Issuu

Presents:

Expo Program & Resource Guide Tuesday, January 16, 2018 9:00 a.m. - 1:00 p.m. Doubletree Tucson

445 S. Alvernon Way | Tucson, AZ 85711

www.seniorexpos.com

Now in our

30th Year

expo

AROUND THE

3 Exhibitor List 4 Schedule of Events 5 Sean Hoy, emcee 6 Services for Seniors 8 Cameo Foundation 10 Ms. Senior Arizona 12 Tucson Medical Center 14 The Duttons

to the Welcome

16 Winter Colds 18 Medicare in 2018 20 Puzzles 22 Will or Trust? 24 Opioids and Misuse 26 Aging Today 27 Ask the Expert

EXPO

r Publisheckbine ri Steve T. St

e Editor Executiv a re

Niki D’And

g Editor i Managin insk Christina

Proud Member of

Ageless Attitudes Since 1979

HAVE A GREAT TIME!

as Fuoco-Kar

Lovin’ Life After 50 is distributed by AZ Integrated Media, a circulation service company owned by Times Media Group. The public is permitted one copy per reader. For further information regarding the circulation of this publication or others in the Times Media Group family of publications, and for subscription information, please contact AZ Integrated Media at circ@azintegratedmedia.com or 480-898-5641. For circulation services please contact Aaron Kolodny at aaron@azintegatedmedia.com.

Arizona Newspapers Association

1620 W. Fountainhead Parkway #219, Tempe, AZ 85282 • 480-898-6500

r Designe Graphic berg en Tonya Mild inator les Coord a S o p Ex on Tracey Wils r ordinato o C Expo ardy Sherri Ger

trator Adminisldham Courtney O

This is the official program for the 2018 Lovin’ Life Expo. For more than 30 years, Lovin Life After 50 has hosted expos in the Tucson and Phoenix metro areas. Each year, thousands of those enjoying life after 50 attend our events to become more familiar with products and services in their community. If you would like to become an exhibitor at one of our future expos, please get your application by contacting our expo coordinator.

A BETTER WO A BETTER WORLD + YOU

A BETTER WORLD + YOU A BETTER WORLD YOU Cigna+ proudly supports the Lovi

Cigna proudly supports the Lovin' Life After 50 Expo. We salute the outstanding achievements of Times CignaGroup. proudlyTogether, supports the Lovin' 50aExpo.achie Media weʼre making theAfter world We salute the Life outstanding better, healthier place to live.achievements of Times We salute the outstanding

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Cigna HealthCare of Arizona, Inc.achievements The Cigna name, logos, and other We salute the outstanding of Times Cigna marks are owned Cigna Intellectual Property, All Cigna products andby services are provided exclusively by or Media Group. Together, weʼre making the world a Inc. CignaHealthSpring is contracted with Medicare for PDP plans, HMO and through operating subsidiaries of Cigna Corporation, including better, healthier place to live. PPO plans in select states, andproducts with select State Medicaid programs. Allof Cigna and services Cigna HealthCare Arizona, Inc. The Cigna name, logos, andare otherpr Enrollment in Cigna-HealthSpring on contract renewal. Cigna marks are owned byoperating Cignadepends Intellectual Property, Inc.of Cignathrough subsidiaries Cign 910601 10/17 © Cigna. H0354_18_59935 10072017 HealthSpring is 2017 contracted with Medicare forAccepted PDP plans, HMO and

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are owned by Cigna Property, Inc. CignaPPO plans inIntellectual select states, with sel Cigna HealthCare of Arizona, Inc. Cigna Themarks Cigna name, logos, and otherand HealthSpring is contracted with Medicare for PDP plans, HMO and in select Cigna-HealthSpring plans in Enrollment select states, and with StateCignaMedicaid programs. dep Cigna marks are owned by CignaPPO Intellectual Property, Inc. Enrollment in Cigna-HealthSpring depends on contract renewal. HealthSpring is contracted with Medicare PDP plans, HMO and10072017 10/17 © 2017 Cigna. H0354_18 910601 10/17910601 © for 2017 Cigna. H0354_18_59935 Accepted PPO plans in select states, and with select State Medicaid programs. TUCSON EXPO PROGRAM JANUARY 2018 Enrollment in| Cigna-HealthSpring depends on contract www.LovinLifeAfter50.com renewal.

Presents:

2018 Exhibitors • Aetna

• ClearCaptions

• Pella

• Apache Sky Casino

• El Dorado Audiology

• Penasco Del Sol Hotel

• Arizona Daily Star / Saddlebag Notes

• Fishkind, Bakewell, Maltzman, • Pima Council On Aging Hunter & Associates Eye Care • Premiere Retirement & Surgery Center Planning & Wealth Management • Fletcher Music Centers

• Arizona Department of Gaming - Division of Problem Gambling • Brookdale Santa Catalina CCRC • Cameo Foundation • CapTel Outreach

• Gasser Dental Implants • Gentle Dental • Grand Canyon Railway & Hotel

• Preservation Management Council House Apartments • Real Estate Finance Corporation • Reliant Capitol

• CareMore Health Plan

• Grand Canyon Planning Associates

• Cascades of Tucson

• Hughes Federal Credit Union

• RJP Estate Planning

• Casas Adobes American Legion Auxiliary Unit #73

• Humana

• Sante of Tucson

• Renewal by Andersen

• Iora Primary Care • Catalina Springs Memory Care • Mana Kai Maui Resort

• Tatanka Research Group

• Catalina Towers Apartments

• Tucson Cosmetics

• The Duttons

• MC Companies

• Century Financial Consultants • Osher Lifelong Learning Institute at the University of • Cigna Health Care Arizona • Clarity Hearing Aid Center www.LovinLifeAfter50.com

• Tucson Medical Center • Tucson Society of the Blind • Western Union

JANUARY 2018 | TUCSON EXPO PROGRAM

Presents:

2018

Event Schedule

9 a.m...............Exhibit opens 9:15 a.m. .......Official welcome by Sean Hoy, emcee 10 a.m. ...........Door prizes; $100 drawing giveaway 10:05 a.m. ....Sponsor announcements 10:10 a.m. ....Ms. Senior Arizona performs Sean Hoy, emcee Ms. Senior Arizona

11 a.m. ...........Door prizes; $100 drawing giveaway 11:05 a.m. ....Sponsor announcements 11:10 a.m. ....Ms. Senior Arizona performs Noon ...............Door prizes; $100 drawing giveaway 12:05 p.m. ....Sponsor announcements 12:10 p.m. ....The Duttons perform 1 p.m. .............Expo concludes

TUCSON EXPO PROGRAM | JANUARY 2018

www.LovinLifeAfter50.com

Host Sean Hoy brings his talents to the expos BY CHRISTINA FUOCO-KARASINSKI Sean Hoy likes to say he has three talents: humoring, cartooning and interviewing. “When I was younger, I always had little talk shows,” he says with a laugh. “I’d even interview myself – ‘What do you think about that, Sean?’ ‘I think that’s great, Sean!’ ‘What’s a great idea, Sean!’” When he hosts the Lovin’ Life After 50 Expos, he incorporates the skill set. “I love doing those,” says Hoy, who will appear January 16 in Tucson, January 23 in Sun City, and January 31 in Mesa. “I have such a free rein of just being me and bringing my personality. I just love it. I’ve been doing it now for three years. It’s neat that I get to see the same people I’ve befriended. It’s such a neat thing.” Hoy is a multitalent. He hosts the web series The Howlarius Show, in which he interviews people about their dogs. An avid canine lover, Hoy, who has worked with the Arizona Humane Society, has found his calling. Visit hoylarious.com for more information. “I had my Hoylarious show on Dave Pratt’s Star Worldwide Networks, and I would interview musicians, artists and

Sean Hoy has hosted several LLAF expos. (Photos by Kimberly Carrillo)

politicians. It was a variety-type talk show,” Hoy says. “Sometimes, people wouldn’t talk. These are people who have performed in front of thousands of people. Then I’d say, ‘What about your dog, Sparky,’ or whatever, and they would just start talking. One thing led to another, I changed the Y to a W and we have The Howlarious Show.”

Sean Hoy...continued on page 7

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Services for Seniors A directory of programs and services for senior residents in the Phoenix and Tucson areas GENERAL INFORMATION Arizona Assisted Living Federation of America 602-322-0100 Arizona Department of Health Services 602-542-1000 Arizona Health Care Association 602-265-5331 Arizona Hospice & Palliative Care Organization 480-967-9424 Benevilla 623-584-4999 Community Services Administration 602-542-6600 Family Caregiver Alliance 800-445-8106 Foundation for Senior Living 602-285-1800 Governor’s Advisory Council on Aging 602-542-4710 Information and Referral Services Phoenix: 602-263-8856 Tucson: 520-325-1303 Long Term Care Ombudsman 602-542-4446 OASIS 520-795-3950 x 2113 Office of Aging and Adult Administration 602-542-4446 Senior Help Line 602-264-4357 Volunteers for Hospice 623-583-4490

HEALTH SERVICES Alzheimer’s Association 602-528-0550 American Cancer Association 602-224-0524 American Heart Association 602-414-5353 American Lung Association 602-258-7505 American Parkinson Disease Association 800-908-2732 American Red Cross 602-366-6660

TUCSON EXPO PROGRAM | JANUARY 2018

Arthritis Foundation 602-264-7679 Easter Seal Society of Arizona – Stroke Club 602-252-6061 EMPACT Suicide Prevention Center Phoenix: 480-784-1500 Statewide, toll-free: 866-205-5229 Phillip’s Lifeline 520-465-4111 Tucson Medical Center’s Seniors Program 520-324-1960

AREA AGENCIES ON AGING Maricopa County: 602-264-2255 Pima County: 520-790-7262 Gila, Pinal County: 520-836-2758

ARIZONA LONG TERM CARE Glendale: 602-417-6000 Mesa: 602-417-6400

Phoenix: 602-417-6600 Tucson: 520-205-8600

CASE MANAGEMENT PROVIDERS Senior Adult Independent Living – Help Line Maricopa County: 602-264-2255 Adult Protective Services – AZ 877-815-8390 Our Family Services 520-323-1708 Jewish Family & Children Services 520-795-0300 City of Phoenix Community Services 602-262-6631

FINANCIAL INFORMATION Arizona Veterans Service Phoenix: 602-627-3261 Tucson: 520-207-4968 Catholic Social Services Phoenix: 602-997-6105

Tucson: 520-623-0344

Arizona Department of Economic Security Phoenix: 800-352-8168 Tucson: 800-835-2100 Medicare/Social Security 800-772-1213 Medicaid (AHCCCS) Phoenix: 602-417-4000

Tucson: 520-205-8600

Supplemental Security Income (SSI) 800-772-1213

www.LovinLifeAfter50.com

Sean Hoy...continued from page 5 Recently, his cartooning skills came into play when he painted murals at bird-themed The Perch Brewery, 232 S. Wall Street in downtown Chandler. “I’ve done placemats, too, along with discount cards, gift cards and a pedicab,” he says. “I did a mural about how beer is made. It’s ‘Hoy style’ with birds. It takes you from how beer is made through serving beer. It’s 15 feet long and that was really fun.” The two murals on the upper level of The Perch have a whimsical feel. Soon, he will begin work on a rustic mural on a brick wall within The Perch, and he will jazz up the brewery’s food truck. Hoy was born in Alexandria, Virginia. His father was the White House photographer for The Washington Post from 1963 to 1972. His mother worked there, as well. “He has pictures of Kennedy, Nixon and Johnson,” he says. “He has pictures of him and Johnson shaking hands and talking. He earned a doctorate and taught at Syracuse, before coming here to help start the Walter Cronkite School of Journalism and Mass Communication with the man he called ‘Wally.’ “Photojournalism was his thing at ASU. I was the State Press cartoonist for three and a half years and he mentored photographers. We were very close.” Hoy has worked with underprivileged children, and also does corporate training.

