursing care, bathing and personal care, chaplaincy, supportive counseling, medical supplies and equipment. Covered by Medicare, Medicaid and most private insurance. Hospice of North Idaho......................... 208-772-7994 9493 N. Government Way, Hayden honi.org We provide end-of-life care to anyone in our community regardless of their ability to pay. We are a non-profit hospice serving the seriously ill and those touched by loss since 1981.

Hospitals & Medical Care Bonner General Health......................... 208-263-1441 520 N. 3rd Ave., Sandpoint Bonner General Immediate Care.......... 208-265-3751 400 Schweitzer Plaza Rd., Ponderay bonnergeneral.org Your community hospital providing quality, compassionate care in a comfortable, healing environment. We provide a full range of healthcare services, including home health, hospice, physical, occupational and speech therapy, radiology, laboratory, surgery, and emergency services. Heritage Health Medical Centers 1090 N. Park Pl.,Coeur d’Alene............. 208-292-0292 117 Terrill Loop, Mullan........................ 208-783-1267 925 E. Poston Ave., Post Falls................. 208-618-0787 14775 N. Kimo Ct., Ste.B, Rathdrum..... 208-687-5627 Mountain Health Care 740 McKinley, Kellogg........................... 208-783-1267 myheritagehealth.org Heritage Health is North Idaho’s premier provider of integrated medical, dental, behavioral health and physical therapy. Our amazing care teams deliver world-class healthcare utilizing a patient directed, community focused approach. Providing high quality, affordable healthcare from the heart is our passion.

Camas Center Clinic.............................. 509-447-7111 1821 W. LeClerc Rd. #1, Cusick, WA kalispeltribe.com/camas-center-clinic The Camas Center Clinic offers comprehensive healthcare including: medical, dental, chiropractic, physical therapy and massage therapy. The clinic is open to the general public and accepts most major commercial and public insurance carriers. Ride Monday-Thursday round-trip from Newport to Clinic. Suggested donation $1. Call 800-776-9026 for more info. Fresenius Kidney Care.......................... 888-864-4203 Cd’A 2100 Ironwood Ct., Ste. A,............. 208-664-3064 Deer Park, WA 822 S. Main Street......... 509-276-7338 Hayden Lake.......................................... 208-762-4411 7600 N. Mineral Dr., Ste.850, Moscow, 723 S. Main Street................... 208-882-1817 Post Falls, 1300 E. Mullan, Ste. 1200..... 208-777-6054 Liberty Dialysis, Sandpoint................... 208-643-4488 1210 Washington Street ultracare-dialysis.com The nation’s largest network of dialysis clinics. Our expertise, experience and commitment all combine to provide you with comprehensive services and technologically-advanced care. We’re proud to have helped improve the health of thousands of people living with kidney disease. Idaho Pain Clinic................................... 208-263-9757 11 E. H St., Ste. F, Deer Park, WA 714 W. Pine Street, Newport ,WA 1327 Superior St., Ste. 101 Sandpoint, ID 229 S. 7th St., Ste. 401, St. Maries, ID idahopainclinic.com Idaho Pain Clinic is a leader in non-operative orthopedics, pain management research, diagnostic procedures and techniques, and effective treatment. Our physicians are board certified and fellowship trained in pain management and offer the most advanced treatment options available in the U.S.

Wise Guide | www.TheWiseGuideOnline.com


Directory Listings

Kaniksu Health Services....................... 208-263-7101 6615 Comanche St., Bonners Ferry 30410 Hwy 200, Ponderay 6509 Hwy 2, Ste. 101, Priest River Pediatrics............................................... 208-265-2242 420 N. 2nd Ave., Ste. 100, Sandpoint VA Clinic................................................ 208-263-0450 420 N. 2nd Ave., Ste. 200, Sandpoint kaniksuhealthservices.org Kaniksu Health Services is a nonprofit community health center which plays a vital role in Idaho’s safety net by providing medical, dental, behavioral health and VA services to the residents of Bonner & Boundary Counties. Kootenai Urgent Care Coeur d’Alene........................................ 208-667-9110 700 Ironwood Drive, Ste 170E Hayden, 566 W. Prairie Avenue............. 208-772-9110 Post Falls................................................ 208-777-9110 1300 E. Mullan Ave., Ste 600 kootenaiurgentcare.com Kootenai Urgent Care of Coeur d’Alene, Post Falls and Hayden specializes in cost effective medical care for minor accidents, injuries or illnesses, including: sprains, minor fractures, sports injuries, infections, burns, and illnesses. Save your spot in line at kootenaiurgentcare.com. Newport Hospital & Health Services.... 509-447-2441 714 W. Pine St., Newport, WA • phd1.org We provide 24-hour care when you need it! Two primary care clinics offer same day/walk-in appointments. Other services: Emergency; General Surgery; Obstetrics; Anesthesia; Diagnostic Imaging; Laboratory; Physical, Speech, & Occupational Therapy; Acute Care; Swing Bed; Long Term Care; Assisted Living. North Idaho Advanced Care Hospital... 208-262-2800 600 N. Cecil, Post Falls NIACH.ernesthealth.com We hold a Joint Commission “Gold Seal of Approval” and 5th in the nation rating for care of diseases associated with respiratory failure (COPD, pneumonia, cystic fibrosis, etc.). Our 40-bed facility provides longterm acute care and critical care services for patients recovering from serious illnesses or injuries.


Wise Guide | Fall 2016 / Winter 2017

Pain Management of North Idaho........ 208-765-4807 1686 W. Riverstone Dr., Coeur d’Alene cdapain.com Pain Management of North Idaho is Coeur d’Alene’s only comprehensive Pain Management Center where patients have access to two fellowshiptrained interventional pain physicians and a multidisciplinary team. Stem Cell Centers...............................1-844-632-4246 1415 N. Houk, Ste. B, Spokane Valley stemcellcenters.com Our mission at Stem Cell Centers is to help our patients live pain free and do so naturally without the use of narcotics, pills, steroids or surgery. We use stem cells in your own body to heal damaged tissue and treat joint pain and neuropathy. Rehabilitation Hospital of the Northwest 3372 E. Jenalan Ave., Post Falls............. 208-262-8700 rhn.ernesthelath.com We provide intensive physical rehabilitation services to patients recovering from strokes, brain, spinal cord and orthopedic injuries and other impairments as a result of injuries or illness. Also treated are cerebral palsy, ALS (Lou Gehrig’s Disease) multiple sclerosis & Parkinson’s disease.

Independent & Assisted Living, Adult Day Care Bestland Senior Living Community..... 208-665-1600 606 E. Best Ave., Coeur d’Alene • bestlandcda.com Bestland Senior Living offers 3 home-cooked meals per day, weekly housekeeping with linens, transportation, all utilities, wi-fi, and cable TV at one low rate. We are a smaller community offering residents a warm and loving atmosphere where they truly feel at home! Boundary Community Restorium........ 208-267-2453 6619 Kaniksu St., Bonners Ferry boundarycountyid.us Our facility accommodates 52 residents with 24hour care, home-cooked meals, help with shopping, medications, and bathing, rides to appointments. All inclusive rates. Medicaid accepted. We offer an array of activities for our residents and adult daycare is available.

Brookdale at Coeur d’Alene.................. 208-667-6490 205 E. Anton Ave., Coeur d’Alene • brookdale.com We offer newly remodeled, all inclusive, independent and assisted living; studios, deluxe studios, one and two bedroom apartment and stand-alone cottages. We pride ourselves on a full, active, life enrichment program, delicious meals presented restaurant style, housekeeping, transportation to appointments, shopping and other excursions. DayBreak Center................................... 208-265-8127 820 Main Street, Sandpoint • daybreakhouse.org DayBreak provides quality daytime care for individuals with memory impairments allowing caregivers a much needed break. In addition to offering a safe, responsive, and homey environment for your loved ones, the professionals at DayBreak provide activities that stimulate memory, health and socialization. Harmony House Assisted Living........... 208-704-2502 Four Homes in Hayden, ID harmonyhousealf.com Providing a safe, comfortable home for those with Mental Illness, Traumatic Brain Injury or Developmental Disability. A family atmosphere, quality care, structured activities and positive counseling help residents develop life skills to reach their fullest potential in a community setting.

The Lodge Assisted Living..................... 208-457-3403 52 N. Cedar St., Post Falls 58 N. Cedar St., Post Falls 3989 N. Player Dr., Coeur d’Alene • lodgeliving.net We provide the most dignified environment for aging members of our community. Our highly trained staff and loving environment is perfect for you or your loved one with additional care needs. Our communities are custom built and locally owned offering comfort, security, convenience to our family of residents. River Mountain Village Assisted Living.....509-447-2903 608 W. Second Ave., Newport, WA • phd1.org A beautiful 42 unit studio & one-bedroom apartment community for an active, independent lifestyle. Enjoy the cozy fireplace, a stroll along a lovely landscaped walking path, and a variety of daily activities to meet the individual needs of our residents. Rose Terrace Country Homes............... 208-623-6154 5672 W. Rhode Island, Spirit Lake Rose Terrace Cottages........................... 208-665-0580 632 N. 21st St., Coeur d’Alene • roseterrace.org Our quaint, home-style facilities offer a compassionate, caring environment with well trained staff 24/7. Nurses available 7 days a week, wonderful meals and fun activities. Private and semi-private rooms. Medicaid accepted.

Honeysuckle Place Senior Living......... 208-762-4097 660 W. Honeysuckle Ave., Hayden, ID enlivant.com Enlivant communities have a rich heritage of helping seniors thrive. We offer an individualized approach to senior care, designed to make sure each resident has their personal health and wellness needs attended to. Private apartments, chef-prepared meals, enriching activities, pet friendly. Come visit! Kootenai Health Senior Care Program.208-625-5353 521 W. Emma St., Coeur d’Alene kh.org/seniorcare A community based program to meet the social needs of seniors and respite needs of their caregivers. Activities address the special interests of participants, provided in a safe, loving environment by caring professionals. Private pay & funding sources available through Area Agency on Aging, VA or Medicaid.