Hoy poses with one of his murals at The Perch.

“I go to different companies and teach the staff how to communicate better with improv techniques,” Hoy says. “I don’t like to say ‘comedy,’ because people will think it’s dirty.” He’s not one to take any of his talents for granted. “Every day, I am grateful for all my talents,” he says. “I want to use them to the best of my abilities. I want people to smile. I don’t need a belly laugh. When people say, ‘You’re a breath of fresh air,’ that’s the best compliment in the world. If I made you smile or made your dog wag his tail, that’s my day. I’m done. Drop the mic.”

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JANUARY 2018 | TUCSON EXPO PROGRAM

Cameo Foundation aids domestic violence shelters BY CHRISTINA FUOCO-KARASINSKI When Herme Sherry was named Ms. Senior Arizona in 2004, she was asked what she planned to do during her reigning year. “I said, ‘I want to help somebody,’” Sherry said. She, in turn, created the Cameo Foundation, the beneficiary of the Ms. Senior Arizona Pageant. The Cameo Foundation originally raised funds for Alzheimer’s disease associations, but Sherry has since changed her focus to domestic violence shelters because, she said, the need is greater there. “We felt that cancer and heart disease and Alzheimer’s get national help, but domestic violence does not,” Sherry said. Sherry said now is the time to start talking openly about domestic violence. “When I grew up, it was a secret,” she said. “You didn’t talk about it. It still is, to a certain degree. Ladies need to know that they do have an option. They don’t have to stay. The children are frozen in fear. And shelters are struggling for funds to keep the doors open.” The Cameo Foundation holds fundraisers throughout the year to raise monies for those shelters. Keep tabs on cameofoundation.org for a list of those events. This year’s

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TUCSON EXPO PROGRAM | JANUARY 2018

Ken and Herme Sherry, Ms. Senior Arizona 2004, run The Cameo Foundation. (Photo special to LLAF)

Ms. Senior Arizona Pageant will be held Saturday, March 24 at Valley Vista Performing Arts Center in Surprise. For more information, call 602-788-9556.

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JANUARY 2018 | TUCSON EXPO PROGRAM

Celebrating the

Age of

Elegance Leta Sproule finds Ms. Senior Arizona prize inspiring BY CHRISTINA FUOCO-KARASINSKI

Leta Sproule was at peace as she awaited her turn to compete in the 2017 Ms. Senior Arizona Pageant. Usually, before she sits down at her piano, her hands get cold, forcing her to wear gloves to literally warm up for her performance. Butterflies fill her body. None of that happened this time. Her cool yet playful demeanor and artistic talents led to her coronation. “They had told us that we would have a few nerves,” says Sproule, who lives in Sun City West with her husband of 21 years, John. “A few jitters are good, I guess. But I truly understood for the first time that true peace surpasses understanding.” Since last March, Sproule has been promoting Ms. Senior Arizona’s mission of giving women ages 60 and older – otherwise known as “the age of elegance” – the opportunity to display their inner beauty, talents, charm and elegance. She has attended parades, benefits and special events geared toward seniors, and supported the Cameo Foundation, which provides resources to domestic violence survivors. Sproule, 67, learned about the Ms. Senior Arizona Pageant through a friend. Sproule Googled the event, looked at photographs of previous winners and read the mission statement. 10 TUCSON EXPO PROGRAM | JANUARY 2018

“At first, I said, ‘No, no, no,’” Sproule says with her slight Southern accent. “Then I prayed. I said, ‘God, if you can be glorified in this, I will do it.’” She thought that no amount of prayers would lead to a victory at the pageant, run by former winner Herme Sherry and her husband, Ken. Sproule’s performance belied that at the pageant in Surprise on March 18, 2017. She confidently moved from her piano to the stage for a flamenco dance to original music. For her efforts, she not only won Ms. Senior Arizona, but Most Photogenic, Most Elegant and tied for Best Philosophy with Mesa resident Shirlene Rutledge. More importantly, she earned a group of lifelong friends, including fellow contestant Bonnie Sisson of Scottsdale.

Longtime musician

Sproule was born in Tennessee and spent her formative years in Nashville. She attended Peabody College, which was absorbed into Vanderbilt University, and earned bachelor’s and master’s degrees in music and human resources, respectively. After graduation, she worked as a financial planner for nonprofits and schools.

Elegance...continued on page 11 www.LovinLifeAfter50.com

Elegance...continued from page 10 “I loved helping people in the not-for-profit c o m m u n i t y ,” Sproule says. “I always loved numbers and I put on my Ms. Senior Arizona Pageant bio that I have an interest in macroeconomics. There probably wasn’t anybody else who said that. “When I was growing up, and other kids were learning nursery rhymes, I was learning to Leta Sproule, Ms. Senior Arizona 2017. (Photos by never purchase a Kimberly Carrillo) depreciating asset on credit. It took me a long time to learn what a depreciating asset was. I also learned very early on that if you save by the 10th, you can earn interest from the 1st. There’s 10 extra days of interest earned. It was natural for me to help teachers and not-for-profits.” Sproule was slow to appreciate Nashville’s vibrant country music scene. She loved Elvis Presley and eventually grew to enjoy singers like Carrie Underwood. Music, as a whole, inspired her, though. Sproule first sat down to the piano at age 8 and it came easily to her. “When it came time for college, of course I was going to major in music,” she says with a smile. “Peabody was right there. I went there and got my degree. I had a couple kids along the way. “When I was in college, I switched to organ instead of piano. When I graduated, I was playing in a lot of churches around town. Instead of playing every Sunday, I would substitute so I could be with my family.” The Sproules moved to Anthem in 2001. They lived there for eight years, until John’s corporate investments and pension sales job took them back to Nashville. With each move, her piano came along. “John retired four years ago and it was just an obvious choice to move back to Arizona,” Sproule says. “It wasn’t until I moved here that I picked up the piano again. It was God’s timing. I truly had not played the piano – only for a little bit – in 20 years.” Her church, Palm West Community Church in Sun City West, asked her to play piano, as well. “I never played piano in church when they asked me to do that,” she says. “I had to start practicing again. John was www.LovinLifeAfter50.com

grateful. He had not heard me practice. “I’m not sure I would have had the nerve to do the pageant if I hadn’t started playing piano again. I want to encourage other women to participate. It truly is a life-changing experience, win or not.”