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Directory Listings

In-Home Health & Personal Care AAging Better In-Home Care 601 E. Seltice Way, STE 101, Post Falls 208-777-0308 1207 Michigan, STE A, Sandpoint 208-263-7889 aagingbetter.com One of the largest local and veteran-owned care companies since 1997, providing a full suite of caregiving services for clients from 2 months to 102 years old. Customized care and well-trained, FBI background-checked employees ensures our clients live and thrive safely in their homes. Call now for a free consultation! Access Care at Home 610 W. Hubbard St., STE 133, Cd’A........ 208-665-9473 120 W. Cameron Ave., STE 5, Kellogg .... 208-783-0100 519 High St., Priest River ...................... 208-448-4084 info@accesscareathome.com We are accepting new clients. Customized individualized plans for personal care, home care and companion care to help you stay living in your home. Plans are tailored to YOUR needs. Highly trained employees with complete background screening. Call us today for your free consultation! Addus Health Care................................. 208-667-2309 850 W. Ironwood Dr., Ste. 101, Coeur d’Alene addus.com Since 1979 we have been providing quality inhome care; companionship, light housekeeping, meal preparation; transportation to appointments, bathing assistance, medication reminders. Our costeffective services are designed to improve health and well-being and make your choice easier to remain independent at home. Advanced Care Northwest, LLC ............ 208-263-3225 Serving All of North Idaho advancedcarenorthwest.com Promoting safe and independent living, we are committed to providing compassionate and enjoyable personal care services to Seniors, Children, and Individuals with intellectual and developmental disABILITIES. Accepting BlueCross/TrueBlue, Medicaid/Medicare, Veteran, and most Private Insurance carriers. Call today for a FREE in-home consultation!


Wise Guide | Fall 2016 / Winter 2017


Home Health • Bath Aide • Meal Prep • Housekeeping • Transportation • Med Reminders

Customize your own plan today!

Let the Sun Shine!

Medicaid Accepted



Serving North Idaho since 1994

August Home Health, Inc ..................... 208-664-0858 Toll free...............................................1-800-664-0838 2005 Ironwood Pkwy #227, Coeur d’Alene augusthh.com New clients call Lynn our Supervising Nurse to schedule a visit! A Medicaid and Veteran approved Agency we hire and screen local caregivers (even family members) to provide assistance for Seniors struggling with tasks or the disabled of any age. If you are selecting an Agency to provide care, or know someone who needs help give us a ring. There is no obligation. We simply love what we do!

Cabinet Mountain Home Care.............. 406-293-4600 Serving Lincoln & Sanders Counties, Montana gperkins@cmhcmt.com We provide personal care and homemaking services throughout Lincoln and Sanders Counties in Montana. Our caregivers are highly trained and have complete background screening. Stay living in your home with customized individualized plans providing the services YOU want. Call today for your free consultation! Omnia Health Services.......................... 208-907-1790 305 N. Lincoln. St. Ste. B, Post Falls • omniahs.com “Loving care from our family to yours” is our company motto, our mission statement and it’s how we work every day here at Omnia. We are a locally-owned small agency dedicated to treating our patients, clients and employees like family.


Bonner General Health Home Health Services .......................... 208-265-1007 520 N. 3rd Ave., Sandpoint • bonnergeneral.org Providing skilled, intermittent care in the home. Services include skilled nursing care; physical, occupational and speech-language therapies; medical social services and certified home health aid services. Covered by Medicare, Medicaid and most private insurance.

Humana MarketPoint........................... 208-215-5817 Christopher “Chris” Murphy, Sales Associate 1300 N. Washington St., STE 3500, Spokane cmurphy16@humana.com Humana is a leading health and well-being company focused on making it easy for people to achieve their best health with clinical excellence through coordinated care. The company’s strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people Humana serves across the country.

Boundary Personal Care....................... 208-267-5070 6821 Main Street, Bonners Ferry Dawn Pownall is all about her hometown. A Medicaid and Veteran approved Agency we hire and screen local caregivers (even family members) to provide assistance for Seniors struggling with tasks or the disabled of any age. If you are selecting an Agency to provide care, or know someone who needs help give us a ring. There is no obligation. We simply love what we do!

Spears Insurance, Inc............................ 208-610-8096 102 S. Euclid Ave., Ste. 103, Sandpoint 1121 Mullan Ave., Ste. 208, Coeur d’Alene cspears4insurance.com There are many types of benefit plans. Which one is right for you? Let’s first understand the basics of Medicare in plain simple language, and then discuss other factors to finding the right coverage for you. Call me today to schedule your appointment. Serving ALL of NORTH IDAHO!

Legal Crandall Law Group.............................. 208-772-7111 8596 Wayne Dr., Ste. B, Hayden crandalllawgroup.com The Crandall Law Group is a boutique law firm offering highly specialized, top quality legal services to clients in the Inland Northwest region in the areas of estate planning, business, elder law, probates, guardianships, tax and business succession planning. We offer free initial consultations during which we will review your estate, discuss your needs, and explain your planning options. Coyle & Wytychak Elder Law................. 208-765-3595 314 E. Garden Ave., Coeur d’Alene cwelp.com Since 1987, Coyle & Wytychak Elder Law, PLLC has provided the senior and disabled population of North Idaho and their families with individualized service to help them through difficult issues related to Estate Planning, Probates, Trusts, Guardianship, and planning for Long Term Care and Public Benefits.

Massage & Health Maintenance Highlands Day Spa ............................... 208-773-0773 4365 Inverness Drive, Post Falls highlandsdayspa.com Highlands North Day Spa...................... 208-263-3211 1315 W. Hwy 2, Suite 5, Sandpoint highlandsnorthdayspa.com From head to toe, our professional massage therapists, skin and nail technicians will pamper you with a full range of spa and beauty treatments, including massage and reflexology, facial and body treatments, and manicures and pedicures. Make us part of your health regimen.

Personal Emergency Systems Kootenai Health Lifeline ...................... 208-625-5020 2003 Kootenai Health Way, Coeur d’Alene pfairfield@kh.org Leader of personal emergency response services the only non-profit provider in North Idaho. Lifeline provides peace of mind and access to emergency help at the touch of a button.

Wise Guide | www.TheWiseGuideOnline.com


Directory Listings

Pharmacies, Medical Equipment & Supplies

r e p u S a , e r to s a n More tha

Serving Sandpoint for 43 years


Medicine Man Pharmacy Bonners Ferry 6452 Main St. (in Super-1) ............................................................... 208-267-4021 Sandpoint 624 Larch St. (in Super-1).... 208-597-7466 Rathdrum 15837 Westwood Dr. (in Super-1) ............................................................... 208-687-5717 Hayden 8093 N. Cornerstone Drive...... 208-762-9355 Hayden 240 W. Hayden Ave (in Super-1).208-772-3311 Coeur d’Alene 305 W. Kathleen (in Super-1) ............................................................... 208-765-2268 Coeur d’Alene 1114 Ironwood Drive..... 208-666-2502 Post Falls 802 E. Medical Court............. 208-773-3566 Post Falls 805 E. Polston Ave. (in Super-1) ............................................................... 208-777-7732 medmanpharmacy.com At Medicine Man Pharmacy we work to improve your health and the health of our community. You’ll find more than a place to fill your prescriptions: You’ll receive personalized care, answers to your questions and exceptional customer service. Visit our website to find a Medicine Man near you.

SandpointSuperDrug.com 604 N. Fifth Ave 208 263-1408

• Voted Favorite Pharmacy • • Best Hardware Store • • Full Paint Department • • From Greeting Cards to Hardware •

Sandpoint Super Drug.......................... 208-263-1408 604 N. 5th Ave., Sandpoint superdrugsandpoint.com We strive to provide the highest quality home health care equipment, supplies and services, while being competitive on product and pricing. We offer goods and services unique to our community, with the comfort and independence of our customers in mind. Medicare approved!

Veterinary & Animal Care

Coeur d’Alene Health Care and Rehabilitation Center ............................................................... 208-664-8128 2514 N. 7th St., Coeur d’Alene consulatehealthcare.com We specialize in providing comprehensive post-acute care, 24-hour skilled nursing, Physical, Occupational & Speech therapies, Wound care, Progressive Diabetic care, and Alzheimer’s and dementia care with our unwavering commitment to our core values of Compassion, Honesty, Respect, Integrity and Passion.

American Heritage Wildlife Foundation ............................................................... 208-266-1488 AHWF.org The only 501c3 non-profit in the Panhandle working with all native wildlife species, through rehabilitation of injured or orphaned wildlife. The primary wildlife care specialist is a member of the National Wildlife Rehabilitators Association and International Wildlife Rehabilitation Council and holds rehabilitation permits with the US Fish and Wildlife Service Migratory Bird Department and Idaho Department of Fish and Game. If you find an animal in need - Don’t wait! Call Us First! - you risk their survival with any delay in seeking proper care - WE KNOW WHAT TO DO!

Life Care Centers of North Idaho 500 W. Aqua Ave., Coeur d’Alene........... 208-762-1122 1125 N. Division St., Sandpoint............. 208-265-9299 LCCA.com Life Care Centers of North Idaho specialize in long term care, special needs and dementia care, postoperative and acute illness restorative nursing and therapy, 24/7 admissions. Respite stay is also available. Semi-private and private rooms. Schedule your tour today! Newport Hospital Long Term Care & Skilled Nursing................................... 509-447-2464 714 W. Pine St., Newport, WA • phd1.org Our Long Term Care offers both long and short term skilled nursing and restorative care. We provide skilled nursing 24 hours a day, coordinating care with local physicians. Rehabilitation Hospital of the Northwest ............................................................... 208-262-8700 3372 E. Jenalan Ave., Post Falls, ID rhn.ernesthelath.com We provide intensive physical rehabilitation services to patients recovering from strokes, brain, spinal cord and orthopedic injuries and other impairments as a result of injuries or illness. Also treated are cerebral palsy, ALS (Lou Gehrig’s Disease) multiple sclerosis & Parkinson’s disease.

Bonners Ferry Veterinary Clinic........... 208-267-7502 Emergency Phone................................. 208-444-1024 6657 Main St., Bonners Ferry Let us help you care for your favorite four-legged friends! Our clinic provides complete veterinary services for healthy pets and for sick or injured animals, including horses and livestock. We provide an on-call emergency service in addition to our regular hours. Complete Veterinary Services for Small & Large Animals

24-HOUR EMERGENCY 208-444-1024

Roland H. Hall, DVM Chad A. Burt, DVM 8:30 - 5:00 M-F 8:30 - 1:00 Sat.

6657 MAIN BONNERS FERRY 208-267-7502

Bonners Ferry Veterinary Clinic


Our hardware guys are always available to answ er questions and make recommendations for all your hardware ne eds!!

Rehabilitation & Skilled Nursing


Wise Guide | Fall 2016 / Winter 2017

Wise Guide | www.TheWiseGuideOnline.com


Aging isn’t the Pits! by Jason Ball Sales & Marketing Director Brookdale Senior Living


eople often say, “Getting old is the pits!” But, what happens when the “pits” are planted in fertile soil, given a little water, and time? Sometimes, they grow, blossom and eventually bear fruit. I’m talking about the joys, benefits and challenges of the journey we call aging. Some folks go skidding sideways along their journey, and some take a peaceful scenic route, but we all make the journey. Life has taught me some interesting things in the last 6 months. I’ve learned that there are benefits to recognizing my limitations, and readjusting accordingly. “What kind of namby-pamby nonsense is that?” you might ask, after a lifetime of indoctrination