Show Off Your Talents The search is on for the Cameo Foundation’s 29th annual Ms. Senior Arizona 2018 contestants. Open to women ages 60 and older, the pageant is set for 6 p.m. Saturday, March 24 at Valley Vista Performing Arts Center, 15550 N. Parkview Place, Surprise. Radio personality Danny Davis will once again emcee. For contestant or pageant information, call 602-7889556, email msseniorarizona2004@cox.net, or visit cameofoundation.org or msseniorarizona.com. The event is sponsored by Times Media Group and Lovin’ Life After 50, John Wallick Jewelers, Rose Tuxedo, Applause Productions, Cummins Photography, Sierra Winds Senior Living, Freedom Inn at Scottsdale, Gartman Technical Services, Moore Graphics and Heritage Tradition.

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JANUARY 2018 | TUCSON EXPO PROGRAM

TMC for Seniors provides strategies for a healthful, active life SPECIAL TO LLAF Americans are living longer than at any other period in history. That added longevity should be coupled with ensuring people live not just longer, but better, from learning how to stretch retirement dollars to continuing to seek cognitive stimulation, managing chronic illness or keeping up with technological trends. Tucson Medical Center is committed to providing expert care and resources to older adults. As a result, TMC for Seniors is not just a place for mature adults to learn about important health and wellness issues. It’s also a place to socialize, volunteer, build community and access community resources. Programs are developed and shared in quarterly events calendars.

Every month, TMC health professionals share their expertise through discussions on a variety of topics. (Photo courtesy Tucson Medical Center)

Strong network of medical programming shares crucial information

Every month, TMC health professionals share their expertise through discussions on a variety of topics. Love Your Heart Month in February, for example, features lectures from cardiologists, cardiothoracic surgeons and other specialists who can share their knowledge about how to prevent heart disease – but also the latest technologies to help those who do have it. Other heart-related classes include hands-only CPR training, how laughing increases vitality, how stress affects the heart and exercises to keep the heart strong. Brain health is another ongoing focus, since cognitive health is so key to healthy aging and a good quality of life. In February, find out how learning something new helps build neural pathways to increase brain fitness. And in March, you’ll learn about the latest research on dementia, as well as how to help avoid a stroke – or even save someone else who is having one.

Social gatherings, support groups strengthen connections

Another key to healthful aging is to stay connected to community – and TMC for Seniors offers several ways to do so. The Viva Seniors! Social Group, for example, helps new friendships grow over casual monthly coffee sessions and conversations. Among many other groups, some gather to discuss books, to share how they’re living with diabetes, to talk about life after stroke, to discuss how they’re coping with cardiac disease or to learn more about caring for someone with dementia. 12 TUCSON EXPO PROGRAM | JANUARY 2018

TMC also offers a fun, innovative program that pairs high school students with seniors who want to know more about using computers. The Cyber-Seniors class is meant for beginners who will learn over six weeks how to search the Internet, use social media and stay connected through technology.

Physical, cognitive activity a part of successful aging

Each quarter, seniors can find a host of sessions that may help improve physical and mental health through exercise or other activities. Most classes are free or have a nominal fee. If you’ve ever wanted to learn line dancing, or wanted to work on your balance to reduce fall risk, there are classes for you. Other offerings include chair yoga, qi gong and dance fitness. Everyone can use art as a vehicle for expression and creativity. Each month, a new art form is showcased in an afternoon session, from watercolor to prints and mixed media.

Financial health, end of life assistance provide stronger sense of control

When an unplanned surgery, a vehicle accident or some other unexpected emergency leaves you unable to speak for yourself, it’s a relief to know your voice and your choices will be honored in a critical health situation. TMC offers the forms and trained volunteers who can guide you through the process of having a health care advance directive to make sure your wishes are followed. It’s easy to put it off – but your health care should always be something you control. Seniors...continued on page 15 www.LovinLifeAfter50.com

Put Life Back Into Your Life Sign up today! Pre-registration is required. Call PCOA Health Promotion 520.305.3410 or register online at www.pcoa.org/ services/healthyliving

• Learn practical skills • Gain self confidence • Manage fall risks • Improve your quality of life Interactive healthy living programs for adults 60 years and older.

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Ongoing low to moderate level exercise class taught by a certified fitness instructor, including seated exercises. www.LovinLifeAfter50.com

JANUARY 2018 | TUCSON EXPO PROGRAM

Humble Gratitude The Duttons’ matriarch is grateful for family time BY CHRISTINA FUOCO-KARASINSKI Sheila Dutton never expected she would become a musician. Her husband, Dean, was a tenured economics professor, and she saw music as a “true weakness.” Now the couple lead The Duttons, a multigenerational family of musicians who found fame thanks, in part, to appearances on the second season of America’s Got Talent. “I never imagined I’d be in music, period,” she says with a laugh. “I am the most unlikely person in the world to be doing what we’re doing. I was slow to come around to the idea. I thought it was maybe a frivolous activity, going around performing for people. “I had a series of experiences that really opened my eyes to the effect music has on people,” she adds without elaborating. “Then, after several of those experiences in the 1980s and 1990s, I supported what the kids wanted to do. My husband took an early retirement to do this full time.” The Branson, Missouri-based band is currently in Mesa for its winter residency at the Dutton Theater Mesa at East Valley High School. The family has performed there since 2005, and in 2010, it partnered with EVHS to renovate and update its auditorium.