in carpe diem discipleship but, hear me out. Two recent and unrelated experiences have helped me recognize that life is full of wonder and surprises, no matter what your age. Ten years ago, I decided I wanted to compose a song because “tunes” would simply come to me. My obstinate refusal to take music lessons as a kid meant composing a song as an adult might as well have been rocket science. Needless to say, I became frustrated and failed in the attempt. A few months ago, I decided to pick myself up off the ground and try it again. Being more self-aware as to my limits now that I was a little older, I chose to write a simple children’s song instead of a symphony. When a tune popped into my head one day I frantically wrote dots on a blank page, guessing at how the rise and fall of notes should be written. Those first baby steps allowed me to sit at a piano, find middle C, and I learned to write the notes as I sounded them out. After about a month of baby steps, the end result was a completed (albeit simple) children’s song. The next song came a little easier, for I had more knowledge and practice. The next three required just as much effort to get off the ground, but the building

Discover more than just a place to live.

blocks fell into place much easier. Call it Divine inspiration, perseverance, patience, knowing my limits, or all of those combined, but the fact remains, I was not ready for the painstaking musical composure process until a few gray hairs had sprouted. My second surprise came mid-September when I was awarded a trophy. Just weeks before this astonishing turn of events, I begrudgingly accepted an invitation from my daughter to run the Top of Utah Marathon. I thought I had “retired” from marathons 16 years ago thanks to pain emanating from a twisted left knee, compliments of an adolescent motocross injury resulting in a bodycast. I seriously doubted my ability to even complete the run,

but signed up for the marathon anyway. I hoped to hold it together through a short-butintense training period of weeks instead of months. Since I have a history of “Damn the torpedoes!” training techniques leading to injury, I decided training at my age would require minimal mileage during the week, with ramped up distances on Saturday runs. What a surprise it was when I entered the race actually feeling somewhat prepared. What a miracle it was when the finish line came and I was awarded a first place trophy for my age category! Getting older (and wiser) certainly has its perks. Recognizing my limits, taking a more steady pace through life, doesn’t mean I cannot reach my goals, but the path I take is more considered, and the results are well worth it. ________________________________________________ Jason Ball is an innovator and visionary leader who injects a culture of creativity, collaboration and service within organizations for which he serves. Currently, Jason serves on the Board of Directors for Hayden Canyon Charter School, Hayden Senior Center, and Jumpin’ Beans Mobile Food Bank. He also co-founded the Hayden Lake Marathon. Jason enjoys working in a community relations role at Brookdale Senior Living Solutions.

Come Visit our Newly Designed Community All Inclusive Independent & Assisted Living:

• Studios, Apartments, Cottages • Room Service • Brookdale Signature Dining (3 chef-prepared meals daily) • Transportation to Appointments & Excursions Mention this ad and receive 2 Complimentary Dinners


205 E. Anton, Coeur d’Alene, ID • www.brookdale.com

Call or visit today – lunch is on us!


Wise Guide | Fall 2016 / Winter 2017

Our Services Include: • 24-hour Skilled Nursing Care

• Comprehensive Rehabilitation Services • Physical, Occupational and Speech Therapies • Wound Care & Progressive Diabetic Care • Alzheimer’s and Dementia Care • Care for Medically-complex Patients



A significant percentage of our patients return home following a brief rehabilitative stay with us. For residents for whom living independently at home is no longer possible, we offer long-term care services in a comfortable and home-like setting.

“Providing Service With our heartS and handS”

2514 N. 7th St. Coeur d’Alene

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What Are You Waiting For? by Diana Ring, LSW Kootenai Health Senior Care Program


nce a month or more a frantic caregiver arrives unexpectedly in the office with an emergent need for respite care RIGHT NOW! They appear sleepdeprived, tense and wan, tearful, anxious and desperate. Often they have been the sole caregiver for their loved one for years, not months. The question is: Why wait? Why not seek out services and programs BEFORE you become exhausted, short tempered and/or sick yourself? Often caregivers are concerned about the costs or simply unaware of what might be available to them. Find out what exactly is out there before you start worrying about the money. How much is your sanity worth, after all? Besides, many programs have funding sources (VA, Area Agency on Aging, Medicaid, etc.) or scholarships available. To locate the resources head to the nearest computer. (If you are not computer savvy, get a family


Wise Guide | Fall 2016 / Winter 2017

member or friend to help you.) Use Google or a similar browser to look up senior care services, senior care programs, respite, any word that will bring up services geared to the elderly. Ask everyone around you for ideas and information, even your grocery clerk has grandparents! Your doctor, clergyman or pharmacist may be a good place to start. Seek out other caregivers in a support group, at your church or place of employment. If you prefer telephone or face to face contact, look up social services or your local hospital’s social work department and make a call. Any social worker will have at least some idea of the basic services available in the area. Ask! Or pick up a local resource directory; they can be found in your doctor’s office, grocery store or pharmacy. Go to a medical equipment company, assisted living or nursing home facility and ask for senior resources. Their marketing people know everybody in the senior biz! On the home front, people will often ask a caregiver, “How’s it going?” Use this opportunity to share your feelings AND your needs. Tell it like it is! You do not have to whine and complain, but neither do you have to be stoic and try to do it all yourself. Most family and friends are more than willing to help but they don’t

know how, and they can’t read your mind. Be as specific as you can and set up a time, place and/or chore they can do to help. Put them at ease by explaining in clear terms and talking to them beforehand so they know what to expect. For example: “Dad can’t talk anymore, but he loves to go for long walks and needs to have someone with him. Could you come over next Wednesday morning and spend an hour walking him to the park and back?” Or, ”Mom just loves homemade baked goods and we have such a time getting her to eat. Would you consider bringing her some of your famous banana bread for the weekend?” Caregiving can be so overwhelming. It’s important to take steps to take care of yourself. Remember the oxygen mask in the airline safety review? You are instructed to take care of your own needs before you help another. Or, in another era, “You cannot fill another’s cup if your own is empty.” Community services such as adult day care and respite care exist for your benefit. Many programs exist because of the taxes you have paid into the system all of your life. These services are invaluable for those caregivers who need to recharge their batteries. DON’T WAIT! It is much easier on you and your loved one if you access services early on, before it becomes an emergent need. ________________________________ Diana Ring obtained her Social Work degree from Boise State University in 1978. She has been with Kootenai Health for 16 years and is now into her fourth year as coordinator of the Kootenai Health Senior Care Program. She is a member of CareNet, a networking organization of professionals providing services to senior and their families.

Affordable Daytime Care for Loved Ones

Kootenai Health’s Senior Care program is an affordable,

convenient and safe day center for seniors and adults with Alzheimer’s or other special needs and for caregivers in need of respite.The program is open for drop-ins or regular attendance.

Our program provides: w w w w w w w w w w

Positive social interactions with staff and other clients Nutritious meals and snacks Pet therapy, live music, dancing, bingo, arts and crafts and field trips Available 6:30 a.m. to 5:30 p.m. Monday to Friday Services including medication distribution and blood pressure checks Counseling services for families and caregivers Affordable pricing ($12 per hour) Transportation to and from our facility A safe, comfortable environment with certified, trained staff members Compassionate care for your loved one

Financial assistance may be available through Medicaid, Veteran Services and Area Agency on Aging of North Idaho.

Schedule a tour by calling (208) 625-5353 or email us at khadult@kh.org


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Hospice Care: Serving Families and Communities

About Our Services Our care begins much before loss occurs and it continues after to support the healing process for those grieving. Palliative care is offered to those needing more complex symptom management while seeking active treatment. The goal is to proactively develop a plan with the individual that will provide comfort now and guide the care provided for future needs. The next level of care includes end of life care. This care takes place either at the Schneidmiller House in Coeur d’Alene or in the location the person calls home. The Schneidmiller House offers private rooms for families and loved ones as well as 24-hour access to nurses, doctors and aides. In home care includes professional on-call care and routine visits.

by Kim Ransier, Executive Director Hospice of North Idaho


ospice of North Idaho provides one-on-one, professional care for individuals and their families. We are grateful that our community values professional services for the seriously ill and those touched by loss. Because of caring staff and a supportive community, Hospice of North Idaho provides care for patients in their home, in the hospital, or at the Hospice House regardless of their ability to pay. We offer a full spectrum of services for families and for every age of individual throughout Kootenai, Benewah and Shoshone counties.

Schneidmiller and the impact they had on our community. Gary Schneidmiller offered this naming opportunity as a result of Hospice’s quality care and deep appreciation for his parents. The Schneidmiller House About our Community is a true gem, and we are grateful of such an honor. It is In our 35-year history our local population has more clear to us that our community values the attention we than doubled. Therefore, the need for more end-of-life provide to the patient’s wishes, comfort and care. care has grown. Hospice of North Idaho continues to The Hospice House, now the Schneidmiller House, accommodate this growth. In order to keep our patients is certainly one of our community’s most appreciated at the core of service we build a care team to address resources. Families remark how nice it is to have 24their wishes and needs. The care team is comprised hour professional care while in the cozy atmosphere of of a certified hospice registered nurse, hospice social home. At the Schneidmiller House, it’s more than just a worker, hospice health aide, chaplain and hospice comfortable room. The house includes verandas opening physician. We design a plan of care based on the into gardens, home-made soups for guests, guest patient’s wishes of what they would like to experience. kitchens, quilts, plush furnishings, books, meditation room, and a game room fit for kids’ enjoyment. A recent Very Exciting News… visitor remarked how supportive the atmosphere was The Hospice House has been named the for all ages in their large family. This type of experience is Schneidmiller House in honor of Mannie and Gladys why we love to serve you the way we do!

Medicare Doesn’t Cover Everything!

Where ever the location, many families appreciate the comforting feel of home while being cared for. Each age group and each individual is affected differently by loss. Our bereavement team supports all ages of people touched by loss. Hospice offers

assistance for age-specific groups as well as one-onone personal support. Chaplains, respectful of any spiritual background, and social workers specializing in the healing and grief process are known for their warmth and understanding. We are so very grateful that we are able to care for everyone in need. Hospice of North Idaho is the only non-profit hospice in our community that serves each and every person regardless of age, race, religion or financial circumstances. Because our community supports quality hospice care, we will continue to keep each and every person’s needs at the core of our service.

Each age group and each individual is affected differently by loss. Our bereavement team supports all ages of people touched by loss

Call Carey today for an appointment!


Serving North Idaho

Discover the right Medicare Advantage or Medigap health plan for you!

• Medicare Supplement • Medicare Advantage (MA / MAPD) • Part D Drug Plans Offices in Coeur d’Alene & Sandpoint for your convenience.


Wise Guide | Fall 2016 / Winter 2017

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Run It By Tamara

by Tamara Jacobson, Compassionate Care Referral Services, Inc.