The Duttons have five shows during their time here, which began December 9 and wraps March 31. This month, a variety show comes to EVHS from Thursday, January 18, to Saturday, January 27. Pickin’ and G r i n n i n ’ Sheila Dutton says “there’s something about the family that s h o w c a s e s resonates with a lot of people.” (Photo courtesy The Duttons) The Duttons’ favorite bluegrass and country tunes from Thursday, February 1, to Saturday, February 24. The band will “Duttonize” rock songs from Thursday, March 1, to Saturday, March 17, and it performs its most requested tracks from Thursday, March 22, to Saturday, March 31, during End the Season in Style. The Duttons skipped their New Year’s Eve shows last month because it fell on a Sunday, the day they do not perform. “We feel honored to be able to do this because of the sweet experiences and the joy we feel, and the happiness that so many people experience when they come to our show,” she says. “It leaves me with this feeling of humble gratitude, like how can anything so good happen? There’s something about the family that resonates with a lot of people. This has done so much for our relationship with our children. They knew they were loved because we practiced with them every day. It’s not the material things you do for your children. It’s the time we spent with the kids that has made a huge difference in our family.”

FOR MORE INFO

What: The Duttons When: Various times through Saturday, March 31 Where: Dutton Theater Mesa at East Valley High School, 7420 E. Main Street, Mesa

Cost: $7 (children 4-12), $14 (teens 13-18) and $29 (adults 19 and older)

Info: 480-840-6874, theduttons.com The group will also perform at the Lovin’ Life After 50 Expos in Tucson (January 16), Sun City (January 23) and Mesa (January 31). For more information, visit lovinlife.com.

TUCSON EXPO PROGRAM | JANUARY 2018

www.LovinLifeAfter50.com

Seniors...continued from page 12

Department of Nutritional Sciences, offers free nutrition advising for seniors.

Watch for varied offerings such as new models of elder living communities, the importance of making legal and financial plans if you’re caring for someone with dementia, or help with navigating Medicare.

• Virtual Dementia Experience: This session does not test for dementia. Instead, it is meant to help you identify with the disorientation and confusion that loved ones with dementia are experiencing.

Special events help celebrate mature living, assess risks Watch for special TMC events on a regular basis.

• Stroke Prevention Saturday: On March 31, head over to the Marshall Auditorium on the TMC campus at 5301 E. Grant Road for a series of free tests that will assess your risk factors for stroke. Walk-in appointments are accepted from 8 a.m. – 11:30 a.m. Physicians, diabetes educators and pharmacists will be on hand to discuss overall results on a variety of tests, including blood sugar, EKG, cholesterol and carotid artery ultrasound. • Salute to Centenarians: If you are 99 years old, or know someone who is, you should know TMC holds a group birthday party every year – in fact, it’s the largest such gathering in the nation -- to celebrate the lives of those who have spent a century on this planet. Contact TMC for Seniors to learn more! • Nutrition Advising: What you eat is a big part of staying healthy. TMC, in collaboration with the University of Arizona

Expertise in acute emotional and behavioral disorders

The challenges of aging and the unique physical and psychiatric needs of older adults can be hard to face alone. While not part of TMC for Seniors, the TMC Geropsychiatric Center is part of a broader effort to meet the needs of seniors. The Center offers a short-term, inpatient mental health program for older adults, specializing in treating acute emotional and behavioral disorders related to aging, such as depression, dementia and adjustment difficulties.

Volunteer opportunities offer personal fulfillment

Volunteering can be a piece of living healthfully, offering a sense of purpose, satisfaction and even growth. Volunteers may assist with event coordination and management, provide office support or volunteer to spend an hour a week with an isolated older adult in the community who may be homebound and in need of friendship. If you are interested in volunteering in any of the above areas, please contact TMC for Seniors at 520-324-1960.

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JANUARY 2018 | TUCSON EXPO PROGRAM

Winter colds and hearing loss BY KEN ARCIA

Arizona Relay Service

Although the winter months kick off a much-anticipated time of year here in Phoenix, we’re all a bit too familiar with the dreaded winter cold. Along with dropping temperatures come stuffy noses, sore throats and general chest and ear congestion. If you’re quick to react, taking these precautions can help you stop a winter cold in its tracks: Wash your hands. You never know what kinds of germs are being spread throughout your office, or the germs your child may bring home from his or her classroom. Keep hand sanitizer with you at all times and make sure to load up before putting your hands near your face. Keep your hands out of your mouth. This comes straight from tip No. 1. You are constantly picking up germs with your hands, so keep your hands away from your eyes, nose and mouth unless you’re sure your hands are clean. Rest. If you want your immune system to be healthy enough to fight off infection, you need to let it rest. Go to bed early and get good, uninterrupted sleep. Take vitamins and drink water. Give your immune system an extra boost with daily vitamins. The more you can add positives to your body, the more it will be able to keep out viruses.

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Get to the gym. Exercise, especially aerobic, will keep your heart moving, which increases your body’s virus-killing cells. Make sure that if you use a machine or other equipment at the gym, you wipe it down before using it so you don’t pick up any extra germs. If symptoms persist despite taking these precautions, an infection may be looming! When a cold virus develops, fluid can build up in the middle of your ear, preventing sound from traveling correctly from the outer ear to the eardrum. This is why your ears may feel full or conversations sound muffled when you have a cold. Ear infections can also develop when you have a cold due to congestion. If the infection doesn’t go away on its own, medication can be prescribed, but there is also a risk of permanent hearing loss. If hearing loss symptoms brought on by a winter cold persist longer than other symptoms, see your doctor for an in-depth ear check. If your hearing loss from the cold overstays its welcome, you want to make sure there isn’t a more serious issue or permanent damage caused by the virus. Although winter colds may seem inevitable, there are many ways to prevent them. If a cold does end up overstaying its welcome, make sure to get plenty of rest and take care of yourself. If a cold lingers longer than 10 days, it’s time to visit your doctor to rule out other illnesses. Winter is the prime season for these infections to attack, so take precautions early on, and don’t let a cold put a damper on the most wonderful time of the year! For more information, visit acdhh.org or azrelay. org. www.LovinLifeAfter50.com

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The ABCDs of Medicare Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD).