“Where did you get those walking sticks? What happened to your leg?�


Although not my normal format, I would like to share my experience of a leg injury and mobility consequences that gave me a fresh perspective on limitations. While I was doing a good thing, exercising, I pushed my body beyond it’s limit and injured my IT (iliotibial) band that runs along the leg from the hip to the knee, and tearing quad muscles above the knee. My leg felt like it was buckling beneath me and I didn’t have control of it. Several times I fell flat on my face even with walking sticks! This is what I learned: My everyday planning was geared towards parking close to the entry of stores and grabbing my ‘secret

walker,’ the shopping cart! It took so much energy to visit a place or shop that I skipped a lot of errands. The compensating leg was developing problems of its own. Physical therapy did help but you couldn’t rush time for healing and strength. I realized how limited some places make it for those with mobility issues. It was humbling and I generated a lot of stares! I have helped numerous folks who have various disabilities find independent or assisted living arrangements, or just extra help in their home. This summer’s journey doesn’t even compare to those who struggle with everyday tasks we take for granted, but I do have more empathy for the challenges they face. As for those walking sticks, they are not ski poles but multi-use with rubber tips and can make a huge difference in stability.


“How do I initiate the conversation with Dad about his care of Mom? He has been Your Only Locally Owned Referral Service

A personal approach to evaluating senior care choices to fit your needs and budget. NO FEES. NO PRESSURE.

Tamara Jacobson Senior Care Consultant

(208) 660-9982



Wise Guide | Fall 2016 / Winter 2017

by her side for years but his own health is slipping and she is looking unkempt and confused?�

•Home Health Care

Ordered by your doctor, provided by Omnia professional RNs, LPNs, Licensed Therapists and Medical Social Workers.

Occupational •Physical, and Speech Therapy Social Work •Medical •Home Health Aides


Parents at any age don’t like to feel like their grown kids are trying to control them! While every family has different dynamics, I find if you first reassure your parents of your love and desire to maintain their independence as much as possible, it will go smoother. There are alternatives such as in-home, non-medical help with showering, or daily care type options that might take the constant caregiving pressure off Dad. Sometimes having a third party, such as the family doctor or me, giving information and alternatives, will lower the defensive reaction. If you would like to submit a question and ‘Run It By Tamara’ regarding senior day-to-day care issues, please email to: RunItByTamara@outlook.com or call 208-660-9982. There is something so encouraging and comforting just sharing our concerns with one another. I look forward to hearing from you! ________________________________ Tamara Jacobson, a Senior Care Consultant and founder of Compassionate Care Referral Services, Inc., www. CompassionateCareReferral.com Tamara formed the company as a way to connect area seniors and services in a personal but professional manner. Straight forward comparisons are discussed to fit the individuality of her client.

Call Today: 208-907-1790 OmniaHealthServices.com

Locally Owned!

305 N. Lincoln St., Ste .B Post Falls, Idaho 83854

“ ‘Loving care from our family to yours’ is our company motto, our mission statement, and it’s how we work every day here at Omnia. We are a locally-owned small agency dedicated to treating our patients, clients, and employees like family.� –Aaron Nicholes, Owner and CEO

Joint Commission Accredited Most Insurances Accepted

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Hidden Gems Sparkle Under Stage Lights by Amy Voeller


don’t need to be nervous,” Jaron whispers to himself, watching me in the mirror adjust his costume one last time. “All that matters is that I do my best.” I’m still caught off guard by my 9-year-old son’s confidence and wisdom. He glances to his other costumes hanging on the rack, prepped for later scenes. All is in order. Curtain call comes over the speaker. I give him a big hug, remind him to break a leg, and he rushes backstage. As I anticipate the opening scene of Traditions of Christmas, my thoughts wander to a cast party two years ago when Jaron first met Anna “Patty Duke” Pearce. Upon arriving, Jaron dashed up to Anna and promptly introduced himself. They were both cast for their first performance in Traditions of Christmas, Anna to be Mrs. Claus, and Jaron to be Raggedy Andy in Santa’s workshop. Her expression reflected pure delight in this child before her. “Are you nervous about your first performance in Traditions of Christmas?” Anna asked Jaron. “No, I’m not at all,” he casually replied. “Are you?” “Yes, actually, I’m very nervous,” she admitted.


208-457-3403 www.LodgeLiving.net


“Why? You’ve been performing your whole life!” he exclaimed. “But, I have to sing in Traditions of Christmas, and I have never had a part where I had to sing.” “Oh? I’m sure you’ll be great!” responded Jaron with enthusiasm as he shook her hand. “It was nice to meet you.” A minute later, Jaron raced back over to Anna, blurting out, “Patty Duke, I just want to tell you that you don’t need to be nervous. All you have to do is your best.” Anna pondered for a moment and replied, “That is the best advice anyone has ever given me.” They hugged, consecrating the start of a special bond shared backstage with high fives and hugs during rehearsals and performances.