There are four parts to Medicare — Part A, Part B, Part C and Part D Here’s an overview of the different parts of Medicare. Part A — hospital insurance helps cover: • Inpatient care in hospitals • Skilled nursing facility

Part C — Medicare Advantage A type of Medicare plan offered by a private company that contracts with the Federal Government. Part C plans: • Include Part A and Part B benefits • Often include Part D (prescription drug coverage) Part D — prescription drug coverage A type of Medicare plan offered by a private company that contracts with the Federal Government. Part D plans add prescription drug coverage to Original Medicare.

• Hospice • Home health care Part B — medical insurance helps cover: • Doctors’ services • Outpatient care and home health care • Preventive services • Medical supplies

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Your Medicare costs in 2018 BY GREG DILL How much will your Medicare cost in 2018? The numbers just came out, so let’s go over them. We’ll start with the Medicare Part B premium. Part B covers doctor services, outpatient hospital services, certain home health services, durable medical equipment and other items. The standard monthly premium for people with Part B will be $134 for 2018, the same amount as in 2017. Under the law, people with Part B pay 25 percent of the costs of running the program, with the government picking up 75 percent. A statutory “hold harmless” provision applies each year to about 70 percent of Part B enrollees. For these enrollees, any increase in Part B premiums must be lower than any cost-ofliving increase in their Social Security benefits. After several years of no or very small increases, Social Security benefits will increase by 2 percent in 2018 due to a cost-of-living adjustment. Therefore, some beneficiaries who were held harmless against Part B premium increases in prior years will see a higher premium in 2018. Part B enrollees held harmless in 2016 and 2017 will see an

increase in their Part B premiums from the roughly $109, on average, they paid in 2017. An estimated 42 percent of Part B enrollees are subject to the hold harmless provision in 2018 but will pay the full premium of $134, because the increase in their Social Security benefit will be greater than or equal to an increase in their Part B premiums up to the full 2018 amount. About 28 percent of Part B enrollees are subject to the hold harmless provision in 2018 but will pay less than the full $134 premium. That’s because the increase in their Social Security benefit isn’t big enough to cover the full Part B premium increase. The remaining 30 percent of Part B enrollees aren’t subject to the hold harmless provision and will pay the full $134 per month in 2018. This group includes beneficiaries who don’t receive Social Security benefits; enroll in Part B for the first time in 2018; are directly billed for their Part B premium; are eligible for both Medicare and Medicaid and have their premiums paid by state Medicaid agencies; and pay higher premiums because their incomes are higher. Since 2007, beneficiaries with higher incomes have paid higher Part B premiums. These higher premiums apply to about 5 percent of people with Part B. For a chart showing premiums at higher income levels, go to: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-11-17.html The annual deductible for Part B will be $183 in 2018, the same amount as in 2017. Now let’s take a look at Medicare Part A, which covers inpatient hospital care, skilled nursing services and some home health services. About 99 percent of Medicare beneficiaries don’t pay any Part A premium since they’ve worked for at least 40 quarters in Medicare-covered jobs. The Part A deductible that beneficiaries pay when admitted to the hospital in 2018 will be $1,340 per benefit period, a rise of $24 from 2017. The Part A deductible covers beneficiaries’ share of costs for the first 60 days of Medicare-covered inpatient hospital care in a benefit period. Beneficiaries must pay a coinsurance amount of $335 per day for the 61st through 90th day of a hospitalization (versus $329 in 2017) in a benefit period, and $670 per day for lifetime reserve days ($658 in 2017). For beneficiaries in skilled nursing facilities, the daily coinsurance for days 21 through 100 of extended care services in a benefit period will be $167.50 in 2018 ($164.50 in 2017). You can find an explanation of benefit periods (and lots of other valuable information) in the “Medicare & You” handbook, at https://www.medicare.gov/medicare-and-you/ medicare-and-you.html.

Greg Dill is Medicare’s regional administrator for Arizona, California, Nevada, Hawaii, and the Pacific Territories. You can always get answers to your Medicare questions by calling 1-800-MEDICARE (1-800-633-4227).

TUCSON EXPO PROGRAM | JANUARY 2018

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Do you need a will or trust? Or both? BY JEFF VOGAN When it comes to estate planning, most of us are at least familiar with the terms “will” and “trust.” However, it’s important to understand how they work. One difference is that a will goes into effect after death while a trust can be used to distribute property before or after death.

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A will is a legal arrangement that has several important functions and usually requires at least one witness. (State requirements vary; for instance, two witnesses are required in Arizona.) A will is used to designate your chosen guardian/s for any minor children. A will gives instructions on how you wish your assets to be distributed upon your death. It names beneficiaries of your estate and what they are to receive. A will allows you to choose an executor – a person responsible for overseeing the distribution of your assets. The important thing to remember is that a will is subject to probate. This court process goes into the public record, determines the validity of the will, considers any objections and pays any remaining creditors. Probate can take several months – or even longer if you die without a will.

TRUSTS

A trust is a relationship in which an individual assigns their assets through another entity, called the “trustee.” The trustee is often another individual, a bank or an attorney, and they have the responsibility of transferring title of the assets to the trust’s beneficiaries. Usually, two important goals of a trust are to keep the arrangement private and avoid probate. A trust, however, doesn’t allow you to name a chosen guardian for your minor children, dictate funeral arrangements or determine who gets personal property items not specifically named in the trust. This is why a trust is almost always accompanied by a pour over will. Not everyone needs a trust, but it’s helpful if, for example, you have minor children who will be receiving your assets when they become adults because a trust can specify requirements that must be met before assets will be transferred to them. A trust is also commonly used to assign assets to a charitable organization. Remember, wills and trusts aren’t just for the wealthy – just about everyone has assets of one kind or another. These estate planning tools help you dictate how and when they are to be distributed. It’s important to get professional help that may include an attorney, and it doesn’t have to be an expensive process. Please contact us if you need help with setting up or reviewing your estate plan: Premiere Retirement Planning & Wealth Management, 520-780-9059, premret.com. Jeff Vogan, RFC, CEP is President of Premiere Retirement and Wealth Management and an Investment Advisor Representative for Horter Investment Management, LLC. a SEC Registered Investment Advisor.

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Lectures Demonstrations Special Events Thursday, January 18, 2 – 3:30 p.m.

ELDER LIVING “OUTSIDE THE BOX” There are other choices for senior living besides living alone or in a senior community. Join Deborah Knox and Sharon Kha to hear about a living arrangement you may not have thought of – Persons Of Similar Sensibilities Sharing Living Quarters.

Please join us in February for a series of lectures from our experts and learn how you can keep your heart healthy.

Wednesday, January 24, 10 – 11:30 a.m.

ESSENTIALS OF WELLNESS: RESOLUTION SUBSTITUTION Learn how to make choices and set realistic goals that you can actually live with all year long.

Tuesday, January 30, 10 – 11:30 a.m.

ADVANCE CARE PLANNING Join us to learn why advance planning is so important for you and all your family members.

Wednesday, January 31, 10 – 11:30 a.m.

NEUROLOGY SERIES: TINNITUS Join Stephanie Bourn-MacDonald, AuD, Center for Neurosciences, as she shares causes, diagnosis and some options for symptom management.

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JANUARY 2018 | TUCSON EXPO PROGRAM

Older adults can’t be overlooked in the fight against opioid misuse What’s been missing from the conversation surrounding the opioid public health emergency and ongoing prescription drug misuse is its devastating impact on older adults and the significant need for more education specifically for this population. According to the Arizona Department of Vital Statistics, nearly 17 percent of the state’s population aged 55 and older who were admitted to hospitals in 2015 were reported to have Opioid Use Disorder. The “Arizona RX Drug Misuse and Abuse Initiative: A Multi-Systemic, Multi-Level Approach for Addressing Arizona’s ‘Silent Epidemic,’” published by the Arizona Criminal Justice Commission, flatly stated that “adult prescription drug misuse in Arizona is alarmingly high.” Statistics show that 2.5 million older adults struggle with alcohol and drug problems, representing up to 11 percent of all elderly hospital admissions, 14 percent of emergency room admissions and 20 percent of elderly psychiatric hospital admissions. Although people 65 and over represent only 13 percent of the U.S. population, they account for nearly 30 percent

of all prescribed medications. And the National Council on Alcoholism and Drug Dependence reports that seniors face a greater risk of harmful medication interactions and even more debilitating general physical effects of alcohol and drugs. The Area Agency on Aging is taking a leading role in addressing the issues of medication management through several key initiatives. The Agency has a long history with

Opioids ...continued on page 25

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Opioids...continued from page 24 Mercy Maricopa Integrated Care (MMIC), formerly the Regional Behavioral Health Authority, to do prevention work that educates older adults and professionals about medication misuse. As part of this work, in 2015, the Agency developed RxMatters, an education presentation in conjunction with Prevention Works AZ and the Arizona Criminal Justice Commission. The program focuses on opioid safe storage and disposal of medication for older adults and their caregivers. In 2016, the presentation reached more than 300 older adults. In April 2017, the Area Agency created a six-week, MMIC-funded awareness campaign about the proper use of medications that reached more than 10,000 households. Also in 2017, 16 AmeriCorps members in three Arizona counties took the RxMatters program into the homes of older adults and their caregivers through funding from the Corporation for National and Community Service (CNCS), administered by the Governor’s Office of Youth, Faith and Family. Finally, Area Agency on Aging, Region One and three other state Area Agencies are part of a targeted response grant to address opioid misuse in five Arizona counties. Funding for the effort is from the Substance Abuse and Mental Health Services Administration (SAMHSA) and AHCCCS and in

partnership with the Governor’s Office of Youth, Faith and Family. With the Arizona Department of Health Services reporting more than 3,200 suspected opioid overdoses statewide since June 15, 2017, with more than 400 of them resulting in deaths, addressing this crisis as a community has never been more critical. And, in doing so, we cannot overlook – or overstate – the impact of the crisis on one of our most vulnerable populations. Mary Lynn Kasunic is president & CEO of the Area Agency on Aging. For more information about the agency and its programs to fight prescription and opioid misuse among older adults, go to aaaphx.org.

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JANUARY 2018 | TUCSON EXPO PROGRAM

Aging Today: Movement boosts the brain BY BOB ROTH

Managing Partner of Cypress Homecare Solutions

Do you ever do the “ostrich“ when you are presented with new information? Do you figuratively bury your head in the sand to avoid reading the article that challenges you to save for retirement or to exercise your way to better health? I get it. You can almost feel the judgment leaping from the page. As you try to grasp the new information, you are thinking, Those paragons of virtue will never know what it is like to be a mere mortal. Change is difficult and even more so when at the same time you are beating yourself up. Last October, the Nobel Prize in Economics was awarded to behavioral economist Richard Thaler, whose lifetime research has acknowledged that most people make conscious decisions that are not in their own best interest. The media buzz surrounding Thaler was nothing short of serendipity for me, at a time I was trying to reconcile my feeling of frustration as I reviewed the research linking exercise with brain power. I wondered who would not exercise if they really knew how much better everything, especially their brains, would work. The studies have conclusively shown that to improve your thinking skills, you must move. For me personally