My thoughts return to tonight’s performance while tying dresses for gingerbread dancers and locating hats for toy soldiers. With a cast of over 70 people, 400 costumes, and finely choreographed kick-line dancers, the quality of Traditions of Christmas is more often

found in a large metropolitan location, rather than the small, intimate town of Coeur d’Alene. This spectacular annual performance has become a tradition, drawing local residents and visitors to experience Christmas joy through time and heritage. The director cues for the opening scene. Lights illuminate a stage filled with men and women dressed in rich Dickens costumes. Harmonized voices permeate the air. The power of this first scene is the perfect foretaste for two hours of unending entertainment. Soon comes one of the most poignant moments during the show, the USO scene. Tears well up in my

eyes as my grandfather, father-in-law, step-father, and others stand to be honored for their military service. It is moving to recognize their sacrifices, and those of others, who have been crucial in allowing us to freely celebrate Christmas today. After intermission, I listen to the glittering story of the “Candy Bomber” while locating pieces of a monk costume. From silent monks to stomp street performers, silk aerial artists to kick-line dancers, the second half of the show is delightfully imbued with juxtaposition and contrast. Most dear to me is the grand finale Nativity scene. Just as the scene climaxes, my sweet Jaron, the Little

Drummer Boy, enters stage right. As the youngest cast member in this powerful scene, I fear all sorts of mishaps. I imagine Jaron dropping his drum or stumbling as he climbs the stairs to the manger. Yet, with unshakable poise, he carefully finds his way to the Baby and purposefully presents his gift. After the curtain draws to a close, Laura Little, producer of Traditions of Christmas, hurries into the dressing room and excitedly announces that she will be producing the same show in Boise for the 2016 Christmas season. It seems Laura holds the golden touch to accomplish anything, so there is little doubt in my mind Boise will be a huge success. Her vision and drive come second only to her heart for theatre and its ability to unite community. Her passion for theatre is highly contagious and quickly spreads to everyone around her, as it has to my family. I congratulate her with a hug. As a weary but satisfied “Little Drummer Boy” wanders back into the dressing room, he flashes me a smile. “I feel so cheerful inside. I shared Christmas joy with so many people in the audience, tonight. And I wasn’t nervous, Mom. I just did my best!” _______________________________________________ To learn more about Traditions of Christmas and find out about ticket availability in Boise and Coeur d’Alene, visit www.TraditionsofChristmasNW.com

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Locally owned and operated

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All clients & caregivers supervised by a Registered Nurse (RN) Special focus on matching personnel with each client to bring compassion, comfort and enjoyment to your in-home care experience. Familiar with use of assistive devices.

Three Convenient Communities: • The Lodge at Riverside Harbor I: 52 N. Cedar St., Post Falls, ID • The Lodge at Riverside Harbor II: 58 N. Cedar St., Post Falls, ID • The Lodge at Fairway Forest: 3989 N. Player Dr., Coeur d’Alene, ID

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Looking Forward to the Holidays? So are the Scammers by Randy Simon, Director of Communications, AARP Idaho


ith the holidays upon us, the traditional season for giving has become a peak time for taking among con-artists targeting Idaho consumers. While most of us focus on family and friends during the holidays, scammers are zeroing in on your wallets and bank accounts. At AARP Idaho, we’re encouraging consumers to be on the lookout for some emerging and popular scams, and to also share the information with their families and loved ones to help keep them safe this holiday season.

Charitable Giving

Among notable scams during the holiday season, charitable giving scams are especially prevalent this time of year. Idahoans are very generous when it comes to donating to charity, and while it’s good to give, it’s important to give wisely. There are hundreds of bogus fundraisers exploiting this generosity by keeping most of the money they raise for themselves. This is why it is so important to ask where the money is going and check it out before giving. Government officials who regulate charities and fundraisers say that while most charities are legitimate, there are many fundraisers, especially telemarketers, who keep 85-90% of the money they raise. If you knew that for every $10 dollars you gave, only a buck went to the charity and the rest went to lining the pockets of the telemarketer, you’d probably think twice before giving to that particular solicitor.

Package Delivery

Many holiday shoppers in Idaho are unaware that package delivery companies are NOT responsible for stolen packages that are left at your front door without requiring a signature. The next time you ship a package think about requiring a signature upon deliver.

Debit Card Vs. Credit Cards

Consumer protection experts recommend the use of credit cards rather than debit cards for most


Wise Guide | Fall 2016 / Winter 2017

purchases to better protect consumers from fraud and theft. With credit cards, you are liable for only up to $50 of fraudulent use. But in the case of a lost or stolen debit card, financial losses to the consumer can be much more significant.

Public Wi-Fi

Many holiday shoppers in Idaho wrongly believe that it is okay to share sensitive information via free Wi-Fi networks as long as they are secured by https. When in fact, online security experts warn that consumers should NEVER use public Wi-Fi to access bank accounts or to buy products online.

Gift Cards

Fraud experts report that thieves sometimes hit store gift card racks, secretly write down or electronically scan the numbers off the cards, then check online or call the toll-free number to see if someone has bought the cards and activated them. As soon as a card is active, the scammers drain the funds. By the time you try to use the same card, the money is long gone. Consumers should only purchase gift cards from reputable sources. Better yet, get them directly from the store they’re from – and preferably directly from the store cashier. Then ask them to scan the card to ensure it has the correct balance. Don’t get robbed of your holiday cheer. For additional tips and information consumers can also sign up to receive timely fraud alerts from the AARP Fraud Watch Network at aarp.org/fraudwatchnetwork or by calling the AARP Foundation Fraud Fighter Call Center at 1-800-646-2283. ________________________________________________ Randy Simon is the Director of Communications for AARP Idaho. Prior to joining AARP Randy worked as a consultant for Gallatin Public Affairs and as a journalist in New Mexico. He can be reached at rsimon@aarp.org or 208-855-4004.

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Profile for Jonnie Bradley

The Wise Guide Fall 2016/Winter 2017  

The Health And Wellness Resource For North Idaho And Neighboring Communities In Washington And Montana.

The Wise Guide Fall 2016/Winter 2017  

The Health And Wellness Resource For North Idaho And Neighboring Communities In Washington And Montana.