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TUCSON EXPO PROGRAM | JANUARY 2018

and professionally, as I care for our aging community, I feel discouraged that more people act as Thaler predicts. They act as humans and not as the rational, classical economist suggests. Classical economic theory supports the assumption that everyone would look to maximize utility (economist term for happiness) from good health over a sedentary lifestyle that is wrought with systemic diseases. To keep our bodies, especially our brains, at peak performance, how do we, as the behavioral economist suggests, nudge people in the right direction? Is it in fact safe to assume that collectively we got the memo about exercise and its effect on the brain? Exercise reduces your risk for heart disease, stroke and diabetes. It reduces your risk for more than a dozen types of cancer. Deep down, we all know exercise buffers against the toxic effects of stress and improves the quality of sleep. But are we making the parallel with brain health? Are we aware that exercise is cognitive candy? When you meet those “super-agers” – the ones who seem about 20 years younger than their peers, what impresses you most? Researchers noticed that the people who are aging successfully also seem to be mentally alert. This led researchers to compare the cognitive abilities of someone in top physical condition to those in poor physical condition. Exercise has been associated with an astonishing elevation in cognitive performance compared with those who are sedentary. Test subjects scored better in just about every mental test: • Long-term memory tests • Reasoning tests • Tests that measured attention • Problem solving • Fluid intelligence (improvising off previously learned material) Imaging studies of the human brain have shown that exercising increases blood volume in the hippocampus, the region of the brain deeply involved in memory formation. On a molecular level, exercise stimulates the brain’s most powerful growth factor, BDNF, which stands for brain-derived neurotrophic factor. This protein is responsible for the formation of new neurons or brain cells and increases the connectivity of existing neurons. So the idea that once you reach your 20s you’re stuck with the brain cells you’ve got is a myth. So how much exercise do you have to do? That’s the crazy thing, as it turns out – not that much to see some benefits. Aerobic exercise for 30 minutes two times per week halves the risk of general dementia, and reduces the risk of Alzheimer’s disease by 60 percent. Truly, the best news is that the benefits of exercise are dose-dependent. The more you do, the greater the benefits you reap. The research of behavioral economists has influenced governments and business – from 401(k) contribution defaults to organ donation. With the knowledge that we don’t instinctively act in our own best interests, we need to nudge

Brain...continued on page 27 www.LovinLifeAfter50.com

Ask the Expert: Chronic pain treatment

manage it over time if necessary. Many interventional treatment therapies have been used to treat most aspects of spine-related pain and return a patient to their normal level of activities as soon as possible.

SPECIAL TO LLAF

What are the advantages of seeing a pain management specialist?

Pain management specialist Dr. Robert J. Berens shares how advancements in chronic pain treatment are providing relief without a prescription.

What advances have made a significant impact in chronic pain treatment? Over the past few decades, the treatment options have been refined and improved for interventional pain medicine. We have many techniques to target specific nerves and try to reduce or eliminate their ability to generate pain signals in the brain. Sometimes we can accomplish this with medication management, and other times minimally invasive techniques can offer more directed treatment with a more rapid resolution. We have advanced techniques in radiofrequency treatments to provide longer-term control of pain, in addition to directed nerve root therapies to establish relief. Spinal cord stimulation is an area of significant improvement. We are now able to implant targeted stimulators into the area of the spine to control abnormal signals to the brain that are difficult to treat with other modalities.

What is interventional pain management? Interventional pain management is a discipline in pain medicine that helps relieve patients of their pain by going beyond medication. It relies on a wide array of therapies to diagnose, reduce and often eliminate a patient’s pain. Minimally invasive techniques have the ability to diagnose a problem and treat the pain accordingly – often via a procedure or treatment, such as injections or devices – and

Most patients initially receive their pain care from the primary physician. When pain control is not within reach or a more targeted treatment is available, the primary physician or others will refer to a pain specialist.

When is it time to seek a pain management specialist? Pain can often begin as an acute problem and slowly change into a chronic problem that is difficult to treat. Chronic pain can be from a longstanding problem with or without an initial injury. Once a problem does not appear to be improving, it is likely entering a chronic phase. Acute and chronic pain can be treated by a pain specialist, and this should be considered at any time in the course of the problem. It can often be noted that early referrals to an interventional specialist can often help to provide a more rapid reduction in pain and at times eliminate the source. Dr. Robert J. Berens is board-certified in pain management and anesthesiology. He has been in practice since 1990 and has served as the medical director of the TMC Integrative Pain Center since 2004.

King Crossword FROM PUZZLE ON PAGE 20

Brain...continued from page 26 ourselves in the right direction, knowing that movement is the key to brain power. We cannot ignore the millions of years that shaped the human brain, and yet we stuff ourselves in classrooms and cubicles for eight hours at a time. Perhaps one day we will see boardrooms and classrooms with treadmills instead of desks. The human brain evolved under conditions of almost constant motion. Our prehistoric ancestors walked roughly 12 miles per day. Our unique cognitive skills were forged in the furnace of physical activity. We were not the strongest on the planet, but we developed the strongest brains – the key to our survival. Last year, after participating in the Walk to End Alzheimer’s, it occurred to me that in addition to showing my support for the researchers, caregivers, families and patients of this devastating disease, I was also taking these very literal steps to decrease my own risk of cognitive decline. www.LovinLifeAfter50.com

JANUARY 2018 | TUCSON EXPO PROGRAM

The experienced, dedicated professionals at Tucson Medical Center are here to help you in all aspects of your health care journey.

• Accredited Chest Pain Center

• TMC CardioVascular Center

• Comprehensive Stroke Center

• State-of-the-Art Orthopaedic and Surgical Tower

• Certified Atrial Fibrillation Center • TMC for Women: Surgery and Medical Services • TMC for Seniors: Wellness Lectures, Screenings, Demonstrations and Special Events • Imaging & Diagnostic Services

• TMC Geropsychiatric Center • The Core at La Encantada: Wellness Lectures, Fitness Classes and Special Events • Peppi’s House: Joint Commission Accredited Hospice; also offering In-Home Hospice Care

• Nationally Recognized Neuroscience Center

For all TMC for Seniors calendar events and information call 520-324-1960 or visit us online at tmcaz.com

TUCSON EXPO PROGRAM | JANUARY 2018